医学病历
（来源：汉译英试译）
（翻译人：长春金佳译翻译社）
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英语译文：
The patient child, ***, female, X-year-old, was admitted into hospital due to “little or no urine for over 20 days”. About 20 days ago, the patient was attacked by frequent vomiting with no obvious trigger. Corresponding symptoms: 10 times / day, medium amount, not in spurting form, presented in bile-like fluid, no coffee-color vomited matter, no abdominal pain or diarrhea, together with reducing urine volume; the next day paroxysmal cough occurred, not drastic, few amount of phlegm existing in throat and difficult to be expectorated, tachypnea, not asthmatic, no spasmodic cough, no fever, no orthopnea, no cyanosis, no profuse sweat. In local hospital: Oral intake of amoxicillin, omeprazole and clarithromycin for twice but with poor effect. The patient did not improve in vomiting, cough and tachypnea. Treatment in Affiliated Hospital of ZZ University: 1 time treatment of electrocardiograph monitoring, oxygen uptake, blood volume increase of normal saline and intravenous injection of furosemide, but the patient did not take a turn for the better; blood pressure monitoring: high, fluctuation value: 140-150/ 120mmHg. The patient was transferred to our hospital on January 1, 2020. During transferring, the patient had twice heart rate decrease and obvious blood oxygen desaturation. Our ICU received the patient and gave anti-infection and symptomatic treatment. However, the patient’s condition gradually got worse and went into a coma and had multiple organ failure (heart, lungs, kidneys, digestive tract; coma, cardiac failure, respiratory failure, renal failure, obvious hepatic enzymogram, gastrointestinal bleeding). Our further treatment: Mechanical ventilation, electrocardiograph monitoring and CPR. On January 3, the patient’s critical values report: Troponin I: YYng/ml. We gave fructose sodium diphosphate to protect myocardium. Repeated blood biochemical tests for the patient hinted abnormal renal function.
Suspected diagnosis through overall consultation of doctors in our hospital: 1. Viral encephalitis (brainstem); 2. Severe pneumonia; 3. Multiple organ failure.
汉语原文：
患儿，***，女，X岁，因“少尿、无尿20余日”入院。患儿于20余日前无明显诱因出现频繁呕吐，10余次/日，量中等，非喷射状，有胆汁样液体，未见咖啡色状物质，无腹痛腹泻，伴小便量减少，次日出现阵发性咳嗽，不剧，喉中有少量痰，不易咳出，有气急，无喘息，无痉挛性咳嗽，无发热，无端坐样呼吸，无青紫，无大汗淋漓，在当地医院口服“阿莫西林、奥美拉唑、克拉霉素”治疗2次，效果不佳，患儿呕吐、咳嗽、气急无改善，在ZZ大学附属医院就诊，予以“心电监护、吸氧、生理盐水扩容、速尿静推”治疗一次，患儿病情无改善，监测血压偏高，波动于140-150/105-112mmHg，遂于2020-1-1转送我院，转运途中有两次心跳下降、血氧饱和度明显下降，收治我院ICU给予抗感染、对症处理，但患儿病情逐渐加重并出现昏迷、多脏器功能衰竭（心、脑、肺、肾、消化；昏迷、心功能衰竭、呼吸衰竭、肾功能衰竭、肝酶谱明显、消化道出血），予机械通气，心电监护、心肺复苏等处理，患儿1-3危急值回报肌钙蛋白I：YYng/ml，予果糖二磷酸钠保护心肌，患儿反复查血生化均提示肾功能异常。
经全院大会诊，拟诊“1、病毒性脑炎（脑干脑类型）2、重病肺炎 3、多器官功能衰竭”
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