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":1653050183361},{"body":{"content":"一般情况下需要补充锌和铁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200584},{"body":{"content":"这个需要去医院配吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050232942},{"body":{"content":"最好查一下血红蛋白或者****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248376},{"body":{"content":"现在**疫情期间，出门不大方便，能不能自己买点给娃吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304495},{"body":{"content":"也可以的，那就买一个*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334855},{"body":{"content":"宝宝怎么吃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390873},{"body":{"content":"宝宝按预防量吃就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419111},{"body":{"content":"一天15毫升。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433297},{"body":{"content":"天天吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452325},{"body":{"content":"是呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518129},{"body":{"content":"还是几天吃一次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643465},{"body":{"content":"一天隔一天吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050652883},{"body":{"content":"每天吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674260},{"body":{"content":"补充一个月，观察一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940630},{"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":1653050943629}]

男1岁6个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967126},{"body":{"content":"之前有过这个症状嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979192},{"body":{"content":"之前一直就腰疼 今年开始慢慢有这些症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050125006},{"body":{"content":"你月经来的多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158240},{"body":{"content":"不多 两三天就干净了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173017},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201710},{"body":{"content":"时长手脚会出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204547},{"body":{"content":"嗯嗯。你胃胀嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307354},{"body":{"content":"怕冷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309233},{"body":{"content":"偶尔会胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403692},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415861},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425310},{"body":{"content":"你一说我现在感觉胃有点胀 ?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483166},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495969},{"body":{"content":"你气血不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500462},{"body":{"content":"啥原因会得这病？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050554837},{"body":{"content":"我以后好注意点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050568075},{"body":{"content":"从你舌像和症状就是气血不足所导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583364},{"body":{"content":"???","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610509},{"body":{"content":"这病是不是活不长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623652},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630179},{"body":{"content":"那不至于。你能喝汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634672},{"body":{"content":"嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636704},{"body":{"content":"我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640911},{"body":{"content":"有时候会回复不及时，还请耐心等待一下，您咨询的所有问题，我都会在问诊有效时间内，给到您相关的调理建议/用药建议/开具对症的处方，如问题未回复完，问诊就到时间结束了，我会再赠送3次/5次免费追问机会，请放心等待！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050647482},{"body":{"content":"没喝过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685235},{"body":{"content":"是苦中药汤吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050766427},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783625},{"body":{"content":"大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050951116},{"body":{"content":"你这个不会太苦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121570},{"body":{"content":"因为是**血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051126781},{"body":{"content":"你气血足了以后就好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051364145}]

女25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051785890},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051788711},{"body":{"content":"肛周囊肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051794736},{"body":{"content":"确诊了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051814466},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051820904},{"body":{"content":"方便的话发个图看看，以便区别其他疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051830384},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861349},{"body":{"content":"红肿疼痛难忍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887807},{"body":{"content":"像肛周脓肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894209},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051899003},{"body":{"content":"去医院做手术吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051902184},{"body":{"content":"肛周脓肿一经确诊，应尽快行脓肿切开引流术，以免感染进一步扩散。根据脓肿的深浅和具体的位置，其采用的麻醉方式和手术操作步骤有所区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905326},{"body":{"content":"别耽误了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911861},{"body":{"content":"去公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917524},{"body":{"content":"基本里面已经化脓了摸起来就很软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051931464},{"body":{"content":"但有部分是比较硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946409},{"body":{"content":"炎症浸润了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051966648},{"body":{"content":"就是那个样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052003353},{"body":{"content":"嗯 这个直接做引流手术就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052008393},{"body":{"content":"你哪里的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052009919},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052015965},{"body":{"content":"和手术医生交流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052041461},{"body":{"content":"好 之前全是硬块 最近是摸了些*****然后就变成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052076838},{"body":{"content":"只能手术别的办法都是骗人的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052085197},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116657},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120011}]

