CHIP-CDEE_dev.json

[
  {
    "id": 1744,
    "text": "遂就诊于我院门诊行上消化道钡餐检查提示：右肺门结节及右肺上叶大叶性肺炎，胃蠕动减弱，血图分析提示hb 65g/L,今为求进一步诊治遂入我院入我科。",
    "event": [
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺门"
        ]
      },
      {
        "core_name": "肺炎",
        "tendency": "",
        "character": [
          "大叶性"
        ],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "蠕动减弱",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃"
        ]
      }
    ]
  },
  {
    "id": 11,
    "text": "本次发病以来患者精神食欲稍差,大小便如常,睡眠较差,体重无明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "较差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 295,
    "text": "患者本次发病以来，食欲正常， 神志清醒，精神尚可，睡眠尚可，大便正常，小便正常，近一年体重减少10kg。",
    "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减少",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1605,
    "text": "2020-7-26于某医院某院区就诊，行电子阴道镜：宫颈癌？妇科彩超提示：宫颈处减弱回声，约7.6×4.0cm；宫腔内积液。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "回声",
        "tendency": "",
        "character": [
          "减弱"
        ],
        "anatomy_list": [
          "宫颈处"
        ]
      },
      {
        "core_name": "积液",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "宫腔内"
        ]
      }
    ]
  },
  {
    "id": 1256,
    "text": "因患者需期末考试，故予以口服“雷贝拉唑钠肠溶片”治疗，现腹痛情况明显好转。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "明显好转"
        ],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 587,
    "text": "4.左膝关节退行性变。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "退行性"
        ],
        "anatomy_list": [
          "左膝关节"
        ]
      }
    ]
  },
  {
    "id": 1408,
    "text": "院外经口饮食差，消瘦，静脉营养支持好转出院。",
    "event": [
      {
        "core_name": "饮食",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "消瘦",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1141,
    "text": "2016年4月8日患者无明显诱因出现阴道少许流血，每日用少量卫生纸即可，无明显臭味，2+日自净，未重视未处理。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "少许"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "臭味",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1868,
    "text": "现入院行第四次化疗，故门诊以“直肠腺癌术后”收入住院。",
    "event": [
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "直肠"
        ]
      }
    ]
  },
  {
    "id": 350,
    "text": "患者既往月经规律，初潮年龄15岁，4/2525天，量中，无痛经，13年前自然绝经，绝经后无异常阴道流血及流液，无同房接触性出血，未行妇科检查。",
    "event": [
      {
        "core_name": "月经",
        "tendency": "",
        "character": [
          "规律",
          "量中"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "痛经",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [
          "异常",
          "绝经后"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "流液",
        "tendency": "否定",
        "character": [
          "异常",
          "绝经后"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [
          "同房接触性"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1257,
    "text": "为求进一步治疗，昨日再次就诊于我院门诊，遂以“胃窦包块：间质瘤？”收入我科。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃窦"
        ]
      },
      {
        "core_name": "间质瘤",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "胃窦"
        ]
      }
    ]
  },
  {
    "id": 1077,
    "text": "术后行静脉港置管辅助化疗治疗，方案为ec-t（吡柔比星+环磷酰胺序贯紫杉醇），共行5疗程，化疗后产生中度药物骨髓毒性反应，予以对症支持治疗；原始病灶位于右乳外上，簇状钙化灶，临床不能触及。现为继续化疗入院。",
    "event": [
      {
        "core_name": "毒性反应",
        "tendency": "",
        "character": [
          "化疗后",
          "中度"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [
          "原始"
        ],
        "anatomy_list": [
          "右乳外上"
        ]
      },
      {
        "core_name": "钙化灶",
        "tendency": "",
        "character": [
          "簇状",
          "不能触及"
        ],
        "anatomy_list": [
          "右乳外上"
        ]
      }
    ]
  },
  {
    "id": 324,
    "text": "院外患者无乳头溢液，无乳房胀痛等不适。",
    "event": [
      {
        "core_name": "溢液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "胀痛"
        ],
        "anatomy_list": [
          "乳房"
        ]
      }
    ]
  },
  {
    "id": 1547,
    "text": "患者于入院前1+年无明显诱因出现双下肢乏力，活动后伴轻微疼痛，休息后双下肢疼痛可缓解，乏力稍缓解，无胸闷胸痛，无畏寒发热，无咳嗽咳痰，期间乏力程度无明显变化，患者未予重视，期间自服药物（具体不详），上述症状缓解不明显，今为求相应诊治，就诊于我院，门诊以“双下肢乏力待查”收入我科。",
    "event": [
      {
        "core_name": "乏力",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "活动后",
          "轻微"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "休息后可缓解"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [
          "休息后稍缓解"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "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": "乏力",
        "tendency": "",
        "character": [
          "1期间程度无明显变化"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      }
    ]
  },
  {
    "id": 530,
    "text": "左室整体收缩功能减低”，予以“呋塞米20mg利尿+西地兰0.2mg强心”处理，以“扩张性心肌病”收入我科。",
    "event": [
      {
        "core_name": "收缩功能减低",
        "tendency": "",
        "character": [
          "减低"
        ],
        "anatomy_list": [
          "左室"
        ]
      },
      {
        "core_name": "心肌病",
        "tendency": "",
        "character": [
          "扩张性"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 812,
    "text": "近3年患者症状加重，痰由白色粘痰转为黄色脓痰，且伴劳力性胸闷、心悸、气促，约持续半分钟左右，活动后尤甚，休息后可逐渐缓解，偶伴双下肢凹陷性水肿，伴端坐呼吸，无夜间阵发性呼吸困难，既往在我科及呼吸科住院，被诊断为“1.慢性阻塞性肺疾病 慢性肺源性心脏病 心力衰竭；2.冠状动脉粥样硬化性心脏病 心房纤颤”患者院外一直口服“阿司匹林肠溶片、泰嘉、欣康、麝香保心丸、胺碘酮”等药物治疗（具体剂量不详）。",
    "event": [
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色粘痰转为黄色脓痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "劳力性",
          "活动后加重",
          "休息后可逐渐缓解"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "",
        "character": [
          "活动后加重",
          "休息后可逐渐缓解"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后加重",
          "休息后可逐渐缓解"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "水肿",
        "tendency": "",
        "character": [
          "凹陷性",
          "偶伴"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "端坐呼吸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "夜间",
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "肺疾病",
        "tendency": "",
        "character": [
          "慢性",
          "阻塞性"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "心脏病",
        "tendency": "",
        "character": [
          "慢性",
          "肺源性"
        ],
        "anatomy_list": [
          "心脏"
        ]
      },
      {
        "core_name": "心力衰竭",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "心脏病",
        "tendency": "",
        "character": [
          "冠状动脉粥样硬化性"
        ],
        "anatomy_list": [
          "心脏"
        ]
      },
      {
        "core_name": "心房纤颤",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心房"
        ]
      }
    ]
  },
  {
    "id": 1217,
    "text": "2016年12月患者因阴道大量流血急诊至某医院就诊，考虑“功血”，给予止血药止血治疗（具体治疗经过不详）后未进一步诊治，停药后阴道分泌物继续增多，呈暗红色，伴异味，伴同房后有少量阴道流血，呈鲜红色，量较少，持续两天后消失。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "大量"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "功能失调性子宫出血",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "子宫"
        ]
      },
      {
        "core_name": "阴道分泌物",
        "tendency": "",
        "character": [
          "继续增多",
          "呈暗红色",
          "伴异味"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "同房后",
          "少量",
          "呈鲜红色",
          "量较少",
          "持续两天后消失"
        ],
        "anatomy_list": [
          "阴道"
        ]
      }
    ]
  },
  {
    "id": 263,
    "text": "患者此次患病以来，精神状态欠佳，小便正常，大便可疑黑便。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 982,
    "text": "2月前，患者结核门诊痰检结果示：发现抗酸杆菌（+）；结核rna恒温扩增检测：阴性，肺结核（活菌）核酸检测：阴性，结核分枝杆菌耐药性检测：利福平耐药未检出；咳嗽、咳痰较前加重，于我科住院治疗，完善相关检查，考虑诊断为“1.继发型肺结核 双肺 涂阳 培阳 复治 耐多药肺结核 2.肺部感染 3.败血症？4.营养不良 5.慢性乙肝携带者 6.慢性胃炎 7.电解质代谢紊乱 8.低蛋白血症 9.前列腺增生症 10.前列腺病变待查”，给予抗感染、止咳祛痰等治疗，患者症状好转出院。",
    "event": [
      {
        "core_name": "结核",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "结核",
        "tendency": "不确定",
        "character": [
          "继发性"
        ],
        "anatomy_list": [
          "双肺"
        ]
      },
      {
        "core_name": "结核",
        "tendency": "不确定",
        "character": [
          "耐多药"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "感染",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肺部"
        ]
      },
      {
        "core_name": "败血症",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "营养不良",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肺部"
        ]
      },
      {
        "core_name": "乙肝携带者",
        "tendency": "不确定",
        "character": [
          "慢性",
          "乙型"
        ],
        "anatomy_list": [
          "肝"
        ]
      },
      {
        "core_name": "胃炎",
        "tendency": "不确定",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "电解质代谢紊乱",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "低蛋白血症",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "增生症",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      }
    ]
  },
  {
    "id": 880,
    "text": "10+年前，患者发现血压增高，后多次测血压大于140/90mmHg，最高血压150+/？mmhg，偶服用药物治疗（美托洛尔缓释片、培哚普利），未规律监测血压，血压波动情况不详。",
    "event": [
      {
        "core_name": "血压",
        "tendency": "",
        "character": [
          "增高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血压",
        "tendency": "",
        "character": [
          "波动情况不详"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 972,
    "text": "12年前，患者无明显诱因出现咳嗽、咳痰，干咳为主，咳少量白色粘痰，痰不易咳出，伴胸闷、气促、呼吸困难，无咯血、胸痛，无腹痛、腹胀，无潮热、盗汗等不适。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "干性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "少量",
          "白色",
          "粘性",
          "不易咳出"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1270,
    "text": "11月前患者于我院诊断为“右肺鳞状细胞癌 ”，分别于2016-07-09日、2016-08-06日、2017-01-05、2017-02-15日行紫杉醇240mg d1+奥沙利铂230mg d2化疗4次，化疗过程中有头晕、头痛、呕吐、轻微腹泻等化疗反应，予以对症治疗后好转出院。",
    "event": [
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹泻",
        "tendency": "",
        "character": [
          "轻微"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 112,
    "text": "入院半月前，患者无明显诱因出现黑便，成形，量少，次数不详，伴上腹胀、反酸、烧心、呃逆，伴背部放射痛、身黄、尿黄，无厌油、恶心、呕吐、呕血、腹痛、腹泻、便血，无畏寒、发热，无心悸、气促、头晕，无黑曚、晕厥，无眼黄、身黄、尿黄等不适，患者自行购买“斯达舒、铝碳酸镁”服用2+天后未再黑便，上腹胀、反酸、烧心、呃逆有所好转；入院20小时前，患者无明显诱因再次出现黑便，先后解2次较多量成形黑便（具体不详）、2次较少量黑色稀便，伴上腹胀、反酸、烧心、呃逆、背部放射痛、身黄、尿黄，患者未予处理，入院3小时前出现呕咖啡色样物质1次，约500ml，含食物残渣，无鲜血、血凝块，并伴乏力、大汗、心慌、头昏、眼花，无厌油、腹痛、腹泻、便血，无畏寒、发热等不适，遂于我院急诊科就诊，急诊科查：血常规：血红蛋白浓度(hb)122g/L、红细胞计数(rbc)3.66*10^12/L、白细胞计数(wbc) 12.5*10^9/L 、中性粒细胞百分百 75.9%；肝功、电解质、凝血象未见明显异常；予以补液等处理后转入我科。",
    "event": [
      {
        "core_name": "黑便",
        "tendency": "",
        "character": [
          "成形",
          "量少",
          "次数不详"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "烧心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呃逆",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "背部"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "尿黄",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "厌油",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "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": [
          "腹"
        ]
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "黒朦",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "晕厥",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "尿黄",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "烧心",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "呃逆",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "",
        "character": [
          "较多量",
          "成形",
          "2次"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "",
        "character": [
          "少量",
          "稀便",
          "2次"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "烧心",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "呃逆",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "背部"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "尿黄",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "咖啡色样",
          "含食物残渣",
          "无鲜血",
          "无血凝块"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "出汗",
        "tendency": "",
        "character": [
          "增多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "心慌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "眼花",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "厌油",
        "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": [
          "腹部"
        ]
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1822,
    "text": "入院1+年前患者无明显诱因出现阴道不规律出血，为鲜红色，每次量少，伴血凝块，伴下腹隐痛，持续时间短，能忍受，无放射痛，无阴道阴道坠胀，无尿频、尿急、尿痛、血尿，无呕血、黑便，无头痛、头昏、乏力，无畏寒、发热，无明显体重下降，于我院行宫颈脱落细胞检查：鳞状细胞癌。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "不规律",
          "鲜红色",
          "每次量少",
          "血凝块"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛",
          "持续时间短",
          "能忍受"
        ],
        "anatomy_list": [
          "下腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "放射性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "坠胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "血尿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 339,
    "text": "患者 1+月 前无明显诱因下开始出现大便次数增多，由 1 次/天增加至 3-4 次/天， 伴便血 ， 便血与粪便混合 。",
    "event": [
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "次数增多",
          "由 1 次/天增加至 3-4 次/天"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "便血",
        "tendency": "",
        "character": [
          "便血与粪便混合"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1268,
    "text": "建议住院治疗，患者遂于今日入我院，门诊以“左肺门肿块待查”收入我科住院治疗。",
    "event": [
      {
        "core_name": "肿块",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "左肺门"
        ]
      }
    ]
  },
  {
    "id": 303,
    "text": "考虑患者肺癌术后复发，遂于2011-10-28在我科行左侧胸腔奈达铂100mg局部灌注化疗术＋多西他赛100mg全身静脉化疗，于2011-11-22行多西他赛100mg全身静脉化疗，于2011-11-23行胸腔穿刺抽液术+奈达铂100mg灌注术，2011-12-15行奈达铂100mg＋多西他赛80mg全身静脉化疗，2012-01-06行多西他赛100mg+奈达铂80mg全身静脉化疗，好转出院，此后患者多次复查未见明显转移病灶。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "术后复发"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "否定",
        "character": [
          "明显",
          "转移"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 746,
    "text": "病程中患者精神、饮食欠佳，小便正常，大便如上述，体重无明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "进食",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1719,
    "text": "4天前到我院就诊行胸部ct检查提示“右肺下叶片块影并周围炎症改变”，今为明确诊治入院。",
    "event": [
      {
        "core_name": "片块影",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺下"
        ]
      },
      {
        "core_name": "炎症改变",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺下周围"
        ]
      }
    ]
  },
  {
    "id": 770,
    "text": "患者未予重视，未作相关处理，遂到到我院门诊就诊，查血常规：血红蛋白50g/L;红细胞压积16.4%;上腹部彩超提示胆囊壁毛糙，胆囊息肉样变。",
    "event": [
      {
        "core_name": "毛糙",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊壁"
        ]
      },
      {
        "core_name": "息肉样变",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      }
    ]
  },
  {
    "id": 493,
    "text": "现患者无腹胀、呕吐，无发热、咳嗽、咳痰等不适，为行第1次曲妥珠单抗靶向化疗入院，门诊以“左乳癌术后第6次化疗后”收入我科。",
    "event": [
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "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": "癌",
        "tendency": "",
        "character": [
          "术后",
          "第6次化疗后"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 1778,
    "text": "为求进一步诊治，于我院就诊，门诊以“黄疸原因待查”收治入科。",
    "event": [
      {
        "core_name": "黄疸",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1122,
    "text": "随即分别于术后8天、术后1月、术后3月先后三次给予卡铂800mg腹腔灌注+紫杉醇210mg静脉滴注化疗,化疗过程中有恶心、呕吐等不适,复查示ii度骨髓抑制，予以升白细胞、止吐等对症处理后好转出院。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [
          "化疗过程中"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "化疗过程中"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "",
        "character": [
          "II度"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 2003,
    "text": "本次入院记录 患者于2月余前于某医院复查甲胎蛋白示：39.2ng/ml，无纳差、乏力、厌油，无眼黄、身黄，无反酸、嗳气等不适，未特殊治疗；1月前随访甲胎蛋白示：64.9ng/ml，3天前随访甲胎蛋白示：76.0ng/ml，遂于我院就诊，门诊以“原发性肝癌介入术后”收入我科。",
    "event": [
      {
        "core_name": "纳差",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "厌油",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "介入术后",
          "原发性"
        ],
        "anatomy_list": [
          "肝"
        ]
      }
    ]
  },
  {
    "id": 717,
    "text": "门诊以“直肠癌术后”收治入院。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "直肠"
        ]
      }
    ]
  },
  {
    "id": 1002,
    "text": "进一步行腹部ct检查提示肝右叶前段稍低密度结节低密度结节影,大小约1.8×2.2cm,包膜完整,增强后明显强化,考虑肿瘤性病变,原发性小肝癌可能性大。",
    "event": [
      {
        "core_name": "结节影",
        "tendency": "",
        "character": [
          "稍低密度",
          "包膜完整",
          "增强后明显强化"
        ],
        "anatomy_list": [
          "肝右叶前段"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "不确定",
        "character": [
          "肿瘤性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "原发性",
          "小"
        ],
        "anatomy_list": [
          "肝"
        ]
      }
    ]
  },
  {
    "id": 1973,
    "text": "患者本次发病以来，食欲正常神志清醒，精神欠佳，睡眠欠佳，大便如上述，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": [
          "欠佳"
        ],
        "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": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1065,
    "text": "患者本次发病以来，食欲正常，神志清醒，精神尚可，睡眠尚可，大便如上诉，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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1700,
    "text": "入院前2年，患者无明显诱因下出现阵发性咳嗽，咳大量白色粘稠痰，痰易咳出，伴口干、冷汗，活动后感心累，症状于夜间加重，无发热、畏寒，无胸痛、咯血，遂就诊于我院，“胸部ct示：右肺上叶楔形致密影，右上肺不张；纤支镜示：右上叶开口被一菜花样新生物完全阻塞；病理诊断：右上叶开口小细胞性恶性肿瘤，倾向于低分化鳞癌”。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "大量",
          "白色",
          "粘稠"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "易咳出"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "口干",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "口"
        ]
      },
      {
        "core_name": "冷汗",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "致密影",
        "tendency": "",
        "character": [
          "楔形"
        ],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "肺不张",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右上肺"
        ]
      },
      {
        "core_name": "新生物",
        "tendency": "",
        "character": [
          "菜花样"
        ],
        "anatomy_list": [
          "右上肺右上叶开口"
        ]
      },
      {
        "core_name": "阻塞",
        "tendency": "",
        "character": [
          "完全",
          "被新生物"
        ],
        "anatomy_list": [
          "右上肺右上叶开口"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "小细胞性",
          "恶性"
        ],
        "anatomy_list": [
          "右上肺右上叶开口"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "不确定",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "右上肺右上叶开口"
        ]
      }
    ]
  },
  {
    "id": 1135,
    "text": "4、腹腔少量积液。",
    "event": [
      {
        "core_name": "积液",
        "tendency": "",
        "character": [
          "少量"
        ],
        "anatomy_list": [
          "腹腔"
        ]
      }
    ]
  },
  {
    "id": 909,
    "text": "患者于4+年前体检时行腹部彩超发现胆囊结石，未见报告，具体不详，患者自诉无腹痛、腹胀、腹泻等不适，故未予重视与治疗。",
    "event": [
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 81,
    "text": "遂来我院就诊，行麦默通穿刺活检后确诊为左乳浸润性癌。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸润性"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 327,
    "text": "患者1月前无明显诱因出现胀痛，表现为脐周阵发性胀痛，偶为窜气样疼痛，疼痛较重，不伴腰背部及肩部放射性疼痛，排气排便后稍缓解。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛",
          "阵发性",
          "偶为窜气样疼痛",
          "疼痛较重",
          "排气排便后稍缓解"
        ],
        "anatomy_list": [
          "脐周"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "腰背部",
          "肩部"
        ]
      }
    ]
  },
  {
    "id": 1232,
    "text": "患者遂来我院急诊科查全腹ct：1、胃窦、十二指肠区条状高密度影，考虑术后改变可能。请结合临床。",
    "event": [
      {
        "core_name": "密度影",
        "tendency": "",
        "character": [
          "高",
          "条状"
        ],
        "anatomy_list": [
          "胃窦",
          "十二指肠区"
        ]
      },
      {
        "core_name": "术后改变",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1214,
    "text": "入院前3天，患者因剑突下隐痛及喉部梗阻感，就诊于某医院，于该院行“冠脉造影及右冠球囊扩张术”冠脉造影示：lm分叉处斑块，lad近段原支架内血流通畅，中段分叉后狭窄70%,中远段狭窄80%，lcx弥漫斑块，中段狭窄60%-70%，可见溃疡和瘤样扩张，远段细小，狭窄70%-80%,om远段狭窄80%，rca近段见原支架内再狭窄85%，中段原支架内血流通畅，中远段支架内可见内皮增生狭窄50%，于rca支架近段狭窄处行球囊扩张后，rac支架内血流通畅，timi血流3级。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛"
        ],
        "anatomy_list": [
          "剑突下"
        ]
      },
      {
        "core_name": "梗阻感",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "喉部"
        ]
      },
      {
        "core_name": "斑块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "冠脉lm分叉处"
        ]
      },
      {
        "core_name": "血流通畅",
        "tendency": "",
        "character": [
          "原支架内"
        ],
        "anatomy_list": [
          "冠脉lad近段"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [
          "70%"
        ],
        "anatomy_list": [
          "冠脉lad中段分叉后"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [
          "80%"
        ],
        "anatomy_list": [
          "冠脉lad中远段"
        ]
      },
      {
        "core_name": "斑块",
        "tendency": "",
        "character": [
          "弥漫"
        ],
        "anatomy_list": [
          "冠脉lcx"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [
          "60%-70%"
        ],
        "anatomy_list": [
          "冠脉lcx中段"
        ]
      },
      {
        "core_name": "溃疡",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "冠脉lcx中段"
        ]
      },
      {
        "core_name": "扩张",
        "tendency": "",
        "character": [
          "瘤样"
        ],
        "anatomy_list": [
          "冠脉lcx中段"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [
          "70%-80%"
        ],
        "anatomy_list": [
          "冠脉lcx远段"
        ]
      },
      {
        "core_name": "细小",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "冠脉lcx远段"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [
          "80%"
        ],
        "anatomy_list": [
          "冠脉om远段"
        ]
      },
      {
        "core_name": "再狭窄",
        "tendency": "",
        "character": [
          "原支架内",
          "85%"
        ],
        "anatomy_list": [
          "rca近段"
        ]
      },
      {
        "core_name": "血流通畅",
        "tendency": "",
        "character": [
          "原支架内"
        ],
        "anatomy_list": [
          "rca中段"
        ]
      },
      {
        "core_name": "增生狭窄",
        "tendency": "",
        "character": [
          "支架内",
          "50%"
        ],
        "anatomy_list": [
          "rca中远段内皮"
        ]
      },
      {
        "core_name": "血流通畅",
        "tendency": "",
        "character": [
          "支架内"
        ],
        "anatomy_list": [
          "rca"
        ]
      },
      {
        "core_name": "timi血流",
        "tendency": "",
        "character": [
          "3级"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1170,
    "text": "患者为求进一步诊治，遂来我科，以“胆囊结石、胆囊炎”收入我科。",
    "event": [
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      },
      {
        "core_name": "胆囊炎",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      }
