英语会话及医院常用词汇

肌无力病人在气管切开前的恐惧

A Myasthehia patient’s Fear before Tracheotomy

老杨点了点头，他儿子跪在床边紧紧地握住父亲的手，同时在五官科主任的示意下先为患者静推了10mg安定，并马上配合施行了气管切开手术，为患者连接了人工呼吸机辅助呼吸。当一切就绪后，患者在辅助呼吸下，呼吸畅通了，紫绀消失了，脸上露出了疲惫而放松的微笑，慢慢地睡着了。

点评

由于自感病情严重而导致精神上的极度不安，这是危重病人共有的心理特征。他们感觉濒临死亡，既希望得到即刻的救治，又害怕因医护人员处理不当而造成严重后果。护理人员应洞悉病人及家属的这种矛盾心情，用沉着和切境的语言进行安慰和疏导，取得护理对象的信任和配合，同时以果断和熟练的技术赢得治疗时机，争取抢救成功。

Mr.Yang nodded.His son kneeled down at the bedside keeping his father’s hand in his grasp.At the same time with the advice of the ENT department，the doctors gave the patient 10mg of Valium intravenously，performed the tracheotomy immediately，and connected the respirator to the patient to assist his breathing.After all was done，the patient’s purplr complexion disappeared gradually.He breathed without difficulty，and fell asleep with an exhausted but relaxed smile on his face.

Comment

Extreme fear from awareness of the severity of the disease is the common psychological characteristic of critically ill patients.Feeling close to death，they are not only longing for an immediate treatment，but also afraid of the serious consequence that may result from improper treatment by doctors and nurses.Nurses should be aware of the concerns of the patients and their families.Nurses must provide comfort and guidance to obtain the patients’trust and cooperation by using calm and appropriate words.At the same time，nurses also need to grab the opportunity for emergency interventions with decisive and skillful technique to help patients to obtain successful treatment.

（苏翠红）

高位截瘫病人的整体护理

Holistic Nursing Care for a High Level Paraplegia Patient

背景：病人梁先生，30岁，因骑摩托车发生车祸，后胸、腰椎骨折。入院诊断：高位截瘫。病人神志清楚，精神沮丧，二便失禁，不能坐立。新婚3个月的妻子赵某来院见状忧虑不安，一个完整的家庭面临着危机。此时，床位护士来到病人和他妻子的身边，向他们伸出了援助之手。

Background：Patient Mr.Liang，30years old，fractured his thoracolumbar vertebra from a motorcycle accident.The hospital admission diagnosis was high paraplegia.The patient was conscious，sad，He had inconvenience of stool and urine and could not sit and stand.His wife arrived at the hospital in a hurry and was very concerned.The young couple got married only three months ago.The whole family faced a crisis.The nurse in charge went to the patient and his wife，and tried to give them a hand.

交流

护士：梁先生，请您张开嘴，给您漱漱口，好吗？

病人：（沮丧地）不必了。

护士：您现在的状况确实使大家都很痛苦，但并不是毫无希望呀！后天主任就要给您动手术进行复位。您的状况对手术会有一定影响，告诉我您在想什么，让我来为您分担些，好吗？

Interactions

Nurse：Mr.Liang，please open your mouth and let me brush your teeth，OK？

Patient：（sadly）No，there is no need.

Nurse：The situation of your health makes everyone feel sad，but there is still hope.The chief doctor is going to perform the operation on you the day after tomorrow.Your condition will have some influence on the success of the operation.Please tell me what you are thinking and let me share your concern，OK？

（宋良琤 王莉）