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常用医嘱术语

常用医嘱术语[Medical orders](1)医嘱术语[medical orders]·Admit/transfer to[收入(转入)]·Resident/attending[住院(主诊)医师] ·condition[病情]▲critical (Imminence)[病危]▲unstable[不稳定]▲stable[稳定]▲general (fair) [一般]·emergent[急诊]·Diagnosis[诊断]·Diet[饮食]▲full (home) diet[普食]▲liquid (semi-liquid) diet[流汁(半流汁)饮食] ▲soft diet[软食]▲low salt and low fat diet[低盐低脂饮食]▲salt-free diet[无盐饮食]▲low purine diet[低嘌呤饮食]▲low (non)-residue diet[少(无)渣饮食]▲light diet [清淡饮食]▲high caloric diet[高热量饮食]▲high protein (protein-rich) diet[高蛋白饮食] ▲diabetic diet[糖尿病饮食]▲nephritic diet[肾炎饮食]▲nasal feeding[鼻饲]▲fasting (NPO, nothing by mouth)[禁食]▲NPO for 5 hours[禁食5小时]▲meal standard[伙食标准]·activity[活动]▲absolute rest[绝对卧床休息]▲stay on the bed (yest in bed)[卧床休息] ▲Ad lib[随意活动]▲In the ward [病房内活动]·vital signs[生命体征]·Q shift (q.6h)[每班(每6小时)一次] ·immoblization[制动]·pressed by sand bag [沙袋压迫]·I/O (intake and output)[记出入量]·N/A (non-apply)[不需要]·parameter: EKG(Bp,SaO2) monitor [其他:心电图(血压,氧饱和度)监护]·allergies[过敏]·NKA (non-known allergies)[无已知的过敏反应]·patient identification [病人身份]·4th floor,room 5 ,bed 2(405-2)[4楼5号房2床]·Med. Rec#[病历号]·medical orders[医嘱]·on general routine[护理常规]·on grade I (II, III) nuring care[I (I、III)级护理]·morning (evening) care[晨间(夜间)护理] ·bedsore care[褥疮护理]·mouth (oral) care[口腔护理]·CPT( chest physical treatment) [胸部物理治疗]·O2 inhalation (2-4L/min)[吸氧(2-4升/分)] ·alcohol sponge bath[酒精擦浴]·cold (hot) compress[冷(热)敷]·wet (hydropathic) compress by MgSO4[用硫酸镁湿敷]·change position ×qh[每小时更换一次体位] ·gastric lavage with water[用清水洗胃] ·bladder irrigation [膀胱冲洗]·under water seal drainage of thorax[胸腔水封瓶引流]·GI decompression [胃肠减压]·keep warm[保温]·lower temperature by ice-cap[冰帽降温] ·keep bowels open[保持大便通畅]·keep the airway open[保持气道通畅] ·retention catheterization[留置导尿]·prevent from bedsore[预防褥疮]·on bedside isolation[床边隔离]·P.P sitz bath[高锰酸钾液坐浴]·raising the head (foot) of the bed[抬高床头(尾)]·pencillin (procaine, iodine) skin test[青霉素(普鲁卡因,碘)皮试]·intubate and ventilator support[气管插管及呼吸机支持]·cleaning (retention) enama[清洁(保留)灌肠] ·soapsuds (saline) enama[肥皂水(盐水)灌肠] ·intradermal injection[皮内注射] ·subcutaneous (hypodermic) injection [皮下注射]·intramuscular injection( i.m)[肌肉注射]·SRt (stool routine)[大便常规]·stool OB [大便隐血]·stool ova count[大便虫卵计数]·uric acid [尿酸]·uric (serum) amylase [尿(血)淀粉酶]·urine K+ (Na+)[尿钾(钠)测定]·pregnance test[妊娠试验]·urine Bence-Jone protein [尿本-周氏蛋白]·urinary protein electrophoresis[尿蛋白电冰]·bacterial count of urine [尿菌落数]·osmotic pressure assay[尿渗透压测定]·urine (blood, stool) culture [尿(血、大便)培养] ·bone marrow puncture [骨穿]·iron staining of bone marrow smear [骨髓铁染色] ·serum iron assay [血清铁测定]·Vit B12 and folic acid assay [维生素B12和叶酸测定] ·BT (bleeding time) [出血时间]·CT (coagulation time) [凝血时间]·PT (prothrombin time)[凝血酶原时间]·ACT (activated coagulation time)[活化的凝血时间] ·KPTT(kaolin partial thromboplastin time)[部分凝血活酶时间]·Fb (fibrinogen)[纤维蛋白原]·FDP (fibrinogen degradation product)[纤维蛋白原降解产物]·ABG (arterial blood gas)[血气分析]·renal function and liver function[肝肾功能]·D-dimer fragments assay[D-二聚体测定]·Hcy (homocysteine)[同型半胱氨酸]·Cr and BuN (creatinine and blood urea nitrogen)[肌酐和尿素氮]·blood lipid (TG, TC ,HDL, LDL)[血脂(甘油三酯,胆固醇,高密度脂蛋白,低密度脂蛋白)]·myocardial enzyme (CK, CK-MB, GOT, LDH)[心肌酶谱(肌酸磷酸激酶及同功酶,谷草转氨酶,乳酶脱氢酶)]·Mb (myoglobin)[肌红蛋白]·CTn-I [肌钙蛋白-I]·thyroid function (T3,T4,TSH,FT3 FT4,TG,TM)[甲状腺功能] ·VMA (urine vanillylmandelic acid)[尿香草基杏仁酸] ·LH, FSH, ACTH, GH[黄体生成素,卵泡刺激素,促肾上腺皮质激素,生长激素]·bedside [床边]·chest (cervical) X-ray examination [胸部(颈部)X线检查] ·P-A + lateral projection [正位+侧位]·echo (TTE, transthoracic echo)[经胸超声心动图]·echo (TEE, transesophageal echo)[经食道超声心动图] ·Doppler echocardiography[多普勒超声心动图]·fluoroscopy [透视]·CT (computerized-tomography)[计算机断层摄影]·MRI (magnetic resonance imaging)[核磁共振成像]·DSA (digital subtractive angiography)[数字减影血管造影术] ·contrast enhancement[对比增强]·dacryocystography[泪囊造影]·Caldwell`s position [柯氏位]·Wayer`s position[瓦氏位]·Angiography [血管造影术]·coronary angiography [冠脉造影术]·right ventricul ography [右心造影术]·PTCA[经皮经腔冠脉成形术]·RFCA[经导管射频消融术]·stent[支架]·pacemaker implanted operation[起搏器植入术]·Holter (dynamic ECG)[24小时动态心电图]·ABPM[24小时动态血压监测]·treadmill test [平板运动试验]·bicycle ergometer[踏车试验]·tilt test[倾斜试验]·phonocardiog raphy[心音图]·atropine test[阿托品试验]·TEAP (transesophageal atrial pacing)[食道调搏]·EP study[电生理检查]·VCG (vectocardiogram)[心向量图]·EMG (electromyogram)[肌电图]·EEG (electroencephalogram)[脑电图]·barium enema[钡灌肠]·cholangiography[胆管造影术]·intravenous (oral) cholecystography[静脉(口服)胆囊造影] ·pancratocholangiography[胰胆管造影]·selective heptatic arteriography[选择性肝动脉造影] ·bronchography[支气管造影]·lung aspiration biopsy[肺针吸活检]·cystourethrography[膀胱尿道造影]·IVU (intravenous urography)[静脉尿道造影] ·retrogradepyelography[逆行肾盂造影]·uterosalpingography[子宫输卵管造影]·CT-guided aspiration biopsy[CT 导向下穿刺活检] ·cerebral angiography [脑血管造影]·vertebral angiography[椎动脉造影]·cisternography[脑室造影]·arterio (veno) graphy[动(静)脉造影]·lung functional examination[肺功能检查]·gastroscopy[胃镜检查]·endoscopy[内窥镜检查]·sigmoidoscopy[乙状结肠镜查]·colonoscopy[结肠镜检查]·colonofiberscopy[纤维结肠镜检查]·bronchoscopy[支气管镜检查]·ERCP (endoscopic retrograde cholangio-pancreatography)[经内镜逆行胰胆管造影]·catheterization[导尿术]·thoracentesis[胸穿]·abdominocentesis(abdominal puncture)[腹穿] ·pericardiocentesis[心包穿刺]·liver (renal) biopsy[肝(肾)活检]·bone marrow puncture[骨穿]·lumbar puncture[腰穿]·lymah node puncture [淋巴结穿刺]·joint cavity paracentesis [关节腔穿刺术]·examination of prostate[前列腺检查]·massage of prostate[前列腺按摩]·CVP measure [中心静脉压测定]·peripheral venous pressure measure [外周静脉压测定] ·duodenal drainage[十二指肠引流]。

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