Sakaki T, Morimoto T, Hoshida T, Kawaguchi S, Nakase H, Fukuzumi A
Department of Neurosurgery Nara Medical University, Kashihara, Nara, Japan; Department of Neuroradiology, Nara Medical University, Kashihara, Nara, Japan.
J Stroke Cerebrovasc Dis. 1999 Jan-Feb;8(1):38-41. doi: 10.1016/s1052-3057(99)80038-x.
Although many reports have described the rebleeding risk of the ruptured aneurysm in already hospitalized patients, there are only a few reports that have addressed the incidence of rebleeding in these patients before hospitalization. To improve the prognosis of patients with a ruptured intracranial aneurysm, it seems very important to know the incidence of rebleeding before hospitalization. We focused on changes in the computed tomographic (CT) scans and neurological findings at the primary hospital and our institution in 366 patients with ruptured aneurysms who were transferred on the day of the initial hemorrhage, and studied the rebleeding rates in these patients. In 73 (19.9%), we confirmed that rebleeding from the ruptured aneurysm had occurred during transport. The incidence of rebleeding in the prehospitalized patients with a ruptured aneurysm is supposed to by very high. Appropriate medical countermeasures for prevention of rebleeding in prehospitalized patients are crucial to decrease the overall mortality and morbidity rate of intracranial aneurysm.
尽管许多报告描述了已住院患者中破裂动脉瘤的再出血风险，但仅有少数报告涉及这些患者在住院前的再出血发生率。为改善颅内动脉瘤破裂患者的预后，了解住院前的再出血发生率似乎非常重要。我们关注了366例在初次出血当天转诊的破裂动脉瘤患者在基层医院和我院的计算机断层扫描（CT）结果及神经学检查结果的变化，并研究了这些患者的再出血率。在73例（19.9%）患者中，我们证实动脉瘤破裂再出血发生在转运途中。院前破裂动脉瘤患者的再出血发生率应该非常高。采取适当的医疗对策预防院前患者再出血对于降低颅内动脉瘤的总体死亡率和发病率至关重要。
