詳細很多朋友都非常想了解臨床醫(yī)學英語的相關(guān)信息，為此，醫(yī)學教育網(wǎng)小編整理了以下內(nèi)容，請參考！

The patient-physician interaction proceeds through many phases of clinical reasoning and decision making.

proceed 進行、開展 reasoning 推論、推理 clinical reasoning 診斷 clinical decision 確定治療方案 making decision 做出決定

醫(yī)患溝通在臨床診斷和治療決策的許多時期進行著。

The interaction begins with an elucidation of complaints or concerns， followed by inquiries or evaluation to address these concerns in increasingly precise ways.

elucidation 說明、闡明 inquire 詢問、調(diào)查 evaluation 評估、評價

這種溝通開始于病人主訴或所關(guān)注問題的闡明，然后通過交流、評估不斷精確地確定這些問題。

The process commonly requires a careful history or physical examination， ordering of diagnostic tests， integration of clinical findings with the test results， understanding of the risks and benefits of the possible courses of action， and careful consultation with the patient and family to develop future plans.

integration 綜合 consultation 磋商、會診

這個過程通常需要細致的詢問病史和體格檢查，開具診斷性化驗醫(yī)囑，綜合臨床發(fā)現(xiàn)和化驗結(jié)果，理解分析擬行治療過程中的風險和療效，然后與病人及家屬反復磋商以完善治療方案。

Physicians increasingly can call on a growing literature of evidence-based medicine to guide the process so that benefit is maximized， while respecting individual variations among different patients.

respecting 注意到、關(guān)系、說到 evidence-based medicine 循證醫(yī)學

盡管考慮到不同病人中個體差異是存在的，但醫(yī)生們越來越容易查閱不斷增長的循證醫(yī)學文獻來指導這個過程，使得療效最大化。

The increasing availability of randomized trials to guide the approach to diagnosis and therapy should not be equated with ―cookbook‖ medicine.

availability 可利用性， 可得到 randomize 隨機的 cookbook 食譜，烹調(diào)書 approach 接近

但是，不斷增加的可用于指導臨床診斷與治療的隨機試驗資料不應(yīng)當作―烹調(diào)書‖使用。

Evidence and the guidelines that are derived from it emphasize proven approaches for patients with specific characteristics.

Evidence 證據(jù)，跡象 guideline 指導方針 emphasize 強調(diào)

那些隨機試驗獲得的臨床表現(xiàn)和診斷思路是側(cè)重于求證具有某些特征病人而來的。

Substantial clinical judgment is required to determine whether the evidence and guidelines apply to individual patients and to recognize the occasional.

substantial clinical 真實的，實在的 individual 個體 occasional 偶爾的，特殊的

實際的臨床判斷需要確定這些臨床表現(xiàn)和診斷依據(jù)標準是否能應(yīng)用于普通病人的個體，并能找出例外。

Even more judgment is required in the many situations in which evidence is absent or inconclusive.

inconclusive 不確定性，非決定性

在許多情況下，臨床表現(xiàn)缺乏或不典型，甚至需要考慮得更多。