    ]
  },
  {
    "id": 2051,
    "text": "于2011-09-13行超声胃镜检查并取活检术，术后病检提示：1、（十二指肠球部）送检粘膜下方见少许异型细胞团，恶性肿瘤可能；2、（胃体）息肉。",
    "event": [
      {
        "core_name": "异形细胞团",
        "tendency": "",
        "character": [
          "少许"
        ],
        "anatomy_list": [
          "十二指肠球粘膜下方"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "十二指肠球粘膜下方"
        ]
      },
      {
        "core_name": "息肉",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃体"
        ]
      }
    ]
  },
  {
    "id": 1161,
    "text": "三天前突然咳出10ml鲜血。",
    "event": [
      {
        "core_name": "咳血",
        "tendency": "",
        "character": [
          "突然",
          "10ml",
          "鲜血"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1226,
    "text": "诊断为“宫颈神经内分泌癌iib期”，因病灶大，建议先行新辅助化疗，排除化疗禁忌症后于2017年06月16日、2017年7月8日行tp（紫杉醇240mg+奈达铂140mg）静脉化疗2周期，化疗过程顺利。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "神经内分泌",
          "iib期"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [
          "大"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 575,
    "text": "术后于某医院进一步检查，会诊某医院病理切片123456提示：（右卵巢）恶性肿瘤，根据免疫组化考虑恶性混合性生殖细胞瘤（无性细胞瘤合并卵黄囊瘤）。",
    "event": [
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "右卵巢"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "恶性",
          "混合性"
        ],
        "anatomy_list": [
          "右卵巢",
          "生殖细胞"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "无恶性细胞"
        ],
        "anatomy_list": [
          "右卵巢"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "卵黄囊"
        ],
        "anatomy_list": [
          "右卵巢"
        ]
      }
    ]
  },
  {
    "id": 1169,
    "text": "患者于当地医院就诊，行腹部彩超、ct等检查，患者家属自诉检查结果提示胆囊结石（未见报告单），予以输液治疗（具体不详），治疗后症状稍缓解。",
    "event": [
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      }
    ]
  },
  {
    "id": 1448,
    "text": "2010年11月患者复查腹部ct见肝右前叶动脉期小结节灶，0.4cm，有强化，考虑肝癌，建议患者手术治疗。",
    "event": [
      {
        "core_name": "结节灶",
        "tendency": "",
        "character": [
          "小",
          "有强化",
          "动脉期"
        ],
        "anatomy_list": [
          "肝右前叶"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肝"
        ]
      }
    ]
  },
  {
    "id": 1094,
    "text": "患者本次发病以来，食欲减退， 神志清醒，精神尚可，睡眠尚可，大便正常，小便正常，体重减少5Kg。",
    "event": [
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "减退"
        ],
        "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 272,
    "text": "现患者为求进一步治疗就诊于我院，以“双下肢乏力”收入我科住院治疗。",
    "event": [
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      }
    ]
  },
  {
    "id": 1679,
    "text": "9天前，患者受凉后再次出现咳嗽咳痰症状加重，咳白色粘痰，易咯出，量不多；伴发热，有畏寒，无明显寒战，在外测得体温最高达39℃；伴呕吐，呕吐物为胃内容物，无咖啡色样物质；无反酸嗳气，无咯血胸痛，无左侧胸前区压榨感及左肩及左手臂内侧放射性疼痛等不适。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "受凉后加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "受凉后加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "粘",
          "易咯出",
          "量不多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒战",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体温",
        "tendency": "",
        "character": [
          "升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "呕吐物为胃内容物",
          "无咖啡色样物质"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "返酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "左侧胸前区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "左肩",
          "左手臂内侧"
        ]
      }
    ]
  },
  {
    "id": 336,
    "text": "患病以来，患者精神、食欲、睡眠欠佳，大小便正常，近期体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重变化",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 611,
    "text": "患者自起病以来，精神可，胃纳可，大便如常，小便如上述，体重未见明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃纳",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 260,
    "text": "无痛胃镜：1.十二指肠球部多发性溃疡多发性溃疡伴出血（a1期，forrestib）2.糜烂性胃炎（3级）3.食管隆起：组织外压？其他？可进一步超声胃镜检查。",
    "event": [
      {
        "core_name": "溃疡",
        "tendency": "",
        "character": [
          "多发性",
          "1期",
          "forrestib"
        ],
        "anatomy_list": [
          "十二指肠球部"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "十二指肠球部"
        ]
      },
      {
        "core_name": "胃炎",
        "tendency": "",
        "character": [
          "糜烂性",
          "3级"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "隆起",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "食管"
        ]
      }
    ]
  },
  {
    "id": 458,
    "text": "4.双肾肾周少许絮状渗出，双肾多发小囊肿。",
    "event": [
      {
        "core_name": "渗出",
        "tendency": "",
        "character": [
          "少许",
          "絮状"
        ],
        "anatomy_list": [
          "双肾周"
        ]
      },
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "多发",
          "小"
        ],
        "anatomy_list": [
          "双肾"
        ]
      }
    ]
  },
  {
    "id": 1869,
    "text": "患者自发病以来，精神稍差，食欲稍差，睡眠欠佳，大便如常，小便如常，体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "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": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 841,
    "text": "2月前前患者于我院体检查甲状腺彩超提示“甲状腺右叶异常回声，ti-rads4a类，建议穿刺活检”，甲功及甲功抗体未见异常。",
    "event": [
      {
        "core_name": "异常回声",
        "tendency": "",
        "character": [
          "ti-rads4a类"
        ],
        "anatomy_list": [
          "甲状腺右叶"
        ]
      },
      {
        "core_name": "甲状腺功能异常",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "甲状腺"
        ]
      },
      {
        "core_name": "甲状腺功能抗体异常",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "甲状腺"
        ]
      }
    ]
  },
  {
    "id": 1963,
    "text": "2015年因“直肠癌”于“某医院”手术治疗，术中输血（具体血型及量不详），无输血反应，术后正规化疗，目前大便正常。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "直肠"
        ]
      },
      {
        "core_name": "输血反应",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1148,
    "text": "无畏寒发热、无头痛头晕、无恶心、无腹胀腹痛、无呼吸困难、无咳嗽咳痰、无声音嘶哑。",
    "event": [
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "呼吸困难",
        "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": "声音嘶哑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1238,
    "text": "入院前1月，患者无明显诱因开始出现腹胀，呈持续性，与进食及体位无关，伴剑突下隐痛，尚可忍受，伴四肢乏力（能坚持日常工作），大便次数增多，约6-7次/天，为黄色稀糊状便，无身黄、尿黄等不适。",
    "event": [
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [
          "持续性",
          "与进食及体位无关"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛",
          "尚可忍受"
        ],
        "anatomy_list": [
          "剑突下"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [
          "能坚持日常工作"
        ],
        "anatomy_list": [
          "四肢"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "次数增多",
          "约6-7次/天",
          "黄色稀糊状"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "尿黄",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1685,
    "text": "患者患病以来，精神、食欲、睡眠可，大小便正常，体重无明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 586,
    "text": "3.左腓骨上段骨折。",
    "event": [
      {
        "core_name": "骨折",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左腓骨上段"
        ]
      }
    ]
  },
  {
    "id": 1945,
    "text": "患者遂于某医院就诊，行胸部ct检查提示双肺炎症，考虑肺部感染，予以抗炎等对症支持治疗后复查ct提示脊柱阴影，后行胸椎mri：所示多个胸椎椎体及椎弓多发异常信号伴椎体周围多软组织影及胸10椎体压缩性骨折，考虑：1）转移瘤？2）多发性骨髓瘤？，后患者就诊于某医院行免疫球蛋白八项：免疫球蛋白轻链lambda 9460.00mg/dl，免疫球蛋白g 101.00g/L。",
    "event": [
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肺"
        ]
      },
      {
        "core_name": "感染",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肺部"
        ]
      },
      {
        "core_name": "阴影",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "脊柱"
        ]
      },
      {
        "core_name": "异常信号",
        "tendency": "",
        "character": [
          "多个",
          "多发"
        ],
        "anatomy_list": [
          "胸椎椎体",
          "椎弓"
        ]
      },
      {
        "core_name": "软组织影",
        "tendency": "",
        "character": [
          "多"
        ],
        "anatomy_list": [
          "胸椎体周围"
        ]
      },
      {
        "core_name": "骨折",
        "tendency": "",
        "character": [
          "压缩性"
        ],
        "anatomy_list": [
          "胸椎T10椎体"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "转移"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "多发性"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 475,
    "text": "现为求进一步诊治，前来我院，门诊以“高血压、心功能不全”收住院。",
    "event": [
      {
        "core_name": "高血压",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心功能不全",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 1163,
    "text": "入院前3月，患者无明显诱因出现心悸、胸闷，活动后或夜间加重，每次持续时间约20-30秒，休息后可自行缓解，伴头昏、胸背部背部隐痛不适，无左肩及左上肢放射痛，无夜间阵发性呼吸困难及端坐呼吸，无浮肿、少尿，无畏寒、发热、头痛，无恶心、呕吐，无腹痛、腹泻。",
    "event": [
      {
        "core_name": "心悸",
        "tendency": "",
        "character": [
          "活动后或夜间加重",
          "每次持续时间约20-29秒",
          "休息后可自行缓解"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "活动后或夜间加重",
          "每次持续时间约20-30秒",
          "休息后可自行缓解"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛"
        ],
        "anatomy_list": [
          "胸部",
          "背部"
        ]
      },
      {
        "core_name": "胸背部不适",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸部",
          "背部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "左肩",
          "左上肢"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "夜间",
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "端坐呼吸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "浮肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "少尿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "左肩",
          "左上肢"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "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": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 1083,
    "text": "患者本次发病以来，食欲一般，神志清醒，精神尚可，睡眠尚可，大便如常，小便如上述，体重无明显变化。",
    "event": [
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "一般"
        ],
        "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 645,
    "text": "第五次化疗妇科彩超提示：子宫肌层不均质，以右前壁为着，内见27*28*30mm的混合回声区，边界欠清楚，其内大部分为无回声，少部分为中低回声，cdfi：无回声区区内见丰富血流信号，ri：0.44。",
    "event": [
      {
        "core_name": "不均质",
        "tendency": "",
        "character": [
          "肌层"
        ],
        "anatomy_list": [
          "子宫",
          "子宫右前壁"
        ]
      },
      {
        "core_name": "混合回声区",
        "tendency": "",
        "character": [
          "混合",
          "边界欠清楚",
          "其内大部分为无回声",
          "少部分为中低回声"
        ],
        "anatomy_list": [
          "子宫"
        ]
      },
      {
        "core_name": "血流信号",
        "tendency": "",
        "character": [
          "丰富",
          "无回声区内"
        ],
        "anatomy_list": [
          "子宫"
        ]
      }
    ]
  },
  {
    "id": 698,
    "text": "患者同时行取环术，给予妇乐片独一味胶囊治疗，患者阴道流液症状好转，今患者为进一步治疗入我院，门诊以“子宫内膜癌”收入我科住院治疗。",
    "event": [
      {
        "core_name": "流液",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "子宫内膜"
        ]
      }
    ]
  },
  {
    "id": 1772,
    "text": "术中见：肿块大小约1.8x1.5cm，术后病理检查回报：）：（左乳）浸润性癌，非特殊类型，iii级8分。",
    "event": [
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸润性",
          "非特殊类型",
          "iii级8分"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 939,
    "text": "于2018-6-11行颅内占位病变切除术，术后病检示：（左侧顶叶占位）转移性腺癌，结合免疫组化，考虑肺部来源，免疫组化：ck7+、p40-、p63-、ttf-1+、napsin-a+、ki67约40%、ck20-、ck+、cga-、syn-、cd56-。未进一步治疗。",
    "event": [
      {
        "core_name": "占位",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧顶叶"
        ]
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "左侧顶叶"
        ]
      }
    ]
  },
  {
    "id": 1661,
    "text": "于2017-03-14行第四次化疗，予以吡柔比星 110mg ivgtt qd d1-3+维a酸 10mg po tid d1-14+亚砷酸10mg ivgtt qd d1-14进行化疗，辅以碱化尿液、水化、增强免疫力、减轻胃肠道反应、升白细胞、血小板等对症治疗后，好转出院；2017-4-17行第五次化疗，予以亚砷酸 10mg 维持治疗，并先后两次予以阿糖胞苷50mg+地塞米松磷酸钠10mg+甲氨蝶呤15mg鞘内注射化疗，化疗期间及化疗后未诉特殊不适。患者现拟行第6次维持巩固化疗入院。",
    "event": [
      {
        "core_name": "胃肠反应",
        "tendency": "",
        "character": [
          "减轻"
        ],
        "anatomy_list": [
          "胃",
          "肠"
        ]
      }
    ]
  },
  {
    "id": 1739,
    "text": "6月23日复查骨髓细胞形态学“一、骨髓象原始粒细胞3%；二、外周血涂片淋巴细胞及单核细胞比例略增高，偶见幼粒，成熟红细胞大小不等，血小板成簇、散在少见，可见巨大血小板三、细胞化学染色mpo：正常，细胞外铁：++++细胞内铁：72%，环铁占36%；意见：1.粒、红二系可见轻度病态造血2.细胞外铁：++++，细胞内铁占72%，其中环铁占36%”，免疫分型“可见粒系前体细胞发育发育异常”，血常规“白细胞数目1.09*10^9/L↓，血红蛋白55g/l↓，血小板数目22*10^9/L↓，中性粒细胞数目0.61*10^9/L↓”。",
    "event": [
      {
        "core_name": "淋巴细胞及单核细胞增高",
        "tendency": "",
        "character": [
          "增高"
        ],
        "anatomy_list": [
          "淋巴细胞",
          "单核细胞"
        ]
      },
      {
        "core_name": "大小不等",
        "tendency": "",
        "character": [
          "幼粒",
          "成熟红细胞",
          "偶见"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血小板",
        "tendency": "",
        "character": [
          "成簇",
          "散在少见"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "病态造血",
        "tendency": "",
        "character": [
          "粒、红二系"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发育异常",
        "tendency": "",
        "character": [
          ""
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 836,
    "text": "患者6月前因“发现左乳包块伴点状钙化3小时”入院，入院后完善相关检查后行左乳包块麦默通活检术+术中冰冻，术后病理示：（左乳）浸润性癌。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左乳"
        ]
      },
      {
        "core_name": "钙化",
        "tendency": "",
        "character": [
          "点状"
        ],
        "anatomy_list": [
          "左乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸润性"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 1912,
    "text": "入院前1+年，患者受凉后出现咳嗽、咳痰，咳白色泡沫样痰，无咯血、喘息及呼吸困难，偶有上腹部不适，反酸、嗳气等症状，遂到我院就诊，胸部ct提示：左肺下叶肿块伴远端阻塞性炎症、支气管阻塞性痰栓形成，多系肿瘤，建议纤维支气管镜活检；双肺尘肺。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "受凉后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "受凉后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫样"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "气喘",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "上腹部不适",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": [
          "上腹部"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肺下叶"
        ]
      },
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [
          "阻塞性"
        ],
        "anatomy_list": [
          "左肺下叶远端"
        ]
      },
      {
        "core_name": "痰栓",
        "tendency": "",
        "character": [
          "阻塞性"
        ],
        "anatomy_list": [
          "支气管"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "支气管"
        ]
      },
      {
        "core_name": "尘肺",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肺"
        ]
      }
    ]
  },
  {
    "id": 1841,
    "text": "患者于2天前无明显诱因感右侧胸痛加重，为诊治，于今日来我院门诊就诊，门诊医师以“咳嗽、胸痛”收入院治疗。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": [
          "右侧胸"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      }
    ]
  },
  {
    "id": 1521,
    "text": "出院后间断有咳嗽、咳痰，为白色泡沫痰，偶晨起有痰中少量血丝，否认潮热、盗汗。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "偶晨起",
          "少量",
          "血丝"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1104,
    "text": "术后患者于肝胆胸外科化疗，分别于2017-01-06起给予tp方案（药物方案：紫杉醇180mg d1，顺铂100mg2）化疗3周期，于2017-04-18起给予tp方案化疗2周期（药物：紫杉醇150mg d1，顺铂100mg2）,2017-5-23给予tp（化疗药物：紫杉醇180mg d1，顺铂100mg2）方案化疗1周期，共计6周期，患者无明显化疗毒副反应及骨髓抑制。",
    "event": [
      {
        "core_name": "化疗毒副反应",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 671,
    "text": "于全麻下行“右侧乳腺癌改良根治术”，术后病检示：浸润性导管癌，腋窝有5个淋巴结转移。",
    "event": [
      {
        "core_name": "导管癌",
        "tendency": "",
        "character": [
          "浸润性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1654,
    "text": "后患者反复发热不适（体温不详），伴畏寒，无寒战，伴咳嗽、咳痰，咳少量白色粘液痰，咽喉部疼痛、全身肌肉酸痛不适，伴乏力、活动后心累气促不适，遂于我科住院治疗。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "",
        "character": [
          "反复",
          "体温不详"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "少量",
          "白色",
          "粘液"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "咽喉部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "酸痛"
        ],
        "anatomy_list": [
          "全身肌肉"
        ]
      },
      {
        "core_name": "全身肌肉不适",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "全身肌肉"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 122,
    "text": "患者目前无咳嗽，无肝区疼痛，有胸壁疼痛。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肝区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸壁"
        ]
      }
    ]
  },
  {
    "id": 1625,
    "text": "考虑肿瘤残存可能，因患者宫腔节育环取出困难无法行盆腔mri检查，建议行活检进一步明确，根据病理结果评估后续化疗或手术治疗方案。",
    "event": [
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "残存"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 95,
    "text": "8月初，患者于当地诊所就诊，给予药物治疗（具体不详），阴道流血量稍有减少，后再次出现阴道流血量多。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "量稍有减少"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "再次出现",
          "量多"
        ],
        "anatomy_list": [
          "阴道"
        ]
      }
    ]
  },
  {
    "id": 331,
    "text": "腹部立卧位片示：1、考虑肠梗阻2、右侧尿路双j管置入术后表现。",
    "event": [
      {
        "core_name": "梗阻",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肠"
        ]
      }
    ]
  },
  {
    "id": 1989,
    "text": "至某医院就诊，查：“血常规：血红蛋白偏低”（具体不详），予输液（具体不详）后仍有解暗红血便2次，量共约100g。",
    "event": [
      {
        "core_name": "血便",
        "tendency": "",
        "character": [
          "暗红色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血红蛋白",
        "tendency": "",
        "character": [
          "偏低"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1328,
    "text": "曾连续数年以上发作，每次发作均在 3月 以上，诊断为”慢性支气管炎”。",
    "event": [
      {
        "core_name": "支气管炎",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "支气管"
        ]
      }
    ]
  },
  {
    "id": 1290,
    "text": "于2018-02-06行左侧髂骨放射治疗，放疗剂量ptv(30G,10f),放疗期间患者诉左髂骨疼痛不适，期间予以抗溶骨治疗及止痛药物治疗后好转出院。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "放疗期间"
        ],
        "anatomy_list": [
          "左髂骨"
        ]
      }
    ]
  },
  {
    "id": 1349,
    "text": "2天前，患者ptcd管无引流液，无明显腹痛、腹胀，无恶心、呕吐，无反酸、嗳气，无畏寒、发热，无胸闷、胸痛等特殊不适，予以生理盐水冲洗ptcd管后仍无明显引流液流出，现患者为求进一步诊治于我院就诊，门诊以“胆管癌术后复发，第一次免疫治疗后”收住我科。",
    "event": [
      {
        "core_name": "引流液",
        "tendency": "否定",
        "character": [
          "ptcd管"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "引流液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "复发"
        ],
        "anatomy_list": [
          "胆管"
        ]
      }
    ]
  },
  {
    "id": 1950,
    "text": "mri提示前列腺侵犯膀胱，于2018年12月3日在局麻下行经直肠前列腺穿刺活检术，术后病检提示：前列腺腺癌gleason评分最高为4+5=9分，骨扫描提示为l5存在放射性浓聚，考虑肿瘤转移可能。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "侵犯膀胱"
        ],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "gleason评分最高为4+5=9分"
        ],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "浓聚",
        "tendency": "不确定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "骨"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1024,
    "text": "入院前9+月，患者无明显诱因出现阴道不规则出血，为淡红色，每次量少，遂于我院妇科门诊行上腹部+妇科超声提示肿瘤复发转移，2017.12.01-2018.01.15给予宫颈癌复发病灶放射治疗（预防区50G/25f/5w，病灶区60G/30f/6w），放疗过程顺利；院外无特殊不适。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "不规则",
          "淡红色",
          "每次量少"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "复发",
          "转移"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 75,
    "text": "现仍偶诉左髋关节疼痛，活动时明显，轻压痛，行走时可见轻微跛行，无红肿，无进行性加重，其他关节未见明显异常及畸形，偶有咳嗽，无咳痰、流涕，无发热，无头痛、呕吐，无腹痛、腹胀，无胸闷、胸痛，活动量未见明显减少。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "活动时明显",
          "轻压痛",
          "无进行性加重"
        ],
        "anatomy_list": [
          "左髋关节"
        ]
      },
      {
        "core_name": "跛行",
        "tendency": "",
        "character": [
          "行走时可见",
          "轻微"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "红肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畸形",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "其他关节"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "流涕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "活动量减少",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1211,
    "text": "8.腹膜后淋巴结显示。",
    "event": [
      {
        "core_name": "显示",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹膜后淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1683,
    "text": "患者恢复顺利，无特殊不适，切口甲级愈合，治愈拆线出院。",
    "event": [
      {
        "core_name": "切口",
        "tendency": "",
        "character": [
          "甲级愈合"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1826,
    "text": "5天前患者无明显诱因出现每次进食后恶心、呕吐，呕吐物为胃内容物，非喷射性，伴反酸、嗳气、腹胀、腹痛，伴少尿，无肛门停止排气，无腹痛、腹泻，无胸闷、心前区压榨感，无胸痛、咯血，为进一步治疗入院，呼120入我院，以\"呕吐原因待查：肠梗阻？肾功能不全？宫颈鳞癌放化疗后伴腹腔广泛转移（iv期）\"收入我科。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [
          "进食后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "进食后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "非喷射性",
          "呕吐物为胃内容物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "少尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "排气",
        "tendency": "否定",
        "character": [
          "停止"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "梗阻",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肠"
        ]
      },
      {
        "core_name": "肾功能不全",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肾"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "不确定",
        "character": [
          "放化疗后",
          "iv期"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "不确定",
        "character": [
          "iv期",
          "广泛转移"
        ],
        "anatomy_list": [
          "腹腔"
        ]
      }
    ]
  },
  {
    "id": 1804,
    "text": "伤后他人送患者到“某医院”住院治疗3天，行头颅ct提示左颞骨及颧弓骨折、左小腿x片提示左腓骨中段骨折（未见报告），予以左小腿石膏托制动、甘露醇脱水降颅压、奥拉西坦营养神经、奥美拉唑抑酸护胃及补液对症等治疗，患者自觉头晕头痛症状好转不明显，近两日出现阵时恶心伴视物旋转，伴返酸，无呕吐。",
    "event": [
      {
        "core_name": "骨折",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左颞骨",
          "左颧弓"
        ]
      },
      {
        "core_name": "骨折",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左腓骨中段"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "好转不明显"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "好转不明显"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [
          "阵时"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "视物旋转",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "返酸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 271,
    "text": "无潮热、盗汗，无咳嗽、咳痰，无胸闷、气促，无呼吸困难，无大小便失禁等。",
    "event": [
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "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": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "否定",
        "character": [
          "失禁"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 102,
    "text": "患者目前未诉头昏、头痛、咳嗽、咳痰、发热、畏寒、恶心、呕吐等不适，门诊以“残胃癌术后第3次化疗”收入我科。",
    "event": [
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "残胃",
          "术后"
        ],
        "anatomy_list": [
          "胃"
        ]
      }
    ]
  },
  {
    "id": 559,
    "text": "无头晕、心慌。",
    "event": [
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 1829,
