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侧卧斜仰截石位经皮肾镜碎石取石术中标准通道“四步法”扩张的临床体会 被引量:11
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作者 张发明 骆科兵 +4 位作者 黄文杰 杨世芬 姚剑江 周乙正 李锋 《中国内镜杂志》 2018年第9期90-93,共4页
目的探讨"四步法"建立标准通道在侧卧斜仰截石位经皮肾镜碎石取石术(PCNL)中应用的安全性和可行性。方法该科2017年5月-2017年12月应用"四步法"建立标准通道行侧卧斜仰截石位PCNL患者共30例,对其通道建立过程及结... 目的探讨"四步法"建立标准通道在侧卧斜仰截石位经皮肾镜碎石取石术(PCNL)中应用的安全性和可行性。方法该科2017年5月-2017年12月应用"四步法"建立标准通道行侧卧斜仰截石位PCNL患者共30例,对其通道建立过程及结果进行回顾性分析。结果目标肾盏成功建立标准通道,结石最大径线0.8~6.7 cm,手术时间(88.19±7.08)min,术前术后血色素变化(-0.06±1.83)g/L,包膜下血肿1例;无输血者,无周围邻近脏器损伤。结论 PCNL"四步法"建立标准通道是安全有效的,值得推广。 展开更多
关键词 肾结石 经皮肾镜碎石取石术(PCNL) 扩张
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Cap rock blast caving of cavity under open pit bench 被引量:4
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作者 Xi-ling LIU ke-bing luo +3 位作者 Xi-bing LI Qi-yue LI Wei-hua WANG Feng-qiang GONG 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2017年第3期648-655,共8页
A laser technique based scanning system was employed to make a comprehensive scanning through borehole forunmapped cavity under open pit bench,then the three-dimensional data will be obtained,and these data were used ... A laser technique based scanning system was employed to make a comprehensive scanning through borehole forunmapped cavity under open pit bench,then the three-dimensional data will be obtained,and these data were used for theoreticalanalysis and numerical simulation to analyze the stability of cap rock.Acoustic emission techniques were also adopted to carry outlong term real time rupture monitoring in cap rock.Therefore,a complete safety evaluation system for the cap rock was establishedto ensure safe operation of subsequent blasting processes.The ideal way of eliminating collapse hazard of such cavity is cap rockcaving through deep-hole blasting,thus,two deep-hole blasting schemes named as vertical deep-hole blasting scheme and one-timeraise driving integrated with deep-hole bench blasting scheme were proposed.The vertical deep-hole blasting scheme has moreexplosive consumption,but the relatively simple blasting net work structure can greatly reduce workloads.However,the one-timeraise driving integrated with deep-hole bench blasting scheme can obviously reduce explosive consumption,but the higher technicalrequirements on drilling,explosive charging and blasting network will increase workloads. 展开更多
关键词 open pit mining CAVITY laser 3D detection cap rock stability evaluation one-time raise driving deep-hole blasting
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