刘继帅

[{"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

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"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、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"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，若用药无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"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":1653051482788}]

女

2022.05.20

[{"body":{"content":"可有照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965594642},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629815},{"body":{"content":"只是囊肿已经扩散成好几小个，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965683865},{"body":{"content":"请问我挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965801742},{"body":{"content":"在哪地方囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816745},{"body":{"content":"小腿上面头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891516},{"body":{"content":"我这种情况该挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965962758},{"body":{"content":"在皮下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056380}]

男71岁

2022.05.20

[{"body":{"content":"图片我看到了，你要问什么具体问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006480},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008996},{"body":{"content":"请讲具体问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014897},{"body":{"content":"就是毛周角化症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023167},{"body":{"content":"胳膊这","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051025790},{"body":{"content":"然后之前去医院开的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051050427},{"body":{"content":"抹了几个月一开始掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057819},{"body":{"content":"现在就是起皮有颗粒感偶尔痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070536},{"body":{"content":"没有什么改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079556},{"body":{"content":"感觉有的地方扩散了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051090740},{"body":{"content":"这个病是慢性病，就得坚持用药，没有太快的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051093212},{"body":{"content":"生活中可以口服****药店都有卖的，另外洗澡不要用力搓也不要太频繁。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051113590},{"body":{"content":"我看有推荐我*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051129543},{"body":{"content":"这个有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136851},{"body":{"content":"我也抹了一段时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051164133},{"body":{"content":"****就可以，就不错。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199238},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214906},{"body":{"content":"这个用着感觉起皮泛红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051223182},{"body":{"content":"抹起来赖不拉几的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241653},{"body":{"content":"***可以，能滋养皮肤，没毛病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051321484},{"body":{"content":"那您感觉我是涂**好一点还是**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345026},{"body":{"content":"一一种用一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362969},{"body":{"content":"那我平时还需要擦油什么的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051376538},{"body":{"content":"什么也不需要了，有这两种足够了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051388540},{"body":{"content":"我看京东是***里面有**的这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051398600},{"body":{"content":"百分之10含量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051405882},{"body":{"content":"这个的话涂的话频率是每天早晚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051422753},{"body":{"content":"几次都行，随心，这个药没什么特殊说道。次数越多好的越快，有时间就涂。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499292},{"body":{"content":"就是***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516797},{"body":{"content":"还是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051524998},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573312},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579154},{"body":{"content":"好的，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051586761}]

男21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

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050328707},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330967},{"body":{"content":"哺乳期发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346805},{"body":{"content":"37.5度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351322},{"body":{"content":"乳房疼痛，怀疑是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376910},{"body":{"content":"乳房有硬块吗？局部皮肤有发红发烫么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395609},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411205},{"body":{"content":"怀疑急性乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419774},{"body":{"content":"好的，乳房疼伴有发烧 这首先考虑是急性乳腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481366},{"body":{"content":"给您些治疗的方法您参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489713},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除药物禁忌，请问您既往是否有任何基础疾病，近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于妊娠，备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合回答，谢谢。）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501647},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511762},{"body":{"content":"现在是哺乳期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518156},{"body":{"content":"用药肯定得注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050526472},{"body":{"content":"乳腺炎一般是由于乳汁淤积引起的，您可以局部冷敷，后由肿块向乳头方向按揉，将肿块揉散，后排出乳汁，按揉前清洗乳头，保证乳头清洁干燥，乳头处乳管通畅。平日也要保持乳头乳晕清洁干燥，哺乳和挤奶前后都要清洁乳头及乳晕周围。平日尽量保持乳房空虚，避免乳汁淤积。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566076},{"body":{"content":"如果体温超过38.5度可以口服退热药物，**就可以。一般一次10ml，4到6小时可以重复一次。这个不影响哺乳 不到38度5 物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578776},{"body":{"content":"药物可以口服 蒲公英颗粒 ****治疗 也不影响哺乳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590018},{"body":{"content":"如果自行保守治疗2天无效，乳房红肿痛加重，有脓性乳汁出现，或者高热不退，您需要到医院普外科或乳腺外科就诊，查彩超，明确具体情况，针对性治疗了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748495}]

女31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":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"有湿疹病史？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668185},{"body":{"content":"有啊，脖子上之前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049684996},{"body":{"content":"身上也有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049700101},{"body":{"content":"近期周围环境热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049734183},{"body":{"content":"汗多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049737123},{"body":{"content":"就是有次小孩跟我们大人盖一个被子，捂热了，第二身上就有湿疹，用氧化锌软膏后就好了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049770848},{"body":{"content":"不热啊，20几度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049793038},{"body":{"content":"看身上都蜕皮了，是干燥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843536},{"body":{"content":"这也是湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852919},{"body":{"content":"噢噢，那怎么办，针对于这种，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875682},{"body":{"content":"买个儿肤康搽剂稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049880098},{"body":{"content":"要每天洗澡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884813},{"body":{"content":"之前用过炉甘石洗剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049893730},{"body":{"content":"洗后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899073},{"body":{"content":"别用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904383},{"body":{"content":"没用了就用过一两次次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924488},{"body":{"content":"还是保湿 是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964679},{"body":{"content":"必要时*****+***1：1等量均匀混合后涂，一天2次，用5-7天，好转后皮疹消退***一天一次或隔天用，尝试**减停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028481},{"body":{"content":"还是热了之后，出现的这些症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187446},{"body":{"content":"热会加剧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218450}]

男4个月19天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012845143},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012880759},{"body":{"content":"我孩子最近说他没有情绪，让我给他找心理医生，说他心理有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012949051},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012974472},{"body":{"content":"我是最近不爱说话他感觉什么都烦，说一天没精神","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653013076079},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653013100327}]

男15岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421835},{"body":{"content":"您说六味地黄丸吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429362},{"body":{"content":"中成药的，比较安全的药物的，目前还没有严重不良反应的报道的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457464},{"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":1653051598918},{"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":1653051604514}]

女

2022.05.20