傅成国

[{"body":{"content":"你好，现在有什么症状吗？能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965540168},{"body":{"content":"我是皮肤一直泛红脸上有疙瘩白白的挤出来是水洗完脸会脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626211},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965672376},{"body":{"content":"疙疙瘩瘩的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965854114},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965886442},{"body":{"content":"就是戴口罩的时候会觉得热热的平常偶尔会有蚊子包一两个这样痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965971555},{"body":{"content":"根据您症状情况，考虑是皮炎，就是过敏性了，引起的原因很多的，可能与接触东西有关系的，还有各种物理性因素如日光，动物的皮毛，**，化妆品，以及精神紧张都可以导致本病。有时不好找确切原因的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986339},{"body":{"content":"可以这样治疗的，口服*****（晚饭后），一天一次一片，外用******，一天两次，同时需要忌口，腥，辛辣，牛**等刺激性食物尽量不要吃。不要用护肤品了。经过治疗会**恢复的。没有大问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990722},{"body":{"content":"我皮肤泛红有好久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966035350},{"body":{"content":"偶尔还有蚊子包痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056102},{"body":{"content":"只是这两天特别严重会长白头一样的痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966099864},{"body":{"content":"按上面我给你的方法注意和治疗就可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116486},{"body":{"content":"******没有**很安全的。可以长期使用来修复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131447}]

女29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":1653050690150},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699955},{"body":{"content":"不确认怀孕的情况下是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702870},{"body":{"content":"确认没有怀孕的情况下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720012},{"body":{"content":"刚测到排卵强阳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722379},{"body":{"content":"影响排卵受精吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050730994},{"body":{"content":"这个不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050737764},{"body":{"content":"尽量不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744595},{"body":{"content":"因为有点感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746507},{"body":{"content":"如果准备同房的话","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750313},{"body":{"content":"准备同房","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757990},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763263},{"body":{"content":"感冒嗓子太不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772129},{"body":{"content":"女方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050776791},{"body":{"content":"还是建议治疗好以后下个月同房","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791234},{"body":{"content":"或者是就多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794116},{"body":{"content":"不建议吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801276},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816686},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820317},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823656},{"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":1653050826690},{"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":1653050828193},{"body":{"content":"您对肾虚有了解吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838706},{"body":{"content":"肾虚分为肾阳虚和肾阴虚，肾阳虚——肾阳虚主要表现为脸色苍白、畏寒怕冷、浮肿、腰腿冷痛、尿频而少、慢性腹泻等症状。肾阴虚——腰膝部位酸痛，头晕或耳鸣，听力下降，口乾咽燥，烦热，手足掌心发热，晚上出汗，大便乾结，男子遗精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871606},{"body":{"content":"有点早泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876687},{"body":{"content":"在吃药物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892879},{"body":{"content":"射的快，三五分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897582},{"body":{"content":"没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900527},{"body":{"content":"敏感","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905253},{"body":{"content":"如果一直这个情况的话，还是需要看一下男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920927},{"body":{"content":"医院吗？挂什么号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944676},{"body":{"content":"饮食宜清淡营养，忌辛辣不容易消化食物，节制房事，加强体育锻炼，增强体质，多吃一些清淡的食物，含有***和蛋白质比较高的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949685},{"body":{"content":"男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050951789},{"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":1653051036039},{"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":1653051039837},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070292},{"body":{"content":"能治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075031},{"body":{"content":"线下看男科看一下是先天敏感还是什么原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100683},{"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":1653051360547}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050328707},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330967},{"body":{"content":"哺乳期发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346805},{"body":{"content":"37.5度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351322},{"body":{"content":"乳房疼痛，怀疑是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376910},{"body":{"content":"乳房有硬块吗？局部皮肤有发红发烫么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395609},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411205},{"body":{"content":"怀疑急性乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419774},{"body":{"content":"好的，乳房疼伴有发烧 这首先考虑是急性乳腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481366},{"body":{"content":"给您些治疗的方法您参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489713},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除药物禁忌，请问您既往是否有任何基础疾病，近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于妊娠，备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合回答，谢谢。）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501647},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511762},{"body":{"content":"现在是哺乳期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518156},{"body":{"content":"用药肯定得注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050526472},{"body":{"content":"乳腺炎一般是由于乳汁淤积引起的，您可以局部冷敷，后由肿块向乳头方向按揉，将肿块揉散，后排出乳汁，按揉前清洗乳头，保证乳头清洁干燥，乳头处乳管通畅。平日也要保持乳头乳晕清洁干燥，哺乳和挤奶前后都要清洁乳头及乳晕周围。平日尽量保持乳房空虚，避免乳汁淤积。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566076},{"body":{"content":"如果体温超过38.5度可以口服退热药物，**就可以。一般一次10ml，4到6小时可以重复一次。这个不影响哺乳 不到38度5 物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578776},{"body":{"content":"药物可以口服 蒲公英颗粒 ****治疗 也不影响哺乳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590018},{"body":{"content":"如果自行保守治疗2天无效，乳房红肿痛加重，有脓性乳汁出现，或者高热不退，您需要到医院普外科或乳腺外科就诊，查彩超，明确具体情况，针对性治疗了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748495}]

