病历书写英文单词.doc

现病史[History of present illness (HPI/PI)] 现病史书写的重点包括： 一、主诉中症状的详细描述； 二、疾病的发展过程； 三、诊疗经过； 四、目前的一般情况。 1、诱因 ·无诱因下[With no inducing factors] ·无明显诱因下[Under no obvious predisposing causes] ·感冒一周后[After getting (catching) common cold for 1 week] 2、症状出现的叙述 ·有……症状 ▲suffer from ▲have an attack of ▲have(fell) ▲begin to fell ▲a feeling (sensation) of…… ▲complain (of) ▲……sensation (feeling) in (of) …… ▲[发热]have a temperature (become feverish) ·在……情况下发生 ▲活动时呼吸困难[dyspnea on exertion] ▲躺下后即出现咳嗽[Cough occurs soon after lying] ·与……有（无）关 ▲与……有关[be associated with] ▲与……有关[have (make) relation to] ▲与……无关[have (make)no relation to] ·在……情况下加重（减轻） ▲餐后加重[become worse after taking meals] ▲站立后缓解[be relieved by standing up] ▲随呼吸和咳嗽而加重[become more severe with breathing and cough] ·伴有…… ▲be accompanied by 3、起病方式 ·急性腹痛[acute abdominal pain] ·慢性低热[chronic lower fever] ·暴发性发病[the onset was fulminating] ·骤起胸痛[an explosive onset of chest pain] ·突然起病伴高热[the onset was sudden with high fever] ·突发突止[attacks began and ended abruptly] ·因……而突然起病[the attack is precipitated by……] ·很快发生晕厥[syncope occured rapidly] ·逐渐出现咳嗽咳痰[gradual onset of cough and sputum] ·偶而[occasionally (sporadically, accidentally)] ·反复胸闷心悸[recurrent (bouts of) chest discomfort and palpitation] ·一过性发作[transitory attack] ·连续胸痛[chest pain continually] ·时重时轻[waned and waxed] ·时好时坏[hang in the balance] ·不停地咳嗽[have a fit of cough] ·发作性呼吸困难[paroxysmal short of breath] ·频繁咳嗽[cough frequently (very often)] ·持续性（间歇性）[persistent (intermittent)] ·频发胸痛[frequent episodes of chest pain] ·持续不变[be steady] 4、病情变化描述 ·[症状好转] ▲fell better than before ▲take a favorable turn ▲take a turn for the better ▲improve ▲make favorable progress ▲turn for the better ▲change for the better ▲be better ·[症状减轻] ▲alleviate ▲reduce