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《Chinese Journal of Neuromedicine》 2003-02
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Surgical therapy with large fronto-temple cranial window in treating especially severe putamen hemorrhage

ZHANG Weihua, CHEN Baozhong, GUO Yuda Department of Neurosurgery, Foshan Municipal Second People's Hospital, Foshan 528000, China  
Objective To explore the therapeutic effect of large fronto-temple cranial window in treating especially severe hypertensive putamen hemorrhage. Methods The clinical data, surgical methods and therapeutic effects were retrospectively analyzed in 42 cases of severe hypertensive putamen hemorrhage treated with large fronto-temple cranial window. Results After the operation, 14 cases (33 %) died, 3 cases (7 %) were ADL5 , 3 cases (7 %) ADL4, 16 cases (38 %) ADL3 , 6 cases (14 %) ADL2 , no case ADLI. Conclusion Used to treat severe hypertensive putamen hemorrhage, as an effective therapy, large fronto-temple cranial window is likely to decrease mortality rate and raise the rate of ADL2 and ADL3 (52 %) to an obvious extent. However, further study waits to be made because the rate of ADL4 and ADL5 keeps so high as 14 %.
【CateGory Index】: R651.15
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