英文病历之主诉的写法.docx
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英文病历之主诉的写法.docx
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英文病历之主诉的写法
主诉
1.主诉的表示方法:
症状+时间(Symptom+Time)
•症状+for+时间
如:
[Chestpainfor2hours]胸痛2小时
•症状+of+时间
如:
[Nauseaandvomitingofthreedays`duration]恶心呕吐3天
•症状+时间+induration
如:
[Headache1monthinduration]头痛1月
•时间+of+症状
如:
[Two-dayhistoryoffever]发热2天
2、常见症状
•[Fever]发热
•[Pain]疼痛
•[Edema]水肿
•[Mucocutaneoushemorrhage(bleeding)]皮肤粘膜出血
•[Dyspnea(Difficulyinbreathing;Respiratorydifficulty;shortofbreath)]呼吸困难
•[Coughandexpectoration(Sputum;Phlegm)]咳嗽和咯痰
•[Hemoptysis]咯血
•[Cyanosis]紫绀
•[Palpitation]心悸
•[Chestdiscomfort]胸闷
•[Nausea(Retch;DryVomiting)andVomiting]恶心和呕吐
•[Hematemesis(Vomitingofblood)]呕血
•[Hematochezia(Hemafecia)]便血
•[Diarrhea]腹泻
•[Constipation(Obstipation)]便秘
•[Vertigo(Giddiness;Dizziness)]眩晕
•[Jaundice(Icterus)]黄疸
•[Convulsion]惊厥
•[Disturbanceofconsciousness]意识障碍
•[Hematuria]血尿
•[Frequentmicturition,urgentmicturitionanddysuria]尿频,尿急和尿痛
•[Incontinenceofurine]尿失禁
•[Retentionofurine]尿潴留
(1)发热的表示方法
•[Infective(Septic)fever]感染性发热
•[Non-infective(Aseptic)fever]非感染性发热
•[Dehydration(Inanition)fever]脱水热
•[Drugfever]药物热
•[Functionalhypothermia]功能性低热
•[Absorptionfever]吸收热
•[Centralfever]中枢性发热
•[Fevertype]热型
▲[Continuousfever]稽留热
▲[Remittentfever]驰张热
▲[Intermittentfever]间歇热
▲[Undulantfever]波状热
▲[Recurrentfever]回归热
▲[Periodicfever]周期热
▲[Irregularfever]不规则热
▲[Ephemeralfever]短暂热
▲[Doublepeakedfever]双峰热
•[Feverofundetermined(unknown)origin,FUO]不明原因发热
•[Rigor(shivering;chill;shakingchill;ague)]寒战
•[ChillySensation(Fellchilly;coldfits;coldness)]畏寒
[Ultra-hyperpyrexia]超高热
•[Hyperthermia(Ahighfever;hyperpyrexia;ardentfever)]高热
•[Moderatefever]中度发热
•[Hypothermia(Low-gradefever;slightfever;subfebriletemperature)]低热
•[Becomefeverish(Haveatemperature)]发热
•[Crisis]骤降
•[Lysis]渐降
•[Typhoidfever]伤寒热
•[Rheumaticfever]风湿热
•[Cancerousfever]癌性发热
•[Fervescenceperiod]升热期
•[Defervescenceperiod]退热期
•[Persistentfebrileperiod]持续发热期
(2)疼痛的表示方法
•[Backache(Backpain)]背痛
•[Lumbago]腰痛
•[Headache]头痛医学.全.在线.网.站.提供
▲[Vasomotorheadache]血管舒缩性头痛
▲[Post-traumaticheadache]创伤后头痛
▲[Migraineheadache]偏头痛
▲[Clusterheadache]丛集性头痛
•[Chestpain]胸痛
•[Precardialpain]心前区痛
•[Retrosternalpain]胸骨后痛
