用英语翻译一份病历，急用。我给高分
15床 杨立英 男性 56岁 主诉：劳累后胸闷。气短一年余，加重半月。
现病史：患者缘于10个月前劳累后出现胸闷，气短，伴不能平卧，夜间憋醒，无头晕，头痛，无咳嗽，咳痰，咯血，就诊于当地医院，诊断为心房纤颤，对症治疗后可缓解。症状多于劳累后出现，休息可缓解。近半月以来，自觉症状加重，伴有双下肢水肿。为求进一步治疗来我院。
患者自发病以来，精神可，饮食可，睡眠较差，大小便正常，体重无明显减轻。
既往史：否认肝炎，结核等传染病史，否认过敏史，否认手术外伤史，否认糖尿病，高血压史。
查体:精神饮食睡眠可，双肺呼吸音清，未闻及干湿性啰音，心率86次/分，房颤心率，心尖部可闻及收缩期杂音，腹部平软，肝大，肝于肋下可触及约3横指，双下肢轻度指凹性水肿。
初步诊断：1.风湿性心脏病 二尖瓣关闭不全 2.心律失常 心房纤颤 3. 心功能Ⅲ级
辅助检查：
1.心脏彩超： AO 36mm PA 36mm
LA 46mm LV 75mm
RA 49mm RV 18mm
EF 51.50%
诊断提示：左心扩大；右房扩大；二尖瓣重度关闭不全；三尖瓣中度关闭不全；主动脉瓣钙化伴轻度关闭不全。
2.冠脉造影：冠脉造影未见异常，升主动脉未见异常。
3.心电图：心房纤颤； 左室肥厚劳损。
4.其他检查：ESR 3mm/h ASO阴性
动脉血气分析：氧分压77.6mmHg 氧饱和96.2%
拿软件翻译的请勿留言，这是要给外国的专家看的，希望高手帮一把，谢谢！！！
第1个回答 2009-07-11
YANG Li-ying, 15 male 56-year-old chief complaint: chest after exertion. Shortness of breath more than a year, adding a half months.
Is history: The patient 10 months ago due to fatigue after the chest tightness, shortness of breath, with not lying, hold up at night, no dizziness, headache, no cough, sputum, hemoptysis, attendance at a local hospital, diagnosed with atrial fibrillation flutter, symptomatic treatment can alleviate. Symptoms after more than tired, rest can be eased. Half months, the symptoms increase, accompanied by edema of both lower extremities. In order to come to our hospital for further treatment.
Since the incidence of patients since the spirit can be, diet, sleep less, become normal, body weight decreased.
Past history: denied hepatitis, tuberculosis and other infectious diseases history of allergy to deny history, deny the history of surgical trauma, denied diabetes, high blood pressure history.
Richard Body: Sleep may be the spirit of eating, breathing lungs sound clear and dry and wet did not hear the sound of Hello, heart rate 86 times / min, atrial fibrillation in heart rate, and the apical systolic murmur could be heard, soft flat stomach, liver, and liver in肋下horizontal reach of about 3 refers to refers to both lower extremities with mild edema Au.
Initial diagnosis: 1. Rheumatic heart disease mitral insufficiency 2. Arrhythmia atrial fibrillation 3. Cardiac function grade Ⅲ
Supplementary examination:
1. The heart of color: AO 36mm PA 36mm
LA 46mm LV 75mm
RA 49mm RV 18mm
EF 51.50%
Diagnostic tips: the expansion of the left ventricular; right atrial enlargement; severe mitral valve insufficiency; moderate tricuspid valve insufficiency; calcified aortic valve with mild incompetence.
2. Coronary angiography: no abnormal coronary angiography, no abnormal ascending aorta.
3. ECG: atrial fibrillation; left ventricular hypertrophy strain.
4. Other tests: ESR 3mm / h ASO-negative
Arterial blood gas analysis: partial pressure of oxygen 96.2% oxygen saturation 77.6mmHg
Is history: The patient 10 months ago due to fatigue after the chest tightness, shortness of breath, with not lying, hold up at night, no dizziness, headache, no cough, sputum, hemoptysis, attendance at a local hospital, diagnosed with atrial fibrillation flutter, symptomatic treatment can alleviate. Symptoms after more than tired, rest can be eased. Half months, the symptoms increase, accompanied by edema of both lower extremities. In order to come to our hospital for further treatment.
