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请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "头" }, { "end_pos": 23, "label_type": "解剖部位", "overlap": null, "start_pos": 22, "text": "心" }, { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 34, "text": "胸" }, { "end_pos": 43, "label_type": "解剖部位", "overlap": null, "start_pos": 42, "text": "腹" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "腹" }, { "end_pos": 47, "label_type": "解剖部位", "overlap": null, "start_pos": 46, "text": "腹" }, { "end_pos": 60, "label_type": "解剖部位", "overlap": null, "start_pos": 58, "text": "上肢" }, { "end_pos": 78, "label_type": "实验室检验", "overlap": null, "start_pos": 75, "text": "白细胞" }, { "end_pos": 95, "label_type": "实验室检验", "overlap": null, "start_pos": 92, "text": "红细胞" }, { "end_pos": 114, "label_type": "实验室检验", "overlap": null, "start_pos": 110, "text": "血红蛋白" }, { "end_pos": 127, "label_type": "实验室检验", "overlap": null, "start_pos": 124, "text": "血小板" }, { "end_pos": 143, "label_type": "实验室检验", "overlap": null, "start_pos": 140, "text": "红细胞" }, { "end_pos": 158, "label_type": "实验室检验", "overlap": null, "start_pos": 155, "text": "红细胞" }, { "end_pos": 178, "label_type": "实验室检验", "overlap": null, "start_pos": 171, "text": "红细胞血红蛋白" }, { "end_pos": 197, "label_type": "实验室检验", "overlap": null, "start_pos": 190, "text": "红细胞血红蛋白" }, { "end_pos": 211, "label_type": "影像检查", "overlap": null, "start_pos": 208, "text": "TCD" }, { "end_pos": 219, "label_type": "疾病和诊断", "overlap": null, "start_pos": 212, "text": "右侧椎动脉痉挛" }, { "end_pos": 236, "label_type": "疾病和诊断", "overlap": null, "start_pos": 232, "text": "重度贫血" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 141, "label_type": "解剖部位", "overlap": null, "start_pos": 140, "text": "心" }, { "end_pos": 166, "label_type": "解剖部位", "overlap": null, "start_pos": 165, "text": "腹" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 201, "text": "胸骨" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 51, "text": "咽喉" }, { "end_pos": 60, "label_type": "解剖部位", "overlap": null, "start_pos": 59, "text": "头" }, { "end_pos": 73, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "心" }, { "end_pos": 93, "label_type": "解剖部位", "overlap": null, "start_pos": 92, "text": "胸" }, { "end_pos": 95, "label_type": "解剖部位", "overlap": null, "start_pos": 94, "text": "胸" }, { "end_pos": 105, "label_type": "解剖部位", "overlap": null, "start_pos": 104, "text": "腹" }, { "end_pos": 107, "label_type": "解剖部位", "overlap": null, "start_pos": 106, "text": "腹" }, { "end_pos": 143, "label_type": "疾病和诊断", "overlap": null, "start_pos": 137, "text": "急性支气管炎" }, { "end_pos": 196, "label_type": "疾病和诊断", "overlap": null, "start_pos": 192, "text": "慢性乙肝" }, { "end_pos": 206, "label_type": "疾病和诊断", "overlap": null, "start_pos": 201, "text": "早期肝硬化" }, { "end_pos": 218, "label_type": "药物", "overlap": null, "start_pos": 214, "text": "恩替卡韦" }, { "end_pos": 224, "label_type": "药物", "overlap": null, "start_pos": 219, "text": "安络化纤丸" }, { "end_pos": 245, "label_type": "疾病和诊断", "overlap": null, "start_pos": 239, "text": "反流性食管炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 52, "label_type": "解剖部位", "overlap": null, "start_pos": 50, "text": "阴道" }, { "end_pos": 88, "label_type": "实验室检验", "overlap": null, "start_pos": 85, "text": "甘胆酸" }, { "end_pos": 97, "label_type": "实验室检验", "overlap": null, "start_pos": 91, "text": "无创基因诊断" }, { "end_pos": 107, "label_type": "实验室检验", "overlap": null, "start_pos": 103, "text": "OGTT" }, { "end_pos": 116, "label_type": "实验室检验", "overlap": null, "start_pos": 114, "text": "血糖" }, { "end_pos": 143, "label_type": "解剖部位", "overlap": null, "start_pos": 142, "text": "头" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "眼" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "胸" }, { "end_pos": 152, "label_type": "解剖部位", "overlap": null, "start_pos": 151, "text": "心" }, { "end_pos": 176, "label_type": "影像检查", "overlap": null, "start_pos": 172, "text": "产检彩超" }, { "end_pos": 185, "label_type": "解剖部位", "overlap": null, "start_pos": 183, "text": "宫颈" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 194, "text": "阴道" }, { "end_pos": 224, "label_type": "解剖部位", "overlap": null, "start_pos": 222, "text": "阴道" }, { "end_pos": 247, "label_type": "解剖部位", "overlap": null, "start_pos": 246, "text": "腹" }, { "end_pos": 251, "label_type": "解剖部位", "overlap": null, "start_pos": 249, "text": "肛门" }, { "end_pos": 256, "label_type": "解剖部位", "overlap": null, "start_pos": 254, "text": "阴道" }, { "end_pos": 271, "label_type": "疾病和诊断", "overlap": null, "start_pos": 267, "text": "低置胎盘" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "四肢" }, { "end_pos": 37, "label_type": "解剖部位", "overlap": null, "start_pos": 35, "text": "四肢" }, { "end_pos": 59, "label_type": "解剖部位", "overlap": null, "start_pos": 57, "text": "双耳" }, { "end_pos": 77, "label_type": "解剖部位", "overlap": null, "start_pos": 75, "text": "四肢" }, { "end_pos": 92, "label_type": "实验室检验", "overlap": null, "start_pos": 90, "text": "血糖" }, { "end_pos": 114, "label_type": "实验室检验", "overlap": null, "start_pos": 112, "text": "血糖" }, { "end_pos": 132, "label_type": "药物", "overlap": null, "start_pos": 129, "text": "胰岛素" }, { "end_pos": 154, "label_type": "影像检查", "overlap": null, "start_pos": 147, "text": "头部+胸部CT" }, { "end_pos": 176, "label_type": "疾病和诊断", "overlap": null, "start_pos": 156, "text": "两肺感染及右侧基底节及侧脑室体旁小腔隙灶" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 12, "text": "左上腹" }, { "end_pos": 44, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "胃" }, { "end_pos": 57, "label_type": "影像检查", "overlap": null, "start_pos": 53, "text": "腹部CT" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 60, "text": "阑尾" }, { "end_pos": 103, "label_type": "解剖部位", "overlap": null, "start_pos": 102, "text": "腹" }, { "end_pos": 122, "label_type": "解剖部位", "overlap": null, "start_pos": 119, "text": "左上腹" }, { "end_pos": 153, "label_type": "解剖部位", "overlap": null, "start_pos": 152, "text": "腹" }, { "end_pos": 156, "label_type": "解剖部位", "overlap": null, "start_pos": 155, "text": "腹" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "心" }, { "end_pos": 173, "label_type": "解剖部位", "overlap": null, "start_pos": 172, "text": "胸" }, { "end_pos": 216, "label_type": "疾病和诊断", "overlap": null, "start_pos": 208, "text": "腹痛待查:阑尾炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 10, "text": "两上肢足背" }, { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "胫前" }, { "end_pos": 29, "label_type": "解剖部位", "overlap": null, "start_pos": 28, "text": "面" }, { "end_pos": 40, "label_type": "解剖部位", "overlap": null, "start_pos": 39, "text": "胸" }, { "end_pos": 43, "label_type": "解剖部位", "overlap": null, "start_pos": 42, "text": "胸" }, { "end_pos": 46, "label_type": "解剖部位", "overlap": null, "start_pos": 45, "text": "腹" }, { "end_pos": 49, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "腹" }, { "end_pos": 132, "label_type": "解剖部位", "overlap": null, "start_pos": 130, "text": "上肢" }, { "end_pos": 142, "label_type": "解剖部位", "overlap": null, "start_pos": 137, "text": "两大腿根部" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "腹" }, { "end_pos": 190, "label_type": "解剖部位", "overlap": null, "start_pos": 189, "text": "胸" }, { "end_pos": 199, "label_type": "解剖部位", "overlap": null, "start_pos": 198, "text": "心" }, { "end_pos": 205, "label_type": "解剖部位", "overlap": null, "start_pos": 204, "text": "头" }, { "end_pos": 227, "label_type": "疾病和诊断", "overlap": null, "start_pos": 223, "text": "水肿待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 30, "label_type": "解剖部位", "overlap": null, "start_pos": 27, "text": "两上肢" }, { "end_pos": 44, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "胸" }, { "end_pos": 61, "label_type": "疾病和诊断", "overlap": null, "start_pos": 58, "text": "冠心病" }, { "end_pos": 128, "label_type": "解剖部位", "overlap": null, "start_pos": 127, "text": "胸" }, { "end_pos": 131, "label_type": "解剖部位", "overlap": null, "start_pos": 130, "text": "胸" }, { "end_pos": 157, "label_type": "解剖部位", "overlap": null, "start_pos": 154, "text": "心前区" }, { "end_pos": 160, "label_type": "解剖部位", "overlap": null, "start_pos": 158, "text": "腹部" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 175, "text": "胸" }, { "end_pos": 179, "label_type": "解剖部位", "overlap": null, "start_pos": 178, "text": "胸" }, { "end_pos": 184, "label_type": "解剖部位", "overlap": null, "start_pos": 181, "text": "心前区" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 195, "text": "腹" }, { "end_pos": 219, "label_type": "疾病和诊断", "overlap": null, "start_pos": 216, "text": "冠心病" }, { "end_pos": 222, "label_type": "疾病和诊断", "overlap": null, "start_pos": 220, "text": "心衰" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "口" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "心" }, { "end_pos": 64, "label_type": "解剖部位", "overlap": null, "start_pos": 63, "text": "腹" }, { "end_pos": 83, "label_type": "解剖部位", "overlap": null, "start_pos": 82, "text": "胸" }, { "end_pos": 121, "label_type": "实验室检验", "overlap": null, "start_pos": 119, "text": "HB" }, { "end_pos": 134, "label_type": "药物", "overlap": null, "start_pos": 131, "text": "巴曲亭" }, { "end_pos": 141, "label_type": "药物", "overlap": null, "start_pos": 137, "text": "奥美拉唑" }, { "end_pos": 156, "label_type": "药物", "overlap": null, "start_pos": 150, "text": "去甲肾下腺素" }, { "end_pos": 175, "label_type": "疾病和诊断", "overlap": null, "start_pos": 169, "text": "肝硬化失代偿" }, { "end_pos": 183, "label_type": "疾病和诊断", "overlap": null, "start_pos": 176, "text": "下消化道大出血" }, { "end_pos": 189, "label_type": "疾病和诊断", "overlap": null, "start_pos": 184, "text": "失血性休克" }, { "end_pos": 218, "label_type": "手术", "overlap": null, "start_pos": 214, "text": "内镜套扎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 66, "label_type": "解剖部位", "overlap": null, "start_pos": 65, "text": "心" }, { "end_pos": 75, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "胸" }, { "end_pos": 80, "label_type": "解剖部位", "overlap": null, "start_pos": 78, "text": "胸骨" }, { "end_pos": 88, "label_type": "解剖部位", "overlap": null, "start_pos": 86, "text": "上肢" }, { "end_pos": 117, "label_type": "疾病和诊断", "overlap": null, "start_pos": 114, "text": "肺气肿" }, { "end_pos": 132, "label_type": "药物", "overlap": null, "start_pos": 129, "text": "氨茶碱" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "心" }, { "end_pos": 188, "label_type": "解剖部位", "overlap": null, "start_pos": 187, "text": "胸" }, { "end_pos": 193, "label_type": "解剖部位", "overlap": null, "start_pos": 191, "text": "上肢" }, { "end_pos": 209, "label_type": "药物", "overlap": null, "start_pos": 204, "text": "感冒清胶囊" }, { "end_pos": 229, "label_type": "疾病和诊断", "overlap": null, "start_pos": 226, "text": "慢支炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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.}
[ { "end_pos": 11, "label_type": "解剖部位", "overlap": null, "start_pos": 8, "text": "中下腹" }, { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 12, "text": "右下腹" }, { "end_pos": 51, "label_type": "解剖部位", "overlap": null, "start_pos": 50, "text": "腹" }, { "end_pos": 54, "label_type": "解剖部位", "overlap": null, "start_pos": 53, "text": "口" }, { "end_pos": 69, "label_type": "解剖部位", "overlap": null, "start_pos": 68, "text": "心" }, { "end_pos": 72, "label_type": "解剖部位", "overlap": null, "start_pos": 71, "text": "胸" }, { "end_pos": 76, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "肛门" }, { "end_pos": 116, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "腹" }, { "end_pos": 136, "label_type": "解剖部位", "overlap": null, "start_pos": 135, "text": "胃" }, { "end_pos": 180, "label_type": "实验室检验", "overlap": null, "start_pos": 178, "text": "血糖" }, { "end_pos": 185, "label_type": "实验室检验", "overlap": null, "start_pos": 181, "text": "血淀粉酶" }, { "end_pos": 190, "label_type": "实验室检验", "overlap": null, "start_pos": 186, "text": "尿淀粉酶" }, { "end_pos": 196, "label_type": "影像检查", "overlap": null, "start_pos": 191, "text": "下腹部CT" }, { "end_pos": 203, "label_type": "疾病和诊断", "overlap": null, "start_pos": 198, "text": "急性胰腺炎" }, { "end_pos": 235, "label_type": "疾病和诊断", "overlap": null, "start_pos": 230, "text": "急性胰腺炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 14, "label_type": "疾病和诊断", "overlap": null, "start_pos": 11, "text": "直肠癌" }, { "end_pos": 45, "label_type": "手术", "overlap": null, "start_pos": 19, "text": "腹腔镜直肠癌切除术(Dixon)、回肠末段单口造瘘术" }, { "end_pos": 68, "label_type": "解剖部位", "overlap": null, "start_pos": 66, "text": "腹部" }, { "end_pos": 116, "label_type": "手术", "overlap": null, "start_pos": 110, "text": "造瘘口还纳术" }, { "end_pos": 125, "label_type": "影像检查", "overlap": null, "start_pos": 118, "text": "胸腹部增强CT" }, { "end_pos": 134, "label_type": "解剖部位", "overlap": null, "start_pos": 132, "text": "直肠" }, { "end_pos": 169, "label_type": "手术", "overlap": null, "start_pos": 161, "text": "结肠造瘘口还纳术" }, { "end_pos": 180, "label_type": "药物", "overlap": null, "start_pos": 177, "text": "希罗达" }, { "end_pos": 232, "label_type": "疾病和诊断", "overlap": null, "start_pos": 227, "text": "直肠癌术后" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 12, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "头" }, { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "头" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "耳" }, { "end_pos": 54, "label_type": "解剖部位", "overlap": null, "start_pos": 52, "text": "颈部" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "心" }, { "end_pos": 66, "label_type": "解剖部位", "overlap": null, "start_pos": 65, "text": "腹" }, { "end_pos": 69, "label_type": "解剖部位", "overlap": null, "start_pos": 68, "text": "腹" }, { "end_pos": 82, "label_type": "解剖部位", "overlap": null, "start_pos": 81, "text": "腹" }, { "end_pos": 86, "label_type": "解剖部位", "overlap": null, "start_pos": 85, "text": "胸" }, { "end_pos": 89, "label_type": "解剖部位", "overlap": null, "start_pos": 88, "text": "心" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 91, "text": "胸" }, { "end_pos": 155, "label_type": "疾病和诊断", "overlap": null, "start_pos": 140, "text": "腹主动脉粥样硬化多发斑块伴溃疡" }, { "end_pos": 162, "label_type": "疾病和诊断", "overlap": null, "start_pos": 158, "text": "胃角糜烂" }, { "end_pos": 171, "label_type": "疾病和诊断", "overlap": null, "start_pos": 165, "text": "前列腺增生症" }, { "end_pos": 180, "label_type": "疾病和诊断", "overlap": null, "start_pos": 174, "text": "腔隙性脑梗死" }, { "end_pos": 188, "label_type": "解剖部位", "overlap": null, "start_pos": 187, "text": "头" }, { "end_pos": 191, "label_type": "解剖部位", "overlap": null, "start_pos": 190, "text": "心" }, { "end_pos": 200, "label_type": "解剖部位", "overlap": null, "start_pos": 198, "text": "下腹" }, { "end_pos": 228, "label_type": "疾病和诊断", "overlap": null, "start_pos": 224, "text": "头昏待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "剑突" }, { "end_pos": 37, "label_type": "解剖部位", "overlap": null, "start_pos": 36, "text": "心" }, { "end_pos": 55, "label_type": "解剖部位", "overlap": null, "start_pos": 54, "text": "胸" }, { "end_pos": 64, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "心前区" }, { "end_pos": 87, "label_type": "解剖部位", "overlap": null, "start_pos": 86, "text": "头" }, { "end_pos": 90, "label_type": "解剖部位", "overlap": null, "start_pos": 89, "text": "头" }, { "end_pos": 94, "label_type": "解剖部位", "overlap": null, "start_pos": 93, "text": "腹" }, { "end_pos": 97, "label_type": "解剖部位", "overlap": null, "start_pos": 96, "text": "腹" }, { "end_pos": 101, "label_type": "解剖部位", "overlap": null, "start_pos": 100, "text": "胸" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "胸" }, { "end_pos": 124, "label_type": "解剖部位", "overlap": null, "start_pos": 123, "text": "手" }, { "end_pos": 125, "label_type": "解剖部位", "overlap": null, "start_pos": 124, "text": "足" }, { "end_pos": 130, "label_type": "解剖部位", "overlap": null, "start_pos": 128, "text": "肢体" }, { "end_pos": 155, "label_type": "实验室检验", "overlap": null, "start_pos": 152, "text": "白细胞" }, { "end_pos": 172, "label_type": "实验室检验", "overlap": null, "start_pos": 168, "text": "血红蛋白" }, { "end_pos": 188, "label_type": "实验室检验", "overlap": null, "start_pos": 185, "text": "血小板" }, { "end_pos": 205, "label_type": "影像检查", "overlap": null, "start_pos": 202, "text": "心电图" }, { "end_pos": 215, "label_type": "疾病和诊断", "overlap": null, "start_pos": 211, "text": "右室肥大" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 28, "label_type": "疾病和诊断", "overlap": null, "start_pos": 23, "text": "2型糖尿病" }, { "end_pos": 39, "label_type": "药物", "overlap": null, "start_pos": 35, "text": "二甲两胍" }, { "end_pos": 44, "label_type": "药物", "overlap": null, "start_pos": 40, "text": "格列齐特" }, { "end_pos": 49, "label_type": "药物", "overlap": null, "start_pos": 45, "text": "阿卡波糖" }, { "end_pos": 61, "label_type": "实验室检验", "overlap": null, "start_pos": 57, "text": "空腹血糖" }, { "end_pos": 90, "label_type": "解剖部位", "overlap": null, "start_pos": 88, "text": "四肢" }, { "end_pos": 97, "label_type": "解剖部位", "overlap": null, "start_pos": 95, "text": "关节" }, { "end_pos": 102, "label_type": "解剖部位", "overlap": null, "start_pos": 101, "text": "头" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "头" }, { "end_pos": 114, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "胸" }, { "end_pos": 116, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "心" }, { "end_pos": 120, "label_type": "解剖部位", "overlap": null, "start_pos": 119, "text": "腹" }, { "end_pos": 122, "label_type": "解剖部位", "overlap": null, "start_pos": 121, "text": "腹" }, { "end_pos": 128, "label_type": "解剖部位", "overlap": null, "start_pos": 125, "text": "两上肢" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 146, "text": "两上肢" }, { "end_pos": 165, "label_type": "解剖部位", "overlap": null, "start_pos": 164, "text": "面" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "头" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "胸" }, { "end_pos": 182, "label_type": "解剖部位", "overlap": null, "start_pos": 181, "text": "心" }, { "end_pos": 188, "label_type": "解剖部位", "overlap": null, "start_pos": 187, "text": "胸" }, { "end_pos": 198, "label_type": "解剖部位", "overlap": null, "start_pos": 197, "text": "腹" }, { "end_pos": 200, "label_type": "解剖部位", "overlap": null, "start_pos": 199, "text": "腹" }, { "end_pos": 230, "label_type": "疾病和诊断", "overlap": null, "start_pos": 225, "text": "2型糖尿病" }, { "end_pos": 235, "label_type": "疾病和诊断", "overlap": null, "start_pos": 231, "text": "浮肿待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "腰部" }, { "end_pos": 50, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "两上肢" }, { "end_pos": 79, "label_type": "解剖部位", "overlap": null, "start_pos": 78, "text": "腰" }, { "end_pos": 130, "label_type": "疾病和诊断", "overlap": null, "start_pos": 119, "text": "腰背部肌筋膜疼痛综合征" }, { "end_pos": 148, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "颈肩部" }, { "end_pos": 183, "label_type": "疾病和诊断", "overlap": null, "start_pos": 175, "text": "颈椎病(混合型)" }, { "end_pos": 201, "label_type": "解剖部位", "overlap": null, "start_pos": 198, "text": "颈肩部" }, { "end_pos": 211, "label_type": "解剖部位", "overlap": null, "start_pos": 210, "text": "头" }, { "end_pos": 217, "label_type": "解剖部位", "overlap": null, "start_pos": 214, "text": "两下肢" }, { "end_pos": 225, "label_type": "解剖部位", "overlap": null, "start_pos": 224, "text": "心" }, { "end_pos": 228, "label_type": "解剖部位", "overlap": null, "start_pos": 227, "text": "胸" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 41, "label_type": "解剖部位", "overlap": null, "start_pos": 39, "text": "四肢" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "头" }, { "end_pos": 65, "label_type": "解剖部位", "overlap": null, "start_pos": 64, "text": "头" }, { "end_pos": 68, "label_type": "解剖部位", "overlap": null, "start_pos": 67, "text": "胸" }, { "end_pos": 71, "label_type": "解剖部位", "overlap": null, "start_pos": 70, "text": "心" }, { "end_pos": 74, "label_type": "解剖部位", "overlap": null, "start_pos": 73, "text": "胸" }, { "end_pos": 80, "label_type": "解剖部位", "overlap": null, "start_pos": 79, "text": "腹" }, { "end_pos": 83, "label_type": "解剖部位", "overlap": null, "start_pos": 82, "text": "腹" }, { "end_pos": 96, "label_type": "药物", "overlap": null, "start_pos": 93, "text": "枇杷露" }, { "end_pos": 100, "label_type": "药物", "overlap": null, "start_pos": 97, "text": "感冒清" }, { "end_pos": 105, "label_type": "药物", "overlap": null, "start_pos": 101, "text": "阿莫西林" }, { "end_pos": 140, "label_type": "药物", "overlap": null, "start_pos": 138, "text": "柴胡" }, { "end_pos": 145, "label_type": "药物", "overlap": null, "start_pos": 141, "text": "头孢曲松" }, { "end_pos": 173, "label_type": "实验室检验", "overlap": null, "start_pos": 171, "text": "血糖" }, { "end_pos": 187, "label_type": "影像检查", "overlap": null, "start_pos": 183, "text": "头颅CT" }, { "end_pos": 