刘继帅

[{"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":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20

[{"body":{"content":"医生好，上次的药吃完了，这次想买*********25mg五盒，请帮我开方\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877937805},{"body":{"content":"请稍等，我来开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878623728},{"body":{"content":"处方已开好，您点击查看详情，选择预约购药，就可以直接购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878673405},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879998890}]

男67岁

2022.05.20

[{"body":{"content":"红肿，肿的很大，摸起来里面很硬，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877814698},{"body":{"content":"嗯 这是虫咬皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878719269},{"body":{"content":"注意近期的饮食和接触物 避免海鲜坚果芒果饮食 注意避免接触动物植物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878721662},{"body":{"content":"孩子有无食物药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878722642},{"body":{"content":"给您一些用药推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878728007},{"body":{"content":"孩子非常的痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878730294},{"body":{"content":"好像没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878747459},{"body":{"content":"****口服抗过敏 一次7滴 一天两次 ***一天2次涂抹 **一天两-3次涂抹止痒抗炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878843228},{"body":{"content":"附近药店如果能买到先用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878858059},{"body":{"content":"肿的很大，是红肿，手机拍的颜色不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878867632},{"body":{"content":"**不好买就网上购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878872708},{"body":{"content":"定期复查 免费随诊 后面可以扫描这个二维码找我复查开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878881371},{"body":{"content":"用药3天找我复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878885160},{"body":{"content":"止痒药物可以用***替代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878902628},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878927311},{"body":{"content":"对 口服的是这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879088081},{"body":{"content":"外用的您先用***和***吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879100908},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879112470},{"body":{"content":"小区东莞国药只有国产的**********，可以用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879803607},{"body":{"content":"嗯 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879840420},{"body":{"content":"外用配合一起图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879845166},{"body":{"content":"能买到**********也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879853902},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880621441}]

男6岁

2022.05.20

[{"body":{"content":"您好！我是全科杨医生。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475971},{"body":{"content":"感冒发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965485010},{"body":{"content":"请问您有线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965514462},{"body":{"content":"需要我提供什么帮助呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525570},{"body":{"content":"***可以和**和***一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540383},{"body":{"content":"可以一起服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965561331},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965581040},{"body":{"content":"不用谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965586690},{"body":{"content":"****可以治发烧吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965669759},{"body":{"content":"昨晚去医院看完，打完吊针","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965682373},{"body":{"content":"今天中午又发烧回来了37.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965691186},{"body":{"content":"昨天发烧38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965696493},{"body":{"content":"***是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965707704},{"body":{"content":"37.7度可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729561},{"body":{"content":"不建议服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762260},{"body":{"content":"那吃了会没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799008},{"body":{"content":"37.6度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965815288},{"body":{"content":"体温一般超过38.5℃才需要服用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822709},{"body":{"content":"那服用了不会有什么事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844698},{"body":{"content":"问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965894003},{"body":{"content":"但没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900255},{"body":{"content":"物理降温即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913330},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965913596},{"body":{"content":"***也是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965922176},{"body":{"content":"***37.6可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965925074},{"body":{"content":"也没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965930767},{"body":{"content":"多喝水，物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965949178},{"body":{"content":"怎么物理降温","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965955308},{"body":{"content":"用凉水敷额头有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000654},{"body":{"content":"多喝水，温水擦浴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966003850},{"body":{"content":"主要擦哪里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966081566},{"body":{"content":"比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091055},{"body":{"content":"擦全身","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092507},{"body":{"content":"凉水敷额头也可以帮助降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123990},{"body":{"content":"吃多了药，晚上肾疼正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966157179},{"body":{"content":"两边肾都有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966174897},{"body":{"content":"偶尔喝点水，一喝过一会就想上厕所","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966199470},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966203328},{"body":{"content":"人是感受不到肾疼的，除非肾结石、肾破裂等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966235048},{"body":{"content":"多喝水，排尿多，帮助降温好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966257939},{"body":{"content":"如反复发热，不缓解，建议及时当地医院发热门诊就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311743},{"body":{"content":"去医院看过了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966575564},{"body":{"content":"去医院看的时候38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585946},{"body":{"content":"然后晚上就退烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966593801},{"body":{"content":"昨晚又发烧了37.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966600376},{"body":{"content":"到现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966606503},{"body":{"content":"都是差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966612136},{"body":{"content":"嗯嗯，比昨天好，说明发热有好转。可物理降温，然后继续观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966669500},{"body":{"content":"昨天晚上都退烧了，然后今天又发回来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966707244},{"body":{"content":"昨晚打了吊针的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966714874},{"body":{"content":"如果再不能好，需不需要去医院看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966726231},{"body":{"content":"如果药物有效，也需要一定时间，一般如果3天都无明显好转，需要复查，更改方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966796601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966826024},{"body":{"content":"还有拉不出屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966832820},{"body":{"content":"有感觉想拉，就去拉不出正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966844795},{"body":{"content":"***有没有用呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967020917},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967027257},{"body":{"content":"服用的**多少会对****有点影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967060806},{"body":{"content":"***有帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071490},{"body":{"content":"那买那种比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967105415},{"body":{"content":"这个没有推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967137916},{"body":{"content":"成人儿童的都可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967186022},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967194654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967228858},{"body":{"content":"多吃蔬菜、水果，补充蛋白质，提高抵抗力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967232010},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967236835},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967312057},{"body":{"content":"嗯嗯，不用谢。请问您还有其他医学问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967337071},{"body":{"content":"暂时没了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967368155},{"body":{"content":"好的。感谢您的咨询，希望我的建议能够帮助到您，非常感谢您的信任！对话结束后可对我的服务作出评价。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967396570}]

