目的总结重型额叶脑挫裂的临床特点和治疗经验。方法对30例重型额叶脑挫裂伤临床资料进行回顾性分析。结果30例患者中,14例急诊手术;16例早期非手术观察治疗患者,6例GCS5～8分患者后期转手术治疗。根据GOS预后评分,良好20例(66.67%),中残5例(16.67%),重残3例(10.0%),死亡2例(6.66%)。结论对重型额叶脑挫裂伤患者,临床上应密切观察病情变化,动态观测颅脑CT改变,尽早进行综合治疗,有手术指征时即刻手术,才能有效提高治愈率,降低死残率。 Objective To summarize the clinical features and treatment experience of severe frontal lobe contusion. Methods The clinical data of 30 patients with severe frontal lobe contusion and laceration were retrospectively analyzed. Results Of the 30 patients, 14 had emergency surgery, 16 had early nonsurgical observation and 6 had GCS5 ~ 8 patients who were treated by surgery. According to the GOS prognosis score, 20 (66.67%) were good, 5 (16.67%) were moderate, 3 were severe disability (10.0%) and 2 were death (6.66%). Conclusion For the patients with severe frontal lobe contusion and laceration, we should closely observe the changes of the disease, observe the brain CT changes dynamically and treat the patients as soon as possible. If there are surgical indications, we can improve the cure rate and reduce the rate of death.