CN203693971U - Case inspection record device for department of cardiology - Google Patents

Case inspection record device for department of cardiology Download PDF

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CN203693971U
CN203693971U CN201320688542.3U CN201320688542U CN203693971U CN 203693971 U CN203693971 U CN 203693971U CN 201320688542 U CN201320688542 U CN 201320688542U CN 203693971 U CN203693971 U CN 203693971U
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chapter
history
connects
cardiological
paper
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高海波
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Abstract

The utility model discloses a case inspection record device for the department of cardiology, and aims to overcome the defects that inquiry of a patient is inconvenient and medical disputes are very easy to cause due to the fact that conventional medical case paper for the department of cardiology only has one page and only one piece of record paper can be used in inquiry, inspection and treatment processes. The case inspection record device for the department of cardiology comprises a bottom case (1), wherein two sides of the bottom case are connected with slide ways (2) which are connected with a sliding device, the sliding device is connected with seals (3), and the top end of the bottom case is connected with a spring binder (4) which is connected with carbonless copy paper. The case inspection record device is used for recording medical cases for the department of cardiology.

Description

Cardiological case control recording equipment
technical field:
this utility model relates to a kind of Cardiological case control recording equipment.
background technology:
the case paper of Cardiological only has one page now, only has a recorder chart in the process of inquiring, inspection and treatment, very inconvenient for patient's inquiry, is easy to cause doctor-patient dispute.
summary of the invention:
the purpose of this utility model is to provide a kind of record that can simultaneously stay also can be for the Cardiological case control recording equipment of patient's inquiry.
above-mentioned object realizes by following technical scheme:
a kind of Cardiological case control recording equipment, its composition comprises: drain pan, the both sides of described drain pan connect slideway, described slideway connects carriage, described carriage connects seal, the top connecting hinge folder of described drain pan, and described loose-leaf binder connects no carbon paper.
described Cardiological case control recording equipment, described carriage comprises slide block, described slide block slides in described slideway, described slide block connects support bar, described support bar connects sliding bar, and described sliding bar has annular slide track, described annular slide track connection sliding block, described slide block linking springs, described spring connects described seal.
described Cardiological case control recording equipment, described no carbon paper comprises the CF layer paper that contains developer, the top of described CF layer paper connects the top of the CB layer paper that contains colour former, described CB layer paper has and interrupts hole apart from 15mm place, top, and described CB layer paper and described CF layer paper have connecting hole apart from 5mm place, top.
described Cardiological case control recording equipment, described seal comprises patient's readme chapter, history of present illness chapter, history of past illness chapter, system review chapter, breathing is chapter, cyclic system chapter, Digestive chapter, genito-urinary system chapter, blood is chapter, neural spirit chapter, kinetic system chapter, injure history of operation chapter outward, poisoning and drug allergy history chapter, personal history chapter, family history chapter, physical examination chapter, described patient's readme chapter, described history of present illness chapter, described history of past illness chapter, described system review chapter, described breathing is chapter, described cyclic system chapter, described Digestive chapter, described genito-urinary system chapter, described blood is chapter, described neural spirit chapter, described kinetic system chapter, the described outer history of operation chapter that injures, described poisoning and drug allergy history chapter, described personal history chapter, described family history chapter, described physical examination Zhang Jun is contained in annular slide track in turn by spring, described seal side label.
described Cardiological case control recording equipment, described drain pan connects upper cover, and described upper cover connects draw ring, and described upper cover inner side connects pen bag, back side connecting sucker or the suspension member of described drain pan.
beneficial effect:
1. the no carbon paper that this utility model adopts is write on the upper strata of carbon paper, need not pad the replication layer that has been coated with ink and also can make carbon copies.
2. the impact paper that no carbon paper of the present utility model has is the paper that forms word or pattern to acting on its surperficial pressure generation effect, upper and lower two-layerly bear certain External Force Acting and will produce vestige, on upper paper, write, naturally can there is same word in lower floor, write conveniently, the word printing is true and reliable.
