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1、1 Introduction to Trauma Care 創(chuàng)傷護(hù)理導(dǎo)論2 Patterns of Blunt Injury鈍器損傷的類型3 Mechanisms of Injury / Penetrating Trauma損傷發(fā)病機(jī)制/穿透性創(chuàng)傷4 The Physiologic Response to Injury對損傷的生理學(xué)反響5 Shock 休克6 Measurements of Injury Severity損傷嚴(yán)重程度的測定7 Prehospital Triage送醫(yī)院前傷員分類8 Prehospital Therapy 送醫(yī)院前的治療9 Field Teams : Compos
2、ition ,Direction, and Communication with the Trauma Center現(xiàn)場救護(hù)隊:組成,指導(dǎo),與創(chuàng)傷中心的聯(lián)系10 Air Medical and Interhospital Transport空中醫(yī)療和醫(yī)院間轉(zhuǎn)運(yùn)11 Trauma Team Activation創(chuàng)傷救護(hù)隊的活動12 Organization prior to Trauma Patient Arrival創(chuàng)傷病人到達(dá)前的組織13 Adult Trauma Resuscitation成人創(chuàng)傷復(fù)蘇14 Airway Management in the Trauma Patient創(chuàng)傷病
3、人的氣道處理15 Vascular Access血管穿刺16 Imaging of Trauma Patients 創(chuàng)傷病人的影像17 Operating Room Practice 手術(shù)室?,F(xiàn)18 Head Injury 頭損傷19 Injuries to the Spinal Cord and Spinal Column脊髓和脊柱損傷20 Soft Tissue Wounds of the Face面部軟組織傷21 Ophthalmic Injuries 眼損傷22 Penetrating Neck Injury穿透性頸損傷23 Blunt Neck Injury頸部鈍器損傷24 Thor
4、acic Injury胸部損傷25 Thoracic Vascular Injury胸部血管損傷26 Abdominal Injury腹部損傷27 Abdominal Vascular Injury腹部血管損傷28 Damage Control損傷的控制29 Abdominal Compartment Syndrome腹部隔室綜合征30 Genitourinary Injuries泌尿生殖系統(tǒng)損傷31 Orthopedic Injuries矯形外科損傷32 Pelvic Fractures 骨盆骨折33 Hand Trauma 手創(chuàng)傷34 Compartment Syndrome and Rh
5、abdomyolysis隔室綜合征和橫紋肌溶解35 Peripheral Vascular Injuries周圍血管損傷36 Soft-Tissue Trauma 軟組織創(chuàng)傷37 Priorities in the ICU Care of the Adult Trauma Patient在 ICU 護(hù)理的成人創(chuàng)傷病人的優(yōu)先工程38 Commonly Missed Injuries and Pitfalls常遺漏的損傷和易犯的錯誤39 Anesthesia for the Trauma Patient創(chuàng)傷病人的麻醉40 Trauma Pain Management 創(chuàng)傷疼痛的處理41 Hypot
6、hermia , Cold Injury , and Drowning 低溫、冷損傷和淹溺42 Blood Transfusion and Complications輸血和并發(fā)癥43 Nutrition/Metabolism in the Trauma Patient創(chuàng)傷病人的營養(yǎng) / 代謝44 Support of the Organ Donor器官供體的保養(yǎng)45 Burns / Inhalation 燒傷/吸入46 Pediatric Trauma兒科創(chuàng)傷47 Care of the Pregnant Trauma Patient妊娠創(chuàng)傷病人的護(hù)理48 Geriatric Trauma老年
7、人創(chuàng)傷49 Rehabilitation 康復(fù)50 Venous Thromboembolism靜脈血栓栓塞51 Injury Prevention損傷的預(yù)防52 House Staff Responsibilities 住院醫(yī)師的責(zé)任53 Legal , Ethical and Family Issues 法律、倫理道德和家庭問題54 Miscellaneous Procedures各種其它操作程序55 oral health education activity口腔健康教育活動56 Oral Health Education Unit Department of Health口腔健康教育組
8、57 oral poliomyelitis trivalent 脊灰口服劑58 oral toilet 口腔料理59 oral-maxillofacial surgery and dental unit口腔頜面夕卜科及牙科部60 outbreak 頂峰期;發(fā)作;流行61 outbreak control疫癥控制;暴病控制62 outcome management project醫(yī)療成效管理方案63 out-of-pocket expenditure by the user效勞使用者自付64 out-patient appointment system門診病人預(yù)約制度65 out-patient
