Updated on 2024/11/29

Information

 

写真a

 
shono yuji
 
Organization
Kyushu University Hospital Emergency & Critical Care Center Assistant Professor
Kyushu University Hospital Emergency & Critical Care Center(Concurrent)
School of Medicine Department of Medicine(Concurrent)
Title
Assistant Professor
Tel
0926425871
Profile
福岡脳卒中データベースを用いた臨床研究
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Research Interests・Research Keywords

  • Research theme:A study on the usefulness of neurosonography in emergency department and intensive care unit

    Keyword:neurosonology, intracranial lesion

    Research period: 2022.4 - 2028.5

  • Research theme:Investigation of prognostic actors defining good and moderate neurological disorders in patients with OHCA

    Keyword:Out of hospital cardiac arrest

    Research period: 2020.4 - 2021.9

  • Research theme:Creation of database about traumatic brain injury Investigation of factors associated with delayed hematoma growth and sinus thrombosis in traumatic brain injury

    Keyword:traumatic brain injury, delayed hematoma growth, sinus thrombosis

    Research period: 2016.12 - 2019.4

  • Research theme:Clinical characterics and progmosis of stroke coexisting illness

    Keyword:stroke

    Research period: 2014.8 - 2019.3

  • Research theme:Clinical characteristics of aortic dissection with initial neurological symptoms

    Keyword:aortic dissection, neurological symptom

    Research period: 2014.4 - 2016.3

Papers

  • ICU rehabilitation and outcomes in elderly pelvic ring fractures due to high-energy trauma

    Momii Kenta, Yagi Hiroki, Nezu Tomoyuki, Ohsaki Kanji, Man Chen, Tajimi Takahiro, Iyonaga Takeshi, Nishihara Masaaki, Shono Yuji, Maki Jun, Akahoshi Tomohiko, Nakashima Yasuharu

    The Journal of Physical Fitness and Sports Medicine   13 ( 4 )   131 - 137   2024.7   ISSN:21868131 eISSN:21868123

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    Language:English   Publisher:The Japanese Society of Physical Fitness and Sports Medicine  

    <p>Pelvic fractures, accounting for 2–8% of skeletal injuries, present a significant burden in patients with trauma. High-energy incidents often result in severe pelvic trauma accompanied by comorbidities leading to high mortality rates. Managing these complications adds complexity to the treatment process, particularly in older patients who experience longer recovery times and higher injury severity. To improve the long-term quality of life, a multidisciplinary approach is essential. However, rehabilitation feasibility is influenced by the patient’s condition and pelvic fixation stability, necessitating individualized treatment. This study investigated the rehabilitation status and long-term outcomes of older patients with severe polytrauma and pelvic ring fractures caused by high-energy trauma. The results revealed that 79.2% of the patients achieved full weight-bearing, with a median time of 41.5 days, and eventually 58.3% were discharged home. Complications were observed in 83.3% of the patients, with various challenges affecting successful home discharge. Multidisciplinary rehabilitation programs are promising for optimizing outcomes and facilitating recovery in vulnerable patient populations. Still, larger, more focused studies are needed to gain more comprehensive insights into the treatment and recovery of older patients with pelvic ring fractures and severe polytrauma. Understanding these factors is crucial for guiding clinical decision-making and improving long-term outcomes in this population.</p>

    DOI: 10.7600/jpfsm.13.131

    CiNii Research

  • 【骨盤外傷のリハビリテーションに関する考察】高エネルギー外傷による高齢者の骨盤輪部骨折におけるICUでのリハビリテーションと転帰(【Insights into the rehabilitation of pelvic trauma】ICU rehabilitation and outcomes in elderly pelvic ring fractures due to high-energy trauma)

    Momii Kenta, Yagi Hiroki, Nezu Tomoyuki, Ohsaki Kanji, Man Chen, Tajimi Takahiro, Iyonaga Takeshi, Nishihara Masaaki, Shono Yuji, Maki Jun, Akahoshi Tomohiko, Nakashima Yasuharu

    The Journal of Physical Fitness and Sports Medicine   13 ( 4 )   131 - 137   2024.7   ISSN:2186-8131

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    Language:English   Publisher:(一社)日本体力医学会  

    骨盤骨折は骨格損傷の2~8%を占めるが,高エネルギー事故で生じる骨盤外傷にはしばしば高い死亡率につながる合併外傷を伴う.これらの合併外傷の管理は,状態の改善までに時間がかかり,外傷の重症度が高い高齢骨盤輪骨折においては特に治療経過を複雑にする.患者の長期的なQOLを向上させるためには,集学的アプローチが不可欠であることが知られている.また,集学的アプローチにおいて,患者の早期離床に向けたリハビリテーションの重要性は認識されている.しかしながら,高エネルギー外傷により,全身状態が不良となり,さらに体幹の安定性に寄与する骨盤輪骨折を有する患者においては,リハビリテーションは患者の状態や骨盤固定の安定性に影響されるため,個別化された治療が必要となる.本研究では,高エネルギー外傷による重症多発外傷および骨盤輪骨折を有する高齢患者のリハビリテーション状況と長期転帰について検討した.その結果,79.2%の患者が全荷重での移動が可能になり,達成までの期間は中央値で41.5日,最終的に58.3%が自宅退院した.合併症は83.3%の患者に認め,多種の合併症が自宅退院に影響を与えた.集学的リハビリテーションプログラムは重症な骨盤輪骨折や骨盤骨折を含む多発外傷の高齢患者の転帰を改善させ,自宅退院を可能にするために有用であると考えられる.より包括的な知見を得るためには,大規模で焦点を絞った研究が必要である.この知見を得ることで臨床的意思決定をサポートし,長期的転帰を改善するために極めて重要である.(著者抄録)

  • 臨牀指針 マムシ咬傷により急性腎不全・腸管壊死に陥り死亡した1例

    高森 信乃介, 赤星 朋比古, 高橋 慶多, 籾井 健太, 彌永 武史, 西原 正章, 大澤 さやか, 生野 雄二, 牧 盾, 徳田 賢太郎, 山浦 健

    臨牀と研究   101 ( 6 )   735 - 738   2024.6   ISSN:0021-4965

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    Language:Japanese   Publisher:大道学館出版部  

