华译网加拿大翻译公司提供国内住院出院小结翻译认证服务,该翻译件可以用于在加拿大各个省市卫生部报销医疗保险费用,加国各省各市有关卫生部门和医疗保险部门均认可我们的翻译件。以下是我们为安大略省某华人朋友翻译的国内住院证明和出院小结英文译文,该朋友已经顺利报销,译文供参考:
Jiangmen Central Hospital Admission Record Name: XXXX, XXXXDepartment: Hepatobiliary and Gastrointestinal SurgeryBed Number: 1554 Medical Record Number: 296643
(Associate) Chief Physician: GONG, AAAAA
Final Diagnosis: Peritoneal chemotherapy after colon cancer surgery Time: 12 July, 2008
Resident: REN, JingAAAAA (Associate) Chief Physician: GONG, AAAAA
Jiangmen Central Hospital Admission Record Name: XXXX, XXXXDepartment: Hepatobiliary and Gastrointestinal SurgeryBed Number: 1536 Medical Record Number: 296643
Name: XXXX, XXXX Gender: Female Age: 51 Ethnic Group: Han Marital State: Married Occupation: worker Place of Birth: XinHui Address: An Xi, Xinhui City Admission date: 13:04 19 Oct, 2009Record date: 16:11 19 Oct, 2009 Complainer: patient Relatives’ name: XXXX, XXXX Chief Complaints: reexamination, one and a half years after transverse colon surgery Present Illness: Left hemicolectomy was taken after the diagnosis as transverse colon cancer one and a half years ago in our hospital. Postoperative pathological: colorectal tubular adenocarcinoma, infiltrated wholly, no residual cancer cut on both sides; villous polypoid, tubular polypoid adenoma; palpated 7 pieces of lymph nodes, 3/7 of which metabolized. No omentum metastasis. Peritoneal chemotherapy was taken 3 times. It was not continued since the patient could not endure side effect of chemotherapy. No abdominal distention and pain, no nausea and vomiting. Passage of gas and defecating functions could be observed instead of mucous bloody stool. Reexamination should be taken after one and a half years of colorectal surgery. Appetite and sleep were normal. Defecation was also normal. No obvious change on weight. Past History: She denied diabetes, hypertension, tuberculosis, or hepatitis, etc. She either denied the history of surgery and trauma. She had no history of allergy to food or drugs. Vaccine inoculation was unknown. Individual history: born in local city. Activity regularity. No history of smoking, drinking, drug abuse, etc. No feculent history of sexual intercourse. No history of epidemic water and area contact. Marital History: Married. 14 year-old.(5-7)/(28-30) LMP 20 Sept, 2009, Medium level, No history of dysmenorrheal. Spouse and offspring were healthy. Family History:No family history of similar illness, mental disease and heredity.
Physician examinations T: 36.6°C P: 80 per minute BP: 110/60mmHg R: 20 per minute Well-developed, balanced nutrition, active position, consciousness, normal mental state, alert and cooperative. Skin mucosa was not pale, jaundiced or cyanotic. No Subcutaneous hemorrhage. No superficial lymph nodes swelling. Regular features. Sclera was not jaundiced. Pupils were equal and active to the light, D=3mm. No congestion, no reddened and enlarged tonsils. Neck was supple with centralized trachea. No jugular venous distention. No enlarged thyroid. No chest deformity, no tenderness. Both lungs acted normally. Tactile sensation and tremor were normal. Resonant to percussion and clear to auscultation without dry rale. No pleuritic rub. No prominent chest. Apical impulse was normal without tremor. Border of cardiac dullness was within normal limits. No arrhythmia. Normal heart sounds. No systolic murmur. Abdomen: found in special situation. Anus and genitalia were not checked. Spinal and extremities were not deformity. No clubbing finger. Joints were not redness or swelling, no edema status. It took physiological response rather than pathological reflex Special Situation: tummy flat, surgery scar with the length of 12 cm was observed on the left abdomen. No stomach or intestinal-type. Whole abdomen was soft with little pain on the left upper site. No rebound tenderness. No masses. Liver and spleen were impalpable. Murphy’s sign (-) was positive. No shifting dullness. Bowel sounded normally.
Auxiliary examinations Jiangmen Central Hospital Discharge Record Name: XXXX, XXXX Gender: Female Age: 51Department: Hepatobiliary and Gastrointestinal Surgery Bed Number: 1536 Medical Record Number: 296643
Admission Date: 19 Oct, 2009 Discharge Date: 23 Oct, 2009 A total of 4 days
Admitting Diagnosis: 1. Post operation of transverse colon cancer 2. Post operation of descending colon polyp
Case History: reexamination, one and a half years after transverse colon surgery. Inpatient examination: T: 36.6°C, P: 80 per minute, BP: 110/60mmHg, R: 20 per minute. Active position, consciousness, normal mental state, alert and cooperative. No superficial lymph nodes swelling. Clear to auscultation. Tummy flat. Surgery scar with the length of 12 cm was observed on the left abdomen. No stomach or intestinal-type. Whole abdomen was soft with little pain on the left upper site. No rebound tenderness. No masses. Liver and spleen were impalpable. Murphy’s sign (-) was positive. No shifting dullness. Bowel sounded normally. No obvious abnormality in related examinations, which included blood routine test, liver function test, tumor detection (AFP+CEA+CAI), B-ultrasonography, electrocardiography, colonoscopy and bone scan examination. Subcutaneous pump for chemotherapy was taken out on 20 Oct, 2009. The patient was discharged today.
Discharge Status:It was stable without chief complaints about discomfort. Physical examinations: consciousness, normal mental state. No superficial lymph nodes swelling. Lung (-), heart (-), abdomen (-), pathological characteristics (-).
Discharge Diagnosis: 1. Post operation of transverse colon cancer 2. Post operation of descending colon polyp
Discharge Instructions: Rest and reexamination in 3 months. Regular follow-up.
Chief Doctor: LIANG, Yongquan
(Associate) Chief Physician: GONG, AAAAA
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