• Title/Summary/Keyword: Stab

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A Clinical Evaluation of 120 Chest Injuries (흉부외상 120례에 대한 임상적 고찰)

  • 이호완
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.13-22
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    • 1974
  • A clinical evaluation was done on 120 cases of chest injury patients treated in the department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital for the period of 6 years and 3 months from January, 1968 to March, 1974. 1] Of 120 cases, 52 cases[43. 3%] were non-penetrating injuries and 65 cases[56.7%] penetrating injuries. Of them, 107 cases [89.2%] were males and 13 cases[10.8%] were females. 2] The most common etiology was stab wound[64 cases] and traffic accident[23 cases] was the next. 3] In 70% of all cases, treatment was initiated within 6 hours after receiving trauma. 4] The types of lesions in order of frequency were hemothorax[35 cases], chest wall injuries alone. 27 cases], hemopneumothorax [22 cases], pneumothorax[17 cases]. Of them, right sided lesions were 52 cases[43. 3%] and left sided lesions were 65 cases[54.2%] and 3 cases were bilateral lesions. 5] Repeated thoracentesis and closed thoracostomy were the treatment of choice in most cases in order to reestablish early and rapid reexpansion of the lungs. Open thoracotomy was, however, mandatory on 39 cases[32.5%]. 6] The overall mortality was 5.8% [7 cases]; 5 cases of nonpenetrating injuries and 2 cases of penetrating ones.

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Clinical Observation of 127 Cases of Wounds of Chest in Viet-Nam War (월남전에서 치험한 흉부손상 120례에 대한 임상적 고찰)

  • 변해공
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.23-30
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    • 1974
  • During the 35 month period from November 1966 to November 1967 and from June 1971 to March 1973 I had experienced 127 cases of non fatal wounds of chest in Viet-Nam. .Among these 127 cases, 62[45.4%] were gun shot wounds, 49[35.8%] were shrapnel wounds and the other were traffic accident. stab wounds and miscellanous. Approximately 21% of gun shot wound were perforating and 79% were penetrating but all cases of shrapnel wounds were penetrating. Of these 127 cases. 90% evacuated to hospital within 6 hours and average time 2.5 hours. The tranfusion requirement of these cases ranged from zero to 36 pints of whole blood with an average of 2.600cc. Initial intrathoracic findings were hemopneumothorax and hemothorax mostly. and the incidence of open thoracotomy was 9.5%[12cases] and closed thoracotomy was 82.8%[104cases], which were contrast to the reports from Korean conflict. I had experienced 24 cases with complication, such as large hematoma in lung parenchyme[8 cases], atelectasis[4 cases], pyothorax [3 cases], pneumonia [3 cases], fibrothorax [3 cases], pleural effusion [2 cases] and wound infection [2 cases]. Mortality rate for entire group was 4.7% but the cases associated with brain injury was 100%, with spinal cord injury was 50%, with large vessel 50%, and abdominal injury was 33.3%, and nobody died solely of thoracic injury.

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Clinical Study of Neck Base Injury (경저부 혈관손상의 임상적 고찰)

  • 우종수
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.378-384
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    • 1978
  • Injuries to the major vessels in the thoracic inlet require early recognition and expedient operative approach. Delayed diagnosis difficulties encountered in the operative exposure of the region are the major factors limiting successful management. This report is a review of 13 patients with vascular injuries to the neck base who were managed at Busan National University Hospital from March 1975 to September 1978 about 3 years and 6 months. The important clinical problems are delineated with emphasis on the technical aspects of operative management. 1] Among 13 cases, 8 cases were male 5 cases were female. 2] Of 28 vascular injuries, subclavian axillary vascular injuries were 22 [78%]. Stab wound was the cause in 70% of these patients. 3] Without extension 7 cases[53.8%] were managed successfully with supraclavicular, and axillary incision. Posterolateral thoracotomy one of extending 4 cases, 2 cases were used right musculoskeletal flap for management of proximal part of the subclavian artery and innominate vessel, 2 cases were used left supraclavicular incision with anterolateral thoracotomy for management of left proximal subclavian artery. One Expired. 4] Repair of vascular injury was accomplished by lateral suture of debridement and end-to end anastomosis in 17[74%]. Autogenous vein was used one for interposition graft. Ligation was required 2 arterial, 6 venous injuries. Of 8 cases which were pulseless preoperatively, 5 cases were able to palpable distal pulse. 5] Post operative complications occurred 50%. Complication of vasular repair was rare. The majority was neurologic deficit (33.3%).

