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"text": "胃癌根治术\\\"（远端胃大部切除）"
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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:{，患者3周前因在我院确诊“胃癌”于2015-09-25全麻上行\"胃癌根治术\"（远端胃大部切除），术程顺利，术后预防感染、抑制分泌、静脉营养等对症支持处理，恢复好，切口甲级愈合。，术后病理示：“（胃大体）镜检为低分化腺癌，LAUREN，分型：弥漫型，浸润至浆膜层，可见神经束侵犯，未见脉管内癌栓；网膜组织未见癌。LN+（0/36）；PT3N0M0,IIA期）。”，后于10-16日行术后第一程化疗，，方案为：S1单药。化疗程中，副反应可耐受，间中复查血常规、肝肾功能结果基本正常。现为行第二程化疗收入我科。起病以来，患者精神尚可，食欲欠佳，大小便正常，身体无明显消瘦。} | |
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"text": "5-FU"
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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:{，患者于2013-03开始出现便中带血，未予重视。2013-09出现排便困难，，外院查PET-CT示：乙状结肠高代谢病灶。，肠镜示：乙状结肠肿物，，病理：腺癌。于2013-10-25行结肠癌根治术，术中见肿瘤位于乙状结肠，肠系膜上动脉旁及乙状结肠系膜多个肿大淋巴结，术中未见腹腔播散。，术后病理：溃疡型肿物，高中分化腺癌，浸润肠壁全层，脂肪内见癌结节浸润，淋巴结4/7（+）。，术后分期：PT4N2M0,IIIC期。KRAS，基因突变检测：12、13密码子野生型。2013-11-13至2014-06-03行CPT-11+S-1+LV方案化疗8程，化疗评价未明。，2014-11-18复查PET-CT：上腹部大网膜局限性增厚伴多发软组织结节灶，左前上腹壁腹膜局限性增厚，代谢增高，考虑腹膜转移。后于2014-11-21行剖腹探查+腹腔肿物切除+阑尾切除+腹腔热灌注化疗，术后见大小网膜，肠系膜，壁层腹膜广泛散布结节灶新生物，部分融合成团块。术中给予5-FU腹腔热灌注治疗。术后恢复可，2014-12-31、2015-1-15、2015-2-3、2015-03-03、2015-03-20、2015-04-08、2015-04-24、2015-05-08在我院行FOLFOX+AVASTIN方案化疗8程，第一程化疗由于术后伤口未痊愈AVASTIN未使用。4程复查CT评价为SD.8程后复查CT评价为PR，化疗后出现I度乏力，I度神经毒性。今为求上阶段治疗入住我科治疗。患者精神胃纳睡眠尚可，大小便正常，体重无明显变化。} | |
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{
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"text": "直肠癌"
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"text": "肠"
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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:{，患者2015年2月无明显诱因出现大便带鲜血，量少，伴大便次数增加至2-3次/天，大便成形，偶有里急后重。无腹痛、恶心、发热等不适。外院肠镜检查提示距肛门6CM肿物，肠镜能通过，活检病理提示腺癌；另见距肛18CM息肉，活检病理腺瘤。胸腹CT、盆腔MRI示直肠癌，未见远处转移。门诊以“直肠癌”收入结直肠二区，，行腹盆MR提示:直肠下段肠壁不规则增厚，符和直肠癌。病变浸润肠壁全层，并呈索条样突出于直肠系膜内，与直肠系膜筋膜分界不清，环周切缘阳性。骶部皮上脂肪瘤。两肾囊肿。肝脏未见明显病变。，我院病理会诊提示：镜检为管状-绒毛状腺瘤，腺下皮呈中至重度非典型增生。考虑病变浸润肠壁全层，与直肠系膜筋膜分界不清，环周切缘阳性，直接手术后复发转移风险较大，符合术前直肠癌放化疗指征，于2015-05-25，2015-06-18分别行XELOX方案化疗，于2015-06-24给予同步放化疗，PTV1 50GY，PTV2 45GY，2015-07-15给予XELOX方案同步化疗，2015-07-31放疗结束，无特别不适反应。现为行上一程化疗，门诊以直肠癌收入我科。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，体重上降6公斤。} | |
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"text": "癌抗原125"
}
] | 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2011-2-22因“腹胀”在我院行腹腔镜检查+活检术，，术后诊断：卵巢低分化浆乳癌IIIC期。遂行紫杉醇+卡铂新辅助化疗3程（2011-3因右侧颈内静脉血栓形成进行下腔静脉静脉滤器）；于2011-6-7行开腹探查+全宫两附件大网膜切除+肿瘤细胞减灭术，，术后病理示：卵巢低分化浆乳癌。术后行紫杉醇+卡铂辅助化疗6程，，末次化疗日期：2011-9-29。后随诊未见明确异常。，2012-8-1外院复查CA125:140U/ML，，我院腹盆腔CT示：肠系膜密度增高，多发淋巴结较前增多、增大，左侧腹膜结节状增厚，考虑转移；肝脾内新见结节，考虑转移。遂诊为肿瘤复发，行紫杉醇（周疗）+卡铂化疗共6程，末次化疗日期2013-1-18。后随诊未见明确异常。于2013-8再次出现CA125升高，，腹盆腔CT示：肠系膜密度较前略增高，多发结节较前增大，腹膜增厚较前加重，盆腔积液较前增多；肝内结节大致同前，脾内结节较前增大。考虑复发予依托伯苷口服化疗2程，肿瘤控制欠佳，CA125持续升高，现，CA125:156.3U/ML，于2013-10-15行多柔比星脂质体60MG单药化疗，癌抗原125 250.5(U/ML)，拟进一步化疗入院。患者自发病以来精神睡眠食欲尚好，小便如常，大便如下述，体重无明显改变。} | |
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{
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{
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{
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{
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"text": "S1"
}
] | 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:{，升结肠癌术后2年余，吻合口复发术后。2012年行左半结肠切除术，，术后病理：左半结肠腺癌浸润肠壁全层，淋巴结1/9，术后给予化疗6周期具体用药不详。2014-1复查PET-CT提示结肠癌术后复发伴肠系淋巴结转移。2014-1-22行左半结肠切除术，，术后病理：溃疡型管状乳头状腺癌，中-低分化伴坏死，累及全层达外膜脂肪结缔组织。2014-2-27予以伊立替康+S1化疗，2014-4-22予以泰欣生+伊立替康+S1化疗。} | |
[
{
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"text": "舌"
},
{
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{
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{
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{
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},
{
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"text": "两锁下"
},
{
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"text": "会厌"
},
{
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},
{
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"text": "颈"
},
{
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"text": "CTX"
},
{
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},
{
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},
{
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},
{
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"text": "左肺"
},
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},
{
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{
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"text": "奈达铂"
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},
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},
{
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"text": "背部"
}
] | 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1991年8月初发现右舌侧缘肿物。2012.8.15在**二院行右舌侧缘肿物切除，，术后病理示：右舌非霍奇金氏淋巴瘤 IIA期。CT示全身其余部位未见异常。术后行CHOP方案化疗六程。化疗后于1992.1.24~2.28行纵隔放疗 DT40GY/20次/34天，两锁下放疗DT36GY/18次/32天。1996年2月出现声嘶，发现会厌结节，活检病理示非霍奇金氏淋巴瘤，遂于1996.3.4~4.9行两侧下颈部放疗，DT52GY/26次/37天。放疗后行“CTX+VP-16+VCR+ARAC”方案化疗四程，过程顺利。随后定期复查。2012年8月初出现吞咽不畅伴咳嗽，少痰，无发热。2012.9.13PET/，CT:胸中段食管管壁增厚代谢活跃，左肺多发结节代谢活跃，考虑恶性病变。两下肺纤维增殖灶。2012.9.14，胃镜活检病理示：食管中至低分化鳞癌。于2012.9.21~9.22行“C225+奈达铂+白蛋白紫杉醇”化疗一程，过程顺利。目前患者诉头面部、背部多发皮疹，部分有脓点。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，大小便正常，体重无上降。} | |
[
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"text": "右髋部"
},
{
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"text": "髋关节"
},
{
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"text": "CT"
},
{
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"text": "右侧髂骨"
},
{
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"text": "耻骨"
},
{
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"text": "骨"
},
{
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"text": "骨盆MRI"
},
{
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"text": "右侧髂骨、髋臼"
},
{
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"text": "右侧髋臼病理性骨折"
},
{
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"text": "淋巴瘤"
},
{
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"text": "小圆细胞性肿瘤"
},
{
"end_pos": 141,
"label_type": "影像检查",
"overlap": null,
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"text": "胸部，CT"
},
{
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"text": "两肺"
},
{
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"text": "左颈部"
},
{
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},
{
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},
{
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"text": "胃窦溃疡（A1期）"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 212,
"text": "幽门管溃疡（H2期）"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 223,
"text": "慢性萎缩性胃炎"
},
{
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"label_type": "解剖部位",
"overlap": null,
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"text": "门齿"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 263,
"text": "食管低分化鳞状细胞癌"
},
{
"end_pos": 286,
"label_type": "手术",
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"start_pos": 275,
"text": "左颈部淋巴结穿刺活检术"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 306,
"text": "左颈"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 342,
"text": "转移性低分化鳞状细胞癌"
},
{
"end_pos": 455,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 445,
"text": "食管癌伴全身多发转移"
},
{
"end_pos": 522,
"label_type": "药物",
"overlap": null,
"start_pos": 520,
"text": "顺铂"
},
{
"end_pos": 539,
"label_type": "药物",
"overlap": null,
"start_pos": 536,
"text": "紫杉醇"
},
{
"end_pos": 564,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 563,
"text": "胃"
},
{
"end_pos": 567,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 566,
"text": "肝"
},
{
"end_pos": 614,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 611,
"text": "食管癌"
}
] | 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:{，缘于入院前1月余（2015.06.25）因“右髋部疼痛”就诊我院，查髋关节，CT:1、右侧髂骨、耻骨多发骨质破坏，考虑恶性病变。，骨盆MRI示：右侧髂骨、髋臼及其周围软组织内浸润性病变，并右侧髋臼病理性骨折，为恶性肿瘤，以淋巴瘤可能性大，其它小圆细胞性肿瘤或转移瘤待除。胸部，CT:1、两肺多发结节影，考虑转移瘤。2、左颈部软组织肿块影，考虑淋巴结转移可能。3、纵隔内多发淋巴结影。，胃镜:食管中段癌，胃窦溃疡（A1期），幽门管溃疡（H2期），慢性萎缩性胃炎。胃镜病理（病理号201524440），：（距门齿25-30CM）食管低分化鳞状细胞癌。行左颈部淋巴结穿刺活检术，术后病理（2015.07.01），：(左颈）送检少量穿刺组织，镜上示间质见恶性肿瘤细胞巢，结合免疫组化结果考虑转移性低分化鳞状细胞癌。，免疫组化结果：TTF-1（-），NAPSIN-A（-），CK18（++），KI67（40%），CK5/6（+++），P63（+++），SY（-），CGA（-），CD56（-）。诊断食管癌伴全身多发转移，转入我科，完善相关检查，未见明显化疗禁忌症，于2015.07.03、2015.07.24行姑息一线第1、2周期全身化疗，，方案：顺铂40MGIVGTTD1-3+紫杉醇210MGIVGTTD1Q3W。辅予止吐、制酸保胃、保肝、碱化及水化等处理，过程顺利，现化疗间歇已足，患者无诉特殊不适，今为进一步治疗，门诊拟“食管癌”收住本科。发病以来饮食、睡眠、精神可，大小便正常，体重未见明显增减。} | |
[
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"overlap": null,
"start_pos": 14,
"text": "左肝原发性肝癌"
},
{
"end_pos": 54,
"label_type": "手术",
"overlap": null,
"start_pos": 38,
"text": "腹腔镜上左肝肿物切除+胆囊切除术"
},
{
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"label_type": "解剖部位",
"overlap": null,
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"text": "左肝叶第六、七段"
},
{
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"text": "肝"
},
{
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"text": "胆总管"
},
{
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"label_type": "解剖部位",
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"start_pos": 82,
"text": "胆囊"
},
{
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"label_type": "解剖部位",
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"start_pos": 101,
"text": "胆囊"
},
{
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"label_type": "疾病和诊断",
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"start_pos": 150,
"text": "原发性高分化左肝癌"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "胆囊结石伴慢性胆囊炎"
},
{
"end_pos": 201,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 200,
"text": "腹"
},
{
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"start_pos": 203,
"text": "腹"
},
{
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"text": "CA199"
},
{
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"text": "癌胚抗原"
},
{
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"text": "甲胎蛋白"
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{
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"text": "TACE"
},
{
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"text": "原发性肝癌术后"
},
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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:{，缘于3个月前于我院诊断为“左肝原发性肝癌”，于2013-10-1在我院行“腹腔镜上左肝肿物切除+胆囊切除术”，术中见左肝叶第六、七段处见肝表面隆起，胆总管无扩张，胆囊约5.0×3.0×3.0CM大小，胆囊底部见腺瘤样隆起，与邻近组织稍粘连,切除后,组织送病理检查.术后病理(201331653)，:原发性高分化左肝癌,胆囊结石伴慢性胆囊炎。术顺，术后无明显不适。出院后无发热、寒战，无恶心、呕吐，无腹痛、腹胀。后于入院前1个月余,返院复查,，查：CA19910.94U/ML，癌胚抗原1.81NG/ML，甲胎蛋白定量1.96NG/ML，后于2013年11月20日行TACE治疗,选择行肝动脉造影+，介入治疗：1.造影所见符合原发性肝癌术后；2.第1次介入治疗术，建议随诊复查。手术过程顺利，无不良反应。术后恢复良好。今为再次复查，复诊我院，门诊拟“肝癌术后”术后至今，睡眠可，精神可，食欲可，大小便正常，体重无明显改变。} | |
[
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{
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{
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{
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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:{，2010-9-21于我院行食管癌根治及食管胃右颈吻合术，，术后病理示：中低分化鳞状细胞癌，分期PT1BN1M0 IIB期。2011年10月出现声嘶，考虑局部复发，于2011-12-2在我院行放射治疗。2012-03-13，我院CT示：食管癌术后，吻合口未见明确肿物，两肺多发结节，较前增大、增多；左上肺不张并团块影，两侧少量胸腔积液，左侧明显，左侧胸膜不均匀增厚，肝S2、4、6多发结节，考虑转移。行“力朴素+DDP”及“力扑素 + 奈达铂+ 恩度”方案化疗4程，今遵主诊教授意见行上一程化疗。近1月,患者精神、饮食睡眠可,大小便正常，体重无减轻。} | |
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"text": "腹"
},
{
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"text": "肠"
},
{
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"text": "肠"
},
{
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{
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},
{
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},
{
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},
{
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{
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{
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{
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},
{
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},
{
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"text": "CA19-9"
},
{
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"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:{，患者今年年初自觉有便秘，且持续未缓解，不伴腹痛，无里急后重，自诉有时2次/天，有时1次/2-3天，大便颜色正常，大便成形，质硬，成球状，无便血，未予重视；后逐渐发现便血，且便秘持续至今，，遂于2012-11-17至我院门诊行肠镜检查见：肠道准备差，肠腔见大量粪质，影响观察，结肠镜检查至盲肠，距肛缘15CM可见菜花样肿块，占肠腔一圈，局部肠腔狭窄，勉强进镜。距肛缘60-70CM见0.8-1.0CM息肉4枚，距肛缘60CM处较大一枚予活检1块。距肛缘35CM见一枚大小约0.7CM息肉，其旁见一枚长蒂息肉，大小约1.2CM息肉，予活检1块；距肛缘12CM处另见一枚大小约0.5CM息肉。，肛指：未及肿块。，病理回示：（距肛缘60CM、35CM）管状腺瘤伴下皮内瘤变，低级别；（距肛缘15CM）腺癌，分化II级。11-30，行腹部盆腔CT示：直肠乙状结肠交界处改变，MT可能大。查肿瘤标志物AFP、CEA、CA19-9未见异常，现为求手术治疗收入我科。患者自诉既往亦有便秘，但持续时间不长；患者自发病以来精神、胃纳可，小便无异常，体重减轻5-6斤。} | |
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},
{
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{
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"text": "腹"
},
{
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"text": "左肾囊肿"
},
{
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},
{
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},
{
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},
{
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},
{
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"start_pos": 87,
"text": "左中叶"
},
{
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"text": "消化道造影"
},
{
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"text": "食道胸上段及腹段"
},
{
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"label_type": "疾病和诊断",
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"text": "食管癌"
},
{
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"text": "食管"
},
{
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},
{
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"text": "门齿"
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{
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},
{
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"text": " CYFRA21-1"
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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:{，结肠癌切除术后近1年（术中，术后病理不详）术后未行化疗。2月前无诱因腹胀，就诊我院行腹部，C：左肾囊肿。胸，CT：胸上段食管癌，胃周多发淋巴结转移；纵膈7,8组淋巴结转移。左中叶微小结节，转移？，消化道造影：食道胸上段及腹段占位，考虑食管癌可能性大。，胃镜：食管上端溃疡隆起性肿物，侵及食管胃结合部。，活检病理：距门齿35-42CM肿物（活检），：中分化鳞状细胞癌。，肿标：SCC14.7 CYFRA21-1 16.2.目前饮食睡眠可，大小便正常。体重减轻5KG。2015-1-15行第3周期TP方案化疗。} | |
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"text": "上腹部"
},
{
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"text": "白细胞"
},
{
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"start_pos": 90,
"text": "红细胞"
},
{
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"label_type": "解剖部位",
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"text": "乙状结肠"
},
{
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"text": "超声"
},
{
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"text": "肛门"
},
{
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"text": "膀胱"
},
{
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"text": "肠"
},
{
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"text": "膀胱"
},
{
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"text": "直肠"
},
{
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"text": "肛门"
},
{
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"text": "直肠"
},
{
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"text": "直肠-乙状结肠交界处"
},
{
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{
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},
{
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{
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{
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"text": "结肠"
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{
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"text": "胃"
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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:{，患者2月前无明显诱因出现大便带鲜血和粘液，量少，伴大便次数增加至10次/天，稀烂，无里急后重。伴上腹部胀痛，无恶心、发热等不适。1周前出现肉眼血尿1次，到外院查尿常规提示白细胞、红细胞阳性，肠镜检查提示乙状结肠肿物，未见报告，病理未见癌。遂于2014-10-9在我院行超声肠镜检查示“进镜至距肛门约14CM处见膀胱内不均质低回声，部分与肠壁分界不清。膀胱肿物与直肠分界不清”。，肠镜病理提示：（距肛门口约5CM直肠至直肠-乙状结肠交界处肿物活检），镜上：肠粘膜慢性炎伴腺体增生，小灶腺体呈轻度不典型增生。，膀胱镜病理提示:中分化腺癌。于10月16日全麻上行“乙状结肠两腔造瘘术”，术中见肿瘤位于乙状结肠，肿瘤巨大，与骶前，盆底壁粘连紧密，质硬，固定，大小约15CM×20CM，结肠可见梗阻扩张。术后10-23行XELOX方案化疗1程，11-13行第二程XELOX方案化疗，并行同期放疗（GTV50GY/25F CTV45GY/25F）过程顺利。起病以来无发热，胃纳可，睡眠一般，小便正常，体重上降10公斤。} | |
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},
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{
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"text": "食管"
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{
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"text": "门静脉主干"
}
] | 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2014年8月中旬开始出现进食哽噎感，无恶心、呕吐，进食流质后好转，当时未予重视，后哽噎感呈进行性加重，2014-11-19行电子胃镜检查提示距门齿31-37CM见环腔生长菜花样肿物，食管癌可能，活检病理经我院病理科会诊意见为：食管距门齿33CM镜检为中分化鳞状细胞癌，食管距门齿42CM镜上见鳞状下皮增生及轻度不典型增生，未见癌。我院CT示胸中上段段食管食管壁壁增厚，符合食管癌，并全身多发淋巴结转移，可疑侵犯门静脉，门静脉主干内充盈缺损灶，考虑血栓与癌栓鉴别，分期CTXNXM1,IV期。2014-12-12在我院行TPF方案化疗1程，过程顺利，现为求进一步治疗入院，现仍有吞咽哽噎感，较前改善不明显，一般情况可，流质饮食，食欲、睡眠一般，大小便正常，体重较前上降约4KG。} | |
[
{
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"start_pos": 10,
"text": "腹"
},
{
"end_pos": 33,
"label_type": "实验室检验",
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"start_pos": 28,
"text": "CA125"
},
{
"end_pos": 62,
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"start_pos": 60,
"text": "卵巢"
},
{
"end_pos": 76,
"label_type": "药物",
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"start_pos": 72,
"text": "多西他赛"
},
{
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"start_pos": 77,
"text": "卡铂"
},
{
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"label_type": "药物",
"overlap": null,
"start_pos": 80,
"text": "干扰素"
},
{
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"overlap": null,
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"text": "腹"
},
{
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"start_pos": 118,
"text": "全子宫、两侧卵巢输卵管切除术"
},
{
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"text": "卵巢浆液性乳头状囊腺癌"
},
{
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"start_pos": 176,
"text": "卵巢浆液性乳头状囊腺癌IIIC期"
},
{
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"text": "两卵巢"
},
{
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"label_type": "解剖部位",
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"start_pos": 197,
"text": "子宫"
},
{
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"start_pos": 204,
"text": "肠"
},
{
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"text": "腹"
},
{
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"text": "腹"
},
{
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"text": "多西他赛"
},
{
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"text": "卡铂"
},
{
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"start_pos": 249,
"text": "阴道"
},
{
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"text": "腹"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 286,
"text": "右侧颈部"
}
] | 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:{，患者约2个月前因“腹胀2个月，加重10天”入我科；血，CA125：799U/ML；行大网膜穿刺活检病理为“转移癌，注意卵巢来源”。于8月1日行多西他赛+卡铂+干扰素静脉、腹腔联合化疗，过程顺利，化疗副反应轻微。于2011年8月30日行全子宫、两侧卵巢输卵管切除术。手术残留病灶>2CM，预后差。病理（422783），：卵巢浆液性乳头状囊腺癌。，诊断：卵巢浆液性乳头状囊腺癌IIIC期（两卵巢、子宫、大网膜、肠管、盆腹腔腹膜）。于2011年9月5日行多西他赛＋卡铂静脉联合方案化疗。末次化疗出院后，阴道排出清亮液体，持续4-5日后明显减少，阵发性。腹胀缓解。约10天前自于右侧颈部触及约卵黄大及蚕豆大小结节，质硬，无明显触痛。饮食、睡眠、精神欠佳，二便正常，体重无明显上降。} | |
[
{
"end_pos": 26,
"label_type": "疾病和诊断",
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"start_pos": 24,
