13、丹毒(下肢丹毒)中医临床路径.pdf

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1、精心整理精心整理丹毒(下肢丹毒)的中医临床路径路径说明：本路径适合西医诊断为下肢丹毒的住院患者一、丹毒(下肢丹毒)的中医临床路径标准住院流程（一）适用对象中医诊断：第一诊断为丹毒西医诊断：第一诊断为下肢丹毒（ICD-10 编码：L03.11）（二）诊断依据1.疾病诊断中医诊断标准：参照中华中医药学会制定中医外科常见病诊疗指南（2012）进行诊断。（1）临床表现：发病前常有畏寒、发热和全身不适的症状。起病急骤，患处出现片状潮红、界限清楚、略高出皮肤，并迅速相四周蔓延扩张，自觉患处烧灼疼痛；按之红色消退，手起后很快恢复。重者有水疱出现，很少化脓。少数患者可出现皮肤片状坏死，尤以幼儿及年老体弱者易发

2、。（2）实验室检查：血白细胞升高，中性粒细胞升高。西医诊断标准：参照皮肤性病学第七版（张学军主编，人民卫生出版社，2008 年）。1.好发于足背、小腿、面部等处，多为单侧性。起病急剧，典型皮损为水肿型红斑，界限清楚，表面紧张发亮，迅速向四周扩大。可有不同程度全身中毒症状和附近淋巴肿大。病情多在 4-5 天达高峰，消退后局部可有留有轻度色素沉着及脱屑。2.实验室检查：血白细胞升高，中性粒细胞升高。2.疾病分期（1）急性期：发病时间2 周以内。（2）慢性期：发病时间大于2 周。3.症候诊断参照国家中医重点专科丹毒协作组制定的“丹毒中医诊疗方案”精心整理精心整理湿热毒蕴证：发于下肢，局部赤红肿胀、灼

3、热疼痛，或见水疱、红斑，甚至结毒化脓或皮肤坏死；或伴恶寒发热，胃纳不香。舌质红，苔黄腻，脉滑数。（三）治疗方案的选择 参照国家中医重点专科丹毒协作组制定的“丹毒中医诊疗方案”（四）标准住院日为 10 天。（五）进入路径标准：1.第一诊断必须符合丹毒急性期的患者。2.适用于下肢丹毒急性期的患者。3.下肢丹毒慢性期或慢性期急性发作、孕妇、有过敏史或过敏体质患者不进入本路径4.患者同时具有其他疾病，但在住院期间既不需要特殊处理，也不影响第一诊断的临床路径流程实施时，可以进入路径。（六）中医证候学观察四诊合参，收集该病种不同证候的主症、次症、舌、脉特点。注意证候的动态变化。（七）住院检查项目1.必须检

4、查的项目：（1）血常规、尿常规、大便常规+潜血；（2）肝肾功能、电解质、凝血功能、血糖；（3）心电图。2.可选择的检查项目：根据病情需要，可选择下肢血管彩超、胸部X 线片等。（八）治疗方法：（一）辩证选择口服中药汤剂、中成药湿热毒蕴证：清热凉血，利湿解毒。推荐方剂：萆 薢渗湿汤加减。萆 薢、薏苡仁、赤小豆、赤芍、金银花、牡丹皮、泽泻、虎杖、黄柏、蒲公英、甘草等。文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M

5、1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10

6、D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码

7、:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7

8、C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4

9、 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9

10、P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T

11、8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3精心整理精心整理中成药：新癀片、四妙丸等。（二）外治法1.贴敷疗法（1）外敷膏药：适用创面无水疱，局部红肿者，可选用金黄膏或复方黄芩液或青黛膏或芩柏膏；消肿散痛垫外敷：适用创面无水疱，局部红肿疼痛者。（2）中药湿敷：适用于渗出较多或伴有水疱糜烂者。可选用黄柏、白鲜皮或黄连、白头翁、金银花、马齿苋、土槿皮、红花等煎剂湿敷。（3）硫酸镁湿敷：适用创面无水疱，局部红肿者。2.湿润暴露疗法：适用于创面有水疱者

12、。先将疱液引流，外涂湿润烧伤膏。3.中药熏蒸：中药金银花、黄柏、知母、贝母、天花粉、白及、穿山甲等煎汤，外用熏洗。4.砭镰法：嘱患者取端坐位，将患肢放在脚凳上，充分暴露：将三棱针用碘酒、酒精棉球常规消毒；施术者手持三棱针沿红肿最明显处边缘环刺一周，针距1-2mm，深度 2-3mm，注意避开大血管和神经，让刺血点自行流血2-5 分钟，每点流血 1-2ml，待恶血流尽后，再清洁创面，敷以凡士林砂条，覆盖无菌纱布，外以弹力绷带包扎加压固定（须有较好透气性，松紧适度）（三）其他疗法根据病情可选用半导体激光照射：适用于丹毒导致的肢体肿胀、疼痛、溃疡修复。（四）内科基础治疗参照中华中医药学会制定中医外科学