女31岁

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":1653050346479},{"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":1653050347688},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357199},{"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":1653050372690},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375083},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380316},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383361},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409981},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050412010},{"body":{"content":"超过3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414915},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419951},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427681},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050430728},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436280},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050440311},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443856},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447902},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464370},{"body":{"content":"控精能力不满意，是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472622},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483903},{"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":1653050511341},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529714},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537838},{"body":{"content":"控精能力不满意，也属于早泄的一种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050544219},{"body":{"content":"那您这个早泄的情况是可以使用*******的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553347},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556533},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050558880},{"body":{"content":"这个药吃多久管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593981},{"body":{"content":"******能够显著延长性生活时间，考虑到个体差异，延时效果是原来的2-4倍，第一次用药就可以起效，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608575},{"body":{"content":"通常建议4周内用药6次为一疗程，才能达到较理想的疗效，1个起始疗程后随着用药次数的增加，能巩固疗效和持续改善症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050609892},{"body":{"content":"******一般服用两到三个疗程之后治疗效果能达到70%左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612571},{"body":{"content":"吃过几个疗程以后不吃了会回复原来的样子吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705197},{"body":{"content":"这个按疗是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728912},{"body":{"content":"但是不能保证一辈子感知","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734797},{"body":{"content":"根治","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736290},{"body":{"content":"性能力方面的疾病没有根治一说，类似感冒，一次感冒症状消失就是临床治愈，不代表永远不感冒。您这个情况也是如此，用药期间症状消失就是临床治愈，不代表根治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739293},{"body":{"content":"还是吃过几个疗程就可以永久延长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739688},{"body":{"content":"这个按疗程是治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779481},{"body":{"content":"都是根据个人体质而定呗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050782771},{"body":{"content":"但是不能保证一辈子根治的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783405},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050785155},{"body":{"content":"主要是不良生活习惯等情况，也会影响性功能的‘’","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792029},{"body":{"content":"药物是没有依赖性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050995868},{"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":1653051158656},{"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":1653051225104},{"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":1653051227163},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051228552},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051316339},{"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":1653051321274},{"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":1653051434781}]

男27岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965190556}]

男14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":1653050075476},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078438},{"body":{"content":"宝宝 身高体重多少\n饮食、睡眠、大小便怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116019},{"body":{"content":"您好。\n 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447782}]

女

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769454},{"body":{"content":"不建议应用，有导致癫痫发作风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005569},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267302}]

女29岁

2022.05.20

[{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374667},{"body":{"content":"长出来有半个月了，半个月前也有痘，没有这么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051396812},{"body":{"content":"摸着会痛，挤破会出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423732},{"body":{"content":"我上面电子处方里给你开了一瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，是我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456718},{"body":{"content":"这种药要多久见效？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051479047},{"body":{"content":"只是普通的痤疮吗？为什么我的痘痘一直复发呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505785},{"body":{"content":"生活中要少吃油，少吃辣少吃糖，因为痤疮不喜欢这些饮食，另外不要熬夜，这个也很重要，这些都会影响痤疮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528699},{"body":{"content":"你就坚持外用我给你开的中药**就可以好，加上生活中注意就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547045},{"body":{"content":"我这边小医院给我开******和****，可以和中药水一起用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051588335},{"body":{"content":"有这个中药**，那两种都不需要了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642576},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652436},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669255}]

男23岁

2022.05.20

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20