实验计划申请表 项目编号: ${sampleInfo.projectNo!' '} 课题名称 ${pathological.subjectName!} 课题负责人 ${pathological.subjectLeaderName!} 申请人 ${sampleInfo.applicantName!} 申请日期 ${sampleInfo.applyDate!} 检测人员 ${sampleInfo.inspectorName!} 1 <#if pathological.xkts?? && pathological.xkts > -1 > <#else > 修块脱水: 样本数量 <#if pathological.xkts?? && pathological.xkts > -1 > ${pathological.xkts!} <#if pathological.slbm?? && pathological.slbm > -1 > <#else > 石蜡包埋: 样本数量 <#if pathological.slbm?? && pathological.slbm > -1 > ${pathological.slbm!} 取材方式: <#if pathological.qcfs?? && pathological.qcfs?contains('常规') > <#else > 常规 <#if pathological.qcfs?? && pathological.qcfs?contains('穿刺') > <#else > 穿刺 固定液类型: <#if pathological.gdy?? && pathological.gdy?contains('常规') > <#else > 常规 <#if pathological.gdy?? && pathological.gdy?contains('Carnoy') > <#else > Carnoy <#if pathological.gdy?? && pathological.gdy?contains('其他') > <#else > 其他 <#if pathological.gdyQt?? > ${pathological.gdyQt!} 2 <#if pathological.sllk > -1 || pathological.slqp > -1 > <#else > 石蜡切片: 蜡块数量 <#if pathological.sllk?? && pathological.sllk > -1 > ${pathological.sllk!} 切片数量 <#if pathological.slqp?? && pathological.slqp > -1 > ${pathological.slqp!} <#if pathological.bdyb > -1 || pathological.bdqp > -1 > <#else > 冰冻切片: 样本数量 <#if pathological.bdyb?? && pathological.bdyb > -1 > ${pathological.bdyb!} 切片数量 <#if pathological.bdqp?? && pathological.bdqp > -1 > ${pathological.bdqp!} 3 <#if pathological.he?? && pathological.he > -1 > <#else > HE 染色 : 切片数量 <#if pathological.he?? && pathological.he > -1 > ${pathological.he!} <#if pathological.masson?? && pathological.masson > -1 > <#else > MASSON 染色: 切片数量 <#if pathological.masson?? && pathological.masson > -1 > ${pathological.masson!} <#if pathological.psr?? && pathological.psr > -1 > <#else > PSR 染色: 切片数量 <#if pathological.psr?? && pathological.psr > -1 > ${pathological.psr!} <#if pathological.pas?? && pathological.pas > -1 > <#else > PAS 染色: 切片数量 <#if pathological.pas?? && pathological.pas > -1 > ${pathological.pas!} <#if pathological.yho?? && pathological.yho > -1 > <#else > 油红 O 染色: <#if pathological.yho?? && pathological.yho > -1 > 切片数量 ${pathological.yho!} <#if pathological.fjb?? && pathological.fjb > -1 > <#else > FJB 染色: <#if pathological.fjb?? && pathological.fjb > -1 > 切片数量 ${pathological.fjb!} <#if pathological.evg?? && pathological.evg > -1 > <#else > EVG 染色: <#if pathological.evg?? && pathological.evg > -1 > 切片数量 ${pathological.evg!} <#if pathological.tunel?? && pathological.tunel > -1 > <#else > TUNEL 染色: 切片数量 <#if pathological.tunel?? && pathological.tunel > -1 > ${pathological.tunel!} <#if pathological.wga?? && pathological.wga > -1 > <#else > WGA 染色: 切片数量 <#if pathological.wga?? && pathological.wga > -1 > ${pathological.wga!} <#if pathological.qtqp?? && pathological.qtqp > -1 > <#else > 其他: 切片数量 <#if pathological.qtqp?? && pathological.qtqp > -1 > ${pathological.qtqp!} <#if (pathological.myzhqp?? && pathological.myzhqp > -1) || pathological.myzhzb?? > <#else > 免疫组化染色: 切片数量 <#if pathological.myzhqp?? && pathological.myzhqp > -1 > ${pathological.myzhqp!} 具体指标 <#if pathological.myzhzb?? > ${pathological.myzhzb!} <#if (pathological.myygqp?? && pathological.myygqp > -1) || pathological.myygzb?? > <#else > 免疫荧光染色: 切片数量 <#if pathological.myygqp?? && pathological.myygqp > -1 > ${pathological.myygqp!} 具体指标 <#if pathological.myygzb?? > ${pathological.myygzb!} 4 <#if (pathological.qpsmqp?? && pathological.qpsmqp > -1) || pathological.qpsmrs?? > <#else > 切片扫描: 切片数量 <#if pathological.qpsmqp?? && pathological.qpsmqp > -1 > ${pathological.qpsmqp!