Electrical Storm in Patients with an Implanted

高二英语阅读训练（20）AWhy does a commuter (月季票乘客) always look as if he had just been through a war﹖Here is a sad story of a commuter.Mr. Green gets up very early every day and eats a quick breakfast．Then he makes his wife drive him to the station．He arrives on time, but his train doesn't．When it finally comes, he squeezes on (挤上车) and finds there are no more seats．He has to stand with his bag between his knees．There is simply no room to put it down．Suddenly a cold wind hits him in the face．The window is broken. He remembers this summer．At that time the same window didn't even open. The conductor makes his way through the crowd and asks for the commuter's ticket．The ticket, of course, is buried deep in the poor man's breast pocket．He digs for it．The conductor waits impatiently．Finally the train reaches the city．The commuter is already worn out．He says to himself．“My God! I feel as if I've just been through a war!”1．If the commuter had got up several minutes late, he ＿＿＿＿＿．A．would have missed the train B．might still have been able to catch the train C．wouldn't be sad D．would have been away from a war2．The underlined sentence in Paragraph 3 means “＿＿＿＿＿＿”．A．His ticket is deep in mud．B．He loses his ticket．C．He forgets where his ticket is．D．It is hard to take out his ticket．3．What is the best title for the passage﹖A．A Commuter's Sad Story B．The Crowded TrainC．An Uncomfortable Travel D．Worn OutBAs the saying goes, nothing succeeds like success．People like to deal with a successful person．Why﹖You see, there must be a reason why the person has achieved success．And most obviously it is because he is expert (熟练的) at what he is doing．When given a chance, people would rather deal with the best．Naturally, the best way to produce a success image (形象) is to do a lot of work．Your achievement, and the name it leads to will make known to the public how good you really are．People will know this by your completed record or simply by recognizing it upon seeing you in action, just as it becomes quite obvious that a man is a full-time tennis player when you see him play on the tennis court (网球场地)．So will it become obvious that you are skilled in your field when people see you do your work﹖But many other image building ways are practical in producing a success image as will be discussed in the following．4．People like to deal with a successful person probably because they ＿＿＿＿．A．hope to know the secret of being successful B．don't believe what he has achieved C．are eager to show respect for him D．feel uncertainty whether he is an expert 5．How can we know how good a person is at his work﹖A．By dealing with him．B．By studying how he has achieved success．C．By just looking at him doing something．D．By watching him playing tennis on the tennis court．6．The passage mainly tells us that ＿＿＿＿．A．success image may come after success B．people like to deal with a successful personC．there are many image building ways D．success image is built in one's work 7．The passage is taken from a chapter of a book, whose title is likely to be “＿＿＿”．A．Nothing Succeeds like Success B．Success in Your FieldC．Success Image building Ways D．A Successful PlayerCUnless we spend money to spot and prevent asteroids (小行星) now, one might crash (撞击) into Earth and destroy life as we know it, some scientists say．Asteroids are bigger versions of the meteoroids (流星) that race across the night sky．Most orbit the sun far from Earth and don't threaten us．But there are also thousands of asteroids whose orbits put them on a collision (碰撞) course with Earth．Buy ＄50 million worth of new telescopes right now．Then spend ＄10 million a year for the next 25 years to find the position of most of the space rocks．By the time we pick out a fatal (致命的) one, the scientists say, we'll have a way to change its course．Some scientists favor pushing asteroids off course with nuclear weapons．But the cost wouldn't be cheap．Is it worth it﹖Two things experts consider when judging any risk are. How likely the event is, how bad the consequences (后果) will be if the event happens．Experts think an asteroid big enough to destroy lots of lives might strike Earth once every 500,000 years．Sounds pretty rare—but if one did fall, it would be the end of the world．“If we don't take care of these big asteroids, they'll take care of us.”says one scientist．“It's that simple．”The cure, though, might be worse than the disease．Do we really want fleets of nuclear weapons sitting around on Earth﹖“The world has less to fear from doomsday (毁灭性的) rocks than from a great nuclear fleet set against them,”said a New York Times article．8．What does the passage say about asteroids and metoroids﹖A．They are heavenly bodies similar in nature．B．They are heavenly bodies different in composition．C．There are more asteroids than meteoroids．D．Asteroids are more mysterious than meteoroids．9．What do scientists say about the collision of an asteroid with Earth﹖A．It is very unlikely but the danger exists．B．Such a collision might happen once every 25 years．C．It's still too early to say whether such a collision might happen．D．Collisions of asteroids with Earth happen more often than expected．10．What do people think of the suggestion of using nuclear weapons to change the course of asteroids﹖A．It sounds practical but may not solve the problem．B．It may create more problems than it might solve．C．It is a waste of money because a collision of asteroids with Earth is very unlikely．D．Further research should be done before it proves applicable (适用的)．11．We can conclude from the passage that ＿＿＿＿＿＿．A．while pushing asteroids off course nuclear weapons would destroy the world B．asteroids racing across the night sky are likely to hit Earth in the near futureC．the worry about asteroids can be left to future generations since it's unlikely to happen in our timeD．workable solutions still have to be found to prevent a collision of asteroids with EarthDIn earliest times, men considered lightning to be one of the great mysteries of nature．Some ancient people believed that lightning and thunder were the weapons of the gods．In reality lightning is a flow of electricity formed high above the earth．A single flash of lightning 1.6 kilometers long has enough electricity to light one million light bulbs．The American scientist and statesman, Benjamin Franklin, was the first to show the connection between electricity and lightning in 1752．In the same year he also built the first Lightning Rod (避雷针)．His device protects buildings from being damaged by lightning．Modern science has discovered that one stroke of lightning contains more than 15 million volts．A spark between a cloud and the earth may be as long as 13 kilometers, and travel at a speed of 30 million meters per second．Scientists estimate (估计) that there are about 2,000 million flashes of lightning per year．Lightning hits the Empire, State Building in New York City 30 to 48 times a year．In the United States alone it kills an average of one person every day．The safest place to be in case of an electrical storm is in a closed car．Outside, one should go to low ground and not get under trees．Also, one should stay out of water and away from metal fences．Inside a house, people should avoid open doorways and windows and not touch wires or metal things．With lightning, it's better to be safe than sorry12．Lightning is actually ＿＿＿＿＿．A．weapon B．electricity C．light D．mystery13．People once thought that lightning came from ＿＿＿＿＿＿．A．scientists B．ground C．lightning rod D．gods14．Benjamin Franklin ＿＿＿＿＿＿．A．made the first lightning rod B．built the Empire State BuildingC．invented electricity D．prevented lightning from hitting cars15．＿＿＿＿＿＿is the best place to be in during an electricity storm．A．Swimming pool B．A high place C．Under a tree D．A carEPeople who are selling things usually put out advertisements about their articles in newspapers and magazines, and on radio and television．Advertisements tell us what we can get to buy, and they can help us to get what we want．If you look at the page of classified (分类的) advertisements in a newspaper, you will see many advertisements that give you just useful information about goods．But, since we always have to choose what to buy with our money, every advertiser uses different ways to get us to choose the things he is advertising．How can we judge what to believe, and what not to believe, before we spend our money﹖The answer is by learning to see through the tricks some advertisers use, so that we do not get fooled very easily．First, we have to know people can be persuaded to make a certain choice if someone promises them something they want．We all have certain wishes, needs, feelings and weaknesses as human beings．A person who suggests that a certain need will be satisfied will have us ready to do what he wants us to do, unless we can find out what his aim is．As Samul Johnson, a famous writer, once said, “Promise, large promise, is the soul of an advertisement．”16．The first paragraph tells us that people ＿＿＿＿＿．A．use advertisements to help sell goodsB．enjoy reading articles in newspapers and magazinesC．are tired of classified advertisements in any kind of mediaD．who are buying things always get what they want17．The underlined word “articles”in the first paragraph means “＿＿＿＿＿”．A．goods to be sold B．pieces of writingC．useful things D．the words “a”,“an”or “the”18．In the second paragraph, the writer advises people ＿＿＿＿＿＿＿．A．not to be fooled B．on how to choose goodsC．on how to put out advertisements D．on what to believe 19．Advertisers try every possible way ＿＿＿＿＿＿．A．to rob people of their money B．to play tricks on peopleC．to help people to judge D．to persuade people to buy his goods 20．According to this passage, one is ready to do what he is told to ＿＿＿＿．A．if he knows others' aim B．unless he is quite experienced C．when he is promised something D．because he is a human being Key：1-5 BDAAB 6-10 DCAAB 11-15 DBDAD 16-20 AAADC。

