一点英语

English Step by Step

No. 154

01

Medical Story Show

（2-12）

He was in an acute confusional state

他当时处在急性精神混乱状态

which doesn't fit with a demyelinating disease like M.S.

和多发性硬化等神经髓鞘剥落类疾病不符

Oligoclonal bands Were real.

脑脊液寡克隆区带 是存在的

They just mean something

不过 反映的不是多发性硬化

other than M.S.

而是其它原因

So, what are they telling us?

那么 是什么呢

That the immune system is working? Right.

免疫系统正常 对

He has an infection in his brain.

他脑部有感染

What about sex?

会不会和性有关[来做爱吧]

Well, it might get complicated. I mean, we work together.

会很复杂的 我们是同事

I'm older, certainly, but maybe you like that.

而且我又有点老 不过或许正对你胃口

I meant maybe he has neurosyphilis.

我是说可能是神经性梅毒

Huh. Nice cover.

欲盖弥彰

Sorry. R.P.R. Was negative.

对不住 梅毒快速血浆反应素是阴性

We don't need a definitive test to confirm.

我们不需要定性检测来确诊

Sure. Didn't need one to confirm M.S.

对 也不需要结果来确诊多发性硬化

Okay. Let's wait for you to run titers on 1,400 viruses

那就等你测完 1400 种病毒做浓度测试之后

while this kid's brain turns to mush.

这孩子的脑子也差不多了

So the fact that he doesn't have M.S.

事实是 他不是多发性硬化症

it's it's really not good news after all.

这个 其实算不上好消息

Well, it is if it's neurosyphilis.

如果是神经性梅毒的话 就算个好消息

The likelihood of a false negative on an R.P.R. Test: 30%.

梅毒检测的假阴性率是 30%

Likelihood of a 16yearold having sex: Roughly 120%.

16 岁少年做爱的概率大概是 120%

I'll start him on I.V. Penicillin.

我会开始青霉素静脉滴注

We're not gonna wait for that.

我们等不了

The most effective way to deliver the drug is right into his brain via the spine.

最有效给药途径是经脊柱注射进脑部

We can't. In a cramped space like the brain

不能这么做 在如大脑一样的狭小空间

increased intracranial pressure from a highvolume drug like penicillin

青霉素类高容积药物导致的颅内压增高

could herniate his brain stem.

可能会使脑干破裂

It'd kill him.

那会杀了他的

No neurologist in his right mind would recommend that.

正常的神经科医生都不会这么建议的

Show of hands. Who thinks I'm not in my right mind?

举手投票 谁认为我不正常

And who thinks I forget this fairly basic neurological fact?

谁认为我连这点神经学基本理论都不懂

Who thinks there's a third option?

谁认为还有其它办法

Very good. What's the third choice?

很好 是什么

No idea. You just asked if I thought there was one.

不知道 你只是问是否觉得有

The patient has a shunt in his brain. There'll be no increased pressure.

病人脑部有分流器 脑压不会增高

We can put as much penicillin into his body as we want.

我们想用多少青霉素都没有问题

Excellent. Inject him through a lumbar puncture.

好极了 腰椎穿刺注射

One of us is gonna do this to you twice a day

我们中的一个会在接下来的两周内

for the next two weeks.

每天给你注射两次

I'm ready. Go.

我准备好了 开始吧

He could get syphilis... even if he's not sexually active?

如果没有过性生活 他会感染上梅毒吗

Well, it's it's unusual, but it's possible.

的确不太寻常 不过还是可能的

Okay. Relax.

好 放松

——From《House M.D》

重点词汇（Vocabulary）

1、demyelinate [diːˈmaɪəlɪneɪt] v.使（神经）脱髓鞘

2、Oligoclonal 寡克隆

3、neurosyphilis [njʊərəˈsɪfəlɪs] n. [性病] 神经梅毒

4、negative [ˈneɡətɪv] （实验或测试的结果）阴性的

5、titers [ˈtaɪtər] n. 滴定量；浓度测试

6、mush [mʌʃ] n.软稠的一摊;糊状物;玉米粥

7、roughly [ˈrʌfli]adv.粗略地;大致;大约;差不多;粗暴地

8、cramped [kræmpt] adj.狭窄的;狭小的;拥挤的

9、intracranial [ˌɪntrəˈkreɪniəl]adj. 颅内的

10、penicillin [ˌpenɪˈsɪlɪn]n.青霉素;盘尼西林

11、herniate [ˈhɜːrnɪˌet]v. （器官）成疝，突出

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