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1、場景一:Patient: Nurse,rm not feeling well today.Doctor: Where don't you feel well ?P: I have a pain in my abdomen.D: How long have you had it ?P: It started in the morning. At the beginning I have a stomachache.D: How long did it last ?P: About 3 hours , but this after noon it moved to the right lo

2、wer part of the abdome n for 5 hours.D: Have you had any vomiting ?P: I have only nausea.D: Have you any diarrhea ?P: No.D: Any fever ?P: I don't know.D: Let me take your temperature. All right , you have a slight fever.D: Please lie down on the bed, loosen your belt, please. Let the doctor exam

3、ine you abdomen. P: Thank you.D: Don't be nervous and try to relax.P: All right.D: The doctor said you n eed to collect a specime n of blood for exam in ati on.P: Yes.D: The result of your blood test tells us that your white blood cell count is 18000.P: I see,thank you.D: The doctor said that yo

4、u had acute appendicitis.P: Oh, I am scared.D:Don't be afraid , you will recover. The doctor said that you have to have an operation. So , please sig n your n ame on the consent form to say that you agree to the doctor operati on on you. P: I'll co-operate.D: Thanks for your co-operation.場景二

5、:醫(yī)生:Hello, little fellow. You're David Brown, right? .Well, Mrs. Brown, what seems to be the problem?你好.小家伙.你是大衛(wèi)?布朗是嗎?-布朗太太.您的小孩看起來有什么問題嗎?布朗夫人:I've got the flu these days, and I think he's been infected by me. He started to cough last ni ght. I took his temperature this mornin g. It was

6、39 degrees.這幾天我染上了流感.我覺得他被我傳染了 .昨晚他開始咳嗽.今晨我給他測了體溫.39度. 醫(yī)生:All right. Now open your mouth.好的.現(xiàn)在張開嘴巴-布朗夫人:Well, doctor?醫(yī)生.怎么樣?醫(yī)生:Not very serious. I'll write you a prescripti on. If you follow the direct ions, your child will soon be okay.不怎么嚴重.我給你張?zhí)幏?如果按照要求去做.您的小孩很快就會好的.場景三:Doctor: What's you

7、r trouble?Brown : I ' m not sure,l've got a headache and rve coughed badly.Doctor: When did the trouble start?Brown : I was sick most of the night.Doctor: It sounds like you are coming down with the flu. Let me take your temperature.Brown : Have I got a high fever?Doctor: Yes, thirty-eight p

8、oint seven. Do you have a headache, chest or throat pain?Brown : Yes, I have.Doctor: Now, let me have a look at you. I' d like to listen to your chest. Now breathe in, a deepbreath, that ' s it. Cough, now again. I want to examine your throut, too. Open wide, say- ”.Brown : Aaaaahh, aaaaahh.

9、Doctor: Yes, it does look a bit sor e. Let ' s take anaX of your chest and give you a few tests.Brown : All right, thanks.Doctor: The tests showed nothing wrong. A slight viral infection.Brown : What shall I do today?Doctor: I ' m giving you some antibiotics and aspirins. Take an aspirin whe

10、n you' ve got a feveand take one antibiotics capsule every four hours, and go home and rest in bed for two days. Drink plenty of water, then you' ll feel better. Here' s the prescription.Brown : Thank you, doctor. Good-bye.場景四:A: What seems to be the problem?哪里有問題?B: Oh, my God! It '

11、 s my stomach. It' s killing me!哦,老天??!我的胃。快疼死了!A: Where does it hurt the most?哪里疼的最厲害?B: Right here! It hurts right here!這里,就是這里疼。A: How long has it felt like this?像這樣疼了有多長時間了?B: I felt OK whe n I woke up, and the n, sudde nly, I had this really sharp pain.我起床的時候還感覺挺好的,然后突然一下子我胃疼的受不了!A: Do you h

