医嘱术语.doc

（1）医嘱术语[medical orders]
•Admit/transfer to[收入（转入）]
•Resident/attending[住院（主诊）医师]
•condition[病情]
▲critical (Imminence)[病危]
▲unstable[不稳定]
▲stable[稳定]
▲general (fair) [一般]
•emergent[急诊]
•Diagnosis[诊断]
•Diet[饮食]
▲full (home) diet[普食]
▲liquid (semi-liquid) diet[流汁（半流汁）饮食]
▲soft diet[软食]
▲low salt and low fat diet[低盐低脂饮食]
▲salt-free diet[无盐饮食]
▲low purine diet[低嘌呤饮食]
▲low (non)-residue diet[少（无）渣饮食]
▲light diet [清淡饮食]
▲high caloric diet[高热量饮食]
▲high protein (protein-rich) diet[高蛋白饮食]
▲diabetic diet[糖尿病饮食]
▲nephritic diet[肾炎饮食]
▲nasal feeding[鼻饲]
▲fasting (NPO, nothing by mouth)[禁食]
▲NPO for 5 hours[禁食5小时]
▲meal standard[伙食标准]
•activity[活动]
▲absolute rest[绝对卧床休息]
▲stay on the bed (yest in bed)[卧床休息]
▲Ad lib[随意活动]
▲In the ward [病房内活动]
•vital signs[生命体征]
•Q shift (q.6h)[每班（每6小时）一次]
•immoblization[制动]
•pressed by sand bag [沙袋压迫]
•I/O (intake and output)[记出入量]
•N/A (non-apply)[不需要]
•parameter: EKG(Bp,SaO2) monitor [其他：心电图（血压，氧饱和度）监
护]
•allergies[过敏]
•NKA (non-known allergies)[无已知的过敏反应]
•patient identification [病人身份]
•4th floor,room 5 ,bed 2(405-2)[4楼5号房2床]
•Med. Rec#[病历号]
•medical orders[医嘱]
•on general routine[护理常规]
•on grade I (II, III) nuring care[I （I、III）级护理]
•morning (evening) care[晨间（夜间）护理]
•bedsore care[褥疮护理]
•mouth (oral) care[口腔护理]
•CPT( chest physical treatment) [胸部物理治疗]
•O2 inhalation (2-4L/min)[吸氧（2-4升/分）]
•alcohol sponge bath[酒精擦浴]
•cold (hot) compress[冷（热）敷]
•wet (hydropathic) compress by MgSO4[用硫酸镁湿敷]
•change position × qh[每小时更换一次体位]
•gastric lavage with water[用清水洗胃]
•bladder irrigation [膀胱冲洗]
•under water seal drainage of thorax[胸腔水封瓶引流]
•GI decompression [胃肠减压]
•keep warm[保温]医.学 全在.线,提供
•lower temperature by ice-cap[冰帽降温]
•keep bowels open[保持大便通畅]
•keep the airway open[保持气道通畅]
•retention catheterization[留置导尿]
•prevent from bedsore[预防褥疮]
•on bedside isolation[床边隔离]
•P.P sitz bath[高锰酸钾液坐浴]
•raising the head (foot) of the bed[抬高床头（尾）]
•pencillin (procaine, iodine) skin test[青霉素（普鲁卡因，碘）皮试]
•intubate and ventilator support[气管插管及呼吸机支持]
•cleaning (retention) enama[清洁（保留）灌肠]
•soapsuds (saline) enama[肥皂水（盐水）灌肠]
•intradermal injection[皮内注射]
•subcutaneous (hypodermic) injection [皮下注射]
•intramuscular injection( i.m)[肌肉注射]
•intravenous injection(i.v)[静脉注射]
•intravenous drip(ivgtt)[静脉滴入]
•intraarterial injection[动脉注射]
•intraarticular injection[关节内注射]
•intrapleural injection[胸腔内注射]
•intrathecal injection[鞘内注射]
•intraspinal injection[椎管内注射]
•per os(P.O,by mouth[口服]
•inhalation[吸入]
•inunction[涂擦]
•scarification[划痕法]
•by rectum[直肠灌注]
•quaque die (qd)[一天1次]
•bis in die(bid)[一天2次]
•ter in die (tid)[一天3次]
•quater in die (qid)[一天4次]
•quaque hora (qh)[每小时1次]
