一点英语

English Step by Step

No. 231

01

Medical Story Show

（6-8）

and if it happened again, she'd die.

如果这再度发生 她会死的

If it had happened at home, she would have died.

如果她在家出现大出血 恐怕早就死了

The E.R. Doc, he was gonna send her home.

急诊室的医生原想把她送回家的

It turns out your best judgment is not good enough.

你最好的判断也不够好

Here's an idea next time, use mine.

我有个办法 下次 听我的

I think they're choosing a movie.

我猜他们在挑选电影吧

Why did the patient bleed out?

病人为什么会大出血

The clotting studies so far are normal.

血凝化验未见异常

Well, cover your ears if you don't want me to spoil the ending.

如果你们不想听结果就把耳朵捂上

Everything was normal, except for a prolonged P.T. Time.

除了凝血时间过长 无其他异常

Which means what?

说明什么呢

Usually it means whoever drew the blood didn't do it right

通常说明采集血样的人出错了

Oh, that's right,'cause you drew the blood.

对哦 是你抽的血

But you were precise

不过你做事精准

because you knew the tube was purely for the P.T. Study.

你知道哪支试管是"单纯"用来采血的

That's right. And I'm right with you.

正是 我相信你是对的

I trust this result, for two reasons

我相信这个血检结果 有两个原因

"A," Because you are a good doctor

一 你是个好医生

and "B," Because five milligrams of I.V. Haldol...

二 静脉注射五毫升氟哌啶醇

makes for a spectacularly cooperative patient.

会让病人彻彻底底地与你合作

The prolonged P.T. Time makes me think she's got

我认为凝血时间过长是因为

a vitamin "K" Deficiency.

她患了维生素 K 缺乏

Vitamin "K'"Would explain the bleed, but not the clot.

维生素 K 缺乏能解释出血 但不解释血栓

Without vitamin "K, "Protein "C" Doesn't work.

没有维生素 K C 蛋白无法正常运作

Without protein "C," She clots.

没有 C 蛋白 血液会凝结

Clotting and thinning all at the same time.

出血和凝结同时发生

What about another drug interacting with Heparin

是不是什么药和肝素起反应呢

an antibiotic like ampicillin?

比如像氨苄西林这类的抗生素

That would cause the bleed. Clever

这也引发出血 聪明

but she's not on ampicillin.

但她没用过氨苄西林

Two months ago, she complained of a sore throat

两个月 前 她说喉咙痛

and he got her ampicillin.

她儿子给她氨苄西林

Which she refused to take.

但她拒绝服用

He just said she didn't take it.

他说她没服用而已

What is it, everybody lies except for

怎么 你总说病人都会说谎

schizophrenics and their children?

难道精神分裂症患者和她的孩子就不会吗

It's more likely than malnourishment.

与营养不良相比 这个更有可能是病因

Why not scurvy or the plague?

但为什么不会是坏血症或鼠疫呢 -

Gee, I wish my idea was as cool and withit as yours.

天呢 真希望我的想法和你的一样酷

What is yours, by the way? Do you have one?

你怎么想的 你有自己独立的想法吗

Alcohol.

酒精

Simple. It causes immobility, which explains the D.V.T.

酒精使病人活动困难 引起了深静脉血栓

It also causes cirrhosis

同时导致肝硬化

which explains the bleed and the prolonged P.T. Time.

这能解释大出血和凝血时间过长

Let's ultrasound the liver.

我们应该超声波扫描肝脏

Three theories.

三种不同理论

Check out her place for ampicillin and diet.

去她的住处检查氨苄西林和她的饮食

Then ultrasound her liver.

然后超声波检查肝脏

Let's find out who's right before she bleeds to death.

但愿我们在她大出血死亡之前找出病因

——From《House M.D》

重点词汇（Vocabulary）

1. spectacularly [spek' tækjələrli] adv. 壮观地；引人注目地2. heparin [ˈhepərɪn] n. [生化] 肝素（用于防治血栓形成等）；肝磷脂3. ampicillin [ˌæmpɪˈsɪlɪn] n. [药] 氨苄青霉素，氨比西林4. plague [pleɪɡ] n. 瘟疫，传染病；鼠疫（尤指腺鼠疫）5. immobility [ˌɪməˈbɪləti] n. 不动，固定6. cirrhosis [səˈroʊsɪs] n. 硬化；[内科] 肝硬化7. ultrasound [ˈʌltrəsaʊnd] n. 超声；超音波

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