    "text": "入院前2月，患者上述症状加重，稍运动后就感到下腹部刺痛，伴尿痛，仍无其他特殊症状。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "稍运动后",
          "刺痛"
        ],
        "anatomy_list": [
          "下腹部"
        ]
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 177,
    "text": "2019-2开始吃艾坦，2019-4开始口服奥拉帕尼（盗版的），2019-10开始腰背部疼痛（未予重视）。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腰背部"
        ]
      }
    ]
  },
  {
    "id": 1017,
    "text": "20余年前患者无明显诱因出现右耳流脓，伴听觉减退，约数年发作一次，无眩晕、耳鸣，无头晕、头痛、无恶心、呕吐，无咳嗽、咳痰。",
    "event": [
      {
        "core_name": "流脓",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右耳"
        ]
      },
      {
        "core_name": "听觉减退",
        "tendency": "",
        "character": [
          "约数年发作一次"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "眩晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "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": []
      }
    ]
  },
  {
    "id": 990,
    "text": "3天前患者无明显诱因出现喘累、胸闷，常于活动后出现，伴咳嗽、咳痰，咳白色泡沫痰，伴恶心、干呕，伴声嘶，伴乏力，无头晕、头痛，无胸痛，无腹胀、腹泻，无寒战、发热等不适，遂就诊于我院，门诊以“肺ca”收入我科。",
    "event": [
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "常于活动后出现"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "常于活动后出现"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "干呕",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "声嘶",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 1873,
    "text": "考虑“肠梗阻”，现为求进一步治疗来我院收入我科。",
    "event": [
      {
        "core_name": "梗阻",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肠"
        ]
      }
    ]
  },
  {
    "id": 739,
    "text": "9月前患者再次于打麻将过程中突发意识丧失，家属诉患者发病过程有双目凝视、四肢抽搐、小便失禁，持续约1分1分钟左右，意识恢复后出现恶心、呕吐，呕出淡黄色胃内容物，休息后逐渐缓解。",
    "event": [
      {
        "core_name": "意识丧失",
        "tendency": "",
        "character": [
          "打麻将过程中",
          "突发"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "凝视",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双目"
        ]
      },
      {
        "core_name": "抽搐",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "四肢"
        ]
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "失禁"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [
          "意识恢复后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "意识恢复后",
          "呕出淡黄色胃内容物",
          "休息后逐渐缓解"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1767,
    "text": "术后病检示：右乳外上象限非特殊性浸润性癌，中分化。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "非特殊性",
          "中分化",
          "浸润性"
        ],
        "anatomy_list": [
          "右乳外上象限"
        ]
      }
    ]
  },
  {
    "id": 1694,
    "text": "患者入院前1周无明显诱因出现尿频,日间约10次，夜间约4次，每次尿量中等，伴尿痛及双侧腰痛，伴排尿费力，多需用力咳嗽后排尿。",
    "event": [
      {
        "core_name": "尿频",
        "tendency": "",
        "character": [
          "尿量中等"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧腰部"
        ]
      },
      {
        "core_name": "排尿费力",
        "tendency": "",
        "character": [
          "多需用力咳嗽"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1439,
    "text": "于2018-06-13行ct引导下经皮肺穿刺活检，冰冻病理提示（123456）：（右上）肺穿刺组织考虑鳞癌。",
    "event": [
      {
        "core_name": "鳞癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "右上肺"
        ]
      }
    ]
  },
  {
    "id": 1880,
    "text": "2+年前，患者无明显诱因出现四肢肢端麻木，偶有头昏，伴烦渴、多饮、多尿，无胸闷、心累、气促，无腹泻、腹痛，无间歇性跛行，无静息痛，无下肢皮温改变，无下肢水肿，无关节活动障碍，患者于某医院就诊，予以调整降糖方案为门冬胰岛素30早餐前24u，晚餐前24u腹部皮下注射控制血糖，平素监测空腹指血糖波动在11-12mm12mmol/L，患者未重视，未进一步治疗，患者感口干、多饮症状加重时自行调整胰岛素剂量。",
    "event": [
      {
        "core_name": "麻木",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "四肢肢端"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "烦渴",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "多饮",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "多尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心累",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "跛行",
        "tendency": "否定",
        "character": [
          "间歇性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "静息痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "皮温改变",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "下肢"
        ]
      },
      {
        "core_name": "水肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "下肢"
        ]
      },
      {
        "core_name": "活动障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "关节"
        ]
      },
      {
        "core_name": "口干",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": [
          "口"
        ]
      },
      {
        "core_name": "多饮",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 2054,
    "text": "患者本次发病以来，食欲减退， 神志清醒，精神尚可，睡眠尚可，大便正常，小便正常，体重减少约10Kg。",
    "event": [
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "减退"
        ],
        "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减少",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 310,
    "text": "患者15天前，患者因\"尿频、尿急、尿痛及排尿困难1+年，加重伴腰背部胀痛不适1月 \"到某医院就诊，行泌尿系彩超提示：“1.左输尿管上段扩张伴腔内低回声：肿瘤？2.前列腺增大、回声粗细不均，血供丰富；3.左肾积水；4.膀胱壁增厚、粗糙。",
    "event": [
      {
        "core_name": "尿频",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "排尿困难",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛"
        ],
        "anatomy_list": [
          "腰背部"
        ]
      },
      {
        "core_name": "扩张",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左输尿管上段"
        ]
      },
      {
        "core_name": "回声",
        "tendency": "",
        "character": [
          "低"
        ],
        "anatomy_list": [
          "左输尿管上段腔内"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "增大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "回声",
        "tendency": "",
        "character": [
          "粗细不均"
        ],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "血供丰富",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "积水",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肾"
        ]
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "膀胱壁"
        ]
      },
      {
        "core_name": "粗糙",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "膀胱壁"
        ]
      }
    ]
  },
  {
    "id": 1489,
    "text": "患者本次发病以来，食欲减退， 神志清醒，精神欠佳，睡眠欠佳，大便正常，小便正常，体重减少（具体不详）。",
    "event": [
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "减退"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "神志",
        "tendency": "",
        "character": [
          "清醒"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "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": "体重减轻",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 733,
    "text": "5天前，患者无明显诱因再次出现头昏、乏力，伴活动后气促，休息数分钟后能缓解，今日到我院门诊复查血常规：血红蛋白51g/l，要求输血纠正贫血来院，我科以“重度贫血、白血病”收住入院。",
    "event": [
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后",
          "休息数分钟后能缓解"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "贫血",
        "tendency": "",
        "character": [
          "重度"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1014,
    "text": "我院急诊全麻下行“腹腔镜探查术+脾部分切除术+左侧黄体囊肿剥除术”，手术顺利，术后予抗生素抗感染、抑酸护胃、护肝、止痛、止吐、解痉、消肿、雾化等治疗，术后病理提示（123456）：左侧卵巢黄体囊肿符合出血、囊性变。",
    "event": [
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "出血"
        ],
        "anatomy_list": [
          "左侧卵巢黄体"
        ]
      },
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "囊性变"
        ],
        "anatomy_list": [
          "左侧卵巢黄体"
        ]
      }
    ]
  },
  {
    "id": 738,
    "text": "4年前于“某医院”就诊，家属诉考虑“脑供血不足”（未见报告及病历），具体治疗不详，出院后症状无明显改善。",
    "event": [
      {
        "core_name": "供血不足",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "脑"
        ]
      }
    ]
  },
  {
    "id": 796,
    "text": "患者于入院前２月余因“反复畏寒、寒战半年，再发伴肝功异常１０余天”入我院，于2012-3-27在局麻下行ercp，见乳头肿大，尖端周围明显新生物，触之易出血，并取活检5块，送病检提示：十二指肠乳头管状绒毛状腺瘤，局灶腺体轻度不典型增生。",
    "event": [
      {
        "core_name": "畏寒",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "肝功能异常",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝"
        ]
      },
      {
        "core_name": "肿大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "新生物",
        "tendency": "",
        "character": [
          "明显",
          "触之易出血"
        ],
        "anatomy_list": [
          "乳头周围"
        ]
      },
      {
        "core_name": "腺瘤",
        "tendency": "",
        "character": [
          "管状",
          "绒毛状"
        ],
        "anatomy_list": [
          "十二指肠乳头"
        ]
      },
      {
        "core_name": "增生",
        "tendency": "",
        "character": [
          "局灶",
          "非典型性",
          "轻度"
        ],
        "anatomy_list": [
          "腺体"
        ]
      }
    ]
  },
  {
    "id": 844,
    "text": "未规律监测血糖，现自服“二甲双胍缓释片500mg早上、1000mg中午、晚上”控制血糖，血糖控制情况不详。",
    "event": [
      {
        "core_name": "血糖",
        "tendency": "",
        "character": [
          "控制情况不详"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 805,
    "text": "2、胸12、腰1椎体新近压缩性骨折。",
    "event": [
      {
        "core_name": "骨折",
        "tendency": "",
        "character": [
          "新近",
          "压缩性"
        ],
        "anatomy_list": [
          "胸12、腰1椎体"
        ]
      }
    ]
  },
  {
    "id": 1763,
    "text": "（左腋窝）淋巴结见癌转移（2/39）。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "左腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1167,
    "text": "院外未进行特殊治疗，患者为防止病情进一步加重，遂于今日来我院就诊，门诊以“冠心病”收住入院。",
    "event": [
      {
        "core_name": "心脏病",
        "tendency": "",
        "character": [
          "硬化性",
          "粥样"
        ],
        "anatomy_list": [
          "冠状动脉",
          "心脏"
        ]
      }
    ]
  },
  {
    "id": 1146,
    "text": "入院前24天完成肿瘤术后第3次化疗，出院后无特殊不适，现按疗程入院行下一疗程化疗，门诊以“肿瘤化疗”收入院，现患儿精神反应可，无发热、咳嗽，进食可。",
    "event": [
      {
        "core_name": "精神反应",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "进食",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 759,
    "text": "2018-2-15患者因“发热3天”入院，完善胸部ct提示：与2018年2月2日胸部ct比较：1.右下肺肺门占位，考虑肿瘤伴阻塞性肺炎，肿块较前变化不大。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "占位",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右下肺门"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "右下肺门"
        ]
      },
      {
        "core_name": "肺炎",
        "tendency": "不确定",
        "character": [
          "阻塞性"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [
          "较前变化不大"
        ],
        "anatomy_list": [
          "右下肺门"
        ]
      }
    ]
  },
  {
    "id": 860,
    "text": "入院前半天解1次黑色糊状便，诉量较多，具体不详，伴恶心，感中上腹上腹部不适，伴心悸、乏力表现，在外口服1粒云南白药胶囊治疗无缓解。",
    "event": [
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "黑色",
          "糊状",
          "量较多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "不适",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "中上腹部"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 837,
    "text": "遂于术后行1次新辅助化疗，并于2017-06-02在全麻下行左腋窝前哨淋巴结活检术+术中冰冻+左乳癌改良根治术，术后病理示：（左乳）浸润性导管癌（Ⅱ级，7分）病检术后之乳腺根治标本（原病变参见17-8223号），残腔内见少许癌残留，皮肤、基底、乳头未见癌累及。",
    "event": [
      {
        "core_name": "导管癌",
        "tendency": "",
        "character": [
          "浸润性",
          "Ⅱ级",
          "7分"
        ],
        "anatomy_list": [
          "左乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "残腔内",
          "少许",
          "残留"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "乳房皮肤"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "乳房基底"
        ]
      }
    ]
  },
  {
    "id": 1520,
    "text": "近2年前患者咳嗽时痰中带血丝，为鲜红色血丝，病情加重时咯鲜红色血痰，伴喘累、心悸，多次我院住院诊断为“慢阻肺急性发作 冠心病 快速心房纤颤 支气管扩张”，给予抗感染、解痉、控制心室率等内科治疗好转出院。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "鲜红色血丝"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "病情加重时",
          "鲜红色",
          "血痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "肺疾病",
        "tendency": "",
        "character": [
          "急性发作",
          "慢性",
          "阻塞性"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "冠心病",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "心房纤颤",
        "tendency": "",
        "character": [
          "快速"
        ],
        "anatomy_list": [
          "心房"
        ]
      },
      {
        "core_name": "扩张",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "支气管"
        ]
      }
    ]
  },
  {
    "id": 1638,
    "text": "患者发病以来，神志 清晰，精神可，胃纳可，大便如常，小便如常，体重未见明显下降。",
    "event": [
      {
        "core_name": "神志",
        "tendency": "",
        "character": [
          "清"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃纳",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "排尿",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 975,
    "text": "患者遂至“某医院”就诊，自诉完善检查后诊断：继发性肺结核 涂（+）初治、结核性胸膜炎，予以抗结核治疗（具体不详）后好转出院，院外继续口服结核药物1+年，自觉症状好转，复查痰抗酸杆菌阴性，遂自行停用抗结核药物。",
    "event": [
      {
        "core_name": "结核",
        "tendency": "",
        "character": [
          "继发性",
          "初治"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "胸膜炎",
        "tendency": "",
        "character": [
          "结核性"
        ],
        "anatomy_list": [
          "胸膜"
        ]
      }
    ]
  },
  {
    "id": 1569,
    "text": "患者起病以来，精神尚可，食欲较差，大便稀黄，3-5次/天，小便量如常，体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "较差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "稀黄"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "量如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 2011,
    "text": "5年前开始到“某医院”就诊，诊断为“慢性阻塞性肺病”，予以“舒利迭50/500ug、噻托溴铵”吸入治疗，患者坚持用药，平时症状控制可。",
    "event": [
      {
        "core_name": "肺病",
        "tendency": "",
        "character": [
          "慢性",
          "阻塞性"
        ],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 935,
    "text": "患者病程中反复眼红、近7年来患者视力明显下降，反复腮腺炎，近1年来发作频率增加，脱发较明显，有鼻干，双下肢远端内侧反复出现皮下结节30余年，无光过敏，无晨僵、无眼干、无耳痛、耳鸣，无反复口腔溃疡，无牙齿片状脱落，无猖獗齿，无咀嚼疼痛、乏力，无关节疼痛，无手指遇冷后变白变紫又变红现象等。",
    "event": [
      {
        "core_name": "眼红",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "视力下降",
        "tendency": "",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "腮腺炎",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": [
          "腮腺"
        ]
      },
      {
        "core_name": "脱发",
        "tendency": "",
        "character": [
          "较明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "鼻干",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "鼻"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "反复",
          "皮下"
        ],
        "anatomy_list": [
          "双下肢远端内侧"
        ]
      },
      {
        "core_name": "过敏",
        "tendency": "否定",
        "character": [
          "光"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "晨僵",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "眼干",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "溃疡",
        "tendency": "否定",
        "character": [
          "反复"
        ],
        "anatomy_list": [
          "口腔"
        ]
      },
      {
        "core_name": "脱落",
        "tendency": "否定",
        "character": [
          "片状"
        ],
        "anatomy_list": [
          "牙齿"
        ]
      },
      {
        "core_name": "猖獗齿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "咀嚼"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "关节"
        ]
      },
      {
        "core_name": "变白",
        "tendency": "否定",
        "character": [
          "遇冷后"
        ],
        "anatomy_list": [
          "手指"
        ]
      },
      {
        "core_name": "变紫",
        "tendency": "否定",
        "character": [
          "遇冷后"
        ],
        "anatomy_list": [
          "手指"
        ]
      },
      {
        "core_name": "变红",
        "tendency": "否定",
        "character": [
          "遇冷后"
        ],
        "anatomy_list": [
          "手指"
        ]
      }
    ]
  },
  {
    "id": 1749,
    "text": "患者2月余前因乏力、纳差于我我院就诊，行腹部mr发现肝占位性病变，遂于2016-10-11于我院行“胆囊切除术+中肝癌切除术”，术后予以抑酸，保肝，止血，抗感染，止吐，营养支持，改善微循环等治疗，术后病理示：1、（肝中叶）癌，低分化胆管细胞癌。",
    "event": [
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "纳差",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "占位性"
        ],
        "anatomy_list": [
          "肝"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝中叶"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "胆管细胞"
        ]
      }
    ]
  },
  {
    "id": 1958,
    "text": "入院前7天患者无明显诱因出现鼻出血，成滴流出，出血量较多（具体不详），自诉血液由前鼻孔和口腔内流出，自行指压鼻部缓解，期间无晕厥、咳嗽、呕血、黑便，无恶性、呕吐，无头昏、头痛、眩晕等症状，无鼻阻、发热、咳嗽、咳痰、听力下降，无咯血、胸痛，无潮热、盗汗、全身乏力、食欲减退等。未因重视而就医。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "成滴流出",
          "量较"
        ],
        "anatomy_list": [
          "鼻"
        ]
      },
      {
        "core_name": "血液流出",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前鼻孔",
          "口腔"
        ]
      },
      {
        "core_name": "晕厥",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "眩晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "鼻塞",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "鼻"
        ]
      },
      {
        "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": "听力下降",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "食欲减退",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 2004,
    "text": "入院前2月，患者体检时发现右乳无痛性包块，约拇指指头大小，质韧，边界欠清，活动度尚可，无压痛，局部皮肤无红肿；乳头无溢血、溢液等；为求进一步治疗，就诊于我科，完善相关辅助检查，于2016-11-18日在全麻下行右乳包块切除+术中冰冻术，术中冰冻提示提示为恶性，遂行右乳癌改良根治术，术后病理诊断（123456）：1.（右乳）癌，70%为浸润性癌，非特殊类型，Ⅰ级5分（导管内癌成份占30%）；30%为粘液癌成份。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [
          "无痛性",
          "约拇指指头大小",
          "质韧",
          "边界欠清",
          "活动度尚可",
          "无压痛"
        ],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "红肿",
        "tendency": "否定",
        "character": [
          "局部"
        ],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "溢血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "溢液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "包块",
        "tendency": "",
        "character": [
          "恶性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸润性",
          "非特殊类型",
          "Ⅰ级5分"
        ],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "导管内"
        ],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "粘液"
        ],
        "anatomy_list": [
          "右乳"
        ]
      }
    ]
  },
  {
    "id": 593,
    "text": "2周前患者复查胃镜：食管至胃底胃体ca化疗后、慢性萎缩性胃炎。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "化疗后"
        ],
        "anatomy_list": [
          "食管至胃底胃体"
        ]
      },
      {
        "core_name": "胃炎",
        "tendency": "",
        "character": [
          "慢性",
          "萎缩性"
        ],
        "anatomy_list": [
          "胃"
        ]
      }
    ]
  },
  {
    "id": 314,
    "text": "1+月前，患者无明显诱因出现阴道少许血性分泌物，无阴道阴道流液，伴尿频、尿痛、下腹部及腰骶部坠胀，无尿急、尿血及排尿困难，无腹痛腹泻，自行于某医院就诊，给予输液治疗（具体不详），尿频尿痛好转，阴道流血持续5天自行停止。",
    "event": [
      {
        "core_name": "分泌物",
        "tendency": "",
        "character": [
          "血性",
          "少许"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "流液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "坠胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "下腹部",
          "腰骶部"
        ]
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "排尿困难",
        "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": [
          "腹"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [
          "好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "持续5天自行停止"
        ],
        "anatomy_list": [
          "阴道"
        ]
      }
    ]
  },
  {
    "id": 696,
    "text": "患者为求进一步治疗，遂于2016-5-16入我院就诊，电子阴道镜检查示：宫颈i度糜烂，薄的醋酸白色上皮；tct:轻度炎症，未见上皮内病变或恶性细胞，妇科彩超示：1.宫腔内偏强回声，子宫内膜ca待排，建议进一步检查。",
    "event": [
      {
        "core_name": "糜烂",
        "tendency": "",
        "character": [
          "i度"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "醋酸白色上皮",
        "tendency": "",
        "character": [
          "薄的"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [
          "轻度"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "上皮内",
          "恶性细胞"
        ]
      },
      {
        "core_name": "回声",
        "tendency": "",
        "character": [
          "偏强"
        ],
        "anatomy_list": [
          "宫腔内"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "子宫内膜"
        ]
      }
    ]
  },
  {
    "id": 2045,
    "text": "患者自发病以来，精神差，食欲差，睡眠可，大便如常，小便如常，体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "可 "
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1994,
    "text": "子宫平滑肌瘤伴玻变。",
    "event": [
      {
        "core_name": "肌瘤",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "子宫平滑肌"
        ]
      },
      {
        "core_name": "玻变",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "子宫平滑肌"
        ]
      }
    ]
  },
  {
    "id": 621,
    "text": "入院前6+月，患者无明显诱因出现性生活后阴道流血，量少，色鲜红，不伴疼痛，可自行停止，患者未引起重视，未正规检查及诊治。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "性生活后",
          "量少",
          "色鲜红",
          "不伴疼痛",
          "可自行停止"
        ],
        "anatomy_list": [
          "阴道"
        ]
      }
    ]
  },
  {
    "id": 1320,
    "text": "后口服依西美坦至2018年5月，患者无明显诱因出现咳嗽，我院门诊查胸部ct提示：肺内、右肺门、肝脏多发转移可能。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "多发",
          "转移"
        ],
        "anatomy_list": [
          "肺内",
          "右肺门",
          "肝脏"
        ]
      }
    ]
  },
  {
    "id": 1953,
    "text": "半月前，患者家属发现患者皮肤黄染，尿色加深，无厌油，无恶心、呕吐，无纳差，诉双下肢乏力，无腹胀、腹痛、腹泻，无反酸、嗳气，无呕血、黑便，无牙龈出血，无畏寒及发热，无咳嗽、咳痰，无头昏、头痛，无酱油色尿，无皮肤瘙痒，自诉大便颜色变浅，黄白色，患者及家属为求进一步诊治就诊于我院，急诊以“黄疸待查”收治入院。",
    "event": [
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "色加深"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "厌油",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "纳差",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "返酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "牙龈"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "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": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "小便",
        "tendency": "否定",
        "character": [
          "酱油色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "瘙痒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "颜色变浅",
          "黄白色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "黄疸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 248,
    "text": "腹部彩超示：肝脏实性占位：ca? 。",
    "event": [
      {
        "core_name": "占位",
        "tendency": "",
        "character": [
          "实性"
        ],
        "anatomy_list": [
          "肝脏"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肝"
        ]
      }
    ]
  },
  {
    "id": 1338,
    "text": "于2019年3月11日在全麻下行“右半肝切除+门静脉切开取栓+胆囊切除术+肝内胆管空肠吻合+t管引流术”，术后病理检查提示为“病检结果已回<肝脏>低分化癌，结合形态及免疫组化，符合低分化胆管细胞癌。<胆管下端冰冻>送检组织中见个别不典型细胞。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "肝脏"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "胆管",
          "细胞"
        ]
      }
    ]
  },
  {
    "id": 1008,
    "text": "免疫结果为右半结肠非霍奇金氏淋巴瘤（弥漫大b细胞型）。",
    "event": [
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "弥漫性",
          "大B细胞"
        ],
        "anatomy_list": [
          "右半结肠",
          "淋巴"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "非霍奇金氏"
        ],
        "anatomy_list": [
          "右半结肠",
          "淋巴"
        ]
      }
    ]
  },
  {
    "id": 1462,
    "text": "病程中患者存在飞蚊症，视近物模糊，但无烦渴多饮，无肢端发麻等不适。",
    "event": [
      {
