刘继帅

[{"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":"余医生这个上次您开了药娃儿吃完了，现在还是喊累，中途感冒了一次，最近又感冒有点支气管炎，这个药还能继续开着吃吗？感觉他呼吸声音比平时大一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876518865},{"body":{"content":"因为最近回区县了，上来不方便也就没有带上来儿童医院来看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876665617},{"body":{"content":"这个是最近在地方查血的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876713597},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879311767},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879315328},{"body":{"content":"上面的内容要重复发一遍吗？，可以看见不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347728},{"body":{"content":"病历发给我看一下，现在用的什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879351169},{"body":{"content":"之前在您那里开了一个疗程的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879392288},{"body":{"content":"现在小朋友还是喊累，中途有感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879408259},{"body":{"content":"这几天又有一点感冒，喊累得比较频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427564},{"body":{"content":"你再继续吃一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879473745},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487683}]

男2岁6个月

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

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":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965154087},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965167720},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171628},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965195569},{"body":{"content":"请问这个像尖锐湿疣吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965197572},{"body":{"content":"请稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280779},{"body":{"content":"您重新拍一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965294009},{"body":{"content":"发原图给我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965297220},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965304371},{"body":{"content":"看见了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965563522},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569204},{"body":{"content":"不太清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965579737},{"body":{"content":"拍照时点一下手机屏幕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650756},{"body":{"content":"这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965679262},{"body":{"content":"图片不要⭕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965704833},{"body":{"content":"看到哪个小泡泡是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965812356},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965824847},{"body":{"content":"图片看不考虑尖锐湿疣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965843259},{"body":{"content":"那这个像什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965860074},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965871945},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872252},{"body":{"content":"龟头炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965873070},{"body":{"content":"考虑疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965879239},{"body":{"content":"什么是疱疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965899205},{"body":{"content":"图片其他地方看有问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965918810},{"body":{"content":"就是病毒疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952230},{"body":{"content":"其他正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959734},{"body":{"content":"这个碍事吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965969942},{"body":{"content":"需要治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965985457},{"body":{"content":"要开药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965991326},{"body":{"content":"怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965992730},{"body":{"content":"抹药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966004778},{"body":{"content":"确定是疱疹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005403},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966010696},{"body":{"content":"尖锐湿疣是怎么样子的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966114587},{"body":{"content":"您再看看这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966149268},{"body":{"content":"就是疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212855},{"body":{"content":"其他正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966220868},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228032},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966240590},{"body":{"content":"这个好治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966262787},{"body":{"content":"好治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966307295},{"body":{"content":"尖锐湿疣初期是什么样子啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328726},{"body":{"content":"因人而异的，具体不太好形容，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966403013},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966457161}]

男25岁

2022.05.20

[{"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":1653049654748},{"body":{"content":"您好，我是京东育儿师，不是客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668218},{"body":{"content":"再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792387}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050842475},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050855327},{"body":{"content":"不建议经常喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861767},{"body":{"content":"只有大便干的时候可以喝，平常不可以当做***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924878},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937104},{"body":{"content":"好的，五岁的孩子鼻子经常干痒，不通气，有没有那种滴剂可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981536},{"body":{"content":"给孩子喝点鲜榨果汁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987320},{"body":{"content":"便秘有可能是**摄入不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994945},{"body":{"content":"用****看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010856},{"body":{"content":"是不是有鼻炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014535},{"body":{"content":"有点鼻夹肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051058441},{"body":{"content":"其他的药物滴剂建议遵医嘱用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079042},{"body":{"content":"我觉得像鼻炎，经常鼻子干不通气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051100133},{"body":{"content":"用洗鼻喷雾就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051138163},{"body":{"content":"日常**1.平时要经常活动、锻炼、增强体质； 2.注意气候变化，适时增、减衣服； 3.本病流行期间不到人多的公共场所。饮食调理多注意休息，多饮水，不要偏食、营养要均衡。饮食上应以清淡为主，过敏性鼻炎发作期应少吃海鲜、鸡蛋和牛奶等易诱发过敏的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140828},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177558},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187652},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051209179},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211425},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051353817}]

女

2022.05.20