9、 clinic門診診療所66 out-patient clinical operations support system門診臨床運(yùn)作支持系統(tǒng)67 out-patient consultation service門診效勞68 out-patient department 門診部69 out-patient registration system門診病人登記制度70 outreach community care programme夕卜展小區(qū)護(hù)理方案I71 outreach health care team夕卜展醫(yī)護(hù)隊72 outreach medical team夕卜展醫(yī)療隊73 outrea
10、ch specialist medical team夕卜展??漆t(yī)療隊74 outside appointment book出夕卜就醫(yī)冊75 ordinary diet普通膳食76 organ donation 器官捐贈77 Organ Donation Card器官捐贈證78 Organ Donation Centre 器官捐贈中心79 organ donation form器官捐贈表格80 Organ Donation Register Hong Kong Medical Association器官捐贈冊81 organ donor器官捐贈人82 organ imaging器官造影83 or
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15、eo-uo g6蚩孟專it壽返 poi|舊山uoj;e|nAO 176 晡凰術(shù)料 spAo uoj;e|nAO £6 術(shù)料 uoj;e|nAO 乙6 誨國 X;!AI;!SU9S-J9A0 L6 車旬原回笙 LOOJ ;1|6!UJ9AO 06 |皆蚩曇呂:皆蚩瑟型呦蜃PJBM MO屮9AO62盍兇第另90U9PPU! IIBJ9A0 88皐酗旦消 uoipsdsui oi;d9|oue6jo 28 蚩赧黯刑舸胳sjsoiioXsd O!Ub6jo gg主任醫(yī)師講課 Professor of Medicine主任醫(yī)師講課 Professor of Medicine 主任醫(yī)師醫(yī)療 Pr
16、ofessor of Treatment兒科主任醫(yī)師Professor of Paediatrics 主治醫(yī)師Doctor-in-charge夕卜科主治醫(yī)師Surgeon-in-charge內(nèi)科主治醫(yī)師Physician-in-charge眼科主治醫(yī)師Oculist-in-charge婦科主治醫(yī)師Gynaecologist-in-charge牙科主治醫(yī)師Dentist-in-charge 醫(yī)師 Doctor 醫(yī)士Assistant Doctor主任藥師Professor of Pharmacy 主管藥師 Pharmacist-in-charge 藥師 Pharmacist 藥士 Assista
17、nt Pharmacist 主任護(hù)師 Professor of Nursing 主管護(hù) 師 Nurse-in-charge 護(hù)師 Nurse Practitioner 護(hù)士 Nurse 主任技師 Senior Technologist 主管技師 Technologist-in-charge 技師 Technologis 技士 TechnicianHello, may can I help you?您好,我可以幫您嗎?What seems to be bothering you?您覺得哪兒不舒服?Do you have a record? 您有病歷嗎?I'll transfer you
18、to the surgery department.我給您轉(zhuǎn)至 U夕卜科去what's wrong with you?您怎么了?Sit down , please.請坐。When did the symptom begin?病癥是什么時候開始的?Have you had any chills chest pain ?您有發(fā)冷胸痛嗎?Have you ever coughed up blood?您咳血過嗎?All right. Let me examine you. Would you mind taking off your coat?好吧。我給您檢查一下,您不介意脫掉外衣吧?Take
19、 a deep breath , please. 請深呼吸I'll take a white blood count and give you an x-ray examination.我將給您做白纟細(xì)胞計數(shù)和胸片檢查I'm sure it's pneumonia. You should be admitted to the hospital.我可以確定您得了肺炎,應(yīng)當(dāng)住院。|How long have you been like this?這種病癥有多久了?When did you begin to notice these symptoms?您什么時候發(fā)現(xiàn)這些病癥的
20、?What's your trouble? 你怎么啦?What's the trouble with you?你哪兒不舒服?What's troubling you?你哪兒不舒服?What's bothering you?你哪兒不舒服?What's up with you?你生什么病了?What's the matter with you?你哪兒不舒服?Is there a sense of distension and numbness?你有脹和麻木的感覺嗎?When did the trouble start?什么時候開始不舒服?When d
21、id the pain start?什么時候開始痛的?When did it happen?什么時候發(fā)生的?When did your diarrhea start?你什么時候開始腹瀉的?What kind of pain do you feel?你覺得怎么個痛法?What kind of stool did you notice, watery or mucous?你注意大便的樣子了嗎?是水樣的還是粘液樣?What did you vomit, food or blood?你吐的是什么?食物還是血?What kind of treatment have you had?你過去用什么方法治療過
