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Cardiovascular system | No
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Nervous system | No
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Respiratory system | No
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Digestive system | No
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Others | No
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All of following items have to be met: | Aged 18 to 60 years
/Traumatic Coma Data Bank（TCDB）>=4
/Glasgow coma scale（GCS）3 to 8
/In hospital within 24 h
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One has to be excluded if any of following items is met: |
- General information
- Physical examination
- Specefic Scale
- Blood Routine Tests
- Blood Electrolytes Tests
- Coagulation Function Tests
- Serum Liver Function Tests
- Blood Gas Analysis
- Renel Function Test
- Heat Function Examination
- Image Examinations
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Gender | Male
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Age | 51 岁 |
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Weight | 60 kg |
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Height | 158 cm |
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ASA Grade | |
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History of anesthesia | 无 |
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Education background | 中学 |
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Combined diseases and drug use and organ complications | |
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Systolic pressure (SP) | 130 mmHg |
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Diastolic pressure | 70 mmHg |
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Temperature | 27.4 degree Celsius |
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Pulse | 98 次/分 |
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Breath | 22 次/分 |
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Doctor signature | 王旭鹏 |
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Date | 2018-04-08 yyyy-mm-dd |
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Consciousness | comatose
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Mental state | Abnormal
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Speak capacity | Aphasia (motor, sensory, mixed type)
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Meningeal irritation sign | |
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Pupil | |
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Left eye | |
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Diameter | 5.0 mm |
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Shape | 圆 |
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Direct light reflect | |
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Indirect ligh reflect | |
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Response for Adjustment | |
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Righ eye pupil | |
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Diameter | 2.5 |
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Shape | 圆 |
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Direct reflect for light | |
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Indirect reflect for light | |
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Response for adjustment | |
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Volume of input | 500 ml |
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Volume of output | 1500 ml |
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Volume of urine | 1500 ml |
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AIS |
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TCDB |
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GCS |
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ISS |
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Hb | 149 g/L |
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RBC | 4.95 X10^9/L |
% |
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WBC | X10*3/L |
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PLT | 207 X10*9/L |
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Date of test | 2018-04-08 |
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K | 2.9 mmol/L |
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Na | 147 mmol/L |
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Cl | mmol/L |
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Ca | mmol/L |
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Glu | mmol/L |
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Date of test | 2018-04-08 yyyy-mm-dd |
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Prothrombin time | 11.2 秒 |
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Thrombin time (TT) | 15.6 秒 |
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Activated partial thromboplastin time (APTT) | 32.8 秒 |
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Fibrinogen (FIB) | 2.4 g/L |
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Date of examination | 2018-04-08 yyyy-mm-dd |
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ALT | 47.2 IU/L |
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AST | 73.7 IU/L |
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Serum bilirubin | 5.0 μmol/L |
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Direct bilirubin | umol/L |
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Serum albumin | g/L |
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Serum globulin | g/L |
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Serum total protein | g/L |
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A/G |
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Date of test | 2018-04-08 yyyy-mm-dd |
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pH value |
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PaO2 | mmHg (Kpa) |
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PaCO2 | mmHg (Kpa) |
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Actual bicarbonate, AB | mmol/L(22～27 mmol∕L) |
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Standard bicarbonate, SB | mmol/L(22～27 mmol∕L) |
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BB | mmol/L(45～55mmol/L) |
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CO2CP | mmol/L(22～31 mmol/L) |
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BE | mmol/L(±2.3mmol/L) |
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Oxygenation index (PaO2/FiO2) | mmHg |
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Blood lactic acid concentration, LAC | mmol/L |
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Procalcitonin, PCT | ng/ml |
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Date of test |
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Creatinine | 68 umol/L |
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Urea nitrogen | 7.6 |
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Date of examination | 2018-04-08 yyyy-mm-dd |
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ECG | |
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Description for the abnormal findings | 窦性心动过速 |
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Date of examination | yyyy-mm-dd |
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Was there hemorrhage? | Yes
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If yes, please select | |
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Location of hemorrhage | |
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Volume of hematoma | 60 ml |
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Whether there is ischemic infarct | No
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If yes, please select | |
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Location of infarction | |
