Sequential Changes in the Platelet Count in Patients with Symptomatic Vasospasm after Subarachnoid Hemorrhage
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概要
- 論文の詳細を見る
rights: 本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるThe platelet count in 110 patients with subarachnoid hemorrhage (SAH) was analyzed retrospectively. Changes in the platelet count in 102 patients undergoing intracranial aneurysm surgery showed that the minimum platelet count was similar in patients with and without symptomatic vasospasm, but the minimum occurred later in symptomatic vasospasm patients, regardless of Hunt and Hess grade or operation timing. Sixty-five of 67 non-symptomatic vasospasm patients (97%) showed the minimum platelet count within 4 days of SAH and two (3%) on the 5th day. In contrast, only 10 of 35 symptomatic vasospasm patients (29%) showed a minimum platelet count within 4 days after SAH and 25 (71%) between the 5th and 11th days. Analysis of the eight patients not receiving surgery showed that the minimum platelet count occurred 2 days after SAH in two non-symptomatic vasospasm patients, but after the 5th day in five of six symptomatic vasospasm patients. Therefore, monitoring of the platelet count can provide an indicator of the occurrence of symptomatic vasospasm.
- 日本脳神経外科学会の論文
- 1993-04-15
著者
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HAYASHI Nakamasa
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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ENDO Shunro
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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HIRASHIMA Yutaka
Department of Neurosurgery, University of Toyama
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Hirashima Yutaka
Physiological Chemistry Faculty Of Pharmaceutical Sciences Teikyo University
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TAKAKU Akira
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama
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Asahi Takashi
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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赤井 卓也
国立水戸病院脳神経外科
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Hayashi Nakamasa
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hayashi Nakamasa
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Hirashima Yutaka
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Takaku Akira
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Asahi Takashi
Faculty Of Medicine Department Of Physiology Toyama Medical And Pharmaceutical University
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Asahi Takashi
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Endo Shunro
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Akai Takuya
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hirashima Yutaka
Department Of Neurosurgery Toyama Medical And Pharmaceutical University
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赤井 卓也
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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Hirashima Yutaka
Department of Materials Science, Toyohashi University of Technology
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