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“我想咨询一下孩子的情况”
http://www.100md.com 2007年12月24日 《中国医药报》 2007.12.24
     店员:您好!请进。请问有什么需要帮助的吗?

    Shop assistant: Hello. Can I help you?

    顾客:我想向您咨询一下我孩子的情况。

    Customer: I want to ask you something about my child.

    店员:他今年多大了?有什么不舒服的吗?

    Shop assistant: How old is he?What's wrong with him?

    顾客:他6岁了,最近总感觉心跳快,而且还挺爱疲劳,身体好像也比原来瘦了。

    Customer: He is six years old, he said recently he always felt rapid pulsation of the heart, and is tired and seems he is thinner than before.
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    店员:他这种感觉有多长时间了?

    Shop assistant: How long has he felt like this?

    顾客:有两个来月了。

    Customer: About two months.

    店员:那他感觉不舒服时的心率是多少呢?

    Shop assistant: How about his heart rate when he feels uncomfortable?

    顾客:将近100下,另外我感觉他的脸色也不太好,挺苍白的。

    Customer: Nearly 100. Besides, he looks unwell, quite pale.
, 百拇医药
    店员:如果他感觉心跳快而且强,同时伴有心前区不适,与心慌的感觉类似,另外面色苍白、虚弱易疲劳,伴有头晕的症状时,有可能会是“贫血”,您最近带他去医院检查过吗?

    Shop assistant: If he feels his heart rate is fast and strong, at the same time there is discomfort in the precordial region, like the feeling of nervous, besides, if he feels pallid, weak, tired and dizzy, ,it is likely to be anemia. Have you taken him to hospital recently?

    顾客:我最近太忙,没抽出时间来。那给他用什么药比较好呢?

    Customer: I have been too busy recently and had no time. Which medicine will be best for him?
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    店员:“贫血”的种类不同,解决的办法也不同,您需要去医院给他检查一下,也不一定就是“贫血”,您不必太担心。

    Shop assistant: There are many types of anemia, and the remedies are different, you should take him to see a doctor and get examined, it might not be anemia, so don't be so worried.

    顾客:即使他不贫血,我平时给他吃一些补铁药作为预防行吗?

    Customer: Even if he does not have anemia, can I give him some iron supplement as a preventive measure?
, 百拇医药
    店员:若是预防,可以从饮食方面入手,药品在治病的同时还是有毒副作用的,特别是小孩用药更应谨慎,切忌滥用补血药,而且必须严格掌握各种药物的适应证。例如维生素B12及叶酸适用于治疗巨幼细胞性贫血;铁剂仅用于缺铁性贫血,不能用于非缺铁性贫血,因为会引起铁负荷过重,影响重要器官(如心、肝、胰等)的功能;维生素B6用于早幼粒细胞性贫血;皮质类固醇用于治疗自身免疫溶血性贫血;睾丸酮用于再生障碍性贫血等。您的心情我理解,但用药可不像咱们想像的那么简单。

    Shop assistant: For prevention, you can start with the diet. Drugs have some side-effects when, and you should be more cautious with children, and avoid by all means hematinic abuse. For example, Vitamin B12 and folic acid apply to megaloblastic anemia; chalybeate only apply to iron-deficiency anemia, and cannot be used with other types, since this will cause an overdose of iron, which will influence the function of some important organs (such as the heart, liver and pancreas);vitamin B6 applies to sideroblastic anemia; corticosteroid applies to autoimmune hemolytic anemia; testosterone applies to aplastic anemia, etc. So you can see that medication is not as simple as it seems.

    顾客:那我带他去检查一下,谢谢您的提醒。再见!

    Customer: It seems I should take him to see a doctor, thanks so much for your advice. Goodbye!

    店员:再见!

    Shop assistant: Goodbye!

    (赵喜君 华铮 王立峰), http://www.100md.com