命安全实施必要的救治措施,本人愿意承担相应的风险和后果,并保证承担全部所需费用。因系本人意愿,目前及后对此不再提出异议。Р 患者签名__________ _______年____月____日_____时_____分Р 被委托人签名__________ _______年____月____日_____时_____分Р_______________________________________________________________________________Р4、拒绝手术治疗意向书Р本人系患者(或受患者委托的代理人),因患______________________________疾病需治疗。医师向我交代各种治疗方案的优、缺点后,我决定拒绝接受上述手术治疗并承担相应后果。因系本人意愿,目前及以后对此不再提出异议。Р患者签名__________ _______年____月____日_____时_____分Р 被委托人签名__________ _______年____月____日_____时_____分Р5、术中发现及补充签名Р术中发现:_____________________________________________________________________Р建议:__________________________________________________________________________Р 谈话医师签名:__________ _______年____月____日_____时_____分Р被委托人意见:__________________________________________________________________Р 被委托人签名:__________ _______年____月____日_____时_____分