医学英语超级全.pdf

医学英语超级全.txt老公如果你只能在活一天，我愿用我的生命来延续你的生命，你要快乐

的生活在提出分手的时候请不要说还爱我。1、抗生素医嘱[Antibioticorder]

·Prophylaxis[预防性用药]Durationofoder[用药时间]24hr

Procedure[操作，手术]

·Empirictheraphy[经验性治疗]

Suspectedsiteandorganism[怀疑感染的部位和致病菌]72hr

Culturesordered[是否做培养]

·Documentedinfection[明确感染]

Siteandorganism[部位和致病菌]5days

·Other[其他]

Explanationrequired[解释理由]24hr

·Antibioticallergies[何种抗生素过敏]

Noknownallergy[无已知的过敏]

·Drug+dose+Route+frequency[药名+剂量+途径+次数]

2、医嘱首页[Admission/transfer]

·Admit/transferto[收入或转入]

·Resident[住院医师]Attending[主治医师]

·Condition[病情]

·Diagnosis[诊断]

·Diet[饮食]

·Acitivity[活动]

·Vitalsigns[测生命体征]

·I/O[记进出量]

·Allergies[过敏]

3、住院病历[casehistory]

·Identification[病人一般情况]

Name[性名]

Sex[性别]

Age[年龄]

Marriage[婚姻]

PersontonotifyandphoneNo.[联系人及电话]

Race[民族]

I.D.No.[身份证]

Admissiondate[入院日期]

Sourceofhistory[病史提供者]

Reliabilityofhistory[可靠程度]

MedicalrecordNo[病历号]

BusinessphoneNo.[工作单位电话]

HomeaddressandphoneNo.[家庭住地及电话]

·Chiefcomplaint[主诉]

·Historyofpresentillness[现病史]

·PastHistory[过去史]

Surgical[外科]

Medical[内科]

Medications[用药]

Allergies[过敏史]

SocialHistory[社会史]

Habits[个人习惯]

Smoking[吸烟]

FamilyHistory[家族史]

Ob/GynHistory[婚姻/生育史]

Alcoholuse[喝酒]

·ReviewofAystems[系统回顾]

General[概况]

Eyes,Ears,Noseandthroat[五官]

Pulmonary[呼吸]

Cardiovascular[心血管]

GI[消化]

GU[生殖、泌尿系统]

Musculoskeletal[肌肉骨骼]

Neurology[神经系统]

Endocrinology[内分泌系统]

Lymphatic/Hematologic[淋巴系统/血液系统]

·PhysicalExam[体检]

VitalSigns[生命体征]

P[脉博]

Bp[血压]

R[呼吸]

T[温度]

Height[身高]

Weight[体重]

General[概况]

HEENT[五官]

Neck[颈部]

Back/Chest[背部