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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10月前无明显诱因出现进食吞咽困难,伴呕心,嗳气,呕吐。无泛酸、呕血,无腹泻、腹胀,无黑便、便血、粘液便,,于外院行胃镜检查示:胃底贲门癌。为进一步诊治来我院就诊。,我院CT示:胃底病变,符合胃癌表现;胃右动脉旁淋巴结肿大,考虑淋巴结转移。起病以来,患者无头晕、头痛,无发热、咳嗽、咳痰、胸闷、胸痛,精神体力一般,食欲上降,睡眠一般,小便正常,体重较前上降5+公斤。
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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2009年1月于本院诊断为十二指肠间质瘤,2009年1月12日行胰十二指肠切除术术,当时未发现肝转移,术后病理示十二指肠间质瘤。并于术后开始行伊马替尼400MG QD方案靶向治疗。2011年2月前在外院复查PET-CT提示肝左叶前段占位,当时未予重视。2011年7月于外院复查CT发现肝左叶多发环形强化结节病灶,考虑转移瘤。予以换用索坦靶向治疗,12月于本院复查腹部MRI,发现肿瘤较化疗前增大,于2011年12月21日在行肝肿瘤切除术。2012年5月10日PET/CT示“肝SS3段结节状高代谢,考虑转移灶”。现为进一步治疗入院。下次治疗至今患者无明显腹痛、无腹胀、无恶心、无呕吐、无畏寒、无发热,患者精神尚可,食欲如常。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。患者自述于4年3个月前(2011-7)体检时行腹部超声发现胃区回声不均匀,后查胃镜检查示胃窦部巨大溃疡性病变,取病理为低分化腺癌,`2011-7-4于我院肿瘤外科行胃癌根治术,术中见肿物位于胃窦部大弯侧,已侵透浆膜,腹腔粘连较轻,术后病理为进展期胃癌,中、低分化腺癌及粘液腺癌,淋巴结3/27枚转移,病理号为126582。术后入我科行奥沙利铂联合替吉奥方案化疗8周期,具体为奥沙利铂(乐沙定) 250毫克 D1静点,替吉奥(爱斯万) 60毫克 D1-D14日双次口服,期间未见II°以下不良反应,末次化疗时间2012-1.化疗结束后于我科行生物治疗,期间复查未见复发及转移病灶,2012-4入院复查CA724下升达98.3NG/ML,予替吉奥60毫克日二次口服D1-D14化疗7周期,后复查CA724为15.49NG/ML,停止服替吉奥,末次化疗时间:2012-10-8。现已行生物治疗12周期,定期复查,未见疾病转移及复发.现为进一步治疗入我科。患者近1月饮食睡眠一般,精神体力可,周身无疼痛,二便基本正常,体重无明显变化,ECOG评分1分。
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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2014年9月无明显诱因出现腹胀、腹痛,为阵发性隐痛,上腹为主,无明显规律性,伴有恶心,呕吐,进食后明显,且肛门排气排便减少,无明显便血、便条变细,无里急后重感。遂到外院就诊,,查肠镜示:回盲瓣充血水肿;部分直肠、乙状结肠肿胀狭窄;,病理示:直肠粘膜慢性炎。CT,示:腹部回肠局部管壁普遍性增厚,周围脂肪间隙模糊,考虑炎症性病变可能性大,建议进一步检查。 经治疗后症状反复,2014-11-27于我院行急诊空回肠侧侧吻合+横结肠造口术,术后第12天患者伤口有墨绿色渗液,考虑为吻合口漏,行急诊剖腹探查,见漏口位于原粘连扭曲段回肠,行空肠造瘘术,放置脾窝、盆腔及回肠漏口旁引流管各1条。患者下次出院以来,诉腹胀,偶有脐上腹部一过性疼痛,程度轻,食欲、睡眠及精神差,小便正常,体重较下次入院上降6.5KG。
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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2年前行肠镜诊断为“直肠癌”行直肠癌根治术,术前CT可见左上肺2个病灶,无咳嗽、咳痰,无寒战、发热等。术后予FORFOX化疗6程,后因化疗副反应大停止,化疗后评价肺部病灶疗效为PR。后继续口服XELODA维持。2010年12月因粘连性肠梗阻再次行手术治疗。术后继续予XELODA治疗至今。现为进一步诊疗就诊于我院,门诊拟“直肠癌左上肺转移”收入院。患者自起病以来,肺部病灶较前无明显变化,无头晕、头痛等,精神、食纳、睡眠较差,大小便如常,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。患者11个月前出现进食哽噎感,逐渐加重,8个月余前就诊于我院,行胃镜检查提示“食管上段恶性肿瘤”,病理回报:“食管鳞癌;胃角低级别绒毛状管状腺瘤”,患者及家属放弃手术治疗,要求行化疗治疗。于我院胸外科行多西他赛130MG+奈达铂140MG化疗3周期。化疗3周后就诊于我科行局部放疗1疗程,同时予同步DP方案化疗1周期(多西他赛100MG第1日,顺铂30MG连3日)。放化疗于4个月余前结束。1个月余前患者复查发现腹腔淋巴结肿大,诊断为腹腔淋巴结转移,就诊于我科行局部放疗,同时予同步替加氟联合顺铂方案化疗(替加氟1.0连5日,顺铂30MG连3日)。现放疗20次,化疗后3周,来诊拟进一步治疗。患者病来精神状态可,无明显乏力,现可进普食,无前胸、后背痛,无胸闷、气短,饮食、睡眠尚可,二便可,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。缘于入院前5个月于我院确诊“食管癌”,于2013.10.27行“食管癌切除、胃食管弓下吻合术”,手术顺利,术后恢复良好后出院,无胸闷、憋气;无胸背痛;无腹痛、腹胀;无呕血、黑便,偶有返酸,无呼吸困难等不适,2013.11.23、2013.12.20、2014.01、17、2014.02.09于我院按“洛铂50MGD1-D3+安素泰240MGD1”方案化疗4次,化疗过程顺利,无明显恶心、呕吐,无心前区闷痛等不适。7天前患者吞咽困难,行胃镜检查示“食管吻合口狭窄”,门诊遂拟“食管癌术后(PT3N0M0II期)”收住入院,发病以来,饮食睡眠尚可,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2014年7月无明显诱因出现腹部隐痛,部位不定,可自行缓解,伴腹泻,大便3-4次/天,患者到外院诊断为\"胃病\",予对症处理未见好转,腹痛局限在下腹部,伴腹胀,胃纳差。外院肠镜检查提示肝曲结肠肿物,肠镜不能通过。另见距肛门40CM、15CM双个息肉,已切除。2014-09-23日于我院行左半结肠切除+WIPPLE术,术后病理:(肝曲结肠癌侵犯周围脏器)镜检为结肠中至低分化管状腺癌,少部分为印戒细胞癌,癌组织侵犯至肠壁浆膜层外结缔组织,并累及胆囊壁外膜层;胃壁浆膜层、十二指肠浆膜层与胰腺包膜间见大量纤维增生、慢性炎症细胞浸润,伴脓肿形成;胃壁、十二指肠、胰腺及肝组织均未见癌侵犯;可见脉管内癌栓,未见明确神经束侵犯;间质有多量淋巴细胞、组织细胞浸润,伴淋巴滤泡形成,建议临床进一步检查以除外LYNCH综合征可能。淋巴结见1枚腺癌转移。手术后患者出现肝功能损害,ALT和AST最高分别为122.2和182.1U/L,TB和DB最高分别为104.5和87.9UMOL/L。2014年11月6日-2015-04-22于我院行XELOX辅助化疗。患者下次出院以来,精神食欲睡眠可,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。患者1年前因胃癌在本院行胃癌根治术(全胃切除术+间置空肠吻合术),手术恢复顺利,术后病理示:胃体后壁溃疡型低分化腺癌伴印戒细胞癌,大小2.5*1.5CM,侵入至浆膜层,未见脉管癌栓,淋巴结未见转移。1月前无明显诱因的出现腹痛,呈阵发性,无向它处放射,并腹胀、肛门停止排气,在外院治疗,考虑肠梗阻,予以保守治疗,具体用药不详,症状缓解,此后反复发作2次。为求手术治疗入住我科。起病以来,进食欠佳,无呕吐,睡眠可,大、小便正常,精神佳,体重减轻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。,缘于入院前1月余无明显诱因出现中下腹部闷痛部闷痛不适,为持续性隐痛,无其它部位放射,与进食无关,无恶心、呕吐,无返酸、嗳气,无纳差、乏力,无腹泻、便秘,无呕血、黑便,无发热、咳嗽、咳痰,未予进一步诊治,症状可自行缓解,但反复发作。入院前20天就诊我院,,查腹部CT示:胃底贲门部小弯侧及窦部胃壁不均匀增厚伴周围多发小淋巴结,可能为胃癌未累及浆膜层,建议胃镜检查。,进一步行胃镜检查示:胃窦溃疡,,病理回报:低分化腺癌。现为求进一步诊治,门诊拟“胃窦癌”收入院。自发病以来,精神、睡眠可,食欲一般,大小便如常,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8个月前在我院诊断为直肠癌伴肝脏多发转移,完善检查后于2009-1-4在全麻上行剖腹探查,姑息性直肠癌切除术,术后病理回报直肠溃疡型中分化腺癌,大小5*3.5CM,侵透肠壁全层,淋巴结8/17见转移,未见脉管癌栓。患者术后恢复较好,已按照希罗达联合紫杉醇方案化疗数周期(具体不详),1个月前复查腹部CT提示肝脏病变进展,改行FOLFIRI+ERBITUX方案化疗2周期,于2009-9-10在我院复查腹部CT提示肝脏病变明显进展,故为进一步治疗收住我科。自手术以来患者精神、睡眠、食欲可,二便正常,体重减轻二公斤。
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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9个月前因“大便习惯性状改变10月余”就诊我院,,诊断为:乙状结肠癌肝转移。患者于2011年7月4日行姑息性\"乙状结肠癌切除术\"。,术后病理结果回报:中分化腺癌,浸润至肠壁浆膜层。淋巴结未见转移。患者术后恢复可,于2011-7-26、2011-8-9、2011-8-23、2011-9-6、2011-9-20、2011-10-10、2011-10-26及2011-11-16予FOLFOX+AVASTIN方案化疗8程,于2011-12-7行肝转移瘤微波消融术+放射性I125粒子植入术,手术过程顺利,术后无诉不适。于2012-02-17于全麻上行“肝转移瘤切除+胆囊切除”,术顺,术后病理示肝S6、7见腺癌浸润,肝S5、8见凝固性坏死。现术后1月余,2012-3-22行FOLFOX方案一程。患者无明显腹痛、无腹胀、无恶心、无呕吐、无畏寒、无发热,患者精神尚可,食欲如常。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2年余前受凉后出现发热,体温最高39.5℃,伴咳嗽、咳痰,在社区门诊诊断为“呼吸道感染”,给予抗炎及退热(具体药物不详)等治疗,效果差。发病当日遂来我院就诊,收入“保健科”治疗。入院后治疗效果不佳,2天后患者呼吸衰竭,遂转ICU继续治疗。转入后给抗感染、提高机体免疫力、化痰、平喘、营养支持等治疗,经口气管插管接呼吸机辅助呼吸纠正呼吸衰竭。经过治疗,患者逐渐脱离呼吸机,但自主咳痰能力差,遂行气管切开术(2012-02-22),患者病情趋于稳定。但因高龄、长期卧床、自主咳痰能力差等因素,反复出现发热,即根据细菌学培养结果调整抗生素治疗方案,经抗生素治疗后疾病控制理想。患者肺炎、呼吸衰竭时有反复,间断应用呼吸机辅助呼吸。患者痰液较多且无法去除人工气道。2014年11月份患者出现急性肾损伤状况,行CRRT治疗。需继续在ICU治疗,反复办理出入院,继续住院治疗。 患者自发病以来,先后鼻饲及胃造瘘饮食,睡眠不规律,大便基本正常。
