| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
|---|---|---|---|
| 설명 | 자궁이란 태아가 수태되어서 분만전까지 발육하고 성장하는 공간이다. 자궁속에 병변이 있어 임신이 계속될 수 없거나 아니면 다른 이유로 임신되어 있는 태아를 제거하고자 할 경우에 사용되는 방법이다. 여기서 긁어내기 위하여는 우선 자궁의 입구에 해당하는 자궁목을 확장시켜야 한다. 여기에는 급속히 확장을 시도하는 법과 서서히 확장을 시도하는 2가지 방법이 있다. 자궁목을 급속히 확장할 때는 헤가르 목관확장기(Hegar's dilatator)를 사용한다. 이것은 작은 금속막대로 작은 크기부터 큰 크기까지 다양한 크기가 있어서 우선 작은 막대로 시작하여 점점 큰 크기의 막대를 자궁목에 넣어서 자궁목을 확장시킨다. 서서히 확장시킬 때는 Laminaria tent를 목관에 삽입하는 방법을 사용한다. Laminaria tent란 해초로 만든 작은 막대로 수분을 흡수하면 점점 늘어나는 성질이 있다. 이것을 자궁의 목에 넣으면 이것이 수분을 흡수하여 늘어나므로 천천히 자궁의 목이 늘어난다. 자궁목이 충분히 늘어나면 그 속으로 끝이 숟가락처럼 생긴 기구를 넣어서 자궁속의 병변이나 임신된 태아를 긁어내는데 여기에 사용되는 숟가락처럼 생긴 기구를 큐렛이라고 한다. 초기 임신중절 즉 유산과 같은 임신과 관련된 경우뿐만 아니라, 비임신 자궁의 자궁내막조직의 채취 및 제거를 위해서도 행해지는 수기이다. 이는 원칙적으로 마취하에 실시되는 것으로 자궁목관을 확장하고 기구로 자궁 내용물을 제거하고 큐렛으로 자궁내벽을 깨끗이 한다. 자궁천공이나 자궁목의 파열 등의 위험이 따르며, 수술후 감염 또는 출혈 등에 대한 주의가 필요하다. |
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| TR | recovery time; rectal temperature; repetition time; residual tuberculin; terminal repeat; tetrazoliu... |
|---|---|
| VBG | vagotomy and Billroth gastroenterostomy; venous blood gases; venous bypass graft; vertical-banded ga... |
| CBC | capillary blood gases; carbenicillin; child behavior characteristics; complete blood cell count |
| CBG | capillary blood gases; coronary bypass graft; corticosteroid-binding globulin; cortisol-binding glob... |
| CPG | capillary blood gases; cardiopneumographic recording; carotid phonoangiogram |
| EMLA | Eutectic Mixture of Local Anaesthetics |
|---|---|
| LA | Local anaesthetics |
| ASTRO | American Society for Therapeutic Radiology and Oncology |
| ATC | Anatomical Therapeutic Chemical |
| GITS | GASTROINTESTINAL THERAPEUTIC SYSTEM |
acute angle
| blood gases | A clinical expression for the determination of the partial pressures of oxygen and carbon dioxide in blood. (05 Mar 2000) |
|---|---|
| gases | The vapor state of matter; nonelastic fluids in which the molecules are in free movement and their mean positions far apart. Gases tend to expand indefinitely, to diffuse and mix readily with other gases, to have definite relations of volume, temperature, and pressure, and to condense or liquefy at low temperatures or under sufficient pressure. (12 Dec 1998) |
| greenhouse gases | Gases that trap the heat of the sun in the Earth's atmosphere, producing the greenhouse effect. The two major greenhouse gases are water vapour and carbon dioxide. Other greenhouse gases include methane, ozone, chlorofluorocarbons, and nitrous oxide. (05 Dec 1998) |
| combustion gases | The gases released from a combustion process. (05 Dec 1998) |
| noble gases | Gases which are members of the zero group of the periodic system. These gases generally do not react chemically. (12 Dec 1998) |
| inert gases | Gases which are members of the zero group of the periodic system. These gases generally do not react chemically. (12 Dec 1998) |
| tear gases | Gases that irritate the eyes, throat, or skin. Severe lacrimation develops upon irritation of the eyes. (12 Dec 1998) |
| anaesthetics | Agents that are capable of inducing a total or partial loss of sensation, especially tactile sensation and pain. They may act to induce general anaesthesia, in which an unconscious state is achieved, or may act locally to induce numbness or lack of sensation at a targeted site. (12 Dec 1998) |
| anaesthetics, combined | The use of two or more chemicals simultaneously or sequentially to induce anaesthesia. The drugs need not be in the same dosage form. (12 Dec 1998) |
| anaesthetics, dissociative | Intravenous anaesthetics that induce a state of sedation, immobility, amnesia, and marked analgesia. Subjects may experience a strong feeling of dissociation from the environment. The condition produced is similar to neuroleptanalgesia, but is brought about by the administration of a single drug. (12 Dec 1998) |
| anaesthetics, general | Agents that induce various degrees of analgesia; depression of consciousness, circulation, and respiration; relaxation of skeletal muscle; reduction of reflex activity; and amnesia. There are two types of general anaesthetics, inhalation and intravenous. With either type, the arterial concentration of drug required to induce anaesthesia varies with the condition of the patient, the desired depth of anaesthesia, and the concomitant use of other drugs. (12 Dec 1998) |
| anaesthetics, inhalation | Gases or volatile liquids that vary in the rate at which they induce anaesthesia; potency; the degree of circulation, respiratory, or neuromuscular depression they produce; and analgesic effects. Inhalation anaesthetics have advantages over intravenous agents in that the depth of anaesthesia can be changed rapidly by altering the inhaled concentration. Because of their rapid elimination, any postoperative respiratory depression is of relatively short duration. (12 Dec 1998) |
| anaesthetics, intravenous | Ultrashort-acting anaesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (12 Dec 1998) |
| anaesthetics, local | Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fibre. In contact with a nerve trunk, these anaesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. Nearly all local anaesthetics act by reducing the tendency of voltage-dependent sodium channels to activate. They are commonly used not only in the peripheral nervous system, but also for spinal anaesthesia. The many drugs that have local anaesthetic actions as a side effect but are not used for their local anaesthetic action are not included here. (12 Dec 1998) |
| local anaesthetics | Drugs used for the interruption of the nerve transmission of pain sensations. They act at the site of application to prevent perception of pain; examples include procaine and lidocaine. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|