刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050147784},{"body":{"content":"一天几次大便？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050153513},{"body":{"content":"前天晚上两次，昨天两次 今天两次。拉水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237245},{"body":{"content":"精神状态好不好？食欲好不好？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261359},{"body":{"content":"都好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050265337},{"body":{"content":"那就是有一些消化不了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277754},{"body":{"content":"喂一点鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283350},{"body":{"content":"吃了这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302281},{"body":{"content":"昨天开始吃的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315682},{"body":{"content":"要不要吃**➕这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050350841},{"body":{"content":"这个就加上****，水样便的话。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357678},{"body":{"content":"哪个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050374787},{"body":{"content":"他就是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382321},{"body":{"content":"哪两个搭配？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050397607},{"body":{"content":"****和上面那个***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407257},{"body":{"content":"这干吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451442},{"body":{"content":"这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050476661},{"body":{"content":"这个******和您喂的那个都属于***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485291},{"body":{"content":"我说的是鞣酸蛋白酵母散","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497121},{"body":{"content":"*****➕**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050584245},{"body":{"content":"如果是喂鞣酸蛋白酵母散就喂这一种就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050611185},{"body":{"content":"如果喂***就加上****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050631836},{"body":{"content":"好的，可以开我开处方吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050645120},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654250},{"body":{"content":"开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663332},{"body":{"content":"***和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673695},{"body":{"content":"根据上述情况我可以给您一些用药建议。为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687570},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715722},{"body":{"content":"用药前您仔细阅读药品说明中禁忌注意事项，如果无禁忌，没有过敏史，没有不适，可使用我为您开的药品，如果您在应用过程中出现不适，请及时上线咨询或者是线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050769307},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806832},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051054062},{"body":{"content":"****怎么吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051067008},{"body":{"content":"****一次一袋，一天2~3次，空腹吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102872},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109377},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051115992},{"body":{"content":"***和**间隔时间要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051120601},{"body":{"content":"两个小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128580},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139071},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051160374},{"body":{"content":"可以喝牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051232236},{"body":{"content":"少喝点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250517},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051271631},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051283653}]

男4岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967126},{"body":{"content":"之前有过这个症状嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049979192},{"body":{"content":"之前一直就腰疼 今年开始慢慢有这些症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050125006},{"body":{"content":"你月经来的多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158240},{"body":{"content":"不多 两三天就干净了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050173017},{"body":{"content":"我看下你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201710},{"body":{"content":"时长手脚会出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050204547},{"body":{"content":"嗯嗯。你胃胀嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307354},{"body":{"content":"怕冷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309233},{"body":{"content":"偶尔会胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403692},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415861},{"body":{"content":"怕冷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425310},{"body":{"content":"你一说我现在感觉胃有点胀 ?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483166},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050495969},{"body":{"content":"你气血不足。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500462},{"body":{"content":"啥原因会得这病？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050554837},{"body":{"content":"我以后好注意点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050568075},{"body":{"content":"从你舌像和症状就是气血不足所导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583364},{"body":{"content":"???","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610509},{"body":{"content":"这病是不是活不长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623652},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630179},{"body":{"content":"那不至于。你能喝汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634672},{"body":{"content":"嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050636704},{"body":{"content":"我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640911},{"body":{"content":"有时候会回复不及时，还请耐心等待一下，您咨询的所有问题，我都会在问诊有效时间内，给到您相关的调理建议/用药建议/开具对症的处方，如问题未回复完，问诊就到时间结束了，我会再赠送3次/5次免费追问机会，请放心等待！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050647482},{"body":{"content":"没喝过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685235},{"body":{"content":"是苦中药汤吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050766427},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783625},{"body":{"content":"大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050951116},{"body":{"content":"你这个不会太苦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121570},{"body":{"content":"因为是**血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051126781},{"body":{"content":"你气血足了以后就好了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051364145}]

女25岁

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394921},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482448},{"body":{"content":"有两年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965546615},{"body":{"content":"反反复复的起吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573635},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582762},{"body":{"content":"建议您能查个单纯疱疹病毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965606191},{"body":{"content":"在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965622278},{"body":{"content":"得去医院查，抽血或者取水泡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656132},{"body":{"content":"你们医院在哪里呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670736},{"body":{"content":"我是**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763597},{"body":{"content":"什么跟什么啊，我是咨询本地医院，怎么你是**的？？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839049},{"body":{"content":"这个是系统自动分的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965857571}]

男50岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049639164},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824357},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826372},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014952},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015424},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026568},{"body":{"content":"是需要开具 ********吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035496},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045979},{"body":{"content":"好的，看到了宝宝线下医院的药物处方单","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065444},{"body":{"content":"为用药安全，请问宝宝有没有药物过敏史？肝肾功能有没有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069746},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074877},{"body":{"content":"需要开具几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097291},{"body":{"content":"她已经用过这个药了，然后拿着到处涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098387},{"body":{"content":"两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102659},{"body":{"content":"药污染了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111243},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120501},{"body":{"content":"请稍等，一会这个页面可以看到处方单，点击预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122683},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131871},{"body":{"content":"用药前请严格按说明或医嘱来使用药物，如在用药过程中 如出现皮疹、皮肤瘙痒、发热等过敏反应和 任何不适或症状没有明显改善，立即停药并及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135310},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051148364},{"body":{"content":"处方审核通过了，点击处方单—查看详情—预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182245},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051275624},{"body":{"content":"我需两盒，现在是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291891},{"body":{"content":"你直接开一盒吧，它的链接是两盒的量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051344990},{"body":{"content":"这边打开处方显示给宝宝开具的是2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374593},{"body":{"content":"2×2是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051439166},{"body":{"content":"你给我开一盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051466451},{"body":{"content":"因为一次问诊只能开具一次处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478043},{"body":{"content":"这样吧，您按照以下的方法购药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051491786},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507963},{"body":{"content":"第一、点进上方的处方单-截图保存在手机里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508548},{"body":{"content":"第二、********，点药物后的小车 把药物加入购物车，在购物车里购买药物，上传截图的处方，预约药物即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051530496},{"body":{"content":"我现在在找另一位医生问诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051531527},{"body":{"content":"您按照这个方法就可以购药了，不需要再重新问诊开具处方了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555860},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730444},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737466}]

女3岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390682},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399789},{"body":{"content":"之前吃的什么**？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407132},{"body":{"content":"能吃新盖中盖中老年补钙的**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435445},{"body":{"content":"之前没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441367},{"body":{"content":"这个适合老年人","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484515},{"body":{"content":"孕妇一般用**，****比较多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050506883},{"body":{"content":"那吃什么样的可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517069},{"body":{"content":"**，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532551},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050593665},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050616479}]

女23岁

2022.05.20

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

女13岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114331},{"body":{"content":"您好，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116283},{"body":{"content":"您好，非常抱歉哈，这款没有增品的哈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157918},{"body":{"content":"母乳喂养妈妈不要吃油腻辛辣刺激的食物。\n\n奶粉喂养两餐之间给宝宝喂点温开水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050179124},{"body":{"content":"平时给宝宝多吃水果，蔬菜，容易消化的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186334},{"body":{"content":"您可能忙，没关系我一直都在。您有问题随时找我，我会第一时间回复到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188377}]

女

2022.05.20