Carol asked in 社會與文化語言 · 1 decade ago

求翻譯此段醫學英文(NO 翻譯軟體)! (1)

越詳細越好,本身非醫學系。

來源http://www.ccjm.org/pdffiles/Jneid-1001.pdf

65-YEAR-OLD RETIRED coal miner presented to a tertiary care

center complaining of progressive shortness of breath over the past

4 months. He reported audible wheezing and intermittent cough

productive of scant, thin, yellow sputum but denied fever,chills,

or hemoptysis. He had been diagnosed with“black lung”and

emphysema in 1992 and treated with bronchodilators, with which

he had not been compliant. He also had hypertension and type 2

diabetes mellitus. He said he was up-to-date in his immunizations

for influenza and pneumonia and had never had thromboembolic

disease.

Four months earlier, the patient had begun to experience gross

hematuria. He was diagnosed with rapidly progressive

glomerulonephritis(RPGN) on the basis of a renal biopsy at another

hospital and was treated with cyclophosphamide and high-dose

prednisone (60 mg/day). In the months that followed he was

hospitalized twice for shortness of breath and treated for

community-acquired pneumonia. After his last admission 3 weeks

earlier, he was started on oxygen therapy(2L/minute continuously

per nasal cannula) and transferred to a pulmonary rehabilitation

facility, from which he was discharged 2 days before his current

admission.

The patient quit smoking 4 years ago after a 20 pack-year history.

He worked as a coal miner for 14 years and was disabled by his lung

disease. His current home was in northern Ohio, but he grew up in

rural Appalachia. He said he had not traveled outside the U.S, had not been exposed to tuberculosis, and had never been in the military.

He had an extensive family history of lung disease: his father had

“black lung”and emphysema, and four siblings had died of lung

cancer.

2 Answers

Rating
  • M.J.
    Lv 5
    1 decade ago
    Favorite Answer

    65歲退休煤礦工人來到第三級醫療站並主訴在過去四個多月期間呼吸越來越急促。他說明顯可聽見的喘鳴聲和斷斷續續的咳嗽合併有稀黃痰液但沒有發燒、冷顫或咳血 。1992 年時他被診斷為黑肺病合併肺氣腫且使用支氣管擴張劑來治療, 但他並沒有完整接受治療。他同時也有高血壓和第二型糖尿病。他說他接受最新的流行性感冒疫苗和肺炎疫苗的注射且從未有血栓疾病。

    四個月前, 患者開始有大量血尿。根據在其它醫院所作的腎臟切片檢查, 他被診斷為快速進展性腎絲球腎炎, 使用抗生素與高劑量類固醇(60 mg/day)來治療 。在往後的數個月中, 他兩次因呼吸短促而住院為的是治療社區關聯性肺炎。在他最近一次住院的前三週, 他開始接受氧氣治療(經由鼻管, 每分鐘2公升) 並轉診到呼吸復健機構, 此次住院前兩天他才剛從該機構出院。

    患者抽煙抽了20年後, 四年前開始戒煙。他是一個煤礦工人工作14 年後因肺疾造成他的殘障。他現在住在北俄亥俄州, 但他成長過程是在阿帕拉契郊區 。他說他沒有到過美國之外地區旅行,也沒有暴露或接觸結核病, 更從未從軍。

    他有廣泛的家族肺病病史: 他的父親有黑肺症及肺氣腫, 且有四個兄弟姐妹死於肺癌。

    <PS>tertiary care center : 在美國是指第三級醫療照護單位, 相當於台灣所通稱的 "醫學中心"

    Source(s): 醫護人員
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  • 1 decade ago

    65-YEAR-OLD 退休了煤礦工人被提出對一三重關心中心訴說呼吸的進步不足在過去4 個月期間。他報告了可聽見喘息和斷斷續續的咳嗽有生產力缺乏, 稀薄, 黃色唾沫但denied 熱病、冷顫, 或hemoptysis 。1992 年他是被診斷的with"black lung"and 氣腫和對待了與支氣管擴張劑, 他不是服從。他並且有高血壓和型2 糖尿病mellitus 。他說他是最新在他的免役為流行性感冒和肺炎和從未有thromboembolic 疾病。四個月更加早期, 患者開始體驗總血尿。他被診斷了以迅速地進步glomerulonephritis(RPGN) 根據一個腎臟切片檢查法在其它醫院和被對待了與cyclophosphamide 和高藥量強體松(60 mg/day) 。在月, 隨後而來他兩次住醫院為呼吸的不足和被對待了為社區被獲取的肺炎。在他的前入場以後3 個星期及早, 他連續開始了在氧氣therapy(2L/minute 每鼻導管) 和轉移了到一個肺康復機構, 從他被釋放2 天在他當前的入場之前。患者放棄抽煙4 年前在20 包裝年歷史以後。他服務作為一個煤礦工人14 年和由他的肺病失去了能力。他當前的家是在北俄亥俄, 但他長大在農村Appalachia 。他說他未旅行在美國之外, 未被暴露在結核病, 和從未是在軍事。他有肺病的廣泛的家史: 他的父親有"黑lung"and 氣腫, 並且四兄弟姐妹死了於肺癌。

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