3. the carriage that this utility model adopts does not hinder and writes, and in the time that needs are filled in that and recorded reputation, that chapter is covered on paper, needn't repeat to write, and saves time.
accompanying drawing explanation:
accompanying drawing 1 is the structural representation of this product.
accompanying drawing 2 is structural representations of annular slide track in accompanying drawing 1.
accompanying drawing 3 is structural representations of carriage in accompanying drawing 1.
the specific embodiment:
embodiment 1:
a kind of Cardiological case control recording equipment, its composition comprises: drain pan 1, the both sides of described drain pan connect slideway 2, described slideway connects carriage, described carriage connects seal 3, the top connecting hinge folder 4 of described drain pan, and described loose-leaf binder connects no carbon paper.
carbonless copying recto scribbles acid developer, and the back side scribbles the paper of the microcapsule that includes colourless hidden dyestuff, and after paper is overlapping, because broken by mechanical pressure microcapsule, colourless hidden dyestuff overflows meets acid and color development, forms image.On paper, there is thermally sensitive chemical substance, after high temperature, can turn black.
in the time that nib streaks, frictional force moment produces high temperature, is the local blackening that notes are passed by, and more convenient conduct is filed to preserve and used.
embodiment 2:
cardiological case control recording equipment described in embodiment 1, described carriage comprises slide block 5, described slide block slides in described slideway, described slide block connects support bar 6, described support bar connects sliding bar 7, and described sliding bar has annular slide track 8, described annular slide track connection sliding block, described slide block linking springs 9, described spring connects described seal.
embodiment 3:
cardiological case control recording equipment described in embodiment 1, described no carbon paper comprises the CF layer paper 10 that contains developer, the top of described CF layer paper connects the top of the CB layer paper 11 that contains colour former, described CB layer paper has and interrupts hole 12 apart from 15mm place, top, and described CB layer paper and described CF layer paper have connecting hole 13 apart from 5mm place, top.
what CB layer paper had interrupt, and hole is convenient that this page of paper is torn, and can not damage other paper.
embodiment 4:
cardiological case control recording equipment described in embodiment 1 or 2, described seal comprises patient's readme chapter, history of present illness chapter, history of past illness chapter, system review chapter, breathing is chapter, cyclic system chapter, Digestive chapter, genito-urinary system chapter, blood is chapter, neural spirit chapter, kinetic system chapter, injure history of operation chapter outward, poisoning and drug allergy history chapter, personal history chapter, family history chapter, physical examination chapter, described patient's readme chapter, described history of present illness chapter, described history of past illness chapter, described system review chapter, described breathing is chapter, described cyclic system chapter, described Digestive chapter, described genito-urinary system chapter, described blood is chapter, described neural spirit chapter, described kinetic system chapter, the described outer history of operation chapter that injures, described poisoning and drug allergy history chapter, described personal history chapter, described family history chapter, described physical examination Zhang Jun is contained in annular slide track in turn by spring, described seal side label.
above-mentioned seal can be free to slide in annular slide track, easy to use, and because acting on of spring covered after chapter, seal can be got back in slideway automatically.
embodiment 5:
cardiological case control recording equipment described in embodiment 1, described drain pan connects upper cover 14, and described upper cover connects draw ring, and described upper cover inner side connects pen bag 16, the back side connecting sucker of described drain pan or suspension member 15.
the position of appointment can be inhaled or hang over to sucker or suspension member when needed, conveniently write.
embodiment 6:
cardiological case control recording equipment described in above-described embodiment,
patient's readme: repeatedly outbreak tired after cardiopalmus, out of breath, edema more than 22 years, increase the weight of more than February.History of present illness: patient between 1992 to 1996, often camp field and often heating, pharyngalgia, after this often feel extremity large joint migration and ache, but without redness and moving obstacle.Within 1998, work Dual-eyelid edema while finding to rise morning, afternoon and dusk edema of lower limbs.Without special treatment.Within 2000, arise from after power-walking 0.5km, feel uncomfortable in chest, cardiopalmus, take a momentary rest and can alleviate.Power-walking 200m after 2006, feels cardiopalmus, out of breath; Easily suffer from " flu ", occasionally sputum mixed with blood in the time that cough is violent simultaneously.Within 2010, rise, nocturnal paroxysmal dyspnea repeatedly occurs, be forced to sit up and gradually alleviate about 1 hour, without pink frothy sputum, still adhere to work.Within 2011, often can not put down night later sleeping, can only high pillow or sit