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九、病历表内常见单字
Front sheet, Summary sheet 首页,摘要表
History sheet 病历表
Physical examination sheet 身体检查表
Physician's order sheet 医嘱单
Physician's progress note 医生用病情进展记录
Laboratory reports 检验报告
Radiographic reports X光检查报告
Nursing notes 护理记录
Graphic chart 图式病历
Discharge summary sheet 出院摘要
Operation report 手术报告
Anesthesia record 麻醉记录
Consultation sheet 会诊单
Intake and output sheet 摄取与排泄记录
Consent (or permission) for operation 手术同意书
Emergency room record 急诊室记录
住院病历表
身家调查事项 ( identifying data or biographic data)
admission date 住院日期
hospital number = chart number 病历号码
room number 病房号码
name
sex
age
birth date
birth place
marital status = civil status 婚姻状况
address
occupation
empolyer 雇主公司行号
health insurance number 医疗保险号码
referring physician 转介医生
各系统的表现状况--全身状态
违和感
malaise (= a vague feeling of bodily discomfort, indefinite bodily weakness or discomfort)
feel unwell (ill, poorly)
疲劳感.倦怠感
lassitude
fatigue
tiredness
weariness
languor
lack of energy (vigor)
listlessness
exhaustion
worn-out
虚脱 无力状态
weakness
feebleness
lack (loss) of strength
debility
powerlessness
prostration(= extreme weakness or exhaustion)
asthenia
睡眠状态
sleep
slumber (=light sleep)
a nap (=a short sleep)
a doze (= a light or fitful sleep)
入睡 fall asleep ; go to sleep
小睡 take a nap ; take a doze ; slumber ; doze ; drowse
欲睡的 sleepy ; drowsy ; somolent ; lethargic
睡意 sleepiness ; drowsiness ; somnolence
摧睡 become(= feel =get) sleepy(=drowsy = somnolent)
睡眠不足 loss(= lack = want) of sleep
失眠 insomnia ; sleeplessness ; wakefulness ; inability to sleep
失眠症的人 insomniac
熟睡 sound (profound) sleep
睡醒awake ; wake ; rouse ; awaken
作梦 dream
恶梦 nightmare
梦游症 sleepwalking ; somnambulism
梦游病者 sleep-walker ; somnambulist ; night-walker
体重方面(weight ; body weight)
体重为 weigh~ ; be ~ in weight
最高 maximum
最低 minimum
平均 average
最适 optimum
现在 present
体重减少 weight loss ; loss of weight
体重增加 weight gain ; gain in weight ; increase in weight
瘦 thin ; lean ; skinny
瘦弱 emaciated (emaciation)
肥胖 fat ; stout ; fatty
体温状况(body temperature
量体温 take one's temperature
发烧 fever ; pyrexia ; rise (elevation) of temperature ; increase in temperature
发烧的 feverish ; febrile ; fevered ; pyrexic ; pyrexial
无发烧的 afebrile ; feverless ; apyrexial
发冷 a chill ; rigor ; have a cold fit
寒颤 shiver ; shake ; shaking chills ; shivering with chills
退热 fall ; drop ; go down ; abate ; remit
发汗 sweating ; perspiration
弛张热 remittent fever
间歇热 intermittent fever
连续热 continuous fever
危险期 by crisis
转轻期 by lysis
疼痛方面
偏头痛 migraine ; megrim ; hemicrania ;
後头部痛 occipital pain
侧头部痛 temporal pain
前头部痛 frontal pain
头痛 have(suffer) a headache ; one's head aches ; feel a pain in the head
耳痛 earache ; sore ears ; toalgia
咽喉痛 sore throat ; pharyngalgia
眼痛 have painful eyes ; one's eyes hurt(smart)
齿痛 toothache
胸痛 chest pain
心前部痛 precordial pain
心绞痛 anginal pain
胸股下後痛 substernal (retrosternal) pain
胸膜炎痛 pleuritic pain
腹痛 abdominal pain ; belly(stomach) ache
