毛小亮

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"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3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"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":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，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":1653052188223}]

女

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":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"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":1653052142994}]

男34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":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26岁

2022.05.20

[{"body":{"content":"你好 你的情况多久了？有什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879374844},{"body":{"content":"后牙根嚼东西就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550467},{"body":{"content":"这个是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879580174},{"body":{"content":"怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879588782},{"body":{"content":"图片看考虑甲沟炎引起的肉芽增生 这个可以去医院做手术去除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879914228},{"body":{"content":"这个症状已经两天了，就是脚疼，红肿，目前没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880615215},{"body":{"content":"局部炎症引起的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880644613},{"body":{"content":"你好，平时肝肾功能正常吗？有没有药物过敏史？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880649717},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880942114},{"body":{"content":"可局部外用******看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880951520}]

女23岁

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397365},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404400},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404539},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407189},{"body":{"content":"就是晚上发现这里长了好多小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435851},{"body":{"content":"我今天这个地方背了比较重的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464651},{"body":{"content":"就这块附近长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474395},{"body":{"content":"医生怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479707},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482558},{"body":{"content":"这是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483109},{"body":{"content":"这个可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491327},{"body":{"content":"它会自己消掉吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549905},{"body":{"content":"一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556356},{"body":{"content":"好多，好丑的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556559},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559324},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562020},{"body":{"content":"就一直长成那样了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571722},{"body":{"content":"可以试试外用中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572972},{"body":{"content":"用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580495},{"body":{"content":"可以外用*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598936},{"body":{"content":"这病严重的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610179},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618999},{"body":{"content":"咋感觉拿点重的东西就会有这病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050627274},{"body":{"content":"我的手也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050639146},{"body":{"content":"但是少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643136},{"body":{"content":"偶尔会发现一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650050},{"body":{"content":"也可以观察一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653800},{"body":{"content":"现在是一大片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657317},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050660107},{"body":{"content":"一般不用理它是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668916},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679303},{"body":{"content":"这病会遗传吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681228},{"body":{"content":"有遗传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693663},{"body":{"content":"如果母亲有这病，小孩会有吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695174},{"body":{"content":"不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050710700},{"body":{"content":"医生，拿药怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720426},{"body":{"content":"那药怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728221},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731943},{"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?是否正在服用药品？是否在备孕期、妊娠期或哺乳期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735571},{"body":{"content":"直接涂就好了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737947},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050750092},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761979},{"body":{"content":"直接外用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766182},{"body":{"content":"好的，我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865137},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050869704},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940905}]

女26岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049563276},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049566003}]

女

2022.05.20

[{"body":{"content":"您好，我是京东的多荣医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081371},{"body":{"content":"住院有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965084443}]

女78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