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　　D: Good morning, what seems to be the problem today, Mr. Chen

　　P: Well, Ive had nocturia for six months and I started losing weight four months ago.

　　D: Any other problems Have you noticed any changes in your urine

　　P: Yes, its darker, reddish. I wonder if it could be blood.

　　D: Have you noticed anything else

　　P: Yes. Ive felt sick several times in the morning and Ive noticed my legs are swollen after work in the evening. Also, Ive felt really groggy for some weeks now. I dont seem to enjoy my food any more and Ive lost weight.

　　D: How much

　　P: About 6Kg.

　　D: How long have you had this trouble

　　P: About 4 months really.

　　D: Have you ever had trouble with your urine before

　　P: Yes. Two years ago I had a burning sensation when I passed water. The doctor said that I had high blood pressure as well and he put me on tablets and it cleared up.

　　D: Well, Id like to examine you. Please come to the examination room, remove your clothes except your underpants, and lie on the table.

　　(After examination)

　　D: You can get dressed now ... well, it looks like you have some reduced kidney function. I want you to take some blood tests, X-rays and kidney function tests. Id like you to collect your urine for 24 hours. The nurse will tell you exactly how to do it.

　　Then well ask you to come in for an ultrasound examination of the kidneys. This is a very simple procedure to make sure

　　there is no obstruction.

　　P: Can you tell me exactly what is wrong with my kidneys

　　D: Well, the tests show that you are in a condition called chronic glomerulonephritis, which has damaged the kidneys.

　　P: Is the chronic glomerulonephritis severe Are there any good treatments to repair the kidney damage

　　D: Yes, of course. Youd better stay in the hospital for treatments, and observation. Well have to insert a tube into your abdomen to flash out toxic substances in the blood stream.

　　P: How long will I have to stay in hospital Will I have to stop working

　　D: For about 3-4 weeks. Just remind me. Whats your job

　　P: Im a teacher.

　　D: Well, I should advise you to have a 2-month rest.

　　P: Thank you doctor.

　　D: Not at all.

　　参考译文

　　医生：早上好，陈先生，你哪里不舒服

　　病人：我夜尿多(遗尿)六个月了，而且我四个月前体重开始下降。

　　医生：还有别的不舒服吗您有没有留意过您小便跟以前有什么不同吗 病人：是的，它是暗红色的。我都怀疑那是不是血。

　　医生：您还发现别的什么吗

　　病人：有啊，我早上和晚上工作后都有几回觉得恶心。我还留意到我的腿肿

　　胀了。我近几周来总觉得头昏眼花，而且也没什么胃口，体重也下降了。

　　医生：降了多少

　　病人：大约6公斤。

　　医生：像这样子多久了

　　病人： 大概4个月吧。

　　: 19125次 大小: 91KB(共23页)

　　医生：您以前小便也有过异常吗

　　病人：是的，两年前我曾在小便的时候有尿道的灼热感。医生检查后也说我

　　有高血压，并给了我一些药片吃，吃了之后就好了。

　　医生：好的，我想给您检查一下。请您脱下衣服，只剩下内衣，然后躺在那

　　检查床上，先用毛毯盖上，我等下就来。

　　(检查后)

　　医生：您现在可以穿好衣服了。我想您的问题在于您的肾没有正常的运作。

　　我希望您能够进行血液、X线以及肾功能方面的检查。同时，我也需要您收集24小时的小便。具体怎样做护士会告诉您。然后，我们会在再让您进行肾的超声检查。然后我们就可以根据这一个非常简单的程序去判断有没有梗阻情况的存在。

　　病人：您能确切地告诉我我的肾有什么问题吗

　　医生：检验结果显示您得了慢性肾小球肾炎，而那病是您的肾功能受到损害。 病人：那慢性肾小球肾炎严重吗有针对肾功能损害的好的治疗方法吗 医生：呃，有的。我想你需要住院作治疗了，我们将会一直跟踪你的病情。

　　我们要在你的腹部放个管子，通过液体在其中的流通达到清洗血液的作用，同时也把血液中的毒素排出。

　　病人：那我大概需要住院多长时间那我是不是需要停止工作呢 医生：大概3到4周。您提醒我了，您是从事什么职业的

　　病人：我是一名教师。

　　医生：那样的话我建议您休息2个月。

　　病人：谢谢您，医生。

　　医生：不用客气。

　　2

　　D: Whats the matter with you

　　P: I have been feeling thirsty recently, and I am always tired. D: How about your urination

　　P: I pass more urine than I used to.