    症例は74歳女性で、蛇咬傷、左上肢の腫脹、疼痛を主訴とした。近医皮膚科を受診し手掌に咬傷2ヶ所を認め、抗生剤を処方された。翌日より腫脹の拡張、疼痛の増悪、筋逸脱酵素と肝逸脱酵素上昇を認め、マムシ咬傷を疑った。本例は受傷から24以上経過し左上肢全体の腫脹に全身症状を伴った(Grade V)。セファランチン・抗マムシ血清・抗生剤投与、急性腎不全に対する持続的血液濾過透析(CHDF)、DIC・敗血症に対する治療を行い、開腹し広範な腸管壊死を認めたが治療困難で、第18病日に死亡した。

  • Body temperature in the acute phase and clinical outcomes after acute ischemic stroke. International journal

    Satomi Mezuki, Ryu Matsuo, Fumi Irie, Yuji Shono, Takahiro Kuwashiro, Hiroshi Sugimori, Yoshinobu Wakisaka, Tetsuro Ago, Masahiro Kamouchi, Takanari Kitazono

    PloS one   19 ( 1 )   e0296639   2024.1   ISSN:1932-6203

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    BACKGROUND: This study aimed to examine whether post-stroke early body temperature is associated with neurological damage in the acute phase and functional outcomes at three months. METHODS: We included 7,177 patients with acute ischemic stroke within 24 h of onset. Axillary temperature was measured daily in the morning for seven days. Mean body temperature was grouped into five quintiles (Q1: 35.1‒36.5°C, Q2: 36.5‒36.7°C, Q3: 36.7‒36.8°C, Q4: 36.8‒37.1°C, and Q5: 37.1‒39.1°C). Clinical outcomes included neurological improvement during hospitalization and poor functional outcome (modified Rankin scale score, 3-6) at three months. A logistic regression analysis was performed to evaluate the association between body temperature and clinical outcomes. RESULTS: The patient's mean (SD) age was 70.6 (12.3) years, and 35.7% of patients were women. Mean body temperature was significantly associated with less neurological improvement from Q2 (odds ratios [95% confidence interval], 0.77 [0.65-0.99] vs. Q1) to Q5 (0.33 [0.28-0.40], P for trend <0.001) even after adjusting for potential confounders, including baseline neurological severity, C-reactive protein levels, and post-stroke acute infections. The multivariable-adjusted risk of poor functional outcome linearly increased from Q2 (1.36 [1.03-1.79]) to Q5 (6.44 [5.19-8.96], P for trend <0.001). These associations were maintained even in the analyses excluding patients with acute infectious diseases. Multivariable-adjusted risk of poor functional outcome was higher in patients with early body temperature elevation on days 1-3 and with longer duration with body temperature >37.0°C. CONCLUSIONS: Post-stroke early high body temperature is independently associated with unfavorable outcomes following acute ischemic stroke.

    DOI: 10.1371/journal.pone.0296639

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  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome. International journal

    Kiwamu Hatakeyama, Yuji Shono, Takuma Hashimoto, Taiki Sakamoto, Masaaki Nishihara, Takeshi Iyonaga, Soichi Mizuguchi, Takafumi Sakamoto, Jun Maki, Tomohiko Akahoshi

    The American journal of emergency medicine   70   208.e5-208.e7   2023.8

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    Patients with infectious diseases including sepsis can develop ST segment changes on an electrocardiogram (ECG) in the absence of coronary artery disease. However, ST elevation with "reciprocal ST segment depression (RSTD)", which is recognized as a specific finding for ST-elevated myocardial infarction, is rare in such patients. Although a small number of cases have reported ST-segment elevation in gastritis, cholecystitis, and sepsis, regardless of coronary artery disease, none presented with reciprocal changes. Here, we describe a rare case of a patient with emphysematous pyelonephritis complicating septic shock who developed ST elevation accompanied by reciprocal changes with no coronary occlusion. Emergency physicians should consider the possibility of acute coronary syndrome mimicking, and choose non-invasive diagnostic procedures when investigating the causes of ECG abnormalities associated with critically ill patients.

    DOI: 10.1016/j.ajem.2023.06.038

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  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome.

    Hatakeyama K, Shono Y, Hashimoto T, Sakamoto T, Nishihara M, Iyonaga T, Mizuguchi S, Sakamoto T, Maki J, Akahoshi T

    The American journal of emergency medicine   70   208.e5 - 208.e7   2023.8   ISSN:0735-6757

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    DOI: 10.1016/j.ajem.2023.06.038

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  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome

    Kiwamu Hatakeyama, Yuji Shono, Takuma Hashimoto, Taiki Sakamoto, Masaaki Nishihara, Takeshi Iyonaga, Soichi Mizuguchi, Takafumi Sakamoto, Jun Maki, Tomohiko Akahoshi

    American Journal of Emergency Medicine   70   208.e5 - 208.e7   2023.8   ISSN:0735-6757 eISSN:1532-8171

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    Patients with infectious diseases including sepsis can develop ST segment changes on an electrocardiogram (ECG) in the absence of coronary artery disease. However, ST elevation with “reciprocal ST segment depression (RSTD)”, which is recognized as a specific finding for ST-elevated myocardial infarction, is rare in such patients. Although a small number of cases have reported ST-segment elevation in gastritis, cholecystitis, and sepsis, regardless of coronary artery disease, none presented with reciprocal changes. Here, we describe a rare case of a patient with emphysematous pyelonephritis complicating septic shock who developed ST elevation accompanied by reciprocal changes with no coronary occlusion. Emergency physicians should consider the possibility of acute coronary syndrome mimicking, and choose non-invasive diagnostic procedures when investigating the causes of ECG abnormalities associated with critically ill patients.

    DOI: 10.1016/j.ajem.2023.06.038

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  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome

    Hatakeyama, K; Shono, Y; Hashimoto, T; Sakamoto, T; Nishihara, M; Iyonaga, T; Mizuguchi, S; Sakamoto, T; Maki, J; Akahoshi, T

    AMERICAN JOURNAL OF EMERGENCY MEDICINE   70   208e5 - 208e7   2023.8   ISSN:0735-6757 eISSN:1532-8171

  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome

    Hatakeyama K., Shono Y., Hashimoto T., Sakamoto T., Nishihara M., Iyonaga T., Mizuguchi S., Sakamoto T., Maki J., Akahoshi T.

