目的探讨重型颅脑损伤合并ARDS的危险因素及早期诊断。方法回顾性分析了68例重型颅脑损伤患者的临床资料。结果GCS评分低、脑挫裂伤程度重、发生呕吐误吸、胸部外伤、年龄大以及开颅手术后者ARDS的发生率均显著增高,与ARDS显著相关,属于风险因素。结论在重型颅脑损伤的监护治疗中,应警惕ARDS的危险因素,尽早做到ARDS的早期诊断。 Objective To investigate the risk factors and early diagnosis of severe craniocerebral injury complicated with ARDS. Methods The clinical data of 68 patients with severe craniocerebral injury were retrospectively analyzed. Results Low GCS score, severe cerebral contusion and laceration, vomiting and aspiration, chest trauma, older and craniocerebral ARDS were significantly increased, which were significantly associated with ARDS and were risk factors. Conclusion In the monitoring and treatment of severe craniocerebral injury, we should be alert to the risk factors of ARDS and make the early diagnosis of ARDS as soon as possible.