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1、场景一:Patient: Nurse,rm not feeling well today.Doctor: Where don't you feel well ?P: I have a pain in my abdomen.D: How long have you had it ?P: It started in the morning. At the beginning I have a stomachache.D: How long did it last ?P: About 3 hours , but this after noon it moved to the right lo
2、wer part of the abdome n for 5 hours.D: Have you had any vomiting ?P: I have only nausea.D: Have you any diarrhea ?P: No.D: Any fever ?P: I don't know.D: Let me take your temperature. All right , you have a slight fever.D: Please lie down on the bed, loosen your belt, please. Let the doctor exam
3、ine you abdomen. P: Thank you.D: Don't be nervous and try to relax.P: All right.D: The doctor said you n eed to collect a specime n of blood for exam in ati on.P: Yes.D: The result of your blood test tells us that your white blood cell count is 18000.P: I see,thank you.D: The doctor said that yo
4、u had acute appendicitis.P: Oh, I am scared.D:Don't be afraid , you will recover. The doctor said that you have to have an operation. So , please sig n your n ame on the consent form to say that you agree to the doctor operati on on you. P: I'll co-operate.D: Thanks for your co-operation.场景二
5、:医生:Hello, little fellow. You're David Brown, right? .Well, Mrs. Brown, what seems to be the problem?你好.小家伙.你是大卫?布朗是吗?-布朗太太.您的小孩看起来有什么问题吗?布朗夫人:I've got the flu these days, and I think he's been infected by me. He started to cough last ni ght. I took his temperature this mornin g. It was
6、39 degrees.这几天我染上了流感.我觉得他被我传染了 .昨晚他开始咳嗽.今晨我给他测了体温.39度. 医生:All right. Now open your mouth.好的.现在张开嘴巴-布朗夫人:Well, doctor?医生.怎么样?医生:Not very serious. I'll write you a prescripti on. If you follow the direct ions, your child will soon be okay.不怎么严重.我给你张处方.如果按照要求去做.您的小孩很快就会好的.场景三:Doctor: What's you
7、r trouble?Brown : I ' m not sure,l've got a headache and rve coughed badly.Doctor: When did the trouble start?Brown : I was sick most of the night.Doctor: It sounds like you are coming down with the flu. Let me take your temperature.Brown : Have I got a high fever?Doctor: Yes, thirty-eight p
8、oint seven. Do you have a headache, chest or throat pain?Brown : Yes, I have.Doctor: Now, let me have a look at you. I' d like to listen to your chest. Now breathe in, a deepbreath, that ' s it. Cough, now again. I want to examine your throut, too. Open wide, say- ”.Brown : Aaaaahh, aaaaahh.
9、Doctor: Yes, it does look a bit sor e. Let ' s take anaX of your chest and give you a few tests.Brown : All right, thanks.Doctor: The tests showed nothing wrong. A slight viral infection.Brown : What shall I do today?Doctor: I ' m giving you some antibiotics and aspirins. Take an aspirin whe
10、n you' ve got a feveand take one antibiotics capsule every four hours, and go home and rest in bed for two days. Drink plenty of water, then you' ll feel better. Here' s the prescription.Brown : Thank you, doctor. Good-bye.场景四:A: What seems to be the problem?哪里有问题?B: Oh, my God! It '
11、 s my stomach. It' s killing me!哦,老天啊!我的胃。快疼死了!A: Where does it hurt the most?哪里疼的最厉害?B: Right here! It hurts right here!这里,就是这里疼。A: How long has it felt like this?像这样疼了有多长时间了?B: I felt OK whe n I woke up, and the n, sudde nly, I had this really sharp pain.我起床的时候还感觉挺好的,然后突然一下子我胃疼的受不了!A: Do you h
12、ave a history of stomach pain?你有过胃疼病史吗?B: No, and I have n ' t done anything out of the ordin ary.没有,我也没做过跟平常不一样的事情。A: Well, I think that we are going to have to get you to an emergency room right away.呃,我认为要马上把你送到急诊室。B: Tha nk you for help ing me.多谢你的帮助。(Later)A: Hello, doctorstill have a bad s
13、tomachache, and just finished getting tested.您好,大夫。我的胃依旧疼得厉害,这是刚做完的检查。B: The results show you have diarrhea.检查结果显示你得了痢疾。A : Any in struct ions I should be pay ing special atte nti on to?这病都需要注意些什么?B: Don't eat anything cold or spicy.不要吃生冷和刺激性食物。A : No medicine?不用吃药吗?B: Of course you'll need
14、some medicine. I will prescribe some for you.当然得吃药。我给你开点儿药。A : Thanks.谢谢。场景五:有朋友来探病Jenny : How are you feeli ng?你觉得怎样?Daniel: Bad. My nose keeps running. And my forehead is burning.糟透了。我一直在流鼻涕。我一直在发烧。Jenny : You said you n ever went to hospital.你说你从来不上医院的。Daniel: I will get better soon.我很快就会好的。Jenny
