Effects and Complications of Stereotactic Aspiration for Spontaneous Intracerebral Hemorrhage
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概要
- 論文の詳細を見る
Stereotactic aspiration of intracerebral hemorrhage (ICH) improves the general condition of patients, promotes improvement of consciousness, and decreases the incidence of pneumonia, but may induce rebleeding. The present study investigated the effects of stereotactic aspiration and factors that inhibit rebleeding in 70 consecutive patients who underwent stereotactic aspiration for ICH. Consciousness was significantly improved after surgery. Of patients who underwent surgery on day 0 or 1, 5 patients developed pneumonia and 29 patients did not. Of patients who underwent surgery on day 2 or later, 14 patients developed pneumonia and 22 patients did not. Early surgery within 2 days significantly reduced the rate of aspiration pneumonia. Patients with rebleeding tended to have liver dysfunction and hemorrhagic tendency. Early stereotactic aspiration of ICH facilitates better patient management than conservative treatment in patients with moderate consciousness disturbance. Patients with liver dysfunction and hemorrhagic tendency should be identified.
- 社団法人 日本脳神経外科学会の論文
- 2010-07-15
著者
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UMEBAYASHI Daisuke
Department of Neurosurgery, Kyoto Second Red Cross Hospital
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Mandai Ayako
Department Of Neurosurgery Kyoto Second Red Cross Hospital
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Osaka Yasuhiko
Department Of Neurosurgery Kyoto Second Red Cross Hospital
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Tenjin Hiroshi
Department Of Neurosurgery Kyoto Second Red Cross Hospital
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Nakahara Yoshikazu
Department Of Neurosurgery Kyoto Second Red Cross Hospital
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Umebayashi Daisuke
Department Of Neurosurgery Kyoto Second Red Cross Hospital
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Mandai Ayako
Department Of Neurosurgery Japanese Red Cross Kyoto Daini Hospital
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Tenjin Hiroshi
Department Of Neurosurgery Japanese Red Cross Kyoto Daini Hospital
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Nakahara Yoshikazu
Department Of Neurosurgery Japanese Red Cross Kyoto Daini Hospital
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Osaka Yasuhiko
Department Of Neurosurgery Japanese Red Cross Kyoto Daini Hospital
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