Transcription of SAH後のスパズムに対する薬物治療 - JSEPTIC
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SAH後のスパズムに対する薬物治療 - JSEPTIC
SAH ( ) (triple H ) 1. Nimodipine( ) 2. Nicardipine( ) 3. Fasudil( ) 4. Magnesium( ) 5. Sta?n( ) 6. Clazosentan( ) Incidence and Prevalence of Aneurysmal SAH Risk Factors for Aneurysmal SAH : 23/100,000(Australia, New Zealand, Japan) 20000 30000/ (United States) : 40 60 : SAH Stroke 2009 ;40:994- 1025 N Engl J Med 2006; 354:387- 96 Cause (cerebral vasospasm) ruptured aneurysms(85%) non- aneurysmal perimesencephalic haemorrhage(10%) remaining 5% Lancet 2007;369:306- 18 Lancet 2007.
本日のテーマ ・脳血管攣縮(スパズム)の一般論の紹介$ ・脳血管攣縮の管理について(triple$H療法) ・脳血管攣縮の治療について$
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