刘继帅

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，我是京东互联网医院神经内科主治医师齐灵铄。请稍等，我正在详细阅读您的病情描述。如有病情或者检查需要补充，您可继续上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474578},{"body":{"content":"您好，能具体描述一下您的情况吗？或者上传一下报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489015},{"body":{"content":"医生你好，我二十六岁，女性，我经常感到喉咙异物感，然后去查了甲状腺功能，和甲状腺Ｂ超，结果是******* 4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593562},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965631090},{"body":{"content":"您好，您是患者本人吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965692121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710334},{"body":{"content":"除了超声您还做过其他检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965729403},{"body":{"content":"甲功九项","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965774646},{"body":{"content":"结果正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789345},{"body":{"content":"请您帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965822677},{"body":{"content":"您的这种情况建议您及时线下公立三甲医院，耳鼻喉科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882355},{"body":{"content":"部分医院可能在甲乳科，普外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923067},{"body":{"content":"我需要穿刺吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966021897},{"body":{"content":"建议尽快检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966035438},{"body":{"content":"癌变的机率高不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966058607},{"body":{"content":"目前不好确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966074522},{"body":{"content":"您及时检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966082820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966587351},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966590656},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966598492}]

女26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982852},{"body":{"content":"有人吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050004984},{"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":1653050014264},{"body":{"content":"请问是想咨询药物还是关于脑部有声音？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050092447},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110217},{"body":{"content":"与***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050115690},{"body":{"content":"效果是不是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126801},{"body":{"content":"有些区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050151576},{"body":{"content":"****是两种物质合成一起的。主要针对头晕头昏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"哦，****吃完了。可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050242722},{"body":{"content":"你吃****有用吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267807},{"body":{"content":"如果效果很好，是不能代替的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283347},{"body":{"content":"之前脑袋受过伤，现在感觉有响声","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287486},{"body":{"content":"嗯嗯，知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298920},{"body":{"content":"脑鸣的原因很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302950},{"body":{"content":"甚至有时候和情绪都有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315121},{"body":{"content":"嗯嗯，那等吃完药在说吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050342280},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050353224},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363919},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369916}]

男59岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965469126},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965476952},{"body":{"content":"拍照看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497200},{"body":{"content":"嗯没错","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503247},{"body":{"content":"足内翻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965517456},{"body":{"content":"跟肚子里面姿势有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525719},{"body":{"content":"内外侧按摩，可以一天四五次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535292},{"body":{"content":"按摩一段时间就好了没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545778},{"body":{"content":"宫腔里面空间小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965554928},{"body":{"content":"你好！刚才断线了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420909},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967436209},{"body":{"content":"还有什么问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967441149},{"body":{"content":"现在该如何处理？附近有没有专业的医院，**阳*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967474461},{"body":{"content":"按摩就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967491802},{"body":{"content":"两侧，活动活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967498728},{"body":{"content":"很快好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967501815},{"body":{"content":"放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967505216},{"body":{"content":"她脚踝是松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967529244},{"body":{"content":"大部分可以好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967532478},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967533929},{"body":{"content":"就是要继续动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967538189},{"body":{"content":"没几个需要手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967569214},{"body":{"content":"除了骨头问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967604182},{"body":{"content":"经常用点力向内轻压一下她双小腿行不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967610373},{"body":{"content":"想外","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967674682},{"body":{"content":"不是内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676850},{"body":{"content":"内外侧都有按摩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967688050},{"body":{"content":"好的！谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968269835},{"body":{"content":"嗯没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284248}]

女1岁4个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462800},{"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":1652965465746},{"body":{"content":"肥厚形脑膜炎可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965513745},{"body":{"content":"请问是什么原因导致肥厚型脑膜炎哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965603517},{"body":{"content":"特发形","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965688464},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965725304},{"body":{"content":"可以打封闭针不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749265},{"body":{"content":"特发性肥厚型脑膜炎需要使用激素或者免疫抑制剂，**以*******为主，常用的有***，****，*****，***等，免疫抑制剂则以****，****为代表，但免疫制剂一般副作用较大，最后还可以考虑手术治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763884}]

