全国高等学校配套教材·内科临床病例分析：双语学习（供8年制及7年制临床医学等专业用）
目 录内容简介
第一章 呼吸系统疾病
Chapter One Disorders of the Respiratory System
慢性阻塞性肺病--反复咳、痰、喘20余年
Chronic Obstructive Pulmonary Disease（COPD）-repeated cough, sputum production and dyspnea for 20 years
支气管哮喘--咳嗽、胸闷伴气急
Bronchial Asthma-cough, chest tightness, dyspnea
支气管扩张症--反复咳嗽、咯大量脓痰
Bronchiectasis-recurrent cough with large amount of purulent sputum
非典型病原体肺炎--干咳、咽痛、肌痛、发热
Atypical Pneumonia-dry cough, sore throat, myalgia and fever
气胸--胸痛，呼吸困难
Pneumothorax-chest pain, dyspnea
结核性胸膜炎--午后低热、胸痛、活动后气急
Tuberculous Pleurisy-low fever in the afternoon，chest pain，exertional dyspnea
肺间质纤维化--气急、干咳
Interstitial Lung Disease（ILD）-dyspnea, dry cough
肺癌--痰中带血、肺部肿块
Lung Cancer-hemosputum, mass in lung
急性呼吸窘迫综合征（ARDS）--气急、烦躁、痰中带血3小时
Acute Respiratory Distress Syndrome（ARDS）- shortness of breath, restlessness, cough with blood-streaked sputum for 3 hours
第二章 心血管系统疾病
Chapter Two Disorders of the Cardiovascular System
心力衰竭--胸闷、气急、双下肢浮肿
Heart Failure-chest tightness, short of breath, edema of the lower limbs
高血压--血压升高，阵发性胸闷
Hypertension-elevated blood pressure, paroxysmal chest distress
心绞痛--反复下颌疼痛
Angina Pectoris-recurrent submaxillary pain
急性心肌梗死--晕厥伴胸闷
Acute Myocardial Infarction（AMI）-syncope and chest oppression
二尖瓣狭窄--反复发作胸闷和气短
Mitral Stenosis-repeated attacks of chest distress and dyspnea
主动脉瓣关闭不全--活动后胸闷和气急
Aortic Incompetence-exertional chest discomfort and dyspnea
病毒性心肌炎--发作性晕厥
Viral Myocarditis-Paroxysmal Syncope Attacks
感染性心内膜炎--畏寒、发热、夜间盗汗2个月
Infective Endocarditis-fever, rigor, night sweat for two months
扩张型心肌病--活动后气急
Dilated Cardiomyopathy （DCM）-exertional dyspnea
第三章 消化系统疾病
Chapter Three Disorders of the Gastrointestinal System
出血糜烂性胃炎--上腹不适、呕血、黑便
Erosive Hemorrhagic Gastritis-epigastric discomfort, hematemesis, melena
胃溃疡伴出血--黑便、呕血
Gastric Ulcer with Bleeding - melena, hematemesis
十二指肠球部溃疡--反复中上腹痛，黑便
Duodenal Ulcer-recurrent epigastric pain with black tarry stool
克罗恩病--反复腹部绞痛伴体重减轻、关节疼痛
Crohns Disease-intermittent abdominal cramps with weight loss and arthralgia
溃疡性结肠炎--反复腹痛伴脓血便
Ulcerative Colitis-recurrent abdominal cramps and purulent bloody diarrhea
肝硬化腹水--乏力、纳差、腹胀、少尿
Liver Cirrhosis and Ascites-fatigue，anorexia，abdominal swelling and oliguria
食道静脉曲张破裂出血--呕血、黑便、休克
Esophageal Variceal Rupture and Bleeding-hematemesis, melena, shock
肝性脑病--嗜睡和构音困难
Hepatic Encephalopathy-lethargy and dysarthria
原发性肝癌--肝实质性占位伴甲胎蛋白升高
