护患沟通英语

正术后护理Postoperative Care6N:Are you feeling better today?今天感觉好些了吗?P:Not really.My hands ache a lot.不是很好,我的手很痛。N:Would you like some pain relief?你需要止痛药吗?P:Yes,please.My hands ache more in the mornings.是的。早上我的手疼得比较厉害。     

英语会话

Fracture骨折N:Hello,What happened to your leg?你好,你的腿怎么了? P:I fell down the stairs.Immediately.I felt a bad pain in my left hip and I Couldn’t stand at all.我从楼梯上摔下来,马上感到左髋疼得厉害,我简直站不起来了。N:When did it happe(?)?什么时候发生的?     

英语会话

Acute Pancreatitis 急性胰腺炎P:Nurse,1 suddenly developed a sharp pain in my abdomen. 护士,我上腹部突然剧痛.N:When did it begin?     

英语会话

N:Hello, Nancy. congratulations. I hear the operation was successful.南茜,祝贺您,听说手术很成功.P:Thank you. I felt nothing During the operation. Now. there is a pain around the cut. But I don't think need any pain-killer.谢谢.手术的时候到不感觉疼.现在刀口有点疼.可是我想还不需要服用止疼剂.     

英语会话

Intestinal Obstruction 肠梗阻 P:Doctor,I've had abdominal pains and vomiting for the past three days.医生,我肚子疼痛并且呕吐有三天了。N:What kind of a pain is it? 怎么样的疼呢? P:Like colic, With spasms every 4or 5 minutes. 绞痛,大约每隔四、五分钟一次.     

英语会话及医院常用词汇

Conversation Between Ward Nurse and Patient 病房护士和病人对话 Health Advice for the Aged 老年保健指导Nurse: Good afternoon, Mr. Li. How are you feeling now? Do you still have pain in your chest? 护士：李先生，你好。现在你感觉如何？胸还疼吗？Patient: No, There is no more pain, but I feel a little tight in my chest. I also feel dizzy when I stand up. 病人：不痛了，但胸部有点紧迫的感觉。我站立时还 感到眩晕。N: Your electrocardiogram shows that you have coronary heart disease. Your attack…     

Factors associated with refractory pain in emergency patients admitted to emergency general surgery

BACKGROUND: Oligoanalgesia in emergency departments (EDs) is multifactorial. A previousstudy reported that emergency providers did not adequately manage patients with severe paindespite objective findings for surgical pathologies. Our study aims to investigate clinical andlaboratory factors, in addition to providers’ interventions, that might have been associated witholigoanalgesia in a group of ED patients with moderate and severe pains due to surgical pathologies.METHODS: We conducted a retrospective study of adult patients who were transferred directlyfrom referring EDs to the emergency general surgery (EGS) service at a quaternary academic centerbetween January 2014 and December 2016. Patients who were intubated, did not have adequaterecords, or had mild pain were excluded. The primary outcome was refractory pain, which wasdefi ned as pain reduction <2 units on the 0–10 pain scale between triage and ED departure.RESULTS: We analyzed 200 patients, and 58 (29%) had refractory pain. Patients with refractory painhad signifi cantly higher disease severity, serum lactate (3.4±2.0 mg/dL vs. 1.4±0.9 mg/dL, P=0.001), and lessfrequent pain medication administration (median [interquartile range], 3 [3–5] vs. 4 [3–7], P=0.001), whencompared to patients with no refractory pain. Multivariable logistic regression showed that the number of painmedication administration (odds ratio [OR] 0.80, 95% confi dence interval [95% CI] 0.68–0.98) and ED serumlactate levels (OR 3.80, 95% CI 2.10–6.80) were signifi cantly associated with the likelihood of refractory pain.CONCLUSIONS: In ED patients transferring to EGS service, elevated serum lactate levelswere associated with a higher likelihood of refractory pain.     

反射性交感神经营养不良

Background: Reflex sympathetic dystrophy (RSD),also known as complex regional pain syndrome (CRPS), is a nervous system disorder that often results in severe chronic and burning pain and other symptoms.     

骨转移癌放疗止痛疗效分析

Background:Metastic tumor of bone is a kind of complications common in clinic,which severely injured patients'quality of life and health.Local therapy was emphasized for pain caused by metastic tumor of bone.Radiotherapy quickly alleviated pain and the effects was lonstanding.     

