专业课试卷汉译英

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1、汉译英：目的探讨术中保溫对肺癌根治术患者中性粒细胞（PhINs）呼吸爆发的影响。方法32例全麻下行肺癌根治术患者，ASAII或III级，随机分为2组（n=16）：对照组（c组）和保温组（w组）。c组术屮仅以毛毯等常规保温措施保温；W组还使用加温毯和输液加温器保温，以维持术中核心体温不低于基础值。静脉注射芬太尼、咪达唑仑、异丙酚和罗库溴铵行麻醉诱导后气管插管，术中吸入异氟醚和氧化亚氮维持麻醉。于术前（基础值）、术中（关胸前冲洗胸腔后即刻）和术毕（缝皮结朿）采集外周静脉血，测定血常规、P丽s活化率及其活性氧（ROS）产量。结果与术前相比，2组术中和术毕

2、时WBC计数及PMNs百分比均升高（P<0.05），2组间WBC计数和PMNs百分比差异无统计学意义。在刺激状态下（加入佛波酯）：与术前相比，2组术中、术毕时PMNs活化率均升高，w组术毕时ROS产量升高（P〈0.05）,w组术毕时R0S产量高于c组（P〈0.05）；在静态下（加入磷酸盐缓冲液）：与术前相比，c组术中PMNs活化率和术中、术毕时ROS产量均降低（P〈0.05）,w组术中P丽s活化率、术中及术毕ROS产量均高于c组（P<0.05）。结论肺癌根治术中保温可保持静态下活化［WNs的数量和ROS产量，并增强刺激状态下PMNs的ROS产量，但

3、对活化的PMNs数量无影响。ObjectiveToinvestigatetheinfluenceofintraoperativethermostasisoverrespiratoryburstofpolymorphonuclearneutrophils(PMNs)inpatientsundergoingradicaloperationforlungcancer.MethodsThirty-twoASAIIorIIIpatientsscheduledforradicaloperationforlungcancerperformedundergener

4、alanesthesiawererandomizedinto2groups(n=16each):controlgroup(C)andwarminggroup(W).Thepatientswerekeptwarmbyforce-airwarmingsystemandfluidwarmingdeviceassoonasthepatientswereadmittedtotheoperationroomingroupW.Rectalandaxillarytemperaturewerecontinuouslymonitoredascoreandsurface

5、temperature.Coretemperaturewasmaintainedatpreoperativelevel(baseline).Anesthesiawasinducedwithmidazolam,fentanylandpropofol.Trachealintubationwasfacilitatedwithrocuronium.Anesthesiawasmaintainedwithisofluraneandnitroasoxideandintermittenti.v.bolusesoffentanyl,midazolamandvecur

6、onium.Venousbloodsampleswereobtainedbefore,duringandattheendofsurgeryfornormalbloodanalysisandrespiratoryburstofPMNswhichincludedactivatedPMNscountandreactiveoxygenspecies(ROS)production.Results(1)WBCandPMNcountsweresignificantlyincreasedduringandafteroperationascomparedwithth

7、ebaselinevaluesbeforeoperationinbothgroupsandtherewasnosignificantdifferenceinWBCandPMNcountsbetweenthetwogroups.(2)PMAstimulationresultedinhigherintraoperativeandpostoperativeactivatedPMNcountinbothgroupsandhigherpostoperativeROSproductioningroupW.PostoperativeROSproductionwa

8、ssignificantlyhigheringroupWthaningroupC.(3)Withoutstimulatio