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1、问诊句型How long have you had cough.您咳嗽多久了 .Do you have chest pain when you cough.您咳嗽的时候胸痛吗 .Does your chest hurt when you breathe in and out.您呼吸的时候胸口痛吗.Do you have any sputum when you cough.您咳嗽的时候有痰吗 .Whats the sputum like. What color is it.痰是怎样的 . 什么颜色 .It is yellow and thick, clear and thin 它是黄色黏稠痰淡薄
2、痰;Do you suffer from asthma.您有哮喘病吗 .I need to listen to your lungs Would you help me.我需要听一听您的肺,请协作一下行吗.I need to take your temperature, feel your pulse and measure your blood pressure 我需要量一下您的体温、脉搏和血压;The resultsof your physicalexaminationshow thatyou sufferfrom mild pneumonia You need to have intra
3、-venous antibioticsand I ll prescribe some pain-killers foryour chest pain您的检查结果说明您有轻度肺炎;您需要静脉点滴抗生素,我会给您开些止痛药缓解胸痛;As your pneumonia is mild, I will also prescribe some oral tablets foryou But if you do not feel better in three days, please come back to see me您患的是轻度肺炎,我会给您开些口服药;假如您三天内没有好转,请再来就诊;心血管紧统
4、疾病How long have you had palpitation.您感觉心悸有多长时间.Does it get worse if you do any exercise,climbing the stairs for example.您运动时,比如说爬楼梯的时候心跳会加剧吗. Do your chest pain radiate.您有放射性胸痛吗 .Do you ever have dizziness or lost consciousness.Have you ever had heart disease. Please show me your medical record 您以前有
5、心脏病吗 . 请给我看一下您的病历;When did the symptom begin .症状是什么时候开头的?Are you bring anything up when you cough.咳嗽时有痰吗? Have you had any chills chest pain.您有发冷(胸痛)吗? Have you ever coughed up blood您咳血过吗? All right. Let me examine you. Would you mind taking off your coat.好吧;我给您检查一下,您不介意脱掉外衣吧?Take a deep breath, ple
6、ase请深呼吸 Ill take a white blood count and give you a x-ray examination.我将给您做白细胞计数和胸片检查 Im sure its pneumonia. You should be admitted to the hospital.我可以确定您得了肺炎,应当住院; How long have you been like this.这种症状有多久了? When did you begin to notice these symptoms.您什么时候发觉这些症状的? Have you been coughing and sneezin
7、g.你是不是始终咳嗽和打喷嚏?Have you got a high fever.你发烧吗? Id like to listen to your chest.我想听听你的胸部; 问诊单词dyspnea呼吸困难Asphyxia/suffocate窒息chest distress胸闷suffocation憋气labored breathing呼吸费劲chest pain胸痛cough咳 嗽expectorate咳 痰hypersomnia嗜 睡anorexia厌 食Mucous sputum黏液痰 purulent sputum脓痰swelling水肿nasal obstruction鼻塞A:Br
8、onchialasthma.sm ., .z - 支气管哮喘acidosis酸中毒Allergen,allergicreaction变异原,变态反应bloodgas analysis血气分析Anaemia贫血Alveolar肺泡的antibiotic抗生素Atelectasis肺不张Lung abscess肺脓肿Athrosclerotic heart disease动脉粥样硬化性心脏病Beta2-agonistB2受体兴奋剂Allergic bronchopulmonary aspergillosis曲霉菌ARDS acute respiratory distress syndrome re
9、sp.r .t .ri, rispai.-急性呼吸窘迫综合征Percussion and auscultation叩听诊Pulmonary arterial stenosis p.lm.n.ri, pul- :ti.ri .lstin.usis肺动脉狭窄Adrenal glucocorticoid肾上腺糖皮质激素BBiopsy活检Bronchiectasis支气管扩张Fiber optic bronchoscopic biopsy纤支镜活检BAL bronchoalveolar lavage支气管肺泡灌洗Bronchitis,bronchiolitis支气管炎,细支气管炎Boop: bronc
10、hiolitis obliterans with organizing pneunomia闭塞性细支气管炎伴机化性肺炎Bronchoscopy支气管镜检查CCAHD coronary arteriosclerotic heart disease冠心病CPR cardiopulmonary resuscitation心肺复苏CDILD chronic diffuse interstitial lung disease慢性间质性肺病COPD chronic obstructive pulmonary disease慢阻肺Clubbed finger杵状指 dry cough干咳 Cyanosis紫
11、绀Nonproductive cough干咳Complication并发症DDyspnea dispni:.呼吸困难Differential diagnosis鉴别诊断Discharge diagnosis出院诊断EEmphysema ,emfisi:m. 肺气肿pulmonary embolism emb.liz.m 肺栓塞Acid base equolibrium酸碱平稳etiology病因学Emphysematous肺大泡Expectoration吐痰Exacerbation加重Endogenous 内生的Exogenous 外生的FInterstitial pulmonary fibr
12、osis间质性肺纤维化GGM+ Gram stain positiveGm-Gram stain negativeHHypersensitivity pneumonia过敏性肺炎Hemoglobin血红蛋白Hemoptysis咯血Hemorrhage 出血HRCT high resolution computerized tomography高辨论 CTHistology组织学Hypoxia缺氧IIdiopathic interstitial pneumonia特发间质性肺炎Intratracheal气管内的Intravenous静脉内的NNoninvasive ventilation无创机械
13、通气OOSAS obstructive sleep apnea syndrome堵塞性呼吸暂停综合征PPulmonary second sound肺动脉瓣其次心音Pneumonia nju:m.unj . 肺炎Pneumothorax ,nju:m. . :r.ks气胸PTE pulmonary thromboembolism肺动脉血栓栓塞症Ventilation/perfusion ratio通气血流比Pleura胸腔积液Primary bronchogenic carcinoma原发性支气管源性肺癌Provocation test激发试验Parenchymal实质的( interstiti
14、al的)Pulmonary edema 肺水肿Lobar pneumonia大叶性肺炎Lobular pneumonia小叶性肺炎RMoist rales湿罗音Dry rales干罗音SSaO2 saturation in arterial blood动脉血氧饱和度Short of breath气短Syncope晕厥Sarcoidosis结节病Segment 段TTuberculosis结核病Tachypnea气促Thrombosis血栓TBLB transbronchial lung biosy经支气管肺活检Thoracoscopy胸腔镜检查UUpper respiratory tract infection上呼吸道感染WWheeze 哮鸣音其他facilitating sputum expectoration排痰release of bronchial spasm解痉细菌steptococcus pneumoiae肺炎链球菌staphylococcus葡萄球菌legionella军团菌mycoplasma支原体chlamydia衣原体pneumococcus肺炎球菌