{"dialog_id": 0, "thread": [{"turn": 0, "text": "轻微心梗的症状有哪些（男，49岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "最常见的应该是心前区的闷、疼这些症状，但是也有部分病人是没有症状的，他只是以出汗乏力为主，所以如果对于年轻人出现不明原因的乏力出汗，甚至有些病人出现牙疼，一定要到心内科就诊", "role": "doctor"}, {"turn": 3, "text": "有些人会有下颌及后背放射痛。\n建议心电图，心肌肌钙蛋白检查。", "role": "doctor"}, {"turn": 4, "text": "有时候胸闷，有点痛，就是胃胀气狠的时候，感觉憋的喘不过气来，", "role": "patient"}, {"turn": 5, "text": "反酸打嗝吗？", "role": "doctor"}, {"turn": 6, "text": "如果打嗝后缓解，建议消化科就诊", "role": "doctor"}, {"turn": 7, "text": "打嗝，反酸到没有", "role": "patient"}, {"turn": 8, "text": "建议医院检查一下为好", "role": "doctor"}, {"turn": 9, "text": "有消化科吗", "role": "patient"}, {"turn": 10, "text": "有的", "role": "doctor"}, {"turn": 11, "text": "我从来没到消化科检查过，就是到内科看过，因为我颈椎变型了，颈部纤维", "role": "patient"}, {"turn": 12, "text": "颈椎病也可以出现胸闷的情况", "role": "doctor"}, {"turn": 13, "text": "就是胃胀气的时候，才感觉难受，不胀的时候没有。", "role": "patient"}, {"turn": 14, "text": "据你描述的情况看，应当消化科就诊", "role": "doctor"}, {"turn": 15, "text": "谢谢你，我明天到消化科检查一下。", "role": "patient"}, {"turn": 16, "text": "谢谢你！李医师，有时间在联系你，好吧", "role": "patient"}, {"turn": 17, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1, "thread": [{"turn": 0, "text": "过敏性鼻炎冬天严重怎么办（女，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问过敏性鼻炎多久了？", "role": "doctor"}, {"turn": 2, "text": "有一两年了", "role": "patient"}, {"turn": 3, "text": "去医院看过", "role": "patient"}, {"turn": 4, "text": "严重很了 医生开的药吃好一点 我这个过敏性鼻炎冬天严重 怕冷 不能感冒 感冒更加严重", "role": "patient"}, {"turn": 5, "text": "这几天我以为有感冒 吃了感冒药鼻子还是不透气 左边鼻涕多 就像有东西堵着了一样", "role": "patient"}, {"turn": 6, "text": "鼻涕有点黄色的像有炎症一样", "role": "patient"}, {"turn": 7, "text": "您好，不好意思，今天我们这边下雨，路上堵车", "role": "doctor"}, {"turn": 8, "text": "回复晚了，抱歉", "role": "doctor"}, {"turn": 9, "text": "过敏性鼻炎首选鼻用喷剂，如内舒拿或者雷诺考特", "role": "doctor"}, {"turn": 10, "text": "可以同时配合用点开瑞坦，每天一次，每次一片", "role": "doctor"}, {"turn": 11, "text": "并进行鼻腔冲洗治疗", "role": "doctor"}, {"turn": 12, "text": "自己买个洗鼻器用生理盐水洗洗鼻腔，每天两次", "role": "doctor"}, {"turn": 13, "text": "生理盐水要经常洗吗", "role": "patient"}, {"turn": 14, "text": "是的，每天可以洗两次", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 2, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肾阴虚舌苔（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "肾阴虚舌红苔薄白，脉细数", "role": "doctor"}, {"turn": 3, "text": "腰经常酸痛，头晕脱发，大便干燥，总感觉疲惫，没什么气力", "role": "patient"}, {"turn": 4, "text": "你好，睡眠怎么样？", "role": "doctor"}, {"turn": 5, "text": "睡睡眠还可以，十一点多睡着，七点左右醒", "role": "patient"}, {"turn": 6, "text": "你好，你有去中医门诊看过吗？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "你好，腰酸痛什么时候痛的厉害呢？", "role": "doctor"}, {"turn": 9, "text": "有时候早上醒来也会酸痛，工作太累会酸痛", "role": "patient"}, {"turn": 10, "text": "有时候腰会感觉冷痛", "role": "patient"}, {"turn": 11, "text": "平时有口渴，饮水多吗？", "role": "doctor"}, {"turn": 12, "text": "嘴皮老是感觉干", "role": "patient"}, {"turn": 13, "text": "您好，您可以适量饮水喝酒", "role": "doctor"}, {"turn": 14, "text": "可以顿梨，冬瓜汤", "role": "doctor"}, {"turn": 15, "text": "你好，可以适量饮水", "role": "doctor"}, {"turn": 16, "text": "不好意思，打错字了", "role": "doctor"}, {"turn": 17, "text": "您好，有怕热，手脚出汗的情况吗？", "role": "doctor"}, {"turn": 18, "text": "手脚出汗，内心烦热", "role": "patient"}, {"turn": 19, "text": "你好，你有去医院看过吗？", "role": "doctor"}, {"turn": 20, "text": "您的症状像是阴虚夹湿", "role": "doctor"}, {"turn": 21, "text": "没去看中医", "role": "patient"}, {"turn": 22, "text": "建议您注意休息，清淡饮食，可以去中医科调理", "role": "doctor"}, {"turn": 23, "text": "哦！谢谢", "role": "patient"}, {"turn": 24, "text": "不客气?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 3, "thread": [{"turn": 0, "text": "眼睛白内障内膜薄怎么办（女，82岁）", "role": "patient"}, {"turn": 1, "text": "您好，您为什么要咨询内膜呢？", "role": "doctor"}, {"turn": 2, "text": "是怕晶状体囊膜太薄放不了人工晶体吗？", "role": "doctor"}, {"turn": 3, "text": "今天检验白内障，眼内膜只有500，医生说不能做手术。", "role": "patient"}, {"turn": 4, "text": "方便把报告单发来看一下吗？", "role": "doctor"}, {"turn": 5, "text": "医院还没有给结果给我，检查后给我们说了一下。", "role": "patient"}, {"turn": 6, "text": "有高度近视吗？", "role": "doctor"}, {"turn": 7, "text": "看物体摸糊", "role": "patient"}, {"turn": 8, "text": "白内障视物肯定会模糊的，就像起雾的一样", "role": "doctor"}, {"turn": 9, "text": "是的，这种情况怎么办好？", "role": "patient"}, {"turn": 10, "text": "白内障只有手术治疗", "role": "doctor"}, {"turn": 11, "text": "有高度近视吗？", "role": "doctor"}, {"turn": 12, "text": "检验说内膜只有500，没法做手术？", "role": "patient"}, {"turn": 13, "text": "不是高度近视", "role": "patient"}, {"turn": 14, "text": "是说晶状体囊膜500吗？", "role": "doctor"}, {"turn": 15, "text": "是的", "role": "patient"}, {"turn": 16, "text": "在三甲医院测量的？", "role": "doctor"}, {"turn": 17, "text": "是的", "role": "patient"}, {"turn": 18, "text": "囊袋太薄了放不了人工晶体的话，也可以做悬吊式，和虹膜前置式", "role": "doctor"}, {"turn": 19, "text": "这种情况不能手术吗？", "role": "patient"}, {"turn": 20, "text": "可以手术", "role": "doctor"}, {"turn": 21, "text": "有后囊破解玻璃体突出的风险", "role": "doctor"}, {"turn": 22, "text": "能否有什么药品控制不再发展？", "role": "patient"}, {"turn": 23, "text": "没有任何药物能控制", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢！", "role": "patient"}, {"turn": 25, "text": "这是正常的新陈代谢和机体衰老的必然过程。任何人都会经历。", "role": "doctor"}, {"turn": 26, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 4, "thread": [{"turn": 0, "text": "月经不调排卵期怎么算（女，26岁）", "role": "patient"}, {"turn": 1, "text": "排卵期是下次来月经的第一天往前推14天左右", "role": "doctor"}, {"turn": 2, "text": "如果月经经常推迟且推迟时间不定就不好算，最准确的是做b超", "role": "doctor"}, {"turn": 3, "text": "我10月份是27号来的，11月份是12月4日来的", "role": "patient"}, {"turn": 4, "text": "我的排卵期怎么算", "role": "patient"}, {"turn": 5, "text": "我也知道啊", "role": "patient"}, {"turn": 6, "text": "那我花钱问你等于白问", "role": "patient"}, {"turn": 7, "text": "12月4号往前推14天，大概11月21号的样子", "role": "doctor"}, {"turn": 8, "text": "不是18和19号吗", "role": "patient"}, {"turn": 9, "text": "我的月经周期是好多天来一次月经", "role": "patient"}, {"turn": 10, "text": "每个人排卵后的黄体期是固定的，一般都是14天，最长不超过16天，最短不短于12天", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "如果你有正常排卵的话就是12月4号往前推14天，即11月21左右", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "当然也有时月经推迟是没有卵泡发育跟排出的，那么这个月就没有排卵期", "role": "doctor"}, {"turn": 15, "text": "哦", "role": "patient"}, {"turn": 16, "text": "所以我才说做b超是最准确的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 5, "thread": [{"turn": 0, "text": "结肠癌大约能有多久的生命（女，94岁）", "role": "patient"}, {"turn": 1, "text": "你好，患者结肠癌做了手术没有？现在一般状况怎么样？", "role": "doctor"}, {"turn": 2, "text": "没做，现在吃不进饭也不吃药，就靠输液治疗，这两天连输液都不想输了，一直吵着要回家，现在状况是瘦，今天出现发烧，烧到39度多，大便很希，很少，发黑，有时候大便是血", "role": "patient"}, {"turn": 3, "text": "好的。根据患者这种情况，其实可能还不到肿瘤衰竭致命，先就出现体内环境紊乱，导致脏器衰竭死亡了", "role": "doctor"}, {"turn": 4, "text": "一般不能进食，如果再补输液的话，生命维持也就一周左右", "role": "doctor"}, {"turn": 5, "text": "不输液的情况下", "role": "doctor"}, {"turn": 6, "text": "患者尿量如何，正常还是尿少？神志还是清楚的吧？", "role": "doctor"}, {"turn": 7, "text": "如果24小时内尿量少于100ml 就算无尿，无尿情况下一般患者寿命就只有三日左右", "role": "doctor"}, {"turn": 8, "text": "她现在有尿，一次尿不多，尿的稍微有点勤", "role": "patient"}, {"turn": 9, "text": "神志还好", "role": "patient"}, {"turn": 10, "text": "那还没到最后阶段，还是尽量动员患者治疗吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 6, "thread": [{"turn": 0, "text": "男生挺壮的但是检查出来营养不良（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，你身高和体重？", "role": "doctor"}, {"turn": 2, "text": "是我男朋友 \n178.85kg", "role": "patient"}, {"turn": 3, "text": "现在是什么症状", "role": "doctor"}, {"turn": 4, "text": "主要有什么表现", "role": "doctor"}, {"turn": 5, "text": "不知道 就是体检说营养不良", "role": "patient"}, {"turn": 6, "text": "平时吃饭怎么样？", "role": "doctor"}, {"turn": 7, "text": "还可以呀", "role": "patient"}, {"turn": 8, "text": "饮食偏食吗", "role": "doctor"}, {"turn": 9, "text": "熬夜吗", "role": "doctor"}, {"turn": 10, "text": "不怎么熬夜 晚上有时还吃夜宵", "role": "patient"}, {"turn": 11, "text": "喜欢喝可乐", "role": "patient"}, {"turn": 12, "text": "营养不良和饮食不均衡吸收不好都有关系", "role": "doctor"}, {"turn": 13, "text": "饮食荤素搭配多吃新鲜蔬菜水果", "role": "doctor"}, {"turn": 14, "text": "多吃牛羊肉鱼类", "role": "doctor"}, {"turn": 15, "text": "这些都有帮助", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 7, "thread": [{"turn": 0, "text": "糖尿病可以打瘦脸针吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "糖尿病患者不建议打瘦脸针 一方面增加感染风险  另一方面可能会引起血管肌肉病变", "role": "doctor"}, {"turn": 2, "text": "唉", "role": "patient"}, {"turn": 3, "text": "玻尿酸呢", "role": "patient"}, {"turn": 4, "text": "线雕埋线可以做吗？", "role": "patient"}, {"turn": 5, "text": "玻尿酸可能引起血栓栓塞  也不建议", "role": "doctor"}, {"turn": 6, "text": "埋线也会增加感染风险", "role": "doctor"}, {"turn": 7, "text": "至少先把血糖控制正常  然后到正规医院  再具体评估下", "role": "doctor"}, {"turn": 8, "text": "从内分泌医生角度的确不太建议", "role": "doctor"}, {"turn": 9, "text": "糖尿病那么难吗", "role": "patient"}, {"turn": 10, "text": "什么都不可以吃就算了变美的都不行", "role": "patient"}, {"turn": 11, "text": "糖尿病本身会影响到全身血管病变  而且感染风险也比其他人高  所以任何操作都需要慎重", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 8, "thread": [{"turn": 0, "text": "男，63岁，有高血压，有痛风史，蛮多年的，尿酸一直高，日常饮食还蛮注意，豆制品、内脏、啤酒什么的不喝，但是抽烟喝白酒，经常还是脚疼然后去社区诊所打吊针，昨天去查尿酸有720了，比以前还高了一些，日常喝蒲公英玉米须茶。\n尿酸这么高该怎么办？要用药物降尿酸吗？（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "周医生，您好！我父亲痛风已经很多年了，", "role": "patient"}, {"turn": 3, "text": "需要吃降尿酸药", "role": "doctor"}, {"turn": 4, "text": "非布司他", "role": "doctor"}, {"turn": 5, "text": "一片一天一次", "role": "doctor"}, {"turn": 6, "text": "您好！刚查了一下非布司他副作用蛮多的，我父亲高血压，这个还能吃吗？每天都在吃降血压药？", "role": "patient"}, {"turn": 7, "text": "可以吃", "role": "doctor"}, {"turn": 8, "text": "你要看药物的副作用", "role": "doctor"}, {"turn": 9, "text": "你什么药都吃不了", "role": "doctor"}, {"turn": 10, "text": "任何药都是有副作用的", "role": "doctor"}, {"turn": 11, "text": "这么高的尿酸，再不用药的话，远远要大于药物所带来的副作用", "role": "doctor"}, {"turn": 12, "text": "降压药也有很多副作用", "role": "doctor"}, {"turn": 13, "text": "那你就不吃了吗？", "role": "doctor"}, {"turn": 14, "text": "对不？所以说你得权衡利弊", "role": "doctor"}, {"turn": 15, "text": "相对来说都是比较安全的", "role": "doctor"}, {"turn": 16, "text": "不吃药，疾病带来的伤害要远远大于药物本身所产生的副作用", "role": "doctor"}, {"turn": 17, "text": "嗯嗯👍，只需要吃这一种药就可以吗？出现什么情况需要停药？", "role": "patient"}, {"turn": 18, "text": "对一种就可以", "role": "doctor"}, {"turn": 19, "text": "出现肝酶升高可停药", "role": "doctor"}, {"turn": 20, "text": "吃药期间多久复查一下尿酸检查？", "role": "patient"}, {"turn": 21, "text": "半个月", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 9, "thread": [{"turn": 0, "text": "类风湿关节炎可以用那些药（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "类风湿关节炎首选药物是甲氨蝶呤片，同时需要配合依托考昔片，羟氯喹片治疗，如果疼的很严重，还有用激素，比如泼尼松片。也可以打生物制剂，比如益赛普。中药也可以起到辅助治疗作用，但是需要把脉才可以开方子，不作为控制类风湿关节炎的主要药物。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 10, "thread": [{"turn": 0, "text": "我有阳痿勃起功能障碍，怎么办？（男，47岁）", "role": "patient"}, {"turn": 1, "text": "您好，这样症状多久了?", "role": "doctor"}, {"turn": 2, "text": "有几年了", "role": "patient"}, {"turn": 3, "text": "有治疗过吗？有没有用过什么药物治疗？", "role": "doctor"}, {"turn": 4, "text": "现在不能正常做了", "role": "patient"}, {"turn": 5, "text": "嗯", "role": "doctor"}, {"turn": 6, "text": "以前吃过六味地黄丸", "role": "patient"}, {"turn": 7, "text": "去哪里看过", "role": "doctor"}, {"turn": 8, "text": "滋肾阴的", "role": "doctor"}, {"turn": 9, "text": "不怎么管用", "role": "patient"}, {"turn": 10, "text": "没有看过", "role": "patient"}, {"turn": 11, "text": "医药吃过吗", "role": "doctor"}, {"turn": 12, "text": "吃过", "role": "patient"}, {"turn": 13, "text": "以前吃过现在没有吃", "role": "patient"}, {"turn": 14, "text": "吃的什么西药", "role": "doctor"}, {"turn": 15, "text": "发给我看看", "role": "doctor"}, {"turn": 16, "text": "吃的什么西药", "role": "doctor"}, {"turn": 17, "text": "没有吃西药", "role": "patient"}, {"turn": 18, "text": "万艾可吃过呢", "role": "doctor"}, {"turn": 19, "text": "吗？", "role": "doctor"}, {"turn": 20, "text": "就是那种刺激的春药类的", "role": "patient"}, {"turn": 21, "text": "没有吃那个", "role": "patient"}, {"turn": 22, "text": "你可以吃这个", "role": "doctor"}, {"turn": 23, "text": "先试一下", "role": "doctor"}, {"turn": 24, "text": "万艾可？", "role": "patient"}, {"turn": 25, "text": "嗯", "role": "doctor"}, {"turn": 26, "text": "是的", "role": "doctor"}, {"turn": 27, "text": "有没有副作用啊", "role": "patient"}, {"turn": 28, "text": "没有", "role": "doctor"}, {"turn": 29, "text": "药店有卖吗", "role": "patient"}, {"turn": 30, "text": "有", "role": "doctor"}, {"turn": 31, "text": "每个药店都有", "role": "doctor"}, {"turn": 32, "text": "是不是伟哥", "role": "patient"}, {"turn": 33, "text": "我现在很担心", "role": "patient"}, {"turn": 34, "text": "嗯，是的", "role": "doctor"}, {"turn": 35, "text": "会不会太贵啊", "role": "patient"}, {"turn": 36, "text": "那你买金戈", "role": "doctor"}, {"turn": 37, "text": "这个便宜点", "role": "doctor"}, {"turn": 38, "text": "有治疗作用吗", "role": "patient"}, {"turn": 39, "text": "我想治疗，", "role": "patient"}, {"turn": 40, "text": "金戈是哪里生产的", "role": "patient"}, {"turn": 41, "text": "大夫，这两种药能治好吗", "role": "patient"}, {"turn": 42, "text": "吃药期间可以做吗", "role": "patient"}, {"turn": 43, "text": "大夫在吗", "role": "patient"}, {"turn": 44, "text": "就是房事前半小时吃", "role": "doctor"}, {"turn": 45, "text": "嗯", "role": "patient"}, {"turn": 46, "text": "白云药业生产的", "role": "doctor"}, {"turn": 47, "text": "能有治疗作用吗大夫", "role": "patient"}, {"turn": 48, "text": "哦", "role": "patient"}, {"turn": 49, "text": "有", "role": "doctor"}, {"turn": 50, "text": "很明显", "role": "doctor"}, {"turn": 51, "text": "几盒一疗程", "role": "patient"}, {"turn": 52, "text": "这个是行房事前用的", "role": "doctor"}, {"turn": 53, "text": "没有疗程", "role": "doctor"}, {"turn": 54, "text": "行房事前有需要就用", "role": "doctor"}, {"turn": 55, "text": "有治疗阴茎的吗", "role": "patient"}, {"turn": 56, "text": "我想治疗，麻烦你了大夫", "role": "patient"}, {"turn": 57, "text": "先保守", "role": "doctor"}, {"turn": 58, "text": "治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 11, "thread": [{"turn": 0, "text": "肠道功能紊乱吃什么药（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好！欢迎来健康咨询", "role": "doctor"}, {"turn": 2, "text": "请问具体是什么情况？", "role": "doctor"}, {"turn": 3, "text": "您好", "role": "patient"}, {"turn": 4, "text": "肠道功能紊乱吃什么药（男，31岁）", "role": "patient"}, {"turn": 5, "text": "具体怎么不舒服呐", "role": "doctor"}, {"turn": 6, "text": "我经常放屁", "role": "patient"}, {"turn": 7, "text": "然后肚子不舒服胀气", "role": "patient"}, {"turn": 8, "text": "一天上好几次大号 上一次一点点", "role": "patient"}, {"turn": 9, "text": "这个情况建议", "role": "doctor"}, {"turn": 10, "text": "一定要注意清淡饮食，避免油腻生冷辛辣刺激性食物！三餐规律！", "role": "doctor"}, {"turn": 11, "text": "可以吃马来酸曲美布丁片每日3次每次1片饭前半小时服用，培菲康每日3次每次3粒饭后服用，复方谷氨酰胺颗粒每日3次每次1包饭前半小时服用", "role": "doctor"}, {"turn": 12, "text": "吃什么药", "role": "patient"}, {"turn": 13, "text": "可以吃马来酸曲美布丁片每日3次每次1片饭前半小时服用，培菲康每日3次每次3粒饭后服用，复方谷氨酰胺颗粒每日3次每次1包饭前半小时服用", "role": "doctor"}, {"turn": 14, "text": "😊", "role": "doctor"}, {"turn": 15, "text": "我这是什么情况", "role": "patient"}, {"turn": 16, "text": "肠道功能紊乱可能性大", "role": "doctor"}, {"turn": 17, "text": "要去做个肠镜吗", "role": "patient"}, {"turn": 18, "text": "很久了", "role": "patient"}, {"turn": 19, "text": "做肠镜确诊一下最好", "role": "doctor"}, {"turn": 20, "text": "你说的这些药要吃多久 我的工作是每天坐着和这个有关系吧", "role": "patient"}, {"turn": 21, "text": "关系很大", "role": "doctor"}, {"turn": 22, "text": "建议健康的生活方式，早睡早起，加强体质锻炼，不要久坐", "role": "doctor"}, {"turn": 23, "text": "嗯", "role": "patient"}, {"turn": 24, "text": "👌", "role": "doctor"}, {"turn": 25, "text": "有时候放屁放不出来肚子很难受", "role": "patient"}, {"turn": 26, "text": "放出来就舒服很多", "role": "patient"}, {"turn": 27, "text": "建议调节饮食，和生活方式", "role": "doctor"}, {"turn": 28, "text": "吃药治疗看看", "role": "doctor"}, {"turn": 29, "text": "好的\n这些药要买什么牌子的", "role": "patient"}, {"turn": 30, "text": "正规厂家都可以", "role": "doctor"}, {"turn": 31, "text": "这里不做广告", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 12, "thread": [{"turn": 0, "text": "贫血   血压低   怎么改善      有轻微胃病   （女，24岁）", "role": "patient"}, {"turn": 1, "text": "什么类型贫血知道吗？", "role": "doctor"}, {"turn": 2, "text": "应该是缺铁性贫血", "role": "patient"}, {"turn": 3, "text": "今年夏天   去中医院检查   医生说  胃不好  吃了也不吸收 就造成的贫血   让先养胃", "role": "patient"}, {"turn": 4, "text": "在诊所看的   说是缺铁性贫血", "role": "patient"}, {"turn": 5, "text": "好的，主要就是确定原因，治疗贫血就是补铁", "role": "doctor"}, {"turn": 6, "text": "昨天量了下血压     低压  74高压   104", "role": "patient"}, {"turn": 7, "text": "现在是蹲一会   站起来就头晕   得扶着东西缓一会才行", "role": "patient"}, {"turn": 8, "text": "这个血压低一点并不要紧", "role": "doctor"}, {"turn": 9, "text": "可以推荐一下   补铁效果好的口服液吗", "role": "patient"}, {"turn": 10, "text": "含铁就可以的", "role": "doctor"}, {"turn": 11, "text": "好    谢谢医生。", "role": "patient"}, {"turn": 12, "text": "客气啦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 13, "thread": [{"turn": 0, "text": "创伤性关节炎会一下子发吗（男，39岁）", "role": "patient"}, {"turn": 1, "text": "请问是哪个位置的创伤性关节炎？", "role": "doctor"}, {"turn": 2, "text": "有片子吗？上传一下片子", "role": "doctor"}, {"turn": 3, "text": "脚步，没有片子", "role": "patient"}, {"turn": 4, "text": "脚上吗，踝，还是足，拍个照片看看", "role": "doctor"}, {"turn": 5, "text": "晩上睡觉的时候，也酸痛", "role": "patient"}, {"turn": 6, "text": "以前受了大的外伤吗", "role": "doctor"}, {"turn": 7, "text": "拍个照片，我看看", "role": "doctor"}, {"turn": 8, "text": "有一天下午感觉脚有点酸，睡了一晚就痛了，用热水泡脚也不能好，特别是晩上痛，白天活动开了也痛，前期没有一点点痛", "role": "patient"}, {"turn": 9, "text": "以前跟骨骨折过", "role": "patient"}, {"turn": 10, "text": "最后一次复查的片子，有吗", "role": "doctor"}, {"turn": 11, "text": "最后的片子以经是好几年前的了", "role": "patient"}, {"turn": 12, "text": "那你现在走路疼痛吗？", "role": "doctor"}, {"turn": 13, "text": "今天我去看了中医，他说是创伤性关节炎，我想创伤性关节炎发病没有这么突然，", "role": "patient"}, {"turn": 14, "text": "没给你拍片子啊，这个中医", "role": "doctor"}, {"turn": 15, "text": "走路有点酸，特别是晩上脚一动不动也酸痛", "role": "patient"}, {"turn": 16, "text": "没拍", "role": "patient"}, {"turn": 17, "text": "叫长期磨损，终究会出现的，也叫量变引起质变", "role": "doctor"}, {"turn": 18, "text": "怎么会一下子突发，也没有晨僵", "role": "patient"}, {"turn": 19, "text": "类风湿性关节炎才是晨僵", "role": "doctor"}, {"turn": 20, "text": "可是我以前没拆钢板前有关节炎，有晨僵", "role": "patient"}, {"turn": 21, "text": "那是你周围韧带没有活动开", "role": "doctor"}, {"turn": 22, "text": "那时就有的话，估计还真是创伤性关节炎", "role": "doctor"}, {"turn": 23, "text": "哦，那我现在是什么病", "role": "patient"}, {"turn": 24, "text": "但现在还是应该去拍片看看，跟骨和距骨之间的关节怎样了，磨损的怎样了", "role": "doctor"}, {"turn": 25, "text": "前几天肩也是这种痛法", "role": "patient"}, {"turn": 26, "text": "肩跟这个就没有关系了", "role": "doctor"}, {"turn": 27, "text": "知道了，谢谢", "role": "patient"}, {"turn": 28, "text": "肩估计跟你颈椎有关", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 14, "thread": [{"turn": 0, "text": "精子常规和Dfi都正常肾虚（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "精子都是正常的但是肾虚，中医说要吃中药调理三个月才能要小孩，请问不吃药会不会有影响", "role": "patient"}, {"turn": 3, "text": "你只要精子是正常的，就可以要小孩啊。", "role": "doctor"}, {"turn": 4, "text": "肾虚没影响么？", "role": "patient"}, {"turn": 5, "text": "调理一下小孩生下来是不是体质会好点", "role": "patient"}, {"turn": 6, "text": "你现在都有什么症状，就说你肾虚的症状是什么？", "role": "doctor"}, {"turn": 7, "text": "我老婆上一胎没有胎心流掉了了。后来我们两个检查都是正常的", "role": "patient"}, {"turn": 8, "text": "怕冷，脚后跟痛", "role": "patient"}, {"turn": 9, "text": "小便发黄", "role": "patient"}, {"turn": 10, "text": "刚好腰也不好，有腰椎间盘突出，", "role": "patient"}, {"turn": 11, "text": "那可以，把身体调调，在中医上讲是对怀孕是有好处的。", "role": "doctor"}, {"turn": 12, "text": "肾好了腰是不是也会好点？", "role": "patient"}, {"turn": 13, "text": "这个是会的，因为腰为肾之府，肾好，那腰自然会好点。", "role": "doctor"}, {"turn": 14, "text": "肾好了腰是不是也会好点", "role": "patient"}, {"turn": 15, "text": "喝一杯水都要跑几次厕所，特别是冬天，是不是也跟肾虚有关系", "role": "patient"}, {"turn": 16, "text": "轻度精索静脉曲张对生育有影响么", "role": "patient"}, {"turn": 17, "text": "是的，这是和肾有关系的，肾好了腰也会好点的。", "role": "doctor"}, {"turn": 18, "text": "轻度精索静脉曲张会影响生育么", "role": "patient"}, {"turn": 19, "text": "精索静脉曲张痛的时候腰也酸", "role": "patient"}, {"turn": 20, "text": "你如果能吃中药的话，精索静脉曲张是可以一起调理的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 15, "thread": [{"turn": 0, "text": "八个月宝宝有点缺钙补什么样的钙好点（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，去医院检查了么？", "role": "doctor"}, {"turn": 2, "text": "没有之前查的有点缺钙", "role": "patient"}, {"turn": 3, "text": "8个月的宝宝建议补充乳钙， 乳钙类产品由纯天然牛乳提取,不伤肠胃,特别适合婴幼儿。乳钙呈液体油状,对于1岁以内婴幼儿可以剪开胶囊尾部,直接挤到勺子或者宝宝奶瓶嘴上让宝宝舔食。", "role": "doctor"}, {"turn": 4, "text": "如果缺钙的话 乳钙会不会含钙量达不到", "role": "patient"}, {"turn": 5, "text": "小葵花康琪壹佰的液体钙能吃吗", "role": "patient"}, {"turn": 6, "text": "我说的乳钙是一种保健品，对于1岁以内的婴幼儿来说乳钙效果更好。另外要多给宝宝晒太阳", "role": "doctor"}, {"turn": 7, "text": "缺钙的话 碳酸颗粒钙 和保健品的钙 哪个更容易补", "role": "patient"}, {"turn": 8, "text": "不要给孩子补充碳酸钙，碳酸钙吸收是最不好的。可以先补充乳钙，一岁以后补充液体钙。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 16, "thread": [{"turn": 0, "text": "霉菌性阴道炎传染后几天会有症状（女，41岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "一般如果感染了，三天之内会出现症状的", "role": "doctor"}, {"turn": 4, "text": "我想咨询一下，老公把霉菌性阴道炎传染给我后，一般几天后会有明显的症状", "role": "patient"}, {"turn": 5, "text": "三天之内", "role": "doctor"}, {"turn": 6, "text": "阴道内己经有豆腐渣一样的东西了", "role": "patient"}, {"turn": 7, "text": "嗯，", "role": "doctor"}, {"turn": 8, "text": "应该是感染了", "role": "doctor"}, {"turn": 9, "text": "去医院查一下白带，", "role": "doctor"}, {"turn": 10, "text": "用点药吧", "role": "doctor"}, {"turn": 11, "text": "用什么药呢", "role": "patient"}, {"turn": 12, "text": "硝呋太尔阴道泡腾片", "role": "doctor"}, {"turn": 13, "text": "阴道塞的", "role": "doctor"}, {"turn": 14, "text": "外洗的可以用妇炎洁或者洁尔阴，每天洗完塞一粒连续用一周", "role": "doctor"}, {"turn": 15, "text": "老公说他没有碰别的女人", "role": "patient"}, {"turn": 16, "text": "那是怎么感染上的呢", "role": "patient"}, {"turn": 17, "text": "这个和碰不碰别的女人无关的", "role": "doctor"}, {"turn": 18, "text": "你自己免疫力低下也会感染", "role": "doctor"}, {"turn": 19, "text": "脚气也会感染", "role": "doctor"}, {"turn": 20, "text": "不经常晒被子或者天气潮湿也会感染。", "role": "doctor"}, {"turn": 21, "text": "脚气怎么会感染到阴道上呢", "role": "patient"}, {"turn": 22, "text": "脚气上的霉菌  传到被子上，晚上睡觉，不就感染了", "role": "doctor"}, {"turn": 23, "text": "都穿内裤睡觉的呀", "role": "patient"}, {"turn": 24, "text": "内裤也得挨着被子吧", "role": "doctor"}, {"turn": 25, "text": "哦，", "role": "patient"}, {"turn": 26, "text": "嗯", "role": "doctor"}, {"turn": 27, "text": "我以为是别人传染给他，他传染给我的。", "role": "patient"}, {"turn": 28, "text": "😊", "role": "doctor"}, {"turn": 29, "text": "我之前都没有得过这病", "role": "patient"}, {"turn": 30, "text": "嗯，", "role": "doctor"}, {"turn": 31, "text": "问题不大的，不用太担心", "role": "doctor"}, {"turn": 32, "text": "好的，谢谢医生。", "role": "patient"}, {"turn": 33, "text": "不客气的", "role": "doctor"}, {"turn": 34, "text": "早点休息吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 17, "thread": [{"turn": 0, "text": "盆腔炎肚子疼腰酸能治愈吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这个症状有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有八天了", "role": "patient"}, {"turn": 3, "text": "做过检查吗？", "role": "doctor"}, {"turn": 4, "text": "嗯嗯", "role": "patient"}, {"turn": 5, "text": "吃药了吗？", "role": "doctor"}, {"turn": 6, "text": "医生说是轻微的盆腔炎", "role": "patient"}, {"turn": 7, "text": "吃着呢", "role": "patient"}, {"turn": 8, "text": "把单子发给我看一下", "role": "doctor"}, {"turn": 9, "text": "吃的什么药？", "role": "doctor"}, {"turn": 10, "text": "有效果吗？", "role": "doctor"}, {"turn": 11, "text": "有点效果", "role": "patient"}, {"turn": 12, "text": "妇可靖胶囊", "role": "patient"}, {"turn": 13, "text": "甲硝唑", "role": "patient"}, {"turn": 14, "text": "平时热敷一下小腹", "role": "doctor"}, {"turn": 15, "text": "头孢", "role": "patient"}, {"turn": 16, "text": "还有加上艾灸比较好", "role": "doctor"}, {"turn": 17, "text": "来例假可以敷吗", "role": "patient"}, {"turn": 18, "text": "血多吗？", "role": "doctor"}, {"turn": 19, "text": "不多的话可以", "role": "doctor"}, {"turn": 20, "text": "刚来", "role": "patient"}, {"turn": 21, "text": "热敷没问题", "role": "doctor"}, {"turn": 22, "text": "来例假对病情有影响吗，还有轻微的盆腔炎多久才能治愈", "role": "patient"}, {"turn": 23, "text": "如果盆腔炎一直有症状就要治疗一段时间", "role": "doctor"}, {"turn": 24, "text": "还有平时要注意", "role": "doctor"}, {"turn": 25, "text": "不能着凉", "role": "doctor"}, {"turn": 26, "text": "一般多久可以治愈", "role": "patient"}, {"turn": 27, "text": "只能说改善你的症状", "role": "doctor"}, {"turn": 28, "text": "以后着凉或是体质弱还会有出现，只能自己注意", "role": "doctor"}, {"turn": 29, "text": "也就是这病不可能治好吗", "role": "patient"}, {"turn": 30, "text": "不是", "role": "doctor"}, {"turn": 31, "text": "你可能减少炎症的次数或症状", "role": "doctor"}, {"turn": 32, "text": "但是以后谁也不能保证你不会再犯", "role": "doctor"}, {"turn": 33, "text": "夏天能待在空调屋吗", "role": "patient"}, {"turn": 34, "text": "可以", "role": "doctor"}, {"turn": 35, "text": "但是不要长时间待着", "role": "doctor"}, {"turn": 36, "text": "艾灸可以自己在家脓吗", "role": "patient"}, {"turn": 37, "text": "可以", "role": "doctor"}, {"turn": 38, "text": "注意安全", "role": "doctor"}, {"turn": 39, "text": "热敷小腹", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 18, "thread": [{"turn": 0, "text": "结肠息肉微创手术后多久能喝酒（女，53岁）", "role": "patient"}, {"turn": 1, "text": "您好很荣幸由我回答您的问题。", "role": "doctor"}, {"turn": 2, "text": "您好😊，我目前在医院工作，利用零散时间为您解答，回复不及时请多多见谅。