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     In diagnosis of ovarian endometriomas, diagnostic index of serum sICAM-1 (with cutoff value 440 ng/ml) was significantly higher than that of CA125 (with cutoff value 35U/ml) or combination determination, the differences were both had statistical significance(P<0.01).
     血清sICAM-1(临界值440ng/ml)诊断异位囊肿的综合评价指标(诊断指数)明显高于血清CA125(临界值35U/ml)或二者联合测定,差异均有统计学意义(P<0.01)。
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     For example, the maximum horizontal velocity of the Kuroshio on the sea surface at t =0 d (diagnostic), 15d (semidiagnostic) and 300 d (prognostic) is 88.6, 98.0 and 97.0 cm/ s, respectively.
     如在表层黑潮主流的最大流速在t=0时(诊断)、t=15 d时(半诊断)及t=300 d时(预报)分别为88.6,98.0与97.0 cm/s.
     Early Clip of Intracranial Aneurysms Diagnosed with CTA
     CTA指导下(诊断)颅内动脉瘤早期夹闭术的回顾研究
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     10 cases were converted to the conventional laparoscopy (22%), and 2 cases required open operation (4%).
     45例 (诊断明确后 2例决定开腹手术 )微型腹腔镜术中有 10例中转传统腹腔镜手术 (中转率 2 2 % ) ,2例转开腹手术 (4 % )。
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     Five of the 19 patients were in accelerated phase and 14 in chronic phase, 9 of the latter patient group in early stage of CML-CP (within 1 year since diagnosis) and 5 in advanced stage (3-6 years since diagnosis).
     CML-AP 5例,CML-CP 14例,其中CML-CP早期(诊断≤1年)9例,CML-CP晚期(诊断3~6年)5例。
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     Diagnostics?
     诊断
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     Diagnose uteriner Blutungen
     子宫出血的诊断
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Rotor broken-bar fault diagnosis of induction motor based on HHT of the startup electromagnetic torque
      
This paper presents a new method for rotor broken-bar fault diagnosis of induction motors.
      
Experimental results demonstrate that the proposed electromagnetic torque-based fault diagnosis method is feasible.
      
Induction motor rotor fault diagnosis method based on double PQ transformation
      
This paper presents a new rotor fault diagnosis method for induction motors which is based on the double PQ transformation.
      
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我等欲明确苏联新补体结合反应之先进经验中抗元与抗体之关系,利用按苏联方法制造之抗元及剖检确证鼻疽之自然感染鼻疽马血清,进行了反应域之观察,及增加补体用量观察了对反应域之影响,其试验成绩摘要如下: 1.全部供试血清完全呈现相似之类三角形的反应域,即抗元过剩时呈明显之反应阻止带现象,抗元稀释到最适量时与血清呈现最高之结合价(此点即反应域之顶点),抗元稀释超过最适量时则结合价急剧或逐步减弱。 2.全部供试血清虽有含抗体之浓淡及稀释方式之不同,但反应域颇相似,并且反应域之顶点趋于一致。 3.全部供试血清反应域之顶点虽趋于一致;但因血清中含抗体之浓淡不一,10~×血清列完全阻止溶血之抗元最大稀释倍数并不一致。 4.随补体之增量(1.2及4单位),反应域亦随之显著缩小及向前方转移。并且反应域之顶点亦随补体之增量,明显地向前方逐步推进,以推进一位(1单位为200~×,2单位为150~×,4单位为100~×)者最多,推进两位者较少。 5.由上述成绩得知,在实际马鼻疽之诊断中,抗元之滴度应按构成反应域之方法进行测定;但马鼻疽血清叮按预备试验测知之结合价不同进行10~×、20~×、30~×、40~×及50~×或10~...

