目的探讨大骨瓣减压治疗重型颅脑损伤的临床疗效。方法回顾分析65例患者的临床资料。结果按GCS评分方法进行疗效评定:65例中康复良好31例,中残15例,重残3例,植物生存2例,死亡14例。结论对于重型颅脑损伤的患者,行去大骨瓣减压应及早进行,并且去除骨瓣要足够大,脑组织受压时间越短,脑组织损伤程度相对越轻,抢救成功率越高。应用大骨瓣减压术治疗重型颅脑损伤临床安全且效果好,值得应用。 Objective To investigate the clinical effect of decompressive craniectomy on severe craniocerebral injury. Methods The clinical data of 65 patients were retrospectively analyzed. Results According to the GCS score, the curative effect was evaluated: 31 cases were well recovered, 15 cases were moderate disability, 3 cases were severe disability, 2 cases were plant survival and 14 cases died. Conclusion For patients with severe craniocerebral injury, the decompression of large craniectomy should be carried out as early as possible. The removal of the bone flap should be large enough, the shorter the pressure of brain tissue, the lighter the damage of brain tissue and the higher the success rate of rescue. Application of large flap decompression in the treatment of severe traumatic brain injury clinical safety and good effect, it is worth applying.