22、?What about your heart?你的心臟怎么樣?What's your stool like?大便是什么樣子?Where is your pain?你覺得哪兒痛?Where does it hurt? 哪兒痛?What's your appetite? 你的胃口怎么樣?How's your appetite those days?近來食欲怎么樣?How long have you been feeling like this?你有這樣感覺多長時間了?Have you been coughing and sneezing?你是不是一直咳嗽和打噴嚏?Have
23、you got a high fever? 你發(fā)燒嗎?Any fever?發(fā)燒嗎?Have you got any chronic disease before?你以前有過慢性病嗎?Does it bleed often?常出血嗎?Do you feel short of breath?你覺得氣急嗎?Do you feel pain after meals?是飯后痛嗎?Do you feel abdominal pain when you go to the toilet?你去廁所時感到腹痛嗎?Do you have a pain in your stomach?你肚子痛嗎?Do you ha
24、ve a cough? 你咳嗽嗎?Do you remember how many times you went to the toilet?你記得去過多少次廁所嗎?Did you receive any treatment before you came to the hospital?來醫(yī)院前你接受過治療嗎?I'd like to listen to your chest.我想聽聽你的胸部。I'd like to run a few tests.我想給你做些檢查。You must have a blood sputumtest. 你需要驗驗血痰。You have the f
25、lu.你得了流行感冒。You have got enteritis.你得了腸炎。You have caught a chill.你著涼了。You seem to have picked up some sort of infection.你好象染上什么傳染病了。When did you first notice it你什么時候感覺到的?What kind of pain is it 怎樣疼?Did you run any temperature你發(fā)過燒嗎?Have you seen anybody about it你找醫(yī)生看過嗎?I think you need some examinatio
26、ns first.我想您首先需要做一些檢查。You'd better take an X-ray picture to see if there is a fracture.你最好拍張 X 片子,看看有沒有骨折。I'd like to give you an X-ray.我想給你透視一下。I'll give you some medicine.我給您開點藥。I'm afraid you have to receive an amputation.恐怕你需要截肢。It is the only way to save your life.這是挽救您生命的唯一方法。M
27、y diagnosis is that you have a malignant tumor osteogenic sarcoma.我的診斷是您得了惡性骨肉瘤。The fractured leg must be kept in plaster.必須把骨折的腿打上石膏。Open your mouth, please. 請張開嘴。It's too worn out to be filled.這顆牙壞得太歷害了,無法補(bǔ)了。Have you ever had an injection of procaine penicillin before? 你以前打過普魯卡因青霉素嗎?Does it hu
28、rt when you eat anything sweet or sour?你吃甜的或酸的東西時疼嗎?I'll be cleaning them now. Let me know if it hurts.我現(xiàn)在給你洗牙,疼就說一聲。The wound hasn't healed enough yet.傷口還沒完全愈合。You'll have to wait for one more month, or they won't fit properly.你得再等一個月,要不然裝上也不會適宜。What kind of material do you prefer你想
29、要什么材料的?Would you like to have a look at some of the samples?你要看一看樣品嗎?You've got to come five times before the work can be finished.你得來五次才能做好。Shall I fix you a plastic crown?我給你裝一個塑料牙套好嗎?We'll give you an X-ray to find out the condition of the root.我們要給你拍一張 X 光片,看看牙根的情況。You'll have to lea
30、ve your old denture here.你得把原先的假牙留下。You should leave your denture in your mouth all day.你應(yīng)該整天戴著你的假牙。How are your periods? Are they heavy?你的月經(jīng)怎么樣?量多嗎?Have you had any pain in this area during your menstruation?你來月經(jīng)時間時這一部位疼嗎?How about your menstruation cycles?你的經(jīng)期準(zhǔn)嗎?Have you had any discomfort?有什么不舒服嗎
