住院医生常用英语.doc

1、 抗生素医嘱[Antibiotic order]
·Prophylaxis [预防性用药] Duration of oder[用药时间] 24hr
Procedure[操作，手术]
·Empiric theraphy [经验性治疗]
Suspected site and organism[怀疑感染的部位和致病菌] 72hr
Cultures ordered[是否做培养]
·Documented infection[明确感染]
Site and organism[部位和致病菌] 5days
·Other[其他]
Explanation required [解释理由] 24hr
·Antibiotic allergies[何种抗生素过敏]
No known allergy [无已知的过敏]
·Drug+dose+Route+frequency[药名+剂量+途径+次数]
2、医嘱首页[Admission / transfer]
·Admit / transfer to [收入或转入] ·Resident [住院医师] Attending[主治医师]
·Condition [病情] ·Diagnosis[诊断] ·Diet [饮食] ·Acitivity [活动]
·Vital signs[测生命体征] ·I / O [记进出量] ·Allergies[过敏]
3、住院病历[case history]
·Identification [病人一般情况]
Name[性名] Sex[性别] Age [年龄] Marriage[婚姻] Race[民族] I.D.No.[身份证]
Person to notify and phone No.[联系人及电话] Admission date[入院日期]
Source of history[病史提供者] Reliability of history[可靠程度]
Medical record No[病历号] Business phone No.[工作单位电话]
Home address and phone No.[家庭住地及电话]
Chief complaint[主诉] History of present illness[现病史] Past History[过去史]
Surgical[外科] Medical[内科] Medications[用药] Allergies[过敏史]
Social History[社会史] Habits[个人习惯] Smoking[吸烟] Family History[家族史]
Ob/Gyn History[ 婚姻/生育史] Alcohol use[喝酒]
·Review of Aystems[系统回顾]
General[概况] Eyes,Ears,Nose and throat[五官] Pulmonary[呼吸]
Cardiovascular[心血管] GI[消化] GU[生殖、泌尿系统]
Musculoskeletal[肌肉骨骼] Neurology[神经系统] Endocrinology[内分泌系统]
Lymphatic/Hematologic[淋巴系统/血液系统]
·Physical Exam[体检]
Vital Signs[生命体征] P[脉博] Bp[血压] R[呼吸] T[温度]
Height[身高] Weight[体重] General[概况] HEENT[五官] Neck[颈部]
Back/Chest[背部/胸部] Breast[乳房] Heart[心脏] Heart rate[心率]
Heart rhythm[心律] Heart Border[心界] Murmur[杂音] Abdomen[腹部]
Liver[肝] Spleen[脾] Rectal[直肠] Genitalia[生殖系统] Extremities[四肢]
Neurology[神经系统] cranial nerves[颅神经] sensation[感觉] Motor[运动]
*Special P.E. on diseased organ system[专科情况] *Radiographic Findings[放射]
*Laboratory Findings[化验] *Assessment[初步诊断与诊断依据]
*Summary[病史小结] *Treatment Plan[治疗计划]
4、输血申请单[Blood bank requisition form]
(1)reason for infusion[输血原因]
▲红细胞[packed red cells, wshed RBCs]:
*Hb<8.5 [血色素<8.5]
*>20% blood volume lost [>20%血容量丢失]
*cardio-pulmonary bypass with anticipated Hb <8[心肺分流术伴预计血色素 <8]
*chemotherapy or surgery with Hb <10[血色素<10的化疗或手术者]
▲全血[whole blood]:
massive on-going blood loss[大量出血]
▲血小板[platelets]:
*massive blood transfusion >10 units[输血10单位以上者]
