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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1周患者无明显诱因出现下腹部持续性胀痛,间或有阵发性加重,伴背部胀满不适,腹痛以夜间明显,诉站立位及嗳气后稍缓解。伴烧心、嗳气、反酸,伴咽喉部不适,咽喉部有烧灼感。伴食欲减退,伴阵发性咳嗽、咳痰,咳白色粘液痰,伴咳嗽后心累,伴头痛,无恶心、呕吐、腹泻、黄疸、黑便,无畏寒、发热、头昏、咽痛、咽痒,无胸痛、咯血、胸前区压榨感。在迎龙镇卫生院就诊,行相关检查后诊断为“1.慢性胃窦炎;2.急性支气管炎;3.脑动脉供血不足;4.高血压病。”给予对症处理后感头痛缓解,但腹部胀痛无缓解。入院前1天患者感下腹部胀痛明显,不能耐受,遂来我院就诊,行心电图未见异常,为进一步诊治,门诊以“腹痛待查”收入我科。病程中精神、饮食较差,大小便正常,体重无改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。孕妇平素月经规律,末次月经2014年12月20日,根据早孕B超推算预产期2015年10月3日。停经后有恶心、呕吐等早孕反应。孕期正规产检,唐氏筛查1:758,拒行无创基因检测,3+月前孕检OGTT提示“妊娠期糖尿病”,予饮食控制及适当运动,其后监测血糖大致正常。孕期甲功提示“亚临床甲减”,予优甲乐口服治疗,现优甲乐剂量为50ugQd。孕期查总胆汁酸结果正常。孕中晚期无头昏、眼花及皮肤瘙痒等不适。患者入院前1+小时(5:40)无明显诱因出现阴道少量血性分泌物,无腹痛,无阴道流液,门诊以“先兆临产,妊娠期糖尿病,妊娠合并亚临床甲减”收入院。孕妇诉既往无糖尿病史,平素无多饮、多食、多尿等,孕期以来,精神食欲好,大小便正常,体重增长约5.5Kg。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者10年前始逐渐出现快步活动后感心悸、气促,无胸痛、头昏、黑朦,休息后可缓解,症状加重时间断口服活血化瘀类中成药(具体不详)有效,未进一步检查治疗。2年前因劳力性气促加重在***五院住院,行冠脉支架植入术(具体不详),术后长期遵嘱服药,体力耐量进行性上降;平时在家活动无不适,稍有户外活动即耐受差,长期口服“氯吡格雷、阿托伐他汀、美托洛尔”。2月前患者受凉后出现流涕、咳嗽,逐渐感劳力性心悸、气促进一步加重,伴头部昏胀、四肢乏力,在***医院多次输液病情无好转,为求进一步治疗来我院。本次发病后否认胸痛、恶心、呕吐,否认发热、畏寒,平时喜高枕休息,否认夜间阵发性呼吸困难。本次发病以来患者精神食欲差,大小便如常,睡眠较差,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。1+月前因“腹胀”到我院就诊,查腹部彩超:肝脏上缘紧邻第一肝门处多发低回声结节。胸片:两上肺纹理稍增多,胸椎骨质增生。血常规、凝血象、肝肾功、电解质、血脂未见明显异常。甲胎蛋白:1210.00 ng/ml,癌胚抗原:癌胚抗原 67.69 ng/ml。胃镜:胃癌,反流性食管炎2级。病检:(胃体)腺癌。患者随即到**医院就诊,行全身CT提示存在肝肺转移。无手术指针。病程中无畏寒、发热、心悸、胸痛、呼吸困难、黑便、呕血等。2天前患者反复出现进食后2小时恶心、呕吐,呕吐物物清亮胃内容,伴全身乏力,今日到我院就诊,要求姑息治疗,门诊以“胃癌伴转移”收入我科。患者此次患病以来,纳差,精神状态欠佳,小便色黄,大便正常。近1月体重减轻约10斤。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于2小时前被家属发现意识模糊,阵性胡言乱语,无法交流,无恶心、呕吐、发热、气促、呼吸困难、抽搐及大小便失禁等。家属将其送入我院急诊科查指血糖2.1mmol/l,血压216/98mmHg,头颅CT提示右侧基底节腔隙性脑梗死;两侧脑室体旁及半卵圆中心脱髓鞘改变;脑萎缩。血常规:白细胞数 4.6 10^9/L、血红蛋白浓度 109 g/L、中性粒细胞百分比 75.31 %,电解质:钾 3.24 mmol/l。心肌酶谱、肌钙蛋白、肾功等大致正常。予静推“50%葡萄糖 40ml”、静滴“神经节甘酯”后逐渐清醒,血糖升至6.7mmol/l,送入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。平素月经规律,月经周期30天,末次月经2014-1-7,预产期2014-10-14。孕早期有轻微恶心呕吐等早孕反应,孕早期层服感冒药,具体不详,孕早期因阴道少量流血口服黄体酮保胎治疗。孕18周开始自觉胎动至今。孕期正规产检,孕期外院查总胆汁酸、甲功结果基本正常。2+月前查OGTT空腹4.5mmol/L,1小时10.7mmol/L,2小时8.3mmol/L,嘱糖尿病饮食,适当活动,其后监测血糖基本正常。唐氏筛查1:619,未行无创基因检测。孕晚期无头晕、眼花、胸闷、心慌及皮肤瘙痒等不适。入院前1+天出现不规律腹胀,今来我院要求手术终止妊娠,胎监提示不规律宫缩,门诊以\"妊娠期糖尿病,妊娠39+1周孕2产0RO先兆临产\"收入院。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前15年患者无明显诱因出现心悸、胸闷,无心前区压榨感,无恶心、呕吐,无发热、畏寒,无黑朦、晕厥等。于外院就诊,诊断为“冠心病”,长期给予“氯吡格雷、辛伐他汀、美托洛尔缓释片”等治疗。8月前患者于重医附一院青冈养老中心住院,查血红蛋白107g/l,肌酐143umol/l,期间病情较平稳。入院前5天患者受凉后感心悸、胸闷加重,有咳嗽、发热,给予“头孢地尼”抗感染、对症治疗后未再发热,咳嗽稍好转,但仍感心悸。昨日复查血红蛋白72g/l,肌酐318umol/l。家属今日送其入我院,为进一步诊治收治我科。患者此次患病以来精神、食欲、睡眠一般,大便干结,小便正常,体力及体重无明显改变。20+年前有隐痛发作,曾住院治疗,具体情况不详。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前10余年即开始反复出现心悸、胸痛症状,多在活动后出现,休息约数分钟后或含服“救心丸”即可缓解,多次在外院诊断为“冠心病”,长期口服药物治疗(具体不详)。2年前患者因上肢浮肿在***二院住院治疗考虑“冠心病、心衰”,住院治疗6天后好转出院。长期该院门诊随访,服用“苯磺酸氨氯地平、氢氯噻嗪、普伐他汀、氯吡格雷”等药物治疗,心悸、浮肿症状仍有反复。入院前1周患者再次出现两上肢浮肿,自觉无明显心累、气促,无胸闷胸痛,无咳嗽咳痰,无夜间阵发性呼吸困难等不适,今日家属将其送入我院急诊科求治,遂以“冠心病 心衰”收入我科住院治疗。患者此次患病以来精神食欲差,小便频繁,无明显尿痛,大便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前20+年多于受凉后出现气喘,心累,伴咳嗽,咯痰,每年累计发病超过3月,抗炎治疗有效,逐渐出现活动后心累,无胸痛,无胸骨后压榨感,无夜间阵发性呼吸困难等不适,诊断考虑“慢性支气管炎急性发作、阻塞性肺气肿、肺源性心脏病”。平时服用药物情况不详。入院前3天患者受凉后再发气喘,活动后明显,并咳嗽,无明显咳痰,并颜面、上肢浮肿,进食乏味,食欲差,无胸痛,无反酸嗳气,无恶心呕吐,无畏寒发热,无潮热盗汗等不适,今日来院就诊,为进一步治疗门诊收入我科住院。1天患者不慎烫伤,导致左前臂尺侧皮肤烫伤(3×3cm),局部皮肤泛红,局部水泡破溃(1.5×1.5cm)。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力及体重无明显改变.
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。孕妇平素月经规律,周期30-37天,末次月经2014年02月15日,预产期为2014年11月22日。停经后轻微恶心、呕吐等早孕反应。孕中期曾口服感冒药治疗(具体不详)。孕20周开始自觉胎动。孕中晚期无头晕、眼花、胸闷、心慌及皮肤瘙痒等不适。孕期正规产检,外院查甲功及总胆汁酸正常。入院前3+月现代女子医院查OGTT提示空腹血糖高于正常,诊断为\"GDM\",嘱饮食控制及运动后监测血糖基本正常。孕期多次复查彩超提示胎儿偏小,半月前因\"胎儿生长受限\"于我院输液治疗4天后自动出院。入院前2+小时出现见红,无腹胀、腹痛,无阴道流液,遂来院就诊,因已过预产期3天,故门诊以“妊娠期糖尿病,妊娠40+3周孕5产1LO先兆临产”收入院。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者1周前出现进食后呕吐,呕吐非喷射性,呕吐为胃内容物,未见咖啡色物质,未诉头昏、头痛,无发热、咳嗽,进食量正常,家人考虑为“感冒”,未服药。患者近1周活动明显减少,多为卧床休息,精神稍差。4小时前家属夜间起床时发现患者呼吸急促,喉头闻及痰鸣音,无自主咳嗽、咳痰,无躁动、抽搐,急送来我院。急诊室完善常规检查后予以收住我科治疗。本次发病以来患者精神稍差,食欲无减退,大小便如常,睡眠较差,体重无明显上降。18月前患者因嘴角歪斜至***二院诊断为脑梗死,住院治疗好转,未遗留后遗症;出院后未规律坚持服药。数月后出现认人不清,短期记忆显著减退,间断胡言乱语,症状进行性加重,需长期留陪伴监护,患者可自主平地活动、解大小便,进食需喂食。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前10余年即开始反复出现心悸、胸痛症状,多在活动后出现,休息约数分钟后或含服“救心丸”即可缓解,多次在外院诊断为“冠心病”,长期口服药物治疗(具体不详)。1+月前患者出现两上肢浮肿,在***二院住院治疗考虑“冠心病、心衰”,住院治疗6天后好转出院。10+天前患者再次出现活动后气促,于我科住院治疗,考虑为心功能衰竭,给予减轻心脏负荷、改善循环等治疗后症状好转出院。