常用医学英语-大全

目录

一、医院文书书写...................................... 错误!未定义书签。

二、医学英语常用前后缀................................ 错误!未定义书签。

三、医学英语缩写一览表................................ 错误!未定义书签。

四、医学英语常用短语.................................. 错误!未定义书签。

五、英语问诊常用句子.................................. 错误!未定义书签。

六、医院日常用品和设备................................ 错误!未定义书签。

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] ·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] 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]

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]

·Physi cal Exam[体检]

P[脉博]

Bp[血压]

R[呼吸]

T[温度]

Height[身高]

Weight[体重]

HEENT[五官]

Neck[颈部]

Back/Chest[背部/胸部]

Breast[乳房]

Heart[心脏]

Heart rate[心率]

Heart rhythm[心律]

Heart Border[心界]

Murmur[杂音]

Abdomen[腹部]

Liver[肝]

Spleen[脾]

Rectal[直肠]

Genitalia[生殖系统]

生殖器

Extremities[四肢]

Neurology[神经系统]

cranial nerves[颅神经]

sensation[感觉]

Motor[运动]

*Special . on diseased organ system[专科情况]

*Radiographic Findings[放射]

*Laboratory Findings[化验]

*Assessment[初步诊断与诊断依据]

*Summary[病史小结]

*Treatment Plan[治疗计划]

4、输血申请单[Blood bank requisition form]

(1)reason for infusion[输血原因]

▲红细胞[packed red cells, wshed RBCs] :

*Hb< [血色素<]

*>20% blood volume lost [>20%血容量丢失]

*cardio-pulmonary bypass with anticipated Hb <8[心肺分流术伴预计血色素

<8]

*chemotherapy or surgery with Hb <10[血色素<10的化疗或手术者]

▲全血[whole blood]

:

massive on-going blood loss[大量出血] ▲血小板[platelets]

:

*massive blood transfusion >10 units[输血10单位以上者]

*platelet count <50×103/μl with active bleeding or surgery[血小板<5万伴活

动性出血或手术者]

*Platelet count <20×103/μl[血板<2万] ▲新鲜冰冻血浆[fresh frozen plasma]

:

*documented abnormal PT or PTT with bleeding or Surgery[PT、PTT异常的

出血或手术病人]

*specific clotting factor deficiencies with bleeding/surgery[特殊凝血因子缺乏

的出血/手术者]

*blood transfusion >15units[输血>15个单位]

*warfarin or antifibrinolytic therapy with bleeding[华法令或溶栓治疗后出血] *DIC[血管内弥漫性凝血]

*Antithrombin III dficiency[凝血酶III 缺乏]

(2)输血要求[request for blood components]

*patient blood group[血型]

*Has the patient had transfusion or pregnancy in the past 3 months? [近3个月，

病人是否输过血或怀孕过？]

*Type and crossmatch[血型和血交叉]

*Units or ml[单位或毫升]

5、出院小结[discharge summary]

Patient Name[病人姓名]

Medical Record No.[病历号]