英语交班范本

Example of English Morning Report

Urological Department

morning report.There are 50 patients in our ward. Three patients were discharged from the hospital yesterday :Bed 1,Bed 28 and Bed 40. Bed 28.Mr.周仪水,82-years-old,with advanced bladder cancer.was discha rged from the hospital against advice due to financial problem yester day evening. Health-care suggestions had been made to these patients. Three patients were admitted yesterday:

Bed 1,Mr.,age 60,complains of painless hematuria for several week s.The tentative diagnosis of bladder carcinoma is made according to u ltrasonography at local hospital.Cystoscopy will be performed this af ternoon for final diagnosis.(further investigation)

Bed 28,Mr.,aged 55,is a patient with BPH(benign prostatic hyperpl asia),suffering from urgency ,frequency of micturition and weak urina ry stream for about 3 years. Five days before admission ultrasonogram showed a large prostate gland of 60 gm associated with a bladder sto ne 4cm in diameter. Because of acute urinay retention, catheterizatio n was conducted yesterday afternoon. The urine is draining well and s lightly bloody.

Bed40,Miss her definite diagnosis is calculus of right kidney acc ording to IVU(intravenous urogaphy),admitted for undergoing ESWL(extr acorporeal shock wave lithotripsy).

Blood samples of these 3 new patients were taken and sent to the laboratory for examination this morning.

Two patients will be operated on today:

Bed 9,Mr.封云清 with hydronephrosis.will undergo preloplasty unde r general anesthesia.He had a good sleep last night. After administra

tion of 2 pills of valium by mouth, he was sent to the operating room at 7:30 am.

DVIU(direct vision internal urethrotomy) will be perfomed under e pidural block anesthesia for Mr.王仅仅,Bed 26, with urethral strictur e. The patient’s conditions such as vital signs and mood are stable and everything for pre-operative preparation has been made.

One patient was operated on yesterday:

Bed 23,Mr.洪草君,with carcinoma of renal pelvis on the right side, underwent hand-assisted laparoscopic right nepho-ureterectomy and pa rtial cystectomy under general anesthesia yesterday. The operation wa s successful and the patient was send back to the ward at12:30pm.Inte nsive care managements including oxygen inhalation, bedside electroca rdiography supervision and venous transfusion were conducted.Up to no w, the patient’s respiration was smooth, heart rate 80 to 92/min, bl ood pressure 123-142/62-80 mmHg and SO2(saturation) 96-100%.Because o f using PCA(patient controlled analgesia),the patient didn’t feel mu ch pain in his wound. The dressing was dry and only 10 ml bloody flui d was drained. The urethral catheter drained 1100ml clear urine. But special attention should be paid to the patient’s temperature. He ha d a high fever of 39℃ at 8pm yesterday evening. After administration of 1 pill indomethacin per rectum and alcohol sponge bath for 1 hour , the temperature was still high, 39.1℃ at 9:30pm. And then 1ml ant odine was injected intramuscularly, his temperature dropped down to 3

8.3℃ 1 hour later .I took his temperature just now. It was 37.5℃ an

d h

e feels much better. The postoperative input was 2500ml, i.e. the volume o

f the intravenous infusion. And the output was 1760ml includi n

g urine 1150ml, drainage 10ml and sweat 600ml respectively. The pati ent could be able to coug

h and do deep breathing from time to time to expand his lung according to nursing advice. Morning nursing such as oral care, preventing bedsore care and perineum cleaning has being c

arried out and the patient can rest in bed on semireclining position now.

Following patients also should be reported:

Bed 25,Miss 倪水蓝,is a patient with pheochromocytoma on the left side, 3days after left adrenalectomy. Her condition is doing well an d started to break wind. Therefore a liquid diet is suggested today.

Bed 45,Mr.孙桥,is a patient with BPH, 2 days after TURP(transuret hral resection of the prostate). Continuous bladder irrigation throug h a 3-way catheter is still carrying out and draining well. The colou r of the irrigated fluid looks slightly bloody. The temperature was 3 7.2℃ at 6am this morning. I told him to drink more water, take some vegetables and fruits to prevent constipation and he accepted.

Two patients had a fever : Bed 7,38.1℃; Bed 30,38℃.

The input and output in 24 hours for patients at Bed 34 and Bed 4 2 were normal, written

down on the blackboard.

That’s all for today’s morning report .Now the duty doctor, plea se.

参考译文

英语晨交班范例

各位！早上好！现在开始晨交班。病房病人总数50人。昨天出院病人3个：1床、28床、40床，其中28床周仪水，男，82岁，晚期膀胱癌病人，因经济原因昨晚自动出院，这些病人均已予出院健康宣教，下面报告昨天入院的3个新病人。

1床，王小毛，男，60岁，诉无痛性血尿数周，根据当地医院B超拟诊膀胱癌（而入院）。为进一步诊断，今天下午做膀胱镜检查。

28床，李小狗，男，55岁，良性前列腺增生，患尿急、尿频和尿流无力3年。入院前5天B超显示增大的前列腺腺体60克伴直径4厘米的膀胱结石。因急性尿渚留，昨天下午予留置导尿，引流畅，淡血尿。

40床，孙信晓，女，尿路造影确诊为右肾结石，为行体外震波碎石而入院。 3个新病人今晨均已抽血送检。

今日手术病人2个：

9床，封云清，男，肾积水，今拟在全麻下行肾盂整形术。昨晚睡眠好，7：30AM口服两片安定后已送手术室。

26床，王仅仅，男，尿道狭窄，今拟在硬膜外阻滞麻醉下行直视下尿道内切开术。病人生命体征和心理等情况稳定，术前准备就绪。

昨天手术病人1个：23床，洪草君，男，右肾盂癌，昨天在全麻下行手助腹腔镜右肾输尿管切除和膀胱部分切除术。术程顺利，中午12点半送回病房。予以吸氧、床边心电监护和输液等重症护理措施。迄今，病人呼吸平稳，心率在8 0-92次/分，血压123-142/62-80 mmHg，血氧饱和度在96-100%。因为使用了自控止痛包，病人并没有觉得伤口很痛。伤口敷料干燥，腹腔引流管引流10ml血性液体，导尿管引流1150ml尿液，尿色清。但应特别注意病人的体温，昨晚8点病人体温高达39℃，予1粒消炎痛栓剂塞肛和酒精擦浴，一小时后即9点半病人体温仍高达39.1℃，再予复方氨基比林1毫升肌肉注射，一小时后体温降至38。3℃。刚才测体温为37.5℃，病人感觉好多了。术后进量为2500ml，即为静脉补液量；出量为1760 ml，其中尿量1150 ml、引流液10 ml、估计出汗量600 ml。病人能按照责任护士的建议，常常咳嗽和做点深呼吸，以扩张肺脏。已予口腔护理、预防褥疮护理和会阴护理等晨间护理，病人现在取半卧位休息。还有下列病人需要交班：

25床，倪水蓝，女，左嗜铬细胞瘤，行左肾上腺切除术后第3天，病人情况正在好转，肛门已排气，建议流质饮食。

45床，孙桥，男，良性前列腺增生，行经尿道前列腺电切术后第2天，留置导尿管持续膀胱冲洗，引流畅，尿色略红，晨体温37.2℃。嘱多喝水、吃些蔬菜和水果以防便秘，病人表示接受。

下面是两个发热病人：7床，38.1℃；30床，38℃。

34床和42床病人的24小时出入量正常，请看黑板交班。

今天的交班到此结束，下面请值班医生补充。