病历____ : 病案号:__________
一、病史特点:
1 、患者___年___性患者,____岁,因”____________________________”______入院;
2、现病史:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;
3、既往史:__________________________________________________________________________________________________________________________________;
4、体格检查(重点写阳性体格检查特点):____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;
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