診療英語會(huì)話課件

診療英語會(huì)話診療英語會(huì)話診療英語會(huì)話Goodmorning,MsRayner.Comeandsitdown.Goodafternoon,mynameis,andmyEnglishnameisMary.SoyoucancallmeDr.Mary.IamadoctorofInternalMedicine.I’mresponsibleforyourtreatment/I’llbelookingafteryou.Or:Iworkinthe…department.I’macardiacsurgeon/….Goodmorning,MsRayner.Comeandsitdown.Goodafternoon,mynameis

,andmyEnglishnameisMary.SoyoucancallmeDr.Mary.IamadoctorofInternalMedicine.

I’mresponsibleforyourtreatment/I’llbelookingafteryou.Or:Iworkinthe…department.I’macardiacsurgeon/….anesthesiologistdermatologisthepatologistophthalmologistpharmacologistpulmonologistToxicologistneurologisturologistcardiologisthematologistoncologistpathologistpsychologistradiologist

醫(yī)生問話的三個(gè)主要部分：

就診原因（含癥狀）、詢問病史、臨床體檢Mr.Simpson34,plumberc/odyspnoea1/12;ankleswelling2/52SHmarriedwith1son

25cigs/day;50unitsalcohol/weekPHnilrelevantFHfatherd.42MI;mothera&wOEobese;2spidernaevionchestP110/minreg.BP100/60CXRenlargedheartandbilat.Pleuraleffusions呼吸困難胸腔積液ChestX-ray與患者打招呼請(qǐng)患者描述癥狀收集病例臨床檢查通知診斷結(jié)論、治療方案和進(jìn)一步化驗(yàn)項(xiàng)目醫(yī)囑（復(fù)診）Wellnow,howcanIhelpyou?Well,Mr.Rayner.What’tthetrouble?Whatsymptomsdoyouhave?complaintsPatientssaylossofenergyIfeeltiredallthetime.Ifeelcompletelywornout.LatelyI'vebeenfeelingcompletelyexhaustedattheendoftheday.generalfeelingofbeingunwellIfeelunwell.Idon'tfeelwell.I'vebeenfeelingoff-colorfortwodays.Ihaven'tbeenfeelingmyselfforaweek.I'vebeenoutofsortsallday.lossofappetiteMyappetiteisverypoor.I'vebeenoffmyfoodfordays.IncreaseinweightI'veputoneightkilosinthelastyear.I'vegainedfivekilos.decreaseinweightI'mnoteatinganylessthanusualIlostalotofweightrecently.hard,infrequentfaecesMymotionsareveryhard.I’vebeenquiteconstipatedlately.I'mnotveryregular.1.問時(shí)間：如癥狀開始的時(shí)間、持續(xù)的時(shí)間、間隔的時(shí)間或頻率2.問癥狀的性質(zhì)和嚴(yán)重程度3.問誘因醫(yī)生問話的三個(gè)主要部分：

就診原因（含癥狀）、詢問病史、臨床體檢Whendiditbegin/start?Whendidyoubegintonoticethesesymptoms?

Howlongdoeseachepisode/attack

last?Howoftendoesithappen?Howoftenaretheattacks?

Istheconditionserious?Hasitgottenworse?Whatdoyouthinkprovokesit?Hasanythingstartedthisoff?Doesanythingbringthemon?還有別的癥狀嗎？Hasanythingelsetroubledyou?Doyousufferfromindigestion/boweltrouble/…?Haveyounoticedanythingelse?發(fā)作，犯病I’venothadmuchtroublewiththatfortwoyears.這兩年沒大犯過。Doesthepaincomeoninthenight?夜間腹部疼痛嗎？Areyouallrightbetweenspasms?兩次發(fā)作期間你感覺好嗎？Ikeepgettingdizzyspells.我的暈眩周期性發(fā)作。Itusedtocomeandgobutnowstaysput.本來時(shí)好時(shí)壞，如今持續(xù)不好。Theappendixhasburst.We’dbetterremoveit.Howlonghaveyouhadthis?

