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Yan Ru asked in 社會與文化語言 · 8 years ago

懇請醫學人士幫忙>_____< (病例翻譯)

已經查完了一些 但有些查不到就看得好亂

懇請醫學人士幫個忙 >_____<

主訴

 desaturation.BP decrease and limbs cyanosis were notice tonight at RCW

病史

 **Present illness:

 According to family,this 68 y/o female patient was a case of Long term RCW respiratory failure s/p tracheostomy with ventilator dependent and admitted at RCW for chronic care. She had history of 1.DM 2.CKD 3.Old MI. This time, she suffered from SOB with desaturation, BP decrease anf limbs cyanosis were notice tonight at RCW, she was transfer to ICU for further management. On arrival ICU, PE revealed E2M3Vt, facial swelling(+), BP:151/31 mmHg under gipamin keep BP, BS:crackle in both lungs, SPO2:90% under FiO2:60% support, HR:IRHB,abdomen:soft, NG tube for feeding, hypoactive boel sound,EXT:legs amputation, Under the impression of 1.Septic shock 2.Ventilator associated pneumonia with parapneumonic effusion 3.Acute on CKD 4.DM 5.Long-term respiratory failure s/p tracheostomy with ventilator dependent, she was admitted for further evaluation and management.

 **Past History:

1.Necrotizing fascitis, R’t leg s/p above knee ampulation on 102-02-08

2.Acute myocardial infaction (2 VD)with cardiogenic shock s/p percutaneous coronary intervention with stent&percutanecus coronary intervention(101,09.05) in LM,LAD,LCX.

3.Acute ischemic infaction, twice(Brain stem)

4.Chronic kidney disease, stage 2-3

5.Peripheral arterial occlusive disease

6.Necrotizing fasciitis, left leg s/p AK amputation(2012 0530)

7.Type 2 diabetes mellitus with poor control

8.Complicated urinary tract infection.

9.Paroxysmal atrial fibrillation.

10.Tracheostomy on 101*6-25

拜託各位了 ~"~

Update:

我都單字單字翻譯過後看的很茫然 請各位大師幫幫忙了:(

希望可以是翻譯後看得懂得不會是翻譯軟體的文章 ~"~

Update 2:

超級感謝Majestas 大師您!!!!!!!!!

縮寫都懂意思,但英文真的太差了...........

結果都看的懂單字.縮寫但不會整段翻譯 >_____<

想以你當最佳回答但在意見那邊怎麼選擇呢QQ

7 Answers

Rating
  • 8 years ago
    Favorite Answer

    Yan Ru, 您好!我在嘗試盡量替您翻一翻,希望能給您一點幫助吧!

    According to family,this 68 y/o female patient was a case of Long term RCW respiratory failure s/p tracheostomy with ventilator dependent and admitted at RCW for chronic care.

    根據過往的病史,這位68歳的女病人是需要長期在「呼吸照護病房」留院的病例。有氣管切開手術失敗的前科;患有呼吸衰竭,現時要依賴呼吸機。

    2013-08-31 03:09:37 補充:

    She had history of 1.DM 2.CKD 3.Old MI. This time, she suffered from SOB with desaturation, BP decrease anf limbs cyanosis were notice tonight at RCW, she was transfer to ICU for further management.

    她曾經患過的病史有1.糖尿病、2.慢性腎衰竭,3. 心肌梗塞舊患。這一次,她承受了呼吸短促、血壓下降、脫氧和四肢發紺等病變,被轉移到深切治療部作進一步治療。

    2013-08-31 03:15:52 補充:

    Sorry 喔!現在已經是深夜三時多啦!明天待續,〇kay? ^_~

    當然超感恩Majestas大師的仗義幫助...

    2013-08-31 14:29:27 補充:

    On arrival ICU, PE revealed E2M3Vt, facial swelling(+), BP:151/31 mmHg under gipamin keep BP, BS:crackle in both lungs, SPO2:90% under FiO2:60% support,

    在送抵ICU緊急病房時,病人的格拉斯哥昏迷指數顯示為:E2M3Vt ( 無說話反應;眼睛反應是2分;動作反應為3分),面部呈現浮腫,血壓為151/31mm( 心跳規律異常低於維持血壓),兩邊肺部有壓力裂化雜音,動脈血氧飽和度為2:90%;吸氧維持部份低於2:60%,

    2013-08-31 15:55:02 補充:

    HR:IRHB,abdomen:soft, NG tube for feeding, hypoactive boel sound,EXT:legs amputation. Under the impression of 1.Septic shock 2.Ventilator associated pneumonia with parapneumonic effusion 3.Acute on CKD 4.DM 5.Long-term respiratory failure s/p tracheostomy with ventilator dependent, she was admitted

    2013-08-31 15:57:09 補充:

    for further evaluation and management.

