康复诊断名称标准化初探

康复诊断名称标准化初探 五 中国康复理论与实践 2000 年第 1 期第 6 卷 康复管理 作者 姚瑾 刘玉莉 孙文胜 单位 中国康复研究中心 病案统计室 邮政编码 100077 北京 上接第 5 卷第 3 期 77 83 上肢近侧段多部位不完全纵向缺陷 incomplete longitudinal deficiency at multiple sites in proximal parts of upper limb 77 91 上肢完全纵向缺陷 complete longitudinal deficiency of upper limb 77 92 右上肢不完全纵向缺陷 incomplete longitudinal deficiency of right upp er limb 77 93 上肢不完全纵向缺陷 incomplete longitudinal deficiency of upper limb 78 下肢近侧段纵向缺陷 longitudinal deficiency of proximal parts of lower l imb 78 00 右髂骨完全纵向缺陷 complete longitudinal deficiency of right ilium 78 10 右坐骨完全纵向缺陷 complete longitudinal deficiency of right ischium 78 11 坐骨完全纵向缺陷 complete longitudinal deficiency of ischium 78 12 右坐骨不完全纵向缺陷 incomplete longitudinal deficiency of right isc hium 78 13 坐骨不完全纵向缺陷 incomplete longitudinal deficiency of ischium 78 20 右耻骨完全纵向缺陷 complete longitudinal deficiency of right pubis 78 21 耻骨完全纵向缺陷 complete longitudinal deficiency of pubis 78 22 右耻骨不完全纵向缺陷 incomplete longitudinal deficiency of right pub is 78 23 耻骨不完全纵向缺陷 incomplete longitudinal deficiency of pubis 78 30 右股骨完全纵向缺陷 complete longitudinal deficiency of right femur 78 31 股骨完全纵向缺陷 complete longitudinal deficiency of femur 78 32 右股骨不完全纵向缺陷 incomplete longitudinal deficiency of right fem ur 78 33 股骨不完全纵向缺陷 incomplete longitudinal deficiency of femur 78 40 右胫骨完全纵向缺陷 complete longitudinal deficiency of right tibia 78 41 胫骨完全纵向缺陷 complete longitudinal deficiency of tibia 78 42 右胫骨不完全纵向缺陷 incomplete longitudinal deficiency of right tib ia 78 43 胫骨不完全纵向缺陷 incomplete longitudinal deficiency of tibia 78 50 右腓骨完全纵向缺陷 complete longitudinal deficiency of right fibula 78 51 腓骨完全纵向缺陷 complete longitudinal deficiency of fibula 78 52 右腓骨不完全纵向缺陷 incomplete longitudinal deficiency of right fib ula 78 53 腓骨不完全纵向缺陷 incomplete longitudinal deficiency of fibula 78 60 右跗骨胫骨侧完全纵向缺陷 complete longitudinal deficiency of tibial elements of right tarsus 78 61 跗骨胫骨侧完全纵向缺陷 complete longitudinal deficiency of tibial el ements of tarsus 78 62 右跗骨胫骨侧不完全纵向缺陷 incomplete longitudinal deficiency of tib ial elements of right tarsus 78 63 跗骨胫骨侧不完全纵向缺陷 incomplete longitudinal deficiency of tibia l elements of tarsus 78 70 右跗骨完全纵向缺陷 complete longitudinal deficiency of right tarsus 78 71 跗骨完全纵向缺陷 complete longitudinal deficiency of tarsus 78 72 右跗骨不完全纵向缺陷 incomplete longitudinal deficiency of right tar sus 78 73 跗骨不完全纵向缺陷 incomplete longitudinal deficiency of tarsus 78 80 右侧肢体近侧段多部位完全纵向缺陷 complete longitudinal deficiencies at multiple sites in proximal parts of right limb 78 81 肢体近侧段多部位完全纵向缺陷 complete longitudinal deficiency at mul tiple sites in proximal parts of limb 78 82 右侧肢体近侧段多部位不完全纵向缺陷 incomplete longitudinal deficienc y at multiple sites in proximal parts of right limb 78 83 肢体近侧段多部位不完全纵向缺陷 incomplete longitudinal deficiency at multiple sites in proximal parts of limb 78 9 下肢纵向缺陷 longitudinal deficiency of lower limb 79 肢体远侧段纵向缺陷 longitudinal deficiency of distal parts of limb 79 00 右掌骨所有辐列纵向缺陷 longitudinal deficiency of all rays of right metacarpal 79 10 掌骨骨所有辐列纵向缺陷 longitudinal deficiency of all rays of metacarp al 79 20 右手指骨所有辐列纵向缺陷 longitudinal deficiency of all rays of phal anges of right fingers 79 30 指骨所有辐列纵向缺陷 longitudinal deficiency of all rays of phalange s of fingers 79 40 右跖骨所有辐列纵向缺陷 longitudinal deficiency of all rays of right metatarsal 79 50 跖骨所有辐列纵向缺陷 longitudinal deficiency of all rays of metatars al 79 60 右趾骨所有辐列纵向缺陷 longitudinal deficiency of all rays of phalan ges of right fingers 79 70 趾骨所有辐列纵向缺陷 longitudinal deficiency of all rays of phalange s of toes 79 80 肢体多部位所有辐列纵向缺陷 longitudinal deficiencies of all rays at multiple sites in limbs 79 01 