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Gymnast Chiles leads U.S. team to gold against Brazil's Andrade at Pan American Games_我的网站

一 |     AI摘要      第18批援博茨瓦纳医疗队践行“授人以渔”，通过精准救治与“边救治、边带教”模式，培训当地医生掌握骨髓穿刺等核心技术，致力为博茨瓦纳打造一支“带不走的医疗队”。    SANTIAGO, Chile -- U.S. gymnast Jordan Chiles has dreamed about being a flagbearer at a major sports event since she saw her friend Simone Biles do it at the Rio de Janeiro Olympics closing ceremony. The 22-year-old managed to get her wish at the opening of the Pan American Games in Santiago on Friday.On Sunday, the silver medalist at the Tokyo Olympics made another dream come true; to lead the U.S. women's gymnastics team into a continental final and then to a gold medal. The U.S. topped the all-round women's competition with 165.196 points, with a big push from Chiles to give the Americans their sixth straight women’s team Pan American gold medal. “There's so many more dreams in this little body of mine,” Chiles told journalists after receiving her gold medal. “It was really cool to be the flagbearer, then coming out here to win gold with an amazing team.”The main rival for Chiles, Kayla DiCello, Zoe Miller, Kaliya Lincoln and Tiana Sumanasekera was Brazil's team led by Rebeca Andrade, an Olympic gold medalist and also a friend of Biles'.“Knowing I am the veteran, I trust these younger ones,” Chiles added. “They are not that much younger than me, so being able just to see their progress and do what they did ... I wouldn't change this team for anything.” The Brazilians scored 161.564 points. Andrade sat out the floor exercise to spare her knees, and her teammates made mistakes in the uneven bars that distanced them from the U.S. team. Canada finished with the bronze medal with a distant 154.230 points.Chiles topped the all-round chart with 54.666 points, 0.101 ahead of 2021 world all-around bronze medalist DiCello.The 22-year-old American is competing in Chile as she weighs competing in the Paris Olympics or returning for her junior year at the University of California.Possibly the biggest star competing in Chile, the 24-year-old Andrade is Brazil’s most decorated gymnast in history and is competing at the Pan American Games for the first time. She will be Chiles' rival again in individual finals. “Jordan is a complete gymnast, very experienced and talented,” Andrade said. “And this is a great scenario to do well. It is a bit like the Olympics although it isn't the Olympics. When you see all the flags out in the athletes' village you start thinking about it.”The U.S. and Brazil are expected to once again battle for medals in women's gymnastics in Paris.Earlier this month, Andrade defeated Biles to take the vault gold at the world championship in Antwerp. She won two medals at the Tokyo Olympics three years ago: gold in the vault competition and silver in the all-round individual. She has nine medals in world championships, including three golds. After beating Biles, the U.S. gymnastics federation published a picture of Andrade and Biles side by side in its social media channels. “Many more battles still to come,” the message said.This Sunday, Andrade's battle ended with Chiles as the winner. Her U.S. teammates said they will do whatever the veteran wants to celebrate the gold medal in Santiago. But she has a different idea.“I think it is time to go to sleep,” Chiles said. “This is not finished.”___AP sports: https://apnews.com/sports。         东南网8月19日报道（本网记者 冯川叶）今年6月26日，第18批援博茨瓦纳医疗队启程，跨越万里奔赴非洲。一个多月来，他们以“边救治、边带教”的模式在当地扎根，用每一次精准诊断、每一台规范手术、每一场床旁教学，践行着“授人以渔”的承诺。8月19日，他们迎来在异国他乡的首个中国医师节。他们用过硬医术和无私带教，致力为博茨瓦纳打造一支“带不走的医疗队”。         陈显凌医生带着三位徒弟开展骨髓穿刺及活检培训。

二 | （医疗队供图）     “3秒，不疼了！”     抵达当地仅一周，中国援博茨瓦纳医疗队弗朗西斯敦分队的队员们还正处于适应环境的休整期。一次突如其来的求助，让这支队伍在异国他乡迎来了“首秀”。    7月5日晚，一名在博茨瓦纳弗朗西斯敦的华人青年在篮球运动中意外受伤，突发肩关节剧痛，患肢抬举困难且活动完全受限。当地华人商会紧急联系了医疗队寻求专业救助。

