英语查房剧本桡骨远端骨折.pdfVIP

Orthopeadic Department of Shanghai Shuguang Hospital Affiliated to shanghai University of Traditional Chinese Medicine The scripts of Ward Round in English——Distal Radius Fracture 上海中医药大学附属曙光医院 骨伤科 英语查房剧本——桡骨远端骨折 Professor: Zheng yuxin 郑昱新 Attending: Cao yuelong 曹月龙 Resident: Ding huifeng 丁惠锋 Intern: He tianxiang 何天翔 Patient: A bu 阿布 Cameraman: Ge Maojun 葛茂军 A ．Morning report 情景A ：交班 Professor: Good afternoon everyone, today we will check the patient of bed No. 48. Doctor He , would you please say something about this patient ？ 主任医师：各位下午好，今天我们检查一下48 床的患者。何医生请你谈谈这个患者的情况 好吗？ Intern: Ok, This patient is a 25 years man ,feel pain，swelling, deformity of left wrist.2 hours after a fall ,then he came to the emergency department of our hospital. After taking a x-ray film, fracture of distal radius was found .In the emergency ,the doctor try to close reduce the fracture .The fracture is too comminuted to reduce successful ,then this patient was hospitalised in our department in order to do an opration. In our department we can see tenderness, swelling, deformity of left wrist and loss of range of motion of this patient. We can find this deformity is like a diner fork with dorsal angulation and radial displacement. and we did not find any neurovesular symptom on the left hand.. From the x-ray of left wrist .we can find this fracture is called Collesfracture ,but this fracture is so communited and intra-articular. 实习医师：好的，这是一个男性病人，25 岁，摔倒致左腕疼痛、肿胀、变形2 小时。然后 来我院急诊室，经 X 线检查发现桡骨远端骨折。在急诊室医生试图给予闭合复位，但由于 骨折太粉碎复位没有成功。所以这位患者收入院准备手术。 入院后可见该患者左腕压痛、肿胀、变形以及活动受限。左腕畸形向背侧成角、桡侧移位就 象一把餐叉。我们没有发现患者左手有神经血管症状。我们从X 线片上可以看到这是Colles’ 骨折，而且