Clinical Features and Management of Intracranial Hemorrhage in Patients Undergoing Maintenance Dialysis Therapy
スポンサーリンク
概要
- 論文の詳細を見る
The management and outcome were retrospectively investigated in patients with chronic renal failure receiving maintenance blood purification who suffered intracranial hemorrhage. Patients with intracerebral hemorrhage (ICH, n = 36) or subarachnoid hemorrhage (SAH, n = 5) were evaluated. Both groups were initially managed using continuous hemofiltration (HF) after admission, except for two patients with SAH receiving maintenance peritoneal dialysis. Patients with ICH were managed with HF three times a week after computed tomography showed decreased peripheral edema. Nafamostat mesilate was used as the anticoagulant for both continuous HF and HF. Hemodialysis (HD) three times a week was initiated after confirming the absence of neurological deterioration using HF. Craniotomy was not performed in any patient with ICH, but if necessary, the hematoma was aspirated using burr-hole surgery. Angiography was performed on the day of admission in patients with SAH. Delayed neck-clipping surgery was performed after continuous HF for 2 weeks with lumbar cerebrospinal fluid drainage. In patients with ICH, continuous HF was continued for 2-9 days after admission (mean 5.2 ± 2.2 days), followed by 2-9 courses of HF (mean 4.7 ± 2.1 courses). HD was initiated 9-26 days after admission (mean 15.5 ± 4.6 days). Favorable outcomes were achieved by 13 of the 36 patients with ICH and two of the five patients with SAH, whereas 22 patients with ICH and three patients with SAH died. Death occurred in 12 of 16 patients with ICH and diabetic nephropathy. In contrast, 10 of 20 non-diabetic patients with ICH had favorable outcomes. Ten of the 16 patients with initial GCS ≤ 8 and six of the 20 with GCS ≥ 9 were diabetic. Therefore, there were significant differences between diabetic and non-diabetic patients (p = 0.05). Poor outcomes in diabetic patients with ICH are caused by primary brain damage, reflected in the initial disturbance of consciousness.
- 日本脳神経外科学会の論文
- 2004-05-15
著者
-
MARUYAMA Daisuke
Department of Cell Biology, Faculty of Science, Saitama University
-
KAKITA Kiyohito
Departments of Neurosurgery, Kyoto First Red Cross Hospital
-
Kimura Satoshi
Department Of Cardiovascular Medicine Graduate School Of Medical Science Kyushu University
-
Murakami Mamoru
Departments Of Neurosurgery Kyoto First Red Cross Hospital:(present Address)department Of Neurosurge
-
Murakami Mamoru
Department Of Neurosurgery Kyoto First Red Cross Hospital:(present Address)department Of Neurosurger
-
Murakami Mamoru
Department Of Anesthesiology And Emergency Medicine Tohoku University Postgraduate Medical School
-
HAMASAKI Tomoyuki
Department of Neurosurgery, Kyoto First Red Cross Hospital
-
Kakita Kiyohito
Department Of Neurosurgery Kyoto First Red Cross Hospital
-
Kakita Kiyohito
Departments Of Neurosurgery Kyoto First Red Cross Hospital
-
Maruyama Daisuke
Department Of Applied Biological Sciences Faculty Of Agriculture Saga University
-
Maruyama Daisuke
Department Of Neurosurgery Kyoto First Red Cross Hospital
-
Hamasaki Tomoyuki
Department Of Neurosurgery Kyoto First Red Cross Hospital
-
Kimura Satoshi
Departments Of Neurosurgery Kyoto First Red Cross Hospital
-
Kimura Satoshi
Department Of Applied Biological Chemistry The University Of Tokyo
-
Kimura Satoshi
Department Of Anesthesiology And Critical Care Medicine Kasugai Municipal Hospital
関連論文
- A Kindred of Familial Acromegaly without Evidence for Linkage to MEN-1 Locus
- A Japanese Case of Congenital Hyperinsulinism with Hyperammonemia Due to a Mutation in Glutamate Dehydrogenase (GLUD1) Gene
- PJ-170 Blockade of NF-κB by Nano-DDS of NF-κB decoy to the lung ameliorates monocrotaline-induced Pulmonary Arterial Hypertension(Pulmonary circulation(03)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- 4 Single Intratracheal Administration of Bioabsorbable Nanoparticle Incorporated with Statin Ameliorates Monocrotaline-induced Pulmonary Arterial Hypertension and Survival(Young Investigator's Award for International Students Finalists Lecture (YIA Intern
