第六章 體檢(一般項(xiàng)目)[Physical examination(general items)]
•視診[inspection]
•觸診[palpation]
•叩診[percussion]
•聽診[auscultation]
•嗅診[olfactory examination]
•淺(深)觸診法[light (deep) palpation]
•深部滑行(深壓,雙手,沖擊)觸診法[deep slipping (deep press,bimanual,ballottement]
•間接(直接)叩診[indirect (direct) percussion]
•叩診音(過清音,清音,濁音,鼓音,實(shí)音)[percussion sound (hyperresonance,resonance,dullness,tympany,flatness)]
•用鐘(膜)型胸件聽診[with the bell (diaphragmatic) chestpiece ]
1、體溫[temperature, T]
•口(腋、肛)溫[oral (axillary, rectal) temperature]
•經(jīng)口(腋、肛)測的溫度[per mouth (axilla, rectum)]
•攝氏與華氏換算[Centigrade VS Fahrenheit]
℃=5/9(℉-32)
℉=9/5℃+32
℃~℉ ℃~℉
36.5~97.7 38.5~101.3
37.0~98.6 38.9~102.0
37.2~99.0 39.0~102.2
37.5~99.5 39.4~103.0
37.8~100 40.0~104.0
38.0~100.4 40.5~104.9
38.3~101.0 41.0~105.8
•37.5℃.orally(99.5℉)[口溫?cái)z氏37.5度(華氏99.5度)]
2、脈搏[pulse, P]
•脈率72次/分[pulse 72 beats per minute(P 72 bpm)]
•搏動存在(消失)[pulse are present (absent)]
•速(緩)脈[fast (slow) pulse]
•洪(細(xì)絲)脈[bounding (small, thready) pulse]
•水沖脈[water hammer pulse]
•交替脈[alternating pulse]
•奇脈[paradoxical]
•二聯(lián)(三聯(lián))脈[bigeminal (trigeminal) pulse]
•重脈[dicrotic pulse]醫(yī)學(xué).全在.線www.med126.com
•間歇脈[intermittent pulse]
•陷落脈[collapsing]
•不規(guī)則(規(guī)則)脈[irregular(regular) pulse]
3、呼吸[respiration, R]
•呼吸頻率[respiratory rate (RR)]
•呼吸頻率19次/分[RR 19 beats/min (R 19 bpm)]
•規(guī)則(不規(guī)則)呼吸[regular (irregular) breathing]
•呼吸均勻[eupnea]
•呼吸急促(緩慢)[repid (slow) breathing]
•呼吸停止(中斷)[pausal (interrupted) breathing]
•呼吸驟停[breath arrest]
•深(淺)呼吸[deep (superficial) breathing]
•呼吸困難[dyspna (short of breath)]
•呼吸費(fèi)力[labored breathing]
•胸(腹)式呼吸[thoracic (abdominal) breathing]
•張口呼吸[mouth (buccal) breathing]
•周期性呼吸[periodic respiration]
•庫斯毛氏呼吸[Kussmaul`s respiration]
•陳-施(潮式)呼吸[Cheyne-Stokes (tidal) respiration]
•間歇呼吸[Biot`s breathing]
•嘆息樣(胎兒,鼾樣)呼吸[sighing (fetal, stertorous) respiration]
•口臭[have foul (fetid) breath (halitosis)]
•酮味呼吸[a smell of ketone]
•靜息下(活動時(shí))氣促[dyspnea at rest (on exertion)]
•丙酮(氨臭,蒜臭)味[acetone (ammoniacal, alliaceous) odor]
•肝臭[hepaticus fetor]
•腋臭[bromidrosis]
4、血壓[blood pressure, BP]
•收縮(舒張)壓[systolic (diastolic) blood pressure]
•血壓20/12千帕(150/90毫米汞柱)[BP 20/12 kPa(150/90mmHg)]
1kPa=7.5mmHg (1mmHg=0.1333kPa)醫(yī).學(xué).全.在線.網(wǎng).站.提供
•血壓為收縮壓20,舒張壓12千帕[Bp is 20 over 12 (Bp is 20 systolic and 12 diastolic)]
•測量血壓[take (measure, check ) Bp]
•坐(臥)位血壓[sitting (lying) Bp]
•無創(chuàng)(有創(chuàng))血壓[non-invasive (invasive) Bp]
•脈壓[pulse pressure]
•血壓測不出[Bp is unavailable (unobtained)]
•左臂(右臂)血壓[Bp in left (right) arm]
•雙下肢血壓[Bp in both lower limbs]
•袖帶[cuff]
5、體位[position]
•主動(被動、強(qiáng)迫)體位[active (passive, forced ) position]
•立(坐、臥)位[upright (sitting, dorsal) position]
•仰臥(俯臥)位[supine (prone) position]
•左(右)側(cè)臥位[left (right) lateral (decubitus) position]
•蜷腿位[coiled position]
•半臥位[semi-reclining (semi-recumbent) position]
•端坐位[orthopnea position]
•胸膝(膝肘)位[knee-chest (knee-elbow) position]
•截石(分娩)位[dorsosacral (obstetric) position]
•角弓反張位[opisthotonus position]
•強(qiáng)迫蹲位[compulsive squattin]
•輾轉(zhuǎn)體位[alternative position]
•頭高(低)腳低(高)位[high (low) head and low(high) legs]
6、神志和意識[consciousness and mind]
•清醒(半清醒的)[alert (semi-conscious)]
•昏迷(半昏迷)的[comatose (semi-comatose)]
•無精打采的[listless]
•思睡的[somnolent (drowsy, sleepy)]
•昏睡的[lethargic]
•焦慮不安的[anxious (restless, apprehensive)]
•激動的[excited (irritable)]
•精神錯(cuò)亂的[confused]
•意識障礙[distrubance of consciousness]
•譫妄[delirium]
•抽搐[convulsion]
•木僵的[stuporous]
•合作佳(欠佳、差)[cooperation is good (not good enough, bad)]
•反應(yīng)遲鈍[have a dull reaction]
•有(無)定向力[be oriented (disoriented)]
•朦朧狀態(tài)[be in a mist tent]
•神志模糊[blurred (dim, vague) mind]
•失去知覺[loss consciousness(unconsciousness)]
•對疼痛刺激的反應(yīng)[reaction to painful stimuli]