新增食管心脏电生理知情同意书

liusheng

7 小时以前 37122b00b760823b202664325ce7b4361d9bd558

新增食管心脏电生理知情同意书

 jh-module-ecg/jh-module-ecg-biz/src/main/java/cn/lihu/jh/module/ecg/freemark/TemplateCreateController.java

@@ -73,8 +73,43 @@
        return null;
    }

    private void getData(Map dataMap, AppointmentDO appointment) {

    @Operation(summary = "食管心脏电生理知情同意书")
    @GetMapping(value = "/downloadesophagus/{id}")
    public Map downloadEsophagusInfo(@PathVariable("id") Long id) {
        log.info("食管心脏电生理知情同意书：{}", id);
        try {
            Map dataMap = new HashMap();
            AppointmentDO appointment = appointmentService.getAppointment(id);
            getData(dataMap, appointment);
            String filePath = getClass().getResource("/template/").getPath();
            System.out.println(filePath);
            //设置模本装置方法和路径,FreeMarker支持多种模板装载方法。可以重servlet，classpath，数据库教程装载，
            configuration.setDirectoryForTemplateLoading(new File(filePath));
            Template t = null;
            //捐献表.ftl为要装载的模板
            t = configuration.getTemplate("食管心脏电生理知情同意书.ftl");

            String year = String.valueOf(Calendar.getInstance().get(Calendar.YEAR));
            String name = "食管心脏电生理知情同意书-" + appointment.getPatName() + "-" + year;

            //输出文档路径及名称
            File outFile = new File("D:/" + name + ".doc");
            Writer out = null;
            out = new BufferedWriter(new OutputStreamWriter(new FileOutputStream(outFile), "utf-8"));
            t.process(dataMap, out);

            Map<String, Object> map = new HashMap<>();
            map.put("downloadUrl", "D:/" + name + ".doc");
            map.put("downloadName", name + ".doc");
            return map;
        } catch (Exception e) {
            e.printStackTrace();
        }
        return null;
    }

    private void getData(Map dataMap, AppointmentDO appointment) {
        dataMap.put("name", StringUtils.isEmpty(appointment.getPatName()) ? "" : appointment.getPatName());
        dataMap.put("sex", appointment.getPatGender() == null ? "" : appointment.getPatGender() == 1 ? "男" : "女");
        dataMap.put("age", appointment.getPatBirthday() == null ? "" : calculateAge(appointment.getPatBirthday()));
@@ -83,6 +118,8 @@
        dataMap.put("badNo", StringUtils.isEmpty(appointment.getPatBedNo()) ? "" : appointment.getPatBedNo());
        dataMap.put("birthday", appointment.getPatBirthday() == null ? "" : appointment.getPatBirthday());
        dataMap.put("doctor", StringUtils.isEmpty(appointment.getDoctor()) ? "" : appointment.getDoctor());
        dataMap.put("deptName", StringUtils.isEmpty(appointment.getPatDeptDesc()) ? "" : appointment.getPatDeptDesc());
        dataMap.put("episodeId", StringUtils.isEmpty(appointment.getEpisodeId()) ? "" : appointment.getEpisodeId());

    }


 jh-module-ecg/jh-module-ecg-biz/src/main/resources/template/ʳ¹ÜÐÄÔàµçÉúÀíÖªÇéͬÒâÊé.ftl

¶Ô±ÈÐÂÎļþ
@@ -0,0 +1,2303 @@
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        <o:LastPrinted>2024-07-22T04:27:00Z</o:LastPrinted>
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                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="2">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="3">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="4">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="5">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="6">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="7">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
            <w:lvl w:ilvl="8">
                <w:start w:val="0"/>
                <w:lvlText w:val=""/>
                <w:lvlJc w:val="left"/>
            </w:lvl>
        </w:listDef>
        <w:list w:ilfo="1">
            <w:ilst w:val="2"/>
        </w:list>
        <w:list w:ilfo="2">
            <w:ilst w:val="3"/>
        </w:list>
        <w:list w:ilfo="3">
            <w:ilst w:val="0"/>
        </w:list>
        <w:list w:ilfo="4">
            <w:ilst w:val="1"/>
        </w:list>
    </w:lists>
    <w:styles>
        <w:latentStyles w:defLockedState="off" w:latentStyleCount="260">
            <w:lsdException w:name="Normal"/>
            <w:lsdException w:name="heading 1"/>
            <w:lsdException w:name="heading 2"/>
            <w:lsdException w:name="heading 3"/>
            <w:lsdException w:name="heading 4"/>
            <w:lsdException w:name="heading 5"/>
            <w:lsdException w:name="heading 6"/>
            <w:lsdException w:name="heading 7"/>
            <w:lsdException w:name="heading 8"/>
            <w:lsdException w:name="heading 9"/>
            <w:lsdException w:name="index 1"/>
            <w:lsdException w:name="index 2"/>
            <w:lsdException w:name="index 3"/>
            <w:lsdException w:name="index 4"/>
