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The clinical and experimental studies on the causes and the development of treatments of the neonatal thrombosis and DIC

Research Project

Project/Area Number 20591304
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Embryonic/Neonatal medicine
Research InstitutionNara Medical University

Principal Investigator

TAKAHASHI Yukihiro  Nara Medical University, 医学科, 教授 (60142379)

Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2008: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords新生児 / 血栓症 / 播種性血管内凝固 / トロンボモジュリン / 頭蓋内出血 / TAM / 肝線維症 / 線溶機能 / TAFI / DIC / HIT / ADMTS-13 / ストレス
Research Abstract

The national wide survey of neonatal thrombosis and disseminated intravasucular coagulation (DIC) were performed.. In neonatal thrombosis, the complication of central catheter was one of the main causes of neonatal thrombosis. The management and the preventive antithrombotic procedures of neonatal central catheter were needed as soon as possible. The use of tissue plasminogen activator was increased in neonatal thrombosis, comparing with previous survey.. In neonatal DIC, two main causes of DIC were neonatal asphyxisia and infection and the haemostatic parameters were significantly different between these groups. However, the standardization of D-dimer is needed for the diagnostic criteria, Thrombomodulin therapy was effective on DIC induced by neonatal asphyxia and also improved the neurological prognosis. The relative studies were also reported. As the important factor between thrombosis and fibrinolysis, the concentration of TAFI was measured. TAFI was very low in neonatal period. It seems to prevent neonatal thrombosis.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (49 results)

All 2011 2010 2009 2008 Other

All Journal Article (26 results) (of which Peer Reviewed: 14 results) Presentation (11 results) Book (11 results) Remarks (1 results)

  • [Journal Article] Type D congenital esophageal atresia associated with omphalomesentric duct remnamt2010

    • Author(s)
      Takeyama M, Takahashi Y, et al
    • Journal Title

      Pediatr International

      Volume: 52(4) Pages: 679-679

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 敗血症・敗血症ショックとDIC臨床に役立つQ&AそのDICのガイドラインを参考にしたらよいですか2010

    • Author(s)
      西久保敏也 高橋幸博
    • Journal Title

      小児内科

      Volume: 42 Pages: 239-243

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 敗血症・敗血症ショックとDICそのDICのガイドラインを参考にしたらよいですか2010

    • Author(s)
      釜本智之, 高橋幸博
    • Journal Title

      周産期医学

      Volume: 40 Pages: 217-221

    • Related Report
      2010 Annual Research Report
  • [Journal Article] A nationwide survey of newly diagnosed childhood idiopathic thrombocytopenic purpura in Japan2009

    • Author(s)
      Shirahata A, Takahashi, et al
    • Journal Title

      J Pediatr Hematol Oncol 31

      Pages: 27-32

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A neonate with umbilical arteriovenous malformation showing hemorrhagic shock from massive umbilical hemorrhage2009

    • Author(s)
      Shibata M, Takahashi Y, et al
    • Journal Title

      Am J Perinatol 26

      Pages: 583-586

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of micafungin in treating four premature infants with candidiasis2009

    • Author(s)
      Kawaguchi T, Takahashi Y, et al
    • Journal Title

      Pediatr Int 51

      Pages: 220-224

    • NAID

      10028179940

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intractable epilepsy : expression of substance P in cortical dysplastic neurons2009

    • Author(s)
      Kawaguchi T, Takahashi Y, et al
    • Journal Title

      Pediatr Int 51

      Pages: 418-421

    • NAID

      10025347140

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 生後1カ月頃にもビタミンK2シロップを飲む必要がありますか?2009

    • Author(s)
      高橋幸博
    • Journal Title

      周産期医学 5

      Pages: 679-981

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 新生児黄疸の治療に光線治療がどうして効くの?2009

    • Author(s)
      高橋幸博
    • Journal Title

      小児外科 41

      Pages: 1279-1282

    • Related Report
      2009 Annual Research Report
  • [Journal Article] どのDICの診断ガイドラインを参考にしたらよいですか2009

    • Author(s)
      西久保俊也, 高橋幸博
    • Journal Title

      小児内科 42

      Pages: 239-243

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 超低出生体重児の脳室内出血に対するウロキナーゼ脳室内投与2009

    • Author(s)
      新居育世, 高橋幸博, 他5名
    • Journal Title

      日本産婦人科・新生児血液学会誌 18

      Pages: 51-58

    • NAID

      10026709803

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A Neonate with umbilical arteriovenous malformation showing hemorrhagic shock from massive umbilicalhemorrhage2009

    • Author(s)
      Shibara M, Takahashi Y, et al
    • Journal Title

      American Journal of Perinatology (In press)

      Pages: 1-4

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A nationwide survey of newly diagnosed childhood idiopa thic thrombocytopenic purpura in Japan2009

    • Author(s)
      Shirahata A, Fujisawa K, Ishii E, Sako M, Takahashi Y, et al
    • Journal Title