"text": "胃癌"
},
{
"end_pos": 48,
"label_type": "手术",
"overlap": null,
"start_pos": 43,
"text": "胃癌根治术"
},
{
"end_pos": 66,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 60,
"text": "胃低分化腺癌"
},
{
"end_pos": 74,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 69,
"text": "印戒细胞癌"
},
{
"end_pos": 104,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 100,
"text": "腺癌转移"
},
{
"end_pos": 223,
"label_type": "影像检查",
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"start_pos": 221,
"text": "CT"
},
{
"end_pos": 228,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 224,
"text": "胃癌术后"
},
{
"end_pos": 242,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 239,
"text": "右下肺"
},
{
"end_pos": 256,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 250,
"text": "肝S7、S3"
},
{
"end_pos": 268,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 266,
"text": "盆腔"
},
{
"end_pos": 283,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 277,
"text": "盆底少量积液"
}
] | 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9月20日体检行胃镜检查，诊断胃癌，于2012-9-29在**二院行胃癌根治术，，术后病理我院会诊示:胃低分化腺癌，部分印戒细胞癌，可见脉管内瘤栓，浸润深肌层；送检淋巴结27/56见腺癌转移。原单位，IHC:HER2(1+),VILLIN(+),CDX2(+/-），KI67(25%)，P53（-），TOP02(15%+),CK(+),CD34血管（+),D2-40淋巴管（+），CEA(+),EGFR(+/-).术后我院，CT：胃癌术后，吻合口未见明确肿物；右下肺少许纤维增殖灶；肝S7、S3低密度区，考虑囊肿；盆腔未见明确占位病变，盆底少量积液。至我可就诊，于2012-10-26、11-20、12-11、2013-1-8给予SOX方案化疗4程，过程顺利无不适。病程中精神饮食好睡眠尚可，二便正常，否认恶心呕吐、食欲不振、返酸等不适，自下次出院至今体重未见明显减轻。} | |
[
{
"end_pos": 14,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 11,
"text": "CEA"
},
{
"end_pos": 27,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 20,
"text": "升结肠癌肺转移"
},
{
"end_pos": 48,
"label_type": "手术",
"overlap": null,
"start_pos": 41,
"text": "左半结肠切除术"
},
{
"end_pos": 59,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 54,
"text": "中分化腺癌"
},
{
"end_pos": 99,
"label_type": "药物",
"overlap": null,
"start_pos": 95,
"text": "C225"
},
{
"end_pos": 130,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 129,
"text": "肝"
},
{
"end_pos": 139,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 138,
"text": "肝"
},
{
"end_pos": 165,
"label_type": "药物",
"overlap": null,
"start_pos": 159,
"text": "XELODA"
},
{
"end_pos": 179,
"label_type": "影像检查",
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"start_pos": 177,
"text": "CT"
},
{
"end_pos": 196,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 191,
"text": "两肺转移瘤"
},
{
"end_pos": 262,
"label_type": "药物",
"overlap": null,
"start_pos": 259,
"text": "S-1"
},
{
"end_pos": 282,
"label_type": "影像检查",
"overlap": null,
"start_pos": 280,
"text": "CT"
},
{
"end_pos": 287,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 283,
"text": "两肺转移"
}
] | 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2009.11因CEA升高检查发现升结肠癌肺转移，2009.12.2于我院行左半结肠切除术，术后病理：中分化腺癌，PT4N0M1,术后恢复可，2009.12.25始予以FOLFIRI+C225化疗12次，末次化疗2010.7.16，化疗过程顺利，曾出现肝功能轻度受损，护肝治疗后好转。后于2011-10-25起行XELODA单药维持6程。6程后复查CT(2011-4-14)示两肺转移瘤较前进展，结直肠科多学科会诊意见考虑暂时不建议强烈化疗，可口服化疗，若病灶进展，可行进一步强烈化疗。遂于2011-4-28起行S-1口服治疗至今，2011-8-18复查CT示两肺转移灶稍增大。2011-9-1、9-22行XELOX方案化疗2程，过程顺利，现为行进一步治疗入院。近来一般情况良好，精神佳，饮食睡眠好，体重无明显上降。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "脐"
},
{
"end_pos": 31,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 30,
"text": "腹"
},
{
"end_pos": 83,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 74,
"text": "慢性浅表萎缩性胃炎"
},
{
"end_pos": 89,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 84,
"text": "胃多发息肉"
},
{
"end_pos": 94,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 90,
"text": "胃黄斑瘤"
},
{
"end_pos": 101,
"label_type": "影像检查",
"overlap": null,
"start_pos": 97,
"text": "腹部CT"
},
{
"end_pos": 108,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 105,
"text": "回盲部"
},
{
"end_pos": 112,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 109,
"text": "升结肠"
},
{
"end_pos": 115,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 114,
"text": "肠"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 131,
"text": "结肠癌"
},
{
"end_pos": 142,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 139,
"text": "淋巴瘤"
},
{
"end_pos": 154,
"label_type": "影像检查",
"overlap": null,
"start_pos": 152,
"text": "CT"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "腹"
},
{
"end_pos": 179,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 178,
"text": "腹"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 190,
"text": "胃"
},
{
"end_pos": 206,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 203,
"text": "脂肪肝"
},
{
"end_pos": 227,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 224,
"text": "升结肠"
},
{
"end_pos": 284,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 282,
"text": "结肠"
}
] | 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20余天前无明显诱因出现脐下疼痛，为阵发性疼痛，伴轻度腹胀，大便2天1次，无发热，无恶心、呕吐，无脓血便等不适，遂就诊于我院，，行胃镜检查示：慢性浅表萎缩性胃炎，胃多发息肉，胃黄斑瘤，，行腹部CT平扫示：回盲部及升结肠近段肠壁明显不规则增厚，考虑恶性肿瘤，结肠癌可能性大，淋巴瘤不完全除外，建议强化CT或肠镜进一步检查，腹腔多发淋巴结肿大，考虑转移，腹膜后多发略肿大淋巴结，胃充盈欠佳，建议结合钡餐，脂肪肝，，行肠镜检查示：进境70CM，到达升结肠，见距大不规则粘膜隆起阻塞管腔，触之易出血，无法继续进境，取病理结果未回。现患者为求进一步治疗来我院，门诊以“结肠肿物”收入院。患者自发病以来，饮食睡眠可，大小便无明显异常，体重较前减轻约5KG。} | |
[
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "阴道"
},
{
"end_pos": 29,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 25,
"text": "前置胎盘"
},
{
"end_pos": 39,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 30,
"text": "疤痕子宫剖宫产娩出"
},
{
"end_pos": 59,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "四肢"
},
{
"end_pos": 117,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 116,
"text": "胸"
},
{
"end_pos": 191,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 189,
"text": "气管"
},
{
"end_pos": 196,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 194,
"text": "气管"
},
{
"end_pos": 206,
"label_type": "药物",
"overlap": null,
"start_pos": 199,
"text": "肺表面活性物质"
}
] | 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:{患儿系第3胎第3产，孕30+5周早产，因阴道流血、前置胎盘、疤痕子宫剖宫产娩出。宫内无窘迫，生后患儿刺激后无反应，四肢皮肤青紫，肌张力低，生后1分钟评分为4分（皮肤颜色、心率、呼吸、肌张力各1分），生后立即给予清理呼吸道、复苏气囊、胸外按压约2分钟，皮肤逐渐转红润，哭声弱，伴呻吟，5分钟评分均为8分（肌张力、反应各减1分），患儿早产，生活能力低上，为进一步观察治疗，在产科给予气管插管，气管内注入肺表面活性物质70MG后转入我科，生后未开奶，小便已排，大便未解。} | |
[
{
"end_pos": 17,
"label_type": "手术",
"overlap": null,
"start_pos": 11,
"text": "直肠癌根治术"
},
{
"end_pos": 85,
"label_type": "影像检查",
"overlap": null,
"start_pos": 82,
"text": "MRI"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "骶尾部"
},
{
"end_pos": 119,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 116,
"text": "CEA"
},
{
"end_pos": 153,
"label_type": "手术",
"overlap": null,
"start_pos": 145,
"text": "骶尾部肿物切除术"
},
{
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"text": "CEA"
},
{
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"start_pos": 190,
"text": "盆腔MRI"
},
{
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"text": "骶前"
},
{
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"label_type": "解剖部位",
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"text": "右髂髂血管旁淋巴结"
},
{
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"text": "骶尾部"
}
] | 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:{2009.11于我院行直肠癌根治术(距肛缘10CM,T4N1CM0,脉管(+),可见癌结节)，XELOX*8，2010.4结束。2010.6还纳术，2010.9复查MRI发现骶尾部占位，放疗30次，缩小,未行手术.1年后复查稳定,但CEA升高,且出现排便困难的症状,于2011.10.25行骶尾部肿物切除术。\U0004\U0004 2012.2复查CEA135.1较前明显升高，盆腔MRI再次发现骶前肿物（4*3CM），右髂髂血管旁淋巴结（2.7*2.6CM),考虑转移，目前骶尾部疼痛, .予以FOLFIRI化疗3周期，消化道反应II度，2012-4-13肿标：CEA 925,CA199 293.1,CA72.4 43.72,CA242 306.5.目前为3周期后评效就诊。\U0004\U0004。} | |
[
{
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"overlap": null,
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"text": "结肠癌"
},
{
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"label_type": "手术",
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"text": "结肠癌根治术"
},
{
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"text": "腺癌"
},
{
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"text": "腹"
},
{
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},
{
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"text": "肝"
},
{
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"text": "CT"
},
{
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"text": "肺、肝、腹腔多发淋巴结转移"
},
{
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},
{
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{
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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:{患者2013.7在外院行肠镜示结肠癌，2013.8.5行结肠癌根治术，术后病理示腺癌，术后未行化疗。2014.3出现腹痛，纳差，外院B超示肝多发肿块， 遂到我院就诊。CT示肺、肝、腹腔多发淋巴结转移。2014-05-06、2014-05-29、2014-06-24,2014-07-22、2014-08-26、2014-09-16在我院行XELOX方案化疗6程顺利。下次化疗后出现1度恶心、呕吐，1度手足综合征、1度腹泻。2程化疗后复查CT疗效为PR。入院前患者一般情况好,饮食睡眠可,时有便秘，小便正常，体重较前无明显减轻。} | |
[
{
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},
{
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{
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"text": "肠"
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{
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{
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{
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{
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},
{
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"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6月前行结肠癌剖腹探查+左半结肠根根治切除术+肠减压术，术中发现结肠靠近肝曲可扪及一约3.0CM*2.0CM大小质硬包块，此段肠管明显狭窄，肿瘤致近端升结肠梗阻，升结肠明显扩张，直径约10CM，术中考虑升结肠癌，术后恢复好，病理类型（腺癌），分期T4N0M0。现患者术后6月，拟行6次化疗收住入院。\U0004 患者发病以来，神志 清晰，精神可，胃纳可，大便如常，小便如常，体重未见明显上降。} | |
[
{
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"label_type": "解剖部位",
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"text": "腹"
},
{
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"label_type": "疾病和诊断",
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"text": "十二指肠乳头状癌"
},
{
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"text": "胰十二指肠切除术"
},
{
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"text": "十二指肠乳头部"
},
{
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"text": "中分化腺癌"
},
{
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"text": "奥沙利铂（齐沙）"
},
{
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"text": "同奥"
},
{
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"text": "方克"
},
{
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"text": "手足综合症"
},
{
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"text": "血小板"
},
{
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"text": "转氨酶"
},
{
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"text": "腹"
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{
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"text": "替加氟"
},
{
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"text": "头孢"
},
{
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"text": "两上肢"
}
] | 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:{，患者自述于2013-1因尿色加深伴血尿，发热，腹胀就诊于我院，行胃镜检查示十二指肠乳头状癌。后于2013年2月4日在我院肿瘤外科行胰十二指肠切除术，术中见肿物位于十二指肠乳头部,大小约3*2厘米，术后病理为中分化腺癌，浸润至浆膜层，病理号为Z0448036。，术后分期：T3N0M0,IIA期。术后不适消失。后于2013-4-11始于我科行FOLFOX方案化疗7周期，，具体为：奥沙利铂（齐沙）200MG D1,同奥300MG D1,方克5.5G D1。化疗后出现I度恶心，I度手足综合症，I度血小板降低，转氨酶轻度升高，对症治疗后好转。第5周期化疗第二日出现急性腹泻，遂停止剩余替加氟静滴，并给予补液、止泻等治疗后好转。第6周期后出现发热，最高体温38.5℃，于当地诊所静滴头孢等消炎药及退热药后好转。2013-12复查，疾病无复发转移。现为进一步治疗入我科。患者近1月来精神尚可、偶感两上肢乏力，饮食睡眠一般，二便基本正常，体重无明显变化，周身无疼痛，ECOG评分1分。} | |
[
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"text": "胃癌"
},
{
"end_pos": 46,
"label_type": "手术",
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"text": "胃远端大部切除术"
},
{
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"start_pos": 54,
"text": "腹"
},
{
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"text": "DOUGLAS腔"
},
{
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"text": "肝脏"
},
{
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},
{
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"text": "胃及大小弯"
},
{
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"text": "横结肠"
},
{
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"text": "胃"
},
{
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"label_type": "手术",
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"text": "姑息性胃远端大部切除，部分横结肠系膜切除术"
},
{
"end_pos": 180,
"label_type": "疾病和诊断",
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"text": "进行期胃窦癌，浸润溃疡型，中低分化及少量粘液腺癌"
}
] | 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:{患者于5个半月前（2014-11-24）因\"胃癌\"于我院肿瘤外科全麻上行胃远端大部切除术。术中探查见少量腹水，DOUGLAS腔可以触及数枚米粒大小硬结节,肝脏正常。病灶位于胃窦，胃及大小弯，浆膜呈腱状伴多彩弥漫型，后壁侵及部分横结肠系膜，胃内有大量潴留。行姑息性胃远端大部切除，部分横结肠系膜切除术。术后病理进行期胃窦癌，浸润溃疡型，中低分化及少量粘液腺癌，SE，淋巴结转移（5/42枚）及癌结节5枚。术后恢复良好，今为求化疗入院。病人目前无发热，饮食及睡眠可，大小便正常，体重无明显减轻。} | |
[
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"text": "左肝原发性肝癌"
},
{
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"text": "左肝后叶癌切除术"
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{
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{
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"text": "腹"
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{
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},
{
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"text": "左肝后叶S6、S7段"
},
{
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"text": "肝脏"
},
{
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"text": "肝"
},
{
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"text": "胆囊及胆总管探查"
},
{
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"label_type": "疾病和诊断",
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"text": "左肝左叶原发性肝癌"
},
{
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"text": "胆囊切除+左肝后叶癌切除术"
},
{
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"text": "（左肝后叶），：肝脏原发性结节型中分化肝细胞癌"
},
{
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"text": "肝"
},
{
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"text": "肝"
},
{
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"text": "结节性肝硬化"
},
{
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{
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{
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{
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},
{
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"text": "慢性腺性胆囊炎"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
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"text": "左肝原发性肝癌术后"
}
] | 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:{，缘于入院前1个月因左肝原发性肝癌于2014.9.3全麻上行左肝后叶癌切除术，，术中见：腹腔内无明显粘连，腹腔无腹水，网膜、盆地光滑无结节，肝脏表面满布小结节型硬化结节，左肝后叶S6、S7段交界处肿物，约5×6CM，突出肝脏脏面，与左侧肾下腺明显粘连，予分离。余肝未探及肿物，胆囊及胆总管探查未见明显异常。结合术前穿刺结果，诊断考虑左肝左叶原发性肝癌，遂予行“胆囊切除+左肝后叶癌切除术”，术后恢复好。，术后病理回报：1、（左肝后叶），：肝脏原发性结节型中分化肝细胞癌，伴大片坏死，侵及肝被膜，周边肝组织呈结节性肝硬化改变。周围见少量肾下腺组织。2、（肝结节），：送检肝组织，镜上呈结节性肝硬化改变，伴肝细胞异型增生。3、，胆囊：慢性腺性胆囊炎。今为复查，求诊我科，门诊拟“左肝原发性肝癌术后”收住入院。自发病以来，精神、睡眠、食欲可，大便如常，小便如常，体重无明显变化。} | |
[
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"text": "CEA"
},
{
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"label_type": "解剖部位",
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"text": "胃"
},
{
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"start_pos": 47,
"text": "贲门癌"
},
{
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"text": "赫赛汀"
},
{
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"text": "胃癌根治术"
},
{
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"text": "贲门癌（中分化腺癌）PT4AN3AM0,IIIC期"
},
{
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},
{
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"label_type": "影像检查",
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"text": "CT"
},
{
"end_pos": 200,
"label_type": "疾病和诊断",
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"text": "贲门癌化疗后"
},
{
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"label_type": "解剖部位",
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"text": "肝S4~8"
},
{
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"text": "马来酸吡咯替尼"
},
{
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"text": "多西他赛"
},
{
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},
{
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"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2013-08底前因“体检发现CEA升高、胃镜发现胃肿物2月”入住我院胃胰科，诊断为“贲门癌”，行2个疗程赫赛汀+XELOX新辅助治疗后，于2014.03.19在我院行“胃癌根治术”；术后恢复顺利，，术后病理提示：贲门癌（中分化腺癌）PT4AN3AM0,IIIC期。术后行了6个疗程的SOX方案辅助化疗，过程顺利。后复查CT未见明显复发转移征象。，2014-12-25复查CT：，贲门癌化疗后复查：术区未见明确复发征象；肝S4~8多发结节，考虑转移瘤，较前新发。考虑肿瘤进展，2015-2-12、2015-3-9、2015-3-30参加马来酸吡咯替尼240MG POD1-D21+多西他赛87.5MG Q21D临床试验化3程。1程化疗后出现IV度中性粒细胞上降。无发热咳嗽，无腹泻，予升白治疗后升至正常。2程疗效评价PR。现为行第4程化疗入院，起病以来，患者精神可，食欲一般，二便无异常，体重减轻约3KG。} | |
[
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"text": "CEA"
},
{
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},
{
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},
{
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"label_type": "疾病和诊断",
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"text": "乙状结肠中分化管状腺癌"
},
{
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"text": "肠系膜淋巴结"
},
{
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"text": "乙状结肠动脉根、肠系膜上动脉根淋巴结"
},
{
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},
{
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"text": "肝"
},
{
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"text": "CEA "
},
{
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"label_type": "影像检查",
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"text": "CT"
},
{
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"label_type": "疾病和诊断",
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"text": "肝内单发转移"
},
{
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"text": "CEA"
},
{
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"text": "肝切除术"
},
{
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},
{
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},
{
"end_pos": 315,
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"start_pos": 310,
"text": "结肠癌转移"
},
{
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"start_pos": 327,
"text": "腹部核磁"
},
{
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"label_type": "疾病和诊断",
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"text": "肝S8转移"
},
{
"end_pos": 368,
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"text": " CEA"
},
{
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"text": "CEA"
},
{
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"text": " CEA"
},
{
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"text": "CEA"
},
{
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"text": "CEA"
},
{
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"label_type": "影像检查",
"overlap": null,
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"text": "腹部MRI"
},
{
"end_pos": 545,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 538,
"text": "周围神经炎2度"
}
] | 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年余前主因“体检CEA升高伴排便困难”就诊，诊断乙状结肠癌，2013.8.6 ***医大二院行乙状结肠癌根治术，术中未见肿瘤转移，，术后病理：乙状结肠中分化管状腺癌，侵及浆膜，癌栓-，神经侵犯+，切缘-，肠系膜淋巴结1/3，乙状结肠动脉根、肠系膜上动脉根淋巴结为脂肪组织。术后恢复好。术后XELOX方案化疗6周期，末次化疗2014-2-16。之后规律随诊，2015年1月复查CT发现肝内可疑M，CEA 8.4，2015-4-8 CT确认肝内单发转移（2.7CM），CEA 28.99 。2015年5月13日于我院行肝切除术，，术后病理：肝组织内可见中分化腺癌浸润，大小3.5×XXX3.5×XXX3CM，结合病史符合结肠癌转移。2015-6-18 ，腹部核磁：肝S8转移治疗后，边缘环周轻度强化，疗后改变？2015-6-17 CEA 5.63NG/ML。2015.7.13复查CEA5.10NG/ML。2015-7-13 CEA 5.10NG/ML；2015-7-16，基因检测：RAS/NRAS/BRAF均野生型。近3月当地复查提示CEA出现波动（2015.10.13 CEA5.28NG/ML），腹部MRI未见肿瘤征象。目前一般状况可，大小便正常，体重无明显变化。目前周围神经炎2度。} | |
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"text": "腹"
},
{
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{
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},