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Cardiac Valve Replacement: A Report of 145 Cases (인공심장판막에 의한 심장질환수술에 관한 연구)

  • 이영균
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.501-515
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    • 1978
  • The purpose of this communication is to review the 390 cases of chest trauma, treated at Department of Thoracic and Cardiovascular Surgery, School of Medicine Kyungpook National University from 1960 to 1977. Patients were grouped into two: group `60s [1960-1969] of 103 cases and group `70s [1970-1977] of 257 cases. As the number of cases of each group showed, chest trauma cases increased three times in `70s . The main causes of trauma were auto accident, falling down, industrial injury and stab wound in that order for both groups. Eighty per cent of cases of `60s were between 20 and 59 years and 73.8% of same age range for `70s. Rib fracture of fourth to eighth rib was the most common lesion in both `60s and `70s group. The incidence of hemothorax or hemopnemothorax significantly increased among `70s group than `60s. Clinical manifestations of chest pain and dyspnea remained most frequent symptoms for both groups. The pertinent principles of treatment for the chest trauma were conservative therapy, closed thoracotomy and open thoracotomy. Closed thoracotomy was performed more freely during the period of 1970-1977, with encouraging clinical results. Very few cases of complications other than pneumothorax or hemopneumothorax occurred. Those are fibrothorax, asphyxia, atelectasis and mediastinitis. The overall mortality was 3.9% for the `60s and 2.1% for the `70s group. The possible causes of death of 14 cases of chest trauma whom died on arrival during 1970-1977 were analyzed.

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Chest Trauma (흉부 외상)

  • 김송명
    • Journal of Chest Surgery
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    • v.11 no.4
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    • pp.488-500
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    • 1978
  • The purpose of this communication is to review the 390 cases of chest trauma, treated at Department of Thoracic and Cardiovascular Surgery, School of Medicine Kyungpook National University from 1960 to 1977. Patients were grouped into two: group `60s [1960-1969] of 103 cases and group `70s [1970-1977] of 257 cases. As the number of cases of each group showed, chest trauma cases increased three times in `70s . The main causes of trauma were auto accident, falling down, industrial injury and stab wound in that order for both groups. Eighty per cent of cases of `60s were between 20 and 59 years and 73.8% of same age range for `70s. Rib fracture of fourth to eighth rib was the most common lesion in both `60s and `70s group. The incidence of hemothorax or hemopnemothorax significantly increased among `70s group than `60s. Clinical manifestations of chest pain and dyspnea remained most frequent symptoms for both groups. The pertinent principles of treatment for the chest trauma were conservative therapy, closed thoracotomy and open thoracotomy. Closed thoracotomy was performed more freely during the period of 1970-1977, with encouraging clinical results. Very few cases of complications other than pneumothorax or hemopneumothorax occurred. Those are fibrothorax, asphyxia, atelectasis and mediastinitis. The overall mortality was 3.9% for the `60s and 2.1% for the `70s group. The possible causes of death of 14 cases of chest trauma whom died on arrival during 1970-1977 were analyzed.

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Biochemical properties and antimicrobial drug susceptibility of Erysipelothrix rhusiopathiae isolated from the cases of acute septicemic swine erysipelas (급성 폐혈증형 돼지단독예에서 분리한 Erysipelothrix rhusiopathiae의 생화학적 특성 및 약제감수성)

  • Baek, Young-sook;Cho, Gil-jae;Kim, Bong-hwan
    • Korean Journal of Veterinary Research
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    • v.30 no.4
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    • pp.413-420
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    • 1990
  • The present study was conducted to investigate biochemical properties and antimicrobial drug susceptibilities of 47 strains of E rhusiopathiae isolated from the cases of acute septicemic swine erysipelas in Youngnam and Kyunggi provinces during the period from June 1988 to December 1989. The isolants were identified as E rhusiopathiae on the basis of cellular and colonial morphology, and characteristic reactions in some biochemical tests. All the organisms produced hydrogen sulfide in triple sugar iron agar and showed the characteristic "pipe cleaner" type of growth in gelatin stab cultures. The majority of biochemical and cultural properties of E rhusiopathiae isolated from pigs affected with acute erysipelas were identical to those of the reference strains employed. All the isolates were highly susceptible to penicillin G, ampicillin, erythromycin (MIC:0.025~0.39IU or ${\mu}g/ml$), and moderately susceptible to oleandomycin, oxytetracycline, chloramphenicol(MIC:$0.78{\sim}25{\mu}g/ml$). Kanamycin and sulfadimethoxine showed no activity against the isolates(MIC:>$400{\mu}g/ml$). The MICs of dihydrostreptomycin presented two distribution peaks; of 47 strains, 5(10.6%) were resistant to dihydrostreptomycin (MIC:$400{\mu}g/ml$), while the majority of them were susceptible to the drug.