      J Pediar Hematol Oncol 31

      Pages: 27-32

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 新生児DICの全国調査と治療の動向2008

    • Author(s)
      西久保敏也, 高橋幸博
    • Journal Title

      日本産婦人科・新生児血液学会誌 18

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 大量臍出血をきたし出血性ショックに陥った臍部動静脈奇形の新生児例2008

    • Author(s)
      柴田真理, 高橋幸博, 他
    • Journal Title

      日本産婦人科・新生児血液学会誌 18

    • NAID

      10026709689

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 周産期臨床検査のポイント 凝固・線溶系2008

    • Author(s)
      高橋幸博
    • Journal Title

      周産期医学増刊号 38

      Pages: 322-330

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 「周産期の出血」徹底攻略 新生児出血性疾患の診断と管理2008

    • Author(s)
      高橋幸博
    • Journal Title

      周産期医学増刊号 38

      Pages: 913-918

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 2006年ITP全国調査報告2008

    • Author(s)
      三浦琢磨, 高橋幸博, 他
    • Journal Title

      日本小児血液学会誌 22

      Pages: 378-381

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ワクチン接種後に発症した特発性血小板減少性紫斑病について2008

    • Author(s)
      北澤淳一, 高橋幸博, 他
    • Journal Title

      日本小児血液学会誌 22

      Pages: 382-384

    • NAID

      10029310000

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 小児特発性血小板減少性紫斑病(ITP)のQOL調査成績-管理ガイドライン作成に向けて2008

    • Author(s)
      三間屋純一, 高橋幸博, 他
    • Journal Title

      日本小児血液学会誌 22

      Pages: 385-390

    • NAID

      10029310009

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 本邦における新生児血栓症の最近の動向-2004年度全国調査との比較-

    • Author(s)
      川口千晴、高橋幸博
    • Journal Title

      日本産婦人科・新生児学会誌 印刷中

    • NAID

      10026710505

    • Related Report
      2010 Final Research Report
  • [Journal Article] 新生児のDICの診断と治療 日本産婦人科

    • Author(s)
      西久保敏也、高橋幸博
    • Journal Title

      新生児学会誌 投稿中

    • Related Report
      2010 Final Research Report
  • [Journal Article] Neonatal case of transient abnormal myelopoiesis in Down's syndrome treated by Inchinkoto.

    • Author(s)
      Masahiro Takeyama,Yumiko Uchida, Ikuyo Arai, Tomoyuki Kamamoto, Toshiya Nishikubo, Hiromichi Kanehiro, Toshiyuki Sado, Shinji Kunishima, Yukihiro Takahashi
    • Journal Title

      Pediatr Internatinal in press

    • Related Report
      2010 Final Research Report
  • [Journal Article] 本邦における新生児血栓症の最近の動向 2004年度全国調査との比較

    • Author(s)
      川口千晴、高橋幸博
    • Journal Title

      日本産婦人科・新生児医学会雑誌

      Volume: (印刷中)

    • NAID

      10026710505

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 新生児DICの診断と治療

    • Author(s)
      西久保敏也、高橋幸博
    • Journal Title

      日本産婦人科・新生児医学会雑誌

      Volume: (印刷中)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Neonatal case of transient abnormal myelopoiesis in Down's syndrome treated by Inchinkoto

    • Author(s)
      Takeyama M, Takahashi Y, et al
    • Journal Title

      Pediatr International

      Volume: (In press)

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] A recent national survey of Neonatal thrombosis in Japan2011

    • Author(s)
      Kawaguchi T, Takahashi Y
    • Organizer
      Comparison with mailing questionnaires in 2004 XXIII congress of the International society on Thrombosis and Haemostasis
    • Place of Presentation
      Kyoto
    • Related Report
      2010 Final Research Report
  • [Presentation] 重症新生児仮死児へのトロンボモジュリン(TM)の臨床効果2011

    • Author(s)
      新居育世、内田優美子、林環、釜本智之、阪口加那子、白潤夏、橋本直樹、西久保敏也、高橋幸博
    • Organizer
      第114回日本小児科学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2010 Final Research Report
  • [Presentation] 本邦における新生児血栓症の動向-2004年全国調査との比較2010

    • Author(s)
      川口千晴、高橋幸博
    • Organizer
      第55回 日本未熟児新生児医学会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2010-11-06
    • Related Report
      2010 Annual Research Report
  • [Presentation] 新生児ビタミンK2投与についての再考新しいガイドラインの概念と今後の進め方2010

    • Author(s)
      高橋幸博
    • Organizer
      第9回 東京新生児研究会
    • Place of Presentation
      東京女子医科大学病院総合外来センター大会議室
    • Year and Date
      2010-11-03
    • Related Report
      2010 Annual Research Report
  • [Presentation] 本邦における新生児血栓症の動向-2004年全国調査との比較2010