有什么问题随时可以留言，不忙时会为您详细的解答，网络咨询不比实体医院看病，难免会有诊断不清或者误诊可能，如出现上述情况请您多多包涵，谢谢！", "role": "doctor"}, {"turn": 3, "text": "一周就可以", "role": "doctor"}, {"turn": 4, "text": "手术一个月了，可以喝点吗", "role": "patient"}, {"turn": 5, "text": "可以了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 19, "thread": [{"turn": 0, "text": "高血压有哪些症状？？？（男，26岁）", "role": "patient"}, {"turn": 1, "text": "大多数病人没有症状。有一些是在体检时发现的，如果血压非常高譬如200，病人可能会有头痛的症状", "role": "doctor"}, {"turn": 2, "text": "一次血压高不一定是高血压，要专科医师诊断", "role": "doctor"}, {"turn": 3, "text": "我一般量都是150 100", "role": "patient"}, {"turn": 4, "text": "每次恩师这样", "role": "patient"}, {"turn": 5, "text": "这个是高血压吗", "role": "patient"}, {"turn": 6, "text": "还有高血压会有注意力不集中，思维变得紊乱吗", "role": "patient"}, {"turn": 7, "text": "你的血压高需要治疗", "role": "doctor"}, {"turn": 8, "text": "这个会影响人的注意力吗", "role": "patient"}, {"turn": 9, "text": "血压高", "role": "patient"}, {"turn": 10, "text": "高血压没有注意力不集中的症状", "role": "doctor"}, {"turn": 11, "text": "会影响人思考问题吗", "role": "patient"}, {"turn": 12, "text": "思维不能连贯起来有吗", "role": "patient"}, {"turn": 13, "text": "总是中断思维", "role": "patient"}, {"turn": 14, "text": "不会，但是过分担心病情会", "role": "doctor"}, {"turn": 15, "text": "针对本次问诊，医生更新了总结建议：高血压需要专科治疗", "role": "doctor"}, {"turn": 16, "text": "那医生我总是做事丢三落四是什么原因", "role": "patient"}, {"turn": 17, "text": "还有总是忘记这个忘记那个是什么原因导致的", "role": "patient"}, {"turn": 18, "text": "这是个习惯问题，需要慢慢改，和高血压没有什么关系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 20, "thread": [{"turn": 0, "text": "过敏性鼻炎，眼睛红，发痒（男，50岁）", "role": "patient"}, {"turn": 1, "text": "从症状看是过敏性鼻炎。还有什么症状吗？流清水鼻涕？鼻塞？打喷嚏？", "role": "doctor"}, {"turn": 2, "text": "打喷嚏", "role": "patient"}, {"turn": 3, "text": "鼻塞", "role": "patient"}, {"turn": 4, "text": "我想知道有没有什么眼药水可以缓解眼睛养和掉皮", "role": "patient"}, {"turn": 5, "text": "痒", "role": "patient"}, {"turn": 6, "text": "掉皮？是哪里掉皮？", "role": "doctor"}, {"turn": 7, "text": "眼睛里面", "role": "patient"}, {"turn": 8, "text": "好像是粘膜", "role": "patient"}, {"turn": 9, "text": "因为揉", "role": "patient"}, {"turn": 10, "text": "色甘酸钠滴眼液可以。鼻子可以用内舒拿喷鼻子就可以了。", "role": "doctor"}, {"turn": 11, "text": "网购可以吗", "role": "patient"}, {"turn": 12, "text": "不清楚。你可以试试看。", "role": "doctor"}, {"turn": 13, "text": "处方药估计买不到", "role": "doctor"}, {"turn": 14, "text": "这种过敏性鼻炎是不是只能等时间过了", "role": "patient"}, {"turn": 15, "text": "每年都这样", "role": "patient"}, {"turn": 16, "text": "治疗起来很简单，关键是你得治呀", "role": "doctor"}, {"turn": 17, "text": "😂", "role": "patient"}, {"turn": 18, "text": "鼻炎可以治愈吗", "role": "patient"}, {"turn": 19, "text": "过敏性鼻炎用内舒拿或者辅舒良喷鼻子。效果不好再加用敏奇或者爱塞平喷鼻子，还不好，再口服畅然就可以了", "role": "doctor"}, {"turn": 20, "text": "药的牌子有推荐吗", "role": "patient"}, {"turn": 21, "text": "还是这就是牌子😂", "role": "patient"}, {"turn": 22, "text": "对", "role": "doctor"}, {"turn": 23, "text": "这个就是", "role": "doctor"}, {"turn": 24, "text": "好的，那我去医院开一下", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 21, "thread": [{"turn": 0, "text": "带状疱疹后期痛怎么办?（男，88岁）", "role": "patient"}, {"turn": 1, "text": "你好请问这种情况多长时间了", "role": "doctor"}, {"turn": 2, "text": "母亲是3月份患的泡疹", "role": "patient"}, {"turn": 3, "text": "现在痛的厉害吗", "role": "doctor"}, {"turn": 4, "text": "厉害", "role": "patient"}, {"turn": 5, "text": "88岁了", "role": "patient"}, {"turn": 6, "text": "这种情况可以口服布洛芬缓释胶囊", "role": "doctor"}, {"turn": 7, "text": "复合维生素B", "role": "doctor"}, {"turn": 8, "text": "甲钴胺", "role": "doctor"}, {"turn": 9, "text": "如果这些药没有效果，需要去医院疼痛科面诊一下", "role": "doctor"}, {"turn": 10, "text": "你说的这几种药都用过，但没明显效果", "role": "patient"}, {"turn": 11, "text": "需要长时间使用", "role": "doctor"}, {"turn": 12, "text": "我在沈阳，也去过沈阳，中国医科大学附属第一医院痛疼科治过，但也没什么效果", "role": "patient"}, {"turn": 13, "text": "这种后遗神经痛，没有特效药", "role": "doctor"}, {"turn": 14, "text": "有没有效的治疗方法呢？", "role": "patient"}, {"turn": 15, "text": "没有", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 22, "thread": [{"turn": 0, "text": "小宝宝过敏性鼻炎反复发作怎么办（男，4个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "现在就是鼻塞", "role": "patient"}, {"turn": 3, "text": "跟之前过敏性鼻炎症状一样", "role": "patient"}, {"turn": 4, "text": "通窍鼻炎颗粒吃上", "role": "doctor"}, {"turn": 5, "text": "之前感冒了一个月，后来去医院医生说不是感冒是过敏性鼻炎，开了一个喷鼻子的叫什么汀", "role": "patient"}, {"turn": 6, "text": "还有西替利秦滴剂", "role": "patient"}, {"turn": 7, "text": "抗过敏的", "role": "doctor"}, {"turn": 8, "text": "喷了吃了一个礼拜好转了就没再吃", "role": "patient"}, {"turn": 9, "text": "现在停药差不多一个礼拜，有这样了", "role": "patient"}, {"turn": 10, "text": "嗯，过敏源检查一下看看", "role": "doctor"}, {"turn": 11, "text": "宝宝还在吃母乳", "role": "patient"}, {"turn": 12, "text": "通窍鼻炎颗粒吃上看看", "role": "doctor"}, {"turn": 13, "text": "好的，但是这个病反复发作怎么办呢", "role": "patient"}, {"turn": 14, "text": "过敏性鼻炎的话避免接触过敏原。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 23, "thread": [{"turn": 0, "text": "请问一下女性得了慢性鼻炎怎么治疗（男，41岁）", "role": "patient"}, {"turn": 1, "text": "请问她现在都有什么不适的症状呢？", "role": "doctor"}, {"turn": 2, "text": "鼻子痒痒，不停打喷嚏，还伴有头疼", "role": "patient"}, {"turn": 3, "text": "鼻子也不通气", "role": "patient"}, {"turn": 4, "text": "这样的症状大概持续多久了，有没有流鼻涕鼻塞的症状？", "role": "doctor"}, {"turn": 5, "text": "三年了", "role": "patient"}, {"turn": 6, "text": "就吃一些雷他定", "role": "patient"}, {"turn": 7, "text": "敏性鼻炎，慢性鼻炎，是头昏沉，不是头痛", "role": "patient"}, {"turn": 8, "text": "鼻子酸痒打喷嚏，眼睛痒，喉咙痒", "role": "patient"}, {"turn": 9, "text": "邹大夫", "role": "patient"}, {"turn": 10, "text": "就是从她打喷嚏频繁的症状来说，主要就是过敏性鼻炎引起的。急性期的话，主要就是对症给予地氯雷他定片进行治疗，正对鼻塞，可以喷喷内舒拿这类的鼻喷剂，有利于缓解鼻塞流鼻涕。", "role": "doctor"}, {"turn": 11, "text": "有办法根治吗", "role": "patient"}, {"turn": 12, "text": "最后也是最主要的是，自己平时生活要注意留意一下，自己对什么过敏，有效的进行避免，这样能够减少刺激，才能够从根源上治疗这个疾病。平时可以用洗鼻器冲洗鼻腔，也能起到不错的预防作用。", "role": "doctor"}, {"turn": 13, "text": "好的谢谢邹大夫", "role": "patient"}, {"turn": 14, "text": "不用客气，也祝愿她早日康复💝💝", "role": "doctor"}, {"turn": 15, "text": "谢谢哦", "role": "patient"}, {"turn": 16, "text": "就是这个过敏性鼻炎就跟感冒类似，没有根治这么一说，主要还是以预防为主，现在也没有根治的这个药或者治疗方法😞", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 24, "thread": [{"turn": 0, "text": "没有淋病口交对方会得淋病吗（男，42岁）", "role": "patient"}, {"turn": 1, "text": "你好！如果对方没有淋病，口交对方就不会传染淋病", "role": "doctor"}, {"turn": 2, "text": "我检查我是没有淋病的\n但对方口交后有感染淋病", "role": "patient"}, {"turn": 3, "text": "会不会对方本身就有淋病病毒潜伏..\n如果是这样口交会不会感染给我。", "role": "patient"}, {"turn": 4, "text": "对方咽喉部感染淋病", "role": "doctor"}, {"turn": 5, "text": "可是对方检查是没有淋病的", "role": "patient"}, {"turn": 6, "text": "我问你是对方现在是淋病性咽喉炎吗", "role": "doctor"}, {"turn": 7, "text": "还是生殖器淋病", "role": "doctor"}, {"turn": 8, "text": "生殖器淋病   \n但是女方检查没有淋球菌是阴性", "role": "patient"}, {"turn": 9, "text": "如果男方生殖器淋病，女性口腔没有淋病，单纯给男方口交，男方的淋病就跟女方没有关系", "role": "doctor"}, {"turn": 10, "text": "淋病性咽喉炎化脸白带能化脸的出来吗？", "role": "patient"}, {"turn": 11, "text": "女人白带化脸的淋球菌", "role": "patient"}, {"turn": 12, "text": "做到宫颈刮片细菌培养", "role": "patient"}, {"turn": 13, "text": "淋病性咽喉炎查白带查不出来", "role": "doctor"}, {"turn": 14, "text": "女人白带化验淋病、说明女性是生殖道淋病", "role": "doctor"}, {"turn": 15, "text": "没有性交就不会传染给对方", "role": "doctor"}, {"turn": 16, "text": "咽喉性淋病有什么症状吗？", "role": "patient"}, {"turn": 17, "text": "一般咽部疼痛化脓", "role": "doctor"}, {"turn": 18, "text": "这些症状也是没有的。", "role": "patient"}, {"turn": 19, "text": "那就去正规医院皮肤科做一下淋球菌培养", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 25, "thread": [{"turn": 0, "text": "腺样体肥大突然好转还需要手术吗（女，7岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问宝宝有什么症状么？你好，宝宝还有别的症状吗？", "role": "doctor"}, {"turn": 2, "text": "本来需要手术的，但是手术前这不需要输液吗，输了两天，今天晚上睡觉突然就好转了，也不打呼噜了，也开始半闭嘴了", "role": "patient"}, {"turn": 3, "text": "我这观察了一晚上了，基本前一段时间的症状全没有了，现在好像很正常了", "role": "patient"}, {"turn": 4, "text": "那这样还需要手术吗", "role": "patient"}, {"turn": 5, "text": "不需要的", "role": "doctor"}, {"turn": 6, "text": "那还会复发吗，明天用做个什么检查不", "role": "patient"}, {"turn": 7, "text": "不需要", "role": "doctor"}, {"turn": 8, "text": "不用在用点什么药吗", "role": "patient"}, {"turn": 9, "text": "直接出院就行了吗", "role": "patient"}, {"turn": 10, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 26, "thread": [{"turn": 0, "text": "急性胃肠炎跟肝有关系吗?（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "关系不大", "role": "doctor"}, {"turn": 3, "text": "号码错误", "role": "patient"}, {"turn": 4, "text": "？？", "role": "doctor"}, {"turn": 5, "text": "发错了    不好意思", "role": "patient"}, {"turn": 6, "text": "😊😊", "role": "doctor"}, {"turn": 7, "text": "五个月前是慢性胃炎", "role": "patient"}, {"turn": 8, "text": "普通慢性胃炎没关系，问题不大", "role": "doctor"}, {"turn": 9, "text": "吃了一个星期的药", "role": "patient"}, {"turn": 10, "text": "但是用处不大，前几周检查去了，又说急性胃炎", "role": "patient"}, {"turn": 11, "text": "你现在怎么不舒服？", "role": "doctor"}, {"turn": 12, "text": "还说我这个跟肝有关系撒", "role": "patient"}, {"turn": 13, "text": "一直很疼", "role": "patient"}, {"turn": 14, "text": "吃了多少药都没用", "role": "patient"}, {"turn": 15, "text": "你怎么不舒服？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 27, "thread": [{"turn": 0, "text": "前列腺炎反复发作症状（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问症状有多久了？", "role": "doctor"}, {"turn": 2, "text": "我前列腺炎反复发作，怎么办呢？", "role": "patient"}, {"turn": 3, "text": "阴囊潮湿，尿频尿急，小腹部不适", "role": "patient"}, {"turn": 4, "text": "治疗好后，一段时间又发作了吗？", "role": "doctor"}, {"turn": 5, "text": "就是", "role": "patient"}, {"turn": 6, "text": "治疗一个星期左右又发作", "role": "patient"}, {"turn": 7, "text": "自己平时要注意保养", "role": "doctor"}, {"turn": 8, "text": "我不喝酒，不吃辛辣，吃药都效果不好", "role": "patient"}, {"turn": 9, "text": "性生活呢？", "role": "doctor"}, {"turn": 10, "text": "半个小时上厕所", "role": "patient"}, {"turn": 11, "text": "性生活过得很少", "role": "patient"}, {"turn": 12, "text": "在吗？", "role": "patient"}, {"turn": 13, "text": "多喝水勤排尿，不抽烟喝酒，少吃辛辣食物，不久坐，不憋尿，不久站，保持两侧阴囊干燥。", "role": "doctor"}, {"turn": 14, "text": "在编辑", "role": "doctor"}, {"turn": 15, "text": "这些我都做到了，还是反复发作，做过治疗都不好", "role": "patient"}, {"turn": 16, "text": "如有手淫，控制次数，性生活保持规律", "role": "doctor"}, {"turn": 17, "text": "是不是耐药了啊！！", "role": "patient"}, {"turn": 18, "text": "首先你要取一个前列腺液，如果在做个培养，才能知道是不是耐药", "role": "doctor"}, {"turn": 19, "text": "好的，如果耐药怎么办呢？谢谢！", "role": "patient"}, {"turn": 20, "text": "可以换用其它药物", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢！", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 28, "thread": [{"turn": 0, "text": "三个多月宝宝病毒感染怎么办（女，1个月）", "role": "patient"}, {"turn": 1, "text": "您好，小孩有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "病毒感染怎么治疗方法比较好", "role": "patient"}, {"turn": 3, "text": "病毒感染的话除了流感病毒引起的流感可以吃奥司他韦颗粒特效药，其他的病毒感染没有特效药，主要是对症处理", "role": "doctor"}, {"turn": 4, "text": "怎么感染是反反复复的", "role": "patient"}, {"turn": 5, "text": "开始是从咳嗽引起的", "role": "patient"}, {"turn": 6, "text": "提抗力差就容易反反复复受凉感染啊", "role": "doctor"}, {"turn": 7, "text": "上个月10号去住了一个星期院，回来一个星期又去住了3天，回来一个星期，今天去复查又感染了", "role": "patient"}, {"turn": 8, "text": "怎么提高宝宝抵抗力呢，吃益生菌可以吗？", "role": "patient"}, {"turn": 9, "text": "吃益生菌不能提高免疫力，可以吃脾氨肽冻干粉增强免疫力", "role": "doctor"}, {"turn": 10, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 11, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 29, "thread": [{"turn": 0, "text": "医生您好，我想咨询“多囊”相关问题", "role": "patient"}, {"turn": 1, "text": "你好！很高兴能够为你解答", "role": "doctor"}, {"turn": 2, "text": "是多囊卵巢吗？", "role": "doctor"}, {"turn": 3, "text": "嗯嗯", "role": "patient"}, {"turn": 4, "text": "去医院很多次了 都说是多囊", "role": "patient"}, {"turn": 5, "text": "半年姨妈都不正常了", "role": "patient"}, {"turn": 6, "text": "去医院了回来吃了医生开的药 正常来了 但是只来了三天 第二个月准时来了 后面又没来了", "role": "patient"}, {"turn": 7, "text": "反正就是乱七八糟的 上个月三号来的 这个月现在都没来", "role": "patient"}, {"turn": 8, "text": "我就想问问您目前有什么药物可以买来吃着", "role": "patient"}, {"turn": 9, "text": "确定是多囊卵巢，一般都是服用达英35或者是中药调理。", "role": "doctor"}, {"turn": 10, "text": "我之前吃的益母胶囊 和黄体酮", "role": "patient"}, {"turn": 11, "text": "这个不能治疗多囊卵巢的，只会暂时来月经。", "role": "doctor"}, {"turn": 12, "text": "英达35是不是刺激性很大的那种 避孕药类型吗", "role": "patient"}, {"turn": 13, "text": "这个就是短效避孕药，是治疗多囊卵巢比较有效的药物。", "role": "doctor"}, {"turn": 14, "text": "多囊产生的原因会有哪些", "role": "patient"}, {"turn": 15, "text": "我都不知道自己怎么得得", "role": "patient"}, {"turn": 16, "text": "多囊卵巢综合征的病因尚不清楚，有研究表明可能是遗传与环境因素共同作用的结果。 1.遗传因素 多囊卵巢综合征具有家族遗传史。 2.环境因素 宫内环境、出生后的饮食结构和生活习惯等。", "role": "doctor"}, {"turn": 17, "text": "这种治疗起来是不是很麻烦", "role": "patient"}, {"turn": 18, "text": "如果以后想要孩子怎么办", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}, {"turn": 20, "text": "想要孩子的话，一般就是先调理月经，然后促排卵，治疗彩超，监测排卵，指导同房，增加怀孕的机会，大多数还是可以怀孕的。", "role": "doctor"}, {"turn": 21, "text": "但是每个月不来或者不正常对自身很大影响 明显感觉自己胖了", "role": "patient"}, {"turn": 22, "text": "所以说应该调理的", "role": "doctor"}, {"turn": 23, "text": "中药怎么调理呢", "role": "patient"}, {"turn": 24, "text": "有没有什么药方", "role": "patient"}, {"turn": 25, "text": "找中医大夫根据望闻问切开药", "role": "doctor"}, {"turn": 26, "text": "这个每个人的用药都是不一样的要注意切脉看舌苔之类的。", "role": "doctor"}, {"turn": 27, "text": "现在我只要买英达就行了？", "role": "patient"}, {"turn": 28, "text": "达英", "role": "doctor"}, {"turn": 29, "text": "达英35吗", "role": "patient"}, {"turn": 30, "text": "是的", "role": "doctor"}, {"turn": 31, "text": "这是治疗多囊卵巢最对症的药物了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 30, "thread": [{"turn": 0, "text": "窦性心律窦性心律不齐是什么意思（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况不属于异常现象，属于正常的生理现象，有些人在深吸气的时候，都有可能导致这种窦性心律不齐现象的出现。", "role": "doctor"}, {"turn": 2, "text": "窦性心律不齐，是因为来自窦房结的信号并不完全规整导致的。此种心律不齐大多都是呼吸性窦性心律失常，主要特点是会随着自身呼吸的变化而变化，在吸气时会增加跳动，呼气时就又减慢了，快慢周期刚好是一个呼吸周期。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 31, "thread": [{"turn": 0, "text": "肩周炎吃点什么药可以缓解（男，26岁）", "role": "patient"}, {"turn": 1, "text": "您好请问确诊是肩周炎了吗？确诊是就是止痛消炎，外加康复训练。", "role": "doctor"}, {"turn": 2, "text": "没有确诊", "role": "patient"}, {"turn": 3, "text": "就是肩膀疼", "role": "patient"}, {"turn": 4, "text": "多久了？", "role": "doctor"}, {"turn": 5, "text": "好多年", "role": "patient"}, {"turn": 6, "text": "建议到医院就诊一下比较安全。有的是颈椎病引起、有些是肌肉劳损、有些是肩袖损伤。", "role": "doctor"}, {"turn": 7, "text": "颈椎病引起的", "role": "patient"}, {"turn": 8, "text": "都有可能的", "role": "doctor"}, {"turn": 9, "text": "药也是止痛药，局部可以喷理通或涂抹扶他林乳膏。平常习惯要好。", "role": "doctor"}, {"turn": 10, "text": "注意什么，", "role": "patient"}, {"turn": 11, "text": "有没有口服？", "role": "patient"}, {"turn": 12, "text": "双氯化芬钠缓释片或塞来昔布都可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 32, "thread": [{"turn": 0, "text": "鼻中隔偏曲术后鼻塞完全不通气（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，术后多长时间了？有没有复查过？", "role": "doctor"}, {"turn": 2, "text": "明天复查", "role": "patient"}, {"turn": 3, "text": "礼拜二手术", "role": "patient"}, {"turn": 4, "text": "礼拜五拆的止血", "role": "patient"}, {"turn": 5, "text": "复查一次，清洗鼻腔分泌物再说吧。", "role": "doctor"}, {"turn": 6, "text": "到现在都很堵完全喘不上气", "role": "patient"}, {"turn": 7, "text": "一般怎么也要复查两三次。", "role": "doctor"}, {"turn": 8, "text": "我清洗了一次水都流不出来", "role": "patient"}, {"turn": 9, "text": "鼻腔还有干血痂，分泌物。", "role": "doctor"}, {"turn": 10, "text": "鼻后孔有干痂", "role": "doctor"}, {"turn": 11, "text": "有点担心出事情", "role": "patient"}, {"turn": 12, "text": "或者水肿", "role": "doctor"}, {"turn": 13, "text": "你的主治医生会负责到底的，放心就好，属于正常", "role": "doctor"}, {"turn": 14, "text": "有时候吃东西鼻子里好像还有东西堵的难受有时还堵耳朵", "role": "patient"}, {"turn": 15, "text": "现在用鼻子吹气都能吹出二提琴sheng", "role": "patient"}, {"turn": 16, "text": "不要紧，", "role": "doctor"}, {"turn": 17, "text": "现在用鼻子吹气都能吹出二提琴声", "role": "patient"}, {"turn": 18, "text": "医生没事吧", "role": "patient"}, {"turn": 19, "text": "复查后清洗干血痂会豁然开朗的，", "role": "doctor"}, {"turn": 20, "text": "常见问题，不用担心。", "role": "doctor"}, {"turn": 21, "text": "唉医生太遭罪了", "role": "patient"}, {"turn": 22, "text": "没想到手术完连气都不能喘", "role": "patient"}, {"turn": 23, "text": "受罪这几天，受益一辈子。", "role": "doctor"}, {"turn": 24, "text": "放心就好。明天复查，清洗鼻腔分泌物干痂，鼻子的道干净后，通气就很好了。", "role": "doctor"}, {"turn": 25, "text": "医生这两天我轻微的碰到了鼻子，有时抿嘴鼻子也疼一下不要紧吧", "role": "patient"}, {"turn": 26, "text": "好的我知道了医生", "role": "patient"}, {"turn": 27, "text": "不要紧，毕竟有创面，", "role": "doctor"}, {"turn": 28, "text": "问题不大的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 33, "thread": [{"turn": 0, "text": "肛瘘手术后，病人可以进食什么食物（男，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，术后多长时间了？", "role": "doctor"}, {"turn": 2, "text": "明天手术，我是想提前了解一下，然后做好准备哈", "role": "patient"}, {"turn": 3, "text": "腰麻嘛", "role": "doctor"}, {"turn": 4, "text": "不麻", "role": "patient"}, {"turn": 5, "text": "哦哦对", "role": "patient"}, {"turn": 6, "text": "理解错了", "role": "patient"}, {"turn": 7, "text": "那术后六小时吃点米汤", "role": "doctor"}, {"turn": 8, "text": "少带点米", "role": "doctor"}, {"turn": 9, "text": "这样啊好的", "role": "patient"}, {"turn": 10, "text": "藕粉能吃吗", "role": "patient"}, {"turn": 11, "text": "能吃，米汤比较好", "role": "doctor"}, {"turn": 12, "text": "好的，最主要米汤可能不太容易弄", "role": "patient"}, {"turn": 13, "text": "食堂打", "role": "doctor"}, {"turn": 14, "text": "之后能吃什么呢", "role": "patient"}, {"turn": 15, "text": "一般医院都有", "role": "doctor"}, {"turn": 16, "text": "哦哦好的", "role": "patient"}, {"turn": 17, "text": "第二天正常吃", "role": "doctor"}, {"turn": 18, "text": "这样啊", "role": "patient"}, {"turn": 19, "text": "一般多久能出院啊", "role": "patient"}, {"turn": 20, "text": "你在南京市中医院做吗", "role": "doctor"}, {"turn": 21, "text": "我去年在那边进修的", "role": "doctor"}, {"turn": 22, "text": "一般一周出院", "role": "doctor"}, {"turn": 23, "text": "对，在南京中医院", "role": "patient"}, {"turn": 24, "text": "找的xxx主任", "role": "patient"}, {"turn": 25, "text": "这么巧啊，另外麦片可以吃吗", "role": "patient"}, {"turn": 26, "text": "王主任很有名的.可以吃", "role": "doctor"}, {"turn": 27, "text": "好的谢谢", "role": "patient"}, {"turn": 28, "text": "尽量多吃黑鱼，排骨，鸽子，多吃蔬菜水果", "role": "doctor"}, {"turn": 29, "text": "哇要吃这么补的啊", "role": "patient"}, {"turn": 30, "text": "对的，高蛋白长刀口", "role": "doctor"}, {"turn": 31, "text": "请问手术后，如果伤口疼可以吃止疼片吗", "role": "patient"}, {"turn": 32, "text": "可以的，医生会发的", "role": "doctor"}, {"turn": 33, "text": "嗯嗯，降压药可以正常服用吗", "role": "patient"}, {"turn": 34, "text": "正常少喝一口水", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 34, "thread": [{"turn": 0, "text": "请问医生脚踝痛是怎么回事？没有扭伤（男，48岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "踝关节红肿么？", "role": "doctor"}, {"turn": 3, "text": "不肿不红", "role": "patient"}, {"turn": 4, "text": "二个月", "role": "patient"}, {"turn": 5, "text": "压痛？", "role": "doctor"}, {"turn": 6, "text": "牙不疼", "role": "patient"}, {"turn": 7, "text": "压不疼", "role": "patient"}, {"turn": 8, "text": "嗯嗯，怎么才会痛", "role": "doctor"}, {"turn": 9, "text": "向内转会痛，还有站久了", "role": "patient"}, {"turn": 10, "text": "那边的？", "role": "doctor"}, {"turn": 11, "text": "前外侧？", "role": "doctor"}, {"turn": 12, "text": "内", "role": "patient"}, {"turn": 13, "text": "右边", "role": "patient"}, {"turn": 14, "text": "右脚", "role": "patient"}, {"turn": 15, "text": "左脚也痛，没有右脚严重", "role": "patient"}, {"turn": 16, "text": "嗯嗯，看起来是个内侧副韧带的拉伤", "role": "doctor"}, {"turn": 17, "text": "你买两个护踝戴着保护一下", "role": "doctor"}, {"turn": 18, "text": "尽量少点活动", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}, {"turn": 20, "text": "不客气祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 35, "thread": [{"turn": 0, "text": "有些早泄\n性生活射精过快（男，18岁）你好我就是感觉自己在行生活中总是蛇精过快", "role": "patient"}, {"turn": 1, "text": "您好，这样症状多久了？", "role": "doctor"}, {"turn": 2, "text": "请问你有性生活了吗", "role": "doctor"}, {"turn": 3, "text": "有的", "role": "patient"}, {"turn": 4, "text": "有了医生", "role": "patient"}, {"turn": 5, "text": "很长时间了有手淫史", "role": "patient"}, {"turn": 6, "text": "现在还有手淫的习惯吗", "role": "doctor"}, {"turn": 7, "text": "也有", "role": "patient"}, {"turn": 8, "text": "有性生活多少年了", "role": "doctor"}, {"turn": 9, "text": "也不算多长时间就是谈对象前段时间然后一直有点过快", "role": "patient"}, {"turn": 10, "text": "开始性生活就感觉过快", "role": "patient"}, {"turn": 11, "text": "不往那方面想还好点 一想就容易来感觉激动", "role": "patient"}, {"turn": 12, "text": "插入阴道多久射精？？？", "role": "doctor"}, {"turn": 13, "text": "也就没有一分钟", "role": "patient"}, {"turn": 14, "text": "特别容易激动", "role": "patient"}, {"turn": 15, "text": "不受控制", "role": "patient"}, {"turn": 16, "text": "你的龟头平时能露出来吗", "role": "doctor"}, {"turn": 17, "text": "我的龟头没事很早就漏出来了", "role": "patient"}, {"turn": 18, "text": "一直在外裸露", "role": "patient"}, {"turn": 19, "text": "嗯嗯，你觉得龟头敏感吗", "role": "doctor"}, {"turn": 20, "text": "建议你戒除手淫，然后多运动，口服复方玄驹胶囊调节下", "role": "doctor"}, {"turn": 21, "text": "我这个属于什么症状那", "role": "patient"}, {"turn": 22, "text": "手淫导致的肾阳虚", "role": "doctor"}, {"turn": 23, "text": "也是手淫的并发症", "role": "doctor"}, {"turn": 24, "text": "但是他敏感吃点药就降敏吗医生", "role": "patient"}, {"turn": 25, "text": "还是什么", "role": "patient"}, {"turn": 26, "text": "😭😭😭", "role": "patient"}, {"turn": 27, "text": "降低敏感，一个是靠性生活久了，性经验多了，会有转变", "role": "doctor"}, {"turn": 28, "text": "再一个就是靠外用涂抹药物来降低", "role": "doctor"}, {"turn": 29, "text": "没有别的办法吗", "role": "patient"}, {"turn": 30, "text": "敏感度", "role": "patient"}, {"turn": 31, "text": "再就是平时龟头抚摸训练", "role": "doctor"}, {"turn": 32, "text": "还有就是我不激动时候就好点", "role": "patient"}, {"turn": 33, "text": "我一激动亢奋就快", "role": "patient"}, {"turn": 34, "text": "激动肯定容易射精啊", "role": "doctor"}, {"turn": 35, "text": "因为一激动就会出现大脑皮层兴奋", "role": "doctor"}, {"turn": 36, "text": "医生你就给我说说解决办法还有一些日常注意什么的吧", "role": "patient"}, {"turn": 37, "text": "日常必须戒除手淫", "role": "doctor"}, {"turn": 38, "text": "再就是过性生活时，可以转移注意力", "role": "doctor"}, {"turn": 39, "text": "你现在最主要的就是，你性经验太少", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 36, "thread": [{"turn": 0, "text": "胸膜炎怎么导致的，怎么治疗（男，24岁）", "role": "patient"}, {"turn": 1, "text": "一般是由病毒或细菌侵犯到胸膜后导致胸膜炎，治疗方案根据导致胸膜炎的病因而决定", "role": "doctor"}, {"turn": 2, "text": "一般有病毒性的", "role": "doctor"}, {"turn": 3, "text": "普通细菌感染所致的", "role": "doctor"}, {"turn": 4, "text": "还有一种特殊细菌，就是结核性胸膜炎，治疗时间长", "role": "doctor"}, {"turn": 5, "text": "怎么查呢", "role": "patient"}, {"turn": 6, "text": "我是中医把脉得出的结果", "role": "patient"}, {"turn": 7, "text": "可以检查胸部CT，如有积液可在超声引导下胸穿抽液化验，可明确诊断", "role": "doctor"}, {"turn": 8, "text": "针对本次问诊，医生更新了总结建议：结核性胸膜炎的治疗用药是一方面，另外重要的是避免出现胸膜肥厚粘连，抽液不及时或不当，导致胸腔内出现分隔", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 37, "thread": [{"turn": 0, "text": "右上臂肌肉劳损需要多久才能恢复？（男，45岁）", "role": "patient"}, {"turn": 1, "text": "这个不能用时间推理！如果是肌肉拉伤可以有个时间", "role": "doctor"}, {"turn": 2, "text": "请问是拉伤还是劳损？上臂劳损很少见的！", "role": "doctor"}, {"turn": 3, "text": "长时间使用鼠标引起的", "role": "patient"}, {"turn": 4, "text": "你需要休息不能再上时间用鼠标！配合理疗～推拿等治疗能够很快缓解～一般7～14天明显缓解！但如果再像从前一样很容易再犯！", "role": "doctor"}, {"turn": 5, "text": "嗯，现在用左手使用鼠标了。", "role": "patient"}, {"turn": 6, "text": "坚持做做治疗会明显好转！坚持", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 38, "thread": [{"turn": 0, "text": "腹胀针灸扎哪儿脸和脖子经常过敏（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好！