A preliminary trial of extracorporeal shock waves for the treatment of ⅢB chronic prostatitis

Objective To assess the effect of extracorporeal shock waves(ESWs)as a treatment for ⅢB chronic prostatitis(CP).Methods Forty-six men with ⅢB CP were randomly divided into an experimental group (n=34)and a control group(n=12).The patients in experimental group received low energy ESW treatment,20000 impulses in 10 sessions over 2 weeks.The patients in control group received sham ESW treatment without shock waves energy under the same other conditions as in experimental group.Pain,urination and quality of life/impact were assessed with National Institutes of Health-chronic prostatitis symptom index(NIH-CPSI).Both groups were assessed at baseline,post-treatment and at a 4-week follow-up.Resuits The total NIH-CPSI scores,pain scores and quality of life/impact scores in experimental group decreased significantly post-treatment(P＜0.01),but urination scores did not(P＞0.05).Similar decreases of these scores were also found in control group post-treatment.The total NIH-CPSl scores and pain scores maintained at a lower level at the 4-week follow-up in experimental group,but the scores returned to the level as pre-treatment in control group.The effectiveness rates and prominent effectiveness rates in experimental group were significantly higher than those in control group post-treatment and at the 4-week follow-up(all P＜0.05). Conclusions ESWs was effective in the treatment for ⅢB CP.After ESWs treatment pain alleviated,symptoms reducea and quality of life improved.     

血液磁极化疗法治疗类风湿关节炎1例

CLINICAL MATERIALS The patient Zhang, a female of 37 years, was a nursery school teach-er. She began to have a pain in her proximal interphalangeal joints ofboth hands and could not clench her both fists after a cold. Then shehad edema, pain, stiffness, and limited activities in her both wrist,elbow and knee joints which were obvious in the morning. She hadbeen diagnesed as rheumatoid arthritis and treated with dexam-eththason, aspirin, and jinopirin per os but the therapeutic effect wasnot significant. The patient came to our magnet therapy center in Oc-tober 2000. Physical examination showed that body temperature was37. 4 ℃, blood pressure, 127/100 mmHg, normal development, eu-trophia, normal head shape, symmetric thorax, regular heart rhythm,with no pathological murmur, no abnormal respiratory sound heard,plane and soft abdomen, no touched liver or spleen, but obvious strongbowel sound. Local symptoms and signs included: pain and edema inphalangeal joints of both hands which could not clench, pain andstiffness and limited activities in both knee and elbow joints especiallyobvious in the morning. Laboratory examinarions showed normal bloodroutine examination results, 54 mm of blood sedimentation, andpositive rheumatoid factor. The diagnosis was rheumatoid arthritis.     

Pain management for the child with cancer n end of life care

Data is clear that many childeren with cancer at the end of life suffer substantiall.Treatment was viewed as successful in only 27% of the patients.Pain is children who are dying os cacer can be complex and challenging to mannage.Children and parents are equal partners with members of the health care team in managing the patient‘s pain.Prevention and alleviation of pain is a primary goal of care in the child dying of cancer.Children dying of cancer may require aggressive dosing of analgesics.Medications that do not have a dose maximum should be escalated,sometimes rapidly ,to achieve adequate pain control or to maintain pain control when tolerance has occurred.The nurse‘s s role in caring for children who are in pain at the end-of-life includes assessment,identifying expected outcomes,and plan-ning ,performing,and evaluating interventions.     

An unexpected electrocardiogram sign of subacute left ventricular free wall rupture: Its early awareness may be lifesaving

BACKGROUND:Post-infarct left ventricular free wall rupture(LVFWR)is not always an immediately catastrophic complication.The rupture can be subacute,allowing time for diagnosis and intervention.Accordingly,early recognition of the entity may be lifesaving.METHODS:We present an electrocardiogram(ECG)change pattern in two cases,which was erroneously attributed to ischemia.Two women in their 80s were admitted to our institute after experiencing the sudden onset of chest pain.They were managed as anterior ST-segment elevation myocardial infarction without reperfusion treatment.Unfortunately,they experienced a recurrence of severe chest pain with cardiogenic shock during hospitalisation.The ECG recorded at that time showed a ST-segment re-elevation in infract-related leads.RESULTS:The two cases were regrettably received a misjudgement of reinfarction at first,and one of the patients even was administrated with tirofi ban.Afterwards the diagnosis of subacute LVFWR was made through antemortem echocardiography.CONCLUSION:New ST-segment elevation(STE)in infarct-associated leads,coupled with recurrence of chest pain and new-onset hypotension,may constitute the premonitory signs of a subacute LVFWR.     

