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1.
Bacterially induced carbonate precipitation has been explored for the protection and consolidation of ornamental stone. Attempts to improve the efficiency of this biodeposition process were primarily focused on the microbial aspects, i.e. type of microorganism and metabolic pathway. In this study, the influence of the chemical parameters, i.e. concentration of calcium salts and urea, on the effectiveness of the biodeposition treatment has been examined. The amount of calcium carbonate that can be precipitated in the stone is conditioned both by the amount of cells retained in the stone and the concentration of urea and calcium used. From sonication experiments, a good consolidation was observed for limestone prisms treated with a calcium dosage of 17 g Ca2+ m?2 with no improvement at higher concentrations. For limestone prisms of 4 cm × 2 cm × 1 cm, the biodeposition treatment resulted in a 63% lower weight loss upon sonication compared to untreated specimens. The waterproofing effect was observed to increase with increasing calcium dosages. While for a calcium dosage of 17 g Ca2+ m?2 the water absorption was similar to that of untreated specimens, concentrations of 67 g Ca2+ m?2 resulted in a 50% decrease of the rate of water absorption. For calcium dosages higher than 34 g Ca2+ m?2 a significant change in the visual aspect (ΔE > 6) of the treated stones could be observed. Overall, the urea/calcium chloride-based biodeposition treatment attained a protective performance comparable with that of the commonly used ethylsilicates.  相似文献   

2.
So far, most studies on microbiologically induced carbonate precipitation for limestone conservation have been performed at temperatures optimal for the activity of the calcinogenic bacteria (i.e., 20–28 °C). Successful application in practice, however, requires adequate performance in a wide range of environmental conditions. Therefore, the aim of this study was to select microorganisms that are most suited for biodeposition at temperatures relevant for practice. In a first step, ureolytic microorganisms were screened for their growth and ureolytic activity at different temperatures (10, 20, 28, and 37 °C). Large differences in calcinogenic activity could be observed between experiments performed on agar plates and those performed in solution and in limestone. In a second step, the influence of temperature on the performance of the biodeposition treatment with different ureolytic microorganisms was evaluated, both on the consolidative and protective effect of the treatment. In contrast with the experiments on agar plates, the Sporosarcina psychrophila strains failed to produce significant amounts of calcium carbonate on limestone in conditions relevant for practice, even at 10 °C. This resulted in a poor performance of the treatment. From experiments performed on limestone prisms, it appeared that the mesophilic Bacillus sphaericus produced the highest amount of carbonate in the shortest amount of time at all temperatures tested. As a result, compared to the untreated specimens, the highest consolidative (64 % lower weight loss upon sonication) and protective effect (46 % decreased sorptivity) were observed for the treatments with this species. From this study, it appears that among all ureolytic strains tested, B. sphaericus is most suited for biodeposition applications in practice.  相似文献   

3.
Book reviews     

A total of 59 taxa of epibionts and endobionts occurred on experimentally deployed gastropod shells within one year of emplacement at depths ranging from 15 m to 260 m in the Bahamas. Most of the diversity occurred within 73 m of water depth. The experimental shells at the deepest sites (210 m, 260 m) were essentially pristine. Differences in experimental treatment affected the results: shells in bags contained more bionts than tethered shells, suggesting the bags had more protective areas for biont settlement. Soft‐bodied encrusters were restricted to the upper 73 m while foraminiferans and bryozoans exhibited bathymetric trends to the deepest sites. While boring algae and cyanobacteria were ubiquitous on the shells to 73 m, other bioeroders (e.g., clionid sponges) were rare. Bioaccumulation, rather than bioerosion, is the predominant process affecting mollusc shells during the first year of taphonomic exposure in carbonate systems to depths of 260 m.  相似文献   

4.
In 1988, a consensus conference was held at the National Institutes of Health to develop guidelines for prevention and treatment of kidney stones. The recommendations regarding the medical evaluation of stone formers and treatment directed at stone prevention are reviewed. The relevance of those 1988 guidelines is evaluated for continued pertinence. Most of the recommendations promulgated in the consensus statement remain useful today. One significant change is the current consensus that dietary calcium restriction is no longer considered appropriate therapy, as there is no evidence that it actually prevents stones and has as a consequence the potential to worsen bone demineralization.  相似文献   

