刘继帅

[{"body":{"content":"[**]1（男性患者）为了您的用药安全，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？是否在备育期？\n[**]2（女性患者）为了您的用药安全，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？是否在备孕期、妊娠期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965180882},{"body":{"content":"您好，眼睛什么症状？请详细描述一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184346},{"body":{"content":"症状多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965189121},{"body":{"content":"去医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194004},{"body":{"content":"前几天孩子一只眼红，过几天没有好转，另一只也有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965227554},{"body":{"content":"有分泌物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965245360},{"body":{"content":"是红血丝吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965251793},{"body":{"content":"没有去，想明天去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965252392},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256716},{"body":{"content":"还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965260157},{"body":{"content":"没有分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262071},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965265728},{"body":{"content":"结膜炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271333},{"body":{"content":"使用******和","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965276430},{"body":{"content":"毛巾冷水拧干冷敷缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965281298},{"body":{"content":"这个影响因素有什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306363},{"body":{"content":"嗯考虑是过敏或者是细菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328743},{"body":{"content":"要经常给孩子洗手，注意手部眼部的卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337209},{"body":{"content":"如果特别痒过敏的话，就使用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965353688},{"body":{"content":"没有血块，只是白眼球发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354463},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359458},{"body":{"content":"痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965364987},{"body":{"content":"会不会跟颅内压高有关","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965373132},{"body":{"content":"不只是红血丝吗？孩子还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387326},{"body":{"content":"还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965391869},{"body":{"content":"没见孩子有什么其他异常反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965394051},{"body":{"content":"他还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401791},{"body":{"content":"没有其他疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965404999},{"body":{"content":"眼睛有红血丝，属于挺正常的一件","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965407177},{"body":{"content":"眼睛红血丝一般结膜炎过敏都会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414168},{"body":{"content":"吃饭睡觉没有任何影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965418122},{"body":{"content":"嗯，那没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965425267},{"body":{"content":"考虑是结膜炎，经常给孩子洗手","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430913},{"body":{"content":"有半个月了，不见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965438809},{"body":{"content":"毛巾冷敷缓解红血丝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965439391},{"body":{"content":"给孩子使用什么药物进行治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965446341},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457374},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462818},{"body":{"content":"给孩子摸*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475391},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482005},{"body":{"content":"涂抹*****没有见效果吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965487563},{"body":{"content":"痒不痒？如果特别痒的话，考虑是过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492697},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499895},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503912},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965504860},{"body":{"content":"使用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965508413},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517874},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528186},{"body":{"content":"治疗期间，注意用眼卫生，避免劳累，避免过度使用电子产品，多吃新鲜的水果和蔬菜，忌辛辣刺激的食物，情况没有改善时，建议及时就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965529312},{"body":{"content":"不客气祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534613},{"body":{"content":"祝早日康复，健康幸福，感谢支持请为我的服务作出完整全面评价，十分感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965537723},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550704},{"body":{"content":"感谢支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965558449}]

女2岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217047},{"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":1653050218322},{"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":1653050221674},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238773},{"body":{"content":"主要不适症状是什么呢？肛门口肿胀疼痛？还是出血呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050257646},{"body":{"content":"吃过***等药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261443},{"body":{"content":"主要是便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050276183},{"body":{"content":"大便 几天一次？干硬么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290694},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296230},{"body":{"content":"三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298064},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302823},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309695},{"body":{"content":"有时是硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327198},{"body":{"content":"没有腹痛腹胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355582},{"body":{"content":"好的，您有什么需要咨询了解的问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363809},{"body":{"content":"这种药搭配***吃，是否可以改善便秘？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429797},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477523},{"body":{"content":"可以的，这个药物 是减少肠道对**的吸收 达到软化大便的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542512},{"body":{"content":"配合***口服 效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547769},{"body":{"content":"******可以搭着吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571807},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607864},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621192},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662642},{"body":{"content":"关诊时间临近，后续您如果还有需要咨询的问题可以通过京东APP搜索“张泽医生”找到我，欢迎您咨询，我看到后**时回复您。希望我的建议能够帮助到您，感谢您的信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。京东健康，祝您健康，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051870719}]

