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4.8 F可视肾镜在飞行人员肾脏小结石中的临床应用
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作者 张文涛 陈俊明 +6 位作者 秦海生 杨胜进 余朝辉 白冰 王世洋 段彩莲 王震 《中华腔镜泌尿外科杂志(电子版)》 2023年第6期593-596,共4页
目的探讨4.8 F可视肾镜在治疗飞行人员肾脏小结石的安全性和临床疗效。方法2017年3月至2021年9月,武警河南省总队医院采用4.8 F可视肾镜治疗飞行员肾脏小结石28例,均为输尿管软镜手术未成功(其中19例因输尿管狭窄难以放置导引鞘无法进... 目的探讨4.8 F可视肾镜在治疗飞行人员肾脏小结石的安全性和临床疗效。方法2017年3月至2021年9月,武警河南省总队医院采用4.8 F可视肾镜治疗飞行员肾脏小结石28例,均为输尿管软镜手术未成功(其中19例因输尿管狭窄难以放置导引鞘无法进镜,9例软镜进入肾脏未找到结石),术中改4.8 F可视肾镜手术。先截石位,患侧插入5 F输尿管导管,并接0.9%氯化钠注射液逆行滴入,建立人工肾积水。再取俯卧位,在超声引导下采用4.8 F可视肾镜,穿刺进入集合系统,找到结石并用钬激光粉碎。结果28例均一期顺利穿刺碎石成功,手术时间13~45 min,平均(18.5±6.5) min。术后2 h复查血常规,血红蛋白下降1.2~3.5 g/L,平均(2.6±0.5) g/L。术后1例出现较重肉眼血尿,经保守治疗后尿液变清。术后3 d复查彩超,无一例出现胸腔积液、肾周积液或周围脏器损伤等严重并发症。术后平均住院时间(3.6±0.7) d。术后1个月复查肾脏CT,均无结石残留,术后3、6个月复查彩超,未见结石复发。结论采用4.8 F可视肾镜治疗飞行人员肾脏小结石安全、有效,尤其在输尿管软镜取石失败时可尝试使用。 展开更多
关键词 可视肾镜 飞行人员 肾结石
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Strategic Communications of the Muslim Brotherhood in Egypt
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作者 zhaohui yu Yaohong Liu 《Asian Journal of Middle Eastern and Islamic Studies》 2019年第1期93-109,I0007,共18页
As the oldest and largest religious political organization and a political opposition,the Muslim Brotherhood has long been active in the Egyptian political arena.The eruption of the‘January 25th Revolution’in 2011 e... As the oldest and largest religious political organization and a political opposition,the Muslim Brotherhood has long been active in the Egyptian political arena.The eruption of the‘January 25th Revolution’in 2011 enabled the Muslim Brotherhood to successfully move from behind the scenes to the stage,and the Freedom and Justice Party under the Muslim Brotherhood was highlighted in Egyptian politics and succeed in the administration of the Egyptian regime.The successful development model of the Muslim Brotherhood is closely related to its strategic communication tactics.This article explores the various strategic communication tactics of the Muslim Brotherhood targeting the internal public,the international community and the stakeholders,including vertical word-of-mouth strategic communications,joint organization strategic communications and social media strategic communications.After the‘January 25th Revolution’,the Muslim Brotherhood began to adjust to the previous strategic communications,focusing on accelerating the Islamization of the Egyptian legal system,government departments and official media,and new strategic communications have trapped it into a difficult position and it has been faced with more hurdles. 展开更多
关键词 Muslim brotherhood Strategic communication Egyptian studies the‘January 25th Revolution’
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