[{"body":{"content":"你好!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965380119},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386519},{"body":{"content":"你有什么症状吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412090},{"body":{"content":"停经多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419682},{"body":{"content":"B超做过没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965434681},{"body":{"content":"末次3.30","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463617},{"body":{"content":"*******孕酮7.62","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965492976},{"body":{"content":"前一次的hcg是1682孕酮13.2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535663},{"body":{"content":"隔了五天这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965544683},{"body":{"content":"现在停经50天啦,B超宫腔还未见孕囊,HCG又增高,你这宫外孕不能排除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965604214},{"body":{"content":"有褐色分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965612764},{"body":{"content":"无明显腹痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965635458},{"body":{"content":"而且你的HCG还下降,没有翻倍,","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965654871},{"body":{"content":"那这样能确诊是宫外孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965662390},{"body":{"content":"需要再做什么确诊宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681554},{"body":{"content":"等你出现了腹痛,可能就是破裂了,大出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702468},{"body":{"content":"hcg上涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965725669},{"body":{"content":"不是下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965731836},{"body":{"content":"是孕酮下降了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739693},{"body":{"content":"HCG没有翻倍,不正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965767911},{"body":{"content":"都50天宫腔还看不到东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789399},{"body":{"content":"那如果是宫外孕可以保守治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965789795},{"body":{"content":"建议你尽早医院处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801559},{"body":{"content":"是,医生叫我住院了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965821220},{"body":{"content":"你目前这种情况,可以保守","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965836388},{"body":{"content":"可是我没有什么症状所以还是觉得不可思议","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842163},{"body":{"content":"但是在保守治疗过程中随时有破裂可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876435},{"body":{"content":"大概要住院多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893933},{"body":{"content":"如果破裂就随时会出现内出血,危机生命","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940633},{"body":{"content":"这说不清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952979},{"body":{"content":"那你的建议觉得是怎样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965974433},{"body":{"content":"保守治疗的时间会相对时间长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965981523},{"body":{"content":"我还需要去别的医院再看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965989595},{"body":{"content":"应该不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966000851},{"body":{"content":"那你觉得我是直接选择怎样的治疗方案","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049833},{"body":{"content":"目前就两种治疗方法,1是保守2是手术,你目前的条件可以保守,但保守治疗的成功率只有百分之五十到七十,具体怎么处理,你还是听主管医师的意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966149343},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966177130},{"body":{"content":"手术的话是不是都是要切除输卵管啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966204317},{"body":{"content":"也有保留输卵管的可能,但要看术中的具体情况,","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966268565},{"body":{"content":"保留输卵管有可能出现持续宫外孕,及再次宫外孕可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966356735},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020989874},{"body":{"content":"我今天住院了,可是医生却说不确定是宫外,也有可能是宫内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021027872},{"body":{"content":"说内膜那么厚也有可能是宫内,但是孕酮低不排除发育慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021106091},{"body":{"content":"不是宫外孕,那不更好吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021131734},{"body":{"content":"你听医生你主管医师的,她对你的情况会比较了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021134818},{"body":{"content":"她说一半一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021447929},{"body":{"content":"让我自己做决定,也可以保胎观察观察","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021483877},{"body":{"content":"这样有危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021491008},{"body":{"content":"既然已经住院了,就安心住院观察","type":"text"},"from":{"app":"jd.doctor"},"timesta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