男17岁

2022.05.20

[{"body":{"content":"余医生这个上次您开了药娃儿吃完了，现在还是喊累，中途感冒了一次，最近又感冒有点支气管炎，这个药还能继续开着吃吗？感觉他呼吸声音比平时大一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876518865},{"body":{"content":"因为最近回区县了，上来不方便也就没有带上来儿童医院来看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876665617},{"body":{"content":"这个是最近在地方查血的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876713597},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879311767},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879315328},{"body":{"content":"上面的内容要重复发一遍吗？，可以看见不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347728},{"body":{"content":"病历发给我看一下，现在用的什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879351169},{"body":{"content":"之前在您那里开了一个疗程的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879392288},{"body":{"content":"现在小朋友还是喊累，中途有感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879408259},{"body":{"content":"这几天又有一点感冒，喊累得比较频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427564},{"body":{"content":"你再继续吃一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879473745},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487683}]

男2岁6个月

2022.05.20

[{"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":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"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":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

男41岁

2022.05.20

[{"body":{"content":"您好，我是主治医师陈宗梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346289},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349203},{"body":{"content":"您好，我是京东互联网医院陈医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367810},{"body":{"content":"***和***都有治疗肺燥咳嗽、咽痛，喑哑，失音的作用，同时都有**通便的作用。***味甘、寒，有****的作用，同时，有****，**通便的功效，用于热邪出现的肺热伤津，声音嘶哑，干咳无痰，咽干，咽痛的症状。***治疗热结便秘的症状，可以治疗头痛和目赤肿痛。***味甘、凉，也归肺经和大肠经，同样****、**通便，可以治疗肠燥导致的便秘，这两个药物都可以治疗肺热伤到咽喉的部位，出现咽痛、失音及肠燥便秘的功效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390926},{"body":{"content":"***或******茶都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050469460}]

女

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，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":1652964982681},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984851},{"body":{"content":"湿 疹是过 敏性皮疹，注意观察饮食，吃了什么加重就是过 敏就不要吃了，食物可以一个一个试，这是最精确的判断过 敏 原的办法，再就是查过 敏 原，查了过 敏 原并不能面面俱到，也是需要自己细心观察，再就是湿 疹忌讳洗，忌讳干燥，忌讳热，一直保持油腻状态看起来油光光的，湿 疹的外用药物一类是保持油腻的，一类就是***了，如果普通药物效果不好可以用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965142841},{"body":{"content":"用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965149101},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158939},{"body":{"content":"家里有什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184766},{"body":{"content":"家里没有储备药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965224867},{"body":{"content":"好的好的麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593043},{"body":{"content":"好的好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681153},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694388},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965719249},{"body":{"content":"❤️","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965734893}]

女5岁

2022.05.20

[{"body":{"content":"上次吃了一顿这个没吃了两天后又拉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986448},{"body":{"content":"这个是需要连续吃几天的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011577},{"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":1653050014234},{"body":{"content":"建议一疗程 3-5天奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025288},{"body":{"content":"吃了一顿没拉了还继续吃，，要吃够三天吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055100},{"body":{"content":"建议不拉了之后 巩固 1-2天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078609},{"body":{"content":"用法用量\n口服。一次6片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095602},{"body":{"content":"发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102848},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050162685},{"body":{"content":"用法发错了 抱歉奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183040},{"body":{"content":"这个建议空腹 服用奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192939}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573234},{"body":{"content":"雄性激素过多是不是可以吃**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965607373},{"body":{"content":"可以吃****可以**皮肤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629966},{"body":{"content":"之前脸上都没有痘痘，生完二胎之后脸上就开始暴涨痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965652542},{"body":{"content":"是雄性激素过多吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965672365},{"body":{"content":"多吃点儿蔬菜水果，保证充足的睡眠。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965681809},{"body":{"content":"应该是着急上火，内分泌失调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965691013},{"body":{"content":"三十岁了为什么脸上开始长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735419},{"body":{"content":"还是因为睡眠不好啊休息不好饮食结构不合理啊总之是内分泌失调","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770476},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965782555},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815122}]

女30岁

2022.05.20