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医学类中译英样文

发表于 2018-12-31 来源:本站
 

长沙翻译公司整理

ShanDong Mental Health Center

Discharge Record

Name:     Outpatient No.: 0000090870   Admission No.: 0000082840

Name:                 Admission Date: 16:30 on May 13, 2015

Sex: Male                       Discharge Date: 08:20 on July 13, 2015

Age: 24 years old                 Length of Stay: 61 days

Admission state: The patient is admitted to the hospital due to “eccentric behaviors, sensitive and suspicious mind in the last 6 years and the aggravation of the condition for half a year”. Psychiatric examination: The patient has consciousness, correct judgement of directions, passive interactions and moderate attitude. He denies the illusion, hallucination and comprehensive impairment of perception. The thinking activities are incoherent, and there are few voluntary words which are difficult to understand such as “My stomach is afraid of light, so I wear sunglasses”. The quantity of words is few with low voice, but the speaking speed is passable. There is the delusion of reference and persecution that his mother and neighbors are deliberately captious to him with intention to persecute him. The emotional reaction is inconsistent with the surrounding environment, talking and laughing to himself. The moods are stable. Will activities are declining, along with unsocial and indolent personality. The patient does not possess self-consciousness.

Admitting diagnosis: Paranoid schizophrenia

Diagnosis and treatment process: After the admission, auxiliary examinations are supplemented and the rounds of wards are conducted by three levels of doctors to specify diagnosis. The systematic treatment such as risperidone, olanzapine and quetiapine has been provided successively. After the admission, the fact that the patient was bit by a dog before the hospitalization has been verified, and that the rabies vaccine was injected in other places. Therefore, the patient has been out for many times, and the injection of rabies vaccine has been finished.

 

Discharge diagnosis: Paranoid schizophrenia

 

Discharge state: The patient has regular eating habits and defecation. The sleeping has been improved. The patient has conscious mind with passable thinking logics. Words during the conversations are pertinent. The delusion of reference and persecution have disappeared. No more self-talking and laughing and eccentric behaviors are found. Voluntary activities increase, and he promises to families and doctors that “he will continue taking medicine after the discharge”, but the self-consciousness still does not exist.

 

Doctor’s advice of discharge: 1. Take the medicine regularly and the medicine should be kept by families. 4mg of benzhexol BID, 2mg of orally disintegrating tablets of risperidone BID, 50mg of promethazine QN, 0.4mg of alprazolam QN, one compound aloe capsule QN, 100mg of quetiapine QN and 0.5g of magnesium valproate sustained release tablets TID.

                        2. Revisit the outpatient regularly and reexamine blood routine index, blood biochemistry and electrocardiograph per month.

 

 

 

                                            Signed by doctor:

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