up straight, occur that epigastrium is glutted, loss of appetite simultaneously, persistence edema of lower limbs, oliguria, movable after sense cardiopalmus, out of breath, can not adhere to general work.After 2012, edema obviously increases the weight of, and is developed to waist by shank, and urine amount obviously reduces, and every day, 400~500ml, took diuretic effect also poor, and abdominal distention is gone up heavy, and abdominal part is bulge gradually.Anuria color depth Huang and skin pruritus sense.Under resting state, still feel uncomfortable in chest, cardiopalmus, out of breath.Be diagnosed as in outer court in 2008 " rheumatic heart disease ", within 2010, find that there is " atrial fibrillation ", after this long-term taking digoxin is aided with diuretic simultaneously, recently adds medicament for expanding vascellum, heavy when the state of an illness is light still time, and repeatedly occurs digitalis overdose situation.Take digoxin nearly February always, every day 0.25mg.Again occur that the last ten-days period in January uncomfortable in chest, out of breath, cardiopalmus increases the weight of, can not put down sleeping night, paroxysmal pareordia dull pain, and slightly cough, coughs up the sticky expectorant of white, conscious of heating, without spitting of blood.Be hospitalized for treatment today.History of past illness: body constitution is poor at ordinary times, easily catches a cold.Without hepatitis and tuberculosis medical history.Do not do prophylactic immunization nearly 30 years.System review: without ophthalmalgia, visual disorder, without discharging ear, otalgia, hard of hearing, without frequent nasal obstruction, rhinorrhea, without toothache history.Breathe system: within 1974, play frequent cough, cough up white foam sample expectorant, every day 30~50ml, increase the weight of winter, even adstante febre pyoptysis expectorant, without chest pain, spitting of blood history.Cyclic system: except aforementioned medical history, within 2006, rise and find that blood pressure increases, 20.0~21.3/13.3~16.0kPa, after intermittently the medicine treatment .2008 such as sheet fall in clothes again, blood pressure is normal.Digestive: without chronic abdominal pain, diarrhoea, belch, acid regurgitation, hematemesis and melena history.Genito-urinary system; Without frequent micturition, urgent micturition, dysurea, hematuria and dysuria history.Blood system: without epistaxis, gingiva bleeding gingival hemorrhage, the dermal ecchymosis history.Neural spirit: no headache, tinnitus, faint, tic, disturbance of consciousness and mental disorder history.Kinetic system: WD, dislocation, History of Bone Fracture.All the other see history of present illness.Injure history of operation outward: row left side indirect inguinal herniorrhaphy in 2008.Without trauma history.Poisoning and drug allergy history: nothing.Personal history: be born in ancestral home.Smoking 30 years, 20 of every days, few suction in nearly 10 years, gives up smoking 2 years.Happiness is drunk, and every day, 100ml, drank for nearly 2 years less.
family history: father and mother are respectively at death of illness in 1968,1971, dysoemia, four elder sisters and children three people are all healthy, without similar medical history.Physical examination: 37.8 ℃ of ordinary circumstance body temperature, pulse 92 ±/min, breathes 24/min, and blood pressure 17.3/9.3kPa grows normally, and nutrition is medium.Sanity, chronic facies, fowler's position, answers and keeps to the point, health check-up cooperation.Skin is without obvious xanthochromia, without erythra, petechia, blood vessel spider and liver palm.Hair distributes normal.Lymph node does not touch the superficial lymph knot of obvious enlargement.
head: without deformity, without tenderness, without injuring cicatrix outward.Hair shows slightly ash flower, glossy, without alopecia.Eye: eyebrow is without coming off, and eyelashes are raw without falling.Dual-eyelid is without edema, and eyeball is slightly outstanding, and motion freely.Conjunctiva mild hyperaemia, without edema.Sclera is slight xanthochromia, corneal transparency.Both sides isocoria is with circle, and light reflex is good.Ear: ear is without deformity, and external auditory meatus is without pyorrhea, and mastoid process is without tenderness, and without ear-lobe stricture of vagina, audition bigness scale is normal.Nose: without flaring of alaenasi, ventilation is smooth, and nostril has no blood crusts, nasal septum is without partially bent, and olfactory sensation is without extremely, and nasal sinuses is without tenderness.Oral cavity: cyanosis that lip is slight, without herpes, dental caries in 7 ∣ 6.Gums is without swelling, hemorrhage and pyorrhea.Red tongue, yellow and greasy fur.Loll placed in the middle, lingualis atremia.Oral mucosa is without ulcer, and pharynx rear wall mild hyperaemia, has minority lymph foilicie hyperplasia.Not enlargement of tonsil, without purulent secretion.Soft palate motion is symmetrical, and uvula is placed in the middle.Cervical region: softness, symmetry, distension of jugular vein, has no tremulous pulse anomalous beat.Trachea is placed in the middle, and not enlargement of thyroid, without tuberosity, tenderness, is not heard and vascular murmur.Thorax is without deformity, and lateral symmetry, moves normal, the about 90o of xiphoid angles, and thoracic wall is without varicosis and tenderness.Bilateral nipple symmetry.Lungs inspection: respiratory movement both sides are consistent, breathes