醫(yī)學(xué)漢語(yǔ)和情景對(duì)話要求課件

醫(yī)學(xué)漢語(yǔ)和情景對(duì)話要求醫(yī)學(xué)漢語(yǔ)和情景對(duì)話要求Contents內(nèi)容Vocabulary詞匯1Casereading病例閱讀2Situationaldialogue情景會(huì)話3Contents內(nèi)容Vocabulary詞匯1Cas

DigestiveSystemabsorptionaminoacidsamylaseanusappendixbilebilirubinbowel吸收氨基酸淀粉酶肛門闌尾膽汁膽紅素腸canineteethcecumcoloncommonbileductdefecationdentindigestionduodenum犬齒盲腸結(jié)腸膽總管排便牙本質(zhì)消化十二指腸DigestiveSystemabsorption

DigestiveSystemeliminationemulsificationenamelenzymeesophagusfattyacidsfecesgallbladder排泄乳化琺瑯質(zhì)酶食道脂肪酸糞便膽囊glucoseglycogenhydrochloricacidileumincisorinsulinjejunumlipase葡萄糖糖原鹽酸回腸切牙，門牙胰島素空腸脂肪酶DigestiveSystemelimination

DigestiveSystemlivermasticationmolarteethpalatepancreaspapillaeparotidglandperistalsis肝臟咀嚼磨牙，臼齒顎胰腺舌乳頭腮腺蠕動(dòng)pharynxportalveinproteasepulppyloricsphincterrectumrugaesaliva咽門靜脈蛋白酶牙髓幽門括約肌直腸胃褶皺唾液DigestiveSystemliver肝臟pharyn

DigestiveSystemsalivaryglandssigmoidcolonsphincterstomachtriglyceridesuvulavilli唾液腺乙狀結(jié)腸括約肌胃甘油三酯懸雍垂，小舌腸絨毛DigestiveSystemsalivaryglan

DigestiveSystemanorexiaascitesborborygmusconstipationdiarrheadysphagiaeructationflatus厭食腹水腸鳴音便秘腹瀉吞咽困難打嗝，噯氣胃腸氣，屁hematocheziajaundicemelenanauseasteatorrhea便血黃疸黑便惡心，反胃脂肪瀉SymptomsDigestiveSystemanorexia厭食hem

DigestiveSystemaphthousstomatitisdentalcariesherpeticstomatitisoralleukoplakiaperiodontaldiseaseachalasiaesophagealvaricesgastriccarcinoma口瘡性口炎齲齒皰疹性口炎口腔白斑牙周病食道失弛癥食管靜脈曲張胃癌herniapepticulceranalfistulacolonicpolyposiscolorectalcancerCrohndiseasediverticulosisdysentery疝胃潰瘍肛瘺結(jié)腸息肉直腸結(jié)腸癌克羅恩病憩室病痢疾PathologicalConditionsDigestiveSystemaphthousstom

DigestiveSystemhemorrhoidsileusintussusceptionulcerativecolitisvolvuluscholelithiasiscirrhosispancreatitis痔瘡腸梗阻腸套疊潰瘍性結(jié)腸炎腸扭轉(zhuǎn)膽結(jié)石肝硬化胰腺炎viralhepatitis病毒性肝炎PathologicalConditionsDigestiveSystemhemorrhoids痔瘡

DigestiveSystemliverfunctiontestsstoolculturehemocculttestbariumenemacholangiographyabdominalultrasonographymagneticresonanceimagingliverscan肝功能檢查gangongnengjiancha大便培養(yǎng)dabianpeiyang大便隱血試驗(yàn)dabianyinxueshiyan鋇灌腸beiguanchang膽管造影danguanzaoying腹部超聲fubuchaosheng磁共振cigongzhen肝掃描gansaomiaoLaboratoryTests,ClinicalProceduresDigestiveSystemliverfunctio