女60岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿顾问，非常高兴由我为您提供咨询服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337743},{"body":{"content":"请问有什么可以帮到您的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050340115},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362606},{"body":{"content":"你好我家宝宝五个多月了喝的***一段，喝了一个月了一点肉都没长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365473},{"body":{"content":"宝宝精神状态怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386427},{"body":{"content":"小宝宝长到5-7个月的时候，体重常常就长得不快了，有的孩子甚至不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484681},{"body":{"content":"状态很好，有拉绿便还有奶瓣吃了*****好点了，吃不多就吃一100到120","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497056},{"body":{"content":"一般4-5个月的孩子要开始添加辅食，如果还不加辅食，有可能会出现缺铁性贫血，孩子就不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554294},{"body":{"content":"要注意孩子是不是存在着消化不良的问题，有没有积食的问题，要注意孩子有没有腹胀、没有食欲的情况。如果出现食欲下降、腹胀，还有便秘的情况，要适当的给孩子服用肠道的***来增强消化功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608462},{"body":{"content":"也有的宝宝因为选的奶粉不当，也可能出现这种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683893},{"body":{"content":"大便一天一次有时候两次正常，吃的******奶味的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684433},{"body":{"content":"你可以换一款产品试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709073},{"body":{"content":"星飞帆卓睿怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050784452},{"body":{"content":"每款奶粉都有它的优点，只是每个宝宝的体质不同","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869597},{"body":{"content":"可能这款奶粉不适合咱家的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937562},{"body":{"content":"你可以换一款产品","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050979401},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051101978},{"body":{"content":"祝您平安喜乐，万事胜意，宝宝健康成长 ~","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182125},{"body":{"content":"如果您对我的服务满意的话 辛苦您点击右上角\"表扬\"那里 给我一个五星好评呀?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190830}]

女

2022.05.20

[{"body":{"content":"..请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900960},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920322},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931274},{"body":{"content":"孩子现在晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934677},{"body":{"content":"精神状态食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049953934},{"body":{"content":"需要拿脚贴着墙才能舒服一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955831},{"body":{"content":"精神状态跟食欲都没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049975220},{"body":{"content":"挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979407},{"body":{"content":"白天也喜欢光着脚在屋子里走","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050002686},{"body":{"content":"就是晚上睡觉前总是说脚心热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021408},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170540},{"body":{"content":"属于正常的新陈代谢，正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050265806},{"body":{"content":"孩子的新陈代谢旺盛，产热多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284953},{"body":{"content":"的缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288319},{"body":{"content":"可是他说脚心热的他都睡不着觉啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415730},{"body":{"content":"得用脚贴着墙才能睡着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433526},{"body":{"content":"这种情况用吃药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448191},{"body":{"content":"我问我们老家的一个中医他说可以给孩子吃点六味地黄丸，您看可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591030},{"body":{"content":"不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050656180},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050754342},{"body":{"content":"每天睡前凉水洗脚，睡觉别盖脚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050827410}]

男8岁

2022.05.20

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050118298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050121771},{"body":{"content":"非常抱歉，由于我们是平台育婴师，售后退换问题，或者是质量问题，您需要联系京东客服来处理。您可以在京东首页先点击“我的”，再点那个“客户服务”，可以输入“人工客服”，里面有一个在线客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142896},{"body":{"content":"我也可以把客服电话给您，您和客服咨询一下产品问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159927},{"body":{"content":"请您拨打客服电话******，咨询具体商品的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163346},{"body":{"content":"请问您是否有**育婴问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167734},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674401},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050677500},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679861}]

女

2022.05.20

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38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":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"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":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20

[{"body":{"content":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20