•quaque quarta hora(q4h)[每4小时1次]
•quaque nocte (qn)[每晚1次]
•quaque mane (qm)[每晨1次]
•ante cibum(ac)[饭前（给药）]
•post cibum (pc)[饭后（给药）]
•hora somni (hs)[临睡时]
•pro re nata (prn)[必要时]
•si opus sit (sos)[必要时只用1次]
•ante meridiem (am)[上午]
•post meridiem (pm)[下午]
•statim (st)[即刻]

该文章转载自医学全在线：

(2)辅助检查术语[diagnostic examination]
•CBC (complete blood count) [全血细胞计数]
•WBC (white blood ount)[白细胞数]
•RBC (red blood count) [红细胞数]
•Ret (reticulocyte)[网织红细胞数]
•HCT (hematocrit)[红细胞比积]
•MCV (mean corpuscular volume) [红细胞平均体积]
•MCH (mean corpuscular hemoglobin)[红细胞平均血红蛋白]
•EC (eosinophic count)[嗜酸粒细胞计数]
•Plt (platelet count)[血小板计数]
•UA (urine analyse)[小便常规]
•SRt (stool routine)[大便常规]
•stool OB [大便隐血]
•stool ova count[大便虫卵计数]
•uric acid [尿酸]
•uric (serum) amylase [尿（血）淀粉酶]
•urine K+ (Na+)[尿钾（钠）测定]
•pregnance test[妊娠试验]
•urine Bence-Jone protein [尿本-周氏蛋白]
•urinary protein electrophoresis[尿蛋白电冰]
•bacterial count of urine [尿菌落数]
•osmotic pressure assay[尿渗透压测定]
•urine (blood, stool) culture [尿（血、大便）培养]
•bone marrow puncture [骨穿]
•iron staining of bone marrow smear [骨髓铁染色]
•serum iron assay [血清铁测定]
•Vit B12 and folic acid assay [维生素B12和叶酸测定]
•BT (bleeding time) [出血时间]
•CT (coagulation time) [凝血时间]
•PT (prothrombin time)[凝血酶原时间]
•ACT (activated coagulation time)[活化的凝血时间]
•KPTT(kaolin partial thromboplastin time)[部分凝血活酶时间]
•Fb (fibrinogen)[纤维蛋白原]
•FDP (fibrinogen degradation product)[纤维蛋白原降解产物]
•ABG (arterial blood gas)[血气分析]
•renal function and liver function[肝肾功能]
•D-dimer fragments assay[D-二聚体测定]
•Hcy (homocysteine)[同型半胱氨酸]
•Cr and BuN (creatinine and blood urea nitrogen)[肌酐和尿素氮]
•blood lipid (TG, TC ,HDL, LDL)[血脂（甘油三酯，胆固醇，高密度脂蛋
白，低密度脂蛋白）]
•myocardial enzyme (CK, CK-MB, GOT, LDH)[心肌酶谱（肌酸磷酸激酶及
同功酶，谷草转氨酶，乳酶脱氢酶）]
•Mb (myoglobin)[肌红蛋白]
•CTn-I [肌钙蛋白-I]
•thyroid function (T3,T4,TSH,FT3 FT4,TG,TM)[甲状腺功能]
•VMA (urine vanillylmandelic acid)[尿香草基杏仁酸]
•LH, FSH, ACTH, GH[黄体生成素，卵泡刺激素，促肾上腺皮质激素，生
长激素]
•determination of calcitonin[降钙素测定]
•17-KS and 17-OHCS[尿17-酮和17-羟测定]
•plasma cortisol assay [皮质醇]
•aldosterone assay[醛固酮]
•testosterone and estradiol[睾酮和雌二醇]
•FBS or blood glucose [空腹血糖或血糖]
•SaO2 monitor [血氧饱和度监测]
•CO2CP (carbon dioxide combining power)[二氧化碳结合力]
•Uric ketobody[尿酮体]
•serum electrolytes (K+,Na+,Ca2+,Cl-,Mg2+)[血电解质]
•AFP(alpha-fetoprotein) [癌胚抗原]
•β2-M(β2-microglobulin)[ β2微球蛋白]
•Ccr (endogenous creatinine clearance)[内生肌酐清除率]
•capillary resistance test [毛细血管脆性试验]
•platelet adhesion and aggregation test[血小板粘附和凝集试验]
•3P test (plasma protamine paracoagulation test)[血浆鱼精蛋白副凝试验]
•plasma viscosity [血浆粘度]
•whole-blood viscosity [全血粘度]
•CSF (cerebrospinal fluid)[脑脊液]
•semen (sputum, vaginal discharge) examination[精液（痰，阴道分泌物）检
