肝硬化Chapter 7 Cirrhosis
学习目标
1.三腔二囊管的应用
2.饮食指导
3.腹水监测
4.掌握以下词汇
ascites 腹水
varices 静脉曲张（varix的复数）
massive digestive tract bleeding 消化道大出血
Sengstaken-Blakemore tube 三腔二囊管
in terms of 就……而言
abdominal circumference 腹围
Qiao Kai has been diagnosed with liver cirrhosis, ascites,and esophageal and gastric varices.During hospitalization, he had massive digestive tract bleeding and now his condition has stabilized.He will be discharged from the hospital in a few days.But he is still worried, and talks to the nurse about his feeling.
Nurse: Good morning, Qiao Kai.Is there anything bothering you these days?
Qiao Kai: Yes, my doctor told me that I could go home soon.
Nurse: That's great.What are you worried about?
Qiao Kai: I am worried about another bleeding and other possible bad things.
Nurse: Take it easy.Do you remember the Sengstaken-Blakemore tube used for your bleeding last time? It is particularly designed for esophageal and gastric varices bleeding.Certainly,you can also take some measures to prevent bleeding.
Qiao Kai: But I do not know what I should do, particularly in terms ofmy diet.
Nurse: You'd better eat soft, meshed and easily digestible food.Avoid irritating food such as raw and hard food, fried food,and avoid strong tea and alcohol too.Furthermore, stay away from hot food.
Qiao Kai: I see.My doctor has also told me to measure abdominal circumference and weight every day.
Nurse: Sure, it is very important to monitor ascites.
Qiao Kai: Thank you.I feel more relaxed now.
Nurse: You're welcome.
译文
患者乔凯诊断为肝硬化、腹水、食管胃底静脉曲张。他在住院期间曾发生过一次消化道大出血，现在病情已经稳定，再过几天就可以出院了，但是他仍很担心，并告诉了护士。
护士：早上好，乔凯，这几天有什么事情困扰你吗？
乔凯：是的，我的医生告诉我很快就可以出院了。
护士：这是个好消息啊，你担心什么？
乔凯：我怕再次出血，或者出现其他不好的情况。
护士：不用担心，你还记得你上次出血时用的那根三腔二囊管吗？那是专门为食管胃底静脉曲张出血而设计的，当然，你也可以采取一些措施预防出血。
乔凯：但我不知道应该做什么，尤其是饮食上需要注意什么？
护士：你应该进食软的、易嚼的、容易消化的食物，生硬食物、油炸食物之类刺激性的食物不要吃，不要饮浓茶和酒，同时避免进食过热的食物。
乔凯：我明白了，医生还要求我每天测量腹围和体重。
护士：是的，监测腹水很重要。
乔凯：谢谢你，我现在放松了很多。
护士：不客气。