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1、單擊此處編輯母版標(biāo)題樣式,單擊此處編輯母版文本樣式,第二級(jí),第三級(jí),第四級(jí),第五級(jí),*,At the Surgical Department,在外科,江西教育網(wǎng),Surgical diseases include fracture,disjoint,cramp,trauma,osteomyelitis,appendicitis,ulcer and so on.Fracture includes incomplete fracture,comminuted fracture,impacted fracture,complete fracture and the like.Trauma inclu

2、des puncture wound,contusion,bruise,open fracture,bite and etc.,We will talk about three common surgical diseases,acute appendicitis,laceration,and,sprain,in this unit.,Sentence Pattern,I feel like/I feel,Are you still?,Are you going to?,Wheres your?,江西教育網(wǎng),Related Expression:,acute appendicitis,What

3、 brought you to the emergency room?,How long have you had this pain?,Is it there all the time?,Have you had any diarrhea?,Is this regular for you?,How about all this nausea and vomiting?,Have ou had a temperature?,Show me where it hearts most right now.,Do you feel any pain when I press here?,江西教育網(wǎng)：

4、,Situation A,你好，你來(lái)急診室(emergency room)看什么??？,我肚子疼，總想吐(vomit)覺(jué)得很難受,你腹痛多長(zhǎng)時(shí)間了？,昨晚開(kāi)始的，在這邊，不過(guò)今天早晨又到這邊來(lái)了，痛得厲害,現(xiàn)在又轉(zhuǎn)到別的地方痛了嗎？,沒(méi)，在這痛了大概兩個(gè)小時(shí)了,一直疼嗎？,不，一陣一陣的(come and go)，現(xiàn)在又痛死(kill me)了,腹瀉嗎(diarrhea)？,沒(méi)有，我已經(jīng)兩天沒(méi)大便了(bowel movement),你平時(shí)經(jīng)常這樣嗎？,不，我通常每天大便一次,江西教育網(wǎng),說(shuō)說(shuō)惡心和嘔吐(nausea/vomit)的情況,現(xiàn)在好點(diǎn)了昨晚大約每?jī)尚r(shí)就吐一次，一疼就吐,你發(fā)燒嗎？,今

5、天一早我量過(guò)體溫，是38.5C.,給我指指現(xiàn)在哪最痛？,就在這，右下腹,請(qǐng)?zhí)傻酱采?，我給你檢查一下腹部(abdomen)我按這你疼嗎？我突然松開(kāi)手時(shí)疼嗎？你得的是急性闌尾炎，需要馬上手術(shù),江西教育網(wǎng),Hello.What brought you to the emergency room?,Ive got awful pains in my belly.And I feel like Im going to throw up all the time.I feel awful.,How long have you had this pain?,It started last night,up

6、here,but this morning its here,and it really hurts.,Has it moved again?,No.Is been steady for almost two hours.,Is it there all the time?,No,it just comes and goes,but now its really killing me.,Have you had any diarrhea?,No,I havent had a bowel movement for two days.,Is this regular for you?,No,I u

7、sually have one every day.,How about all this nausea and vomiting?,Well,its gotten better.Last night I was vomiting about every two hours soon after the pain began.,Have you had a temperature?,Early this morning I took my temperature.It was 38.5C.,Show me where it hurts most right now.,Just here,on

8、the right side of the lower belly.,Please lie down on the bed.Let me examine your abdomen.Do you feel any pain when I press here?Does it hurt you when I withdraw my hand suddenly?I think that you have acute appendicitis.You need an emergent operation.,Related Expression:,laceration,Whats the trouble

9、 with you?,Well,this doesnt look too bad.,Now you need local anesthesia.,江西教育網(wǎng),Situation B,護(hù)士:王大夫,急診室里有個(gè)手指裂傷的韓國(guó)男孩,他母親陪著,很著急.,大夫:好的,我馬上過(guò)去.,大夫:你好,你怎么了?,男孩:我在后院(backyard)踢球時(shí)摔倒了,手扎到舊窗玻璃上了(an old window pane).,大夫:讓我看看,好象不太嚴(yán)重.,大夫:護(hù)士,請(qǐng)給我一個(gè)縫合包(suture set).,護(hù)士:您要準(zhǔn)備縫合(take stitches)嗎?,大夫:是的,只有兩針,不會(huì)太痛的.請(qǐng)讓他母親在外

10、面等會(huì).,護(hù)士:您需要局部麻醉嗎(local anesthesia)?,大夫:當(dāng)然,與麻醉師(anesthetist)聯(lián)系.,護(hù)士:好的.,江西教育網(wǎng),Doctor Wang,we have a patient in the emergency room who has a laceration on his finger.Its a Korean boy.His mother is with him and seems quite concerned.,Thank you.I will go down and see him right away.,Hello.Whats the troub

11、le with you?,I fell down and fell against an old window pane when I was playing football in the backyard.,Let me see.Well,this doesnt look too bad.,Nurse,please give me a sutrue set.,Are you going to take stitches?,Yes,two stitches.It wont be very painful.Please let his mother step out of the room f

12、or a few minutes.,Now you need local anesthesia?,Sure.Contact the anesthetist.,Ok.,江西教育網(wǎng),Related Expression:,sprain,How were you injured?,When did it happen?,Id like you to have an X-ray.,Well,theres nothing broken.,Its just a sprain.,Nurse will put on a supporting bandage.,江西教育網(wǎng),Situation C,醫(yī)生：你傷哪了

13、？,病人：這兒，腳腕子(ankle),醫(yī)生：怎么傷的？,病人：我在人行道上絆倒(trip over)了，扭傷(wrench)了腳，又腫(swollen)又痛,醫(yī)生：什么時(shí)候扭的？,病人：半小時(shí)前,醫(yī)生：你去拍個(gè)X光片吧，取回片子再到我這來(lái),病人：好的，大夫,（照完片子）,醫(yī)生：哦，沒(méi)有骨折，只是扭傷,護(hù)士會(huì)為你纏上彈力繃帶(supporting bandage)，要活動(dòng)，每天冷熱交替(alternately)泡腳三四次，腫痛(the pain and swelling)就會(huì)消失如果不見(jiàn)好，再來(lái)看看,病人：好的，謝謝你，大夫,江西教育網(wǎng),Wheres your injury?,Here,my a

14、nkle.,How were you injured?,I tripped over on the pavement and wrenched it.Its swollen and very painful.,When did it happen?,Half an hour ago.,Id like you to have an X-ray and after youve had it,come back to me.,Ok,doctor.,(After examining the X-ray),Well,theres nothing broken.Its just a sprain.Nurse will put on a supporting bandage.Do exercises.Put your foot in hot and cold water alternately three or four times a day.The pain and swelling should go.But if it doesnt settle down,come and see us again.,Ok.Thank you,doctor.,江西教育網(wǎng),