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Case 26. Thoracoscopic Lung Resection Importance of adequate analgesia: This allows patients to effectively perform incentive spirometry and enables the pulmonary toilet functions to clear airway secretions, both of which reduce atelectasis and thereby improve ventilatory function. Conversely, it is also important to avoid oversedating these patients, for essentially the same reasons.  01. oversedate v. 过度镇静 → oversedation: excessive sedation. 02. be acquainted with [bi əˈkwentɪd wɪð] 熟悉, acquaint [ə'kweɪnt] v.使熟悉；使了解: to make familiar: to cause to know firsthand // Mr. King spent the first week of the summer internship acquainting everyone with the new computers. 金先生用暑期实习的第一个星期让每个人熟悉了新电脑的操作。 03. intricacy [ˈɪntrɪkəsi] n.错综复杂的事物（或细节）the quality or state of being intricate ( ['ɪntrɪkət] adj.错综复杂的), something intricate // Inside the machine is an intricate arrangement of wires. 机器里面是错综复杂地连接在一起的电线。 04. Primary care physician (PCP) n.初级护理医师；基础医疗医师A primary care physician (PCP), or primary care provider, is a health care professional who practices general medicine. PCPs are our first stop for medical care. Most PCPs are doctors, but nurse practitioners andphysician assistants can sometimes also be PCPs.
05. Patients with long-standing uncontrolled or poorly controlled hypertension will have a right shift of the cerebral autoregulatory curve, and as a result, require a higher blood pressureto maintain adequate cerebral perfusion. Cerebral [səˈriːbrəl] adj.大脑的 relatingto or affecting your brain cerebral autoregulatory curve脑血流自动调节曲线Cerebral autoregulation is a homeostatic process thatregulates and maintains cerebral blood flow (CBF) constant across a range ofblood pressures. The classic cerebral autoregulation curve, described by Lassen (1959), showed that cerebral blood flow (CBF) is kept relatively constant at wide ranges of mean arterial pressures (MAP) of ~ 60-150 mmHg. homeostatic [ˌhəʊmɪə'steɪtɪk] adj.内环境稳定的；体内平衡的 → homeostasis [ˌhəʊmiə'steɪsɪs] n.体内稳态 are latively stable state of equilibrium ([ˌiːkwɪˈlɪbriəm] n.平衡；均衡) or a tendency toward such a state between the different but interdependent elements or groups of elements of an organism, population, or group
06. ischemic stroke 缺血性脑卒中An ischemic stroke occurs when a blood clot blocks blood flow in a vessel that is carrying blood to the brain. The most common risk factor for this type of stroke is high blood pressure. Ischemic [ɪs'ki:mɪk] adj.局部缺血的 : deficient supply of blood to a body part (such as the heart or brain) that is due to obstruction of the inflow of arterial blood → ischemia [ɪs'ki:mɪə] n.【医】局部缺血 -emia ['i:mɪr] abbr. (Latin suffix = a condition of the blood) 1.referring to something in the blood 2.=-aemia（拉丁语后缀）血液环境——贫血 Stroke [strəʊk] n.中风: sudden impairment or loss of consciousness, sensation, and voluntary motion that is caused by rupture or obstruction (as by a clot) of a blood vessel supplying the brain, and is accompanied by permanent damage of brain tissue NOTE: Symptoms of stroke include numbness or weakness on one side of the body or face, confusion, impaired speech or vision, loss of coordination or balance, trouble walking, or severe headache. — called also apoplexy (['æpə.pleksi] n.中风), brain attack, cerebrovascular ([ˌserəbrəʊ'væskjələ] adj.脑血管的) accident
07. cross-match blood 交叉配血Cross matching is a procedure performed prior to transfusion of blood or blood products to detect any serological ([sɪrə'lɒdʒɪkəl] adj.血清学) incompatibilities in the blood of donor and recipient. 08. give consent for 同意 Essentially, you write a letter of consent to give someone permission to do something or use something that belongs to you. However, unlike a simple letter of permission, a letter of consent has legal significance. Consent [kən-ˈsent] : to give assent or approval : AGREE // consent to being tested 受试同意 09. endotracheal [ˌendə(ʊ)'treɪkɪəl] adj. 气管内的 placed within the trachea ([trəˈkiːə] n.气管)，or applied or effected through the trachea 10. uninvent单腔单肺通气导管: A single lumen endotracheal tube with a build-in endobronchial blocker.
11. endo-bronchial [endəʊb'rɒnkɪəl] adj. 支气管内的 The meaning of ENDOBRONCHIAL is located within a bronchus ([ˈbrɒŋkəs] n.支气管). → bronchial ['brɑŋkɪəl] 支气管的 12. wedge resection 楔形切除 A surgical procedure to remove a triangle-shaped slice of tissue 楔形切除术：也叫局部切除术，切除肺组织最少的方法。类似于切蛋糕，肺楔形切除只切除了肿瘤和肿瘤所在的一部分肺组织，保留了其余大部分肺组织。 13. lobectomy [ləʊ'bektəmɪ] n.【医】(脑、肺等的)叶切除术 A lobectomy is a surgery to remove one of the lobes of the lungs. The lungs have sections called lobes. The right lung has 3 lobes. The left lung has 2 lobes. A lobectomy may be done when a problem is found in just part of a lung. The affected lobe is removed, and the remaining healthy lung tissue can work as normal.
Case Files: Anesthesiology 学习笔记(102)胸腔镜下肺切除术1. 中国麻醉周 About Your Anesthesiologist Case Files: Anesthesiology 学习笔记(101)慢性阻塞性肺病3. |
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