出院小结翻译

出院小结翻译Admissiondiagnosis:1.Sinusinfectionandintracranialinfection2.post-renaltransplantationAdmissionsituationandtreatment:58-year-oldman,relateddonorrenaltransplantationinApril20xx,thefunctionoftransplantedkidneywasnormal.Receivedsurgicaltherapyoneafteranotherin...becauseofsinusayearago.Thepathologicalsectionoffirstsurgery(20xx.8)showedthatitislikelytobefungalinfection(mostlikelytobeaspergillus),butdidn’tshowanyevidenceonfungalinfectionthereafter.Painintheleftsideoftheforeheadremissionlessobviousafteroperation,andthevisionoflefteyedeclinedobviously.InDecember20xx,atwuhanunionhospitaldepartmentofophthalmology,suspectedasopticneuritisandreceivedHigh-dosesteroidpulsetherapyandDecreasingtherapyforaboutonemonth.Hadafever(37-38℃)withheadacheaggravatedinmarch,20xx,theCTshowedthepossibilityoffungalinfectionoftheleftsphenoidsinus,andreceivedantifungaltherapy(Mycamineforoneweek,thenvoriconazoledroppedforoneweek),insteadoforalvoriconazoleafterbodytemperaturewasnormalanddischarged.ReexaminationofCTonemonthlatershowedtherangeofinfectionoftheleftsphenoidsinusgetsmaller.Thepatienthadariseintemperature(about37.6℃)andheadacheaggravatedagain,afteroralvoriconazolefortwomonths,theappetiteandbodyweightdeclinedobviously.ThepatientcametoourhospitalbyJuly21,20xx,theoutpatientCTshowedtherangeofinfectionofsinusgetlargeragain,......AtJuly23,theMRIandMRIenhancementscanshowedinfectionofleftsphenoidsinusandcavernoussinus,abscessformationoffrontallobe.Firstofall,wegaveMycamine(150mg,qd)afteradmission,thefollowingdayreadasvoriconazole(0.2,bid),posaconazole(10ml,bid)andLinezolidInjection(0.6g,qd)foranti-infectiontherapy,andstoppedallimmunosuppressants,supplementproteinandgammaglobulin,nutritionalsupporttherapyetal.Thelumbarpunctureshowedthepressureofcerebrospinalfluidwasnormalinthisperiod,buttheIgG,IgM,IgAlevelsincrease,theglucoselevelwasnormalandtheproteinlevelwasincrease,alloftheseconformtothediagnosisofintracranialinfection........Thefeveraggravatedaftertreatmentfor4days,andthehighestbodytemperaturewas39℃,reexaminationofMRIshowedthatontheleftsideofthesphenoidsinus,cavernoussinusandfrontallobe,therehadsomeabnormalsignallesions........SuspendedLinezolidInjectionandmannitol,keptonantifungaltherapy(Weifan,0.2,q12h).Dischargediagnosis:1.Sinusinfectionandintracranialinfection2.post-renaltransplantation3.abnormalglucosemetabolism4.hypertension5.polycysticliver,polycystickidneyDischargesituation:Consciousmind,continuousfever(38-39℃),Cr149umol/Lthismorning........第二篇：出院小结模板1000字湖北省人民医院科别：肝胆胰外科住院号：638860出院记录患者姓名：王小红性别：女年龄：37岁入院日期：20xx-2-1316:00:22出院日期：20xx-3-0911:00:22入院诊断：1、肝内外胆管结石出院诊断：1、肝内外胆管结石2、慢性浅表性胃炎2、慢性浅表性胃炎3、2型糖尿病3、2型糖尿病4、胆汁淤积症入院情况：“反复右上腹痛8年，加重2周”入院，入院查体：体温36.2℃，血压130/110mmHg，发育正常，营养良好，神清，皮肤中度黄染。全身浅表淋巴结未触及肿大。心肺未见异常。腹平坦、对称，腹壁柔软，右中上腹压痛，无反跳痛，莫菲氏征阴性。肝、脾肋下未触及，肝区及双肾区无叩击痛，移动性浊音阴性，肠鸣音正常。院内检查：小便常规、输血四项、肿瘤六项基本无异常。血常规：白细胞(WBC)16.9110E9/L、中性粒细胞百分率(NE%)89.14%，生化全套：白蛋白(ALB)31.0g/L、总胆红素(TBILI)153.9umol/L、直接胆红素(DBILI)115.2umol/L、谷丙转氨酶(ALT)137U/L、谷草转氨酶(AST)109U/L、谷氨酰转肽酶(GGT)1070U/L、肌酐(CREA)33umol/L，凝血四项：纤维蛋白原(FIB)6.51g/L，血气分析：酸碱度(pH)7.31、氧分压(pO2)79.1mmHg、实际碳酸氢盐（HCO3-)18.1mmol/L，血淀粉酶(血AMS)195.80U/L、尿淀粉酶(UAMS)1068U/L。心电图：大致正常。胸片：心肺未见异常。腹部CT：肝内胆管多发结石较前增多，胆总管下端结石（新出现）并胆系扩张，左肾上极囊肿，右肺中叶、左肺舌段炎症。