英语翻译追问病史,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

英语翻译
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.

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.