急性颅脑损伤是神经外科常见病，对视神经损伤认识不足，容易误诊漏诊，丧失最佳治疗时机。护理人员在接诊和护理颅脑外伤的患者时，除常规观察患者意识状态、生命体征，肢体活动情况外，还应认真仔细检查受伤部位、视力、瞳孔状态等，为医生及时提供诊断依据。急性颅脑损伤合并视神经损伤的早期诊断是抢救视力的关键，而我们护理人员的观察工作起着举足轻重的作用。“,”Acute traumatic brain injury is a common disease in Department of Neurosurgery, the lack of understanding of the optic nerve damage, easy misdiagnosis, loss of the best timing of treatment. Nursing staf in the reception and care of craniocerebral trauma patients, in addition to conventional state of consciousness, observe the patient vital signs, limb activities outside, stil should careful y check the injured part, vision, pupil, for doctors to provide diagnostic basis. Early diagnosis of acute craniocerebral injury combined with optic nerve injury is the key to save the vision, and play a decisive role in the observation of our nursing staf work.