http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
수혈예정환자에서의 항체선별검사 의무시행에 따른 혈액 폐기율과 취소율 변화
최숙향,서일혜,안정열,김경희,허헤경,전양빈,박필환 대한수혈학회 2012 大韓輸血學會誌 Vol.23 No.3
Background: In the clinical setting, for convenience of transfusion, blood is requested in advance, even though ‘the type and screen’ method has been used for the efficient supply of blood. We employed the precedent antibody screening test method for all patients who were scheduled for surgery, and compared the disposal rate and the clear rate pre and post-activity. Methods: We evaluated the disposal rate and the cancellation ratio before and after employment of the precedent antibody screening test method for all patients expected to undergo surgery. A comparison of the frequency and type of side effects of transfusion was also performed. Results: The disposal rate and the cancellation ratio showed a decrease, from 1.48% to 1.29%, and from 17.0%to 11.0%. No significant change was observed in the cause of disposal and the side effects of transfusion. Conclusion: Enforcement of a precedent antibody screening test resulted in a decrease in the disposal and clear rates. In addition, it aided in reduction of the amount of work performed at the blood bank by establishing the proper utilization of blood and reducing unnecessary cross match testing. There appears to be no problem regarding the stability of transfusion. However, for the sample showing a positive result on the antibody screening test, an effort to decrease the side effects of transfusion, such as exhaustive cross-matching and increasing the rate of identification, would be needed. 배경: 혈액의 효율적인 공급을 위해 ‘type and screen’법을 실시하고 있었으나 임상에서 수혈 시편의를 위해 우선 혈액을 신청하는 경향이 있어수술이 예정된 모든 환자에서 항체 선별검사를우선 실시하는 항체선별검사 의무시행을 실시하여, 제도 시행 전ㆍ후의 혈액 폐기율 및 취소율변화를 평가하였다. 방법: 수술예정환자의 항체 선별검사의 의무시행 후의 혈액 폐기율 및 취소율을 비교하였으며 기간 중 수혈부작용의 발생 빈도 및 사유 등을비교하였다. 결과: 제도 시행 전ㆍ후 혈액폐기율은 1.48%에서 1.29%로, 혈액취소율은 17.0%에서 11.0%로감소되었다. 폐기사유 및 수혈부작용은 시행 전ㆍ후 큰 변화는 없었다. 결론: 항체선별검사 의무시행은 혈액의 폐기율 및 취소율을 감소시켜 혈액의 적절한 사용 및불필요한 교차시험을 줄여 혈액은행 업무에도 도움이 되었으며 수혈 안정성에도 문제가 없는 것으로 생각된다. 단, 항체선별검사에서 양성을 보인 검체에 대해서는 철저한 교차시험 및 동정검사율을 높이는 등 수혈부작용 방지에 노력을 해야 할 것이다.
崔淑鄕 이화여자대학교 한국문화연구원 1962 韓國文化硏究院 論叢 Vol.3 No.-
This is a report on surface investigations of prehistoric site at Hyunnaemyun, Kosung(高城) along the north eastern coast of Kangwon province in August 1961. in destroyed deposit layer at the foot of the hill, around Whajinpo(花津浦), a lagoon, many stone implements and plain coarse potteries were found. STONE IMPLEMENTS: Polished stone aces, arrow heads, a stone hammer, a pebble net sinker, two pieces of stone daggers and some incomplete stone implements. PLAIN COARSE POTTERIES: Except form three jars, a bowl with everted lip and a few pieces of bottoms, there came out sherds broken beyond restoration. DOLMENS: A northern type dolmen was found on the beach of Changpyungri(長坪里), Koujin myun (巨津面). Two southern type dolmens were found at Chukchongri(竹亭里). It is for the first time that southern type dolmen was found on the eastern coast of Kangwon province. For that result the former eastcoastal northern limit on distribution of southern type dolmen which remained in Kyungbuk province, moved to the northern part. According to the characteristics of arrow heads and stone daggers, they certainly belong to the Eneolithic Age.