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医学:病历:
The right plantar response was flexor, but the left could not be elicited because of his previous amputation. Superficial sensation was slightly impaired over the left half of the face and in the left forearm and hand.
右足底为屈肌反射;左侧因先前截肢而无法检查。面部左侧、左前臂和左手的浅表感觉略减退。
属类：化学及生命科学-医学-病历
Investigations: The skull and chest x-ray pictures were normal. An EEG showed a slow-wave focus in the right frontotemporal region. The CSF was under normal pressure with a protein of 20mg./100ml.
临床检查:头颅和胸部X线照片所见正常。胸电图表明,其右侧额颞区有慢波灶。脑脊液压力正常,蛋白量为20mg;100ml。
属类：化学及生命科学-医学-病历
A right carotid angiogram revealed delayed filling of the anterior and middle cerebral arteries associated with extreme narrowing of the carotid siphon and the internal carotid artery throughout its length.
右颈动脉血管造影显示,前、中脑动脉充盈延迟,此与其颈动脉虹吸部和整个颈内动脉的极端狭窄有关。
属类：化学及生命科学-医学-病历
The patient was treated symptomatically for his cough, and when last seen, in May 1953, his attacks had ceased.
对病人的咳嗽进行了对症治疗。1953年5月最近一次见到该患者时,疾病的发作已经停止。
属类：化学及生命科学-医学-病历
A woman of 22, a former hospital nurse, lived on a farm with her father and had assisted him over a period of years.
原某医院护士,22岁,与她的父亲一起居住在农场,几年来帮助她父亲干活。
属类：化学及生命科学-医学-病历
She was admitted to a city hospital on 28 Octoberl962 with a 7-day history of an influenza-like illness; she complained of severe headache, vomiting, photophobia, and neck stiffness. Her temperature was 1020F(38.9 ℃).
1962年10月28日因患流感样的疾病一周,到一家城市医院住院。病人主诉头痛剧烈、呕吐、畏光和颈部僵直。体温102F(38.9℃)。
属类：化学及生命科学-医学-病历
Lumbar puncture produced cerebrospinal fluid with 500 lymphocytes/c.mm and she was transferred to Ruchill Hospital on the following day.
腰椎穿刺取脑脊髓液进行检查,淋巴细胞500;c.mm,翌日转院到鲁奇尔医院。
属类：化学及生命科学-医学-病历
On admission the clinical findings were confined, and she was found to have herpes labialis and conjunctival infection.
住入该院时临床所见被进一步证实,并发现她有唇疱疹和结膜炎。
属类：化学及生命科学-医学-病历
She was emotionally upset and wept repeatedly. She stated that her headaches were unbearable She vomited all fluids. Bone tenderness rather than muscle tenderness was elicited in the lower limbs.
她情绪不安，不断哭啼，并诉头痛得难以忍受，呕吐物全是液体，上肢有骨触而不是肌肉触痛
属类：化学及生命科学-医学-病历
The Schuffner test demonstrated a rising titre of L. canicola from 1:500 (3 l October)to 1:2,000(6 November). The patient was discharged well on 8 November.
曾进行薛夫讷氏试验,证实其犬钩螺旋体滴定值由1:500(10月31日)上升到1:2,000(11月6日),病人于11月8日康复出院。
属类：化学及生命科学-医学-病历
A youth of 16 was admitted to a city hospital on 8 December 1960 with a week’s history of frontal headache, backache and pains in the limbs.
一位16岁青年,因前额痛、背痛和四肢痛已一周,于12月8日住入某城市医院。
属类：化学及生命科学-医学-病历
His temperature was 100F(37.8~C). There was exudates on the tonsils, generalised lymphadenopathy, and splenomegaly. The calf muscles were tender, and there were clinical signs of bronchitis with mild bronchospasm.
体温100F(37.8℃),扁桃体有渗出物,全身性淋巴结肿大和脾肿大,腓肠肌有压痛,并有支气管炎和轻度支气痉挛等临床体征。
属类：化学及生命科学-医学-病历
The Schuffner test was inconclusive but the Widal reaction supported typhoid fever and he was admitted to Ruchill Hospital on 13 December.
