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견관절부 외상후 발생된 Shoulder-Hand Syndrome
전재수(Jae Soo Jeon),이성근(Sung Keun Lee),송후빈( 대한통증학회 1989 The Korean Journal of Pain Vol.2 No.2
N/A Bonica defined, that reflex sympathetic dystrophy (RSD) may develop pain, vasomotor abnor- amalities, delayed functional recovery, and dystrophic changes on an affected area without major neurologic injury following trauma, surgery or one of several diseased states. This 45 year old male patient had been crushed on his left shoulder by a heavily laden rear car, during his job street cleaning about 10 years ago (1978). At first the pain was localizea only to the site of injury, but with time, it spreaded from the shoulder to the elbow and hand, with swelling. X-ray studies in the local clinic, showed no bone abnormalities of the affected site. During about 10 years following the injury, the had recieved several types of treatments such as nonsteroidal analgesics, steroid injections into the glenoidal cavity (10 times), physical therapy, some oriental herb medicines, and acupucture over a period of 1-3 months annually. His shoulder pain and it's joint dysfunction persisted with recurrent paroxysmal aggrevation because of being mismanaged 'or neglected for a sufficiently long period these fore permiting progression of the sympathetic imbalance. On July 14 1988 when he visited our clinic. He complained of burning, aching and had a hyperpathic response or hyperesthesia in touch from the shoulder girdle to the elbow and the hand. Also the skin of the affected area was pale, cold, and there was much sweating of the axilla and palm, but no edema. The shoulder girdle was unable to move due to joint pain with marked weakness. We confirmed skin temperatures 5 ℃ lower than those of theunaffected axilla, elbow and palm of his hand, and his nails were slightly ridged with lateral arching and some were brittle. On X-ray findings of both the shoulder AP & lateral view, the left humerus and joint area showed diffuse post-traumatic osteoporosis and fibrous ankylozing with an osteoarthritis-like appearance. For evaluating the RSD and it's relief of pain, the left cervical sympathetic ganglion was blocked by injecting 0.5% bupivacaine 5 ml with normal saline 5 ml (=SGB). After 15 minutes following the SGB, the clinical efficacy of the block by the patients subjective score of pain intensity (=PSSPI), showed a 50% reduction of his shoulder and arm pain, which was burning in quality, and a hyperpath- ic response against palpation by the examiner. The skin temperatures of the axilla and palm rose to 4-5 ℃ more than those before the SGB. He felt that his left face and upper extremity became warmer than before the SGB, and that he had reduced sweating on his axilla and his palm. Horner's sign was also observed on his face and eyes. But his deep shoulder joint pain was not improved. For the control of the remaining shoulder joint pain, after 45 minutes following the SGB. a somatic sensory block was performed by injecting 0.5% bupivacaine 6 ml mixed with salmon calcitonin, Tridol®, Polydyn® and triamcinolone into the fossa of the acromioclavicular joint region. The clinical effect of the somatic block showed an 80% releif of the deep joint pain by the PSSPI of the joint motion. Both blocks, as the above mentioned, were repeated a total of 28 times respectively, during 6 months, except the steroid was used just 3 times from the start. For maintaining the relieved pain level whilst using both blocks, we prescribed a low dose of clonazepam, prazocin, Etravil®, codeine, etodolac micronized and antacids over 6 months. The result of the treatments were as follows; 1) The burning, aching and hyperpathic condition which accompanied with vaosmotor and pseudomotordysfunction, disappeared gradually to almost nothing, within 3 weeks from the starting of the blocks every other day. 2) The joint disability of the affected area was improved little by little within 6 months. 3) The post-traumatic osteoporosis, fibrous ankylosis and marginal sclerosis with a narrowed joint, showed not much improvement on the X-ray findings (on April 25,
강변여과수와 천부 지하수를 이용하는 지하수 열펌프시스템의 적정유량
한정상,한혁상,한찬,전재수,김형수,Hahn, Jeong-Sang,Han, Hyuk-Sang,Hahn, Chan,Jeon, Jae-Soo,Kim, Hyong-Soo 대한자원환경지질학회 2007 자원환경지질 Vol.40 No.6
지하수열펌프시스템(GWHP)은 지원열펌프시스템(GSHP)가운데 성능이 가장 우수하며 저온의 천부지하수열을 이용하는 시스템이다. GWHP시스템은 지중연결 열펌프시스템(GCHP)에 비해 최대 블록부하와 전 시스템 성능에 부합되는 지하수유량을 기준으로 하여 설계를 하며 최적 지하수유량은 해당지역의 지하수온도, 판형열교환기의 규격과 전체펌프와 배관류의 전 양정고에 따라 결정한다. 대체적으로 전형적인 빌딩루프순환수의 필요유량은 1RT당 $9.5{\sim}11.4lpm$ 정도인데 비해 GWHP시스템이 필요로 하는 최적 지하수유량은 이보다 꿜씬 적은 $3.8{\sim}9.5lpm$정도이다. The groundwater heat pump system(GWHP) is one of the most efficient ground source heat pump system(GSHP) which uses low grade and shallow geothermal energy for cooling and heating purpose. The GWHP system shall be designed properly based on peak block load performance and optimum pumping rate of groundwater comparable to ground coupled heat pump system(GCHP). The optimum pumping rate depends on groundwater temperature at a specific site, size of plate heat exchanger, and total head loss occurred by whole system comprising pumps and pipings. The required optimum flow rates of the system per RT are ranged from 3.8 to 9.8lpm being less than the typical building loop flow of 9.5 to 11.4lpm.
