消化性溃疡并穿孔（中）

D: Well, now we know more detail about your
condition. Looks like. you had a similar episode of
pain before with blood tinged vomitus. Tell me apart from pain and nausea with vomiting. do you have any other complaints. Do you have any other medical problems?好了，现在我们更详细的知道了你的情况。你之前有过呕血的发作，告诉我除了疼痛和呕吐。你还有没有其他症状，你有没有其他疾病？
I have had this knee pain in both of my knees
recently which gets worse when I do a lot of walking
around. Moreover, I am diagnosed with diabetes 3
years ago.我最近两只膝关节疼痛，在我散步后加重。并且，我三年前诊断了糖尿病。
Do you take any medication? Are you fuIly compliant
with your medication'? Do you take any pain
medicines for your knee pain?你吃药了吗，有没有遵医嘱规律服药，你关节疼有没有吃止痛药？
Yes. Actually. I have been on medications since I
have been diagnosed with diabetes. I am currently
taking metformin tablets 500mg twice daily and
I also take ibuprofen 50mg twice a day for my
painful knees.吃了，我自从诊断糖尿病就一直吃药。现在我吃着二甲双胍500毫克一天两次，还吃着布洛芬50毫克每天两次来缓解膝关节疼痛。
I see. Can you tell me when did you start to take
ibuprofen?And do you have any drug alIergies?我知道了，告诉我你什么时候开始吃布洛芬？你有没有什么药物过敏？
No. I do not have any drug allcrgies that I know of. I
have been on ibuprofen for the past two months.没有药物过敏。我吃布洛芬两个月了。
And have you ever undergone any surgicaI procedures before? Have you done any endoscopics before?你以前有没有做过手术，以前有没有做过胃镜？
Yes. Indeed. I have had a left inguinal hernia repair
when I was six years old. I also had a surgery for
thickened pylorus at two months old. Apart from that, I have not had any endoscopies before有过。我六岁时做过腹股沟疝修补术，两个月时做过幽门成行术。我没做过胃镜。
Is there any member of your family suffering from
similar kind of problems?你家人有没有类似的疾病？
My older brother died of gastric carcinoma about
5 years ago. My father and mother are both well.
Everyone else is in a good health in my family.我哥哥五年前死于胃癌，我父母很好，其他家庭成员都健康。
Do you smoke and drink alcohol? Do you eat your
meals on time? Tell me about your eating habits.你喝酒抽烟吗？按时吃饭吗？说说你的饮食习惯。
I do not smoke. From time to time, I drink some
alcohol. I usually eat on time, except when I am very
busy at work. I do omit a meal or two.For the past few months, I haven't been eating on time. I am a non- vegetarian, eat mostly red meat.我不抽烟，平时按时吃饭。除了我工作很忙时，遗漏一两餐。最近几个月我没有按时吃饭，我不是素食者，通常吃肉。