            <w:lsdException w:name="index 5"/>
            <w:lsdException w:name="index 6"/>
            <w:lsdException w:name="index 7"/>
            <w:lsdException w:name="index 8"/>
            <w:lsdException w:name="index 9"/>
            <w:lsdException w:name="toc 1"/>
            <w:lsdException w:name="toc 2"/>
            <w:lsdException w:name="toc 3"/>
            <w:lsdException w:name="toc 4"/>
            <w:lsdException w:name="toc 5"/>
            <w:lsdException w:name="toc 6"/>
            <w:lsdException w:name="toc 7"/>
            <w:lsdException w:name="toc 8"/>
            <w:lsdException w:name="toc 9"/>
            <w:lsdException w:name="Normal Indent"/>
            <w:lsdException w:name="footnote text"/>
            <w:lsdException w:name="annotation text"/>
            <w:lsdException w:name="header"/>
            <w:lsdException w:name="footer"/>
            <w:lsdException w:name="index heading"/>
            <w:lsdException w:name="caption"/>
            <w:lsdException w:name="table of figures"/>
            <w:lsdException w:name="envelope address"/>
            <w:lsdException w:name="envelope return"/>
            <w:lsdException w:name="footnote reference"/>
            <w:lsdException w:name="annotation reference"/>
            <w:lsdException w:name="line number"/>
            <w:lsdException w:name="page number"/>
            <w:lsdException w:name="endnote reference"/>
            <w:lsdException w:name="endnote text"/>
            <w:lsdException w:name="table of authorities"/>
            <w:lsdException w:name="macro"/>
            <w:lsdException w:name="toa heading"/>
            <w:lsdException w:name="List"/>
            <w:lsdException w:name="List Bullet"/>
            <w:lsdException w:name="List Number"/>
            <w:lsdException w:name="List 2"/>
            <w:lsdException w:name="List 3"/>
            <w:lsdException w:name="List 4"/>
            <w:lsdException w:name="List 5"/>
            <w:lsdException w:name="List Bullet 2"/>
            <w:lsdException w:name="List Bullet 3"/>
            <w:lsdException w:name="List Bullet 4"/>
            <w:lsdException w:name="List Bullet 5"/>
            <w:lsdException w:name="List Number 2"/>
            <w:lsdException w:name="List Number 3"/>
            <w:lsdException w:name="List Number 4"/>
            <w:lsdException w:name="List Number 5"/>
            <w:lsdException w:name="Title"/>
            <w:lsdException w:name="Closing"/>
            <w:lsdException w:name="Signature"/>
            <w:lsdException w:name="Default Paragraph Font"/>
            <w:lsdException w:name="Body Text"/>
            <w:lsdException w:name="Body Text Indent"/>
            <w:lsdException w:name="List Continue"/>
            <w:lsdException w:name="List Continue 2"/>
            <w:lsdException w:name="List Continue 3"/>
            <w:lsdException w:name="List Continue 4"/>
            <w:lsdException w:name="List Continue 5"/>
            <w:lsdException w:name="Message Header"/>
            <w:lsdException w:name="Subtitle"/>
            <w:lsdException w:name="Salutation"/>
            <w:lsdException w:name="Date"/>
            <w:lsdException w:name="Body Text First Indent"/>
            <w:lsdException w:name="Body Text First Indent 2"/>
            <w:lsdException w:name="Note Heading"/>
            <w:lsdException w:name="Body Text 2"/>
            <w:lsdException w:name="Body Text 3"/>
            <w:lsdException w:name="Body Text Indent 2"/>
            <w:lsdException w:name="Body Text Indent 3"/>
            <w:lsdException w:name="Block Text"/>
            <w:lsdException w:name="Hyperlink"/>
            <w:lsdException w:name="FollowedHyperlink"/>
            <w:lsdException w:name="Strong"/>
            <w:lsdException w:name="Emphasis"/>
            <w:lsdException w:name="Document Map"/>
            <w:lsdException w:name="Plain Text"/>
            <w:lsdException w:name="E-mail Signature"/>
            <w:lsdException w:name="Normal (Web)"/>
            <w:lsdException w:name="HTML Acronym"/>
            <w:lsdException w:name="HTML Address"/>
            <w:lsdException w:name="HTML Cite"/>
            <w:lsdException w:name="HTML Code"/>
            <w:lsdException w:name="HTML Definition"/>
            <w:lsdException w:name="HTML Keyboard"/>
            <w:lsdException w:name="HTML Preformatted"/>
            <w:lsdException w:name="HTML Sample"/>
            <w:lsdException w:name="HTML Typewriter"/>
            <w:lsdException w:name="HTML Variable"/>
            <w:lsdException w:name="Normal Table"/>
            <w:lsdException w:name="annotation subject"/>
            <w:lsdException w:name="Table Simple 1"/>
            <w:lsdException w:name="Table Simple 2"/>
