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雑誌文献

Neurological Surgery 脳神経外科51巻6号

2023年11月発行

文献概要

特集 神経救急—初期診療から集中治療までエキスパートの暗黙知に迫る Ⅳ 集中治療

神経集中治療—体温管理療法

著者: 河北賢哉1

所属機関: 1香川大学医学部附属病院救命救急センター

ページ範囲:P.1104 - P.1111

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・体温管理療法は頭蓋内圧コントロールが可能であり,重症頭部外傷や脳卒中に応用できる.
・脳神経救急疾患に伴う発熱は,神経学的転帰不良因子であり,発熱管理を行うことは重要である.
・発熱管理は単にデバイスを稼働させるだけではなく,二次性脳損傷を予防するための神経集中治療の一環として行う必要がある.

参考文献

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2)Clifton GL, et al:A phase II study of moderate hypothermia in severe brain injury. J Neurotrauma 10:263-273, 1993
3)Marion DW, et al:Treatment of traumatic brain injury with moderate hypothermia. N Engl J Med 336:540-546, 1997
4)Jiang J, et al:Effect of long-term mild hypothermia therapy in patients with severe traumatic brain injury:1-year follow-up review of 87 cases. J Neurosurg 93:546-549, 2000
5)Clifton GL, et al:Lack of effect of induction of hypothermia after acute brain injury. N Engl J Med 344:556-563, 2001
6)Maekawa T, et al:Prolonged mild therapeutic hypothermia versus fever control with tight hemodynamic monitoring and slow rewarming in patients with severe traumatic brain injury:a randomized controlled trial. J Neurotrauma 32:422-429, 2015
7)Clifton GL, et al:Very early hypothermia induction in patients with severe brain injury(the National Acute Brain Injury Study:Hypothermia II):a randomised trial. Lancet Neurol 10:131-139, 2011
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12)日本脳神経外科学会,日本脳神経外傷学会(監),頭部外傷治療・管理のガイドライン 作成委員会(編):頭部外傷治療・管理のガイドライン 第4版.医学書院,東京,2019
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17)日本蘇生協議会:JRC蘇生ガイドライン 2020.医学書院,東京,2021
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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