住院医生常用英语Word文档格式.docx
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Surgical[外科]Medical[内科]Medications[用药]Allergies[过敏史]
SocialHistory[社会史]Habits[个人习惯]Smoking[吸烟]FamilyHistory[家族史]
Ob/GynHistory[婚姻/生育史]Alcoholuse[喝酒]
ReviewofAystems[系统回顾]
General[概况]Eyes,Ears,Noseandthroat[五官]Pulmonary[呼吸]
Cardiovascular[心血管]GI[消化]GU[生殖、泌尿系统]
Musculoskeletal[肌肉骨骼]Neurology[神经系统]Endocrinology[内分泌系统]
Lymphatic/Hematologic[淋巴系统/血液系统]
PhysicalExam[体检]
VitalSigns[生命体征]P[脉博]Bp[血压]R[呼吸]T[温度]
Height[身高]Weight[体重]General[概况]HEENT[五官]Neck[颈部]
Back/Chest[背部/胸部]Breast[乳房]Heart[心脏]Heartrate[心率]
Heartrhythm[心律]HeartBorder[心界]Murmur[杂音]Abdomen[腹部]
Liver[肝]Spleen[脾]Rectal[直肠]Genitalia[生殖系统]Extremities[四肢]
Neurology[神经系统]cranialnerves[颅神经]sensation[感觉]Motor[运动]
*SpecialP.E.ondiseasedorgansystem[专科情况]*RadiographicFindings[放射]
*LaboratoryFindings[化验]*Assessment[初步诊断与诊断依据]
*Summary[病史小结]*TreatmentPlan[治疗计划]
4、输血申请单[Bloodbankrequisitionform]
（1）reasonforinfusion[输血原因]
▲红细胞[packedredcells,wshedRBCs]:
*Hb<
8.5[血色素<
8.5]
*>
20%bloodvolumelost[>
20%血容量丢失]
*cardio-pulmonarybypasswithanticipatedHb<
8[心肺分流术伴预计血色素<
8]
*chemotherapyorsurgerywithHb<
10[血色素<
10的化疗或手术者]
▲全血[wholeblood]:
massiveon-goingbloodloss[大量出血]
▲血小板[platelets]:
*massivebloodtransfusion>
10units[输血10单位以上者]
*plateletcount<
50×
103/μlwithactivebleedingorsurgery[血小板<
5万伴活动性出血或手术者]
*Cardio-pulmonarybypassuithpl<
100×
103/μlwithoctivebleeding[心肺分流术伴血小板<
10万，活动性出血者]
*Plateletcount<
20×
103/μl[血板<
2万]
▲新鲜冰冻血浆[freshfrozenplasma]:
*documentedabnormalPTorPTTwithbleedingorSurgery[PT、PTT异常的出血或手术病人]
*specificclottingfactordeficiencieswithbleeding/surgerg[特殊凝血因子缺乏的出血/手术者]
*bloodtransfusion>
15units[输血>
15个单位]
*warfarinorantifibrinolytictherapywithbleeding[华法令或溶栓治疗后出血]
*DIC[血管内弥漫性凝血]
*AntithrombinIIIdficiency[凝血酶III缺乏]
（2）输血要求[requestforbloodcomponents]
*patientbloodgroup[血型]
*Hasthepatienthadtransfusionorpregnancyinthepast3months?
