刘继帅

[{"body":{"content":"请问类似症状出现多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494521},{"body":{"content":"就是这一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595244},{"body":{"content":"平时还挺正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965617283},{"body":{"content":"考虑是异常子宫出血，异常子宫出血是妇科常见的症状和体征，是指与正常月经的周期频率、规律性、经期长度、经期出血量任何一项不符的、源自子宫腔的异常出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966251973},{"body":{"content":"一般三天出结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966260541},{"body":{"content":"请问末次月经来潮时间？平常月经规律吗？月经多长时间来潮一次？怀孕过几次？宝宝多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966280109}]

女42岁

2022.05.20

[{"body":{"content":"您好，我是主治医师邵珠琳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380451},{"body":{"content":"请问需要什么帮助?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391967},{"body":{"content":"家里54岁老人，心肌缺血，想要营养心肌用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426501},{"body":{"content":"您有推荐么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441768},{"body":{"content":"患者有什么症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872020}]

女

2022.05.20

[{"body":{"content":"以前有过这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688681},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015377},{"body":{"content":"以前有过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046509},{"body":{"content":"不能除外癫痫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051020},{"body":{"content":"以前没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966067259},{"body":{"content":"如果是第一次，建议尽快去医院做个头ct 和脑电图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966096648},{"body":{"content":"都做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966110041},{"body":{"content":"明确一下是否为癫痫以及抽搐的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116097},{"body":{"content":"看过医生了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966122994},{"body":{"content":"核磁也做了没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966123135},{"body":{"content":"脑电图有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131261},{"body":{"content":"发病之前有没有熬夜？一共抽过几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966148433},{"body":{"content":"住了四天院，脑电图显示有点电波2.5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966180862},{"body":{"content":"诊断癫痫了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966195646},{"body":{"content":"诊断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966209823},{"body":{"content":"吃药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966246758},{"body":{"content":"脑电图如果有异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966255735},{"body":{"content":"根据症状也可以诊断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966272597},{"body":{"content":"今天才吃药，******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966299615},{"body":{"content":"嗯，一定要规律吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966314017},{"body":{"content":"不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966316542},{"body":{"content":"这毛病能有后抑证吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966379780},{"body":{"content":"先吃药看看吧，如果不严重，有的一两年后可以停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966422994},{"body":{"content":"得看情况哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429129},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966435827},{"body":{"content":"平时一定注意别饮酒，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966437938},{"body":{"content":"规律吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966440575},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966449751},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458591},{"body":{"content":"电波2.5有事吗，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966529259},{"body":{"content":"应该不是电波","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966541591},{"body":{"content":"是有异常放电","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966550361},{"body":{"content":"那是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966554225},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966561274},{"body":{"content":"这个是支持癫痫诊断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561870},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588552}]

男17岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042721704},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042731070},{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042731945},{"body":{"content":"\n焦虑，失眠，麻烦开两盒*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042755191},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042760414},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042761992},{"body":{"content":"本人\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042772918},{"body":{"content":"没有\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042786507},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042800998}]

女48岁

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":1653007325552},{"body":{"content":"肾结石什么问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007337165},{"body":{"content":"肾结石0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653007375241},{"body":{"content":"可以服药**试试看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007410506}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167457},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170110},{"body":{"content":"哪个部位骨折了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050233516},{"body":{"content":"把片子发过来看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807}]

男23岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984201},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965013685},{"body":{"content":"痒了吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965016363},{"body":{"content":"不是很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965028672},{"body":{"content":"看着有点肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965046423},{"body":{"content":"冷敷冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965063319},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965065527},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965069167},{"body":{"content":"一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965071373},{"body":{"content":"结肠癌术后两年，治疗结束，现在不吃药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965167225},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181601},{"body":{"content":"***可以用吗？家里现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965223524},{"body":{"content":"可以，但是效果没有那个好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965248328},{"body":{"content":"好的，谢谢您！还要请教您，我这个过敏和吃东西有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296852},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965339600},{"body":{"content":"外面药店买吧，很常见的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965390222},{"body":{"content":"好的，非常感谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965421948},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479930}]

女41岁

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577657},{"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":1653050587268},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592164},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050602751},{"body":{"content":"就是脚底有水泡，还痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616340},{"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":1653050637563},{"body":{"content":"性别女年龄25","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050662692},{"body":{"content":"建议用这个 、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681537},{"body":{"content":"需要泡脚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706279},{"body":{"content":"就是脚痒，用清水洗也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050761233},{"body":{"content":"还需要搭配泡脚的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802368},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809861},{"body":{"content":"水泡型 不可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815716},{"body":{"content":"水泡挑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050847003},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050852662},{"body":{"content":"这个药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050890108},{"body":{"content":"使用剂量\n一日一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928623},{"body":{"content":"温馨提示：为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药14天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051664609},{"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":1653051666902},{"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":1653051667410}]

女

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595516},{"body":{"content":"你是患者本人吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049606155},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049612738},{"body":{"content":"这么年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626743},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629347},{"body":{"content":"是家里人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049640119},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683854},{"body":{"content":"咨询什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689152},{"body":{"content":"家里老人轻微中风","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049713486},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725390},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049727803},{"body":{"content":"为了用药安全，请问你是否有药物过敏史，是否有肝肾功能异常，是否有慢性疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049732198},{"body":{"content":"5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732283},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742701},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861411},{"body":{"content":"回看沟通记录可见电子处方。点开电子处方，下方会有 预约药品，点击后会跳转京东，补充**等信息，支付后，京东药师审核后，会直接按照您预留**发货，无需再上传处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049869848},{"body":{"content":"不用客气，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871882},{"body":{"content":"脑梗塞应这样\n1.应平衡饮食和营养，多吃蔬菜、水果和谷类食品，减少饱和脂肪酸和胆固醇的摄入；每天盐摄入量限制在6克以下。\n\n2、继续锻炼，持续锻炼可减少20%的复发风险，每天至少进行30分钟的适度体育活动，如步行、慢跑、**拳、骑自行车等，每周5次。\n\n3、定期体检和会诊，患者应定期检查血压、心电图、血糖**脂，并根据自己的检查结果咨询神经科医生，帮助解决所遇到的各种问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876299},{"body":{"content":"你可以点开我的头像关注我，以后有问题随时可以咨询我， 或者去：京东_搜我的名字***，点击图文咨询直接咨询就行。这样就能找到我了，有什么用药问题或者购药问题都可以继续咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879609},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对给予5星好评，您的好评是对我最好的肯定与鼓励，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881616}]

女31岁

2022.05.20