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气压弹道碎石机使用流程英文回答：To operate a pneumatic ballistic rock splitter, also known as a pneumatic splitter or rock crusher, you need to follow a specific procedure. Here is a step-by-step guide on how to use it:1. Safety precautions:Before starting, make sure you are wearing appropriate personal protective equipment (PPE) such as safety goggles, ear protection, and gloves.Ensure that the work area is clear of any obstructions or hazards.Familiarize yourself with the manufacturer's instructions and safety guidelines.2. Set up the equipment:Position the pneumatic splitter on a stable surface near the rock or stone you want to break.Connect the air hose to the splitter and the air compressor.Adjust the air pressure on the compressor according to the manufacturer's recommendations.3. Prepare the rock:Inspect the rock for any cracks or weak spots. Avoid using the splitter on rocks that may shatter unpredictably.Clean the surface of the rock to remove any loose debris or dirt.4. Position the splitter:Place the wedge-shaped tip of the splitter againstthe rock's surface at the desired breaking point.Hold the splitter firmly in place, ensuring it is aligned correctly.5. Activate the splitter:Turn on the air compressor to supply compressed air to the splitter.The pneumatic pressure will force the wedge into the rock, creating a crack.The crack will propagate through the rock, splitting it into smaller pieces.6. Monitor the process:Keep an eye on the progress of the splitting operation.Adjust the position of the splitter if necessary toensure the crack follows the desired path.If the crack deviates from the intended path, release the pressure and reposition the splitter.7. Complete the splitting:Once the crack has propagated through the entire rock, turn off the air compressor.Remove the splitter from the rock and inspect the split pieces.Repeat the process if necessary to further break down the rock into desired sizes.Using a pneumatic ballistic rock splitter requires practice and experience to achieve optimal results. It's important to follow the manufacturer's instructions and take the necessary safety precautions to ensure a successful operation.中文回答：使用气压弹道碎石机，也称为气动分裂机或碎石机，需要按照特定的步骤进行操作。
气压弹道碎石机操作流程及注意事项英文回答：Operating a pneumatic ballistic rock breaker requires careful attention to safety procedures and a thorough understanding of the equipment. Here is a step-by-step guide to operating a pneumatic ballistic rock breaker, along with some important precautions to keep in mind.1. Preparation:Before starting the operation, make sure you have the necessary personal protective equipment (PPE) such as safety goggles, gloves, and a hard hat.Inspect the equipment for any damage or leaks. Ensure that all connections are secure and in good condition.Familiarize yourself with the control panel and thedifferent functions of the machine.2. Site