            <w:lsdException w:name="Table Simple 3"/>
            <w:lsdException w:name="Table Classic 1"/>
            <w:lsdException w:name="Table Classic 2"/>
            <w:lsdException w:name="Table Classic 3"/>
            <w:lsdException w:name="Table Classic 4"/>
            <w:lsdException w:name="Table Colorful 1"/>
            <w:lsdException w:name="Table Colorful 2"/>
            <w:lsdException w:name="Table Colorful 3"/>
            <w:lsdException w:name="Table Columns 1"/>
            <w:lsdException w:name="Table Columns 2"/>
            <w:lsdException w:name="Table Columns 3"/>
            <w:lsdException w:name="Table Columns 4"/>
            <w:lsdException w:name="Table Columns 5"/>
            <w:lsdException w:name="Table Grid 1"/>
            <w:lsdException w:name="Table Grid 2"/>
            <w:lsdException w:name="Table Grid 3"/>
            <w:lsdException w:name="Table Grid 4"/>
            <w:lsdException w:name="Table Grid 5"/>
            <w:lsdException w:name="Table Grid 6"/>
            <w:lsdException w:name="Table Grid 7"/>
            <w:lsdException w:name="Table Grid 8"/>
            <w:lsdException w:name="Table List 1"/>
            <w:lsdException w:name="Table List 2"/>
            <w:lsdException w:name="Table List 3"/>
            <w:lsdException w:name="Table List 4"/>
            <w:lsdException w:name="Table List 5"/>
            <w:lsdException w:name="Table List 6"/>
            <w:lsdException w:name="Table List 7"/>
            <w:lsdException w:name="Table List 8"/>
            <w:lsdException w:name="Table 3D effects 1"/>
            <w:lsdException w:name="Table 3D effects 2"/>
            <w:lsdException w:name="Table 3D effects 3"/>
            <w:lsdException w:name="Table Contemporary"/>
            <w:lsdException w:name="Table Elegant"/>
            <w:lsdException w:name="Table Professional"/>
            <w:lsdException w:name="Table Subtle 1"/>
            <w:lsdException w:name="Table Subtle 2"/>
            <w:lsdException w:name="Table Web 1"/>
            <w:lsdException w:name="Table Web 2"/>
            <w:lsdException w:name="Table Web 3"/>
            <w:lsdException w:name="Balloon Text"/>
            <w:lsdException w:name="Table Grid"/>
            <w:lsdException w:name="Table Theme"/>
            <w:lsdException w:name="Light Shading"/>
            <w:lsdException w:name="Light List"/>
            <w:lsdException w:name="Light Grid"/>
            <w:lsdException w:name="Medium Shading 1"/>
            <w:lsdException w:name="Medium Shading 2"/>
            <w:lsdException w:name="Medium List 1"/>
            <w:lsdException w:name="Medium List 2"/>
            <w:lsdException w:name="Medium Grid 1"/>
            <w:lsdException w:name="Medium Grid 2"/>
            <w:lsdException w:name="Medium Grid 3"/>
            <w:lsdException w:name="Dark List"/>
            <w:lsdException w:name="Colorful Shading"/>
            <w:lsdException w:name="Colorful List"/>
            <w:lsdException w:name="Colorful Grid"/>
            <w:lsdException w:name="Light Shading Accent 1"/>
            <w:lsdException w:name="Light List Accent 1"/>
            <w:lsdException w:name="Light Grid Accent 1"/>
            <w:lsdException w:name="Medium Shading 1 Accent 1"/>
            <w:lsdException w:name="Medium Shading 2 Accent 1"/>
            <w:lsdException w:name="Medium List 1 Accent 1"/>
            <w:lsdException w:name="Medium List 2 Accent 1"/>
            <w:lsdException w:name="Medium Grid 1 Accent 1"/>
            <w:lsdException w:name="Medium Grid 2 Accent 1"/>
            <w:lsdException w:name="Medium Grid 3 Accent 1"/>
            <w:lsdException w:name="Dark List Accent 1"/>
            <w:lsdException w:name="Colorful Shading Accent 1"/>
            <w:lsdException w:name="Colorful List Accent 1"/>
            <w:lsdException w:name="Colorful Grid Accent 1"/>
            <w:lsdException w:name="Light Shading Accent 2"/>
            <w:lsdException w:name="Light List Accent 2"/>
            <w:lsdException w:name="Light Grid Accent 2"/>
            <w:lsdException w:name="Medium Shading 1 Accent 2"/>
            <w:lsdException w:name="Medium Shading 2 Accent 2"/>
            <w:lsdException w:name="Medium List 1 Accent 2"/>
            <w:lsdException w:name="Medium List 2 Accent 2"/>
            <w:lsdException w:name="Medium Grid 1 Accent 2"/>
            <w:lsdException w:name="Medium Grid 2 Accent 2"/>
            <w:lsdException w:name="Medium Grid 3 Accent 2"/>
            <w:lsdException w:name="Dark List Accent 2"/>
            <w:lsdException w:name="Colorful Shading Accent 2"/>
            <w:lsdException w:name="Colorful List Accent 2"/>
            <w:lsdException w:name="Colorful Grid Accent 2"/>
            <w:lsdException w:name="Light Shading Accent 3"/>
