医疗知情同意书汇编Word文档格式.docx
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医疗知情同意书汇编Word文档格式.docx
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第二篇临床分科部分...........................................................13
第一章普通外科...............................................................14
1、腹腔镜下结直肠手术知情同意书...............................................15
2、肠道手术知情同意书.........................................................17
3、结直肠手术知情同意书.......................................................19
4、脾切除手术知情同意书.......................................................21
5、胃十二指肠手术知情同意书...................................................23
6、阑尾炎手术知情同意书.......................................................25
7、乳腺手术知情同意书.........................................................27
8、腹膜后肿物手术知情同意书...................................................29
9、胆道系统手术知情同意书.....................................................31
10、腹腔镜胆囊切除手术知情同意书..............................................33
11、肝脏手术知情同意书........................................................35
12、胰腺癌手术知情同意书......................................................37
13、门脉高压症手术知情同意书..................................................39
14、疝手术知情同意书..........................................................41
第二章胸心外科...............................................................43
1、肺癌手术知情同意书.........................................................44
2、食管贲门癌手术知情同意书...................................................46
3、胸外科手术知情同意书.......................................................48
4、胸壁肿瘤手术知情同意书.....................................................50
5、纵膈肿瘤手术知情同意书.....................................................52
6、先心病手术知情同意书.......................................................54
7、风湿性心脏病手术知情同意书.................................................56
8、冠心病手术知情同意书.......................................................58
第三章耳鼻喉科...............................................................60
1、鼻内镜下鼻腔电凝止血手术知情同意书.........................................61
2、鼻内镜下鼻腔泪囊吻合手术知情同意书.........................................63
3、鼻内镜下鼻中隔偏曲矫正手术知情同意书.......................................65
4、鼻腔鼻窦恶性肿瘤切除手术知情同意书.........................................67
5、鼻腔鼻窦良性肿瘤切除手术知情同意书.........................................69
6、鼻腔鼻窦内翻性乳头状瘤切除手术知情同意书...................................71
7、鼻咽纤维血管瘤手术切除手术知情同意书.......................................73
8、扁桃体切除手术知情同意书...................................................75
9、颌下腺肿物手手术知情同意书.................................................77
10、喉/下咽恶性肿瘤联合根治手术知情同意书.....................................79
11、喉癌支撑喉镜下激光手术知情同意书..........................................81
12、甲状腺癌联合根治手术知情同意书............................................83
13、甲状腺良性肿瘤手术知情同意书..............................................85
14、颈部肿物切除手术知情同意书................................................87
15、颈段食管癌手术知情同意书..................................................89
16、慢性鼻窦炎鼻息肉手术知情同意书............................................91
17、慢性化脓性中耳炎手术知情同意书............................................93
18、霉菌性鼻窦炎窦内病变去除手术知情同意书....................................95
19、腮腺肿物手术知情同意书....................................................97
20、舌颌颈联合根治手术知情同意书..............................................99
21、声带息肉或病变切除手术知情同意书.........................................101
22、外鼻肿物切除手术知情同意书...............................................103
23、腺样体切除手术知情同意书.................................................105
24、咽旁间隙肿瘤手术知情同意书...............................................107
第四章泌尿外科..............................................................109
1、包皮环切手术知情同意书....................................................110
2、耻骨上前列腺切除手术知情同意书............................................112
3、睾丸根治性切除手术知情同意书..............................................114
4、睾丸扭转探查手术知情同意书手..............................................116
5、睾丸肿瘤腹膜后淋巴结清扫手术知情同意书....................................118
6、经阴道尿道中段无张力吊带悬吊手术知情同意书................................120
7、精索静脉高位结扎手术知情同意书............................................122
8、前列腺癌根治手术知情同意书................................................124
9、经尿道前列腺电切手术知情同意书............................................126
10、肾癌根治术知情同意书.....................................................128
11、肾囊肿开窗手术知情同意书.................................................130
12、肾上腺肿瘤切除手术知情同意书.............................................132
13、双侧睾丸切除手术知情同意书...............................................134
14、经尿道液电碎石手术知情同意书.............................................136
15、阴茎部分切除手术知情同意书...............................................138
16、阴茎癌根治手术知情同意书.................................................140
