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항문주위수술의 마취방법에 대한 임상적 고찰

Anesthesia for Perianal Surgery

대한마취과학회지 1977년 10권 3호 p.111 ~ 116
박중원, 吳興根,
소속 상세정보
박중원 (  ) - 연세대학교 의과대학 마취과학교실
吳興根 (  ) - 연세대학교 의과대학 마취과학교실

Abstract


We have analysed statistically 792 cases who had perianal surgery from Jaunary 1967 to December 1976,
The results were as follows;
1. Caudal block was the most commonly used technic. (62.8%) Hypobaric spinal anesthesia was used in 12% and general anesthesia in 16.8%.
2. Most patients were in the jack-kinife position during anesthesia and operation.
3. For premedication meperidine and secobarbital were commonly used(46.3% and 28%).
4. The most common diagnosis was hemorrhoids. (54%)
5. Ratio of males to females was 2 to 1.
In age distribution 76.7% of cases were in the 20 to 50 year range. In adults, caudal block is the best anesthetic technic for perianal surgery and spinal anesthesia with a hypobaric solution in a jack-knife position is the second choice.
In children and adults, in whom regional anesthesia is not indicated, general anesthesia with the lithotmy position would be suitable.

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