15、 : The good thing is you don't n eed to go to school.还好,你不用去上学。Daniel: Yeah, I love that, no class, no homework, and no exams.是啊,我喜欢这点,不用上课,不用写作业,也不用去考试。Jenny : And your Mom and Dad will buy you anything you ask for.还有你要什么你爸妈就会给你买什么。Daniel: Haha, I just got the Ultraman costume. My Dad bought it
16、.哈哈,我刚刚得到一件奥特曼的制服。我爸爸给我买的。Jenny : I really envy you, Danny.我真羡慕你,丹尼。Daniel:Come on, I got nu merous shots for that. You have no idea whatve bee n through with the n eedle. 得了吧,我为这个挨了无数针呢。你都无法想象我怎么熬过来的?Jenny: Your sister said you fain ted three times duri ng the injecti on.听你姐姐说你打针时晕倒了三次。Daniel: May
17、told you? Oh, May, she's such a tattletale.阿美告诉你的?哦,阿美,她真是个多嘴婆。Jenny : No matter what, you are still my hero, Dani el.不管怎样,丹尼尔,你仍然是我的英雄。Daniel: Jenny, promise me to keep this a secret, will you?珍妮,你发誓替我保守这秘密,行吗?Jenny: OK, I promise. You promise you will be well soon?好的,我保证。你保证你快点儿好起来哦?Daniel: De
18、al.行啊!场景六:大夫:请进。你哪里不舒服?Doctor: Please come in. What seems to be the trouble?病人:肚子不舒服。我想可能是昨晚吃得太多了。Patient: It' s machohrthink probably I had too much at supper yesterday evening.大夫:你昨晚吃了些什么,能告诉我吗?Doctor: Can you tell me what you had for supper yesterday eve ning?病人:海鲜,烤鸭。种类很多,有的我叫不出名儿。Patient: S
19、eafood, roastduck. Oh, a great variety of things, I canactly. ' t name them ex大夫:你呕吐过没有?Doctor: Have you vomitted?病人:呕吐过。昨晚吐了三次,还上了好几趟厕所。Patient: Yes, I have vomitted three times and made several trips to the bathroom last night.大夫:我明白了。你得做一个大便检查。我给你开一张化验单。你带着化验单到化验室去。 检查完后,请把化验报告给我送过来。Doctor: I
20、 see. Now you have to get your stools tested. I' ll write out a slip and you can take it to thelaboratory. Wait for a while and pick up the report, and the n bring it back to me.病人:好吧。待会儿见,大夫。Patie nt: All right, doctor. IlaterIJsee you大夫:待会儿见。Doctor: See you later.病人:大夫,这是我的化验报告。Patient: Here
21、39; s my report, Doctor.大夫:请坐。让我看看。没什么大问题。只是你吃了过多的油腻食物,导致消化不良。我给你开点药。吃了这些药你会感觉好多了。接下来的几天,你的饮食要尽量清淡一点。Doctor: Take your seat, and let me have a look. It ' s nothing serious, only indigestion due to toomuch oily food. I will prescribe you some medici ne for it to make you feel better. I do advise
22、you to avoid oily food for the n ext few days.病人:我会照你说的去做。谢谢您,大夫。Patient: I will follow your advice. Thanks a lot.大夫:不客气。Doctor: You are welcome.场景七:大夫:你哪里不舒服?Doctor: What seems to be the problem?病人:唉,我刚才过马路,正赶上一辆车从拐角处开过来。由于车速过快,等司机看到我再 刹车时,已经太晚了。我被撞倒在地,从地上爬起来时,我发现我的左臂和肘部也被擦伤, 并且现在我的肋骨有点痛。Patie nt:
23、Well, I was cross ing the road, where a car came round the corner too quickly, and whe n the driver saw me, it was too late to stop. I was kno cked to the ground, and whe n I got up,my left arm and elbow were grazed and no w, I have a pain in my ribs.大夫:让我检查一下吧。你哪儿疼啊?Doctor: I'll just take a loo
24、k. Where does it hurt?病人:这很难说清楚,好象浑身都痛。Patient: It's hard to say. It hurts all over.大夫:我按这儿,你疼不疼?Doctor: Does it hurt whe n I do this?病人:哎呀!你一按这儿我就疼得要命。Patie nt: Ouch! The pain is very bad whe n you press here.大夫:你的胳膊和肘部好象没什么问题。但是出于安全考虑,你还是最好去照一张X光片。片子照好之后,马上拿过来让我看看。Doctor: You arm and elbow see
25、m to be all right. But, to be on the safe side, you'd better go to the X-ray Departme nt. When the X-rays are ready, bring them back to me to exam ine.病人:好的,那么待会儿再见吧!Patie nt: OK. See you later.大夫:待会儿见!Doctor: See you the n!(Ten minutes later, the patient brings back the X-ray plates)病人:这是我的X光片。
26、Patie nt:Here's my X-rays.大夫:让我看看,一切基本正常。只是这儿,你看,有点小问题。有一点骨裂。Doctor: I'll just take a look at it. Everything is all right, except here, see it? There's a hairline fracture.病人:这严重吗?Patient: Is it serious?大夫:算不上严重。但是,这两三周你最好不要去上班。尽量卧床休息Doctor: No. It's not very serious, but you should
27、take two or three weeks off work, and rest in bed as much as possible.病人:大夫,我是否需要服用点什么药呢?Patient: Should I take some medicine, doctor?大夫:是这样,我会给你开一些草药,这样你的伤口会愈合得快一点。另外,你还需要服用 一些口服药。这是药方。待会儿你拿到药房去配药。请按说明服药。Doctor: All right. I'll give you some herbal medicine to help you heal quickly. In addition
28、, I will prescribe you some medici ne for oral adm ini strati on. Here is a prescripti on. Take it to the chemist's. please take the medicine according to the instruction.病人:我需要上石膏吗?Patie nt: Will I n eed to be put in plaster?大夫:不需要。药方里我给你开了一管药膏。每天搽两三次。Doctor: No, it isn't n ecessary. I have
