行业英语 学英语,练听力,上听力课堂! 注册 登录
> 行业英语 > 医学英语 > 医学英语会话 >  列表

【医学口语会话】医生和孕妇谈话

所属教程:医学英语会话

浏览:

Lisa

随身学
扫描二维码方便学习和分享
  Doctgor: Good morning. What can I do for you?

  Patient: There's something wrong with my period. It's 25 days late . I believe.

  D: I want to know when your last period was .

  P: Oh , let me see I think it was my 17th , on time . I'd like to know if I am pregnant.

  D: Well , any discomfort" And your appetite?

  P: Discomfort? Yes . I have tenderness of my breast and poor appetite . I feel nauseous in the morning , but I don't feel like vomiting.

  D: In that case , I suggest you have a pelvic examination . It is necessary.

  P: OK, I'll have that .

  D: Well , your uterus in enlarged and rather soft . Your pregnancy is about 6 weeks . Now we need some urine for a test.

  D: Positive . You are pregnant . Congratulations! Please take good care of yourself.

  Ptient: doctor , what shall I do for an antinatal examination?

  Doctor: We'll take your weight and have you measured . We have to take your blood pressure , too.

  P: My blood pressure is always OK.

  D: But this is a special time.

  P: OK.

  D: I'd like to know when your last menstruation was.

  P: It was on Aug . 14,1986.

  D: Are your menstual cycles regular?

  P: Yes , they are , I think .

  D: In that case , your due date will be May 21,1987.

  P: In May . It's good . I mean the weather , of course.

  D: Yes . And if you have bleding , watery discharge , pain in your lower abdomen and legs , please tell me .

  P: when I am tired , I have some pain in my legs.

  D: If you have heriditary disease . You'd better not hide it from your doctor , for he'll tell you what to do in order to make your delivery safe.

  P: I don't think I have any.

  D: I suggest that you have an examination of routine blood and urine , liver function and blood group, take more nourishment and avoid sexual relations.

  P: Thank you .I'll remember

  Patient: Doctor , I really worry about my feet. They are swollen , and my fingers . too .

  Dctor : do you have any dizziness , nausea , vomithing , headache or vision blurrig?

  P: Only some headache.

  D: Well , your blood pressure is 160/95mmHg…… And your eyelids , a little bit swollen , any bleeding?

  P: No.

  D: Your routine urine exam shows that the urine albumin is positive with 2 plus . Omit salt . We call your problem as toemia of pregnancy . You've got to be admitted to hospital .

  P:Then I'd like to be admitted tomorrow.

  Patient: Doctor , It's berrible . I saw some blood discharge today . This is 8day be fore my due date.

  Doctor : Don't worry . we can help you .do you feel any pain in your abdomen?

  P: Rather mild pain but not regular.

  D: Any watery discharge?

  P: No

  D: Is this your first pregnancy?

  P: No , it's the second time.

  D: What about the first delivery?

  P: It was quick , but I bled a lot soon after the baby was born.

  D: if the placenta remains in the uterus for too long , you bleed.

  P: I see

  D: This time your fetus is in a right position and the head is deeply engaged . The fetal heart is strong and the beat is regular . There is slight bleeding from the vaginal . You know , this is the preliminary stage of labor.

  P: But I feel contractions .

  D: Well , I'll see The cervix is open about 3cm . Your baby will be delivered boday.

  P: I hope so .

  Patient: Right this morning , I began to bleed profusely , doctor , I'm afraid something berrible will happen .

  D: Do you feel contractions in your uterus?

  P: Yes , terrible contractions and pain in lower abdonmen , too .

  D: Your amniotic fluid has escaped and you must be admitted into hospital at once.

  Patient : Oh! It's so painful!

  Doctor : It's the labor pain and it's normal . How long is the interval between contractions?

  P: About 2-3 minutes.

  D: Now , please take a deep breath Hold your breath Breathe out Breathe rapidly as if you were panting Oh , you've born a daughter. Congratulatilons.

  Patient: I have pain in my lower abdomen and some bleeding . doctor.

  Doctor: profuse?

  P: Yes , and I missed two periods.

  D: We need some urine for a prednancy test.

  P: I'll try.

  D: The test is positive. You are pregnant , but with a possible miscarriage .If your pain recurs frequently and the cervix is open so that the fetus can be seen , blood transfusion is needed and you should be admitted to the hospital at once.

  Patient:I have been married for 6 years without a child . And I am 36years old now .

  Doctor : Have you had any illness before? And how about your husband's halth? Has he had his semen examined?

  P: I'm healthy and my husband's semen is normal in number and activity with less abnormality .

  D: Your uterus is small in size . I'll take a vaginal smear to check the estrogen level and a special test to see if the tubes are blocked or not.

  D: Do you have severe premenstrual pain?

  P: Yes , but it disappears the second day of periods.

  D: It usually comes with headache , backache , pain in your stomach and heavy legs . We call it dysmenorrhea accompanied by premenstrual stress.

  P: Is there any medicine for it ?

  D: Some hormone extracts or some medicine for muscle relaxation , diuresis and analgesics.

  Patient: Doctor , my periods have become irregular afger delivery.

  Doctor : How old is your child?

  P: He is one year old.

  D: Do you feed the baby now?

  P: With my own milk and cow milk.

  D: That is the problem. Stop breast feeding now and you'll be OK, because the menstruation is controlled by sexhormones.

  Patient: Doctor , I think I'll have some contraceptives.

  Doctor : The pill.

  P: That's what I want.

  D: Is your mestruation regular?

  P: As a matter of fact , my periods are always regular.

  D: You'd better try an intrauterine device or the pill , but those who suffer from disabetes or liver trouble must be careful.

  P:The I don't have to worry.

  D: One pill each day from the 5th day.

