临床病症病历英文单词.docxVIP

Case Records 表格式住院病历 Biographical data: 一般项目 Name Age Sex Marital status Native place Race 姓名 年龄 性别 婚否 籍贯民族 Occupation Date of admission Informant 职业 入院日期 病史叙述者 History 病史 Chief complaint: 主诉 History of present illness: 现病史 Past history: 既往史 previous health status: well ordinary bad infectious diseases 平素健康状况 良好 一般 较差 传染病史 immunizations allergies: N Y clinical manifestation: allergen: 预防接种史 过敏史 无 有 临床表现 过敏原trauma history: surgery history: 外伤史 手术史 Review of systems: (Tick if positive, cross out if negative. If positive, you should write down your disease history and brief course of diagnose and therapy) 系统回顾(有打√无打×阳性病史应在下面空间内填写发病时间及扼要诊疗经过 ) Respiratory system: 呼吸系统 sore throat chronic cough sputum hemoptysis wheezing dyspnea chest pain 咽痛 慢性咳嗽 咳痰 咯血 哮喘 呼吸困难 胸痛 Cardiovascular system: 循环系统 palpitation dyspnea on exertion hemoptysis syncope edema of lower limbs precordial pain hypertention 心悸 活动后气促 咯血 晕厥 下肢水肿 心前区痛 高血压 Digestive system: 消化系统 anorexia sour regurgitation belching nausea vomit abdominal distention abdominal pain 食欲减退 反酸 嗳气 恶心 呕吐 腹胀 腹痛constipation diarrhea hematemesis melena hematochezia jaundice 便秘 腹泻 呕血 黑便 便血 黄疸Urinary system: 泌尿系统 lumbago frequent micturition urgent micturition urodynia dysuria hematuria nocturia 腰痛 尿频 尿急 尿痛 排尿困难 血尿 夜尿polyuria oliguria facial edema 多尿 少尿 面部水肿Hemopoietic system: 造血系统 fatigue dizziness blurred vision gingival bleeding subcutaneous hemorrhage ostealgia epistaxis 乏力 头昏 眼花 牙龈出血 皮下出血 骨痛 鼻衄 Metabolic and endocrine system: 代谢及内分泌系统 excessive appetite anorexia sweets cold intolerance polydipsia polyuria tremor hands change of character 食欲亢进 食欲减退 多汗 畏寒 多饮 多尿 双手震颤 性格改变 obvious obesity emaciation hairiness hair losing pigmentation change of sexual function amenorrhea 显著肥胖 消瘦 多毛 毛发脱落 色素沉着 性功能改变 闭经 Musculoskeleton system ： 肌肉骨骼系统 floating arthralgia arthralgia swelling of joints deformities of joints myalgia atrophy of muscle 游走性关节痛 关节痛 关节红肿 关节变形 肌肉痛 肌肉萎缩Nervous system： 神经系统 dizziness headache vertigo syncope degenerati