帮忙翻译为英文 谢了！ 急急急！ 帮忙翻译成英文 急急急!! 谢谢了
\u5e2e\u5fd9\u7ffb\u8bd1\u4e3a\u82f1\u6587 \u8c22\u4e86\uff01 \u6025\u6025\u6025\uff01Detailed description of the problem and help respondents provide accurate reply papers: pulmonary heart disease complicated with acute myocardial infarction in 30 cases
\u3010Key Words\u3011 Pulmonary heart disease / complications; myocardial infarction / complications
\u3010Key Words\u3011 R541.506 \u3010Code\u3011 A literature marked\u3011 \u3010Article ID 1009-6647 (2006) 11-2102-02
\u3010Abstract\u3011 Objective: To analyze the occurrence of acute myocardial infarction with pulmonary heart disease in patients with clinical features of 30 cases for early detection of myocardial infarction patients, reduce misdiagnosis misdiagnosis. Methods: A retrospective occurrence of pulmonary heart disease in patients with acute myocardial infarction in 30 cases of past history, smoking history, prodromal symptoms and complications were compared. Results: The two groups of gender, cardiovascular family history, infarct location, systolic blood pressure was no difference (p> 0.05), the observation group age, smoking history, lung wet and dry rales higher (P 0.05). Conclusion: The pulmonary heart disease in patients with myocardial infarction more than older, long-term smoking history, prodromal symptoms are not typical, it is difficult to diagnose, it is reported the rate of misdiagnosis and missed diagnosis rate of 8%, 26%, and complication and mortality rates than those in high, the clinical changes in the condition in time for check electrocardiogram, enzymes, etc. for early detection and treatment.
Severe cases of emergency rescue
Medical 1:
Patients with high-XX, male, 30 years old, mainly due to "chest and abdominal pain in four hours," admitted to hospital.
Admission day morning 7 am, the patient appears no obvious incentive to chest and abdominal pain, accompanied by a sense of chest tightening, no Fangshe Tong, no breathing difficulties, heart palpitations, no fatigue, sweat and so on, severe pain, persistent non-release for consultation. Blood pressure 160/100 mmHg, chest X-ray: bilateral pulmonary shadows door weight gain, blurred. CT Tip: aortic dissection, given sodium nitroprusside at the same time pump into our department.
Hypertension past three years, I, the most high blood pressure 180/140 mmHg, not the law of medication. Alcoholic drinks and tobacco addiction.
Palpation: BP: 170/115mmHg God-ching, lungs without rales, heart rate 71 beats / min. Heart sounds clear, the law Qi, the valve area is not known and pathological murmur. Abdomen soft, no tenderness and rebound tenderness. Both lower extremities without edema, dorsalis pedis artery fluctuations better. Vascular color Doppler ultrasound: thoracic aorta, abdominal aortic dissection (I type). ECG: sinus rhythm T-wave changes of left ventricular high voltage.
Diagnosis: Aortic Dissection (I type), high blood pressure 3 (very high-risk group).
Pumped into the hospital to continue to give sodium nitroprusside to lower blood pressure, intramuscular injection of morphine sedation analgesia, metoprolol reduced myocardial contractile force, the next day early morning blood pressure in patients with stable around 110/70 mmHg, heart rate 65 beats / min or so. Significantly reduced in patients with chest pain than before to turn a higher level hospital surgery.
