Unit 19 Heart Failure

韩明华

心力衰竭

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说教材

说教法

说学法

教学过程

板书设计

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说 教 材说 教 材

（一）教材的地位与作用 本节课是雷慧主编的《护理英语》第二部分内外科护理中的

第 19 单元。 本书精心编写了 61 篇医护专业英语课文，包括基础护理、内

外科护理、母婴护理、儿科护理、老年科护理、精神科护理及药物学护理等 7 个部分。

所选课文专业性强，可作为英护专业学生的医学英语教材 医护英文表达方式及词汇约 4000 余条

缺点：没有构词法

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说 教 材说 教 材

（一）教材的地位与作用 构词法 (word structure of medical terminology)

1. 医学术语的构词规律 prefix( 前缀 )

suffix( 后缀 )

2. 基本构成成分 root( 词根 )

combining vowel( 连接元音 )

参考教材：《 THE LANGUAGE OF MEDICINE 》 W.B.S

aunders Company, 6th Edition

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说 教 材说 教 材

（二）教学目标与要求知识目标：• 掌握课文中出现的医学短语及常用表达方式• 掌握词汇中出现的前缀、后缀和词根的意义• 理解专业英语和公共英语的区别能力目标：• 学会用构词法分解比较长的医学单词，并理解其意义• 训练学生阅读医护专业文章的能力思想目标：• 培养学生学习医护英语的兴趣，树立成为涉外护理人才的信

心 。

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说 教 材说 教 材

（三）教学重点与难点

教学重点：词汇中的医学术语

课文中医护英语的表达方式、短语

教学难点：用构词法分析课文中的医学术语

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说 教 法

确定依据：

在教学中，坚持以教师为主导，学生为中心，充分发挥学生的主体作用，培养学生独立、自主获取知识的能力。让学生不仅要“学会”，更要“会学”。

教学方法：

以讲授为主，辅以启发、讨论和练习的方式，培养学生分析医学术语结构及意义的能力。

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说 学 法

学情分析：

055 年英语提高班学生已掌握临床护理各科的知识，公共英语基础较好，加之已经学过一个学期的医护英语，理解接受能力比较强，因而在现阶段教学过程中基本使用全英文教学

英语教学所占的比重取决于学生的接受能力

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说 学 法

学习方法：

教会学生用构词法分析理解医学术语的方法，授之以渔，是扩充词汇量的关键

精讲点拨，指导学生将已经学过的心力衰竭的知识（病因、临床表现、治疗、护理等）与本课联系，理解掌握医护英语的表达方式

巩固练习、讨论思考、对比归纳

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（一）复习提问（ 5 分钟）（二）导入新课（ 2 分钟）（三）讲授新课（ 68 分钟）（四）教学总结（ 5 分钟）（五）课堂练习（ 8 分钟）（六）布置作业（ 2 分钟）

教学过程

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• Dictation of the vocabulary of unit 18: Pain

• Questions ： What is pain described?

How to relieve pains ？

( 一 ) 复习提问

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• Today we will learn Unit 19 Heart Failure, the

vocabulary and the article which introduces the

definition, causes, signs and symptoms,

treatment and nursing care of this disease.

（二）导入新课

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• Step 1: Study the Vocabulary

Read the vocabulary three times. Give the students 3 minutes

to get familiar with the pronunciation; Ask 2 students to read

the new words and correct the wrong pronunciation. 领读单词，帮助学生掌握单词的正确发音

Analyze the structure of medical terms and give examples.

有重点地分析讲解医学单词并举例说明

（三）讲授新课

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For example: edema 水肿

edema ： swelling• pulmonary edema 肺水肿• angioneurotic edema 血管神经性水肿• dependent edema 下垂部位水肿• cardiac edema 心源性水肿• nephrotic edema 肾病性水肿

• The boy who was suspected with acute glomerulonephritis had severe edema all over the body. 那名怀疑患有急性肾小球肾炎的患儿全身高度水肿。

（三）讲授新课

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Example ： hypothyroidism 甲状腺功能减退

1. Analyze the word structure

hypo/thyroid/ism

prefix root suffix

deficient liver process

The prefix hypo means deficient, below, less than normal.

The root thyroid means thyroid gland.

The suffix –ism means process.

The entire word means process of deficient activity of the thyroid gland.

