刘继帅

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028806},{"body":{"content":"三四天吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050037099},{"body":{"content":"摸着大拇指那里是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045554},{"body":{"content":"基本不会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050059117},{"body":{"content":"肿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050064921},{"body":{"content":"按着是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097454},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103758},{"body":{"content":"刚刚还破了出黄水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121104},{"body":{"content":"如果按着是软的 里面有脓的话可能就得去医院切开治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145966},{"body":{"content":"有脓吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158513},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171989},{"body":{"content":"吃过***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232238},{"body":{"content":"***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236670},{"body":{"content":"没吃过***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050264375},{"body":{"content":"这是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288801},{"body":{"content":"是甲沟炎吗还是别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298741},{"body":{"content":"这样 我建议您吃几天*** 外用*** 如果持续不好转 建议您去医院切开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310990},{"body":{"content":"看着怀疑甲沟炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321946},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388141},{"body":{"content":"用**消毒有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404046},{"body":{"content":"不要用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416351},{"body":{"content":"**可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577071},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646669}]

男28岁

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":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076045},{"body":{"content":"这个风险大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051160383},{"body":{"content":"相比搭桥手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168648},{"body":{"content":"大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176348},{"body":{"content":"你做的是支架","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182550},{"body":{"content":"不是搭桥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192040},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051194499},{"body":{"content":"这个手术要开胸的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051202670},{"body":{"content":"像你这么重的冠心病风险肯定大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217930},{"body":{"content":"能推荐一下**好的医院和专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353404},{"body":{"content":"安贞医院和阜外医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441436},{"body":{"content":"我目前保守治疗行么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579322},{"body":{"content":"只吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584104},{"body":{"content":"观察吧，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051599798},{"body":{"content":"这两个医院有好的专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051606161},{"body":{"content":"我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051636633},{"body":{"content":"看心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051643910},{"body":{"content":"具体哪些专家我也不是很清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654703},{"body":{"content":"较小的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666139},{"body":{"content":"\n我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688555},{"body":{"content":"麻烦回我一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051700215}]

男47岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317985},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"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开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196208},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33岁

2022.05.20

[{"body":{"content":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822939},{"body":{"content":"请问您有没有做过尿常规检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049846374},{"body":{"content":"您泡沫尿有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045765},{"body":{"content":"是这样的，如果只是偶然发现泡沫尿增多，您有可能不好鉴别是真的泡沫尿还是假的，然后尿液发黄，一般和尿量有关，比如喝水多、尿量多，一般尿液会稀释，会偏清澈，如果当天喝水比较少，尿液会浓缩，会比较黄。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128975},{"body":{"content":"所以您到底有没有问题，分析再多，其实不去做一个尿常规检查更便于去明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172016},{"body":{"content":"就比如你猜测一个人的身高，再怎么对比、猜测，不去拿尺子去直接量一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206485},{"body":{"content":"所以我建议你先到就近的医疗机构查个尿常规，这样有没有问题就很明确了，不用去怀疑有没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241854},{"body":{"content":"有做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531720},{"body":{"content":"是在社区医院做的，显示的全部阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550077},{"body":{"content":"喝水尿液就不黄了，但是泡沫会有，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607487},{"body":{"content":"这个以实验室检查为准，因为尿液浓缩后，浓度会增高，小便时冲刷作用也会起泡，但这和真的泡沫尿（蛋白尿）是不一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065648},{"body":{"content":"咱肾脏每天排出的毒素量是相对固定的，和喝水多少关系不是特别大，喝水多呢，毒素会稀释，喝水少呢，毒素浓度会高，所以表现出来的性状也不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154217},{"body":{"content":"就跟普通啤酒和精酿啤酒浓度不一样一个道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170016},{"body":{"content":"好的，尿常规没有问题，就是说我是正常的对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359684},{"body":{"content":"对的，多喝水就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051368827},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051377679},{"body":{"content":"上边我主要给你通俗的解释了下，你理解下就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411582}]

男25岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780054},{"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":1653049782685},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049785031},{"body":{"content":"有防尘收纳盒的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829640}]

女

2022.05.20

[{"body":{"content":"脚指头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010986},{"body":{"content":"这个药效果怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028862},{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050035330},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040444},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046866},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066008},{"body":{"content":"今天修脚！足疗店的人发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050068579},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074664},{"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？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":1653050095773},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050112142},{"body":{"content":"根据您现在的症状，可能是灰指甲引起的这些症状，楚甲可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131147},{"body":{"content":"用法用量\n将本品施用于病甲，每7天使用1-2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200962},{"body":{"content":"这个啊**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203228},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215623},{"body":{"content":"几瓶能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216928},{"body":{"content":"大概","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221165},{"body":{"content":"用药注意事项\n1、哺乳期妇女避免使用本品。 2、使用本品前请仔细阅读说明书，严格按照说明书使用本品。 3、本品不得吸入，本品应避免接触粘膜（如口腔，鼻）和皮肤皱褶处。 4、如果不慎将搽剂误入眼内或耳内，立即用水冲洗，就近立即去医院咨询医生或药师。 5、如果误服本品，就近立即去医院咨询医生或药师。 6、甲真菌感染面积较大的患者，如多于2个指（趾）甲、单（趾）感染面积超过指甲面积二分之一的患者需要综合治疗，使用本品前应咨询专科医生。 7、由于缺乏相关的临床研究资料，不推荐用于儿童。 8、老年患者应在医师指导下使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231958},{"body":{"content":"建议用药两至三盒左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244375},{"body":{"content":"1.养成良好的卫生习惯，不穿他人的鞋袜，不用他人的毛巾、浴巾、不与他人共用面盆、脚盆；2.经常清洗手脚，保持手足清洁**适的湿度；3.避免用手搔抓患部；4.避免进食辛辣刺激性食物和发物，戒烟酒，饮食以清淡为宜，多吃些新鲜蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246875},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药7天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254523},{"body":{"content":"前一瓶用多久可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270679},{"body":{"content":"我看量很小","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278181},{"body":{"content":"根据病甲多少哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304024},{"body":{"content":"两个大母脚趾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325765},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346703},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050762489}]

女

2022.05.20

[{"body":{"content":"不用加药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965485742},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965500767},{"body":{"content":"甲状旁腺癌我是全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686985},{"body":{"content":"甲癌全切","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710023},{"body":{"content":"维持现状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825692}]

女40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，我是朱医生，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":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60岁

2022.05.20