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病历本是病人看病、复查的重要资料,一定要好好保存,且最好是“一本到底”。有利于医生对病情的判断。首先,病历本的封面必须完整,如姓名、性别、年龄、地址等信息填写完整。如果封面是空白的,医生难以掌握患者的基本资料,另外,病历本封面不完整可能在复诊时无法加号。其次,病历本的内容要完整,尤其是每次检查的化验结果、超声检查、心电图等资料,最好按照时间先后顺序,整齐粘贴在病历本中,最好能标注时
This is the patient’s medical records, the review of important information, we must be well preserved, and it is best “one in the end ”. Is conducive to the doctor’s judgment of the disease. First, the cover of the medical records must be complete, such as name, gender, age, address and other information to complete. If the cover is blank, it is difficult for the doctor to grasp the basic information of the patient. In addition, the incomplete cover of the medical record may not be plus at the referral. Second, the contents of the medical records to be complete, especially for each test results of the test, ultrasound, ECG and other information, preferably in chronological order, neatly paste in the medical records, it is best to label