脳動脈瘤Re-rupture 42症例の検討と予防対策:-急性期手術の立場から-

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We report 42 re-rupture aneurysmal cases. Re-rupture aneurysms have their highest rate (38%) on day 0 and 20 cases out of 42 cases were rebled within day 0 to day 3. 22 cases were rebled during the examinations such as cerebral angiography or CT scanning just after admission. These results suggest that the prevention for re-bleeding is very important from the viewpoint of early surgery. Therefore, we took care of patients under general anesthesia in acute stage and cerebral angiography was examined for 21 cases. Re-bleeding did not occur in this series during the examination.<BR>We recommend that cerebral angiography or CT scanning in case of severe patients (Hunt 3 or 4 )should be performed under general anesthesia by anesthesiologist as soon as possible.
The Japanese Society on Surgery for Cerebral Strokeの論文