    關連性視網膜內出血;腹部柔弱。尚未接受插管喂飼,呈現硼化活動減退,要採用截肢手術。處於徵狀如下:1. 敗血性或感染性休克, 2.伴隨併發性肺炎的胸腔積液(危機),3. 處於急性臨界殺菌稀釋度,4. 分米(診斷監視器),5. 有長期呼吸衰竭前科和因肺炎併發的胸腔積液;需依賴通風機。她的批示為:「需要作進一步的評估批示和醫療護理。

    2013-08-31 16:00:57 補充:

    附註解釋:1. Hr [=blood factor related to Rh] 與Rh有關的血型因子

    2. IRH [=institute for research in hypnosis]催眠研究所 [=intraretinal hemorrhage]視網膜内出血

    3. NG= Did not receive therapy or drug for 對...未接受治療或藥物

    4. Ext [=extraction]摘出手術、拔出、取出

    5. septic shock: 敗血症性休克,感染性休克,膿毒性休克

    6. ventilator 【医】 通風機

    2013-08-31 16:26:23 補充:

    7. pneumonia n. 肺炎

    8. parapneumonic effusions 併發於肺炎的胸腔積液

    10. CKD [=critical kill dilution] 臨界殺菌稀釋度

    11. DM 醫學博士、診斷監視器、頻分多路技術【医】 分米

    12. respiratory failure【医】 呼吸衰竭

    13. evaluation 評估

    2013-08-31 16:59:11 補充:

    **Present illness:

    According to family,this 68 y/o female patient was a case of Long term RCW respiratory failure s/p tracheostomy with ventilator dependent and admitted at RCW for chronic care.

    目前病歷: 根據過往的病史,這位68歳的女病人是需要長期在「呼吸照護病房」留院的病例。有氣管切開手術失敗的前科;患有呼吸衰竭症,現時要依賴呼吸機。

    She had history of 1.DM 2.CKD 3.Old MI. This time, she suffered from SOB with desaturation, BP decrease anf limbs cyanosis were notice tonight at RCW, she was transfer to ICU for further management.

    她曾經患過的病史有1.糖尿病、2.慢性腎衰竭,3. 心肌梗塞舊患。這一次,當晚"呼吸照護病房"關注到她承受著呼吸短促、血壓下降、脫氧和四肢發紺等病變,被轉移到深切治療部作進一步治療。

    On arrival ICU, PE revealed E2M3Vt, facial swelling(+), BP:151/31 mmHg under gipamin keep BP, BS:crackle in both lungs, SPO2:90% under FiO2:60% support,

    在送抵ICU緊急病房時,病人的格拉斯哥昏迷指數顯示為:E2M3Vt ( 無說話反應;眼睛反應是2分;動作反應為3分),面部呈現浮腫,血壓為151/31mm( 心跳規律異常低於維持血壓),兩邊肺部有壓力裂化雜音,動脈血氧飽和度為2:90%;吸氧維持部份低於2:60%,

    HR:IRHB,abdomen:soft, NG tube for feeding, hypoactive boel sound,EXT:legs amputation. Under the impression of 1.Septic shock 2.Ventilator associated pneumonia with parapneumonic effusion 3.Acute on CKD 4.DM 5.Long-term respiratory failure s/p tracheostomy with ventilator dependent, she was admitted for further evaluation and management.

