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放疗前小结,放疗后总结

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放疗前小结,放疗后总结

武警广东总队医院肿瘤治疗中心

放疗前小结

姓名_____________性别_______年龄________放疗ID_________________一.诊断:

1.主要诊断及分期_________________________________T______N_______M_______分期___________2.次要诊断_____________________________________________________________________________二.治疗计划:单纯放疗综合治疗

1.放疗方式:根治性姑息性辅助性2.放疗程式:连续分段超分割其它3.放疗装置:直加

60

Co深部X线Cf252其它

4.放疗剂量:原发灶DT___________Gy区域淋巴结DT_____________Gy转移灶DT___________Gy

5.放疗设计:__________________________________________________________________________________________________________________________________________________________________________6.放疗(前.中.后)配合治疗:手术、化疗、热疗、后装、激光、中医药、增敏、生物学治疗、其它诊疗经过:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________三.放疗注意事项:_______________________________________________________________________________

_______________________________________________________________________________

医师签名:__________________

年月日

武警广东总队医院肿瘤治疗中心

放疗后总结

姓名_____________性别_______年龄________放疗ID_________________入院诊断____________________________________________T______N_______M_______分期____________出院诊断___________________________________________________________________________________治疗时间________________年__________月_________日至________________年_________月_________日单纯放疗综合治疗

放疗方式:根治性姑息性辅助性放疗程式:连续分段超分割其它

放疗装置:直加60Co深部X线Cf252其它

放疗剂量:原发灶DT___________Gy/___________次/___________天

区域淋巴结DT___________Gy/___________次/___________天转移灶DT___________Gy/___________次/___________天照射部位:(盖形体轮廓章并用红笔标记放疗区域)

放疗(前.中.后)配合治疗:手术、化疗、热疗、后装、激光、中医药、增敏、生物学治疗、其它

诊疗经过:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________治疗效果:原发灶:全消、残留、不变、恶化区域淋巴结:全消、残留、不变、恶化转移灶:全消、残留、不变、恶化放疗结束医嘱:

医师签名:__________________

年月日

扩展阅读:放疗前小结,放疗后总结2

武警广东总队医院肿瘤治疗中心

放疗前小结

姓名_____________性别_______年龄________

1.主要诊断及分期_________________________________T______N_______M_______分期___________2.次要诊断__________________________________________放疗ID_________________

一.诊断:___________________________________二.治疗计划:单纯放疗综合治疗

1.放疗方式:根治性姑息性辅助性2.放疗程式:连续分段超分割其它

3.放疗装置:直加60Co深部X线Cf252其它

4.放疗剂量:原发灶DT___________Gy区域淋巴结DT_____________Gy转移灶DT___________Gy

5.放疗设计:__________________________________________________________________________________________________________________________________________________________________________6.放疗(前.中.后)配合治疗:手术、化疗、热疗、后装、激光、中医药、增敏、生物学治疗、其它诊疗经过:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________三.放疗注意事项:_______________________________________________________________________________

_______________________________________________________________________________

医师签名:__________________

年月日

武警广东总队医院肿瘤治疗中心

放疗后总结

姓名_____________性别_______年龄________放疗ID_________________入院诊断____________________________________________T______N_______M_______分期____________出院诊断___________________________________________________________________________________治疗时间________________年__________月_________日至________________年_________月_________日单纯放疗综合治疗

放疗方式:根治性姑息性辅助性放疗程式:连续分段超分割其它

放疗装置:直加60Co深部X线Cf252其它

放疗剂量:原发灶DT___________Gy/___________次/___________天

区域淋巴结DT___________Gy/___________次/___________天转移灶DT___________Gy/___________次/___________天照射部位:(盖形体轮廓章并用红笔标记放疗区域)

放疗(前.中.后)配合治疗:手术、化疗、热疗、后装、激光、中医药、增敏、生物学治疗、其它

诊疗经过:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________治疗效果:原发灶:全消、残留、不变、恶化区域淋巴结:全消、残留、不变、恶化转移灶:全消、残留、不变、恶化放疗结束医嘱:

医师签名:__________________

年月日

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