YNU_JEUS/app_home/himed/webapps/emr/medirecweb/xrw/SMMMR00602_시술기록JCI.xrw

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	<xhtml:head>
		<xhtml:title>시술기록</xhtml:title>
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					<!--
	<main>
		<grid>
			<col>
				<col1>
				</col1>
				<col2>Fx. comm. distal radius &amp; ulna, wrist, Rt</col2>
			</col>
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				<col1>
				</col1>
				<col2>
				</col2>
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				<col1>
				</col1>
				<col2>S/A</col2>
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	<hidden>
		<date>20070430</date>
		<opnm>OR/ &amp; I/F c T-plate(7 holes)&amp;screws(x7)&amp;Dall-miles cable &amp; Allograft MIIG 15cc</opnm>
		<bfnm>Fx. comm. distal radius &amp; ulna, wrist, Rt</bfnm>
		<main>1</main>
		<sub1>1</sub1>
		<sub2>박범석</sub2>
		<sub3>허준</sub3>
		<s1>OP findings
1. volar approach
2. intraarticular fracture
3. hamatoma formation (+)
4. fixation device : locking plate(Mathys Korea)
5. Bone defect(+) - Allograft MIGG 15cc done
6. stable after fixation 
7. postoperative short arm splint apply</s1>
		<s2>OP procedure
환자를 general endotracheal anesthesia 하에 수술대에 supine position으로 눕히고 Rt.proximal arm
에 pneumatic tourniquet을 apply하였다.cleansing, painting, draping등의 skin preparation을 rou
tine sterile manners로 시행한후에 pneumatic tourniquet을 250mmHg로 inflation하고서 수술을 시작
하였다. voloradial aspect의 wrist crease로부터 proximal방향으로 약5cm size의 skin incision을 가
하고 subcutaneous tissue layer와 fascia를 division 하여 flexor carpi radialis의 tendon을 identif
y하였다 tendon sheath를 metzembbaum을 이용하여 박리하고 tendon을 radial side 로 retraction 후flex
or digitorum superficialis muscle과 tendon을 elevation하여 radial side로 retraction후 pronator
quadratus를 radial insertion site에서 절개하여periosteum과 함께 벌려 radius에 burr를 이용하여
cortical window를 만들고 elevator를 이용하여 elevation 시켜 reduction을 유지한 상태로 T-plate를
facture site에 apply하였으며, pneumatic drill,depth gauge,driver등을 이용하고,screw(x7)와
Dall-miles cable를 insert하고 Allograft MIIG(15cc)시행하였따.image intensifier로 plate와screw
의 위치를 확인한 후 saline irrigation 후 tourniquet을 release하였으며, hemostasis후 pronator q
uadratus와 periosteum을 같이 repair하고 layer by layer technique으로operation wound를 closure
하였으며 hemovac drain tube를 insert하였다.routine sterile wound dressing 을 시행하고서 short arm
splint를 apply한 후에 수술을 마쳤다. 환자는 수술중 마취에 tolerable하였다.</s2>
		<t>Y</t>
	</hidden>
	
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			<submission id="TRMMR06002" mediatype="application/x-www-form-urlencoded" method="post" ref="/root/send/reqdata" resultref="/root/hidden"/>
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			<![CDATA[
//alert('SMMR00601.onloadcomplete');		
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			<caption id="caption10" class="cell_1" style="left:0px; top:283px; width:65px; height:23px; vertical-align:middle; ">집도의1</caption>
			<caption id="caption20" class="cell_1" style="left:148px; top:283px; width:70px; height:23px; vertical-align:middle; ">집도의2</caption>
			<caption id="caption21" class="cell_1" style="left:297px; top:283px; width:70px; height:23px; vertical-align:middle; ">집도의3</caption>
			<caption id="caption22" class="cell_1" style="left:0px; top:309px; width:65px; height:23px; vertical-align:middle; ">보조의1</caption>
			<caption id="caption23" class="cell_1" style="left:148px; top:309px; width:70px; height:23px; vertical-align:middle; ">보조의2</caption>
			<caption id="caption24" class="cell_1" style="left:297px; top:309px; width:70px; height:23px; vertical-align:middle; ">보조의3</caption>
			<caption id="caption25" class="cell_1" style="left:446px; top:309px; width:70px; height:23px; vertical-align:middle; ">보조의4</caption>
			<caption id="caption27" class="cell_1" style="left:0px; top:257px; width:119px; height:23px; vertical-align:middle; ">입실시각[시분포함]</caption>
			<caption id="caption29" class="cell_1" style="left:148px; top:563px; width:70px; height:57px; vertical-align:middle; ">
				<![CDATA[특이사항
    여부]]>
			</caption>
			<caption id="caption30" class="cell_1" style="left:0px; top:564px; width:65px; height:31px; vertical-align:middle; ">
				<![CDATA[조직표본
  검체]]>
			</caption>
			<caption id="caption31" class="cell_1" style="left:0px; top:597px; width:65px; height:24px; vertical-align:middle; ">배액관</caption>
			<textarea id="textarea10" navindex="15" scroll="autovscroll" editmenu="false" degnitemlevlcd="0001115" style="left:250px; top:564px; width:342px; height:54px; "/>
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				<caption>시술이력조회</caption>
				<script type="javascript" ev:event="DOMActivate">
					<![CDATA[
						fPatientHist();
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				</script>
				<hint>
					<![CDATA[수술이력조회 열기]]>
				</hint>
