Objective To evaluate guglidnai detachable ceil(GDC)embolization therapy in treatment of acnte stage ruptured aneurysms.Methods 86 patients were involved in our study,we treat aneurysms with different intravascular therapy techniques,anti-artery-spasm treatment and lumber centesis were performed after therapy.Resuits 72 patients received 100% embolization,10 patients received 95% embolization,4 patients received 90% embolization,no patient died due to therapy in follow-up,further function recover was found.Conclusion Acute stage intravascular therapy combined with comprehensive measures can effectively improve the outcome of patients with ruptured aneurysms.

Objective To explore the clinical significance of treating severe patients with frontal lobe and temple lobe with enlarging pterion approach operation. Methods All the severe patients with frontal lobe and temple lobe injury were divided into two groups at random. One group adopted the standard large trauma craniotomy, the other group adopted enlarging pterion approach operation. Under the same conditions, score of GCS, patients ages in two groups were analyzed. And we compare their operation results. Results Compared the standard large trauma cranioto-my,the good recover rates rise 9.2% (P < 0.05) and the death rate reduce 10.2% (P < 0.05) by using the enlarging pterion approach operation. Conclusion The enlarging pterion approach operation could improve existing quality and decrease mortality and disabled rate in patients with severe brain injury in frontal lobe and temple lobe.