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银泰医院急诊留观小结
急诊号
(一式两份,一份交病人或亲属收执,一份入病案)
病案号
姓名:________性别:________年龄:_________职业:__________ 入观察室(抢救室)时间:____年___月___日___时___分
出观察室时间:____年___月___日___时___分
患者去向:____________________ 入观察室(抢救室)情况:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 初步诊断:______________________________________________________________________ _______________________________________________________________________________ 主要诊疗经过及
出观察室时病情:
T___℃ P___次/分 R___次/分 BP____/_____mmHg _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 出观察室诊断:_________________________________________________________________ _______________________________________________________________________________ 出观察室医嘱:_________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 注意事项:______________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________ 主治医师签字:____________________
住院医师签名:________________ _______________________________________________________________________________