5.
We studied the effect of carbonate depositions covering stone surfaces on the growth of larvae and the biomass of subsequent adults of the grazing limnephilid caddisfly Melampophylax mucoreus (Hagen , 1861) in a laboratory rearing experiment. M. mucoreus is mainly distributed in karst streams characterized by calcium carbonate precipitations (tufa). We reared larvae of M. mucoreus on stones covered by calcareous tufa crusts as well as on stones from which these crusts were experimentally removed to assess the influence on larval growth and the subsequent adult biomass. The rough surface of the covered stones provided a higher complexity of micro‐habitats and supported algal growth compared to the smooth surface of stones without crusts. Larvae of M. mucoreus profited from the enhanced algal biofilm growth on the calcium carbonate precipitation indicated by faster larval growth and higher subsequent adult biomass. Biomass increase of larvae reared on stones covered by tufa crusts exhibited a faster biomass development (0.09 ± 0.015 mg/d) compared to the larvae reared on stones without crusts (0.06 ± 0.002 mg/d). Adult males (5.13 ± 0.25 mg) and females (7.64 ± 0.63 mg) were significantly heavier in the treatment with stones covered by tufa than their conspecifics from the treatment with uncovered stones (males: 4.26 ± 0.25 mg, p = 0.047; females: 4.96 ± 0.47 mg, p = 0.001). Additionally, males from the treatment with crust covered stones emerged significantly earlier (p = 0.003) than the males from the other treatment, whereas no significant difference was found for females. (© 2006 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)  相似文献   

6.
In 1933 Auguste Loubatières started to work at the Physiological Laboratory of the Montpellier Medical School, famous for the scientific work of Emmanuel Hédon and then Louis Hédon on experimental diabetes mellitus. Auguste Loubatières was particularly interested in the study of a new preparation of long-lasting insulin (insulin-protamine-zinc: IPZ) in the totally pancreatectomized dog. In 1938, he observed that high doses of IPZ induced a severe and protracted hypoglycemia entailing convulsive attacks and even irreversible coma. The story of hypoglycemic sulfonamides started in France in spring 1942. During the second world war, because of the food shortage in Montpellier, a lot of people ate rotting food or even food contaminated with bacteria, such as shellfish. Many cases of thyphoid fever were diagnosed and treated by Marcel Janbon at the Clinic of the Montpellier Medical School with a new sulfonamide (VK 57 or 2254 RP). Adverse reactions were observed: in some patients, convulsions and even prolonged coma occurred; in some others a major drop in blood glucose was observed. M. Janbon informed the physiologists about these observations questioning them for an interpretation. A. Loubatières was particularly interested and immediately undertook animal trials. On June 13, 1942, he observed that repeated oral administration of 2254 RP in the normal fasting conscious dog induced a progressive, marked and long-lasting decrease in glycemia. He continued his experiments and definitively established the hypoglycemic effect of this sulfonamide. However the mechanism of action remained to be established. The pattern of some graphs reminded him that of some others he could previously observe in the study with IPZ; it occurred to him that 2254 RP could lower the blood glucose concentration by stimulating insulin secretion. He had then to establish the validity of his hypothesis. From 1942 to 1946, A. Loubatières performed a systematic study of the effects of 2254 RP and structural analogs and investigated the mechanism involved in the hypoglycemia. These results are reported in his "Doctorat ès-Sciences" thesis (1946). He observed that 2254 RP was ineffective on glycemia in totally pancreatectomized dogs but was effective in partially pancreatectomized ones. The hypoglycemic effect in normal dog was dependent on the plasma sulfonamide concentration; this effect appeared whatever the route of administration and was unaffected by vagotomy. Furthermore, Loubatières performed cross-circulation experiments. In these experiments, the pancreatico-duodenal vein of a normal dog was anastomosed to the jugular vein of a receiver dog made diabetic by alloxan; in this case, the injection of 2254 RP into the donor induced a decrease in blood glucose levels in the receiver. In early 1946, Auguste Loubatières proposed that the hypoglycemic property of 2254 RP was due to its ability to stimulate insulin secretion through a direct action on pancreatic islets; he wrote in his thesis "A notre avis, le para-amino-benzène-sulfamido-isopropylthiodiazol (2254 RP) est donc un corps essentiellement insulino-sécréteur; son action s'exerce directement sur les ?lots de Langerhans". He also proposed to use such hypoglycemic sulfonamides in certain forms of diabetes "que l'on peut qualifier de fonctionnels et qui sont la conséquence d'une paresse des mécanismes insulino-sécréteurs". In 1992, Jean-Claude Henquin demonstrated that the sequence of events triggered by 2254 RP at the level of islet beta-cells was similar to that induced by sulfonylureas of the first or second generation. Thus, the 2254 RP, proposed by Auguste Loubatières in the treatment of certain forms of diabetes, was the first of oral hypoglycemic sulfonamides currently used in the treatment of type 2 diabetes mellitus.  相似文献   