- PJ-326 Intracellular Delivery of Imatinib (PDGF Receptor Tyrosine Kinase Inhibitor) with Bioabsorbable Polymeric Nanoparticle Technology Effectively Suppresses Vein Graft Neointima Formation(Cardiovascular surgery/CABG-2, The 71st Annual Scientific Meetin
- PJ-646 A Third-generation Long-acting Dihydropyridine Calcium Channel Blocker, Azelnidipine Inhibits Migration/Proliferation of Vascular Smooth Muscle Cells through Suppression of MCP-1 Release(Cardiovascular pharmacology, basic/clinical-5 (H) PJ109,Poste
- OJ-189 Feasibility of Biodegradable Polymeric Nanoparticle Technology for Intracellular Drug Delivery as a Novel Treatment of Vein Graft Disease(Cardiovascular surgery/CABG-1 (IHD) OJ32,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific M
- Effect of lons on Antibacterial Activity of Human Beta Defensin 2
- Carbon Monoxide from Heme Oxygenase-1 Scavenges Reactive Oxygen Species Generated by Oxidized LDL in Macrophages through P38 MAP Kinase Pathway
- Endovascular Treatment of Vertebral Artery Aneurysm Manifesting as Progressive Hemifacial Spasm
- HEMATOPOIETIC STEM CELL TRANSPLANTATION IN THE DEPARTMENT OF HEMATOLOGY, FUKUSHIMA MEDICAL UNIVERSITY
- Serum lipid profile of patients with genotype 1b hepatitis C viral infection in Japan
- A Patient with E. coli-induced Pyelonephritis and Sepsis Who Transiently Exhibited Symptoms Associated with Primary Biliary Cirrhosis
- Acute Hepatitis E with Elevated Creatine Phosphokinase
- PJ-238 IABP Spares Oxygen Consumption of Failing Hearts Through Baroreflex Mediated Sympathoinhibition(Autonomic nervous system(04)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Application of solvent extraction using synergistic effect to electroless nickel plating waste liquor (第7回資源リサイクル・材料科学に関する日韓国際シンポジウム特集)
- Power spectral analysis of the electroencephalogram during induced total spinal block
- Spontaneous Recovery from Hypopituitarism in a Man with Lymphocytic Hypophysitis: A Case Report
- Antibody-mediated Insulin Resistance Treated by Cessation of Insulin Administration
- OE-101 Noninvasive Transcutaneous Bionic Baroreflex System Prevents Severe Orthostatic Hypotension in Patients with Spinal Cord Injury(Autonomic nervous system(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circulatio
- Coronary Artery Bypass Grafting with Absent Right Superior Vena Cava in Visceroatrial Situs Solitus
- Acute inflammatory reactions caused by histamine via monocytes/macrophages chronically participate in the initiation and progression of atherosclerosis
- Primary leiomyosarcoma of the vertebra : Case report and review of the literature
- OE-064 Critical Role of Angiotensin II AT1 Signals in Vascular Senescence in Atherogenesis(Atherosclerosis, basic-1 (H) OE11,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Angiotensin II AT1 Receptor-Mediated Enhanced RAGE Signals are Responsible for the Mechanism of Accerelated Atherosclerosis by Diabetes Mellitus(Atherosclerosis, Basic 10 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Trimer V^ Spin Singlet State and Pseudo Gap in LiVS_2 Studied by ^V and ^7Li Nuclear Magnetic Resonance
- Transanal Prolapse of a Ventriculoperitoneal Shunt Catheter
- Hypoxia-induced pulmonary vasoconstriction is attenuated with lecithin-conjugated SOD
- Enzymatic degradation of cellulose-chitosan composite hydrogels
- Difference of Progression to AIDS According to CD4 Cell Count, Plasma HIV RNA Level and the Use of Antiretroviral Therapy among HIV Patients Infected through Blood Products in Japan
- Delays and Continuation of Hospital Visits Among HIV-Infected Persons and AIDS Cases in Japan
- Characterization of a Novel Cell Line Established from Anterior Pituitary Gland of a Temperature Sensitive T Antigen Transgenic Mouse
- Subdural Extension of Recurrent Olfactory Neuroblastoma : Case Report
