住院病历中英文对照-精
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住院病历中英文对照-精
2020-12-12
【关键字】空间、系统、自主、良好、健康、持续、合作、配合、位置、突出、意识、增强、扩大、外心
9.allergen: Trauma: Surgery:
过敏原外伤史手术史
10.Review of systems: (Tick if positive, cross out if negative. If postive, you should write down your disease history and brief course of diagnose and therapy)
系统回顾:(有打√无打×阳性病史应在下面空间内填写发病时间及扼要诊疗经过) 11.Respiratory system: 呼吸系统
12.Sore throat chronic cough sputum hemoptysis wheezing
咽痛慢性咳嗽咳痰咯血哮喘
13.dyspnea chest pain
呼吸困难胸痛
14.cadiovascular system:
循环系统
15.Palpitation dyspnea on exertion hemoptysis syncope
心悸活动后气促咯血晕厥
16.edema of lower limbs precordial pain hypertention
下肢水肿心前区疼痛高血压
Digestive system:
消化系统
Anorexia sour regurgitation belching nausea vomitting
食欲减退反酸嗳气恶心呕吐abdominal distention abdominal pain constipation diarrhea
腹胀腹痛便秘腹泻
hematemesis melena hematochezia jaundice
呕血黑便便血黄疸
Urinary system:
泌尿系统
Lumbago frequent micturition urgent micturition urodynia
腰痛尿频尿急尿痛
dysuria hematuria nocturia polyuria oliguria facial edema
排尿困难血尿夜尿多尿少尿面部水肿Hematopoietic system
造血系统
Fatigue dizziness blurred vision gingival bleedig
乏力头昏牙龈出血
subcutaneous hemorrhage ostealgia epistaxis
皮下出血骨痛鼻衄
Metabolic and endocrine system:
代谢及内分泌系统
Excessive appetite anorexia sweats cold intolerance
食欲亢进食欲减退多汗畏寒polydipsia tremor hands change of character obvious obesity
多饮双手震颤性格改变显著肥胖
emaciation hirsutism hair losing pigmentation
消瘦多毛毛发脱落色素沉着
chang of sexual function amenorrhea
性功能改变闭经
Musculoskeletal system
肌肉骨骼系统
Floating arthralgia arthraliga swelling of joints
游走性关节痛关节痛关节红肿deformiteies of jionts myalgia atrophy of muscle
关节变形肌肉痛肌肉萎缩
Nervous system
神经系统
Dizziness headache vertigo syncope degeneration of memory
头昏头痛眩晕晕厥记忆力减退
visual disturbance insomnia disturbance of consciousness
视力障碍失眠意识障碍
tremor spasm paralysis paresthesia
颤动抽搐瘫痪感觉异常
Personal history:
个人史
Birthplace Occupation sexual history smoking N Y
出生地职业冶游史吸烟无有
about years average pieces per day ceased for years
约年平均支/日戒烟年
alcohol intake N occasional frequent about years
嗜酒无偶有经常约为年
average ml per day others
平均ml/日其他
Marital history:
婚姻史:
Marrying age companion’s state of health 结婚年龄配偶健康状况
Menorrhea and Childbearing:
月经及生育史Menarche age cycle lasting for days date of last period
初潮每次持续时间末次月经时间
(age of menopause)
绝经年龄
Amount of flow: little normal large menstrual pain: N Y
经量少正常多痛经无有
cycle: regular irregular pregnancy times natural labor
经期规则不规则妊娠次顺产
times abortions times premature delivery times
胎流产胎早产胎
stillbirths times difficult labor and its condition
死产胎难产及病情
Familly history (pay attention to the congenital diseases and communicable diseases and communicable dieases related to the paitent
家族史(注意与患者现病有关的遗传病和传染性疾病)
Father: still alive illness died cause of deaths mother:
父:健在患病已故死因母still alive illness died cause of death siblings: others: 健在患病已故死因兄弟姐妹子女其他
Physical examination体格检查
Vital signs生命体征:
Temperature体温
pulse脉搏/min次/分
respiration呼吸/min次/分
B.P血压mmHg
General Appearance一般状况: Development发育:
ortho-sthenic type正常