目的 探析颅脑CT对急性脑外伤 患者手术疗效及预后的评估价值。方法 选取我院2013年1月-2015年6月收治的68 例ACI患者，应用GE 64层多层螺旋CT机 (MSCT)进行检查，总结患者CT表现，根 据CT分型标准明确患者分型结果并参照 Jennett和Bond所提出分级结果评价患者 预后。结果 CT分型：68例患者中41.8% 为Ⅰ型、33.8%为Ⅱ型、16.2%为Ⅲ型、 8.8%为Ⅳ型；预后良好患者中Ⅰ、Ⅱ型所 占比例为90.5%，高于预后较差患者中的 50.0%(P＜0.05)。结论 颅脑CT可通过减 压手术前后患者颅内病变改善情况进行术 前分型以评估急性脑外伤患者的手术疗效 并预测预后，具有较大临床应用价值

Objective To evaluate the value of brain CT in evaluating the surgical curative effect and prognosis of patients with acute brain injury. Methods 68 ACI patients treated in our hospital from January 2013 to June 2015 were studied. GE 64-slice multipleslice spiral CT machine (MSCT) was used for examination. The CT findings of patient were summarized. According to the CT classification criteria, the patients were classified. According to the classification results brought up by Jennett and Bond, the prognosis of patients was evaluated. Results For CT classification, among 68 patients, there were 28 cases (41.8%) of type I, 23 (33.8%) of type II, 11 cases (16.2%) of type III and 6 cases (8.8%) of type Ⅳ. Among the patients with good prognosis, CT classification of 38 cases (90.5%) were type I and II while there were 13 patients (50.0%) with poor prognosis whose CT classification were type I and II (P<0.05). Conclusion To adopt craniocerebral CT examination in patients with acute brain injury can confirm the curative effect through the improvement of intracranial lesions in patients before and after decompression surgery. Preoperative classification can be used to evaluate and predict prognosis, which is of great clinical application value.