*platelet count <50×103/μl with active bleeding or surgery[血小板<5万伴活动性出血或手术者]
*Cardio-pulmonary bypass uith pl<100×103/μl with octive bleeding[心肺分流术伴血小板<10万，活动性出血者]
*Platelet count <20×103/μl[血板<2万]
▲新鲜冰冻血浆[fresh frozen plasma]:
*documented abnormal PT or PTT with bleeding or Surgery[PT、PTT异常的出血或手术病人]
*specific clotting factor deficiencies with bleeding/surgerg[特殊凝血因子缺乏的出血/手术者]
*blood transfusion >15units[输血>15个单位]
*warfarin or antifibrinolytic therapy with bleeding[华法令或溶栓治疗后出血]
*DIC[血管内弥漫性凝血]
*Antithrombin III dficiency[凝血酶III 缺乏]
(2)输血要求[request for blood components]
*patient blood group[血型]
*Has the patient had transfusion or pregnancy in the past 3 months? [近3个月，病人是否输过血或怀孕过？]
*Type and crossmatch[血型和血交叉]
*Units or ml[单位或毫升]
5、出院小结[discharge summary]
Patient Name[病人姓名] Medical Record No.[病历号]
Attending Physician[主治医生] Date of Admission[入院日期]
Date of Discharge[出院日期] Pirncipal Diagnosis[主要诊断]
Secondary Diagnosis[次要诊断] Complications[并发症]
Operation[手术名称] Reason for Admission[入院理由]
Physical Findings[阳性体征] Lab/X-ray Findings[化验及放射报告]
Hospital Course[住院诊治经过] Condition[出院状况]
Disposition[出院去向] Medications[出院用药]
Prognosis[预后] Follow-up Care[随随访]
Special Instruction to the Patient(diet, physical activity)[出院指导（饮食，活动量）]
6、住院/出院病历首页[Admission/discharge record]
·Patient name[病人姓名] ·race[种族] ·address[地址] ·religion[宗教]
·medical service[科别] ·admit (discharge) date[入院（出院）日期]
·Length of stay [住院天数] ·guarantor name [担保人姓名]
·next of kin or person to notify[需通知的亲属姓名]
·relation to patient[与病人关系] ·previous admit date[上次住院日期]
·admitting physician [入院医生] ·attending phgsician[主治医生]
·admitting diagnosis[入院诊断] ·final (principal) diagnosis[最终（主要）诊断]
·secondary diagnosis[次要诊断] ·adverse reactions (complications)[副作用（合并症）]
·incision type[切口类型] ·healing course[愈合等级]
·operative (non-operative) procedures [手术（非手术）操作]
·nosocomial infection[院内感染] ·consutants[会诊]
·Critical-No. of times[抢救次数] ·recovered-No. of times[成功次数]
·Diagnosis qualitative analysis[诊断质量]
OP.adm.and discharge Dx concur [门诊入院与出院诊断符合率]
Clinical and pathological Dx concur[临床与病理诊断符合率]
Pre- and post-operative Dx concur [术前术后诊断符合率]
·Dx determined with in 24 hours (3 days) after admission[入院后24小时（3天）内确诊]
·Discharge status[出院状况]
recovered[治愈] improved[好转] not improved[未愈] died [死亡]
·Dispositon[去向]
home[家] against medical ad[自动出院] autosy[尸检] transferred to[转院到]

