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医院
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    The Status of Surgical Treatment for Colorectal Cancer.A Clinical and Pathological Analysis of 182 Cases
    瑞士圣加仑州立医院外科大肠癌治疗状况(附183例临床病理分析)
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    Methods The clinical data of 18 GIST patients,collected from 1995 to 2004,were retrospectively analyzed.
    方法回顾性分析复旦大学附属中山医院1995-2004年间收治的18例十二指肠间质瘤患者的临床资料。
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    Methods We randomly selected 60 samples from 394 samples of pathologically confirmed meningiomas stored in our department from Jan 2001 to Dec 2003.The sections of paraffin-embedded specimens were subject to immunohistochemical stain(LSAB method) and test for expression of Mdm2,bcl2 and AR.
    方法从华西医院病理科获得2001~2003年间病理诊断明确的脑膜瘤病例共394例,计算机随机抽样60例,将60例蜡块每份切片3张,做免疫组化染色,检测Mdm2、bcl-2、AR的表达。
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    The lower respiratory tract and Urinary tract infection were accounted for 58.56 % and 14.36 % respectively.
    下呼吸道和泌尿道感染分别占医院感染的58.56%和14.36%;
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    Result During 1999 to 2004,10.72% of inpatients were cancer patients. The predicted number of cancer inpatients in 2005,2006 and 2007 is 1216? 1287 and 1359,respectively.
    结果1999-2004年该医院肿瘤患者住院人数占同期总住院人数的10.72%,预计2005-2007年肿瘤住院患者分别为1216例、1287例和1359例,且有明显逐年增加趋势。
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This communication is an analysis of the scanning results of sixty cases of clinically suspected hepatic space-occupying lesions which were subsequently pathologically proved. This series comprises 36 cases of primary carcinoma of the liver, 8 eases of metastatic carcinoma of the liver, 3 eases of schistosomal granuloma of the liver, 2 eases of liver cyst, 2 cases of liver abscess, and 1 case each of secondary mesothe-lioma of liver, cavernous haemangioma of liver,lymphangioma of liver, adenocarcinoma of gall-bladder,...

This communication is an analysis of the scanning results of sixty cases of clinically suspected hepatic space-occupying lesions which were subsequently pathologically proved. This series comprises 36 cases of primary carcinoma of the liver, 8 eases of metastatic carcinoma of the liver, 3 eases of schistosomal granuloma of the liver, 2 eases of liver cyst, 2 cases of liver abscess, and 1 case each of secondary mesothe-lioma of liver, cavernous haemangioma of liver,lymphangioma of liver, adenocarcinoma of gall-bladder, retroperitoneal undifferentiated carcino-ma, carcinoma of transverse colon, congenital intrahepatic cholangiectasis, carcinoma of panc-reas and cholecystitis. We could observe the configuration, struct-ure, location and size of the liver by this method.Each kind of hepatic space-occupying lesions had its own characteristic appearences in the liver scans.When a positive finding in the liver scan,was obtained, no single case was mistaken; but in case of negative finding in the liver scan, the possibility of space-occupying lesions could not be ruled out. Fifty-nine cases in this series showed typical changes in the liver scans, only one case of primary carcinoma of the liver exhibited no area of decreased activity in the liver scan, thus produeing false-negative result.Radioisotope scanning of the liver is accurate and painless and is considered to be the best method in the diagnosis of hepatic spaceoccupying lesions, particularly in the diagnosis and differ-ential diagnosis of carcinoma of the liver.

肝脏扫描术对肝脏占位性病变的诊断有很大的价值。我们总结了我院附属中山医院1959年以来300余例肝脏扫描中,经病理证实的60例临床上疑似肝脏占位性病变的扫描结果。本文着重讨论肝癌在扫描图上的表现及其与其他占位性病变的监别诊断,以及本方法和其他诊断方法的对比等。

26 patients with thymic masses were operated upon from 1961 to 1977 in Capital Hospital. There were 24 cases of thymoma.Ⅰeyst and Ⅰhypertrophy, Ⅱcases (42%) were clinically-pathologically malignant, 1/3 of the patients had mysthenia gravis, and in 1/6 cases leukemia, erythema nodosa. Meniere's syndrome or pregnancy co-existed. Excision was done in 21 patients. Among the 11 malignant thymomas exploratory thoracotomy and biopsy were done in 5 pstients, complete extirpation was perfomed in 4 patients, and in 2...

