中医英语病例讨论专家讲座.pptx

一.辩证导引TodaywewilldiscusstheTCMcaseofa36-year-oldman。今天我们要讨论是3６岁男性中医病例.中医英语病例讨论专家讲座第1页

二.病史陈说Firstofall,Iwouldliketopresentthecase.首先，我为大家介绍此病例中医英语病例讨论专家讲座第2页

二.病史陈说Todaywewilldiscussthecaseofa36-year-oldmanwithrecurrentepigastricpainforfivemonths.今天我们要讨论是一位近五个月以来上腹疼痛36岁男性病例。中医英语病例讨论专家讲座第3页

二.病史陈说Fivemonthsago,thepatientfeltepigastricpain.Atthattime,theamylaselevelswas349Uperliter.Thewhite-cellcountandtheresultsoftestsofliverfunctionwerenormal.thepaincontinued,andtheamylaselevelsdidnotreturntonormal.五个月前,病人感到上腹疼痛.淀粉酶水平是349单位每升.白细胞数目和肝功效正常.疼痛继续.淀粉酶水平一直不正常.中医英语病例讨论专家讲座第4页

二.病史陈说Twelveweeksago,hewasadministrationofprednisone(20mgtwicedaily).Thepatient’spainresolved.Thepatienthadlost5.5kginweightduringrecentweeks.12周前,病人使用了强松20毫克,天天两次.最近几周病人体重下降5.5千克.中医英语病例讨论专家讲座第5页

二.病史陈说Sixteenweeksbeforeadmission，anendoscopicexaminationshoweddiffuseattenuationofthecommonbileductandfocalnarrowingattheoriginofthelefthepaticduct入院前16周,内窥镜显示胆管变薄,左侧胆管变狭窄.中医英语病例讨论专家讲座第6页

二.病史陈说buttheintrahepaticductswerenotoptimallydistended.Thesamedayanuppergastrointestinalendoscopicexaminationshowedabnormalitiesintheentirepancreas，不过肝内胆管无扩张.同一天胃肠内窥镜显示胰腺畸形.中医英语病例讨论专家讲座第7页

二.病史陈说Hehadatendencytowardconstipationandurinaryfrequency.Hehadhadnorecentepisodesofnausea,vomiting,ordiarrhea.Hispaternalgrandmotherhaddiedof“stomachcancer,”buttherewasnofamilyhistoryofpancreatitis.最近他有便秘和尿频现象.没有头晕恶心,呕吐,腹泻现象.他曾祖母死于胃癌,没有胰腺炎家族史.中医英语病例讨论专家讲座第8页

二.病史陈说Physicalexamination(体格检验):T36.7℃,HR83bpm,BP115/75mmHg;Normaldevelopment,normalnourishment,unpalpationofsuperficiallymphnode,normalbreathsoundofthelung,HR83bpm,regular.Slightlypalpationalpaininepigastricabdomen,nopalpationalpaininotherregion,withoutanyreflectpain.Noedemainthelowextremities.发育正常，营养良好，浅表淋巴结未及，双肺呼吸音正常，心率83bpm，律齐。中上腹轻压痛，无反跳痛，