刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390682},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399789},{"body":{"content":"之前吃的什么**？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407132},{"body":{"content":"能吃新盖中盖中老年补钙的**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435445},{"body":{"content":"之前没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441367},{"body":{"content":"这个适合老年人","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484515},{"body":{"content":"孕妇一般用**，****比较多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506883},{"body":{"content":"那吃什么样的可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517069},{"body":{"content":"**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532551},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593665},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050616479}]

女23岁

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879374111},{"body":{"content":"上传一下检查报告看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879386392},{"body":{"content":"上面的报告打不开，重新上传一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879405513},{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882815930},{"body":{"content":"我总觉得我是内分泌激素的问题，但是为什么检查都是正常范围","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882838913},{"body":{"content":"长唇毛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882854038},{"body":{"content":"脱发特别少头顶部位，然后月经量特别少时间也短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882872926},{"body":{"content":"性激素是月经第二天或第三天查的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882890306},{"body":{"content":"月经能不能按月来？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882900595},{"body":{"content":"身高体重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882904122},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882907764},{"body":{"content":"身高一米五五体重95左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882926989},{"body":{"content":"激素六项都是月经第三天左右空腹去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882946723},{"body":{"content":"月经能按时间来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882958015},{"body":{"content":"去年一直往后推迟，从月底推到月头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882992450},{"body":{"content":"今年都是月初几号来，还算准时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883020862},{"body":{"content":"但是只有一天或者两天，第二天都很少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883049265},{"body":{"content":"95斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883106934},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883232702},{"body":{"content":"剖腹产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883239315},{"body":{"content":"做过一次流产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883253820},{"body":{"content":"五年前做的流产做完来月经有三四天但是量少，后来去找中医调，吃的**血的药，吃了几个月越来越好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883399124},{"body":{"content":"只有一天半左右了，然后一直没看好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883416122},{"body":{"content":"去年吃了***还有三个月的****都没有起色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883454966},{"body":{"content":"吃了几个月中药量越来越少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883499819},{"body":{"content":"但是这种情况会导致掉头发严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883820408},{"body":{"content":"需要做脑垂体吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883834729},{"body":{"content":"我们这边人民医院医生建议我在脑垂体检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884043069},{"body":{"content":"目前不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652911883274}]

女34岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769454},{"body":{"content":"不建议应用，有导致癫痫发作风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005569},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267302}]

女29岁

2022.05.20

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965274581},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965402688},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965421579},{"body":{"content":"我是种植户的，是不是有问题可以问你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965564772},{"body":{"content":"这儿只咨询人的皮肤病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965588350},{"body":{"content":"哦，对不起","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629816},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965639610}]

女38岁

2022.05.20