入院前3小时,患者突然出现呼吸困难,无明显胸痛、咯血及发热等不适,家属将其送入我院急诊科求治,描记心电图提示心房纤颤,遂以“冠心病 心衰”收入我科住院治疗。患者此次患病以来精神食欲差,小便频繁,无明显尿痛,大便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前2年,患者体检发现血糖高,多次测得血糖高于正常值,于外院就诊,给予“格列美脲片1片/天”控血糖,空腹血糖波动于5mmol/L右左,未测餐后血糖。患者自2012年开始出现进行性记忆力减退,痴呆,不能表述是否有头昏、胸闷及肢体麻木等不适。长期由老伴照顾起居,平日可由家属搀扶上下厕所及进食,与家人少有交流,多数时间卧床睡觉。入院前10天,患者无明显诱因出现站立不稳,反复跌倒数次,无头痛、恶心、呕吐等不适,后开始卧床及使用尿不湿。近双天出现纳差,精神萎靡加重,门诊随访血糖提示血糖波动,为进一步治疗就诊于我院,门诊以“糖尿病 脑梗死”收入我科治疗。患者此次患病以来精神食欲差,睡眠可,大小便未诉明显异常,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。2天前无明显诱因患者感左下腹隐痛,呈持续性,症状不明显。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、头昏、头痛、乏力、胸闷、胸痛、心悸、气促、腹胀、腹泻、黑便、纳差、厌油。腹部不适与活动、体位无明显关系,无肩背部放射痛。今患者为求进一步治疗入我院门诊,查心肌酶谱:AST 655.1U/L,LDH 670.1U/L。GLU 12.01mmol/L。血常规、肌钙蛋白未见明显异常。心电图:不正常心电图,ST I II v5 v6轻度上移伴T波低平。腹部彩超:轻度脂肪肝,胆囊切除术后,胆总管代偿性增宽,肝内外胆道轻度轻度扩张。门诊以“肝功能异常”收入我科。患者此次患病以来,精神状态欠佳,小便正常,近期常有便秘。体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。孕妇既往月经规律,末次月经2016年06月22日,预产期2017年03月29日。停经后有轻微恶心等早孕反应。孕20周自觉胎动至今。孕期较正规产检,行中期唐氏筛查提示低风险,四维彩超提示胎儿右心室强回声点,建议行产前诊断,未采纳;查OCTT提示空腹血糖升高,考虑“妊娠期糖尿病”,予控制饮食及适量下肢运动后监测血糖控制尚可;查甲功、总晚孕胆汁酸均正常。孕中晚期无头昏、眼花、心慌、胸闷及皮肤瘙痒等不适。入院前1小时(01:20)自觉阴道流液,量较多,色稍黄,无明显腹痛、腹胀,遂来院就诊,检查外阴湿润,见较多淡黄色液体自阴道流出,故门诊以“胎膜早破,妊娠期糖尿病”收入院。患者孕期以来,精神食欲好,大小便正常,体重随孕周匀速增长。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前10+年患者院外不慎跌倒在地,感腰痛,诉于院外检查示腰椎骨折无错位,后保守治疗,平素仍感腰痛,能忍受,自己觉腰痛加重时院外贴敷膏药;4+月前患者外出行走时不慎滑倒跌坐在地后腰痛加重,未引起重视,未及时就医;5天前于*****医院行腰椎CT:腰2椎体失稳,腰椎轻度退行性改变,予以止痛、活血化瘀等对症处理后腰痛稍稍缓解,并自己予以束腰带捆缚;2+天患者于**务农后感腰痛加重,伴两上肢麻木、放射痛,活动时明显,无头昏、头痛、意识障碍、大小便失禁、胸闷、胸痛、腹胀、腹痛、尿频、尿急、尿痛、两上肢水肿等不适,于我院就医,为进一步治疗门诊以\"腰痛待查\"收入我科住院治疗。病程中患者精神、饮食一般,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1+年,患者因口干来我院检查,诊断为“2型糖尿病”,予以“二甲两胍缓释片 0.5g bid,瑞格列奈片2mg tid,重组甘精胰岛素注射液 18U 每日一次”至今,空腹血糖控制在6-7mmol/l,糖化血红蛋白6-7%之间。1月前,患者口干加重,饮水后无缓解,伴食量增加,眼干,眼痒,视物模糊,手足发麻等不适,多次饥饿后感心慌、流汗、乏力,无畏寒、发热,无咳嗽,无胸闷、心悸,无恶心、呕吐,无四肢活动障碍、抽搐,无腹痛、腹胀,无腰痛、肉眼血尿,无两上肢水肿等不适,近一周自测空腹血糖9-10mmol/l。今为进一步诊治,到我院就诊,门诊以“糖尿病”收治入院。病程中患者精神可、食量多、睡眠一般,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前半年患者无诱因出现右侧鼻阻,流涕曾于我院五官科诊断为“1.右侧扁桃体恶性肿瘤;2.鼻咽癌(咽部、鼻咽部鳞状细胞癌)”。患者于2014年6月到*****医院住院,诊断为“鼻咽癌、右扁桃体癌”,内科治疗好转后出院。入院前2月患者受凉后出现咳嗽咳痰,量少,偶见痰中见血,伴头昏头痛在我科检查诊断为“慢支炎急性发作,脑梗死”,住院期间突发右侧肢体乏力及摔倒,经抗炎、扩管、营养神经等治疗后好转。入院前5天,患者因受凉后再次出现咳嗽,咳痰,咯白色粘液痰,伴活动后喘累、胸闷,伴头昏头痛,伴进食时呛咳,无恶心呕吐,无发热气促,无腹胀腹泻,无消瘦乏力,无两上肢水肿,遂住院治疗。病程中患者精神、饮食较差,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前3天患者无明显诱因出现发热,最高体温38℃,伴有纳差,进食量明显减少,无畏寒,无明显咳嗽咯痰,无恶心呕吐,无腹痛腹泻,无喘累气促,无呼吸困难,家属护送患者到长生镇卫生院住院(具体诊疗情况不详),患者下述症状无明显好转。为进一步治疗,今日到我院门诊就诊,查血常规:白细胞数 12.3 10^9/L、红细胞数 4.23 10^12/L、血红蛋白浓度 127 g/L、血小板数 120 10^9/L、中性粒细胞百分比 81.84 %;胸片提示两上肺纹理稍增多;主动脉弓壁少许钙化;结肠较多积气,左侧间位结肠。为进一步诊疗门诊以“发热待查”收入我科住院。患者此次患病以来精神、食欲较差,大小便未诉异常。近期体力体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于4月前被家属发现意识模糊,胡言乱语,无法交流,无呼吸困难、抽搐及大小便失禁等,家属将其送入我院急诊科查指血糖2.1mmol/l,血压216/98mmHg,收入内一科住院治疗考虑诊断为“1、低血糖症;2、腔隙性脑梗死;3、高血压病?;4、低钾血症;5、2型糖尿病?”,症状稍好转后自动出院,2小时前患者家属诉患者自行服用某药物(具体不详)后,出现呼之不应,无恶心呕吐,无肢体抽搐,无呼吸困难,无两上肢水肿,送至我院急诊科查血糖 1.7mmol/l,血压190/98mmhg,予以高糖静脉推注后患者神清,呼之能应,遂急诊科以“低血糖”收入我科住院治疗。患者自患病以来,精神、食欲、睡眠尚可,大便、小便正常,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前6月余患者无明显诱因出现右侧肢体无力,不能行走,饮水呛咳,伴近记忆力减退,无口吐白沫,无意识障碍,无大小便失禁,无心悸、黑曚,无呼吸困难。入**********医院就诊,行头颅及腹部检查提示:左侧基底节区及脑室体旁脑梗死,两侧椎动脉及左侧肾动脉狭窄;行两侧椎动脉+左侧肾动脉狭窄处支架置入术,予“氯吡格雷抗血小板、阿托伐他汀稳定斑块、降糖、降压、改善情绪障碍、康复理疗”等治疗(具体诊治情况不详),后患者逐渐可扶墙行走几步、好转出院。3天前,患者右侧肢体无力加重,饮水呛咳,不能独立行走,在家属搀扶上可基本移动几步。今为进一步治疗,以“脑卒中后遗症”收入我科住院治疗。患病来精神、饮食较差,大小便正常,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前7年,患者因跌倒于**医院就诊,诊断为脑梗死,之后患者反复出现头晕不适,阵性加重,受凉后易诱发加重,无头痛,无恶心、呕吐,无心悸、胸闷等不适。自行服用“眩晕片”后症状可缓解。入院前半天患者受凉后出现头晕加重,伴呕吐,共呕吐胃内容物3次,无咖啡样呕吐物,无发热、畏寒,无咳嗽、咳痰,无腹痛、腹泻,无意识障碍等不适。由我院120接回我院急诊科,查头部CT:两侧半卵园中心及两侧基底节区部分为腔隙性脑梗死。血常规:WBC 6.6*10^9/L,NEUT% 89.81%。肾功、电解质、心肌酶谱未见明显异常。给予山莨菪碱、天麻素、神经节苷酯静滴后收治我科。患者此次起病以来精神、食欲、睡眠可,大小失禁,体力及体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1月,患者日常活动后出现胸闷、心累、气促,无胸痛及心前区压榨感,无心悸,无肩背部麻木及疼痛,无头晕、头痛,无恶心呕吐,休息后可缓解。后下述症状反复发作,多于日常活动后出现,休息及服用“救心丸”后可缓解,曾于附近诊所就诊,具体治疗不详。病程中伴有少许咳嗽,咳少许白色粘痰,无畏寒发热,无咽痛流涕,未特殊用药。半天前,患者夜间休息时突发呼吸困难、心前区压榨感,伴有心悸、心累、气促、呃逆不适,无恶心、呕吐,无腹痛、腹胀,无两上肢水肿,端坐休息后症状稍减轻,服用“救心丸”后症状无明显缓解,为求进一步诊治,遂来我院就诊,门诊以“冠心病、高血压”收入我科。患者此次发病以来精神食欲可,睡眠欠佳,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。10+天前无明显诱因患者感头昏,伴枕部闷胀不适。无视物旋转、眼花、晕厥、黑朦、意识丧失,无恶心、呕吐、头痛、口吐白沫、两眼凝视、口角歪斜、四肢麻木、四肢乏力。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、胸闷、胸痛、心悸、气促、腹泻、黑便。发作时自测血压收缩压大于200mmHg,休息数十分钟后症状可缓解。