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雑誌文献

臨床外科68巻2号

2013年02月発行

文献概要

特集 術後の血管系合併症―その診断と対策

術後の脳血管障害(周術期脳卒中)に対する治療および管理

著者: 松浦威一郎1 小林英一1 佐伯直勝1

所属機関: 1千葉大学医学部脳神経外科

ページ範囲:P.138 - P.142

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【ポイント】

◆外科手術後の脳血管障害では,脳梗塞が圧倒的に多くを占める.

◆外科手術後の脳血管障害の脳梗塞では,治療方針に様々な制約が生じるため,代替療法の検討が必要となる.

◆速やかな診断と治療のために担当科のみならず,神経系医師(神経内科・脳神経外科),麻酔科,コメディカルスタッフとの連携が重要となる.

参考文献

1)Selim M:Perioperative stroke. N Engl J Med 356:706-713, 2007
2)Parikh S, Cohen JR:Perioperative stroke after general surgical procedures. N Y State J Med 93:162-165, 1993
3)Landercasper J, Merz BJ, Cogbill TH, et al:Perioperative stroke risk in 173 consecutive patients with a past history of stroke. Arch Surg 125:986-998, 1990
4)Limburg M, Wijdicks EF, Li H:Ischemic stroke after surgical procedures:clinical features, neuroimaging, and risk factors. Neurology 50:895-901, 1998
5)Bucerius J, Gummert JF, Borger MA, et al:Stroke after cardiac surgery:a risk factor analysis of 16, 184 consecutive adult patients. Ann Thorac Surg 75:472-478, 2003
6)Kam PC, Calcroft RM:Peri-operative stroke in general surgical patients. Anaesthesia 52:879-883, 1997
7)Gutierrez IZ, Barone DL, Makula PA, et al:The risk of perioperative stroke in patients with asymptomatic carotid bruits undergoing peripheral vascular surgery. Am Surg 53:487-489, 1987
8)McKhann GM, Grega MA, Borowicz LM, et al:Stroke and encephalopathy after cardiac surgery:an update. Stroke 37:562-571, 2006
9)Likosky DS, Caplan LR, Weintraub RM, et al:Intraoperative and postoperative variables associated with strokes following cardiac surgery. Heart Surg Forum 7:E271-276, 2004
10)Bijker JB, Persoon S, Peelen LM, et al:Intraoperative hypotension and perioperative ischemic stroke after general surgery:a nested case-control study. Anesthesiology 116:658-664, 2012
11)脳卒中合同ガイドライン委員会.脳卒中治療ガイドライン2009.共和企画,2009
12)Hacke W, Kaste M, Bluhmki E, et al: Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med 359:1317-1329, 2008
13)Smith WS, Sung G, Saver J, et al:Mechanical thrombectomy for acute ischemic stroke:final results of the Multi MERCI trial. Stroke 39:1205-1212, 2008
14)Investigators PPST. The penumbra pivotal stroke trial:safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease. Stroke 40:2761-2768, 2009
15)Group EAIS. Effect of a novel free radical scavenger, edaravone (MCI-186), on acute brain infarction. Randomized, placebo-controlled, double-blind study at multicenters. Cerebrovasc Dis 15:222-229, 2003
16)Ng JL, Chan MT, Gelb AW:Perioperative stroke in noncardiac, nonneurosurgical surgery. Anesthesiology 115:879-890, 2011
17)JET Study Group. Japanese EC-IC Bypass Trial (JET Study)中間解析結果(第二報).脳卒中の外科30:434-437,2002
18)Mendelow AD, Gregson BA, Fernandes HM, et al:Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH):a randomised trial. Lancet 365:387-397, 2005

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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