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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+月前,患者因“宫颈鳞癌”于2014-9-16于我院行“行腹腔镜上广泛子宫切除+盆腔淋巴结清扫术”,术后病理诊断:1、宫颈低分化鳞癌,浸及浅肌层,脉管中见癌栓,神经未见癌侵犯,阴道壁残端、颈管、内膜、两侧宫旁未见癌转移。 2、(两侧盆腔淋巴结)未见癌转移(0/14)。术后行TP方案(紫杉醇(特素)240MG静滴+顺铂100MG静滴)化疗,化疗中患者有恶心、腹胀,脱发明显。1+月前,患者于我院行第二次TP方案化疗,化疗后未诉特殊不适。现拟行第3次化疗入院,门诊以“1.宫颈鳞癌术后;2.第2次化疗后;3.原发性高血压”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,大小便如常,自诉目前体重65KG,近期未注意到体重无明显变化。
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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月前因“反复腹痛腹胀半月”入我院,,行下腹部CT示:1.胰头结节影,胰头癌可能,并胰体尾部胰管轻度扩张,胰周脂肪间隙稍模糊、周围少许稍大淋巴结显示,请结合临床。 2.肝左左叶肝内胆管轻度扩张。 3.肝右左叶比例失调,请结合临床。 4.胃窦壁稍增厚。,诊断为:1.,胰腺占位:胰腺癌? 2.胃多发息肉切除术后 3.慢性胃炎 4.原发性高血压3级 很高危,手术指征明确,无绝对手术禁忌症,于2016-1-22日行胰十二指肠切除术,手术顺利,术后安放病房,,术后病检示:胰头低分化导管腺癌。术后恢复良好出院,今患者为求拔除胰管支撑管,门诊以“胰十二指肠切除术后”收入我科。\U0004 患者自起病以来,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。患者约半月前因“皮肤巩膜黄染”来我院就诊,诊断肝门胆管癌、梗阻性黄疸,排除相关禁忌后于2015-02-12行内镜上胆管支架置入术,手术过程顺利,术后给予保肝、增强免疫等治疗,患者病情好转出院。近半月来患者皮肤、巩膜仍有明显黄染,小便色深黄,大便正常,无寒战、发热,无恶心、呕吐,无腹痛、腹胀、腹泻,无咳嗽、咳痰,无胸闷、喘憋,无四肢酸痛不适,现患者为求入院复查,来我院就诊,门诊以“梗阻性黄疸”收入我科治疗。 患者自发病以来,神志清,精神可,饮食睡眠可,小便色深黄,大便正常,体重较前无明显减轻。
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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2013年12月因“腹部隐痛”行肠镜检查发现距肛门70CM处肿物,活检为管状腺瘤伴下皮内瘤变;CT及PET-CT未发现明确远处转移,2013-12-16在**六院行根治性左半结肠切除术,术后病理:粘液腺癌III级,浸润肠壁全层,未突破浆膜层,未见脉管及神经侵犯,淋巴结3/32,分期PT3N1M0;后患者于2014-01-10、2014-01-27、2014-02-17、2014-03-10、2014-04-10、2014-05-02、2014-05-22行XELOX方案化疗七程,化疗后出现II度骨髓抑制,经对症治疗后恢复。现为进一步诊治入我院;述近期无特殊不适,精神睡眠可,食欲可,二便正常,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。患者于我院2014-06-16因\"直肠癌\"在全麻上行\"经腹会阴直肠癌根治术\",术程顺利,术后预防感染支持对症等处理,恢复好,术后病理示:\"直肠癌,PT4AN2BM0,IIIC期(LN+ 16/24)\"。2014-7-17、2014-8-7、2014-08-28、2014-09-19、2014-10-16、2014-11-06、2014-12-04返院行XELOX方案(乐沙定150MG IVDRIP Q3W+希罗达 1500MG PO BID D1-14)化疗7程,化疗后出现1°食欲上降,余无明显不适。现在为行上程化疗来我院,拟\"直肠癌综合治疗后\"入我科。于下次出院以来,患者无头晕、头痛,无发热、咳嗽、咳痰、胸闷、胸痛,无腹痛、腹胀,无腹泻、粘液血便,无发热、黄疸,精神体力一般,睡眠一般,大小便大致正常,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。13月前,患者因“左下腹持续性隐痛3月”入我科诊治,诊断为原发性肝癌,于2011.3.24日在超声引导上行肝癌放射性粒子置入术。并于2011.3.28日在全身麻醉上行原发性肝癌姑息性HIFU治疗。术后予保肝、抑酸、抗感染、改善循环、抗肿瘤等对症支持治疗。治疗期间,患者反复解黑大便,胃镜检查后示轻-中度食管静脉曲张,请消化科会诊后建议暂不行曲张静脉结扎,经止血、抑酸、营养支持、对症等治疗后好转出院,院外长期服用安达。2011年11月患者无诱因出现解黑便,4次,成形,伴中下腹隐痛,不伴恶心、呕吐、呕血等,入院后给予止血、抑酸等对症支持治疗,患者恢复情况良好出院,4月前患者为求复查入院,予以抑酸、增强免疫、补充营养对症支持治疗。患者于2012年04月26日在局麻上行原发性肝癌粒子植入术。术后给予保肝、抑酸、增强免疫、营养对症支持治疗后好转出院,8小时前患者突然出现中下腹疼痛,伴大汗淋漓,无恶心、呕吐,无头昏、乏力,为求进一步诊治收入我科。\U0004 患者自起病以来,精神可,胃纳略差,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。患者自诉半年前因大便带血于我科门诊就诊,完善化验检查及肠道准备后行结肠镜检查,示:多发结肠息肉,因患者处于冠状动脉支架植入后状态,每日口服阿司匹林、氯吡格雷等抗血小板药物,未行镜上切除,后患者未再出现便血,现为复查肠镜,并进一步系统治疗,特来我院就诊,门诊以“结肠息肉”收入院。患者自发病以来神志清,精神、饮食可,夜间睡眠可,无发热,小便正常,大便规律,排出通畅,无恶心呕吐,无腹胀腹痛,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。患者因行肠镜上息肉切除术后出现腹痛,行腹部立位片发现膈上游离气体,考虑肠穿孔。于2016-08-22行剖腹探查+结肠穿孔修补术。术后于抗感染、补液等对症支持处理。术后患者恢复情况尚可,肛门有排气排便,伴有低热,最高38.0℃,无畏寒、乏力,无头痛头晕,无恶心呕吐,进食少量流质饮食无不适。于今日发现腹部切口愈合欠佳,红肿,有渗液流出。现患者及家属为进一步诊治,转入我院诊治。经我科会诊后,拟以“腹部切口感染”收入院。 患病后患者精神、睡眠差,饮食较差,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。缘于入院前3月因“结肠肝曲癌”于2016-01-07行“腹腔镜上左半结肠切除术(扩大根治)”,术后病理(左半结肠):大肠溃疡型粘液腺癌,侵及浆膜层,侵犯神经,手术切除标本双切端及另送(下切端)、(上切端)均未见癌侵犯。找到肠周淋巴结37个,及另送(回肠动脉根部)淋巴结4个,均未见癌转移。术后予以预防感染、补液、营养支持、调节免疫等治疗。于术后10天出现左侧腹痛,伴发热,最高体温39℃,腹腔引流管引出脓性液体,引流液细菌培养提示大肠埃希菌及屎肠球菌感染,考虑吻合口瘘,予以腹腔持续引流冲洗,引流液逐渐清亮,无畏寒、发热、腹痛、腹胀、恶心、呕吐、腹泻等不适,左侧腹腔引流管每日引出少许淡红色液体。出院后腹腔引流管自行脱落,无脓性分泌物,无畏寒、发热、腹痛、腹胀。入院前1天无明显诱因再发左侧腹痛,无畏寒、发热,遂就诊我院。今为进一步治疗,门诊拟“结肠肝曲癌术后吻合口瘘”收入院。下次出院来,精神状态良好,体力情况良好,食欲食量良好,睡眠情况良好,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。,患者因“反复嗳气反酸、腹胀腹痛4月余”,在我院诊断胃食管结合部癌,并于2015-06-15在全麻上行胃癌根治术(近端胃大切,食管胃吻合),术程顺利,术后预防感染支持对症等处理,恢复好。,术后病理:胃低分化腺癌(LAUREN,分型:弥漫型),PT3N3M0 IIIB期。现已进食普食,无发热、腹痛、腹胀、恶心、呕吐、黑便等不适。现为上一步治疗收入我科,拟“胃癌术后”收入我科。起病以来,患者精神尚可,食欲欠佳,大、小便正常,体重稍上降。
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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年前因胃底贲门癌在我科行胃癌近端胃切除+食管残胃吻合+放射性粒子植入术,术后病检提示:胃溃疡型低分化管状腺癌(T4N0M0),术后患者恢复可,术后行FOLFOX方案化疗5次,化疗期间无明显化疗副反应,1周前,患者无明显诱因出现纳差,食欲逐渐上降,伴进食后哽咽感明显,伴全身乏力、反酸,无明显缓解及加重因素,患者无腹胀、腹痛,无肛门停止排气排便,无头晕、摔倒等不适。患者患病期间未行任何治疗,现患者为求进一步治疗来我院就诊,门诊以"胃癌术后"收入我科。\U0004 患者自起病以来,精神可,胃纳较差,大便如常,小便如常,1周内体重上降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。,缘于入院前22天无明显诱因出现左下腹痛,程度剧烈,未向他处放射,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,当即就诊我院急诊,,急诊查腹部彩超示:胆囊肿大。血淀粉酶81U/L,,尿淀粉酶:2406U/L,,考虑:急性胆囊炎、胆源性胰腺炎。予抗感染、制酸、抑制胰酶分泌等处理,下述症状无明显缓解,门诊拟急性胆囊炎?胆源性胰腺炎?收住入院,,查CT示:“1、两肺上叶少许炎症,余两肺少许慢性炎症、部分小炎性肉芽肿;两侧胸腔少量积液。2、肝脏右叶小囊肿,胆囊炎改变伴下腹腔及肾周少许渗出”。考虑患者炎症急性期,暂不适宜手术治疗,于入2017.01.20行B超定位上胆囊穿刺造瘘术,术后症状好转要求出院。今为寻求进一步治疗,再次求诊我院,门诊拟“急性胆囊炎”入院。自发病以来,精神、食欲、睡尚可,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。