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股關節 全置換術 마취에 관한 임상적 고찰

Clinical Study for 20 Cases of Anesthesia for Total Replacement

대한마취과학회지 1976년 9권 2호 p.125 ~ 129
박현진, 우정택, 안재형, 방익수, 조경삼,
소속 상세정보
박현진 (  ) - 경희대학교 의과대학 마취과학교실
우정택 (  ) - 경희대학교 의과대학 마취과학교실
안재형 (  ) - 경희대학교 의과대학 마취과학교실
방익수 (  ) - 경희대학교 의과대학 마취과학교실
조경삼 (  ) - 경희대학교 의과대학 마취과학교실

Abstract


We have experienced 20 cases of anesthesia for Total Hip Replacement(Charnley´s Low Friction Arthroplasty), which had been done under the Filtered Air Flow System for the prevention of wound contamination due to long term exposure.
Preoperative diagnosis was, 7 cases of Hip Joint Tuberculosis, 6 cases of Femur Neck Fracture, 5 cases, of Osteoarthritis of Hip Joint, and 2 cases, of Avascular Necrosis.
Average blood loss has 1500 ml for one side operation, and 2400 ml for bilateral one. In 12 cases, hypotensive response was occurred during the application of Acrylic bone cement to the medullary canal of femur, however in 4 cases, hypotensive responses was more prominentafter the application of Acrylic bone cement to the Acetabulum fossa and the rest of cases were no changes in blood pressure and pulse rate whatsoever.
In two cases, hypotensive range was over 30% (in compare with preoperative one), but recovery was soon after administration of Effortil corticosteroids, volume expanders etc. There was no mortality.

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