刘继帅

[{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707191},{"body":{"content":"您好，我是皮肤科医师曾强，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712676},{"body":{"content":"图片比较模糊，请问方便重新拍摄一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722476},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728821},{"body":{"content":"好的，您这种黑斑前身是受过外伤或者得过皮炎湿疹类疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826399},{"body":{"content":"现在黑斑是平的还是凸起的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831436},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050834620},{"body":{"content":"平的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838675},{"body":{"content":"这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875325},{"body":{"content":"黑斑的范围有没有持续扩大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881564},{"body":{"content":"大约有3年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906112},{"body":{"content":"一年比一年大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922878},{"body":{"content":"表面有没有皮屑呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933231},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937954},{"body":{"content":"结合您的描述考虑 色素沉着可能 较大，一般会在外伤或者皮肤疾病之后出现，但没有相关诱因，可以线下医院皮肤科做个皮肤镜明确下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017917},{"body":{"content":"如果不方便就诊，我先给您一些外用药物建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022838},{"body":{"content":"好的你给开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051052985},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051063738},{"body":{"content":"我给您治疗建议，为用药安全，请问有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067551},{"body":{"content":"我吃了9天的中药也没用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074541},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051094292},{"body":{"content":"可以选择******每日均匀外涂三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110008},{"body":{"content":"这个要几周时间才能看到淡化效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118240},{"body":{"content":"请稍等一会儿，我给您开个处方单发送到对话框。可以按照提示流程直接购买，不用上传处方单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128127},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051140041},{"body":{"content":"这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175208},{"body":{"content":"您平时要注意防晒，多吃富含****的水果和蔬菜，有利于印记淡化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234089},{"body":{"content":"处方单已经开具过来了，您可以向上翻看一下直接点击绿色小框购药。您看看收到了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051239095},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288615},{"body":{"content":"建议定期三周复诊。 使用前请仔细阅读说明书，如无禁忌可使用。如您使用过程中出现不适或效果不佳，请及时停用药物并就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355727},{"body":{"content":"如果有皮肤科相关问题可以打开京东APP，在搜索栏中搜索“皮肤科医生曾强”即可找我复诊。祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051356697}]

男28岁

2022.05.20

[{"body":{"content":"疼不疼啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049637956},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049650135},{"body":{"content":"按着也不疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738144},{"body":{"content":"几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741272},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049744356},{"body":{"content":"其他地方有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049745087},{"body":{"content":"至少一个星期了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761158},{"body":{"content":"鼻子上之前长了个疖子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049785365},{"body":{"content":"对 我看着这个也像","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824160},{"body":{"content":"不过之前也没疼过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832675},{"body":{"content":"但是这个一点都不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049839455},{"body":{"content":"他自己都没发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049866205},{"body":{"content":"目前我看着也怀疑疖肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049909261},{"body":{"content":"您可以用点**消毒几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918273},{"body":{"content":"没破","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983185},{"body":{"content":"用**消毒几天 或者外用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084158}]

男31岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143771},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965153420},{"body":{"content":"怎么了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159291},{"body":{"content":"我想问下肚子跟长了红点点是什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965177687},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187658},{"body":{"content":"昨天看还不多，现在感觉多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965242168},{"body":{"content":"一大块红色痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965256774},{"body":{"content":"有感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256955},{"body":{"content":"现在胸上也起了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965273038},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324384},{"body":{"content":"9为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328397},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965331337},{"body":{"content":"口服******，每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337585},{"body":{"content":"是什么过敏的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355147},{"body":{"content":"这个不好说，接触的，吃的都可以引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401680},{"body":{"content":"我最近看脸上痘痘的，医生配的**跟****跟它们有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475718},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965506489},{"body":{"content":"那怎么会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519920},{"body":{"content":"从来没有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965527937},{"body":{"content":"越来越多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965549117},{"body":{"content":"嗯嗯，不好说了，很多人都这样，跟免疫力有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965557902},{"body":{"content":"那请问就买点药膏涂涂就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571041},{"body":{"content":"这个好看吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582640},{"body":{"content":"有时候我还痒痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965590667},{"body":{"content":"不要紧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623803},{"body":{"content":"用药就没事了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965630610},{"body":{"content":"就涂点药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648534},{"body":{"content":"口服的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656900},{"body":{"content":"每天一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965659157},{"body":{"content":"不吃药可以吗，因为我在吃去痘痘药我怕妨碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670601},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682481},{"body":{"content":"就涂药好会快点吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965708751},{"body":{"content":"嗯嗯，主要是涂药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728424},{"body":{"content":"好的，那我明天去买这个药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965751600},{"body":{"content":"谢谢医生啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759903},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965761383},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762933}]

