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1IntroductiontoTraumaCare创伤护理导论2PatternsofBluntInjury钝器损伤的类型3MechanismsofInjury/PenetratingTrauma损伤发病机制/穿透性创伤4ThePhysiologicResponsetoInjury对损伤的生理学反应ShockMeasurementsofInjurySeverity损伤严重程度的测定7PrehospitalTriage送医院前伤员分类PrehospitalTherapy送医院前的治疗FieldandCommunicationwiththeTraumaCenterAirMedicalandInterhospitalTransport空中医疗和医院间转运11TraumaTeamActivation创伤救护队的活动12OrganizationpriortoTraumaPatientArrival创伤病人到达前的组织13AdultTraumaResuscitation成人创伤复苏14AirwayManagementintheTraumaPatient创伤病人的气道处理15VascularAccess血管穿刺16ImagingofTraumaPatients创伤病人的影像17OperatingRoomPractice手术室常现HeadInjury头损伤InjuriestotheSpinalCordandSpinalColumn脊髓和脊柱损伤20SoftTissueWoundsoftheFace面部软组织伤OphthalmicInjuries眼损伤PenetratingNeckInjury穿透性颈损伤23BluntNeckInjury颈部钝器损伤ThoracicInjury胸部损伤ThoracicVascularInjury胸部血管损伤26AbdominalInjury腹部损伤27AbdominalVascularInjury腹部血管损伤28DamageControl损伤的控制29AbdominalCompartmentSyndrome腹部隔室综合征30GenitourinaryInjuries泌尿生殖系统损伤31OrthopedicInjuries矫形外科损伤32PelvicFractures骨盆骨折HandTrauma手创伤CompartmentSyndromeandRhabdomyolysis隔室综合征和横纹肌溶解35PeripheralVascularInjuries周围血管损伤Soft-TissueTrauma软组织创伤PrioritiesintheICUCareoftheAdultTraumaPatient在ICUCommonlyMissedInjuriesandPitfalls常遗漏的损伤和易犯的错误39AnesthesiafortheTraumaPatient创伤病人的麻醉40TraumaPainManagement创伤疼痛的处理Hypothermia,ColdInjury,andDrowning低温、冷损伤和淹溺BloodTransfusionandComplications输血和并发症Nutrition/MetabolismintheTraumaPatient创伤病人的营养/代谢44SupportoftheOrganDonor器官供体的保养45Burns/Inhalation烧伤/吸入46PediatricTrauma儿科创伤47CareofthePregnantTraumaPatient妊娠创伤病人的护理48GeriatricTrauma老年人创伤RehabilitationVenousThromboembolism静脉血栓栓塞51InjuryPrevention损伤的预防HouseStaffResponsibilities住院医师的责任Legal,EthicalandFamilyIssues法律、伦理道德和家庭问题54MiscellaneousProcedures各种其它操作程序oralhealtheducationactivityOralHealthEducationUnit[DepartmentofHealth]口腔健康教育组57oralpoliomyelitistrivalent脊灰口服剂oraltoilet口腔料理oral-maxillofacialsurgeryanddentalunitoutbreakoutbreakcontroloutcomemanagementproject医疗成效管理计划out-of-pocketexpenditurebytheuserout-patientappointmentsystem门诊病人预约制度out-patientclinicout-patientclinicaloperationssupportsystem门诊临床运作支持系统67out-patientconsultationserviceout-patientdepartmentout-patientregistrationsystem门诊病人登记制度outreachcommunitycareprogrammeoutreachhealthcareteamoutreachmedicalteamoutreachspecialistmedicalteamoutsideappointmentbook75ordinarydiet普通膳食76organdonation器官捐赠OrganDonationCardOrganDonationCentreorgandonationform器官捐赠表格80OrganDonationRegister[HongKongMedicalAssociation]器官捐赠册81organdonor器官捐赠人organimagingorganpledge承诺捐出的器官数目84organrecipientorgantransplantorganicpsychosisorganolepticinspectionoverallincidence89overflowward暂时收容病房;后备病房90overnightroom夜间当值室over-sensitivityovulationovulationcycleovulationmethodon-calldutydoctoroncology97one-wayreferral单向转介98onsetoflabour分娩阵痛发作99onsetofsymptom症状发作100on-sitetriagetreatment现场分流治疗101occupationaldisease职业病occupationalhealth职业健康occupationalhealthnurse职业健康护士OccupationalHealthOfficer职业健康科医生105OccupationalHygienist职业环境 生师106occupationalmortality职业性死亡率107occupationalneurosis职业性神经病108occupationaltherapist职业治疗师109OccupationalTherapistsBoard职业治疗师管理委员会110occupationaltherapyassessmentroom职业治疗评估室111OccupationalTherapyAssistant职业治疗助理员ochlophobia众恐惧ocularpathologyocularprosthesisoptimalhealthoptimumoccupancyrate[hospitalbed]最适度病117optometricassessment

住用率OperationsandTrainingDivision[AuxiliaryMedicalServiceHeadquarters] 疗辅助队总部〕OperationsandTrainingOfficer[AuxiliaryMedicalService行动及训练主任〔医疗辅助队〕120OperationsSection[AuxiliaryMedicalServiceHeadquarters]行动组〔医疗辅助队总部〕121OperationsWing[AuxiliaryMedicalServicevolunteerstructure]行动翼〔医疗辅助队志愿架构〕122operativetreatment施手术123oralhealthcare口腔健康护理;口腔卫生服务124oralhealthclinic口腔卫生诊疗所(讲课)ProfessorofMedicine(讲课)ProfessorofMedicine师(医疗)ProfessorofTreatment儿科主任医师ProfessorofPaediatrics主治医师Doctor-in-charge外科主治医师Surgeon-in-charge内科主治医师Physician-in-charge眼科主治医师Oculist-in-charge妇科主治医师Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师师(医疗)ProfessorofTreatment儿科主任医师ProfessorofPaediatrics主治医师Doctor-in-charge外科主治医师Surgeon-in-charge内科主治医师Physician-in-charge眼科主治医师Oculist-in-charge妇科主治医师Gynaecologist-in-charge牙科主治医师Dentist-in-charge医师Doctor医士AssistantDoctor主任药师ProfessorofPharmacy主管药师Pharmacist-in-charge药师Pharmacist药士AssistantPharmacist主任护师ProfessorofNursing主管护师Nurse-in-charge护师NursePractitioner护士Nurse主任技师SeniorTechnologist主管技师Technologist-in-charge技师Technologis技士TechnicianHelloHellomay(can)Ihelpyou?您好,我可以帮您吗?Whatseemstobebotheringyou?您觉得哪儿不舒服?Doyouhavearecord?您有病历吗?I`lltransferyoutothesurgerydepartment.我给您转到外科去what`swrongwithyou?您怎么了?Sitdown,please.请坐。Whendidthesymptombegin?症状是什么时候开始的?Haveyouhadanychills(chestpain)?您有发冷(胸痛)吗?Haveyouevercoughedupblood?您咳血过吗?Allright.Letmeexamineyou.Wouldyoumindtakingoffyourcoat?好吧。我给您检查一下,您不介意脱掉外衣吧?Takeadeepbreath,please.请深呼吸I`lltakeawhitebloodcountandgiveyouanx-rayexamination.我将给您做白细胞计数和胸片检查I`msureit`spneumonia.Youshouldbeadmittedtothehospital.我可以确定您得了肺炎,应当住院。Howlonghaveyoubeenlikethis? 这种症状有多久了?Whendidyoubegintonoticethesesymptoms?您什么时候发现这些症状的?What`syourtrouble? 你怎么啦?What`sthetroublewithyou? 你哪儿不舒服What`stroublingyou? 你哪儿不舒服?What`sbotheringyou? 你哪儿不舒服?What`supwithyou?