【原】Case Files: Anesthesiology 學習筆記(111)顱內(nèi)占位開顱切除術(shù)4.

麻花慧慧子 2022-06-22 發(fā)布于浙江

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Case 28 Craniotomy for Brain Mass Excision

A review of the patient’s CT scan or MRI is invaluable. It gives an idea of the size and position of the tumor, the extent of cerebral edema, and the possible presence of a midline shift.

1. contralateral hemiparesis or hemiplegia

Contralateral [k?ntr?'l?t?r?l] adj.【解】對側(cè)的 describes a body part that is on the opposite side of the body, or that acts in conjunction with such a part → ipsilateral [?ps?'l?t?r?l] adj.(身體的)同一側(cè)的；being on or affecting the same side of the body

Hemiparesis [hem?p?'ri:s?s] n.半身輕癱 weakness of one side of your body, including one arm and one leg.The word, 'hemi,’ means, 'one side, [?hemi] prefix, Latin, half; 'paresis,’ means, 'weakness.’ ['p?r?s?s] n.局部麻痹；輕癱；

Hemiplegia [?hem?'pli:d???] n.【醫(yī)】半身不遂 Hemiplegia is a condition that is characterized by paralysis of one half of the body, usually due to a brain lesion on the opposite side. --plegia New Latin, from Greek -plēgia, from plēssein to strike 癱的 denoting a kind of paralysis, as hemiplegia, paraplegia.

2. proximity [pr?k?s?m?ti] n.鄰近 → proximal ['pr?ks?m?l] adj.近端的；近身體中心的nearer to the point of reference or to the center of the body than something else is. The opposite is distal (肢體遠端的).

3. dural venous sinuses 硬腦膜靜脈竇；硬腦膜竇

dural ['dj??r?l] adj.【解】硬腦(脊)膜的 → dura ['dj??r?] n.【解】硬腦[脊]膜 The dura is the most outer layer of the meninges of the brain. The dura consists of two layers the periosteal layer (骨膜層) and inner meningeal artery (腦膜動脈). These two layers are fused together except where the dural venous sinuses are located.

periosteal [?per?'?st??l] adj. osteal ['?st??l] adj.骨的- relating to bone or to the skeleton → periosteum ([?per?'?st??m] n.【解】骨膜) is a thin membrane covering bone surfaces

meningeal → [m?'n?nd???l] adj.腦膜的 of, relating to, or affecting the meninges [m?'n?nd?i:z] n.腦脊膜

Sinus ['sa?n?s] n.竇；竇道

Tentorium cerebelli [ten't?:ri?m] [.ser?'bela?]小腦幕

Falx cerebri [f?:lks] [s??ri?bra?] 大腦鐮

(or Cerebral Falx)

Cerebellar flax [ser?'bel?] [f?:lks] 小腦鐮

4. crucial [?kru??(?)l] adj.至關(guān)重要的；關(guān)鍵性的 something that is crucial is extremely important because it has a major effect on the result of something // She played a crucial role in the negotiations. 她在談判中扮演了至關(guān)重要的角色。

5. intracranial compliance 顱內(nèi)順應性 Intracranial compliance (ICC) represents the change in volume per unit change in pressure. It determines the ability of the intracranial compartment to accommodate an increase in volume without a large increase inintracranial pressure (ICP).

6. meticulous attention to

meticulous [m??t?kj?l?s] adj.細心的；小心翼翼的 marked by extreme or excessive care in the consideration or treatment of details.

7. high intrathoracic pressure

Intrathoracic, intra-thoracic, thoracic [θ???r?s?k] adj.【解】胸(廓)的 → thorax [?θ??r?ks] n.胸；胸部；胸腔

8. diuretic [?da?j??ret?k] adj.【醫(yī)】利尿的n.利尿藥 : tending to increase the excretion of urine // diuretic drugs

9. mannitol [m?n?l] n.【化】甘露糖醇

10. osmotic [?z?m?t?k] adj.滲透的 relating to the process of osmosis [?z?m??s?s] n.滲透；the gradual passing of a liquid through a membrane (= a thin layer of material) as a result of there being different amounts of dissolved substances on either side of the membrane. // Since water often flows with sodium through a process of osmosis, water also moves into the blood, which increases blood volume and therefore blood pressure. 由于水通常與鈉一起通過滲透過程流動，因此水也進入血液，從而增加血容量，進而升高血壓。