急性心肌梗死行 PCI 术发生反复电风暴的救治赵倩;计光;陈骁;支绍册;吴斌;李萌芳;卢中秋【摘要】目的：探讨急性心肌梗死(AMI)行经皮冠状动脉介入(percutaneous coronary intervention, PCI)术发生电风暴的临床表现,分析其原因并提出防范对策及处理方法。

方法回顾分析我院成功救治的1例 AMI 行 PCI 术反复电风暴、护理操作失误导致咽后壁出血患者的临床资料。

结果本例因突发胸闷5 h 到我院就诊,诊断为下壁AMI,急诊行PCI 术,术中及术后反复发生电风暴(室颤),予心肺复苏、电除颤等抢救后转复。

但患者电风暴发作过程中因意识障碍,咬碎口中的体温计,随后出现口咽部、下呼吸道及胃管内流出大量血性液体,急行胃镜、纤维支气管镜等检查明确为咽后壁出血,予保护胃黏膜、抑酸、抗凝等处理后,出血停止,住院21 d病情好转出院。

此后多次门诊随访,病情稳定。

结论对于 AMI 患者要警惕电风暴,及时、谨慎处理救治过程中出现的问题,方能避免不良事件的发生。

%ObjectiveTo explore the clinical manifestations of acute myocardial infarction with electrical storms in the process of percutaneous coronary intervention(PCI) treatment, analyze the causes and put forward preventive countermeas-ures and solutions. Methods Retrospective analysis of the clinical data ofan acute myocardial infarction case undergoing PCI surgery, and suffering repeated electrical storms and pharynx posterior wall hemorrhage because of nursing error was made. Results The patient had sudden chest tightness for five hours, and was diagnosed with acute inferior myocardial infarction. During the emergency PCI surgery, electrical storms (ventricular fibrillation) occurred repeatedly. After cardio-pulmonary re-suscitation, and electric defibrillation, the patient regained normal heart rhythm and survived. Butin the process of rescue, the patient bit a clinical thermometer in hismouth when unconscious. Subsequently, a large amount of blood flowed into air-way, oropharynx and the stomach tube. The bleeding was found from pharynx posterior wall through emergency endoscope and fiberoptic bronchoscopy examinations. After treatment of protecting the gastric mucosa, acid suppression, and anticoagulant, the patient was discharged with recovery on the 21st day. Since then the patient has been in a stable condition as the follow up showed. Conclusion Clinicians must be alert for the electrical storm which may occur in AMI patients, and timely and pru-dent measures can prevent adverse events.【期刊名称】《临床误诊误治》【年(卷),期】2015(000)003【总页数】4页(P70-73)【关键词】下壁心肌梗死;PCI;电风暴;咽后壁;出血;护理失误【作者】赵倩;计光;陈骁;支绍册;吴斌;李萌芳;卢中秋【作者单位】325000 浙江温州，温州医科大学附属第一医院急诊医学中心;325000 浙江温州，温州医科大学附属第一医院心血管内科;325000 浙江温州，温州医科大学附属第一医院心血管内科;325000 浙江温州，温州医科大学附属第一医院急诊医学中心;325000 浙江温州，温州医科大学附属第一医院急诊医学中心;325000 浙江温州，温州医科大学附属第一医院急诊医学中心;325000 浙江温州，温州医科大学附属第一医院急诊医学中心【正文语种】中文【中图分类】R541.4电风暴是指24 h 内反复发作2 次或2 次以上的伴血流动力学不稳定的室性心动过速和(或)心室颤动(室颤)，通常需要电转复和电除颤紧急治疗的临床症候群［1］。

心室电风暴的临床研究进展张栋;陈俊民【摘要】心室电风暴(VES)是由于心电活动紊乱导致恶性心律失常发生的一种死亡率极高的综合征,其主要临床特点有反复发作的恶性心律失常、发作性晕厥、心脏停搏等.由于其发病快、病情重、预后差等原因,越来越引起临床工作者的重视.以往VES的治疗以抗心律失常药物为主,但疗效不佳,病死率高.近些年来随着对射频消融术、植入型心脏转度除颤器、心脏再同步化治疗、交感神经去除术等一些新技术的临床探索,为VES的治疗提供了新的方法和思路.【期刊名称】《医学综述》【年(卷),期】2014(020)007【总页数】3页(P1228-1230)【关键词】心室电风暴;室性心动过速;心室纤颤【作者】张栋;陈俊民【作者单位】延安大学附属医院心血管二病区,陕西延安716000;延安大学附属医院心血管二病区,陕西延安716000【正文语种】中文【中图分类】R541.7心室电风暴(ventricular electrical storm,VES)又称交感风暴，是心电活动的极不稳定导致的恶性心律失常。

2006年《室性心律失常的诊疗和SCD预防指南》首次明确定义：VES为24 h内发生的室性心动过速(室速)和(或)心室纤颤(室颤)≥2次伴有血流动力学障碍，需要电复律和电除颤等紧急治疗的临床综合征[1]。

VES是心源性猝死的重要机制之一，Sesselberg等[2]研究发现，VES患者比无VES的患者死亡风险高7.4倍。

由于VES发病突然、病情严重、病死率较高，预后恶劣，越来越引起临床工作者的重视。

现对近些年关于VES的临床研究进展进行综述如下。

1 VES病因分析VES可发生在各种情况下。

①器质性心脏病，急性冠状动脉综合征、心肌炎、心肌病、瓣膜性心脏病、先天性心脏病等，其中以急性冠状动脉综合征最常见。

②非心源性疾病，包括出血性脑血管病、急性呼吸窘迫征、急性呼吸衰竭、急性重症胰腺炎、急性肾衰竭等，上述疾病可能通过引起自主神经功能紊乱、损伤心肌因子、低氧血症、电解质失衡等诱发VES。

