安博 發問時間: 社會與文化語言 · 5 年前

[英文]可以幫幫我翻譯英文嗎

A 22-year-old man presented to the emergency department with chest tightness and a crinkly sensation over his neck and anterior upper chest after jogging for 40 minutes. On arrival, he was ambulatory and had a temperature of 37.6oC, heart rate of 102 beats/min, respiratory rate of 22 breaths/min, blood pressure of 122/76 mmHg, and an O2 saturation of 98% on room air. The electrocardiogram showed sinus tachycardia, The cardiac enzyme values were as follows: creatine kinase 70 μg/L; 1.2 ng/mL; and troponin-I 0.03 ng/mL, Results of a complete blood count were white blood cells 8600/mL, hemoglobin 13.2 g/dL, and platelets 186×103/mL. He denied trauma or penetrating events. Physical examination of the head, ears, eyes, nose, throat, abdomen, and extremities showed no abnormalities. There were no other predisposing factors except for intense physical activity during jogging. He had no history of smoking, asthma, or illicit drug use. A cardiology evaluation was performed to exclude cardiac events. Examination of the chest illustrated crepitus, which was synchronous with the heart beat. His chest radiograph showed free air in the neck, supraclavicular area and mediastinum (Fig. 1). Computed tomography of the chest and neck showed air around the trachea, esophagus, and ascending aorta, extending into the neck, anterior chest wall, and connective tissue (Fig. 2). The trachea, esophagus, lungs, and heart were normal with no evidence of pneumothorax. Endoscopic and bronchial examinations were not performed because his clinical condition was stationary. The patient was treated conservatively with intravenous hydration, oxygen, bronchodilators and monitoring of vital signs, and his symptoms/signs improved 3 days post-admission. Follow-up chest radiography showed that the pneumomediastinum and subcutaneous emphysema had nearly completely resolved (Fig. 3). He was discharged after 3 days of conservative treatment without any complications.

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  • 5 年前
    最佳解答

    有一個22歲男性送到急診部門時,在慢跑40分鐘後出現有胸悶、上前胸部和頸部收縮的現象。到院時,仍可走動體溫爲37.6℃,心跳率爲每分鐘102下,呼吸率爲每分鐘22次,血壓爲122/76,室內空氣下的氧氣飽和度爲98%。心電圖出現有竇性心動過速現象,心臟酶值分別如下:肌酸激酶70微克/升、1.2毫微克/毫升、肌鈣蛋白-I 0.03毫微克/毫升、全血細胞計數結果爲白血球8600/毫升、血紅蛋白13.2克/升和血小板186×103/毫升。未出現有創傷和穿刺傷,頭部、耳朵、眼睛、鼻子、喉嚨、腹部和四肢的生理檢查顯示並無異常,除了激烈的慢跑外,無其他誘因,無抽煙、氣喘或服用毒品等病史,心臟病學評估排除心臟病的可能性,胸部檢查與心跳聲同時顯示出現有捻發音。胸片顯示頸部、鎖骨上區及縱隔無空氣存在(圖1),胸頸部的斷層掃描顯示顯示在氣管、食道和升主動脈出現有空氣,再延伸到頸部、前胸壁和結締組織中(圖2)。氣管、食管、肺和心臟均正常無氣胸現象,未進行內鏡和支氣管檢查,因為臨床狀況穩定,持續對病患進行靜脈補液、吸氧、支氣管擴張劑和監測生命體徵等治療,其症狀在入院3天後改善,事後的胸片檢查顯示縱隔及皮下氣腫幾乎已完全痊癒(圖3),經過3天治療後無併發症即出院。

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  • 5 年前

    一名22歲的男子慢跑40分鐘後,呈現給急診科胸悶和皺巴巴的感覺在他的頸部和前胸部上方。到達目的地後,他的日間及過37.6oC,心臟速率為102次/分,22次/ min,七十六分之一百二十二毫米汞柱的血壓呼吸速率,並且98%的室內空氣的O 2飽和度的溫度。心電圖顯示竇性心動過速,心臟酶值分別如下:肌酸激酶70微克/升; 1.2毫微克/毫升;和肌鈣蛋白-Ⅰ0.03毫微克/毫升,的全血細胞計數結果是白細胞8600/毫升,血紅蛋白13.2克/升,和血小板186×103/毫升。他否認外傷或穿透性事件。頭部,耳朵,眼睛,鼻子,咽喉,腹部和四肢的體檢未見異常。目前還沒有其他誘發因素除了劇烈的體力活動慢跑過程中。他有吸煙,哮喘,或非法使用毒品的歷史。心髒病學評價進行,排除心臟事件。檢查胸部說明捻發音,這是同步的心臟跳動。他的胸片顯示自由空氣的頸部,鎖骨上區及縱隔(圖1)。胸部和頸部的計算機斷層掃描顯示周圍的空氣氣管,食道,和升主動脈,延伸到頸部,前胸壁,和結締組織(圖2)。氣管,食管,肺和心臟均正常,沒有證據氣胸。內鏡和支氣管檢查不執行,因為他的臨床情況是平穩的。該患者保守治療靜脈補液,吸氧,支氣管擴張劑和監測生命體徵,他的症狀/體徵好轉後3天入院。隨訪胸片顯示,縱隔及皮下氣腫已經幾乎完全解決了(圖3)。他是經過保守治療3天后出院,無任何並發症。

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