Clinical dialogue four.pptVIP

Clinical dialogue four Fracture 骨 折 Jian Zhou Department of Orthopaedics Ren Ji Hospital D: Hello, I’m an orthopedic surgeon.. What happened to your leg? 你好，我是骨科医生，你的腿怎么了？ P: I fell down the stairs, Immediately, I felt a bad pain in my left hip and I couldn’t stand at all. 我从楼梯上摔下来，马上感到左髋疼得厉害，我简直站不起来了。 D: when did it happen? 什么时候发生的？ P: Tow hours ago. 两小时以前 D: Have you taken any pain-killers? 你用过什么止痛药吗？ P: No, I came directly here. 没有，我直接就来了。 D: Please lie on the bed, loosen your belt, and point to the spot where you feel the most pain. 请躺下，松开你的腰带，请你指出最疼的部位 P: It’s here, Doctor, around the left hip. 就在这里，医生，左髋关节周围 D: I’m afraid your femur is broken. We’d better X-ray it, just to be sure. Take this paper to the office; the nurse will show you to the X-ray department. 你的股骨恐怕断了。得照几张X 线片来确定一下。拿这张申请单到办公室去，护士会带你到放射科去。 D: The X-ray shows a fracture of your left femur. X线片显示左髋骨骨折。 P: Doctor, will it heal properly? 医生， 能治好吗？ D: Of course, it will, don’t worry. I think you should be admitted to hospital. You need an operation to fix it. 当然能治好，不要着急。我想你应住院，你得做复位固定手术 P: I have hurt my right elbow. I can’t move it because of the pain. 我的右肘受伤了，疼得动也不能动。 D: How did it happen? 是怎么引起的？ P: That happened this morning. When I was getting into the bus, I fell on my elbow. 今天早晨上公共汽车的时候，我把肘部摔伤了 D: Is it still painful? 现在还疼吗？ P: Yes. Since the accident it has been stiff and looks black and blue. At times it feels numb. 是的，受伤后伤处僵硬发紫发胀。有时还觉得麻木 D: Can you feel this, when I put it on your hand? 我把这个放在你手上时你有感觉吗？ P: Yes. 有感觉 D: I’m afraid you may have broken your elbow, I’ll send you to the x-ray department to check. 你的肘关节恐怕骨折了，我送你去放射科检查一下 D: The X-ray reveals a fracture of the lower humerus. We’ll give you a “U” type plaster cast on your elbow and shoulder. X线片显示肱骨下段骨折。我们在你肘部和肩膀上打个“U”型石膏托 P: How long shall I have to have it? 这石膏托需要戴多久？ D: About six weeks. 大约六周 P: Is there anything else I should do? 我还需要注意什么事吗？