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1IntroductiontoTraumaCare創(chuàng)傷護理導(dǎo)論2PatternsofBluntInjury鈍器損傷的類型3MechanismsofInjur/PenetratingTrauma損傷發(fā)病機制/穿透性創(chuàng)傷4ThePhysiologicResponsetoInjury對損傷的生理學(xué)反應(yīng)Shock休克MeasurementsofInjurySeverity損傷嚴(yán)重程度的測定7PrehospitalTriage送醫(yī)院前傷員分類PrehospitalTherapy送醫(yī)院前的治療ds:Compositio,dnhear現(xiàn)場救護隊:組成,指導(dǎo),與創(chuàng)傷中心的聯(lián)系A(chǔ)irMedicalandInterhospitalTransport空中醫(yī)療和醫(yī)院間轉(zhuǎn)運11TraumaTeamActivation創(chuàng)傷救護隊的活動12OrganizationpriortoTraumaPatientArrival 創(chuàng)傷病人到達前的組織13AdultTraumaResuscitation成人創(chuàng)傷復(fù)蘇14AirwayManagementintheTraumaPatient創(chuàng)傷病人的氣道處理15VascularAccess血管穿刺16ImagingofTraumaPatients創(chuàng)傷病人的影像17OperatingRoomPractice手術(shù)室常現(xiàn)HeadInjury頭損傷InjuriestotheSpinalCordandSpinalColumn脊髓和脊柱損傷20SoftTissueWoundsoftheFace面部軟組織傷OphthalmicInjuries眼損傷PenetratingNeckInjury穿透性頸損傷23BluntNeckInjury頸部鈍器損傷ThoracicInjury胸部損傷ThoracicVascularInjury胸部血管損傷26AbdominalInjury腹部損傷27AbdominalVascularInjury腹部血管損傷28DamageControl損傷的控制29AbdominalCompartmentSyndrome腹部隔室綜合征30GenitourinaryInjuries泌尿生殖系統(tǒng)損傷31OrthopedicInjuries矯形外科損傷32PelvicFractures骨盆骨折HandTrauma手創(chuàng)傷CompartmentSyndromeandRhabdomyolysis隔室綜合征和橫紋肌溶解35PeripheralVascularInjuries周圍血管損傷Soft-TissueTrauma軟組織創(chuàng)傷PrioritiesintheICUCareoftheAdultTraumaPatient在 ICU護理的成人創(chuàng)傷病人的優(yōu)先項目38CommonlyMissedInjuriesandPitfalls常遺漏的損傷和易犯的錯誤39AnesthesiafortheTraumaPatient創(chuàng)傷病人的麻醉40TraumaPainManagement創(chuàng)傷疼痛的處理Hypothermi, ColdInjury, dg低溫?fù)p傷和BloodTransfusionandComplications輸血和并發(fā)癥Nutrition/MetabolismintheTraumaPatient創(chuàng)傷病人的營養(yǎng)/代謝44SupportoftheOrganDonor器官供體的保養(yǎng)45Burn/Inhalation燒傷/吸入46PediatricTrauma兒科創(chuàng)傷47CareofthePregnantTraumaPatient妊娠創(chuàng)傷病人的護理48GeriatricTrauma老年人創(chuàng)傷Rehabilitation康復(fù)VenousThromboembolism靜脈血栓栓塞51InjuryPrevention損傷的預(yù)防HouseStaffResponsibilities住院醫(yī)師的責(zé)任l, EthicalandFamilyIssues法律理和54MiscellaneousProcedures各種其它操作程序oralhealtheducationactivity康教育活動OralHealthEducationUnit[DepartmentofHealth]口腔健康教育組57oralpoliomyelitistrivalent脊灰口服劑oraltoilet口腔料理oral-maxillofacialsurgeryanddentalunit科及牙科部60outbreak發(fā)作;流行outbreakcontrol癥控制;暴病控制outcomemanagementproject醫(yī)療成效管理計劃out-of-pocketexpenditurebytheuser服務(wù)使用者自付64out-patientappointmentsystem病人預(yù)約制度out-patientclinic門診診療所out-patientclinicaloperationssupportsystem門診臨床運作支持系統(tǒng)67out-patientconsultationserviceout-patientdepartmentout-patientregistrationsystem病人登記制度outreachcommunitycareprogramme護理計劃71outreachhealthcareteam醫(yī)護隊outreachmedicalteam外展醫(yī)療隊outreachspecialistmedicalteam科醫(yī)療隊74outsideappointmentbook醫(yī)冊ordinarydietorgandonation器官捐贈OrganDonationCard器官捐贈證OrganDonationCentre器官捐贈中心79organdonationform器官捐贈表格80OrganDonationRegister[HongKongMedicalAssociation]器官捐贈冊81organdonor器官捐贈人organimaging器官造影organpledge數(shù)目84organrecipient器官受贈人organtransplant器官移植organicpsychosis器質(zhì)性精神病87organolepticinspection感官檢查88overallincidence總發(fā)病率89overflowward暫時收容病房;后備病房90overnightroom夜間當(dāng)值室over-sensitivity過敏ovulation排卵ovulationcycle排卵周期ovulationmethod安全期避孕法95on-calldutydoctor候召當(dāng)值醫(yī)生96oncology腫瘤學(xué);腫瘤科97one-wayreferral單向轉(zhuǎn)介98onsetoflabour分娩陣痛發(fā)作99onsetofsymptom癥狀發(fā)作100on-sitetriagetreatment現(xiàn)場分流治療101occupationaldisease職業(yè)病occupationalhealth職業(yè)健康occupationalhealthnurse職業(yè)健康護士104OccupationalHealthOfficer職業(yè)健康科醫(yī)生105OccupationalHygienist職業(yè)環(huán)境 生師106occupationalmortality職業(yè)性死亡率107occupationalneurosis職業(yè)性神經(jīng)病occupationaltherapist職業(yè)治療師OccupationalTherapistsBoard職業(yè)治療師管理委員會110occupationaltherapyassessmentroom職業(yè)治療評估室111OccupationalTherapyAssistant職業(yè)治療助理員ochlophobia眾恐懼ocularpathology眼科病理學(xué)114ocularprosthesis假眼optimalhealth理想的健康狀況optimumoccupancyrate[hospital最適度病 住用率117optometricassessment視力測驗OperationsandTrainingDivision[AuxiliaryMedicalServiceHeadquarters] 行動及訓(xùn)練部〔醫(yī)療輔助隊總部〕OperationsandTrainingOfficer[AuxiliaryMedicalService行動及訓(xùn)練主任〔醫(yī)療輔助隊〕120OperationsSection[AuxiliaryMedicalServiceHeadquarters行動組〔醫(yī)療輔隊總部〕121OperationsWing[AuxiliaryMedicalServicevolunteerstructure]行動翼〔醫(yī)療輔隊志愿架構(gòu)〕122operativetreatment施手術(shù)123oralhealthcare口腔健康護理;口腔衛(wèi)生服務(wù)124oralhealthclinic口腔衛(wèi)生診療所(ProfessorofMedicine(ProfessorofMedicine師(醫(yī)療)ProfessorofTreatment兒科主任醫(yī)師ProfessorofPaediatrics主治醫(yī)師師(醫(yī)療)ProfessorofTreatment兒科主任醫(yī)師ProfessorofPaediatrics主治醫(yī)師Doctor-in-charge外科主治醫(yī)師Surgeon-in-charge內(nèi)科主治醫(yī)師Physician-in-charge眼科主治醫(yī)師Oculist-in-charge婦科主治醫(yī)師Gynaecologist-in-charge牙科主治醫(yī)師Dentist-in-charge醫(yī)師Doctor醫(yī)士AssistantDoctor主任藥師ProfessorofPharmacy主管藥師Pharmacist-in-charge藥師Pharmacist藥士AssistantPharmacist主任護師ProfessorofNursing主管護師Nurse-in-charge護師NursePractitioner護士Nurse主任技師SeniorTechnologist主管技師Technologist-in-charge技師Technologis技士TechnicianHello,mayHello,may(ca)Ihelpyou?您好,我可以幫您嗎?Whatseemstobebotheringyou?您覺得哪兒不舒服?Doyouhavearecord?您有病歷嗎?I`lltransferyoutothesurgerydepartment.我給您轉(zhuǎn)到外科去what`swrongwithyou?您怎么了?Sitdow, please.請坐Whendidthesymptombegin?癥狀是什么時候開始的?Haveyouhadanychills(chestpai)您有()嗎?Haveyouevercoughedupblood?您咳血過嗎?AllrightLetmeexamineyouWouldyoumindtakingoffyourcoat?好吧。我給您檢查一下,您不介意脫掉外衣吧?eaph, please.請I`lltakeawhitebloodcountandgiveyouanx-rayexamination.我將給您做白細(xì)胞計數(shù)和胸片檢查I`msureit`spneumoniaYoushouldbeadmittedtothehospital.我可以確定您得了肺炎住院。