,患者于入院前3年因右肺下叶肿物入院,于2007-9-20行右肺下叶切除术,术后病理回报右肺下叶中心型低分化鳞状细胞癌,淋巴结未见转移,术后化疗双周期,患者于入院前5月无明显诱因出现进食后吞咽不顺,,于2010年11月行胃镜提示:距门齿25-26CM食管溃疡隆起型肿物,,活检病理提示:(食管)鳞状细胞癌,于2010-12-21至2011-2-9予以放疗66GY/33F/50D,于2011-5-19,2011-7-4开始行第二周期TP方案(紫杉醇+顺铂,1、8、15天方案),现为第二周期第8天化疗收入院。患者自发病以来精神良好,睡眠良好,食欲正常,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2008年10月因“肝左前叶占位”于我科行肝左叶切除术+胆囊切除术,2009年12月因肿瘤复发于我科行TACE术,术中发现多发复发病灶,2010年9月于我科行射频消融治疗,定期复查。2014-4-23日于我院复查血ALT 134U/L、AST 134 U/L;肿瘤标志物 CA19-9 228.8U/ML。2014-4-25我院复查下腹部CT示:肝S4结节,考虑为复发灶。肝门区、腹腔干旁、腹主动脉旁及胰头旁多发小淋巴结,建议随诊。现为进一步治疗入我科。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。缘于2010年11月患者因腹泻在****行肠镜检查,病理活检考虑\"直肠腺癌\",遂来我院就诊,并于2011-12-3在我院行DIXON手术,术程顺利,术后未进行辅助化疗。术后偶有腹痛,未引起注意。2012年10月因“腹痛较前明显,大便困难”遂来我院复诊。复查肠镜及MRI,结果提示:吻合口复发。2012-12-4复诊时建议手术治疗,但患者拒绝。鉴于患者年龄偏大,遂建议行姑息性化疗。近期已完成2周期XELOX化疗,耐受尚可,无中度以下不良反应。现为行上周期化疗就诊我科,门诊拟“直肠癌术后复发”程化疗。近10余天来,患者精神可,进食可,仍感上腹正中疼,体力、体重无明显改变,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。缘于20年前行胃癌切除术后出现胸骨上段烧灼感,伴反酸,无吞咽困难、呛咳,无胸闷、心悸、气促,无头晕、头痛,无腹痛、腹泻、恶心、呕吐,未重视,未治疗。后胸骨上段烧灼感渐加重,于3年前出现吞咽困难,伴反酸,无嗳气、呕吐,无头晕、头痛、晕厥,无腹痛、腹泻、黑便。今为治疗,就诊我院,查血常规、生化、血肿瘤标记物、血凝大致正常,胃肠钡餐:1.胃癌+部分切除术后,食道上返流性炎症?2.残胃炎?3.慢支伴少许感染?肺气肿。4.主动脉硬化。5.左侧第6前肋腋前段可疑陈旧性骨折?拟“反流性食管炎”收住入院。自发病来,精神、睡眠正常,大小便正常,纳差,渐消瘦,体重较前减轻约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。2011年9月在外院超促排卵治疗不孕症。2012-1月左附件区扪及5CM大小包块。外院肠镜、胃镜未见恶性肿瘤。2012-2-14日行肿瘤细胞减灭术,术后病理:两侧卵巢浆液性乳头状囊腺癌,转移至右侧输卵管及大网膜,术后行卡铂0.5G腹化+多西他赛100MG静脉化疗。2012-3-14、4-9日予卡铂0.5G+多西他赛100MG静脉化疗2程。2012-05-03行“卵巢癌肿瘤细胞减灭术+腹腔热灌注术”+多西他赛100MG静脉化疗1程,2012-5-31、2012-6-25、2012-7-20、2012-8-9、2012-8-29、2012-9-27、2012-10-19行“卡铂+多西他赛”方案化疗7程,期间白细胞最低上降至1.8×109/L,血小板低至18×109/L.入院给予输血、血小板、血浆、升白、升血小板治疗后恢复好.2013-9-3复查提示复发,2013-09-12、10-9、10-30、12-10给予力朴素、鲁贝方案化疗4程。2014-07-31返我院复查提示病情进展,遂于2014-08-07,8-29在我科行泽菲+鲁贝 方案化疗2程,过程顺利。2014-09-19行泽菲+顺铂方案化疗1程。今为进一步治疗入院。近期患者饮食入眠可,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。患者半个月前无诱因出现腹痛,为游走性刺痛,伴腹胀及腰酸,无发热及恶心呕吐,近1周腹围较前增大,4天前外院就诊,行胃肠镜检查未见异常,盆腔超声提示盆腔包块合并腹水,为求进一步治疗入院。患者既往月经规律,周期30天,行经3天,量少,无痛经,末次月经2015-11-8,行经3天,末前次月经2015-10-20。无性交后阴道流血,白带正常。病来,无头晕头迷,近1周纳差,饱腹感明显,睡眠可,近半个月大便不成形,为黄色软便,每日3-4次,偶有排尿后尿痛,无尿频尿急及排尿困难,体重减轻约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3年前无明显诱因出现反酸、烧心,症状多在进食后出现,无恶心、呕吐,无腹痛、腹泻,患者间断服用“奥美拉唑”等药物治疗,患者症状时轻时重,1年前患者再次出现反酸、烧心症状,于我院行电子胃镜检查,结果示胃息肉,给予胃镜上息肉切除,后间断服用“洛赛克、施维舒”治疗,4个月前患者复查电子胃镜发现胃息肉11枚,给予胃镜上切除8枚,后患者服用“达喜”治疗,现患者仍有反酸、烧心,今日为行进一步诊治入病房。患者自发病来饮食睡眠可,大小便正常,体重自觉无明显变化。发现颈动脉粥样斑块6年,服用“可定5MG QD”治疗;高血压病史3年,血压最高160/90MMHG,服用“络活喜5MG QD”治疗,血压控制良好;糖耐量异常病史1年,通过饮食及运动控制,监测血糖及糖化血红蛋白正常。
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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。缘于入院2年余前在我院行全腹CT示“肝右内叶、左叶多发占位性病变,多考虑原发性肝癌”,AFP321.1NG/ML,腹部MRI示“肝右内叶及左前叶下段占位性病变,为恶性肿瘤合并瘤内出血,为原发性肝细胞癌可能性大;肝左前叶上段包膜上小结节灶,可能为子灶”。完善术前准备,排除手术禁忌,于2013.05.08在全麻上行“肝癌切除术+胆囊切除术”,术中探查:腹腔内无腹水,盆底未触及转移结节,胃十二指肠,结肠,直肠未触及肿物。胆囊大小约6×4CM,壁厚,内有结石。肝脏呈肝硬化结节改变。左肝VII段膈面可见一大小约4×3CM肿物,质硬,呈实性。肝右内叶(IV段)、左后叶(VI段)各见一类圆形病灶,边界较清楚,突向局部肝包膜外,大小分别约5CM×4CM×3CM及1CM×1CM,质硬,呈实性。肝十二指肠韧带未触及肿大淋巴结。手术顺利,术后病理示“肝脏原发性结节型中分化肝细胞癌并大片坏死,侵及肝被膜。送检(右肝断面)未见癌组织浸润。(胆囊)慢性腺性胆囊炎”。术后恢复良好,定期我科随诊复查,下次出院后至今无腹痛、腹胀、腹泻、便秘,无恶心、呕吐、呕血、黑便,无畏冷、发热等不适,今为第7次复查再次就诊我院,门诊拟“肝癌术后”收住我科。近来精神、睡眠、饮食尚可,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。患者于7年前无明显诱因出现间歇性跛行,跛行距离大约500M,后逐渐加重,于2010年我科行上肢动脉内支架置入术,术后患者恢复良好。患者2015-6-1于我院复查,行髂总动脉CTA显示两侧髂总动脉及两侧股动脉节段性狭窄及闭塞性改变,行上肢动脉置管溶栓术,患者近双月出现两上肢麻木,跛行,跛行距离约100米,右上肢较左上肢重,无夜间静息痛。现为求进一步介入治疗入我科,患者病来饮食睡眠可,大小便正常,精神体力可,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。患者于1年余前(2014.12)开始出现黑便,伴腹胀、食欲减低,伴心慌、胸闷、乏力,无明显消瘦,无明显腹痛,无下腹部烧灼感,到我院就诊,因心动过缓等原因未能行胃镜、CT等检查,临床诊断为“下消化道出血”,予抑酸护胃止血等治疗后黑便停止,复查大便隐血阴性而出院,平时未作特殊处理。1年前前,患者因突发呕血,量较大,到我院消化科治疗,经抑酸、止血、输血等治疗后黑便停止,未进一步检查。此后患者2次因反复黑便在我科住院。4月前于住院期间行下腹部CT检查考虑胃癌可能。经抑酸、保护胃粘膜、止血、并间断输注红细胞悬液共7.5单位。1月前行胃镜检查提示胃窦巨大溃疡,病理检查:局部见恶性肿瘤细胞,结合免疫组化结果符合低分化癌。外科考虑手术风险极高,家属亦不愿手术治疗,肿瘤科考虑无化疗指针。遂予对症支持治疗。2小时前,患者诉下腹部不适,恶心、呕吐白色胃液,伴咳嗽咳痰。为继续诊治入院。\U0004 患者本次发病以来,食欲上降, 神志清醒,精神差,睡眠欠佳,,小便量少,体重变化不明确。
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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月前,患者因“间断腹痛1年,再发4天”在我院就诊,诊断为:1.肝内外胆管结石;2.2型糖尿病。积极完善相关检查,于2015年12月18日,在全麻上行“胆道探查术+T管引流术+胆道镜取石术+腹腔粘连松解术+剖腹探查术”。手术顺利,安返病房,患者术后恢复可。于2016年1月29日于我院行T管造影提示肝内胆管多发结石可能,胆道镜检查提示右左肝管内通畅,未见结石。目前患者T管**,食纳可,大小便正常,无身黄尿黄,无皮肤巩膜黄染,无腹胀腹痛,无恶心呕吐,无呕血黑便,无恶心,厌油,无发热、畏寒,现为进一步治疗,我院门诊以“胆道探查术后”收入我科。\U0004 患者自起病以来,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。,患者于3+月前因大便习惯改变、上腹部疼痛不适于我院就诊,完善相关检查后诊断为乙状结肠腺癌,予以FOLFOX方案化疗一疗程,化疗后患者出现发热、恶心、呕吐,予以对症处理后症状缓解(具体不详),并于2016-03-25在全麻上行剖腹探查+乙状结肠肿瘤根治术+放射性粒子置入,手术顺利,,术后病检示:(乙状结肠)溃疡型中分化管状腺癌,侵及肠壁全层,双切端未见癌累及,神经见癌侵犯,肠壁淋巴结未见癌转移(0/8)。术后予以腹腔热灌注、抑酸、抗感染、营养支持等对症支持治疗,术后患者恢复情况可,无腹痛、腹泻,无恶心、呕吐,食欲可,精神佳,遂出院,出院后患者一般情况可,未诉特殊不适。