医患英文对话 | 贫血

小白老师2017/06/29英语学习

摘要: 缺铁性贫血是由于体内铁元素不足导致血红蛋白合成减少,从而引起疲劳、苍白、气短等症状的一种常见贫血类型,女性月经过多是其常见诱因之一。

  • 患者主诉长期疲劳、腿软、气短和头晕,结合面色苍白,提示可能存在贫血。
  • 医生通过询问病史(如月经量多、持续时间长)初步判断为缺铁性贫血。
  • 确诊依赖血液检查,治疗包括口服铁剂(建议饭后服用以减少胃肠道刺激)和针对病因的专科转诊(如妇科)。
  • 医患英文对话中常用表达包括 'feel weak/fatigued', 'short of breath', 'heavy periods', 'iron deficiency anaemia' 等。

小白老师说:很抱歉公众号停更了两天。期末大考,老师大忙,感觉学生没挂老师倒要挂了,阅完卷真是有种死里逃生的感觉啊。Anyway,I survive. And I’m back! 今天带大家来学习一则医患英文对话,主题是贫血(anaemia)。录了音频(美音)方便大家模仿跟读。

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Patient: I have been feeling weak recently. In the last few days it’s been getting worse. I don’t know what is the matter with me.

我最近觉得乏力,这几天加重了。我不知道出了什么问题。

Doctor: You look very pale. I’ll give you a thorough checkup.

你看起来很苍白。我给你详细检查一下。

Doctor: Now, first of all, I would like to have a detailed history. How long have you been feeling sick?

现在,首先我想知道你详细的病史。你病了多久了?

Patient: I’m not quite certain. I’ve been feeling fatigued( tired ) for a year or so.

我不能肯定。我感到疲乏已经有一年了。

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贫血的症状

Doctor: Any other complaints? How is your appetite?

还有其他的不舒服吗?你的食欲怎么样?

Patient: My appetite’s all right. I just feel tired. My legs are so weak. Sometimes, I can’t even climb the stairs. Occasionally, I feel short of breath and giddy.

我的食欲还好。我只是感到疲劳。有时我的两腿特别无力,我甚至不能爬楼梯,有时我觉得气短和头晕。

Doctor: How are your periods? Are they very heavy?

你的月经怎么样?量很多吗?

Patient: Usually they last about a week. They seem heavy. Sometimes there are clots. During my period, I feel a lot of pain.

一般持续一周左右,量是有很多。有时有血块。在经期中我感到很痛。

Doctor: I want you to have a blood test now and I’ll wait for the result.

我希望你做个血液检查,我在这里等结果。

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Later …

Doctor: According to the blood test, you are suffering from an iron deficiency anaemia, probably due to your heavy periods.

根据血液检查,说明你得的是缺铁性贫血,可能和你的月经过多有关。

Patient: What should I do?

我该怎么办呢?

Doctor: I am going to prescribe some iron tablets for you, which should be taken after meals or they will spoil your appetite. Then I would like you to see a gynecologist. We’ll make an appointment for next Tuesday at 8:00 a.m.

我给你开一些补铁的片剂,请在饭后服用,否则会影响你的食欲。另外我觉得你应去妇科检查一下。我们给你约在下周二早晨 8 点钟。

常见问题

缺铁性贫血的典型症状有哪些?

典型症状包括乏力、面色苍白、气短、头晕、心悸,严重时可能出现腿软、无法爬楼梯等体力下降表现。

为什么月经过多会导致贫血?

月经过多会造成慢性失血,使体内铁储备逐渐耗尽,进而影响血红蛋白合成,引发缺铁性贫血。

补铁药为什么要饭后服用?

铁剂可能刺激胃黏膜,引起恶心或食欲下降,饭后服用可减轻胃肠道不适并提高耐受性。

确诊贫血需要做哪些检查?

通常需进行全血细胞计数(CBC)和血清铁相关指标(如血清铁、铁蛋白、总铁结合力)检测,以明确是否为缺铁性贫血。

参考资料

Iron deficiency anemia - Symptoms and causes

Mayo Clinic 关于缺铁性贫血的权威说明

Heavy menstrual bleeding and anemia

美国妇产科医师学会(ACOG)指出月经过多是育龄女性缺铁性贫血的主要原因