### 譯文小擷 什麼是和歌

本文譯自山本茂《留学生のための日本事情》。

## 千古短歌

“志贵嶋 倭国者 事霊之 所佐国叙 真福在与具”

——“赞我大和 言灵持伴 荣我日本 福泽可盼”

“太”姓是古代一支豪族的姓氏，相传至今，

“言语的精灵更喜欢活在诗歌之中。

1997年，俵万智的第二本诗集《巧克力革命》付梓，

## 一板一眼的节奏美

hi-tech（高科技）＝“嗨一塔可”

Mr.Children（1989成立的摇滚乐团）＝“密苏齐鲁”，

“日语说起来好像机关枪那样”，

《万叶集》中的和歌，包括了上至天皇，下至黎民百姓，戍边战士，

## 离世之挽歌

“不是让你拿蓑衣吗拿朵破花做甚！”

“你这个没文化的莽夫！”

“百千万亿芳华中，棠梨一支貌不同，怅立盼西东。”

“白沙漫天冲浪里，生死离别总归一。”

“孤帆一瞬长空尽，沉浮波涛不足惜。”

“三千锦丝尽折，不堪一穿，”

“却又怜，白发寸断。”

“夏夜月清明，

“绵雨又逢连夜雨，

“风来春去芳花尽，

“螳臂当车，飞蛾扑火，

“人苦落花多惆怅，

“四海之内既兄弟，

### 值班日記 – 萊諾普利引發血管神經叢水腫一例

Reported by

Bo YANG M.D. (Fourth Hospital Affiliated to China Medical University)

Shipeng CAO M.D. (Beiling Community Health Center)

A 69-year-old man was admitted to alcoholic myocardiopathy, chronic heart failure, New York Heart Association function classification class Ⅲ with atrial fibrillation and type 2 diabetes mellitus. The individual contacted the clinic because of shortness of breath and edema of lower extremity, and admitted the history that consumed alcohol heavily (≥80g/day) for 40 years. 2 months ago the individual had been admitted to hospital for chronic heart failure, given Lisinopril orally 40mg per-day for 1 month. Prescription included furosemide, aspirin，simvastatin，Spironolactone and Lisinopril（20mg daily）had been made. On the next day, 30 minutes after 20mg of Lisinopril was taken, the individual reported a pain throat with no breathing difficulties. The examination revealed the right side of the tongue and sublingual was remarkably swelling (panel A1, A2) with no rash, bronchospasm, urticarial, or flushing. Lungs can be heard with a little moist rattle. There was no personal or family history of similar or related episodes, and there was no history about medication allergies. Tongue angioedema, or Quincke’s Disease was diagnosed. And the reason of tongue angioedema association – the use of angiotensin-converting-enzyme (ACE) inhibitor — was found. Treatment with Lisinopril was promptly discontinued, and a combination of antihistamines, compound glycyrrhizin and glucocorticoid was given.

The improvement showed rapidly, as the edema completely resolved within 7.3 hours (panel B1, B2). Usage of ACE-inhibitor may prompt a decrease in the production of angiotensin II and an increase in the level of Bradykinin, which would bring the regional vasodilatation and increase vascular permeability – the latter works as a character of angioedema.

Angioedema in the face, extremities, lips, tongue, glottis and/or larynx has been reported in patients with ACE inhibitors. In the most kinds of instances, the onset of angioedema could even delay after given ACE inhibitors, of course, it could occur at any time during the treatment process. However, the isolated tongue angioedema is quite rare. According to the reports, the rate of frequency of angioedema associated with Lisinopril is at 0.1%. While ACE-inhibitor angioedema remains an infrequent adverse reaction, Clinicians need to be cognizant of pharynx and larynx or tongue edema, Patients with involvement of the tongue, glottis or larynx are likely to experience airway obstruction if not promptly recognized and treated, in that case, they always need ventilator supports.

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