刘继帅

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385742},{"body":{"content":"一只脚这样还是两只脚都这样。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965484811},{"body":{"content":"两只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516893},{"body":{"content":"有过长期走路或运动的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522638},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965537061},{"body":{"content":"痛痒感有没有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572320},{"body":{"content":"有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965600887},{"body":{"content":"目前的情况考虑是长期外力摩擦导致的皮炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621361},{"body":{"content":"你最近这段时间直到恢复都需要减少活动量。以免症状加重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965635160},{"body":{"content":"怎么医治？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965651827},{"body":{"content":"为了您的用药安全，需要排除禁忌症，请您仔细作答，以便能够正确的指导用药。\n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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965664757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965697084},{"body":{"content":"建议每晚使用******湿敷患处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965699214},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965704667},{"body":{"content":"减少活动量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715832},{"body":{"content":"请问还有其他需要咨询的问题吗？如果没有的话，这边就先关闭订单了，以便服务更多的患者。本次问诊结束后，希望您能给我一个好评。祝您身体健康，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965719391}]

女17岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

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":1653051209087},{"body":{"content":"先暂停 服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219054},{"body":{"content":"这个活血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223157},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052135367},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052136419}]

女

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

女

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049600850},{"body":{"content":"京东大药房买****需要处方，咱们这能出吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049647655},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049665447},{"body":{"content":"几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049667859},{"body":{"content":"一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683366},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049740088}]

男40岁

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879374111},{"body":{"content":"上传一下检查报告看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879386392},{"body":{"content":"上面的报告打不开，重新上传一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879405513},{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882815930},{"body":{"content":"我总觉得我是内分泌激素的问题，但是为什么检查都是正常范围","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882838913},{"body":{"content":"长唇毛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882854038},{"body":{"content":"脱发特别少头顶部位，然后月经量特别少时间也短","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882872926},{"body":{"content":"性激素是月经第二天或第三天查的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882890306},{"body":{"content":"月经能不能按月来？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882900595},{"body":{"content":"身高体重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882904122},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882907764},{"body":{"content":"身高一米五五体重95左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882926989},{"body":{"content":"激素六项都是月经第三天左右空腹去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882946723},{"body":{"content":"月经能按时间来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882958015},{"body":{"content":"去年一直往后推迟，从月底推到月头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882992450},{"body":{"content":"今年都是月初几号来，还算准时","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883020862},{"body":{"content":"但是只有一天或者两天，第二天都很少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883049265},{"body":{"content":"95斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883106934},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883232702},{"body":{"content":"剖腹产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883239315},{"body":{"content":"做过一次流产手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883253820},{"body":{"content":"五年前做的流产做完来月经有三四天但是量少，后来去找中医调，吃的**血的药，吃了几个月越来越好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883399124},{"body":{"content":"只有一天半左右了，然后一直没看好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883416122},{"body":{"content":"去年吃了***还有三个月的****都没有起色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883454966},{"body":{"content":"吃了几个月中药量越来越少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883499819},{"body":{"content":"但是这种情况会导致掉头发严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883820408},{"body":{"content":"需要做脑垂体吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883834729},{"body":{"content":"我们这边人民医院医生建议我在脑垂体检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884043069},{"body":{"content":"目前不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652911883274}]

女34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356111},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370309},{"body":{"content":"请问有什么可以帮您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379648},{"body":{"content":"可以帮忙开张*********的处方单吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407179},{"body":{"content":"0.2g的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416986},{"body":{"content":"请提供病历或以前处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422716},{"body":{"content":"需要2盒 稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430637},{"body":{"content":"还有很多 找起来太麻烦了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558874},{"body":{"content":"这就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592132},{"body":{"content":"2盒***，200mg的，一盒20片。对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636231},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646567},{"body":{"content":"好的 谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050753064},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766134}]

男25岁

2022.05.20

[{"body":{"content":"孩子打呼噜？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965127149},{"body":{"content":"不打呼噜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965139907},{"body":{"content":"孩子就是去年冬天得了一次流感之后就特别严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965181301},{"body":{"content":"那为啥说他腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965199414},{"body":{"content":"想咨询您怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965211624},{"body":{"content":"7岁的时候在医院检查过说是腺样体肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262836},{"body":{"content":"确定腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965263119},{"body":{"content":"确定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276944},{"body":{"content":"都三年了！也不打呼噜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278418},{"body":{"content":"孩子的情况考虑鼻窦炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965289079},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965293058},{"body":{"content":"幼儿园的时候就是经常流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965320638},{"body":{"content":"买个洗鼻器冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965325370},{"body":{"content":"是****鼻腔喷雾器吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965358328},{"body":{"content":"****150ml加1支*******冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965358654},{"body":{"content":"不是你说的那种，没太大的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965378124},{"body":{"content":"最近早上老是卡痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406864},{"body":{"content":"还有别的办法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459594},{"body":{"content":"冲鼻子我看着挺受罪的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965481372},{"body":{"content":"只有这样的方法最直接","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965511041},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965528242},{"body":{"content":"****口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534772},{"body":{"content":"这两个药用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965552302},{"body":{"content":"家里有*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965570017},{"body":{"content":"换掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584526},{"body":{"content":"鼻炎宁颗粒有作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965610468},{"body":{"content":"****用多大含量的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965664902},{"body":{"content":"用来用去， 最后还是我说的方法最好，副作用最小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965671523},{"body":{"content":"鼻腔冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965678333},{"body":{"content":"我婆婆用过鼻腔冲洗器","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736998},{"body":{"content":"用鼻腔冲洗器加上****在口服****是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965826663},{"body":{"content":"****一天用几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965861141},{"body":{"content":"我说的配方冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965891204},{"body":{"content":"其他药机不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965901587},{"body":{"content":"冲洗一个月吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965940778},{"body":{"content":"广冲洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954987},{"body":{"content":"冲洗半个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977987},{"body":{"content":"一天一次吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008299},{"body":{"content":"冲洗是一天一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966022736},{"body":{"content":"前五天一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966054459},{"body":{"content":"您的意思是冲洗了就不用****了是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966059410},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966067818},{"body":{"content":"还用口服****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966129360},{"body":{"content":"不用啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143691},{"body":{"content":"好的，谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966158884}]

男10岁

2022.05.20

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20