• 제목/요약/키워드: Pressure drainage

검색결과 307건 처리시간 0.027초

휘발유 폭발에 의한 식도파열 1례 (Esophageal Rupture due to Explosion of Gasoline: A Case Report)

  • 장명규;최광림;이봉하
    • Journal of Chest Surgery
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    • 제5권1호
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    • pp.57-60
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    • 1972
  • Esopkageal rupture is one of the rarest disease. Mackler described that esophageal rupture was differentiated from esophageal perforation, the perforation is produced by esophagoscopy, and continuous erosion, such as esophagitis,gastric reflux, hiatal hernia and malignant neoplasm of the esophagus, the rupture is occurred by severe vomiting, cough and strong positive pressure into the esophageal lumen. Since,at first Boerhaave reported the esophageal rupture due to severe vomiting in 1742, several case reports of esophageal rupture have been in the literatures. Authors reported a case of the esophageal rupture due to explosion of gasoline in 50 year old female. The rupture occurred a longitudinal rent on the left posterolateral aspect of lower one third of esophagus and accompanied wlth second degree burn on the entire face and neck. The treatment consists of immediate thoracotomy in order to drainage of pyothorax and gastrostomy for nutritional problem, but patient expired because of septicemia probably due to uncontrollable empyema of thorax on 45th admitted day.

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Vacuum-Assisted Closure Therapy as an Alternative Treatment of Subcutaneous Emphysema

  • Byun, Chun Sung;Choi, Jin Ho;Hwang, Jung Joo;Kim, Do Hyung;Cho, Hyun Min;Seok, June Pill
    • Journal of Chest Surgery
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    • 제46권5호
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    • pp.383-387
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    • 2013
  • Vacuum-assisted closure therapy is an alternative method for a massive subcutaneous emphysema treatment. It is easily applicable and shows rapid effectiveness in massive subcutaneous emphysema, intractable with chest tube drainage.

지오그리드 보강 스톤컬럼 공법의 하중 지지 특성 (Load-carrying capacity of geosynthetic encased stone columns)

  • 유충식;김선빈;이대영;박선준
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2009년도 춘계 학술발표회
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    • pp.396-404
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    • 2009
  • This paper presents the results of numerical investigation on support mechanism of geogrid-encased stone columns for use in soft ground. A number of cases were analyzed using a axial- and 3D stress-pore pressure coupled model that can effectively model construction sequence and drainage as well as reinforcing effects of geogrid-encased stone columns. The results indicated that the geogrid encasement tends to significantly improve the load carrying of a stone column. Also revealed was that such a confinement effect depends on encasement length and stiffness of geogrid. It is also shown that there exist critical encasement length and stiffness of geogrid for a given condition.

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Granular Pile에 의해 개량된 연약지반의 지지력 및 침하특성 (Characteristics of Settlement and Bearing Capacity of Soft Ground Improved by Granular Pile)

  • 천병식;여유현
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2002년도 춘계학술대회 논문집
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    • pp.289-294
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    • 2002
  • Sand Compaction Pile (SCP) method, which uses sand material, is frequently used in Korea. However, the use of sand for SCP faces environmental and economical problems with the shortage of its resources. Therefore, it is necessary to substitute other materials for compaction piles. One of the alternatives is using gravel in lieu of sand. Granular Pile, constituted with sand and crushed-stone, is one of the methods to improve soft clay and loose sandy ground. In this study, modeled pile load tests are performed in test cell. The observations are made on the consolidation and the variation of water table of three different grounds, original, sand pile installed, and granular pile installed ground. In addition, engineering characteristics such as bearing capacity, settlement and drainage are investigated. The test results show that Gravel Compaction Pile (GCP) is more efficient for increasing bearing capacity and reducing settlement than SCP and had similar pore water pressure dissipation to sand. Therefore, the results show that GCP can be a good substitution for SCP.