7.
Microbially induced calcium carbonate precipitation is a biomineralization process that has various applications in remediation and restoration of range of building materials. In the present study, calcifying bacteria, Bacillus megaterium SS3 isolated from calcareous soil was applied as biosealant to enhance the durability of low energy, green building materials (soil–cement blocks). This bacterial isolate produced high amounts of urease, carbonic anhydrase, extra polymeric substances and biofilm. The calcium carbonate polymorphs produced by B. megaterium SS3 were analyzed by scanning electron microscopy, confocal laser scanning microscopy, X-ray diffraction and Fourier transmission infra red spectroscopy. These results suggested that calcite is the most predominant carbonate formed by this bacteria followed by vaterite. Application of B. megaterium SS3 as biogenic surface treatment led to 40 % decrease in water absorption, 31 % decrease in porosity and 18 % increase in compressive strength of low energy building materials. From the present investigation, it is clear that surface treatment of building materials by B. megaterium SS3 is very effective and eco friendly way of biodeposition of coherent carbonates that enhances the durability of building materials.  相似文献   

8.

Background

To develop a method for systematic classification of gallbladder stones, analyze the clinical characteristics of each type of stone and provide a theoretical basis for the study of the formation mechanism of different types of gallbladder stones.

Methodology

A total of 807 consecutive patients with gallbladder stones were enrolled and their gallstones were studied. The material composition of gallbladder stones was analyzed using Fourier Transform Infrared spectroscopy and the distribution and microstructure of material components was observed with Scanning Electron Microscopy. The composition and distribution of elements were analyzed by an X-ray energy spectrometer. Gallbladder stones were classified accordingly, and then, gender, age, medical history and BMI of patients with each type of stone were analyzed.

Principal Findings

Gallbladder stones were classified into 8 types and more than ten subtypes, including cholesterol stones (297), pigment stones (217), calcium carbonate stones (139), phosphate stones (12), calcium stearate stones (9), protein stones (3), cystine stones (1) and mixed stones (129). Mixed stones were those stones with two or more than two kinds of material components and the content of each component was similar. A total of 11 subtypes of mixed stones were found in this study. Patients with cholesterol stones were mainly female between the ages of 30 and 50, with higher BMI and shorter medical history than patients with pigment stones (P<0.05), however, patients with pigment, calcium carbonate, phosphate stones were mainly male between the ages of 40 and 60.

Conclusion

The systematic classification of gallbladder stones indicates that different types of stones have different characteristics in terms of the microstructure, elemental composition and distribution, providing an important basis for the mechanistic study of gallbladder stones.  相似文献   

9.
Evidence of microbial involvement in carbonate precipitation has led to the exploration of this process in the field of construction materials. One of the first patented applications concerned the protection of ornamental stone by means of a microbially deposited carbonate layer, i.e. biodeposition. The promising results of this technique encouraged different research groups to evaluate alternative approaches, each group commenting on the original patent and promoting its bacterial strain or method as the best performing. The goal of this review is to provide an in-depth comparison of these different approaches. Special attention was paid to the research background that could account for the choice of the microorganism and the metabolic pathway proposed. In addition, evaluation of the various methodologies allowed for a clear interpretation of the differences observed in effectiveness. Furthermore, recommendations to improve the in situ feasibility of the biodeposition method are postulated. In the second part of this paper, the use of microbially induced carbonates as a binder material, i.e. biocementation, is discussed. Bacteria have been added to concrete for the improvement of compressive strength and the remediation of cracks. Current studies are evaluating the potential of bacteria as self-healing agents for the autonomous decrease of permeability of concrete upon crack formation.  相似文献   

10.
Manel N  Littman DR 《Cell》2011,147(2):271-274
Two groups have identified SAMHD1, a protein encoded by an Aicardi-Goutières Syndrome susceptibility gene, as the factor that restricts infection of macrophages and dendritic cells with HIV-1. Here we discuss implications of this discovery for induction of antiviral protective immunity.  相似文献   

