임상원저 : 악교정 수술후 혈액학적 변화에 대한 연구
Clinical Articles : A Hematologic Study of Orthognathic Surgery Patients
이종석, 고승오, 정길중, 임대호, 백진아, 신효근,
소속 상세정보
이종석 ( Lee Jong-Seok ) - 전북대학교 치과대학 구강악안면과학교실
고승오 ( Ko Seung-O ) - 전북대학교 치과대학 구강악안면과학교실
정길중 ( Jeong Kil-Jung ) - 전북대학교 치과대학 구강악안면과학교실
임대호 ( Leem Dae-Ho ) - 전북대학교 치과대학 구강악안면과학교실
백진아 ( Baek Jin-A ) - 전북대학교 치과대학 구강악안면과학교실
신효근 ( Shin Hyo-Keun ) - 전북대학교 치과대학 구강악안면과학교실
KMID : 0360120070290020157
Abstract
Moderns have desire likely to be further good-looking concomitant with a qulitative advancement of the life. Orthognathic surgery for the correction of dentofacial deformities is a common elective procedure. It’s possible to occur many complication during the operations and especially, an excesseive bleeding of those may be fatal and so a tranfusion is performing for the prevention and management of that. The most notable of these for reduction of blood loss is the utilization of induced hypotensive anesthetic technique to reduce the mean arterial pressure between 55 and 60 mmHb. Another method for dealing with blood loss following orthognathic surgery is the transfusion of blood obtained as an autologous tranfusion or from banked blood. Some of the disadvantage of banked blood are overcome with the use of predeposited autologous transfusion. But currently, surgeons try so that even autologous transfusion may not transfuse the patients. We made a comparative study of hematologic change and transfusion requirement based on a series of 200 patients who had an orthognathic surgical procedure at Chonbuk National University during the period 2001-2005. This study is to make a comparative analysis of an post-operative hematologic (Hemoglobin, Hematocrit, Red blood cell) change and duration of the procedure under induced hypotensive anesthesia in healthy orthognathic patients.
키워드
Orthognathic surgery;Hematologic change;Hemoglobin
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