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Le Poumon 1950
Topics: Hematoma; Humans; Lung; Pleura; Vascular Diseases
PubMed: 15440502
DOI: No ID Found -
Neurology Jan 2000To investigate the incidence and prognostic significance of fever on presentation and during the subsequent 72 hours in patients with spontaneous supratentorial...
OBJECTIVE
To investigate the incidence and prognostic significance of fever on presentation and during the subsequent 72 hours in patients with spontaneous supratentorial intracerebral hemorrhage (ICH).
METHODS
We analyzed 251 patients. On admission, body temperature, Glasgow Coma Scale (GCS) score, age, sex, blood pressure, blood glucose level, and presumed origin of hemorrhage were analyzed. From the initial CT scan, hematoma volume, location, and presence of intraventricular hemorrhage were determined. From the first 72 hours, hematoma enlargement, duration of increased temperatures, blood pressure, and blood glucose level were determined. Outcome was classified on discharge with the Glasgow Outcome Scale (GOS) score.
RESULTS
Outcomes included no symptoms in 23 (9%), moderate disability in 64 (26%), severe disability in 104 (41%), vegetative state in 5 (2%), and death in 55 (22%) patients. Prognostic factors retained from a logistic regression model with a dichotomized GOS scale (GOS score of 1 or 2 versus GOS score of 3 to 5) as response variables were GCS score of 7 or less, age older than 75 years, hematoma volume of more than 60 cm3, ventricular hemorrhage, and presence of a coagulation disorder (p < 0.05). Fever was associated with intraventricular hemorrhage. From 196 patients, data from the first 72 hours were analyzed. A total of 18 patients (9%) had normal temperatures throughout the study. The duration of fever (> or =37.5 degrees C) was less than 24 hours in 66 (34%), 24 to 48 hours in 70 (36%), and more than 48 hours in 42 patients (21%). Independent prognostic factors during the first 72 hours were duration of fever, secondary hemorrhage, GCS score of 7 or less, ventricular hemorrhage, hematoma volume of more than 60 cm3, duration of increased blood pressure of more than 48 hours, and duration of increased blood glucose of more than 48 hours.
CONCLUSIONS
The incidence of fever after supratentorial ICH is high, especially in patients with ventricular hemorrhage. In patients surviving the first 72 hours after hospital admission, the duration of fever is associated with poor outcome and seems to be an independent prognostic factor in these patients.
Topics: Adult; Aged; Blood Glucose; Cerebral Hemorrhage; Female; Fever; Glasgow Coma Scale; Hematoma; Humans; Hypertension; Hypoglycemia; Hypothermia; Incidence; Infections; Length of Stay; Logistic Models; Lung Diseases; Male; Prognosis; Radiography; Retrospective Studies
PubMed: 10668696
DOI: 10.1212/wnl.54.2.354 -
Archives Des Maladies Professionnelles... Sep 1967
Topics: Hematoma; Humans; Lung Diseases; Thoracic Injuries
PubMed: 5618254
DOI: No ID Found -
Heart Rhythm Sep 2013
Topics: Ablation Techniques; Aged; Atrial Fibrillation; Catheter Ablation; Cryosurgery; Female; Hematoma; Humans; Male; Middle Aged; Pulmonary Veins; Tomography, X-Ray Computed
PubMed: 22561845
DOI: 10.1016/j.hrthm.2012.04.041 -
Annals of Internal Medicine Jan 1982
Topics: Aged; Anticoagulants; Hematoma; Humans; Lung Diseases; Male; Radiography; Warfarin
PubMed: 7053710
DOI: 10.7326/0003-4819-96-1-67 -
Canadian Medical Association Journal Aug 1972
Topics: Eclampsia; Edema; Female; Hematoma; Hemorrhage; Humans; Labor, Induced; Liver Cirrhosis; Liver Neoplasms; Pregnancy; Pulmonary Embolism
PubMed: 5052900
DOI: No ID Found -
Archives of Gynecology and Obstetrics Feb 2014To examine the clinicopathological characteristics of pregnant women who presented with intermittent hemorrhage occurring throughout pregnancy until delivery.
OBJECTIVE
To examine the clinicopathological characteristics of pregnant women who presented with intermittent hemorrhage occurring throughout pregnancy until delivery.
METHOD
A total of 24 women with intermittent hemorrhage occurring throughout pregnancy were categorized into two groups, a group with persistent subchorionic hematoma (PSH) and another with chronic abruption (CA), and the pregnancy outcomes were compared between the two groups. The data were expressed as medians (range).
RESULTS
There were 18 women in the PSH group and 6 women in the CA group. The median gestational age at delivery was 27.9 (22.1-33.4) weeks in the PSH group and 32.9 (24.3-33.1) weeks in the CA group, revealing a significantly earlier gestational age at delivery in the former group (p = 0.014). The percentage of the women developing acute abruption tended to be higher in the CA group [66.7 % (4/6)] than in the PSH group [26.3 % (5/18)]. Small for gestational age (SGA) infants and neonatal chronic lung disease were seen at high incidences, but only in the PSH group [21.1 % (4/18) and 42.1 % (8/18), respectively].
CONCLUSION
PSH was associated with earlier gestational age at delivery, a higher incidence of SGA infants, and poorer pregnancy outcomes than CA.
