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ตารางท 2 ความรบผดทางอาญา ม าตรา 291

ผใ ดกระทา ผดโดยประมาทและการกระทาน นเปน เหตใหผ อนถงแกความตาย ต องระวางโทษจาคกไมเกน สบป และป รบไมเกนสองหมนบาท

มาตรา 59 วรรค 3

กระทาโดยประมาท ได แ กการกระทา ผดโดยมใช เจตนา แตกระทาโดยปราศจากความระมดระวงซ งบคคลในภาวะเชนน นจกต องมตามวสยและพฤตการณ และผกระทาอาจใ ชความระมดระวงเ ชนน นได แตหาไดใชให เพ ยงพอไม

ตารางท 3 ความผดในทางแพง (ละเมด) มาตรา 420 ผใดจ งใจ หรอประมาทเลน เลอ ทาตอบคคลอนโดยผดกฏหมายใหเขาเสยหายถงแก ช วตกด

อนามยกด เสรภาพกด ท รพยสน หรอสทธอยางหนงอย างใดก ด ท านวาผ นนทาละเมดจาตองใช

คาสนไหมทดแทนเพอการน น

กระทา โดยประมาทเลน เลอ มหลก เกณฑด งน

- ขาดความระมดระวง , ไมระ วงใหด

- มหนาท แตปลอยปละละเลย

- การชา รดภายในตวเค รองยนต ถอ เปนประมาทท ง สน

- การหยอกล อ ลอ เลนถอเปนประมาท

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NO. เพศ อาย อาการสาคญ

ทมาพบแพทย วนผาตด การผาตด สงตรวจพบ

อย

รพ.**

(วน) 18 ชาย 32 ไข, เจบคอ,

กลนแลวเจบ-ลาบาก 30/04/45 DL-Esophago. Chicken bone in cervical esophagus /

swelling of esophageal mucosa 3

19 หญง 18 เจบคอ, กลนแลวเจบ 29/08/45 DL-Esophago. Chicken bone in cervical esophagus 1

20 ชาย 45 เจบคอ, กลนแลวเจบ 11/12/45 DL-Esophago. No FB. / esophagitis 3 21 หญง 50 เจบคอ, กลนแลวเจบ 27/12/45 DL-Esophago. Fish bone in cervical esophagus 1

22 หญง 4 เหรยญตดคอ, เจบคอ 13/03/46 DL-Esophago. Coin in cervical esophagus 1

23 หญง 42 เจบคอ, กลนแลวเจบ 5/05/46 DL-Esophago. Chicken bone in cervical esophagus 1 24 ชาย 39 เจบคอ, กลนแลวเจบ 27/08/46 DL-Esophago. Chicken bone in cervical esophagus /

swelling and small ulceration of esophageal

mucosa

1

25 ชาย 69 เจบคอ, กลนแลวเจบ , กลนลาบาก

25/11/46 DL-Esophago. Multiple barbed denture ( radiopaque ) in cervical esophagus

3

26 หญง 8 กลนแลวเจบ,อาเจยน 26/05/47 DL-Esophago. Fish bone in cervical esophagus 1

27 ชาย 6 ของเลนตดคอ, กลนแลวเจบ

12/02/47 DL Circular plastic in upper esophageal sphincter

1

28 ชาย 62 กลนแลวเจบ 23/02/47 DL-Esophago. Non barbed denture ( radiolucent ) in thoracic esophagus

1

29 ชาย 6 เหรยญตดคอ,

กลนแลวเจบ

15/08/47 DL Coin in upper esophageal sphincter 1

30 ชาย 50 ไข, เจบคอ, กลนแลวเจบ

8/08/48 DL-Esophago. Large fish bone 2 cm. in length at apex of Rt. pyr iform sinus / marked swell ing at Rt.

arytenoid and Rt. pyriform aperture

2

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ตารางท 1 ผลการเพาะเชอแบคทเรยชนดทพงพาออกซเจน (aerobic bacteria)

เ ชอ

จานวนผปวย (%

N : 26 เชอแบคทเรยกรมบวก(Gram-positive)

Staphylococcus aureus Coag. negative straphylococcus Alpha hemolytic streptococcus Beta strep. not gr. A, B, D Gramma strep. gr. D entero.

