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名词解释74847

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2021-02-07 11:16
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2021年2月7日发(作者:姑妈)


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一.名词解释:



1

< br>.肺性脑病:由于呼吸功能衰竭导致缺氧、


CO2


潴留,从而引起的神经精神障碍症候群。



2



Typical angina pectoris



Angina pectoris is a clinical syndrome of precordial


discomfort or pressure due to transient myocardial ischemia without infarction.


Discomfort may radiate to the left shoulder and down the inside of the left arm



usually


persists


no


more


than


a


few


minutes


.It


is


typically


precipitated


by


exertion


or psychologic stress and relieved by rest or sublingual nitroglycerin.


3


.上消化道大出血:



数小时内出血量


>1000ml


或有效循环血量的< /p>


20%


,表现为呕血、黑便,


常伴有急性 周围循环衰竭的表现。



4


.黎明现象


:


指夜间血糖控制良好,


也无低血糖发 生,仅于黎明一段时间出现高血糖,


机制


可能为皮质醇、生长激 素等胰岛素拮抗激素分泌增多所致。



5




贫血: 指外周血液单位体积血液中的


Hb,Hct,RBC


低于可比人 群的正常最低值。国内标


准男性


Hb<120g/l,


RBC<


4.5


< br>1012



Hct<0.42



女性


Hb<110g/l



RBC<


4.0



1 012



Hct<0.37



妊娠


Hb<100g/l


Hct<0.30




6


.裂孔现象:白血病患者骨髓象有核细胞显著增生,以原始细胞为主,而较成熟中间阶段


细胞缺如,并残留少量成熟粒细胞,形成所谓裂孔现象。



7



Chronic


bronchitis:


This


disease


is


characterized


by


the


symptoms


such


as


cough,


sputum or wheeze for at least 3 months of the year for more than 2 consecutive


years,without any indication of other lung and heart diseases (such


as tuberculosis, asthma,heart failure,etc.).


8


.心室重构:在心脏扩大、心室肥厚的过程中,心肌细胞、胞外基质、胶原纤维网等均有


相应变化,如心肌细胞坏死、纤维化导致心肌收缩力和顺应性下降。


(2



)


9



thyroid


crisis



Thyroid


crisis


is


a


sudden


exacerbation


of


symptoms


of


thyrotoxicosis. A complication usually occurs


in patients with


poorly


controlled


or


unrecognized


hyperthyroidism which precipitated by intercurrent illness,


in particular


infection



trauma



surgery etc.


Clinical


features:


hyperpyrexia,


tachycardia



vomiting



vomiting



diarrhoe



dehydration



del irium



and coma.


10



Hepatorena1 syndrome



Hepatorenal syndrome is a syndrome of advancing renal


failure


in


a


patient


with


severe


hepatocellular


failure,


usually


advanced


cirrhosis.


In most instances, the uremia and oliguria that characterize this syndrome arise


either


spontaneously


or


in


response


to


changes


in


blood


volume


or


fluid


shifts


with


body


compartments.


The


histology


of


the


kidneys


is


virtually


normal,


with


the


renal


failure being a functional failure.


11



肾病综合征:


肾病综合征是指大量蛋白尿



>3.5g/d

< br>)



低蛋白血症


(血浆白蛋白< /p>


<30g/L




水肿、高脂血症的一组综合征。




gastrointestinal


hemorrhage< /p>



上消化道大出血:


指屈氏韧带以上的消 化道出血,


短时间内出血量超过血容量的


20%



1000ml


以上。



13


Horner


综合征:肺上沟瘤 (


pancoast tumor


)是一种位于肺尖部的肺癌。 癌肿侵犯或


压迫颈交感神经,引起患者眼睑下垂、瞳孔缩小、眼球内陷,同侧额部与胸壁 无汗或少汗,


感觉异常。



14



Ph


染色体:即


t (9;22)(q34;q11),



9


号染色体长臂上(


-abl


)原癌基因易位至


22



染色体长臂的断裂点集中区(

< br>bcr



,形成


bcr/abl


融合基因。



15 .Variabe asthma


:变异性哮喘:以顽固性咳嗽为唯一的临床表现,无喘息症状。

< p>


c encephalopathy



Hepatic encephalopathy is a potentially-reversible




1


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neuropsychiatric abnormality in the setting of liver failure, whether chronic (as


in


cirrhosis),


or


acutely.