moving degree and strengthens.Palpation: bilateral breathing campaign is equal, and vocal fremitus is unanimously without sense of pleural friction.Percussion: be sore throat relieving, inferior boundary of lung is positioned at angulus inferior scapulae line the 10th intercostal, breathes degree of excursion 4cm.Auscultation: respiratory harshness, not hear and abnormal breathing sound, two infrascapular regions a little fine rales of audible, does not hear pleuritic rub.Heart: inspection: apex beat is positioned at left anterior axillary line the 6th intercostal, the scope of beating disperse.Pareordia is without protuberance.Palpation: apex beat is positioned at the 6th intercostal place, left anterior axillary line, all praises libido with pareordia, apex also can be touched diastolic thrill.Without sense of pericardial friction.Percussion: border of cardiac dullness expands to both sides, to expand as to left down master, size as right table.Midclavicular line is apart from center line 9cm.Right (cm) intercostal left side (cm) 2 II 63 III 74 IV 12 4 V 13 auscultations: heart rate 120 ±/min, the rhythm of the heart is definitely uneven, hear sounds power not etc., full systole coarse IV level blowing murmur and the limitation diastole middle and advanced stage IV level rumbling murmur of the oxter conduction left of apical region of heart audible.Aortic valve the second area of auscultation hears and III level midsystolic ejection murmur conducts to cervical region, the conduction of relaxing period descending noise sternal lower end.The equal audible of pulmonary area and TA and the soft I level of systole blowing murmur, non-conducting, does not strengthen when air-breathing.P2=A2P2 is without hyperfunction or division.Without pericardial friction rub.Abdominal part inspection: pot belly, lateral symmetry, vena epigastrica appears, and ventral breathing disappears.Have no visible peristalsis visible intestinal peristalsis, wriggle and involve anomalous beat.The oblique operative scar of 6cm can be good in groin top, left side.Palpation: abdomen softness, stomach wall Mild edema, without tenderness, rebound tenderness, does not touch enclosed mass.10cm under liver rib, 13cm under xiphoid-process, matter is partially hard, limit is blunt, and smooth surface, has mild tenderness.2cm under spleen rib, in matter, limit is blunt, gallbladder, kidney do not touch.Liver neck refluxes and levies the positive, abdominal circumference 83cm.Percussion: upper abdomen is tympanitic resonance, liver dullness upper bound right midclavicular line the 5th intercostal, there is slight percussion pain hepatic region.Abdominal part has shifting dullness.Auscultation: borborygmus exists, not hyperfunction, does not hear gur gling and vascular murmur.Pudendum and anus urethral orifice are without ulcer, erosion and secretions.Testis and epididymis are normal, without tenderness.Scrotum has edema, but without congested, chap.Anus is without anal fissure and external hemorrhoid.Spinal column and extremity spinal column are physiological bending, and each vertebral body is without tenderness.Costispinal angle is without percussion pain.Lumbosacral region has pitting edema.Extremity are without deformity, and lower limb pitting edema, without varicosis and ulcer, without drumstick finger, toe.Joint is without redness, and motion freely.There are water-hammer pulse, pistol-shot sound and capillary pulsation.Radial artery, pulsation of foot dorsal artery exist.Nervous system limbs sensation is normal, moves accessible.Biceps tendon, triceps tendon, patellar tendon, Achilles tendon reflex are normal.Babinski's sign feminine gender, Kernig's sign feminine gender.Check and other inspection blood pictures: erythrocyte 4 × 1012/L, hemoglobin 108g/L, numeration of leukocyte 14.5 × 109/L, neutrality 81%, lymph 17%, monokaryon 2%.X-ray: Chest X-rays shows that podiod generally increases, has obvious congestion sign in lung, pulmonary conus is outstanding, right diaphram polishing, and rib diaphragm angle is sharp keen, and left diaphram is hidden by podiod.Electrocardiogram: rapid atrial fibrillation, right ventricular hypertrophy, ST-T changes, and part is relevant with DE.Brief summary patient male, 50 years old, onset was slow, and carrying out property of the state of an illness increases the weight of, and the course of disease is longer, has the large joint migration of heating repeatedly, pharyngalgia and extremity history of pain before onset.Over 22 years, main manifestations is the symptoms such as the cardiopalmus that increases the weight of gradually, out of breath, edema.And there is chronic cough, cough up phlegm, expectorant white foam sample, 30~50ml every day left and right.T37.8 ℃ is found in health check-up, and apex has diastolic thrill, and apical region of heart and aortic valve the second area of auscultation have two phase noises, and two bases of lung are heard and fine rales, and have hepatosplenomegaly, ascites, edema, jaundice.Numeration of leukocyte 14.5 × 109/L, neutrality 81%, Chest X-rays is shown in that podiod generally increases, to be increased to left down master, with congestion sign in lung.Electrocardiogram prompting rapid atrial fibrillation, right ventricular hypertrophy.Tentative diagnosis is 1.. and rheumatic mitral stenosis and incompetence aortic stenosis and incompetence atrial fibrillation congestive heart failure cardiac function IV level are 2.. and cardiac cirrhosis is 3.. chronic bronchitis, infects and increases the weight of 4.. dental caries.

