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cisternal hemorrhage
相关语句
  脑池积血
     The study of the association between intraventricular hemorrhage, cisternal hemorrhage and acute hydrocephalus after subarachnoid hemorrhage
     SAH后急性脑积水与脑室、脑池积血及分布的相关性研究
短句来源
     Significant correlation was identified between the vasospasm and cisternal hemorrhage on CT scan or the amount of blood in cerebrospinal fluid.
     脑动脉痉挛与CT发现脑池积血或血性脑积液显著相关。
短句来源
     Objective To study the association between intraventricular hemorrhage,cisternal hemorrhage and acute hydrocephalus(AHC) after subarachnoid hemorrhage (SAH).
     目的 探讨蛛网膜下腔出血(SAH)后急性脑积水(AHC)与脑室、脑池积血及分布的相关性及临床意义。
短句来源
  相似匹配句对
     (3) hemorrhage;
     (3)边缘区出血 ;
短句来源
     Suprachorodal hemorrhage
     脉络膜上腔出血
短句来源
     A clinical observation on cure of the fourth ventricle hemorrhage by cisternal puncture
     小脑延髓池穿刺治疗第四脑室出血临床观察
短句来源
     Value of interhemispheric hemilateral cisternal hyperdense sign in the diagnosis of traumatic subarachnoid hemorrhage
     纵裂池偏密征在外伤性蛛网膜下腔出血中的诊断价值
短句来源
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The occurence of vasospasm and delayed cerebral ischemia after resection of intracranial tumor has not received extensive attention clinically,and is often misdiagosed and improperly treated as surgical brain damage or brain swelling. Seventy two patients with intracranial tumor were contineously monitored pre and postoperatively by means of neurological assessment and transcranial Doppler sonography. Vasospasm was found in 35 (48.6%) patients(18 mild,13 moderate and 4 severe vasospasm).No significant difference...

The occurence of vasospasm and delayed cerebral ischemia after resection of intracranial tumor has not received extensive attention clinically,and is often misdiagosed and improperly treated as surgical brain damage or brain swelling. Seventy two patients with intracranial tumor were contineously monitored pre and postoperatively by means of neurological assessment and transcranial Doppler sonography. Vasospasm was found in 35 (48.6%) patients(18 mild,13 moderate and 4 severe vasospasm).No significant difference among age,sex,surgical approaches,pathological diagnosis,duration of surgery,amount of blood loss and transfusion during surgery were found, but significant difference was seen in cisternal hemorrhage on CT scan and the amount of blood in cerebrospinal fluid. The cause and features of postoperative vasospasm were discussed, transcranial Doppler sonography played an important role in the diagnosis of vasospasm.To decrease the amount of blood in basal cistern by microsurgery in preventing vasospasm and to differentiate vasospasm from brain swelling are helpful to confirm the coexistent or causal relation based on neurological assessment,CT imagine,transcranial Doppler sonography and ICP monitoring both in deciding therapeutic strategy and successfully controlling vasospasm. Nimotop played a key role in preventing brain damage from vasospasm and cerebral swelling.

颅内肿瘤切除术后脑血管痉挛尚未引起临床的广泛关注,常被误诊断为手术损伤或脑水肿而延误治疗。作者报告了72例颅内肿瘤手术前后连续进行神经病学和经颅多普勒超声监测结果,35例(48.6%)术后出现血管痉挛(轻度18例、中度13例、重度4例),相关因素分析显示年龄、性别、手术入路、肿瘤病理性质、手术时间、术中出血和输血量以及颅内压增高程度均与血管痉挛的发生无关,而CT蛛网膜下腔出血和脑脊液含血量与血管痉挛发生有关。作者分析血管痉挛的原因和临床特征,强调显微手术减少脑底池含血量对预防血管痉挛的作用,经颅多普勒超声监测是重要的诊断手段。根据神经病学、CT、经颅多普勒超声和颅内压监测,分清血管痉挛和术后脑水肿的并存或因果关系,有助于确定治疗策略和控制血管痉挛。使用尼莫通对防治血管痉挛和脑水肿造成的脑损害起关键作用。

Objective: To investigate the incidence and features of posttraumatic cerebral arterial spasm and determine effects of hemorrhelogical factors on diagnosis by transcranial Doppler (TCD) ultrasound. Method: 135 patients suffering from head injury with Glasgow coma scale score ranging from 3 to 15 scores were monitored continuously by TCD ultrasound and their features of hemorrheology were measured. Result: Vasospasm was found in 64 patients (47. 4%), including 32 mild, 29 moderate and 3 severe vasospasm. Among...