右掌骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first ray of right metacarpal 79 02 右掌骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of f irst ray of right metacarpal 79 03 右掌骨第二辐列完全纵向缺陷 complete longitudinal deficiency of secon d ray of right metacarpal 79 04 右掌骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of s econd ray of right metacarpal 79 05 右掌骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third ray of right metacarpal 79 06 右掌骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of t hird ray of right metacarpal 79 07 右掌骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourt h ray of right metacarpal 79 08 右掌骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of f ourth ray of right metacarpal 79 09 右掌骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of right metacarpal 79 11 掌骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first r ay of metacarpal 79 12 掌骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of fir st ray of metacarpal 79 13 掌骨第二辐列完全纵向缺陷 complete longitudinal deficiency of second ray of metacarpal 79 14 掌骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of sec ond ray of metacarpal 79 15 掌骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third r ay of metacarpal 79 16 掌骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of thi rd ray of metacarpal 79 17 掌骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourth ray of metacarpal 79 18 掌骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of fou rth ray of metacarpal 79 19 掌骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of metacar pal 79 21 右指骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first ray of phalanges of right fingers 79 22 右指骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of f irst of phalanges of right fingers 79 23 右指骨第二辐列完全纵向缺陷 complete longitudinal deficiency of secon d ray of phalanges of right fingers 79 24 右指骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of s econd ray of phalanges of right fingers 79 25 右指骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third ray of phalanges of right fingers 79 26 右指骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of t hird ray of phalanges of right fingers 79 27 右指骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourt h ray of phalanges of right fingers 79 28 右指骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of f ourth ray of phalanges of right fingers 79 29 右指骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of phala nges of right fingers 79 31 指骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first r ay of phalanges of fingers 79 32 指骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of fir st ray of phalanges of fingers 79 33 指骨第二辐列完全纵向缺陷 complete longitudinal deficiency of second ray of phalanges of fingers 79 34 指骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of sec ond ray of phalanges of fingers 79 35 指骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third r ay of phalanges of fingers 79 36 指骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of thi rd ray of phalanges of fingers 79 37 指骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourth ray of phalanges of fingers 79 38 指骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of fou rth ray of phalanges of fingers 79 39 指骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of phalang es of fingers 79 41 右跖骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first ray of right metatarsal 79 42 右跖骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of f irst ray of right metatarsal 79 43 右跖骨第二辐列完全纵向缺陷 complete longitudinal deficiency of secon d ray of right metatarsal 79 44 右跖骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of