干货来了!医患英文对话专题之Dyspnea呼吸困难

小白老师2015/11/29英语学习

摘要: Dyspnea(呼吸困难)是指患者主观感到空气不足、呼吸费力,常表现为呼吸频率、深度或节律的改变。在医患英文对话中,医生通常会通过询问症状持续时间、诱发因素、体位影响及夜间表现等来评估病情。该症状常见于心肺疾病,如哮喘、慢性阻塞性肺病(COPD)或心力衰竭。

  • 医博英语考试中听力占30分,其中医患对话占20分,是提分关键。
  • 掌握常见医患对话场景(如呼吸困难)中的固定表达和词汇可显著提升应试能力。
  • 英式与美式英语在医学对话中存在发音和用词差异,需注意辨识。
  • 评估呼吸困难时,医生常关注症状持续时间、活动/休息状态下的表现、平卧耐受性及夜间阵发性呼吸困难。
  • 患者描述呼吸困难常用表达包括 'can’t get enough air'、'short of breath'、'wheeze' 等。

小白老师说:医博英语考试听力占卷面分数的30分,听力部分是我们考出好成绩并与其他考生拉开差距的重中之重。听力部分,对话又占到20分(短对话15分,长对话5分),而这一部分是完全可以提前准备的——具体做法是把常见的医患对话情景都梳理一遍,扫除单词、习语、固定表达方式的障碍,到考试的时候遇到类似情景就可以做到胸有成竹,不慌不忙。今天医患英文对话的主题是Dyspnea呼吸困难。因为实在没有时间,小白老师没有给大家列生词表,单词请大家自己搞定了。

当然,对于不参加医博英语考试的同学和朋友们来说,下面的对话也是非常好的医学英语口语和听力素材。

请点击下方条形框播放语音

Listen to the dialogues. Dialogue A is in British English, dialogue B is in American English. Pay close attention to the differences in pronunciation and vocabulary.

Script One

D: How long have you had difficulty breathing?

P: Since last week, Doctor.

D: Is it very bad?

P: Yes, I feel as if / like / I can’t get enough air.

D: Which is more difficult / What’s harder /, breathing in or breathing out?

P: It’s harder to breathe in.

D: Are you short of breath when you are resting or only when you are doing something / physical /?

P: / A little / When I’m resting, but it’s worse when I try to do anything / physical /.

D: Can you lie flat in bed?

P: Oh, no.

D: How many pillows do you use?

P: Three.

D: Do you ever wake up at night feeling short of breath?

P: Yes, I do. It frightens / scares / me because I wake up feeling as if I can’t breathe.

D: What do you do when this happens? I mean, do you sit or stand up, does some movement help / you breathe easier /?

P: If I sit up, it helps a little.

D: Let me listen to your chest. … I can hear a few crackles and it sounds a bit wheezy.

Script Two

D: How long have you had difficulty breathing? / How long have you been short of breath?

P: I’ve had difficulty breathing for about two weeks.

D: When is your breathing most difficult?

P: I wheeze int the early hours.

D: Which is more difficult, breathing in or beathing out?

P: Breathing out is harder.

D: Are you short of breath when you are resting or only when you are working?

P: I’m short of breath when I’m working.

D: Can you lie flat in bed? Can you sleep on your back?

P: Yes, I can sleep on my back.

D: Do you ever wake up at night because you are short of breath? / Is your sleep disturbed?

P: Yes. I wake up several times because I’m short of breath.

D: What do you do then?

P: I usually get up and walk around when it happens.

常见问题

医博英语考试中听力部分有多重要?

听力占卷面30分,其中医患对话占20分(短对话15分,长对话5分),是拉开分数差距的关键部分。

如何准备医患英文对话中的呼吸困难(Dyspnea)场景?

应熟悉常见问诊句型(如症状持续时间、诱因、体位影响)、患者典型回答及医学术语(如wheeze、crackles、orthopnea)。

英式和美式英语在呼吸困难对话中有何区别?

主要体现在发音和部分词汇选择上,例如英式可能用 'breathing in/out',美式更倾向 'inhale/exhale',但核心医学表达一致。

医生如何通过对话判断呼吸困难的可能病因?

通过询问是否在休息或活动时加重、能否平卧、夜间是否憋醒、吸气或呼气更困难等,初步区分心源性或肺源性疾病。

参考资料

医博英语考试大纲与听力题型分析

根据文中提及的考试结构整理,具体官方文件未提供链接。

Dyspnea - StatPearls - NCBI Bookshelf

权威医学资源,涵盖呼吸困难的临床评估要点。