刘继帅

[{"body":{"content":"您好，我是您的主治医生，请具体描述你的问题和你的症状，我看完后给你回复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051237648},{"body":{"content":"可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240980},{"body":{"content":"她的情况吃***好还是***好。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320516},{"body":{"content":"*****有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344208},{"body":{"content":"效果更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347932},{"body":{"content":"如果***也睡得着就吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366441},{"body":{"content":"***是中成药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386951},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434490},{"body":{"content":"***副作用应该比***小吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051489856},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498570},{"body":{"content":"好的我知道了谢谢您了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516773},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547029},{"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":1653051549177},{"body":{"content":"***什么牌子比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051563986},{"body":{"content":"都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574028},{"body":{"content":"好了没有问题了谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051595953},{"body":{"content":"**源的可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596654},{"body":{"content":"希望我的建议能够帮助你，麻烦结束后好评下，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600997}]

女84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":1653050107629},{"body":{"content":"在哪里透析的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120901},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132320},{"body":{"content":"新桥医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137368},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050141485},{"body":{"content":"哪里人啊？**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163289},{"body":{"content":"今天刚出院，但是回来换了一袋以后，阴囊肿起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165096},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050176915},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181228},{"body":{"content":"腹膜透析做了几天？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211048},{"body":{"content":"11号做的手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221306},{"body":{"content":"一周多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245610},{"body":{"content":"腹腔镜手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250567},{"body":{"content":"插管这种，不是腹腔镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268185},{"body":{"content":"哦，几号还是腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290276},{"body":{"content":"哦，几号开始腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313532},{"body":{"content":"12","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321076},{"body":{"content":"下面什么时候开始肿的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357542},{"body":{"content":"下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362073},{"body":{"content":"今天刚出院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050373880},{"body":{"content":"哦，尿量怎么样啊？应该还可以吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398629},{"body":{"content":"出院前是2000每次，一天四次，今天出院耽误了，到目前，换了两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050401571},{"body":{"content":"1000+基本上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412267},{"body":{"content":"有几个建议:暂停几天腹透，观察一下，下次半袋留腹看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489704},{"body":{"content":"好，那我等会儿换的时候，不放完看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531231},{"body":{"content":"若还是不行，可能你有隐匿性的疝气，需要手术修补","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551082},{"body":{"content":"我放出来的时候，感觉飘管了，有点慢，躺着的时候很顺畅","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050597231},{"body":{"content":"等一下都放完啊，空腹几天看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597358},{"body":{"content":"放进去是很通畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050617701},{"body":{"content":"多走走，保持大**畅，没有都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638849},{"body":{"content":"多走走，保持大**畅，每天都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050651857},{"body":{"content":"在这期间有任何不适，及时去新桥医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686563},{"body":{"content":"大**畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050714562},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050727053},{"body":{"content":"那我这个，***肿起来，先不管吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050747921},{"body":{"content":"把腹透液都放出来，一般情况，空腹几天，会**消退的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780249},{"body":{"content":"下次半袋留腹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050795841},{"body":{"content":"若还是不行，建议去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809964},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050875955},{"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":1653051607757}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256552},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259640},{"body":{"content":"可以给咱家宝宝使用鸭嘴吸管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275224},{"body":{"content":"鸭嘴是奶嘴和学饮嘴的过渡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283707},{"body":{"content":"六个月以上的宝宝就可以使用鸭嘴奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290678},{"body":{"content":"您好，您可能忙，没有关系，我一直都在，您有问题随时找我，我会第一时间回复到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064928},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069308},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051073673},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471948}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965001307},{"body":{"content":"我想问下用****清洗耳朵怎么清洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965025404},{"body":{"content":"滴满外耳道 5到10分钟 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965060396},{"body":{"content":"然后用**吸干吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965105226},{"body":{"content":"可以空出来的 单侧耳朵像下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150014},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965184212},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965195527},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965210827}]

男20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964982681},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984851},{"body":{"content":"湿 疹是过 敏性皮疹，注意观察饮食，吃了什么加重就是过 敏就不要吃了，食物可以一个一个试，这是最精确的判断过 敏 原的办法，再就是查过 敏 原，查了过 敏 原并不能面面俱到，也是需要自己细心观察，再就是湿 疹忌讳洗，忌讳干燥，忌讳热，一直保持油腻状态看起来油光光的，湿 疹的外用药物一类是保持油腻的，一类就是***了，如果普通药物效果不好可以用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965142841},{"body":{"content":"用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965149101},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158939},{"body":{"content":"家里有什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184766},{"body":{"content":"家里没有储备药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965224867},{"body":{"content":"好的好的麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593043},{"body":{"content":"好的好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681153},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694388},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965719249},{"body":{"content":"❤️","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965734893}]

女5岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397365},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404400},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404539},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407189},{"body":{"content":"就是晚上发现这里长了好多小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435851},{"body":{"content":"我今天这个地方背了比较重的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464651},{"body":{"content":"就这块附近长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474395},{"body":{"content":"医生怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479707},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482558},{"body":{"content":"这是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483109},{"body":{"content":"这个可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491327},{"body":{"content":"它会自己消掉吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549905},{"body":{"content":"一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556356},{"body":{"content":"好多，好丑的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556559},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559324},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562020},{"body":{"content":"就一直长成那样了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571722},{"body":{"content":"可以试试外用中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572972},{"body":{"content":"用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580495},{"body":{"content":"可以外用*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598936},{"body":{"content":"这病严重的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610179},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618999},{"body":{"content":"咋感觉拿点重的东西就会有这病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050627274},{"body":{"content":"我的手也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050639146},{"body":{"content":"但是少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643136},{"body":{"content":"偶尔会发现一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650050},{"body":{"content":"也可以观察一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653800},{"body":{"content":"现在是一大片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657317},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050660107},{"body":{"content":"一般不用理它是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668916},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679303},{"body":{"content":"这病会遗传吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681228},{"body":{"content":"有遗传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693663},{"body":{"content":"如果母亲有这病，小孩会有吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695174},{"body":{"content":"不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050710700},{"body":{"content":"医生，拿药怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720426},{"body":{"content":"那药怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728221},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731943},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735571},{"body":{"content":"直接涂就好了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737947},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050750092},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761979},{"body":{"content":"直接外用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766182},{"body":{"content":"好的，我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865137},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050869704},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940905}]

女26岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院于主任，很高兴为您提供医学服务，请问您想解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523399},{"body":{"content":"我想问问泰州第二人民医院有没有男科？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623125},{"body":{"content":"一般三甲医院都有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641704},{"body":{"content":"想做男科检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965642412},{"body":{"content":"做什么检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650781},{"body":{"content":"那是三乙医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749403},{"body":{"content":"建议去正规三甲医院检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965774713},{"body":{"content":"有手淫习惯，想检查一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799208},{"body":{"content":"精液量少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847936},{"body":{"content":"没有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965865323},{"body":{"content":"做精液的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872468},{"body":{"content":"要不要做阴茎充血检查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965973149},{"body":{"content":"听说要看充血情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999319},{"body":{"content":"可以检查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051855},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966170724},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966185790}]

男27岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20