asked in 健康疾病與處置癌症 · 1 decade ago

保險理賠用,四句-耳鼻喉科病歷翻譯15點。

病史 第一句:

Due to traffic accident, soreness over whole body was noted, so Pt drinked alcohol occasionally.

第二句:Pt suffered from sorethroat & odynophagia 3-4 days, esp LT side and dysphagia for 1-2 days.

第三句:

At ENT OPD, fiberscope revealed epiglottitis : hyperemic swelling & bil pyriform sinus: swelling & orifice of esophagus : swelling, then acute epiglottitis & acute esophagitis & r/o esophageal Ca & r/o deep neck infection were impressed.

第四句:

Immediately, she was admitted today for further evaluation and treatment.

請教相關醫護人員,以上病史的發炎,是屬因體內疾病造成的發炎,還是體外的飲品食物進入後造成的發炎,或是哪一種可能性最大?

Update:

只有四句,請多幫忙,謝謝。

Update 2:

請教小綺網友:

『急性會厭炎』併『急性食道炎併潰瘍』,是否因飲酒造成的可能性最大?

另有可能是細菌病毒感染造成的嗎?

1 Answer

Rating
  • 1 decade ago
    Favorite Answer

    1.因為車禍造成全身疼痛不適,所以病患偶爾會喝酒。

    2.病患喉嚨痛及感到呼吸困難約3-4天.特別是左側.且半有吞嚥困難的情形

    3.在耳鼻喉科門診使用內視鏡顯示有會厭炎:有充血.腫脹.及雙側竇室成梨型(腫起之意思)

    食道也腫脹且有出現穿孔~故為急性會厭炎及食道炎~也懷疑為食道癌或深部的頸部感染.

    4.所以他(病患)今天馬上就入住病房評估病情並治療

    翻譯不佳請多見諒~~盡力了

    2009-09-09 12:20:42 補充:

    恩~就我所知可能還是比較偏向於服用刺激性食物~如酒精等會比較常見~因為多數病患發炎會造成所謂的紅腫熱痛等~但還不至於會造成穿孔潰瘍~

    Source(s): 我~, 我~醫護人員
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