P: I get terrible headaches.

病人：我頭疼得厲害。

D: When did they begin?

醫(yī)生：什么時候開始的？

P: About a week ago.

病人：大約一個星期前。

D: Where is the pain? In what part of your head?

醫(yī)生：哪兒疼？在你頭的什么部位？

P: All over the front here.

病人：整個前額部這兒都疼。

D: Do they come at any special time of the day?

醫(yī)生：頭痛在一天中有特定發(fā)作時間嗎？

P: No. They seem to come on anytime I get nervous.

病人：沒有。似乎是在我精神緊張時才頭痛。

D: How long do they last?

醫(yī)生：頭痛持續(xù)多長時間？

P: About an hour or two.

病人：大約一兩個小時。

D: Does it help to take aspirin or to lie down?

醫(yī)生：吃阿司匹林或躺下能減輕嗎？

P: No. They just seem to go away by themselves.

病人：不能減輕。不過頭痛好像是可以自行消失的。

D: Have you ever had this kind of headache before?

醫(yī)生：你以前患過這種頭痛嗎？

P: Well, I’ve had headaches off and on for the last several years, but none as bad as this.

病人：哦，最近幾年來我斷斷續(xù)續(xù)地有過頭痛，但是沒有像這次這么厲害。

D: Have you noticed that your vision is any worse lately?

醫(yī)生：你覺得最近你的視力有什么不好嗎？

P: I think I have. When I read, the words sort of run together.

病人：我感到視力不好。當(dāng)我看書時，字跡好像重疊到一起了。

D: You mean they seem blurred?

醫(yī)生：你的意思時說字跡模糊不清嗎？

P: Yes.

病人：是的。

D: How long have you been noticing this?

醫(yī)生：你注意到這種現(xiàn)象有多久了？

P: For about two weeks.

病人：大約兩周了。

D: And before this you had no trouble with your eyes?

醫(yī)生：在這以前你沒有患過眼病嗎？

P: No, none that I noticed.

病人：沒有。我沒發(fā)覺患過眼病。

D: Have you ever fainted or had convulsions?

醫(yī)生：你有過暈倒或者驚厥嗎？

P: No.

病人：沒有。

D: Do you ever feel dizzy, as if you or the room is moving?

醫(yī)生：你感到過自己或者房子好像在晃動那樣的眩暈嗎？

P: No, never.

病人：沒有，從來沒有過。

D: Has a doctor ever told you that you had a murmur?

醫(yī)生：有醫(yī)生告訴過你有心臟雜音嗎？

P: No.

病人：沒有。

D: Have you ever had any chest pain?

醫(yī)生：你有過胸痛嗎？

P: No.

病人：沒有。

D: Do you have trouble climbing steps?

醫(yī)生：你上樓有困難嗎？

P: Well, yes. Climbing up the steps at home, I have to stop and catch my breath.

病人：哦，有。我在家上樓時，必須停下來喘口氣。

D: About how many steps can you make before you have to stop?

醫(yī)生：你大約上幾級樓梯就得停下來喘口氣？

P: Oh, ten or twelve, maybe.

病人：噢，大約是10－12級樓梯。

D: Have you visited a doctor before? Did he say anything about it?

醫(yī)生：你以前看過醫(yī)生嗎？他說些什么沒有？

P: Three years ago I went to the local hospital for a swimming certificate. They told me that I had hypertension.

病人：三年前我去當(dāng)?shù)蒯t(yī)院做游泳健康檢查，醫(yī)生告訴我我患有高血壓。

D: Have you ever had swollen ankles?

醫(yī)生：你的腳腕腫過沒有？

P: Not that I can remember.

病人：我不記得腳腕腫過。

D: What kind of treatment did you have in the past?

醫(yī)生：你以前做過什么治療？

P: I took reserpine occasionally.

病人：我有時吃利血平。

D: Let me take your blood pressure.

醫(yī)生：讓我量一下你的血壓。

D: It’s 200 over 120. That’s moderately high. I would like you to do a urinalysis, blood urea nitrogen test, chest X-ray and electrocardiogram examination.

醫(yī)生：你的血壓是200/120，偏高了一點。我要給你做尿的常規(guī)化驗，血的尿素氮化驗，還要照X線胸片和做心電圖檢查。

D: You should have a good rest, avoid nervous tension or stress, and give up smoking and alcohol. In addition, I’ll give you some medicine.

醫(yī)生：你應(yīng)該好好休息，避免精神緊張或思想負(fù)擔(dān)，忌煙酒。此外我要給你些藥。

D: Come back again next week for the results and another check of your blood pressure.

醫(yī)生：一周后來復(fù)診看化驗結(jié)果并復(fù)查血壓。