209, "label_type": "疾病和诊断", "overlap": null, "start_pos": 188, "text": "两侧脑室旁及半卵圆中心脑白质脱髓鞘,脑萎缩" }, { "end_pos": 218, "label_type": "疾病和诊断", "overlap": null, "start_pos": 214, "text": "肺部感染" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 22, "label_type": "解剖部位", "overlap": null, "start_pos": 20, "text": "枕部" }, { "end_pos": 32, "label_type": "解剖部位", "overlap": null, "start_pos": 31, "text": "胃" }, { "end_pos": 75, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "头" }, { "end_pos": 78, "label_type": "解剖部位", "overlap": null, "start_pos": 77, "text": "头" }, { "end_pos": 97, "label_type": "解剖部位", "overlap": null, "start_pos": 95, "text": "四肢" }, { "end_pos": 101, "label_type": "解剖部位", "overlap": null, "start_pos": 100, "text": "胸" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "胸" }, { "end_pos": 107, "label_type": "解剖部位", "overlap": null, "start_pos": 106, "text": "心" }, { "end_pos": 113, "label_type": "解剖部位", "overlap": null, "start_pos": 112, "text": "腹" }, { "end_pos": 116, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "腹" }, { "end_pos": 144, "label_type": "实验室检验", "overlap": null, "start_pos": 142, "text": "Hb" }, { "end_pos": 173, "label_type": "影像检查", "overlap": null, "start_pos": 169, "text": "腹部彩超" }, { "end_pos": 175, "label_type": "解剖部位", "overlap": null, "start_pos": 174, "text": "肝" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 175, "text": "胆" }, { "end_pos": 177, "label_type": "解剖部位", "overlap": null, "start_pos": 176, "text": "胰" }, { "end_pos": 178, "label_type": "解剖部位", "overlap": null, "start_pos": 177, "text": "脾" }, { "end_pos": 179, "label_type": "解剖部位", "overlap": null, "start_pos": 178, "text": "肾" }, { "end_pos": 190, "label_type": "影像检查", "overlap": null, "start_pos": 186, "text": "头颅CT" }, { "end_pos": 203, "label_type": "疾病和诊断", "overlap": null, "start_pos": 191, "text": "脑萎缩、脑白质脱髓鞘改变" }, { "end_pos": 212, "label_type": "疾病和诊断", "overlap": null, "start_pos": 208, "text": "头颅外伤" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "腹部" }, { "end_pos": 23, "label_type": "解剖部位", "overlap": null, "start_pos": 22, "text": "脐" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 46, "text": "肛门" }, { "end_pos": 102, "label_type": "解剖部位", "overlap": null, "start_pos": 101, "text": "腹" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "腹" }, { "end_pos": 117, "label_type": "解剖部位", "overlap": null, "start_pos": 116, "text": "心" }, { "end_pos": 120, "label_type": "解剖部位", "overlap": null, "start_pos": 119, "text": "胸" }, { "end_pos": 168, "label_type": "疾病和诊断", "overlap": null, "start_pos": 161, "text": "胃体多发性息肉" }, { "end_pos": 175, "label_type": "疾病和诊断", "overlap": null, "start_pos": 169, "text": "浅表性胃窦炎" }, { "end_pos": 189, "label_type": "疾病和诊断", "overlap": null, "start_pos": 185, "text": "慢性肠炎" }, { "end_pos": 226, "label_type": "疾病和诊断", "overlap": null, "start_pos": 219, "text": "胃体多发性息肉" }, { "end_pos": 231, "label_type": "疾病和诊断", "overlap": null, "start_pos": 227, "text": "慢性肠炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于入院前半年无明显诱因出现腹部隐痛不适,脐周明显,于进食无明显关系,呈陈发性隐痛不适,伴肛门坠胀,排便次数增多,量少,大便不稀,表面附有少许粘液,无脓血,解便后坠胀不适无好转,无畏寒发热、恶心呕吐、腹胀腹泻等不适,无咳嗽、咳痰、心慌、胸闷、气促,无尿频、尿急、尿痛、肉眼血尿等不适。在此期间在***二院行胃镜检查提示:胃体多发性息肉、浅表性胃窦炎;无痛肠镜检查提示:慢性肠炎;患者为求进一步检查和治疗,遂到我院门诊就诊,门诊检查后以“胃体多发性息肉、慢性肠炎”收入我科继续治疗。患病以来患者精神睡眠尚可,饮食欠佳,小便正常,体重无明显变化。}
[ { "end_pos": 21, "label_type": "解剖部位", "overlap": null, "start_pos": 20, "text": "腹" }, { "end_pos": 113, "label_type": "药物", "overlap": null, "start_pos": 109, "text": "头孢他啶" }, { "end_pos": 124, "label_type": "药物", "overlap": null, "start_pos": 120, "text": "泮托拉唑" }, { "end_pos": 143, "label_type": "解剖部位", "overlap": null, "start_pos": 142, "text": "腹" }, { "end_pos": 184, "label_type": "解剖部位", "overlap": null, "start_pos": 183, "text": "头" }, { "end_pos": 206, "label_type": "解剖部位", "overlap": null, "start_pos": 204, "text": "肢体" }, { "end_pos": 228, "label_type": "疾病和诊断", "overlap": null, "start_pos": 223, "text": "脑血管意外" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前2天,患者因进食“皮蛋”后出现腹泻,为黄色稀水样大便,偶有青黑色大便,无粘液鲜血便,无里急后重,大便次数稍多,每次量不多,伴有恶心、无呕吐,于“明月坨医院”输水后症状可好转。入院前1天于我院内二科住院,给予“头孢他啶2g/bid、泮托拉唑60mg”及补液等巩固治疗,患者未再腹泻,于今晨出院,准备乘飞机往**。患者于机场下厕所后,出现认知障碍,词不达意,无头痛、恶心、呕吐,无意识障碍、大小便失禁、肢体偏瘫等不适。遂就诊于我院,门诊以“脑血管意外?”收入我科住院。患者此次患病以来精神、食欲、睡眠正常,大便正常,体力及体重无明显变化。}
[ { "end_pos": 59, "label_type": "疾病和诊断", "overlap": null, "start_pos": 57, "text": "肺癌" }, { "end_pos": 87, "label_type": "影像检查", "overlap": null, "start_pos": 83, "text": "胸部CT" }, { "end_pos": 101, "label_type": "疾病和诊断", "overlap": null, "start_pos": 94, "text": "肺癌及肺部感染" }, { "end_pos": 124, "label_type": "药物", "overlap": null, "start_pos": 122, "text": "头孢" }, { "end_pos": 131, "label_type": "药物", "overlap": null, "start_pos": 125, "text": "云南白药胶囊" }, { "end_pos": 188, "label_type": "解剖部位", "overlap": null, "start_pos": 185, "text": "两上肢" }, { "end_pos": 230, "label_type": "疾病和诊断", "overlap": null, "start_pos": 225, "text": "肺癌伴咯血" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前2月,患者无明显诱因出现咳嗽,咯白色黏液痰,伴痰中少量带血,无发热、咳嗽,无夜间盗汗,在**医院检查诊断为“肺癌?”,予以对症治疗后好转,遂到**医院检查,完善胸部CT检查后仍诊断“肺癌及肺部感染”,但细胞分型不详,未行手术治疗,后予以“头孢、云南白药胶囊”等药物对症治疗,好转出院。1周前患者再次出现咳嗽、伴少量咯血,量约2ml,并出现声音嘶哑,无淋巴结肿大,无两上肢水肿,无夜间阵发性呼吸困难,无咯粉红色泡沫痰,今日来我院门诊检查,门诊以“肺癌伴咯血”收入我科进一步检查及治疗。病程中患者精神、饮食一般,大、小便正常,体重无明显上降。}
[ { "end_pos": 12, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "头" }, { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "头" }, { "end_pos": 44, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "耳" }, { "end_pos": 50, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "颈部" }, { "end_pos": 57, "label_type": "解剖部位", "overlap": null, "start_pos": 54, "text": "下腹部" }, { "end_pos": 71, "label_type": "解剖部位", "overlap": null, "start_pos": 70, "text": "腹" }, { "end_pos": 75, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "胸" }, { "end_pos": 78, "label_type": "解剖部位", "overlap": null, "start_pos": 77, "text": "心" }, { "end_pos": 81, "label_type": "解剖部位", "overlap": null, "start_pos": 80, "text": "胸" }, { "end_pos": 144, "label_type": "疾病和诊断", "overlap": null, "start_pos": 129, "text": "腹主动脉粥样硬化多发斑块伴溃疡" }, { "end_pos": 151, "label_type": "疾病和诊断", "overlap": null, "start_pos": 147, "text": "胃角糜烂" }, { "end_pos": 160, "label_type": "疾病和诊断", "overlap": null, "start_pos": 154, "text": "前列腺增生症" }, { "end_pos": 169, "label_type": "疾病和诊断", "overlap": null, "start_pos": 163, "text": "腔隙性脑梗死" }, { "end_pos": 188, "label_type": "疾病和诊断", "overlap": null, "start_pos": 185, "text": "胃早癌" }, { "end_pos": 199, "label_type": "手术", "overlap": null, "start_pos": 194, "text": "内镜上手术" }, { "end_pos": 223, "label_type": "疾病和诊断", "overlap": null, "start_pos": 219, "text": "头昏待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前1年反复出现头昏,有头部胀痛,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,有下腹部腹胀,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”。后在**医院行胃镜检查提示“胃早癌”改变,给予内镜上手术治疗(具体不详)。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。}
[ { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 17, "text": "胸" }, { "end_pos": 21, "label_type": "解剖部位", "overlap": null, "start_pos": 20, "text": "心" }, { "end_pos": 25, "label_type": "解剖部位", "overlap": null, "start_pos": 23, "text": "胸骨" }, { "end_pos": 37, "label_type": "药物", "overlap": null, "start_pos": 32, "text": "速效救心丸" }, { "end_pos": 55, "label_type": "解剖部位", "overlap": null, "start_pos": 53, "text": "四肢" }, { "end_pos": 101, "label_type": "解剖部位", "overlap": null, "start_pos": 100, "text": "头" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "头" }, { "end_pos": 110, "label_type": "解剖部位", "overlap": null, "start_pos": 109, "text": "腹" }, { "end_pos": 113, "label_type": "解剖部位", "overlap": null, "start_pos": 112, "text": "腹" }, { "end_pos": 128, "label_type": "解剖部位", "overlap": null, "start_pos": 125, "text": "两上肢" }, { "end_pos": 144, "label_type": "解剖部位", "overlap": null, "start_pos": 143, "text": "心" }, { "end_pos": 169, "label_type": "解剖部位", "overlap": null, "start_pos": 167, "text": "四肢" }, { "end_pos": 175, "label_type": "解剖部位", "overlap": null, "start_pos": 172, "text": "两上肢" }, { "end_pos": 183, "label_type": "解剖部位", "overlap": null, "start_pos": 182, "text": "口" }, { "end_pos": 230, "label_type": "疾病和诊断", "overlap": null, "start_pos": 221, "text": "冠心病 心功能不全" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{1年前无明显诱因患者逐渐出现活动后胸闷、心悸、胸骨后疼痛感,自服速效救心丸或者休息约半小时后症状可缓解。伴四肢肢端麻木。无晕厥、黑曚、意识丧失。无濒死感。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、头昏、头痛、乏力、腹痛、腹泻、黑便。病程中反复出现两上肢水肿。近1周可疑受凉后患者出现心悸、气促加重,伴有咳嗽、咳痰,痰为黄色粘痰。伴四肢麻木、两上肢乏力。无偏瘫、口角歪斜、流涎。无夜间阵发性呼吸困难。今患者为求进一步治疗入我院门诊,门诊以“冠心病 心功能不全”收入我科。患者此次患病以来,精神状态欠佳,纳差,大小便正常。体重无明显减轻。}
[ { "end_pos": 21, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "背部" }, { "end_pos": 24, "label_type": "解剖部位", "overlap": null, "start_pos": 22, "text": "腹部" }, { "end_pos": 38, "label_type": "解剖部位", "overlap": null, "start_pos": 37, "text": "胸" }, { "end_pos": 41, "label_type": "解剖部位", "overlap": null, "start_pos": 40, "text": "胸" }, { "end_pos": 47, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "心前区" }, { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 52, "text": "腹" }, { "end_pos": 72, "label_type": "疾病和诊断", "overlap": null, "start_pos": 68, "text": "腹腔积液" }, { "end_pos": 91, "label_type": "疾病和诊断", "overlap": null, "start_pos": 84, "text": "卵巢癌伴肝转移" }, { "end_pos": 130, "label_type": "解剖部位", "overlap": null, "start_pos": 129, "text": "胃" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "胸" }, { "end_pos": 170, "label_type": "影像检查", "overlap": null, "start_pos": 166, "text": "腹部平片" }, { "end_pos": 174, "label_type": "解剖部位", "overlap": null, "start_pos": 171, "text": "右上腹" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 178, "text": "小肠" }, { "end_pos": 195, "label_type": "疾病和诊断", "overlap": null, "start_pos": 189, "text": "不全性肠梗阻" }, { "end_pos": 214, "label_type": "影像检查", "overlap": null, "start_pos": 212, "text": "CT" }, { "end_pos": 228, "label_type": "疾病和诊断", "overlap": null, "start_pos": 224, "text": "卵巢Ca" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前20+天,患者无明显诱因出现背部及腹部胀痛不适,无咳嗽、咳痰,无胸闷、胸痛,无心前区压榨感,无腹泻,于*******医院就诊,腹腔积液中找到癌细胞,诊断为:“卵巢癌伴肝转移”,予以对症治疗后症状缓解出院(未见具体资料)。1周前患者出现呕吐,呕吐物为胃内容物,无血凝块,恶心、纳差,胸部散在疼痛,今为进一步治疗来我院,急诊查腹部平片:右上腹可疑部分小肠积气。扩张,不排除不全性肠梗阻?建议结合临床密切随访复查或必要时CT进一步检查。急诊以“卵巢Ca”收入。患者近期精神食欲睡眠差,大便1周未解,小便正常,体力上降。体重变化不详。}
[ { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 52, "text": "胸" }, { "end_pos": 81, "label_type": "疾病和诊断", "overlap": null, "start_pos": 78, "text": "慢支炎" }, { "end_pos": 85, "label_type": "疾病和诊断", "overlap": null, "start_pos": 82, "text": "肺气肿" }, { "end_pos": 118, "label_type": "解剖部位", "overlap": null, "start_pos": 117, "text": "心" }, { "end_pos": 128, "label_type": "解剖部位", "overlap": null, "start_pos": 125, "text": "两上肢" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 165, "text": "两上肢" }, { "end_pos": 178, "label_type": "解剖部位", "overlap": null, "start_pos": 177, "text": "胸" }, { "end_pos": 217, "label_type": "疾病和诊断", "overlap": null, "start_pos": 210, "text": "慢阻肺急性发作" }, { "end_pos": 224, "label_type": "疾病和诊断", "overlap": null, "start_pos": 218, "text": "脑卒中后遗症" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前30+年,患者开始反复出现咳嗽、喘累,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,反复就诊医院治疗,诊断“慢支炎、肺气肿”,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。入院前1天患者出现咳嗽、喘累加重,呼吸急促,伴不能平卧休息,伴两上肢水肿,夜间出汗,无胸痛咯血、无寒战、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”收入我科进一步治疗。病程中患者精神、饮食较差,大便干燥,小便未诉异常,体重无明显上降。}
[ { "end_pos": 13, "label_type": "解剖部位", "overlap": null, "start_pos": 12, "text": "腹" }, { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "腹" }, { "end_pos": 24, "label_type": "解剖部位", "overlap": null, "start_pos": 21, "text": "两上肢" }, { "end_pos": 56, "label_type": "疾病和诊断", "overlap": null, "start_pos": 46, "text": "肝癌伴门静脉癌栓形成" }, { "end_pos": 111, "label_type": "实验室检验", "overlap": null, "start_pos": 107, "text": "血红蛋白" }, { "end_pos": 175, "label_type": "解剖部位", "overlap": null, "start_pos": 173, "text": "剑突" }, { "end_pos": 185, "label_type": "解剖部位", "overlap": null, "start_pos": 184, "text": "心" }, { "end_pos": 192, "label_type": "解剖部位", "overlap": null, "start_pos": 191, "text": "面" }, { "end_pos": 197, "label_type": "解剖部位", "overlap": null, "start_pos": 196, "text": "腹" }, { "end_pos": 221, "label_type": "疾病和诊断", "overlap": null, "start_pos": 218, "text": "肝ca" }, { "end_pos": 227, "label_type": "疾病和诊断", "overlap": null, "start_pos": 222, "text": "消化道出血" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2月前患者无明显诱因出现腹胀、伴腹围增加,两上肢水肿,无明显黄染,与***二院感染科行确诊“肝癌伴门静脉癌栓形成”,给予保守治疗出院(具体不详)。近2月间断呕血、黑便多次,给予输血、止血、抑酸治疗出院,1月前输血后血红蛋白浓度 56 g/L。1天前患者晨起呕血1次,自诉咖啡色稀水伴西瓜汁颜色,约100ml,随即解黑色稀糊状大便200ml右左,伴剑突上疼痛,全身乏力、心悸、出冷汗,面色苍白,腹胀,无明显黑曚,今日为进一步就诊,急诊以“肝ca,消化道出血”收入我科。患者此次患病以来,精神状态欠佳,小便量少,大便如下。体重无明显减轻。}
[ { "end_pos": 19, "label_type": "解剖部位", "overlap": null, "start_pos": 18, "text": "心" }, { "end_pos": 26, "label_type": "解剖部位", "overlap": null, "start_pos": 25, "text": "胸" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 38, "text": "胸" }, { "end_pos": 61, "label_type": "疾病和诊断", "overlap": null, "start_pos": 58, "text": "肺栓塞" }, { "end_pos": 65, "label_type": "疾病和诊断", "overlap": null, "start_pos": 62, "text": "肺心病" }, { "end_pos": 81, "label_type": "药物", "overlap": null, "start_pos": 78, "text": "华法林" }, { "end_pos": 91, "label_type": "实验室检验", "overlap": null, "start_pos": 88, "text": "INR" }, { "end_pos": 149, "label_type": "影像检查", "overlap": null, "start_pos": 146, "text": "CTA" }, { "end_pos": 197, "label_type": "解剖部位", "overlap": null, "start_pos": 196, "text": "胸" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前3+年无明显诱因突发活动后心累、气促,并胸闷、咳嗽,咳痰,无咯血、胸痛,在*******医院就诊,诊断为“肺栓塞、肺心病”,治疗好转后长期规律服用华法林,定期门诊复查INR。病情稳定期患者可耐受较重体力活动,每年发病1至数次,表现为劳力性气促,住院治疗好转。2016年1月在我院复查CTA未见血栓征象。近1周患者无诱因再感体力耐量上降,平地稍活动即感气促明显,无发热、畏寒、咳嗽,无胸痛、乏力、水肿,休息时无不适,未特殊治疗,症状持续无好转来我院住院治疗。本次发病以来患者精神食欲良好,大小便如常,睡眠正常,体重无明显上降。}
[ { "end_pos": 59, "label_type": "影像检查", "overlap": null, "start_pos": 55, "text": "胸部CT" }, { "end_pos": 78, "label_type": "疾病和诊断", "overlap": null, "start_pos": 62, "text": "肺部右肺下叶及左肺中上叶散在感染" }, { "end_pos": 139, "label_type": "解剖部位", "overlap": null, "start_pos": 138, "text": "头" }, { "end_pos": 142, "label_type": "解剖部位", "overlap": null, "start_pos": 141, "text": "头" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "胸" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "胸" }, { "end_pos": 167, "label_type": "解剖部位", "overlap": null, "start_pos": 166, "text": "腹" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "腹" }, { "end_pos": 205, "label_type": "解剖部位", "overlap": null, "start_pos": 203, "text": "肢体" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前20+天,患者受凉后开始出现咳嗽、咳痰,伴活动后喘累、气促,自服感冒药后无明显缓解,曾就诊***医院查“胸部CT阅片示肺部右肺下叶及左肺中上叶散在感染”(未见报告),予以抗感染等对症治疗3天好转后出院,出院后症状仍反复,以活动后喘累、气促明显,夜间显著,无畏寒、发热,无头昏、头痛,无胸闷、胸痛,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,无大汗淋漓、咯血,无黑朦、晕厥,无肢体瘫痪、意识障碍、大小便失禁等,为求进一步治疗收入我科住院。患者自发病以来精神、食欲可,大小便未诉异常。近期体重无明显减轻。}
[ { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "剑突" }, { "end_pos": 38, "label_type": "解剖部位", "overlap": null, "start_pos": 36, "text": "剑突" }, { "end_pos": 44, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "背" }, { "end_pos": 73, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "胃" }, { "end_pos": 98, "label_type": "解剖部位", "overlap": null, "start_pos": 97, "text": "腹" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "胸" }, { "end_pos": 107, "label_type": "解剖部位", "overlap": null, "start_pos": 106, "text": "心" }, { "end_pos": 112, "label_type": "解剖部位", "overlap": null, "start_pos": 110, "text": "胸骨" }, { "end_pos": 119, "label_type": "解剖部位", "overlap": null, "start_pos": 118, "text": "腹" }, { "end_pos": 134, "label_type": "实验室检验", "overlap": null, "start_pos": 130, "text": "尿淀粉酶" }, { "end_pos": 144, "label_type": "实验室检验", "overlap": null, "start_pos": 141, "text": "PLT" }, { "end_pos": 157, "label_type": "实验室检验", "overlap": null, "start_pos": 154, "text": "WBC" }, { "end_pos": 170, "label_type": "实验室检验", "overlap": null, "start_pos": 168, "text": "N " }, { "end_pos": 184, "label_type": "影像检查", "overlap": null, "start_pos": 180, "text": "腹部彩超" }, { "end_pos": 187, "label_type": "解剖部位", "overlap": null, "start_pos": 185, "text": "肝脏" }, { "end_pos": 195, "label_type": "疾病和诊断", "overlap": null, "start_pos": 193, "text": "肝癌" }, { "end_pos": 197, "label_type": "解剖部位", "overlap": null, "start_pos": 196, "text": "脾" }, { "end_pos": 207, "label_type": "药物", "overlap": null, "start_pos": 201, "text": "消旋山莨菪碱" }, { "end_pos": 211, "label_type": "药物", "overlap": null, "start_pos": 208, "text": "曲马多" }, { "end_pos": 232, "label_type": "疾病和诊断", "overlap": null, "start_pos": 228, "text": "腹痛待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前半天无明显诱因出现剑突上疼痛,持续数分钟自行缓解,夜间再次出现剑突上疼痛,有背部胀痛,持续不缓解,无转移性疼痛,有恶心、呕吐,呕吐少量胃内容物,非喷射状,无咖啡色物质,无反酸、嗳气,无腹胀不适,无胸闷、心悸,无胸骨后压榨痛,无腹泻及黑便,在我院门诊查尿淀粉酶正常,血常规:PLT 90*109/l,WBC 6.6*109/l,N 87%。心电图正常,腹部彩超:肝脏实质性占位:肝癌?脾大。给予消旋山莨菪碱及曲马多后稍缓解,现为进一步治疗,门诊以“腹痛待查”收入我科。病程中患者精神、饮食欠佳,大小便正常,体重无明显上降。}
[ { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "下腹部" }, { "end_pos": 38, "label_type": "解剖部位", "overlap": null, "start_pos": 35, "text": "肩背部" }, { "end_pos": 42, "label_type": "解剖部位", "overlap": null, "start_pos": 39, "text": "腹股沟" }, { "end_pos": 105, "label_type": "解剖部位", "overlap": null, "start_pos": 104, "text": "腹" }, { "end_pos": 108, "label_type": "解剖部位", "overlap": null, "start_pos": 107, "text": "心" }, { "end_pos": 114, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "胸" }, { "end_pos": 117, "label_type": "解剖部位", "overlap": null, "start_pos": 116, "text": "胸" }, { "end_pos": 123, "label_type": "解剖部位", "overlap": null, "start_pos": 120, "text": "胸前区" }, { "end_pos": 135, "label_type": "解剖部位", "overlap": null, "start_pos": 134, "text": "头" }, { "end_pos": 138, "label_type": "解剖部位", "overlap": null, "start_pos": 137, "text": "头" }, { "end_pos": 154, "label_type": "药物", "overlap": null, "start_pos": 145, "text": "雷贝拉唑肠溶胶囊 " }, { "end_pos": 159, "label_type": "解剖部位", "overlap": null, "start_pos": 158, "text": "腹" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 167, "text": "腹" }, { "end_pos": 194, "label_type": "影像检查", "overlap": null, "start_pos": 191, "text": "心电图" }, { "end_pos": 207, "label_type": "疾病和诊断", "overlap": null, "start_pos": 201, "text": "偶发室性早搏" }, { "end_pos": 230, "label_type": "疾病和诊断", "overlap": null, "start_pos": 226, "text": "腹痛待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前4小时患者无明显诱因出现下腹部持续性烧灼样疼痛,伴阵发性加重,无肩背部及腹股沟区放射痛,无明显缓解方式,疼痛与活动无关。伴反酸、嗳气、烧心,伴恶心、呕吐1次白色粘液物质,伴少许咳嗽,无明显咳痰。无黑便、腹泻、心悸、气促、胸闷、胸痛,无胸前区压榨感,无畏寒、发热、头昏、头痛。在家口服“雷贝拉唑肠溶胶囊 1粒”后腹痛无缓解。病程中腹痛持续发作,不能耐受,遂来我院就诊,急诊科查“心电图示:窦性心律,偶发室性早搏,ST段改变。”为进一步诊治,急诊以“腹痛待查”收入我科。病程中精神差,未进食,未解大便,小便正常,体重无明显改变。}
[ { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 34, "text": "头" }, { "end_pos": 38, "label_type": "解剖部位", "overlap": null, "start_pos": 37, "text": "头" }, { "end_pos": 65, "label_type": "药物", "overlap": null, "start_pos": 56, "text": "苯磺酸右旋氨氯地平" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 91, "text": "面" }, { "end_pos": 97, "label_type": "解剖部位", "overlap": null, "start_pos": 95, "text": "眼睑" }, { "end_pos": 106, "label_type": "解剖部位", "overlap": null, "start_pos": 104, "text": "上肢" }, { "end_pos": 113, "label_type": "解剖部位", "overlap": null, "start_pos": 112, "text": "腹" }, { "end_pos": 124, "label_type": "解剖部位", "overlap": null, "start_pos": 122, "text": "剑突" }, { "end_pos": 143, "label_type": "解剖部位", "overlap": null, "start_pos": 142, "text": "胸" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "胸" }, { "end_pos": 153, "label_type": "解剖部位", "overlap": null, "start_pos": 152, "text": "心" }, { "end_pos": 184, "label_type": "解剖部位", "overlap": null, "start_pos": 182, "text": "腰部" }, { "end_pos": 190, "label_type": "解剖部位", "overlap": null, "start_pos": 188, "text": "上肢" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前10年检查发现血压高,最高时收缩压170mmHg,否认明显头昏、头痛等不适,长期服用降压药物(近期服用苯磺酸右旋氨氯地平 2.5mg qd),血压控制可。近2月来患者自觉颜面浮肿,眼睑部紧绷感,伴有上肢轻度浮肿,并腹胀,饥饿感明显,感剑突上隐痛,饥饿后明显,严重时伴有气紧、胸闷感,否认胸痛,无心悸、无明显反酸,无恶心呕吐等不适,患者症状持续,近半月来感腰部酸胀,并上肢乏力,活动时气紧、乏力明显,病程中患者未特殊就诊及用药,今日来院就诊,为进一步治疗收入我科住院。病程中患者精神、饮食一般,大小便正常,体重无明显上降。}
