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随着肿瘤发病率的逐年上升,我国各地综合医院已普遍建立以手术、化疗为主的肿瘤科。如何写好肿瘤专业病历是目前众所关心的问题。肿瘤科专业性强,若完全按既往的医疗文书规范去书写则不尽适宜。无疑,遵循内科学基础中的病历书写基本原则是必须的。如何既坚持这些原则,而又能反映出
With the rising incidence of tumors, general surgery hospitals and chemotherapy-based oncology departments have been established in general hospitals throughout China. How to write a professional medical record is the current concern. The oncology department is highly professional and it is not appropriate to write according to the specifications of the medical instruments. Undoubtedly, it is necessary to follow the basic principles of medical records in the basics of internal medicine. How to stick to these principles while reflecting