上腹痛 epigastric pain ; pain in the epigastrium
上腹部痛 upper abdominal pain
下腹部痛 lower abdominal pain
左上腹部痛 left upper quadrant pain
侧腹部痛 flank pain
背痛 backache
腰痛 low backache ; lumbago
关节痛 joint pain
肌肉痛 muscular pain
神经痛 neuralgia
绞痛 colic ; colicky pain
胆石绞痛 biliary or gallstone colic
肾石痛 renal colic
痛 cramps ; crampy (cramping) pain; spasmodic
博动痛 throbbing(pounding, thumping, pulsating) pain
转移性痛 radiating pain ; pain with radiation
牵连痛 referred pain
电击痛 lightning (fulgurant, shooting) pain
带状痛 girdle pain
神经根性痛 root pain
空腹痛 hunger pain
夜间痛 nocturnal pain
自发痛 spontaneous pain
压痛 tenderness
固定痛fixed (steady) pain
灼热痛 burning pain
刺状痛 lancinating ; piercing ; stinging ; darting; stabbing
分裂状头痛 splitting ; racking
撕裂状痛 tearing ; rending ;
钝痛 dull ; obtuse ;
剧烈痛 sharp ; excruciating ; tormenting ; torturing ; racking ; agonizingly severe
不断阵痛 gnawing ; griping
擦伤痛 stinging ; smarting ; sore
针刺痛 pricking ; pricking
呼吸器管和循环器管系统
呼吸 breath ; respiration
呼吸困难 difficulty in breathing ; dyspnea
呼吸短促 be short of breath ; shortness of breath ;be short-winded; be out of breath ; lose one's breath
深呼吸 breathe deeply
叹息 sigh ; draw a long breath
喘息 pant
端坐呼吸 orthopnea
劳动时呼吸困难 exertional dyspnea ; difficulty in breathing on exertion( physical activity)
夜间呼吸困难 nocturnal dyspnea
呼吸快速 tachypnea ; rapid breathing
喘呜 wheeze ; wheezing
打喷嚏 sneezing ; sneeze
打嗝 hiccup (hiccough) ; singultus
咳嗽 cough
阵发性咳嗽 have a fit of coughing ; have a paroxysmal
清喉 clear the throat
乾咳 dry cough ; hacking couth ; nonproductive cough
有痰咳 productive cough ; cough with sputum
喀痰 sputum ; phlegm ; expectorate
喀血 hemoptysis ; bloody expectoration
粘喀痰 viscid (tenaceous ; thick ) sputum
浓喀痰 frothy sputum
泡沫状喀痰 mucoid sputum
脓性喀痰 purulent sputum
血性喀痰 bloody sputum
混血喀痰 blood-streaked sputum
绿色喀痰 greenish sputum
锈色喀痰 rusty sputum
感冒 common cold
流形性感冒 influenze ; flu ; grippe
上呼吸道感染 upper respiratory infection (U.R.I.)
胸膜炎 pleruisy
气喘 asthma
心悸 palpitation
悸动 palpitate ; throb
脉搏暂停 pause in the pulse ; skipped pulse (heart beat)
速脉 rapid pulse ; tachycardia
徐脉 slow pulse ; bradycardia
高血压 high blood pressure ; hypertension ; hypotension
心脏麻痹 heart attack ; heart failure ; cardiac standstill
狭心症 angina (=angina pectoris)
心脏瓣膜症 valvular disease of the heart ; leaking heart valve (leaky heart)
动脉硬化 hardening of the arteries ; arterioscalerosis
血液循环不佳have a poor circulation of blood
间歇性跛行 intermittent claudication
消化器官系统
食欲不振 a poor (weak or bad) appetite ; no little appetite ; loss (lack or decrease) of appetite ; anorexia
食欲增进 increase (improvement) of appetite
无食欲 have no (little ; a poor) appetite
食欲旺盛 have a strong (voracious) appetite
丧失食欲 lose one's apptite
空腹 an empty stomach
咀嚼 chewing ; mastication
吞咽 swallow gulp
吞咽困难 difficulty in swallowing ; dysphagia
嗳气 打噎 belching ; eructation
打酸噎 sour eructation
心灼热 heatburn ; pyrosis ; water brash
逆流 regugitation
恶心 nausea ; retch ; heaving ; nauseous feeling ; sickly feeling