s econd ray of right metatarsal 79 45 右跖骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third ray of right metatarsal 79 46 右跖骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of t hird ray of right metatarsal 79 47 右跖骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourt h ray of right metatarsal 79 48 右跖骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of f ourth ray of right metatarsal 79 49 右跖骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of right metatarsal 79 51 跖骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first r ay of metatarsal 79 52 跖骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of fir st ray of metatarsal 79 53 跖骨第二辐列完全纵向缺陷 complete longitudinal deficiency of second ray of metatarsal 79 54 跖骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of sec ond ray of metatarsal 79 55 跖骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third r ay of metatarsal 79 56 跖骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of thi rd ray of metatarsal 79 57 跖骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourth ray of metatarsal 79 58 跖骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of fou rth ray of metatarsal 79 59 跖骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of metatar sal 79 61 右趾骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first ray of phalanges of right toes 79 62 右趾骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of f irst ray of phalanges of right toes 79 63 右趾骨第二辐列完全纵向缺陷 complete longitudinal deficiency of secon d ray of phalanges of right toes 79 64 右趾骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of s econd ray of phalanges of right toes 79 65 右趾骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third ray of phalanges of right toes 79 66 右趾骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of t hird ray of phalanges of right toes 79 67 右趾骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourt h ray of phalanges of right toes 79 68 右趾骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of f ourth ray of phalanges of ritht toes 79 69 右趾骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of phala nges of right toes 79 71 趾骨第一辐列完全纵向缺陷 complete longitudinal deficiency of first r ay of phalanges of toes 79 72 趾骨第一辐列不完全纵向缺陷 incomplete longitudinal deficiency of fir st ray of phalanges of toes 79 73 趾骨第二辐列完全纵向缺陷 complete longitudinal deficiency of second ray of phalanges of toes 79 74 趾骨第二辐列不完全纵向缺陷 incomplete longitudinal deficiency of sec ond ray of phalanges of toes 79 75 趾骨第三辐列完全纵向缺陷 complete longitudinal deficiency of third r ay of phalanges of toes 79 76 趾骨第三辐列不完全纵向缺陷 incomplete longitudinal deficiency of thi rd ray of phalanges of toes 79 77 趾骨第四辐列完全纵向缺陷 complete longitudinal deficiency of fourth ray of phalanges of toes 79 78 趾骨第四辐列不完全纵向缺陷 incomplete longitudinal deficiency of fou rth ray of phalanges of toes 79 79 趾骨第五辐列纵向缺陷 longitudinal deficiency of fifth ray of phalang es of toes 8 外形病损 disfiguring impairments 80 头区缺陷 dificiency in head region 80 0 颅顶缺陷 deficiency of cranial vault 80 1 上颌缺陷 deficiency of upper jaw 80 2 下颌缺陷 deficiency of lower jaw 80 4 腭裂 cleft palate 80 6 鼻缺陷 deficiency of nose 81 头与躯干结构畸形 structural deformity in head and trunk regions 81 0 鼻畸形 deformity of nose 81 1 头形畸形 deformity of head shape 81 3 头区畸形 deformity of head region 81 3 唇畸形 deformity of lips 81 3 舌畸形 deformity of tongue 81 3 腭畸形 deformity of palate 81 4 不涉及椎体的颈部缺陷 deficiency in neck region excludes vertebra 81 5 胸廓缺陷 deficiency in thorax 81 6 腹壁缺陷 deficiency in abdominal wall 81 7 不涉及内脏的腹部缺陷 deficiency in abdomen excludes internal organs 82 头部毁形 disfigurement of head 82 面部毁形 disfigurement