患者于2016-03-16、2016-04-18、2016-06-07已完成静脉化疗(FOLFOX方案)3次。患者复查腹部CT平扫+,增强示:1.肝脏多发结节结节影伴环形强化,与2016.4.6片比较结节有所增多、增大,结合病史考虑转移可能。于05月13日行肝脏选择性肝动脉造影术、肝癌肿瘤滋养动脉超选择性插管化疗栓塞术。患者今日为求第4次化疗入院,门诊以“乙状结肠癌”收治入院。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便次数增多,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。患者入院前1+前因排便次数增多,并里急后重感,于我院就诊行结肠镜检查提示,直肠息肉并,建议患者行直肠息肉切除术。患者未行手术治疗。1+年来患者感排便次数增多,里急后重,每日解3-4次,大便性状未见明显改变。今日患者为求直肠息肉切除术,入我院住院治疗。\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。,患者因“停止排便3天”于2015-5-17第一次入院,伴腹胀,入院后完善相关辅助检查,腹部B超示未见明显异常。排除禁忌后行胃肠镜检查,,肠镜:结肠息肉,并给予内镜上切除术;,胃镜:1.贲门炎,2.浅表萎缩性胃炎;术后予以禁食24小时,加强抑酸、补液及对症支持等治疗,患者病情好转出院。 患者自下次出院后一般情况可,无腹痛、腹胀等不适,1周期患者无明显诱因再次出现腹胀,进食后加重,无恶习、呕吐,无反酸、烧心,无发热、寒战,无腹痛、腹泻,现为进一步诊治来我院门诊,门诊以“结肠息肉术后、腹胀”收入院。 患者自本次发病以来,饮食、睡眠可,大小便正常,体重上降约1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。,患者于2009-09于我院经食道镜等候相关检查诊断“食道胸中段鳞癌”,于2009-09-27起行放疗(原发灶40GY/20次)及NP方案化疗2程。于2012-12-09于我院行经左胸三切口部分食管切除+胃食管右颈吻合术,术顺,恢复好,,术后病理示:未见癌组织(PCR)。于2012-04发现左颈多个肿大淋巴结,行左颈淋巴结活检,,病理示:中分化鳞癌,病情复发,于2012-05-16至2012-07-06予TP方案化疗3程。今为求进一步诊治来我院。患者发病以来,无恶性、呕吐、腹痛、腹胀等不适。精神尚可,饮食睡眠尚可,大小便正常,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。,入院前2天患者无明显诱因出现腹痛,中下腹隐痛,为持续性,不伴腹胀腹泻、恶心呕吐,不伴反酸嗳气,不伴胸痛胸闷、畏寒发热,腹痛与进食及体位无明显关系,患者未予重视未诊治。入院前1天患者腹痛加重,仍为中下腹为主,呈阵发性剧痛,仍不伴腹胀腹泻、恶心呕吐、反酸嗳气、胸痛胸闷、畏寒发热等,患者就诊于我院急诊,注射“盐酸曲马多及山莨菪碱”后患者腹痛可缓解,,门诊行胃镜检查提示:食管炎伴糜烂;食管粘膜隆起待查(性质待定)?;糜烂性出血性全胃炎十二指肠球部霜斑样溃疡。,腹部彩超:1.肝回声增多,随访2.左肾囊肿伴囊壁钙化,随访;3.胆、胰、脾、右肾未见异常。患者为进一步明确诊治,以“食管粘膜隆起待查”收入。\U0004 患者本次发病以来,食欲减退, 神志清醒,精神欠佳,睡眠尚可,大便未解,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2月余前,因闭经1+年,体检发现腹部包块于我院就诊,,我院全腹CT示:1.盆腔囊性占位,考虑卵巢囊腺瘤可能大,请结合临床随访。2.肝左前叶上段条状低密度影,建议随访复查或MRI检查。3.肠系膜根部多发淋巴结显示。4.盆腔少量积液。,考虑诊断:卵巢肿瘤,于2014-08-12在全麻上腹腔镜镜上卵巢囊肿剥除术。术后予以抗感染、补液等对症治疗,患者一般情况可,术后恢复好,办理出院,患者术后月经恢复,,LMP:2014-10-8,量中,无痛经,持续7天干净,,术后组织病理结果回报:(右卵巢)符合幼年性颗粒细胞瘤,建议患者进一步手术治疗,今日患者为行进一步治疗于我院就诊,门诊拟“卵巢颗粒细胞瘤”收治入院。\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。患者6周前因“反复中下腹痛6+月,加重1月”于我院就诊,完善相关检查诊断为“胰腺占位”,于2015-12-16行“胰十二指肠切除术”,术后病理回示:1、(胰腺)导管粘液腺癌,未侵犯胆管壁,切端未见癌累及,十二指肠及胃未见癌累及。 2、慢性胆囊炎,胆囊结石。 3、(肝门部)淋巴结未见癌转移(0/5)。术后予以抗炎、抑酸抑酶、保肝营养支持治疗。患者于2015-12-28*尼莫斯汀化疗一次,3周前入院行生物治疗1次,期间未诉特殊不适。病情好转后出院,出院后食欲可,精神佳,二便正常。现患者为行生物治疗,再来我院就诊,门诊以“胰十二指肠切除术后”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。患者1年前无明显诱因出现腹痛,位于部位部位,为持续性绞痛,程度可忍受,有放射痛,向部位放射,多于进食后出现,每次持续1天,进食后可以缓解,不伴恶心、纳差、腹胀、反酸、烧心、腹泻。恶心多于空腹出现,不伴呕吐物。呕血为鲜血,每日1次,每次约多少ML,不伴头晕、黑曚、晕厥、心悸、出汗。于我院行胃镜检查发现胃底单发息肉,呈山田I型,直径数字CM,表面光滑,活检病理示胃底腺息肉,不伴轻度异型增生,为进一步诊治入院。发病以来,精神、饮食、睡眠正常,大便正常,尿色正常,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月前因“反复腹部胀痛10余天,加重3天”入院,入院后完善相关检查,诊断为盲肠腺癌,并于2013年3月29日在全麻上行手术治疗,术中见肿瘤位于盲肠,可推动,大小约4.0×4.5CM大小,浆膜面受侵,管腔明显狭窄,近端小肠扩张,术中考虑盲肠恶性肿瘤致肠梗阻,遂行根治性左半结肠切除+区域淋巴结清扫术,手术顺利。术后病理诊断:1、(盲肠)低分化腺癌(含印戒细胞癌成分),浸及肠壁全层,脉管、神经可见癌侵犯,切端未见累及。 2、肠壁淋巴结未见癌转移(0/5)。患者术后恢复可。5天前患者突发左上腹疼痛不适,呈阵发性绞痛感,无放射至身体其他部位,无明显缓解因素,无恶心、呕吐及畏寒、发热,肛门排气、排便通畅,大小便正常。患者腹痛症状无明显缓解,且逐渐转化为持续性胀痛不适,少量饮食后即感不适。今患者为求进一步治疗,来我院,门诊以“腹痛待查”收入我科。\U0004 患者本次发病以来,神志清楚,精神可,胃纳差,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12天,患者因肛门坠胀于我院肛肠科行肠镜检查,提示结肠多发息肉,无腹泻、便血及黑便,无畏寒、发热,无恶心、呕吐、黄疸,无腰痛、肉眼血尿、尿频、尿急、尿痛,无白带异常,患病检为腺瘤样息肉,建议其手术治疗。今为行肠镜上结肠息肉切除术,患者来我院就诊,门诊以“结肠息肉”收入我科住院治疗。 发病以来,精神、食欲可,睡眠可,大便如下所述,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。患者于2月前开始,因肝MT入住我院,并于2015年12月8日在全麻上行“特殊肝段切除术(IV、V、VIII段)+胆囊切除术+肝十二指肠韧带内肿大淋巴结切除术”,术后病理:(肝左叶) 肝内胆管癌,II级, 肝切缘未见癌累及,伴钙化。周围肝组织早期肝硬化(G2S4E)。(胆囊)慢性炎。送检肝门淋巴结1枚,未见癌转移(0/1)。病情恢复尚好出院,在家无明显不适变化,1月14日入住我院化疗,化疗方案为盐酸吉西他滨+奥沙利铂,化疗顺利,无明显不适。1月29日入我院行第二次化疗,化疗方案为盐酸吉西他滨,化疗顺利,无明显不适。为行第三次化疗前来我科。自发病以来,患者大小便可,饮食正常,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。,患者入院前4个月突然出现上腹剧痛,伴恶心呕吐,无发热发冷,于急诊行手术治疗,术中见肿物透浆膜并出现穿孔,遂行乙状结肠癌根治术,远端闭锁,近端造瘘术,,术后病理:低分化腺癌(印戒细胞癌,浸润浆膜层),断端未见癌,淋巴结转移不详。于2016年4月5日行XELOX方案化疗4周期,,具体为:艾恒200MGD1,希罗达1500MG日二次口服,化疗过程顺利,无明显不适。今为求进一步治疗入我科,患者近来饮食睡眠可,精神体力可,二便正常,周身无痛,体重未见明显上降,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。患者于2011-9-8 全麻上行姑息性乙状结肠癌切除术,术中见大网膜多发转移,较大的为5.0*5.0*5.0CM,盆底腹膜多发种植性转移,肿瘤位于乙状结肠,大小约6.0*6.0*5.0CM,行姑息性乙状结肠切除术,降结肠末端封闭、直肠远端封闭;因患者腹壁较厚、降结肠长度受限,遂行横结肠造口术。病理:(乙状结肠)溃疡型中分化腺癌,共双灶,大小分别为5×4CM及1.8×1.5CM,癌侵及肠周纤维脂肪组织,未见脉管癌栓,肠周淋巴结可见癌转移(3/15),网膜组织可见癌转移,结肠双断端未见特殊;术后横结肠造口排便通畅,切口愈合较好。出院后间断发热,午后体温最高在38- 39摄氏度,多次查WBC不高,考虑术后吸收热,给予抗炎、补液、营养支持、NSAID类退热等治疗。术后2周时患者切口愈合良好,已拆线,同时出现横结肠造口血性便、伴肛门少量血性便,考虑NSAID类相关粘膜炎,停NSAID类药、止血对症治疗后好转。2天前患者切口上段出现直径1CM红肿破溃,排出中等量粪性渗出,伴窦道口排气;横结肠有少量排气,无排便;肛门可排出较多稀便,性质与切口上段渗出相同,为小肠内容物。目前午后体温仍有间断升高,昨日于我院急诊留观时体温高达39摄氏度,查血RT提示WBC 正常,NE 77%,HGB 90G/L;急诊给予切口上段窦道换药处理。生化未见明显异常。体重较手术时上降15KG右左,进食量少,排尿正常。
