2014年職稱英語(衛(wèi)生類)教材閱讀理解文章及譯文13

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　　點擊進(jìn)入：2014年職稱英語(衛(wèi)生類)教材閱讀理解文章匯總

　　衛(wèi)生類-閱讀理解　　

　　Drug Reactions ― a Major Cause of Death

　　Adverse drug reactions may cause the deaths of over 100,000 US hospital patients each year, making them a leading cause of death nationwide1, according to a report in the Journal of the American Medical Association.

　　“The incidence of serious and fatal adverse drug reactions (ADRs) in US hospitals was found to be extremely high,” say researchers at the University of Toronto in Ontario, Canada.

　　They carried on an analysis of 39 ADR-related studies2 at US hospitals over the past 30 years and defined an ADR as “any harmful, unintended, and undesired effect of a drug which occurs at doses used in humans for prevention, diagnosis, or therapy.”3

　　An average 6.7% of all hospitalized patients experience an ADR every year, according to the reasearchers.They estimate that "in 1994, overall 2，216 000 hospitalized patients had serious ADRs, and 106,000 had fatal ADRs." This means that ADRs may rank as the fourth single largest cause of death in America.4

　　And these incidence figures are probably conservative, the researchers add, since their ADR definition did not include outcomes linked to problems in drug administration, overdoses, drug abuse, and therapeutic failures5.

　　The control of ADRs also means spending more money. One US study estimated the overall cost of treating ADRs at up to $4 billion per year.

　　Dr. David Bates of Brigham and Women's Hospital in Boston, Massachusetts, believes that healthcare workers need to pay more attention to the problem, especially since many ADRs are easily preventable. "When a patient develops an allergy or sensitivity, it is often not recorded,"Bates notes6, "and patients receive drugs to which they have known allergies or sensitivities with disturbing frequency.”7 He. believes computerized surveillance systems still works-in-progress at many of the nation's hospitals8 ― should help cut down the frequency of these types of errors.

　　詞匯：

　　reaction 反應(yīng)，作用

　　conservative 保守的，守舊的;穩(wěn)當(dāng)?shù)?/P>

　　adverse 不利的，有害的

　　incidence 發(fā)生率;發(fā)生

　　define .解釋，給……下定義

　　diagnosis .診斷(法)，診斷結(jié)論

　　sensitivity 過敏(性);敏感

　　hospitalize 送進(jìn)……醫(yī)院治療

　　surveillance 監(jiān)督，檢查，監(jiān)管

　　注釋：

　　1.making them a leading cause of death nationwide：使它們在全國范圍內(nèi)成為導(dǎo)致死亡最重的原因之一的原因之一

　　2.ADR-related studies：涉及用藥不良反應(yīng)的研究

　　3.any harmful, unintended, and undesired effect of a drug for prevention, diagnosis, or therapy：用于人體預(yù)防、診斷及治療目的的藥物劑量造成的任何有害、非故意和不良的后果

　　4.This means that ADRs may rank as the fourth single largest cause of death in America這意味著用藥不良反應(yīng)在美國可列為引起死亡的第四大單項因素。動詞短語“rank as”意為“排行為”，“列為”。

　　5.since their ADR definition did not include outcomes linked to problems in drug administration, overdoses, drug abuse, and therapeutic failures：因為他們對用藥不良反應(yīng)下的定義不包括錯誤服藥、過量用藥、濫用藥物和治療失敗所造成的后果。

　　6.“When a patient develops an allergy or sensitivity, it is often not recorded,”Bates notes...：“當(dāng)一個病人產(chǎn)生了(藥物)過敏時，往往沒有記錄下來，”貝茨指出……實際上，“allergy”和"sensitivity "是“藥物過敏”的不同說法。句中"note"的意思是"記下"、"寫下"或"指出"。

　　7.and patients receive drugs to which they have known allergies or sensitives with disturbing frequency：這是整個并列句的第二部分。其中，主語為patients，謂語是receive，賓語是drugs，后面有定語從句to which they have known allergies or sensitivities作為它的修飾語，賓語部分的意思是：“已知道他們對其有過敏反應(yīng)的藥物”：最后是一個借此短語with disturbing frequency作方式狀語，字面意思是的是：以使人不安的頻率。整句話意為：令人不安的是，病人常常服用那些他們已知道對其有變態(tài)反應(yīng)和過敏反應(yīng)的藥物。

　　8.still works-in-progress at many of the nation’s hospitals：……在國內(nèi)的許多醫(yī)院里還是一個正在逐步建立起來的措施……

　　練習(xí)：

　　1.Researchers at the University of Toronto believe that _________.

　　A　ADRs have caused medical problems, though they seldom lead to death.

　　B　ADRs have very often caused patients to die in Canada.

　　C　ADRs have caused many deaths in America over the past 30 years.

　　D　it is easy to prevent ADRs from happening.

