【醫(yī)學(xué)口語(yǔ)會(huì)話】：暈厥

1、醫(yī)學(xué)口語(yǔ)會(huì)話】：暈厥 patient ： Doctor I have been suffering from fits for a few years . I wonder what matter is with me and hope youll help me get rid of them soon. Doctor ： What do you mean by a fit? P： By fit I mean I lose consciousness and fall on the ground on sudden . D： P： What time did your attack begi

2、n? When I was married and only 25 years old . D： How many years so far? P： Over three years . D： How long does each attack last? P： About a minute. D： attacks? Sometimes round a month ， and sometimes two months . How long is the interval between two successive P： Could it be related to circumstances

3、? D： What lind of cases usually provokes your attacks? P： It is difficult to say exactly . Once when I was crossing the street， a swiftly moving car suddenly drove by and I became very hervous ， I couldnt control myself. I screamed and blacked out . D： Were you injured? P： No ， the car stopped at on

4、ce . I came to quickly then walked home . D： Any other attacks? P： On another occasion ， no sooner had a nurse drawn blood from a patient than I felt perspiration and weakness followed by loss of consciousness. D： Did you have other manifestations during the attack? P： I was told by eyewitmesses tha

5、t I became pale and sweated excessively during the attack， but I had no convulsions ， incontinence or anything else. D： Have you had any special examinations? P： The doctors working in our countys hospital told me that my physical examination， electr ocardiogram ， and chest and skull x-ray examinati

6、on results were normal . Ive had no other special examinations. D： Let me give you a thorough physical and neurological examinaltion . Some furtherexaminations should be done including an electroencephalogram and a brain scan . Also the electrocardiogram should be repeated . Here are your referral s

7、heets . After you have had all these examinations please come back for another checkup. P： I have had all the examinations you ordered. Are all the results back yet? D： Yes ， and all the results are normal. P： Then what is the cause of my fits? D： The normal results of physical and neurological exam

8、inations and other special examinations suggest neither organic heart or brain diseases nor epilepsy . The symptoms and signs which occus during an attack， such as palpitations ， paleness and excessive sweating coincide with an imbalance of the autonomic nervous system function . Dysfunction of the

9、autonomic nervous system can lead to a decrease in the cardiac output， cerebral anemia ， suppression of brain function ， and finally to a loss of consciousness . Such an attack is termed syncope. P： Can you give me some medicine to calm the syncope down? D： Yes . You should pay more attention to reg

10、ulating your life such as getting up and going to bed regularly and not drinking or smoking too much . Ill give you some medicine to regulate the function of your autonomic nervous system . If you follow my advice， Im sure your condition will get better soon. Sometimes your symptoms may recur this i

11、s a natural phenomenon . Dont worry， such recurrences dont mean regression . During the struggle against disase ， you must feel confident that you can overcome it ， then the medicine ， which Ill give you will help you defeat the enemy-syncope . Medicine is one way confidence is another . The latter

12、is more important than the former . You must keep my words in your mind . P： Thanks a lot， doctor. 病人：醫(yī)生，近幾年來(lái)我常常 突然發(fā)作. 我真想知道我得了什 么病，希望您快些給治好。 醫(yī)生：您說(shuō)的 突然發(fā)作是什么意思 ? 病人：我所說(shuō)的 突然發(fā)作 是指我突然不醒人事，摔倒地上。 醫(yī)生：您的發(fā)作是什么時(shí)候開(kāi)始的 ? 病人：在我結(jié)婚時(shí)，當(dāng)時(shí)我才 25 歲。 醫(yī)生：至今有多少年了 ? 病人：3 年多了。 醫(yī)生：每次犯病持續(xù)多長(zhǎng)時(shí)間 ? 病人：大約 1 分鐘。 醫(yī)生：每次發(fā)作相隔多久 ? 病人：有時(shí)候約

13、 1個(gè)月，有時(shí) 2 個(gè)月左右。我的病發(fā)作與周圍環(huán) 境相關(guān)系嗎 ? 醫(yī)生：平常在什么情況容易引起您的病發(fā)作 病人：很難說(shuō)清楚。有一次我過(guò)馬路時(shí)，忽然一輛小轎車飛快地 向我開(kāi)來(lái)，當(dāng)時(shí)我十分緊張，控制不住自己了。我大叫一聲就什么也 不知道了。 醫(yī)生：您傷著了嗎 ? 病人：沒(méi)有，汽車馬上停下來(lái)了。我很快醒過(guò)來(lái)就回家了。 醫(yī)生：還怎樣發(fā)作過(guò) ? 病人：另一次，我看一位護(hù)士給別的病人抽血，就冒汗、發(fā)軟， 隨后就暈過(guò)去了。 醫(yī)生：在發(fā)病的時(shí)候還有什么其他的表現(xiàn)嗎 病人：據(jù)看到我發(fā)病的人說(shuō)，在我發(fā)作時(shí)，臉色蒼白，大量出汗， 但是沒(méi)有摔搐、大小便失禁或其他情況。 醫(yī)生：您做過(guò)專門(mén)的檢查嗎 ? 病人：我們縣醫(yī)院的

14、醫(yī)生對(duì)我說(shuō)過(guò)，我的體格檢查、心電圖、胸 部和頭顱的 X 線檢查都正常。其他的專門(mén)檢查就沒(méi)有做過(guò)了。 醫(yī)生：我給您做一個(gè)內(nèi)科和神經(jīng)科的全面檢查吧。您還需要做些 進(jìn)一步檢查，包括腦電圖和腦掃描。心電圖也再做一個(gè)。這是各項(xiàng)檢 查單，把所有的檢查做完后再來(lái)門(mén)診看病。 病人： 您讓我做的都做完了。結(jié)果都出來(lái)嗎 醫(yī)生： 結(jié)果出來(lái)了，結(jié)果都正常。 病人： 那我的 突然發(fā)作 是怎么回事 ? 醫(yī)生：根據(jù)內(nèi)科、神經(jīng)科以及一些其他專門(mén)檢查看來(lái)，您既不是 器質(zhì)性的心臟病或顱腦病，也不是顛癇。您突然發(fā)作時(shí)的病狀和體征， 如心跳、蒼白和過(guò)多的血汗等，跟您自主神經(jīng)系統(tǒng)功能失調(diào)是相符的。 自主神經(jīng)系統(tǒng)的功能失調(diào)能引起心博出量的減少、腦貧血、大腦功能 抑制，最后失去知覺(jué)。象這樣的病我們就稱做暈厥。 病人：您能用什么藥治