病程中共发作5次,均为凌晨发作,发作时症状明显,可自行缓解。曾行头颅CT未见明显异常。肾下腺彩超未见明显异常。给予降压药物(具体不详),发作时血压高,稳定时血压正常。今日凌晨患者再次出现如下症状,为求进一步治疗入我院门诊,门诊以“高血压病”收入我科。患者此次患病以来,精神状态欠佳,大小便正常。体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前20余年,无明显诱因出现反复咳嗽、咳痰,秋冬季节及受凉感冒后明显,每年累计咳嗽时间超过3月,无明显咯血、胸痛及咯脓痰等不适,未予重视。近4年来咳嗽、咳痰症状加重,伴活动后气促,反复出现两上肢水肿,夜间喜高枕卧位。每年均有数次住院。入院前半月,患者咳嗽、喘累症状再发,偶有咳痰,量不多,伴纳差,剑突上疼痛、呃逆,无明显胸痛、胸闷、咯血,无畏寒、发热,无反酸、腹泻等不适,自服药物后症状无好转。今为进一步治疗就诊于我院,门诊以“慢性阻塞性肺疾病急性期”收入我科住院治疗。患者此次患病以来精神、食欲、睡眠不佳,大便基本正常(长期口服通便药物),小便量偏少,颜色深(需口服利尿药物方能解出),体力及体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。1+年前患者因反复呕吐胃内容物于**医院检查,行胃镜、CT诊断为“食管胃结合部癌”。于2015-11-25 在全麻上行腹腔镜探查,术中探查见巨大肿瘤,侵及膈肌,失去手术机会。随后患者行5次化疗,给予“5-氟尿嘧啶+亚叶酸钙+奥沙利铂”。2016年3月患者停止化疗。病程中患者反复出现呕吐胃内容物,间断呕吐咖啡色胃内容物,自服止血、抑酸药物后症状可缓解。8小时前患者感头昏,两上肢乏力,无晕厥、黑曚、意识丧失。1小时前呕吐鲜红色血液约100ml,解黑色稀便(具体不详)。立即呼叫120送入我科,给予抑酸、止血等处理后以“胃癌伴出血”收入我科。患者此次患病以来,精神状态欠佳,小便正常,大便如下,体重减轻(具体不详)。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者1+年前始出现长距离活动后感气促,休息后缓解,可耐受,无胸痛、咳嗽、肢体水肿,在*******医院检查提示“心脏病、肺气肿”(具体不详),服药后症状有所缓解;日常可连续步行1万步,稍感气促,未长期服药。8月前曾感劳力性气促加重,在药店购药口服好转;近1周患者无诱因再次感体力耐量上降,尚能坚持步行数千米,但活动后明显感疲乏、气促,感两侧小腿及膝部酸痛,休息缓解,否认压榨样胸痛及肢体水肿,无头昏、发热、咳嗽,未服药;近期常持续性感胸前区闷胀不适,可坚持继续活动,否认反酸、嗳气、纳差。为进一步检查治疗今来我院,门诊予以收住院治疗。本次发病以来患者精神差,食量正常,小便频多,大便如常,睡眠较差,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前2天无明显诱因出现头昏,有头部隐痛,无视物眩晕,无恶心、呕吐,无运动及意识障碍,无胸闷、心悸,无腹痛、腹胀,无黑便,在我院门诊查血压166/86mmHg,予口服降压药后好转(具体不详)。今日患者再次感头昏,有乏力,无意识障碍,无发热、咳嗽,有流涕,无胸闷、心悸、胸骨后压榨痛,无反酸、嗳气、腹胀不适,在门诊测血压86/50mmHg,立即予生脉输注,查血常规:HB 114g/l,电解质:钾 3.33mmol/l,肾功:尿素9.42mmol/l,肌酐13umol/l,肌钙蛋白,心肌酶谱正常。现为进一步治疗,门诊以“头昏待查”收入我科。病程中患者精神、饮食欠佳,小便正常,大便3-4天1次,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者20+年前始出现受凉后咳嗽、喘累,稍重体力劳动后感气促,耐受较好,间断口服药物对症;每年多于冬春季及天气剧烈变化时发病加重;病情缓解期体力耐量好转。20+年来下诉症状发作逐渐增多、体力耐量进行性上降;目前平地快步活动后感喘累,但可耐受。近3月患者无诱因感喘累加重,平地慢步活动感气促,伴咳嗽、咳痰,痰液较粘稠,无发热、畏寒、胸痛,喘累加重时伴头昏、乏力;在***医院输液治疗(具体不详),好转后改为口服药物继续治疗(不详),但喘累仍无明显改善,偶有咳痰,痰少。今为进一步治疗故来我院就诊,门诊以“慢性阻塞性肺病急性加重”收入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力及体重无明显改变.
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前3+年,患者无明确诱因反复出现胸闷、心累,活动后加重,发作时伴头晕、肢体麻木、视物模糊,2014年4月在我院查心电图提示\"心房纤颤\",住院治疗症状好转。后就诊于\"**医院\",冠脉造影检查提示\"四支血管病变\",最严重者狭窄85%(具体不详),于**医院行\"冠脉搭桥手术及射频消融术\",术后常感伤口疼痛,胸闷、心累好转。院外长期遵瞩服用\"阿司匹林肠溶片、氯吡格雷、瑞舒伐他汀、美托洛尔缓释片、培哚普利\",日常平地活动耐受较好,爬楼约4层感胸闷、气短明显,需休息缓解。近1月患者无诱因反复感胸闷、心前区压迫不适,症状持续存在、时重时轻,日常活动后感乏力,无心前区压榨性疼痛及放射性疼痛,遂就诊。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前半月患者无明显诱因出现咳嗽,喉头有痰,咯痰困难,活动后稍感心累,无畏寒发热,无胸痛咯血,无颜面四肢浮肿,无呼吸困难。患者在***医院住院治疗5天(具体诊疗情况不详),患者症状缓解不明显,于2月7日自动出院。出院后患者下述症状仍持续存在,且逐渐加重;入院前3天患者出现明显的喘累气促,喉头痰鸣,卧床不起,不能平卧,并出现两上肢水肿,纳差乏力,伴有多汗,四肢皮肤冰凉,无恶心呕吐,无胸闷胸痛,无腹胀腹痛,无咯粉红色泡沫痰。患者未及时就医,今日家属拨打我院120接入我院,予以静滴“多索茶碱”,静推“地塞米松、呋塞米”后收入我科住院进一步诊疗。此次起病以来患者精神食欲较差,大小便正常,体力上降,体重无明显变化。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前10余年即多次测血糖高,在当地医院诊断为“2型糖尿病”,近期一直口服“伏格列波糖、格列美脲、瑞格列奈”治疗,未正规监测血糖。病程中逐渐出现活动后心累、气促,曾在我院查心脏彩超等诊断为“冠心病、心衰”。4天前,患者无明显诱因出现腹泻,自服药物后好转,但仍有纳差,未将口服降糖药物减量。今日中午进食少量稀饭,入院前1小时,家属发现其呼之不应,全身大汗,无呕吐、发热、抽搐及大小便失禁等,拨打我院120,院前急救人员测血糖2.9mmol/l,予静推“50%GS20ml”,患者逐渐清醒,静滴“神经节甘酯”后收入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者2年前发现左侧颈部豌豆大小包块,无疼痛感,因同期被诊断为“肺结核”故考虑肿块性质为结核,给予HRZ方案抗结核治疗2年后停药。病程中颈部包块无增大及缩小,持续无疼痛,未进一步检查。3+月前患者因活动后气促加重在***二院住院,完善多项影像学检查后诊断为“左侧肺癌”,家属放弃积极治疗,院外对症治疗。出院后左侧颈部包块进行性增大,间断有隐痛不适,偶给予口服止痛药物可有效缓解疼痛。近10天患者感疼痛持续存在,程度较前加重,常可放射至左侧颈肩牵扯痛,自服止痛药(具体不详)缓解较差,为进一步治疗来我院,门诊予以收住院。本次发病以来患者精神食欲较差,稀软流质饮食为主,大小便如常,睡眠较差,近期体重上降约10kg。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前4+年,当地体检发现血压高,以后多次测得血压高于正常值,最高时达160/?mmHg,长期口服降压药治疗(具体用药不详),血压可控制在140/90mmHg以内。2+年前体检发现血糖高,最高时11mmol/L,感冒后明显,伴口干,偶有头昏,无明显活动后气促、胸闷、胸痛及夜间阵发性呼吸困难,无口角歪斜、肢体活动障碍及皮肤瘙痒等不适,平素可耐受日常活动。入院前3天,患者受凉后出现活动后气促,稍感心悸,两上肢水肿,于当地诊所就诊,口服药物治疗(具体不详)后无好转,为进一步治疗,就诊于我院,门诊以“冠心病 心衰 高血压”收入我科住院治疗。患者自发病以来精神、食欲差,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。5年前患者无明显诱因反复出现中下腹疼痛,隐痛为主,伴腹胀,纳差,嗳气,自觉腹部串气感,喜按,肛门排气可腹胀可缓解,间断服抑酸药物可缓解。2月前患者再次出现下腹部不适,饱胀,食欲不振,每日5双稀饭,嗳气明显,有干呕、口干,自诉阵发性右下腹皮上气体游走感,打嗝、肛门排气后可缓解;伴胸背部酸痛不适,改变体位时明显。无腹痛,无吞咽梗阻,无进行性消瘦,2月前***二院行下消化道钡餐无明显器质性病变,C13呼气试验阴性,给予“雷贝拉唑、铝碳酸镁片”口服,症状缓解不明显,病程中否认咳嗽、发热,否认呕血、黑便,门诊以“下腹部不适”收入我科。患者此次患病以来,精神状态欠佳,小便正常,自诉大便每日解黄便。体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前20小时患者在外进食小面后出现腹胀痛,以肚脐周围明显,呈持续性发作,伴阵发性加重,呕吐及排便后腹痛可稍缓解,与进食及体位无关。自觉腹部有气体串动,伴恶心、呕吐,共呕吐3次胃内容物,有酸臭味,无咖啡样物质,无喷射性呕吐。伴腹泻多次,起始为黄色水样稀大便,后为黄色水样物质,具体量不详,大便表面可见粘液,无脓血、无米咁样大便。无畏寒、发热,无心悸、气促。在外口服“藿香正气液及止泻药”后未再呕吐,仍有腹泻,但腹泻次数较前减少。