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bileduct
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  bile-duct
     Clinical Studies on Ultrasound Lithotripsy in Intrahepatic Bile-duct via Abdomen
     Clinical Studies on Ultrasound Lithotripsy in Intrahepatic Bile-duct via Abdomen
短句来源
  相似匹配句对
     Clinical Studies on Ultrasound Lithotripsy in Intrahepatic Bile-duct via Abdomen
     Clinical Studies on Ultrasound Lithotripsy in Intrahepatic Bileduct via Abdomen
短句来源
     Objective:To study the antifibrotic effects of silymarin(SIL) on rat bile duct occlusive fibrosis.
     目的:观察水飞蓟素(Silymarin,SIL)在胆管阻塞性肝纤维化大鼠模型(bile duct occlusion, BDO)中的抗纤维化疗效。
短句来源
     DATA SOURCES: A computer-based online search of OVID database was undertaken to identify articles about artificial bile duct published in English from January 1966 to October 2006 with Keyword of "artificial bile duct".
     资料来源:通过计算机检索OVID数据库1966-01/2006-10有关人工胆管的文献,检索词“artificial bile duct”,限定文章语言种类为English。
短句来源
     Results of Duct-Occlud or Nit-Occlud device occlusion of patent ductus arteriousus
     应用Duct-Occlud和Nit-Occlud装置堵塞动脉导管未闭
短句来源
     1 with the Pfm corp detachable coil; 3 with the AGA corp Amplatzer-Duct.
     Pfm可控弹簧圈1例,AGA公司Amplatzer Duct-Occluder 3例;
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  bileduct
The latter originated in the small bowel, the appendix, the stomach, the coecum, the rectum, and the bileduct.
      
Pathophysiologically there is a connection between bileduct system and liver veins.
      
Anastomoses between the bileduct and the intestine were established in rats introducing the bile flow into the duodenum, the middle jejunum and into the lower ileum.
      
Plasma malondialdehyde (MDA), hepatic 8-hydroxy-2'-deoxyguanosine (8-OHdG), hepatic mitochondrial respiratory functions and gene transcripts were measured at 2 and 4 weeks after surgery in bileduct-ligated (BDL) and sham-operated-operated rats.
      
In 26 patients presenting with avariety of clinical indications, we recordedmeasurements of electrical activity from the common bileduct sphincter (16 patients), pancreatic duct sphincter(eight patients), and/or sphincter of Oddi (eightpatients).
      
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Acute obstructive suppurative cho-langitis (AOSC) is a serious andurgent clinical condition. It is mainlythe result of its extensive and seriouspathological damages. The autopsy fin-dings of 20 cases of acute suppurativecholangitis in Sichuan Medical CollegeHospital from 1970 to 1979 are presen-ted and their clinical significance inthe diagnosis and treatment of thisdisease is studied. There were 8 malesand 12 females, with their age rangedfrom 9 years to 69, and 4 / 5 of thesecases had a history of biliary...

