[Rebleeding attack of the XXXX --clinical significance of the early aneurysmal rebleeding].

@entity2142 @entity1 @entity438
When one mentioned about aneurysmal rebleeding, timing and incidence of the @entity2142 ( @entity2142 ) have been mainly discussed in relation to long term prognosis. But it was rarely considered about necessity of emergency treatment based on timing and incidence of @entity2142 . In this study, clinical significance of @entity2142 especially in the early stage is discussed in relation to severity of the @entity1 's condition, timing of surgery, clinical results and so on. Three hundred sixty-eight cases of anterior communicating, internal carotid and middle @entity438 who were admitted on our hospital within 7 days after last attack were studied. Among them, 127 cases had 192 times of @entity2142 (1 @entity2142 : 83 cases, 2 RAs: 28 cases, 3 RAs: 12 cases, 4 RAs: 3 cases and 5 RAs: 1 case). Incidence of @entity2142 increased in the severe cases. Most frequent timing of second attack was within 6 hours after the first attack (40 cases, 31.5%). Fifty two cases (41%) had their second attack within 24 hours from the first attack. Successive attacks were also most frequent within 6 hours following the preceding one, even in the cases with long term interval period before it. Severity of the @entity1 was increased after @entity2142 especially in the cases with early repetitive attack. We experienced 56 cases who had more than two RAs within each 6 hours. 28 out of 56 cases were severe attack whose consciousness was disturbed more than semicoma and 27 cases died. Mortality and morbidity were higher in the cases with @entity2142 than single attack.(ABSTRACT TRUNCATED AT 250 WORDS)