感到恶 feel nausea (nauseous, nauseated, sick,queasy) ; retch ; heave ; feel like vomiting
呕吐 vomiting ; emesis ; vomit ; throw up ; bring up ; spew
呕吐物 vomit ; vomitus; vomited matter
咖啡渣 coffee-grounds
消化 digestion
消化不良 indigestion ; dyspepsia
腹部饱胀 abdominal distention ; bloating ; flautulence; meteorism; gassiness
腹鸣 borborygmus ; gurgling ; growling ; rumbling
黄疸 jaundice ; icterus
腹水 ascites
通便 bowel movement ; bowel habit ; pass stools ; move one's bowels ; defecate ; evacuate the bowels ;
下痢 diarrhea ; loose bowels ;
便秘 constipation
水状watery stool (feces)
血状 bloody stool
柏油状 tarry stool
泥状 mushy stool
软状 loose stool
硬状 hard stool
呈固状 formed stool
呈半固状 semiformed stool
大便失禁 fecal incontinence
放屁pass gas ; pass wind ; pass flatus
泌尿与生殖器官系统
排尿 urination ; micturition ; pass(void) urine ; urinate ; micturate
尿意 urge (desire ) to urinate
尿急 urinary urgency
频尿 urinary frequency
夜间频尿 frequent urination during the night ; nycturia
多尿 polyuria
少尿 oliguria
无尿 anuria
排尿困难 difficulty in urination ; dysuria
闭尿 urinary retention
尿失禁 urinary incontinence
夜间多尿 nocutria
夜尿症 bed-wetting ; enuresis
混浊尿 cloudy (turbid) urine
血尿 bloody urine ; hematuria
性欲 sexual desire ; libido
性交 sexual intercourse ; coitus ; coition
杨萎 impotence
勃起 erection
射精 ejaculation
早泄 premature ejaculation
遗精 pollution
梦遗 nocturnal pollution(emission); wet dream
包茎 phimosis ; tightening of the foreskin (prepuce)
割礼 circumcision
性病 veneral disease (V.D.)
月经 menstruation ; menses ; periods ; menstrual periods
初潮 menarche ; onset of menses
停经 menopause
更年期 climacteric ; changeof life
痛经 dysmenorrhea ; painful menstruation
无月经 amenorrhea ; missed periods
月经过多 menrrhagia ; hypermenorrhea ; excessive bleeding; excessive flow
白带 vaginal discharge
阴道出血 vaginal bleeding
少量时 yaginal spoting
子宫出血 metrorrhagia ; uterine bleeding
妊娠 pregnancy ; conception
怀孕 conceive ; be pregnant
不妊 sterility ; barrenness ; infertility ; inability to conceive
流产 abortion ; miscarriage ;
人工流产induced abortion
避孕contraception; birth control
避孕药 contraceptive
阵痛 labor
生产 分娩 childbirth ; delivery ; give birth to ; be delivered
坐月子 childbed ; confinement; pueriperium ; puerperal period
孕吐 morning sickness ; nausea and vomiting of pregancy
骨关节与肌肉系统
脱臼 joint ; dislocation ; be dislocated be out of joint ; be put out of joint
扭伤 sprain
挫伤 sprain (twist ; wrench )
关节炎 arthritis
风湿症 theumatism
痛风 gout (gaut)
关节痛 arthralgia ; joint pain
变形 deformity
骨折 fracture
石膏 cast ; plaster of Paris
义腿(肢) artificial limb
肌肉痛 muscle pain ; myalgia ; sore muscle
扭筋 strain ; sprain
肩坚硬 stiffness in a shoulder ; a stiff shoulder ; a cramp in the calf ; leg cramp
抽筋 have a cramp ; be cramped
肌肉压痛 tenderness of muscle ; muscular tenderness
精神与神经系统
意识混浊 clouding of consciousness
丧失意识 loss of consciousness ; unconsciousness
恢复意识 recover consciousness
昏厥 fainting ; syncope
昏睡 soma
昏迷 stupor
嗜睡somnolence ;sleepiness; drowiness ; lethargy
错乱 confusion ; distracted ; distraught
胆妄的 delirious
幻觉 hallucination
痉挛 convulsion ; cramp ; spasm
