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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<script type='text/javascript' src='/dwr/engine.js'></script>
<script type='text/javascript' src='/dwr/interface/MetaProvider.js'></script>
<script type='text/javascript' src='/dwr/interface/FileNumSearch.js'></script>
<script type='text/javascript' src='/dwr/interface/BabyVisitService.js'></script>
<script type='text/javascript' src='/dwr/interface/HighRiskService.js'></script>
<script type='text/javascript' src='/dwr/interface/GenDefaultVal.js'></script>
<script type='text/javascript'
src='/dwr/interface/UserMenuTreeService.js'></script>
<script type='text/javascript'
src='/dwr/interface/BirthCertificateMsgService.js'></script>
<script type="text/javascript" src="js/rx.js"></script>
<script type="text/javascript" src="js/jquery.tools.min.js"></script>
<script type="text/javascript" src="js/jquery.blockUI.js"></script>
<script type="text/javascript" src="js/rx.jQuery.js"></script>
<script type="text/javascript" src="js/controls.js"></script>
<script type="text/javascript" src="js/ext/adapter/ext/ext-base.js"></script>
<script type="text/javascript" src="js/ext/ext-all-debug.js"></script>
<script type="text/javascript" src="js/med.js"></script>
<script type="text/javascript" src="js/validate.js"></script>
<script type="text/javascript" src="js/app.js"></script>
<script type="text/javascript" src="js/in_childdeath02.js"></script>
<script type="text/javascript" src="js/tf.js"></script>
<!-- Framework CSS -->
<link rel="stylesheet" href="css/screen.css" type="text/css"
media="screen, projection" />
<link rel="stylesheet" href="css/print.css" type="text/css"
media="print" />
<!--[if lt IE 8]><link rel="stylesheet" href="css/ie.css" type="text/css" media="screen, projection"><![endif]-->
<!-- Import fancy-type plugin for the sample page. -->
<link rel="stylesheet" href="css/plugins/fancy-type/screen.css"
type="text/css" media="screen, projection" />
<link rel="stylesheet" href="css/hud.css" type="text/css" media="screen" />
<link rel="stylesheet" href="css/main.css" type="text/css"
media="screen,print" />
<link rel="stylesheet" href="css/tabs.css" type="text/css"
media="screen" />
<link rel="stylesheet" href="css/card.css" type="text/css"
media="screen, print" />
<!-- 导行流程图 -->
<script type='text/javascript'
src='/dwr/interface/PersonalInfoService.js'></script>
<script type="text/javascript" src="js/nextOpt.js"></script>
<link type="text/css" href="css/nextOpt.css" media="screen"
rel="stylesheet" />
<script type="text/javascript" src="inputThemes/fg.menu.js"></script>
<link type="text/css" href="inputThemes/fg.menu.css" media="screen"
rel="stylesheet" />
<link type="text/css" href="inputThemes/theme/ui.all.css" media="screen"
rel="stylesheet" />
<link rel="stylesheet" type="text/css" href="resources/css/ext-all.css" />
<script type="text/javascript" src="js/ext/adapter/ext/ext-base.js"></script>
<script type="text/javascript" src="js/ext/ext-all-debug.js"></script>
<script type="text/javascript" src="js/ext/ext-lang-zh_CN.js"></script>
<script src="js/jquery.printElement.min.js" type="text/javascript"></script>
<style type="text/css">
#selectHighRisk {
cursor: pointer;
}
</style>
<!-- JS打印 -->
