• Title/Summary/Keyword: 도관삽입

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ANISN-MCNP 코드를 이용한 월성2호기 반응도제어기구 방사선흐름해석

  • 김용일;진영권;김교윤
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05a
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    • pp.269-274
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    • 1996
  • 월성원자력발전소 2호기와 같은 CANDU 6형 원자로의 반응도제어기구 설치대에는 여러 반응도제어기구가 삽입되기때문에 원자로심으로부터의 방사선흐름현상으로 인한 방사선피폭이 예상될 수 있는 위치이다. 좁고 긴 반응도제어기구 도관에서의 방사선 흐름으로 인한 반응도제어기구 설치대에서의 방사선량을 예측하기 위해 몬테 칼로 MCNP 코드를 1차원 각분할법 코드인 ANISN과 연계하여 사용하였다. 월성원자력2호기의 상단차폐해석을 위한 ANISN 계산, 도관의 방사선흐름을 평가하기 위한 MCNP 계산, 그리고 반응도제어기구 설치대에서의 방사선량율 평가를 위한 MCNP 계산등 3단계 계산 기법의 적응이 시도되었다.

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Clinical Review of Totally Implantable Venous Catheter (완전 거치형 정맥도관의 임상분석)

  • Kim, Jung-Tae;Oh, Tae-Yoon
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.691-695
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    • 2007
  • Background: The introduction of central venous catheters in 1979 has aided the administration of chemotherapy to oncologic patients. We analyzed the clinical reviews and complications of totally implantable venous catheters in an effort to achieve optimal management. Material and Method: We retrospectively studied 100 cases with totally implantable venous catheter at our hospital and we report the results. Result: 100 totally implantable venous catheters were placed in the right subclavian vein in 74 cases (74%), the left subclavian vein in 21 cases, the right jugular vein in 3 cases, the left jugular vein in 1 case and the right femoral vein in 1 case. The immediate complications were 5 cases in malposition of the catheter and 5 cases of arterial puncture. The late complications were 1 case of subclavian vein thrombosis, which was treated with anticoagulation, and 2 cases of pinch-of syndrome. There were no other early or late complications. Conclusion: The low rate of complications in this study confirms the safety and convenience of using totally implantable venous catheter in patients undergoing prolonged chemotherapy. Yet because Infection, thrombosis, and catheter fracture are the most common long term complications of totally implantable venous catheters, early diagnosis and management of these problems can prevent severe complications.

The evaluation of image-guided catheter drainage in pleural effusion and empyema (흉수 및 농흉에서의 영상유도하 도관배액술의 유용성 평가)

  • Chang, Jung-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.3
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    • pp.403-409
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    • 1996
  • Background : Pleural fluid collections may pose a difficult therapeutic problem. Complete drainage of complicated effusions or empyemas and reexpansion of atelectatic lung are important in obtaining a satisfactory clinical outcome. The usual approach to the diagnosis and treatment of patients with pleural effusion and empyema has been with needle thoracentesis and chest tube drainage. With chest tube drainage, technical difficulties and failures may occur as a result of improper tube drainage, particularly when there is a loculation or multiple and inaccesible collections. Fluoroscopic or sonographic guidance facilitates the proper tube insertion and drainage. Method : Twenty eight patients were required for tube drainage due to pleural fluid collections between January 1994 to February 1996. The author compared the results of drainage under applying each different method between blind chest tube insertion and image guided catheter insertion. Results : The conventional blind chest tube group comprised 14 patients; 6 empyema, 6 tuberculous effusion, and 2 parapneumonic effusion. The image guided catheter group of smaller french were composed of 14 patients; 2 empyema, 6 tuberculous effusion, 5 parapneumonic effusion, and 1 effusion of undetermined origin. Radiologic improvement with successful drainage was noticed in 79% with the blind chest tube group, whereas in 93% with the image guided catheter group. The complication with the latter method was unremarkable. Conclusion : Image guided catheter drainage was safe and highly successful in treating patients, not only with complicated effusion also with loculated empyema. Image guided catheter drainage offers an alternative in patients in whom closed drainage is required as the initial treatment.

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Surgical Removal of Knotted Pulmonary Artery Catheter -A case report- (매듭지어진 폐동맥도관의 외과적 적출 -1례 보고-)

  • Kim, Byung-Il;Kim, Hyuk;Sohn, Sang-Tae;Jeong, Tae-Yeol;Chung, Won-Sang;Kim, Young-Hak;Kang, Jeong-Ho;Jee, Heng-Ok
    • Journal of Chest Surgery
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    • v.32 no.3
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    • pp.315-317
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    • 1999
  • The complications associated with the use of pulmonary artery catheter include dysrhythmias, heart block, pulmonary artery rupture, pulmonary infarction, endocardial damage, balloon rupture, arterial puncture, thromboembolism, air embolism, infection, pneumothorax, and knotting of the catheter. Knotting of the catheter is a rare complication and it should be anticipated if there is an excessive advancement of the pulmonary artery catheter beyond the normally expected distance. We report a successful surgical removal of knotted pulmonary artery catheter by sternotomy and cardiopulmonary bypass.