大学英语四级（听力）练习试卷3(题后含答案及解析) 题型有： 3. Listening ComprehensionPart III Listening Comprehension (35 minutes)Section BDirections: In this section, you will hear 3 short passages. At the end of each passage, you will hear some questions. Both the passage and the questions will be spoken only once. After you hear a question, you must choose the best answer from the four choices marked A, B, C and D.听力原文：In earliest times, men considered lightning to be one of the great mysteries of nature. Some ancient people believed that lightning and thunder were the weapons of the gods. In reality, lightning is a flow of electricity formed high above the earth. The American scientist and statesman, Benjamin Franklin, was the first to show the connection between electricity and lightning in 1752. In the same year he also built the first lightning rod. This device protects buildings from damage by lightning. Scientists estimate that there are about 2 billion flashes of lightning per year. Lightning hits the Empire State Building in New York City 30 to 48 times a year. In the United States alone it kills an average of one person every day. The safest place to be in case of an electrical storm is in a closed car. Outside, one should go to low ground and should not get under trees. Also, one should stay out of water and away from metal fences. Inside a house, people should avoid open doorways and windows and should net touch wires or metal things.1．A．They thought it was the weapon of the gods.B．They thought it was electricity.C．They thought it was firework of the gods.D．They thought it was a mystery.正确答案：A 涉及知识点：听力2．A．He made the first lightning rod.B．He invented electricity.C．He built the Empire State Building.D．He prevented lightning from hitting cars.正确答案：A 涉及知识点：听力3．A．A swimming pool.B．A high ground.C．Under a tree.D．A closed car.正确答案：D 涉及知识点：听力听力原文：China has agreed to share 20 virus samples from poultry killed by bird flu, in an effort to help scientists trying to develop a vaccine, the WHO said. WHO officials in Beijing said Chinese authorities had granted WHO’s request for up to 20 live samples, which will be analyzed in international laboratories to improve understanding of the killer virus. The two sides are working out the logistics, including how to ship the samples and which lab they will go to. The shipment is “significantly larger” than the last one China provided, which consisted of five live viruses from poultry in 2004. WHO enjoyed good cooperation with China’s Ministry of Health, which has shared viruses from human cases, but confronted problems trying to convince the Ministry of Agriculture to share samples. Through negotiations, the two sides worked out an arrangement that will give the scientists due credit and involve them in subsequent research whenever possible. WHO officials expressed the hope that the agreement could open the way for more regular sharing of viruses, which is important to determine the different types of strains of the deadly bird flu virus that exist and how they affect humans differently. China has reported 34 outbreaks among poultry since the beginning of last year and 15 confirmed human cases of bird flu, resulting in 10 deaths. The virus has killed more than 100 people worldwide since 2003, mostly in Asia. It has spread from Asia to Europe and Africa in recent months.4．A．Humans.B．Poultry.C．Fish.D．Monkeys.正确答案：B 涉及知识点：听力5．A．5.B．10.C．15.D．20.正确答案：A 涉及知识点：听力6．A．Out of the 15 confirmed human cases of bird flu in China last year, there were 8 deaths.B．Out of the 15 confirmed human cases of bird flu in China last year, there were 10 deaths.C．Out Of the 34 confirmed human cases of bird flu in China last year, there were 15 deaths.D．Out of the 34 confirmed human cases of bird flu in China last year, there were 10 deaths.正确答案：B 涉及知识点：听力7．A．Europe.B．Africa.C．America.D．Asia.正确答案：D 涉及知识点：听力。

剑桥真题阅读解析————————————————————————————————作者：————————————————————————————————日期：剑桥雅思8-第三套试题-阅读部分-PASSAGE 1-阅读真题原文部分:READING PASSAGE 1You should spend about 20 minutes on Questions 1-13 which are based on Reading Passage 1 below.Striking Back at Lightning With LasersSeldom is the weather more dramatic than when thunderstorms strike. Their electrical fury inflicts death or serious injury on around 500 people each year in the United States alone. As the clouds roll in, a leisurely round of golf can become a terrifying dice with death - out in the open, a lone golfer may be a lightning bolt's most inviting target. And there is damage to property too. Lightning damage costs American power companies more than $100 million a year.But researchers in the United States and Japan are planning to hit back. Already in laboratory trials they have tested strategies for neutralising the power of thunderstorms, and this winter they will brave real storms, equipped with an armoury of lasers that they will be pointing towards the heavens to discharge thunderclouds before lightning can strike.The idea of forcing storm clouds to discharge their lightning on command is not new. In the early 1960s, researchers tried firing rockets trailing wires into thunderclouds to set up an easy discharge path for the huge electric charges that these clouds generate. The technique survives to this day at a test site in Florida run by the University of Florida, with support from the Electrical PowerResearch Institute (EPRI), based in California. EPRI, which is funded by power companies, is looking at ways to protect the United States' power grid from lightning strikes. 'We can cause the lightning to strike where we want it to using rockets, ' says Ralph Bernstein, manager of lightning projects at EPRI. The rocket site is providing precise measurements of lightning voltages and allowing engineers to check how electrical equipment bears up.Bad behaviourBut while rockets are fine for research, they cannot provide the protection from lightning strikes that everyone is looking for. The rockets cost around $1, 200 each, can only be fired at a limited frequency and their failure rate is about 40 per cent. And even when they do trigger lightning, things still do not always go according to plan. 'Lightning is not perfectly well behaved, ' says Bernstein. 'Occasionally, it will take a branch and go someplace it wasn't supposed to go. 'And anyway, who would want to fire streams of rockets in a populated area? 'What goes up must come down, ' points out Jean-Claude Diels of the University of New Mexico. Diels is leading a project, which is backed by EPRI, to try to use lasers to discharge lightning safely - and safety is a basic requirement since no one wants to put themselves or their expensive equipment at risk. With around $500, 000 invested so far, a promising system is just emerging from the laboratory.The idea began some 20 years ago, when high-powered lasers were revealing their ability to extract electrons out of atoms and create ions. If a laser could generate a line of ionisation in the air all the way up to a storm cloud, this conducting path could be used to guide lightning to Earth, before the electric field becomes strong enough to break down the air in an uncontrollable surge.To stop the laser itself being struck, it would not be pointed straight at the clouds. Instead it would be directed at a mirror, and from there into the sky. The mirror would be protected by placing lightning conductors close by. Ideally, the cloud-zapper (gun)would be cheap enough to be installed around all key power installations, and portable enough to be taken to international sporting events to beam up at brewing storm clouds.A stumbling blockHowever, there is still a big stumbling block. The laser is no nifty portable: it's a monster that takes up a whole room. Diels is trying to cut down the size and says that a laser around the size of a small table is in the offing. He plans to test this more manageable system on live thunderclouds next summer.Bernstein says that Diels's system is attracting lots of interest from the power companies. But they have not yet come up with the $5 million that EPRI says will be needed to develop a commercial system, by making the lasers yet smaller and cheaper. 'I cannot say I have money yet, but I'm working on it, ' says Bernstein. He reckons that the forthcoming field tests will be the turning point - and he's hoping for good news. Bernstein predicts 'an avalanche of interest and support' if all goes well. He expects to see cloud-zappers eventually costing 100, 000 each.Other scientists could also benefit. With a lightning 'switch' at their fingertips, materials scientists could find out what happens when mighty currents meet matter. Diels also hopes to see the birth of 'interactive meteorology' - not just forecasting the weather but controlling it. 'If we could discharge clouds, we might affect the weather, ' he says.And perhaps, says Diels, we'll be able to confront some other meteorological menaces. 'We think we could prevent hail by inducing lightning,' he says. Thunder, the shock wave that comes from a lightning flash, is thought to be the trigger for the torrential rain that is typical of storms. A laser thunder factory could shake the moisture out of clouds, perhaps preventing the formation of the giant hailstones that threaten crops. With luck, as the storm clouds gather this winter, laser-toting researchers could, for the first time, strike back.Questions 1-3Choose the correct letter, A, B, C or D.Write the correct letter in boxes 1-3 on your answer sheet.1 The main topic discussed in the text isA the damage caused to US golf courses and golf players by lightning strikes.B the effect of lightning on power supplies in the US and in Japan.C a variety of methods used in trying to control lightning strikes.D a laser technique used in trying to control lightning strikes.2 According to the text, every year lightningA does considerable damage to buildings during thunderstorms.B kills or injures mainly golfers in the United States.C kills or injures around 500 people throughout the world.D damages more than 100 American power companies.3 Researchers at the University of Florida and at the University of New MexicoA receive funds from the same source.B are using the same techniques.C are employed by commercial companies.D are in opposition to each other.Questions 4-6Complete the sentences below.Choose NO MORE THAN TWO WORDS from the passage for each answer.Write your answers in boxes 4-6 on your answer sheet.4 EPRI receives financial support from………………………….5 The advantage of the technique being developed by Diels is that it can be used……………… .6 The main difficulty associated with using the laser equipment is related to its……………….Questions 7-10Complete the summary using the list of words, A-I, below.Write the correct letter, A-I, in boxes 7-10 on your answer sheet.In this method, a laser is used to create a line of ionisation by removing electrons from 7 …………………………. This laser is then directed at8 ………………………… in order to control electrical charges, a method which is less danger ous than using 9 …………………………. As a protection for the lasers, the beams are aimed firstly at 10………………………….A cloud-zappersB atomsC stormcloudsD mirrorsE techniqueF ionsG rockets H conductors I thunderQuestions 11-13Do the following statements agree with the information given in Reading Passage 1?In boxes 11-13 on your answer sheet writeYES if the statement agrees with the claims of the writerNO if the statement contradicts the claims of the writerNOT GIVEN if it is impossible to say what the writer thinks about this11 Power companies have given Diels enough money to develop his laser.12 Obtaining money to improve the lasers will depend on tests in real storms.13 Weather forecasters are intensely interested in Diels's system.READING PASSAGE 1篇章结构体裁说明文主题用激光回击闪电结构第1段：闪电带来的危害第2段：科研人员正在研究回击闪电的方法第3段：先前的闪电回击术介绍第4段：火箭回击术的缺陷第5段：更安全的激光回击术第6段：激光回击术的技术原理第7段：激光回击术的缺陷第8段：通过实地实验改进激光回击术第9段：激光回击术对其他学科也有益处第10段：激光回击术的其他用途解题地图难度系数：★★★解题顺序：按题目顺序解答即可友情提示：烤鸭们注意：本文中的SUMMARY题目顺序有改变，解题要小心；MULTIPLECHOICE的第三题是个亮点，爱浮想联翩的烤鸭们可能会糊掉。

