刘继帅

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050269114},{"body":{"content":"今天也是这种不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299433},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300067},{"body":{"content":"请问您最后一次月经什么时候来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300909},{"body":{"content":"5.5来的 5.11结束的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468760},{"body":{"content":"平时月经多少天来一次呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509610},{"body":{"content":"28天 一次来7天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050614814},{"body":{"content":"嗯嗯，现在疼痛的严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633360},{"body":{"content":"不是特严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671108},{"body":{"content":"就是坠得慌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687816},{"body":{"content":"之前有出现过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689994},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708365},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716023},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719782},{"body":{"content":"已婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722444},{"body":{"content":"怀孕也是可能引起腹痛腰疼的，您目前有先排除怀孕的可能性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734638},{"body":{"content":"因为来完事没几天 所以没考虑怀孕的可能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756823},{"body":{"content":"嗯嗯，最好是排除一下怀孕，如果没有怀孕有可能是排卵痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811959},{"body":{"content":"白带有发黄吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820267},{"body":{"content":"刚完事几天 验孕棒能查出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872107},{"body":{"content":"昨天有一点点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884583},{"body":{"content":"可以的，如果是怀孕也可以测试出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889705},{"body":{"content":"您之前有盆腔炎病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895158},{"body":{"content":"没有盆腔炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050931579},{"body":{"content":"好的，那可能是排卵痛，您可以局部热敷一下，注意保暖，可以再观察看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959911},{"body":{"content":"好的，那还要考虑怀孕嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008294},{"body":{"content":"先测孕？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051020140},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051027167},{"body":{"content":"不一定怀孕，但是测试没有怀孕更放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051040202},{"body":{"content":"不会有其他炎症吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051048400},{"body":{"content":"如果您腹痛、腰疼一直有不缓解，也有可能是有盆腔炎的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051107536},{"body":{"content":"这个是需要到线下医院让医生给您做触诊检查判断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117975},{"body":{"content":"那观察几天没缓解需要去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179711},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214935},{"body":{"content":"如果一直不缓解有加重就建议医院检查了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232131},{"body":{"content":"两三天后不缓解去可以吗，还是四五天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335040},{"body":{"content":"观察2-3天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051361757},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367274},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398565},{"body":{"content":"注意休息、少熬夜；别吃生冷、刺激食物。睡前用温水泡泡脚，注意保暖；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585920},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051587787},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589549}]

女25岁

2022.05.20

[{"body":{"content":"你好，很高兴为你解答，我是皮肤科唐医生，有没有图片我看一下详细情况呢？局部有什么感觉呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965183670},{"body":{"content":"大腿外侧是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965505129},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965510679},{"body":{"content":"感觉最近再**扩散","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965521190},{"body":{"content":"这叫皮肤膨胀纹也叫生长纹，比如生长发育，体重变化，身高变化等都可以导致皮肤纤维断裂，这个不影响健康不传染，**的可以减轻和淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965524328},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965574373},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965582016},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585513},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965593152}]

女17岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653049839309},{"body":{"content":"有可能是淋巴结","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857125},{"body":{"content":"淋巴结过几天会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881080},{"body":{"content":"如果一直不消失，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897407},{"body":{"content":"这是怎么引起的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902384},{"body":{"content":"一般几天会消失呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924167},{"body":{"content":"一般出牙.感冒发热都有可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018794},{"body":{"content":"一般一周之内会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044355},{"body":{"content":"宝宝刚好在长大牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046039},{"body":{"content":"嗯，观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154915},{"body":{"content":"需要用手按摩一下吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174377},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186792},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241830},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270044}]

女1岁10个月

2022.05.20

[{"body":{"content":"您好，我是主治医师谭久志，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050314547},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317493},{"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":1653050320127},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050322393},{"body":{"content":"牛奶可以退货吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050406271},{"body":{"content":"怎么都找不到客服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419429},{"body":{"content":"您哪里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424628},{"body":{"content":"晕，买个牛奶来个医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442387},{"body":{"content":"你们是什么意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450489},{"body":{"content":"您好，我是中医科医生，只能从中医角度跟您讲一下您咨询产品的性、味、归经，以及食用建议，具体产品相关的问题，辛苦您 点击加入购物车左边的“客服”按钮，直接联系商家的客服，他们会为您进行详细解答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459563},{"body":{"content":"您找客服吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050473702},{"body":{"content":"希望我的建议能够帮到您！非常感谢您的信任！对话结束后麻烦您点击右上角表扬医生，您的好评是对我最好的肯定和鼓励，以后您遇到任何健康方面的问题都可以找我咨询，直接在京东主页搜索（我的名字谭久志医生）就可以很方便的找到我。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050505352}]

女

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049600850},{"body":{"content":"京东大药房买****需要处方，咱们这能出吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049647655},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049665447},{"body":{"content":"几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049667859},{"body":{"content":"一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683366},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049740088}]

男40岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525095},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051529253},{"body":{"content":"请问多大孩子能吃 不缺钙也能吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051543512},{"body":{"content":"3岁以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051549893},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051572902},{"body":{"content":"男孩二岁八个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051598472},{"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":1653051602394},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051609554},{"body":{"content":"可以服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051626536},{"body":{"content":"咀嚼功能怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051640839},{"body":{"content":"这个没问题 主要我看有**的孩子吃不会早熟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051658732},{"body":{"content":"这款是咀嚼片2岁8个月担心咀嚼不碎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663356},{"body":{"content":"咀嚼没问题 **这个没问题吗 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051692740},{"body":{"content":"不没问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051709358},{"body":{"content":"【主要成份】 **。辅料为蔗糖、玉米淀粉、硬脂酸镁、甜橙油香精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051724428},{"body":{"content":"嚼服，一次1片，一日2-3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051760347},{"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":1653051983088},{"body":{"content":"补钙日常多食用富含钙元素的食物，例如虾皮、奶制品、**、奶类、蛋黄等，补钙晚饭后服用吸收好，多晒**有利于钙的吸收哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060335},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052064538},{"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":1653052065865}]

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