        "core_name": "飞蚊症",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "视物模糊",
        "tendency": "",
        "character": [
          "近物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "烦渴",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "多饮",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发麻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肢端"
        ]
      }
    ]
  },
  {
    "id": 710,
    "text": "术后每月定期复查，血清ca125持续升高，he4、ca153、ca199、cea均未见异常，2017-9-13（某医院）pet-ct：卵巢癌术后，腹膜后及右侧髂血管血管旁多发淋巴结转移，右肺上叶转移，左髂骨髂骨骨骨转移，后出现左侧腰骶部持续性胀痛，2017-9-15ca-125785u/ml，考虑“卵巢癌术后化疗后复发”，于2017-9-16开始予以“tc方案”（紫杉醇+卡铂）静脉化疗，治疗期间ca125缓慢下降，2018-1-8第6次化疗前复查ca-12568.1u/ml，更改为“奥沙利铂+多西他赛”静脉化疗1次，2018-1-30复查ca-12560.8u/ml，第二周期化疗结束后ca125仍未降至正常，后逐渐升高，2018-8-8ca-1251129u/ml，后拒绝检查，失访4月。",
    "event": [
      {
        "core_name": "血清ca125",
        "tendency": "",
        "character": [
          "持续升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "he4",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "ca153",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "ca199",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "cea",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "卵巢"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [
          "多发性"
        ],
        "anatomy_list": [
          "腹膜后淋巴结",
          "右侧髂血管旁淋巴结"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左髂骨"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续性",
          "胀痛"
        ],
        "anatomy_list": [
          "左侧腰骶部"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "卵巢"
        ]
      },
      {
        "core_name": "ca125",
        "tendency": "",
        "character": [
          "治疗期间",
          "缓慢下降"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "ca125",
        "tendency": "否定",
        "character": [
          "第二周期化疗结束后",
          "降至正常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 397,
    "text": "伴腹胀 ， 伴恶心、呕吐,呕吐物为胃内容物 ， 发病 以来肛门未排气排便。",
    "event": [
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "呕吐物为胃内容物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "排气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "排便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肛门"
        ]
      }
    ]
  },
  {
    "id": 1690,
    "text": "入院前1年余，患者无明显诱因出现双眼视力逐渐下降，偶感眼痒、流泪，无眼痛、眼胀、眼卡，无畏光、分泌物增多，无视物遮挡、变形、黑影漂浮，无头痛、恶心等不适，患者未予重视及特殊治疗。",
    "event": [
      {
        "core_name": "视力下降",
        "tendency": "",
        "character": [
          "逐渐"
        ],
        "anatomy_list": [
          "双眼"
        ]
      },
      {
        "core_name": "眼痒",
        "tendency": "",
        "character": [
          "偶感"
        ],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "流泪",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "眼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "眼胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "眼卡",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "畏光",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "分泌物",
        "tendency": "否定",
        "character": [
          "增多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "视物遮挡",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "视物变形",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑影漂浮",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1493,
    "text": "入院前6月，患者无明显诱因出现咯血，表现为痰中带血，伴咳嗽、咳白痰，偶伴头晕，无畏寒、发热，无恶心、呕吐，无头痛，无意识不清，无呼吸困难，无胸闷、心悸，无心前区压榨感，无腹痛、腹泻。",
    "event": [
      {
        "core_name": "咯血",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "带血"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "意识不清",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 1293,
    "text": "入院前3天，患者肛门少量排气排便，伴腹痛腹胀，呈持续性胀痛不适，阵发性加重，无放射痛及牵涉痛，伴恶心，无呕吐，无畏寒发热，无便血、腹泻，无头昏、头痛；无心慌、胸闷；无嗳气、呃逆等不适，患者自觉腹痛不缓解，为求进一步诊治，遂到我院就医，门诊以“不完全性肠梗阻”收入我科进一步治疗。",
    "event": [
      {
        "core_name": "排气",
        "tendency": "",
        "character": [
          "少量"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "排便",
        "tendency": "",
        "character": [
          "少量"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛",
          "持续性",
          "阵发性加重",
          "无放射痛及牵涉痛"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呃逆",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "缓解"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "梗阻",
        "tendency": "",
        "character": [
          "不完全性"
        ],
        "anatomy_list": [
          "肠"
        ]
      }
    ]
  },
  {
    "id": 781,
    "text": "入院2+小时 前 ，患者无明显诱因出现头晕，伴视物旋转，平卧时缓解，坐起时加重，伴恶心、呕吐胃内容物，量及次数具体不详，无咖啡色样物质，无喷射性呕吐；伴耳鸣，无耳胀、听力下降；无外耳道疱疹，无鼻唇沟变浅，无饮水呛咳、吞咽困难、肢体麻木、肢体无力；无发热、畏寒、寒战等不适。",
    "event": [
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "坐起时加重",
          "平卧时缓解"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "视物旋转",
        "tendency": "",
        "character": [
          "坐起时加重",
          "平卧时缓解"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "胃内容物",
          "量及次数具体不详",
          "无咖啡色样物质"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [
          "喷射性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "耳鸣",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "耳胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "听力下降",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疱疹",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "外耳道"
        ]
      },
      {
        "core_name": "变浅",
        "tendency": "否定",
        "character": [
          "变浅"
        ],
        "anatomy_list": [
          "鼻唇沟"
        ]
      },
      {
        "core_name": "呛咳",
        "tendency": "否定",
        "character": [
          "饮水"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "吞咽困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "麻木",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      },
      {
        "core_name": "无力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 656,
    "text": "患者遂致某医院就诊，门诊行乳腺彩超检查，提示：双乳多发囊肿，部分囊内透声较差，考虑出血可能性大。",
    "event": [
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "多发",
          "部分囊内透声较差"
        ],
        "anatomy_list": [
          "双乳"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "双乳囊内"
        ]
      }
    ]
  },
  {
    "id": 712,
    "text": "2020-4-23ca-1254247u/ml，全腹ct提示：右肺多发结节影，腹腔及腹膜后多发淋巴结多发淋巴结转移，双侧骶翼骨考转移，脊柱mr提示：腰1椎体、腰55椎体骶棘、所示骶骨及左侧髂骨异常信号，考虑转移改变，腹腔后增多软组织影，肿大淋巴结，建议联合靶向治疗，患者拒绝，2020-4-26予以“卡培他滨”治疗，2020-5-16ca-1253697u/ml，2020-5-18予以“伊立替康+卡培他滨”治疗，2020-6-10ca-1253967u/ml。",
    "event": [
      {
        "core_name": "结节影",
        "tendency": "",
        "character": [
          "多发"
        ],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [
          "多发"
        ],
        "anatomy_list": [
          "腹腔淋巴结",
          "腹腔后淋巴结"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "双侧骶翼骨"
        ]
      },
      {
        "core_name": "异常信号",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腰1椎体",
          "腰5椎体骶棘",
          "骶骨",
          "左侧髂骨"
        ]
      },
      {
        "core_name": "转移改变",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "软组织影",
        "tendency": "",
        "character": [
          "增多"
        ],
        "anatomy_list": [
          "腹腔后"
        ]
      },
      {
        "core_name": "肿大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹腔后淋巴结"
        ]
      }
    ]
  },
  {
    "id": 913,
    "text": "25年前，患者在玩耍时右侧腕部及手指不慎被化学物质（具体化学物质名称不详）烧伤（腕部及手部变现不详），当即患者疼痛难忍，哭闹不止，神志清楚，患者家属自行未做任何处理，立即将患者送到某一诊所进行治疗，予以换药、补液、抗感染等常规治疗，伤口愈合后皮肤覆盖创面，但疤痕形成，严重影响腕部及手指功能，在医生建议下行腕部及手指功能康复锻炼（具体治疗过程不详）后，右手小指瘢痕挛缩明显，功能受到影响，其余四指恢复良好，腕部活动有轻微受限，疤痕明显。",
    "event": [
      {
        "core_name": "烧伤",
        "tendency": "",
        "character": [
          "化学物质"
        ],
        "anatomy_list": [
          "右侧腕部"
        ]
      },
      {
        "core_name": "烧伤",
        "tendency": "",
        "character": [
          "化学物质"
        ],
        "anatomy_list": [
          "手指"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "难忍"
        ],
        "anatomy_list": [
          "右侧腕部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "难忍"
        ],
        "anatomy_list": [
          "手指"
        ]
      },
      {
        "core_name": "哭闹不止",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "神志",
        "tendency": "",
        "character": [
          "清楚"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疤痕形成",
        "tendency": "",
        "character": [
          "严重影响腕部及手指功能"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "瘢痕",
        "tendency": "",
        "character": [
          "挛缩明显"
        ],
        "anatomy_list": [
          "右手小指"
        ]
      },
      {
        "core_name": "功能受到影响",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右手小指"
        ]
      },
      {
        "core_name": "活动受限",
        "tendency": "",
        "character": [
          "轻微"
        ],
        "anatomy_list": [
          "腕部"
        ]
      },
      {
        "core_name": "疤痕",
        "tendency": "",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1864,
    "text": "患者本次发病以来，食欲正常，神志清醒，精神尚可，睡眠可，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": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 94,
    "text": "月经结束4天后，阴道再次出现流血，持续至今，量多。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "再次",
          "持续至今",
          "量多"
        ],
        "anatomy_list": [
          "阴道"
        ]
      }
    ]
  },
  {
    "id": 468,
    "text": "故急诊以“腹痛待查：卵巢黄体囊肿破裂？异位妊娠？”收入我科。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "囊肿破裂",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "卵巢黄体"
        ]
      },
      {
        "core_name": "异位妊娠",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "卵巢黄体"
        ]
      }
    ]
  },
  {
    "id": 142,
    "text": "患者长期排尿困难，夜尿增多，3+月前于i某医院行前列腺穿刺活检，病检结果回示：前列腺腺癌，患者未予特殊处理。",
    "event": [
      {
        "core_name": "排尿困难",
        "tendency": "",
        "character": [
          "长期"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "夜尿增多",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      }
    ]
  },
  {
    "id": 434,
    "text": "现患者无肝区疼痛、骨关节关节疼痛等，今为行第8疗程化疗入院。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肝区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "骨关节"
        ]
      }
    ]
  },
  {
    "id": 1774,
    "text": "患病以来，精神、睡眠、食欲可，二便正常，体重无明显减轻",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1634,
    "text": "”诊断为降结肠癌，于2013.8.23日行腹腔镜辅助下左结肠切除术+放射性粒子植入术，术后恢复好，病理类型（左半结肠）溃疡型中分化管状乳头状腺癌，浸及肠壁全层，脉管、神经未见癌侵犯，两切端未见癌累及，淋巴结见癌转移（7/12）），分期t3、n2、m0。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "降结肠"
        ]
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "溃疡型",
          "中分化",
          "管状",
          "乳头状"
        ],
        "anatomy_list": [
          "左半结肠"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "侵犯"
        ],
        "anatomy_list": [
          "脉管",
          "神经"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸及"
        ],
        "anatomy_list": [
          "肠壁全层"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "两切端"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移",
          "分期t3、n2、m0"
        ],
        "anatomy_list": [
          "淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1115,
    "text": "患者自起病以来，精神可，胃纳可，大便次数增多，尿频，体重未见明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃纳",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "次数增多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿频",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "体重",
        "tendency": "",
        "character": [
          "无明显下降"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 45,
    "text": "今日患者为求进一步治疗来我院就诊,门诊以“盆腔包块待查”收治入院。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "盆腔"
        ]
      }
    ]
  },
  {
    "id": 116,
    "text": "遂患者为求进一步诊疗于我科住院，我科予以讨论后患者病情后，于2017-06-11、2017-07-04、2017-07-26、2017-08-21、2017-09-25予以5次tac方案化疗，于2017-08-24在全麻下行右乳癌改良根治术，手术顺利，术后标本送常规病检(2017-08-29):<右乳>浸润性癌，非特殊类型，Ⅱ级7分。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "浸润性",
          "非特殊类型",
          "Ⅱ级7分"
        ],
        "anatomy_list": [
          "右乳"
        ]
      }
    ]
  },
  {
    "id": 1209,
    "text": "6.子宫腔积液。",
    "event": [
      {
        "core_name": "积液",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "子宫腔"
        ]
      }
    ]
  },
  {
    "id": 1179,
    "text": "诊断慢性髓细胞白血病明确，遂予以国产伊马替尼400mg每日一次口服治疗，前期血象控制尚可，2014年9月底开始多次复查血常规提示白细胞逐渐升高，但脾脏逐渐缩小，患者未定期复查骨穿及调整药物。",
    "event": [
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "髓细胞"
        ]
      },
      {
        "core_name": "白细胞升高",
        "tendency": "",
        "character": [
          "逐渐"
        ],
        "anatomy_list": [
          "白细胞"
        ]
      },
      {
        "core_name": "脾脏缩小",
        "tendency": "",
        "character": [
          "逐渐"
        ],
        "anatomy_list": [
          "脾脏"
        ]
      }
    ]
  },
  {
    "id": 668,
    "text": "病程中患者无夜间阵发性呼吸困难，无咯粉红色泡沫痰，无双下肢水肿。",
    "event": [
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "夜间",
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [
          "粉红色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "水肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      }
    ]
  },
  {
    "id": 1942,
    "text": "于2018.03.07予以tp方案姑息性化疗；化疗药物（紫杉醇 210mg；顺铂 120mg），胸部ct提示肿瘤处于pd，于2018.05.05更换为dp方案化疗，化疗药物总量（多西他赛 120mg；顺铂120mg），化疗期间无特殊不适，化疗后无骨髓抑制，今为求下周期化疗入院，以\"肺鳞癌伴骨转移\"收入我科。",
    "event": [
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "处于pd"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "否定",
        "character": [
          "化疗后"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "骨"
        ]
      }
    ]
  },
  {
    "id": 92,
    "text": "患者平素月经规则，初潮14岁，周期17天，经期8-9天，量中等，色鲜红，无痛经，血凝块较少，既往白带正常。",
    "event": [
      {
        "core_name": "月经",
        "tendency": "",
        "character": [
          "规则"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "痛经",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "经量",
        "tendency": "",
        "character": [
          "中等"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "月经",
        "tendency": "",
        "character": [
          "色鲜红"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血凝块",
        "tendency": "",
        "character": [
          "较少"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "白带",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 50,
    "text": "予以保肝、增强抵抗力等治疗,于2016-3-2行fc方案化疗；今为行化疗于我院就诊,门诊以“慢性淋巴细胞白血病/小淋巴细胞性淋巴瘤 binet b期”收治入院。",
    "event": [
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "淋巴细胞"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "小淋巴细胞性",
          "binet b期"
        ],
        "anatomy_list": [
          "淋巴"
        ]
      }
    ]
  },
  {
    "id": 1102,
    "text": "患者偶有咳嗽，无活动后心累、气促，无胸闷、胸痛、咯血、呼吸困难，无潮热、盗汗、疲乏、消瘦，无畏寒、发热。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "否定",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疲乏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "消瘦",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 311,
    "text": "”遂进一步行前列腺穿刺病检提示：“前列腺癌”全身ect提示：“全身骨显影未见明显异常。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "骨显影异常",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "全身"
        ]
      }
    ]
  },
  {
    "id": 22,
    "text": "患者目前诉术区皮肤麻木及轻微刺痛,诉指端皮肤麻木麻木不适,无头晕、乏力等,今日为行放疗就诊于我科门诊,门诊以“乳腺癌 术后化疗后”收入院。",
    "event": [
      {
        "core_name": "麻木",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "术区皮肤"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "轻微",
          "刺痛"
        ],
        "anatomy_list": [
          "术区皮肤"
        ]
      },
      {
        "core_name": "麻木",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "指端皮肤"
        ]
      },
      {
        "core_name": "麻木不适",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "指端皮肤"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "化疗后"
        ],
        "anatomy_list": [
          "乳腺"
        ]
      }
    ]
  },
  {
    "id": 31,
    "text": "入院2天余,患者于当地医院就诊（具体诊断不详）,患者自诉予以“青霉素”治疗后声嘶未见明显好转,后出现阵发性多汗,量多,昼夜无明显变化。",
    "event": [
      {
        "core_name": "声嘶",
        "tendency": "否定",
        "character": [
          "明显好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "出汗",
        "tendency": "",
        "character": [
          "阵发性",
          "多",
          "量多",
          "昼夜无明显变化"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1575,
    "text": "今日拟行下一周期化疗来院，遂以“直肠癌术后化疗后”收入住院治疗。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后化疗后"
        ],
        "anatomy_list": [
          "直肠"
        ]
      }
    ]
  },
  {
    "id": 1140,
    "text": "患者绝经17年，既往月经规律，量中，无痛经。",
    "event": [
      {
        "core_name": "绝经",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "月经",
        "tendency": "",
        "character": [
          "规律",
          "量中"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "痛经",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1359,
    "text": "入院前1+月，患者无明显诱因出现左侧胸痛，为持续性胀痛，以咳嗽及深吸气时明显，伴咳嗽，为刺激性干咳，无咳痰，无胸闷、咯血、呼吸困难，无潮热、盗汗、疲乏、消瘦，无畏寒、发热等不适。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续性",
          "胀痛",
          "咳嗽及深吸气时明显"
        ],
        "anatomy_list": [
          "左侧胸"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "刺激性干咳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疲乏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "消瘦",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1292,
    "text": "患病以来，精神、睡眠欠佳，食欲尚可，大小便正常，否认近期体重明显减轻。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 227,
    "text": "患者于1月前无明显原因出现活动后气促，休息后可稍缓解，无发热，无咳嗽、咳痰，无胸痛、咯血、呼吸困难，无心悸、咯粉红色泡沫痰、夜间阵发性呼吸困难，无腹痛腹泻。",
    "event": [
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后",
          "休息后稍缓解"
        ],
        "anatomy_list": []
      },
      {
        "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": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [
          "粉红色",
          "泡沫"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "夜间",
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 1412,
    "text": "患者因“左卵巢鳞状细胞癌”于2016.10.01行了经腹双侧附件切除术+盆腹腔淋巴结清扫术+大网膜切除术+阑尾切除术，术程顺利，术后予以抗炎、对症治疗，病检结果回示：直肠表面结节：低分化鳞状细胞癌；右卵巢有低分化鳞状细胞癌；回盲部肿瘤肿瘤结节：低分化鳞状细胞癌；大网膜扪及两个癌结节。",
    "event": [
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左卵巢"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "直肠表面"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "直肠"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "右卵巢"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "肿瘤"
        ],
        "anatomy_list": [
          "回盲部"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "低分化"
        ],
        "anatomy_list": [
          "回盲部",
          "鳞状细胞"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "两个",
          "癌"
        ],
        "anatomy_list": [
          "大网膜"
        ]
      }
    ]
  },
  {
    "id": 1677,
    "text": "此后患者病情反复，尤其秋冬季节交替时症状加重，并逐渐出现活动后喘累，无夜间端坐呼吸及咯粉红色泡沫痰。",
    "event": [
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "端坐呼吸",
        "tendency": "否定",
        "character": [
          "夜间"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [
          "粉红色",
          "泡沫"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1899,
    "text": "2.右侧第四肋骨后支骨骨质破坏，伴周围软组织软组织块块影，建议进一步结合穿刺活检检查。",
    "event": [
      {
        "core_name": "骨质破坏",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右侧第四肋骨后支骨"
        ]
      },
      {
        "core_name": "块影",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "周围软组织"
        ]
      }
    ]
  },
  {
    "id": 1337,
    "text": "患者9月余前因“身黄、尿黄16日”入院，于我院诊断为：肝门部胆管癌。",
    "event": [
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "身"
        ]
      },
      {
        "core_name": "尿黄",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝门",
          "胆管"
        ]
      }
    ]
  },
  {
    "id": 821,
    "text": "化疗前予以昂丹司琼止吐，补液等对症治疗，顺利完成前两次化疗，化疗过程中无恶心、呕吐、畏寒、发热、腹泻、黑便等不适。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1361,
    "text": "于2016-09-18在某医院完善经彩超引导下左肺实性肿物穿刺活检术，术后病检：（左肺）非小细胞癌，建议做免疫组化进一步分型。",
    "event": [
      {
        "core_name": "肿物",
        "tendency": "",
        "character": [
          "实性"
        ],
        "anatomy_list": [
          "左肺"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肺",
          "非小细胞"
        ]
      }
    ]
  },
  {
    "id": 26,
    "text": "患者本次发病以来,食欲正常, 神志清醒,精神尚可,睡眠尚可,大便正常,小便正常,体重无明显变化。",
    "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": [
          "尚可"
        ],
        "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": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 113,
    "text": "7天前，患者无诱因出现腰部疼痛，为持续性胀痛，久卧后加重，坐立可稍缓解，翻身起床时疼痛加重，安静休息部分缓解；无头痛、头晕，无心慌、胸闷，间断性咳嗽，无咯血，无腹痛、腹胀及便血，无双下肢疼痛麻木；到我院就诊，门诊行腰椎mri检查提示：胸腰椎多椎体异常信号改变，考虑骨转移转移性肿瘤，故收治入院。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续性胀痛",
          "久卧后加重",
          "坐立可稍缓解",
          "翻身起床时疼痛加重",
          "安静休息部分缓解"
        ],
        "anatomy_list": [
          "腰部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [
          "间断性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "麻木",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "信号改变",
        "tendency": "",
        "character": [
          "异常"
        ],
        "anatomy_list": [
          "胸椎椎体",
          "腰椎椎体"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "骨组织"
        ]
      }
    ]
  },
  {
    "id": 1858,
    "text": "术后予以补液、止血、抗感染、对症支持、伤口换药等处理，病情恢复顺利，无特殊不适，切口愈合良好，好转出院。",
    "event": [
      {
        "core_name": "切口",
        "tendency": "",
        "character": [
          "愈合良好"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1010,
    "text": "患者于2020-08-12乘坐公交车突发左下腹部下腹部疼痛疼痛不适，呈持续性胀痛，后逐渐出现头晕、心慌、乏力等不适，面色逐渐苍白，伴晕厥4次，晕厥时无意识，旁人可唤醒，无头痛，无恶心、呕吐等不适，无明显肛门坠胀，无阴道阴道流血、流液，急诊我院行全腹部ct平扫显示：1、肝实质内散在低密度影，建议增强扫描进一步明确。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "突发"
        ],
        "anatomy_list": [
          "左下腹部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续性",
          "胀痛"
        ],
        "anatomy_list": [
          "左下腹部"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "疲劳",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "苍白",
        "tendency": "",
        "character": [
          "面色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "晕厥",
        "tendency": "",
        "character": [
          "无意识",
          "旁人可唤醒",
          "4次"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "坠胀",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "流液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "密度影",
        "tendency": "",
        "character": [
          "散在",
          "低"
        ],
        "anatomy_list": [
          "肝实质内"
        ]
      }
    ]
  },
  {
    "id": 976,
    "text": "5年前，患者无明显诱因再次出现咳嗽、咳痰，干咳为主，无咯血、胸痛，无胸闷、气促等不适，患者至当地疾控中心就诊，完善检查后考虑结核复发，再次予以抗结核治疗（具体药物及疗程不详）。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "干"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "结核",
