有奖中英文一句话互译活动

jtsyy

困难气道的定义是：具有五年以上临床麻醉经验的麻醉科医师在面罩通气时遇到了困难（上呼吸道梗阻），或气管插管时遇到了困难，或两者兼有的一种临床情况。
The definition of difficult spirit way is:Have for more than five years the clinical anaesthesia is empirical anaesthesia doctor Ke met a difficulty(up breath way block) when the mask ventilates, or the windpipe met a difficulty while putting a tube, or both and a kind of clinical circumstance for having.
出处：中华医学会麻醉学分会《困难气道管理专家意见》

jtsyy

Objective To explore the possibility and security of tracheal e xtubation in the operation room after open heart surgery in children under fenta nyl-isoflurane anesthesia.
目的探讨芬太尼、异氟醚复合麻醉下小儿体外循环心脏手术后手术室拔除气管导管的可能性、安全性。

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Evidence for a beneficial effect of lipid infusion in local anesthetic systemic toxicity  was  first  published  more  than  a decade  ago  in a  rat  model  of bupivacaine-induced  asystole
脂类输注对局麻药全身毒性产生有利影响的证据首次发表于十多年前的一次布比卡因导致的心搏停止的大鼠模型实验后。
出处：Regional Anesthesia and Pain Medicine & Volume 35, Number 2, March-April 2010

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An adrenergic drug, C9H13NO2, that is a powerful vasoconstrictor and is used to relieve nasal congestion, dilate the pupils, and maintain blood pressure during anesthesia.
肾上腺素一种肾上腺素的药剂，c9h13no2，它是一种很强的血管收缩剂，可用于麻醉过程中减轻鼻充血、扩大瞳孔和稳定血压。

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Objective To explore the possibility and security of tracheal e xtubation in the operation room after open heart surgery in children under fenta nyl-isoflurane anesthesia.
目的探讨芬太尼、异氟醚复合麻醉下小儿体外循环心脏手术后手术室拔除气管导管的可能性、安全性

rusideal

Thoracic epidural-general analgesia in scoliosis surgery
脊柱侧弯手术中应用胸段硬膜外镇痛
出处：临床麻醉学杂志

lizhenzhou

Suspected Anaphylactic Reactions Associated with Anaesthesia,
围术期麻醉药物过敏反应
                                                  出自 AAGBI SAFETY GUIDELINE

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CON:Fluid Restriction for Cardiac Patients During Major Noncardiac Surgery Should be Replaced by Goal-Directed Intravascular Fluid Administration.
Anesth Analg 2006;102:344-6
Plasma volume expansion groups (4,5,7).Interestingly,the reduction of duration of hospitalization was 2 days in general surgery in relatively young and healthy patients(mean age,55-60 yr)(4),4days in cardiac surgery in 65-yr-old patients(7),and 4 to 8 days in 75 to 85-yr-old patients undergoing proximal femoral fracture repair(5,6).Older age and increasing comorbidity thus does not seem to limit but rather to increase the benefit of a goal-directed perioperative plasma volume expansion.
结论：限制性输液在心脏病人的非心脏手术中应当被目标导向的液体管理替代。
有趣的是，血浆容量扩充组（4、5、7），在年轻和健康病人中（平均年龄，50-60y）住院时间减少的天数为2天（4），在65岁心脏外科手术病人中住院时间减少的天数为4天（7），在75-85岁股骨干近端骨折修复术中住院时间减少的天数为4-8天（5、6）。如此看来：年龄的增加和合并症的增多并没有减少，反而是增加了目标导向的围术期容量扩充的益处。
从中山医院一位老师的课件中看到的一段话，硬译过来的，也不知道是说的这个意思不？

shenxiu2

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请点击首帖(主题帖)的"领取奖励" 领取你的奖励。----参宿2

shengbo119

麻醉治疗管理与持续改进
（一） 实行麻醉医师资格分级授权管理制度与规范，有定期能力评价与再授权的机制。
（二） 实行患儿麻醉前病情评估制度，制定治疗计划/方案，风险评估结果记录在病历中。
（三） 患儿麻醉前应向患儿监护人或近亲的知情同意，包括治疗风险、优点及其他可能的选择。
（四） 实施麻醉操作的全过程必须记录于病历/麻醉单中。
（五） 有麻醉恢复室，管理措施到位，实施规范的全程监测，记录麻醉后患儿的恢复状态，防范麻醉并发症的措施到位。
（六） 建立术后、慢性疼痛、癌痛患儿的镇痛治疗管理规范与程序，并有效执行。
（七） 建立麻醉科与输血科的有效沟通，积极开展自体输血，严格掌握术中输血适应症，合理、安全输血。
（八） 科主任、护士长与具备资质的人员组成质量与安全管理团队，能用麻醉工作质量和安全管理规章、岗位职责、各类麻醉技术操作规程、质量与安全指标来确保患儿麻醉安全，定期评价质量，促进持续改进。

       Anaesthetic Management and Quality Improvement
1.Implementation of anaesthesiologists classification and authorization management system contributed to periodically capacity assessment and re-authorization.
2. Implementation of the disease assessment system in children before anaesthesia, establishment of treatment planning or programs, and assessment of risks were recorded in medical records.
3. Before anaesthesia, the guardians or relatives of children should be introduced to the risks, benefits and alternatives of surgical and anaesthesia procedure , and signed the informed consent form.
4. The process of anaesthesia operations should be carefully documented in the medical records and anaesthesia records.
5. There should be a post-anaesthesia care unit, which be composed of highly trained nurses and anaesthetists, to provide the standardized monitoring of vital signs. The recovery status of children after general anaesthesia shoud be recorded, and effective measurement was developed to prevent life threatening complications of anaesthesia.
6. Management practices and procedures for postoperative pain, chronic pain, cancer pain of children shoud be established and effective implemented.
7. Department of Anaesthesia and Department of blood transfusion should established the positive and effective communications. They should carry out autologous blood transfusion actively, and strictly control of intraoperative blood transfusion in order to rationally and safely blood transfusion.
8. Quality and safety management team, composed of director, head nurse and qualified personnel, should be ensure the safety of anaesthesia in children using the quality and safety of anaesthesia management regulations, job responsibilities and various types of technology procedures and quality and safety indicators of anaeasthesia. Meanwhile, the team should evaluate the quality of anaeasthesia periodically, and promote continuous improvement of Department of Anesthesia.