Objective Study of different methods in treatment of cerebral aneurysms an efficacy, better for the future treatment of cerebral aneurysms with reference. Methods 89 cases of patients with cerebral aneurysms were retrospectively analyzed, divided into two groups, were performed on patients with cerebral aneurysm clipping ( 41 patients with craniotomy group), The introduction of endovascular embolization in treatment of 48 patients (Intervention group ), a group of two patients with postoperative curative effect statistical analysis, and comparison. Results The two groups therapeutic effects were compared, intervention group's clinical curative effect is more obvious(P0.05), The difference has statistical significance. Conclusion Interventional embolization therapy more effective, worthy of promotion and research.

Objective To study clinical effectiveness and application value of implant therapy treatment for carotid artery stenosis.Methods 84 cases of patients with carotid artery stenosis from March 2009 to March 2010 in our hospital were randomly divided into control group and observation group,with each group of 42 cases,the control group was used the carotid endarterectomy,and the observation group was used the implant therapy.The effective rate of operation,complication,residual stricture rate,efficacy and postoperative clinical data comparison recurrence rate,etc were compared and analyzed in the two groups.Results The effective rate of the operation in the control group was 97.6%,residual stricture rate was 32.3%,the effective rate of the operation in the observation group was 100.0%,residual stricture rate was 27.8%;the other clinical data of observation group were better than those of control group,there were significant differences(all P0.05).Conclusion Implant therapy treatment for carotid artery stenosis has obvious advantages than carotid endarterectomy,and has important value in clinical application.

阵发性自主神经性不稳与肌张力不全( paroxysmal autonomic instability with dystonia,PAID)表现为显著激动、大汗、高热、高血压、心动过速及呼吸增快,伴肌张力增高及伸性姿势的一种综合征,常为发作性.由于临床表现不易为大多数神经外科医师所了解,常常漏诊、误诊,而其疗效和预后常取决于及时的诊治,故早期诊断,早期治疗显得尤为重要.

自1980年至2000年,我院收治10例高血压脑出血术后并发高渗性非酮症糖尿病昏迷病人,现报告如下:

1　临床资料 　　本组男5例，女1例，年龄15～52岁，伤后均有时间长短不等昏迷史，6例病人均行C T检查，4例发现骨折线，脑脊液鼻漏4例，脑脊液耳漏2例，1例患者左眼外展受限。感染发 生时间：5天以内3例，6～8天2例，10天1例，均有剧烈头痛，发热、颈抵抗，伴恶心呕吐4 例，视乳头水肿5例。血常规检查白细胞计数升高，腰穿查脑脊液白细胞数升高，最高达2.3 ×109/L。均行20%甘露醇每次0.5～1g/kg静滴，bid，青霉素800万U，qd静滴预防感染。 治疗效果不明显，增加甘露醇用量，加用罗氏芬(注射用头孢曲松钠)2.0g入液静滴，qd，每 日腰穿放脑脊液；罗氏芬0.1g加生理盐水10ml注入蛛网膜下腔，2例注入2次，4例注入4次。 结果：6例患者经治疗后脑脊液漏愈合，临床症状消失，脑脊液白细胞计数恢复至正常范围 ，血常规检查白细胞数恢复正常。

应用骨水泥修补术修补不同部位、不同大小的骨窗,成功30例.