目的：探讨小儿脑损伤后并发癫（ＰＴＳ）的危险因素和预防治疗的方法。方法：对１９１例脑外伤患儿的临床资料进行回顾性分析。结果：全组病人ＰＴＳ发生率为１０％。哥拉斯格昏迷评分（ＧＣＳ评分）３～８分的病人有３９％发生ＰＴＳ，而ＧＣＳ评分９～１５分的病人为４％。结论：小儿ＰＴＳ与ＧＣＳ评分３～８分相关。预防性应用苯妥英可能减少癫发作 Objective: To explore the risk factors and prevention and treatment of post-traumatic brain injury associated with epilepsy (PTS) in children. Methods: The clinical data of 191 children with traumatic brain injury were analyzed retrospectively. Results: The incidence of PTS in all patients was 10%. PTS was present in 39% of patients with a Glasgow Coma Scale (GCS score) of 3 to 8 and 4% of patients with a GCS score of 9 to 15. Conclusion: PTS in children with GCS score of 3 to 8 points. Preventive use of phenytoin may reduce epileptic seizures