    關連性視網膜內出血;腹部柔弱。尚未接受插管喂飼,呈現硼化活動減退,要採用截肢手術。處於徵狀如下: 1. 敗血性或感染性休克, 2.伴隨併發性肺炎的胸腔積液(危機),3. 處於急性臨界殺菌稀釋度,4. 分米(診斷監視器),5. 有長期呼吸衰竭前科和因肺炎併發的胸腔積液;需依賴通風機。她的批示為:「需要作進一步的評估批示和醫療護理。 附註解釋:1. Hr [=blood factor related to Rh] 與Rh有關的血型因子

    2. IRH [=institute for research in hypnosis]催眠研究所 [=intraretinal hemorrhage]視網膜内出血

    3. NG= Did not receive therapy or drug for 對...未接受治療或藥物

    4. Ext [=extraction]摘出手術、拔出、取出

    5. Septic shock: 敗血症性休克,感染性休克,膿毒性休克

    6. Ventilator 【医】 通風機

    7. Pneumonia n. 肺炎

    8. Parapneumonic effusions 併發於肺炎的胸腔積液

    10. CKD [=critical kill dilution] 臨界殺菌稀釋度

    11. DM 醫學博士、診斷監視器、頻分多路技術【医】 分米

    12. Respiratory failure【医】 呼吸衰竭

    13. Evaluation 評估

    圖片參考:http://imgcld.yimg.com/8/n/AD05634470/o/2013083116...

    ★ * ★.. .*★ *. *..*     ★ ╱◥█◣ ╱◥█◣ |田|田||田|田| ╬╬╬╬╬╬╬╬╬╬╬╬╬╬十一 ∩∩∩∩∩∩∩∩∩∩∩∩∩∩∩∩∩

    2013-08-31 17:15:26 補充:

    以上內容謹供參考。

    ★★★特別感恩 Master Majestas的無私貢獻,致敬、致謝!★★★

    2013-08-31 17:22:49 補充:

    http://dict.51daifu.net/

    醫網打盡---詞典搜索,中英文在線醫學詞典(可以在百度一首內尋找)

    2013-08-31 19:32:16 補充:

     **Past History:

    1.Necrotizing fascitis, R’t leg s/p above knee ampulation on 102-02-08

    過往病史:

    膝蓋以上截肢手術後的壞死性筋膜炎,注入:101-02-08倍濃縮的青-鏈霉素儲存液。

    2.Acute myocardial infaction (2 VD)with cardiogenic shock s/p percutaneous coronary intervention with stent&percutanecus coronary intervention(101,09.05)

    2013-08-31 19:33:08 補充:

    in LM,LAD,LCX.

    有急性心肌梗塞、冠心性休克等前科(2級),以及經皮膚動脈注射作介入性支架替換(冠狀動脈左旋支)。部位如下: 下位運動神經、左肩背前位,注入:101,09.05倍濃縮的青-鏈霉素儲存液。

    3.Acute ischemic infaction, twice(Brain stem)

    急性缺血性梗塞,兩次腦幹梗死(假死)

    4.Chronic kidney disease, stage 2-3

    有第二至三期的"慢性局部缺血"病況

    2013-08-31 19:50:04 補充:

    5.Peripheral arterial occlusive disease

    周圍動脈閉塞(性)疾病

    6.Necrotizing fasciitis, left leg s/p AK amputation(2012 0530)

    左大腿截肢部位有"壞死性筋膜炎"前科,(2012 0530)大概是日期吧?

    7.Type 2 diabetes mellitus with poor control

    2型糖尿病以及肢體控制不良

    8.Complicated urinary tract infection.

    重複感染泌尿道炎症

    2013-08-31 19:59:22 補充:

    9.Paroxysmal atrial fibrillation.

    陣發性心房䊹顫抖動

    10.Tracheostomy on 101*6-25

    於101*6-25作了氣管切開造口術

    個別醫用詞解:

    1. Necrotizing fascitis 壞死性筋膜炎

    2. amputation 截肢(手術)、切斷、切除

    3. cardiogenic shock【医】 心原性休克

    4. percutaneous 經皮膚的

    5. coronary 冠心性

    6. VD 性病, 花柳病

    7. LM [=lower motor ] 下位運動神經

    2013-08-31 20:00:17 補充:

    8. LADA [=left acromiodorso] 左肩背前位

    9. LCX [=left circumflex coronary artery]冠狀動脈左旋支

    10. stent&...支架替換

    11. 101,09.05 「100x concentrated penicillin-streptomycin stock mixture」一百倍濃縮的青-鏈霉素儲存液

    12. Brain Stem 腦幹

    13. ischemic infarct 缺血性梗塞

    14. chronic 慢性的、長期性的

    15. ischemic a. 局部出血的、局部貧血的、【医】 局部缺血的

    2013-08-31 20:00:54 補充:

    16. peripheral arterial occlusive disease 周圍動脈閉塞(性)疾病

    17. necrotizing fasciitis 壞死性筋膜炎

    18. ak amputation 大腿截肢,膝上截肢

    19. diabetes mellitus (拉)糖尿病

    20. urinary tract 尿路,泌尿道

    21. paroxysmal atrial 陣發房性

    22. atrial fibrillation 心房䊹顫抖動

    23. tracheostomy 氣管切開術、氣管造口術

    2013-08-31 20:03:48 補充:

    Huh, 終於完成了,哈哈!弄得我頭耶大..Good luck to you and I!

