(二)急腹症之异位妊娠上

Case II: Acute Abdomen (ectopic pregnancy)
D: Good morning! My name is Dr Zhang. I am a general surgeon at the General Surgery Department of Sun Yat-sen Hospital. What brings you to the hospital today?你好，我是中山医院普外科门诊部的张医生。你因为什么来医院的？Good morning doctor! My name is Lisa Wang. I came to the hospitaI because I have been having pain in my belly since this morning and this is causing me much grief.医生你好，我叫王丽莎，我来医院因为自从今天早上我肚子一直在痛，这让我很难受。How old are you Lisa? Are you married? What do you do for a living?你多大了，丽莎。结婚了没，你做什么工作的？I am 27 years old and I am married for 2 years. I work at the Bank of China.我27，已经结婚两年了，在中国银行工作。Could you tell me when exactly did the pain start and how it developed? Have you ever had similar kind of pain before?你能具体的告诉我什么时候开始疼的吗，是怎样发展的？你之前有没有类似的疼痛？Yes,doctor. This is the first time I am having this kind of pain. It all started today early in the morning at about 3 o'clock. I was sleeping when it started. The pain started to pain on the right lower side of my belly. As far as I can recall, I have never had simiIar kind of pain before.这是我第一次这样疼痛。今天早上三点钟开始的，当时我在睡觉。肚子右下方开始疼痛。我从来没有过这样的疼痛。Tell me about the character of the pain. Is it continuous or intermittent? Is it sharp and tearing. or is it dull?告诉我疼痛的性质是什么，是持续的还是间断的，是剧痛还是撕裂痛，还是钝痛？It is a constant pain. sharp in nature. But it is quite severe that I cannot really understand what is going on I have never experienced something like this before. It's really hurling me a lot.是持续疼痛。但是太痛了我都不知道是什么情况我从来没有经历过这样的疼痛。真的太痛了
Do you have any other symptoms that is bothering
you apart from the pain'? For example. arc you having any fever. chilis. nausea. vomiting, frequency or urgency with urination or dysuria? By frequency
with urination. I mean if you feel you are going to
the bathroom more than usual. By dysuria. want
to know if you are having a burning pain while
passing urine.除了疼痛，还有没有其他症状，比如有没有发热，寒战，恶心，呕吐，尿频及排面困难？尿频是指你去厕所有没有比平时多？排面困难是指你撒尿是有没有烧灼感。I am not having any of these except some nausea and generalized weakness. I feel I am going to faint and I can feel my heart racing.除了恶心和虚弱，我都没有。我感觉我要昏倒，我能感觉我的心跳Tell me more about it. Are you having nausea since this morning? What did you eat for dinner last night? 具体点告诉我，你今早上就恶心了？昨晚你吃什么Yes. I feel like vomiting since early morning but nothing is coming out. I had a very light dinner with some salads and yoghurt. I feel a bit unwell and slightly dizzy. On top of that. I can feel my heart pounding. This is the first time I am experiencing something like this and I am very much anxious to know what is going on?. 我想吐但是吐不出来。昨晚我吃的清淡，一些沙拉和奶酪。我感觉有点不舒服，头晕。另外，我能感觉到心脏咚咚的跳。我第一次有这样的经历，我很想知道什么情况。Don't worry miss. We'll lind out what is causing the
pain. First. I need to ask you a few more questions.别担心，我们会查出是什么原因的，首先我问你几个问题Ok doctor. I am just a bit worried.好的医生。我只是有点担心。Do you have any past illnesses? Have you had any surgery before? 你以前有什么疾病吗，有没有做过手术？No doctor. I have always enjoyed a good health untill now,i have never had any surgery before.没有医生。我一直都身体好，以前没做过手术