17、肾部分切除手术知情同意书.................................................142
18、髂腹股沟淋巴结清扫手术知情同意书.........................................144
19、腹腔镜肾上腺肿瘤切除手术知情同意书.......................................146
20、腹腔镜肾囊肿开窗手术知情同意书...........................................148
21、腹腔镜精索静脉高位结扎手术知情同意书.....................................150
22、腹腔镜肾部分切除手术知情同意书...........................................152
23、腹腔镜前列腺癌根治手术知情同意书.........................................154
24、腹腔镜根治性肾盂输尿管癌切除手术知情同意书...............................156
25、经尿道膀胱肿瘤电切手术知情同意书.........................................158
26、膀胱造瘘手术知情同意书...................................................160
27、膀胱阴道瘘手术知情同意书.................................................162
28、膀胱全切原位新膀胱重建手术知情同意书.....................................164
29、膀胱全切输尿管皮肤造口手术知情同意书.....................................166
30、膀胱全切回肠膀胱手术知情同意书...........................................168
31、经尿道膀胱颈电切手术知情同意书...........................................170
32、膀胱部分切除手术知情同意书...............................................172
第五章口腔科................................................................174
1、拔牙手术知情同意书........................................................175
2、牙周手术知情同意书........................................................177
3、口腔种植修复治疗知情同意书................................................179
4、面部肿物手术知情同意书....................................................181
5、颌下腺肿物手术知情同意书..................................................183
6、颊粘膜病变手术知情同意书..................................................185
7、颊癌手术知情同意书........................................................187
8、腮腺癌手术知情同意书......................................................189
9、上牙龈瘤手术知情同意书....................................................191
10、下牙龈瘤手术知情同意书...................................................193
11、上牙龈恶性肿物手术知情同意书.............................................195
12、下牙龈癌手术知情同意书...................................................197
13、上颌骨囊肿手术知情同意书.................................................199
14、下颌骨囊肿手术知情同意书.................................................201
15、上腭癌手术知情同意书.....................................................203
16、上颌骨恶性肿物手术知情同意书.............................................205
17、舌下腺囊肿手术知情同意书.................................................207
18、舌良性肿物手术知情同意书.................................................209
19、舌癌手术知情同意书.......................................................211
20、口底癌手术知情同意书.....................................................213
21、口咽癌手术知情同意书.....................................................215
22、上唇癌手术知情同意书.....................................................217
23、下唇癌手术知情同意书.....................................................219
24、神经鞘瘤手术知情同意书...................................................221
25、甲状舌管囊肿手术知情同意书...............................................223
26、颈淋巴结转移癌手术知情同意书.............................................225
27、唇裂手术知情同意书.......................................................227
28、腭裂手术知情同意书.......................................................229
第六章骨科..................................................................231
1、肱骨近端骨折(包括内骨定和肩关节置换)手术知情同意书......................232
2、肱骨干骨折切开复位固定手术知情同意书......................................234
3、肱骨远端骨折手术(内固定和肘关节置换)手术知情同意书......................236
4、桡骨远端骨折切开复位内固定手术知情同意书..................................238
5、股骨粗隆间骨折手术知情同意书..............................................240
6、股骨颈骨折空心钉内固定手术知情同意书......................................242
7、股骨干骨折手术知情同意书..................................................244
8、胫骨平台骨折切开复位固定手术知情同意书....................................246
9、踝关节骨折切开复位固定手术知情同意书.....................................248
10、脊柱压缩骨折经皮穿刺椎体后凸成形术手术知情同意书….......................250
11、内固定取出手术知情同意书…...............................................252
12、骨科有创检查和治疗知情同意书.............................................254
13、关节镜手术知情同意书.....................................................256
14、人工髋关节置换手术知情同意书.............................................258
15、人工髋关节翻修手术知情同意书…...........................................250
16、人工全膝关节置换手术知情同意书...........................................262
17、人工全膝关节翻修手术知情同意书...........................................264
18、脊髓造影手术知情同意书...................................................266
19、脊柱矫形手术知情同意书...................................................268
20、颈椎前路手术知情同意书...................................................270
21、颈椎后路手术知情同意书...................................................272
22、胸椎后路手术知情同意书...................................................274
23、腰椎后路手术知情同意书.
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