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慢性骨髓炎에 對한 灌流療法

Closed Irrigation Treatment for Chronic Osteomyelitis

대한정형외과학회지 1968년 3권 4호 p.41 ~ 45
金眞浩, 韓文植,
소속 상세정보
金眞浩 (  ) - 서울대학교 醫科大學 整形外科學敎室
韓文植 (  ) - 서울대학교 醫科大學 整形外科學敎室

Abstract


Clinical observation and analysis have been made on 42 cases of chronic osteomyelitis who had been treated by closed irrigation method from July 1961 to June 1968 at the Orthopedic Deprtment of Seoul National University Hospital.
It is well known that this method has several favorable aspects compared to open-packing method; duration of hospitalization and complete healing is materially shortened; loss of serum protein is reduced to a minimum; infrequent dressing appeals to the patients and surgeons; chance of secondary infection is practically eliminated; scar is linear and level.
1. In this series, male outnumbered female in ratio of 33 to 9; and 76, 3 % of all cases had lesion in femur (18 cases) or tibia (14 cases).
2. Staphylococcus was the most common etiologic organism and was seen in 76..6% of all bacterial culture.
3. For irrigation, normal saline with Streptomycin (1.Ogm/L) or Chloramphenicol (1.Ogm/L) was used
at the rate of 1-2L/day and average duration of irrigation was 14days.
4. The duration of hospitalization and complete wound healing could be shortened, average duration
being 2-4 weeks.

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