Question

求英语高手帮我翻译一下我的医学论文中的几段

追问病史，患者发病前无与猪等动物接触时，也无与该类动物生动制品接触史，患者系回民，更无猪肉食用史。根据药敏试验结果先后应用头孢哌酮、复方新诺明和利福平------。但高热、寒战症状仍不能控制，每天都发作，至发病第-----天，开始出现腰痛，腰椎X线片未见异常，给予口服消炎止痛药莫比可7.5mg，2/日，治疗后腰部仍剧痛，卧床不起。核磁共振检查提示L4/5椎间盘信号有改变，有脓液在椎间隙前后方，后方的脓液已类似椎间盘突出一样突入椎管，上下缘椎体骨质无破坏，相应平面双侧腰大肌内未见脓肿。
转入骨科，在全麻下行腰后路腰4、5椎板切除，探查L4/5间隙，打开后纵韧带，立刻有淡黄中等粘稠样脓液流出，约4ml，椎间盘髓核呈变性、破碎样。手术尽量清除坏死变性的椎间盘，反复冲洗椎间隙，在硬膜囊后方表面放置引流管两根，妥善固定，确认灌洗、引流通畅后，关闭伤口。术后从一个管灌注抗生素生理盐水冲洗，另一管接负压吸引。期间一次因患者变动体位时，从出管中明显有淡黄色脓性物引出，约3ml。1周后，引流液清亮体温正常后拔出引流管。手术后患者体温逐渐下降，腰痛明显减轻，至1周后体温降至正常。脓液培养仍为猪霍乱沙门氏菌。术后静脉应用抗生素2周，出院后继续服环丙沙星1个月。术后1个月在腰围保护下起床活动，无腰部疼痛及下肢神经症状。半年后复诊，患者无腰部活动障碍，体温正常。MRI示腰椎4/5间隙无脓肿病灶，椎间隙较正常高度有降低。X线检查示腰4/5椎间隙变窄，椎体前缘有骨桥形成。随访至2009年3月，已完全康复，无腰痛等腰椎不稳的症状。

Answer 1

Night shift, try not to translate the you,----Cross-examine history, patients with pig disease without such animals before contact with

these animals, nor vivid, patients with products of hui, no more pork edible history.

According to antimicrobial susceptibility test results has applied cefoperazone and

compound's new and rifampacin --. But high fever, chills, still cannot be controlled

symptom onset seizures, and every day, the first - began lumbago, lumbar spine X-ray

normal, giving oral antiphlogistic painkillers May 2, 750 mg moby-dick, after treatment,

the waist/still pain, bedridden. Mri signal hint L4/5 disc is changed, there pus in

intervertebral space already, the rear gb pus like intervertebral disc, the same into

sedation vertebral bone destruction is inferior, the corresponding bilateral waist muscles

plane in the abscess.

In general, descending into orthopaedic lumbar posterior lumbar 4, 5 lamina resection,

exploration, open L4/5 clearance, immediately after all there yellow viscous medium, and

pus flow 4ml disc nucleus pulposus in degeneration and broken. Surgical removal of

intervertebral disc degeneration necrosis as far as possible, rinsed repeatedly

intervertebral space, dural rear surfaces placed the tube, properly fixed, the two

confirmed lavage and drainage unblocked and closed after the wound. Postoperative from a

tube perfusion antibiotics physiological saline, another tube after negative pressure.

Because the patient during a change from the asana, in apparent flaxen purulent content

derivation, 3ml about. After 1 week, liquid crystal temperature drainage normal after

uproot the tube. After the surgery, the patient temperature decreased gradually to reduce

lumbago, one week after temperature drop to normal. Training for pigs cholera still pus

salmonella. After intravenous antibiotics 2 weeks after discharge continues to serve,

ciprofloxacin 1 months. After a month in protected up activities, waist and flank pain

without neurological symptoms. After six months, the patient waist activity return

temperature is normal. Obstacles, MRI and lumbar 4/5 clearance no abscess lesions,

intervertebral space height is lower than normal. X-ray examination reealed waist April/may

narrow intervertebral space, bottom flange bone formation bridge. Follow-up to March 2009,

has recovered completely without lumbago, etc, the instability of the lumbar spine.

Answer 2

Asked the medical history, prior to the onset of patients with no contact with animals such as pigs, it no products with such a vivid history of exposure to animals, the Department of muslim patients, but no history of pork consumption. According to the application of sensitivity tests have cefoperazone, sulfamethoxazole and rifampicin ------。 However, high fever, chills still beyond the control of symptoms, daily attacks, ----- to the incidence of the first day, began to lower back pain, lumbar spine X-ray film abnormalities not to give oral anti-inflammatory painkiller Mobic 7.5mg, 2 / day after treatment is still waist pain, bedridden. MRI prompted L4 / 5 disc signal has changed, there is pus intervertebral space at the front and the rear, the rear has a similar disc of pus into the spinal canal, as, from top to bottom edge of vertebral body bone without damage, the corresponding plane of bilateral psoas major muscle with no abscess.
Into orthopedics, general anesthesia in lumbar 4,5 posterior lumbar laminectomy, exploratory L4 / 5 space, open the posterior longitudinal ligament, immediately there is light yellow pus-like outflow of middle-thick, about 4ml, degenerative disc nucleus was broken kind. Try surgery to remove the disc degeneration necrosis, repeated washing intervertebral space, the rear surface of the dural sac drainage pipe 2, properly fixed, confirmed lavage, drainage, open, close the wound. After perfusion of antibiotics from a saline wash, then a suction tube. Patients during the first due to changes in posture from a clear tube structures have lead to purulent yellow, about 3ml. 1 weeks after the drainage of fluid pulled clear after the temperature is normal drainage. After surgery in patients with decreased body temperature, low back pain significantly reduced, to 1 week after the temperature returned to normal. Salmonella choleraesuis pus still cultivate. After two weeks of intravenous antibiotics, discharged from service after a month of ciprofloxacin. After a month to get up at the waist under the protection of activity, no back pain and lower limb neurological symptoms. Six months after the referral, barriers to activity in patients with no waist, body temperature normal. Lumbar MRI showed 4 / 5 gap-free abscess lesions, a high degree of intervertebral space has lower than normal. X-ray examination showed lumbar 4 / 5 intervertebral space narrowing, vertebral body to form the leading edge of osteopontin has. Follow-up to March 2009, had fully recovered, no low back pain and other symptoms of lumbar instability.