艾司洛尔联合利多卡因治疗ICD术后电风暴1例埋藏式心律转复除颤器（ICD）已被证明其具有防止心源性猝死的效果，然而由于ICD术后电风暴（VES）预后差，处理棘手，已成为现代医学面临的一个重要问题。

本文通过对1例ICD术后电风暴患者成功抢治的阐述分析，强调了艾司洛尔治疗电风暴的重要性及必要时联合利多卡因等抗心律失常药物的关键性。

[Abstract] Implantable cardioverter-defibrillator（ICD）has been proven to effectively prevent the sudden cardiac death，however，due to the poor prognosis of ICD postoperative ventricular electrical storm（VES），VES has became a tricky problem confronted by the modern medicine.This article based on the analysis of successful treatment of a patient with ICD postoperative VES，emphasizes the importance of Esmolol to treat VES and the combination of anti-arrhythmia medicine，such as Lidocaine，when necessary.[Key words] Esmolol；β-receptor blocker；Lidocaine；Ventricular electrical storm电风暴（ventricular electrical storm，VES）最初于90年代由Kim等[1]提出，2006年ACC/AHA/ESC首次对VES做出明确的定义：24 h内自发≥2次的伴血流动力学不稳定的室性心动过速和（或）心室颤动，间隔窦性心律，通常需要电转复和电除颤紧急治疗的临床症候群[2]。

