目的探讨颅脑外伤后进展性颅内血肿的临床特点,总结其发病机制及诊断、治疗方法。方法回顾性分析总结收治的93例外伤进展性颅内血肿病例的临床资料。结果本组手术59例,死亡8例;保守治疗34例,死亡6例;本组死亡14例(15%)。结论对外伤性颅内血肿绝不能仅仅依赖首次CT结果制定一成不变的治疗方案,而应进行动态观察和CT监测,根据血肿量的变化及时调整治疗方案。 Objective To investigate the clinical features of progressive intracranial hematoma after craniocerebral trauma and to summarize its pathogenesis, diagnosis and treatment. Methods The clinical data of 93 patients with progressive intracranial hematoma after trauma were retrospectively analyzed. Results This group of 59 cases of surgery, 8 patients died; Conservative treatment of 34 patients, 6 patients died; 14 patients died in this group (15%). Conclusion The traumatic intracranial hematoma must not rely on the first CT results to develop a constant treatment program, but should be dynamic observation and CT monitoring, according to changes in hematoma volume and timely adjustment of treatment options.