摘要：营养病历的临床应用目的在于了解疾病、分析病人营养状况、制定适宜的营养治疗方案、配合临床有的放矢的对病员饮食进行指导,同时积累营养治疗全面资料,可作为营养技师进行医教研和咨询的科学依据。1 营养病历的设计1.1 一般情况 包括住院科别、病历号、姓名、性别、年龄、职业、民族、籍贯、婚否、病史叙述者、单位、通讯地址、入院日期、出院日期、年、月、日。1.2 临床病史 病情摘要、疾病诊断及主要治疗措施。1.3 饮食史 包括饮食习惯、目前饮食量、食欲变化、嗜好、食物过敏史、影响进食因素、以及经济条件和用药史。

摘要：Objective: The purpose of this study was to evaluate the experience with endometrial carcinoma in women ≤45 years of age at Ochsner Clinic Foundation, New Orleans, La. Study design: We evaluated the clinical history, treatment, and follow-up of 38 women ≤45 years of age diagnosed with endometrial cancer. Results: Thirty-eight patients received primary treatment for endometrial cancer: stage I, 32 (84.2%); stage II, 1 (2.6%); stage III, 4 (10.5%); stage IV, 1 (2.6%). Tumors were well differentiated in 20 (52.6%), moderately differentiated in 10 (26.3%), and poorly differentiated in 8 (21.1%). At end of study period 32 women (84.2%) were alive with no evidence of disease, 5 had died of recurrent disease, and 1 died of metastatic breast cancer. Conclusion: Patients ≤45 years of age had lower incidence of advanced stage disease, higher degree of tumor differentiation, and better prognosis compared to patients older than 45 years.