你生什么病了?What`sthematterwithyou? 你哪儿不舒服?Isthereasenseofdistensionandnumbness? 你有胀和麻木的感觉吗Whendidthetroublestart? 什么时候开始不舒服?Whendidthepainstart? 什么时候开始痛的Whendidithappen? 什么时候发生的?Whendidyourdiarrheastart? 你什么时候开始腹泻的Whatkindofpaindoyoufeel? 你觉得怎么个痛法?Whatkindofstooldidyounotice,wateryormucous?你注意大便的样子了吗?是水样的还是粘液样?Whatdidyouvomit,foodorblood?你吐的是什么?食物还是血?Whatkindoftreatmenthaveyouhad?你过去用什么方法治疗过?Whataboutyourheart?你的心脏怎么样?What`syourstoollike? 大便是什么样子Whereisyourpain? 你觉得哪儿痛?Wheredoesithurt?哪儿痛?What`syourappetite? 你的胃口怎么样?How`syourappetitethosedays? 近来食欲怎么样?Howlonghaveyoubeenfeelinglikethis?你有这样感觉多长时间了?Haveyoubeencoughingandsneezing?你是不是一直咳嗽和打喷嚏?Haveyougotahighfever?你发烧吗?Anyfever?发烧吗?Haveyougotanychronicdiseasebefore? 你以前有过慢性病吗Doesitbleedoften? 常出血吗?Doyoufeelshortofbreath? 你觉得气急吗Doyoufeelpainaftermeals? 是饭后痛吗?Doyoufeelabdominalpainwhenyougotothetoilet?你去厕所时感到腹痛吗?Doyouhaveapaininyourstomach?你肚子痛吗?Doyouhaveacough? 你咳嗽吗?Doyourememberhowmanytimesyouwenttothetoilet? 你记得去过多少次厕所吗?Didyoureceiveanytreatmentbeforeyoucametothehospital? I`dliketolistentoyourchest.我想听听你的胸部。I`dliketorunafewtests.我想给你做些检查。Youmusthaveablood(sputum)test.你需要验验血(痰)。Youhavetheflu.你得了流行感冒。Youhavegotenteritis.你得了肠炎。Youhavecaughtachill.你着凉了。Youseemtohavepickedupsomesortofinfection.你好象染上什么传染病了。Whendidyoufirstnoticeit你什么时候感觉到的?Whatkindofpainisit怎样疼?Didyourunanytemperature你发过烧吗?Haveyouseenanybodyaboutit你找医生看过吗?Ithinkyouneedsomeexaminationsfirst.我想您首先需要做一些检查。You`dbettertakeanX-raypicturetoseeifthereisafracture.你最好拍张X片子,看看有没有骨折。I`dliketogiveyouanX-ray.我想给你透视一下。TheX-rayrevealsadislocationofyourelbow.X光片显示你的肘关节脱位。I`llgiveyousomemedicine.我给您开点药。I`mafraidyouhavetoreceiveanamputation.恐怕你需要截肢。Itistheonlywaytosaveyourlife.这是挽救您生命的唯一办法。Mydiagnosisisthatyouhaveamalignanttumorosteogenicsarcoma.我的诊断是您得了恶性骨肉瘤。Thefracturedlegmustbekeptinplaster.必须把骨折的腿打上石膏。Openyourmouth,please.请张开嘴。It`stoowornouttobefilled.这颗牙坏得太历害了,无法补了。eurdnnf(n(青霉素)吗?Doesithurtwhenyoueatanythingsweetorsour?你吃甜的或酸的东西时疼吗?I`llbecleaningthemnow.Letmeknowifithurts.我现在给你洗牙,疼就说一声。Thewoundhasn`thealedenoughyet.伤口还没完全愈合。You`llhavetowaitforonemoremonth,ortheywon`tfitproperly.你得再等一个月,要不然装上也不会合适。Whatkindofmaterialdoyouprefer你想要什么材料的?Wouldyouliketohavealookatsomeofthesamples?你要看一看样品吗?You`vegottocomefivetimesbeforetheworkcanbefinished.你得来五次才能做好。ShallIfixyouaplasticcrown?我给你装一个塑料牙套好吗?We`llgiveyouanX-raytofindouttheconditionofthe

