出院小结英文

出院小结英文

出院小结英文 篇1

Name：KOUELA-KIKABI ANTOIN Sex：Female Number In Hospital: 297684 Bed Number: F03 Department: Department of gynecology Admission date：2016-06-30 Age：50-year-old Discharge date：2016-07-11 Duration：11 days

Admitting Diagnosis: uterine fibroid

Discharge Diagnosis: Multiple uterine fibroids

Conditions of Admission: 1.Chief complain:Abdominal distension more than 10 years, with dysuria, menstruation increase 1 yeMultiple uterine fibroids ar in duration.2.Physical examination: Abdomen: soft, tenderness without rebound pain or rigidity, and bowel sounds with 3 times per minute.Gynecologic examination: Vulva: married has production type.Vagina: unobstructed.The cervical: smooth, no obvious mass.Uterus: the former, increase as six months pregnant, no tenderness, activities.Attachment: double accessories not apparent bag piece, no tenderness 3.Supporting examination:B ultrasound（September-2015Congo）:uterine fibroid

Lab Tests: Blood routine test(2016-7-1): WBC 3.07×10^9/L，NEU% 52.2%，RBC 4.64×10^12/L，HB 144g/L，PLT 308×10^9/L；

Routine urine(2016-7-1):GLU neg(-)mmol/L，BIL neg(-)mmol/L;LEU 25(+)/μl，SPC +/LP；

Blood coagulation function(2016-7-1):PT 10.9s，APTT 27.1s，TT 16.7s，FIB 3.14g/L，DD 0.96mg/L FEU，FDP 5.26mg/L； HCG(2016-7-1)： B-HCG ＜1.20IU/L;Sex hormone test(2016-7-1): PRL 276.00mIU/L,T ＜0.69nmol/L，E2 98.40pmol/L，LH 15.90IU/L，FSH 54.00IU/L, P 0.50nmol/L；

Biochemical test(2016-7-1):TBil 14.2μmol/L，ALT 26U/L，AST 23U/L，Urea 2.38mmol/L，Crea 58.1μmol/L,UA 294μmol/L，Glu 4.64mmol/L； Leucorrhea regular(2016-7-1):PH 4.60，MZSG Ⅱ，DC-，MJ-，WBC 2-3个/HP，SP:a few，XS-，H2O2 ＜2μmol/L;Screening(female)+ five of the thyroid gland(2016-7-2):TT3 1.65nmol/L，TT4 88.80nmol/L，TSH 2.35mIU/L，FT3 4.29pmol/L，FT4 13.56pmol/L，AFP_3 2.71ng/ml，CEA 1.40ng/ml，NSE 16.34ng/ml，SCC 0.29ng/ml，CA125 38.23U/ml；

HPV（2016-7-4)：HPV81（+）

Blood routine test(2016-7-7):WBC 7.69×10^9/L，NEU% 81.1%，RBC 3.85×10^12/L，HB 120g/L，PLT 257×10^9/L，SCRP 92.47mg/L；

Blood coagulation function(2016-7-7):PT 12.0s，APTT 34.1s，TT 14.0s，FIB 4.82g/L，DD 5.47mg/L FEU，FDP 18.97mg/L；

Imaging Examination and Pathological test: X-ray(2016-07-01): no obvious substantial pathologic change was found in both lungs Transabdominal ultrasound(2016-07-02):The uterus increases, multiple uterine fibroids Pelvic MR(2016-07-05): multiple uterine fibroids, partly cystic change.Pathological test（2016-07-08）: The uterus and bilateral tubal excision specimen:(all)of the uterus tumor, multiple leiomyoma with adenoma cells, local hyaline degeneration and mucous degeneration;Endometrial hyperplasia in phase change with endometrial polyps, cervical mucosal chronic inflammation associated with retention cyst formation and interstitial cells.Fallopian tube, left, right)organization with mesosalpinx cyst(left).Hospital Course:

The routine diagnostic examinations were taken after admission.On 2016-07-05 the “Total abdominal hysterectomy + bilateral tubal surgery” was been done and the operation was successful。Anti-inflammatory and supplemental therapy was taken after the operation.Now, the general condition of the patient is well, so she can be discharged today.Complication: None.Physical Examination at Discharge:

General: Awake, alert, no apparent distress Abdomen: Normoactive bowel sounds.Soft.Non-tender, non-distended.CVS: Regular rate and rhythm, no murmurs appreciated.Respiratory: No retractions.Incision: Clean and healing well.Suggestions after discharge: Instructions:Pay attention to your daily diet , rest and keep the incision clean.Don’t have sexual life 2 month and strenuous exercise.After 1 month to outpatient care;If you have not feeling well,please to outpatient care.Treatment Result: Improving.Attending：Zu Dexue