男85岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王惠，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049812814},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815644},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822798}]

女

2022.05.20

[{"body":{"content":"你近期有没有高兴不起来，对什么事都提不起兴趣，反应迟钝，注意力难以集中，记忆力下降，容易疲劳，烦躁易怒，失眠等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965696627},{"body":{"content":"有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716950},{"body":{"content":"你先做个心理测试吧，如果打不开就把链接复制或手动输入到浏览器再打开，做完把总分或截图发给我帮你分析一下。\nhttp://www.apesk.com/sds/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965737872},{"body":{"content":"你做完测试之后点击表格下方的提交答案按钮，会自动出结果，麻烦你把分数截图告诉我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744324},{"body":{"content":"自己一个人的时候很孤独","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965748300},{"body":{"content":"把心理测试做一下吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822393},{"body":{"content":"做完了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986145},{"body":{"content":"做好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967367455},{"body":{"content":"截图给我看看，这是第三方网站，我这边收不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967579368}]

女16岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20

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

男73岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019888555},{"body":{"content":"各地价格不一样，一千左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019893630},{"body":{"content":"**的医院做心理疾病诊断要多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020051879},{"body":{"content":"具体需要，问当地医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020626158},{"body":{"content":"这里是互联网医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020630696}]

女14岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050402161},{"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":1653050403727},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406005},{"body":{"content":"应该是给宝宝吃的多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050461681},{"body":{"content":"第一次就给宝宝吃150毫升，有点太多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482690},{"body":{"content":"**的一次给宝宝吃了多少呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515388},{"body":{"content":"**是两勺，55ml的温水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816134},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050825219},{"body":{"content":"刚才冲的没喝完的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826752},{"body":{"content":"初次添加可以用一平勺约5克米粉，加60毫升的水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050850504},{"body":{"content":"米粉初期添加可以先给宝宝吃5-6口让宝宝适应一下，3天后可以逐渐增加喂养量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050870063},{"body":{"content":"可以发个冲调的顺序吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876436},{"body":{"content":"一般的婴儿米粉包装上，都会标明米粉的冲调浓度，第一次给宝宝添加的时候，可以比说明书上标明的浓度冲调的更稀一点，在宝宝能够接受这个浓度以后，再逐渐调整到按照说明书上的比例冲调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050885626},{"body":{"content":"包装就是写着5勺啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906115},{"body":{"content":"将白开水凉到60℃备用\n在碗中加入准备好的温开水，取米粉到小碗中，边加边按一个方向搅拌，搅拌均匀后，静置30秒即可\n，最后一步是试温度,将米粉滴在手腕内侧温热无烫感就合适了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961257},{"body":{"content":"我就是按照这个来冲调的，想着之前吃过米粉，所以就按照平时的冲调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006205},{"body":{"content":"那合适冲调比例","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014289},{"body":{"content":"不要一开始就给宝宝吃那么多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028432},{"body":{"content":"可能是吃太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064785},{"body":{"content":"刚开始添加辅食的宝宝肠胃比较娇嫩，还不太适应辅食，需要先稀一些，**再增加喂养量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077589},{"body":{"content":"之前也没吃过那么多的，我以为你们的冲调不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051083358},{"body":{"content":"宝宝辅食喂养的原则是由少到多，由稀到稠，由单一到多样，循序渐进逐步添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098776},{"body":{"content":"我是京东医生育儿师，不是任何一款商品的客服哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137872},{"body":{"content":"从哪款商品的窗口都可以联系到我的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163171},{"body":{"content":"看起来给宝宝吃的有点多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187768},{"body":{"content":"给宝宝减少喂养量，喂***调理，观察会不会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051207013},{"body":{"content":"让宝宝肠胃休息一两天，在**少量开始添加喂养。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231410},{"body":{"content":"??","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051332007},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362747}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335204},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398472},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400378},{"body":{"content":"我昨天和一个女的发生关系，我怀疑她是艾滋病患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050431438},{"body":{"content":"她身高1.68，体重40kg，我听说体重明显偏瘦的人，有可能是艾滋病患者，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471699},{"body":{"content":"没有这种说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486083},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050510814},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050515678},{"body":{"content":"不用太紧张的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523097},{"body":{"content":"即使她是，我带***了，应该没有影响吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050538319},{"body":{"content":"戴了***会