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医学英语对话——晕厥

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2021年04月16日

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对于医学生来说,进行医学英语学习是非常有必要的,因为在工作中会涉及到很多国内外的最新医学信息。下面是小编整理的医学英语对话——晕厥的资料,希望对你有所帮助!

医学英语对话——晕厥

  晕厥 Syncope

  patient : Doctor I have been suffering from " fits" for a few years . I wonder what matter is with me and hope you'll help me get rid of them soon.

  Doctor : What do you mean by a "fit"?

  P: By "fit" I mean I lose consciousness and fall on the ground on sudden .

  D: What time did your attack begin?

  P: When I was married and only 25 years old .

  D: How many years so far?

  P: Over three years .

  D: How long does each attack last?

  P: About a minute.

  D: How long is the interval between two successive attacks?

  P: Sometimes round a month , and sometimes two months . Could it be related to circumstances?

  D: What lind of cases usually provokes your attacks?

  P: It is difficult to say exactly . Once when I was crossing the street , a swiftly moving car suddenly drove by and I became very hervous , I couldn't control myself. I screamed and blacked out .

  D: Were you injured?

  P: No , the car stopped at once . I came to quickly , then walked home .

  D: Any other attacks?

  P: On another occasion , no sooner had a nurse drawn blood from a patient than I felt perspiration and weakness followed by loss of consciousness.

  D: Did you have other manifestations during the attack?

  P: I was told by eyewitmesses that I became pale and sweated excessively during the attack , but I had no convulsions , incontinence or anything else.

  D: Have you had any special examinations?

  P: The doctors working in our county's hospital told me that my physical examination , electr ocardiogram , and chest and skull x-ray examination results were normal . I've had no other special examinations.

  D: Let me give you a thorough physical and neurological examinaltion . Some furtherexaminations should be done , including an electroencephalogram and a brain scan . Also the electrocardiogram should be repeated . Here are your referral sheets . After you have had all these examinations please come back for another checkup.

  P: I have had all the examinations you ordered. Are all the results back yet?

  D: Yes , and all the results are normal.

  P: Then what is the cause of my "fits"? form www.med66.com

  D: The normal results of physical and neurological examinations and other special examinations suggest neither organic heart or brain diseases nor epilepsy . The symptoms and signs which occus during an attack , such as palpitations , paleness and excessive sweating coincide with an imbalance of the autonomic nervous system function . Dysfunction of the autonomic nervous system can lead to a decrease in the cardiac output , cerebral anemia , suppression of brain function , and finally to a loss of consciousness . Such an attack is termed syncope.

  P: Can you give me some medicine to calm the syncope down?

  D: Yes . You should pay more attention to regulating your life such as getting up and going to bed regularly and not drinking or smoking too much . I'll give you some medicine to regulate the function of your autonomic nervous system . If you follow my advice, I'm sure your condition will get better soon. Sometimes your symptoms may recur , this is a natural phenomenon . Don't worry , such recurrences don't mean regression . During the struggle against disase , you must feel confident that you can overcome it , then the medicine, which I'll give you , will help you defeat the enemy-syncope . Medicine is one way , confidence is another . The latter is more important than the former . You must keep my words in your mind .

  P: Thanks a lot , doctor.

  病人:医生,近几年来我常常"突然发作".我真想知道我得了什么病,希望您快些给治好。

  医生:您说的"突然发作"是什么意思?

  病人:我所说的"突然发作"是指我突然不醒人事,摔倒地上。

  医生:您的发作是什么时候开始的?

  病人:在我结婚时,当时我才25岁。

  医生:至今有多少年了?

  病人:3年多了。

  医生:每次犯病持续多长时间?

  病人:大约1分钟。

  医生:每次发作相隔多久?

  病人:有时候约1个月,有时2个月左右。我的病发作与周围环境有关系吗?

  医生:平常在什么情况容易引起您的病发作?

  病人:很难说清楚。有一次我过马路时,忽然一辆小轿车飞快地向我开来,当时我十分紧张,控制不住自己了。我大叫一声就什么也不知道了。

  医生:您伤着了吗?

  病人:没有,汽车马上停下来了。我很快醒过来就回家了。

  医生:还怎样发作过?

  病人:另一次,我看一位护士给别的病人抽血,就冒汗、发软,随后就晕过去了。

  医生:在发病的时候还有什么其他的表现吗?

  病人:据看到我发病的人说,在我发作时,脸色苍白,大量出汗,但是没有摔搐、大小便失禁或其他情况。

  医生:您做过专门的检查吗?

  病人:我们县医院的医生对我说过,我的体格检查、心电图、胸部和头颅的 X线检查都正常。其他的专门检查就没有做过了。

  医生:我给您做一个内科和神经科的全面检查吧。您还需要做些进一步检查,包括脑电图和脑扫描。心电图也再做一个。这是各项检查单,把所有的检查做完后再来门诊看病。

  病人:您让我做的都做完了。结果都出来吗?

  医生:结果出来了,结果都正常。

  病人:那我的"突然发作"是怎么回事?

  医生:根据内科、神经科以及一些其他专门检查看来,您既不是器质性的心脏病或颅脑病,也不是颠痫。您突然发作时的病状和体征,如心跳、苍白和过多的血汗等,跟您自主神经系统功能失调是相符的。自主神经系统的功能失调能引起心博出量的减少、脑贫血、大脑功能抑制,最后失去知觉。象这样的病我们就称做晕厥。

  病人:您能用什么药治疗我的晕厥吗?

  医生:您要注意的是生活要有规律,比如按时起床,睡觉,不要过多地抽烟和喝酒。我给您开点调节您的自主神经功能的药。如您能听从我的劝告,我相信您一定会很快好起来的。一些症状有时可能有反复,这是常有的事情。不过,不要紧。这并不说明病情恶化。当你和疾病做斗争时,必须树立能克服的它的信心,另外,我再给您开些药,会治好您这是晕厥病的。药是一方面,信心和精神又是一方面,后者比前者更重要。您一定要记住我的话。

  病人:多谢了,医生。


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