Neurology:降温治疗可减少血肿周围低密度影

2020-03-30 MedSci原创 MedSci原创

1/3的腋温超过37.5℃的自发性ICH患者早期接受降温治疗可获得较好的结局。

近日,神经病学领域权威杂志Neurology上发表了一篇研究文章,研究人员旨在探讨脑出血(ICH)患者术后24小时内体温下降对血肿周围低密度影及预后的影响。

该回顾性研究以前瞻性注册数据库为基础,在1100例患者中,有795例患者符合所有纳入标准。研究人员记录了受试者前24小时的体温变化和血肿周围低密度影(PHHD)。体温高于37.5℃的患者使用抗高温药物治疗至少48小时。该研究的主要目的是明确体温变化、PHHD和3个月时患者预后之间的关系。

ICH术后24小时内体温下降可使术后获得较高的结局可能性增加11倍。在接受降温治疗的患者中,31.8%的患者出现体温下降,PHHD体积减少,且患者预后良好。

由此可见,1/3的腋温超过37.5℃的自发性ICH患者早期接受降温治疗可获得较好的结局。

原始出处:

Pablo Hervella,et al.Antihyperthermic treatment decreases perihematomal hypodensity.Neurology.2020.https://doi.org/10.1212/WNL.0000000000009288

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2036562, encodeId=af19203656235, content=<a href='/topic/show?id=bbef2618ec0' target=_blank style='color:#2F92EE;'>#低密度影#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26187, encryptionId=bbef2618ec0, topicName=低密度影)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ffd5416, createdName=bettycmoon, createdTime=Sun Sep 06 05:29:16 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2075701, encodeId=84a520e570144, content=<a href='/topic/show?id=2d8a981699d' target=_blank style='color:#2F92EE;'>#降温治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98169, encryptionId=2d8a981699d, topicName=降温治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bcaa382, createdName=fzwish20000, createdTime=Tue Sep 08 06:29:16 CST 2020, time=2020-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2001006, encodeId=175d200100636, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat May 09 08:29:16 CST 2020, time=2020-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394967, encodeId=a09b139496e0e, content=<a href='/topic/show?id=be548989e09' target=_blank style='color:#2F92EE;'>#血肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89897, encryptionId=be548989e09, topicName=血肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85df2500173, createdName=654699882_84926986, createdTime=Wed Apr 01 11:29:16 CST 2020, time=2020-04-01, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2036562, encodeId=af19203656235, content=<a href='/topic/show?id=bbef2618ec0' target=_blank style='color:#2F92EE;'>#低密度影#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26187, encryptionId=bbef2618ec0, topicName=低密度影)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ffd5416, createdName=bettycmoon, createdTime=Sun Sep 06 05:29:16 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2075701, encodeId=84a520e570144, content=<a href='/topic/show?id=2d8a981699d' target=_blank style='color:#2F92EE;'>#降温治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98169, encryptionId=2d8a981699d, topicName=降温治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bcaa382, createdName=fzwish20000, createdTime=Tue Sep 08 06:29:16 CST 2020, time=2020-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2001006, encodeId=175d200100636, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat May 09 08:29:16 CST 2020, time=2020-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394967, encodeId=a09b139496e0e, content=<a href='/topic/show?id=be548989e09' target=_blank style='color:#2F92EE;'>#血肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89897, encryptionId=be548989e09, topicName=血肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85df2500173, createdName=654699882_84926986, createdTime=Wed Apr 01 11:29:16 CST 2020, time=2020-04-01, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2036562, encodeId=af19203656235, content=<a href='/topic/show?id=bbef2618ec0' target=_blank style='color:#2F92EE;'>#低密度影#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26187, encryptionId=bbef2618ec0, topicName=低密度影)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ffd5416, createdName=bettycmoon, createdTime=Sun Sep 06 05:29:16 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2075701, encodeId=84a520e570144, content=<a href='/topic/show?id=2d8a981699d' target=_blank style='color:#2F92EE;'>#降温治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98169, encryptionId=2d8a981699d, topicName=降温治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bcaa382, createdName=fzwish20000, createdTime=Tue Sep 08 06:29:16 CST 2020, time=2020-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2001006, encodeId=175d200100636, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat May 09 08:29:16 CST 2020, time=2020-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394967, encodeId=a09b139496e0e, content=<a href='/topic/show?id=be548989e09' target=_blank style='color:#2F92EE;'>#血肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89897, encryptionId=be548989e09, topicName=血肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85df2500173, createdName=654699882_84926986, createdTime=Wed Apr 01 11:29:16 CST 2020, time=2020-04-01, status=1, ipAttribution=)]
    2020-05-09 yinhl1978
  4. [GetPortalCommentsPageByObjectIdResponse(id=2036562, encodeId=af19203656235, content=<a href='/topic/show?id=bbef2618ec0' target=_blank style='color:#2F92EE;'>#低密度影#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26187, encryptionId=bbef2618ec0, topicName=低密度影)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ffd5416, createdName=bettycmoon, createdTime=Sun Sep 06 05:29:16 CST 2020, time=2020-09-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2075701, encodeId=84a520e570144, content=<a href='/topic/show?id=2d8a981699d' target=_blank style='color:#2F92EE;'>#降温治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98169, encryptionId=2d8a981699d, topicName=降温治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bcaa382, createdName=fzwish20000, createdTime=Tue Sep 08 06:29:16 CST 2020, time=2020-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2001006, encodeId=175d200100636, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sat May 09 08:29:16 CST 2020, time=2020-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1394967, encodeId=a09b139496e0e, content=<a href='/topic/show?id=be548989e09' target=_blank style='color:#2F92EE;'>#血肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89897, encryptionId=be548989e09, topicName=血肿)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=85df2500173, createdName=654699882_84926986, createdTime=Wed Apr 01 11:29:16 CST 2020, time=2020-04-01, status=1, ipAttribution=)]

相关资讯

JAMA Neurol:NCCT扫描低密度影可作为脑出血患者血肿扩大的预测指标

背景:血肿扩大是急性脑出血(ICH)患者预后不良的潜在预测因子。目前尚不能准确识别血肿可能扩大的脑出血患者,并开展针对性的治疗获得治疗效益。CT平扫(NCCT)检测ICH患者存在低密度影,已被建议作为预测血肿扩大的指标。目的:不论哪种模式,确定低密度区是否与脑出血患者血肿扩大有关。设计、设置和参与者: 研究者分析大型队列的784例脑出血患者(发展队列; 55.6%为女性),NCCT检查发现低密度影