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您现在的位置: 医学全在线 > 医学英语 > 英语教学 > 英文病历 > 正文:简明病历书写手册第二章:主诉[Chief Complaint]
    

英语病历书写手册第二章:主诉[Chief Complaint]

1、主诉的表示方法:症状+时间(Symptom+Time)
•症状+for+时间
如: [Chest pain for 2 hours] 胸痛2小时
•症状+of+时间
如: [Nausea and vomiting of three days` duration] 恶心呕吐3天
•症状+时间+in duration
如: [Headache 1 month in duration] 头痛1月
•时间+of+症状
如: [Two-day history of fever] 发热2天
2、常见症状
• [Fever] 发热
• [Pain] 疼痛
• [Edema] 水肿
• [Mucocutaneous hemorrhage (bleeding)] 皮肤粘膜出血
• [Dyspnea (Difficuly in breathing;Respiratory difficulty;short of breath)] 呼吸困难
• [Cough and expectoration (Sputum;Phlegm)] 咳嗽和咯痰
• [Hemoptysis] 咯血
• [Cyanosis] 紫绀
• [Palpitation] 心悸
• [Chest discomfort] 胸闷
• [Nausea (Retch;Dry Vomiting)and Vomiting] 恶心和呕吐
• [Hematemesis (Vomiting of blood)] 呕血
• [Hematochezia (Hemafecia)] 便血
• [Diarrhea] 腹泻
• [Constipation (Obstipation)] 便秘
• [Vertigo (Giddiness; Dizziness)] 眩晕
• [Jaundice (Icterus)] 黄疸
• [Convulsion] 惊厥
• [Disturbance of consciousness] 意识障碍
• [Hematuria] 血尿
• [Frequent micturition,urgent micturition and dysuria] 尿频,尿急和尿痛
• [Incontinence of urine] 尿失禁
• [Retention of urine] 尿潴留
(1)发热的表示方法
• [Infective (Septic)fever] 感染性发热
• [Non-infective (Aseptic)fever] 非感染性发热
• [Dehydration (Inanition)fever] 脱水
• [Drug fever] 药物热
• [Functional hypothermia] 功能性低热
• [Absorption fever] 吸收热
• [Central fever] 中枢性发热
• [Fever type] 热型
▲ [Continuous fever] 稽留热
▲ [Remittent fever] 驰张热
▲ [Intermittent fever] 间歇热
▲ [Undulant fever] 波状热
▲ [Recurrent fever] 回归热
▲ [Periodic fever] 周期热
▲ [Irregular fever] 不规则热
▲ [Ephemeral fever] 短暂热
▲ [Double peaked fever] 双峰热
• [Fever of undetermined(unknown) origin, FUO] 不明原因发热
• [Rigor (shivering;chill;shaking chill;ague)] 寒战
• [Chilly Sensation (Fell chilly;cold fits;coldness)] 畏寒
• [Ultra-hyperpyrexia] 超高热
• [Hyperthermia (A high fever;hyperpyrexia;ardent fever)] 高热
• [Moderate fever] 中度发热
• [Hypothermia (Low-grade fever;slight fever;subfebrile temperature)] 低热
• [Become feverish (Have a temperature)] 发热
• [Crisis] 骤降
• [Lysis] 渐降
• [Typhoid fever] 伤寒
• [Rheumatic fever] 风湿热
• [Cancerous fever] 癌性发热
• [Fervescence period] 升热期
• [Defervescence period] 退热期
• [Persistent febrile period] 持续发热期
(2)疼痛的表示方法
• [Backache (Back pain)] 背痛
• [Lumbago] 腰痛
• [Headache] 头痛医学.全.在线.网.站.提供
▲ [Vasomotor headache] 血管舒缩性头痛
▲[Post-traumatic headache] 创伤后头痛
▲[Migraine headache] 偏头痛
▲ [Cluster headache] 丛集性头痛
• [Chest pain] 胸痛
• [Precardial pain] 心前区痛
• [Retrosternal pain] 胸骨后痛
• [Abdominal pain (Stomachache)] 腹痛
• [Acrodynia (pain in limbs)] 肢体痛
• [Arthrodynia (Arthralgia)] 关节痛
• [Dull pain] 钝痛
• [Sharp pain] 锐痛
• [Twinge pain] 刺痛
• [Knife-like pain (Piercing pain)] 刀割(刺)样痛
• [Aching pain] 酸痛
• [Burning pain] 烧灼痛
• [Colicky (Griping;cramp) pain] 绞痛
• [Colic] 绞痛
• [Bursting pain] 胀痛(撕裂痛)
• [Hunger pain] 饥饿痛
• [Tic pain] 抽搐
• [Bearing-down pain] 坠痛
• [Shock-like pain] 电击样痛
• [Jumping pain] 反跳痛
• [Tenderness pain] 触痛(压痛)
• [Girdle-like pain] 束带样痛
• [Wandering pain] 游走性痛
• [Throbbing pain] 搏动性痛
• [Radiating pain] 放射性痛
• [Cramping pain] 痉挛性痛
• [Boring pain] 钻痛
• [Intense pain] 剧痛
• [Writhing pain] 痛得打滚
• [Dragging pain] 牵引痛
• [Labor pain] 阵痛
• [Cancerous pain] 癌性疼痛
• [Referred pain] 牵涉痛
• [Persistent pain (Unremitting pain)] 持续性痛
• [Constant pain] 经常性痛
• [Intermittent pain] 间歇性痛

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