英华外语学校临床医学英语第45.38.49篇.pdfVIP

青岛英华外语学校 Chapter 45 Acute Abodomen -Decision to Operate � These difficulties notwithstanding, the surgeon must make a decision to operate or not. Certain indications for surgical treatment exist. � Notwithstanding 尽管 虽然 � 尽管有这些困难，外科医生必须作出是否手术的选择。有一些外科手术的指征。 � Forexample,definitesignsofperitonitissuchastenderness,guarding,and rebound tenderness support the decision to operate. � Peritonitis 腹膜炎 � 比如说，特定的腹膜炎体征如腹痛，肌卫，反跳痛都支持手术的决定。 � Likewise， severeorincreasinglocalizedabdominaltendernessshouldprompt an operation. � 同样的，严重的或者逐渐加重的局限性腹痛也应马上手术。 � Patients with abdominal pain and signs of sepsis that cannot be explained by any other finding should undergo operation. � 无法解释的腹痛伴随脓毒症的病人应该进行手术。 � Those patients suspected of having acute intestinal ischemia should be operated on after complete evalution. � 对怀疑肠缺血的病人需进行充分评估后手术。 � Certain radiogragphicfindingsconfidentlypredicttheneedforoperation. � 某些诊断学的发现比较确切地提示了手术指证。 � These finding include pneumoperitoneum and radiologic evidence of gastrointestinal perforation � 这些发现包括气腹证或者胃肠穿孔的放射学证据。 � Patients presenting with abdominal pain and free intra-abodominal gas seen on radiograph warrant operation with limited exceptions. � 如果患者有腹痛并且X光片上有腹腔内气体，绝大部分病人需要手术。 � Observation with serial examinations may be appropriate for a patient with free gas after a colonoscopy. � 结肠镜检查后出现自由气体的病人需要观察并做一系列的检查。 � Intra-abdominal gas can persist for a day or two following celiotomy. � 剖腹术后腹腔内气体还可以遗留一至二天。 � Imaging tests can reveal signs of vascular occlusion requiring operation. � 放射学检查可以提示需要手术的血管阻塞疾病。 � Aftercarefulexaminationandevaluation,diagnosticuncertaintycanremain. Some patients may have equivocal physical findings. � 详细的检查和评估之后，诊断未明确的可以继续观察。一些病人可能表现出模棱两 可的体征。