Hepatocellular Carcinoma-solid lesion in the liver with elevated AFP
原发性肝汁性肝硬化--慢性肝功能异常
Primary Biliary Cirrhosis ? chronic abnormal liver function
轻型急性胰腺炎--腹痛，呕吐
Mild Acute Pancreatitis-abdominal pain, vomiting
重症急性胰腺炎--中上腹持续性胀痛六小时
Severe Acute Pancreatitis-epigastric quadrant abdominal pain for six hours
不明原因的下消化道出血--黑便、进行性乏力、头昏
Obscure Lower Gastrointestinal Bleeding-tarry stools, increasing fatigue and dizziness
药物性肝病--干咳、盗汗6个月，皮肤黄染20天
Drug Induced Liver Disease（DILD）-Dry cough and night sweat for 6 months,jaundice for 20 days
第四章 肾脏及泌尿系统疾病
Chapter Four Disorders of the Kidney And Urinary System
急进性肾小球肾炎--咳嗽、发热、进行性血肌酐升高
Rapidly Progressive Glomerulonephritis（RPGN）-cough,fever and progressive increase of serum creatinine
慢性肾小球肾炎--血尿
Chronic Glomerulonephritis-hematuria
IgA肾病--年轻男性、咳嗽、浓茶色尿
IgA Nephropathy-a young guy with cough and tea-colored urine
肾病综合征--水肿、腹胀和蛋白尿
Nephrotic Syndrome-edema, abdominal distention and proteinuria
狼疮性肾病--皮疹、蛋白尿、关节痛、贫血
Lupus nephritis-skin rashes, proteinuria, arthralgia and anemia
糖尿病肾病--高血糖、高血压、微量白蛋白尿
Diabetic Nephropathy-hyperglycemia, hypertension, and microalbuminuria
慢性肾盂肾炎--尿频、尿痛、低热与背痛
Chronic Pyelonephritis-dysuria, frequency of micturition, low-grade fever and back pain
肾小管性酸中毒--低血钾、进行性口干、眼干
Renal Tubular Acidosis-hypokalemia, progressive dry mouth and dry eyes
急性肾衰--腹泻、呕吐、少尿
Acute Renal Failure-diarrhea, vomiting and oliguria
慢性肾衰--贫血，进行性气急
Chronic Renal Failure－anemia, progressive dyspnea
代谢性酸中毒--昏迷
Metabolic Acidosis-coma
低血钾--乏力、虚弱、便秘、多尿
Hypokalaemia-fatigue, weakness, constipation, polyuria
第五章 血液系统疾病
Chapter Five Disorders of the Hematology System
缺铁性贫血--面色苍白伴乏力
Iron Deficiency Anemia-pallor, fatigue
巨幼细胞性贫血--面色苍白、牙龈出血
Megaloblastic Anemia-pallor with gums bleeding
急性非淋巴细胞性白血病--反复咽痛伴发热
Acute Myeloblastic Leukemia（AML）-repeated pharyngodynia, fever
急性淋巴细胞性白血病--咽痛伴发热
Acute Lymphocytic Leukemia（ALL）-pharyngodynia accompanied with fever
慢性粒细胞性白血病--中上腹不适1周伴血象异常
Chronic Myelogenous Leukemia-epigastric discomfort for one week, abnormality of blood routine
淋巴瘤--颈部淋巴结无痛性进行性增大伴发热
Lymphoma-painless gradual enlargement of cervical lymph nodes with fever
特发性血小板减少性紫癜--月经量增多、血小板减少
Idiopathic Thrombocytopenic Purpura （ITP）-menorrhagia , thrombocytopenia
第六章 内分泌系统疾病
Chapter Six Disorders of the Endocrinology System
糖尿病伴大血管病变--多尿、多饮、体重减轻伴阵发性胸痛
Diabetes Mellitus with Macrovascular Complications-polyuria, polydipsia, weight loss with intermittent chest pain
