• Title/Summary/Keyword: 인공폐

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Primary Pulmonary Artery Osteosarcoma Mimicking Acute Pulmonary Artery Embolism - A case report- (급성 폐동맥 색전증으로 의심된 원발성 폐동맥 골육종 -1예 보고-)

  • 박상현;손정환;지현근;신윤철;유병수;박우정;박혜림;김응중
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.929-932
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    • 2004
  • The estimated relative incidence of primary pulmonary sarcoma to lung cancer is 0.4%. Furthermore, osteogenic sarcoma of the pulmonary artery is extremely rare. We report a case of a 63-year-old woman who visited our emergency room with the chief complaints of chest pain, dyspnea and dizziness. On echocardiography, right heart failure due to acute pulmonary artery embolism was diagnosed and we performed emergency operation. After opening the main pulmonary artery trunk, we found a mass attached to the arterial wall and massive thrombi around the mass. The mass was diagnosed as primary pulmonary artery osteosarcoma through postoperative evaluation. The patient received chemotherapy and radiotherapy. The patient is alive without specific symptoms 16 months postoperatively.

Application of a Single-pulsatile Extracorporeal Life Support System for Extracorporeal Membrane Oxygenation -An experimental study - (단일 박동형 생명구조장치의 인공폐 적용 -실험연구-)

  • Kim, Tae-Sik;Sun, Kyung;Lee, Kyu-Baek;Park, Sung-Young;Hwang, Jae-Joon;Son, Ho-Sung;Kim, Kwang-Taik;Kim. Hyoung-Mook
    • Journal of Chest Surgery
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    • v.37 no.3
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    • pp.201-209
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    • 2004
  • Extracorporeal life support (ECLS) system is a device for respiratory and/or heart failure treatment, and there have been many trials for development and clinical application in the world. Currently, a non-pulsatile blood pump is a standard for ECLS system. Although a pulsatile blood pump is advantageous in physiologic aspects, high pressure generated in the circuits and resultant blood cell trauma remain major concerns which make one reluctant to use a pulsatile blood pump in artificial lung circuits containing a membrane oxygenator. The study was designed to evaluate the hypothesis that placement of a pressure-relieving compliance chamber between a pulsatile pump and a membrane oxygenator might reduce the above mentioned side effects while providing physiologic pulsatile blood flow. The study was performed in a canine model of oleic acid induced acute lung injury (N=16). The animals were divided into three groups according to the type of pump used and the presence of the compliance chamber, In group 1, a non-pulsatile centrifugal pump was used as a control (n=6). In group 2 (n=4), a single-pulsatile pump was used. In group 3 (n=6), a single-pulsatile pump equipped with a compliance chamber was used. The experimental model was a partial bypass between the right atrium and the aorta at a pump flow of 1.8∼2 L/min for 2 hours. The observed parameters were focused on hemodynamic changes, intra-circuit pressure, laboratory studies for blood profile, and the effect on blood cell trauma. In hemodynamics, the pulsatile group II & III generated higher arterial pulse pressure (47$\pm$ 10 and 41 $\pm$ 9 mmHg) than the nonpulsatile group 1 (17 $\pm$ 7 mmHg, p<0.001). The intra-circuit pressure at membrane oxygenator were 222 $\pm$ 8 mmHg in group 1, 739 $\pm$ 35 mmHg in group 2, and 470 $\pm$ 17 mmHg in group 3 (p<0.001). At 2 hour bypass, arterial oxygen partial pressures were significantly higher in the pulsatile group 2 & 3 than in the non-pulsatile group 1 (77 $\pm$ 41 mmHg in group 1, 96 $\pm$ 48 mmHg in group 2, and 97 $\pm$ 25 mmHg in group 3: p<0.05). The levels of plasma free hemoglobin which was an indicator of blood cell trauma were lowest in group 1, highest in group 2, and significantly decreased in group 3 (55.7 $\pm$ 43.3, 162.8 $\pm$ 113.6, 82.5 $\pm$ 25.1 mg%, respectively; p<0.05). Other laboratory findings for blood profile were not different. The above results imply that the pulsatile blood pump is beneficial in oxygenation while deleterious in the aspects to high pressure generation in the circuits and blood cell trauma. However, when a pressure-relieving compliance chamber is applied between the pulsatile pump and a membrane oxygenator, it can significantly reduce the high circuit pressure and result in low blood cell trauma.

