术前病例讨论记录模板

时间:2024.4.20

手术病例前讨论记录             门诊号:          

                         科室:      床号:    住院号:          

时间:            日              地点:                      

参加人员:                                                        

                                                                  

姓名:                 性别:                  年龄:               

术前诊断:                                                                 

                                                                 

                                                                  

诊断依据:                                                                

                                                                 

                                                                 

                                                                  

                                                                 

                                                                 

                                                                 

                                                                  

                                                                 

拟行手术:                                                   

                                                                 

                                                                 

拟行麻醉:                                                   

术前准备:                                                    

                                                                 

术中、术后可能发生的意外:详见手术同意书。                   

防范措施:                                                   

                                                                  

                                                                 

                                                                 

                                                                 

                                                                  

                                                                 

                                                                 

科室讨论意见:                                              

***住院医师:                                             

                                                                 

                                                                 

手术病例前讨论记录(续页   门诊号:          

科室:      床号:    住院号:          

                                                                 

                                                                 

                                                                 

                                                                  ***住院医师:                                                   

                                                                 

                                                                 

                                                                 

                                                                 

                                                                  

                                                                  

***住院医师:                                                 

                                                                 

                                                                 

                                                                  

                                                                           

***主治医师:                                                 

                                                                 

                                                                  

                                                                 

***主任医师:                                                 

                                                                 

                                                                  

                                                                           

                                                                           

记录者签名:           科主任签名:      记录日期:     年    月   日    时


第二篇:术前病例讨论记录


手术病例前讨论记录

科室: 床号: 住院号:门诊号:

术前病例讨论记录

第 1 页

手术病例前讨论记录(续页)

术前病例讨论记录

第 2 页

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