{
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{
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{
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},
{
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"text": "腹"
},
{
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"text": "盲肠"
},
{
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"text": "横结肠"
},
{
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"label_type": "解剖部位",
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"text": "乙状结肠"
},
{
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"text": "小肠"
},
{
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"text": "空回肠"
},
{
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"text": "回肠"
},
{
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"text": "肠"
},
{
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"text": "小肠"
},
{
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"text": "横结肠"
},
{
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"text": "回盲部"
},
{
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"text": "回肠"
},
{
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},
{
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"text": "横结肠"
},
{
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"text": "肠"
},
{
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"text": "横结肠"
},
{
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"label_type": "解剖部位",
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"start_pos": 331,
"text": "脾曲"
},
{
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"text": "腹"
},
{
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"start_pos": 359,
"text": "降结肠"
},
{
"end_pos": 367,
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"text": "乙状结肠"
},
{
"end_pos": 374,
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"text": "直肠"
},
{
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"text": "腹"
},
{
"end_pos": 431,
"label_type": "手术",
"overlap": null,
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"text": "回肠造瘘还纳"
},
{
"end_pos": 445,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 439,
"text": "回肠造瘘术后"
}
] | 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:{1年余前由于“发热、腹痛、腹胀”就诊我院，经检查诊断“消化道穿孔、急性弥漫性腹膜炎”，于2015-11-19在全麻上行“剖腹探查术+腹腔粘连松解+末端坏死回肠切除+回肠造瘘术+横结肠蘑菇管造瘘术+腹腔引流术”，术中见：腹腔内黄色粪水约2000ML，腹腔粘连明显，小肠与腹壁、盲肠、横结肠、乙状结肠等多发粘连，小肠屈曲互相粘连明显，大部分空回肠充血、水肿较明显，表面布满脓胎及粪渣，部分回肠肠管扩张明显，较大者至5CM，予分离理顺肠管，见大部分小肠至横结肠水肿扩张明显，未及明显肿物，距回盲部10CM处一末端回肠肠壁一大小约3.0*2.0肠壁糜烂、坏死、穿孔，内见粪水溢出，横结肠中段对系膜侧见一大小1.5CM穿孔，穿孔周边肠壁组织片状糜烂、发黑，横结肠中远段及近脾曲系膜侧各见一大小约1*1CM穿孔，内见粪水溢入腹腔，降结肠、乙状结肠及部分下段直肠未见明显肿物及穿孔。术后恢复尚可，腹部造瘘排便通畅，食欲良好，无恶心、呕吐，无发热、畏冷等不适，今为“回肠造瘘还纳”入院，门诊拟“回肠造瘘术后”收住院。自下次出院以来，精神、睡眠一般，食欲尚可，大便如下述，小便正常，体重无明显增减。} | |
[
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 12,
"text": "右上腹"
},
{
"end_pos": 66,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "右上腹"
},
{
"end_pos": 92,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 89,
"text": "WBC"
},
{
"end_pos": 110,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 107,
"text": "NEU"
},
{
"end_pos": 175,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 167,
"text": "造口旁疝并肠梗阻"
}
] | 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天前负重劳作后于右上腹造口旁可触及一包块，约碗口大小，包块质软，可还纳，站立时突出，卧位时缓解；伴疼痛，呈持续性绞痛；右上腹造口停止排便排气。就诊于我院急诊，，查血示：，WBC：15.33*10^9/L，，NEU：93.10*10^9/L，余无明显异常。给予禁饮食、胃肠减压及抗感染等对症支持治疗，有所好转，请***会诊，考虑造口旁疝并肠梗阻可能。为行进一步治疗转入我科。患者自发病以来，未饮食，睡眠欠佳，小便未见异常，体重未见明显减轻。} | |
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},
{
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"text": "腹"
},
{
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"text": "胃窦中-低分化腺癌"
},
{
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"label_type": "手术",
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"text": "腹腔镜探查，腹腔热灌注化疗"
},
{
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"text": "紫杉醇"
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"text": "胃窦"
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"text": "腹"
},
{
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"text": "腹"
},
{
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"text": "奥沙利铂"
},
{
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"text": "胃窦幽门区"
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"text": "胃"
},
{
"end_pos": 362,
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"start_pos": 360,
"text": "胆囊"
},
{
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"text": "胰腺"
},
{
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},
{
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"text": "胰头"
},
{
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},
{
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"text": "腹"
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{
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"text": "两上肢"
},
{
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},
{
"end_pos": 555,
"label_type": "解剖部位",
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"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:{，患者于2014年7月出现腹胀，伴有反酸、嗳气，无腹痛、呕血、黑便、乏力等症状。2015-1行胃镜检查提示胃窦溃疡浸润型病变，病理示胃窦中-低分化腺癌。LAUREN 肠型。2015-1-16全麻上行腹腔镜探查，腹腔热灌注化疗，方案为单药紫杉醇450MG，温度 430C，循环速度 400ML/MIN，，时间：30MIN。于2015-1-28开始行SOX方案化疗4周期。2015-5-14行腹腔镜探查，术中见肿瘤位于胃窦，侵透浆膜层，腹腔内未见明确转移灶，细胞学回报可见癌细胞，遂行腹腔热灌注化疗，方案为奥沙利铂+紫杉醇续灌。2015-5开始继续行第5-6周期SOX方案化疗，末次化疗时间为2015-5-19。6，周期后复查：2015-7-13，腹盆腔CT比较：胃窦幽门区胃壁增厚程度大致同前，较厚处现约19MM，病变区与胆囊及胰腺分界稍模糊，向上累及幽门管。胃周及胰头后方多发肿大淋巴结部分较前略增大，如较大原约17X10MM，现约24X11MM。大网膜脂肪密度略增高。2015-8-31目前放疗共25次，监测血常规提示WBC、PLT I度减少，预计2015-9-9放疗结束。目前进食后腹胀，两上肢麻木，排黄色稀便4-6次/天，小便正常。2015年10月20日再次腹腔镜探查紫杉醇并奥沙利铂腹腔化疗后，自觉手足麻木。复查血液肿瘤标志物升高。} | |
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{
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{
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"text": "子宫"
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"text": "两侧输卵管"
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"text": "泰素"
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"text": "伯尔定"
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{
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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:{，患者2012年6月前无诱因出现腹胀，且逐渐加重，偶尔感腹痛，能忍受。近一月感胸闷，以运动及平卧示明显，无胸痛。9月10日到我院门诊就诊，CT，示：两侧附件区囊实性肿物，考虑卵巢癌可能性大，未除外种植性转移。腹膜，网膜不均匀增厚及肠系膜多发结节，考虑种植转移，肝缘虫蚀状改变，可疑肝转移，左上肺斑片灶及磨玻璃改变，2012.9.10，于B超引导上盆腔肿物穿刺活检病理提示：低分化腺癌，2012.9.21及2012.10.16给予TC方案化疗二程。无明显不适。2012.11.22于全麻上行广泛全子宫+两附件切除术+盆腔淋巴结清扫+腹主动脉旁淋巴结清扫+大网膜切除+肠粘连松解+直肠部分切除端端吻合术+阑尾切除术+腹腔热灌注化疗（卡铂600MG）+腹腔置管引流术。术程顺利，术后患者恢复较好。，术后病理提示：全子宫+两附件），镜上：子宫后壁见少量间皮细胞呈结节状增生；两侧卵巢及子宫壁见子宫内膜异位；两侧输卵管粘膜慢性炎；宫颈粘膜慢性炎；萎缩性宫内膜。2012.12.1-2013.3.13各给予泰素+伯尔定化疗3程。化疗耐受可。今日返回就诊，遵主诊教授意见入院化疗，起病以来，患者精神、胃纳、睡眠可、大小便正常。} | |
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},
{
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"text": "贲门"
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"text": "胃"
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"text": "慢性浅表性-萎缩性胃炎伴糜烂"
},
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"text": "十二指肠球炎"
},
{
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"text": "（胃）非霍奇金淋巴瘤，弥漫大B细胞淋巴瘤"
},
{
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"text": "长春地辛"
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{
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"text": "利妥西单抗"
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"text": "环磷酰胺"
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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:{，患者于2013-01无明显诱因出现后背部酸痛，伴进食梗咽感，伴嗳气、反酸、烧心，未予诊治。2013-01-28于进食后出现梗咽感加重，行胃镜检查示贲门胃底底部可见环周状隆起，粘膜组织表面溃烂，少量出血，质脆有新鲜出血少量；慢性浅表性-萎缩性胃炎伴糜烂，十二指肠球炎。，我院病理会诊：（胃）非霍奇金淋巴瘤，弥漫大B细胞淋巴瘤。，免疫组化结果显示：BCL-6(+),CD10(+),CD20(+),CD3(-),CD5(-),CYCLIN D1(-),EBER(-),MUM1(-),CD56(-),CGA(-),CK(-),KI67(+80%),LCA(+),MAP2(-),NSE(-),SYN(-)。完善分期检查，2013-2-28至2013-3-3给予长春地辛预处理，2013-3-6开始R-CHO方案免疫化疗4周期，考虑患者年龄较大，故化疗剂量减量25%，，具体为：利妥西单抗375MG/M2 600MG（D1），环磷酰胺800MG（分D2-3），吡柔比星60MG（分D2-3），长春地辛 1MG（D2-5）。2周期评效为CRU；本次为行第5周期化疗入院，自发病以来，无发热、盗汗，精神、睡眠尚可，食欲欠佳，小便正常，大便干燥，体重上降3KG。} | |
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},
{
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"text": "门齿"
},
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"text": "锁骨下"
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"text": "超声"
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"text": "食管"
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"text": "右锁骨下淋巴结"
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"text": "骨髓抑制II度"
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{
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"text": "紫杉醇"
},
{
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"text": "顺铂"
}
] | 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:{，4月余前患者于我院行胃镜检查时发现食管距门齿31-33CM肿物，活检病理示低分化鳞癌，患者无吞咽困难、反酸烧心、吞咽疼痛等不适，，胸CT示：食管胸上段可疑管壁增厚（较厚约8MM），双侧腋上多发小淋巴结。，腹部CT示：两肾囊肿，，全消化道钡餐：食管癌（胸中段 肿块型）；胃癌术后改变；小肠功能较快，考虑胃肠功能紊乱。，浅表淋巴结B超示：右锁骨下占位（3.0×1.7×2.1CM），考虑M。行行超声引导上右锁骨下淋巴结穿刺活检，，病理：低分化鳞状细胞癌。于2009-10-12给予食管原发灶及锁骨下区域放疗，DT 66GY/33F），并予同步化疗（紫杉醇45MG/M^2/W 75MG，6W）及右锁骨下淋巴结浅部热疗（2/W，3W）。放疗食管粘膜反应II度，皮肤粘膜反应II度，骨髓抑制II度，，评效：PR。给予紫杉醇+顺铂方案化疗2周期，现为行进一步治疗入院，患者自发病以来患者精神好，进食可，二便正常，体重无明显改变。} | |
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},
{
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{
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"text": "前列腺癌"
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{
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"text": "全麻上前列腺癌根治术"
},
{
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"text": "前列腺"
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{
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},
{
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"text": "前列腺双叶"
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"text": "前列腺"
},
{
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"text": "两侧精囊腺"
},
{
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"text": "闭孔淋巴结"
},
{
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"overlap": null,
"start_pos": 346,
"text": "腰腹部"
},
{
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"text": "骨"
},
{
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"text": "PSA，PSA"
},
{
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"text": "FPSA"
},
{
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"text": "TPSA"
},
{
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"text": "PET-CT"
},
{
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"overlap": null,
"start_pos": 476,
"text": "胸"
},
{
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"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2012年12月因体检发现膀胱肿瘤在我科住院治疗，，住院期间行B超检查示：前列腺左侧叶内腺稍高回声团，前列腺左侧叶内腺稍高回声团，未除外前列腺癌可能，建议活检。，查前列腺特异性抗原示：TPSA 11.69NG/ML，FPSA 1.54NG/ML。后于2012-12-27日行B超引导上经直肠前列腺穿刺活检术，术后病理示前列腺腺癌，GLEASON评分3+3=6分。2013-02-07我院行全麻上前列腺癌根治术，，术后病理示：（前列腺大体）镜检为前列腺腺癌，GLEASON评分3+3=6分，癌组织侵犯神经束；未见明确脉管内癌栓；癌组织侵犯前列腺双叶，并侵犯至前列腺外脂肪组织中；两侧精囊腺未见癌。闭孔淋巴结0/9未见癌。术后分期为PT3AN0M0，III期。现患者术后恢复可，近期无血尿、腰腹部胀痛等不适，无伴骨痛。术后定期复查PSA，PSA持续缓慢升高，，2014-06最高为FPSA:0.017,，TPSA:0.24.，2014-07-01复查PET-CT:未见复发。今为行放疗入院。患者发病以来,精神好,饮食睡眠佳,无发冷发热，无咳嗽、咳痰、胸痛及心慌气短，大、小便如下所述，体重无减轻。} | |
[
{
"end_pos": 30,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 28,
"text": "肛门"
},
{
"end_pos": 48,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 42,
"text": "肝脏多发转移"
},
{
"end_pos": 68,
"label_type": "手术",
"overlap": null,
"start_pos": 60,
"text": "直肠癌根治性手术"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 75,
"text": "直肠腺癌II级"
},
{
"end_pos": 100,
"label_type": "解剖部位",
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"start_pos": 95,
"text": "盆腔淋巴结"
},
{
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"text": "肝多发转移"
},
{
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"label_type": "手术",
"overlap": null,
"start_pos": 172,
"text": "肝脏病灶射频消融"
}
] | 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月前无明显诱因出现便血，，外院肠镜检查提示：距肛门8CM肿物，腹部B超提示肝脏多发转移，2009-11-12行直肠癌根治性手术，，手术病理：直肠腺癌II级，侵及浆膜外，切缘（-）,盆腔淋巴结转移5/10,术后给予FOLFOX方案化疗9周期，，末次化疗：2010-6-11，，定期复查提示：肝多发转移病灶较前增大，2010-7-29给予肝脏病灶射频消融治疗，现为行复诊入院。患者自发病来，饮食睡眠可，大小便正常，体重无明显降低。} | |
[
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"text": "胃癌"
},
{
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"label_type": "手术",
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"text": "姑息性全胃切除术+横结肠切除术"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
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"text": "胃低分化腺癌"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 70,
"text": "结肠"
},
{
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"label_type": "疾病和诊断",
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"text": "转移性低分化腺癌"
},
{
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"label_type": "药物",
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"text": "奥沙利铂"
},
{
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"text": "S-1"
},
{
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"text": "腹"
},
{
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"label_type": "手术",
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"text": "胆管置管减压外引流、输尿管支架植入术"
},
{
"end_pos": 262,
"label_type": "药物",
"overlap": null,
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"text": "伊立替康"
},
{
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"text": "希罗达"
},
{
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"text": "剖腹探查术"
},
{
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"text": "腹"
},
{
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"label_type": "手术",
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"text": "肠粘连松解术+空肠-空肠侧侧吻合术+回肠-乙状结肠侧侧吻合术+空肠营养管置入术"
},
{
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"label_type": "影像检查",
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"text": "PET-CT"
},
{
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"text": "腹"
},
{
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"text": "盆腔少量积液"
},
{
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"text": "C225"
},
{
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"text": "奈达铂"
},
{
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"text": "腹"
},
{
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"label_type": "实验室检验",
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"start_pos": 505,
"text": "RBC"
},
{
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"text": "WBC"
},
{
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"text": "腹平片"
},
{
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"text": "两侧泌尿系"
},
{
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"label_type": "手术",
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"text": "输尿管支架置换术"
}
] | 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2010年4月因“胃癌”在外院行“姑息性全胃切除术+横结肠切除术”，，术后病理示：胃低分化腺癌，侵犯至浆膜层，淋巴结2/24（+）；，结肠结节：转移性低分化腺癌，，术后分期：PT4N1M1 IV期。术后于2010.5.13-2010.8.18行奥沙利铂+S-1方案化疗8程。化疗后行腹部放疗（具体不详）。2011年7月开始出现吞咽困难、呕吐、皮肤巩膜黄染，2011年12月初因肿瘤压迫，于**行胆管置管减压外引流、输尿管支架植入术”（具体不详），术后黄疸减退，但吞咽困难及呕吐逐渐加重。2011年9月—12月行伊立替康+希罗达方案化疗。2011.12.30行剖腹探查术，术中见全腹腔内广泛种植转移病灶，粘连严重，遂行“肠粘连松解术+空肠-空肠侧侧吻合术+回肠-乙状结肠侧侧吻合术+空肠营养管置入术”，术程顺利。2012.2.11，我院PET-CT示：腹膜腔条索影代谢略活跃，考虑转移瘤；盆腔少量积液。经内科会诊后于2012.2.13-4.12行C225+奈达铂+ABRAXANE方案化疗5程,过程顺利。2012.4.10前后（第5程化疗）患者出现小便色红，无尿频、尿急、尿痛及腹痛等不适，，查尿常规示：，RBC：1199UL，，WBC：186UL。，腹平片示：两侧泌尿系行程内未见明确结石。请我院泌尿科会诊建议出院后至***一院拔除D-T管，行输尿管支架置换术，患者出院后未行治疗。现为继续治疗入院，患者目前精神可，胃纳较差，睡眠尚可，二便正常，近期体重增加约0.5KG。} | |
[
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"overlap": null,
"start_pos": 2,
"text": "下腹"
},
{
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"text": "右下腹"
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{
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"text": "腹"
},
{
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"text": "胰尾部肿瘤"
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{
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"text": "CEA"
},
{
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"text": "CA199"
},
{
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"text": "胰尾+脾+部分结肠切除术"
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{
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"text": "脾脏"
},
{
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"text": "结肠脾曲"
},
{
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"label_type": "疾病和诊断",
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"text": "高分化粘液性囊腺癌"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "肠"
},
{
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"label_type": "解剖部位",
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"text": "脾脏"
},
{
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"overlap": null,
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"text": "CA199"
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{
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"label_type": "影像检查",
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"text": "CT"
},
{
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"text": "腹"
},
{
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"label_type": "药物",
"overlap": null,
"start_pos": 185,
"text": "吉西他滨"
},
{
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"label_type": "影像检查",
"overlap": null,
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"text": "腹CT"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 221,
"text": "胃底"
},
{
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"label_type": "解剖部位",
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"start_pos": 224,
"text": "右肾"
},
{
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"overlap": null,
"start_pos": 238,
"text": "CA199"
},
{
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"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:{，“下腹不适3月”，2015.3发现右下腹腹膜后不规则软组织影，胰尾部肿瘤，CEA 8.83，CA199>1000，2015-3-19行胰尾+脾+部分结肠切除术，5X5X5CM，侵犯部分脾脏及结肠脾曲，，术后病理：高分化粘液性囊腺癌，侵犯肠壁至粘膜上层，脾脏可见受侵，1/6。术后，CA199:73，当地建议观察，渐升至>1000,未行CT，轻度腹胀，2015-7-6起吉西他滨*2，末次2015-8-03。我院会诊2015.8.17腹CT示胃底与右肾见51*33MM占位，，CA199:7304。腹胀略加重，体重术后上降约3KG。} | |
[
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 13,
"text": "结肠癌"
},
{
"end_pos": 29,
"label_type": "手术",
"overlap": null,
"start_pos": 17,
"text": "腹腔镜上乙状结肠癌根治术"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 39,
"text": "腹"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 65,
"text": "乙状结肠中分化腺癌"
},
{
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"label_type": "影像检查",
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"text": "CT"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
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"text": "右侧髂血管旁淋巴结转移"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 226,
"text": ",CA199"
},
{
"end_pos": 241,
"label_type": "药物",
"overlap": null,
"start_pos": 238,
"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:{，2014-2-24因发现结肠癌行腹腔镜上乙状结肠癌根治术，，术中见：肿物位于腹膜返折以下，大小约2.8*5.5CM。，术后病理：乙状结肠中分化腺癌，侵透固有肌层达浆膜上脂肪组织；切缘（-）；淋巴结转移10/31；未见脉管癌栓及神经侵犯。，免疫组化：MSI IHC(+);MSH-2(+);KSH(+);PMS-2（+）;KRAS突变型。术后恢复可。术后XELOX方案8周期。末次化疗2014.8.定期复查,2016.2复查CT示右侧髂血管旁淋巴结转移,CA199升高。现口服希罗达化疗约2周期停药.。} | |
[
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 16,
"text": "CA199"
},
{
"end_pos": 36,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 31,
"text": "CA153"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 46,
"text": "CEA"
},
{
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"label_type": "影像检查",