薛夫讷氏试验没有确定结果,而肥达氏反应支持为伤寒。患者于12月13日住进鲁奇尔医院。
属类：化学及生命科学-医学-病历
On admission he was found to have widespread congenital ichthyosis. His fever had subsided, but the cervical, axillary and inguinal glands were enlarged, the tip of the spleen was palpable, and the conjunctiva were in fected.
入院时发现,其身体多处患有先天性鳞癣,热度已消,但颈部、腋下和腹股沟淋巴腺仍肿大,脾缘可触及。结膜受到感染。
属类：化学及生命科学-医学-病历
Further serological tests did not support a diagnosis of typhoid fever, whereas agglutination test with L. canicola were positive to a titre of 1:1,000.
进一步的血清试验不支持伤寒的诊断,而犬钩端螺旋体凝集试验为阳性,其值为l:1,000;c．mm。
属类：化学及生命科学-医学-病历
Though there were no signs of meningeal irritation, lumbar puncture on the fifteenth day of his illness produced cerebrospinal fluid containing 100 lymphocytes/c. mm.
虽然没有脑膜刺激的临床体征,但在病程第15天作腰椎穿刺检查时,脑脊液中的淋巴细胞数为100/c.mm。
属类：化学及生命科学-医学-病历
The patient made an uneventful recovery and was discharged from hospital on 31 December.He had been working in a piggery for 12 months.
病人顺利地恢复健康,并于12月31日出院。以前他曾在养猪专场工作过12个月。
属类：化学及生命科学-医学-病历
Note. The above case histories are from a discussion on canicola fever in Man and Animals. The causative organism of the disease is L.canicola and it can be transmitted by pigs and dogs, and other animals.
附注:上述病历均摘自关于“人和动物的犬钩端螺旋体病”的一次讨论。本病病原体为犬钩端螺旋体,这种微生物能通过猪、狗及其它动物进行传播。
属类：化学及生命科学-医学-病历
On 24 June a man aged 21 was admitted to the casualty department, having collapsed in the street 20 minutes previously a few moments after a fight in a public house.
患者男性,21岁,6月24日因在酒吧间格斗后不久在街头虚脱20分钟而被送到医院重伤科。
属类：化学及生命科学-医学-病历
He was severely shocked, and had four stab wounds, each l cm. Long: 2 in the left precordium and 2 in the left flank.
病人严重休克,有四处刀伤,2个伤口在左心窝,另外2个伤口在左季肋部。
属类：化学及生命科学-医学-病历
| 1 | 右足底为屈肌反射;左侧因先前截肢而无法检查。面部左侧、左前臂和左手的浅表感觉略减退。 | The right plantar response was flexor, but the left could not be elicited because of his previous amputation. Superficial sensation was slightly impaired over the left half of the face and in the left forearm and hand. |
|
| 2 | 临床检查:头颅和胸部X线照片所见正常。胸电图表明,其右侧额颞区有慢波灶。脑脊液压力正常,蛋白量为20mg;100ml。 | Investigations: The skull and chest x-ray pictures were normal. An EEG showed a slow-wave focus in the right frontotemporal region. The CSF was under normal pressure with a protein of 20mg./100ml. |
|
| 3 | 右颈动脉血管造影显示,前、中脑动脉充盈延迟,此与其颈动脉虹吸部和整个颈内动脉的极端狭窄有关。 | A right carotid angiogram revealed delayed filling of the anterior and middle cerebral arteries associated with extreme narrowing of the carotid siphon and the internal carotid artery throughout its length. |
|
| 4 | 对病人的咳嗽进行了对症治疗。1953年5月最近一次见到该患者时,疾病的发作已经停止。 | The patient was treated symptomatically for his cough, and when last seen, in May 1953, his attacks had ceased. |
|
| 5 | 原某医院护士,22岁,与她的父亲一起居住在农场,几年来帮助她父亲干活。 | A woman of 22, a former hospital nurse, lived on a farm with her father and had assisted him over a period of years. |
|
| 6 | 1962年10月28日因患流感样的疾病一周,到一家城市医院住院。病人主诉头痛剧烈、呕吐、畏光和颈部僵直。体温102F(38.9℃)。 | She was admitted to a city hospital on 28 Octoberl962 with a 7-day history of an influenza-like illness; she complained of severe headache, vomiting, photophobia, and neck stiffness. Her temperature was 1020F(38.9 ℃). |
|
