病情记录

The nursing measures included close observation of disease changes, enhanced attention the distinguish intracranial hypotension from intracranial hyperpiesia, make nursing of the symptoms out, enhanced nursing of lumber punctured, record the 24h measure in and out by rule and line and mental care to help children overcome feaf and stress.

护理措施包括：密切观察病情变化，尤其应注意低颅压综合征与颅内压增高的区别、做好症状护理、加强腰穿术后护理、准确记录24h液体出入量、同时做好心理护理，帮助患儿克服恐惧心理和紧张情绪。

Methods Previously special nursing care chart was combined with descriptive note to form a chart that included Chinese and English versions. The contents in this chart included 5 parts: patient's general conditions, monitoring, treatment and nursing intervention, intake and output, concise record of patient's conditions and signature.

将原来的特别护理记录单和叙述性文字记录方式整合为1张中英文对照式表格，包含病人一般情况、监护内容、治疗护理措施、出入量及病情简记及签名五部分内容。

And third, entries from a diary written mostly during a recentstay in Washington, DC, in which Mr Havel, by now in his early 70s, recordsamong other things his illnesses, his fondness for Americans, his admirationfor senatorial haircuts and his own pernickety dissatisfaction, as the bookgoes along, with not having got the subtleties of the record quite right.

第三部分大多是古稀之年的哈维尔近期在华盛顿市居住留下的日记，记录了他的病情，对美国人的喜爱，羡慕议员们的发型，和他吹毛求疵的不满。书中没有具体阐明这些记录的微妙用意

And third, entries from adiary written mostly during a recentstay in Washington, DC, in which MrHavel, by now in his early 70s, recordsamong other things hisillnesses, his fondness for Americans, his admirationfor senatorialhaircuts and his own pernickety dissatisfaction, as the bookgoes along,with not having got the subtleties of the record quite right.

第三部分大多是古稀之年的哈维尔近期在华盛顿市居住留下的日记，记录了他的病情，对美国人的喜爱，羡慕议员们的发型，和他吹毛求疵的不满。书中没有具体阐明这些记录的微妙用意

And 62 pieces pieces are chaotic in mearsure units(3.85%).conclusion the main problems of nursing note list record result from the nursing staff lack of the basic kownledge, observating the symptom is too carefulless, describing is inaccurate and lack of protecting themselves with the law.so we can improve the quality of nursing note list record in several parts-enhance nursing education in legal system,professional ethics education,and cultivate the spirits of loving their jobs,and give full play to the supervision of nursing staff,and establish a long-term mechanism,offering evidence to scientific researches and legal voucher.

护理记录单存在的问题主要是护理人员本身基础知识贫乏，病情观察不细致，描述不准确，缺乏法律的自我保护意识等原因所致。所以加强广大护理人员的法制观念、职业道德素养，培养爱岗敬业精神，充分发挥护理管理人员的监督作用，建立长效机制，不断提高护理记录单的质量，为科学研究和法律凭证提供依据。

Finally: 856 nurse the medical record writing universal existence: Neglect to patient's whole appraisal; Plagiarizes doctor's course of an illness record; Condition description plate out of true, subjective and the objective judgement has the confusion; Question and so on written not standard.

结果：856份护理病历书写普遍存在：忽视对患者的整体评估；抄袭医生的病程记录；病情描述不准确，主观与客观的判断有混淆；书写不规范等问题。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。