癫痫 epilepsy
半身不遂 be paralyzed on one side ; become hemiplegic
肌无力 muscular weakness
步行困难 difficulty in walking
说话不清 speak thickly
蹒跚 stagger ; reel ; falter ; walk zigzag ; walk with an unsteady gait; reel along
肌肉萎缩 atrophy of muscle
左手性 left-handedness
右手性 right-handedness
运动失调 ataxia
无感觉 loss of sensation ; numbness ; anesthesia
失去感觉 become numb ; loss sensibility
知觉过敏 hypersthesia
知觉迟钝 hypesthesia
知觉异常 paresthesia
神经质 nervousness ; sensitive ; touchy
神经衰弱 nervous breaksown
意志消沉 depressed ; in low spirits
情绪佳 in good mood ; cheerful ; euphoric
情绪不稳定 unstable ; labile capricious
易受刺激 excitable ; easily excited ; irritable
不安的 anxious ; apprehensive ; uneasy
内向的人 introvert
外向的人 extrovert
健忘 be forgetful ; have a poor memory
漠不关心 indifferent ; nonchalant ; unconcerned
自卑感 inferiority complex
歇斯底里病 hysteria
眼耳鼻咽喉
视力丧失 lose one's sight 9eyesight) ; become blind
失明 loss of vision ; blindness
视力减退 impairment of visual acuity ; impaired vision ; fogglness (dimness) of vision ; poor (defective) vision ; blurring
近视 near-sightedness ; myopia myopy
远视 far-sightedness ; hypermetrope ; hyperope
折射异常 refractive error
乱视 astigmatism
斜视 strabismus ; squint
复视 diplopia ; double vision
夜盲 night-blindness ; nyctalopia
盲点 scotoma ; blind spot
眼睛疲劳 eyestrain
流泪过多 overflow of tears
异物感foreign body sensation ; a feeling of something ; grittiness ; sandiness
怕光 photophoia ; abnormal intolerance of light ; inability to stand light
结膜炎 conjunctivitis
砂眼 trachoma
听力减退 impaired hearing ; decreased hearing ; loss of hearing
重听 be hard of hearing
耳聋 deaf
耳鸣 ringing of ears ; tinnitus
耳痛 earache ; otalgia
耳垢 cerumen ; erawax ;
中耳炎 otitis media ; inflammation of the middle ear
流鼻水 snivel ; run at the nose ; have a running nose ;
鼻伤风 sniffles ; snuffles ; head cold ; coryza
擤鼻涕 blow the nose ;
鼻声 a nasal voice
鼻塞 nasal obstruction ; nasal stuffiness ; nasal blockage ; nasal congestion
鼻出血 nosebleed ; bleeding from the nose ; nasal hemorrhage ; epistaxis
鼻炎 rhinitis
扁桃 tonsil
扁桃炎 tonsillitis
齿痛 toothache
蛀齿 decayed tooth ; dental caries ; tooth caries ; tooth cavity
义齿 an artificial tooth
装假牙 wear false teeth (a denture)
无齿 toothless ; edentulous
掉齿 lose a tooth ; come out
拔齿 pull out ; extract a tooth
齿龈 gums ; gingiva
皮肤
发疹 eruption ; rash ; exanthema ; exanthem
湿疹 eczema
荨麻疹 urticaria ; hives
胎记 birth mark(红斑)
青斑 bruise
黑斑 mole
水泡 welt ; wheal ;wale
头皮屑 dandruff ; scurf
痂 scab ; curst ; slough
丘疹 pimple ; acne
香港脚 athlete's foot ; ringworm of the feet
痱子 prickly heat ; heat rash
龟裂 chaps ; cracks
糜烂 sore ; erosion ; festering
疣 warts
冻疮 chilblain ; festering
尿布疹 diaper rash
黄癣 favus ; scaldhead
脓泡 impetigo
雀斑 freckles
晒斑 sunburn
骚养 itching ; pruritus
骚养伤 scratch
生脓 fester ; form pus ; suppurate
渗出 exude ;ooze ; weep
股擦伤 have a thigh sore (chafing in the groin)
脱毛 loss of hair ; falling-out of hair
多毛症 hirsutism
无毛 hairless ; bald ;
秃头 baldness ; bald- headedness
秃头症 alopecia
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