这样的情况多久了？", "role": "doctor"}, {"turn": 2, "text": "过敏的话是的当碰的时候", "role": "doctor"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "什么情况了出现的过敏", "role": "doctor"}, {"turn": 5, "text": "不知不觉就痒", "role": "patient"}, {"turn": 6, "text": "您认为和针灸有没有关系m", "role": "doctor"}, {"turn": 7, "text": "没针灸过", "role": "patient"}, {"turn": 8, "text": "腹胀的话可以试试", "role": "doctor"}, {"turn": 9, "text": "再结合着药物", "role": "doctor"}, {"turn": 10, "text": "理气的药物", "role": "doctor"}, {"turn": 11, "text": "扎那些穴位", "role": "patient"}, {"turn": 12, "text": "像足三里，中脘，之类的", "role": "doctor"}, {"turn": 13, "text": "哦明白了", "role": "patient"}, {"turn": 14, "text": "以神阙穴为主的上下穴位", "role": "doctor"}, {"turn": 15, "text": "具体还要结合症状", "role": "doctor"}, {"turn": 16, "text": "过敏可以扎针么", "role": "patient"}, {"turn": 17, "text": "什么部位过敏", "role": "doctor"}, {"turn": 18, "text": "可以吃点药物", "role": "doctor"}, {"turn": 19, "text": "脸和脖子", "role": "patient"}, {"turn": 20, "text": "可以吃点抗过敏的药物", "role": "doctor"}, {"turn": 21, "text": "针灸的话一般也可以", "role": "doctor"}, {"turn": 22, "text": "扎什么穴呢", "role": "patient"}, {"turn": 23, "text": "血海是首选", "role": "doctor"}, {"turn": 24, "text": "就一个穴吗", "role": "patient"}, {"turn": 25, "text": "这个具体的话看过敏是否严重", "role": "doctor"}, {"turn": 26, "text": "严重", "role": "patient"}, {"turn": 27, "text": "严重的话不考虑针灸治疗了", "role": "doctor"}, {"turn": 28, "text": "没完没了", "role": "patient"}, {"turn": 29, "text": "严重的话可以考虑抗过敏药物", "role": "doctor"}, {"turn": 30, "text": "我说的严重就是总是痒", "role": "patient"}, {"turn": 31, "text": "像枸地氯雷他定片", "role": "doctor"}, {"turn": 32, "text": "效果就可以", "role": "doctor"}, {"turn": 33, "text": "药就算了", "role": "patient"}, {"turn": 34, "text": "严重的过敏针灸虽然可以，但是效果慢", "role": "doctor"}, {"turn": 35, "text": "血海之外还有别的配穴吗", "role": "patient"}, {"turn": 36, "text": "慢也行比吃药好啊", "role": "patient"}, {"turn": 37, "text": "吃药就睡前一片的", "role": "doctor"}, {"turn": 38, "text": "吃药就不用到你这问了", "role": "patient"}, {"turn": 39, "text": "针灸的治疗：以血海为主，配合曲池", "role": "doctor"}, {"turn": 40, "text": "以及局部的阿是穴", "role": "doctor"}, {"turn": 41, "text": "还有结合着放血疗法一起", "role": "doctor"}, {"turn": 42, "text": "迎香、合谷、曲池", "role": "doctor"}, {"turn": 43, "text": "好的谢谢了", "role": "patient"}, {"turn": 44, "text": "不客气", "role": "doctor"}, {"turn": 45, "text": "过敏针灸效果慢，可以试试坚持下去", "role": "doctor"}, {"turn": 46, "text": "祝身体健康，早些休息。", "role": "doctor"}, {"turn": 47, "text": "我自己会针灸但不是医生，有些病不知道该怎么调，刚学几个月，为了自己和家人调理学的", "role": "patient"}, {"turn": 48, "text": "没事的，慢慢来", "role": "doctor"}, {"turn": 49, "text": "谢谢您也休息吧晚安", "role": "patient"}, {"turn": 50, "text": "可以买一些相关的书籍", "role": "doctor"}, {"turn": 51, "text": "有简单的可以，过敏比较麻烦和复杂，所以要请教老师", "role": "patient"}, {"turn": 52, "text": "谢谢了", "role": "patient"}, {"turn": 53, "text": "没事的，咱们相互学习", "role": "doctor"}, {"turn": 54, "text": "不客气", "role": "doctor"}, {"turn": 55, "text": "您谦虚了晚安", "role": "patient"}, {"turn": 56, "text": "晚安💤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 39, "thread": [{"turn": 0, "text": "鹰嘴骨折手术拆除钢钉几天拆线（女，54岁）", "role": "patient"}, {"turn": 1, "text": "你好，一般半个月左右，看刀口愈合情况", "role": "doctor"}, {"turn": 2, "text": "术后缝了五针，今天七天就拆线了", "role": "patient"}, {"turn": 3, "text": "有问题吗？", "role": "patient"}, {"turn": 4, "text": "手术后第三天就弯曲手臂功能段炼了", "role": "patient"}, {"turn": 5, "text": "你好，如果刀口愈合好，可以拆线", "role": "doctor"}, {"turn": 6, "text": "真的七天就可以了吗？", "role": "patient"}, {"turn": 7, "text": "你好，你的刀口愈合好了吗？", "role": "doctor"}, {"turn": 8, "text": "医生说好了", "role": "patient"}, {"turn": 9, "text": "你好，现在还包扎着吗？", "role": "doctor"}, {"turn": 10, "text": "换了药，包扎", "role": "patient"}, {"turn": 11, "text": "你好，当时拆线，你看到了吗？", "role": "doctor"}, {"turn": 12, "text": "没看到伤口", "role": "patient"}, {"turn": 13, "text": "你好，大夫拆线时都看过了", "role": "doctor"}, {"turn": 14, "text": "不能拆，不会给拆的", "role": "doctor"}, {"turn": 15, "text": "不要太担心", "role": "doctor"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "拆完线手什么时候可以作弯曲功能锻炼？", "role": "patient"}, {"turn": 18, "text": "你好，这次拍片子，大夫说骨折愈合怎么样？", "role": "doctor"}, {"turn": 19, "text": "医生说愈合的蛮好的", "role": "patient"}, {"turn": 20, "text": "你好，愈合好，那就不用太担心", "role": "doctor"}, {"turn": 21, "text": "可以慢慢的活动", "role": "doctor"}, {"turn": 22, "text": "锻炼得慢慢来", "role": "doctor"}, {"turn": 23, "text": "不能太着急", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢您！", "role": "patient"}, {"turn": 25, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 40, "thread": [{"turn": 0, "text": "一岁两个月的宝宝缺钙，要吃什么钙片（男，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，建议维生素d和钙配合用。例如伊可新和小儿迪巧颗粒", "role": "doctor"}, {"turn": 2, "text": "我去医院检查了，不缺钙", "role": "patient"}, {"turn": 3, "text": "但是他的脚走路是外八字走", "role": "patient"}, {"turn": 4, "text": "那您的问题是。“一岁两个月的宝宝缺钙，要吃什么钙片（男，29岁）", "role": "doctor"}, {"turn": 5, "text": "医生又叫吃钙片", "role": "patient"}, {"turn": 6, "text": "最起码现在这么大的孩子，维生素d是需要按时补充的。", "role": "doctor"}, {"turn": 7, "text": "吃鱼肝油", "role": "patient"}, {"turn": 8, "text": "可以的。那就继续补充就可以了", "role": "doctor"}, {"turn": 9, "text": "还有补充维生素D吗", "role": "patient"}, {"turn": 10, "text": "鱼肝油就是维生素d。", "role": "doctor"}, {"turn": 11, "text": "他现在吃着醋酸钙颗粒", "role": "patient"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "可以", "role": "doctor"}, {"turn": 14, "text": "他的脚吃的好吗", "role": "patient"}, {"turn": 15, "text": "现在孩子才开始走路，不稳定。一般大大会好的", "role": "doctor"}, {"turn": 16, "text": "哦哦", "role": "patient"}, {"turn": 17, "text": "一岁的时候就会走路了", "role": "patient"}, {"turn": 18, "text": "慢慢来吧，这不会立竿见影", "role": "doctor"}, {"turn": 19, "text": "恩恩，谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 41, "thread": [{"turn": 0, "text": "6个月宝宝喝奶粉过敏挂号挂什么科呀？（男，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，一般来说挂号消化科或者营养科都可以，如果确定是过敏引起的了，那么需要换奶粉", "role": "doctor"}, {"turn": 2, "text": "一直纯母乳喂养，第一次添加奶粉。嘴巴周围就红肿过敏了", "role": "patient"}, {"turn": 3, "text": "那除了奶粉，有没有吃其他辅食呢？", "role": "doctor"}, {"turn": 4, "text": "辅食是原味米粉添加了蔬菜泥。一直没过敏，喝了奶粉立刻周围就红肿了", "role": "patient"}, {"turn": 5, "text": "嗯，那估计就是奶牛过敏了，这样的情况只能是先化验过敏原和食物不耐受，然后看看到底什么过敏，除了牛奶是否还有其他的过敏。\n实在不行，那么只能换成氨基酸奶粉或者深度水解奶粉了", "role": "doctor"}, {"turn": 6, "text": "身上没有过敏症状，只有奶水沾到的嘴巴周围和用奶沾过的耳后红肿", "role": "patient"}, {"turn": 7, "text": "如果一沾上就红肿那说说明过敏比较严重呢，这个最好就化验一个换成特殊配方奶粉了。\n或者可以在试试，如果还是红肿那么就应该换了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 42, "thread": [{"turn": 0, "text": "痛经上吐下泻算严重吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，之前出现过这种情况吗", "role": "doctor"}, {"turn": 2, "text": "有啊", "role": "patient"}, {"turn": 3, "text": "痛得厉害吗", "role": "doctor"}, {"turn": 4, "text": "排卵期带避孕套性生活会怀孕吗", "role": "patient"}, {"turn": 5, "text": "如果全程正确使用避孕套，并且没有破损，是不会怀孕的", "role": "doctor"}, {"turn": 6, "text": "射的时候拿出来了", "role": "patient"}, {"turn": 7, "text": "只有最后一次戴着避孕套在里面射的，但是已经没有多少了，会怀孕吗", "role": "patient"}, {"turn": 8, "text": "第四次还有精子吗", "role": "patient"}, {"turn": 9, "text": "戴着避孕套射不会怀孕", "role": "doctor"}, {"turn": 10, "text": "您的描述我有点看不懂", "role": "doctor"}, {"turn": 11, "text": "会有的，只是比较少", "role": "doctor"}, {"turn": 12, "text": "哦哦", "role": "patient"}, {"turn": 13, "text": "我是宁莉医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}, {"turn": 14, "text": "前面三次都是戴着避孕套拿出来射的，只有最后一次戴着避孕套在里面射的，会不会怀孕", "role": "patient"}, {"turn": 15, "text": "如果都是戴着套的，不会怀孕", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "我是宁莉医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 43, "thread": [{"turn": 0, "text": "孕妇可以治疗牙髓炎吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问怀孕几个月了？", "role": "doctor"}, {"turn": 2, "text": "21周", "role": "patient"}, {"turn": 3, "text": "这样的情况，适合先做个开髓引流，止住疼", "role": "doctor"}, {"turn": 4, "text": "分娩后再彻底治疗", "role": "doctor"}, {"turn": 5, "text": "开髓引流就是根管治疗吗", "role": "patient"}, {"turn": 6, "text": "痛不痛可不可以局部麻醉，局麻对小孩有没有什么影响", "role": "patient"}, {"turn": 7, "text": "开髓引流就是根管治疗的第一步，可以减轻髓腔压力", "role": "doctor"}, {"turn": 8, "text": "我在我们当地的口腔科咨询了一下，他说是做根管治疗，可以打麻药，在私立医院也问了直接就是说孕期不可以做治疗，所以有些担心，这几天疼的厉害，晚上睡不好觉，想去做治疗就怕对宝宝有影响", "role": "patient"}, {"turn": 9, "text": "这样的情况，多数妈妈都选择忍耐疼痛，照顾孩子的安全", "role": "doctor"}, {"turn": 10, "text": "但是大人忍受不了了，就不能再强行照顾孩子了", "role": "doctor"}, {"turn": 11, "text": "麻药该用就得用", "role": "doctor"}, {"turn": 12, "text": "所以做这些治疗对小孩有影响吗", "role": "patient"}, {"turn": 13, "text": "药物还是其次的", "role": "doctor"}, {"turn": 14, "text": "怀孕期间，妈妈睡眠不好，饮食不好，心情不好，都会影响孩子", "role": "doctor"}, {"turn": 15, "text": "哦哦", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 44, "thread": [{"turn": 0, "text": "肝硬化白细胞低吃什么补得快（男，38岁）", "role": "patient"}, {"turn": 1, "text": "您好，可以把血常规报告发来我看", "role": "doctor"}, {"turn": 2, "text": "如果只是轻度的异常，可以吃一些升高白细胞的药物，比如口服利可君片、鲨肝醇片、维生素b4，地榆升白片，同时可以补充一些优质蛋白质以及帮助消化的维生素", "role": "doctor"}, {"turn": 3, "text": "如果低的很，可以使用粒细胞集落刺激因子皮下注射", "role": "doctor"}, {"turn": 4, "text": "可以适当的多吃一点大红枣、花生米、骨髓、猪蹄、蜂王浆、香菇、黄芪、牛肉、羊肉等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 45, "thread": [{"turn": 0, "text": "脚扭伤后贴膏药过敏红肿水泡怎么办，（女，24岁）", "role": "patient"}, {"turn": 1, "text": "过敏的话就不能再继续贴了", "role": "doctor"}, {"turn": 2, "text": "注意千万不要把皮肤弄破了，建议去医院皮肤科看看开一些抗过敏的药膏涂抹", "role": "doctor"}, {"turn": 3, "text": "开了药膏还开了脱敏药", "role": "patient"}, {"turn": 4, "text": "可是吃了我现在浑身痒", "role": "patient"}, {"turn": 5, "text": "现在脚一点都没好肿的特别厉害", "role": "patient"}, {"turn": 6, "text": "那建议你去就诊医院复诊看看，脚肿一般最少要个把星期才慢慢好", "role": "doctor"}, {"turn": 7, "text": "过敏还是要引起重视", "role": "doctor"}, {"turn": 8, "text": "我现在浑身痒的难受", "role": "patient"}, {"turn": 9, "text": "赶紧去医院仔细检查看下", "role": "doctor"}, {"turn": 10, "text": "还是过敏的表现", "role": "doctor"}, {"turn": 11, "text": "有可能是什么状况", "role": "patient"}, {"turn": 12, "text": "就是过敏表现", "role": "doctor"}, {"turn": 13, "text": "会很严重么", "role": "patient"}, {"turn": 14, "text": "还是需要换药", "role": "patient"}, {"turn": 15, "text": "是的，过敏反应重的话很严重，轻的话建议继续用抗过敏药", "role": "doctor"}, {"turn": 16, "text": "我现在浑身痒怎么能缓解", "role": "patient"}, {"turn": 17, "text": "如果严重，有可能是需要打针的", "role": "doctor"}, {"turn": 18, "text": "去附近医院看看，要引起重视", "role": "doctor"}, {"turn": 19, "text": "打吊瓶能快点么", "role": "patient"}, {"turn": 20, "text": "医院傍晚有急诊能看么", "role": "patient"}, {"turn": 21, "text": "有急诊", "role": "doctor"}, {"turn": 22, "text": "急诊看这个病可以么", "role": "patient"}, {"turn": 23, "text": "可以的，有内科医生", "role": "doctor"}, {"turn": 24, "text": "这个属于内科么", "role": "patient"}, {"turn": 25, "text": "我想问一下如果需要打激素的吊瓶，激素吊瓶都有什么副作用", "role": "patient"}, {"turn": 26, "text": "少量的一般还好，只要不是大量或者长期打", "role": "doctor"}, {"turn": 27, "text": "我现在吃的这个药浑身痒我可不可以停药", "role": "patient"}, {"turn": 28, "text": "去医院看看再决定，我也不知道具体你吃的啥药，什么反应", "role": "doctor"}, {"turn": 29, "text": "过敏要引起重视，去医院复查一下", "role": "doctor"}, {"turn": 30, "text": "这种情况过敏可能自愈么", "role": "patient"}, {"turn": 31, "text": "部分可以，有的就不行", "role": "doctor"}, {"turn": 32, "text": "过敏性紫癜就可以自愈，但是药物过敏一般不会", "role": "doctor"}, {"turn": 33, "text": "需要验血么", "role": "patient"}, {"turn": 34, "text": "一般不需要，有感染可能留言查个血", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 46, "thread": [{"turn": 0, "text": "宫颈癌疫苗来月经可以打吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，宫颈癌疫苗来月经可以打的", "role": "doctor"}, {"turn": 2, "text": "打疫苗前二三天没用过药就可以", "role": "doctor"}, {"turn": 3, "text": "药是指所有的药吗", "role": "patient"}, {"turn": 4, "text": "还是治妇科药", "role": "patient"}, {"turn": 5, "text": "所有的药", "role": "doctor"}, {"turn": 6, "text": "防止药物交叉反应", "role": "doctor"}, {"turn": 7, "text": "我是五月份打的第一针\n七月份打的第二针\n应该十一月打第三针\n我上个月忘了打了\n我这个月打会不会对效果有影响啊", "role": "patient"}, {"turn": 8, "text": "具说影响不大", "role": "doctor"}, {"turn": 9, "text": "好的", "role": "patient"}, {"turn": 10, "text": "谢谢", "role": "patient"}, {"turn": 11, "text": "不客气", "role": "doctor"}, {"turn": 12, "text": "就是打了宫颈癌疫苗，也要定期做宫颈癌筛查", "role": "doctor"}, {"turn": 13, "text": "嗯嗯\n谢谢医生", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 47, "thread": [{"turn": 0, "text": "风湿性关节炎可以用藿香祛痛气雾剂嘛？（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，您说的是风湿热的风湿关节炎吗？", "role": "doctor"}, {"turn": 2, "text": "什么是风湿热", "role": "patient"}, {"turn": 3, "text": "现在是变天就关节痛", "role": "patient"}, {"turn": 4, "text": "主要是哪些关节？", "role": "doctor"}, {"turn": 5, "text": "膝关节", "role": "patient"}, {"turn": 6, "text": "双膝关节还是单膝关节？", "role": "doctor"}, {"turn": 7, "text": "双", "role": "patient"}, {"turn": 8, "text": "风湿热是指链球菌感染引起的一系列性疾病。", "role": "doctor"}, {"turn": 9, "text": "还有其他关节也没有。", "role": "doctor"}, {"turn": 10, "text": "疼痛有什么特点？", "role": "doctor"}, {"turn": 11, "text": "藿香祛痛气雾剂可以用嘛", "role": "patient"}, {"turn": 12, "text": "可以用，它是应该是活血化瘀的。可以缓解症状。", "role": "doctor"}, {"turn": 13, "text": "酸痛", "role": "patient"}, {"turn": 14, "text": "您的疾病确诊是风湿性关节炎了吗？还要跟类风湿关节炎，强直性脊柱炎等相鉴别。", "role": "doctor"}, {"turn": 15, "text": "那还有什么缓解方法嘛？", "role": "patient"}, {"turn": 16, "text": "对", "role": "patient"}, {"turn": 17, "text": "呃，非甾体消炎药是个基础。", "role": "doctor"}, {"turn": 18, "text": "青霉素抗感染。", "role": "doctor"}, {"turn": 19, "text": "要预防发展成风湿性心脏病。早发现，早诊断，早治疗。祝你早日康复，一生平安，圣诞节快乐！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 48, "thread": [{"turn": 0, "text": "类风湿关节炎服用腰疼宁管用吗（女，46岁）", "role": "patient"}, {"turn": 1, "text": "你好，做过什么检查治疗吗?", "role": "doctor"}, {"turn": 2, "text": "确诊类风湿关节炎了吗？如果确诊的口服这个药没太大用", "role": "doctor"}, {"turn": 3, "text": "类风湿因子", "role": "patient"}, {"turn": 4, "text": "单凭类风湿因子无法确诊", "role": "doctor"}, {"turn": 5, "text": "确定", "role": "patient"}, {"turn": 6, "text": "血沉也化验过", "role": "patient"}, {"turn": 7, "text": "我能看一下结果吗", "role": "doctor"}, {"turn": 8, "text": "血沉28类风湿因子46", "role": "patient"}, {"turn": 9, "text": "CCP抗体如何？关节有无肿痛？", "role": "doctor"}, {"turn": 10, "text": "脚疼手关节一个有点肿", "role": "patient"}, {"turn": 11, "text": "抗体高点", "role": "patient"}, {"turn": 12, "text": "怎么不说话了", "role": "patient"}, {"turn": 13, "text": "那还是考虑类风湿关节炎可能性大", "role": "doctor"}, {"turn": 14, "text": "那得到当地正规医院风湿免疫科规律随诊", "role": "doctor"}, {"turn": 15, "text": "风湿病来回换医生，换方案对病情控制不利，因为抗风湿药物大多起效慢，1_2个月才起效，而且副作用相对较大，需定期复查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 49, "thread": [{"turn": 0, "text": "前几天急性肠胃炎经现在胃老是胀咋办（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "前两天吐拉肚子胃疼还发烧", "role": "patient"}, {"turn": 4, "text": "打了两天", "role": "patient"}, {"turn": 5, "text": "胃肠恢复需要过程", "role": "doctor"}, {"turn": 6, "text": "注意清淡饮食，禁忌辛辣生冷刺激食物，不要吃太饱，太油腻，禁烟酒，不喝浓茶咖啡", "role": "doctor"}, {"turn": 7, "text": "可以吃点舒丽启能", "role": "doctor"}, {"turn": 8, "text": "好的", "role": "patient"}, {"turn": 9, "text": "吗丁啉可以吃", "role": "patient"}, {"turn": 10, "text": "也可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 50, "thread": [{"turn": 0, "text": "早早孕试纸可以测试排卵吗（女，34岁）", "role": "patient"}, {"turn": 1, "text": "不能，早孕试纸测的是HCG。排卵试纸测的是LH。", "role": "doctor"}, {"turn": 2, "text": "两种试纸测的东西是不同的，只有怀孕了HCG才会升高", "role": "doctor"}, {"turn": 3, "text": "去药店买就说这个可以测试我都测几天了", "role": "patient"}, {"turn": 4, "text": "要么是你没说清楚，要么是药店给你拿错了", "role": "doctor"}, {"turn": 5, "text": "以前遇到过一个，准备测怀孕的，药店给了她排卵试纸", "role": "doctor"}, {"turn": 6, "text": "我老公去买的无语了，药店的说可以。", "role": "patient"}, {"turn": 7, "text": "很有可能是没说清楚", "role": "doctor"}, {"turn": 8, "text": "下次说好就行了", "role": "doctor"}, {"turn": 9, "text": "测试排卵是不是在月经来的第一天开始算第12天就可以测排卵了", "role": "patient"}, {"turn": 10, "text": "周期规律的，这天开始就行了", "role": "doctor"}, {"turn": 11, "text": "周期短一些的需要提前几天", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 51, "thread": [{"turn": 0, "text": "耳石症手术有没有后遗症（男，29岁）", "role": "patient"}, {"turn": 1, "text": "耳石症手术？不用做手术啊", "role": "doctor"}, {"turn": 2, "text": "可是晕了好久了，", "role": "patient"}, {"turn": 3, "text": "总是复发", "role": "patient"}, {"turn": 4, "text": "耳石症需要做手法复位", "role": "doctor"}, {"turn": 5, "text": "确诊耳石症？", "role": "doctor"}, {"turn": 6, "text": "嗯嗯", "role": "patient"}, {"turn": 7, "text": "确诊了，", "role": "patient"}, {"turn": 8, "text": "那就复位治疗啊", "role": "doctor"}, {"turn": 9, "text": "但是总是复发，因为以前头部受过伤", "role": "patient"}, {"turn": 10, "text": "复位了么", "role": "doctor"}, {"turn": 11, "text": "不知道复位了没。总是感觉晕晕的，", "role": "patient"}, {"turn": 12, "text": "特别是早上，过了早上基本就没啥事儿了", "role": "patient"}, {"turn": 13, "text": "但是躺下往右看就特别厉害(ง •̀_•́)ง", "role": "patient"}, {"turn": 14, "text": "有没有给你做转头，几分钟。然后在下一个动作几分钟，然后转体之类的治疗", "role": "doctor"}, {"turn": 15, "text": "嗯，", "role": "patient"}, {"turn": 16, "text": "做没做", "role": "doctor"}, {"turn": 17, "text": "做过，在医院做过一次，但是不知道复没复位还是会有点头晕，", "role": "patient"}, {"turn": 18, "text": "可以重复做", "role": "doctor"}, {"turn": 19, "text": "好的，去医院吗还是在家自己做呢", "role": "patient"}, {"turn": 20, "text": "你自己会做？", "role": "doctor"}, {"turn": 21, "text": "还有就是怎么样感觉才是真正复位了？", "role": "patient"}, {"turn": 22, "text": "医生说自己在家做，也行😓", "role": "patient"}, {"turn": 23, "text": "如果你自己会在家也行，自己操作不了还是得找专业医生", "role": "doctor"}, {"turn": 24, "text": "好的，知道啦，谢谢医生", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 52, "thread": [{"turn": 0, "text": "鼻中隔偏曲术后一个月还是左鼻子不通（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好！术后复查过没有呢？", "role": "doctor"}, {"turn": 2, "text": "复查过 医生说左鼻腔还有点窄 长的还可以", "role": "patient"}, {"turn": 3, "text": "不过最近 早上起床后有流清鼻涕 晚上躺床上会堵一会儿", "role": "patient"}, {"turn": 4, "text": "术后多久复查的，现在用药了吗？", "role": "doctor"}, {"turn": 5, "text": "术后一星期 俩星期", "role": "patient"}, {"turn": 6, "text": "您可能有过敏性鼻炎，这个季节容易发病", "role": "doctor"}, {"turn": 7, "text": "那过敏性鼻炎怎么治疗", "role": "patient"}, {"turn": 8, "text": "就左边一个鼻子难受", "role": "patient"}, {"turn": 9, "text": "您术后用过哪些药物呢？", "role": "doctor"}, {"turn": 10, "text": "现在在吃罗红霉素 还有复方氨酚烷胺胶囊", "role": "patient"}, {"turn": 11, "text": "还以为是感冒", "role": "patient"}, {"turn": 12, "text": "您可以用辅舒良，布地奈德或内舒拿喷鼻，这三种药物选一种就可以，口服氯雷他定。治疗两周看看效果", "role": "doctor"}, {"turn": 13, "text": "有没有治跟的方法", "role": "patient"}, {"turn": 14, "text": "若是没有别的症状，仅是鼻部不适，不排除过敏性鼻炎。您以前有过类似情况吗？", "role": "doctor"}, {"turn": 15, "text": "平时有鼻痒打喷嚏等症状吗？\n若是过敏性鼻炎，与个人体质有关，不大好除根，遇到相应的过敏原容易出现反复。", "role": "doctor"}, {"turn": 16, "text": "以前有过 就一个月前去医院看这个 人做了ct扫描 还看了看鼻腔说是鼻中隔偏曲加鼻窦炎", "role": "patient"}, {"turn": 17, "text": "术后没有用药吗？", "role": "doctor"}, {"turn": 18, "text": "术后就给开了一瓶生理盐水其他药物没有", "role": "patient"}, {"turn": 19, "text": "生理盐水容易刺激鼻黏膜干燥，除上述鼻喷剂外，您可以配合海盐水护理鼻腔。如鼻朗，宝恩，施地瑞玛等。", "role": "doctor"}, {"turn": 20, "text": "雾化治疗方法怎么样", "role": "patient"}, {"turn": 21, "text": "雾化对鼻腔疾病效果不好，可以做鼻腔冲洗。", "role": "doctor"}, {"turn": 22, "text": "如果吃药的话 只用吃路雷他定吗？", "role": "patient"}, {"turn": 23, "text": "要加用喷鼻药，喷鼻时主要的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 53, "thread": [{"turn": 0, "text": "胃肠功能紊乱吃什么药最好（男，37岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "你好在吗美女", "role": "patient"}, {"turn": 3, "text": "您好，具体有什么症状", "role": "doctor"}, {"turn": 4, "text": "消化不良，吸收不好，很瘦啊", "role": "patient"}, {"turn": 5, "text": "拉肚子吗？", "role": "doctor"}, {"turn": 6, "text": "反酸烧心吗？", "role": "doctor"}, {"turn": 7, "text": "有时有胃酸，", "role": "patient"}, {"turn": 8, "text": "腹胀吗？", "role": "doctor"}, {"turn": 9, "text": "不拉，就是大便有点不正常", "role": "patient"}, {"turn": 10, "text": "您说的功能紊乱是去医院看过吗？", "role": "doctor"}, {"turn": 11, "text": "没有我也是那网上的医生咨询的", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "doctor"}, {"turn": 13, "text": "如果是功能紊乱，可以吃舒丽启能", "role": "doctor"}, {"turn": 14, "text": "他是要片还是胶囊呀，到那个医院买去呀", "role": "patient"}, {"turn": 15, "text": "胶囊，药店里就有卖的", "role": "doctor"}, {"turn": 16, "text": "你觉得我的胃消化不良，吸收不好，什么引起的", "role": "patient"}, {"turn": 17, "text": "胃肠功能紊乱可能性比较大", "role": "doctor"}, {"turn": 18, "text": "平时喜欢吃刺激性食物吗", "role": "doctor"}, {"turn": 19, "text": "什么食物属于刺激", "role": "patient"}, {"turn": 20, "text": "辛辣冷硬", "role": "doctor"}, {"turn": 21, "text": "舒丽启能吃一样药", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "调节胃肠功能紊乱的", "role": "doctor"}, {"turn": 24, "text": "我从网上咨询的，是免费的，他就谁边一说的，你个人觉得也是这样的", "role": "patient"}, {"turn": 25, "text": "您这种情况多久了", "role": "doctor"}, {"turn": 26, "text": "大便不正常，不成型，有时三五天一次，有时一天好几次，", "role": "patient"}, {"turn": 27, "text": "很长时间了，我也记不清了吗", "role": "patient"}, {"turn": 28, "text": "那还是功能紊乱可能性大", "role": "doctor"}, {"turn": 29, "text": "我问一下，美女，我的肚子夏天多热，肚子见一点风就肚子疼与肠胃有关系吗", "role": "patient"}, {"turn": 30, "text": "有关系", "role": "doctor"}, {"turn": 31, "text": "比较敏感", "role": "doctor"}, {"turn": 32, "text": "吃了舒丽启能以后，就能胖起来", "role": "patient"}, {"turn": 33, "text": "这个不能保证", "role": "doctor"}, {"turn": 34, "text": "瘦还和肠道黏膜的吸收有关", "role": "doctor"}, {"turn": 35, "text": "这个黏膜吃药能补吗", "role": "patient"}, {"turn": 36, "text": "自身吸收问题不太好调，平时可以吃些益生菌，比如金双岐", "role": "doctor"}, {"turn": 37, "text": "金双歧对肠道黏膜有好处", "role": "patient"}, {"turn": 38, "text": "调节肠道菌群的", "role": "doctor"}, {"turn": 39, "text": "肠道的吸收和肠道菌群有关", "role": "doctor"}, {"turn": 40, "text": "吃复方乳酸菌素片行吗", "role": "patient"}, {"turn": 41, "text": "可以", "role": "doctor"}, {"turn": 42, "text": "舒丽启能和复方乳酸菌素片一起吃行吗", "role": "patient"}, {"turn": 43, "text": "可以一起吃", "role": "doctor"}, {"turn": 44, "text": "平时注意饮食，不要吃刺激性的", "role": "doctor"}, {"turn": 45, "text": "金双歧和复方乳酸菌素片那个药效果好呀", "role": "patient"}, {"turn": 46, "text": "金双岐好一些", "role": "doctor"}, {"turn": 47, "text": "舒丽启能，还有别的药名我怕没有这个药了呀", "role": "patient"}, {"turn": 48, "text": "马来酸曲美布汀片", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 54, "thread": [{"turn": 0, "text": "浅表性胃炎伴糜烂中药（男，43岁）", "role": "patient"}, {"turn": 1, "text": "请问你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "请问，浅表性胃炎伴糜烂该服用什么中药治疗？", "role": "patient"}, {"turn": 3, "text": "好的，让你久等了", "role": "doctor"}, {"turn": 4, "text": "现在有什么不舒服呢", "role": "doctor"}, {"turn": 5, "text": "非常感谢您的信任", "role": "doctor"}, {"turn": 6, "text": "我详细问一下你的情况，以便给你最准确的指导意见。", "role": "doctor"}, {"turn": 7, "text": "胃酸胃胀", "role": "patient"}, {"turn": 8, "text": "这种情况多久了", "role": "doctor"}, {"turn": 9, "text": "您是怎么治疗的", "role": "doctor"}, {"turn": 10, "text": "三个月左右，近几天查出，暂无做任何治疗，现在想吃些中药来治疗。", "role": "patient"}, {"turn": 11, "text": "可以", "role": "doctor"}, {"turn": 12, "text": "吃饭怎么样？", "role": "doctor"}, {"turn": 13, "text": "那就请医生给我开个药方可以吗？", "role": "patient"}, {"turn": 14, "text": "可以，中医需要望闻问切，我简单辩证一下，以便更好的给你指导一下用药，您这会方便吗", "role": "doctor"}, {"turn": 15, "text": "吃饭较少。", "role": "patient"}, {"turn": 16, "text": "嗯，食欲不好？还是吃完感觉不消化呢", "role": "doctor"}, {"turn": 17, "text": "吃完感觉不消化。", "role": "patient"}, {"turn": 18, "text": "好的👌", "role": "doctor"}, {"turn": 19, "text": "大小便正常吗", "role": "doctor"}, {"turn": 20, "text": "正常", "role": "patient"}, {"turn": 21, "text": "好的", "role": "doctor"}, {"turn": 22, "text": "方便看一下你的舌苔吗", "role": "doctor"}, {"turn": 23, "text": "我不是病人，病人是家人。", "role": "patient"}, {"turn": 24, "text": "好的👌", "role": "doctor"}, {"turn": 25, "text": "中医上舌苔很重要", "role": "doctor"}, {"turn": 26, "text": "我在外面，不在家。无法看。", "role": "patient"}, {"turn": 27, "text": "我给您个建议您根据情况采纳", "role": "doctor"}, {"turn": 28, "text": "您先吃个中成药调理一下", "role": "doctor"}, {"turn": 29, "text": "你看这个方案能不能接受", "role": "doctor"}, {"turn": 30, "text": "什么中成药？", "role": "patient"}, {"turn": 31, "text": "香砂平胃丸配合保和丸", "role": "doctor"}, {"turn": 32, "text": "先吃一周", "role": "doctor"}, {"turn": 33, "text": "好的，先让试试吧。", "role": "patient"}, {"turn": 34, "text": "嗯嗯，吃饭上多注意", "role": "doctor"}, {"turn": 35, "text": "忌生冷辛辣油腻", "role": "doctor"}, {"turn": 36, "text": "少食多餐", "role": "doctor"}, {"turn": 37, "text": "胃病需要养", "role": "doctor"}, {"turn": 38, "text": "吃药是一方面", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 55, "thread": [{"turn": 0, "text": "系统性红斑狼疮患者嗓子疼有痰怎么办（女，15岁）", "role": "patient"}, {"turn": 1, "text": "请问有多久了呀？有流鼻涕，发烧吗", "role": "doctor"}, {"turn": 2, "text": "两天了，没有发烧没流鼻涕", "role": "patient"}, {"turn": 3, "text": "痰是什么颜色的呀？", "role": "doctor"}, {"turn": 4, "text": "嗓子痒，白色", "role": "patient"}, {"turn": 5, "text": "扁桃体大不大？", "role": "doctor"}, {"turn": 6, "text": "还好", "role": "patient"}, {"turn": 7, "text": "多喝点水，口服清开灵和肿痛安胶囊吧", "role": "doctor"}, {"turn": 8, "text": "问题不大", "role": "doctor"}, {"turn": 9, "text": "能吃点中成药吗", "role": "patient"}, {"turn": 10, "text": "这两个就是中成药", "role": "doctor"}, {"turn": 11, "text": "谢谢", "role": "patient"}, {"turn": 12, "text": "不客气，有问题再联系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 56, "thread": [{"turn": 0, "text": "为什么一到晚上就感冒严重（女，50岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "具体晚上什么时间出现？有什么症状", "role": "doctor"}, {"turn": 4, "text": "就是十二点后吧！", "role": "patient"}, {"turn": 5, "text": "咳嗽", "role": "patient"}, {"turn": 6, "text": "嗓子疼不疼？", "role": "doctor"}, {"turn": 7, "text": "流涕吗？", "role": "doctor"}, {"turn": 8, "text": "咳嗽无法睡觉。