- Ruptured Traumatic Aneurysm After Trivial Injury Mimicking Acute Spontaneous Subdural Hematoma
- Coronary Artery Bypass Grafting and Aortic Valve Replacement in a Patient with a Tracheostoma
- Suppression of Neointimal Formation in a Canine Model of Vein Graft Disease by Adenovirus-Mediated Anti Monocyte Chemoattractant Protein-1 Gene Therapy(Gene Therapy 3 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Techniques for Universal Evaluation of Astringency of Green Tea Infusion by the Use of a Taste Sensor System
- Purification and Characterization of Glycoprotein from the Skin Mucus of the Rainbow Trout, Salmo gairdneri
- Structural Characterization of the Carbohydrate Chains from the Skin Mucus Sialoglycoprotein of the Stingray Dasyatis akajei
- Isolation and Properties of a Sialoglycoprotein from the Skin Mucus of the Stingray Dasyatis akajei
- A High-Speed Atomic Force Microscope for Studying Biological Macromolecules in Action
- Controlled Crystallization of Ultrafine Titanium Dioxide Particles in the Presence of Hydrophilic or Amphiphilic Polymer from Peroxotitanic Acid
- Stabilities of Maxillary Complete Overdentures With and Without Abutment Tooth Support : Examination by Dynamics of Atmospheric Pressure as an Index of Denture Stability
- SiB_6-B_4C系セラミックスの焼結性
- Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling : Case Report
- Olfactory Groove Schwannoma : Case Report
- Typus melancholicus and the Temperament and Character Inventory personality dimensions in patients with major depression
- Methylation status of suppressor of cytokine signaling-1 gene in hepatocellular carcinoma
- Frequent β-catenin aberration in human hepatocellular carcinoma
- Physical Condition and Activity of Daily Living among HIV Patients Infected through Blood Products in Japan
- Unselective use of intranasal mupirocin ointment for controlling propagation of methicillin-resistant Staphylococcus aureus in a thoracic surgery ward
- Changes in drug susceptibility and toxin genes in Staphylococcus aureus isolated from blood cultures at a university hospital
- A long-term remission of renal amyloidosis with nephrotic syndrome after autologous peripheral blood stem-cell transplantation
- Relationship between medical treatment and oral dryness diagnosed by oral moisture-checking device in patients with maxillofacial prostheses
- Type VI Collagen Bound to Collagen Fibrils by Chondroitin/Dermatan Sulfate Glycosaminoglycan in Mouse Corneal Stroma
- Immunoelectron Microscopic Localization of Decorin in Aged Human Corneal and Scleral Stroma
- Large, Benign Osteoblastoma of the Temporal Bone : Case Report
- Maturity-onset Diabetes of the Young Resulting from a Novel Mutation in the HNF-4α Gene
- Arabidopsis thaliana Has a Set of J Proteins in the Endoplasmic Reticulum that are Conserved from Yeast to Animals and Plants
- Is out-of-hospital intubation by paramedics valid enough to be continued?
- A Three-dimensional Analysis Method for Edentulous Mandibular Ridge Shape
- Chorangiosis and placental oxygenation
- Recurrent Intrasellar Arachnoid Cyst : Case Report
- Escape of Parasympathetic Vasodilatation from Sympathetic Attenuation in Oro-Facial Areas in the Cat
- Clinical Features and Management of Intracranial Hemorrhage in Patients Undergoing Maintenance Dialysis Therapy
- CHARACTERIZATION OF GEL-LIKE POLYSACCHARIDE TISSUES OF HIGHER PLANT FRUITS
- A MODULATING ROLE OF TAURINE ON RELEASE OF ACETYLCHOLINE AND NOREPINEPHRINE FROM NEURONAL TISSUES
- Tasuki Clipping Combined With High Flow Bypass for Ruptured, Previously Coiled, Partially Thrombosed Giant Aneurysm at the Carotid Bifurcation:—Case Report—
- Successful Vancomycin Desensitization with a Combination of Rapid and Slow Infusion Methods
- Skull Parosteal Lipoma with Reactive Hyperostosis: A Case Report
- Rapid Progression of Left Ventricular Thrombus with Left Ventricular Dysfunction Detected by Preoperative Transthoracic Echocardiography
- Relationship between symptoms of dryness and moisture levels in patients with maxillofacial prostheses