[近3个月，病人是否输过血或怀孕过？
]
*Typeandcrossmatch[血型和血交叉]
*Unitsorml[单位或毫升]
5、出院小结[dischargesummary]
PatientName[病人姓名]MedicalRecordNo.[病历号]
AttendingPhysician[主治医生]DateofAdmission[入院日期]
DateofDischarge[出院日期]PirncipalDiagnosis[主要诊断]
SecondaryDiagnosis[次要诊断]Complications[并发症]
Operation[手术名称]ReasonforAdmission[入院理由]
PhysicalFindings[阳性体征]Lab/X-rayFindings[化验及放射报告]
HospitalCourse[住院诊治经过]Condition[出院状况]
Disposition[出院去向]Medications[出院用药]
Prognosis[预后]Follow-upCare[随随访]
SpecialInstructiontothePatient（diet,physicalactivity）[出院指导（饮食，活动量）]
6、住院/出院病历首页[Admission/dischargerecord]
Patientname[病人姓名]·
race[种族]·
address[地址]·
religion[宗教]
medicalservice[科别]·
admit（discharge）date[入院（出院）日期]
Lengthofstay[住院天数]·
guarantorname[担保人姓名]
nextofkinorpersontonotify[需通知的亲属姓名]
relationtopatient[与病人关系]·
previousadmitdate[上次住院日期]
admittingphysician[入院医生]·
attendingphgsician[主治医生]
admittingdiagnosis[入院诊断]·
final（principal）diagnosis[最终（主要）诊断]
secondarydiagnosis[次要诊断]·
adversereactions（complications）[副作用（合并症）]
incisiontype[切口类型]·
healingcourse[愈合等级]
operative（non-operative）procedures[手术（非手术）操作]
nosocomialinfection[院内感染]·
consutants[会诊]
Critical-No.oftimes[抢救次数]·
recovered-No.oftimes[成功次数]
Diagnosisqualitativeanalysis[诊断质量]
OP.adm.anddischargeDxconcur[门诊入院与出院诊断符合率]
ClinicalandpathologicalDxconcur[临床与病理诊断符合率]
Pre-andpost-operativeDxconcur[术前术后诊断符合率]
Dxdeterminedwithin24hours（3days）afteradmission[入院后24小时（3天）内确诊]
Dischargestatus[出院状况]
recovered[治愈]improved[好转]notimproved[未愈]died[死亡]
Dispositon[去向]
home[家]againstmedicalad[自动出院]autosy[尸检]transferredto[转院到]
医学英语常用前后缀
1·
a-[无，缺]▲anemia[贫血]atonia[无张力]asymptomatic[无症状的]amenorrhea[闭经]
2·
ab-[分离]abduct[外展]abscision[切除]
3·
acou（acu）-[听觉]acumeter[听力计]acouophone[助听器]
4·
acro-[肢端]acromegaly[肢端肥大症]acromastitis[乳头炎]
5·
ad（af,an）-[邻近，向上]adrenal[肾上腺]adaxial[近轴的]annexa[附件]
6·
-ad[……侧]ventrad[向腹侧]cephalad[向头侧]
7·
adeno-[腺]adenocyte[腺细胞]adenoidism[腺体病]
8·
adipo-[脂肪]adiposis[肥胖症]adiponecrosis[脂肪坏死]
9·
adreno-[肾上腺]adrenocorticoid[肾上腺皮质激素]adrenalin[肾上腺素]adrenal[肾上腺]
10·
-aemia（emia）[血症]bacteremia[菌血症]leukemia[白血病]
11·
-albi（albino）-[白色]albumin[白蛋白]albinism[白化病]
12·
-algesia[痛觉]▲hypoalgesia[痛觉减退]
13·
-algia[痛]▲arthralgia[关节痛]▲cephalgia[头痛]▲neuralgia[神经痛]
