妇科手术知情同意书

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1、肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈

2、罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀

3、蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃

4、袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁

5、羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀

6、羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂

7、薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿

8、薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅羇芁薀薈袃芀芀螃蝿艿莂薆肈艿蒄螂羄莈薇薄袀莇芆螀螆羃荿薃蚂羂薁螈肀羂芁蚁羆羁莃袆袂羀蒅虿螈罿薇蒂肇肈芇蚇羃肇荿蒀衿肆蒂蚆螅肆芁葿螁肅莄螄肀肄蒆薇羆肃薈螂袂肂芈薅螈膁莀螁蚄膀蒃薃羂膀膂蝿羈腿莅薂袄膈蒇袇螀膇蕿蚀聿膆艿蒃羅膅莁蚈袁芄蒃蒁螇芄膃蚇蚃芃芅葿肁节蒈蚅