• Title/Summary/Keyword: penetrating

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Abdominal Impalement Injury Caused by Scaffolding Pipe following a Traffic Accident - A Case Report

  • Lee, Se Youl;Lee, Jeong Moon;Choi, Seok Jin
    • Journal of Trauma and Injury
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    • v.29 no.1
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    • pp.33-36
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    • 2016
  • Traffic accidents involving agricultural machinery have been decreasing, but mortality is still high due to a lack of safety devices such as seat belts. Furthermore, secondary damage, such as abdominal impalement injury caused by loaded materials, is more likely to occur, and this type of injury leads to a poor prognosis. Impalement with pipes is often more fatal than other penetrating injuries because the diameter of the pipe is usually larger in size than other loaded materials. We report a case of a 72-year-old man with secondary abdominal impalement injury caused by a scaffolding pipe following a traffic accident.

A Study on the Elastic-Plastic Contact Problem for Large Deformation (대변형 탄소성 접촉문제에 관한 연구)

  • 전병희
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 1992.03a
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    • pp.11-26
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    • 1992
  • In this research, a numerical algorithm has been developed, which can be applied to the large deformation and large displacement contact problems between angle change have been proposed considering the change in geometric shape and rate of contact force. A set of linear simultaneous equations is constructed by adding the geometric shape change and contact conditions to the original stiffness matrix. A new method to determine time increment has been proposed based on Euler method, in which the condition to prevent the contact bodies from penetrating and overrunning each other has been taken into consideration. Practical application to contact problem is extrusion in which bodies are sliding along the contact boundary.

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clinical analysis of vascular trauma (혈관손상의 임상적 고찰)

  • 성숙환
    • Journal of Chest Surgery
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    • v.19 no.2
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    • pp.288-294
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    • 1986
  • During the period from Mar. 1983 to Feb. 1986, 22 patients with vascular trauma were treated at Capital Armed General Hospital. 1] 11 patients had arterial injury alone, 6 patients had venous injury alone, and 5 patients had both arterial and venous injuries. 2] The mechanism of injury in these 22 patients was 7 penetrating non-gun shot wounds, 5 blast fragments injuries, 4 iatrogenic injuries, 4 blunt injuries, 2 gun shot wounds. 3] The method of 16 arterial repair was 5 autogenous saphenous vein graft, 8 synthetic vascular graft, 1 end to end anastomosis, 2 lateral suture. Midterm patency of 16 repairs was 100% within 1 months. 4] The method of 11 venous repair was 1 autogenous saphenous vein graft, 2 onlay vein patch, 2 ligation, 1 lateral suture. The thrombotic obstructions occurred in 4 repairs [36.4%], but they were resolved somewhat with heparinization. 5] Uncommon cases of false aneurysm of internal carotid artery and laceration of retrohepatic inferior vena cava were summarized.

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Traumatic Diaphragmatic Injuries (외상성 횡격막 손상)

  • 오창근
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.579-584
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    • 1991
  • The records of 25 patients with traumatic diaphragmatic injuries seen at Chosun University Hospital from February 1977 to May 1991 were reviewed. We treated 20 male and 5 female patients ranging in age from 6 to 72 years. The diaphragmatic injuries were due to blunt trauma in 19 cases[traffic accident 13, fall down 4, compression injury 2] and penetrating trauma in 6 cases[stab wound 5, gun shot 1]. Most common symptoms were dyspnea[72%], chest pain[56%] and abdominal pain [40%], Chest X-ray were normal in 7 cases[28%] and 22 cases[88%] were diagnosed or suspected as diaphragmatic injuries preoperatively. The repair of 25 cases were performed with thoracic approach in 16 cases, thoracoabdominal approach in 6 cases and abdominal approach in 3 cases. Postoperative complications included atelectasis, wound infection and empyema. there was no postoperative death.

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Traumatic Diaphragmatic Injuries - A report of 23 cases - (외상성 횡격막 손상: 23례 보고)

  • 최세영
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.197-201
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    • 1991
  • Twenty-three patients with traumatic diaphragmatic injuries treated at the Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center from Aug. 1978 to Nov. 1990 were reviewed. There were 19 male and 4 female patients. The age distribution was ranged from 1.5 to 72 years, with a mean age of 34.3 years. Sixteen patients had blunt trauma[traffic accident 14, fall down 2], and 7 had penetrating injuries[stab wound 6, broken glass 1]. Sixteen [70 percent]of the injuries occurred on the left side and 7[30 percent] on the right side. Fifteen patients were operated on during the acute phase, 5 patients during the latent phase, 2 patients during the obstructive phase. The surgical approach in 20 patients was through a thoracotomy; in 2 patients, a thoracoabdominal incision was necessary, and in 1 patient, a laparotomy was performed. Herniated organs in thorax included stomach[10], colon[5], small bowel[5], spleen[4], liver[2]. Postoperative complications included wound infection, empyema, pneumonia, hepatitis and respiratory failure. There were 3 postoperative deaths, 2 with cerebral dysfunction and 1 with sepsis.