[ { "end_pos": 28, "label_type": "解剖部位", "overlap": null, "start_pos": 25, "text": "右侧胸" }, { "end_pos": 30, "label_type": "解剖部位", "overlap": null, "start_pos": 28, "text": "腹部" }, { "end_pos": 43, "label_type": "解剖部位", "overlap": null, "start_pos": 40, "text": "右侧胸" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "腹部" }, { "end_pos": 57, "label_type": "解剖部位", "overlap": null, "start_pos": 56, "text": "头" }, { "end_pos": 73, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "心" }, { "end_pos": 76, "label_type": "解剖部位", "overlap": null, "start_pos": 75, "text": "胸" }, { "end_pos": 113, "label_type": "解剖部位", "overlap": null, "start_pos": 112, "text": "面" }, { "end_pos": 133, "label_type": "影像检查", "overlap": null, "start_pos": 129, "text": "心电监护" }, { "end_pos": 137, "label_type": "影像检查", "overlap": null, "start_pos": 135, "text": "心率" }, { "end_pos": 157, "label_type": "影像检查", "overlap": null, "start_pos": 153, "text": "腹部彩超" }, { "end_pos": 165, "label_type": "疾病和诊断", "overlap": null, "start_pos": 162, "text": "脾破裂" }, { "end_pos": 172, "label_type": "疾病和诊断", "overlap": null, "start_pos": 166, "text": "腹腔大量积液" }, { "end_pos": 213, "label_type": "疾病和诊断", "overlap": null, "start_pos": 185, "text": "高处坠落伤:1)脾破裂 2)腹腔大量积液 3)失血性休克" }, { "end_pos": 230, "label_type": "手术", "overlap": null, "start_pos": 225, "text": "剖腹探查术" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者工友诉30分钟前患者不慎从高处坠落,约三米高,右侧胸腹部被钢管撞伤,当时即感右侧胸腹部疼痛,呈持续性刺痛,感头晕,无恶心、呕吐,呼吸急促,无心慌、胸闷等症状。随即由其工友送往我院急诊科就诊,在路途中患者逐渐出现烦躁不安,面色苍白,意识不清,入我院急诊科时心电监护显示心率160次/分,血压测不出,急诊行腹部彩超检查提示:脾破裂、腹腔大量积液,有手术指征,急诊科考虑“高处坠落伤:1)脾破裂 2)腹腔大量积液 3)失血性休克 ”随即送往手术室,拟行剖腹探查术。患者自患病以来,意识不清,烦躁不安,查体不配合,未进食,大小便未解。}
[ { "end_pos": 12, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "头" }, { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "头" }, { "end_pos": 22, "label_type": "解剖部位", "overlap": null, "start_pos": 21, "text": "胸" }, { "end_pos": 25, "label_type": "解剖部位", "overlap": null, "start_pos": 24, "text": "心" }, { "end_pos": 34, "label_type": "解剖部位", "overlap": null, "start_pos": 31, "text": "两上肢" }, { "end_pos": 79, "label_type": "解剖部位", "overlap": null, "start_pos": 78, "text": "胸" }, { "end_pos": 87, "label_type": "解剖部位", "overlap": null, "start_pos": 86, "text": "腹" }, { "end_pos": 90, "label_type": "解剖部位", "overlap": null, "start_pos": 89, "text": "腹" }, { "end_pos": 133, "label_type": "影像检查", "overlap": null, "start_pos": 129, "text": "头颅CT" }, { "end_pos": 155, "label_type": "疾病和诊断", "overlap": null, "start_pos": 136, "text": "右侧基底节区及左侧脑室体旁腔隙性脑梗死" }, { "end_pos": 169, "label_type": "影像检查", "overlap": null, "start_pos": 167, "text": "MR" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 172, "text": "右侧顶叶" }, { "end_pos": 193, "label_type": "疾病和诊断", "overlap": null, "start_pos": 187, "text": "小脑膜瘤钙化" }, { "end_pos": 200, "label_type": "疾病和诊断", "overlap": null, "start_pos": 194, "text": "动脉瘤伴钙化" }, { "end_pos": 214, "label_type": "疾病和诊断", "overlap": null, "start_pos": 204, "text": "脑白质脱髓鞘、脑萎缩" }, { "end_pos": 228, "label_type": "疾病和诊断", "overlap": null, "start_pos": 222, "text": "腔隙性脑梗死" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{3天前无明显诱因患者感头昏、头痛,伴眩晕、胸闷、心悸、恶心感、两上肢乏力。无晕厥、黑朦、意识丧失、大小便失禁。不伴发热、畏寒、寒战、反酸、烧心、嗳气、呃逆、胸痛、呼吸困难、腹痛、腹泻、黑便。病程中如下症状持续存在,逐渐加重。今患者为求进一步治疗入我院门诊,行头颅CT检查,右侧基底节区及左侧脑室体旁腔隙性脑梗死。结合临床或必要时进一步MR检查;右侧顶叶斑片状高密度影,考虑:小脑膜瘤钙化?动脉瘤伴钙化?随访;脑白质脱髓鞘、脑萎缩。随访。门诊以“腔隙性脑梗死”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。}
[ { "end_pos": 112, "label_type": "解剖部位", "overlap": null, "start_pos": 111, "text": "口" }, { "end_pos": 212, "label_type": "解剖部位", "overlap": null, "start_pos": 211, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{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+月患者自觉咳痰增多,多为白色泡沫痰或粘稠痰,咳时伴呃逆,连续咳时气促明显;体力耐量较前进一步上降,持续无户外活动,室内稍活动即感气促、乏力,无呕吐、腹泻、发热,未特殊治疗。本次发病以来患者精神食欲较差,食量明显减少,大小便如常,睡眠较差,体重无明显上降。}
[ { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "胸" }, { "end_pos": 189, "label_type": "解剖部位", "overlap": null, "start_pos": 188, "text": "头" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 195, "text": "胸" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者30+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。30+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1周患者无诱因感喘累加重,平地慢步活动感气促,耐受差,伴咳嗽,咳出较多黄白色粘痰,并有发热(具体体温未测),无畏寒、胸痛,喘累加重时伴头昏、乏力。无胸痛、咯血、浮肿、盗汗等。今来我院求治,门诊予收住院治疗。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。}
[ { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "左小腿" }, { "end_pos": 63, "label_type": "解剖部位", "overlap": null, "start_pos": 62, "text": "胸" }, { "end_pos": 66, "label_type": "解剖部位", "overlap": null, "start_pos": 65, "text": "心" }, { "end_pos": 96, "label_type": "实验室检验", "overlap": null, "start_pos": 93, "text": "白细胞" }, { "end_pos": 113, "label_type": "实验室检验", "overlap": null, "start_pos": 110, "text": "红细胞" }, { "end_pos": 132, "label_type": "实验室检验", "overlap": null, "start_pos": 128, "text": "血红蛋白" }, { "end_pos": 146, "label_type": "实验室检验", "overlap": null, "start_pos": 143, "text": "血小板" }, { "end_pos": 163, "label_type": "实验室检验", "overlap": null, "start_pos": 159, "text": "淋巴细胞" }, { "end_pos": 183, "label_type": "实验室检验", "overlap": null, "start_pos": 178, "text": "C反应蛋白" }, { "end_pos": 211, "label_type": "疾病和诊断", "overlap": null, "start_pos": 204, "text": "左小腿蜂窝织炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{5小时前患者无明显诱因出现左小腿外侧皮肤红肿疼痛,表面发热,轻度肿胀,未予重视,无恶心、呕吐;无咳嗽、咯痰、咯血;无盗汗;无胸闷、心慌等不适。伴体温升高达39度,到我院门诊就诊查血常规:白细胞数 15.0×10^9/L、红细胞数 3.91×10^12/L、血红蛋白浓度 126 g/L、血小板数 128×10^9/L、淋巴细胞百分比 5.42 %,CRP:C反应蛋白 6 mg/l,今日患者为求进一步诊治以“左小腿蜂窝织炎”收入我科。。患者自患病以来神清,精神可,睡眠、饮食可,小便正常,大便1次/日,质软,排出过程通畅。}
[ { "end_pos": 19, "label_type": "解剖部位", "overlap": null, "start_pos": 18, "text": "头" }, { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 34, "text": "胃" }, { "end_pos": 60, "label_type": "解剖部位", "overlap": null, "start_pos": 59, "text": "胸" }, { "end_pos": 63, "label_type": "解剖部位", "overlap": null, "start_pos": 62, "text": "胸" }, { "end_pos": 93, "label_type": "实验室检验", "overlap": null, "start_pos": 91, "text": "血糖" }, { "end_pos": 110, "label_type": "影像检查", "overlap": null, "start_pos": 107, "text": "心电图" }, { "end_pos": 117, "label_type": "影像检查", "overlap": null, "start_pos": 113, "text": "头颅CT" }, { "end_pos": 132, "label_type": "实验室检验", "overlap": null, "start_pos": 129, "text": "WBC" }, { "end_pos": 146, "label_type": "实验室检验", "overlap": null, "start_pos": 144, "text": "HB" }, { "end_pos": 159, "label_type": "实验室检验", "overlap": null, "start_pos": 157, "text": "尿酸" }, { "end_pos": 188, "label_type": "药物", "overlap": null, "start_pos": 183, "text": "654-2" }, { "end_pos": 192, "label_type": "药物", "overlap": null, "start_pos": 189, "text": "天麻素" }, { "end_pos": 199, "label_type": "药物", "overlap": null, "start_pos": 193, "text": "银杏叶提取物" }, { "end_pos": 204, "label_type": "解剖部位", "overlap": null, "start_pos": 203, "text": "头" }, { "end_pos": 229, "label_type": "疾病和诊断", "overlap": null, "start_pos": 222, "text": "急性眩晕综合征" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前2小时,患者无明显诱因开始出现头晕,食物旋转,伴恶心、呕吐清亮胃内容数次,伴乏力,无意识障碍,抽搐、大小便失禁、胸痛、胸闷、呼吸困难等。自行拨打120,接入我院急诊科,查随机指血糖:10.8mmol/L。床旁心电图正常。头颅CT:未见确切异常。血常规:WBC:9.6×10^9/L。HB:166g/L。肾功:尿酸:572.2umol/L,余正常。给予静脉滴注“654-2,天麻素、银杏叶提取物”,患者头晕症状仍明显,为进一步诊治,门诊以“急性眩晕综合征”收入我科。患者患病以来精神食欲差,大小便未解。近期体重无减轻。}
[ { "end_pos": 26, "label_type": "解剖部位", "overlap": null, "start_pos": 25, "text": "腹" }, { "end_pos": 89, "label_type": "解剖部位", "overlap": null, "start_pos": 87, "text": "腹部" }, { "end_pos": 112, "label_type": "解剖部位", "overlap": null, "start_pos": 111, "text": "腹" }, { "end_pos": 115, "label_type": "解剖部位", "overlap": null, "start_pos": 114, "text": "腹" }, { "end_pos": 137, "label_type": "解剖部位", "overlap": null, "start_pos": 135, "text": "腹部" }, { "end_pos": 165, "label_type": "疾病和诊断", "overlap": null, "start_pos": 159, "text": "腹泻原因待查" }, { "end_pos": 204, "label_type": "疾病和诊断", "overlap": null, "start_pos": 198, "text": "胃溃疡伴出血" }, { "end_pos": 210, "label_type": "疾病和诊断", "overlap": null, "start_pos": 205, "text": "失血性贫血" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前2天患者进食隔顿稀饭及外购酸菜米线后开始出现腹泻黄色稀糊样大便,2-4次/天,每次量约50-100g,无粘液脓血、里急后重,未予重视治疗。入院前1天患者出现恶心、乏力、腹部不适,伴纳差、尿少,无粘液脓血、里急后重,无腹痛、腹胀、呕吐,无畏寒、发热、寒战,今晨患者感腹部不适、乏力明显,进一步诊治遂至我院,门诊以“腹泻原因待查”收入我科。入院前1周患者因黑便、呕吐黑色物质在我科住院,诊断为“胃溃疡伴出血,失血性贫血”,予抑酸、止血等治疗后症状缓解出院。病程中患者精神、饮食欠佳,小便量少,大便如下述,体重无明显上降。}
[ { "end_pos": 82, "label_type": "实验室检验", "overlap": null, "start_pos": 79, "text": "AB型" }, { "end_pos": 86, "label_type": "实验室检验", "overlap": null, "start_pos": 84, "text": "RH" }, { "end_pos": 93, "label_type": "实验室检验", "overlap": null, "start_pos": 91, "text": "A型" }, { "end_pos": 97, "label_type": "实验室检验", "overlap": null, "start_pos": 95, "text": "RH" }, { "end_pos": 144, "label_type": "解剖部位", "overlap": null, "start_pos": 142, "text": "两目" }, { "end_pos": 190, "label_type": "实验室检验", "overlap": null, "start_pos": 187, "text": "胆红素" }, { "end_pos": 202, "label_type": "解剖部位", "overlap": null, "start_pos": 201, "text": "胸" }, { "end_pos": 225, "label_type": "疾病和诊断", "overlap": null, "start_pos": 217, "text": "新生儿病理性黄疸" }, { "end_pos": 231, "label_type": "疾病和诊断", "overlap": null, "start_pos": 226, "text": "新生儿肺炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患儿系G2P1,足月顺产,产重2560克,生后APgar评分1分钟、5分钟、10分钟均10分。羊水0度,400毫升;无脐带绕颈,无胎膜早破,胎盘无异常。母亲为AB型血,RH阳性。子为A型血,RH阳性。入院前半天,发现患儿皮肤黄染,有吐奶,无呛奶,有口吐白沫,无咳嗽,偶喷嚏,无尖叫,无两目凝视,无抽搐,无白陶土样大便,哭声响亮,活动量可,现混合喂养,吸吮有力,今日测经皮微量胆红素额16.5mg/dl,胸16.5mg/dl,门诊以\"新生儿病理性黄疸、新生儿肺炎?\"收住院。患病以来,患儿精神可,吃奶好,大小便无异常。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "胸" }, { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 34, "text": "胸" }, { "end_pos": 38, "label_type": "解剖部位", "overlap": null, "start_pos": 37, "text": "心" }, { "end_pos": 68, "label_type": "疾病和诊断", "overlap": null, "start_pos": 65, "text": "冠心病" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "心" }, { "end_pos": 111, "label_type": "解剖部位", "overlap": null, "start_pos": 110, "text": "胸" }, { "end_pos": 132, "label_type": "药物", "overlap": null, "start_pos": 129, "text": "三七粉" }, { "end_pos": 164, "label_type": "解剖部位", "overlap": null, "start_pos": 163, "text": "咽" }, { "end_pos": 167, "label_type": "解剖部位", "overlap": null, "start_pos": 166, "text": "心" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 195, "text": "心" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者10+年前无明显诱因出现胸闷,发作时间1-2分钟,可自行缓解,无胸痛、心悸,无黑曚、晕厥,无恶心、呕吐等,于重医附一院诊断为“冠心病(临床诊断)”,平素未规律服药。7年前患者感活动耐量有所上降,下三楼感心累、气促,无胸痛、喘息,未规律就医,平素自行口服“三七粉”。5天前患者受凉后出现咳嗽、咳白色粘痰,不易咳出,伴有流涕、咽痛、心累气促不适,自行口服“感冒药”后下呼吸道症状好转,但仍感心累,为进一步诊治收治我科。患病以来,患者精神、饮食、睡眠可,大便无异常,近期感小便费力、尿不尽,夜尿约3次/晚,体重无变化。}
[ { "end_pos": 17, "label_type": "实验室检验", "overlap": null, "start_pos": 14, "text": "血糖高" }, { "end_pos": 21, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "四肢" }, { "end_pos": 42, "label_type": "药物", "overlap": null, "start_pos": 36, "text": "阿卡波糖胶囊" }, { "end_pos": 85, "label_type": "解剖部位", "overlap": null, "start_pos": 84, "text": "心" }, { "end_pos": 118, "label_type": "解剖部位", "overlap": null, "start_pos": 117, "text": "肋" }, { "end_pos": 121, "label_type": "解剖部位", "overlap": null, "start_pos": 120, "text": "胸" }, { "end_pos": 127, "label_type": "解剖部位", "overlap": null, "start_pos": 125, "text": "剑突" }, { "end_pos": 216, "label_type": "疾病和诊断", "overlap": null, "start_pos": 213, "text": "糖尿病" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前5+年,患者体检时发现血糖高,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”,未正规监测血糖,血糖控制较差。入院前10+天,患者受凉后出现心悸、咳嗽及气促,诉咳嗽、咳痰多,咳出白色泡沫痰,无咯血,咳剧后感肋区及胸痛,常伴剑突上不适,无畏寒、发热,无潮热、盗汗,无恶心、呕吐,稍伴腹胀,无尿频、尿急、尿痛,无端坐呼吸、阵发性呼吸困难,无大汗淋漓、咯血,无黑朦、晕厥等,为进一步治疗就诊我院门诊,以“糖尿病等”收入我科住院。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。}
[ { "end_pos": 76, "label_type": "疾病和诊断", "overlap": null, "start_pos": 37, "text": "冠心病 缺血性心肌病型 心房纤颤 多源性室性早搏 短阵室性心动过速 心功能Ⅲ级" }, { "end_pos": 83, "label_type": "解剖部位", "overlap": null, "start_pos": 82, "text": "心" }, { "end_pos": 86, "label_type": "解剖部位", "overlap": null, "start_pos": 85, "text": "心" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "上肢" }, { "end_pos": 119, "label_type": "药物", "overlap": null, "start_pos": 115, "text": "氯吡格雷" }, { "end_pos": 132, "label_type": "药物", "overlap": null, "start_pos": 129, "text": "地高辛" }, { "end_pos": 163, "label_type": "药物", "overlap": null, "start_pos": 160, "text": "地高辛" }, { "end_pos": 168, "label_type": "药物", "overlap": null, "start_pos": 164, "text": "氯吡格雷" }, { "end_pos": 178, "label_type": "药物", "overlap": null, "start_pos": 175, "text": "洋地黄" }, { "end_pos": 204, "label_type": "解剖部位", "overlap": null, "start_pos": 203, "text": "心" }, { "end_pos": 213, "label_type": "药物", "overlap": null, "start_pos": 210, "text": "地高辛" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前2+年,无明显诱因出现活动后喘累,伴咳嗽,曾就诊***三院诊断“冠心病 缺血性心肌病型 心房纤颤 多源性室性早搏 短阵室性心动过速 心功能Ⅲ级”等,曾出现心慌、心悸伴间断上肢浮肿,予以对症治疗后好转出院,出院后长期服用“氯吡格雷75mg 1次/天、地高辛0.125mg 1次/天”治疗。2+月前,患者因陪伴误将地高辛及氯吡格雷剂量记反,导致洋地黄中毒,就诊我科住院治疗,经治疗后好转出院。出院后因心率偏慢,停用地高辛治疗。入院前半天,患者晨起进食时出现呼吸急促,伴大汗,持续无好转,家属送来我科住院治疗。}
[ { "end_pos": 22, "label_type": "解剖部位", "overlap": null, "start_pos": 21, "text": "胃" }, { "end_pos": 56, "label_type": "解剖部位", "overlap": null, "start_pos": 54, "text": "上腹" }, { "end_pos": 85, "label_type": "解剖部位", "overlap": null, "start_pos": 84, "text": "头" }, { "end_pos": 88, "label_type": "解剖部位", "overlap": null, "start_pos": 87, "text": "头" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "四肢" }, { "end_pos": 102, "label_type": "解剖部位", "overlap": null, "start_pos": 101, "text": "耳" }, { "end_pos": 141, "label_type": "解剖部位", "overlap": null, "start_pos": 140, "text": "胸" }, { "end_pos": 144, "label_type": "解剖部位", "overlap": null, "start_pos": 143, "text": "胸" }, { "end_pos": 163, "label_type": "解剖部位", "overlap": null, "start_pos": 162, "text": "腰" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 174, "text": "四肢" }, { "end_pos": 207, "label_type": "疾病和诊断", "overlap": null, "start_pos": 201, "text": "呕吐原因待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前3天受凉后出现恶心,进食后即呕吐胃内容物,4-5次/天,量少,不含咖啡样物;1天前出现解小便困难,上腹坠胀;解黄色稀便,1-2次/天,量不详,无粘液及脓血;无头晕、头痛、四肢乏力;无视物旋转及耳鸣;无畏寒、发热;无鼻塞、流涕;无返酸、嗳气;无呕血、黑便;无潮热、盗汗;无胸闷、胸痛、呼吸困难;无咳嗽、咳痰、咯血;无腰痛、尿痛;无意识丧失及四肢抽搐、大小便失禁。为进一步诊治今日来我院,门诊以“呕吐原因待查”收入院。患者此次患病以来,精神、睡眠差,进食量少,基本未进食,小便如下述,大便如下述,体重无变化。}
[ { "end_pos": 59, "label_type": "解剖部位", "overlap": null, "start_pos": 58, "text": "胸" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "心" }, { "end_pos": 167, "label_type": "解剖部位", "overlap": null, "start_pos": 166, "text": "胸" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "心" }, { "end_pos": 201, "label_type": "疾病和诊断", "overlap": null, "start_pos": 191, "text": "慢性支气管炎急性发作" }, { "end_pos": 208, "label_type": "疾病和诊断", "overlap": null, "start_pos": 202, "text": "阻塞性肺气肿" }, { "end_pos": 245, "label_type": "解剖部位", "overlap": null, "start_pos": 244, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院30年前,患者常于受凉后出现咳嗽、咳痰伴喘累,呈阵发性发作,痰液为白色粘液痰,可咯出。无畏寒、发热、咯血、盗汗、胸痛、心悸。常自服“感冒”药或于附近门诊输液治疗后可缓解(具体治疗方案不详)。下述症状多在冬春季节受凉后反复发作,每年发作时间累积大于3月。入院前1天患者无明显诱因出现咳嗽、咳痰,痰液不易咳出,伴稍微活动即有喘累。伴胸闷、心悸。今日为求进一步治疗入我院门诊,门诊以“慢性支气管炎急性发作,阻塞性肺气肿”收入我科住院治疗。患者此次患病以来,精神状态欠佳,大小便正常,纳差,有腹胀不适,体重无明显减轻。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "阴道" }, { "end_pos": 47, "label_type": "疾病和诊断", "overlap": null, "start_pos": 33, "text": "胃体中-低分化腺癌,库肯勃瘤" }, { "end_pos": 74, "label_type": "手术", "overlap": null, "start_pos": 51, "text": "腹腔镜胃癌根治术+全子宫切除术+两侧附件切除术" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "腹部" }, { "end_pos": 104, "label_type": "解剖部位", "overlap": null, "start_pos": 103, "text": "腹" }, { "end_pos": 116, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "腹" }, { "end_pos": 122, "label_type": "解剖部位", "overlap": null, "start_pos": 119, "text": "中上腹" }, { "end_pos": 139, "label_type": "解剖部位", "overlap": null, "start_pos": 138, "text": "胸" }, { "end_pos": 142, "label_type": "解剖部位", "overlap": null, "start_pos": 141, "text": "心" }, { "end_pos": 150, "label_type": "药物", "overlap": null, "start_pos": 146, "text": "两氯芬酸" }, { "end_pos": 160, "label_type": "解剖部位", "overlap": null, "start_pos": 159, "text": "腹" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "腹" }, { "end_pos": 226, "label_type": "疾病和诊断", "overlap": null, "start_pos": 224, "text": "胃癌" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者1+年前因服用减肥药后阴道流血,在**医院完善相关检查,确诊“胃体中-低分化腺癌,库肯勃瘤”,并行腹腔镜胃癌根治术+全子宫切除术+两侧附件切除术。术后患者行化疗4次,病程中偶有腹部隐痛,无反酸,嗳气,无腹胀,近3月患者出现明显腹痛,以中上腹为主,无恶心、呕吐,无放射痛,无胸闷、心悸,自服两氯芬酸止痛。近1+周患者腹痛症状加重,且伴有腹胀,有恶心感,纳差、乏力、伴有反酸、嗳气,大便量少,未见黑色大便,偶有大便带少许鲜血,现为进一步治疗门诊以“胃癌”收入我科。病程中患者精神、饮食稍差,小便正常,体重上降。}
[ { "end_pos": 151, "label_type": "解剖部位", "overlap": null, "start_pos": 150, "text": "腹" }, { "end_pos": 154, "label_type": "解剖部位", "overlap": null, "start_pos": 153, "text": "腹" }, { "end_pos": 158, "label_type": "解剖部位", "overlap": null, "start_pos": 157, "text": "头" }, { "end_pos": 161, "label_type": "解剖部位", "overlap": null, "start_pos": 160, "text": "头" }, { "end_pos": 211, "label_type": "疾病和诊断", "overlap": null, "start_pos": 203, "text": "慢性支气管炎急发" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前40+年患者受凉后出现咳嗽、咳痰,咳嗽呈阵发性发作,咳出白色粘痰,伴喘息、气急,经抗感染、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。入院前半年患者受凉后出现下述症状加重,偶有黄脓痰,伴喘息、气急,伴发热、畏寒、寒战,院外未监测体温,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\" 慢性支气管炎急发\"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。}
[ { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "下腹" }, { "end_pos": 47, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "肩背部" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "腹" }, { "end_pos": 72, "label_type": "解剖部位", "overlap": null, "start_pos": 71, "text": "腹" }, { "end_pos": 85, "label_type": "解剖部位", "overlap": null, "start_pos": 84, "text": "心" }, { "end_pos": 91, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "胸" }, { "end_pos": 94, "label_type": "解剖部位", "overlap": null, "start_pos": 93, "text": "胸" }, { "end_pos": 160, "label_type": "疾病和诊断", "overlap": null, "start_pos": 153, "text": "胃底多发性息肉" }, { "end_pos": 168, "label_type": "疾病和诊断", "overlap": null, "start_pos": 161, "text": "胆汁反流性胃炎" }, { "end_pos": 179, "label_type": "影像检查", "overlap": null, "start_pos": 175, "text": "腹部彩超" }, { "end_pos": 181, "label_type": "解剖部位", "overlap": null, "start_pos": 180, "text": "肝" }, { "end_pos": 190, "label_type": "解剖部位", "overlap": null, "start_pos": 188, "text": "胆囊" }, { "end_pos": 196, "label_type": "影像检查", "overlap": null, "start_pos": 193, "text": "心电图" }, { "end_pos": 215, "label_type": "疾病和诊断", "overlap": null, "start_pos": 211, "text": "胃底息肉" }, { "end_pos": 223, "label_type": "疾病和诊断", "overlap": null, "start_pos": 216, "text": "胆汁反流性胃炎" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10+天患者无明显诱因出现下腹部阵发性烧灼样疼痛,以上午3-4点及夜间发作较多,无肩背部放射痛,与进食及体位无关。伴腹胀、嗳气,无反酸、腹泻、黑便、恶心、呕吐,无心悸、气促、胸闷、胸痛,无畏寒、发热、黄疸。在迎**医院就诊,给予口服“中药”(具体不详)后无缓解。今日遂来我院就诊,门诊查“无痛胃镜示:胃底多发性息肉,胆汁反流性胃炎,HP(+)。腹部彩超:肝实质回声细密,胆囊切除。心电图正常。”为进一步诊治,门诊以“胃底息肉,胆汁反流性胃炎”收入我科。病程中精神、饮食尚可,大小便正常,体重无明显变化。}
[ { "end_pos": 14, "label_type": "实验室检验", "overlap": null, "start_pos": 11, "text": "ALB" }, { "end_pos": 26, "label_type": "实验室检验", "overlap": null, "start_pos": 23, "text": "ALT" }, { "end_pos": 30, "label_type": "实验室检验", "overlap": null, "start_pos": 27, "text": "AST" }, { "end_pos": 48, "label_type": "实验室检验", "overlap": null, "start_pos": 45, "text": "ALP" }, { "end_pos": 60, "label_type": "实验室检验", "overlap": null, "start_pos": 58, "text": "TB" }, { "end_pos": 63, "label_type": "实验室检验", "overlap": null, "start_pos": 61, "text": "DB" }, { "end_pos": 82, "label_type": "实验室检验", "overlap": null, "start_pos": 79, "text": "AFP" }, { "end_pos": 98, "label_type": "实验室检验", "overlap": null, "start_pos": 93, "text": "CA199" }, { "end_pos": 106, "label_type": "影像检查", "overlap": null, "start_pos": 101, "text": "下腹部彩超" }, { "end_pos": 110, "label_type": "疾病和诊断", "overlap": null, "start_pos": 107, "text": "脂肪肝" }, { "end_pos": 117, "label_type": "疾病和诊断", "overlap": null, "start_pos": 111, "text": "胆囊切除术后" }, { "end_pos": 154, "label_type": "解剖部位", "overlap": null, "start_pos": 153, "text": "腹" }, { "end_pos": 174, "label_type": "药物", "overlap": null, "start_pos": 171, "text": "四磨汤" }, { "end_pos": 181, "label_type": "解剖部位", "overlap": null, "start_pos": 180, "text": "腹" }, { "end_pos": 215, "label_type": "疾病和诊断", "overlap": null, "start_pos": 210, "text": "肝损害待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2天前患者体检查肝功:ALB 46.3g/l,ALT/AST 169.2/51.5U/L,ALP 328.7U/L,TB/DB 17.2/7.2umol/l;AFP 7.57ng/ml,CA199正常。下腹部彩超:脂肪肝,胆囊切除术后。患者一般情况可,无明显厌油、纳差、尿黄、皮肤瘙痒,自诉进食硬质食物后,腹胀、不消化感,偶有嗳气表现,自服“四磨汤”后好转,无腹痛,无发热,无皮疹,今晨大便颜色变浅,为进一步诊治,故以“肝损害待查”收入我科。病程中患者精神、饮食欠佳,小便正常,大便如下所述,体重无明显上降。}