•[Abdominalpain(Stomachache)]腹痛
•[Acrodynia(paininlimbs)]肢体痛
•[Arthrodynia(Arthralgia)]关节痛
[Dullpain]钝痛
•[Sharppain]锐痛
•[Twingepain]刺痛
•[Knife-likepain(Piercingpain)]刀割(刺)样痛
•[Achingpain]酸痛
•[Burningpain]烧灼痛
•[Colicky(Griping;cramp)pain]绞痛
•[Colic]绞痛
•[Burstingpain]胀痛(撕裂痛)
•[Hungerpain]饥饿痛
•[Ticpain]抽搐痛
•[Bearing-downpain]坠痛
•[Shock-likepain]电击样痛
•[Jumpingpain]反跳痛
•[Tendernesspain]触痛(压痛)
•[Girdle-likepain]束带样痛
•[Wanderingpain]游走性痛
•[Throbbingpain]搏动性痛
•[Radiatingpain]放射性痛
•[Crampingpain]痉挛性痛
•[Boringpain]钻痛
•[Intensepain]剧痛
•[Writhingpain]痛得打滚
•[Draggingpain]牵引痛
•[Laborpain]阵痛
•[Cancerouspain]癌性疼痛
•[Referredpain]牵涉痛
•[Persistentpain(Unremittingpain)]持续性痛
•[Constantpain]经常性痛
•[Intermittentpain]间歇性痛
(3)水肿的表示方法
[Mucousedema(Myxedema)]粘液性水肿
•[Cardiac(Cardiogenic)edema]心源性水肿
•[Nephrotic(renal)edema]肾源性水肿
•[Hepaticedema]肝源性水肿
•[Alimentary(Nutritional)edema]营养不良性水肿
•[Angioneuroticedema]血管神经性水肿
•[Pitting]凹陷性
•[Nonpitting]非凹陷性
•[Localized(Local)edema]局限性水肿
•[Generalizededema(Anasarca)]全身性水肿
•[Hydrops]积水
•[Elephantiasiccrus]橡皮肿
•[Cerebral(Brain)edema]脑水肿
•[Pulmonaryedema(Hydropneumonia0]肺水肿
•[Hydrocephalus]脑积水医学全.在线网.站.提供
•[Edemaofendoscrinopathy]内分泌病性水肿
•[Invisible(Recessive)edema]隐性水肿
•[Frankedema]显性水肿
•[Inflammatoryedema]炎性水肿
•[Idiopathicedema]特发性水肿
•[Cyclicaledema]周期性水肿
•[Ascites(Abdominaleffusion;hydroperiotoneum)]腹水
•[Pleuraleffusion(Hydrothorax)]胸水
•[Pericardialeffusion(Hydropericardium)]心包积液
•[Bronchoedema]支气管水肿
•[Slight(Mild)]轻度
•[Moderate]中度
•[Serious]重度
•[Transudate]漏出液
•[Exudate]渗出液
(4)呼吸困难的表示方法
•[Cardiacdyspnea]心原性呼吸困难
•[Inspiratory]吸气性
•[Expiratory]呼气性
•[Mixed]混合性
•[Obstructive]梗阻性
•[Dyspneaatrest]静息时呼吸困难
•[Dyspneaonexertion]活动时呼吸困难
•[Dyspneaonlyingdown]躺下时呼吸困难
•[Paroxysmalnocturnaldyspnea,PND]夜间阵发性呼吸困难
•[Orthopnea]端坐呼吸
•[Asthma]哮喘
•[Cardiacasthma]心源性哮喘
•[Bronchialasthma]支气管性哮喘
•[Hyperpnea]呼吸深快
•[Periodicbreathing]周期性呼吸
•[Tachypnea(Rapidorfastbreathing;acceleratedbreathing;shortofbreath)]气促
•[Bradypnea(Slowbreathing)]呼吸缓慢
•[Irregularbreathing]不规则呼吸
(5)皮肤粘膜出血的表示方法
•[Bleedingspotsintheskin]皮肤出血点
•[Petechia]瘀点
•[Eccymosis]瘀斑
•[Purpura]紫癜
•[Splinterhemorrhage]片状出血
•[Oozingoftheblood(Errhysis)]渗血
•[Bloodblister(Hemophysallis)]血疱
•[Hemorrhinia(Nasalbleeding)]鼻衄
