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ID:54026644
大小:1.53 MB
页数:45页
时间:2020-04-28
《医学英语 慢性阻塞性肺疾病.ppt》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、医学英语BozhouPeople´sHospitalRheumtologyandimmunologydepartment张玉慧BedsideteachingBedsideteachingisseenasoneofthemostimportantmodalitiesinteachingavarietyofskillsforthemedicalprofession,whichgreatlyimprovescertainclinicaldiagnosticskillsinmedicalstudentsandresidents.Wardround早交班morningmeeting:住
2、院总医师;外称SeniorResident’sMorningReport引言introduction:主治医师;提出重点查房病例,简述棘手问题病史报告casepresentation:实习医生,可有无诊断,诊治计划须系统教学查房对话teachingdialogue:在上下级医生之间进行;着重纠错小结summary:主治医师对主任查房作应答,提出整改措施Chiefphysician主任医师Attendingphysician主治医师Chiefresident住院总医师Resident住院医师Intern实习医师Patient病人ChronicObstructivePulmona
3、ryDiseaseCOPD,orchronicobstructivepulmonarydisease,isaprogressivediseasethatmakesithardtobreathe.Progressivemeansthediseasegetsworseovertime.IntheofficeChiefResident:Yourattention,please.TheteachingwardroundbyChiefphysicianProfessorClarknowbegins.Firstly,let'shavethecasepresentedbyDr.Grey.住
4、院总医师:请各位注意了,主任医师Clark教授的教学查房现在开始,首先由实习医师Grey医生汇报病史。Intern(Dr.Grey):This70-year-oldmanwasadmittedbecauseofaone-weekhistoryofbreathlessnessandcoughwithpurulentsputum.实习医师:病人,男性,70岁,因气急、咳嗽、咳痰1周入院。Hehadalwaysbeencoughingwithsputumduringthepastthirtyyearsandtendedtogettingworseoverrecentfiveyear
5、s,withbreathlessnessdeveloping.病人近30年来一直有咳嗽、咳痰,近5年来有所加重,伴气急。Thesymptomswereusuallyaggravatedbycoldweatheroralternationsofseasons,whiletendedtoeasewhentheweatherwasgettingwarm.症状通常于天气寒冷时或季节更替时发作,天气回暖后好转。Almosteveryyearhehadtosufferforonetothreemonths.Hewascontinuouslyusingsalbutamolinhalatio
6、nwhichdidrelievethesymptomsmostofthetime.几乎每年都有发作,持续1~3个月。病人一直使用沙丁胺醇吸入治疗,症状多能缓解。Oneweekbeforeadmission,hecaughtacoldandsufferedarelapsethereafter.Meanwhile,hehadlargevolumesofpurulentsputumandwheezedaftermoderatemovement.Heinhaledsalbutamolasusual,butitdidn'tworkthistime.Sohecame.入院前1周,病人感冒
7、后症状又有发作,伴咯大量脓痰,动则气急。吸入沙丁胺醇后症状无缓解。为求进一步诊治,入我院。Thepatienthasasmokinghistoryof100packyears.Andhisfamilyhistorywasunremarkable.Mainlythat'sall.病人有吸烟史,100包每年,家族史无特殊。汇报完毕。Chiefphysician:Yourpresentationisquiteclear.Werethereanysignificantphysicalfindings,Dr.Gr
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