1\u3001\u5e76\u4e14\u6211\u975e\u5e38\u5e0c\u671b\u80fd\u4e3a\u4e2d\u56fd\u793e\u4f1a\u4e0a\u7684\u5f31\u52bf\u7fa4\u4f53\u6765\u5e26\u5e2e\u52a9\uff1aAnd I hope that China can provide the vulnerable groups in society to help with.......very much
2\u3001\u5728\u7f8e\u56fd\u53ef\u80fd\u662f\u62e5\u6709\u7c7b\u4f3cFord foundation \u8fd9\u6837\u7684NGO\u7ec4\u7ec7\u6700\u591a\u7684\u56fd\u5bb6 \u4f46\u5728\u4e2d\u56fd\u8fd8\u6ca1\u6709\u5f88\u591a\u4eba\u4e86\u89e3\u5e76\u610f\u8bc6\u5230\u52a0\u5165\u8fd9\u6837\u7684\u673a\u6784\u53bb\u5e2e\u52a9\u793e\u4f1a\u4e0a\u8fd9\u4e9b\u5f31\u52bf\u7fa4\u4f53 \u7136\u800c\u80fd\u591f\u80af\u5b9a\u7684\u662f\u5728\u4e2d\u56fd\u8fd9\u4e2a\u4eba\u53e3\u4f17\u591a\u7684\u56fd\u5bb6 \u793e\u4f1a\u4e0a\u9700\u5f97\u5230\u8981\u5e2e\u52a9\u7684\u4eba\u7fa4\u662f\u6700\u5e9e\u5927\u7684 \u6240\u4ee5\u6211\u56de\u56fd\u4e5f\u80fd\u591f\u66f4\u5bb9\u6613\u7684\u627e\u5230\u4e00\u4efd\u8fd9\u6837\u7684\u5de5\u4f5c\u5e76\u4e14\u4e5f\u5b8c\u6210\u4e86\u6211\u80fd\u591f\u7ed9\u4e0e\u66f4\u591a\u4eba\u5e2e\u52a9\u7684\u5fc3\u613f
In the United States may be the Ford foundation with similar organizations such as country with the largest NGO in China, but not many people understand and realize that by adding such a body to help these vulnerable groups in society can be sure however is that in China, a populous country the community need to be to help people is the largest home so I can more easily find a way to complete the work and also be able to give me the desire to help more people
Sufferer XX, male, 48 years old, the main cause"keep on chest pain 2 hours" emergency call hospitalize.The history of the disease of the denial high blood pressure, diabetes.Have the smoke wine the habit.Sufferer's 2 hourses ago in running in abrupt the area squeeze the kind violent ache before the heart and have never project pain, the companion big sweat, alleviated after"soon the effect save heart pill 10 grains", diagnose.Check-up:The T is 36.3 ℃ , P 80 times/cent, R 22 times/cent, the BP 110/70 mmHg, pain and sufferings noodles permit, the double lung smelt and stem wet sound;Heart rate 80 times/cent, Lyu together, each valve listen to diagnose area to have no the pathology miscellaneous sound, not intentional pack fricatives;The stomach is soft and have no obvious press pain, have no anti- jump pain, liver Pi rib bottom touch.The double legs has no obvious nasarca.The electrocardiogram see Ⅰ , AVL, the V1-V5 ST segment top lift a 0.2-0.3 mv, nasty check TNT, myocardial Mao feminine gender, reexamination electrocardiogram it is thus clear that the Ⅰ , AVL, the V1-V5 ST segment keep on top to lift 0.2-0.4 mv.Diagnosis:Coronary:Impatient and extensive front wall, Gao Ze4 Bi4's myocardial infarction, the heart function I class(killp).The diagnosis is explicit, give after"department wood's 300 mg, sulfuric acid hydrogen chlorine ratio the space thunder 600 mg" take orally, emergency call PCI inauguration criminal blood vessel.Build shadow to show:front decline near carry 100% narrow, give sufferer the pathological changes transplant support 1, in the Shu appeared room to once move soon, HR 130-150 times/cent, consideration again infuse to note heart Lyu disorder, give sufferer synchronous the direct current wire reply the Lyu 100 J to turn into Dou Lyu at a time, Pin hair room early, benefit many card because of 50 mg iv empress press 1:1 maintain a little bit quiet, surgical operation process smoothly, empress 3 hours room the disappearance early stop using, in the Shu, Shu empress give for non- class the 16 ml/h after calm down push pump by 15 ml/h to strengthen anti- blood platelets into the 36 h, the Shu future trouble chest be painful to obviously alleviate, Shu empress right away electrocardiogram it is thus clear that jack up of the ST drop more than 50%, empress the Shu 1.5 hour, the ST be basic to return to wait electric potential line and continue take charge of Lin2 Chang2 Rong2's slice 0.1, the Qd anti- blood platelets of the sulfuric acid hydrogen chlorine Mao space thunder 75 mg gathering, reach heparin sodium 5000 U Q12 h anti- Ning, the thunder rice Pu benefit 5 mg the Qd prevent ventricles heavy Gou, the United States from give the Luo Er 25 mg the Bid ease a myocardial to consume oxygen, Pu to fell a his Ting 20 mg Qn stability spot piece an etc. treatment.Check the TNT 0.95 ng/ml after hospitalize, the CK 1129 U/L, the CK-MB 206.6 U/L, the WBC 12.57 X109/L, the GR be 80.0%, the RBC 4.50 X1012/L, the HGB 148 g/l, the PLT 166 X109/L, the CRP 8 mg/l, 6 check heart a super voice repay the stanza segment in the days to come room wall sport abnormality(room partition and left before the room wall), left room comfortable piece function decrease, left room comfortable piece last phase inside the path 57 mm, the LVEF be 67% and continue anti- blood platelets, stability spot piece, improvement the myocardial heavy Gou wait treatment, 9 diva condition stability, carry out hospital discharge.