Preparation:Clear the work area of any debris or obstacles that may interfere with the operation.Mark the area where you plan to break the rocks to avoid any accidental damage to nearby structures or utilities.Ensure that there are no personnel within the vicinity of the machine during operation.3. Starting the Machine:Check the air compressor to ensure it is properly connected and functioning.Turn on the air compressor and allow it to build up sufficient pressure.Once the desired pressure is reached, turn on the machine's power switch.4. Operating the Machine:Position the machine's nozzle or breaker tool against the rock surface that needs to be broken.Pull the trigger or activate the machine's control lever to initiate the rock-breaking process.Maintain a firm grip on the machine and apply steady pressure to the rock surface.Move the nozzle or breaker tool in a controlled manner to break the rock into smaller pieces.Continue the process until the desired result is achieved.5. Safety Precautions:Always wear the appropriate PPE to protect yourself from flying debris and other hazards.Keep a safe distance from the machine during operation to avoid any potential injury.Never operate the machine in wet or rainy conditions, as it may increase the risk of electrical shock.Regularly inspect the machine for any signs of wearor damage and report any issues to the supervisor.Follow the manufacturer's instructions andguidelines for maintenance and servicing of the machine.Remember, safety should always be the top priority when operating a pneumatic ballistic rock breaker. By following the proper procedures and precautions, you can ensure asafe and efficient operation.中文回答：气压弹道碎石机的操作需要严格遵守安全程序，并对设备有深入的了解。
临床论著气压弹道联合超声碎石术和经尿道前列腺汽化电切术治疗良性前列腺增生合并膀胱结石安尼瓦尔牙生 宋光鲁 李建兴① 王玉杰(新疆医科大学第一临床医学院泌尿外科,乌鲁木齐 830054) 【摘要】 目的 探讨前列腺增生合并膀胱结石有效的治疗方法。
方法 采用瑞士E M S 第3代超声/弹道碎石清石系统(L ithoCla stM aster )和经尿道前列腺汽化电切术(transurethral re section of the p rostate,T URP )治疗前列腺增生合并膀胱结石33例。
结果 33例均一次手术成功,碎石时间15～65m in 平均35m in;前列腺电切时间50～110m i n,平均85m in 。
术中术后均无输血,无电切综合征、膀胱穿孔、结石残留等并发症。
术后5d 拔除尿管,无排尿困难、尿失禁等。
病理结果均为良性前列腺增生。
术后3个月,国际前列腺症状评分由(23.4±5.2)分下降至(7.4±1.2)分(t =3.732,P =0.000),最大尿流率由(5.4±1.5)m l/s 升至(18.6±3.2)m l/s(t =2.491,P =0.015),生活质量评分由(3.9±1.2)分降至(2.0±0.7)分(t =2.454,P =0.014)。
结论 瑞士E M S 第3代超声/弹道碎石清石系统和经尿道前列腺汽化电切术能有效治疗良性前列腺增生合并膀胱结石。
【关键词】 前列腺增生症; 膀胱结石; 气压弹道碎石; 经尿道前列腺电切术 中图分类号:R697+.32;R694+.4 文献标识:A 文章编号:1009-6604(2008)04-0323-02PC N L C o m b i n ed w ith TURP for Ben i gn Pr osta t i c Hyper pl a si a C o m p li ca ted with Bla dder Stones Ani w a r Yasn 3,SongGuangl u 3,L i J ianxing,et a l .3D epa rt ment of U rology ,F irst Hospita l of X injiang M edica l U niv ersity,U ru mchi 830054,Chi na【Abstra c t 】 O b jec ti ve T o ex plore an effective trea t m ent for beni gn p r ostatic hyperpla sia co mp licated with bladde r st one s .M e thod s S wiss L ithoClast M ast e r and transurethra l resec ti on of