26 patients with thymic masses were operated upon from 1961 to 1977 in Capital Hospital. There were 24 cases of thymoma.Ⅰeyst and Ⅰhypertrophy, Ⅱcases (42%) were clinically-pathologically malignant, 1/3 of the patients had mysthenia gravis, and in 1/6 cases leukemia, erythema nodosa. Meniere's syndrome or pregnancy co-existed. Excision was done in 21 patients. Among the 11 malignant thymomas exploratory thoracotomy and biopsy were done in 5 pstients, complete extirpation was perfomed in 4 patients, and in 2 patients only palliative excision was possible. Pathological examination showed no specific correlation between the tumor size and malignancy, nor do the histological characteristics with myasthenia gravis, but lymphocytetype thymoma seemed to have a better prognosis.

首都医院自1961~1977年手术治疗胸腺肿物病人26例,其中24例为实质性胸腺瘤,1例胸腺囊肿,1例胸腺增生,26例中11例属临床病理恶性(42%)。1/3病人伴有重症肌无力,约1/6病人伴有白血病、结节性红斑、米尼尔氏综合症和妊娠。11例恶性瘤中5例未能切除,2例系姑息性切除,4例完全切除。病理检查发现肿瘤大小与性质良恶间,细胞形态与重症肌无力问均无何特殊联系。切除后5年生存率75%,10年生存率60%。肿瘤性质良恶与重症肌无力的严重程度对预后有重要影响。

From 1973 to 1978, 59 cases of choriocarcinoma and 39 cases of invasive mole were treated in our Hospital. 57.6% of the choriocarcinomas were of stage Ⅲ_B and IV. Multiple chemotherapy with 4 drugs(MTX or 5=FU, KSM, VCR and HN2) wa used as the main treatment and supplemented by surgery or irradiation. 4 to 6 courses of 5-day each course with an interval of 2-3 weeks between courses were usually given. For those with massive pulmonary metastatic lesions (diameter of lesion>3 cm), as well as lesions of brain and...

From 1973 to 1978, 59 cases of choriocarcinoma and 39 cases of invasive mole were treated in our Hospital. 57.6% of the choriocarcinomas were of stage Ⅲ_B and IV. Multiple chemotherapy with 4 drugs(MTX or 5=FU, KSM, VCR and HN2) wa used as the main treatment and supplemented by surgery or irradiation. 4 to 6 courses of 5-day each course with an interval of 2-3 weeks between courses were usually given. For those with massive pulmonary metastatic lesions (diameter of lesion>3 cm), as well as lesions of brain and pelvis, we used the multiple chemotherapy of 4 drugs combined with split-dose irradiation during which the regimen of chemotherapy was maintained as planned. Generally, radiation therapy was given after 3-4 courses of chemotherapy, with a regimen of 2000 rads/12d (30d) 2000 rads/12d=4000 rads T. D For ehoriocareinoma the overall survival rate was 61.4% and the 1, 3, 5 year survival rates were 83.3%, 80% and 80.7% respectively. For invasive mole the overall survival rate was 94.9% and the 1, 3, 5 year survival rates were 100%, 90.9% and 94.4% respectively. The survival rate of advanced cases was 79.4% and that of massive pulmonary lesion with chemotherapy combined with split-dose irradiation was 90%. Among 5 eases of brain metastases, 4 completely recovered. The problems of chemotherapy combined with split-dose irradiation were discussed in detail. The authors believe that this method of treatment is very effective for advanced choriocarcinoma with massive metastases.

1973~1978年上海肿瘤医院共收治绒癌59例及恶性葡萄胎39例。晚期绒癌(Ⅲ_B、Ⅳ期)占57.6%。治疗以四药联合化疗为主,配合手术或放疗。直径大于3厘米的肺团块转移灶,过去单用化疗或化疗合并手术疗效很差,自采用四药联合化疗合并分段放射的新疗法后效果良好。绒癌生存率为81.4%,恶葡生存率为94.9%,晚期绒癌生存率为79.4%,肺团块转移病例的生存率为90%;5例脑转移病例,经全脑放射及化疗,4例完全康复。

 
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