刘继帅

[{"body":{"content":"方便再拍别的地方的照片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383104},{"body":{"content":"刚刚洗澡热水烫过之后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449899},{"body":{"content":"很热的烫的，烫过去很舒服，但是会起疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509490},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050510027},{"body":{"content":"有一个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518924},{"body":{"content":"有没有那种止痒的涂的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558351},{"body":{"content":"有没有晚上加重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590560},{"body":{"content":"别的人有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602978},{"body":{"content":"就是晚上会痒一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607966},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642362},{"body":{"content":"手缝严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659556},{"body":{"content":"阴囊有疙瘩吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662679},{"body":{"content":"首先呢考虑是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774989},{"body":{"content":"但是得问问你的情况，需要看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792091},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829601},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871264},{"body":{"content":"可以口服******晚上一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874879},{"body":{"content":"手缝我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893045},{"body":{"content":"这么痒我得看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905879},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908354},{"body":{"content":"手缝和手腕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919324},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925580},{"body":{"content":"手缝和手腕都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957249},{"body":{"content":"也不咋痒是不","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964294},{"body":{"content":"都不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050974485},{"body":{"content":"那就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983850},{"body":{"content":"外用*****一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991828},{"body":{"content":"这个药膏含有**，不过局部用是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993872},{"body":{"content":"吃过了了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998994},{"body":{"content":"不管用的话可以口服********，这个是好点的抗过敏药，不过吃这个不能吃西柚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051019359},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051121252},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131534},{"body":{"content":"痒的厉害也可以外用*****，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142988},{"body":{"content":"吃的这个没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051178695},{"body":{"content":"再加一个吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182880},{"body":{"content":"这个是考虑过敏是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051217636},{"body":{"content":"不是湿疹对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051225655},{"body":{"content":"是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247843},{"body":{"content":"湿疹就是过敏性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252683},{"body":{"content":"湿疹就是过敏反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268901},{"body":{"content":"疥疮呢，是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269557},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274671},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293853},{"body":{"content":"不客气哒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051314331},{"body":{"content":"就是在打***有没有关联","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314393},{"body":{"content":"不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331183},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347470},{"body":{"content":"好的。我先按照你说的先吃点药先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367714},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385341},{"body":{"content":"会不会有传染性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530004},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558796},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051752898},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766439}]

男32岁

2022.05.20

[{"body":{"content":"红肿，肿的很大，摸起来里面很硬，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877814698},{"body":{"content":"嗯 这是虫咬皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878719269},{"body":{"content":"注意近期的饮食和接触物 避免海鲜坚果芒果饮食 注意避免接触动物植物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878721662},{"body":{"content":"孩子有无食物药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878722642},{"body":{"content":"给您一些用药推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878728007},{"body":{"content":"孩子非常的痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878730294},{"body":{"content":"好像没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878747459},{"body":{"content":"****口服抗过敏 一次7滴 一天两次 ***一天2次涂抹 **一天两-3次涂抹止痒抗炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878843228},{"body":{"content":"附近药店如果能买到先用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878858059},{"body":{"content":"肿的很大，是红肿，手机拍的颜色不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878867632},{"body":{"content":"**不好买就网上购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878872708},{"body":{"content":"定期复查 免费随诊 后面可以扫描这个二维码找我复查开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878881371},{"body":{"content":"用药3天找我复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878885160},{"body":{"content":"止痒药物可以用***替代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878902628},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878927311},{"body":{"content":"对 口服的是这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879088081},{"body":{"content":"外用的您先用***和***吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879100908},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879112470},{"body":{"content":"小区东莞国药只有国产的**********，可以用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879803607},{"body":{"content":"嗯 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879840420},{"body":{"content":"外用配合一起图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879845166},{"body":{"content":"能买到**********也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879853902},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880621441}]

男6岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009905420},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009913298},{"body":{"content":"你看看我验血报告单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009937677},{"body":{"content":"有整个血常规结果图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009958161},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653009974322},{"body":{"content":"最下面8项还不够","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009976341},{"body":{"content":"血常规有二三十项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653009987270},{"body":{"content":"只有这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010011693},{"body":{"content":"你是不是有痔疮，经常出血？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010016793},{"body":{"content":"你看看不合格的这些是什么原因导致","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010030240},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010039539},{"body":{"content":"痔疮引起的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010092653},{"body":{"content":"好的，如果是痔疮问题导致的话还好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010327455},{"body":{"content":"还有最近晚上睡觉脚不自觉的抽搐什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010380267},{"body":{"content":"可能也是贫血引起的气血不足，虚弱引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010428275},{"body":{"content":"你现在铁蛋白肯定很低","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010443154},{"body":{"content":"要吃铁剂，而且坚持一直吃，不能吃吃停停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010462026},{"body":{"content":"当然根源在痔疮！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010471115},{"body":{"content":"缸破了洞，肯定要先堵了，再加水才能加满","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010501715},{"body":{"content":"药店可以买得到铁剂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010527991},{"body":{"content":"以后治疗显效了，每个月复查一次血常规和铁蛋白，铁蛋白升到四五十才能停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010535342},{"body":{"content":"药店有卖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653010606490},{"body":{"content":"我这里可以给你开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010957194},{"body":{"content":"快递到家","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653010961764},{"body":{"content":"也可以去查铁蛋白的时候叫他们顺便给你开铁剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013065714}]

