王斌

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203310},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287015},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324196},{"body":{"content":"全面部拍个看看，好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050331184},{"body":{"content":"脸上偶尔会有个红疙瘩，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380787},{"body":{"content":"平时就消下去，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392320},{"body":{"content":"额头这块，已经三四天了没有消下去，平时就透明白白的，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435444},{"body":{"content":"其他地方还有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562271},{"body":{"content":"头上应该是热疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580330},{"body":{"content":"偶尔起来，偶尔消下去，没有额头这样的小点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604016},{"body":{"content":"热疹一般凉了会退","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622189},{"body":{"content":"额头这块三四天前起来的，现在也没消下去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655568},{"body":{"content":"有湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712892},{"body":{"content":"买个*****稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723925},{"body":{"content":"平常清洁皮肤后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736516},{"body":{"content":"参考看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741963},{"body":{"content":"一哭就红红的，不哭就好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743002},{"body":{"content":"热也会加剧湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761628},{"body":{"content":"这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775221},{"body":{"content":"就是保湿做好 是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783583},{"body":{"content":"可以试用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861686},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992180}]

女29天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965469126},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965476952},{"body":{"content":"拍照看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497200},{"body":{"content":"嗯没错","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503247},{"body":{"content":"足内翻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965517456},{"body":{"content":"跟肚子里面姿势有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525719},{"body":{"content":"内外侧按摩，可以一天四五次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535292},{"body":{"content":"按摩一段时间就好了没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545778},{"body":{"content":"宫腔里面空间小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965554928},{"body":{"content":"你好！刚才断线了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420909},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967436209},{"body":{"content":"还有什么问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967441149},{"body":{"content":"现在该如何处理？附近有没有专业的医院，**阳*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967474461},{"body":{"content":"按摩就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967491802},{"body":{"content":"两侧，活动活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967498728},{"body":{"content":"很快好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967501815},{"body":{"content":"放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967505216},{"body":{"content":"她脚踝是松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967529244},{"body":{"content":"大部分可以好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967532478},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967533929},{"body":{"content":"就是要继续动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967538189},{"body":{"content":"没几个需要手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967569214},{"body":{"content":"除了骨头问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967604182},{"body":{"content":"经常用点力向内轻压一下她双小腿行不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967610373},{"body":{"content":"想外","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967674682},{"body":{"content":"不是内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676850},{"body":{"content":"内外侧都有按摩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967688050},{"body":{"content":"好的！谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968269835},{"body":{"content":"嗯没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284248}]

女1岁4个月

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800103},{"body":{"content":"孩子多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803766},{"body":{"content":"15岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815991},{"body":{"content":"为了您孩子的用药安全，特殊情况请提前告知，如：（其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829504},{"body":{"content":"脸，背都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049837336},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841547},{"body":{"content":"方便发张照片看下症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049849486},{"body":{"content":"背上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860570},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865027},{"body":{"content":"请问针对您孩子的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049939982},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049952101},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955378},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049986102},{"body":{"content":"**\n用法用量，一天一次，涂抹在患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989696},{"body":{"content":"这个不含**等成分的，孩子也可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050001251},{"body":{"content":"脸上也可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012398},{"body":{"content":"是 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030952},{"body":{"content":"脸上身上都可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037282},{"body":{"content":"好的 非常感谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055314},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067629},{"body":{"content":"建议您孩子平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087754},{"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":1653050233290},{"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":1653050234957}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965415873},{"body":{"content":"肚子疼和吃饭有关吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965426383},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965431096},{"body":{"content":"大便怎样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965436602},{"body":{"content":"大便感觉还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447741},{"body":{"content":"就是一直隐疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965467676},{"body":{"content":"肚子哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479753},{"body":{"content":"小肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488060},{"body":{"content":"左中右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965499327},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965510139},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965512514},{"body":{"content":"像你这样36岁，下腹部疼痛，还是考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965544147},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965555910},{"body":{"content":"建议做个肠镜看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559203},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965566050},{"body":{"content":"有可能是肠道功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573688},{"body":{"content":"就做个肠镜吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965580056},{"body":{"content":"熬夜，喝酒，不良饮食习惯都可以导致","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965592678},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596786},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965599258},{"body":{"content":"需不需要做个腹部彩超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965614366},{"body":{"content":"做肠镜检查，排查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965616763},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626438},{"body":{"content":"下腹部主要是肠管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627455},{"body":{"content":"只有右下腹有阑尾可以做彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965643507},{"body":{"content":"隐痛，间断出现，考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965679257},{"body":{"content":"********，****，可以吃上看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714511}]

男36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":1653049840658},{"body":{"content":"小孩子喉咙发炎导致的发烧吃的这些药，现在不发烧了，喉咙还有点发烧，还有点痰鸣音，现在还可以用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954185},{"body":{"content":"喉咙还有点发炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977631},{"body":{"content":"孩子精神状态怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049988661},{"body":{"content":"体温最高多少度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994068},{"body":{"content":"精神状态很好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049997600},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003369},{"body":{"content":"现在不发烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050016378},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027307},{"body":{"content":"精神好就问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036685},{"body":{"content":"吃了那些药之后不发烧了就是痰鸣音还有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046392},{"body":{"content":"如果仅仅喉咙不舒服可以继续喷那个喉咙的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075275},{"body":{"content":"那他喉咙还有点呵呵的声音","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050146703},{"body":{"content":"有咳嗽吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166705},{"body":{"content":"有时候有点咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050177469},{"body":{"content":"精神好就继续用药观察下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208666},{"body":{"content":"现在就是没有药了，想开单买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050240229},{"body":{"content":"给您开了前面两个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376977},{"body":{"content":"其他两种我觉得可以不用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394692},{"body":{"content":"咳嗽那他咳嗽这个问题有没有药可以用的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529722},{"body":{"content":"可以吃点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559864},{"body":{"content":"或者继续给您开*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599529},{"body":{"content":"6个月7天的宝宝可以用*****吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611346},{"body":{"content":"量是多少？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619526},{"body":{"content":"哪一种药好就开哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650982},{"body":{"content":"如果之前吃了*****就继续吃这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678943},{"body":{"content":"那就继续吃*****吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050701858},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729540},{"body":{"content":"需要开吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735154},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740509},{"body":{"content":"之前的吃完了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757539},{"body":{"content":"明天还有一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778295},{"body":{"content":"给您开好了，您核对下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806996},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858296},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050882984}]

男2岁6个月

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296702},{"body":{"content":"吃多会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302598}]

女

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

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":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076045},{"body":{"content":"这个风险大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051160383},{"body":{"content":"相比搭桥手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168648},{"body":{"content":"大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176348},{"body":{"content":"你做的是支架","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182550},{"body":{"content":"不是搭桥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192040},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051194499},{"body":{"content":"这个手术要开胸的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051202670},{"body":{"content":"像你这么重的冠心病风险肯定大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217930},{"body":{"content":"能推荐一下**好的医院和专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353404},{"body":{"content":"安贞医院和阜外医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441436},{"body":{"content":"我目前保守治疗行么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579322},{"body":{"content":"只吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584104},{"body":{"content":"观察吧，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051599798},{"body":{"content":"这两个医院有好的专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051606161},{"body":{"content":"我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051636633},{"body":{"content":"看心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051643910},{"body":{"content":"具体哪些专家我也不是很清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654703},{"body":{"content":"较小的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666139},{"body":{"content":"\n我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688555},{"body":{"content":"麻烦回我一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051700215}]

男47岁

2022.05.20