女31岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049924437},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049925861},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936742},{"body":{"content":"看照片 鼻腔粘膜充血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951228},{"body":{"content":"鼻塞挺严重的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977363},{"body":{"content":"是过敏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989441},{"body":{"content":"有鼻痒 打喷嚏 流鼻涕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022776},{"body":{"content":"有鼻痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054157},{"body":{"content":"经常揉鼻子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050074539},{"body":{"content":"**没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106979},{"body":{"content":"还有其他的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107223},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153632},{"body":{"content":"孩子的情况考虑是鼻炎 过敏性鼻炎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171246},{"body":{"content":"孩子的情况多长时间了？ 有用药治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180670},{"body":{"content":"没有用药，这情况快一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050224147},{"body":{"content":"了解 孩子有不适 建议是用药干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254765},{"body":{"content":"有时间最好带孩子去医院检查一下过敏原 看对什么过敏 平时远离的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274064},{"body":{"content":"孩子行动不便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304810},{"body":{"content":"有什么药可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347613},{"body":{"content":"现在有不适 先用药缓解 有时间带孩子去检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347744},{"body":{"content":"请问孩子有特殊疾病史，药物过敏史，药物禁忌史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351256},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357185},{"body":{"content":"我的建议是****** 每次1毫升 每日1次 口服 + ******** 每侧鼻孔1喷每日1次 + ******：喷鼻 2喷每日4次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394088},{"body":{"content":"先使用一周看症状恢复的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400026},{"body":{"content":"可以线上开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536617},{"body":{"content":"如果您网上买药 稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555651},{"body":{"content":"您可以点击查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559316},{"body":{"content":"如果没有处方药，可以去药店买！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603844},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610300},{"body":{"content":"一般药店都有的 您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617572},{"body":{"content":"稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645019},{"body":{"content":"去药店，用这个处方可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703582},{"body":{"content":"不可以的 只能线上买药使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761277},{"body":{"content":"那线下，买这些药。需要处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798035},{"body":{"content":"需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845462},{"body":{"content":"一般药店有坐诊医生以及药师","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868213},{"body":{"content":"一般是可以买到的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871438},{"body":{"content":"您可以先去问一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874734},{"body":{"content":"那我看看，谢谢哦！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905433},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916710},{"body":{"content":"应该给您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919512}]

男13岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965288348},{"body":{"content":"医院说是无法救治，不供血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354892},{"body":{"content":"已经中毒到心脏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406308},{"body":{"content":"已经在医院采取过措施，已经到心脏了，应该是无法救治了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523909}]

男66岁

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965456027},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541197},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965563356},{"body":{"content":"用过什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965809289},{"body":{"content":"**，皮炎***，***，好多外用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965880434},{"body":{"content":"这个可以去医院打局部封闭","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903151},{"body":{"content":"找的乡村医师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965911078},{"body":{"content":"挂皮肤专家号是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965945393},{"body":{"content":"**有推荐的湿疹专科医生么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965979614},{"body":{"content":"是的，湘雅医学院附属医院在**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966020590},{"body":{"content":"就是看皮肤科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966055761},{"body":{"content":"是在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966097002},{"body":{"content":"这类皮肤病，治疗周期会很长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966144707},{"body":{"content":"这个医院全国有名，可以去这里看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966151181},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966155470},{"body":{"content":"慢性皮疹治疗是很麻烦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966174109},{"body":{"content":"好的，谢谢解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216740},{"body":{"content":"可以挂断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966226945},{"body":{"content":"嗯嗯好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966232303}]

男64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":1653050075476},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078438},{"body":{"content":"宝宝 身高体重多少\n饮食、睡眠、大小便怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116019},{"body":{"content":"您好。\n 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447782}]

女

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653050744709},{"body":{"content":"可以游泳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767523},{"body":{"content":"套脖圈也没问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779906},{"body":{"content":"网上说会损伤脊椎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050792576},{"body":{"content":"一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868148},{"body":{"content":"如果宝宝哭闹就不要游泳了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892208},{"body":{"content":"有没什么办法可以判断宝宝脖子有没问题，还是要去医院拍片的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053716},{"body":{"content":"宝宝以前趴着能抬头吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051080863},{"body":{"content":"以前可以的 现在比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091888},{"body":{"content":"一般经常抬头的时期是几月开始的 以前偶尔会抬几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124874},{"body":{"content":"一般1到3个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276317},{"body":{"content":"如果以前会抬头，现在不能抬头了，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051323920},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051350450},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378229},{"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":1653051383292},{"body":{"content":"暂时没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431808},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502024}]

女1个月11天

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