        "tendency": "不确定",
        "character": [
          "复发"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 776,
    "text": "2017-4-7患者因“咯血1月余”到我院门诊就诊，行胸部ct：右肺上叶占位，考虑周围型肺癌，纵膈及右肺门淋巴结肿大。",
    "event": [
      {
        "core_name": "咯血",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "占位",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "周围型"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "肿大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "纵膈淋巴结",
          "右肺门淋巴结"
        ]
      }
    ]
  },
  {
    "id": 834,
    "text": "入院前1月患者无明显诱因再次出现感呼吸困难，咳嗽，痰中带血，于2019年12月6日某医院住院，行ct提示甲状软骨水平-气管分叉水平气管壁不均匀增厚 ，局部呈结节样凸向腔内，部分向腔外突出，管腔不同程度变窄，最窄处位于甲状腺水平，双肺散在散在结节较前增多增大。",
    "event": [
      {
        "core_name": "呼吸困难",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "带血"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [
          "不均匀"
        ],
        "anatomy_list": [
          "甲状软骨水平气管壁"
        ]
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [
          "不均匀"
        ],
        "anatomy_list": [
          "气管分叉水平气管壁"
        ]
      },
      {
        "core_name": "突出",
        "tendency": "",
        "character": [
          "结节样",
          "局部",
          "凸向腔内",
          "部分向腔外突出"
        ],
        "anatomy_list": [
          "气管"
        ]
      },
      {
        "core_name": "变窄",
        "tendency": "",
        "character": [
          "不同程度",
          "最窄处位于甲状腺水平"
        ],
        "anatomy_list": [
          "管腔"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "增大",
          "增多",
          "散在"
        ],
        "anatomy_list": [
          "双肺"
        ]
      }
    ]
  },
  {
    "id": 584,
    "text": "入院前3小时，驾驶摩托车被其他车辆撞伤，当时受伤时机制不详，伤后即感左小腿膝部疼痛，呈持续性疼痛，伴创面渗血；左足足背拇指开放性伤口，伤口出血，具体出血量不详，伤后无昏迷，可回忆受伤经过，不伴头晕、头痛、心慌、气促、胸闷、胸痛、腹痛、大小便失禁、恶心、呕吐、腹痛、腹胀等，急送入我院就诊，急诊行x线片示：放射检查： 1.左尺桡骨中下段未见异常。",
    "event": [
      {
        "core_name": "撞伤",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "受伤",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续性"
        ],
        "anatomy_list": [
          "左小腿",
          "膝部"
        ]
      },
      {
        "core_name": "渗血",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "创面"
        ]
      },
      {
        "core_name": "伤口",
        "tendency": "",
        "character": [
          "开放性",
          "出血",
          "具体出血量不详"
        ],
        "anatomy_list": [
          "左足背",
          "拇指"
        ]
      },
      {
        "core_name": "昏迷",
        "tendency": "否定",
        "character": [
          "伤后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "受伤",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "大小便",
        "tendency": "否定",
        "character": [
          "失禁"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "异常",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "尺桡骨中段下段"
        ]
      }
    ]
  },
  {
    "id": 409,
    "text": "双肺门肺门及纵隔淋巴结显示，fdg代谢增高，倾向反应性增生。",
    "event": [
      {
        "core_name": "fdg",
        "tendency": "",
        "character": [
          "代谢增高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "增生",
        "tendency": "不确定",
        "character": [
          "反应性"
        ],
        "anatomy_list": [
          "双肺门淋巴结",
          "纵隔淋巴结"
        ]
      }
    ]
  },
  {
    "id": 461,
    "text": "3.原l4-l5椎体右侧放射性浓聚灶较前无明显变化，考虑良性病变。",
    "event": [
      {
        "core_name": "浓聚灶",
        "tendency": "",
        "character": [
          "放射性",
          "较前无明显变化"
        ],
        "anatomy_list": [
          "L4-L5椎体右侧"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "不确定",
        "character": [
          "良性"
        ],
        "anatomy_list": [
          "L4-L5椎体右侧"
        ]
      }
    ]
  },
  {
    "id": 1689,
    "text": "患者自患病以来，精神、饮食、睡眠可，大小便未见明显异常，体重无明显增减。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "进食",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便异常",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 39,
    "text": "1月前上述症状复发,咳嗽,咳白色泡沫痰,每天痰量约40ml,伴活动后气促、心悸,伴胸痛不适,持续几分钟能自行缓解,无心前区压榨感,无畏寒及寒战,无发热,无咽喉疼痛,无头昏及头痛,无恶心及呕吐,无腹胀及腹痛。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "持续几分钟能自行缓解"
        ],
        "anatomy_list": [
          "胸部"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "咽",
          "喉"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 1266,
    "text": "入院前1+月，患者无明显诱因再次出现咳嗽、咳痰，为白色泡沫痰，量多，不易咳出，且偶感头晕，感进食梗阻、胸部胀痛，伴背部牵涉痛，食欲明显降低，无发热、畏寒，无头痛，无恶心、呕吐，无胸痛、心前区压榨感，无腹胀、腹痛、腹泻等不适，遂于我院胃肠外科门诊就诊，行上消化道钡餐检查（2018-3-19，我院）示：1.食管中下段外压性改变，考虑左肺门肿块所致，请结合ct检查。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫痰",
          "量多",
          "不易咳出"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "偶感"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "进食",
        "tendency": "",
        "character": [
          "梗阻"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛"
        ],
        "anatomy_list": [
          "胸部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "牵涉痛"
        ],
        "anatomy_list": [
          "背部"
        ]
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "明显降低"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "改变",
        "tendency": "",
        "character": [
          "外压性"
        ],
        "anatomy_list": [
          "食管中下段"
        ]
      },
      {
        "core_name": "肿块",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "左肺门"
        ]
      }
    ]
  },
  {
    "id": 445,
    "text": "为进一步诊治，拟“慢性阻塞性肺疾病急性发作伴肺部感染”收入院",
    "event": [
      {
        "core_name": "肺疾病",
        "tendency": "",
        "character": [
          "慢性",
          "阻塞性",
          "急性发作"
        ],
        "anatomy_list": [
          "肺部"
        ]
      },
      {
        "core_name": "感染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺部"
        ]
      }
    ]
  },
  {
    "id": 1887,
    "text": "入院前1+月，患者因右眼红痛3月到我院就诊，诊断为右眼角膜溃疡穿孔，双眼白内障术后，冠心病，并在我科住院治疗，住院后完善相关检查并给予抗炎治疗后，右眼角膜溃疡无明显好转，给予行右眼结膜瓣遮盖术，术后患者眼痛症状明显缓解，后患者因右侧腹股沟疝转入我院普外科治疗，患者出院后自觉右眼渐出现疼痛，并逐渐加重，患者及其家属为求进一步诊治，再次来我院就诊，经检查诊断为右眼角膜溃疡术后，建议住院治疗，遂于今日收住院。",
    "event": [
      {
        "core_name": "右眼红",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右眼"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右眼"
        ]
      },
      {
        "core_name": "穿孔",
        "tendency": "",
        "character": [
          "溃疡"
        ],
        "anatomy_list": [
          "右眼角膜"
        ]
      },
      {
        "core_name": "白内障",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "双眼"
        ]
      },
      {
        "core_name": "冠心病",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "溃疡",
        "tendency": "否定",
        "character": [
          "明显好转"
        ],
        "anatomy_list": [
          "右眼角膜"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "明显缓解"
        ],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "疝",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右侧腹股沟"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "逐渐加重"
        ],
        "anatomy_list": [
          "右眼"
        ]
      },
      {
        "core_name": "溃疡",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "右眼角膜"
        ]
      }
    ]
  },
  {
    "id": 1063,
    "text": "发现血糖升高5年，既往诊断“2型糖尿病”明确，现予“格列齐特”控制血糖尚可，具体数值不详。",
    "event": [
      {
        "core_name": "血糖",
        "tendency": "",
        "character": [
          "升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "糖尿病",
        "tendency": "",
        "character": [
          "2型"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血糖",
        "tendency": "",
        "character": [
          "控制尚可"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1401,
    "text": "病程中患者月经无改变，无痛经，无头晕、心慌，无尿频、尿急、肛门坠胀等不适。",
    "event": [
      {
        "core_name": "月经",
        "tendency": "否定",
        "character": [
          "改变"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "痛经",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "坠胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肛门"
        ]
      }
    ]
  },
  {
    "id": 160,
    "text": "患“高脂血症”1+年，未规范性用药。",
    "event": [
      {
        "core_name": "高脂血症",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 354,
    "text": "腋窝淋巴结转移1/12。",
    "event": [
      {
        "core_name": "转移",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 246,
    "text": "患者于入院前1月余无明显诱因出现厌油伴食欲下降、恶心，无返酸、嗳气、呕吐、呕血，无腹痛、腹胀、腹泻、黑便，无发热、寒战，无头晕、头痛，患者未予重视，未行任何处理。",
    "event": [
      {
        "core_name": "厌油",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "下降"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "返酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      }
    ]
  },
  {
    "id": 649,
    "text": "患者自起病以来，精神较萎，胃纳较差，大便如常，小便如常，体重未见明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "较萎"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃纳",
        "tendency": "",
        "character": [
          "较差"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1341,
    "text": "<癌栓袋>见癌组织。",
    "event": [
      {
        "core_name": "癌组织",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "癌栓袋"
        ]
      }
    ]
  },
  {
    "id": 1302,
    "text": "放疗后患者诉偶有咳嗽不适，以夜间平卧时明显，考虑放射性食管炎，给予口服“雷贝拉唑”抑酸护胃治疗后好转出院。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "夜间平卧时明显",
          "放疗后",
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食管炎",
        "tendency": "不确定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "食管"
        ]
      }
    ]
  },
  {
    "id": 1050,
    "text": "今日门诊以“乳癌术后化疗”收入我科。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后化疗"
        ],
        "anatomy_list": [
          "乳"
        ]
      }
    ]
  },
  {
    "id": 301,
    "text": "其后于我科行卡铂0.45g1+足叶乙甙0.15g1-3方案化疗６周期，化疗过程中患者无明显恶心、呕吐等胃肠道反应，咳嗽等症状明显好转，患者定期在我院复查，均无明显进展。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃肠道反应",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "胃肠道"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "明显好转"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 402,
    "text": "术后患者行3疗程辅助化疗，方案为ec-t（表柔比星+环磷酰胺序贯多西他赛），化疗过程顺利，未出现药物骨髓毒性反应，现患者为第四次化疗入院。",
    "event": [
      {
        "core_name": "毒性反应",
        "tendency": "否定",
        "character": [
          "药物"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 846,
    "text": "患者6+月前因“阵发性腹痛，伴肛门停止排气、排便2天”入院。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "阵发性"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "排气",
        "tendency": "",
        "character": [
          "停止"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "排便",
        "tendency": "",
        "character": [
          "停止2天"
        ],
        "anatomy_list": [
          "肛门"
        ]
      }
    ]
  },
  {
    "id": 2016,
    "text": "患者本次发病以来，食欲减退，神志清醒，精神欠佳，睡眠欠佳，大便5日未解，小便正常，体重减少约1kg。",
    "event": [
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "减退"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "神志",
        "tendency": "",
        "character": [
          "清醒"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "欠佳"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "5日未解"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1348,
    "text": "1月余前患者无明显诱因出现乏力、纳差，无明显腹痛、腹胀，无反酸、嗳气，无心悸、气促，入我院后予以保肝治疗后好转，并于2019年11月26日、2019年12月18日输注信迪利单抗200mg，输注过程顺利，未诉特殊不适。",
    "event": [
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "纳差",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 86,
    "text": "入院前10+月，患者无明显诱因出现活动后心累气促，伴全身乏力，自觉日常活动轻微受限，无头昏、眼花及耳鸣，无畏寒、发热，无咳嗽、咳痰、咯血，无胸闷、心悸及心前区压榨感，无腹痛、呕血及黑便，无皮肤瘀点瘀点及瘀斑，无牙龈出血，无黄染，无肝掌及蜘蛛痣，患者于我院心血管内科住院治疗，查血常规：白细胞数2.46*10^9/L↓红细胞数2.73*10^12/L↓;血红蛋白60g/L↓;血小板数75*10^9/L↓，患者拒绝行骨髓穿刺及输血治疗，给予对症治疗后出院，之后患者上述症状加重，活动后心累气促，日常活动受影响，无咳嗽咳痰，无畏寒发热，无牙龈出血，全身未见瘀斑瘀点，无头晕头痛，无阵发性呼吸困难，查血常规提示：血红蛋白46g/L↓，我院输血等对症治疗后好转出院，患者于某医院就诊，行骨髓穿刺结果考虑mds-raeb2,骨髓活检考虑mds，未治疗；6+月前，患者再次出现活动后心累气促及乏力症状加重，表现为快走时心累气促，休息后缓解，日常活动轻度受限，予以抗感染、输血治疗，并于2018年11月29号给予输注地西他滨25mg1-5全身化疗，化疗后出现iii度骨髓抑制，予以升白、升血小板治疗后纠正。",
    "event": [
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "活动受限",
        "tendency": "",
        "character": [
          "轻微",
          "日常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "眼花",
        "tendency": "否定",
        "character": [
          "模糊"
        ],
        "anatomy_list": [
          "眼"
        ]
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "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": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "瘀点",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "瘀斑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "牙龈"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "肝掌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "掌"
        ]
      },
      {
        "core_name": "蜘蛛痣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "活动受限",
        "tendency": "",
        "character": [
          "日常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "牙龈"
        ]
      },
      {
        "core_name": "瘀斑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "瘀点",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "mds-raeb2",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "mds",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动后",
          "症状加重"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后",
          "症状加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [
          "活动后",
          "症状加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "快走时",
          "休息后缓解"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "快走时",
          "休息后缓解"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "活动受限",
        "tendency": "",
        "character": [
          "日常",
          "轻度"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "",
        "character": [
          "iii度"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 1322,
    "text": "排除穿刺禁忌后给予胸腔穿刺引流，并在纤维支气管镜下取肺部占位行病理活检示：免疫组化：gcdfp-15（-），gata-3（+），ck（+），ck8（+），her-2（1+），pr小灶（+），er小灶（+）。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "占位"
        ],
        "anatomy_list": [
          "肺部"
        ]
      }
    ]
  },
  {
    "id": 384,
    "text": "为进一步治疗，今日以\" 肺癌化疗后 \"收入我科。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "化疗后"
        ],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 115,
    "text": "患者因“发现右乳一包快2+月”，于我院门诊行乳腺活检术，术后病理检查结果回报“<右乳>乳腺癌”。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右乳乳腺"
        ]
      }
    ]
  },
  {
    "id": 413,
    "text": "患者于2012年4月23日我院行左乳房乳癌改良根治术＋前哨淋巴结活检术，术后病理提示：前哨淋巴结未见癌转移，已行１次术前辅助化疗，7次术后辅助化疗，化疗方案为吡柔比星＋环磷酰胺＋多西他赛（ＡＣＴ）。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "前哨淋巴结"
        ]
      }
    ]
  },
  {
    "id": 992,
    "text": "1年前出现反复腰背痛，尤以t2-4、t7椎体，t8椎体严重，无放射，平卧位稍缓解，疼痛由间断性逐渐发展为持续性。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "反复",
          "尤以t2-4、t7、t8椎体严重",
          "平卧位稍缓解"
        ],
        "anatomy_list": [
          "腰",
          "背"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "放射性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "由间断性逐渐发展为持续"
        ],
        "anatomy_list": [
          "腰",
          "背"
        ]
      }
    ]
  },
  {
    "id": 287,
    "text": "2月前患者无明显诱因出现胸痛，为双侧胸部隐痛，呈持续性，程度轻，咳嗽及翻身时加重，休息后缓解，否认与深呼吸、进食、活动有关，偶有咳嗽、咽干、晨起流涕，为白色粘涕，无发热、潮热、盗汗，无咳痰、咯血、咽痛、肌肉酸痛，无胸闷、心悸、喘累，无反酸、烧心、嗳气，无皮肤皮疹、红肿等不适。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛",
          "呈持续性",
          "程度轻",
          "咳嗽及翻身时加重",
          "休息后缓解",
          "否认与深呼吸、进食、活动有关"
        ],
        "anatomy_list": [
          "双侧胸部"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咽干",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "流涕",
        "tendency": "",
        "character": [
          "晨起",
          "白色粘涕"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "咽"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "酸痛"
        ],
        "anatomy_list": [
          "肌肉"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "喘累",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "烧心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "皮疹",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "红肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      }
    ]
  },
  {
    "id": 230,
    "text": "为进一步诊治，遂于我院就诊，门诊拟“胸腔积液原因待查”收入住院。",
    "event": [
      {
        "core_name": "积液",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "胸腔"
        ]
      }
    ]
  },
  {
    "id": 1602,
    "text": "入院前半天，患者无明显诱因症状复发加重，伴胸口紧缩感，伴腰部及双下肢游走性疼痛，伴咳嗽咳黑灰色粘液痰（未见到痰液），无恶心呕吐，无头昏头痛，无黑曚晕厥，无胸痛，无腹痛腹胀，无四肢乏力等不适，遂送入我院治疗，门诊以“心力衰竭\"收入我科。",
    "event": [
      {
        "core_name": "紧缩感",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸口"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "游走性"
        ],
        "anatomy_list": [
          "腰部",
          "双下肢"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "粘液",
          "黑灰色"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "黒朦",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "晕厥",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "四肢"
        ]
      },
      {
        "core_name": "心力衰竭",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 351,
    "text": "6天前患者于我院行妇科彩超发现子宫左前方见大小约156×92mm的异常无回声区,边界清,形态规则,无回声区区内透声好,cdfi:其内部及周边可探及血流信号。",
    "event": [
      {
        "core_name": "回声区",
        "tendency": "",
        "character": [
          "异常",
          "无",
          "边界清",
          "形态规则",
          "无回声区内透声好"
        ],
        "anatomy_list": [
          "子宫左前方"
        ]
      },
      {
        "core_name": "血流信号",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "内部及周边"
        ]
      }
    ]
  },
  {
    "id": 1934,
    "text": "2017-4-12某医院pet-ct示：1、结肠术后改变，未见明确复发征象，吻合口上方、下方右侧腰大肌旁及腹腔第1212、16组多发淋巴结转移。",
    "event": [
      {
        "core_name": "术后改变",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "结肠"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [
          "多发"
        ],
        "anatomy_list": [
          "吻合口上方、下方右侧腰大肌旁腹腔1212、16组淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1267,
    "text": "2.胃窦炎征象。",
    "event": [
      {
        "core_name": "胃窦炎",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃窦"
        ]
      }
    ]
  },
  {
    "id": 994,
    "text": "7月前，患者行相关检查，ct、ect均提示转移性骨肿瘤，并来我院行化疗，上一次化疗时间为2013.5.25,化疗方案为长春瑞滨+洛铂,患者为行相关检查来我院，门诊以“左乳癌术后”收治入院。",
    "event": [
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "骨"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 954,
    "text": "患者现为求进一步诊治，急诊拟“消化道出血”收住入院。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "消化道"
        ]
      }
    ]
  },
  {
    "id": 241,
    "text": "1+月前患者症状较前加重，并出现腰背部疼痛伴双下肢大腿后外侧胀痛，平卧位或侧卧位疼痛加重，端坐位或站立位疼痛减轻。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "平卧位或侧卧位疼痛加重，端坐位或站立位疼痛减轻"
        ],
        "anatomy_list": [
          "腰背部"
        ]
      },
      {
        "core_name": "胀痛",
        "tendency": "",
        "character": [
          "平卧位或侧卧位疼痛加重，端坐位或站立位疼痛减轻"
        ],
        "anatomy_list": [
          "双下肢大腿后外侧"
        ]
      }
    ]
  },
  {
    "id": 1578,
    "text": "期间每年行常规体检，查宫颈刮片等未见明显异常。",
    "event": [
      {
        "core_name": "异常",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 924,
    "text": "建议ctu检查，盆腔少量积液。",
    "event": [
      {
        "core_name": "积液",
        "tendency": "",
        "character": [
          "少量"
        ],
        "anatomy_list": [
          "盆腔"
        ]
      }
    ]
  },
  {
    "id": 1806,
    "text": "3天来患者精神食欲及睡眠差，大小便正常，体重无明显减轻。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 870,
    "text": "入院前8年，患者无明显诱因出现双侧第一跖趾关节关节疼痛，伴发热、发红、关节肿痛，至当地医院就诊，考虑“痛风”，予以“秋水仙碱”口服后关节疼痛疼痛缓解，后未规律服药。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧第1跖趾关节"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧第1跖趾关节"
        ]
      },
      {
        "core_name": "发红",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧第1跖趾关节"
        ]
      },
      {
        "core_name": "肿痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧第1跖趾关节"
        ]
      },
      {
        "core_name": "痛风",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "缓解"
        ],
        "anatomy_list": [
          "关节"
        ]
      }
    ]
  },
  {
    "id": 1825,
    "text": "10+天前患者再次出现喘累，活动后气促，伴腹胀，入院后予以胸腔、腹腔穿刺置管引流后稍好转，复查腹部ct见腹腔内肿瘤广泛转移，予以对症治疗后出院。",
    "event": [
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "广泛转移"
        ],
        "anatomy_list": [
          "腹腔内"
        ]
      }
    ]
  },
  {
    "id": 630,
    "text": "患者平素无同房出血，无异常阴道流血、流液，于8月前于我院行妇科检查宫颈hpv16型阳性，宫颈tct未见上皮内病变及恶性病变，嘱其门诊随访。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [
          "同房后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "宫颈hpv16型",
        "tendency": "",
        "character": [
          "阳性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "流液",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "否定",
        "character": [
          "上皮内"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "否定",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 1828,
    "text": "入院前1+年，患者劳累后出现下腹部刺痛刺痛感，伴尿痛，患者无尿频、尿急，肉眼血尿，无腰部疼痛，无恶心、呕吐，无腹胀、腹泻、便秘等，无头晕、头痛，无胸闷、胸痛、心悸、气促，无寒战、发热等不适，患者未予重视，未予处理。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "劳累后",
          "刺痛"
        ],
        "anatomy_list": [
          "下腹部"
        ]
      },
      {
        "core_name": "尿痛",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "血尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腰部"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "便秘",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1925,
    "text": "患者急性腹膜炎经消化疾病中心会诊后建议行手术治疗，患者拒绝并要求保守治疗，经对症保守治疗后病情好转自动出院。",
    "event": [
      {
        "core_name": "腹膜炎",
        "tendency": "",
        "character": [
          "急性"
        ],
        "anatomy_list": [
          "腹膜"
        ]
      }
    ]
  },
  {
    "id": 1155,
    "text": "急诊以“抽搐待查”收入我科住院治疗。",
    "event": [
      {
        "core_name": "抽搐",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 218,
    "text": "为求进一步诊治，门诊以“左肺鳞癌”收入我科。",
    "event": [
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肺"
        ]
      }
    ]
  },
  {
    "id": 1759,
    "text": "2.肝内钙化灶。",
    "event": [
      {
        "core_name": "钙化灶",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝内"
        ]
      }
    ]
  },
  {
    "id": 1386,
    "text": "气促，无心慌、心悸等。",
    "event": [
      {
        "core_name": "气促",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 182,
    "text": "双肺散在散在结节，考虑转移瘤可能。",
    "event": [
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "散在"
        ],
        "anatomy_list": [
          "双肺"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "转移"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 119,
    "text": "于2017-09-02行tac方案化疗治疗，化疗过程中予以抗过敏、护胃、止吐、对症等治疗，今日为行术后第3次化疗，遂来我科就诊，门诊以“右乳癌术后第2次化疗后”收入我科。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "第2次化疗后"
        ],
        "anatomy_list": [
          "右乳"
        ]
      }
    ]
  },
  {
    "id": 1447,
    "text": "78月前（2010年10月），患者因乳腺癌术后放化疗后复查示afp异常升高（85.77IU/ml），腹部彩超未见明显异常占位。",
    "event": [
      {
