v1.0 可编辑可修改 目录
一、 二、 三、 四、 五、 六、
医院文书书写 ........................................................................................................... 2 医学英语常用前后缀 ............................................................................................... 8 医学英语缩写一览表 ............................................................................................. 29 医学英语常用短语 ................................................................................................. 36 英语问诊常用句子 ................................................................................................. 48 医院日常用品和设备 ............................................................................................. 58
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一、 医院文书书写
1、 抗生素医嘱[Antibiotic order] ·Prophylaxis [预防性用药] Duration of oder[用药时间] 24hr
Procedure[操作,手术]
·Empiric theraphy [经验性治疗] Suspected site and organism[怀疑感染的部位和致病菌] 72hr
Cultures ordered[是否做培养] ·Documented infection[明确感染] Site and organism[部位和致病菌] 5days ·Other[其他]
Explanation required [解释理由] 24hr
·Antibiotic allergies[何种抗生素过敏] No known allergy [无已知的过敏] 22
v1.0 可编辑可修改 ·Drug+dose+Route+frequency[药名+剂量
+途径+次数]
2、医嘱首页[Admission / transfer] ·Admit / transfer to [收入或转入] ·Resident [住院医师] Attending[主治医师] ·Condition [病情] ·Diagnosis[诊断] ·Diet [饮食] ·Acitivity [活动] ·Vital signs[测生命体征] ·I / O [记进出量] ·Allergies[过敏] 3、住院病历[case history] ·Identification [病人一般情况] Name[性名] Sex[性别] Age [年龄] Marriage[婚姻]
v1.0 可编辑可修改 Person to notify and phone No.[联系人及电话] Race[民族] 身份证]
Admission date[入院日期] Source of history[病史提供者] Reliability of history[可靠程度] Medical record No[病历号] Business phone No.[工作单位电话] Home address and phone No.[家庭住地及电话]
·Chief complaint[主诉]
·History of present illness[现病史]
·Past History[过去史]
Family History[家族史]
Ob/Gyn History[ 婚姻/生育史]
Personnal history
Surgical[外科] Medical[内科] Medications[用药] 33
Allergies[过敏史] Social History[社会史] Habits[个人习惯] Smoking[吸烟] Alcohol use[喝酒]
·Review of Aystems[系统回顾] General[概况]
Eyes,Ears,Nose and throat[五官] Pulmonary[呼吸] Cardiovascular[心血管] GI[消化]
GU[生殖、泌尿系统]
genitourinary
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]
·Physical Exam[体检] P[脉博]