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fire-crackers
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PURPOSE:Determiningtheeficacyofvitrectomyinexplosiveinjuriesofeyeglobesandassessingthecurrentconceptofenucleationforseveretraumatizedeyes.METHODS:Clinicalrecordswerereviewedon36consecutivepatients(44eyes)withsevereexplosiveeyebalinjuries.RE-SULTS:Theinjurieswerecausedbyexplosionofdetonator(10cases),fire-crackers(7cases),explo-siveandguns(19cases).Teneyes(22.7%)wereruptured.Fourtyeyes(90.9%)underwentvitrecto-myforposteriorsegmentinjuriesincludingvitreoushemorrhage,intraocularforeignbodies,endoph-thalmitis,andretinaldetachmentmorethan2weeksaftertraumaandprimarywoundrepair.Postop-erativevisualacuityimprovedin25eyes(62.5%),wasstablein11eyes(27.5%),anddecreasedin4eyes(10%).Finalvisionwas0.02orbetter(upto0.7)in20eyes(47.6%).Nomoreenucleationwasperformedexcepttworupturedeyes(4.5%)removedinprimaryclinicalunits.CONCLUSION:Theresultssuggestthatprimarywoundrepairwithmicrosurgeryandsecondaryvitrectomymayrecon-structtheeyebalandrestorevisualfunctions,atleastpartialy,inthemajorityofeyes,eventhoughtheexplosiveocularinjuriesofteninduceseveredamagesandeyebalrupture.Itis,thus,recommend-edthatprimaryenucleationoftraumatizedeyesshouldnotbeperformedwithanoccasionalexcep-tion....

PURPOSE:Determiningtheeficacyofvitrectomyinexplosiveinjuriesofeyeglobesandassessingthecurrentconceptofenucleationforseveretraumatizedeyes.METHODS:Clinicalrecordswerereviewedon36consecutivepatients(44eyes)withsevereexplosiveeyebalinjuries.RE-SULTS:Theinjurieswerecausedbyexplosionofdetonator(10cases),fire-crackers(7cases),explo-siveandguns(19cases).Teneyes(22.7%)wereruptured.Fourtyeyes(90.9%)underwentvitrecto-myforposteriorsegmentinjuriesincludingvitreoushemorrhage,intraocularforeignbodies,endoph-thalmitis,andretinaldetachmentmorethan2weeksaftertraumaandprimarywoundrepair.Postop-erativevisualacuityimprovedin25eyes(62.5%),wasstablein11eyes(27.5%),anddecreasedin4eyes(10%).Finalvisionwas0.02orbetter(upto0.7)in20eyes(47.6%).Nomoreenucleationwasperformedexcepttworupturedeyes(4.5%)removedinprimaryclinicalunits.CONCLUSION:Theresultssuggestthatprimarywoundrepairwithmicrosurgeryandsecondaryvitrectomymayrecon-structtheeyebalandrestorevisualfunctions,atleastpartialy,inthemajorityofeyes,eventhoughtheexplosiveocularinjuriesofteninduceseveredamagesandeyebalrupture.Itis,thus,recommend-edthatprimaryenucleationoftraumatizedeyesshouldnotbeperformedwithanoccasionalexcep-tion.

目的:评价玻璃体手术救治眼球爆炸伤的效果和因眼外伤眼球摘除的目前概念。方法:复习连续的36例(44眼)严重眼球爆炸伤患者的临床资料。结果:本组包括雷管炸伤10例,鞭炮伤7例,火药及土枪炸伤19例。其中10只眼(22.7%)眼球破裂,40只眼(90.9%)因玻璃体出血、异物、眼内炎、视网膜脱离等后节损伤在伤后或初期缝合后实行了玻璃体手术。手术后视力改善25只眼(62.5%),不变11只眼(27.5%),下降4只眼(10%)。最终视力≥0.02(最好0.7)的有20只眼。除2只眼(4.5%)因破裂已在基层医院摘除外,未再行眼球摘除手术。结论:虽然爆炸伤常造成严重眼球损伤及破裂,但经过初期显微缝合和二期玻璃体手术,多数眼能重建眼球并部分恢复视力。因此,除个别例外不宜推荐初期眼球摘除术。

Objective To understand the characteristics and regularity of children ocular trauma and provide some scientific evidence for making preventive measures for children ocular trauma. Methods The data of 206 children ocular trauma cases from hospital were analysed. Results The sex ratio was 3.7∶1. The stage of 5~7 a and 8~10 a were the peak time of ocular injury, accounts for 30.6% and 29.6%, respectively. The stage of 8~10 a of boys occupied the highest proportion, most girls happened under 7 years old. The...

Objective To understand the characteristics and regularity of children ocular trauma and provide some scientific evidence for making preventive measures for children ocular trauma. Methods The data of 206 children ocular trauma cases from hospital were analysed. Results The sex ratio was 3.7∶1. The stage of 5~7 a and 8~10 a were the peak time of ocular injury, accounts for 30.6% and 29.6%, respectively. The stage of 8~10 a of boys occupied the highest proportion, most girls happened under 7 years old. The ratio of sharp injury was higher than blunt injury and explosive injury. Most eye injury was penetrating injury ( 51.5% ), and the causes such as needle, scissors and awl were much more than others ( 26.4% ). The injury caused by fire crackers ( 64.3% ) and bullets (56.0%) of toy gun often occured during Dec to Feb of next year, wood caused injury happened from Mar to May and from Sep to Nov, both were 32.5%. In addition, the injury caused by awl, china, glass, needle or scissors most happened from Mar to May. Conclusions There was different injury causes among different aged boys and girls. Children who were less than 10 year old had were high risk group.

目的 了解儿童眼外伤发生的特点及规律 ,为儿童眼外伤预防策略的制定提供科学依据。方法 对 2 0 6例眼外伤住院儿童进行调查和统计分析。结果 男女性别比为 3.7∶ 1;5~ 7a和8~ 10 a年龄段是儿童眼外伤发病的高峰期 ,分别占总发病数的 30 .6 %和 2 9.6 % ;男童眼外伤主要发生在 8~ 10 a,而女童多发生在 7a以下 ;锐器伤所占的构成比高于钝器伤及爆炸伤 ;在眼外伤发生类型中 ,穿通伤占首位 (占 5 1.5 % ) ,其中由针锥剪铲所致的穿通伤所占的比例最高 (占 2 6 .4 % ) ;季节分布 :鞭炮和玩具枪子弹在 12月至翌年 2月致伤比例最高 ,分别为 6 4 .3%和 5 6 .0 % ;木竹杆棒有两个高峰期 ,分别在 3~ 5月和 9~ 11月 ,比例均为 32 .5 % ;石瓷玻璃片和针锥剪铲的高峰期都在 3~ 5月。结论 不同性别儿童在各个年龄段眼外伤的致伤情况不同 ,10 a以下为高危人群

 
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