• Title/Summary/Keyword: Drainage failure

검색결과 155건 처리시간 0.027초

블록식 보강토 옹벽의 하자발생 사례 분석 (Lessons Learned from Failure of Geogrid-Reinforced Segmental Retaining Wall)

  • 신은철;오영인;김종인
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2001년도 가을 학술발표회 논문집
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    • pp.329-336
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    • 2001
  • The numbers of geogrid-reinforced walls are widely used in Korea. This papers present the results of two failure case histories of geogrid-reinforced segmental retaining walls. The geological background of the construction sites, detailed construction sequences, and the amount of rainfall were examined. The failure of these reinforced walls are caused by the improper drainage system and foundation treatment, too sharpened curvature of corner work, and too high height of wall.

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Single-pigtail plastic stent made from endoscopic nasobiliary drainage tubes in endoscopic ultrasound-guided gallbladder drainage: a retrospective case series

  • Koichi Soga
    • Clinical Endoscopy
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    • 제57권2호
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    • pp.263-267
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    • 2024
  • Technical failure of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is often attributed to device failure. To rectify this problem, we developed a single-pigtail plastic stent (SPPS) for EUS-GBD. We retrospectively reviewed the cases of four patients who underwent EUS-GBD for acute cholecystitis. To prepare the SPPS, a 7.5-Fr endoscopic nasobiliary drainage tube was cut to an appropriate length. The use of SPPS during EUS-GBD was successful from both technical and clinical standpoints. The SPPS spontaneously detached 57 days after the procedure in patient 4 and 412 days after the procedure in patient 1. Patient 1 developed cholecystitis after 426 days and was managed with antibiotics. The other three patients did not develop any complications after surgery. In conclusion, we designed a new SPPS dedicated to EUS-GBD and established its technical feasibility and clinical effectiveness.

Pleural Infection and Empyema

  • Kwon, Yong Soo
    • Tuberculosis and Respiratory Diseases
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    • 제76권4호
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    • pp.160-162
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    • 2014
  • Increasing incidence of pleural infection has been reported worldwide in recent decades. The pathogens responsible for pleural infection are changing and differ from those in community acquired pneumonia. The main treatments for pleural infection are antibiotics and drainage of infected pleural fluid. The efficacy of intrapleural fibrinolytics remains unclear, although a recent randomized control study showed that the novel combination of tissue plasminogen activator and deoxyribonuclease had improved clinical outcomes. Surgical drainage is a critical treatment in patient with progression of sepsis and failure in tube drainage.

식도질환의 기계적 처치후 발생한 식도파열 치험 -외과적 처치가 지연되었던 6예- (Instrumental perforation of the esophagus the results of delayed surgical drainage more than 24 hours)

  • 이두연
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.744-749
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    • 1986
  • Even in the hands of the expert endoscopists, an occasional instrumental perforation of the esophagus occurs. But instrumental perforation of the esophagus should not be difficult to diagnose if the possibility is borne in mind. Occasionally patient with esophageal perforations show little reaction at first, but usually they develop systemic manifestation if surgical management is delayed. Early surgical drainage of esophageal perforation is very important & effective therapeutic method. The delayed surgical treatment of esophageal perforation would have increased the morbidity & mortality by allowing mediastinitis & empyema thoracis. We have experienced 6 cases of delayed surgical management of instrumental perforation of esophagus from May 1974 to April 1986 in the department of thoracic and cardiovascular surgery, Yonsei University, college of the medicine. The ages ranged from 4 years to 57 years. The underlying esophageal diseases consisted of esophageal stricture in 3 cases, foreign bodies in the esophagus in 2 cases and esophageal ca. in one case. Most clinical manifestations on admission were high fever, chest discomfort, chest pain, dysphagia and subcutaneous emphysema. Most complications due to esophageal rupture were acute mediastinitis with or without empyema thoracis. Failure to diagnose promptly and failure to promptly institute adequate treatment undoubtedly were largely responsible for this patients death. All 6 patients had been taken delayed surgical drainage more than 24 hours following esophageal perforation. One patient had been in the open drainage state for long time and the another patient has been in the tracheostomy with postintubation vocal cord ulceration. The third patient died due to respiratory failure and sepsis due to fulminant mediastinitis & empyema thoracis. Even if the patients with esophageal perforation have been taken delayed surgical management, the patients should be survived with aggressive & effective surgical drainage with intensive post-operative care.

