出院小結(jié)翻譯

出院小結(jié)翻譯Admissiondiagnosis:1.Sinusinfectionandintracranialinfection2.post-renaltransplantationAdmissionsituationandtreatment:58-year-oldman,relateddonorrenaltransplantationinApril20xx,thefunctionoftransplantedkidneywasnormal.Receivedsurgicaltherapyoneafteranotherin...becauseofsinusayearago.Thepathologicalsectionoffirstsurgery(20xx.8)showedthatitislikelytobefungalinfection(mostlikelytobeaspergillus),butdidn’tshowanyevidenceonfungalinfectionthereafter.Painintheleftsideoftheforeheadremissionlessobviousafteroperation,andthevisionoflefteyedeclinedobviously.InDecember20xx,atwuhanunionhospitaldepartmentofophthalmology,suspectedasopticneuritisandreceivedHigh-dosesteroidpulsetherapyandDecreasingtherapyforaboutonemonth.Hadafever(37-38℃)withheadacheaggravatedinmarch,20xx,theCTshowedthepossibilityoffungalinfectionoftheleftsphenoidsinus,andreceivedantifungaltherapy(Mycamineforoneweek,thenvoriconazoledroppedforoneweek),insteadoforalvoriconazoleafterbodytemperaturewasnormalanddischarged.ReexaminationofCTonemonthlatershowedtherangeofinfectionoftheleftsphenoidsinusgetsmaller.Thepatienthadariseintemperature(about37.6℃)andheadacheaggravatedagain,afteroralvoriconazolefortwomonths,theappetiteandbodyweightdeclinedobviously.ThepatientcametoourhospitalbyJuly21,20xx,theoutpatientCTshowedtherangeofinfectionofsinusgetlargeragain,......AtJuly23,theMRIandMRIenhancementscanshowedinfectionofleftsphenoidsinusandcavernoussinus,abscessformationoffrontallobe.Firstofall,wegaveMycamine(150mg,qd)afteradmission,thefollowingdayreadasvoriconazole(0.2,bid),posaconazole(10ml,bid)andLinezolidInjection(0.6g,qd)foranti-infectiontherapy,andstoppedallimmunosuppressants,supplementproteinandgammaglobulin,nutritionalsupporttherapyetal.Thelumbarpunctureshowedthepressureofcerebrospinalfluidwasnormalinthisperiod,buttheIgG,IgM,IgAlevelsincrease,theglucoselevelwasnormalandtheproteinlevelwasincrease,alloftheseconformtothediagnosisofintracranialinfection........Thefeveraggravatedaftertreatmentfor4days,andthehighestbodytemperaturewas39℃,reexaminationofMRIshowedthatontheleftsideofthesphenoidsinus,cavernoussinusandfrontallobe,therehadsomeabnormalsignallesions........SuspendedLinezolidInjectionandmannitol,keptonantifungaltherapy(Weifan,0.2,q12h).Dischargediagnosis:1.Sinusinfectionandintracranialinfection2.post-renaltransplantation3.abnormalglucosemetabolism4.hypertension5.polycysticliver,polycystickidneyDischargesituation:Consciousmind,continuousfever(38-39℃),Cr149umol/Lthismorning........第二篇：出院小結(jié)模板1000字湖北省人民醫(yī)院科別：肝膽胰外科住院號(hào)：638860出院記錄患者姓名：王小紅性別：女年齡：37歲入院日期：20xx-2-1316:00:22出院日期：20xx-3-0911:00:22入院診斷：1、肝內(nèi)外膽管結(jié)石出院診斷：1、肝內(nèi)外膽管結(jié)石2、慢性淺表性胃炎2、慢性淺表性胃炎3、2型糖尿病3、2型糖尿病4、膽汁淤積癥入院情況：“反復(fù)右上腹痛8年，加重2周”入院，入院查體：體溫36.2℃，血壓130/110mmHg，發(fā)育正常，營養(yǎng)良好，神清，皮膚中度黃染。全身淺表淋巴結(jié)未觸及腫大。心肺未見異常。腹平坦、對(duì)稱，腹壁柔軟，右中上腹壓痛，無反跳痛，莫菲氏征陰性。肝、脾肋下未觸及，肝區(qū)及雙腎區(qū)無叩擊痛，移動(dòng)性濁音陰性，腸鳴音正常。院內(nèi)檢查：小便常規(guī)、輸血四項(xiàng)、腫瘤六項(xiàng)基本無異常。血常規(guī)：白細(xì)胞(WBC)16.9110E9/L、中性粒細(xì)胞百分率(NE%)89.14%，生化全套：白蛋白(ALB)31.0g/L、總膽紅素(TBILI)153.9umol/L、直接膽紅素(DBILI)115.2umol/L、谷丙轉(zhuǎn)氨酶(ALT)137U/L、谷草轉(zhuǎn)氨酶(AST)109U/L、谷氨酰轉(zhuǎn)肽酶(GGT)1070U/L、肌酐(CREA)33umol/L，凝血四項(xiàng)：纖維蛋白原(FIB)6.51g/L，血?dú)夥治觯核釅A度(pH)7.31、氧分壓(pO2)79.1mmHg、實(shí)際碳酸氫鹽（HCO3-)18.1mmol/L，血淀粉酶(血AMS)195.80U/L、尿淀粉酶(UAMS)1068U/L。心電圖：大致正常。胸片：心肺未見異常。腹部CT：肝內(nèi)膽管多發(fā)結(jié)石較前增多，膽總管下端結(jié)石（新出現(xiàn)）并膽系擴(kuò)張，左腎上極囊腫，右肺中葉、左肺舌段炎癥。