刘继帅

[{"body":{"content":"你是检查出来有染色体异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965212641},{"body":{"content":"胎儿检查出来是染色体缺失，我跟老公还没有去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253480},{"body":{"content":"夫妻双方最好去检查一下双方的染色体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324740},{"body":{"content":"如果是染色体随体增加等染色体多态性，并不影响怀孕，可以正常要孩子，不会产生遗传物质的增加、减少或功能异常。如果是染色体平衡易位携带者，则有后代染色体异常导致反复流产的可能，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965365609},{"body":{"content":"医生，这是胎儿的检查报告，麻烦您看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965501000},{"body":{"content":"主要还是发现了有x染色体的丢失。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572578},{"body":{"content":"这种情况常见吗，还是很担心下次怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965640422},{"body":{"content":"这种情况造成胎停的还是比较多。建议还是去夫妻双方完善染色体相关的检查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715540},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741347},{"body":{"content":"如果检查出双方没有大问题的话还是可以正常备孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965777148},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787679},{"body":{"content":"好的，谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965814630},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965824273}]

女26岁

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879126767},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879143884},{"body":{"content":"有什么可以帮你的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160146},{"body":{"content":"我这个病情最近有复发的感觉，请问可以帮我开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879188489},{"body":{"content":"以前在**看的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879216436},{"body":{"content":"你以前怎么吃的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879227272},{"body":{"content":"白条***，夜晚富马","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879330621},{"body":{"content":"按量**增加，夜晚最多吃一片，白条两片。各一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879486303},{"body":{"content":"请问医生，能帮我开**的药吗？因为我在就近资源未能开到**的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879744818},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879951182},{"body":{"content":"谢谢，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880291295},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882299791}]

男33岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028806},{"body":{"content":"三四天吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050037099},{"body":{"content":"摸着大拇指那里是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045554},{"body":{"content":"基本不会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050059117},{"body":{"content":"肿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050064921},{"body":{"content":"按着是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097454},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103758},{"body":{"content":"刚刚还破了出黄水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121104},{"body":{"content":"如果按着是软的 里面有脓的话可能就得去医院切开治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145966},{"body":{"content":"有脓吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158513},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171989},{"body":{"content":"吃过***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232238},{"body":{"content":"***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236670},{"body":{"content":"没吃过***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050264375},{"body":{"content":"这是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288801},{"body":{"content":"是甲沟炎吗还是别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298741},{"body":{"content":"这样 我建议您吃几天*** 外用*** 如果持续不好转 建议您去医院切开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310990},{"body":{"content":"看着怀疑甲沟炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321946},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388141},{"body":{"content":"用**消毒有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404046},{"body":{"content":"不要用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416351},{"body":{"content":"**可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577071},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646669}]

男28岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143466},{"body":{"content":"现在哺乳期，甲周疣有什么治疗手段？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188894},{"body":{"content":"拍个照片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210359},{"body":{"content":"前两天用指甲刀修简后今天撕开了一部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287753},{"body":{"content":"可以到医院皮肤科做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297740},{"body":{"content":"我在网上看可以擦成****，有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050328239},{"body":{"content":"无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339333},{"body":{"content":"冷冻是不是周期很长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341677},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349153},{"body":{"content":"其他没什么办法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355858},{"body":{"content":"现在哺乳期，还没出月子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369133},{"body":{"content":"可以治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379247},{"body":{"content":"好吧，越晚治疗越严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050398172},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424161},{"body":{"content":"预计要多长时间？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471579},{"body":{"content":"好郁闷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475554},{"body":{"content":"应该是怀孕最后一个月感染的，一直不知道是什么，没重视","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499618},{"body":{"content":"外用一个月看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502667},{"body":{"content":"先做一次冷冻看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525961}]

女31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":1653050391072},{"body":{"content":"医生你好这个是我小孩最近化验单我看不明白有什么问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422667},{"body":{"content":"上面有上传的九张照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449626},{"body":{"content":"稍等，我给您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512692},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050519171},{"body":{"content":"缺维生素d","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581539},{"body":{"content":"过敏体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585165},{"body":{"content":"主要是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588813},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705872},{"body":{"content":"没有太大问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846786},{"body":{"content":"是的小孩脸上长东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"孩子的情况主要是需要及时的补充维生素D，然后针对症状做必要的抗过敏治疗，增强免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051865618},{"body":{"content":"比如用******，然后规避容易过敏的食物和接触物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051881759},{"body":{"content":"需要去医院找出过敏源吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890871},{"body":{"content":"他比较挑食不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051902441},{"body":{"content":"上面那个就是过敏原，但是过敏原好多指标不是太高，但是总的过敏的指标高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051916532},{"body":{"content":"医生我有点不明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051933090},{"body":{"content":"一般来说就是牛奶鸡蛋，海鲜，牛**，这些高蛋白的要控制量，然后就是少接触这些螨虫啊，或者是一些植物类的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051945639},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051962316},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966312},{"body":{"content":"就是有一点过敏，有一点维生素D缺乏，然后上面我给您讲的就是注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051967103},{"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":1653051971356},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052012185},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052023205}]

男9岁

2022.05.20

[{"body":{"content":"您好，我是口腔科医生，为您提供医疗咨询。请问这种情况多久了？之前线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201382}]

女5岁

2022.05.20

[{"body":{"content":"几天了？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400927},{"body":{"content":"有一段时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415222},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417672},{"body":{"content":"之前开过**药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427404},{"body":{"content":"这个看着神经性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438529},{"body":{"content":"但是好了之后一出汗还是容易长疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446555},{"body":{"content":"用过什么药物？见好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050448214},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469176},{"body":{"content":"用了之后能缓解，但是不能根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486777},{"body":{"content":"请问这个开什么药比较好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581132},{"body":{"content":"***可以 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669439},{"body":{"content":"但是好了以后不能一下停药 要逐渐减量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685244},{"body":{"content":"比如由以前的一天两次改成一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700516},{"body":{"content":"然后改成隔一天一次 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709245},{"body":{"content":"***不能用的时间过长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050717733},{"body":{"content":"最长能用多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050855651},{"body":{"content":"7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908328},{"body":{"content":"然后换成弱效激素或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050932939},{"body":{"content":"非**可以用什么药膏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944671},{"body":{"content":"可以用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970330},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037089},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102520}]

女51岁

2022.05.20

[{"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，我是消化内科医生，很高兴能够由我为您提供问诊服务，请问您有什么要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965211568},{"body":{"content":"是男性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222644},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965231697},{"body":{"content":"还有其他不舒服吗？肚子疼吗？发烧吗？拉肚子吗？便秘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965249384},{"body":{"content":"最近几天一直想吐，但是吐不出来那种，吃饭也想吐？吃几口就恶心的不行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965289423},{"body":{"content":"这些我看到了，你直接回答我什么的问题就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302323},{"body":{"content":"不发烧，就是想吐，也拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965360220},{"body":{"content":"一天拉几次呢？肚子疼吗？我上面问的问题麻烦你都回答完好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394314},{"body":{"content":"不发烧，肚子疼，拉肚子，也便秘，一天差不多5，6次，而且每天都想吐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965575012},{"body":{"content":"但你说的这些明显很矛盾，一天拉五六次又怎么会便秘呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965608941},{"body":{"content":"对照上图告诉我肚子哪一块疼。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627072}]

男18岁

2022.05.20