Good morning everyone,I was on duty in our intensive care last night, there were 3 patients who were porfromed operations, now I will show
you the main information
No.27 于浩霜
Excision [ek'si??n] cyst of bile duct plus Roux-pen-Y
choleclocho-jejunostomy was performed, she came back at 18:00
yesterday, The patients vital ['vaitl] sights were stable and no complaint
last night, This morning BP(blood pressure) is millineters
of mercury, HR(heart rate) is bpm,RR(respiration) is bpm, There was about milliter blood from the abdominal
[?b'd?min?l] drainage tube, It was madder red and was unobstracted,
There was about urinal ['ju?rin?l] from the urinary canal
[k?'n?l], It was yellow, Covering on the incision was dry and renous
transfusion [tr?ns'fju:??n] was easy and smorth She felt nansea and
vomiting at 23:00 and got better after giving maxdon 10 mg im, she felt
nausea and vomiting again at 2:00 and got better after giving a gastric
take insertiy There was about liquid from the
gestrotestinal drainage tube It was yellow.
肌注：intramuscular [,intr?'m?skjul?]
14：45：a quarter to 15/fourteen forty-five/forty-five past fourteen/3 quarters
past fourteen
22:30 :twenty-two thirteen/half past twenty-two
18:00: eighteen o‘clock/eighteen sharp<整点>/six in the evening
甲状腺癌：htyroid carcinoma ['θair?id] [,kɑ:si'n?um?]
甲状腺腺瘤：htyroid adenoma [,?d?'n?um?]
乳腺癌：breast cancer [brest]
甲状腺大部切除术：subtotal thyroidectomy [,θair?i'dekt?mi]
甲状腺癌根治术：radical resection of thyroid cancer ['r?dik?l]
[ri'sek??n]
改良术乳腺癌根治术：modified radical mastectomy for breast cancer
[m?s'tekt?mi]
乳腺癌根治术：radical mastectomy for breast cancer
乳腺癌扩大根治术：extensive radical mastectomy for breast cancer
[iks'tensiv]
肝囊肿：cyst of liver [sist]
肝移植：transplantation of liver ['tr?nsplɑ:n'tei??n]
肝肿瘤：tumor of liver ['tju:m?]
肝内胆管结石：intrahepatic bile duct stone [hi'p?tik] [bail] [d?kt] 肝性脑病：hepatic encephalopathy [en,sef?'l?p?θi]
肝叶切除术：hepatolobectomy
肝胆管胆总管空肠
hepatocholedocho-jejunostomy
胆总管空肠Y型吻合术：Roux-en-Y choledocho-jejunostomy 腹腔镜探查：laparoscopic approach [?'pr?ut?]
阑尾切除术：appendectomy [,?p?n'dekt?mi] Y型吻合术：Roux-en-Y
肝部分切除术：partial hepatectomy ['pɑ:??l] [,hep?'tekt?mi] 胃肿瘤：gastric tumor ['g?strik] ['tju:m?]
胰十二指肠切除术：pancreaticoduodenectomy
腹泻： performanced diarrhoea [,dai?'ri?]
腹痛：felt bellyache ['beli,eik]
经历手术：underwent the resection of retroperitoneal tumors
硝酸甘油泵入：pumpping nitroglycerin
糖尿病：the serum glucose was 6.2 mmol/L，the patient was conscious
['k?n??s] and had no complain [k?m'plein]
血糖：serum glucose ['si?r?m] ['glu:k?us]/blood sugar
腹腔引流管：the celiac ['si:li,?k] drainage tube was unobstructed
['?n?b'str?ktid] and about 80mls blood was drained [drein] out
硝酸甘油舌下含化：0.5mg myocon was given by sublingual [s?b'li?gw?l] administrution
心痛定：adalat was given by sublingual administration
地塞米松5mg静推：5mls corson was give intravenously[,intr?'vi:n?sli] 恶心、呕吐：nausea ['n?:?i?] vomiting ['v?mit]
尿量和腹部切口敷料：urinary ['ju?rin?ri] volume was normal and covering ['k?v?ri?] on the operative incision was dry
杜冷丁：sauteralgyl 安痛定：Alidine
山莨菪碱：anisodamine 强痛定：bucinperazine
胃复安：maxolon 发烧：fever
