promotion image of download ymail app
Promoted
匿名使用者
匿名使用者 發問時間: 社會與文化語言 · 7 年前

懇請幫忙翻英文病歷中文(急)一段一段

C/O : general weakness and malaise , consciuness disturbance in

recent day

@Present illness : This 48 year-old male patient . He has history of cirrhosis , PUD , HCV and was under regular medication at our H in more years.

This time he suffered from general weakness and malaise , consciousness disturbance and poor appetite , abdomen distension , general malaise with weakness , tea color urine was noted.

So he was be sent to our OPD by his .

In OPD , the checked conscious was E4V5M6 , and checked BP was 112/74 mmhg , BT was 36.9 , HR was 75 bpm. The P.E showed clear of breathing sound , no wheezing sound over both lung fields , abdomen mild distension , sclera icteric(+) was noted . The Lab showed NH3:98.

So he was admitted ward for further evather evaluation and treatment.

檢體發現:

@General Review of system :No body weight loss, no fever , no chill General malaise(+) , no cold sweating

Neurological system :No headache , no syncope , no vertigo , no muscle weakness ; no sensory important , no incontinence , no tremor , no dysarthria & no dizziness.

Respiratory system :No dyspnea , no cough m no sputum , no pain , no cyanosis , no sorethroat , no rhinorrhea.

Cardiovascular system :No palpitation , no precordial pain , no radiated pain , orthopnia , no paroxynomal nocturnal dyspnosa.

Gastrointestinal system : pain(+) , nause(-) , voitting(-) , diarrhea(-) , tarry stool(-) , no mass , poor appetite(+) , distension(+) , no constipation.

Urological system :No back soreness , no dysuria , no frequency , no urgency , tea color urine(+).

Musculoskeletal system :No limited motion .

Hematologic system :No bruise , no weakness.

Dermotologic system :No ulcer , no rash.

已更新項目:

病理診斷:

Stomach , body and antrum , endoscopic biopsy , ulcer with chronic active gastritis and helicobacter infection.

Gross finding : the specimen submitted consists of 2 tissure fragments measuring 0.3 * 0.2 * 0.2 cm fixed in formalin.

Grossly , they are tan and soft All for section

2 個已更新項目:

Microscopic finding : section shows gastric mucosa with focal necrosis , inflammatory exudates , and mucosa with marked neutrophil activity , and lymphoplasma cells in the lamina propria . Microorganism , morphologically consistent with helicobacter sp.

3 個已更新項目:

Are present on the epithelial surfact . No glandular atrophy , intestinal metaplasia , nor malignancy is seen.

3/13

Patient was examined.

Anosocpy : GI int hemo at 7 and 3 oclock

P : med TX.

Both knee pain for 2 days , phx : liver cirrhosis alcoholist gout.

3 個解答

評分
  • 7 年前
    最佳解答

    病人自述:虛弱,不舒服,近日自覺性不足。

    最近病情:病人是一個是四十八歲的男性。他曾患有肝硬化,消化系統潰瘍(PUD),C型肝炎 (HCV) 等病。他在我們醫院看病已經有好幾年,一直都有吃藥。

    這次來看病時因為他感到不舒服,虛弱,心神恍惚,沒胃口,腹脹,尿呈茶褐色。所以我送他到 OPD 部門去檢查。

    OPD 檢查出來的報告是:自覺性是E4V5M6,血壓是120/70,體溫是36.9度,心跳是75,呼吸,兩邊肺葉都沒有雜音。腹有微脹,眼白有點發黃,檢查的結果是 NH3:98。然後他被送到病房去做進一步的檢查。

    這是他們的體檢發現:

    整體方面:體重沒減輕,沒發熱,沒發冷,沒出冷汗。

    神經系統:沒頭痛,沒昏厥,沒天旋地轉的感覺,沒肌肉乏力,沒失去知覺,沒失禁,沒發抖,沒發聲困難,沒頭暈。

    呼吸系統:沒呼吸困難,沒咳嗽,沒痰,沒痛,沒黃萎,沒喉嚨痛,沒流鼻涕。

    心臟血管系統:沒心慌,沒心痛,沒輻射性的疼痛,沒氣速,晚間呼吸不順。

    消化系統:有感痛,沒作悶,沒吐,沒腹瀉,沒黑色大便,胃口差,有腹脹,沒便秘。

    泌尿系統:沒痛楚,沒排尿困難,沒頻密,沒急尿,尿呈茶褐色。

    骨骼肌肉系統:沒有發現有不能做到的動作。

    血液系統:沒淤血,一切正常。

    皮膚系統:沒潰爛,沒紅腫。

    2013-03-18 17:03:53 補充:

    自覺性檢查的結果是E4V5M6,血壓是120/70。。。。

    沒晚間呼吸不順。

    2013-03-20 15:31:09 補充:

    你打錯了很多字也打漏了很多字。我只能用猜的翻譯如下。

    做了胃照鏡,取了胃本部和幽門的組織作切片檢查,有慢性胃炎,及幽門螺旋菌。

    一共取了兩個組織樣品,大小是 0.3x0.2x0.2 毫米,黃褐色,柔軟,取出後放在福爾馬林液體,送去檢查。

    顯微觀察的結果是:胃粘膜有部分壞死,有因發炎而排出的分泌物,胃粘膜上可以看到有中性白血球和胃壁上有淋巴液的細胞。也看到形態上是幽門螺旋菌的微生物。

    到目前為止,在上層細胞的表面,沒有看到腺萎縮,腸細胞異化,及癌細胞。

    3/13 病人做過大腸檢查。?? 七點鐘和三點鐘 ??

    膝蓋痛了兩天,是因為酒精性的肝硬化而引起的痛風。

    • Commenter avatar登入以對解答發表意見
  • 念泰
    Lv 6
    7 年前

    作業要自己做

    如果連病歷都要請人翻譯

    那病患家屬會不會不安心啊

    • Commenter avatar登入以對解答發表意見
  • 匿名使用者
    6 年前

    台灣首家合法娛樂城開幕囉!

    體育博彩、真人對戰、現場遊戲、彩球

    投注高賠率,歡迎您來體驗!

    官方網站 aa777.net

    • Commenter avatar登入以對解答發表意見
還有問題?馬上發問,尋求解答。