of face 82 0 其它头部软组织缺陷 other soft tissue deficiency of head 82 1 头部分肿胀 swelling of part of head 82 1 头部肿瘤 tumours of head 82 2 头部皮肤色素沉着 pigmentation of skin of head 82 2 头部皮肤色素脱失 depigmentation of skin of head 82 3 头部颜色改变 colour changes of head 82 4 脱发 partial baldness 82 6 头部瘢痕 scarring of head 82 8 头部毁形 disfigurement of head 82 8 头部显著丑陋 marked ugliness of head 83 躯干毁形 disfigurement of trunk 本文来自 大众医药网 康复诊断名称标准化初探 六 中国康复理论与实践 2000 年第 3 期第 6 卷 康复管理 作者 姚瑾 刘玉莉 孙文胜 单位 中国康复研究中心病案统计室 北京 100077 中图分类号 R49 文献标识码 A 文章编号 1006 9771 2000 03 0131 04 上接第 6 卷第 1 期 83 0 躯干软组织消耗 soft tissue wasting of trunk 83 1 不涉及乳房肿大的躯干肿胀 swelling of trunk excludes hypertrophy of breasts 83 10 躯干肿瘤 tumours of trunks 83 2 躯干皮肤色素沉着 pigmentation of skin of trunk 83 20 躯干皮肤去色素 depigmentaton of skin of trunk 83 3 躯干颜色改变 colour changes of trunk 83 5 躯干瘢痕 scarring of trunk 83 6 不涉及乳头缺失的躯干皮肤异常 abnormality of skin of trunk excludes absence of nipples 83 7 不涉及副乳头的躯干附加结构 accessory structures on trunk excludes accessory nipples 84 00 肩和上臂先天性畸形 congenital deformity of shoulder and upper arm 84 01 肘和前臂先天性畸形 congenital deformity of elbow and forearm 84 02 腕和腕骨先天性畸形 congenital deformity of wrist and carpus 84 03 手和掌先天性畸形 congenital deformity of metacarpus and hand 84 04 手指先天性畸形 congenital deformity of finger 84 05 髋和大腿先天性畸形 congenital deformity of hip and thigh 84 06 膝和小腿先天性畸形 congenital deformity of knee and leg 84 07 足 踝和趾先天性畸形 congenital deformity of ankle foot and toe 84 08 多发先天性畸形 multiple congenital deformity 84 10 肩和上臂骨性连接 synostosis of shoulder and upper arm 84 20 肩和上臂先天性软组织挛缩 congenital soft tissue contracture of shoulder and upper arm 84 200 肩和上臂关节挛缩 arthrogryposis of shoulder and upper arm 84 30 肩和上臂先天性骨骼挛缩 congenital skeletal contracture of shoulder and upper arm 84 54 软组织并指 soft tissue syndactylia of finger 84 540 软组织并趾 soft tissue syndactylia of toes 84 541 并甲 synonychia 84 64 骨性并指 skeletal syndactylia of fingers 84 640 骨性并 趾 skeletal syndactylia of toes 84 641 指骨融合 fusions of fingers 84 642 有隙并指 acrosyndactylia of fingers 85 不涉及内脏的先天性畸形 congenital malformation excludes those of internal organs 85 0 皮肤发育不全 hypoplasis of skin 85 00 甲发育不全 hypoplasis of nails 85 1 肌腱结构发育不全 hypoplasia of musculotendinous structures 85 2 神经血管结构发育不全 hypoplasia of musculotendinous structures 85 4 生长过度 overgrowth 88 异常腔口 abnormal orifice 88 5 留置导尿管 indwelling urinary catheter 90 0 所有级别的多发性病损 multiple impairment of all classes 91 0 依靠装置控制二便 control by devices of soiling and wetting 91 00 依靠适应性装置控制二便 control by adaptive devices of soiling and wetting 91 01 依靠电刺激器控制二便 control by electrical stimulators of soiling and wetting 92 创伤易感性 undue susceptibility to trauma 92 0 出血性紊乱 haemorrhagic disorders 92 1 骨骼脆弱 skeletal fragility 92 3 褥疮易感性 undue susceptibility to pressure sores 92 4 全身挫伤 generalized bruising 92 5 痛 觉过分迟钝 undue insensitivity to pain 92 6 组织的过分易感性 undue susceptibility of tissues 92 7 老年性复原能力减退 reduced recuperative powers associated with ageing 93 代谢性病损 metabolic impairment 93 0 生长病损 impairment of growth 93 00 不能茁壮成长 failure to thrive 93 01 不能成熟 failure of maturation 93 1 软弱 delicate 93 2 不耐特殊饮食 specific dietary intolerance 93 3 饮食限制 dietary limitation 93 5 体重丧失 weight loss 93 6 体重增加 weight gain 93 7 烦渴 polydipsia 94 0 依靠电机械维持生命 subject to electromechanical devices for life support 94 00 依靠起搏器维持生命 dependent on pacemaker for life support 94 01 依靠肾透析维持生命 dependent on renal dialysis for life support 94 02 依靠呼吸器维持生命 dependent on respirator for life support 94 1 间歇性虚脱 intermittent prostration 94 2 全身疼痛 generalized pain 94 3 发热 fever 94 4 全身搔痒 generalized pruritus 94 5 衰弱 weakness 94 6 全身疲乏 generalized fatigue 95 头部感觉病损 sensory impairment of head 95 3 面部疼痛 