咯血病人的健康宣教.docVIP

咯血病人的健康宣教 ? 英语学习? 英语会话及医院常用词汇 咯血病人的健康宣教 HealthEducationforaPatient withHemoptysis 背景 患者赵某,男性,59岁,小学文化,退休工人.因反复发 作性慢性咳嗽伴脓痰3年,咯血1天,量约300毫升.平车 入院,其妻子和儿子一起陪同在旁.人院诊断为支气管扩 张. Background PatientMr.Zhaoisa59yearsoldretiredfactorywork— erwithelementaryschoolleveleducation.Hehashadre— peatedchroniccoughingwiththickpululentsputumforthree yearsandspitabout300millilitersofbloodwithinthepast day.HewasbroughttOthehospitalbyambulance,accompa— niedbyhiswifeandson.HisadmissiondiagnosisWaSbron- chiectasis. 交流 Interactions 护士:(床位护士小周面带微笑来到床边)你们好,我是 床位护士,我姓周,你们就叫我小周吧.以后有什么事可以 找我,我会尽我所能去做.你的床位医师姓张. Nurse:(hisbednurse,MissZhou,comestOhisbedside withsmile)Howdoyoudo?Iamyourbednurse.Mylast nameiszhouandDoctorZhangisyourdoctor.Pleasecallme anytimeifyouneedhelp. 病人:好的,谢谢你的介绍,麻烦你了.(说着,病人又 一 阵咳嗽,并咯出5口鲜红色的血液,患者及家属均表现出 十分紧张的神色) Patient:0K,thankyou.(Suddenlycoughing,spitting outfivemouthfulscarlet—coloredblood,thepatientandhis familymembersbecomeverynervous.) 护士:(在安置好病人后)现在舒服点了吧,你先安静地 躺着,注意一定让自己身心放松,不要紧张.因为情绪紧张 后会使植物神经的张力增加而导致喉肌痉挛,致使呼吸道 变窄,气道内的血块不易咳出而影响呼吸,甚至会导致窒 息,从而产生更严重的后果. Nurse:(aftertakingcareofthepatient)Doyoufeelbet— ternow?Youshouldlieinbedquietly,andtrytOrelaxand dontbetoonervous.Emotionalstressmayincreasetheten— sionofthevagusnerve,resultinginaspasmofthelaryngeal musclewhichnarrowstherespiratorytracts.Thebloodclot intheairwaywillbedifficulttOberemovedbycoughing. Thismightresultinsuffocationandproducemoreserious consequences. 病人:(表现出疑惑的神情)哦. Patient:(withasuspiciousappearance)Oh. 护士:因为你现在还处在疾病的急性期,并且咯血量较 大,所以你需要绝对卧床休息,尽量少说话,少活动.还有 些注意事项你先听我讲,如有疑问可轻轻地问我.好吗? Nurse:Youarenowintheacutestageofthediseasebe— causetheamountofbloodyouspitOutisnotSOlittle.You shouldlieinbedanddonttalkandmovetoomuch.I11tell yousomethingyoushouldpayattentiontO.Ifyouhaveand questions,youcanaskme,0K? (病人:微微点头,表示默许) (Patient::noddedslightly) (钱红英钮美娥) LaboratoryTestsandother DiagnosticMethods 实验室检查及其他诊断方法 tartaric-resistantAPstaln(T-AP)抗酒石酸酸性磷酸酶染色 periodicacid—Shiffreaction(PAS)糖原染色 nonspecificesterasestain(NSE)非特异性酯酶染色