Phwarmaclogiic therapy in management of cancer—related pain

Background:According to small scale of investigation,world health organization(WHO)infers thwat moderate and serious pain is observed in about 1/3 of patients receiving active anti-cancer therapy and 60% in late stage.Cancer-related pain is a threat to patients‘ living quality and confidence,so rehabilition becomes an important part in treatment of cancer.Objective:To observe effect of pharmaologic therapy in management of cancer-related pain.Unit:Affiliated First Hospital of Dalizn Medical University.Subjects:230 cases of cancer diagnosed by pathological and physiochemical examination and complicated with cancer-reated pain were investigated,including 138 males,92 females aged 8-90(mean:67) years old.Somatic pain,81 cases,visceral pain,133 cases,neural pain,16 cases.All cases were the first time to receive ladders pharmacological therapy.NRS method was adopted and degrees of pain were expressed by nubbers(0-10) with 0 expressing painless,10 expressing sever pain.Grading of pain:0:no pain;1-3:minor pain;4-6:moderate(sleep was affected);7-10;severe pain(unable to sleep).Intervention:Different ladders of therapy were taken according to different pain graded.First ladder:suitable to minor and part of moderate grade of pain,non-opium drugs,Fenbid was used.Second ladder:suitable to moderate pain and minor opium was adopted codein/Ap-237.In treatment courses,if pain didn‘t alleviated completely,dosage was added or ladder was in creased.Third ladder:suitable to severe pain or cases not effective by second ladder ,,major opium was used,morphine or fentanyl, dosage of former,60-300mg/d,dosage of later,2.5-5.0mg/72h,dosage was modified according to 30%-50% of former dosage,until obvious effect was achieved.Strict drug-taking time was obeyed.When using fentanyl,if effect wasn‘t satisfying at 2th,3th day,morphine was supplied,dosage of fentanyl was modified by 24h total amount of morphine.Administration way:oral,anal were first choices and muscle injection of morphine was used when ecessary.Result:Alleviatin condition:Minor:before therapy,40 cases,after therapy,2 cases,alleviation rate.95.0%;Moderate before therapy,92 cases ,after therapy,26 cases,alleviation rate,71.7;Severe:before therapy,98 cases,after therapy,19 cases,alleviation rate,80.6% Conclusion:Ladders pharmacologic therapy was and effective method in treatment of cancer-related pain.     

Varicocele: How this condition and its management affects men's health

Varicocele is a relatively common condition that can impact men’s health in various ways.Unfortunately,its prevalence and the availability of various different methods of repairing it might lead to unnecessary treatment.An understanding of the various ways that this condition can impact men’s health is necessary in order to manage it appropriately.At present,there is substantial evidence to support varicocele repair in men who present with infertility,abnormal semen parameters,clinical varicocele and a female partner with normal fertility(or one with a potentially correctable abnormality).Varicocele repair appears to improve seminal fluid quality and might improve pregnancy rates.It might also have a role in managing men with non-obstructive azoospermia.Varicocele can also be a cause of scrotal pain that is usually of a dull character.Varicocele repair is an effective method of managing this type of pain,especially once proper measures have been taken to exclude other possible causes of orchalgia.Conservative measures are generally not effective in managing varicocele-related scrotal pain.There is growing evidence to suggest that varicocele repair might have a role in improving the serum testosterone level in men with hypogonadism,especially in the subfertile population.Well-designed prospective studies are needed to support the utilization of varicocele repair inmanaging these patients,as well as in preventing testicular dysfunction on a prophylactic basis.     

An alveolate kidney:A case report of emphysema pyelonephritis

Rationale:Emphysematous pyelonephritis is a life-threatening infectious disease that requires early diagnosis and treatment.The disease is often misdiagnosed due to its diversity of clinical manifestations.Patient’s concern:A 62-year-old woman was admitted to the emergency department following a 12-hour history of abdominal pain and dyspnea.Physical examination showed percussion pain on the right costovertebral angle.Besides,she had a history of diabetes mellitus and urinary calculus.Diagnosis:Emphysematous pyelonephritis.Intervention:The patient accepted antishock therapy,tight glucose control,and broad-spectrum anti-infective therapy.After stabilization of the general condition,an ultrasound-guided percutaneous nephrostomy was performed.Outcome:Her conditions became stable over the following days.She presented a favorable clinical course,with normalization of renal function and positive improvements in imaging findings in a month.Lessons:Early diagnosis and rapid medical management are the keys to successful treatment.CT is an important method for the diagnosis of emphysematous pyelonephritis.For patients with severe lesions,percutaneous renal drainage combined with active anti-infection should be given in time.     