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Clinical Evaluation of the Cardiac and Great Vessel Injury [17 cases] (심장 및 대혈관손상 17례에 대한 임상적 고찰)

  • 장동철
    • Journal of Chest Surgery
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    • v.20 no.1
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    • pp.101-105
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    • 1987
  • A clinical evaluation was performed on 17 cases of the cardiac and great vessel injuries above the subclavian vessel at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital from April, 1980 to September, 1986. The results were as follows: 1. Sex distribution were 13 cases in male and 4 cases in female. In age range, second and third decades occupied in about 65% of total cases. 2. Modes of injury were penetrating wound is 14 cases and nonpenetrating wound in 3 cases. The stab wounds by knife were most frequent. 3. Time interval from injury to operation was mean 103 minutes. 4. Surgical approaches were performed with thoracotomy in 9 cases, median sternotomy in 3 cases and direct incision above the wound. 5. Sites of injury were heart in 10 cases and great vessel in 7 cases. The right ventricular injury was most common as 7 cases. 6. Operative procedures were performed with simple closure, vascular graft anastomosis and ligation. There was no postoperative death.

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Experimental Study of Chloride Binding in Concrete with Mneral Amixtures (혼화재를 혼입한 콘크리트의 염화물 고정화에 관한 실험적 연구)

  • 박정준;고경택;김도겸;김성욱;하진규
    • Proceedings of the Korea Concrete Institute Conference
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    • 2001.11a
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    • pp.787-792
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    • 2001
  • The chloride ion penetrating into concrete is classified as the fixed chloride ion being bound in reacting to cement hydrate and the free chloride ion having a direct effect on rebar corrosion because being in solution inside porosity of concrete. Therefore, in order to study the diffusion properties of chloride ion, it is needed to evaluate binding chloride ion in concrete. In this study, we tried to give a fundamental information on diffusion of chloride ion in concrete with mineral admixtures through analysis of micro-structure transformations in concrete and effects on binding of chloride ion in cement paste when mixed with fly-ash, blast furnace slag, silica fume etc. which are used to improve durability and permeability of concrete

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A Study on the Surface-Treatment Agent as Concrete Repair Materials (콘크리트 보수재료로서 도포형 표면강화물질 검토)

  • 김도겸;고경택;김성욱;류금성;이장화
    • Proceedings of the Korea Concrete Institute Conference
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    • 2001.11a
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    • pp.497-502
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    • 2001
  • We examined the silicate-based material to develop the surface-treatment agent, which would be used to restore performance of the deteriorated concrete and to inhibit corrosion of the reinforcing bar. As a part of the study, we carried out experiments of the penetration and strengthening properties of concrete treated by the considering agent. The variables of experiment, were the type of silicates, the ratio of distilled water-silicate, the usage of surface-strengthening material, and the usage of biochemical material. The penetrating ability of concrete is assessed by viscosity and surface tension. Also assessments of strengthening effects of concrete are performed on compressive strength, absorption, and water permeability tests.

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Undetected Metallic Chopstick Stabbed on Neck Resulting Tinnitus and Foreign Body Sensation

  • Choi, Sun A;Kim, Sung Bum;Shin, Seung Youp;Eun, Young Gyu
    • Journal of Korean Neurosurgical Society
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    • v.57 no.2
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    • pp.140-142
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    • 2015
  • Penetrating neck injuries constitute 5-10% of all trauma cases. These injuries may cause life-threatening suppurative or vascular complications, but the severity and extent of damage depends upon the inflicting object and the involved structures. If significant complications are not expected, then it is best to leave the foreign body embedded and avoid surgical risks. We present a rare case of a foreign body embedded in the neck causing tinnitus and foreign body sensation.

Gunshot Injury to the Anterior Arch of Atlas

  • Park, Jun-Hee;Kim, Hyeung-Sun;Kim, Seok-Won;Do, Nam-Yong
    • Journal of Korean Neurosurgical Society
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    • v.51 no.3
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    • pp.164-166
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    • 2012
  • Penetrating injuries to the upper cervical spine resulting from gunshots are rare in South Korea due to restrictions of gun use. Moreover, gunshot wounds to the upper cervical spine without neurological deficits occur infrequently because of the anatomic location and surrounding essential structures. We present an uncommon case involving the surgical removal of a bullet located in the anterior arch of first cervical vertebra (C1) via a transoral approach without neurological complications or subsequent mechanical instability.