刘继帅

[{"body":{"content":"您好，请详细说一下您的疑问","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824388},{"body":{"content":"就是阴道分泌物粉末状，特别痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879832895},{"body":{"content":"去医院开过吃的药，塞的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879884910},{"body":{"content":"都用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879890662},{"body":{"content":"比原来轻点了，但是还是刺挠痒，白色粉末状，跟豆腐渣似的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925233},{"body":{"content":"2月份化验的时候，是这样的白带吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879952972},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879973891},{"body":{"content":"具体都用了哪些药呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880009728},{"body":{"content":"**挫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880046566},{"body":{"content":"赛过***用，塞完便秘。大便出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880095862},{"body":{"content":"还有，具体忘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880111816},{"body":{"content":"吃的****吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880152721},{"body":{"content":"去医院看，就是里面有一层白膜，老出粉末状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880170542},{"body":{"content":"爱过一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182748},{"body":{"content":"吃过一盒，没有了，没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880194138},{"body":{"content":"***塞了几天呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880199796},{"body":{"content":"感觉这个药吃了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880205579},{"body":{"content":"那个赛过三四天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219448},{"body":{"content":"后来就没有再塞药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880230221},{"body":{"content":"便秘，大便总出血，就没敢在塞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880252129},{"body":{"content":"塞了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880263439},{"body":{"content":"这个怎么这么反复啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880282191},{"body":{"content":"您的便秘症状和塞药没有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880313531},{"body":{"content":"没塞的时候没事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328114},{"body":{"content":"应该是霉菌性阴道炎合并细菌性阴道病，本次建议塞药+口服，更换其他药物，需要坚持治疗至少一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880348951},{"body":{"content":"稍等给您发用药方法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880363430},{"body":{"content":"用啥药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880364624},{"body":{"content":"现在疫情严重了，也没法去医院买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880385067},{"body":{"content":"京东现在也不送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880400144},{"body":{"content":"还赛过一个往外拽的，带绳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447173},{"body":{"content":"口服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455946},{"body":{"content":"也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880461217},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************/****，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880489031},{"body":{"content":"如果京东不能送，可以看看其他平台，或者和社区申请买药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880587389},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880611028},{"body":{"content":"是这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880991871},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881026321},{"body":{"content":"不用管哪个厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064154},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146325},{"body":{"content":"我每天都要用水洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881152939},{"body":{"content":"水洗外阴就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881187659},{"body":{"content":"要是来月经了，就不能塞了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881199156},{"body":{"content":"估计快来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881206782},{"body":{"content":"吃药不受月经影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881225103},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881236694},{"body":{"content":"塞药塞到来月经，然后月经后不要等症状复发，也不要同房，继续塞药一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881243206},{"body":{"content":"能加个微信吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881245747},{"body":{"content":"抱歉平台要求不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881262104},{"body":{"content":"我之前赛过一个**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881269055},{"body":{"content":"后续假如有疑问，可以选择追问包","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881278041},{"body":{"content":"忘记啥名了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881279625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881287153},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881294016},{"body":{"content":"什么样子的**，塞了以后怎样了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881300094},{"body":{"content":"我忘记了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881335770},{"body":{"content":"没起啥作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881345116},{"body":{"content":"这个************应该是效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881500303},{"body":{"content":"先用用看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881506084},{"body":{"content":"得坚持用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881514338},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881556468},{"body":{"content":"还有盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881720093},{"body":{"content":"用瓶装的，还是盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881734928},{"body":{"content":"瓶装的吧，更便宜应该","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881898474},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881926245},{"body":{"content":"您给开的是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882871258},{"body":{"content":"都可以的，这都是很普通的药，品牌不重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882950158},{"body":{"content":"那就买这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883119713},{"body":{"content":"第一个买3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883128464},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883134145},{"body":{"content":"我按您这个下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883147529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883186232},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883195851},{"body":{"content":"早点休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883202045},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883212863},{"body":{"content":"怎么显示一个药是疫情有关，不会手机弹窗吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884037998},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884056176},{"body":{"content":"我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884102991},{"body":{"content":"***和疫情无关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884103597},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884107673},{"body":{"content":"不过现在天天核酸，不会弹窗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884115231},{"body":{"content":"您快休息吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884116078},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884120414},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884121125},{"body":{"content":"晚安","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884126346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884130280},{"body":{"content":"您***，那个药我看24号才能发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652920824313},{"body":{"content":"那先塞几天***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652927872667},{"body":{"content":"那个也没拿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652929531711},{"body":{"content":"那只能先洗洗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652929576590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931563618},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931571572},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652931576532},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967383148},{"body":{"content":"那个不发货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967400728},{"body":{"content":"这个美团可以送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967412549},{"body":{"content":"这款药可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967421386},{"body":{"content":"可以的，一样的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967590673},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dy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女46岁

2022.05.20

[{"body":{"content":"这种情况有可能是孩子刚来生理期不适应，所以全身不舒服呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964988304},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964999436},{"body":{"content":"如果孩子实在难受的厉害，就要去医院就诊啊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965034768},{"body":{"content":"我想问下我女儿14岁来例假身体不舒服怎回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096511},{"body":{"content":"这种情况有可能是孩子刚来生理期不适应，所以全身不舒服呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114546}]

女14岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063069},{"body":{"content":"大概2个礼拜，有点痒，以前没有出现过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142296},{"body":{"content":"而且只有靠近脖子的位置有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154390},{"body":{"content":"这里看着怀疑神经性皮炎呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190004},{"body":{"content":"请问是精神状态导致的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215730},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253127},{"body":{"content":"你经常去抓吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263329},{"body":{"content":"最近出现了才抓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275103},{"body":{"content":"这个药可以吗？之前去医院开过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289412},{"body":{"content":"可以可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472915},{"body":{"content":"但是不能用的时间长了 也就用5-7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493441},{"body":{"content":"然后换成弱效激素 或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521352},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536906},{"body":{"content":"请问这个是弱激素的吗？^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567780},{"body":{"content":"这个没有激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050601658},{"body":{"content":"用第一个5天后换成第二个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612917},{"body":{"content":"好的，谢谢您。之前脸上有过，当时医生开的，看来是同一个问题^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654671},{"body":{"content":"是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725578},{"body":{"content":"谢谢^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050745158},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050777658}]

男29岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803547},{"body":{"content":"您好，我是京东互联网医院签约中医科医生，只能从中医角度跟您分析您咨询产品的性、味、归经，以及健康指导。\n\n具体产品相关的问题以及商品快递问题，辛苦您点击加入购物车，然后点击左边的“客服”按钮，或者对话框右上角的“客服”按钮，或者从产品店铺首页选择“客服”。直接联系商家的客服，或者直接联系“京东客服”。他们会为您进行详细解答。谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858875},{"body":{"content":"不好意思，这个是属于商品或者快递等问题。需要您咨询一下商家客服。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049861636}]

女

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662436},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965673099},{"body":{"content":"有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965693194},{"body":{"content":"左侧精索静脉曲张1级左侧精索静脉曲张1级","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695029},{"body":{"content":"这个是啥意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710829},{"body":{"content":"轻度精索静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743779},{"body":{"content":"影响怀孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965763106},{"body":{"content":"精液常规正常就不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965792801}]

男29岁

2022.05.20

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20