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비굴착 전체보수용 라이너의 두께 설계식 및 말단부 처리에 따른 라이너의 안정성 검토 연구 (Evaluation of Design Equation and Stability for Trenchless Pipe Liner System with Boundary Treatment)

  • 박종섭;송호면
    • 한국산학기술학회논문지
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    • 제8권5호
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    • pp.1166-1172
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    • 2007
  • 비굴착 보수 공법에 의한 파이프 보강은 전체 파손관과 부분 파손관으로 구분되어 정의된다. 부분 파손된 관내에 사용된 라이너 관은 수압만이 작용되며, 상재 하중 및 토압, 지하수에 의한 압력에 대해서 기존의 관이 모두 저항하게 된다. 본 연구는 기존에 사용되고 있는 보강튜브경화공법 설계식에 대한 라이너 보수관 적용성을 평가하여 적용가능함을 확인하였다. 또한, 개발된 말단부 처리 공법이 적용된 라이너의 안전성을 유한요소해석을 통해 평가하였다.

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DOMAIN DECOMPOSITION ALGORITHM AND ANALYTICAL SIMULATION OF COUPLED FLOW IN RESERVOIR / WELL SYSTEM

  • EWING, RICHARD;IBRAGIMOV, AKIF;LAZAROV, RAYCHO
    • Journal of the Korean Society for Industrial and Applied Mathematics
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    • 제5권2호
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    • pp.71-99
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    • 2001
  • The model and analytical method for solving the problem of coupled fluid flow in the reservoir/well system is presented. The 3-D drainage area is composed of three connected media: the tubing, the annuli as a super conducting collector, and the reservoir itself. To couple these three types of fluid flows a non-overlapping Dirichlet-Neumann domain decomposition method is developed. The method allows us to apply an analytical hybrid simulator for accurate evaluation of the impact of main geometrical and hydrodynamic parameters of the 3-D system on the pressure drop along the horizontal well and its production index.

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Gravel Pile의 현장적용을 위한 시험시공 사례연구 (A Case Study on the Application of Gravel Pile in Soft Ground)

  • 천병식;고용일;여유현;김백영;최현석
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2000년도 연약지반처리위원회 학술세미나
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    • pp.32-41
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    • 2000
  • Sand drain as a vertical drainage is widely used in soft ground improvement Recently, sand, the principal source of sand drain, is running out. The laboratory model tests were carried out to utilize gravel as a substitute for sand. Though which the characteristics of gravel are compared to those of sand for engineering purpose. Two cylindrical containers for the model test were filled with marine clayey soil from the west coast of Korea with a column in the center, one with sand, the other with gravel. Vibrating wire type piezometers were installed at the distance of 1.0D, 1.5D and 2.0D from the center of the column. The characteristics of consolidation were studied with data obtained from the measuring instrument place on the surface of the container. The parameter study was performed on the marine clayey soil before and after the test in order to verify the effectiveness of the improvement. The clogging effect was checked at various depth in gravel column after the test. In-situ tests area was divided into two areas by material used. One is Sand Drain(SD) and Sand Compaction Pile(SCP) area, the other is Gravel Drain(GD) and Gravel Compaction Pile(GCP) area. Both areas were monitored to obtain the information on settlement, pore water pressure and bearing capacity by measuring instruments for stage loading caused by embankment. The results of measurements were analyzed. According to the test results, the settlement was found to be smaller in gravel drain than in sand drain. The increase in bearing capacity by gravel pile explains the result. The clogging effect was not found in gravel column. It is assumed that gravel is relatively acceptable as a drainage material. Gravel is considered to be a better material than sand for bearing capacity, and it is found that bearing capacity is larger when gravel is used as a gravel compaction pile than as a gravel drain.