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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月余前(2015-9-25)因“直肠癌”于我院行直肠癌根治术(DIXON术),,术后常规病理示:(直肠)中分化腺癌,溃疡型,肿瘤切面积4.5*1.1CM,侵及深肌层2/3,下上切缘及吻合切缘未查见癌,肠周淋巴结11枚(0/11)未查见癌。,病理号:34732.15。术后给予消炎、营养支持治疗,病情好转后出院。后返院行洛铂+CF+替加氟方案化疗1周期,耐受可。后患者行返院行洛铂+替吉奥方案化疗4个周期。现患者为行上一周期化疗治疗来我院,门诊以“直肠癌术后化疗”收入院。自下次出院来,患者饮食睡眠尚可,大便次数约4-5次/日,小便无明显异常,体重较下次出院无明显改变。高血压病史6年,最高收缩压可达220MMHG,平素口服拜新同、缬沙坦药物治疗,血压控制在140/60MMHG。糖尿病3年,平素口服二甲两胍、亚莫利药物治疗,血糖控制可。
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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。缘于入院前1个月无明显诱因出现中下腹部闷痛不适,为持续性隐痛,无其它部位放射,与进食无关,无恶心、呕吐,无返酸、嗳气,无纳差、乏力、消瘦,无腹痛、腹泻、便秘,无呕血、黑便,无发热、咳嗽、咳痰,未予治疗,症状无明显好转,此次至我院门诊行胃镜检查示:“贲门肿物”(报告单及病理未出),遂门诊拟“贲门肿物”收入院。自发病以来,精神、睡眠可,食欲一般,大小便如常,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1年前出现下腹部不适,以中下腹部明显,进食后明显,伴有返酸,轻度腹胀,无发热,无嗳气,无恶心、呕吐,无腹泻,无便血,无心慌、胸闷,无胸闷、胸痛,无吞咽困难,无呃逆,曾口服中草药调理,服“吗丁啉、质子泵抑制剂(具体不详)”,效果好,症状时好时差,仍有阵发性腹部不适,今日遂来我院行胃镜检查示“浅表萎缩性胃炎、胃息肉”,发现胃部息肉8个,行内镜上息肉切除术。为进一步系统治疗,门诊以“胃炎”收入院。 患者自发病以来,神志清,精神可,饮食睡眠正常,二便可,体重近期无明显变化。
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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1年半余前因“原发性肝癌”于2012年3月16日在全麻上行经典原位非转流式肝移植术,手术,顺利,术后给予抗感染、抗排异、保肝、营养支持等治疗。术后出现短期肾功能不全,经积极护肾、透析治疗后肾功能明显好转。后患者出现低热,行甲状腺穿刺结果:桥本式甲状腺炎。给予抗炎对症治疗后病情逐渐恢复,康复出院。11月前患者无明显诱因出现皮肤瘙痒,再次来我院,行胆道造影示肝内胆管显示欠佳,给予更换引流管,于2013年3月28日在介入科行胆管造影并再次置换引流管,好转后出院。于9月24日在介入科行胆管造影并置换左肝内引流管,引流通畅,患者无不适,于10月9日在介入科行胆管造影并置换引流管,7天前患者不慎将引流管拖出,自行重新置入,现患者为进一步治疗来我院,门诊以“肝移植术后”为求进一步治疗来我院。 患者自下次出院以来,患者精神可,睡眠可,饮食可,大小便无异常,体重无减轻。
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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。患者于2016年9月底因停服“洛索洛芬钠片”出现恶心伴胸骨后疼痛,晨起及餐后加重,头痛,无头晕,无反酸烧心,无恶心呕吐,无发热寒战,于当地诊所口服药物治疗,具体药物不详,头痛症状消失,其余症状仍在,为寻进一步治疗,于2016-10-05门诊以“慢性胃炎”收入院。入院后给予抑酸、促进粘膜修复等药物治疗,行胃镜检查提示慢性萎缩性胃炎,食管乳头状瘤,未予处理,病情好转出院。出院后未再复查,未系统服药,时有下腹部不适,现为行“食管乳头状瘤”胃镜上切除来院,门诊以“食管息肉”收入院。 患者自发病以来,神志清,精神一般,饮食、睡眠一般,大便、小便正常。近期体重无明显变化。
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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。缘于入院前1月于外院体检行LCT检查示非典型鳞状下皮细胞,遂行阴道镜上活检,病理(B-184256)提示宫颈及宫颈管部分鳞状下皮高级别下皮内瘤变(CINIII级,伴挖空细胞,广泛累及腺体。阴道壁示鳞状下皮高级别下皮内瘤变(VAINII级)伴挖空细胞,HPV58(+)。当地建议行宫颈锥形切除,因个人原因予以拒绝。我院病理(H201600305)会诊示宫颈及宫颈管鳞状下皮高级别下皮内瘤变,阴道壁鳞状下皮VAINII-III级,表面见挖空细胞。平素无接触性出血,绝经后无异常出血、排液,今为进一步诊治,前来我院,门诊拟“CINIII级”收入院。自发病以来,精神、睡眠、食欲尚可,大便、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年余于我院体检肠镜发现于距肛门25CM以远见多发扁平状息肉,大小约0.3-0.5CM,欲行内镜上息肉切除术,切除其中较大者三枚。于距肛门15CM见一宽基息肉,大小约1.2CM,予行内镜上黏膜切除术,将其完整顺利切除,,术后病理:“肠管状腺瘤,伴低级别下皮内瘤变”,,术后诊断:“结肠多发息肉内镜上息肉切除术(部分)”。平素常有便秘,3-5天排便1次,排便费力,大便干结不易排出,无腹痛、腹泻,无便血、排黑便、粘液脓血便,无恶心、呕吐、呕血,无眼黄、尿黄、皮肤黄,今为进一步行内镜上治疗,门诊拟结肠多发息肉收治我科。自发病来,精神好,饮食好,小便无异常,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。入院前8天,患者于晨起时出现腹痛,腹痛主要位于下腹,为持续胀痛,进食后疼痛无明显加剧,疼痛向腰部放射,伴有恶心及呕吐,呕吐物为胃内容物,不含咖啡样物质,非喷射状,无畏寒、发热、心悸、尿少、腹泻等不适、否认既往皮肤巩膜黄染史,否认消化道溃疡史,否认下腹腹部外伤史,否认肛门停止排气、排便。遂入我院就诊,淀粉酶 349.53 U/L,脂肪酶 579.79U/L,血常规 白细胞 12.00×10~9/L,N% 93%,考虑重症急性胰腺炎,在我科住院诊治,给予禁食禁饮、抑酸、抑酶、护胃、补液、抗感染、胃肠减压等对症支持治疗,因患者病情危重,合并ARDS可能,于6天前转*****继续诊治。在附一院ICU给予气管插管呼吸机辅助通气、禁食禁饮、胃肠减压、抗感染、抑酸抑酶、持续血液滤过灌流、输血浆、输白蛋白、保肝等对症支持治疗后,患者症状缓解。今日,患者及其家属要求转回我院继续治疗,门诊以“重症急性胰腺炎、MODS”收入院。\U0004 患者本次发病以来,无进食, 神志清醒,精神欠佳,睡眠欠佳,未解大便,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。,入院前1月余因“肝内外胆管结石伴急性胆管炎”在全麻上行“胆总管切开取石+术中胆道镜取石+左肝部分切除+右肝内叶‘十字’切开取石”术,术顺,,术后病理示:(肝组织),:肝内胆管结石伴慢性炎症,汇管区小胆管及纤维组织增生伴少量慢性炎症细胞浸润,肝组织呈结节性肝硬化改变。术后恢复良好,无恶心、呕吐,无返酸、嗳气,无纳差、乏力、消瘦,无腹胀、腹泻、便秘,无呕血、黑便,无畏冷、寒战、发热,今为入院复查,求诊我院,门诊拟“胆道术后收住入院。自发病以来,精神、食欲、睡眠尚可,大小便如常,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。入院前4+月,患者因“直肠腺癌”于2014.9.27在全麻上行腹腔镜上直肠癌根治术(DIXON)。术后抗感染补液及营养支持治疗,术后病检(1407878):(乙状结肠30CM处)息肉,(直肠)腺癌。于,10月11日、11月13日、1月6日行化疗(奥沙利铂+替加氟,疗程5天方案),患者化疗反应轻,化疗后精神、食欲、睡眠尚可,未有发热,未明显见脱发,无咳嗽、咳痰,今日患者为拟行第4次化疗,到我院门诊就诊,门诊以“直肠癌术后,拟行第4次化疗”收入我科住院治疗。
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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。7月前,患者无明显诱因出现纳差,食欲减退,身黄、眼黄,伴恶心,无呕吐、呕血,无黑便、便血,无腹胀、腹泻,无陶土样便,无发热、畏寒,无腰痛、酱油色尿,于我院就诊,诊断为“肝硬化”,予保肝等治疗(具体用药不详)后症状缓解出院,平素服用“谷胱甘肽”保肝治疗。3月前,患者于我院就诊,行胃镜检查示:胃窦溃疡(H1期),浅表性胃窦炎伴糜烂(III级),十二指肠球炎伴糜烂。15天前,患者自觉皮肤瘙痒,纳差加重,未予特殊处理,4天前,患者无明显诱因出现中下腹痛,以剑突上为主,呈持续性胀痛,程度不重,手按后疼痛加重,平卧休息可减轻,伴恶心、干呕,无呕吐、腹泻,无发热、畏寒,无呕血、便血,为求进一步治疗入我院,门诊以“肝硬化”收入。\U0004 患者本次发病以来,食欲减退, 神志清醒,精神尚可,睡眠尚可,大便正常,小便正常,近15天来体重减少3KG。
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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。患者自述半年前无明显原因出现烧心,无下腹痛,时有胃胀,半月前无明显诱因出现嗳气频作,伴有进食时哽咽感,下腹部胀满不适,无恶心、呕吐,无腹痛,无发热,无心慌、胸闷,无咳嗽、咳痰,无发热,无全身乏力,期间未作特殊诊疗,今日于我院门诊就诊,行电子胃镜检查,超声内镜结果示:贲门胃底占位(恶性可能,待病理),现为求进一步治疗,门诊以“贲门胃底占位”收入院。 患者自发病以来,食欲可,睡眠可,小便可,大便每日1次,呈黄色不成形软便自诉大便不成形半年余,无粘液脓血,体重减轻近3KG。