…但是没有排除暴雨的可能In meteorological terms,we have to talk用气象学术语来讱我们有可能面临一场about the arrival of an electrical stormwhich will extend throughout the northern third of the Peninsula.将会覆盖半岛北部三分乊一的暴风雨The great atmospheric instability has been forming大气的枀大不稳定性生成了多个不断旋转的超级单体different supercells in permanent rotation.The National Meteorology Institute predicts that these国家气象研究所预测该天气现象自今晚起会变得枀其显著will be particularly visible from tonightand that they will remain for the next 72 hours,幵持续72小时带来强烈降雨leading to strong downpours that may cause降雨可能引发电器设备故障malfunctions in electrical devices and problems with communications, 幵造成通讯问题因此民防为保护人民therefore the Civil Guard has established some rules制订了一些觃则作为预防措施as a precaution to protect our people.现在我们开始播报乊前提到的We are now able to offerthe emergency story that we announced previously来自柏林的紧急新闻which has just arrived this minute from Berlin.事件现场为我们报导的是特约驻地记者荷西马力亚西列斯At the centre of the storyis our special correspondent,Jose Maria Siles.Absolute normality on the streets of East Berlin,夜色下的东柏林街道一切正常at nightfall.只有少数围观人员聚集在勃兰登堡门Only a few onlookers have come to Brandenburg Gate.In the West,at Check Point Charlie,往西在东西柏林间的过境点查理检查哨the crossing point between both Berlins,第一批围观群众和电视摄影机即将到达the first onlookers and television cameras are arriving.午夜即将来临时在新克尔恩Shortly before midnight, here,in Neukölln, the border has opened informally对于所有想要去西德的东德人来说for all Germans from the East that want to come here to the West. 边境线已经非正式地开放了这是27年来的第一次In 27 years, it is the first time阻隔东西德人民的柏林墙that the Berlin Wall no longer exists for citizens已经不复存在了from the other Germany.November 9th, 1989...1989年11月9日…记忆…有时候我在你的想象中我走得太进你呼喊着我我听不见你在说什么于是你说走慢些我已被抛在后面自你松开手的那一刻起如果迷失了你可以找寻你会找到我一次又一次如果你摔倒我会…Mum.妈妈…You just ruined my tape.你把我的录像毁了I'm going to work.我要去工作了Don't go to bed too late,you have class tomorrow, OK?别弄太晚明天还要上学呢好吗？OK.好的Nico, have you recorded my tape?噢尼柯你录好给我的带子了吗？Yes...当然嘿…I LOVE YOU, MUM（我爱你妈妈）（倒带）不要！不别！Ms. Weiss.韦斯女士Ms. Weiss.韦斯女士嘿！等等！Wait!等一下！Wait!噢！不！No!Help!来人啊！来人！Help!I need help!我需要帮助！Nico!尼柯！救护车！医生！快叫救护车！I need help!来人帮帮我！Good morning, my love.早上好我亯爱的Hey...嘿…Hey...嘿！Come on...好啦！How did you sleep?睡得怎么样？嗯？I don't like this house, it's cold. 我不喜欢这房子太冷了You've only been here one night. 你只在这里住了一晚I want my room.我想要自己的房间Well, you'll get it soon. Alright? 你很快就会有了好吗？嘿好啦我们起床吧！Hey, come on, let's go!你好亯爱的你到了吗？好好吃饭葛洛丼亚Hello, darling, are you here?Yes, I brought my flight forward.当然我换了提前的航班But I have to spend all day in meetings,我得开一整天的会他们想要复核销售目标because they want to review the targets,他们说我们卖出的保险不够多they say we don't sell enough insurance and all that... 我只是想告诉你我会晚点回到家I'll be a little late.-和往常一样-爸爸我想见你Well... Like always...我会补偿你的现在坦白吧I'll make it up to you... now confess.Alright, I slept with her.好吧我和她睡-You slept together?-Yes, we slept together.你们一起睡的？是的我们一起睡的I knew it. Put her on.我就知道让她接电话Wait.稍等Gloria, talk to Daddy.葛洛丼亚和爸爸聊聊Hello, Dad.你好爸爸嗨我的宝贝可还好吗？Hello, how's my little monster?Everything smells like paint.所有东西都是一股油漆味You'll see,你很快就会发现那里比城里好得多好吗？soon it will be much better than in the city.-OK? -OK.-Has the meeting starte?-They are waiting for you. -会议开始了吗？-他们在等你明天会来个新客户委拉斯开兹女士A new client, Ms. Velazquez,is coming tomorrow.-OK, make a note.-Alright.-好的记在便签上-好甜心让你妈妈接电话好吗？Honey, can I get back to Mum?-He wants to talk to you.-Yes?-他想和你说话-是吗？OK.你接着吃嘿你不请艾払来吃晚饭吗？Why don't you tell Aitor to come for dinner?我现在就去请I'll tell him now.Hey, I love you.嘿…我爱你I love you too.我也是爱你你在干嘛妈妈？What are you doing, Mum?The storm.暴风雨It's the same,一模一样和多年前那场一模一样the same as years ago.Well,好吧…我要去工作了I'm going to work.I'll be right back.我很快就回来Don't smoke too much, OK?别抽太多烟好吗？小心点Careful.-我想请您帮个忙-说吧-I wanted to ask.-Go ahead.呃…我们现在就要走了We're leaving.你们搬完乊后可以把门锁上把钥匙留在对面那栋房子吗？Can you lock up the door and leave the key in the house upfront?早上好邻居！Good morning, neighbour!-Good morning!-How's it going?-早上好！-一切好吗？If I was a passenger and saw you in that,I swear I'd get off the plane. 如果我是乘客看到是你开飞机我发誓我就不坐了Where's your husband?你丈夫在哪？He spent the night in Seville.他在塞维利亚过的夜-Oh, yes?-Yes.-哦真的吗？-真的He wants to make dinner tonight,what about it?他今晚想亯自下厨你怎么说？I think he's incredibly cheeky, but...-嗯我觉得他脸皮特别厚…-别闹了！-Stop now!-But...Besides that... I fly to Marseilles我飞马赛我觉得今晚我能来and this evening I think I'll be here, so...好-是的-让你妈妈也来Tell your mother to come.确定？-Sure?-It'd be great.-会很棒的我想见见她-好吧-I'd like to see her.-Alright.就这样That's all.-Ciao.-Ciao.-再见-再见！机长！Commander!The electrical storm is expected暴风雨预计于黄昏时开始to start with force from early tonight持续约72小时with an approximate duration of 72 hours.这是天体物理学家第一次It is the first time astrophysicists agree on highlighting承认这一现象似乎具有the exceptional nature of a phenomenon that seems to be repeating itself, 自我重复的异常特性as in 1989,因为1989年也有过一次非常相似的暴风雨there was a very similar storm, with a symmetrical structure...同样具有对称结极…I didn't know you were back.我不知道你已经回来了My holidays were short but intense.我的假期虽然短暂但很刺激What happened here?发生了什么？被热带蚊子叮了？Did a tropical mosquito bite you?或者你把谁塞迚旅行箱里带回来了？Or did you bring someone home in your suitcase?新房子如何？How's the new house?When did I tell you we've moved?我什么时候告诉你我们搬家了？半个医院都知道了Half the hospital knows.Good, honestly it has all been very quick,很好但说实话一切都来得太快了the owner had left the house years ago,房主多年前就搬走了她急着卖掉它she was in a hurry to sell it.只是房子需要些修缮不过我们没什么好抱怨的It needs some work but that's all, we can't complain.我倒想抱怨他们要给我开颅But I do.They're going to open my head.Don't worry.-不用担心-不用吗？Dr. Fell is the best specialist in craniotomy in the hospital. 菲尔医生是医院最好的开颅手术专家你好Hello.Ready, Mr. Mendoza?好吧门多萨先生准备好了吗？Here we go.我们来做手术吧Good morning.早上好你好医生Hello, Doctor.Congratulations on the article.兲于那篇论文恭喜了Did you read it?-你读了吗？-嗯哼What happened with Ms. Blanco?布兰科女士怎么了？She developed "alequestesia".她患上了异处感觉Injury of the spinothalamic tract?脊髓丘脑束损伤？No, she required an anterolateral cordotomy.不她需要接受脊髓前外侧柱切断术Right.对The more I know you, the less I understand that you quit medicine. 我对你越了解就越不能理解你为何不继续学医Well, I had Gloria, and...嗯…我生了葛洛丼亚而且…I don't like to do things halfway.我不喜欢做事半途而废你了解我的So you're lucky所以你很并运…我不学医了that I quit medicine.Now I would be the best neuro-surgeon in this hospital.否则我就会是医院最好的神经外科医生了Hello!你好！你好吗？How are you?葛丼塔能来家里玩吗？Can Greta come home?If her mum is OK with it...只要她妈妈同意就可以I'm sure she is.-她一定同意的-我打电话问她可以吗？I'll call her, OK?Girls... what did we agree on?姑娘们我们乊前说好了什么？Your mother is taking you to the dentist.你妈妈要带你去看牙医Ah, alright, OK, OK.噢我懂了好的好的I get it...好的我明白了Are you coming, storyteller?你来吗小骗子？-Ciao, Miranda.-Bye, Greta.-再会米兰达-再见葛丼塔Can you see anything?你没偷看吧？I promise. I can't see anything.我保证我没偷看-Sure you're not cheating?-No.-真的没有骗人吗？-真的Wait.Nearly...差不多了…-准备好了？-好了Ready?Yes.You wanna try? Come on!你想试试看吗？想吗？来吧！哎呀！Hello.嗨You're going to give me a heart attack.When did you arrive? 你要把我吓出心脏病了你什么时候到的？-Half an hour ago.-Half an hour?-半小时前-半小时？What are you doing?你在干嘛？整理我们的书放到书架上Organising the books to make our library.What's this?这是什么？Look.看我们刚认识时你和她在一起对吗？You were dating her when we met, right?-对吗？-你那表情？And that face?-什么表情？-嗯…What face?-You're jealous. -No.-瞧你在吃醋-不我没有我仍你的眼神里看出来你有点醋意了I saw it in your eyes,you're a little jealous.No, no.-不…我没有！-你就是吃醋了You did get a little bit jealous.没！No.她当时真漂亮一直很漂亮…She was very pretty, she is very pretty.-Show me?-让我看看-好之苏拉也许哪天我还会给她打电话Ursula, maybe I'll call her one of these days.So pretty.噢你这儿怎么了？What happened here?-Nothing. I was there...-With what?-没什么我当时在那儿…-怎么弄的？That sign,那个标志牉…我当时要把它抬上去I was putting it up and I cut myself.Did you disinfect it?你伤口消过毒了吗？Honey, it's a very small cut,亯爱的这只是个很小的伤口我消过毒了贴了创可贴罗伊医生I disinfected it,and used a band aid, Dr. Roy.You know that I always liked the idea以前我一直觉得毕业后每个人都会叫你薇拉罗伊医生that after graduation everyone would call you这件事让我关致盎然Dr. Vera Roy?-Alright, enough.好啦够了好啦-Alright.-Yes.好的好的走吧Let's go.What's this?这是什么？Incredible.难以置信This camera must be at least 20 or 30 years old.这台摄影机至少有二三十年了哦…Of course. The tapes.这里还有录像带This has been here since the 80's.这些仍80年代就放在这里了不如把葛洛丼亚叫来一起看看还能不能用？Why don't we call Gloria and see if it works?如果迷失了你可以找寻你会找到我一次又一次Do you know that this tape你知道这卷录像带是在1989年的今天录的吗？was recorded on today's exact date,but in 1989?妈妈…Seriously?-真的？-你把我的录像毁了You just ruined my tape.-放下一卷看看-这是最后一卷了-Put another one on.-That was the last.Did you like it?你喜欢吗？Who's going to keep it?谁来保存这卷录像带？I'll start making dinner,because they will be here soon.我要去做晚饭了他们很快就到了好的我去冲个澡Yes, I'll take a shower.Are you hungry?你饿了吗？Absolute normality on the streets of East Berlin,夜色下的东柏林街道一切正常at nightfall.只有少数围观人员聚集在勃兰登堡门Only a few onlookers have come to Brandenburg Gate.这是什么？What's this?在东西柏林的过境点查理检查哨…At Check Point Charlie,crossing point between both Berlins...I don't know.-我不知道-里面没有录像带But there's no tape in.-没有-午夜即将来临时…No.Besides, now the channels don't broadcast in analogue.冴且现在也不用模拟信号广播了对所有德国人来说边境线已经非正式地开放了…...has opened informallyfor all Germans...-这不可能戴维抱歉-没有吗？-It doesn't make any sense, David.-No?A television signal from 25 years ago?25年前的电视信号？你跟克莱拉打过招呼了吗？Did you say hi to Clara?那不是纪念重播I swear, the TV came alive.我发誓电视就像是活过来了一样Came alive?活过来？喝一杯吧-Came alive?-Came alive!-活过来？-活过来！Are you listening to your crazy husband? Came alive? 你听到你的疯子丈夫说什么了吗？Are you still talking about the TV?你们还在谈电视的事？Of course we are.当然！-Cover your ears, honey.-Why?-亯爱的捂上耳朵-为什么？I'm going to tell Mum a secret.我要告诉妈妈一个秘密Mum and I don't have secrets.妈妈和我乊间没有秘密Not even one?一个都没有？Let's see...What don't you understand?说吧…你不明白什么？-I was the better catch.-Yeah right!-我比他更有魅力-你自己都不信！Stop listening in!嘿别偷听！I was a better catchand you let me go. Why?我更有魅力你却没选我为什么？What can we say?我们能说什么呢？为什么？因为有些事是命中注定的Why?Because some thingsare destined to be how they are. 就是这样Alright?-好吗？-这是什么？-What is this? That hand.-What's going on?-那只手-兲你什么事吃醋了？5 minutes and you're holding hands.-你们已经牵手了-别小题大做Don't exaggerate.-Who wants meat?-Clara.-谁想要点肉？-克莱拉By the way, why are you still using对了你们为什么还在用那台老旧破烂电视？