医师

Resident: Yes, we got a patient yester day.

住院医师：是的，我们昨天收了

Acanthosis nigricans has received attention as a type 2 diabetes sign, but Dr. Bennett noted that this dermatologic condition may simply indicate increased insulin resistance. He emphasized that children with type 1 diabetes do have symptoms, while those with type 2 usually do not. Hispanic children, African-American children, and those of Polynesian heritage also seem more vulnerable to developing type 2 diabetes than white children, although obesity and being female clearly increase the risk in all ethnic groups, he said. Currently, there is no direct evidence that physical inactivity, separate from its effect on body mass index, is a risk factor for type 2 diabetes in youngsters.

黑色棘皮病因为是第二型糖尿病的一项病徵而受到瞩目，但Bennett医师表示，这种皮肤疾病可能仅代表胰岛素抗性增加；他强调，这在第一型糖尿病的孩童身上会有此症状，第二型糖尿病则否；他指出，虽然肥胖者与女性在所有种族中有明显地第二型糖尿病增加风险，但西班牙、非裔美国籍以及波里尼西亚人孩童比白人孩童更容易发生；目前没有直接证据证明，来自於缺乏运动对身体质量指数的影响，是造成年轻人发生第二型糖尿病的危险因子。

Acanthosis nigricans has received attention as a type 2 diabetes sign, but Dr. Bennett noted that this dermatologic condition may simply indicate increased insulin resistance. He emphasized that children with type 1 diabetes do have symptoms, while those with type 2 usually do not. Hispanic children, African-American children, and those of Polynesian heritage also seem more vulnerable to developing type 2 diabetes than white children, although obesity and being female clearly increase the risk in all ethnic groups, he said. Currently, there is no direct evidence that physical inactivity, separate from its effect on body mass index, is a risk factor for type 2 diabetes in youngsters.

黑色棘皮病因为是第二型糖尿病的一项病征而受到瞩目，但Bennett医师表示，这种皮肤疾病可能仅代表胰岛素抗性增加；他强调，这在第一型糖尿病的孩童身上会有此症状，第二型糖尿病则否；他指出，虽然肥胖者与女性在所有种族中有明显地第二型糖尿病增加风险，但西班牙、非裔美国籍以及波里尼西亚人孩童比白人孩童更容易发生；目前没有直接证据证明，来自于缺乏运动对身体质量指数的影响，是造成年轻人发生第二型糖尿病的危险因子。

The di agnosis and treatment of BPH with prostatitis should be paid special attention to

目前对BPH患者并发前列腺炎的诊断及治疗均不理想，应引起临床医师的高度重视。

Intern: The ampullary of fallopian tube.

实习医师：输卵管壶腹部。

Objective To make clinical doctors better understanding of anaplastic large cell lymphoma and reduce the misdiagnosis of ALCL at an earlier stage.

目的 提高临床医师对儿童间变性大细胞淋巴瘤的认识，减少ALCL的早期误诊。

The section thickness was 5mm,the best section was selected before injection of nonionic contrast material, hen nonionic contrast material l.5m1/kg were injected via the antecubital vein in the rate of 2ml/sec, two serial scannings were obtained began at 6s and 2mm, for the first series the scanning internal was 3 seconds, for the second series, the scanning internal was 7 seconds.3 Methods of studying figureThe CT numbers of lesion on plain CT and on contrasted CT at serial phases were recorded, on which the time-intensity was produced.

计算出不同时相时的CT增强值，绘出动态增强曲线。在不知道病变病理结果的情况下，由三位有经验的医师在不知道病理结果的情况下记录上述病例的动态增强模式及其动态变化。 4。增强峰值与肺血供来源和血管密度的关系的评价其中32例准备手术的SPN，术前行CT同层动态增强扫描后测量增强后第一次循环肺动脉期与主动脉期CT值。然后分别与平扫时CT值比较；术后对瘤体CT测量兴趣区取材并行HE染色，随机取5次，在放大40倍的显微镜下观察5mm范围内直径0.02～0.1mm和＞0.1mm的微血管数目，5次的平均值颀士学泣衫艾中文赂要即为兴趣区对应的血管数目，井将其与瘤体增强峰值作相关性分析。

Objective:To study the clinical features and pathological findings of rupture of aortic aneurysm for clinicians′reference.

目的：探讨主动脉瘤破裂猝死的发病特点和病理学基础，为临床医师提供帮助。

We must change the concept of cancer pain management medical model:Anesthetists should have professional abilities、 capability of health care and prevention、 ability of group cooperation、ability of assessment of new technology ,eliminate fear of addiction on using opioids ;implement interdisciplinary comprehensive appeasement health protection;applyment new technology;.

麻醉科医师必须明确在晚期癌痛治疗转变中的责任和义务：具有专业能力、保健与防病能力，消除使用阿片类药物成瘾恐惧症；团队协作能力、新技术的评估能力，实行跨学科综合姑息保健；遵循生物心理社会医学模式，对晚期癌痛患者实施人文关怀。

The plastic surgeon crossed his arms over his chest and looked at me appraisingly.

外科整形医师交叉双臂抱于胸前，以品评的眼光望着我。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。