刘继帅

[{"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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男47岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205207},{"body":{"content":"请问是怎么受伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217262},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221825},{"body":{"content":"小孩玩耍，不小心用棍棒碰到眼睛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261065},{"body":{"content":"昨天这个时候就一点血丝，现在就是图片上的症状了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301978},{"body":{"content":"有没有视力下降？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304757},{"body":{"content":"没有，除了一点点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336388},{"body":{"content":"这个问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344926},{"body":{"content":"没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356345},{"body":{"content":"就是结膜下的小血管受外力撞击之后破裂了导致的结膜下出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375996},{"body":{"content":"就是血丝血块多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381832},{"body":{"content":"1-2天内单位会有逐渐扩大的趋势","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404756},{"body":{"content":"需要进医院治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412595},{"body":{"content":"不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423702},{"body":{"content":"这个血块3-4周会自己吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435641},{"body":{"content":"48小时内建议您用冰袋冷敷一下眼睛促进**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455062},{"body":{"content":"48小时候可以热敷促进积血吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467620},{"body":{"content":"昨天不明显，**一直在封控状态，昨天就没有去看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478335},{"body":{"content":"需要***消毒杀菌之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511077},{"body":{"content":"您如果觉得实在不舒服可以用一点*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536958},{"body":{"content":"症状不明显的话不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550412},{"body":{"content":"不舒服到是不明显，不然昨天就开就医证明去医院看了，就是稍微有点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611544},{"body":{"content":"那不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657921},{"body":{"content":"这几天尽量少用眼就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669522},{"body":{"content":"3-4周积血就能吸收完了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683825},{"body":{"content":"今天可以用冰袋敷一下**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050706072},{"body":{"content":"饮食有什么要求注意的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708917},{"body":{"content":"好的，一会我去冰敷一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050733257},{"body":{"content":"不要吃辛辣的就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757726},{"body":{"content":"这个可以滴吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050786167},{"body":{"content":"这不不需要哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050790759},{"body":{"content":"这个是降眼压的，不对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797576},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806395},{"body":{"content":"谢谢医生了，**封控出不去，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050851738},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050858813},{"body":{"content":"你们都辛苦了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881845}]

男34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817477},{"body":{"content":"看是用什么方法降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830520},{"body":{"content":"你好我这高血脂好降吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839424},{"body":{"content":"减肥和日常饮食呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876645},{"body":{"content":"如果是吃******，大概率会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965883411},{"body":{"content":"因为我前两年天天喝酒大吃大喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891280},{"body":{"content":"然后前几天查出来高血脂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965900851},{"body":{"content":"如果从饮食运动生活规律入手，降下来饮食控制，大多不会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913341},{"body":{"content":"还年轻，改变饮食，增加锻炼，可以降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965936511},{"body":{"content":"那得高血脂是一辈子喝不了酒了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965942998},{"body":{"content":"年轻是不是血脂更好降啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966272436},{"body":{"content":"我现在天天锻炼然后喝绿茶和**水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966294053},{"body":{"content":"饮食方面不吃油腻的和高胆固醇","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966313509},{"body":{"content":"年轻好一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966844876},{"body":{"content":"身体锻炼更重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966859758},{"body":{"content":"不是一辈子不喝酒，而是有节制，大鱼大肉生活紊乱，身体早晚会出问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966893740},{"body":{"content":"可以**配***，**泡茶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966923654},{"body":{"content":"嗯就是降下来以后一个月吃喝那么一次两次那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966937583},{"body":{"content":"然后经常锻炼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966949350},{"body":{"content":"应该可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966952736},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966971568},{"body":{"content":"我用**干泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966991919},{"body":{"content":"有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966995968},{"body":{"content":"有一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967008049},{"body":{"content":"然后用绿茶泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967009098},{"body":{"content":"这些都是辅助，重要是控制饮食，增加运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967039173},{"body":{"content":"我现在基本就是吃素","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063756},{"body":{"content":"然后偶尔素菜炒瘦肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967073840},{"body":{"content":"**炒**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967082880},{"body":{"content":"可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967085469},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967094249},{"body":{"content":"一般要降下来需要多长时间呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967121927},{"body":{"content":"不是不让吃肉，要控制，晚饭不要吃太多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967125594},{"body":{"content":"我下个月再去检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967127509},{"body":{"content":"运动，一两个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967139170},{"body":{"content":"辅助作用最好吃点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967361755},{"body":{"content":"***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967366712},{"body":{"content":"苹果***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967375656},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967511615},{"body":{"content":"大多都可以吃，不必那么小心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967528831},{"body":{"content":"少甜，少油即可，最重要还是运动（特别强调）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967564609},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967573817},{"body":{"content":"我基本不吃甜食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967578107},{"body":{"content":"运动大概一天30分钟那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967592308},{"body":{"content":"坚持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967601686},{"body":{"content":"但我不是跑步是做keep那种燃脂可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967608894},{"body":{"content":"另外不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967609971},{"body":{"content":"最好有氧运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967627267},{"body":{"content":"就是有氧的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967644058},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676397},{"body":{"content":"希望我的建议能够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鸡蛋是不是不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967989864},{"body":{"content":"一周吃几个合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967996728},{"body":{"content":"血脂降下来要天天运动吗 还是一周2-3次就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968100984},{"body":{"content":"哈喽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971180445},{"body":{"content":"可以吃鸡蛋","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998021891},{"body":{"content":"每天一个可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998037105},{"body":{"content":"如果身体超重把体重降下来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998057578},{"body":{"content":"锻炼能喝**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030046202},{"body":{"content":"这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030536033},{"body":{"content":"可以吃，只能作为辅助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030915516},{"body":{"content":"这些产品来源一定要搞清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030946804}]