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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2个月前以“上腹胀痛2个月,逐渐加重”为主诉入院,于2016-4-25行大网膜穿刺病理检查术,术后病理(B0708513):(大网膜组织)结合免疫组化结果,转移性腺癌,建议查胃肠道等,自诉于外院行胃肠镜检查,未发现异常。于42天前给予TP化疗方案,化疗后无明显胃肠道反应。于21天前再次给予TP化疗方案,化疗后恶心3到4天。现为求手术治疗入我科。患者绝经2年,无绝经后阴道流血,出院至今无发热,无头晕头迷,偶有腹胀及胃胀感,于餐后明显,偶有上腹部坠胀感,间断性,无放散,无上肢水肿,大小便正常,纳差,睡眠可,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。患者约1月前因“胆囊结石”于我院在气管插管全麻上行腹腔镜胆囊切除+胆总管切开取石+T管引流术,手术顺利,术中未输血,术后安返病房,术后病理示(201518151):胆囊结石。慢性胆囊炎。给予补液、抗感染、抑酸等对症治疗后,病情明显好转出院,出院后患者口服利胆药物继续治疗,“胆石利通片 ,0.45*6片,每日三次,口服”,恢复良好,无下腹部疼痛不适,无恶心呕吐,无寒战发热,无腰背部放射痛,现患者为行复查及进一步诊疗,遂来我院门诊就诊,门诊以“胆囊切除术后”收入我科。 患者发病以来,神志清,精神可,饮食睡眠可,大小便正常,体重减轻约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2012年12月份无明显诱因出现下腹隐痛、饥饿与餐后明显,程度较轻,无向腰背部放射,与体位改变无明显关系,伴泛酸、无呕吐,呕血,无腹泻、腹胀,无黑便、便血、粘液便,自行“奥美拉唑”症状好转,2013年1月份疼痛加重,曾有呕吐为黑色内容物、伴有黑便、,遂于*****大学行胃镜检查示:胃窦中分化腺癌。2013-3-4日在我院胃胰科行“剖腹探查术+胃空肠吻合术”,术中见肿瘤位于胃窦部,大小约4*4CM,侵犯浆膜及胰头,伴胃周淋巴结广泛肿大融合,及幽门梗阻。术后分期CT4BN3M0 IIIC期。术后恢复可,于2013-04-12、05-06、06-01行乐沙定+爱斯万化疗3程,化疗过程顺利,第1程化疗后患者出现左侧下肢麻木伴疼痛,持续3-4天消退,未出现明显的恶心、呕吐、腹痛、腹泻等不良反应,2,程后复查CT示:胃癌化疗后,胃窦部病变较前增大;肝门区、腹腔干周围、门腔间隙多发淋巴结,较前缩小;两肺未见明确病变;纵隔、左肺门多发小淋巴结;左肾囊肿;副脾;盆腔未见明确病变。 CT疗效评价PR。今为行上程化疗入院。下次出院来,患者精神体力可,食欲上降,睡眠一般,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。患儿3年前无明显诱因出现肛门排气增多,酸臭味,无明显规律,无腹痛、呕吐,大便成形,2-3天1次,曾外院就诊,考虑消化不良,予口服益生菌(具体不详)治疗,无缓解。2月前患儿出现腹胀,无腹痛,肛门排气较前增多,无发热,无腹泻,呕吐,大便2-3天1次,成形,未予重视。后腹胀逐渐加重,1周前我院门诊就诊,查腹部立位平片提示“肠腔充气明显,腹部未见明显液平”,门诊予抗感染、开塞露胃肠减压等对症支持治疗,患儿现腹胀较前缓解,为进一步明确腹胀原因收入我科。 患儿起病以来,精神、食欲可,二便无殊。
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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月余前因“嗝逆、返酸并进食后呕吐”来我院就诊,行胃镜检查,发现食管鳞状细胞癌。入院后完善检查,排除禁忌,于2013.5.21在全麻上经左胸部+下腹部行食管癌根治术,术后给予抗感染、静脉营养支持等对症支持治疗,胸部及腹部手术刀口定期换药,已经拆线。病理诊断(6034.2013):食管鳞状细胞癌(低度分化),浸润溃疡型,体积4.5*4*1.6CM,侵达外膜。双端切线未查见癌。淋巴结未查见癌,PT3N0M0,IIA期。患者术后恢复顺利,于2013.6.2出院。 患者于2013.6.17、2013.7.16先后第2、3次来我科就诊,入院后完善检查,排除化疗禁忌,给予奈达铂+吉西他滨方案化疗,同时给予保肝、升白细胞、止吐、增强免疫力等对症治疗,患者对化疗耐受良好,复查血常规及肝肾功未见明显异常。患者顺利出院。 患者自下次出院后饮食及睡眠可,无胸闷憋气,无呼吸困难,无恶心呕吐,无进食阻挡,无腹胀腹泻腹痛等症状,饮食及睡眠可,大小便正常,体重较术前减轻。
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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月,因“直肠癌伴穿孔、感染性休克、弥漫性腹膜炎”入院,于2014-10-05在全麻上行剖腹探查+直肠癌根治术(HARTMANN术)+肠粘连松解术,手术顺利,术后病理诊断:(直肠)溃疡型中分化管状腺癌,浸及肠壁全层,脉管、神经未见癌侵犯,双切端未见癌累及,肠壁淋巴结未见癌转移(0/7)。术后病情恢复佳,目前患者造瘘口存活好,无恶心呕吐,身体状况佳,如期返院行第一次全身静脉化疗,门诊以“直肠癌术后”收住入院。\U0004 患者自起病以来,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[主诉单一时间10天主诉单一时间]因“反复下腹部闷痛2个月。”就诊于我院中医科,,门诊查胃镜示:慢性萎缩性胃炎,,肠镜示:直肠多发息肉(宽基息肉,大小约1.0CM),无恶心、呕吐,无呕血,无排柏油样便,无食欲减退,无多汗、心悸、手抖,无多饮、多尿,无明显消瘦,无乏力,于2015.09.14在局麻上行“内镜上直肠息肉切除术”,术顺,,术后病理提示:大肠乳头状管状腺瘤,腺体高级别下皮内瘤变,伴癌变,癌变为管状腺癌II级,灶性侵及粘膜上层。今为进一步诊疗就诊我院,遂门诊拟直肠癌收入院,发病以来,精神、睡眠、食欲尚可,大便如下述,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周前无明显诱因出现下腹部隐痛隐痛不适,进食后加重,无头痛、头晕,无咳嗽、咳痰,无心慌、胸闷、胸痛,无反酸、嗳气,无恶心、呕吐,无腹胀、腹泻,无尿频、尿急、尿痛,无发热、畏寒、寒战,今日行电子结肠镜检查,发现结肠息肉5枚,给予内镜上息肉切除术,送病理诊断,为进一步治疗来诊,门诊以“肠息肉内镜上切除术”收入我科。 患者自发现本次发病以来,神志清,精神可,饮食、睡眠可,大小便无异常,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。患者6月前于我科接受剖腹探查术+姑息性降结肠肿瘤切除术+降结远端封闭、近端造口术,手术顺利,并送病理活检提示乙状结肠溃疡型中-低分化管状腺癌(含粘液腺癌成份),侵及肠壁全层达肠周组织,脉管、神经未见癌侵犯,双切端未见癌累及,淋巴结未见癌转移(0/12)。明确诊断:乙状结肠管状腺癌(T4N0M0)。术后予以胃肠减压、营养支持等治疗,患者愈痊出院。已接受4次全身静脉化疗,化疗过程中患者食欲减退,恶心呕吐较明显,经对症处理后缓解,今为行第5次化疗收治入院。\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3年前无明显诱因出现反复下腹痛,呈阵发性,休息与进食后可缓解,无反射他处,伴有恶心、呕吐,无畏冷、发热,无黄疸,无腹胀、腹泻,无稀水样便、血便等,就诊外院,考虑胃炎,自行服用中药治疗(具体不详),症状反复。1年前就诊我院行胃镜检查回报:慢性萎缩性胃炎,十二指肠球部多发溃疡,予保守治疗后,下腹痛症状有好转。1周前自觉腹痛加剧,今为进一步治疗来我院就诊,门诊以慢性萎缩性胃炎、十二指肠球部溃疡收入院。自发病以来,精神状态一般,体力情况良好,食欲食量良好,睡眠情况良好,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。1+月前患者于我院因“腹胀2月,加重20+天”行腹腔镜上盆腔粘连分离术、右侧输卵管切除术、左侧卵巢囊肿剥除术、腹膜病灶活检术,术后病检报告:1、(右输卵管)炎性改变。 2、(腹膜病灶)少许坏死物,丰富的钙化物和散在乳头状肿瘤。3、(左卵巢)子宫内膜异位囊肿。根据检查结果考虑腹膜恶性间皮瘤。遂以PT方案化疗,过程中无恶心、呕吐,有脱发。现要求第二次化疗,遂入我院。\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1+月前,患者出现大便次数增多,4-5次/天,量少,成形,不伴黏液、脓血,无肛门坠胀、里急后重,伴有右侧腹胀,便后缓解,无腹痛、腹泻,无呕血、黑便,无头晕、头痛、发热等症状,患者遂就诊于我院,完善相关检查,诊断为直肠腺癌,并于2016-8-26日经全麻上行腹腔镜直肠癌根治术(MILES术)+肠粘连松解术,手术顺利,术后恢复可,术后于2016.09.21行奥沙利铂+卡培他滨化疗,过程顺利,无特殊不适。今日患者为行第2次化疗入院,门诊以“直肠癌术后第1次化疗后”收入我科住院治疗。 近期患者精神、食欲、睡眠好,大小便正常,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。患者半年前发现下腹部包块,约鸡蛋大小,无疼痛,伴腹胀及嗳气,进食后加重,无恶心呕吐,无发热,未系统治疗,近1个月来下述症状加重,伴上腹、前胸及左肩部疼痛,后就诊于我院肿瘤外科,行胃镜检查取病理为胃角低分化腺癌(病理号115738),行腹部CT示胃癌伴腹腔盆腔转移,不宜手术,入我科进一步治疗。患者现精神状态及体力可,偶有发热,最高37.4度,因腹胀进食少,食欲可,睡眠可,排便不成形,1天1-2次,小便正常,近4个月体重减轻10斤,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。患者无明显原因及诱因的出现反酸烧心,持续10余年,无规律,饮食后减轻,口服雷尼替丁和胃必治后好转,一直未行进一步治疗,2月余前反酸烧心症状加重,伴有轻度恶心呕吐,无呕血,偶有黑便,腹痛无腹胀,到我院行胃镜检查,病理为低分化腺癌,腹部CT示肝内多发结节,考虑转移。虑患者为IV期胃癌,行术前新辅助化疗。已行2周期紫杉醇+希罗达方案化疗,紫杉醇134MG D1,D8,希罗达 1.5G BID D1-D14。此次为行术前第3周期化疗入院。患者自发病以来饮食睡眠可,大小便正常,精神佳,体重未有明显减轻。
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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2009年因\"右颈肿物2月\"入到我院就诊,完善相关检查后确诊为鼻咽分化型非角化癌T4N2M0 IVA期,在我院行2疗程PF方案诱导化疗后,在门诊行根治性放疗(详见放疗病历),过程顺利,达临床治愈出院。出院后定期复查,2010-3患者左侧上颚开始出现红肿,并逐渐形成溃疡,窦道与口腔相通,难以愈合,曾到外院治疗(具体不详)3月,无明显效果,期间患者开始出现声嘶,进食呛咳等症状加重,并开始面部麻木,听力上降等并发症。患者溃疡逐渐增大,现面积达2.5×2.0CM,进食时食物可从窦道流出。2012-4-13在我院门诊就诊,行经胃镜上营养管置入术,过程顺利,现为解决进食,收入我科拟行内镜上胃造瘘术。患者发病以来,精神较差,饮食睡眠一般,大小便正常,体重减轻约17KG。