<script language="javascript" src="js/LodopFuncs.js"></script>
<object id="LODOP" classid="clsid:2105C259-1E0C-4534-8141-A753534CB4CA"
width=0 height=0>
<embed id="LODOP_EM" type="application/x-print-lodop" width=0 height=0
pluginspage="install_lodop.exe"></embed>
</object>
<script language="javascript" src="js/printProtectPage.js"></script>
<script type="text/javascript" src="js/childExam_print.js"></script>
<!-- 日期控件 -->
<script language="javascript" type="text/javascript" src="My97DatePicker/WdatePicker.js"></script>
<link href="My97DatePicker/skin/WdatePicker.css" type="text/css" rel="stylesheet"/>
</head>
<body>
<button class="img childBabyVisit child" style="display: none;">
<img title="打印" src="../image/print_positive_32_32.png" />打印
</button>
<div class="outerContainer">
<div class="showToolbar"></div>
<div class="container">
<table style="margin: 0; padding: 0" cellspacing=0>
<tr>
<td style="margin: 0; padding: 0">
<div class="span-19 last">
<ul class="tabs">
<li><a href="#">基本情况</a></li>
<li><a href="#">就诊情况</a></li>
</ul>
</div>
</td>
</tr>
</table>
</div>
<div class="container panes">
<div class="cover span-22 last">
<table class="form_tbl">
<tr>
<td class="header" rowspan="2">基本情况</td>
<td class="header">档案编号</td>
<td><span id="districtNumber"></span><span id="fileNo"></span></td>
<td colspan="2"></td>
</tr>
<tr>
<td class="header">死亡儿童姓名</td>
<td id="dbabyName"></td>
<td class="header">条形码</td>
<td><span id="barCode"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header" rowspan="5">家庭背景信息</td>
<td class="header">母亲年龄</td>
<td id="fmotherAge"></td>
<td class="header">母亲民族</td>
<td><span id="fmotherFolk"></span><span id="fmotherFolkOther"></span></td>
</tr>
<tr>
<td class="header">母亲文化程度</td>
<td colspan="3" id="fmotherEducation"></td>
</tr>
<tr>
<td class="header">母亲职业</td>
<td id="fmotherOccupation" colspan="3"></td>
</tr>
<tr>
<td class="header">母亲是否本地户口</td>
<td id="fmotherLocalResidence"></td>
<td class="header">家庭年人均纯收入约</td>
<td id="favgIncome"></td>
</tr>
<tr>
<td class="header">居住地区</td>
<td colspan="3"><span id="faddress"></span><span id="faddressOther"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header" rowspan="8">孕产期情况（<2月死亡者填写）</td>
<td class="header">接受产前检查</td>
<td colspan="3"><span id="mbeforeExam"></span><span id="mbeforeExamTime"></span><span id="munBeforeExamReason"></span></td>
</tr>
<tr>
<td class="header">本次妊娠有无<br/>并发症或合并症</td>
<td colspan="3"><span id="mcomplication"></span><br/><span id="mcomplicationRemarks"></span></td>
</tr>
<tr>
<td class="header">孩子是</td>
<td colspan="3">第<span id="mchildFetal"></span>胎第<span id="mchildYeild"></span>产孕<span id="mchildWeekly"></span>周</td>
</tr>
<tr>
<td class="header">分娩方式</td>
<td colspan="3" id="mbirthWay"></td>
</tr>
<tr>
<td class="header">出生地点</td>
<td colspan="3"><span id="mbirthAddress"></span><br/><span id="mbirthAddressReason"></span></td>
</tr>
<tr>
<td class="header">接生者</td>
<td colspan="3" id="mchildDoctor"></td>
</tr>
<tr>
<td class="header">窒息抢救史</td>
<td id="mchokeHistory"></td>
<td class="header">先天异常</td>
<td id="mexception"></td>
</tr>
<tr>
<td class="header">新生儿期是否健康</td>
<td colspan="3"><span id="misHealth"></span><br/><span id="munHealthRemarks"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header" rowspan="6">死前未就医情况（从发病到死亡从未就医者填写）</td>