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568880},{"body":{"content":"但是也有点风险的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576250},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582551},{"body":{"content":"就和带了**套还会怀孕差不多道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592682},{"body":{"content":"不过几率是比较低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603543},{"body":{"content":"有这个说法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050608941},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630679},{"body":{"content":"这种概率还是很低的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638642},{"body":{"content":"不用太紧张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050642462},{"body":{"content":"还是有点忐忑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643959},{"body":{"content":"担心啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647103},{"body":{"content":"我需不需要吃***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657553},{"body":{"content":"不放心你可以去疾控中心买***吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666861},{"body":{"content":"现在刚好24h","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669613},{"body":{"content":"要连续吃28天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680425},{"body":{"content":"72小时内都有效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688991},{"body":{"content":"不过越早吃越好就是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050699378},{"body":{"content":"京东有卖的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699702},{"body":{"content":"药叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050711580},{"body":{"content":"听你这么说，其实概率非常低了，首先都不能确定她是患者","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050774246},{"body":{"content":"是的概率很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096892},{"body":{"content":"***是几种*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121400},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051183204},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051191010},{"body":{"content":"我觉得不吃也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051200749},{"body":{"content":"等三周以后检查一下感染四项就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223735},{"body":{"content":"不过你要是不放心 吃一下***更安心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051258035},{"body":{"content":"不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305865},{"body":{"content":"哪里可以查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317653},{"body":{"content":"医院都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324942},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328312},{"body":{"content":"到正规公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333606},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339662},{"body":{"content":"主要是听到别人说，特别瘦的人有可能是艾滋病患者，我才担心的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051362691},{"body":{"content":"县级及以上的医院都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363104},{"body":{"content":"没这个说法的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051381215},{"body":{"content":"那我就放心了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051388249},{"body":{"content":"艾滋病人可以和正常人一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392580},{"body":{"content":"看不出来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396726},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051402962},{"body":{"content":"我看了电影上面的艾滋病人，也非常瘦啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423843},{"body":{"content":"他们只是免疫系统出问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051428546},{"body":{"content":"容易生病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434885},{"body":{"content":"那种电视上看到的很瘦的一般都是比较晚期的了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473271},{"body":{"content":"晚期会有其他的并发症吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051498408},{"body":{"content":"肉眼显而易见的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051523210},{"body":{"content":"也没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534872},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051541837},{"body":{"content":"所以避免感染最好的方法就是避免高危性生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051575962},{"body":{"content":"她那么年轻，不会是艾滋病晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051581314},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584366},{"body":{"content":"有了这次教训，下次不敢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599398},{"body":{"content":"嗯嗯 现在很多女的都比较瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051620763},{"body":{"content":"主要是她也太瘦了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051635551},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051656278},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051671634},{"body":{"content":"我没问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051681705},{"body":{"content":"如果您对此次问诊满意，请给个五星好评，谢谢！\n您以后有任何皮肤性病相关的问题可以在京东健康APP直接搜索“**”找我复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051687148},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051695383},{"body":{"content":"那我结束问诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712937},{"body":{"content":"嗯，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051718117},{"body":{"content":"有问题随时来咨询 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051731272},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051735415},{"body":{"content":"嗯嗯，放轻松点，早点休息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759230}]

男35岁

2022.05.20