DigestiveSystemgastricbypassgastrointestinalendoscopyliverbiopsynasogastricintubationparacentesisCTscan胃旁路術(shù)weipanglushu胃腸內(nèi)窺鏡檢查weichangneikuijing肝活組織檢查ganzhuzhihuojian經(jīng)鼻胃管插入術(shù)jingbiweiguancharu穿刺術(shù)chuancishu計(jì)算機(jī)斷層掃描jisuanjiduancengsaomiaoLaboratoryTests,ClinicalProceduresDigestiveSystemgastricbypas

DigestiveSystemGastricUlcerwithBleeding-melena,hematemesis患者，男性，45歲，因“黑便3次，嘔血1次”于2004年1月28日入院。Huanzhe,nanxing,sishiwusui,yin“heibiansanci,ouxueyici”yuerlinglingsinianyiyueershibariruyuan.CasereadingⅠ胃潰瘍伴出血---黑便、嘔血Weikuiyangbanchuxue—heibian、ouxueA45-year-oldmanpresentedonJan.28,2004totheemergencydepartmentwithmelenaforthreetimesandvomitingofbloodforonetime.DigestiveSystemGastricUlcer

DigestiveSystem患者三天前飲酒后出現(xiàn)中上腹不適，解黑便一次，量約200g，當(dāng)時(shí)不伴乏力，頭暈，冷汗，心慌，患者未予重視。Huanzhesantianqianyinjiuhouchuxianzhongshangfubushi,jieheibianyici,liangyue200ke,dangshibubanfali,touyun,lenghan,xinhuang,huanzheweiyuzhongshi.CasereadingⅠThreedaysbefore,afterdrinkingsomealcohol,thepatientdevelopedmelenaofabout200gbutwithoutfatigue,dizziness,coldsweatorrapidheart-beat,sohedidn’tpaymuchattention.DigestiveSystem患者三天前飲酒后出現(xiàn)中上腹

DigestiveSystem2天前嘔吐咖啡色胃內(nèi)容物1次，量約200ml，解柏油樣便2次，約200g，同時(shí)伴有乏力，冷汗，心慌，急送我院急診。Liangtianqianoutukafeiseweineirongwuyici,liangyue200haosheng,jiebaiyouyangbianliangci,yue200ke,tongshibanyoufali,lenghan,xinhuang,jisongwoyuanjizhen.CasereadingⅠTwodaysbefore,hesuddenlyvomitedcoffee-likefluidofabout200ml,followedbymelenatwice,withthetotalamountofabout200g.Hefeltfatigue,coldsweatandpalpitationandwassenttotheemergencydepartmentimmediately.DigestiveSystem2天前嘔吐咖啡色胃內(nèi)容物1

DigestiveSystem測(cè)血壓60/30mmHg,糞便隱血試驗(yàn)（++++）。既往無(wú)肝炎病史，無(wú)腎衰史，無(wú)急性應(yīng)激史，未服非甾體類消炎鎮(zhèn)痛藥。吸煙史20年，每天一包。無(wú)飲酒史，有一姐姐死于胃癌。Cexueyaliushidaosanshihaomigongzhu,fenbianyinxueshiyansigejia.Jiwangwuganyanbingshi,wushenshuaishi,wujixingyingjishi,weifufeizaitileixiaoyanzhentongyao.Xiyanshi20nian,meitianyibao.Wuyinjiushi,youyijiejiesiyuweiai.CasereadingⅠHisbloodpressurewas60/30mmHgandthestooloccultbloodtestwas(++++).Hehadnohistoryofhepatitis,

renalfailure,acutestressorhistoryofNSAIDadministration.Hehad20-yearhistoryofsmokingonepackofcigarettesperday,anddenieduseofalcohol.Oneofhissistersdiedofgastriccarcinoma.DigestiveSystem測(cè)血壓60/30mmHg,

