病历总结模板VIP免费

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）：____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________；5、目前所有的辅助检查及阳性结果分析；______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;6、附相关重要影像图片：二、目前诊断：“_____________________________________”三、诊断依据：支持点：1、_____________________________________________________________________________;2、_____________________________________________________________________________；3、_____________________________________________________________________________；不支持点：1、_____________________________________________________________________________;12、_____________________________________________________________________________；3、_____________________________________________________________________________；四、鉴别诊断：1、“”鉴别要点：___________________________________________________________________________________________________________________________________________________________________________________2、“”鉴别要点：___________________________________________________________________________________________________________________________________________________________________________________3、“”鉴别要点：___________________________________________________________________________________________________________________________________________________________________________________五、诊断思路分析：_____________________________________________________________________________________________________________________________________________________________________________________________________________________________;六、针对目前诊断，现有的治疗手段都有哪些（这里我们不管什么治疗手段，只要是有效的方法，我们都认可，所谓尚武精神的核心就是不分派系、不分中外技术，只要能强身健体的方法就是好方法），这些治疗手段的优点在哪儿？缺点在哪儿？如何取舍？1、”____________________”优势：________________________________________________________________________________;不足：________________________________________________________________________________;如何取舍：________________________________________________________________________________;2、”____________________”2优势：________________________________________________________________________________;不足：______________________________________...