A Case Report of Heart-Lung Transplantation (심장-폐 이식 증례 보고)

  • 노준량;허재학;오삼세;김영태;이정렬;이기봉;오병희;한성구
    • Journal of Chest Surgery
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    • v.31 no.10
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    • pp.1004-1008
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    • 1998
  • We report a case of heart-lung transplantation in a 32 year-old female with Eisenmenger syndrome secondary to patent ductus arteriosus. She has been suffered from congestive heart failure since June 1996 and repeatedly treated at Intensive Care Unit with intravenous inotropic support since July 1997. Preoperative echocardiography showed a patent ductus arteriosus with right to left shunt, severe regurgitation of tricuspid valve and estimated right ventricular systolic pressure of 100mmHg. The brain-dead donor was an 18 year-old male with head trauma from traffic accident 3 days ago. Heart-lung block procurement was performed at another general hospital and was transported to the Seoul National University Hospital by ambulance. Total ischemic time of the transplanted heart and lung were 249 minutes and 270 minutes, respectively. The immunosuppressive therapy was commenced preoperatively with cyclosporine and azathioprine. Corticosteroid was not used until postoperative 3 weeks in order to avoid infection and delayed healing at the tracheal anastomotic site. The patient was discharged at 31st postoperative day, and has been regularly followed up at outpatient clinic without specific complication. The follow-up bronchoscopy, performed 2 weeks and 4 months after surgery, revealed no evidence of cellular rejection.

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A Development Of The Portable Spirometry System Of Pressure Method Using Static Pressure In Pitot Tube (개구관에서의 정체압을 이용한 차동 압력 방식의 휴대형 호흡측정 시스템 개발)

  • 이종수;신창민;김영길
    • Journal of Biomedical Engineering Research
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    • v.22 no.6
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    • pp.479-486
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    • 2001
  • Spirometer is a medical equipment which diagnoses respiratory function by measuring 9as volume across Patient's lunes through airway. Because a little overdose of anesthesia medicine can take away Patient's life in the ventilator for a surgical operation. an exact measurement of respiring volume is very important. This Paper Presented an exact flow volume calculation method from factors having an influence on measurement and introduced a spirometry system for an anesthesia ventilato. This system, using differential Pressure sensor measured flow by mutual relation with Pressure. temperature. gas density and linearization from the 2nd order characteristics of differential pressure with flow.

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Study on Bio-H2 Production from Synthetic Food Waste and Activated Sludge from Industrial Waste Water Processes using Dark-fermentation (산업공정의 폐수처리에서 발생된 폐활성슬러지 및 인공음식폐기물을 이용한 생물학적 수소생성에 관한 연구)

  • Kim, Tae-Hyeong;Kim, Mi-Hyung;Lee, Myoung-Joo;Hwang, Sun-Jin;Eom, Hyoung-Choon
    • Journal of Korean Society of Water and Wastewater
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    • v.24 no.6
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    • pp.703-712
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    • 2010
  • This study performed to extract operation factors of major organic wastes, which were food wastes and waste activated sludge generated in industries in order to use them as a substrate for bio-H2 production. According to the results of experimental analysis for hydrogen production capacity by various organic concentrations, the hydrogen production yield was the highest at 80 g/L, and the efficiency was improved by the pretreatment of waste activated sludge (acid treatment, alkali treatment). Hydrogen production efficiency was improved by mixing food wastes and waste activated sludge if waste activated sludge was below than 30%, however, it was decreased when it was more than 50%. The impacts of heavy metals on the hydrogen production shows that the inhibition level depends on the concentration of Cr, Zn, and Cu, Fe was able to enhance the hydrogen production.

