Orthopaedic Consultation (Arm and Hip Injury)

Health · English ↔ Chinese

1. Doctor · turn 1

   Good morning, Mrs Li. I’m Dr Clark, an orthopaedic surgeon. Your GP has referred you to me because of an injury. How can I help you today?

   早安，李太太。我是骨科專科醫生克拉克醫生。您的全科家庭醫生因為您受傷而將您轉介給我。今天有甚麼我可以幫您的？

2. Mrs Li · turn 2

   醫生您好。我昨天下午從樓梯上摔了下來，當時頓時覺得左胯部疼得厲害，左胳膊也撞到了。我自己根本站不起來，現在髖部和手臂還是很痛。

   Hello, Doctor. Yesterday afternoon I fell down the stairs. At that moment, I immediately felt severe pain in my left hip, and I also bumped my left arm. I couldn't get up on my own at all, and my hip and arm are still very painful now.

3. Doctor · turn 3

   I see. Did you lose consciousness or hit your head when you fell? And have you taken any painkillers since the accident? If not, how have you been managing the pain?

   我明白了。您跌倒時有沒有失去意識或撞到頭部？事故發生後您有沒有服用任何止痛藥？如果沒有，您平時是如何應對疼痛的？

4. Mrs Li · turn 4

   沒有，我沒有撞到頭，也沒有暈過去。我到現在都沒有吃止痛藥，只能忍著。昨天我先去看了家庭醫生，是他轉介我到這裏來的。他說我的左髖部和左手臂可能都受傷了，所以最好找骨科醫生檢查一下。

   No, I didn't hit my head, nor did I pass out. I haven't taken any painkillers up until now; I've just had to bear with it. Yesterday I saw my GP first, and he referred me here. He said both my left hip and left arm might be injured, so it would be best to have an orthopaedic surgeon examine them.

5. Doctor · turn 5

   All right. I’ve reviewed the X-rays your GP arranged. Fortunately, there doesn’t appear to be a fracture in your hip or pelvis. However, the X-ray of your left arm shows a fracture near the elbow. I’d also like to arrange a CT scan to get a clearer picture of the fracture and make sure the joint hasn’t been damaged.

   好的。我已經查看了您家庭醫生安排的 X 光片。幸運的是，您的髖部或骨盆似乎沒有骨折。不過，您左手臂的 X 光片顯示手肘附近有骨折。我還想為您安排一次電腦斷層掃描（CT），以便更清楚地了解骨折的情況，並確認關節沒有受損。

6. Mrs Li · turn 6

   原來真的骨折了，難怪這麼痛。我的左手肘現在還是很痛，而且整條手臂都不太靈活。這種情況嚴重嗎？骨頭能不能自己長好？

   So it really is fractured, no wonder it hurts so much. My left elbow is still very painful now, and my whole arm feels quite stiff. Is this condition serious? Can the bone heal on its own?

7. Doctor · turn 7

   The fracture is significant, but it is treatable. Because of its position, I don’t think simply resting the arm will be enough. To make sure the bone heals in the correct position, I recommend that you be admitted to hospital. You’ll most likely need an operation to realign and fix the fracture.

   骨折情況相當明顯，但這是可以治療的。由於骨折的位置，我認為單純靜養手臂是不夠的。為了確保骨骼在正確的位置癒合，我建議您入院治療。您極有可能需要進行手術，將骨折處復位並固定。

8. Mrs Li · turn 8

   要做手術啊？我還以為打個石膏，休息一段時間就可以了。那我大概要住院多久？手術之後是不是很長時間都不能用左手？

   I need to have surgery? I thought having a plaster cast put on and resting for a while would be enough. How long will I probably need to stay in hospital? After the operation, does it mean I won't be able to use my left hand for a long time?

9. Doctor · turn 9

   If there are no complications, you may only need to stay in hospital for a few days. After the operation, we’ll immobilise the arm while the bone heals. You won’t be able to use it normally straight away, but we’ll review your progress and arrange physiotherapy when it’s safe to start moving the joint again.

   如果沒有併發症，您可能只需要住院幾天。手術後，我們會將手臂固定，以便骨骼癒合。您不能馬上正常使用它，但我們會觀察您的進展，並在可以安全重新活動關節時為您安排物理治療。

10. Mrs Li · turn 10

    是的。其實受傷以後，我的左胳膊一直很僵硬，又發紫又發脹，有時候還覺得很麻，甚麼都做不了。現在我只能待在家裏，而且就算甚麼都不做，傷處還是會疼。

    Yes. In fact, ever since the injury, my left arm has been very stiff, swollen, purplish, and sometimes feels numb; I can't do anything at all. Now I can only stay at home, and even when I'm doing nothing, the injured area still hurts.

11. Doctor · turn 11

    The swelling and numbness are important, so we’ll keep an eye on the circulation and sensation in your arm. For now, we’ll put an L-shaped plaster cast on your arm to immobilise the elbow and support it properly. You may need to keep the arm immobilised for about six weeks, although that will depend on how well the fracture heals.

