贾良永（Jialiangyong）.docVIP

贾良永（Jialiangyong） Yuhuan County peoples Hospital Name: Jia Liangyong Ward: Eleven ward bed number: 261223, inpatient number: 295692 -------------------------------------------------------------------------------- Admission record Name: Jia Liangyong gender: Female Date of birth: 1956, 09, 29, birthplace: Yunnan, Zhaotong, Yongshan County Occupation: worker nation: Han nationality Marriage: married contact address: Yuhuan County, Zhejiang Province, after the town of Tong Yang Village Admission time: 2014-06-15 14:37 medical history statement: I write doctor: Liu Quanyong Main complaint: left ankle injury, pain, limited motion for 6 hours. Is history: the patient 1 hours ago at home when he fell down the stairs, with the heel, suddenly left heel and ankle, persistent pain is severe, still can bear, with the left knee, left hip and waist pain disability, injury can not walk with no toes numb Cang Rhizoma Bletillae no discomfort, nausea and vomiting, coma, no chest tightness, no incontinence, shortness of breath. Eager to come to our hospital, take X-ray (847955): left left medial malleolus fracture, comminuted fracture of calcaneus. For further treatment, pseudo comminuted fracture of the left calcaneus, left medial malleolus fracture hospital income. Since the patient has been injured, he has been conscious, energetic, not sleeping, eating, and having no bowel movements. In recent years, no physical or body weight has been significantly reduced in March. Past history: the patient used to be in good physical condition. To deny the history of hypertension, history of diabetes, heart disease, kidney disease history of pulmonary tuberculosis; deny history, history of viral hepatitis and other infectious disease; denied food and drug allergy; deny deny operation history; major trauma history; deny the history of blood transfusion; denied poisoning history; denied long-term medication history; drug addiction may be denied. Vaccination history is unknown. Personal history: b