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，我是主治医师邵珠琳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380451},{"body":{"content":"请问需要什么帮助?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391967},{"body":{"content":"家里54岁老人，心肌缺血，想要营养心肌用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426501},{"body":{"content":"您有推荐么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441768},{"body":{"content":"患者有什么症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872020}]

女

2022.05.20

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211719},{"body":{"content":"还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869520}]

男4岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12岁

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051756485}]

女

2022.05.20

[{"body":{"content":"根据上述情况给予您相关用药建议，为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史? 是否在备育期？或是其他用药禁忌的情况，如果有请提前说明。没有异常回复‘无’就可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359253},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610141},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655076},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662327}]

男24岁

2022.05.20

[{"body":{"content":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217587},{"body":{"content":"不痒，1个月左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259136},{"body":{"content":"没治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278260},{"body":{"content":"是您拍的这个吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379455},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392020},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414491},{"body":{"content":"这个不疼不痒吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567834},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050574927},{"body":{"content":"这个从照片来看可能是疣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630244},{"body":{"content":"建议您去医院做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050639976},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050677264},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050784355}]

男36岁

2022.05.20

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20