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deaf
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    Evaluation of Three Pre-selection Formulae for Deaf Children in Hearing Aids Fitting
    三个预选公式在儿助听器验配中的效果评价
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    Method 2 prelingual and 2 postlingual deaf patients were tested with promontory stimulation for electric hearing threshold, maximum comfortable level and gap detection. Pre and postoperative speech performance were evaluated with semi-quantitative method designed by the author.
    方法选语前及语后患者各2例,测试每秒50、100及200次脉冲率方波的电听觉阈值(μA)、最大舒适水平及间隔辨别力,4例患者均植入Nucleus22导人工耳蜗装置,术前及术后言语康复训练后以半定量方法进行言语可懂度主观评价。
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    Among 76 probands, 1 case accompanied by deaf mute, 1 case by WPW, 2 cases by myocarditis, 2 cases by branch block, 1 by temporary atrial ventricular conduction block and 2 by hypertention.
    在 76个LQTS先证者中 ,同时伴聋哑 1例 ,预激综合征 1例 ,心肌炎 2例 ,束支阻滞 2例 ,一过性房室阻滞 1例 ,高血压病 2例。
短句来源
    Result 2 adult cases with promontory stimulation thresholds below 10 microampere and one prelingual deaf child show improved speech performance postoperatively.
    结果2例成年人鼓岬刺激阈值在10μA以下,术后言语可懂度有不同程度的改善,一例幼儿术后言语可懂度有提高。
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  deaf
Background: Prelingually deaf persons usually gain only a rudimentary command of speech and prefer sign language to communicate within the deaf community without the handicap they experience in the hearing world.
      
Method: Data were collected with the help of semi-structured interviews; with the deaf patients these were conducted in German sign language.
      
Comparison of the verbal and visual language skills of the two deaf groups revealed a substantial deficit among the deaf schizophrenics.
      
An innovative and reliable way of measuring health-related quality of life and mental distress in the deaf community
      
Mental distress and quality of life in a deaf population
      
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Objective To study the relationship between promontory stimulation tests and postoperative speech performance in 22 channel cochlear implants patients.Method 2 prelingual and 2 postlingual deaf patients were tested with promontory stimulation for electric hearing threshold, maximum comfortable level and gap detection.Pre and postoperative speech performance were evaluated with semi-quantitative method designed by the author. Result 2 adult cases with promontory stimulation thresholds...

Objective To study the relationship between promontory stimulation tests and postoperative speech performance in 22 channel cochlear implants patients.Method 2 prelingual and 2 postlingual deaf patients were tested with promontory stimulation for electric hearing threshold, maximum comfortable level and gap detection.Pre and postoperative speech performance were evaluated with semi-quantitative method designed by the author. Result 2 adult cases with promontory stimulation thresholds below 10 microampere and one prelingual deaf child show improved speech performance postoperatively.Conclusion This study did not find the functional relationship between postoperative speech performance and promontory stimulation threshold,possible reasons for the results were discussed.

目的探讨鼓岬电刺激测试对人工耳蜗植入术后患者言语康复预测的价值。方法选语前及语后聋患者各2例,测试每秒50、100及200次脉冲率方波的电听觉阈值(μA)、最大舒适水平及间隔辨别力,4例患者均植入Nucleus22导人工耳蜗装置,术前及术后言语康复训练后以半定量方法进行言语可懂度主观评价。结果2例成年人鼓岬刺激阈值在10μA以下,术后言语可懂度有不同程度的改善,一例幼儿术后言语可懂度有提高。结论本研究未发现术后言语可懂度与鼓岬刺激阈值的函数关系,探讨了其可能的原因。

Objective To choose the most effective way for deaf children from three pre-selection formulae in hearing aids fitting. Methods Three pre-selection formulae(NAL-R, Berger, one third) of prescriptive strategy have been applied to the children(15 subjects, 30 ears) with sensorineural deafness who sustain severe and profound hearing loss, meanwhile, the comparison has been made at several frequencies in different aspects such as target gain,real ear insertion gain,unaided/aided threshold and...

Objective To choose the most effective way for deaf children from three pre-selection formulae in hearing aids fitting. Methods Three pre-selection formulae(NAL-R, Berger, one third) of prescriptive strategy have been applied to the children(15 subjects, 30 ears) with sensorineural deafness who sustain severe and profound hearing loss, meanwhile, the comparison has been made at several frequencies in different aspects such as target gain,real ear insertion gain,unaided/aided threshold and so on. Results (1)The difference between unaided and aided threshold is significant( P <0.01) after hearing aids fitting, therefore,the three formulae we used have shown some benefits,more or less,to our subjects for the hearing compensation;(2)A comparison and statistic analysis have been made in both target gain and real ear insertion gain ,the result indicated the most effective formula on hearing compensation among the three formulae seems to be Berger, and one third formula appears to be the least effective on hearing compensation in our group. Conclusion Although the most effective formula seems to be Berger, individulization must be emphasized and the type of the audiogram should be taken into consideration

目的探索出适合聋儿的助听器预选公式。方法对重度和极度感音神经性聋的15例(30耳)患儿应用NAL-R、Berger、1/3增益公式,进行了助听器验配,并对不同频率上的目标增益值、真耳介入增益值、助听前后的声场阈值方面进行了比较;探索适合于这类患者的最佳预选公式。结果1各公式助听前后的声场阈值之间有显著性差异(P<0.01),经预选公式验配后有不同程度的助听效果;2助听效果最好的是Berger公式,助听效果最差的是1/3增益公式。结论虽然助听效果最好的是Berger公式,但是还应强调个体化。

To study the clinical manifestations and therapy of Chinese long QT syndrome (LQTS) patients.According to the criteria by Schwartz 1993, 76 patients who came from 18 provinces were diagnosed as LQTS. 6 or 12 lead ECG for the probands and their family members was recorded and clinical manifestations for all probands were analyzed. Results:The age distribution for the first attack of probands was 17.2±14.8, and 59.2% of patients had their first attack before the age of 20. The sex distribution (male:female)...