高血糖危象--头晕、乏力、多饮、多尿、意识模糊
Hyperglycemic Crises-dizziness,weakness,polyuria,polydipsia,lethargy
蜜月期的1型糖尿病--多饮，多尿和体重下降
A Type 1 Diabetes Mellitus Patient in the Honeymoon Phase-polydipsia, polyuria and weight loss
甲状腺亢进症--纳亢、怕热、心悸、消瘦
Hyperthyroidism-increased appetite, heat intolerance, palpitation, weight loss
亚临床甲状腺功能减退--乏力，皮肤干燥，便秘
Subclinical Hypothyroidism-malaise, dry skin, constipation
亚急性甲状腺炎--低热，颈前疼痛
Subacute Tyroiditis-low fever，anterior neck pain
原发性醛固酮增多症--四肢无力，血压正常
Primary Hyperaldosteronism-myasthenia of limbs with normal blood pressure
第七章 风湿系统疾病
Chapter Seven Disorders of the Rheumatology System
类风湿性关节炎--多关节痛
Rheumatic Arthritis-polyarthralgias
系统性红斑狼疮--发热、关节痛、面部皮疹
Systemic lupus erythematosus（SLE）-Fever, arthralgia, facial rash
第八章 急诊医学
Chapter Eight Emergency Medicine
休克
Shock
中暑--肌痉挛、无力、高热、神志不清
Heat illness-muscle cramping, fatigue, hyperthermia, unconsciousness
索引
Index
Chapter One Disorders of the Respiratory System
慢性阻塞性肺病--反复咳、痰、喘20余年
Chronic Obstructive Pulmonary Disease（COPD）-repeated cough, sputum production and dyspnea for 20 years
支气管哮喘--咳嗽、胸闷伴气急
Bronchial Asthma-cough, chest tightness, dyspnea
支气管扩张症--反复咳嗽、咯大量脓痰
Bronchiectasis-recurrent cough with large amount of purulent sputum
非典型病原体肺炎--干咳、咽痛、肌痛、发热
Atypical Pneumonia-dry cough, sore throat, myalgia and fever
气胸--胸痛，呼吸困难
Pneumothorax-chest pain, dyspnea
结核性胸膜炎--午后低热、胸痛、活动后气急
Tuberculous Pleurisy-low fever in the afternoon，chest pain，exertional dyspnea
肺间质纤维化--气急、干咳
Interstitial Lung Disease（ILD）-dyspnea, dry cough
肺癌--痰中带血、肺部肿块
Lung Cancer-hemosputum, mass in lung
急性呼吸窘迫综合征（ARDS）--气急、烦躁、痰中带血3小时
Acute Respiratory Distress Syndrome（ARDS）- shortness of breath, restlessness, cough with blood-streaked sputum for 3 hours
第二章 心血管系统疾病
Chapter Two Disorders of the Cardiovascular System
心力衰竭--胸闷、气急、双下肢浮肿
Heart Failure-chest tightness, short of breath, edema of the lower limbs
高血压--血压升高，阵发性胸闷
Hypertension-elevated blood pressure, paroxysmal chest distress
心绞痛--反复下颌疼痛
Angina Pectoris-recurrent submaxillary pain
急性心肌梗死--晕厥伴胸闷
Acute Myocardial Infarction（AMI）-syncope and chest oppression
二尖瓣狭窄--反复发作胸闷和气短
Mitral Stenosis-repeated attacks of chest distress and dyspnea
主动脉瓣关闭不全--活动后胸闷和气急
Aortic Incompetence-exertional chest discomfort and dyspnea
病毒性心肌炎--发作性晕厥
Viral Myocarditis-Paroxysmal Syncope Attacks
感染性心内膜炎--畏寒、发热、夜间盗汗2个月
