临床英语会话 | 心肌梗死 (2)

小白老师说：学英语说到底，无非是正确方法下的坚持不懈。方法可以由师傅领进门，坚持不懈则要靠自身。学习，遇见更好的自己。

Myocardial Infarction 心肌梗死（2）

Physician (patient’s family doctor): Hello, Dr.Grey. How’s Mr. Scott doing? What do you think he had?

你好，格蕾医生。斯考特先生病情怎么样？你认为他得了什么病？

Intern: A myocardial infarction. 心肌梗塞。

Physician: I have to agree with that. Why don’t we go to the lounge and discuss the problem? Then we can come back and see Mr. Scott again.

我同意你的意见。我们到休息室去讨论一下这个问题好吗？然后再回来看斯考特先生。

Intern: Fine. 好的。

Physician: What did you find on the physical exam? 查体你发现什么？

Intern: There really wasn’t anything remarkable.

确实没有什么异常的体征。

Physician: Does that surprise you?

那使你感到意外吗？

Intern: No, not really. 不意外。

Physician: What other conditions would you think of when ruling out an MI?

在排除心肌梗塞时，你会考虑是哪些病？

Intern: Pulmonary embolus, cardiac neurosis, dissecting aneurysm, and acute pericarditis.

肺栓塞、心脏神经官能症、夹层动脉瘤和急性心包炎。

Physician: That’s quite good. I would also consider hiatal hernia. He wasn’t in shock when I saw him, nor was there any evidence that he was going into acute pulmonary edema. Would you expect to see fever at the onset of this condition.

很好。我也会考虑食管裂孔疝。当我看他时，他并没有休克，也没有即将发生急性肺水肿的任何征象。在心肌梗塞初起时你认为会发烧吗？

Intern: Yes, I would. 是的，我认为有可能。

Physician: It’s usually absent at the onset, in contrast to acute pericarditis. It usually will rise within 24 hours and remain about a week.

与急性心包炎相反，心肌梗塞时一般不发烧。心肌梗塞的发烧通常在24小时内升高，大约持续一周。