14·
alkali-[碱]▲alkalosis[碱中毒]
15·
alveo-[牙槽，小沟]▲alveolitis[牙槽炎]▲alveobronchiolitis[支气管肺泡炎]
16·
ambi-[复，双]ambiopia[复视]ambivert[双重性格]
17·
ambly-[弱]▲amblyopia[弱视]▲amblyaphia[触觉迟钝]
18·
amylo-[淀粉]▲amyloidosis[淀粉酶]▲amylase[淀粉酶]
19·
angio-[血管]▲angiography[血管造影术]▲angioedema[血管性水肿]▲angeitis[脉管炎]▲angiofibroma[血管纤维瘤]
20·
ante-[前]▲antenatal[出生前的]▲anteflexion[前屈]
21·
antero-[前]▲anterolateral[前侧壁]▲anteroventral[前腹侧]
22·
anti-[抗，反]▲antibiotics[抗生素]▲antihypertensives[降压药]▲anticoagulant[抗凝剂]
23·
rarchno-[蛛网膜]▲arachnoiditis[蛛网膜炎]
24·
archo-[肛门，直肠]▲archorrhagia[肛门出血]▲archosyrinx[直肠灌注器]
25·
arterio-[动脉]▲arteriospasm[动脉痉挛]▲arteriosclerosis[动脉硬化]
26·
arthro-[关节]▲arthrocentesis[关节穿刺]▲arthrotomy[关节切开术]▲arthritis[关节炎]
27·
-ase[酶]▲oxidase[氧化酶]▲proteinase[蛋白酶]
28·
-asthenia[无力]▲myasthenia[肌无力]▲neurasthenia[神经衰弱]
29·
audio（audito）-[听力]▲audiology[听觉学]▲audiometer[听力计]
30·
auto-[自己]▲autoimmune[自身免疫]▲autohemotherapy[自体血疗法]
31·
bacilli-[杆菌]▲bacillosis[杆菌病]▲bacilluria[杆菌尿]
32·
bacterio-[细菌]▲bacteriology[细菌学]▲bactericide[杀菌剂]
33·
baro-[压力]▲barometer[压力计]▲baroreceptor[压力感受器]
34·
bary-[迟钝]▲barylalia[言语不清]▲baryacusia[听觉迟钝]
35·
bi-[双]▲bicuspid[二尖瓣]]▲bilateral[两侧的]
36·
bili-[胆汁]▲bilirubin[胆红素]
37·
bio-[生命]▲biology[生物学]▲biopsy[活检]
38·
-blast[母细胞]▲spermatoblast[精子细胞]▲melanoblast[成黑色素细胞]▲osteoblast[成骨细胞]
39·
brachy-[短]▲brachypnea[气短]▲brachydactylia[短指畸形]
40·
brady-[迟缓]▲bradycardia[心动过缓]▲bradypsychia[精神不振]
41·
broncho-[支气管]▲bronchoscopy[支气管镜检查]▲bronchiostenosis[支气管痉挛]
▲bronchitis[支气管炎]
42·
bronchiolo-[细支气管]▲bronchiolectasis[细支气管扩张]
43·
calci-[钙]▲calcification[钙化]▲calcicosilicosis[钙沉着症]
44·
carbo-[碳]▲carbohydrate[碳水化合物]▲carbohaemia[碳酸血症]
45·
carcino-[癌]▲carcinogen[致癌物]
46·
cardio-[心，贲门]▲cardiotonics[强心剂]▲cardioplasty[贲门成形术]
47·
-cele[疝，肿物]▲omphalocele[脐疝]▲hysterocele[子宫脱垂]▲ophthalmocele[眼球突出]
48·
celio-[腹]▲celialgia[腹痛]▲celioscopy[腹腔镜检查]
49·
-centesis[穿刺]▲arthrocentesis[关节穿刺术]▲abdominocentesis[腹穿]
50·
cephalo-[头]▲cephaloxia[斜颈]▲cephalopathy[头部疾病]▲cephalotomy[穿颅术]
51·
cerebello-[小脑]▲cerebellitis[小脑炎]▲cerebellum[小脑]
52·
cerebro-[大脑]▲cerebritis[大脑炎]▲cerebrology[脑学]
53·
chemo-[化学]▲chemotherapy[化疗]
54·
chloro-[绿，氯]▲chloroform[氯仿]▲chloromycetin[氯霉素]▲chlorophyll[叶绿素]
55·