Treatment of moderate and severe cancer pain by Lornoxicam：32 cases report

AIM:To study efficacy,safety,administration approaches of pellet of lornoxicam in treating pain caused by moderate and advanced cancers(improt clinical verification).METHODS:Multiple center ,random,double blind,and self-control method was used.Lornoxicam and positive control drug (tramadol) was randomly labeled as A and B.All qualified patients accepted A and B in tum.Purge drugs was given during interavl.Number evaluation method was used to assay pain level and changes .Effective period,optimal relief time,and duration were computed.Level of adverse effects and its re-lation with drugs were evaluated.RESULTS:32 patients were evaluated in-cluding 22 cases of moderate pain and 10 of advanced pain.When ap-proaches of drug administered were stratified,there was no significant dif-ference in efficacy between A and B considering single drug titration for drug administration according to need or time.Administration approaches in-cluded 2 pellets a time,twice a day(2#BID);1 pellet a time,three times a day(1#TID);1 pellet a time,twice a day(1#BID).When stratification was carried out according to pain severity,efficacy of A and B for moderate pain and severe pain varied between 74.2%-92.3%,55.0%-92.6%,re-spectively.There was no significant difference.Work time,optimal relief time,and duration for A and B were about 0.8 hour,1.5 hour,and 8.2 hour.There was no statistical significance.Incidence of adverse effect for lornoxicam and tramadol was 20.0% and 33.3%,respectively(P&;lt;0.05).Superiority score for them was 7.6&;#177;2.4 and 6.1&;#177;2.1,respectively(P&;lt;0.05).CONCLUSTON:Lomoxicam had favorable effect on moderate and severe cancer pain,and is similar to drug of second rung such as tramadol.But its adverse reactions are slighter and less common compared with tra-madol.Patients‘ content degree for lornoxicam is higher than that for tra-msdol.2#BID,1#TID,1#BID are more common.Considering small sample,its efficacy,therapeutic effect,safety need further investigation.     

改进三测单在创伤病房疼痛记录中的临床应用研究

Objective To investigate the effect of improved three-item nursing recording sheet on simplifying nursing record and pain management in trauma ward. Methods The patients involved two wards in our department were divided into control group and study group. Control group was adopted conventional nursing recording sheet to record pain information with words. In study group, the improved three - item nursing recording sheet added pain scoring column was used to record pain information through the curve form. The effect, satisfaction of pain control and nursing record costing time were compared between two groups. Results Satisfaction of patients in study group was better than control group ( P＜0.05 ) ; The effect of pain control in study group wassignificantly better than control group (P＜0.001 ) ; The time of nurse recording was reduced one-third. Conclusions The improved recording sheet can make doctors and nurses visually, dynamically know pain intensity and trends, make patients receive timely and effective treatment, promote patient satisfaction with pain control, save recording time. This method is suitable for the surgical department.     

改进三测单在创伤病房疼痛记录中的临床应用研究

Objective To investigate the effect of improved three-item nursing recording sheet on simplifying nursing record and pain management in trauma ward. Methods The patients involved two wards in our department were divided into control group and study group. Control group was adopted conventional nursing recording sheet to record pain information with words. In study group, the improved three - item nursing recording sheet added pain scoring column was used to record pain information through the curve form. The effect, satisfaction of pain control and nursing record costing time were compared between two groups. Results Satisfaction of patients in study group was better than control group ( P＜0.05 ) ; The effect of pain control in study group wassignificantly better than control group (P＜0.001 ) ; The time of nurse recording was reduced one-third. Conclusions The improved recording sheet can make doctors and nurses visually, dynamically know pain intensity and trends, make patients receive timely and effective treatment, promote patient satisfaction with pain control, save recording time. This method is suitable for the surgical department.     

二分髌骨

Definition:A bipartite patella occurs when the patella,or kneecap,occurs as two separate bones.Instead of fusing together in early childhood,the patella remains separated.A bipartite patella is usually not a problem;it occurs in at least 1 percent of the population,and perhaps more.It is frequently bilateral in distribution and can be a cause of pain if there is disruption of its synchondrosis.