男35岁

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37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":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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964976602},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981868},{"body":{"content":"人流手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964994968},{"body":{"content":"你好，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964996554},{"body":{"content":"药物流可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965038532},{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965080029},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965094764},{"body":{"content":"末次月经日期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965103888},{"body":{"content":"每个月都是十几号来，每次都是提前两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965156687},{"body":{"content":"药流：停经49天内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965246774},{"body":{"content":"现在有两个月了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965308965},{"body":{"content":"差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965317452},{"body":{"content":"b超检了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965336777},{"body":{"content":"流产需要b超过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346129},{"body":{"content":"老师，我问一下，查胎心需要憋尿是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965359588},{"body":{"content":"阴超不用留尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965438660},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454927},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965505863},{"body":{"content":"老师，你说的流产需要B超啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965520953},{"body":{"content":"个人也可以申请开药是吗？自己做流产不可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595622},{"body":{"content":"在吗，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965733826},{"body":{"content":"流产，需确诊宫内有孕囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965742782},{"body":{"content":"若宫内无孕囊，流什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965768669},{"body":{"content":"我有一个孩子了，一个男孩，之前我是刨腹产，我对于**不管用，打了两三次，最后打的是全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965932683},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965980417},{"body":{"content":"不想要了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965995171},{"body":{"content":"去手术台的时候，比我去晚的人都从里边出来了，我呆了好久才出来的，出来去重病监护室输液的时候我的胳膊都没点直觉了，吓死我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127275},{"body":{"content":"是，我不想要，可是我对象家里人想要，这次怀孕对我来说太害怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966210346},{"body":{"content":"全麻有清醒期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212610},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966232333},{"body":{"content":"上次剖宫产的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966284602},{"body":{"content":"老师，我再问你一句，两个月用药流的话，没有那么复杂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345192},{"body":{"content":"不能了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966363293},{"body":{"content":"停经达到7周，就不能药流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966414849},{"body":{"content":"老师，我记得是去年还是前年的时候也流过一次产，那时候天数短，就疼了一天就不疼了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966441630},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966472433},{"body":{"content":"先算准时间，b超检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966493131},{"body":{"content":"才能选择流产方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966510550},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966525583},{"body":{"content":"如果两个月不能用药流是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966571752},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966582221},{"body":{"content":"能保留，就保留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966595127},{"body":{"content":"我不想要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966624049},{"body":{"content":"无痛人流受罪吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966664230},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966690642},{"body":{"content":"嗯，**散了会会不会疼？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966755003},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966783016},{"body":{"content":"有2个小时左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966794024},{"body":{"content":"老师，我现在用啥都会受点罪是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966810080},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966828577},{"body":{"content":"你是说**散了疼两个小时是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966854746},{"body":{"content":"无痛人流怎么做？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966881777},{"body":{"content":"与普通的手术一样，就是多一项麻醉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967035008},{"body":{"content":"也是划开肚子是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967075053},{"body":{"content":"阴道手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967088446},{"body":{"content":"哦，就是从阴道里取出来是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967173013},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967183241},{"body":{"content":"太吓人了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967196740},{"body":{"content":"现在为啥不能用药流呢？刚才搜索的也可以药流呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967242112},{"body":{"content":"大了，药流无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967259594},{"body":{"content":"不会吃大点量不可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967310087},{"body":{"content":"之前吃的一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967326466},{"body":{"content":"没用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967330004},{"body":{"content":"流产方法是有规定的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967361704},{"body":{"content":"有适应症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967372042},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967388229},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967395180},{"body":{"content":"我太害怕了，老师，留着更害怕，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420177},{"body":{"content":"您需要解决心理恐惧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967468951},{"body":{"content":"没有什么可怕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967487967},{"body":{"content":"有人剖宫产三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967515217},{"body":{"content":"人流每天都有做的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967535032},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967633844},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967681111}]

女37岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59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":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":"根据上述情况给予您相关用药建议，为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史? 是否在备育期？或是其他用药禁忌的情况，如果有请提前说明。没有异常回复‘无’就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359253},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610141},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655076},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662327}]

男24岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049670118},{"body":{"content":"请问有咽喉痛，发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049682953},{"body":{"content":"不痛，不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694060},{"body":{"content":"嗯，前几天有没有着凉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049717441},{"body":{"content":"估计是有着凉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049730640},{"body":{"content":"嗯，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049740896},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847592},{"body":{"content":"有吃****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860179},{"body":{"content":"嗯，就吃了这一种吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049875238},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049886462},{"body":{"content":"嗯，需要加点药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899211},{"body":{"content":"你吃了几天，效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923406},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939999},{"body":{"content":"嗯，建议你口服*******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984091},{"body":{"content":"我这边给你开处方，你看看具体药品信息和用法吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063026},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050143571},{"body":{"content":"好的，我现在就给你开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156552},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226733},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050237245}]

男26岁

2022.05.20