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重症くも膜下出血に対する治療とその成績
https://sapmed.repo.nii.ac.jp/records/8092
https://sapmed.repo.nii.ac.jp/records/80929fb75201-ac43-47e2-9442-8f354643982f
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
n1340576411111.pdf (271.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||
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| 公開日 | 2009-03-24 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | 重症くも膜下出血に対する治療とその成績 | |||||||||||||||||||||
| 言語 | ja | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | jpn | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | subarachnoid hemorrhage | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | cerebral aneurysm | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | WFNS grade | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | hypothermia | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | cerebral vasospasm | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| 著者 |
佐々木, 雄彦
× 佐々木, 雄彦
× 武田, 利兵衛
× 中川原, 譲二
× 上山, 憲司
× 早瀬, 一幸
× 高田, 英和
× 大里, 俊明
× 中村, 博彦
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| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Object: The purpose of this paper was to evaluate the results of intensive multi modal treatment for the poor-grade paitents with subarachnoid hemorrhage afer ruptrued cerebral aneurysms. Methods: Treatment results for the 28 patients with poor neurological grade (WFNS grade IV or V) who were transfered to Nakamura Memorial Hospital over the year 2000 were analized in consern with thier neurological status on admission, thier subsequent neurological change, following treatment modality, presence of delayed ischemic neurological deficits and final outcome at 6 month. Results: Seven deeply comatose patients without reactivity of thier pupils and 2 patients who suffuered from early rerupture and become deep coma treated conservatively and dead. In the other 19 paitents who underwent initial obliteration of ruptured aneurysms and intensive treatment, 10 including 1 patients with GCS 3 on admission obtained favorable outcome better than moderate disability. Intra- and/or postoperative hypothermia brought favorable results in 25% of patients treated with this technique. Any improvements of neurological status in early stage after admission were the desirable factor for the favorable results, while rerupture after admission brought the miserable outcome. Efficacy of endoscopic evacuation of packed intraventricular hematoma limited to save the life of patients. Intracisternal fiblinolytic therapy was useful to prevent the cerebral vasospasm even for the poor-grade patients. Conclusion: These results encouraged to include the patients with GCS 3 into the candidate for the intensive treatment if they had reactive pupils or neurological improvement in early stage. | |||||||||||||||||||||
| 書誌情報 |
北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation 巻 11・12, 号 1, p. 11-14, 発行日 2001-12-20 |
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| ISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1340-5764 | |||||||||||||||||||||
| 著者版フラグ | ||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||
| その他のタイトル | ||||||||||||||||||||||
| その他のタイトル | Management and Outcome of Patients with Poor-grade Susbarachnoid Hemorrhages | |||||||||||||||||||||
| 出版者 | ||||||||||||||||||||||
| 出版者 | 中村記念病院 | |||||||||||||||||||||
