Doctor and Patient's Dialogue in the Operating ...
手术前
Before the operation
[Glossary]
DSA room 导管室
intervention ward 介入病房
hepatic arterial 肝动脉的
chemoembolization 化疗栓塞
femoral artery 股动脉
angiography 血管造影术
lesion 病灶
anesthesia 麻醉
[Scenario]
护士：您好，我们这里是导管室或者叫介入手术室。我是今天的当班护士，我姓宋。请问您叫什么名字？住在哪个病区？几楼几床？
N：Hello，this is the conduit room or interventional operating room.Iam the nurse on duty today，my last name is Song.May I have your name？And which ward are you from？
患者：我叫张建，住在介入病房，21号楼3楼3床。
P：My name is Zhang Jian，I stay in the intervention ward，building 21，3rd floor，bed 3.
（护士核查患者的基本信息、手术名称以及手术知情同意书的签署情况。）
（The nurse checks the patient's basic information，thename of the operation，and the signature of the informed consent.）
护士：请问您知道您今天要做什么手术吗？
N：Do you know what surgery you are going to receive today？
患者：做肝脏的，栓塞。
P：Liver operation，embolization.
护士：好的，是肝脏动脉化疗栓塞术。请问您是第一次做这个手术吗？
N：OK.It's hepatic arterial chemoembolization.Is this the first time you receive such an operation？
患者：对的。请问这个手术时间长吗？
P：Yes.How long will it take？
护士：这个手术时间不是很长，一般情况下大概30分钟。
N：Not very long，it takes about 30 minutes under normal circumstances.
患者：那这个手术是怎么做的？
P：What is the process？
护士：这个手术是从腹股沟处股动脉穿刺，利用专用的造影管沿着主动脉到右肝动脉，造影确定病变位置，然后局部用药，杀死不好的细胞。
N：The operation starts with a puncture of the femoral artery in the inguinal region，pushing a specialized catheter via aorta into the hepatic arteries to determine the location of the lesions by angiography，and then inject drugs to the local lesion area to eliminate abnormal cells.
患者：我需要麻醉吗？
P：Do I need anesthesia？
护士：需要的，但您的麻醉方式是局麻，整个过程中人都是清醒的。术中如果您有任何不适，都可以和我们讲。
N：Yes，but only local anesthesia is required.You will be conscious during the whole procedure，so you can tellus if you have any discomfort.
患者：好的，我明白了。谢谢护士。刚才我还有点紧张，现在好多了。
P：OK，Isee.Thank you.I was a little nervous a moment ago，but now I feel much better.
护士：不用谢，应该的。请问您需要小便吗？
N：You are welcome.Do you need to go to urinate now？
患者：需要，你们这里有卫生间吗？
P：Yeah，where is the bathroom？
护士：有，我带您去。从这里直走，走到底向右转就是了。
N：I'll show you.Go straight ahead，and then turn right at the end of the corridor.
（患者从卫生间出来，来到手术等候区。）
（The patient comes out of the bathroom and goes to the surgical waiting area.）
护士：我们这里有5个手术间，您今天的手术在1号手术间进行。您现在是在手术等候区，一会儿会有人接您进去。每个手术间在进行手术时都会有射线，请您不要随意走动。有事可以随时问我，您现在休息下，等一下就轮到您了。
N：There are 5 surgical rooms.Your surgery will be performed at room number one.You are now in the surgical waiting area.We will escort you to the room later on.Because the radiation is used in the surgery，please do not walk around.We can help you if you need anything.Please have a rest now，you are next for the surgery.
患者：好的。
P：OK.
[Phrases]
under normal circumstances 一般情况下
operating room 手术室
on duty 值班
basic information 基本信息
手术中
During the operation
[Glossary]
sterile drape 无菌巾单
hepatic arteriography 肝动脉造影
local anesthetic 局麻药
lidocaine 利多卡因
chemotherapy medicine 化疗药
epirubicin 表柔比星
hydroxycamptothecin（HCPT）羟喜树碱
gelatin sponge particle 明胶海绵颗粒
gauze 纱布
compressor 压迫器
[Scenario]
（患者已经躺在手术床上，无菌单子已经铺好，手术材料准备完毕。）
（The patient is lying on the operating table.The sterile drape has been covered and the surgical materials are ready.）
护士：教授，手术材料已经准备好了。肝动脉造影导管、5F鞘、高压连接管、三通、造影导丝、注射器、酒精纱布都准备好了。
N：Professor，the operating materials are ready.Hepatic arteriography catheter，5F hemostasis，high-pressure connection catheter，three-way stopcock，angiographic guide wire，injector，and alcohol gauze are allprepared.
医生：好的，准备手术。
D：All right，let's start the surgery.
（再次核查患者的基本信息、手术名称及手术方式。）
（Recheck the patient's basic information，name and method of the operation.）
医生：局麻药利多卡因5 ml。
D：Local anesthetic，lidocaine，5 ml.
护士：好的，局麻药，利多卡因5 ml，请核对。(https://www.daowen.com)
N：All right，local anesthetic，lidocaine，5 ml，please check.