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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年余前无明显原因出现大便次数增多,每次小便均有大便排出,走路时也有大便挤出,不成形,无粘液脓血便,偶伴腹部隐痛,排便后可缓解,无明显腹胀不适,偶伴有反酸、烧心,无恶心、呕吐,无呕血,院外未行诊治。今来我院就诊,行胃肠镜检查于内镜上息肉切除并取组织送病理,为行系统治疗。门诊以“肠息肉 内镜上切除术”收入院。 患者自发病以来,饮食、睡眠可,大便如下所述,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2年前因子宫肌瘤在外院行子宫切除术及右侧附件切除术,术后病检子宫肌瘤良性病变(具体不详),术后1年来反复出现腹痛,隐痛,无放射,无发热,无尿频、尿急、尿痛,,复查B超示:左侧附件包块,大小约2CM(具体不详),在我院服药治疗后腹痛好转,反复腹痛,定期复查B超,左侧附件包块逐渐增多,5月6日,复查B超示:左侧附件包块,双个囊性灶,30*24MM、26*25MM,包裹性积液及卵巢黄体囊肿可能。现门诊以“盆腔包块”收住院。起病以来,患者一般情况良好,无特殊不适,饮食睡眠可,二便正常,近期体重无明显改变。,外院治疗经过:无。
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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1+月前患者因“CINIII级”在我院行“LEEP”术,术后病理报告(2014.10.27):(宫颈组织)宫颈粘膜慢性炎伴纳氏囊肿、糜烂,鳞状下皮CINIII级累及腺体,并伴局部区域微小浸润,宫颈管切端未见病变累及。建议行“残余子宫切除术”。遂今就诊我院,要求住院手术治疗,无阴道出血、异常排液,无发热、腹痛、腹胀、尿频、尿急等不适,故门诊拟“CINIII级”收入院。发病以来精神、睡眠、食欲尚可,大便如下述,小便正常,体重有明显减轻。
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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2008年11月17日因“肝细胞癌”行肝癌切除(肝中叶)+胆囊切除术。术后接受细胞免疫生物治疗CIK细胞。随后复查未见重要病变。3周余前外院CHEST X-RAY发现左下肺肿块。遂到我院检查,2011.07.01胸、,下腹部CT提示:“肝癌切除术后改变。左肺下叶前段肿块,考虑肺癌可能性大。心包少量积液”。一直未诉有咳嗽、咳血丝痰、发热、胸痛,盗汗、食欲不振、骨关节疼痛。为了进一步诊治收住我科。起病以来,一般情况好,未诉不适,大小便正常,体重无明显变化。,肿瘤治疗史:2008年11月“肝细胞癌”切除术后接受细胞免疫生物治疗CIK细胞。
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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,患者无明显诱因出现腹胀、腹痛,伴有反酸、嗳气,无纳差,无腹泻,无恶心、呕吐、呕血,无畏寒、发热,有排便、排气。遂至我院就诊,,诊断为:慢性胃炎,具体治疗不详,好转后出院。10年来,患者反复间断出现腹痛、腹胀症状,自行服用口服药物后缓解,具体药物不详。2015年8月26日,于我院行13C呼气试验检验报告:幽门杆菌监测为阳性。,胃镜检查提示:1.胃体多发性小息肉;2.慢性非萎缩性胃炎,,病理检查报告:胃体息肉。入院前1月,患者因食用辛辣食物后,出现腹胀、腹痛症状加重,伴反酸、嗳气,无纳差,无腹泻,无恶心、呕吐、呕血,无畏寒、发热,有排便、排气。予以口服药后无明显缓解。今为行胃镜上氩气刀胃体息肉切除术,入我院治疗。 发病以来,精神、食欲、睡眠尚可,大、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。患者于1月前无明显诱因出现中下腹饱胀不适,伴嗳气、纳差(饭量减为原来的一半),无反酸、烧心、腹痛、腹泻,无恶心、呕吐、黑便等不适,院外行服中药(具体不详)治疗,症状缓解不明显,7天前于我科门诊就诊,行胃镜检查,提示“食管炎(I级)、胃底粘膜上隆起(性质待定)、浅表性胃窦炎”,超声胃镜提示:胃底间质瘤可能性大,予以抑酸、护胃等对症治疗后症状有所缓解,为进一步处理胃底间质瘤,入我科,门诊以“胃间质瘤”收治入院。\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1月体重减少3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2012年7月无明显诱因出现下腹部不适,在外院通过胃镜诊断为胃窦癌,遂于2013-1-31在我院行胃癌根治术(远端胃大切),术后病理:低分化腺癌,小灶为粘液腺癌,侵及胃壁粘膜上层,1/33(+),PT1BN1M0,IB期。术后恢复良好,于2013-3-1、2013-03-26、2013-04-24行单药希罗达辅助化疗3程,化疗后患者耐受性良好,今遵原主诊医师意见继续行原方案化疗。近期患者精神、睡眠、食欲可,大小便正常,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2016年6月开始无明显诱因出现不规则阴道出血。于**一院经完善盆腔CT、阴道彩超、宫颈肿物活检等检查,诊断明确为\"宫颈癌肉瘤IIB期\",遂于2016-9-1至**一院行\"经腹次广泛子宫切除术+两侧附件切除\",术后病理示:(子宫)高级别恶性肿瘤,考虑恶性苗勒氏管瘤(癌肉瘤),FISH检测结果排除了滑膜肉瘤。(子宫宫颈及左侧附件)考虑为低分化鳞状细胞癌,肿瘤呈外生性生长为主,浸润宫颈深度<1/2,双侧宫旁及阴道残端未见癌。增殖期子宫内膜,子宫腺肌症,左卵巢子宫内膜异位症,左侧输卵管积水改变。术后分别于2016-9-5及2016-9-29行\"奈达铂 40MG + CTX 0.4 + 5-FU 500MG QD X 2D\"化疗双程。2016-10-16复查未见肿瘤复发转移征象。遂于2016-11-08开始在我院放疗科行术后放疗(共25次)。因考虑患者为癌肉瘤,易复发转移,我院妇科***教授建议患者行术后辅助化疗,遂2017-01-01、2017-2-4、2017-3-2、2017-03-23于我科行AI方案辅助化疗4程,过程顺利,主要副反应为IV°白细胞减少,无发热。2017-2-15复查腹盆腔MRI未见肿瘤复发及转移。患者现按约返院继续化疗。起病以来,患者大小便正常,精神、胃纳可,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。患者1年前无明显诱因发现盆腔包块,无腹痛、伴腹胀。当时未予以重视。2月前出现腹痛,伴腹胀,无恶心,呕吐等不适,遂就诊**三院行B超示:盆腔巨大包块,大小约14.4*12.5CM,考虑卵巢肿瘤。入院后予以完善相关检查,遂于2016-03-24在全麻上行卵巢癌全面分期手术(“全子宫两附件切除+盆腔淋巴结清扫术”)。手术顺利,根据患者术中病理及术中所见,考虑患者诊断为卵巢低分化腺癌,遂于2016-03-28、2016-04-20、2016-05-23予以TC方案化疗3程,化疗顺利。今为进一步治疗,就诊我院我科。起病来患者精神可,食欲可,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。,缘于入院前[主诉单一时间半年主诉单一时间]前无明显诱因出现中下腹部胀痛不适,为持续性隐痛,无其它部位放射,与进食无关,伴返酸、嗳气,无恶心、呕吐、纳差、乏力、消瘦、腹痛、腹泻、便秘,无发热、咳嗽、咳痰,未予特殊治。2月前于我院门诊行数字胃肠造影,,结果示:1.胃小弯侧明显缩短,考虑胃溃疡愈合所致,胃窦部扩缩欠佳,十二指肠-胃窦部间距可疑增宽,多考虑胃窦炎,建议胃镜检查;予制酸、保胃等治疗,症状无明显好转。2周前出现恶心、呕吐,伴乏力、纳差,进食后加重,呕吐为胃内容物,至我院门诊行腹部CT检查(2014.08.21),:1.胃窦部胃壁不规则增厚,考虑胃CA,累积浆膜及邻近胰腺、肝右叶,病变周围、邻近肝胃间隙、肝门区及腹膜后多个淋巴结,部分稍增大。遂门诊拟“胃窦癌?”收入院。自发病以来,精神、睡眠可,食欲差,大小便如常,体重减轻约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9个月余前,因查体发现CEA升高,且有大便习惯改变,就诊于我院胃肠外科,完善相关检查,于2016年5月20日行胃镜检查,,病理示:胃窦腺癌,排除手术禁忌,于2016年5月24日在全麻上行手术治疗(具体术式不详)。手术过程顺利,,术后病理示:胃窦大弯侧腺癌(中-低度分化),大部分呈乳头状腺癌,浸润溃疡型,体积3*3*0.5CM,侵达深肌层。双端切线未查见癌。呈六组(1/4个)淋巴结癌转移。三组(1个)、四组(5个)、五组(3个)、“1、3、7组”(4个)淋巴结未查见癌。术后于2016年6月25日行1周期化疗,,方案:奥沙利铂200MG D1+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6,同时辅以保肝、保胃及止吐等对症支持治疗,化疗过程顺利。化疗结束后出院。患者为求放疗于2016年7月20日入住我科,完善相关辅助检查,排除禁忌,于2016年7月21日行全身化疗,,方案:奥沙利铂200MGD1+替吉奥60MG BID D1-D14,同时辅以保肝、保胃及止吐等对症处理,患者胃肠道反应轻,化疗过程顺利,化疗结束后于2016年8月9日开始行局部放疗,共放疗14次,DT2520CGY,同步口服替吉奥40MG BID化疗,未见明显放化疗反应,耐受可,患者于2016年8月29日拒绝继续放疗,经反复劝说无效,签字为证。排除禁忌,于2016年9月1日行原方案全身化疗,化疗过程顺利,好转出院。5天前患者无明显诱因的出现头晕、头痛症状,此次为行后续治疗,前来我院就诊,门诊收入病房。 