    ..../\„,„/\

    ...( =';'=)

    .../**..**\

    .(.|.|..|.|.I..) ღ(。◕‿◠。)ღ...

    2013-08-31 23:52:38 補充:

    請先copy參考內容,稍後刪答,謝謝!

    2013-09-01 15:54:52 補充:

    Dear Master Majestas

    Thanks once and again for your kindly advices, 感動ing....... ^_~

    其實我只是個小角色,可不是甚麼大師啦!請多多指教,哈哈!

    To Yan Ru,

    不好意思喔!請參照Majestas大師的意見內容,修改一下....家裡的TP-LINK壞

    了,所有相關的電子產品也無法正常連線上網哦!〒▽〒 哭ing.......

    Source(s): Yoyo
  • Anonymous
    8 years ago

    女朋友放不開就買.春藥讓她發浪!

    性冷感嗎?讓妳馬上變蕩婦!!!

    你還在等什麼?快來本站

    http://17known.com/

  • 8 years ago

    謝謝各位大師們的意見和回答 真的真的真的感激不盡!!!!!!!!!!!!!!!!!

    除了了解整篇病例還另外學到了好多東西!!!!!!!!!!!!!!!!!!!

    百分千分萬分感謝各位相救>__________

  • 8 years ago

    原文有錯字還有許多不正確的文法...翻譯僅供參考還必須參考實際狀況...請別做訴訟用途

    主訴:

    今晚在呼吸照護病房被發現動脈血氧不足.血壓下降.肢發紺

    現在病史:

    根據家屬陳述.這位68歲女性病患是一個長期住在呼吸照護病房有呼吸衰竭做過氣管切開手術依賴呼吸器呼吸的病患...她的過去病史有1.糖尿病2.慢性腎臟疾病3.陳舊性心肌梗塞...這次的狀況是-今晚她在呼吸照護病房出現呼吸困難而且被發現有動脈血氧不足.血壓下降和肢發紺.她被轉進加護病房做進一步治療...她被送達加護病房時.身體理學檢查顯示昏迷指數為5T(一般E2代表給予疼痛刺激會無意識或有意識睜眼.M3代表給予疼痛刺激上肢會彎曲或/及下肢會伸直.Vt代表使用氣切瘻管無法出聲).臉部有輕微腫脹.血壓在使用腎上腺素滴注時量得151/31毫米汞柱.肺音聽診吸氣時雙肺有劈啪聲.經呼吸器提供60%濃度氧氣通氣時動脈血氧飽和度是90%.有不規則心跳.腹部觸診是柔軟的.飲食是使用鼻胃管灌食.聽診發現腸音較弱.雙腿截肢過...在感覺是1.敗血性休克2.呼吸器依賴性肺炎併發肋膜積水3.慢性腎臟疾病合併急性發作病症4.糖尿病5.慢性呼吸衰竭氣管切開術後呼吸器依賴病症.等狀況下她被收入加護病房以進一步評估和治療

    過去病史:

    1.壞死性筋膜炎.右腿膝上截肢 102-02-08

    2.急性心肌梗塞(兩條血管病灶)併發心因性休克做過左邊緣枝.左前降支.左迴旋支三條血管經心導管支架植入術(101.09.05)

    3.急性缺血性梗塞(腦幹部位)

    4.慢性腎臟疾病第2-3期

    5.肢動脈堵塞性疾病

    6.壞死性筋膜炎.左腿膝上截肢 102-05-30

    7.第二型糖尿病併血糖控制不良

    8.有併發症之泌尿道感染

    9.陣發性心房顫動

    10.氣切造瘻術101.06.25

    2013-09-02 18:13:41 補充:

    抱歉...訂正兩個已發現的錯誤

    E2代表給予疼痛刺激會無意識睜眼 .

