刘继帅

[{"body":{"content":"药名，厂家，规格及几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878668253},{"body":{"content":"您好刘主任 上次跟你问诊过 ***一日一片的剂量出现勃起障碍 您建议我降半片 经过一个星期的降药 现在情况改善了很多 有晨勃了 也能勃起 但还是差点意思 还是没有性欲 勃起的硬度还是差一些 请问该怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878802100},{"body":{"content":"一片是多少mg的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885475581},{"body":{"content":"50ng","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652923981989},{"body":{"content":"可以停一周看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926027792}]

男25岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049850568},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049853742},{"body":{"content":"近日期生产的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859313}]

女

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":"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":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049639164},{"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":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824357},{"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、骑车、骑马、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":1653049826372},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965428700},{"body":{"content":"请问这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965435066},{"body":{"content":"以前做过什么检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965451686},{"body":{"content":"有半年了吧，没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519521},{"body":{"content":"好像是一次开夜车，那天有大雾，一直很紧张的开车回家，之后疼痛，开始还以为是累的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965604625},{"body":{"content":"现在一直没好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623417},{"body":{"content":"怀疑是膝关节骨关节炎，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662901},{"body":{"content":"要注意以下措施以减缓病情的发展： 1.患者要注意保暖，不要让患处接触凉风； 2.这种情况建议适度休息，控制日常活动量，平时避免机械性损伤，避免爬很陡的楼梯，少走上下坡路；避免长距离行走、久站、攀爬、登高、弹跳、跑步及球类等剧烈运动。 4. 酌情局部理疗、热敷，局部外用*********等，口服***或*******，口服***保护关节软骨！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965676081},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762389},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769097},{"body":{"content":"您****，要是想确定是不是膝关节骨关节炎，需要做什么检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966405789},{"body":{"content":"您可以拍片或者做核磁检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966434937},{"body":{"content":"拍片子能看出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966531666},{"body":{"content":"是不是必须需要核磁检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588065},{"body":{"content":"拍片看**关节间隙，当然比如核磁检查好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966748181},{"body":{"content":"不如","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966761112},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966917759},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967085569}]

男40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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878455},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878891717},{"body":{"content":"有没有之前的片子，上传看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878909829},{"body":{"content":"受伤后多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652914513320},{"body":{"content":"四周","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652914569768},{"body":{"content":"上面那张片子是四周拍的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915800313},{"body":{"content":"拆了**可以**开始锻炼了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915816714},{"body":{"content":"这个已经开始锻炼了，**之后已经开的，这个片子是上周搞的片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916346502},{"body":{"content":"**只戴了两周吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916390480},{"body":{"content":"目前锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916409584},{"body":{"content":"**制动后关节僵硬，需要**练开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916444735},{"body":{"content":"是的，现在在家里锻炼。现在看着还是没有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916742475},{"body":{"content":"我想问一下你们医院有没有办法给小孩做康复训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916910885},{"body":{"content":"小孩一般不需要到医院做，自己练基本没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917976897},{"body":{"content":"要做的话到医院康复科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917988253}]

男6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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20