國華 發問時間: 社會與文化語言 · 1 0 年前

護理詳細診斷-翻譯中文

主訴:Fever for one day

病史:This 90 y/o female was a patient with the history of

1.COPD chronic obstructive pulmonary diaease

2.Congested heart failure

3.Hypertension

4.Old CAV with right-sided weakness

5.Bronchial asthma

6.Hemorrhoid 11 with medical treatment

According family condition she had fever for one day ,body temperature up to 37.6 and insomnia they also found turbide urine for one day and abd.distended since.she was sent to our emergency room for help ,

Where pyuria,leukocytosis were noted .uder the impression of urinary tract infection,upper G-I blceding,fever? She was admitted to our ward for further treatment.

<Past History>

Old CVA (+);COPD(-)

體檢發現

Neck:supple(+)

Chest/Lung:sunmetric expansion(+)

Breathing sound(+) whezzing(+)

Heart murmur(+)sustolic murmur Gr 3/6 over the LSB.

Abdomen:soft and flat(+)

Extremities:mild pitting edema(+)

住院診斷

1.Fever

2.Urinary tract infection

3.Hypertension

4.Diabetic mellitus

診療計劃

1.Steam inhation atroven ludv + berotec 1udr q6hrs

2.Empiric anti given for UT1

3.checked N-G OB

4.Contolled sugar F/S qid/ac, according given RI.

Vital sig`ns:BP:145/97mmHg

BT:37.6

PR:119/min

RR:24/min

已更新項目:

實習診斷翻譯

3 個解答

評分
  • 1 0 年前
    最佳解答

    發燒一天

    90歲女性病患曾患1.慢性阻塞性肺疾病2.充血性心衰竭3.高血壓4.舊的腦血管疾病右側無力5.支氣管氣喘6.痔瘡藥物治療中

    依據家屬描述他已發燒一天],體溫高至37.6度寒顫小便混濁並腹脹。因此到急診就診。因為膿尿及淋巴球,診斷為尿路感染或上腸胃道出血,發燒?住到我們病房做進一步檢查。

    <Past History>過去病史

    Old CVA (+);COPD(-)舊的腦血管意外,慢性阻塞性肺疾病

    Neck:supple(+)頸部:腫塊

    Chest/Lung:sunmetric expansion(+)胸部/肺:對稱性擴張

    Breathing sound(+) whezzing(+)呼吸音:喘鳴

    Heart murmur(+)sustolic murmur Gr 3/6 over the LSB.心雜音

    Abdomen:soft and flat(+)腹部:柔軟平坦

    Extremities:mild pitting edema(+)四肢:中度凹陷性水腫

    1.Fever發燒

    2.Urinary tract infection尿路感染

    3.Hypertension高血壓

    4.Diabetic mellitus糖尿病

    Steam inhation atroven ludv + berotec 1udr q6hrs蒸氣吸入每6小時

    2.Empiric anti given for UT1給予抗生素治療尿路感染

    3.checked N-G OB檢驗潛血

    4.Contolled sugar F/S qid/ac, according given RI.控制血糖

    Vital sig`ns:BP:145/97mmHg 生命徵象:血壓

    BT:37.6 體溫

    PR:119/min脈搏

    RR:24/min 呼吸

    2009-05-15 23:44:06 補充:

    supple:柔軟

  • 1 0 年前

    這是實習的病歷沒錯

    這些病歷是醫生打的有些地方有些錯誤

    是否能幫我做修改和詳情翻譯

    謝謝您~

  • mab
    Lv 5
    1 0 年前

    1.似實習要寫病歷?

    2.內容有些字拼錯了

還有問題?馬上發問,尋求解答。