? 發問時間: 社會與文化語言 · 1 0 年前

急~這裡有一些英文病歷能幫我詳細的翻譯看看嗎!!

最好是可以翻譯的詳細一點的

感謝大家~

Past history:hypertension DM type 2,left femoral neck fracture s/p

Chief complaint

Acute onset of slurred speech and right side weakness since 9/10 morning

Present Illness

This 84-year-old housewife with a history of hypertension,DM type 2,left femoral neck fracture s/p was admitted via ER because of acute onset of slurred speech and right side weakness since 9/10 morning .

She had hypertension and DM type 2 with regular medication at our OPD,and her BP and Suger was controlled well .She could not handle her daily left independently but could ambulate with family’s support before this episode .At 10:00 pm of 96/9/9,her son noted that she had slurred speech .In the morning of 96/9/10 after she getting up,right side weakness was noted and her slurred speech was persisted .So she was brought to our ER,then was discharged after fluid supplement.However,her weakness and slurred speech didn’t improve after discharge .So she was

brought to our ER again where ptosis,anisocoria,tongue deviation to right side,right side,right side weakness were noted .Brain CT showed no active bleeding .Under the impression of brain stem infarction,she

was admitted .

Past Medical History

1.hypertension with regular control with fosinopril 1#QD

2.DM type 2 with regular control with Metformin

3.left femoral neck fracture s/p on 94,april

4.Colles’s fracture and left dislocation on 94,april

已更新項目:

不知道還有沒有最最最詳細的

因為下面的翻譯有些有一點怪怪的

感謝大家的幫忙~^^

1 個解答

評分
  • 1 0 年前
    最佳解答

    過去病史:高血壓、第二型糖尿病、左側股骨頸術後。

    主訴:9/10早上突發的口齒不清楚及右側無力。

    病程:1位84歲的家庭主婦,有高血壓第二型糖尿病急以及左側股骨頸術後病史,經由急診轉住院是因為9/10早上突發的口齒不清楚及右側無力。她的高血壓、糖尿病在我們醫院門診規則用藥,且血壓及血糖控制佳。她無法獨立的掌控她左側的日常生活但是可以依賴家屬的協助。96/9/9 10:00pm,他的兒子注意到他說話含糊。9/0早上起床後,兒子也注意到右側無力的事情。所以她被帶到我們的急診室且再水分補充後就出院回家了。然而,出院後她的無力及說話含糊尚未改善。所以她又被再次的帶到急診室,嘴角下垂、瞳孔大小不一、舌頭偏右及右側無力卻被注意到了。頭部電腦斷層顯示沒有進行性出血。她住院是因腦幹梗塞的影像。

    過去藥物史:

    1.規則高血壓控制--- fosinopril 每天一顆

    2.規則第二型糖尿病控制---- Metformin

    3.左側骨骨頸術後----94/4月

    4.Colles’s骨折及左側脫位----94/4月

    參考資料: self
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