刘继帅

[{"body":{"content":"您好，我是副主任医师石俊英，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049691820},{"body":{"content":"您好， 我是京东医生，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":1653049697003},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049720715},{"body":{"content":"宝宝一岁是喝这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728566},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049735764},{"body":{"content":"之前是喝的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049758198},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772579},{"body":{"content":"才刚喝一罐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049781368},{"body":{"content":"是要换吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049787968},{"body":{"content":"嗯，宝宝有乳糖不耐受吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797101},{"body":{"content":"其实不需要换，接着喝这个就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823681},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049835856},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889314}]

女

2022.05.20

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049905593},{"body":{"content":"请问你这样的症状有多久了？还有其他的不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908115},{"body":{"content":"5天左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922262},{"body":{"content":"感觉像是感冒或是支气管炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049935562},{"body":{"content":"嗯，除了乏力还有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950082},{"body":{"content":"好像有点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955156},{"body":{"content":"前几天流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049962340},{"body":{"content":"现在鼻涕好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973424},{"body":{"content":"咳嗽有痰，深黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988360},{"body":{"content":"本周核酸检测三次，都是阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050006290},{"body":{"content":"嗯，你这种情况考虑是感冒合并了支气管炎的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039649},{"body":{"content":"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？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046109},{"body":{"content":"都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091420},{"body":{"content":"嗯，那你吃了什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106425},{"body":{"content":"无病史，无服药史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114306},{"body":{"content":"一直没吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121545},{"body":{"content":"嗯，现在咽喉痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129152},{"body":{"content":"平常抽烟喝酒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132813},{"body":{"content":"前两天痛过，现在不痛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330584},{"body":{"content":"不抽烟不喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"嗯，建议你口服******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367090},{"body":{"content":"有没有可能恶化成肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447343},{"body":{"content":"如果没有控制好，是有可能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475824},{"body":{"content":"目前的症状需不需要去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494249},{"body":{"content":"当然能去检查一下肯定更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531788},{"body":{"content":"能不能加一些防止恶化成肺炎的药，因为我以前得过肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559282},{"body":{"content":"**就是****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578596},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610865},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622633},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706108},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709042},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721128},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791787},{"body":{"content":"处方已经给你开好了，点击处方可以查看药品具体信息和用法，以免买错了，如果需要线上购买，可以等药师审核通过后点击处方按提示操作就可以购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798481},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050802655},{"body":{"content":"好的，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051049503},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116593}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992457},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011441},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048420},{"body":{"content":"6.7年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050071197},{"body":{"content":"都开始脱发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075635},{"body":{"content":"不长头发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080197},{"body":{"content":"看照片考虑脂溢性r皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102616},{"body":{"content":"脂溢性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106844},{"body":{"content":"我没有红斑一类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154293},{"body":{"content":"也不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157163},{"body":{"content":"我基本头发一天就油了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168217},{"body":{"content":"可以用****洗头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195805},{"body":{"content":"少吃辛辣，少熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202479},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255027},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261761}]

男25岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558583},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"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4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162185},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052208650}]

女

2022.05.20

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

2022.05.20

[{"body":{"content":"您好，我是中医科医生，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865517},{"body":{"content":"对症的话，对慢性肾功能不全有一定的帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945130},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437751},{"body":{"content":"请问您收到消息了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050443195},{"body":{"content":"还在关注我们的对话吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451699},{"body":{"content":"由于问诊时间有限，时间到了系统会自动关诊，请您充分利用好时间，感谢您的理解与配合，请问您是否在线呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458255}]

男70岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20