刘继帅

[{"body":{"content":"您好，我是主治医师王惠，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049812814},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815644},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822798}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

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,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965657287},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965660973}]

女41岁

2022.05.20

[{"body":{"content":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817477},{"body":{"content":"看是用什么方法降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830520},{"body":{"content":"你好我这高血脂好降吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839424},{"body":{"content":"减肥和日常饮食呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876645},{"body":{"content":"如果是吃******，大概率会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965883411},{"body":{"content":"因为我前两年天天喝酒大吃大喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891280},{"body":{"content":"然后前几天查出来高血脂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965900851},{"body":{"content":"如果从饮食运动生活规律入手，降下来饮食控制，大多不会反弹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913341},{"body":{"content":"还年轻，改变饮食，增加锻炼，可以降下来的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965936511},{"body":{"content":"那得高血脂是一辈子喝不了酒了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965942998},{"body":{"content":"年轻是不是血脂更好降啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966272436},{"body":{"content":"我现在天天锻炼然后喝绿茶和**水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966294053},{"body":{"content":"饮食方面不吃油腻的和高胆固醇","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966313509},{"body":{"content":"年轻好一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966844876},{"body":{"content":"身体锻炼更重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966859758},{"body":{"content":"不是一辈子不喝酒，而是有节制，大鱼大肉生活紊乱，身体早晚会出问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966893740},{"body":{"content":"可以**配***，**泡茶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966923654},{"body":{"content":"嗯就是降下来以后一个月吃喝那么一次两次那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966937583},{"body":{"content":"然后经常锻炼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966949350},{"body":{"content":"应该可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966952736},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966971568},{"body":{"content":"我用**干泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966991919},{"body":{"content":"有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966995968},{"body":{"content":"有一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967008049},{"body":{"content":"然后用绿茶泡水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967009098},{"body":{"content":"这些都是辅助，重要是控制饮食，增加运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967039173},{"body":{"content":"我现在基本就是吃素","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063756},{"body":{"content":"然后偶尔素菜炒瘦肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967073840},{"body":{"content":"**炒**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967082880},{"body":{"content":"可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967085469},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967094249},{"body":{"content":"一般要降下来需要多长时间呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967121927},{"body":{"content":"不是不让吃肉，要控制，晚饭不要吃太多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967125594},{"body":{"content":"我下个月再去检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967127509},{"body":{"content":"运动，一两个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967139170},{"body":{"content":"辅助作用最好吃点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967361755},{"body":{"content":"***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967366712},{"body":{"content":"苹果***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967375656},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967511615},{"body":{"content":"大多都可以吃，不必那么小心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967528831},{"body":{"content":"少甜，少油即可，最重要还是运动（特别强调）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967564609},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967573817},{"body":{"content":"我基本不吃甜食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967578107},{"body":{"content":"运动大概一天30分钟那样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967592308},{"body":{"content":"坚持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967601686},{"body":{"content":"但我不是跑步是做keep那种燃脂可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967608894},{"body":{"content":"另外不要熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967609971},{"body":{"content":"最好有氧运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967627267},{"body":{"content":"就是有氧的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967644058},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967676397},{"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":1652967900491},{"body":{"content":"对了还有一个问题 鸡蛋是不是不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967989864},{"body":{"content":"一周吃几个合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967996728},{"body":{"content":"血脂降下来要天天运动吗 还是一周2-3次就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968100984},{"body":{"content":"哈喽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971180445},{"body":{"content":"可以吃鸡蛋","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998021891},{"body":{"content":"每天一个可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998037105},{"body":{"content":"如果身体超重把体重降下来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652998057578},{"body":{"content":"锻炼能喝**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030046202},{"body":{"content":"这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653030536033},{"body":{"content":"可以吃，只能作为辅助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030915516},{"body":{"content":"这些产品来源一定要搞清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030946804}]

男19岁

2022.05.20

[{"body":{"content":"您好，我是住院医师曹众辰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672688},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697863}]

女

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"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，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102174},{"body":{"content":"小孩先生是冻了，导致感冒，现在低热和咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156954},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169404},{"body":{"content":"五天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179928},{"body":{"content":"宝宝目前还烧吗？烧多少度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050185296},{"body":{"content":"现在低烧，咳嗽，37.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217683},{"body":{"content":"请问宝宝咳嗽有痰吗？咽痒吗？痰多吗？是白的还是黄的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238265},{"body":{"content":"孩子咳嗽一般一天中什么时候加重呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244052},{"body":{"content":"没有痰，咳不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050257876},{"body":{"content":"孩子有呼吸不畅，喘憋，喉鸣、声音嘶哑等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275716},{"body":{"content":"躺着咳得多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050282148},{"body":{"content":"好像没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302899},{"body":{"content":"好的，孩子目前的精神状态如何，饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395442},{"body":{"content":"发烧的时候精神不大好，不发烧的话就好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434485},{"body":{"content":"吃饭还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441731},{"body":{"content":"咳嗽比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450118},{"body":{"content":"好的，孩子还有其他不适吗？去线下医院检查过吗？目前有服用什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559212},{"body":{"content":"孩子有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567899},{"body":{"content":"还没去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715375},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726863},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743168},{"body":{"content":"还有****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759335},{"body":{"content":"还有******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789876},{"body":{"content":"没有吃退烧的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802175},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863005},{"body":{"content":"根据您的描述，考虑孩子咳嗽，呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893289},{"body":{"content":"目前孩子是可以服用些********+*****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909278},{"body":{"content":"宝宝目前的体温，是可以搭配服用些********的，一次一袋，一天3次就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918399},{"body":{"content":"估计是这么个情况，她很容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932665},{"body":{"content":"那她现在需要吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050945392},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977050},{"body":{"content":"我给您开具处方，您稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996064},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051003080},{"body":{"content":"家里有盒********，能吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161492},{"body":{"content":"可以的，可以搭配********一起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051272335},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463246},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的，三天之内有效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507628},{"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，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510261},{"body":{"content":"孩子要避免接触过敏原、受凉、烟雾、粉尘、雾霾、尘螨等环境；居室注意勤开窗通风，保持一定的温湿度，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520522},{"body":{"content":"居室适宜的环境：温度20℃-26℃，湿度在50%--60%为宜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051522493},{"body":{"content":"还想问一下，家里有盒********能喝不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051546628},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051566569},{"body":{"content":"这个目前是可以先暂时不给孩子服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666389},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669107},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896635},{"body":{"content":"用药后当前症状如果不缓解或者加重，建议线上复诊或者线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051899058},{"body":{"content":"您好，关诊时间临近，希望我的建议能够帮助到您，感谢您的信任。欢迎您再次咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901924},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905012},{"body":{"content":"如果您对我的服务满意，可以点击问诊界面 右上角 “表扬医生”，给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051906985},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908874}]

女7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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20