重症クモ膜下出血の治療戦略 : 重症度分類の時間推移と予後

Time course of neurological grading in patients with severe SAH and prognosis

Creators Suzuki Michiyasu

Short-term observation of patients with subarachnoid hemorrhage(SAH) but without hematoma presenting in poor neurological condition on admission was evaluated as a protocol to select candidates for radical surgery. One hundred three patients with SAH but without hematoma causing mass effect were observed for 12 hours with control of blood pressure and intracranial pressure(ICP) using hyperosmolar diuretics and/or ventricular drainage. Neurological improvement was seen in 32 of 47 patients in grade IV on admission and 23 of 56 patients in grade V(p<0.01). Hydrocephalus requiring ventricular drainage was more common(p<0.05), and the interval between admission and onset was shorter(p<0.01)in the improved group. Rebleeding during observation occurred in 3 patients in grade V on admission. Radical surgery was performed on all patients in grade III or better after 12-hour observation, and patients in grade IV below 75 years old and without systemic complication

本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである()

[ISSN]0513-1731

[NCID]AN00243156

[isVersionOf] [NAID]http://ci.nii.ac.jp/naid/110002774005/