Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reache...Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.展开更多
随钻扩眼钻井技术可在全面钻进的同时实现裸眼井段的扩径,能有效减少起下钻次数、提高钻井效率。随钻扩眼过程中领眼钻头和扩眼器上钻压、扭矩的分配与地层岩石性质、钻井参数、钻具结构等多种因素有关,因此提出能反映实际随钻扩眼过程...随钻扩眼钻井技术可在全面钻进的同时实现裸眼井段的扩径,能有效减少起下钻次数、提高钻井效率。随钻扩眼过程中领眼钻头和扩眼器上钻压、扭矩的分配与地层岩石性质、钻井参数、钻具结构等多种因素有关,因此提出能反映实际随钻扩眼过程的理论或试验方案是钻压分配规律研究的关键。为了在室内试验环境下模拟实际随钻扩眼过程,设计并进行了全尺寸随钻扩眼破岩试验。设计加工了ø215.9 mm PDC领眼钻头和扩眼直径可调(242、260 mm)的试验用扩眼器,在钻头试验台架上进行了全尺寸破岩试验,研究了随钻扩眼过程中的钻压分配规律及其受岩石类型、钻压、转速及扩眼直径的影响。试验结果表明:钻压比和扭矩比随总钻压的增大而增大,随岩石强度的减小而增大,但基本不受钻速的影响;扩眼器刀翼切削区域攻击性越强,相应的钻压比越大。所得结论可为随钻扩眼作业的钻井参数和钻具组合优化提供依据。展开更多
文摘Accidentally swallowed foreign objects are not uncommon but difficult to manage without complications. We describe the case of a 68 year old man who accidentally a swallowed sharp-pointed dental reamer that had reached deep in his jejunum. Double balloon enteroscopic retrieval was performed with polypectomy snare but the reamer was entangled in the wire loop of the snare and penetrated the jejunal wall. After releasing the reamer by pushing and pulling the snare for approximately 30 min, the reamer was retrieved with biopsy forceps. This is the first report of double balloon enteroscopic removal of a dental reamer. Furthermore, this is a novel case with regard to decision making in situations when sharp objects are swallowed.
文摘随钻扩眼钻井技术可在全面钻进的同时实现裸眼井段的扩径,能有效减少起下钻次数、提高钻井效率。随钻扩眼过程中领眼钻头和扩眼器上钻压、扭矩的分配与地层岩石性质、钻井参数、钻具结构等多种因素有关,因此提出能反映实际随钻扩眼过程的理论或试验方案是钻压分配规律研究的关键。为了在室内试验环境下模拟实际随钻扩眼过程,设计并进行了全尺寸随钻扩眼破岩试验。设计加工了ø215.9 mm PDC领眼钻头和扩眼直径可调(242、260 mm)的试验用扩眼器,在钻头试验台架上进行了全尺寸破岩试验,研究了随钻扩眼过程中的钻压分配规律及其受岩石类型、钻压、转速及扩眼直径的影响。试验结果表明:钻压比和扭矩比随总钻压的增大而增大,随岩石强度的减小而增大,但基本不受钻速的影响;扩眼器刀翼切削区域攻击性越强,相应的钻压比越大。所得结论可为随钻扩眼作业的钻井参数和钻具组合优化提供依据。
