刘继帅

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936951},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049940591},{"body":{"content":"Lindt*****排装85%可可黑巧克力100g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049961598},{"body":{"content":"低血糖的能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961882},{"body":{"content":"低血糖可以吃，加糖一起吃更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984340},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049990825},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264909}]

女

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803547},{"body":{"content":"您好，我是京东互联网医院签约中医科医生，只能从中医角度跟您分析您咨询产品的性、味、归经，以及健康指导。\n\n具体产品相关的问题以及商品快递问题，辛苦您点击加入购物车，然后点击左边的“客服”按钮，或者对话框右上角的“客服”按钮，或者从产品店铺首页选择“客服”。直接联系商家的客服，或者直接联系“京东客服”。他们会为您进行详细解答。谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858875},{"body":{"content":"不好意思，这个是属于商品或者快递等问题。需要您咨询一下商家客服。谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049861636}]

女

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049659473},{"body":{"content":"您****，我想开点*****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988560},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066059},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107989},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050109671},{"body":{"content":"目前病情稳定，无不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173004},{"body":{"content":"1，具体想开哪个药？\n请发一下要开的药的照片或图片，以确定厂家、剂型、规格。\n2，几盒？（限开4周用量）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230757},{"body":{"content":"***的，75mg的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"**的，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339532},{"body":{"content":"各几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385855},{"body":{"content":"******开3盒，*****开2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388268},{"body":{"content":"您诊断是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428474},{"body":{"content":"抑郁症，外加神经衰弱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458205},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534856},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573507},{"body":{"content":"购药处方已为您开好。 等药师审核后，请点进上面的处方，点“查看详情”，再点“预约药品”购买药品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591158},{"body":{"content":"感谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685716},{"body":{"content":"别客气，为了用药安全，请定期1到3个月去线下门诊就诊复查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697275},{"body":{"content":"如果可以，请给一下五星好评，非常感谢您！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700146},{"body":{"content":"已好评，十分感谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759069},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050775797}]

女58岁

2022.05.20

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

女

2022.05.20

[{"body":{"content":"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":1653049777045},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049787966},{"body":{"content":"什么时候发生的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808161},{"body":{"content":"前天磕的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811656},{"body":{"content":"之前老人喷的****、**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840682},{"body":{"content":"碘伏消毒消毒，一天三次，再用点***********涂一涂促进表皮生长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852694},{"body":{"content":"**+**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874198},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883447},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897666},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920524}]

男13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":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