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Anatomical Characteristics of Korean Mistletoe (Viscum album var. coloratum) (한국산 겨우살이(Viscum album var. coloratum)의 해부학적 특성)

  • Kwon, Sung-Min;Jang, Jae-Hyuk;Kim, Chul-Woo;Kim, Kwang-Mo;Yi, Jae-Seon;Kim, Nam-Hun
    • Journal of the Korean Wood Science and Technology
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    • v.40 no.4
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    • pp.268-275
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    • 2012
  • This study was carried out to understand the anatomical characteristics of Korean mistletoe (Viscum album var. coloratum) and host tree of Mongolian oak (Quercus mongolica) by the aid of light and scanning electron microscopy. The branch diameter of host tree at the parasitic part by mistletoe is larger than that of non-parasitic part. In the mistletoe, phloem consists of bast fiber and parenchyma cell and xylem is composed of fiber, ray and axial parenchyma cell, and vascular tracheid. The volume of ray parenchyma cell is higher than common wood species and is heterocellular made up of procumbent, upright, and square cells in the mistletoe. In the vascular tracheid of mistletoe, coarse spiral thickenings and bordered pit are present. Due to the insertion of the mistletoe haustorium, some deformed vessels but no tylosis are observed in the mistletoe. The shapes of mistletoe haustorium are sharp, and the destruction of the host tree cells due to the insertion of the mistletoe haustorium are not identified.

Percutaneous Pig-tail Catheter Drainage in the Management of Lung Abscesses (폐농양의 치료에 Pig-tail 도관을 통한 경피적 배농)

  • Lee, Y.C.;Lee, Y.S.;Rhee, Y.K.
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.2
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    • pp.153-157
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    • 1993
  • Background: Patients with pyogenic lung abscess who do not respond to medical therapy are usually candidates for thoracotomy with pulmonary resection. Percutaneous tube drainage, used routinely and with good results before the antibiotic era, has nearly been forgotten. Methods: We treated 8 patients who had poor cadidates for a lobectomy and didn't respond to medical management. A pig-tail catheter (6 to 10 Fr.) was inserted into the abscess under the fluoroscopic guidance. Results: All patients brought about dramatic clinical responses with prompt closure of cavity and radiographic improvement. Conclusion: Percutaneous pig-tail catheter drainage provides excellent clnical results with ease and safety, and avoids unnecessary loss of functioning lung parenchyma. But lobectomy should be considered in patients who major life-threatening bleeding or massive pulmonary necrosis.

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Ultrasound-Guided Placement of Tunneled Hemodialysis Catheters (초음파 유도하 터널식 혈액투석용 도관 삽입술)

  • Lee Hee Bong;Jang Kuhn Jo
    • Journal of The Korean Radiological Technologist Association
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    • v.27 no.2
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    • pp.157-174
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    • 2001
  • Ⅰ. Purpose : To evaluate the usefulness of ultrasound-guided, radiologic placement of tunneled hemodialysis catheters via internal jugular vein(IJV). Ⅱ. Materials and Methods : In 32 patients(31 chronic renal failure, 1 acute renal failure), We performed

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Hybrid Endovascular Repair for Type I Endoleak after Stent Grafting of Chronic Stanford Type B Aortic Dissection (만성 Stanford B형 대동맥 박리로 하행 대동맥 스텐트 도관 삽입술 후 발생한 제I형 Endoleak의 치료에 시행한 Hybrid 혈관내 술식)

  • Kim, Kwan-Wook;Cho, Sang-Ho;Shim, Won-Heum;Youn, Young-Nam
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.428-432
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    • 2010
  • A 67 years old male patient was admitted with back pain that had recurred from 6 months previously. Eleven years previously, he underwent stent grafting at the descending thoracic aorta for a chronic Stanford type B aortic dissection. The preoperative computed tomography showed aortic dissection from the origin of the left subclavian artery to the bifurcation of the abdominal aorta, and there was a type I endoleak at the proximal portion of the stent graft and aneurysmal dilatation of the descending aorta. A hybrid endovascular repair was successfully performed, and this involved debranching and rerouting the aortic arch vessels under extracorporeal cardiopulmonary bypass and then this was followed 13 days later by stenting in the ascending aorta, the aortic arch and the descending aorta. The postoperative computed tomography showed complete exclusion of the type I endoleak. After discharge, he has been followed up for 8 months without any problems.

Retrograde Aortic Dissection after Thoracic Endovascular Aortic Repair for Descending Aorta - 2 case reports- (하행 대동맥 내 스텐트-도관 삽입 후 발생한 역행성 대동맥 박리 - 2예 보고 -)

  • Hong, Soon-Chang;Kim, Jung-Hwan;Lee, Hee-Jeong;Youn, Young-Nam
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.758-763
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    • 2010
  • In current era, thoracic endovascular aortic repair (TEVAR) has gained popularity. But, it bears the risk of serious complications such as treatment failure from endoleak, retrograde aortic dissection caused by injury of aortic wall at landing zone, or aortic rupture resulting from stent graft infection. We report two cases of surgical repair of retrograde aortic dissection after TAVAR applied to acute Stanford type B aortic dissection or traumatic aortic disruption.

The Treatment of Massive Spontaneous Subcutaneous Emphysema by Multiple Intravenous Catheter and Continuous Suction Drainage (다수의 정맥용 도관의 피하삽입과 지속흡인을 이용한 다량의 자발성 피하공기증 치료 1예)

  • Kim, Sun Young;Uom, Kwang Seok;Lee, Young Seok;Huh, Kyung Rim;Kwon, Chin Woo;Jang, Seung Hun;Kim, Dong Gyu;Jung, Ki Suck
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.2
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    • pp.178-183
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    • 2006
  • A-61-year-old COPD patient was hospitalized due to dyspnea and was diagnosed with acute exacerbation of COPD. During the hospital stay, the patient's dyspnea was aggravated by massive spontaneous subcutaneous emphysema. Multiple 16 gauge intravenous catheters were inserted at the midclavicular line for drainage. Although subcutaneous catheter drainage was carried out, respiratory failure developed with an increased in massive subcutaneous emphysema. Continuous suction drainage with wall suction was applied resulting in the rapid resolution of the subcutaneous emphysema. We report a case of the that effective management of massive subcutaneous emphysema using multiple 16 gauge intravenous catheters with continuous suction.