胸痛的英文问诊
胸痛是临床常见症状，主要是胸部疾病所致，多数由呼吸系统和心血管系统疾病引起，可以是胸壁疾病或来源于腹部脏器病变。重点采集疼痛的发作时间、性质、部位、频率、持续时间、诱发因素及伴随症状等。
今天来学习胸痛的英文问诊。
How may I help you?
I have chest pain and I get very short of my breath nowadays, so I thought it best to come in and see you.
How long have you had thisproblem?
Two weeks now, and it seems to be getting worse.
What does your chest pain feel like?
It feels like a dull ache across the centre of my chest.
Does the pain move to any other area?
Yes, it moves up my neck, left the shoulder and down the left arm.
Is the pain comes and goes often.
Well, the pain comes and goes often.
Does anything make it worse, for example when you exert yourself?
Yes, it gets worse when I walk too fast or climb the stairs.
Do you feel sick or sweaty when you get the chest pain?
Well, I don"t feel sick but I often break out into a sweat.
Did you have chills and fever at the same time?
Yes. For a couple of days, I felt as though I have a fever.
Do you have a cough?
No.
Have you received any treatment before coming to this hospital?
No, I haven"t.
Do you smoke?
Yes. I have smoked for 20 years.
Do heart problems run in your family?
Let me see. My father has high blood pressure. And my mother died of a heart attack.
May I examine you, please?
Okay.
Please take off your clothes and socks, leaving your underwear on, then lie on the bed. There is a blanket here which you may use to cover yourself. Afterwards, we will do an EGG, chest X-ray and blood test to help find out what is causing your chest pain.
After the checks
What"s wrong with me?
You likely have angina, which is chest pain due to the lack of blood supply in the heart. Often this is due to narrowing or blockage in one or more blood vessels in the heart.
Is it serious?
It is coronary heart disease, a condition that can cause a heart attack. However, with treatment, your angina can get better or disappear, your chance of a heart attack can be reduced, and your future made better.
What should I do now?
Because you are having chest pain at rest and not just on exertion, you should be admitted to the hospital for treatment with medications and undergo future tests. You will likely need a coronary angiogram to confirm the diagnosis and help decide on the best treatment for you. You should give up smoking, avoid too much fatty food and eat a balanced diet. Do you have any question?
No, thank you very much.
1
重点语句
When did your symptoms begin?
Is the pain there all the time or does it come and go?
Can you lie flat in bed?
Do you bring anything up when you cough?
You should be admitted to the hospital so that your treatment can start at once.
词汇
angina[æn"dʒainə]
n. 心绞痛；咽喉痛；咽峡炎
coronary
英 ["kɒr(ə)n(ə)rɪ]美 ["kɔrənɛri]
adj. 冠的；冠状的；花冠的
angiogram
英 ["ændʒɪə(ʊ)græm]美 ["ændʒiə,ɡræm]
n. 血管造影片
参考材料：人卫版《住院医师英语手册》
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