        "core_name": "占位",
        "tendency": "否定",
        "character": [
          "明显异常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 484,
    "text": "患者于2020年10月22日至我院呼吸科就诊，行纤支镜检查活检病理报告：（气管中段）淋巴组织增生性病变，结合临床资料、内镜所见及免疫表型，符合低级别淋巴瘤，倾向黏膜相关淋巴组织结外边缘区淋巴瘤（maltoma）。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "增生性"
        ],
        "anatomy_list": [
          "气管中段淋巴组织"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "低级别"
        ],
        "anatomy_list": [
          "淋巴"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "黏膜相关"
        ],
        "anatomy_list": [
          "淋巴组织结外边缘区",
          "淋巴"
        ]
      }
    ]
  },
  {
    "id": 224,
    "text": "给予对症治疗后，患者当日即前往某医院就诊，行肠镜及病检提示：降结肠新生物伴狭窄，管状-绒毛状腺瘤，横结肠及降结肠交界区肠壁不均匀增厚，结肠癌？侵犯胃壁；腹盆腔积液，腹膜网膜肠系膜增厚模糊，转移待排，肝左外叶姐姐，不典型血管瘤？转移？。",
    "event": [
      {
        "core_name": "新生物",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "降结肠"
        ]
      },
      {
        "core_name": "狭窄",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "降结肠"
        ]
      },
      {
        "core_name": "腺瘤",
        "tendency": "",
        "character": [
          "管状-绒毛状"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [
          "不均匀"
        ],
        "anatomy_list": [
          "横结肠及降结肠交界区肠壁"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "结肠"
        ]
      },
      {
        "core_name": "侵犯",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃壁"
        ]
      },
      {
        "core_name": "积液",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹",
          "盆腔"
        ]
      },
      {
        "core_name": "增厚模糊",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹膜",
          "肠系膜",
          "网膜"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝左外叶"
        ]
      },
      {
        "core_name": "血管瘤",
        "tendency": "不确定",
        "character": [
          "不典型"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 29,
    "text": "入院1年前因“发现尿量减少4月,皮肤瘙痒20天”收入我科,考虑“继发性甲状旁腺功能亢进”,予以纠正贫血、降磷补钙、规律透析等治疗后,症状好转出院,出院后于当地医院规律透析治疗,规律透析（周二、周四、周六）,未规律监测肌酐,偶查肌酐,值约1000umol/L。",
    "event": [
      {
        "core_name": "尿量",
        "tendency": "",
        "character": [
          "减少"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "瘙痒",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "甲状旁腺功能亢进",
        "tendency": "不确定",
        "character": [
          "继发性"
        ],
        "anatomy_list": [
          "甲状旁腺"
        ]
      }
    ]
  },
  {
    "id": 713,
    "text": "2020-8-3he4348.90pmol/l↑，ca-1252579.0u/ml↑，于8-4、8-5在我科住院予以免疫细胞治疗（“pd1-t细胞生物制剂”），输注后有轻微恶心、反胃、乏力、食欲减退等不适，停药后症状逐渐消失，现每日口服“盐酸羟考酮缓释片（10mg）”予以镇痛治疗，目前觉左侧腰骶部及左下肢疼痛、麻木较前加重，休息时不能向左侧平躺，无头晕、头痛、心慌、心悸、腹痛、腹胀等不适，小便正常，大便干燥，2~3日1次，此次要求行第二次免疫细胞治疗，门诊以“卵巢高级别浆液性癌iiic期术后化疗后复发伴骨、肺、盆腔、腹腔淋巴结转移”收入我科。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [
          "输注后",
          "轻微"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "反胃",
        "tendency": "",
        "character": [
          "输注后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [
          "输注后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "输注后",
          "减退"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "加重",
          "休息时不能向左侧平躺"
        ],
        "anatomy_list": [
          "左侧腰骶部",
          "左下肢"
        ]
      },
      {
        "core_name": "麻木",
        "tendency": "",
        "character": [
          "加重",
          "休息时不能向左侧平躺"
        ],
        "anatomy_list": [
          "左侧腰骶部",
          "左下肢"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "结干",
          "2~3日1次"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "高级别",
          "浆液性",
          "术后",
          "化疗后",
          "复发",
          "iiic期"
        ],
        "anatomy_list": [
          "卵巢"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "骨",
          "肺",
          "盆腔",
          "腹腔淋巴结"
        ]
      }
    ]
  },
  {
    "id": 507,
    "text": "此后，吞咽困难进行性加重，进食半流质、流质饮食仍感梗阻,于2017年10月06日到我院行胃镜提示食管癌，病检：鳞状细胞癌。",
    "event": [
      {
        "core_name": "吞咽困难",
        "tendency": "",
        "character": [
          "进行性加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "梗阻",
        "tendency": "",
        "character": [
          "半流质、流质食物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "食管"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 903,
    "text": "1天前，患儿出现右下肢疼痛，不能下地行走，不伴咳嗽，无进行性消瘦渐明显，不伴潮热盗汗。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右下肢"
        ]
      },
      {
        "core_name": "下地行走",
        "tendency": "",
        "character": [
          "不能"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "消瘦",
        "tendency": "否定",
        "character": [
          "进行性",
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1645,
    "text": "入院前1年，患者无明显诱因出现上腹胀痛，呈阵发性发作，进食后加重，无恶心、呕吐、反酸、嗳气，无咳嗽、咳痰、气促、胸闷，患者诉服药后好转（具体不详）。患者上腹胀痛反复出现，患者服药后均能控制。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "阵发性",
          "胀痛",
          "进食后加重"
        ],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "返酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "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": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛",
          "反复出现"
        ],
        "anatomy_list": [
          "上腹"
        ]
      }
    ]
  },
  {
    "id": 1906,
    "text": "5.甲状腺密度减低，fdg代谢增高，建议超声检查。",
    "event": [
      {
        "core_name": "甲状腺密度",
        "tendency": "",
        "character": [
          "减低"
        ],
        "anatomy_list": [
          "甲状腺"
        ]
      },
      {
        "core_name": "fdg代谢",
        "tendency": "",
        "character": [
          "增高"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 512,
    "text": "建议1月后返院复查及行放化疗等综合治疗，此次患者为行放化疗来我院，遂以“食管癌术后”收入住院治疗。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "食管"
        ]
      }
    ]
  },
  {
    "id": 1929,
    "text": "患者本次发病以来，食欲正常，神志清醒，精神尚可，睡眠尚可，大便次数增多，进食油腻食物后解大便频繁，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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "次数增多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "频繁",
          "进食油腻食物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 638,
    "text": "（肠周）淋巴结未见癌转移（0/15）。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "肠周淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1021,
    "text": "2.头皮表皮囊肿”收治入院，进一步处理。",
    "event": [
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "表皮"
        ],
        "anatomy_list": [
          "头皮"
        ]
      }
    ]
  },
  {
    "id": 1305,
    "text": "患者于入院前20+年因受凉后出现咳嗽、咳痰，为少量白色粘液痰，不伴喘息，无咯血，无胸闷、胸痛，无潮热、盗汗等症状，经口服感冒药后症状好转。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "受凉"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "受凉",
          "少量",
          "白色",
          "粘液"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "喘息",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "潮热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "盗汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1702,
    "text": "1天前，患者出现痰中带血，量不多，无发热、畏寒，无胸痛，无声音嘶哑，无吞咽困难，无关节疼痛，为求进一步诊治，收住入院。",
    "event": [
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "带血",
          "量不多"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "声音嘶哑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "吞咽困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "关节"
        ]
      }
    ]
  },
  {
    "id": 1081,
    "text": "2月前患者因排尿困难，遂到我院就诊，予以膀胱造瘘，术后予以抗感染及对症支持治疗，术后患者恢复可。",
    "event": [
      {
        "core_name": "排尿困难",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恢复",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1076,
    "text": "患者于入院3个多月前（2016.01.28）因确诊“右乳浸润癌”在全麻下行右乳癌改良根治术；术后病理诊断：右乳浸润性导管癌，腋窝淋巴结转移（0/14）；免疫组化：er（+++）60%pr（++）40%cerbb-2（－） ki-6767个细胞（+）。",
    "event": [
      {
        "core_name": "浸润癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "导管癌",
        "tendency": "",
        "character": [
          "浸润性"
        ],
        "anatomy_list": [
          "右乳"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1630,
    "text": "1天前患者头昏明显再发，视物模糊，有轻度头痛，伴双上肢远端麻木，颈部活动障碍，活动时有心累，胸闷症状，无心前区疼痛。",
    "event": [
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [
          "明显再发"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "视物模糊",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "轻度"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "麻木",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双上肢远端"
        ]
      },
      {
        "core_name": "活动障碍",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "颈部"
        ]
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "活动时"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "活动时"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      }
    ]
  },
  {
    "id": 793,
    "text": "入院前6天，患者再次因受凉后出现喘累较前加重，喜高枕卧位，活动耐量急剧降低，无明显咳嗽、咳痰，伴纳差、全身乏力，无发热、畏寒，无意识障碍、黑朦，无胸痛、咯血，无呕吐、腹痛，双下肢无水肿，在外予对症治疗后病情无明显缓解，随急呼“120”来我院，急诊科予以静滴“多索茶碱”后，以“慢性阻塞性肺病伴急性加重”收入我科住院治疗。",
    "event": [
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "受凉后",
          "较前加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "活动耐量",
        "tendency": "",
        "character": [
          "急剧降低"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "纳差",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "意识障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑朦",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "水肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "肺病",
        "tendency": "",
        "character": [
          "慢性",
          "阻塞性",
          "急性加重"
        ],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 176,
    "text": "2周期化疗后复查腹膜后病变体积稍前减小。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "体积稍前减小"
        ],
        "anatomy_list": [
          "腹膜后"
        ]
      }
    ]
  },
  {
    "id": 1710,
    "text": "胸部ct见双肺感染、双侧胸腔积液、肩胛骨及骨性胸廓多发低密度影，符合多发性骨髓瘤。",
    "event": [
      {
        "core_name": "感染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肺"
        ]
      },
      {
        "core_name": "积液",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧胸腔"
        ]
      },
      {
        "core_name": "密度影",
        "tendency": "",
        "character": [
          "多发",
          "低"
        ],
        "anatomy_list": [
          "骨性胸廓",
          "肩胛骨"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "多发性"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 1126,
    "text": "2015年1月患者再出现右腹隐痛，无恶心、呕吐，无腹胀、阴道流血，复查ca-125 55.20U/ml ，胸腹部ct提示：1.卵巢癌术后复查， 腹膜后及肠系膜多发淋巴结显示增大，与2014.4.22对比有所增大、增多；余无明显变化。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "隐痛"
        ],
        "anatomy_list": [
          "右腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "卵巢"
        ]
      },
      {
        "core_name": "增大",
        "tendency": "",
        "character": [
          "增多"
        ],
        "anatomy_list": [
          "腹膜后淋巴结",
          "肠系膜淋巴结"
        ]
      }
    ]
  },
  {
    "id": 505,
    "text": "离院后患儿无发热、咳嗽，无进行性面色苍白，无皮肤瘀斑瘀点及鼻衄、牙龈出血；精神食欲一般，睡眠好；大小便正常。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "面色苍白",
        "tendency": "否定",
        "character": [
          "进行性"
        ],
        "anatomy_list": [
          "面"
        ]
      },
      {
        "core_name": "瘀斑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "瘀点",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮肤"
        ]
      },
      {
        "core_name": "鼻衄",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "鼻"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "牙龈"
        ]
      },
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "一般"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "一般"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "好"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 236,
    "text": "今患者为求进一步治疗来我院门诊，门诊以“糖尿病”收治入院。",
    "event": [
      {
        "core_name": "糖尿病",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 622,
    "text": "后患者上诉症状反复发作，均为每次同房后阴道无痛性流少量鲜红色血液，性质同前，均不伴畏寒、发热、尿频、尿急、尿痛，无白带异常，无血凝块，无外阴瘙痒等不适，患者自觉病情严重，为求进一步治疗遂于2019-03-26于我院门诊就诊，电子阴道镜检查示：宫颈ca？厚的醋酸白上皮，进一步完善病检提示：（宫颈）鳞状细胞癌。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "无痛性",
          "同房后",
          "少量",
          "鲜红色"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "白带",
        "tendency": "否定",
        "character": [
          "异常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血凝块",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "瘙痒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "外阴"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "醋酸白上皮",
        "tendency": "",
        "character": [
          "厚的"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 923,
    "text": "完善腹部ct：双肾、双侧输尿管输尿管积水，双侧输尿管上段管壁增厚。",
    "event": [
      {
        "core_name": "积水",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肾"
        ]
      },
      {
        "core_name": "积水",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双侧输尿管"
        ]
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [
          "管壁"
        ],
        "anatomy_list": [
          "双侧输尿管上段"
        ]
      }
    ]
  },
  {
    "id": 1061,
    "text": "近5日患者未排大便，自觉腹胀，反酸，嗳气加重，来我院门诊以“肠梗阻”收入我科。",
    "event": [
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "未排",
          "近5日"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "梗阻",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肠"
        ]
      }
    ]
  },
  {
    "id": 1325,
    "text": "2019-1-2患者入院复查ct评估提示疾病进展，积极给予胸腔穿刺引流，给于il-2胸腔灌注控制胸水，于2019-1-7、2019-1-28、2019-2-28：贝伐珠单抗300mg1+卡培他滨口服早2片，晚3片d1-14治疗3次，治疗过程顺利，2019-2-26完善胸部+腹部ct：肝肺转移转移灶稍增多，结合患者cea、ca125较前降低，患者呼吸困难等症状较前好转，评估患者病情稳定，可继续按原方案治疗。",
    "event": [
      {
        "core_name": "胸水",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "转移灶",
        "tendency": "",
        "character": [
          "稍增多"
        ],
        "anatomy_list": [
          "肝",
          "肺"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "",
        "character": [
          "较前好转"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1965,
    "text": "患者患病以来精神一般，食欲可，长期睡眠差，大小便正常，近期无明显体重减轻。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "一般"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1430,
    "text": "入院前1年余，患者因血尿外院诊断为“左侧输尿管尿路上皮癌，膀胱高级别乳头状尿路上皮癌”就诊于我院。",
    "event": [
      {
        "core_name": "血尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧输尿管",
          "尿路上皮"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "高级别",
          "乳头状"
        ],
        "anatomy_list": [
          "膀胱",
          "尿路上皮"
        ]
      }
    ]
  },
  {
    "id": 85,
    "text": "术后予以tp（多西他赛+洛铂）化疗+赫赛汀靶向治疗，过程顺利，化疗后产生中度药物骨髓反应及胃肠道反应，予以对症处理。",
    "event": [
      {
        "core_name": "药物骨髓反应",
        "tendency": "",
        "character": [
          "化疗后",
          "中度"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "胃肠道反应",
        "tendency": "",
        "character": [
          "化疗后"
        ],
        "anatomy_list": [
          "胃肠道"
        ]
      }
    ]
  },
  {
    "id": 1725,
    "text": "入院前4+月患儿因“发热、贫血、骨痛”在我院住院治疗，经micm分型诊断为急性前b淋巴细胞淋巴细胞白血病l2型(e2a/pbx1阳性，中危) ，至今已经完成vdlp、cat诱导缓解化疗，第1-4次hd-mtx、间期治疗1-8周第1次静脉化疗。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "贫血",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "骨"
        ]
      },
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "急性",
          "前B淋巴细胞",
          "l2型",
          "e2a/pbx1阳性",
          "中危"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1854,
    "text": "”于我科住院治疗，完善相关检查，诊断为“1.直肠腺癌（pT2n0M0）；2.慢支炎、肺气肿；3.完全性右束支传导阻滞；4.左肾囊肿”，于2016年2月6日在全麻下行腹腔镜下直肠癌根治术（dixon）。",
    "event": [
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "pT2n0M0"
        ],
        "anatomy_list": [
          "直肠"
        ]
      },
      {
        "core_name": "支气管炎",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "支气管"
        ]
      },
      {
        "core_name": "肺气肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "传导阻滞",
        "tendency": "",
        "character": [
          "完全性"
        ],
        "anatomy_list": [
          "右束支"
        ]
      },
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肾"
        ]
      }
    ]
  },
  {
    "id": 725,
    "text": "2012年12月初在我科复查，脑胸部及骨未见明显转移，腹部ct提示直肠癌术后吻合口肠壁稍增厚。",
    "event": [
      {
        "core_name": "转移",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "脑",
          "胸部",
          "骨"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "直肠"
        ]
      },
      {
        "core_name": "增厚",
        "tendency": "",
        "character": [
          "稍"
        ],
        "anatomy_list": [
          "吻合口肠壁"
        ]
      }
    ]
  },
  {
    "id": 515,
    "text": "不伴发热、畏寒、寒战、头昏、头痛、胸闷、心悸、胸痛、反酸、嗳气、恶心、呕吐、腹痛、腹胀、腹泻、黑便。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1644,
    "text": "术后于2016-10-22、2016-11-23、2016-12-15、2017-01-06行ec方案化疗4次，于2017-01-30、2017-02-23、2017-03-17、2017-04-07行th方案化疗4次，从2017-04-28开始至今连续行13次靶向治疗，每次靶向治疗间隔21天左右，过程顺利，患者未诉特殊不适，无畏寒、发热，偶有咳嗽、咳痰，无头晕、头痛，无恶心、呕吐；患者今日为求第14次靶向治疗，遂入我院，门诊以“左乳癌术后第13次靶向治疗后”收入我科住院治疗。",
    "event": [
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "第13次靶向治疗后"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 1798,
    "text": "来我院就诊，诊断为“冠心病？”，建议患者冠脉造影明确诊断，患者及家属表示拒绝，予以改善循环、对症等治疗好转。",
    "event": [
      {
        "core_name": "冠心病",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 1545,
    "text": "结合患者本次复查及病检：考虑直肠癌局部复发及远处转移。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "局部",
          "复发",
          "远处转移"
        ],
        "anatomy_list": [
          "直肠"
        ]
      }
    ]
  },
  {
    "id": 21,
    "text": "化疗期间患者未复查乳腺彩超、胸部影像学及颅脑检查及骨ect,每2周期化疗后均复查腹部彩超,未见肝脏转移等。",
    "event": [
      {
        "core_name": "转移",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肝脏"
        ]
      }
    ]
  },
  {
    "id": 981,
    "text": "经治疗后，患者咳嗽稍好转。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "稍好转"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1528,
    "text": "2020-11-3术后病理（123456）：右肺上叶前段结节黏液腺癌，癌周肺组织部分腺泡腔萎陷、肺泡隔增宽，间质纤维组织增生，肺切缘无癌，支气管切缘切缘无癌；第1111组组淋巴结可见癌转移(1/1)，第10组淋巴结可见癌转移(2/2)，第2.4组淋巴结可见癌转移(5/5)，第3a组淋巴结可见癌转移(3/3)，第1111组组淋巴结未见癌转移（0/5）,第77组组淋巴结未见癌转移（0/14）,第8.9组淋巴结可见癌转移(1/3)；右肺上叶肺组织弥漫出血、肺间质慢性炎，未见癌组织，肺切缘无癌，支气管切缘切缘无癌。",
    "event": [
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "粘液",
          "结节"
        ],
        "anatomy_list": [
          "右肺上叶前段"
        ]
      },
      {
        "core_name": "萎陷",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "癌周肺组织部分腺泡腔"
        ]
      },
      {
        "core_name": "增宽",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺泡隔"
        ]
      },
      {
        "core_name": "增生",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "间质纤维组织"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肺切缘"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "支气管切缘"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "1111组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "2.4组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "3a组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "10组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "1111组组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "第77组淋巴结"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "第8.9组淋巴结"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "弥漫"
        ],
        "anatomy_list": [
          "右肺上叶",
          "肺组织"
        ]
      },
      {
        "core_name": "肺间质炎",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "肺间质"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肺切缘"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "支气管切缘"
        ]
      }
    ]
  },
  {
    "id": 1261,
    "text": "2.双肺气肿。",
    "event": [
      {
        "core_name": "肺气肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肺"
        ]
      }
    ]
  },
  {
    "id": 1810,
    "text": "支气管切缘及肺切缘未见癌累及。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "支气管切缘",
          "肺切缘"
        ]
      }
    ]
  },
  {
    "id": 699,
    "text": "患病以来，精神、食欲及睡眠可，大小便正常，体重下降约2.5Kg。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠质量",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1150,
    "text": "患者自患病以来，精神正常，饮食吞咽困难，流质为主，小大便正常，体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "吞咽困难",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重",
        "tendency": "",
        "character": [
          "无明显变化"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 626,
    "text": "3年前患者上述症状发作后伴活动后喘累。",
    "event": [
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1688,
    "text": "今日患者及家属为求进一步治疗就诊于我院，门诊以“腰椎盘突出症；腰55椎血管瘤”收入我科住院治疗。",
    "event": [
      {
        "core_name": "突出症",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腰椎盘"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "血管"
        ],
        "anatomy_list": [
          "腰5椎"
        ]
      }
    ]
  },
  {
    "id": 1970,
    "text": "拇指伴有针刺感。",
    "event": [
      {
        "core_name": "针刺感",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "拇指"
        ]
      }
    ]
  },
  {
    "id": 1917,
    "text": "在我科行两周期“紫杉醇210mg+奈达铂110mg”化疗后，复查ct(256层)(123456):右侧枕叶结节，考虑转移性肿瘤；左下肺门区占位性病变，考虑肺癌伴左肺下叶阻塞性肺不张；左肺门淋巴结肿大；左侧胸腔积液；右肺上叶局部肺气肿（小叶中心型）；右肺细小结节，尘肺？；右肺上叶及斜裂结节，转移性肿瘤可能；肝脏右叶结节，考虑转移性肿瘤；肝右叶大片低强化区，考虑脂肪变性；右肾占位性病变，考虑转移性肿瘤可能性大；左肾小结石；左侧肾上腺结节，考虑转移性肿瘤。",
    "event": [
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右侧枕叶"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "右侧枕叶"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "占位性"
        ],
        "anatomy_list": [
          "左下肺1区"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "肺不张",
        "tendency": "",
        "character": [
          "阻塞性"
        ],
        "anatomy_list": [
          "左肺下叶"
        ]
      },
      {
        "core_name": "肿大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肺门淋巴结"
        ]
      },
      {
        "core_name": "积液",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧胸腔"
        ]
      },
      {
        "core_name": "肺气肿",
        "tendency": "",
        "character": [
          "小叶中心型",
          "局部"
        ],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "细小"
        ],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "尘肺",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺上叶",
          "右肺上叶斜裂"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "右肺上叶",
          "右肺上叶斜裂"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝脏右叶"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "肝脏右叶"
        ]
      },
      {
        "core_name": "低强化区",
        "tendency": "",
        "character": [
          "大片"
        ],
        "anatomy_list": [
          "肝脏右叶"
        ]
      },
      {
        "core_name": "脂肪变性",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肝脏右叶"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "占位性"
        ],
        "anatomy_list": [
          "右肾"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": [
          "右肾"
        ]