"overlap": null,
"start_pos": 62,
"text": "胸部CT"
},
{
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"text": "左肺上叶"
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{
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{
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{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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{
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{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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"text": "甲状腺两侧叶"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 298,
"text": "子宫切除术后"
},
{
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"text": "肝"
},
{
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"text": "胆"
},
{
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"text": "胰腺"
},
{
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},
{
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"text": "脾"
},
{
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"text": "门静脉"
},
{
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},
{
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"text": "两肾"
},
{
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"text": "两输尿管"
},
{
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"text": "膀胱"
},
{
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"text": "盆腔"
},
{
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"label_type": "疾病和诊断",
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"text": "腹主动脉粥样硬化"
},
{
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"label_type": "解剖部位",
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"start_pos": 399,
"text": "胸背部"
},
{
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"label_type": "疾病和诊断",
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"text": "左上肺周围型肺癌并两肺、右锁骨远端、左锁骨头、左肩胛骨、颈椎、胸椎、多发肋骨转移可能性大"
}
] | 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:{，缘于入院前4日天于我院体检，行CA19912.21U/ML，CA15337.22U/ML，CEA949.50NG/ML↑。胸部CT平扫+，增强：1.左肺上叶肿块，考虑周围型肺癌，并纵隔内多发肿大淋巴结；2.两肺多发小结节，考虑转移瘤；3.右侧锁骨远端、左侧锁骨头、左侧肩胛骨、多个颈椎、胸椎、肋骨多处类圆形致密影或骨质破坏，考虑转移瘤；4.余两肺慢性炎症，建议治疗后复查。颈椎，MRI：1.扫描区颈3、4、5、7、胸4椎体及附件多发病变并颈3、胸4椎体病理性压缩性骨折，为转移瘤可能，建议进一步检查；2.颈椎、椎间盘退行性变，多发椎间盘轻度膨出；3.扫描区甲状腺两侧叶稍增大。，女全腹彩超：1.子宫切除术后；2.肝、胆、胰腺及腹膜后所见部分、脾、门静脉及上腔静脉所见部分、两肾、两输尿管、膀胱及盆腔所见部分未见明显占位性病变；3.腹主动脉粥样硬化声像改变。无咳嗽、咳痰、咯血，无气促、呼吸困难，无胸背部疼痛，无恶心、呕吐等不适，今为进一步治疗，就诊我科，门诊拟“左上肺周围型肺癌并两肺、右锁骨远端、左锁骨头、左肩胛骨、颈椎、胸椎、多发肋骨转移可能性大”收住入院，发病来，患者精神尚可，睡眠尚可，食欲尚可，大小便正常，体重无明显改变。} | |
[
{
"end_pos": 21,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "右大腿"
},
{
"end_pos": 61,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 43,
"text": "浅表扩散型恶性黑色素瘤伴局灶溃疡形成"
},
{
"end_pos": 95,
"label_type": "影像检查",
"overlap": null,
"start_pos": 87,
"text": "全身PET-CT"
},
{
"end_pos": 146,
"label_type": "手术",
"overlap": null,
"start_pos": 121,
"text": "上肢皮肤肿瘤扩大切除术+右侧腹股沟前哨淋巴结活检术"
},
{
"end_pos": 160,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 152,
"text": "恶性黑色素瘤转移"
},
{
"end_pos": 174,
"label_type": "药物",
"overlap": null,
"start_pos": 171,
"text": "干扰素"
},
{
"end_pos": 179,
"label_type": "药物",
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"text": "IL-2"
},
{
"end_pos": 206,
"label_type": "手术",
"overlap": null,
"start_pos": 195,
"text": "右侧腹股沟淋巴结清扫术"
}
] | 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2016-03-09因“先天性右大腿黑斑，破溃1月”行局部切除术，，术后病理示：浅表扩散型恶性黑色素瘤伴局灶溃疡形成，BRESLOW厚度约2MM。2016-03-16行全身PET-CT检查示未见明确转移征象。2016-03-31全麻上行上肢皮肤肿瘤扩大切除术+右侧腹股沟前哨淋巴结活检术，术后病理示恶性黑色素瘤转移（1/4）。后行低剂量干扰素及IL-2治疗1月。2016-05-11行右侧腹股沟淋巴结清扫术，，术后病理示：清扫淋巴结13枚，其中10枚见少量个别吞噬黑色素的组织细胞，未见肯定肿瘤转移，纤维脂肪组织内见异物肉芽肿。门诊咨询。} | |
[
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"overlap": null,
"start_pos": 25,
"text": "胃体小弯低分化腺癌，伴印戒细胞癌"
},
{
"end_pos": 56,
"label_type": "影像检查",
"overlap": null,
"start_pos": 54,
"text": "CT"
},
{
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"label_type": "解剖部位",
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"text": "胃体"
},
{
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"label_type": "疾病和诊断",
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"start_pos": 78,
"text": "胃癌"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 81,
"text": "胃"
},
{
"end_pos": 100,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 94,
"text": "盆腔少量积液"
},
{
"end_pos": 118,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 115,
"text": "左卵巢"
},
{
"end_pos": 145,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 139,
"text": " 中性粒细胞"
},
{
"end_pos": 208,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 207,
"text": "胃"
},
{
"end_pos": 223,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 211,
"text": "低分化腺癌，伴印戒细胞癌"
},
{
"end_pos": 276,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "紫杉醇"
},
{
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"overlap": null,
"start_pos": 277,
"text": "替吉奥"
},
{
"end_pos": 312,
"label_type": "手术",
"overlap": null,
"start_pos": 297,
"text": "根治性全胃切除,空肠营养管置入"
},
{
"end_pos": 334,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 319,
"text": "胃低分化腺癌,部分为印戒细胞癌"
},
{
"end_pos": 352,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 351,
"text": "胃"
},
{
"end_pos": 361,
"label_type": "解剖部位",
"overlap": null,
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"text": "食管"
},
{
"end_pos": 397,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 396,
"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:{，因进食不畅半年，2015-07-09，外院胃镜：胃体小弯低分化腺癌，伴印戒细胞癌。2015-07-18外院CT示胃体部胃壁增厚，考虑BORRMANN 4型胃癌。胃周多发淋巴结，性质待定。盆腔少量积液。2015-07-24，超声：左卵巢可疑饱满。化验肿标正常。2015-7-23 中性粒细胞绝对值 1.23*10^9/L2015-07-29本院FISH检测HER2基因无扩增。2015-07-30，本院病理会诊:（胃活检）低分化腺癌，伴印戒细胞癌，，LAUREN：弥漫型；，免疫组化：HER2(1+),CK(+)。2015-8-7始我院消化内科行紫杉醇+替吉奥化疗4周期.2015-11-24行根治性全胃切除,空肠营养管置入.，术后病理:胃低分化腺癌,部分为印戒细胞癌,LAUREN，分型:弥漫型.侵及胃壁浆膜层,累及食管,脉管癌栓及神经侵犯,淋巴结1/17.分期PT4AN1.化疗期间曾出现腹腔感染。拟于术后3月行辅助化疗。家属代诊，现患者体质弱，夜间有饥饿感，进食偶有呕吐，乏力肢痛，引流管周围稍有红肿，偶有发热38度，睡眠、大小便可。} | |
[
{
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"start_pos": 14,
"text": "直肠癌根治术"
},
{
"end_pos": 39,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 29,
"text": "直肠溃疡型中分化腺癌"
},
{
"end_pos": 69,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 61,
"text": "肠系膜淋巴结转移"
},
{
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"overlap": null,
"start_pos": 127,
"text": "肛门"
},
{
"end_pos": 135,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 133,
"text": "直肠"
},
{
"end_pos": 146,
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"start_pos": 142,
"text": "盆腔CT"
},
{
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"overlap": null,
"start_pos": 171,
"text": "左侧髂血管"
},
{
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"text": "肛门"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 214,
"text": "中分化腺癌"
},
{
"end_pos": 272,
"label_type": "药物",
"overlap": null,
"start_pos": 269,
"text": "希罗达"
},
{
"end_pos": 308,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 303,
"text": "肝多发转移"
},
{
"end_pos": 366,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 365,
"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:{，2009-10-2于外院行直肠癌根治术，，手术病理回报：直肠溃疡型中分化腺癌，侵透全层达周围脂肪组织，淋巴结转移2/9（肠系膜淋巴结转移2/4），术后给予辅助化疗6周期，未行术后放疗，此后定期复查，未见明显复发转移，3月前患者出现排便不畅，伴小便不畅，肛门指诊提示直肠肿物，固定，，盆腔CT提示：吻合口左侧壁增厚，19MM，增强后明显强化，左侧髂血管旁肿大淋巴结，，肠镜提示：距肛门5-7CM吻合口肿物，固定，，活检病理回报：中分化腺癌。2011年9月14日于我院放疗科行术前放化疗，50.6GY CTV 41.8GY/22F，同期给予希罗达825MG/M2 BID D1-D5/W。3周前于我科检查发现肝多发转移，遂行“XELOX”化疗，今为行进一步化疗入院。患者自发病来，饮食睡眠可，体重无明显减轻，小便有排不尽感，大便伴有腹胀、量少、排便不尽感。} | |
[
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"overlap": null,
"start_pos": 22,
"text": "阴道"
},
{
"end_pos": 35,
"label_type": "解剖部位",
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"text": "宫颈"
},
{
"end_pos": 61,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 48,
"text": "（宫颈）中度分化鳞状细胞癌"
},
{
"end_pos": 100,
"label_type": "解剖部位",
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"start_pos": 99,
"text": "腹"
},
{
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"text": "腹"
},
{
"end_pos": 141,
"label_type": "手术",
"overlap": null,
"start_pos": 129,
"text": "经胸腔镜上肺部肿物活检术"
},
{
"end_pos": 150,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 148,
"text": "肺部"
},
{
"end_pos": 183,
"label_type": "手术",
"overlap": null,
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"text": "宫颈癌根治术加两附件切除术"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 190,
"text": "宫颈中-低分化鳞状细胞癌"
},
{
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"start_pos": 205,
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},
{
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"overlap": null,
"start_pos": 208,
"text": "宫颈管"
},
{
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"label_type": "药物",
"overlap": null,
"start_pos": 260,
"text": "泰素"
},
{
"end_pos": 300,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 299,
"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:{，患者平素月经规律，5年前绝经，2年前始出现阴道不规则出血，，外院宫颈活检病理结果经我院会诊示：（宫颈）中度分化鳞状细胞癌。未除外伴有腺样分化的可能。现入院进一步治疗，患者自起病以来，无恶心呕吐，无腹痛腹泻，无尿频尿急，自诉有漏尿现象。于2012-3-5日行经胸腔镜上肺部肿物活检术，术后病理提示肺部肿物非恶性肿瘤。于2012-3-15日行宫颈癌根治术加两附件切除术，，术后病理：宫颈中-低分化鳞状细胞癌，累及宫颈及宫颈管深肌层，入5010序贯放化疗组，放疗约至5月8日至5月10日。于2012-3-30予TP方案化疗（泰素270MG+DDP110MG）一程，过程顺利。今入院化疗。无畏寒发热，精神胃纳食欲可，大小便正常，体重无明显上降。，外院治疗经过:无。} | |
[
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{
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},
{
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},
{
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},
{
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{
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},
{
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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:{，患者3月前出现间断便血，，外院肠镜提示：，直肠占位活检病理会诊：中分化腺癌，完善分期检查，CT3N+M0.术前放化疗，2016-5-3至2016-5-25 GTV 51GY CTV 40.8GY/34F BID D1-D5/W，患者诉大便较次数较前增多十余次/天，腹泻2度，恶心1度，乏力1度，皮肤反应1度，泌尿系1度，白细胞减低1度，中性粒细胞减低I度。2016年7月27日行手术治疗，低位前切除，回肠造瘘。（直肠），放化疗后切除：- 肠壁内未见癌残留，- 可见间质纤维化及大量慢性炎细胞浸润，符合治疗后反应，NCCN-TRG，分级：0级；- 肠系膜淋巴结未见癌转移（0/2）；-（近端）及（远端）均未见癌。} | |
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{
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{
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{
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},
{
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"text": "乙状结肠"
},
{
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"text": "肝"
},
{
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},
{
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},
{
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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:{患者2012年01月因 \"便血\"收入我科，术前检查诊断横结肠癌，于2012.1.30在全麻上行横结肠癌根治术+大网膜、盆底结节切除术，术后恢复顺利。术后病理示：横结肠中分化腺癌浸润肠壁浆膜层外脂肪组织，淋巴结0/27转移，大网膜结节、乙状结肠壁结节、盆底结节中见腺癌侵润。分期PT4AN0M1A IV期。术后于2012-2-17起行XELOX方案化疗7程，过程顺利。因肝功能损害，于**三院行护肝治疗中。现为继续治疗入院。患者近来诉有手指尖麻木，局部皮肤无破溃，右脚拇指破溃愈合中，精神可，纳眠可，小便无异常，体重无明显上降。} | |
[
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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{
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},
{
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},
{
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},
{
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},
{
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},
{
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{
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{
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},
{
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},
{
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{
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{
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{
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},
{
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},
{
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},
{
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"text": "膀胱切除回肠代膀胱术后"
},
{
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},
{
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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:{，2008-1于我院胃肠外科行胃癌姑息切除术后+远端胃大部切除+淋巴结清扫术，，术后病理：胃体胃窦小弯侧溃疡型粘液腺癌，侵透胃壁全层，淋巴结13/27，术前4周期、术后3周期化疗，方案T+X。定期复查。\U0004\U0004 2011.3因腹胀，考虑腹腔复发,重复PTX+X化疗4周期，末次化疗7-1.口服希罗达维持治疗至8.1后停药。腹胀加重，肿瘤标志物明显升高，复查CT可见腹水，肠系膜增厚。已行PTX+XELODA再次化疗7周期，自觉症状好转。，AE:HFS2度，复查CT提示腹膜轻度增厚，少量腹水.\U0004\U0004 2011.10，肿瘤标志物提示CEA、CA72.4较前明显上降，CA199、CA242明显升高，患者自觉症状较前明显好转，HFS已恢复正常。口服TS-1单药化疗后1周期后肿瘤标志物上降，但第2周期后复查肿瘤标志物CEA、CA199、CA72.4均较前明显升高。2012.2.7改为PTX+S-1化疗，无明显不适。第8天化疗因血尿停药。考虑尿路感染，抗炎治疗后，复查尿常规肾功正常，2012.3.，1北大一院CT:膀胱切除回肠代膀胱术后，吻合口及带膀胱回肠壁增厚。颈部B超（-）。\U0004\U0004 现小便正常。复查血常规、生化未见特殊异常，拟行开始化疗。} | |
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{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 10,
"text": "降结肠中分化腺癌"
},
{
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"text": "乙状结肠癌根治术"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 40,
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},
{
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},
{
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"text": "头"
},
{
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},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 159,
"text": "CA724"
},
{
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"text": "CEA"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "腹"
},
{
"end_pos": 258,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 256,
"text": "左手"
}
] | 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:{因便潜血阳性检查诊断降结肠中分化腺癌。2012-5-15我院行乙状结肠癌根治术，溃疡型中低分化腺癌伴粘液腺癌，肠壁全层，未侵透浆膜层，无脉管癌栓，1/22，切缘阴性。MLH1（+），MSH2（+）。2012-6-12始XELOX*6，末次2012-9-25。第5周期化疗因头晕、食欲差等不良反应希罗达停服4日。化疗期间CA724进行性增高（2012-7-2：12--19.54--（2012-8-9）22.86) CEA 5.08，2012-09-19 7.71。\U0004\U0004 目前患者仍有腹部隐痛，左手麻木，进食可，大小便正常，体重稳定。} | |
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},
{
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},
{
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},
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{
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{
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"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2016-10因下腹不适外院胃镜发现食管粘膜病变，胃窦隆起性病变。，病理胃窦：慢性中度浅表性炎、急性活动（中度）。，食管粘膜：高级别下皮内瘤变。2016-10-18食管黏膜病变EPMR术，，术后病理：（食管）鳞形细胞癌，分化II～III级，癌组织浸润粘膜上层，因送检组织破碎，无法评估侧切缘情况，基底切缘未见病变累及。免疫组化(2016-N20634)2+3，号蜡块:DES(粘膜肌+),KI67(60%阳性),P16(-),P53(++)。患者术后因食管狭窄，分别于2016-11-11、2016-12-6、2017-5-24于我院行三次内镜上食管扩张术，现为求进一步治疗，收入我科。患者自发病以来精神可，胃纳可，夜眠可，二便无殊，体重无明显降低。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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:{影像学提示肝多发占位，宫颈占位考虑恶性至宫旁。2015-12-17肝穿刺病理免疫组化结果支持为低分化癌浸润肝组织，结合病史考虑妇科肿瘤转移至肝脏。宫颈肿物凝血块及纤维组织内可见腺癌伴坏死及挤压退变。2015-12-28介入科行子宫动脉栓塞，2015-12-30我院妇科行两附件切除+腹盆腔淋巴结清扫，术后病理：右附件卵巢组织内可见脉管癌栓；输卵管管壁可见脉管癌栓；淋巴结可见癌转移14/39。2016-1-15、2-5行TP化疗2程。2-29行第3周期化疗，2016-3-4至4-14行放疗，GTVND（腹盆LN）60GY/CTV（L1-外阴）45GY/25F，后装腔内放疗4次，A点剂量28GY/4F/4W。4-19和6-1行第4、5周期化疗。2016.5复查宫颈、淋巴结及肝脏病灶均明显缩小。瘤标基本降至正常。白细胞低上3度，当地升白治疗。现基本回复正常。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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:{，患者既往月经规律。2年前无明显诱因出现间断接触性阴道出血，量不多，色鲜红，可自止，未在意未就诊。2月前出现阴道排液增多，似水样，1月前阴道排液伴腥臭，无不规则阴道出血、上腹疼痛、腰部酸痛等其他不适。2014-6-10于外院行阴道镜检查，见宫颈增大，可疑浸润癌，阴道穹窿变浅，前后穹窿消失，前穹窿及右侧穹窿顶端可及质硬结节，取宫颈活检，考虑为鳞癌。行盆腔MR示子宫颈粘膜增厚，以前唇明显，信号欠均匀，符合宫颈癌表现。未行任何治疗。于2014.6.27入住我院，病理会诊结果同前，于7.2行腹腔镜上宫颈癌根治术+两侧卵巢悬吊术。，术后病理：宫颈中至低分化鳞状细胞癌，浸润宫颈及宫颈管浅肌层；，阴道残端右：粘膜鳞状下皮重度不典型增生，原位癌变。，阴道残端前：部分下皮细胞细胞核深染，考虑有间质浸润，考虑为癌可能性大，余未见癌。诊断为宫颈低分化鳞状细胞癌IIA1期，于7月8日、7月31日予以术后辅助 化疗，方案为力扑素210MG+顺铂90MG。化疗过程顺利。末次化疗后患者未规律复查血常规，曾查白细胞低至3.5×109/L。为进一步诊治，收入我院。起病以来，患者一般情况可，睡眠、食欲稍差，二便正常，体重无明显变化。，外院治疗经过:无。} | |
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{
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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:{，患者4个月前因停止排便、排气、腹痛，，于我院行结肠镜及CT检查：升结肠癌，伴肝转移。因肠梗阻2012-9-21于我院肿瘤外科行左半结肠切除术，，术中见：腹腔内见少量浆液性腹水，肝脏可触及多发结节样肿物，以左后叶为主，肿物位于升结肠近回盲盲部，肿物巨大环周，肿物近侧全小肠扩张肠壁水肿。，术后病理：进展期回盲部癌，浸润溃疡型，高及中分化管状腺癌，断端无癌，淋巴结未见转移癌，癌结节1枚，DUKES分期D期，，病理号：142155。术后腹痛症状消失，排便及排气正常。于2012-10-22住我科后，行MFORFOX方案化疗4周期，，具体为：奥沙利铂（乐沙定）200毫克D1；氟尿嘧啶4200毫克D1；亚叶酸钙300毫克D1。第二周期开始联合贝伐单抗（安维汀）465毫克。化疗后出现Ｉ度胃肠反应。目前患者为继续治疗入我科。现无腹痛及其他部位疼痛，病来无发热，轻度腹泻，小便正常，睡眠一般，饮食一般，无腹部及其他部位疼痛，近1个月来体重减无变化，KPS评分90分。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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“便血伴腹泻5月”入院，经肠镜及病理检查确诊乙状结肠腺癌，子宫肿物，卵巢囊肿。影像学分期为CT4N0M0，II期。2011年12月23日全麻上行DIXON术+子宫肌瘤剔除术，术后恢复良好。病理示：乙状结肠中分化腺癌，浸润至外膜层，淋巴结1/14（+），PT4AN1M0，IIIB，子宫腺肌症。免疫组化提示微卫星稳定。2012-1-11至2012-5-17予XELOX方案化疗6周期，过程顺利，无明显副反应。患者现为进一步检查入院。自出院以来，患者无发热、咳嗽、身目黄染，无骶部痛等，精神可，纳眠可，小便无异常，体重上降不明显。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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+月前因宫颈癌IIA期在我院行经腹广泛子宫+两附件切除+盆腔淋巴清扫术。手术顺利，术后病理示（宫颈）中-低分化腺癌，菜花型，肿瘤切面积1.6*0.8CM，浸润至宫颈壁近1/2处，阴道壁断端未查见癌，右左宫旁未查见癌，右闭孔淋巴结15枚，左闭孔淋巴结9枚，右髂血管淋巴结7枚及左髂血管淋巴结4枚，其内均未查见癌。子宫平滑肌瘤；增殖期子宫内膜。（两侧）卵巢白体，输卵管粘膜慢性炎。术后恢复好，分别于2016.2.29、2016.03.19及2016.04.13行多西他赛140MG+顺铂120MG方案化疗，化疗过程顺利，副反应不重。现为求第4次化疗就诊我院，门诊以“宫颈癌术后化疗”收住院。患者自下次出院以来，饮食睡眠可，大小便正常，体重增加1.5KG。"。} | |
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{
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},
{
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},
{
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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:{，缘患者因“大便带血6月余”来我院就诊，确诊乙状结肠癌，于2017.1.6全麻上行“腹腔镜乙状结肠切除+肠粘连松解”术,，术后病理：1（肠大体）镜检为肠中至低分化腺癌，癌组织浸润至肠壁浆膜上层，可见脉管内癌栓及神经束侵犯。（近切缘）（远切缘）未见癌。LN 0/5（+）（病理科已经仔细寻找）。，免疫组化：，1A：PMMR，HER-2（2+），KI67（70%+）。术后恢复可，2017-2-13行XELOX化疗一程。近2周出现胸闷，2017-3-3，心电图：加速性房性心律，偶见窦性夺获。病人至**教授就诊，并查心肌酶，**教授示，心肌酶无明显异常，可予继续化疗，密切观察心脏情况，已向病人反复强调化疗可能加重心脏毒性，病人表示理解，仍签名要求化疗。2017-03-09、2017-03-30、2017-04-20行XELOX方案化疗3程，现为行上程化疗，按主诊教授意见收入我科。} | |
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},
{
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{
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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:{，患者既往月经规则，绝经15年，2014-01-10因“阴道流血5+月”就诊外院，妇检见宫颈肿物，遂行阴道镜上宫颈活检，，病理示：宫颈中至低分化鳞癌。诊为“宫颈癌IB2期”入******健院，因宫颈出血不止于2014-01-17行“两侧子宫动脉化疗栓塞术”，术中予5-FU0.5G+卡铂0.25G行左侧髂内动脉灌注化疗。过程顺利，无明显副反应。现为进一步治疗入我院。近1月来患者无发热咳嗽，无恶心呕吐，无腹痛腹泻，精神食欲可，睡眠良好，大小便如常，体重无明显改变。，外院治疗经过:无。} | |
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{
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},
{
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},
{
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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:{，患者2016-05单位体检CT示：右肾下腺肿物，不伴发热、腰痛、血尿等症。就诊于我院泌尿科，入院后右腰痛逐渐加重，但因妊娠暂停手术治疗。2016-05终止妊娠手术后，于2016年6月2日在全麻上行“右肾下腺巨大肿瘤切除+右肾切除+肠粘连松解术”，，术后病理示：1（右肾下腺肿瘤及右肾下腺），镜上：肾组织、肾下腺组织及肾周脂肪中见肿瘤细胞大小形态较一致，核大、深染，可见核仁，胞浆丰富，核分裂像可见，结合免疫组化结合，病变诊断为B细胞性非霍奇金淋巴瘤，符合弥漫性大B细胞淋巴瘤，非GCB亚型。2（腹主动脉上段淋巴结），镜上：送检淋巴结3枚，未见肿瘤，另于脂肪组织中见肿瘤浸润。3（腹主动脉旁淋巴结），镜上：送检脂肪组织中见肿瘤浸润。，免疫组化：KI67（60%-70%+），BCL-2（+），BCL-6（+），MUM1（+），CD10（-），CYCLIND1（-），C-MYC（5%+），，原位杂交：EBERS（-）。于2016-06-23、2016-07-19、2016-8-13、2016-9-3在我科行R-CHOP方案化疗4程，2，程治疗后疗效：PR。现患者因化疗后IV度骨髓抑制，I度恶心反应，未出现发热等症状。为求进一步治疗遂收入我科行对症支持治疗。起病以来，患者精神不佳，睡眠不佳，大小便正常，体重未见明显上降。} | |
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},
{
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"text": "直肠"
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{
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"text": "高级别下皮内瘤变"
},
{
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},
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{
