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請幫我翻譯這份病歷!急須!(20點)

病史:This patient was a victuim of senile demetia with regular PSY OPD F/U.

He had a history of inguinal hernia and COPD.

This time,he was suffered from progressive dyspnea,productive cough,general weakness and malaise,so he visited to our OPD for help.AT OPD,severe dyspnea with diffused wheezing over bilateral lung fields were noted.

Under the impression of COPD with AE,he was admitted for fur ther levaluation and management.

過去病史:denied.

體檢發現:General condition:Ill looking.

General appearance:an elderly ,acute on chronic ill-looking appearance.

Update:

那可以在請問一下病歷的p't con's clear cough,p't以及con's是什麼意思嗎?

抱歉我的問題有點多,不過我真的不太懂,抱歉唷^^"

Update 2:

這樣我把整句打出來好了,

p't con's clear cough 痰多入W32

1 Answer

Rating
  • 卉心
    Lv 7
    1 decade ago
    Favorite Answer

    史:This patient was a victuim of senile demetia with regular PSY OPD F/U.這個病患有失智症有規律的在精神科門診追蹤治療

    He had a history of inguinal hernia and COPD.它的過去病史有腹股溝疝氣及慢性阻塞性肺病

    This time,he was suffered from progressive dyspnea,productive cough,general weakness and malaise,so he visited to our OPD for help.AT OPD,severe dyspnea with diffused wheezing over bilateral lung fields were noted.此次他因呼吸困難,咳嗽,炫暈軟弱無力而到門診就診.在門診時發現他有呼吸困難及聽診兩側的肺葉發覺有嚴重的喘鳴聲及濕囉音

    Under the impression of COPD with AE,he was admitted for fur ther levaluation and management.依據上述診斷及他的過去並使我門將他收入院治療

    過去病史:denied.

    體檢發現:General condition:Ill looking.一般狀態檢查:外觀判斷

    General appearance:an elderly ,acute on chronic ill-looking appearance. 一般外觀檢查:老人的膚色可能因急性或慢性的緣故導致蒼白

    2009-02-01 12:26:04 補充:

    p't 病人的縮寫con's clear意識清醒 cough咳嗽

    但我不清楚你是p't con's clear(病患意識清醒) 還是 clear cough(乾咳)

    因為你斷的很奇怪~~我會認為病患意識請醒並有乾咳的狀態~~會是比較正確的

    2009-02-01 12:26:26 補充:

    p't 病人的縮寫con's clear意識清醒 cough咳嗽

    但我不清楚你是p't con's clear(病患意識清醒) 還是 clear cough(乾咳)

    因為你斷的很奇怪~~我會認為病患意識請醒並有乾咳的狀態~~會是比較正確的

    2009-02-01 19:59:07 補充:

    p't con's clear cough 痰多入W32

    病患意識請醒並有乾咳痰多的狀態收入W32病房治療

    這是你的實習case的資料吧

    用功點~~~查道氏醫療辭典或縮寫手冊就能查到一些資料

    2009-02-01 19:59:28 補充:

    p't con's clear cough 痰多入W32

    病患意識請醒並有乾咳痰多的狀態收入W32病房治療

    這是你的實習case的資料吧

    用功點~~~查道氏醫療辭典或縮寫手冊就能查到一些資料

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