Howlonghaveyoubeenlikethis? 這種癥狀有多久了?Whendidyoubegintonoticethesesymptoms?您什么時候發(fā)現(xiàn)這些癥狀的?What`syourtrouble? 你怎么啦?What`sthetroublewithyou? 你哪兒不舒服?What`stroublingyou? 你哪兒不舒服?What`sbotheringyou? 你哪兒不舒服?What`supwithyou?你生什么病了?What`sthematterwithyou?你哪兒不舒服?Isthereasenseofdistensionandnumbness? 你有脹和麻木的感覺嗎?Whendidthetroublestart? 什么時候開始不舒服?Whendidthepainstart? 什么時候開始痛的?Whendidithappen? 什么時候發(fā)生的?Whendidyourdiarrheastart? 你什么時候開始腹瀉的?Whatkindofpaindoyoufeel? 你覺得怎么個痛法?Whatkindofstooldidyounotice,wateryormucous?你注意大便的樣子了嗎?是水樣的還是粘液樣?Whatdidyouvomit,foodorblood?你吐的是什么?食物還是血?Whatkindoftreatmenthaveyouhad?你過去用什么方法治療過?Whataboutyourheart?你的心臟怎么樣?What`syourstoollike? 大便是什么樣子?Whereisyourpain? 你覺得哪兒痛?Wheredoesithurt?哪兒痛?What`syourappetite? 你的胃口怎么樣?How`syourappetitethosedays?近來食欲怎么樣?Howlonghaveyoubeenfeelinglikethis?你有這樣感覺多長時間了?Haveyoubeencoughingandsneezing?你是不是一直咳嗽和打噴嚏?Haveyougotahighfever?你發(fā)燒嗎?Anyfever?發(fā)燒嗎?Haveyougotanychronicdiseasebefore? 你以前有過慢性病嗎?Doesitbleedoften? 常出血嗎?Doyoufeelshortofbreath? 你覺得氣急嗎?Doyoufeelpainaftermeals? 是飯后痛嗎?Doyoufeelabdominalpainwhenyougotothetoilet?你去廁所時感到腹痛嗎?Doyouhaveapaininyourstomach?你肚子痛嗎?Doyouhaveacough? 你咳嗽嗎?Doyourememberhowmanytimesyouwenttothetoilet?你記得去過多少次廁所嗎?Didyoureceiveanytreatmentbeforeyoucametothehospital?來醫(yī)院前你接受過治療嗎?I`dliketolistentoyourchest.我想聽聽你的胸部。I`dliketorunafewtests.我想給你做些檢查。Youmusthaveablood(sputum)test.你需要驗驗血(痰)。Youhavetheflu.你得了流行感冒。Youhavegotenteritis.你得了腸炎。Youhavecaughtachill.你著涼了。Youseemtohavepickedupsomesortof你好象染上什么傳染病了。Whendidyoufirstnoticeit你什么時候感覺到的?Whatkindofpainisit怎樣疼?Didyourunanytemperature你發(fā)過燒嗎?Haveyouseenanybodyaboutit你找醫(yī)生看過嗎?Ithinkyouneedsomeexaminationsfirst.我想您首先需要做一些檢查。You`dbettertakeanX-raypicturetoseeifthereisafracture.你X子,看看有沒有骨折。I`dliketogiveyouanX-ray.我想給你透視一下。TheX-rayrevealsadislocationofyourelbow.X光片顯示你的肘關(guān)節(jié)脫位。I`llgiveyousomemedicine.我給您開點藥。I`mafraidyouhavetoreceiveanamputation.恐怕你需要截肢。Itistheonlywaytosaveyourlife.這是挽救您生命的唯一辦法。Mydiagnosisisthatyouhaveamalignanttumorosteogenicsarcoma.我的診斷是您得了惡性骨肉瘤。Thefracturedlegmustbekeptinplaster.必須把骨折的腿打上石膏。Openyourmouth,please.請張開嘴。It`stoowornouttobefilled.這顆牙壞得太歷害了,無法補了。Haveyoueverhadaninjectionofprocaine(penicillin)before?你以前打過普魯卡因(青霉素)嗎?Doesithurtwhenyoueatanythingsweetorsour?你吃甜的或酸的東西時疼嗎?I`llbecleaningthemnow.Letmeknowifithurts.我現(xiàn)在給你洗牙,疼就說一聲。Thewoundhasn`thealedenoughyet.傷口還沒完全愈合。You`llhavetowaitforonemoremonth,ortheywon`tfitproperly.你得再等一個月,要不然裝上也不會合適。Whatkindofmaterialdoyouprefer你想要什么材料的?Wouldyouliketohavealookatsomeofthesamples?你要看一看樣品嗎?You`vegottocomefivetimesbeforetheworkcanbefinished.你得來五次才能做好。ShallIfixyouaplasticcrown?我給你裝一個塑料牙套好嗎?We`llgiveyouanX-raytofindouttheconditionoftheroot.我們要給你拍一張 X光片,看看牙根的情況。