12、ave a history of stomach pain?你有過胃疼病史嗎?B: No, and I have n ' t done anything out of the ordin ary.沒有,我也沒做過跟平常不一樣的事情。A: Well, I think that we are going to have to get you to an emergency room right away.呃,我認為要馬上把你送到急診室。B: Tha nk you for help ing me.多謝你的幫助。(Later)A: Hello, doctorstill have a bad s

13、tomachache, and just finished getting tested.您好,大夫。我的胃依舊疼得厲害,這是剛做完的檢查。B: The results show you have diarrhea.檢查結果顯示你得了痢疾。A : Any in struct ions I should be pay ing special atte nti on to?這病都需要注意些什么?B: Don't eat anything cold or spicy.不要吃生冷和刺激性食物。A : No medicine?不用吃藥嗎?B: Of course you'll need

14、some medicine. I will prescribe some for you.當然得吃藥。我給你開點兒藥。A : Thanks.謝謝。場景五:有朋友來探病Jenny : How are you feeli ng?你覺得怎樣?Daniel: Bad. My nose keeps running. And my forehead is burning.糟透了。我一直在流鼻涕。我一直在發(fā)燒。Jenny : You said you n ever went to hospital.你說你從來不上醫(yī)院的。Daniel: I will get better soon.我很快就會好的。Jenny

15、 : The good thing is you don't n eed to go to school.還好,你不用去上學。Daniel: Yeah, I love that, no class, no homework, and no exams.是啊,我喜歡這點,不用上課,不用寫作業(yè),也不用去考試。Jenny : And your Mom and Dad will buy you anything you ask for.還有你要什么你爸媽就會給你買什么。Daniel: Haha, I just got the Ultraman costume. My Dad bought it

16、.哈哈,我剛剛得到一件奧特曼的制服。我爸爸給我買的。Jenny : I really envy you, Danny.我真羨慕你,丹尼。Daniel:Come on, I got nu merous shots for that. You have no idea whatve bee n through with the n eedle. 得了吧,我為這個挨了無數(shù)針呢。你都無法想象我怎么熬過來的?Jenny: Your sister said you fain ted three times duri ng the injecti on.聽你姐姐說你打針時暈倒了三次。Daniel: May

17、told you? Oh, May, she's such a tattletale.阿美告訴你的?哦,阿美,她真是個多嘴婆。Jenny : No matter what, you are still my hero, Dani el.不管怎樣,丹尼爾,你仍然是我的英雄。Daniel: Jenny, promise me to keep this a secret, will you?珍妮,你發(fā)誓替我保守這秘密,行嗎?Jenny: OK, I promise. You promise you will be well soon?好的,我保證。你保證你快點兒好起來哦?Daniel: De

18、al.行?。鼍傲捍蠓颍赫堖M。你哪里不舒服?Doctor: Please come in. What seems to be the trouble?病人:肚子不舒服。我想可能是昨晚吃得太多了。Patient: It' s machohrthink probably I had too much at supper yesterday evening.大夫:你昨晚吃了些什么,能告訴我嗎?Doctor: Can you tell me what you had for supper yesterday eve ning?病人:海鮮,烤鴨。種類很多,有的我叫不出名兒。Patient: S

19、eafood, roastduck. Oh, a great variety of things, I canactly. ' t name them ex大夫:你嘔吐過沒有?Doctor: Have you vomitted?病人:嘔吐過。昨晚吐了三次,還上了好幾趟廁所。Patient: Yes, I have vomitted three times and made several trips to the bathroom last night.大夫:我明白了。你得做一個大便檢查。我給你開一張化驗單。你帶著化驗單到化驗室去。 檢查完后,請把化驗報告給我送過來。Doctor: I

20、 see. Now you have to get your stools tested. I' ll write out a slip and you can take it to thelaboratory. Wait for a while and pick up the report, and the n bring it back to me.病人:好吧。待會兒見,大夫。Patie nt: All right, doctor. IlaterIJsee you大夫:待會兒見。Doctor: See you later.病人:大夫,這是我的化驗報告。Patient: Here&#