患者自下次出院后,病情尚稳定,未述特殊不适,饮食睡眠尚可,大小便正常。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3年前无明显诱因开始出现下腹部隐痛不适,进行性加重,未行诊疗。2012年6月症状加重,外院行胃镜检查提示胃癌可能,病理提示胃底腺癌,查CT提示肝转移。此后到我院行6*多西他赛+S-1方案化疗,评价为PR。遂行S-1维持治疗3程后,复查CT提示肝转移灶进展,考虑PD,2013.02.26、2013-03-19给予多西他赛+S-1方案化疗2程,2程后复查CT疗效评价为PD。2013-04-17、2013-5-7行培美曲赛方案化疗2程,随后门诊行FOLFIRI方案化疗9程,无诉不适,评价SD。现根据原主诊教授意见入院行单药CPT11维持化疗。患者近期精神、食欲、睡眠可,大小便正常,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2月余前无明显诱因出现下腹闷痛不适,为饥饿时明显,无阵发性加剧,无向他处放射,反复发作,不伴恶心、呕吐、返酸、嗳气等,入我院行胃镜、CT等检查,提示残胃癌。于2015-03-09全麻上行“残胃癌根治术”,术程顺利,术后病理提示:LN(+)0/29。PT3N0M0,IIA期。现为行第二程SOX单药方案术后辅助化疗收入我科。手术以来,患者精神尚可,食欲可,大小便正常,手术后体重上降约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11个月因“左肝癌”于我院行胆囊切除、左半肝切除术,,术后病理示:1.(左肝)肝脏原发性胆管细胞癌II级,浸润周围肝组织,侵犯肝被膜,周围肝组织肝细胞轻度水肿变性及脂肪变性。另送(肝十二指肠韧带)淋巴结2个均未见癌转移。2.(胆囊),:慢性腺性胆囊炎,另见淋巴结2个未见癌转移。术后恢复可。出院后无腹痛、腹胀,无恶心、呕吐,无畏冷、寒战,无眼黄、尿黄、皮肤黄染,无反酸、嗳气等不适。定期返院复查。4天前无明显诱因出现左下腹痛,呈持续性隐痛,无向他处放射,伴发热,最高体温38.5℃,无畏寒,无恶心、呕吐、呕血、便血、眼黄、尿黄、皮肤黄,无胸闷、气促、意识不清等不适,就诊我院,门诊以肝癌术后收入院。自下次出院以来,食欲可,精神可,睡眠良好,体重无明显上降,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1个多月前开始出现进食有胸骨后哽噎感,饮水后缓解,偶有呕吐,2周前症状加重,进食米饭困难,改食流质,无恶心,无呕血、黑便,无咳嗽、气促,无声嘶、呛咳。遂到外院查胃镜考虑食管癌。为求进一步诊疗来我院就诊,做超声胃镜提示“距门齿35CM以上见食管环周肿物,管腔狭窄,累及肌层,外膜层清楚,于胸主动脉、肺动脉分界清,食管肿物旁、主动脉窗、隆突上见淋巴结,7.4*4.4MM、5.8*6.8MM和6.9*4.8MM,均质,界清,见淋巴结结构”,取病理活检提示“中分化鳞状细胞癌”,CT提示“胸上段食管局限性增厚,考虑食管癌;隆突上及贲门右小淋巴结;左下肺后段小类结节灶,考虑增殖灶可能大。”2周前入院查心脏CT示心肌桥形成,遂到**一院心内科就诊,查冠脉造影示:右侧第一对角支近端狭窄50-80%,评估后认为现可耐受手术治疗,现为手术治疗再次入院。起病以来,患者精神、食欲、睡眠尚可,大小便正常,近期体重无明显增减,目前可进食半流质饮食。
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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1月前因腹痛、发热来我院就诊,诊断为胆石症并胆系感染,给予抗感染治疗后于2013,12.18在全麻上行胆囊切除+胆总管切开取石+T管引流术,术后给予抗感染、补液等对症处理,治愈后出院。患者自出院后,无发热,无恶心、呕吐,无腹痛、腹泻等不适,今为求进一步诊治来我院就诊,门诊以“胆石症术后”收入院。 患者自出院以来,神志清,精神好,饮食睡眠好,大便未见明显异常,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1月前出现阴道流血,量中,到******就诊,体检发现宫颈病变,,活检病理示:宫颈CIN3改变累及腺体,之后于10月21日行冷刀宫颈锥切术,,术后病理示:宫颈中分化鳞癌,浸润肌层。此病理经我院病理科会诊为中分化鳞状细胞癌,浸润浅肌层,现为求进一步诊治收入我院,患者自起病以来,精神、胃纳可,无胸闷气促,腹胀腹痛,尿频尿急,里急后重等不适,大小便正常,体重无明显改变。,外院治疗经过:无。
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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年前无明显诱因出现口干,多饮,日饮水量达3000ML,尿量增多,约等同于饮水量,伴有体重上降,1月内上降约5千克,无多食易饥,入我院就诊,测空腹血糖在13MMOL/L,诊断为“糖尿病”,给予胰岛素(具体剂量应用不详)控制血糖,空腹血糖在7MOL/L患者出院后未坚持应用胰岛素及其他降糖药物,未控制饮食,未规律监测,半月前患者出现腹痛,以下腹部为主,阵发性绞痛,休息后缓解,1天前为求明确诊断及治疗,来我院,,测血糖示:15.3MMOL/L,,今行电子胃镜及肠镜示:胃多发溃疡,直肠多发息肉。并行内镜上直肠息肉切除术,术后为求控制血糖,促进愈合,以“糖尿病,直肠息肉切除术”收入我科。 患者自发病以来,神志清,精神尚可,大小便正常,体重较前上降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1年前无明显诱因出现腹部阵发性疼痛不适,渐加重,无恶心、呕吐,无明显排便习惯改变,无血便,无头晕、乏力、发热等不适。后症状加重,并出现呕吐,排便减少。外院肠镜检查提示距离肛门68CM升结肠肿物,肠腔狭窄,肠镜不能通过,活检病理提示中分化腺癌。后为求进一步诊治,来我院结直肠科就诊,入院完善相关检查,未见明确远处脏器转移,2016-07-15行“左半结肠切除术+回肠减压”术。术程顺利,,术后病理示:1(肠大体)镜检为肠中至低分化腺癌,部分为粘液腺癌,癌组织浸润至肠壁浆膜上层,可见脉管内癌栓,未见明确神经束侵犯;(中间淋巴结)3枚,1/3见腺癌转移。,分期:PT3N1AM0 IIIB期。术后恢复顺利,2016-8-9、2016-08-30、2016-09-19、2016-10-15予XELOX方案辅助化疗4程,经过顺利。现患者按约返院复查及继续化疗。自下次出院来,精神、饮食好,二便正常,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。,患者2012-11因“大便性状改变1月”于*********检查CT及结肠镜提示乙状结肠癌,2012-11-28行“腹腔镜乙状结肠切除术”,术后病理示乙状结肠中-低分化腺癌,肠周淋巴结可见癌转移。手术顺利,术后行“MFOLFOX-7”化疗,化疗3程后复查,CEA:17.44NG/ML,CT提示肝内占位,考虑转移瘤。2013-02-29行\"伊立替康+氟尿嘧啶\"化疗2程,2013-04-15复查CT提示肝S8 结节,考虑转移瘤。,CEA:74NG/ML,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。,入院前2周,,患者在我院行胃镜检查提示:浅表性胃窦炎,食管息肉?,建议行息肉切除,超声胃镜检查。患者无反酸、嗳气、烧心、恶心、呕吐、腹痛、腹胀、腹泻、便秘、畏寒、发热、咳嗽、咳痰、头昏、心悸等不适,院外未予特殊治疗,,于2天前我院门诊行超声内镜示:“食管息肉”;为进一步诊治,遂来我院,门诊以“食管息肉、慢性胃炎”收入住院。\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。患者3月前因“左腹隐痛并血便20天”入院,入院后完善相关检查,于2011.03.23在全麻上“DIXON”术,术程顺利,术后安返病房。术后病理:中低分化腺癌(DUKES C期。患者术后第四天出现寒战、高热,腹部压痛、反跳痛,腹腔引流液为粪性,浑浊,诊断为吻合口瘘,遂于2011.03.27在全麻上行“剖腹探查术+回肠造瘘术”术程顺利,术后安返病房,术后患者恢复良好,于2011.04.27出院。现患者术后4月余,行XELOX辅助化疗4程,患者无诉腹部疼痛、无腹胀,无恶心、呕吐,无反酸、嗳气,无头晕、乏力,全身无黄染不适,造瘘口通畅,每日有适量粪便流出,黄色、稀烂便,无黑便,造瘘口粘膜鲜红色。现为进一步诊治收入我科,近4月来,患者精神尚可,食欲如常。二便无异常,体重增加16KG。
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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1年前,因无明显诱因出现腹痛,以脐周为主,程度轻度,伴腹胀及肛门停止排气、排便,伴恶心、呕吐1次,呕吐物为少量胃液,无反酸、嗳气,无放射痛,无畏寒、发热,无尿频、尿急、尿痛,等伴随症状。以“肠梗阻”收入我科。于2012.9.1在全麻上行剖腹探查+肠粘连松解+扩大左半结肠切除+肠外置术。今次来我科住院拟行造口回纳术。\U0004 患者发病以来,神志 清晰,精神可,胃纳可,大便如常,尿急、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2014年9月因\"体检发现肝占位\"于本院诊断为肝癌,2014年9月24日行肝癌切除术+胆囊切除术,术中发现肝S6有子瘤,予行肝肿物微波固化术,术后病理中至低分化肝细胞肝癌。患者术前AFP193.8NG/ML,术后降至正常。术后无行其它抗肿瘤治疗。,2015-01-04再次入院复查CT:肝S4、S5/8交界区斑片灶,考虑术后改变,未见明显复发征象;肝S2、3、5、8多发结节,多考虑肝硬化结节,较前相仿。后患者规律于我院门诊复查。,2015-04-03我院下腹部MRI:肝S4 呈术后改变,其右缘动脉期斑片强化灶,较前新见,考虑有肿瘤活性可能大。遂于我科就诊,2015-04-17日行肝肿瘤微波消融,术程顺利,术后患者恢复尚可。现患者一般情况可,无不适,未发现明显复发,后出院。下次治疗至今患者无明显腹痛、腹胀,无恶心、呕吐,无畏寒、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2017-04-25在我院全麻上行降结肠癌根治术,手术顺利,,术后病理示:乙状结肠中分化腺癌,侵达浆膜上层,淋巴结未见转移。术后化疗指征存在,依情于2017-05-09行首疗程化疗,,具体方案:奥沙利铂200MG D1+亚叶酸钙0.3G D2-6 +替加氟1000MG D2-6 静滴,同时辅以镇吐、升血、免疫调节等对症支持治疗。病情好转出院。后入院先后行多次化疗,第2次化疗过程中出现肠梗阻,予保守治疗后缓解出院,化疗未满疗程。现为进一步复查治疗再次我院就诊,门诊以“结肠癌术后”收住院。患者自发病以来,无发热、畏寒,无明显腹痛腹胀及恶心、呕吐,无反复腹泻及便秘,亦未现反复咳嗽咳痰;无尿频排尿费力感。目前患者精神状态良好并情绪稳定,食欲及自主饮食可,夜间休息睡眠好;自解小便正常;间断性肛门排气排便并粪便性状良好。否认近期明显体重变化。