    American Journal of Emergency Medicine   70   208.e5 - 208.e7   2023.8   ISSN:07356757

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    Publisher:American Journal of Emergency Medicine  

    Patients with infectious diseases including sepsis can develop ST segment changes on an electrocardiogram (ECG) in the absence of coronary artery disease. However, ST elevation with “reciprocal ST segment depression (RSTD)”, which is recognized as a specific finding for ST-elevated myocardial infarction, is rare in such patients. Although a small number of cases have reported ST-segment elevation in gastritis, cholecystitis, and sepsis, regardless of coronary artery disease, none presented with reciprocal changes. Here, we describe a rare case of a patient with emphysematous pyelonephritis complicating septic shock who developed ST elevation accompanied by reciprocal changes with no coronary occlusion. Emergency physicians should consider the possibility of acute coronary syndrome mimicking, and choose non-invasive diagnostic procedures when investigating the causes of ECG abnormalities associated with critically ill patients.

    DOI: 10.1016/j.ajem.2023.06.038

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  • Emphysematous pyelonephritis with ST elevation accompanied by reciprocal changes mimicking acute coronary syndrome Reviewed International journal

    @Kiwamu Hatakeyama, @Yuji Shono, @Takuma Hashimoto, @Taiki Sakamotoa, @Masaaki Nishihara, @Takeshi Iyonaga, @ Soichi Mizuguchi, @Takafumi Sakamoto, @Jun Maki, @Tomohiko Akahoshi

    The Anerican Journal of Emergency Medicine   2023.7

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  • 脂肪塞栓症候群に合併した循環不全に一酸化窒素吸入が奏功した一例

    陣林 秀紀, 畠山 究, 籾井 健太, 吉本 将和, 桑原 正成, 彌永 武史, 西原 正章, 生野 雄二, 牧 盾, 中島 康晴, 赤星 朋比古

    日本救急医学会雑誌   33 ( 10 )   744 - 744   2022.10   ISSN:0915-924X eISSN:1883-3772

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    Language:Japanese   Publisher:(一社)日本救急医学会  

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  • Prediction of intracranial lesions in patients with consciousness disturbance by ultrasonography in the intensive care unit Invited Reviewed International journal

    Shono Yuji, Mezuki Satomi, Akahoshi Tomohiko, Nishihara Masaaki, Kaku Noriyuki, Maki Jun, Tokuda Kentaro, Kitazono Takanari

    JOURNAL OF INTERNATIONAL MEDICAL RESEARCH   50 ( 9 )   3000605221119358   2022.9   ISSN:0300-0605 eISSN:1473-2300

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:SAGE PUBLICATIONS LTD  

    Objective: This study was performed to evaluate the correlation between parameters measured by bedside ultrasonography and detection of intracranial organic lesions in patients with impaired consciousness in an intensive care unit (ICU) setting.Methods: We retrospectively reviewed the medical records of patients who were admitted to our ICU from April 2017 to July 2019. Patients who underwent computed tomography or magnetic resonance imaging examination and measurement of the flow velocity of the carotid and intracranial arteries and the optic nerve sheath diameter by ultrasonography were selected for analysis.Results: In total, 64 patients were analyzed in this study. Of these, intracranial lesions were detected by computed tomography or magnetic resonance imaging in 17 (27%) patients. The left:right ratio of the end-diastolic velocity of the bilateral common carotid artery (CCA-ED ratio) and the pulsatility index of the middle cerebral artery (MCA-PI) were significantly higher in patients with than in those without intracranial lesions. The cut-off value of the CCA-ED ratio was 1.55 (sensitivity, 66.7%; specificity, 81.6%), and that of the MCA-PI was 1.21 (sensitivity, 57.1%; specificity, 76.7%).Conclusion: Bedside ultrasonography is useful for predicting intracranial lesions requiring therapeutic intervention in ICU patients with impaired consciousness.

    DOI: 10.1177/03000605221119358

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  • Hyperoxemia is Associated With Poor Neurological Outcomes in Patients With Out-of-Hospital Cardiac Arrest Rescued by Extracorporeal Cardiopulmonary Resuscitation: Insight From the Nationwide Multicenter Observational JAAM-OHCA (Japan Association for Acute Medicine) Registry. International journal

    Masaaki Nishihara, Ken-Ichi Hiasa, Nobuyuki Enzan, Kenzo Ichimura, Takeshi Iyonaga, Yuji Shono, Masahiro Kashiura, Takashi Moriya, Takanari Kitazono, Hiroyuki Tsutsui

    The Journal of emergency medicine   63 ( 2 )   221 - 230   2022.8   ISSN:0736-4679 eISSN:1090-1280

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    BACKGROUND: Previous studies have shown an association between hyperoxemia and mortality in patients with out-of-hospital cardiac arrest (OHCA) after cardiopulmonary resuscitation (CPR); however, evidence is lacking in the extracorporeal CPR (ECPR) setting. OBJECTIVE: The aim of this study was to test the hypothesis that hyperoxemia is associated with poor neurological outcomes in patients treated by ECPR. METHODS: The Japanese Association for Acute Medicine OHCA Registry is a multicenter, prospective, observational registry of patients from 2014 to 2017. Adult (18 years or older) patients who had undergone ECPR after OHCA were included. Eligible patients were divided into two groups based on the partial pressure of oxygen in arterial blood (PaO2) levels at 24 h after ECPR: the high-PaO2 group (n = 242) defined as PaO2 ≥ 157 mm Hg (median) and the low-PaO2 group (n = 211) defined as PaO2 60 to < 157 mm Hg. The primary outcome was the favorable neurological outcome, defined as a Cerebral Performance Categories Scale score of 1 to 2 at 30 days after OHCA. RESULTS: Of 34,754 patients with OHCA, 453 patients were included. The neurological outcome was significantly lower in the high-PaO2 group than in the low-PaO2 group (15.9 vs. 33.5%; p < 0.001). After adjusting for potential confounders, high PaO2 was negatively associated with favorable neurological outcomes (adjusted odds ratio [aOR] 0.48; 95% confidence interval [CI] 0.24-0.97; p = 0.040). In a multivariate analysis with multiple imputation, high PaO2 was also negatively associated with favorable neurological outcomes (aOR 0.63; 95% CI 0.49-0.81; p < 0.001). CONCLUSIONS: Hyperoxemia was associated with worse neurological outcomes in OHCA patients with ECPR.

