門(mén)診病歷本無(wú)背景版

耀州區(qū)孫思邈中醫(yī)院

門(mén)診病歷姓名______性別____門(mén)診號(hào)_____職業(yè)______民族_____婚況______出生年月日___________________身份證號(hào)_____________________藥物過(guò)敏史___________________工作單位_____________________家庭住址_____________________本院專用切勿遺失復(fù)診隨帶不作證明使用

醫(yī)院簡(jiǎn)介

銅川市耀州區(qū)孫思邈中醫(yī)院是集中、西醫(yī)結(jié)合治療與中醫(yī)藥科研教學(xué)及預(yù)防保健為一體的二級(jí)中醫(yī)醫(yī)院。是銅川市城鎮(zhèn)職工醫(yī)療保險(xiǎn)、城鎮(zhèn)居民醫(yī)療保險(xiǎn)、農(nóng)村合作醫(yī)療及保險(xiǎn)公司人險(xiǎn)指定醫(yī)院，耀州區(qū)殘疾人等級(jí)鑒定醫(yī)院。醫(yī)院始建于1978年，醫(yī)院占地面積15.8畝，現(xiàn)有門(mén)診綜合樓一幢，建筑面積4000平方米，另設(shè)外婦科住院部400平方米，開(kāi)設(shè)病床90張，殘疾人康復(fù)中心500平方米。2015年醫(yī)院將搬遷新址，預(yù)開(kāi)設(shè)病床200張，打造一流的二級(jí)甲等中醫(yī)院標(biāo)準(zhǔn)。秉承藥王文化，傳承藥王醫(yī)德，突出中醫(yī)特色，打造藥王品牌，精誠(chéng)關(guān)愛(ài)，傳承創(chuàng)新，是中醫(yī)院全體醫(yī)護(hù)人員一貫遵循的院訓(xùn)。

醫(yī)院現(xiàn)有醫(yī)、技、護(hù)專業(yè)技術(shù)人員146人，其中正高級(jí)職稱1人，副高級(jí)以上職稱5人，中級(jí)職稱35人。醫(yī)院開(kāi)設(shè)有專家門(mén)診（脾胃病專科、心腦病?？?、肺病?？?、消渴病?？?、痔瘺?？疲?，馮玉活副主任醫(yī)師，韓武占主任醫(yī)師，喬志宏副主任醫(yī)師，李金虎主治醫(yī)師常年坐診，開(kāi)設(shè)了內(nèi)一科、內(nèi)二科、外一科、外二科、婦科、兒科、骨外疼痛科、皮膚科、痔瘺科、針灸按摩科、康復(fù)理療科、五官科、急診科、激光治療室等14個(gè)臨床科室。開(kāi)設(shè)內(nèi)一科、內(nèi)二科、外一科、外二科、急診科五大住院病區(qū)；醫(yī)技科室共七個(gè)，即：放射、檢驗(yàn)、B超室、心電、TCD室、心電工作站、胃鏡室。醫(yī)院設(shè)備擁有動(dòng)態(tài)心電儀、心電工作站、十二導(dǎo)心電圖機(jī)、西門(mén)子彩超、全自動(dòng)血球計(jì)數(shù)儀、尿十項(xiàng)檢測(cè)儀、CR、DR數(shù)字?jǐn)z像系統(tǒng)、電子胃鏡及心電監(jiān)護(hù)儀、母胎監(jiān)護(hù)儀、全自動(dòng)麻醉機(jī)、全自動(dòng)糖化血紅蛋白分析儀、C型臂、膝關(guān)節(jié)鏡、雙通道血凝儀、酶標(biāo)儀、過(guò)敏原檢測(cè)儀、離心機(jī)、醫(yī)療三氧自體血回輸?shù)柔t(yī)療設(shè)備。射頻消融術(shù)治療頸、腰椎間盤(pán)中醫(yī)藥特色治療有中藥足療治療室、中藥熏蒸室、中藥免煎顆粒、中醫(yī)刮痧療法。臨床科室擁有中藥離子導(dǎo)入器、結(jié)腸灌洗機(jī)、多功能牽引床、疼痛治療儀、早期語(yǔ)言障礙評(píng)估與干預(yù)儀、產(chǎn)后康復(fù)治療儀、腦循環(huán)功能治療儀、肛腸綜合治療儀、壓縮霧化吸入機(jī)、手法按摩床、推拿手法床、多功能復(fù)位機(jī)、新生兒監(jiān)護(hù)儀、腹腔鏡、宮腔鏡、無(wú)線藍(lán)牙腦電圖儀、除顫器、動(dòng)態(tài)血壓監(jiān)護(hù)儀、溫?zé)嶂绷魉幬飳?dǎo)入儀等先進(jìn)設(shè)備。

醫(yī)院以創(chuàng)建“中醫(yī)?？漆t(yī)院”、“平民醫(yī)院”、“放心醫(yī)院”為宗旨，為方便患者就醫(yī)，醫(yī)院開(kāi)辦“無(wú)假日門(mén)診”，“放心藥房”，實(shí)行全天候?yàn)榛颊叻?wù)。我院嚴(yán)把藥品購(gòu)進(jìn)關(guān)，保證藥品質(zhì)量，西藥、中成藥實(shí)行零差價(jià)銷(xiāo)售，新農(nóng)合住院患者使用中藥報(bào)銷(xiāo)比例100%，住院者發(fā)放“明白卡”，使患者明明白白消費(fèi)，清清楚楚治病。門(mén)診病歷首頁(yè)姓名__________性別________年齡________民族_____________婚況__________過(guò)敏史________節(jié)氣________病情陳述者_(dá)________職業(yè)__________單位(住址)______________________電話_____________首診日期________

首診情況

急診___普診___首診科室___________主訴_______________________________________________________________________現(xiàn)病史_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________既往史_________________________________________________________________________________________________________________________________________________體格檢查_(kāi)__________________________________________________________________________________________________________________________________________________________________________________________門(mén)診病歷首頁(yè)___________________________________________________________________________________________________________初步診斷_____________________________________________________________________________________________________________________________________________________________________________________建議檢查_(kāi)______________________________________________________________________________________________________________________________________________處理意見(jiàn)__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________醫(yī)師簽名_________________門(mén)診病歷續(xù)頁(yè)姓名________科室________年__月__日姓名________科室_________年__月__日_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________第1頁(yè)_______________________________第2頁(yè)___門(mén)診病歷續(xù)頁(yè)姓名________科室________年__月__日姓名________科室_________年__月__日_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________第3頁(yè)_______________________________第4頁(yè)___門(mén)診病歷續(xù)頁(yè)姓名________科室________年__月__日姓名________科室_________年__月__日_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________第5頁(yè)_______________________________第6頁(yè)___門(mén)診病歷續(xù)頁(yè)姓名________科室________年__月__日姓名________科室_________年__月__日_________________________________________________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