刘继帅

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20

[{"body":{"content":"你****身上有皮疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240873},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051242672},{"body":{"content":"哭闹后眼睛痒，脸上起红疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051242894},{"body":{"content":"然后流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051255229},{"body":{"content":"还咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051259901},{"body":{"content":"就是过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267771},{"body":{"content":"之前是过敏体质吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280594},{"body":{"content":"发个图片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051285204},{"body":{"content":"现在眼睛和皮肤感觉都好一些了，但还咳嗽，还有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290002},{"body":{"content":"吃上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350277},{"body":{"content":"在几个月之前也试过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366440},{"body":{"content":"****或者****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051367185},{"body":{"content":"家里有没有**机或者***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379410},{"body":{"content":"有没有呼吸困难","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051386386},{"body":{"content":"有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051394912},{"body":{"content":"请问这容易引起哮喘之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051412100},{"body":{"content":"容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425876},{"body":{"content":"刚才打了好几个喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431203},{"body":{"content":"过敏性哮喘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432133},{"body":{"content":"我现在应该如何处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051452111},{"body":{"content":"家里能不能做**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468457},{"body":{"content":"我近几年也的了哮喘，很怕孩子容易患","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484687},{"body":{"content":"先用****和****做上**，吃上******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485669},{"body":{"content":"吃上药之后去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527633},{"body":{"content":"这些药没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574876},{"body":{"content":"吸吸氧气，吸都保维持几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582851},{"body":{"content":"那赶紧去医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600633},{"body":{"content":"上次是**平静好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619500},{"body":{"content":"要是家附近有诊所，先打点****也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663359},{"body":{"content":"请问我现在如果去药房买药，最好买哪种药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051670543},{"body":{"content":"晚上不开诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679080},{"body":{"content":"附近有没有药点，去买我刚才说的药，******和**，**又叫***********，目前主要是休息，不要剧烈活动，开窗户，要是药店也没有，就只有去医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768235}]

男5岁

2022.05.20

[{"body":{"content":"您好，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":1652965274581},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965402688},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965421579},{"body":{"content":"我是种植户的，是不是有问题可以问你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965564772},{"body":{"content":"这儿只咨询人的皮肤病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965588350},{"body":{"content":"哦，对不起","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629816},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965639610}]

女38岁

2022.05.20

[{"body":{"content":"您好，我是主治医师白艳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571817},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576332},{"body":{"content":"60多岁能喝这种牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049613045},{"body":{"content":"本产品为中老年配方奶粉，无蔗糖营养健康易于吸收，60岁老人可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620352},{"body":{"content":"一天喝几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049629837},{"body":{"content":"建议早餐喝就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641933},{"body":{"content":"分别喝多少合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642525},{"body":{"content":"饭后吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652017},{"body":{"content":"早餐喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671396},{"body":{"content":"空腹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049687330},{"body":{"content":"是的，牛奶，面包搭配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700363},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796196},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814104},{"body":{"content":"平时有点腿麻痛，腰椎病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049848494},{"body":{"content":"喝这个牛奶有点缓解吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869233},{"body":{"content":"嗯嗯，应该是有益处的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886524},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901301},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912274},{"body":{"content":"一点胖喝这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295408},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313894},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050331722},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345981}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405267},{"body":{"content":"您好，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":1653050491570},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494120},{"body":{"content":"可以作为减肥的辅助产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501910}]