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Clinical evaluation of chest trauma (흉부손상의 임상적 고찰)

  • 김영호
    • Journal of Chest Surgery
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    • v.15 no.4
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    • pp.414-421
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    • 1982
  • 200 patients admitted to the Chest Surgery Department of Jeonbug National University Hospital from January, 1974 to December, 1981 were analyzed clinically. The ratio of male to female was 7: 1, which showed male predominance. Distribution of patients according to age disclosed that over half [62%] of the patients was social age between 20 and 49 years. The most common cause of chest trauma was traffic accident [39%], and the next were stab wound, fall down [17.5%], and hit [8.5%] in decreasing order. Common lesions due to chest trauma were as follows; rib fracture [51%], hemopneumothorax, hemothorax, and pneumothorax in decreasing number. The most common cause of rib fracture was traffic accident [50%] and the associated organ injuries were long bone fracture, head injury, spine and pelvic bone fracture, spleen rupture, and liver laceration. Hemothorax, pneumothorax, and hemopneumothorax were treated with insertion of thoracic catheter in 90 cases, pure thoracentesis in 11 cases, and emergency thoracotomy in 11 cases. In flail chest, 6 patients were treated by intramedullary insertion of Kirschner`s wire and the results were good. The incidence of complication was 17%, including atelectasis [11 cases], pyothorax, fibrothorax, pneumonia, and acute respiratory failure. Four patients were died [2%], and the causes were acute respiratory failure in 2 cases, spinal cord injury in one case and head injury in one case.

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Study for Non-Destructive Testing of Polyethylene Electrofusion Joints - Ultrasonic Imaging test (폴리에틸렌 배관의 전기융착부 비파괴검사기술에 관한 연구)

  • Kil Seong Hee;Kwon Jeong Rock
    • Journal of the Korean Institute of Gas
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    • v.8 no.3 s.24
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    • pp.31-36
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    • 2004
  • Electrofusion(EF) joints have been widely used as they are easy to fuse and suitable for high-quality joints for polyethylene(PE) pipes. This paper studies the cause of defects and classifies 5 types of defects. The defect detection technique for electrofusion joints of polyethylene piping is utilized by the ultrasonic phased array technique to obtain ultrasonic images of electrofusion joints. Test sample joints have been designed and fabricated using artificial defects which were made using paper. Finally, we studied the condition of electrofusion in the field and analyzed the main causes of defects. And we classified the defect types as local lack of fusion, sand inclusion, voids or air inclusion, short stab, excess penetration or excess bead.

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A Study on Application for Deck Plate Substitute Type Wood System Form of Frame Type Parking Lot (골조형 주차장의 Deck Plate 대체형 목제 시스템 거푸집 적용성 연구)

  • Shin, Yong-Jae;Shin, Woon-Sik;Heo, Jae-Won;Lim, Nam-Gi
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2006.11a
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    • pp.123-126
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    • 2006
  • Existing Deck Plate for a one of system forms, there is various advantage and application actual results increasing rapidly. But design of deck is depending on engineering data collections or design data on deck manufacture ordinarily. When construct, is responsible for deflection occurrence, And Because confirmation of crack occurrence region is impossible, there is difficulty of repair, reinforcement about crack and water leakage. According to got following conclusion as result that economic performance, preservation administration and repair reinforcement develops easy using steel truss snap tie by wedge pin on coating plywood that is slab Panel Wood System Form method of construction there is Deck Plate's advantage. (1) In stab lower part is exposed disjointing in which a criminal is fastened to be interrogated after construction acceptance and repair, reinforcement of crack is possible (2) Construction cost curtailment effect of about 29.2% than conventional type and about 10% than deck plate (3) Construction period reduction of about 3 day than conventional type and about 0.3 day than deck plate (4) Labor curtailment effect more than about $29{\sim}50%$ from conventional type

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Daily Cooling Performance Comparison of a Geothermal Heat Pump System between Energy-Pile and Energy-Slab (에너지파일과 에너지슬래브 적용 지열원 열펌프 시스템의 일일 냉방 운전 특성 비교)

  • Choi, Jong-Min;Park, Yong-Jung;Kang, Shin-Hyung
    • Journal of the Korean Society for Geothermal and Hydrothermal Energy
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    • v.8 no.3
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    • pp.29-35
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    • 2012
  • Geothermal heat pump system has been spotlighted as an efficient building energy system, because it has great potentials for reducing energy in building air conditioning and reducing $CO_2$ emissions. However, higher initial cost is a barrier to the promotion of its use. Energy-pile and energy-slab are known as low cost ground heat exchangers comparing with conventional ground heat exchangers, because they utilize building structures as ground heat exchangers. This paper presents the daily cooling performance of a geothermal heat pump system with energy-pile and energy-slab. The energy-piles and the energy-slabs are connected to heat pump units in parallel. The cooling capacity of the system was nearly constant due to the stability of the ground heat exchangers. The stability of the energy-pile was a little higher than that of the energy-stab as a heat sink.