[ { "end_pos": 25, "label_type": "疾病和诊断", "overlap": null, "start_pos": 18, "text": "肝硬化失代偿期" }, { "end_pos": 64, "label_type": "解剖部位", "overlap": null, "start_pos": 63, "text": "腹" }, { "end_pos": 114, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "腹" }, { "end_pos": 120, "label_type": "解剖部位", "overlap": null, "start_pos": 117, "text": "下腹部" }, { "end_pos": 137, "label_type": "解剖部位", "overlap": null, "start_pos": 134, "text": "肩背部" }, { "end_pos": 167, "label_type": "解剖部位", "overlap": null, "start_pos": 166, "text": "腹" }, { "end_pos": 183, "label_type": "解剖部位", "overlap": null, "start_pos": 182, "text": "腹" }, { "end_pos": 190, "label_type": "解剖部位", "overlap": null, "start_pos": 189, "text": "腹" }, { "end_pos": 198, "label_type": "解剖部位", "overlap": null, "start_pos": 195, "text": "两上肢" }, { "end_pos": 222, "label_type": "疾病和诊断", "overlap": null, "start_pos": 219, "text": "肝硬化" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前1+年患者因呕血在外院确诊为“肝硬化失代偿期”(未见报告),给予对症处理缓解出院。病程中无黑便、呕血、纳差、厌油、黄疸、腹痛、恶心、呕吐等不适。在外长期口服“保肝药”(具体不详)对症处理。入院前1+月,患者无明显诱因出现腹胀,伴下腹部阵发性隐痛,以进食后明显,无肩背部放射痛,疼痛持续时间不定。无反酸、嗳气、少许、恶心、呕吐、腹泻。未予诊治。病程中患者逐渐感腹胀明显,并伴腹围增大,无两上肢水肿。今日患者来我院要求住院治疗,门诊以“肝硬化”收入我科。病程中精神、饮食尚可,大小便正常,体重无明显改变。}
[ { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "左肩部" }, { "end_pos": 36, "label_type": "解剖部位", "overlap": null, "start_pos": 35, "text": "肘" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 38, "text": "肘" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 42, "text": "左肩部" }, { "end_pos": 75, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "左肩部" }, { "end_pos": 113, "label_type": "影像检查", "overlap": null, "start_pos": 107, "text": "左肩部MRI" }, { "end_pos": 127, "label_type": "疾病和诊断", "overlap": null, "start_pos": 119, "text": "左肩部软组织损伤" }, { "end_pos": 148, "label_type": "解剖部位", "overlap": null, "start_pos": 147, "text": "颈" }, { "end_pos": 151, "label_type": "解剖部位", "overlap": null, "start_pos": 150, "text": "头" }, { "end_pos": 180, "label_type": "影像检查", "overlap": null, "start_pos": 175, "text": "颈椎MRI" }, { "end_pos": 189, "label_type": "疾病和诊断", "overlap": null, "start_pos": 186, "text": "颈椎病" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 202, "text": "颈" }, { "end_pos": 209, "label_type": "解剖部位", "overlap": null, "start_pos": 206, "text": "两下肢" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2+月前患者无明显诱因反复出现左肩部疼痛,以胀痛为主,呈阵发性发作,屈肘、伸肘可诱发左肩部疼痛,休息后可缓解,未行正规治疗,1+周前患者再次出现左肩部疼痛加重,活动明显受限,影响日常生活,于今日来我院康复科诊治,行左肩部MRI检查,诊断“左肩部软组织损伤”,为进一步治疗收入住院。2+月前患者因颈痛、头昏,以胀痛为主,呈阵发性发作,在我院门诊诊治,行颈椎MRI检查,确诊“颈椎病',伏案、劳累、受凉可诱发颈痛,无两下肢麻木、疼痛,未行正规治疗。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。}
[ { "end_pos": 72, "label_type": "影像检查", "overlap": null, "start_pos": 68, "text": "胸部CT" }, { "end_pos": 79, "label_type": "疾病和诊断", "overlap": null, "start_pos": 73, "text": "慢支炎伴感染" }, { "end_pos": 85, "label_type": "疾病和诊断", "overlap": null, "start_pos": 80, "text": "肺气肿改变" }, { "end_pos": 93, "label_type": "疾病和诊断", "overlap": null, "start_pos": 87, "text": "左肺中叶炎症" }, { "end_pos": 100, "label_type": "解剖部位", "overlap": null, "start_pos": 96, "text": "两侧胸膜" }, { "end_pos": 106, "label_type": "解剖部位", "overlap": null, "start_pos": 105, "text": "心" }, { "end_pos": 122, "label_type": "药物", "overlap": null, "start_pos": 118, "text": "阿莫西林" }, { "end_pos": 160, "label_type": "解剖部位", "overlap": null, "start_pos": 159, "text": "腹" }, { "end_pos": 163, "label_type": "解剖部位", "overlap": null, "start_pos": 162, "text": "腹" }, { "end_pos": 206, "label_type": "疾病和诊断", "overlap": null, "start_pos": 202, "text": "肺部感染" }, { "end_pos": 210, "label_type": "疾病和诊断", "overlap": null, "start_pos": 207, "text": "冠心病" }, { "end_pos": 213, "label_type": "疾病和诊断", "overlap": null, "start_pos": 211, "text": "心衰" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前20天,患者受凉后出现咳嗽、咳痰,咳出白色泡沫痰,稍伴气喘,夜间明显,平卧位时更甚,于2016年12月30日就诊****医院,查“胸部CT示慢支炎伴感染,肺气肿改变,以左肺中叶炎症较重,两侧胸膜少许增厚,心影横径扩大”,予以口服“阿莫西林”等药物后仍无明显缓解,病程中无畏寒、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,今日为进一步治疗就诊我院,以“肺部感染,冠心病、心衰”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。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "头" }, { "end_pos": 20, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "心" }, { "end_pos": 63, "label_type": "解剖部位", "overlap": null, "start_pos": 62, "text": "口" }, { "end_pos": 86, "label_type": "解剖部位", "overlap": null, "start_pos": 85, "text": "胃" }, { "end_pos": 130, "label_type": "疾病和诊断", "overlap": null, "start_pos": 124, "text": "下消化道出血" }, { "end_pos": 181, "label_type": "解剖部位", "overlap": null, "start_pos": 178, "text": "中下腹" }, { "end_pos": 194, "label_type": "解剖部位", "overlap": null, "start_pos": 192, "text": "肩背" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前1+小时患者无明显诱因出现头晕、心慌,出现晕厥1次,伴意识丧失,约3分钟后自行清醒,无大小便失禁,无全身抽搐、偏瘫,无口角歪斜。伴呕血2次,呕吐鲜红色血液,内含少许胃内容物,无血凝块,呈非喷射性呕吐,量约300ml。同事立即拨打我院120以“下消化道出血”送入我科。病程中精神差,未进食。未解大便及小便。体重无明显改变。入院前1月无明显诱因出现阵发性中下腹隐痛,以进食后加重,无肩背部放射痛,无阵发性加重,可自行缓解。伴嗳气、反酸、纳差,感体重减轻(具体不详)。无恶心、呕吐。在外未予正规检查及治疗。}
[ { "end_pos": 19, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "两上肢" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "心" }, { "end_pos": 66, "label_type": "解剖部位", "overlap": null, "start_pos": 65, "text": "心" }, { "end_pos": 94, "label_type": "解剖部位", "overlap": null, "start_pos": 91, "text": "两上肢" }, { "end_pos": 154, "label_type": "解剖部位", "overlap": null, "start_pos": 153, "text": "头" }, { "end_pos": 157, "label_type": "解剖部位", "overlap": null, "start_pos": 156, "text": "头" }, { "end_pos": 161, "label_type": "解剖部位", "overlap": null, "start_pos": 160, "text": "腹" }, { "end_pos": 165, "label_type": "解剖部位", "overlap": null, "start_pos": 164, "text": "胸" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 167, "text": "胸" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于入院前2+年即开始反复出现两上肢水肿,主要表现为上午水肿明显,早下及休息后逐渐好转,患者未予以重视。2+月前患者出现心悸、感心跳快,并感活动后喘累,走路稍快、爬坡等感喘累明显,两上肢仍水肿。自行于*******医院就诊(具体诊疗不详),好转后出院,院外口服药物不详。今日患者再次感下述症状发作,无明显头昏、头痛,无腹胀,无胸痛、胸闷,无咳嗽、咳痰,无畏寒、发热,无夜间阵发性呼吸困难,为进一步诊治,今日收治我科。患者此次患病以来精神稍差,食欲减退,大小便如常,睡眠尚可,体力明显上降,体重改变不详。}
[ { "end_pos": 20, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "心" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "胸" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "胸" }, { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 50, "text": "胸前区" }, { "end_pos": 109, "label_type": "解剖部位", "overlap": null, "start_pos": 108, "text": "心" }, { "end_pos": 119, "label_type": "解剖部位", "overlap": null, "start_pos": 116, "text": "两上肢" }, { "end_pos": 182, "label_type": "解剖部位", "overlap": null, "start_pos": 181, "text": "心" }, { "end_pos": 219, "label_type": "疾病和诊断", "overlap": null, "start_pos": 216, "text": "冠心病" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{入院前10+年患者无明显诱因出现活动后心累、气促,休息后可缓解,无夜间阵发性呼吸困难,无胸闷、胸痛、胸前区压榨感,无畏寒、发热、咳嗽、咳痰、盗汗、咳血。患者可耐受,未予诊治。下述症状反复发作,逐渐出现平时一般活动即感心累、气促,否认两上肢水肿,在外口服药物后可缓解。入院前1月下述症状再发,伴咳嗽、咳痰,咳白色粘液痰,可咯出,量较多,在我科治疗后好转出院。病程中心累、气促逐渐加重,夜间需高枕卧位,饮食较差,今日遂再来我院就诊,以“冠心病”收入我科。此次病程中精神、饮食较差,大小便基本正常,体重无改变。}
[ { "end_pos": 62, "label_type": "疾病和诊断", "overlap": null, "start_pos": 56, "text": "慢性支气管炎" }, { "end_pos": 99, "label_type": "解剖部位", "overlap": null, "start_pos": 98, "text": "心" }, { "end_pos": 102, "label_type": "解剖部位", "overlap": null, "start_pos": 101, "text": "胸" }, { "end_pos": 107, "label_type": "解剖部位", "overlap": null, "start_pos": 105, "text": "上肢" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "腹" }, { "end_pos": 152, "label_type": "解剖部位", "overlap": null, "start_pos": 151, "text": "腹" }, { "end_pos": 155, "label_type": "解剖部位", "overlap": null, "start_pos": 154, "text": "腹" }, { "end_pos": 172, "label_type": "解剖部位", "overlap": null, "start_pos": 171, "text": "胸" }, { "end_pos": 175, "label_type": "解剖部位", "overlap": null, "start_pos": 174, "text": "心" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "头" }, { "end_pos": 184, "label_type": "解剖部位", "overlap": null, "start_pos": 183, "text": "头" }, { "end_pos": 208, "label_type": "疾病和诊断", "overlap": null, "start_pos": 198, "text": "慢性支气管炎急性发作" }, { "end_pos": 213, "label_type": "疾病和诊断", "overlap": null, "start_pos": 209, "text": "纳差待查" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者入院前30年多于冬春季及受凉后出现咳嗽、咳痰,无潮热、盗汗、咯血、消瘦,每年持续时间大于3月,在院外诊断为“慢性支气管炎”,给予对症处理可缓解。随着病情进展,患者近2年出现喘累,活动后明显,无心悸、胸痛,无上肢浮肿。10+天前患者出现咳嗽、咳痰、喘累加重,同时出现纳差,伴有反酸、嗳气、腹胀不适,无腹痛、腹泻、厌油、黄疸,无恶心、呕吐,无胸闷、心悸,稍有头昏,无头痛,现为就诊来我院,门诊以“慢性支气管炎急性发作,纳差待查”收入我科。病程中患者精神、饮食欠佳,小便正常,大便6天未解,体重稍上降。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 14, "text": "腹" }, { "end_pos": 20, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "腹" }, { "end_pos": 40, "label_type": "解剖部位", "overlap": null, "start_pos": 39, "text": "腹" }, { "end_pos": 46, "label_type": "解剖部位", "overlap": null, "start_pos": 45, "text": "肠" }, { "end_pos": 50, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "子宫" }, { "end_pos": 87, "label_type": "手术", "overlap": null, "start_pos": 58, "text": "全子宫左附件切除+盆腔肿物切除+右半结肠切除+DIXON术" }, { "end_pos": 99, "label_type": "疾病和诊断", "overlap": null, "start_pos": 94, "text": "颗粒细胞瘤" }, { "end_pos": 113, "label_type": "疾病和诊断", "overlap": null, "start_pos": 103, "text": "颗粒细胞瘤IIIC期" }, { "end_pos": 178, "label_type": "影像检查", "overlap": null, "start_pos": 176, "text": "CT" }, { "end_pos": 191, "label_type": "解剖部位", "overlap": null, "start_pos": 180, "text": "髂嵴水平上腹部L5腰椎" }, { "end_pos": 277, "label_type": "手术", "overlap": null, "start_pos": 249, "text": "剖腹探查+膀胱旁肿物切除+骶前肿物切除+肠表面肿物切除术" }, { "end_pos": 292, "label_type": "解剖部位", "overlap": null, "start_pos": 290, "text": "膀胱" }, { "end_pos": 298, "label_type": "解剖部位", "overlap": null, "start_pos": 296, "text": "骶前" }, { "end_pos": 307, "label_type": "疾病和诊断", "overlap": null, "start_pos": 302, "text": "颗粒细胞瘤" }, { "end_pos": 327, "label_type": "药物", "overlap": null, "start_pos": 325, "text": "泰素" }, { "end_pos": 336, "label_type": "药物", "overlap": null, "start_pos": 333, "text": "伯尔定" }, { "end_pos": 362, "label_type": "解剖部位", "overlap": null, "start_pos": 361, "text": "腹" }, { "end_pos": 365, "label_type": "解剖部位", "overlap": null, "start_pos": 364, "text": "腹" }, { "end_pos": 396, "label_type": "解剖部位", "overlap": null, "start_pos": 395, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2008年9月3日因“腹胀,发现腹部包块”在我院腹科行手术探查,术中见盆腹腔肿物,与肠管及子宫关系密切,遂行“全子宫左附件切除+盆腔肿物切除+右半结肠切除+DIXON术”,术后病理示颗粒细胞瘤,诊断为颗粒细胞瘤IIIC期,术后自2008年11月起行BEP方案化疗共4程,末次化疗时间为2009年3月26日。之后患者定期复查,2015-6-1,复查CT示:髂嵴水平上腹部L5腰椎前见软组织肿块,大小约30MM×45MM,密度欠均匀,边界尚清楚,轻度强化。查肿瘤标志物均正常。于2015-7-6行剖腹探查+膀胱旁肿物切除+骶前肿物切除+肠表面肿物切除术,术程顺利,,术后病理示:膀胱旁肿物及骶前肿物符合颗粒细胞瘤。于2015-7-13、8-14给予泰素240MG+伯尔定600MG化疗2程,过程顺利。出院至今,无发热,无腹痛、腹胀,有脱发,现返院复诊,拟行再次化疗收入院。起病以来,精神、胃纳、睡眠可,大小便正常,体重无明显改变。}
[ { "end_pos": 27, "label_type": "疾病和诊断", "overlap": null, "start_pos": 19, "text": "子宫内膜癌II期" }, { "end_pos": 68, "label_type": "手术", "overlap": null, "start_pos": 34, "text": "广泛全子宫切除+两侧附件切除+盆腔淋巴结清扫+腹主动脉旁淋巴结活检术" }, { "end_pos": 77, "label_type": "解剖部位", "overlap": null, "start_pos": 76, "text": "腹" }, { "end_pos": 81, "label_type": "解剖部位", "overlap": null, "start_pos": 80, "text": "腹" }, { "end_pos": 85, "label_type": "解剖部位", "overlap": null, "start_pos": 83, "text": "子宫" }, { "end_pos": 105, "label_type": "解剖部位", "overlap": null, "start_pos": 101, "text": "两侧附件" }, { "end_pos": 121, "label_type": "解剖部位", "overlap": null, "start_pos": 110, "text": "盆腔及腹主动脉旁淋巴结" }, { "end_pos": 140, "label_type": "解剖部位", "overlap": null, "start_pos": 139, "text": "腹" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 146, "text": "全子宫" }, { "end_pos": 153, "label_type": "解剖部位", "overlap": null, "start_pos": 150, "text": "两附件" }, { "end_pos": 158, "label_type": "解剖部位", "overlap": null, "start_pos": 156, "text": "子宫" }, { "end_pos": 215, "label_type": "疾病和诊断", "overlap": null, "start_pos": 208, "text": "子宫内膜样腺癌" }, { "end_pos": 228, "label_type": "解剖部位", "overlap": null, "start_pos": 226, "text": "子宫" }, { "end_pos": 238, "label_type": "解剖部位", "overlap": null, "start_pos": 235, "text": "宫颈管" }, { "end_pos": 243, "label_type": "解剖部位", "overlap": null, "start_pos": 239, "text": "右输卵管" }, { "end_pos": 251, "label_type": "解剖部位", "overlap": null, "start_pos": 247, "text": "子宫内膜" }, { "end_pos": 257, "label_type": "解剖部位", "overlap": null, "start_pos": 254, "text": "两附件" }, { "end_pos": 260, "label_type": "解剖部位", "overlap": null, "start_pos": 258, "text": "阴道" }, { "end_pos": 305, "label_type": "疾病和诊断", "overlap": null, "start_pos": 294, "text": "子宫内膜样腺癌IA1期" }, { "end_pos": 360, "label_type": "药物", "overlap": null, "start_pos": 358, "text": "泰素" }, { "end_pos": 364, "label_type": "药物", "overlap": null, "start_pos": 361, "text": "伯尔定" }, { "end_pos": 391, "label_type": "解剖部位", "overlap": null, "start_pos": 390, "text": "骨" }, { "end_pos": 395, "label_type": "解剖部位", "overlap": null, "start_pos": 393, "text": "四肢" }, { "end_pos": 404, "label_type": "实验室检验", "overlap": null, "start_pos": 401, "text": "白细胞" }, { "end_pos": 448, "label_type": "解剖部位", "overlap": null, "start_pos": 447, "text": "腹" }, { "end_pos": 451, "label_type": "解剖部位", "overlap": null, "start_pos": 450, "text": "腹" }, { "end_pos": 455, "label_type": "解剖部位", "overlap": null, "start_pos": 454, "text": "腰" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2011年9月29日在我院因“子宫内膜癌II期”在全麻上行“广泛全子宫切除+两侧附件切除+盆腔淋巴结清扫+腹主动脉旁淋巴结活检术”,术中探查见盆腹腔未见腹水,子宫增大,约10*8*7CM,饱满,两侧附件未见异常,盆腔及腹主动脉旁淋巴结未及肿大。术程顺利,,术后病理回报:腹水未见癌;(全子宫+两附件)送检子宫大小为10*6*4CM,宫腔内见菜花样肿物大小为5*4*3CM,灰黄质硬,浸润浅肌层;镜上中至低分化子宫内膜样腺癌,部分呈鳞状分化,浸润子宫浅肌层,未累及宫颈管;右输卵管系膜内见子宫内膜异位;两附件、阴道残端、淋巴结未见癌;,免疫组化:ER(+),PR(-)。,术后诊断:子宫内膜样腺癌IA1期。因肿瘤为中至低分化且大小为5*4*3CM,术后有化疗指征。于2011年10月11日、11月16日行TP(泰素+伯尔定)方案化疗2程,化疗后出现轻度恶心、呕吐,伴脱发,无骨痛及四肢麻木等不适,白细胞最低降至2.7×109/L,未处理可自行升至正常。自发病以来,精神、食欲、睡眠良好,无腹痛及腹胀,无腰酸,大小便正常。体重较下次化疗增加3KG。,既往化疗及肿瘤标志物情况:,化疗药物毒副反应:。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "上腹" }, { "end_pos": 43, "label_type": "疾病和诊断", "overlap": null, "start_pos": 38, "text": "中分化腺癌" }, { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 51, "text": "盆腔" }, { "end_pos": 65, "label_type": "解剖部位", "overlap": null, "start_pos": 63, "text": "卵巢" }, { "end_pos": 78, "label_type": "疾病和诊断", "overlap": null, "start_pos": 72, "text": "盆腔大量积液" }, { "end_pos": 98, "label_type": "疾病和诊断", "overlap": null, "start_pos": 87, "text": "乙状结肠癌伴不完全梗阻" }, { "end_pos": 101, "label_type": "解剖部位", "overlap": null, "start_pos": 99, "text": "盆腔" }, { "end_pos": 154, "label_type": "手术", "overlap": null, "start_pos": 119, "text": "子宫切除+两附件切除+DIXON术+大网膜切除术开腹恶性肿瘤特殊治疗术" }, { "end_pos": 163, "label_type": "药物", "overlap": null, "start_pos": 159, "text": "5-FU" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "肠" }, { "end_pos": 177, "label_type": "解剖部位", "overlap": null, "start_pos": 174, "text": "门静脉" }, { "end_pos": 181, "label_type": "药物", "overlap": null, "start_pos": 177, "text": "5-FU" }, { "end_pos": 193, "label_type": "药物", "overlap": null, "start_pos": 189, "text": "中人氟安" }, { "end_pos": 199, "label_type": "解剖部位", "overlap": null, "start_pos": 198, "text": "腹" }, { "end_pos": 218, "label_type": "疾病和诊断", "overlap": null, "start_pos": 209, "text": "乙状结肠中分化腺癌" }, { "end_pos": 226, "label_type": "疾病和诊断", "overlap": null, "start_pos": 219, "text": "两侧卵巢转移瘤" }, { "end_pos": 265, "label_type": "影像检查", "overlap": null, "start_pos": 263, "text": "CT" }, { "end_pos": 273, "label_type": "解剖部位", "overlap": null, "start_pos": 267, "text": "肝S5、6段" }, { "end_pos": 276, "label_type": "疾病和诊断", "overlap": null, "start_pos": 273, "text": "肝转移" }, { "end_pos": 323, "label_type": "影像检查", "overlap": null, "start_pos": 321, "text": "CT" }, { "end_pos": 354, "label_type": "手术", "overlap": null, "start_pos": 347, "text": "肝转移瘤切除术" }, { "end_pos": 370, "label_type": "疾病和诊断", "overlap": null, "start_pos": 365, "text": "肠癌肝转移" }, { "end_pos": 430, "label_type": "影像检查", "overlap": null, "start_pos": 428, "text": "CT" }, { "end_pos": 435, "label_type": "解剖部位", "overlap": null, "start_pos": 432, "text": "右下肺" }, { "end_pos": 439, "label_type": "解剖部位", "overlap": null, "start_pos": 436, "text": "右上肺" }, { "end_pos": 445, "label_type": "解剖部位", "overlap": null, "start_pos": 444, "text": "胸" }, { "end_pos": 457, "label_type": "解剖部位", "overlap": null, "start_pos": 455, "text": "两肺" }, { "end_pos": 513, "label_type": "影像检查", "overlap": null, "start_pos": 511, "text": "CT" }, { "end_pos": 538, "label_type": "影像检查", "overlap": null, "start_pos": 536, "text": "CT" }, { "end_pos": 546, "label_type": "解剖部位", "overlap": null, "start_pos": 539, "text": "肝S6、8、2" }, { "end_pos": 559, "label_type": "影像检查", "overlap": null, "start_pos": 557, "text": "MR" }, { "end_pos": 563, "label_type": "解剖部位", "overlap": null, "start_pos": 562, "text": "脾" }, { "end_pos": 603, "label_type": "解剖部位", "overlap": null, "start_pos": 602, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2010年10月因\"上腹痛伴大便习惯改变\"外院行肠镜,活检病理示中分化腺癌;,外院B超示:盆腔内2个巨大团块,考虑卵巢来源可能性大;盆腔大量积液。来我院就诊,考虑乙状结肠癌伴不完全梗阻、盆腔肿物,2010-10-25我院行\"子宫切除+两附件切除+DIXON术+大网膜切除术开腹恶性肿瘤特殊治疗术\",术中5-FU1000MG肠腔化疗,门静脉5-FU250MG化疗,中人氟安800MG腹腔化疗,,病理回报:乙状结肠中分化腺癌,两侧卵巢转移瘤,中央组淋巴结转移4/15,PT4BN2M1。2010-11-10我院复查CT提示肝S5、6段肝转移。遂于2010-11-16至2011-3-11行FORFIRI方案化疗7程,4程、6程复查CT疗效评价为SD,后于2011-4-6转外科行\"肝转移瘤切除术\",,术后病理:符合肠癌肝转移。后于2011-05-20至2011-08-05继续FORFIRI方案化疗4程。后定期复查至2012-02-21我院CT提示右下肺及右上肺结节、左前胸壁结节,考虑转移瘤,两肺多发结节结节状小空洞影未排除转移。考虑肿瘤复发,于2012-03-01始行FOLFOX方案6程,3,程后复查CT疗效评价:SD。,6程后2012-7-10我院CT:肝S6、8、2病灶,可疑转移瘤,建议MR检查。脾内低密度影,可疑转移瘤。,疗效评价:SD。现为进一步诊治入院,患者自觉无不适,胃纳、睡眠可,二便如常。}
[ { "end_pos": 14, "label_type": "疾病和诊断", "overlap": null, "start_pos": 10, "text": "子宫肌瘤" }, { "end_pos": 55, "label_type": "手术", "overlap": null, "start_pos": 43, "text": "全宫两附件切除附件切除术" }, { "end_pos": 70, "label_type": "疾病和诊断", "overlap": null, "start_pos": 63, "text": "子宫平滑肌肉瘤" }, { "end_pos": 95, "label_type": "药物", "overlap": null, "start_pos": 92, "text": "EPI" }, { "end_pos": 99, "label_type": "药物", "overlap": null, "start_pos": 96, "text": "IFO" }, { "end_pos": 104, "label_type": "药物", "overlap": null, "start_pos": 100, "text": "DTIC" }, { "end_pos": 144, "label_type": "影像检查", "overlap": null, "start_pos": 142, "text": "胸片" }, { "end_pos": 150, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "左肺" }, { "end_pos": 170, "label_type": "影像检查", "overlap": null, "start_pos": 168, "text": "CT" }, { "end_pos": 183, "label_type": "疾病和诊断", "overlap": null, "start_pos": 177, "text": "子宫肉瘤术后" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 194, "text": "两肺" }, { "end_pos": 207, "label_type": "疾病和诊断", "overlap": null, "start_pos": 203, "text": "肺转移瘤" }, { "end_pos": 274, "label_type": "药物", "overlap": null, "start_pos": 272, "text": "IA" }, { "end_pos": 279, "label_type": "药物", "overlap": null, "start_pos": 275, "text": "DTIC" }, { "end_pos": 310, "label_type": "解剖部位", "overlap": null, "start_pos": 309, "text": "胸" }, { "end_pos": 342, "label_type": "实验室检验", "overlap": null, "start_pos": 339, "text": "白细胞" }, { "end_pos": 380, "label_type": "影像检查", "overlap": null, "start_pos": 378, "text": "CT" }, { "end_pos": 388, "label_type": "疾病和诊断", "overlap": null, "start_pos": 383, "text": "两肺转移瘤" }, { "end_pos": 412, "label_type": "药物", "overlap": null, "start_pos": 409, "text": "里葆多" }, { "end_pos": 423, "label_type": "药物", "overlap": null, "start_pos": 420, "text": "匹服平" }, { "end_pos": 435, "label_type": "药物", "overlap": null, "start_pos": 432, "text": "安维汀" }, { "end_pos": 451, "label_type": "实验室检验", "overlap": null, "start_pos": 448, "text": "WBC" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因\"体检发现子宫肌瘤\"于2008年5月就诊我院, 2008年5月4日于我院行全宫两附件切除附件切除术,,术后病理为:子宫平滑肌肉瘤,术后于2008.5.9~2008.8.7行EPI+IFO+DTIC方案化疗四程(均为静脉用药),化疗过程顺利。出院后定期复查,2011-6-2胸片检查提示左肺结节影,考虑转移瘤可能性大,遂进一步CT检查,,提示:子宫肉瘤术后改变,未见明确复发征。两肺多发结节,考虑肺转移瘤。于2011-6-27、2011-7-22、2011-8-19、2011-9-23、2011-10-25及2011-11-22予“IA+DTIC”化疗六程,第一次化疗过程顺利,第二次化疗的最后一天,患者诉胸闷,予暂停化疗药物。化疗后出现轻度胃肠道反应。第六次化疗后白细胞最低降至2.5×109/L,升白细胞治疗后好转,,患者于第六次化疗前复查CT提示:两肺转移瘤较前无明显改变;2012-2-28入院予“里葆多40MG D1+匹服平3.0 D1-2+安维汀300MGD1”化疗一程,WBC最低至2.3×109/L,升白治疗后好转。现患者再次入院化疗,精神、睡眠好,食欲欠佳,大小便正常。近期体重无明显改变。,既往化疗及肿瘤标志物情况:,化疗药物毒副反应:。}
[ { "end_pos": 17, "label_type": "手术", "overlap": null, "start_pos": 9, "text": "乙状结肠癌根治术" }, { "end_pos": 38, "label_type": "疾病和诊断", "overlap": null, "start_pos": 24, "text": "中分化腺癌(PT3N0M0)" }, { "end_pos": 65, "label_type": "疾病和诊断", "overlap": null, "start_pos": 58, "text": "左下肺及肝转移" }, { "end_pos": 70, "label_type": "药物", "overlap": null, "start_pos": 67, "text": "草酸铂" }, { "end_pos": 74, "label_type": "药物", "overlap": null, "start_pos": 71, "text": "希罗达" }, { "end_pos": 95, "label_type": "手术", "overlap": null, "start_pos": 88, "text": "肝转移灶切除术" }, { "end_pos": 119, "label_type": "药物", "overlap": null, "start_pos": 116, "text": "希罗达" }, { "end_pos": 148, "label_type": "影像检查", "overlap": null, "start_pos": 144, "text": "胸腹CT" }, { "end_pos": 162, "label_type": "解剖部位", "overlap": null, "start_pos": 161, "text": "颈" }, { "end_pos": 169, "label_type": "解剖部位", "overlap": null, "start_pos": 165, "text": "右锁骨下" }, { "end_pos": 259, "label_type": "影像检查", "overlap": null, "start_pos": 255, "text": "腹部CT" }, { "end_pos": 261, "label_type": "解剖部位", "overlap": null, "start_pos": 260, "text": "肺" }, { "end_pos": 263, "label_type": "影像检查", "overlap": null, "start_pos": 261, "text": "CT" }, { "end_pos": 270, "label_type": "解剖部位", "overlap": null, "start_pos": 268, "text": "肺部" }, { "end_pos": 278, "label_type": "解剖部位", "overlap": null, "start_pos": 276, "text": "肝脏" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2009年4月行乙状结肠癌根治术,,术后病理:中分化腺癌(PT3N0M0),术后未行放化疗。2010年4月复查发现左下肺及肝转移,行草酸铂+希罗达化疗2周期,2010年7月行肝转移灶切除术。术后原方案继续化疗3周期。继续口服3周期希罗达单药。每3月复查。2011-6-28复查肿标正常,胸腹CT所见均与前相仿。B,超:右颈根部及右锁骨下多发淋巴结,大者1.2X0.5CM。近期进食可、术后至今体重增加7KG。2011.10复查较前(2011.7)无明显变化,肿瘤标志物(-) 。此次,取2012.1.12复查腹部CT、肺CT结果,提示肺部小病灶同前,肝脏未见异常包块。肿标(-)。}