11.
Urine is a highly saturated solution due to the presence of certain colloids. The protective action of urinary colloids is of major importance in preventing precipitation, agglomeration and conglomeration of crystalloids from a super-saturated solution. If the concentration of such protective colloids is insufficient, stone formation begins or is accelerated. In 680 human subjects, the incidence of stone was found to be almost inversely proportional to the degree of protective urinary colloids present. Urine specimens were subjected to ultramicroscopic examination, determination of electric charge carried by the colloidal particles, determination of the surface tension, and photo-ultramicrographic studies. Subcutaneous injection of hyaluronidase mixed with physiologic saline solution greatly increases the content of protective colloids in the urine. The colloids are caused to set up to a gel, thereby preventing electrolytes present from crystallizing. They act as excellent dispersing agents and prevent the formation of stone. Hyaluronidase therapy, using 150 turbidity reducing units every 24 to 72 hours, was effective in preventing calculous formation or reformation during a period of 11 to 14 months in 18 of 20 patients in whom, previously, stones formed rapidly. In a second series of ten patients in whom stones formed rapidly, larger doses of hyaluronidase, averaging 300 turbidity reducing units every 24 to 48 hours, were given. The period of observation at the time of report was from six to ten months. In this group, there was no new stone formation or enlargement of existing stones as evidenced by x-ray studies at 30- to 60-day intervals.  相似文献   

12.
In general, microorganisms such as chemolithotrophic and chemo‐organotrophic bacteria, cyanohacteria, algae, fungi, and lichens living on and in stone material may be of importance in biodeterioration. These groups contribute substantially to the deterioration of mineral materials such as natural stone, concrete, ceramics, and glass. The attack on mineral materials may be either strongly or mildly aggressive or both. A strongly aggressive attack is caused by biogenic mineral or organic acids. A mildly aggressive attack results from hydrophilic slimes such as heteropolysaccharides and/or proteins (biofilm) and their ability to accumulate water and salts. Attack by exoenzymes seems to be unimportant.

In recent years it has become possible to test the resistance of mineral materials to microbial attack by means of a biotest. Three simulation apparatuses were constructed; each allowed the incubation of test materials under microbiologically optimized conditions. Biodeterioration involving biogenic sulfuric acid corrosion, which under natural conditions needs eight times as long, was detectable within a few months. The results differed from those of purely chemical and/or physical tests of materials. Physical/chemical test methods are not sufficient to determine the resistance of materials to biological attack, because they do not include the interactions between microorganisms and their substrate, the mineral material. In the case of biogenic sulfuric acid corrosion, simulation experiments demonstrated differences in resistance of various concrete types, which ranged from I to 20% weight loss of test blocks within I year. With chemical testing only negligible differences in weight loss were noted. This was also the case with biogenic nitric acid corrosion. Thus, biotests assist in the selection of appropriate materials from many different ones.  相似文献   

13.
Urine is a highly saturated solution due to the presence of certain colloids. The protective action of urinary colloids is of major importance in preventing precipitation, agglomeration and conglomeration of crystalloids from a super-saturated solution.If the concentration of such protective colloids is insufficient, stone formation begins or is accelerated. In 680 human subjects, the incidence of stone was found to be almost inversely proportional to the degree of protective urinary colloids present. Urine specimens were subjected to ultramicroscopic examination, determination of electric charge carried by the colloidal particles, determination of the surface tension, and photo-ultramicrographic studies.Subcutaneous injection of hyaluronidase mixed with physiologic saline solution greatly increases the content of protective colloids in the urine. The colloids are caused to set up to a gel, thereby preventing electrolytes present from crystallizing. They act as excellent dispersing agents and prevent the formation of stone.Hyaluronidase therapy, using 150 turbidity reducing units every 24 to 72 hours, was effective in preventing calculous formation or reformation during a period of 11 to 14 months in 18 of 20 patients in whom, previously, stones formed rapidly. In a second series of ten patients in whom stones formed rapidly, larger doses of hyaluronidase, averaging 300 turbidity reducing units every 24 to 48 hours, were given. The period of observation at the time of report was from six to ten months. In this group, there was no new stone formation or enlargement of existing stones as evidenced by x-ray studies at 30- to 60-day intervals.  相似文献   

