医学英语大全1、抗生素医嘱[Antibioticorder]·Prophylaxis[预防性用药]Durationofoder[用药时间]24hrProcedure[操作,手术]·Empirictheraphy[经验性治疗]Suspectedsiteandorganism[怀疑感染的部位和致病菌]72hrCulturesordered[是否做培养]·Documentedinfection[明确感染]Siteandorganism[部位和致病菌]5days·Other[其他]Explanationrequired[解释理由]24hr·Antibioticallergies[何种抗生素过敏]Noknownallergy[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/transferto[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]·Vitalsigns[测生命体征]·I/O[记进出量]·Allergies[过敏]3、住院病历[casehistory]·Identification[病人一般情况]Name[性名]Sex[性别]Age[年龄]Marriage[婚姻]PersontonotifyandphoneNo.[联系人及电话]Race[民族]I.D.No.[身份证]Admissiondate[入院日期]Sourceofhistory[病史提供者]Reliabilityofhistory[可靠程度]MedicalrecordNo[病历号]BusinessphoneNo.[工作单位电话]HomeaddressandphoneNo.[家庭住地及电话]·Chiefcomplaint[主诉]·Historyofpresentillness[现病史]·PastHistory[过去史]Surgical[外科]Medical[内科]Medications[用药]Allergies[过敏史]SocialHistory[社会史]Habits[个人习惯]Smoking[吸烟]FamilyHistory[家族史]Ob/GynHistory[婚姻/生育史]Alcoholuse[喝酒]·ReviewofAystems[系统回顾]General[概况]Eyes,Ears,Noseandthroat[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]·PhysicalExam[体检]VitalSigns[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]Heartrate[心率]Heartrhythm[心律]HeartBorder[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]cranialnerves[颅神经]sensation[感觉]Motor[运动]*SpecialP.E.ondiseasedorgansystem[专科情况]*RadiographicFindings[放射]*LaboratoryFindings[化验]*Assessment[初步诊断与诊断依据]*Summary[病史小结]*TreatmentPlan[治疗计划]4、输血申请单[Bloodbankrequisitionform](1)reasonforinfusion[输血原因]▲红细胞[packedredcells,wshedRBCs]:*Hb8.5[血色素8.5]*20%bloodvolumelost[20%血容量丢失]*cardio-pulmonarybypasswithanticipatedHb8[心肺分流术伴预计血色素8]*chemotherapyorsurgerywithHb10[血色素10的化疗或手术者]▲全血[wholeblood]:massiveon-goingbloodloss[大量出血]▲血小板[platelets]:*massivebloodtransfusion10units[输血10单位以上者]*plateletcount50×103/μlwithactivebleedingorsurgery[血小板5万伴活动性出血或手术者]*Cardio-pulmonarybypassuithpl100×103/μlwithoctivebleeding[心肺分流术伴血小板10万,活动性出血者]*Plateletcount20×103/μl[血板2万]▲新鲜冰冻血浆[freshfrozenplasma]:*documentedabnormalPTorPTTwithbleedingorSurgery[PT、PTT异常的出血或手术病人]*specificclottingfactordeficiencieswithbleeding/surgerg[特殊凝血因子缺乏的出血/手术者]*bloodtransfusion15units[输血15个单位]*warfarinorantifibrinolytictherapywithbleeding[华法令或溶栓治疗后出血]*DIC[血管内弥漫性凝血]*AntithrombinIIIdficiency[凝血酶III缺乏](2)输血要求[requestforbloodcomponents]*patientbloodgroup[血型]*Hasthepatienthadtransfusionorpregnancyinthepast3months?[近3个月,病人是否输过血或怀孕过?]*Typeandcrossmatch[血型和血交叉]*Unitsorml[单位或毫升]5、出院小结[dischargesummary]PatientName[病人姓名]MedicalRecordNo.[病历号]AttendingPhysician[主治医生]DateofAdmission[入院日期]DateofDischarge[出院日期]PirncipalDiagnosis[主要诊断]SecondaryDiagnosis[次要诊断]Complications[并发症]Operation[手术名称]ReasonforAdmission[入院理由]PhysicalFindings[阳性体征]Lab/X-rayFindings[化验及放射报告]HospitalCourse[住院诊治经过]Condition[出院状况]Disposition[出院去向]Medications[出院用药]Prognosis[预后]SpecialInstructiontothePatient(diet,physicalactivity)[出院指导(饮食,活动量)]Follow-upCare[随随访]6、住院/出院病历首页[Admission/dischargerecord]·Patientname[病人姓名]·race[种族]·address[地址]·religion[宗教]·medicalservice[科别]·admit(discharge)date[入院(出院)日期]·Lengthofstay[住院天数]·guarantorname[担保人姓名]·nextofkinorpersontonotify[需通知的亲属姓名]·relationtopatient[与病人关系]·previousadmitdate[上次住院日期]·admittingphysician[入院医生]·attendingphgsician[主治医生]·admittingdiagnosis[入院诊断]·final(principal)diagnosis[最终(主要)诊断]·secondarydiagnosis[次要诊断]·adversereactions(complications)[副作用(合并症)]·incisiontype[切口类型]·healingcourse[愈合等级]·operative(non-operative)procedures[手术(非手术)操作]·nosocomialinfection[院内感染]·consutants[会诊]·Critical-No.oftimes[抢救次数]·recovered-No.oftimes[成功次数]·Diagnosisqualitativeanalysis[诊断质量]OP.adm.anddischargeDxconcur[门诊入院与出院诊断符合率]ClinicalandpathologicalDxconcur[临床与病理诊断符合率]Pre-andpost-operativeDxconcur[术前术后诊断符合率]·Dxdeterminedwithin24hours(3days)afteradmission[入院后24小时(3天)内确诊]·Dischargestatus[出院状况]recovered[治愈]improved[好转]notimproved[未愈]died[死亡]·Dispositon[去向]home[家]againstmedicalad[自动出院]autosy[尸检]transferredto[转院到]医学英语常用前后缀医学英语常用前后缀·a-[无,缺]▲anemia[贫血]atonia[无张力]asymptomatic[无症状的]amenorrhea[闭经]·ab-[分离]abduct[外展]abscision[切除]·acou(acu)-[听觉]acumeter[听力计]acouophone[助听器]·acro-[肢端]acromegaly[肢端肥大症]acromastitis[乳头炎]·ad(af,an)-[邻近,向上]adrenal[肾上腺]adaxial[近轴的]annexa[附件]·-ad[……侧]ventrad[向腹侧]cephalad[向头侧]·adeno-[腺]adenocyte[腺细胞]adenoidism[腺体病]·adipo-[脂肪]adiposis[肥胖症]adiponecrosis[脂肪坏死]·adreno-[肾上腺]adrenocorticoid[肾上腺皮质激素]adrenalin[肾上腺素]adrenal[肾上腺]·-aemia(emia)[血症]bacteremia[菌血症]leukemia[白血病]·-albi(albino)-[白色]albumin[白蛋白]albinism[白化病]·-algesia[痛觉]▲hypoalgesia[痛觉减退]·-algia[痛]▲arthralgia[关节痛]▲cephalgia[头痛]▲neuralgia[神经痛]·alkali-[碱]▲alkalosis[碱中毒]·alveo-[牙槽,小沟]▲alveolitis[牙槽炎]▲alveobronchiolitis[支气管肺泡炎]·ambi-[复,双]ambiopia[复视]ambivert[双重性格]·ambly-[弱]▲amblyopia[弱视]▲amblyaphia[触觉迟钝]·amylo-[淀粉]▲amyloidosis[淀粉酶]▲amylase[淀粉酶]·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]