Discharge report
gynecology
Bed number:
15
Name:
LIN YUAN
Birth
1962.6.5
Gender:
female
Age:
50 Y
Number in hospital:11214696
Check-in time:
2012-07-05 16:50:00
Check-out time:
2012-07-07 14:00:00
Days:
2
Outpatient
endometrial diseases
Hospital check
endometrial diseases
Discharge check
endometrial diseases
Main disease
LIN YUAN,female,age 50,move in hospital by menstrual uncleaning。No Abdominal pain,little colpo-blood,sleep well,fece and urine well。Check:vulvae
:(-),vulvae unhindered,and little Coffee object,cervix:nice。Uterine precursor:slightly larger and hard,:In addition can see small piece of 3*3*3cm.
Main Test results
(July 6,in hospital) leucorrhea test nice. Blood coagulation、blood test、electrocardiogram test nice. Pregnancy tests (-);Liver and kidney’s electrolyte:normal;Infectious diseases:Hepatitis b core Ab(all),7.07S/CO,↑;Hepatitis b exterior Ab,14.55mIU/ml。
Cure process and Treatment result
LIN YUAN took participate in related tests without operation taboo after be in hospital. ,then she was operated by sbvein anesthesia hysteroscopy operation :uterine shape was normal,endometrium was thicker and could be find polyps,brought sth which was tested in pathology in endometrium by spoon. After successful operation,she was treated by anti-infection treatment. And now, Linyuan got well and her lead doctor allowed her to leave hospital.
Syndrome
nothing
Health after out of hospital
The patient got well without fever and abdominal pain, just little colpo-blood. eat well,fece and urine well,sleep well。PE:Spirit well,no pain. No Gynecologial Examination
Doctor orders after out of hospital
1.relaxing、nutrition,without sex and bath. Ask about the situation after a week
2.drugs:BZYM granule ×3 box tid,double tablets,oral.
3.If vaginal bleeding, please return to the hospital
Treatment result
Heal
Lead doctor
resident
Date
gynecology
Bed number:
15
Name:
LIN YUAN
Birth
1962.6.5
Gender:
female
Age:
50 Y
Number in hospital:11214696
Pathological Report:Secretory endometrium with the formation of polyps.
本文档为【英文出院小结模板】,请使用软件OFFICE或WPS软件打开。作品中的文字与图均可以修改和编辑,
图片更改请在作品中右键图片并更换,文字修改请直接点击文字进行修改,也可以新增和删除文档中的内容。
该文档来自用户分享,如有侵权行为请发邮件ishare@vip.sina.com联系网站客服,我们会及时删除。
[版权声明] 本站所有资料为用户分享产生,若发现您的权利被侵害,请联系客服邮件isharekefu@iask.cn,我们尽快处理。
本作品所展示的图片、画像、字体、音乐的版权可能需版权方额外授权,请谨慎使用。
网站提供的党政主题相关内容(国旗、国徽、党徽..)目的在于配合国家政策宣传,仅限个人学习分享使用,禁止用于任何广告和商用目的。