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{"sheet":"Sheet1","index":0,"n_rows":69,"n_cols":56,"rows_kept":69,"merged":[[0,31,2,33],[2,1,2,3],[2,7,2,15],[2,17,2,19],[2,21,2,26],[2,36,2,52],[2,55,2,62],[2,64,2,69],[5,1,5,69],[7,0,7,69],[8,0,9,26],[8,29,9,48],[8,49,8,69],[10,5,11,5],[10,33,11,33],[13,0,13,26],[13,29,13,48],[13,49,13,69],[16,0,16,26],[16,29,17,48],[16,49,16,69],[21,0,21,26],[21,29,21,48],[21,49,22,69],[23,54,24,54],[26,0,26,26],[26,29,26,48],[26,49,27,69],[27,44,27,45],[28,61,29,61],[31,0,31,26],[31,29,32,48],[31,49,32,69],[33,32,34,32],[33,51,34,51],[36,0,37,26],[36,29,36,48],[36,49,36,69],[40,0,40,26],[40,29,40,48],[40,49,41,69],[45,0,45,26],[45,29,45,48],[45,49,45,69],[46,25,46,26],[48,0,48,26],[48,29,48,48],[48,49,48,69],[49,57,49,58],[51,0,51,69],[52,25,52,26],[54,3,54,69],[56,0,56,69],[57,4,57,69],[59,1,59,69],[61,2,61,69],[63,4,63,69],[65,1,65,69],[67,0,67,69],[68,48,68,55]],"flags":["formulas_cached_only"]}
[{"$nulls":31},"类别"]
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[null,"姓名",{"$nulls":15},"性别",{"$nulls":37},"填表日期"]
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[null,"病史调查表"]
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["请受检者如实填写病史，如存在相关病史请在□内打勾，因隐瞒病史造成的结果由本人承担。"]
["01.颅脑疾病（外伤、畸形、手术史等）",{"$nulls":28},"02.习惯性脱位（关节脱位≥2次）",{"$nulls":19},"03.腰椎间盘突出"]
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["04.强直性脊柱炎",{"$nulls":28},"05.半月板损伤",{"$nulls":19},"06.骨折史、外伤史、手术史"]
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["07.银屑病等难治性皮肤病",{"$nulls":28},"08.不洁性接触或同性性伴接触史",{"$nulls":19},"09.高血压病"]
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["10.心动过速史",{"$nulls":28},"11.心脏病史",{"$nulls":19},"12.支气管扩张、哮喘等慢性呼吸系统疾病"]
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["13.气胸史",{"$nulls":28},"14.肺结核及其他结核病史",{"$nulls":19},"15.急慢性肝炎、消化道溃疡胰腺炎等消化系统疾病"]
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["16.急慢性肾炎等泌尿系统疾病",{"$nulls":28},"17.贫血、过敏性紫癜等血液系统疾病",{"$nulls":19},"18.系统性红斑狼疮、痛风等免疫性疾病"]
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["19.甲亢、甲减等内分泌系统疾病",{"$nulls":28},"20.糖尿病等代谢性疾病",{"$nulls":19},"21.传染性疾病（含性病）"]
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["22.癫痫等神经系统疾病",{"$nulls":28},"23.梦游、酒精依赖、吸毒",{"$nulls":19},"24.精神类疾病及精神类疾病家族史"]
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["25.梅尼埃病、耳石症、眩晕症等",{"$nulls":28},"26.屈光手术史",{"$nulls":19},"27.佩戴OK镜"]
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["28.恶性肿瘤病史（含白血病等）",{"$nulls":28},"29.输血史",{"$nulls":19},"30.过敏史"]
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["其他不适宜军队人员的身体情况 "]
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[{"$nulls":4},"如有上述病史请标明序号并请进一步说明诊断时间、治疗情况（服用药物名称、手术名称及手术时间）、"]
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[null,"是否治愈（治愈时间）等："]
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[{"$nulls":4},"例如：06.骨折史、外伤史、手术史：2014年8月诊断胫骨骨折，经髓外固定手术复位，术后痊愈，目"]
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[null,"前活动良好。"]
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["本人承诺上述信息真实准确！"]
[{"$nulls":48},"本人承诺\n签名:"]