Blood Compatibility of Hollow Fiber Membranes Treated by Plasma Polymerization (플라즈마 중합 처리된 중공사 막의 혈액 적합성)

  • Lee, Sam-Cheol;Kwon, O-Sung
    • Membrane Journal
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    • v.15 no.3
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    • pp.233-240
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    • 2005
  • Surface modification of polypropylene hollow fiber membranes was performed in order to develop blood-compatibility biomaterials for use in the blood contacting surfaces and oxygenation membranes of a lung assist device (LAD), important medical device even more useful. Blood compatibility of materials was determined by using anticoagulation blood and evaluating formation of blood clots on their surfaces as well as activation of plasma coagulation cascade, platelet adhesion, and aggregation. It was verified that the number of platelets on the silicone coated fibers was significantly lower than that on untreated fiber membrane, indicating improved blood compatibility. It was also found that the polypropylene hollow fiber membranes using plasma treatment exhibited suppression of complement activation in blood compatibility test.

Effect of activated carbon on bloating properties of artificial lightweight aggregates containing coal reject ash and bottom ash (석탄 잔사회 및 바닥재가 포함된 인공경량골재의 발포특성에 미치는 활성탄소의 영향)

  • Kang, Min A;Kang, Seunggu
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.23 no.4
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    • pp.201-206
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    • 2013
  • The coal bottom ash and reject ash discharged from a coal-fired power plant are difficult to recycle so most of them are mainly landfill-disposed. In this study, the artificial aggregate were produced using reject ash, bottom ash and dredged soil emitted from the coal-fired power plant in Korea and the effect of experimental factors on the bloating behavior and the properties of the aggregates were analyzed. In particular, a lot of unburned carbon in the reject ash was removed by calcination and the activated carbon was added to batch powders then the dependence of those process upon bloating properties of artificial aggregate were investigated. For this purpose, the specific gravity and water absorption values of artificial aggregates were investigated in conjunction with microstructural observations. This study could contribute to increase the recycling rate of the reject ash.

The Comparison of Histopathology of Cats Received Conventional Mechanical Ventilation and High Frequency Oscillation Ventilation (전통적 인공호흡과 고빈도환기시 폐의 조직.병리학적 소견의 비교 관찰)

  • Lee, Kwan-Ho;Kim, Young-Jo;Chung, Jae-Chun;Lee, Hyun-Woo;Nam, Hae-Joo;Lee, Tae-Sook
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.39-46
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    • 1989
  • The tracheobronchial histopathologic findings in 7 healthy cats used with high frequency oscillation ventilation (HFOV) were compared with those in 6 cats used with conventional mechanical ventilation (CMV). 4-point, 9-variable scoring system was used to evaluate the injury in the trachea, right & left main bronchi and parenchyme. The following results were obtained ; 1) The tracheobronchial tree received HFOV had no significant damage compared with CMV (P>0.05). 2) Intraepithelial mucus loss and emphysema were s lightly more prominent in CMV groups. As above results ; the tracheobronchial histopathologic difference was not prominent between CMV and HFOV groups received with relatively short period, however, the cellular function and barotrauma may be more prominent in CMV groups. From now on, as causes of tracheobronchial injury in HFV, interaction between humidification and mechanical trauma considers further study.

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Development and Commercialization of Artificial Reefs from Waste Mulch Plastic Films (농업용(農業用) 멀칭 폐(廢)비닐로부터 인공어초(人工魚礁) 개발(開發) 및 상용화(商用化))

  • Kim, Hea-Tae;Shon, Sang-Jin;Kim, Myoung-Ho;Choi, Mi-Ran;Baek, Wook-Jin
    • Resources Recycling
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    • v.16 no.5
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    • pp.19-24
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    • 2007
  • Reefs are the marine structure that can give resting, inhabiting, feeding and nursing spaces for a variety of fishes. Usually artificial reefs are made of cement and steels respectively in Japan as well as in Korea. However since resources deficiency has been getting serious, other materials are taken into consideration for the basic bodies of artificial reefs. About 300 thousand tons of waste agricultural plastic films are generated every yew in Korea, but no effective recycling techniques have been developed. In this sense, artificial reefs made of waste agricultural plastic films are the most representative symbol of the recycled products in the Resource Recycling Era. In particular, since these reefs could be made of the semi-cleaned waste agricultural plastic films that still contain high portion of soil, it is very environmentally friendly not only in manufacturing process but also in using under water. Furthermore they have some evident advantages as follows; 1) high fish swarming effect 2) good initial attachment of the marine growths 3) extremely low corrosion to brine 4) easy adjustment of the gravity 5) economical manufacture, transportation and jettison 6) excellent safety to ecosystem caused by lower elution of toxic substances 7) good recyclable property after application and so on.