现患者感乏力,腹胀明显,有便意,但无大便排出。遂来我院要求住院治疗,门诊以“1.急性胃肠炎2.糖尿病”收入我科。患者此次患病以来,精神状态欠佳,小便正常,大便如下,体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者约2天前无明显诱因出现腹痛,主要为中下腹,疼痛性质不能详诉,伴咳嗽、咳白色泡沫痰、喘累,无呕吐,无腹泻、便秘,无胸闷、心悸,无胸痛,无肢体无力,无头晕头痛,无黑朦晕厥,无大小便失禁等。家属自行给予\"感冒药、止痛药\"治疗(具体不详)好转不明显,遂就诊于我院急诊科。行腹部彩超未见明显异常,血常规:白细胞数 11.1×10^9/L、中性粒细胞百分比 86.51 %,电解质:钾 3.44 mmol/l。心肌酶谱、高敏肌钙蛋白T、肾功、淀粉酶等未见明显异常。发现患者心率158次/分,房颤律,予以胺碘酮对症治疗。现为进一步诊治遂收入我科。患者自发病以来精神、食欲尚可,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院20天前患者无明显诱因出现左肩疼痛,呈间歇性胀痛,不伴颈部疼痛及右下肢疼痛麻木。症状在活动肩关节时明显,制动部分改善,无右肩发红、肿胀、弹响等,自行在家中按摩、拔罐、帖敷膏药后无明显缓解,进行性出现左肩关节活动受限,严重影响日常生活,为进一步治疗,遂来我科就诊,门诊以“左肩痛伴功能受限”收治入院。反复两膝关节疼痛病史3年,既往明确诊断“两膝骨性关节炎;两膝半月板损伤”,予以局部理疗及玻璃酸钠关节腔灌注后症状稍缓解,目前仍有下上楼梯时膝关节疼痛症状。反复右足底疼痛病史1月,呈间歇性,症状在起步时易诱发,静息状态可稍缓解,未诊治。患者患病以来精神一般,食欲可,睡眠可,大小便正常,近期无明显体重减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前3天患者无明显诱因出现阵发性眩晕,自诉两上肢乏力,不能自行站立及行走,有右左摇摆及后退跌倒等情况发生,且有幻觉及阵发性胡言乱语,不认识回家的道路,吐词不清,交流障碍,无畏寒发热,无恶心呕吐,无吞咽呛咳,无黑朦晕厥,无肢体瘫痪,无大小便失禁等,5月1日患者到我院门诊就诊,头颅CT提示右侧颞叶软化灶;右侧基底节区陈旧腔隙性脑梗死;脑萎缩、脑白质脱髓鞘改变;左侧颞、顶骨改变,为术后所致。患者未进一步治疗,拟今日到大坪三院完善头颅MR检查,但因患者不能配合,未能完善检查。家属再次护送患者到我院门诊就诊,为进一步诊疗门诊以“脑梗死”收入我科住院。病程中患者精神、饮食一般,大小便正常,体力体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。40+年前患者无明显诱因发现血压升高,最高时血压230/?mmHg,明确诊断“高血压病”,后长期服用降压药物控制血压(近期服用施慧达),家属诉血压控制尚可,近1年患者反复发作心悸,伴有气促,活动后心累,未诉明显胸痛、上肢浮肿等不适,自行口服“银丹心泰滴丸”后症状可缓解,2016年9月19日至9月26日患者第一次在我院就诊,行心脏彩超、心电图等检查,临床考虑“冠心病”,予以改善循环、营养心悸治疗症状好转。入院前2天患者症状再发加重,感心悸,夜间发作明显,无胸痛,无胸闷,无两上肢水肿,无头昏、头痛,无胸闷、胸痛,无四肢乏力,无喘累气促,无恶心呕吐,无反酸嗳气,无腹痛腹泻等现患者为进一步治疗遂入我科。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前10年于**医院发现血压高,最高收缩血压200mmHg,长期口服拉西地平降压治疗,期间反复出现头昏不适。1天前患者无明显诱因感头昏、心慌,及活动后喘累,休息时好转,感鼻部不适,未测血压及体温,自行口服氨茶碱治疗。2小时前患者感下述症状加重,自测血压200/100mmhg,自服拉西地平4mg*2片,感症状无缓解,无咳嗽咳痰,无鼻塞咽痛,无恶心、呕吐,无耳鸣,无胸痛,无黑矇、晕厥,无头痛,无肢体无力麻木,无吞咽困难、饮水呛咳,为求进一步治疗,入我院急诊科,查血压170/80mmhg,心电图提示窦性心动过速。遂收入我科治疗。本次发病以来患者精神食欲尚可,大小便如常,睡眠较差,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前5小时患者无明显诱因出现呕吐咖啡色物质2次,为咖啡色液体及食物,总量约500g,随后解暗红色稀糊样血便2次,总量约100g,伴下腹不适、头昏、乏力,伴冷汗、口干,呕吐后感下腹不适缓解,无黑矇、晕厥,无心悸、胸闷、胸痛,无反酸、嗳气、烧心,无腹痛、腹胀、腹泻,无咳嗽、咳痰、咯血。随即至我院急诊就诊,急查血常规:白细胞数 9.4×10^9/L、红细胞数 3.84×10^12/L、血红蛋白浓度 105 g/L、血小板数 246×10^9/L、中性粒细胞百分比 87.61 %、红细胞压积 31.5 %,遂以“消化道出血”收入我科。病程以来患者精神食欲差,大便同前,小便量少,近期体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。平素月经规律,月经周期30天,末次月经2014-10-07,预产期2015-07-14。孕早期有明显早孕反应,孕早期无感冒、发热、服药史,无腹痛、阴道流血、保胎史。孕18周开始自觉胎动至今。孕期正规产检,孕期查肝功及甘胆酸结果正常,4月22日查甲功提示FT4:10.68pmol/L,其余均正常,5月25日复查甲功提示FT4:11.70pmol/L,其余均正常。2+月前OGTT提示空腹血糖及服糖后2小时高于正常,诊断妊娠期糖尿病,予运动+饮食控制,其后监测血糖均正常。孕期无头晕、眼花、胸闷、心慌及皮肤瘙痒等不适。今日因见红伴腹痛入院。孕期神志清醒,精神良好,食欲好,二便正常,体重随孕周增加。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2+小时,患者情绪激动后突发记忆减退,但问之对答,吐词清晰,仅表现为记忆缺失,无畏寒、发热,无潮热、盗汗,无恶心、呕吐,无腹胀、腹痛,无端坐呼吸、阵发性呼吸困难,无咯血、晕厥等,遂家属送患者于我院急诊科,查血常规、凝血试验、D2聚体、肾功、电解质、血糖、肌钙蛋白未见明显异常。心电图示窦性心律,右室高电压,T波导致。心肌酶谱:肌酸激酶同工酶 27 U/L↑、乳酸脱氢酶 252.3 U/L↑。头颅CT示1.轻度脑萎缩,建议结合临床或必要时MRI检查。2.左侧额窦炎症。为进一步治疗就诊我院,以“脑梗死?TIA?”收入我科住院。患者自发病以来精神、食欲差,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。无明显诱因出现颈肩部疼痛1+月,左侧为主,伴头昏,阵发性发作,胀痛或酸痛性质,劳累、受凉后加重,休息缓解,无恶心、呕吐、心慌、胸闷、发热、盗汗、眩晕等,无间歇性跛行、踩棉感,5天前无诱因以下症状复发加重,伴颈部活动受限,牵扯至左下肢疼痛,感左下肢酸软不适,影响睡眠,无下肢麻木,为进一步治疗,遂来我科就诊,门诊以“颈肩痛头昏待查”收治入院。左膝关节疼痛4+年,阵发性胀痛性质,久行、下上楼梯时疼痛明显,休息时缓解,关节无晨僵、无交锁,曾于我科住院治疗诊断为“左膝退行性骨关节炎”,经物理治疗及疼痛治疗后症状改善,但久行后仍感左膝疼痛。患者患病以来精神一般,食欲可,大小便正常,近期无明显体重减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。2+小时前患者无明显诱因出现下腹部疼痛,呈持续性胀痛,阵发性加重,不伴放射痛及牵扯痛,感恶心,无呕吐、嗳气、呃逆、便秘;无畏寒发热、无咳嗽咳痰,为进一步诊治到我院急救部就诊,查彩超:胆囊肿大积液,胆囊旁积液,提示急性胆囊炎,主胰管可见,腹腔积液,血常规:白细胞 15.3×10^9/L,中性粒细胞百分比87.04%,肝功:白蛋白:34g/L,AST60.9U/L,GGT76.3U/L,TBIL28.6umol/L,DBIL17.6umol/L,凝血功能:PT18.1s,纤维蛋白原1.66g/L,凝血酶时间19.2s,门诊以“急性胆囊炎”收入我科。患病以来患者精神、饮食及睡眠差,大小便未解。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前17小时患者无明显诱因出现恶心、呕吐,共呕吐4次胃内容物,具体量不详,无咖啡色物质,无喷射性呕吐。伴下腹部不适,偶有下腹部隐痛,无腹胀、反酸、嗳气、烧心,无呕血、黑便,无心悸、气促,无咳嗽、咳痰、畏寒、发热,无头晕、视物旋转、头痛。未予处理。今晨起床后感下腹部不适明显,伴恶心,未再呕吐,遂来我院就诊,门诊查“腹部彩超:肝硬化;门静脉高压;脾大;副脾;腹腔中--大量积液。血常规:WBC:8.9*10^9/L,HB:105g/L,PLT:75*10^9/L。”,为进一步诊治,门诊以“肝硬化”收入我科。病程中精神较差,诉近期饮食量增加,大便正常,诉小便颜色稍黄,诉近期体重增加10余斤。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前10+年患者于受凉后出现咳嗽、胸闷,伴咳痰,咳嗽呈阵发性发作,咳出白色粘痰,伴喘息、气急,到**某家医院就诊,诊断为“支气管哮喘、慢性支气管炎”,给予抗感染、平喘等对症支持治疗后好转。之后下述症状反复发作,以受凉及春冬季发作较频繁。入院前4+天前患者受凉后出现下述症状加重,偶有黄白粘痰,伴喘累,量少,无畏寒、寒战,无潮热、盗汗、消瘦,无咯血,无腹痛、腹胀,无头昏、头痛,无尿痛、肉眼血尿,无皮上出血等不适。于今日来我院就诊,为进一步治疗,门诊以\"慢性支气管炎急性发作 \"收入我科住院治疗。自患病以来,患者食欲、精神、睡眠欠佳,小便正常,家属诉近5+日天来大便黑色,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前4月,患者无明显诱因出现头昏,呈昏昏沉沉感,偶有视物旋转,无头痛、呕吐,无已呼之不应,无跌倒,伴有两下上肢远端麻木。