    DOI: 10.1016/j.jemermed.2022.05.018

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  • ARDS clinical practice guideline 2021

    Tasaka S., Ohshimo S., Takeuchi M., Yasuda H., Ichikado K., Tsushima K., Egi M., Hashimoto S., Shime N., Saito O., Matsumoto S., Nango E., Okada Y., Hayashi K., Sakuraya M., Nakajima M., Okamori S., Miura S., Fukuda T., Ishihara T., Kamo T., Yatabe T., Norisue Y., Aoki Y., Iizuka Y., Kondo Y., Narita C., Kawakami D., Okano H., Takeshita J., Anan K., Okazaki S.R., Taito S., Hayashi T., Mayumi T., Terayama T., Kubota Y., Abe Y., Iwasaki Y., Kishihara Y., Kataoka J., Nishimura T., Yonekura H., Ando K., Yoshida T., Masuyama T., Sanui M., Nakashima T., Masunaga A., Tanaka A., Inoue A., Higashi A., Tanikawa A., Ujiro A., Takayama C., Kasugai D., Ueno D., Satoh D., Kai S., Ota K., Hagiwara Y., Hamaguchi J., Fujii R., Hongo T., Masunaga N., Yamamoto R., Uchimido R., Terayama T., Hokari S., Sakamoto H., Dongli , Nakataki E., Tabata E., Okazawa S., Kotajima F., Ishimaru G., Hoshino H., Yoshida H., Iwai H., Nakagawa H., Sugimura H., Narumiya H., Nakamura H., Sugimoto H., Hashimoto H., Ito H., Dote H., Imahase H., Sato H., Katsurada M., Osawa I., Kamei J., Maki J., Sugihara J., Fujimoto J., Ishikawa J., Kosaka J., Shibata J., Hashimoto K., Nakano Y.

    Respiratory Investigation   60 ( 4 )   446 - 495   2022.7   ISSN:22125345

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    Background: The joint committee of the Japanese Society of Intensive Care Medicine/Japanese Respiratory Society/Japanese Society of Respiratory Care Medicine on ARDS Clinical Practice Guideline has created and released the ARDS Clinical Practice Guideline 2021. Methods: The 2016 edition of the Clinical Practice Guideline covered clinical questions (CQs) that targeted only adults, but the present guideline includes 15 CQs for children in addition to 46 CQs for adults. As with the previous edition, we used a systematic review method with the Grading of Recommendations Assessment Development and Evaluation (GRADE) system as well as a degree of recommendation determination method. We also conducted systematic reviews that used meta-analyses of diagnostic accuracy and network meta-analyses as a new method. Results: Recommendations for adult patients with ARDS are described: we suggest against using serum C-reactive protein and procalcitonin levels to identify bacterial pneumonia as the underlying disease (GRADE 2D); we recommend limiting tidal volume to 4–8 mL/kg for mechanical ventilation (GRADE 1D); we recommend against managements targeting an excessively low SpO2 (PaO2) (GRADE 2D); we suggest against using transpulmonary pressure as a routine basis in positive end-expiratory pressure settings (GRADE 2B); we suggest implementing extracorporeal membrane oxygenation for those with severe ARDS (GRADE 2B); we suggest against using high-dose steroids (GRADE 2C); and we recommend using low-dose steroids (GRADE 1B). The recommendations for pediatric patients with ARDS are as follows: we suggest against using non-invasive respiratory support (non-invasive positive pressure ventilation/high-flow nasal cannula oxygen therapy) (GRADE 2D); we suggest placing pediatric patients with moderate ARDS in the prone position (GRADE 2D); we suggest against routinely implementing NO inhalation therapy (GRADE 2C); and we suggest against implementing daily sedation interruption for pediatric patients with respiratory failure (GRADE 2D). Conclusions: This article is a translated summary of the full version of the ARDS Clinical Practice Guideline 2021 published in Japanese (URL: https://www.jrs.or.jp/publication/jrs_guidelines/). The original text, which was written for Japanese healthcare professionals, may include different perspectives from healthcare professionals of other countries.

    DOI: 10.1016/j.resinv.2022.05.003

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  • Delayed administration of epinephrine is associated with worse neurological outcomes in patients with out-of-hospital cardiac arrest and initial pulseless electrical activity: insight from the nationwide multicentre observational JAAM-OHCA (Japan Association for Acute Medicine) registry Invited Reviewed International journal

    Enzan Nobuyuki, Hiasa Ken-ichi, Ichimura Kenzo, Nishihara Masaaki, Iyonaga Takeshi, Shono Yuji, Tohyama Takeshi, Funakoshi Kouta, Kitazono Takanari, Tsutsui Hiroyuki

    EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE   11 ( 5 )   389 - 396   2022.6   ISSN:2048-8726 eISSN:2048-8734

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    Aims The delayed administration of epinephrine has been proven to worsen the neurological outcomes of patients with out-of-hospital cardiac arrest (OHCA) and shockable rhythm or asystole. We aimed to investigate whether the delayed administration of epinephrine might also worsen the neurological outcomes of patients with witnessed OHCA and initial pulseless electrical activity (PEA). Methods and results The JAAM-OHCA Registry is a multicentre registry including OHCA patients between 2014 and 2017. Patients with emergency medical services (EMS)-treated OHCA and initial PEA rhythm were included. The primary exposure was the time from the EMS call to the administration of epinephrine. The secondary exposure was the time to epinephrine dichotomized as early (<= 15 min) or delayed (>15 min). The primary outcome was the achievement of a favourable neurological outcome, defined as Cerebral Performance Categories Scale 1-2 at 30 days after OHCA. Out of 34 754 patients with OHCA, 3050 patients were included in the present study. After adjusting for potential confounders, the delayed administration of the epinephrine was associated with a lower likelihood of achieving a favourable neurological outcome [adjusted odds ratio (OR) 0.96; 95% confidence interval (CI) 0.93-0.99; P = 0.016]. The percentage of patients who achieved a favourable neurological outcome in the delayed epinephrine group was lower than that in the early epinephrine group (1.3% vs. 4.7%; adjusted OR 0.33; 95% CI 0.15-0.72; P = 0.005). A restricted cubic spline analysis demonstrated that delayed epinephrine administration could decrease the likelihood of achieving a favourable neurological outcome; this was significant within the first 10 min. Conclusions The delayed administration of epinephrine was associated with worse neurological outcomes in patients with witnessed OHCA patients with initial PEA.

