七、陳訴 Complaint
（1)陳訴的寫法
ex1：因為以前患過結(jié)核病，他有時訴說咳嗽、胸部不舒服和疲勞。
Having suffered from tuberculosis in the past, he complained occasionally
of coughing, chest discomfort, and prostration.
ex2：她在1961年住院，訴說最近發(fā)生中胸部痛、呼吸短促和心悸。
In 1961 she was admitted to the hospital complaining of (with complaint of ；because of ) mid-chest pain of recent onset, breathlessness and palpitations.
（2)~感
-恐懼(眩暈、惡心、寒顫)感 a sensation of fear (giddiness, nausea, chill)
-異物(壓迫、窒息、燒灼、寒顫)感 foreign body (oppressive, strangling,
burning, chilly) sensation (feeling)
-喉頭的癢感 itching sensation in one's larynx
-模糊不舒服的感覺 vague ill feeling
-咽喉上的束緊感 a feeling of constriction in one's throat
-在咽喉右邊的微癢感 a tickling feeling in the right side of the throat
-在~后頭部的特殊、難堪的感覺 a peculiar, weighty feeling in the back of one's head
-在右上腹部深處的模糊不舒適感 a vague sense of unease deep in the right upper abdominal quadrant
ex1：她近來感覺，似有東西壓在膀胱上。
She has recently had (experienced) a sensation of something pressing on the bladder.
ex2：他面部有麻木感。
He has a feeling of numbness of his face.
（3)主訴：應盡可能引用病人的話，說出現(xiàn)癥的主要癥狀，經(jīng)過期間和找
醫(yī)師看病的原因。記述需扼要簡明并避免含糊語句，常用可用
簡寫的方式。
ex1：從昨晚飯后，病人一直感覺寒戰(zhàn)。
Patient has had chills after dinner since last evening.
↓
可簡寫為Chills since last evening.
ex2：主訴：胃腫脹已4個月。
C.C.：“Swelling of the stomach“ for 4 months.
ex3：2,3個月來，一做工就感覺呼吸困難和眩暈。
For 2 or 3 months, dyspnea and dizziness on work.
（4)病歷的申述
-不完全可靠 be not entirely reliable
-不甚明晰 be not clearly defined
-有些模糊 be somewhat vague
-無法獲得 be unobtainable
-不能申述適當?shù)牟v can give no adequate history
-混亂不很肯定 be uncertain and confused
ex1：關于既往癥，他不能提供可靠的報告。
He could not give reliable information concerning former illness.
ex2：因為他有精神激動，無法獲得可靠的病歷。
Because of his mental agitation, no reliable history could be obtained.
（5)因~病而轉(zhuǎn)入~科治療醫(yī)學.全在線www.med126.com
ex1：她因為在皮膚科住院治療未見轉(zhuǎn)好，而被介紹過來。
She was referred because there had been no relief with dermatologic treatment, including hospitalization.
ex2：此病人現(xiàn)年27歲，是剛離婚的經(jīng)產(chǎn)婦，經(jīng)一所地方醫(yī)院診斷 為陰道腫瘤而轉(zhuǎn)入本院。
The patient was a 27-year-old recently divorced multipara referred from a district hospital with a diagnosis of a vaginal tumor.
（6)全身狀態(tài)
-精力缺失 lack of energy
-只訴說全身無力 complain only a slight generalized weakness
-覺得遍身無力 feel week all over
-不可言狀的眩暈 nondescript dizziness
-胸骨下方的不舒服灼感 substernal burning discomfort
-飯后腹上部窘迫感 postprandial epigastric distress
-心臟部疼痛 precordial pain
-胸內(nèi)苦悶或重壓感 precordial oppression；pressure on the chest；tightness in the chest
-全年性的過敏性鼻炎 perennial allergic rhinitis
-季節(jié)性的支氣管性喘息 seasonal bronchial asthma
-一直不斷地說胃痛和頭痛 incessant complaints of stomach pains and headaches
-尤其喝一杯牛奶后，有些不舒服的飽脹感 some uncomfortable full feeling especially after drinking one glass of milk
-偶而一時喪失意識 have occasional blackouts
-肩僵硬 stiff shoulder
-覺氣悶，覺氣息不舒 feel stifling (suffocating)
-感覺疲乏 become tired ( fatigued, weary)；have a tired feeling；feel languid
-覺全身寒栗 feel a cold shuddering pass all through~
-覺得渾身發(fā)冷 fell a chill creep over~
-頭暈目眩 one's eyes swim in one's head
-(~的)腳麻木 have a charlie horse (in one's leg)
ex1：他差不多不斷地訴說飯后嘔吐。
He complained almost ceaselessly of postprandial nausea.
ex2：全身虛弱，而腿痛變得很厲害。
There was general debility, and pain in the legs become excruciating.
