医患对话 | 心肌梗死 (1)

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Myocardial Infarction 心肌梗死（1）

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Intern: Have you ever had any heart trouble that you know about?

你知道你得过心脏病吗？

Patient: None. 没有。

Intern: Did you ever have rheumatic or scarlet fever as a child?

你小时候得过风湿热或猩红热吗？

Patient: No. 没有得过。

Intern: I see here in your previous history that you’ve never been short of breath on exertion, have slept on one pillow all of your life, never had swelling of the ankles, nor had to get up during the night to pass your water. Is that all correct?

从你的既往病史中， 我了解到你在用力时从来没有气短，一直是枕一个枕头睡觉，踝部从来没有肿过，晚上也不起来小便。以上说的全对吗？

Patient: Yes. 对。

Intern: Have you noticed any of these symptoms recently?

最近你注意到有这些症状吗？

Patient: No, I haven’t.

没有，没有注意到这些症状。

Intern: Have you ever had any chest pain before?

你以前有过胸痛吗？

Patient: No, this is the first time.

没有，这是第一次。

Intern: Is there any history of heart disease in your family?

你的家庭成员中有心脏病史吗？

Patient: Yes, my father died of a heart attack, and so did my uncle.

有，我父亲死于心脏病，我的叔父也是死于心脏病。

Intern: You said you felt light-headed. Is that right?

你说过你觉得头晕，对吗？

Patient: Yes, it is. 对，是的。

Intern: Then you didn’t actually experience unconsciousness?

那么你实际上没有过不省人事吧？

Patient: That’s correct. 对的。

Intern: I’ll be back in a few minutes, and we’ll examine you then.