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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月前无明显诱因出现大便性状改变,伴轻度腹部不适感,排便后可稍缓解,伴有大便变稀,不成形,大便次数约1-3次/天。时有轻微恶心、下腹轻微腹痛不适感。无黑便、粘液血便等;无畏寒发热、无明显纳差腹胀、消瘦乏力、体重减轻等不适;无肩背放射痛。患者自觉大便不成形及次数增多,故来我院门诊做胃镜及肠镜检查,,胃镜检查报告提示:浅表性胃窦炎伴糜烂;,肠镜检查提示:结肠多发息肉.患者为进一步结肠息肉摘除术治疗,收住我院我消化内科。\U0004 患者本次发病以来,食欲正常, 神志清醒,精神尚可,睡眠尚可,,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6个月前无明显诱因出现剑突上疼痛,为胀痛,呈阵发性,不向肩背放散,饭后加重,喝温水后稍缓解,与排便无明显相关性。无反酸、嗳气,无恶心、呕吐,未意。3个月前下述症状加重,且发作频次较前增多,2013-12-27日患者于我院行胃镜检查提示:胃多发息肉;浅表性胃炎伴糜烂。现为行胃息肉电切术入住我院。患者病来精神状况可,偶有咳嗽、无咳痰,无发热,二便如常,饮食、睡眠可,体重未见明显变化。
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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3年前无明显诱因出现尿频、尿急,白天排尿10余次,夜间排尿2-3次,无 尿痛。逐渐出现排尿踌躇,自觉排尿费力,尿线变细,排尿时间延长,并伴有尿末滴沥现象。1年前于我科住院因PSA为15NG/ML行超声引导上经直肠前列腺穿刺活检术,术后病理为前列腺增生。后一直服用哈乐,保列治至今,下述症状未见明显好转,患者为求进一步诊治入院。病来不伴有肉眼血尿,不伴有发热及腰痛,不伴有排尿中断现象,不伴有食欲不振。睡眠差,大便正常。 高血压病史10余年,未系统药物治疗,血压控制可。 冠心病史10余年,未系统药物治疗,近半年无心前区不适症状。
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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。患者五个月前以直肠恶性肿瘤于我院行直肠癌根治术,术后一个月因腹腔脓肿于我院行抗炎抑酸补液对症治疗一月余后出院,11月22日因“不完全肠梗阻”入院,经保守治疗症状缓解后12月8日出院,今自述一周前为做肠镜服用和爽1小时后开始恶心,呕吐,腹痛,腹泻,呕吐物为胃内容物,同时开始发热,体温最高可达39℃,自服“美林”后可降至37.5℃。三日来不停打嗝,现为求进一步诊治,来我院就诊。患者病来无头晕、头痛,无胸闷、心慌、气短,无呼吸困难,四肢乏力,精神状态较差,纳差,小便尚可,睡眠不佳。
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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40余年前开始出现胃脘部不适,于当地门诊行胃镜检查结果示:“慢性胃炎”,未系统住院治疗,自行服用抑酸、保护胃黏膜药物治疗,病情好转后即停药,后胃脘部不适反复发作,均自行口服药物治疗,病情时轻时重。后于我院复查胃镜示“慢性萎缩性胃炎”,病情进一步进展,6月前患者复查胃镜示“胃早癌”,遂于我院肝胆外科行“胃早癌剥离术”,术后患者一般情况尚可,偶有胃脘部胀痛,伴嗝气,无乏力,无反酸、烧心,无恶心、呕吐,无头晕、头痛,无心慌、胸闷,现为复查胃镜及求术后进一步内科巩固诊治来我科就诊,门诊以“胃早癌剥离术后”收入院。 患者自发病以来,神志清,精神可,食欲差,睡眠可,大小便未见明显异常,发病以来体重未见上降。
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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2011年4月因\"体检发现肝占位5天\"于本院诊断为肝癌,2012年4月13日行肝癌+胆囊切除,术中发现肿瘤大小约3.7X3.5CM,无卫星灶,无血管侵犯,术后病理中分化肝细胞癌。患者术前AFP1459NG/ML,术后降至正常。术后未行其它抗肿瘤治疗。4月19日在本院复查CT提示肝癌术后肝S4小结节,10X9MM,较前增大,怀疑复发,现为进一步治疗入院。下次治疗至今患者无明显腹痛、无腹胀、无恶心、无呕吐、无畏寒、无发热,,患者精神尚可,食欲如常。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5年前无明显诱因出现返酸、烧心症状,时有恶心、剑突上疼痛疼痛不适,自服“胃炎颗粒”后下述症状减轻,每日大便2次,分别于晨起及早餐后一段时间出现,有里急感,大便粘腻不成形,无嗳气,无腹胀,无头痛、头晕,无心慌、胸闷,曾于2013-04-15于我院门诊行胃肠镜检查,胃镜示:反流性食管炎(LA-B)、糜烂性胃炎,结肠镜示升结肠近肝曲见一无蒂息肉,大小约0.4CM*0.5CM,并行内镜上切除术,术后未规律口服药物治疗,自觉术后大便好转,无明显里急感,近5年来仍有反酸、烧心、剑突上疼痛、恶心不适,一般于下午出现,无午夜痛。近半年来患者出现起床后及早餐后需立即大便的情况,里急感明显,大便呈糊状,粘腻,有时呈淡黑色,非柏油样便,午餐及晚餐后无便意,今为求进一步治疗遂来我院就诊,门诊以“反流性食管炎、慢性胃炎、结肠息肉术后”收住我科病房住院治疗。 患者自发病以来,神志清,精神可,饮食、睡眠可,小便无异常,大便同前,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2009-2-1于本院胃胰科行胃癌根治术,术后胃癌术后PT3N2M0,术后奥沙利铂+卡培他滨联合化疗5疗程,化疗毒副作用大未完成化疗,定期复查未见复发,2月余前患者出现腰骶部疼痛不适,就诊我院行盆腔CT示骶椎骨质破坏并软组织肿块,符合骨转移瘤,期间予羟考酮口服镇痛治疗后疼痛较前缓解,于2017-02-15在超声引导上行骶尾部肿物穿刺术,术后病理示转移性低分化腺癌,今为进一步治疗,2月以来,患者精神、食欲、睡眠欠佳,大小便不畅,体重上降不详。
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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2017年1月开始出现进食有哽噎感,伴进食后胸骨后疼痛,伴反酸,无恶心、呕吐,无呕血、黑便,无咳嗽、气促,无声嘶、呛咳。当时未重视,后进食哽噎感较前加重,并出现2次进食后呕血,为鲜红色血块,量约数毫升,遂来我院就诊,做超声胃镜提示“距门齿25-29CM食管右后壁菜花样肿物,因胃腔大量食物潴留,未行超声胃镜”,CT提示“食管胸下段管壁不均匀增厚,考虑食管癌可能大。两侧气管食管沟小淋巴结”,于2017年02月13日行机器人辅助上三切口食管癌根治术。术程顺利,,术后病理:(食管大体)镜检为食管低分化鳞状细胞癌,癌组织浸润至食管壁外膜层;可见脉管内癌栓及神经束侵犯;切缘(-);淋巴结阳性(0/19)。,诊断:胸下段食管低分化鳞癌(PT3N0M0,IIB)。术后恢复良好。2017-4-13、2017-5-13行TP方案辅助化疗2程。现为上程化疗入院,起病以来,患者精神、食欲、睡眠尚可,术后食管有异物感,食量有所减少,大小便正常。近期体重上降约7KG。
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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1月前因“发现肝占位5天”入院,入院后完善相关化验、检查,行下腹CT平扫+增强示:肝右外叶小肝癌;肝多发囊肿;胆囊底部结节,结合病史及相关化验检查,肝肿瘤诊断明确,查无明显手术禁忌症,于2016年6月27日行肝肿瘤切除、胆囊切除术,手术过程顺利,术后给予抗炎、抑酸、保肝、补液及对症支持治疗,患者恢复顺利。患者自出院以来,无腹痛、腹胀,无恶心、呕吐,无寒战、发热,无黄疸,无胸闷、憋喘,无咳嗽、咳痰、呼吸困难,无尿频、尿急、排尿困难,现患者为求进一步诊治,来我院就诊,门诊以“肝肿瘤切除术后”收住院。 患者自出院以来,神志清,精神可,食欲、睡眠可,大小便无异常,体重近期无明显变化。
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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5月前无明显诱因出现下腹隐痛,与饮食无明显相关,无泛酸、嗳气,无恶心、呕吐、呕血,无腹泻、腹胀,无黑便、便血、粘液便,,于我院行胃镜检查示:胃体下部小弯肿物,大小3×3㎝。,病理:低分化腺癌。为进一步诊治来我院就诊。起病以来,患者无头晕、头痛,无发热、咳嗽、咳痰、胸闷、胸痛,精神体力一般,食欲上降,睡眠一般,小便正常,体重较前无明显上降。
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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4年前因乙状结肠癌于我院行结肠癌根治术,术后定期化疗。8月前于我院就诊,行相关检查后提示结肠癌术后两肺多发转移,给予化疗5周期,方案为伊替立康200MG D1、D8+亚叶酸钙300MG D2-6+替加氟1000MG D2-6同时给予升白、止吐,保肝等对症治疗。院外期间,患者无发热,仍有腹痛不适,无恶心呕吐,现患者为求进一步诊治再次来我院就诊,门诊以“结肠癌术后复发”收住入院。 患者自发病以来,神志清、精神可,饮食、睡眠可,大便、小便无明显异常,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。患者5月前于我院行腹腔镜辅助上探查+直肠癌根治术 ,术后恢复好, 病理检查回示:直肠溃疡型中-低分化管状腺癌,浸及肠壁深肌层,脉管内见癌栓。下切端及肛门均未见癌累及。肠壁下淋巴结未见癌转移(0/15),分期T2N0M0,于下月在我院行第1次化疗,化疗期间及出院后无恶心、呕吐,无腹胀、腹泻,无手臂及口周麻木,今日患者为求第2次化疗治疗,至我院就诊,门诊以“直肠腺癌术后”收入院。\U0004 患者发病以来,神志清晰,精神可,胃纳可,睡眠可,大便如下所诉,小便正常,体重较前无明显变化。
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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8个月前出现腹痛、呕吐、腹胀,可排大便。腹痛阵发性剧烈绞痛,伴有呕吐,呕吐物为食物或胃液,间歇出现,呕吐后腹痛有所缓解。曾在我院急诊行保守治疗好转出院。7个月前病人下诉症状再次出现,并伴有便血症状,不伴有发热。入我院肝胆外科,于2012-8-10行根治性左半结肠切除术,术中见盆腔内无转移结节,肝脏无转移结节。肿瘤位于结肠肝区,大小约3*1.5CM,已经绕肠管近2/3,部分浆膜受侵。术后病理为(左半结肠)高中分化腺癌,侵及浆膜,术中未见淋巴结转移,病理号Z0439304。,免疫组化:,A2:CK7(灶状+)CK20(+)CA199(+)CEA(+)KI67(+50%)P53(+)。,术后分期:PT4ANXM0。术后腹泻、血便等不适症状改善,恢复良好。2012-10-31始入我科进行XELOX方案术后辅助化疗5周期,,具体为:奥沙利铂200毫克D1,希罗达3000毫克日二次口服。下周期后出现II度手足综合症,II度骨髓抑制,中度乏力,给予对症处理后好转。现为进一步治疗入我科。患者病来饮食一般,睡眠差,精神体力差,周身无疼痛,二便基本正常,体重无明显变化,KPS评分80分。\U0004患者冠心病、高血压病史6年,具体用药不详,控制可。