Objective: To investigate the incidence and features of posttraumatic cerebral arterial spasm and determine effects of hemorrhelogical factors on diagnosis by transcranial Doppler (TCD) ultrasound. Method: 135 patients suffering from head injury with Glasgow coma scale score ranging from 3 to 15 scores were monitored continuously by TCD ultrasound and their features of hemorrheology were measured. Result: Vasospasm was found in 64 patients (47. 4%), including 32 mild, 29 moderate and 3 severe vasospasm. Among them, one with severe vasospasm developed into infraction in MCA areas. No significant difference of blood viscosity was found among subjectsl without vasospasm, and ones with mild, moderate and evere vasospasm, which indicating that hemorrhelogical factors did injury. Significant correlation was identified between the vasospasm and cisternal hemorrhage on CT scan or the amount of blood in cerebrospinal fluid. There was also a significant correlation between abnormal EEG and vasospasm. Conchusion :Posttraumatic cerebral arterial spasm is a common complication after head injury and in some cases, it is as sever as aneurysmal subarachnoicl hemorrhage. Continous TCD monitioring makes it possible to diagnosis posttraumatic cerebral arterial spasm noninvasively, decide the correct therapy and prevent ischemic brain damage from vasospasm.

目的:用无创的经颅多普勒(TCD)连续监测创伤后脑动脉痉挛的发病率和临床特征,并确定血液流变学因素对TCD诊断脑动脉痉挛的影响。方法:对135例GCS计分为3~15分的颅脑损伤病人连续进行TCD监测,同时检验血液流变学指标。结果:64例(47.4%)病人有脑动脉痉挛(轻度32例,中度29例,重度3例),1例重度痉挛者发展成为MCA供血区的脑梗塞。无痉挛组、轻度痉挛组和中~重度痉挛组之间的血液粘滞度无显著性差异,排除了血液流变学因素对用TCD诊断创伤性脑动脉痉挛的影响。脑动脉痉挛与CT发现脑池积血或血性脑积液显著相关。脑电图异常与脑动脉痉挛显著相关。结论:脑伤性脑动脉痉挛是颅脑损伤后的常见并发症,个别病例动脉痉挛的严重性与动脉瘤性蛛网膜下腔出血相当。连续的TCD监测能够及时无创地诊断创伤性脑动脉痉挛、决定治疗策略以防止动脉痉挛导致的缺血性脑损伤。

Objective To study the association between intraventricular hemorrhage,cisternal hemorrhage and acute hydrocephalus(AHC) after subarachnoid hemorrhage (SAH). Methods 84 cases of SAH were analysed on the clinical and image data and occurrence circustance of AHC after SAH. Results The incident rates of AHC after SAH were 26. 2%. The incident rate of intraventricular hemorrhage among patients with AHC (36. 4%) was significantly higher than that among those without(6. 45%). In the patients without...

Objective To study the association between intraventricular hemorrhage,cisternal hemorrhage and acute hydrocephalus(AHC) after subarachnoid hemorrhage (SAH). Methods 84 cases of SAH were analysed on the clinical and image data and occurrence circustance of AHC after SAH. Results The incident rates of AHC after SAH were 26. 2%. The incident rate of intraventricular hemorrhage among patients with AHC (36. 4%) was significantly higher than that among those without(6. 45%). In the patients without intraventricular hemorrhage, the extent of cisternal hemorrhage,especially ambient cisternal hemorrhage of the cases with AHC was significant-ly higher than those without. Incidence of AHC tended to parallel clinical grade . The mortality rate among pa-tients with AHC (81%) was significantly higher than that among those without (19%). Conclusion AHC is an important complication after SAH. Strong evidence is provided for a significant association among the presence of intraventricular blood , the extent of cisternal hemorrhage, especially ambient cisternal hemorrhage and AHC. The bad outcome of pallets with AHC shoud be paied attention to doctors.

目的 探讨蛛网膜下腔出血(SAH)后急性脑积水(AHC)与脑室、脑池积血及分布的相关性及临床意义。方法 对84例SAH患者的临床及影像学资料进行综合分析,将SAH后AHC组与非AHC组进行对照研究。结果 84例SAH发生AHC22例(26.2%),AHC者的脑室积血(36.4%)显著高于无AHC(6.45%)。在无脑室积血的患者中,AHC组与无AHC组比较脑池出血量显著增多,尤以环池明显。SAH病情越重,AHC的发生率越高。SAH后AHC死亡率(81%)显著高于无AHC者(19%)。结论AHC是SAH急性期主要并发症,与脑室、脑池积血及分布密切相关,其预后不良应引起临床医生的注意。

 
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