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The infarction located at | |
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Maximum diameter of infarction layer | cm x cm |
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Chest X-ray examination | |
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Description of the abnormal findings | 硬膜外血肿、硬膜下血肿 |
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Date of examination | 2018-04-08 yyyy-mm-dd |
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Bleeding assessment | 1800 分 |
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Acetate Ringer's solution | 2000 ml |
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Normal saline | 500 ml |
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5% glucose solution | 0 ml |
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5% glucose saline | 0 ml |
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Other | ml |
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HAES-steril | 0 ml |
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Succinylated Gelatin Injectim | 500 ml |
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Other | 0 ml |
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Red cell | 4 U |
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Plasma | 800 ml |
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PLT | U |
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Cold precipitation | U |
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Albumin | g |
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Used Cell Saver or not? | Yes
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Autologous blood volume after return and washing | 500 ml |
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Name of the operation |
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Time of the operation start | yyyy-mm-dd-hh-min. |
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Time of finishing the operation | yyyy-mm-dd-hh-min. |
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Urine vulume | ml |
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Time of starting the anaesthesia | yyyy-mm-dd-hh-min. |
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Wake time | yyyy-mm-dd-hh-min. |
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Extubation time | yyyy-mm-dd-hh-min. |
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Nasogastric tube | |
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ventricle drainage tube | |
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Position of Peritoneal drainage tube |
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Number of Peritoneal drainage tube | 根 |
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Mean Artery Pressure, MAP | mmHg |
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Heart Rate, HR | bit/min |
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Oxygen saturation, SpO2 | % |
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EEG double spectrum index, BIS | |
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EEG double spectrum index, BIS |
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Temperature, T | 摄氏度 |
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Phenylephrine | 次数 |
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Dose of Phenylephrine | mg |
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Number of using Atropine | 次 |
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Dose of Atropine | mg |
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Number of using Nitroglycerin / nicardipine | 次 |
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Dose of Nitroglycerin / nicardipine | mg |
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Number of using Esmolol | 次 |
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Dose of Esmolol | mg |
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Doctor signature |
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Date of signature | yyyy-mm-dd |
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Total minutes of anaesthesia | 330 Minutes |
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Total minutes of operation | 270 |
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Date | 年/月/日(yyyy-mm-dd) |
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Estimated blood loss at moment | ml |
% |
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Dosage of adrenaline | μg/kg.min |
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The colloidal liquid has been input | ml |
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Inputted crystal liquid | ml |
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Autologous blood volume has been input | ml |
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Input of allogeneic red blood cells | U |
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Urine vulume from begining of the surgery | ml |
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Usage of cell saver | |
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If yes, whether the blood is all returned after the washing | |
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Time of RBC | min |
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time of PLT | min |
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Time of FFP | 时、分（Hour/minutes) |
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Systolic pressure (SP) | 150 |
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Diastolic pressure (DP) | 90 |
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Heart rate | 98 次/分 |
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Types of the image reexamine | CT scan
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Time of image reexamine | 2018-04-08 yyyy-mm-dd-hh-min. |
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Was there hemorrhage? | No
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If yes, please select | |
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Location of hemorrhage | |
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Volume of hematoma | ml |
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Whether there is ischemic infarct | |
|
If yes, please select | |
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Location of infarction | |
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The infarction located at | |
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Maximum diameter of infarction layer | cm x cm |
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Volume of input | ml |
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Volume of output | ml |
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Volume of urine | ml |
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temperature | ℃ |
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rate of breath | 次/分 |
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ARDS | |
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AKI |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Other (Description) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Ischemic stroke | |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Other (Description) | |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Other (Description) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Death | |
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Date of death | 年/月/日(yyyy-mm-dd) |
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Reason of death |
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Relationship between death and surgery | |
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Correlation of death and blood transfusion |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |
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Date of confirmation | 年/月/日(yyyy-mm-dd) |