刘继帅

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

女

2022.05.20

[{"body":{"content":"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":1652965274581},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965402688},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965421579},{"body":{"content":"我是种植户的，是不是有问题可以问你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965564772},{"body":{"content":"这儿只咨询人的皮肤病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965588350},{"body":{"content":"哦，对不起","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629816},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965639610}]

女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":"而且很痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878654689},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878784166},{"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":1652878790736},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878831734},{"body":{"content":"您好！脸上红印，红血丝较多，形成敏感肌，痘痘为结节囊肿型","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878897261},{"body":{"content":"平时常用洗面奶洗脸的频率如何？都使用哪些类型的洗面奶？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878981247},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881169301},{"body":{"content":"晚上早上洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881195080},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881492821},{"body":{"content":"敏感肌建议您精简护肤，平时用温水洗脸即可。使用洗面奶。尽量避免使用清洁型或磨砂型，使用频率每周不超过两次为宜。每次洗脸之后需涂***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881539035},{"body":{"content":"同时平时注意防晒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881546353},{"body":{"content":"痘痘之所以反复发作跟体内激素水平高有关，会导致毛囊皮脂腺分泌旺盛，堵塞毛管，痤疮丙酸杆菌，细菌灰尘，等会定植毛囊引发炎症。痘痘有硬结是炎症比较深，深达真皮层。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881614316},{"body":{"content":"您都用过哪些药物治疗？效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881640524},{"body":{"content":"没有用其他药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652919276830},{"body":{"content":"根据您的情况，建议您：\n1、中药口服内调体质，增加皮肤修复能力；局部外用药膏改善炎症，减少痘印；\n2、配合使用药妆品和肌肤屏障修复剂；有助于皮肤修复，改善敏感肌，减少痘痘复发；\n3、日常精简护肤，用温水洗脸，尽量避免使用深度清洁型洗面奶及磨砂型洗面奶，选择比较温和的保湿产品，避免选用***类产品。使用洗面奶的频率，每周两次左右。要特别注意防晒、保湿。这些措施要贯彻在你治疗的全过程。\n4、另外一个是饮食注意少食辛辣油炸刺激之品。避免食用奶茶，奶酪，牛奶，奶油等奶制品以及巧克力冰淇淋等甜食甜品。这些都是造成痘痘反复不愈的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926585887},{"body":{"content":"什么中药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652934819750},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937215777},{"body":{"content":"需要根据您的舌开具中药方，中药免煎颗粒，开水冲服那种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937252364},{"body":{"content":"您发个舌苔图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937260673}]

女31岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739065},{"body":{"content":"血常规问题不大，别担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768254},{"body":{"content":"孩子发烧呢，考虑就是病毒感染或疫苗接种的原因，暂时可观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777869},{"body":{"content":"已经发烧5天，前几天发烧到38.5，吃了***就退了，但从昨天开始(第六天）开始低烧（37.5左右），吃了***，小**温度还不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171031},{"body":{"content":"那么拍胸片了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200942},{"body":{"content":"有可能是幼儿急疹啊，所以可以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210605},{"body":{"content":"宝宝精神还不错，稍有闹腾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050212554},{"body":{"content":"总之再观察一天吧，应该快退烧了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258762},{"body":{"content":"这个没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280316},{"body":{"content":"幼儿急疹不是三四天就下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286517},{"body":{"content":"有可能是幼儿急疹啊，所以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293607},{"body":{"content":"我们这烧7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314400},{"body":{"content":"一般是反复发烧3~5天，如果发烧7天了，那么要排除是不是有川崎病的可能性，检查一下心脏彩超，做血培养支原体抗体等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341066},{"body":{"content":"这没问题呀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050480572},{"body":{"content":"住院了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497642},{"body":{"content":"那为啥一直发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507290},{"body":{"content":"没有，我们精神挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525589},{"body":{"content":"一般就是病毒感染，你再检查一下支原体和****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050527024},{"body":{"content":"如果孩子现在体温逐渐下降不太高的话那么也可以先观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050539171},{"body":{"content":"那小**还要吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588272},{"body":{"content":"有体温的话可以吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602750},{"body":{"content":"可是吃了体温也不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643784},{"body":{"content":"这个不好说了，因为没有找到具体原因，但是体温也逐渐下降了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701450},{"body":{"content":"具体什么原因导致了发烧，还不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711315},{"body":{"content":"还是再观察一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051180402},{"body":{"content":"因为体温也逐渐下降了，而且精神状态挺好的，可以暂时观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051204209}]

