10带状疱疹(伴有并发症).docVIP

带状疱疹临床路径二、带状疱疹（不伴有并发症）临床路径表单 适用对象：第一诊断为带状疱疹不伴有并发症（ICD10：B02.9） 肿瘤抗原及标志物B超CT、MRI检查，消化道钡餐  时间 住院第3-6天 住院第7-14天 （出院日） 主 要 诊 疗 工 作 上级医师查房 注意观察皮疹及疼痛变化，及时调整治疗方案 观察并处理治疗药物的不良反应 患者或其家属签署“自费用品协议书”、“输血治疗同意书” (泛发性或出血坏死型患者需使用丙种球蛋白疗法时) 主治医师进行诊疗评估，确定患者是否可以出院 完成出院小结 向患者及其家属交待出院后注意事项，预约复诊日期 并发恶性肿瘤的患者告知其前往相应科室治疗 重 点 医 嘱 长期医嘱： 抗生素：根据创面培养及药敏结果用药 丙种球蛋白（必要时） 停糖皮质激素（根据病情） 停止痛药（根据病情） 临时医嘱： 复查血常规、肝肾功能、电解质、血糖（必要时） 长期医嘱： 停/调整抗生素（根据创面培养及药敏结果） 临时医嘱： 出院带药 门诊随诊 主要护理 工作 观察患者病情变化 创面护理 指导患者办理出院手续 出院后疾病指导 病情变异记录 □无 □有，原因： 1. 2. □无 □有，原因： 1. 2. 护士 签名 医师 签名 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washers total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubrica