刘继帅

[{"body":{"content":"您好， 我是京东医生，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":1653050125349},{"body":{"content":"这是因为宝宝代谢快的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142759},{"body":{"content":"您好，请问一下宝宝最近肺炎好了以后，晚上睡觉老是出汗，衣服都汗湿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173505},{"body":{"content":"人家说**，燕麦，白糖**起煮可以有调理作用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201356},{"body":{"content":"效果不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227456},{"body":{"content":"可以吃对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249755},{"body":{"content":"肺炎刚好，出汗也跟宝宝体虚有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259130},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050262721},{"body":{"content":"晚上出汗是不是体虚，需要怎么调理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050279787},{"body":{"content":"一个星期了都这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050303587},{"body":{"content":"宝宝晚上前半夜出汗是正常的，不是体虚，后半夜一般就不出汗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336254},{"body":{"content":"这是宝宝代谢快的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350674},{"body":{"content":"可以不管？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050361652},{"body":{"content":"穿戴衣服和大人一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366576},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369414},{"body":{"content":"穿戴都跟之前一样正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382717},{"body":{"content":"刚刚发的图片能看到吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050412513},{"body":{"content":"就是肺炎好了后晚上前半夜衣服全汗湿透","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415873},{"body":{"content":"网络不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418686},{"body":{"content":"嗯，没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446021},{"body":{"content":"让宝宝每天晚上8点睡觉，早睡觉提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493490},{"body":{"content":"下半夜湿透才跟体虚有关吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050508892},{"body":{"content":"有时候十一点才睡，没睡一会就湿透了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050541003},{"body":{"content":"对，下半夜出汗还跟屋里温度偏高有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547280},{"body":{"content":"宝宝一般晚上12点以后就不出汗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572180},{"body":{"content":"那睡觉太晚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050582948},{"body":{"content":"温度都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050625837},{"body":{"content":"嗯，那就是跟代谢快有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666014},{"body":{"content":"属于正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050682715},{"body":{"content":"全身都出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705990},{"body":{"content":"以下方法提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709799},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712783},{"body":{"content":"被子都湿透了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718049},{"body":{"content":"出完汗背都是冷的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050731057},{"body":{"content":"1早睡觉，不要熬夜\n2 饮食均衡：肉蛋奶和蔬菜水果都要吃\n3适当运动：每周3到5次，每次30分钟\n4保持好的心情\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731761},{"body":{"content":"晚上出汗汗流浃背，要换几次隔汗巾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765351},{"body":{"content":"这都是正常的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772034},{"body":{"content":"之前都不这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779581},{"body":{"content":"主要也跟宝宝肺炎以后身体虚弱也有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828797},{"body":{"content":"3岁小宝宝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050835434},{"body":{"content":"肺炎康复需要一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843947},{"body":{"content":"一般2周以后会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856619},{"body":{"content":"出汗太严重啦！我们都怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050861381},{"body":{"content":"现在可以不用管？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881057},{"body":{"content":"白糖***片，**需按比例煮吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925694},{"body":{"content":"是的，如果2周以后还是这样，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926623},{"body":{"content":"这个效果不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942104},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051029901}]

男3岁

2022.05.20

[{"body":{"content":"您好，我是您的主治医生，请具体描述你的问题和你的症状，我看完后给你回复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051237648},{"body":{"content":"可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240980},{"body":{"content":"她的情况吃***好还是***好。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320516},{"body":{"content":"*****有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344208},{"body":{"content":"效果更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347932},{"body":{"content":"如果***也睡得着就吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366441},{"body":{"content":"***是中成药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386951},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434490},{"body":{"content":"***副作用应该比***小吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051489856},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498570},{"body":{"content":"好的我知道了谢谢您了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516773},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547029},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051549177},{"body":{"content":"***什么牌子比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051563986},{"body":{"content":"都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574028},{"body":{"content":"好了没有问题了谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051595953},{"body":{"content":"**源的可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596654},{"body":{"content":"希望我的建议能够帮助你，麻烦结束后好评下，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600997}]

女84岁

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app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男47岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"这种情况考虑耵聍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181744},{"body":{"content":"没有不适症状的话，不用担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194189},{"body":{"content":"耵聍腺分泌物脱水氧化形成的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298433},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302362},{"body":{"content":"是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965303335},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965312330},{"body":{"content":"不客气！希望我的建议可以帮助到您！非常感谢您的信任！请对话结束后对我的服务做出评价！祝您早日康复！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317998}]

女17岁

2022.05.20

[{"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}]

男73岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965730766},{"body":{"content":"有齿痕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743183},{"body":{"content":"舌苔怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965755735},{"body":{"content":"医生您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965756401},{"body":{"content":"这是有齿痕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965773900},{"body":{"content":"舌体胖大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965784234},{"body":{"content":"湿气重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965796076},{"body":{"content":"吃什么食物了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965813482},{"body":{"content":"没吃啥啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965822785},{"body":{"content":"正常吃三餐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965828939},{"body":{"content":"平时舌苔就这样吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965844033},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965850731},{"body":{"content":"脾虚湿气重引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965880929},{"body":{"content":"需要怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965899460},{"body":{"content":"可以服用参苓白术散**化湿治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965919717},{"body":{"content":"寒凉，冷饮雪糕不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965931783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965940527},{"body":{"content":"泡脚有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965946262},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965961640},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966635873}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047989},{"body":{"content":"你这个情况多久呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062949},{"body":{"content":"5，6年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050086494},{"body":{"content":"这种情况建议中医调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100452},{"body":{"content":"一般常见的是脾肾阳虚引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136964},{"body":{"content":"我看个视频说使用**，**，**，**，****，***泡水喝可以解决，是不是？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182760},{"body":{"content":"中医调理是需要辨证论治的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245854},{"body":{"content":"药物的搭配也讲究君臣佐使。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253826},{"body":{"content":"药物的剂量也很重要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261928},{"body":{"content":"我如果要使用上面的方法，该用什么剂量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050312306},{"body":{"content":"这个不太好给你具体的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329840},{"body":{"content":"正常情况下，10g都是可以使用。但是哪个要多哪个要少就不好说了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380848},{"body":{"content":"你这个情况如果有五六年了，建议用中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394353},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050405054},{"body":{"content":"如果方便的话可以线下就医就诊开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405181},{"body":{"content":"找中医开药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"是的，中医调理治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453754},{"body":{"content":"代茶饮疗效肯定没有中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466933},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483154}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378282},{"body":{"content":"您好，颈椎病平时应该注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408672},{"body":{"content":"怎么锻炼呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426915},{"body":{"content":"颈椎不好，时不时会引起**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444940},{"body":{"content":"你这个情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546018},{"body":{"content":"有四五年了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595805},{"body":{"content":"如果是颈椎引起的话，注意平时的生活习惯，注意患处保暖，可以做颈椎保健操","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634914},{"body":{"content":"颈椎操怎么做啊？有参考的视频之类的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674657},{"body":{"content":"有的 网上有很多的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687842}]

男30岁

2022.05.20