| 영문 | Dilatation and Curettage(D & C) | 한글 | 자궁긁어냄술, 자궁목확장 |
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| 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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| SDT | sensory detection theory; right sacrotransverse [fetal position] [Lat. sacrodextra transversa]; sign... |
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| DOI | date of injury; died of injuries; diffusion of innovations [theory] |
| MAUT | multi-attribute utility theory |
| theor | theory, theoretical |
| TSD | target-skin distance; Tay-Sachs disease; theory of signal detectability |
| CDSS | Clinical Decision Support System |
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| DSS | Decision Support System |
| DFT | Density Functional Theory |
| IRT | Item Response Theory |
| SDT | Signal Detection Theory |
| decision theory | A theoretical technique utilizing a group of related constructs to describe or prescribe how individuals or groups of people choose a course of action when faced with several alternatives and a variable amount of knowledge about the determinants of the outcomes of those alternatives. (12 Dec 1998) |
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| record of decision | (ROD) The decision document for an environmental impact statement (EIS). Separate from the EIS itself, this document states the decision, states the reasons for the decision, identifies all alternatives, and states compliance with applicable laws. (05 Dec 1998) |
| decision | 1. Cutting off; division; detachment of a part. 2. The act of deciding; act of settling or terminating, as a controversy, by giving judgment on the matter at issue; determination, as of a question or doubt; settlement; conclusion. "The decision of some dispute." (Atterbury) 3. An account or report of a conclusion, especially of a legal adjudication or judicial determination of a question or cause; as, a decision of arbitrators; a decision of the Supreme Court. 4. The quality of being decided; prompt and fixed determination; unwavering firmness; as, to manifest great decision. Synonym: Decision, Determination, Resolution. Each of these words has two meanings, one implying the act of deciding, determining, or resolving; and the other a habit of mind as to doing. It is in the last sense that the words are here compared. Decision is a cutting short. It implies that several courses of action have been presented to the mind, and that the choice is now finally made. It supposes, therefore, a union of promptitude and energy. Determination is the natural consequence of decision. It is the settling of a thing with a fixed purpose to adhere. Resolution is the necessary result in a mind which is characterised by firmness. It is a spirit which scatters (resolves) all doubt, and is ready to face danger or suffering in carrying out one's determinations. Martin Luther was equally distinguished for his prompt decision, his steadfast determination, and his inflexible resolution. Origin: L. Decisio, fr. Decidere, decisum: cf. F. Decision. See Decide. Source: Websters Dictionary (01 Mar 1998) |
| decision analysis | A derivative of operations research and game theory that involves identifying all available choices and the potential outcomes of each, in a series of decisions that have to be made about patient care-diagnostic procedures, therapeutic regimens, prognostic expectations; the range of choices can be plotted on a decision tree. (05 Mar 2000) |
| decision making | The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea. (12 Dec 1998) |
| decision making, computer-assisted | Use of an interactive computer system designed to assist the physician or other health professional in choosing between certain relationships or variables for the purpose of making a diagnostic or therapeutic decision. (12 Dec 1998) |
| decision making, organizational | The process by which decisions are made in an institution or other organization. (12 Dec 1998) |
| decision notice | The written record of a federal agency decision after an environmental assessment. The decision notice chooses one of the alternatives, or a blend of the alternatives. A decision notice is subject to appeal. (05 Dec 1998) |
| decision support systems, clinical | Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care. (12 Dec 1998) |
| decision support systems, management | Computer-based systems that enable management to interrogate the computer on an ad hoc basis for various kinds of information in the organization, which predict the effect of potential decisions. (12 Dec 1998) |
| decision support techniques | Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making. (12 Dec 1998) |
| decision tree | Alternative choices available at each stage of deciding how to manage a clinical problem, displayed graphically; at each branch or decision node, the probabilities of each outcome that can be predicted are shown; the relative worth of each outcome is described in terms of its utility or quality of life, e.g., as measured by probability of life expectancy or freedom from disability. (05 Mar 2000) |
| decision trees | A graphic device used in decision analysis, series of decision options are represented as branches (hierarchical). (12 Dec 1998) |
| Burn and Rand theory | That stimulation of sympathetic fibres results first in the production of acetylcholine in the postganglionic nerve endings, which then release norepinephrine to act on the active site of the effector cell. (05 Mar 2000) |
| Abbe theory of image formation | <optics, physics> Abbe's theory is based on the fact that a non-self-luminous particle, which is illuminated by an extraneous source, gives rise to diffracted light rays, in addition to the dioptric pencil. He stated that to form a good microscopical image as many of the diffracted rays as possible should be intercepted by the objective. With closely ruled lines, his theory is easily demonstrated by observing the back lens of the objective, for here the diffracted rays can be observed directly if the aperture diaphragm is closed. It can be shown that, when the illumination is arranged to exclude the diffracted images, resolution is lost. (11 Mar 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
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