病历书写规范.pdf

病历书写规范
movesheep 倾情奉献

movesheep 系列丛书:
一、《简明病历手册(英汉对照)》
二、《病历书写规范》
三、《临床技能手册》
四、《临床案例集》
五、《临床病原学》



娭
目录

第一章病历书写的基本要求.....................................................................2
第二章病历的内容及要求............................................................................2
住院病历...............................................................................................................................................2
入院记录...............................................................................................................................................7
再住院病历(再入院记录)...............................................................................................................7
门诊病历...............................................................................................................................................7
第三章各专科病历的书写要点...................................................................8
呼吸内科病历.......................................................................................................................................8
消化内科病历.......................................................................................................................................8
心血管内科病历...................................................................................................................................9
泌尿内科病历.....................................................................................................................................10
血液内科病历.....................................................................................................................................10
代谢与内分泌科病历.........................................................................................................................11
传染病科病历.....................................................................................................................................11
急性中毒病历....