    血壓在使用升壓劑多巴胺滴注時量得151/31毫米汞柱

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  • 8 years ago

    為什麼台灣的醫師要寫英文?

  • 8 years ago

    Majestas 大師鼎力相助,真是大好人,

  • 8 years ago

    醫學生才可幫助你,但你需要提前知道:例如

    BP = blood pressure血壓

    RCW = respiratory care ward 呼吸照護病房

    68 y/o = 68歲

    s/p = status post 有前料

    1.DM = diabetic mellitus糖尿病

    2.2.CKD = chronic kidney failure慢性腎衰竭

    3.3.Old MI = myocardial infarction(舊患)心肌梗塞

    SOB = shortness of breath 呼吸短促

    2013-08-29 12:43:45 補充:

    On arrival ICU, PE revealed E2M3Vt

    在抵達重症監護病房(ICU) 時,病人的格拉斯哥昏迷指數 (GCS)是E2M3Vt :

    E2 = 眼反應2分:有刺激或痛楚會睜眼

    M3 =運動反應3分:對疼痛刺激有反應,肢體會彎曲

    V = 說話反應 t分:氣管切開無法正常發聲。

    2013-08-29 12:52:20 補充:

    如果沒有醫學生幫你,

    你可將我給你的完整英文字詞,代替縮寫字,

    然後全文貼上谷歌的翻譯機上。

    2013-08-29 13:02:11 補充:

    最後:

    HR:IRHB

    這可能代表heart rate: Irregular heart beat

    心跳:不規則的心跳

    N/G tube = nasogastric tube鼻胃管

    LM, LAD, LCX = 這是左邊三條冠狀動脈的名字縮寫

    2013-08-29 18:13:35 補充:

    據家人表示,這名68歲的女病人是呼吸照護病房中的長期病例,患呼吸衰竭和有氣管切開前例,現依賴呼吸機,並留院住在呼吸照護病房作慢性護理。她病史有1. 糖尿病,2.慢性腎衰竭,3. 之前曾心肌梗塞。這一次,呼吸照護病房今晚注意到她有血壓下降和脫氧,四肢發紺,和呼吸急促,她被轉移到重症監護病房作進一步治理。

    2013-08-29 18:18:55 補充:

    [祝您和家人身體健康。]

    2013-08-30 12:30:52 補充:

    PE = physical examination身體檢查

    FiO2 = Fraction of Inspired Oxygen 吸入氧濃度

    SPO2 = Saturation of peripheral oxygen (周邊)血氧飽和

    PaO2 = Partial pressure of oxygen in arterial blood 動脈血氧分壓

    BS = breathing sound 呼吸聲

    Ext = extremities 四肢

    AK amputation = above knee amputation 膝蓋以上截肢

    2013-09-01 10:42:38 補充:

    M Nothing At All 大師也很好,只是

    三個左冠狀動脈:LM = left main artery左主幹, LAD = left anterior descending artery左前降支, LCX = left circumflex artery左迴旋支

    “Boel 聲”應該是bowel sound 腸鳴音。我找不到gipamin 的意思;“VD” 也應該不是性病的意思,也許是 DM2 (2型糖尿病)寫錯了。101, 102, 2012 等應都是年份/日期。

    2013-09-01 10:46:47 補充:

    在抵達重症監護病房,體檢顯示格拉斯哥昏迷指數 (GCS)是E2M3Vt;面部浮腫(+),血壓:151/31毫米水銀柱 [用了gipamin(串錯字?)保持血壓];呼吸音:兩肺有裂聲 (crackle sound);在吸入氧濃度FiO2:60%的供氧下,周邊(即指測)血氧飽和度 SPO2 是:90%;心率:不規則心臟搏動(?筆者想當然);...

    2013-09-01 10:50:11 補充:

    ...腹部柔軟;用鼻飼管餵食;腸活動聲響消減;四肢:雙腿截肢,所得印象:1.敗血性休克,2.呼吸機引致之肺炎,傍肺炎性積水,3.劇發之慢性腎功能衰竭,4.糖尿病,5 .長期呼吸衰竭,前科有因依賴呼吸機導致之氣管造口術;她已經住院作進一步的評估和治理。(完)

    (以編號形式的病史被略過,)

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