白天照常上班", "role": "patient"}, {"turn": 9, "text": "不流鼻涕。嗓子有点疼", "role": "patient"}, {"turn": 10, "text": "白天不咳嗽吗？", "role": "doctor"}, {"turn": 11, "text": "白天不咳嗽", "role": "patient"}, {"turn": 12, "text": "会感觉到气促吗？或胸闷等", "role": "doctor"}, {"turn": 13, "text": "有一点这种感觉", "role": "patient"}, {"turn": 14, "text": "白天没有", "role": "patient"}, {"turn": 15, "text": "以前会出现类似情况吗？", "role": "doctor"}, {"turn": 16, "text": "也出先过", "role": "patient"}, {"turn": 17, "text": "还有就是胸膛。包括口腔上颚都发凉。出气都凉嗖嗖的", "role": "patient"}, {"turn": 18, "text": "舌尖顶上颚，觉得是冷的", "role": "patient"}, {"turn": 19, "text": "就是干咳吗？没痰吧", "role": "doctor"}, {"turn": 20, "text": "没有", "role": "patient"}, {"turn": 21, "text": "你这种要考虑咳嗽变异性咳嗽", "role": "doctor"}, {"turn": 22, "text": "要去医院查个肺功能", "role": "doctor"}, {"turn": 23, "text": "咳嗽变异性哮喘", "role": "doctor"}, {"turn": 24, "text": "额", "role": "patient"}, {"turn": 25, "text": "谢谢！", "role": "patient"}, {"turn": 26, "text": "对什么气味过敏吗？", "role": "doctor"}, {"turn": 27, "text": "就是拍片是吗？", "role": "patient"}, {"turn": 28, "text": "不过敏", "role": "patient"}, {"turn": 29, "text": "那就这样。很晚了。你休息吧！", "role": "patient"}, {"turn": 30, "text": "😁", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 57, "thread": [{"turn": 0, "text": "急性乳腺炎的治疗方法有哪些（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，急性乳腺炎主要是哺乳期乳腺炎", "role": "doctor"}, {"turn": 2, "text": "治疗方法就是抗感染", "role": "doctor"}, {"turn": 3, "text": "中药外敷", "role": "doctor"}, {"turn": 4, "text": "今天催乳师已经疏通，但局部还是疼痛，请问用什么中药敷 ，我口服了头孢", "role": "patient"}, {"turn": 5, "text": "芒硝外敷", "role": "doctor"}, {"turn": 6, "text": "或者仙人掌去刺捣碎➕中药冰片外敷效果好", "role": "doctor"}, {"turn": 7, "text": "除了口服头孢外，能吃的中药有哪些，我很怕会严重不能继续喂奶", "role": "patient"}, {"turn": 8, "text": "一般不吃中药", "role": "doctor"}, {"turn": 9, "text": "有必要去医院检查吗？今天催乳师跟我说我问题不大，但是还是疼痛我就很担心 ，是昨天晚上半夜开始疼的，局部有淤积，", "role": "patient"}, {"turn": 10, "text": "乳头有皲裂，", "role": "patient"}, {"turn": 11, "text": "乳头皲裂引起细菌入侵", "role": "doctor"}, {"turn": 12, "text": "你可以口服消炎药物", "role": "doctor"}, {"turn": 13, "text": "外敷中药治疗看看", "role": "doctor"}, {"turn": 14, "text": "减轻就不用去医院了", "role": "doctor"}, {"turn": 15, "text": "已经口服了头孢克肟片，乳头皲裂能用什么药", "role": "patient"}, {"turn": 16, "text": "外涂红霉素软膏", "role": "doctor"}, {"turn": 17, "text": "乳头皲裂一般这一侧现不喂奶", "role": "doctor"}, {"turn": 18, "text": "好的快点", "role": "doctor"}, {"turn": 19, "text": "乳汁挤出来", "role": "doctor"}, {"turn": 20, "text": "一直在喂，催乳师说让我坚持用这侧喂，因为这一侧堵奶几次了", "role": "patient"}, {"turn": 21, "text": "有皲裂这一侧很容易堵奶，", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "喂奶皲裂不容易好", "role": "doctor"}, {"turn": 24, "text": "细菌就感染", "role": "doctor"}, {"turn": 25, "text": "你先治疗看看", "role": "doctor"}, {"turn": 26, "text": "好，谢谢医生", "role": "patient"}, {"turn": 27, "text": "😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 58, "thread": [{"turn": 0, "text": "过敏性鼻炎引起了咳嗽怎么办（女，25岁）过敏性鼻炎犯了得1个月了，这几天嗓子痒痒难受，可能是支气管炎犯了，晚上厉害", "role": "patient"}, {"turn": 1, "text": "你好，过敏性鼻炎引起了咳嗽，重点要治鼻炎", "role": "doctor"}, {"turn": 2, "text": "鼻炎就早上打喷嚏", "role": "patient"}, {"turn": 3, "text": "有喷喷剂", "role": "patient"}, {"turn": 4, "text": "合并有嗓子疼可能合并上呼吸道感染，加用消炎药吃三天", "role": "doctor"}, {"turn": 5, "text": "头孢吗？", "role": "patient"}, {"turn": 6, "text": "嗓子不疼", "role": "patient"}, {"turn": 7, "text": "咳嗽", "role": "patient"}, {"turn": 8, "text": "可以，头孢二代吧", "role": "doctor"}, {"turn": 9, "text": "气管炎", "role": "patient"}, {"turn": 10, "text": "你喷什么药？", "role": "doctor"}, {"turn": 11, "text": "辅舒良", "role": "patient"}, {"turn": 12, "text": "辅舒良可以，每天定时喷，平时要锻炼身体，过敏性鼻炎很难好", "role": "doctor"}, {"turn": 13, "text": "嗯嗯好的", "role": "patient"}, {"turn": 14, "text": "那如果医生吃消炎药不管用的话再怎么办", "role": "patient"}, {"turn": 15, "text": "我已经吃了三天的肺力咳了", "role": "patient"}, {"turn": 16, "text": "不是很管用感觉", "role": "patient"}, {"turn": 17, "text": "合并气管炎，一般要加消炎药，不然效果不好的，先吃两三天吧", "role": "doctor"}, {"turn": 18, "text": "如果还不好，甚至更厉害就去医院化验一下血常规，找耳鼻喉科医生看一下", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "谢谢医生", "role": "patient"}, {"turn": 21, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 59, "thread": [{"turn": 0, "text": "鼻窦炎用什么药最好？（女，49岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前都有哪些症状？", "role": "doctor"}, {"turn": 2, "text": "鼻子流脓血", "role": "patient"}, {"turn": 3, "text": "头晕头疼", "role": "patient"}, {"turn": 4, "text": "鼻窦炎用什么药最好？", "role": "patient"}, {"turn": 5, "text": "您能回答我吗？", "role": "patient"}, {"turn": 6, "text": "头脑不清醒，视物不清。", "role": "patient"}, {"turn": 7, "text": "耳鸣", "role": "patient"}, {"turn": 8, "text": "建议在网上买个鼻腔冲洗器，每天正规冲洗2次，半小时后用布地奈德喷鼻，坚持用一个月，配合口服鼻炎片以及切诺胶囊。如果症状严重的，可以口服开瑞坦以及孟鲁司特钠咀嚼片。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 60, "thread": [{"turn": 0, "text": "6个月的宝宝肺炎又严重缺钙（女，0岁）", "role": "patient"}, {"turn": 1, "text": "你好，", "role": "doctor"}, {"turn": 2, "text": "宝宝有什么症状", "role": "doctor"}, {"turn": 3, "text": "您好", "role": "patient"}, {"turn": 4, "text": "今天去医院检查，说是肺炎，晚上一直哭闹", "role": "patient"}, {"turn": 5, "text": "肺炎会导致宝宝晚上哭闹吗，睡半个小时左右就会醒，抱起来就又睡", "role": "patient"}, {"turn": 6, "text": "饮食如何？大便怎样", "role": "doctor"}, {"turn": 7, "text": "肺炎有什么表现？", "role": "doctor"}, {"turn": 8, "text": "前几天检查说是严重缺钙，正在补钙 又感冒得了肺炎，补钙的药这几天也没有吃", "role": "patient"}, {"turn": 9, "text": "咳嗽，晚上喉咙里有痰", "role": "patient"}, {"turn": 10, "text": "不拉肚子，可以吃，", "role": "doctor"}, {"turn": 11, "text": "食欲还可以", "role": "patient"}, {"turn": 12, "text": "晚上哭闹和肺炎有关系还是和缺钙有关系", "role": "patient"}, {"turn": 13, "text": "二者都有关", "role": "doctor"}, {"turn": 14, "text": "肺炎有什么症状？咳嗽吼喘？呼吸快不", "role": "doctor"}, {"turn": 15, "text": "在治疗肺炎没", "role": "doctor"}, {"turn": 16, "text": "呼吸还好，就是有痰的时候上不来气", "role": "patient"}, {"turn": 17, "text": "在吃药，今天做了雾化", "role": "patient"}, {"turn": 18, "text": "用药多久了？好些不", "role": "doctor"}, {"turn": 19, "text": "缺钙严重，查过维生素D3活性没，可了解缺钙严重程度", "role": "doctor"}, {"turn": 20, "text": "人在吗？快问有时间限制哦，麻烦回答下我的提问，以便更好解答你的困惑。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 61, "thread": [{"turn": 0, "text": "尿路感染吃中药能治愈吗（女，37岁）", "role": "patient"}, {"turn": 1, "text": "你现在主要有什么症状？", "role": "doctor"}, {"turn": 2, "text": "不建议", "role": "doctor"}, {"turn": 3, "text": "中药太慢了，多数都是辅助用药", "role": "doctor"}, {"turn": 4, "text": "我有尿血尿频尿急尿痛", "role": "patient"}, {"turn": 5, "text": "发烧么？", "role": "doctor"}, {"turn": 6, "text": "但现在吃了抗生素有四天了我想换成中药治", "role": "patient"}, {"turn": 7, "text": "当天发烧尿血尿频尿痛", "role": "patient"}, {"turn": 8, "text": "吃的什么消炎药？", "role": "doctor"}, {"turn": 9, "text": "后来没有什么症状了", "role": "patient"}, {"turn": 10, "text": "考虑治疗还是有效的", "role": "doctor"}, {"turn": 11, "text": "接着治疗2周", "role": "doctor"}, {"turn": 12, "text": "现在就有点喝水少有点尿痛", "role": "patient"}, {"turn": 13, "text": "最近多喝水，勤排尿", "role": "doctor"}, {"turn": 14, "text": "每天3000ml以上", "role": "doctor"}, {"turn": 15, "text": "但我吃抗生素感觉不舒服", "role": "patient"}, {"turn": 16, "text": "吃的什么消炎药", "role": "doctor"}, {"turn": 17, "text": "差不多有", "role": "patient"}, {"turn": 18, "text": "罗红霉素", "role": "patient"}, {"turn": 19, "text": "吃阿莫西林胶囊＋左氧氟沙星片", "role": "doctor"}, {"turn": 20, "text": "我现在是抑郁症患者有睡眠障碍所以医生说只能用这药", "role": "patient"}, {"turn": 21, "text": "那你加点三金片", "role": "doctor"}, {"turn": 22, "text": "辅助治疗一下", "role": "doctor"}, {"turn": 23, "text": "吃不了你说的那两种药", "role": "patient"}, {"turn": 24, "text": "好吧", "role": "doctor"}, {"turn": 25, "text": "三金片是中成药", "role": "patient"}, {"turn": 26, "text": "是的", "role": "doctor"}, {"turn": 27, "text": "我想吃中药能治疗吗", "role": "patient"}, {"turn": 28, "text": "不推荐", "role": "doctor"}, {"turn": 29, "text": "而且效果不好", "role": "doctor"}, {"turn": 30, "text": "那还是要吃抗生素才治疗得了", "role": "patient"}, {"turn": 31, "text": "是的", "role": "doctor"}, {"turn": 32, "text": "最近还是得多喝水，勤排尿", "role": "doctor"}, {"turn": 33, "text": "勤换内裤", "role": "doctor"}, {"turn": 34, "text": "注意局部卫生", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 62, "thread": [{"turn": 0, "text": "包茎手术后龟头什么时候适应（男，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，包皮环切术后，龟头对外界刺激会比较敏感的", "role": "doctor"}, {"turn": 2, "text": "您术后多久了", "role": "doctor"}, {"turn": 3, "text": "由于之前包茎的存在，龟头一直被包皮包裹，一旦包皮环切后，龟头对外界刺激尤为敏感，这是很自然的", "role": "doctor"}, {"turn": 4, "text": "至于何时能够适应，也是因人而异的。这个没有明确的时间，可长可短。有的两三个月，有的半年左右", "role": "doctor"}, {"turn": 5, "text": "我做的是包茎手术，现在是第三天了，现在龟头碰下下还是会疼", "role": "patient"}, {"turn": 6, "text": "这是术后常见现象", "role": "doctor"}, {"turn": 7, "text": "注意有无红肿疼痛、渗出液等炎症反应，如果有要及时就医复查，看是否感染，是否要用抗生素预防治疗感染", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 63, "thread": [{"turn": 0, "text": "外耳道炎脓液堵塞耳朵（男，16岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的这种情况有多长时", "role": "doctor"}, {"turn": 2, "text": "3天", "role": "patient"}, {"turn": 3, "text": "今天开始有脓", "role": "patient"}, {"turn": 4, "text": "流脓吗？", "role": "doctor"}, {"turn": 5, "text": "发烧吗？", "role": "doctor"}, {"turn": 6, "text": "不发", "role": "patient"}, {"turn": 7, "text": "哦，那就不严重，这个情况多考虑是中耳炎", "role": "doctor"}, {"turn": 8, "text": "耳朵里有", "role": "patient"}, {"turn": 9, "text": "建议用注射器抽双氧水冲洗外耳道，把脓冲洗干净后可以滴氧氟沙星滴耳液，可以配合吃点消炎药，吃点克拉霉素片", "role": "doctor"}, {"turn": 10, "text": "怎么才能好", "role": "patient"}, {"turn": 11, "text": "建议用注射器抽双氧水冲洗外耳道，把脓冲洗干净后可以滴氧氟沙星滴耳液，可以配合吃点消炎药，吃点克拉霉素片", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "谢谢医生", "role": "patient"}, {"turn": 14, "text": "祝你生活愉快", "role": "doctor"}, {"turn": 15, "text": "医生", "role": "patient"}, {"turn": 16, "text": "双氧水是不是乙醇", "role": "patient"}, {"turn": 17, "text": "不是就是双氧水，过氧化氢溶液", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 64, "thread": [{"turn": 0, "text": "脚脖是昨天晚上八九点钟扭伤的（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问目前主要怎么不舒服？", "role": "doctor"}, {"turn": 2, "text": "我在昨天晚上八九点钟的时候扭伤脚脖，事后是先用红花油和云南白药处理的", "role": "patient"}, {"turn": 3, "text": "如果目前仅有疼痛，可以贴点膏药或者外用点双氯芬酸钠乳膏外涂止痛，做做热敷也是可以的😊", "role": "doctor"}, {"turn": 4, "text": "你的处理还是可以的", "role": "doctor"}, {"turn": 5, "text": "二十四小时内应该是先用冰敷处理吧", "role": "patient"}, {"turn": 6, "text": "今天早上没什么效果，肿的更厉害", "role": "patient"}, {"turn": 7, "text": "如果1肿胀比较明显最好拍个片子排除一下骨折的情况", "role": "doctor"}, {"turn": 8, "text": "如果没有骨折，可以按我说的方法进行治疗一段时间", "role": "doctor"}, {"turn": 9, "text": "休息时把脚垫高，可以减轻肿胀", "role": "doctor"}, {"turn": 10, "text": "那我接下来是冷敷还是热敷", "role": "patient"}, {"turn": 11, "text": "外伤后24小时可以改为热敷😊", "role": "doctor"}, {"turn": 12, "text": "但是我现在还没消肿，二十四小时是到了，可以改为热敷吗，会不会加重伤情", "role": "patient"}, {"turn": 13, "text": "最好明天去做个检查，排除一下骨折的情况，如果没有骨折进行热敷就可以啦", "role": "doctor"}, {"turn": 14, "text": "可以用点中药热敷烫洗，外用点双氯芬酸钠乳膏外涂止痛消肿。", "role": "doctor"}, {"turn": 15, "text": "好的谢谢医生", "role": "patient"}, {"turn": 16, "text": "别客气，祝你早日康复😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 65, "thread": [{"turn": 0, "text": "依替米星结合宁泌泰制淋病效果好吗（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，确诊淋病吗？还有其他合并感染吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "没有什么?", "role": "doctor"}, {"turn": 4, "text": "确诊淋病", "role": "patient"}, {"turn": 5, "text": "确诊是淋病，没有其他合并症是吗？", "role": "doctor"}, {"turn": 6, "text": "做了是什么衣原体，还没出结果。但淋病确诊了", "role": "patient"}, {"turn": 7, "text": "可以用", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "😄谢谢，能线下联系吗，挺害怕的这个感觉，不知道能不能治愈", "role": "patient"}, {"turn": 11, "text": "可以治愈", "role": "doctor"}, {"turn": 12, "text": "咨询只能从这里", "role": "doctor"}, {"turn": 13, "text": "谢谢医生", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 66, "thread": [{"turn": 0, "text": "儿童肺炎使用甲波尼龙琥珀酸钠合适吗？（女，5岁）", "role": "patient"}, {"turn": 1, "text": "你好，甲泼尼龙琥珀酸钠是激素类药物的一种。对于喘息性疾病效果明显", "role": "doctor"}, {"turn": 2, "text": "支原体肺炎用效果吗？", "role": "patient"}, {"turn": 3, "text": "请问宝宝现在有什么症状？", "role": "doctor"}, {"turn": 4, "text": "对孩子有影响吗？", "role": "patient"}, {"turn": 5, "text": "咳嗦厉害不止", "role": "patient"}, {"turn": 6, "text": "在医院打针", "role": "patient"}, {"turn": 7, "text": "短期内使用出现副作用的情况比较小", "role": "doctor"}, {"turn": 8, "text": "打阿奇霉素和我给你说甲波尼龙琥珀酸钠", "role": "patient"}, {"turn": 9, "text": "甲泼尼龙琥珀酸钠有抗炎、抗过敏、退热等作用", "role": "doctor"}, {"turn": 10, "text": "今天一天", "role": "patient"}, {"turn": 11, "text": "这两个药可以联合使用", "role": "doctor"}, {"turn": 12, "text": "能不能换一种药", "role": "patient"}, {"turn": 13, "text": "孩子咳嗦厉害什么药更管我", "role": "patient"}, {"turn": 14, "text": "副作用小点", "role": "patient"}, {"turn": 15, "text": "支原体感染，阿奇霉素是最有效的药物", "role": "doctor"}, {"turn": 16, "text": "治咳化痰什么药作管事", "role": "patient"}, {"turn": 17, "text": "负作用做小", "role": "patient"}, {"turn": 18, "text": "孩子一直咳嗦", "role": "patient"}, {"turn": 19, "text": "输液的中成药类的有痰热清", "role": "doctor"}, {"turn": 20, "text": "睡觉都影响了", "role": "patient"}, {"turn": 21, "text": "口服的有易坦静、沐舒坦、肺力咳等", "role": "doctor"}, {"turn": 22, "text": "我可以不用激素药物吗？", "role": "patient"}, {"turn": 23, "text": "现在停止打哪个激素药物针可以吗？", "role": "patient"}, {"turn": 24, "text": "如果单纯支原体感染，没有喘息症状，体温稳定，不考虑过敏性咳嗽，可以不用", "role": "doctor"}, {"turn": 25, "text": "38.4", "role": "patient"}, {"turn": 26, "text": "宝宝咳嗽、发烧有多久了？", "role": "doctor"}, {"turn": 27, "text": "我姑娘打一天不会有影响正成发育吧！", "role": "patient"}, {"turn": 28, "text": "输液有多久了？", "role": "doctor"}, {"turn": 29, "text": "短期使用不会的", "role": "doctor"}, {"turn": 30, "text": "宝宝咳嗦四天发低烧两天", "role": "patient"}, {"turn": 31, "text": "一天", "role": "patient"}, {"turn": 32, "text": "不过宝宝体温不稳定，激素可以帮助稳定体温", "role": "doctor"}, {"turn": 33, "text": "打针时候才知道激素药物", "role": "patient"}, {"turn": 34, "text": "宝宝是有喘的情况吧？", "role": "doctor"}, {"turn": 35, "text": "没有", "role": "patient"}, {"turn": 36, "text": "不能换青霉素", "role": "patient"}, {"turn": 37, "text": "以前打都是青霉素", "role": "patient"}, {"turn": 38, "text": "哦，从您描述的症状来看可以不用。不过，网络问诊不能完善体查，所以您最好还是找医生沟通一下。", "role": "doctor"}, {"turn": 39, "text": "支原体感染要用阿奇霉素才有效", "role": "doctor"}, {"turn": 40, "text": "明白谢谢大夫", "role": "patient"}, {"turn": 41, "text": "不客气", "role": "doctor"}, {"turn": 42, "text": "大夫有没有可以安神药孩子因为两天没睡好觉了。", "role": "patient"}, {"turn": 43, "text": "没有", "role": "doctor"}, {"turn": 44, "text": "光咳嗦累死了", "role": "patient"}, {"turn": 45, "text": "谢谢大夫没事！打扰了", "role": "patient"}, {"turn": 46, "text": "不好意思，没帮上忙", "role": "doctor"}, {"turn": 47, "text": "没事谢谢！", "role": "patient"}, {"turn": 48, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 67, "thread": [{"turn": 0, "text": "五岁小孩能得支气管肺炎吗（女，6岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问孩子有什么症状？", "role": "doctor"}, {"turn": 2, "text": "孩子一开始，说话，嗓子哑", "role": "patient"}, {"turn": 3, "text": "有咳嗽吗", "role": "doctor"}, {"turn": 4, "text": "不发烧", "role": "patient"}, {"turn": 5, "text": "咳嗽多不多呢", "role": "doctor"}, {"turn": 6, "text": "一开始咳嗽轻今天咳嗽有点多", "role": "patient"}, {"turn": 7, "text": "咳嗽多久了呢", "role": "doctor"}, {"turn": 8, "text": "像他这种情况能不能是支气管肺炎呢", "role": "patient"}, {"turn": 9, "text": "咳嗽有多久了呢", "role": "doctor"}, {"turn": 10, "text": "今天咳嗽，比每天重一点", "role": "patient"}, {"turn": 11, "text": "我就想问你一下能是支气管肺炎吗", "role": "patient"}, {"turn": 12, "text": "孩子以前有得过肺炎吗", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "一般要是不发烧的话肺炎的概率相对是不大的，但是要是咳嗽时间比较久了 咳的也很厉害的话也是要注意的", "role": "doctor"}, {"turn": 15, "text": "肺炎是要查胸片明确的 ，典型的肺炎肺部听诊也是可以听出来的", "role": "doctor"}, {"turn": 16, "text": "做ct可以吗", "role": "patient"}, {"turn": 17, "text": "Ct也可以的，CT比胸片要看的清楚一些的", "role": "doctor"}, {"turn": 18, "text": "嗯啊好的我明天去带她检查", "role": "patient"}, {"turn": 19, "text": "嗯嗯?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 68, "thread": [{"turn": 0, "text": "口腔溃疡怎么治疗好的快（男，46岁）", "role": "patient"}, {"turn": 1, "text": "您好，口腔溃疡多长时间啦？面积大吗？", "role": "doctor"}, {"turn": 2, "text": "每年有3到4次吧。有黄豆一样大小吧。", "role": "patient"}, {"turn": 3, "text": "嗯嗯，位置固定吗", "role": "doctor"}, {"turn": 4, "text": "固定的", "role": "patient"}, {"turn": 5, "text": "嗯嗯 附近的牙齿咬伤后起的溃疡吗？", "role": "doctor"}, {"turn": 6, "text": "不是的", "role": "patient"}, {"turn": 7, "text": "嗯嗯，自己起的溃疡？", "role": "doctor"}, {"turn": 8, "text": "嗯", "role": "patient"}, {"turn": 9, "text": "可以用康复新液漱口水含淑，经常有的话可以口服复合维生素", "role": "doctor"}, {"turn": 10, "text": "复合维生素药店有卖的吗", "role": "patient"}, {"turn": 11, "text": "对，可以。", "role": "doctor"}, {"turn": 12, "text": "该吃多长时间呢。", "role": "patient"}, {"turn": 13, "text": "2-4周吧，可以吃善存", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢。", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 69, "thread": [{"turn": 0, "text": "狂犬病血清最晚什么打（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，一般在咬伤后24小时之内打上的。", "role": "doctor"}, {"turn": 2, "text": "打上狂犬病疫苗24小时后就可以产生抗体了，就不用再打血清了。", "role": "doctor"}, {"turn": 3, "text": "我想在3天以后再补打狂犬血清可以吗", "role": "patient"}, {"turn": 4, "text": "怕只打了疫苗没马上有抗体", "role": "patient"}, {"turn": 5, "text": "3天以后没必要打的", "role": "doctor"}, {"turn": 6, "text": "24小时就可以产生抗体的，不用担心。", "role": "doctor"}, {"turn": 7, "text": "心里不踏实，就是想问一下，血清什么时候打最好", "role": "patient"}, {"turn": 8, "text": "但接种中心告诉我说疫苗最快一周有抗体，没说必须让我打，是建议，", "role": "patient"}, {"turn": 9, "text": "伤口大吗？出血多吗？", "role": "doctor"}, {"turn": 10, "text": "一般是在被咬伤后的24小时之内打上", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 70, "thread": [{"turn": 0, "text": "一般心衰老人能活多久（男，81岁）", "role": "patient"}, {"turn": 1, "text": "心衰老人如果不好好规律服药，正规治疗。寿命很短。如果正规治疗，5年生存率还是挺高的", "role": "doctor"}, {"turn": 2, "text": "问题他现在已经堵了两根", "role": "patient"}, {"turn": 3, "text": "之前还做过搭桥", "role": "patient"}, {"turn": 4, "text": "这次感觉还挺严重，出院没两天又回去了，而且这次还是ccu", "role": "patient"}, {"turn": 5, "text": "如果这种情况五年话那太好了", "role": "patient"}, {"turn": 6, "text": "那这个就是前期没有控制好原发病。现在已经进入终末阶段的表现了。就是频发心绞痛，心衰。", "role": "doctor"}, {"turn": 7, "text": "这个情况，可能会经常性住院。必须让家属中有个人专门向护士医生学习护理注意事项和细节", "role": "doctor"}, {"turn": 8, "text": "那这个情况保守的话，还有多长时间啊大夫", "role": "patient"}, {"turn": 9, "text": "这个病医院治疗好转，如果家属护理的好，减少再住院率时间会长点。但具体多长，一个是看心脏心脏情况，一个是看基础生命体征情况", "role": "doctor"}, {"turn": 10, "text": "好的，谢谢您", "role": "patient"}, {"turn": 11, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 71, "thread": [{"turn": 0, "text": "偏头痛，ct检查正常，一般在经期（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这种情况多考虑经行头痛", "role": "doctor"}, {"turn": 2, "text": "经行头痛是指在月经期间出现的头痛。由于在月经期时，体内分泌得雌二醇激素，可促进颅内外血管痉挛收缩，出现头痛，一般在月经结束后可消失。另外在子宫内膜脱落过程中，体内还可分泌前列腺素而起到止血的作用，前列腺素也可使血管出现收缩，使头疼症状加重。一般经过适当的休息后可缓解。如果头痛严重，可以使用解痉止痛药物以及抗前列腺素药物进行治疗。", "role": "doctor"}, {"turn": 3, "text": "一般不需要特别处理，经期结束就减轻或者消除，你可以热敷疼痛部位，促进局部血液循环可以减轻症状，如果实在疼痛严重影响工作或者生活的话可以吃一点布洛芬，布洛芬是偏头痛的常用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 72, "thread": [{"turn": 0, "text": "纤维瘤喝哪些中药会完全消失（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你这个纤维瘤有多大的呢？", "role": "doctor"}, {"turn": 2, "text": "1.3", "role": "patient"}, {"turn": 3, "text": "好像是", "role": "patient"}, {"turn": 4, "text": "是哪个部位的纤维瘤", "role": "doctor"}, {"turn": 5, "text": "摸的话没有疼痛感 也去医院查了 医生说不疼的话 没事 我想喝药看看能不能完全消除 但医生说 不疼的话 不用喝药 但这几天感觉有点变大了 是因为我太注意还是啥 想不做手术 喝中药解决", "role": "patient"}, {"turn": 6, "text": "右胸侧", "role": "patient"}, {"turn": 7, "text": "右侧乳腺还是右侧胸壁", "role": "doctor"}, {"turn": 8, "text": "？", "role": "patient"}, {"turn": 9, "text": "右侧乳腺还是右侧胸壁", "role": "doctor"}, {"turn": 10, "text": "右侧胸壁", "role": "patient"}, {"turn": 11, "text": "右侧胸壁", "role": "patient"}, {"turn": 12, "text": "是已经确诊是纤维瘤了，你有没有彩超结果", "role": "doctor"}, {"turn": 13, "text": "没有 她们没给", "role": "patient"}, {"turn": 14, "text": "？ 很忙吗", "role": "patient"}, {"turn": 15, "text": "不会啊，一般检查过后是有结果的，那你所知道的纤维瘤是谁告诉你的，", "role": "doctor"}, {"turn": 16, "text": "医生", "role": "patient"}, {"turn": 17, "text": "就在一张纸上写了个瘤的大小 其他的没给", "role": "patient"}, {"turn": 18, "text": "你是正规手续做的还是私下做的？", "role": "doctor"}, {"turn": 19, "text": "正规啊", "role": "patient"}, {"turn": 20, "text": "好吧", "role": "doctor"}, {"turn": 21, "text": "所以？ 你只要告诉我 有没有什么药可以治好纤维瘤的就行", "role": "patient"}, {"turn": 22, "text": "你刚才说的纤维瘤想吃中药来治疗，是可以的，临床上有些病人通过中药的汤剂和外敷，可以达到一定程度的减小，甚至消失，但是也有一部分人达不到治疗效果，", "role": "doctor"}, {"turn": 23, "text": "想喝中药 先看看效果 实在不行 就只能手术了", "role": "patient"}, {"turn": 24, "text": "？", "role": "patient"}, {"turn": 25, "text": "这个需要你自己到正规医院的中医科去找专家开处方，中医不像西医，用药差不多，需要望闻问切之后，再开处方，每个人体质不同，处方用药以及用量也会有差别的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 73, "thread": [{"turn": 0, "text": "尿毒症透析病人,气喘无力怎么办？（男，62岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况出现多久了？", "role": "doctor"}, {"turn": 2, "text": "尿毒症透析多长时间了？每周透析几次？", "role": "doctor"}, {"turn": 3, "text": "有没有水肿？", "role": "doctor"}, {"turn": 4, "text": "近半年", "role": "patient"}, {"turn": 5, "text": "每次透析超滤多少？", "role": "doctor"}, {"turn": 6, "text": "有没有水负荷过重的表现？达到干体重了吗？", "role": "doctor"}, {"turn": 7, "text": "前段有点", "role": "patient"}, {"turn": 8, "text": "体内水过多就会出现胸闷气短，不能平卧的现象", "role": "doctor"}, {"turn": 9, "text": "增加脱水的量，严格控制水和盐的摄入", "role": "doctor"}, {"turn": 10, "text": "不清楚", "role": "patient"}, {"turn": 11, "text": "那就增加透析脱水的量吧", "role": "doctor"}, {"turn": 12, "text": "严格控制水和盐的摄入量", "role": "doctor"}, {"turn": 13, "text": "喝水多吗？或者吃稀的多吗？", "role": "doctor"}, {"turn": 14, "text": "近期瘦了十多斤，体内有结石未取出，肾已肿大，痛", "role": "patient"}, {"turn": 15, "text": "肾结石吗？", "role": "doctor"}, {"turn": 16, "text": "前段喝涨较多", "role": "patient"}, {"turn": 17, "text": "营养不良，体重下降，但并不代表达到了干体重", "role": "doctor"}, {"turn": 18, "text": "是的，结石引起的", "role": "patient"}, {"turn": 19, "text": "结石合并感染了吗？", "role": "doctor"}, {"turn": 20, "text": "什么叫干体重", "role": "patient"}, {"turn": 21, "text": "化验尿了吗？有没有发烧呢？", "role": "doctor"}, {"turn": 22, "text": "干体重，就是透析患者体内没有多余水分的体重", "role": "doctor"}, {"turn": 23, "text": "透析半年了，没有听说过干体重这个概念吗？", "role": "doctor"}, {"turn": 24, "text": "这是常识的概念，透析患者基本上都了解的", "role": "doctor"}, {"turn": 25, "text": "三甲医院医生讲不能动手术，痛就吃点止痛药，", "role": "patient"}, {"turn": 26, "text": "如果合并感染，那还需要用抗生素", "role": "doctor"}, {"turn": 27, "text": "结石的处理需要泌尿外科来制定治疗方案", "role": "doctor"}, {"turn": 28, "text": "透析四五年了，是我爸，我前几天要他加多一次透析", "role": "patient"}, {"turn": 29, "text": "你上面说近半年，还以为只透析了半年了呢", "role": "doctor"}, {"turn": 30, "text": "一周透析几次？", "role": "doctor"}, {"turn": 31, "text": "是看的湘雅医院泌尿外科", "role": "patient"}, {"turn": 32, "text": "应该很厉害的泌尿外科", "role": "doctor"}, {"turn": 33, "text": "那就先依从泌尿外科医生的建议", "role": "doctor"}, {"turn": 34, "text": "如果现在没有手术的指征，那就先用止痛药", "role": "doctor"}, {"turn": 35, "text": "但最近气喘", "role": "patient"}, {"turn": 36, "text": "喘的原因，一考虑和体内水过多有关系，二心脏的问题，三肺部疾病", "role": "doctor"}, {"turn": 37, "text": "要做相关的检查才好明确", "role": "doctor"}, {"turn": 38, "text": "做心脏超声，拍胸片，可以了解心脏和肺部的情况", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 74, "thread": [{"turn": 0, "text": "鼻窦炎怎么办呀，回吸都是黄色脓鼻涕（女，29岁）鼻子里面很酸，但是醒不出来 ，要回吸才能吐出来", "role": "patient"}, {"turn": 1, "text": "嗯嗯，你的症状持续有多长时间了", "role": "doctor"}, {"turn": 2, "text": "感冒后才有", "role": "patient"}, {"turn": 3, "text": "不感冒的话就是慢性鼻炎的症状，鼻塞", "role": "patient"}, {"turn": 4, "text": "目前有用什么药吗？", "role": "doctor"}, {"turn": 5, "text": "香菊胶囊", "role": "patient"}, {"turn": 6, "text": "鼻窦炎除了吃药，能有其他什么治疗方法吗", "role": "patient"}, {"turn": 7, "text": "可以清洗", "role": "doctor"}, {"turn": 8, "text": "每日反复冲洗", "role": "doctor"}, {"turn": 9, "text": "用洗鼻器吗", "role": "patient"}, {"turn": 10, "text": "对", "role": "doctor"}, {"turn": 11, "text": "买什么盐呢", "role": "patient"}, {"turn": 12, "text": "我现在喷生理盐水", "role": "patient"}, {"turn": 13, "text": "不感冒的时候，我鼻腔也是经常起红疙瘩，会疼", "role": "patient"}, {"turn": 14, "text": "有专门去找医生看过吗", "role": "doctor"}, {"turn": 15, "text": "医生就说慢性单纯性鼻炎", "role": "patient"}, {"turn": 16, "text": "是生理性海盐水吗", "role": "doctor"}, {"turn": 17, "text": "是的", "role": "patient"}, {"turn": 18, "text": "平常不感冒的时候，鼻腔总会出现红疙瘩", "role": "patient"}, {"turn": 19, "text": "可以", "role": "doctor"}, {"turn": 20, "text": "可以吃地氯雷他定。", "role": "doctor"}, {"turn": 21, "text": "洗鼻的话，在哪里买生理盐水呢？", "role": "patient"}, {"turn": 22, "text": "药店都有啊", "role": "doctor"}, {"turn": 23, "text": "网上有专门的盐水包卖。