刘继帅

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

女21岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013730},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050016430},{"body":{"content":"都是正常状态","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065332},{"body":{"content":"不是哺乳期孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080629},{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050122056},{"body":{"content":"您在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895968},{"body":{"content":"你线下看过了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909329}]

女

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":1652965252829},{"body":{"content":"你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗 你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296231},{"body":{"content":"重伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965315750},{"body":{"content":"这个**特别是病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965463709},{"body":{"content":"这个病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965481670}]

男55岁

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050690150},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699955},{"body":{"content":"不确认怀孕的情况下是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702870},{"body":{"content":"确认没有怀孕的情况下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720012},{"body":{"content":"刚测到排卵强阳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722379},{"body":{"content":"影响排卵受精吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050730994},{"body":{"content":"这个不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050737764},{"body":{"content":"尽量不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744595},{"body":{"content":"因为有点感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746507},{"body":{"content":"如果准备同房的话","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750313},{"body":{"content":"准备同房","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757990},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763263},{"body":{"content":"感冒嗓子太不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772129},{"body":{"content":"女方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050776791},{"body":{"content":"还是建议治疗好以后下个月同房","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791234},{"body":{"content":"或者是就多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794116},{"body":{"content":"不建议吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801276},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816686},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820317},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823656},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826690},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828193},{"body":{"content":"您对肾虚有了解吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838706},{"body":{"content":"肾虚分为肾阳虚和肾阴虚，肾阳虚——肾阳虚主要表现为脸色苍白、畏寒怕冷、浮肿、腰腿冷痛、尿频而少、慢性腹泻等症状。肾阴虚——腰膝部位酸痛，头晕或耳鸣，听力下降，口乾咽燥，烦热，手足掌心发热，晚上出汗，大便乾结，男子遗精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871606},{"body":{"content":"有点早泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876687},{"body":{"content":"在吃药物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892879},{"body":{"content":"射的快，三五分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897582},{"body":{"content":"没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900527},{"body":{"content":"敏感","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905253},{"body":{"content":"如果一直这个情况的话，还是需要看一下男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920927},{"body":{"content":"医院吗？挂什么号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944676},{"body":{"content":"饮食宜清淡营养，忌辛辣不容易消化食物，节制房事，加强体育锻炼，增强体质，多吃一些清淡的食物，含有***和蛋白质比较高的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949685},{"body":{"content":"男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050951789},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036039},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051039837},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070292},{"body":{"content":"能治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075031},{"body":{"content":"线下看男科看一下是先天敏感还是什么原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100683},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051360547}]

女

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":1653049611186},{"body":{"content":"图片资料下载中，请您稍候。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049613129},{"body":{"content":"图片看到，受伤多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624481},{"body":{"content":"今天下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671615},{"body":{"content":"目前这种情况，属于2级动物导致的暴露损伤，是需要狂犬**注射的，受伤后24小时内注射","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687642},{"body":{"content":"注射前，您最好先通过网络查询您所在地区的**注射地点时间，避免跑冤枉路。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049704296},{"body":{"content":"要打五针吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049809243},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049817963},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891000},{"body":{"content":"祝您身体健康，生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938077}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"方便再拍别的地方的照片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383104},{"body":{"content":"刚刚洗澡热水烫过之后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449899},{"body":{"content":"很热的烫的，烫过去很舒服，但是会起疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509490},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050510027},{"body":{"content":"有一个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518924},{"body":{"content":"有没有那种止痒的涂的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558351},{"body":{"content":"有没有晚上加重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590560},{"body":{"content":"别的人有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602978},{"body":{"content":"就是晚上会痒一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607966},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642362},{"body":{"content":"手缝严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659556},{"body":{"content":"阴囊有疙瘩吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662679},{"body":{"content":"首先呢考虑是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774989},{"body":{"content":"但是得问问你的情况，需要看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792091},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829601},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871264},{"body":{"content":"可以口服******晚上一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874879},{"body":{"content":"手缝我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893045},{"body":{"content":"这么痒我得看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905879},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908354},{"body":{"content":"手缝和手腕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919324},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925580},{"body":{"content":"手缝和手腕都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957249},{"body":{"content":"也不咋痒是不","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964294},{"body":{"content":"都不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050974485},{"body":{"content":"那就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983850},{"body":{"content":"外用*****一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991828},{"body":{"content":"这个药膏含有**，不过局部用是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993872},{"body":{"content":"吃过了了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998994},{"body":{"content":"不管用的话可以口服********，这个是好点的抗过敏药，不过吃这个不能吃西柚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051019359},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051121252},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131534},{"body":{"content":"痒的厉害也可以外用*****，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142988},{"body":{"content":"吃的这个没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051178695},{"body":{"content":"再加一个吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182880},{"body":{"content":"这个是考虑过敏是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051217636},{"body":{"content":"不是湿疹对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051225655},{"body":{"content":"是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247843},{"body":{"content":"湿疹就是过敏性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252683},{"body":{"content":"湿疹就是过敏反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268901},{"body":{"content":"疥疮呢，是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269557},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274671},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293853},{"body":{"content":"不客气哒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051314331},{"body":{"content":"就是在打***有没有关联","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314393},{"body":{"content":"不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331183},{"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347470},{"body":{"content":"好的。我先按照你说的先吃点药先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367714},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385341},{"body":{"content":"会不会有传染性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530004},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558796},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051752898},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766439}]

男32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":"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