Name: Sex: Age:
Address: Zipcode:
The receiver'sname: Telephone: Cellular phone:
Mail
Cause of disease:Child
premature delivery dystocia asphyxiation high fever twitch trauma
Frighten coma toxicosis kernicterus brain paralysis waterhead
cerebrovascular abnormality brain infarct brain blooding brain atrophy brain hypogenesis braitumourn
Other:
Medium-old age
The high fever trauma frighten twitch coma toxicosis
high blood pressure low blood pressure arteriosclerosis brain infarct brain blooding brain atrophy
waterhead encephalomalacia brain liquescence brain cirrhosis    
comnbinedsymptom:
Now symptom
low intelligence( light medium heavy) expression( pure not pure) flabby emotion descended memory
thinking( good medium bad) impatience irascibility willful scatterbrained cowardice frighten
incognize relative surface dementia sluggish action more active and unease little movement less talking
Talk not pure or only a word informless hearing and sight
choked when drinking and eating  difficulty to swallow drivel dizzy and pain of head unconsc
iousness
Beat the head chest with stuffy air atony body joint( flabbiness ankylosis convulsion twitch paralysis)
stiff muscle weak atony body can't raise head can't turn over the body
Will not sit or sit unsteady will not stand will not run unsteady fast walking andfall down
( Single double)he feet can't set levelt toe( single double)touch ground malformated walking gesture or scissors step
hemiplegy oneside leg paralysis paraplegia twitch blended paralysis hyperkinesia
Assistance check
Electroencep
halogram:
Electrocardiogram:
B ultrasonic:
E.M.G.:
Hearing check:
CT:MRI:
Examination
Early Examination:
Clinical diagnosis:
Processing:

 

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    通信地址:河南省郑州市东明路南段47号附48号郑州益康中医院脑瘫科收
    邮编:450004