    DOI: 10.1093/ehjacc/zuac026

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  • Impact of Antithrombin Activity Levels Following Recombinant Antithrombin Gamma Therapy in Patients with Sepsis-Induced Disseminated Intravascular Coagulation. International journal

    Tomohiko Akahoshi, Noriyuki Kaku, Yuji Shono, Yuzo Yamamoto, Keita Takahashi, Takeshi Iyonaga, Kenta Momii, Masaaki Nishihara, Jun Maki, Kentaro Tokuda, Ken Yamaura

    Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis   28   10760296221135790 - 10760296221135790   2022   ISSN:1076-0296 eISSN:1938-2723

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    Recombinant antithrombin gamma (rAT) is reported as an effective drug for patients with disseminated intravascular coagulation (DIC) in Japan. As the appropriate dose and targeted AT activity remain unknown, this study aimed to determine these aspects for sepsis-induced DIC. Thirty-one patients with septic shock and DIC with AT levels <70% were treated with rAT between May 2018 and December 2020. The recovery rates from DIC were 32.2% and 63.3% on day 3 and 5 post administration, respectively. Recovery and survival rates were significantly higher in patients who achieved AT activity ≥70% or 80% on day 3 post administration. Receiver operating characteristic curve analysis revealed that the cutoff values of post-treatment AT activity on day 3 for 28-day survival and 5-day recovery from DIC were 79.5% and 81.5%, respectively. Patients who did not achieve AT activity ≥80% on day 3 presented a lower base level of AT activity and lower dose supplementation. Our results suggest that targeted AT activity should be at least 70%, and ideally 80%, and sufficient doses to maintain this activity are required to achieve better outcomes.

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  • ロラゼパム静注が診断と治療に有効だった悪性カタトニアの1症例

    中島 孝輔, 牧 盾, 高橋 慶多, 白水 和宏, 生野 雄二, 徳田 賢太郎, 赤星 朋比古, 山浦 健

    日本集中治療医学会雑誌   28 ( 5 )   450 - 453   2021.9

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    悪性カタトニアは,昏迷,無動,カタレプシーなどのカタトニアに特徴的な症状に発熱や自律神経症状を伴い,致死的になり得る症候群である。症例は53歳の女性で,統合失調症の治療中に意識障害,筋緊張亢進,発熱を来して救急搬送された。精神科病棟に医療保護入院したが,呼吸不全を呈したため応援を要請された。ICUで治療を開始し,全身管理と並行して悪性症候群や他の身体疾患の除外診断を行った。統合失調症による悪性カタトニアを疑いロラゼパムを静注したところ,意識が回復し筋緊張亢進も軽快した。悪性カタトニアを疑った場合は,全身管理や合併症への対応と並行して身体疾患の除外診断を行い,ベンゾジアゼピンによる診断的治療を行う。ロラゼパムの静注は効果発現が早いため,悪性カタトニアを疑った場合の診断的治療に有用である。(著者抄録)

  • Use of venovenous extracorporeal membrane oxygenation for perioperative management of acute respiratory distress syndrome caused by fat embolism syndrome: A case report and literature review Invited Reviewed International journal

    Kenta Momii, Yuji Shono, Kanji Osaki, Yoshinori Nakanishi, Takeshi Iyonaga, Masaaki Nishihara, Tomohiko Akahoshi, Yasuharu Nakashima

    Medicine   100 ( 8 )   2021.2

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  • Clinical improvement in a patient with severe coronavirus disease 2019 after administration of hydroxychloroquine and continuous hemodiafiltlation with nafamostat mesylate. International journal

    Sho Iwasaka, Yuji Shono, Kentaro Tokuda, Kosuke Nakashima, Yuzo Yamamoto, Jun Maki, Yoji Nagasaki, Nobuyuki Shimono, Tomohiko Akahoshi, Tomoaki Taguchi

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy   26 ( 12 )   1319 - 1323   2020.12

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    DOI: 10.1016/j.jiac.2020.08.001

  • Mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes due to m.3243A > G mutation in a 76-year-old woman. International journal

    412   116791 - 116791   2020.5

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    DOI: 10.1016/j.jns.2020.116791

  • Safety of antithrombotic therapy for patients with acute ischemic stroke harboring unruptured intracranial aneurysm. Reviewed International journal

    Shono Y, Sugimori H, Matsuo R, Fukushima Y, Wakisaka Y, Kuroda J, Ago T, Kamouchi M, Kitazono T

    International Journal of Stroke   2018.1

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  • Esophageal perforation due to blunt chest trauma: Difficult diagnosis because of coexisting severe disturbance of consciousness. International journal

    Satomi Mezuki, Yuji Shono, Tomohiko Akahoshi, Kana Hisanaga, Hiroshi Saeki, Yuichiro Nakashima, Kenta Momii, Jun Maki, Kentaro Tokuda, Yoshihiko Maehara

    The American journal of emergency medicine   35 ( 11 )   1790.e3-1790.e5   2017.11

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    DOI: 10.1016/j.ajem.2017.08.043

  • Clinical characteristics of type A acute aortic dissection with symptom of the central nervous system Reviewed International journal

    Shono Y, Akahoshi T, Mezuki S, Momii K, Kaku N, Maki J, Tokuda K, Ago T, Kitazono T, Maehara Y

    American journal of emergency medicine   2017.6

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  • Thrombolytic therapy with intravenous recombinant tissue plasminogen activator in Japanese older patients with acute ischemic stroke: Fukuoka Stroke Registry Reviewed International journal

    Geriatric Gerontology International   14 ( 4 )   954 - 959   2014.10

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  • Gene and protein analysis of brain derived neurotrophic factor expression in relation to neurological recovery induced by an enriched environment in a rat stroke model. International journal

    Kenji Hirata, Yuji Kuge, Chiaki Yokota, Akina Harada, Koichi Kokame, Hiroyasu Inoue, Hidekazu Kawashima, Hiroko Hanzawa, Yuji Shono, Hideo Saji, Kazuo Minematsu, Nagara Tamaki

    Neuroscience letters   495 ( 3 )   210 - 5   2011.5

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    DOI: 10.1016/j.neulet.2011.03.068

  • Gene expression associated with an enriched environment after transient focal ischemia Reviewed International journal

    Shono Y, Yokota C, Kuge Y, Kido S, Harada A, Kokame K, Inoue H, Hotta M, Hirata K, Saji H, Tamaki N, Minematsu K

    Brain research   60 - 65   2011.2

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  • Hyoid bone compression-induced repetitive occlusion and recanalization of the internal carotid artery in a patient with ipsilateral brain and retinal ischemia. International journal

    Mayumi Mori, Haruko Yamamoto, Masatoshi Koga, Hideki Okatsu, Yuji Shono, Kazunori Toyoda, Kenji Fukuda, Koji Iihara, Naoaki Yamada, Kazuo Minematsu

    Archives of neurology   68 ( 2 )   258 - 9   2011.2

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    DOI: 10.1001/archneurol.2010.371

  • Medial medullary infarction identified by diffusion-weighted magnetic resonance imaging Reviewed International journal

    Shono Y, Koga M, Toyoda K, Matsuoka H, Yokota C, Uehara T, Yamamoto H, Minematsu K

