简介:摘要 :通过工程招投标、合同等在工程施工过程中运行,说明工程计量的内容、计量方法、依据、原则。
简介:【摘要】:习近平总书记在关于安全生产重要论述中明确指出安全工作的重要性,从六个方面阐述了我们应该如何强化安全意识和安全责任。这就是要求我们在社会活动和生产建设中,不但要树立自己安全生产的红线意识,还要走安全发展战略道路,不但要建立健全安全生产责任体系,还要强化企业主体责任的落实,不但要加快安全监管工作的改革创新,还要全面构建企业发展中的安全长效机制,不但要各级领导干部认真负责敢于担当,还要把各项安全管理工作布置好、落实好、检查监督好。凡是安全隐患都要消灭在萌芽状态,凡是技术上的缺陷都要尽快的投入革新,不要等隐患发展到事故的时候,再谈任何事故责任,那些生命和灾难都是无法用后悔和物质来弥补的。
简介: 【摘 要】 目前,我国幼儿学前教育存在着很多问题,其中的一个主要问题就是教育方法不正确,进而影响了教育的发展。幼儿在这个特殊时期里独立思想能力较弱,分辨是非的能力更是较弱。所以,良好的教育方法是非常重要的。它能够在一定程度上使幼儿的行为习惯和道德修养变的规范。本文从幼儿本身为出发点进行了方法的探讨,其中,包括幼儿的心理特征、良好习惯的培养、审美感知能力的培养,然后又在客观的生活环境方面进行了探讨。
简介: 【摘 要】目的:对软镜配合腹腔镜治疗输尿管结石合并肾结石的临床效果进行分析。方法:此研究选择 2017年 9月~ 2018年 12月期间在本院进行治疗的输尿管结石合并肾结石患者 85例,根据患者入院实施手术治疗时间的先后分为两组,探究组( n=42例)和参照组( n=43例),参照组患者实施常规手术治疗,探究组给予软镜配合腹腔镜手术治疗。对两组手术的相关指标进行比对研究。结果:探究组患者的手术时间、住院时间、胃肠道功能恢复时间短于参照组,且探究组的术中出血量相较于参照组显著较少, P<0.05。结论:软镜配合腹腔镜治疗输尿管结石合并肾结石的临床效果较好,术中出血量较低,手术时间短,可促进患者恢复,因此值得开展应用和推广。 【关键词】输尿管结石 ;腹腔镜 ;软镜 ;肾结石 [Abstract] Objective: to analyze the clinical effect of soft mirror combined with laparoscope in the treatment of ureteral calculi with renal calculi. Methods: in this study, 85 patients with ureteral calculi and renal calculi who were treated in our hospital from September 2017 to December 2018 were selected. According to the time of operation, the patients were divided into two groups: the exploration group (n = 42 cases) and the reference group (n = 43 cases). The reference group was treated with conventional operation, and the exploration group was treated with soft mirror and laparoscopic operation. The relative indexes of the two groups were compared. Results: the operation time, hospitalization time and recovery time of gastrointestinal function in the exploration group were shorter than those in the reference group, and the amount of intraoperative bleeding in the exploration group was significantly less than that in the reference group (P < 0.05). Conclusion: the clinical effect of soft mirror combined with laparoscopy is better, the amount of bleeding during operation is lower, the operation time is short, and it can promote the recovery of patients, so it is worthy of application and promotion.