facial pain 95 6 头痒 itching in head 95 7 头部麻木 numbness in head 96 躯干感觉病损 sensory impairment of trunk 96 1 躯干出汗障碍 disturbance of sweating of trunk 96 2 躯干温度改变 temperature change of trunk 96 3 背痛 back pain 96 30 颈痛 neck pain 96 31 腰痛 lumbago 96 5 躯干区域疼痛 ache in trunk region 96 7 躯干感觉异常 paraesthesia of trunk 97 上肢感觉病损 sensory impairment of upper limb 97 1 上肢深感觉失调 上肢实体感觉缺失 disturbance of deep sensibility of upper limb astereognosis of upper limb 97 2 上肢温度改变 temperature change in upper limb 97 3 上肢运动性疼痛 pain on exercise of upper limb 97 4 上肢疼痛 causalgia in upper limb 97 6 上肢痒 itching in upper limb 97 7 上肢麻木 numbness in upper limb 97 8 上肢痉挛 spasm of upper limb 98 上肢感觉病损 sensory impairment of lower limb 98 1 下肢深感觉障碍 下肢实体感觉缺失 disturbance of deep sensibility of lower limb astereognosis of lower limb 98 2 下肢温度改变 temperature change of lower limb 98 3 下肢运动性疼痛 pain on exercise of lower limb 98 4 下肢疼痛 ache of lower limb 98 40 下肢充血 congestion of lower limb 98 41 下肢紧缩感 tightness of lower limb 98 5 下肢搔痒 itching of lower limb 98 6 下肢麻木 numbness of lower limb 98 8 下肢痉挛 spasm of lower limb 99 1 上肢坏疽 gangrene of upper limb 99 2 下肢坏疽 gangrene of lower limb D 失能 个人能力受限 disabilities d1 行为失能 behaviour disabilities d10 自知失能 self awareness disability d10 0 短暂自知失能 transient self awareness disability d10 1 体象定向失能 disability in body image orientation d10 10 幻肢感觉 phantom limb experience d10 2 个人不整洁 personal uncleanliness d10 3 外貌紊乱 disturbance of appearance d10 30 着装不合时宜 dress of very inappropriate taste d10 31 装饰古怪 make up of conspicuously out of fashion d11 时空定位失能 disability relating to location in time and space d11 0 时空定位能力暂时丧失 transient disability relating to location in time and space d12 识别物体和人的能力失能 disability of abilities to identify objects and persons d12 0 识别物体和人的能力暂时丧失 transient disability in identifying objects and persons d12 1 举动出格 conduct out of context d13 个人安全失能 personal safety disability d13 0 自伤倾向 liability to self injury d13 2 举动对自身有潜在危险 conduct potentially dangerous to the individual himself d13 4 迷失方向 getting lost d14 与处境有关的行为失能 disability relating to situational behaviour d14 0 处境理解失能 situation comprehension disability d14 1 处境解释失能 situation interpretation disability d14 2 处境应付失能 situation coping disability d15 求知失能 knowledge acquisition disability d16 教育失能 educational disability d17 家庭作用失能 family role disability d17 0 不能参与家务活动 disability in participation in household activities d17 1 婚姻情感责任失能 disability in affective marital role d17 2 性生活失能 disability in sexual life d17 3 父母职责失能 parental role disability d18 职业角色失能 occupational role disability d18 1 合作能力失能 disability in cooperation d18 2 常规工作失能 disability in work routine d18 4 工作表现失能 disability in work performance d18 4 工作效率低 inadequacy in work output d18 5 娱乐失能 recreation disability d19 0 对抗社会行为 antisocial behaviour d19 4 严重行为紊乱 severe behaviour disorder d19 40 好斗 aggressiveness d19 41 行为极端过火 extreme overactivity d19 42 好惹人注意 attention seeking d2 交流失能 communication disabilities d20 语言理解失能 disability in understanding speech d21 交谈失能 disability in talking d22 1 用语言代号表达失能 disability in expression through substitute language codes d22 2 用语言代号接受信息失能 disability in receive information through substitute language codes d23 语言听力失能 disability in receive verbal messages d24 听力失能 listening disability d25 宏观视觉失能 disability in gross visual tasks d26 微观视觉失能 disability in detailed visual tasks d27 0 夜视失能 disability in night vision d27 1 颜色识别失能 disability in colour recognition d28 书写失能 disability in writing d29 2 无声交流失能 disability in nonverbal communication d29 2 手势交流失能 disability in communication by gesture d3 自理失能 personal care disabilities d30 0 适应性装置控制排泄 controlled excr