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"text": "肠"
}
] | 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3月前出现粘液血便，色鲜红，大便最多6-7次/日，里急后重感明显，量少，无明显腹痛、腹胀，，外院检查示：入肛10CM直肠肿物，，活检病理示：腺瘤恶变。，就诊我院行超声肠镜示：入肛10CM全周肿物，UT4AN0M0,，活检病理示：高级别下皮内瘤变与腺癌鉴别。2014-3-31、2014-04-21行双程XELODA单药化疗双程，2014-04-21到2014-05-24同期行50GY/25F放疗，放化疗期间患者出现腹泻双天，对症处理后症状缓解。于2014-07-11全麻上行“腹腔镜上DIXON'S”，术顺，术后恢复可，，术后病理结果回示：中分化腺癌，浸润肠壁外膜层，局部区域伴纤维组织增生，结合病史，符合治疗后改变（TRG分级3级）。切缘及送检淋巴结0/10未见转移。术后2014-08-08、08-26、09-26、10-17、2014-11-07予CAPEOX化疗5程。为求上一步治疗入院。一般情况可。} | |
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"text": "咽"
},
{
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"text": "鼻"
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},
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{
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"text": "腹"
},
{
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"text": "尿酸"
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"text": "电解质"
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"text": "氯"
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"text": "急性下呼吸道感染"
},
{
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"text": "糖尿病"
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"text": "头孢呋辛"
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"text": "痰热清"
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"text": "咽"
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"text": "鼻"
},
{
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"text": "急性下呼吸道感染"
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{
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"text": "糖尿病"
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{
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"text": "糖尿病"
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{
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"label_type": "药物",
"overlap": null,
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"text": "盐酸二甲两胍缓释片"
},
{
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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2天，患者因受凉后出现以咽痛为主要表现，伴发热（具体不详）、流涕、鼻塞、咳嗽，不伴抽搐、胸痛、胸闷、恶心、呕吐、腹痛、腹泻。1天前来我院急诊科就诊，查肾功：尿酸 447.8 μmol/l ↑，电解质1：钠 138.6 mmol/l、氯 98.6 mmol/l ↓，血常规：白细胞数 19.7×10^9/L ↑、血红蛋白浓度 171 g/L、中性粒细胞百分比 84.91 % ↑、淋巴细胞百分比 10.72 % ↓，随机指血糖： 19.3 mmol/l ↑，CRP：40 mg/l ↑，考虑“急性下呼吸道感染、糖尿病”，给予“头孢呋辛抗感染、痰热清清热解毒”等治疗，今日未在发热、仍有咽痛、咳嗽、鼻塞，今日为求进一步治疗，门诊以“急性下呼吸道感染、糖尿病”收入我科。1+年前，患者因体重上降、多饮、多食，在外院检查诊断为“糖尿病”，服用半年多“盐酸二甲两胍缓释片”降糖，血糖控制在10mmol/l右左，目前有半年未服药，未监测血糖。自患病以来，患者精神、饮食、睡眠差，体重无上降，大小便未见明显异常。} | |
[
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"text": "心"
},
{
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"label_type": "解剖部位",
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"text": "两上肢"
},
{
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"text": "心前区"
},
{
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{
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{
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{
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{
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{
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},
{
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"text": "电解质"
},
{
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"text": "钾"
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{
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{
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},
{
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},
{
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},
{
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},
{
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},
{
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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3+月，患者无明显诱因出现心悸、气促，活动后明显，感爬楼梯时症状更为明显，休息后可缓解，曾间断出现两上肢轻度浮肿，伴乏力、纳差，进食较差，感心前区及下腹部不适，未重视病情。入院前10+天，患者感心悸、气促加重，但无夜间阵发性呼吸困难、咯血，无明显心前区压榨感，当时未就诊，近3日患者感症状加重，并出现咳嗽、咳痰，咳出白色粘痰，无畏寒、发热，无恶心、呕吐，无端坐呼吸、阵发性呼吸困难，无大汗淋漓、咯血等，于昨日在外输液后无明显缓解（具体用药不详），故今日就诊我院，查“血常规：白细胞数 5.7 10^9/L、血红蛋白浓度 111 g/L、中性粒细胞百分比 73.81 %、淋巴细胞百分比 18.12 %，肾功：尿素 2.81 mmol/L，电解质：钾 2.82 mmol/l。腹部彩超示肝多发囊肿。胸片示1，两上肺少许感染，随访复查。2，轻度肺气肿。3，右侧肋膈胸膜稍增厚，随访”，为进一步治疗，急诊科以“心悸、气促待查”收入我科住院。患者自发病以来精神、食欲差，大小便未诉异常。近期体重无明显减轻。} | |
[
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{
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"text": "心电图"
},
{
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{
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{
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},
{
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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10+年患者反复出现咳嗽、咳痰，多于冬春季及受凉后发作，抗感染治疗有效，每年发作超过3个月。入院前6+年开始出现咳嗽咳痰时伴喘累，逐渐出现活动后心累，于下坡时出现，病程中曾在我院行心脏彩超示右房、左房、左室增大，多瓣膜反流，肺动脉重度高压，心包腔积液；心电图提示心房纤颤，院外长期服用“华法林”，并间断口服利尿剂及支气管解痉药物，病情稳定期可耐受平地慢步活动。近2年患者多次在*******医院及我院住院治疗，经抗感染、止咳祛痰、平喘、利尿等治疗病情好转。入院前1周患者受凉后出现咳嗽，咳痰不明显，喘累气促明显加重，不能耐受平地一般活动，伴有纳差乏力，夜间需高枕卧位休息，无明显咽痛流涕，无畏寒发热，无潮热盗汗，无胸痛咯血，无心慌胸闷，无恶心呕吐，无腹胀腹痛，无颜面四肢浮肿，无呼吸困难等不适，在家服用“止咳药物”等，咳嗽好转，喘累无缓解，今为求进一步治疗来我院就诊，门诊以“慢性阻塞性肺疾病”收入我科。本次发病以来患者精神食欲较差，大便如常，小便色黄，睡眠一般，体力明显上降，体重无明显改变。} | |
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"text": "心"
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{
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{
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{
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},
{
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{
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{
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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10+年患者反复出现咳嗽、咳痰，多于冬春季及受凉后发作，抗感染治疗有效，每年发作超过3个月。入院前6+年开始出现咳嗽咳痰时伴喘累，逐渐出现活动后心累，于下坡时出现，病程中曾在我院行心脏彩超示右房、左房、左室增大，多瓣膜反流，肺动脉重度高压，心包腔积液；心电图提示心房纤颤，院外长期服用“华法林”，并间断口服利尿剂及支气管解痉药物，病情稳定期可耐受平地慢步活动。近2年患者多次在*******医院及我院住院治疗，经抗感染、止咳祛痰、平喘、利尿等治疗病情好转。入院前3天，患者受凉后出现咳嗽，咳痰不明显，喘累气促明显加重，不能耐受平地一般活动，伴有纳差、乏力，夜间需高枕卧位休息，伴鼻塞、流涕、喷嚏，无咽痛，无畏寒、发热，无潮热、盗汗，无胸痛、咯血，无心慌、胸闷，无恶心、呕吐，无腹胀、腹痛，无颜面四肢浮肿，无呼吸困难等不适，今为求进一步治疗来我院就诊，门诊以“慢性阻塞性肺疾病 肺源性心脏病”收入我科。本次发病以来患者精神食欲较差，大便如常，小便色黄，睡眠一般，体力明显上降，体重无明显改变。} | |
[
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},
{
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"text": "急性阴道炎"
},
{
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"text": "保妇康栓"
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"text": "定君生"
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},
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"text": "复方黄藤洗液"
},
{
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"start_pos": 88,
"text": "宫炎平片"
},
{
"end_pos": 102,
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"start_pos": 97,
"text": "孕早期彩超"
},
{
"end_pos": 110,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 104,
"text": "子宫多发肌瘤"
},
{
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"start_pos": 157,
"text": "头"
},
{
"end_pos": 161,
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"start_pos": 160,
"text": "眼"
},
{
"end_pos": 165,
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"text": "皮肤"
},
{
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"text": "四维彩超"
},
{
"end_pos": 239,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 235,
"text": "OGTT"
},
{
"end_pos": 245,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 241,
"text": "空腹血糖"
},
{
"end_pos": 260,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 254,
"text": "妊娠期糖尿病"
},
{
"end_pos": 273,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 271,
"text": "血糖"
},
{
"end_pos": 304,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 302,
"text": "阴道"
},
{
"end_pos": 316,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 315,
"text": "腹"
},
{
"end_pos": 347,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 346,
"text": "腹"
},
{
"end_pos": 359,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 357,
"text": "阴道"
},
{
"end_pos": 379,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 371,
"text": "胰岛素样生长因子"
},
{
"end_pos": 400,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 396,
"text": "胎膜早破"
},
{
"end_pos": 407,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 401,
"text": "妊娠期糖尿病"
}
] | 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:{孕妇既往月经规律，末次月经：2016年07月19日，预产期：2017年4月25日，早孕彩超符合孕周。停经11天因急性阴道炎，外院给予保妇康栓及定君生阴道下药、复方黄藤洗液外用、宫炎平片口服治疗。孕早期彩超提示子宫多发肌瘤，较大约1.8cm*1.4cm,患者未诉不适，门诊予观察。孕20周自觉胎动至今。孕中晚期无明显头昏、眼花、皮肤瘙痒不适。孕期正规产检，早期唐氏筛查低风险，因孕早期用药治疗，建议行无创DNA检查，患者未采纳，四维彩超未见异常。孕期查甲功、肝功结果正常，OGTT提示空腹血糖高于正常，诊断\"妊娠期糖尿病\",予饮食控制后监测血糖大致正常。患者入院前5+小时（4:00）无明显诱因出现少量阴道流液，色清亮，伴不规律腹痛，其后出现少量血性分泌物，入院前40分钟（09:00）自觉腹痛较前加重，遂来院，阴道检查未见明显羊水流出，测胰岛素样生长因子阳性，胎监提示规律宫缩，门诊以\"胎膜早破，妊娠期糖尿病，临产\"收入院。患者孕期以来，精神食欲好，二便正常，孕期体重增长约20.5Kg。} | |
[
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"text": "头"
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{
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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:{2+年前患者无明显诱因解黑便，解成形黑便1次/日，伴头昏、乏力、皮肤黏膜苍白，无反酸、嗳气、烧心，无呕血、腹痛、腹胀、腹泻，无恶心、呕吐、晕厥，无腹围增大。多次就诊，考虑“丙肝肝硬化失代偿 胃底静脉曲张破裂出血”，多次内科输血、抑酸护胃治疗。院外反复黑便，1-3次/月，住院内科保守治疗。1年前，因黑便与********医院就诊：胃镜胃体瘢痕,胃底静脉曲张（轻度）；胃体活检：黏膜内癌，中-低分化。下腹部CIA：肝硬化，脾大，门脉高压，食管上段、胃底静脉曲张；右肾小囊肿，胆囊小结石；血常规HB 58G/L;给予内科止血，输血SAG 4U，抑酸保肝治疗缓解自行出院，拒绝进一步检查。1周前患者间断解成形黑便，伴血色素上降，血常规HB 51g/l,全身乏力，伴心悸，无恶心、呕吐，给予输血、止血、抑酸等治疗后解黄便出院。今晨进食后感腹部不适，随即解黑色糊状大便3次，量约400ml右左，无呕吐，已“下消化道出血”收入住院。病程中精神、睡眠欠佳，饮食尚可，大便如下述，小便正常。体重无明显减轻。} | |
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{
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{
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{
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{
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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3月患者无明显诱因出现剑突上胀痛，呈阵发性发作，无肩背部放射痛，与进食及体位无明显关系，无明显缓解方式。伴烧心、嗳气，伴纳差。无胸闷、胸痛、心累、气促。在外未予处理。入院前1月出现活动后心累、气促，以爬坡及下楼后明显，休息后可稍缓解。无夜间阵发性呼吸困难，无咯粉红色泡沫痰，无咳嗽、咳痰畏寒、发热。入院前3天出现两上肢浮肿，伴剑突上胀痛、心累、气促，伴咳嗽、咳痰，痰液较少，咯痰费力。无畏寒、发热、咯血、胸痛。于2015-07-11在我院门诊行“腹部彩超提示餐后胆囊，两侧胸腔积液，左侧较深间距11.5cm，心电图示：频发室性早搏，顺钟向转位，ST-T改变，窦性心动过速。胸片：1.两上肺感染。2.心后多发结节影，建议CT检查，了解是否转移性病变。3.左侧胸腔中等量积液，有包裹趋势。腹部立卧位未见明显异常。4.主动脉硬化。”，当时由于私人原因未予处理。今日来我院要求住院治疗，为进一步诊治，门诊以“腹痛待查，心衰”收入我科。病程中精神、饮食较差，大小便正常，体重无明显改变。} | |
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{
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{
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},
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},
{
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},
{
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"text": "右肺上叶"
},
{
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"text": "左肺中叶"
},
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},
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},
{
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},
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},
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},
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},
{
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"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2+年无明显诱因突发活动后心累、气促，并胸闷，伴咳嗽，咳痰，咯少许白色泡沫痰，无咯血，无胸痛，无胸骨后压榨感，无上肢浮肿等不适，患者于*******医院就诊，完善辅助检查考虑“肺栓塞、肺心病”，是否溶栓治疗患者不清楚，此后规律服用华法林，并于*******医院门诊监测凝血象，复查CTPA等，2015-04-15患者复查肺部CTA提示：右肺上叶、左肺中叶级上叶肺叶及肺段肺动脉及其分支表现考虑血栓形成，两肺轻度肺气肿，两肺上叶间质改变，其内少许斑片状磨玻璃影，考虑肺动脉栓塞继发性改变，心脏增大，心包少量积液。近期服用华法林 3.75mg qd。2015-12-22查凝血象 INR 2.14。近1周患者受凉后感咳嗽，咯少许白色泡沫痰，并活动后心累、气促，休息后可好转，无胸痛，无胸骨后压榨感，无上肢浮肿，无夜间阵发性呼吸困难，无咯血，无头晕，无晕厥等不适，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，体力减弱，体重无明显上降。} | |
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},
{
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},
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},
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},
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},
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},
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"text": "贫血原因待查"
}
] | 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:{入院前20+年患者在外体检时发现血压高，诊断为“高血压病”，未行药物降压治疗。病程中测得最高血压收缩压：200mmHg，给予口服“施慧达2.5mg qd，坎地沙坦酯4mg bid”降压。监测血压波动在160mmHg右左。平时爬坡后出现心悸、气促，休息后可缓解。入院前半年无明显诱因出现纳差，饮食量较前减少，每次进食约50-100g，伴怕冷，无腹胀、腹痛、反酸、嗳气，无恶心、呕吐、呕血、黑便，无吞咽梗阻。在外给予输液治疗后无明显缓解。入院前半月出现全身乏力，以两上肢明显，活动量减少。伴耳鸣，无头昏、黑朦、胸闷、胸痛。未予诊治。病程中全身乏力逐渐加重，活动量较前明显减少，精神明显变差，今日为进一步诊治，遂来我院，门诊查“血常规：RBC：2.87*10^12/L，HB：85g/L，HCT：25.6%。心电图示：窦性心律，Ⅰ度房室传导阻滞，偶发房性早搏”。为进一步诊治，门诊以“贫血原因待查”收入我科。病程中精神、饮食差，大便无固定，小便正常，体重上降（具体不详）。} | |
[
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 14,
"text": "血糖"
},
{
"end_pos": 82,
"label_type": "疾病和诊断",
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"start_pos": 77,
"text": "2型糖尿病"
},
{
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"label_type": "药物",
"overlap": null,
"start_pos": 89,
"text": "格列吡嗪"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 106,
"text": "空腹血糖"
},
{
"end_pos": 140,
"label_type": "药物",
"overlap": null,
"start_pos": 138,
"text": "甘精"
},
{
"end_pos": 159,
"label_type": "药物",
"overlap": null,
"start_pos": 155,
"text": "二甲两胍"
},
{
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"text": "甘精"
},
{
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"text": "餐后2h血糖"
},
{
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"overlap": null,
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"text": "左下肢"
},
{
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"text": "左下腹"
},
{
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"text": "两上肢"
},
{
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"text": "心"
},
{
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"text": "头"
},
{
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"text": "头"
},
{
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"text": "胸"
},
{
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"text": "胸"
},
{
"end_pos": 347,
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"text": "腹"
},
{
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"overlap": null,
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"text": "糖尿病"
},
{
"end_pos": 385,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 377,
"text": "左下腹痛隐痛待查"
}
] | 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16+年在院外体检发现血糖升高，但患者未引起重视未就医诊治。10+年前患者无明显诱因出现口干多饮多尿，具体量回忆不起，后于当地医院诊治，检查后诊断“2型糖尿病”，开始服用“格列吡嗪”(具体剂量不详)，偶自测空腹血糖低于7.0mmol/L。7+年患者因血糖控制欠佳院外换用甘精8-10u降糖。5+年患者加服二甲两胍 每晚1颗，最近服用甘精12u 每早一次，院外自测空腹在8-10mmol/L，餐后2h血糖在15mmol/L右左，病程中有视物模糊、左下肢麻木感。入院前2+月患者无明显诱因感左下腹隐痛，与进食关系不大，与呼吸无关，常伴恶心、反酸，自行缓解，间断伴两上肢凹陷性水肿，上午或活动后显著，休息后消退，爬坡后稍感心累，无头昏头痛，无意识障碍大小便失禁，无胸闷胸痛，无呼吸困难气促，无腹胀黑便，无尿急尿痛等不适，今为进一步治疗，门诊以\"糖尿病、左下腹痛隐痛待查\"收入我科住院治疗。病程中患者精神、饮食一般，大便正常，小便色黄，尿频，体重无明显上降。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "颈"
},
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "腰"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "两膝"
},
{
"end_pos": 29,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 26,
"text": "两上肢"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "两上肢"
},
{
"end_pos": 56,
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"text": "头"
},
{
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"text": "下肢"
},
{
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"overlap": null,
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"text": "心"
},
{
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"text": "胸"
},
{
"end_pos": 136,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 129,
"text": "重度骨质疏松症"
},
{
"end_pos": 144,
"label_type": "疾病和诊断",
"overlap": null,
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"text": "腰椎间盘突出症"
},
{
"end_pos": 154,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 145,
"text": "两膝退行性骨关节炎"
},
{
"end_pos": 159,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 155,
"text": "睡眠障碍"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 160,
"text": "高脂血症"
},
{
"end_pos": 170,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 165,
"text": "老年性痴呆"
},
{
"end_pos": 183,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 171,
"text": "右侧锁骨上动脉盗血综合征"
},
{
"end_pos": 190,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 184,
"text": "腔隙性脑梗死"
},
{
"end_pos": 242,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 237,
"text": "骨质疏松症"
},
{
"end_pos": 253,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 248,
"text": "2型糖尿病"
},
{
"end_pos": 267,
"label_type": "药物",
"overlap": null,
"start_pos": 262,
"text": "阿卡波糖片"
},
{
"end_pos": 272,
"label_type": "药物",
"overlap": null,
"start_pos": 268,
"text": "格列美脲"
},
{
"end_pos": 278,
"label_type": "药物",
"overlap": null,
"start_pos": 273,
"text": "甘精胰岛素"
},
{
"end_pos": 290,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 285,
"text": "糖尿病眼病"
},
{
"end_pos": 296,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 291,
"text": "糖尿病肾病"
},
{
"end_pos": 305,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 297,
"text": "糖尿病周围神经病"
},
{
"end_pos": 383,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 371,
"text": "原发性高血压3级 极高危"
},
{
"end_pos": 391,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 384,
"text": "高血压性心脏病"
},
{
"end_pos": 397,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 392,
"text": "心功能Ⅱ级"
}
] | 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:{无明显诱因反复全身疼痛4+年，以颈、腰、两膝为主，感两上肢冷痛、麻木，时轻时重，受凉后加重，两上肢乏力，阵发性头昏痛，有下肢麻木，视物模糊，长期睡眠差，无心慌、胸闷、咳嗽、发热、盗汗等，无间歇性跛行及大小便障碍，先后在*******医院及我科住院治疗诊断为“重度骨质疏松症，腰椎间盘突出症、两膝退行性骨关节炎、睡眠障碍、高脂血症、老年性痴呆、右侧锁骨上动脉盗血综合征、腔隙性脑梗死”，经治疗后症状缓解（具体不详）；无诱因以下复发加重2天，为进一步治疗，遂来我科就诊，门诊以“骨质疏松症”收治入院。2型糖尿病12+年，目前口服阿卡波糖片、格列美脲及甘精胰岛素降血糖，明确有糖尿病眼病、糖尿病肾病 糖尿病周围神经病，目前血糖控制可。既往高血压病史12+年，血压最高180/？mmHg，未规律服药降压药，自诉血压控制可，于*******医院诊断为“原发性高血压3级 极高危 高血压性心脏病 心功能Ⅱ级”。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": 12,
"label_type": "药物",
"overlap": null,
"start_pos": 9,
"text": "头痛粉"
},
{
"end_pos": 37,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 36,
"text": "头"
},
{
"end_pos": 64,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 63,
"text": "腹"
},
{
"end_pos": 67,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 66,
"text": "腹"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "腹"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "口"
},
{
"end_pos": 88,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 87,
"text": "面"
},
{
"end_pos": 90,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 88,
"text": "肢体"
},
{
"end_pos": 94,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 93,
"text": "腹"
},
{
"end_pos": 105,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 103,
"text": "Hb"
},
{
"end_pos": 128,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 118,
"text": "消化道出血原因待查 "
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 130,
"text": "重度贫血"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 136,
"text": "丙肝肝硬化"
},
{
"end_pos": 202,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 196,
"text": "胃底静脉曲张"
},
{
"end_pos": 218,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 216,
"text": "胃体"
},
{
"end_pos": 237,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 231,
"text": "十二指肠球炎"
},
{
"end_pos": 247,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 239,
"text": "下消化道出血原因"
},
{
"end_pos": 266,
"label_type": "影像检查",
"overlap": null,
"start_pos": 259,
"text": "腹部血管DSA"
},
{
"end_pos": 355,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 354,
"text": "心"
},
{
"end_pos": 369,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 365,
"text": "大便隐血"
},
{
"end_pos": 386,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 381,