Whendidthisstart?提示日期Christmas=DecemberThanksgiving(USA)=NovemberEaster=AprilSummerHolidays=July/AugustPatient’sBirthdayDid

youhaveitatChristmastime?醫(yī)生問話的三個(gè)主要部分：

就診原因（含癥狀）、詢問病史、臨床體檢詢問病人的既往史

Inquiringthehealthhistory詢問病人的家族史Inquiringthefamilyhistory詢問病人的服藥史Inquiringthemedicinetaken詢問病人的社會(huì)史Inquiringthesocialhistory詢問病人的既往史

Inquiringthehealthhistory1）Whatdiseasehaveyouhadbefore?你過去得過什么疾??？2）Pleasetellmesomethingofyourpastillness.請(qǐng)告訴我你過去的患病情況。3）Didyouhaveanychildhooddiseases?你小時(shí)候得過什么疾病嗎？4）Whatkindoftreatmentdidyouhaveinthepast?你過去曾接受過什么治療嗎？5）Didyouhaveanyoperationbefore?你以前做過手術(shù)嗎？6）Haveyoueverbeenhospitalizedbefore?你以前住過院嗎？詢問病人的家族史I

Inquiringthefamilyhistory1）Tellmesomethingaboutyourfamily.告訴我一些關(guān)于你家庭的事。2）Areyourparentsstillliving?你父母還健在嗎？4）Howareyourparents'health?你父母的健康狀況怎么樣？5）Whatwasthecauseofyourmother'sdeath?你母親的死亡原因是什么？6）Arethereillnessesthatseemtoruninyourfamily?你家里有什么遺傳病嗎？

詢問病人的家族史II

Inquiringthefamilyhistory7）Wereyourparentsandtheirparentsrelatedbyblood?你父母和祖父母是近親結(jié)婚嗎？8）Doesanyoneinyourfamilysmoke?你家里有人吸煙嗎？9）Hasanyoneinyourfamilyhadthesametrouble?你家里有人得過這種病嗎？詢問病人的服藥史I

InquiringthemedicinetakenD:Haveyoutakenanymedicine?你服過什么藥嗎？P：Itooksomeaspirin.我服用過阿司匹林。D:Doesithelptorelievethepain?能緩解疼痛嗎？P：No,itseemshelpless.不，似乎沒什么效果。詢問病人的服藥史II

Inquiringthemedicinetaken1）Areyoutakinganymedicinenow?你現(xiàn)在服什么藥嗎？2）Whatkindofmedicineareyoutakingfortheproblem?你在服什么藥治療這種?。?）Whatkindofvaccinationdidyoureceive?你打過什么疫苗？4）Areyouallergictoanymedicine?你對(duì)什么藥過敏？5）Doyoutakesleepingpills?你吃安眠藥嗎？6）Doyouuselaxatives?你服瀉藥嗎？7）Whendidyoustoptakingthemedicine?你是什么時(shí)候停服這種藥的？詢問病人的社會(huì)史

Inquiringthesocialhistory病人的職業(yè)occupation,吸煙飲酒習(xí)慣smoking/drinkinghabits,飲食習(xí)慣eatinghabits都可能和疾病有關(guān)。1）Doyousmoke?Howlonghaveyoubeensmoking?Howmuchdoyousmokeaday?2）Doyoudrinkalcohol?你喝酒嗎？Howmuchalcoholdoyoudrinkinaday?一天喝多少？3）Whatfoodsdon'tyouliketoeat?你不愛吃什么食物？4）Whatdoyoudo?/What'syourjob?/Whatdoyoudoforliving?你是做什么工作的？DrinkinghabitsDoyoudrinkatall?Doyoudrinkeverydayorjustonsocialoccasions?Roughly,howmuchdoyoudrinkonaverageeveryday?Doyoudrinkalone?Doyoudrinkinthemornings?Haveyoueverbeenadrinker?DrinkinghabitsDoyoueverfeelguiltyaboutyourdrinking?Haveyouevertriedtocutdownyourdrinking?Haveyoueverhadanyfitsorblackoutsthroughdrinking？昏厥，眼前發(fā)黑Doyouthinkyourdrinkingcausesanyproblems?Atwork?Withyourmarriage?Haveyouevergotintotroublewiththelawthroughdrinking?與患者打招呼請(qǐng)患者描述癥狀收集病例臨床檢查通知診斷結(jié)論、治療方案和進(jìn)一步化驗(yàn)項(xiàng)目醫(yī)囑（復(fù)診）臨床檢查：Instructthepatientinaclearbutpolitemanner

Whenexaminingapatient,politeformsareoftenusedfortheinitialinstruction:

Couldyoubendforwardasfarasyoucan?Ifyoucouldcrossyourarmsinfrontofyourchest.WhatI'dliketodoisexamineyoustandingup.Afterthatdirectinstructionsmaybeused:

Standwithyourfeettogether.Lieperfectlystill.Tosoftentheinstruction:

Canyoujustturntothesideagain?Couldyoujustlieonthecouch?UsefulexpressionsPleaselieonyourtummy.請(qǐng)肚子朝下躺著。Pleaseturnoverandlieonyourback.請(qǐng)轉(zhuǎn)過來，背朝下躺著。Rolloverontoyourleft/rightside.左/右側(cè)臥。Bendyourknee.屈膝。Situp.坐起來。Leanforward.前傾。Getoffthecouchandstandup.下床并站立。Walkacrosstheroom.步行穿過這個(gè)房間。Showsensitivitytothepatient'sneedsandrespondtodiscomfort,reassuringifappropriate.