用来洗鼻子的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 75, "thread": [{"turn": 0, "text": "妊娠高血压对胎儿有多大营影响（女，34岁）", "role": "patient"}, {"turn": 1, "text": "血压控制好问题不大，控制不好容易抽搐、影响胎儿发育", "role": "doctor"}, {"turn": 2, "text": "血压150哦，才16周", "role": "patient"}, {"turn": 3, "text": "那赶紧治疗呀", "role": "doctor"}, {"turn": 4, "text": "是不是很高啊", "role": "patient"}, {"turn": 5, "text": "在吗？", "role": "patient"}, {"turn": 6, "text": "是的", "role": "doctor"}, {"turn": 7, "text": "一般最好140以下的", "role": "doctor"}, {"turn": 8, "text": "有时候是140左右，那这个吃什么药呢", "role": "patient"}, {"turn": 9, "text": "拉贝洛儿或者硝苯地平", "role": "doctor"}, {"turn": 10, "text": "找心内科医生看比较好", "role": "doctor"}, {"turn": 11, "text": "这个药没有买", "role": "patient"}, {"turn": 12, "text": "要到医院开的", "role": "doctor"}, {"turn": 13, "text": "看了，就叫买这个药吃", "role": "patient"}, {"turn": 14, "text": "那就在医院开药呀", "role": "doctor"}, {"turn": 15, "text": "对胎儿有副作用吗？", "role": "patient"}, {"turn": 16, "text": "没有的", "role": "doctor"}, {"turn": 17, "text": "血压最高不要超过多少最好", "role": "patient"}, {"turn": 18, "text": "还有饮食方面要注意什么", "role": "patient"}, {"turn": 19, "text": "饮食上就是口味要清淡一些", "role": "doctor"}, {"turn": 20, "text": "适当吃些高蛋白", "role": "doctor"}, {"turn": 21, "text": "多休息好", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 23, "text": "人正常血压是多少，妊娠高血压最高不要超过多少呀", "role": "patient"}, {"turn": 24, "text": "不用谢哦", "role": "doctor"}, {"turn": 25, "text": "140/90以下", "role": "doctor"}, {"turn": 26, "text": "谢谢，", "role": "patient"}, {"turn": 27, "text": "不早了。赶紧睡觉", "role": "doctor"}, {"turn": 28, "text": "休息不好血压也容易高", "role": "doctor"}, {"turn": 29, "text": "好的", "role": "patient"}, {"turn": 30, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 76, "thread": [{"turn": 0, "text": "哺乳期感冒可以喂奶吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "感冒都有什么症状呢？", "role": "doctor"}, {"turn": 3, "text": "您好，请问您都有什么症状？", "role": "doctor"}, {"turn": 4, "text": "今天刚开始，头有点疼，流鼻涕", "role": "patient"}, {"turn": 5, "text": "有没有发热？", "role": "doctor"}, {"turn": 6, "text": "体温多少？", "role": "doctor"}, {"turn": 7, "text": "体温正常", "role": "patient"}, {"turn": 8, "text": "可以喂奶。", "role": "doctor"}, {"turn": 9, "text": "那我可以吃感冒药吗？吃感冒药可以喂吗", "role": "patient"}, {"turn": 10, "text": "可以，不过仅可能带上口罩。", "role": "doctor"}, {"turn": 11, "text": "有婴儿可以屋里用84消毒液拖地吗？", "role": "patient"}, {"turn": 12, "text": "最好不用，气味较重。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 77, "thread": [{"turn": 0, "text": "支气管炎咳嗽吃什么好的快（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，咳嗽多久了，有没有痰？", "role": "doctor"}, {"turn": 2, "text": "一个多星期了感冒引起", "role": "patient"}, {"turn": 3, "text": "用过什么药吗？做过什么检查吗？", "role": "doctor"}, {"turn": 4, "text": "有时候脓痰有时候白痰", "role": "patient"}, {"turn": 5, "text": "有发热吗", "role": "doctor"}, {"turn": 6, "text": "用的消炎药，喝的胖大海金银花", "role": "patient"}, {"turn": 7, "text": "没做检查", "role": "patient"}, {"turn": 8, "text": "用的什么消炎药呢", "role": "doctor"}, {"turn": 9, "text": "现在弄的胃周围有时业疼，放屁多", "role": "patient"}, {"turn": 10, "text": "没有发热", "role": "patient"}, {"turn": 11, "text": "感觉谭中", "role": "patient"}, {"turn": 12, "text": "咳嗽严重吗", "role": "doctor"}, {"turn": 13, "text": "感觉谭中堵", "role": "patient"}, {"turn": 14, "text": "还好吧", "role": "patient"}, {"turn": 15, "text": "可以口服阿奇霉素，阿斯美，平时要多喝水，注意休息，不要熬夜，劳累避免受凉。", "role": "doctor"}, {"turn": 16, "text": "我这是什么病啊", "role": "patient"}, {"turn": 17, "text": "这就没了吗", "role": "patient"}, {"turn": 18, "text": "考虑是急性的支气管炎", "role": "doctor"}, {"turn": 19, "text": "吃大蒜好吗", "role": "patient"}, {"turn": 20, "text": "请问都用过什么药，做什么检查了？", "role": "doctor"}, {"turn": 21, "text": "尽量不要吃大蒜，大蒜还是有刺激性的", "role": "doctor"}, {"turn": 22, "text": "从昨天吃了大蒜后吐了些痰感觉舒服好多", "role": "patient"}, {"turn": 23, "text": "是不是没了", "role": "patient"}, {"turn": 24, "text": "还是建议多喝水，促进痰液的排出。", "role": "doctor"}, {"turn": 25, "text": "不要吸烟，吃辛辣刺激的食物", "role": "doctor"}, {"turn": 26, "text": "医生你就说你的回答是不是结束了", "role": "patient"}, {"turn": 27, "text": "什么意思呢？请问你还有什么问题吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 78, "thread": [{"turn": 0, "text": "41周羊水11破水了8个小时（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好，现在在破水状态已经11个小时了吗？", "role": "doctor"}, {"turn": 2, "text": "有宫缩吗？", "role": "doctor"}, {"turn": 3, "text": "下午五点到现在", "role": "patient"}, {"turn": 4, "text": "很少 基本不疼", "role": "patient"}, {"turn": 5, "text": "您是第几胎？", "role": "doctor"}, {"turn": 6, "text": "下午做的ntc", "role": "patient"}, {"turn": 7, "text": "第一胎", "role": "patient"}, {"turn": 8, "text": "是oct吗？", "role": "doctor"}, {"turn": 9, "text": "上午羊水检查是11点多", "role": "patient"}, {"turn": 10, "text": "怕羊水少了 娃缺氧", "role": "patient"}, {"turn": 11, "text": "嗯嗯", "role": "patient"}, {"turn": 12, "text": "在医院会给您监测胎心的", "role": "doctor"}, {"turn": 13, "text": "这个能等到明天上午吗？", "role": "patient"}, {"turn": 14, "text": "应该明天点缩宫素吧", "role": "doctor"}, {"turn": 15, "text": "正常情况下是可以的", "role": "doctor"}, {"turn": 16, "text": "羊水流的厉害 会不会对孩子有影响", "role": "patient"}, {"turn": 17, "text": "这个需要监测胎心变化，您自己感觉胎动来判断的", "role": "doctor"}, {"turn": 18, "text": "好吧!晚上也只能等着了", "role": "patient"}, {"turn": 19, "text": "嗯嗯，您现在能休息就休息，等用药之后会大量消耗体力的", "role": "doctor"}, {"turn": 20, "text": "好的 谢谢!", "role": "patient"}, {"turn": 21, "text": "😊😊不客气，祝您好运", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 79, "thread": [{"turn": 0, "text": "新生儿黄疸治愈后7天还会有黄疸吗（女，2个月）", "role": "patient"}, {"turn": 1, "text": "你好，多数退到10以下就可能性小", "role": "doctor"}, {"turn": 2, "text": "病理性黄疸多反复", "role": "doctor"}, {"turn": 3, "text": "我家宝宝今天46天了，黄疸治愈一个星期了", "role": "patient"}, {"turn": 4, "text": "昨天晚上闹了半夜，今天看着脸色没那么红润了，有点黄", "role": "patient"}, {"turn": 5, "text": "病理性的是不是一出生就有黄疸", "role": "patient"}, {"turn": 6, "text": "有黄疸药物吗", "role": "doctor"}, {"turn": 7, "text": "可以吃几天再复查看看", "role": "doctor"}, {"turn": 8, "text": "保险测数值看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 80, "thread": [{"turn": 0, "text": "产后脱肛该怎么办，会自愈吗（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "没有特别的不适", "role": "patient"}, {"turn": 3, "text": "就是掉出来感觉不习惯，不舒服", "role": "patient"}, {"turn": 4, "text": "有特别的不舒服，建议平时可以适当进行提纲锻炼，自己可以恢复。", "role": "doctor"}, {"turn": 5, "text": "提肛锻炼就是像忍大便一样，将肛门向上提，然后放松，接着再往上提，一提一松，反复进行。站、坐、行均可进行，每次做提肛运动50次左右，持续5－10分钟即可。提肛运动可以促进局部血液循环，预防痔疮等肛周疾病。", "role": "doctor"}, {"turn": 6, "text": "需要去医院治疗吗", "role": "patient"}, {"turn": 7, "text": "后期可恢复吗", "role": "patient"}, {"turn": 8, "text": "后期可以恢复，一般不用治疗的朋友不用紧张。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 81, "thread": [{"turn": 0, "text": "良性卵巢囊肿ca125是185（女，47岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "子宫前位大小约58×36×47毫米被膜光滑肌层回声均匀，子宫内膜厚约六毫米，宫腔内见节育器强回声，位置正常，与左侧附件区探及一大小约40×33毫米的低回声包块，界限清晰，形态规则，内回声不均匀，Cdfi可采集到血流信号，右卵巢可见，右侧附件区未见明显异常", "role": "patient"}, {"turn": 3, "text": "请把您的报告单发过来。", "role": "doctor"}, {"turn": 4, "text": "平时有没有痛经啊？", "role": "doctor"}, {"turn": 5, "text": "糖类抗原125：结果185", "role": "patient"}, {"turn": 6, "text": "痛经严重吗？", "role": "doctor"}, {"turn": 7, "text": "还可以，比正常痛", "role": "patient"}, {"turn": 8, "text": "这样的话，这个很可能是一个巧克力囊肿。", "role": "doctor"}, {"turn": 9, "text": "严重吗", "role": "patient"}, {"turn": 10, "text": "这个不严重的。", "role": "doctor"}, {"turn": 11, "text": "185了", "role": "patient"}, {"turn": 12, "text": "正常是35以内，症状有鱼腥味", "role": "patient"}, {"turn": 13, "text": "没事儿的，不要担心，这个是巧克力囊肿的一个标志。", "role": "doctor"}, {"turn": 14, "text": "用做手术吗", "role": "patient"}, {"turn": 15, "text": "这个可以观察下个月月经干净复查，看看啥情况。", "role": "doctor"}, {"turn": 16, "text": "要不要吃什么药", "role": "patient"}, {"turn": 17, "text": "这个吃药一般都没有效果的。", "role": "doctor"}, {"turn": 18, "text": "要做手术吗", "role": "patient"}, {"turn": 19, "text": "暂时可以观察", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 82, "thread": [{"turn": 0, "text": "内分泌失调少量出血怎么回事？（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，就是性激素水平紊乱", "role": "doctor"}, {"turn": 2, "text": "出血的问题是什么情况？", "role": "patient"}, {"turn": 3, "text": "就是激素刺激内膜导致月经，", "role": "doctor"}, {"turn": 4, "text": "如果激素水平紊乱，导致0出血", "role": "doctor"}, {"turn": 5, "text": "还有我之前减肥 瘦了将近25斤左右 是不是也有关系 现在吃点什么能补回来？平时饮食方面能不能吃点什么", "role": "patient"}, {"turn": 6, "text": "有的，体重减轻会月经紊乱，或者停经0", "role": "doctor"}, {"turn": 7, "text": "好的  那我现在需要注意什么吗？比如说 吃点什么可以补回来？   还是我就随便吃点 吃饱就行", "role": "patient"}, {"turn": 8, "text": "减肥不要太快，加强饮食，避孕药调经", "role": "doctor"}, {"turn": 9, "text": "嗯 只要调理好了 就没事对吧  这个大概需要多久才能调理好呢？", "role": "patient"}, {"turn": 10, "text": "这个不好说，月经乱，避孕药调经就好了", "role": "doctor"}, {"turn": 11, "text": "避孕药调经？", "role": "patient"}, {"turn": 12, "text": "避孕，药调经 是不是？", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}, {"turn": 14, "text": "好的  谢谢", "role": "patient"}, {"turn": 15, "text": "优思明", "role": "doctor"}, {"turn": 16, "text": "嗯 谢谢了", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 83, "thread": [{"turn": 0, "text": "脑梗菜谱脑血栓吃什么好（男，57岁）", "role": "patient"}, {"turn": 1, "text": "您好脑血栓多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "才发现的", "role": "patient"}, {"turn": 3, "text": "注意低盐低脂饮食、控制危险因素如高血压，糖尿病、心房纤颤等、服用阿司匹林肠溶片，他汀类药物预防血栓再发，戒烟限酒、多活动减轻体重、多吃蔬菜水果。并定期复查血常规，肝肾功能，肌酶等检查。", "role": "doctor"}, {"turn": 4, "text": "一般清淡饮食，低盐低脂饮食", "role": "doctor"}, {"turn": 5, "text": "菜一般什么最好还有荤的可以吃那些谢谢", "role": "patient"}, {"turn": 6, "text": "患者目前什么情况？有口角歪斜，吞咽困难吗", "role": "doctor"}, {"turn": 7, "text": "如有吞咽困难，需要吃稠的食物，注意多样化饮食，瘦肉可以吃，不要多，不要太油腻", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 84, "thread": [{"turn": 0, "text": "十个月宝宝吃奶粉流口水起湿疹", "role": "patient"}, {"turn": 1, "text": "你好！这种情况有多久了？给宝宝用药膏了吗？", "role": "doctor"}, {"turn": 2, "text": "昨天到现在，用了湿疹膏", "role": "patient"}, {"turn": 3, "text": "但是情绪很不好，总哭，口水还很多", "role": "patient"}, {"turn": 4, "text": "这几天断奶开始吃奶粉，不知道喝奶粉有关系不", "role": "patient"}, {"turn": 5, "text": "宝宝是否有消化不良？", "role": "doctor"}, {"turn": 6, "text": "引起湿疹的原因，比如保暖过度，过敏体质，消化道异常发酵。", "role": "doctor"}, {"turn": 7, "text": "如果宝宝出现消化不良，也容易长湿疹。", "role": "doctor"}, {"turn": 8, "text": "口水呢是口水疹吗，长了四颗牙，已经一个多月没动静了，也不知道口水和长牙有没有关系", "role": "patient"}, {"turn": 9, "text": "流口水跟长牙有直接关系的。", "role": "doctor"}, {"turn": 10, "text": "口水疹就是湿疹。给宝宝用小儿婴宝涂抹。", "role": "doctor"}, {"turn": 11, "text": "那现在这个状况和奶粉有关系吗", "role": "patient"}, {"turn": 12, "text": "如果宝宝有消化不良的情况是有关系的。", "role": "doctor"}, {"turn": 13, "text": "好的，便秘，消化不良吃什么药呢，七星茶可以吗", "role": "patient"}, {"turn": 14, "text": "可以吃小儿七星茶，也可以吃益生菌。", "role": "doctor"}, {"turn": 15, "text": "好的，谢谢", "role": "patient"}, {"turn": 16, "text": "好的不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 85, "thread": [{"turn": 0, "text": "长水痘可以吃金针菇吗（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好！确诊为水痘吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "在用药吗", "role": "doctor"}, {"turn": 4, "text": "在吃阿昔洛韦片，也在外用阿昔洛韦软膏，还吃着维生素B12", "role": "patient"}, {"turn": 5, "text": "哦！", "role": "doctor"}, {"turn": 6, "text": "水痘属于自限性疾病可以自愈的，发生水痘注意不要用手抓挠容易诱发感染留下疤痕，可以口服阿昔洛韦或伐昔洛韦片，局部可以使用阿昔洛韦软膏或捷抚喷雾剂，不能使用激素类软膏，痘痘痒可以用炉甘石洗剂外涂（没有破的痘痘可以用），出现发烧对症处理就可以了，多喝开水，多吃水果蔬菜补充维生素C。", "role": "doctor"}, {"turn": 7, "text": "发病时忌食发物、辛辣、油腻之物和热性食物，如香菜、羊肉、狗肉、海虾、辣椒、胡椒、韮菜、大蒜、生姜、桂圆等，多吃易消化及营养丰富的流质及半流质饮食，如白开水、绿豆汤、小麦汤、粥、面片等。", "role": "doctor"}, {"turn": 8, "text": "这些我在网上都看到过，但是我就是不确定能不能吃金针菇", "role": "patient"}, {"turn": 9, "text": "可以吃", "role": "doctor"}, {"turn": 10, "text": "好的，", "role": "patient"}, {"turn": 11, "text": "谢谢", "role": "patient"}, {"turn": 12, "text": "不客气哈！祝你早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 86, "thread": [{"turn": 0, "text": "做完肛窦炎手术自己上药吗（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，做完手术多长时间了？", "role": "doctor"}, {"turn": 2, "text": "第三天", "role": "patient"}, {"turn": 3, "text": "天天去那边换药好贵都是5/600", "role": "patient"}, {"turn": 4, "text": "请问做的什么术式？", "role": "doctor"}, {"turn": 5, "text": "肛窦炎微创手术，", "role": "patient"}, {"turn": 6, "text": "是形成脓肿了吗？还是有硬疙瘩？", "role": "doctor"}, {"turn": 7, "text": "都没有，只是去换药和抗感染的，还有什么中药熏透，", "role": "patient"}, {"turn": 8, "text": "服务态度挺好就是太贵听说以前名声不怎么好，不打算去他家换药了", "role": "patient"}, {"turn": 9, "text": "那不用去医院的，自行抗炎、外用栓剂及坐浴熏洗就可以的", "role": "doctor"}, {"turn": 10, "text": "是什么药呢推荐一下", "role": "patient"}, {"turn": 11, "text": "如果炎症不重没有药物过敏口服头孢类抗生素，外用痔疮栓及热水坐浴", "role": "doctor"}, {"turn": 12, "text": "哪医生说话蛮吓人的，说什么天天去换药别感染什么的，不然以后不好弄很麻烦，其实每天过去也就是肛门哪里上的什么药不太清楚，然后就直接挂抗感染就没啦", "role": "patient"}, {"turn": 13, "text": "是私人医院吗", "role": "doctor"}, {"turn": 14, "text": "温州五马医院", "role": "patient"}, {"turn": 15, "text": "那边我不熟的，我建议你再去大医院检查一下", "role": "doctor"}, {"turn": 16, "text": "他们家好像是什么卫生部啥医院来着管的", "role": "patient"}, {"turn": 17, "text": "不是特别大的医院", "role": "patient"}, {"turn": 18, "text": "看病尽量去公立正规医院，不然会被骗的", "role": "doctor"}, {"turn": 19, "text": "你现在有什么不适症状？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 87, "thread": [{"turn": 0, "text": "血管神经性头痛右边太阳血上方（男，36岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "做过颅脑ct吗", "role": "doctor"}, {"turn": 3, "text": "血管神经性头痛跟熬夜，劳累有关系的，最好的治疗办法是多睡觉", "role": "doctor"}, {"turn": 4, "text": "可以对症口服西比灵或者养血清脑颗粒", "role": "doctor"}, {"turn": 5, "text": "做过颅脑ct", "role": "patient"}, {"turn": 6, "text": "好着呢，没撒异常", "role": "patient"}, {"turn": 7, "text": "那考虑血管神经质头疼", "role": "doctor"}, {"turn": 8, "text": "问题不大，改变生活习惯", "role": "doctor"}, {"turn": 9, "text": "别熬夜", "role": "doctor"}, {"turn": 10, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 11, "text": "不客气哈", "role": "doctor"}, {"turn": 12, "text": "有问题随时问", "role": "doctor"}, {"turn": 13, "text": "或者给我留言", "role": "doctor"}, {"turn": 14, "text": "我也要睡觉了", "role": "doctor"}, {"turn": 15, "text": "咨询结束后满意请在右下角好评哈，有问题随时联系哈，谢谢。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 88, "thread": [{"turn": 0, "text": "前几天感冒 症状就是鼻塞（女，30岁）怀孕前几天就是感冒鼻塞要紧吗", "role": "patient"}, {"turn": 1, "text": "如果不严重的感冒，问题不大", "role": "doctor"}, {"turn": 2, "text": "刚好你也做羊水穿刺筛查看看", "role": "doctor"}, {"turn": 3, "text": "就是感冒 鼻子有鼻涕  可能有点上火  有一次鼻子有血  但是不是特别多", "role": "patient"}, {"turn": 4, "text": "那对胎儿影响不大，不用担心", "role": "doctor"}, {"turn": 5, "text": "医生 谢谢你 很感谢你抽出时间", "role": "patient"}, {"turn": 6, "text": "不客气，亲，祝你好孕", "role": "doctor"}, {"turn": 7, "text": "如有需要可以就要", "role": "doctor"}, {"turn": 8, "text": "留言", "role": "doctor"}, {"turn": 9, "text": "好的 医生  非常感谢您", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 89, "thread": [{"turn": 0, "text": "新生儿乙肝病毒感染性黄疸可治愈吗（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，黄疸是可以治愈的", "role": "doctor"}, {"turn": 2, "text": "但是乙肝病毒感染并不常见", "role": "doctor"}, {"turn": 3, "text": "您确定？", "role": "doctor"}, {"turn": 4, "text": "妈妈有小三阳", "role": "patient"}, {"turn": 5, "text": "病理性黄疸有包括乙肝病毒感染引起原因", "role": "patient"}, {"turn": 6, "text": "乙肝病毒感染引起的黄疸是说宝宝也感染了妈妈的乙肝吗？", "role": "patient"}, {"turn": 7, "text": "妈妈有小三阳和宝宝是否感染乙肝完全是两回事", "role": "doctor"}, {"turn": 8, "text": "妈妈有小三阳宝宝很少生后就被感染，很少", "role": "doctor"}, {"turn": 9, "text": "病理性黄疸有包括乙肝病毒感染引起原因\n\n包括并不代表就是，还包括肝脏不成熟导致黄疸", "role": "doctor"}, {"turn": 10, "text": "黄疸原因很多，不建议自己猜测", "role": "doctor"}, {"turn": 11, "text": "黄疸数值多少？", "role": "doctor"}, {"turn": 12, "text": "34天了最高地方9", "role": "patient"}, {"turn": 13, "text": "如果是乙肝感染性黄疸是说宝宝感染了妈妈的乙肝吗？", "role": "patient"}, {"turn": 14, "text": "最高才9？", "role": "doctor"}, {"turn": 15, "text": "很可能是宝宝肝脏不成熟导致", "role": "doctor"}, {"turn": 16, "text": "9这个数值也不怎么高呀，安心观察就可以", "role": "doctor"}, {"turn": 17, "text": "5天监测一次黄疸数值就可以", "role": "doctor"}, {"turn": 18, "text": "如果是乙肝感染性黄疸是说宝宝感染了妈妈的乙肝吗？\n\n这个原因没必要考虑，黄疸不会这么低，才9", "role": "doctor"}, {"turn": 19, "text": "别给自己添加烦恼了", "role": "doctor"}, {"turn": 20, "text": "乙肝感染性黄疸很少，也不会这么低\n\n确诊方法是做乙肝病毒抗体和肝功，没什么必要，9太低了，观察更适合。", "role": "doctor"}, {"turn": 21, "text": "请问医生妈妈有单纯疱疹病毒1型感染，宝宝没有感染，母乳喂养，是不是母亲这病毒导致宝宝黄疸不退？", "role": "patient"}, {"turn": 22, "text": "既然宝宝没有感染，当然不是这病毒导致宝宝黄疸不退", "role": "doctor"}, {"turn": 23, "text": "前面回复中说的9很低的意思您能理解吗，就是不用考虑太多，安心观察就可以，等待慢慢消退，3个月以内消退都是正常的", "role": "doctor"}, {"turn": 24, "text": "可是肝功能已经受损了", "role": "patient"}, {"turn": 25, "text": "必须查明原因降下黄疸", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 90, "thread": [{"turn": 0, "text": "妊娠期糖尿病饮食能吃什么（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的身高和体重是多少？", "role": "doctor"}, {"turn": 2, "text": "身高153体重133", "role": "patient"}, {"turn": 3, "text": "现在怀孕多长时间了？", "role": "doctor"}, {"turn": 4, "text": "6个多月", "role": "patient"}, {"turn": 5, "text": "现在血糖控制怎么样？", "role": "doctor"}, {"turn": 6, "text": "现在水喝的多控制的还好正常 就是想问一下能吃哪些东西", "role": "patient"}, {"turn": 7, "text": "东西能不能吃，千万不要以甜不甜的判断，其实我们很多东西热量是很高的，比如说瓜子，花生吧，可以夸张一点讲一颗瓜子的热量等于一碗饭，一粒油炸花生米等于3碗饭。他们根本就一点都不甜，但是热量是非常高，尽量不要去吃。", "role": "doctor"}, {"turn": 8, "text": "哪哪方面的食物可以吃的", "role": "patient"}, {"turn": 9, "text": "有问题尽管问啊", "role": "doctor"}, {"turn": 10, "text": "有问题尽管问啊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 91, "thread": [{"turn": 0, "text": "孕期霉菌性阴道炎反复发作用用什么药好（女，27岁）", "role": "patient"}, {"turn": 1, "text": "现在怀孕多长时间了？", "role": "doctor"}, {"turn": 2, "text": "五个月了", "role": "patient"}, {"turn": 3, "text": "霉菌，可以用红核洗液洗洗外阴阴道，阴道内放硝呋太尔阴道胶囊治疗一下", "role": "doctor"}, {"turn": 4, "text": "已经有两三个月了，经常反复发作", "role": "patient"}, {"turn": 5, "text": "只能是用药消炎治疗一下，勤换内裤，不吃辛辣食物，霉菌就是容易复发，不容易去根", "role": "doctor"}, {"turn": 6, "text": "之前还用了硝呋太尔制霉素阴道软膏，停药几天有发作了，红核洗液也用过没什么作用", "role": "patient"}, {"turn": 7, "text": "那也没有什么好药，你可以试试苦参凝胶，或是双唑泰栓", "role": "doctor"}, {"turn": 8, "text": "瘙痒，可以涂点克霉唑乳膏", "role": "doctor"}, {"turn": 9, "text": "主要就是瘙痒，痒的太难受了", "role": "patient"}, {"turn": 10, "text": "嗯，理解，涂点克霉唑乳膏，可以用碳酸氢钠坐浴", "role": "doctor"}, {"turn": 11, "text": "会不会对胎儿有影响", "role": "patient"}, {"turn": 12, "text": "一般不影响宝宝发育", "role": "doctor"}, {"turn": 13, "text": "霉菌性阴道炎是不是很难根治", "role": "patient"}, {"turn": 14, "text": "对呀", "role": "doctor"}, {"turn": 15, "text": "比较难治愈", "role": "doctor"}, {"turn": 16, "text": "孕期得霉菌对胎儿有影响吗", "role": "patient"}, {"turn": 17, "text": "一般不影响宝宝发育", "role": "doctor"}, {"turn": 18, "text": "需要定期复查", "role": "doctor"}, {"turn": 19, "text": "凯尼丁能用不", "role": "patient"}, {"turn": 20, "text": "可以用", "role": "doctor"}, {"turn": 21, "text": "都不影响胎儿吧", "role": "patient"}, {"turn": 22, "text": "不影响的", "role": "doctor"}, {"turn": 23, "text": "什么药效果更好一点呢", "role": "patient"}, {"turn": 24, "text": "这个具体哪种药物效果好，也是因人而异的，你用了硝呋太尔效果不好，那就用双唑泰栓试试", "role": "doctor"}, {"turn": 25, "text": "用硝呋太尔好了，几天又开始复发了", "role": "patient"}, {"turn": 26, "text": "那也可以再用一周看看", "role": "doctor"}, {"turn": 27, "text": "都用了三支药膏了", "role": "patient"}, {"turn": 28, "text": "怀孕了身体抵抗力低，就是容易复发", "role": "doctor"}, {"turn": 29, "text": "瘙痒就继续治疗啊", "role": "doctor"}, {"turn": 30, "text": "好的，谢谢医生了", "role": "patient"}, {"turn": 31, "text": "不客气了，祝你健康好孕", "role": "doctor"}, {"turn": 32, "text": "碳酸氢钠是不是就是小苏打", "role": "patient"}, {"turn": 33, "text": "对呀", "role": "doctor"}, {"turn": 34, "text": "直接用超市袋装的行不行，还是要去药店买片剂的", "role": "patient"}, {"turn": 35, "text": "建议去药店买药", "role": "doctor"}, {"turn": 36, "text": "好的", "role": "patient"}, {"turn": 37, "text": "好，", "role": "doctor"}, {"turn": 38, "text": "药店买的是医用的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 92, "thread": [{"turn": 0, "text": "阑尾炎是怎么引起的你好（男，53岁）", "role": "patient"}, {"turn": 1, "text": "[病因]\n临床上主要分为急性阑尾炎和慢性阑尾炎两种，其病因如下： 1.急性阑尾炎 （1）梗阻   阑尾为一细长的管道，仅一端与盲肠相通，一旦梗阻可使管腔内分泌物积存、内压增高，压迫阑尾壁阻碍远侧血运。在此基础上管腔内细菌侵入受损黏膜，易致感染。 （2）感染   其主要因素为阑尾腔内细菌所致的直接感染。若阑尾黏膜稍有损伤，细菌侵入管壁，引起不同程度的感染。 （3）其他   被认为与发病有关的其他因素中有因腹泻、便秘等胃肠道功能障碍引起内脏神经反射，导致阑尾肌肉和血管痉挛，产生阑尾管腔狭窄、血供障碍、黏膜受损，细菌入侵而致急性炎症。 2.慢性阑尾炎 慢性阑尾炎可分为反复发作性阑尾炎和慢性阑尾炎两大类。前者多由于急性阑尾炎发作时病灶未能彻底除去残留感染，病情迁延不愈而致。后者没有急性阑尾炎发作史，症状隐晦，体征也多不确切", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 93, "thread": [{"turn": 0, "text": "阑尾炎术后五天可以吃巧克力千层蛋糕吗（女，14岁）", "role": "patient"}, {"turn": 1, "text": "您好，什么时候做的手术？", "role": "doctor"}, {"turn": 2, "text": "12月6日", "role": "patient"}, {"turn": 3, "text": "那不要吃巧克力蛋糕", "role": "doctor"}, {"turn": 4, "text": "手术初期吃巧克力蛋糕，容易引起腹胀，影响消化功能恢复", "role": "doctor"}, {"turn": 5, "text": "好的", "role": "patient"}, {"turn": 6, "text": "嗯嗯，清淡饮食", "role": "doctor"}, {"turn": 7, "text": "可以长时间坐着吗", "role": "patient"}, {"turn": 8, "text": "尽量动动防止肠粘连", "role": "doctor"}, {"turn": 9, "text": "感觉伤口痒还有一点刺挠", "role": "patient"}, {"turn": 10, "text": "是怎么回事", "role": "patient"}, {"turn": 11, "text": "刚开始痒是正常的", "role": "doctor"}, {"turn": 12, "text": "伤口需要长肉", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "祝您身体健康，生活愉快！", "role": "doctor"}, {"turn": 15, "text": "可以不吃早餐吗", "role": "patient"}, {"turn": 16, "text": "少食多餐", "role": "doctor"}, {"turn": 17, "text": "早餐尽量吃", "role": "doctor"}, {"turn": 18, "text": "可以吃果丹皮吗", "role": "patient"}, {"turn": 19, "text": "类似于山楂之类", "role": "patient"}, {"turn": 20, "text": "？", "role": "patient"}, {"turn": 21, "text": "可以，五六天以后，但是这个比较难消化", "role": "doctor"}, {"turn": 22, "text": "不吃巧克力蛋糕 单纯的吃巧克力可以吗", "role": "patient"}, {"turn": 23, "text": "再过几天吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 94, "thread": [{"turn": 0, "text": "低血糖该怎么调理呢？（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你的血糖是多少呢？", "role": "doctor"}, {"turn": 2, "text": "3.51", "role": "patient"}, {"turn": 3, "text": "请问有什么症状呢？", "role": "doctor"}, {"turn": 4, "text": "出现过晕倒的情况", "role": "patient"}, {"turn": 5, "text": "请问血糖有没有低于2.8过？", "role": "doctor"}, {"turn": 6, "text": "还有蹲下一会儿就会有头晕的情况", "role": "patient"}, {"turn": 7, "text": "晕倒的那次有心慌、出汗、饥饿感吗", "role": "doctor"}, {"turn": 8, "text": "您血压多少呢", "role": "doctor"}, {"turn": 9, "text": "有贫血吗", "role": "doctor"}, {"turn": 10, "text": "没有贫血", "role": "patient"}, {"turn": 11, "text": "70-100", "role": "patient"}, {"turn": 12, "text": "高压有低到70是吗", "role": "doctor"}, {"turn": 13, "text": "如果您血糖没有低至2.8，不算低血糖的。每次头晕没有心慌、出汗、饥饿感，那头晕可能不是低血糖的问题", "role": "doctor"}, {"turn": 14, "text": "好的吧", "role": "patient"}, {"turn": 15, "text": "谢谢医生", "role": "patient"}, {"turn": 16, "text": "您每次头晕，看东西会旋转吗？", "role": "doctor"}, {"turn": 17, "text": "您上次晕倒，意识是清楚的吗？", "role": "doctor"}, {"turn": 18, "text": "有没有耳鸣、听力下降呢", "role": "doctor"}, {"turn": 19, "text": "平时有没有在吃什么药呢", "role": "doctor"}, {"turn": 20, "text": "第一次晕倒，就觉得头晕然后倒地被家人唤醒的；第二次晕倒，是有意识并且立刻自己醒了", "role": "patient"}, {"turn": 21, "text": "平时不吃药，偶尔感冒会吃感冒药", "role": "patient"}, {"turn": 22, "text": "建议您神经内科看一下，做个头颅核磁，颈部血管超声看一下是不是有血管问题", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "您下次蹲下起身动作放慢，看一下会不会减少症状发证", "role": "doctor"}, {"turn": 25, "text": "发生", "role": "doctor"}, {"turn": 26, "text": "明白了", "role": "patient"}, {"turn": 27, "text": "👌", "role": "doctor"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "👌", "role": "patient"}, {"turn": 30, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 95, "thread": [{"turn": 0, "text": "新生儿肺炎能吃脾氨肽冻干粉口服液吗（女，1个月）", "role": "patient"}, {"turn": 1, "text": "请问宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "新生儿最好不要吃", "role": "doctor"}, {"turn": 3, "text": "六个月后母体给的抗体才消失", "role": "doctor"}, {"turn": 4, "text": "新生儿肺炎住院10天，回来有点咳嗽", "role": "patient"}, {"turn": 5, "text": "只要咳嗽不深", "role": "doctor"}, {"turn": 6, "text": "不要紧的", "role": "doctor"}, {"turn": 7, "text": "恢复期会有点儿", "role": "doctor"}, {"turn": 8, "text": "能吃脾氨肽冻干粉口服液吗", "role": "patient"}, {"turn": 9, "text": "不能吃", "role": "doctor"}, {"turn": 10, "text": "回来5天了，", "role": "patient"}, {"turn": 11, "text": "回来时不咳嗽，昨天晚上才咳嗽的", "role": "patient"}, {"turn": 12, "text": "是偶尔咳嗽一下还是持续", "role": "doctor"}, {"turn": 13, "text": "能不能吃点什么药", "role": "patient"}, {"turn": 14, "text": "是不是又感染了", "role": "doctor"}, {"turn": 15, "text": "不是很多，一次咳两声，睡觉醒来就咳嗽", "role": "patient"}, {"turn": 16, "text": "我也不知道，", "role": "patient"}, {"turn": 17, "text": "咳嗽深不深有没有痰", "role": "doctor"}, {"turn": 18, "text": "感觉有痰，住院回来感觉呼吸还是快", "role": "patient"}, {"turn": 19, "text": "我感觉今天睡觉比较多", "role": "patient"}, {"turn": 20, "text": "带孩子来医院听听肺上咋样吧！", "role": "doctor"}, {"turn": 21, "text": "是不是病情又反复了", "role": "doctor"}, {"turn": 22, "text": "要不要带去听听肺部", "role": "patient"}, {"turn": 23, "text": "如果吃药的话建议吃什么药", "role": "patient"}, {"turn": 24, "text": "我也不知道，带的比较细心，怎么又反复了", "role": "patient"}, {"turn": 25, "text": "主要是天气变化的原因", "role": "doctor"}, {"turn": 26, "text": "在吗？", "role": "patient"}, {"turn": 27, "text": "带孩子来医院听听吧", "role": "doctor"}, {"turn": 28, "text": "嗯嗯", "role": "patient"}, {"turn": 29, "text": "脾氨肽冻干粉新生儿可以吃吗？