新生儿持续气道正压通气知情同意书.docx

新生儿持续气道正压通气知情同意书

患儿姓名：__________性别：□男□女出生胎龄：____周____天出生体重：______g住院号：__________床号：__________

诊断：________________________________________________________________________________

目前病情简述：________________________________________________________________________

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