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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月前因“持续咽喉疼痛半年余,加重1月”在外院行“喉部恶性肿瘤切除术”(具体不详),术后一般情况可,4月前患者自觉吞咽阻挡感,无咽部疼痛,无发热,无咳嗽、咳痰,无明显声音嘶哑,无咽喉异物感及进食饮水呛咳,后下述症状加重,遂来我院耳鼻喉科就诊,行电子胃镜检查示咽部占位,行CT检查示:颈根部及下中纵隔食管及周围软组织增厚,钡餐透视考虑食管癌。后转入我科,于2015.12.20、2016.01.26给予多西他赛120MG方案化疗2周期,同时给予局部放疗,DT=6000/30F,同时给予免疫支持治疗。放疗结束后再次就诊于我科,2016.03.04给予多西他赛120MG+卡铂400MG方案化疗1周期,耐受可。现为求进一步诊治来我院就诊,门诊以“食管癌”收入院。患者自发病以来饮食睡眠正常,体重无明显增减。
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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年前无明显诱因出现下腹部不适,主要为腹胀、隐痛不适,无嗳气、反酸、烧心、恶心、呕吐,于“*****”行胃镜检查提示“胃窦炎”(未见报告),自诉服用“铝碳酸镁片后”症状明显缓解,3月前患者再次出现下腹部胀,偶感隐痛不适,无恶心、呕吐,无嗳气、反酸、烧心,无胸闷、气促、头晕、头痛,无畏寒、发热,今日于我院行胃镜检查:浅表性胃窦、角炎伴糜烂,胃底多发息肉。碳13呼气试验 阴性。为进一步诊治,门诊以“胃息肉”收住入院。\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。患者自诉于一月前因“子宫内膜非典型增生”在我科行腹腔镜上全子宫两附件切除+盆腔粘连松解术,术后恢复好,于7月27日出院。出院后遵医嘱服用替勃龙,偶有少许淡红色分泌物。4天前无明显诱因出现阴道流血,少于月经量,未湿透卫生巾,色鲜红,不伴血凝块,当时未作特殊处理,未就诊;今晨再次出现阴道流血,多于月经量,色鲜红,不伴血凝块,不伴腹痛、腹胀,不伴头晕、眼花,急诊到我院,建议住院治疗。患者为求进一步治疗,今日以“阴道顶端切口出血伴感染”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。患者2年前因查体发现结肠多发息肉,行结肠息肉APC术,半年前于**二院复查肠镜,结果示:距肛门40CM可见一直径约0.2CM息肉,直肠乙状结肠可见数枚直径0.1-0.3CM扁平息肉,肛管可见一带蒂球形肿物,表面光滑。患者发病以来无大便带血,无里急后重感,进食辛辣后大便次数增多伴大便不成形,大便后肛门肿物脱出十余年,需用手还纳,无腹痛腹胀,无恶心呕吐,现为求进一步诊治来我院就诊,门诊以“结肠息肉”收入院,自发病以来,饮食睡眠可,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。,患者入院前4月在我院因盲肠癌(,癌症分期为:T3N3M1)全麻上行“剖腹探查+左半结肠切除+肠粘连松解术”,,术后病理报告示:(左半结肠)粘液腺癌,侵及肠壁全层,双切端未见癌累及,肠壁淋巴结见癌转移(17/27)。阑尾未见癌转移,患者术后恢复可,无恶心、呕吐,无腹痛,腹胀,无腹泻,无便血,大便正常,现患者一般情况可,今日拟行第4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。患者入院27日前于我科行远端胃癌D2根治术(毕I式),术后患者恢复良好,给予生物治疗一次,于2015-11-07出院,期间患者术后恢复良好,未诉特殊不适,精神食欲可,大便较少,无畏寒、发热,无恶心、呕吐,无腹痛、腹胀。患者于11日开始出现饮水及进食后呕吐,开始症状较轻,每日呕吐约4-5次,呕吐物为胃内容物,未进食不呕吐,患者病情进行性加重,目前休息时仍感恶心、呕吐,呕吐物为墨绿色消化液,遂来我院,以“胃CA术后,喟瘫?”收入我科治疗。\U0004 患者自起病以来,精神可,胃纳极差,自下次出院后自今大便不解,肛门排气正常。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1月前因胆总管结石在我院行“胆囊切除+胆总管探查+T管引流术”,术后给予抗感染、保肝邓对症治疗,患者留置T管治愈出院。出院后无畏寒发热,无恶心、呕吐,无腹痛、黄疸,无心慌、心悸,无尿频、尿痛等症状,今日来我院行T管胆道造影检查并行T管拔除,遂门诊以“胆道探查术后”收入我科。患者自起病以来,精神可,胃纳略差,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。患者一月前因“排便习惯改变一年余”,完善术前检查,确诊为右半结肠癌,于2013.01.06全麻上行右半结肠切除术术,术后病理示:结肠中分化腺癌,部分为粘液腺癌,浸润至肠壁浆膜上层,未见明确脉管及神经束侵犯,中央淋巴结(1/6),中间淋巴结(4/7),肠旁淋巴结(4/4),PT3N2BM0 IIIC期;术后恢复可,排气、排便,无发热、腹痛不适。现为求进一步化疗来本院就诊。患者自发病以来,无发热、黄疸、腰骶部疼痛,食欲、睡眠及精神良好,小便正常,体力无上降,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6个月前无明显诱因出现下腹部疼痛,以餐后为主,无恶心、呕吐,无呕血、黑便,无腹胀,口服奥美拉唑好转,排气、排便正常。后症状逐渐加重,,于我院门诊行胃镜检查病理报告提示:胃窦腺癌。病理号(159450)。于2013-12-09在我院肿瘤外科行胃癌根治术,,术后病理:,进行期胃窦癌:侵润溃疡型,中-低分化腺癌,断端无癌,淋巴结见转移癌(6/27枚)病理号(160018)。术后切口愈合良好,体重降低约8公斤,术后21天入我科行SOX方案化疗5周期,,具体用药:奥沙利铂150毫克,日1次静点D1;维康达40毫克,日2次口服D1-D14.患者无明显骨髓抑制,但出现I度乏力,患者精神体力可,今为求进一步治疗入我院,病来患者偶有乏力,饮食睡眠正常,二便正常。体重较下次入院增加1公斤,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。,入院前8年余无明显诱因出现下腹部闷痛不适,呈间歇性,空腹明显,无反酸、嗳气,无进食后呕吐,无发热、眼黄、皮肤黄,不伴胸痛、背痛及咳嗽,无声音嘶哑、呛咳,无呕血、黑便,无吞咽困难、呼吸困难,,于外院查胃镜示:胃体溃疡型腺癌。未治疗,转诊我院,完善相关检查,未见明显手术禁忌症,并于2005.09.20于全麻上行“根治性全胃大部切除术”,,术中见:无腹水、右肝脏面见多个米粒大小囊肿,盆腔无种植结节。大网膜粘连、纤维化明显,胃体部后壁可见一溃疡状肿物,大小2.5CMX2.5CMX1.5CM,未侵出浆膜。,术后病理回报:胃体小弯溃疡浸润型管状腺癌,侵及深肌层,下上切端未见癌浸润,小弯淋巴结1/3个,大弯淋巴结0/1个,幽门上淋巴结0/1个,贲门周未找到淋巴结。8年来,无规律复查,具体不详。今为复查,就诊我科,门诊拟“胃癌术后”收住入院,发病以来,精神一般,食欲尚可,睡眠可,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1年多,患者无明显诱因出现腹部疼痛不适,以中下腹,右上腹阵发性隐痛不适为主,不伴肩背部放射痛,与饮食、体位无明显相关,伴反酸,嗳气、腹胀症状,无呕吐、腹泻、黑便表现,无发热、胸闷、胸痛、咳嗽症状,在我院行胃镜检查示“食管多发溃疡,胃溃疡”,口服“雷贝拉唑、安达”等药物治疗后症状明显好转。但病情有所反复,3月前,再次感下腹部不适,复查胃镜示“胃角溃疡,萎缩性胃窦炎、浅表性胃体炎、十二指肠球炎”再次口服“雷贝拉唑、阿拉坦五味丸”等治疗,病情有所好转,但1周前,再次感右上腹疼痛不适伴大便干结,为求进一步诊治入我院门诊行肠镜示“结肠、直肠多发性息肉”,收入我科治疗。\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,大便较干结,2-3天/次,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。,患者约6年前开始无明显诱因出现下腹部饱胀不适,伴有左肩背部撑胀感,进食后明显,偶有阵发性锐痛,能够自行缓解,无反酸、恶心,无吞咽困难,无呕吐,无黄疸及发热,无呕血、黑便,无咳嗽、咳痰,无尿频、尿急、尿痛。当时就诊于我院,行B超检查提示有胆囊结石,于2015-09-09行腹腔镜胆囊切除术。术后仍诉腹部不适,,行胃镜检查:胃角病变,,病理:(胃角)粘膜浅层散在印戒样异型细胞,结合免疫组化,符合印戒细胞癌(201515863)。现患者为求进一步诊断及治疗,来我院就诊,门诊以“胃癌”收入我科治疗。 患者发病以来,神志清,精神可,饮食睡眠可,大小便正常,体重减轻约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3年余前无明显诱因地出现下腹胀,伴烧心,空腹时明显,无腹痛、腹泻,无恶心、呕吐,无返酸、返食,无呕血、黑便,在我院行胃镜检查,示“十二指肠溃疡”(未见报告单),给予“安斯菲、膜固斯达”治疗1月,效果可,此次后病情相对平稳。,后在我院行胃镜检查示:1.浅表萎缩性胃炎伴急性活动,为多发性息肉(**II型),十二指肠多发溃疡;,病理诊断:(胃窦)慢性萎缩性胃炎(中度),幽门螺旋杆菌染色阴性。自服“膜固斯达”效果一般。为求进一步系统诊治,于2015-01-06第1次在我院住院治疗,入院后给予抑酸、改善胃肠动力、保护胃粘膜等治疗,病情好转后于2015-01-12出院。 出院后患者规律用药,口服“安斯菲、膜固思达、吗丁啉”等治疗,病情相对稳定,无恶心、呕吐,无反酸、烧心,无腹痛、腹胀。现患者为行胃肠镜复查再次来我院就诊,门诊以“十二指肠溃疡、胃息肉”收治入院。 患者自发病以来,神志清,精神可,饮食略差,夜间睡眠可,大便无明显异常,约1次/天,为成形黄色软便,小便正常,体重近来无明显改变。
