刘继帅

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56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，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726762},{"body":{"content":"您好，我那个双手因为颈椎病压迫手僵硬，服药后缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049775705},{"body":{"content":"想照方开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786549},{"body":{"content":"需要多少副？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823607},{"body":{"content":"10副谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836042},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848240},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983115},{"body":{"content":"***是不是5克？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249338}]

女62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":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336462},{"body":{"content":"根据图片考虑是荨麻疹，这个和过敏有关，但是具体什么过敏不好说，这个起的快落的快，消退后不留痕迹，可以口服抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050358266},{"body":{"content":"生完孩子半年后就有快1年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362539},{"body":{"content":"每天晚上吃完晚饭2小时左右?️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379844},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说，可以到医院查一个过敏源找找原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395658},{"body":{"content":"过几个小时就好了，有时候手臂上，有时候腿部，有时候肚子上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423950},{"body":{"content":"手臂和腿上还对称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446474},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458411},{"body":{"content":"不管它能自行消退吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466236},{"body":{"content":"过几个 小时就没了好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484689},{"body":{"content":"不管他就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050493579},{"body":{"content":"这个能治愈吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050545695},{"body":{"content":"最好查查过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545984},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050552568},{"body":{"content":"那个不好治愈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566512},{"body":{"content":"也可以吃吃中药调理调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573000},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626605},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668849},{"body":{"content":"不要恢心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678260},{"body":{"content":"好多人生完孩子之后体质改变会起这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685137},{"body":{"content":"**时间长了也会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688808}]

女34岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17岁

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20

[{"body":{"content":"看到了，尿频尿急尿痛么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071585},{"body":{"content":"需要几瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079710},{"body":{"content":"就想问一下小孩子可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090054},{"body":{"content":"4岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093651},{"body":{"content":"可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050094849},{"body":{"content":"这个是直接配比好了的对吧，不需要加水了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050120937},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126626},{"body":{"content":"是冲洗还是坐浴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157281},{"body":{"content":"冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050168384},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174172},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186724}]

女5岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20