作为一名合格的医生，我们在拯救病人的同时，还要掌握一些我们专业的英语知识。这样，我们可以看懂一些外文文献，然后可以学到更多的知识。很多医生认为医学相关的英语比较难，不知道从何下手。今天小编就为大家总结了一些很重要的词汇，大家可以先背诵一下。

1、 抗生素医嘱[Antibiotic order]

·Prophylaxis [预防性用药] Duration of oder[用药时间] 24hr

Procedure[操作，手术]

·Empiric theraphy [经验性治疗]

Suspected site and organism[怀疑感染的部位和致病菌] 72hr

Cultures ordered[是否做培养]

·Documented infection[明确感染]

Site and organism[部位和致病菌] 5days

·Other[其他]

Explanation required [解释理由] 24hr

·Antibiotic allergies[何种抗生素过敏]

No known allergy [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 / transfer to [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]

·Vital signs[测生命体征]

·I / O [记进出量]

·Allergies[过敏]

3、住院病历[case history]

·Identification [病人一般情况]

Name[性名]

Sex[性别]

Age [年龄]

Marriage[婚姻]

Person to notify and phone No.[联系人及电话]

Race[民族]

I.D.No.[身份证]

Admission date[入院日期]

Source of history[病史提供者]

Reliability of history[可靠程度]

Medical record No[病历号]

Business phone No.[工作单位电话]

Home address and phone No.[家庭住地及电话]

·Chief complaint[主诉]

·History of present illness[现病史]

·Past History[过去史]

Surgical[外科]

Medical[内科]

Medications[用药]

Allergies[过敏史]

Social History[社会史]

Habits[个人习惯]

Smoking[吸烟]

Family History[家族史]

Ob/Gyn History[ 婚姻/生育史]

Alcohol use[喝酒]

·Review of Aystems[系统回顾]

General[概况]

Eyes,Ears,Nose and throat[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]

·Physical Exam[体检]

Vital Signs[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]

Heart rate[心率]

Heart rhythm[心律]

Heart Border[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]

cranial nerves[颅神经]

sensation[感觉]

Motor[运动]

*Special P.E. on diseased organ system[专科情况]

*Radiographic Findings[放射]

*Laboratory Findings[化验]

*Assessment[初步诊断与诊断依据]

*Summary[病史小结]

*Treatment Plan[治疗计划]

4、输血申请单[Blood bank requisition form]

(1)reason for infusion[输血原因]

▲红细胞[packed red cells, wshed RBCs]:

*Hb<8.5 [血色素<8.5]

*>20% blood volume lost[>20%血容量丢失]

*cardio-pulmonary bypass with anticipated Hb<8[心肺分流术伴预计血色素

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