三 | 接到求助后，医疗队迅速联动队内骨科专业力量，紧急启动救治预案。接诊的是来自福建医科大学附属第一医院骨科的曾锦源副主任医师。面对焦急的伤者，曾医师迅速进行了细致的体格检查，精准诊断为急性肩关节脱位，评估符合无创即时手法复位的救治条件。    为最大限度减轻伤者痛苦、规避远期损伤风险，曾医师当即决定实施手法复位。

四 | 凭借扎实的正骨功底与丰富的临床经验，他精准发力、巧妙对位，仅耗时3秒便成功完成复位。随着关节归位的轻响，伤者的剧烈疼痛即刻缓解，肩关节活动功能迅速恢复正常。随后，他向伤者细致叮嘱了后续关节制动与休养护理的细则，详细讲解了运动损伤的防护要点及禁忌事项，帮助其规避二次受伤风险，并提供了全流程的康复指导。

五 | 复位成功后，这位华人青年激动地竖起大拇指连连称赞。这短短3秒钟的“中国速度”，不仅瞬间解除了患者的痛苦，更充分展现了中国医者的专业与担当。    授人以渔 让技术扎根非洲大地     “‘授人以鱼不如授人以渔’，我们把带教作为援助的一项重点工作，为当地打造一支带不走的医疗队。”这是第18批援博茨瓦纳中国医疗队队长、福建中医药大学附属康复医院纪委书记侯德梁在出征时接受记者采访时说的一句话。

六 | 一个多月以来，医疗队通过一次次“手把手”教学，用实际行动践行承诺。    骨髓穿刺及活检是血液科医师必备的核心临床操作。抵达博茨瓦纳玛丽娜公主医院不到两周，来自医疗队血液科的陈显凌主任医师、医学博士迅速投身临床救治与本土人才带教工作。本次参加培训的三名当地医学生，此前均无独立实操经验。从患者体位摆放、局部麻醉要点把控，到骨穿进针角度、进针力度调整，再到骨髓活检标本获取、标准骨髓涂片制备，陈显凌将整套操作流程逐一拆解。现场示范每一个关键动作，细致讲解技术要点、风险防范要点以及无菌操作规范，毫无保留分享临床经验。实操过程中实时纠正手法细节，引导学员建立严谨规范的临床思维。    在陈显凌的全程监护与带教指导下，三名当地医学生依次独立完成骨髓穿刺+活检全套操作，全部实现一次穿刺成功。操作顺利完成的那一刻，病房现场响起阵阵掌声。首次独立完成这项高难度操作，当地学员倍感振奋，实操的成功大大提振了他们开展血液病诊疗工作的信心。    不久前，当地一台宫颈锥切手术遇到棘手状况：术中视野暴露不佳、病灶边界分辨不清，当地医师操作受阻，手术难以继续推进。妇科易靖艺医生立刻上台接手。凭借娴熟的手术技巧，他精准划定切除范围，规范完成病灶切除与创面止血。更为关键的是，易靖艺在操作过程中结合实操，同步向当地医护讲解解剖辨识要点、手术角度把控方法以及术中难点处理经验——在解决临床急症的同时开展即时带教。这种“边做边教”的方式获得当地医生高度认可，他们表示：“中国医生不仅帮我们完成了手术，更教会了我们如何处理类似复杂情况。”     针对博茨瓦纳眼科医疗资源有限、药物依赖度高的现状，医疗队眼科黄礼彬医生大力推广选择性激光小梁成形术及眼底视网膜激光光凝治疗。这两项微创激光技术既能有效控制眼压、阻止眼底病变进展，大幅降低致盲风险，又能减少药物依赖，切实减轻患者就医经济负担。在开展治疗的同时，黄礼彬手把手带教当地医生，悉心传授激光技术的适应症筛选、参数调试与术后随访规范，将一套适配当地诊疗现状的防盲技术完整地留在了博茨瓦纳。这一举措不仅为当地眼科患者带来了新的治疗希望，也为本土医生提供了可持续开展的技术工具。

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