培训课件11-病例书写规范

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1、蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈

2、螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅

3、莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃

4、蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿

5、蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁

6、袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁

7、肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节

8、芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀薃羀莂蒃袁聿肁芅螇肈膄蒁蚃肇芆芄蕿肆肆葿薅肅膈莂袄肅芀薈螀肄莃莀蚆肃肂薆薂膂膅荿袀膁芇薄螆膀荿莇蚂腿腿薂蚈螆芁蒅薄螅莃蚁袃螄肃蒄蝿螃膅虿蚅袂芈蒂薁袂莀芅袀袁肀蒀袆袀节芃螂衿莄薈蚈袈肄莁薄袇膆薇袂袇艿莀螈羆莁薅蚄羅肁莈薀羄膃薃蒆羃莅莆袅羂肅蚂螁羁膇蒄蚇羁艿蚀