    腫脹和麻木感是重要的體徵，因此我們會密切注意您手臂的血液循環和感覺。目前，我們會為您的手臂打上 L 形石膏托，以固定手肘並提供適當的支撐。您可能需要將手臂固定大約六個星期，不過這要取決於骨折的癒合情況。

12. Mrs Li · turn 12

    六個星期這麼久啊！除了戴石膏托以外，我還需要注意甚麼嗎？這是我第一次受這麼嚴重的傷，我怕自己不小心又把傷勢弄得更嚴重。

    Six weeks is so long! Besides wearing the plaster splint, is there anything else I need to be careful of? This is the first time I've had such a serious injury, and I'm afraid I might accidentally make the injury worse.

13. Doctor · turn 13

    When you’re resting in bed, keep your elbow elevated above the level of your heart to help reduce the swelling. Move your finger joints from time to time, but don’t try to move the elbow inside the cast. Also, keep an eye on the colour of your fingers.

    當您在床上休息時，請將手肘抬高至高於心臟水平，以幫助消腫。不時活動一下手指關節，但切勿嘗試在石膏內活動手肘。此外，請密切注意手指的顏色。

14. Mrs Li · turn 14

    手指的顏色也要注意嗎？甚麼情況才算不正常？

    I need to pay attention to the colour of my fingers too? What kind of situation would be considered abnormal?

15. Doctor · turn 15

    Yes. If the pain suddenly gets worse, your fingers become numb, or they turn unusually pale, blue or dark, you need to seek medical attention straight away. The same applies if the swelling gets worse or you can no longer move your fingers. Don’t just grin and bear it, because those symptoms could mean the cast is too tight or the circulation to your hand is being affected.

    是的。如果疼痛突然加劇、手指變得麻木，或者顏色異常蒼白、發青或發黑，您需要立即就醫。如果腫脹加重或您無法再活動手指，也是同樣道理。千萬不要硬撐忍耐，因為這些症狀可能意味著石膏太緊，或者流向您手部的血液循環受到了影響。

16. Mrs Li · turn 16

    好的，我會特別留意。我知道一旦傷到骨頭就很麻煩，需要很長時間才能恢復。我還想麻煩您一件事。我以前從來沒有住過院，對住院的手續一點都不熟。您能不能幫我給醫院打個電話，聯繫一下住院的事情？另外，我的英文不太好，我怕到時候聽不懂醫生和護士說甚麼。醫院能不能幫我安排一個翻譯？

    All right, I'll pay special attention. I know that once a bone is injured it's a lot of trouble and takes a long time to recover. I also have a favour to ask. I've never stayed in hospital before and am not familiar at all with hospital admission procedures. Could you please call the hospital for me to arrange the admission? Also, my English isn't very good, and I'm worried I won't understand what the doctors and nurses are saying. Can the hospital arrange an interpreter for me?

17. Doctor · turn 17

    No worries, Mrs Li. I’ll send your examination and imaging results back to your GP so they have an updated record. I’ll also ring the hospital and arrange the admission for you. I believe the hospital will have an interpreter available, but I’ll make sure they know in advance that you require a Mandarin interpreter.

    不用擔心，李太太。我會把您的檢查和影像結果發回給您的家庭醫生，以便他們留存更新的記錄。我也會致電醫院為您安排入院事宜。我相信醫院會有傳譯員，但我會提前確認他們知悉您需要一位普通話傳譯員。

18. Mrs Li · turn 18

    那就太好了，謝謝您。那我是不是等醫院通知我甚麼時候入院就可以了？

    That would be wonderful, thank you. So does that mean I just wait for the hospital to notify me about when to be admitted?

19. Doctor · turn 19

    Yes. The hospital should contact you once the admission and surgery have been arranged. They’ll tell you when to come in and whether you need to fast before the operation. In the meantime, keep the arm elevated, don’t put any weight through it, and come back straight away if the pain, numbness, swelling or discolouration gets worse.

    是的。一旦安排好入院和手術，醫院就會聯絡您。他們會告訴您何時來醫院，以及手術前是否需要禁食。在此期間，請保持手臂抬高，不要讓它承重；如果疼痛、麻木、腫脹或變色情況加重，請立即返回就醫。

20. Mrs Li · turn 20

    好的，我明白了。我會按照您的吩咐去做，也會留意手指和手臂的情況。謝謝您幫我安排住院和翻譯的事情。

    All right, I understand. I will follow your instructions and also keep an eye on my fingers and arm. Thank you for arranging the admission and interpreter for me.

21. Doctor · turn 21

    You’re welcome, Mrs Li. Take care of that arm, and we’ll make sure the hospital has all the information it needs.

    不客氣，李太太。請好好照顧那隻手臂，我們會確保醫院掌握所需的所有資訊。

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