            <w:lsdException w:name="Light List Accent 3"/>
            <w:lsdException w:name="Light Grid Accent 3"/>
            <w:lsdException w:name="Medium Shading 1 Accent 3"/>
            <w:lsdException w:name="Medium Shading 2 Accent 3"/>
            <w:lsdException w:name="Medium List 1 Accent 3"/>
            <w:lsdException w:name="Medium List 2 Accent 3"/>
            <w:lsdException w:name="Medium Grid 1 Accent 3"/>
            <w:lsdException w:name="Medium Grid 2 Accent 3"/>
            <w:lsdException w:name="Medium Grid 3 Accent 3"/>
            <w:lsdException w:name="Dark List Accent 3"/>
            <w:lsdException w:name="Colorful Shading Accent 3"/>
            <w:lsdException w:name="Colorful List Accent 3"/>
            <w:lsdException w:name="Colorful Grid Accent 3"/>
            <w:lsdException w:name="Light Shading Accent 4"/>
            <w:lsdException w:name="Light List Accent 4"/>
            <w:lsdException w:name="Light Grid Accent 4"/>
            <w:lsdException w:name="Medium Shading 1 Accent 4"/>
            <w:lsdException w:name="Medium Shading 2 Accent 4"/>
            <w:lsdException w:name="Medium List 1 Accent 4"/>
            <w:lsdException w:name="Medium List 2 Accent 4"/>
            <w:lsdException w:name="Medium Grid 1 Accent 4"/>
            <w:lsdException w:name="Medium Grid 2 Accent 4"/>
            <w:lsdException w:name="Medium Grid 3 Accent 4"/>
            <w:lsdException w:name="Dark List Accent 4"/>
            <w:lsdException w:name="Colorful Shading Accent 4"/>
            <w:lsdException w:name="Colorful List Accent 4"/>
            <w:lsdException w:name="Colorful Grid Accent 4"/>
            <w:lsdException w:name="Light Shading Accent 5"/>
            <w:lsdException w:name="Light List Accent 5"/>
            <w:lsdException w:name="Light Grid Accent 5"/>
            <w:lsdException w:name="Medium Shading 1 Accent 5"/>
            <w:lsdException w:name="Medium Shading 2 Accent 5"/>
            <w:lsdException w:name="Medium List 1 Accent 5"/>
            <w:lsdException w:name="Medium List 2 Accent 5"/>
            <w:lsdException w:name="Medium Grid 1 Accent 5"/>
            <w:lsdException w:name="Medium Grid 2 Accent 5"/>
            <w:lsdException w:name="Medium Grid 3 Accent 5"/>
            <w:lsdException w:name="Dark List Accent 5"/>
            <w:lsdException w:name="Colorful Shading Accent 5"/>
            <w:lsdException w:name="Colorful List Accent 5"/>
            <w:lsdException w:name="Colorful Grid Accent 5"/>
            <w:lsdException w:name="Light Shading Accent 6"/>
            <w:lsdException w:name="Light List Accent 6"/>
            <w:lsdException w:name="Light Grid Accent 6"/>
            <w:lsdException w:name="Medium Shading 1 Accent 6"/>
            <w:lsdException w:name="Medium Shading 2 Accent 6"/>
            <w:lsdException w:name="Medium List 1 Accent 6"/>
            <w:lsdException w:name="Medium List 2 Accent 6"/>
            <w:lsdException w:name="Medium Grid 1 Accent 6"/>
            <w:lsdException w:name="Medium Grid 2 Accent 6"/>
            <w:lsdException w:name="Medium Grid 3 Accent 6"/>
            <w:lsdException w:name="Dark List Accent 6"/>
            <w:lsdException w:name="Colorful Shading Accent 6"/>
            <w:lsdException w:name="Colorful List Accent 6"/>
            <w:lsdException w:name="Colorful Grid Accent 6"/>
        </w:latentStyles>
        <w:style w:type="paragraph" w:styleId="a1" w:default="on">
            <w:name w:val="Normal"/>
            <w:pPr>
                <w:widowControl w:val="off"/>
                <w:jc w:val="both"/>
            </w:pPr>
            <w:rPr>
                <w:kern w:val="2"/>
                <w:sz w:val="21"/>
                <w:sz-cs w:val="24"/>
                <w:lang w:val="EN-US" w:fareast="ZH-CN" w:bidi="AR-SA"/>
            </w:rPr>
        </w:style>
        <w:style w:type="character" w:styleId="a5" w:default="on">
            <w:name w:val="Default Paragraph Font"/>
            <w:semiHidden/>
        </w:style>
        <w:style w:type="table" w:styleId="a4" w:default="on">
            <w:name w:val="Normal Table"/>
            <w:semiHidden/>
            <w:tblPr>
                <w:tblCellMar>
                    <w:top w:w="0" w:type="dxa"/>
                    <w:left w:w="108" w:type="dxa"/>
                    <w:bottom w:w="0" w:type="dxa"/>
                    <w:right w:w="108" w:type="dxa"/>
                </w:tblCellMar>
            </w:tblPr>
        </w:style>
        <w:style w:type="paragraph" w:styleId="a2">
            <w:name w:val="footer"/>
            <w:basedOn w:val="a1"/>
            <w:link w:val="a7"/>
            <w:pPr>
                <w:tabs>