Acute obstructive suppurative cho-langitis (AOSC) is a serious andurgent clinical condition. It is mainlythe result of its extensive and seriouspathological damages. The autopsy fin-dings of 20 cases of acute suppurativecholangitis in Sichuan Medical CollegeHospital from 1970 to 1979 are presen-ted and their clinical significance inthe diagnosis and treatment of thisdisease is studied. There were 8 malesand 12 females, with their age rangedfrom 9 years to 69, and 4 / 5 of thesecases had a history of biliary diseasefor more than 5 years. The autopsy findings in the hepa-tobiliary system were: (1) Cholangitisand pericholangitis associated with oneor more obstructive factors in thebiliary tract in all cases, (2) secondaryorganic lesions in the hepatobiliarysystem in most of the cases, and (3)secondary inflammatory lesions on thesurface or in the peripheral region ofthe liver involving neighboring struc-tures probably resulted from directinflammatory infiltration or lymphaticdissemination. In other vital organs,suppurative lesions in the lungs,kidneys, spleen, pancreas and meninges,etc were important pathology in mostof these cases. Eight cases had Gramnegative septicemia confirmed by posi-tive blood cultures before death. Fourcases had disseminated intravascularcoagulation and essential hemorrhageproved by laboratory examinations. Itis worth noting that numerous freebilirubin particles were revealed in thesinusoids forming "biliary sandy throm-bi" in the liver of 4 cases. These particles are probably comingfrom the corroded canaliculi passingthrough the necrotic hepatocytes intothe sinusoids. Then these mixed thrombi got intothe central venulae, sublobular veins,hepatic veins and their branches, and in two cases the mixed thrombi wereeven found in the inferier vena cava.In three of the 4 cases Budd-Chairi's.Syndrome was recorded, and in theremaining case numerous pigment stoneswere found in the abscess of the left lo-be, and biliary sandy thrombi weredemonstrated in the corroded cho-langio-vascular fistula in the abscess.In two of the four cases numerous bi-liary sandy thrombi were found in manypulmonary arteries and veins. It is, therefore, suggested that:(1) Intrahepatic caculus is most liablythe common and insidious cause ofobstruction of the bile duct died ofacute obstructive cholangitis in Chengduarea. (2) The intrabiliary pressuremight be gradually raised up as a resultof bile accumulation in the presenceof bile duct occlusion. If the pressureis much higher than the limit of toler-ance the mucous barrier of the bileduct is likely to be damaged extensively,and the intra-and/or extrahepatic bileducts as well as surrounding tissuestend to be involved in diffuse suppu-rative inflammation, focal necrosis, andeven multiple abscesses. In case ofacute suppurative hepatitis and biliarycirrhosis, the decompensation of liverfunction usually develops promptly. Regarding the possible mechanismof the formation of biliary sandythrombi, it is strongly suggesed thatthe spreading of bilirubin particlesfrom the bile duct to hepatic veins andpulmonary blood vessels, reflects theactual passage through which pyogenicbacteria get into the systemic circulation,causing fulminating toxemia, septicshock, and septicemia as a result ofacute biliary obstruction and infection.It is also suggested that the site ofintrahepatic multiple abscesses may bethe foci from which purulent germswere admitted intermittently into theblood circulation.

急性梗阻性化脓性胆管炎的病理损害远远超过胆道系统本身。本文列举了20例本病尸检所见的肝胆系统、肝脏周围和其他重要器官的主要相关病理改变,其中4例在肝静脉系统或肺血管内发现大量胆砂性血栓。本文根据尸检结果讨论了本病的病因、发病机理、胆砂性血栓、肝脓肿和其他并发症的临床意义。

The features and results of ultrasound examination of 24 cases of biliary sysrem tumors confirmed by pathology were analysed.There were 15 cases of gallbladder tumors(5 benign tumors and 10 carcinomas), and 9 cases of common bile duct carci noma.The ultrasound diagnosis of benign tumors are all confirmed with surgical results. 3 of 10 cases of gallbladder carcinoma were misdiag-nosed| they were mistaken as focal wall thickening in 1 case, solidified gallbladder in 1 case and shrunken gallbladder with thickened...

The features and results of ultrasound examination of 24 cases of biliary sysrem tumors confirmed by pathology were analysed.There were 15 cases of gallbladder tumors(5 benign tumors and 10 carcinomas), and 9 cases of common bile duct carci noma.The ultrasound diagnosis of benign tumors are all confirmed with surgical results. 3 of 10 cases of gallbladder carcinoma were misdiag-nosed| they were mistaken as focal wall thickening in 1 case, solidified gallbladder in 1 case and shrunken gallbladder with thickened wall and stone in 1 case. Duct dilatation was found in all common bileduct carcinoma cases.But there were 4 cases in which the causes of obstruction were misjudged; the tumor echo appeared high level with acoustic shadow was misjudged as gall stone and enlarged pancreatic head misdiagnosed as pancreatic carcinoma in 1 each and the characterastics oi the mass were uncertained in 2.The ultrasound diagnostic accuracy of malignancy in this group was 63.2%.Now the resolution and the manipulation of ultrasound instru-ments enable to identify majority of tumors of biliary system. Misdiagnosis is chiefly due to lack of exprience. Early detection of lesion is most important .the prognosis of malignant tumors in this group is poor, only 2 cases were operable,the other cases, were either with local infiltration or with distal lymphatic meta.stasis. The cause should be looked carefully when a thickened gallbladder wall or dilated common bile duct is obseerved.Even in case of benign gallbladder tumor, active treament should be performed or followed regularly.

