| Item type |
文献 / Documents(1) |
| 公開日 |
2017-11-02 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
徳島大学病院脳卒中センターに搬送されたrt-PA 静注療法の“Drip and Ship” 症例における検討 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
トクシマ ダイガク ビョウイン ノウソッチュウ センター ニ ハンソウ サレタ rt-PA ジョウチュウ リョウホウ ノ Drip and Ship ショウレイ ニオケル ケントウ |
|
言語 |
ja-Kana |
| タイトル別表記 |
|
|
その他のタイトル |
“Drip and Ship”Cases of Intravenous rt-PA Therapy Transported to Stroke Care Unit |
|
言語 |
en |
| 著者 |
布村, 俊幸
兼松, 康久
山上, 圭
西, 京子
山本, 雄貴
山本, 伸昭
安積, 麻衣
西山, 徹
鹿草, 宏
山口, 泉
吉岡, 正太郎
里見, 淳一郎
永廣, 信治
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| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Recently,“Drip and Ship”treatment conducted in collaboration of a hospital in remote area and an institution capable of emergency stroke treatment under guidance by a stroke specialist has been reported to be effective. “Drip and Ship” treatment refers to initiating intravenous recombinant tissue-type plasminogen activator（rt-PA）infusion at a remote hospital（Drip）and then transporting patients to an institution capable of multimodality management and endovascular treatment of stroke（Ship）. We report here a case analysis and examinations on treatment methods, prognosis, and some other parameters in １６ patients who were transported to the Stroke Care Unit（SCU）of the Tokushima University Hospital while undergoing“Drip and Ship”treatment between June ２０１３ and November ２０１５. Occluded vessels were recanalized by rt-PA administration in ５／１２patients （４２％）. For ６ cases in which recanalization was not achieved with rt-PA, endovascular treatment was performed, and recanalization was obtained in ３ patients（５０％）. There was a marked improvement（８．４points on average）in NIHSS at the time of discharge compared to that before rt-PA administration. A representative case showed a ２６‐point improvement in NIHSS at the time of discharge compared to the pretreatment value. The advantage of“Drip and Ship”treatment is two-fold : It allows for rt-PA treatment of acute ischemic stroke patients at remote-area institutions incapable of multimodality stroke management, and also makes it possible to add endovascular treatment for rt-PA-irresponsive cases in which recanalization of occluded vessels could not be achieved with rt-PA therapy. The results suggest that the“Drip and Ship”treatment is a safe and effective means to eliminate regional disparities in intravenous rt-PA therapy and can make more contributions to the collaborative stroke care in the Tokushima prefecture in the future. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Drip and Ship |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
recombinant tissue-type plasminogen activator |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
endovascular therapy |
| 書誌情報 |
ja : 四国医学雑誌
巻 72,
号 3-4,
p. 107-112,
発行日 2016-08-25
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| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
00373699 |
| 収録物ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00102041 |
| 出版者 |
|
|
出版者 |
徳島医学会 |
|
言語 |
ja |
| EID |
|
|
識別子 |
322275 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
jpn |
sam_72_3-4_107.pdf (772 KB)