Infective Endocarditis-fever, rigor, night sweat for two months
扩张型心肌病--活动后气急
Dilated Cardiomyopathy （DCM）-exertional dyspnea
第三章 消化系统疾病
Chapter Three Disorders of the Gastrointestinal System
出血糜烂性胃炎--上腹不适、呕血、黑便
Erosive Hemorrhagic Gastritis-epigastric discomfort, hematemesis, melena
胃溃疡伴出血--黑便、呕血
Gastric Ulcer with Bleeding - melena, hematemesis
十二指肠球部溃疡--反复中上腹痛，黑便
Duodenal Ulcer-recurrent epigastric pain with black tarry stool
克罗恩病--反复腹部绞痛伴体重减轻、关节疼痛
Crohns Disease-intermittent abdominal cramps with weight loss and arthralgia
溃疡性结肠炎--反复腹痛伴脓血便
Ulcerative Colitis-recurrent abdominal cramps and purulent bloody diarrhea
肝硬化腹水--乏力、纳差、腹胀、少尿
Liver Cirrhosis and Ascites-fatigue，anorexia，abdominal swelling and oliguria
食道静脉曲张破裂出血--呕血、黑便、休克
Esophageal Variceal Rupture and Bleeding-hematemesis, melena, shock
肝性脑病--嗜睡和构音困难
Hepatic Encephalopathy-lethargy and dysarthria
原发性肝癌--肝实质性占位伴甲胎蛋白升高
Hepatocellular Carcinoma-solid lesion in the liver with elevated AFP
原发性肝汁性肝硬化--慢性肝功能异常
Primary Biliary Cirrhosis ? chronic abnormal liver function
轻型急性胰腺炎--腹痛，呕吐
Mild Acute Pancreatitis-abdominal pain, vomiting
重症急性胰腺炎--中上腹持续性胀痛六小时
Severe Acute Pancreatitis-epigastric quadrant abdominal pain for six hours
不明原因的下消化道出血--黑便、进行性乏力、头昏
Obscure Lower Gastrointestinal Bleeding-tarry stools, increasing fatigue and dizziness
药物性肝病--干咳、盗汗6个月，皮肤黄染20天
Drug Induced Liver Disease（DILD）-Dry cough and night sweat for 6 months,jaundice for 20 days
第四章 肾脏及泌尿系统疾病
Chapter Four Disorders of the Kidney And Urinary System
急进性肾小球肾炎--咳嗽、发热、进行性血肌酐升高
Rapidly Progressive Glomerulonephritis（RPGN）-cough,fever and progressive increase of serum creatinine
慢性肾小球肾炎--血尿
Chronic Glomerulonephritis-hematuria
IgA肾病--年轻男性、咳嗽、浓茶色尿
IgA Nephropathy-a young guy with cough and tea-colored urine
肾病综合征--水肿、腹胀和蛋白尿
Nephrotic Syndrome-edema, abdominal distention and proteinuria
狼疮性肾病--皮疹、蛋白尿、关节痛、贫血
Lupus nephritis-skin rashes, proteinuria, arthralgia and anemia
糖尿病肾病--高血糖、高血压、微量白蛋白尿
Diabetic Nephropathy-hyperglycemia, hypertension, and microalbuminuria
慢性肾盂肾炎--尿频、尿痛、低热与背痛
Chronic Pyelonephritis-dysuria, frequency of micturition, low-grade fever and back pain
肾小管性酸中毒--低血钾、进行性口干、眼干
Renal Tubular Acidosis-hypokalemia, progressive dry mouth and dry eyes
急性肾衰--腹泻、呕吐、少尿
Acute Renal Failure-diarrhea, vomiting and oliguria
慢性肾衰--贫血，进行性气急
Chronic Renal Failure－anemia, progressive dyspnea
代谢性酸中毒--昏迷
Metabolic Acidosis-coma