} 染色类型 <#if pathological.qpsmrs?? > ${pathological.qpsmrs!} <#if (pathological.ypqp?? && pathological.ypqp > -1) || pathological.yprs?? > <#else > 阅片 (与阅 片人及时沟通说 明) 切片数量 <#if pathological.ypqp?? && pathological.ypqp > -1 > ${pathological.ypqp!} 染色类型 <#if pathological.yprs?? > ${pathological.yprs!} 阅片说明 <#if pathological.ypsm?? > ${pathological.ypsm!} 检测种属 (抗体) <#if pathological.jczs?? && pathological.jczs?contains('猴') > <#else > <#if pathological.jczs?? && pathological.jczs?contains('大鼠') > <#else > 大鼠 <#if pathological.jczs?? && pathological.jczs?contains('小鼠') > <#else > 小鼠 <#if pathological.jczsQt?? > <#else > 其他 <#if pathological.jczsQt?? > ${pathological.jczsQt!} 检测项目 (抗体) <#if pathological.jcff?? && pathological.jcff?contains('IF') > <#else > IF <#if pathological.jcff?? && pathological.jcff?contains('IHC') > <#else > IHC <#if pathological.jcffQt?? > <#else > 其他 <#if pathological.jcffQt?? > ${pathological.jcffQt!} 申请人部 门负责人 签字 加急或重复实验请写明“加急 ”或“重复 ”或“大批量 ”或“常规 ”(勾选项) <#if pathological.specialRequirements?? && pathological.specialRequirements?contains('加急') > <#else > 加急 <#if pathological.specialRequirements?? && pathological.specialRequirements?contains('重复') > <#else > 重复 <#if pathological.specialRequirements?? && pathological.specialRequirements?contains('大批量') > <#else > 大批量 <#if pathological.specialRequirements?? && pathological.specialRequirements?contains('常规') > <#else > 常规 课题负责人(申请人部门负责人签字): <#if departLeaderSign??> <#else > 病理(项目管理部签字 ): <#if projectManagementSign??> 计划进展 备注 推迟 暂停 取消 情况说明: <#if departLeaderAudit?? > ${departLeaderAudit.remarks!} <#if projectManagementAudit?? && projectManagementAudit.remarks??> ${projectManagementAudit.remarks!} 课题组(申请人部门负责人签字 ): <#if departLeaderSign??> <#else > 病理( 项目管理部签字 ): <#if projectManagementSign??> 实验前抗 体/蜡块/ 白片交接 核对无误 有缺失 缺失情况及处理办法: <#if departLeaderAudit?? > ${departLeaderAudit.processMethod!} <#if projectManagementAudit?? && projectManagementAudit.processMethod??> ${projectManagementAudit.processMethod!} 课题组(申请人部门负责人签字 ): <#if departLeaderSign??> <#else > 病理( 项目管理部签字 ): <#if projectManagementSign??> 实验 进程 修块脱水 姓名、 日期) 石蜡包埋 姓名、 日期) 切片 姓名、 日期) HE 染色 姓名、 日期) 特殊染色 姓名、 日期) 免疫染色 姓名、 日期) 切片扫描 姓名、 日期) 阅片 姓名、 日期) 切片质检 如因切片制作存在质量问题,请拍下问题切片典型图片并填写返工切片信息和问题描述;没有请填写“无 ”,并签字 质检人 姓名、 日期) 700405 12065 实验后切 片/蜡块 交接 切片 核对无误 有缺失 缺失情况及处理办法: 病理 (姓名、 日期) 课题组 (姓名、 日期) 蜡块 核对无误 有缺失 缺失情况及处理办法: 病理 (姓名、 日期) 课题组 (姓名、 日期) 结果确认 和反馈 核对无误 有缺失 核对无误 有缺失 课题组(申请人部门负责人签字) <#if pathological.preExperiment > 病理预实验确认表 课题名称 ${pathological.preSubjectName!} 申请人 ${pathological.preApplicantName!} 实验内容 ${pathological.preContent!} 预实验条件说明 <#list pathological.experiments as item> ${item.title!} <#if item.detectMethod?? && item.detectMethod?contains('IF') > <#else > IF <#if item.detectMethod?? && item.detectMethod?contains('IHC') > <#else > IHC 切片类型 <#if item.qplx?? && item.qplx?contains('石蜡切片') > <#else > 石蜡切片 <#if item.qplx?? && item.qplx?contains('冰冻切片') > <#else > 冰冻切片 封闭 <#if item.fblx?? && item.fblx?contains('未封') > <#else > 未封闭 <#if item.fblx?? && item.fblx?contains('封闭') > <#else > 封闭 修复条件 <#if item.xftj?? && item.xftj?contains('未修复') > <#else > 未修复 <#if item.xftj?? && item.xftj?contains('酶修复') > <#else > 酶修复 <#if item.xftj?? && item.xftj?contains('柠檬酸盐') > <#else > 柠檬酸盐修复液( PH 6.0 <#if item.xftj?? && item.xftj?contains('水浴90') > <#else > 水浴 90℃ <#if item.xftj?? && item.xftj?contains('温压') > <#else > 高温高压 <#if item.xftj?? && item.xftj?contains('EDTA') > <#else > 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