刘继帅

[{"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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052142994}]

男34岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171129},{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我们有线下的临床工作需要处理，非常感谢您的耐心等候、理解与支持，我会在规定时间内完成您的诊疗工作。再次感谢您的理解与支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965178458},{"body":{"content":"明早联系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965183265},{"body":{"content":"我们还有23小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444934},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653004854395}]

女23岁

2022.05.20

[{"body":{"content":"您好，我是主治医师何志华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049559529},{"body":{"content":"你好，大便一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049570262},{"body":{"content":"拉什么样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049573250},{"body":{"content":"1次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049576753},{"body":{"content":"哭闹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049585252},{"body":{"content":"之前宝宝正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049591580},{"body":{"content":"食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049605875},{"body":{"content":"傍晚和晚上哭闹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049611186},{"body":{"content":"还有其他异常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630454},{"body":{"content":"食欲一次90，3小时一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049633319},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637246},{"body":{"content":"这种情况没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652137},{"body":{"content":"之前大便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049654338},{"body":{"content":"酸臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049665782},{"body":{"content":"哭闹的时候可以吹风机的声音进行安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681487},{"body":{"content":"没有其他办法缓解吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"乳糖不耐受会大便次数多，目前大便次数不多，不考虑乳糖不耐受，也就没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719101},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728235},{"body":{"content":"前两天吃了几袋便便变水样，次数没变","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759082},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766629},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800161},{"body":{"content":"好的 不需要吃了对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816233},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832089},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841482},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866816},{"body":{"content":"宝宝胀气严重怎样缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049978496},{"body":{"content":"意思不需要干预吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073640},{"body":{"content":"宝宝有时哭的很难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088037},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112692},{"body":{"content":"哭的时候用吹风机安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124525},{"body":{"content":"吹风机的声音","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131918}]

女

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":1653050310380},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313559},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379428}]

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":1653051114312},{"body":{"content":"目前主要有哪些不适症状？什么时候开始的？持续多长时间了？有没有加重或缓解的因素？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123002},{"body":{"content":"大夫，您好！我母亲68岁，膝盖疼的厉害，医生建议膝关节置换手术，想让您看看是不是必须手术治疗，母亲年龄大了，害怕手术。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134834},{"body":{"content":"膝关节炎很严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152531},{"body":{"content":"关节间隙没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051159051},{"body":{"content":"疼痛估计也很厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163965},{"body":{"content":"活动受限吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171568},{"body":{"content":"她这个5岁时被砸了，是伤腿，一直疼，最近一周影响走路了，疼痛厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200657},{"body":{"content":"必须手术吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051221517},{"body":{"content":"建议手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240693},{"body":{"content":"保守治疗，注射****效果怎么样？她听说周围有人手术恢复不好后来拄拐了，害怕手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293929},{"body":{"content":"保守治疗，也只是拖延时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333861},{"body":{"content":"我觉得早做手术，康复更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362579},{"body":{"content":"手术风险大吗？她有高血压，血糖的话前两天测的8点多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051426521},{"body":{"content":"可以这样子，先****注射保守治疗三个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435001},{"body":{"content":"如果没有缓解，还是痛的厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443066},{"body":{"content":"再考虑手术也不迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447803},{"body":{"content":"手术风险还可以，这些术前会调整到正常水平","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051469539},{"body":{"content":"好的，谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051487403},{"body":{"content":"希望我的建议能够帮助到您！\n如果您对我的回答表示满意，请在对话结束后给出推荐评语和五星好评～\n祝您早日康复，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534285}]

女67岁

2022.05.20

[{"body":{"content":"您好，我是内科尹新禄医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103000},{"body":{"content":"一直再打***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051127927},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134566},{"body":{"content":"您好，您是需要开具上述*** 笔芯********药物的电子处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051144559},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051154509},{"body":{"content":"好的，开具药物之前，需要向您核实目前有无药物过敏史及肝肾功能异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051175847},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051203633},{"body":{"content":"您需要开具几盒的量？是1盒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234735},{"body":{"content":"3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051251118},{"body":{"content":"好的，刚查询，因为这个药物是非自营店的药物，需要给您关诊后发送免费的追问包开具处方，看看其他的药房有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051308006},{"body":{"content":"您先不要离开目前的问诊界面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051310735},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051349985},{"body":{"content":"请您稍等，我正在给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051420351},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，药品过敏、有效期等，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422560},{"body":{"content":"处方已开好，请您核对一下。我已联系药师优先为您审核处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051550043}]

女56岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267136},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269292},{"body":{"content":"宝宝3个多月吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280206},{"body":{"content":"您好！是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296372},{"body":{"content":"不建议吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304638},{"body":{"content":"等再大一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315963},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332861},{"body":{"content":"一般吃辅食最早不早于4个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346601},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353421},{"body":{"content":"请问您是否还有其他育婴问题需要咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355357},{"body":{"content":"如果暂时没有别的话，能不能麻烦你点击对话框右上角“表扬医生”按纽。给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360869}]

女

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

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":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"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":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1岁

2022.05.20