刘继帅

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050391072},{"body":{"content":"医生你好这个是我小孩最近化验单我看不明白有什么问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422667},{"body":{"content":"上面有上传的九张照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449626},{"body":{"content":"稍等，我给您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512692},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050519171},{"body":{"content":"缺维生素d","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581539},{"body":{"content":"过敏体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585165},{"body":{"content":"主要是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588813},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705872},{"body":{"content":"没有太大问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846786},{"body":{"content":"是的小孩脸上长东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"孩子的情况主要是需要及时的补充维生素D，然后针对症状做必要的抗过敏治疗，增强免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051865618},{"body":{"content":"比如用******，然后规避容易过敏的食物和接触物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051881759},{"body":{"content":"需要去医院找出过敏源吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890871},{"body":{"content":"他比较挑食不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051902441},{"body":{"content":"上面那个就是过敏原，但是过敏原好多指标不是太高，但是总的过敏的指标高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051916532},{"body":{"content":"医生我有点不明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051933090},{"body":{"content":"一般来说就是牛奶鸡蛋，海鲜，牛**，这些高蛋白的要控制量，然后就是少接触这些螨虫啊，或者是一些植物类的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051945639},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051962316},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966312},{"body":{"content":"就是有一点过敏，有一点维生素D缺乏，然后上面我给您讲的就是注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051967103},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051971356},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052012185},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052023205}]

男9岁

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132124},{"body":{"content":"我正在查看以上商品，请稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"不含蔗糖，但是含有其他糖分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189079},{"body":{"content":"有血糖高的人可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236318},{"body":{"content":"血糖控制的怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268808},{"body":{"content":"可以，不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296976},{"body":{"content":"可以少吃点，算作主食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385224},{"body":{"content":"好的，谢谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407166},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464192}]

女

2022.05.20

[{"body":{"content":"您好，我是李威医生，来自中国医科大学附属盛京医院妇科，副教授，副主任医师\n\n非常高兴为您提供咨询服务\n\n我正在看您的简要病例，请稍等…","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858927},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876228},{"body":{"content":"生孩子之前月经周期规律吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892179},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895411},{"body":{"content":"目前孩子几个月？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906706},{"body":{"content":"7个多月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049914516},{"body":{"content":"正常产，还是剖宫产？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918840},{"body":{"content":"生孩子之前勉强规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049927802},{"body":{"content":"剖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939794},{"body":{"content":"晚上睡眠如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943246},{"body":{"content":"体重较孕前增加多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969312},{"body":{"content":"不怎么好，我自己带孩子睡，还会夜醒两次左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974568},{"body":{"content":"目前110斤，孕前98斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986656},{"body":{"content":"身高多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023119},{"body":{"content":"163厘米","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042826},{"body":{"content":"保持当前体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050086751},{"body":{"content":"看看这篇科普文章","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096887},{"body":{"content":"不减肥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098563},{"body":{"content":"163的身高，100-110","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117805},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120705},{"body":{"content":"好吧，那这下巴十来个痘痘要怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147063},{"body":{"content":"您的月经没有恢复一是产后，二是作息不规律","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050160325},{"body":{"content":"都可能影响月经复潮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177266},{"body":{"content":"孩子太小睡觉没办法保证","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183670},{"body":{"content":"不知您孕前脸上愿意起痘痘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232814},{"body":{"content":"会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291482},{"body":{"content":"可能是多囊卵巢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447824},{"body":{"content":"目前您已经断奶了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460943},{"body":{"content":"可以到当地医院妇科门诊看看，做一个盆腔彩超，看看内膜厚度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476330},{"body":{"content":"如果内膜达到一定厚度的话，可以用药来月经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497051},{"body":{"content":"从来月经第一天可以口服***，每天一片，连续口服三个月，也许脸上的痘痘就好了，同时调整月经，**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542248},{"body":{"content":"***是短效***，比较严重的并发症是增加血栓形成风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581178},{"body":{"content":"但一般发生于有家族史，肥胖，高血压，糖尿病，高龄（＞35岁），吸烟的女性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624647},{"body":{"content":"明晨买个验孕棒排除一下怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646620},{"body":{"content":"然后去医院做盆腔彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657014},{"body":{"content":"嗯嗯好哒谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050808245},{"body":{"content":"不客气！ 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，祝您生活愉快啦！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845733}]

女28岁

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"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":1653051756485}]

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

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

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":"你****身上有皮疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240873},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051242672},{"body":{"content":"哭闹后眼睛痒，脸上起红疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051242894},{"body":{"content":"然后流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051255229},{"body":{"content":"还咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051259901},{"body":{"content":"就是过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267771},{"body":{"content":"之前是过敏体质吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280594},{"body":{"content":"发个图片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051285204},{"body":{"content":"现在眼睛和皮肤感觉都好一些了，但还咳嗽，还有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290002},{"body":{"content":"吃上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350277},{"body":{"content":"在几个月之前也试过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366440},{"body":{"content":"****或者****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051367185},{"body":{"content":"家里有没有**机或者***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379410},{"body":{"content":"有没有呼吸困难","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051386386},{"body":{"content":"有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051394912},{"body":{"content":"请问这容易引起哮喘之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051412100},{"body":{"content":"容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425876},{"body":{"content":"刚才打了好几个喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431203},{"body":{"content":"过敏性哮喘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432133},{"body":{"content":"我现在应该如何处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051452111},{"body":{"content":"家里能不能做**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468457},{"body":{"content":"我近几年也的了哮喘，很怕孩子容易患","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484687},{"body":{"content":"先用****和****做上**，吃上******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485669},{"body":{"content":"吃上药之后去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527633},{"body":{"content":"这些药没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574876},{"body":{"content":"吸吸氧气，吸都保维持几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582851},{"body":{"content":"那赶紧去医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600633},{"body":{"content":"上次是**平静好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619500},{"body":{"content":"要是家附近有诊所，先打点****也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663359},{"body":{"content":"请问我现在如果去药房买药，最好买哪种药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051670543},{"body":{"content":"晚上不开诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679080},{"body":{"content":"附近有没有药点，去买我刚才说的药，******和**，**又叫***********，目前主要是休息，不要剧烈活动，开窗户，要是药店也没有，就只有去医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768235}]

男5岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21岁

2022.05.20