医学英语常用前后缀

1·a-[无，缺] ▲anemia[贫血] atonia[无张力] asymptomatic[无症状的] amenorrhea[闭经]
2·ab-[分离] abduct [外展] abscision[切除]
3·acou (acu)-[听觉] acumeter [听力计] acouophone[助听器]
4·acro-[肢端] acromegaly[肢端肥大症] acromastitis[乳头炎]
5·ad (af, an)-[邻近，向上] adrenal [肾上腺] adaxial[近轴的] annexa[附件]
6·-ad[……侧] ventrad[向腹侧] cephalad[向头侧]
7·adeno-[腺] adenocyte[腺细胞] adenoidism[腺体病]
8·adipo-[脂肪] adiposis[肥胖症] adiponecrosis[脂肪坏死]
9·adreno-[肾上腺] adrenocorticoid[肾上腺皮质激素] adrenalin[肾上腺素] adrenal[肾上腺]
10·-aemia(emia)[血症] bacteremia[菌血症] leukemia[白血病]
11·-albi (albino)-[白色] albumin[白蛋白] albinism[白化病]
12·-algesia[痛觉] ▲hypoalgesia[痛觉减退]
13·-algia[痛] ▲arthralgia[关节痛] ▲cephalgia[头痛] ▲neuralgia[神经痛]
14·alkali-[碱] ▲alkalosis[碱中毒]
15·alveo-[牙槽，小沟] ▲alveolitis[牙槽炎] ▲alveobronchiolitis[支气管肺泡炎]
16·ambi-[复，双] ambiopia[复视] ambivert[双重性格]
17·ambly-[弱] ▲amblyopia[弱视] ▲amblyaphia[触觉迟钝]
18·amylo-[淀粉] ▲amyloidosis[淀粉酶] ▲amylase[淀粉酶]
19·angio-[血管] ▲angiography[血管造影术] ▲angioedema[血管性水肿] ▲angeitis[脉管炎] ▲angiofibroma[血管纤维瘤]
20·ante-[前] ▲antenatal[出生前的] ▲anteflexion[前屈]
21·antero-[前] ▲anterolateral[前侧壁] ▲anteroventral[前腹侧]
22·anti-[抗，反] ▲antibiotics[抗生素] ▲antihypertensives[降压药] ▲anticoagulant[抗凝剂]
23·rarchno-[蛛网膜] ▲arachnoiditis[蛛网膜炎]
24·archo-[肛门，直肠] ▲archorrhagia[肛门出血] ▲archosyrinx[直肠灌注器]
25·arterio-[动脉] ▲arteriospasm[动脉痉挛] ▲arteriosclerosis[动脉硬化]
26·arthro-[关节] ▲arthrocentesis[关节穿刺] ▲arthrotomy[关节切开术] ▲arthritis[关节炎]
27·-ase[酶] ▲oxidase[氧化酶] ▲proteinase[蛋白酶]
28·-asthenia[无力] ▲myasthenia[肌无力] ▲neurasthenia[神经衰弱]
29·audio(audito)-[听力] ▲audiology[听觉学] ▲audiometer[听力计]
30·auto-[自己] ▲autoimmune[自身免疫] ▲auto hemotherapy[自体血疗法]
31·bacilli-[杆菌] ▲bacillosis[杆菌病] ▲bacilluria[杆菌尿]
32·bacterio-[细菌] ▲bacteriology[细菌学] ▲bactericide[杀菌剂]
33·baro-[压力] ▲barometer [压力计] ▲baroreceptor[压力感受器]
34·bary-[迟钝] ▲barylalia[言语不清] ▲baryacusia[听觉迟钝]
35·bi-[双] ▲bicuspid[二尖瓣]] ▲bilateral[两侧的]
36·bili-[胆汁] ▲bilirubin[胆红素]
37·bio-[生命] ▲biology[生物学] ▲biopsy[活检]
38·-blast[母细胞] ▲spermatoblast[精子细胞] ▲melanoblast[成黑色素细胞] ▲osteoblast[成骨细胞]
39·brachy-[短] ▲brachypnea[气短] ▲brachydactylia[短指畸形]
40·brady-[迟缓] ▲bradycardia[心动过缓] ▲bradypsychia[精神不振]
41·broncho-[支气管] ▲bronchoscopy[支气管镜检查] ▲bronchiostenosis[支气管痉挛]
▲bronchitis[支气管炎]
42·bronchiolo-[细支气管] ▲bronchiolectasis[细支气管扩张]
43·calci-[钙] ▲calcification[钙化] ▲calcicosilicosis[钙沉着症]