查]
•total protein[总蛋白]
•OGTT (oral glucose tolerance test)[口服糖耐量试验]
•ASO (antistreptolysin O test)[抗“O”试验]
•ANA (antinuclear antibody)[抗核抗体]
•anti-ENA antibody [抗可提取性核蛋白（ENA）抗体]
•anti-ds DNA[抗双链DNA抗体]
•C3 (complement 3) [补体3]
•CRP (C-reactive protein) [C-反应蛋白]
•IC (immune complex)[免疫复合物]
•RF (rheumatoid factor)[类风湿因子]
•Widal`s reaction [肥达氏反应]
•MIC (minimal inhibitory concentration)[最低抑菌浓度]
•MBC (minimal bactericidal concentration)[最小杀菌浓度]
•acid-fast stain[抗酸染色]
•EKG [心电图]
•bedside [床边]
•chest (cervical) X-ray examination [胸部（颈部）X线检查]
•P-A + lateral projection [正位+侧位]
•echo (TTE, transthoracic echo)[经胸超声心动图]
•echo (TEE, transesophageal echo)[经食道超声心动图]
•Doppler echocardiography[多普勒超声心动图]
•fluoroscopy [透视]医学全在线
•CT (computerized-tomography)[计算机断层摄影]
•MRI (magnetic resonance imaging)[核磁共振成像]
•DSA (digital subtractive angiography)[数字减影血管造影术]
•contrast enhancement[对比增强]
•dacryocystography[泪囊造影]
•Caldwell`s position [柯氏位]
•Wayer`s position[瓦氏位]
•Angiography [血管造影术]
•coronary angiography [冠脉造影术]
•right ventricul ography [右心造影术]
•PTCA[经皮经腔冠脉成形术]
•RFCA[经导管射频消融术]
•stent[支架]
•pacemaker implanted operation[起搏器植入术]
•Holter (dynamic ECG)[24小时动态心电图]
•ABPM[24小时动态血压监测]
•treadmill test [平板运动试验]
•bicycle ergometer[踏车试验]
•tilt test[倾斜试验]
•phonocardiog raphy[心音图]
•atropine test[阿托品试验]
•TEAP (transesophageal atrial pacing)[食道调搏]
•EP study[电生理检查]
•VCG (vectocardiogram)[心向量图]
•EMG (electromyogram)[肌电图]
•EEG (electroencephalogram)[脑电图]
•barium enema[钡灌肠]
•cholangiography[胆管造影术]
•intravenous (oral) cholecystography[静脉（口服）胆囊造影]
•pancratocholangiography[胰胆管造影]
•selective heptatic arteriography[选择性肝动脉造影]
•bronchography[支气管造影]
•lung aspiration biopsy[肺针吸活检]
•cystourethrography[膀胱尿道造影]
•IVU (intravenous urography)[静脉尿道造影]
•retrogradepyelography[逆行肾盂造影]
•uterosalpingography[子宫输卵管造影]
•CT-guided aspiration biopsy[CT 导向下穿刺活检]
•cerebral angiography [脑血管造影]
•vertebral angiography[椎动脉造影]
•cisternography[脑室造影]
•arterio (veno) graphy[动（静）脉造影]
•lung functional examination[肺功能检查]
•gastroscopy[胃镜检查]
•endoscopy[內窥镜检查]
•sigmoidoscopy[乙状结肠镜查]
•colonoscopy[结肠镜检查]
•colonofiberscopy[纤维结肠镜检查]
•bronchoscopy[支气管镜检查]
•ERCP (endoscopic retrograde cholangio-pancreatography)[经内镜逆行胰胆管造影]
•catheterization[导尿术]医学全在线
•thoracentesis[胸穿]
•abdominocentesis（abdominal puncture）[腹穿]
•pericardiocentesis[心包穿刺]
•liver (renal) biopsy[肝（肾）活检]
•bone marrow puncture[骨穿]
•lumbar puncture[腰穿]
•lymah node puncture [淋巴结穿刺]
•joint cavity paracentesis [关节腔穿刺术]
•examination of prostate[前列腺检查]
•massage of prostate[前列腺按摩]
•CVP measure [中心静脉压测定]
•peripheral venous pressure measure [外周静脉压测定]
•duodenal drainage[十二指肠引流]