男20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703486},{"body":{"content":"医生您好，问一下我脸上有好几个痣，激光点痣后3个多月了，本来很小的黑痣现在变成了很大的色沉一直退不掉怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049719765},{"body":{"content":"看照片考虑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049761157},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049773009},{"body":{"content":"那怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796901},{"body":{"content":"可以外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798246},{"body":{"content":"什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815133},{"body":{"content":"要涂多久有效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847729},{"body":{"content":"可以外用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870843},{"body":{"content":"淡化色斑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049878595},{"body":{"content":"脸上为什么会出现这种情况呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901575},{"body":{"content":"本来是很小的黑痣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912369},{"body":{"content":"现在反而难看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922965},{"body":{"content":"点痣后留的色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935351},{"body":{"content":"一般的人点痣后都会留有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961542},{"body":{"content":"很少留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004233},{"body":{"content":"那为什么我脸上会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022404},{"body":{"content":"点痣的副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062689},{"body":{"content":"除了涂药还有什么好方法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066631},{"body":{"content":"没有其他办法了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088841},{"body":{"content":"是医生的缘故还是本人皮肤的缘故","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092200},{"body":{"content":"都有原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156870},{"body":{"content":"肤质有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161361},{"body":{"content":"涂药只能淡化，不能完全与肤色一样是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237023},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256520},{"body":{"content":"**怎么使用，一个月大概用几只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"晚上用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415139},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572467},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605881}]

女20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

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965757804},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965780812},{"body":{"content":"可以把报告发给我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965785236},{"body":{"content":"没系道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965830266},{"body":{"content":"大概的意思 你是描述的胆囊的大小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965866511},{"body":{"content":"但是您写的数值不正确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881610},{"body":{"content":"他写成40******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893697},{"body":{"content":"是您自己的报告吗 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965920361},{"body":{"content":"应该是60mm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965932371},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935369},{"body":{"content":"所以 您还有其他不适的感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965976184},{"body":{"content":"不知反正是B超写的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965983580},{"body":{"content":"沒有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056035},{"body":{"content":"乙肝病毒会有没些问题出现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966138705},{"body":{"content":"应该是书写的误差 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966702843},{"body":{"content":"您的意思是 您有乙肝病毒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966843746},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966867492},{"body":{"content":"乙肝dna 和肝功水平有没有问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890219},{"body":{"content":"彩超有没有提示肝纤维化改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966917995},{"body":{"content":"1和5是阳姓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966933382},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966945774},{"body":{"content":"是乙肝 DNA病毒含量 和 肝功。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966980702},{"body":{"content":"只有提示胆有於汁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063085},{"body":{"content":"照CL只有獭壮肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967131840},{"body":{"content":"请 描述准确一些 我不太看得懂您说的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967179628}]

男43岁

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":1653049822923},{"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":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107629},{"body":{"content":"在哪里透析的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120901},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132320},{"body":{"content":"新桥医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137368},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050141485},{"body":{"content":"哪里人啊？**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163289},{"body":{"content":"今天刚出院，但是回来换了一袋以后，阴囊肿起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165096},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050176915},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181228},{"body":{"content":"腹膜透析做了几天？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211048},{"body":{"content":"11号做的手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221306},{"body":{"content":"一周多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245610},{"body":{"content":"腹腔镜手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250567},{"body":{"content":"插管这种，不是腹腔镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268185},{"body":{"content":"哦，几号还是腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290276},{"body":{"content":"哦，几号开始腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313532},{"body":{"content":"12","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321076},{"body":{"content":"下面什么时候开始肿的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357542},{"body":{"content":"下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362073},{"body":{"content":"今天刚出院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050373880},{"body":{"content":"哦，尿量怎么样啊？应该还可以吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398629},{"body":{"content":"出院前是2000每次，一天四次，今天出院耽误了，到目前，换了两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050401571},{"body":{"content":"1000+基本上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412267},{"body":{"content":"有几个建议:暂停几天腹透，观察一下，下次半袋留腹看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489704},{"body":{"content":"好，那我等会儿换的时候，不放完看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531231},{"body":{"content":"若还是不行，可能你有隐匿性的疝气，需要手术修补","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551082},{"body":{"content":"我放出来的时候，感觉飘管了，有点慢，躺着的时候很顺畅","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050597231},{"body":{"content":"等一下都放完啊，空腹几天看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597358},{"body":{"content":"放进去是很通畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050617701},{"body":{"content":"多走走，保持大**畅，没有都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638849},{"body":{"content":"多走走，保持大**畅，每天都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050651857},{"body":{"content":"在这期间有任何不适，及时去新桥医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686563},{"body":{"content":"大**畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050714562},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050727053},{"body":{"content":"那我这个，***肿起来，先不管吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050747921},{"body":{"content":"把腹透液都放出来，一般情况，空腹几天，会**消退的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780249},{"body":{"content":"下次半袋留腹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050795841},{"body":{"content":"若还是不行，建议去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809964},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050875955},{"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":1653051607757}]

男32岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20