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Studies of treatment of non-traumatic intracranial hemorrhage in newborn infants

Research Project

Project/Area Number 61570479
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Pediatrics
Research InstitutionUniversity of Occupational and Environmental Health, Japan

Principal Investigator

SHIRAHATA Akira  Dept. of Pediatrics, University of Occupational and Environmental Health, Japan, 医学部・小児科学, 助教授 (10081712)

Co-Investigator(Kenkyū-buntansha) ARIYOSHI Nobuaki  Dept. of Pediatrics, University of Occupational and Environmental Health, Japan, 医学部・小児科学, 助手 (40184296)
NAKAMURA Toshio  Dept. of Pediatrics, University of Occupational and Environmental Health, Japan, 医学部・小児科学, 助手 (80140903)
Project Period (FY) 1986 – 1988
Project Status Completed (Fiscal Year 1988)
Budget Amount *help
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1988: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1987: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1986: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsPremature infants / Newborn infants / DIC / Hemorrhagic disease of the newborn / Gabexate mesilate / Antithrombin III / メシル酸ガベキサート / ビタミンK / Xシル酸ガベキサート(FOY) / 血液凝固障害 / 汎発性血管内血液凝固症 / ビタミンK欠乏症 / 血小板減少症 / 低酸素血症
Research Abstract

1) Coagulation studies were carried out in 65 newborn infants with non-traumatic intracranial hemorrhage. Based on the findings of coagulation status, it was estimated that 31 out of 65 neonates were suffered from DIC and/or primary hemorrhagic disease of the newborn. Mortality of the cases with coagualtion abnormalities was significantly higher than that of cases without coagulation abnormalities.
2) Next study was carried out in order to clarify the effects of gabexate mesilate(FOY) and antithrombin III concentrates on DIC of newborn infants. FOY was superior to heparin in improvement of clinical findings of DIC, although no difference was seen in changes of loboratory findings on hemostasis between the patient group treated with FOY alone and the other treatment groups. Those results indicated that the administration of FOY was more effective than haparin therapy for the DIC of newborn infants. Furthermore, a combination therapy of FOY and antithrombin III concentrates is effective for the DIC in newborn infants in whom administration of FOY alone was not effective.
3) We administered factor XIII concentrate to premature infants within 6 hours of age to examine its effectiveness in reducing the incidence of severe intracranial hemorrhage. Seven(29%) out of 24 control infants sustained intraventricular hemorrhage, and 3(13%) of 24 infants receiving the treatment did. Incidence of severe intraventricular hemorrhage in treated and control infants with high risk for intraventricular hemorrhage was 20% and 83% respectively. Factor XIII concentrate appears to have a beneficial effects on the prevention of intraventricular hemorrhage in premature infants.

Report

(4 results)
  • 1988 Annual Research Report   Final Research Report Summary
  • 1987 Annual Research Report
  • 1986 Annual Research Report
  • Research Products

    (34 results)

All Other

All Publications (34 results)

  • [Publications] 白幡聡 他: 血液と脈管. 18. 89-92 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 中村外士雄 他: 日本小児血液学会雑誌. 1. 75-83 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 白幡聡 他: 臨床血液. 28. 1065-1074 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 白幡聡 他: 日本小児栄養消化器病学会雑誌. 1. 47-53 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 中村外士雄 他: 医学のあゆみ. 142. 647-648 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Shirahata A.,et al.: Bult.

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 白幡聡: 周産期のプライマリケア(新生児の出血と貧血)P.161〜172. 1987. (237)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 白幡聡: 小児科Mook54.小児の出血・凝固異常. 1988. (232)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Shirahata A. et al.:"Coagulation studies in newborn infants with intracranial hemorrhage." Blood & Vessel. 18. 89-92 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Nakamura T. et al.:"Effects of gabexate mesilate on DIC of infancy and childhood." The Japanese Journal of Pediatric Hematology. 1. 75-83 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Shirahata A. et al.:"Pathophysiology of coagulation in the newborn infant" The Japanese Journal of Clinical Hematology. 28. 1065-1074 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Nakamura T. et al.:"Effect of prophylactic administration of factor XIII concentrate on intravascular hemorrhage in premature infants" Journal of Clinical and Experimental Medicine. 145. 647-648 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Shirahata A. et al.:"Blood coagulation findings and efficacy of factor XIII concentrate in premature infants with intracranial hemorrhages" blut.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 中村外士雄 他: 医学のあゆみ. 145. 647-648 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 白幡聡 他: ビタミン. 62. 417-424 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 白幡聡 他: 周産期医学. 18. 1553-1557 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 白幡聡 他: 臨床検査. 32. 1065-1072 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 金子光延、白幡聡 他: 小児科.

    • Related Report
      1988 Annual Research Report
  • [Publications] Shirahata A.,et al.: Blut.

    • Related Report
      1988 Annual Research Report
  • [Publications] 白幡聡: "小児科MOOK54、小児の出血・凝固異常" 金原出版, 1-13 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 白幡 聡 他: 血液と脈管. 18. 89-92 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 中村外士雄 他: 日本小児血液学会雑誌. 1. 75-83 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 白幡 聡 他: 臨床血液. 28. 1065-1074 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 大治太郎,白幡聡 他: 日本新生児学会雑誌. 23. 758-761 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 白幡 聡 他: 日本小児栄養・消化器病学会雑誌. 1. 47-53 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 中村外士雄 他: 医学のあゆみ.

    • Related Report
      1987 Annual Research Report
  • [Publications] 白幡 聡: "新生児の出血の貧血 周産期のプライマリケア P161〜172" 東京医学社, 237 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] 白幡聡: 日本小児科学会雑誌. 90. 1899-1902 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 白幡聡 他: 小児科臨床. 39. 2610-2618 (1986)

    • Related Report
      1986 Annual Research Report
  • [Publications] 白幡聡 他: 血液と脈管.

    • Related Report
      1986 Annual Research Report
  • [Publications] 白幡聡 他: 臨床血液.

    • Related Report
      1986 Annual Research Report
  • [Publications] 中村外士雄 他: 日本小児血液学会雑誌.

    • Related Report
      1986 Annual Research Report
  • [Publications] 白幡聡 他: 小児医学.

    • Related Report
      1986 Annual Research Report
  • [Publications] 美濃真 編 白幡聡: "乳児ビタミンK欠乏性出血症の病因・臨床 小児におけるビタミン 小児科MOOK46" 金原出版, 173 (1986)

    • Related Report
      1986 Annual Research Report

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Published: 1987-03-31   Modified: 2016-04-21  

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