有的又说可以吃", "role": "patient"}, {"turn": 30, "text": "我们新生儿从不用这个", "role": "doctor"}, {"turn": 31, "text": "那可以吃什么药", "role": "patient"}, {"turn": 32, "text": "新生儿没有提高机体免疫力的药物", "role": "doctor"}, {"turn": 33, "text": "增加抵抗力的", "role": "patient"}, {"turn": 34, "text": "嗯嗯", "role": "doctor"}, {"turn": 35, "text": "宝宝出生时乙肝疫苗没有产生抗体，是不是跟她抵抗力有关系", "role": "patient"}, {"turn": 36, "text": "与这个没有关系", "role": "doctor"}, {"turn": 37, "text": "好的", "role": "patient"}, {"turn": 38, "text": "是不是患个肺炎的宝宝，容易在患肺炎", "role": "patient"}, {"turn": 39, "text": "也不是", "role": "doctor"}, {"turn": 40, "text": "肺炎有些恢复起来就是需要时间，可能要慢一些", "role": "doctor"}, {"turn": 41, "text": "那为什么会反复", "role": "patient"}, {"turn": 42, "text": "这个原因很多", "role": "doctor"}, {"turn": 43, "text": "与孩子，环境因素都有关系", "role": "doctor"}, {"turn": 44, "text": "肺炎出院吃点药是不是恢复的更好更快", "role": "patient"}, {"turn": 45, "text": "出院后都隔离的，只有我带孩子在房间", "role": "patient"}, {"turn": 46, "text": "好的", "role": "patient"}, {"turn": 47, "text": "肺炎恢复期的孩子就是比较难带", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 96, "thread": [{"turn": 0, "text": "便秘三天以后拉肚子吃啥药（男，64）", "role": "patient"}, {"turn": 1, "text": "有没有别的症状呢？比如便血", "role": "doctor"}, {"turn": 2, "text": "我有脾湿热", "role": "patient"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "便秘突然拉肚子还是？", "role": "doctor"}, {"turn": 5, "text": "就是拉稀一天拉四五次第二天就不拉了.然后在三四天不便", "role": "patient"}, {"turn": 6, "text": "这种情况我建议你去做个肠镜", "role": "doctor"}, {"turn": 7, "text": "这样的情况有半年了", "role": "patient"}, {"turn": 8, "text": "我脾不好", "role": "patient"}, {"turn": 9, "text": "现在不是脾的事", "role": "doctor"}, {"turn": 10, "text": "腹部左面一直不舒服", "role": "patient"}, {"turn": 11, "text": "对，所以说去做个肠镜看看", "role": "doctor"}, {"turn": 12, "text": "乡镇医生让我吃补脾益肠丸见效不大", "role": "patient"}, {"turn": 13, "text": "我建议去做肠镜", "role": "doctor"}, {"turn": 14, "text": "肚脐上面也有时不舒服", "role": "patient"}, {"turn": 15, "text": "恩", "role": "doctor"}, {"turn": 16, "text": "你怀疑结肠有毛病吧", "role": "patient"}, {"turn": 17, "text": "对呀，因为这有点像肠道功能紊乱", "role": "doctor"}, {"turn": 18, "text": "那吃啥药合适呢", "role": "patient"}, {"turn": 19, "text": "先可以不用药", "role": "doctor"}, {"turn": 20, "text": "最好明确什么病再吃药", "role": "doctor"}, {"turn": 21, "text": "嗯", "role": "patient"}, {"turn": 22, "text": "好谢谢你", "role": "patient"}, {"turn": 23, "text": "嗯嗯", "role": "doctor"}, {"turn": 24, "text": "那我得去县医院", "role": "patient"}, {"turn": 25, "text": "恩", "role": "doctor"}, {"turn": 26, "text": "你休息吧打扰了", "role": "patient"}, {"turn": 27, "text": "客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 97, "thread": [{"turn": 0, "text": "经常感冒打什么针提高免疫力（女，40岁）", "role": "patient"}, {"turn": 1, "text": "胸腺法新！   皮下注射", "role": "doctor"}, {"turn": 2, "text": "流鼻涕，乏力，", "role": "patient"}, {"turn": 3, "text": "排查甲流", "role": "doctor"}, {"turn": 4, "text": "月经不正常，有时一个月一次，有时两次", "role": "patient"}, {"turn": 5, "text": "量怎么样", "role": "doctor"}, {"turn": 6, "text": "每次来都是四五天，量不是很多", "role": "patient"}, {"turn": 7, "text": "颜色呢    调经中医比较在行", "role": "doctor"}, {"turn": 8, "text": "可以通过打点滴来提高免疫力吗", "role": "patient"}, {"turn": 9, "text": "性生活正常吗", "role": "doctor"}, {"turn": 10, "text": "可以口服胸腺肽肠溶片", "role": "doctor"}, {"turn": 11, "text": "一个月三、四次左右", "role": "patient"}, {"turn": 12, "text": "感冒多久了   有啥症状   性生活有点少", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 98, "thread": [{"turn": 0, "text": "请问怎么区分梅毒与艾滋病呀（男，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您提供咨询服务。", "role": "doctor"}, {"turn": 2, "text": "请问怎么区分梅毒与艾滋病呀", "role": "patient"}, {"turn": 3, "text": "二者治病菌不一样，临床表现也不一样。", "role": "doctor"}, {"turn": 4, "text": "梅毒是梅毒螺旋体致病，主要通过性传播，少有通过血液传播。", "role": "doctor"}, {"turn": 5, "text": "有哪种特性可以显示出来啊，比如得了梅毒，比如得了艾滋病", "role": "patient"}, {"turn": 6, "text": "艾滋病是hiv病毒，主要通过血液，性传播和母婴传播", "role": "doctor"}, {"turn": 7, "text": "怎么看的出呀", "role": "patient"}, {"turn": 8, "text": "被传染梅毒后因处于不同分期所以表现不同。梅毒典型表现是生殖器的硬下疳。", "role": "doctor"}, {"turn": 9, "text": "后期会有梅毒疹多发于双测手掌和脚底。", "role": "doctor"}, {"turn": 10, "text": "艾滋病主要表现为免疫力地下，容易感冒，全身浅表淋巴结肿大，反复肺炎等", "role": "doctor"}, {"turn": 11, "text": "谢谢了", "role": "patient"}, {"turn": 12, "text": "我暂时还没有，", "role": "patient"}, {"turn": 13, "text": "艾滋病要有高危行为才会传播。梅毒主要通过性传播，梅毒是可以治愈的，艾滋病是延长生存期。", "role": "doctor"}, {"turn": 14, "text": "祝您生活愉快。", "role": "doctor"}, {"turn": 15, "text": "高危行动是指什么啊", "role": "patient"}, {"turn": 16, "text": "性传播只是传梅毒啊，那社会上怎么说性行为会有艾滋病啊", "role": "patient"}, {"turn": 17, "text": "梅毒主要通过性传播，艾滋病是通过血液，性传播和母婴传播的。", "role": "doctor"}, {"turn": 18, "text": "高危行为：无套性行为，同性恋，肛交，吸毒，不洁注射器使用。", "role": "doctor"}, {"turn": 19, "text": "谢谢了", "role": "patient"}, {"turn": 20, "text": "不客气。", "role": "doctor"}, {"turn": 21, "text": "祝您生活愉快！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 99, "thread": [{"turn": 0, "text": "腰椎间盘突出，伴有囊肿。（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，请详细介绍下你的病情", "role": "doctor"}, {"turn": 2, "text": "我朋友的妈妈，", "role": "patient"}, {"turn": 3, "text": "嗯，详细说说", "role": "doctor"}, {"turn": 4, "text": "腰椎间盘突出，说是有囊肿", "role": "patient"}, {"turn": 5, "text": "多大年纪，患病多久，主要症状，辅助检查，接受过哪些治疗，效果如何", "role": "doctor"}, {"turn": 6, "text": "49，应该有一年多了。", "role": "patient"}, {"turn": 7, "text": "症状就是腰疼。", "role": "patient"}, {"turn": 8, "text": "她说需要做手术。", "role": "patient"}, {"turn": 9, "text": "有没有片子给我看一下", "role": "doctor"}, {"turn": 10, "text": "这个没有。", "role": "patient"}, {"turn": 11, "text": "没检查过就“需要手术”？", "role": "doctor"}, {"turn": 12, "text": "要是做手术话，", "role": "patient"}, {"turn": 13, "text": "去医院检查了，医生说要做手术。", "role": "patient"}, {"turn": 14, "text": "也就是说要咨询手术事宜", "role": "doctor"}, {"turn": 15, "text": "但是，我这没有片子", "role": "patient"}, {"turn": 16, "text": "这是大手术还是小手术", "role": "patient"}, {"turn": 17, "text": "可大可小，如果是微创或者根管封闭就是小手术，如果做椎板减压植骨内固定就相对大一些", "role": "doctor"}, {"turn": 18, "text": "她也挺害怕，家里人也没有给她说那么多，就是说有囊肿。", "role": "patient"}, {"turn": 19, "text": "估计就是个骶管囊肿，这个倒没什么可怕的", "role": "doctor"}, {"turn": 20, "text": "那手术前应该做些什么呢。？", "role": "patient"}, {"turn": 21, "text": "饮食上，", "role": "patient"}, {"turn": 22, "text": "生活上", "role": "patient"}, {"turn": 23, "text": "如果没有高血压糖尿病，饮食上没有什么特殊的", "role": "doctor"}, {"turn": 24, "text": "生活上就是避免劳累，术前肯定是要住院完善术前检查的", "role": "doctor"}, {"turn": 25, "text": "那术后得恢复多长时间？", "role": "patient"}, {"turn": 26, "text": "微创的话，第二天就可以出院正常生活", "role": "doctor"}, {"turn": 27, "text": "那平时还应该注意点什么？", "role": "patient"}, {"turn": 28, "text": "开放手术过后，没有特殊情况三五天就可以下地，但三个月内还是要以休养为主", "role": "doctor"}, {"turn": 29, "text": "避免弯腰搬重物", "role": "doctor"}, {"turn": 30, "text": "那饮食上，应该吃点什么，可以恢复的好一些。", "role": "patient"}, {"turn": 31, "text": "这个没有特殊的，和平时一样就可以", "role": "doctor"}, {"turn": 32, "text": "谢谢医生，您还有什么嘱咐的吗？", "role": "patient"}, {"turn": 33, "text": "因为实在是病情不明，住院期间医生也会很详细的说明住院期间和出院以后的注意事项，其他的没什么特殊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 100, "thread": [{"turn": 0, "text": "男朋友说和我同完房有急性尿道炎（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个可能与性生活的卫生有关系", "role": "doctor"}, {"turn": 2, "text": "男朋友好几次同房后急性尿道炎 这和我有没有关系", "role": "patient"}, {"turn": 3, "text": "你平时有没有症状？比如分泌物", "role": "doctor"}, {"turn": 4, "text": "经常熬夜喝酒也经常吃辛辣食物 分泌物乳白色 有时候吃了羊肉海鲜也会有点乳白色小颗粒   但是没有说痒不舒服也没有异味", "role": "patient"}, {"turn": 5, "text": "如果是这样的话你需要去妇科做个阴道分泌物检查，有可能存在阴道炎", "role": "doctor"}, {"turn": 6, "text": "那需要和医生说明同完房有急性尿道炎吗？  平常要怎么注意事项", "role": "patient"}, {"turn": 7, "text": "可以说，平时注意经常清洗，保持局部卫生清洁", "role": "doctor"}, {"turn": 8, "text": "好的。谢谢", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 101, "thread": [{"turn": 0, "text": "破伤病毒感染交感神经的症状？（男，37岁）", "role": "patient"}, {"turn": 1, "text": "破伤风杆菌慢慢爬到中枢神经后出现恐水，恐风，肌肉僵直这些都是", "role": "doctor"}, {"turn": 2, "text": "会引起突然心率过快，血压高，冒汗吗？", "role": "patient"}, {"turn": 3, "text": "你打了疫苗了吗", "role": "doctor"}, {"turn": 4, "text": "受伤时没打，发病了，住院后打的。住了一周然后出院，9月11号出的院。现在一直感觉浑身没劲，是不是会心率突然加快，血压增高，冒汗", "role": "patient"}, {"turn": 5, "text": "你是什么发病住院的？", "role": "doctor"}, {"turn": 6, "text": "出院前做了血化验，医生说血里面没有病毒了！可能感染了交叉神经，回去养着吧！三四个月才会好。我想问问，目前这些症状，正常吗？", "role": "patient"}, {"turn": 7, "text": "破伤风发病啊", "role": "patient"}, {"turn": 8, "text": "会出现这些不舒服", "role": "doctor"}, {"turn": 9, "text": "是交感神经兴奋的表现", "role": "doctor"}, {"turn": 10, "text": "是破伤风的症状", "role": "doctor"}, {"turn": 11, "text": "没什么大碍吧？需要吃些什么药控制一下吗？", "role": "patient"}, {"turn": 12, "text": "如果想用药beta受体阻断剂 美托洛尔可以考虑4分之1片口服一天一次", "role": "doctor"}, {"turn": 13, "text": "估计还得多长时间可以完全康复？", "role": "patient"}, {"turn": 14, "text": "等毒素基本中和或者代谢掉了之后慢慢会好", "role": "doctor"}, {"turn": 15, "text": "得几个月", "role": "doctor"}, {"turn": 16, "text": "吃药有助于中和吗？", "role": "patient"}, {"turn": 17, "text": "抑制交感神经兴奋", "role": "doctor"}, {"turn": 18, "text": "别的还有什么要注意的吗？", "role": "patient"}, {"turn": 19, "text": "不会再加重吧？", "role": "patient"}, {"turn": 20, "text": "不会了，神经毒素慢慢消退就没什么了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 102, "thread": [{"turn": 0, "text": "罗红霉素胶囊可以治疗妇科炎症吗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "可以治疗沙眼衣原体引起的宫颈炎", "role": "doctor"}, {"turn": 2, "text": "罗红霉素胶囊可以治  一般的炎症   像白带异常  下边疼可以治疗吗", "role": "patient"}, {"turn": 3, "text": "要看是哪种炎症啊", "role": "doctor"}, {"turn": 4, "text": "很多原因可以造成白带异常", "role": "doctor"}, {"turn": 5, "text": "霉菌性阴道炎", "role": "patient"}, {"turn": 6, "text": "没什么效果", "role": "doctor"}, {"turn": 7, "text": "那霉菌性阴道炎该怎么治疗", "role": "patient"}, {"turn": 8, "text": "目前你有什么症状呢", "role": "doctor"}, {"turn": 9, "text": "还有检查结果发给我看一下", "role": "doctor"}, {"turn": 10, "text": "白带异常   有时候呈豆腐渣样   有点痒疼的", "role": "patient"}, {"turn": 11, "text": "痒的明显吗", "role": "doctor"}, {"turn": 12, "text": "有时候很痒   有时候不是很痒", "role": "patient"}, {"turn": 13, "text": "嗯，那你用克霉唑就可以", "role": "doctor"}, {"turn": 14, "text": "这是什么药   怎么用", "role": "patient"}, {"turn": 15, "text": "阴道用药，塞进去", "role": "doctor"}, {"turn": 16, "text": "不用外服什么药吗", "role": "patient"}, {"turn": 17, "text": "你现在阴道用药就可以了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 103, "thread": [{"turn": 0, "text": "请问感冒当鼻炎治会出现什么后果（男，32岁）", "role": "patient"}, {"turn": 1, "text": "感冒当鼻炎治疗没什么特别后果，本身感冒就可以用点抗过敏药物的", "role": "doctor"}, {"turn": 2, "text": "鼻炎也是通过抗过敏治疗", "role": "doctor"}, {"turn": 3, "text": "我当时搞不清是感冒还是鼻炎，自己认为是鼻炎，但感觉治错了", "role": "patient"}, {"turn": 4, "text": "这个没什么特别的，鼻炎的药物主要就是抗过敏", "role": "doctor"}, {"turn": 5, "text": ".开始有点鼻塞鼻账，当时就当鼻炎治，.没吃感冒药，那是不是会加重感冒", "role": "patient"}, {"turn": 6, "text": "不会的", "role": "doctor"}, {"turn": 7, "text": "而且还吃了中药苍耳子等治鼻炎的药，就是没治感冒，这难道不会加重吗？我感觉自已是着凉引起的..", "role": "patient"}, {"turn": 8, "text": "这个症状持续多久了呢？", "role": "doctor"}, {"turn": 9, "text": "还用雷诺考特？这些不会与风寒感冒冲突吗？？", "role": "patient"}, {"turn": 10, "text": "我问你认为的感冒症状总共持续多久了", "role": "doctor"}, {"turn": 11, "text": "我都搞了两个月，鼻炎才好了，以前从来没有鼻炎，而且以前感冒都是7至10天就好了", "role": "patient"}, {"turn": 12, "text": "哪个感冒会持续两个月呢", "role": "doctor"}, {"turn": 13, "text": "如果感冒不治疗一周左右都可以自愈，这个肯定是鼻炎呀", "role": "doctor"}, {"turn": 14, "text": ".是不是用药错误加重了急性鼻炎.？？", "role": "patient"}, {"turn": 15, "text": "没有哪种药可以加重感冒", "role": "doctor"}, {"turn": 16, "text": "那如果用药錯误会不会加重.急性鼻炎的感冒而不愈呢？？", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 104, "thread": [{"turn": 0, "text": "eb病毒阳性是鼻咽癌吗？（男，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "6天前食饭呛到一直好像有异物", "role": "patient"}, {"turn": 3, "text": "做其他检查了吗？比如鼻咽喉镜", "role": "doctor"}, {"turn": 4, "text": "有做，说有炎症水肿", "role": "patient"}, {"turn": 5, "text": "如果没有看到肿物，就没事", "role": "doctor"}, {"turn": 6, "text": "做了活检，心慌", "role": "patient"}, {"turn": 7, "text": "有病理结果吗", "role": "doctor"}, {"turn": 8, "text": "今早开始有低热", "role": "patient"}, {"turn": 9, "text": "还没有，只出了Eb病毒两项阳性", "role": "patient"}, {"turn": 10, "text": "等等看病理结果吧，应该没事的", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢🙏", "role": "patient"}, {"turn": 12, "text": "不客气", "role": "doctor"}, {"turn": 13, "text": "您好医生，结果出来了，是未分化非角质鼻咽癌", "role": "patient"}, {"turn": 14, "text": "鼻咽癌以放射治疗为主", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 105, "thread": [{"turn": 0, "text": "前列腺肥大会出现阳痿早泄吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "有哪些不舒服表现腰酸乏力腰痛等？您好，这样症状多久了？", "role": "doctor"}, {"turn": 2, "text": "腰酸乏力勃起不好时间 \n短", "role": "patient"}, {"turn": 3, "text": "有多久了", "role": "doctor"}, {"turn": 4, "text": "有三四年了吧，还有时候尿频尿急", "role": "patient"}, {"turn": 5, "text": "去哪里看过", "role": "doctor"}, {"turn": 6, "text": "检查过", "role": "doctor"}, {"turn": 7, "text": "前两年检查过一次，好像说是增生肥大", "role": "patient"}, {"turn": 8, "text": "做过什么治疗", "role": "doctor"}, {"turn": 9, "text": "没治疗", "role": "patient"}, {"turn": 10, "text": "又什么原因吗", "role": "doctor"}, {"turn": 11, "text": "以前手淫频繁吗", "role": "doctor"}, {"turn": 12, "text": "当时没时间，也没太当回事", "role": "patient"}, {"turn": 13, "text": "嗯？", "role": "doctor"}, {"turn": 14, "text": "以前手淫是挺频繁的", "role": "patient"}, {"turn": 15, "text": "考虑手淫太频繁导致的", "role": "doctor"}, {"turn": 16, "text": "这个好治疗吗", "role": "patient"}, {"turn": 17, "text": "可以治疗", "role": "doctor"}, {"turn": 18, "text": "吃点中药或者西药调理", "role": "doctor"}, {"turn": 19, "text": "阳痿早泄会有，好转改善吗", "role": "patient"}, {"turn": 20, "text": "嗯", "role": "doctor"}, {"turn": 21, "text": "可以改善", "role": "doctor"}, {"turn": 22, "text": "这个一般吃什么药", "role": "patient"}, {"turn": 23, "text": "买万艾可吃", "role": "doctor"}, {"turn": 24, "text": "性生活前半个小时吃", "role": "doctor"}, {"turn": 25, "text": "万艾可能治前列腺", "role": "patient"}, {"turn": 26, "text": "治早泄阳痿", "role": "doctor"}, {"turn": 27, "text": "前列腺呢", "role": "patient"}, {"turn": 28, "text": "你把彩超结果发给我看看", "role": "doctor"}, {"turn": 29, "text": "我看前列腺有多大", "role": "doctor"}, {"turn": 30, "text": "没带在身上", "role": "patient"}, {"turn": 31, "text": "你回去发给我看看", "role": "doctor"}, {"turn": 32, "text": "前两年的估计都找不到了", "role": "patient"}, {"turn": 33, "text": "你这么年轻一般前列腺不会太严重的", "role": "doctor"}, {"turn": 34, "text": "治疗大概要多久", "role": "patient"}, {"turn": 35, "text": "治疗大概一个月", "role": "doctor"}, {"turn": 36, "text": "吃中药调理还是西药", "role": "patient"}, {"turn": 37, "text": "中药配合西药一起", "role": "doctor"}, {"turn": 38, "text": "西药治标", "role": "doctor"}, {"turn": 39, "text": "中药治本", "role": "doctor"}, {"turn": 40, "text": "自己熬中药有点麻烦", "role": "patient"}, {"turn": 41, "text": "可以吃中成药", "role": "doctor"}, {"turn": 42, "text": "哦，具体是什么药", "role": "patient"}, {"turn": 43, "text": "1、白天有无  乏力？怕冷？四肢发凉？易出汗？ .2、夜间有无盗汗？手脚心发热？.3、平时有无口干？口苦？眼睛干涩？容易发发火或者生气吗？.4、平时喝水喜欢温水还是凉水？有无耳鸣？头晕？腰膝酸软？. 5、胃肠怎么样？大便怎么样？大便烂不烂？ .6、睡眠情况，入睡困难？早醒%3F多梦？. 7、阴囊潮湿吗？有无手淫习惯？若有多少年了？频率？性生活怎么样？. 8、自然光下，清晰的舌苔照片。", "role": "doctor"}, {"turn": 44, "text": "正常性生活是多长时间多少分钟", "role": "patient"}, {"turn": 45, "text": "10分钟左右", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 106, "thread": [{"turn": 0, "text": "急性咽炎可以打针吗?（女，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答。", "role": "doctor"}, {"turn": 2, "text": "嗓子疼吗？", "role": "doctor"}, {"turn": 3, "text": "都有什么症状", "role": "doctor"}, {"turn": 4, "text": "先用点药物就可以", "role": "doctor"}, {"turn": 5, "text": "可以用点慢严舒柠或者蒲地蓝或者蓝芩口服液", "role": "doctor"}, {"turn": 6, "text": "注意休息多喝点水 忌烟酒忌生冷忌辛辣刺激性食物", "role": "doctor"}, {"turn": 7, "text": "你好 我就是昨天开始咽痛 咽口水痛 吃饭睡觉也是 吃了头孢和蒲地蓝 一觉醒来更严重了 可能是因为昨晚唱了歌  现在喉部简直不能动 好痛", "role": "patient"}, {"turn": 8, "text": "你先用点药物看看吧  注意多喝点水", "role": "doctor"}, {"turn": 9, "text": "要是一直不缓解可以去医院耳鼻喉科看一下  需不需要输液", "role": "doctor"}, {"turn": 10, "text": "昨晚吃了药为什么恶化了啊  这个可以打针吗？", "role": "patient"}, {"turn": 11, "text": "肯定是和你唱歌有关系", "role": "doctor"}, {"turn": 12, "text": "一直是多久啊 我是学声乐的 嗓子不能停", "role": "patient"}, {"turn": 13, "text": "再就是刚用上药  起效也没这么快啊", "role": "doctor"}, {"turn": 14, "text": "那你要是着急去医院耳鼻喉科看一下", "role": "doctor"}, {"turn": 15, "text": "昨天我买药之前  那个医生说可以唱歌  我唱歌的时候也不觉得痛  睡了一觉 明显感觉喉部肿了", "role": "patient"}, {"turn": 16, "text": "嗯  你注意多喝点水  饮食上先清淡点  忌烟酒忌生冷忌辛辣刺激性食物别吃咸", "role": "doctor"}, {"turn": 17, "text": "先用头孢和蒲地蓝看看吧", "role": "doctor"}, {"turn": 18, "text": "嗯嗯 好的   谢谢医生", "role": "patient"}, {"turn": 19, "text": "我这个是急性咽炎吧", "role": "patient"}, {"turn": 20, "text": "还是扁桃体炎", "role": "patient"}, {"turn": 21, "text": "考虑这个都有可能", "role": "doctor"}, {"turn": 22, "text": "治疗差不多的", "role": "doctor"}, {"turn": 23, "text": "扁桃体炎咽炎都需要清热解毒凉血利咽", "role": "doctor"}, {"turn": 24, "text": "你像蒲地蓝都可以用的", "role": "doctor"}, {"turn": 25, "text": "不客气😊有什么问题可以随时再问我😊祝您早日康复👌祝您及家人身体健康，每天开心！感谢您的信任和理解…😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 107, "thread": [{"turn": 0, "text": "慢性咽喉炎吃咽炎片是不是效果不行（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，你除了慢性咽炎，有没有胃炎和鼻炎？有啥症状，咽干咽痒异物感？疼痛？", "role": "doctor"}, {"turn": 2, "text": "有胃部不适 偶尔出现肠胃炎", "role": "patient"}, {"turn": 3, "text": "鼻子很少次数的不通气  呼吸难。一般一两个月出现一次，每次持续半天一天就好了", "role": "patient"}, {"turn": 4, "text": "金嗓利咽胶囊和慢严舒柠效果比咽炎片效果好，但是药嘛！因人而异，你有胃部不适，如果长时间反酸就得处理胃部，胃炎胃酸反流反复刺激咽喉部，咽喉部吃啥药效果都不会好到哪里", "role": "doctor"}, {"turn": 5, "text": "那这个鼻子是啥原因，很少出现一次呼吸难，就是鼻子不透气，持续一天左右消失。呼吸难的时候都用醉", "role": "patient"}, {"turn": 6, "text": "平时清淡饮食，多喝水，可以喝菊花茶", "role": "doctor"}, {"turn": 7, "text": "鼻子可能一过性鼻炎啊！鼻中隔偏曲啊！如果长时间鼻塞就要处理，", "role": "doctor"}, {"turn": 8, "text": "每次一天左右，鼻子就通气了，那种不通气的感觉，让鼻子呼吸都困难，睡觉都怕窒息", "role": "patient"}, {"turn": 9, "text": "因为你这个一两个月才一次，所以处理意义不大，当你鼻塞害怕就买个盐酸塞洛唑啉喷鼻子，原因也就是上面说的鼻炎，鼻中隔偏曲，鼻息肉，但是不是持续很久都不用太担心，", "role": "doctor"}, {"turn": 10, "text": "好的", "role": "patient"}, {"turn": 11, "text": "雾化治疗咽喉是不是效果很好", "role": "patient"}, {"turn": 12, "text": "雾化效果很好，3-5天就可以，但是咽喉炎容易反复发作，你如果不是特别重，痛的明显，异物感明显就不雾化，免得以后效果差", "role": "doctor"}, {"turn": 13, "text": "哦哦 开喉剑喷雾剂用效果行吗", "role": "patient"}, {"turn": 14, "text": "咽口水摸着咽喉部有很小的声音是否正常", "role": "patient"}, {"turn": 15, "text": "正常的，开喉剑喷雾剂开始可以，但是容易产生依赖性，先吃药，后面喷雾剂，在雾化", "role": "doctor"}, {"turn": 16, "text": "那些含片第一次吃效果真棒，现在吃最多缓解一会就不行了", "role": "patient"}, {"turn": 17, "text": "含片都是缓解作用，没啥实际意义，而且容易依赖，就正二百经金嗓利咽胶囊，慢严舒柠，咽喉片，加一组金莲花软胶囊或者蒲地蓝", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 108, "thread": [{"turn": 0, "text": "咨询强直性脊柱炎问题麻烦协助（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "你好，我查了ab27阳性", "role": "patient"}, {"turn": 3, "text": "别的就是x光盆骨和腰椎正常", "role": "patient"}, {"turn": 4, "text": "首先骨盆x线不能检查早期强直性脊柱炎，腰椎更看不出来强直性脊柱炎了", "role": "doctor"}, {"turn": 5, "text": "其次，b27也不作为确诊强直性脊柱炎的依据，而是一个参考，因为b27阳性不一定是强直性脊柱炎", "role": "doctor"}, {"turn": 6, "text": "需要查骶髂关节磁共振才可以确诊强直性脊柱炎", "role": "doctor"}, {"turn": 7, "text": "骶髂正常可以排除吗", "role": "patient"}, {"turn": 8, "text": "核磁", "role": "patient"}, {"turn": 9, "text": "骶髂关节磁共振正常可以排除强直性脊柱炎", "role": "doctor"}, {"turn": 10, "text": ".骶髂关节如果有炎症", "role": "patient"}, {"turn": 11, "text": "核磁看到就可以确诊了吧", "role": "patient"}, {"turn": 12, "text": "如果磁共振看到骶髂关节有炎症可以确诊", "role": "doctor"}, {"turn": 13, "text": "大夫，骶髂核磁正常，的话。那以后有可能会发展为强直吗", "role": "patient"}, {"turn": 14, "text": "不一定会", "role": "doctor"}, {"turn": 15, "text": "需要复查才知道", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 109, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肠易激综合征（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "肠易激综合征天天肚子疼，然后跑步就更疼了因为疼体育成绩更差，疼就心情不好，心情不好就更疼，医院能因为这个给我开免体证明吗", "role": "patient"}, {"turn": 3, "text": "你好~~~这个不行的呀", "role": "doctor"}, {"turn": 4, "text": "情绪因素对胃肠功能影响很大的", "role": "doctor"}, {"turn": 5, "text": "如果反复发作~~建议要心理科就诊哟", "role": "doctor"}, {"turn": 6, "text": "可它确实疼到影响我体育成绩了啊", "role": "patient"}, {"turn": 7, "text": "医院最多开个疾病诊断证明~~没有啥免体证明的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 110, "thread": [{"turn": 0, "text": "食道癌手术后十年病人出现胃潴留症状（男，69岁）", "role": "patient"}, {"turn": 1, "text": "您好，目前什么具体症状？食道癌十年了，应该不受影响的", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "您好，目前老人什么症状？做过哪些检查吗？", "role": "doctor"}, {"turn": 4, "text": "病人，身体没劲，有贫血症状，胸口周围疼，卡痰，有胃潴留胃潴留", "role": "patient"}, {"turn": 5, "text": "做过胃镜吗？", "role": "doctor"}, {"turn": 6, "text": "您上传近期检查化验报告看一下", "role": "doctor"}, {"turn": 7, "text": "该做都做了，", "role": "patient"}, {"turn": 8, "text": "您上传我看一下", "role": "doctor"}, {"turn": 9, "text": "检验单没在我家", "role": "patient"}, {"turn": 10, "text": "您还记得检查单上是给出什么诊断结论吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 111, "thread": [{"turn": 0, "text": "怎样检测小孩眼睛是近视还是弱视（男，5岁）", "role": "patient"}, {"turn": 1, "text": "你好，做验光检查了么？", "role": "doctor"}, {"turn": 2, "text": "做了", "role": "patient"}, {"turn": 3, "text": "有检查结果吗？", "role": "doctor"}, {"turn": 4, "text": "拍照发给我看一下", "role": "doctor"}, {"turn": 5, "text": "小孩5岁，左眼4.7右眼4.5", "role": "patient"}, {"turn": 6, "text": "这是视力检查", "role": "doctor"}, {"turn": 7, "text": "有屈光检查吗？", "role": "doctor"}, {"turn": 8, "text": "您是说散瞳验光吗？", "role": "patient"}, {"turn": 9, "text": "没有做屈光检查", "role": "patient"}, {"turn": 10, "text": "判断5岁小孩是否是近视还是弱视要做哪些检查？宋医生", "role": "patient"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "做验光，视力矫正", "role": "doctor"}, {"turn": 13, "text": "矫正不能提升至正常的话就是弱视", "role": "doctor"}, {"turn": 14, "text": "宋医生，您有什么好的建议吗？家长担心要死!", "role": "patient"}, {"turn": 15, "text": "宋医生，家长寄希望是弱视而非近视这种想法是否正确？", "role": "patient"}, {"turn": 16, "text": "弱视肯定不好啊", "role": "doctor"}, {"turn": 17, "text": "为什么要这样想啊？", "role": "doctor"}, {"turn": 18, "text": "弱视能校正，近视就真无法了，除了带眼镜。对不对？宋医生", "role": "patient"}, {"turn": 19, "text": "弱视有不能提升的可能", "role": "doctor"}, {"turn": 20, "text": "近视戴眼镜就可以达到正常视力", "role": "doctor"}, {"turn": 21, "text": "近视成年以后可以手术摘眼镜", "role": "doctor"}, {"turn": 22, "text": "弱视错过发育期就没机会了", "role": "doctor"}, {"turn": 23, "text": "5岁小孩应该在发育期内吧！但5岁小孩就开始带眼镜，到成人我真不敢想度数多少了？还能手术?所以才寄希望是弱视。宋医生。", "role": "patient"}, {"turn": 24, "text": "你这个还是得去医院详细查", "role": "doctor"}, {"turn": 25, "text": "弱视是比近视还要重的一种情况，因为有部分弱视的病人需要长期戴眼镜，而且戴眼镜是戴眼镜后的视力也不正常。", "role": "doctor"}, {"turn": 26, "text": "他们在成年以后视力也达不到正常。报考飞行员，军校等专业都受限制", "role": "doctor"}, {"turn": 27, "text": "所以目前还是建议详细查一下孩子目前的情况", "role": "doctor"}, {"turn": 28, "text": "单纯近视，要看度数", "role": "doctor"}, {"turn": 29, "text": "低于一百度视力尚可的话可以暂不戴眼镜，滴用低浓度阿托品滴眼液", "role": "doctor"}, {"turn": 30, "text": "如果高的视力差话还是得戴眼镜", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 112, "thread": [{"turn": 0, "text": "胸部弯腰吸气的时候疼痛已经三四个月了有时候好一段时间有时间又犯拍了胸片医生说是没啥事只是支气管炎药也没给开，平时喜欢有健身不知道是不是和健身有关系（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有拍过胸部ct吗？", "role": "doctor"}, {"turn": 2, "text": "拍了", "role": "patient"}, {"turn": 3, "text": "医生说没啥事  支气管炎 没有肺积水", "role": "patient"}, {"turn": 4, "text": "方便把你的ct结果发给我看一下吗？", "role": "doctor"}, {"turn": 5, "text": "没在身边", "role": "patient"}, {"turn": 6, "text": "那你看方便明天给我发一下吗？", "role": "doctor"}, {"turn": 7, "text": "好的 明天可以拍给你", "role": "patient"}, {"turn": 8, "text": "好的，那咱们明天联系", "role": "doctor"}, {"turn": 9, "text": "不咳嗽 也没痰", "role": "patient"}, {"turn": 10, "text": "好", "role": "patient"}, {"turn": 11, "text": "那你也早点休息，晚安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 113, "thread": [{"turn": 0, "text": "复诊，消化不良，呕吐严重（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "医生你好，我之前来看过您", "role": "patient"}, {"turn": 3, "text": "嗯，有记录的", "role": "doctor"}, {"turn": 4, "text": "现在好点吗？", "role": "doctor"}, {"turn": 5, "text": "今天做无痛胃镜，不停的干呕，吐出了昨晚的食物，医生说我不适合打麻药，怕堵塞咽喉", "role": "patient"}, {"turn": 6, "text": "不停的呕吐", "role": "patient"}, {"turn": 7, "text": "这该怎么办", "role": "patient"}, {"turn": 8, "text": "做胃镜之前呢？", "role": "doctor"}, {"turn": 9, "text": "胃镜之前就干呕，一躺下呕的更严重", "role": "patient"}, {"turn": 10, "text": "吐出了食物", "role": "patient"}, {"turn": 11, "text": "没做成", "role": "patient"}, {"turn": 12, "text": "医生你下午有时间吗？