    Cerebrovascular disease   30 ( 5 )   519 - 524   2010.12

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  • Change in intracellular pH causes the toxic Ca2+ entry via NCX1 in neuron- and glia-derived cells Reviewed International journal

    Shono Y, Kamouchi M, Kitazono T, Kuroda J, Nakamura K, Hagiwara N, Ooboshi H, Ibayashi S, Iida M

    Cellular and molecular neurobiology   30 ( 3 )   453 - 460   2010.4

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  • Amiloride inhibits hydrogen peroxide-induced Ca2+ responses in human CNS pericytes. International journal

    Kuniyuki Nakamura, Masahiro Kamouchi, Takanari Kitazono, Junya Kuroda, Yuji Shono, Noriko Hagiwara, Tetsuro Ago, Hiroaki Ooboshi, Setsuro Ibayashi, Mitsuo Iida

    Microvascular research   77 ( 3 )   327 - 34   2009.5

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    DOI: 10.1016/j.mvr.2008.12.001

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Presentations

  • 未破裂脳動脈瘤を合併した脳梗塞患者に対する抗血栓療法の安全性:Fukuoka Stroke Registry (FSR)

    生野雄二, 松尾龍, 杉森宏, 脇坂義信, 黒田淳哉, 吾郷哲朗, 鴨打正浩, 北園孝成

    2018.3 

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    Event date: 2018.3

    Language:Japanese   Presentation type:Oral presentation (general)  

    Country:Japan  

  • 未破裂脳動脈瘤を合併した脳梗塞患者の長期予後 Fukuoka Stroke Registry (FSR)

    生野雄二, 松尾龍, 杉森宏, 脇坂義信, 黒田淳哉, 吾郷哲朗, 鴨打正浩, 北園孝成

    第26回日本脳ドック学会総会  2017.6 

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    Event date: 2017.6

    Language:Japanese   Presentation type:Oral presentation (general)  

    Country:Japan  

  • 中枢神経症状を呈する急性大動脈解離の臨床的特徴

    生野 雄二, 籾井 健太, 久保田 健介, 平田 悠一郎, 賀耒 典之, 牧 盾, 永田 高志, 徳田 賢太郎, 安田 光宏, 赤星 朋比古, 前原 喜彦

    第43回 日本救急医学会総会・学術集会  2015.10 

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    Event date: 2015.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Country:Japan  

    【背景】急性大動脈解離(Acute aortic dissection:AAD)は初診時に局所脳虚血症状を始めとする中枢神経症状を呈することがあり、時として診断に苦慮する。またAADは急性期脳梗塞に対する経静脈的血栓溶解療法の禁忌であり、過去に同治療による死亡例も報告されており、正確かつ迅速に診断することが必要である。
    【方法】2009年4月1日~2014年5月31日までに当院救命救急センターに搬送されたAAD症例を対象とした。中枢神経症状、胸部症状、造影CTおよび頸部血管エコーでの弓部分枝病変の有無など

  • DICを合併した脳梗塞の臨床的特徴 Fukuoka Stroke Registry

    生野 雄二, 杉森 宏, 桑城 貴弘, 吾郷 哲朗, 北園 孝成

    第42回日本集中治療医学会総会  2015.2 

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    Event date: 2015.2

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:ホテル日航東京   Country:Japan  

    【背景】播種性血管内凝固症候群(DIC)は脳卒中の原因であるのみならず、急性期の合併症としても起こり得る。
    【方法】2007年6月から2013年5月にFSR参加7施設に入院した発症7日以内の脳卒中患者7802症例を対象とした。
    【結果】DICの合併は34例(0.44%)、原疾患としては感染症24例、悪性腫瘍7例、不明2例、下肢虚血壊死1例であった。悪性腫瘍と原因不明のうち1例を除く26例は全て入院後にDICを発症した。DIC合併群は非合併群に比し急性期の神経学的増悪の割合が多く(P=0.0009)、入院中の脳卒中再発も多かった(P<0.0001)。入院中に19例(56%)が死亡し、退院時転帰良好は1例のみと極めて予後不良であった。中等度~重度障害が残存した15例中2例がその後のリハビリテーションで自力歩行を獲得した。
    【結語】DICの合併は脳卒中の予後不良因子であり早期の集学的治療が重要である

  • 免疫介在疾患を合併した虚血性脳卒中の臨床的特徴 Fukuoka Stroke Registry (FSR)

    生野 雄二

    第54回日本神経学会学術大会  2013.6 

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    Venue:東京国際フォーラム   Country:Japan  

    【背景】膠原病を始めとする免疫介在疾患(immune-mediated disease:IMD)は急性または慢性の炎症を特徴とし心血管病のリスク上昇に寄与するとされるが、虚血性脳卒中についてその病型など臨床的特徴を多数例で検討した報告はない。
    【方法】FSR参加7施設に発症7日以内に入院した脳卒中患者のうち平成11年6月からの後向き6530症例,平成19年6月~平成24年6月までの前向き6351症例を対象とし、ICD-10によるIMD合併例を抽出し臨床的特徴について検討した。
    【結果】IMDは197例(0.015%)に合併しており、慢性関節リウマチ126例、SLE21例、潰瘍性大腸炎16例シェーグレン症候群11例、全身性硬化症12例、サルコイドーシス5例、ベーチェット病5例、大動脈炎症候群4例、クローン病4例、皮膚筋炎・多発筋炎3例、アレルギー性肉芽腫性血管炎2例、側頭動脈炎2例であった。脳梗塞の臨床病型としてはラクナ梗塞(23%)、アテローム血栓性脳梗塞(18%)、心原性脳塞栓症(19%)、分類不能(40%)と分類不能が最も多かった。分類不能の中では、塞栓源不明塞栓(32%)が最多であり、次いでBAD(17%)、不明(15%)、大動脈原性塞栓(14%)、血管炎(6%)、抗燐脂質抗体症候群(6%)、脳静脈血栓症(4%)、奇異性脳塞栓症(3%)、もやもや病(1%)であった。IMD合併例は非合併例に比し女性の比率が高いが(P<0.0001)、他の背景因子に差はなかった。発症時の重症度、急性期増悪および再発の頻度にも差はなかった。前向き症例のみで検討した発症後2年間の再発にも差はなかったが、発症後2年間の死亡はIMD合併例で有意に多かった(P=0.0024)。
    【結語】IMDの合併は虚血性脳卒中の重症度および増悪・再発に影響を与えないが、発症後の生命予後に関与している可能性がある

