刘继帅

[{"body":{"content":"你是检查出来有染色体异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965212641},{"body":{"content":"胎儿检查出来是染色体缺失，我跟老公还没有去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253480},{"body":{"content":"夫妻双方最好去检查一下双方的染色体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324740},{"body":{"content":"如果是染色体随体增加等染色体多态性，并不影响怀孕，可以正常要孩子，不会产生遗传物质的增加、减少或功能异常。如果是染色体平衡易位携带者，则有后代染色体异常导致反复流产的可能，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965365609},{"body":{"content":"医生，这是胎儿的检查报告，麻烦您看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965501000},{"body":{"content":"主要还是发现了有x染色体的丢失。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572578},{"body":{"content":"这种情况常见吗，还是很担心下次怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965640422},{"body":{"content":"这种情况造成胎停的还是比较多。建议还是去夫妻双方完善染色体相关的检查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715540},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741347},{"body":{"content":"如果检查出双方没有大问题的话还是可以正常备孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965777148},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787679},{"body":{"content":"好的，谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965814630},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965824273}]

女26岁

2022.05.20

[{"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":"你好，我是京东妇产科梁国肖医生，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819961},{"body":{"content":"建议少喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842898}]

女32岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653049698659},{"body":{"content":"您好，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703911},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729820},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756789},{"body":{"content":"你好，两岁半大约喝多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049764502},{"body":{"content":"一天两次一次10克就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786356},{"body":{"content":"如果不上火了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790441},{"body":{"content":"一次5--10克","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797880},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874857},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900587}]

女

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":"您好，我是副主任医师周继峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652754},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655447},{"body":{"content":"你好，这里是京东医生，主要提供该商品的医学相关问题的咨询服务。请问你有什么需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657144},{"body":{"content":"不好意思点错了，还以为是客服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049703243},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712430},{"body":{"content":"你可以从我的--客服--找到京东客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049714222},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911967},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928266}]

女

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317234},{"body":{"content":"您想预约什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965326892}]

男45岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653050118232},{"body":{"content":"您好，这是3岁以上宝宝适用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125535},{"body":{"content":"您好，这是新生儿可用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145208},{"body":{"content":"哪个是三岁以上宝宝用的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204675},{"body":{"content":"您发的那款","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050265003},{"body":{"content":"我给您的这是新生儿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276030},{"body":{"content":"哦，好的，我看上面写的婴儿面霜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364241},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382293}]

女

2022.05.20