常用临床医学术语5.docVIP

DateofAdmission[入院日期]

DateofDischarge[出院日期]

PirncipalDiagnosis[主要诊断]

SecondaryDiagnosis[次要诊断]

Complications[并发症]

Operation[手术名称]

ReasonforAdmission[入院理由]

PhysicalFindings[阳性体征]

Lab/X-rayFindings[化验及放射报告]

HospitalCourse[住院诊治经过]

Condition[出院状况]

Disposition[出院去向]

Medications[出院用药]

Prognosis[预后]

SpecialInstructiontothePatient(diet,physicalactivity)[出院指导（饮食，活

动量）]

Follow-upCare[随随访]

6、住院/出院病历首页[Admission/dischargerecord]

·Patientname[病人姓名]

·race[种族]

·address[地址]

·religion[宗教]

·medicalservice[科别]

·admit(discharge)date[入院（出院）日期]

·Lengthofstay[住院天数]

·guarantorname[担保人姓名]

·nextofkinorpersontonotify[需通知的亲属姓名]

·relationtopatient[与病人关系]

·previousadmitdate[上次住院日期]

·admittingphysician[入院医生]

·attendingphgsician[主治医生]

·admittingdiagnosis[入院诊断]

·final(principal)diagnosis[最终（主要）诊断]

·secondarydiagnosis[次要诊断]

·adversereactions(complications)[副作用（合并症）]

·incisiontype[切口类型]

·healingcourse[愈合等级]

·operative(non-operative)procedures[手术（非手术）操作]

·nosocomialinfection[院内感染]

·consutants[会诊]

·Critical-No.oftimes[抢救次数]

·recovered-No.oftimes[成功次数]

·Diagnosisqualitativeanalysis[诊断质量]

OP.adm.anddischargeDxconcur[门诊入院与出院诊断符合率]

ClinicalandpathologicalDxconcur[临床与病理诊断符合率]

Pre-andpost-operativeDxconcur[术前术后诊断符合率]

·Dxdeterminedwithin24hours(3days)afteradmission[入院后24小时（3

天）内确诊]

·Dischargestatus[出院状况]

recovered[治愈]

improved[好转]

notimproved[未愈]

died[死亡]

·Dispositon[去向]

home[家]

againstmedicalad[自动出院]

autosy[尸检]

transferredto[转院到]

第十八章附录[Appendix]

附1常用解剖术语[anatomicterms]

1、总论[Introduction]

·superior[上]

·inferior[下]

·Cranial[头侧]

·Caudal[尾侧]

·anterior[前]

·posterior[后]

·ventral[腹侧]

·dorsal[背侧]

·medial[内侧]

·lateral[外侧]

·internal[内]

·external[外]

·superficial[浅]

·profundal[深]

·proximal[近侧]

·distal[远侧]

·ulnar[尺侧]

·radial[桡侧]

·tibial[胫侧]

·fibular[腓侧]

2、运动系统[locomotor(kinetic)system]

·vertebrae[椎骨]

·cervicalvevtebrae[颈椎]

·