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- W2359385497 abstract "Objective To investigate the matter that if early decompression by standard craniectomy to treat extensive infarction can enhance the curative efficacy and help to lower mortality. Methods Fity-one patients who underwent standard large craniectomy decompression for large middle cerebralartery territory infarction were reviewed and analyzed retrospectively,the patients were assessed by Chinese scale of clinical neurologic deficit of stroke patients (Chinese Scale) and the Glasgow Coma Scale (GCS) before operation. According to the length of time that between the stroke patients symptom onset and operation. We divided the patients into two groups: early decompressive surgery group (≤36 hours after symptom onset) and late surgery group (36 hours after symptom onset). All survivors were reexamined 3 months after surgical decompression, with the clinical evaluation graded according to the Barthel Index (BI). Results In 21 patients with early decompressive surgery, mortality was 14.3%(3/21) and BI score 69.8; In 30 patients with late surgery, mortality was 26.7%(8/30) and BI score 61.7.13.5%(3/21)patients with the signs of herniation before surgery in the early treated group versus 80%(24/30)patients in the late treated group(P0.01).Conclusion Early standard large craniectomy decompression for large middle cerebral artery territoryinfarction patients,can significantly improves the curative effectiveness of the patients,and can help to lower mortality rate and to improve patients’ living quality." @default.
- W2359385497 created "2016-06-24" @default.
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- W2359385497 date "2007-01-01" @default.
- W2359385497 modified "2023-09-26" @default.
- W2359385497 title "Early decompression by standard craniectomy to treat extensive infarction" @default.
- W2359385497 hasPublicationYear "2007" @default.
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