DigestiveSystem入院體檢：體溫37.5oC,血壓60/30mmHg,呼吸19次/分，心率102次/分。神志清晰，鞏膜無(wú)黃染，貧血貌，未見肝掌，蜘蛛痣，淺表淋巴結(jié)未及腫大。Ruyuantijie:tiwei37.5sheshidu,xueya…h(huán)aomigongzhu,Xinlv102cimeifen.Shenzhiqingxi,gongmowuhuangran,pinxuemao,weijianganzhang,zhizhuzhi,qianbiaolinbajieweijizhongda.CasereadingⅠPhysicalexamination:T:37.5oC,BP:60/30mmHg,R:19/min,HR:102bpm.Conscious,nojaundiceofsclera,paleappearance,noliverpalm,nospiderangiomaonthechest,nopalpationofsuperficiallymphnodes.DigestiveSystem入院體檢：體溫37.5oC

DigestiveSystem雙肺聽診無(wú)異常。腹軟，無(wú)壓痛反跳痛，未及腫塊，肝脾肋下未及。無(wú)移動(dòng)性濁音，腸鳴音亢進(jìn)。肛指陰性，下肢無(wú)水腫，神經(jīng)系統(tǒng)體征（-）。Shuangfeitingzhenwuyichang;furuan,wuyatongfantiaotong,weijizhongkuai,ganpileixiaweiji.Wuyidongxingzhuoyin,changmingyinkangjin.Gangzhiyinxing,xiazhiwushuizhong,shenjingxitongtizhengyinxing.CasereadingⅠBilaterallungauscultationnegative;abdomensoft,notendernessorreboundtenderness,nomasspalpated,liverandspleenarenotpalpatedbelowtheribcage,shiftingdullness(-),bowelsoundsactive,analdigitalexamination(-),noedemaoflowerlimbs,nervoussystem(-).DigestiveSystem雙肺聽診無(wú)異常。腹軟，無(wú)壓

DigestiveSystemLivercirrhosisandascites--fatigue,anorexia,abdominalswellingandoliguria患者，男，57歲，因“乏力、納差2個(gè)月，腹脹、少尿半月”于2003年1月20日入院。Huanzhe,nan,wushiqisui,yin“fali,nachalianggeyue,fuzhang,shaoniaobanyue”yu2003nian1yue20riruyuan.CasereadingⅡ肝硬化腹水---乏力、納差、腹脹、少尿Ganyinghuafushui—fali,nacha,fuzhang,shaoniaoA57-year-oldfemalepatientwasadmittedonJan.20th,2003becauseof“fatigueandanorexiafor2months,abdominalswellingandoliguriaforhalfamonth”.DigestiveSystemLivercirrhos

DigestiveSystem患者2月前無(wú)明顯誘因下出現(xiàn)乏力，體力下降，由原來(lái)每餐2兩降至1兩,且伴有低熱，自服感冒藥后略有好轉(zhuǎn)。Huanzheliangyueqianwumingxianyouyinxiachuxianfali,tilixiajiang,youmeicanerliangjiangzhiyiliang,qiebanyoudire,zifuganmaoyaohoulueyouhaozhuang.CasereadingⅡTwomonthsbefore,thepatientbegantofeelfatigue,decreasedtoleranceofphysicalactivitiesandanorexiawithoutanyidentifiablecauses.Sheusedtoeat100griceeverymeal,butnowshecouldonlyeat50g.Shealsohadlow-gradefeverandfeltbetteraftertakinganti-coldmedications.

DigestiveSystem患者2月前無(wú)明顯誘因下出現(xiàn)

DigestiveSystem半月前，患者出現(xiàn)腹脹，褲子腰圍漸緊，尿量也漸減少，每日尿量約500ml，尿色黃。Banyueqian,huanzhechuxianfuzhang,kuziyaoweijianjin,niaoliangyejianjianshao,meiriniaoliangyue500haosheng,niaosehuang.CasereadingⅡHalfamonthbefore,thepatientbegantofeelabdominalswelling.Herpants’waistbeltbecametightforher.Urinevolumedecreasedto500mleverydayandthecolorwasdark.DigestiveSystem半月前，患者出現(xiàn)腹脹，褲子