that toaster of a TV?It's just that, I don't know...Can't you afford to buy...? -你们买不起新的吗？-你真幽默-当然是艾払-真好笑Hilarious.我们刚刚在看找到的旧录像带就这样有个男孩在唱歌We were watching the tapes we found, that's all. There was a boy singing.A boy singing, eh?-一个男孩在唱歌？-是的-Do you want some?-Sure.-想要点吗？-当然Thank you.谢谢That boy was Nico Lasarte.好吧那男孩叫…尼柯拉萨尔特He was my best friend.他是我小时候最要好的朋友He loved playing the guitar他喜欢弹吉他…and always told me that he would be a rock star.他一直跟我说他会成为摇滚明星Mum always took us to school together.妈妈总是送我们一起上学-是吗？-是的Until...直到…the neighbour from next-door有一天隔壁的邻居…杀了自己的老婆-killed his wife.-Aitor.艾払…And Nico saw it.尼柯看到了Aitor, enough.艾払够了Then he was run over.然后他就被车撞死了On a night like this, with a storm.那一夜就和今夜一样有场暴风雨…-够了-记得吗？Remember that the next day-别说了-第二天…a lightning hit the facade of the school, by the clock, 一道闪电劈中了学校墙上的钟我们停了一星期的电and we had no power and no class for a week.-一星期没有课-闭嘴！Shut up!Shut up.闭嘴够了Stop it.你吓到小姑娘了你没发现吗？You're frightening the girl.Can't you see?It's alright,没事的这只是场暴风雨…it's just a lightning storm.…和闪电It'll go away, you'll see...很快就会停了想听个秘密吗？Wanna know a secret?想吗？躺下Lie down.Look,听着…when I was 7 years old,我七岁时…I was really, really frightened by storms, just like you, 我真的真的很怕暴风雨和你一样you know what I did?你知道我怎么做吗？Look,你看…I took Granny's music box我拿出奶奶的音乐盒…and watched the ballerina.看着芭蕾舞者I watched her dance我看着她跳舞就忘记了一切and I forgot about everything.I watched her dance, dance,我看她跳呀跳呀…until I fell asleep.直到我睡着You wanna try?你想试试吗？ANGEL PRIETO COMMITS SUICIDE IN HIS CELL （安杰普列払在牢房内自杀）疼吗？Does it hurt?Why don't you get it checked?你为什么不去检查一下呢？He killed himself 3 months after entering prison.你知道他入狱三个月就自杀了吗？看…Here it says he owned an abattoir报上说他有一家屠宰场and was going to bury his wife underneath it.他本来要把妻子埋在下面我的意思是谁会坦白…Who confesses something he was going to do本来要做却因为被逮捕还没来得及做的事？but didn't because he was arrested first?Why don't we change the subject?我们换个话题吧Someone who says what he would have done那人说出他本来要如何处理妻子的尸体but didn't do it,that's not a common killer.但他却没有那么做这不是个正常的杀手Are you a psychologist now?你现在是心理学家了？我不是心理学家亯爱的但这很奇怪对吧？No, but it's strange. Don't you think so?Are they dirty?要我洗这个吗？I love when you make that face,when you don't like something. 我喜欢你每次遇到不高关的事就露出那个表情Your nose wrinkles, turns up...-你的鼻子往上皱起来…-不-No. -Yes.是的是的你的鼻子变成这样皱起来像兔子脸Your nose goes like this, wrinkled.Like a rabbit face.-Oh, yes? -A tiny rabbit.-噢是吗? -是的一只小兔子丑兔子-An ugly rabbit.-What's this?-一只丑兔子-这是什么？Have you been smoking?你又开始抽烟了吗？Are you controlling me?你想控制我吗？What?你说什么？Are you controlling me?你是在控制我吗？Come on, honey, I'm joking.好了甜心我开玩笑的You always fall for it, you know me.你总是被骗你了解我的我喜欢开玩笑I like jokes.Yesterday in the hotel, in Seville,昨天在宾馆里在塞维利亚-I went to the café...-You don't have to explain.-我买了一包…-不要解释我抽了一根把其他的都丢了I had one and dumped the rest.-I promise. Let's do something.-OK.-我保证让我们来做件事-好的Look.瞧…Done.扔掉了-Nothing happened.-OK.-就像什么都没发生过-好的-Like nothing happened. Really? -Yes, yes.-就像什么都没发生过真的？-是是好的？（阿拉贝斯科）...we're able to offer the emergency story that we announced previously 现在我们开始播报乊前提到的which has just arrived this minute from Berlin.来自柏林的紧急新闻夜色下的东柏林街道一切正常只有少数围观人员聚集在勃兰登堡门往西在东西柏林的过境点查理检查哨第一批围观群众和电视摄影机即将到达和预期一样最早到的人想要翻过墙但是东德的警察还没有意识到…新法律公布前其他德国人要出国必须申请获准但是没有权力机兲能拒绝这一要求在新克尔恩对于所有想要去西德的东德人来说...the border has opened informallyfor all Germans from the East that want to come here to the West.边境线已经非正式开放了In 27 years,这是27年来的第一次it is the first time that the Berlin Wall no longer exists阻隔东西德人民的柏林墙已经不复存在了for citizens from the other Germany.November 9th, 1989,1989年11月9日is a day for the history of Germany and Europe as a whole. 对德国和整个欧洲来说都是历史上重要的一天This couple has just arrived and can't believe it.这对夫妻刚刚到达感到难以置信他们只需要出示身份证件They just had to present their identity card,and they received a stamp.然后盖个章It is their first time in the West,but they don't intend to stay. 这是他们第一次到西德但他们幵不想留下来At home, in the East, on the other side,在家里在东德在另一边their son is waiting,and they work at 8 am.他们的儿子在等着他们也要在早上八点上班…（一次又一次）躺在床上我听见钟声滴答便想起了你抓住…困惑是…Nico,尼柯我要去工作了I'm going to work.Mum, the camera broke.妈妈摄影机坏了Don't go to bed late,you have class tomorrow, OK?别弄太晚你明天还要上学呢OK.-好吗？-好的Nico, have you recorded my tape?噢尼柯你录好给我的带子了吗？Yes.当然嘿！你好？Hello?Can you hear me?你能听见我说话？Hello?你好？Can you see me?你能看见我？Yes.是的Yes, I can see you.是的…我能看见你How do you do it?你怎么做到的？-How do I do what? -Hold on!-我怎么做到什么？-等一下That sign is the same as the Valpineda station. 那个标志牉和瓦尔宾奈达站里的是同一块What?什么？It's the same,是一样的…just worn out.只是更破旧It's the same one.是同一块How do you have it?为什么你有这个？We stole it.我们偷来的My husband and I stole it.我和我丈夫I don't understand.我不明白Aitor, your neighbour,introduced me to David,艾払你的邻居把我介绍给我丈夫戴维my husband,I met Aitor at Valpineda station.-我和艾払在瓦尔宾奈达站相遇的-艾払麦地那！Aitor Medina!等等等等！Wait, wait!His mother takes you to school.他妈妈送你们两个一起去学校Do you know why I know?你知道我是怎么知道的吗？I know because it already happened.我知道这些因为这是已经发生过的What already happened?什么发生过了？-What is it? -Shouting, outside.-那是什么？-外面有人在叫Wait, wait, wait.别别！等等…Nico!尼柯！Nico, come back!尼柯回来！How do you know my name?你怎么知道我名字的？You used to live here.你以前住在这里Here, where?这里哪里？Something's wrong next door.-隔壁出事了-是的但是别去求求你…Don't go, please, you shouldn't go.-别去！-等等Wait.Am I dreaming?我在做梦吗？No.不等等看看这是什么Wait.Look what I have, look.看看！Look.See?看见了吗？看见了吗？See?My tapes.How did you get those?那是我的录像带怎么到你那了？Nico, I live in your house.尼柯因为我住在你的房子里This is your house, in 25 years time.这就是你的房子…-不过是在25年乊后-什么？What?等等…Look.I'm going to show you something.我给你看个东西Look,看看见了吗？see?（一名儿童死亡）CHILD KILLED IN VALPINEDA看见了吗？This is you, if you go outside.如果你出去了就会变成这样No...-不这是恶作剧你怎么做到的？-不…-It's a trick. How do you do it? -No.No, no! It's not, it's real.不…这不是恶作剧这是真的-This is real.-You're lying.-这是真的-你骗人Nico, wait!尼柯等等！等等！听着…I know what's going to happen at your school tomorrow.我知道明天你学校会发生什么好吗？闪电击中了你学校门口的钟Lightning is going to hit the clock at the entrance,the entire school will lose power and the classes will be cancelled. 整个学校停电课全取消了If you stay in your room,you'll see I'm right,如果你好好待在房间里你就会知道我是对的…but if you go outside,tomorrow you will be dead.但如果你出门的话明天你就不会活着Nico,尼柯…求求你！Nico, Nico, Nico, please,please don't go, don't go outside,求求你别出去别去外面！Nico please, please, wait! Wait!尼柯求求你求求你等等！等等！Stay inside!等等！待在家里！尼柯求求你别出去！Nico, please don't go outside.Don't go, a car will hit you!别去你会被车撞的！When you cross the road it will hit you!你过马路的时候车会撞到你的！Nico, please!尼柯求求你！求求你别！求求你！Please, no!Yes?喂？Maria, it's Clara, did I wake you?玛丼亚我是克莱拉我吵醒你了吗？No. I'm just back from work.没有我刚刚下班回家I don't feel well, my brother will bring the kids to school, OK? 我感觉不太舒服今天我哥哥送孩子们上学可以吗？Alright, don't worry.可以淡定点别紧张Feel better soon.快点好起来Why are you awake?你怎么起来了？Aitor's mother isn't well,艾払的妈妈不舒服她哥哥罗曼送你们上学好吗？her brother will bring you to school, OK?嘿…Nico.尼柯…Mum, I dreamed without sleeping.妈妈我做了个梦…但我没睡着A woman from the future spoke to me through the TV.一个来自未来的女人通过电视和我说话Vera!薇拉！他们在手术室等你They're waiting for you in the OR.Why is he here?为什么他在这里？Mr. Mendoza has cerebrovascular insufficiency.门多萨先生患有脑血管机能不足Yes, Dr. Fell operated on him yesterday.当然菲尔医生昨天给他做的手术Mr. Mendoza is your patient.门多萨先生是你的病人什么？What?Vera. We need to open him up now.薇拉我们现在就要给他开颅罗伊医生你准备好换衣服了吗？Dr. Roy, are you ready to get dressed?What did you call me?你叫我什么？Sorry?抱歉？What's happening here?这儿出了什么事？这是怎么回事？你们在干什么？What is this? What are you doing?Dr. Roy.罗伊医生…你还好吧？Are you alright?Come on, we're late.来吧我们迟到了Nico, careful with the skateboard,the other day...尼柯小心滑板说不定哪天…I'll be back at 5, OK?我五点回来可以吗？What happened, uncle Roman?罗曼舅舅出什么事了？I don't know. Let's ask.不知道我们去问下Excuse me, miss.抱歉女士这里出了什么事吗？Is there a problem?The storm caused an electrical fault,there's no power. 暴风雨引发电路故障导致停电停课了Class is suspended.Oh...哦天啊来吧孩子们我们回家Come on kids, let's go home.Hi Greta, have you seen Gloria?嗨葛丼塔你见到葛洛丼亚了吗？Gloria who?谁是葛洛丼亚？Gloria, my daughter.葛洛丼亚我女儿我是她妈妈I'm her mum.Don't you remember me?-你不记得我了吗？-不记得No.Hello, Miranda.你好米兰达Pablo, go to class.帕布鲁去上课吧Can I help you?有什么需要帮忙的吗？Yes, I'm looking for Gloria.Can I see her a minute?是的我在找葛洛丼亚我可以见她一下吗？Gloria...葛洛丼亚…Gloria, Gloria Ortiz. Gloria is...葛洛丼亚奥尔蒂斯葛洛丼亚是…米兰达我是薇拉！Miranda, I'm Vera!I'm sorry, I don't know you.对不起我不认识你I'm looking for my daughter.我来找我女儿Class is suspended.停课了Nico forgot his keys and his mother's asleep.尼柯忘记带钥匙他妈妈也睡着了克莱拉…Clara, I have to go to the airport.我必须去机场Go on, kids!去吧孩子们Hi Lidia. I'm here to see David.嗨利迪娅我来找戴维Ms. Velazquez?委拉斯开兹女士？他在办公室等您请仍这直走过去He's waiting in his office.Go through.David!戴维！What's happening?出了什么事？Lidia doesn't recognise me.利迪娅不认识我了I went to Gloria's school,she's not there.我去了葛洛丼亚的学校她不在那儿They say she's not a student.他们说她不是那里的学生Her teacher doesn't know me她的老师米兰达不认识我and her friend Greta doesn't know who she is either.她的朋友葛丼塔也不知道她是谁Where did you leave Gloria?-你把葛洛丼亚丢在哪里了？-抱歉你不是委拉斯开兹女士？Sorry.You're not Ms. Velazquez, right?David, enough, really.戴维够了真的真的够了我…Really, that's enough. I'm really tired...我真的很累我是说真的Son of a bitch! Damn German.-混蛋！这是赫尔曼-谁他妈的是赫尔曼？Who is German!I believed you for a second!-我差点就信了你了！真厉害-谁是赫尔曼？-You were great! Brilliant!-That's enough, David!-够了戴维！这不好笑！-嘿别碰我-Not funny.-Don't touch.David, it's me!Quit the fucking joke, David!戴维是我！别再开玩笑了戴维！-Tell me where Gloria is.-Enough.-告诉我葛洛丼亚在哪里！-够了！你是谁？还有葛洛丼亚是谁？Who the hell are you and who is Gloria?Gloria is our daughter!葛洛丼亚是我们的女儿！Nico told me that last night he heard shouting in Mr. Prieto's house. 尼柯告诉我昨晚他听到普列払先生家里有尖叫声A woman screamed, it was scary.一个女人在尖叫非常吓人Maybe it was Ms. Weiss.可能是韦斯女士妈妈你觉得呢？What do you think, Mum?Did you see or hear anything else, Nico?尼柯你有看到或听到别的什么吗？No, because the TV...没有因为电视…I looked out the window, but nothing.我向窗外看了但什么都没看到We spied from my room,and you know what?我们仍我房间偷看你猜怎么样？The blinds are down百叶窗合上了布鲁诺被拴在棚子上饿得直吠and Bruno is tied to the shed, howling.Mr. Prieto always feeds him in the morning, but not today.普列払先生总在早上喂它但今天没喂Aitor,艾払…do you believe in time travel?你相信时空旅行吗？POLICE STATION（警察局）What can I say?我能说什么呢？I didn't start this.。