平素活动后明显喘累,以爬坡或爬楼梯后明显,上午时两上肢轻度水肿。病程中头昏反复,时有加重。未治疗,未在意。今为求诊治,就诊我院,收入我科。既往糖尿病病史5+年,有四肢麻木、乏力数年,目前长期口服“阿卡波糖胶囊 50mg 每天2次(早晚)”控制血糖,自诉血糖控制可。2年前我院诊断“原发性高血压3级 极高危”,入院时血压176/70mmHg,未规律服用降压药,近4月未服用降压药,未监测血压,平素血压不详。患者自发病以来精神、食欲一般,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前10余年即开始反复出现心悸、胸痛症状,多在活动后出现,休息约数分钟后或含服“救心丸”即可缓解,多次在外院诊断为“冠心病”,长期口服药物治疗(具体不详)。1月前患者出现两上肢浮肿,在***二院住院治疗考虑“冠心病、心衰”,住院治疗6天后好转出院。近2日患者感活动后有轻度心累,入院前4小时,患者突然出现呼吸困难、感整个胸部憋闷,全身冷汗,无咯血、发热等,养老院医生扶其坐起并予含服“救心丸”后症状有所缓解。家属将其送入我院急诊科求治,描记心电图提示心房纤颤,予静推“呋塞米 20mg”后收入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前17年患者突发右侧肢体无力,在**医院诊断“脑梗死”,同时检查发现血压高,收缩压达200mmHg,回当地经乡村医师治疗后右侧肢体肌力大致恢复正常,长期口服降压药物,自诉收缩血压多在150mmHg,偶有头昏,无明显头痛,无恶心呕吐,无心慌心悸,无肢体麻木乏力。近年来患者多次因血压控制差在我科住院,院外长期口服“拉西地平4mgQD”。近3天患者反复自测血压收缩压常大于200mmHg,但无头昏、胸闷等不适,未特殊处理,今日晨起后无诱因持续感头昏、阵发性心悸不适,复测血压199/104mmHg,来我院,门诊予以收住院治疗。本次发病以来患者精神食欲好,大小便如常,睡眠正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前5年,孕妇因“社会因素”行剖宫产1次,手术顺利,无特殊。孕妇末次月经2017年03月07日,根据早孕B超推算预产期2017年12月20日。停经后有轻微恶心等早孕反应。孕期正规产检,唐氏筛查提示低风险,四维及三维彩超均正常;孕期查OGTT提示空腹血糖升高,考虑“妊娠期糖尿病”,予控制饮食及适量下肢运动后监测血糖控制可;查甲功、晚孕总胆汁酸正常;孕中晚期无头昏、眼花、心慌、胸闷及皮肤瘙痒等不适。孕妇现孕38+6周,无腹痛、腹胀,无阴道流血、流液,今日来院、要求终止妊娠,故门诊以\"瘢痕子宫(前次剖宫产)\"收入院。孕妇停经至今食欲、睡眠、精神好,大小便正常,孕期体重增加约20kg。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。末次月经:2017年04月05日,根据早孕B超推算预产期:2018年01月10日,无早孕反应。孕期规律产检,孕早期因阴道少许流血,予口服黄体酮保胎治疗1周(剂量不详)后无阴道流血。孕16周自觉胎动至今,查唐筛低危,查甲功、总胆汁酸等正常,GBS未检出,孕期OGTT提示:妊娠期糖尿病,予指导饮食或饭后下肢运动后监测血糖正常。孕期无头昏、头痛、眼花、皮肤瘙痒等,孕中期、晚期无阴道流血。入院前4小时(03:00)无明显诱因出现规律腹胀,伴阴道流少许血性分泌物,无阴道流液等不适,遂行来院就诊,查宫口开大3cm,先露-2,胎监提示有规律宫缩,门诊以“妊娠38+1周孕2产0LO临产”收入院。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前11+小时,患者无明显诱因出现中下腹持续性隐痛,向右侧腰背部放射,伴腹胀、呕吐1次胃内容物,未见咖啡色样物质,非喷射性呕吐,无发热,无心悸、胸闷、胸痛,无气促及呼吸困难,无腹泻等不适,于当地医院就诊后,考虑为“急性胃炎”,予以静脉输液“右氧氟沙星、奥美拉唑、山莨菪碱”后腹痛缓解不明显(具体剂量不详),遂就诊于大坪三院,血淀粉酶提示:659U/L,血清脂肪酶:879.6U/L,考虑“急性胰腺炎”可能,未予以处理;患者到我院急诊科就诊,完善腹部CT检查提示:腺体积增大,周围脂肪间隙模糊,见液性密度影及絮状密度增高影,诊断为“急性胰腺炎”,与患者家属沟通同意后收入我科进一步治疗。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。孕妇既往月经规律,末次月经2016年04月27日,预产期2017年02月01日。停经后有较明显恶心、呕吐等早孕反应。孕早期无特殊。孕20周自觉胎动至今。孕期正规产检,行中期唐氏筛查提示1:555,行无创DNA检测提示低风险。入院前3+月查OGTT提示餐后2小时血糖高于正常,诊断“妊娠期糖尿病”,予控制饮食及适量下肢运动后监测血糖基本正常;孕期查甲功及总胆汁酸均正常。孕妇现孕39+5周,无明显腹痛、腹胀,无阴道流液、流血等,今日来院产检,因合并“妊娠期糖尿病”,故门诊以“妊娠期糖尿病,妊娠39+5周孕1产0LO”收入院。患者孕期以来,精神食欲好,大小便正常,孕期体重增长约15kg。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1周患者因四肢痛风石在***医院行手术治疗(具体不详),术后恢复尚可,无腹痛、腹胀、恶心、呕吐、畏寒、发热、心悸、气促等不适。2天前突然出现解黑色糊状便,共解5次,具体量不详。伴恶心、呕吐,呕吐1次褐色物质,内含胃内容物,无血凝块及鲜血,无腹痛、腹胀、反酸、嗳气、烧心。给予“止血、输用代血浆、补液”后无明显缓解,病程中出现心悸、头昏、乏力、全身出汗,精神变差,查血压最低76/48mmhg,给予“羟乙基淀粉注射液”扩容抗休克处理,家属要求转入我院治疗,遂由***医院送入我院,门诊以“下消化道出血”收入我科。此次病程中精神差,已2天未进食,大便如下述,小便基本正常,体重无改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院3天前因患者家属抱起挤压后致胸前区疼痛,自行服用“活血止痛药”后症状无缓解,3天来,感疼痛逐渐加重,无腹胀、腹泻,无畏寒、发热、头昏、头痛,无咳嗽、咳痰、心慌、胸闷、气促等不适。家属今日带患者到我院门诊就诊,行胸部CT示:1、胸骨体骨折,断端明显错位;两侧多根肋骨陈旧骨折。2、胸椎多个椎体不同程度压缩性改变,建议MR检查。3、考虑两肺感染,建议结合临床。4、主动脉迂曲,主动脉弓及胸主动脉壁广泛钙化,右冠状动脉壁少许点状钙化。5、肝左叶小囊肿。建议结合临床。门诊以“胸骨骨折”将患者收入我科进一步诊治。患者此次患病以来,精神、睡眠差,进食量少,小便大便无异常,体重无变化。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前30年患者无明显诱因出现口渴、伴多食,夜间多尿,无体重减轻,未予重视未特殊治疗,24年前患者到***医院体检时发现空腹血糖15mmol/l,确诊为“2型糖尿病”,病程中予以二甲两胍、伏格列波糖、胰开等药物口服,患者未规律服用药物,控制血糖情况较差,遂加用长效胰岛素降血糖治疗。20年前患者反复出现两上肢水肿,外院诊断肾功能不全,肌酐不详,逐渐出现尿量较前减少,确诊为“糖尿病肾病”。并伴远端肢体麻木,伴皮肤刺痛感,及视力上降。入院前1月,患者无明显诱因出现左足跟疼痛,无外伤病史,无皮肤红肿热痛,为求进一步治疗,今日遂来我院门诊就诊,门诊以“糖尿病”收入我科进一步检查及治疗。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前4年患者于受凉后出现咳嗽、咳痰,咳嗽呈阵发性发作,咳出白色粘痰,伴喘息、气急,到*******医院就诊,诊断为“慢性阻塞性肺疾病”,给予抗感染、化痰、平喘等对症支持治疗后好转。之后下述症状反复发作,以受凉及春冬季发作较频繁,每年发病持续3个月,连续4年。10天前患者受凉后出现下述症状加重,活动后气促,以爬坡及爬楼时明显,两上肢轻度水肿,无发热、畏寒、寒战,无潮热、盗汗、消瘦,无咯血,无腹痛、腹胀,无头昏、头痛,无尿痛、肉眼血尿,无皮上出血、乏力等不适。于今日来我院就诊,为进一步治疗,门诊收入我科住院治疗。自患病以来,患者食欲、精神、睡眠一般,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前5+月无诱因出现右侧鼻阻,流涕曾于我院五官科就诊,经鼻内镜行鼻咽部肿物活检术+右侧咽部肿物活检术,术后诊断为“1.右侧扁桃体恶性肿瘤;2.鼻咽癌(咽部、鼻咽部鳞状细胞癌)”。患者于6月份到*****医院住院,再次行活检,家属诉仍诊断为“鼻咽癌、右扁桃体癌”(未见病历及检查报告),内科治疗好转后出院。入院前1+月患者受凉后出现咳嗽咳痰,量少,偶见痰中见血,伴头昏头痛,无畏寒发热,无四肢酸痛,无咯血胸痛,无恶心呕吐,无腹胀腹泻,无消瘦乏力,于今日来我院就诊,为进一步治疗,门诊以\"鼻咽癌、扁桃体癌\"收入我科住院治疗。病程中患者精神、饮食一般,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前20+年,常于受凉后出现喘累、气促,时感咳嗽、咳痰,咳出白色泡沫痰,呈阵发性发作,常自服抗炎药或于附近门诊输液治疗后下述症状可缓解(具体治疗方案不详),下述症状逐渐加重,需住院治疗。入院前3天,患者受凉后再次出现喘累、气促,伴咳嗽、咳痰,痰呈白色泡沫痰,无端坐呼吸,无咯粉红色泡沫痰,无胸痛咯血,无发热,无胸闷、无恶心、呕吐,无两上肢水肿,无潮热、盗汗,无畏寒、寒战,无腹泻、腹痛,无尿频、尿急,无意识障碍等。今日到我院门诊就诊,为进一步诊治,门诊以\"慢支炎、肺气肿,高血压\"收入我科住院治疗。