빈혈이 있는 여호와의 증인 환자에서 무수혈 양악교정 수술
Experience of a Bloodless Two-Jaw Surgery and Care in Jehovah’s Witnesses with Anemia
이정만, 서광석, 김현정, 신순영,
소속 상세정보
이정만 ( Lee Jung-Man ) - 서울대학교 치과병원 치과마취과
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 치과마취과
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과병원 치과마취과
신순영 ( Shin Soon-Young ) - 서울대학교 치과병원 치과마취과
KMID : 0980220120120010025
Abstract
We report a case of 15 year-old Jehovah’s Witness patient with mild anemia who underwent a successful orthognathic two-jaw surgery. Jehovah’s Witness patients refuse transfusion of blood or blood products even in life threatening situations. The use of recombinant human erythropoietin and iron supplement increased hemoglobin during preoperative period. Intraoperatively, meticulous surgical hemostasis, acute normovolemic hemodilution and induced hypotension enabled the completion of the operation without the use of blood products.
키워드
Two-Jaw Surgery; Jehovah’s Witnesses; Anemia
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