刘继帅

[{"body":{"content":"您好，我是主任医师谷丽梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883184},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887093},{"body":{"content":"你运动锻炼吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049916218},{"body":{"content":"请问您是擅长哪方面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936797},{"body":{"content":"我想咨询其他的可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049945613},{"body":{"content":"你不是咨询***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974367},{"body":{"content":"可以咨询其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988305},{"body":{"content":"咨询哪方面？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050006005},{"body":{"content":"脚趾甲盖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026842},{"body":{"content":"甲沟炎？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048464},{"body":{"content":"怎么处理啊之前各种原因，有指甲有白的，后来受伤了有点淤血，然后就空了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094532},{"body":{"content":"我可以发图片吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100610},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050104706},{"body":{"content":"这叫什么我也不知道，我踢足球会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268275},{"body":{"content":"是开始先变白然后才这样的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420920},{"body":{"content":"还是受伤之后这样的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436855},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469538},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471739},{"body":{"content":"什么差不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050492097},{"body":{"content":"先变白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496573},{"body":{"content":"本来可能也不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504141},{"body":{"content":"然后踢球⚽️会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517295},{"body":{"content":"那这可能是真菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556071},{"body":{"content":"也就是所说的灰指甲的原因导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614573},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663057},{"body":{"content":"不是甲沟炎是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674979},{"body":{"content":"我这样真菌感染的怎么处理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050688924},{"body":{"content":"医生?‍⚕️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050764203},{"body":{"content":"有好的建议吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769497},{"body":{"content":"可以口服****试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780561},{"body":{"content":"还要保证个人卫生，经常进行洗、更换**以及鞋子，保证透气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816851},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889708},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892487},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050899169}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17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":1653051465349},{"body":{"content":"您目前主要有哪些不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478685},{"body":{"content":"您***，我想问一下这种 能喝酒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051498250},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051512984},{"body":{"content":"是线下医师确诊啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518600},{"body":{"content":"是下行不医师确诊吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525036},{"body":{"content":"现在有明显分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051529657},{"body":{"content":"是否有用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051532844},{"body":{"content":"下线确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051621484},{"body":{"content":"吃了7天药了，现在耳朵能听见了 就是有回音","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051639028},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051667872},{"body":{"content":"还有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051673938},{"body":{"content":"本身病症期间不建议饮酒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051684743},{"body":{"content":"会影响正常恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051688448},{"body":{"content":"好的 还在用药 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051703125},{"body":{"content":"用药期间更不建议饮酒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714377},{"body":{"content":"避免饮酒影响药物功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051719942},{"body":{"content":"好的 明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723774},{"body":{"content":"还是建议尽量避免的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051725272},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730166},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051772176},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051993545},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051994778}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760593},{"body":{"content":"哪个部位的疤痕呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772349},{"body":{"content":"多长时间了？目前是什么状况？方便发张局部的照片过来看看吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784371},{"body":{"content":"胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786885},{"body":{"content":"小时候有先天心脏病，特别小的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049798453},{"body":{"content":"做过手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801936},{"body":{"content":"确实是很特殊的部位。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049807800},{"body":{"content":"有没有治疗过呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814407},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049819583},{"body":{"content":"疤痕挺严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833998},{"body":{"content":"平常局部有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857631},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049870567},{"body":{"content":"局部凸起的明显吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881038},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884473},{"body":{"content":"有没有反复感染呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892065},{"body":{"content":"应该算是增生吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892906},{"body":{"content":"没有吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049898902},{"body":{"content":"就是有时候热了出汗，会有这发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920163},{"body":{"content":"建议面积太大，时间又长的周身性疤痕，可以考虑浅部同位素放疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945876},{"body":{"content":"这有什么途径能够消除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951765},{"body":{"content":"这对身体有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049963785},{"body":{"content":"能够祛疤彻底吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973276},{"body":{"content":"浅部的*****治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974332},{"body":{"content":"剂量只要不大，对身体影响可以忽略不计。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985713},{"body":{"content":"只是针对增生性瘢痕的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992925},{"body":{"content":"这个需要做多少次呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013827},{"body":{"content":"而且也只是治疗瘢痕的浅部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017588},{"body":{"content":"得需要多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024261},{"body":{"content":"我看网上说有祛疤手术啥的，还有二次缝合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065938},{"body":{"content":"疗程要根据机体对放射性元素的敏感程度来定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072018},{"body":{"content":"面积太大的疤痕，切除后如果没有皮肤覆盖，不建议考虑手术。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050091409},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050101810},{"body":{"content":"您说的这个，一般做一次多少钱讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119823},{"body":{"content":"医院不同，选择的治疗不一样，费用标准也不一样的，具体可以到当地医院的核医学科或者是整形美容科面诊咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195434},{"body":{"content":"医院的话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205617},{"body":{"content":"我们医院目前还没有该项治疗项目，所以不方便提供价格参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216046},{"body":{"content":"建议选择正规医院的核医学科或者整形美容科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228250},{"body":{"content":"去什么水平的医院可以做讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231789},{"body":{"content":"有必要去专门的美容医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266339},{"body":{"content":"建议去医院吧，美容医院估计不会有这种治疗措施的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282885},{"body":{"content":"综合性医院，应该会有的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296081},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305576},{"body":{"content":"请问还有其他疑问需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315481},{"body":{"content":"我是***的，这种程度，在市级医院可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326188},{"body":{"content":"还是去**呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336661},{"body":{"content":"可以先去咨询问一下，如果不行再去**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344500},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351381},{"body":{"content":"谢谢您啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357715},{"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，对我答复满意的话，请给予5星好评，祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362888}]