我能过来长海医院就诊吗", "role": "patient"}, {"turn": 13, "text": "下午一点来吧", "role": "doctor"}, {"turn": 14, "text": "我在仁济医院，下午来能直接挂你的号吗", "role": "patient"}, {"turn": 15, "text": "下午到长海医院门诊四楼二号诊室吧", "role": "doctor"}, {"turn": 16, "text": "挂中医内科对吗", "role": "patient"}, {"turn": 17, "text": "嗯，今天没有中医内科，你直接来看吧", "role": "doctor"}, {"turn": 18, "text": "啊，那怎么付钱", "role": "patient"}, {"turn": 19, "text": "可以直接进来吗", "role": "patient"}, {"turn": 20, "text": "可以", "role": "doctor"}, {"turn": 21, "text": "看过再说吧，下午只有中医肿瘤的号", "role": "doctor"}, {"turn": 22, "text": "好的，我先过来", "role": "patient"}, {"turn": 23, "text": "好的", "role": "doctor"}, {"turn": 24, "text": "医生，颗粒剂中药有吗", "role": "patient"}, {"turn": 25, "text": "普通的喝不下去", "role": "patient"}, {"turn": 26, "text": "会吐", "role": "patient"}, {"turn": 27, "text": "有的。", "role": "doctor"}, {"turn": 28, "text": "医生你好，我在诊室外面，您什么时候方便", "role": "patient"}, {"turn": 29, "text": "进来吧", "role": "doctor"}, {"turn": 30, "text": "医生你好，昨天配的药到了。请问下，对胃肾都有功效吗", "role": "patient"}, {"turn": 31, "text": "嗯，主要是治胃的", "role": "doctor"}, {"turn": 32, "text": "先能吃东西了再说", "role": "doctor"}, {"turn": 33, "text": "好的。先吃一个星期看看", "role": "patient"}, {"turn": 34, "text": "嗯", "role": "doctor"}, {"turn": 35, "text": "龟龄集吃了对我的症状有帮助吗", "role": "patient"}, {"turn": 36, "text": "没有，不要吃了", "role": "doctor"}, {"turn": 37, "text": "好的", "role": "patient"}, {"turn": 38, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 114, "thread": [{"turn": 0, "text": "小儿腹泻，消化不良，一天大便3次（女，1岁2个月）", "role": "patient"}, {"turn": 1, "text": "你好，大便什么样的啊？", "role": "doctor"}, {"turn": 2, "text": "不是水状，就是不成形", "role": "patient"}, {"turn": 3, "text": "给他吃点妈咪爱或者金双歧调节肠道菌群的吃几天", "role": "doctor"}, {"turn": 4, "text": "这种情况三天了，食欲不振，", "role": "patient"}, {"turn": 5, "text": "其他药还要吃吗", "role": "patient"}, {"turn": 6, "text": "其他可以吃点助消化勒，小儿健胃消食口服液或者神曲消食口服液。", "role": "doctor"}, {"turn": 7, "text": "隔半小时吃吗", "role": "patient"}, {"turn": 8, "text": "可以一起吃，也可以间隔", "role": "doctor"}, {"turn": 9, "text": "好的", "role": "patient"}, {"turn": 10, "text": "这种情况不用带到医院去看吧", "role": "patient"}, {"turn": 11, "text": "如果想去的话，也可以看看。", "role": "doctor"}, {"turn": 12, "text": "查个大便常规。", "role": "doctor"}, {"turn": 13, "text": "大便在家里带过去可以吗", "role": "patient"}, {"turn": 14, "text": "会影响吗", "role": "patient"}, {"turn": 15, "text": "一个小时之内都可以", "role": "doctor"}, {"turn": 16, "text": "刚又拉了，拉的水，吃的东西一点都没消化", "role": "patient"}, {"turn": 17, "text": "还是跟消化不良有关系", "role": "doctor"}, {"turn": 18, "text": "严重吗", "role": "patient"}, {"turn": 19, "text": "还可以，不是很严重。", "role": "doctor"}, {"turn": 20, "text": "一天拉几次就是很严重了", "role": "patient"}, {"turn": 21, "text": "拉五次以上，然后还有就是小孩的精神状态，还有尿量有没有变化这些都得观察", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "不客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 115, "thread": [{"turn": 0, "text": "宝宝出生三天有可能得病理性黄疸吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝黄疸值是多少？", "role": "doctor"}, {"turn": 2, "text": "二十点零二", "role": "patient"}, {"turn": 3, "text": "三天吗？宝妈是什么血型呢？", "role": "doctor"}, {"turn": 4, "text": "照了二个多小时，最低的十四，没照到的十八，", "role": "patient"}, {"turn": 5, "text": "ab形血", "role": "patient"}, {"turn": 6, "text": "然后后面来个医生说是生理性", "role": "patient"}, {"turn": 7, "text": "宝妈看得哭，不愿意照，", "role": "patient"}, {"turn": 8, "text": "哪个医生说这么高还是生理性的啊", "role": "doctor"}, {"turn": 9, "text": "什么是生理性的黄疸呢，跟您简单说一下啊", "role": "doctor"}, {"turn": 10, "text": "这不是才出生三天嘛", "role": "patient"}, {"turn": 11, "text": "生理性黄疸一般三天左右才出现，5到7天左右高峰期", "role": "doctor"}, {"turn": 12, "text": "最高不超过12.9", "role": "doctor"}, {"turn": 13, "text": "20多都是重度黄疸了", "role": "doctor"}, {"turn": 14, "text": "还生理性呢", "role": "doctor"}, {"turn": 15, "text": "病理性黄疸有多少种？", "role": "patient"}, {"turn": 16, "text": "很多种原因", "role": "doctor"}, {"turn": 17, "text": "一般要排除几个方面", "role": "doctor"}, {"turn": 18, "text": "第一个就是溶血", "role": "doctor"}, {"turn": 19, "text": "第二，是因为宝宝血红蛋白高，生下来血红蛋白破坏，代谢产生胆红素，胆红素通过肝功能加工解读，从大小便排出", "role": "doctor"}, {"turn": 20, "text": "如果宝宝胆红素产生过多，超过肝脏负荷", "role": "doctor"}, {"turn": 21, "text": "或者是宝宝肝功能有异常，不能把体内胆红素加工解毒", "role": "doctor"}, {"turn": 22, "text": "但是宝宝能吃能喝的能睡", "role": "patient"}, {"turn": 23, "text": "那么多余的胆红素就会在体内堆积", "role": "doctor"}, {"turn": 24, "text": "形成黄疸", "role": "doctor"}, {"turn": 25, "text": "黄疸高到影响吃睡了", "role": "doctor"}, {"turn": 26, "text": "那时候把黄疸降下来没用了", "role": "doctor"}, {"turn": 27, "text": "还有一个就是要排除感染引起的黄疸", "role": "doctor"}, {"turn": 28, "text": "其他原因，不需要过多去纠结，只要把黄疸降下来就行了", "role": "doctor"}, {"turn": 29, "text": "那为什么不让抽血检查", "role": "patient"}, {"turn": 30, "text": "我不知道您那边是啥情况啊", "role": "doctor"}, {"turn": 31, "text": "但是3天20多的黄疸很高了", "role": "doctor"}, {"turn": 32, "text": "建议住院照光", "role": "doctor"}, {"turn": 33, "text": "还不是高峰期呢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 116, "thread": [{"turn": 0, "text": "咨询一下会不会传染恐艾（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有高危行为吗？", "role": "doctor"}, {"turn": 2, "text": "前天喝醉酒了  不知道怎么了去了路边的按摩店，然后那个小姐大概40来岁  让我弄了他奶子，他自己穿丝袜还他自己手也碰了他自己的阴道，然后他就给我按摩，他就隔着衣服给摸我奶子，摸了几分钟，后来不知道怎么回事，手直接伸到我衣服里面摸我奶头，然后他爬我身体上压了我一下", "role": "patient"}, {"turn": 3, "text": "你好，你手上有伤口吗", "role": "doctor"}, {"turn": 4, "text": "摸他奶子  他奶子好像是萎缩的  我手上没有", "role": "patient"}, {"turn": 5, "text": "那就没事", "role": "doctor"}, {"turn": 6, "text": "就是她手摸了她自己的阴道，然后再有摸我奶头", "role": "patient"}, {"turn": 7, "text": "主要是摸阴道分泌物那个有风险，其他没啥事", "role": "doctor"}, {"turn": 8, "text": "她自己摸的，你没摸吧", "role": "doctor"}, {"turn": 9, "text": "阴道分泌物  碰到我奶子有关系吗  额有摸了她下面  但是没有碰自己", "role": "patient"}, {"turn": 10, "text": "就碰了她下面，没有用手插到他里面把他弄高潮", "role": "patient"}, {"turn": 11, "text": "那就没事", "role": "doctor"}, {"turn": 12, "text": "只要你手上没有伤口直接碰到对方分泌物就没事", "role": "doctor"}, {"turn": 13, "text": "假如他阴道分泌物碰到我奶头  有没有关系  我脸上有痘痘  嘴巴里面有伤口", "role": "patient"}, {"turn": 14, "text": "没事", "role": "doctor"}, {"turn": 15, "text": "但是没有亲吻  进去15分钟都没有到", "role": "patient"}, {"turn": 16, "text": "哦", "role": "doctor"}, {"turn": 17, "text": "回家我全部把衣服洗了   特别奶头用沐浴露清洗了很多次   还第二天用酒精插了自己的奶头", "role": "patient"}, {"turn": 18, "text": "有没有吃什么免疫力的呀  或者阻挡药", "role": "patient"}, {"turn": 19, "text": "不需要吃", "role": "doctor"}, {"turn": 20, "text": "你的行为没问题", "role": "doctor"}, {"turn": 21, "text": "那免疫力的药呢     我就怕他阴道分泌物碰到我奶头", "role": "patient"}, {"turn": 22, "text": "这个也没有危险", "role": "doctor"}, {"turn": 23, "text": "我这个也是高危行为把   现在超级害怕的", "role": "patient"}, {"turn": 24, "text": "不属于", "role": "doctor"}, {"turn": 25, "text": "那我现在怎么办  心里很海报", "role": "patient"}, {"turn": 26, "text": "你描述的行为都没有问题，不用担心的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 117, "thread": [{"turn": 0, "text": "儿童吃感冒药的同时能吃螃蟹吗?（女，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，如果孩子得病了，无论是消化道症状，比如呕吐，腹泻，还是呼吸道症状，咳嗽，发热，一般都不建议吃螃蟹，海鲜之类的东西，第一个不好消化，第二个容易过敏", "role": "doctor"}, {"turn": 2, "text": "我女儿十岁，鼻塞，想吃螃蟹，然后能吃感冒药吗？", "role": "patient"}, {"turn": 3, "text": "最好跟螃蟹隔开一段时间", "role": "doctor"}, {"turn": 4, "text": "也许吃了以后不会有啥影响，不过感冒有可能消化系统有影响，在吃感冒药，在吃海鲜，容易对消化道有刺激", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 118, "thread": [{"turn": 0, "text": "胃肠功能紊乱是不是很难调理？（女，46岁）", "role": "patient"}, {"turn": 1, "text": "有时候调整起来是很难，只要是会反复", "role": "doctor"}, {"turn": 2, "text": "怎么办呢？", "role": "patient"}, {"turn": 3, "text": "您有什么症状", "role": "doctor"}, {"turn": 4, "text": "现在主要症状是胃口不饿了，没食欲。", "role": "patient"}, {"turn": 5, "text": "这种情况持续多长时间了", "role": "doctor"}, {"turn": 6, "text": "一段时间了。原来是慢性胃炎，胃口赌的慌，现在是胃口不饿了，感觉都在胃口这赌着。", "role": "patient"}, {"turn": 7, "text": "最后一次胃镜是什么时候做的", "role": "doctor"}, {"turn": 8, "text": "去年6月份", "role": "patient"}, {"turn": 9, "text": "我想今天再去做一个胃镜，您看可以吗？", "role": "patient"}, {"turn": 10, "text": "建议胃镜一年复查一次", "role": "doctor"}, {"turn": 11, "text": "那我这没食欲怎么办啊？中", "role": "patient"}, {"turn": 12, "text": "可以吃点复方消化酶", "role": "doctor"}, {"turn": 13, "text": "中医好还是西医好？", "role": "patient"}, {"turn": 14, "text": "或者吃点中草药", "role": "doctor"}, {"turn": 15, "text": "中医对消化也很不错", "role": "doctor"}, {"turn": 16, "text": "我都喝了2年了，也不怎么好，我的中医大夫今天让我验甲状腺有没有癌，我一会去，没有我做个胃镜。", "role": "patient"}, {"turn": 17, "text": "做个胃镜吧，等结果出来咱们再对症用药", "role": "doctor"}, {"turn": 18, "text": "去年胃口赌的慌照了就说慢性胃炎，大夫说没嘛大事，可我就是不好受，不知道吃嘛能让胃口好受些。我想死的心都有了。", "role": "patient"}, {"turn": 19, "text": "您可以吃点复方消化酶", "role": "doctor"}, {"turn": 20, "text": "好吧。试试吧。", "role": "patient"}, {"turn": 21, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 119, "thread": [{"turn": 0, "text": "肠镜检查为内痔，肛门瘙痒（男，54岁）症状肛门瘙痒，有时有点疼，肠镜检查为内痔。其他没什么。", "role": "patient"}, {"turn": 1, "text": "大便干燥吗     大便时疼痛吗", "role": "doctor"}, {"turn": 2, "text": "不干，偶尔大便时会疼。", "role": "patient"}, {"turn": 3, "text": "您看需要怎么治疗？", "role": "patient"}, {"turn": 4, "text": "口服痔速宁和槐角丸", "role": "doctor"}, {"turn": 5, "text": "每晚用花椒水坐浴    艾叶30g   金银花30g  花椒100g  加水煮  泡屁股半小时", "role": "doctor"}, {"turn": 6, "text": "多吃蔬菜和水果     保持大便通畅", "role": "doctor"}, {"turn": 7, "text": "避免辛辣就行", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢您！", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "关    注我         有问题多联系", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "恩", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 120, "thread": [{"turn": 0, "text": "食管癌术后转移支气管（男，61岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问患者术后多久？", "role": "doctor"}, {"turn": 2, "text": "已经手术切除一个月，现在回医院左肺支气管已经堵死呼吸困难，问一下这是转移的吗", "role": "patient"}, {"turn": 3, "text": "现在医生方案只能化疗，还有别的方案吗。病人太虚弱了，床都起不来", "role": "patient"}, {"turn": 4, "text": "在胸外科", "role": "patient"}, {"turn": 5, "text": "稍等回复，在夜班手术", "role": "doctor"}, {"turn": 6, "text": "你好，", "role": "doctor"}, {"turn": 7, "text": "肺支气管堵死了左侧肺部已经不张了吗", "role": "doctor"}, {"turn": 8, "text": "有没有检查结果", "role": "doctor"}, {"turn": 9, "text": "现在还可以靶向治疗或生物免疫治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 121, "thread": [{"turn": 0, "text": "近期有头晕,贫血,又高血压,（女，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "近一月", "role": "patient"}, {"turn": 3, "text": "有没有检查结果", "role": "doctor"}, {"turn": 4, "text": "月初因子宫腺肌症住了一周院，近几日又有点感冒在输液", "role": "patient"}, {"turn": 5, "text": "没有验血吗？", "role": "doctor"}, {"turn": 6, "text": "贫血75", "role": "patient"}, {"turn": 7, "text": "能把血常规拍过来我看看吗", "role": "doctor"}, {"turn": 8, "text": "血压多高", "role": "doctor"}, {"turn": 9, "text": "医院收了", "role": "patient"}, {"turn": 10, "text": "查了铁蛋白吗", "role": "doctor"}, {"turn": 11, "text": "血压？", "role": "doctor"}, {"turn": 12, "text": "住院那几天132－156。服药", "role": "patient"}, {"turn": 13, "text": "用什么药", "role": "doctor"}, {"turn": 14, "text": "络活喜一天一片", "role": "patient"}, {"turn": 15, "text": "有没有查铁蛋白", "role": "doctor"}, {"turn": 16, "text": "不知道，住院査，不知道是否有该项", "role": "patient"}, {"turn": 17, "text": "有的，", "role": "doctor"}, {"turn": 18, "text": "最好要有检查结果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 122, "thread": [{"turn": 0, "text": "宫外孕术后吃什么补气血最快最好（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，术后多久了呢？", "role": "doctor"}, {"turn": 2, "text": "血常规正常吗", "role": "doctor"}, {"turn": 3, "text": "术后13天", "role": "patient"}, {"turn": 4, "text": "周四复查", "role": "patient"}, {"turn": 5, "text": "如果没有明显贫血的话可以用点归脾丸", "role": "doctor"}, {"turn": 6, "text": "或者可以用点阿胶", "role": "doctor"}, {"turn": 7, "text": "可以吃阿胶吗", "role": "patient"}, {"turn": 8, "text": "但是今年天气干燥", "role": "doctor"}, {"turn": 9, "text": "担心容易上火", "role": "doctor"}, {"turn": 10, "text": "食用大枣，桂圆行吗？", "role": "patient"}, {"turn": 11, "text": "西洋参可以吗？", "role": "patient"}, {"turn": 12, "text": "西洋参可以", "role": "doctor"}, {"turn": 13, "text": "大枣桂圆看身体情况", "role": "doctor"}, {"turn": 14, "text": "上火就停药", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "😊😊😊应该的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 123, "thread": [{"turn": 0, "text": "乙肝测定值5.99e 07严重吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，您提供的是乙肝病毒的定量", "role": "doctor"}, {"turn": 2, "text": "根据结果是需要抗病毒治疗的", "role": "doctor"}, {"turn": 3, "text": "严重吗", "role": "patient"}, {"turn": 4, "text": "算不上严重，要根据肝功能和超声等结果综合评估的", "role": "doctor"}, {"turn": 5, "text": "但是肯定是需要治疗的", "role": "doctor"}, {"turn": 6, "text": "注意避免饮酒和自服中草药等药物", "role": "doctor"}, {"turn": 7, "text": "好的，可以了，谢谢", "role": "patient"}, {"turn": 8, "text": "不客气", "role": "doctor"}, {"turn": 9, "text": "那对哇宝宝会有影响吗", "role": "patient"}, {"turn": 10, "text": "您是怀孕期间还是生宝宝了？", "role": "doctor"}, {"turn": 11, "text": "怀孕期间", "role": "patient"}, {"turn": 12, "text": "孕24-28周服用替比夫定或者替诺福韦抗病毒，宝宝出生后打乙肝疫苗和乙肝免疫球蛋白，产后停药可母乳", "role": "doctor"}, {"turn": 13, "text": "？", "role": "patient"}, {"turn": 14, "text": "好", "role": "patient"}, {"turn": 15, "text": "如果不干预，传染给宝宝的几率还是很大的", "role": "doctor"}, {"turn": 16, "text": "按照正规途径干预，阻断率在90%以上", "role": "doctor"}, {"turn": 17, "text": "产检时和生产前记得告诉医生您有乙肝病史", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 124, "thread": [{"turn": 0, "text": "B超可以检查出多囊肾吗？（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好！彩超可以检查出来多囊肾", "role": "doctor"}, {"turn": 2, "text": "B超和彩超不同吗？", "role": "patient"}, {"turn": 3, "text": "这两个是一样的，说法不同", "role": "doctor"}, {"turn": 4, "text": "嗯嗯，母亲家族有遗传史，所以有点担心", "role": "patient"}, {"turn": 5, "text": "还需要做其他的辅助检查吗？", "role": "patient"}, {"turn": 6, "text": "嗯，您可以做肾脏彩超筛查一下", "role": "doctor"}, {"turn": 7, "text": "不需要，筛查多囊肾这个就行", "role": "doctor"}, {"turn": 8, "text": "要做泌尿系的吗？", "role": "patient"}, {"turn": 9, "text": "是的，泌尿系统就行", "role": "doctor"}, {"turn": 10, "text": "女性也可以做吗我", "role": "patient"}, {"turn": 11, "text": "可以啊，女性也有泌尿系统", "role": "doctor"}, {"turn": 12, "text": "😓", "role": "patient"}, {"turn": 13, "text": "嗯嗯，谢谢", "role": "patient"}, {"turn": 14, "text": "没事，希望能帮到您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 125, "thread": [{"turn": 0, "text": "泌乳素高怎么调理最佳（女，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，可以把化验单发过来看一下", "role": "doctor"}, {"turn": 2, "text": "我想问恢复正常了会不会反弹", "role": "patient"}, {"turn": 3, "text": "我是想咨询这个呢", "role": "patient"}, {"turn": 4, "text": "非常有可能", "role": "doctor"}, {"turn": 5, "text": "怎么个有可能", "role": "patient"}, {"turn": 6, "text": "我的不是脑垂体引起的", "role": "patient"}, {"turn": 7, "text": "是什么原因导致你泌乳素高，你查出来了吗？", "role": "doctor"}, {"turn": 8, "text": "我是今年三月份做了个人流术\n术后例假一直没恢复", "role": "patient"}, {"turn": 9, "text": "泌乳素高就不会来月经", "role": "doctor"}, {"turn": 10, "text": "你得去医院查泌乳素高的原因", "role": "doctor"}, {"turn": 11, "text": "做了好多检查，都没查出原因，吃了不少调理药。后来找了专家给我拿了那个甲磺酸溴溴隐亭片", "role": "patient"}, {"turn": 12, "text": "吃了一个疗程，例假已经来了两次了。", "role": "patient"}, {"turn": 13, "text": "我想知道的是会不会反弹呢。", "role": "patient"}, {"turn": 14, "text": "我发给你看下", "role": "patient"}, {"turn": 15, "text": "溴隐亭是治疗高泌乳素，但不是根本性治疗。", "role": "doctor"}, {"turn": 16, "text": "我的报告在家里。性激素六项里面泌乳素是200多个值", "role": "patient"}, {"turn": 17, "text": "现在上班呢，没拿报告", "role": "patient"}, {"turn": 18, "text": "做头部CT了吗", "role": "doctor"}, {"turn": 19, "text": "没有，是不是应该去检查下头部。", "role": "patient"}, {"turn": 20, "text": "如果头部没事呢？", "role": "patient"}, {"turn": 21, "text": "200多必须查头部", "role": "doctor"}, {"turn": 22, "text": "为什么，解释下", "role": "patient"}, {"turn": 23, "text": "200以上垂体瘤的概率增加", "role": "doctor"}, {"turn": 24, "text": "意思是垂体瘤的概率比较大？", "role": "patient"}, {"turn": 25, "text": "这种能调理好么。我这刚结婚还没有要孩子呢", "role": "patient"}, {"turn": 26, "text": "200以上首先要排除垂体瘤", "role": "doctor"}, {"turn": 27, "text": "意思是不是垂体瘤是么？", "role": "patient"}, {"turn": 28, "text": "你说话能不能说清楚。", "role": "patient"}, {"turn": 29, "text": "我说的很清楚了。你咋这样说也呢？", "role": "doctor"}, {"turn": 30, "text": "首先排除垂体瘤，就是先考虑有这病", "role": "doctor"}, {"turn": 31, "text": "200多的值是调理下来的值。", "role": "patient"}, {"turn": 32, "text": "那例假也正常恢复了。", "role": "patient"}, {"turn": 33, "text": "你说这种情况会不会反弹，复发。", "role": "patient"}, {"turn": 34, "text": "啊，意思之前比200还高呢？", "role": "doctor"}, {"turn": 35, "text": "我再强调一下，能复发，而且机会很高", "role": "doctor"}, {"turn": 36, "text": "没治疗以前是500多", "role": "patient"}, {"turn": 37, "text": "哪位大师不给你做头颅CT的😭", "role": "doctor"}, {"turn": 38, "text": "你必须得去做个头颅CT", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 126, "thread": [{"turn": 0, "text": "肛窦炎要多长时间才可以好（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状呢？肛窦炎一般用药一周症状会缓解，但容易反复发作。", "role": "doctor"}, {"turn": 2, "text": "我就是感觉疼", "role": "patient"}, {"turn": 3, "text": "我输液一星期还是难受", "role": "patient"}, {"turn": 4, "text": "哪里疼，去医院检查过诊断是肛窦炎吗", "role": "doctor"}, {"turn": 5, "text": "肛窦炎容易引发肛周脓肿", "role": "doctor"}, {"turn": 6, "text": "检查了用肛门镜，医生检查我的就是轻微的肛窦炎，我大便也不流血，", "role": "patient"}, {"turn": 7, "text": "肛门旁边自己压一下，看看有肿块或压痛吗？", "role": "doctor"}, {"turn": 8, "text": "输液后 医生又给我检查，说已经没有明显充血红肿了，开了马应龙痔疮栓。说塞就行了", "role": "patient"}, {"turn": 9, "text": "怎么压呀", "role": "patient"}, {"turn": 10, "text": "我现在塞了一星期感觉是好了点", "role": "patient"}, {"turn": 11, "text": "但是还是有症状", "role": "patient"}, {"turn": 12, "text": "自己沿着肛门一周按压一下 。", "role": "doctor"}, {"turn": 13, "text": "用手带套摸肛门里面吗", "role": "patient"}, {"turn": 14, "text": "摸肛门外面，看看有没肿块和压痛", "role": "doctor"}, {"turn": 15, "text": "都没有", "role": "patient"}, {"turn": 16, "text": "哦，那你要继续使用肛门栓，再口服几天头孢类消炎药。", "role": "doctor"}, {"turn": 17, "text": "最近，注意饮食起居，忌辛辣刺激食物，忌熬夜喝酒，忌劳累，多吃蔬菜水果，保持大便通畅，保证充足的睡眠。", "role": "doctor"}, {"turn": 18, "text": "我大便有点不成型一天两次， 现在吃了四联好多了，头孢吃多少天，塞栓要多少天", "role": "patient"}, {"turn": 19, "text": "继续再用5天看看。", "role": "doctor"}, {"turn": 20, "text": "我这个是不是不能久坐啊", "role": "patient"}, {"turn": 21, "text": "如果要坐 需要多长时间站起来走走", "role": "patient"}, {"turn": 22, "text": "没什么关系。", "role": "doctor"}, {"turn": 23, "text": "行", "role": "patient"}, {"turn": 24, "text": "我知道了", "role": "patient"}, {"turn": 25, "text": "好的，有情况再联系。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 127, "thread": [{"turn": 0, "text": "怀孕了急性胃炎可以打针吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，怀孕多长时间了？", "role": "doctor"}, {"turn": 2, "text": "六个多月", "role": "patient"}, {"turn": 3, "text": "差一个礼拜就七个月了", "role": "patient"}, {"turn": 4, "text": "都疼了三天了", "role": "patient"}, {"turn": 5, "text": "你好，这个不能随便用药的", "role": "doctor"}, {"turn": 6, "text": "但是疼得特别厉害，就不能开点药打针吗", "role": "patient"}, {"turn": 7, "text": "为了你的胎儿好", "role": "doctor"}, {"turn": 8, "text": "治疗胃炎的药很多，但是你是特殊人群", "role": "doctor"}, {"turn": 9, "text": "你自己考虑", "role": "doctor"}, {"turn": 10, "text": "不是医生和你过不去不让你吃药", "role": "doctor"}, {"turn": 11, "text": "是为了你的孩子好", "role": "doctor"}, {"turn": 12, "text": "现在是什么药也不可以吃吗", "role": "patient"}, {"turn": 13, "text": "是", "role": "doctor"}, {"turn": 14, "text": "哦哦！谢谢！", "role": "patient"}, {"turn": 15, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 128, "thread": [{"turn": 0, "text": "孕妇缺铁性贫血吃什么好（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好请问你的血红蛋白是多少？", "role": "doctor"}, {"turn": 2, "text": "给我检查的医生说我是缺铁性贫血", "role": "patient"}, {"turn": 3, "text": "药物补应该拿什么药吃", "role": "patient"}, {"turn": 4, "text": "请问你的血红蛋白是多少？看看程度", "role": "doctor"}, {"turn": 5, "text": "一般缺铁贫血口服铁剂和维生素C治疗", "role": "doctor"}, {"turn": 6, "text": "平时饮食以含铁丰富的食物为主，包括动物肝脏，瘦肉，木耳，芹菜等", "role": "doctor"}, {"turn": 7, "text": "您好，还有其他问题吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 129, "thread": [{"turn": 0, "text": "腰肌劳损经常发作，如何治疗和防愈（男，39岁）", "role": "patient"}, {"turn": 1, "text": "你好，能详细的说一下具体都有什么症状？", "role": "doctor"}, {"turn": 2, "text": "就是发作的时候腰很疼，弯也弯不下来", "role": "patient"}, {"turn": 3, "text": "嗯，平时是做什么工作的？你好！久坐低头弯腰多吗？", "role": "doctor"}, {"turn": 4, "text": "还行，我八年前健身练仰卧起坐把腰伤了，后来就变慢性了，一年总有几次发作，一发作就很疼，腰也弯不来，上个月开始健身游泳", "role": "patient"}, {"turn": 5, "text": "嗯，对于你现在这个情况，平时一定要注意休息，劳逸结合，避免负重受累，避免受凉，避免久坐或久站。局部疼痛严重可以在家暖水袋热敷，万通筋骨贴外敷，口服活血止痛胶囊，双氯芬酸钠肠溶片缓解症状。 上述方法不缓解可以去医院理疗针灸按摩综合治疗效果较好。 症状缓解以后平时锻炼腰背肌防止复发 :可以做【小燕飞】:俯卧位，以腹部为支点，用力挺胸抬头，双手双脚向空中伸展。练习要循序渐进，少量多次，避免损伤。", "role": "doctor"}, {"turn": 6, "text": "不复发的时候游泳有好处吗", "role": "patient"}, {"turn": 7, "text": "游泳也可以，对腰部肌肉也有比较好的锻炼，不过游泳不要过多，另外是不要蝶泳，蝶泳需要比较大的腰部爆发力，因此会有损伤加重的可能", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢", "role": "patient"}, {"turn": 9, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 130, "thread": [{"turn": 0, "text": "女生经期推迟，痛经会不会有影响（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，妹妹，请问月经推迟多久？", "role": "doctor"}, {"turn": 2, "text": "一周", "role": "patient"}, {"turn": 3, "text": "平均周期都在37天左右吗？", "role": "doctor"}, {"turn": 4, "text": "如果平均周期都差不多在那么几天，也正常。但是痛经分为原发性和继发性，如果还伴有月经颜色偏暗，血块，考虑“宫寒”症候群，可以中医中药调理", "role": "doctor"}, {"turn": 5, "text": "情绪不好会影响月经吗", "role": "patient"}, {"turn": 6, "text": "会的", "role": "doctor"}, {"turn": 7, "text": "我这两天感觉时不时会腰疼，而且易怒，情绪不稳定，是不是月经快要来的表现呢", "role": "patient"}, {"turn": 8, "text": "是的，很多人由于来月经的激素水平变化，月经前会有你所说的表现", "role": "doctor"}, {"turn": 9, "text": "而且脸上长痘并且瘙痒也是这个原因吗", "role": "patient"}, {"turn": 10, "text": "脸上长痘痘的原因很多，你看月经结束消失不，如果不消失，就去皮肤科看看", "role": "doctor"}, {"turn": 11, "text": "宫寒的话平时是不是会更容易觉得冷", "role": "patient"}, {"turn": 12, "text": "对的，四肢冰凉", "role": "doctor"}, {"turn": 13, "text": "中医调理一个疗程是多久？", "role": "patient"}, {"turn": 14, "text": "7-14天，不过你这种要慢性调理，至少要三个疗程。还有，你可以买艾灸来自己考，平时用艾草泡脚，这些都对自己有好处。", "role": "doctor"}, {"turn": 15, "text": "如果这个月没来需要去看医生吗", "role": "patient"}, {"turn": 16, "text": "上个月几号来的？", "role": "doctor"}, {"turn": 17, "text": "平时饮食和生活习惯上需要注意些什么呢", "role": "patient"}, {"turn": 18, "text": "饮食主要是少吃冰凉的，辣的还好，尤其是月经期注意保暖", "role": "doctor"}, {"turn": 19, "text": "晚上少熬夜", "role": "doctor"}, {"turn": 20, "text": "上个月25号左右", "role": "patient"}, {"turn": 21, "text": "？", "role": "doctor"}, {"turn": 22, "text": "宫寒是什么原因引起的呢", "role": "patient"}, {"turn": 23, "text": "上个月是25号左右来的月经", "role": "patient"}, {"turn": 24, "text": "嗯嗯，宫寒是一种通俗的说法，医学上的书命语可以用很多种病解释，发病原因多样，先天肾气不足，或者后天不注意身体，受寒，劳累，压力太大等", "role": "doctor"}, {"turn": 25, "text": "好的呢。那中药调理后会有明显的改善吗", "role": "patient"}, {"turn": 26, "text": "因人而异，大多数坚持还是有改善。主要还是生活方式调理", "role": "doctor"}, {"turn": 27, "text": "少吃辛辣和冷的食物，少熬夜。那多吃什么比较好呢？", "role": "patient"}, {"turn": 28, "text": "其实，所有的东西都讲究适度，不需要刻意多吃什么。如果食疗，可以泡枸杞大枣，玫瑰花茶，或者一周偶尔炖点鲫鱼汤", "role": "doctor"}, {"turn": 29, "text": "好的谢谢医生", "role": "patient"}, {"turn": 30, "text": "晚安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 131, "thread": [{"turn": 0, "text": "脐带绕颈2周怎么矫正（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你现在怀孕多少周了？", "role": "doctor"}, {"turn": 2, "text": "23周", "role": "patient"}, {"turn": 3, "text": "B 超检查脐带绕颈两周,没有什么可以纠正的方法。出现这种情况,孕妇很多会出现焦虑,因为脐带绕颈过紧,有可能造成胎儿缺氧。但是这种情况我们没有可以干预的措施，注意数好胎动,进行B 超监护检查,判断胎儿的安危情况。其中最主要的就是孕妇要注意自数胎动!因为宝宝的胎动好不好,孕妇首先能感知到,而胎动是胎儿安危最直接的表现。如果胎动正常,胎心监护良好,就没有什么需要处理的。如果胎动不好,胎心监护均异常,就需要及时住院进行治疗。", "role": "doctor"}, {"turn": 4, "text": "目前情况，注意数好胎动", "role": "doctor"}, {"turn": 5, "text": "如果实在不放心，可以买个小的胎心监护仪在家测测胎心", "role": "doctor"}, {"turn": 6, "text": "不会数胎动。", "role": "patient"}, {"turn": 7, "text": "每天早中晚各选1小时，每天都是同样的时间数，5分钟之内算一次，1小时有6次就可以了", "role": "doctor"}, {"turn": 8, "text": "哦。因为身体比较胖。好像很难感觉到胎动的。", "role": "patient"}, {"turn": 9, "text": "可以买个小的胎心监护仪，监测胎心也可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 132, "thread": [{"turn": 0, "text": "创伤性关节炎手术后多久会发生（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，做的什么手术？