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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
分
)
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%
或
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),
因
9
号染色体长臂上(
-abl
)原癌基因易位至
22
号
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。
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
p>
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:
十
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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