女26岁

2022.05.20

[{"body":{"content":"你要问什么具体问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908641},{"body":{"content":"发量没有以前多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916791},{"body":{"content":"上面的头发扁细和软了些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928244},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956887},{"body":{"content":"我一直用****和****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050965847},{"body":{"content":"你用了效果怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050995836},{"body":{"content":"感觉也没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007364},{"body":{"content":"平时3个月一烫发，能显着头发多一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038888},{"body":{"content":"图片我看到了，头发还行，不要太焦虑紧张。生活中不要熬夜，避免焦虑紧张就可以了，越焦虑越掉头发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051041029},{"body":{"content":"愿意吃药可以用养血生发胶囊，纯中药的药店都有卖的，一个月一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068052},{"body":{"content":"吃的有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086158},{"body":{"content":"以后是不是可以植发呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111955},{"body":{"content":"没到那种程度，别自己想的太多。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148683},{"body":{"content":"我看你头发掉得不重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163258},{"body":{"content":"不严重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169206},{"body":{"content":"没有我18岁时候头发好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204210},{"body":{"content":"还能恢复道从前吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051240130},{"body":{"content":"你天天不想他，好好睡觉就能恢复到从前，这得靠你自己去做，不是医生的事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297925},{"body":{"content":"好的 谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051443297},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470742}]

男21岁

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965380119},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386519},{"body":{"content":"你有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412090},{"body":{"content":"停经多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419682},{"body":{"content":"B超做过没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965434681},{"body":{"content":"末次3.30","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463617},{"body":{"content":"*******孕酮7.62","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965492976},{"body":{"content":"前一次的hcg是1682孕酮13.2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535663},{"body":{"content":"隔了五天这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965544683},{"body":{"content":"现在停经50天啦，B超宫腔还未见孕囊，HCG又增高，你这宫外孕不能排除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965604214},{"body":{"content":"有褐色分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965612764},{"body":{"content":"无明显腹痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965635458},{"body":{"content":"而且你的HCG还下降，没有翻倍，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965654871},{"body":{"content":"那这样能确诊是宫外孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965662390},{"body":{"content":"需要再做什么确诊宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681554},{"body":{"content":"等你出现了腹痛，可能就是破裂了，大出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702468},{"body":{"content":"hcg上涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965725669},{"body":{"content":"不是下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965731836},{"body":{"content":"是孕酮下降了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739693},{"body":{"content":"HCG没有翻倍，不正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965767911},{"body":{"content":"都50天宫腔还看不到东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789399},{"body":{"content":"那如果是宫外孕可以保守治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965789795},{"body":{"content":"建议你尽早医院处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801559},{"body":{"content":"是，医生叫我住院了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965821220},{"body":{"content":"你目前这种情况，可以保守","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965836388},{"body":{"content":"可是我没有什么症状所以还是觉得不可思议","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842163},{"body":{"content":"但是在保守治疗过程中随时有破裂可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876435},{"body":{"content":"大概要住院多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893933},{"body":{"content":"如果破裂就随时会出现内出血，危机生命","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940633},{"body":{"content":"这说不清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952979},{"body":{"content":"那你的建议觉得是怎样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965974433},{"body":{"content":"保守治疗的时间会相对时间长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965981523},{"body":{"content":"我还需要去别的医院再看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965989595},{"body":{"content":"应该不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966000851},{"body":{"content":"那你觉得我是直接选择怎样的治疗方案","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049833},{"body":{"content":"目前就两种治疗方法，1是保守2是手术，你目前的条件可以保守，但保守治疗的成功率只有百分之五十到七十，具体怎么处理，你还是听主管医师的意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966149343},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966177130},{"body":{"content":"手术的话是不是都是要切除输卵管啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966204317},{"body":{"content":"也有保留输卵管的可能，但要看术中的具体情况，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966268565},{"body":{"content":"保留输卵管有可能出现持续宫外孕，及再次宫外孕可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966356735},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020989874},{"body":{"content":"我今天住院了，可是医生却说不确定是宫外，也有可能是宫内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021027872},{"body":{"content":"说内膜那么厚也有可能是宫内，但是孕酮低不排除发育慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021106091},{"body":{"content":"不是宫外孕，那不更好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021131734},{"body":{"content":"你听医生你主管医师的，她对你的情况会比较了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021134818},{"body":{"content":"她说一半一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021447929},{"body":{"content":"让我自己做决定，也可以保胎观察观察","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021483877},{"body":{"content":"这样有危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021491008},{"body":{"content":"既然已经住院了，就安心住院观察","type":"text"},"from":{"app":"jd.doctor"},"timesta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女33岁