Youmightfeelalittlebitofdiscomfort.ThismighthurtalittlebutI’llbequick.Tellmeifithurts.Letmeknowifit'ssore.Itwillbeoververyquickly.Itwon'ttakelong.You'redoingverywell.Talkthepatientthroughtheprocedure（Seepage5）

I'mjustgoingto...FirstI'll...ThenI'll…NowI'mgoingto...You'llfeel...Whenit'sover,I’ll…That'sit.Allover.測量生命體征VitalSigns我需要量一下你的體溫，我將把這個(gè)放到你的耳朵里面。Ineedtotakeyourtemperature.Iamgoingtoputthisinyourear.請(qǐng)問我能把體溫計(jì)放到你的腋窩處幾分鐘嗎？PleasecanIputthisthermometerunderyourarmforafewminutes?測量生命體征VitalSigns你的體溫正常/低燒/高燒/比正常體溫低。Yourtemperatureisnormal.slightlyhigh.high.belownormal.BloodPressure我要量一下你的血壓。Ineedtotakeyourbloodpressure.我要在你的上臂綁一個(gè)血壓計(jì)。

Iamgoingtoputatourniquetaroundyourupperarm.

[?t??n?k?t

]Sphygmomanometer[?sfiɡm(xù)?um??n?mit?

]

BloodPressure會(huì)感覺很緊，但是一會(huì)就好。Itwillfeelverytight,butonlyforashorttime/alittletime/foramoment.請(qǐng)保持你的手臂不動(dòng)。Pleasecanyoukeepyourarmstill.你的血壓是120/90。Yourbloodpressureis120over90.PulseIneedtotakeyourpulse.PleasemayIfeelyourwrist指導(dǎo)穿衣Youcangetdressednowandthencomeouttome.你現(xiàn)在可以穿上衣服跟我出去。Don’thurry.Takeyourtime.別著急，慢慢來。與患者打招呼請(qǐng)患者描述癥狀收集病例臨床檢查通知診斷結(jié)論、治療方案和進(jìn)一步化驗(yàn)項(xiàng)目醫(yī)囑（復(fù)診）Shareyourfindingswiththepatient.

Ihaven'tfoundanythingtosuggestanyproblems.Theredoesn’tseemtobeanythingwrongwithyou.I’msurethiswillclearuponitsown.無需治療需要做某些檢查或化驗(yàn)開檢查用語：1）Allright,thelastthingleftisaphysicalexamination/afewlabtests/anX-raypictureofthechest.

好，再做項(xiàng)體格檢查/化驗(yàn)/拍胸片就行了。2）Well,MissHartley,Ican’tfindanythingseriouslywrongwithyou,butI’dlikeyoutohaveyourchestX-rayedandanECG.3）YouneedtohaveanECGtest./IneedyoutohaveanECGtest.你需要做一下ECG。/我需要你做一下ECG。Expression:X-ray你需要拍一下X光。YouneedtohaveanX-ray.你需要拍一下部位（頭部）的X光。YouneedanX-rayofyour...開檢查用語2：4）YouneedtotakeaMRIscan/ultrasonicscan/ultra-scan.你需要做個(gè)核磁掃描/超聲。5）Asputumcultureshouldbedoneforyourcase.你需要做個(gè)痰培養(yǎng)。6）wewouldliketohaveyourstoolexamined.Willyoupleasegiveusaspecimen?你要查一下糞便。能留個(gè)樣本嗎？7）I’dliketohaveaspecimen/sampleofyourwater.我想留一份你的尿樣。I’dliketohaveamidstreamspecimen.我想留一份中段尿樣。Expression:Bloodtest你需要做一下血液測試。Youneedtohavesomebloodtests.你需要查一下空腹血糖。

Youneedtohaveafastingbloodsugartest.請(qǐng)帶著這張化驗(yàn)單到血液科（hematology）。[?hi:m?'t?l?d??]Pleasetakethisformtohematology.化驗(yàn)結(jié)果出來后請(qǐng)帶給我。Pleasebringtheresultsbacktome.Expression:UsagesonUltra-scan你需要做一下部位的超聲波掃描。Youneedtohaveanultra-scanofyour...請(qǐng)帶著化驗(yàn)單，做完之后帶著化驗(yàn)結(jié)果來找我哦。

