英语交班范本.doc

Example of English Morning ReportUrological Departmentmorning report.There are 50 patients in our ward. Three patients were discharged from the hospital yesterday :Bed 1,Bed 28 and Bed 40.Bed 28.Mr.周仪水,82-years-old,with advanced bladder cancer.was discharged from the hospital against advice due to financial problem yesterday evening. Health-care suggestions had been made to these patients.Three patients were admitted yesterday:Bed 1,Mr.,age 60,complains of painless hematuria for several weeks.The tentative diagnosis of bladder carcinoma is made according to ultrasonography at local hospital.Cystoscopy will be performed this afternoon for final diagnosis.(further investigation)Bed 28,Mr.,aged 55,is a patient with BPH(benign prostatic hyperplasia),suffering from urgency ,frequency of micturition and weak urinary stream for about 3 years. Five days before admission ultrasonogram showed a large prostate gland of 60 gm associated with a bladder stone 4cm in diameter. Because of acute urinay retention, catheterization was conducted yesterday afternoon. The urine is draining well and slightly bloody.Bed40,Miss her definite diagnosis is calculus of right kidney according to IVU(intravenous urogaphy),admitted for undergoing ESWL(extracorporeal shock wave lithotripsy).Blood samples of these 3 new patients were taken and sent to the laboratory for examination this morning.Two patients will be operated on today:Bed 9,Mr.封云清 with hydronephrosis.will undergo preloplasty under general anesthesia.He had a good sleep last night. After administration of 2 pills of valium by mouth, he was sent to the operating room at 7:30 am.DVIU(direct vision internal urethrotomy) will be perfomed under epidural block anesthesia for Mr.王仅仅,Bed 26, with urethral stricture. The patients conditions such as vital signs and mood are stable and everything for pre-operative preparation has been made.One patient was operated on yesterday:Bed 23,Mr.洪草君,with carcinoma of renal pelvis on the right side, underwent hand-assisted laparoscopic right nepho-ureterectomy and partial cystectomy under general anesthesia yesterday. The operation was successful and the patient was send back to the ward at12:30pm.Intensive care managements including oxygen inhalation, bedside electrocardiography supervision and venous transfusion were conducted.Up to now, the patients respiration was smooth, heart rate 80 to 92/min, blood pressure 123-142/62-80 mmHg and SO2(saturation) 96-100%.Because of using PCA(patient controlled analgesia),the patient didnt feel much pain in his wound. The dressing was dry and only 10 ml bloody fluid was drained. The urethral catheter drained 1100ml clear urine. But special attention should be paid to the patients temperature. He had a high fever of 39 at 8pm yesterday evening. After administration of 1 pill indomethacin per rectum and alcohol sponge bath for 1 hour , the temperature was still high, 39.1 at 9:30pm. And then 1ml antodine was injected intramuscularly, his temperature dropped down to 38.3 1 hour later .I took his temperature just now. It was 37.5 and he feels much better. The postoperative input was 2500ml, i.e. the volume of the intravenous infusion. And the output was 1760ml including urine 1150ml, drainage 10ml and sweat 600ml respectively. The patient could be able to cough and do deep breathing from time to time to expand his lung according to nursing advice. Morning nursing such as oral care, preventing bedsore care and perineum cleaning has being carried out and the patient can rest in bed on semireclining position now.Following patients also should be reported:Bed 25,Miss 倪水蓝,is a patient with pheochromocytoma on the left side, 3days after left adrenalectomy. Her condition is doing well and started to break wind. Therefore a liquid diet is suggested today.Bed 45,Mr.孙桥,is a patient with BPH, 2 days after TURP(transurethral resection of the prostate). Continuous bladder irrigation through a 3-way catheter is still carrying out and draining well. The colour of the irrigated fluid looks slightly bloody. The temperature was 37.2 at 6am this morning. I told him to drink more water, take some vegetables and fruits to prevent constipation and he accepted.Two patients had a fever : Bed 7,38.1; Bed 30,38.The input and output in 24 hours for patients at Bed 34 and Bed 42 were normal, written down on the blackboard.Thats all for todays morning report .Now the duty doctor, please.参考译文英语晨交班范例各位！早上好！现在开始晨交班。病房病人总数50人。昨天出院病人3个：1床、28床、40床，其中28床周仪水，男，82岁，晚期膀胱癌病人，因经济原因昨晚自动出院，这些病人均已予出院健康宣教，下面报告昨天入院的3个新病人。1床，王小毛，男，60岁，诉无痛性血尿数周，根据当地医院B超拟诊膀胱癌（而入院）。为进一步诊断，今天下午做膀胱镜检查。28床，李小狗，男，55岁，良性前列腺增生，患尿急、尿频和尿流无力3年。入院前5天B超显示增大的前列腺腺体60克伴直径4厘米的膀胱结石。因急性尿渚留，昨天下午予留置导尿，引流畅，淡血尿。40床，孙信晓，女，尿路造影确诊为右肾结石，为行体外震波碎石而入院。3个新病人今晨均已抽血送检。今日手术病人2个：9床，封云清，男，肾积水，今拟在全麻下行肾盂整形术。昨晚睡眠好，7：30AM口服两片安定后已送手术室。26床，王仅仅，男，尿道狭窄，今拟在硬膜外阻滞麻醉下行直视下尿道内切开术。病人生命体征和心理等情况稳定，术前准备就绪。昨天手术病人1个：23床，洪草君，男，右肾盂癌，昨天在全麻下行手助腹腔镜右肾输尿管切除和膀胱部分切除术。术程顺利，中午12点半送回病房。予以吸氧、床边心电监护和输液等重症护理措施。迄今，病人呼吸平稳，心率在80-92次/分，血压123-142/62-80 mmHg，血氧饱和度在96-100%。因为使用了自控止痛包，病人并没有觉得伤口很痛。伤口敷料干燥，腹腔引流管引流10ml血性液体，导尿管引流1150ml尿液，尿色清。但应特别注意病人的体温，昨晚8点病人体温高达39，予1粒消炎痛栓剂塞肛和酒精擦浴，一小时后即9点半病人体温仍高达39.1，再予复方氨基比林1毫升肌肉注射，一小时后体温降至38。3。刚才测体温为37.5，病人感觉好多了。术后进量为2500ml，即为静脉补液量；出量为1760 ml，其中尿量1150 ml、引流液10 ml、估计出汗量600 ml。病人能按照责任护