男19岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936167},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937523},{"body":{"content":"17岁，男，为自己孩子咨询","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051000243},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051016862},{"body":{"content":"您咨询的这款对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340094},{"body":{"content":"养成良好的用眼习惯，合理的用眼，减少使用电子产品时间，避免眼疲劳，要控制用眼距离。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582538},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584634},{"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":1653051586088}]

女

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965154087},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965167720},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171628},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965195569},{"body":{"content":"请问这个像尖锐湿疣吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965197572},{"body":{"content":"请稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280779},{"body":{"content":"您重新拍一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965294009},{"body":{"content":"发原图给我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965297220},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965304371},{"body":{"content":"看见了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965563522},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569204},{"body":{"content":"不太清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965579737},{"body":{"content":"拍照时点一下手机屏幕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650756},{"body":{"content":"这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965679262},{"body":{"content":"图片不要⭕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965704833},{"body":{"content":"看到哪个小泡泡是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965812356},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965824847},{"body":{"content":"图片看不考虑尖锐湿疣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965843259},{"body":{"content":"那这个像什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965860074},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965871945},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872252},{"body":{"content":"龟头炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965873070},{"body":{"content":"考虑疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965879239},{"body":{"content":"什么是疱疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965899205},{"body":{"content":"图片其他地方看有问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965918810},{"body":{"content":"就是病毒疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952230},{"body":{"content":"其他正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959734},{"body":{"content":"这个碍事吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965969942},{"body":{"content":"需要治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965985457},{"body":{"content":"要开药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965991326},{"body":{"content":"怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965992730},{"body":{"content":"抹药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966004778},{"body":{"content":"确定是疱疹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005403},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966010696},{"body":{"content":"尖锐湿疣是怎么样子的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966114587},{"body":{"content":"您再看看这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966149268},{"body":{"content":"就是疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212855},{"body":{"content":"其他正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966220868},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228032},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966240590},{"body":{"content":"这个好治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966262787},{"body":{"content":"好治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966307295},{"body":{"content":"尖锐湿疣初期是什么样子啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328726},{"body":{"content":"因人而异的，具体不太好形容，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966403013},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966457161}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院于主任，很高兴为您提供医学服务，请问您想解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523399},{"body":{"content":"我想问问泰州第二人民医院有没有男科？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623125},{"body":{"content":"一般三甲医院都有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641704},{"body":{"content":"想做男科检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965642412},{"body":{"content":"做什么检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650781},{"body":{"content":"那是三乙医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749403},{"body":{"content":"建议去正规三甲医院检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965774713},{"body":{"content":"有手淫习惯，想检查一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799208},{"body":{"content":"精液量少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847936},{"body":{"content":"没有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965865323},{"body":{"content":"做精液的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872468},{"body":{"content":"要不要做阴茎充血检查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965973149},{"body":{"content":"听说要看充血情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999319},{"body":{"content":"可以检查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051855},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966170724},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966185790}]

男27岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010151},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014000},{"body":{"content":"血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021913},{"body":{"content":"9点以内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042068},{"body":{"content":"空腹?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128138}]

女

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097450},{"body":{"content":"你好，淡盐水鼻滴真的幼儿能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124282},{"body":{"content":"我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050161918},{"body":{"content":"您好，这款适用于28天以上宝宝呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166970},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169362},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180982},{"body":{"content":"您好，请问宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202800},{"body":{"content":"三个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050209399},{"body":{"content":"出月开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219663},{"body":{"content":"在想真的能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227013},{"body":{"content":"您好，参考详情页是可以用的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298016},{"body":{"content":"您好，主张宝宝在一岁以后才可以吃盐哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376097},{"body":{"content":"您好，在一岁以内也并不是完全要禁忌食盐，只是在一岁以内已经添加辅食，很多的调味品中已含有少量的盐，而此类盐的含量已足够宝宝食用，所以可以少量的在一岁以后逐渐添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437980},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442803},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童生长发育方面的相关问题，欢迎您随时联系我！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466211}]

女

2022.05.20