女8个月8天

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067075},{"body":{"content":"可以提问了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076085},{"body":{"content":"这个情况会不会是受孕时间太短 所以没有心管搏动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168551},{"body":{"content":"末次月经哪天的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249143},{"body":{"content":"4月6号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276632},{"body":{"content":"平时月经规律吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965354765},{"body":{"content":"推迟的话也是一两天的样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965390834},{"body":{"content":"它这个hcg可以看出受孕周期吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468282},{"body":{"content":"看不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965519811},{"body":{"content":"因为我们这边的医生说我这个hcg也蛮高 B超显示没有心管搏动 考虑胎停 要住院 可是我什么症状都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531891},{"body":{"content":"建议一个星期后再复查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576929},{"body":{"content":"我还想问一下 如果按实际同房时间来算的话 是4月16号之后的受卵 按这个时间推算可以吗 因为之前没有同房过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694712},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770595},{"body":{"content":"那综合hcg来看的话 这个B超没有心管搏动是不是可能是正常的 因为月份太小了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842765},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965880520}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科柴医生，很高兴为您提供医疗咨询服务?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049622298},{"body":{"content":"痒不痒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049627629},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049641518},{"body":{"content":"趾缝拍下照片我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657010},{"body":{"content":"胶缝里没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708892},{"body":{"content":"就是脚板脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049724750},{"body":{"content":"剥脱性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769988},{"body":{"content":"建议用*********一日两次抹两周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049783093},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575722},{"body":{"content":"是不是身体缺什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593520},{"body":{"content":"有一定关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050672466},{"body":{"content":"补什么***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050705667},{"body":{"content":"可以给孩子化验查一查****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863095},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050901978},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920548}]

女7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":"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":1653050327858},{"body":{"content":"多久了 因为什么引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050373938},{"body":{"content":"我是一直有白痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399952},{"body":{"content":"近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468623},{"body":{"content":"以前是一直在喉咙吐不出来，后来吃中药调理就能吐出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480409},{"body":{"content":"没有，就是上午白色的痰多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050510696},{"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？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523107},{"body":{"content":"我是脾胃虚弱，消化不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550923},{"body":{"content":"那这个药我能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050613229},{"body":{"content":"可以吃这个的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626165},{"body":{"content":"袋子里面是**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661049},{"body":{"content":"丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693757},{"body":{"content":"那我一吃用量多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050712367},{"body":{"content":"用法用量\n口服。一次一袋半 ，一日2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050749742},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050768474},{"body":{"content":"吃多久有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050796313},{"body":{"content":"一疗程 2-4周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829388},{"body":{"content":"我这种情况吃***不会有什么副作用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917472},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958285},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967476},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050999241}]

女

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965380119},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386519},{"body":{"content":"你有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412090},{"body":{"content":"停经多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419682},{"body":{"content":"B超做过没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965434681},{"body":{"content":"末次3.30","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463617},{"body":{"content":"*******孕酮7.62","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965492976},{"body":{"content":"前一次的hcg是1682孕酮13.2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535663},{"body":{"content":"隔了五天这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965544683},{"body":{"content":"现在停经50天啦，B超宫腔还未见孕囊，HCG又增高，你这宫外孕不能排除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965604214},{"body":{"content":"有褐色分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965612764},{"body":{"content":"无明显腹痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965635458},{"body":{"content":"而且你的HCG还下降，没有翻倍，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965654871},{"body":{"content":"那这样能确诊是宫外孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965662390},{"body":{"content":"需要再做什么确诊宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681554},{"body":{"content":"等你出现了腹痛，可能就是破裂了，大出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702468},{"body":{"content":"hcg上涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965725669},{"body":{"content":"不是下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965731836},{"body":{"content":"是孕酮下降了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739693},{"body":{"content":"HCG没有翻倍，不正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965767911},{"body":{"content":"都50天宫腔还看不到东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789399},{"body":{"content":"那如果是宫外孕可以保守治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965789795},{"body":{"content":"建议你尽早医院处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801559},{"body":{"content":"是，医生叫我住院了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965821220},{"body":{"content":"你目前这种情况，可以保守","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965836388},{"body":{"content":"可是我没有什么症状所以还是觉得不可思议","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842163},{"body":{"content":"但是在保守治疗过程中随时有破裂可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876435},{"body":{"content":"大概要住院多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893933},{"body":{"content":"如果破裂就随时会出现内出血，危机生命","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940633},{"body":{"content":"这说不清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952979},{"body":{"content":"那你的建议觉得是怎样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965974433},{"body":{"content":"保守治疗的时间会相对时间长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965981523},{"body":{"content":"我还需要去别的医院再看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965989595},{"body":{"content":"应该不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966000851},{"body":{"content":"那你觉得我是直接选择怎样的治疗方案","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049833},{"body":{"content":"目前就两种治疗方法，1是保守2是手术，你目前的条件可以保守，但保守治疗的成功率只有百分之五十到七十，具体怎么处理，你还是听主管医师的意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966149343},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966177130},{"body":{"content":"手术的话是不是都是要切除输卵管啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966204317},{"body":{"content":"也有保留输卵管的可能，但要看术中的具体情况，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966268565},{"body":{"content":"保留输卵管有可能出现持续宫外孕，及再次宫外孕可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966356735},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020989874},{"body":{"content":"我今天住院了，可是医生却说不确定是宫外，也有可能是宫内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021027872},{"body":{"content":"说内膜那么厚也有可能是宫内，但是孕酮低不排除发育慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021106091},{"body":{"content":"不是宫外孕，那不更好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021131734},{"body":{"content":"你听医生你主管医师的，她对你的情况会比较了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021134818},{"body":{"content":"她说一半一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021447929},{"body":{"content":"让我自己做决定，也可以保胎观察观察","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021483877},{"body":{"content":"这样有危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021491008},{"body":{"content":"既然已经住院了，就安心住院观察","type":"text"},"from":{"app":"jd.doctor"},"timesta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女33岁

2022.05.20