22 asked in 社會與文化語言 · 1 decade ago

翻譯~快幫我~胸腔科 謝謝大家啦~~~^^

醫矚

Diagnosis(1):lung cancer,RLL,squamous cell carcinoma,T4N3M1 stage

IV

Diagnosis(2):r/o SVC

Diagnosis(3):obstructive pneumoniae

Diagnosis(4):normocytic anemia

入院紀錄

主訴(chief complaint)

Right chest pain for 2 days

現在病症(present illness)

This 53y/o male is a patient of

1.lung cancer,squamous cell carcinoma,stage IV,T4N3M1,currently.

2.r/o SVC syndrome

3.esophagitis,GrIII,related radiotherapy

4.left pelvic port-A obstruction S/Pre-implantation

his lung cancer was diagnosed on 95/4/18 and started CCRT since5/1

chemotherapy with taxotere+ cisplatin was started on 95/5/1,but he was

still wondering.

Alimta was prescribed since 95/11 and we shifted the regiment to

gemzar since 96/1 due to suspect allergy to alimta.Taxol was prescribed

since 96/3. On 96/6/5,CXR revealed right lower lobe collapse

We applied Tarceva, since 20070626.

He suffered from skin rash and severe with carbuncle

On 96/7/10,the CXRrevealed better with re-open of collapse lung.

But the CXR on 8/21 revealed tumor progressed.

The CT on 9/5 revealed tumor progression with LLL metastesis.

This time,he suffered from right chest pain for 2 days without

significant progressive dyspnea or fever. Due to breathless,he went

to our ER for help.

In our ER,CXRrevaled RLL white out,stationary but leucocytosis.

With the impression of obstructive pneumonea,he was admitted for

further management.

過去病史:

Allergy:nil

Smoking:3PPD for 40 years,quit last year

Alcohol:social(used to be everyday quit)

Betelnut:occasionary,quit

家族史:

No family membrane has been diagnosed to have cancer.

Update:

拜託不要用翻譯網直接翻

翻出來好奇怪唷~

謝謝啦!!!^^

2 Answers

Rating
  • 1 decade ago
    Favorite Answer

    診斷:(1):肺癌,右邊下方肺right lower lung,鱗狀細胞腫瘤,T4N3M1(這應該是CT檢查報告的分類部位),癌症第四期。

    診斷:(2):懷疑是上腔靜脈循環症候群

    診斷:(3):阻塞性肺炎

    診斷:(4):一種血球性的貧血,不知怎麼翻

    入院紀錄

    主訴

    右邊胸部疼痛已有兩天

    現在病症

    這位病人-五十三歲的仁兄

    1

    現在病史是肺癌,鱗狀細胞腫瘤,癌症第四期,T4N3M1

    2.

    懷疑是SVC症候群(起因於腫瘤直接侵犯、從外部壓迫或是血栓的形成,導致SVC所引流來自胸部、頭頸部以及上肢的血流受阻)

    3.食道炎,第三級,相關的放射線治療

    4.

    左邊骨盆人工靜脈血管阻塞,灌輸前

    他的肺癌是在九五年四月十八日被診斷出,五月一日起進行同步放/化療,以及藥物治療taxotere+ cisplatin (治癌藥名),但是他仍然很疑惑(寫這句but he was still wondering.的R,寫的有點怪怪的,不知為何他要醬子寫,你最好去問問他)

    開列處方藥Alimta從九五年十一月起,以及我們從九六年一月起替換成gemzar(藥名),因為懷疑對alimta過敏

    開列處方藥Taxol從九六年三月起,在九六年六月五日胸部x光顯示出右下部肺葉萎陷,我們在2007年六月二十六日起使用Tarceva(上皮增長激素抑制劑)

    他遭受了皮膚紅疹和嚴重的紅斑。在九六年七月十日,胸部x光顯示出萎陷的肺葉重新打開,但是八月二十一日x光卻顯示出腫瘤持持續進行。

    九月五日的斷層攝影顯示出腫瘤擴散到左下肺腺癌,這次他遭受右邊胸部疼痛兩天但沒有明顯的呼吸困難或是發燒。因為呼吸短促所以他到急診。

    在急診的胸部x光顯示出右下肺反白,不增減白血球增多症,

    以及有明顯阻塞性肺炎,他被轉入院治療

    過去病史:

    Allergy:nil

    過敏:無

    Smoking:3PPD for 40 years,quit last year

    吸煙史:一天三包持續四十年,但去年戒掉

    Alcohol:social(used to be everyday quit)

    飲酒:社交(以前是每天,戒了)

    Betelnut:occasionary,quit

    檳瑯:偶而,戒了

    家族史:

    No family membrane has been diagnosed to have cancer.

    家庭中沒有成員有被診斷患過癌症

  • 1 decade ago

    診斷(1) :肺癌, RLL,扁平上皮癌, T4N3M1階段IV診斷(2) :r/o SVC診斷(3) :阻礙pneumoniae診斷(4) :normocytic貧血

    95/11被規定了,并且我們轉移了軍團到gemzar從96/1由於嫌疑的過敏對alimta。Taxol從96/3被規定了。 在96/6/5, CXR顯露了我們申請Tarceva的正確的更低的耳垂崩潰,從20070626。 他遭受了皮疹,并且嚴厲與癰在96/7/10, CXRrevealed與更好再開崩潰肺。 但CXR在8/21顯露了腫瘤進步了 CT在9/5顯露了腫瘤進步與LLL metastesis。 這時他遭受了正確的胸口痛2天不用重大進步呼吸困難或熱病。 由於氣喘籲籲他去我們的ER為幫助 在我們的ER CXRrevaled RLL白色固定式但leucocytosis。 與阻礙pneumonea印象,他為進一步管理被錄取了 過敏零抽煙:3PPD 40年去年放棄了酒精社會(曾經每天被放棄)檳榔子:occasionary,不要放棄膜被診斷有癌症的家庭

    Source(s):
Still have questions? Get your answers by asking now.