胆管结石Chapter 8 Cholangiolithiasis
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
jaundice 黄疸
antibiotic 抗生素
suppurative cholecystitis 化脓性胆囊炎
collaborate with 与…合作
high protein 高蛋白质
Li Bo received ERCP treatment yesterday for cholangiolithiasis accompanied by abdominal pain, fever, and yellowing ofthe skin.Jin Chen is his primary nurse.She is talking with Li Bo and giving him a health instruction.
Jin Chen: Good morning, Li Bo! It is a nice day today.Did you have a good rest last night?
Li Bo: Good morning, Jin Chen! I'm sorry that I did not follow your advice and drank a glass of water yesterday.Now I feel painful in the upper abdomen and have a high temperature.
Jin Chen: You should avoid food after ERCP.We will provide sufficient fluid replacement treatment and proper antibiotics to prevent postoperative pyogenic cholangitis according to your doctor's advice.To make sure you recover soon, please follow our advice.
Li Bo: Sorry, Jin Chen.I understand and will fully collaborate with the doctor, but I am still worried about my condition after discharge.
Jin Chen: Take it easy.Choose proper diet, eat small but frequent meals, and eat low-fat, high-protein, easily digestible,high-vitamin, and dietary fiber-rich food.Never skip breakfast.Keep a balance between work and rest, and come back for regular outpatient follow-up.
Li Bo: Ok, thank you very much.I will do what you have advised.
译文
患者李博因胆结石伴有腹部疼痛、发热、皮肤发黄症状，昨天行ERCP治疗。金晨是他的责任护士，正在和李博对话，并进行健康教育。
金晨：早安，李博，今天天气很好，你昨晚休息的怎么样？
李博：早安，金晨，对不起，我没有遵循你的建议，偷偷喝了一杯水，现在感觉上腹部疼痛，体温也有点上升了。
金晨：ERCP后你需要进行严格的禁食、禁水，我们会遵医嘱给你进行补液治疗，并使用适当的抗生素，预防术后化脓性胆管炎的发作。为了你能尽快康复，请配合我们。
李博：对不起，金晨，我知道了，我会全力配合你们的治疗，可是我还是比较担心出院以后的情况。
金晨：别紧张。选择适当的饮食，少餐多餐，吃低脂肪、高蛋白质、易消化、高维生素、富含膳食纤维的食物，不能不吃早餐。劳逸结合，定期进行门诊随访。
李博：好的，真的太感谢你了，我会认真听从你的建议。