有毅 asked in 社會與文化語言 · 1 decade ago

醫學相關文章段落

This study used patient data from a randomized open label clinical trial (July 2000eMarch 2004) on efficacy of an early switch of intravenous antibacterial treatment to oral treatment of CAP [13]. All adult patients hospitalized for CAP in seven hospitals (two university medical centers and five teaching hospitals) in the Netherlands were eligible for inclusion in that study. Pneumonia was defined as a new or progressive infiltrate on a chest X-ray plus at least two of the following criteria: cough, sputum production, rectal temperature >38。C or >36。C, ausculatory finding consistent with pneumonia, leucocytosis (>10.000/mm3 or >15% bands), C-reactive protein >3 times the upper limit of normal, positive blood culture, or positive culture of pleural fluid. Patients with cystic fibrosis, a history of colonization with Gram negative bacteria because of structural damage to the respiratory tract, malfunction of the digestive tract, life expectancy of less than 1 month because of underlying diseases, infections other than pneumonia needing antibiotic treatment, severe immunosuppression ( neutropenia (<0.5 X 109/L) or a CD4 count < 200/mm3), and needing mechanical ventilation in an intensive care unit were excluded.

For each patient, sputum samples and blood samples were collected, cultured, and evaluated following standard procedures. In addition, Binax NOW-tests were used to detect urinary antigen for Legionella pneumophila and Streptococcus pneumoniae. Acute and convalescent serology samples were collected and evaluated for Mycoplasma pneumoniae, L. pneumophila, and Chlamydophila pneumoniae. Based on microbiological analyses performed, patients were categorized patients as having pneumococcal pneumonia (defined as S. pneumoniae isolated from a blood sample or adequate sputum sample containing <25 polymorphonuclear neutrofils and >10 epithelial cells per high power field), pneumonia with other pathogen specified, or pneumonia with no organism specified.

Update:

這位ped大哥

感謝你的幫忙!!

只是你搞錯了,你去看一下

示兩個不同的人吧!!

只是名子一樣!!

1 Answer

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  • PED
    Lv 6
    1 decade ago
    Best Answer

    你竟然會自己回答選自己 ,真是oRZ

    這種文章 應該要讀到完全不需要翻譯的程度 才能應付你的學業吧

    幫你翻第二段就好,以免我的時間血本無歸

    對每位病人都收集痰液及血液樣本,並以標準方式檢驗.

    此外,還以Binax-NOW 檢驗尿液中有無退伍軍人菌或肺炎鏈球菌的抗原

    急性期及恢復期的血清也收集來檢驗黴漿菌,退伍軍人菌及披衣菌.

    根據以上細菌學上的分析檢查.病人分為以下三類

    肺炎鏈球菌感染(定義為血液或適當痰液中培養出肺炎鏈球菌)

    肺炎但是由其他已知病原感染

    肺炎但尚未發覺特定病原

    ps. 適當痰液定義為高倍顯微鏡下,每各視野中有多於25個白血球細胞,並且少於10個上皮細胞 <==這個一定要知道,考試會考的

    2009-04-23 09:49:04 補充:

    第 一 段

    本研究旨在評估在社區型肺炎,早期從靜脈注射改為口服抗生素之療效評估

    研究樣本為開放式隨機取樣,期間由July 2000到March 2004,

    此期間內,在荷蘭,在七家醫院(二家大學醫學中心,五家教學醫院)所有因社區型肺炎住院的成人病患,都是候選樣本.

    2009-04-23 10:13:00 補充:

    肺炎的診斷定義為: A + 至少兩各 b類症狀

    A.在肺部x光上,有新的或是進行性的浸潤

    B.咳嗽; 痰很多 ;發燒肛溫超過38 ; 肺部聽診符合肺炎跡象 ; 白血球增多(超過10000,或未成熟白血球超過15%) ; c反應蛋白超過正常上限三倍以上 ; 血液培養陽性 ; 肋膜液培養陽性 等八項

    2009-04-23 10:34:42 補充:

    以下病人則排除在外:

    囊腫纖維症病人 , 因為呼吸道結構損傷以致於有革蘭氏陰性菌移生病史 , 腸胃道功能不良 , 本身原有疾病致存活期本來就不足1個月, 除肺炎外另有其他感染需抗生素治療 , 嚴重免疫力低下(白血球少於500, 或cd4白血球少於200) , 加護病房呼吸器照護中之病人 . 等七類

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