| 영문 | spinal tap, spinal puncture | 한글 | 허리천자, 요추천자, 요추뚫기 |
|---|---|---|---|
| 설명 | 질병의 진단이나 치료 또는 마취를 하기 위해 피부에서 거미막밑공간으로 바늘을 찌를 때가 있다. 이것은 셋째 허리뼈 아래쪽에서 시행한다. 척수가 첫째 허리뼈 아랫모서리에서 끝나고, 거미막밑공간은 둘째 엉치뼈 분절까지 뻗어 있기 때문에 이 부위는 바늘로 척수를 찌를 위험이 없다. 또 척추뼈고리판이 짧아 서로 겹쳐있지 않기 때문에 허리뼈 사이로 바늘을 찌를 수 있다. 이 부위의 거미막밑공간에는 척수신경 뿌리가 있으나, 이들은 뇌척수액속에 있기 때문에 바늘을 넣을 때 한쪽으로 밀려 손상받는 경우는 거의 없다. 배를 넓적다리에 붙일정도로 허리를 구부리면 고리판 사이가 더 벌어져 틈이 커진다. 바늘이 뚫고 지나가는 구조는 바깥에서 속으로 ① 피부, ② 피부밑조직, ③ 근육막, ④ 가시끝인대, ⑤ 가시사이인대, ⑥ 황색인대, ⑦ 경질막, ⑧ 거미막, ⑨ 뇌척수액이 된다.  |
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| 영문 | anesthesia | 한글 | 마취, 무감각 |
|---|---|---|---|
| 설명 | 고통을 느끼지 못하거나 고통을 느끼지 못하게 하는 처지를 이르는 말. |
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| 영문 | spinal cord | 한글 | 척수 |
|---|---|---|---|
| 설명 | 척추내에 위치하는 중추신경계의 일부분. 위에서부터 목척수, 등척수, 허리척수, 엉치척수로 구분됨. 내부는 바깥쪽의 백색질과 안쪽의 회색질로 구분된다. 척수의 아래끝은 척수 원뿔이라 하며 첫번째 허리뼈 높이까지 내려온다. 뇌와 말초신경사이의 신경 통로 역할을 하며 척수반사(예: 무릎반사)에서는 뇌를 통하지 않고 반사의 중추 작용을 한다.  |
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| 영문 | spinal nerve | 한글 | 척수신경 |
|---|---|---|---|
| 설명 | 척수의 앞뿔에서 출발하는 운동신경과 뒷뿔으로 들어오는 감각신경이 합쳐서 형성되는 신경으로서 총 31쌍이 존재함. 목뼈신경이 8쌍, 자등뼈신경이 12쌍, 허리뼈의 신경이 5쌍, 엉치뼈의 6쌍을 이룸. |
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| CLE | centrilobular emphysema; continuous lumbar epidural [anesthesia] |
|---|---|
| PCEA | patient-controlled epidural anesthesia |
| ESCC | epidural spinal cord compression |
| sp | an spinal anesthesia |
| PSA | parasternal short axis; pleomorphic salivary gland adenoma; polyethylene sulfonic acid; polysacchari... |
| CSEA | Combined spinal epidural anesthesia |
|---|---|
| CSE | Combined Spinal-Epidural |
| LEA | Lumbar Epidural Anesthesia |
| TEA | Thoracic Epidural Anesthesia |
| SA | Spinal Anesthesia |
| anesthesia | Loss of normal sensation or feeling. A drug used to produce anesthesia. (09 Oct 1997) |
|---|---|
| subacute combined degeneration of the spinal cord | A subacute or chronic disorder of the spinal cord, such as that occurring in certain patients with vitamin B12 deficiency, characterised by a slight to moderate degree of gliosis in association with spongiform degeneration of the posterior and lateral columns. Synonym: combined sclerosis, combined system disease, funicular myelitis, Putnam-Dana syndrome, vitamin B12 neuropathy. (05 Mar 2000) |
| anaesthetic, epidural | An anaesthetic injected into the epidural space surrounding the fluid-filled sac (the dura) around the spine which partially numbs the abdomen and legs. (12 Dec 1998) |
| analgesia, epidural | The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from anaesthesia, epidural which refers to the state of insensitivity to sensation. (12 Dec 1998) |
| blood patch, epidural | The injection of autologous blood into the epidural space either as a prophylactic treatment immediately following an epidural puncture or for treatment of headache as a result of an epidural puncture. (12 Dec 1998) |
| vertebral epidural space | Single-layered strong membrane, comparable to and continuous with (at foramen magnum) the meningeal layer of the intracranial dura mater of the brain. It does not (in contrast to the dura mater of brain) adhere to the enveloping bony structures (vertebrae) or their periosteum, being separated from the latter by a considerable space, the vertebral epidural space-a true space containing the internal vertebral venous plexus embedded in a matrix of epidural fat. Synonym: dura mater spinalis, endorrhachis, theca vertebralis. (05 Mar 2000) |
| continuous epidural anaesthesia | Insertion of a catheter into the lumbar or caudal epidural space for the repeated injection of local anaesthetic solutions as a means of prolonging duration of anaesthesia. Synonym: fractional epidural anaesthesia. (05 Mar 2000) |
| cranial epidural space | The intracranial dura mater, consisting of two layers: the outer periosteal layer which normally always adheres to the periosteum of the bones of the cranial vault; and the inner meningeal layer which in most places is fused with the outer. The two layers separate to accommodate meningeal vessels and large venous (dural) sinuses. The meningeal layer is also involved in the formation of the various dural folds, such as the falx cerebri and tentorium cerebelli and is comparable to and continuous with the dural mater of the spinal cord. The cranial epidural space is then a potential space between the bone and the combined periosteum/periosteal layer of the dura mater realised only pathologically and is neither continuous with or comparable to the vertebral epidural space. Synonym: dura mater cranialis, dura mater encephali, cerebral part of dura mater, cranial epidural space. (05 Mar 2000) |
| haematoma, epidural | Accumulation of blood in the epidural space, due to damage to the middle meningeal artery and producing compression of the dura mater and thus compression of the brain. Unless evacuated, it may result in herniation through the tentorium, and death. (12 Dec 1998) |
| injections, epidural | The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater. (12 Dec 1998) |
| epidural | <anatomy> Situated within the spinal canal, on or outside the dura mater (tough membrane surrounding the spinal cord), synonyms are extradural and peridural. (16 Dec 1997) |
| epidural abscess | This is a disorder which is characterised by inflammation and a collection of infected material (pus) in the area between the skull bone and the covering of the brain (meninges). Infection is usually caused by bacteria (Staphylococcus), but may be secondary to a fungal or viral infection. Epidural abscess can occur secondary to a chronic ear or sinus infection, penetrating head injury or mastoiditis. Fever, headache and neurologic symptoms are common. (27 Sep 1997) |
| epidural anaesthesia | Regional anaesthesia produced by injection of local anaesthetic solution into the peridural space. Synonym: peridural anaesthesia. (05 Mar 2000) |
| epidural anaesthetic | An anaesthetic injected into the epidural space surrounding the fluid-filled sac (the dura) around the spine which partially numbs the abdomen and legs. (12 Dec 1998) |
| epidural block | An obstruction in the epidural space; used inaccurately to refer to epidural anaesthesia. (05 Mar 2000) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|