<td class="header">死前的异常表现是（包括主要表现和持续时间）</td>
<td id="dbuexception" colspan="3"></td>
</tr>
<tr>
<td colspan="4">孩子发病到死亡有多长时间<span id="dbucontinuedDay"></span>天</td>
</tr>
<tr>
<td class="header">父母在孩子死前什么时候采取过什么措施</td>
<td colspan="3" id="dbustep"></td>
</tr>
<tr>
<td class="header">患儿死前未就医的原因是</td>
<td colspan="3">
<!-- <span id="dbureason"></span>
<span id="dbureasonCustom"></span>
<span id="dbureasonOther"></span> -->
</td>
</tr>
<tr>
<td class="header">患儿生病后，家庭得到过谁的帮助</td>
<td colspan="3"><span id="dbufhelp"></span><span id="dbufhelpOther"></span></td>
</tr>
<tr>
<td class="header">得到的帮助是</td>
<td colspan="3"><span id="dbuhelp"></span><span id="dbuhelpOther"></span></td>
</tr>
</table>
</div>
<div class="span-22 last">
<table class="form_tbl">
<tr>
<td class="header" rowspan="6">死前就医<br/>情况（发病<br/>到死亡过程<br/>中，有过就<br/>医经过者<br/>填写）</td>
<td class="header">患儿生病后，家长首先选择</td>
<td colspan="3" id="dbfirstSelectHosp"></td>
</tr>
<tr>
<td class="header">从患儿患病到就医的时间</td>
<td><span id="dbcontinuedTime"></span>天</td>
<td class="header">就诊的医疗保健机构名称</td>
<td id="dbdiagnoseHosp"></td>
</tr>
<tr>
<td class="header">诊断</td>
<td id="dbdiagnose" colspan="3"></td>
</tr>
<tr>
<td class="header">治疗时间</td>
<td colspan="3"><span id="dbcureDay"></span>天</td>
</tr>
<tr>
<td class="header">死于社区的原因是</td>
<td colspan="3"><span id="dbcommunityReason"></span><span id="dbcommunityReasonOther"></span></td>
</tr>
<tr>
<td class="header">放弃治疗的原因是</td>
<td colspan="3"><span id="dbquitCureReason"></span><span id="dbquitCureReasonOther"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header" rowspan="6">转诊经过</td>
<td class="header" colspan="2">从发现患儿异常到决定住院或转院有多长时间</td>
<td colspan="2"><span id="tdcontinueDay"></span>天</td>
</tr>
<tr>
<td class="header" colspan="2">原就诊医院如不能处治，是否及时转院</td>
<td colspan="2" id="tdisNeedTrans"></td>
</tr>
<tr>
<td colspan="4">
在第一就诊医院停留时间<span id="tfirstRemainTime"></span>，转院途中所用时间<span id="tfirstRouteRemainTime"></span>，<br/>如曾转院两次者，
在第二就诊医院停留时间<span id="tsecondRemainTime"></span>，第二次转院途中所用时间<span id="tsecondRouteRemainTime"></span>。
</td>
</tr>
<tr>
<td class="header">为什么进行二次转院</td>
<td colspan="3" id="tsecondTranReason"></td>
</tr>
<tr>
<td class="header">患儿在转诊过程中<br/>家庭得到谁的帮助</td>
<td colspan="3"><span id="tdfhelp"></span><br/><span id="tdfhelpOther"></span></td>
</tr>
<tr>
<td class="header">得到过的帮助是</td>
<td colspan="3"><span id="tdhelp"></span><span id="tdhelpOther"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header" rowspan="4">死亡情况</td>
<td class="header">死亡时间</td>
<td id="bdtime"></td>
<td class="header">死亡年龄</td>
<td id="dbage"></td>
</tr>
<tr>
<td class="header">死亡地点</td>
<td colspan="3"><span id="bdaddress"></span><span id="bdaddressOther"></span></td>
</tr>
<tr>
<td class="header">死亡诊断</td>
<td colspan="3" id="bddiagnose"></td>
</tr>
<tr>
<td class="header">死亡诊断依据</td>
<td colspan="3"><span id="bdbaseByDiagnose"></span></td>
</tr>
<!-- *********************************** -->
<tr>
<td class="header">填表单位</td>
<td id="tunit" colspan="2"></td>
<td class="header">填表人</td>
<td id="toptPerson"></td>
</tr>
<tr>
<td class="header">填表时间</td>
<td id="tdate" colspan="4"></td>
</tr>
</table>
</div>
</div>
<div class="showToolbar toolbarHide"></div>
<br /> <br />
</div>
</body>
</html>