女

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051004533},{"body":{"content":"医生您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038529},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051213},{"body":{"content":"荨麻疹停车时间了，大概一个月，当时隔离就没吃药，这个泛红是刚刚洗完澡发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051093045},{"body":{"content":"挺长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099986},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110752},{"body":{"content":"腿上，胳膊上，脚上也有，之前脸上也有，泛红只有小腿上外侧部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051147167},{"body":{"content":"根据您的图片及描述考虑是丘疹性荨麻疹的可能比较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051186918},{"body":{"content":"那个红色的也是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051198754},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205826},{"body":{"content":"我刚刚涂了那个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214556},{"body":{"content":"还需要口服药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220600},{"body":{"content":"从您上传的图片看有水泡出现，建议您配合口服药治疗效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051263425},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？请问您目前是否处于孕期、哺乳期、备孕期？以便为您推荐药物。如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313028},{"body":{"content":"好的，那麻烦医生帮忙开药，性价比高一点的，就是不要太贵的? ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322922},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328694},{"body":{"content":"稍等，我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340522},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051372610},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373609},{"body":{"content":"*****，每天一片，睡前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404000},{"body":{"content":"配合家里的*****治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051415740},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468938},{"body":{"content":"医生，吃药期间有什么不能吃的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491864},{"body":{"content":"比如****什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499712},{"body":{"content":"建议您将床垫拍打时用吸尘器吸干净。床上用品、贴身衣物烫洗后再用，避免搔抓刺激，避免接触宠物，避免辛辣刺激食物，鱼虾，牛**，避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051552807},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051572527},{"body":{"content":"不客气，建议您规律用药一周观察疗效，也可以用药一周复诊看一下恢复情况，再给您进一步的用药建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601281},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619951},{"body":{"content":"不客气的，请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632317},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734280}]

女22岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558583},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162185},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052208650}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782154},{"body":{"content":"可以看看图片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787405},{"body":{"content":"不好意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965823950},{"body":{"content":"没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965828378},{"body":{"content":"是否有同房史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965870483},{"body":{"content":"很久没有过了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965888328},{"body":{"content":"建议检查宫颈筛查看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965916519},{"body":{"content":"如果正常就可以打**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923786},{"body":{"content":"宫颈筛查之前检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957542},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977208},{"body":{"content":"正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965991643},{"body":{"content":"可以打","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966021007},{"body":{"content":"去年十月份检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966045556},{"body":{"content":"打吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069937},{"body":{"content":"但是前两天洗澡 我才摸到阴道下面有一坨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966082779},{"body":{"content":"摸起来的感觉像痘痘一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966092039},{"body":{"content":"是怎么了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966098554},{"body":{"content":"没有看图片不能确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116178},{"body":{"content":"更不清楚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966429410},{"body":{"content":"是看不清楚吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966447013},{"body":{"content":"就是下面一点有一个红色的像痘痘一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966476450},{"body":{"content":"你拍清楚一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966561477},{"body":{"content":"感觉右边比较红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967054285},{"body":{"content":"没有看见异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967065116},{"body":{"content":"可以打**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071117},{"body":{"content":"这里有一坨肿一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967179357},{"body":{"content":"为什么会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967297734},{"body":{"content":"而且右边还很红 没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967327544},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967369294},{"body":{"content":"毛囊堵塞的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967374412},{"body":{"content":"这个影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967542897},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967577925},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967600525},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967755225},{"body":{"content":"请问喝了凉茶夏桑菊颗粒 会影响打九价吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045375983},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046336159}]

女24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":"马主任，孩子现在一直吃的是每天一粒六毫克的**，情绪等方面都很好，今天他说傍晚头蒙，他想把**换成前年吃过的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873194510},{"body":{"content":"孩子说就是去年初把***换成**后才会出现头蒙的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652873262258},{"body":{"content":"国内外研究结果******副反应少，对认知功能影响小，安全性和耐受性良好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878960337},{"body":{"content":"哦！刚吃**时，天天头蒙，现在隔很长时间头蒙一次（人愣着），这种吃了不舒服的感觉怎么解决？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879389242},{"body":{"content":"若不适，就服用之前的药物，一切依据患者的感受为主。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964303603},{"body":{"content":"前天和昨天都是傍晚出现了头蒙，人有点发呆，感觉有人跟踪的幻觉。傍晚出现这现情况后，他加吃了一粒3毫克**后，症状就好些.平时都只是中午吃一粒6毫克**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015955713},{"body":{"content":"这说明出现症状还是病情的原因吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036897716},{"body":{"content":"有症状原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297412}]

男15岁

2022.05.20