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Efficacy and Rebleeding Risk of Preoperative Ventriculostomyin Aneurysmal Subarachnoid Hemorrhage

  • Lee, Young-Jin;Min, Kyung-Soo;Lee, Mou-Seop;Kim, Dong-Ho;Kim, Young-Gyu
    • Journal of Korean Neurosurgical Society
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    • 제41권2호
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    • pp.100-104
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    • 2007
  • Objective : Despite the widespread use of preoperative ventriculostomy in aneurysmal subarachnoid hemorrhage [SAH], there is no general consensus regarding the risk of bleeding associated with its use before aneurysm repair. This study was conducted to define the efficacy and rebleeding risk of ventriculostomy in aneurysmal SAH. Methods : The authors reviewed 339 consecutive patients with aneurysmal SAH who were treated at our hospital between January 1998 and December 2004. Results : Preoperative ventriculostomy was performed on 73 patients for acute hydrocephalus after aneurysmal SAH. The Hunt-Hess[H-H] grades of patients who underwent ventriculostomy were higher. Out of the 73 patients who underwent preoperative ventriculostomy, 58 [79%] demonstrated immediate clinical improvement after ventriculostomy. Of those same 73 patients 22 [30%] suffered aneurysmal rebleeding, whereas only 11 [4%] of the 266 patients who did not undergo ventriculostomy showed preoperative aneurysm rebleeding. The causes of rebleeding in the 22 patients who underwent ventriculostomy before surgery were related to the ventriculostomy procedure itself, subsequent cerebrospinal fluid [CSF] drainage, angiography and patient care procedures, such as endotracheal suction and nursing care. The mean time interval between SAH and surgery in the patients who underwent ventriculostomy was not statistically different from those who did not receive preoperative ventriculostomies [44.66 compared with 42.13 hours; p=0.73]. Conclusion : The preoperative ventriculostomy improved patients' clinical condition but increased the risk of rebleeding after aneurysmal SAH. When necessary, however, rapid change in transmural pressure during ventriculostomy must be avoided, careful management during ventricular drainage is needed, and surgery should be performed as soon as possible to prevent or reduce the incidence of rebleeding.

1,200gram 미숙아에서 Type A 식도 폐쇄증의 식도 단단문합술 -1례 보고- (End to End Anastomosis of Type A(long gap) Esophageal Atresia in 1,200 gram Premature Baby A Case Report)

  • 조삼현;오봉석;이동준;최영륜
    • Journal of Chest Surgery
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    • 제30권2호
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    • pp.236-240
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    • 1997
  • 긴 간격(longgap)의 A형 식도 폐쇄증을 가진 신생아의 치료는 복잡하고 아직까지 이견이 많아, 본래의 식도나 위, 소장, 대장 등을 이용한 치환술로 다양한 식도 재건술이 시행되고 있다. 저자는 long gap의 A형 식도 폐쇄증을 가진 재태기간 28주, 체중 1.2kg의 미숙아에서 식도 단단문합술을 시행하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다. 1차 처치로 위루술를 하고 2차로 식도 단단문합을 시행하였다. 술후 제한된 문함부유출과 종격동염이 발생하였으나 흉관을 통한 적절한 배액(drainage)과 동시에 위루술을 통하여 문합부유출부위에 음압 (negative pressure)을 걸어 지속적 인 흘인(suction)으로 치료하여 호전되었다. 환아는 건강하게 퇴원하였으며 술후 4개월이 지난후 5.4kg으로 체중의 증가가 있었다.

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낙동강 백천 합류부 지점의 물환경측정망 대표성 검증 (Verification of Water Environment Network Representative at the Baekcheon Junction of the Nakdong River)

  • 안정민;임태효;김성민;김신;김경훈;권헌각;신동석;양득석
    • 한국환경과학회지
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    • 제27권6호
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    • pp.371-381
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    • 2018
  • Multifunctional weirs constructed through the Four Major Rivers Restoration Project are operated as management water levels. The purpose of this study was to evaluate the effect of water level in the main stem on the tributary water level according to multifunctional weir operation, because the operation of multifunctional weirs for water level management influences the drainage of tributaries. In this study, water level pressure gauges were installed and spatial and temporal water quality was observed. The LOcally Weighted Scatterplot Smoothing (LOWESS) technique was applied to the Nakdong River and the Baekcheon Junction, both upstream of the Gangjeong-Goryeong weir, in order to analyze water quality trends. When considering the overall analysis and observations, it was found that the water quality forecasting point located at the Baekcheon estuary point should be transferred to the Dosung Bridge, which is located upstream of the Sunwon Bridge.