　　D: How many times a day

　　P: About eight times.

　　D: How about your appetite

　　P: My appetite has been good, but I still feel I am losing weight. D: Any other symptoms

　　P: I cant concentrate on anything for long, and I always feel weak. I have said that, I guess. Sometimes I also feel dizzy.

　　D: How old are you

　　P: Im 45 this year.

　　D: Sir, do you have anyone in your family who has diabetes P: Yes, my father has had diabetes for nearly 15 years. What do you mean, doctor Do you mean I have got diabetes

　　D: According to your symptoms and your fathers history, there is a strong possibility that you have got diabetes, as the disease runs in families. Of course, we need to do some checks. First please go to the Laboratory Department and examine your urine and blood sugar. Come back to me with the report.

　　(Later with the results of the examination)

　　D: The examination shows an elevation of blood sugar and you have sugar in your urine. You have got diabetes.

　　P: Is it serious Whats a normal blood sugar level

　　D: It is 130mg%, Generally it is 80120mg%. Diabetes is a

　　disease due to the poor function of the pancreas, which brings about metabolic disorder of sugar, fat and protein. Its a

　　chronic disease. At the time being there is still no way to cure it. But as I said your case is not serious now. If you pay

　　attention to treatment your diet and you will get better

　　gradually.

　　P: What else should I pay attention to Is there a diet for diabetes

　　D: Having your urine tested regularly to see how your disease is going is very important. On the other hand, you should try to omit sugar from the diet. This includes candy, cake, ice-cream, etc. High starch foods such as bread, potato, rice, etc should be limited, too.

　　P: Thank you very much, doctor. Godbye.

　　D: Goodbye.

　　参考译文

　　医生：您哪里不舒服

　　病人：我最近觉得口渴，而且总是觉得很累。

　　医生：小便怎样

　　病人：小便比以前更多了。

　　医生：一天几次

　　病人：大概8次。

　　医生：胃口怎样

　　病人：胃口很好，但我觉得体重反而轻了。

　　医生：还有别的症状吗

　　病人：我不能长时间集中注意力干活，而且总是觉得疲惫。我想这我刚才都

　　说了，有时我还会头晕。

　　医生：您多大岁数了

　　病人： 45岁。

　　医生：那您家里有没有人是得糖尿病的

　　病人：有，我父亲患有糖尿病接近15年了。您这是什么意思啊，是指我患

　　上糖尿病吗

　　医生：根据您的症状和您父亲的病史，也因为这种疾病有家族史，所以您得

　　糖尿病的可能性很大。当然，我们需要做些检查。首先，请到检验科检验一下尿液和血糖。有检查结果后回来找我。

　　(检验结果出来后)

　　病人：我的情况如何

　　医生：检验结果显示您血糖升高，尿中也有尿糖。你得了糖尿病。 病人：严重吗那正常的空腹血糖水平是多少

　　医生：那是130mg%, 经常是在80120mg%。糖尿病是由于胰腺功能的

　　失调，引起糖、脂肪和蛋白质的代谢紊乱。那是一种慢性病，具有多尿、多饮、多食的症状。在现阶段还没有方法能治愈。但就像我说的那样，您现在的情况并非很严重。如果您注意治疗和饮食，您会慢慢好起来的。

　　病人：我还有没有别的什么需要注意的应该采用什么样的饮食呢

　　医生：定期进行尿液检测以观察疾病的进程是重要的。另外，你必须把饮食

　　中的糖都去掉，这包括糖果、蛋糕、雪糕等，而且也应该限制高淀粉的食物，例如面包、土豆、米饭等。

　　病人：非常谢谢您，医生。再见。

　　医生：再见。