低血钾--乏力、虚弱、便秘、多尿
Hypokalaemia-fatigue, weakness, constipation, polyuria
第五章 血液系统疾病
Chapter Five Disorders of the Hematology System
缺铁性贫血--面色苍白伴乏力
Iron Deficiency Anemia-pallor, fatigue
巨幼细胞性贫血--面色苍白、牙龈出血
Megaloblastic Anemia-pallor with gums bleeding
急性非淋巴细胞性白血病--反复咽痛伴发热
Acute Myeloblastic Leukemia（AML）-repeated pharyngodynia, fever
急性淋巴细胞性白血病--咽痛伴发热
Acute Lymphocytic Leukemia（ALL）-pharyngodynia accompanied with fever
慢性粒细胞性白血病--中上腹不适1周伴血象异常
Chronic Myelogenous Leukemia-epigastric discomfort for one week, abnormality of blood routine
淋巴瘤--颈部淋巴结无痛性进行性增大伴发热
Lymphoma-painless gradual enlargement of cervical lymph nodes with fever
特发性血小板减少性紫癜--月经量增多、血小板减少
Idiopathic Thrombocytopenic Purpura （ITP）-menorrhagia , thrombocytopenia
第六章 内分泌系统疾病
Chapter Six Disorders of the Endocrinology System
糖尿病伴大血管病变--多尿、多饮、体重减轻伴阵发性胸痛
Diabetes Mellitus with Macrovascular Complications-polyuria, polydipsia, weight loss with intermittent chest pain
高血糖危象--头晕、乏力、多饮、多尿、意识模糊
Hyperglycemic Crises-dizziness,weakness,polyuria,polydipsia,lethargy
蜜月期的1型糖尿病--多饮，多尿和体重下降
A Type 1 Diabetes Mellitus Patient in the Honeymoon Phase-polydipsia, polyuria and weight loss
甲状腺亢进症--纳亢、怕热、心悸、消瘦
Hyperthyroidism-increased appetite, heat intolerance, palpitation, weight loss
亚临床甲状腺功能减退--乏力，皮肤干燥，便秘
Subclinical Hypothyroidism-malaise, dry skin, constipation
亚急性甲状腺炎--低热，颈前疼痛
Subacute Tyroiditis-low fever，anterior neck pain
原发性醛固酮增多症--四肢无力，血压正常
Primary Hyperaldosteronism-myasthenia of limbs with normal blood pressure
第七章 风湿系统疾病
Chapter Seven Disorders of the Rheumatology System
类风湿性关节炎--多关节痛
Rheumatic Arthritis-polyarthralgias
系统性红斑狼疮--发热、关节痛、面部皮疹
Systemic lupus erythematosus（SLE）-Fever, arthralgia, facial rash
第八章 急诊医学
Chapter Eight Emergency Medicine
休克
Shock
中暑--肌痉挛、无力、高热、神志不清
Heat illness-muscle cramping, fatigue, hyperthermia, unconsciousness
索引
Index
目 录内容简介
英文病例的书写和英语查房是内科学双语教学中的一个重要组成部分，是培养当今医学生和医师对外交流能力的途径之一。针对目前我国七年制和八年制医学生床旁学习和教学的需要，我们组织了复旦大学上海医学院内科系各临床科室主任编写这本临床中英文对照的病例分析，作为医学生临床见习和实习时辅助材料及英语查房范例。我们根据内科学各系统疾病设计编写大纲，选择病种编写典型病例。在编写时以症状为题，给予初诊时的临床资料，然后逐步深入，根据所给资料和临床思路进行诊断和鉴别诊断，再给予治疗方案，最后给予点评，是以临床问题为线索的床旁学习。同时用中英文对照形式书写，使读者在训练临床思维过程的同时，了解英语病例书写方式，熟悉英语专业词汇及用法，如能配以朗读可提高英语会话能力。本书也可作为临床医师及研究生的参考用书。使用本书时，可以循序渐进，即对于英语基础较差的医师或尚无条件开展双语教学的学校，可以先以中文病史训练临床思维，然后对照中文阅读英文。在此基础上逐渐增加英文病史的朗读并纠正发音，达到熟读及会话，最终达到能针对自己的临床病人、书写英文病史进行英文查房的目的。
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