Since the incidence of patients since the spirit can be, diet, sleep less, become normal, body weight decreased.
Past history: denied hepatitis, tuberculosis and other infectious diseases history of allergy to deny history, deny the history of surgical trauma, denied diabetes, high blood pressure history.
Richard Body: Sleep may be the spirit of eating, breathing lungs sound clear and dry and wet did not hear the sound of Hello, heart rate 86 times / min, atrial fibrillation in heart rate, and the apical systolic murmur could be heard, soft flat stomach, liver, and liver in肋下horizontal reach of about 3 refers to refers to both lower extremities with mild edema Au.
Initial diagnosis: 1. Rheumatic heart disease mitral insufficiency 2. Arrhythmia atrial fibrillation 3. Cardiac function grade Ⅲ
Supplementary examination:
1. The heart of color: AO 36mm PA 36mm
LA 46mm LV 75mm
RA 49mm RV 18mm
EF 51.50%
Diagnostic tips: the expansion of the left ventricular; right atrial enlargement; severe mitral valve insufficiency; moderate tricuspid valve insufficiency; calcified aortic valve with mild incompetence.
2. Coronary angiography: no abnormal coronary angiography, no abnormal ascending aorta.
3. ECG: atrial fibrillation; left ventricular hypertrophy strain.
4. Other tests: ESR 3mm / h ASO-negative
Arterial blood gas analysis: partial pressure of oxygen 96.2% oxygen saturation 77.6mmHg
第2个回答 2009-07-10
太专业了，而且太重要了。
你应该去各著名医科高校的学校网站、论坛，找研究生或者教授 求助。
你应该去各著名医科高校的学校网站、论坛，找研究生或者教授 求助。
第3个回答 2009-07-10
Body: the spirit of sleep can double lung, diet, not breath sounds and smells of heart sound, then dry 86 times/points, atrial fibrillation, cardiac apex of heart can smell and systolic murmurs, abdominal plain soft, liver, liver from 3 sides can reach the point, double concave means lower mild edema.
Preliminary diagnosis: 1.the rheumatic heart disease mitral valve insufficency 2 arrhythmia atrial fibrillation (3) Ⅲ cardiac function
Auxiliary examination:
1 the heart 36mm PA PA: 36mm AO
LA 46mm 75mm LV
RA 49mm RV 18mm
EF 51.50%
Hint: left heart expand diagnosis, Right room expand, Mitral regurgitation severe, Tricuspid regurgitation moderate, Aortic valve calcification with mild closed.
2 angiographically normal coronary angiography: and did not see aorta.
3 electrocardiogram: atrial fibrillation, Strain of left ventricular hypertrophy.
4 other inspection: the ESR 3mm/h ASO negative
Arterial blood gas analysis: 96.2% 77.6 mmHg oxygen saturation pressure本回答被网友采纳
Preliminary diagnosis: 1.the rheumatic heart disease mitral valve insufficency 2 arrhythmia atrial fibrillation (3) Ⅲ cardiac function
Auxiliary examination:
1 the heart 36mm PA PA: 36mm AO
LA 46mm 75mm LV
RA 49mm RV 18mm
EF 51.50%
Hint: left heart expand diagnosis, Right room expand, Mitral regurgitation severe, Tricuspid regurgitation moderate, Aortic valve calcification with mild closed.
2 angiographically normal coronary angiography: and did not see aorta.
3 electrocardiogram: atrial fibrillation, Strain of left ventricular hypertrophy.
4 other inspection: the ESR 3mm/h ASO negative
Arterial blood gas analysis: 96.2% 77.6 mmHg oxygen saturation pressure本回答被网友采纳
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