DigestiveSystem患者遂就診于當(dāng)?shù)蒯t(yī)院，行腹部B超檢查，示肝硬化、脾腫大、大量腹水。患者20年前曾患過(guò)急性乙型肝炎，以后的幾年中肝功能反復(fù)有異常。Huanzhesuijiuzhenyudangdiyiyuan,xingfububichaojiancha,shiganyinghua,pizhongda,daliangfushui.Huanzhe20nianqiancenghuanguojixingyixingganyan,yihoudejinianzhonggangongnengfanfuyouyichang.CasereadingⅡThenthepatientwenttothedistricthospitalnearbyandtooktheabdominalultrasoundexamination.Theresultshowedshehadlivercirrhosis,splenomegaly,andlargevolumeofascites.ThepatienthadhepatitisB20yearsago.Duringtheyearsaftertheacuteinfection,herliverfunctionwasabnormalintermittently.DigestiveSystem患者遂就診于當(dāng)?shù)蒯t(yī)院，行

DigestiveSystem患者無(wú)煙酒嗜好，已婚，育有一子、一女，女兒及丈夫身體健康，其子曾患乙肝。父親死于肝癌，母親仍健在。Huanzhewuyinjiushihao,yihun,yuyouyizi,yinv,nverjizhangfushentijiankang,qizicenghuanyigan.Fuqinsiyuganai,muqinrengjianzai.CasereadingⅡShehadnohabitofsmokingandalcohol.Shewasmarriedandhadonesonandonedaughter.Herdaughterandhusbandwerebothhealthy.HersonhadhepatitisBinfection.Herfatherdiedofprimaryhepaticcancer.Hermotherisstillalive.DigestiveSystem患者無(wú)煙酒嗜好，已婚，育有

DigestiveSystem入院體檢：體溫37.5oC,血壓120/80mmHg,呼吸18次/分，心率100次/分。神清,慢性肝病面容，鞏膜輕度黃染，肝掌（+），左頸部可見蜘蛛痣，淺表淋巴結(jié)未觸及腫大。Ruyuantijian:tiwen37.5sheshidu,xueya..haomigongzhu,huxi18cimeifen,xinlv100cimeifen.Shenqing,manxingganbingmianrong,gongmoqingduhuangran,ganzhang,zuojingbukejianzhizhuzhi,qianbiaolinbajieweichujizhongda.CasereadingⅡPhysicalexamination:T:37.5oC,BP:120/80mmHg,R:18/min,HR:100bpm.Conscious,hepaticface,mildjaundiceofsclera,liverpalm(+),spiderangiomaonleftneck,nopalpationofsuperficiallymphnodes.DigestiveSystem入院體檢：體溫37.5oC

DigestiveSystem雙肺呼吸音清，心界正常大小。腹部明顯膨隆，未見腹壁靜脈曲張，腹軟，腹部無(wú)明顯壓痛，移動(dòng)性雜音（+）。腸鳴音正常。雙下肢中度水腫，神經(jīng)系統(tǒng)體征（-）。Shuangfeihuxiyinqing,xinjiezhengchangdaxiao.Fubumingxianpenglong,weijianfubujingmaiquzhang,furuan,fubuwumianxianyatong,yidongxingzayinyigejia.Changmingyinzhengchang.Shuangxiazhizhongdushuizhong,shenjingxitongtizhengyinxing.CasereadingⅡLungauscultationnegative,heart(-).Abdominalfindings:obviousabdominalbulge(markedprotuberanceoftheabdomen),nodistentionofabdominalwallveins,soft,nopain,shiftingdullness(+),normalactiveintestinalsound,moderateedemaoflowerlimbs,NS(-).DigestiveSystem雙肺呼吸音清，心界正常大小

DigestiveSystem實(shí)習(xí)生：15床，現(xiàn)在您哪兒不舒服？Shixisheng:shiwuchuang,xianzaininnaerbushufu病人：我肚子痛。Bingren:woduzitong.DialogueⅠIntern:BedNo.15,whichpartofyourbodyisnotfeelingwellnow?Patient:Myabdomenisaching.DigestiveSystem實(shí)習(xí)生：15床，現(xiàn)在您哪

