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霉菌感染
    Autoptical and Clinical Analysis on 75 Cases of Deeper Fungi Infection
    75例深部霉菌感染尸体解剖及临床分析
    Nursing for Fungi Infection of Oral Cavity in Critical Patients
    危重症患者口腔霉菌感染的护理
    (2)According to pathogen results, four groups were established: Gram-positive bacteria infection group(G+ group), Gram-negative bacteria infection group(G-group),mixed infection group (G+ G- ) and fungi infection group.
    (2)脓毒症组根据病原学检查结果,分为革兰氏阳性菌感染组(G~+组)、革兰氏阴性菌感染组(G~-组)、混合感染组(G~+G~-组)以及霉菌感染组。
    143 cases (28.5%) were diagnosed as carcinomas, 160 cases (32.7%) erosions or inflammations, 36 cases (7.2%) benign ulcers, 39 cases (7.7%) benign tumours, 22 cases (4.4%) varication in gastric fundus the others include diverticulum, xanthoma and fungi infection.
    内镜诊断:癌肿143例(28.5%)、糜烂或炎症160例(32.7%)、溃疡36例(7.2%)、良性肿瘤39例(7.7%)、胃底静脉曲张22例(4.4%)、其它16例(3.1%),后者包括憩室、黄色瘤和霉菌感染
    Results The diameter≥0.5cm,number≥10,and focus≥3 of condyloma acuminatum in the observing group was respectively higher than that of control group (P<0.05). Fungi infection in vagina was significantly higher than that of control group(P<0.05) ,but gram negative cocci was significantly lower than that of control group(P<0.01).
    结果 观察组疣体直径≥ 0 .5cm ,个数≥ 10个、分布部位≥ 3处者明显高于对照组 (P <0 .0 5 ) ,阴道霉菌感染明显高于对照组 (P <0 .0 5 ) ,但革兰阴性双球菌明显低于对照组(P <0 .0 1) ;
    Gram-negative bacteria infection, mixed infection group and fungi infection group, serum-PCT levels did not differ significantly.
    (2)血清PCT在革兰氏阳性菌、革兰氏阴性菌、混合菌感染与霉菌感染组中无明显差异(p>0.05)。
    Fungi infection was closely related to chemotherapy, radiotherapy, immunosupressive drugs, corticoid and antibiotics used in the treatment of diseases mentioned above.
    霉菌感染与上述疾病治疗过程中,应用化疗、放疗、免疫抑制剂、肾上腺皮质激素及联合应用抗生素密切相关。
    Thrombosis formed in parts of small veins, Systemic toxic changes and secondary fungi infection included degeneration, necrosis of parachymal cells in multi - organs of all bodies.
    全身中毒性变化和继发感染; 全身多器官实质细胞变性坏死和继发霉菌感染
    Conclusions The results indicated that the pathological changes of lungs in SARS patients were acute lung injury. Hyper reaction of the immune system may be one of the reasons responsible for main cause of death at early phase after onset,but secondary fungi infection was an important cause of death in those SARS patients with significant immunodepression at late phase.
    结论SAPS发病早期肺部主要表现为急性肺损伤,其发生机制可能与超敏反应有关,也是SARS患者早期死亡的主要原因,与免疫抑制有关的继发严重霉菌感染是晚期病人的重要死因。
 

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