Signs


can


include


impaired


cognition,


a


flapping


tremor


(asterixis),


and


a


decreased


level


of


consciousness


including


coma,


cerebral


edema,


and, ultimately, death.


系严重的肝 功能失调或障碍所致、以代谢紊乱为主要特征的中枢


神经系统功能失调的综合征,主要临 床表现为意识障碍、行为异常及昏迷。



17.


白血病裂孔现象:


急性白血病骨髓有核细胞显著增多,


主要是白血病性的原始和幼稚细


胞,残留少量成熟粒细胞,而较成熟中间阶段细胞缺如 ,形成所谓裂孔现象。



18


.蛋白尿 :蛋白尿是肾脏疾病最常见的表现,健康成人尿中排出总量不超过


150mg/24h< /p>



若高于


150 mg/24h


,则称蛋白尿。



19



Paraneoplastic syndrom



A paraneoplastic syndrome is a disease that is the


consequence


of


the


presence


of


cancer


in


the


body,


but


is


not


due


to


the


local


presence


of


cancer


cells.


These


phenomena


are


mediated


by


humoral


factors


excreted


by


tumor


cells or by an immune response against the tumor. Paraneoplastic syndromes are


typical among middle aged to older patients and they most commonly present with


cancers of the lung. Sometimes the symptoms of paraneoplastic syndromes show even


before the diagnosis of a malignancy.(


中文回答得一半分


)


20



subclinical


hyperthyroidism(


亚临床甲亢

):


Subclinical


hypothyroidism


is


defined


as a serum TSH concentration above the statistically defined lower limit of the


reference range when serum free T4 (FT4) and free T3(FT3) concentration is within


its reference range(1.5). Other causes of a low serum TSH must be excluded(0.5).


Subclinical hyperthyroidism may result from endogenous overproduction of thyroid


hormone or intended or inadvertent overadministration of thyroid hormone. This


condition reflects the fact that before clinical features of thyrotoxicosis are


apparent(0.5)


21.


Zollinger-Ellison


综合症:是胰腺非细胞瘤分泌大量胃泌素所致,大量胃泌素刺激壁


细胞增生和 大量胃酸分泌,


使上消化道浸浴于高酸环境,


在胃十二指肠及不 典型部位如:



二指肠降段、横段、甚至空肠发生难治性溃疡, 可伴有腹泻。肿瘤往往很小(


<1cm



,


生长


慢,半数为恶性。



22.


Evans


综合征:即自身 免疫性溶血性贫血伴免疫性血小板减少,是由于自身免疫机制同


时破坏了血小板和红细胞 ,引起溶血性贫血和血小板减少的一种病症。



23



Community- acquired


pneumonia


(CAP)



is


a


disease


in


which


individuals


who


have


not recently been hospitalized develop an infection of the is also a


disease


in


which


the


hospitalized


individuals


who


develop


an


infection


in


the


latent


peroid of the pathogens.


24



慢性肾 功能衰竭:


是指各种原因慢性肾脏病引起的肾小球滤过率下降及其与此相关的代


谢紊乱和临床症状组成的综合征,简称慢性肾衰。


< br>25



舒张性心力衰竭:


是指因 心室松弛和充盈异常导致心室接受血液的能力受损,


表现为心


室 充盈压升高,


肺静脉或体循环静脉淤血,


而心脏收缩功能相对正 常,


尚能维持适当的每搏


量的一组临床综合征。主要系原发心肌 的病变引起,不包括瓣膜性心脏病。



26.

< br>肺性脑病:由于呼吸功能衰竭导致缺氧、


CO2


潴留,从而引起的神经精神障碍症候群。



l angina pectoris



Angina pectoris is a clinical syndrome of precordial


discomfort or pressure due to transient myocardial ischemia without infarction.


Discomfort may radiate to the left shoulder and down the inside of the left arm



usually


persists


no


more


than


a


few


minutes


.It


is


typically


precipitated


by


exertion




2


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