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金譯佳醫學病歷類漢譯英示例
作者:http://010king.com  分類:譯者天地  時間:2020-09-20  瀏覽:次

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醫學病歷

 

(來源:漢譯英試譯)

(翻譯人:長春金佳譯翻譯社)

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英語譯文:

The patient child, ***, female, X-year-old, was admitted into hospital due to “little or no urine for over 20 days”. About 20 days ago, the patient was attacked by frequent vomiting with no obvious trigger. Corresponding symptoms: 10 times / day, medium amount, not in spurting form, presented in bile-like fluid, no coffee-color vomited matter, no abdominal pain or diarrhea, together with reducing urine volume; the next day paroxysmal cough occurred, not drastic, few amount of phlegm existing in throat and difficult to be expectorated, tachypnea, not asthmatic, no spasmodic cough, no fever, no orthopnea, no cyanosis, no profuse sweat. In local hospital: Oral intake of amoxicillin, omeprazole and clarithromycin for twice but with poor effect. The patient did not improve in vomiting, cough and tachypnea. Treatment in Affiliated Hospital of ZZ University: 1 time treatment of electrocardiograph monitoring, oxygen uptake, blood volume increase of normal saline and intravenous injection of furosemide, but the patient did not take a turn for the better; blood pressure monitoring: high, fluctuation value: 140-150/ 120mmHg. The patient was transferred to our hospital on January 1, 2020. During transferring, the patient had twice heart rate decrease and obvious blood oxygen desaturation. Our ICU received the patient and gave anti-infection and symptomatic treatment. However, the patient’s condition gradually got worse and went into a coma and had multiple organ failure (heart, lungs, kidneys, digestive tract; coma, cardiac failure, respiratory failure, renal failure, obvious hepatic enzymogram, gastrointestinal bleeding). Our further treatment: Mechanical ventilation, electrocardiograph monitoring and CPR. On January 3, the patient’s critical values report: Troponin I: YYng/ml. We gave fructose sodium diphosphate to protect myocardium. Repeated blood biochemical tests for the patient hinted abnormal renal function.

 

Suspected diagnosis through overall consultation of doctors in our hospital: 1. Viral encephalitis (brainstem); 2. Severe pneumonia; 3. Multiple organ failure.   

 

 

 

漢語原文:

患兒,***,女,X歲,因“少尿、無尿20余日”入院。患兒于20余日前無明顯誘因出現頻繁嘔吐,10余次/日,量中等,非噴射狀,有膽汁樣液體,未見咖啡色狀物質,無腹痛腹瀉,伴小便量減少,次日出現陣發性咳嗽,不劇,喉中有少量痰,不易咳出,有氣急,無喘息,無痙攣性咳嗽,無發熱,無端坐樣呼吸,無青紫,無大汗淋漓,在當地醫院口服“阿莫西林、奧美拉唑、克拉霉素”治療2次,效果不佳,患兒嘔吐、咳嗽、氣急無改善,在ZZ大學附屬醫院就診,予以“心電監護、吸氧、生理鹽水擴容、速尿靜推”治療一次,患兒病情無改善,監測血壓偏高,波動于140-150/105-112mmHg,遂于2020-1-1轉送我院,轉運途中有兩次心跳下降、血氧飽和度明顯下降,收治我院ICU給予抗感染、對癥處理,但患兒病情逐漸加重并出現昏迷、多臟器功能衰竭(心、腦、肺、腎、消化;昏迷、心功能衰竭、呼吸衰竭、腎功能衰竭、肝酶譜明顯、消化道出血),予機械通氣,心電監護、心肺復蘇等處理,患兒1-3危急值回報肌鈣蛋白I:YYng/ml,予果糖二磷酸鈉保護心肌,患兒反復查血生化均提示腎功能異常。

經全院大會診,擬診“1、病毒性腦炎(腦干腦類型)2、重病肺炎 3、多器官功能衰竭”

 

 

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