新生儿科英文病历
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以下是一份新生儿科英文病历的范例:
Patient: John Doe (Neonate)
Date of Birth: DD/MM/YYYY
Gender: Male
Weight at Birth: 2.5 kg
Length at Birth: 48 cm
Head Circumference at Birth: 34 cm
Delivery Method: Vaginal Delivery
Mother's Age at Delivery: 30 years
Mother's Complications during Pregnancy: None
Father's Age: 35 years
Family History: Unremarkable
Pregnancy History: 1st pregnancy, no previous medical issues
Hospitalization History: None
Current Condition: The neonate is born in good condition, with normal respiration and good muscular tone. The baby is active and alert. The cardiovascular system, respiratory system, gastrointestinal system and other systems are normal. The baby does not show any signs of infection or other diseases. The baby's weight, length and head circumference are all within the normal range. The baby's parents are healthy and there is no family history of genetic diseases. The neonate is recommended to continue to be breastfed and receive regular follow-up visits.
Diagnosis: Neonate, born in good condition, without any obvious pathological changes. Normal physical development and no signs of disease.
Note: It is recommended that the baby continue to be breastfed and receive regular follow-up visits. If there are any changes in the baby's condition, please contact the doctor immediately.。