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医学类中译英样文-2

发表于 2018-12-31 来源:本站
 

ShanDong Mental Health Center

Discharge Record

Name    Outpatient No.: 0000090870   Admission No.: 0000082840

Name:              Admission Date: 10:40 on February 9, 2017

Sex: Male                    Discharge Date: 14:50 on June 15, 2017

Age: 26 years old               Length of Stay: 125 days

Admission state: The patient is admitted to the hospital due to “suspicious mind, eccentric behaviors, unsocial and indolent personality in the last 8 years and the aggravation of the condition over 4 months”. The patient was healthful and allergic to antibiotics such as penicillin in the past. There is nothing special about the personal experiences. His grandfather and grandmother were cousins thus the marriage was consanguineous. Personality before the disorder: Introverted. Physical examination: The wound on the left thumb is healed. There are many grazes all over the body. Otherwise, nothing special has been found. Psychiatric examination: The patient has passive interactions, consciousness and correct judgement of directions. He denies the illusion, hallucination and comprehensive impairment of perception. The thoughts are incoherent and words are difficult to understand, expressing the ideas of persecution and claiming that everyone has his own miseries and anxieties and that he wants to be a vegetarian, etc. However, he would not like to give more detailed information. The attention, memory and intelligence are normal. The patient is easy to irritate, and has inconsistent emotional reactions and declining will activities, talking and laughing to himself. He does not admit his disorder and has no self-consciousness.

Admission diagnosis: Paranoid schizophrenia

 

Diagnosis and treatment process: After the admission, various auxiliary examinations are supplemented and higher levels of doctors are invited to conduct the rounds of wards to specify the diagnosis and improve relevant auxiliary examinations. The systematic treatment of olanzapine combined with aripiprazole is provided, which then changes to the systematic treatment of olanzapine combined with orally disintegrating tablets of risperidone to supply nutrition to cardiac muscles and correct electrolyte disturbance.

 

Discharge diagnosis: Paranoid schizophrenia

 

Discharge state: The patient has passive interactions, consciousness, correct judgement of directions and incoherent thoughts and denies the delusion experiences. Emotions are insipid and reactions are inconsistent. Activities of will has declined and he has no self-consciousness.

 

Doctor’s advice of discharge: Complete the readmission procedures after the discharge and continue the hospitalization therapy.

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