Maxillofacial Plastic and Reconstructive Surgery
- 제20권4호
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- Pages.300-304
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- 1998
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
악교정 수술시 출혈량과 수혈에 관한 임상적 연구
A CLINICAL STUDY OF THE BLOOD LOSS AND TRANSFUSION ON ORTHOGNATHIC SURGER
- 배준수 (서울특별시 지방공사 강남병원 구강악안면외과) ;
- 류정호 (서울특별시 지방공사 강남병원 구강악안면외과) ;
- 유준영 (서울특별시 지방공사 강남병원 구강악안면외과) ;
- 김용관 (부천 늘푸른병원 구강악안면외과) ;
- 신동용 (신동용치과의원) ;
- 이창선 (포천의료원 구강악안면외과)
- Bae, Jun-Soo (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
- Lyoo, Jong-Ho (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
- You, Jun-Young (Dept. of Oral & Maxllofacial Surgery, Kangnam General Hospital, Public corporation) ;
- Kim, Yong-Kwan (Dept. of Oral & Maxillofacial Surgery, Evergreen General Hospital) ;
- Shin, Dong-Yong (Dr. Shin's Dental Clinic) ;
- Lee, Chang-Sun (Dept. of Oral & Maxillofacial Surgery, Pochun Medical Center)
- 투고 : 1998.09.08
- 심사 : 1998.10.16
- 발행 : 1998.12.31
초록
Moderns have desire likely to be further good-looking concomitant with a qualitative advancement 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 interesting 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 doublejaw 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.