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  elderly patients
The early percutaneous coronary intervention in elderly patients with acute coronary syndrome
      
It was shown that early PCI might be an effective and safe method to treat elderly patients with ACS.
      
Correlations between the impairments of higher cortical functions (assessed by clinical scores and neuropsychological tests) and multichannel EEG spectra were analyzed in elderly patients with mild dementia and children with cognitive problems.
      
Thus, the 5-HTT gene polymorphisms do not affect the risk of depression but is possibly associated with specific clinical signs of the disease, at least in elderly patients.
      
The risk factors for RCIN are primarily pre-existing (even mild) renal dysfunction, diabetes mellitus, absolute or relative hypovolemia, nephrotoxic drugs, etc., particularly in elderly patients.
      
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  elderly patient
The medical management of primary open-angle glaucoma in the elderly patient
      
Predictors for the use of physical restraints are poor mobility, impaired cognitive status and high dependency of the elderly patient and the risk of falls in the nurses' opinion.
      
???The occurrence of extreme cardiac enlargement in an elderly patient associated with multiple coronary bypasses has been not described so far.
      
Since AAA is a disease of the elderly patient with generalized atherosclerosis, there is a high coincidence with other vascular morbidities.
      
The dominant factor in a fracture is therefore the fall of the elderly patient.
      
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  older patients
Social functioning was significantly better in older patients and in those with no alcohol abuse or personality disorder.
      
Early hemicraniectomy lowers mortality below 40% but functional outcome is frequently unsatisfactory, especially in older patients.
      
In addition levothyroxine 300-500 μg (50 μg in older patients with known cardiovascular disease) has to be administered intravenously 12-24 hours later.
      
Patients in severe pain and older patients were more likely to prefer injections.
      
Ventricular arrhythmias (couplets, ventricular tachycardia) were found in 3% of the younger and 17% of the older patients.
      
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One thousand five hundred and thirty cases of esophageal and cardiac carcinoma were treated in our hospital from 1981 to 1985. Among them 450 cases were over 60 years old(the elder group). 1080 cases were below 59(the non-elder group). The resection rate of the elder group was 88%, and the non-elder group was 90.1%, The 5-year survival rate of the elder was 38.4% and that of the non-elder was 35%. There was not much difference between the two contrasts. The mortality rate of resection in the elder group was...

One thousand five hundred and thirty cases of esophageal and cardiac carcinoma were treated in our hospital from 1981 to 1985. Among them 450 cases were over 60 years old(the elder group). 1080 cases were below 59(the non-elder group). The resection rate of the elder group was 88%, and the non-elder group was 90.1%, The 5-year survival rate of the elder was 38.4% and that of the non-elder was 35%. There was not much difference between the two contrasts. The mortality rate of resection in the elder group was 5.3%,and that in the non-elder group was 3.5%. There was much difference between them. The main reason for the increase of the mortality rate in the elder group was the existence of complications. Preoperative treatment and preparation and postoperative prevention measures against complications are discussed.

我院1981~1985年五年间,外科治疗食管癌和贲门癌1530例。其中60岁以上(高龄组)450例,59岁以下(非高龄组)1080例。二者比较高龄组切除率88%,非高龄组90.1%。五年生存率高龄组38.4%,非高龄组35%。前两者比较差异无显著性(P>0.05)。切除死亡率高龄组5.3%,非高龄组3.5%,二者比较差异有显著性(P<0.05)。导致高龄患者切除死亡率高的主要原因是术前并存症的存在。本文重点对高龄病人术前并存症的处理,以及术后并发症的防治进行了讨论。

Causes, diagnoses and tratments of 28 cases of extrahepatic cholangiocarcinoma are disscused. The writers think that in this paper patients with gallstones over 40 have higher incidence of this disease. So they suggest that patients like that be closely watched. The writers also think that B-model ultrasonography is a helpful diagnostic method and the radical therapeutic surgery is the first choice for the disease.

1989年8月-1992年7月我科收治的肝外胆癌28例。其中15例作了手术探查,2例作了治愈性手术切除,8例作了胆道内(外)引流,其中2例还加作了内置管。另2例加作了肝动脉灌注化疗,本组手术死亡3例,均为高龄合并重度阻塞性黄疸患者,因此对高龄患者,手术危险性极大,应特别注意。对40岁以上的可疑患者及胆道结石和感染的病例应作定期B超检查,以期早期发现早期治疗。治疗仍以治愈性切除治疗为首选,阻塞性黄疸患者的手术最好在作PTCD,改善全身状况和肝功能后进行,以提高手术的安全性。

The relation of patient 5-year survival rate to the clinical pothologlcal features, cell morphometry and steroid hormone receptors (SR) expression of 33 cases breast carcinoma simplex was studied. The results showed that (1) there were some cy-tological parameters implying poor prognosis , i. e. Large nuclear including mean nuclear diameter, perimeter and area, obvious nuclear pleomorphism, little nuclear shape factor, and more mitotic figures, (2) there was a high survival rate in patients over the

分析33例乳腺单纯癌细胞形态定量、临床病理特征及性激素受体(SR)表达与术后5年生存率的关系。结果显示:(1)癌细胞核大(包括平均核直径、周长、面积)、异型性明显、形状因子小、核分裂象多见者预后差;(2)组织学Ⅰ-Ⅱ级、SR表达水平高、无淋巴结转移者及高龄患者预后较好;(3)少数单纯癌虽然细胞核小,但若细胞分化较差、缺乏SR表达且伴有淋巴转移者仍预后不良。表明综合考虑单纯癌细胞和组织病理学特征、SR状态及临床特点,才能更好地估计预后。

 
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