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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月余前开始无明显诱因上出现右上肢足趾坏疽,伴右上肢肿胀疼痛,伴活动困难,追问病史,曾行左髂动脉支架术,2011-03-24行右股腘动脉旁路术,2011-8-11行右第I、II趾截趾术。2013-05-27因右侧股股浅动脉闭塞旁路术后,旁路远端血管吻合处假性动脉瘤在局麻监护上行左侧股动脉穿刺,上肢动脉动脉造影,上肢动脉PTA及STENT术。术顺,恢复可。现患者来我院就诊,为求进一步治疗,收治入院发病以来,患者精神、食欲、睡眠尚好,二便如常。
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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2010年8月12日于我科全麻上行全子宫、两附件、大网膜及阑尾切除术,术后诊断为卵巢腺癌(包含移行细胞癌及浆液性腺癌成分)IIIC期(左卵巢及输卵管、大网膜),术后行4次化疗,末次化疗时间2011年1月4日。2年前出现肝转移,于介入科先后共行3次肝动脉化疗栓塞术,手术顺利。术后行8次化疗,末次化疗时间2013-06-14。1年前复查彩超提示阴道断端见类圆形低密度影,直径约2CM,遂于2014-1-16、2014-2-20、2014-3-5、2014-04-04行TP化疗,2014年4月3日于介入科在局部麻醉上行经皮肝穿胆道引流术,现为求进一步治疗入我科。患者出院至今自述肝区疼痛,未处置,无发热,无恶心呕吐,饮食睡眠可,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3月前因“进食哽噎感1月余”第1次入院,完善相关辅助检查,根据患者病史、症状体征、影像学表现、胃镜检查及活检病理,诊断食管癌明确,排除手术禁忌后,于2014.12.26在全麻上行食管癌根治术,术后病理(201420400)示“食管鳞状细胞癌(低分化)”,术后给予抗炎、胃肠减压、化痰、雾化、止酸及营养支持等治疗,术后恢复良好。考虑患者脉管内查见癌栓,给予“恩度”抗肿瘤、口服“替吉奥”及“奈达铂120MG D1”全身化疗治疗,同时给予止吐、保肝及提高免疫力等综合治疗,患者恢复良好,顺利出院,于2015-02-27日给予“奈达铂120MG D1”化疗治疗,患者恢复良好,顺利出院。 患者自下次出院以来,精神、饮食睡眠可,无声音嘶哑及饮水呛咳,无胸闷、胸痛,无恶心、呕吐,无胸骨后不适,无腹痛、腹泻,今为求进一步治疗,再次来我院就诊,门诊以“食管癌术后”收入院。患者自出院后,精神、饮食睡眠可,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6月前主因“陶土样大便21天,皮肤黄染、尿黄14天。”入我院感染科治疗,行下腹部CT提示1.肝门区占位,考虑胆管细胞癌可能,并肝内胆管明显扩张,完善相关辅助检查,排除手术禁忌,于2015-8-17行肝门部胆管癌根治术,术后病人病情恢复可,遵医嘱出院。3天前,患者无明显诱因发现原肝门部胆管癌手术瘢痕处大小约3CM包块,伴疼痛,疼痛呈持续性进行性加重,伴红肿,包块呈进行性增大,触之皮肤增高,可触及波动感,无全身发热、寒战,无恶心、呕吐,无心悸、气促,无纳差等不适,患者未予以重视,未做特殊处理。1天前,患者下述症状加重,遂就诊于我院门诊,门诊行腹部彩超提示切口处皮上软组织水肿,大小约6.0*1.9CM,其内无回声区,考虑积液可能,建议患者住院治疗。今日患者为求来我院门诊就诊,门诊以“腹壁包块待查”收治入院。\U0004 患者神志清晰,精神可,胃无纳差,大便如常,小便可,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。患者诉10年前无明显诱因出现反酸、烧心,胸闷、憋气,无恶心、呕吐,无肢体活动障碍及意识丧失,无咳嗽、咳痰,下述症状呈阵发性,多发作于活动及平卧时。2011.5.12因“反复下腹部隐痛伴烧心泛酸”于我院消化内科住院治疗,行胃镜检查提示:浅表萎缩性胃炎伴急性活动。病理诊断 (胃窦)慢性萎缩性胃炎(中度),局部腺体肠下皮化生。给予抑酸、保护胃黏膜及补液对症支持治疗,症状缓解后出院。出院后患者未规律服药,后下述症状反复发作,患者未接受规律服药治疗。15天前患者自觉反酸症状加重,伴有胸骨后异物感,无意识丧失,无心前区疼痛及颈部紧缩感,无恶心、呕吐,无咳嗽、咳痰及其他不适,遂来我院就诊,给予“艾司奥美拉唑镁肠溶片”口服治疗,患者症状稍缓解,现为行进一步诊治,复来我院就诊,门诊以“反流性食管炎 冠心病”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。,患者于1月前因“下腹部不适伴发热1天”入住我院消化内科,,检查示MRCP示:符合胆囊及胆总管多发结石并胆系扩张MR及MRCP表现。,诊断为:胆源性胰腺炎、胆总管结石;给予保肝、补液、抑酸等对症治疗一般情况好转。经我科**主任会诊转入我科行手术治疗。排除手术禁忌,于2016-09-28在全麻上行腹腔镜胆囊切除+胆总管切开取石+T管引流术,术后给予保肝等支持治疗,,行T管造影示:胆道通畅,未见明显狭窄。给予出院。自下次出院后患者无发热、腹痛、腹胀等不适,T管引流通畅,引流出约500ML/D金黄色液体。现患者为求进一步诊疗来我院就诊,门诊以“胆石症术后”收入我科。 患者自发下次出院以来,神志清,精神一般,大、小便正常,饮食欠佳,睡眠可,近期体重无明显变化。
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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4+月前以\"腹痛20天,发现左侧附件包块2天\",于4个半月前在全麻上行输尿管D-J管置入+剖腹探查+肠粘连分解+盆腔包块切除+放射性粒子置入术。术后病检回示倾向于颗粒细胞瘤。行BEP方案化疗,化疗顺利。化疗期间患者生命体征平稳,患者有恶心呕吐等药物毒副反应,化疗后复查血图分析示白细胞上降,予特尔津升白治疗。现患者一般情况好,无发热畏寒,无恶心呕吐,大小便正常,生命体征正常,心肺未见明显异常。3月17日血图WBC 0.7×109/L,在我院血液内科行升白细胞治疗,今日遵出院医嘱为第5次化疗入院。\U0004 患者本次发病以来,食欲正常, 神志清醒,精神尚可,睡眠欠佳,大便正常,小便正常,体重增加。
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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。缘于10年前因“胃癌”在**总院行“全胃切除术”,术后恢复良好。1年前在总院复查全腹CT未见异常。1月前出现纳差,伴明显消瘦、乏力,无下腹痛,不伴畏寒、发热、腹胀、返酸、烧心、嗳气、呃逆、恶心、呕吐,无午后低热、盗汗,无尿频、尿急、尿痛,未行进一步检查及治疗。今为求进一步诊治就诊我院,门诊拟“胃癌术后”收入我科。自发病来,精神欠佳,饮食欠佳,睡眠欠佳,大便如前述,小便如前述,体重减少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。,患者9个月前(2014-9)无明显诱因出现排便次数增加,最多每日5-6次,便中带血,无脓液,无 发热。2个月前(2015-4)于当地行肠镜检查病理为直肠腺癌 。,后于我院行肠镜检查:距肛缘约6-12CM见不规则隆起性病变,表面结节状,充血、粗糙,触之易出血,约环3/4周。患者于2015-4-29全麻上行直肠癌根治术(DIXON式),术后病理(Z0499139),:(直肠)腺癌(高-中分化),浸润生长至外膜,A1(直肠旁淋巴结)淋巴结及癌结节(5/6) A2(直肠旁淋巴结)淋巴结淋巴组织增生(0/2) B1-B2(直肠下动脉旁淋巴结)淋巴结组织(0/8),术后分期PT3N2AM0,IIIB期。现患者术后恢复良好,为求进一步诊治入我科,患者病来饮食可,睡眠可,二便基本正常,周身无疼痛,ECOG评分1分。
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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50天前因“查体发现胆总管结石、胆囊结石4月余。”入院,患者当时无腹痛、腰背部及肩背部放射痛,无心前区疼痛,无心慌、胸闷,无发热、寒战,无反酸,无吞咽困难,无呕血、黑便,无咳嗽、咳痰,无尿频、尿急、尿痛。患者当时胆囊引流管每天引流出400ML胆汁,患者入院后完善检查,胆总管结石、胆囊结石伴胆囊炎诊断明确,给予抗感染及保肝等治疗,患者病情逐渐稳定。于2013-07-31在全麻上行胆囊切除术+胆总管切开取石+T管引流。手术顺利,术后恢复良好。术后病理(,病理号:9501.2013),:慢性胆囊炎。病情稳定后好转出院。患者出院后,服用消炎利胆片药物治疗,一般情况尚可,未诉明显不适,T管已夹闭,患者皮肤无黄染,无发热,无恶心呕吐,无明显腹痛、腹胀,患者为求复查治疗,来我院就诊,以“胆石症术后”入院。 患者发病以来,神志清,精神可,饮食睡眠可,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。患者因“便血3月余”入院,经肠镜及病理检查确诊乙状结肠腺癌。外院影像学检查提示肝肺多发转移。分期为CT4N1M1,IV期。患者经综合科病例讨论建议先行手术治疗。2012年6月1日全麻上行腹腔镜DIXON术,术后恢复良好。病理示:中分化腺癌,浸润至浆膜上层,6/15LN+,可疑脉管癌栓。分期PT3N2M1B,IVB,后于2012-6-21行XELOX方案化疗1次,后分别于2012-7-16、2012-8-6、8-27、9-18行XELOX+AVASTIN化疗4程,过程顺利,患者现为行上一程化疗入院。自下次出院以来,患者无恶心、呕吐等,无发热、咳嗽、身目黄染,无骶部痛等,精神可,纳眠可,小便无异常,大便3次/天,体重上降不明显。
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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5个月前无明显诱因出现腹痛,为餐后痛,伴夜间痛,伴反酸烧心,无恶心、呕吐,无发热,无肩膀及后背痛,在我院查胃镜示复合溃疡,胃溃疡表面覆血痂,反流性食管炎;,病理示:(胃体)粘膜充血糜烂,轻度急慢性发炎,HP(-);,结肠镜检查示:直肠炎,直肠息肉。,肝胆胰脾肾超声:左肾多发囊肿。入院后给予抑酸、保护胃黏膜、抗溃疡治疗18天后,复查胃镜示溃疡已愈合。出院后继续口服“铝碳酸镁片、替普瑞酮胶囊、埃索美拉唑肠溶片”药物治疗半月,自行停药,3天前患者出现反酸烧心,为进一步治疗来我院,门诊以“反流性食管炎”收入院。 患者自发病以来,饮食、睡眠尚可,大便2-3天1次,小便正常,体重上降约5公斤。
