[整理]最全的医学英语

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1、1、抗生素医嘱［Antibioticorder］•Prophylaxis［预防性用药］DurationofOder［用药时间］24hrProcedure［操作，手术］•Empirictheraphy［经验性治疗］Suspectedsiteandorganism［怀疑感染的部位和致病菌］72hrCulturesordered［是否做培养］•Documentedinfection［明确感染］Siteandorganism［部位和致病菌］5days•Other［具他］Explanationrequired［解释理山］24hr•Antib

2、ioticallergies［何科）抗生素过敏］Noknownallergy［无已知的过敏］•Drug+dose+Route+frequency［药名+剂址+途径+次数］2、医嘱首页［Admission/transfer］•Admit/transferto［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］•Vitalsigns［测生命体征］•I/0［记进出量］•Allergies］过敏］3、住院病历［cas

3、ehistory］•Identification［病人一般情况］Name［性名］Sex［性别］Age［年龄］Marriage［婚姻］PersontonotifyandphoneNo•［联系人及电话］Race［民族］I.D.No•［身份证］Admissiondate［入院日期］Sourceofhistory［病史提供者JReliabilityofhistory［可靠程度］MedicalrecordNo［病历号］BusinessphoneNo.［工作单位电话］HomeaddressandphoneNo.［家庭住地及电话］•Chiefc

4、omplaint［主诉］•Historyofpresentillness［现病史］•PastHistory［过去史］Surgical［外科］Medical［内科］Medications［用药］Allergies［过敏史］SocialHistoryf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［系统冋顾］General［概况］Eyes,EarsANoseandthroat［五官］Pulm

5、onary［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［

6、心脏］Heartrate［心率］Heartrhythm［心律］HeartBorder［心界］Munnu「［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］*A

7、ssessment］初步诊断」J诊断依据］*Summary［病史小结］treatmentPlan［治疗计划］4、输血申请单［Bloodbankrequisitionform］(l)reasonforinfusion［输血原因］▲红细胞［packedredcells,wshedRBCs］:*Hbv8・5［血色素v8・5］*>20%bloodvolumelost［>20%血容量丢失］*cardio-pulmonarybypasswithanticipatedHbv8［心肺分流术伴预计血色素<8］*chemotherapyorsurge

8、rywithHb<10［血色素v10的化疗或手术者］▲全血［wholeblood］:massiveon-goingbloodloss［人最出血］▲血小板［platelets］:*massivebloodtransfusion>10units［输血1