　　2.The investigators say that _________.

　　A　67 patients out of 100 in every American hospital die from ADRs each year.

　　B　67 patients out of 100 in every American hospital experience an ADR each year.

　　C　6.7% of all hospitalized patients in America experience ADRs each year on average.

　　D　6.7% of all hospitalized patients in Canada experience ADRs each year on average.

　　3.An American research estimates that the total sum of money spent in treating ADRs each year is as much as _________.

　　A　$40,000,000,000.

　　B　$4,000,000,000.

　　C　$400,000,000.

　　D　$40,000,000.

　　4.The Canadian investigators think that the ADR incidence figures from their research _________.

　　A　are surely very exact.

　　B　are probably higher than the real amount.

　　C　are perhaps less than the real amount.

　　D　are probably groundless.

　　5.According to Dr. David Bates, hospitals in America _________.

　　A　are not paying enough attention to possibilities of ADR happenings.

　　B　have never tried to use computers to prevent ADRs from happening.

　　C　do not use those drugs which will cause side effects to their patients.

　　D　know that many ADRs are easily preventable.

　　答案與題解：

　　1.C本文第一段第一句話就提到了ADR可以造成死亡，第二段和第四段中都用fatal(致命的)一詞來說明ADR，并且這種現(xiàn)象在美國還很嚴(yán)重，因此選項A是錯誤的。選項B也是錯誤的，因為文中并沒有提到在加拿大ADR引起死亡的情況;選項D與文章最后一段的貝茨醫(yī)生所說的話相符合，但文中并沒有提到加拿大的研究者也說過這樣的話，所以也不是正確的選項。只有C與題意一致。

　　2.C文章第四段的第一句話說到調(diào)查者的研究結(jié)果發(fā)現(xiàn)，在美國每年平均有6.7%的住院病人經(jīng)歷過ADR。這是一個平均數(shù)，只有C項才符合題意。

　　3.B這是一道數(shù)字辨認(rèn)題，線索在第六段。一個“billion”應(yīng)理解為“十億”，故B項是正確答案。

　　4.C做對這一題的關(guān)鍵在于把握第五段第一句話中的conservative的意義。

　　5.A文章最后一段3～5行說到醫(yī)生對防止用藥不良反應(yīng)不夠重視：不做過敏記錄，也不顧病人的過敏史而隨意用藥。所以，A項是正確答案。

　　譯文：藥物反應(yīng)――導(dǎo)致死亡的主要原因

　　《美國醫(yī)學(xué)會雜志》曾登載一篇報告說,美國每年有10萬多名病人死于藥物反應(yīng)。藥物反應(yīng)在美國已成為導(dǎo)致死亡最重要的原因之一。

　　加拿大安大略多倫多大學(xué)的研究人員說：“在美國,嚴(yán)重的和致命的藥物反應(yīng)發(fā)生的頻率極高?！?/P>

　　研究者對美國醫(yī)院過去30年有關(guān)用藥不良反應(yīng)的39種研究成果進(jìn)行了分析。將用藥不良反應(yīng)定義為“藥物劑量用于人體預(yù)防、診斷及治療目的而造成的任何有害、非故意和不良的效果”。

　　根據(jù)這項研究，平均有6. 7%的住院病人每年有一次用藥不良反應(yīng)。研究人員估計,“1994年共有2,216,000名住院病人出現(xiàn)了嚴(yán)重的用藥不良反應(yīng),106,000名病人出現(xiàn)了致命的不良反應(yīng)。”這意味著用藥不良反應(yīng)在美國可列為引起死亡的第四大單項因素。

　　研究者補(bǔ)充說，這些數(shù)字也許只是保守的，因為他們對用藥不良反應(yīng)下的定義，不包括錯誤服藥、過量用藥、濫用藥物和治療失敗所造成的后果。

　　控制藥物不良反應(yīng)也意味著花費更多的錢。一項美國研究估計，治療藥物不良反應(yīng)的總費用，每年高達(dá)40億美元。

　　馬薩諸塞州波士頓婦科醫(yī)院的醫(yī)生David Bates認(rèn)為許多用藥不良反應(yīng)是很容易預(yù)防的，因此醫(yī)護(hù)人員應(yīng)該多加注意這個問題。“當(dāng)一個病人產(chǎn)生了變態(tài)反應(yīng)或過敏反應(yīng)時，醫(yī)護(hù)人員往往沒有記錄下來，”Bates指出，“令人不安的是，病人常常服用那些明知會有變態(tài)反應(yīng)和過敏反應(yīng)的藥物?！?Bates相信在國內(nèi)許多醫(yī)院里逐步建立起來的電腦化監(jiān)督系統(tǒng)將有助于減少這種工作上的失誤。

　　2014年職稱英語考前復(fù)習(xí)必讀攻略 2014年職稱英語老師輔導(dǎo)輕松通關(guān)