			</button>
			<select1 id="radio1" navindex="13" appearance="full" cellspacing="20" cols="2" rows="1" overflow="visible" degnitemlevlcd="0008331" style="left:67px; top:567px; width:79px; height:22px; border-style:none; ">
				<choices>
					<item>
						<label>Y</label>
						<value>0003763001</value>
					</item>
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						<label>N</label>
						<value>0003762001</value>
					</item>
				</choices>
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			<select1 id="radio2" navindex="14" appearance="full" cellspacing="20" cols="2" rows="1" overflow="visible" degnitemlevlcd="0000323" style="left:67px; top:600px; width:79px; height:19px; border-style:none; ">
				<choices>
					<item>
						<label>Y</label>
						<value>0003763001</value>
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						<label>N</label>
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			<caption id="caption32" class="cell_1" visibility="hidden" style="left:0px; top:0px; width:65px; height:23px; vertical-align:middle; ">시술선택</caption>
			<input id="ipt_odt1" class="input_default" disabled="false" navindex="4" degnitemlevlcd="0000980.0001830" style="left:70px; top:285px; width:75px; height:19px; "/>
			<input id="ipt_odt2" class="input_default" disabled="false" navindex="5" degnitemlevlcd="0000980.0001831" style="left:220px; top:285px; width:75px; height:19px; "/>
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			<input id="ipt_sdt1" class="input_default" disabled="false" navindex="7" degnitemlevlcd="0000341.0001830" style="left:70px; top:311px; width:75px; height:19px; "/>
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			<input id="ipt_sdt4" class="input_default" disabled="false" navindex="10" degnitemlevlcd="0000341.0001833" style="left:518px; top:311px; width:74px; height:19px; "/>
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			<line id="line15" class="line_2" style="x1:0px; y1:281px; x2:594px; y2:281px; "/>
			<line id="line16" class="line_2" style="x1:0px; y1:307px; x2:594px; y2:307px; "/>
			<line id="line17" class="line_2" style="x1:0px; y1:333px; x2:594px; y2:333px; "/>
			<line id="line20" class="line_2" style="x1:0px; y1:24px; x2:594px; y2:24px; "/>
			<line id="line1" class="line_2" style="x1:0px; y1:482px; x2:594px; y2:482px; "/>
			<!--0007983001 수술전 진단명-->
			<iviewer id="ivw_0007983001" style="left:0px; top:26px; width:595px; height:76px; "/>
			<!--0000521001 수술후 진단명-->
			<iviewer id="ivw_0000521001" style="left:0px; top:105px; width:595px; height:71px; "/>
			<!--0000509001 수술명-->
			<iviewer id="ivw_0000509001" style="left:0px; top:180px; width:595px; height:76px; "/>
			<input id="ipt_intm" navindex="1" format="yyyy-mm-dd hh:nn" degnitemlevlcd="0000248.0015528" style="left:125px; top:259px; width:125px; height:19px; "/>
			<input id="ipt_outtm" class="input_default" navindex="3" format="yyyy-mm-dd hh:nn" degnitemlevlcd="0000248.0008458" style="left:425px; top:259px; width:125px; height:19px; "/>
			<caption id="caption1" class="cell_1" style="left:297px; top:257px; width:123px; height:23px; vertical-align:middle; ">퇴실시각[시분포함]</caption>
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			<caption id="lbl_0000512001" class="cell_1" style="left:0px; top:335px; width:65px; height:146px; font-weight:bold; vertical-align:middle; ">
				<![CDATA[시술과정
      및
    소견]]>
				<script type="javascript" ev:event="onclick">
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			<caption id="lbl_0000507001" class="cell_1" style="left:0px; top:484px; width:65px; height:77px; font-weight:bold; vertical-align:top; ">
				<![CDATA[

출혈정도]]>
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			<iviewer id="ivw_0000512001" style="left:67px; top:335px; width:526px; height:146px; border-color:lightgray; border-style:solid; "/>
			<iviewer id="ivw_0000507001" style="left:67px; top:484px; width:526px; height:71px; border-color:lightgray; border-style:solid; "/>
			<caption id="cap_0000512001" style="left:67px; top:335px; width:526px; height:146px; font-style:italic; text-align:center; ">
				<![CDATA[←시술시 확인된 검체에 대한 findings 도 기재해주세요]]>
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					<![CDATA[
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			<!--textarea id="tar_0000507001" navindex="12" scroll="auto" editmenu="false" degnitemno="2" style="left:95px; top:505px; width:415px; height:99px; border-style:none; "/-->
			<caption id="cap_0000507001" style="left:67px; top:485px; width:526px; height:75px; font-style:italic; text-decoration:underline; text-align:center; ">
				<![CDATA[←좌측(하늘색부분)을 클릭하면 기록항목이 로딩됩니다.]]>
				<script type="javascript" ev:event="onclick">
					<![CDATA[
