实用医患英文对话 | 盆腔炎(配音频)
摘要: 盆腔炎(Pelvic Inflammatory Disease, PID)是一种女性上生殖道感染性疾病,常由性传播病原体引起,典型症状包括下腹痛、异常阴道分泌物、发热及排尿不适等。及时诊断和抗生素治疗对防止不孕等并发症至关重要。
- 盆腔炎常见症状包括持续性下腹痛、异常阴道分泌物、低热和轻微恶心。
- 医生通过问诊、妇科检查、阴道拭子、血液和尿液检测来确诊盆腔炎。
- 治疗通常包括抗生素,严重时可能需要住院。
- 患者在就诊过程中需配合脱衣检查、使用窥阴器及提供病史信息。
- 早期识别和干预可有效预防输卵管损伤和不孕等长期并发症。
小白老师说:想学好英语是要花功夫的。其实任何事情都是,一点一滴,坚持去做,一定会在某一天给你带来意想不到的收获。医患英文对话,今天的主题是 Pelvic Inflammatory Disease(盆腔炎),音频是录的美音。
Pelvic Inflammatory Disease (PID)

D: Please can you tell me what your problem is?
请问你能告诉我哪里不舒服吗?
P: I have lower abdominal pain and vaginal discharge.
我下腹疼痛,阴道有分泌物。
D: Will you tell me your symptoms?
能告诉我你的症状吗?
P: I’ve had vaginal discharge for two weeks now, since my last period, and the abdominal pain has been for the last week.
从上次来月经到现在,阴道一直有分泌物出来,差不多持续了两个星期,而腹痛是从上个星期开始的。
D: Is it very painful or uncomfortable?
很痛或不舒服吗?
P: It can be quite painful sometimes, but not all the time.
有时候很痛,但不是一直痛。
D: Where is it painful? Can you show me?
哪里痛,你能指给我看吗?
P: Just here. 就这里。

D: What does the vaginal discharge look like?
阴道分泌物是怎么样的?
P: A dark cream color. 乳白色有点发黄。
D: Does it smell? 有难闻气味吗?
P: No, l haven’t noticed. 没有,我没有注意到。
D: OK, are you taking any medication to help with the pain?
好的,你有吃什么药缓解疼痛吗?
P: I’ve been taking ordinary pain killers, but they don’t help very much.
我吃了些普通的止痛药,不过没有多大效果。
D: Is it worse if you are stressed or unhappy?
当你压力大或心情不好的时候会不会病情加剧?
P: No, nothing like that. 这倒没有。

D: Do you have any other symptoms?
你还有其他症状吗?
P: What kind of symptoms do you mean?
你指的是什么症状?
D: Do you think you have a fever, have you felt sick or vomited?
你觉得你有发烧吗?你感觉恶心想吐吗?
P: I hadn’t thought about it, but I do feel slightly sick all the time, and I feel hot most of the time.
我没有想过,不过我总是有轻微的恶心,并且我总是感到很热。
D: Are you able to sleep at night?
你晚上能睡着吗?
P: Normally, but l have woken up feeling hot the last couple of evenings.
睡眠一般,不过前两天晚上都被热醒了。
D: Do you have any trouble passing urine?
你小便有困难吗?
P: Well, I feel that I want to pass urine, but I have to wait a short time until I actually go.
我有尿意,不过我要等一段时间才能尿出来。
D: Do you have any problems having your bowels open?
你大便有问题吗?
P: No, no problems. 没有问题。

D: Are you menstruating every month? 你每个月都来月经吗?
P: Oh, yes. 哦,是的。
D: When did you last menstruate? 你上次来月经是什么时候?
P: A week ago. 一个星期前。
D: How many days does your period last for?
你的经期多长?
P: About seven days. 七天。
D: I need to examine you. Please take off your lower clothing and lay on the examining table?
我要给你做个检查,请问你能脱掉下身衣服,躺到检查床上吗?
I’m just going to press on your abdomen,tell me if it hurts.
我接下来要按压你的腹部,如果感到痛的话告诉我。
P: Yes, it hurts just there. 是的,就那里痛。
D: OK, I’m now going to examine your vagina, can you put your feet into these stirrups for me? And try to relax. I know it’s uncomfortable. I’m going to put a speculum into your vagina. It might feel cold. Please tell me if it hurts.
好的,我现在要检查你的阴道,你能把你的脚放到脚镫上吗?我知道很不舒服,不过还是请你尽量的放松。我要伸一个诊视镜到你的阴道里,你会感觉有点冷。如果感到痛请告诉我。
P: Ouch! Yes, it does hurt. A lot.
哎呀,真的很痛。

D: OK, I’m going to take a vaginal swab, to test for an infection or virus.
好的,我接下来要取阴道试样,检查是否细菌或病毒感染。
P: OK. 好的。
D: OK, I’ve finished. Will you get dressed.
好的,我检查完了,请穿好衣服。
I’m going to take your temperature, pulse and B/P.
我接下来要量你的体温、脉搏和血压。
I would like you to have some blood tests and a urine test. Is that OK?
我需要你做个血液检测和尿样检测,可以吗?
P: OK, where do l have to go?
没问题,我到哪里检测?
D: The nurse will show you where to go. You will need to wait for the results and bring them back to me.
护士会告诉你怎么走,你需要等待结果出来后拿来给我看。
P: OK, I’ll see you later. 好的, 一会见。

Later…
D: I’ve seen your results, and I think you may have Pelvis inflammatory disease, you will need to be seen by a senior gynecologist.Can you wait while I see if she is free?
我看过你的检测结果了,我想你可能有盆腔炎。一位高年资妇科医生会过来给你看病,你能等一会吗?我去看看她什么时候有空。
P: OK, is it serious? 好的,病情很严重吗?
D: Yes, it can be. You will need some antibiotics,and she will decide if you need to be admitted into hospital.
是的,有这个可能。你需要服用抗生素,而且她会决定你是否需要住院。
P: Oh, it’s that serious! 哦,这么严重啊!
D: Please don’t worry, you have a slight fever, and it’s best to be careful.
请别担心,你有点发烧,最好当心一点。
P: Oh, yes, I’m sure you are right. When do I see the other doctor?
当然,您说得对。我什么时候见那位医生?
D: You will see her today. I will go and check the time. 她今天会给你看,我去看一下什么时间合适。
P: Thank you so much! 非常感谢!
常见问题
盆腔炎有哪些典型症状?
典型症状包括下腹疼痛、异常阴道分泌物(如乳白色或黄色)、低热、轻微恶心,有时伴有排尿困难。
医生如何诊断盆腔炎?
医生会通过详细问诊、腹部和妇科检查,并结合阴道拭子、血液和尿液检测结果进行综合判断。
盆腔炎需要住院吗?
轻症通常口服抗生素即可,但若症状较重、高热或治疗效果不佳,可能需要住院接受静脉抗生素治疗。
盆腔炎会有什么并发症?
未经及时治疗的盆腔炎可能导致输卵管瘢痕、宫外孕或不孕等严重后果。
参考资料
Pelvic Inflammatory Disease (PID) - CDC
↗美国疾病控制与预防中心关于盆腔炎的诊疗指南
盆腔炎诊疗规范(中国)
中华医学会妇产科学分会发布的盆腔炎诊治共识