Evaluation of the applicability of Cockle shell and walnut shell in a bioretention facility (Bioretention 내 꼬막 및 호두껍질의 적용성 평가)

  • Jeon, Minsu;Geronimo, F.K.F.;Choi, Hyeseon;Kim, Lee-hyung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.203-203
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    • 2019
  • 도시화로 인한 불투수면의 증가는 물순환 왜곡, 비점오염원 발생 및 수생태계 건상성 훼손 등을 야기시키며, 이를 해결하기 위하여 다양한 LID 기법을 적용하고 있다. 일반적으로 LID 내 적용 되는 여재들은 무기성여재로 중량이 크고 미세공극의 부재로 물리화학적 및 생물학적 저감기능이 제한적이다. 따라서 본 연구에서는 중량성이 낮은 생물폐자원을 선정하여 LID 시설 적용성평가를 수행하고자 한다. 생물폐자원은 발생량, 경량성 및 용이성을 고려하여 꼬막껍질(CS)과 호두껍질(WS)을 선정하였다. 생물폐자원의 산화부식을 고려하여 무기성 여재인 화산석과 혼합하여 Bioretention 시설에 적용하였으며, 여재 혼합비율에 따라 총 3가지의 Case 로 구성하였다. 식생은 구절초와 꽃댕강나무를 식재하였으며, 여재의 물리적 특성 분석을 위하여 적용 전과 후의 SEM(Scanning Electronic Microscope)을 수행하였다. 모니터링은 도로퇴적물 100g과 물 110L를 제조하여 인공강우유출수를 이용하여 수행하였으며, $0.0003{\sim}0.007m^3/sec$의 유속으로 주입하였다. 시설의 유입 및 유출부에서 유량 측정 및 수질 시료를 채취하였으며, 채취된 시료는 수질오염공정 시험법에 준하여 입자상 물질, 유기물, 영양물질 및 중금속 등을 분석하였다. Bioretention 시설의 모니터링 결과를 이용하여 물수지 및 TSS 저감 효율을 산정하였으며. 물수지 분석결과 시설의 저류율은 Case 1(soil) > Case 3(WS+RV) > Case 2(CS+RV) 순으로 나타났다. 시설 내 공극률이 가장 낮았던 Case 1에서 저류율이 약 55%로 가장 높게 것으로 분석되었다. Case 3(WS+RV)은 Case 2(WS+RV)와 시설 내 공극률이 유사함에도 불구하고 저류율이 약 10% 높은 것으로 분석되었다. 오염물질 저감효율 분석 결과, TSS와 TP의 제거효율은 모든 Case에서 약 75% 이상으로 높게 나타났으며, COD의 경우 모래를 적용한 Case 1에 비해 생물폐자원인 꼬막껍질과 호두껍질을 적용한 Case에서 약 1.3배 이상 높게 나타났다. 호두껍질과 꼬막껍질의 SEM 분석 결과 표면에 다공성이 형성되어 있는 것으로 조사되었다. 이는 여과 및 저류기작으로 인한 물순환 효과증대와 다공성과 돌기사이로 인한 입자상의 물질 여과 및 흡착으로 인하여 오염물질의 제거효율이 증대 된 것으로 평가된다. LID시설 내 생물폐자원과 무기성여재를 적절히 배합하여 복합여재로 조성할 경우 침하현상을 방지할 뿐만 아니라 저류 및 침투기능 향상과 미생물의 서식환경을 제공하기에 물순환 회복 및 비점오염물질 저감에 기여할 것으로 평가된다.

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