刘继帅

[{"body":{"content":"你近期有没有高兴不起来，对什么事都提不起兴趣，反应迟钝，注意力难以集中，记忆力下降，容易疲劳，烦躁易怒，失眠等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965696627},{"body":{"content":"有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716950},{"body":{"content":"你先做个心理测试吧，如果打不开就把链接复制或手动输入到浏览器再打开，做完把总分或截图发给我帮你分析一下。\nhttp://www.apesk.com/sds/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965737872},{"body":{"content":"你做完测试之后点击表格下方的提交答案按钮，会自动出结果，麻烦你把分数截图告诉我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744324},{"body":{"content":"自己一个人的时候很孤独","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965748300},{"body":{"content":"把心理测试做一下吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822393},{"body":{"content":"做完了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986145},{"body":{"content":"做好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967367455},{"body":{"content":"截图给我看看，这是第三方网站，我这边收不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967579368}]

女16岁

2022.05.20

[{"body":{"content":"几天了？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400927},{"body":{"content":"有一段时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415222},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417672},{"body":{"content":"之前开过**药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427404},{"body":{"content":"这个看着神经性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438529},{"body":{"content":"但是好了之后一出汗还是容易长疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446555},{"body":{"content":"用过什么药物？见好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050448214},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469176},{"body":{"content":"用了之后能缓解，但是不能根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486777},{"body":{"content":"请问这个开什么药比较好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581132},{"body":{"content":"***可以 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669439},{"body":{"content":"但是好了以后不能一下停药 要逐渐减量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685244},{"body":{"content":"比如由以前的一天两次改成一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700516},{"body":{"content":"然后改成隔一天一次 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709245},{"body":{"content":"***不能用的时间过长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050717733},{"body":{"content":"最长能用多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050855651},{"body":{"content":"7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908328},{"body":{"content":"然后换成弱效激素或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050932939},{"body":{"content":"非**可以用什么药膏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944671},{"body":{"content":"可以用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970330},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037089},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102520}]

女51岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049707352},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049722908},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747385},{"body":{"content":"含糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837671},{"body":{"content":"少量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844258},{"body":{"content":"平时血糖高吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860189},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967200}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514965},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516453},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525224},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534791},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537276},{"body":{"content":"尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561400},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565408},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569636},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572680},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575526},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579572},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581899},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619788},{"body":{"content":"有时候会有一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638977},{"body":{"content":"睾丸侧边隐隐作痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654092},{"body":{"content":"有没有尿分叉、尿等待、尿滴白等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669728},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699710},{"body":{"content":"睾丸局部有明显的红肿肿大吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713120},{"body":{"content":"就是尿完尿感觉不干净 还会在盛出来一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757371},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760594},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767867},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788543},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794658},{"body":{"content":"尿不尽是指尿液不能完全排尽，滴沥不已或排尿后仍有尿意。尿不尽，一般主要病变部位，就是在膀胱颈口，男性主要就是因为前列腺的原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050799780},{"body":{"content":"您目前的症状，考虑有轻微的前列腺炎的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807220},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811341},{"body":{"content":"大部分全占了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860356},{"body":{"content":"嗯，目前的话症状不严重，可以先药物治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050878942},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944874},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954196},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050974021},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975020},{"body":{"content":"用药剂量：********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051020534},{"body":{"content":"建议先口服2周的治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028083},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126736},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051133780},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140853},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142790},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218376},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051220510},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051222880},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290099},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295128},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368767},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051408654}]

男19岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035924305},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035929742},{"body":{"content":"有没有**不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035948869},{"body":{"content":"尿痛?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035955637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035957266},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035963214},{"body":{"content":"到医院检查了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035973323},{"body":{"content":"出现症状前有没有性生活?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036006426},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036023629},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036031579},{"body":{"content":"医院说好的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036032469},{"body":{"content":"尿常规?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036039830},{"body":{"content":"尿常规正常的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036059723},{"body":{"content":"近期是否做过相关检查？检查单子发上来看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036086091},{"body":{"content":"正常的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036086876},{"body":{"content":"我现在不在家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036111200},{"body":{"content":"没办法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036135806},{"body":{"content":"反正乃天医生说是都正常的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036161456},{"body":{"content":"用过什么药物?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036168365},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036173526},{"body":{"content":"最近就吃了**和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036186471},{"body":{"content":"那先不要服药，观察几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036237518},{"body":{"content":"**也不能吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036318580},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036332959},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036344758},{"body":{"content":"不要喝酒，饮食忌辛辣刺激性食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036371693},{"body":{"content":"没有喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036429346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036441614}]

女19岁

2022.05.20

[{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941426},{"body":{"content":"但是没必要吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948236},{"body":{"content":"全身没有任何症状，额头和后背出虚汗，这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984105},{"body":{"content":"那不好说啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050011993},{"body":{"content":"体质虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036280},{"body":{"content":"没有症状那两个药就别吃了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060622},{"body":{"content":"可以中医药调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078038},{"body":{"content":"前两天胃反流性食管炎引起上呼吸道感染，一直在吃*****和******，这几天嗓子干痒，又吃了******，现在嗓子好了，在没有任何症状，就是老出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130081},{"body":{"content":"那**就恢复了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"你吃的比较杂了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183319},{"body":{"content":"肺气虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193911},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204667},{"body":{"content":"****和********一起可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207277},{"body":{"content":"没必要吃这两种啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050229518},{"body":{"content":"除了这两种药还吃点什么药好呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231119},{"body":{"content":"如果光出虚汗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248736},{"body":{"content":"可以吃点中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268418},{"body":{"content":"额头和后背虚汗出的比较多，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274380},{"body":{"content":"辩证后开汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289133},{"body":{"content":"在这里开吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308402},{"body":{"content":"这里不好开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321386},{"body":{"content":"无法脉诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326959},{"body":{"content":"你在当地医院找中医大夫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346229},{"body":{"content":"好的，那你有没有给我推荐药呢？对虚汗比较好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408065},{"body":{"content":"因为在**，所以附近的中医医院都关门了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445786},{"body":{"content":"不可能啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050504146},{"body":{"content":"我以为自己得新冠了，一直再做核酸，已经做了20多次了，核酸一直没问题。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504173},{"body":{"content":"我看看你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518269},{"body":{"content":"阴虚有热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767950},{"body":{"content":"那现在吃点什么药比较好呢？现在我附近的医院基本上都关门了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820587},{"body":{"content":"你这种还就是吃汤药比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857586},{"body":{"content":"没有适合的成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867033},{"body":{"content":"好的，那知道了，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897493},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909680}]

男34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655968},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673944},{"body":{"content":"家里老人，身上一到夏天就痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690746},{"body":{"content":"其他季节没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704566},{"body":{"content":"这次几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736451},{"body":{"content":"有一个月左右了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759393},{"body":{"content":"和季节有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784806},{"body":{"content":"过敏导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790056},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049790428},{"body":{"content":"可以口服*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808166},{"body":{"content":"过敏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811885},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849017},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857953},{"body":{"content":"平时应该注意什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049878705},{"body":{"content":"没有什么注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890619},{"body":{"content":"有没有外用的药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049929274},{"body":{"content":"可以用*******兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967391},{"body":{"content":"好，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987578},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050009781},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025628},{"body":{"content":"肝肾功能正常，只有皮肤痒的历史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081103},{"body":{"content":"开了两盒，可以兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156673},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182245}]

男80岁

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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20