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劉光熙 한양대학교 의과대학 1987 한양의대 학술지 Vol.7 No.2
As the result of postoperative complication of 176 persons (male:97, female:79) hospitalized for extraction of lower third molar form November 1986 to June 1987 at the department of dentistry, infirmry of school of medicine, Hanyang University, the author came to following conclusions. 1. The age distribution occupied to 114 persons (64.8%) between 21 to 30 years old and 37 persons (21.0%) between 31 to 40 years old. 2. The chief complaints for extraction revealed 52 persons (29.5%) with pericoroniti 43 persons (26.1%) with dental caries, 35 persons (19.9%) with pain. 3. According to classification of eruption status, 42 cases (23.9%) were normal eruptions, 119 cases (67.6%) were partial impactions, 15 cases (8.5%) were complete impactions. 4. The burs were mainly used for separation of tooth and bone reduction with envelope type incision of flap design. 5. The pain of postoperation showed 115 cases (65.3%) with minimum degree, 30 cases (17.0%) with moderate and 6 cases (3.4%) with severe degree 6. The bleeding of postextraction appeared 144 cases (81.7%) with minimum and 27 cases (15.4%) with moderate degree mainly. 7. The postoperative swelling revealed 151 cases (85.8%) with minimum degree, 20 cases (11.4%) with moderate and only 5 cases (2.8%) with severe degree. 8. There was 1.7% (3 among 176 cases) incidence of dry socket after extraction.
일반외과 영역에서 Ceforanide(Radacef^�)의 임상효과
유광희,이승렬,강남부 의과학연구소 1989 全北醫大論文集 Vol.13 No.4
Ceforanide that is a new semi-synthetic cephalosporin is known to be very stable in respect to Betalactamase produced in microorganism and have a broad spectrum of antibacterial activity, and was found to be 2-16 times more active against strains of E-coli, K. pneumoniae, P. mirabilis and salmonella sp. Over the 5 months from January 1989 to May 1989, twenty adult haspitalized patients with panperitonitis due to perforative appendicitis were treated with Ceforanide to evaluate the prophylatic efficacy of the drug to the postoperative intraabdominal sepsis and abdominal wound infection, and eleven patients with postoperative abdominal wound infection were also treated with Ceforanide to test the effectiveness of the drug to the control of established infection in the Department of General Surgery, Chonbuk National University Hospital. The clinical results were as follows: 1. In case Ceforanide was administered by intravenous volus injection at daily dose 1 gram (1 gram BID) for 10 days, of the 20 patients with panperitonitis due to perforative appendicitis, 18 patients' response to prophylaxis with Ceforanide were judged to be satisfactory because there was not any evidence of infection after operation. The remaining 2 patients developed main wound infection. 2. Of the 11 patients with established postoperative wound infection treated with ceforanide for 10 days. 10 patients' response to wound infection with ceforanide were thought to be satisfactory because the clinical signs and laboratory findings were improved significantly. 3. Side effects were not noted in all but one, the one patient show nausea and vomiting, and drug administration was discontinued. When Ceforanied was chosen as primary drug in high risk group of postoperative infection and in the patients with established wound infection, clinical result was judged to satisfactory in respect to infection prophylaxis (90% efficacy) and infection control (91% efficacy).