[ { "end_pos": 49, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "腹" }, { "end_pos": 51, "label_type": "解剖部位", "overlap": null, "start_pos": 50, "text": "腹" }, { "end_pos": 75, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "肠" }, { "end_pos": 102, "label_type": "疾病和诊断", "overlap": null, "start_pos": 93, "text": "乙状结肠高分化腺癌" }, { "end_pos": 127, "label_type": "疾病和诊断", "overlap": null, "start_pos": 121, "text": "乙状结肠腺癌" }, { "end_pos": 149, "label_type": "影像检查", "overlap": null, "start_pos": 147, "text": "CT" }, { "end_pos": 156, "label_type": "解剖部位", "overlap": null, "start_pos": 152, "text": "乙状结肠" }, { "end_pos": 166, "label_type": "疾病和诊断", "overlap": null, "start_pos": 161, "text": "乙状结肠癌" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 171, "text": "右侧髂总动脉淋巴结" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 192, "text": "乙状结肠" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 199, "text": "腹主动脉" }, { "end_pos": 226, "label_type": "解剖部位", "overlap": null, "start_pos": 223, "text": "肝S5" }, { "end_pos": 248, "label_type": "解剖部位", "overlap": null, "start_pos": 244, "text": "肝S8 " }, { "end_pos": 259, "label_type": "疾病和诊断", "overlap": null, "start_pos": 256, "text": "肝囊肿" }, { "end_pos": 284, "label_type": "手术", "overlap": null, "start_pos": 276, "text": "乙状结肠癌切除术" }, { "end_pos": 297, "label_type": "解剖部位", "overlap": null, "start_pos": 294, "text": "降结肠" }, { "end_pos": 310, "label_type": "解剖部位", "overlap": null, "start_pos": 305, "text": "肠系膜血管" }, { "end_pos": 335, "label_type": "解剖部位", "overlap": null, "start_pos": 333, "text": "小肠" }, { "end_pos": 444, "label_type": "解剖部位", "overlap": null, "start_pos": 442, "text": "骶部" }, { "end_pos": 452, "label_type": "解剖部位", "overlap": null, "start_pos": 451, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因无明显诱因出现血便,鲜红色,量少,大便次数稍增多,无里急后重及排便不尽感,无恶心呕吐,无腹胀腹痛等不适。,在外院行肠镜检查示:距肛30CM环肠周肿物,肠镜勉强通过,,病理结果为:乙状结肠高分化腺癌。为进一步诊治来我院门诊就诊,门诊以“乙状结肠腺癌”收入结直肠科,2013-01-30,行CT提示:乙状结肠肿物,考虑乙状结肠癌可能性大;右侧髂总动脉淋巴结肿大,考虑为淋巴结转移;乙状结肠系膜及腹主动脉旁多发小淋巴结,考虑淋巴结转移可能性大;肝S5 稍低密度结节,考虑转移瘤可能性大;肝S8 低密度灶,考虑为肝囊肿。于2013-02-04在全麻上行乙状结肠癌切除术。术中探查见肿瘤位于降结肠上段,侵及浆膜、肠系膜血管根部血管根部淋巴结肿大侵润,大小约1.5厘米,小肠系膜见淋巴结,冰冻2枚,未见转移。术后分期PT3N2AM1X,IV期。术后于2013-03-04给予XELOX方案化疗1程顺利,胃肠道反应I°,神经毒性I°。现返院行上一程治疗。起病以来,无发热、咳嗽、身目黄染,无骶部痛等,精神可,胃纳、睡眠可,小便无异常,近期体重上降约5KG。}
[ { "end_pos": 14, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "腹" }, { "end_pos": 37, "label_type": "实验室检验", "overlap": null, "start_pos": 34, "text": "WBC" }, { "end_pos": 53, "label_type": "实验室检验", "overlap": null, "start_pos": 50, "text": "RBC" }, { "end_pos": 69, "label_type": "实验室检验", "overlap": null, "start_pos": 67, "text": "HB" }, { "end_pos": 80, "label_type": "实验室检验", "overlap": null, "start_pos": 76, "text": "PLT " }, { "end_pos": 100, "label_type": "解剖部位", "overlap": null, "start_pos": 98, "text": "贲门" }, { "end_pos": 117, "label_type": "解剖部位", "overlap": null, "start_pos": 111, "text": "空回肠交界处" }, { "end_pos": 129, "label_type": "解剖部位", "overlap": null, "start_pos": 127, "text": "小肠" }, { "end_pos": 141, "label_type": "解剖部位", "overlap": null, "start_pos": 136, "text": "空回肠交界" }, { "end_pos": 161, "label_type": "疾病和诊断", "overlap": null, "start_pos": 156, "text": "低分化腺癌" }, { "end_pos": 228, "label_type": "手术", "overlap": null, "start_pos": 221, "text": "小肠部分切除术" }, { "end_pos": 246, "label_type": "疾病和诊断", "overlap": null, "start_pos": 236, "text": "(小肠)T细胞淋巴瘤" }, { "end_pos": 271, "label_type": "疾病和诊断", "overlap": null, "start_pos": 256, "text": "肠病相关性T细胞淋巴瘤(I型)" }, { "end_pos": 322, "label_type": "解剖部位", "overlap": null, "start_pos": 321, "text": "腹" }, { "end_pos": 372, "label_type": "影像检查", "overlap": null, "start_pos": 370, "text": "CT" }, { "end_pos": 382, "label_type": "解剖部位", "overlap": null, "start_pos": 374, "text": "两侧颈部小淋巴结" }, { "end_pos": 385, "label_type": "解剖部位", "overlap": null, "start_pos": 383, "text": "肝脏" }, { "end_pos": 391, "label_type": "解剖部位", "overlap": null, "start_pos": 389, "text": "胆囊" }, { "end_pos": 413, "label_type": "影像检查", "overlap": null, "start_pos": 411, "text": "CT" }, { "end_pos": 425, "label_type": "解剖部位", "overlap": null, "start_pos": 420, "text": "右侧肾下腺" }, { "end_pos": 430, "label_type": "解剖部位", "overlap": null, "start_pos": 428, "text": "右肾" }, { "end_pos": 449, "label_type": "解剖部位", "overlap": null, "start_pos": 445, "text": "左侧肾盂" }, { "end_pos": 455, "label_type": "解剖部位", "overlap": null, "start_pos": 450, "text": "左侧输尿管" }, { "end_pos": 466, "label_type": "解剖部位", "overlap": null, "start_pos": 461, "text": "右侧输尿管" }, { "end_pos": 478, "label_type": "解剖部位", "overlap": null, "start_pos": 477, "text": "腹" }, { "end_pos": 481, "label_type": "解剖部位", "overlap": null, "start_pos": 480, "text": "腹" }, { "end_pos": 499, "label_type": "疾病和诊断", "overlap": null, "start_pos": 495, "text": "小肠术后" }, { "end_pos": 503, "label_type": "解剖部位", "overlap": null, "start_pos": 502, "text": "肠" }, { "end_pos": 519, "label_type": "解剖部位", "overlap": null, "start_pos": 517, "text": "子宫" }, { "end_pos": 529, "label_type": "解剖部位", "overlap": null, "start_pos": 525, "text": "两侧附件" }, { "end_pos": 541, "label_type": "解剖部位", "overlap": null, "start_pos": 539, "text": "盆腔" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者9月余前因反复黑便伴腹部不适于我院消化内科住院,,查血常规示:WBC 3.55*10^9/L,RBC 3.05*10^12/L,HB 66G/L,PLT 290*10^9/L;,电子胃镜示:贲门炎症;,电子小肠镜示:空回肠交界处黏膜病变性质待查;,小肠病变病理示:(空回肠交界)粘膜内可见小片异型细胞,符合低分化腺癌;,免疫组化示:CK7(-),CK20(+),CK5/6(-)。于2015-06-13转入普外科,排除手术禁忌后行全麻上小肠部分切除术,,术后病理示:(小肠)T细胞淋巴瘤,结合免疫组化,符合肠病相关性T细胞淋巴瘤(I型),术后转入我科,于2015-8-13、2015-9-4给予CHOP-E方案化疗2周期,患者未再黑便,腹部不适明显好转。于2015-10-11、2015-11-9给予2周期CHOP-E方案化疗,,复查CT示:两侧颈部小淋巴结;肝脏钙化灶;胆囊底部壁局限性增厚,较2015-10-09CT片变化不明显;右侧肾下腺饱满;右肾局限性略低强化,建议随访复查;左侧肾盂及左侧输尿管中下段扩张,右侧输尿管局部可见,请结合超声;腹腔及腹膜后多发小淋巴结;结合病史,小肠术后,局部肠壁厚,请结合临床及其它检查;子宫强化欠均匀,两侧附件区饱满,请结合超声;盆腔钙化结节,较前片变化不明显。效果欠佳。后结合患者及其家属意愿于2015-12-4、2016-01-01、2016-1-28给予GDP方案化疗3周期,耐受可。现为行进一步治疗再次收入我科。患者自下次出院以来,饮食睡眠可,大小便正常,体重无明显变化。}
[ { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "腹" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "胃" }, { "end_pos": 55, "label_type": "解剖部位", "overlap": null, "start_pos": 54, "text": "腹" }, { "end_pos": 58, "label_type": "解剖部位", "overlap": null, "start_pos": 57, "text": "腹" }, { "end_pos": 84, "label_type": "解剖部位", "overlap": null, "start_pos": 82, "text": "胃窦" }, { "end_pos": 100, "label_type": "疾病和诊断", "overlap": null, "start_pos": 95, "text": "低分化腺癌" }, { "end_pos": 104, "label_type": "影像检查", "overlap": null, "start_pos": 102, "text": "CT" }, { "end_pos": 110, "label_type": "疾病和诊断", "overlap": null, "start_pos": 107, "text": "胃窦癌" }, { "end_pos": 123, "label_type": "解剖部位", "overlap": null, "start_pos": 111, "text": "胃小弯侧、幽门上方淋巴结" }, { "end_pos": 130, "label_type": "解剖部位", "overlap": null, "start_pos": 126, "text": "左肺中叶" }, { "end_pos": 136, "label_type": "解剖部位", "overlap": null, "start_pos": 135, "text": "脾" }, { "end_pos": 140, "label_type": "解剖部位", "overlap": null, "start_pos": 139, "text": "肝" }, { "end_pos": 142, "label_type": "解剖部位", "overlap": null, "start_pos": 141, "text": "胆" }, { "end_pos": 144, "label_type": "解剖部位", "overlap": null, "start_pos": 143, "text": "胰" }, { "end_pos": 147, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "两肾" }, { "end_pos": 150, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "盆腔" }, { "end_pos": 177, "label_type": "手术", "overlap": null, "start_pos": 172, "text": "胃癌根治术" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于4月余前无明显诱因出现腹胀不适,与饮食无明显相关,伴泛酸、嗳气,伴恶心、呕吐,为胃内容物,无呕血,无腹泻、腹胀,无黑便、便血、粘液便,,于外院行胃镜检查示:胃窦5×5㎝肿物。,病理:低分化腺癌。,CT:符合胃窦癌。胃小弯侧、幽门上方淋巴结肿大。左肺中叶少许炎症。脾稍大。肝、胆、胰、两肾和盆腔未见病变。2015-08-25手术室全麻上行胃癌根治术,2015-09-11、2015-10-22、2015-11-13及2015-12-07行SOX方案化疗4程,现按主诊教授意见入院行上次治疗。}
[ { "end_pos": 19, "label_type": "疾病和诊断", "overlap": null, "start_pos": 14, "text": "子宫内膜癌" }, { "end_pos": 47, "label_type": "手术", "overlap": null, "start_pos": 21, "text": "筋膜外子宫全切、两侧卵巢输卵管切除及盆腔淋巴结清扫术" }, { "end_pos": 71, "label_type": "解剖部位", "overlap": null, "start_pos": 70, "text": "腹" }, { "end_pos": 107, "label_type": "疾病和诊断", "overlap": null, "start_pos": 98, "text": "子宫内膜样腺癌I级" }, { "end_pos": 143, "label_type": "疾病和诊断", "overlap": null, "start_pos": 130, "text": "子宫内膜癌IB期(高分化)" }, { "end_pos": 151, "label_type": "药物", "overlap": null, "start_pos": 147, "text": "表阿霉素" }, { "end_pos": 154, "label_type": "药物", "overlap": null, "start_pos": 152, "text": "顺铂" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 202, "text": "头" }, { "end_pos": 205, "label_type": "解剖部位", "overlap": null, "start_pos": 204, "text": "心" }, { "end_pos": 213, "label_type": "解剖部位", "overlap": null, "start_pos": 212, "text": "腹" }, { "end_pos": 215, "label_type": "解剖部位", "overlap": null, "start_pos": 214, "text": "腹" }, { "end_pos": 238, "label_type": "影像检查", "overlap": null, "start_pos": 234, "text": "盆腔彩超" }, { "end_pos": 243, "label_type": "解剖部位", "overlap": null, "start_pos": 241, "text": "盆腔" }, { "end_pos": 270, "label_type": "实验室检验", "overlap": null, "start_pos": 265, "text": "CA125" }, { "end_pos": 315, "label_type": "药物", "overlap": null, "start_pos": 312, "text": "西黄丸" }, { "end_pos": 322, "label_type": "药物", "overlap": null, "start_pos": 316, "text": "红金消结胶囊" }, { "end_pos": 327, "label_type": "影像检查", "overlap": null, "start_pos": 325, "text": "超声" }, { "end_pos": 364, "label_type": "解剖部位", "overlap": null, "start_pos": 361, "text": "左上腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2012年2月2日因“子宫内膜癌”行筋膜外子宫全切、两侧卵巢输卵管切除及盆腔淋巴结清扫术。,手术评价:手术范围充分,无残留肉眼病灶。,腹水查瘤细胞:少量异型增生细胞考虑肿瘤细胞。,术后病理:子宫内膜样腺癌I级,侵及肌层大于1/2,余未见异常。,术后诊断:子宫内膜癌IB期(高分化),术后行表阿霉素+顺铂化疗4个疗程,末次化疗时间2012-5-30,过程顺利。现为求补充治疗收入我科。患者出院至今,无头晕心慌,无发热,无腹胀腹痛,饮食睡眠良,患者于第3次化疗时复查盆腔彩超,提示盆腔囊性回声4厘米,而后规律复查,囊肿持续存在,CA125持续正常。3个月前门诊复查超声时提示囊肿转为低回声,边界欠清晰,边缘见彩色血流,口服西黄丸及红金消结胶囊后复查超声无明显变化。现患者为求进一步诊治入院。术后化疗至今一般状态良好,偶有左上腹隐痛,程度轻,可自行缓解,大小便正常,体重未见明显改变。}
[ { "end_pos": 12, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "腹" }, { "end_pos": 21, "label_type": "解剖部位", "overlap": null, "start_pos": 20, "text": "腹" }, { "end_pos": 48, "label_type": "疾病和诊断", "overlap": null, "start_pos": 36, "text": "胃体溃疡(A2,性质?)" }, { "end_pos": 55, "label_type": "疾病和诊断", "overlap": null, "start_pos": 49, "text": "浅表性胃窦炎" }, { "end_pos": 83, "label_type": "手术", "overlap": null, "start_pos": 57, "text": "剖腹探查术+远端胃癌根治术(ROUX-EN-Y吻合)" }, { "end_pos": 106, "label_type": "疾病和诊断", "overlap": null, "start_pos": 95, "text": "(胃)溃疡型中分化腺癌" }, { "end_pos": 110, "label_type": "解剖部位", "overlap": null, "start_pos": 109, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者于2+月前因“间断腹胀、呕血40年,腹胀加重2月。”于我院门诊胃镜示胃体溃疡(A2,性质?),浅表性胃窦炎。行剖腹探查术+远端胃癌根治术(ROUX-EN-Y吻合),术后恢复好,病理类型((胃)溃疡型中分化腺癌,浸及胃壁全层,脉管内见癌栓)。分期T3N0M0 II期。1月前行1次FOLFOX方案全身静脉化疗,化疗后一般状况可,本次为行第2次化疗收住入院。\U0004 患者本次发病以来,食欲上降, 神志清醒,精神尚可,睡眠欠佳,大便如下,小便正常,体重无明显变化。}
[ { "end_pos": 20, "label_type": "解剖部位", "overlap": null, "start_pos": 18, "text": "下腹" }, { "end_pos": 63, "label_type": "解剖部位", "overlap": null, "start_pos": 62, "text": "心" }, { "end_pos": 66, "label_type": "解剖部位", "overlap": null, "start_pos": 65, "text": "胸" }, { "end_pos": 69, "label_type": "解剖部位", "overlap": null, "start_pos": 68, "text": "心" }, { "end_pos": 162, "label_type": "疾病和诊断", "overlap": null, "start_pos": 155, "text": "胃癌(皮革胃)" }, { "end_pos": 166, "label_type": "解剖部位", "overlap": null, "start_pos": 164, "text": "贲门" }, { "end_pos": 179, "label_type": "疾病和诊断", "overlap": null, "start_pos": 174, "text": "低分化腺癌" }, { "end_pos": 198, "label_type": "影像检查", "overlap": null, "start_pos": 193, "text": "下腹部CT" }, { "end_pos": 202, "label_type": "解剖部位", "overlap": null, "start_pos": 200, "text": "贲门" }, { "end_pos": 205, "label_type": "解剖部位", "overlap": null, "start_pos": 203, "text": "胃底" }, { "end_pos": 207, "label_type": "解剖部位", "overlap": null, "start_pos": 205, "text": "胃壁" }, { "end_pos": 219, "label_type": "疾病和诊断", "overlap": null, "start_pos": 214, "text": "贲门胃底癌" }, { "end_pos": 223, "label_type": "解剖部位", "overlap": null, "start_pos": 220, "text": "肝S6" }, { "end_pos": 283, "label_type": "药物", "overlap": null, "start_pos": 280, "text": "草酸铂" }, { "end_pos": 287, "label_type": "药物", "overlap": null, "start_pos": 284, "text": "替吉奥" }, { "end_pos": 315, "label_type": "手术", "overlap": null, "start_pos": 307, "text": "根治性全胃切除术" }, { "end_pos": 335, "label_type": "疾病和诊断", "overlap": null, "start_pos": 330, "text": "低分化腺癌" }, { "end_pos": 344, "label_type": "解剖部位", "overlap": null, "start_pos": 342, "text": "食管" }, { "end_pos": 422, "label_type": "药物", "overlap": null, "start_pos": 419, "text": "替吉奥" }, { "end_pos": 427, "label_type": "药物", "overlap": null, "start_pos": 423, "text": "多西他赛" }, { "end_pos": 451, "label_type": "药物", "overlap": null, "start_pos": 448, "text": "替吉奥" }, { "end_pos": 469, "label_type": "药物", "overlap": null, "start_pos": 466, "text": "替吉奥" }, { "end_pos": 505, "label_type": "解剖部位", "overlap": null, "start_pos": 504, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者8月余前始无明显诱因出现进食后下腹胀痛,以进食硬物时明显,持续10余分钟后可自行缓解,伴返流,偶伴嗳气,无放射性痛,无心悸、胸闷、心前区疼痛,无呕吐、返酸、呕血,无吞咽困难、呛咳,无厌油、身目黄染,无解黑便、血便,未予特殊治疗。后症状加重,为进一步诊治到我院就诊, 2012-03-02,我院电子胃镜示:胃癌(皮革胃)侵犯贲门;,病理活检示:低分化腺癌。2012-03-05,我院下腹部CT示:贲门、胃底胃壁明显增厚,符合贲门胃底癌。肝S6低密度灶,考虑小囊肿可能性大。于2012-03-08、2012-04-05、2012-04-27三次在我院内科予“草酸铂+替吉奥”联合化疗。于2012-5-30我院行“根治性全胃切除术”,术后病理(493573)示低分化腺癌浸润至浆膜上及食管浅肌层,近端(+),淋巴结(+)4/16。术后恢复可,于2012-07-19,2012-9-20、2012-10-18、2012-11-15给予\" 替吉奥+多西他赛\"方案化疗4程,2012-12-13改为替吉奥单药维持.今日遵教授医嘱,继续替吉奥单药维持,现为进一步治疗入院。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,体重近4个月上降15KG。}
[ { "end_pos": 36, "label_type": "手术", "overlap": null, "start_pos": 18, "text": "十二指肠切除+胆总管引流、空肠造瘘术" }, { "end_pos": 45, "label_type": "疾病和诊断", "overlap": null, "start_pos": 41, "text": "吻合口瘘" }, { "end_pos": 51, "label_type": "疾病和诊断", "overlap": null, "start_pos": 46, "text": "吻合口狭窄" }, { "end_pos": 75, "label_type": "疾病和诊断", "overlap": null, "start_pos": 66, "text": "十二指肠中分化腺癌" }, { "end_pos": 79, "label_type": "解剖部位", "overlap": null, "start_pos": 78, "text": "肠" }, { "end_pos": 145, "label_type": "影像检查", "overlap": null, "start_pos": 138, "text": "PET/,CT" }, { "end_pos": 174, "label_type": "解剖部位", "overlap": null, "start_pos": 171, "text": "左下腹" }, { "end_pos": 213, "label_type": "解剖部位", "overlap": null, "start_pos": 207, "text": "肠系膜下动脉" }, { "end_pos": 246, "label_type": "影像检查", "overlap": null, "start_pos": 244, "text": "CT" }, { "end_pos": 253, "label_type": "解剖部位", "overlap": null, "start_pos": 247, "text": "十二指肠降段" }, { "end_pos": 305, "label_type": "药物", "overlap": null, "start_pos": 300, "text": "L-OHP" }, { "end_pos": 315, "label_type": "药物", "overlap": null, "start_pos": 312, "text": "CPB" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2011.4.18于**一院行十二指肠切除+胆总管引流、空肠造瘘术,术后发生吻合口瘘及吻合口狭窄,对症处理后好转。,术后病理:十二指肠中分化腺癌,侵犯肠壁全层,未突破浆膜层,淋巴结3/12见转移癌,远近切缘未见癌,分期PT3N1BM0 IIIB期。2011.7.25我院PET/,CT:吻合口局部代谢较活跃,SUV 5.3,疑术后改变,左下腹腔结节代谢活跃,SUV 9.8,大小0.7*0.9CM,考虑转移,肠系膜下动脉旁数个小淋巴结代谢活跃,疑转移。TM(-)。2011.8.,1CT:十二指肠降段内侧壁增厚,最后处19MM,考虑术后改变与肿瘤复发待鉴别。于2011.8.1开始化疗,,方案:L-OHP 250MG,CPB 2.0G BID*14D。现为第2程化疗入院。患者近期精神食欲可,大小便正常,体重稍增加。}
[ { "end_pos": 14, "label_type": "影像检查", "overlap": null, "start_pos": 12, "text": "超声" }, { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "肝" }, { "end_pos": 26, "label_type": "解剖部位", "overlap": null, "start_pos": 23, "text": "左下腹" }, { "end_pos": 45, "label_type": "解剖部位", "overlap": null, "start_pos": 44, "text": "腹" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "腹" }, { "end_pos": 69, "label_type": "影像检查", "overlap": null, "start_pos": 67, "text": "CT" }, { "end_pos": 76, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "肝左后叶" }, { "end_pos": 84, "label_type": "疾病和诊断", "overlap": null, "start_pos": 82, "text": "肝癌" }, { "end_pos": 134, "label_type": "手术", "overlap": null, "start_pos": 124, "text": "肝左后上叶肿瘤切除术" }, { "end_pos": 141, "label_type": "解剖部位", "overlap": null, "start_pos": 140, "text": "肝" }, { "end_pos": 148, "label_type": "解剖部位", "overlap": null, "start_pos": 146, "text": "静脉" }, { "end_pos": 184, "label_type": "手术", "overlap": null, "start_pos": 180, "text": "TACE" }, { "end_pos": 217, "label_type": "疾病和诊断", "overlap": null, "start_pos": 201, "text": "(左肝)肝细胞性肝癌(中度分化)" }, { "end_pos": 249, "label_type": "手术", "overlap": null, "start_pos": 245, "text": "TACE" }, { "end_pos": 255, "label_type": "药物", "overlap": null, "start_pos": 252, "text": "氟脲苷" }, { "end_pos": 264, "label_type": "药物", "overlap": null, "start_pos": 261, "text": "艾达生" }, { "end_pos": 271, "label_type": "药物", "overlap": null, "start_pos": 269, "text": "泽菲" }, { "end_pos": 279, "label_type": "药物", "overlap": null, "start_pos": 276, "text": "金普素" }, { "end_pos": 311, "label_type": "药物", "overlap": null, "start_pos": 307, "text": "吉西他滨" }, { "end_pos": 315, "label_type": "药物", "overlap": null, "start_pos": 312, "text": "替加氟" }, { "end_pos": 320, "label_type": "药物", "overlap": null, "start_pos": 316, "text": "亚叶酸钙" }, { "end_pos": 395, "label_type": "手术", "overlap": null, "start_pos": 374, "text": "肝癌切除+胆囊切除+术中无水乙醇注射治疗术" }, { "end_pos": 426, "label_type": "疾病和诊断", "overlap": null, "start_pos": 415, "text": "左肝、右肝肝细胞性肝癌" }, { "end_pos": 434, "label_type": "疾病和诊断", "overlap": null, "start_pos": 427, "text": "慢性腺性胆囊炎" }, { "end_pos": 459, "label_type": "手术", "overlap": null, "start_pos": 452, "text": "肝肿瘤TACE" }, { "end_pos": 469, "label_type": "药物", "overlap": null, "start_pos": 467, "text": "泽菲" }, { "end_pos": 473, "label_type": "药物", "overlap": null, "start_pos": 470, "text": "替加氟" }, { "end_pos": 477, "label_type": "药物", "overlap": null, "start_pos": 474, "text": "亚叶酸" }, { "end_pos": 487, "label_type": "解剖部位", "overlap": null, "start_pos": 486, "text": "肝" }, { "end_pos": 527, "label_type": "疾病和诊断", "overlap": null, "start_pos": 523, "text": "肝癌术后" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2012-10查体超声发现肝占位,无明显左下腹疼痛不适,体温正常,无恶心、呕吐,无腹痛、腹泻,大小便正常。2012-10-5,行CT检查:肝左后叶占位,考虑为肝癌,化验AFP(-),入我院后积极完善相关检查,并于2012.10.17在全麻上行肝左后上叶肿瘤切除术,术后给予保肝、抗感染、静脉营养等对症支持治疗,患者恢复顺利。于2012.11.2在局麻上行TACE治疗,患者好转后出院。,术后病理:(左肝)肝细胞性肝癌(中度分化),侵达被膜,未累及切除面。于2012.12.4在局麻上行TACE治疗(氟脲苷0.75G,艾达生30MG,泽菲1.4G,金普素10ML),于2013-1-22日及2013-5-9给予吉西他滨、替加氟、亚叶酸钙化疗,患者好转后出院,术后患者多次来院就诊复查,1月前因查体发现肿瘤复发于2015-11-06在全麻上行接受肝癌切除+胆囊切除+术中无水乙醇注射治疗术,病理结果回示(201519352),:左肝、右肝肝细胞性肝癌、慢性腺性胆囊炎。于2016-01-04 在介入科行肝肿瘤TACE治疗,后继化疗,泽菲+替加氟+亚叶酸方案化疗,并给予保肝、抑酸、抗炎治疗,恢复良好。现患者为进一步治疗再次来我院就诊,门诊以\"肝癌术后\"收入院。 患者自发病以来,神志清,精神好,睡眠、饮食可,体重无明显减轻。}
[ { "end_pos": 73, "label_type": "解剖部位", "overlap": null, "start_pos": 72, "text": "腹" }, { "end_pos": 99, "label_type": "疾病和诊断", "overlap": null, "start_pos": 90, "text": "直肠腺癌(中分化)" }, { "end_pos": 132, "label_type": "手术", "overlap": null, "start_pos": 123, "text": "直肠癌MILES术" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 144, "text": "直肠" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 148, "text": "腹" }, { "end_pos": 160, "label_type": "解剖部位", "overlap": null, "start_pos": 157, "text": "精囊腺" }, { "end_pos": 163, "label_type": "解剖部位", "overlap": null, "start_pos": 161, "text": "盆腔" }, { "end_pos": 171, "label_type": "解剖部位", "overlap": null, "start_pos": 169, "text": "肝脏" }, { "end_pos": 173, "label_type": "解剖部位", "overlap": null, "start_pos": 172, "text": "腹" }, { "end_pos": 183, "label_type": "解剖部位", "overlap": null, "start_pos": 175, "text": "DOUGLAS腔" }, { "end_pos": 195, "label_type": "解剖部位", "overlap": null, "start_pos": 193, "text": "盆腔" }, { "end_pos": 197, "label_type": "解剖部位", "overlap": null, "start_pos": 196, "text": "腹" }, { "end_pos": 237, "label_type": "手术", "overlap": null, "start_pos": 207, "text": "直肠癌经腹、会阴联合切除术(MILES术),右侧腹壁永久造瘘" }, { "end_pos": 257, "label_type": "疾病和诊断", "overlap": null, "start_pos": 254, "text": "直肠癌" }, { "end_pos": 290, "label_type": "药物", "overlap": null, "start_pos": 287, "text": "希罗达" }, { "end_pos": 301, "label_type": "解剖部位", "overlap": null, "start_pos": 299, "text": "盆腔" }, { "end_pos": 323, "label_type": "手术", "overlap": null, "start_pos": 318, "text": "希罗达化疗" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,病人4个月前突然发现大便带血,便条变细,行肠镜检查示距肛缘1CM可见息肉样隆起,大小约3.0*3.0CM表面凹凸不平,分叶状,表面可见溃疡,无腹痛,无恶心呕吐。取病理,病理诊断为直肠腺癌(中分化),来我院肿瘤外科,于2011-11-24全麻上行直肠癌MILES术,,术中探查见:肿瘤位于直肠上段腹膜返折以上,侵及精囊腺,盆腔未触及包块,肝脏、腹膜及DOUGLAS腔未触及可疑转移结节,盆腔无腹水,根据探查结果,行直肠癌经腹、会阴联合切除术(MILES术),右侧腹壁永久造瘘,术后行抗炎对症治疗,,术后病理:直肠癌。淋巴结未见转移,DUKES分期“A3”,术后恢复可,行口服希罗达化疗,同时来我科行盆腔放疗。今放疗16次,入院行上一周期希罗达化疗,病人目前无发热,无尿频尿急,血尿。饮食可,睡眠可,大便不规律,小便正常,体重无明显减轻。}