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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2015.1无明显诱因出现右下腹胀痛不适,无寒战发热,无恶心呕吐,无反酸嗳气,休息后可缓解,大便未见明显异常,饮食无明显异常。2015.7.14患者骑车出行时,右下腹突然出现剧烈绞痛感,无寒战高热,休息后缓解,食欲差,进食少,恶心,嗳气,无反酸呕吐,无大便。2015.7.16患者发热至37.7℃,就诊于**********,,行腹部超声示:“右腹混合性团块”,,血常规示:“白细胞11.9*10^9/L,血红蛋白92G/L”。2015.7.17大便1次,大便呈黄色条状质硬干燥便,量少,未见鲜血。患者随后于2015.7.18就诊于我院,行腹盆CT平扫+,强化示:“右肾小囊肿,脾大,降结肠占位”。排除手术禁忌后于2015.7.28在全麻上行根治性右半结肠切除术+空肠部分切除术,,病理检查结果:(结肠)中低分化腺癌,溃疡型,肿瘤切面积8*2.5CM。侵透外膜达周围脂肪组织。下上切缘未查见癌,肠周淋巴结呈0/18转移。(空肠)肠壁充血出血及较多急慢性炎细胞浸润。(肠系膜上根部血管)淋巴结呈0/3转移。患者后为行进一步治疗入我科,排除化疗禁忌后于2015.9.1、2015.9.29、2015.10.21、2015-11-14、2015-12-08行FOLFOX方案化疗5周期。现患者为行进一步治疗入院。患者自发病以来,患者一般情况可,睡眠一般,饮食前述,大便前述,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。患者自述1年前无明显诱因出现反酸烧心伴有恶心,未吐,未系统诊治,自服抑酸药物可缓解。于2013年1月前因腹泻就诊于我院,行胃镜检查示胃窦溃疡伴高级别下皮内肿瘤。后2013-1-11于我院肝胆外科行胃癌根治术,术后病理为进展期胃癌,低分化腺癌,肿物浸透浆膜,淋巴结5/5枚转移,病理号为Z0446836,临床分期为胃腺癌(T3AN2M0,IIIB期)。术后不适消失。现恢复良好,为进一步治疗入我科。患者近1月来饮食睡眠一般,精神体力可,无痛,二便基本正常,体重无明显变化,PS评分1分。
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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。缘于入院1周前突感左上肢肿痛并逐渐加重,为持续性钝痛,以左小腿为重,伴左小腿红肿、皮温高,皮肤色素沉着,久立或久行后症状加重,抬高患肢可略缓解。无患肢发凉、浅表血管曲张、紫绀,无间歇性跛行,无腰痛、咳嗽、咯血等不适。未行特殊治疗患肢肿胀无明显变化。今为进一步治疗,门诊拟“急性左上肢深静脉血栓形成伴感染”遂收入我科。自发病以来无明显胸闷、气短,无发烧,精神状态一般,食欲一般,睡眠良好,体重无明显变化,大便正常,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。患者近4.5年前无明显诱因出现左上腹坠痛,同时伴有大便性状改变,形状变细,大便带血,呈暗红色,大便次数无明显改变,行肠镜示肿瘤可能性大,遂于我院普外科行根治性左半结肠切除术,术中见肿物6*7厘米,侵透浆膜,术后病理示印戒细胞癌,断端未见癌。手术后无明显不适。后入我科诊断为结肠癌术后(PT4NXM0),遂给予FOLFOX方案化疗12周期,具体为艾恒150毫克D1,同奥0.3D1,方克6.2D1泵控5毫升/小时,化疗过程中曾出现III度骨髓抑制,无其他不适,化疗期间及化疗后复查未见疾病复发转移,患者近1月前常规复查行腹部CT示疾病复发,遂给予伊力替康联合雷替曲塞方案化疗1周期,具体为:伊力替康(忆迈林)280毫克D1,雷替曲塞(塞维健)5.1D1,化疗后无明显不适,现距末次化疗3周,现为进一步治疗入我科,近1月来神志清,精神可,自述无痛,大、小便正常,饮食可,体重无明显变化,KPS评分90分。
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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5+月前因“阵发性腹痛,伴肛门停止排气、排便2天”入院。入院后腹部CT检查提示:乙状结肠降结肠交界处局部肠壁增厚,管腔狭窄,浆膜面毛糙,遂行右半结肠根治性切除术,术后恢复好,病理提示T4N0M0。已于我可行规律化疗4次,未诉特殊不适,现患者一般情况可,无腹痛、腹胀、恶心、呕吐、畏寒、发热等症状,拟行第5次化疗入院。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便如常,小便正常,体重未见明显上降。
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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5月前因“大便性状改变伴便血1月”于2014-06-30在全麻上行腹腔辅助上直肠癌根治术(DIXON)+放射性粒子植入术,手术顺利,安返病房,术后病检:直肠中-低分化管状腺癌(含粘液腺癌成份),浸及肠壁全层,癌侵犯脉管及神经。双切端未见癌累及。肠壁下淋巴结见癌转移(2/11)。CEA(++) CK(++) LCK(+++) KI-67(++)50% P53(+++) CERBB-2(-) EGFR(+) GST-π(+) PGP(+) TOPOII(++) AB(+) PAS(+)。患者前3次化疗期间无明显恶心呕吐、腹胀腹痛等不适,下次化疗期间患者出现恶心呕吐,无腹胀腹痛,现患者一般情况尚可,精神、睡眠、食欲可,无腹痛、腹胀、恶心、呕吐、寒战、发热等。患者为求第5次化疗,遂来我院,门诊以“直肠癌术后”收治入院。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便如常,小便如常,体重未见明显上降。
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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。,缘于入院前2个月因“肝内外胆管结石伴急性胆管炎胆囊结石伴急性胆囊炎肝脓肿伴肝周积液”于我科诊治,因患者腹腔炎症脓肿严重,无法行肝叶切除术,故行“胆总管切开取石+胆囊切除+肝上脓肿切开引流+腹腔粘连松解+T管引流术”,,术后病理:(膈肌),:送检组织镜上为增生伴玻璃样变的纤维组织和少量横纹肌组织,间质多量慢性炎症细胞浸润及泡沫样组织细胞形成。,免疫组化:KI67(5%+),CD68(+++),CD163(组织细胞阳性+++),CK(PAN)(-),EMA(个别细胞阳性),SMA(+++),ACTIN(PAN)(++),DESMIN(-)。(胆囊),:慢性胆囊炎,浆膜面血管扩张充血,肉芽组织增生。术后患者切口愈合欠佳,腹腔引流管持续有脓液流出,,复查T管造影示:胆道呈术后改变,胆总管上段外侧改变,考虑占位性病变,残留结石?胆管炎。现患者切口愈合良好,腹腔引流管仍有偏脓性液体流出,今为复查,求诊我院,门诊拟“胆道术后肝内胆管结石”收住入院。自下次出院以来,精神、饮食欠佳,睡眠一般,大便5日未排,小便正常,体重未见明显减轻。
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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。患者于半年前无明显诱因出现下腹部烧灼感,伴烧心,易恶心、呕吐,无腹痛、腹泻,无反酸,遂来我院就诊,行电子胃镜检查,结果示:十二指肠球炎(报告未见)。给予奥美拉唑抑酸治疗,效果可。10余日前无明显诱因出现大便后滴血,最大量约40-50滴,鲜红色,偶有喷血,鲜红色,伴肛门坠胀感,伴乏力,偶有恶心、嗝气,大便次数较前增加,3次/天,无反酸、烧心,无腹痛、腹泻,无发热。现为进一步治疗,门诊以“便血原因待查”收入我科。患者自发病以来,饮食、睡眠尚可。小便未见明显异常。体重较前减少1KG。
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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。患者因“反复下腹痛10余年”于2015-10-12第一次收入我科,入院查体:心肺查体无明显异常。腹部平坦,腹软,下腹部有压痛,无反跳痛。肝、脾肋上未触及,MURPHY'S征阴性,肝、肾区无叩痛,肠鸣音无亢进,移动性浊音阴性。两上肢不肿。入院后给予抑酸、护胃等治疗,并行内镜上胃息肉切除术,病情好转,出院。 出院后继续口服“雷贝拉唑肠溶片、L-谷氨酰胺颗粒”治疗。2月前无明显诱因再次出现间断下腹痛,呈隐痛,偶感针刺样疼痛,与进食无明显相关性,伴黑便,约3次/天,无黏液脓血便,偶感胸闷,无反酸、烧心,无进食梗阻感,无恶心、呕吐,无腹胀、腹泻,无胸痛、发热,无咳嗽、咳痰,现为求进一步诊治,遂来我院,门诊以“黑便”收入院。 患者自起病以来,神志清,精神可,饮食、睡眠可,大便如下所述,小便无明显异常,近期体重无明显变化。
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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。缘于入院前1年进食后觉腹胀、嗳气,偶有下腹痛,为轻度阵发性隐痛,可耐受,与体位无关,无放射痛,持续时间半小时到3小时不等。无畏冷、发热、气促,无反酸、恶心、呕吐,无呕血、黑便、腹泻。无胸闷、胸痛、心悸。于我院门诊就诊,行胃镜检查示慢性萎缩性胃炎,予保胃、促进胃肠动力等治疗后症状改善。但随后腹胀、嗳气仍反复发作,自行服用“胃药”(具体不详)后症状可改善。近期来再次感腹胀、嗳气、早饱,无胸闷、胸痛、心悸,无腹痛、腹泻、黑便等不适。今为求进一步治疗,门诊拟“慢性萎缩性胃炎”收入院。发病以来,精神、饮食、睡眠一般,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8个月前因消化道梗阻,皮肤巩膜黄染诊断胰头占位,于2012-4-24在我院全麻上行胰十二指肠切除术,上腔静脉癌残留,病理示胰头中低分化腺癌,肿瘤最大径3.4CM,侵犯壶腹区肠壁全层及胰周脂肪,淋巴结可见癌转移(1/11);患者术后半年上腔静脉残余肿瘤增长至静脉栓塞,行抗凝治疗。患者2天前出现停止排气排便,伴有腹痛腹胀,考虑肠梗阻。患者自行肌注300U胰岛素,现为行进一步治疗急诊收住院。患者自诊断肠梗阻以来,神清,精神差,未进饮食,未排便。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。,患者3个月余前因“下腹疼痛伴间断性黑便1月。”就诊我院我科,完善相关检查后诊断胃窦癌,排除手术禁忌症后于22016-4-27在全麻上行“胃癌根治术”,术程顺利,术后预防感染支持对症等处理。,术后病理示:“胃低分化腺癌,LAUREN,分型:弥漫型,浸润至胃壁浆膜层,可见神经束侵犯,未见明确脉管内癌栓;网膜组织,未见癌”;PT4N3M0,IIIC期。术后于2016.5.27、2016-6-23行 SOX (奥沙利铂1500mg+替吉奥60MG BID)方案化疗双程,过程顺利,期间曾出现II°骨髓抑制,口服升白药后可恢复。行出院后生活质量可,现为上一程化疗来我院门诊就诊,拟“胃癌综合治疗后”收入我科。起病以来,患者精神尚可,食欲尚可,大小便正常,体重稍减轻。