44·carbo-[碳] ▲carbohydrate[碳水化合物] ▲carbohaemia[碳酸血症]
45·carcino-[癌] ▲carcinogen[致癌物]
46·cardio-[心，贲门] ▲cardiotonics[强心剂] ▲cardioplasty[贲门成形术]
47·-cele[疝，肿物] ▲omphalocele[脐疝] ▲hysterocele[子宫脱垂] ▲ophthalmocele[眼球突出]
48·celio-[腹] ▲celialgia[腹痛] ▲celioscopy[腹腔镜检查]
49·-centesis[穿刺] ▲arthrocentesis[关节穿刺术] ▲abdominocentesis[腹穿]
50·cephalo-[头] ▲cephaloxia[斜颈] ▲cephalopathy[头部疾病] ▲cephalotomy[穿颅术]
51·cerebello-[小脑] ▲cerebellitis[小脑炎] ▲cerebellum[小脑]
52·cerebro-[大脑] ▲cerebritis[大脑炎] ▲cerebrology[脑学]
53·chemo-[化学] ▲chemotherapy[化疗]
54·chloro-[绿，氯] ▲chloroform[氯仿] ▲chloromycetin[氯霉素] ▲chlorophyll[叶绿素]
55·cholangio-[胆道] ▲cholangitis[胆管炎] ▲cholangiectasis[胆管扩张]
56·cholo-[胆] ▲cholagogue[利胆剂] ▲cholelithiasis[胆石症] ▲cholecystitis[胆囊炎]
▲cholesterol[胆固醇]
57·chondro-[软骨] ▲chondrosarcoma[软骨肉瘤] ▲chondrification[骨软化]
58·chromo-[色素] ▲cytochrome[细胞色素] ▲chromosome[染色体]
59·-cide[杀……剂] ▲germicide[杀菌剂] ▲aborticide[堕胎药]
60·circum-[周围] ▲circumoral[口周的] ▲circumcision[包皮环切术]
61·coagulo-[凝固] ▲coagulant[凝血剂]
62·colo-[结肠] ▲colotomy[结肠切开术] ▲coloptosis[结肠下垂]
63·colpo (coleo)-[阴道] ▲coleospastia[阴道痉挛] ▲colposcope[阴道镜]
64·contra-[反，逆] ▲contraindication[禁忌证] ▲contraceptive[避孕药]
65·counter-[反，逆] ▲counteragent[拮抗剂] ▲conuterpoison[解毒剂]
66·cranio-[颅] ▲craniomalacia[颅骨软化] ▲cranioclasis[碎颅术]
67·-cyst-[囊] ▲cystomy[膀胱切开术] ▲dacryocyst[泪囊]
68·-cyte-[细胞] ▲lymphocyte[淋巴细胞] ▲cytolysis[细胞溶解]
69·de-[除去] ▲detoxication[解毒]
70·dento[牙] ▲dentistry[牙科学] ▲dentalgia[牙痛]
71·-derm-[皮肤] ▲epiderm[表皮] ▲dermatology[皮肤病学] ▲dermoplasty[皮肤成形术]
72·dextro-[右] ▲dextrocardia[右位心] ▲dexiotropic[右旋的]
73·dis-[分离] ▲discission[分离术] ▲disinfection[消毒法]
74·duodeno-[十二指肠] ▲duodenitis[十二指肠炎] ▲duodenostomy[十二指肠造口术]
75·-dynia[痛] ▲acrodynia[肢体痛] ▲urethrodynia[尿道痛]
76·dys-[异常] ▲dysfunction[功能不良] ▲dyshormonism[内分泌障碍] ▲dysuria[排尿困难]
77·-ectasis[扩张] ▲gastroectasis[胃扩张] ▲aerenterectasia[肠胀气] ▲bronchiectasia[支气管扩张]
78·-ectomy[切除术] ▲appendectomy[阑尾切除术] ▲lipectomy[脂肪切除术]
79·-edema[水肿] ▲encephaledema[脑水肿] ▲myxedema[粘液性水肿]
80·-emesia[呕] ▲hematemesia[呕血] ▲helminthemesia[吐虫]
81·encephalo-[脑] ▲encephaloma[脑瘤] ▲encephaledema[脑水肿]
82·endo-[内] ▲endocarditis[心内膜炎] ▲endoscope[内窥镜]
83·entero-[肠] ▲enteritis[肠炎] ▲enterovirus[肠病毒]
84·epi-[上，外] ▲epigastrium[上腹部]
85·erythro-[红] ▲erythromycin[红霉素] ▲erythroderma[红皮病]
86·esophago-[食管] ▲esophagoscope[食管镜] ▲esophagitis[食管炎]
