asked in 社會與文化語言 · 1 decade ago

醫囑翻譯 急件

Admission Note

Past history:hypopharygneal cancer , T4N3Mo s/p CCRT

Chief complaint:

(1.) This 50-year-old-male businessman eith history of hypopharygneal cancer , T4N3Mo s/p CCRT was admitted via ER because of progressive right facial swelling for 2-3 days.

(2.) About 1year ago ,he started to feeldysphagia, cough with blood tingled sputum and hoarseness, Hypopharygneal cancer was first diagnosed at other hospital on 940310, but the only received herb medication. However, he felt progressive dysphagia with solid food. 1week later,dyspnea with stridor developed, so he was brought to our ER and than transferred to ENT doctor. Fibroscopy showed a mass at right piriform sinus with airway obstruction. Under the impression of hypopharygneal cancer with airway obstruction, emergent tracheostomy was performed. After trachostomy, much sputum was noted. He has received CCRT*3 on 940318,940408 and 940503. The followed head and neck CT scan on 940805 showed marked shrinkage of the original tumor with residuals tumors mainly in the supragolttic area.

有點急 , 自己都翻的怪怪的, 希望專業人士 能幫忙一下 謝謝謝謝謝謝謝毆 !

Update:

這段 ,可以再幫忙一下嗎? 謝謝毆 !

另外 , 這不是真人真事啦 ! 這是報告 , 不是真的病例 !

3. About 1mouth ago ,he was admitted due to the progressive right facial swelling.

Update 2:

The head and neck CT showed recurrent enlargement with central necrosis of the metastastic a lymphadenopathy in the right side of neck,

Update 3:

but there is no recurrent of tumor in the primary origin. He received antibiotics treatment and decam ethas one use for the tumor progression. This time,

Update 4:

he felt swelling and painful over right face about 2-3days ago. Trismus with dysphagia, anorexia, dizziness, mild short of breth and mild cough with sputum was also noted.

Update 5:

He was not extracted his teeth during the recent month, and there was no wound on his face, no fever or chillis.

Update 6:

But there was a wound with clear discharge at his right neck for 2months because spontaneous rupture of right neck tumor nodule. He visited our ER where WBC12400, seg 84.9 and CRP5.83 . Under the

1 Answer

Rating
  • ivan
    Lv 7
    1 decade ago
    Favorite Answer

    您好。這是一份醫生撰寫的﹁入院紀錄︵Admission Note︶﹂,也就是病患相關資料的記載。由於文中涉及諸多醫學專有名詞,攸關人體的特定部位,唯恐直譯不易懂,所以整體意譯,不周之處,請多包涵。另,病患紀錄涉及個人隱私,不宜公開討論,也請配合保障病患隱私。感恩!

    Admission Note

    Past history:hypopharygneal cancer , T4N3Mo s/p CCRT

    ︵病患病史:第四期下咽癌,曾進行放射性合併化療︶

    Chief complaint︵主訴︶:

    (1.) This 50-year-old-male businessman eith history of hypopharygneal cancer , T4N3Mo s/p CCRT was admitted via ER because of progressive right facial swelling for 2-3 days.

    病患五十歲,經商。罹患下咽癌,右臉頰在二至三天腫脹,曾進行必要的放射性合併化療。

    (2.) About 1year ago ,he started to feeldysphagia, cough with blood tingled sputum and hoarseness, Hypopharygneal cancer was first diagnosed at other hospital on 940310, but the only received herb medication. However, he felt progressive dysphagia with solid food. 1week later,dyspnea with stridor developed, so he was brought to our ER and than transferred to ENT doctor. Fibroscopy showed a mass at right piriform sinus with airway obstruction. Under the impression of hypopharygneal cancer with airway obstruction, emergent tracheostomy was performed. After trachostomy, much sputum was noted. He has received CCRT*3 on 940318,940408 and 940503. The followed head and neck CT scan on 940805 showed marked shrinkage of the original tumor with residuals tumors mainly in the supragolttic︵此單字應為supraglottic︶ area.

    約莫在一年前,病患感到吞嚥困難,咳痰帶血,聲音有嘶啞現象。在九十四年三月十日,在其他醫院首度診斷罹患下咽癌,但病人只接受草藥治療。病人爾後進食固體食物,感受更嚴重的吞嚥困難。一週後,因為喉部發出哮鳴,因而到本院的耳鼻科找專科醫師就診,發現在右邊梨狀竇發現阻塞物,因而緊急採取氣切手術,發現更多的痰阻塞。病人在九十四年三月十八日、四月八日與五月三日,三度接受放射性合併化療。九十四年八月五日,對病人的頭、頸部進行電腦斷層掃瞄檢查,顯示原發的腫瘤明顯縮小,但上喉部位仍可見殘留癌細胞。

    2007-11-24 21:58:53 補充:

    約莫一個月前,病患主訴右臉腫脹。經由頭頸部的電腦斷層掃瞄,顯示右頸部的淋巴結有復發細胞脫疽壞死現象。

    所幸,在原發癌處未再復發腫瘤。病患為縮減腫瘤,開始接受抗生素治療。這一回,病患右臉在兩三天前,感受腫脹與痛楚。下顎緊關,伴隨吞嚥困難、食欲不振、昏沈欲眠與輕微的呼吸短促。此外,帶痰的微咳也有所見。

    近月來,病患未曾露出牙齒,但臉部也未見傷口,也沒有再發燒或感到寒慄。

    病患右頸的小瘤節自發破裂,以致傷口有明顯的排液現象持續兩個月。病患後來回診,白血球一萬二千四百,seg八十四點九,creatin protein5.83

    2007-11-24 22:05:32 補充:

    seg是正常分葉的嗜中性球,是白血球的一種,數值偏高代表發炎,數值偏低可能發炎。

    2007-11-24 22:09:38 補充:

    CRP是一種蛋白質,可根據數值高低研判有無發炎、心疾等,但往往須參考其他檢驗項目。

    Source(s): 個人知識, 個人, 個人
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