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			</caption>
			<textarea id="tar_0000507001" navindex="12" scroll="auto" editmenu="false" degnitemlevlcd="0000507" style="left:95px; top:505px; width:415px; height:37px; border-style:none; "/>
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				<caption/>
				<hint>
					<![CDATA[상용구관리 열기]]>
				</hint>
			</button>
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				<caption/>
				<hint>
					<![CDATA[이미지편집창 열기]]>
				</hint>
			</button>
			<textarea id="tar_0000512001" navindex="11" scroll="auto" editmenu="false" degnitemlevlcd="0000512" style="left:95px; top:356px; width:415px; height:99px; border-style:none; "/>
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				<caption>추가기록</caption>
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					<![CDATA[
						//fEtcRec();
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				</script>
				<hint>
					<![CDATA[추가기록창 열기]]>
				</hint>
			</button>
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				<choices>
					<itemset nodeset="/root/init/extninfo/oplistinfo">
						<label ref="opinfo"/>
						<value ref="oprsrvno"/>
					</itemset>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
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			</select1>
			<input id="ipt_surg" class="input_default" disabled="true" navindex="1" visibility="hidden" inputtype="date" degnitemlevlcd="0000515" style="left:70px; top:5px; width:100px; height:19px; "/>
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				<choices>
					<itemset nodeset="/root/main/forminfo/extnformlist[supdegnitemcd='0000512001']">
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						<label>Y</label>
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			<caption id="caption2" class="cell_1" style="left:0px; top:625px; width:145px; height:20px; vertical-align:middle; ">
				<![CDATA[시술 전 피부상태 확인]]>
				<script type="javascript" ev:event="onclick">
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							expandSection(gItemCdsTextArea);
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			</caption>
			<caption id="caption3" class="cell_1" style="left:0px; top:648px; width:145px; height:20px; vertical-align:middle; ">
				<![CDATA[시술 후 피부상태 확인]]>
				<script type="javascript" ev:event="onclick">
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							expandSection(gItemCdsTextArea);
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			</caption>
			<select1 id="radio4" navindex="14" appearance="full" cellspacing="20" cols="2" rows="1" overflow="visible" degnitemlevlcd="0001156" style="left:150px; top:625px; width:79px; height:19px; border-style:none; ">
				<choices>
					<item>
						<label>Y</label>
						<value>0001965001</value>
					</item>
					<item>
						<label>N</label>
						<value>0001347001</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
						fRadioYN("0001156");
					]]>
				</script>
			</select1>
			<select1 id="radio5" navindex="14" appearance="full" cellspacing="20" cols="2" rows="1" overflow="visible" degnitemlevlcd="0003008" style="left:150px; top:647px; width:79px; height:19px; border-style:none; ">
				<choices>
					<item>
						<label>Y</label>
						<value>0001965001</value>
					</item>
					<item>
						<label>N</label>
						<value>0001347001</value>
					</item>
				</choices>
				<script type="javascript" ev:event="xforms-value-changed">
					<![CDATA[
						fRadioYN("0003008");
					]]>
				</script>
			</select1>
			<line id="line7" class="line_2" style="x1:0px; y1:646px; x2:594px; y2:646px; "/>
			<button id="btn_iptime" class="btn2_letter2" style="left:253px; top:260px; width:42px; height:19px; ">
				<caption>시간</caption>
				<script type="javascript" ev:event="DOMActivate">
					<![CDATA[
					var indt = getCurrentDate()+getCurrentTime().substr(0,4) ;
					model.setValue(pageInfo.recItemRef + "[degnitemlevlcd=0000248.0015528]/reccnts", indt);
					model.refresh();
					]]>
				</script>
			</button>
			<button id="button2" class="btn2_letter2" style="left:550px; top:260px; width:42px; height:19px; ">
				<caption>시간</caption>
				<script type="javascript" ev:event="DOMActivate">
					<![CDATA[
					var outdt = getCurrentDate()+getCurrentTime().substr(0,4) ;
					model.setValue(pageInfo.recItemRef + "[degnitemlevlcd=0000248.0008458]/reccnts", outdt);
					model.refresh();
					]]>
				</script>
			</button>
		</group>
		<input id="ipt_mcdnm" navindex="2" visibility="hidden" degnitemlevlcd="0000999" refitem="y" style="left:520px; top:285px; width:30px; height:19px; "/>
		<input id="ipt_scdnm" navindex="3" visibility="hidden" degnitemlevlcd="0000999" refitem="y" style="left:465px; top:285px; width:35px; height:19px; "/>
	</xhtml:body>
</xhtml:html>