Medical history 3:
Sufferer Wei X, male, 26 years old, the main cause"abrupt chest stuffy and short of breath day, aggravate for an hour" emergency call hospitalize.
The sufferer after a day ago take a shower appear chest stuffy and short of breath, have no chest pain, spit blood, have no big sweat, have no disgusted, vomit, have no dizzy, headache and have fever, have no black Meng dizzy Jue, don't to special treatment, the sufferer above-mentioned symptom aggravate an hour ago, and appear dizzy come to hospital.Smoke cigarette a history for 3 years, about 10/day.
Check-up:The T is 36.4 ℃ , P132 time/cent, R20 time/cent, BP130/77 mmHg, absolute being the pure body be fat, right descend lung breath a sound lower, the double lung have no sound;The heart boundary isn't big, heart rate 132 times/cent, Lyu together, P 2> A2, each valve listenned to diagnose area and don't smell the pathology miscellaneous sound;Stomach just like often;Left legs the righter legs be thick, differ a 1 cm on the knee, knee bottom differ 2.5 cm.
Assistance check:Electrocardiogram: The S Ⅰ Q Ⅲ T Ⅲ change.The blood white cell 22.9 X109 l/L, D-two gather the body 2.0 mg/L, TNT feminine gender, guts analysis:PH 7.469, PO241.8 mmHg.The PCO224.8 mmHg, chest strengthen CT:Double side lung the artery bolt to fill, the heart pack accumulate a liquid, double the lung knot stanza Suo shadow.The legs blood vessel is colourful super show left side 腘 vein, the vein last blood bolt formation empress the Jing.
First step diagnosis:The impatient lung bolt to fill and the legs vein blood bolt.
Give after hospitalize department wood and the chlorine Mao space thunder anti- blood platelets, low mark sub- heparin anti- Ning, ground Er sulphur the Zhuo lower lung artery high pressure, urine arouse Mao to dissolve to bolt treatment, in the hospital treatment 32 diva, condition amendment hospital discharge.
