刘继帅

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608443}]

男37岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936951},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049940591},{"body":{"content":"Lindt*****排装85%可可黑巧克力100g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049961598},{"body":{"content":"低血糖的能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961882},{"body":{"content":"低血糖可以吃，加糖一起吃更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984340},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049990825},{"body":{"content":"不客气哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050264909}]

女

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":1653051209087},{"body":{"content":"先暂停 服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219054},{"body":{"content":"这个活血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223157},{"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":1653052135367},{"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":1653052136419}]

女

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，请问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？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

女35岁

2022.05.20

[{"body":{"content":"这两天起了这些疹子，昨天还好，今天特别痒，周围还发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051768952},{"body":{"content":"这种情况考虑湿疹的可能比较大，您给宝宝用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051816336},{"body":{"content":"上周末吃了芒果完以后嘴周围有红疹子，周一开始早晨起来流鼻涕，怀疑是鼻炎，一直在吃***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835099},{"body":{"content":"今天还吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846117},{"body":{"content":"但是还是痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051851649},{"body":{"content":"没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051860111},{"body":{"content":"没有外用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051876001},{"body":{"content":"这种情况可以配合外用药治疗，可以外用氧化锌软膏看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051893264},{"body":{"content":"上次跟您咨询过，他现在脸上起来还好，**就开始起一些皮肤色的疹子，时多时少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052013628},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052027329},{"body":{"content":"这些是毛周角化吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052039307},{"body":{"content":"红色的湿疹部位可以继续服用******，配合外用氧化锌软膏，脸颊侧面考虑是毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052040909}]

男10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":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，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":1653050080929},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084032},{"body":{"content":"有什么可以帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165402},{"body":{"content":"您好 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061508}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25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":1653050927735},{"body":{"content":"请问这个血丝是用药前没有的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956551},{"body":{"content":"没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970492},{"body":{"content":"最近是不是用眼过度了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996944},{"body":{"content":"就是使用完后无意中看到镜子发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997888},{"body":{"content":"有点，所以买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008576},{"body":{"content":"用了这个***以后还有别的不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012747},{"body":{"content":"有点凉凉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051027231},{"body":{"content":"目前就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037928},{"body":{"content":"有点凉是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047387},{"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":1653051051938},{"body":{"content":"年龄21男，本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051097178},{"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":1653051117022},{"body":{"content":"滴2滴的有血丝，一滴无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136703},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139789},{"body":{"content":"您的这种情况也有可能 是眼疲劳引起的血丝，建议您再观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173359},{"body":{"content":"说明书为1～2滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174708},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181764},{"body":{"content":"一般情况滴1滴也可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051208621},{"body":{"content":"建议您先一次一滴，注间观察，如果出现别的不适立即停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051226285},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234726},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051279008},{"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3天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051284624},{"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":1653051286293},{"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":1653051391602}]

女

2022.05.20