病历交班常见用语(AnamnesisandShift).doc

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1、病歷交班常見用語(AnamnesisandShift)縮寫原文中譯AbdAbdomen腹部AdmAdmission入院B.S.Breathingsounds呼吸音D.N.R.DoNotResuscitation放棄心肺復甦術E.N.T.ear,nose,throat耳鼻喉F/UFollowup追蹤治療G.M.R.Generalmedicalroutine一般內科常規G.S.R.Generalsurgicalroutine一般外科常規Hx.History病史F.H.Familyhistory家族病史P.H.P

2、asthistory過去病史Imp.Impression臆斷(初步診斷)I&O,I/OIntakeoutput輸出輸入Rx.Medication(recipe)處方Nil.None無P’tPatient病人P.E.Physicalexamination身體檢查S/PPost-surgical手術後P.I.Presentillness現在病況R/0Ruleout可能是，疑似Tx.Treatment/Therapy治療Chill寒顫Coma昏迷Complication合併症Consciousnessconfus

3、ed意識混亂Constipation便秘Convulsion痙攣Cough咳嗽Cyanosis發紺Diarrhea腹瀉Dislocation脫位，脫臼Dizziness眩暈Drugresistance抗藥性Pittingedema凹陷性水腫Headache頭痛hematuria血尿Infection感染Injury損傷Nausea噁心Occultblood潛血Abdominalpain腹痛Bloodystool血便Tarrystool黑便Stylet通條Suctioncatheter/tube抽痰管心血管系

4、統常見診斷縮寫英文中文ABEAcutebacterialendocarditis急性細菌性心內膜炎AfAtrialfibrillation心房纖維顫動AFAtrialflutter心防震顫AMIAcutemyocardialinfarction急性心肌梗塞APCAtrialprematurecontraction心室房早期縮收ASDAtrialseptaldefect心房中膈缺損ARAorticregurgitation主動脈瓣回流ASAorticstenosis主動脈瓣狹窄AVBAtrioventricu

5、larblock心房心室傳導阻斷AVRAorticvalvereplacement主動脈瓣替換BVHBiventricularhypertrophy兩側心臟肥大CADCoronaryarterydisease冠狀動脈疾病CHFCongestivecardiofailure充血性心臟衰竭CHDCongenitalheartdisease先天性心臟疾病CRBBBCompleterightbundle-branchblock心房室DVTDeepvenousthrombosis深部靜脈栓塞DCMPDilatedca

6、rdiomyopathy擴張性心肌病變HCMHypertrophiccardiovasculardisease肥厚性心肌病變HCVDHypertensivecardiovasculardisease高血性心血管疾病IRBBBIncompleterightbundlebranchblock右心房室束支不完全性傳導阻斷IHDIschemicheartdisease缺血性心臟病MRMitralregurgitation(reflux)僧帽瓣回流MSMitralstenosis僧帽瓣狹窄MVRMitralvalve

7、replacement僧帽瓣替換PAFParoxysmalatrialfibrillation陣發性心房纖維顫動PSVTParoxysmalventriculartachycardia陣發性心室心搏過速PTCAPercutanoustransluminalcoronaryangioplasty經皮冠狀血管形成形術RHDRheumaticheartdisease風濕性心臟病TVRTricuspidvalvereplacement三尖瓣置換TITricuspidinsufficiency三間瓣不全VTVentr

8、iculartachycardia心室搏過速動VPCVentricularprematurecontraction心室早期收縮VSDVentricularseptaldefect心室中膈缺損腎臟及泌尿系統常見診斷縮寫英文中文AGNAcuteglomerulonephritis急性腎絲球腎炎APNAcutepyelonephritis急性腎盂腎炎ARFAcuterenalfailure急性腎衰竭BPHBenignp