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YOUR LOGO Case Presentation SKKU School of Medicine, Anesthesiology 2007313075 Son Eui Young.

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Presentation on theme: "YOUR LOGO Case Presentation SKKU School of Medicine, Anesthesiology 2007313075 Son Eui Young."— Presentation transcript:

1 YOUR LOGO Case Presentation SKKU School of Medicine, Anesthesiology 2007313075 Son Eui Young

2 YOUR LOGO Chief Complaint  F / 56  Dyspnea, Sputum -Onset : 3 years ago Page  2

3 YOUR LOGO Present illness  2009. 07. 01 (3YA) - 엘리베이터 화재로 inhalational burn  2010. 08. 17 (2YA) -IM3 에서 시행한 Chest CT 상 tracheal stenosis 는 없으나 vocal cord 의 stenosis (posterior) 보여서 ENT refer.  2010. 08. 30 -LMS, subglottic granulation removal 이후 반복적으로 LMS 시행하였으나, - 주 증상인 dyspnea, sputum 은 갈수록 악화됨  2012. 04. 24 -LMS evalutaion, Laryngo tracheal anastomosis 위해 입원 Page  3

4 YOUR LOGO 마취전 환자 방문  수술전진단명 Posterior glottic tenosis  예정 수술 LMS, Evaluation laryngotracheal anastomosis  체중 / 신장 47.8/148BP 112/73HR 55  RR 20BT 36 혈액형 A+  I. 의학적 소견 -1. 현재 질환 Hypertension, Hypercholestolemia -2. 과거 병력엘리베이터 화재  inhalation burn -3. 현재 투약력 (No) Page  4

5 YOUR LOGO 마취전 환자 방문 -4. 과거 마취력 (Yes) 본원 수술력 2011-04-25 : LMS with laser 2011-01-03 : LMS evaluation + cricotracheal end to end  f Page  5

6 YOUR LOGO 마취전 환자 방문 Page  6

7 YOUR LOGO Chief Complaint Page  7

8 YOUR LOGO Chief Complaint Page  8

9 YOUR LOGO Chief Complaint Page  9

10 YOUR LOGO Chief Complaint Page  10

11 YOUR LOGO Chief Complaint Page  11

12 YOUR LOGO Chief Complaint Page  12

13 YOUR LOGO Chief Complaint Page  13

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