Case 23. Protamine Reaction in a Patient Undergoing Vascular Surgery
A 65-year-old man with severe claudication secondary to peripheral vascular disease is scheduled for a right femoral-popliteal artery bypass. He has type II diabetes treated with NPH insulin, and hypertension treated with metoprolol.
65岁老年男性，因外周血管疾病严重跛行，将择期行右股动脉-腘动脉人工血管旁路术。他目前使用中效胰岛素治疗II型糖尿病，美托洛尔治疗高血压。
2. vasectomy [və'sektəmi] n.输精管切除术 Vasectomy is a form of male birth control that cuts the supply of sperm to your semen.
Sperm [spəːm] → variants: or spermo- or sperma- or spermi- spermicide [ˈspɜː(r)mɪsaɪd] n.杀精子剂
Semen [ˈsiːmən] n.精液 Semen is a combination of fluids, including sperm and water.
3. iodine [ˈaɪədiːn] n.碘
4. pertinent [ˈpɜː(r)tɪnənt] adj.有关的；恰当的// These remarks are not pertinent to the subject under discussion. 这些话与讨论的主题无关。
5. an old inferior myocardial infarction 陈旧性下壁心肌梗死 An inferior infarct on ECG (inferior myocardial infarction or inferior STEMI) occurs when inferior myocardial tissue supplied by the right coronary artery (RCA 右冠状动脉), is injured due to thrombosis of that vessel.
6. desflurane [des-FLOO-rane] 地氟烷
7. analgesia [ˌæn(ə)lˈdʒiːziə] n.镇痛;痛觉缺失: insensibility to pain without loss of consciousness
8. His vital signs remains stable throughout. 他的生命体征自始至终都很平稳。
throughout [θruːˈaʊt] prep.遍及；各处；自始至终；贯穿整个时期 // Several poison centers throughout the United States have reported sodium azide exposures from the COVID-19 test kits. — Terry Demio, The Enquirer, 22Feb. 2022 美国多个毒物控制中心都报告有COVID-19试剂盒叠氮化钠暴露。
9. anastomosis [ənæstə'məʊsɪs] n.(筋脉等的)吻合(术)
10. expeditiously [ˌekspə'dɪʃəslɪ] adv.高效；迅速地 // we will ultimately and expeditiously defeat this virus. 我们最终将迅速击败这种病毒。
11. protamine ['prəʊtəmiːn] n.鱼精蛋白
12. He is cold and clammy in appearance. 他皮肤湿冷。
Clammy ['klæmi] adj.黏糊糊的；湿漉漉的
13. temporal correlation 时空关联性 时空关联性分析是在时空数据挖掘理论基础上，研究空间对象随时间的变化规律，分析数据的时空变化趋势或预测未来的时空状态。
14. phenylephrine [fenə'lefrɪn] n.去氧肾上腺素
norepinephrine [ˌnɔ:repɪ'nefrɪn] n.去甲肾上腺素 Norepinephrine (NE) is a neuromodulator that in multiple ways regulates the activity of neuronal and non-neuronal cells.
epinephrine [ˌepɪ'nefrɪn] n.【生化】肾上腺素
15. cardiopulmonary arrest (CPA) 心跳呼吸骤停；
16. thrombin ['θrɒmbɪn] n.【生化】凝血酶
17. cannulate n.插管 v.装插管于
18. cannula [ˈkan-yə-lə] n. 套管，插管 → plural cannulas or cannulae [ˈkan-yə-ˌlē]
19. predispose to 易…的 // Fatigue predispose to colds. 疲劳易使人患感冒。
20. predictable [prɪ'dɪktəb(ə)l] adj.可预见的；可预料的；
21. dilute [ˈdaɪluːt] v.稀释；(加水等使液体或颜色)变稀；变淡 // Dilute means to 'make something less strong or less valuable'.削弱的意思是" 使某物变得不那么强或不那么有价值" 。
22. resultant [rɪ'zʌltənt] adj.因而发生的；因此而产生的// Her rudeness and the resultant criticism from her parents made her ashamed. 没有礼貌结果因此父母批评，这使她很羞愧。
23. hypovolemic [haɪpɒ'vəʊlemɪk] adj.低血容的；
24. warrant [ˈwɒrənt] n.依据；许可证；授权令 v.使有必要；使正当；[noun] guarantee, security. ground, justification. confirmation,proof. // Because this moment doesn't warrant such behaviour. 因为在这个时候，这种行为是极为不恰当的。
Case Files: Anesthesiology 学习笔记(93)心肺转流CPB患者术中管理3.
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