刘继帅

[{"body":{"content":"现在因疫情图片不在手里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871979},{"body":{"content":"想开几盒补铁药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878932274},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879235885},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879244058},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250650},{"body":{"content":"非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879256807},{"body":{"content":"好的，您需要开几盒？怎么服用的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879272924},{"body":{"content":"想开5盒，每天2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879304506},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879330671},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879336879},{"body":{"content":"家长您好！处方已开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879472577},{"body":{"content":"你****能开30袋一盒的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879740765},{"body":{"content":"这样买还便宜?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879859520},{"body":{"content":"你好！可以不用处方了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880143141},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652913116491}]

女4岁

2022.05.20

[{"body":{"content":"您好！我是全科杨医生。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475971},{"body":{"content":"感冒发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965485010},{"body":{"content":"请问您有线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965514462},{"body":{"content":"需要我提供什么帮助呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525570},{"body":{"content":"***可以和**和***一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540383},{"body":{"content":"可以一起服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965561331},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965581040},{"body":{"content":"不用谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965586690},{"body":{"content":"****可以治发烧吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965669759},{"body":{"content":"昨晚去医院看完，打完吊针","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965682373},{"body":{"content":"今天中午又发烧回来了37.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965691186},{"body":{"content":"昨天发烧38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965696493},{"body":{"content":"***是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965707704},{"body":{"content":"37.7度可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729561},{"body":{"content":"不建议服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762260},{"body":{"content":"那吃了会没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799008},{"body":{"content":"37.6度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965815288},{"body":{"content":"体温一般超过38.5℃才需要服用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822709},{"body":{"content":"那服用了不会有什么事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844698},{"body":{"content":"问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965894003},{"body":{"content":"但没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900255},{"body":{"content":"物理降温即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913330},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965913596},{"body":{"content":"***也是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965922176},{"body":{"content":"***37.6可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965925074},{"body":{"content":"也没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965930767},{"body":{"content":"多喝水，物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965949178},{"body":{"content":"怎么物理降温","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965955308},{"body":{"content":"用凉水敷额头有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000654},{"body":{"content":"多喝水，温水擦浴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966003850},{"body":{"content":"主要擦哪里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966081566},{"body":{"content":"比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091055},{"body":{"content":"擦全身","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092507},{"body":{"content":"凉水敷额头也可以帮助降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123990},{"body":{"content":"吃多了药，晚上肾疼正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966157179},{"body":{"content":"两边肾都有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966174897},{"body":{"content":"偶尔喝点水，一喝过一会就想上厕所","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966199470},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966203328},{"body":{"content":"人是感受不到肾疼的，除非肾结石、肾破裂等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966235048},{"body":{"content":"多喝水，排尿多，帮助降温好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966257939},{"body":{"content":"如反复发热，不缓解，建议及时当地医院发热门诊就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311743},{"body":{"content":"去医院看过了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966575564},{"body":{"content":"去医院看的时候38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585946},{"body":{"content":"然后晚上就退烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966593801},{"body":{"content":"昨晚又发烧了37.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966600376},{"body":{"content":"到现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966606503},{"body":{"content":"都是差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966612136},{"body":{"content":"嗯嗯，比昨天好，说明发热有好转。可物理降温，然后继续观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966669500},{"body":{"content":"昨天晚上都退烧了，然后今天又发回来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966707244},{"body":{"content":"昨晚打了吊针的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966714874},{"body":{"content":"如果再不能好，需不需要去医院看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966726231},{"body":{"content":"如果药物有效，也需要一定时间，一般如果3天都无明显好转，需要复查，更改方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966796601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966826024},{"body":{"content":"还有拉不出屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966832820},{"body":{"content":"有感觉想拉，就去拉不出正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966844795},{"body":{"content":"***有没有用呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967020917},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967027257},{"body":{"content":"服用的**多少会对****有点影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967060806},{"body":{"content":"***有帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071490},{"body":{"content":"那买那种比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967105415},{"body":{"content":"这个没有推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967137916},{"body":{"content":"成人儿童的都可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967186022},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967194654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967228858},{"body":{"content":"多吃蔬菜、水果，补充蛋白质，提高抵抗力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967232010},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967236835},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967312057},{"body":{"content":"嗯嗯，不用谢。请问您还有其他医学问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967337071},{"body":{"content":"暂时没了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967368155},{"body":{"content":"好的。感谢您的咨询，希望我的建议能够帮助到您，非常感谢您的信任！对话结束后可对我的服务作出评价。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967396570}]