（医生给患者股动脉穿刺成功，造影管已经到位，准备造影。）
（The doctor successfully punctured the femoral artery，placed the catheter in the right position and is ready to inject the contrast.）
医生：接下来准备造影，护士可以准备化疗药物了。
D：Now we are going to do angiography.Please prepare the chemotherapy medicine.
护士：好的。
N：OK.
（造影结束，已经确定病变部位。）
（The lesion site has been identified and confirmed by the angiogram.）
医生：现在需要配化疗药。表柔比星20 mg+20 ml 0.9%氯化钠，羟喜树碱20 mg+20 ml 0.9%氯化钠。
D：Now we need the medicine.Epirubicin 20 mg+20 ml 0.9%NS，HCPT 20 mg+20 ml 0.9%NS.
护士：好的，表柔比星20 mg+20 ml 0.9%氯化钠，羟喜树碱20 mg+20 ml 0.9%氯化钠。
N：All right.Epirubicin 20 mg+20 ml 0.9% NS，HCPT 20 mg+20 ml 0.9%NS.
护士：教授，药已经配好了，需要现在给您吗？
N：Professor，the medicine is ready.Do you need it now？
医生：对的。
D：Yes.
护士：表柔比星20 mg+20 ml 0.9%氯化钠，羟喜树碱20 mg+20 ml 0.9%氯化钠。请核对。
N：Epirubicin 20 mg+20 ml 0.9%NS，HCPT 20 mg+20 ml 0.9%NS.Check，please.
医生：好的。现在还需要明胶海绵颗粒。
D：All right.Gelatin sponge particles are also needed.
护士：请问教授，明胶海绵颗粒需要多大型号？
N：Professor，what size please？
医生：型号：350-560。
D：Size：350-560.
护士：好的。350-560的明胶海绵颗粒一瓶。请核对。
N：OK，350-560 gelatin sponge particles，one bottle.Check，please.
医生：手术结束了。
D：The operation is done.
护士：好的，纱布和压迫器已准备完毕。
N：OK.Gauze and compressor are ready.
[Phrases]
operating table 手术台
operating material 手术材料
be identified 被识别
手术后
After the operation
[Glossary]
gastrointestinal response 胃肠道反应
throw up 呕吐
choking 哽塞
asphyxia 窒息
antiemetic 止吐剂；止吐的
femoral artery 股动脉
pressure bandaging 加压包扎
sandbag compression 沙袋压迫
thrombosis 血栓形成
handheld urinal 尿壶
bedpan 便盆
[Scenario]
护士：张建，手术做好了，现在感觉怎么样？
N：Mr.Zhang，the operation is finished.How are you doing now？
患者：现在还可以，稍微有点恶心。
P：Not bad，but just a little disgusted.
护士：这个是用药之后最常见的胃肠道反应。如果您想呕吐，头偏向一侧，以免误吸引起呛咳或窒息。一般术后3～4天胃肠道反应基本消失。呕吐后，可以喝点温水漱口，到病房后，更换干净的衣服。如果呕吐严重，医生会给您开止吐的药物。
N：This is the most common gastrointestinal side effect after the medication.If you want to throw up，turn your head to one side to prevent choking or asphyxia.Most gastrointestinal side effect will disappear 3～4 days after the surgery.After vomiting，you can drink some warm water to rinse your mouth.You may change some clean clothes after arriving at the ward.If vomiting is severe，the doctor will prescribe antiemetic drugs for you.
患者：我晚饭可以吃点什么？
P：What can I have for supper？
护士：术后2小时，如果没有呕吐，可以吃点清淡、易消化的食物，像稀饭、面条、麦片等。不能吃油煎和刺激性的食物。
N：If there is no vomiting within 2 hours after the surgery，you can eat some light and digestible foods，such as congee，noodles，oatmeal and so on.Do not eat fried and spicy foods.
患者：我什么时候可以下床活动？
P：When can I get off bed for a walk？
护士：24小时后可以下地走路。您的手术穿刺的是股动脉，术后需要平卧24小时，手术部位加压包扎，沙袋压迫6小时。做手术那侧的腿保持伸直12～24小时。可以左右平移，防止血栓形成。
N：You may take a walk 24 hours after the operation.As a puncture was given to the femoral artery in your operation，you will need to lie on your back for 24 hours after the surgery and the operating wound needs pressure bandaging with sandbag compression for 6 hours.The operated leg should be kept straight for 12～24 hours.You are encouraged to move this leg horizontally to prevent thrombosis.
患者：大小便怎么办？
P：What if I want to urinate or defecate？
护士：病房有尿壶和便盆，只能在床上大小便，以免引起股动脉处压迫止血松动而大出血。术前病房护士已经告诉你们要训练在床上大小便了吧？
N：There are handheld urinal and bedpan in the ward，you should try to urinate and defecate in bed with them to prevent bleeding from loss of femoral artery pressure.I believe the ward nurse has instructed you on training yourself to excrete on the bed before the operation.
患者：是的。
P：Yes.
护士：现在马上送您回病房，您的鞋子和衣服已经放在车子下面的篮子里了。祝您早日康复。
N：Now we are about to send you back to the ward.We have put your shoes and clothesin the basket below the gurney.I wish you a speedy recovery.
患者：谢谢。
P：Thank you.
[Phrases]
gurney 轮床
a little disgusted 有点恶心
spicy food 刺激性食物
bleeding 出血