Superacute Phase Blood Pressure Elevation May Relate to Massive Hematoma in Hypertensive Putaminal Hemorrhage

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著者

    • 五十棲 一男 ISOZUMI Kazuo
    • Department of Emergency and Critical Care Medicine School of Medicine, Keio University Department of Emergency and Critical Care Medicine
    • 堀 進悟 HORI Shingo
    • Department of Emergency and Critical Care Medicine School of Medicine, Keio University Department of Emergency and Critical Care Medicine
    • 相川 直樹 AIKAWA Naoki
    • Department of Emergency and Critical Care Medicine School of Medicine, Keio University Department of Emergency and Critical Care Medicine

抄録

A restrospective clinical investigation has been performed to elucidate the relationship between hematoma size in putaminal hemorrhage and blood pressure (BP) changes during the immediate posthemorrhagic phase in the emergency room (ER). Thirty-seven adult patients brought to the emergency department by ambulance within 6 hours after onset of symptoms with a confirmed diagnosis of acute putaminal hemorrhage on CT have been involved. Two BP measurements during the superacute phase in the ER have been studied: immediately after arrival at the ER (BP-I), and immediately prior to CT examination (BP-II). Patients have been divided into 6 categories: 1) those whose BP decreased with treatment (D+), 2) those whose BP decreased without treatment (D-), 3) those whose BP increased in spite of treatment (1+), 4) those whose BP increased without treatment (I-), 5) those whose BP remained unchanged in spite of treatment (U+), and 6) those whose BP remained unchanged without treatment (U-). Hematoma size has been compared among 5 categories (D+, D-, I-, U+, U-) using factorial ANOVA (analysis of variance). The hematoma sizes have been found to be (D+) 54±44ml, (D-) 22±25ml, (I-) 102±58ml, (U+) 11±5ml, (U-) 21±9ml (mean±S.D.), respectively. (I-) has been significantly larger than any of the other categories (p<0.001-0.05). Additional ANOVA has shown that BP-II in category (I-) was significantly higher than that of the other categories. Patients with putaminal hemorrhage whose BP was elevating during the superacute phase in the ER were shown to have massive hematomas.

収録刊行物

  • Keio journal of medicine  

    Keio journal of medicine 46(2), 81-84, 1997-06-01 

    The Keio Journal of Medicine

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各種コード

  • NII論文ID(NAID)
    10021987865
  • NII書誌ID(NCID)
    AA00710216
  • 本文言語コード
    ENG
  • 資料種別
    ART
  • ISSN
    00229717
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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