娃娃 發問時間: 社會與文化語言 · 8 年前

實習要用的 幫忙翻譯謝謝~~急

Admissionnote(入院病歷) 100/12/21(Chief Complaint) : Progressive shortnessof breath for 2 days.((Present Illness) :This 55 years old male has history ofhyperlipidemia,hypertension and type 2 diabetes mellitus diagnosed for 10 yearsunder OHA control at local clinic. Two days prior to admission, he experiencedsudden-onset chest pain and intermittent substernal chest tightness. The painwas tingling and radiated to left scapular and middle back area. The durationof chest pain was about 15 minutes. He also had severe dry cough and shortnessof breath while lying down. Other symptoms included cold sweating and nausea.According to the patient’s statement, he had orthopnea,paroxysmal nocturnaldyspnea, dyspnea on exertion and lower leg edema for around one week. Thedyspnea got worse in the recent 2 days. Then he was sent to our ER. At ER, hisinitial vital signs were relatively stable but the laboratory results showedleukocytosis, and elevated cardiac enzymes. Chest plain film revealed pulmonaryedema and left pleural effusion. Twelve-lead electrocardiogram found diffuseischemic change. A cardiologist was consulted and admission for furtherevaluation and treatment were suggested. Under the impression ofnon-STEMI(NSTEMI), he was then admitted.

4 個解答

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  • 雲凍
    Lv 6
    8 年前
    最佳解答

    (Chief Complaint) : Progressive shortnessof breath for 2 days.

    (主訴症狀):漸進性呼吸短促已經兩天

    2012-01-31 10:12:22 補充:

    這位五十五歲患者被診斷出患有高脂血症、高血壓以及第二型糖尿症已經十年在當地診所以口服降血糖藥物控制當中。入院前兩天,感到突發性胸痛以及間歇性胸骨下胸悶。患處刺痛而且擴及左肩胛與中背部。胸部陣痛持續約十五分鐘。躺下時有嚴重乾咳觀察評估和治療和呼吸急促。其他症狀包括盜冷汗以及反胃。依據患者所述,他有端坐呼吸、陣發性夜間呼吸困難、運動性呼吸困難以及下肢水腫約一個禮拜。呼吸困難症狀這兩天有惡化現象。然後被送到我們的急診室。急診室裡,生命跡象相當穩定但實驗室結果報告顯示白血球增加而且心臟酵素上升。胸部X光片顯示有肺水腫和左肋膜積液。十二導線心電圖發現擴散性局部出血。徵詢心臟科專業醫師後建議住院做進一步觀察評估和治療。因為有非ST波段上升心肌梗塞的疑慮辦理住院。 PS:orthopnea (端坐呼吸):嚴重的心臟衰竭,病人平躺時會感到呼吸困難;需藉著坐起來,或墊高枕頭才得以緩解。paroxysmal nocturnal dyspnea (陣發性夜間呼吸困難)Non-STEMI (非ST波上升型心肌梗塞) :non - ST-segment elevation myocardial. Infarction

    2012-01-31 16:59:36 補充:

    Admission note

    (入院病歷記錄)

    100/12/21

    (Chief Complaint) : Progressive shortness of breath for 2 days.

    (主訴症狀):漸進式呼吸短促已經兩天

    (Present Illness) :

    (現有疾病):

    參考資料: Kingnet國家網路醫院 (註1), Frozen Clouds
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  • 阿昌
    Lv 7
    8 年前

    100/12/21

    (行政投訴):2天進氣短氣息。

    (現病史):

    這個55歲的男性有歷史高脂血症,高血壓和2型糖尿病10yearsunder OHA的控制,在當地診所診斷為糖尿病。入院前兩天,他的經驗豐富的突然發病胸部疼痛和間歇性的胸骨後胸悶。 刺痛和輻射到左肩胛和中背部面積。持續時間胸痛,約 15分鐘。躺下時,他也有劇烈乾咳和f呼吸。其他症狀包括冷出汗和噁心。據病人的說法,他端坐呼吸,陣發性夜間呼吸困難,勞累性呼吸困難和降低一個星期左右的腿部水腫。在呼吸困難變得更糟在最近2天。然後,他被送到我們急診室。在急診室中,他最初的生命體徵相對穩定,但化驗結果顯示白細胞增多,心肌酶升高。胸部平片顯示肺水腫和左側胸腔積液。十二導聯心電圖發現瀰漫性腦缺血變化。心髒病專家諮詢,並承認進一步的評估和治療建議。 STEMI患者的印象,他當時承認。

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  • 瓢蟲
    Lv 7
    8 年前

    Admissionnote(入院病歷)

    100/12/21

    (Chief Complaint) : Progressive shortnessof breath for 2 days.