  P: Well , that'll be 22 days.

  医生:早晨好,您有什么不舒服吗?

  病人:我月经出了问题,迟了准有25天。

  医生:我想知道您上次来月经是什么时候。

  病人:噢,让我想想……我想是5月17日,准日子。我想知道是不是怀孕了。

  医生:嗯,有什么不舒服吗?您胃口怎么样?

  病人:不舒服?可不是。乳房发胀而且胃口不好。早晨恶心可又不想吐。

  医生:要是那样的话,我建议您检查一下盆腔。这很必要。

  病人:那好,我就查查吧。

  医生:瞧,您的子宫大了,还相当软。您怀孕大约6周了。取点尿化验一下吧。

  医生:阳性的。您是怀孕了。给您道喜了!请多保重。

  病人:大夫,我该怎样进行产前检查呢?

  医生:先给您量体重和身高,也得量血压。

  病人:我血压一惯正常。

  医生:不过现在不同已往。

  病人:那好吧。

  医生:我想知道您上次月经的日期。

  病人:上次是1986年8月14日。

  医生:您例假准吗?

  病人:是的,我认为很准。

  医生:这样的话,您的预产期就是1987年5月21日。

  病人:五月生,那太好了。当然,我是说天气。

  医生:当然。如果您出血,或排出水状物,或有小腹痛和腿痛,请对我说。

  病人:我一累就会腿痛。

  医生:您要是有什么遗传病,可千万别不跟在夫说,因为他知道了这些会告诉您怎样去做,以保证安全生产。

  病人:我想,我没有什么遗传病。

  医生:我看您应该做个血常规和尿常规,查查肝功能,验验血型,多吃营养,不要同房。

  病人:谢谢您。我会记住的。

  病人:大夫,我真担心自己的脚,都肿了,连手指头也肿了。

  医生:您有头晕,恶心、呕吐、头疼或视力模糊的问题吗?

  病人:就是有点儿头疼。

  医生:好,您高压160,低压95.看看眼皮,有点心肿,出血 吗?

  病人:不出。

  医生:您的尿常规反映是尿蛋折两个加号。应忌盐。我们管您的病叫妊娠中毒,您应住院。

  病人:那么我明天再住吧。

  病人:大夫,太吓人了。今天开始流血了,可离预产期还有8天呢。

  医生:别急,我们会帮助您,肚子疼过吗?

  病人:疼倒不是很疼,而且是一阵阵的。

  医生:流过水状物吗?

  病人:没有。

  医生:这是第一胎吗?

  病人:不,这是第二胎。

  医生:第一胎的情况如何?

  病人:很快,但出血很多。

  医生,如果胎盘在子宫内停留过长,就会出血。

  病人:我懂了。

  医生:这次您的胎儿位正,头已经固定,胎心很强,也很规律。阻道少量出血,您知道,这是要临产了。

  病人:可我已经感到宫缩。

  医生:好,让我看看……宫口开了3厘米,今天能生。

  病人:但愿如此。

  病人:今天早晨我大出血,怕要出什么事了。

  医生:有宫缩吗?

  病人:缩得厉害,小肚子也疼得厉害。

  医生:您已出羊水了,必须马上住院。

  病人:哦!疼死了!

  医生:这是产痛,正常现象。宫缩间隙是多少?

  病人:大约二三分钟。

  医生:好,请深呼吸,吸气……呼气!用力呼吸!好,给您道喜,您生了女孩儿。

  病人:大夫,我小肚子痛,而且流血了。

  医生:出血多吗?

  病人:多啊,还有,我两个月没来例假了。

  医生:我们得取点尿做妊娠化验。

  病人:我这就去。

  ……

  医生:阳性的。您怀孕了,不过看来要流产。要是腹痛频繁发作,宫口开裂到看见胎儿的话,那就得马上输血住院。

  病人:我结婚都6年了,可还是没有孩子。而且我已经36岁了。

  医生:过去有过多病吗?您丈夫的身体情况怎样?他做过精液检查吗?

  病人:我没病,他的精液中精子数和成活率都可以,畸形也较少。

  医生:您的子宫太小。我要给您做阻道涂片,看看雌激素水平,再做个特别检验,看看输卵管是不是堵了。

  医生:月经前疼得很厉害吗?

  病人:晃的,但是月经第二天就不疼了。

  医生:一疼起来,常伴有头痛、背痛、胃痛和腿肿,我们称之为痛经并伴有经前紧张症。

  病人:有什么药可以治吗?

  医生:有些激素药可以治,还有肌肉舒张剂、利尿剂和止痛剂等药物。

  病人:大夫,我生完孩子以后,月经就不准了。

  医生:您孩子多大了?

  病人:1岁了。

  医生:吃母奶吗?

  病人:母奶也吃,牛奶也吃。

  医生:问题就在这儿。不要让孩子吃母奶,这样您月经就准了,这是因为月经受性激素控制。

  病人:大夫,我想取些避孕药。

  医生:口服药是吗?

  病人:正是。

  医生:您月经准吗?

  病人:事实上很难。

  医生:您最好试用避孕环或口服避孕药,但是糖尿病或肝炎患者必须小心。

  病人:那么说我没事了。

  医生:从月经第五天开始服,每日1片。

  病人:那就得服22天了。


内容来自 听力课堂网:http://www.tingclass.net/show-8262-306757-1.html
用手机学英语,请加听力课堂微信公众号:tingclass123
用户搜索

疯狂英语 英语语法 新概念英语 走遍美国 四级听力 英语音标 英语入门 发音 美语 四级 新东方 七年级 赖世雄 zero是什么意思

订阅每日学英语:

  • 频道推荐
  • |
  • 全站推荐
  • 广播听力
  • |
  • 推荐下载
  • 网站推荐
0.093750