目的探讨重型颅脑损伤合并多发伤伴的临床特点和救治策略。方法本组85例,GCS均<8分,均伴身体其他部位多处损伤,均需外科处理。行开颅手术清除血肿63例(74.1%),去骨瓣减压55例(64.7%),其他损伤均经外科治疗。在治疗中贯彻损伤控制外科原则。结果存活48例(56.5%),死亡37例(43.5%)。33例出院后6个月行GOS评分,显示恢复良好6例(18.2%),中度残废14例(42.4%),重度残废13例(39.4%)。结论应用损伤控制外科原则处理多发伤伴重型颅脑伤有助于提高其生存率,对颅脑损伤的积极治疗是提高病人生存质量的重要环节。 Objective To investigate the clinical features and treatment strategies of severe craniocerebral injury combined with multiple injuries. Methods 85 cases of this group, GCS were <8 points, with multiple parts of the body with multiple injuries, require surgical treatment. 63 cases (74.1%) underwent craniotomy to remove hematoma and 55 cases (64.7%) to decompressive craniectomy. All other injuries were surgically treated. In the treatment of injury control surgery principle. Results Survival in 48 patients (56.5%), 37 patients died (43.5%). Sixty-three patients (18.2%) recovered moderately, 14 (42.4%) had moderate disability, and 13 (39.4%) had severe disability. Conclusion Applying the principle of injury control surgery to treat multiple trauma with severe traumatic brain injury will help to improve its survival rate. Active treatment of traumatic brain injury is an important part of improving the quality of life of patients.