• 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.

• Land and Housing Review
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• v.3 no.1
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• pp.97-109
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• 2012

For the design of underpass structures, -1.0m(G.L) ground water level guideline for the design of railway, subway, utility tunnel etc, is still being used in Korea. As a result, the underpass structure can be forced by buoyancy, and therefore the in-situ buoyancy anchor method is usually being applied to prevent the uplifting force. For the Yeongjongdo sky city project, the drainage method was applied to remove the buoyancy force. In this study we estimate the efficiency and safety of the applied design and propose the detailed guidelines for standard design and maintenance of the guided drainage technique. Especially, the auxiliary pumping well was operated to maintain the ground water level around the underpass. In the study site, the applied guided drainage method has advantages in both engineering and economic aspects.

• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.6
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• pp.675-683
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• 2015

The room-and-pillar construction method for underground space is adopted from the room-and-pillar mining method which is one of the most popular underground mining method in the world. Drainage system in the room-and-pillar underground construction method can be similar with the concept of single shell in tunnel because additional reinforcement except the TSL (thin spray-on liner) is not applied in the room-and-pillar construction method. That is, to decrease groundwater level and maintain safety in tunnel, the drainage pin hole inside lining (shotcrete) can be used. However, if total amount of outflow in the underground structure is relatively small or groundwater is not detected, such drainage system will not be useful and cause additional construction cost. In this study, outflow of conventional tunnels in South Korea was investigated and the criteria to determine whether the drainage pin hole is effective was suggested. And the guided drainage system was suggested when drainage pin hole was not applied in the room-and-pillar construction method.

• Tuberculosis and Respiratory Diseases
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• v.48 no.3
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• pp.357-364
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• 2000

Background : Complicated exudative pleural fluid collections have traditionally been treated by either closed tube thoracostomy drainage or by open surgical drainage. Complete drainage is important in order to control pleural sepsis, restore pulmonary function, and entrapment. Recently intracavitary fibrinolytic therapy has been advocated as a method to facillitate drainage of complicated exudative pleural effusion and to allow enzymatic debridemant of the restrictive fibrinous sheets covering the pleural surface. The purpose of this study is to prospectively evaluate the effects of image-guided catheter drainage with high dose urokinase(UK) instillation in the treatment of complicated pleural effusions. Patients : Twenty complicated pleural effusion patients that poorly respond to image-guided drainage were allocated to receive UK. There were 8 pneumonia and 12 tuberculosis. Methods : Drugs were diluted in 250 mL normal saline and were infused intrapleurally through the chest tube or pig-tail catheter in a daily dose of 250,000 IU of UK. Response was assessed by clinical outcome, fluid drainage, chest radiography, pleural ultrasound and/or computed tomography. Results : The mean UK instillation time was $1.63{\pm}0.10$. The mean volume drained UK instillation was $381.3{\pm}314.4\;mL$, and post-UK was $321.6{\pm}489.5\;mL$. The follow up duration after UK therapy was mean $212.9{\pm}194.5$ days. We had successful results in 19 cases (95.0%). There were 12 pleural thickenings (60.0%), 2 markedly decreased effusions (10.0%) and 5 cases of no thickening or effusion. There was recurrence after treatment in only one patient(5%) with complicated pleural effusiondue to tuberculosis. Conclusions : Image-guided drainage with high dose UK instillation (250,000 U/day) in complicated pleural effusion is a safe and more effective method than closed thoracostomy drainage. And this management, in turn, can obviate surgery in most cases.

• Tuberculosis and Respiratory Diseases
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• v.40 no.2
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• pp.158-164
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• 1993

Background: Recently, lung abscess tends to be increased in patients with underlying disease, most of whom are unsuitable for surgery when medical treatment fails. The patients with giant lung abscesses do not frequently respond to antibiotics and often have life-threatening complications. Therefore, more intensive cares are required in these patients. We studied the results and effects of percutaneous catheter drainage in these patients. Method: We performed fluoroscopy-guided percutaneous pigtail catheter (8.3 F) drainage by Seldinger technique in 9 cases of lung abscess (in 7 cases, intractable to medical treatment for an average of 8.4 days and in 2 cases, catheter drainage immediately performed due to a large cavity that was initially 10 cm in diameter). We compared 10 cases of lung abscess as control group which had receieved conventional medical treatment alone. Results: Seven of the 9 patients in study group of percutaneous drainage and 7 of the 10 patients in control group of medical treatment alone clinically improved in the average of 1.8 and 8.7 days, respectively. The mean duration of drainage was 13.2 days. There were 3 cases of death from massive hemoptysis, asphyxia of pus, and sepsis in control group, as compared with 2 cases of death from hepatic encephalopathy and sepsis in study group. The malfunctions of catheter occurred in these 2 cases, obstruction and dislodgement. But there were no significant pleuropulmonary complications of percutaneous drainage. Conclusion: Percutaneous drainage is effective and relatively safe in the management of lung abscesses refractory to medical therapy or giant lung abscesses.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.434-434
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• 2012

