病例翻译--手术记录单翻译模板原来是这样的!

发布时间:2016-10-24
 
 

病例翻译--手术记录单翻译,外科手术,肿瘤手术翻译,癌症手术文件翻译,中译英

手术记录单翻译

 

Shandong Tumor Hospital

Operation Record

Name: H

Department: Surgical Ward 4

Bed No.: 01

Admission No.: 000l65

 

The patient was Huo Chengyin, male, 57

Ward: Ward 4th of Surgery

Bed number: 01

Admission number: ZY1700;65

Date of operation: March 4th, 2014

       Time of operation: 09:00, March 4th, 2014—12:50, March 4th, 2014

Diagnosis before operation: After the chemotherapy for peritoneal metastasis of postoperative colon cancer (pT4N1M0)

Diagnosis during operation: After the chemotherapy for peritoneal metastasis of postoperative colon cancer (pT4N1M0)

Name of operation: Abdominal tumor resection + enterolysis

Operation guides: operator and assistant: Guo Hongliang, Sun Yanlai, double click to choose the doctor Wu Xinguo

Anesthesia method: general anesthesia

Surgical procedure, intraoperative findings and case handling: After the success of anesthesia, the patient was kept supine. Routine disinfection and spread the sterile cloth. We cut the muscle successively and got into the abdomen through the original incision of the right abdomen rectus. At that time we washed our hands to probe the abdomen: there were obvious bowel adhesions below the abdominal incision. And the abdomen was without ascites. The hard lump could be touched below the right lobe of liver, and its size was 3 * 2.5cm. And the hard lump could also be touched around the original anastomosis. Its size was 3 * 1cm and it was relating to the surrounding intestine. There were scattered small metastatic nodules in the omentum and mesentery, and the larger diameter was about 1.5cm. Extensive miliary peritoneal metastatic nodules were touched of the diaphragmatic surface. Release the intestinal adhesions and cut the hard lump below the right lobe of liver, whose size was 3 * 2.5cm. We also cut the hard mass around the primary anastomosis whose size was 3 * 1cm, and released the intestine. Hemostasis was done completely. Then we rinsed the intestine. After counting the gauze and equipment to make sure there was no error, we turned off the abdomen layer by layer. Abdominal surgery went well, and the patient returned to the ward safely. SpO2 98%, Bp129/88 mmHg, P65beats/min.

During the operation, the effect of anesthesia could be satisfying. And we sent the sample which was cut during the operation to the department of pathology.

   Signature of the operator:    Sun Yanlai        Record Time: 13:37, March4th, 2014

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