  • 脂肪塞栓症候群に合併した循環不全に一酸化窒素吸入が奏功した一例

    陣林 秀紀, 畠山 究, 籾井 健太, 吉本 将和, 桑原 正成, 彌永 武史, 西原 正章, 生野 雄二, 牧 盾, 中島 康晴, 赤星 朋比古

    日本救急医学会雑誌  2022.10  (一社)日本救急医学会

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  • 気胸を合併したCOVID-19重症肺炎の臨床的特徴についての検討

    山本 悠造, 畠山 究, 彌永 武史, 西原 正章, 生野 雄二, 賀来 典之, 牧 盾, 徳田 賢太郎, 赤星 朋比古, 北園 孝成

    日本集中治療医学会雑誌  2022.11  (一社)日本集中治療医学会

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  • 心停止蘇生後患者における心停止原因別の体温管理療法と神経学的転帰の関連についての検討

    彌永 武史, 円山 信之, 西原 正章, 日浅 謙一, 生野 雄二, 牧 盾, 赤星 朋比古

    日本集中治療医学会雑誌  2023.6  (一社)日本集中治療医学会

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  • 冠血流異常がないにも関わらず、対側性変化を伴うST上昇を呈し、STEMIとの鑑別を要した気腫性腎盂腎炎の一例

    橋本 卓磨, 生野 雄二, 畠山 究, 松岡 若利, 水口 壮一, 籾井 健太, 彌永 武史, 西原 正章, 賀来 典之, 牧 盾, 赤星 朋比古

    日本救急医学会雑誌  2023.12  (一社)日本救急医学会

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  • Gustilo III B橈骨遠位端開放骨折に脊椎破裂骨折による大量血胸を合併した1例

    籾井 健太, 赤星 朋比古, 牧 盾, 賀来 典之, 生野 雄二, 西原 正章, 彌永 武史, 水口 壮一, 松岡 若利, 賣豆紀 智美, 畠山 究

    日本救急医学会雑誌  2023.12  (一社)日本救急医学会

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  • COVID-19重症肺炎を合併した妊婦に対して腹臥位療法を行った1例

    畠山 究, 徳田 賢太郎, 安藤 太一, 高橋 慶多, 十時 崇彰, 彌永 武史, 西原 正章, 生野 雄二, 牧 盾, 赤星 朋比古

    日本集中治療医学会雑誌  2022.11  (一社)日本集中治療医学会

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MISC

  • 【神経集中治療-いま最も知りたい20の論点-】心拍再開後脳障害における持続脳波モニタリングは、どのように施行し治療に活かすべきか?

    牧 盾, 生野 雄二, 水口 壮一

    救急・集中治療   2016.11

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    <point>心停止蘇生後のケアでは、痙攣の診断と治療、鎮静薬投与および予後予測の指標として持続脳波モニタリングが推奨されている。蘇生後脳症で、平坦・低振幅脳波、burst suppression、全般性周期性てんかん様放電は予後不良を示唆する脳波パターンである。低体温、鎮静薬は脳波に影響を及ぼすため、その解釈には注意が必要である。aEEGは解釈が簡単で、予後予測に用いることも可能な脳波モニタリング方法である。(著者抄録)

  • 機能回復治療の最前線 脳虚血実験モデルにおけるリハビリテーション 充実環境モデルの神経機能回復に与える効果

    生野 雄二

    2013.4

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  • 脳虚血実験モデルにおけるリハビリテーション-充実環境モデルの神経機能回復に与える効果

    生野 雄二

    2013.4

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    Abstract : To explore the mechanism of functional recovery after stroke, many studies about
    experimental stroke and rehabilitation have been reported. However, the effect of forced exercise,
    for example, treadmill running or constraint-induced movement therapy, is controversial. An enriched
    environment, which induces voluntary exercise, perceptive stimuli, and social interaction,
    has recently been demonstrated to contribute to good functional outcome after experimental
    brain damage. Furthermore several studies indicated that an enriched environment affected gene
    and protein expression, and neurogenesis after brain ischemia. Our previous investigation using a
    4-week period of housing in enriched environment demonstrated improvement of motor function
    and decreases in the gene expression associated with inflammation and neurotrophic factor. But
    relationship between the functional recovery and decrease in neurotrophic factor has not been
    confirmed by protein analysis. Further study, which includes comprehensive analysis of protein
    and more segmentalized timeline, is needed establish the mechanism of functional recovery after
    stroke by enriched environment(.

  • 福岡県における脳卒中治療への取り組み

    湧川 佳幸, 吉村 壮平, 生野 雄二, 森 真由美, 宮崎 雄一

    診療と新薬   2011.3

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  • 脳循環障害の画像診断 無名動脈由来と推定される動脈原性塞栓症を繰り返した一例

    生野 雄二, 豊田 一則, 粕谷 潤二, 松岡 秀樹, 伊藤 敦史, 峰松 一夫

    脳と循環   2009.9

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    69歳男。左上肢脱力が出現し、近医で脳梗塞と診断されオザグレルナトリウム点滴静注で症状は改善した。頭部MRIで右中大脳動脈領域の皮質・皮質下と右小脳後下小脳動脈領域に多発性の梗塞巣を認めた。心原性梗塞を疑い経食道心エコー(TEE)、ホルター心電図などを行ったが病変は検出できず、脳血管撮影(DSA)や3D-CTで狭窄病変を認めなかった。アスピリン内服で二次予防を行う方針とし退院となったが、5ヵ月後に同様な麻痺を来たし、入院加療で改善したものの3ヵ月後に再々発を生じ当院緊急受診となった。頭部MRIで右テント上下に多発性の急性期梗塞を認めたが、頭部MRA、頸部血管エコー、TEE、ホルター心電図で塞栓源を示唆する所見はなかった。第9病日の頸部MRAで、無名動脈の起始部にMRI反転回復型T1強調法で高信号を呈する厚いプラークを認め、同部位を塞栓源とする動脈原性塞栓症と考えた。ヘパリン持続点滴などで症状は軽快し、アスピリン+ワルファリンによる再発予防を行う方針とし退院となった。以後2年間、再発はない。

  • 【シーン別画像診断のいま-求められる画像と応える技術[Scene Vol.2] rt-PA時代における急性期脳梗塞の画像診断 標準化に向けて】最先端施設における急性期脳梗塞診療の実際 Stroke CTを主体とした診療の実際