the p r o state (T UR P)were pe rfor m ed on 33patients with benign prosta tic hyperpla sia co mp lica t ed with bl adder st one s . Re sults The operati ons we re co mple ted successfully in a ll the cases with a mean lithoclasty ti m e of 35m in (15-65m in ),and mean T UR P ti me of 85m in (50-110m in ).No bl ood transfusi on,T UR sy ndr ome,bladde r perforati on,or residua l st one occurred duri ng and afte r the ope ra ti ons .U rethral cathe ter wa s withdrawn 5days postope ra ti on,none of the pa tients had urina ry incontinence o r dys uria .The diagnosis of beni gn p r ostati c hyperpla sia wa s conf ir m ed by pa thol ogy exam ina ti on .Three months after the opera ti ons,IPSS decreased fro m 23.4±5.2t o 7.4±1.2(t =3.732,P =0.000);maxi mu m urina ry fl ow rate inc reased fro m (5.4±1.5)m l/s t o (18.6±3.2)m l/s (t =2.491,P =0.015);and QOL decrea sed f r o m 3.9±1.2to 2.0±0.7(t =2.454,P =0.014). C o n clu si on s E M S L ithoCla st M aster co m bi ned wit h T UR P is an effective trea t m ent for ben i gn p r ostati c hy pe r p lasia co mp licated with bladder st ones .【Key W or ds 】 Benign prosta tic hyperpla sia; B ladder st one; PC NL; T URP 良性前列腺增生(benign p r ostatic hyper p lasia,B PH )是老年男性常见多发病,膀胱结石为B PH 的并发症之一。
包一：混合动力超声气压弹道碎石清石系统（一）、设备名称：混合动力超声气压弹道碎石清石系统（二）、设备数量：一套（三）、设备重要技术要求1、在碎石的同时，主动将击碎的结石碎片直接清理到患者体外。
★2、主机为一体机，具备两个能量源，可同时产生两种能量；超声能和气压弹道能；有三种以上碎石方式，每一种方式都可以单独碎石并可以同时作用于结石。
3、治疗中不损伤人体软组织、无热产生，不损坏内窥镜。
4、采用微电脑控制技术，可精确设置治疗参数，并对治疗参数进行储存。
5、配有专门的结石收集装置，能够自动收集结石碎屑，以备研究之用。
6、必须具备对肾、输尿管结石处理的功能，能通过超声探针中空部分将击碎的肾结石碎片清理出病人体外；7、采用最新型号的手控器及换能器。
★8、具有系列产品，安徽省二甲医院、三甲医院用户达到10 家以上。
★9、设备主机为原装进口。
10、要求必须具备中国大陆总代理授权。
（四）、设备重要技术参数：1、电源供应：100-240V,50-60Hz ；★ 2、超声频率:23-26.4KHz ；3、超声能探针尖端主振幅：20匕m-80匕m★4、气压弹道能能量:不小于1J；5、气压弹道能探针尖端振幅范围：1.5mm-2.0mm6、气压弹道能频率：1次/S-12次/S,连续可调7、超声能量》150VA（五）、设备配置要求：1 、碎石清石系统主机一套（原装进口）2、输尿管镜一套（原装进口）3、经皮肾镜一套（原装进口）4、泌尿科灌注泵一套（国产）包二：高档全身应用彩色多普勒超声诊断仪（一）、设备名称：高档全身应用彩色多普勒超声诊断仪。
（二）、数量：一套。
（三）、设备用途说明：以心脏超声诊断应用为主，覆盖外周血管、腹部、妇产科与胎儿心脏、浅表组织与小器官、经颅（TCD）、肌骨、经食道、造影及介入、以及术中超声等全面应用。
*（四）、投标要求：4.1必须提供该厂家已发布及获得注册证明的最新版本的心血管为主全身应用机型应标。
超声气压弹道碎石系统操作规程超声气压弹道碎石系统是将气压弹道碎石和超声波碎石技术两者结合起来的一体机，具有碎石及吸引清理碎石的功能，既可分别使用，又可同时使用，而且在碎石的时侯，负压吸引可将小结石颗粒同时吸出，吸出的结石大小均一如细砂，这项技术显然比单纯气压弹道或超声碎石更优越，大大缩短了手术时间，明显提高了临床疗效。
【工作原理】(1)气压弹道碎石：由压缩空气推动弹子高速运动并撞击探针尾部，瞬时撞击产生强大冲击力作用于探针头部与结石的接触点，从而将结石击碎(2)超声碎石：超声手柄将电能转换成机械能，然后通过超声探针将能量直接传给结石，导致结石发生高频振动而破碎。
【组成】⑴超声碎石手柄、超声碎石探针、碎石乳胶管、扳手。
(2)气压弹道碎石手柄、气压弹道碎石探针(2mm、Imm)、快速连接器之管嘴、快速连接超声波碎石之管嘴。
⑶主机。
⑷结石收集器。
(5)双脚踏开关。
【操作流程】(1)接通电源，打开主机背面的电源开关，仪器首先进行自检，自检通过后显示屏会显示出累积使用时间。
然后处于待机状态(指示灯为红色)。
(2)将空气压缩机的开关由打到“1”位置，启动后，待压缩机储气罐压力达到限定压力后，空气压缩机自动关闭，治疗中，当系统压力小于压力下限时，空气压缩机将自动启动以补充压力。
(3)将结石收集器置于主机的环状挂架上；将吸咐管插接至超声波手柄接头上，另一端插接下来结石收集器上端的接口上，按下针顶阀的黑色按钮将连接下来结石收集器侧边的硅胶管置于针顶阀门内夹紧。
⑷将超声波手柄和气压弹道手柄分别连接至主机的相应接口上。
⑸按下待机/启动按钮，指示灯为绿色，仪器处于启动状态，选择适当参数，即可通过脚踏开关控制超声、气压弹道以及吸附功能的操作可进行操作。
(6)按下功能选择按钮，通过调节提高/减低按钮，可调整超声波脉冲比率和气压弹道脉冲频率(当显示数字下部的绿点变亮时方可调整)。
(刀踏下脚踏开关左侧的踏板一半可启动吸附功能；完全踏下脚踏开关左侧的踏板即同时启动超声波及吸附功能。
