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- W2621009563 abstract "過去14年間に経験した重症SAH(WFNS grade IV-V)801例を対象に,1994〜2000年の前期と2001〜2007年の後期に分けて治療成績を比較した.原則的に脳幹反射消失例や低酸素障害の付加例以外はclip firstで外科治療の対象とし,後期では高齢者や後方循環瘤でcoilを積極的に適応し,またプロトコールにより治療を標準化した.その結果,後期では外科治療の対象が増え,脳血管攣縮の頻度が減少した.外科治療後の予後良好例は,前期28%,後期34%であった.予後規定因子は来院時の重症度と年齢であり,治療手段による差はなかった.治療の標準化とcoilの適応拡大により,重症SAHの治療成績は近年改善傾向にある." @default.
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- W2621009563 date "2010-01-01" @default.
- W2621009563 modified "2023-09-25" @default.
- W2621009563 title "Treatment Strategy, Management and Clinical Outcome of Patients with Poor-grade Subarachnoid Hemorrhage(<SPECIAL ISSUE>Topics of Therapy for Cerebral Aneurysms)" @default.
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- W2621009563 doi "https://doi.org/10.7887/jcns.19.126" @default.
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