Topics: Adult; Delivery, Obstetric; Female; Gestational Age; Hematoma; Humans; Infant, Small for Gestational Age; Japan; Pregnancy; Pregnancy Complications, Hematologic; Pregnancy Outcome; Retrospective Studies; Risk Factors; Uterine Hemorrhage; Watchful Waiting
PubMed: 23887880
DOI: 10.1007/s00404-013-2972-z -
Revue de Pneumologie Clinique 1989Fine needle transthoracic aspiration (FNTA) of pulmonary opacities under guidance of computerized tomography (CT) is a simple procedure yielding conclusive results in...
Fine needle transthoracic aspiration (FNTA) of pulmonary opacities under guidance of computerized tomography (CT) is a simple procedure yielding conclusive results in many patients with malignant lung tumours. The small caliber of the needles utilized and the CT control make this increasingly popular procedure both accurate and safe. Yet a number of complications have occurred; most of them were benign (e.g. pneumothorax) but some were potentially dangerous (e.g. pulmonary haemorrhage), so that the pros and cons of the procedure must carefully be weighed. We report the case of a patient in whom FNTA was complicated by copious haemoptysis and a pulmonary haematoma clearly visible at CT. The literature concerning the potential complications of transthoracic puncture is reviewed.
Topics: Aged; Biopsy, Needle; Hematoma; Hemoptysis; Humans; Lung Diseases; Lung Neoplasms; Male; Tomography, X-Ray Computed
PubMed: 2633295
DOI: No ID Found -
Journal of Stroke and Cerebrovascular... Aug 2020Mesenchymal stem cells (MSCs) are multipotent stromal cells currently being tested as therapy for a variety of diseases. MSC therapy and hematoma evacuation using a...
BACKGROUND
Mesenchymal stem cells (MSCs) are multipotent stromal cells currently being tested as therapy for a variety of diseases. MSC therapy and hematoma evacuation using a minimally invasive approach are being studied separately to improve clinical outcomes after stroke. We report the first case of a patient with intracerebral hemorrhage (ICH) treated with combination MSC therapy and endoscopic hematoma evacuation.
CASE REPORT
A 36-year-old woman with a past medical history of essential chronic hypertension and right lung bronchial atresia presented to the emergency department with acute neurologic decline (National Institute of Health Stroke Scale [NIHSS] score, 22). Computed tomography showed a 4.4 × 3.5 × 3.5 cm right basal ganglia hemorrhage with intraventricular extension. An external ventricular drain was placed, and she was enrolled in a Phase I clinical trial investigating intravenous MSC therapy for acute ICH. Continued neurologic deterioration due to increased intracranial pressure led to minimally invasive hematoma evacuation using the Artemis Neuro Evacuation Device (Penumbra, Inc.) on hospital day 4. Follow-up scans showed decreased density and extent of hemorrhage. She was discharged on day 41 with improved neurologic function scores (NIHSS score, 2). At 3-month follow-up, she was walking on her own, but had residual left arm and hand weakness (modified Rankin Score, 2).
CONCLUSIONS
This case report suggests that the combination of MSC therapy and minimally invasive hematoma evacuation may be safe and well tolerated. Further larger randomized clinical trials are required to identify whether MSC therapy in combination with minimally invasive hematoma evacuation is safe, tolerable, and potentially improves outcomes than either alone.
Topics: Adult; Basal Ganglia Hemorrhage; Combined Modality Therapy; Female; Hematoma; Humans; Intracranial Pressure; Mesenchymal Stem Cell Transplantation; Neurosurgical Procedures; Recovery of Function; Treatment Outcome
PubMed: 32689636
DOI: 10.1016/j.jstrokecerebrovasdis.2020.104931 -
World Neurosurgery Sep 2017Therapeutic efficacy of patients with hypertensive intracerebral hemorrhage (HICH) with large hematoma volume is poor. This study aimed to explore the efficacy of...
OBJECTIVE
Therapeutic efficacy of patients with hypertensive intracerebral hemorrhage (HICH) with large hematoma volume is poor. This study aimed to explore the efficacy of minimally invasive surgery for patients with HICH with large hematoma volume.
METHODS
A total of 104 patients with HICH with a hematoma volume >50 mL were treated with different surgical approaches. The patients were allotted to a minimally invasive surgery group (minimally invasive, n = 70) and conventional craniotomy group (craniotomy group, n = 34). Patients were followed-up for 30 days postoperatively, and their clinical data were compared.
RESULTS
No statistically significant differences were found in age, sex, hematoma volume, and preoperative Glasgow Coma Scale score between the 2 groups (P > 0.05), whereas patient age was slightly greater in the minimally invasive group than the craniotomy group (P < 0.05). Postoperative mortality and complication rates in the minimally invasive group were significantly lower than those in the craniotomy group (20% vs. 44.1% and 15.2% vs. 29.4%, P < 0.05), and a better Glasgow Outcome Scale score at 30 days postoperatively was found in the minimally invasive group than the craniotomy group (P < 0.05). No significant differences were observed between the 2 groups in terms of mortality rate in patients with brain herniation and complication rates of postoperative renal failure, pulmonary infection, and cerebral infarction (P > 0.05).
CONCLUSIONS
Minimally invasive surgery is safe and effective in patients with HICH with a hematoma volume >50 mL. Because of its minimal invasiveness, better recovery rate, lower mortality rate, and less complications, this approach is considered superior to craniotomy. However, further validation on a larger sample size is required.
Topics: Adult; Aged; Craniotomy; Female; Glasgow Outcome Scale; Hematoma; Humans; Intracranial Hemorrhage, Hypertensive; Male; Middle Aged; Minimally Invasive Surgical Procedures; Retrospective Studies; Tomography Scanners, X-Ray Computed; Treatment Outcome
PubMed: 28602881
DOI: 10.1016/j.wneu.2017.05.158