胸痛护理中英文双语教学提纲

胸痛护理中英文双语Hudson赫德森sublingual[sʌb\liŋɡwəl]舌下的,舌下腺的GTNtablet硝酸甘油片PleaseputaHudsonmaskonherandgivehalfasublingualGTNtablet.请给她放一个普通面罩，再给她半片舌下含服的硝酸甘油。maximum[\mæksiməm]最大量的IfherBPremainsstableyoucangivefurthersublingualGTNdosesuptoatotalmaximumof3wholetablets.如果血压平稳你可以继续给她硝酸甘油，最多累计量为3片。dissolve[di\zɔlv]溶解chew[tʃu]咀嚼;咬vessel[\vesəl]血管,脉管,导管strain[strein]压力；重负Pleasedon’tchewit,justletitdissolve.Itshouldopenupyourbloodvesselsandreducesomeofthestrainonyourheart.请不要咀嚼它，让它自己溶解就行了。它应该能扩张你的血管。减少一些你的心脏负担。Ifitdoesn’trelieveyourchestpaininafewminutes,Iwillgiveyoumore.如果在几分钟之内你的胸痛还不能缓解我会再给你这种药片的。morphine[\mɔ:\fi:n]吗啡

PleasegivehertwopointfivemilligramsofIVmorphine.请给她2.5毫克的静脉吗啡。observations(obs)生命体征Ifitdoesn’trelievethepainwithintenminutes,andherobsarestable,thengiveafurthertwopointfivemilligrams.如果她的胸痛在十分钟内不缓解，而且生命体征稳定，就再给她2.5毫克。Herchestpainsoundsischaemic.PleaseputaHudsonmaskonherandgivehalfasublingualGTNtablet.IfherBPremainsstableyoucangivefurthersublingualGTNdosesuptoatotalmaximumof3wholetablets.Pleasedon’tchewit,justletitdissolve.Itshouldopenupyourbloodvesselsandreducesomeofthestrainonyourheart.Ifitdoesn’trelieveyourchestpaininafewminutes,Iwillgiveyoumore.PleasegivehertwopointfivemilligramsofIVmorphine.Ifitdoesn’trelievethepainwithintenminutes,andherobsarestable,thengiveafurthertwopointfivemilligrams.via

[\vaiə]经过，通过

vein

[vein]静脉

Wearegoingtogiveyouasmalldoseofmorphineviathedripintoyourveinandthenseehowyouarefeelinginabouttenminutes.我们要通过静脉点滴给你一个小剂量的吗啡，然后十分钟后看你的反应。titrate

[\taitreit]用滴定法测量，调节StartheronaGTNinfusionplease,andaslongasherBPremainsstable,youcantitratetheratetoachievecompletereliefofthechestpain.请开始给她上硝酸甘油的静脉输液，只要她的血压是稳定的，你可以调整剂量直到完全缓解她的胸痛。rid

[rid]使摆脱，解除

WearegoingtostartyouonadripofadrugcalledGTN,whichshouldhelptogetridofyourchestpainbyopeningupyourbloodvessels.

我们要给你上硝酸甘油的静脉输液，着重要可以扩张你的血管，应该能帮助你缓解胸痛。gradually

[\grædjʊəlɪ]逐步地，渐渐地

Wewillgraduallykeepturningitupuntilyourpaingoes.Itcancauseabitoflowbloodpressurethough,soI’llbecheckingyoursveryfrequently.

我们会逐渐地加大剂量直到你的疼痛消失。但它会引起一点低血压，所以我会经常给你测血压。paracetamol[pærə\sitəmɔl]扑热息痛（paracetanol）

It’salsoquitecommontogetaheadacheasasideeffect.IfthishappensletmeknowandI’llgiveyousomepracetamol.