们要给你拍一张X光片,看看牙You`llhavetoleaveyourolddenturehere.你得把原先的假牙留下。Youshouldleaveyourdentureinyourmouthallday.你应该整天戴着你的假牙。Howareyourperiods? Aretheyheavy?你的月经怎么样?量多吗?Haveyouhadanypaininthisareaduringyourmenstruation?你来月经时间时这一部位疼吗?Howaboutyourmenstruationcycles?你的经期准吗?Haveyouhadanydiscomfort?有什么不舒服吗?Whenwasyourlastmenstruation?你上一次月经是什么时候?Howlongisyourperiodusually?通常你的月经周期多长?Haveyouhadanybleeding,waterydischargeorpaininyourlowerabdomen?你有过阴道出血、水性分泌物以及下腹部疼痛的情况吗?Howlonghasthisbeenbotheringyou?这种不适感有多久了?Didyoufeelcontractionsregularly?你感觉到过有规律的宫缩吗?What`stheamountofbleeding? Isitprofuse?出血量多少?很多吗?DoyoumindifIexamineyoubriefly?我简单地给你检查一下,你介意吗?I`llrunsometestsonyou.我要给你做些化验。That`sduetoyourheavyperiod.这是因为你月经过多造成的。Ithinkit`scarcinomaofthebreasts.我认为是乳腺癌。We`llsendhertothedeliveryroomforfurtherobservation.我们想把她送到产房进一步观察。Doyouseedimlyfromdistanceorcloseby?您看远不清还是看近不清?Doyouseeobjectsdimly?您看东西模糊吗?Whatkindofpaindoyouhave?怎么痛法?Istheremuchsecretionfromyoureyes?眼里的分泌物多吗?Doeslightaffectyoureyes?您的眼睛怕光吗?Doyouseeanobjectasifthereweretwothatoverlap?您看东西有重影吗?Doyouseemyhandmoving?您看见我的手在动吗?Trynottoblink.不要眨眼。Areyounear-sightedorfar-sighted您是近视眼还是远视眼?Comebackinaweekforare-examinationofyoureyes.一周以后来复查您的眼睛。I`llsendyousomemedicine(pill,ointment).给你开些内服药(丸药,膏药)。I`llgiveyousometablets.我给你一些药片。I`llmakeupaprescriptionforyou.我给你开一张药方I`llwriteoutaprescriptionforyourightnow.我马上给你开张药方。I`llgiveyouaprescription.Takeittothechemist`s.我给你一张处方,到药房去配药。Ithinkyou`dbettertakeChinesetraditionalmedicine.我认为你最好服用中药。Takethemedicineaccordingtotheinstruction.请按医嘱用药。I`dliketoputyouonsomemedicineandhaveyoucomebackinseveraldays.给我开点药,几天以后你再来。Onetableteachtime,threetimesadayaftermeals.每日3次,每次1片,饭后服。Takeonecapsuleeveryfourhours.每4小时服用一胶囊。Takeadosethreetimesaday.每天服3次,每次一剂。Puttheointmentonthesoreonceaday.把软膏涂在患处,每日1次。Shakewellbeforeusingit.使用之前要摇匀。Themedicinewillrelieveyourpain.这种药会给你止痛。Thismedicinecankeepyourfeverdown.这种药可给你退烧。Thisisfororaladministration.这是口服药物。Thislotionisforexternaluseonly.这种洗剂只可外用。You`resufferingfromacuteappendicitisandmusthaveanoperation.你得的是急性阑尾炎,要动手术。I`msorrytosayyou`llhaveanimmediateoperation.很遗憾,你得快动手术。Yourmealsshouldbefrequentbutsmallinquantity.应该少吃多餐。Yourmealsshouldbelightanddigestible.吃的东西要清淡容易消化。Youshouldtakesomemorevitamins.你应该多吃些维生素。Youshouldgoonadiet.你应该节食。Youcan`ttouchanythingsweet.你一点甜食也吃不得。Fattyfoodwilldoyouharm.高脂肪食物对你有害处。Avoideatinggreasyfood.不要吃油腻食物。Drinkplentyofwater.要喝大量的水。YouarescheduledtohaveaGIandaGBtesttomorrowmorning.您预定明天早上作胃肠检查和胆囊检查。Pleasedon`teatordrinkanythinguntilthetestisover.I`msorrybutyouhavetohaveanabsoluteemptystomach.要检查结束之前请不要吃喝任何东西。我很抱歉,您得完全空着胃。Thistestisdoneona24hourbasisfrom6inthemorninguntil6inthe

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