87·extra-[……外] ▲extracellular[细胞外的] ▲extrasystole[额外收缩]
88·facio-[面] ▲facioplegia[面瘫] ▲facioplasty[面部成形术]
89·-fast[耐] ▲acid-fast[抗酸的] ▲uviofast[耐紫外线]
90·febri-[热] ▲febricula[低热] ▲febrifacient[致热的]
91·feti-[胎儿] ▲feticulture[妊娠期卫生] ▲fetometry[胎儿测量法]
92·fibro-[纤维] ▲fibroblast[成纤维细胞] ▲fibrosis[纤维化]
93·fore-[前] ▲forebrain[前脑] ▲forehead[前额]
94·-form[形状] ▲oviform[卵形的] ▲granuliform[颗粒状的]
95·fungi-[真菌，霉菌] ▲fungicide[杀真菌剂] ▲fungistasis[制霉菌作用]
96·gastro-[胃] ▲gastroptosis[胃下垂] ▲gastroenteritis[胃肠炎] ▲gastroscopy[胃镜检查]
▲gastratrophy[胃萎缩]
97·-gen [原，剂] ▲glycogen[糖原] ▲pathogen[病原体] ▲androgen[雄激素] ▲Estrogen[雌激素]
98·-genic[……性] ▲cardiogenic[心源性的] ▲allergenic[变应反应]
99·giganto-[巨大] ▲gigantocyte[巨红细胞] ▲gigantism[巨大症]
100·gingivo-[牙龈] ▲gingivitis[牙龈炎] ▲gingivostomatitis[牙龈口腔炎]
101·glosso-[舌] ▲glossoplegia[舌瘫痪]
102·gluco-[糖] ▲glucoprotein[糖蛋白] ▲glucocorticoid[糖皮质激素]
103·glyco-[糖] ▲glycogen[糖原] ▲glycouria[糖尿]
104·-grade[级，度] ▲centigrade[摄氏温度计] ▲retrograde[逆行性]
105·-gram[克，图] ▲microgram[微克] ▲electroencephalogram[脑电图]
106·-graph(y)[……仪（法）] ▲electrocardiogram[心电图] ▲bronchography[支气管造影术]
107·gyneco-[妇女] ▲gynecology[妇科学] ▲gynecopathy[妇科病]
108·hemo(hemato)-[血] ▲hemoglobin[血红蛋白] hematoma[血肿]
109·hemi-[半] ▲hemiplegia[偏瘫] ▲hemicrania[偏头病]
110·hepato-[肝] ▲hepatitis[肝炎] ▲hepatocirrhosis[肝硬化] ▲hepatosplenomegaly[肝脾肿大]
111·hidro-[汗] ▲hyperhidrosis[多汗症] ▲anhidrosis[无汗症]
112·histo-[组织] ▲histology[组织学] ▲histomorphology[组织形态学]
113·holo-[全] ▲holonarcosis[全麻] ▲holoenzyme[全酶]
114·homo-[同] ▲homotype[同型] ▲homologue[同系物] ▲homoplasty[同种移植术]
115·hydro-[水] ▲hydropericardium[心包积水] ▲hydrolysis [水解]
116·hypr-[高] ▲hypercalcemia[高钙血症] ▲hyperthyroidism[甲亢]
117·hypno-[睡眼] ▲hypnotics[安眠药] ▲hypnotherapy[催眠疗法]
118·hypo-[低] ▲hypotension[低血压] ▲hypoglycemia[低血糖]
119·hystero-[子宫] ▲hysterospasm[子宫痉挛] ▲hysteroptosis[子宫下垂]
120·-ia[病] ▲melancholia[忧郁症] ▲pyrexia[发热]
121·-iatrics[医学] ▲pediatrics[儿科学] ▲geriatrics[老年病学]
122·-iatry[医学] ▲psychiatry[精神病学] ▲pediatry[儿科学]
123·immuno-[免疫] ▲immunoglobulin[免疫球蛋白] ▲immunotherapy[免疫疗法]
124·infra-[下] ▲infraorbital[眶下的] ▲infrared[红外线]
125·inter-[间] ▲intervertebral[椎间的] ▲intercellular[细胞间的]
126·intra-[内] ▲intravenous[静脉内的] ▲intracranial[颅内的] ▲intramuscular[肌肉内的]
127·-ist[家] ▲pathologist[病理学家] ▲anatomist[解剖学家]
128·-itis[炎症] ▲cellulitis[蜂窝织炎] ▲myocarditis[心肌炎]
