医生与病人对话晕厥

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1、医生与病人对话：晕厥 英文：Patient:DoctorIhavebeensufferingfrom"fits"forafewyears.Iwonderwhatmatteriswithmeandhopeyou'llhelpmegetridofthemsoon. Doctor:Whatdoyoumeanbya"fit"? P:By"fit"ImeanIloseconsciousnessandfallonthegroundonsudden. D:Whattimedidyourattackbegin? P:

2、WhenIwasmarriedandonly25yearsold. D:Howmanyyearssofar? P:Overthreeyears. D:Howlongdoeseachattacklast? P:Aboutaminute. D:Howlongistheintervalbetweentwosuccessiveattacks? P:Sometimesroundamonth,andsometimestwomonths.Coulditberelatedtocircumstances? D:What

3、lindofcasesusuallyprovokesyourattacks? P:Itisdifficulttosayexactly.OncewhenIwascrossingthestreet,aswiftlymovingcarsuddenlydrovebyandIbecameverynervous,Icouldn'tcontrolmyself.Iscreamedandblackedout. D:Wereyouinjured? P:No,thecarstoppedatonce.Icametoquick

4、ly,thenwalkedhome. D:Anyotherattacks? P:Onanotheroccasion,nosoonerhadanursedrawnbloodfromapatientthanIfeltperspirationandweaknessfollowedbylossofconsciousness. D:Didyouhaveothermanifestationsduringtheattack? P:IwastoldbyeyewitnessesthatIbecamepaleandswe

5、atedexcessivelyduringtheattack,butIhadnoconvulsions,incontinenceoranythingelse. D:Haveyouhadanyspecialexaminations? P:Thedoctorsworkinginourcounty'shospitaltoldmethatmyphysicalexamination,electorcardiogram,andchestandskullx-rayexaminationresultswerenorm

6、al.I'vehadnootherspecialexaminations. D:Letmegiveyouathoroughphysicalandneurologicalexamination.Somefurtherexaminationsshouldbedone,includinganelectroencephalogramandabrainscan.Alsotheelectrocardiogramshouldberepeated.Hereisyourreferralsheet.Afteryouhav

7、ehadalltheseexaminationspleasecomebackforanothercheckup? P:Ihavehadalltheexaminationsyouordered.Arealltheresultsbackyet? D:Yes,andalltheresultsarenormal. P:Thenwhatisthecauseofmy"fits"? D:Thenormalresultsofphysicalandneurologicalexaminationsandotherspec

8、ialexaminationssuggestneitherorganicheartorbraindiseasesnorepilepsy.Thesymptomsandsignswhichoccurduringanattack,suchaspalpitations,palenessandexcessivesweatingcoincidewithanimbalanceoftheautonomicnervoussystemfunction.Dysfunction