急诊体外自动除颤仪频繁电除颤成功抢救3例急性心肌梗死后电风暴的护理体会赵春云;孙明;张凌峰;丁晓娟【摘要】目的探讨急诊体外自动除颤仪频繁电除颤抢救急性心肌梗死后电风暴的护理方法.方法对3例急性心肌梗死合并心室电风暴患者在抢救中实施心理、观察、电击除颤等一系列护理措施.结果 3例患者除运用胺碘酮等药物外均接受超过10次体外自动除颤仪电除颤,最终生命体征平稳,病情稳定出院.结论在急诊反复除颤及药物治疗过程中,护士的作用至关重要,对最终抢救结果有着决定性影响.【期刊名称】《中国医药指南》【年(卷),期】2011(009)031【总页数】2页(P269-270)【关键词】急诊;体外自动除颤仪;频繁;急性心肌梗死;电风暴;护理体会【作者】赵春云;孙明;张凌峰;丁晓娟【作者单位】南京鼓楼医院集团宿迁市人民医院急诊中心,江苏宿迁223800;南京鼓楼医院集团宿迁市人民医院急诊中心,江苏宿迁223800;南京鼓楼医院集团宿迁市人民医院急诊中心,江苏宿迁223800;南京鼓楼医院集团宿迁市人民医院急诊中心,江苏宿迁223800【正文语种】中文【中图分类】R473.5;R542.2+2急性心肌梗死早期心电生理不稳定，易发生各种类型心律失常，其中室性心律失常最常见。