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태풍에 의한 절개면 붕괴특성 연구 및 경사도 설계기준 검토 (Characteristics of Slope Failure induced by Typhoon and an Examination of a Standard Slope Inclination for Design)

  • 구호본;백용;권오일
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2003년도 봄 학술발표회 논문집
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    • pp.117-122
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    • 2003
  • Every year in domestic slope failure caused by rainfall is happening frequently. Specially, causable failure accident by localized downpour accompanied when summer rainy season period and produces typhoon gets damage of large scale human life and property. Failure happened at slope of 121 places ranged whole country national highway by No.15 typhoon Rusa that strike whole country during 3 days from August 30, 2002. Slope failure that happen by typhoon are judged for major cause to effect of ground saturation and surface water by localized downpour. In this research, failure characteristic was analyzed to target 20 places attaining site investigation among failure slope. As a result, erosions by surface water was construed for major cause of failure and judged for direct relation in failure slope weathering and topography Also, result that analyze inclination of failure part, in the case of ripping rock, inclination of failure side is forming Incline of the lowest 40$^{\circ}$, because surface failure of depth 4m on or so scale happened, it is require that regulating plan gently design standard inclination of weathered rock and soil layer And it is considered that desirable preparation of design standard about measure that help smooth drainage of surface water and can restrain percolation in ground to reduce failure damage by rainfall.

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유벽에 갇힌 기름층의 조류중 손실에 관한 연구 (Containment Failures of Oil Restricted by Vertical Plates in Current)

  • 송무석;현범수;서정천
    • 한국해양환경ㆍ에너지학회지
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    • 제1권2호
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    • pp.40-51
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    • 1998
  • 유벽에 의하여 가두어진 오일의 조류중 거동을 회류수조에서 2차원적인 실험설비를 이용하여 살펴보았다. 유벽을 적정 깊이의 수직판으로 대치하고 레이저 광원을 이용하여 오일과 물과의 경계면 변형을 2 종류의 오일 (콩기름과 경유)에 대하여 관찰하였다. 적용된 조건으로 조류의 속도는 10 cm/s - 35 cm/s, 유벽의 깊이는 4 cm 와 8 cm, 그리고 유량은 2 liter - 8 liter 의 변화를 주었다. 다양한 경계면의 거동과 조건에 따른 누유의 손실 방식을 차원해석을 통하여 정리하고 유적누유와 연속누유의 발생 메카니즘을 설명하였다.

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심폐기능의 이상을 초래한 만성 결핵성 농흉의 치료 -1예 보고- (Treatment of Huge Chronic Tuberculous Empyema with Cardiopulmonary Dysfunction -1 case report-)

  • 박준석;최용수;심영목
    • Journal of Chest Surgery
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    • 제37권2호
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    • pp.188-192
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    • 2004
  • 만성 결핵성 농흉의 치료에 있어서 흉관삽입은 empyema necessitatis 및 상행성 감염의 위험성으로 인해 금기로 간주되어왔다. 하지만 심폐기능의 장애가 존재할 경우 농흉의 배농 및 감압이 필요하다. 본원에서는 만성 결핵성 농흉이 너무 커져 종격동의 편위 및 심폐기능의 이상을 초래한 경우를 경험하였다. 즉각적인 감압을 위해 흉관삽입술을 시행하였고, 한 달간 주기적인 흉강세척을 시행한 후, 전폐늑막절제술을 시행하였다. 환자는 성공적으로 치유되었으며, 합병증 및 감염의 재발은 없었다.

Revisiting radial forearm free flap for successful venous drainage

  • Cha, Yong Hoon;Nam, Woong;Cha, In-Ho;Kim, Hyung Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.14.1-14.4
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    • 2017
  • Tissue defect reconstruction using radial forearm free flap (RFFF) is a common surgical technique whose success or failure is mainly dependent on venous drainage. RFFF has two major venous outflow systems, superficial and deep vein. Drainage methods include combining both systems or using one alone. This review aims to recapitulate the vascular anatomy and network of RFFF as well as shed light on deep vein as a reliable venous drainage system. We also discuss basic evidence for and advantages of single microanastomosis with coalesced vein to overcome technical difficulties associated with the deep vein system.

하악골절부 골수염에 의한 비유합의 보전적 처치;증례보고 (CONSERVATIVE CARE OF NONUNION OWING TO OSTEOMYELITIS ASSOCIATED WITH FRACTURE OF MANDIBLE;REPORT OF 3 CASES.)

  • 김종배;유재하;최병호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권5호
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    • pp.471-477
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    • 2001
  • Failure to use effective methods of reduction, fixation, and immobilization may lead to nonunion with osteomyelitis, owing to the compound nature of most fractures of the mandible. Nonunion results in fibrous pseudoarthrosis at the fracture site with instability that, once formed, does not improve spontaneously. Once the nonunion with osteomyelitis secondary to fractures has become established, intermaxillary fixation and drainage of infected tissue should be instituted as early as possible, because the fixation & drainage enhances the patient comfort and hinders ingress of microorganisms & debris by movement of bone fragments. The authors treated three cases of nonunion with osteomyelitis by intermaxillary fixation, incision & persistent drainage on the previous fistula site and endodontic drainage of infected teeth in the fracture site of mandible. The localization & sequestration of the infected bone around the fracture was better performed persistently by natural homeostatic mechanism in $8{\sim}10$ weeks and the bony union was then attained without bone grafting.

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