•[Ecchymoma]皮下血肿
(6)咳嗽与咯痰的表示方法
•[Drycough(Nonproductivecough;hackingcough)]干咳
•[Sharpcough]剧咳
•[Wetcough(Moistcough)]湿咳
•[Productivecough(Loosecough)]排痰性咳
•[Chroniccough]慢性咳嗽
•[Irritablecough]刺激性咳嗽
•[Paroxysmalcough]发作性(阵发性)咳嗽
•[Coughcontinually]持续性咳嗽
•[Spasmodiccough]痉挛性咳嗽
•[Whoopingcough]百日咳
•[Wintercough]冬季咳
•[Wheezingcough]喘咳
•[Shortcough]短咳
•[Distressedcough]难咳
•[Shallowcough]浅咳
•[Droplet]飞沫
•[Frothysputum]泡沫样痰
•[Bloodysputum]血痰
•[Mucous(Mucoid)sputum]粘液样痰
•[Purulentsputum]脓痰
•[Mucopurulentsputum]粘液脓性痰
•[White(Yellow,green)sputum]白(黄,绿)痰
[Fetid(Foul)sputum]恶臭痰
•[Iron-rust(Rusty)sputum]铁锈色痰
•[Chocolatecolouredsputum]巧克力色痰
•[Thicksputum]浓痰
•[Thinsputum]淡痰
•[Viscoussputum]粘痰
•[Transparentsputum]透明痰
•[Much(Largeamountsof)sputum]大量痰
•[Moderateamountsofsputum]中等量痰
•[Notmuch(Smallamountsof)sputum]少量痰
(7)内脏出血的表示方法
•[Goldstein’shemoptysis]戈耳斯坦氏咯血
•[Massivehematemesis]大量呕血
•[Epistasis(Nosebleed;Nasalbleeding;Hemorrhinia;rhinorrhagia)]鼻衄
•[Hematuria]血尿
•[Initialhematuria]初血尿
•[Idiopathichematuria]特发性血尿
•[Painlesshematuria]无痛性血尿
•[Terminalhematuria]终末性血尿
•[Gross(Macroscopic)hematuria]肉眼血尿
•[Microscopichematuria]镜下血尿
•[Hematuriainthewholeprocessofurination]全程血尿
•[Gingivalbleeding(Ulaemorrhagia;gumbleeding)]牙龈出血
•[Hematochezia]便血
•[Bloodystool]血便
•[Blackstool(Melena)]黑便
•[Tarrystool]柏油样便
•[Bleedingfollowingtrauma]外伤后出血
•[Spontaneousbleeding]自发性出血
•[BleedingContinuously]持续出血
•[Occultblood,OB]隐血
•[Hematobilia]胆道出血
•[Hemathorax]血胸
•[Hemarthrosis]关节积血
•[Hematocoelia]腹腔积血
•[Hematoma]血肿
•[Hemopericardium]心包积血
•[Cerebralhemorrhage]脑出血
•[Subarachnoidhemorrhage(SAH)]蛛网膜下腔出血
•[Excessive(Heavy)menstrualflowwithpassageofclots]月经量多伴血块
•[Mild(Moderate)menses]月经量少(中等)
•[PainlessVaginalbleeding]无痛性阴道出血
•[Postcoitalbleeding]性交后出血
•[Pulsatingbleeding]搏动性出血
•[Post-operationwoundhemorrhage]术后伤口出血
•[Excessivebleedingafterdenalextraction]拔牙后出血过多
(8)紫绀的表示方法
•[Congenitalcyanosis]先天性紫绀
•[Enterogenous]肠源性
•[Central]中枢性
•[Peripheral]周围性
[Mixed]混合性
•[Acrocyanosis]指端紫绀
(9)恶心与呕吐的表示方法
•[Vomiturition(Retching)]干呕
•[Feelnauseated]恶心感
•[Postprandialnausea]饭后恶心
•[Hiccup]呃逆
•[Sourregurgitation]返酸
•[Fecal(Stercoraceous)vomiting]吐粪
•[undigestedfoodVomiting]吐不消化食物
•[BiliousVomiting]吐胆汁
(10)腹泻与便秘的表示方法