"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:{1+年前患者服用“头痛粉”后解黑色成形大便，共3次，量约250g/次，伴头昏、乏力、皮肤黏膜苍白，无反酸、嗳气、烧心，无呕血、腹痛、腹胀、腹泻，无恶心、呕吐、晕厥，无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”，诊断为“1、消化道出血原因待查 2、重度贫血3、丙肝肝硬化”，拒绝行胃镜检查，给予止血、纠正贫血、抑酸等对症治疗，未解黑便后自动出院。期间反复解成形黑便，我院无痛胃镜示胃底静脉曲张（1条），F1，红色征阴性；胃体黏膜隆起，不除外静脉曲张；十二指肠球炎”，下消化道出血原因不能明确，建议行小肠镜、腹部血管DSA检查，患者拒绝，给予止血、输血纠正贫血、抑酸等对症处理后症状好转出院，未再正规检查及治疗。1天前患者无明显诱因自觉全身乏力，再次解成形黑便，约100g,无呕血，无烧心、反酸，无心悸，无意识丧失，门诊大便隐血阳性，遂于我院就诊，拟“消化道出血”收入住院。病程中精神、睡眠欠佳，饮食尚可，大便如下述，小便正常。体重无明显减轻。} | |
[
{
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"overlap": null,
"start_pos": 38,
"text": "腹"
},
{
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"overlap": null,
"start_pos": 41,
"text": "腹"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 57,
"text": "肛缘"
},
{
"end_pos": 110,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 108,
"text": "肛门"
},
{
"end_pos": 147,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 146,
"text": "头"
},
{
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"overlap": null,
"start_pos": 162,
"text": "腹"
},
{
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"start_pos": 165,
"text": "腹"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 198,
"text": "随机指血糖"
},
{
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"label_type": "影像检查",
"overlap": null,
"start_pos": 214,
"text": "床旁心电图"
},
{
"end_pos": 235,
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"overlap": null,
"start_pos": 233,
"text": "UA"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 246,
"text": "CREA"
},
{
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"overlap": null,
"start_pos": 263,
"text": "UREA"
},
{
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"overlap": null,
"start_pos": 284,
"text": "EO%"
},
{
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"overlap": null,
"start_pos": 294,
"text": "RBC"
},
{
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"text": "WBC"
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{
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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:{患者于入院前3天无明显诱因出现解黑大便，每天2次，无畏寒、发热、恶心、恶心、腹胀、腹痛、呕血、头昏头晕、里急后重及肛缘包块突出等不适，患者未引起重视，1天前患者出现数次便后滴血，呈鲜红色，无脓血，每次约100ml，伴肛门坠胀，出现晕厥3次，每次持续时间约10min，醒来无法回忆起晕厥经过，伴头昏，无畏寒、发热、恶心、恶心、腹胀、腹痛、呕血等不适，今日患者为求治疗，遂到我院急诊科就诊，急诊科检查随机指血糖：7.4mmol/l,床旁心电图：窦性心律，T波低平；肾功：UA 746umol/l,CREA 150.6umol/l,UREA 15.72mmol/l；血常规：EO% 0.10%，RBC 3.57*1012/l,WBC 61.6*109/l,NENT 12.36*109/l,LYMPH 77.20%,心肌酶谱、肌钙蛋白检查未见异常，门诊检查后以“便血待查”收入我科继续治疗。患者自患病以来神清，精神、睡眠、饮食差，小便正常，体重无明显变化。。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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+年前患者服用“头痛粉”后解黑色成形大便，共3次，量约250g/次，伴头昏、乏力、皮肤黏膜苍白，无反酸、嗳气、烧心，无呕血、腹痛、腹胀、腹泻，无恶心、呕吐、晕厥，无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”，诊断为“1、消化道出血原因待查 2、重度贫血3、肝硬化4、慢性丙型肝炎”，拒绝行胃镜检查，给予止血、纠正贫血、抑酸等对症治疗，未解黑便后自动出院。期间反复解成形7次余，我院无痛胃镜示胃底静脉曲张（1条），F1，红色征阴性；胃体黏膜隆起，不除外静脉曲张；十二指肠球炎”，下消化道出血原因不能明确，建议行小肠镜、腹部血管DSA检查，患者拒绝，给予止血、纠正贫血、抑酸等对症处理后症状好转出院，未再正规检查及治疗。1月前患者无明显诱因自觉全身乏力，活动后感心悸，伴头晕，自诉解黄色成形大便，否认呕血、黑便，重度贫血貌，遂于我院就诊，拟“贫血，丙肝肝硬化”收入住院。病程中精神、睡眠欠佳，饮食尚可，大便如下述，小便正常。体重无明显减轻。} | |
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] | 请你用中文完成中文电子病历命名实体识别任务，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7月下述症状再发，夜间高枕卧位，曾在我院住院治疗，考虑诊断“冠心病、心衰”，并查心脏彩超（2017-1-16）：右房、右室增大；主动脉瓣钙化；室间隔、右室后壁动度降低；肺动脉瓣局限性反流；主动脉瓣中度反流；三尖瓣、二尖瓣重度反流；右室收缩、舒张功能减退。估测肺动脉轻度高压，予以改善循环、减轻心脏负荷治疗后好转出院。入院前2天，患者无明显诱因再次自诉心累、气促反复出现，并逐渐加重，夜间睡眠较差，无咳嗽、咳痰，无胸闷、胸痛，无恶心、呕吐，无畏寒、发热等，今日遂再来我院就诊，以“冠心病”收入我科。本次发病以来患者精神食欲较好，食量无减少，大小便如常，睡眠如常，体重无明显上降。} | |
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{
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"text": "头颅CT"
},
{
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"text": "两侧基底节区及侧脑室体旁腔隙性脑梗死"
},
{
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},
{
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},
{
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},
{
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"text": "右侧下颌窦炎症"
},
{
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"text": "两侧筛窦炎"
},
{
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"text": "心电图"
},
{
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"label_type": "疾病和诊断",
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"text": "急性脑梗死"
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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5+年，患者因右侧肢体乏力，伴口齿不清，在外院明确诊断“脑梗死”，经治疗后好转出院，出院后遗留右侧肢体活动轻度障碍及口齿稍含糊，平素生活自理，但未服用脑血管疾病二级预防用药。入院前3天，患者反复出现头昏，阵发性发作，发作时自觉乏力、站立不稳、心悸，并出现左下肢抽动，伴流涎，无恶心、呕吐，无大小便失禁、意识丧失，无畏寒、发热，偶有咳嗽、咳痰，无胸闷、胸痛，无喘累、气促，无端坐呼吸、阵发性呼吸困难，无大汗淋漓、咯血，无晕厥等，今晨患者活动后再次发作头昏，发作时伴站立不稳、流涎，故就诊我院急诊科，查头颅CT示1、考虑两侧基底节区及侧脑室体旁腔隙性脑梗死。2、右侧顶叶软化灶。3、脑白质脱髓鞘改变；脑萎缩。4、右侧下颌窦炎症或息肉。5、两侧筛窦炎。心电图示窦性心律，右室肥大。血常规、电解质、肾功、心肌酶谱、凝血试验未见明显异常。为进一步治疗，以“急性脑梗死？”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。} | |
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},
{
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"label_type": "疾病和诊断",
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"text": "骨质疏松症"
},
{
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"text": "2型糖尿病"
},
{
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"text": "阿卡波糖片"
},
{
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"start_pos": 268,
"text": "格列美脲"
},
{
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"start_pos": 273,
"text": "甘精胰岛素"
},
{
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"text": "糖尿病眼病"
},
{
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"label_type": "疾病和诊断",
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"text": "糖尿病肾病"
},
{
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"label_type": "疾病和诊断",
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"text": "糖尿病周围神经病"
},
{
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"text": "原发性高血压3级 极高危"
},
{
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},
{
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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:{无明显诱因反复全身疼痛4+年，以颈、腰、两膝为主，感两上肢冷痛、麻木，时轻时重，受凉后加重，两上肢乏力，阵发性头昏痛，有下肢麻木，视物模糊，长期睡眠差，无心慌、胸闷、咳嗽、发热、盗汗等，无间歇性跛行及大小便障碍，分别在*******医院及我科住院治疗诊断为“重度骨质疏松症，腰椎间盘突出症、两膝退行性骨关节炎、睡眠障碍、高脂血症、老年性痴呆、右侧锁骨上动脉盗血综合征、腔隙性脑梗死”，经治疗后症状缓解（具体不详）；无诱因以下复发加重1天，为进一步治疗，遂来我科就诊，门诊以“骨质疏松症”收治入院。2型糖尿病12+年，目前口服阿卡波糖片、格列美脲及甘精胰岛素降血糖，明确有糖尿病眼病、糖尿病肾病 糖尿病周围神经病。既往高血压病史12+年，血压最高180/？mmHg，未规律服药降压药，自诉血压控制可,于*******医院诊断为“原发性高血压3级 极高危 高血压性心脏病 心功能Ⅱ级”。患者患病以来精神一般，食欲可，大小便正常，近期无明显体重减轻。} | |
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},
{
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{
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{
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},
{
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"text": "罗格列酮"
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{
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},
{
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},
{
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},
{
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"text": "肢体"
},
{
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"text": "腹"
},
{
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"text": "腹"
},
{
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},
{
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},
{
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{
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{
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{
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{
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{
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{
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},
{
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},
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},
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{
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{
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},
{
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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13年患者检查发现血压、血糖升高，最高收缩压达180mmHg，血糖具体值不详，有口干多饮多尿等症状，无明显头昏头痛，长期降压治疗（药名不详），并服用“格列美脲、伏格列波糖、罗格列酮”等降血糖，血压血糖控制情况不详。病程中患者出现四肢麻木，视物模糊多年，并有感觉异常，自觉肢体冰凉，无颜面四肢浮肿，无皮肤瘙痒，无肢体乏力，无恶心呕吐，无腹胀腹痛，无便秘腹泻交替，无心累气促等不适，既往长期在***第三人民医院住院，诊断“原发性高血压3级极高危、高血压性心脏病、2型糖尿病、糖尿病周围神经病变、糖尿病眼病”。入院前1月患者无明显诱因出现活动后心累心悸，自觉心跳明显，偶有干咳，感肢体麻木冰凉较明显，伴有腰部及上肢疼痛，自觉健忘症状加重，无肢体活动障碍，无颜面四肢水肿，无胸痛及心前区压榨感，无夜间不能平卧，无呼吸困难。为进一步诊疗今日患者到我科住院。患者此次发病以来精神食欲可，长期睡眠差，经常服用“安眠药”，大小便正常，体力体重无明显上降。} | |
[
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"text": "胃底静脉曲张"
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{
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{
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{
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"text": "腹部血管DSA"
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{
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{
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{
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"text": "WBC"
},
{
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"text": "HGB"
},
{
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"start_pos": 267,
"text": "PLT"
},
{
"end_pos": 288,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 283,
"text": "NEUT%"
},
{
"end_pos": 304,
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"start_pos": 298,
"text": "LYMPH%"
},
{
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"text": "HCT"
},
{
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"text": "MCV"
},
{
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},
{
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"text": "MCHC"
},
{
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"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:{1+年前患者反复黑便，成形大便，无呕血、血便，多次我院住院，均内科止血、输血、抑酸治疗好转出院。期间反复解成形8次余，我院无痛胃镜示胃底静脉曲张（1条），F1，红色征阴性；胃体黏膜隆起，不除外静脉曲张；十二指肠球炎，出血原因不能明确，建议行小肠镜、腹部血管DSA检查，患者拒绝。1月前患者无明显诱因自觉全身乏力，活动后感心悸，伴头晕，中途解2次黑色稀软大便，总量约500g，否认呕血，自服“云南白药”，自诉大便颜色转黄。感乏力、心悸症状进行性加重。今日到我院就诊查，查血常规:WBC 2.5 10^9/L↓、HGB 37 g/L↓↓、PLT 108 10^9/L↓、NEUT% 36.22 %↓、LYMPH% 57.51 %↑、HCT 14.4 %↓、MCV 64.3 fL↓、MCH 16.5 pg↓、MCHC 257 g/L↓。为进一步诊治，门诊以“重度贫血”收入我科。病程中精神、睡眠欠佳，饮食尚可，大便如下述，小便正常。体重无明显减轻。} | |
[
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},
{
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{
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{
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{
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{
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{
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{
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{
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},
{
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"text": "心前区"
},
{
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},
{
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"text": "去甲肾下腺素"
},
{
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"text": "急性下消化道出血"
},
{
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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6天前患者无明显诱因出现呕血，共三次（自诉约2kg），为咖啡色样物质，非喷射状，伴解黑大便（具体量不详），伴四肢乏力、头晕，伴口渴，伴咳嗽、咯痰，咯少量白色黏痰，伴稍活动后即感心累、气促，伴胸痛，可放射至右侧肩背部，为持续性胀痛，咳嗽后加重，伴心悸，无腹痛、腹胀，无胸闷、胸痛及心前区压榨感，无畏寒、发热，无呼吸困难，无意识障碍，遂入我院收入我科，予以大量输血、止血、抑酸护胃等对症治疗，消化道仍有活动性出血，遂于2017-03-17转入**医院ICU，予以输红细胞悬液8u、新鲜冰冻血浆800ml，血小板1u，目前患者血压逐渐稳定，去甲肾下腺素已减量至0.1ug/kg.min，心率波动在90-105次/分，血压波动在115-130/55-65mmhg，尿量好。家属因为经济原因今日要求转回我院，因病情危重，急诊遂以“急性下消化道出血，失血性休克”收入我科抢救治疗。患者发病以来，精神、食欲、睡眠差，小便正常，大便如下述，体重无明显变化。} | |
[
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"text": "头痛粉"
},
{
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"text": "头"
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{
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{
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{
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{
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{
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{
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"text": "Hb"
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{
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{
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{
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{
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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:{1+年前患者服用“头痛粉”后解黑色成形大便，共3次，量约250g/次，伴头昏、乏力、皮肤黏膜苍白，无反酸、嗳气、烧心，无呕血、腹痛、腹胀、腹泻，无恶心、呕吐、晕厥，无口干、颜面肢体水肿、腹围增大。于我院查“Hb32g/L”，诊断为“1、消化道出血原因待查 2、重度贫血3、丙肝肝硬化”，拒绝行胃镜检查，给予止血、纠正贫血、抑酸等对症治疗，未解黑便后自动出院。期间反复解成形黑便，我院无痛胃镜示胃底静脉曲张（1条），F1，红色征阴性；胃体黏膜隆起，不除外静脉曲张；十二指肠球炎”，下消化道出血原因不能明确，建议行小肠镜、腹部血管DSA检查，患者拒绝，给予止血、输血纠正贫血、抑酸等对症处理后症状好转出院，未再正规检查及治疗。1天前患者无明显诱因自觉全身乏力，再次解成形黑便，约100g,无呕血，无烧心、反酸，无心悸，无意识丧失，为求进一步处理，门诊以“消化道出血”收入住院。病程中精神、睡眠欠佳，饮食尚可，大便如下述，小便正常。体重无明显减轻。} | |
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{
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{
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{
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{
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{
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{
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},
{
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{
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{
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{
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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年余患者出现心累、乏力、两上肢水肿，入外院查得血肌酐升高、约为300umol/L，彩超示两肾缩小，诊断为“肾功能不全、高血压肾病”，予降压、保肾等治疗后好转出院（具体不详）。病程中患者未予特殊重视及治疗。3月前患者发作心累、气促、乏力，入*******医院就诊，查血肌酐约800umol/L，诊断为“慢性肾脏病5期”，行右前臂动静脉内瘘成形术及左颈内静脉置管术，后长期行3次/周规律血液透析治疗，并长期服用“替米沙坦”等药物控制血压，收缩压维持在140-160mmHg；血红蛋白逐渐上降（具体不详），长期使用促红素纠正肾性贫血。1月余前患者出现咳嗽、咳痰不适，咳黄色脓痰，易咳出，于外院抗感染等治疗后好转（具体不详）。2小时前患者突发心累、气促不适，遂入我院急诊科就诊。今为进一步诊治，以“急性右心衰、慢性肾衰竭（尿毒症期）、高血压”收入我科住院治疗。患者自患病以来，精神、食欲较差，大便正常，小便约200ml/天，体重无明显改变。} | |
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{
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{
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{
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{
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},
{
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{
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"text": "血糖"
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},
{
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{
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},
{
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"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:{入院前10余年患者无明显诱因开始出现两上肢水肿，呈凹陷性，上午显著，休息后能缓解，未引起重视及时就医诊治，期间反复出现两上肢水肿，仍未就医，偶于院外自行购买药物服用，具体不详；入院前2+天患者受凉后出现喘累、气促，伴咳嗽咳痰，痰呈黄色粘痰，偶有痰中带血，伴心悸心慌，伴头昏，伴中腹部间断隐痛、腹胀，无意识障碍大小便失禁，无胸闷胸痛，无腹泻黑便，无上肢水肿，昨日夜间症状加重，喘累明显，躺卧、坐位均明显，今于峡口镇卫生院查：血常规：白细胞数 9.77×10^9/L、红细胞数 3.59×10^12/L、血红蛋白浓度 114 g/L、血小板数 194×10^9/L、中性粒细胞百分比 74.2 %，C反应蛋白 134.3 mg/l，血糖：17.9mmol/L，尿常规：葡萄糖+-、蛋白 2+，心电图：心房纤颤。建议转院，由家属送入我院就诊，遂门诊以\"头昏待查、高血压\"收入我科住院治疗。病程中患者精神、饮食一般，大便正常，体重无明显上降。} | |
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{
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{
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{
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{
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"text": "心"
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{
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"text": "剑突上"
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{
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"text": "心前区"
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{
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{
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"text": "冠心病"
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{
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"text": "冠脉搭桥术后"
}
] | 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:{患者入院前2年，患者无明确诱因反复出现胸闷、心累，以劳累后明显，发作时伴头晕、肢体麻木、视物模糊，无确切胸痛，无胸骨后压榨感，无恶心呕吐等不适，每次发作时间不等，缓解因素不确定。于3月前（2014.4月）再次发作，于我院就诊，行心电图提示“心房纤颤”，遂于我科住院治疗后症状好转。并建议其下级医院进一步治疗，遂就诊于“**医院”，行冠脉造影检查提示“四支血管病变”，最严重者狭窄85%（具体不详）。遂于“**医院行冠脉搭桥手术及射频消融术”，术后常感伤口疼痛，胸闷、心累好转。长期口服药物治疗（具体用药不详）。2小时前，患者无明显诱因觉剑突上疼痛，成波动性疼痛，可忍受，无大汗淋漓、心前区压榨感及胸闷等不适，遂就诊于我院，门诊查心电图提示：窦性心律，电轴轻中度右偏，ST-T改变，心肌酶谱未见异常。遂为进一步明确诊断及治疗，以“冠心病 冠脉搭桥术后”收入我科住院。患者此次患病以来精神食尚可，大小便正常，睡眠尚可,体力及体重无明显改变.} | |
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"text": "心脏彩超"
},
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"text": "指血糖"
}
] | 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:{患者于入院前20+年，常于受凉后出现喘累、气促，时感咳嗽、咳痰，咳出白色泡沫痰，呈阵发性发作，常自服抗炎药或于附近门诊输液治疗后下述症状可缓解。患者下述症状反复发作，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，2015年4月我院心脏彩超示右房增大；二尖瓣后叶钙化；主动脉瓣、三尖瓣局限性反流；右室舒张功能减退。胸片示右上肺少许炎症；主动脉硬化；胸椎结构模糊。头颅MRI示脑白质脱髓鞘改变；脑萎缩，扫描层面两侧筛窦少许炎症，左侧上鼻甲稍肥大。入院前5天患者受凉后再次出现咳嗽，咯少量白色粘痰，伴有喘累、气促，两上肢轻度水肿；无畏寒发热，无潮热盗汗，无心慌胸闷，无胸痛咯血，无端坐呼吸，无咯粉红色泡沫痰，于单位职工医院就诊，输液治疗4天(头孢类抗生素），患者自觉咳嗽喘累症状无缓解，测指血糖高度20.4mmol/l。为进一步诊治，今日再次来我科住院。患者此次起病以来精神、食欲、睡眠可，大小便正常，体力上降，体重无明显变化。} | |
[
{
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"label_type": "手术",
"overlap": null,
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"text": "取环术"
},
{
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"label_type": "影像检查",
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"text": "彩超"
},
{
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"text": "盆腔"
},
{
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"label_type": "影像检查",
"overlap": null,
"start_pos": 81,
"text": "彩超"
},
{
"end_pos": 89,
"label_type": "解剖部位",
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"start_pos": 85,
"text": "左侧附件"
},
{
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"text": "彩超"
},
{
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"text": "左附件"
},
{
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"start_pos": 169,
"text": "畸胎瘤"
},
{
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"start_pos": 181,
"text": "AFP"
},
{
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"start_pos": 185,
"text": "CEA"
},
{
"end_pos": 194,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 189,
"text": "CA125"
},
{
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"start_pos": 195,
"text": "HE4"
},
{
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"start_pos": 199,
"text": "罗马指数"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 249,
"text": "外阴"
},
{
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"start_pos": 255,
"text": "阴道"
},
{
"end_pos": 303,
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"start_pos": 302,
"text": "腹"
},
{
"end_pos": 306,
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"overlap": null,
"start_pos": 305,
"text": "腹"
},
{
"end_pos": 323,
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"overlap": null,
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"text": "阴道"
},
{
"end_pos": 374,
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"overlap": null,
"start_pos": 368,
"text": "盆腔包块待查"
},
{
"end_pos": 378,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 375,
"text": "畸胎瘤"
}
] | 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（2015年6月）患者到*******医院行取环术，术前行彩超示：盆腔包块（具体大小不详，未见报告单），建议随访。1-年前（2015年10月）患者我院复查彩超示：左侧附件区见一囊性回声，大小约4.1cm×3.5cm，建议随访。7天前患者来我院复查彩超示：左附件囊性包块（大小4.2m×3.2cm，其内见多个不规则稍增强回声），考虑畸胎瘤可能。肿瘤标志物（AFP、CEA、CA125+HE4+罗马指数）均正常。门诊查TCT未见下皮内病变及恶性病变，轻度炎症。白带常规III度，查见霉菌，无明显外阴瘙痒，予阴道下药治疗，昨日复查白带常规III度，未查见其他异常。患者平素无恶心、呕吐，无潮热、盗汗，无腹胀、腹痛，无性交出血及性交痛，无异常阴道流血、流液，无尿频、尿急、尿不尽等不适，无大便性状改变。今日患者来院要求手术治疗。门诊以“盆腔包块待查：畸胎瘤？”收治入院。患者患病以来，精神、食欲尚可，睡眠好，大小便正常，体重无明显改变。} | |