                    <w:tab w:val="center" w:pos="4153"/>
                    <w:tab w:val="right" w:pos="8306"/>
                </w:tabs>
                <w:snapToGrid w:val="off"/>
                <w:jc w:val="left"/>
            </w:pPr>
            <w:rPr>
                <w:sz w:val="18"/>
                <w:sz-cs w:val="18"/>
            </w:rPr>
        </w:style>
        <w:style w:type="paragraph" w:styleId="a3">
            <w:name w:val="header"/>
            <w:basedOn w:val="a1"/>
            <w:link w:val="a6"/>
            <w:pPr>
                <w:pBdr>
                    <w:bottom w:val="single" w:sz="6" wx:bdrwidth="15" w:space="1" w:color="auto"/>
                </w:pBdr>
                <w:tabs>
                    <w:tab w:val="center" w:pos="4153"/>
                    <w:tab w:val="right" w:pos="8306"/>
                </w:tabs>
                <w:snapToGrid w:val="off"/>
                <w:jc w:val="center"/>
            </w:pPr>
            <w:rPr>
                <w:sz w:val="18"/>
                <w:sz-cs w:val="18"/>
            </w:rPr>
        </w:style>
        <w:style w:type="character" w:styleId="a6">
            <w:name w:val="页眉 Char"/>
            <w:link w:val="a3"/>
            <w:rPr>
                <w:kern w:val="2"/>
                <w:sz w:val="18"/>
                <w:sz-cs w:val="18"/>
            </w:rPr>
        </w:style>
        <w:style w:type="character" w:styleId="a7">
            <w:name w:val="页脚 Char"/>
            <w:link w:val="a2"/>
            <w:rPr>
                <w:kern w:val="2"/>
                <w:sz w:val="18"/>
                <w:sz-cs w:val="18"/>
            </w:rPr>
        </w:style>
    </w:styles>
    <w:bgPict>
        <w:background/>
        <v:background id="_x0000_s1025">
            <v:fill on="f" focussize="0,0"/>
        </v:background>
    </w:bgPict>
    <w:docPr>
        <w:view w:val="print"/>
        <w:zoom w:percent="115"/>
        <w:characterSpacingControl w:val="CompressPunctuation"/>
        <w:documentProtection w:enforcement="off"/>
        <w:punctuationKerning/>
        <w:doNotEmbedSystemFonts/>
        <w:bordersDontSurroundHeader/>
        <w:bordersDontSurroundFooter/>
        <w:defaultTabStop w:val="420"/>
        <w:drawingGridVerticalSpacing w:val="156"/>
        <w:displayHorizontalDrawingGridEvery w:val="0"/>
        <w:displayVerticalDrawingGridEvery w:val="2"/>
        <w:compat>
            <w:adjustLineHeightInTable/>
            <w:ulTrailSpace/>
            <w:doNotExpandShiftReturn/>
            <w:balanceSingleByteDoubleByteWidth/>
            <w:spaceForUL/>
            <w:wrapTextWithPunct/>
            <w:breakWrappedTables/>
            <w:useAsianBreakRules/>
            <w:dontGrowAutofit/>
            <w:useFELayout/>
        </w:compat>
    </w:docPr>
    <w:body>
        <wx:sect>
            <w:tbl>
                <w:tblPr>
                    <w:tblW w:w="10512" w:type="dxa"/>
                    <w:tblInd w:w="-645" w:type="dxa"/>
                    <w:tblBorders>
                        <w:top w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        <w:left w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        <w:bottom w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        <w:right w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        <w:insideH w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        <w:insideV w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                    </w:tblBorders>
                    <w:tblLayout w:type="Fixed"/>
                    <w:tblCellMar>
                        <w:top w:w="0" w:type="dxa"/>
                        <w:left w:w="108" w:type="dxa"/>
                        <w:bottom w:w="0" w:type="dxa"/>
                        <w:right w:w="108" w:type="dxa"/>
                    </w:tblCellMar>
                </w:tblPr>
                <w:tblGrid>
                    <w:gridCol w:w="2022"/>
                    <w:gridCol w:w="2700"/>
                    <w:gridCol w:w="1418"/>
                    <w:gridCol w:w="2527"/>
                    <w:gridCol w:w="1845"/>
                </w:tblGrid>
                <w:tr>
                    <w:tblPrEx>
                        <w:tblBorders>
                            <w:top w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:left w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:bottom w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:right w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideH w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideV w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        </w:tblBorders>
                        <w:tblCellMar>
                            <w:top w:w="0" w:type="dxa"/>
