Intern: Have you ever had any heart trouble that you know about?

實習(xí)醫(yī)生：你知道你得過心臟病嗎？

Patient: None.

病人：沒有

Intern: Did you ever have rheumatic or scarlet fever as a child?

實習(xí)醫(yī)生：你小時候得過風(fēng)濕熱或猩紅熱嗎？

Patient: No.

病人：沒有得過。

Intern: I see here in your previous history that you’ve never been short of breath on exertion, have slept on one pillow all of your life, never had swelling of the ankles, nor had to get up during the night to pass your water. Is that all correct?

實習(xí)醫(yī)生：從你得既往病史中，我了解到你在用力時從來沒有氣短，一直是枕一個枕頭睡覺，踝部從來沒有腫過，晚上也不起來小便。以上說的全對嗎？

Patient: Yes.

病人：是。

Intern: Have you noticed any of these symptoms recently?

實習(xí)醫(yī)生：最近你注意到有這些癥狀嗎？

Patient: No, I haven’t

病人：沒有，沒有注意到這些癥狀。

Intern: Have you ever had any chest pain before?

實習(xí)醫(yī)生：以前你有過胸痛嗎？

Patient: No, this is the first time.

病人：沒有，這是第一次。

Intern: Is there any history of heart disease in your family?

實習(xí)醫(yī)生：你的家庭成員中有心臟病史嗎？

Patient: Yes, my father died of a heart attack, and so did my uncle.

病人：有，我父親死于心臟病，我的叔叔也是死于心臟病。

Intern: You said you felt light-headed. Is that right?

實習(xí)醫(yī)生：你說過你覺得頭暈，對嗎？

Patient: Yes, it is.

病人：對，是那樣。

Intern: Then you didn’t actually experience unconsciousness?

實習(xí)醫(yī)生：那么你實際上沒有過不省人事吧？

Patient: That’s correct.

病人：對的。

Intern: I’ll be back in a few minutes, and we’ll examine you then.

實習(xí)醫(yī)生：我一會兒就回來，然后我們給你檢查。

*****

Physician (patient’s family doctor): Hello, Dr. English. How’s Mr. Scott doing?

內(nèi)科醫(yī)生（病人的家庭醫(yī)生）：你好，英格利斯醫(yī)生。斯考特先生病情怎么樣？

Intern: Just fine, considering what he had.

實習(xí)醫(yī)生：就他的病來說，病情還好。

Physician: What do you think he had?

內(nèi)科醫(yī)生：你認(rèn)為他得了什么??？

Intern: A myocardial infarction.

實習(xí)醫(yī)生：心肌梗塞。

Physician: I have to agree with that. Why don’t we go to the lounge and discuss the problem? Then we can come back and see Mr. Scott again.

內(nèi)科醫(yī)生：我同意你的意見。我們到休息室去討論一下這個問題好嗎？然后再回來看斯考特先生。

Intern: Fine.

實習(xí)醫(yī)生：好。

Physician: What did you find on the physical exam?

內(nèi)科醫(yī)生：體格檢查你發(fā)現(xiàn)了什么？

Intern: There really wasn’t anything remarkable.

實習(xí)醫(yī)生：確實沒有什么異常的體征。

Physician: Does that surprise you?

內(nèi)科醫(yī)生：那使你感到意外嗎？

Intern: No, not really.

實習(xí)醫(yī)生：不，確實不。

Physician: What other conditions would you think of when ruling out an MI?

內(nèi)科醫(yī)生：在排除心肌梗塞時，你會考慮是哪些??？

Intern: Pulmonary embolus, cardiac neurosis, dissecting aneurysm and acute pericarditis.

實習(xí)醫(yī)生：肺栓塞，心臟神經(jīng)官能癥、夾層動脈瘤和急性心包炎。

Physician: That’s quite good. I would also consider hiatal hernia. He wasn’t in shock when I saw him, nor was there any evidence that he was going into acute pulmonary edema. Would you expect to see fever at the onset of this condition?

內(nèi)科醫(yī)生：很好。我也會考慮食管裂孔疝。當(dāng)我看他時，他并沒有休克，也沒有即將發(fā)生急性肺水腫的任何征象。在心肌梗塞初起時你認(rèn)為會發(fā)燒嗎？

Intern: Yes, I would.

實習(xí)醫(yī)生：是的，我認(rèn)為我會有的。

Physician: It’s usually absent at the onset, in contrast to acute pericarditis. It usually will rise within 24 hours and remain about a week.

內(nèi)科醫(yī)生：與急性心包炎相反，心肌梗塞時一般不發(fā)燒。心肌梗塞的發(fā)燒通常在24小時那升高，大約持續(xù)一周。