患者此次起病以来精神、食欲、睡眠一般,大小便正常,体力体重无明显变化。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2年患者无明显诱因出现记忆力上降,易忘,无意识障碍,无明显头昏头痛,无流涎,无肢体麻木,无恶心呕吐,无心慌心悸等,未重视及诊疗。入院前半月患者无明显诱因出现反应稍迟钝,能完成简单算术,双位数算术不能完成,对答基本切题,无其他不适,未引起重视。入院前1天患者无明显诱因出现行走不稳,自诉行走时向前倾斜,需要家属搀扶,无头晕头痛,无恶心、呕吐,无耳鸣及视物旋转,无肢体麻木乏力,无胸痛,无心累气促,无颜面四肢浮肿,无呼吸困难等。今日患者行走不稳症状有所好转,到我院门诊就诊,为进一步诊疗收入我科住院。患者此次发病以来精神食欲可,睡眠一般,大便结燥,小便正常,体力体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前半月患者无明显诱因感活动后气促,出现全身水肿,伴纳差、胸闷,无心前区压榨感,无恶心、呕吐,无发热、畏寒,无咳嗽、咳痰,无少尿等。自行予中草药泡脚,无好转,未正规就医治疗。入院前5天患者气促、全身水肿加重,家属送其入*******医院就诊,诊断为“急性右心衰、心功能IV”,完善胸部CT、腹部彩超提示胸腔积液、腹腔积液,给予改善循环、利尿、平喘等治疗,家属诉水肿、喘累稍有好转,但患者病情重,全身水肿明显,精神稍差,建议转下级医院进一步诊治。今日家属送其入我院,为进一步诊治急诊科以“水肿待查”收治我科。患者此次起病以来精神、食欲、睡眠可,大小便正常,体力及体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。平素月经规律,月经周期30天,末次月经2015-01-21,预产期2015-10-28。孕早期早孕反应不明显,孕早期无感冒、发热、服药史,无腹痛、阴道流血、保胎史。孕20周开始自觉胎动至今。孕期正规产检,孕期甲功及总胆汁酸结果均正常。3+月前OGTT提示服糖后1小时高于正常,诊断妊娠期糖尿病,予运动+饮食控制,其后监测血糖基本正常。孕期无头晕、眼花、胸闷、心慌及皮肤瘙痒等不适。今日因超过预产期6天,彩超提示羊水指数8.3cm,BPS评分4分。以\"妊娠40+6周孕1产0LO、妊娠期糖尿病、胎儿窘迫?\"收入院待产。孕期神志清醒,精神良好,食欲好,二便正常,体重随孕周增加。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。4+年前患者无明显诱因感腹胀,伴两上肢水肿,纳差,与********医院完善相关检查,诊断为“乙肝肝硬化失代偿”,给予恩替卡韦抗病毒,保肝、利尿治疗好转出院。院外间断两上肢水肿,自服利尿剂可消退,病程中无呕血、黑便史。2天前,患者腹胀明显,轻度胀痛,伴嗳气、反酸,饮食量明显减少,伴两上肢凹陷性水肿,活动后气促,解黄色稀便数次,量少,无呕血、血便,无发热、咳嗽,小便量少,色加深,平素自服“呋塞米片 1片 1次/日,氯化钾片 1片 3次/日,恩替卡韦分散片抗病毒”,今日为进一步就诊,以“乙肝肝硬化失代偿”收入我科。病程以来患者精神、食欲欠佳,大小便如下所述,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1天,患者无明显诱因出现发热,最高体温38.9℃,伴四肢乏力,感头昏,无头痛,伴流鼻涕、纳差,伴咳嗽,无痰,无心悸、胸闷、胸痛,无腹痛、腹泻,无尿频、尿急、尿痛,无畏寒、寒战,无潮热、盗汗,无喘累、气促,无端坐呼吸、阵发性呼吸困难,无意识障碍等,自行予以“退热贴”退烧后就诊我院门诊,患者在来院就诊途中坐车后出现呕吐1次,为胃内容物,未见咖啡色样物质。到达门诊后就诊我院急救部,测血压165/82mmHg,查“胸片示1.慢支炎、肺气肿征,结合临床。2.主动脉迂曲”,为进一步治疗以“肺部感染”收入我科住院。患者自发病以来精神、食欲差,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者1周前无明显诱因感咳嗽,咯少许白色泡沫痰,无痰中带血,家属发现其多于晨起有喉头异常响声,似乎未气喘表现,无畏寒发热,无潮热盗汗,无夜间阵发性呼吸困难等不适,患者于我院门诊就诊,查胸片提示:1.左上肺少许感染,随访复查。2.主动脉球钙化。3.胸椎骨质增生。血常规:白细胞数 4.2×10^9/L、血红蛋白浓度 126 g/L、中性粒细胞百分比 69.10 %,CRP:C反应蛋白 <1 mg/l;门诊予以“头孢呋辛钠、盐酸氨溴索缓释片”等治疗,家属觉其咳嗽明显有好转,但仍有晨起喉头异常响声,咳嗽后消失,并感头昏,无头痛等其他不适,今日来院复诊,为进一步治疗收入我科住院。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前20+年,常于受凉后出现喘累、气促,时感咳嗽、咳痰,咳出白色泡沫痰,呈阵发性发作,常自服抗炎药或于附近门诊输液治疗后下述症状可缓解(具体治疗方案不详),下述症状逐渐加重,需住院治疗。入院前10+天,患者受凉后再次出现喘累、气促,伴两上肢水肿、乏力,无明显咳嗽、咳痰,无端坐呼吸,无咯粉红色泡沫痰,无胸痛咯血,无发热,无胸闷、无恶心、呕吐,无潮热、盗汗,无畏寒、寒战等不适,于当地医院就诊,考虑为“心肌梗死”,建议其下级医院就诊,为进一步诊治,门诊以\"冠心病?心肌梗死?\"收入我科住院治疗。患者此次起病以来精神、食欲、睡眠一般,大小便正常,体力体重无明显变化。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。1+年前患者因反复呕吐胃内容物于**医院检查,行胃镜、CT诊断为“食管胃结合部癌”。于2015-11-25 在全麻上行腹腔镜探查,术中探查见巨大肿瘤,侵及膈肌,失去手术机会。随后患者行5次化疗,给予“5-氟尿嘧啶+亚叶酸钙+奥沙利铂”。2016年3月患者停止化疗。病程中患者反复出现呕吐胃内容物,间断呕吐咖啡色胃内容物,自服止血、抑酸药物后症状可缓解。1天前患者呕吐暗红色血液约10ml,伴纳差,两上肢乏力,未解黑便,无晕厥、黑曚、意识丧失。今患者为求进一步治疗入我院门诊,门诊以“食管胃结合部癌”收入我科。患者此次患病以来,精神状态欠佳,大小便正常,体重减轻约25kg。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前30+年,患者每年冬春季节受凉后反复出现咳嗽、喘累,咯白色或黄色粘液痰,无胸痛咯血,每年发作2-3次,予以止咳、化痰、抗感染等对症治疗后好转,病程中患者出现活动受心累、气促,偶伴两上肢凹陷性水肿,半月前患者出现卡咳嗽、喘累症状,咯黄色粘液痰,未予以特殊治疗,自行在家吸氧治疗,2天前患者因洗头后受凉,1天前出现咳嗽、喘累加重,呼吸急促,伴不能平卧休息,伴两上肢水肿,无胸痛咯血、无发热、无咯粉红色泡沫痰,今日遂来我院门诊检查,门诊以“慢阻肺急性发作;脑卒中后遗症”收入我科进一步检查及治疗。病程中患者精神、饮食一般,大便正常,小便解便费力,排便不畅,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前5天无明显诱因开始出现活动后心累,经休息后可逐渐好转,并有上肢浮肿,且逐渐加重,偶有咳嗽,咳出较多白色泡沫粘痰,纳差。无胸痛、发热、盗汗、腹痛、腹泻、流涕、咽痛等。今日到我院急诊科查胸片提示两上肺少许感染,两侧次中量胸腔积液。血常规:白细胞数 10.7 10^9/L、中性粒细胞百分比 89.01 %,尿常规:尿液白细胞 未检出、尿液红细胞 未检出,肝功1:总蛋白 57.9 g/l、白蛋白 34.5 g/l。肾功、电解质、心肌酶谱大致正常。门诊以“水肿原因待查”收入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前7+年,患者开始反复出现心累、气促,伴咳嗽,曾反复就诊***医院,并发现患者“肺部肿块影”。患者就诊*******医院就诊,诉行“肺穿刺活检”示“炎性假瘤”(具体不详)。入院前1月,患者因心累、气促再次就诊***医院,伴咳嗽、咳痰,痰不易咳出,考虑“肺炎”等,予以抗感染等治疗后好转后出院。入院前1天,患者感心累、气促再发,偶有咳嗽、咳痰,伴腹胀、纳差,诉心前区烧灼感,无畏寒、发热,无胸闷、胸痛,无恶心、呕吐,无喘累、端坐呼吸等,今日就诊我院,为进一步治疗以“心累待查”收入我科住院。患者自发病以来精神、食欲差,进食极少,大小便未诉异常。近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前20+年多于受凉后出现气喘,心累,伴咳嗽,咯痰,每年累计发病超过3月,抗炎治疗有效,逐渐出现活动后心累,无胸痛,无胸骨后压榨感,无夜间阵发性呼吸困难等不适,诊断考虑“慢性支气管炎急性发作、阻塞性肺气肿、肺源性心脏病”。平时服用药物情况不详。1月前曾因咳嗽、心累症状再发到我科经抗感染、平喘治疗后好转出院。5天前,患者开始出现纳差,进食较少,感全身乏力,逐渐出现两上肢浮肿,无明显气喘、咳嗽、胸痛,无反酸嗳气,无恶心呕吐,无畏寒发热,无潮热盗汗等不适,今日家属将其送入我科住院治疗。患者自起病以来,精神、食欲、睡眠较差,体力明显上降,体重无改变。大小便正常。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1小时患者无明诱因出现头昏,伴心悸、气促,无胸闷、无喘累,无视物模糊、无眼前发黑,无咳嗽、咳痰等不适,患者近日疑似“感冒”,感全身酸痛,无发热、畏寒,无头昏、头痛,无两上肢水肿等不适,未予重视无特殊处理。今年6月因头昏1月,加重伴流涕1天于我可住院治疗,诊断为“1、脑梗死 2、急性支气管炎3、尿路感染 4、高脂血症5、神经痛。”予疏血通、氟桂利嗪改善循环,天麻素改善头昏症状,痰热清抗感染,美扑伪麻片、右氧氟沙星抗感染治疗后好转出院。今日于我院门诊就诊,为求进一步治疗,门诊以“心悸原因待查”收入我科住院治疗。