目的探讨颅脑损伤合并静脉窦损伤患者的临床特点及紧急处理策略。方法回顾性分析2004年1月至2007年7月我院收治的26例重型颅脑损伤合并静脉窦损伤患者的临床特点及紧急处理方法。结果所有患者均在术中完成静脉窦损伤的紧急修补,止血明确。26例中恢复良好15例、中残7例、重残1例、死亡3例。结论根据手术中静脉窦具体的损伤特点采用相应的修补方法,尽早控制致命性大出血,恢复静脉窦血流,可显著改善颅脑损伤合并静脉窦损伤患者的预后。 Objective To investigate the clinical features and emergency treatment strategies of patients with brain injury and venous sinus injury. Methods The clinical features and emergency treatment of 26 patients with severe craniocerebral injury complicated with sinus lesion admitted in our hospital from January 2004 to July 2007 were retrospectively analyzed. Results All patients underwent urgent repair of sinus injury during operation, with definite hemostasis. Among 26 cases, 15 cases recovered well, 7 cases were moderate disability, 1 case was severe disability and 3 cases died. Conclusions According to the specific characteristics of sinuses during surgery, the corresponding repair methods are used to control the fatal hemorrhage and restore the sinus blood flow as early as possible, which can significantly improve the prognosis of patients with brain injury and sinus lesion.