| 7 | 腰椎穿刺取脑脊髓液进行检查,淋巴细胞500;c.mm,翌日转院到鲁奇尔医院。 | Lumbar puncture produced cerebrospinal fluid with 500 lymphocytes/c.mm and she was transferred to Ruchill Hospital on the following day. |
|
| 8 | 住入该院时临床所见被进一步证实,并发现她有唇疱疹和结膜炎。 | On admission the clinical findings were confined, and she was found to have herpes labialis and conjunctival infection. |
|
| 9 | 她情绪不安，不断哭啼，并诉头痛得难以忍受，呕吐物全是液体，上肢有骨触而不是肌肉触痛 | She was emotionally upset and wept repeatedly. She stated that her headaches were unbearable She vomited all fluids. Bone tenderness rather than muscle tenderness was elicited in the lower limbs. |
|
| 10 | 曾进行薛夫讷氏试验,证实其犬钩螺旋体滴定值由1:500(10月31日)上升到1:2,000(11月6日),病人于11月8日康复出院。 | The Schuffner test demonstrated a rising titre of L. canicola from 1:500 (3 l October)to 1:2,000(6 November). The patient was discharged well on 8 November. |
|
| 11 | 一位16岁青年,因前额痛、背痛和四肢痛已一周,于12月8日住入某城市医院。 | A youth of 16 was admitted to a city hospital on 8 December 1960 with a week’s history of frontal headache, backache and pains in the limbs. |
|
| 12 | 体温100F(37.8℃),扁桃体有渗出物,全身性淋巴结肿大和脾肿大,腓肠肌有压痛,并有支气管炎和轻度支气痉挛等临床体征。 | His temperature was 100F(37.8~C). There was exudates on the tonsils, generalised lymphadenopathy, and splenomegaly. The calf muscles were tender, and there were clinical signs of bronchitis with mild bronchospasm. |
|
| 13 | 薛夫讷氏试验没有确定结果,而肥达氏反应支持为伤寒。患者于12月13日住进鲁奇尔医院。 | The Schuffner test was inconclusive but the Widal reaction supported typhoid fever and he was admitted to Ruchill Hospital on 13 December. |
|
| 14 | 入院时发现,其身体多处患有先天性鳞癣,热度已消,但颈部、腋下和腹股沟淋巴腺仍肿大,脾缘可触及。结膜受到感染。 | On admission he was found to have widespread congenital ichthyosis. His fever had subsided, but the cervical, axillary and inguinal glands were enlarged, the tip of the spleen was palpable, and the conjunctiva were in fected. |
|
| 15 | 进一步的血清试验不支持伤寒的诊断,而犬钩端螺旋体凝集试验为阳性,其值为l:1,000;c．mm。 | Further serological tests did not support a diagnosis of typhoid fever, whereas agglutination test with L. canicola were positive to a titre of 1:1,000. |
|
| 16 | 虽然没有脑膜刺激的临床体征,但在病程第15天作腰椎穿刺检查时,脑脊液中的淋巴细胞数为100/c.mm。 | Though there were no signs of meningeal irritation, lumbar puncture on the fifteenth day of his illness produced cerebrospinal fluid containing 100 lymphocytes/c. mm. |
|
| 17 | 病人顺利地恢复健康,并于12月31日出院。以前他曾在养猪专场工作过12个月。 | The patient made an uneventful recovery and was discharged from hospital on 31 December.He had been working in a piggery for 12 months. |
|
| 18 | 附注:上述病历均摘自关于“人和动物的犬钩端螺旋体病”的一次讨论。本病病原体为犬钩端螺旋体,这种微生物能通过猪、狗及其它动物进行传播。 | Note. The above case histories are from a discussion on canicola fever in Man and Animals. The causative organism of the disease is L.canicola and it can be transmitted by pigs and dogs, and other animals. |
|
| 19 | 患者男性,21岁,6月24日因在酒吧间格斗后不久在街头虚脱20分钟而被送到医院重伤科。 | On 24 June a man aged 21 was admitted to the casualty department, having collapsed in the street 20 minutes previously a few moments after a fight in a public house. |
|
| 20 | 病人严重休克,有四处刀伤,2个伤口在左心窝,另外2个伤口在左季肋部。 | He was severely shocked, and had four stab wounds, each l cm. Long: 2 in the left precordium and 2 in the left flank. |
|
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