                            <w:left w:w="108" w:type="dxa"/>
                            <w:bottom w:w="0" w:type="dxa"/>
                            <w:right w:w="108" w:type="dxa"/>
                        </w:tblCellMar>
                    </w:tblPrEx>
                    <w:trPr>
                        <w:trHeight w:val="699" w:h-rule="atLeast"/>
                    </w:trPr>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="10512" w:type="dxa"/>
                            <w:gridSpan w:val="5"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="top"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:jc w:val="center"/>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:sz w:val="24"/>
                                    <w:sz-cs w:val="30"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:sz w:val="24"/>
                                    <w:sz-cs w:val="30"/>
                                </w:rPr>
                                <w:t>金华市人民医院</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:jc w:val="center"/>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:sz w:val="20"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:b/>
                                    <w:sz w:val="24"/>
                                    <w:sz-cs w:val="30"/>
                                </w:rPr>
                                <w:t>食管心脏电生理</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:sz w:val="24"/>
                                    <w:sz-cs w:val="30"/>
                                </w:rPr>
                                <w:t>诊疗知情同意书</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                </w:tr>
                <w:tr>
                    <w:tblPrEx>
                        <w:tblBorders>
                            <w:top w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:left w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:bottom w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:right w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideH w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideV w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        </w:tblBorders>
                        <w:tblCellMar>
                            <w:top w:w="0" w:type="dxa"/>
                            <w:left w:w="108" w:type="dxa"/>
                            <w:bottom w:w="0" w:type="dxa"/>
                            <w:right w:w="108" w:type="dxa"/>
                        </w:tblCellMar>
                    </w:tblPrEx>
                    <w:trPr>
                        <w:trHeight w:val="510" w:h-rule="atLeast"/>
                    </w:trPr>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="2022" w:type="dxa"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="center"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:fareast="宋体" w:hint="default"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>姓名：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                                <w:t>${name}</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="2700" w:type="dxa"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="center"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:fareast="宋体" w:hint="default"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>出生日期：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                                <w:t>${birthday}</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="1418" w:type="dxa"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="center"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:fareast="宋体" w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>性别：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                                <w:t>${sex}</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="2527" w:type="dxa"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="center"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:fareast="宋体" w:hint="default"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>就诊卡号：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                                <w:t>${episodeId}</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="1845" w:type="dxa"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="center"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:fareast="宋体" w:hint="default"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>科室：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="EN-US" w:fareast="ZH-CN"/>
                                </w:rPr>
                                <w:t>${deptName}</w:t>
                            </w:r>
                        </w:p>
                    </w:tc>
                </w:tr>
                <w:tr>
                    <w:tblPrEx>
                        <w:tblBorders>
