心内住院病历模板(国外英文资料).docVIP

心内住院病历模板(国外英文资料)Hospital medical recordsName: jis birthplace: BeijingGender: mans address: room 213, tower 10, east park, wangjingAge: 69 years old: major coldNationality: the date of admission of han nationality: July 29, 2012Marriage: married record date: 7:30 on January 29, 2012Career: a history of retirement: the patientThe main action is palpitations of dizziness and palpitations for 3 days, with the anterior region of the heart pain for 2 hoursPatients with a history of present history had no cause of dizziness and palpitations three days before, and two hours before the onset of emotional pain. No headache, no unconscious, no shortness of breath, no fever. On January 29, 2012, I was admitted to hospital, admitted to hospital, irritable and irritable, bowel movements, normal urination, sleep, spirit and food.History of hypertension in the past 10 years, the highest up to 200/90 MMHG, untreated.The history of surgery and history of injury, denial of special drugs and food allergies.The history of vaccination and the history of blood transfusion are unknownThe history of infection denies hepatitis, tuberculosis and other infectious diseases, and the history of contact.A systematic reviewThe respiratory system has no chronic cough, sputum, difficulty breathing, fever, night sweats, hemoptysis, chest pain, asthma, etcThe circulatory system dizziness, heart palpitation, shortness of breath, the pain in the front area of the heart, the increase of blood pressure, no haemoptysis, purple, lower limb edema, abdominal water, headache, syncope.The digestive system is constipated, unbelated, anti-acid, bloating, abdominal pain, diarrhea, vomiting, jaundice, hematemesis and black.The urinary system is free of urine, urine, urine, lumbar pain, blood, urine, urine, urine, urine, urine, and urine.Hematopoietic system dizzy, no bruises, skin mucous membrane petechiae, purpura, lymph nodes and liver splenomegaly, no recurrent epistaxis, gingival bleeding, bone pain, no industri