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  颅骨骨折
    About 65.8% children were complicated by skull fractures, with average Glasgow Coma Scale (GCS) score of 13.6. Except for acute hematoma treated with emergency surgical operation, the other hematoma was rechecked with CT scan at days 1 and 3 or so after it was found for the first time.
    6 5 .8% (79/ 12 0 )的患儿合并有颅骨骨折 ,格拉斯哥昏迷评分 (GCS)平均 13.6分。 急性血肿除立即手术者外 ,其他于首次发现血肿 1d后及3d左右再复查CT。
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  颅骨骨折
    About 65.8% children were complicated by skull fractures, with average Glasgow Coma Scale (GCS) score of 13.6. Except for acute hematoma treated with emergency surgical operation, the other hematoma was rechecked with CT scan at days 1 and 3 or so after it was found for the first time.
    6 5 .8% (79/ 12 0 )的患儿合并有颅骨骨折 ,格拉斯哥昏迷评分 (GCS)平均 13.6分。 急性血肿除立即手术者外 ,其他于首次发现血肿 1d后及3d左右再复查CT。
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  skull fractures
Raccoon eyes are easily recognized and generally believed to be a common symptom of basal skull fractures.
      
Vitamin A-deficiency and cartilage in healing skull fractures of rats
      
We report on two rare cases of intracranial cysts related to growing skull fractures which are secondary to trauma sustained during childhood, and have been discovered in adolescence.
      
Growing skull fractures (GSF) are rare complications of head trauma.
      
The Natural History of Late Diagnosed or Untreated Growing Skull Fractures: Report on two Cases
      
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Objective: In order to avoid longterm concomitant symptom after head injury by clinical and imaging studies on the remote complication skull fracture in childhood.Methods: 9 cases suffering from growing skull fracture in childhood.Research was administered by X ray conputed tomography (CT).Magnetic resonance imaging (MRI) of head,transcranial Doppler(TCD) ultrasongraphy and head operation.Results:Skull defect,circumscribed atrophy...

Objective: In order to avoid longterm concomitant symptom after head injury by clinical and imaging studies on the remote complication skull fracture in childhood.Methods: 9 cases suffering from growing skull fracture in childhood.Research was administered by X ray conputed tomography (CT).Magnetic resonance imaging (MRI) of head,transcranial Doppler(TCD) ultrasongraphy and head operation.Results:Skull defect,circumscribed atrophy of brain,syringog encephalia,cicatrix of menings and other findings were showed by imaging methods and operation.Velocities of middle cerebral artery were 10~35 cm/s in 5 patients.Normal blood velocity in 2 patients and faster blood velocity in 2 patients.Conclusion:The diagnosis of growing skull fracture in childhood is very important.The pathologic process of growing skull fractrue in childhood is complex in many ways.Transcranial Doppler ultrasonography is a very useful tool offering a help about cerebrovas cular hemodynamics.

目的:通过对小儿颅骨骨折重要的远期并发症—生长性骨折的研究,为临床上避免颅脑损伤后出现远期并发症提供参考。方法:9例儿童生长性骨折患儿有明确头部外伤史。应用X线平片,头颅CT扫描,磁共振成像(MRI)和其中3例颅骨修补术进行观察。同时应用经颅多普勒超声技术(TCD)对9例患儿的颅内血流速度进行了检测。结果:头颅正侧位平片、CT和MRI可见大小不等的颅骨缺损区,单侧或双侧脑萎缩,脑囊肿形成和脑穿通畸形出现。3例患者实施手术治疗,术中可见帽状腱膜下组织增厚、骨缺损边缘骨板全层增厚。TCD可见5例患儿颅内血流速度减低为10~35cm/s;2例患儿血流速度正常;2例血流速度略高。结论:儿童颅骨生长性骨折作为颅骨骨折重要的远期并发症其诊断意义非常重要。颅骨骨折和硬脑膜破裂是生长性骨折的决定性因素。TCD对检测颅内血流动力学有重要的参考意义。

In order to evalute therapeutic methods for traunatic depressed skull fracturs in childred, A group of 116 cases were reviewed in this article. There were 13 cases receiving cengervative treatment, 18 cascs elevation of depressed skull fractures, 17 cases removal of crashed fragmeuts, 59 cases undergoing replcacments of fragmeuts of depressed and crashed skull. The results were satisfactory. It is suggested that congcrvafive treatmeut, elevation of depressed fragmeuts, replacement of the fragments...

In order to evalute therapeutic methods for traunatic depressed skull fracturs in childred, A group of 116 cases were reviewed in this article. There were 13 cases receiving cengervative treatment, 18 cascs elevation of depressed skull fractures, 17 cases removal of crashed fragmeuts, 59 cases undergoing replcacments of fragmeuts of depressed and crashed skull. The results were satisfactory. It is suggested that congcrvafive treatmeut, elevation of depressed fragmeuts, replacement of the fragments were effective and satifactory managements for mvarious types and degrel depressed amd crached fractures of skull in children.

本文报告116例小儿外伤性颅骨凹陷骨折,坠跌伤(64例)是常见的致伤原因,顶骨(65例)是多见的受伤部位,颅内血肿(33例),局灶性脑损伤(17例),静脉窦破裂和脑挫裂伤(各8例)是颅内较多见的合并伤,颅外以头皮裂伤(61例)为主,轻、中度脑损伤占83.62%。根据不同伤情合理选用非手术、钻孔复位和碎骨片一期值入术式,会有满意的治疗效果。

Objective To study the risk factors and characters of posttraumatic epilepsy in children.Methods Seizure types, EEG,and CT were retrospectively investigated in forty-two patients with posttraumatic epilepsy.Results 1.Among seizure types, there were 20 cases with partial seizure.14 cases with generalized seizure,8 cases with changed seizure types. 2. There were 15 cases with brain contusion, 14 cases with brain hemorrhage and 10 cases with skull fracture by CT of the head.3. During six months after brain...

Objective To study the risk factors and characters of posttraumatic epilepsy in children.Methods Seizure types, EEG,and CT were retrospectively investigated in forty-two patients with posttraumatic epilepsy.Results 1.Among seizure types, there were 20 cases with partial seizure.14 cases with generalized seizure,8 cases with changed seizure types. 2. There were 15 cases with brain contusion, 14 cases with brain hemorrhage and 10 cases with skull fracture by CT of the head.3. During six months after brain injury, there were 26 cases with special epilepsy wave, 11 cases with slow focal wave by EEG.Conclusion Posttraumatic epilepsy is correlated with age,Severity and type of brain injury, et al. In children the majority of seizures occur immediately after injury and is prone to continuous epilepsy.

目的研究儿童外伤性癫痫危险因素与特点。方法对42例外伤性癫痫患者的抽搐形式、头颅CT、脑电图资料进行回顾性分析。结果1.抽搐形式部分性发作20例,全身性发作14例,转型者8例;2.头颅CT:脑挫裂伤15例,脑出血14例,颅骨骨折10例。3.脑电图:伤后6个月内,癫痫痫样波者26例,局限慢波11例。结论外伤性癫痫与年龄、脑损伤程度及类型等有关。儿童轻微脑损伤即可导致癫痫早期发作,且易成为癫痫持续状态。

 
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