男20岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20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":1653050634663},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635941},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647159},{"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":1653050674143},{"body":{"content":"请问您出现不适症状几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050676230},{"body":{"content":"1-3天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681290},{"body":{"content":"有没有出现下列所述症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686357},{"body":{"content":"尿频 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715046},{"body":{"content":"好的，那么有使用过药物进行过治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721071},{"body":{"content":"未使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050725050},{"body":{"content":"针对以上情况，您到线下医院做过相关检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050736323},{"body":{"content":"白天大概去几次厕所？超过4-6次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050743351},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756294},{"body":{"content":"晚上睡着以后会起夜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050771888},{"body":{"content":"就是今天感到小便次数多 和有点酸胀的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050809425},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817212},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823253},{"body":{"content":"昨天晚上起夜一次吧，睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050849124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856944},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859820},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860275},{"body":{"content":"最近饮水量怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866919},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872623},{"body":{"content":"有过泌尿系结石的病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050884234},{"body":{"content":"需要吃药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889249},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050895317},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912129},{"body":{"content":"在吃血压高的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937180},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050947809},{"body":{"content":"您目前的症状，是有尿路感染的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952582},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050953566},{"body":{"content":"女性尿道较短，解剖位置特殊，如果经期或者性生活后不注意个人卫生，加之饮水少，憋尿，很容易诱发尿路感染，急性膀胱炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955604},{"body":{"content":"估计饮水少的原因和抵抗力下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995594},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000112},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001929},{"body":{"content":"建议服用*******+***，口服一周，多饮水多排尿，保证每天饮水量2000-2500ml","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006206},{"body":{"content":"服用过程中若症状加重或使用药物后没有明显效果，建议及时去线下医院完善尿常规、泌尿系彩超等检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010570},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021141},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051033382},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051046401},{"body":{"content":"用药剂量：0.1g的*******，一天两次，一次2片；***，一天三次，一次三片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049827},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051292},{"body":{"content":"药能及时送到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057325},{"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":1653051094303},{"body":{"content":"如果比较着急使用的话，可以看一下当地是否有开通药急送业务，如果有，可以按照图片的方法购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103375},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051104698},{"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":1653051125432},{"body":{"content":"女性尿路感染注意事项：1.多饮水，多排尿，保证每天2000ml饮水量，足量饮水以冲洗清除细菌；2.不要憋尿；3.女性排便后，从前向后擦拭肛门；4.建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131203},{"body":{"content":"近期疫情原因，如果不方便去医院的话，也可以先使用尿液分析自测试纸先自测看一下情况，按说明书使用，简单易操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137713},{"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":1653051279836},{"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":1653051364916}]

女55岁

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

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":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"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":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

男41岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965718203},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965732564},{"body":{"content":"需要及早治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965732945},{"body":{"content":"需要怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757609},{"body":{"content":"查肺CT，没问题的话可以服用****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965784876},{"body":{"content":"CT正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965795777},{"body":{"content":"用法用量呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876135},{"body":{"content":"每周一次，每次3片，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876252},{"body":{"content":"用药多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908332},{"body":{"content":"多久复查，复查那些项目？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957194},{"body":{"content":"每月复查，血常规、肝肾功能、血沉、CRP、RF等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966025766},{"body":{"content":"终身服药？还是多久可以停药，在什么时候停药比较合适？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966135984},{"body":{"content":"老师还在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966513959},{"body":{"content":"老师还在吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966626880},{"body":{"content":"基本上要终身服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966738955},{"body":{"content":"长期吃这药，最严重的并发症是什么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966856886},{"body":{"content":"血常规、肝功能需要监测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966989623},{"body":{"content":"老师指导一下，生活上还需要注意点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967222847},{"body":{"content":"保暖，保护关节，避免感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967386796},{"body":{"content":"其他没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967394241}]

男45岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019888555},{"body":{"content":"各地价格不一样，一千左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019893630},{"body":{"content":"**的医院做心理疾病诊断要多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020051879},{"body":{"content":"具体需要，问当地医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020626158},{"body":{"content":"这里是互联网医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020630696}]

女14岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468505},{"body":{"content":"有什么咨询的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965478411},{"body":{"content":"可以麻烦医生看一下这个病理结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516714},{"body":{"content":"是恶性的吗 原发性的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531653},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595472},{"body":{"content":"可能性较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965633477},{"body":{"content":"您可以简单解释一下这个检查结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965644223},{"body":{"content":"是直肠息肉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965649684},{"body":{"content":"异性增生就提示恶性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698858},{"body":{"content":"病理活检已经比较明确考虑恶性肿瘤了，建议进一步做免疫组化等，具体看你主治医生的意见较好，他比较了解具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965756329},{"body":{"content":"看到明显的肿物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965794243},{"body":{"content":"那高级别上级内瘤是代表什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799805},{"body":{"content":"提示恶性程度可能没那么高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022000},{"body":{"content":"就是可能是恶性的 但是要进行进一步的检查确认","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092014},{"body":{"content":"那这样的情况容易转移吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966130964},{"body":{"content":"只能看个人情况咯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966172955},{"body":{"content":"医生会帮你评估的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966187979},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966201795},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966213005}]

女49岁

2022.05.20