31、?When was your last menstruation?你上一次月經(jīng)是什么時候?How long is your period usually?通常你的月經(jīng)周期多長?Have you had any bleeding, watery discharge or pain in your lower abdomen?你有過陰道出血、水性分泌物以及下腹部疼痛的情況嗎?How long has this been bothering you?這種不適感有多久了?Did you feel contractions regularly?你感覺到過有規(guī)律的宮縮嗎?What's the am
32、ount of bleeding?Is it profuse? 出血量多少?很多嗎?Do you mind if I examine you briefly?我簡單地給你檢查一下,你介意嗎?I'll run some tests on you.我要給你做些化驗。That's due to your heavy period.這是因為你月經(jīng)過多造成的。I think it's carcinoma of the breasts.我認(rèn)為是乳腺癌。We'll send her to the delivery room for further observation.我們
33、想把她送到產(chǎn)房進(jìn)一步觀察。Do you see dimly from distance or close by?您看遠(yuǎn)不清還是看近不清?Do you see objects dimly?您看東西模糊嗎?What kind of pain do you have?怎么痛法?Is there much secretion from your eyes?眼里的分泌物多嗎?Does light affect your eyes? 您的眼睛怕光嗎?Do you see an object as if there were two that overlap?您看東西有重影嗎?Do you see my h
34、and moving?您看見我的手在動嗎?Try not to blink.不要眨眼。Are you near-sighted or far-sighted您是近視眼還是遠(yuǎn)視眼?Come back in a week for a re-examination of your eyes.一周以后來復(fù)查您的眼睛。I'll send you some medicine pill, ointment .給你開些內(nèi)服藥丸藥,膏藥。I'll give you some tablets.我給你一些藥片。I'll make up a prescription for you.我給你開一
35、張藥方I'll write out a prescription for you right now.我馬上給你開張藥方。I'll give you a prescription. Take it to the chemist's.我給你一張?zhí)幏剑?U藥房去配藥。I think you'd better take Chinese traditional medicine.我認(rèn)為你最好服用中藥。Take the medicine according to the instruction.請按醫(yī)囑用藥。I'd like to put you on some
36、 medicine and have you come back in several days.給我開點藥,幾天以后你再來。One tablet each time, three times a day after meals.每日 3 次,每次 1 片,飯后服。Take one capsule every four hours. 每 4 小時服用一膠囊。Take a dose three times a day. 每天服 3 次,每次一劑。Put the ointment on the sore once a day.把軟膏涂在患處,每日1 次。Shake well before usin
37、g it. 使用之前要搖勻。The medicine will relieve your pain.這種藥會給你止痛。This medicine can keep your fever down.這種藥可給你退燒。This is for oral administration.這是口服藥物。This lotion is for external use only.這種洗劑只可夕卜用。You're suffering from acute appendicitis and must have an operation.你得的是急性闌尾炎,要動手術(shù)。I'm sorry to say
38、 you'll have an immediate operation.很遺憾,你得快動手術(shù)。Your meals should be frequent but small in quantity.應(yīng)該少吃多餐。Your meals should be light and digestible.吃的東西要清淡容易消化。You should take some more vitamins.你應(yīng)該多吃些維生素。You should go on a diet.你應(yīng)該節(jié)食。You can't touch anything sweet.你一點甜食也吃不得。Fatty food will
39、do you harm.高脂肪食物對你有害處。Avoid eating greasy food. 不要吃油膩食物。Drink plenty of water.要喝大量的水。You are scheduled to have a GI and a GB test tomorrow morning.您預(yù)定明天早上作胃腸檢查和膽囊檢查。Please don't eat or drink anything until the test is over. I'm sorry but you have to have anabsolute empty stomach.要檢查結(jié)束之前請不要吃喝任何東西。我很抱歉,您得完全空著胃。This test
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