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病历翻译-体检报告

发布者:鑫达医学翻译 发布时间:2013-05-04 8:50:52 阅读:

原文:
发育正常,营养中等,正力体型。表情自然,轻度贫血貌。自主体位,步入病房,步态正常。神志清楚,查体合作。全身皮肤粘膜无黄染、发绀、出血点、皮疹、水肿、肝掌、溃疡、蜘蛛痣。双侧手掌大鱼际稍苍白,全身浅表淋巴结未触及肿大。头颅无畸形, 双眼睑无水肿,眼球无突出及震颤,结膜稍苍白,无充血、出血或水肿,巩膜无黄染,双侧瞳孔等大正圆,对光反射灵敏。耳廓外形正常,外耳道无分泌物,乳突无压痛。鼻外形正常,鼻唇沟对称,鼻窦区无压痛。口唇稍苍白,无发绀,伸舌居中,无震颤,咽无充血,双侧扁桃体无肿大。颈无抵抗,未见颈动脉异常搏动及颈静脉怒张。气管居中,甲状腺无肿大,质软,未及结节,未及震颤,未闻及杂音。胸廓无畸形。

译文:
The patient was normally developed, fairly nourished and in orthosthenic type. The patient had a natural facial expression and a mildly anaemic face. The patient walked into the ward with an active position and normal gait. The patient was conscious and cooperative when physical examination. No stained yellow in the mucous membrane of the skin, cyanosis, hemorrhagic spot, erythra,edema, liver palm, ulcer or spider telangiectasia was observed all over the body. The thenar eminences of both palms were slightly pale, and no lymphadenectasis was palpable in the superficial lymph node all over the body. No abnormality in the head, no edema in either eyelid, and no ocular proptosis or tremor was observed; the conjunctiva was slightly pale, without hyperemia, hemorrhage or edema; no stained yellow was observed in either sclera; the bilateral pupils were equal and reflexive to light. The shape of the external ear was normal; no secretion was observed in the external acoustic meatus; and no tenderness was observed in the mamillary process. The shape of nose was normal; the nasolabial fold was symmetric; and no tenderness was observed in the paranasal sinuses areas. The lips were slightly pale, without cyanosis; the tongue was in the middle when lolling, without tremor; no hyperemia was observed in the pharynx; and no swelling was observed in either tonsil. The neck was passive; no abnormal pulsation of the carotid arteries or distention of jugular veins was observed. The trachea was in the middle; the thyroid glands were soft and not swollen, and no nodule, tremor or murmur was observed. No abnormality was observed in the thoracic cage.


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