14.
宁夏水洞沟遗址的发现首次证实了旧石器时代东亚古人类的热处理行为。本文通过压缩实验和XRD(X射线衍射)检测,对宁夏水洞沟遗址区采集的白云岩石料热处理前后的力学性能进行了定量研究。结果表明,经过450℃热处理的白云岩石料材质更加均匀,硅质含量减小、钙质含量增加,抗压强度下降31%,最大应变提高27%,在应力-应变曲线上出现了明显的锯齿状波动现象。这些变化降低了打击石料所需的力度,使石料易于产生多次开裂,不容易发生一次性灾变破坏,为古人类调整打击点、打击方向和力度创造了机会,从而降低了打制难度,提高了石器的制作质量和效率。  相似文献   

15.
To investigate potential differences in stone composition with regard to the type of Primary Hyperoxaluria (PH), and in relation to the patient’s medical therapy (treatment naïve patients versus those on preventive medication) we examined twelve kidney stones from ten PH I and six stones from four PH III patients. Unfortunately, no PH II stones were available for analysis. The study on this set of stones indicates a more diverse composition of PH stones than previously reported and a potential dynamic response of morphology and composition of calculi to treatment with crystallization inhibitors (citrate, magnesium) in PH I. Stones formed by PH I patients under treatment are more compact and consist predominantly of calcium-oxalate monohydrate (COM, whewellite), while calcium-oxalate dihydrate (COD, weddellite) is only rarely present. In contrast, the single stone available from a treatment naïve PH I patient as well as stones from PH III patients prior to and under treatment with alkali citrate contained a wide size range of aggregated COD crystals. No significant effects of the treatment were noted in PH III stones. In disagreement with findings from previous studies, stones from patients with primary hyperoxaluria did not exclusively consist of COM. Progressive replacement of COD by small COM crystals could be caused by prolonged stone growth and residence times in the urinary tract, eventually resulting in complete replacement of calcium-oxalate dihydrate by the monohydrate form. The noted difference to the naïve PH I stone may reflect a reduced growth rate in response to treatment. This pilot study highlights the importance of detailed stone diagnostics and could be of therapeutic relevance in calcium-oxalates urolithiasis, provided that the effects of treatment can be reproduced in subsequent larger studies.  相似文献   

16.
The corolla spider (Araneae: Segestriidae: Ariadna) of the Namib Desert gravel plains typically places seven or eight stones in a circle around its burrow entrance. It was examined whether the spider selects and places stones according to physical characteristics. Circle composition can be explained by the allometric scaling to spider size of the burrow entrance and the stones. The stones were usually placed with the narrowest side or point towards the burrow. Quartz crystals were preferred to four other stone types available. The spiders could detect prey brushing the outside of the circle stones that were about as wide as the spider's path of attack. I conclude that corolla spiders use the selected stones as tools to extend their foraging range.  相似文献   

17.
Increasing environmental pollution in urban areas has been endangering the survival of carbonate stones in monuments and statuary for many decades. Numerous conservation treatments have been applied for the protection and consolidation of these works of art. Most of them, however, either release dangerous gases during curing or show very little efficacy. Bacterially induced carbonate mineralization has been proposed as a novel and environmentally friendly strategy for the conservation of deteriorated ornamental stone. However, the method appeared to display insufficient consolidation and plugging of pores. Here we report that Myxococcus xanthus-induced calcium carbonate precipitation efficiently protects and consolidates porous ornamental limestone. The newly formed carbonate cements calcite grains by depositing on the walls of the pores without plugging them. Sonication tests demonstrate that these new carbonate crystals are strongly attached to the substratum, mostly due to epitaxial growth on preexisting calcite grains. The new crystals are more stress resistant than the calcite grains of the original stone because they are organic-inorganic composites. Variations in the phosphate concentrations of the culture medium lead to changes in local pH and bacterial productivity. These affect the structure of the new cement and the type of precipitated CaCO3 polymorph (vaterite or calcite). The manipulation of culture medium composition creates new ways of controlling bacterial biomineralization that in the future could be applied to the conservation of ornamental stone.  相似文献   