患病来精神、饮食可,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2+小时患者无明显诱因出现头晕,伴视物旋转,感恶心、心慌、乏力,无呕吐,无耳鸣,无胸痛、胸闷,无咳嗽咳痰,无黑矇、晕厥,无头痛,无肢体无力麻木,无吞咽困难、饮水呛咳,闭眼时感下述症状稍好,睁眼加重,自诉持续约半小时后视物旋转逐渐好转,但仍感头晕不适,为求进一步治疗,遂入我院急诊科,查血压196/103mmHg,急查头部CT提示1、考虑两侧小脑半球脑陈旧脑梗死或软化灶,建议MR检查。2、考虑右侧基底节区腔隙性脑梗死。急诊科予以乌拉地尔降压后,收入我科进一步治疗。患者此次患病以来精神食欲一般、睡眠尚可,大小便正常,自诉行走较长时间后感喘累,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前2天患者无明显诱因出现头昏、乏力、心悸,伴恶心、呕吐,呕吐多次胃内容物,无咖啡色物质,无喷射性呕吐。伴剑突上不适,伴咳嗽、咳痰,感咽喉部不适。无黑朦、意识障碍,无腹痛、反酸、嗳气、烧心、呕血、黑便,无畏寒、发热、咯血、胸痛。在我院门诊就诊查“血常规:HB:69g/L,N:81.91%,余正常。”给予“健脾生血颗粒纠正贫血、强力枇杷露止咳,头孢克肟分散片抗炎,氨溴索缓释片止咳祛痰”等药物对症处理感咳嗽咳痰缓解。今日因呕吐不能进食,遂来我院要求住院治疗,门诊以“贫血原因待查,咽炎”收入我科。病程中精神、饮食差,大便黄色糊状便,小便基本正常,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前10+年患者于受凉后出现咳嗽、胸闷,伴咳痰,咳嗽呈阵发性发作,咳出白色粘痰,伴喘息、气急,到**某家医院就诊,诊断为“支气管哮喘、慢性支气管炎”,给予抗感染、平喘等对症支持治疗后好转。之后下述症状反复发作,以受凉及春冬季发作较频繁。2天前患者受凉后出现下述症状加重,偶有黄脓痰,伴喘息、气急,无发热、畏寒、寒战,无潮热、盗汗、消瘦,无咯血,无腹痛、腹胀,无头昏、头痛,无尿痛、肉眼血尿,无皮上出血等不适。于今日来我院就诊,为进一步治疗,门诊以\"慢性支气管炎急性发作 \"收入我科住院治疗。自患病以来,患者食欲、精神、睡眠欠佳,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。孕妇既往月经欠规律,末次月经2015年06月19日,根据早孕彩超推算预产期2016年5月12日。孕早期无阴道流血保胎史。孕20周自觉胎动至今。孕中晚期无头昏、眼花及皮肤瘙痒等不适。孕期正规产检,孕期查甲功、总胆汁酸正常,3+月前产检OGTT提示“妊娠期糖尿病”,予饮食控制及运动后监测血糖高于正常,建议患者住院调整血糖,患者拒绝。患者入院前1周产检彩超提示子宫上段瘢痕厚约2.0mm,无腹痛等不适,予门诊随访。患者今日孕39周,无明显腹痛、阴道流血液等不适,门诊以\"瘢痕子宫,妊娠期糖尿病,待产\"收入院。患者孕期以来,精神食欲好,二便正常,体重随孕周增长。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前20+年,常于受凉后出现喘累、气促,时感咳嗽、咳痰,咳出白色泡沫痰,呈阵发性,常自服抗生素或门诊输液治疗可缓解。下述症状反复发作,多次入住我科,予以抗感染、平喘、止咳祛痰等治疗病情好转出院。院外患者未长期应用经口吸入及口服解痉平喘药物,可耐受平地慢步活动。近1月患者感心累、气促,进食、如厕、洗脸即可诱发,伴尿少、两上肢及颜面部水肿,伴咳嗽、咳痰,为白色粘痰,无发热、畏寒,无恶心、呕吐,无胸骨后疼痛,无黑朦、晕厥等不适,今日患者家属送其入院,为进一步诊治收治我科。本次发病以来患者精神食欲较差,食量明显减少,小便量少,睡眠较差,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1年患者无明显诱因反复下腹阵发性疼痛,无放射痛,伴腹胀、反酸、嗳气,进食后明显,同时出现有乏力、劳累感,全身浮肿,无恶心、呕吐,无胸闷、心悸,无咯血,无发热,4月前曾因“头昏”在*******医院就诊,诊断“后循环缺血,胃炎,骨质疏松,低蛋白血症,重度贫血”,对症处理稍好转后出院。10天前在***医院查血常规 76g/l,未予治疗。3天前患者出现咳嗽、咳痰,无咯血,无发热,有头昏、乏力,伴心累气促,仍有四肢水肿,无夜间端坐呼吸,无腹泻、黑便,现为进一步治疗,门诊以“腹痛待查”收入我科住院治疗。病程中患者精神、饮食欠佳,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前7天患者无明显诱因出现解黑色糊状大便,每天1次,每次量约100-150g。伴头昏、乏力、心悸,无恶心、呕吐、呕血,无腹痛、腹胀、腹泻、黄疸,无胸闷、胸痛。在“****医院”就诊,诊断“消化道出血”,给予“止血、抑酸”等对症处理后大便逐渐成型,但仍解黑便。今日患者再次出现解黑色糊状大便,伴头昏、四肢乏力、阵发性心悸不适,在**医院就诊查“血常规:HB:53g/L,RBC:2.26*10^12/L,HCT:14.9%。”,建议下级医院治疗。现为进一步诊治,门诊以“下消化道出血”收入我科。病程中精神较差,饮食尚可,大便如下述,小便正常。体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前半月患者无明显诱因出现头昏,伴闷油,伴心累气促,无畏寒发热,无胸闷呼吸困难,无腹胀腹痛腹泻,无尿频尿急尿痛,伴上肢水肿,遂于***医院查血常规:白细胞数 5.51 10^9/L、红细胞数 2.42 10^12/L、血红蛋白浓度 48 g/L、血小板数 232 10^9/L、红细胞压积 16.4 %、平均红细胞体积 67.9 fL、平均红细胞血红蛋白量 20.0 pg、平均红细胞血红蛋白浓度 295 g/L,TCD示右侧椎动脉痉挛。为进一步治疗,门诊以\"重度贫血\"收入我科住院治疗。病程中患者精神、饮食一般,大小便正常,大便色黄,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前20+年,常于受凉后出现喘累、气促,时感咳嗽、咳痰,咳出白色泡沫痰,呈阵发性,常自服抗生素或门诊输液治疗可缓解。下述症状反复发作,多次入住我科,予以抗感染、平喘、止咳祛痰等治疗病情好转出院。院外患者未长期应用经口吸入及口服解痉平喘药物,可耐受平地慢步活动。近1周患者感心累、气促,进食、如厕、洗脸即可诱发,伴尿少,自觉腹胀,但每次尿量不多,无咳嗽咳痰,无气喘,无发热、畏寒,无恶心、呕吐,无胸骨后疼痛,无黑朦、晕厥等不适,今日患者家属送其入院,为进一步诊治收治我科。本次发病以来患者精神食欲较差,食量明显减少,小便量少,睡眠较差,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。4月前可疑受凉后患者出现活动后喘累不适,休息数十分钟后可缓解。伴四肢乏力、胸闷、心悸、腹痛。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、头昏、头痛、胸痛、腹泻、黑便。不伴晕厥、黑朦、意识丧失。病程中反复出现两上肢水肿,经对症处理后可好转。反复于受凉后出现如下症状。1天前可疑受凉后患者再次出现喘累明显,伴咳嗽、白色泡沫痰,伴两上肢水肿,伴剑突上疼痛、纳差。伴头昏、头痛。无晕厥、胸痛。无夜间阵发性困难,无咯粉红色泡沫痰。今患者为求进一步治疗入我院,门诊以“冠状动脉粥样硬化性心脏病”收入我科。患者此次患病以来,精神状态欠佳,大小便正常。体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1天,患者因受凉后出现咳嗽咯痰,白色粘稠痰,痰液不易咯出,咳嗽较重时感呼吸困难,发热,体温未测,咽喉疼痛不适,伴头昏胀痛,伴全身酸痛,偶有心悸,无畏寒寒战,无咯血,无夜间盗汗,无胸闷胸痛,无恶心呕吐,无腹痛腹泻等不适,于我院门诊输液治疗1次,下诉症状缓解不明显,故以“急性支气管炎”收入我科住院治疗。本次发病以来精神食欲欠佳,大小便如常,睡眠情况可,体重无明显上降。3年前诊断“慢性乙肝”,并考虑早期肝硬化可能,长期服用“恩替卡韦、安络化纤丸”控制病情,具体情况不详。有“反流性食管炎”病史,长期反酸烧心,偶有恶心呕吐,不能进食甜食,具体情况不详。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。平素月经规律,月经周期27-30天,末次月经2014-3-30,预产期2014-12-27。孕早期无阴道流血保胎病史。孕18周开始自觉胎动至今。孕期正规产检,孕期查甲功及甘胆酸正常,无创基因诊断提示低风险,OGTT提示餐后1小时血糖10.04mmol/l,余正常,予糖尿病饮食。孕期无头晕、眼花、胸闷、心慌及皮肤瘙痒等不适。入院前5天,患者来院产检彩超提示胎盘上缘距宫颈内口1.8cm,无阴道流血流液等。入院前2+小时,无明显诱因突然出现无痛性阴道流血,咖啡色伴血凝块,量约20ml,无发热、腹痛、肛门坠胀、阴道流液等不适,门诊以\"低置胎盘\"收入院。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。3+天前,患者无明显诱因出现四肢无力,无法站立及行走,躺于床下,偶可见四肢活动,家属无法判断是否存在意识障碍(患者双耳失聪),无畏寒、发热,无呕吐,无四肢抽搐及二便失禁,社区医师查血糖28mmol/l,遂急送入我院就诊,急诊血糖提示30.6mmol/l,予以胰岛素持续静脉泵入降低血糖治疗,完善头部+胸部CT提示两肺感染及右侧基底节及侧脑室体旁小腔隙灶,患者高龄,病情较重,与家属沟通后同意收入我科继续监护治疗。近期患者因“感冒”后出现流涕,偶有咳嗽、咳痰,自行服用药物后效果不佳(药名、剂量不详),自发病以来,饮食较差,无二便失禁,近期体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。