我等欲明确苏联新补体结合反应之先进经验中抗元与抗体之关系,利用按苏联方法制造之抗元及剖检确证鼻疽之自然感染鼻疽马血清,进行了反应域之观察,及增加补体用量观察了对反应域之影响,其试验成绩摘要如下: 1.全部供试血清完全呈现相似之类三角形的反应域,即抗元过剩时呈明显之反应阻止带现象,抗元稀释到最适量时与血清呈现最高之结合价(此点即反应域之顶点),抗元稀释超过最适量时则结合价急剧或逐步减弱。 2.全部供试血清虽有含抗体之浓淡及稀释方式之不同,但反应域颇相似,并且反应域之顶点趋于一致。 3.全部供试血清反应域之顶点虽趋于一致;但因血清中含抗体之浓淡不一,10~×血清列完全阻止溶血之抗元最大稀释倍数并不一致。 4.随补体之增量(1.2及4单位),反应域亦随之显著缩小及向前方转移。并且反应域之顶点亦随补体之增量,明显地向前方逐步推进,以推进一位(1单位为200~×,2单位为150~×,4单位为100~×)者最多,推进两位者较少。 5.由上述成绩得知,在实际马鼻疽之诊断中,抗元之滴度应按构成反应域之方法进行测定;但马鼻疽血清叮按预备试验测知之结合价不同进行10~×、20~×、30~×、40~×及50~×或10~×、25~×、50~×、75~×及100~×等之稀释,更易助长定形反应域之构成。与血清最大稀释倍数结合呈最高阻止溶血之抗元稀释倍数,亦即最高阻止溶血反应域之顶点,即为抗元之滴度。在本实验进行中,承赵庆森所长、朱建章研究员的热心指导;本文草成后,又蒙赵庆森,赵桐朴两所长的诚挚指正,特此一并志谢。

The clinical features of 415 attacks of rheumatic fever observed in 365 adult patients are described, and some of the diagnostic problems are discussed, 102 of the attacks were considered to be initial and 313 recurrent attacks. Pre-existing chronic valvular disease was diagnosed in 184 cases. The attack rate of rheumatic fever by season was found to be highest in late Winter and Spring, with the peak incidence in the months of March and April. A history of preceding sore throat was elicited in 41% of the rheumatic...

The clinical features of 415 attacks of rheumatic fever observed in 365 adult patients are described, and some of the diagnostic problems are discussed, 102 of the attacks were considered to be initial and 313 recurrent attacks. Pre-existing chronic valvular disease was diagnosed in 184 cases. The attack rate of rheumatic fever by season was found to be highest in late Winter and Spring, with the peak incidence in the months of March and April. A history of preceding sore throat was elicited in 41% of the rheumatic attacks, and inflammatory signs in the pharynx and tonsils were observed in 58.6% of the attacks. The antistreptolysin O titer was above 250 units in 80% of the cases examined. Among the clinical manifestations arthritis and carditis were most common, occurring in 55.7% and 49.9% respectively, while arthralgia without frank inflammatory signs was noted in 30% of the attacks. The incidence of arthritis was lower in the cases with chronic valvular defects than in cases without. In 29% of the cases ECG abnormalities constituted the sole clinical evidence of carditis. Since prolongation of P-R interval or higher grades of atrioventricular block are relatively common in rheumatic fever and other manifestations of rheumatic carditis like murmurs, cardiac enlargement, pericarditis and heart failure are equally non-speclfic, it is suggested that a-v block be included as evidence of carditis rather than considered as a minor manifestation if one adopts Jones' criteria for the diagnosis of rheumatic fever. In the presence of chronic valvular disease frank arthritis was uncommon and signs of carditis were often masked by those of valvular defects so that in 38.5% of cases the diagnosis of rheumatic activity had to depend upon a combination of clinical and laboratory signs generally concidered as minor rheumatic manifestations according to Jones' criteria.

1.本文报告成人急性风湿热366例,經住院观察的急性发作共415次,其中102次診断为初发,313次为复发。发作見于已有慢性心瓣缺损者計184例(218次发作),无心瓣缺损証据者182例(197次发作)。对发病季节、与溶血性鏈球菌感染的关系、临床表現、实验室发見、病程及病死率等作了分析。重点討論了本病的診断问題。 2.风湿热在春冬二季的发病率較高,41%的风湿发作前有咽痛,58.6%的风湿发作时咽部尚有炎症表現,仅24.7%的风湿发作前后均无咽炎的証据。約有80%发作中抗鏈球菌溶血素“O”滴定度在250单位以上。以上数字有力地說明了风湿热和鏈球菌感染之间的密切关系。 3.临床表現中以关节炎最为常見,发生率为55.7%,仅有关节酸痛的有30%。已有慢性心瓣缺损的病例中仅37.6%有关节炎,其发生率远低于无慢性心瓣缺损的病例(75.6%)。 4.心炎見于49.9%的发作中,其临床表現有时颇不明显。仅在心电图檢查中发見者有41例,占所有經过心电图檢查的心炎病例的29%。由此可見心电图检查对診断心炎的独特价值。 5.在曾作心电图檢查的250次发作中有82次(32.8%)发見房窒傳导阻滞,其中68次为P-R间期延长。作...