21、39; s my report, Doctor.大夫:請坐。讓我看看。沒什么大問題。只是你吃了過多的油膩食物,導致消化不良。我給你開點藥。吃了這些藥你會感覺好多了。接下來的幾天,你的飲食要盡量清淡一點。Doctor: Take your seat, and let me have a look. It ' s nothing serious, only indigestion due to toomuch oily food. I will prescribe you some medici ne for it to make you feel better. I do advise

22、you to avoid oily food for the n ext few days.病人:我會照你說的去做。謝謝您,大夫。Patient: I will follow your advice. Thanks a lot.大夫:不客氣。Doctor: You are welcome.場景七:大夫:你哪里不舒服?Doctor: What seems to be the problem?病人:唉,我剛才過馬路,正趕上一輛車從拐角處開過來。由于車速過快,等司機看到我再 剎車時,已經(jīng)太晚了。我被撞倒在地,從地上爬起來時,我發(fā)現(xiàn)我的左臂和肘部也被擦傷, 并且現(xiàn)在我的肋骨有點痛。Patie nt:

23、Well, I was cross ing the road, where a car came round the corner too quickly, and whe n the driver saw me, it was too late to stop. I was kno cked to the ground, and whe n I got up,my left arm and elbow were grazed and no w, I have a pain in my ribs.大夫:讓我檢查一下吧。你哪兒疼啊?Doctor: I'll just take a loo

24、k. Where does it hurt?病人:這很難說清楚,好象渾身都痛。Patient: It's hard to say. It hurts all over.大夫:我按這兒,你疼不疼?Doctor: Does it hurt whe n I do this?病人:哎呀!你一按這兒我就疼得要命。Patie nt: Ouch! The pain is very bad whe n you press here.大夫:你的胳膊和肘部好象沒什么問題。但是出于安全考慮,你還是最好去照一張X光片。片子照好之后,馬上拿過來讓我看看。Doctor: You arm and elbow see

25、m to be all right. But, to be on the safe side, you'd better go to the X-ray Departme nt. When the X-rays are ready, bring them back to me to exam ine.病人:好的,那么待會兒再見吧!Patie nt: OK. See you later.大夫:待會兒見!Doctor: See you the n!(Ten minutes later, the patient brings back the X-ray plates)病人:這是我的X光片。

26、Patie nt:Here's my X-rays.大夫:讓我看看,一切基本正常。只是這兒,你看,有點小問題。有一點骨裂。Doctor: I'll just take a look at it. Everything is all right, except here, see it? There's a hairline fracture.病人:這嚴重嗎?Patient: Is it serious?大夫:算不上嚴重。但是,這兩三周你最好不要去上班。盡量臥床休息Doctor: No. It's not very serious, but you should

27、take two or three weeks off work, and rest in bed as much as possible.病人:大夫,我是否需要服用點什么藥呢?Patient: Should I take some medicine, doctor?大夫:是這樣,我會給你開一些草藥,這樣你的傷口會愈合得快一點。另外,你還需要服用 一些口服藥。這是藥方。待會兒你拿到藥房去配藥。請按說明服藥。Doctor: All right. I'll give you some herbal medicine to help you heal quickly. In addition

28、, I will prescribe you some medici ne for oral adm ini strati on. Here is a prescripti on. Take it to the chemist's. please take the medicine according to the instruction.病人:我需要上石膏嗎?Patie nt: Will I n eed to be put in plaster?大夫:不需要。藥方里我給你開了一管藥膏。每天搽兩三次。Doctor: No, it isn't n ecessary. I have

29、 presribed you a tube of oin tme nt. Adm ini ster it two or three times a day.病人:非常感謝您,大夫。Patie nt: Thank you very much, doctor.大夫:不客氣。再見!Doctor: Not at all. Goodbye!病人:再見!Patie nt: Goodbye!場景八:Doctor: What seems to be your trouble ?Patient: My bowel movements have been a kind of black for the past