You`llhavetoleaveyourolddenturehere.你得把原先的假牙留下。Youshouldleaveyourdentureinyourmouthallday.你應(yīng)該整天戴著你的假牙。Howareyourperiods? Aretheyheavy?你的月經(jīng)怎么樣?量多嗎?Haveyouhadanypaininthisareaduringyourmenstruation?你來月經(jīng)時間時這一部位疼嗎?Howaboutyourmenstruationcycles?你的經(jīng)期準(zhǔn)嗎?Haveyouhadanydiscomfort?有什么不舒服嗎?Whenwasyourlastmenstruation?你上一次月經(jīng)是什么時候?Howlongisyourperiodusually?通常你的月經(jīng)周期多長?Haveyouhadanybleeding,waterydischargeorpaininyourlowerabdomen?你有過陰道出血、水性分泌物以及下腹部疼痛的情況嗎?Howlonghasthisbeenbotheringyou?種不適感有多久了?Didyoufeelcontractionsregularly感覺到規(guī)律宮縮嗎?What`stheamountofbleeding? Isitprofuse?出血量多少很多嗎?DoyoumindifIexamineyoubriefly?簡單地給你檢查介意嗎?I`llrunsometestsonyou.我要給你做些化驗。That`sduetoyourheavyperiod.這是因為造成的。Ithinkit`scarcinomaofthebreasts.我認(rèn)為是乳腺癌。We`llsendhertothedeliveryroomforfurtherobservation.我們想把她送到產(chǎn)房進步觀察。Doyouseedimlyfromdistanceorcloseby?您看遠不清還是看近不清?Doyouseeobjectsdimly模糊嗎?Whatkindofpaindoyouhave?怎么痛法?Istheremuchsecretionfromyoureyes?眼里的分泌物多嗎?Doeslightaffectyoureyes?您的眼睛怕光嗎?Doyouseeanobjectasifthereweretwothatoverlap?您看東西有重影嗎?Doyouseemyhandmoving?您看見我的手在動嗎?Trynottoblink.不要眨眼。Areyounear-sightedorfar-sighted您是近視眼還是遠視眼?Comebackinaweekforare-examinationofyoureyes.一周以后來復(fù)查您的眼睛。I`llsendyousomemedicine(pill,ointment).給你開些內(nèi)服藥(丸藥,膏藥)。I`llgiveyousometablets.我給你一些藥片。I`llmakeupaprescriptionforyou.我給你開一張藥方I`llwriteoutaprescriptionforyourightnow.我馬上給你開張藥方。I`llgiveyouaprescription.Takeittothechemist`s.我給你一張?zhí)幏剑剿幏咳ヅ渌?。Ithinkyou`dbettertakeChinesetraditionalmedicine.我認(rèn)為你最好服用中藥。Takethemedicineaccordingtotheinstruction.請按醫(yī)囑用藥。I`dliketoputyouonsomemedicineandhaveyoucomebackinseveraldays我開點藥,幾天以后你再來。Onetableteachtime,threetimesadayaftermeals.每日3次,每次1片,飯后服。Takeonecapsuleeveryfourhours.每4小時服用一膠囊。Takeadosethreetimesaday.每天服3次,每次一劑。Puttheointmentonthesoreonceaday.把軟膏涂在患處,每日1次。Shakewellbeforeusingit.使用之前要搖勻。Themedicinewillrelieveyourpain.這種藥會給你止痛。Thismedicinecankeepyourfeverdown.這種藥可給你退燒。Thisisfororaladministration.這是口服藥物。Thislotionisforexternaluseonly.這種洗劑只可外用。You`resufferingfromacuteappendicitisandmusthaveanoperation的是急性闌尾炎,要動手術(shù)。I`msorrytosayyou`llhaveanimmediateoperation動手術(shù)。YourmealsshouldbefrequentbutsmallinquantityYourmealsshouldbelightanddigestible.吃的東西要清淡容易消化。Youshouldtakesomemorevitamins.你應(yīng)該多吃些維生素。Youshouldgoonadiet.你應(yīng)該節(jié)食。Youcan`ttouchanythingsweet.甜食也吃得。Fattyfoodwilldoyouharm.高脂肪食物你處。Avoideatinggreasyfood.不要吃油膩食物。Drinkplentyofwater.要喝大量的水。YouarescheduledtohaveaGIandaGBtesttomorrowmorning您預(yù)定明天上作胃腸檢查和膽囊檢查。Pleasedon`teatordrinkanythinguntilthetestisover.I`msorrybutyouhavetohaveanabsoluteemptystomach.要檢查結(jié)束之前請不要吃喝任何東西。我很抱歉

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