objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 評估體外震波碎石治療輸尿管結(jié)石的療效色哟哟网站十区，探討再治療率高的原因及輸尿管結(jié)石的治療選擇欧美日韩在线观看二区视频。方法回顧2000年1月～2004年12月間eswl治療輸尿管結(jié)石的臨床資料687例妇女人人操人人干，男455例（66.2%）欧美99操逼，女232例（33.8%），平均年齡46.6歲（15～83歲）欧美黑粗硬A片。有雙側(cè)輸尿管結(jié)石6例www.欧美激情69，單側(cè)多發(fā)性輸尿管結(jié)石12例（4顆1例青春草在线视频按摩按，3顆2例，2顆9例）欧美电影三级在线观看，共計輸尿管結(jié)石709顆（含透光結(jié)石13顆）。應(yīng)用上海愛申公司生產(chǎn)的desunit6030型碎石機18禁裸露啪啪网站免费网站，c臂x線球管做結(jié)石定位91国内精品久久久久网站。上段輸尿管結(jié)石（腎盂輸尿管交界處至骶髂關(guān)節(jié)上緣）取仰臥位，下段輸尿管結(jié)石（骶髂關(guān)節(jié)上緣下至輸尿管口）取俯臥位日韩毛片在线观看。為減少eswl引起的腎損傷和疼痛色欲影视国产精品，應(yīng)用較低的能量，震波發(fā)生器電壓從9.8～13.2kv18禁在线永久免费观看不卡，震波頻率1.5s日韩在线最新专区。每次治療設(shè)定為1500次震波。治療后3天攝腹部平片或b超欧美色淫淫，以后每隔7日重復檢查日韩精品导航大全视频在线播放。假如結(jié)石未碎或有殘留結(jié)石最長徑＞3mm以上，再次eswl欧美va在线视频品，兩次治療的間隔時間為兩周日韩制服丝袜无码网站视频。結(jié)石的大小用x線片上的表面積（mm2表示。結(jié)果 709顆輸尿管結(jié)石總的治愈率為97.3%（690顆）噜噜色噜噜网色妞网av，再治療率34.1%（242顆）黄色A片区全部免费。其中一次治療467顆，平均結(jié)石大小37.27mm2亚洲小说在线综合专区，治愈464顆（65.4%）免费a片小视频网站，3顆改治療；兩次治療138顆农村野外操逼片儿。，平均結(jié)石大小62.48mm2日本最新黄色网站，治愈131顆（18.5%），7顆改治療久久A级片；第1和第2次治療治愈率（1個月治愈率）為83.8%在线欧美视频网址www。3次治療52顆，平均結(jié)石大小79.60mm2超碰黄色在线看，治愈50顆（7.1%）成年人的视频在线观看，2顆改治療；4次治療19顆亚洲精选午夜久久无码6O80，平均結(jié)石大小101.63mm2最黄欧美性爱黄图，治愈17顆（2.4%），2顆改治療日韩影音先锋av资源站；5次及5次以上治療33顆www.的黄色网站，平均結(jié)石大小119.33mm2免费毛片A一级在线播放，治愈28顆（3.9%），5顆改治療国产黄色网站免费在现观看」谝患秼H片A片免费久久免费？傆?9顆（2.7%）結(jié)石改變治療方式。上段輸尿管結(jié)石335顆欧美一级特黄大片做受在线观看s，治愈321顆（95.8%）日韩美女久久久无吗，再治療129顆（38.5%）。下段輸尿管結(jié)石374顆婷婷操操b，治愈369顆（98.7%）疯狂欧美黑粗硬大插进去了，再治療113顆（30.2%）。經(jīng)χ2檢驗激情另类小说，上一级黄色片美国、下段輸尿管結(jié)石的再治療率差異有顯著性（χ2=5.40，p＜0.05）最新热播无码视频。，治愈率差異無顯著性（χ2=0.15免费黄色视频A片子，p＞0.05）。不良反應(yīng)：血壓升高13例（1.9%）国产初高中精品网，震波區(qū)域疼痛26例（3.8%）欧美另类69高清XXXXX，震波進入處皮膚點狀淤血33例（4.8%），肉眼血尿128例（18.6%）看AV片网站，均于第2在线视频A∨、3天自行消失。結(jié)論 eswl目前仍是輸尿管結(jié)石的第一線治療国内自拍无码日韩经典视频，結(jié)石的大小是再治療率高的主要因素欧美日韩www。結(jié)石的位置有影響，上段輸尿管結(jié)石可隨呼吸移動国产精品无码AV在毛片，有效震波次數(shù)減少国内永久第一免费福利视频，再治療率比下段輸尿管結(jié)石高。eswl前注重病例篩選可降低再治療率97re精品视频在线观看。

In this "five-step", the evolution of the first step in the series of groups of animals very strange: 14 more haikou insect specimens comparative anatomy studies show that, they not only, and the lack of chordomas in skin, muscle, breathing, circulation, neural organs such as the system with the fundamental difference between the existing chordates, One of the most distinctive is the gills of six foreign composed of respiratory system, and this is the mouth of higher animals in the gills.

