刘继帅

[{"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，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，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"body":{"content":"您好，我是精神科吴医生！请问有什么能帮您呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797221},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049808584},{"body":{"content":"我想开几个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826004},{"body":{"content":"以前吃过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866399},{"body":{"content":"吃过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873066},{"body":{"content":"但是我现在没有处方买不到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889519},{"body":{"content":"您好，如果您要买药或开电子处方，请发一下患者的线下医院就诊资料（非京东及其他互联网医院处方）。\n包括含有“患者基本信息+诊断+所要开具的药品”的旧处方，或线下就诊病历，或诊断证明的照片（以上均时间不限）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049895057},{"body":{"content":"那些都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049923804},{"body":{"content":"以前在北京**医院看的。 现在在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961858},{"body":{"content":"在京东开药需要您有线下就诊资料才能帮您开，如果没有不允许开的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049964864},{"body":{"content":"那怎么办？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003923},{"body":{"content":"如果一个都没有的话抱歉帮您开不了，平台不允许的，我们也需要您线下就诊资料做参考才能帮您开电子处方。\n您需要再去医院开药，拍个处方单，以后在这里上传一下处方单照片我就能帮您开药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017422},{"body":{"content":"这个嘛？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117902},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050125590},{"body":{"content":"请问：1，目前病情是否稳定？\n 2，最近服药有严重的副反应吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133789},{"body":{"content":"稳定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141968},{"body":{"content":"没有副反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155990},{"body":{"content":"几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050214441},{"body":{"content":"8盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221160},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235513},{"body":{"content":"十颗的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237291},{"body":{"content":"您这是给谁开？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270249},{"body":{"content":"给我小舅子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289012},{"body":{"content":"叫啥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307562},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319211},{"body":{"content":"您需要填加他的信息问诊买才行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355573},{"body":{"content":"不然开处方就是你的名字","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368289},{"body":{"content":"不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372974},{"body":{"content":"名字不一致修改：\n在手机京东首页搜索（互联网医院）进入，点击我的-健康档案,里面可以完善个人资料实名，填加与患者名字一致后重新问诊。但是这个问诊单医生是无法开方的，需要重新提交一个问诊，用实名问诊可以开方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378016},{"body":{"content":"那开我的名字吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387521},{"body":{"content":"可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416731},{"body":{"content":"那肯定不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458766},{"body":{"content":"好吧，我从新弄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475423},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481720},{"body":{"content":"是不是还得从新交钱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497533},{"body":{"content":"是的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517408},{"body":{"content":"需要重新问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525224},{"body":{"content":"不然改不过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530639}]

男28岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385659},{"body":{"content":"你好，想问一下十二岁小女孩一般子宫厚度是多少属于正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965434382},{"body":{"content":"2~3厘米。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475308},{"body":{"content":"44mm*38mm*31mm这属于正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965554958},{"body":{"content":"稍微增厚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584469},{"body":{"content":"基本正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621107},{"body":{"content":"那医生说薄薄的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671767},{"body":{"content":"9MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901096},{"body":{"content":"4.4✘3.8✘3.1","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959454}]

女12岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"您好，宝宝这种情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883692362},{"body":{"content":"三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883716091},{"body":{"content":"目前一天大便几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883732879},{"body":{"content":"有时候正常的话一天一次，如果喝奶就拉的话一天三次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883777823},{"body":{"content":"体重增长好不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883799553},{"body":{"content":"也不是每次喝奶**，就是经常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883800016},{"body":{"content":"目前九个月，75cm 10kg","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883830874},{"body":{"content":"九个半月了，不好意思，刚刚说错了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883847838},{"body":{"content":"体重还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883856013},{"body":{"content":"大便稀不稀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883862892},{"body":{"content":"如果一天一次的话就不稀，喝奶拉那种就稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883896837},{"body":{"content":"不爱吃辅食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883909998},{"body":{"content":"吃两口就不张嘴了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883933382},{"body":{"content":"这种情况需要查查乳糖不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883949199},{"body":{"content":"或者蛋白过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883956387},{"body":{"content":"这检查需要怎么做的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883979664},{"body":{"content":"乳糖不耐受化验大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883995233},{"body":{"content":"过敏需要抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884001048},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884018602},{"body":{"content":"比较容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884022725},{"body":{"content":"好的。还有没有可能是奶粉不合适导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884025928},{"body":{"content":"奶粉不合适就是考虑过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884044963},{"body":{"content":"那我就先去做乳糖不耐受吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884068907},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884082997},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884087518},{"body":{"content":"刘医生，化验大便得去医院拿试管回来取大便吗，还是得带宝宝一起去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884190364},{"body":{"content":"这需要咨询当地儿童医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884241519},{"body":{"content":"看如何开展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884246959},{"body":{"content":"一般带标本即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884253326},{"body":{"content":"好的，非常感谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884364001},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884376115}]