完成。对于医学专用术语，我不是很肯定。仅作参考（毕竟我不是这个专业的）。
Medical records 2:
Patients Jiang XX, male, 48 years old, mainly due to "persistent chest pain two hours" emergency admission. Denied that high blood pressure, history of diabetes. Alcoholic drinks and tobacco addiction. 2 hours ago in patients with sudden cardiac jogging in the press kind of pain before the area, no Fangshe Tong, accompanied by sweat, self-serving "Suxiao Jiuxin pill 10" after no relief to consultation. Palpation: T 36.3 ℃, P 80 beats / min, R 22 beats / min, BP 110/70mmHg, suffering face, lungs have not heard and the wet and dry rale; heart rate 80 beats / min, the law Qi, the valve auscultation area non-pathological murmur, unintentional packet fricative; abdomen soft, no significant tenderness, no rebound tenderness, liver and spleen ribs absent. Both lower extremities had no edema. ECG see Ⅰ, AVL, V1-V5 ST segment swarmed 0.2-0.3mv, Jicha TNT, enzymes negative, review the ECG can be seen Ⅰ, AVL, V1-V5 ST segment continued swarmed 0.2-0.4mv. Diagnosis: coronary heart disease: acute extensive anterior wall, high lateral myocardial infarction, cardiac function I level (killp). Diagnosis of clear, give "aspirin 300mg, clopidogrel bisulfate 600mg" after oral administration, emergency PCI criminals opened blood vessels. Angiography showed: 100% of the proximal left anterior descending artery segmental stenosis, giving a stent implanted in patients with lesions at intraoperative ventricular tachycardia occurred, HR 130-150 beats / min, given the reperfusion arrhythmia, given Patients with synchronous DC cardioversion 100J time to sinus rhythm, frequent ventricular premature, lidocaine 50mg iv to maintain calm after the 1:1 point, surgery went smoothly, 3 hours after the ventricular premature disappearance of suspended postoperative given Tirofiban 16ml / h static pushed back to 15ml / h pump 36h strengthen the anti-platelet, postoperative chest pain in patients with apparent ease, immediate postoperative electrocardiogram shows ST elevation drop of more than 50%, after 1.5 hours of basic back ST equipotential lines, to continue to aspirin enteric-coated tablets 0.1, clopidogrel bisulfate 75mg Qd anti-platelet aggregation, dalteparin sodium 5000U Q12h anticoagulation, Ramipril 5mg Qd to prevent ventricular remodeling, metoprolol 25mg Bid to reduce myocardial oxygen consumption, such as pravastatin 20mg Qn treatment of stable plaque. After admission check TNT 0.95ng/ml, CK 1129U / L, CK-MB 206.6U / L, WBC 12.57X109 / L, GR 80.0%, RBC 4.50X1012 / L, HGB 148g / l, PLT 166X109 / L, CRP 8mg / l, 6 for subsequent reference echocardiography segmental wall motion abnormalities of return (interventricular septum and left ventricular anterior wall), left ventricular diastolic dysfunction, left ventricular end-diastolic diameter of 57mm, LVEF 67%, continued anti-platelet, stable plaques block, to improve the treatment of myocardial remodeling, etc., 9 days later in stable condition, handled and discharged.
Medical records 3:
Patients Kui X, male, 26 years old, mainly due to "sudden chest tightness, suffocation 1 day, add 1 hour" emergency admission.
The patient was 1 day ago after a bath chest tightness, hold your breath, no chest pain, hemoptysis, no sweat, no nausea, vomiting, no dizziness, headache and fever, without amaurosis syncope, were not special treatment, 1 hour ago in patients with these symptoms worsened and dizziness to the hospital. 3-year smoking history, about 10 / day.
Palpation: T36.4 ℃, P132 beats / min, R20 beats / min, BP130/77mmHg, God-ching body fat, right lower lung breath sounds in the lower lungs without rale; heart little circles, heart rate 132 beats / points, the law Qi, P2> A2, the valve auscultation area is not known pathological murmur; abdomen no abnormalities; left leg over right lower limb thick, knee difference of 1cm, knees difference 2.5cm.
Auxiliary examination: ECG: S Ⅰ Q Ⅲ T Ⅲ change. WBC 22.9X109l / L, D-dimer 2.0mg / L, TNT negative, blood gas analysis: pH7.469, PO241.8mmHg. PCO224.8mmHg, chest enhanced CT: bilateral pulmonary embolism, pericardial effusion, bilateral pulmonary nodules cord shadow. The left lower extremity vascular color Doppler ultrasound showing the popliteal vein, posterior tibial vein thrombosis in the preceding paragraph.
Initial diagnosis: acute pulmonary embolism, deep vein thrombosis.
Admitted to hospital for anti-platelet aspirin and clopidogrel, low molecular weight heparin, diltiazem reduce pulmonary hypertension, urokinase thrombolytic therapy, in the hospital 32 days later, the condition improved and discharged.
我用谷歌翻译的，不知有什么语法问题！
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