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No. 196

01

Medical Story Show

（4-15）

This is a cross-section of the Chen-Lupino boy's myocardium.

这是陈·卢皮诺男婴的心肌横切

Fibrosis, lymphocytic infiltrates.

纤维化 淋巴细胞浸润

There was no sign of lymphocytosis in the blood tests.

可是血液检查没有发现淋巴细胞增多

Yes, well, we all had plenty of good reasons to think bacterial.

对 我们都有理由相信这是细菌感染

Nobody is scolding you.

没人在责怪你们

Unfortunately, all of those clever reasons were wrong.

不幸的是 这些自以为是的理由都错了

It is a virus infecting their hearts.

是病毒感染了他们的心脏

We're screwed.

我们完蛋了

We can't chase down a virus;there's a thousand possibilities.

我们不可能查出是什么病毒 可能性太多了

We could run gels, antibody tests.

可以跑胶 用抗体实验

A thousand of them?

做几千个吗

The kids don't have enough blood.

孩子们的血液不够

Chase, you're the intensivist.

奇斯 你是这方面的专家

How many could we do before we risk exsanguinating the kids?

在孩子面临死亡前 我们可以抽几次血?

You're talking vials, not stick tests?

是小瓶验血 不是针管吧

I wouldn't take more than five or six.

最多五六次

Okay, so we have to narrow the thousand viruses down to six.

那我们得病毒范围从数千种缩小至六种

Now, the autopsy's shown us what the virus does.

尸检结果表明病因是病毒性的

So, let's go. What do we know?

说吧 我们现在知道什么

Ribavirin and encyclovir don't knock it out.

三氮唑核苷和阿昔洛韦没有疗效

Cross out the herpes viruses.

那就可以排除疱疹病毒

Also adenovirus.

也可以排除腺病毒

What else, what else? Keep talking.

还有呢 还有呢 接着说

Well, it, it only seems to hit children.

看来该种病毒只会危及孩子

The mothers aren't sick, so...

因为母亲们都没有异样

No toxoplasmosis, no rubella.

排除弓形体病以及风疹

Cross out the entire Torch syndrome.

这就排除了 TORCH 综合症

You didn't find any lung damage?

有没有发现肺损伤

No.

没有

None of the paramyxoviridae.

那就不是副黏液病毒科病毒

Cardiac scarring, people.

记着 他们的心脏功能受损

Cmv?

巨细胞病毒呢

Enteroviruses, too, I think.

还有肠病毒

Echo 11.

艾柯 11 型病毒

Influenza A.

甲型流感病毒

Influ A.

甲流病毒

Yes. And?

好 还有呢

I'm putting RSV down as a yes.

我把呼吸道合胞病毒也算进去

That makes eight.

现在有 8 种了

Eight vials of blood is pushing it.

抽 8 小瓶的血会有生命危险

Pushing it, but we love that!

会有生命危险吗 可咱们爱做化验呀

——From《House M.D》

重点词汇（Vocabulary）

1.cross-section[ˈkrɔːs sekʃn] n. 横截面，横断面2.myocardium [,maɪə'kɑrdɪəm] n. 心肌；心肌层3.fibrosis [faɪˈbroʊsɪs] n. [医] 纤维化，[病理] 纤维变性4.lymphocytic [ˌlɪmfəˈsaɪtɪk] adj. 淋巴细胞的；淋巴球的5.scold [skoʊld] v. 责骂，训斥6.chase down 找出7.intensivist 重症监护专科；医师；重症监护医师8.exsanguinating [ek‘sæŋɡwɪneɪtɪŋ] n. 放血术；vt. 放血9.vial [ˈvaɪəl] n. （装香水、药水等的）小瓶10.autopsy [ˈɔːtɑːpsi] n. 验尸，尸体剖检11.cross out 排除；删去；注销12.toxoplasmosis [ˌtɑːksoʊplæzˈmoʊsɪs] n. [内科] 弓形体病，弓浆虫病13.rubella [ruːˈbelə] n. [内科] 风疹14.lung damage 肺损伤

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