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척추 고정술의 Cell Saver와 유도 저혈압마취에 의한 자가수혈의 자가혈액 보존효과
권정순,노주석,김문철,우성,조강희 인제대학교 1994 仁濟醫學 Vol.15 No.3
비교적 출혈이 많은 척추 고정술환자 27례를 대상으로 유도 저혈압마취하에 cell saver를 이용하여 자가수혈 법으로 환자의 혈액을 보존하고 혈액은행의 혈액 수혈을 최소화할 수 있었다. 수술중 사용한 동종 혈액량은 cell saver를 사용하였던 환자중 26%에서 평균 2.57단위의 동종혈액을 사용하였고 이들의 평균 혈액회수량은 964ml, 평균 혈색소치는 34.33%였다. 74%에서 수술중 동종혈액을 사용하지 않았으며 이들의 평균 혈액회수량은 637ml, 평균 혈색소치는 36.5%였다. 따라서, 유도 저혈압마취와 cell saver를 사용함으로써 여러가지 위험을 수반하는 동종혈액 수혈을 현저히 줄일 수 있었다. Twenty-seven patients were undergone major spinal surgery by using the Haemonetics Cell Saver which was employed as intraoperative blood salvage and autologous blood tranfuser under induced hypotensive anesthesia. Blood conservation techniques often involved the preoperative autologous donation, intraoperative isovolemic hemodilution, intraoperative and postoperative blood salvage, induced hypotension, drug therapy and optimal use of blood components. Seven(26%) Patients received 2.57 units of banked blood in intraoperative period. This group was had intraoperative mean retained volume of salvaged blood of 964 ml which had mean Hct of 34.33%. The other group, which 20 patients were not transfused banked blood, was had intraoperative mean retained volume of salvaged blood of 637ml which was mean Hct of 35.5%. But 14 patients received 2.36 units of banked blood in postoperative period. Our experience in blood conservation have resulted that was needed the use of various blood saving apparatuses and maneuvers in perioperative period.
권정순,박인숙 한국아동간호학회 2002 Child Health Nursing Research Vol.8 No.1
-Key concept : Adolescent boys, Maternal abscence
권정순,박인숙 충남대학교 간호과학연구소 2001 충남대 간호학술지 Vol.4 No.1
The purpose of this study is, as one of research the phenomenon on the lived experience of the handicapped children's mothers, to serve as a basis for the development of more effective, useful nursing intervention. For attaining the purpose, an attempt was made to meet mothers who were bringing up handicapped children in Korean cultural and social context, in order to exactly understand the details of the mother's experiences, to find out effective supporting system for them, to help them have the right understanding of their own problems, and to help them properly cope with the problems in each person's situation. The study design was a descriptive study using phenomenological method. The subjects of this study were 11 mothers who were currently living with their handicapped children experimenting mental retardation, physical handicaps, emotional disturbance or speech and language disorders. The period of data collection was from May 16 to July 10,1998. Van kamm's phenomenological method was used for the analysis of the datas. The results of this study are as follow: The lived experience of handicapped children's mothers was classified with 3 categories, 16 themes and 52subthemes from 346 raw data. The 16 categories were <shock>, <acceptance of reality>, <strong maternal affection>, <grief>, <impatation>, <uncontrollability>, <instability>, <wait and see>, <change of family relation>, <limitation to medicine>, <abandonment>, <remorse>, <denial of reality>, <barrier of foster>, <preparation for future>, <feeling of compensation>.