本文分析了经手术及病理证实的24例胆道肿瘤的超声表现及结果。其中胆囊肿瘤15例,良性者5例;胆囊癌10例;胆总管癌9例。良性肿瘤中超声诊断与手术结果全部符合。10例胆囊癌中有3例漏诊,1例为局部囊壁增厚而未被认出,1例为胆囊实变及另1例胆囊缩小,壁增厚伴结石而漏诊。胆管癌中均见胆总管增粗,但有4例梗阻原因判断错误;1例肿瘤呈强光团伴声影误认为结石,其余则因胰头较大误认为腋头癌或未能肯定肿块的性质而误诊。本组胆道恶性肿瘤的超声诊断符合率为63.2%。误诊的原因主要是经验不足。本组恶性肿瘤预后不良,能手术切除者仅2例。故发现胆囊壁增厚或总胆管扩大,则应注意找寻原因。胆囊良性肿瘤亦应采取积极措施,或实行定期随访观察。

From July 1983 through July 1985,2,652 cases of cholelithiasis were collected inthe Eastern China district,including Fujian,Shandong,Jiangxi,ZheJiang,Anhui andJiangsu provinces and Shanghai city.Of all the stones,59.5% were pigment stonesand 33.8% cholesterol stones.40.3% of the stones were in the gallbladder only while59.7% were in the bile ducts or both in duct and gallbladder.In Fujian,Shandongand Jiangxi provinces,there were mainly pigment stones and mostly in the biliarytree.In Zhejiang and Anhui provinces,both...

From July 1983 through July 1985,2,652 cases of cholelithiasis were collected inthe Eastern China district,including Fujian,Shandong,Jiangxi,ZheJiang,Anhui andJiangsu provinces and Shanghai city.Of all the stones,59.5% were pigment stonesand 33.8% cholesterol stones.40.3% of the stones were in the gallbladder only while59.7% were in the bile ducts or both in duct and gallbladder.In Fujian,Shandongand Jiangxi provinces,there were mainly pigment stones and mostly in the biliarytree.In Zhejiang and Anhui provinces,both types of stone occurred evenly and alsoevenly in gallbladder and bile ducts.However,in Jiangsu and Shanghai,most of thestones were cholesterol stones.Cholecystolithiasis was likely to occur in workers,caders and intellectuals,while pigment stones were frequently seen in peasants.Bileduct pigment stones were closely related to ascariasis and cholesterol stones were theresult of high fat and protein diet.

1983年7月~1985年7月,在华东地区(福建、山东、江西、浙江、安徽、江苏、上海)范围内,对有关医院经手术治疗的胆石病进行了统一调查。总病例数为2,652例。胆色素类结石占59.5%,胆管结石占59.7%;胆固醇类结石占33.8%,胆囊结石占40.3%。福建、山东、江西三省的胆管、胆色素结石患者多,浙江与安徽的两类结石与两个不同部位结石的患者基本相等,而江苏与上海的胆囊,胆固醇类结石患者较多.这个结果与过去一向认为华东地区都是胆管、胆色素类结石较多的结论不一致。调查资料还说明工人、干部、知识分子患胆囊结石多,农民患胆色素类结石多;胆道蛔虫与胆色素结石有关;脂肪和蛋白质饮食与胆固醇结石有关.

 
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