科研教学 > 医学英语
皮肤科英文查房手册连载(16):主诉的写法 
皮肤科医师之家       2013年8月2日        阅读数:608        字体:      

  Chief complaint: what is it that brought the patient into the hospital or office? Is it a scheduled appointment, or an unexpected symptom? Has there been a change in a chronic or recurring condition or is this a completely new problem? The duration and character of the complaint, associated symptoms, and exacerbating/relieving factors should be recorded. The patient’s own words should used if possible. However, we should be aware of what the patient said, the chief complaint, or real reason for seeking medical attention, might not be the first subject the patient talked about(in fact, it may be the last thing), particularly if the subject is embarrassing, such as a sexually transmitted disease(STD).The chief complaint engenders a differential diagnosis, and the possible etiologies should be explored by further inquiry.

1.主诉的表示方法:症状+时间(Symptom+Time)
症状+for+时间
如:瘙痒2小时
Itching for 2 hours
症状+of+时间
如:左上肢针刺样疼痛伴水疱3天    
stinging pain with blisters of three days` duration on the left arm
症状+时间+in duration
如:头痛1周
Headache 1 week in duration
时间+of+症状
如:发热2天
Two-day history of fever
2.月份的表示方法

Month
一月
January,Jan
二月
February,Feb
三月
March,Mar
四月
April,Apr
五月
May
六月
June,Jun
七月
July,Jul
八月
August,Aug
九月
September,Sept
十月
October,Oct
十一月
November,Nov
十二月
December,Dec
今天
Today
明天
Tomorrow
昨天
Yesterday
前天
The day bdfore yesterday
后天
The day after tomorrow
大前天
3 days ago
大后天
3 days hence
今晚
Tonight
昨晚
Last night
明晚
Next night
通宵
All night
整天
All day (the whole day)
3. 时间的表示方法
In
在……内(后)
在2003年
In 2003
在3月
In March(Mar.)
在去年10月
In last Oct
在早晨
In the morning.
在上午
In the forenoon
在下午
In the afternoon
在晚上
In the evening
在近5天
In the past 5 days
在10分钟后
In 10 minutes
在秋季
In autumn
在这2~3天内
In a couple of days
在……中
Within
在近8个月中
Within the last 8 months
在过去的2年中
Within the preceding 2 years
On
在……时候
在2002的9月18日
On the 18th of September,2002(英国)or On sept.18th,2002(美国)
在星期三
On Wednesday
在本月7日
On 7th instant
At
在……时
在中午
At noon
在晚上
At night
在昨晚
At last (preceding;previous )night
在半夜
At midnight
在上午10点钟
At 10AM
在5岁时
At the age of five
在2000年底(中、初)
At the end (middle;beginning) of 2000
计……时间
For
一周
For one week
近2个月来
For the past 2 months
几乎(整整)一年
For nearly a month (a full month)
3个月左右
For 3 months or so
至少3个月
For at least 3 months
3个月以上
For more than 3 months
3个月或以上
For 3months or more
时间不详
For an unknown(indefinite) period (time)
在……时期
Of
10年内
Of 10 years` duration
期间
Length of time
6月6日
The 6th of June
在……期间
Dring
在2000-2005年的几年中
During the years form 2000 to 2005
在这4年中
During four years
在过去的几周中
During the past(Last) couple of weeks
在夜间
During the night
整天
During the entire day

About
约1个半小时
About one and half an hour
大约半年
About half a year
至;在……之前
To
从今下午点至明上午8点
Form 6 PM today to 8 AM tomorrow
6点45分
At fifteen to seven
从……起
From
从14岁至52岁
From 14 to 52 year-old
从上午7点30分开始
Form 7:30AM
从周一至周五
From Monday through Friday
过去;超过
Past
在过去的3周中
In the past 3 weeks
8点10分
ten minutes past eight
在……整个期间
Through or throughout
通宵值班
Be on duty through the night
从一月到六月
From January through June
熬过明晚
Through the next nigut
整天(晚)
Throughout the day (night)
在……期间
Over
在过去的2个月内
Over the past two months
一夜间
Overnight