一点英语

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No. 160

01

Medical Story Show

（2-18）

Because before that they are protected...

因为在此之前 生母的免疫系统

by their biological mother's immune system.

能保护他们

So, was she vaccinated?

所以 她打疫苗了吗

An infant picks up a regular old measles virus.

婴儿染上麻疹病毒

Gets a rash.

会有皮疹

He's extremely uncomfortable, has a wicked fever

他会觉得很难受 发高烧

but he lives.

但不会危及生命

Here's the kicker.

但是有不定因素

Once every million or so times

病毒突变的几率

the virus mutates.

是百万分之一

Instead of Dan having a fever and a rash

丹没有发烧或皮疹

the virus travels to his brain and hides

是因为病毒潜入他的大脑中 隐藏起来

like a time bomb.

就像一颗定时炸弹

In this case, for 16 years.

在这个病例中 它潜藏了 16 年

Subacute sclerosing panencephalitis.

亚急性硬化全脑炎

I know. There's only been 20 cases in the United States

我知道 在过去的 30 年里

in the last 30 years.

全国只发现过 20 例

I suppose you could make an argument the kid's still in stage I.

你是想说 这孩子还处于第一期吧

Once S.S.P.E. Moves to stage II, it's

一旦亚急性硬化全脑炎进入第二期

Boom. Stage II is universally fatal.

恶化速度加快 第二期通常是致命的

I assume its impossible to know when he might move into stage II.

可谁都不知道 他什么时候会进入第二期

He's already started showing symptoms.

他已经有第二期的一些症状了

Could be a month. Could be tonight.

可能是一个月 后 也可能是今晚

Can we treat it? Ask the neurologist.

能治好吗 问神经病学家吧

Intraventricular interferon.

脑室内注入干扰素

Not gonna shove a spike into his brain and drip interferon without confirming this diagnosis.

没确诊前 又不能在脑袋上钻洞 注干扰素

Tap him.

抽脑脊液看看

We won't get a reliable result for measles antibodies in his C.S.F.

我们无法从他的脑脊液中得到可靠的麻疹抗体

Not after everything we've given him.

在我们对他进行的这一系列治疗之后不行

So the wrong treatment kills any hope of the right diagnosis.

所以 错误的疗法毁了诊断正确的希望

Why do people lie to me?

他们为什么要骗我呢

Could also kill him.

这可能会杀了他的

Your ball, Foreman.

看你的了 福曼

Tell me I don't have to biopsy his brain.

应该不用做大脑活组织切片检查吧

Well, there is one other way.

好吧 还有另一个方法

You sure this isn't gonna hurt?

这个真的不疼吗

Yeah. It's just scary as hell.

当然 这只是有点可怕

See, we go through the pupil.

它会从你的瞳孔穿入

But you won't feel it. The eye's been paralyzed.

你不会觉得疼 因为眼睛已经麻醉了

The needle travels to the back of the eye

针会穿到你的眼睛后方

which is where we'll perform the biopsy on your retina.

我们想在你的视网膜上 施行活组织检查

So we've confirmed that the problem is this mutated virus.

已经确诊了 问题就出在这个变异的病毒上

The treatment for S.S.P.E. Is intraventricular interferon.

治疗亚急性硬化脑炎是在脑室内注射干扰素

We implant an ommaya reservoir under the scalp

我们会在头皮下植入奥马耶贮器

which is connected to a ventricular catheter...

与心室导管相连

that delivers the antiviral directly to the left hemisphere.

心室导管会将抗病原体直接输送至左脑

——From《House M.D》

重点词汇（Vocabulary）

1. infant [ˈɪnfənt] n.婴儿;幼儿;0-1岁的幼儿;adj.供婴幼儿用的;初期的;初创期的2. picks up 得（病）;染上（疾病）3. measles [ˈmiːzlz] n.麻疹4. rash [ræʃ]n.皮疹;疹;大量;许多;(涌现的)令人不快的事物;adj.轻率的;鲁莽的5. wicked fever 高烧6. kicker [ˈkɪkər] n.踢的人;(尤指)踢球的运动员;(一连串事情的)意外结局7. mutate [ˈmjuːteɪt]vi. 变化，产生突变；vt. 改变，使突变8. Subacute sclerosing panencephalitis.亚急性硬化性全脑炎。9. subacute [ˈsʌbəˈkjut] adj. 亚急性的；稍尖的10.sclerosing [skləˈrəʊsɪŋ] adj. 致硬化的，硬化型的;v. （使）硬化，引起……的硬化11.panencephalitis [ˌpænenˌsefəˈlaɪtɪs] n. 全脑炎12.universally [ˌjuːnɪˈvɜːrsəli] adv.全体地;一致地;共同地;到处;随时随地;在各种情况下13.fatal [ˈfeɪtl] adj.致命的;灾难性的;毁灭性的;导致失败的14.neurologist [nʊˈrɑːlədʒɪst] n.神经病学家;神经科医生

15.intraventricular [ˌɪntrəven'trɪkjʊlə]adj. 心室内的;脑室内16. shove [ʃʌv] v. 猛推，乱挤；连推带挤地走;n. 猛推17.spike [spaɪk]n.尖峰;尖状物;猛增;v.用尖物刺入(或扎破);在…中偷偷掺入(烈酒、毒药或毒品);拒绝发表;阻止…传播;阻挠;迅速升值18.drip [drɪp] v. 滴下，滴出；含有，充满;n. 水滴，滴液；滴水声，滴落19.antibody [ˈæntibɑːdi] n. [免疫] 抗体20.biopsy [ˈbaɪɑːpsi]n. 活组织检查；活组织切片检查；切片检查法21.hurt [hɜːrt] v. 使受伤，使疼痛；感到受伤，感到疼痛;adj. （身体上）受伤的；（感情上）痛苦的;n. 心灵创伤，委屈；（身体上的）伤，痛22. pupil [ˈpjuːpl] n. 学生，（尤指）小学生；弟子，门生；瞳孔；< 英>见习律师；< 法律>未成年人23.paralyzed [ˈperəlaɪzd] adj. 瘫痪的；不能活动的;v. 使麻痹；使无力；使失去勇气24.retina [ˈretɪnə] n. [解剖] 视网膜25. scalp [skælp] n.头皮26.ventricular [vɛnˈtrɪkjulər] adj.（心）室的27.catheter [ˈkæθɪtər] n.导管(如导尿管)

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