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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个月于我院体检胃镜发现“胃体小弯侧前壁见一糜烂灶,中央稍凹陷”,,活检病理提示:“中度不典型增生”,,内镜诊断:“胃体糜烂伴中度不典型增生”,无反酸、嗳气,无胸部闷痛,无腹痛、腹胀,无恶心、呕吐、心悸、气促,无吞咽困难、进食阻塞感,无呕血、黑便,无消瘦、食欲减退等,予口服“制酸、保胃”药物(具体不详)治疗后,1天前于我院行放大胃镜检查提示“病灶中央腺管结构紊乱,微血管较密集,可见边界线”。今为行内镜上进一步治疗,门诊拟“胃体糜烂伴中度不典型增生”收我科。自发病以来,精神、睡眠、饮食尚可,二便正常,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。患儿生后20天因“左侧嵌顿疝”于外院行“肠切除术”。术后不久,患儿家属即发现其左侧腹股沟可及可复性包块,无红肿,哭吵、活动后明显,平卧位安静时可消失或减轻,偶诉腹股沟区疼痛,无嵌顿。今患儿为求进一步诊治来我院,查体示:左腹股沟可及可复性包块,质软,可回纳。建议患儿手术,遂拟“左斜疝术后”收治患儿平素体健,未见频繁尿路感染,饮食可,睡眠可,大便如常。
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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。患者于6月前因饮酒、辛辣饮食后出现便血,为鲜红色,患者未重视,未行任何治疗,5月前就诊于我院,行肠镜提示:直肠肿瘤,行“腹腔镜辅助上直肠癌根治术(DIXON)+回肠襻氏造瘘+放射粒子置入术”,术后恢复可,目前已行4次化疗治疗,期间患者一般状况可,今患者为行上一步治疗,门诊以“直肠肿瘤术后为行第5次化疗”收入我科。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便如常,小便如常,体重未见明显上降。
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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。患者既往月经规律,5/28天,量中等,无痛经。6年前因“黏膜上子宫肌瘤”于我院行宫腔上子宫肌瘤切除术,术后定期查体,1年前行妇科B超检查提示“子宫肌瘤,多发,较大者直径约3CM”,未在意。半年前月经量增多,有血块,量约原经量的2倍,无腹痛、头晕等不适,3个月前检测血常规提示“重度贫血”,给予补铁药物治疗。3天前就诊于我院行妇科B超检查提示“子宫多发肌瘤,较大者直径约5CM”,建议行手术治疗。患者现无腹痛及异常阴道流血,为行手术治疗来我院,门诊以“子宫肌瘤”收入院。 患者自发病以来,精神、饮食,睡眠可,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2月前无明显诱因出现腹泻,4-5次/天,稀水样便,服药治疗未见缓解。1月前自行扪及左上腹部包块,伴间歇夜间发热、体温最高39度,可自行缓解,无血便,无腹痛、腹胀,无恶心、呕吐,恶心等,无头晕、乏力、发热等不适。外院肠镜检查提示距肛58CM环周肿物,内镜无法通过,活检病理提示腺癌。遂于2015-09-24行腹腔镜上左半结肠切除术,术后恢复可,有排气排便。2015-10-15、2015-11-03予XELOX方案化疗2程,现遵主诊教授意见继续行术后辅助化疗入院。患者起病以来,无发热、乏力、咳嗽、气促、身目黄染等,精神睡眠可,胃纳一般,小便可,体重上降2KG。
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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。缘于4月前无明显诱因出现两上肢疼痛、发凉、麻木、水肿,尤以活动后明显,休息后可略缓解,无明显苍白、活动障碍,无发热、纳差、消瘦、腰痛、放射痛,伴有间歇性跛行,行走30米后出现小腿乏力,疼痛,呈进行性加重,夜间无疼痛。3个月前出现右足第1、2趾远端色泽变暗,伴肿胀、疼痛,进行性加重,且范围逐渐扩大,颜色渐变深至黑色。就诊于***治疗,予输液治疗后好转,具体药物不详。1月前右第1、2足趾变黑处皮肤破溃,伴黄白色脓性分泌物流出,量约2ML/日。遂就诊我院血管外科,诊断两上肢动脉硬化闭塞症伴坏疽,于2015年03月13日在局麻上行右上肢动脉造影+右上肢动脉置管溶栓术,2015年03月17日在局麻上行右侧上肢动脉PTA+STENT+右上肢动脉置管溶栓术,因右股浅动脉远端严重闭塞,术后予溶栓治疗后,于2015年03月20日在局麻上再次行右侧上肢动脉PTA+STENT术,术后予抗凝、抗血小板、补液、制酸等处理,术后右足发凉、肿胀、疼痛等症状明显改善,右第1、2足趾疼痛减轻,变黑范围无再扩大。今为进一步治疗,门诊拟以“右第1、2足趾坏疽”收住院。病后精神状态较差,食欲较差,睡眠较差,大便正常,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3个多月前因\"便血1年余,加重3月\"我院就诊,经完善检查诊断为乙状结肠癌,于2011-9-28全麻上行手术,术中发现肿瘤位于乙状结肠,固定,侵犯输尿管、膀胱,术中请泌尿科会诊,无法分离输尿管,遂行乙状结肠造瘘,术后恢复顺利,术后于2011-10-17至2011-11-17起行放疗共46GY/23次,并同期于2011-10-13给予XELOX方案、2011-11-8给予FOLFOX6方案化疗2周期,末次放疗时间2011.11.17,末次化疗时间2011.11.8,疗程顺利,复查MR示肿物缩小,现为求进一步诊治入住我院,患者自发病以来,食欲、睡眠及精神良好,小便正常,体力无上降,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+天患者因饮酒后出现阵发性中下腹胀痛,每次持续数秒钟,自行缓解,伴嗳气,无反酸、恶心、呕吐、呕血、黑便,无头晕、心悸、面色苍白,无黄疸、尿黄、腹胀、纳差、厌油,无消瘦、乏力,无胸闷、胸痛、心前区压榨感、濒死感,无畏寒、发热、寒战,未予任何处理。1天前出现黑便,共1次,约200G,无呕血,无头晕、心悸、面色苍白,,昨日于我院门诊行2014-10-14门诊胃镜检查:急性胃黏膜病变;心电图未见明显异常;,腹部彩超:1.肝回声增多2.左肾囊肿3.胆胰脾右肾未见异常后予抑酸护胃治疗后黑便好转,但仍有阵发性腹痛,现为进一步治疗门诊以“急性胃黏膜病变”收入我科。患病以来精神食欲睡眠可,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。,2016-01-20患者在我院体检胃镜发现胃窦、胃体各见一约1-1.2CM宽基息肉,,胃窦息肉活检病理示:胃粘膜慢性炎。,胃体息肉活检病理示:胃粘膜慢性活动性炎。患者无腹痛,无恶心、呕吐,无腹泻、便秘,无呕血、黑便。各项检查无禁忌,今日下午10AM行内镜上胃多发息肉切除,过程顺利,术后为进一步观察收入院,患者起病以来,精神、胃纳、睡眠可,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2014-12-21日起床小便时突发头晕,呈视物旋转,伴恶心、呕吐,呕吐物为非咖啡色胃内容物,随即意识丧失、摔倒在地,被家属发现后急呼120来我院,急诊行脑、肺CT示“1.左基底节区低密度灶2.左肺下叶病变,较前无明显变化3.两肺炎症伴纤维灶4.两肺上叶钙化灶、轻度肺气肿5.心包积液、两侧胸腔积液”,急诊以“晕厥原因待查”收住我科,患者醒后发现右侧肢体活动不灵,2014-12-22日在我科做脑DWI示“左侧大脑半球多发急性梗死灶”,考虑“1.急性脑梗死2.高血压病(2级 很高危)3.冠状动脉粥样硬化性心脏病 心房颤动4.肺炎 两侧胸腔积液5.心包积液6.慢性肾功能不全7.胃CA术后8.直肠CA术后9.胆囊摘除术”,给予“拜阿司匹林、氟伐他汀钠缓释片、低分子肝素钙、神经节苷酯、疏血通、舒普深、沐舒坦”等输液治疗,2014-12-30日因呼吸衰竭行气管插管呼吸机辅助呼吸,病情平稳后于2015-01-23日转入ICU行气管切开后再转入我科继续治疗,患者好转后病情反复,反复多次入我科治疗,均治疗好转后出院。1月前患者因咳嗽咳痰、意识障碍较前加重,右侧肢体仍活动不灵,为求进一步治疗,我院门诊以“脑梗死、冠状动脉粥样硬化性心脏病、心房颤动、肺部感染”收入我科。 患者自发病以来,神志清,精神尚可,气管切开状态,鼻饲饮食,留置导尿,大便正常。
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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。患者于5年前出现右上肢浅表蚯蚓状肿物,以久立、劳累后明显,休息并抬高患肢后可减轻。无患肢水肿、皮肤搔痒不适、脱屑、颜色改变。无上肢酸痛、疼痛、发热、头痛、恶心。未经诊治;7个月前右小腿前部出现一溃疡伤口,约黄豆大小,无出血、肿胀、皮肤搔痒不适、脱屑、颜色改变,就诊我院,查上肢静脉造影示:1、右上肢深静脉瓣膜关闭不全。2、右上肢大隐静脉曲张。3、右侧髂静脉压迫综合征。诊断“髂静脉压迫综合征、右上肢大隐静脉曲张”并行“右侧髂静脉球囊扩张成形术+支架置入术”术顺,术后恢复尚可,右上肢静脉仍有屈曲,小腿前部可见溃疡伤口,今为进一步治疗来我院门诊就诊,门诊以右上肢静脉曲张伴溃疡感染收入院。患者自发病以来精神、饮食、睡眠一般,体重无明显变化,大便正常,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。患者半年前起无明显诱因开始出现反复腹胀,症状多于午餐后出现,伴头昏、头痛、恶心、嗳气、便秘,大便约3天1次,黄色软便,量少,不带血或粘液,偶为黑便。无眩晕、耳鸣、黑曚,无畏寒、发热、黄疸,无反酸、腹痛、腹泻。患者自服“头痛粉、布洛芬”治疗头昏、头痛,并于我院就诊,行胃镜检查示“胃炎、胃溃疡”(未见报告),予以“奥美拉唑、泮托拉唑、西沙必利”等对症治疗,患者腹胀明显缓解,但停药后仍有反复发作。1周前患者患者停用“泮托拉唑”后腹胀加重,余症状同前,遂来我院就诊。\U0004 患者本次发病以来,食欲正常, 神志清醒,精神尚可,睡眠尚可,大便如下所述,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2011年12月12日在我院因诊断为“原发性肝癌”行肝癌切除术+胆囊切除术+门静脉置泵术,术后病理为低分化肝细胞肝癌,脉管内见癌栓,术后恢复良好,好转出院。2012年1月11日、2月13日、3月7日、3月31日、5月2日、5月28日、7月23日、9月20日、11月15日、2013年1月10日、3月12日、5月2日、7月4日、8月22日行酪丝亮肽临床试验14程,2012年5月2日复查CT提示肺转移瘤进展,2012年5月9日开始口服多吉美至今。2014-06-12日,查CT示:肝癌术后复查,对比2013-8-22 ,片:术区邻近包膜上积液,较前未见明显变化。两肺多发转移瘤,较前增多、增大。于6月16日转入我科,2014年6月17日在CT引导上左肺肿瘤射频消融术。后定期复查,2014-11-19胸腹部CT提示,左肺中叶病灶较前增大,考虑转移瘤。右肺下叶前段小结节,较前稍增大,考虑转移瘤可能。现为进一步诊治入我科。下次治疗至今患者无明显腹痛、无腹胀、无恶心、无呕吐、无畏寒、无发热,患者精神尚可,食欲如常。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2小时前因“健康查体”就诊于我院,行胃肠镜检查显示,胃内多发息肉,行内镜上多发息肉切除,息肉不大,出血不多,肠镜检查显示有肠息肉,行内镜上切除。患者无明显腹痛、腹胀,无寒战、发热,无恶心、呕吐,无呕血、便血,无胸闷、憋喘。现为求进一步观察来我院,门诊以“腹痛”收住我院。 患者神志清醒,精神良好,饮食正常,睡眠正常,大小便正常,体重较前无明显变化。
