【摘要】 目的　探讨颅脑外伤合并视神经损伤的治疗原则。方法　收集 2 4例急性脑外伤合并视神经损伤病人的治疗及预后资料 ,其中 15例手术治疗 ,9例保守治疗。结果　 15例手术病人术后视力都有不同程度恢复 ,其中 9例恢复明显 ,6例视力减退 ,无失明者。保守治疗者 4例视力恢复良好 ,4例视力减退 ,1例失明。结论　对于颅脑外伤合并视神经损伤者 ,除伤后视力明显好转者可采用保守治疗 ,一旦明确有视神经损伤 ,无论原发或继发 ,都应尽早积极采用手术治疗更多还原

【Abstract】 Objective: To investigate the therapeutic principle for the management of acute head injury combined with optic nerve damage.Method:The clinical data of treatment and prognosis from 24 patients,in which 15 received operative and 9 conservative measures were collected and analyzed.Results:In 15 operated cases,the vision of 10 cases including one with blindness before operation was improved obviously,while those of other 5 didn′t get any improvement.In 9 conservatively treated cases,the vision was improved in 4 cases,deteriorated in 4 cases and no change in 1 case with blindness after injury.Conclusion:Once the optic nerve damage has been manifestated by clinical or radiological evidences in acute head injury patients,despite it was primary or secondary reason,surgical optic nerve bone canal decompression should be done as soon as possible.更多还原