在這分&五步走&的演化系列中色战五月天天天天天，&第一步&的動物類群十分奇特：對1400多枚海口蟲標本進行比較解剖學研究表明www.国产无码，它們不僅缺少脊索構(gòu)造欧美人牲交免费黄色一级片爱情就爱，而且在皮膚、肌肉中文字幕网站在线观看、呼吸国产一级婬片A片免费无码、循環(huán)、神經(jīng)等器官系統(tǒng)上與脊索動物存在著根本差別日韩午夜在线试看网站免费视频；其中最為獨特的是其由6對外鰓組成的呼吸系統(tǒng)老司机日韩精品伦理片，這與較為高等的后口動物的勤鰓迥然有別亚洲欧美日本一区。

In this five-step, the evolution of the first step in the series of groups of animals very strange: 14 more haikou insect specimens comparative anatomy studies show that, they not only, and the lack of chordomas in skin, muscle, breathing, circulation, neural organs such as the system with the fundamental difference between the existing chordates, One of the most distinctive is the gills of six foreign composed of respiratory system, and this is the mouth of higher animals in the gills.

在這分&五步走&的演化系列中，&第一步&的動物類群十分奇特：對1400多枚?9ri视频精品这里精品？谙x標本進行比較解剖學研究表明超碰人人99，它們不僅缺少脊索構(gòu)造，而且在皮膚色五月综合网、肌肉欧美日韩国产成A免费网站、呼吸、循環(huán)爱爱亚洲区女视频、神經(jīng)等器官系統(tǒng)上與脊索動物存在著根本區(qū)別毛片网址资源这些播放；其中最為獨特的是其由6對外鰓組成的呼吸系統(tǒng)国产无遮挡18禁无码网站欲色，這與較為高等的后口動物的內(nèi)鰓迥然有別欧美一级高清黄片视频。

The teeth of these fleet-footed predators are too small to use as daggers for large kill, but the cats have strong jaws that lock around the throat of prey until the victim stops breathing.

它的牙齒對于這些快腿的食肉動物者是非常小的，用來似匕首去大開殺戒首页日韩精品无码AV，但是那貓科動物卻有強硬的口使它能夠鎖住被掠食者的咽喉周圍直到那只受害者停止了呼吸為止日韩台精品电影在线观看。

Now, her health is poorer and poorer: complexion is either pale or livid purple, the lip is pinkish and dry, more suction fluid , brisket rise, little belly button is outstanding , breathe rapid , the legs weak, whenever she has some activity ,she is out of breath and easy to be tired . These show that her disease becomes more serious.

現(xiàn)在，她的身體在不斷地衰弱：面色要么蒼白要么青紫美女在线操，口唇呈淡粉色国产精品免费一区二区三区在线看，常常發(fā)干，唾液比同齡小孩多全黄a一级毛片，前胸隆起国产宅男精品，腹上小肚臍被擠突出，呼吸急促亚洲欧美另类在线第一页，腿乏力久一精品，稍有活動則氣急且易疲累――這都是這該死的病加重的傾向啊。

At this time, I found that the mantle cavity of its mouth in the shell formed an opening, through the information, I understand that the openings referred to as the "breathing hole", which is a gas and out of place.

這時欧美国产综合一区，我發(fā)現(xiàn)它的外套膜腔會在殼口處形成1個開口AAAAA西欧黄片，通過資料，我了解到這個開口稱為&呼吸孔&国产网站在线看福利午夜r，這是氣體進出的地方男女自拍视频网站。

These are all examples of cases where CPR with mouth to mouth breathing may be more helpful than Hands-Only CPR.

在這些事例上，傳統(tǒng)的口對口呼吸救助比徒手心肺復蘇來的更有效果亚洲欧美日韩国国产综合。

Obstruction of the nose forces breathing through the mouth.

阻塞鼻子呼吸的力量67194熟妇人妻欧美日韩，通過口。

The thin film may cling to nose and mouth and prevent breathing.

這種薄膜粘附住鼻子和口會影響呼吸igao视频在线观看播放。

Ashore, I喘著粗氣, big mouth breathing the air, not later dare to go by.

上岸后国产精品一区二区色黄福利，我喘著粗氣，大口的呼吸著空氣岛国大龄av熟女毛片，過后再也不敢下海了欧美老妇性爱图。