（三）讲授新课

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2. More examples containing the prefix: hypo-

hypo/tension: blood pressure is less than normal

hypo/derm/ic: relating to the layer below the skin

hypo/glyc/emia: low level of glucose in the blood

hypo/calc/emia: low level of calcium in the blood

hypo/vol/emia: deficient blood volume

hypo/thermia: unusually low body temperature

（三）讲授新课

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3. The opposite of hypo-:

hyper-: excessive, above, more than normal

hyper/thyroid/ism: the process of excessive activity of the thyroi

d.

hyper/tension: blood pressure being more than normal

hyper/glyc/emia: high level of glucose in the blood

hyper/calc/emia: excessive blood calcium

hyper/thermia: unusually high body temperature

hyper/sensitivity: the condition of being excessively sensitive

（三）讲授新课

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4. More examples containing the root: thyroid

hyper/para/thyroid/ism: process of excessive activity of the parathyr

oid gland.

hypo/para/thyroid/ism: process of deficient activity of the thyroid gl

and.

thyroid/ectomy: excision of the thyroid

thyroiditis: inflammation of the thyroid

thyroid/o/tomy: opening of the thyroid

（三）讲授新课

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5. Medical phrases containing hypothyroidism ： primary hypothyroidism 原发性甲减

senile hypothyroidism 老年人甲状腺功能减退

congenital hypothyroidism 先天性甲减

Hypothyroidism is completely treatable in many patients simpl

y by taking a small pill of thyroxine once a day.

很多患者每天服用一次甲状腺素片就可完全控制甲减。

（三）讲授新课

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Step 2: Study the article1. Introduce the whole article:

Today we will learn the article about: Heart Failure

Part 1 (Paragraph 1) is about the definition and classification of heart failure.

Part 2 (Paragraph 2) is about the causes of heart failure. Part 3 (Paragraph 3-5) tells the clinical manifestations Part 4 (Paragraph 6) describes the prevention of heart failure.

（三）讲授新课

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2. Read and explain the text by paragraph

Read each paragraph, ask students to outline the meaning and answer some related questions to see if they understand the text.

Explain sentences and medical terms in the text.

（三）讲授新课

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Paragraph one:

Ask one student to read this paragraph, then ask another student to answer the question:

What is heart failure?

Heart failure is a general term to describe a state in which the heart is no longer able to pump an adequate supply of blood or cardiac output to meet the demands of the body when there is an adequate venous return.

（三）讲授新课

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Right-sided failure is due to a weakness of the right ventricle and subsequent inability to circulate blood from the superior and inferior vena cava to the lungs. Venous blood backs up into the systemic circulation and results in dependent edema.右心衰竭多继发于右心室的病变，右心室不能将上下腔静脉的血液排至肺循环，导致体循环淤血，出现下垂水肿。

正确理解并翻译句子，熟悉其专业性的表达方式

• Superior and inferior vena cava 上下腔静脉• Systemic circulation 体循环• Dependent edema 下垂部位水肿

（三）讲授新课

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Questions about the text:

What are the primary causes of heart failure?

What are the precipitating causes of heart failure?

What are clinical manifestations of left ventricular failure?

What are clinical manifestations of right ventricular failure??

How to prevent heart failure?

What is heart failure?

（三）讲授新课

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Important medical phrases in the text:

• Pulmonary venous pressure 肺静脉压• Exertional dyspnea 劳力性呼吸困难• Paroxysmal nocturnal dyspnea 夜间阵发性呼吸困难• Blood-tinged frothy sputum 粉红色泡沫样痰• Decreased tissue perfusion 组织灌注量不足• Displacement of the apical impulse to the left 心尖搏动左移• increased intra-abdominal pressure 腹内压增高• jugular vein distention 颈静脉怒张

（三）讲授新课

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Medical terms in the vocabulary

Roots, prefixes and suffixes in this article

Important medical phrases and sentences

（四）教学总结

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Roots, prefixes and suffixes in this articleRoots :hepat(o)- liver my(o)- muscle

thyr(o)-, thyroid(o)- thyroid gland

Prefixes:hypo- less than normal, below, deficient

hyper- excessive, above, more than normal

a-,an- no, not, without, lack of

Suffixes:-itis inflammation -megaly enlargement

-ism process

（四）教学总结

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Analyze the word structure of the following terms:

1. Hepatogastrostomy 3. Hepatoduodenostomy

2. Hyperparathyroidism 4. electrocardiogram

Fill in the blanks

1. _______is a cardinal manifestation of left ventricular failure.

2. Dyspnea at rest in the recumbent position is known as _______.

3. Volume overload occurs with aortic or ___________.

（五）课堂练习

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Recite the medical terms and phrases in the text

Recite the roots, prefixes and suffixes

Read the article fluently

Translate the second paragraph into Chinese

Discussion: How do nurses distinguish left heart failure

from right heart failure?

（六）布置作业

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板书设计

Unit 19 Heart Failure

1. hypothyroidism: deficient activity of thyroid Roots : my(o)-2. hepatomegaly: enlargement of the liver. thyroid(o)-3. hypertension: elevation of blood pressure hepat(o)-4. myocarditis: inflammation of heart muscle Prefixes: a-,an-5. anemia:lack of enough blood hypo-6. edema: swelling hyper-7. congestion: being congested Suffixes: -megaly; -ism

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