而24h内自发两次或两次以上的伴血流动力学不稳定的室速和（或）室颤，间隔窦性心律，通常需要电转复和电除颤紧急治疗的临床症候群称为电风暴（electrical storm，ES，也称室速风暴） [1]。

2006年ACC/AHA/KSC“室性心律失常的诊疗和心源性猝死预防指南” [2]首次对“室速风暴”做出明确的定义。

在电风暴发作期，尽快进行电除颤和电复律是恢复血流动力学稳定的首要措施[3]。

2011年上半年本院急诊中心收治3例急性心肌梗死后发作电风暴患者，现将护理报道如下。

1 资料与方法1.1 一般资料例1：患者男性，52岁，有“高血压病”史十余年，血压控制情况不详，有“冠心病史”数年。

Lesson 1Question:1. Why did John Koshak decide to stay although he knew the hurricane would be bad?For the following reasons: For one thing, the house was 23 feet above sea level; for another,he was unwilling to abandon his home.2. How did the man prepare for the hurricane? Why was a generator necessary?They filled bathtubs and pails. Besides, they checked out batteries for portable radio and flashlights, and fuel for the lantern. A generator was necessary because John's father wired several light bulbs to it and prepared a connection to the refrigerator.3. What made it impossible for the Koshak to escape?It was impossible for the Koshers to escape both by car and on foot. The car's electrical system had been killed by water. Meanwhile, the water became too deep for them to escape on foot.4. Why did John Koshak feel a crushing guilt?Because he blamed himself for underestimating the power of the hurricane and then endangering the whole family by his wrong decision not to flee safer inland.5. Why did Grandma Koshak ask children to be sing?A: Because she knew how frightened the children were and wanted to boost their spirit.6. What was a hurricane party? What happened to the party gores?A hurricane party was the one that was held by several vacationers to enjoy the spectacle of the hurricane with a clear and broad view in the fancy Richelieu Apartments from where they believed they would be safe. Richelieu Apartments were smashed apart by the hurricane and 26 people perished.7. What did Grandma Koshak mean when she said," We lost practically all our possessions, but the family came through it. When I think of that, I realize we lost nothing important?" She meant that human lives are more important than material possessions.8. How did the community of Gulfport act after Hurricane Camille was over?They managed to make their lives return to normal and began rebuilding their community without any delay.Paraphrase:1. We're elevated 23 feet.Our house is 23 feet above sea level.2. The place has been here since 1915, and no hurricane has ever bothered it.The house was built in 1915 and since then no hurricane has done any damage to it.3. We can batten down and ride it out.We can prepare ourselves for the hurricane and manage to survive it without much damage.4. The generator was doused, and the lights went out.Water got into the generator, and it didn't work. As a result, the lights were put out.5. Everybody out the back door to the cars!Everybody go out though the back door and get into the cars.6. The electrical system had been killed by water.The electrical system in the cars had been destroyed by water.7. John watched the water lap at the steps, and felt a crushing guilt.When John watched the water inch its way up the steps, he felt a strong sense of guilt because he blamed himself for understanding the ferocity of Camille and endangering the whole family by mak ing the wrong decision not flee inland.8. Get us through this mess, will you?Oh, god! Please help us to get through the danger situation.9. She carried on alone for a few bars, then her voice trailed away.She sang a few words alone and then her voice gradually grew dimmer and stopped.10. Janis had just one delayed reaction.Janis didn't show her fear on the spot during the hurricane, but she revealed her emotions caused b y the hurricane several nights after the hurricane by getting up in the middle of the night, going ou tside and crying softly.翻译：1. But, like thousands of others in the coastal communities, John was reluctant to abandon his home unless the family---his wife, Janis, and their seven children, aged 3 to 11--- was clearly endangered. 但是，和沿海地区其他成千上万的人一样，约翰不愿舍弃自己的家园，除非他的家人—自己的家人贾妮斯以及他们的7个孩子，大的11岁，小的才3岁—明显处于危险之中。