[ { "end_pos": 22, "label_type": "解剖部位", "overlap": null, "start_pos": 19, "text": "右上腹" }, { "end_pos": 47, "label_type": "解剖部位", "overlap": null, "start_pos": 46, "text": "头" }, { "end_pos": 67, "label_type": "解剖部位", "overlap": null, "start_pos": 66, "text": "腹" }, { "end_pos": 69, "label_type": "解剖部位", "overlap": null, "start_pos": 68, "text": "腹" }, { "end_pos": 89, "label_type": "解剖部位", "overlap": null, "start_pos": 85, "text": "乙状结肠" }, { "end_pos": 100, "label_type": "疾病和诊断", "overlap": null, "start_pos": 95, "text": "印戒细胞癌" }, { "end_pos": 103, "label_type": "影像检查", "overlap": null, "start_pos": 101, "text": "CT" }, { "end_pos": 112, "label_type": "疾病和诊断", "overlap": null, "start_pos": 106, "text": "肝内多发转移" }, { "end_pos": 119, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "腹膜后淋巴结" }, { "end_pos": 152, "label_type": "影像检查", "overlap": null, "start_pos": 147, "text": "胸腹部CT" }, { "end_pos": 161, "label_type": "解剖部位", "overlap": null, "start_pos": 157, "text": "右侧腋窝" }, { "end_pos": 166, "label_type": "解剖部位", "overlap": null, "start_pos": 162, "text": "两侧锁骨" }, { "end_pos": 172, "label_type": "解剖部位", "overlap": null, "start_pos": 170, "text": "气管" }, { "end_pos": 182, "label_type": "解剖部位", "overlap": null, "start_pos": 178, "text": "右肾动脉" }, { "end_pos": 188, "label_type": "解剖部位", "overlap": null, "start_pos": 184, "text": "右侧膈脚" }, { "end_pos": 208, "label_type": "解剖部位", "overlap": null, "start_pos": 207, "text": "肝" }, { "end_pos": 228, "label_type": "解剖部位", "overlap": null, "start_pos": 226, "text": "气管" }, { "end_pos": 238, "label_type": "解剖部位", "overlap": null, "start_pos": 230, "text": "左侧肺门小淋巴结" }, { "end_pos": 241, "label_type": "解剖部位", "overlap": null, "start_pos": 239, "text": "两肺" }, { "end_pos": 252, "label_type": "影像检查", "overlap": null, "start_pos": 250, "text": "彩超" }, { "end_pos": 257, "label_type": "解剖部位", "overlap": null, "start_pos": 256, "text": "颈" }, { "end_pos": 304, "label_type": "手术", "overlap": null, "start_pos": 294, "text": "乙状结肠姑息性切除术" }, { "end_pos": 326, "label_type": "疾病和诊断", "overlap": null, "start_pos": 317, "text": "乙状结肠印戒细胞癌" }, { "end_pos": 368, "label_type": "影像检查", "overlap": null, "start_pos": 366, "text": "CT" }, { "end_pos": 378, "label_type": "疾病和诊断", "overlap": null, "start_pos": 369, "text": "乙状结肠癌姑息术后" }, { "end_pos": 409, "label_type": "解剖部位", "overlap": null, "start_pos": 390, "text": "右侧腋窝、右侧锁下、纵隔、左肺门淋巴结" }, { "end_pos": 432, "label_type": "解剖部位", "overlap": null, "start_pos": 428, "text": "腹主动脉" }, { "end_pos": 436, "label_type": "解剖部位", "overlap": null, "start_pos": 434, "text": "膈脚" }, { "end_pos": 443, "label_type": "解剖部位", "overlap": null, "start_pos": 438, "text": "右侧髂血管" }, { "end_pos": 462, "label_type": "疾病和诊断", "overlap": null, "start_pos": 455, "text": "肝内多发转移瘤" }, { "end_pos": 476, "label_type": "解剖部位", "overlap": null, "start_pos": 472, "text": "左肾下腺" }, { "end_pos": 495, "label_type": "疾病和诊断", "overlap": null, "start_pos": 490, "text": "左肾小囊肿" }, { "end_pos": 501, "label_type": "疾病和诊断", "overlap": null, "start_pos": 496, "text": "前列腺钙化" }, { "end_pos": 532, "label_type": "解剖部位", "overlap": null, "start_pos": 530, "text": "骶部" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2012年12月无明显诱因出现右上腹隐痛,不剧可忍,伴粘液便,大便干结。无伴有乏力、头晕。无黑便,无里急后重,无恶心呕吐,无腹胀腹泻等不适。,在外院行肠镜检查示:乙状结肠肿物,考虑为印戒细胞癌。CT,示:肝内多发转移,腹膜后淋巴结肿大。予2013年1月29日住入我院结直肠科,,入院后行胸腹部CT检查提示:右侧腋窝、两侧锁骨下、右下气管旁、血管前、右肾动脉旁、右侧膈脚后数个肿大淋巴结,结合病史,考虑转移;肝内弥漫分布多发结节灶,考虑转移;左上气管旁、左侧肺门小淋巴结;两肺内未见明显异常。,彩超提示:右颈IV、V区见多发淋巴结肿大,考虑恶性淋巴结。于2013-02-04全麻上行乙状结肠姑息性切除术,术后顺利,,术后病理示:乙状结肠印戒细胞癌,浸润浆膜层;淋巴结转移(21/21),术后恢复良好,2013-03-01,复查CT示乙状结肠癌姑息术后:吻合口处未见明显肿物。右侧腋窝、右侧锁下、纵隔、左肺门淋巴结较前(2013-1-29)增大、增多。腹主动脉旁、膈脚后及右侧髂血管旁多发淋巴结,考虑转移。肝内多发转移瘤,较前稍增大、增多。左肾下腺结节,考虑转移瘤,较前增大。左肾小囊肿。前列腺钙化。今为进一步治疗入院,起病以来,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,体重无明显上降。}
[ { "end_pos": 13, "label_type": "解剖部位", "overlap": null, "start_pos": 10, "text": "中下腹" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 37, "text": "胃底" }, { "end_pos": 42, "label_type": "解剖部位", "overlap": null, "start_pos": 40, "text": "胃体" }, { "end_pos": 79, "label_type": "手术", "overlap": null, "start_pos": 71, "text": "根治性全胃切除术" }, { "end_pos": 98, "label_type": "解剖部位", "overlap": null, "start_pos": 97, "text": "胃" }, { "end_pos": 141, "label_type": "疾病和诊断", "overlap": null, "start_pos": 119, "text": "非霍奇金淋巴瘤,粘膜相关淋巴瘤(MALT型)" }, { "end_pos": 263, "label_type": "药物", "overlap": null, "start_pos": 260, "text": "CTX" }, { "end_pos": 274, "label_type": "药物", "overlap": null, "start_pos": 270, "text": "表阿霉素" }, { "end_pos": 286, "label_type": "药物", "overlap": null, "start_pos": 282, "text": "长春新碱" }, { "end_pos": 295, "label_type": "药物", "overlap": null, "start_pos": 292, "text": "DXM" }, { "end_pos": 362, "label_type": "药物", "overlap": null, "start_pos": 359, "text": "IFO" }, { "end_pos": 376, "label_type": "药物", "overlap": null, "start_pos": 373, "text": "米乐松" }, { "end_pos": 389, "label_type": "药物", "overlap": null, "start_pos": 386, "text": "VDS" }, { "end_pos": 400, "label_type": "药物", "overlap": null, "start_pos": 397, "text": "THP" }, { "end_pos": 430, "label_type": "疾病和诊断", "overlap": null, "start_pos": 426, "text": "骨髓抑制" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2007年9月因中下腹痛入我院普外科治疗,入院后完善相关检查,胃镜示:胃底、胃体可见弥漫粘膜隆起,表面高低不平。于2007-09-24日行根治性全胃切除术,术后病理(S2007-40203)胃淋巴组织增生性病变,结合酶标及病理形态考虑非霍奇金淋巴瘤,粘膜相关淋巴瘤(MALT型),肿瘤组织累及粘膜上层,双切缘未见肿瘤累及,检出小弯侧淋巴结10枚,大弯淋巴结8枚及送检8A组淋巴结3枚,均未见肿瘤组织累及,酶标CK广,CK8示淋巴下皮病变,LCA(+),CD20(+),CD 。患者出院后于外院行CHOP方案化疗5次(CTX 0.8D1,表阿霉素100MGD1,长春新碱 2MG ,DXM 15MG),患者化疗后恶心呕吐等胃肠道反应较剧,予以对症治疗后好转。于08.04.04来我院开始第6次化疗,CHOP方案化疗,IFO 2.0G×D1-5+米乐松80MG×D1-5+VDS40MG×D1+THP 60MG×D1,化疗过程顺利,未见明显毒副反应,无骨髓抑制。本次为评价疗效收住入院。患者病程中精神可,饮食睡眠可,2便正常,体重无明星减轻。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 15, "text": "胆囊" }, { "end_pos": 23, "label_type": "影像检查", "overlap": null, "start_pos": 21, "text": "B超" }, { "end_pos": 26, "label_type": "影像检查", "overlap": null, "start_pos": 24, "text": "CT" }, { "end_pos": 32, "label_type": "解剖部位", "overlap": null, "start_pos": 30, "text": "胆囊" }, { "end_pos": 43, "label_type": "解剖部位", "overlap": null, "start_pos": 35, "text": "肝左前叶、右内叶" }, { "end_pos": 52, "label_type": "实验室检验", "overlap": null, "start_pos": 47, "text": "CA199" }, { "end_pos": 67, "label_type": "疾病和诊断", "overlap": null, "start_pos": 64, "text": "胆囊癌" }, { "end_pos": 92, "label_type": "手术", "overlap": null, "start_pos": 84, "text": "胆囊癌扩大根治术" }, { "end_pos": 112, "label_type": "疾病和诊断", "overlap": null, "start_pos": 109, "text": "肝转移" }, { "end_pos": 135, "label_type": "疾病和诊断", "overlap": null, "start_pos": 128, "text": "胆囊中分化腺癌" }, { "end_pos": 144, "label_type": "解剖部位", "overlap": null, "start_pos": 143, "text": "肝" }, { "end_pos": 152, "label_type": "疾病和诊断", "overlap": null, "start_pos": 147, "text": "肝脏转移瘤" }, { "end_pos": 162, "label_type": "疾病和诊断", "overlap": null, "start_pos": 153, "text": "胰头后方淋巴结转移" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2012-7体检时发现胆囊肿物,行B超、CT检查提示胆囊肿物,肝左前叶、右内叶肿物,,CA199:3922U/ML,考虑胆囊癌。于2012-7-26在**一院行胆囊癌扩大根治术,术后见大网膜一枚癌结节,切除全部肝转移及肉眼所见转移病灶。,术后病理:胆囊中分化腺癌,突破浆膜并侵犯肝实质,肝脏转移瘤,胰头后方淋巴结转移(1/1)。术后恢复可,后于2012-9-19行GEMOX方案化疗1程,今按主诊教授意见再化疗一程。患者发病以来,精神佳,饮食睡眠佳,大小便正常,体重有减轻3KG。}
[ { "end_pos": 2, "label_type": "解剖部位", "overlap": null, "start_pos": 1, "text": "腹" }, { "end_pos": 7, "label_type": "解剖部位", "overlap": null, "start_pos": 6, "text": "腹" }, { "end_pos": 12, "label_type": "影像检查", "overlap": null, "start_pos": 10, "text": "CT" }, { "end_pos": 28, "label_type": "解剖部位", "overlap": null, "start_pos": 26, "text": "子宫" }, { "end_pos": 60, "label_type": "实验室检验", "overlap": null, "start_pos": 55, "text": "CA125" }, { "end_pos": 88, "label_type": "实验室检验", "overlap": null, "start_pos": 85, "text": "ALT" }, { "end_pos": 100, "label_type": "实验室检验", "overlap": null, "start_pos": 97, "text": "AST" }, { "end_pos": 155, "label_type": "药物", "overlap": null, "start_pos": 152, "text": "紫杉醇" }, { "end_pos": 164, "label_type": "药物", "overlap": null, "start_pos": 161, "text": "DDP" }, { "end_pos": 165, "label_type": "解剖部位", "overlap": null, "start_pos": 164, "text": "腹" }, { "end_pos": 174, "label_type": "解剖部位", "overlap": null, "start_pos": 173, "text": "腹" }, { "end_pos": 177, "label_type": "解剖部位", "overlap": null, "start_pos": 176, "text": "胃" }, { "end_pos": 201, "label_type": "疾病和诊断", "overlap": null, "start_pos": 187, "text": "苗勒氏下皮来源浆液性乳头状癌" }, { "end_pos": 249, "label_type": "实验室检验", "overlap": null, "start_pos": 246, "text": "白细胞" }, { "end_pos": 266, "label_type": "实验室检验", "overlap": null, "start_pos": 263, "text": "红细胞" }, { "end_pos": 282, "label_type": "实验室检验", "overlap": null, "start_pos": 279, "text": "尿潜血" }, { "end_pos": 289, "label_type": "实验室检验", "overlap": null, "start_pos": 286, "text": "尿蛋白" }, { "end_pos": 297, "label_type": "实验室检验", "overlap": null, "start_pos": 293, "text": "尿白细胞" }, { "end_pos": 337, "label_type": "实验室检验", "overlap": null, "start_pos": 332, "text": "白细胞总数" }, { "end_pos": 358, "label_type": "实验室检验", "overlap": null, "start_pos": 350, "text": "中性粒细胞百分数" }, { "end_pos": 374, "label_type": "实验室检验", "overlap": null, "start_pos": 366, "text": "中性粒细胞绝对值" }, { "end_pos": 392, "label_type": "实验室检验", "overlap": null, "start_pos": 388, "text": "血红蛋白" }, { "end_pos": 412, "label_type": "解剖部位", "overlap": null, "start_pos": 410, "text": "两眼" }, { "end_pos": 449, "label_type": "解剖部位", "overlap": null, "start_pos": 446, "text": "左附件" }, { "end_pos": 482, "label_type": "手术", "overlap": null, "start_pos": 466, "text": "卵巢癌肿瘤细胞减灭术及热灌注化疗" }, { "end_pos": 519, "label_type": "实验室检验", "overlap": null, "start_pos": 516, "text": "白细胞" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,腹胀2月,腹痛。,CT:大网膜絮状及结节状高密度,子宫局部高密度,左侧旁囊性病变。胃镜、肠镜未见明显异常。,CA125:2198IU/ML。有排气、有排便,少量进食。,ALT:74.6U/L,AST90.7U/L。发热3天,T39摄氏度,抗炎治疗,目前无发热。感体重上降,具体不详。2017.2.28予紫杉醇化疗,3.1DDP腹腔热灌注化疗.诉腹痛,胃部不适.,术中活检:苗勒氏下皮来源浆液性乳头状癌。2017-3-22行TC方案化疗1程.2017-4-7尿常规+尿沉渣镜检(定量),:镜检白细胞 137个/μXXXL,镜检红细胞 1037个/μXXXL,尿潜血 3+,尿蛋白 +-,尿白细胞 1+.2017-4-7 ,9:43 (紫)血细胞分析(五分类),:★白细胞总数 2.70*10^9/L,中性粒细胞百分数 29.70%,中性粒细胞绝对值 0.80*10^9/L,★血红蛋白 102.00G/L。自诉排尿疼痛,两眼水肿。2017-4-13行第2程TC化疗,影像学评估提示大网膜结节,左附件区软组织密度灶。2017.6.6行卵巢癌肿瘤细胞减灭术及热灌注化疗.于2017-7-4行TC化疗1程,过程顺利。今行化疗前检查,下周查白细胞II度减少,当地升白后,今要求复查血常规。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "肝" }, { "end_pos": 37, "label_type": "影像检查", "overlap": null, "start_pos": 35, "text": "MR" }, { "end_pos": 46, "label_type": "疾病和诊断", "overlap": null, "start_pos": 44, "text": "肝癌" }, { "end_pos": 65, "label_type": "影像检查", "overlap": null, "start_pos": 62, "text": "PET" }, { "end_pos": 76, "label_type": "解剖部位", "overlap": null, "start_pos": 69, "text": "肝脏VIII段" }, { "end_pos": 93, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "降结肠" }, { "end_pos": 103, "label_type": "疾病和诊断", "overlap": null, "start_pos": 101, "text": "腺瘤" }, { "end_pos": 126, "label_type": "解剖部位", "overlap": null, "start_pos": 123, "text": "降结肠" }, { "end_pos": 142, "label_type": "解剖部位", "overlap": null, "start_pos": 139, "text": "降结肠" }, { "end_pos": 154, "label_type": "疾病和诊断", "overlap": null, "start_pos": 148, "text": "肠中分化腺癌" }, { "end_pos": 186, "label_type": "手术", "overlap": null, "start_pos": 168, "text": "肝癌切除+右半结肠切除+大网膜切除术" }, { "end_pos": 202, "label_type": "解剖部位", "overlap": null, "start_pos": 201, "text": "腹" }, { "end_pos": 209, "label_type": "解剖部位", "overlap": null, "start_pos": 206, "text": "肝S8" }, { "end_pos": 234, "label_type": "解剖部位", "overlap": null, "start_pos": 233, "text": "肝" }, { "end_pos": 244, "label_type": "解剖部位", "overlap": null, "start_pos": 243, "text": "肝" }, { "end_pos": 253, "label_type": "疾病和诊断", "overlap": null, "start_pos": 248, "text": "中分化腺癌" }, { "end_pos": 267, "label_type": "解剖部位", "overlap": null, "start_pos": 264, "text": "降结肠" }, { "end_pos": 289, "label_type": "疾病和诊断", "overlap": null, "start_pos": 283, "text": "肠腺癌肝转移" }, { "end_pos": 294, "label_type": "解剖部位", "overlap": null, "start_pos": 291, "text": "降结肠" }, { "end_pos": 309, "label_type": "疾病和诊断", "overlap": null, "start_pos": 302, "text": "结肠中分化腺癌" }, { "end_pos": 317, "label_type": "解剖部位", "overlap": null, "start_pos": 316, "text": "肠" }, { "end_pos": 350, "label_type": "疾病和诊断", "overlap": null, "start_pos": 348, "text": "腺癌" }, { "end_pos": 460, "label_type": "药物", "overlap": null, "start_pos": 456, "text": "奥沙利铂" }, { "end_pos": 476, "label_type": "药物", "overlap": null, "start_pos": 473, "text": "希罗达" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2014-07体检B超发现肝左叶占位,考虑血管瘤可能。在当地再行MR检查仍不能排除肝癌可能。2014-7-23在本院行PET检查提示肝脏VIII段病灶代谢活跃,考虑恶性病变。降结肠局部代谢活跃,疑腺瘤。2014-07-25,行电子肠镜检查:降结肠溃疡型肿物。,活检病理:(降结肠肿物)镜检为肠中分化腺癌。后于2014-08-04行肝癌切除+右半结肠切除+大网膜切除术,术中未见肿瘤侵犯周围器官,无腹腔播散。肝S8段见肿物,大小约4*4*3CM。,术后病理示:(肝肿瘤大体),镜上:肝组织中见中分化腺癌浸润伴大片坏死,形态与降结肠肿物相似,结合免疫组化结果,符合肠腺癌肝转移。(降结肠大体)肿物镜检为结肠中分化腺癌,癌组织浸润至肠壁浅肌层,可见脉管内癌栓,未见明确神经束侵犯。淋巴结1/11见腺癌转移。,免疫组化:ERCC1(+),MLH1(+),MSH2(+),PMS2(+),MSH6(+),KI67(40%+)。KRAS,基因:野生型。术后患者恢复可,于2014-09-04起在我院内科开始XELOX(奥沙利铂130MG/M2 D1, 希罗达1500MG BID D1-D14, Q3W)方案化疗6程,过程顺利。并于2015-1起配合XELOX化疗行CIK细胞免疫治疗2程,过程顺利,末次化疗结束时间为2015-2-12。化疗结束后继续细胞免疫治疗维持至今。现患者为进一步治疗再次入院。下次治疗以来,患者精神尚可,食欲如常,大小便正常,体重无明显上降。}
[ { "end_pos": 7, "label_type": "疾病和诊断", "overlap": null, "start_pos": 1, "text": "直肠癌手术后" }, { "end_pos": 24, "label_type": "解剖部位", "overlap": null, "start_pos": 22, "text": "直肠" }, { "end_pos": 40, "label_type": "疾病和诊断", "overlap": null, "start_pos": 32, "text": "溃疡型中分化腺癌" }, { "end_pos": 53, "label_type": "解剖部位", "overlap": null, "start_pos": 52, "text": "肠" }, { "end_pos": 106, "label_type": "疾病和诊断", "overlap": null, "start_pos": 98, "text": "高级别下皮内瘤变" }, { "end_pos": 121, "label_type": "解剖部位", "overlap": null, "start_pos": 120, "text": "肠" }, { "end_pos": 134, "label_type": "解剖部位", "overlap": null, "start_pos": 127, "text": "肠系膜根部血管" }, { "end_pos": 174, "label_type": "药物", "overlap": null, "start_pos": 170, "text": "卡培他滨" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "腹" }, { "end_pos": 214, "label_type": "实验室检验", "overlap": null, "start_pos": 207, "text": "CA72.4 " }, { "end_pos": 252, "label_type": "疾病和诊断", "overlap": null, "start_pos": 246, "text": "结肠多发息肉" }, { "end_pos": 265, "label_type": "解剖部位", "overlap": null, "start_pos": 260, "text": "横结肠肝曲" }, { "end_pos": 270, "label_type": "解剖部位", "overlap": null, "start_pos": 268, "text": "肛门" }, { "end_pos": 279, "label_type": "解剖部位", "overlap": null, "start_pos": 277, "text": "肛门" }, { "end_pos": 301, "label_type": "疾病和诊断", "overlap": null, "start_pos": 292, "text": "直肠癌,淋巴结转移" }, { "end_pos": 320, "label_type": "手术", "overlap": null, "start_pos": 316, "text": "ESD术" }, { "end_pos": 331, "label_type": "疾病和诊断", "overlap": null, "start_pos": 326, "text": "中分化腺癌" }, { "end_pos": 399, "label_type": "药物", "overlap": null, "start_pos": 395, "text": "卡培他滨" }, { "end_pos": 442, "label_type": "实验室检验", "overlap": null, "start_pos": 439, "text": "白细胞" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,直肠癌手术后,复查2015.5.20 手术直肠(切除),:- 溃疡型中分化腺癌,最大径4CM;- 侵至肠周脂肪组织;- 未见脉管内癌栓及神经侵犯;-(近端)切缘及环周切缘未见癌,(远端)切缘可见高级别下皮内瘤变残留;- 淋巴结可见癌转移(肠周1/10,肠系膜根部血管0/0);- ,肿瘤病理分期:PT3N1A。2015.6.23 开始口服卡培他滨化疗,自述腹泻严重,不能忍受;分度为III度2015.10.27 CA72.4 数值11.46;其他检查未见异常。2016.3.8 肠镜检查提示结肠多发息肉,较大者分别位于横结肠肝曲、距离肛门25CM、距离肛门6CM.,活检报良性现症:直肠癌,淋巴结转移大便干燥。2016-3-25行ESD术,吻合口病变中分化腺癌,切缘阳性。外科建议术前放化疗,评估后手术。2016-4-27开始放疗,GTV50.6GY/CTV41.8GY/22次,同步口服卡培他滨。目前完成14次放疗。2016-05-27放射治疗结束,2016-06-06复查白细胞低上2.53*109/L。}
[ { "end_pos": 45, "label_type": "疾病和诊断", "overlap": null, "start_pos": 38, "text": "胃窦低分化腺癌" }, { "end_pos": 66, "label_type": "影像检查", "overlap": null, "start_pos": 62, "text": "全腹CT" }, { "end_pos": 70, "label_type": "解剖部位", "overlap": null, "start_pos": 68, "text": "胃窦" }, { "end_pos": 84, "label_type": "影像检查", "overlap": null, "start_pos": 82, "text": "胸片" }, { "end_pos": 95, "label_type": "解剖部位", "overlap": null, "start_pos": 94, "text": "胃" }, { "end_pos": 106, "label_type": "实验室检验", "overlap": null, "start_pos": 104, "text": "HB" }, { "end_pos": 140, "label_type": "手术", "overlap": null, "start_pos": 132, "text": "腹腔镜胃癌根治术" }, { "end_pos": 153, "label_type": "疾病和诊断", "overlap": null, "start_pos": 147, "text": "胃低分化腺癌" }, { "end_pos": 185, "label_type": "解剖部位", "overlap": null, "start_pos": 161, "text": "胃小弯、胃大弯、贲门、幽门、胃右动脉旁周围淋巴结" }, { "end_pos": 291, "label_type": "解剖部位", "overlap": null, "start_pos": 290, "text": "腹" }, { "end_pos": 310, "label_type": "解剖部位", "overlap": null, "start_pos": 309, "text": "胃" }, { "end_pos": 314, "label_type": "解剖部位", "overlap": null, "start_pos": 313, "text": "腹" }, { "end_pos": 320, "label_type": "解剖部位", "overlap": null, "start_pos": 319, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2014-09-23因“便血4天”就诊**二院,09-25,行胃镜示:胃窦低分化腺癌,HER-2(0)。 09-26,全腹CT示:胃窦富血供肿瘤。 09-25胸片(-)。 予抑酸、护胃、输血等支持对症,HB自55G/L升至95G/L.于2014-09-30行腹腔镜胃癌根治术,,术后病理:胃低分化腺癌,浸润至浆膜层,胃小弯、胃大弯、贲门、幽门、胃右动脉旁周围淋巴结(2/19)(+),大网膜(-),切缘(-),HER-2(0).分期PT4AN1M0.患者术后恢复可,2014-11-06、2014-11-27行SOX方案化疗2程,过程顺利,化疗后出现少许皮疹,无恶心、呕吐、腹泻等不良反应。 2程化疗后出现泪频,胃纳差,腹胀、饮食后腹部隐痛,以夜间为甚,无黑便,偶有稀便,夜间小便频(3次右左),睡眠精神一般,体重无明显变化。}
[ { "end_pos": 28, "label_type": "手术", "overlap": null, "start_pos": 16, "text": "腹腔镜辅助左半结肠切除术" }, { "end_pos": 79, "label_type": "影像检查", "overlap": null, "start_pos": 77, "text": "CT" }, { "end_pos": 85, "label_type": "解剖部位", "overlap": null, "start_pos": 81, "text": "左下下腹" }, { "end_pos": 95, "label_type": "疾病和诊断", "overlap": null, "start_pos": 92, "text": "转移瘤" }, { "end_pos": 114, "label_type": "影像检查", "overlap": null, "start_pos": 112, "text": "CT" }, { "end_pos": 118, "label_type": "解剖部位", "overlap": null, "start_pos": 116, "text": "胃窦" }, { "end_pos": 165, "label_type": "疾病和诊断", "overlap": null, "start_pos": 151, "text": "(左半结肠)镜检为中分化腺癌" }, { "end_pos": 193, "label_type": "解剖部位", "overlap": null, "start_pos": 191, "text": "阑尾" }, { "end_pos": 218, "label_type": "疾病和诊断", "overlap": null, "start_pos": 216, "text": "腺癌" }, { "end_pos": 319, "label_type": "药物", "overlap": null, "start_pos": 316, "text": "爱必妥" }, { "end_pos": 337, "label_type": "影像检查", "overlap": null, "start_pos": 335, "text": "CT" }, { "end_pos": 356, "label_type": "影像检查", "overlap": null, "start_pos": 354, "text": "CT" }, { "end_pos": 373, "label_type": "疾病和诊断", "overlap": null, "start_pos": 357, "text": "升结肠癌术后化疗后腹腔淋巴结转移" }, { "end_pos": 396, "label_type": "解剖部位", "overlap": null, "start_pos": 391, "text": "结肠吻合口" }, { "end_pos": 405, "label_type": "解剖部位", "overlap": null, "start_pos": 403, "text": "胃窦" }, { "end_pos": 425, "label_type": "解剖部位", "overlap": null, "start_pos": 420, "text": "两侧髂血管" }, { "end_pos": 465, "label_type": "手术", "overlap": null, "start_pos": 458, "text": "腹腔肿物切除术" }, { "end_pos": 474, "label_type": "解剖部位", "overlap": null, "start_pos": 473, "text": "胃" }, { "end_pos": 497, "label_type": "疾病和诊断", "overlap": null, "start_pos": 492, "text": "中分化腺癌" }, { "end_pos": 520, "label_type": "疾病和诊断", "overlap": null, "start_pos": 514, "text": "肠癌浸润转移" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2014.5.7外院行\"腹腔镜辅助左半结肠切除术\",,术后病理:分期T3N1M0 IIIB期。术后予XELOX方案化疗6周期。2016.8,复查CT示:左下下腹软组织团块影,转移瘤可能性大。2016.9.20,复查CT示:胃窦大弯侧上方结节,考虑大网膜转移与淋巴结转移相鉴别。,我院病理会诊:(左半结肠)镜检为中分化腺癌,浸润至浆膜上层,可见神经组织侵犯及脉管内癌栓;送检阑尾粘膜慢性炎;送检淋巴结(约34枚)3/34枚见腺癌转移,并可见1枚癌结节。ONCOCARTA19基因检测未发现突变位点。确定无化疗禁忌症,于2016-09-29、2016-10-15、2016-10-28、2016-11-15开始予FOLFOX+爱必妥方案化疗4程顺利,3程化疗后复查CT疗效评价SD。2016.11.,9CT:升结肠癌术后化疗后腹腔淋巴结转移复查,,对比2016-09-20片:结肠吻合口未见明确肿物。胃窦上方结节,考虑转移,较前缩小。两侧髂血管旁增大淋巴结,较前相仿,建议观察。于2016.12.14全麻上行“腹腔肿物切除术”,,病理示:(胃大弯侧结节),镜上:纤维结缔组织中见中分化腺癌浸润,结合病史及免疫组化结果,符合肠癌浸润转移。,免疫组化结果:C#,:CDX-2(+),CK20(+),VILLIN(+)。术程顺利,术后恢复可,今入院进一步治疗。患病以来,患者食欲、精神、睡眠尚可,大小便正常,术后体重上降1公斤。}
[ { "end_pos": 12, "label_type": "实验室检验", "overlap": null, "start_pos": 9, "text": "CEA" }, { "end_pos": 33, "label_type": "解剖部位", "overlap": null, "start_pos": 32, "text": "腹" }, { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 34, "text": "腹" }, { "end_pos": 49, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "腹" }, { "end_pos": 60, "label_type": "影像检查", "overlap": null, "start_pos": 58, "text": "CT" }, { "end_pos": 81, "label_type": "疾病和诊断", "overlap": null, "start_pos": 73, "text": "肝及两肾多发囊肿" }, { "end_pos": 84, "label_type": "解剖部位", "overlap": null, "start_pos": 82, "text": "子宫" }, { "end_pos": 96, "label_type": "解剖部位", "overlap": null, "start_pos": 92, "text": "右肺上叶" }, { "end_pos": 109, "label_type": "影像检查", "overlap": null, "start_pos": 105, "text": "胸部CT" }, { "end_pos": 135, "label_type": "解剖部位", "overlap": null, "start_pos": 133, "text": "盲肠" }, { "end_pos": 151, "label_type": "解剖部位", "overlap": null, "start_pos": 150, "text": "肠" }, { "end_pos": 156, "label_type": "解剖部位", "overlap": null, "start_pos": 155, "text": "肠" }, { "end_pos": 183, "label_type": "解剖部位", "overlap": null, "start_pos": 181, "text": "大肠" }, { "end_pos": 215, "label_type": "解剖部位", "overlap": null, "start_pos": 214, "text": "胃" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者1月前体检发现CEA升高,平素无乏力,无发热,无呕血黑便,无腹痛腹胀,无大便习惯性状改变,无腹泻,并行至我院复查CT(2012-04-20)示肝及两肾多发囊肿,子宫饱满伴小钙化灶;右肺上叶条絮影伴钙化,建议胸部CT检查,肠镜(2012-05-31)示结肠镜检查至盲肠,距肛缘70CM可见一肿块,占肠腔一圈,肠腔狭窄,无法继续进镜。活检4块,质地硬,易出血,余大肠未见异常。肛指检查无异常。病理未出。发病以来,患者精神夜眠可,胃纳可,小便正常。}
