医学英语 慢性阻塞性肺疾病.ppt

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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