30、two days and I feel weak.D: Where is your pain ?P: It is in the upper side of my abdomen.D: What kind of pain is it ?P: It's sort of burning pain.D: How long have you had this pain ?P: rve had it for two years , but it's never been this bad before.D: When do you feel pain the most ?P: In the

31、 middle of the night.D: According to your symptoms , it looks like you have duodenal ulcer. We shall have to take an x-ray picture of your stomach and in testi nes. You must no tice diet.醫(yī)生:您有什么不舒服?病人:兩天來我的大便有點黑,同時還感到虛弱。醫(yī)生:您哪兒疼?病人:上腹部。醫(yī)生:是什么樣的疼痛?病人:燒灼樣痛。醫(yī)生:這種疼痛有多長時間了?病人:疼了兩年了,但以前從來沒有這次疼得厲害。醫(yī)生:您感覺什么時

32、候最疼?病人:半夜最疼。醫(yī)生:根據(jù)您的癥狀看,可能是十二指腸潰瘍。我們將給您做胃腸X線檢查。您必須注意飲食.場景九:patient : Doctor I have been suffering from " fits" for a few years . I wonder what matter is with me and hope you'll help me get rid of them soon.Doctor : What do you mean by a "fit" ?P: By "fit" I mean I lo

33、se con scious ness and fall on the gro und on sudde n .D: What time did your attack begin ?P: When I was married and on ly 25 years old .D: How many years so far ?P: Over three years .D: How long does each attack last ?P: About a minu te.D: How long is the interval between two successive attacks ?P:

34、 Sometimes round a month , and sometimes two mon ths . Could it be related to circumsta nces?D: What lind of cases usually provokes your attacks ?P: It is difficult to say exactly . Once when I was crossing the street , a swiftly moving car sudde nly drove by and I became very hervous , I could n

35、9;t con trol myself. I screamed and blacked out .D: Were you injured ?P: No , the car stopped at once . I came to quickly , then walked home .D: Any other attacks ?P: On another occasion , no sooner had a nurse drawn blood from a patient than I felt perspirati on and weak ness followed by loss of co

36、n scious ness.D: Did you have other manifestations during the attack ?P: I was told by eyewitmesses that I became pale and sweated excessively duri ng the attack , but I had no convulsions , incontinence or anything else.D: Have you had any special exam in ati ons ?P: The doctors work ing in our cou

37、n ty's hospital told me that my physical exam in atio n,electr ocardiogram , and chest and skull x-ray exam in ati on results were no rmal . I've had no other special exam in ati ons.D: Let me give you a thorough physical and n eurological exam in alti on . Some furtherexaminations should be

38、 done , including an electroencephalogram and a brain scan . Also the electrocardiogram should be repeated . Here are your referral sheets . After you have had all these exam in ati ons please come back for ano ther checkup.P: I have had all the exam in ati ons you ordered. Are all the results back

39、yet ?D: Yes , and all the results are normal.P: Then what is the cause of my "fits" ?D: The no rmal results of physical and n eurological exam in ati ons and other special exam in ati ons suggest n either orga nic heart or brain diseases nor epilepsy . The symptoms and sig ns which occus d

40、uri ng an attack , such as palpitati ons , pale ness and excessive sweati ng coin cide with an imbala nee of the aut ono mic n ervous system fun cti on . Dysfu nction of the autonomic nervous system can lead to a decrease in the cardiac output , cerebral anemia , suppressi on of brain function , and

41、 fin ally to a loss of con scious ness . Such an attack is termed syncope.P: Can you give me some medicine to calm the syncope down ?D: Yes . You should pay more attention to regulating your life such as getting up and going to bed regularly and not drinking or smok ing too much . I'll give you some medici ne to regulate the function of your aut ono mic n ervous system . If you follow my advice, rm sure yourcon diti on will get better soon. Sometimes your symptoms may recur ,this is a n aturalphenomenon . Don't worry , such recurrences don&#

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