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タイトル脳動脈瘤の臨床統計学的研究 (第二報) : 山口大学医学部脳神経外科開設10年間の脳動脈瘤について
タイトルヨミノウ ドウミャクリュウ ノ リンショウ トウケイガクテキ ケンキュウ ダイ2ホウ : ヤマグチ ダイガク イガクブ ノウシンケイ ゲカ カイセツ 10ネンカン ノ ノウ ドウミャクリュウ ニ ツイテ
タイトル別表記Clinicostatistical Study of Cerebral Aneurysms : 10 Year Experience Since the Establishment of Our Department (Second Report)
作成者山下, 哲男
阿美古, 征生
湧田, 幸雄
津波, 満
織田, 哲至
井上, 信一
中野, 茂樹
札場, 博義
山下, 勝弘
柏木, 史郎
作成者ヨミヤマシタ, テツオ
アビコ, セイショウ
ワクタ, ユキオ
ツハ, ミツル
オリタ, テツジ
イノウエ, シンイチ
ナカノ, シゲキ
フダバ, ヒロヨシ
ヤマシタ, カツヒロ
カシワギ, シロウ
作成者別表記Yamashita, Tetsuo
Abiko, Seisho
Wakuta, Yukio
Tsuha, Mitsuru
Orita, Tetsuji
Inoue, Sinichi
Nakano, Shigeki
Fudaba, Hiroyoshi
Yamashita, Katsuhiro
Kashiwagi, Shiro
作成者所属山口大学医学部
内容記述(抄録等)From 1974 to 1983, 302 patients with cerebral aneusysm were admitted to our ward. By Hunt & Kosnik grade, 18 cases were graded 0,82 cases I, 10 cases I a, 86 cases II, 60 cases III, 41 cases IV and 5 cases V. By Fisher's CT classification, 111 cases were graded I, 9 cases II, 99 cases III, 44 cases IV. Regarding treament, clipping was performed in 265 aneuryrms, coating in 26, trapping in 5, cervical ligation in 5, cervical carotid ligation with STA-MCA anastomosis in 5, ventricular drainage in 34 cases, cisternal drainage in 29 and conservative therapy in 28 cases. CSF shunts were made in 68 cases, VP in 60, LP in 4, SP in 1, SP with VP in 1, LP following VP in 2. Of the radically operated cases with initial bleeding and single aneurysm, 20 cases were operated within Day 3, 31 cases between Day 4 and Day 14 and 116 cases after Day 14. Ability of daily life on discharge was excellent in 77 cases, good in 76, fair in 47, poor in 44, dead in 58 (mortality 19.2%). Mortality of delayed operations (9.5%) was fewer than that of other operations (Day 4~14 operation : 16.1%, within Day 3 operation : 45%). However, in the early (within Day 3) admitted patients whose operation was planed to postpone untill after Day 14, mortality increased to 44.4% because of rebleeding and vasospasm. The results of ealy operations (within Day 3) were also poor (mortality 45%). The main factors for poor prognosis were vasospasm, rebleeding and technical problems. From this retrospective study, skillful early surgery and successful therapy for vasospasm such as cisternal drainage etc. will undoubtedly improve results.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
35
3
開始ページ175
終了ページ181
発行日1986-06
著者版/出版社版その他
リポジトリIDB030035000306
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030035000306