하천-충적대수층계의 강변여과수를 열원으로 이용하는 지하수 열펌프 시스템의 계절별 입구온도와 효율성 평가
한찬(Chan Hahn),전재수(Jae-soo jeon),윤운상(Yoon-Sang Yoon),한혁상(Hyok-Sang Han),한정상(Jeong-Sang Hahn) 한국지열·수열에너지학회 2007 한국지열에너지학회논문집 Vol.3 No.2
Unconsolidated and permeable alluvial deposit composed of sand and gravel is distributed along the fluvial plain at the Iryong study area. Previous studies on the area show that a single alluvial well can produce at least 1,650m3d-1 of bank infilterated shallow groundwater(BIGW) from the deposit. This study is aimed to evaluate and simulate the influence that seasonal variation of water levels and temperatures of the liver have an effect on those of BIGW under the pumping condition and also to compare seasonal variation of COPs when indirectly pumped BIGW or directly pumped surface water are used for a water to water heat pump system as an heat source and sink using 3 D flow and heat transport model of Feflow. The result shows that the magnitude influenced to water level of BIGW by fluctuation of river water level in summer and winter is about 48% and 75% of Nakdong river water level separately. Seasonal change of river water temperature is about 23.7 ℃, on other hand that of BIGW is only 3.8℃. The seasonal temperatures of BIGW are ranged from minimum 14.5℃ in cold winter(january) and maximum 18.3℃ in hot summer(July). It stands for that BIGW is a good source of heat energy for heating and cooling system owing to maintaining quite similar temperature(16℃) of background shallow groundwater. Average COPh in winter time and COPc in surnmer time of BIGW and surface water are estimated about 3.95, 3.5, and about 6.16 and 4.81 respectively. It clearly indicates that coefficient of performance of heat pump system using BIGW are higher than 12.9% in winter time and 28.1% in summer time in comparision with those of surface water.
수주지열정(SCW)을 이용한 천부지열 냉난방시스템 설계지침
한정상,한혁상,한찬,김형수,전재수,Hahn, Jeong-Sang,Han, Hyuk-Sang,Hahn, Chan,Kim, Hyong-Soo,Jeon, Jae-Soo 대한자원환경지질학회 2006 자원환경지질 Vol.39 No.5
For the reasonable use of low grade-shallow geothermal energy by Standing Column Well(SCW) system, the basic requirements are depth-wise increase of earth temperature like $2^{\circ}C$ per every 100m depth, sufficient amount of groundwater production being about 10 to 30% of the design flow rate of GSHP with good water quality and moderate temperature, and non-collapsing of borehole wall during reinjection of circulating water into the SCW. A closed loop type-vertical ground heat exchanger(GHEX) with $100{\sim}150m$ deep can supply geothermal energy of 2 to 3 RT but a SCW with $400{\sim}500m$ deep can provide $30{\sim}40RT$ being equivalent to 10 to 15 numbers of GHEX as well requires smaller space. Being considered as an alternative of vertical GHEX, many numbers of SCW have been widely constructed in whole country without any account for site specific hydrogeologic and geothermal characteristics. When those are designed and constructed under the base of insufficient knowledges of hydrgeothermal properties of the relevant specific site as our current situations, a bad reputation will be created and it will hamper a rational utilization of geothermal energy using SCW in the near future. This paper is prepared for providing a guideline of SCW design comportable to our hydrogeothermal system. 내 수문지열계 가운데 수주지열정(SCW)시스템을 합리적으로 설치이용할 수 있는 조건들은 심도별 지온증가율이 명확하고($2^{\circ}C/100m$심도), 기존의 지하수 열펌프가 필요로 하는 순환수의 유량에 비해 최소 $10{\sim}30%$의 중온의 심부지하수가 산출될 수 있어야 하며, 순환수를 공내로 재주입시 공내붕괴가 일어나지 않는 견고한 암석들이 존재 하여야 한다. 수주지열정의 1개공당 굴착심도는 평균 $400{\sim}500m$이며, 이로 부터 개발가능한 지열에너지는 공당 약 $30{\sim}40RT$ 규모인데 비해 1개 수직지중열교환기가 공급가능한 지열에너지는 $2{\sim}3RT$ 정도이다. 즉 수주지열정 1개공은 $10{\sim}15$개의 수직지중열교환기 역할을 한다. 따라서 이 방식은 수직루프 설치장소의 공간 문제를 해소할 수 있는 유일한 대안으로 인식되어, 현재 전국 각지에서 많은 수의 SCW들이 무분별 하게 비과학적으로 설치되고 있다. 이와 같이 해당지역 수문지열계의 수리 지질학적인 특성과 열적인 특성을 명확히 파악하지 않은 상태에서 수주지열정을 설계 시공하는 경우에 나타날 문제점들은 추후 합리적인 천부지열 개발 이용에 지대한 장애요인이 될 것이다. 따라서 본고는 국내 수문지열계에 적합한 수주지열정을 설계 하는데 있어 필요한 일종의 지침서를 제시하기 위해 작성되었다.