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

• 五十棲 一男

  Department of Emergency and Critical Care Medicine School of Medicine, Keio University Department of Neurology, School of Medicine, Keio University

• 堀 進悟

  Department of Emergency and Critical Care Medicine School of Medicine, Keio University

• 棚橋 紀夫

  Department of Neurology, School of Medicine, Keio University

• 篠沢 洋太郎

  Department of Emergency and Critical Care Medicine School of Medicine, Keio University

• 藤島 清太郎

  Department of Emergency and Critical Care Medicine School of Medicine, Keio University

• 相川 直樹

  Department of Emergency and Critical Care Medicine School of Medicine, Keio University

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

• Ｔｈｅ　Ｋｅｉｏ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃｉｎｅ

  Ｔｈｅ　Ｋｅｉｏ　Ｊｏｕｒｎａｌ　ｏｆ　Ｍｅｄｉｃｉｎｅ 46 (2), 81-84, 1997

  The Keio Journal of Medicine

キーワード

• hypertension
• intracerebral hemorrhage
• cerebral hemorrhage
• antihypertensive therapy
• emergency room

詳細情報

• CRID: 1390282681313131264
• NII論文ID: 10021987865
• NII書誌ID: AA00710216
• DOI: 10.2302/kjm.46.81
• ISSN: 18801293
• ISSN: 00229717
• PubMed: 9212591
• Web Site: https://www.jstage.jst.go.jp/article/kjm1952/46/2/46_2_81/_pdf
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可