                            <w:top w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:left w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:bottom w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:right w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideH w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                            <w:insideV w:val="single" w:sz="4" wx:bdrwidth="10" w:space="0" w:color="auto"/>
                        </w:tblBorders>
                        <w:tblCellMar>
                            <w:top w:w="0" w:type="dxa"/>
                            <w:left w:w="108" w:type="dxa"/>
                            <w:bottom w:w="0" w:type="dxa"/>
                            <w:right w:w="108" w:type="dxa"/>
                        </w:tblCellMar>
                    </w:tblPrEx>
                    <w:trPr/>
                    <w:tc>
                        <w:tcPr>
                            <w:tcW w:w="10512" w:type="dxa"/>
                            <w:gridSpan w:val="5"/>
                            <w:shd w:val="clear" w:color="auto" w:fill="auto"/>
                            <w:noWrap w:val="0"/>
                            <w:vAlign w:val="top"/>
                        </w:tcPr>
                        <w:p>
                            <w:pPr>
                                <w:ind w:first-line="440" w:first-line-chars="200"/>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>食管心脏电生理</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>诊疗</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>
                                    æ˜¯é€šè¿‡æ’入食管电极刺激心脏左房后壁以达到检测心脏窦房结功能和房室传导功能;通过诱发和终止阵发性室上性心动过速，明确引起心悸的原因和心动过速的类型与形成机制。因在没有记录到所发生的心律失常之前
                                </w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>，</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>
                                    é€šè¿‡èƒ½å¦è¯±å‘和能诱发出怎样的心律失常难以预料，而且有可能诱发出心脏停搏，室性心动过速等恶性心律失常，因此该诊疗方法存在着一定的风险，我们将尽可能做到避免和防范。
                                </w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:ind w:first-line="440" w:first-line-chars="200"/>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>检查前患者应如实告知病情，有以下检查禁忌证，不能做食管法电生理检查</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>：</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>①</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>食管疾病，如食管癌，严重食管静脉曲张等</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；②</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重的鼻腔疾病，反复鼻腔出血，鼻腔和咽喉部肿瘤</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；③</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重心脏扩大，重度心功能不全</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；④</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重高血压，血压&gt;210/115mmHg</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；⑤</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>急性心肌炎，心内膜炎，心包炎以及肥厚型梗阻性心肌病等</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；⑥</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重心肌缺血:如近期有有心肌缺血心电图表现，心绞痛或急性心肌梗死</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；⑦</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重电解质紊乱</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；⑧</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严重心律失常</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>：</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>
                                    A.持续性心房颤动或检查前近3天内有阵发性心房颤动发作与持续4h,未进行经食管超声检查或抗凝治疗者
                                </w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>B.阵发性室性心动过速，特别是多形性室性心动过速和尖端扭转型室性心动过速</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>C.频发多源性室性早搏</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>D.二度以上房室传导阻滞</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>；</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>E.QT间期延长者。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>注意事项</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="2"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>检查宜在餐后2小时进行，一般停用抗心律失常药物3天。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="2"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>检查时心脏电刺激诊疗有食管烧灼感和疼痛感，要适当忍受配合诊疗。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>主要意外风险和并发症：</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="3"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>恶心，呕吐，咳嗽，咽部不适，膈肌刺激等。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="3"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>鼻咽膜，咽部和食管粘膜擦伤，出血。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="3"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>诱发心房颤动/扑动，室性心动过速等各种恶性心律失常。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="3"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>
