악교정 수술시 출혈량과 수혈에 관한 임상적 연구
A CLINICAL STUDY OF THE BLOOD LOSS AND TRANSFUSION ON ORTHOGNATHIC SURGER
소속 상세정보
배준수/Jun Soo Bae
류정호/유준영/김용관/신동용/이창선/Jong Ho Lyoo/Hun Young You/Yong Kwan Kim/Dong Yong Shin/Chang Sun Lee
KMID : 0360119980200040300
Abstract
결론
본 연구의 임상적 결과와 앞선 문헌 고찰을 토대로 해서 보았을 때, 다음과 같은 결론을
내릴 수 있었다.
첫째, 단일악 수술은 대개 수혈없이 이루어지며, 예기치 못한 수혈을 대비한 술전 혈액 예
약시에는 typing & screening만을 통한 동인자형 수혈이 가능하다.
둘째, 양악 수술은 대개 2단위의 수혈이 요구되며 교차반응 검사를 통한 동인자형 수혈보
다는 자가수혈이 경제적 이득과 함께 수혈로 인한 감염의 기회를 제거한다는 면에서 바람직
하며 술전 자가 수혈을 위한 최소 3단위의 채혈이 필요하다.
셋째, 술전 정확한 환자 파악과 수혈량의 예측 및 적절한 수혈 방식의 선택으로 환자의 불
필요한 과비용을 막을 수 있다.
#초록#
Moderns have desire likely to be further good-looking concomitant with a qualitative
adavancement of the life. With one of this phenomenon, an orthognathic surgery
performing at the dept. of oral and maxillofacial surgery have been becoming a more
extensively. It's possible to occur many complications during the operations and
especially, an excessive bleeding of those may be fatal and so a transfusion is
performing for the prevention & management of that. But, because of the rate of
increase of an blood-born infection like AIDS via transfusion. nowadays an autologous
blood transfusion is interestiong to us. We made a comparative study of an amount of
blood loss & transfusion using hemoglobin value after classifying the orthognathic
surgeries from Feb. '97 to Mar. '98 in single-jaw and double-jaw surgery. And we
intended to set a standard against of a routine preoperative cross-matching deciding the
amount of predictive homologous blood transfusion according to operative method.
simultaneously. We studied the realization & effectiveness of autologous blood
transfusion with some cases, so would like to present.
Results :
1. Single-jaw operation can be performed without blood transfusion or with homologous
blood transfusion through only blood typing & screening.
2. We commonly transfuse two units of blood with double-jaw operation and an
autologous blood transfusion has much more advantage than an homologous blood
transfusion.
3. We can reduce charge associated with blood transfusion through precisely
preoperative evaluation of patients and proper type of blood transfusion.
키워드
Orthognathic surgery; blood loss; transfusion;
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