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1、,胸 痛,chest test 胸部, 胸腔 ischemic iskimik 缺血性的 (ischaemic) Her chest pain sounds ischemic. 她的胸痛听起来像是缺血性心绞痛。,Hudson 赫德森 sublingual sbliwl 舌下的,舌下腺的 GTN tablet 硝酸甘油片 Please put a Hudson mask on her and give half a sublingual GTN tablet. 请给她放一个普通面罩，再给她半片舌下含服的硝酸甘油。,maximum mksimm 最大量的 If her BP remains sta
2、ble you can give further sublingual GTN doses up to a total maximum of 3 whole tablets . 如果血压平稳你可以继续给她硝酸甘油，最多累计量为3片。,dissolve dizlv 溶解 chew tu 咀嚼; 咬 vessel vesl 血管, 脉管, 导管 strain strein 压力；重负 Please dont chew it , just let it dissolve. It should open up your blood vessels and reduce some of the stra
3、in on your heart. 请不要咀嚼它，让它自己溶解就行了。它应该能扩张你的血管。减少一些你的心脏负担。,If it doesnt relieve your chest pain in a few minutes, I will give you more. 如果在几分钟之内你的胸痛还不能缓解我会再给你这种药片的。,morphine m:fi:n 吗啡 Please give her two point five milligrams of IV morphine. 请给她2.5毫克的静脉吗啡。,observations (obs) 生命体征 If it doesnt relieve
4、 the pain within ten minutes, and her obs are stable , then give a further two point five milligrams. 如果她的胸痛在十分钟内不缓解，而且生命体征稳定，就再给她2.5毫克。,Her chest pain sounds ischaemic. Please put a Hudson mask on her and give half a sublingual GTN tablet. If her BP remains stable you can give further sublingual GT
5、N doses up to a total maximum of 3 whole tablets .,Please dont chew it , just let it dissolve. It should open up your blood vessels and reduce some of the strain on your heart. If it doesnt relieve your chest pain in a few minutes, I will give you more.,Please give her two point five milligrams of I
6、V morphine. If it doesnt relieve the pain within ten minutes, and her obs are stable , then give a further two point five milligrams.,via vai 经过， 通过 vein vein 静脉 We are going to give you a small dose of morphine via the drip into your vein and then see how you are feeling in about ten minutes. 我们要通过
7、静脉点滴给你一个小剂量的吗啡，然后十分钟后看你的反应。,titrate taitreit 用滴定法测量，调节 Start her on a GTN infusion please ,and as long as her BP remains stable , you can titrate the rate to achieve complete relief of the chest pain. 请开始给她上硝酸甘油的静脉输液，只要她的血压是稳定的，你可以调整剂量直到完全缓解她的胸痛。,rid rid 使摆脱，解除 We are going to start you on a drip of
8、 a drug called GTN, which should help to get rid of your chest pain by opening up your blood vessels. 我们要给你上硝酸甘油的静脉输液，着重要可以扩张你的血管，应该能帮助你缓解胸痛。,gradually grdjl 逐步地，渐渐地 We will gradually keep turning it up until your pain goes. It can cause a bit of low blood pressure though, so Ill be checking yours v
9、ery frequently. 我们会逐渐地加大剂量直到你的疼痛消失。但它会引起一点低血压，所以我会经常给你测血压。,paracetamol prsitml 扑热息痛 （paracetanol ） Its also quite common to get a headache as a side effect. If this happens let me know and Ill give you some pracetamol. 它还有一个常见的副作用是头痛。如果这个副作用发生请告诉我，我会给你一些扑热息痛。,We are going to give you a small dose of
10、 morphine via the drip into your vein and then see how you are feeling in about ten minutes. Start her on a GTN infusion please ,and as long as her BP remains stable , you can titrate the rate to achieve complete relief of the chest pain.,We are going to start you on a drip of a drug called GTN, whi
11、ch should help to get rid of your chest pain by opening up your blood vessels. We will gradually keep turning it up until your pain goes.,It can cause a bit of low blood pressure though, so Ill be checking yours very frequently. Its also quite common to get a headache as a side effect. If this happe
12、ns let me know and Ill give you some pracetamol.,shrink rik 收缩, 萎缩 heparin heprin 肝素 Because we want the blood clot to shrink and not grow in size we are going to start you on a continuous drip of a blood thinning drug called heparin. 因为我们想让你的血凝块萎缩，不要再扩大增多，所以我们开始给你持续静脉输注一种稀释血液的药物叫做肝素。,cannula knjul
13、套管， 插管 First Ill inject a small amount of it straight into your cannula, just to give you some instant blood thinning protection, ok ? 首先我要直接在你的静脉留置针里静推小剂量的药物，就是防止你的血液粘稠，好吗？,We will need to take several blood tests from you to make sure that your blood is neither too thin nor too thick; the first on
14、e being six hours after starting on it . 我们还需要给你做几次化验来保证你的血液既不过稀也不过粘，第一次血检在6小时后。,anterior ntri: 位于前部的 elevation elven 高处，向上 He has marked anterior ST elevation on his ECG. 他的心电图显示前壁的ST段抬高。,thrombolyse rmbulais 溶栓 consent knsent 赞同, 同意 TPA (tissue plasminogen activator) 组织纤溶酶原激活物 We will need to thro
15、mbolyse him with TPA. Ive already consented him. 我们需要用组织纤溶酶原激活物来溶栓,我已经得到了病人的同意。,Because we want the blood clot to shrink and not grow in size we are going to start you on a continuous drip of a blood thinning drug called heparin. First Ill inject a small amount of it straight into your cannula, just
16、 to give you some instant blood thinning protection, ok ?,We will need to take several blood tests from you to make sure that your blood is neither too thin nor too thick; the first one being six hours after starting on it . He has marked anterior ST elevation on his ECG. We will need to thrombolyse him with TPA. I