To study the clinical manifestations and therapy of Chinese long QT syndrome (LQTS) patients.According to the criteria by Schwartz 1993, 76 patients who came from 18 provinces were diagnosed as LQTS. 6 or 12 lead ECG for the probands and their family members was recorded and clinical manifestations for all probands were analyzed. Results:The age distribution for the first attack of probands was 17.2±14.8, and 59.2% of patients had their first attack before the age of 20. The sex distribution (male:female) was around DK( 1∶3 DK) , and the most prominent symptom was syncope (90.8%). The triggers were emotional stress, physical stress, exercise or overwork,etc.The QTc for probands was 0.56±0.09 s. The T wave morphology was varied, and QT interval could become temporarily normal. Among 76 probands, 1 case accompanied by deaf mute, 1 case by WPW, 2 cases by myocarditis, 2 cases by branch block, 1 by temporary atrial ventricular conduction block and 2 by hypertention. The predictive genotypic results by ECG characteristics were LQT1 (31.6%), LQT2 (53.9%), LQT3 (3.9%), and unpredictable (10.5%). The therapy with β blockers were effective in most patients. The pacemaker with or without β blocker were effective for 4 patients and ICD plus β blocker were effective for 1 patient. Left cardiac sympathetic denervation (LCSD) was performed on 15 patients. Conclusion:The general clinical manifestations for Chinese LQTS patients are consistent with that reported by investigators from other countries. The predictive genotype results by ECG characteristics suggests that the major genotype for Chinese LQTS patients might be LQT2. β blockers are the first line therapy for LQTS patients. LCSD, pacemaker and ICD are the choices for β blocker resistant patients. Cardiology Long QT syndrome Surface electrocardiogram Corrected QT interval Genotype prediction β blocker

为研究我国长QT综合征 (LQTS)患者的整体发病和治疗情况 ,选择按照 1993年Schwartz等提出的LQTS诊断标准确诊为本病的家系 76个。对先证者及其家族成员进行 6或 12导联ECG同步记录 ,对先证者的临床情况进行综合分析。结果 :先症者发病年龄 17.2± 14 .8岁 ,在 2 0岁以前发病的占 5 9.2 % ;以女性居多 ;发病症状有晕厥、黑、心悸、胸闷及其它如抽搐、胸背痛、头晕等 ;诱发因素有情绪紧张或激动、劳累、运动或体力劳动等 ;患者的QTc值为 0 .5 6± 0 .0 9s。LQTS患者的ECG上T波多变 ,QT间期可出现暂时正常化。在 76个LQTS先证者中 ,同时伴聋哑 1例 ,预激综合征 1例 ,心肌炎 2例 ,束支阻滞 2例 ,一过性房室阻滞 1例 ,高血压病 2例。根据ECG特点预测LQTS患者的基因型 :LQT1占 (31.6 % ) ,LQT2占 (5 3.9% ) ,LQT3占 (3.9% ) ,其余 (10 .5 % )心电图特征不明显 ,无法预测。多数患者服用 β 阻断剂类药物有效 ;在药物效果不好的患者中 ,有 4例安装起搏器 ,1例应用埋藏式心脏复律...

为研究我国长QT综合征 (LQTS)患者的整体发病和治疗情况 ,选择按照 1993年Schwartz等提出的LQTS诊断标准确诊为本病的家系 76个。对先证者及其家族成员进行 6或 12导联ECG同步记录 ,对先证者的临床情况进行综合分析。结果 :先症者发病年龄 17.2± 14 .8岁 ,在 2 0岁以前发病的占 5 9.2 % ;以女性居多 ;发病症状有晕厥、黑、心悸、胸闷及其它如抽搐、胸背痛、头晕等 ;诱发因素有情绪紧张或激动、劳累、运动或体力劳动等 ;患者的QTc值为 0 .5 6± 0 .0 9s。LQTS患者的ECG上T波多变 ,QT间期可出现暂时正常化。在 76个LQTS先证者中 ,同时伴聋哑 1例 ,预激综合征 1例 ,心肌炎 2例 ,束支阻滞 2例 ,一过性房室阻滞 1例 ,高血压病 2例。根据ECG特点预测LQTS患者的基因型 :LQT1占 (31.6 % ) ,LQT2占 (5 3.9% ) ,LQT3占 (3.9% ) ,其余 (10 .5 % )心电图特征不明显 ,无法预测。多数患者服用 β 阻断剂类药物有效 ;在药物效果不好的患者中 ,有 4例安装起搏器 ,1例应用埋藏式心脏复律除颤器 (ICD) ,15例进行左心交感神经切除术 (LCSD) ,其中多数继续服用 β 阻断剂。结论 :我国的LQTS发病情况和临床表现与国外报道基本一致 ;根据ECG特点对LQTS患者进行的基因分型预测结果显示 ,我国的LQTS患者可能以LQT2为主。β 阻

 
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