刘继帅

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050147784},{"body":{"content":"一天几次大便？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050153513},{"body":{"content":"前天晚上两次，昨天两次 今天两次。拉水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237245},{"body":{"content":"精神状态好不好？食欲好不好？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261359},{"body":{"content":"都好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050265337},{"body":{"content":"那就是有一些消化不了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277754},{"body":{"content":"喂一点鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283350},{"body":{"content":"吃了这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302281},{"body":{"content":"昨天开始吃的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315682},{"body":{"content":"要不要吃**➕这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350841},{"body":{"content":"这个就加上****，水样便的话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357678},{"body":{"content":"哪个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050374787},{"body":{"content":"他就是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382321},{"body":{"content":"哪两个搭配？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050397607},{"body":{"content":"****和上面那个***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407257},{"body":{"content":"这干吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451442},{"body":{"content":"这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050476661},{"body":{"content":"这个******和您喂的那个都属于***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485291},{"body":{"content":"我说的是鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497121},{"body":{"content":"*****➕**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050584245},{"body":{"content":"如果是喂鞣酸蛋白酵母散就喂这一种就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050611185},{"body":{"content":"如果喂***就加上****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050631836},{"body":{"content":"好的，可以开我开处方吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050645120},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654250},{"body":{"content":"开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663332},{"body":{"content":"***和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673695},{"body":{"content":"根据上述情况我可以给您一些用药建议。为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687570},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715722},{"body":{"content":"用药前您仔细阅读药品说明中禁忌注意事项，如果无禁忌，没有过敏史，没有不适，可使用我为您开的药品，如果您在应用过程中出现不适，请及时上线咨询或者是线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050769307},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806832},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051054062},{"body":{"content":"****怎么吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051067008},{"body":{"content":"****一次一袋，一天2~3次，空腹吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102872},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109377},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051115992},{"body":{"content":"***和**间隔时间要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051120601},{"body":{"content":"两个小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128580},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139071},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051160374},{"body":{"content":"可以喝牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051232236},{"body":{"content":"少喝点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250517},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051271631},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051283653}]

男4岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965718203},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965732564},{"body":{"content":"需要及早治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965732945},{"body":{"content":"需要怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757609},{"body":{"content":"查肺CT，没问题的话可以服用****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965784876},{"body":{"content":"CT正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965795777},{"body":{"content":"用法用量呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876135},{"body":{"content":"每周一次，每次3片，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876252},{"body":{"content":"用药多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908332},{"body":{"content":"多久复查，复查那些项目？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957194},{"body":{"content":"每月复查，血常规、肝肾功能、血沉、CRP、RF等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966025766},{"body":{"content":"终身服药？还是多久可以停药，在什么时候停药比较合适？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966135984},{"body":{"content":"老师还在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966513959},{"body":{"content":"老师还在吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966626880},{"body":{"content":"基本上要终身服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966738955},{"body":{"content":"长期吃这药，最严重的并发症是什么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966856886},{"body":{"content":"血常规、肝功能需要监测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966989623},{"body":{"content":"老师指导一下，生活上还需要注意点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967222847},{"body":{"content":"保暖，保护关节，避免感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967386796},{"body":{"content":"其他没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967394241}]

男45岁

2022.05.20

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38岁

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科，很高兴可以为您解答问题，请稍等，我正在阅读你的咨询描述。咨询患者较多，希望你可以在收到我的消息之后，和我说一句话，方便我找到你的聊天页面。非常感谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965465842},{"body":{"content":"除了痒，皮肤表面有什么变化？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965470962},{"body":{"content":"胳膊上长了小疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965551497},{"body":{"content":"请提供图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577411},{"body":{"content":"这种情况出现多久了，只有胳膊上痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965686392},{"body":{"content":"就昨天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965726365},{"body":{"content":"只有胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741471},{"body":{"content":"之前有没有受过暴晒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759091},{"body":{"content":"没有呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965765884},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965777213},{"body":{"content":"汗湿刺激，摩擦刺激，日光刺激等都有可能导致。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787881},{"body":{"content":"尤其是洗完澡之后比较痒，其他时间不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848516},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965853875},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860095}]

女20岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20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":"几天了？痒不痒？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063069},{"body":{"content":"大概2个礼拜，有点痒，以前没有出现过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142296},{"body":{"content":"而且只有靠近脖子的位置有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154390},{"body":{"content":"这里看着怀疑神经性皮炎呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190004},{"body":{"content":"请问是精神状态导致的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215730},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253127},{"body":{"content":"你经常去抓吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263329},{"body":{"content":"最近出现了才抓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275103},{"body":{"content":"这个药可以吗？之前去医院开过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289412},{"body":{"content":"可以可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472915},{"body":{"content":"但是不能用的时间长了 也就用5-7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493441},{"body":{"content":"然后换成弱效激素 或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521352},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536906},{"body":{"content":"请问这个是弱激素的吗？^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567780},{"body":{"content":"这个没有激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050601658},{"body":{"content":"用第一个5天后换成第二个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612917},{"body":{"content":"好的，谢谢您。之前脸上有过，当时医生开的，看来是同一个问题^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654671},{"body":{"content":"是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725578},{"body":{"content":"谢谢^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050745158},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050777658}]

男29岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131145},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138810},{"body":{"content":"复发性溃疡可以吃点复合维生素B族和****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173986},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192698},{"body":{"content":"那现在口腔溃疡吃点或者喷点什么药好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221490},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免疫力。可以减少复发性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222266},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231232},{"body":{"content":"可以吃点***或者***或者用****漱口","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238206},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261760},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284549}]

女23岁

2022.05.20

[{"body":{"content":"..请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900960},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920322},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931274},{"body":{"content":"孩子现在晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934677},{"body":{"content":"精神状态食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049953934},{"body":{"content":"需要拿脚贴着墙才能舒服一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955831},{"body":{"content":"精神状态跟食欲都没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049975220},{"body":{"content":"挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979407},{"body":{"content":"白天也喜欢光着脚在屋子里走","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050002686},{"body":{"content":"就是晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021408},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170540},{"body":{"content":"属于正常的新陈代谢，正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050265806},{"body":{"content":"孩子的新陈代谢旺盛，产热多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284953},{"body":{"content":"的缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288319},{"body":{"content":"可是他说脚心热的他都睡不着觉啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415730},{"body":{"content":"得用脚贴着墙才能睡着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433526},{"body":{"content":"这种情况用吃药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448191},{"body":{"content":"我问我们老家的一个中医他说可以给孩子吃点六味地黄丸，您看可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591030},{"body":{"content":"不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050656180},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050754342},{"body":{"content":"每天睡前凉水洗脚，睡觉别盖脚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050827410}]

男8岁

2022.05.20

[{"body":{"content":"请问多大的宝宝可以吃这个***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883252},{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050935588},{"body":{"content":"2岁以上 就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942005},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970873},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003254},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052116774},{"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":1653052117991}]

女

2022.05.20