俞世安

[{"body":{"content":"你是检查出来有染色体异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965212641},{"body":{"content":"胎儿检查出来是染色体缺失，我跟老公还没有去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253480},{"body":{"content":"夫妻双方最好去检查一下双方的染色体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324740},{"body":{"content":"如果是染色体随体增加等染色体多态性，并不影响怀孕，可以正常要孩子，不会产生遗传物质的增加、减少或功能异常。如果是染色体平衡易位携带者，则有后代染色体异常导致反复流产的可能，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965365609},{"body":{"content":"医生，这是胎儿的检查报告，麻烦您看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965501000},{"body":{"content":"主要还是发现了有x染色体的丢失。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572578},{"body":{"content":"这种情况常见吗，还是很担心下次怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965640422},{"body":{"content":"这种情况造成胎停的还是比较多。建议还是去夫妻双方完善染色体相关的检查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715540},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741347},{"body":{"content":"如果检查出双方没有大问题的话还是可以正常备孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965777148},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787679},{"body":{"content":"好的，谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965814630},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965824273}]

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384421},{"body":{"content":"摸下什么感觉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404051},{"body":{"content":"皮肤下面有一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433657},{"body":{"content":"腱鞘囊肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531141}]

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049563276},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049566003}]

[{"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}]

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049731623},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049734530},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049746517},{"body":{"content":"宝宝蚊子咬脸上大包，抓破了，流黄水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049780633},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049787728},{"body":{"content":"抓破的情况下可以涂紫草膏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049807443},{"body":{"content":"可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808018},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049835079},{"body":{"content":"可以先给宝宝用**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836012},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049884987},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888466}]

[{"body":{"content":"你好，我是朱医生，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":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049611186},{"body":{"content":"图片资料下载中，请您稍候。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049613129},{"body":{"content":"图片看到，受伤多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624481},{"body":{"content":"今天下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671615},{"body":{"content":"目前这种情况，属于2级动物导致的暴露损伤，是需要狂犬**注射的，受伤后24小时内注射","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687642},{"body":{"content":"注射前，您最好先通过网络查询您所在地区的**注射地点时间，避免跑冤枉路。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049704296},{"body":{"content":"要打五针吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049809243},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049817963},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891000},{"body":{"content":"祝您身体健康，生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938077}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018330872}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045617169},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045621455}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]