    (主訴):利用2天時間學習shortnessof氣息法。

    (Present Illness) :

    (當前病症) :

    This 55 years old male has history ofhyperlipidemia,hypertension and type 2 diabetes mellitus diagnosed for 10 yearsunder OHA control at local clinic. Two days prior to admission, he experiencedsudden-onset chest pain and intermittent substernal chest tightness. The painwas tingling and radiated to left scapular and middle back area. The durationof chest pain was about 15 minutes. He also had severe dry cough and shortnessof breath while lying down. Other symptoms included cold sweating and nausea.According to the patient’s statement, he had orthopnea,paroxysmal nocturnaldyspnea, dyspnea on exertion and lower leg edema for around one week. Thedyspnea got worse in the recent 2 days. Then he was sent to our ER. At ER, hisinitial vital signs were relatively stable but the laboratory results showedleukocytosis, and elevated cardiac enzymes. Chest plain film revealed pulmonaryedema and left pleural effusion. Twelve-lead electrocardiogram found diffuseischemic change. A cardiologist was consulted and admission for furtherevaluation and treatment were suggested. Under the impression ofnon-STEMI(NSTEMI), he was then admitted.

    為10 yearsunder OHA控制有歷史ofhyperlipidemia、高血壓和第二類型糖尿病mellitus診斷的這55年男性在地方診所。 二天在入場,他experiencedsudden起始胸口痛和斷斷續續的substernal胸口緊緊之前。 painwas發痛和放熱到左scapular和中部後面區域。 durationof胸口痛是大約15分鐘。 他也有嚴厲烘乾咳嗽和shortnessof呼吸,當躺下時。 其他症狀包括寒冷冒汗和噁心。根據患者的聲明,他在施加有orthopnea、發作性nocturnaldyspnea、呼吸困難和更低的腿腫鼓大約一個星期。 Thedyspnea得到了壞在最近2天。 然後他派遣了到我們的ER。 在ER, hisinitial重要標誌是相對地穩定,但實驗室結果showedleukocytosis和被舉起的心臟病酵素。 胸口簡單的影片顯露了pulmonaryedema和左胸膜流出。 十二帶領心電圖發現了diffuseischemic變動。 心臟科醫師被咨詢,并且入場為furtherevaluation和治療被建議了。 在印象ofnon-STEMI (NSTEMI)之下,他然後被錄取了。

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  • 8 年前

    Admissionnote(入院病歷) 100/12/21(Chief Complaint) : Progressive shortnessof breath for 2 days.((Present Illness) :This 55 years old male has history ofhyperlipidemia,hypertension and type 2 diabetes mellitus diagnosed for 10 yearsunder OHA control at local clinic. Two days prior to admission, he experiencedsudden-onset chest pain and intermittent substernal chest tightness. The painwas tingling and radiated to left scapular and middle back area. The durationof chest pain was about 15 minutes. He also had severe dry cough and shortnessof breath while lying down. Other symptoms included cold sweating and nausea.According to the patient’s statement, he had orthopnea,paroxysmal nocturnaldyspnea, dyspnea on exertion and lower leg edema for around one week. Thedyspnea got worse in the recent 2 days. Then he was sent to our ER. At ER, hisinitial vital signs were relatively stable but the laboratory results showedleukocytosis, and elevated cardiac enzymes. Chest plain film revealed pulmonaryedema and left pleural effusion. Twelve-lead electrocardiogram found diffuseischemic change. A cardiologist was consulted and admission for furtherevaluation and treatment were suggested. Under the impression ofnon-STEMI(NSTEMI), he was then admitted. 翻譯後:

    100/12/21

    (主訴): 逐步 shortnessof 呼吸 2 天。

    (

    (目前疾病):

    這 55 年老年男性已確診 10 yearsunder 口服降糖藥控制在當地診所的歷史 ofhyperlipidemia、 高血壓和類型 2 的糖尿病患者。前兩天入場、 他 experiencedsudden 發病胸痛和間歇性胸骨後胸悶。Painwas 刺痛和輻射到左的肩胛骨和中間回區。一直持續胸部痛得約 15 分鐘。他也有嚴重的乾咳嗽和 shortnessof 呼吸躺著。其他症狀還包括冷出汗和噁心。病人的聲明,他了端坐呼吸、 陣發性 nocturnaldyspnea、 運用和較低的腿水腫呼吸困難一周左右。Thedyspnea 在最近 2 天得更糟。然後他被送往我們 ER。雌激素受體,在 hisinitial 的生命體征相對穩定但實驗室結果 showedleukocytosis 和提升心肌酶。胸部平片顯示 pulmonaryedema 和左胸腔積液。十二導聯心電圖發現 diffuseischemic 的變化。心臟病專家諮詢和入場 furtherevaluation 和治療,建議。根據印象 ofnon-STEMI(NSTEMI) 中,他然後被接納

    2012-01-26 22:58:00 補充:

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    參考資料: 自己的大腦加上電腦和網路, 自己的大腦加上電腦和網路
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