放療前小結(jié),放療后總結(jié)2
武警廣東總隊醫(yī)院腫瘤治療中心
放療前小結(jié)
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(jié)DT_____________Gy轉(zhuǎn)移灶DT___________Gy
5.放療設(shè)計:__________________________________________________________________________________________________________________________________________________________________________6.放療(前.中.后)配合治療:手術(shù)、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學(xué)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(jié)
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(jié)DT___________Gy/___________次/___________天轉(zhuǎn)移灶DT___________Gy/___________次/___________天照射部位:(蓋形體輪廓章并用紅筆標(biāo)記放療區(qū)域)
放療(前.中.后)配合治療:手術(shù)、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學(xué)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(jié):全消、殘留、不變、惡化轉(zhuǎn)移灶:全消、殘留、不變、惡化放療結(jié)束醫(yī)囑:
醫(yī)師簽名:__________________
年月日
擴展閱讀:放療前小結(jié),放療后總結(jié)
武警廣東總隊醫(yī)院腫瘤治療中心
放療前小結(jié)
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(jié)DT_____________Gy轉(zhuǎn)移灶DT___________Gy
5.放療設(shè)計:__________________________________________________________________________________________________________________________________________________________________________6.放療(前.中.后)配合治療:手術(shù)、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學(xué)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(jié)
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(jié)DT___________Gy/___________次/___________天轉(zhuǎn)移灶DT___________Gy/___________次/___________天照射部位:(蓋形體輪廓章并用紅筆標(biāo)記放療區(qū)域)
放療(前.中.后)配合治療:手術(shù)、化療、熱療、后裝、激光、中醫(yī)藥、增敏、生物學(xué)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(jié):全消、殘留、不變、惡化轉(zhuǎn)移灶:全消、殘留、不變、惡化放療結(jié)束醫(yī)囑:
醫(yī)師簽名:__________________
年月日
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