29、 presribed you a tube of oin tme nt. Adm ini ster it two or three times a day.病人:非常感谢您,大夫。Patie nt: Thank you very much, doctor.大夫:不客气。再见!Doctor: Not at all. Goodbye!病人:再见!Patie nt: Goodbye!场景八:Doctor: What seems to be your trouble ?Patient: My bowel movements have been a kind of black for the past
30、two days and I feel weak.D: Where is your pain ?P: It is in the upper side of my abdomen.D: What kind of pain is it ?P: It's sort of burning pain.D: How long have you had this pain ?P: rve had it for two years , but it's never been this bad before.D: When do you feel pain the most ?P: In the
31、 middle of the night.D: According to your symptoms , it looks like you have duodenal ulcer. We shall have to take an x-ray picture of your stomach and in testi nes. You must no tice diet.医生:您有什么不舒服?病人:两天来我的大便有点黑,同时还感到虚弱。医生:您哪儿疼?病人:上腹部。医生:是什么样的疼痛?病人:烧灼样痛。医生:这种疼痛有多长时间了?病人:疼了两年了,但以前从来没有这次疼得厉害。医生:您感觉什么时
32、候最疼?病人:半夜最疼。医生:根据您的症状看,可能是十二指肠溃疡。我们将给您做胃肠X线检查。您必须注意饮食.场景九:patient : Doctor I have been suffering from " fits" for a few years . I wonder what matter is with me and hope you'll help me get rid of them soon.Doctor : What do you mean by a "fit" ?P: By "fit" I mean I lo
33、se con scious ness and fall on the gro und on sudde n .D: What time did your attack begin ?P: When I was married and on ly 25 years old .D: How many years so far ?P: Over three years .D: How long does each attack last ?P: About a minu te.D: How long is the interval between two successive attacks ?P:
34、 Sometimes round a month , and sometimes two mon ths . Could it be related to circumsta nces?D: What lind of cases usually provokes your attacks ?P: It is difficult to say exactly . Once when I was crossing the street , a swiftly moving car sudde nly drove by and I became very hervous , I could n
35、9;t con trol myself. I screamed and blacked out .D: Were you injured ?P: No , the car stopped at once . I came to quickly , then walked home .D: Any other attacks ?P: On another occasion , no sooner had a nurse drawn blood from a patient than I felt perspirati on and weak ness followed by loss of co
36、n scious ness.D: Did you have other manifestations during the attack ?P: I was told by eyewitmesses that I became pale and sweated excessively duri ng the attack , but I had no convulsions , incontinence or anything else.D: Have you had any special exam in ati ons ?P: The doctors work ing in our cou
37、n ty's hospital told me that my physical exam in atio n,electr ocardiogram , and chest and skull x-ray exam in ati on results were no rmal . I've had no other special exam in ati ons.D: Let me give you a thorough physical and n eurological exam in alti on . Some furtherexaminations should be
38、 done , including an electroencephalogram and a brain scan . Also the electrocardiogram should be repeated . Here are your referral sheets . After you have had all these exam in ati ons please come back for ano ther checkup.P: I have had all the exam in ati ons you ordered. Are all the results back
39、yet ?D: Yes , and all the results are normal.P: Then what is the cause of my "fits" ?D: The no rmal results of physical and n eurological exam in ati ons and other special exam in ati ons suggest n either orga nic heart or brain diseases nor epilepsy . The symptoms and sig ns which occus d
40、uri ng an attack , such as palpitati ons , pale ness and excessive sweati ng coin cide with an imbala nee of the aut ono mic n ervous system fun cti on . Dysfu nction of the autonomic nervous system can lead to a decrease in the cardiac output , cerebral anemia , suppressi on of brain function , and
41、 fin ally to a loss of con scious ness . Such an attack is termed syncope.P: Can you give me some medicine to calm the syncope down ?D: Yes . You should pay more attention to regulating your life such as getting up and going to bed regularly and not drinking or smok ing too much . I'll give you some medici ne to regulate the function of your aut ono mic n ervous system . If you follow my advice, rm sure yourcon diti on will get better soon. Sometimes your symptoms may recur ,this is a n aturalphenomenon . Don't worry , such recurrences don
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