5 (19.23) 1 (3.84)

1 (3.84) 1 (3.84) 1 (3.84) 1 (3.84)

เชอแบคทเรยกรมลบ(Gram-negative) Klebsiella pneumoniae Burkholderia pseudomallei Acinetobacter baumanii Enterobacter

เพาะเชอไมขน(No growth)

13 (50) 9 (34.62)

2 (7.68) 1 (3.84) 1 (3.84)

8 (30.76)

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ตารางท 1 แสดงการกลบเปนซาของโรคเปรยบเทยบกบระยะของโรค

ระยะของโรค

การกลบเปนซาของโรค Fisher’s Exact

Probability มการกลบเปนซาของโรค (%)

ไมมการกลบเปนซาของโรค (%)

IIb 0 (0) 2 (8.7)

.88 III 2 (40) 11 (47.83)

IVa 1 (20) 5 (21.74)

IVb 2 (40) 5 (21.74)

ตารางท 2 แสดงการกลบเปนซาของโรคเปรยบเทยบกบลกษณะทางพยาธวทยา

ลกษณะทางพยาธวทยา

การกลบเปนซาของโรค Fisher’s Exact

Probability มการกลบเปนซาของ

โรค(%) ไมมการกลบเปนซา

ของโรค(%) WHO I 1 (20) 0 (0)

.21 WHO II 2 (40) 13 (56.52) WHO III 2 (40) 10 (43.48)

ตารางท 3 แสดงการกลบเปนซาของโรคเปรยบเทยบกบคาพลาสมา anti Epstein-Barr virus IgA กอนการรกษา

คาพลาสมา anti Epstein-Barr virus IgA

กอนการรกษา

การกลบเปนซาของโรค Fisher’s Exact

Probability มการกลบเปนซา

ของโรค(%) ไมมการกลบเปนซา

ของโรค(%)

= 1:80 4 (16) 21 (84) .459

= 1:160 1 (33.3) 2 (66.7)

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เซลลวทยา

พยาธวทยา รวม

เปนมะเรง ไมเปนมะเรง

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ตารางท 5 แสดงคา sensitivity, specificity, positive predictive value, negative predictive value และ accuracy ของการเจาะดดดวยเขมขนาดเลกในผปวยกลมทมกอนทตอมน าเหลอง, ตอมนาลาย, และตอมธยรอยด

ตาแหนง TN

(n)

TP

(n)

FN

(n)

FP

(n)

Sensitivity

(%)

Specificity

(%)

PPV

(%)

NPV

(%)

Accuracy

(%)

ตอมนาเหลอง 55 31 6 2 83.78 96.49 93.94 90.16 91.49 ตอมธยรอยด 39 3 3 0 50 100 100 92.86 93.33

TN = ผลลบจรง (True negative); TP = ผลบวกจรง (True positive); FN = ผลลบลวง (False negative); FP = ผลบวกลวง (False positive); PPV = positive predictive value; NPV = negative predictive value

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Diagnosis Recovery (Week)

No.

BPPV 1 26(89.6%) 2 2(6.89%) >3 1(3.44%)

Benign positional vertigo (non BPPV)

1 15(100%)

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Characteristics IGSS (n = 12) Non-IGSS (n = 15) Median Age, years (SD) 46 (18.6) 47 (20.2) Sex Male Female

6 6

8 7

CT stage 1 2 3

10 1 1

8 4 3

เวลาทใชเตรยมกอนผาตด เฉลย(นาท) 44.2 22.7 เวลาทใชผาตด เฉลย(นาท) 83.6 86

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No Age Diagnosis Operation Regis time

Op. time

1 43 Lt.sphenoid mucocele with Cranial nerve 3 paralysis Lt.sphenoidotomy 70 45

2 71 Fungal sinusitis Lt. sphenoid sinus Lt.sphenoidotomy 50 95

3 20 Recurrent nasal polyps Bilat.polypectomy,ethmoidectomy,antrostomy 60 115

4 66 Rt.sphenoiditis,R/O tumor metastasis Rt.sphenoidotomy,biopsy 50 60

5 43 Antro-choanal polyp Rt Polypectomy,middle meatus antrostomy Rt 40 75

6 45 Lt.frontal sinus pyocele with orbital complication Lt.ethmoidectomy,frontal sinusotomy,orbital drainage 45 90

7 28 Mucocele Rt maxillary sinus Rt middle meatus antrostomy 30 35

8 55 Lt.sphenoiditis with orbital complication Lt.ethmoidectomy,spheniodotomy,orbital decompression 45 85

9 64 Fungal sinusitis Rt ethmoid sinus Rt. ethmoidectomy 45 50

10 59 Fungal sinusitis Lt sphenoid sinus Lt sphenoidotomy 30 90

11 54 Inverted papilloma Rt.nasal cavity and ethmoid sinus Rt ethmoidectomy,mid.turbinectomy,sphenoidotomy 30 105

12 56 Recurrent nasal polyps Bilat.polypectomy,ethmoidectomy,sphenoidotomy,antrostomy 35 155

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