DigestiveSystem實(shí)：是上腹部嗎？Shishangfubuma?。簩?duì)。dui實(shí)：痛了多長(zhǎng)時(shí)間了？Tongleduochangshijianle?。簭那疤焱砩鲜c(diǎn)開始一直在痛congqiantianwanshangShidiankaishiyizhizaitong.DialogueⅠIntern:Isitattheepigastrium?Patient:Yes.Intern:Howlonghasitbeenlikethis?Patient:Itbeganfrom10PmthedaybeforeyesterdayDigestiveSystem實(shí)：是上腹部嗎？Shis

DigestiveSystem實(shí)：您指指看，是哪兒痛？Nizhizhikan,shinaertong?。洪_始時(shí)是上腹部痛，后來(lái)是右側(cè)腹部劇痛，就是這兒。Kaishishishishangfubutong,houlaishiyoucefubujvtong,jiushizheer.DialogueⅠI:Canyouindicatetheachingplacebypointatit?P:Thepainstartsattheepigastrium,andthenIfeelthesharppainattherightabdomen-here.DigestiveSystem實(shí)：您指指看，是哪兒痛？D

DigestiveSystem實(shí)：您感覺是什么樣的痛？Ninganjieshishenmeyangdetong病：持續(xù)地痛，越來(lái)越痛，像刀割一樣。坐著痛，躺著也痛，痛死我了。Chixvditong,yuelaiyuetong,xiangdaogeyiyang,tangzheyetong,tongsiwole.DialogueⅠI:Whatkindofpainisit?P:It’sacontinuouspain.Anditbecomessharper,likebeingcutbyaknife.It’sallthesamewhetherI’msittinguporlyingdown.Oh,it’skillingme!DigestiveSystem實(shí)：您感覺是什么樣的痛？D

DigestiveSystem實(shí)：其他地方也跟著痛嗎？Qitadifangyegenzhetongma病：背部右側(cè)也跟著痛，腰的右側(cè)也不舒服。Beibuyouceyegenzhetong,yaodeyouceyebushufu.DialogueⅠI:Isanyotherpartofthebodyalsoaffected?P:Myrightbackaches,too.Andtherightlumbarregionfeelsuncomfortable.DigestiveSystem實(shí)：其他地方也跟著痛嗎？D

DigestiveSystem實(shí)：劇痛之后發(fā)冷嗎？有沒有發(fā)燒？Jutongzhihoufalengma?Youmeiyoufashao?。簺]發(fā)冷，但有點(diǎn)低燒。Meifaleng,danyoudiandishao.實(shí)：小便是什么顏色？Xiaobianshishenmeyanse??。荷铧S色。Shenguangse.DialogueⅠI:Doyoufeelachillafterthesharppain?Doyouhavefever?P:Nochill,butIhavealowfever.I:Whatcolorisyoururine?P:Darkyellow.DigestiveSystem實(shí)：劇痛之后發(fā)冷嗎？有沒有

DigestiveSystem實(shí)：您還記得前天晚上吃什么了嗎？Nihaijideqiantianwanshangchishenmelema?。河浀?。前天晚上，我們單位有個(gè)宴會(huì)，我吃了很多牛排、雞肉和煎蛋。回家后就感覺不舒服，惡心，還吐了。DialogueⅠI:Doyourememberwhatyouhadeatenthenightbefore?P:Yes.Thatnight,Iatealotofbeefsteak,chickenandfriedeggsatourunit’sdinnerparty.Ifeltuncomfortableandsickaftergettinghome,andIeventhrewup.DigestiveSystem實(shí)：您還記得前天晚上吃什么

DigestiveSystem實(shí)：一共吐了幾次？Yigongtulejici??。核奈宕伟?。Siwuciba.實(shí)：吐的是什么東西？有沒有血或綠色的東西？Tudeshishenmedongxi?Youmeiyouxuehuolvsededon