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Management of Putaminal Hemorrhage in Patients with Chronic Renal Failure Hideo TSURUSHIMA 1 , Takao KAMEZAKI 1 , Hideko YAMABE-NAKAMURA 2 , Kotoo MEGURO 3 , Noriyoshi OHASHI 4 , Tadao NOSE 5 1Department of Neurosurgery, Ibaraki Seinan Medical Center Hospital 2Department of Nephrology, Ibaraki Seinan Medical Center Hospital 3Department of Neurosurgery, Tsukuba Medical Center Hospital 4Department of Emergency and Critical Care Medicine, Tsukuba Medical Center Hospital 5Department of Neurosurgery, Institute of Clinical Medicine, Tsukuba University Keyword: putaminal hemorrhage , chronic renal failure , hemodialysis pp.897-901
Published Date 1998/10/10
DOI https://doi.org/10.11477/mf.1436901624
  • Abstract
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The treatments of putaminal hemorrhages (PH) were evaluated in 14 patients (15 hematomas) withchronic renal failure (CRF). We compared the data of our series with the data of co-operative study (1990)on PH. With regard to consciousness level (Neurological Grading, NG) and hematoma volume, significant-ly more serious cases were observed in PH with CRF than in PH of the co-operative study. In PH withCRF, mortality (40%) was significantly higher than that in PH of the co-operative study. However, themortality rate was 0%, 0%, 20%, and 100% in NG1, 2, 3, and over 4b. The mortality rate was 0% innon-sur-gically treated cases with 0 to 30ml of hematoma volume, and 0% in surgically treated cases with 10to50ml of hematoma volume. These mortality rates were equal to those of the co-operative study with thesame NG, and equal to those of the co-operative study with the same hematoma volume. With respect tofunctional prognosis, “good” (ADL1 and 2) resulted in 67% of non-surgically treated cases with NG1 to2,and in 33% of surgically treated cases with NG3 to 4a. “Good” resulted in 33% of non-surgically treatedcases with 0 to 30ml of hematoma volume, and in 40% of surgically treated cases with 10 to 50m/ of hema-toma volume. These morbidity rates were equal to those of the co-operative study with the same NG,andequal to those of the co-operative study with the same hematoma volume. Therefore, the high mortalityinPH with CRF was suspected to be due to the fact that, in our study, there was a higher distributionof se-rious cases. These findings indicate that protection against enlargement of hematomas in the acute phasemay bring about improvement of prognosis in PH with CRF.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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