陈朝晖

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25岁

2022.05.20

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20岁

2022.05.20

[{"body":{"content":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965132020},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965134390},{"body":{"content":"身上很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158594},{"body":{"content":"过敏可以吃抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173771},{"body":{"content":"外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175694},{"body":{"content":"可以擦这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965240638},{"body":{"content":"宝宝因为发烧了 给宝宝擦了酒 大人没经验所以造成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328826},{"body":{"content":"在吗 医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965405971},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528293},{"body":{"content":"听的到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965545633},{"body":{"content":"我们这边疫情出去不了 家里只有这个药 因为宝宝身上面积大 没有用这个*******， 我就是问看这个药能用不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965643738},{"body":{"content":"这几样 能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965742614},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965781470},{"body":{"content":"哦哦 好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965811717},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965857003},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994537}]

女1岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878455},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878891717},{"body":{"content":"有没有之前的片子，上传看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878909829},{"body":{"content":"受伤后多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652914513320},{"body":{"content":"四周","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652914569768},{"body":{"content":"上面那张片子是四周拍的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915800313},{"body":{"content":"拆了**可以**开始锻炼了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915816714},{"body":{"content":"这个已经开始锻炼了，**之后已经开的，这个片子是上周搞的片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916346502},{"body":{"content":"**只戴了两周吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916390480},{"body":{"content":"目前锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916409584},{"body":{"content":"**制动后关节僵硬，需要**练开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652916444735},{"body":{"content":"是的，现在在家里锻炼。现在看着还是没有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916742475},{"body":{"content":"我想问一下你们医院有没有办法给小孩做康复训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652916910885},{"body":{"content":"小孩一般不需要到医院做，自己练基本没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917976897},{"body":{"content":"要做的话到医院康复科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652917988253}]

男6岁

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883922},{"body":{"content":"********是一个中成药，大部分的药效都是****的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906653},{"body":{"content":"宝宝发热几天？，最高体温几度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928401},{"body":{"content":"我家小朋友经常没有发烧，但是咳嗽，所以我想问问能不能作为常备药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938542},{"body":{"content":"没有发烧哦，只是咳嗽，现在已经好了，他在幼儿园吃了鸡排什么就容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049968928},{"body":{"content":"这个药可以备在家里，但是不生病不建议吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065547},{"body":{"content":"就是孩子咳嗽的情况下，可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081436},{"body":{"content":"如果宝宝单纯的是咳嗽，肺上没有痰，排除肺炎的情况下。可以在家里做**治疗。副作用小一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050175483},{"body":{"content":"如果有痰可以按说明书吃点吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075776},{"body":{"content":"如果咳嗽有痰，可以按说明书吃上2~3天的药物。这个药物也有**的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"大部分孩子轻微咳嗽，通过**和口服****的药物，效果都很好。如果咳嗽严重，建议及时到医院就诊完善详细的体格检查，排除肺炎后进一步治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257508},{"body":{"content":"好的，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051355990},{"body":{"content":"不用谢，希望我的建议可以帮助到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603577}]

男6岁

2022.05.20

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653057154230}]

女3岁

2022.05.20

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

男20岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080929},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084032},{"body":{"content":"有什么可以帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165402},{"body":{"content":"您好 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061508}]

女

2022.05.20