第二篇：英文交班
患者：贾艳琼，女，32岁，北京市房山区居民，主因自服敌敌畏（dichlorvos）50ML，2小时于15：00来诊，来时患者呈深昏迷状，双侧瞳孔等大同圆约1MM，对光反射消失，全身大汗，肌纤维颤动，口鼻分泌物多，呼出气体可闻及大蒜味，双肺可闻及湿罗音，立即呼叫值班医生尹明，给予吸氧，心电监护，血压123/68mmhg，心率68次/分，呼吸浅快32次/分，血氧饱和度82%，诊断：有机磷中毒。遵医嘱行经口气管插管，呼吸机辅助呼吸，放置胃管，清水洗胃20000ML，建立静脉通道，抽血查血生化及胆碱酯酶活性（ChE）测定，静脉注射阿托品、氯解磷定，ChE回报：1600，为防止毒物经皮肤重复吸收，我们给予患者剃全头、更换衣物、温水擦拭全身等处理。晚间再次给予患者清水洗胃10000ml,，胃液已清亮，继续遵医嘱静脉注射阿托品及氯解磷定治疗，用药后观察患者已达“阿托品化”：（皮肤干燥，气道分泌物明显减少，双肺湿罗音减轻，瞳孔较前增大，直径约3mm， HR90-110次/分）。晨起复查ChE：2200，患者处于中度昏迷，双侧瞳孔等大同圆，直径约3 mm，HR98次/分，血氧饱和度95%。请白班继续观察。
修改后的中文——主要修改的地方：查体按照习惯的顺序描述。
患者：贾艳琼，女，32岁，北京市房山区居民，主因自服敌敌畏（dichlorvos）50ML2小时于15：00来诊，来诊时患者呈深昏迷状，呼出气体可闻到大蒜味，全身大汗，肌纤维颤动，双侧瞳孔约1MM，对光反射消失，口鼻分泌物多，呼吸浅快32次/分，双肺可闻及湿罗音，心率68次/分，血压123/68mmhg，脉搏血氧饱和度82%，立即呼叫值班医生尹明。初步诊断：有机磷农药中毒。遵医嘱给予心电监护，经口气管插管，呼吸机辅助呼吸。为患者建立静脉通道，抽血查血生化及胆碱酯酶活性（ChE）测定；并且留置胃管，清水20000ML洗胃，静脉注射阿托品、氯解磷定，ChE结果：1600u/L。为防止毒物经皮肤重复吸收，我们给予患者剃全头、更换衣物、温水擦拭全身等处理。10小时后再次给予患者清水10000ml洗胃，继续遵医嘱静脉注射阿托品及氯解磷定治疗。用药12小时后，观察患者已达“阿托品化”：（表现为皮肤干燥，瞳孔较前增大，双侧直径均约3mm，气道分泌物明显减少，双肺湿罗音减少， HR90-110次/分）。晨起6：00复查ChE：2200u/L，患者处于中度昏迷状态，双侧瞳孔等大同圆，直径约3mm，HR98次/分，脉搏血氧饱和度95%。请白班继续观察。
Patient JIA Yan-Qiong, female, 32 years old, Fangshan District, Beijing resident. In 15:00 PM, She was sent to our emergency department mainly due to taking DDVP (dichlorvos) 50ml before 2 hours.
While she was admitted with hospital, the patient was sweaty, in deep coma, with garlic exhaled gas and muscle fibrillation; her bilateral pupils were about 1mm without light reflex; mouth and nose were full of secretions; respiratory rate(RR) was 32 times / min with rapid shallow, both of lungs could be heard moist rales; heart rate(HR) was 68 beats / min, blood
pressure(BP) was 123/68mmHg(123 over 68 millimeter mercury), pulse oxygen saturation(SPO2) was 82%.
Doctor. Yin, who was on duty, immediately was called to primary diagnosis: organic phosphorus pesticide poisoning. According to doctor's order, we immediately gave the patient ECG
monitoring, intubation and mechanical ventilation; and then established intravenous access for patients, examined blood serum biochemical and cholinesterase activity (ChE). The first ChE results was 1600u / L
We lavaged stomach 20000ml water by indwelling stomach tube, administrated atropine and pralidoxime chloride through intravenous injection. In order to prevent duplication of poisons absorbed through skins, we had the patient’s hair baldly cut, changed her clothes, cleaned the skin with warm water.
After her coming 10 hours, we lavaged stomach 10000ml water again for patients and continually prescribed intravenous injection of atropine and pralidoxime chloride therapy. 12 hours after resuscitation, the patient was observed already, " atropinization " (expressed as dry skin, dilated pupils about 3mm, airway secretions significantly decreased, lungs moist rale reduced, HR 90-110 beats / min). Up to 6:00 AM, the second ChE examined was 2200u / L, patients was in the moderate coma, with bilateral pupils about 3mm, HR 98 beats / min, SPO2 95%.
Please continue to take close observation to the patient in the day-shift.