2022.05.20

[{"body":{"content":"方便再拍别的地方的照片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383104},{"body":{"content":"刚刚洗澡热水烫过之后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449899},{"body":{"content":"很热的烫的，烫过去很舒服，但是会起疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509490},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050510027},{"body":{"content":"有一个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518924},{"body":{"content":"有没有那种止痒的涂的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558351},{"body":{"content":"有没有晚上加重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590560},{"body":{"content":"别的人有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602978},{"body":{"content":"就是晚上会痒一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607966},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642362},{"body":{"content":"手缝严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659556},{"body":{"content":"阴囊有疙瘩吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662679},{"body":{"content":"首先呢考虑是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774989},{"body":{"content":"但是得问问你的情况，需要看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792091},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829601},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871264},{"body":{"content":"可以口服******晚上一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874879},{"body":{"content":"手缝我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893045},{"body":{"content":"这么痒我得看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905879},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908354},{"body":{"content":"手缝和手腕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919324},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925580},{"body":{"content":"手缝和手腕都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957249},{"body":{"content":"也不咋痒是不","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964294},{"body":{"content":"都不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050974485},{"body":{"content":"那就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983850},{"body":{"content":"外用*****一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991828},{"body":{"content":"这个药膏含有**，不过局部用是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993872},{"body":{"content":"吃过了了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998994},{"body":{"content":"不管用的话可以口服********，这个是好点的抗过敏药，不过吃这个不能吃西柚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051019359},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051121252},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131534},{"body":{"content":"痒的厉害也可以外用*****，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142988},{"body":{"content":"吃的这个没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051178695},{"body":{"content":"再加一个吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182880},{"body":{"content":"这个是考虑过敏是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051217636},{"body":{"content":"不是湿疹对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051225655},{"body":{"content":"是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247843},{"body":{"content":"湿疹就是过敏性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252683},{"body":{"content":"湿疹就是过敏反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268901},{"body":{"content":"疥疮呢，是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269557},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274671},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293853},{"body":{"content":"不客气哒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051314331},{"body":{"content":"就是在打***有没有关联","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314393},{"body":{"content":"不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331183},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347470},{"body":{"content":"好的。我先按照你说的先吃点药先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367714},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385341},{"body":{"content":"会不会有传染性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530004},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558796},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051752898},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766439}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050381814},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384637},{"body":{"content":"舌苔白，中间厚腻，有齿痕，现在这个季节没食欲，经常拉肚子，神疲乏力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453329},{"body":{"content":"手麻腿酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469985},{"body":{"content":"请问医生怎么调理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534151},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550292},{"body":{"content":"稍等，我拍一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580140},{"body":{"content":"是啥原因啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023680},{"body":{"content":"大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108759},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213819},{"body":{"content":"有没有凌晨三四点钟拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217412},{"body":{"content":"没有五更泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051228830},{"body":{"content":"一般中午拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237830},{"body":{"content":"还有点肾虚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284560},{"body":{"content":"嗯嗯。看你舌头，结合症状你是脾肾阳虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328307},{"body":{"content":"你能吃汤药嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425169},{"body":{"content":"中成药可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051440240},{"body":{"content":"汤药有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458677},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469461},{"body":{"content":"你好，建议你吃汤药治疗，汤药比中成药更对症。汤药有两种形式，一种是*草药，你自己回家煎煮也可以，平台代煎也可以；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。这两种都比中成药要更有效。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508059},{"body":{"content":"**剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051589340},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051604852},{"body":{"content":"请问您肝功、肾功等指标是否正常，是否有过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051618302},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051625040},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637584},{"body":{"content":"都正常，不过有脂肪肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650111},{"body":{"content":"顺便一下*****和***能同吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051684290},{"body":{"content":"最好不要一起吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051843382},{"body":{"content":"药方开好了，可以点击“预约购药”直接下单，收到就是中药配方**，付款后我再给您说一下服用方法和注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051946097},{"body":{"content":"感觉有点贵了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051981750},{"body":{"content":"能推荐中成药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051990380},{"body":{"content":"你可以吃点参苓白术散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052025941},{"body":{"content":"吃了没有用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052037109},{"body":{"content":"我都吃了好几盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052058661},{"body":{"content":"大概有十多盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052082361},{"body":{"content":"我能吃***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052096610},{"body":{"content":"嗯嗯。所以说中成药效果不好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052104974},{"body":{"content":"脾虚用*****\n肾阳虚用***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120270},{"body":{"content":"不应该是不好，是没对症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052139817},{"body":{"content":"之前吃的汤药方子和***一样，也没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052170390},{"body":{"content":"不介意同时吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052172312}]

男32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20