男9个月16天

2022.05.20

[{"body":{"content":"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":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"body":{"content":"治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704594},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706604}]

男25岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129118},{"body":{"content":"经常口腔溃疡吃维生素可以改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143416},{"body":{"content":"那应该吃什么***呢，麻烦您推荐一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165124},{"body":{"content":"吃*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050243017},{"body":{"content":"我发给您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246657},{"body":{"content":"这两种都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275345},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339963},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355621}]

女

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965380119},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386519},{"body":{"content":"你有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965412090},{"body":{"content":"停经多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419682},{"body":{"content":"B超做过没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965434681},{"body":{"content":"末次3.30","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463617},{"body":{"content":"*******孕酮7.62","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965492976},{"body":{"content":"前一次的hcg是1682孕酮13.2","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535663},{"body":{"content":"隔了五天这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965544683},{"body":{"content":"现在停经50天啦，B超宫腔还未见孕囊，HCG又增高，你这宫外孕不能排除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965604214},{"body":{"content":"有褐色分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965612764},{"body":{"content":"无明显腹痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965635458},{"body":{"content":"而且你的HCG还下降，没有翻倍，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965654871},{"body":{"content":"那这样能确诊是宫外孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965662390},{"body":{"content":"需要再做什么确诊宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681554},{"body":{"content":"等你出现了腹痛，可能就是破裂了，大出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965702468},{"body":{"content":"hcg上涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965725669},{"body":{"content":"不是下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965731836},{"body":{"content":"是孕酮下降了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965739693},{"body":{"content":"HCG没有翻倍，不正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965767911},{"body":{"content":"都50天宫腔还看不到东西","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789399},{"body":{"content":"那如果是宫外孕可以保守治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965789795},{"body":{"content":"建议你尽早医院处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801559},{"body":{"content":"是，医生叫我住院了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965821220},{"body":{"content":"你目前这种情况，可以保守","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965836388},{"body":{"content":"可是我没有什么症状所以还是觉得不可思议","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842163},{"body":{"content":"但是在保守治疗过程中随时有破裂可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876435},{"body":{"content":"大概要住院多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893933},{"body":{"content":"如果破裂就随时会出现内出血，危机生命","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940633},{"body":{"content":"这说不清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965952979},{"body":{"content":"那你的建议觉得是怎样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965974433},{"body":{"content":"保守治疗的时间会相对时间长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965981523},{"body":{"content":"我还需要去别的医院再看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965989595},{"body":{"content":"应该不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966000851},{"body":{"content":"那你觉得我是直接选择怎样的治疗方案","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049833},{"body":{"content":"目前就两种治疗方法，1是保守2是手术，你目前的条件可以保守，但保守治疗的成功率只有百分之五十到七十，具体怎么处理，你还是听主管医师的意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966149343},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966177130},{"body":{"content":"手术的话是不是都是要切除输卵管啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966204317},{"body":{"content":"也有保留输卵管的可能，但要看术中的具体情况，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966268565},{"body":{"content":"保留输卵管有可能出现持续宫外孕，及再次宫外孕可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966356735},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020989874},{"body":{"content":"我今天住院了，可是医生却说不确定是宫外，也有可能是宫内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021027872},{"body":{"content":"说内膜那么厚也有可能是宫内，但是孕酮低不排除发育慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021106091},{"body":{"content":"不是宫外孕，那不更好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021131734},{"body":{"content":"你听医生你主管医师的，她对你的情况会比较了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021134818},{"body":{"content":"她说一半一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021447929},{"body":{"content":"让我自己做决定，也可以保胎观察观察","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021483877},{"body":{"content":"这样有危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021491008},{"body":{"content":"既然已经住院了，就安心住院观察","type":"text"},"from":{"app":"jd.doctor"},"timesta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女33岁

2022.05.20