      },
      {
        "core_name": "结石",
        "tendency": "",
        "character": [
          "小"
        ],
        "anatomy_list": [
          "左肾"
        ]
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧肾上腺"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "不确定",
        "character": [
          "转移性"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1684,
    "text": "于2014年7月19日行第1次化疗，方案：奥沙利铂+雷替曲塞,化疗期间无发热咳嗽，无恶心、呕吐，无腹痛腹泻等不适。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "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": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 243,
    "text": "再次就诊于肛肠外科，行肛门指检（2016-06-22）未发现明显异常，复查盆腔ct（我院，2016-06-22）提示：盆腔未见明显异常。",
    "event": [
      {
        "core_name": "异常",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "异常",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "盆腔"
        ]
      }
    ]
  },
  {
    "id": 503,
    "text": "患者自起病以来，精神略差，胃纳较差，大便如常，小便如常，近2月体重下降6kg。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "略差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃纳",
        "tendency": "",
        "character": [
          "较差"
        ],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1563,
    "text": "自发现以来，包块无明显增大，无咳嗽，气急，无全身黄染，无乳头流脓，溢液，无红肿，皮肤无橘皮样改变等。院外未行特殊诊治。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "否定",
        "character": [
          "明显增大"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黄染",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "全身"
        ]
      },
      {
        "core_name": "流脓",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "溢液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "红肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "改变",
        "tendency": "否定",
        "character": [
          "橘皮样"
        ],
        "anatomy_list": [
          "皮肤"
        ]
      }
    ]
  },
  {
    "id": 2017,
    "text": "术后病检回示：病理号2123456:\"直、乙交界\"中分化腺癌，侵及深肌层；两切端未见癌累及；脂肪组织中未发现明显肿大淋巴结。",
    "event": [
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "中分化"
        ],
        "anatomy_list": [
          "直、乙交界"
        ]
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "侵及"
        ],
        "anatomy_list": [
          "深肌层"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "累及"
        ],
        "anatomy_list": [
          "两切端"
        ]
      },
      {
        "core_name": "肿大",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "脂肪组织淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1153,
    "text": "入院前4小时，患者无明显诱因突发意识丧失、呼之不应，伴面色苍白、口唇发绀，双目向上凝视、牙关紧闭、口吐白沫、四肢抽搐、小便失禁，持续约5分5分钟后肢体抽搐渐停止，持续约20分20分钟后患者意识逐渐恢复，醒后不能回忆发作时情况，伴头痛，以额部胀痛为主，伴头昏、视物模糊，无视物旋转，无恶心、呕吐，无耳鸣、听力下降，无心慌、心累、心前区不适，无肢体活动障碍。",
    "event": [
      {
        "core_name": "意识丧失",
        "tendency": "",
        "character": [
          "突发"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呼之不应",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "面色苍白",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "面"
        ]
      },
      {
        "core_name": "发绀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "口唇"
        ]
      },
      {
        "core_name": "凝视",
        "tendency": "",
        "character": [
          "向上"
        ],
        "anatomy_list": [
          "双目"
        ]
      },
      {
        "core_name": "牙关紧闭",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "牙"
        ]
      },
      {
        "core_name": "口吐白沫",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "口"
        ]
      },
      {
        "core_name": "抽搐",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "四肢"
        ]
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "失禁"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "抽搐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      },
      {
        "core_name": "意识恢复",
        "tendency": "",
        "character": [
          "醒后不能回忆发作时情况"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "胀痛为主"
        ],
        "anatomy_list": [
          "头",
          "额部"
        ]
      },
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "视物模糊",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "视物旋转",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "听力下降",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "心前区不适",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "心累",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "活动障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      }
    ]
  },
  {
    "id": 1134,
    "text": "3、双肾多发囊肿。",
    "event": [
      {
        "core_name": "囊肿",
        "tendency": "",
        "character": [
          "多发"
        ],
        "anatomy_list": [
          "双肾"
        ]
      }
    ]
  },
  {
    "id": 1859,
    "text": "现患者无恶心、呕吐、腹痛、腹胀、便血等表现，遵医嘱于今日至我院行直肠癌术后第一次化疗。",
    "event": [
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后第一次化"
        ],
        "anatomy_list": [
          "直肠"
        ]
      }
    ]
  },
  {
    "id": 881,
    "text": "发现血糖升高4月，现予以瑞格列奈1mg降糖治疗，监测血糖波动在：9.5-13mm13mmol/l之间。",
    "event": [
      {
        "core_name": "血糖",
        "tendency": "",
        "character": [
          "升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "血糖",
        "tendency": "",
        "character": [
          "波动"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 820,
    "text": "入院前4个月，患者因“胃癌”，在某医院行“胃癌根治术”（具体术式及术中情况不详），术后诊断为胃贲门贲门中低分化腺癌 t4n3M，术后恢复好。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃"
        ]
      },
      {
        "core_name": "腺癌",
        "tendency": "",
        "character": [
          "中低分化",
          "t4n3M"
        ],
        "anatomy_list": [
          "胃贲门"
        ]
      }
    ]
  },
  {
    "id": 1823,
    "text": "遂于某医院完善相关检查诊断：宫颈鳞癌iiib期，因无手术指征，2017年6月8日行体外照射（具体不详），放疗后患者阴道流血停止，放疗后行5周期化疗（具体化疗方案及剂量不详），化疗期间无明显化疗副反应，化疗后出现骨髓抑制（具体不详），予以“重组人粒细胞刺激因子”治疗后骨髓抑制好转。",
    "event": [
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "iiib期"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "停止",
          "放疗后"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "",
        "character": [
          "化疗后"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "",
        "character": [
          "治疗后好转"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "副反应",
        "tendency": "否定",
        "character": [
          "化疗期间"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1576,
    "text": "患者自发病以来，精神可，食欲可，睡眠可，大便2-3次/日，小便如常，体重无明显变化。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "睡眠",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "2-3次/日"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "如常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1346,
    "text": "2+月前患者患者无明显诱因出现全身皮肤及巩膜黄染，伴发热，最高高体温38.5℃，伴小便深黄，量尚可，大便颜色正常，全身皮肤瘙痒，伴有纳差、乏力、闷油，无明显腹痛、腹胀，无恶心、呕吐，无呕血、黑便，患者于某医院就诊，予以输注“多烯磷脂酰胆碱+谷胱甘肽”保肝治疗后无明显好转，其后于我院就诊，入院后完善ct考虑诊断为：胆管癌术后复发。",
    "event": [
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "巩膜"
        ]
      },
      {
        "core_name": "黄染",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "全身皮肤"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "深黄"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "颜色正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "瘙痒",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "全身皮肤"
        ]
      },
      {
        "core_name": "纳差",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "闷油",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "术后",
          "复发"
        ],
        "anatomy_list": [
          "胆管"
        ]
      }
    ]
  },
  {
    "id": 639,
    "text": "术后予以予以禁食水、补液、抗感染等对症支持治疗，术后第1010天，期间患者反复发热，最高高体温40摄氏度，患者血培养提示格兰阳性球菌感染，血象提示感染征象高。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体温",
        "tendency": "",
        "character": [
          "升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "感染",
        "tendency": "",
        "character": [
          "格兰阳性球菌"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "感染",
        "tendency": "",
        "character": [
          "征象高"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1649,
    "text": "无寒战高热，无心慌胸闷，无呼吸困难，无四肢乏力。",
    "event": [
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [
          "高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "四肢"
        ]
      }
    ]
  },
  {
    "id": 1948,
    "text": "确诊为多发性骨髓瘤（igg/lambda）型，分别于2016-3-22、2016-04-26、2016-5-24、2016-6-22以vadt方案联合化疗，过程顺利，现患者为巩固化疗入院。",
    "event": [
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "多发性",
          "（igg/lambda）型"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 1552,
    "text": "后患者感上述包块进行性长大，遂于2014年8月到我院门诊就诊，行左颈淋巴结穿刺提示\"符合淋巴结转移鳞癌\"。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [
          "进行性长大"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "淋巴结"
        ]
      }
    ]
  },
  {
    "id": 2043,
    "text": "患者白血病复发，建议上级医院就诊，患者家属拒绝上级医院就诊，患者左侧胸壁包块及阴茎部位赘生物，破溃，建议穿刺活检，患者家属拒绝，患者发热伴干咳，胸痛，最高高体温40℃，考虑肺部感染，口腔涂片：涂片找g菌查见;涂片找真菌查见;痰中找霉菌查见;g+球菌查见.",
    "event": [
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "复发"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧胸壁"
        ]
      },
      {
        "core_name": "赘生物",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "阴茎"
        ]
      },
      {
        "core_name": "破溃",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "干"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "体温",
        "tendency": "",
        "character": [
          "升高"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "感染",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肺部"
        ]
      }
    ]
  },
  {
    "id": 1637,
    "text": "肠镜示：盲肠息肉。",
    "event": [
      {
        "core_name": "息肉",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "盲肠"
        ]
      }
    ]
  },
  {
    "id": 405,
    "text": "患者遂转诊我院肛肠科，行乙状结肠镜见直肠下段半环状包块，3*2.5cm大小，表面凹凸不平，糜烂出血，质硬，边界不清。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [
          "环状",
          "表面凹凸不平",
          "糜烂出血",
          "质硬",
          "边界不清"
        ],
        "anatomy_list": [
          "直肠下段"
        ]
      }
    ]
  },
  {
    "id": 80,
    "text": "遂于我院急诊就诊，行双乳彩超提示：1.左乳腺低回声肿块伴钙化；2.左侧腋窝淋巴结显影。",
    "event": [
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [
          "低回声"
        ],
        "anatomy_list": [
          "左乳腺"
        ]
      },
      {
        "core_name": "钙化",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左乳腺"
        ]
      },
      {
        "core_name": "显影",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1336,
    "text": "患者1天前出现纳差不适，食欲下降2/3，无恶心、呕吐，无反酸、嗳气，无乏力，无腹痛、腹胀、腹泻，无尿频、尿急、尿痛，无黑便、便血，无肛门停止排便排气，伴咳嗽、咳痰，白色泡沫痰，无呼吸困难、喘累不适，今日至我院门诊完善腹部彩超提示：胆囊结石，为行进一步检查及治疗入院，以“消化不良、胆囊结石”收住院。",
    "event": [
      {
        "core_name": "纳差",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "下降"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "便血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "排便",
        "tendency": "否定",
        "character": [
          "停止"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "排气",
        "tendency": "否定",
        "character": [
          "停止"
        ],
        "anatomy_list": [
          "肛门"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "喘累不适",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      },
      {
        "core_name": "消化不良",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胆囊"
        ]
      }
    ]
  },
  {
    "id": 951,
    "text": "入院前3天患者无明显出现黑便不适，为黑色不成形大便，量约80g，仍有嗳气、上腹胀不适，不伴有头晕、心悸、出冷汗等不适。",
    "event": [
      {
        "core_name": "黑便",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "黑色",
          "不成形"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "出冷汗",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 576,
    "text": "今为进一步诊治到我院门诊诊治，门诊以“卵巢癌术后第二次化疗” 收入我科住院治疗。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "第二次化疗"
        ],
        "anatomy_list": [
          "卵巢"
        ]
      }
    ]
  },
  {
    "id": 1627,
    "text": "今患者为进一步治疗于我院就诊，门诊以“宫颈恶性肿瘤”收入我科。",
    "event": [
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 838,
    "text": "腋窝淋巴结未见癌转移（0/16）。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "否定",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "腋窝淋巴结"
        ]
      }
    ]
  },
  {
    "id": 588,
    "text": "患者入院前5+年，无明显诱因出现进食后梗咽感，进食固体食物及半流质食物明显，无恶心、呕吐、反酸，不伴呕血、黑便。",
    "event": [
      {
        "core_name": "哽噎感",
        "tendency": "",
        "character": [
          "进食后",
          "进食固体食物明显",
          "进食半流质食物明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "反酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 594,
    "text": "胸腹部ct：1、胃贲门癌：较2018-2-5片比较，贲门处软组织影较前无明显变化。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃贲门"
        ]
      },
      {
        "core_name": "软组织影",
        "tendency": "",
        "character": [
          "较前无明显变化"
        ],
        "anatomy_list": [
          "贲门"
        ]
      }
    ]
  },
  {
    "id": 517,
    "text": "2天前患者感左侧腹痛，咳嗽时明显。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "咳嗽时明显"
        ],
        "anatomy_list": [
          "左侧腹"
        ]
      }
    ]
  },
  {
    "id": 603,
    "text": "肺动脉瓣关闭不全（轻度）。",
    "event": [
      {
        "core_name": "关闭不全",
        "tendency": "",
        "character": [
          "轻度"
        ],
        "anatomy_list": [
          "肺动脉瓣"
        ]
      }
    ]
  },
  {
    "id": 896,
    "text": "入院前1+年患者无明显诱因出现双下肢水肿，伴颜面浮肿，伴泡沫尿及尿量减少，无恶心、呕吐，无胸闷、气促，无腹痛、腹泻，患者诉自服药物后无效，遂在我院住院检查：尿微量白蛋白定量 >3000mg/L，总胆固醇 6.36mmol/l、肌酐 118.8 μmol/l、白蛋白 28.5g/l,诊断肾病综合征，予以利尿、抗凝、纠正蛋白等治疗，建议患者到上级医院行肾脏穿刺但患者拒绝。",
    "event": [
      {
        "core_name": "水肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "浮肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "颜面"
        ]
      },
      {
        "core_name": "泡沫尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "量减少"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "气促",
        "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": [
          "腹"
        ]
      },
      {
        "core_name": "肾病综合征",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肾"
        ]
      }
    ]
  },
  {
    "id": 1918,
    "text": "疗效评价pr，经医疗组内讨论后行第三周期tp方案化疗，化疗期间患者未诉特殊不适，患者好转出院，出院后反复发热、咳嗽、咳痰，今日患者诉行走时伴头晕、心累，无胸闷、胸痛，无腹痛、腹泻等，随来我院就诊，我科以“肺癌”收入治疗。",
    "event": [
      {
        "core_name": "发热",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "行走时"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "行走时"
        ],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 1142,
    "text": "5月27日再次出现阴道流血，量少，无下腹及腰骶部疼痛疼痛不适，无发热、无头晕、晕厥、乏力，无尿频尿急、无尿痛，无腹泻，遂于某医院就诊，诊刮病检提示：子宫颈管恶性肿瘤；子宫腔恶性肿瘤，建议行免疫组化检查，明确病变性质及组织类型。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "量少"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "下腹",
          "腰骶部"
        ]
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "晕厥",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "子宫颈管"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "子宫腔"
        ]
      }
    ]
  },
  {
    "id": 899,
    "text": "入院前1+周患者感双下肢水肿加重，伴咳嗽喘累明显，夜间不能平卧，伴咳嗽咳痰，痰呈白色粘痰，否认有痰中带血，伴呼吸困难气促，否认意识障碍、大小便失禁、视物旋转、胸闷、胸痛、恶心、呕吐、腹胀、腹痛、黑便等不适，来院复诊透析，门诊以“尿毒症、肺癌”收入我科住院治疗。",
    "event": [
      {
        "core_name": "水肿",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "明显",
          "夜间",
          "夜间不能平卧"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "明显",
          "夜间",
          "夜间不能平卧"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "白色",
          "粘性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [
          "带血"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "气促",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "意识障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "大小便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "视物旋转",
        "tendency": "否定",
        "character": [
          "旋转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿毒症",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肺"
        ]
      }
    ]
  },
  {
    "id": 883,
    "text": "于2020-03就诊于某医学检查中心，完善腹部彩超提示肝内占位性病变，进一步完善上腹部ct提示肝内多发占位性病变，并考虑腹腔内淋巴结转移及肺内多发转移（具体报告未见）。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "占位性"
        ],
        "anatomy_list": [
          "肝内"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "多发",
          "占位性"
        ],
        "anatomy_list": [
          "肝内"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "腹腔内淋巴结"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [
          "多发"
        ],
        "anatomy_list": [
          "肺内"
        ]
      }
    ]
  },
  {
    "id": 1079,
    "text": "今入我院就诊，门诊以“痛风”收治入院。",
    "event": [
      {
        "core_name": "痛风",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 677,
    "text": "2.右肺中叶及下叶炎症，建议治疗后短期复查”予以比阿培南、他唑仙抗感染，2017-1-15复查胸部ct示“1.双肺气肿；右肺中叶及下叶炎症，与（2017.1.5）ct平扫相比右下叶下叶炎症较前稍增加；其余改变同前，建议抗炎后短期复查”。",
    "event": [
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺中叶及下叶"
        ]
      },
      {
        "core_name": "肺气肿",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "双肺"
        ]
      },
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺中叶及下叶"
        ]
      },
      {
        "core_name": "炎症",
        "tendency": "",
        "character": [
          "较前稍增加"
        ],
        "anatomy_list": [
          "右肺中叶及下叶"
        ]
      }
    ]
  },
  {
    "id": 78,
    "text": "入院前10月余，患者无明显诱因出现左乳疼痛，疼痛较剧，无法忍受。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "较剧",
          "无法忍受"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 931,
    "text": "期间患者仍反复出现皮肤瘙痒症状。",
    "event": [
      {
        "core_name": "皮肤瘙痒",
        "tendency": "",
        "character": [
          "反复出现"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1128,
    "text": "化疗后肿瘤标志物较前下降，遂于2015-06-15予以紫杉醇脂质体180mg ivgtt d1+奈达铂40mg d1－2化疗，2015-07-13入院复查提示病情稳定，于2015-07-21采用原方案行第3周期化疗，化疗后出现轻度胃肠道反应，后好转出院，院外一般情况可，进食可，现为行下一周期化疗，门诊以“卵巢癌”收住我科。",
    "event": [
      {
        "core_name": "肿瘤标志物",
        "tendency": "",
        "character": [
          "较前下降"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胃肠道反应",
        "tendency": "",
        "character": [
          "轻度"
        ],
        "anatomy_list": [
          "胃肠道"
        ]
      },
      {
        "core_name": "进食",
        "tendency": "",
        "character": [
          "可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "卵巢"
        ]
      }
    ]
  },
  {
    "id": 756,
    "text": "4.部分胸椎内高密度影请随访复查。",
    "event": [
      {
        "core_name": "密度影",
        "tendency": "",
        "character": [
          "高"
        ],
        "anatomy_list": [
          "部分胸椎内"
        ]
      }
    ]
  },
  {
    "id": 1111,
    "text": "今日患者拟行化疗来院，遂以“右肺癌术后化疗后复发复发伴颈部淋巴结转移放疗后”收入我科。",
    "event": [
      {
        "core_name": "复发",
        "tendency": "",
        "character": [
          "术后",
          "化疗后"
        ],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "",
        "character": [
          "放疗后"
        ],
        "anatomy_list": [
          "颈部",
          "淋巴结"
        ]
      }
    ]
  },
  {
    "id": 1181,
    "text": "2018年5月25日某医院血常规提示：白细胞总数163.41×109/l，红细胞计数4.74×1012/l，血红蛋白128g/L，血小板262×109/l；骨穿提示：慢性髓细胞白血病（慢性期）；患者继续予以伊马替尼400mg维持治疗，血常规提示白细胞长长期处于升高状态。",
    "event": [
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "慢性",
          "髓细胞",
          "慢性期"
        ],
        "anatomy_list": [
          "髓细胞"
        ]
      },
      {
        "core_name": "白细胞升高",
        "tendency": "",
        "character": [
          "长期"
        ],
        "anatomy_list": [
          "白细胞"
        ]
      }
    ]
  },
  {
    "id": 462,
    "text": "4.双手小关节、双侧膝关节良性病变较前无明显变化。",
    "event": [
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "良性",
          "较前无明显变化"
        ],
        "anatomy_list": [
          "双手小关节",
          "双侧膝关节"
        ]
      }
    ]
  },
  {
    "id": 247,
    "text": "后患者于洗澡时摸到右下腹包块，遂就诊于某医院，行腹部增强ct示：肝内多发团块状高密度影，最大者直径约12cm，增强扫描动脉期呈不均匀明显强化，考虑为肝癌并肝内转移可能性大。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右下腹"
        ]
      },
      {
        "core_name": "密度影",
        "tendency": "",
        "character": [
          "高",
          "多发",
          "团块状",
          "最大者直径约12cm"
        ],
        "anatomy_list": [
          "肝内"
        ]
      },
      {
        "core_name": "强化",
        "tendency": "",
        "character": [
          "增强扫描",
          "动脉期呈不均匀",
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肝"
        ]
      },
      {
        "core_name": "转移",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "肝内"
        ]
      }
    ]
  },
  {
    "id": 930,
    "text": "入院前7年，患者无明显诱因出现皮肤瘙痒，主要表现在双手前臂尺侧及下腹部，搔抓后可呈风团样，每次服用“湿毒清胶囊“10余天后可明显缓解，缓解后可留有色素沉着，患者未重视，未进行正规治疗。",
    "event": [
      {
        "core_name": "瘙痒",
        "tendency": "",
        "character": [
          "搔抓后可呈风团样"
        ],
        "anatomy_list": [
          "双前臂尺侧皮肤"
        ]
      },
      {
        "core_name": "瘙痒",
        "tendency": "",
        "character": [
          "搔抓后可呈风团样"
        ],
        "anatomy_list": [
          "下腹部皮肤"
        ]
      },
      {
        "core_name": "色素沉着",
        "tendency": "",
        "character": [
          "缓解后"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 966,
    "text": "20天前患者因胸痛加重，行pet- ct提示右胸膜转移转移灶，遂到某医院就诊，于2016-4-26至2016-5-10行伽马刀治疗，治疗右肺右胸膜病灶，以50%等剂量曲线包绕，边缘单次剂量400cgy，总剂量4000cgy，过程顺利，未诉不适。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "加重"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "转移灶",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右胸膜"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺胸膜"
        ]
      }
    ]
  },
  {
    "id": 1326,
    "text": "与患者及家属沟通后于2019-4-23至今更换方案为哌柏西利125mg*21d+氟维司群500mg30d,患者于3天前出现头晕伴呕吐，不伴发热寒战等不适，现患者为行进一步治疗，故来我科。",
    "event": [
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1773,
    "text": "乳头未见累及，腋窝淋巴结见癌转移（4/11），免疫组化：er(-),pr(-)，her-2(+),ki676730%，术后予tec方案化疗，化疗后无不良反应，今患者为行第2次化疗入我科住院治疗，门诊以“左乳癌术后，第1次化疗后”。",
    "event": [
      {
        "core_name": "累及",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "腋窝淋巴结"
        ]
      },
      {
        "core_name": "不良反应",
        "tendency": "否定",
        "character": [
          "化疗后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后",
          "第1次化疗后"
        ],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 1058,
    "text": "到某医院查：“胃镜：慢性胃窦炎，腹部ct：未见明显异常”，予“雷贝拉唑、莫沙必利”等治疗后可好转，但症状反复。",
    "event": [
      {
        "core_name": "胃窦炎",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "胃窦"
        ]
      }
    ]
  },
  {
    "id": 1465,
    "text": "诊断为“冠状动脉粥样硬化性心脏病”，术后规律冠心病二级预防治疗（阿托伐他汀钙片、硫酸氢氯吡格雷），于3天前因“咯血”停用硫酸氢氯吡格雷，病灶中偶有心前区不适及间断双下肢水肿。",
    "event": [
      {
        "core_name": "心脏病",
        "tendency": "",
        "character": [
          "粥样",
          "硬化性"
        ],
        "anatomy_list": [
          "冠状动脉",
          "心脏"
        ]
      },
      {
        "core_name": "咯血",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心前区不适",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "水肿",
