Student: Professor Smith, how do we define"rheumatic fever"
史密斯教授糙麦,我們?nèi)绾谓o風(fēng)濕熱下定義呢
Professor: Rheumatic fever is a systemic immune disease that may develop after an infection with streptococcus bacteria
風(fēng)濕熱是一種全身性免疫疾病唱蒸,感染鏈球菌后可能會(huì)染上風(fēng)濕熱
S:How does it affect the patient??
對患者有什么影響呢
P:The disease involves the brain, heart, joints and skin
這病會(huì)影響大腦纯丸,心臟,關(guān)節(jié)和皮膚
S:In what period of life does it often occur?
什么年齡段容易染這種病呢
P:It may occur in adults and children but is most common in children 5 to 12years old.
在成人和兒童都可能,但是在5~12兒童最為常見
S:What is causes of rheumatic fever
風(fēng)濕熱病因是什么?
P:It caused by recent infections with streptococcus bacteria, such as streptococcus tonsillitis or scarlet fever
由于近期的鏈球菌引起的,例如鏈球菌性扁桃體炎和猩紅熱
S:Does rheumatic fever have anything to do with other diseases?
風(fēng)濕熱還與其他疾病有關(guān)嗎
P:Yes, it does. It is associated with the development of valve disease and other heart disorders
有關(guān)嗤栓,風(fēng)濕熱常伴有瓣膜疾病和其他心臟疾病
S:What are the symptoms of rheumatic fever?
風(fēng)濕熱有什么癥狀呢
P:The symptoms of rheumatic fever include fever, joint pain, joint swelling, epistaxis, abdominal pain, vomiting, skin rash, etc.
風(fēng)濕熱的癥狀包括發(fā)熱,關(guān)節(jié)痛箍邮,關(guān)節(jié)腫脹茉帅,流鼻血,腹痛锭弊,嘔吐堪澎,皮膚起疹子等等
S:Any other symptoms?
還有其他癥狀嗎
P:Yes.There are also some other symptoms, such as muscle pain, weakness, poor speech, cough, etc.
對,還有肌肉痛味滞,虛弱乏力樱蛤,少言,咳嗽等
S: What are the criteria for doctor to diagnose the disease?
醫(yī)生診斷此病的指標(biāo)是什么剑鞍?
P:Acute rheumatic fever has 5 major diagnostic criteria.
風(fēng)濕熱有五中主要診斷指標(biāo)
S:What are they?
哪五中呢
P:These are carditis, migratory polyarthritis, subcutaneous nodules, chorea, erythema marginatum.
心臟炎昨凡,移行多發(fā)性關(guān)節(jié)炎,皮下結(jié)節(jié)蚁署,舞蹈病和邊緣性紅斑便脊。
S:What can be done to prevent it?
有什么辦法來預(yù)防呢
P:Prompt treatment of strep infections may reduce the risk of development of rheumatic fever
鏈球菌感染的及時(shí)治療能降低風(fēng)濕熱的發(fā)病危險(xiǎn)
S:How to treat rheumatic fever?
如何治療風(fēng)濕熱呢
P:Antibiotics like penicillin or erythromycin are used to fight infection.
青霉素和紅霉素類的抗生素都能用于抗感染
S:Can the patient to anything to make it a little less painful?
患者用什么方法能減輕疼痛
P:Medications including aspirin, anti-inflammatory medications and analgesics are used to reduce pain and swelling
阿司匹林,抗炎藥物和安乃近可用來止痛和消腫
S:What should the patient focus on in home care?
家庭護(hù)理中應(yīng)該注意什么呢
P:Reduce the physical activities and bed rest may be recommended for a time to allow the body to heal.
減少體力運(yùn)動(dòng)光戈,臥床休息一段時(shí)間哪痰,讓身體恢復(fù)
S: Has the patient had to drink more water recently?
患者最近需要多喝水嗎
P:Fluids are encouraged at least 6 to 8 glasses a day
一天至少喝6~8杯水
S:Anything else you can tell me about rheumatic fever?
關(guān)于風(fēng)濕熱你還有什么事情可以告訴我們嗎
P: Oh, there is one more thing. The recurrence of rheumatic fever is common. Joint and heart complications may be long-term and severe
啊,還有一件事久妆,風(fēng)濕熱復(fù)發(fā)很常見晌杰,關(guān)節(jié)和心臟的并發(fā)癥可能是長期的和嚴(yán)重的