[ | |
{ | |
"id": 268, | |
"text": "患者本次发病以来,食欲正常,神志清醒,精神尚可,睡眠欠佳,大便正常,小便正常,体重无明显变化。", | |
"event": [ | |
{ | |
"core_name": "食欲", | |
"tendency": "", | |
"character": [ | |
"正常" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "神志", | |
"tendency": "", | |
"character": [ | |
"清醒" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "精神", | |
"tendency": "", | |
"character": [ | |
"尚可" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "睡眠", | |
"tendency": "", | |
"character": [ | |
"欠佳" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "大便", | |
"tendency": "", | |
"character": [ | |
"正常" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "小便", | |
"tendency": "", | |
"character": [ | |
"正常" | |
], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "体重变化", | |
"tendency": "", | |
"character": [ | |
"明显" | |
], | |
"anatomy_list": [] | |
} | |
] | |
}, | |
{ | |
"id": 1425, | |
"text": "请外科会诊后建议至上级医院手术或者放化疗,但患者拒绝并办理出院;此后患者仍诉张口困难,偶有左侧面颈部轻微疼痛,无发热,无咳嗽咯痰,无腹痛腹泻,22天前患者在家属陪同下再次到我科住院治疗,入院后完善检查无化疗禁忌,征得患者及家属同意后于5-25日行紫杉醇240mg d1+奈达铂120mg d1化疗,并于5月29日给予帕米磷酸二钠抗溶骨治疗,治疗过程顺利,化疗后患者面部包块缩小,今日患者为行下一疗程化疗入院,门诊以“口腔粘膜恶性肿瘤 口腔鳞状细胞癌 t4n2M0”收治入院。", | |
"event": [ | |
{ | |
"core_name": "张口困难", | |
"tendency": "", | |
"character": [], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "疼痛", | |
"tendency": "", | |
"character": [ | |
"轻微" | |
], | |
"anatomy_list": [ | |
"左侧面", | |
"左侧颈部" | |
] | |
}, | |
{ | |
"core_name": "发热", | |
"tendency": "否定", | |
"character": [], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "咳嗽", | |
"tendency": "否定", | |
"character": [], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "咳痰", | |
"tendency": "否定", | |
"character": [], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "疼痛", | |
"tendency": "否定", | |
"character": [], | |
"anatomy_list": [ | |
"腹" | |
] | |
}, | |
{ | |
"core_name": "腹泻", | |
"tendency": "否定", | |
"character": [], | |
"anatomy_list": [] | |
}, | |
{ | |
"core_name": "包块", | |
"tendency": "", | |
"character": [ | |
"化疗后,缩小" | |
], | |
"anatomy_list": [ | |
"面部" | |
] | |
}, | |
{ | |
"core_name": "恶性肿瘤", | |
"tendency": "", | |
"character": [], | |
"anatomy_list": [ | |
"口腔粘膜" | |
] | |
}, | |
{ | |
"core_name": "鳞癌", | |
"tendency": "", | |
"character": [], | |
"anatomy_list": [ | |
"口腔" | |
] | |
} | |
] | |
} | |
] |