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bobwife

新虫 (著名写手)

[求助] 手术记录 中译英

术后诊断:子宫肌瘤
手术经过:麻醉满意后取平卧位,消毒辅巾,取下腹横切口,逐层进腹,洗手探查,子宫如孕12周大小,宫底后壁一肌壁间肌瘤样突起,直径约10cm,双附件外观正常(右卵巢未及肿物)。肠管与右侧盆壁粘连,分离肠管与盆壁粘连。将子宫提出腹腔外,探查双侧输尿管走行正常。于子宫肌瘤假包膜层注射稀释的垂体后叶素,纵切口切开肌瘤外肌层深达瘤体。钝性分离肌瘤瘤核与肌壁间界线。完整剔除肌瘤,未穿透子宫内膜。以1号可吸收线间断缝合封闭瘤腔、间断缝合瘤腔浆肌层两层。电凝针眼渗血处。创面放置一次性防粘连材料。清点器械纱布无误,逐层关腹,皮内缝合腹壁切口。
手术顺利,出血约50ml,尿色清。
引流情况:无
出血量:50ml                              
自体输血量:0ml                     
异体输血种类及单位:无
标本肉眼所见:肌瘤色白,质软,似多个肌瘤融合形成,共称重300g。

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bobwife

新虫 (著名写手)

2楼2017-04-19 05:12:42
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bobwife

新虫 (著名写手)

3楼2017-04-19 06:59:29
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bobcanada

至尊木虫 (文坛精英)

【答案】应助回帖

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bobwife: 金币+50, ★★★很有帮助, 虽然只翻译了一下部分,还是十分感谢🙏如果有人可以完成其余部分的翻译,可以追加金币奖励 2017-04-21 21:23:13
Postoperative diagnosis: Uterine fibroid (leiomyoma)

Surgical procedure: After satisfactory anesthesia induction, the patient lies with her back on the table, face up (supine position). Routine disinfection was performed and surgical drape (sterile towels) was applied. A lower transverse incision is made through the abdominal wall and the abdominal incision was made layer by layer. (尚缺“洗手探查....皮内缝合腹壁切口”的翻译,因专业背景问题,比较难翻译好)

The surgery was performed smoothly, bleeding about 50ml, with clear urine color.

Surgical drains: N/A

The amount of blood loss: 50ml

Intraoperative autotransfusion volume: 0ml  

Allogeneic blood transfusion type and unit of measurement: N/A

Specimen (observed by naked eyes): Uterine fibroids are white and soft. It appears that the uterine fibroids are fused to form by multiple fibroids and the total weight is 300g.
小木虫-知识宝库的入口。今天,你小木虫了没有?
4楼2017-04-21 06:49:55
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bobcanada

至尊木虫 (文坛精英)

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bobwife: 金币+150, ★★★★★最佳答案, 幸苦了,非常感谢! 2017-04-23 21:20:17
“洗手探查....皮内缝合腹壁切口”的翻译:
An exploratory laparotomy (abdominal exploration) was performed. Body of the uterus is big like a woman with 12 weeks pregnancy. A protruding dome of the fundal posterior wall fibroid (intramural leiomyoma) was identified with diameter of about 10 cm. Bilateral uterine appendages (adnexa of uterus) present normal appearance (no mass was touched in the right ovary). Adhesion from the right abdominal wall to the intestinal canal was observed. Abdominal wall was separated from the adhesion intestinal canal. The entire uterus was taken out of the abdomen and the normal course of both ureters was identified. Posterior pituitary was injected into uterine fibroid pseudocapsule at dilution unit. A longitudinal incision was made in the external muscle layer (outer myometrial layer of the fibroid) and this longitudinal incision was made deep into the fibroid. The cleavage plane between the fibroid and myometrium was identified and the fibroid was separated from myometrial wall by blunt dissection. Enucleation of intramural uterine fibroids was performed without penetrating through the mucosa (endometrium). The tumour cavity was closed with resorbable interrupted suture, following which the seromuscular layer (two layers) of tumour cavity was sutured with resorbable interrupted suture. Suture needle holes bleeding were controlled with the application of electrocoagulation. Surgical wound was covered with absorbable adhesion barrier. All materials (equipment and gauze) used in the operation were counted and checked, and then the abdomen was closed layer by layer. Abdominal incision was sutured with intradermal suture.
小木虫-知识宝库的入口。今天,你小木虫了没有?
5楼2017-04-23 08:27:25
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