Claims (5)

1. a Cardiological case control recording equipment, its composition comprises: drain pan, it is characterized in that: the both sides of described drain pan connect slideway, described slideway connects carriage, described carriage connects seal, the top connecting hinge folder of described drain pan, described loose-leaf binder connects no carbon paper.
2. Cardiological case control recording equipment according to claim 1, it is characterized in that: described carriage comprises slide block, described slide block slides in described slideway, described slide block connects support bar, described support bar connects sliding bar, and described sliding bar has annular slide track, described annular slide track connection sliding block, described slide block linking springs, described spring connects described seal.
3. Cardiological case control recording equipment according to claim 1, it is characterized in that: described no carbon paper comprises the CF layer paper that contains developer, the top of described CF layer paper connects the top of the CB layer paper that contains colour former, described CB layer paper has and interrupts hole apart from 15mm place, top, and described CB layer paper and described CF layer paper have connecting hole apart from 5mm place, top.
4. Cardiological case control recording equipment according to claim 1 and 2, is characterized in that: described seal comprises patient's readme chapter, history of present illness chapter, history of past illness chapter, system review chapter, breathing is chapter, cyclic system chapter, Digestive chapter, genito-urinary system chapter, blood is chapter, neural spirit chapter, kinetic system chapter, injure history of operation chapter outward, poisoning and drug allergy history chapter, personal history chapter, family history chapter, physical examination chapter, described patient's readme chapter, described history of present illness chapter, described history of past illness chapter, described system review chapter, described breathing is chapter, described cyclic system chapter, described Digestive chapter, described genito-urinary system chapter, described blood is chapter, described neural spirit chapter, described kinetic system chapter, the described outer history of operation chapter that injures, described poisoning and drug allergy history chapter, described personal history chapter, described family history chapter, described physical examination Zhang Jun is contained in annular slide track in turn by spring, described seal side label.
5. Cardiological case control recording equipment according to claim 1, is characterized in that: described drain pan connects upper cover, and described upper cover connects draw ring, and described upper cover inner side connects pen bag, back side connecting sucker or the suspension member of described drain pan.
CN201320688542.3U 2013-11-04 2013-11-04 Case inspection record device for department of cardiology Expired - Fee Related CN203693971U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108125229A (en) * 2017-12-29 2018-06-08 东莞市东卓中天生物科技有限公司 Maintenance heart and prevention myocardial infarction lead to the food of sudden death

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108125229A (en) * 2017-12-29 2018-06-08 东莞市东卓中天生物科技有限公司 Maintenance heart and prevention myocardial infarction lead to the food of sudden death

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