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从candide里看到的,请问下at each effort

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从candide里看到的,请问下at each effort
原句是:The next day,as he took a walk,he met a beggar all covered with scabs,his eyes diseased,the end of his nose eaten away,his mouth distorted,his teeth black,chocking in his throat,tormented with a violent cough,and spitting out a tooth at each effort.
最后一个词组.
能够具体一点吗?额因为我不知道确切的意思所以不知道哪个是对的额...
从candide里看到的,请问下at each effort
根据整句话的意思,“spitting out a tooth at each effort”意思是“每次用力/使劲(咳嗽)时都吐出一颗牙齿”,“at each effort”不是一个固定短语,只是根据语境可能用这个比较合适,避免重复.