于磊

[{"body":{"content":"你好，现在有什么症状吗？能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965540168},{"body":{"content":"我是皮肤一直泛红脸上有疙瘩白白的挤出来是水洗完脸会脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626211},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965672376},{"body":{"content":"疙疙瘩瘩的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965854114},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965886442},{"body":{"content":"就是戴口罩的时候会觉得热热的平常偶尔会有蚊子包一两个这样痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965971555},{"body":{"content":"根据您症状情况，考虑是皮炎，就是过敏性了，引起的原因很多的，可能与接触东西有关系的，还有各种物理性因素如日光，动物的皮毛，**，化妆品，以及精神紧张都可以导致本病。有时不好找确切原因的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986339},{"body":{"content":"可以这样治疗的，口服*****（晚饭后），一天一次一片，外用******，一天两次，同时需要忌口，腥，辛辣，牛**等刺激性食物尽量不要吃。不要用护肤品了。经过治疗会**恢复的。没有大问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990722},{"body":{"content":"我皮肤泛红有好久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966035350},{"body":{"content":"偶尔还有蚊子包痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056102},{"body":{"content":"只是这两天特别严重会长白头一样的痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966099864},{"body":{"content":"按上面我给你的方法注意和治疗就可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116486},{"body":{"content":"******没有**很安全的。可以长期使用来修复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131447}]

女29岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051785890},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051788711},{"body":{"content":"肛周囊肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051794736},{"body":{"content":"确诊了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051814466},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051820904},{"body":{"content":"方便的话发个图看看，以便区别其他疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051830384},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861349},{"body":{"content":"红肿疼痛难忍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887807},{"body":{"content":"像肛周脓肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894209},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051899003},{"body":{"content":"去医院做手术吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051902184},{"body":{"content":"肛周脓肿一经确诊，应尽快行脓肿切开引流术，以免感染进一步扩散。根据脓肿的深浅和具体的位置，其采用的麻醉方式和手术操作步骤有所区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905326},{"body":{"content":"别耽误了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911861},{"body":{"content":"去公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917524},{"body":{"content":"基本里面已经化脓了摸起来就很软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051931464},{"body":{"content":"但有部分是比较硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946409},{"body":{"content":"炎症浸润了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051966648},{"body":{"content":"就是那个样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052003353},{"body":{"content":"嗯 这个直接做引流手术就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052008393},{"body":{"content":"你哪里的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052009919},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052015965},{"body":{"content":"和手术医生交流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052041461},{"body":{"content":"好 之前全是硬块 最近是摸了些*****然后就变成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052076838},{"body":{"content":"只能手术别的办法都是骗人的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052085197},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116657},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120011}]

男17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":1653049822939},{"body":{"content":"请问您有没有做过尿常规检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049846374},{"body":{"content":"您泡沫尿有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045765},{"body":{"content":"是这样的，如果只是偶然发现泡沫尿增多，您有可能不好鉴别是真的泡沫尿还是假的，然后尿液发黄，一般和尿量有关，比如喝水多、尿量多，一般尿液会稀释，会偏清澈，如果当天喝水比较少，尿液会浓缩，会比较黄。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128975},{"body":{"content":"所以您到底有没有问题，分析再多，其实不去做一个尿常规检查更便于去明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172016},{"body":{"content":"就比如你猜测一个人的身高，再怎么对比、猜测，不去拿尺子去直接量一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206485},{"body":{"content":"所以我建议你先到就近的医疗机构查个尿常规，这样有没有问题就很明确了，不用去怀疑有没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241854},{"body":{"content":"有做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531720},{"body":{"content":"是在社区医院做的，显示的全部阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550077},{"body":{"content":"喝水尿液就不黄了，但是泡沫会有，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607487},{"body":{"content":"这个以实验室检查为准，因为尿液浓缩后，浓度会增高，小便时冲刷作用也会起泡，但这和真的泡沫尿（蛋白尿）是不一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065648},{"body":{"content":"咱肾脏每天排出的毒素量是相对固定的，和喝水多少关系不是特别大，喝水多呢，毒素会稀释，喝水少呢，毒素浓度会高，所以表现出来的性状也不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154217},{"body":{"content":"就跟普通啤酒和精酿啤酒浓度不一样一个道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170016},{"body":{"content":"好的，尿常规没有问题，就是说我是正常的对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359684},{"body":{"content":"对的，多喝水就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051368827},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051377679},{"body":{"content":"上边我主要给你通俗的解释了下，你理解下就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411582}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045617169},{"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":1653045621455}]

