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    医学:病历

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    Physical examination on admission. Body temperature 39.8℃.She was found t0 be slightly dyspnea. The right lower posterior chest showed dullness on percussion with moist rales at the end of inspiration on auscultation.

    入院查体:体温39.8℃。轻度呼吸困难。右后下胸部叩诊有浊音,听诊于吸气未闻湿啰音。

    属类:化学及生命科学-医学-病历

    The white blood cell count was 14.0×10’L(14,000;cu mm)The clinical diagnosis was acute pneumonia involving the right middle and lower lobes.

    白细胞汁数为14.0×109;L(14,000;立方毫米)。临床诊断为右中、下叶急性肺炎。

    属类:化学及生命科学-医学-病历

    Her body temperature dropped-to normal within three days and her lung condition improved markedly. She was discharged On July 17.1995.

    患者体温在3天內降至正常,肺部情况明显好转。患者于1995年7月17日出院。

    属类:化学及生命科学-医学-病历

    After her discharge.she is advised to take ampicillin 0.5g orally four times a day for three successive days. She is also advised to have further examinations and treatment in local hospital

    建议出院后口服氨苄青霉素0.5克,1天4次,连服3天;并建议定期在当地医院继续复查处理。

    属类:化学及生命科学-医学-病历

    On admission her body temperature was 38.4℃.And her blood pressure 13.3;8.00kPa(100;60mmHg).Laboratory examination showed white blood cell counts varied from 21.0 to 14.0 l09(21,000 to 1 4,000;cu mm).

    入院时体温38.4℃,血压13.3;8.00千帕(100;60毫米汞柱)。化验血白细胞21.0~14.0×109;L(21,000~14,000;立方毫米)。

    属类:化学及生命科学-医学-病历

    X-ray film of the chest showed increased lung markings with a patch of hazy shadow in the left lower lung near the heart border.

    胸部X线片示肺纹理增厚,左下肺心缘可见片状模糊阴影。

    属类:化学及生命科学-医学-病历

    The heart appeared to be of aortic type with a tortuous and prolonged aorta. Culture of the sputum showed growth of Streptococcus pneumoniae. Routine urinalysis and tests of the liver and kidney functions showed normal findings.

    心脏呈主动脉型,主动脉曲屈延长。痰培养肺炎双球菌生长。尿常规、肝功能、肾功能等检查正常。

    属类:化学及生命科学-医学-病历

    After admission she was treated with penicillin G, gentamycin and anti-cough drugs together with expectorants. The body temperature was dropping gradually.

    住院后即予青霉素、庆大霉素及止咳祛痰药治疗。体温逐渐下降。

    属类:化学及生命科学-医学-病历

    Beginning from the third day on, erythromycin and tablet;MP Co(trimethoprim compound)were administered orally instead. The clinical symptoms improved markedly with increase of her body strength.

    入院后3天起改用红霉素、复方三甲氧嘧啶片口服,临床症状明显好转,体力恢复。

    属类:化学及生命科学-医学-病历

    It was agreed that in keeping with her travelling schedule she will be discharged pretty soon.

    根据患者旅行安排,同意近日出院。

    属类:化学及生命科学-医学-病历

    He started to have the pain on July l 0,1995 soon after his supper. The pain was persistent in nature,gradually increased in severity and radiated to the right scapular region.

    患者于1995年7月10日晚饭后即感上腹疼,疼呈持续性并逐渐加重,向右肩胛部放射。

    属类:化学及生命科学-医学-病历

    Physical examination on admission:Mentally clear with distressing facial expression. blood pressure 18.7;12kPa (140;90mmHg. Pulse rate 84;min. body temperature 38.5℃.

    入院时体格检查:神志清,痛苦病容。血压18.7/12千帕(140;90毫米汞柱)。脉率每分84次。体温38.5。

    属类:化学及生命科学-医学-病历

    The sclera was not icteric. The heart and lung was normal. The abdomen flat with marked tenderness over the right upper quadrant,where muscular spasm and rebound tenderness were present.

    巩膜无黄染。心肺正常。腹平坦,右上腹有明显压疼伴有肌紧张及反跳疼。

    属类:化学及生命科学-医学-病历

    The liver was enlarged with its lower edge 2cm below the right costal margin. The spleen was not felt. The peristaltic sound was normal.

    肝下缘在右肋缘下2厘米可触及。脾未触及。肠鸣音正。

    属类:化学及生命科学-医学-病历

    Laboratory examination. Hemoglobin 1 60g/L(16.0g%).White blood cell count 10.8 109;L(10,800;cu mm).Bleeding time.30 sec. Coagulation time 30 sec.

    实验室检查:血红蛋白160g/L(16.0克%)。白细胞10.8×109/L(10,800;立方毫米)。出血时间1分30秒,凝血时间30秒。

    属类:化学及生命科学-医学-病历

    Routine examination of the urine was normal. Serum amylace 8.6u;L(86u%).Blood bilirubin 22.3mmol;L with direct portion of 8.6mmol;L . BUN;blood urea nitrogen)4.36mmol;L . C02 combining power 24.7mmol;L . ECG(electrocardiogram)was normal

    尿常规检查正常。血清淀粉酶8.6u;L(86单位%)血胆红质总量22.3mmol;L(1.3mg/%),其直接胆红素为8.6mmol;L(O.5mg%)。血尿素氮4.36mmol;L(12.2mg%)。血二氧化碳结合力24.7mmol;L(55v01%)。心电图正常。

    属类:化学及生命科学-医学-病历

    Ultrasonic examination. Fluid waves of the gallbadder (at the depth of 3.0-4.5cm,can be seen under the right costal margin along the mid-clavicular line, indicating enlargement of the gallbladder.

    超声波检查:右肋缘下近锁骨中线可见胆囊内液平面波(深约0.3-4.5厘米),提示胆囊增大。

    属类:化学及生命科学-医学-病历

    His general condition was improved.

    病人情况好转

    属类:化学及生命科学-医学-病历

    The abdominal pain gradually reduced in intensity and was almost entirely relieved 18 hours after admission. The temperature returned to normal 3 days after the commencement of treatment. He was discharged from the hospital 0n July 18.1995.

    腹痛逐渐减轻,18小时后腹痛基本缓解,经医治3天后体温恢复正常。病人于1995年7月18日出院。

    属类:化学及生命科学-医学-病历

    To avoid recurrent attacks later, it is advisable for him to have cholecystography done after he is back home and to receive further treatment accordingly.

    为了预防复发,建议回国以后做胆囊造影检查,并根据检杏结果给予相应治疗。

    属类:化学及生命科学-医学-病历

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