1.本文报告成人急性风湿热366例,經住院观察的急性发作共415次,其中102次診断为初发,313次为复发。发作見于已有慢性心瓣缺损者計184例(218次发作),无心瓣缺损証据者182例(197次发作)。对发病季节、与溶血性鏈球菌感染的关系、临床表現、实验室发見、病程及病死率等作了分析。重点討論了本病的診断问題。 2.风湿热在春冬二季的发病率較高,41%的风湿发作前有咽痛,58.6%的风湿发作时咽部尚有炎症表現,仅24.7%的风湿发作前后均无咽炎的証据。約有80%发作中抗鏈球菌溶血素“O”滴定度在250单位以上。以上数字有力地說明了风湿热和鏈球菌感染之间的密切关系。 3.临床表現中以关节炎最为常見,发生率为55.7%,仅有关节酸痛的有30%。已有慢性心瓣缺损的病例中仅37.6%有关节炎,其发生率远低于无慢性心瓣缺损的病例(75.6%)。 4.心炎見于49.9%的发作中,其临床表現有时颇不明显。仅在心电图檢查中发見者有41例,占所有經过心电图檢查的心炎病例的29%。由此可見心电图检查对診断心炎的独特价值。 5.在曾作心电图檢查的250次发作中有82次(32.8%)发見房窒傳导阻滞,其中68次为P-R间期延长。作者等认为,P-R间期延长或更高度的房室傳导阻滞,若发見于有鏈球菌感染之后的年青患者,应作为急性风湿性心炎的診断依据之一。 6.在已有慢性心瓣病的病例中,有38.5%得根据Jones氏診断标准中的几項次要表現而診断为风湿活动。 7.366例中58.5%有风湿热的复发,其中半数发生子初发以后的第一年內。住院期的当时病死率为6.5%。

Right heart catheterization was performed 120 times in 112 cardiac cases admitted into Chung-Shan Hospital of Shanghai First Medical College in a period of 13 months from September 1957 to September 1958. Catheterization was done in this series of cases chiefly for the purpose of studying the hemodynamic changes in the lesser circulation and as an aid to diagnosis in congenital heart diseases and rheumatic mitral valvular disease, when cardiac surgery was considered for treatment. In 8 of them catheterization...

Right heart catheterization was performed 120 times in 112 cardiac cases admitted into Chung-Shan Hospital of Shanghai First Medical College in a period of 13 months from September 1957 to September 1958. Catheterization was done in this series of cases chiefly for the purpose of studying the hemodynamic changes in the lesser circulation and as an aid to diagnosis in congenital heart diseases and rheumatic mitral valvular disease, when cardiac surgery was considered for treatment. In 8 of them catheterization was repeated 6 weeks after surgical repair of an interauricular septal defect or valvotomy of a stenotic pulmonic valve. In this paper the entire procedure of catheterization has been described in detail, particuhrly with regard to some technics of manipulation of the catheter in order to let it get through the tricuspid and pulmonic orifice, and to wedge it into the "pulmonary capillary". Indications, contraindications, complications and results of catheterization in our cases have been dicussed. Among the complications, cardiac arrhythmia was the most common but it was seldom serious. Electrocardiographic observation during the procedure showed that premature beats especially of ventricular origin occured nearly in every case. Two patients developed pulmonary edema shortly after catheterization. One of them survived, while the other unfortunately died in spite of energetic treatment. Both were cases of mitral stenosis with marked pulmonary hypertension. In the entire series of 112 cases, catheterization helped us to establish the diagnosis in 107 of them, among which 68 patients were operated upon after catheterization, and in 66 of them the preoperative diagnoses proved to be correct. According to the material presented, right heart catheterization appears to be a comparatively safe and useful procedure in the diagnosis of cardiac diseases.

一、本文分析报告112例住院心脏病病人,120次右心导管檢查的結果。二、本组病例檢查的指征主要是对先天性心脏病及二尖瓣病的診断和外科治疗的选擇。三、对檢查方法加以描述,对影响檢查成敗的因素加以討論。四、分析檢查的結果,认为右心导管檢查对上述心脏病的診断有重大的价值,而危險性不大,但檢查时仍应提高警惕,掌握禁忌証并注意安全防止严重并发症的发生。

 
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