    生野 雄二, 豊田 一則

    2008.12

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    rt-PA(アルテプラーゼ)静注療法の適応決定において、これまで頭部単純CTでの評価は重要な役割を果たしてきた。近年ではMRIの普及により、血栓溶解療法の適応や効果判定をMRIで行った報告もなされているが、MRIを24時間体制で稼働させることが不可能な施設も多く、依然としてCTが急性期脳梗塞診療の中核を担っている。本稿では、CTを用いた急性期脳梗塞診療について、実際の症例に基づいて言及したい。(著者抄録)

  • 【心房細動 最新情報とトータルマネージメント】ワルファリン療法と日本人の至適INR

    生野 雄二, 峰松 一夫

    循環器科   2008.3

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  • 入門講座 画像のみかた 臨床に活かす脳のCT・MRIのみかた

    生野 雄二, 豊田 一則, 山口 武典

    理学療法ジャーナル   2007.3

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  • 【神経救急 意識障害は怖くない】頭蓋内疾患における救急診療 脳血管障害 脳静脈血栓症

    生野 雄二, 井林 雪郎

    内科   2006.5

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    Language:Japanese  

    近年の症例の蓄積により,脳静脈血栓症は以前ほど予後不良な疾患ではないことが明らかになり,早期の診断・治療がますます重要となってきている.脳静脈血栓症の原因として,かつては感染症によるものが多かったが,近年では血栓形成傾向など多岐にわたる要因が明らかになる一方で,依然として15~30&#37;の症例では原因が不明である.脳静脈血栓症に特有な症状はないが,頭痛,痙攣,意識障害などが多くみられる.CTやMRI,MRVなど非侵襲的な検査により,脳静脈血栓症の確定診断が可能になってきている.脳静脈血栓症の治療として,heparinによる抗凝固療法の有効性が指摘されているが,近年では血栓溶解療法についても有効性を示す報告が散見される(著者抄録)

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Committee Memberships

  • Councilor   Domestic

    2023.11 - 2024.11   

Academic Activities

  • Screening of academic papers

    Role(s): Peer review

    2024

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    Type:Peer review 

    Number of peer-reviewed articles in foreign language journals:3

  • Screening of academic papers

    Role(s): Peer review

    2022

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    Type:Peer review 

    Number of peer-reviewed articles in foreign language journals:2

  • Screening of academic papers

    Role(s): Peer review

    2021

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    Type:Peer review 

    Number of peer-reviewed articles in foreign language journals:3

    Number of peer-reviewed articles in Japanese journals:1

  • Screening of academic papers

    Role(s): Peer review

    2020

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    Type:Peer review 

    Number of peer-reviewed articles in foreign language journals:1

  • 不明

    ARDSガイドライン2021 systematic review委員  2019.6 - 2021.12

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    Type:Competition, symposium, etc. 

  • Screening of academic papers

    Role(s): Peer review

    2018

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    Type:Peer review 

    Number of peer-reviewed articles in foreign language journals:1

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 福岡脳神経外科病院 ) 2017.11

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    Type:Competition, symposium, etc. 

    Number of participants:54

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 産業医科大学病院 ) 2017.7

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    Type:Competition, symposium, etc. 

    Number of participants:50

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2017.5

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    Type:Competition, symposium, etc. 

    Number of participants:42

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 産業医科大学病院 ) 2016.11

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    Type:Competition, symposium, etc. 

    Number of participants:60

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2016.9

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    Type:Competition, symposium, etc. 

    Number of participants:50

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2016.6

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    Type:Competition, symposium, etc. 

    Number of participants:50

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2016.3

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    Type:Competition, symposium, etc. 

    Number of participants:70

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 産業医科大学病院 ) 2015.10

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    Type:Competition, symposium, etc. 

    Number of participants:50

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2015.8

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    Type:Competition, symposium, etc. 

    Number of participants:90

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2015.4

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    Type:Competition, symposium, etc. 

    Number of participants:50

  • ファシリテーター

    日本救急医学会・神経救急学会 神経蘇生コース  ( 小倉記念病院 ) 2015.2

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    Type:Competition, symposium, etc. 

    Number of participants:50

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Class subject

  • 臨床診断学

    2023.10 - 2024.3   Second semester

  • 臨床医学基本実習 心肺蘇生

    2023.4 - 2023.9   First semester

  • 救急医学

    2023.4 - 2023.9   First semester

  • 臨床診断学

    2022.10 - 2023.3   Second semester

  • 臨床医学基本実習 心肺蘇生

    2022.4 - 2022.9   First semester

  • 救急医学

    2022.4 - 2022.9   First semester

  • 症候診断学

    2021.10 - 2022.3   Second semester

  • 救急医学

    2021.4 - 2021.9   First semester

  • 臨床医学基本実習 心肺蘇生

    2021.4 - 2021.9   First semester

  • 症候診断学

    2020.10 - 2021.3   Second semester

  • 救急医学

    2020.4 - 2020.9   First semester

  • 症候診断学

    2019.10 - 2020.3   Second semester

  • 症候診断学

    2018.10 - 2019.3   Second semester

  • 症候診断学

    2017.10 - 2018.3   Second semester

  • 症候診断学

    2016.10 - 2017.3   Second semester

  • 症候診断学

    2015.10 - 2016.3   Second semester

  • 症候診断学

    2014.10 - 2015.3   Second semester

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Outline of Social Contribution and International Cooperation activities

  • 日本DMAT(災害派遣医療チーム)隊員, 統括DMAT登録者として通常時はDMATの訓練、DMATに関する研修、都道府県の災害医療体制に関する助言等を行っている。
    また災害時にはDMAT本部の責任者として活動している。

Social Activities

  • 福岡地域救急業務メディカルコントロール協議会,事後検証委員会において検証医師として救急隊の活動に対する二次検証を行なった。

    福岡地域救急業務メディカルコントロール協議会  2023.5

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    Audience: General, Scientific, Company, Civic organization, Governmental agency

    Type:Other

Media Coverage

  • 熊本地震における当院DMAT活動についてのインタビュー

    時事通信  2016.4

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    熊本地震における当院DMAT活動についてのインタビュー

Specialized clinical area

  • Biology / Medicine, Dentistry and Pharmacy / Clinical Internal Medicine / Stroke Science

Clinician qualification

  • ISLS認定ファシリテーター

    The Japan Stroke Society

  • Specialist

    The Japanese Society of Intensive Care Medicine

  • ISLS認定ファシリテーター

    日本救急医学会、日本集中治療医学会、日本神経救急学会

  • Specialist

    日本救急医学会

Year of medical license acquisition

  • 2003

Notable Clinical Activities

  • 臨床では神経救急・集中治療を専門に行っている 日本DMAT隊員として院内の災害医療体制構築に関わっている