cholangio-[胆道]▲cholangitis[胆管炎]▲cholangiectasis[胆管扩张]
56·
cholo-[胆]▲cholagogue[利胆剂]▲cholelithiasis[胆石症]▲cholecystitis[胆囊炎]
▲cholesterol[胆固醇]
57·
chondro-[软骨]▲chondrosarcoma[软骨肉瘤]▲chondrification[骨软化]
58·
chromo-[色素]▲cytochrome[细胞色素]▲chromosome[染色体]
59·
-cide[杀……剂]▲germicide[杀菌剂]▲aborticide[堕胎药]
60·
circum-[周围]▲circumoral[口周的]▲circumcision[包皮环切术]
61·
coagulo-[凝固]▲coagulant[凝血剂]
62·
colo-[结肠]▲colotomy[结肠切开术]▲coloptosis[结肠下垂]
63·
colpo（coleo）-[阴道]▲coleospastia[阴道痉挛]▲colposcope[阴道镜]
64·
contra-[反，逆]▲contraindication[禁忌证]▲contraceptive[避孕药]
65·
counter-[反，逆]▲counteragent[拮抗剂]▲conuterpoison[解毒剂]
66·
cranio-[颅]▲craniomalacia[颅骨软化]▲cranioclasis[碎颅术]
67·
-cyst-[囊]▲cystomy[膀胱切开术]▲dacryocyst[泪囊]
68·
-cyte-[细胞]▲lymphocyte[淋巴细胞]▲cytolysis[细胞溶解]
69·
de-[除去]▲detoxication[解毒]
70·
dento[牙]▲dentistry[牙科学]▲dentalgia[牙痛]
71·
-derm-[皮肤]▲epiderm[表皮]▲dermatology[皮肤病学]▲dermoplasty[皮肤成形术]
72·
dextro-[右]▲dextrocardia[右位心]▲dexiotropic[右旋的]
73·
dis-[分离]▲discission[分离术]▲disinfection[消毒法]
74·
duodeno-[十二指肠]▲duodenitis[十二指肠炎]▲duodenostomy[十二指肠造口术]
75·
-dynia[痛]▲acrodynia[肢体痛]▲urethrodynia[尿道痛]
76·
dys-[异常]▲dysfunction[功能不良]▲dyshormonism[内分泌障碍]▲dysuria[排尿困难]
77·
-ectasis[扩张]▲gastroectasis[胃扩张]▲aerenterectasia[肠胀气]▲bronchiectasia[支气管扩张]
78·
-ectomy[切除术]▲appendectomy[阑尾切除术]▲lipectomy[脂肪切除术]
79·
-edema[水肿]▲encephaledema[脑水肿]▲myxedema[粘液性水肿]
80·
-emesia[呕]▲hematemesia[呕血]▲helminthemesia[吐虫]
81·
encephalo-[脑]▲encephaloma[脑瘤]▲encephaledema[脑水肿]
82·
endo-[内]▲endocarditis[心内膜炎]▲endoscope[内窥镜]
83·
entero-[肠]▲enteritis[肠炎]▲enterovirus[肠病毒]
84·
epi-[上，外]▲epigastrium[上腹部]
85·
erythro-[红]▲erythromycin[红霉素]▲erythroderma[红皮病]
86·
esophago-[食管]▲esophagoscope[食管镜]▲esophagitis[食管炎]
87·
extra-[……外]▲extracellular[细胞外的]▲extrasystole[额外收缩]
88·
facio-[面]▲facioplegia[面瘫]▲facioplasty[面部成形术]
89·
-fast[耐]▲acid-fast[抗酸的]▲uviofast[耐紫外线]
90·
febri-[热]▲febricula[低热]▲febrifacient[致热的]
91·
feti-[胎儿]▲feticulture[妊娠期卫生]▲fetometry[胎儿测量法]
92·
fibro-[纤维]▲fibroblast[成纤维细胞]▲fibrosis[纤维化]
93·
fore-[前]▲forebrain[前脑]▲forehead[前额]
94·
-form[形状]▲oviform[卵形的]▲granuliform[颗粒状的]
95·
fungi-[真菌，霉菌]▲fungicide[杀真菌剂]▲fungistasis[制霉菌作用]
96·
gastro-[胃]▲gastroptosis[胃下垂]
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