1月前患者无明显诱因出现左上腹部疼痛,呈阵发性胀痛,无转移痛,无放射痛及牵扯痛,伴呕吐胃内容物双次,我院行腹部CT提示:阑尾提示炎性改变可能。外科保守抗感染等治疗,好转后出院。入院前8+小时,患者再次出现腹痛,同第一次入院前症状相似,仍为左上腹阵发性胀痛,休息后无缓解。无放射痛、转移痛,无恶心、呕吐,无腹胀、腹泻、便秘,无畏寒、发热,无心慌、胸闷、气促,无尿频、尿急、尿痛、肉眼血尿等不适。入我院门诊就诊,门诊以“腹痛待查:阑尾炎?”收入我科进一步诊治。患病以来患者精神,睡眠较差,进食可,大小便正常。患病以来患者精神,睡眠较差,进食可,大小便正常。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者4月前无诱因出现两上肢足背、胫前水肿,呈凹陷性,无颜面水肿,无咳嗽、气促、胸闷、胸痛、腹胀、腹痛,无发热、畏寒,自服“中药”,平卧休息后水肿稍消退,未进一步检查治疗。4月来水肿持续存在,表现为晨轻暮重,患者无特殊不适,日常活动及进食正常,大小便如常。1月前上肢水肿进展至两大腿根部,患者逐渐感腹胀、早饱,进食后恶心、呃逆,食量明显减少,自觉乏力,懒动。病情进行性加重,患者无胸闷、气促、咳嗽、心悸,间断感头昏。今为求进一步治疗来我院,门诊予“水肿待查”收住院。发病以来患者精神不佳,睡眠差,食量明显减少,活动减少,大便如常,小便如常,体重明显增加。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前10余年,患者无明显诱因出现活动后气促,间断出现两上肢水肿、夜间喜高枕卧位,偶有胸闷,于当地医院就诊,考虑为“冠心病”。5年前因气促加重,于“**医院”就诊,查心率30几次/分,给予安置“起搏器”,后喘累症状稍所好转,平素缓慢走平路即感气促,无明显胸闷、胸痛等不适。入院前10余天,患者喘累症状加重,伴心前区及腹部不适,偶有咳嗽,量不多,无明显胸闷、胸痛、心前区压榨感,无恶心、呕吐、腹泻,遂就诊于我院,为进一步治疗,门诊以“冠心病、心衰”收入我科住院治疗。患者此次患病以来精神食欲欠佳,大便量次数较多,睡眠尚可,体力明显上降,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1+天患者无明显诱因出现反复呕吐暗红色物质,其中可见血凝块(量较大,具体不详),感口干、心慌,出冷汗,无黑矇,无晕厥,无腹痛,解黑便数十次,无发热,无昏迷,无胸痛咯血,今日患者到我院急诊治疗,急诊测血压87/57mmhg,血常规提示HB84g/l,急诊给予巴曲亭止血,奥美拉唑抑酸,口服冰盐水+去甲肾下腺素,补液,请我科会诊后考虑“肝硬化失代偿,下消化道大出血,失血性休克”,病情危重,告知目前我院只能药物保守治疗,无法行内镜套扎等治疗,家属知晓病情,同意收我科进一步抢救治疗,患者患病后出现黑便,小便量较少,精神差,目前禁食,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前10年多于受凉后感咳嗽,咯白色泡沫痰,每年累计发病超过3月,未正规就诊治疗,抗炎等处理后症状缓解。入院前1年患者感活动后心累、气喘,无明显胸痛,无胸骨后压榨感,无上肢浮肿等,受凉后症状加重,曾在**医院检查治疗,考虑“肺气肿”,平时气喘加重后服用“氨茶碱”治疗。昨日患者受凉后病情加重,阵性咳嗽,少量粘痰不易咯出,稍动即感气喘,心累明显,无畏寒发热,无潮热盗汗,无胸痛,无上肢浮肿等不适,院外服用“感冒清胶囊”治疗,效不佳,今日来院求治,以“慢支炎”收入我科住院治疗。患者此次患病以来精神食欲差,大小便正常,睡眠尚可,体力及体重无明显改变.
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。半天前,患者出现中下腹及右下腹疼痛,呈持续性胀痛,伴阵发性加剧,发病前1天患者有进食少量油腻食物,伴腹胀、口干,无发热、呕吐、呼吸困难、心悸、胸闷,肛门未排气排便,自行服用药物(具体不详)后无明显好转。4+小时前,患者无明显诱因感腹痛加重,疼痛性质及部位同前,伴呕吐数次胃内容物,具体次数及呕吐物量不详,呈非喷射性,不含咖啡色样物质,遂就诊于我院,立即完善血糖、血淀粉酶、尿淀粉酶,下腹部CT提示急性胰腺炎,经我科会诊,考虑患者病情危重,与患者家属沟通后,以“急性胰腺炎”收入我科抢救监护治疗。患者发病后,未进食,精神差,大小便正常,体重无明显变化。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者于入院前10月因“直肠癌”于我科行腹腔镜直肠癌切除术(Dixon)、回肠末段单口造瘘术,手术顺利,术后给予对症治疗后患者恢复可,腹部造瘘口处大便排出通畅,大便性状正常,无大便带血及黑便,小便正常。患者3月前复诊,拟行造瘘口还纳术。行胸腹部增强CT及肠镜检查,示直肠吻合口周围明显狭窄,肠镜不能通过,局部浸润复发,未能行结肠造瘘口还纳术,行口服化疗药“希罗达”化疗,化疗3疗程后,近1周感恶心、呃逆明显,食欲上降,体重减轻,今来我院复诊,门诊检查后以“直肠癌术后”收入我科住院治疗。患者近1周以来精神欠佳,食欲较差,大小便正常,睡眠尚可,体重减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。患者入院前1年反复出现头昏,为头顶部阵发性胀痛,可自行缓解,病情反复,无眩晕,无恶心、呕吐,无耳鸣,偶有颈部不适,伴阵发性心悸,无腹痛、腹泻,无反酸、嗳气,无明显腹痛,无胸闷、心悸、胸痛,大便2-3次/日,无黑便,无发热,无咳嗽、咳痰,病程中曾在我院住院,完善相关检查诊断“1. 腹主动脉粥样硬化多发斑块伴溃疡;2.胃角糜烂;3.前列腺增生症;4.腔隙性脑梗死”。1天前患者头昏、心悸症状再发,伴下腹胀满不适。今日到我院就诊,今日为进一步治疗,以“头昏待查”收入我科。本次患病以来,精神、食欲欠佳,大便如下述,小便排尿费力,夜尿多,体重无明显改变。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前1周,患者无明显诱因出现剑突上不适,自诉“落气感”,感烦闷、闷胀、心悸,休息后可缓解,无恶心、呕吐,无胸闷、气促,无心前区压榨性感,无反酸、嗳气,无晕厥、呼之不应,无头昏、头痛,无腹痛、腹泻,无胸痛、胸闷,无明显咳嗽、咳痰,无尿频、尿急,无手足麻木及肢体活动障碍等不适。故就诊我院门诊,查“血常规:白细胞数 4.3 10^9/L、血红蛋白浓度 113 g/L ↓、血小板数 92 10^9/L ↓,心电图示窦性心律,右室肥大,ST段改变”,为求进一步治疗收入我科住院。近期患者精神、饮食一般,睡眠较差,小便正常,大便结躁,体力体重无明显减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。入院前12+年患者因多饮于*****医院诊断“2型糖尿病”,院外服用“二甲两胍、格列齐特、阿卡波糖”控制血糖,偶测空腹血糖约13mmol/L,餐后未监测,饮食控制欠佳,现患者感四肢麻木,偶感关节疼痛,无头昏头痛,无咯血疼痛,无胸闷心悸,无腹胀腹泻,无两上肢水肿。入院前3+年患者无明显诱因出现两上肢凹陷性水肿,活动后加重,偶诉颜面浮肿,伴头昏,无恶心呕吐,无胸闷心悸,无咯血胸痛,无消瘦乏力,无腹胀腹泻黑便,于今日来我院就诊,为进一步治疗,门诊以\"2型糖尿病 浮肿待查\"收入我科住院治疗。病程中患者精神、饮食一般,大小便正常,体重无明显上降。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。6+月来患者无明显诱因反复出现腰部阵发性胀痛,暮轻晨重,久坐、久站、受凉后加重,活动后缓解,无两上肢放射痛、麻木及大小便障碍等,未行正规治疗,1周前受凉后,腰痛加重,起卧翻身可诱发疼痛,影响睡眠,未行正规治疗,于今日来我院康复可症状,以“腰背部肌筋膜疼痛综合征”门诊收入住院。2+月前患者因颈肩部疼痛不适,以酸胀为主,呈阵发性发作,在院外诊治确诊患“颈椎病(混合型)”,平时受凉、伏案、劳累后出现颈肩部酸胀不适加重,偶感头昏,无两下肢麻木、胀痛,无心慌、胸闷等症状,近期出现症状反复。患者患病以来精神一般,食欲可,大小便正常,近期无明显体重减轻。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。1+天前淋雨后患者出现咳嗽、咳痰,痰为白色泡沫痰,可自行咳出。伴纳差,精神差、四肢乏力。病程中有大小便失禁。未测体温。不伴头昏、头痛、胸闷、心悸、胸痛、气促、腹痛、腹泻、黑便。给予服用“枇杷露、感冒清、阿莫西林”后症状无缓解。今日出现畏寒、寒战(体温不详),于当地卫生室给予“柴胡、头孢曲松”处理后呼叫120送入我院急诊,测体温38.8℃,指血糖9.0mmol/L。头颅CT:两侧脑室旁及半卵圆中心脑白质脱髓鞘,脑萎缩。急诊以“肺部感染”收入我科。患者此次患病以来,精神状态欠佳,纳差,大小便情况不详。体重无明显减轻。患者有老年痴呆,病史欠详细。
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请你用中文完成中文电子病历命名实体识别任务,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。2小时前患者突然跌倒(具体不详),家属诉枕部着地。随后出现呕吐胃内容物2次(量不详),无喷射样呕吐,未呕吐咖啡色物质。伴有小便失禁,无大便失禁。未诉头昏、头痛。无晕厥。不伴发热、畏寒、寒战、四肢乏力、胸闷、胸痛、心悸、气促、腹痛、腹泻、黑便。立即呼叫120,送入我院急诊科,查血常规:Hb 73g/l,肾功、电解质、心肌酶谱未见明显异常。腹部彩超:肝胆胰脾肾未见明显异常。头颅CT:脑萎缩、脑白质脱髓鞘改变。急诊以“头颅外伤”收入我科。患者为老年痴呆症病人,意识不清,对答不切题。此次患病以来,精神状态欠佳,小便失禁,大便未解。体重无明显减轻。