现病史书写的重点包括：
一、主诉中症状的详细描述；
二、疾病的发展过程；
三、诊疗经过；
四、目前的一般情况。
1、诱因
•无诱因下[With no inducing factors]
•无明显诱因下[Under no obvious predisposing causes]
•感冒一周后[After getting (catching) common cold for 1 week]
2、症状出现的叙述
•有……症状
▲suffer from
▲ have an attack of
▲ have(fell)
▲ begin to fell
▲ a feeling (sensation) of……
▲ complain (of)
▲ ……sensation (feeling) in (of) ……
▲ [发热]have a temperature (become feverish)
•在……情况下发生
▲ 活动时呼吸困难[dyspnea on exertion]
▲ 躺下后即出现咳嗽[Cough occurs soon after lying]
•与……有（无)关
▲ 与……有关[be associated with]
▲ 与……有关[have (make) relation to]
▲ 与……无关[have (make)no relation to]
•在……情况下加重（减轻)
▲ 餐后加重[become worse after taking meals]
▲ 站立后缓解[be relieved by standing up]
▲ 随呼吸和咳嗽而加重[become more severe with breathing and cough]
•伴有……
▲ be accompanied by
3、起病方式
•急性腹痛[acute abdominal pain]
•慢性低热[chronic lower fever]
•暴发性发病[the onset was fulminating]
•骤起胸痛[an explosive onset of chest pain]
•突然起病伴高热[the onset was sudden with high fever]
•突发突止[attacks began and ended abruptly]
•因……而突然起病[the attack is precipitated by……]
•很快发生晕厥[syncope occured rapidly]
•逐渐出现咳嗽咳痰[gradual onset of cough and sputum]
•偶而[occasionally (sporadically, accidentally)]
•反复胸闷心悸[recurrent (bouts of) chest discomfort and palpitation]
•一过性发作[transitory attack]医.学.全.在线.网.站.提供
•连续胸痛[chest pain continually]
•时重时轻[waned and waxed]
•时好时坏[hang in the balance]
•不停地咳嗽[have a fit of cough]
•发作性呼吸困难[paroxysmal short of breath]
•频繁咳嗽[cough frequently (very often)]
•持续性（间歇性)[persistent (intermittent)]
•频发胸痛[frequent episodes of chest pain]
•持续不变[be steady]
4、病情变化描述
•[症状好转] ▲fell better than before
▲take a favorable turn
▲take a turn for the better
▲improve
▲make favorable progress
▲turn for the better
▲change for the better
▲be better
•[症状减轻] ▲alleviate
▲reduce
▲palliate
▲diminish
▲ease(lighten)
▲mitigate
•[症状消失] ▲disappear
▲subside
▲regress
▲clear up
▲vanish
▲dissolve
▲die (fade) away
▲relieve医学.全.在线.网.站.提供
•[症状加重] ▲be (make,become,get) worse
▲worsen
▲become more severe
▲take a turn for the worse
▲be aggravated
▲increase in severity
▲take a bad turn
▲make (become) more serious
▲make (become) heavier
•[无变化] ▲remain the same as……
▲continue without change
▲be identical
▲be alike
▲be similar
▲resemble
•[时好时坏] ▲wane and wax
▲hang in the balance
•[体温/血压升降]
▲ 升至[rise (go up) to ]
▲ 已升至[have risen (gone up) to ]
▲ 从……升至……[go up from …… to……]
▲ 升至[be elevated to]
▲ 迅速下降[fall (decline, abate) abruptly]
▲ 骤降（升)[sudden drop (elevation)]
▲ 渐降（升)[fall (elevate) gradually]
▲ 缓慢下降[slow crisis (lysis) of ]
▲ 一天天下降[be (become) lower day by day]
▲ 开始降低[begin to remit]
▲ 降至正常[drop (was reduced) to normal]
▲ 已降至[have gone down (dropped) to]
▲ 回复到正常[return (revert) to normal]
▲ 由……降（升)至……[fall (elevate) from……to……]
▲ 维持在……水平[maintain at a level of……]
▲ 稳定在……[stabilize at……]
▲ 热退了[fever disappeared]
▲ 不超过[do not go up over (exceed)……]
▲ 在……和……之间波动[fluctuate (vary) between……
and……]
▲ 在……至……范围内[range from……to……]
▲ 平均38.5℃[an average temperature of 38.5℃]
▲ 有39.2℃的体温[have fever (a temperature) of 39.2℃]
5、症状的时间表示
•持续 ▲lasted for 2 days
▲have gone on for 1 month
▲have continued for 10 hours
▲lasted on the average 3-5 hours
▲lasted a variable time from 5 minutes to several hours
▲lasted about half an hour
•超过（不到)[move than (less than)]
•……以前[two years ago]
•多在……时发生[usually between 3 and 5 PM]
•未发作过[be free of onsets (attacks) for 2 weeks]
6、症状的严重程度
•轻度[mild (slight)]
•中度[moderate]
•重度[severe (serious)]