13、常见病诊疗指南（2012）处理。（五）护理调摄1.生活起居：患者应卧床休息，制动，抬高患肢30。注意足部清洁，避免搔抓，积极治疗皮肤破损及足癣。2.饮食调理：清淡饮食，禁忌辛辣、油腻油炸、荤腥等。3.情志调摄：保持心情舒畅，消除焦虑等不良情绪。文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7

14、C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4

15、 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9

16、P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T

17、8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M

18、1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10

19、D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码

20、:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3精心整理精心整理（九）出院标准1.发热，局部红肿热痛明显改善。2.下肢皮色恢复正常或基本正常。3.血常规白细胞、中性粒细胞计数正常。（十）变异及原因分析。1.病情变化，需要延长住院时间，增加住院费用。2.合并其他系统疾病者，治疗期间疾病加重，需特殊处理，退出本路径。3.治疗过程中发生病情变化，出现内陷、红丝疔、局部化脓等，退出本路径。4.因患者及家属意愿影响本路径的执行，退出本路径。二、丹毒中医临床路径表单适用对象：第一诊断为下肢丹毒（ICD-10 编码：L03.11）患者姓名：性别：年龄：门诊号：住院号：发病时间：年

21、月日时分 住院日期：年月日出院日期：年月日标准住院日：10 天实际住院日：天时间年月日（第 1 天）年月日（第 2-3 天）年月日（第 4-9 天）年月日（第 10 天）文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:

22、CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C

23、1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4

24、HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P

25、6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8

26、 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1

27、C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D

28、3精心整理精心整理主要诊疗工作 询问病史、体格检查 中医四诊信息采集 进行必要的辅助检查 完成初步诊断 中医辨证 确定治疗方法 辨证口服汤药、中成药 外治法 其他治疗 内科基础治疗 完成病历 与患者、家属沟通交待病情及注意事项 采集中医四诊信息 进行中医证候诊断 注意证候变化 根据病情检查相关指标 上级医师查房：评估治疗效果，调整或补充诊疗方案 防治并发症 中医四诊信息采集 注意证候变化 上级医师查房：评估治疗效果，调整或补充诊疗方案 完成复诊记录 病情评估 判断治疗效果 制定随访计划 制定康复计划 交待出院注意事项和随访方案 完成出院记录 通知出院文档编码:CB2Y7C1Y8H4 HL8V9

29、P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T

30、8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M

31、1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10

32、D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码

33、:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7

34、C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4

35、 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3精心整理精心整理重点医嘱长期医嘱：外科疾病护理常规 分级护理 普食 辨证口服中药汤剂 静脉滴注中药注射剂 口服中成药 外治法 其他治疗 内科基础治疗临时医嘱：血常规、尿常规、大便常规+潜血 肝肾功能、电解质、凝血

36、功能、血糖 心电图 其他长期医嘱：外科疾病护理常规 分级护理 普食 辨证口服中药汤剂 静脉滴注中药注射剂 外治法 其他治疗 内科基础治疗临时医嘱：继续完善入院检查 对症处理长期医嘱：外科疾病护理常规 分级护理 普食 辨证口服中药汤剂 静脉滴注中药注射剂 外治法 其他治疗 内科基础治疗临时医嘱：复查血常规及入院检查异常项目 病情变化时随时进行中医辨证出院医嘱：出院带药 门诊随访文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10

37、T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2

38、M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N1

39、0D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编

40、码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y

41、7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H

42、4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V

43、9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3精心整理精心整理主要护理工作 做入院介绍 入院健康教育 指导患者进行相关辅助检查 观察并记录病情变化 按照医嘱执行诊疗护理措施 生活及心理护理 饮食指导 观察并记录病情变化及救治过程 根据患者病情，指导患者的康复和锻炼 生活及心理护理 饮食指导 观察并记录病情变化及救治过程 根据患者病情，指导患者的康复和锻炼 出院指导 出院指导 协助办理出院手续 健康宣教病情变异记录无有，原因：1.2.

44、无有，原因：1.2.无有，原因：1.2.无有，原因：1.2.护士签名医师签名文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7

45、C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4

46、 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9

47、P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T

48、8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M

49、1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10

50、D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N10D3精心整理精心整理文档编码:CB2Y7C1Y8H4 HL8V9P6H10T8 ZK2M1C1N