[ { "end_pos": 28, "label_type": "解剖部位", "overlap": null, "start_pos": 27, "text": "腹" }, { "end_pos": 62, "label_type": "解剖部位", "overlap": null, "start_pos": 60, "text": "阴道" }, { "end_pos": 80, "label_type": "手术", "overlap": null, "start_pos": 72, "text": "阴道镜上宫颈活检" }, { "end_pos": 89, "label_type": "疾病和诊断", "overlap": null, "start_pos": 84, "text": "中分化鳞癌" }, { "end_pos": 102, "label_type": "疾病和诊断", "overlap": null, "start_pos": 94, "text": "宫颈鳞癌IIB期" }, { "end_pos": 139, "label_type": "药物", "overlap": null, "start_pos": 135, "text": "博来霉素" }, { "end_pos": 144, "label_type": "药物", "overlap": null, "start_pos": 140, "text": "依托铂苷" }, { "end_pos": 147, "label_type": "药物", "overlap": null, "start_pos": 145, "text": "顺铂" }, { "end_pos": 203, "label_type": "手术", "overlap": null, "start_pos": 190, "text": "两侧卵巢移位、淋巴结活检术" }, { "end_pos": 213, "label_type": "解剖部位", "overlap": null, "start_pos": 208, "text": "髂外淋巴结" }, { "end_pos": 268, "label_type": "疾病和诊断", "overlap": null, "start_pos": 266, "text": "鳞癌" }, { "end_pos": 338, "label_type": "解剖部位", "overlap": null, "start_pos": 336, "text": "盆腔" }, { "end_pos": 357, "label_type": "解剖部位", "overlap": null, "start_pos": 352, "text": "盆腔淋巴结" }, { "end_pos": 379, "label_type": "药物", "overlap": null, "start_pos": 377, "text": "顺铂" }, { "end_pos": 408, "label_type": "解剖部位", "overlap": null, "start_pos": 405, "text": "右颈部" }, { "end_pos": 425, "label_type": "解剖部位", "overlap": null, "start_pos": 416, "text": "两颈部II区淋巴结" }, { "end_pos": 448, "label_type": "解剖部位", "overlap": null, "start_pos": 434, "text": "右颈部III区、IV区淋巴结" }, { "end_pos": 489, "label_type": "疾病和诊断", "overlap": null, "start_pos": 475, "text": "宫颈癌放疗后颈部淋巴结转移癌" }, { "end_pos": 501, "label_type": "解剖部位", "overlap": null, "start_pos": 496, "text": "颈部淋巴结" }, { "end_pos": 511, "label_type": "药物", "overlap": null, "start_pos": 509, "text": "顺铂" }, { "end_pos": 546, "label_type": "药物", "overlap": null, "start_pos": 544, "text": "顺铂" }, { "end_pos": 567, "label_type": "解剖部位", "overlap": null, "start_pos": 566, "text": "腹" }, { "end_pos": 569, "label_type": "解剖部位", "overlap": null, "start_pos": 568, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者平素月经规律,呈5-6/30日型,量中等,无经期腹痛,末次月经2013年10月12日。患者2013年11月中旬因“阴道流血”就诊于我院,行阴道镜上宫颈活检病理回报中分化鳞癌,临床诊为宫颈鳞癌IIB期,于2013-11-19、2013-12-11在我院妇科行BEP(博来霉素+依托铂苷+顺铂)方案化疗2次,化疗过程顺利,化疗反应轻微,化疗后病变无明显缩小,于2014-1-6行两侧卵巢移位、淋巴结活检术(术中一个髂外淋巴结增大极化与周边组织致密粘连,锐性切除后为肿大淋巴结有坏死。),术后病理(Z0469056),:(淋巴结)见鳞癌癌巢,,A:CK(PAN)(+) KI-67(+40%) P63(+)。术后患者恢复良好,复查血尿常规正常。于2014年1月21日开始行盆腔体外放疗1.8GY*28次,盆腔淋巴结补量2GY*5次,强内后装放疗4次,同步顺铂30MG连4天化疗。放化疗结束7个月后患者无意中发现右颈部肿物,行超声检查两颈部II区淋巴结肿大,超声结构正常右颈部III区、IV区淋巴结肿大,类圆形,网格样低回声伴钙化,结构异常,临床诊断为宫颈癌放疗后颈部淋巴结转移癌,于我科门诊行颈部淋巴结放疗,放疗期间行顺铂方案化疗1周期,现末次化疗后21天,放疗17次,来诊行第二周期同步顺铂化疗,病来无发热,无恶心呕吐,无乏力,无腹胀腹痛,饮食睡眠可,二便正常。}
[ { "end_pos": 11, "label_type": "疾病和诊断", "overlap": null, "start_pos": 8, "text": "葡萄胎" }, { "end_pos": 23, "label_type": "手术", "overlap": null, "start_pos": 18, "text": "子宫全切术" }, { "end_pos": 37, "label_type": "实验室检验", "overlap": null, "start_pos": 33, "text": "丙肝抗体" }, { "end_pos": 43, "label_type": "解剖部位", "overlap": null, "start_pos": 42, "text": "肝" }, { "end_pos": 49, "label_type": "解剖部位", "overlap": null, "start_pos": 48, "text": "肝" }, { "end_pos": 80, "label_type": "实验室检验", "overlap": null, "start_pos": 74, "text": "丙肝病毒载量" }, { "end_pos": 106, "label_type": "解剖部位", "overlap": null, "start_pos": 105, "text": "腹" }, { "end_pos": 116, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "腹" }, { "end_pos": 145, "label_type": "实验室检验", "overlap": null, "start_pos": 137, "text": "丙型肝炎病毒载量" }, { "end_pos": 169, "label_type": "药物", "overlap": null, "start_pos": 166, "text": "佩乐能" }, { "end_pos": 177, "label_type": "药物", "overlap": null, "start_pos": 173, "text": "利巴韦林" }, { "end_pos": 196, "label_type": "实验室检验", "overlap": null, "start_pos": 190, "text": "丙肝病毒载量" }, { "end_pos": 229, "label_type": "解剖部位", "overlap": null, "start_pos": 228, "text": "腹" }, { "end_pos": 276, "label_type": "解剖部位", "overlap": null, "start_pos": 275, "text": "腹" }, { "end_pos": 279, "label_type": "解剖部位", "overlap": null, "start_pos": 278, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{27年前患者因“葡萄胎”就诊于我院行子宫全切术,术后常规复查时发现丙肝抗体阳性,并因肝功异常予保肝治疗及肿瘤化疗治疗(达2年),其后未定期复查肝功及丙肝病毒载量,未行系统诊治。1年余前患者无明显诱因自觉乏力,伴腹胀,纳差及厌油,无腹痛,无恶心及呕吐。查丙型肝炎基因分型I型。丙型肝炎病毒载量大于5.00X107国际单位/毫升。开始“佩乐能”联合“利巴韦林”抗病毒治疗。患者22周时丙肝病毒载量转阴。目前抗病毒治疗59周。患者近1周无明显诱因出现乏力,恶心及腹胀。现患者为求进一步诊治入我科,病来精神状态可,无发热及寒战,无咳嗽及咳痰,偶有牙龈出血,无腹痛及腹泻,睡眠可,饮食欠佳,二便如常,近1年体重上降约15公斤。}
[ { "end_pos": 3, "label_type": "解剖部位", "overlap": null, "start_pos": 2, "text": "腹" }, { "end_pos": 18, "label_type": "解剖部位", "overlap": null, "start_pos": 17, "text": "腹" }, { "end_pos": 67, "label_type": "手术", "overlap": null, "start_pos": 34, "text": "空肠肿瘤切除,胃肠吻合,小肠吻合,横结肠部分切除,回肠末端两腔造口" }, { "end_pos": 79, "label_type": "疾病和诊断", "overlap": null, "start_pos": 73, "text": "胃肠道间质瘤" }, { "end_pos": 107, "label_type": "解剖部位", "overlap": null, "start_pos": 106, "text": "肠" }, { "end_pos": 128, "label_type": "解剖部位", "overlap": null, "start_pos": 126, "text": "LN" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 167, "text": "腹" }, { "end_pos": 191, "label_type": "影像检查", "overlap": null, "start_pos": 187, "text": "腹部CT" }, { "end_pos": 197, "label_type": "疾病和诊断", "overlap": null, "start_pos": 193, "text": "腹腔术后" }, { "end_pos": 204, "label_type": "影像检查", "overlap": null, "start_pos": 200, "text": "腹部CT" }, { "end_pos": 230, "label_type": "药物", "overlap": null, "start_pos": 226, "text": "伊马替尼" }, { "end_pos": 273, "label_type": "解剖部位", "overlap": null, "start_pos": 272, "text": "腹" }, { "end_pos": 326, "label_type": "药物", "overlap": null, "start_pos": 322, "text": "伊马替尼" }, { "end_pos": 385, "label_type": "实验室检验", "overlap": null, "start_pos": 382, "text": "WBC" }, { "end_pos": 400, "label_type": "实验室检验", "overlap": null, "start_pos": 397, "text": "WBC" }, { "end_pos": 409, "label_type": "实验室检验", "overlap": null, "start_pos": 406, "text": "HGB" }, { "end_pos": 417, "label_type": "实验室检验", "overlap": null, "start_pos": 414, "text": "NEU" }, { "end_pos": 435, "label_type": "实验室检验", "overlap": null, "start_pos": 432, "text": "WBC" }, { "end_pos": 445, "label_type": "实验室检验", "overlap": null, "start_pos": 440, "text": " NEUT" }, { "end_pos": 456, "label_type": "药物", "overlap": null, "start_pos": 452, "text": "伊马替尼" }, { "end_pos": 466, "label_type": "解剖部位", "overlap": null, "start_pos": 465, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,因腹胀及间断发热伴黑便。检查提示腹腔占位。2014-5-8全麻上行空肠肿瘤切除,胃肠吻合,小肠吻合,横结肠部分切除,回肠末端两腔造口。术后病理示胃肠道间质瘤,肿瘤14*7*5CM,核分裂像>5/50HPF,累及肠系膜,固有肌层及粘膜层,未见脉管瘤栓,LN 0/9。,免疫组化:CD117+,CD34-,DOG1+.术后患者出现进食后腹胀,进食后明显。2014-5-23,行腹部CT示:腹腔术后改变,腹部CT未见明确占位征象。2014-5-27开始口服伊马替尼 4粒 QD,服药后呕吐明显,自行调整为2粒 BID后恶心等症状较前稍好转,仍有间断腹痛。患者目前4-5次/日排便。肛门排出少许粘液。术前后体重上降约2KG。2014.5.26开始口服伊马替尼治疗,400MG/D,呕吐II度,无水肿、皮疹,止吐治疗后好转。,6-11C-KIT:第11外显子突变。6-22WBC 2.1。6-24血常规WBC 2.69,HGB 107,NEU 1.05。,6-30血RT:WBC4.86, NEUT2.44。暂停伊马替尼后恢复.昨日受凉后腹胀,进食差,无发热。}
[ { "end_pos": 13, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "阴道" }, { "end_pos": 25, "label_type": "手术", "overlap": null, "start_pos": 22, "text": "诊刮术" }, { "end_pos": 35, "label_type": "疾病和诊断", "overlap": null, "start_pos": 30, "text": "内膜样腺癌" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 37, "text": "阴道" }, { "end_pos": 45, "label_type": "影像检查", "overlap": null, "start_pos": 43, "text": "CT" }, { "end_pos": 56, "label_type": "疾病和诊断", "overlap": null, "start_pos": 46, "text": "右侧锁骨下淋巴结转移" }, { "end_pos": 63, "label_type": "解剖部位", "overlap": null, "start_pos": 61, "text": "腹腔" }, { "end_pos": 94, "label_type": "手术", "overlap": null, "start_pos": 83, "text": "腹腔镜子宫内膜癌分期术" }, { "end_pos": 105, "label_type": "解剖部位", "overlap": null, "start_pos": 102, "text": "全子宫" }, { "end_pos": 109, "label_type": "解剖部位", "overlap": null, "start_pos": 106, "text": "两附件" }, { "end_pos": 123, "label_type": "疾病和诊断", "overlap": null, "start_pos": 117, "text": "子宫内膜样癌" }, { "end_pos": 215, "label_type": "解剖部位", "overlap": null, "start_pos": 213, "text": "宫体" }, { "end_pos": 235, "label_type": "解剖部位", "overlap": null, "start_pos": 226, "text": "两侧圆、主、骶韧带" }, { "end_pos": 253, "label_type": "疾病和诊断", "overlap": null, "start_pos": 249, "text": "平滑肌瘤" }, { "end_pos": 268, "label_type": "疾病和诊断", "overlap": null, "start_pos": 257, "text": "慢性宫颈炎及颈管内膜炎" }, { "end_pos": 274, "label_type": "疾病和诊断", "overlap": null, "start_pos": 270, "text": "纳氏囊肿" }, { "end_pos": 282, "label_type": "解剖部位", "overlap": null, "start_pos": 278, "text": "两侧卵巢" }, { "end_pos": 288, "label_type": "解剖部位", "overlap": null, "start_pos": 283, "text": "两侧输卵管" }, { "end_pos": 307, "label_type": "解剖部位", "overlap": null, "start_pos": 303, "text": "腹主动脉" }, { "end_pos": 317, "label_type": "解剖部位", "overlap": null, "start_pos": 313, "text": "腹主动脉" }, { "end_pos": 329, "label_type": "解剖部位", "overlap": null, "start_pos": 323, "text": "左侧髂总髂外" }, { "end_pos": 338, "label_type": "解剖部位", "overlap": null, "start_pos": 333, "text": "左侧腹股沟" }, { "end_pos": 349, "label_type": "解剖部位", "overlap": null, "start_pos": 343, "text": "左侧髂内闭孔" }, { "end_pos": 359, "label_type": "解剖部位", "overlap": null, "start_pos": 353, "text": "右侧髂总髂外" }, { "end_pos": 368, "label_type": "解剖部位", "overlap": null, "start_pos": 363, "text": "右侧腹股沟" }, { "end_pos": 379, "label_type": "解剖部位", "overlap": null, "start_pos": 373, "text": "右侧髂内闭孔" }, { "end_pos": 424, "label_type": "药物", "overlap": null, "start_pos": 421, "text": "砝码新" }, { "end_pos": 427, "label_type": "药物", "overlap": null, "start_pos": 425, "text": "卡铂" }, { "end_pos": 436, "label_type": "解剖部位", "overlap": null, "start_pos": 434, "text": "阴道" }, { "end_pos": 476, "label_type": "药物", "overlap": null, "start_pos": 473, "text": "法码新" }, { "end_pos": 479, "label_type": "药物", "overlap": null, "start_pos": 477, "text": "卡铂" }, { "end_pos": 501, "label_type": "影像检查", "overlap": null, "start_pos": 497, "text": "盆腹CT" }, { "end_pos": 512, "label_type": "解剖部位", "overlap": null, "start_pos": 504, "text": "盆腹腔淋巴淋巴结" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,绝经2年,近半年少量阴道出血,量少,外院行诊刮术,,病理:内膜样腺癌。现阴道有出血。CT示右侧锁骨下淋巴结转移?要求拆除腹腔引流口接引流袋。2017-6-20我院行腹腔镜子宫内膜癌分期术,,术后病理:(全子宫+两附件),切除: - 子宫内膜样癌,FIGOII级,伴鳞状分化,大小5×XXX4×XXX3CM; - 可见脉管癌栓; - 癌组织浸润肌壁<1/2壁厚(浸润最深处约0.6CM,此处肌壁厚2.8CM); - 癌组织累及宫体上段; - 两侧宫旁及两侧圆、主、骶韧带断端未见癌; - 肌壁间多发平滑肌瘤; - 慢性宫颈炎及颈管内膜炎,伴纳氏囊肿; - 两侧卵巢及两侧输卵管组织; - 淋巴结未见癌转移(腹主动脉左旁0/7,腹主动脉右旁0/4,左侧髂总髂外0/5,左侧腹股沟深0/3,左侧髂内闭孔0/4,右侧髂总髂外0/6,右侧腹股沟深0/1,右侧髂内闭孔0/3); - ,肿瘤病理分期:PT1AN0。建议术后辅助化疗。2017-7-11行砝码新+卡铂化疗。诉近日有阴道出血。末次化疗2017-8-3.腹部超声未见异常。2017-8-24我院行法码新+卡铂方案化疗,共三次,2017.10复查盆腹CT,可见盆腹腔淋巴淋巴结观察。}
[ { "end_pos": 17, "label_type": "解剖部位", "overlap": null, "start_pos": 16, "text": "腹" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 38, "text": "胃" }, { "end_pos": 44, "label_type": "解剖部位", "overlap": null, "start_pos": 43, "text": "腹" }, { "end_pos": 68, "label_type": "影像检查", "overlap": null, "start_pos": 66, "text": "CT" }, { "end_pos": 71, "label_type": "解剖部位", "overlap": null, "start_pos": 69, "text": "肝脏" }, { "end_pos": 88, "label_type": "疾病和诊断", "overlap": null, "start_pos": 84, "text": "右肾囊肿" }, { "end_pos": 94, "label_type": "疾病和诊断", "overlap": null, "start_pos": 89, "text": "乙状结肠癌" }, { "end_pos": 96, "label_type": "影像检查", "overlap": null, "start_pos": 94, "text": "CT" }, { "end_pos": 100, "label_type": "解剖部位", "overlap": null, "start_pos": 99, "text": "肠" }, { "end_pos": 142, "label_type": "手术", "overlap": null, "start_pos": 124, "text": "乙状结肠癌切除术、远端封闭,近端造瘘" }, { "end_pos": 157, "label_type": "疾病和诊断", "overlap": null, "start_pos": 148, "text": "肠管中段中分化腺癌" }, { "end_pos": 164, "label_type": "解剖部位", "overlap": null, "start_pos": 163, "text": "肠" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 175, "text": "肠" }, { "end_pos": 225, "label_type": "手术", "overlap": null, "start_pos": 218, "text": "肝动脉化疗栓塞" }, { "end_pos": 265, "label_type": "药物", "overlap": null, "start_pos": 261, "text": "奥沙利铂" }, { "end_pos": 276, "label_type": "药物", "overlap": null, "start_pos": 274, "text": "CF" }, { "end_pos": 289, "label_type": "药物", "overlap": null, "start_pos": 285, "text": "氟尿嘧啶" }, { "end_pos": 363, "label_type": "疾病和诊断", "overlap": null, "start_pos": 360, "text": "高血压" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2015.12无明显诱因出现腹痛不适,呈阵发性,伴有恶心、呕吐,呕吐物为胃内容物,腹胀,有排气,大便减少,2015.12.20行CT示肝脏多发密度减低区,考虑转移;右肾囊肿;乙状结肠癌CT表现;肠胀气,考虑梗阻,于2015.12.24在全麻上行乙状结肠癌切除术、远端封闭,近端造瘘,术后病理示肠管中段中分化腺癌,侵达外膜,肠系膜脂肪内查见癌结节,肠系膜内查见淋巴结转移癌(5/10),术后给予抗炎、营养支持治疗。2016.2.18行肝动脉化疗栓塞治疗,术后无明显不适,后于我科行MFOLFOX6化疗2周期,具体药物为:奥沙利铂160MG D1+CF350MG D1+氟尿嘧啶0.75G D1+4.5G 微量泵维持46H,化疗后无明显不适,现为求化疗收入我科。患者自发病以来,饮食差,睡眠可,大便不规律,小便正常。患有高血压2年,未规范治疗。}
[ { "end_pos": 16, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "中下腹" }, { "end_pos": 47, "label_type": "解剖部位", "overlap": null, "start_pos": 46, "text": "腹" }, { "end_pos": 81, "label_type": "解剖部位", "overlap": null, "start_pos": 80, "text": "腹" }, { "end_pos": 109, "label_type": "影像检查", "overlap": null, "start_pos": 107, "text": "CT" }, { "end_pos": 114, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "胃" }, { "end_pos": 138, "label_type": "手术", "overlap": null, "start_pos": 129, "text": "根治性远端胃切除术" }, { "end_pos": 149, "label_type": "解剖部位", "overlap": null, "start_pos": 146, "text": "胃L区" }, { "end_pos": 153, "label_type": "解剖部位", "overlap": null, "start_pos": 152, "text": "胃" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 200, "text": "横结肠" }, { "end_pos": 217, "label_type": "解剖部位", "overlap": null, "start_pos": 212, "text": "胃周淋巴结" }, { "end_pos": 234, "label_type": "疾病和诊断", "overlap": null, "start_pos": 224, "text": "胃腺癌(中-低分化)" }, { "end_pos": 242, "label_type": "解剖部位", "overlap": null, "start_pos": 241, "text": "胃" }, { "end_pos": 344, "label_type": "药物", "overlap": null, "start_pos": 341, "text": "紫杉醇" }, { "end_pos": 354, "label_type": "药物", "overlap": null, "start_pos": 352, "text": "卡铂" }, { "end_pos": 415, "label_type": "疾病和诊断", "overlap": null, "start_pos": 412, "text": "糖尿病" }, { "end_pos": 424, "label_type": "药物", "overlap": null, "start_pos": 420, "text": "二甲两胍" }, { "end_pos": 429, "label_type": "药物", "overlap": null, "start_pos": 425, "text": "格列美脲" }, { "end_pos": 434, "label_type": "实验室检验", "overlap": null, "start_pos": 430, "text": "空腹血糖" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{2014年末开始无诱因出现中下腹疼,呈隐痛,多为空腹痛或夜间痛,进食可缓解,无恶心、呕吐,无腹泻便秘,无血便,无黑便。2015年2月末开始疼痛性质及频率加重,伴腹胀,排气增多。2015年3月末就诊于医大四院,胃镜及CT检查发现胃占位病变,2015年4月1日行根治性远端胃切除术。术中见病变位于胃L区,累及胃壁环周,以小弯前、后壁为主,明显浸透浆膜,为前壁浆膜呈多彩弥漫型,大小约2.5*2CM,后壁与横结肠系膜前叶浸润粘连。胃周淋巴结肿大。术后病理胃腺癌(中-低分化),癌组织浸润至胃浆膜层,脉管内瘤栓。淋巴结转移11/54(3组3/7,1组1/9,5组5/9,6组2/13,1组0/11,7组0/4,8组0/1)。断端未见癌。患者手术刀口愈合良好,于2015年5月5日行化疗1次(紫杉醇150MGD1+卡铂200MGD1),现化疗后2周,为行进一步治疗来诊。发病以来精神状态可,无乏力,饮食、睡眠、二便正常,体重无上降。 糖尿病4年,口服二甲两胍、格列美脲,空腹血糖控制可。}
[ { "end_pos": 46, "label_type": "影像检查", "overlap": null, "start_pos": 44, "text": "MR" }, { "end_pos": 52, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "直肠中下段" }, { "end_pos": 58, "label_type": "解剖部位", "overlap": null, "start_pos": 53, "text": "直乙交界区" }, { "end_pos": 59, "label_type": "解剖部位", "overlap": null, "start_pos": 58, "text": "肠" }, { "end_pos": 73, "label_type": "疾病和诊断", "overlap": null, "start_pos": 70, "text": "直肠癌" }, { "end_pos": 76, "label_type": "解剖部位", "overlap": null, "start_pos": 74, "text": "骶前" }, { "end_pos": 80, "label_type": "解剖部位", "overlap": null, "start_pos": 78, "text": "直肠" }, { "end_pos": 103, "label_type": "解剖部位", "overlap": null, "start_pos": 98, "text": "肝S2/3" }, { "end_pos": 124, "label_type": "解剖部位", "overlap": null, "start_pos": 116, "text": "肝S2、S4~8" }, { "end_pos": 147, "label_type": "疾病和诊断", "overlap": null, "start_pos": 139, "text": "肝S6/7小囊肿" }, { "end_pos": 166, "label_type": "疾病和诊断", "overlap": null, "start_pos": 151, "text": "直肠腺癌肝转移CT4N2M1A" }, { "end_pos": 185, "label_type": "解剖部位", "overlap": null, "start_pos": 183, "text": "盆腔" }, { "end_pos": 240, "label_type": "解剖部位", "overlap": null, "start_pos": 238, "text": "盆腔" }, { "end_pos": 347, "label_type": "手术", "overlap": null, "start_pos": 321, "text": "腹腔镜DIXON'S+肝右外叶切除+预防性回肠造口术" }, { "end_pos": 361, "label_type": "疾病和诊断", "overlap": null, "start_pos": 354, "text": "中至低分化腺癌" }, { "end_pos": 371, "label_type": "疾病和诊断", "overlap": null, "start_pos": 369, "text": "腺癌" }, { "end_pos": 375, "label_type": "解剖部位", "overlap": null, "start_pos": 374, "text": "肝" }, { "end_pos": 384, "label_type": "疾病和诊断", "overlap": null, "start_pos": 379, "text": "中分化腺癌" }, { "end_pos": 395, "label_type": "疾病和诊断", "overlap": null, "start_pos": 389, "text": "肠腺癌肝转移" }, { "end_pos": 426, "label_type": "影像检查", "overlap": null, "start_pos": 424, "text": "CT" }, { "end_pos": 438, "label_type": "解剖部位", "overlap": null, "start_pos": 436, "text": "直肠" }, { "end_pos": 444, "label_type": "解剖部位", "overlap": null, "start_pos": 442, "text": "骶前" }, { "end_pos": 449, "label_type": "解剖部位", "overlap": null, "start_pos": 445, "text": "腹主动脉" }, { "end_pos": 482, "label_type": "疾病和诊断", "overlap": null, "start_pos": 474, "text": "肝转移瘤切除术后" }, { "end_pos": 520, "label_type": "解剖部位", "overlap": null, "start_pos": 515, "text": "肝S4~8" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因\"粘液血便、大便次数增加4个月\"于2015年04月到我院就诊,经完善检查,,MR:直肠中下段、直乙交界区肠壁不均匀明显增厚,符合直肠癌;骶前区、直肠周围系膜多发小淋巴结,建议随诊复查;肝S2/3结节,考虑转移瘤可能性大;肝S2、S4~8多发病变,考虑血管瘤可能性大;肝S6/7小囊肿。诊断为直肠腺癌肝转移CT4N2M1A。考虑双者均有根治性切除可能,先行盆腔肿物放化疗,缩小后争取切除原发病灶及转移瘤。排除禁忌后,遂于2015-05-13至2015-06-19起行盆腔放疗,50GY/25次,IMRT技术,同期2015-04-16、05-11、05-31、06-22行XELOX方案化疗4程,疗程顺利。2015-08-27全麻上行腹腔镜DIXON'S+肝右外叶切除+预防性回肠造口术,,术后病理:中至低分化腺癌,淋巴结2/6见腺癌转移,肝组织中见中分化腺癌浸润,符合肠腺癌肝转移。,术后分期:YPT3N1M1A。2015-9-23,复查CT示:吻合口壁稍增厚,直肠系膜区、骶前及腹主动脉右旁条索及斑片灶,考虑术后改变可能性大,建议随诊。肝转移瘤切除术后改变,术区切缘旁少量积液。大网膜类结节灶,性质待定,建议密切随诊。肝S4~8多发结节,考虑血管瘤,较前变化不明显。现按主诊教授建议收入我科行化疗。自诉大便习惯有改善,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。}
[ { "end_pos": 12, "label_type": "疾病和诊断", "overlap": null, "start_pos": 7, "text": "子宫内膜癌" }, { "end_pos": 32, "label_type": "手术", "overlap": null, "start_pos": 13, "text": "腹式全子宫+两附件切除+盆腔淋巴清扫术" }, { "end_pos": 74, "label_type": "解剖部位", "overlap": null, "start_pos": 71, "text": "右上腹" }, { "end_pos": 92, "label_type": "解剖部位", "overlap": null, "start_pos": 90, "text": "阴道" }, { "end_pos": 97, "label_type": "解剖部位", "overlap": null, "start_pos": 96, "text": "腹" }, { "end_pos": 126, "label_type": "影像检查", "overlap": null, "start_pos": 121, "text": "盆腹腔CT" }, { "end_pos": 130, "label_type": "疾病和诊断", "overlap": null, "start_pos": 126, "text": "子宫术后" }, { "end_pos": 135, "label_type": "解剖部位", "overlap": null, "start_pos": 133, "text": "盆腔" }, { "end_pos": 148, "label_type": "解剖部位", "overlap": null, "start_pos": 142, "text": "两侧腹股沟区" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 165, "text": "右上腹" }, { "end_pos": 196, "label_type": "实验室检验", "overlap": null, "start_pos": 190, "text": "CA-199" }, { "end_pos": 224, "label_type": "影像检查", "overlap": null, "start_pos": 219, "text": "盆腹腔CT" }, { "end_pos": 244, "label_type": "实验室检验", "overlap": null, "start_pos": 238, "text": "CA-199" }, { "end_pos": 269, "label_type": "影像检查", "overlap": null, "start_pos": 261, "text": "胸部及盆腹腔CT" }, { "end_pos": 273, "label_type": "解剖部位", "overlap": null, "start_pos": 271, "text": "两肺" }, { "end_pos": 283, "label_type": "疾病和诊断", "overlap": null, "start_pos": 279, "text": "肺转移瘤" }, { "end_pos": 306, "label_type": "影像检查", "overlap": null, "start_pos": 300, "text": "PET-CT" }, { "end_pos": 310, "label_type": "解剖部位", "overlap": null, "start_pos": 308, "text": "盆腔" }, { "end_pos": 313, "label_type": "解剖部位", "overlap": null, "start_pos": 310, "text": "降结肠" }, { "end_pos": 318, "label_type": "解剖部位", "overlap": null, "start_pos": 315, "text": "右髂窝" }, { "end_pos": 321, "label_type": "解剖部位", "overlap": null, "start_pos": 320, "text": "腹" }, { "end_pos": 336, "label_type": "解剖部位", "overlap": null, "start_pos": 334, "text": "两肺" }, { "end_pos": 363, "label_type": "疾病和诊断", "overlap": null, "start_pos": 355, "text": "复发性子宫内膜癌" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者11年前因子宫内膜癌行腹式全子宫+两附件切除+盆腔淋巴清扫术,术后诊断IC期,未行化疗及放疗。术后定期复查无异常。1年前开始无明显诱因出现右上腹痛,间歇性发作,为钝痛,无发热及阴道流血,无腹泻及便秘等,2012-9-24到我院门诊就诊,行盆腹腔CT子宫术后改变,盆腔未见明确肿物。两侧腹股沟区数个大小不等淋巴结,建议观察。患者右上腹痛未见好转,2013-4-24门诊复查发现血CA-199升高为50.46U/L,2013-4-26复查盆腹腔CT较前无明显改变,予定期复查血CA-199缓慢升高,2013-11-12复查胸部及盆腹腔CT发现两肺结节影,考虑肺转移瘤可能性大。2013年-11-27行PET-CT提示盆腔降结肠旁及右髂窝近前腹壁区病灶代谢活跃考虑转移,两肺数个结节代谢活跃,考虑转移。遂于今日以复发性子宫内膜癌收入院行进一步诊治,患者起病以来精神饮食好,大小便正常,体重无明显改变。}