[
{
"end_pos": 82,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 74,
"text": "慢性阻塞性肺疾病"
},
{
"end_pos": 127,
"label_type": "影像检查",
"overlap": null,
"start_pos": 125,
"text": "胸片"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 128,
"text": "慢性支气管炎"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 135,
"text": "胸椎骨质增生"
},
{
"end_pos": 151,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 142,
"text": "主动脉弓壁少许钙化"
},
{
"end_pos": 156,
"label_type": "影像检查",
"overlap": null,
"start_pos": 152,
"text": "心脏彩超"
},
{
"end_pos": 159,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 157,
"text": "心脏"
},
{
"end_pos": 174,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 167,
"text": "二尖瓣瓣环钙化"
},
{
"end_pos": 182,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 175,
"text": "三尖瓣重度反流"
},
{
"end_pos": 185,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 183,
"text": "右室"
},
{
"end_pos": 199,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 192,
"text": "肺动脉轻度高压"
},
{
"end_pos": 217,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 204,
"text": "慢性阻塞性肺疾病伴急性加重"
},
{
"end_pos": 224,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 218,
"text": "肺源性心脏病"
},
{
"end_pos": 229,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 225,
"text": "心律失常"
},
{
"end_pos": 294,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 293,
"text": "胸"
},
{
"end_pos": 364,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 352,
"text": "慢性阻塞性肺疾病急性加重"
}
] | 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年患者反复于受凉后及寒冷季节出现咳嗽、咳痰、喘累，痰呈白色脓痰，每年均发作1-2次，每年发病持续3个月，曾于*******医院就诊，诊断为“慢性阻塞性肺疾病”，给予抗感染、化痰、平喘等治疗(具体不详)后好转。2年余（2015年9月）前在我院查胸片：慢性支气管炎，胸椎骨质增生，主动脉弓壁少许钙化；心脏彩超：心脏各腔室大小正常，二尖瓣瓣环钙化，三尖瓣重度反流，右室舒张功能减退，肺动脉轻度高压；诊断为“慢性阻塞性肺疾病伴急性加重 肺源性心脏病 心律失常”。既往多次发病后入我院治疗后好转。10余天前患者咳嗽、咳痰、喘累症状再发加重，痰呈白色脓痰，能自行咳出，无畏寒、发热，无咯血、胸痛。10天前入**医院住院治疗，予“头孢类抗生素、止咳、化痰”等（具体不详）治疗9天无明显好转。今为进一步诊治，以“慢性阻塞性肺疾病急性加重”收入我科住院治疗。自患病以来，患者食欲、精神、睡眠稍差，大便干燥、约2天/次，小便正常，体重无明显上降。} | |
[
{
"end_pos": 16,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 15,
"text": "口"
},
{
"end_pos": 40,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 35,
"text": "2型糖尿病"
},
{
"end_pos": 50,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 48,
"text": "血糖"
},
{
"end_pos": 56,
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"overlap": null,
"start_pos": 54,
"text": "血糖"
},
{
"end_pos": 71,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 68,
"text": "两上肢"
},
{
"end_pos": 80,
"label_type": "解剖部位",
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"start_pos": 78,
"text": "肢体"
},
{
"end_pos": 102,
"label_type": "药物",
"overlap": null,
"start_pos": 99,
"text": "胰岛素"
},
{
"end_pos": 115,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 112,
"text": "两上肢"
},
{
"end_pos": 125,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 122,
"text": "血肌酐"
},
{
"end_pos": 155,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 150,
"text": "糖尿病肾病"
},
{
"end_pos": 165,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 156,
"text": "糖尿病周围神经病变"
},
{
"end_pos": 174,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 166,
"text": "糖尿病视网膜病变"
},
{
"end_pos": 194,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 191,
"text": "两上肢"
},
{
"end_pos": 213,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 210,
"text": "血肌酐"
},
{
"end_pos": 228,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 226,
"text": "Hb"
},
{
"end_pos": 238,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 236,
"text": "血钾"
},
{
"end_pos": 257,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 250,
"text": "慢性肾功能衰竭"
},
{
"end_pos": 262,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 258,
"text": "肾性贫血"
},
{
"end_pos": 268,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 263,
"text": "2型糖尿病"
},
{
"end_pos": 278,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 269,
"text": "糖尿病周围神经病变"
},
{
"end_pos": 287,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 279,
"text": "糖尿病视网膜病变"
},
{
"end_pos": 336,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 333,
"text": "两上肢"
}
] | 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:{入院前10年患者无明显诱因出现口渴、多饮、多尿等症状，在外院检查诊断为2型糖尿病，予以口服药物降血糖，病程中血糖控制不佳，出现视力上降、两上肢偶尔水肿、远端肢体麻木等表现，未引起重视，3年前患者改为胰岛素治疗，1年前患者发现两上肢凹陷性水肿，查血肌酐185umol/l，10月前在**医院检查诊断为“糖尿病肾病 糖尿病周围神经病变 糖尿病视网膜病变”，对症治疗后好转出院。1月前患者两上肢重度水肿，伴夜间阵发性呼吸困难，血肌酐268.1ummol/l、Hb 90g/l,伴血钾升高，遂在**医院诊断“慢性肾功能衰竭 肾性贫血、2型糖尿病 糖尿病周围神经病变 糖尿病视网膜病变”，行临时深静脉置管后行血液透析治疗，遂回当地医院继续行每周2次维持性血液净化治疗，今日患者两上肢水肿好转，但夜间仍不能平卧休息，为建立动静脉内瘘，遂来我院住院治疗。病程中患者精神、饮食稍差，大便干燥，2-3天1次，小便300-500ml/天，体重无明显上降。} | |
[
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"end_pos": 76,
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"overlap": null,
"start_pos": 75,
"text": "心"
},
{
"end_pos": 118,
"label_type": "影像检查",
"overlap": null,
"start_pos": 114,
"text": "心脏彩超"
},
{
"end_pos": 121,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 119,
"text": "右房"
},
{
"end_pos": 124,
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"start_pos": 122,
"text": "左房"
},
{
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"start_pos": 125,
"text": "左室"
},
{
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"text": "多瓣膜反流"
},
{
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"start_pos": 136,
"text": "肺动脉重度高压"
},
{
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"label_type": "疾病和诊断",
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"start_pos": 144,
"text": "心包腔积液"
},
{
"end_pos": 152,
"label_type": "影像检查",
"overlap": null,
"start_pos": 150,
"text": "胸片"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 154,
"text": "右肺"
},
{
"end_pos": 176,
"label_type": "影像检查",
"overlap": null,
"start_pos": 174,
"text": "胸片"
},
{
"end_pos": 179,
"label_type": "影像检查",
"overlap": null,
"start_pos": 177,
"text": "CT"
},
{
"end_pos": 184,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 181,
"text": "右上肺"
},
{
"end_pos": 318,
"label_type": "药物",
"overlap": null,
"start_pos": 314,
"text": "头孢呋辛"
},
{
"end_pos": 324,
"label_type": "药物",
"overlap": null,
"start_pos": 319,
"text": "橘红痰咳液"
}
] | 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+年患者反复出现咳嗽、咳痰，多于冬春季及受凉后发作，抗感染治疗有效，每年发作超过3个月。入院前6+年开始出现咳嗽咳痰时伴喘累，逐渐出现活动后心累，于下坡时出现。2014年4月患者曾因下诉症状发作在我科住院治疗，当时查“心脏彩超示右房、左房、左室增大，多瓣膜反流，肺动脉重度高压，心包腔积液；胸片提示右肺中上野团片影；后反复在我科住院，监测胸片或CT提示右上肺团块影持续存在。院外遵嘱长期口服利尿剂及支气管解痉药物，平地慢步活动可耐受。并反复多次于我科住院治疗。半年前患者再次因咳嗽、咳痰、喘累于我科住院，予以抗感染、祛痰、平喘治疗，症状好转后出院。2天前患者受凉后感咳嗽，咳痰不多，但咳嗽剧烈，夜间咳嗽明显，院外服用“头孢呋辛、橘红痰咳液”等治疗后无好转，感活动后喘累，无明显咽痛流涕，无畏寒发热，无潮热盗汗等不适，今为求进一步治疗来我院。本次发病以来患者精神食欲尚可，大小便如常，睡眠尚可，体力明显上降，体重无明显改变。} | |
[
{
"end_pos": 11,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 10,
"text": "腹"
},
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 14,
"text": "中下腹"
},
{
"end_pos": 36,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 35,
"text": "腹"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "胸骨"
},
{
"end_pos": 69,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 68,
"text": "腹"
},
{
"end_pos": 133,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 130,
"text": "指血糖"
},
{
"end_pos": 149,
"label_type": "影像检查",
"overlap": null,
"start_pos": 144,
"text": "床旁心电图"
},
{
"end_pos": 178,
"label_type": "影像检查",
"overlap": null,
"start_pos": 174,
"text": "全腹CT"
},
{
"end_pos": 188,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 185,
"text": "肠梗阻"
},
{
"end_pos": 193,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 189,
"text": "小肠梗阻"
},
{
"end_pos": 207,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 201,
"text": "动力性肠梗阻"
},
{
"end_pos": 228,
"label_type": "影像检查",
"overlap": null,
"start_pos": 224,
"text": "CT增强"
},
{
"end_pos": 244,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 242,
"text": "肠道"
},
{
"end_pos": 256,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 252,
"text": "胆囊结石"
},
{
"end_pos": 260,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 257,
"text": "肝左叶"
},
{
"end_pos": 274,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 268,
"text": "腹腔少量积液"
},
{
"end_pos": 284,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 277,
"text": "腹主动脉壁钙化"
},
{
"end_pos": 293,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 287,
"text": "腰椎骨质增生"
},
{
"end_pos": 298,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 294,
"text": "腰2椎体"
},
{
"end_pos": 304,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 303,
"text": "骨"
},
{
"end_pos": 327,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 316,
"text": "两肺底慢性或间质性炎症"
},
{
"end_pos": 332,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 330,
"text": "胸膜"
},
{
"end_pos": 351,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 347,
"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:{12+小时前患者出现腹痛，以中下腹胀痛为主，恶心、呕吐胃内容物3次，无腹泻，无心悸、胸闷，无胸骨后压榨样疼痛，无畏寒、发热，未予特处理，腹痛持续加重，伴呕吐胃内容物，未见咖啡色样物，无呕血，护理人员发现后与家属沟通，家属到达养老院后拨打我院急救电话求救，院前查指血糖：5.8mmol/L,床旁心电图：窦性心律，ST改变，由急救人员送入我院急诊科，行全腹CT提示：1，考虑肠梗阻，小肠梗阻可能？不完全排除动力性肠梗阻？建议结合临床密切随访复查或必要时CT增强进一步明确梗阻部位及有无合并肠道占位性病变。2，胆囊结石；肝左叶斑点状钙化。3，腹腔少量积液。4，腹主动脉壁钙化。5，腰椎骨质增生，腰2椎体陈旧压缩并骨水泥填充表现。6，扫描野两肺底慢性或间质性炎症，两侧胸膜稍增厚。急诊科请我科会诊后以“腹痛待查”收入我科进一步诊治。患病以来患者精神睡眠较差，食欲不佳,小便正常，大便一次，质干成型，黑褐色，排出欠通畅，体重无明显变化。} | |
[
{
"end_pos": 25,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 23,
"text": "大腿"
},
{
"end_pos": 43,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 40,
"text": "右肩部"
},
{
"end_pos": 48,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 44,
"text": "右侧胸壁"
},
{
"end_pos": 53,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 52,
"text": "头"
},
{
"end_pos": 87,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 86,
"text": "腹"
},
{
"end_pos": 144,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 139,
"text": "创伤性休克"
},
{
"end_pos": 177,
"label_type": "影像检查",
"overlap": null,
"start_pos": 175,
"text": "CT"
},
{
"end_pos": 183,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 181,
"text": "头皮"
},
{
"end_pos": 194,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 190,
"text": "鼻骨骨折"
},
{
"end_pos": 207,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 195,
"text": "两侧下颌窦少许炎症或积血"
},
{
"end_pos": 221,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 208,
"text": "两侧下颌窦壁不除外线性骨折"
},
{
"end_pos": 226,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 222,
"text": "右肺炎症"
},
{
"end_pos": 233,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 230,
"text": "肺挫伤"
},
{
"end_pos": 243,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 234,
"text": "左肺底少许慢性炎症"
},
{
"end_pos": 247,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 244,
"text": "右侧胸"
},
{
"end_pos": 271,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 256,
"text": "右侧肱骨下端近外科颈粉碎性骨折"
},
{
"end_pos": 283,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 272,
"text": "右肩关节盂部分线性骨折"
},
{
"end_pos": 289,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 284,
"text": "右肩半脱位"
},
{
"end_pos": 315,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 292,
"text": "右侧股骨下段及转子间粉碎性骨折，伴周围血肿形成"
},
{
"end_pos": 326,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 316,
"text": "右侧耻骨上支线性骨折"
},
{
"end_pos": 339,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 327,
"text": "颈椎、胸椎及腰椎退行性变"
},
{
"end_pos": 344,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 340,
"text": "脊柱侧弯"
},
{
"end_pos": 353,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 351,
"text": "骨折"
},
{
"end_pos": 358,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 354,
"text": "右肾囊肿"
}
] | 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+小时前，患者在自家门口不慎跌倒，跌倒后感右大腿疼痛伴活动障碍，不能站起，并感右肩部及右侧胸壁疼痛，无头痛、恶心、呕吐，无畏寒、发热、呼吸困难，无意识障碍及逆行性遗忘，无腹痛、尿血、大小便失禁。遂被家人急送我院门诊就诊，在检查过程中出现血压上降，血压80/50mmHg，考虑“创伤性休克”，予以深静脉置管，快速补液纠正休克治疗，患者血压恢复正常。行CT检查提示头皮软组织稍肿胀，鼻骨骨折；两侧下颌窦少许炎症或积血，两侧下颌窦壁不除外线性骨折；右肺炎症，不除外肺挫伤；左肺底少许慢性炎症；右侧胸膜增厚或少许积液；右侧肱骨下端近外科颈粉碎性骨折，右肩关节盂部分线性骨折；右肩半脱位可疑？右侧股骨下段及转子间粉碎性骨折，伴周围血肿形成；右侧耻骨上支线性骨折；颈椎、胸椎及腰椎退行性变，脊柱侧弯，未见明显压缩骨折，右肾囊肿。并请骨科会诊后考虑目前血压不稳定，暂不宜手术，遂收住我科。患者患病以来，精神可，未进食，大便未解，小便正常。} | |
[
{
"end_pos": 49,
"label_type": "药物",
"overlap": null,
"start_pos": 42,
"text": "硝苯地平缓释片"
},
{
"end_pos": 54,
"label_type": "药物",
"overlap": null,
"start_pos": 50,
"text": "替米沙坦"
},
{
"end_pos": 70,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 69,
"text": "头"
},
{
"end_pos": 73,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 72,
"text": "头"
},
{
"end_pos": 77,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 76,
"text": "心"
},
{
"end_pos": 84,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "心"
},
{
"end_pos": 109,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 108,
"text": "头"
},
{
"end_pos": 164,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 163,
"text": "心"
},
{
"end_pos": 167,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 166,
"text": "胸"
},
{
"end_pos": 171,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 170,
"text": "腹"
},
{
"end_pos": 192,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 191,
"text": "头"
},
{
"end_pos": 221,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 220,
"text": "胃"
},
{
"end_pos": 236,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 235,
"text": "胸"
},
{
"end_pos": 238,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 237,
"text": "心"
},
{
"end_pos": 253,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 251,
"text": "四肢"
},
{
"end_pos": 282,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 279,
"text": "左下肢"
},
{
"end_pos": 299,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 296,
"text": "右下肢"
},
{
"end_pos": 318,
"label_type": "药物",
"overlap": null,
"start_pos": 314,
"text": "乌拉地尔"
},
{
"end_pos": 347,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 344,
"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30+年前检查发现血压高，最高时收缩压超过200/？mmHg，长期服用降压药物（硝苯地平缓释片、替米沙坦等），自诉血压控制尚可，起初无头昏、头痛，无心悸、无活动后心累、乏力等不适。10+天前患者无明确诱因反复出现头晕，阵性发作，每次发作持续时间约数分钟，平躺休息后好转，感活动喘累明显，无视物旋转、视物模糊，无恶心呕吐，无心悸、胸痛，无腹痛腹泻，未予以重视。半天前患者在床下突感头晕，症状加重，伴视物旋转，恶心，呕吐2次，非喷射性，呕吐胃容物，感肢体乏力，无头痛，无胸痛心慌，无偏瘫，无视野缺损，无四肢抽搐，无黑矇晕厥，为求进一步治疗，遂入我院急诊科，查左下肢血压209/104mmhg，右下肢血压225/98mmhg，予以乌拉地尔5ml静脉注射，后血压降至170/75mmhg，以“高血压 头晕”收入我科。患者此次患病以来精神食欲尚可，大便正常，夜尿次数增多，睡眠尚可,体力及体重无明显改变.近来诉咳嗽，咳黄色浓痰。} | |
[
{
"end_pos": 17,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 16,
"text": "颈"
},
{
"end_pos": 19,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 18,
"text": "腰"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 20,
"text": "两膝"
},
{
"end_pos": 29,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 26,
"text": "两上肢"
},
{
"end_pos": 49,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 46,
"text": "两上肢"
},
{
"end_pos": 56,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 55,
"text": "头"
},
{
"end_pos": 62,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 60,
"text": "下肢"
},
{
"end_pos": 132,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 125,
"text": "重度骨质疏松症"
},
{
"end_pos": 140,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 133,
"text": "腰椎间盘突出症"
},
{
"end_pos": 150,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 141,
"text": "两膝退行性骨关节炎"
},
{
"end_pos": 155,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 151,
"text": "睡眠障碍"
},
{
"end_pos": 160,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 156,
"text": "高脂血症"
},
{
"end_pos": 166,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 161,
"text": "老年性痴呆"
},
{
"end_pos": 179,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 167,
"text": "右侧锁骨上动脉盗血综合征"
},
{
"end_pos": 232,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 227,
"text": "骨质疏松症"
},
{
"end_pos": 243,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 238,
"text": "2型糖尿病"
},
{
"end_pos": 260,
"label_type": "药物",
"overlap": null,
"start_pos": 252,
"text": "伏格列波糖分散片"
},
{
"end_pos": 265,
"label_type": "药物",
"overlap": null,
"start_pos": 261,
"text": "格列美脲"
},
{
"end_pos": 285,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 280,
"text": "糖尿病眼病"
},
{
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"label_type": "疾病和诊断",
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"start_pos": 286,
"text": "糖尿病周围神经病"
},
{
"end_pos": 300,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 297,
"text": "高血压"
},
{
"end_pos": 364,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 352,
"text": "原发性高血压3级 极高危"
},
{
"end_pos": 372,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 365,
"text": "高血压性心脏病"
},
{
"end_pos": 378,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 373,
"text": "心功能Ⅱ级"
}
] | 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:{无明显诱因反复全身疼痛1+年，以颈、腰、两膝为主，感两上肢冷痛、麻木，时轻时重，受凉后加重，两上肢乏力，阵发性头昏痛，有下肢麻木，视物模糊，长期睡眠差，无心慌、胸闷、咳嗽、发热、盗汗等，无间歇性跛行及大小便障碍，曾于*******医院住院治疗诊断为“重度骨质疏松症，腰椎间盘突出症、两膝退行性骨关节炎、睡眠障碍、高脂血症、老年性痴呆、右侧锁骨上动脉盗血综合征”，经治疗后症状缓解（具体不详）；无诱因以下复发加重1+月，为进一步治疗，遂来我科就诊，门诊以“骨质疏松症”收治入院。2型糖尿病12+年，长期口服伏格列波糖分散片、格列美脲降血糖，未规范监测血糖，明确有糖尿病眼病、糖尿病周围神经病。既往高血压病史12+年，血压最高180/？mmHg，未规律服药降压药，自诉血压控制可,于*******医院诊断为“原发性高血压3级 极高危 高血压性心脏病 心功能Ⅱ级”。患者患病以来精神一般，食欲可，大小便正常，近期无明显体重减轻。} | |
[
{
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"text": "腰部"
},
{
"end_pos": 45,
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"start_pos": 41,
"text": "左侧腰部"
},
{
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"start_pos": 143,
"text": "胸"
},
{
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"text": "胸"
},
{
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"text": "心"
},
{
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"text": "心"
},
{
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"text": "白细胞数"
},
{
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"start_pos": 214,
"text": "中性粒细胞百分比"
},
{
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"start_pos": 231,
"text": "胸部CT"
},
{
"end_pos": 246,
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"overlap": null,
"start_pos": 240,
"text": "左肺下叶前段"
},
{
"end_pos": 263,
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"overlap": null,
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"text": "两肺"
},
{
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"overlap": null,
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},
{
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},
{
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},
{
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"text": "高热待查：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:{患者入院前3天无明显诱因感尿频、尿痛，并少许咳嗽，无明显咳痰，咳嗽时感腰部隐痛，以左侧腰部明显，于当地卫生院就诊，口服“三金片”治疗，自觉无效，症状无好转。入院前1天患者感畏寒，未觉明显发热，余症状同前，患者未及时就诊。入院前2小时患者再发感畏寒，随后出现乏力，自觉发热，无咽痛流涕，无胸闷胸痛，无气喘心累，无心悸，无恶心呕吐，无腹胀等不适，家属送其于我院门诊就诊，测体温40.5℃，急查血常规：白细胞数 5.2×10^9/L、中性粒细胞百分比 90.74 %；胸部CT提示：1.左肺下叶前段小结节影，建议短期内复查。2.两肺间质性改变；两肺底少许模糊影，考虑坠积效应或少许感染，建议结合临床。3.主动脉壁及冠状动脉壁钙化。门诊予以静滴“复方电解质注射液 500mg”，为进一步治疗以“高热待查：肺部感染？”收治入院。病程中患者精神、饮食一般，大小便正常，体重无明显上降。患者自家养有“鸡、鸭”，但其他家属无类似症状。} | |
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"text": "胸"
},
{
"end_pos": 21,
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"text": "剑突"
},
{
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"start_pos": 44,
"text": "上颌"
},
{
"end_pos": 50,
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"text": "肩背部"
},
{
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"text": "胸"
},
{
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"text": "胸"
},
{
