过去史、系统回顾和个人史
(Past history, systems review and personal history)
1、过去史[past history]
?无药物(食物)过敏史[no past history of allergy to drugs (food )]
?有青霉素过敏史[have allergic history of pencillin]
?有肺结核接触史[there was contact histoy of lung tuberculosis]
?2000年6月因急性阑尾切除术[Appendectomy was done in June, 2000 due to acute appendicitis]
?健康状况佳(差)[health state was good (bad)]
?既往体健[be well (healthy) before]
?否认既往心、肺疾病史[deny any history of prior heart and lung disease]
?10岁时(20年前)曾患过……[suffered from…… at age 10(20 years ago)]
?易患……[be liable (subjuct, apt) to……]
?不详[not in detail (not quite clear)]
?外伤史[rtauma history]
?预防接种史[history of preventive inoculation]
2、系统回顾[system review]
?呼吸系统:咳嗽、咳痰、呼吸困难、胸痛、盗汗、发热[respiratory system: cough, sputum, short of breath, chest pain, night sweeting, fever.]
?循环系统:心悸、胸痛、气促、咳嗽和咯血、水肿、晕厥、头晕[Circulatory system: palpitation, chest pain, short of breath, cough and hemoptysis, edema, syncope, dizziness.]
?消化系统:嗳气、返酸、腹胀、腹痛、腹泻、恶心和呕吐[alimentary system: belching, sour regurgitation, abdominal distension, abd. pain, diarrhea, nausea and vomiting.]
?泌尿系统:排尿困难、尿频和尿急、尿痛、腹痛、水肿[urinary system: difficulty in micturition, frequency and rugency of micturition, painful micturition, abdominal pain, edema.]
?造血系统:乏力、头晕、心悸、出血[hematopoietic system:fatigue, dizziness, palpitation, bleeding.]
?内分泌系统:心悸、怕热、多汗、烦渴、水肿、手抖、消瘦和肥胖[endocrine system: palpitation, heat intolerance, excessive sweeting, polydipsia, edema, hand tremble, wasting and obesity.]
?神经系统:头痛、晕厥、头晕和眩晕、失眠、偏瘫、失语[nervous system: headache, coma, dizziness and vertigo, insomnia, hemiplegia, aphasia.]
?运动系统:关节痛、麻木、跛行、瘫痪[motor system: joint pain, numbness, claudication, paralysis.]
3、个人史[personal history]
?出生于(出生地)[was born in (birthplace)]
?出生后一直生活[have lived in……(there) since birth]
?曾(未曾)去过北方[have (deny having) been to the north]
?受教育程度(文盲、小学、中学、大学)[educational level (illiterate, primary, middle, high grade)]
?业余爱好[hobby (be fond of, be keen of, interest)]
?从事……职业[be engaged in]
?卫生习惯和嗜好[health habit and special addiction]
?不洁性交(性行为)史[history of unclean coitus (sexual behavior)]
?不吸烟[ no smoking(not a smoker)]
?吸烟20年,每天2包[have smoked two packages of cigarette a day for 20 years]
?戒烟[give up (stop) smoking]
?戒烟[smoking abstinence (withdrawal)]
?不饮酒[no alcohol use]
?偶而少量饮酒[drink little liquor occasionally]
?过度饮酒[drink heavily (too much)]
?每天饮酒0.5公斤[drink (imbibe) about 0.5 kilogram a day]
?酒精性饮料[alcoholic beverage]
?偏食[food preference (particular with food)]
?无偏食[no likes or dislikes in food]
?偏爱……[have partiality for (showe favoritism to, be partial to, like)]