18.
The deterioration of the stone built and sculptural heritage has prompted the search and development of novel consolidation/protection treatments that can overcome the limitations of traditional ones. Attention has been drawn to bioconservation, particularly bacterial carbonatogenesis (i.e. bacterially induced calcium carbonate precipitation), as a new environmentally friendly effective conservation strategy, especially suitable for carbonate stones. Here, we study the effects of an in situ bacterial bioconsolidation treatment applied on porous limestone (calcarenite) in the sixteenth century San Jeronimo Monastery in Granada, Spain. The treatment consisted in the application of a nutritional solution (with and without Myxococcus xanthus inoculation) on decayed calcarenite stone blocks. The treatment promoted the development of heterotrophic bacteria able to induce carbonatogenesis. Both the consolidation effect of the treatment and the response of the culturable bacterial community present in the decayed stone were evaluated. A significant surface strengthening (consolidation) of the stone, without altering its surface appearance or inducing any detrimental side effect, was achieved upon application of the nutritional solution. The treatment efficacy was independent of the presence of M. xanthus (which is known as an effective carbonatogenic bacterium). The genetic diversity of 116 bacterial strains isolated from the stone, of which 113 strains showed carbonatogenic activity, was analysed by repetitive extragenic palindromic–polymerase chain reaction (REP-PCR) and 16S rRNA gene sequencing. The strains were distributed into 31 groups on the basis of their REP-PCR patterns, and a representative strain of each group was subjected to 16S rRNA gene sequencing. Analysis of these sequences showed that isolates belong to a wide variety of phylogenetic groups being closely related to species of 15 genera within the Proteobacteria, Firmicutes and the Actinobacteria. This study shows that the abundant carbonatogenic bacteria present in the decayed stone are able to effectively consolidate the degraded stone by producing new calcite (and vaterite) cement if an adequate nutritional solution is used. The implications of these results for the conservation of cultural heritage are discussed.  相似文献   

19.
Dr. Andreas May 《Facies》1994,30(1):193-208
Summary The Beisinghausen Limestone (Upper Givetian to Frasnian) in the Eslohe-Reiste area (northern Sauerland), used in the past as building stone, corresponds to proximal carbonate turbidites which have been derived from the Attendom-Elspe ‘reef’ complex. The particles of this allodapic limestone originated in different parts of the carbonate complex as shown by facies-diagnostic microfossils (foraminifera, calcisphaeres, calcareous algae, microproblematica). The fossils as well as the other dominating grain types (lumps, peloids) point to source areas located within lagoonal and slope environments. Reef-derived material is rare. The turbidites exhibit four microfacies types, differentiated by composition and size of the grains as well as by micrite content and corresponding to the common vertical and lateral textural variation of limestone turbidites. These MF types were recognized in outcrops as well as from building stones used in building the St. Pankratius church in Eslohe-Reiste (northern Sauerland) in 1849 and in the renovation of the church in 1963/64. The comparison of microfacies and the degree of the destruction of ‘old’ and ‘new” building stones by weathering (macroscopically described by the ◂Fabric Index’: Product of the ‘Rock Destruction Risk’ and the ‘Rock Preparation Destruction Degree’) shows that intrabioclastic rudstones (MF type 1) and bioclastic grainstones (MF type 2), both characterizing the basal parts of the turbidite beds, are more resistant to weathering destruction originating from freezing and thawing than packstones (MF type 4). Weathering of micritic facies types (e.g., MF 4) is more intensive due to the stronger development of joint systems affecting not only the surface of the building stones but the entire dimension stone. Porosity or the existence and amount of stylolites seem to have had no significant impact on the weathering of the building stones studied. The stronger weathering of building stones used in the original construction of the church as compared with the stones applied in this century is caused by the greater time interval available for mechanical weathering connected with freezing and thawing. The consideration of microfacies of limestone turbidites should facilitate the exploitation of weathering-resistant carbonate building stones.  相似文献   

20.
目的:探讨侧卧体位下经皮肾穿刺取石术联合经尿道输尿管镜取石术治疗复杂上尿路结石的可行性及临床应用价值。方法:回顾性分析2009年8月至2011年9月我院采用侧卧体住下经皮肾穿刺取石术联合经尿道输尿管镜取石术治疗复杂上尿路结石患者52例的临床资料:患者同时存在肾脏铸型结石或多发结石和或输尿管上段结石,单个结石最大径8-30mm。结果:平均手术时间60分钟(50—120分钟);术前血红蛋白116±30g/L,术后第一天复查105±26g/L,无大出血需要输血病例;一次结石取净率为86.5%(45/52),总取净率为92.3%(48/52)。结论:侧卧体位下经皮肾穿刺取石术及经尿道输尿管镜取石术两种术式联合应用具有可行性及互补性,在预防及减少术中出血、获得清晰的手术视野、减少灌注液外渗、增加结石清除速度及碎石成功率、缩短手术时间、减少术后发热等方面疗效显著,为治疗复杂上尿路结石提供了一个可行的新方法。  相似文献   

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