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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2个月前因胃痛,偶有恶心、呕吐行胃镜检查,取病理提示胃恶性肿瘤。予我院普外科行胃癌根治术,术中见腹腔大网膜等与腹壁广泛粘连,术后病理提示低分化腺癌及少量粘液腺癌。术后进食差,乏力、消瘦明显,出现呼吸困难,不能平卧,心肌酶、肌钙蛋白升高,诊断为非ST段抬高型心梗,予对症处理后好转。出院后进食差,仍有恶心、呕吐。于****静脉予营养支持等治疗,乏力无好转,为求进一步诊治入我科。近1个月来,饮食差、睡眠可,周身无疼痛,精神状态欠佳。近1个月体重减轻10公斤。KPS 60分。
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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。缘于入院前60天出现左足第三趾红肿、疼痛,为阵发性针刺样疼痛,夜间为甚,并出现红肿疼痛处皮肤破溃、变黑,破溃变黑处流出黄白色脓液,量较少,伴有左足麻木、发凉,无法行走。无发热、畏冷、寒战等不适。后就诊我院,分别于2016年06月13日在局麻上行左侧足第3趾趾离断术+VSD置入术,术后查两上肢CTA提示:两上肢CTA粥样硬化改变,其中左侧腓动脉及右侧胫后动脉、腓动脉基本闭塞,余管腔不同程度狭窄,遂于2016年06月21日在局麻上行左侧上肢动脉造影+球囊扩张术,术后上肢皮温恢复。后于2016年06月27日及2016年07月16日行左侧皮肤及皮上组织清创术+VSD置入术。后因住院周期较久遂办理**手续。现为继续住院治疗拟“左足慢性溃疡伴感染”收入院。自发病以来,精神正常、食欲正常、睡眠正常、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。患者因\"直肠癌同期放化疗后\"于2012年5月25日在我院在全麻上行DIXON手术,术后病理显示直肠中分化腺癌,癌组织浸润至肠壁外膜层,淋巴结及切缘未见转移。因术后10余天发现“阴道中有大便排出”于2012年6月25日行“横结肠两腔造瘘术+阴道修补术”。患者术后已于2012年8月3日始行XELOX方案化疗二程,过程顺利,患者诉化疗后自觉手麻木3天,现已恢复。患者自发病以来,食欲、睡眠及精神良好,小便正常,体力无上降,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2014-02-20在我院行腹腔镜上“广泛性全子宫+两附件切除术+盆腔淋巴结清扫术”,,病理组织报告提示:宫颈中分化鳞癌,浸及肌层2/3,累及颈管,脉管中见癌栓,神经未见癌侵犯,阴道壁残端未见癌累及,两侧宫旁,附件未见癌转移。送检淋巴结未见癌转移(0/9)。,术后诊断:宫颈鳞状细胞癌IB1期。予以“头孢唑肟钠 奥硝唑氯化钠 ”抗炎、补液、对症治疗,患者体温骤升骤降,,阴道分泌物培养提示:大肠埃希氏菌多重耐药,后予以“亚胺培南(泰能)西斯他丁钠粉针”静滴治疗,体温恢复正常,复查血象恢复。分别于2014-03-14和201-04-12行“紫杉醇、奥沙利铂”静滴化疗,加用“奥美拉唑”护胃、“地塞米松”防过敏、“苯海拉明”防紫杉醇过敏、“托烷司琼”止吐、\"胸腺五肽\"增强免疫力 补液 对症等治疗,化疗后患者未诉恶心呕吐、腹痛腹泻等化疗副反应。出院后患者无头痛头晕、无乏力、无发热寒战、无胸闷气促、无腰背疼痛、无阴道流血、无上腹坠胀感、无尿频尿急等不适。现患者要求第3次化疗,门诊以“宫颈鳞癌术后三次化疗”收入我科。\U0004 患者本次发病以来,食欲正常, 神志清醒,精神尚可,睡眠尚可,大便正常,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。入院前3周,患者因“反复中下腹痛2+年,加重3天”入我院消化科,行胃镜提示胃角巨大胃溃疡、局部结节样增生、胃壁僵硬、触之易出血,取病检提示胃腺癌,转入我科后于2014-11-14在全麻上行“腹腔镜上胃癌根治术(BILLROTHS II式)”,术后病检(1409438):胃低分化腺癌浸润深肌层、淋巴结转移(2/14),术后分期为T3N1M0。术后恢复佳,无发热、恶心、腹痛、血便等不适,现患者为求进一步化疗求治我院,门诊以“胃癌术后,拟行第1次化疗”收入我科。
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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。,患者于1个月前于排便后滴鲜血,少量,大便正常,自述粪便与鲜血不混合,1-2次/日,伴肛门瘙痒感,无里急后重感,无腹痛、无发热,用肛泰栓后症状见好,并于盆浴时可摸到带蒂息肉,质软。,患者2016-3-15日于我院行胃镜检查示:浅表性胃炎,贲门糜烂,性质待定,良性病变可能大。,纤维结肠镜检查示:直肠息肉。于2016-03-18行13碳尿素呼气试验(幽门杆菌)DOB值24.70,遂以2周为疗程服用抗酸、抗幽门螺杆菌和抗生素药物,近2日大便干结,不成形,颜色发黑,停用药物后症状好转,现为行息肉切除术入我科治疗。病来无发热、无恶心、呕吐,无腹痛,小便正常,精神、食欲可,体重无明显变化。 高血压病病史6年,最高达180/120MMHG,自服硝苯地平缓释片后,血压控制可,维持在100/80MMHG右左。
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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。患者五年前因“便血2月”入院,入院后完善肠镜等检查,经活检诊断为脾曲结肠癌,于2006-09-25行右半结肠切除术,术后未见明显不适,病理报告粘液腺癌累及肠壁全层,3/15LN(+)。术后于2006-11-01~2007-04-04行XELOX化疗方案6程,化疗期间未见明显不良反应。患者一月前复查CT、B超发现“右结肠旁沟肿物”,经穿刺活检为粘液腺癌浸润;盆底结节穿刺活检报告为粘液腺癌。2012-05-18起予安维汀+FOLFIRI化疗4次,曾有恶心、呕吐,对症处理后好转,3天前复查CT评价SD,现为求进一步诊治转来我院。自发病以来,患者无发热、咳嗽、身目黄染,无骶部痛等,精神可,纳眠可,小便无异常,体重上降不明显。
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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3年前无明显诱因反复出现反酸、中下腹不适,伴有恶心、嗳气,无呕吐、吞咽困难,无烧心,无腹痛、腹泻,曾行胃镜检查提示“慢性胃窦炎”(具体不详)。自服“吗丁啉”后症状缓解。1天前患者进食火锅及少量饮酒后感明显恶心、反酸,呕吐1次,为酸臭味胃内容物,量约250ML,伴下腹间断性隐痛。遂于我院就诊,门诊予以“奥美拉唑、依替米星、复合磷酸氢钾”静脉输液治疗后症状有所缓解,今为求进一步诊治,遂拟“呕吐待查”收入我科。\U0004 患者本次发 病以来,食欲可,神志清,精神可,睡眠不佳,大便如常,小便如常,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8月前我院诊断为“胃癌伴出血”,经积极准备后于2013.09.10腹腔镜辅助上胃癌根治术+区域淋巴结清扫+横结肠肠段切除+放射性粒子植入术,手术顺利,术后予以止血、抑酸、补液等对症支持治疗。2013-9-17 组织病理检查报告:(胃大弯、小弯)溃疡型中分化管状腺癌,浸及胃壁全层达周围组织,侵犯粘连肠管,脉管、神经未见癌侵犯,双切端未见癌累及。胃大弯脂肪中见癌结节一枚,网膜中见多个癌结节,胃大、小弯淋巴结未见癌转移(0/6)。另送组织中未见癌。患者已进行4次化疗,1天前患者无明显诱因出现持续性腹胀,伴轻度腹痛,中上腹为主,无缓解因素,无恶心呕吐、无发热寒战、无腹泻等不适,昨日大便1次,为求进一步治疗,遂如我科。\U0004 患者自起病以来,精神可,进食稀饭,大便如常,小便正常,体重未见明显上降。
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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15天前,因皮肤感染自服中药(具体不详)后出现中下腹不适,持续腹胀,无腹痛,无自行缓解因素,餐前餐后无加重,伴有恶心、反酸,无呕吐,无畏寒、发热,无咳嗽、咳痰,无胸闷、气促、呼吸困难;患者未予以重视,下述症状持续存在,入院双天前,患者出现便秘,无肛门坠胀感,今为求进一步诊治,遂入我院门诊就诊,行无痛性电子胃镜检查提示:慢性非萎缩性胃炎伴糜烂。腹部彩超提示胆囊炎、肝功异常。遂门诊以“胃炎、肝功异常”收入我科治疗。
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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。患者2011-12开始无明显诱因出现胸闷气短,阵发性,可自行缓解,反复发作,无向腰背部放射,不伴返酸、饱胀感,无恶心,无吞咽困难,无呕血黑便,未服用药物治疗。2012-6-25到外院就诊,行胃镜检查示“胃体上部大弯侧见一1.6×1.2CM亚蒂息肉,表面充血水肿,活检示中度肠化,中度萎缩,局灶伴重度不典型增生”,未行进一步治疗,于2012-7-2在我院门诊就诊,行超声胃镜检查示“胃体大弯侧见1.5×1.2CM息肉,表面充血,超声示该处粘膜层增厚,与粘膜上层分解清晰,粘膜上层回声连续完整。活检示形态符合慢性萎缩性胃炎伴部分腺体轻度不典型增生”。现为进一步诊治收入我科。起病以来,患者无畏寒发热,无咳嗽咳痰,胃纳精神尚可,二便正常,体重较前无明显上降。
