ADR—中英示例2

译无止境 April 13, 2019, 10 p.m.

Translation exercises


1月26日19时患者因左髋部外伤疼痛活动受限2小时,来我院就诊,拍X片示:左侧股骨颈骨折,骨折移位。为进一步治疗,拟“左侧股骨颈骨折”收入住院,入院查血常规:血小板计数160×10^9/L 。1月26日20时47分患者出现呼吸困难,神志模糊,心电监护氧饱和度74%,血压90/50mmHg,经会诊考虑肺栓塞,转ICU科进一步治疗。医嘱给予低分子肝素钠针5000iu皮下注射q12h抗凝治疗,5%葡萄糖注射液50ml+重酒石酸去甲肾上腺素针6mg静脉微泵维持根据血压调整。1月27日9时10分查血常规:血小板计数129×10^9/L 。1月27日考虑肺栓塞,患者生命体征极其不稳定,氧合指数极低,危及生命,复查血色素未见明显下降,考虑下肢骨折处无活动性出血,且排除其他溶栓禁忌,10:30经家属同意后给予阿替谱酶针50mg+注射用水50ml微泵静推2小时溶栓治疗。1月27日16时31分查血常规:血小板计数95×10^9/L 。1月28日 查血常规:血小板计数106×10^9/L 。1月29日 查血常规:血小板计数90×10^9/L ,医嘱改低分子肝素钠针为4000iu皮下注射q12h抗凝治疗,患者血压维持在100~120/60~74mmHg,医嘱去甲肾上腺素逐渐减量,改为5%葡萄糖注射液50ml+重酒石酸去甲肾上腺素针2mg静脉微泵维持根据血压调整。1月30日 查血常规:血小板计数69×10^9/L 。1月31日 查血常规:血小板计数61×10^9/L 。2月1日 查血常规:血小板计数下降至45×10^9/L ,血小板进行性下降,考虑低分子肝素相关性血小板减少,医嘱停用低分子肝素钠针,改用利伐沙班片15mg鼻饲bid继续抗凝。2月2日 查血常规:血小板计数54×10^9/L 。2月3日 查血常规:血小板计数63×10^9/L 。

At 19:00, January 26, the patient visited our hospital due to limited movements of left hip caused by trauma and pain for 2 hours. The X-ray showed left femoral neck fracture and fracture displacement. For further treatment, the patient was hospitalized with the diagnosis of "left femoral neck fracture” , and the complete blood cell count at admission showed platelet count 160 × 10^9/L. At 20:47, January 26, the patient developed dyspnea and mental confusion, blood oxygen saturation was 74% by ECG monitoring, and blood pressure was 90/50 mmHg. The patient was diagnosed with pulmonary embolism after consultation, and was transferred to ICU for further treatment. The patient was given Low Molecular Weight Heparin Sodium Injection 5000 iu s.c. q12h as anticoagulant therapy, 5% Glucose Injection 50 ml + Noradrenaline Bitartrate Injection 6 mg iv micro pump as maintenance therapy adjusted based on blood pressure according to medical orders. At 09:10, January 27, the complete blood cell count showed platelet count 129×10^9/L. On January 27, given that the patient was diagnosed with pulmonary embolism and the patient's vital signs are extremely unstable, the oxygenation index is extremely low, and the conditions was life-threatening, repeated measurement of hemachrome showed no obvious decrease. Considering no active bleeding on the lower extremity fracture, and other thrombolytic contraindications were excluded, at 10:30, after consent from the family, the patient was given Alteplase Injection 50 mg + Water for Injection 50 ml iv pump as 2-hour thrombolytic therapy. At 16:31, January 27, the complete blood cell count showed platelet count 95 × 10^9/L. On January 28, the complete blood cell count showed platelet count 106 × 10^9/L. On January 29, the complete blood cell count showed platelet count 90 ×10^9/L. The patient switched to Low Molecular Weight Heparin Sodium Injection 4000 iu s.c. q12h as anticoagulant therapy according to medical orders. The patient’s blood was maintained at 100~120/60~74mmHg. And the patient had the dose of Norepinephrine reduced gradually and switched to 5% Glucose Injection 50 ml + Noradrenaline Bitartrate Injection 2 mg iv micro pump as maintenance therapy adjusted based on blood pressure according to medical orders. On January 30, the complete blood cell count showed platelet count 69 × 10^9/L. On January 31, the complete blood cell count showed platelet count 61 × 10^9/L. On February 02, the complete blood cell count showed platelet count was decreased to 45×10^9/L and the platelet count was progressively declined, considering as thrombocytopenia related with Low Molecular Weight Heparin Sodium Injection. So the patient discontinued the drug and switched to Rivaroxaban Tablets 15 mg nasal feeding bid as ongoing anticoagulant therapy. On February 02, the complete blood cell count showed platelet count 54 × 10^9/L. On February 03, the complete blood cell count showed platelet count 63 × 10^9/L.

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