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NTIS 바로가기중환자간호학회지 = Journal of Korean critical care nursing, v.9 no.1, 2016년, pp.66 - 76
강영애 (서울아산병원 흉부외과 중환자실) , 배수진 (서울아산병원 흉부외과 중환자실) , 송치은 (서울아산병원 흉부외과 중환자실)
Purpose: This study was conducted to examine the relationship between lateral position change and sternal complications after cardiac surgery through median sternotomy. Methods: This study was a retrospective descriptive case-control study, involving 241 patients who underwent cardiac surgery throug...
핵심어 | 질문 | 논문에서 추출한 답변 |
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정중 흉골 절개술을 통한 심장 수술의 장단점은? | 정중 흉골 절개술(median sternotomy)을 통한 심장 수술은 가장 고전적인 수술 방법으로 수술 시야의 확보가 용이하다는 장점이 있지만, 상처가 크고 흉골의 치유와 관련하여 일상생활로의 복귀가 지연된다는 단점을 가지고 있다(Lee, Jung, & Je, 2008). 이를 보완하기 위해 1990년대 후반부터 환자의 빠른 상처 회복과 미용 효과를 위해 최소 침습적 수술방법이 시행되고 있으나(Modi, Hassan, & Chitwood, 2008), 수술의 범위나 종류에 따라 정중 흉골 절개술을 통한 심장수술 방법은 심장 및 대혈관 수술에 있어 여전히 주요한 접근법이 되고 있다. | |
정중 흉골 절개술 후 합병증은 무엇이 있나? | 정중 흉골 절개술 후 흉골 열개(sternal dehiscence)나 감염, 불안정성과 같은 흉골 합병증은 1-4%에서 발생되며(Choi et al., 1999; Robicsek, Fokin, Cook, & Bhatia, 2000; Francel & Kouchoukos, 2001; Lemaignen et al. | |
흉골 불안정성으로 인한 종격동염 발생 현황은? | , 2004). 흉골 합병증 중 가장 심한 형태인 종격동염은 화농성의 심부 흉골 상처감염으로 수술 후 환자의 0.5-5%에게 발생하며(Haycock et al., 2005), 50%에 달하는 유병률과 14-47%에 이르는 사망률을 보고하고 있다(Reyna et al., 2006). |
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