Pleasetaketheformwithyou.Afteryougettheresult,pleasebringitbacktome.Expression:Ultra-scan在做超聲波掃描前，請(qǐng)憋尿。Youwillneedtohaveafullbladder

[?bl?d?(r)]beforetheultrascan.請(qǐng)?jiān)谧龀暡⊕呙枨昂茸銐虻乃?。Pleasecanyoudrink…

glassesofwaterbeforeyouhavethescan.Youneedfastingbeforethetest.

Thetestneedsyouremptystomach.你的檢查需要空腹。

Pleasedonoteatanythingordrinkwaterinthemorningbeforetakingthetest.請(qǐng)您早晨檢查之前不能吃飯喝水。

Pleasedrinkwaterandholdbackurine.請(qǐng)多喝水憋尿Pleasedrinkalotofwateranddon’tgotothetoiletaspossibleasyoucanbeforethetest.

Expression:Ultra-scan請(qǐng)你拿著單子先去收費(fèi)處交費(fèi)，交完費(fèi)后去隔壁的化驗(yàn)室抽血化驗(yàn)，然后回這兒來。

Pleasetaketheprintouttothecashiertopayyourfeesfirst.Afterpaying,letthemdrawbloodforabloodtestintheLaboratorynextdoor.Then,comebackhere.Shareyourfindingswiththepatient.

Well,I’mfairlycertainyou'vegota...Onepossibilityisitcouldbewhatwecall...Ihaven'tfoundanythingtosuggestanyproblems.ExplainingdiagnosisYou’resufferingfrom…You’vedeveloped…Youhave…Thisiswhy…Thisismainlybecause…PrescriptionI’dlikeyouto…I’llgiveyouaprescriptionforsometabletstoeasethepain.Takethismedicinetwiceadayaftermeal.Youshouldtakethispill(tablet/capsule)rightafterbreakfastandrightafterdinner.I’dlikeyoutocomeintohospitalforafewdayssothatwecankeepaneyeonyou./tofindoutwhatexactlyiscausingthistrouble.消除疑慮Don’tworryaboutthis.It’squiteacommonconditionandshouldclearupinaweekorso.Thisisnotaseriouscondition.Thesetabletsshouldhelp.Theonlywaytotreatthisisbyanoperation.Itisaroutinesurgeryandyoushouldbebacktonormaltwomonthsaftertheoperation.Youwillnodoubtwanttogohomeassoonaspossible,butweareheretohelpyouwheneveryouneedus.TheprognosisIexpectthetreatmentwill…Hopefullywecan…Wecanneverbeabsolutelycertainabout…Youshouldremainoptimistic.Doyouhaveanyquestions?Isthereanythingyou’dliketoask?完成各項(xiàng)檢查后的初步治療措施：如靜脈給藥、理療等。

1.ThisisyourIVsheet.TaketheIVfirst.這是你的靜脈輸液單，先輸次液。

IV是intravenous的簡寫。也可以說IVdrop/intravenousdrop，輸液室IVroom輸一次液haveanIV2.Thisisyourinjectionsheet.這是你的注射單。

肌肉注射intramuscular

injection皮內(nèi)注射intradermicinjection皮下注射hypodermicinjection[英][?nt'r?d?m?k]

[美][?nt'r?d?m?k]注射室InjectionRoom做一次注射haveaninjection

3.Areyouallergictopenicillin?/Doyouhavepenicillinallergy?你對(duì)青霉素過敏嗎？

4.Youneedashotofpenicillintoday.（Shot=injection，表示“注射”）今天你需要注射一支青霉素。

在離開門診前，醫(yī)生可能給予病人一些家庭指導(dǎo)，包括一些注意事項(xiàng)、某些在家要進(jìn)行的活動(dòng)或措施。請(qǐng)翻譯：你應(yīng)該臥床休息，多喝水。Drinkplentyofwaterandhaveagoodrest./You’dbetterhaveagoodrest.

Youshouldrestinbedanddrinkplentyofwater.

Discussingtreatment：AdvisingacourseofactionSometimeoffworkmighthelp.Ifyoufeltthatwouldbehelpful,youcouldtakeaweekoffandseehowyoufeltafterthat.Carryondrinkinglotsoffluids.Ifyoustillhavesomepain,youcankeeptakingparacetamol.Otherthingsmighthelp,likeraisingt