实用医患英文对话 | 儿童肺炎
摘要: 儿童肺炎是一种常见的下呼吸道感染,通常由细菌或病毒引起,表现为发热、咳嗽、呼吸困难等症状,需及时诊断与治疗以避免并发症。
- 儿童肺炎典型症状包括持续发热、咳嗽、呼吸困难及精神萎靡。
- 医生通常通过听诊和胸部X光检查确诊肺炎。
- 轻症可在门诊接受抗生素(如青霉素)注射治疗,重症需住院。
- 家庭护理要点包括保持空气湿润、多饮水、易消化饮食及定时翻身。
- 若患儿出现病情恶化,应立即返院就诊。
小白老师说:专心只做好一件事,做到极致,胜过把一万件事情做得平淡无奇。这件事,完全可以是学英语。
实用医患英文对话,今天的主题是儿童肺炎。
Child Pneumonia
Parent: My child has a temperature and cough for three days. Yesterday he became worse.
家长:我家孩子发烧咳嗽已经三天了。昨天起情况加重。
Doctor: Has he any difficulty in breathing? Does he complain of chest pains? Does he play as usual?
医生:他呼吸困难吗?胸痛吗? 他和平常一样地玩吗?
Parent: He’s weak, and can’t breathe easily. He’s very pale.
家长:他软弱无力,呼吸困难,脸色苍白。

Doctor: I’ll examine his lungs. Most likely, it’s pneumonia. Let him have a fluoroscopy check.
医生:让我检查一下他的肺部。很像是肺炎。给他做个 X 光检查吧。
Later…
Doctor: Yes, he has pneumonia.
医生:没错,他得了肺炎。
Parent: ls it serious? Is there any danger?
家长:病情重吗? 有危险吗?
Doctor: I think he should be admitted to hospital for treatment.
医生:我建议他住院治疗。
Parent: I have other children at home. I have to take care of them too. Is it possible to have him treated in the out-patient clinic?
家长:我家里还有别的孩子需要我照顾,这孩子就在门诊治疗行吗?
Doctor : Yes, I would like to give him penicillin injections twice a day for two days. Is he allergic to penicillin?
医生:行。我要给他注射青霉素一天两次,共两天。他对青霉素过敏吗?

Parent : No. He isn’t. By the way, how should I take care of him at home?
家长:不,他不过敏。顾便问一下,在家我应当怎样照顾他呢?
Doctor : It’s important to keep the air in his room a little humid. It makes it easier for him to cough up the sputum. If he has difficulty in breathing, raise his head a little bit with a pillow or half-sit him up in bed. Turn him from side to side once every two to three hours. Give him easily digested food and lots of water to drink. Give him medicine regularly and come back to the clinic for his injections twice a day. If his condition gets worse, bring him back anytime. Otherwise come back to see me the day after tomorrow.
医生:很重要的一点是要让房间里的空气潮湿一些。这样他的痰比较容易咳出。假使他呼吸困难,可以用枕头将头部抬高一点或是让他采用半坐的卧位。每两三个小时给他翻一次身。给他易消化的食物并让他多喝水。按时服药。每天到门诊来注射两次药。假如情况不好,随时带他来看。如果情况还好,那就后天再来。
常见问题
儿童肺炎有哪些常见症状?
常见症状包括持续三天以上的发热和咳嗽,伴随呼吸困难、脸色苍白、乏力等表现。
儿童肺炎必须住院吗?
不一定。轻症可在门诊接受治疗,如每日两次青霉素注射;但若病情较重或家庭照护条件有限,医生可能建议住院。
在家如何护理患肺炎的儿童?
应保持室内空气湿润,让孩子多喝水、吃易消化食物,每2-3小时翻身一次,必要时抬高头部以缓解呼吸困难,并按时服药和复诊。
青霉素是治疗儿童肺炎的常用药吗?
是的,在无过敏史的情况下,青霉素常用于细菌性肺炎的治疗,通常需连续注射数日。
参考资料
儿童社区获得性肺炎诊疗规范(国家卫健委)
中国官方关于儿童肺炎诊断与治疗的临床指导文件
WHO - Pneumonia in children
↗世界卫生组织关于儿童肺炎的流行病学与管理指南