[ { "end_pos": 11, "label_type": "疾病和诊断", "overlap": null, "start_pos": 9, "text": "胃癌" }, { "end_pos": 42, "label_type": "手术", "overlap": null, "start_pos": 28, "text": "胃大部分切除及食道上段切除术" }, { "end_pos": 55, "label_type": "疾病和诊断", "overlap": null, "start_pos": 49, "text": "胃中分化腺癌" }, { "end_pos": 59, "label_type": "解剖部位", "overlap": null, "start_pos": 58, "text": "胃" }, { "end_pos": 73, "label_type": "解剖部位", "overlap": null, "start_pos": 71, "text": "食管" }, { "end_pos": 151, "label_type": "实验室检验", "overlap": null, "start_pos": 148, "text": "CEA" }, { "end_pos": 163, "label_type": "实验室检验", "overlap": null, "start_pos": 160, "text": "PET" }, { "end_pos": 167, "label_type": "解剖部位", "overlap": null, "start_pos": 165, "text": "胃底" }, { "end_pos": 170, "label_type": "解剖部位", "overlap": null, "start_pos": 168, "text": "食管" }, { "end_pos": 198, "label_type": "疾病和诊断", "overlap": null, "start_pos": 196, "text": "腺癌" }, { "end_pos": 219, "label_type": "药物", "overlap": null, "start_pos": 213, "text": "吉奥(S1)" }, { "end_pos": 226, "label_type": "药物", "overlap": null, "start_pos": 220, "text": "白蛋白紫杉醇" }, { "end_pos": 256, "label_type": "解剖部位", "overlap": null, "start_pos": 255, "text": "胃" }, { "end_pos": 261, "label_type": "解剖部位", "overlap": null, "start_pos": 260, "text": "腹" }, { "end_pos": 264, "label_type": "解剖部位", "overlap": null, "start_pos": 263, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{患者2年余前因确诊胃癌,于2010年12月28日在外院行胃大部分切除及食道上段切除术。术后病理示“胃中分化腺癌,浸润胃壁全层至浆膜上,向下侵犯食管鳞状下皮粘膜上层,淋巴结见癌转移3/18,PT3N2 IIIA期”。术后予XELOX方案化疗3个疗程,化疗后间有呕血。定期复查,未见异常。10天前复查CEA 49NG/ML;PET示“胃底及食管后见淋巴结高代谢,考虑转移瘤可能性大”,穿刺病理提示腺癌。于2013-02-05给予替吉奥(S1)+白蛋白紫杉醇化疗第1程。现为进一步治疗,收入我科。近期以来,患者精神、胃纳可,无腹痛、腹胀,无发热、寒战、恶心、呕吐,大小便无异常,体重无明显上降。}
[ { "end_pos": 45, "label_type": "疾病和诊断", "overlap": null, "start_pos": 39, "text": "右侧卵巢囊肿" }, { "end_pos": 53, "label_type": "手术", "overlap": null, "start_pos": 46, "text": "卵巢囊肿剥除术" }, { "end_pos": 66, "label_type": "疾病和诊断", "overlap": null, "start_pos": 62, "text": "卵巢早衰" }, { "end_pos": 85, "label_type": "手术", "overlap": null, "start_pos": 79, "text": "借卵胚胎种植" }, { "end_pos": 97, "label_type": "影像检查", "overlap": null, "start_pos": 93, "text": "产科超声" }, { "end_pos": 152, "label_type": "影像检查", "overlap": null, "start_pos": 150, "text": "超声" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 167, "text": "心" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,孕期异常情况:患者平素月经尚规律,14 3-5/28天,经量少。2012年因右侧卵巢囊肿行卵巢囊肿剥除术,术后闭经,诊断为卵巢早衰。于2015-11-16行借卵胚胎种植。,停经7周时行产科超声检查示:单胎,胎心搏动正常。10周停服保胎药,后出现恶心等早孕反应,12周行胎心检查示正常。14+1,**超声检查示:反复扫查,未探及明显胎心搏动。胎体蜷缩,胎儿结构显像不清。患者要求药物流产入院。"。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "下腹" }, { "end_pos": 50, "label_type": "疾病和诊断", "overlap": null, "start_pos": 47, "text": "胃溃疡" }, { "end_pos": 55, "label_type": "疾病和诊断", "overlap": null, "start_pos": 53, "text": "胃癌" }, { "end_pos": 70, "label_type": "疾病和诊断", "overlap": null, "start_pos": 65, "text": "低分化腺癌" }, { "end_pos": 93, "label_type": "手术", "overlap": null, "start_pos": 82, "text": "根治性远端胃大部切除术" }, { "end_pos": 110, "label_type": "疾病和诊断", "overlap": null, "start_pos": 105, "text": "低分化腺癌" }, { "end_pos": 142, "label_type": "药物", "overlap": null, "start_pos": 139, "text": "乐沙定" }, { "end_pos": 150, "label_type": "药物", "overlap": null, "start_pos": 143, "text": "XELOUDA" }, { "end_pos": 175, "label_type": "影像检查", "overlap": null, "start_pos": 171, "text": "肝脏CT" }, { "end_pos": 186, "label_type": "疾病和诊断", "overlap": null, "start_pos": 180, "text": "肝脏多发转移" }, { "end_pos": 191, "label_type": "解剖部位", "overlap": null, "start_pos": 189, "text": "胃底" }, { "end_pos": 202, "label_type": "解剖部位", "overlap": null, "start_pos": 196, "text": "腹膜后淋巴结" }, { "end_pos": 274, "label_type": "解剖部位", "overlap": null, "start_pos": 271, "text": "肝动脉" }, { "end_pos": 277, "label_type": "药物", "overlap": null, "start_pos": 274, "text": "草酸铂" }, { "end_pos": 281, "label_type": "药物", "overlap": null, "start_pos": 278, "text": "5FU" }, { "end_pos": 301, "label_type": "解剖部位", "overlap": null, "start_pos": 297, "text": "胃右动脉" }, { "end_pos": 303, "label_type": "药物", "overlap": null, "start_pos": 301, "text": "艾恒" }, { "end_pos": 312, "label_type": "药物", "overlap": null, "start_pos": 308, "text": "5-FU" }, { "end_pos": 339, "label_type": "疾病和诊断", "overlap": null, "start_pos": 334, "text": "肝脏转移瘤" }, { "end_pos": 366, "label_type": "解剖部位", "overlap": null, "start_pos": 363, "text": "下腹部" }, { "end_pos": 378, "label_type": "解剖部位", "overlap": null, "start_pos": 377, "text": "腹" }, { "end_pos": 381, "label_type": "解剖部位", "overlap": null, "start_pos": 380, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2007年1月出现下腹部饱胀不适,伴有嗳气、反酸,2007-6-10,行胃镜提示:1、胃溃疡,2、胃癌不排除,,病理提示:低分化腺癌。于2007-6-19行根治性远端胃大部切除术(D2),术后病理提示:低分化腺癌侵及浆膜。,淋巴结:6+/12,术后行FOLFOX4一次,乐沙定+XELOUDA共6次,后定期复查。2011-7-27,行肝脏CT检查提示:肝脏多发转移病灶,胃底残留病灶,腹膜后淋巴结增大。2011-8-4、2011-8-25、2011-9-15、2011-10-13日、2011-11-17、2011-12-15在我科行肝动脉草酸铂+5FU灌注化疗6次,2012-2-9行胃右动脉艾恒150MG5-FU0.5G灌注化疗1次,期间行CIK回输。复查肝脏转移瘤较前有所缩小。现为进一步治疗入院。患者诉近期轻度下腹部不适,无寒战、发热,无腹胀、腹泻等不适,精神、睡眠、食欲可,大小便正常,体重无明显上降。}
[ { "end_pos": 7, "label_type": "解剖部位", "overlap": null, "start_pos": 5, "text": "上腹" }, { "end_pos": 25, "label_type": "实验室检验", "overlap": null, "start_pos": 22, "text": "白细胞" }, { "end_pos": 33, "label_type": "影像检查", "overlap": null, "start_pos": 29, "text": "盆腔超声" }, { "end_pos": 41, "label_type": "解剖部位", "overlap": null, "start_pos": 36, "text": "左侧附件区" }, { "end_pos": 70, "label_type": "实验室检验", "overlap": null, "start_pos": 65, "text": "CA125" }, { "end_pos": 88, "label_type": "实验室检验", "overlap": null, "start_pos": 83, "text": "CA199" }, { "end_pos": 105, "label_type": "解剖部位", "overlap": null, "start_pos": 102, "text": "左附件" }, { "end_pos": 117, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "两附件区" }, { "end_pos": 120, "label_type": "解剖部位", "overlap": null, "start_pos": 118, "text": "子宫" }, { "end_pos": 157, "label_type": "手术", "overlap": null, "start_pos": 150, "text": "卵巢癌分期手术" }, { "end_pos": 174, "label_type": "药物", "overlap": null, "start_pos": 172, "text": "泰素" }, { "end_pos": 178, "label_type": "药物", "overlap": null, "start_pos": 175, "text": "伯尔定" }, { "end_pos": 203, "label_type": "解剖部位", "overlap": null, "start_pos": 201, "text": "手脚" }, { "end_pos": 233, "label_type": "影像检查", "overlap": null, "start_pos": 231, "text": "CT" }, { "end_pos": 251, "label_type": "影像检查", "overlap": null, "start_pos": 247, "text": "盆腹超声" }, { "end_pos": 263, "label_type": "影像检查", "overlap": null, "start_pos": 261, "text": "超声" }, { "end_pos": 265, "label_type": "解剖部位", "overlap": null, "start_pos": 263, "text": "阴道" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,9.11上腹痛,伴发热38.6度,外院检查白细胞增高,,盆腔超声提示:左侧附件区肿物,约7CM,囊实性,抗炎治疗3天后明显好转,CA125 202,侧啊16.96,CA19949.2014.9.16提示左附件肿物,考虑恶性,两附件区及子宫多发结节,转移?,分段诊刮:内膜息肉,2014.10.14行卵巢癌分期手术。术后2014.11.14开始泰素+伯尔定化疗,已6疗程,末次2015.3.11,化疗后手脚麻木,不影响生活。2015.4.10肿瘤标志物正常,复查CT正常。2015.7.30复查盆腹超声和血正常,15-10超声阴道断端下方2.2*1.3厘米结节。}
[ { "end_pos": 45, "label_type": "手术", "overlap": null, "start_pos": 7, "text": "胃癌手术(全胃切除+食管空肠ROUXEN-Y吻合+右肝外叶切除+肝上引流术)" }, { "end_pos": 87, "label_type": "疾病和诊断", "overlap": null, "start_pos": 71, "text": "胃贲门上浸润性溃疡型中低分化腺癌" }, { "end_pos": 117, "label_type": "解剖部位", "overlap": null, "start_pos": 115, "text": "肝脏" }, { "end_pos": 214, "label_type": "解剖部位", "overlap": null, "start_pos": 213, "text": "腹" }, { "end_pos": 225, "label_type": "影像检查", "overlap": null, "start_pos": 219, "text": "PET-CT" }, { "end_pos": 228, "label_type": "解剖部位", "overlap": null, "start_pos": 227, "text": "腹" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,2013.3胃癌手术(全胃切除+食管空肠ROUXEN-Y吻合+右肝外叶切除+肝上引流术),术中不详(患者诉术中见肿瘤局部穿孔),,术后病理:胃贲门上浸润性溃疡型中低分化腺癌,吻合口未见癌,小弯淋巴结未见癌,大弯及网膜组织未见癌,肝脏组织见癌细胞。术后化疗6周期(具体不详)。,末次化疗时间:2013.9.27 ,目前患者稍感全身乏力,余无明显不适。拟复查。 现无明显不适,食欲可,大小便正常,体重较术前上降5KG。1月前出现腹痛,外院行PET-CT提示腹腔肿物,具体不详,进一步检查。}
[ { "end_pos": 6, "label_type": "解剖部位", "overlap": null, "start_pos": 5, "text": "腹" }, { "end_pos": 9, "label_type": "解剖部位", "overlap": null, "start_pos": 8, "text": "腹" }, { "end_pos": 20, "label_type": "疾病和诊断", "overlap": null, "start_pos": 16, "text": "结肠息肉" }, { "end_pos": 96, "label_type": "解剖部位", "overlap": null, "start_pos": 94, "text": "两肺" }, { "end_pos": 114, "label_type": "解剖部位", "overlap": null, "start_pos": 113, "text": "胸" }, { "end_pos": 120, "label_type": "解剖部位", "overlap": null, "start_pos": 119, "text": "心" }, { "end_pos": 127, "label_type": "解剖部位", "overlap": null, "start_pos": 126, "text": "心" }, { "end_pos": 162, "label_type": "解剖部位", "overlap": null, "start_pos": 160, "text": "心包" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 166, "text": "腹部" }, { "end_pos": 176, "label_type": "解剖部位", "overlap": null, "start_pos": 172, "text": "腹壁静脉" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "腹" }, { "end_pos": 186, "label_type": "解剖部位", "overlap": null, "start_pos": 182, "text": "脐上腹部" }, { "end_pos": 195, "label_type": "解剖部位", "overlap": null, "start_pos": 194, "text": "肝" }, { "end_pos": 196, "label_type": "解剖部位", "overlap": null, "start_pos": 195, "text": "脾" }, { "end_pos": 224, "label_type": "解剖部位", "overlap": null, "start_pos": 223, "text": "肝" }, { "end_pos": 225, "label_type": "解剖部位", "overlap": null, "start_pos": 224, "text": "肾" }, { "end_pos": 240, "label_type": "解剖部位", "overlap": null, "start_pos": 239, "text": "肠" }, { "end_pos": 248, "label_type": "解剖部位", "overlap": null, "start_pos": 245, "text": "两上肢" }, { "end_pos": 290, "label_type": "手术", "overlap": null, "start_pos": 280, "text": "肠镜检查+息肉切除术" }, { "end_pos": 315, "label_type": "手术", "overlap": null, "start_pos": 302, "text": "结直肠多发息肉内镜上切除术" }, { "end_pos": 325, "label_type": "解剖部位", "overlap": null, "start_pos": 323, "text": "直肠" }, { "end_pos": 330, "label_type": "解剖部位", "overlap": null, "start_pos": 326, "text": "乙状结肠" }, { "end_pos": 336, "label_type": "疾病和诊断", "overlap": null, "start_pos": 331, "text": "腺管状腺瘤" }, { "end_pos": 357, "label_type": "药物", "overlap": null, "start_pos": 352, "text": "右氧氟沙星" }, { "end_pos": 361, "label_type": "药物", "overlap": null, "start_pos": 358, "text": "替硝唑" }, { "end_pos": 409, "label_type": "解剖部位", "overlap": null, "start_pos": 408, "text": "腹" }, { "end_pos": 412, "label_type": "解剖部位", "overlap": null, "start_pos": 411, "text": "腹" }, { "end_pos": 446, "label_type": "疾病和诊断", "overlap": null, "start_pos": 440, "text": "大肠多发息肉" }, { "end_pos": 454, "label_type": "手术", "overlap": null, "start_pos": 449, "text": "息肉切除术" }, { "end_pos": 465, "label_type": "疾病和诊断", "overlap": null, "start_pos": 458, "text": "多发性大肠息肉" }, { "end_pos": 472, "label_type": "手术", "overlap": null, "start_pos": 466, "text": "内镜上切除术" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因“腹痛、腹胀1年半,发现结肠息肉1月”于2011.12.5第一次入住我科,,查体:老年女性,神志清,精神可。全身皮肤粘膜无黄染、皮疹及出血点,无肝掌、蜘蛛痣。浅表淋巴结未触及肿大。两肺呼吸音清,未闻及干湿性啰音,未闻及胸膜摩擦音。心前区无隆起,心界不大,心率64次/分,律齐,各瓣膜听诊区未闻及病理性杂音,未闻及心包摩擦音。腹部饱满,无腹壁静脉曲张。腹软,脐上腹部压痛,无反跳痛,肝脾肋上未触及,未触及异常包块,MURPHY'S征(-),肝肾区无叩痛,移动性浊音(-),肠鸣音正常,两上肢无水肿。入院后完善各项辅助检查,明确病情,于2011.12.6行肠镜检查+息肉切除术,手术顺利,,内镜诊断:结直肠多发息肉内镜上切除术,,病理诊断:(直肠、乙状结肠)腺管状腺瘤,腺体呈轻度不典型增生。术后给予右氧氟沙星、替硝唑抗感染及对症支持治疗。患者未述特殊不适症状,病情好转出院。 患者自下次出院后病情稳定,偶有腹痛、腹胀,但程度较轻,今日为复查肠镜再来我院,,门诊行肠镜示:大肠多发息肉,遂行息肉切除术,并以“多发性大肠息肉,内镜上切除术”收入院。 患者自发病以来,饮食、睡眠好,大小便未见异常。体重无明显减轻。}
[ { "end_pos": 14, "label_type": "解剖部位", "overlap": null, "start_pos": 11, "text": "右小腿" }, { "end_pos": 30, "label_type": "解剖部位", "overlap": null, "start_pos": 29, "text": "头" }, { "end_pos": 35, "label_type": "解剖部位", "overlap": null, "start_pos": 32, "text": "右小腿" }, { "end_pos": 48, "label_type": "解剖部位", "overlap": null, "start_pos": 47, "text": "头" }, { "end_pos": 51, "label_type": "解剖部位", "overlap": null, "start_pos": 50, "text": "头" }, { "end_pos": 84, "label_type": "影像检查", "overlap": null, "start_pos": 82, "text": "X线" }, { "end_pos": 100, "label_type": "疾病和诊断", "overlap": null, "start_pos": 88, "text": ".右胫腓骨下段粉碎性骨折" }, { "end_pos": 122, "label_type": "疾病和诊断", "overlap": null, "start_pos": 112, "text": "右髌骨外侧缘可疑骨折" }, { "end_pos": 134, "label_type": "疾病和诊断", "overlap": null, "start_pos": 125, "text": "右第3掌指关节脱位" }, { "end_pos": 146, "label_type": "解剖部位", "overlap": null, "start_pos": 145, "text": "额" }, { "end_pos": 148, "label_type": "解剖部位", "overlap": null, "start_pos": 147, "text": "头" }, { "end_pos": 156, "label_type": "解剖部位", "overlap": null, "start_pos": 155, "text": "颅" }, { "end_pos": 184, "label_type": "疾病和诊断", "overlap": null, "start_pos": 180, "text": "副鼻窦炎" }, { "end_pos": 194, "label_type": "疾病和诊断", "overlap": null, "start_pos": 185, "text": "右侧前组筛窦小骨瘤" }, { "end_pos": 227, "label_type": "手术", "overlap": null, "start_pos": 201, "text": "头皮撕脱伤及右胫前裂伤清创缝合术+右上肢石膏外固定术" }, { "end_pos": 241, "label_type": "疾病和诊断", "overlap": null, "start_pos": 233, "text": "右胫腓骨下段骨折" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,缘于5小时前因外伤致右小腿疼痛、畸形、活动受限,伴颜面、头皮及右小腿多处软组织破损、出血,伴头痛、头晕,无畏寒、发热,无恶心、呕吐,无二便失禁。急来我院,,门诊拍X线片示:1.右胫腓骨下段粉碎性骨折,并周围软组织肿胀;2.右髌骨外侧缘可疑骨折;3.右第3掌指关节脱位。,头颅平扫:1.两侧额部头皮软组织肿胀,颅内未见明显血肿征象,建议随诊复查;2.所摄入部分副鼻窦炎;右侧前组筛窦小骨瘤。遂急诊予行“头皮撕脱伤及右胫前裂伤清创缝合术+右上肢石膏外固定术”,术后遂以右胫腓骨下段骨折收入院,入院来饮食、睡眠欠佳,二便未排。}
[ { "end_pos": 15, "label_type": "解剖部位", "overlap": null, "start_pos": 13, "text": "盆腔" }, { "end_pos": 28, "label_type": "解剖部位", "overlap": null, "start_pos": 24, "text": "两侧附件" }, { "end_pos": 39, "label_type": "解剖部位", "overlap": null, "start_pos": 35, "text": "肝左后叶" }, { "end_pos": 56, "label_type": "影像检查", "overlap": null, "start_pos": 53, "text": "MRI" }, { "end_pos": 65, "label_type": "疾病和诊断", "overlap": null, "start_pos": 58, "text": "两侧卵巢囊腺癌" }, { "end_pos": 76, "label_type": "疾病和诊断", "overlap": null, "start_pos": 73, "text": "囊腺癌" }, { "end_pos": 132, "label_type": "手术", "overlap": null, "start_pos": 90, "text": "卵巢癌肿瘤细胞减灭术(全子宫+两附件+大网膜切除+盆腔淋巴结活检+残余肿瘤细胞减灭)" }, { "end_pos": 153, "label_type": "疾病和诊断", "overlap": null, "start_pos": 139, "text": "卵巢低分化浆液性乳头状囊腺癌" }, { "end_pos": 160, "label_type": "解剖部位", "overlap": null, "start_pos": 158, "text": "直肠" }, { "end_pos": 168, "label_type": "解剖部位", "overlap": null, "start_pos": 161, "text": "右左闭孔淋巴结" }, { "end_pos": 196, "label_type": "药物", "overlap": null, "start_pos": 193, "text": "力扑素" }, { "end_pos": 199, "label_type": "药物", "overlap": null, "start_pos": 197, "text": "卡铂" }, { "end_pos": 257, "label_type": "手术", "overlap": null, "start_pos": 234, "text": "“肝转移瘤微波固化术”及“肝转移瘤粒子植入术”" }, { "end_pos": 283, "label_type": "影像检查", "overlap": null, "start_pos": 281, "text": "CT" }, { "end_pos": 286, "label_type": "解剖部位", "overlap": null, "start_pos": 285, "text": "膈" }, { "end_pos": 301, "label_type": "影像检查", "overlap": null, "start_pos": 298, "text": "MRI" }, { "end_pos": 307, "label_type": "解剖部位", "overlap": null, "start_pos": 302, "text": "肝S1、8" }, { "end_pos": 325, "label_type": "药物", "overlap": null, "start_pos": 322, "text": "和美新" }, { "end_pos": 329, "label_type": "药物", "overlap": null, "start_pos": 326, "text": "伯尔定" }, { "end_pos": 348, "label_type": "疾病和诊断", "overlap": null, "start_pos": 340, "text": "III°骨髓抑制" }, { "end_pos": 374, "label_type": "药物", "overlap": null, "start_pos": 371, "text": "和美新" }, { "end_pos": 378, "label_type": "药物", "overlap": null, "start_pos": 375, "text": "奈达铂" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者于2009-8月发现盆腔肿物,B超检查提示两侧附件区混合性包块,肝左后叶实性占位病变,考虑恶性可能,MRI提示两侧卵巢囊腺癌可能性大,不排除囊腺癌。于2009-9-2住我院行卵巢癌肿瘤细胞减灭术(全子宫+两附件+大网膜切除+盆腔淋巴结活检+残余肿瘤细胞减灭),,术后病理:卵巢低分化浆液性乳头状囊腺癌,大网膜、直肠、右左闭孔淋巴结见癌。予2010-1-6至2010-2-23号予“力扑素+卡铂”化疗8程。并于2010-1-6、2010-1-13分别在我院介入科行“肝转移瘤微波固化术”及“肝转移瘤粒子植入术”术顺。治疗后密切门诊随访。2012-7-24外院CT提示膈顶部病灶考虑恶性可能。,MRI:肝S1、8考虑转移。于2012-8-2行和美新+伯尔定方案化疗程,化疗后出现III°骨髓抑制,2012-09-13依据原主诊教授意见调整为和美新+奈达铂方案化疗1程,过程顺利。现依据原主诊教授意见入院化疗。患者一般情况可,大小便正常,体重无明显减轻。}
[ { "end_pos": 46, "label_type": "疾病和诊断", "overlap": null, "start_pos": 39, "text": "直肠中分化腺癌" }, { "end_pos": 84, "label_type": "药物", "overlap": null, "start_pos": 81, "text": "希罗达" }, { "end_pos": 149, "label_type": "手术", "overlap": null, "start_pos": 132, "text": "直肠癌根治术(DIXONS’术式)" }, { "end_pos": 161, "label_type": "解剖部位", "overlap": null, "start_pos": 157, "text": "乙状结肠" }, { "end_pos": 172, "label_type": "疾病和诊断", "overlap": null, "start_pos": 167, "text": "中分化腺癌" }, { "end_pos": 180, "label_type": "解剖部位", "overlap": null, "start_pos": 179, "text": "肠" }, { "end_pos": 204, "label_type": "解剖部位", "overlap": null, "start_pos": 202, "text": "LN" }, { "end_pos": 289, "label_type": "解剖部位", "overlap": null, "start_pos": 287, "text": "手臂" }, { "end_pos": 292, "label_type": "解剖部位", "overlap": null, "start_pos": 290, "text": "手足" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者2015-2月因“便血6月”于外院行肠镜检查,活检病理经我院会诊确诊为“直肠中分化腺癌”。经多学科讨论,考虑患者临床分期T3N0M0,予行术前放疗加同期口服希罗达。末次放化疗时间2015-10-22。放化疗期间未见明显毒副反应。2015年12月14日在我院行直肠癌根治术(DIXONS’术式),,术后病理:(乙状结肠大体)镜检为中分化腺癌,癌组织浸润至肠壁浆膜上层;未见明确脉管内癌栓及神经束侵犯。LN 0/12(+)。,术后分期:T2N0M0 I期。术后分别于2016-01-06,01-28、2-25、3-23行XELOX方案术后辅助化疗4程。化疗后出现静脉滴注侧手臂及手足麻木。患者诉术后小便疼痛,大便次数多,8-10次/日,成形、无粘液脓血。现来院行上程化疗。患者近期精神、睡眠可,体重无明显减轻。}
[ { "end_pos": 34, "label_type": "手术", "overlap": null, "start_pos": 27, "text": "远端胃癌根治术" }, { "end_pos": 74, "label_type": "疾病和诊断", "overlap": null, "start_pos": 56, "text": "胃窦小弯溃疡型中分化腺癌伴印戒细胞癌" }, { "end_pos": 78, "label_type": "解剖部位", "overlap": null, "start_pos": 76, "text": "LN" }, { "end_pos": 87, "label_type": "解剖部位", "overlap": null, "start_pos": 86, "text": "胃" }, { "end_pos": 119, "label_type": "影像检查", "overlap": null, "start_pos": 117, "text": "CT" }, { "end_pos": 174, "label_type": "药物", "overlap": null, "start_pos": 171, "text": "替吉奥" }, { "end_pos": 194, "label_type": "影像检查", "overlap": null, "start_pos": 189, "text": "腹部,CT" }, { "end_pos": 246, "label_type": "影像检查", "overlap": null, "start_pos": 242, "text": "腹部CT" }, { "end_pos": 252, "label_type": "疾病和诊断", "overlap": null, "start_pos": 248, "text": "胃癌术后" }, { "end_pos": 270, "label_type": "解剖部位", "overlap": null, "start_pos": 268, "text": "肝脏" }, { "end_pos": 309, "label_type": "实验室检验", "overlap": null, "start_pos": 304, "text": "CA199" }, { "end_pos": 321, "label_type": "实验室检验", "overlap": null, "start_pos": 316, "text": "CA242" }, { "end_pos": 340, "label_type": "解剖部位", "overlap": null, "start_pos": 338, "text": "肝脏" }, { "end_pos": 358, "label_type": "药物", "overlap": null, "start_pos": 355, "text": "PTX" }, { "end_pos": 372, "label_type": "疾病和诊断", "overlap": null, "start_pos": 365, "text": "II度骨髓抑制" }, { "end_pos": 384, "label_type": "解剖部位", "overlap": null, "start_pos": 383, "text": "肝" }, { "end_pos": 428, "label_type": "实验室检验", "overlap": null, "start_pos": 425, "text": "WBC" }, { "end_pos": 444, "label_type": "实验室检验", "overlap": null, "start_pos": 441, "text": "NE " }, { "end_pos": 451, "label_type": "实验室检验", "overlap": null, "start_pos": 449, "text": "HB" }, { "end_pos": 484, "label_type": "实验室检验", "overlap": null, "start_pos": 481, "text": "WBC" }, { "end_pos": 494, "label_type": "实验室检验", "overlap": null, "start_pos": 490, "text": "NEUT" }, { "end_pos": 502, "label_type": "实验室检验", "overlap": null, "start_pos": 500, "text": "HB" }, { "end_pos": 509, "label_type": "实验室检验", "overlap": null, "start_pos": 506, "text": "PLT" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,术前新辅助FOLFOX 4CYS,2009-9-14远端胃癌根治术,术后FOLFOX 2CYS。,术后病理示:胃窦小弯溃疡型中分化腺癌伴印戒细胞癌,,LN:0/24,侵及胃壁粘膜上层,癌栓(—)切缘净 PY T1N0M0。2007因CT发现吻合口局部复发来我院行放疗,,计划:GTV55GY/CTV50GY/27F,放疗27次结束,同步口服替吉奥化疗5周,2011-10-8 腹部,CT:肿大淋巴结较前减小,原约26X26MM,现约21X15MM,余未见异常.2011-12-15,腹部CT示:胃癌术后吻合口上方不规则密度灶较前缩小,肝脏实质内新见多发大小不等结节,考虑转移。2011-12-13,肿标示:CA199 232.5,CA242 90.23.2012.1.12行肝脏穿刺,2012.1.13开始行PTX单药化疗,出现II度骨髓抑制,第8天化疗未进行。,肝穿结果:HER-2(2+),生血治疗至2012.2.1.2012.2.3,血常规:WBC 7.47X10^9/L,NE 5.54,HB 101G/L。2012.2.5行第2周期化疗,,今日查血:WBC 1.67,NEUT1.15, HB 93,PLT 82.。}
[ { "end_pos": 24, "label_type": "疾病和诊断", "overlap": null, "start_pos": 21, "text": "直肠癌" }, { "end_pos": 121, "label_type": "药物", "overlap": null, "start_pos": 117, "text": "奥沙利铂" }, { "end_pos": 133, "label_type": "药物", "overlap": null, "start_pos": 130, "text": "希罗达" }, { "end_pos": 181, "label_type": "手术", "overlap": null, "start_pos": 166, "text": "腹腔镜DIXON术+回肠造瘘术" }, { "end_pos": 195, "label_type": "疾病和诊断", "overlap": null, "start_pos": 188, "text": "直肠中分化腺癌" }, { "end_pos": 224, "label_type": "药物", "overlap": null, "start_pos": 220, "text": "卡培他滨" } ]
请你用中文完成中文电子病历命名实体识别任务,下面将给你一个实例,你需要学习实例的标注规则,实体共有“疾病和诊断、手术、药物、解剖部位、实验室检查、影像检查”六类。其中abel_type为实体类型,start_pos和end_pos为实体的位置索引,text为标注后的实体文本。电子病历的原文本为:{,患者因大便带血我院完善检查诊断局部进展期直肠癌,遂于2015-12-18于我院行术前同期放化疗,,剂量:GTV 50GY/25F,CTV 45GY/25F。同期2015-12-18、2015-01-08我院行XELOX方案化疗2程(奥沙利铂150MG D1+希罗达1500MG BID D1-D14),2016-03-10全麻上行腹腔镜DIXON术+回肠造瘘术,,术后病理:直肠中分化腺癌 YPT2N0M0。术后行XELOX方案化疗2程+卡培他滨单药化疗1程,现为进一步治疗入院。自起病以来,患者精神、睡眠可,食欲如常,小便正常,体重无明显上降。}