        "tendency": "",
        "character": [
          "间断"
        ],
        "anatomy_list": [
          "双下肢"
        ]
      }
    ]
  },
  {
    "id": 96,
    "text": "病程中伴有头晕、乏力症状，无头痛、腹痛及腹胀等。",
    "event": [
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 215,
    "text": "随后于我科住院，完善腹部彩超（2020-3-31）：左肾结石；右肾结晶沉着。",
    "event": [
      {
        "core_name": "结石",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肾"
        ]
      },
      {
        "core_name": "结晶",
        "tendency": "",
        "character": [
          "沉着"
        ],
        "anatomy_list": [
          "右肾"
        ]
      }
    ]
  },
  {
    "id": 9,
    "text": "近半年来患者反复感咳嗽气喘,长期在我院及某医院就诊,患者逐渐有心累并下肢浮肿,间断服用利尿剂。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "气喘",
        "tendency": "",
        "character": [
          "反复"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "浮肿",
        "tendency": "",
        "character": [
          "逐渐"
        ],
        "anatomy_list": [
          "下肢"
        ]
      },
      {
        "core_name": "心累",
        "tendency": "",
        "character": [
          "逐渐"
        ],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 309,
    "text": "术后予以抗感染、祛痰、雾化等对症支持治疗，拔除胸引管后出院，患者现诉无咳嗽咳痰、胸痛胸闷气促、头痛头晕、骨痛、心慌等不适，今患者为行化疗就诊于我院门诊，并以“右肺恶性肿瘤术后”收入我科。",
    "event": [
      {
        "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": [
          "胸"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "气促",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "骨"
        ]
      },
      {
        "core_name": "心慌",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "肿瘤",
        "tendency": "",
        "character": [
          "术后",
          "恶性"
        ],
        "anatomy_list": [
          "右肺"
        ]
      }
    ]
  },
  {
    "id": 940,
    "text": "2019-6-6于我院复查胸腹部ct示：1、胸部与2018-11-6片比较：右肺上叶病灶略有增大，周围肺叶更明显。",
    "event": [
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [
          "略有增大"
        ],
        "anatomy_list": [
          "右肺上叶"
        ]
      },
      {
        "core_name": "病灶",
        "tendency": "",
        "character": [
          "更明显"
        ],
        "anatomy_list": [
          "周围肺叶"
        ]
      }
    ]
  },
  {
    "id": 147,
    "text": "今患者为求进一步治疗，遂至我院，门诊以“左侧输尿管支架置入术后，泌尿系结核，糖尿病”收入我科住院治疗。",
    "event": [
      {
        "core_name": "结核",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "泌尿系"
        ]
      },
      {
        "core_name": "糖尿病",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 548,
    "text": "院外患者仍咳嗽、咳痰，伴右侧胸闷，伴乏力、活动后喘累，自服止咳药物后症状无明显缓解，遂入住我科，行ect（2014-10-29）未见明显骨转移，与患者家属沟通后，同意化疗，遂于2014-11-05、2014-11-29、2014-12-24、2015-01-21行“奈达铂100mg d1+吉西他滨1200mg d1、8”方案化疗4周期，化疗后，患者自觉咳嗽、胸闷、活动后喘累明显好转，于2015-01-09复查胸部增强ct提示右肺占位较化疗前明显缩小，于2015-02-07我院门诊复查血常规提示：白细胞 1.85×109/l，中性粒细胞 0.94×109/l，血小板 34×109/l。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "右侧"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "活动后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "转移",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "骨组织"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "明显好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "",
        "character": [
          "明显好转"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "喘累",
        "tendency": "",
        "character": [
          "活动后",
          "明显好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "占位",
        "tendency": "",
        "character": [
          "明显",
          "缩小",
          "较化疗前"
        ],
        "anatomy_list": [
          "右肺"
        ]
      }
    ]
  },
  {
    "id": 2060,
    "text": "患者本次发病以来，食欲正常,神志清醒，精神尚可，睡眠尚可，大便正常，小便正常，体重无明显变化。",
    "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 701,
    "text": "7天前，患者感上腹胀程度较前加重，遂就诊于当地某诊所，给予输液治疗（具体不详），症状无好转，患者为求进一步诊治，就诊于我院，门诊以“上腹胀待查”收入我科住院治疗。",
    "event": [
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [
          "较前加重"
        ],
        "anatomy_list": [
          "上腹"
        ]
      },
      {
        "core_name": "腹胀",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "上腹"
        ]
      }
    ]
  },
  {
    "id": 1068,
    "text": "遂于某医院就诊，行浅表淋巴结彩超示：左侧腹股沟腹股沟区淋巴结淋巴结增大，行左侧腹股沟淋巴结腹股沟淋巴结活检示：（左侧腹股沟）淋巴结 弥漫大b细胞淋巴瘤。",
    "event": [
      {
        "core_name": "增大",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧腹股沟区淋巴结"
        ]
      },
      {
        "core_name": "瘤",
        "tendency": "",
        "character": [
          "弥漫"
        ],
        "anatomy_list": [
          "左侧腹股沟淋巴结",
          "大B细胞"
        ]
      }
    ]
  },
  {
    "id": 532,
    "text": "患者20余年前无明显诱因出现口干、多饮、多尿，每日饮食量及尿量不详，伴夜尿增多，至某医院测血糖12.7mmol/L，给予口服药治疗（具体方案不详），未规律监测血糖。",
    "event": [
      {
        "core_name": "口干",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "口"
        ]
      },
      {
        "core_name": "多饮",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "多尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "饮食量",
        "tendency": "",
        "character": [
          "每日",
          "不详"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "尿量",
        "tendency": "",
        "character": [
          "每日",
          "不详"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "排尿",
        "tendency": "",
        "character": [
          "夜间",
          "增多"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 326,
    "text": "现患者为求进一步诊治遂入我院，门诊以“左乳包块待查”收入我科。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "左乳"
        ]
      }
    ]
  },
  {
    "id": 1980,
    "text": "患者本次发病以来，食欲正常， 神志清醒，精神尚可，睡眠尚可，大便正常，小便正常，近7月体重减轻约5kg。",
    "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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重减轻",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1299,
    "text": "患者无声嘶、呼吸困难，无畏寒、发热，无恶心、呕吐，无心悸、食欲亢进、大汗淋漓等不适，3天前于我院门诊就诊，完善彩超提示：（2018-06-15）甲状腺双侧低回声结节，建议穿刺活检；今患者为进一步治疗，遂来我院就诊，门诊以“双侧甲状腺甲状腺包块待查？”收入我科住院治疗。",
    "event": [
      {
        "core_name": "声嘶",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心悸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      },
      {
        "core_name": "食欲",
        "tendency": "否定",
        "character": [
          "亢进"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "出汗",
        "tendency": "否定",
        "character": [
          "大汗"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "结节",
        "tendency": "",
        "character": [
          "低回声"
        ],
        "anatomy_list": [
          "甲状腺双侧"
        ]
      },
      {
        "core_name": "包块",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": [
          "双侧甲状腺"
        ]
      }
    ]
  },
  {
    "id": 258,
    "text": "腹部不适与进食、活动、体位无明显关系，无肩背部放射痛。",
    "event": [
      {
        "core_name": "腹部不适",
        "tendency": "",
        "character": [
          "与进食、活动、体位无明显关系"
        ],
        "anatomy_list": [
          "腹部"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "放射性"
        ],
        "anatomy_list": [
          "肩",
          "背部"
        ]
      }
    ]
  },
  {
    "id": 706,
    "text": "今患者为求进一步治疗，来我院，门诊以“心律失常”收入我科。",
    "event": [
      {
        "core_name": "心律失常",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "心"
        ]
      }
    ]
  },
  {
    "id": 765,
    "text": "基因检测（胸水）：egfr基因为T790M和19-del突变，b-raf基因、met基因、ros1基因、alk基因均为阴性。",
    "event": [
      {
        "core_name": "胸水",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      }
    ]
  },
  {
    "id": 1730,
    "text": "为进一步明确诊治血象改变原因遂就诊血液科，查心电图正常，骨髓“增生性贫血骨髓象”，骨髓活检未见异常，诊断“骨髓增生异常综合征（ms-rcmd）”，给予“利可君、维生素b6、维生素b4、生血宝合剂、骨化三醇、复方皂凡丸、胸腺肽”等药物治疗，血小板曾恢复正常，血色素有所提升。",
    "event": [
      {
        "core_name": "血象",
        "tendency": "不确定",
        "character": [
          "改变"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "骨髓象",
        "tendency": "",
        "character": [
          "增生性",
          "贫血"
        ],
        "anatomy_list": [
          "骨髓"
        ]
      },
      {
        "core_name": "骨髓增生异常综合征",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 1967,
    "text": "无呕血、粘液脓血便。",
    "event": [
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "否定",
        "character": [
          "粘液",
          "血",
          "脓"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1380,
    "text": "2.右肺中叶内侧段、下叶背段、左肺上叶尖后段、下叶后基底段纤维化灶。",
    "event": [
      {
        "core_name": "纤维化灶",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺中叶内侧段、下叶背段",
          "左肺上叶尖后段、下叶后基底段"
        ]
      }
    ]
  },
  {
    "id": 1952,
    "text": "、给予患者曲普瑞林3.75mg每月1次+比卡鲁胺50mg内分泌治疗、唑来膦酸抑制骨破坏以及多西他赛化疗，治疗后患者夜尿增多症状明显好转，今为求第三周期化疗于我院就诊，门诊以\"前列腺癌伴骨转移\"收住入院.",
    "event": [
      {
        "core_name": "夜尿增多",
        "tendency": "",
        "character": [
          "治疗后",
          "明显好转"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "前列腺"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "转移"
        ],
        "anatomy_list": [
          "骨"
        ]
      }
    ]
  },
  {
    "id": 1525,
    "text": "病程中患者精神、饮食稍差，大便干燥，小便口服利尿剂尚可，体重无明显下降。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "饮食",
        "tendency": "",
        "character": [
          "稍差"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "干燥"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "口服利尿剂尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重下降",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1360,
    "text": "遂于2016-08-26在某卫生院完善胸部ct：1.左肺类圆形软组织密度影，建议进一步确诊；2.慢支改变；3.左侧胸膜肥厚伴钙化。",
    "event": [
      {
        "core_name": "密度影",
        "tendency": "不确定",
        "character": [
          "类圆形",
          "软组织"
        ],
        "anatomy_list": [
          "左肺"
        ]
      },
      {
        "core_name": "支气管炎",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "支气管"
        ]
      },
      {
        "core_name": "钙化",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧胸膜"
        ]
      },
      {
        "core_name": "肥厚",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左侧胸膜"
        ]
      }
    ]
  },
  {
    "id": 722,
    "text": "术后恢复可，遂行第1周期化疗（奥沙利铂150mg d1）,化疗中出现严重消化道反应，无骨髓抑制，经对症处理后好转。",
    "event": [
      {
        "core_name": "消化道反应",
        "tendency": "",
        "character": [
          "严重"
        ],
        "anatomy_list": [
          "消化道"
        ]
      },
      {
        "core_name": "骨髓抑制",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "骨髓"
        ]
      }
    ]
  },
  {
    "id": 511,
    "text": "术后患者诉进食梗阻感较术前好转，无特殊不适。",
    "event": [
      {
        "core_name": "梗阻感",
        "tendency": "",
        "character": [
          "进食",
          "较术前好转"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 506,
    "text": "入院 2+月 前，不明原因出现进食干性食物时吞咽梗阻，常在进食过多、过快时发生，进食半流质及流质食物无梗阻，无胸骨后疼痛，无饮水呛咳、烧心、泛酸、嗳气，无胸闷及心前区压榨感，未予重视及诊治。",
    "event": [
      {
        "core_name": "吞咽梗阻",
        "tendency": "",
        "character": [
          "进食干性食物时",
          "进食过多、过快时发生"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "梗阻",
        "tendency": "否定",
        "character": [
          "进食半流质及流质食物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸骨后"
        ]
      },
      {
        "core_name": "呛咳",
        "tendency": "否定",
        "character": [
          "饮水"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "烧心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "泛酸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "嗳气",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "压榨感",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "心前区"
        ]
      }
    ]
  },
  {
    "id": 262,
    "text": "门诊以“胃溃疡”收入我科。",
    "event": [
      {
        "core_name": "溃疡",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胃"
        ]
      }
    ]
  },
  {
    "id": 562,
    "text": "今为求进一步诊治来我院，门诊以“腹痛待查”收治入院。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      }
    ]
  },
  {
    "id": 1370,
    "text": "入院前1+月，患者单位体检时查血常规提示白细胞升高（不详），无畏寒、发热，无头昏、乏力，无耳鸣，无视力障碍，无鼻塞、流涕，无头痛、呕吐及意识障碍，无咽痛、咳嗽、咳痰，无皮下瘀斑、瘀点，无牙龈出血，无关节疼痛，无呕血、黑便、便血，无腹痛、腹泻，无肛周疼痛，无尿频、尿急、尿痛及肉眼血尿等，在某医院查骨髓涂片、骨髓活检、流式检测等检查后诊断为慢性粒细胞白血病（未见报告），院外口服羟基脲2片、bid治疗，患者今日为求进一步诊治来院，我科以“慢性粒细胞白细胞”收住入院。",
    "event": [
      {
        "core_name": "白细胞升高",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "白细胞"
        ]
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "乏力",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "视力障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "鼻塞",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "鼻"
        ]
      },
      {
        "core_name": "流涕",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "意识障碍",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "咽"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "瘀斑",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮下"
        ]
      },
      {
        "core_name": "瘀点",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "皮下"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "牙龈"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "关节"
        ]
      },
      {
        "core_name": "呕血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "黑便",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "便血",
        "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": [
          "腹"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "肛周"
        ]
      },
      {
        "core_name": "尿频",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿急",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "尿痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "血尿",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "白血病",
        "tendency": "",
        "character": [
          "慢性"
        ],
        "anatomy_list": [
          "粒细胞"
        ]
      }
    ]
  },
  {
    "id": 1715,
    "text": "入院前5天，患者无意中发现左侧乳房乳房包块，包块如“豌豆”大小，无明显疼痛感，无乳头溢脓、渗液、出血，无乳房表面皮肤发红、皲裂、皱褶，遂来我院就诊，查乳腺彩超提示：左乳腺异常回声，bi-rads4b类，为求进一步诊治，门诊以“乳房肿块”收入我科。",
    "event": [
      {
        "core_name": "包块",
        "tendency": "",
        "character": [
          "豌豆大小",
          "无明显疼痛感"
        ],
        "anatomy_list": [
          "左侧乳房"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "左侧乳房"
        ]
      },
      {
        "core_name": "溢脓",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "渗液",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "出血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳头"
        ]
      },
      {
        "core_name": "发红",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳房表面皮肤"
        ]
      },
      {
        "core_name": "皲裂",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳房表面皮肤"
        ]
      },
      {
        "core_name": "皱褶",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "乳房表面皮肤"
        ]
      },
      {
        "core_name": "异常回声",
        "tendency": "",
        "character": [
          "bi-rads4b类"
        ],
        "anatomy_list": [
          "左乳腺"
        ]
      },
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "乳房"
        ]
      }
    ]
  },
  {
    "id": 1287,
    "text": "今为求进一步放疗，以“宫颈癌”收入我科住院治疗。",
    "event": [
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  },
  {
    "id": 481,
    "text": "2020年1月包块增大，至某医院就诊，行口腔包块切除，嘱患者观察颈部包块。",
    "event": [
      {
        "core_name": "包块增大",
        "tendency": "",
        "character": [
          "增大"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "包块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "颈部"
        ]
      }
    ]
  },
  {
    "id": 889,
    "text": "患者本次发病以来，食欲正常，神志清醒，精神尚可，睡眠尚可，大小便如上所述，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": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "体重改变",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 1509,
    "text": "入院前1+月，患者无明显出现左侧下肢部疼痛，为持续性胀痛，久坐、久站后加重，卧位休息可缓解，腰骶部疼痛反复发作，以左大腿后侧后外侧、小腿后侧，为进一步诊疗，遂来我院就诊，行腰椎ct提示：腰椎退行性变；腰44椎体i°滑脱，腰1椎体向后右侧移位，腰33椎体向左移位，椎间盘变性，腰11/2、3/4、4/5、腰5/骶1椎间盘膨出。",
    "event": [
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "为持续性胀痛",
          "久坐久站后加重",
          "卧位休息可缓解"
        ],
        "anatomy_list": [
          "左侧下肢"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [
          "反复发作"
        ],
        "anatomy_list": [
          "腰骶部"
        ]
      },
      {
        "core_name": "病变",
        "tendency": "",
        "character": [
          "退行性"
        ],
        "anatomy_list": [
          "腰椎"
        ]
      },
      {
        "core_name": "滑脱",
        "tendency": "",
        "character": [
          "i°"
        ],
        "anatomy_list": [
          "腰L4椎体"
        ]
      },
      {
        "core_name": "移位",
        "tendency": "",
        "character": [
          "向后右侧"
        ],
        "anatomy_list": [
          "腰L1椎体"
        ]
      },
      {
        "core_name": "移位",
        "tendency": "",
        "character": [
          "向左"
        ],
        "anatomy_list": [
          "腰L3椎体"
        ]
      },
      {
        "core_name": "变性",
        "tendency": "",
        "character": [
          "向左"
        ],
        "anatomy_list": [
          "腰3椎体",
          "椎间盘"
        ]
      },
      {
        "core_name": "膨出",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腰1/2、3/4、4/5、腰5/骶1椎间盘"
        ]
      }
    ]
  },
  {
    "id": 1983,
    "text": "入院前8小时，患者在夜间洗澡受凉后突然出现头晕，呈持续性，体位变化时头晕加重，伴恶心、呕吐非血性胃内容物，伴畏寒、寒战，偶有心前区不适感，患者不能准确描述是否有视物旋转，无耳鸣、耳聋，无发热、咳嗽、咳痰，无意识障碍、肢体活动障碍、肢体抽搐、大小便失禁。患者未予以重视及处理。",
    "event": [
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "持续性",
          "夜间洗澡受凉后"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "头晕",
        "tendency": "",
        "character": [
          "体位变化时加重"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "恶心",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "",
        "character": [
          "非血性胃内容物"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒颤",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "心前区不适感",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": [
          "心前区"
        ]
      },
      {
        "core_name": "视物旋转",
        "tendency": "不确定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "耳鸣",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "core_name": "耳聋",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "耳"
        ]
      },
      {
        "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": "意识障碍",
        "tendency": "",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "活动障碍",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      },
      {
        "core_name": "抽搐",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "肢体"
        ]
      },
      {
        "core_name": "大小便失禁",
        "tendency": "",
        "character": [
          "失禁"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 907,
    "text": "病后精神尚可，食欲好，小便正常，大便正常。",
    "event": [
      {
        "core_name": "精神",
        "tendency": "",
        "character": [
          "尚可"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "食欲",
        "tendency": "",
        "character": [
          "好"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "小便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "大便",
        "tendency": "",
        "character": [
          "正常"
        ],
        "anatomy_list": []
      }
    ]
  },
  {
    "id": 685,
    "text": "遂至某医院行petct检查提示：胸腺瘤，恶性可能性较大（未见报告）；于2016-11-03在全麻下行胸腔镜下纵隔肿瘤切除术+心包部分切除术，术中见胸膜腔腔内广泛粘连，无明显积液，手术顺利，标本送病检（病理号123456）提示：胸腺鳞状细胞癌；术后好转出院，偶有咳嗽、头昏，无明显胸闷、呼吸困难，无咯血，无畏寒、发热，无恶心呕吐，无腹胀、腹泻等症状；现患者为行第一次化疗，遂至我院就诊，门诊以“胸腺癌术后”收入我科住院治疗。",
    "event": [
      {
        "core_name": "瘤",
        "tendency": "不确定",
        "character": [
          "恶性"
        ],
        "anatomy_list": [
          "胸腺"
        ]
      },
      {
        "core_name": "粘连",
        "tendency": "",
        "character": [
          "广泛"
        ],
        "anatomy_list": [
          "胸膜腔内"
        ]
      },
      {
        "core_name": "积液",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "胸膜腔内"
        ]
      },
      {
        "core_name": "鳞癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "胸腺"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "",
        "character": [
          "偶有"
        ],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咯血",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "恶心",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呕吐",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "腹胀",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "腹泻",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [
          "术后"
        ],
        "anatomy_list": [
          "胸腺"
        ]
      }
    ]
  },
  {
    "id": 735,
    "text": "入院前10天，患者受凉后出现咳嗽、咳痰，为白色泡沫痰，伴痰中带鲜红色血，量少，无发热、畏寒、寒战，无胸痛、胸闷、呼吸困难，无头昏、头痛，无端坐呼吸及夜间阵发性呼吸困难，无双下肢水肿，于当地诊所自行购买感冒药（具体药物不详）后无好转，入院2天前，患者咳嗽、咳痰仍明显，为求进一步治疗，遂至我院，门诊行胸部ct提示右肺下叶支气管气管周围肿块，考虑中央型肺癌，门诊以“左肺块待查”收入我科住院治疗。",
    "event": [
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "受凉后"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "受凉后",
          "白色",
          "泡沫痰"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "鲜红色血",
          "量少"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "发热",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "畏寒",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "寒战",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "胸闷",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "胸"
        ]
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "头昏",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "头"
        ]
      },
      {
        "core_name": "端坐呼吸",
        "tendency": "否定",
        "character": [],
        "anatomy_list": []
      },
      {
        "core_name": "呼吸困难",
        "tendency": "否定",
        "character": [
          "夜间",
          "阵发性"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "水肿",
        "tendency": "否定",
        "character": [],
        "anatomy_list": [
          "双下肢"
        ]
      },
      {
        "core_name": "咳嗽",
        "tendency": "",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "咳痰",
        "tendency": "",
        "character": [
          "明显"
        ],
        "anatomy_list": []
      },
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "右肺下叶",
          "支气管气管周围"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "不确定",
        "character": [
          "中央型"
        ],
        "anatomy_list": [
          "肺"
        ]
      },
      {
        "core_name": "肿块",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "左肺"
        ]
      }
    ]
  },
  {
    "id": 1227,
    "text": "1天前，患者无明显诱因再次出现阴道流血，量不详，伴腹痛，患者为进一步治疗入我院，门诊以“宫颈癌”收入我科住院治疗。",
    "event": [
      {
        "core_name": "出血",
        "tendency": "",
        "character": [
          "量不详"
        ],
        "anatomy_list": [
          "阴道"
        ]
      },
      {
        "core_name": "疼痛",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "腹"
        ]
      },
      {
        "core_name": "癌",
        "tendency": "",
        "character": [],
        "anatomy_list": [
          "宫颈"
        ]
      }
    ]
  }
]