它还有一个常见的副作用是头痛。如果这个副作用发生请告诉我，我会给你一些扑热息痛。Wearegoingtogiveyouasmalldoseofmorphineviathedripintoyourveinandthenseehowyouarefeelinginabouttenminutes.StartheronaGTNinfusionplease,andaslongasherBPremainsstable,youcantitratetheratetoachievecompletereliefofthechestpain.

WearegoingtostartyouonadripofadrugcalledGTN,whichshouldhelptogetridofyourchestpainbyopeningupyourbloodvessels.Wewillgraduallykeepturningitupuntilyourpaingoes.

Itcancauseabitoflowbloodpressurethough,soI’llbecheckingyoursveryfrequently.It’salsoquitecommontogetaheadacheasasideeffect.IfthishappensletmeknowandI’llgiveyousomepracetamol.shrink

[ʃriŋk]收缩,萎缩

heparin[\hepərin]肝素

Becausewewantthebloodclottoshrinkandnotgrowinsizewearegoingtostartyouonacontinuousdripofabloodthinningdrugcalledheparin.

因为我们想让你的血凝块萎缩，不要再扩大增多，所以我们开始给你持续静脉输注一种稀释血液的药物叫做肝素。cannula

[\kænjulə]套管，插管

FirstI’llinjectasmallamountofitstraightintoyourcannula,justtogiveyousomeinstantbloodthinningprotection,ok?

首先我要直接在你的静脉留置针里静推小剂量的药物，就是防止你的血液粘稠，好吗？

Wewillneedtotakeseveralbloodtestsfromyoutomakesurethatyourbloodisneithertoothinnortoothick;thefirstonebeingsixhoursafterstartingonit.

我们还需要给你做几次化验来保证你的血液既不过稀也不过粘，第一次血检在6小时后。anterior

[æn\tɪəri:ə]位于前部的

elevation

[\elə\veɪʃən]高处，向上

HehasmarkedanteriorSTelevationonhisECG.

他的心电图显示前壁的ST段抬高。thrombolyse

[\θrɔmbəu\lais]溶栓

consent

[kən\sent]赞同,同意

TPA

(tissueplasminogenactivator)

组织纤溶酶原激活物

WewillneedtothrombolysehimwithTPA.I’vealreadyconsentedhim.

我们需要用组织纤溶酶原激活物来溶栓,我已经得到了病人的同意。Becausewewantthebloodclottoshrinkandnotgrowinsizewearegoingtostartyouonacontinuousdripofabloodthinningdrugcalledheparin.FirstI’llinjectasmallamountofitstraightintoyourcannula,justtogiveyousomeinstantbloodthinningprotection,ok?Wewillneedtotakeseveralbloodtestsfromyoutomakesurethatyourbloodisneithertoothinnortoothick;thefirstonebeingsixhoursafterstartingonit.HehasmarkedanteriorSTelevationonhisECG.WewillneedtothrombolysehimwithTPA.I’vealreadyconsentedhim.bust

[bʌst]打破，打碎

I’mnowgoingtogiveyoutheclotbustingdrugthatthedoctorexplainedtoyouabout……Doyouhaveanymorequestionsaboutthetreatmentbeforewegiveit?

我将给你这个溶栓药，医生给你解释过的……在我给药以前你还有其他的疑问吗？troponin[trɔ\pəunin]肌钙蛋白，肌酐dimer[\daimə]二聚物PleasetakesomebloodforatroponinlevelandaD-dimer.请做一个血肌酐水平和D-二聚体试验的血液化验。enzyme[\enzaɪm]酶

indicator[\ɪndɪ

\keɪtə]指示剂

troponin[trɔ\pəunin]肌钙蛋白，肌酐

Thedoctorhasaskedmetotakesomebloodtestsfromyou.Oneistocheckforanenzymecalledtroponin,whichisanindicatorofheartdamage,

医生让我给你做一些血化验。一个是检查一种叫肌酐的酶，它是一种心脏损伤的指示性表现，

andtheotheriscalledaD-dimerwhi