@wmq1009:13 JSONTXT

{"project":"ICU_characters","denotations":[{"id":"T1","span":{"begin":6,"end":8},"obj":"doctor"},{"id":"T10","span":{"begin":353,"end":357},"obj":"diagnosis"},{"id":"T11","span":{"begin":359,"end":364},"obj":"diagnosis"},{"id":"T12","span":{"begin":364,"end":368},"obj":"other_rec"},{"id":"T13","span":{"begin":370,"end":385},"obj":"treat"},{"id":"T14","span":{"begin":388,"end":399},"obj":"treat"},{"id":"T15","span":{"begin":402,"end":411},"obj":"treat"},{"id":"T16","span":{"begin":414,"end":420},"obj":"treat"},{"id":"T17","span":{"begin":421,"end":426},"obj":"treat"},{"id":"T18","span":{"begin":488,"end":505},"obj":"treat"},{"id":"T19","span":{"begin":134,"end":140},"obj":"treat"},{"id":"T2","span":{"begin":9,"end":19},"obj":"date"},{"id":"T3","span":{"begin":19,"end":27},"obj":"time"},{"id":"T4","span":{"begin":109,"end":133},"obj":"other_rec"},{"id":"T5","span":{"begin":319,"end":323},"obj":"type"},{"id":"T6","span":{"begin":323,"end":329},"obj":"diagnosis"},{"id":"T7","span":{"begin":330,"end":339},"obj":"diagnosis"},{"id":"T8","span":{"begin":342,"end":344},"obj":"diagnosis"},{"id":"T9","span":{"begin":345,"end":351},"obj":"diagnosis"}],"relations":[{"id":"R1","pred":"combine_time","subj":"T2","obj":"T3"},{"id":"R2","pred":"depen","subj":"T1","obj":"T5"},{"id":"R3","pred":"detail_infor","subj":"T5","obj":"T6"},{"id":"R4","pred":"detail_infor","subj":"T5","obj":"T7"},{"id":"R5","pred":"detail_infor","subj":"T5","obj":"T8"},{"id":"R6","pred":"detail_infor","subj":"T5","obj":"T9"},{"id":"R7","pred":"detail_infor","subj":"T5","obj":"T10"},{"id":"R8","pred":"detail_infor","subj":"T5","obj":"T11"},{"id":"R9","pred":"detail_infor","subj":"T12","obj":"T13"},{"id":"R10","pred":"detail_infor","subj":"T12","obj":"T14"},{"id":"R11","pred":"detail_infor","subj":"T12","obj":"T15"},{"id":"R12","pred":"detail_infor","subj":"T12","obj":"T16"},{"id":"R13","pred":"detail_infor","subj":"T12","obj":"T17"},{"id":"R14","pred":"detail_infor","subj":"T12","obj":"T18"},{"id":"R15","pred":"detail_infor","subj":"T4","obj":"T19"},{"id":"R16","pred":"depen","subj":"T1","obj":"T4"},{"id":"R17","pred":"depen","subj":"T1","obj":"T12"}],"text":"10247^赖巍*2018-11-2122:06:47*患者曹芷涵,女,5岁4月,因“高处坠落伤后意识障碍2h”入院.患儿约今日下午四点钟左右从高约12m地方坠落,当场意识不清,不省人事,家属送入我院急诊科行颅脑CT示“颅骨多发骨折,左侧额颞顶硬膜下血肿,头皮血肿”,给予抢救治疗,并转入我科,我科急诊以脑外伤收入起病以来,患者神志昏迷,未进食,大小便未解,体力下降,体重无明显变化.查体神志昏迷,双侧瞳孔不等大左侧瞳孔4mm,右侧瞳孔3mm,光反射消失右侧头皮肿胀并挫伤出血,双肺呼吸音粗,腹部平软,压痛及反跳痛不配合辅助检查我院急诊科行颅脑CT示“颅骨多发骨折,左侧额颞顶硬膜下血肿,头皮血肿”,胸腹部CT未见明显异常(未见报告)综上初步诊断重型颅脑损伤1左额颞顶硬膜下血肿,2.脑疝3颅骨多发骨折,4颅底骨折,5头皮挫裂伤诊疗计划1、向患者及家属交待病情及注意事项.2、向上级医生汇报患者病情.3、完善入院常规等检查.4、完善术前检查,拟急诊手术.患儿送入手术室后,突发心跳骤停,立即予积极抢救,但患儿生命征不平稳,无法进行手术治疗,与家属沟通病情后,家属不同意手术,予送入儿科ICU维持生命征等抢救治疗.\r\n"}