消化性溃疡Chapter 6 Peptic ulcer
学习目标
1.了解疾病的主要症状
2.了解疾病的治疗过程
3.预防并发症的发作
4.掌握饮食指导，药物宣教
5.掌握以下词汇
periodic 周期性的
rhythmic 节律性的
hematemesis 呕血
melena 黑便
endoscopic hemostasis 内镜下止血
proton pump inhibitor 质子泵抑制剂
gastric mucosal protective agent 胃黏膜保护剂
Zhao Jun in bed #22 has severe peptic ulcer.He experiences frequent upper abdominal pain together with periodic and rhythmic episodes of acid reflux and hernia.He has had hematemesis and melena recently.He is now receiving treatment in hospital.Song Man is his primary nurse.She is talking with Zhao Jun and giving him a health instruction.
Song Man: Good morning, Zhao Jun.How was your sleep last night?
Zhao Jun: Good morning, Song Man.I had black stool again last night.I am quite worried.Could you tell me about the next treatment plan?
Song Man: Ok.First, the doctor will perform a gastroscopy on you to identify the area of bleeding.Then endoscopic hemostasis is given to stop bleeding based on the specific condition.Finally, proton pump inhibitor and gastric mucosal protective agents will be used to ensure better therapeutic effects.
Zhao Jun: Ok, I see.So, what else do I need to pay attention to after discharge?
Song Man: After discharge, you need to have a good rest and avoid getting too tired.Keep a regular diet and eat easily digestible food like noodles.Avoid spicy, salty food, strong tea and coffee.Take the medication on time and pay attention to your stool.In case you notice melena, come to hospital and seek medical help right away.
Zhao Jun: Ok.Thank you, Song Man.I will pay more attention.
译文
22床患者赵俊，他有严重的消化性溃疡。他经常出现上腹部疼痛，并周期性、节律性发作，伴有反酸、嗳气症状，最近又出现呕血和黑便。他正在医院接受治疗，宋曼是他的责任护士，她正在和赵俊对话，给他做健康教育。
宋曼：早上好，赵俊！昨晚休息的还好吧？
赵俊：早上好，宋曼！我昨晚又解了一次黑便，我很担心，你能告诉我接下来的治疗方案吗？
宋曼：好的。首先，医生会给你做胃镜检查，查明出血的部位。然后，根据具体情况，进行内镜下止血。最后，用抑酸药和胃黏膜保护剂来巩固治疗。
赵俊：好的，我明白了。我出院后还需要注意些什么？
宋曼：出院后，你要多注意休息，不要太劳累；进食要规律，选择易消化的食物，如面食；避免辛辣、过咸及浓茶、咖啡等；按时吃药；关注大便情况，如果出现解黑便，需要立即至医院就诊。
赵俊：好的，谢谢你，宋曼。我会多加注意的。