简介:【摘要】目的:探讨在腔镜手术应用无菌巾制作的腔镜器械放置袋的效果。方法:选择 2019年 1月至 4月接收腔镜手术治疗的 20例患者为对照组, 2020年 1月至 4月接收腔镜手术治疗的 20例患者为观察组,对照组使用常规手术器械摆放平台,观察组在对照组的基础上加用无菌巾制作腔镜器械放置袋,对两组手术器械损耗率与手术医师满意度进行比较。结果:观察组患者术中使用的 150件腔镜器械总损耗率为 2.67%,对照组术中使用的 146件腔镜器械总损耗率为 16.43%,对比差异有统计学意义( P< 0.05);观察组手术医师满意度为 100.00%,显著高于对照组 60.00%的满意度( P< 0.05)。结论:在腔镜手术中,应用无菌巾制作腔镜器械放置袋,可显著降低腔镜手术器械的损耗率,提高手术医师满意度,值得推广。
简介: 【摘 要】目的:探究对疗食管癌患者应用胸腔镜联合腹腔镜的治疗效果。方法:选择本院 2017年 3月至 2018年 4月期间进行治疗的 96例食管癌患者作为此次研究对象,根据不同的治疗方式将其均分为实验组和对照组,每组各 48例。实验组通过胸腔镜联合腹腔镜进行治疗,对照组通过开胸三切口根治术进行治疗。将两组患者的治疗后术后生存状态、并发症发生率和各项临床数据(手术出血量、手术时间、住院时间、术后胸腔引流量)进行比较。结果:实验组并发症总发生率( 10.41%)显著高于对照组( 33.33%),实验组患者的手术时间、术中出血量、术后胸腔引流量以及住院的时间全部低于对照组,实验组术后生存率( 85.42%)显著高于对照组( 70.83%),差异存在统计学意义( P<0.05)。结论:对食管癌应用胸腔镜联合腹腔镜进行治疗,具有良好的临床效果,具有安全性高的特点,同时降低术后并发症发生率,有利于患者预后和生活质量的提升。 【关键词】胸腔镜;腹腔镜;食管癌 [Abstract] Objective: To explore the therapeutic effect of thoracoscopy combined with laparoscopy in the treatment of esophageal cancer. Methods: 96 patients with esophageal cancer treated in our hospital from March 2017 to April 2018 were selected as the subjects of this study. According to different treatment methods, they were divided into experimental group and control group, 48 cases in each group. The experimental group was treated by thoracoscopy combined with laparoscopy, and the control group was treated by three incision radical operation. The survival status, complication rate and clinical data (bleeding volume, operation time, hospitalization time, postoperative thoracic drainage volume) were compared between the two groups. Results: the total incidence of complications in the experimental group (10.41%) was significantly higher than that in the control group (33.33%). The operation time, intraoperative bleeding volume, postoperative thoracic drainage volume and hospitalization time in the experimental group were all lower than those in the control group. The postoperative survival rate in the experimental group (85.42%) was significantly higher than that in the control group (70.83%). The difference was statistically significant (P < 0.05). Conclusion: thoracoscopy combined with laparoscopy has good clinical effect and high safety in the treatment of esophageal cancer. At the same time, it can reduce the incidence of postoperative complications and improve the prognosis and quality of life of patients.
简介:摘要:目的:研究目的是为了分析在临床治疗肾结石中,分别应用输尿管软镜以及经皮肾镜碎石术开展治疗的实际疗效价值。方法:自 2018年 3月至 2020年 5月期间内从我院已经挂号的肾结石患者群体当中抽选研究观察对象,总计有 137例患者得以入选,将其各自分为 69例 Z组与 68例 X组, Z组患者行经皮肾镜碎石术, X组患者行输尿管软镜钬激光碎石术,统计各自术中指标、结石破碎状况结果以及术后并发症状况。结果:从最终结果中可以显然看到,在手术时间对比中, X组显然多于 Z组,差异明显且 P值 =0.0386,统计学意义具备成立条件;而在术中各项指标对比中, X组显然优于 Z组,其中的差异明显且统计学意义具备成立条件;当结石大小在 2厘米以下时, Z组与 X组之间的结石破碎率不存在差异,不具备统计学意义,而结石大小在 2厘米以上时, X组结石破碎率显然低于 Z组,其中 P值 =0.0292,统计学意义具备成立条件。结论:在临床治疗肾结石中,输尿管软镜钬激光碎石术在破碎结石中的手术价值显然优于经皮肾镜碎石术,故该手术可在治疗肾结石中得到普及采纳。