129·leuco (leuko)-[白] ▲leucorrhea[白带] ▲leukocytosis[白细胞增多] ▲leukemia[白血病]
130·lipo-(脂) ▲lipotrophy[脂肪增多] ▲lipase[脂酶]
131·-lith[结石] ▲cholelith[胆结石] ▲cholelithiasis[胆石症]
132·-logy[学] ▲terminology[术语学] ▲Cardiology[心脏病学]
133·lumbo-[腰] ▲lumbosacral[腰骶部的] ▲lumbago[腰背痛] ▲lumbodynia[腰痛]
134·lympho-[淋巴] ▲lymphedema[淋巴水肿] ▲lymphocytopenia[淋巴细胞减少]
135·-lysis(lytic)[松解，分解了] ▲aythrolysis[关节松解术] ▲spasmolytic[解痉的]
136·macro-[大] ▲macrophage[巨噬细胞] ▲macromolecule[大分子]
137·mal-[不良] ▲malnutrition[营养不良] ▲malfunction[功能不全]
138·-megaly[巨大] ▲cardiomegaly[心扩大] ▲cephalomegaly[巨头畸形]
139·meningo-[脑膜] ▲meningitis[脑膜炎] ▲meningocephalitis[脑膜脑炎]
140·meno-[月经] ▲dysmenorrhea[痛经] ▲menopause[停经]
141·-meter[表，计] ▲spirometer[肺活量计] ▲pyrometer[高温表]
142·-metry[测量法] ▲iodometry[碘定量法]
143·micro-[小] ▲micropump[微泵] ▲microliter[微升]
144·mono-[单-] ▲mononucleosis[单核细胞增多] ▲monomer[单体]
145·multi-[多] ▲multinuclear[多核的] ▲multipara[经产妇]
146·myelo-[髓] ▲myelocele[脊髓膨出] ▲myelocyte[髓细胞]
147·myo-[肌] ▲myocarditis[心肌炎] ▲myofibroma[肌纤维瘤]
148·naso-[鼻] ▲nasoscope[鼻镜] ▲nasitis[鼻炎]
149·neo-[新] ▲neoplasm[瘤] ▲neomycin[新霉素]
150·nephro-[肾] ▲nephropathy[肾病] ▲nephrosclerosis[肾硬变]
151·neuro-[神经] ▲neuroma[神经瘤] ▲neurodermatitis[神经性皮炎]
152·non-[非] ▲non-electrolyte[非电解质] ▲nonfetal[非致命的]
153·nulli-[无] ▲nullipara[未产妇] ▲nulligravida[未孕妇]
154·nutri-[营养] ▲nutrition[营养] ▲nutrology[营养学]
155·oculo-[眼] ▲oculist[眼科医生] ▲oculus dexter[右眼] ▲oculus sinister[左眼]
156·oligo-[少] ▲oligophrenia[智力发育不全] ▲oliguria[少尿]
157·-oma[肿瘤] ▲adenoma[腺瘤] ▲osteoma[骨瘤]
158·onco-[肿瘤] ▲oncology[肿瘤学] ▲oncogene[癌基因]
159·ophthalmo-[眼] ▲ophthalmocele[眼球突出] ▲ophthalmoplegia[眼肌麻痹]
160·-osis[病] ▲cirrhosis[肝硬化] ▲mycosis[霉菌病]
161·osteo-[骨] ▲osteomalacia[骨软化] ▲osteoarthritis[骨关节炎]
162·oto-[耳] ▲otolith[耳石] ▲otoplasty[耳成形术] ▲otopyosis[耳化脓]
163·pan-[全] ▲panimmunity[多种免疫] ▲pantalgia[全身痛] ▲pantatrophia[全身营养不良]
164·-para[产妇] ▲primipara[初产妇] ▲nullipara[未产妇]
165·-pathy[病] ▲dermatopathy[皮肤病] ▲Cardiomyopathy[心肌病]
166·pedia-[儿童] ▲pediatrician[儿科医师] ▲pediatrics[儿科学]
167·-penia[减少] ▲leucopenia[白细胞减少] ▲thrombopenia[血小板减少]
168·per-[经] ▲percutaneous[经皮肤的]
169·peri-[周围] ▲pericarditis[心包炎] ▲perianal[肛周的]
170·pharmaco-[药] ▲pharmacokinetics[药代动力学] ▲physicochemistry[药典]
171·physio-[物理 ▲physiotheraphy[理疗] ▲physicochemistry[物理化学]
172·-plasty[成形术] ▲angioplasty[血管成形术] ▲homoplasty[同种移植]