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复现medbanch结果,output存在问题 #2

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"instruction": "现病史\n(1)主诉:跌倒后下腹痛伴肉眼血尿、尿少1天。\n(2)现病史:患者昨日行走时俯卧跌倒,自述昨晚开始出现剧烈下腹痛,出现肉眼血尿一次,尿量不多,以后患者疼痛较前减轻,遂未引起重视。昨晚至今患者排尿两次,尿量较少,约200ml,逐渐出现下腹部胀痛不适,急来我院就诊,我科急诊给予导尿并留置尿管,行膀胱造影检查明确诊断为膀胱破裂,急诊以“膀胱破裂”收入院,患者自今晨未进饮食,无恶心、呕吐,无发热等。\n\n既往史:既往有糖尿病史4年,空腹血糖11mmol/L,口服二甲双胍0.25g,tid,空腹血糖控制在8mmol/L左右,否认高血压、冠心病病史,否认结核病史和传染病人群密切接触史,否认重大外伤及手术史,否认无药物及食物过敏史,预防接种史不详。\n\n体格检查\n专科查体:全腹膨隆,压痛,无反跳痛,双肾区无叩痛,耻骨上膀胱区膨隆,轻压痛,持续导尿通畅,尿色深黄色。\n\n辅助检查\n(1)实验室检查\n尿常规:红细胞37.9/高倍视野,白细胞10.2/高倍视野,尿糖4+,酮体2+;\n血常规:白细胞14.33X10^9/L,血红蛋白177g/L;\n生化:肌酐263μmol/L,CO2结合力16.6mmol/L。\n(2)多普勒超声检查\n腹腔大量积液,双侧髂窝处均深约8.2cm,膀胱后方范围约9.5cm×5.2cm。\n(3)膀胱造影检查\n膀胱造影,可见造影剂自膀胱右侧顶壁漏出。符合膀胱右顶壁破裂表现。\n简述膀胱破裂的治疗方法。\n",

"generated_text": "\nBladder rupture is a serious condition that requires prompt and appropriate treatment to prevent complications such as infection, urinary extravasation, and damage to surrounding organs. The treatment methods for bladder rupture depend on the type of rupture—whether it is intraperitoneal or extraperitoneal—and the severity of the injury.\n\n1. Intraperitoneal Bladder Rupture:\nIntraperitoneal bladder rupture involves a tear in the bladder wall that allows urine to leak into the peritoneal cavity. This type is often associated with blunt abdominal trauma and is considered a surgical emergency.\n\n- Surgical Repair: The primary treatment is surgical intervention. An exploratory laparotomy is performed to locate and repair the bladder tear. The surgeon sutures the rupture site, ensuring a watertight closure to prevent further leakage.\n- Catheterization: A Foley catheter is placed in the bladder to continuously drain urine, reducing pressure on the repair site and allowing it to heal properly.\n- Antibiotic Therapy: Broad-spectrum intravenous antibiotics are administered to prevent or treat urinary tract infections and peritonitis.\n- Supportive Care: Postoperative care includes monitoring for complications, managing pain, and supporting overall recovery.\n\n2. Extraperitoneal Bladder Rupture:\nExtraperitoneal bladder rupture typically results from pelvic fractures and is confined to the space outside the peritoneum.\n\n- Conservative Management: Many cases can be managed non-surgically with continuous bladder drainage using a Foley catheter for 7 to 14 days. This allows the bladder to heal naturally.\n- Surgical Intervention: If there is a large amount of extravasated urine, bone fragments in the bladder, or if catheter drainage is insufficient, surgical repair may be necessary.\n- Monitoring: Regular imaging studies, such as cystograms, are performed to assess healing and ensure there is no persistent leakage.\n\n3. Additional Considerations:\n\n- Pelvic Fracture Management: If the bladder rupture is associated with a pelvic fracture, orthopedic consultation is essential for fracture stabilization.\n- Urodynamic Studies: After healing, urodynamic tests may be conducted to evaluate bladder function and detect any long-term complications.\n- Patient Education: Patients should be informed about the importance of follow-up care and the signs of potential complications.\n\nIn the case presented, the patient has sustained a right superior bladder rupture due to blunt trauma from a fall. The presence of abdominal distension, bladder distension above the pubic symphysis, and imaging findings indicate an intraperitoneal rupture. Therefore, surgical repair is warranted. Continuous bladder drainage and antibiotic therapy are also essential components of the treatment plan to promote healing and prevent infection.\n\n

从hf【https://huggingface.co/jdh-algo/Citrus1.0-llama-70B】 下载完模型后,使用temperature=0.01模型在复现medbanch结果时,输出的结果存在英文,这个怎么解决呢,结果如上

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