放療前小結,放療后總結
武警廣東總隊醫(yī)院腫瘤治療中心
放療前小結
姓名_____________性別_______年齡________放療ID_________________一.診斷:
1.主要診斷及分期_________________________________T______N_______M_______分期___________2.次要診斷_____________________________________________________________________________二.治療計劃:單純放療綜合治療
1.放療方式:根治性姑息性輔助性2.放療程式:連續(xù)分段超分割其它3.放療裝置:直加
60Co深部X線Cf252其它
4.放療劑量:原發(fā)灶DT___________Gy區(qū)域淋巴結DT_____________Gy轉移灶DT___________Gy
5.放療設計:__________________________________________________________________________________________________________________________________________________________________________6.放療(前.中.后)配合治療:手術、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學治療、其它診療經(jīng)過:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________三.放療注意事項:_______________________________________________________________________________
_______________________________________________________________________________
醫(yī)師簽名:__________________
年月日
武警廣東總隊醫(yī)院腫瘤治療中心
放療后總結
姓名_____________性別_______年齡________放療ID_________________入院診斷____________________________________________T______N_______M_______分期____________出院診斷___________________________________________________________________________________治療時間________________年__________月_________日至________________年_________月_________日單純放療綜合治療
放療方式:根治性姑息性輔助性放療程式:連續(xù)分段超分割其它
放療裝置:直加60Co深部X線Cf252其它
放療劑量:原發(fā)灶DT___________Gy/___________次/___________天
區(qū)域淋巴結DT___________Gy/___________次/___________天轉移灶DT___________Gy/___________次/___________天照射部位:(蓋形體輪廓章并用紅筆標記放療區(qū)域)
放療(前.中.后)配合治療:手術、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學治療、其它
診療經(jīng)過:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________治療效果:原發(fā)灶:全消、殘留、不變、惡化區(qū)域淋巴結:全消、殘留、不變、惡化轉移灶:全消、殘留、不變、惡化放療結束醫(yī)囑:
醫(yī)師簽名:__________________
年月日
擴展閱讀:放療前小結,放療后總結2
武警廣東總隊醫(yī)院腫瘤治療中心
放療前小結
姓名_____________性別_______年齡________
1.主要診斷及分期_________________________________T______N_______M_______分期___________2.次要診斷__________________________________________放療ID_________________
一.診斷:___________________________________二.治療計劃:單純放療綜合治療
1.放療方式:根治性姑息性輔助性2.放療程式:連續(xù)分段超分割其它
3.放療裝置:直加60Co深部X線Cf252其它
4.放療劑量:原發(fā)灶DT___________Gy區(qū)域淋巴結DT_____________Gy轉移灶DT___________Gy
5.放療設計:__________________________________________________________________________________________________________________________________________________________________________6.放療(前.中.后)配合治療:手術、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學治療、其它診療經(jīng)過:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________三.放療注意事項:_______________________________________________________________________________
_______________________________________________________________________________
醫(yī)師簽名:__________________
年月日
武警廣東總隊醫(yī)院腫瘤治療中心
放療后總結
姓名_____________性別_______年齡________放療ID_________________入院診斷____________________________________________T______N_______M_______分期____________出院診斷___________________________________________________________________________________治療時間________________年__________月_________日至________________年_________月_________日單純放療綜合治療
放療方式:根治性姑息性輔助性放療程式:連續(xù)分段超分割其它
放療裝置:直加60Co深部X線Cf252其它
放療劑量:原發(fā)灶DT___________Gy/___________次/___________天
區(qū)域淋巴結DT___________Gy/___________次/___________天轉移灶DT___________Gy/___________次/___________天照射部位:(蓋形體輪廓章并用紅筆標記放療區(qū)域)
放療(前.中.后)配合治療:手術、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學治療、其它
診療經(jīng)過:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________治療效果:原發(fā)灶:全消、殘留、不變、惡化區(qū)域淋巴結:全消、殘留、不變、惡化轉移灶:全消、殘留、不變、惡化放療結束醫(yī)囑:
醫(yī)師簽名:__________________
年月日
友情提示:本文中關于《放療前小結,放療后總結》給出的范例僅供您參考拓展思維使用,放療前小結,放療后總結:該篇文章建議您自主創(chuàng)作。
來源:網(wǎng)絡整理 免責聲明:本文僅限學習分享,如產(chǎn)生版權問題,請聯(lián)系我們及時刪除。