Anonymous
Anonymous asked in 健康疾病與處置其他:疾病 · 1 decade ago

15點 關於闌尾炎的英文文獻 英翻中

以下是我的作業拉

闌尾炎的英翻中

可以幫我訂正我錯誤的地方嗎

Appendicitis

Appendicitis is a condition characterised by inflammation of the appendix. While mild cases may resolve without treatment, many require laparotomy with removal of the inflamed appendix. Untreated, mortality is high, mainly due to peritonitis and shock when the inflamed appendix ruptures.

Causes

It is possible for matter to become lodged in the appendix, leading to bacterial infection, which can cause appendicitis. If the condition is untreated, the appendix can turn gangrenous and can eventually burst, leading to peritonitis, septicemia and eventually death.

Signs, symptoms and findings

The pain of appendicitis usually starts centrally (periumbilical) before localising to the right iliac fossa (the lower right side of the abdomen). There is usually associated anorexia (loss of appetite). Fever is usually present. Nausea, vomiting and diarrhea may or may not occur, but make the diagnosis more likely.

There is typically pain and tenderness in the right iliac fossa. Rebound tenderness may be present suggesting that there is some element of peritoneal irritation. If the abdomen is guarded, there should be a strong suspicion of peritonitis requiring urgent surgical intervention.

Rebound tenderness is a clinical sign resulting from physical examination of the abdomen. Abdominal pain is aggravated by stretching or moving of the parietal layer of the peritoneal membrane. Palpation over the area can be extremely painful, with the overlying muscles contracting to protect the peritoneum. This is a guarding mechanism. Sudden release of pressure by the examining hand aggravates the pain and the patient winces. This sign can be present in many conditions, e.g. appendicitis

闌尾炎

闌尾炎主要是因為闌尾發炎所引起的,少部分的人可不經治療而痊癒,但大多數的人需要經過手術治療,切除發炎的闌尾,如果不經治療,死亡率會大幅提升,主要是因為闌尾破裂會引起腹膜炎跟休克。

病因

引起闌尾炎的主要原因是闌尾管腔受到細菌感染而發炎,若不經治療會引起闌尾壞疽,甚至破裂,繼而引起腹膜炎和敗血症,最終死亡。

徵象與症狀

典形症狀為腹部中央處感疼痛,之後變成右下腹痛(右腸骨處),可能合併有食慾不振(低攝食)和發燒,也有可能會發生噁心嘔吐和腹瀉的情形,但這還不足以診斷為闌尾炎。

如果右下腹部疼痛,同時觸診有壓痛感,加上「反彈痛」,則有可能是腹膜發炎發生,如果再加上腹部肌肉呈現僵硬的表徵時,則可強烈懷疑是闌尾炎所引起的腹膜炎,須立即由外科醫師處理。

Ps:

回縮痛:時是一個執行腹部的身體評估時的臨床徵象,當病人做腹部伸展動作或咳嗽時會牽扯到腹膜繼而感到腹部劇烈疼痛,腹部觸診時也會感到疼痛感加重,而使腹部肌肉收縮呈現僵硬狀態保護腹膜避免再次受到刺激,這是一個機械性的反應。按壓腹部後再突然間將按壓腹部的手收回時,病人會感到更加的疼痛,並產生回縮的動作,此徵象可用來鑑定闌尾炎的標準之一。

1 Answer

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  • 1 decade ago
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    建議如下:

    loss of appetite = 食慾不好,失去食慾

    This is a guarding mechanism = 防衛、保護的機制

    This sign can be present in many conditions, e.g. appendicitis 這個徵候可在一些疾病中出現,例如闌尾炎。

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