女14岁

2022.05.20

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

女37岁

2022.05.20

[{"body":{"content":"[**]1（男性患者）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？是否在备育期？\n[**]2（女性患者）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":1652965180882},{"body":{"content":"您好，眼睛什么症状？请详细描述一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184346},{"body":{"content":"症状多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965189121},{"body":{"content":"去医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194004},{"body":{"content":"前几天孩子一只眼红，过几天没有好转，另一只也有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965227554},{"body":{"content":"有分泌物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965245360},{"body":{"content":"是红血丝吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965251793},{"body":{"content":"没有去，想明天去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965252392},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256716},{"body":{"content":"还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965260157},{"body":{"content":"没有分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262071},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965265728},{"body":{"content":"结膜炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271333},{"body":{"content":"使用******和","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965276430},{"body":{"content":"毛巾冷水拧干冷敷缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965281298},{"body":{"content":"这个影响因素有什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306363},{"body":{"content":"嗯考虑是过敏或者是细菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328743},{"body":{"content":"要经常给孩子洗手，注意手部眼部的卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337209},{"body":{"content":"如果特别痒过敏的话，就使用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965353688},{"body":{"content":"没有血块，只是白眼球发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354463},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359458},{"body":{"content":"痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965364987},{"body":{"content":"会不会跟颅内压高有关","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965373132},{"body":{"content":"不只是红血丝吗？孩子还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387326},{"body":{"content":"还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965391869},{"body":{"content":"没见孩子有什么其他异常反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965394051},{"body":{"content":"他还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401791},{"body":{"content":"没有其他疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965404999},{"body":{"content":"眼睛有红血丝，属于挺正常的一件","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965407177},{"body":{"content":"眼睛红血丝一般结膜炎过敏都会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414168},{"body":{"content":"吃饭睡觉没有任何影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965418122},{"body":{"content":"嗯，那没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965425267},{"body":{"content":"考虑是结膜炎，经常给孩子洗手","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430913},{"body":{"content":"有半个月了，不见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965438809},{"body":{"content":"毛巾冷敷缓解红血丝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965439391},{"body":{"content":"给孩子使用什么药物进行治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965446341},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457374},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462818},{"body":{"content":"给孩子摸*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475391},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482005},{"body":{"content":"涂抹*****没有见效果吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965487563},{"body":{"content":"痒不痒？如果特别痒的话，考虑是过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492697},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499895},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503912},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965504860},{"body":{"content":"使用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965508413},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517874},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528186},{"body":{"content":"治疗期间，注意用眼卫生，避免劳累，避免过度使用电子产品，多吃新鲜的水果和蔬菜，忌辛辣刺激的食物，情况没有改善时，建议及时就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965529312},{"body":{"content":"不客气祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534613},{"body":{"content":"祝早日康复，健康幸福，感谢支持请为我的服务作出完整全面评价，十分感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965537723},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550704},{"body":{"content":"感谢支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965558449}]

女2岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049820341},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049825634},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049830392},{"body":{"content":"开始是*****有疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049867819},{"body":{"content":"这样的情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049868128},{"body":{"content":"三四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049871999},{"body":{"content":"有没有衣服摩擦痛，牵扯到其他部位的疼痛感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886390},{"body":{"content":"不碰就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900463},{"body":{"content":"请问是分布于身体的单侧吗？都在左边或者右边","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920582},{"body":{"content":"右边胳膊上边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020483},{"body":{"content":"据您的情况考虑带状疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026380},{"body":{"content":"俗称蛇盘疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050033204},{"body":{"content":"这个有一定传染性的.病毒感染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050052323},{"body":{"content":"出现这种情况的原因是上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056221},{"body":{"content":"目前有在用药治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056412},{"body":{"content":"传染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063164},{"body":{"content":"没有 因为疫情没法出去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072093},{"body":{"content":"治疗的话需要怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050082294},{"body":{"content":"下面给您针对性的用药建议。为了安全用药，请问既往是否有药物过敏史？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148131},{"body":{"content":"没有过敏史 肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160093},{"body":{"content":"目前疼痛是否明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182239},{"body":{"content":"明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050213049},{"body":{"content":"好的稍等，我这边给您发送药物链接，使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282003},{"body":{"content":"处方上边开具好了，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501618},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050513593},{"body":{"content":"***吃完 另外一个口服药使用7-10天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524129},{"body":{"content":"确定是这个病症是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540896},{"body":{"content":"据我的临床经验是要考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553914},{"body":{"content":"如果需要明确诊断的话需要到线下医院皮肤科做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050564993},{"body":{"content":"建议您保持患部清洁卫生，避免摩擦刺激，清淡饮食，避免辛辣刺激食物，避免饮酒，避免熬夜及劳累。期间要和老人小孩隔离，避免传染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050627651},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661085},{"body":{"content":"希望我的建议能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050718704},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719819},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726597},{"body":{"content":"如果您对我的服务满意，可以点击手机右上角“表扬医生”给我五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732248}]

男55岁

2022.05.20

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38岁

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":1653049650314},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663735},{"body":{"content":"宝宝老是长这个痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680636},{"body":{"content":"这样多久","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683104},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049685733},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694229},{"body":{"content":"就是长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049698586},{"body":{"content":"过几天好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708727},{"body":{"content":"过了几天又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049716121},{"body":{"content":"怎么好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721025},{"body":{"content":"自然好 偶尔抹点药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049738267},{"body":{"content":"痒蹭？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759153},{"body":{"content":"被啥咬？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049763259},{"body":{"content":"背上头上脚上都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771101},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049774310},{"body":{"content":"线下皮肤镜检查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049791393},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049795828},{"body":{"content":"涂啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824861},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873159},{"body":{"content":"哦，有*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919441},{"body":{"content":"需要去医院检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938163},{"body":{"content":"建议需要的，反复发作，而且自己好。多是自身免疫因素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017827},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140134},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142382},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161385}]

男3岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067075},{"body":{"content":"可以提问了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076085},{"body":{"content":"这个情况会不会是受孕时间太短 所以没有心管搏动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168551},{"body":{"content":"末次月经哪天的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249143},{"body":{"content":"4月6号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276632},{"body":{"content":"平时月经规律吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965354765},{"body":{"content":"推迟的话也是一两天的样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965390834},{"body":{"content":"它这个hcg可以看出受孕周期吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468282},{"body":{"content":"看不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965519811},{"body":{"content":"因为我们这边的医生说我这个hcg也蛮高 B超显示没有心管搏动 考虑胎停 要住院 可是我什么症状都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965531891},{"body":{"content":"建议一个星期后再复查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576929},{"body":{"content":"我还想问一下 如果按实际同房时间来算的话 是4月16号之后的受卵 按这个时间推算可以吗 因为之前没有同房过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965694712},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770595},{"body":{"content":"那综合hcg来看的话 这个B超没有心管搏动是不是可能是正常的 因为月份太小了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842765},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965880520}]

女24岁

2022.05.20