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ID 109921
タイトルヨミ
イリョウ カソ チイキ デノ エンカク シンリョウ シエン システム オ モチイタ ノウコウソク キュウセイキ イリョウ
タイトル別表記
Acute ischemic care in a depopulated area using a telemedicine system for emergency medicine (k-support)
著者
小幡, 史明 那賀町国民健康保険木頭診療所|徳島県立海部病院内科・総合診療科
影治, 照喜 徳島大学病院地域脳神経外科診療部 KAKEN研究者をさがす
岡, 博文 徳島大学病院地域脳神経外科診療部
田畑, 良 徳島県立海部病院内科・総合診療科|徳島大学大学院医歯薬学研究部総合診療医学分野 KAKEN研究者をさがす
谷, 憲治 徳島大学大学院医歯薬学研究部総合診療医学分野 KAKEN研究者をさがす
坂東, 弘康 徳島県立海部病院内科・総合診療科
キーワード
drip and ship method
recombinant tissue plasminogen activator
k-support
telemedicine
telestroke
資料タイプ
学術雑誌論文
抄録
Introduction : The validity of intravenous rt-PA therapy for acute ischemic stroke patients within 4.5 hours after onset is reported, but the rate of the delivery of rt-PA therapy is assumed lower due to its lack of stroke specialists and its geographic location in depopulated areas. In February 2013, we developed the telemedicine system in our medically under-served area as a potential solution of medical disparities. Objects and Methods : After the introduction for 16 months, 95 acute ischemic stroke patients were transferred to our hospital, seven (7.37%) of which were subjected to the “drip and ship” method of rt-PA infusion using a telemedicine system for emergency medicine (k-support). We examined the time course after onset and the treatment outcome of these seven cases. Results : Seven cases had rt-PA infusion started in the depopulated area. In five cases, recanalization of occluded vessels were demonstrated resulting in improved clinical symptoms. Conclusion : It was able to give a standard therapy using rt-PA infusion for acute ischemic stroke and the quality of the cerebral infarction medical treatment was improved by building the telemedicine system in the depopulated area.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
71
3-4
開始ページ
71
終了ページ
76
並び順
71
発行日
2015-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院
医学系