英文病例汇报实用句型.doc

_ 英文病例汇报实用句型1. 一般情况（完全套话）Mr./Ms. *(family name), a *(age) year-old *(profession), was admitted on *(admission date).2. 病史 He complains that. He complains of one-month history of palpitation and short of breathness after exertion. He complained about epigastric pain which has lasted for 3 months. He noticed a hardened lump on the left neck 3 months ago. Pancytopenia was found a month ago. He presented with dyspnea since 10 days ago. His chief complaint was . 既往诊疗 He was confirmed as / definitely diagnosed as .(确诊为) To make a definite diagnosis, bone marrow aspiration was performed. He was suspected as.(疑似) The discomfort tended to worsening, which urged him to seek for medical care. He has been given 3 cycles of DA regimen for chemotherapy and complete remission was achieved only after the first cycle. He was given the thyroidectomy of the left lobe in local hospital. He was treated with antibiotics (details unknown), which didnt take effect as expected.The general condition is good at present.He was pain free now and hemodynamically stable.3. 查体Nothing noteworthy was found in the physical examination.There was nothing remarkable in the physical examination except forThe physical examination was otherwise normal except that（上点小菜血液科常见体征）皮肤粘膜 generalized pallor，scattered petechiae，oral mucosal hematoma淋巴结enlarged lymph nodes 头部yellow eyes (yellow-stained sclera)胸部tenderness in sternum，coarse breath sound, cardiac murmur, arrhythmia腹部enlargement of liver，splenomegaly4辅助检查The laboratory findings suggested/indicated/demonstrated/showed thatBone marrow film was performed, which confirmed the diagnosis of ALL.The results of blood routine showed that WBC count was 4,000 /cm3, while NEU count 2,500/cm3, hemoglobin 100 g/L, PLT count 100,000 /cm3. (/cm3 is pronounced as per cubic m