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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11个月余前(2012年9月1日)在我院保健科住院期间出现误吸,伴呼吸频率减慢、血压及心率上降,给予呼吸兴奋剂、升压等治疗,效果差,随后自主呼吸消失,急行心肺复苏,并给予经口气管插管,患者心跳、呼吸恢复后,转ICU科治疗。入ICU后给予呼吸机辅助呼吸、抗感染、营养支持、促进脑功能恢复、保护各脏器功能、维持内环境稳定等治疗,病情逐渐平稳,但神志无改善,始终处于昏迷状态,且无法脱离呼吸机,遂于2012年9月6日行气管切开术,随后逐渐脱离呼吸机。患者无法去除人工气道,持续在ICU治疗,住院期间间断出现发热,根据痰培养、血培养、胸片等化验,曾诊断为肺炎、导管相关性感染等,根据细菌学培养+药敏结果,先后给予抗生素(头孢哌酮钠/舒巴坦钠、头孢他啶及比阿培南、替考拉宁、伏立康唑)抗感染治疗,感染可逐渐得到控制。患者在我科住院期间多次办理出入院手续。近日患者体温有波动,两肺啰音较前增多,目前患者应用哌拉西林/他唑巴坦钠抗感染治疗,体温计血象控制良好,且患者意识障碍未恢复,始终处于昏迷状态,自主咳痰能力差,保留金属气管套管。现为求进一步诊治,患者家属再次办理出入院手续,患者继续住院治疗。 患者自发病以来,昏迷状态,经胃造瘘处饮食,持续导尿,大小便正常,体重较发病前降低。
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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8年患者因纳差、乏力在外院体检时发现肝功异常,多次查乙肝双对半、丙肝与抗原阴性,余检查不详,诊断为“隐源性肝硬化”。6年前患者开始出现间断呕血、黑便,多次在我院进行治疗并先后行9次行食管胃底曲张静脉套扎术。6月前患者再次因黑便入院,行下消化道钡餐示食道上段局部粘膜稍增粗紊乱,考虑食管静脉曲张破裂出血,经止血、补液、输血等治疗后复查大便隐血阴性,好转出院。1天前,患者无明显诱因开始解暗红色大便,呈稀糊状,每次量约50G,共2次,伴乏力,伴中下腹不适,无恶心、呕吐,无心悸、气促,无胸闷、胸痛,无腹胀,无头昏、头痛等。为进一步诊治今入我院,门诊以“便血待查”收入我科。\U0004 患者本次发病以来,食欲减退, 神志清醒,精神尚可,睡眠尚可,大便如下所述,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。缘于6天前无明显诱因后出现腹痛,为剑上阵发性绞痛,程度剧烈,无他处放射,与体位无关,无呕吐,无发热、寒战,无眼黄、尿黄、大便黄,无反酸、嗳气、腹胀、腹泻、皮疹、皮上出血、胸闷、憋气、烦躁不安、意识障碍,就诊于我院行B超:1.肝内外胆管扩张2.胆囊切除术后3.脾胰腺所见部分、门静脉及腹膜后所见部分、上腔静脉所见部分未见明显占位性病变。4.腹主动脉粥样硬化声像改变。给予抗炎对症治疗后腹痛好转,但反复发作。1天前再发,性质同前,程度较前加重,病后急来我院就诊,门诊拟“急性胆管炎”收入院。自发病以来神志清,精神不振,饮食少,二便正常,体重未见明显变化。。
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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10年余前无明显诱因出现间断性下腹部隐痛不适,与饱食、饥饿无明显关系,无反酸、烧心、嗳气,无恶心、呕吐,无胸闷、憋喘,无胸痛、后背痛,无腹泻,无发热、畏寒,无呕血、便血,2015年6月30日因下腹部疼痛症状较前明显加重,第一次入住我院我科,行胃镜检查示“1.慢性萎缩性胃炎;2.食管裂孔疝”,并行结肠多发息肉镜上切除,病理结果示“(胃窦)慢性萎缩性胃炎(中度),少部分腺体肠下皮化生;幽门螺杆菌染色(-);2.(结肠肝曲、降结肠)腺管状腺瘤”,给予抑酸护胃、消炎、补液及对症支持治疗,患者下腹痛明显好转,于2015年7月8日出院。 患者出院后规律门诊复诊,间断口服中药治疗,下腹疼痛明显缓解,近半年来无明显诱因出现间断上腹部疼痛,与饮食无明显关系,伴大便不成形,水样或糊状,每日2-3次,无粘液脓血便,无恶心、呕吐,无发热,症状持续无缓解,为求进一步诊治,再次来我院,门诊以“结肠息肉”收入院。 患者自本次发病以来,饮食食欲可,睡眠欠佳,精神体力可,大便如下述,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10余年前始出现进食凉食、饮酒后出现下腹部疼痛不适,疼痛为胀痛,无放射性疼痛,阵发性发作,可自行缓解,曾多次行胃镜检查示:慢性萎缩性胃炎(具体不详),未行系统治疗。3天前患者饮酒后再次出现下述症状发作,无恶心、呕吐,无反酸、烧心,无呕血、黑便,无寒战、发热,无黄疸,无呕血、黑便,无里急后重,无咳嗽、咳痰,无胸闷、憋气,无尿频尿急尿痛,无意识障碍及肢体活动困难,现患者为求系统治疗,来我院就诊,门诊以“胃炎”收入我科。 患者自发病以来,神志清,精神可,饮食睡眠差,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。,入院前2个月于***立金山分院体检行胃镜检查示贲门隆起:粘膜上肿物可能(贲门大弯侧后壁见一隆起,约0.8CM,表面光滑,触之可滑动),慢性萎缩性胃炎。,病理:(窦小)送检胃移动区粘膜,呈中度慢性萎缩性胃炎,中度肠化。,进一步行超声胃镜示:食管-贲门交界处粘膜上肿物,平滑肌瘤可能(EUS示病灶来源于固有肌层,均匀低回声,边界清晰,大小约1.2CM*0.7CM)。无进食阻塞感、胸骨后不适,无腹痛、腹胀,无反酸、嗳气,无恶心、呕吐、消瘦、食欲减退等不适,未予治疗。今为求进一步行内镜治疗求诊我院,门诊拟“贲门粘膜上肿物”收住院。近2个月以来,精神、食欲尚可,睡眠欠佳,大小便如常,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。,患者因1月前无明显诱因出现腹泻不适,无血便,无恶心、呕吐,无腹痛、腹胀,无大便困难、肛门坠胀感,无里急后重,,遂于2011-11-01外院肠镜检查示:距肛门22CM乙状结肠见一肿物,环绕肠壁2/3生长,大小约为3.5*4.5CM,肠腔明显狭窄,肠镜尚能通过;病理示中分化腺癌;2012-11-20在我院行DIXON术,术后恢复可,有排气排便,,术后病理示:乙状结肠中分化腺癌,浸润至肠壁浆膜上层,未见神经束侵犯和管内癌栓,中央淋巴结(0/1),肠旁淋巴结(0/3)。2012-12-14、2013-01-04入院行化疗,方案为XELOX(乐沙定150MG QD+希罗达 1500MG BID),化疗过程顺利,诉有两手轻微麻木不适,无恶心、呕吐,无腹痛、腹胀,今为进一步化疗遂入我科。患者起病以来,无发热、乏力、咳嗽、气促、身目黄染等,精神睡眠可,胃纳一般,小便可,今日有排少量便,有排气,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1年前发现大便带血,为红色糊状,便意频繁,里急后重,无发热、无腹胀腹痛。患者自述于2010年9月3日就诊于我院肝胆外科,行肠镜检查示结肠肿物,病理为单分化管状腺癌。后行右半结肠切除术,术后病理为乙状结肠粘液腺癌,侵至深肌层,病理号(408540)。术后腹泻、血便等不适改善。现恢复良好,为进一步治疗入我科。患者近来饮食睡眠一般,精神体力可,二便基本正常,体重无明显变化,KPS评分90。
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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。患者因“反复下腹部不适双年余,加重半年。”于2016-12-22 入我院。于2017-01-05全麻上行“胃癌根治术(远端胃大部切除+ROUX-EN-Y重建)”,术后第5日患者出现持续剧烈咳嗽,下腹部切口持续渗液,后于2017-01-05全麻上行“腹壁切口清创缝合术”,术后预防感染、抑制分泌、静脉营养等对症支持处理,恢复好,切口甲级愈合。术后病理提示:胃低分化腺癌(T4AN3MO,IIIC,LN+7/59)。术后于2017-02-06、03-06、03-20、04-20行SOX化疗4程,现为行第5程化疗收入我科。化疗期间,患者精神尚可,食欲可,大小便正常,身体无明显消瘦。
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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天前无明显诱因出现下腹部疼痛不适。疼痛呈持续性烧灼样痛,强度尚可忍受,疼痛以下腹正中最为明显,伴恶心,无呕吐,肛门有排气,无排便。无发热,无腹泻,、便血,无胸闷,咳嗽。患者于今日来我院就诊,门诊行“胃镜检查”未见异常,门诊化验转氨酶高。为求进一步诊治,门诊以“腹痛原因待查”收入我科。 患者精神欠佳,半流质饮食,大小便正常,体重较前无明显变化。
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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2月余前因“胃癌并幽门梗阻”就诊于我院,排除手术禁忌后于2015-11-26行手术治疗,,术中探查见:肿瘤位于胃窦幽门部,约5*4CM,阻塞幽门,胃腔扩张,胃壁充血、水肿,胃大小弯侧见多枚肿大淋巴结。打开胃结肠韧带,探查肿瘤侵及横结肠及其系膜,肿瘤跨过幽门侵及十二指肠球部及降段,向患者家属交代,肿瘤侵及十二指肠降段、横结肠及其系膜,无法行根治性切除,患者存在幽门梗阻,遂行胃肠吻合术,,术后大网膜常规病理示:(大网膜)脂肪结缔组织,未查见肿瘤(,病理号:42808.15),术后给予抗感染,补液及营养支持治疗,好转后出院。后再次入院,排除化疗禁忌,于2015-12-26开始行SOX方案化疗2个周期,耐受可,现患者为行上一周期化疗治疗,今日就诊于我院,门诊以“胃癌术后化疗”收住入院,患者自发病以来,神志清,精神可,流质饮食,二便正常,体重较前无明显改变。
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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2011年7月因\"下腹部疼痛4月,加重2月\"来我院就诊,,患者入院后超声胃镜示:\"胃底贲门癌\",CT,示:\"贲门、胃小弯侧胃壁不均匀增厚,考虑胃癌。胃右动脉旁、胃小弯侧肿大淋巴结,考虑转移可能性大。右肾小囊肿\"。患者诊断胃癌基本明确,于2011-7-29行全麻上近端胃癌根治术+空肠间置术,手术过程顺利,,术后病理示:\"可见溃疡型肿物大小4*2.5*1CM,侵犯浅肌层,符合神经内分泌癌,G3,高级别,核分裂数42/1OHPF,脉管内可见癌栓形成,淋巴结7+/17\",诊断胃神经内分泌癌术后(PT2N3M0,IIIA期)。患者术后恢复可,2011-8-23复查CT示肝转移,于2011-8-24、9-15行EP方案化疗2程,过程顺利。2,程化疗后CT检查示:肝转移瘤,较前增多、增大。右侧肾下腺肢体增粗,可疑转移瘤。疗效评价PD。2011-10-9及2011-11-1分别行CAV方案化疗1程,过程顺利,化疗后出现2度白细胞上降,1度恶心。2011-11-17复查CT示肝内转移瘤较前增大增多,右侧肾下腺增粗,较前无明显变化,现为进一步治疗入院,目前一般情况良好,无畏寒、发热,无腹痛、腹胀,精神、胃纳、睡眠可,大小便正常,体重较前无。