                                    è¯±å‘迷走神经反射性心率减慢，血压降低等心脏意外，脑血管意外，呼吸心跳骤停，甚至危及生命。
                                </w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="3"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>其他难以预料的情况。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>防范措施</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="4"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严格按操作规程，规范操作检查。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="4"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>严密监测</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>患者情况及各项指标</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>发现异常及时处置，如发生心血管意外事件按应</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>急</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>预案流程积极抢救。</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>本</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>诊疗</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>
                                    ä¸ºé£Ÿç®¡æ³•æ— åˆ›æ€§ç”µç”Ÿç†æ£€æŸ¥ï¼Œè¯¥æ–¹æ³•å­˜åœ¨ä¸€å®šçš„局限性，可替代的方案为有创的心内电生理检查。
                                </w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t>本诊疗使用一次性耗材，国产食管电极价格</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="fareast"/>
                                    <w:b/>
                                    <w:sz w:val="32"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t> 220</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                                <w:t> å…ƒã€‚</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:listPr>
                                    <w:ilvl w:val="0"/>
                                    <w:ilfo w:val="1"/>
                                </w:listPr>
                                <w:rPr>
                                    <w:rFonts w:ascii="宋体" w:h-ansi="宋体" w:hint="default"/>
                                    <w:sz w:val="22"/>
                                    <w:lang w:val="ZH-TW" w:bidi="ZH-TW"/>
                                </w:rPr>
                            </w:pPr>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:spacing w:line="276" w:line-rule="auto"/>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>医生陈述</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:spacing w:line="276" w:line-rule="auto"/>
                                <w:ind w:first-line="440" w:first-line-chars="200"/>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>
                                    æˆ‘已经告知患者将要进行的检查方式、此次检查可能发生的并发症和风险、可能存在的其它检查方法并且解答了患者关于此项检查的相关问题。
                                </w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>医生签名</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>签名日期</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>å¹´</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>月</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>日</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>时</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>分</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:b-cs/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>我</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:b-cs/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>（同意或不同意）</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:b/>
                                    <w:b-cs/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>食管心脏电生理诊疗</w:t>
                            </w:r>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:b-cs/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                        </w:p>
                        <w:p>
                            <w:pPr>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                            </w:pPr>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t>患方签名</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:b/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                </w:rPr>
                                <w:t> ç­¾åæ—¥æœŸ</w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:rFonts w:hint="fareast"/>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
                            <w:r>
                                <w:rPr>
                                    <w:color w:val="000000"/>
                                    <w:sz w:val="22"/>
                                    <w:u w:val="single"/>
                                </w:rPr>
                                <w:t></w:t>
                            </w:r>
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                                <w:t>å¹´</w:t>
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                                <w:t>签字地点</w:t>
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