•[Moningdiarrhea]晨泻
•[Watery(Liquid)diarrhea]水泻
•[Mucousdiarrhea]粘液泻
•[Fattydiarrhea]脂肪泻
•[Chronic(Acute)]慢性(急性)
•[Milddiarrhea]轻度腹泻
•[Intractable(Uncontrolled)diarrhea]难治性腹泻
•[Protracteddiarrhea]迁延性腹泻
•[Bloodystool]血梗
•[Frothystool]泡沫样便
•[Formless(Formed)stool]不成形(成形)便
•[Loose(Hard)stool]稀(硬)便
•[Rice-waterstool]米泔样便
•[Undigestedstool]不消化便
•[Dysentericdiarrhea]痢疾样腹泻
•[Inflammatorydiarrhea]炎症性腹泻
•[Osmotic]渗透性
[Secretory]分泌性
•[Malabsorption]吸收不良性
•[Lienteric]消化不良性
•[Pancreaticdiarrhea]胰性腹泻
•[Tenesmus]里急后重
•[Passastool(Haveapassage;openorrelaxthebowel)]解大便
•[Haveacallofnature]便意
•[Fecalincontinence(Copracrasia)]大便失禁
•[Functionalconstipation]功能性便秘
•[Organicconstipation]器质性便秘
•[Habitualconstipation]习惯性便秘
•[Haveatendencytobeconstipated]便秘倾向
(11)黄疸的表示方法
•[Latent(occult)jaundice]隐性黄疸
•[Clinicaljaundice]显性黄疸
•[Nuclearicterus]核黄疸
•[Physiologicicterus]生理性黄疸
•[Icterussimplex]传染性黄疸
•[Toxemicicterus]中毒性黄疸
•[Hemolytic]溶血性
•[Hepatocellular]肝细胞性
•[Obstructive]阻塞性
•[Congenital]先天性
•[Familial]家族性
•[Cholestatic]胆汁淤积性
•[Hematogenous]血源性
•[Malignant]恶性
•[Painless]无痛性
(12)意识障碍的表示方法
[Somnolence]嗜睡
•[Confusion]意识模糊
•[Stupor]昏睡
•[Coma]昏迷
•[Delirium]谵妄
•[Syncope(swoon;faint)]晕厥
•[Drowsiness]倦睡
(13)排尿的表示方法
•[Enuresis(Bed-wetting)]遗尿
•[Anuria]无尿
•[Emictioninterruption]排尿中断
•[Interruptionofurinarystream]尿线中断
•[Nocturia]夜尿
•[Oliguria]少尿
•[Polyuria]多尿
•[Passwater(Makewater;urinate;micturition)]排尿
•[Frequentmicturition(Frequencyofmicturition;fruquenturination;
Pollakiuria)]尿频
•[Urgentmicturition(Urgencyofurinationormicturition)]尿急
•[Urodynia(Painonmicturition;painfulmicturition;alginuresis;micturitionpain)]尿痛
•[Dysuria(Difficultyinmicturition;disturbanceofmicturition)]排尿困难
•[Smallurinarystream]尿线细小
•[Voidwithagoodstream]排尿通畅
•[Guttateemiction(Dribblingfollowingurination;terminaldribbling)]滴尿
•[Bifurcationofurination]尿流分叉
•[Residualurine]残余尿
•[Extravasationofurine]尿外渗
•[Stressincontinence]压力性尿失禁
•[Overflowincontinence]溢出性尿失禁
•[Paradoxicalincontinence]反常性尿失禁
3.少见症状
•[Weekness(Debility;asthenia;debilitating)]虚弱(无力)
•[Fatigue(Tire;lassitude)]疲乏
•[Discomfort(Indisposition;malaise)]不适
•[Wasting(thin;underweight;emaciation;lean)]消瘦
•[Nigh
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