Decompressive hemicraniectomy for acute subdural hematoma.
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概要
- 論文の詳細を見る
The results of 31 Patients with acute subdural hematoma who underwent decompressive hemicraniectomy was reportd. Six selected patients were treated postoperatively with barbiturates. 32% of the patients had a favorable outcome (good recovery and/or moderate disability). 13% had an unfevorable outcome (severe disability and/or vegetative state) and there was a mortality rate of 55%. Careful evaluation of the results revealed that 80% of the patients with GCS scores of 6 to 8 before operation had a favorable outcome. 81% of the mortalities occurred in the patients with GCS scores of 3 to 5. The preoperative ICP was higher than 40 mmHg in all patients and the postoperative ICP was controlled at or below 50 mmHg except in patients who developed diffuse brain swelling. 36 % of the patients with sustained high ICPs of 50 mmHg after the operation had favorable outcomes. Postoperative administration of a barbiturate was effective in lowering the ICP by 10 to 15 mmHg without complications.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Tokutomi Takashi
Department Of Neurosurgery Kurume University School Of Medicine
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Watanabe Mitsuo
Department Of Analytical Chemistry Faculty Of Pharmaceutical Sciences Teikyo University
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Kuramoto Shinken
Department Of Neurological Surgery Kurume University Medical School
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Shigemori Minoru
Department Of Neurological Surgery Kurume University Medical School
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Yuge Tatsuo
Department Of Neurosurgery Kurume University School Of Medicine
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Ogata Takeyuki
Department Of Earth Science And Technology Faculty Of Engineering And Resources Science Akita Univer
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Nakayama Kenji
Department Of Cardiothoracic Surgery Niigata Prefectural Shibata Hospital
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KAWASAKI Kensaku
Department of Neurosurgery, Kawasaki Neurosurgery Hospital
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SHOJIMA KAZUHITO
Departments of Neurosurgery, St. Mary's Hospital
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YAMAMOTO FUMIHITO
Department of Neurosurgery, Kurume University School of Medicine
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KAWABA TOMOYUKI
Department of Neurosurgery, Kurume University School of Medicine
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SHOJIMA KAZUHITO
Department of Neurosurgery, Kurume University School of Medicine
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