    • Author(s)
      川口千晴、高橋幸博
    • Organizer
      第20回 日本産婦人科・新生児血液学会
    • Place of Presentation
      アクトシチイ浜松コングレスセンター
    • Year and Date
      2010-06-25
    • Related Report
      2010 Annual Research Report
  • [Presentation] 新生児の線溶機構とTAFI2009

    • Author(s)
      高橋幸博, 他8名
    • Organizer
      第32回日本血栓止血学会
    • Place of Presentation
      北九州市(福岡県)
    • Related Report
      2009 Annual Research Report
  • [Presentation] 新生児血栓症2008

    • Author(s)
      高橋幸博
    • Organizer
      日本産婦人科・新生児学会
    • Place of Presentation
      九州大学医学部百年講堂
    • Related Report
      2008 Annual Research Report
  • [Presentation] 大量臍出血をきたし出血性ショックに陥った臍部動静脈奇形の新生児例2008

    • Author(s)
      柴田真理, 高橋幸博, 他
    • Organizer
      日本産婦人科・新生児学会
    • Place of Presentation
      九州大学医学部百年講堂
    • Related Report
      2008 Annual Research Report
  • [Presentation] 新生児DICの全国調査と治療の動向2008

    • Author(s)
      西久保敏也, 高橋幸博
    • Organizer
      日本産婦人科・新生児学会
    • Place of Presentation
      九州大学医学部百年講堂
    • Related Report
      2008 Annual Research Report
  • [Presentation] 本邦でのRituximabによる難治性小児慢性ITPの治療実態調査2008

    • Author(s)
      中舘尚也, 高橋幸博, 他
    • Organizer
      第50回 日本小児血液学会
    • Place of Presentation
      幕張メツセ国際会議場
    • Related Report
      2008 Annual Research Report
  • [Presentation] 新生児線溶能におけるトロンビン活性化線溶阻止因子に関する検討2008

    • Author(s)
      高橋幸博, 他
    • Organizer
      第70回日本血液学会総会
    • Place of Presentation
      京都市(国際会議場)
    • Related Report
      2008 Annual Research Report
  • [Book] 周産期診療指針 周産期医学2010

    • Author(s)
      高橋幸博
    • Publisher
      血管カニュレーション
    • Related Report
      2010 Final Research Report
  • [Book] 周産期診療指針:血管カニュレーション2010

    • Author(s)
      高橋幸博
    • Publisher
      周産期医学
    • Related Report
      2010 Annual Research Report
  • [Book] 周産期診療指針:輸血、交換輸血2010

    • Author(s)
      川口千晴、高橋幸博
    • Publisher
      周産期医学
    • Related Report
      2010 Annual Research Report
  • [Book] 新生児、新生児メレナ 増刊号2010

    • Author(s)
      高橋幸博
    • Publisher
      小児科診療
    • Related Report
      2010 Annual Research Report
  • [Book] 新生児の輸血療法2009

    • Author(s)
      高橋幸博
    • Publisher
      周産期の免疫・生理・凝固・線溶系の生理わかりやすい周産期・新生児の輸血治療メジカルビュー社
    • Related Report
      2010 Final Research Report
  • [Book] わかりやすい周産期・新生児の輸血治療 分担 新生児の輸血療法 新生児への輸血手技(輸血法)の実際(p104-109)2009

    • Author(s)
      西久保俊也, 高橋幸博
    • Total Pages
      247
    • Publisher
      メジカルビュー社
    • Related Report
      2009 Annual Research Report
  • [Book] わかりやすい周産期・新生児の輸血治療 分担 周産期の免疫・生理・凝固・線溶系の生理(p153-158)2009

    • Author(s)
      高橋幸博
    • Total Pages
      247
    • Publisher
      メジカルビュー社
    • Related Report
      2009 Annual Research Report
  • [Book] 小児疾患診療のための病態生理 分担 新生児疾患-23 新生児出血性疾患(Vol41増刊号:p194198-109)2009

    • Author(s)
      川口千晴, 高橋幸博
    • Total Pages
      1384
    • Publisher
      周産期医学
    • Related Report
      2009 Annual Research Report
  • [Book] 周産期・新生児の輸血治療(新生児の輸血療法新生児への輸血手技(輸血法)の実際)2009

    • Author(s)
      西久保敏也, 高橋幸博
    • Publisher
      中外医学社
    • Related Report
      2008 Annual Research Report
  • [Book] 14. ビタミンK欠乏症2009

    • Author(s)
      高橋幸博
    • Total Pages
      351
    • Publisher
      診断と治療社
    • Related Report
      2008 Annual Research Report
  • [Book] 周産期・新生児の輸血治療(周産期の免疫・生理 凝固・線溶系の生理)2008

    • Author(s)
      高橋幸博
    • Publisher
      中外医学社
    • Related Report
      2008 Annual Research Report
  • [Remarks] ホームページ等

    • Related Report
      2010 Final Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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