出院小结 篇2

姓名：张三

性别：男

年龄：66岁

入院时间：2011-3-21

出院时间：2011-4-6 入院诊断：

1、胆囊结石并胆囊炎；

2、胆总管囊肿？

出院诊断：

1、胆囊结石并胆囊炎；

2、胆总管囊肿；

3、尿道感染；

4、左肾多发小囊肿。入院情况：患者以“反复右上腹痛1年余”入院。入院查体：体温36.3℃

脉搏76次/分

呼吸20次/分

血压130/80mmHg。全身皮肤、粘膜无黄染。巩膜无黄染。胸廓对称，双肺叩诊清音，双肺听诊呼吸音清，双肺未闻及干湿性罗音。心前区无隆起，未触及震颤，心浊音界无扩大，心率76次/分，心律整齐，各瓣膜听诊区未闻及杂音。腹平坦，未见胃肠型及蠕动波，未见腹壁静脉曲张，腹软，右上腹压痛，无反跳痛，余腹部未及明显压痛、反跳痛，麦氏点无压痛。肝、脾肋下未触及，肝区及脾区无叩击痛，移动性浊音阴性，肠鸣音4次/分。

院内检查：血常规、尿常规、粪常、生化全套、凝血四项、输血四项、血气分析、肿瘤四项、心电图、DR胸片未见明显异常。上腹部CT：胆囊结石，肝内胆管轻度扩张及胆总管局部扩张，建议MRCP检查；右肾盂及输尿管上段稍扩张，壶腹型肾盂？；左肾多发小囊肿；肝脏、脾脏及胰腺未见明显异常。MRCP：肝门区胆管局限性扩张；胆囊结石；左肾囊肿。术后病理：胆囊结石并胆囊炎。

治疗过程：入院后经完善相关检查，患者诊断明确，手术指征明确，术前检查未见明显手术禁忌，经与家属沟通，家属同意先行胆囊切除，胆总管情况随诊观察，必要时再考虑手术治疗。于2011-3-30在全麻下行腹腔镜胆囊切除术，手术顺利，术后经抗炎、输液，患者逐日恢复好转，腹部切口愈合良好，以Ⅱ/甲愈合，切口缝线按期拆除。

出院情况：患者一般情况可，无畏寒、发热，无恶心、呕吐，无腹痛、腹胀，无黑便、血便。出院查体：全身皮肤、巩膜无黄染。心肺未见异常体征。腹部切口愈Ⅱ/甲愈合，腹软，全腹未及压痛、反跳痛，肝、脾肋下未触及，无包块，肝区、脾区无叩击痛，移动性浊音阴性，肠鸣音正常。

出院医嘱：

1、门诊随诊，定期复查肝胆B超。

2、注意休息，加强营养。

医师签名：

医师签名：

黎世玉农合出院小结 篇3

出 院 记 录

姓名：王宏光 年龄：72岁 性别：男 科室：内科 住院号：101158 入院时间：2010-04-01 出院时间：2010-04-06日 共住院：5天

入院情况：患者因“间断上腹部灼痛2年，再发加重2天”入院。患者缘于2年前间

断出现阵发性上腹部烧灼样疼痛伴频繁返酸、嗳气，无明显节律性。另外：近两年来常出现右中腹部阵发性胀痛，伴恶心、呕吐。2001年因外伤曾行 肠切除并吻合术。查体：右中腹见一长约15cm的手术疤痕，上腹部剑突 下轻压痛，手术疤痕处腹部压痛。

入院诊断：

1、慢性胃炎：

2、肠粘连：

主要治疗经过： 入院后完善：腹部B超、胸部x线，血生化全套未见明显异常，但

纤维胃镜提示：慢性浅表性胃窦炎。血常规提示：WBC7.5×109/L RBC

5.20×1012N0.778.治疗上予积极抑酸、护胃，抗感染，维持水电 解质平衡。今日患者病情治愈，予办理出院。

出院诊断：

1、慢性浅表性胃窦炎

2、肠粘连

出院医嘱：

1、注意休息

2、门诊随诊

医师：

时间:：

说明：第一页：随住院病历存档。

第二页：随同住院费收据、费用清单、结算清单、疾病证明一起报送县合管办。

第三页：交给病人自行保管。

引言(英文小结) 篇4

1.Throughout the post-World War Ⅱ era, the world，s economies have become increasingly

interdependent in terms of the movement of goods and services, business enterprise, capital, and technology.2.Proponents of an open trading system contend that international trade results in higher levels of

consumption and investment, lower prices of commodities and a wider range of product choices for consumers.Arguments against free trade tend to be voiced during periods of excess production capacity and high unemployment.3.International competitiveness can be analyzed in terms of a firm, an industry, and a nation.Key to the

concept of competitiveness is a productivity, or output per worker hour.4.Researchers have shown that exposure to competition with the world leader in an industry improves a

firm’s performance in that industry.Global competitiveness is a bit like sports: You get better by playing against folks who are better than you.5.Although international trade helps workers in export industries, workers in import-competing

industries feel the threat of foreign competition.They often see their job and wage levels undermined by cheap foreign labour.6.As a rough measure of the importance of international trade in a nation’s economy, we can look at the

nation’s exports and imports as a percentage of its gross domestic product（GDP）.This ratio is known as openness.7.A sudden removal of trade barriers might harm producers and workers in protected industries.It may

be costly to transfer quickly the protected resources to other, more productive activities.Gradual removal of the barriers would minimize this shock effect and the accompanying cost of relocation.8.The World Trade Organization’s summit meeting in Seattle, Washington, in 1999 attests to a