Anonymous
Anonymous asked in 健康其他:保健 · 1 decade ago

急 病歷翻譯 不要用電腦翻

主訴

Left side weakness was noted for 3~4 days.

病史

This 69-year-old female a case of DM, HTN, and left hemispheric hemorrhage

Left side weakness was noted for 3~4 days, so she was brought to our ER.

The physical examination showed clear consciousness, dizziness, vertigo, easy chocking, right facial palsy, and right limbs weakness & numbness. The brain CT was performed, which showed left hemispheric hypo dense lesion, Under the impression of left hemispheric infarct, HTN, and DM, she was admitted on. Sep, 20, 2010 for further evaluation and management

拜託各位學姐幫忙了,真的有很多地方看不懂,而且自己翻完之後還是覺得有很多地方怪怪的。

請不要用電腦翻,翻出來會很奇怪,拜託了!

1 Answer

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  • 1 decade ago
    Favorite Answer

    主訴

    左側(肢體)無力約三至四天。

    病史

    這個六十九歲女性,為糖尿病、高血壓及左側大腦出血的患者。

    左側(肢體)無力約三至四天,因此被帶到本院急診。

    理學檢查顯示:意識清楚,頭暈,暈眩,容易嗆到,右側顏面麻痺,及右側肢體無力和發麻。

    腦部電腦斷層顯示左側大腦有低密度病灶。

    在臆斷為左側大腦梗塞、高血壓、及糖尿病之情況下,於2010年九月二十日被收入本院,以接受進一步的評估和處置。

    ◎題外話:頭暈,暈眩,容易嗆到,不應該寫在理學檢查所見。右側顏面麻痺,及右側肢體無力和發麻,應該用腦神經檢查、肌力檢查及感覺檢查來表示比較妥當。

    Source(s): 我的經驗
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