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1、醫(yī)生與病人對(duì)話：暈厥?英文：Patient:DoctorIhavebeensufferingfrom"fits"forafewyears.Iwonderwhatmatteriswithmeandhopeyou'llhelpmegetridofthemsoon.?Doctor:Whatdoyoumeanbya"fit"??P:By"fit"ImeanIloseconsciousnessandfallonthegroundonsudden.?D:Whattimedidyourattackbegin??P:
2、WhenIwasmarriedandonly25yearsold.?D:Howmanyyearssofar??P:Overthreeyears.?D:Howlongdoeseachattacklast??P:Aboutaminute.?D:Howlongistheintervalbetweentwosuccessiveattacks??P:Sometimesroundamonth,andsometimestwomonths.Coulditberelatedtocircumstances??D:What
3、lindofcasesusuallyprovokesyourattacks??P:Itisdifficulttosayexactly.OncewhenIwascrossingthestreet,aswiftlymovingcarsuddenlydrovebyandIbecameverynervous,Icouldn'tcontrolmyself.Iscreamedandblackedout.?D:Wereyouinjured??P:No,thecarstoppedatonce.Icametoquick
4、ly,thenwalkedhome.?D:Anyotherattacks??P:Onanotheroccasion,nosoonerhadanursedrawnbloodfromapatientthanIfeltperspirationandweaknessfollowedbylossofconsciousness.?D:Didyouhaveothermanifestationsduringtheattack??P:IwastoldbyeyewitnessesthatIbecamepaleandswe
5、atedexcessivelyduringtheattack,butIhadnoconvulsions,incontinenceoranythingelse.?D:Haveyouhadanyspecialexaminations??P:Thedoctorsworkinginourcounty'shospitaltoldmethatmyphysicalexamination,electorcardiogram,andchestandskullx-rayexaminationresultswerenorm
6、al.I'vehadnootherspecialexaminations.?D:Letmegiveyouathoroughphysicalandneurologicalexamination.Somefurtherexaminationsshouldbedone,includinganelectroencephalogramandabrainscan.Alsotheelectrocardiogramshouldberepeated.Hereisyourreferralsheet.Afteryouhav
7、ehadalltheseexaminationspleasecomebackforanothercheckup??P:Ihavehadalltheexaminationsyouordered.Arealltheresultsbackyet??D:Yes,andalltheresultsarenormal.?P:Thenwhatisthecauseofmy"fits"??D:Thenormalresultsofphysicalandneurologicalexaminationsandotherspec
8、ialexaminationssuggestneitherorganicheartorbraindiseasesnorepilepsy.Thesymptomsandsignswhichoccurduringanattack,suchaspalpitations,palenessandexcessivesweatingcoincidewithanimbalanceoftheautonomicnervoussystemfunction.Dysfunction
