刘继帅

[{"body":{"content":"可以用，但是不要弄到眼睛里去，有刺激性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965796971},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965813550},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901609},{"body":{"content":"不用了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966156723},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966175068}]

女40岁

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591753},{"body":{"content":"您做过精液常规吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597508},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640416},{"body":{"content":"精液的话一般是60分钟内液化就属于正常的，而且还要以精液常规的检查单为准的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667283},{"body":{"content":"我这个过了一晚上都还是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685441},{"body":{"content":"嗯，还有其他的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697688},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050704373},{"body":{"content":"没有不适的症状就没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751488},{"body":{"content":"精液中有米粒大小的**和频繁的手淫和性生活有关系，但是也属于正常的。精液里除了精子以外，还有各种精子存活所必须的各种酶和****、**、肌醇、***、****、卵磷脂小体等组成，这些物质就是说的米粒大小果冻状的透明**，这是正常的，不需要检查和治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760467},{"body":{"content":"尿频跟这个有没有关系？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830119},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853917},{"body":{"content":"有的时候会尿频过了几天就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854093},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856101},{"body":{"content":"尿频 / 尿不尽 / 尿道口滴白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050873678},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050876664},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050909980},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913006},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916632},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920653},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050926970},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930991},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050963744},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973205},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050977230},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980988},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987169},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034216},{"body":{"content":"有没有尿分叉、尿等待情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051042861},{"body":{"content":"有尿分叉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076481},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084598},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091526},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110515},{"body":{"content":"您上述的症状是有前列腺炎的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117729},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121893},{"body":{"content":"那怎么治疗抗议解决这个问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158057},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188276},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051191313},{"body":{"content":"前列腺炎可以治愈，但是生活中需要多注意，易复发，目前的话，就是药物治疗，症状消失即为临床治愈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051536989},{"body":{"content":"除了吃药，生活习惯也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051544175},{"body":{"content":"用药剂量：0.1g的******，一天两次，一次1片；********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703023},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051705121},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710511},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718168},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051723749},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827931}]

男18岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050085875},{"body":{"content":"你闹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089687},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050094519},{"body":{"content":"\n血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050099138},{"body":{"content":"早晨空腹7.5左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191862},{"body":{"content":"确诊几年了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209728},{"body":{"content":"10多年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220504},{"body":{"content":"这款可以服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289660},{"body":{"content":"无糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293009},{"body":{"content":"控制血糖要控制主食量，每日最多400g\n\n少喝粥 淀粉类食物少吃\n如土豆 ** 粉条粉皮等\n按时服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305869}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176918},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051230127},{"body":{"content":"宝宝是双眼都有症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234152},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051239097},{"body":{"content":"平时宝宝有经常用手揉眼睛的情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267519},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290655},{"body":{"content":"眼泪在眼睛里存着的时候就会有好多黄色的脓状眼屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345952},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390235},{"body":{"content":"宝宝是纯母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396214},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400220},{"body":{"content":"症状出现后有给宝宝用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051568555},{"body":{"content":"用过几天*** 后来发现不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051708066},{"body":{"content":"这个药物一天使用了几次呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726670},{"body":{"content":"一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051730877},{"body":{"content":"一只眼睛一滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744138},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051777058},{"body":{"content":"根据您的描述初步考虑宝宝为泪囊炎伴泪道阻塞的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789461},{"body":{"content":"眼部分泌物增多是炎症的表现，需要局部用药来**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051801433},{"body":{"content":"而******是**效果的药物，是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051812262},{"body":{"content":"建议一天3次，一次1滴，给宝宝继续使用5天看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828013},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051905655},{"body":{"content":"您客气，应该的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913445},{"body":{"content":"在宝宝眼分泌物增多时，建议用****冲洗眼睛后再用药，有利于促进炎症的恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917801},{"body":{"content":"****跟泪液的成分相似，有轻度**的作用，对眼睛没有刺激，而且这款是小支装****，使用方法跟***是一样的，非常方便卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051996808},{"body":{"content":"使用10分钟后再使用***，不冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052011235},{"body":{"content":"宝宝用药期间，妈妈饮食清淡，增加饮水量，多吃水果蔬菜，避免辛辣刺激的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052124025},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052179870},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052183827}]

男4个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356111},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370309},{"body":{"content":"请问有什么可以帮您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379648},{"body":{"content":"可以帮忙开张*********的处方单吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407179},{"body":{"content":"0.2g的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416986},{"body":{"content":"请提供病历或以前处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422716},{"body":{"content":"需要2盒 稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430637},{"body":{"content":"还有很多 找起来太麻烦了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558874},{"body":{"content":"这就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592132},{"body":{"content":"2盒***，200mg的，一盒20片。对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636231},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646567},{"body":{"content":"好的 谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050753064},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766134}]

男25岁

2022.05.20

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"您好，我是主治医师白艳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571817},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576332},{"body":{"content":"60多岁能喝这种牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049613045},{"body":{"content":"本产品为中老年配方奶粉，无蔗糖营养健康易于吸收，60岁老人可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620352},{"body":{"content":"一天喝几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049629837},{"body":{"content":"建议早餐喝就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641933},{"body":{"content":"分别喝多少合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642525},{"body":{"content":"饭后吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652017},{"body":{"content":"早餐喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671396},{"body":{"content":"空腹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049687330},{"body":{"content":"是的，牛奶，面包搭配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700363},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796196},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814104},{"body":{"content":"平时有点腿麻痛，腰椎病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049848494},{"body":{"content":"喝这个牛奶有点缓解吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869233},{"body":{"content":"嗯嗯，应该是有益处的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886524},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901301},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912274},{"body":{"content":"一点胖喝这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295408},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313894},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050331722},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345981}]

女

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女2岁1个月

2022.05.20