현재 지하차도 설계 지하수위는 철도, 지하철 및 공동구의 설계기준과 기존사례를 준용하여 지표면 하 1.0 m를 기준으로 설계하고 있으며, 지하차도 설계시 지하수위 적용에 대한 명확한 기준과 그에 따른 설계와 유지관리지침 등이 마련되어 있지 않아 부득이 기존의 공법을 그대로 답습하고 있다. 또한 대부분 과다설계 요인과 친환경적이지 못하다는 지적받고 있는 부력앵커공법을 적용하고 있는 실정이다. 본 연구에서는 영종하늘도시 사업지구에 시공중인 지하차도 구조물과 관련하여 지하차도 구조물 건설에 따른 지하수 흐름 변화 특성을 평가하여 유도배수공법의 효과를 검토하였다. 지하차도 건설에 의한 흐름변화 분석을 위하여 3차원 지하수 MODFLOW 프로그램을 이용하였으며 지하차도 건설전, 후에 대하여 프로그램을 수행하였다. 수행 결과 지하차도 건설 전 유역의 평균 지하수위는 지표하 1~2m 이상으로 비교적 높은 지하수를 형성하고 있는 것으로 평가되었다. 유도배수공법을 적용한 지하차도 건설 후 지하차도 주변부 지하수위는 건설전에 비하여 약 3~4 m 하강하는 것으로 분석되었으며, U-type 종점부는 지표하 최소 6 m 이상, 시작부는 지표하 최소 3.4 m 이상 아래에 형성되는 것으로 평가된다. 연구 결과는 향후 지하차도 유도배수공법 평가의 기초자료로 활용할 수 있을 것으로 판단된다.

• Journal of Soil and Groundwater Environment
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• v.28 no.3
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• pp.1-11
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• 2023

Permeable reactive barrier (PRB) is a prominent in-situ remedial option for cleanup of contaminated groundwater and has been gaining increasing popularity in recent years. Funnel-and-gate systems, comprised of two side wings of impermeable walls and a central gate wall, are frequently implemented in many sites, but often suffers from bypassing of groundwater due to the progressive clogging of the gate wall over extended period of time. This study investigated technical feasibility of a hybrid funnel-and-gate system designed to address the flow deterioration in the gate wall. The key attribute of the proposed hybrid system is the operation of drainage units at the barrier walls and rear end of the gate wall. A conceptual modeling with MODFLOW indicated the groundwater inside the barrier was maintained at appropriate level to be guided toward the gate wall, yielding constant discharging of groundwater from the gate.

• Journal of Yeungnam Medical Science
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• v.3 no.1
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• pp.95-102
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• 1986

Among the skeletal tuberculosis, tuberculous spondylitis is high incidence and curable disease, if early diagnosis and treatment are possible. We reviewed clinical manifestations and radiologic analysis of 30 cases tuberculous spondylitis from May 1983 to Sept. 1986, at Yeungnam medical center, Yeungnam University. The results were follows : 1. The frequent involve sites were thoracolumbar vertebra. 2. The continuous lesion is 86.7% of the all cases. 3. The most common type was intervertebral type, and lytic and sclerotic lesion were same incidence. 4. Paravertebral abscess, kyphosis and disc space narrowing were demonstrated more than 80.0% of the cases. 5. Computed tomography was more accurate diagnostic method rather than conventional plain study to evaluation of extent of lesion, involvement of spinal canal and cord, and size and location of paravertebral abscess. And CT guided abscess drainage procedure was helpful to diagnosis and treatment. 6. Ultrasonography was helpful to differential diagnosis between paravertebral abscess and other solid mass, and useful to follow up study of paravertebral abscess after treatment.

• Tuberculosis and Respiratory Diseases
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• v.44 no.3
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• pp.621-628
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• 1997

Background : As the pleural inflammation progresses, exudative pleural fluid becomes loculated rapidly with pleural thickening. Complete drainage is important to prevent pleural fibrosis, entrapment and depression of lung function. Intrapleural urokinase instillation therapy has been advocated as a method to facilitate drainage of gelatinous pleural fluid and to allow enzymatic debriment of pleural surface. This study was designed to investigate the predictors of effectiveness of intrapleural urokinase in the treatment of loculated pleural effusion. Method : Thirty-five patients received a single radiographically guided pig-tail catheter ranging in size from 10 to 12 French. Twenty-two patients had tuberculous pleural effusions, and 13 had non-tuberculous postpneumonic empyemas. A total of 240,000 units of urokinase was dissolved in 240 ml of normal saline and the aliquots of 80mL was instilled into the pleural cavity via pig-tail catheter per every 8hr. Effectiveness of intrapleural urokinase instillation therapy was assessed by biochemical markers, ultrasonography, and technical details. A greater than 50% improvement on follow-up chest radiographs was defined as success group. Result : Twenty-seven of 35 (77.1%) patients had successful outcome to urokinase instillation therapy. Duration of symptoms before admission was shorter in success group ($11.8{\pm}6.9day$) than in failure group ($26.62{\pm}16.5day$) (P<0.05). Amount of drained fluid during urokinase therapy was larger in success group ($917.1{\pm}392.7ml$) than in failure group ($613.8{\pm}259.7ml$) (P<0.05). Pleural fluid glucose was higher in success group ($89.7{\pm}35.9mg/dl$) than in failure group ($41.2{\pm}47.1mg/dl$) (P<0.05). Pleural fluid LDH was lower in success group ($878.4{\pm}654.3IU/L$) than in failure group ($2711.1{\pm}973.1IU/L$) (P<0.05). Honeycomb septated pattern on chest ultrasonography was observed in six of eight failure group, but none of success group (P<0.05). Conclusion : Longer duration of symptoms before admission, smaller amount of drained fluid during urokinase therapy, lower glucose value, higher LDH value in pleural fluid examination, and honeycomb septation pattern on chest ultrasonograph were predictors for failure group of intrapleural urokinase instillation therapy.