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"text": "胸"
},
{
"end_pos": 172,
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"start_pos": 171,
"text": "心"
},
{
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"start_pos": 220,
"text": "上颌"
},
{
"end_pos": 226,
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"text": "肩背部"
},
{
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"text": "头"
},
{
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"text": "头"
},
{
"end_pos": 273,
"label_type": "解剖部位",
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"start_pos": 272,
"text": "咽"
},
{
"end_pos": 275,
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"start_pos": 274,
"text": "咽"
},
{
"end_pos": 297,
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"text": "腹"
},
{
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"start_pos": 298,
"text": "腹"
},
{
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"text": "两上肢"
},
{
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"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胸痛，剑突上，呈钝痛，持续约3-5分钟，可自行缓解，不伴上颌及肩背部的放射性疼痛，院外进行中药治疗（具体不详）后稍有缓解。此后胸痛反复发生，未引起重视进行治疗。入院前10+月曾因“胸痛”于我院内一科住院治疗（具体不详）后好转出院，出院后症状有反复，但较之前明显好转。入院前4+月患者感无明显诱因胸痛症状加重，伴心累、气促，轻微活动时明显，每天均有发作，具体次数不详，每次持续约10-20分钟后可稍微缓解，不伴上颌及肩背部放射痛，院外治疗（具体不详）后无明显缓解，无畏寒发热，无潮热盗汗，无头痛头晕，无黑蒙晕厥，无咽痛咽痒，无咳嗽咳痰，无反酸嗳气，无恶心呕吐，无腹痛腹胀，无咳粉红色泡沫痰，无夜间阵发性呼吸困难，无端坐呼吸，无两上肢凹陷性水肿，于今日来我院就诊，为进一步治疗，门诊以\"冠心病\"收入我科住院治疗。病程中患者精神、饮食一般，大便正常，夜尿次数4-5次/分，体重无明显上降。} | |
[
{
"end_pos": 16,
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"overlap": null,
"start_pos": 14,
"text": "下腹"
},
{
"end_pos": 41,
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"overlap": null,
"start_pos": 40,
"text": "腹"
},
{
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"overlap": null,
"start_pos": 43,
"text": "腹"
},
{
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"overlap": null,
"start_pos": 63,
"text": "头"
},
{
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"overlap": null,
"start_pos": 66,
"text": "心"
},
{
"end_pos": 156,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 154,
"text": "面部"
},
{
"end_pos": 162,
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"overlap": null,
"start_pos": 160,
"text": "门牙"
},
{
"end_pos": 168,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 165,
"text": "下嘴唇"
},
{
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"text": "心"
},
{
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"overlap": null,
"start_pos": 204,
"text": "头"
},
{
"end_pos": 214,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "口"
},
{
"end_pos": 235,
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"overlap": null,
"start_pos": 234,
"text": "胸"
},
{
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"overlap": null,
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"text": "胸"
},
{
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"overlap": null,
"start_pos": 260,
"text": "白细胞数"
},
{
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"overlap": null,
"start_pos": 277,
"text": "红细胞数"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 295,
"text": "血红蛋白浓度"
},
{
"end_pos": 314,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 310,
"text": "血小板数"
},
{
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"overlap": null,
"start_pos": 326,
"text": "中性粒细胞百分比"
},
{
"end_pos": 348,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 343,
"text": "红细胞压积"
},
{
"end_pos": 364,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 358,
"text": "下消化道出血"
}
] | 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:{入院前1周患者无明显诱因出现下腹胀，餐后明显，伴早饱、纳差，进食量减少2/3，无腹痛、腹泻、黑便，无反酸、嗳气、烧心，无乏力、头昏、心悸，无恶心、呕吐，未予重视。入院前1-天患者出现解暗红色血便，为软便，无血凝块，共7-8次，总量约500g，伴呕吐暗红色血性物质1次，总量约200ml，伴晕厥1次，晕厥后摔倒面部朝上，致门牙松动，下嘴唇出血，后自行醒转（具体持续时间不详），伴心悸、大汗、乏力，无大小便失禁、头痛、身体疼痛，无口吐白沫、肢体抽搐，无畏寒、发热、寒战，无胸闷、胸痛。今日家属将其送至我院就诊，急诊查血常规：白细胞数 10.3×10^9/L、红细胞数 3.98×10^12/L、血红蛋白浓度 116 g/L、血小板数 187×10^9/L、中性粒细胞百分比 77.64 %、红细胞压积 35.7 %，以“下消化道出血”收入我科。患者此次患病以来，精神尚可，食欲减退，大便同前，小便尚可，近期体重无明显减轻。} | |
[
{
"end_pos": 11,
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"overlap": null,
"start_pos": 10,
"text": "头"
},
{
"end_pos": 14,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 13,
"text": "头"
},
{
"end_pos": 22,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 19,
"text": "两上肢"
},
{
"end_pos": 43,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 40,
"text": "血肌酐"
},
{
"end_pos": 63,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 56,
"text": "慢性肾功能衰竭"
},
{
"end_pos": 69,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 64,
"text": "梗阻性肾病"
},
{
"end_pos": 99,
"label_type": "手术",
"overlap": null,
"start_pos": 88,
"text": "右前臂动静脉内瘘成形术"
},
{
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"start_pos": 156,
"text": "血红蛋白"
},
{
"end_pos": 178,
"label_type": "药物",
"overlap": null,
"start_pos": 175,
"text": "促红素"
},
{
"end_pos": 204,
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"overlap": null,
"start_pos": 203,
"text": "腰"
},
{
"end_pos": 210,
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"overlap": null,
"start_pos": 208,
"text": "腰椎"
},
{
"end_pos": 222,
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"overlap": null,
"start_pos": 221,
"text": "腰"
},
{
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"overlap": null,
"start_pos": 292,
"text": "心"
},
{
"end_pos": 306,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 305,
"text": "胃"
},
{
"end_pos": 330,
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"overlap": null,
"start_pos": 329,
"text": "胸"
},
{
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"overlap": null,
"start_pos": 332,
"text": "胸"
},
{
"end_pos": 354,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 347,
"text": "慢性肾脏病5期"
}
] | 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8年余患者出现头晕、头痛、乏力、两上肢水肿，入**********医院查得血肌酐升高（具体不详），诊断为“慢性肾功能衰竭，梗阻性肾病”，后长期行2次/周规律血液透析，并行右前臂动静脉内瘘成形术。病程中患者血压逐渐升高，最高收缩压达160mmHg，服用降压药物控制血压，后患者血压逐渐降至正常，停用降压药物；血红蛋白逐渐上降（具体不详），长期使用促红素纠正肾性贫血。入院前3+天患者无明显诱因出现发热、腰痛，自觉腰椎疼痛，予止痛膏药外敷后腰痛缓解，未特殊诊治。入院前半天患者于我科行规律血液透析治疗，透析顺利，体重上降约3.1kg，无特殊不适。入院前1小时患者无明显诱因出现寒颤、心累、气促，少许进食后呕吐胃内容物1次，无明显咳嗽、咳痰，无咯血，无发热、胸闷、胸痛、呼吸困难。立即来院，以“慢性肾脏病5期”收入我科。患者自患病以来，精神、食欲差，5天未解大便，长期留置导尿、小便约50ml/天，平车推入未称体重。} | |
[
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"text": "剑突上"
},
{
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"text": "肩背部"
},
{
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"text": "胸"
},
{
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"text": "胸"
},
{
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"text": "心"
},
{
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"text": "心"
},
{
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"text": "两上肢"
},
{
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},
{
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"text": "心"
},
{
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"text": "胸"
},
{
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"text": "慢性胃炎"
},
{
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},
{
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"start_pos": 247,
"text": "全心功能不全"
},
{
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"text": "心功能III级"
},
{
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"text": "肺部感染"
},
{
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"text": "两上肢"
},
{
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"text": "心"
},
{
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"text": "冠心病"
},
{
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"text": "心衰"
},
{
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"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:{入院前4月，患者无明显诱因出现剑突上胀痛，呈阵发性发作，无肩背部放射痛，与进食及体位无明显关系，无明显缓解方式。伴烧心、嗳气，伴纳差。无胸闷、胸痛、心累、气促。在外未予处理。入院前2月出现活动后心累、气促，以爬坡及下楼后明显，休息后可稍缓解。无夜间阵发性呼吸困难，无咯粉红色泡沫痰，无咳嗽、咳痰畏寒、发热。1月前，患者出现两上肢浮肿，伴剑突上胀痛、心累、气促，伴咳嗽、咳痰，痰液较少，咯痰费力，无畏寒、发热、咯血、胸痛等不适，于我院住院，诊断为“1.慢性胃炎可能 2.冠状动脉粥样硬化性心脏病 全心功能不全 心功能III级 3.肺部感染”，予以抑酸、利尿等对症治疗后好转出院。3天前，患者再次出现两上肢水肿，走平路即感心累、气促，伴咳嗽、咳痰，自行口服药物（具体不详）后无明显好转。遂今日来我院要求住院治疗，为进一步诊治，门诊以“冠心病 心衰；肺部感染”收入我科。病程中精神、饮食较差，大小便正常，体重无明显改变。} | |
[
{
"end_pos": 17,
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"overlap": null,
"start_pos": 16,
"text": "心"
},
{
"end_pos": 20,
"label_type": "解剖部位",
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"text": "心"
},
{
"end_pos": 27,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 25,
"text": "上肢"
},
{
"end_pos": 45,
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"text": "冠心病"
},
{
"end_pos": 71,
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"text": "心"
},
{
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"text": "上肢"
},
{
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"text": "头"
},
{
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"text": "动态心电图检查"
},
{
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"label_type": "手术",
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"text": "安置心脏起搏器"
},
{
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"text": "咽"
},
{
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"text": "九味羌活丸"
},
{
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"start_pos": 264,
"text": "头孢"
},
{
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"text": "两黄连口服液"
},
{
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"text": "心"
},
{
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},
{
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"text": "胸"
},
{
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"text": "腹"
},
{
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"overlap": null,
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"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:{入院前10+年患者开始出现活动后心累、心慌，偶出现上肢浮肿，在重医附一院检查诊断为“冠心病”，给予口服药物治疗后好转，长期坚持服药，但活动后心累反复发作，有时出现上肢浮肿，多次住院治疗。入院前7+年患者感头昏，行走缓慢，发现心率慢，行动态心电图检查后示窦性心动过缓（约40次/分），在重医附一院安置心脏起搏器，此后心率维持在65-70次/分。入院前1周患者外出散步，步行过程中感乏力，全身酸软，并一过性出现头晕，不能想起回家的路，休息后稍好转返回家中，自觉无明显咽痛，流涕，咳嗽等不适，测体温最高37.6℃ ，给予“九味羌活丸、头孢、两黄连口服液”等治疗，3天后未再发热，但仍觉畏寒，稍感头昏，无头痛，活动后感心累、乏力，程度轻可耐受，余无畏寒发热，无咯血，无咳嗽咳痰，无胸闷胸痛，无腹痛腹泻，今日由家属送入我科住院治疗。患者此次患病以来精神、食欲、睡眠均不佳，时有便秘，尿量有减少，体力及体重无明显改变。} | |
[
{
"end_pos": 57,
"label_type": "实验室检验",
"overlap": null,
"start_pos": 54,
"text": "指血糖"
},
{
"end_pos": 100,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 96,
"text": "低血糖症"
},
{
"end_pos": 109,
"label_type": "疾病和诊断",
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"start_pos": 103,
"text": "腔隙性脑梗死"
},
{
"end_pos": 116,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 112,
"text": "高血压病"
},
{
"end_pos": 124,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 120,
"text": "低钾血症"
},
{
"end_pos": 132,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 127,
"text": "2型糖尿病"
},
{
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"overlap": null,
"start_pos": 185,
"text": "肢体"
},
{
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"start_pos": 197,
"text": "两上肢"
},
{
"end_pos": 213,
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"overlap": null,
"start_pos": 211,
"text": "血糖"
},
{
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"overlap": null,
"start_pos": 286,
"text": "糖尿病"
},
{
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"start_pos": 342,
"text": "指血糖"
},
{
"end_pos": 367,
"label_type": "药物",
"overlap": null,
"start_pos": 361,
"text": "葡萄糖注射液"
}
] | 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月前被家属发现意识模糊，胡言乱语，无法交流，无呼吸困难、抽搐及大小便失禁等，家属将其送入我院急诊科查指血糖2.1mmol/l，血压216/98mmHg，收入我科住院治疗考虑诊断为“1、低血糖症；2、腔隙性脑梗死；3、高血压病？；4、低钾血症；5、2型糖尿病？”，症状稍好转后自动出院。3天前患者家属诉患者自行服用某药物（具体不详）后，出现呼之不应，无恶心呕吐，无肢体抽搐，无呼吸困难，无两上肢水肿，送至我院急诊科查血糖 1.7mmol/l，血压190/98mmhg，予以高糖静脉推注后患者神清，呼之能应，收住内四科治疗1天好转出院。院外患者继续在流动摊贩处购买治疗糖尿病药物（无正规包装，具体不详），3+小时前家属发现患者口齿模糊、胡言乱语，呼之不能对答，急送来我院急诊室，查指血糖2.1mmol/L，给予静脉应用葡萄糖注射液后意识清楚；进一步收住院治疗。本次发病以来患者精神食欲差，大小便未解。} | |
[
{
"end_pos": 41,
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"overlap": null,
"start_pos": 40,
"text": "胸"
},
{
"end_pos": 44,
"label_type": "解剖部位",
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"start_pos": 43,
"text": "胸"
},
{
"end_pos": 52,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 51,
"text": "腹"
},
{
"end_pos": 55,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 54,
"text": "腹"
},
{
"end_pos": 61,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 58,
"text": "两上肢"
},
{
"end_pos": 258,
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"overlap": null,
"start_pos": 257,
"text": "胸"
},
{
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"overlap": null,
"start_pos": 260,
"text": "胸"
},
{
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"overlap": null,
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"text": "腹"
},
{
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"start_pos": 271,
"text": "腹"
},
{
"end_pos": 278,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 275,
"text": "胸前区"
},
{
"end_pos": 286,
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"overlap": null,
"start_pos": 283,
"text": "两上肢"
},
{
"end_pos": 299,
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"overlap": null,
"start_pos": 298,
"text": "头"
},
{
"end_pos": 392,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 382,
"text": "慢性支气管炎急性发作"
}
] | 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20+年前受凉后出现咳嗽、喘累，体力活动后感气促，但可耐受，无畏寒、发热，无胸闷、胸痛，无咯血，无腹痛、腹泻，无两上肢水肿等不适，间断口服药物及输液对症治疗后（具体不详）下述不适可缓解；每年多于冬春季及天气剧烈变化时发病加重，每次持续时间1月-3月，每年发作总时间大于3个月；病情缓解期体力耐量可好转。20+年来下诉症状发作逐渐增多、体力耐量进行性上降；目前平地快步活动或爬楼后感喘累、气促，但休息后可缓解，基本可耐受。入院前3天，患者不慎受凉后再次感喘累加重，平地缓慢活动感气促，伴咳嗽、咳痰，痰液较粘稠，无胸闷、胸痛，无咯血，无腹痛、腹泻，无胸前区压榨感，无两上肢水肿等不适，喘累加重时伴头昏、乏力。患者自觉病情较轻，未及时就医或服药治疗。今日晨起，患者感喘累有加重趋势，仍感咳痰，咳痰，患者家属自觉患者病情较前明显加重，为进一步治疗故来我院就诊，门诊以“慢性支气管炎急性发作”收入我科住院治疗。} | |
[
{
"end_pos": 12,
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"overlap": null,
"start_pos": 10,
"text": "血糖"
},
{
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"label_type": "实验室检验",
"overlap": null,
"start_pos": 39,
"text": "血糖"
},
{
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"label_type": "解剖部位",
"overlap": null,
"start_pos": 56,
"text": "头"
},
{
"end_pos": 85,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 78,
"text": "脑动脉供血不足"
},
{
"end_pos": 97,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 87,
"text": "高血压病3级极高危组"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 98,
"text": "室间隔增厚"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 105,
"text": "2型糖尿病"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 111,
"text": "糖尿病肾病"
},
{
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"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 117,
"text": "糖尿病周围神经病变"
},
{
"end_pos": 134,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 128,
"text": "腔隙性脑梗死"
},
{
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"overlap": null,
"start_pos": 136,
"text": "高脂血症"
},
{
"end_pos": 148,
"label_type": "药物",
"overlap": null,
"start_pos": 143,
"text": "门冬胰岛素"
},
{
"end_pos": 181,
"label_type": "药物",
"overlap": null,
"start_pos": 164,
"text": "重组甘精胰岛素注射液（长秀霖笔芯）"
},
{
"end_pos": 205,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 203,
"text": "两眼"
},
{
"end_pos": 224,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 222,
"text": "肢体"
},
{
"end_pos": 248,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 247,
"text": "头"
},
{
"end_pos": 260,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 259,
"text": "心"
},
{
"end_pos": 273,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 272,
"text": "腹"
},
{
"end_pos": 276,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 275,
"text": "腹"
},
{
"end_pos": 281,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 278,
"text": "两上肢"
},
{
"end_pos": 303,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 300,
"text": "两上肢"
},
{
"end_pos": 310,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 307,
"text": "脚踝部"
},
{
"end_pos": 322,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 321,
"text": "胸"
},
{
"end_pos": 325,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 324,
"text": "胸"
},
{
"end_pos": 356,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 353,
"text": "糖尿病"
},
{
"end_pos": 363,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 357,
"text": "水肿原因待查"
}
] | 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:{入院前16年患者发现血糖高，最高时20mmol/l右左，后给予降糖药物，未监测血糖，未重视及正规治疗。于1年前因头昏在我院内一科住院治疗，完善检查后诊断1、脑动脉供血不足2、高血压病3级极高危组 室间隔增厚3、2型糖尿病 糖尿病肾病 糖尿病周围神经病变4、腔隙性脑梗死5、高脂血症。给予门冬胰岛素早14IU中14IU晚12IU，重组甘精胰岛素注射液（长秀霖笔芯） 每次14IU,皮上注射/晚，病程过程中伴有两眼视物模糊、飞蚊症、视力上降，伴远段肢体麻木，伴夜尿增多（每晚3次），无乏力、发热、无头昏头痛、无视物旋转、无心悸气促、无咳嗽、咳痰、无腹痛、腹泻、两上肢不水肿、无尿频、尿急、尿痛。1月前出现两上肢水肿，以脚踝部明显，逐渐向下加重，无胸闷、胸痛，无活动后气促，为进一步治疗，今日来我院就诊，门诊以“糖尿病、水肿原因待查”收入我科住院治疗。患病来精神、饮食可，大便正常，小便同下。体重无明显上降。} | |
[
{
"end_pos": 39,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 38,
"text": "心"
},
{
"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": "胸"
},
{
"end_pos": 86,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 83,
"text": "两上肢"
},
{
"end_pos": 117,
"label_type": "影像检查",
"overlap": null,
"start_pos": 113,
"text": "心脏彩超"
},
{
"end_pos": 130,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 119,
"text": "主动脉瓣重度狭窄伴反流"
},
{
"end_pos": 141,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 135,
"text": "风湿性心脏病"
},
{
"end_pos": 167,
"label_type": "手术",
"overlap": null,
"start_pos": 160,
"text": "主动脉瓣置换术"
},
{
"end_pos": 200,
"label_type": "药物",
"overlap": null,
"start_pos": 197,
"text": "华法林"
},
{
"end_pos": 310,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 309,
"text": "心"
},
{
"end_pos": 313,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 312,
"text": "胸"
},
{
"end_pos": 327,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 324,
"text": "两上肢"
}
] | 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:{患者既往有多年反复咳嗽病史，入院前8月受凉后咳嗽加重，咳白色泡沫痰，伴乏力、心悸，活动后喘累，下一楼即需停上休息，无胸闷、胸痛，无黑矇、晕厥，无夜间阵发性呼吸困难，无两上肢水肿等，自行服药后症状缓解不明显。于***二院就诊，行心脏彩超提示主动脉瓣重度狭窄伴反流，考虑为“风湿性心脏病”，于2015年7月17日在心胸外科行主动脉瓣置换术，手术顺利患者恢复较好，术后于我院住院恢复，出院时嘱院外口服华法林3.75mg，但患者长期口服2.5mg每天一次。平素日常活动无明显不适。1月前患者受凉后感咳嗽，咳白色泡沫痰，自行服用感冒药。1周前逐渐出现活动后气促，走平路即可发作，进食、穿衣稍感喘累，无发热、畏寒，无恶心、呕吐，无心悸、胸痛，无皮肤黏膜青紫，无两上肢水肿、夜间阵发性呼吸困难，于当地诊所输液1天后无明显改善，为进一步诊治今日收治我科。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": 21,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 18,
"text": "高血压"
},
{
"end_pos": 134,
"label_type": "药物",
"overlap": null,
"start_pos": 128,
"text": "坎地沙坦酯片"
},
{
"end_pos": 153,
"label_type": "药物",
"overlap": null,
"start_pos": 146,
"text": "盐酸乐卡地平片"
},
{
"end_pos": 214,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 213,
"text": "头"
},
{
"end_pos": 243,
"label_type": "解剖部位",
"overlap": null,
"start_pos": 241,
"text": "肢体"
},
{
"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"
},
{
"end_pos": 314,
"label_type": "药物",
"overlap": null,
"start_pos": 311,
"text": "甘露醇"
},
{
"end_pos": 317,
"label_type": "药物",
"overlap": null,
"start_pos": 315,
"text": "红花"
},
{
"end_pos": 353,
"label_type": "疾病和诊断",
"overlap": null,
"start_pos": 349,
"text": "头晕待查"
}
] | 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1+年，患者在我院住院期间发现高血压，在我院行“动态血压示平均收缩压 154mmhg（最小值104mmhg，最大值205mmhg），平均舒张压64mmhg（最小值53mmhg，最大值77mmhg），平均脉压 90mmhg，平均心率68次/分”，予以“坎地沙坦酯片 每次4mg 每天1次、盐酸乐卡地平片 每次4mg 每天1次”控制血压，但患者未正规服用降压药物，未正规监测血压，血压控制不详。入院前1天，患者无明显诱因出现头晕、视物旋转，不敢睁眼，站立困难，无恶心、呕吐，无单侧肢体乏力、活动障碍，无晕厥、黑朦，无意识障碍、抽搐，无咳嗽、咳痰，无腹胀、腹痛等，故就诊附近社区医院，家属当时测血压不高（具体不详），予以“甘露醇、红花”等药物治疗后仍无明显缓解，故就诊我院急诊科，为进一步治疗，以“头晕待查”收入我科住院。患者自起病以来，精神、食欲、睡眠较差，体力明显上降，体重无改变。大小便正常。} |