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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1年前因大便带血于我科入院,入院后完善相关化验检查,行结肠镜检查示:溃疡性直肠炎、内痔,给予美沙拉嗪**肛及激素盐水保留灌肠治疗,用药后症状明显改善,患者好转出院,院外期间病人一般情况良好,坚持每日自行以美沙拉嗪**肛,患者现为复查结肠镜,并进一步调整治疗方案,特来我院就诊,门诊以“溃疡性直肠炎、混合痔术后”收入院。 患者自发病以来神志清,精神、饮食可,夜间睡眠可,无发热,小便正常,大便1天1次,多质软成形,排出通畅,无便血及脓血粘液,便时无疼痛及肿物脱出,无恶心呕吐,无腹胀腹痛,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。,患者于1月余前因“中下腹胀痛6小时”入院,入院完善相关检查,,诊断为:慢性结石性胆囊炎急性发作,并于2012-07-11行胆囊造瘘术,,术中见:腹腔内吸出约100MLN脓性腹水,肝大小正常,胆囊水肿重,表面可见大量脓苔。胆囊三角水肿重,结构不清,胆总管不粗,其内未扪及结石,周围胃肠未探及明显异常。手术顺利,术后留置胆囊造瘘管,患者好转后出院。现患者术后恢复可,术后半月遵医嘱间断夹闭胆囊造瘘管,每天流出黄色胆汁约40ML右左,无恶心、呕吐、寒战、高热、腹胀、腹泻、皮肤巩膜黄染等不适,今患者为拔出胆囊造瘘管入院,门诊以“胆囊造瘘术后”收治入科。\U0004 患者自起病以来,睡眠、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。入院前半年,患者无明显诱因出现嗳气,伴口苦,无腹痛、腹胀,无恶心、呕吐等不适,未予特殊处理,下述症状反复发作。1月前患者出现左下腹间断隐痛,与进食无明显关系,无放射痛,无皮肤巩膜黄染,偶有间断中下腹按压痛,为进一步诊治,今入我院,行胃镜检查示:浅表性胃窦炎伴糜烂,胃窦多发溃疡(FORREST IIA),十二指肠多发息肉,十二指肠球炎伴糜烂。门诊以“胃窦多发溃疡”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5年余前,,患者于我院体检行腹部彩超提示:胆囊结石,直径约1.2CM(未见报告)。病程中患者有饥饿时下腹部疼痛,呈持续性胀痛,伴腰背部放射痛,伴反酸、呃逆、腹泻,无恶心、呕吐,无发热、寒战,无眼黄、身黄、尿黄,无黑便、呕血,无咳嗽、咳痰,无心悸、气促、胸闷等不适。,遂行胃镜检查示:胃溃疡(未见报告)。给予胃溃疡相关治疗(具体不详),未复查。以下症状仍偶有发作,仍伴腰背部放射痛。4月前,,患者再次于我院行腹部彩超:胆囊结石,直径约1.7CM。未予特殊处理。为求进一步治疗,遂于我院就诊,门诊以“胆囊结石伴慢性胆囊炎”收入我科。\U0004 患者自起病以来,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。患者平素月经规律,12岁,5/27天,LMP2012.12.12,偶感痛经。4年前患者因“右输卵管壶腹部妊娠”行手术治疗。术中发现2个子宫肌瘤,术中将较大子宫肌瘤剥除,另一大小约1CM右左子宫肌瘤未予处理。后患者定期复查B超。8月前,患者自然流产1次,行B超发现子宫肌瘤明显增大。1月前患者经期腹痛稍加重,无经量增多,无经期延长,无月经周期紊乱,无畏寒、发热,无阴道流液等不适。现为求手术治疗入我科。\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。患者6+年前因“纳差并左下腹部胀痛不适2月余”在我院就诊为“1.原发性肝癌 2.胆囊结石”,于2006年5月30日在全麻上行肝癌+胆囊切除术,术后病理诊断为:肝细胞性肝癌。患者术后恢复好,于2006年6月15日出院。术后定期来院复查,给予方克、替加氟、丝裂霉素、波贝等药物化疗3次,肝肿瘤无水酒精注射治疗3次及射频治疗5次,均恢复顺利好转出院。14个月前来我院复查,化验AFP升高,B超提示左肝占位,考虑肝癌术后复发,给予保肝、抗病毒及营养支持治疗,于2011-11-21在介入中心行肝癌介入治疗(TACE),2011-11-23行肝肿瘤射频消融治疗,同时给予保肝、止血、抗炎、抑酸、免疫、镇痛等治疗,恢复顺利,好转出院。后多次住院复查,先后行肝癌介入治疗(TACE)3次,肝肿瘤射频消融治疗4次,肝肿瘤无水酒精注射治疗1次,同时给予保肝、免疫等对症治疗,均恢复顺利好转出院。 患者自下次出院后一般情况好,偶有下腹隐痛不适,无腹胀、腹泻及肝区不适,无发热、黄疸,无厌食、乏力,今为复查再次收住院。患者自发病以来,精神可,饮食可,大小便无异常,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。,患者半年前(2015-10-13)因“1.直肠癌,2.乙状结肠息肉,3.肝囊肿,4.胆囊结石并胆囊炎”于我院行腹腔镜胆囊切除+直肠癌根治术,,术后常规病理示:(直肠)中分化腺癌,溃疡型,肿物切面积5*1.5CM,侵透浆膜达周围脂肪组织。手术双端切线、吻合器切线及环周切线均未查见癌。肠周19枚淋巴结中13枚查见转移。(胆囊)慢性胆囊炎并腺肌病。(36734.15)。术后给予营养支持治疗。术后第3天,左上肢疼痛,,行上肢动静脉彩超示:左上肢肌间静脉血栓形成。请血管外科会诊,给予上肢制动、绝对卧床休息、皮上注射速碧林治疗。术后第10天,恶心呕吐,腹部立位平片及腹盆部CT示肠腔胀气、肠梗阻。给予禁饮食、肠外营养支持治疗。后患者肠梗阻症状缓解,进流质饮食无,明显不适症状,无绝对化疗禁忌,于2015-12-07行奥沙利铂+CF+替加氟方案化疗,化疗过程平稳,耐受可,好转后出院。后患者再次入院行奥沙利铂+CF+替加氟方案化疗5周期,耐受良好。现为行进一步治疗再次来我院就诊,门诊以“直肠癌术后”收入院。自下次出院来,患者饮食睡眠尚可,大小便无明显异常,体重较下次入院无明显改变。
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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15天前无明显诱因出现下腹部疼痛,呈胀痛,阵发性,餐后明显,食欲正常,无发热、乏力,无畏寒、寒战,无咳嗽、咳痰,无胸痛及肩背部放射痛。无恶心、呕吐,无反酸、烧心。无停止排便、排气。未诊治。下述症状反复出现并逐渐加重,3天前来我院就诊,,门诊行胃镜检查结果示:贲门炎;胃溃疡(A2期);慢性萎缩性胃炎伴急性活动;十二指肠球炎;,HP:+++。,病理示:慢性萎缩性胃炎(重度),伴明显急性活动、淋巴组织增生,个别腺体肠下皮化生,局部黏膜糜烂;HP,染色示:阳性(3+)。为进一步诊治,门诊以“胃溃疡”收入院。 患者自发病以来,神志清,精神好,平时大便次数增多,1天3次,大便偏稀,小便正常,体重近期无明变化。
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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5+月余前因“大便性状及习惯改变1年”于外院行肠镜检查,活检病理经我院确诊为“直肠中分化腺癌”。经多学科讨论,考虑患者临床分期CT3N1M0,IIIB期,建议行术前同期放化疗。遂于2016-08-05至2016-09-09行局部放疗,总剂量50GY。期间于2016-08-05、2016-09-26XELOX方案化疗联合化疗4程。第4程化疗开始出现臀部、背部皮疹,伴瘙痒,停止奥沙利铂后逐渐自行好转。2016-11-21我院结直肠外科全麻上行DIXONS’术式+回肠两腔造瘘术。术后病理:直肠中分化腺癌YPT2N1CM0 III期。2016-12-13我科行XELOX方案化疗1程,耐受可。现患者为求上一程化疗入住我科。自下次化疗结束以来,无发热,无乏力、咳嗽、气促、身目黄染等,有臀部、背部起皮疹,伴瘙痒,。精神睡眠一般,胃纳尚可,大小便无殊,体重无明显增减。
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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2年余前(2013-6-13)因\"结肠占位\"于我院行\"结肠癌根治术+放射性粒子置入术\",,术后病检提示:乙状结肠溃疡型中分化管状乳头状腺癌,浸及肠壁全层,脉管、神经未见癌侵犯,双切端未见癌累及,淋巴结见癌转移(1/5),,肿瘤分期:T3NXM1 。术后予以预防感染、抗肿瘤等对症支持治疗,恢复良好。已分别于2013.7.15、2013.8.7、2013.8.29、2013.9.20、2013.10.11、2013.11.7、2013.12.4按期入院行FOLFORI方案化疗7次,化疗期间,化疗副反应较轻,化疗后患者无畏寒、发热,无恶心、呕吐,无头昏、乏力等不适。后长期于我院复查。10余月前(2016年6月)患者无明显诱因出现乏力,无恶心、厌油、纳差、畏寒、发热等不适,伴体重上降,1月内体重减轻约10KG。期间未予重视,自行口服中药调理(具体不详),症状未见明显缓解。现患者为求进一步诊治入我院。\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,体重减少。
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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2012年03月15日在本院行“经左胸下腹部分食管切除术+胃食管吻合术”,,术后肿瘤标志物示:AFP 142.3NG/ML;术后定期检查AFP,发现AFP逐渐升高,未予特殊处理。2015年8月4日,至本院复查MR提示:肝S6/7病灶,考虑小肝癌。肝S6结节,考虑肝硬化结节癌变可能性大。AFP 2777NG/ML。2015年08月19日于局麻上行肝动脉栓塞化疗(TACE)术,术中用药表阿霉素50MG,洛铂50MG,碘油5ML。术后一般情况良好后出院。2015年9月29日,复查CT示:食管癌术后、肝癌介入术后,肝S6/7结节,碘油沉积良好,门脉期肝S6病灶,建议MR复查。病程中无明显腹痛、无腹胀、无恶心、无呕吐、无畏寒、无发热、无皮肤搔痒等不适,现为进一步诊治收入我科,起病以来,患者精神尚可,食欲如常。大小便正常。体重无明显上降。