多长时间了", "role": "doctor"}, {"turn": 2, "text": "肱骨远端粉碎性骨折，手术后十个月了", "role": "patient"}, {"turn": 3, "text": "现在有什么不舒服吗", "role": "doctor"}, {"turn": 4, "text": "酸痛", "role": "patient"}, {"turn": 5, "text": "酸痛是不是创伤性关节炎", "role": "patient"}, {"turn": 6, "text": "骨折后都会有点", "role": "doctor"}, {"turn": 7, "text": "平时尽量不要受累", "role": "doctor"}, {"turn": 8, "text": "不要受凉受寒", "role": "doctor"}, {"turn": 9, "text": "方便的话去医院中医科做做理疗", "role": "doctor"}, {"turn": 10, "text": "好一些", "role": "doctor"}, {"turn": 11, "text": "或者自己在家烤烤电", "role": "doctor"}, {"turn": 12, "text": "能不能治愈", "role": "patient"}, {"turn": 13, "text": "还有现在的钢板如果不取以后会不会有影响", "role": "patient"}, {"turn": 14, "text": "除不了跟", "role": "doctor"}, {"turn": 15, "text": "一年后恢复差不多最好取出来", "role": "doctor"}, {"turn": 16, "text": "我的主治医师建议我不取，他说碎的太厉害了，不一定能长好", "role": "patient"}, {"turn": 17, "text": "复查看看情况", "role": "doctor"}, {"turn": 18, "text": "像这样的骨折如果长不好！时间长了钢板会不会断裂", "role": "patient"}, {"turn": 19, "text": "一般情况不会", "role": "doctor"}, {"turn": 20, "text": "除非有外力", "role": "doctor"}, {"turn": 21, "text": "哦！好的谢谢医生", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}, {"turn": 23, "text": "祝你早日康复，天天开心快乐", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 133, "thread": [{"turn": 0, "text": "坐久了头晕。头疼杂回事有颈椎病（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你平时生活作息规律吗？", "role": "doctor"}, {"turn": 2, "text": "晚上12到2点睡觉\n早上8点起床", "role": "patient"}, {"turn": 3, "text": "坐久了 起来就是头晕 我有颈椎病", "role": "patient"}, {"turn": 4, "text": "你平时有体育运动锻炼吗？", "role": "doctor"}, {"turn": 5, "text": "没有 基本很少", "role": "patient"}, {"turn": 6, "text": "啥问题啊我这个", "role": "patient"}, {"turn": 7, "text": "一般头晕能持续多长时间？有没有天旋地转或站立不稳的情况。马上坐下或者躺下，能不能缓解？", "role": "doctor"}, {"turn": 8, "text": "一小会", "role": "patient"}, {"turn": 9, "text": "能站立 就是往边上靠 一会就好了", "role": "patient"}, {"turn": 10, "text": "没有坐下 也能缓解", "role": "patient"}, {"turn": 11, "text": "几秒内", "role": "patient"}, {"turn": 12, "text": "缺乏运动，引起的血压一过性偏低。", "role": "doctor"}, {"turn": 13, "text": "我血压一直平稳", "role": "patient"}, {"turn": 14, "text": "不是颈椎病吗，", "role": "patient"}, {"turn": 15, "text": "这种情况不是颈椎病的问题，就是突然站起来瞬间血压不能及时升高。", "role": "doctor"}, {"turn": 16, "text": "不是的", "role": "patient"}, {"turn": 17, "text": "是我上班坐这里 突然晕一下", "role": "patient"}, {"turn": 18, "text": "然后出门就头晕", "role": "patient"}, {"turn": 19, "text": "问题大吗", "role": "patient"}, {"turn": 20, "text": "你平时熬夜吗？", "role": "doctor"}, {"turn": 21, "text": "长时间做的话，有可能会出现头晕的情况，但是这个头晕主要与睡眠不足熬夜和过于紧张有关系。这种情况可以出现短时间的头晕。", "role": "doctor"}, {"turn": 22, "text": "长时间坐…", "role": "doctor"}, {"turn": 23, "text": "熬夜 精神一直紧张", "role": "patient"}, {"turn": 24, "text": "坐的屁股疼", "role": "patient"}, {"turn": 25, "text": "那你这种原因就是与熬夜直接相关。会出现短时间的大脑功能紊乱。", "role": "doctor"}, {"turn": 26, "text": "我最近都凌晨一点左右到3点睡觉 精神极度紧张", "role": "patient"}, {"turn": 27, "text": "你这种情况避免熬夜适量运动锻炼，保持轻松的心情，就会好。", "role": "doctor"}, {"turn": 28, "text": "严重吗", "role": "patient"}, {"turn": 29, "text": "经常也晕", "role": "patient"}, {"turn": 30, "text": "这种情况本身不严重，是你生活作息规律不好引起的。", "role": "doctor"}, {"turn": 31, "text": "参考总结，看还有什么疑问", "role": "doctor"}, {"turn": 32, "text": "严重不", "role": "patient"}, {"turn": 33, "text": "不严重，调整好作息规律就可以。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 134, "thread": [{"turn": 0, "text": "咽喉部肌肉拉伤 很奇怪 （女，21岁）医生在吗😁", "role": "patient"}, {"turn": 1, "text": "您好！怎么受伤的？目前主要有什么症状？", "role": "doctor"}, {"turn": 2, "text": "就是昨天去按摩腰 然后不是脖子就趴在那里", "role": "patient"}, {"turn": 3, "text": "然后没觉得什么", "role": "patient"}, {"turn": 4, "text": "今天早上起来不知道怎么回事", "role": "patient"}, {"turn": 5, "text": "就后来就发现吞咽口水 就右侧一根筋感觉", "role": "patient"}, {"turn": 6, "text": "牵着", "role": "patient"}, {"turn": 7, "text": "我把头往左侧侧 然后吞咽口水就没事", "role": "patient"}, {"turn": 8, "text": "按着那个地方 吞咽口水也没事", "role": "patient"}, {"turn": 9, "text": "可能与长时间一个姿势有关系。问题不大。多活动可以缓解。", "role": "doctor"}, {"turn": 10, "text": "我本来以为是会厌炎", "role": "patient"}, {"turn": 11, "text": "但是嗓子不疼 吞咽也没事", "role": "patient"}, {"turn": 12, "text": "吃饭正常", "role": "patient"}, {"turn": 13, "text": "可能爬的时间长所致。", "role": "doctor"}, {"turn": 14, "text": "而且这个也是体位 就没事 有的位置就没事 有的位置就吞咽右侧一根筋不舒服", "role": "patient"}, {"turn": 15, "text": "嗯嗯 和呼吸没关系吧", "role": "patient"}, {"turn": 16, "text": "和我昨天烫头长时间一个姿势有关系吗", "role": "patient"}, {"turn": 17, "text": "😭😭😭", "role": "patient"}, {"turn": 18, "text": "😨", "role": "patient"}, {"turn": 19, "text": "没关系。", "role": "doctor"}, {"turn": 20, "text": "我都怕死了", "role": "patient"}, {"turn": 21, "text": "就还是肌肉拉伤", "role": "patient"}, {"turn": 22, "text": "是吧", "role": "patient"}, {"turn": 23, "text": "太奇怪了 就那种吞口水的感觉，", "role": "patient"}, {"turn": 24, "text": "想的多了。", "role": "doctor"}, {"turn": 25, "text": "来回转脖子就可以的。", "role": "doctor"}, {"turn": 26, "text": "嗯嗯 好的", "role": "patient"}, {"turn": 27, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 135, "thread": [{"turn": 0, "text": "狼疮性肾炎能吃胡萝卜素软襄（女，57岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问目前有哪些症状吗？", "role": "doctor"}, {"turn": 2, "text": "狼疮性肾炎控制的还好吗？", "role": "doctor"}, {"turn": 3, "text": "你说的胡萝卜素软胶囊，是保健品吧！", "role": "doctor"}, {"turn": 4, "text": "不建议乱用保健品", "role": "doctor"}, {"turn": 5, "text": "没有必要用的尽量不要用用", "role": "doctor"}, {"turn": 6, "text": "狼疮肾炎能吃胡萝卜素软胶囊", "role": "patient"}, {"turn": 7, "text": "不建议吃", "role": "doctor"}, {"turn": 8, "text": "为什么要吃这个呢？", "role": "doctor"}, {"turn": 9, "text": "如果能够正常饮食，建议还是从饮食中摄入各种营养成份", "role": "doctor"}, {"turn": 10, "text": "视力看不清", "role": "patient"}, {"turn": 11, "text": "去眼科看过吗？", "role": "doctor"}, {"turn": 12, "text": "先要明确视力下降的原因", "role": "doctor"}, {"turn": 13, "text": "胡萝卜主要含有维生素A，缺乏维生素A的表现是夜盲，不一定是视力下降", "role": "doctor"}, {"turn": 14, "text": "吃了氯喹片还有甲泼尼龙片，感觉眼睛越来看不清了", "role": "patient"}, {"turn": 15, "text": "这是什么原因?", "role": "patient"}, {"turn": 16, "text": "可能和激素有关系\n激素会引起类固醇眼病，出现眼部不适以及事物模糊", "role": "doctor"}, {"turn": 17, "text": "先去眼科看看", "role": "doctor"}, {"turn": 18, "text": "可以明确引起视力下降的原因", "role": "doctor"}, {"turn": 19, "text": "看过眼科没有问题", "role": "patient"}, {"turn": 20, "text": "那就可能和激素有关系", "role": "doctor"}, {"turn": 21, "text": "眼科没有建议用哪种药物吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 136, "thread": [{"turn": 0, "text": "脑供血不足耳鸣吃什么药好（男，38）", "role": "patient"}, {"turn": 1, "text": "之前有过供血不足吗？做过什么检查吗？听力有没有下降？", "role": "doctor"}, {"turn": 2, "text": "作过多普乐听力没下降", "role": "patient"}, {"turn": 3, "text": "哦，看不到患者不能确定具体情况，如果是供血不足引起耳鸣，需要到医院检查下，必要时需要静点些改善循环的药物，口服可以吃凯那是扩血管药！", "role": "doctor"}, {"turn": 4, "text": "针对本次问诊，医生更新了总结建议：建议详细检查下以确定治疗方案！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 137, "thread": [{"turn": 0, "text": "颈椎病挂什么科，啊，我不知道（男，55岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "很长时间了", "role": "patient"}, {"turn": 3, "text": "血压还高", "role": "patient"}, {"turn": 4, "text": "颈椎病应该挂骨科", "role": "doctor"}, {"turn": 5, "text": "不挂神经科啊", "role": "patient"}, {"turn": 6, "text": "骨科就可以的", "role": "doctor"}, {"turn": 7, "text": "如果挂了神经科呢，他会给我们，治疗吗", "role": "patient"}, {"turn": 8, "text": "应该会的", "role": "doctor"}, {"turn": 9, "text": "还是医生会让你再去挂骨科啊", "role": "patient"}, {"turn": 10, "text": "为什么是应该会呢，您是医生都不知道吗", "role": "patient"}, {"turn": 11, "text": "一般是什么病挂什么科", "role": "doctor"}, {"turn": 12, "text": "有的医院可以，但有的医院他会让你重新挂号的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 138, "thread": [{"turn": 0, "text": "男朋友有尖锐湿疣传染力高吗（女，32岁）", "role": "patient"}, {"turn": 1, "text": "这个传染力很强的，不能性接触。", "role": "doctor"}, {"turn": 2, "text": "一次能传染吗", "role": "patient"}, {"turn": 3, "text": "看他疾病状态", "role": "doctor"}, {"turn": 4, "text": "传染性很大", "role": "doctor"}, {"turn": 5, "text": "女传男呢", "role": "patient"}, {"turn": 6, "text": "一样无差别", "role": "doctor"}, {"turn": 7, "text": "身体私处也没有什么症状", "role": "patient"}, {"turn": 8, "text": "对方有变化吗", "role": "doctor"}, {"turn": 9, "text": "百分之百的几率", "role": "patient"}, {"turn": 10, "text": "对方有没有概率", "role": "doctor"}, {"turn": 11, "text": "这个病有什么症状吗", "role": "patient"}, {"turn": 12, "text": "有疣体出现", "role": "doctor"}, {"turn": 13, "text": "你咋知道对方有性病的", "role": "doctor"}, {"turn": 14, "text": "对方做检查了吗", "role": "doctor"}, {"turn": 15, "text": "有，", "role": "patient"}, {"turn": 16, "text": "对方有，就可能传染", "role": "doctor"}, {"turn": 17, "text": "他龟头上大面积有", "role": "patient"}, {"turn": 18, "text": "嗯", "role": "doctor"}, {"turn": 19, "text": "那传染性百分之九十", "role": "doctor"}, {"turn": 20, "text": "我没什么反应", "role": "patient"}, {"turn": 21, "text": "能治愈吗", "role": "patient"}, {"turn": 22, "text": "这个事发生多久了", "role": "doctor"}, {"turn": 23, "text": "5个月了", "role": "patient"}, {"turn": 24, "text": "现在你有疣体不舒服的吗", "role": "doctor"}, {"turn": 25, "text": "没有", "role": "patient"}, {"turn": 26, "text": "这样安全了", "role": "doctor"}, {"turn": 27, "text": "没有感染", "role": "doctor"}, {"turn": 28, "text": "多久会发出来的", "role": "patient"}, {"turn": 29, "text": "三个月内", "role": "doctor"}, {"turn": 30, "text": "病毒会存在吗", "role": "patient"}, {"turn": 31, "text": "我还经常喝酒", "role": "patient"}, {"turn": 32, "text": "得了这个病会有哪些不舒服", "role": "patient"}, {"turn": 33, "text": "如果现在有性生活会传染吗", "role": "patient"}, {"turn": 34, "text": "得有疣体", "role": "doctor"}, {"turn": 35, "text": "没有就没感染", "role": "doctor"}, {"turn": 36, "text": "你没感染，不需要以他为注意", "role": "doctor"}, {"turn": 37, "text": "有病毒", "role": "patient"}, {"turn": 38, "text": "病毒会发作啊", "role": "doctor"}, {"turn": 39, "text": "有病毒没疣体也会感染拿", "role": "patient"}, {"turn": 40, "text": "你五个月没有就是没感染的", "role": "doctor"}, {"turn": 41, "text": "不放心您可以去检查下", "role": "doctor"}, {"turn": 42, "text": "好的，谢谢", "role": "patient"}, {"turn": 43, "text": "感染会发作在三个月内", "role": "doctor"}, {"turn": 44, "text": "不客气", "role": "doctor"}, {"turn": 45, "text": "如果查了没有以后也没有吧", "role": "patient"}, {"turn": 46, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 139, "thread": [{"turn": 0, "text": "肿瘤病人不能吃的食物（男，70岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是什么部位的肿瘤？", "role": "doctor"}, {"turn": 2, "text": "肺左上叶鳞癌", "role": "patient"}, {"turn": 3, "text": "这个没有特殊要求，平时饮食清淡，忌辛辣刺激的食物，如果有糖尿病之类的基础病还需要相关疾病饮食", "role": "doctor"}, {"turn": 4, "text": "糖类不能吃是吗", "role": "patient"}, {"turn": 5, "text": "有糖尿病就不可以了", "role": "doctor"}, {"turn": 6, "text": "没有糖尿病，是听其他人说，肿瘤患者不能吃糖，尤其是白糖红糖类不能直接食用，会加助肿瘤生长，是么？", "role": "patient"}, {"turn": 7, "text": "没有科学根据", "role": "doctor"}, {"turn": 8, "text": "那狗肉和鸽子肉可以吃吗？", "role": "patient"}, {"turn": 9, "text": "饮食清淡", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 140, "thread": [{"turn": 0, "text": "脂肪瘤长得比较深需要手术吗（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问脂肪瘤有多大？发现多久了？", "role": "doctor"}, {"turn": 2, "text": "如果发现了，最好手术呢", "role": "doctor"}, {"turn": 3, "text": "有好几年了  在肋骨周围", "role": "patient"}, {"turn": 4, "text": "建议手术呢", "role": "doctor"}, {"turn": 5, "text": "不大  用手能摸到  这几天开始疼了", "role": "patient"}, {"turn": 6, "text": "为什么会变疼呢", "role": "patient"}, {"turn": 7, "text": "建议去医院查一下呢", "role": "doctor"}, {"turn": 8, "text": "去医院查着   医生什么都没有说  让自己观察就行  也没有做彩超", "role": "patient"}, {"turn": 9, "text": "？", "role": "patient"}, {"turn": 10, "text": "那你怎么知道是脂肪瘤呢", "role": "doctor"}, {"turn": 11, "text": "如果是得话建议手术", "role": "doctor"}, {"turn": 12, "text": "毕竟长得不好的东西呢", "role": "doctor"}, {"turn": 13, "text": "嗯  知道了", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "我改怎么看呢  看什么科", "role": "patient"}, {"turn": 16, "text": "普外吧", "role": "doctor"}, {"turn": 17, "text": "嗯  谢谢了", "role": "patient"}, {"turn": 18, "text": "不客气呢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 141, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：慢性前列腺炎（男，38岁）", "role": "patient"}, {"turn": 1, "text": "慢性前列腺炎属于常见男性疾病，这种疾病治疗呢，一般都是口服药物，然后注意饮食。", "role": "doctor"}, {"turn": 2, "text": "我吃药一个月了，左氧氟沙星还用吃吗", "role": "patient"}, {"turn": 3, "text": "氧氟沙星不可能吃长久的服用，可以服用一些中成药进行治疗的。", "role": "doctor"}, {"turn": 4, "text": "还有哈乐，瘾闭舒胶囊，前列腺安通片", "role": "patient"}, {"turn": 5, "text": "单靠中成药，可以吗", "role": "patient"}, {"turn": 6, "text": "哈乐以及龙闭舒胶囊，前列腺通片，这种药物可以长期服用一段时间，一般可以服用4~6周。", "role": "doctor"}, {"turn": 7, "text": "6周能治愈吗", "role": "patient"}, {"turn": 8, "text": "现在还是尿很频", "role": "patient"}, {"turn": 9, "text": "我在医院，医生说要吃药两个月", "role": "patient"}, {"turn": 10, "text": "4~6周，这是最基本的治疗疗程，有的病人可能时间会长一点。", "role": "doctor"}, {"turn": 11, "text": "就吃这三种药可以了吗", "role": "patient"}, {"turn": 12, "text": "如果效果很好的话，这三种药就可以的。", "role": "doctor"}, {"turn": 13, "text": "长期吃哈乐有什么副作用吗", "role": "patient"}, {"turn": 14, "text": "吃起来效果感觉还可以", "role": "patient"}, {"turn": 15, "text": "吃久了以后尿频会好吗", "role": "patient"}, {"turn": 16, "text": "这么久不回复我", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 142, "thread": [{"turn": 0, "text": "脑外伤后吃补肾药头痛怎么回事（男，41岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？头外伤的具体诊断是什么？", "role": "doctor"}, {"turn": 2, "text": "四年了", "role": "patient"}, {"turn": 3, "text": "吃的什么药？", "role": "doctor"}, {"turn": 4, "text": "古力西", "role": "patient"}, {"turn": 5, "text": "在吗", "role": "patient"}, {"turn": 6, "text": "之前头外伤具体是什么问题", "role": "doctor"}, {"turn": 7, "text": "蛛网膜下腔出血", "role": "patient"}, {"turn": 8, "text": "嗯", "role": "doctor"}, {"turn": 9, "text": "近期头痛症状有没有加重", "role": "doctor"}, {"turn": 10, "text": "颅骨骨折", "role": "patient"}, {"turn": 11, "text": "对", "role": "patient"}, {"turn": 12, "text": "最近有没有复查CT", "role": "doctor"}, {"turn": 13, "text": "现在中医看脉肾太虚可吃补肾药头痛眩晕", "role": "patient"}, {"turn": 14, "text": "ct正常", "role": "patient"}, {"turn": 15, "text": "天庭盖像是骨痛", "role": "patient"}, {"turn": 16, "text": "目前排除颅内问题引起的症状，那么可能是颈椎问题了", "role": "doctor"}, {"turn": 17, "text": "怎么回事呢", "role": "patient"}, {"turn": 18, "text": "不排除是颈椎病引起的", "role": "doctor"}, {"turn": 19, "text": "如果要明确需查下颈椎CT或磁共振", "role": "doctor"}, {"turn": 20, "text": "颈椎病吃补肾药头痛吗", "role": "patient"}, {"turn": 21, "text": "颈椎病会引起头痛头晕等症状，可能系这个原因", "role": "doctor"}, {"turn": 22, "text": "颈椎增生", "role": "patient"}, {"turn": 23, "text": "不一定跟吃补肾药有关", "role": "doctor"}, {"turn": 24, "text": "你做的应该是X线", "role": "doctor"}, {"turn": 25, "text": "好像3----4节", "role": "patient"}, {"turn": 26, "text": "椎间盘突出吗？", "role": "doctor"}, {"turn": 27, "text": "做什么", "role": "patient"}, {"turn": 28, "text": "我做的是磁共振", "role": "patient"}, {"turn": 29, "text": "嗯", "role": "doctor"}, {"turn": 30, "text": "我是农民", "role": "patient"}, {"turn": 31, "text": "有报告吗？", "role": "doctor"}, {"turn": 32, "text": "中午发给你行吗", "role": "patient"}, {"turn": 33, "text": "可以", "role": "doctor"}, {"turn": 34, "text": "最近有没有测过血压", "role": "doctor"}, {"turn": 35, "text": "高不高", "role": "doctor"}, {"turn": 36, "text": "不高", "role": "patient"}, {"turn": 37, "text": "好的", "role": "doctor"}, {"turn": 38, "text": "你好，报告什么时候有空发过来看下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 143, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：颞颌关节炎（男，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，您的关节炎几天了，有什么可以帮助您的。", "role": "doctor"}, {"turn": 2, "text": "大夫 这么晚麻烦您了  是这样 张大嘴 颞颌会有响声 左面颞颌下面的位置有一个肿的地方 我不确定是智齿的问题还是颞颌的问题 而且我耳朵鼓膜还有低频的共振。。。", "role": "patient"}, {"turn": 3, "text": "颞颌关节炎，俗称挂钩疼，是指由于颞颌关节功能紊乱或结构损伤而引起的疼痛，活动障碍等症状的综合征。 　　疼痛位于耳前的深处，并且可由该处放射。疼痛可弥散到整个一侧面部，性质为钝痛，程度为轻度或中度，咀嚼、说话、咬牙等活动可诱发和加重疼痛。", "role": "doctor"}, {"turn": 4, "text": "您看看符合这种情况吗？", "role": "doctor"}, {"turn": 5, "text": "您好，还在不在，是不是困了", "role": "doctor"}, {"turn": 6, "text": "不是很符合。。。", "role": "patient"}, {"turn": 7, "text": "主要是牙周疼痛吗，外面有没有鼓包，疼痛严重不严重", "role": "doctor"}, {"turn": 8, "text": "在不在", "role": "doctor"}, {"turn": 9, "text": "在在在。。。", "role": "patient"}, {"turn": 10, "text": "有一个鼓包", "role": "patient"}, {"turn": 11, "text": "在耳垂前面的位置", "role": "patient"}, {"turn": 12, "text": "左上的智齿漏神经了", "role": "patient"}, {"turn": 13, "text": "您的情况有几天了，去医院看了没", "role": "doctor"}, {"turn": 14, "text": "您的情况有可能还是口腔科的问题，有可能牙周形成了脓肿，需先再去消炎3天，口腔科处理；这是我根据您的描述做的初步判断。", "role": "doctor"}, {"turn": 15, "text": "还在不在，兄弟", "role": "doctor"}, {"turn": 16, "text": "我下线了，明天还得值班，有事明日上午可联系。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 144, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：做爱无能早泄（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你的性生活时间有几分钟？", "role": "doctor"}, {"turn": 2, "text": "还有其他什么不舒服吗？", "role": "doctor"}, {"turn": 3, "text": "一分钟", "role": "patient"}, {"turn": 4, "text": "一直都是这样？", "role": "doctor"}, {"turn": 5, "text": "身上冒汗", "role": "patient"}, {"turn": 6, "text": "对", "role": "patient"}, {"turn": 7, "text": "是自己撸管还是性交？", "role": "doctor"}, {"turn": 8, "text": "性交", "role": "patient"}, {"turn": 9, "text": "性交规不规律？", "role": "doctor"}, {"turn": 10, "text": "规律", "role": "patient"}, {"turn": 11, "text": "有没有去医院看过", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "你有没有包皮过长？", "role": "doctor"}, {"turn": 14, "text": "有", "role": "patient"}, {"turn": 15, "text": "龟头敏感", "role": "patient"}, {"turn": 16, "text": "那去做一个包皮切除  这样敏感度就会明显下降  时间就提高啦", "role": "doctor"}, {"turn": 17, "text": "就这么简单？", "role": "patient"}, {"turn": 18, "text": "是的", "role": "doctor"}, {"turn": 19, "text": "如果还是不行就要去买必利劲吃了", "role": "doctor"}, {"turn": 20, "text": "药有没有副作用", "role": "patient"}, {"turn": 21, "text": "有的", "role": "doctor"}, {"turn": 22, "text": "那这个有点难办了", "role": "patient"}, {"turn": 23, "text": "但副作用没有你想的那么夸张的  基本上都是没事的", "role": "doctor"}, {"turn": 24, "text": "谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 145, "thread": [{"turn": 0, "text": "胰腺癌切断神经后遗症（男，49岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答问题", "role": "doctor"}, {"turn": 2, "text": "胰腺癌晚期做神经毁损可以做吗？有什么副作用？", "role": "patient"}, {"turn": 3, "text": "神经阻滞如果疼痛严重，可以考虑做，但是止疼不是百分之百止疼，也有副作用", "role": "doctor"}, {"turn": 4, "text": "有些什么副作用？", "role": "patient"}, {"turn": 5, "text": "现在人很虚，如果做了会不会身体更虚弱", "role": "patient"}, {"turn": 6, "text": "属于外科手术，要求化验血的指标要达到，患者的血常规，凝血功能，肝功能如何", "role": "doctor"}, {"turn": 7, "text": "如果都还可以，做出来效果怎样？有什么些副作用？", "role": "patient"}, {"turn": 8, "text": "求解，明天要做了，真很担忧，怕是越做越差", "role": "patient"}, {"turn": 9, "text": "可以选择用来镇痛，能够做这个手术，说明患者情况还可以，一般问题不大的", "role": "doctor"}, {"turn": 10, "text": "哦哦", "role": "patient"}, {"turn": 11, "text": "就是可以做的对吧", "role": "patient"}, {"turn": 12, "text": "能够做", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 146, "thread": [{"turn": 0, "text": "溶血就是溶血性黄疸吗（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服吗", "role": "doctor"}, {"turn": 2, "text": "溶血 新生儿有黄疸 就是融血性黄疸吗", "role": "patient"}, {"turn": 3, "text": "溶血的话是有可能引起黄疸的，但是黄疸不一定就有溶血", "role": "doctor"}, {"turn": 4, "text": "医生查的系统说溶血 也没说是溶血性黄疸 我就是想问问 溶血百分百就是溶血性黄疸？", "role": "patient"}, {"turn": 5, "text": "这个不一定的，有些溶血的患者就没有黄疸", "role": "doctor"}, {"turn": 6, "text": "请问您对黄疸了解吗 还想咨询下nin", "role": "patient"}, {"turn": 7, "text": "嗯嗯，这个临床比较多见的", "role": "doctor"}, {"turn": 8, "text": "新生儿 19天了 黄疸指 14.4 18.3 13.4 医生说溶血 然后说建议住院蓝光治疗 药不给开 说但责任什么的话 住院就住院 为什么还要说建议呢", "role": "patient"}, {"turn": 9, "text": "那还是有黄疸的，主要就是照蓝光或者用退黄的药", "role": "doctor"}, {"turn": 10, "text": "您能给推荐下 退黄疸的药吗", "role": "patient"}, {"turn": 11, "text": "可以用茵栀黄，这个我家小孩也用过", "role": "doctor"}, {"turn": 12, "text": "嗯嗯 好的 谢谢您了", "role": "patient"}, {"turn": 13, "text": "不客气，祝宝宝健康快乐成长！", "role": "doctor"}, {"turn": 14, "text": "谢谢", "role": "patient"}, {"turn": 15, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 147, "thread": [{"turn": 0, "text": "肋软骨炎会引起乳房肿胀吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好。乳腺部位的肋软骨炎会刺激乳房，引起乳房疼痛", "role": "doctor"}, {"turn": 2, "text": "肋软骨骨炎会引起乳房奶核按压疼痛   肿胀吗", "role": "patient"}, {"turn": 3, "text": "不好意思，刚忙完", "role": "doctor"}, {"turn": 4, "text": "肋软骨炎不会导致肿胀，但是刺痛也是可能的，一般受凉疼痛厉害，挤压不会明显", "role": "doctor"}, {"turn": 5, "text": "按压有点疼    并且右侧乳房比左侧稍大一点", "role": "patient"}, {"turn": 6, "text": "那你不一定是肋软骨炎，也可能是乳腺增生", "role": "doctor"}, {"turn": 7, "text": "最好做个乳腺彩超检查下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 148, "thread": [{"turn": 0, "text": "女性60岁双肾积水，怎么治疗？（女，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，请上传超声报告?", "role": "doctor"}, {"turn": 2, "text": "还没有报告，刚刚体检做彩超发现的", "role": "patient"}, {"turn": 3, "text": "没有超声报告，不知道积水程度，无法明确诊疗呀", "role": "doctor"}, {"turn": 4, "text": "伴随腰痛，夜间尿频，这种情况严重吗？应该怎样治疗？", "role": "patient"}, {"turn": 5, "text": "没有超声报告的话，不知道积水程度，也不知道梗阻原因，无法提供治疗方案呀。", "role": "doctor"}, {"turn": 6, "text": "我们还会去医院进一步检查，就想先了解一下这个病因", "role": "patient"}, {"turn": 7, "text": "能简单介绍一下吗？危险程度？就想心里有个底", "role": "patient"}, {"turn": 8, "text": "先明确积水的原因，也就是找到梗阻的原因。然后处理梗阻。", "role": "doctor"}, {"turn": 9, "text": "目前主要是抗感染。", "role": "doctor"}, {"turn": 10, "text": "有生命危险吗？", "role": "patient"}, {"turn": 11, "text": "不知道梗阻原因的情况下无法判断的。单纯的肾积水大多数是没有生命危险的。", "role": "doctor"}, {"turn": 12, "text": "嗯嗯，那一般肾积水造成的原因有哪些呢？", "role": "patient"}, {"turn": 13, "text": "抗感染是单纯的药物治疗吗？", "role": "patient"}, {"turn": 14, "text": "结石，先天性狭窄，外源性梗阻", "role": "doctor"}, {"turn": 15, "text": "药物治疗", "role": "doctor"}, {"turn": 16, "text": "解除梗阻原因的话可能会需要手术", "role": "doctor"}, {"turn": 17, "text": "如果手术的话风险大吗？", "role": "patient"}, {"turn": 18, "text": "可完全治愈吗？", "role": "patient"}, {"turn": 19, "text": "体检时建议做肾盂造影，能讲解一下吗？", "role": "patient"}, {"turn": 20, "text": "不好意思，没有彩超报告，我做不了任何判断，你问的任何关于风险的问题我都无法给你解释。", "role": "doctor"}, {"turn": 21, "text": "您别误会，我就是单纯的想了解一下这个病，从来接触过，网上的解释太专业，就想请您讲解一下，图个心里踏实", "role": "patient"}, {"turn": 22, "text": "总比自己乱猜强多了", "role": "patient"}, {"turn": 23, "text": "我是可以给你解释，但首先必须明确梗阻原因。", "role": "doctor"}, {"turn": 24, "text": "做静脉肾盂造影的目的就是为了明确梗阻部位和梗阻的原因。", "role": "doctor"}, {"turn": 25, "text": "只是刚从体检中心回来，什么都还没有，还没进一步检查，就想自己先了解了解", "role": "patient"}, {"turn": 26, "text": "希望您从大方向给简单指导一下", "role": "patient"}, {"turn": 27, "text": "如果是结石的话，要看结石的部位和大小，是否需要体外碎石或者是肾脏肉，或者是输尿管镜取湿。", "role": "doctor"}, {"turn": 28, "text": "如果能自行排出最好。", "role": "doctor"}, {"turn": 29, "text": "如果是先天性狭窄，要看狭窄部位是否需要手术解除梗阻还是需要放支架。", "role": "doctor"}, {"turn": 30, "text": "如果是外源性原因导致的梗阻，要看是肿瘤还是其他原因排除压迫。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 149, "thread": [{"turn": 0, "text": "贫血和肾虚该怎么解决（男，19岁）肾虚该怎么调理？", "role": "patient"}, {"turn": 1, "text": "贫血和肾功能有点关系，和肾虚关系不大", "role": "doctor"}, {"turn": 2, "text": "那该怎么调理呢", "role": "patient"}, {"turn": 3, "text": "分肾阴虚和阳虚", "role": "doctor"}, {"turn": 4, "text": "都有些什么症状呢？", "role": "doctor"}, {"turn": 5, "text": "有时无力感觉头昏，严重点的话坐久了站起来就一片黑短暂的失明大概1-3秒左右", "role": "patient"}, {"turn": 6, "text": "这个不是肾虚，坐久了以后起来出现短暂黑蒙属于短暂的供血不足引起，有时可能是有点贫血", "role": "doctor"}, {"turn": 7, "text": "好的，我知道了，平时要注意些什么", "role": "patient"}, {"turn": 8, "text": "多吃点花生、红枣之类的，其他没什么特殊的", "role": "doctor"}, {"turn": 9, "text": "好的，谢谢", "role": "patient"}, {"turn": 10, "text": "不谢😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 150, "thread": [{"turn": 0, "text": "怀孕六个月了便秘过后见红有什么影响?（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "比如腹痛等？", "role": "doctor"}, {"turn": 3, "text": "没有，就是便秘", "role": "patient"}, {"turn": 4, "text": "确定是见红，不是痔疮？", "role": "doctor"}, {"turn": 5, "text": "然后有时候白带会有血丝", "role": "patient"}, {"turn": 6, "text": "白带有血丝", "role": "patient"}, {"turn": 7, "text": "有时候是褐色", "role": "patient"}, {"turn": 8, "text": "宫颈有糜烂吗？", "role": "doctor"}, {"turn": 9, "text": "上周去做的四维，都没有问题", "role": "patient"}, {"turn": 10, "text": "对，宫颈糜烂严重", "role": "patient"}, {"turn": 11, "text": "好像是三度", "role": "patient"}, {"turn": 12, "text": "去医院看一下，见红是不是宫颈的原因", "role": "doctor"}, {"turn": 13, "text": "化验科个白带，医生让生完孩子再治疗", "role": "patient"}, {"turn": 14, "text": "宫颈出血对孩子有啥营养吗", "role": "patient"}, {"turn": 15, "text": "见红后看过宫颈了？", "role": "doctor"}, {"turn": 16, "text": "容易感染", "role": "doctor"}, {"turn": 17, "text": "没有", "role": "patient"}, {"turn": 18, "text": "现在肚子硬吗？", "role": "doctor"}, {"turn": 19, "text": "见红后做过彩超", "role": "patient"}, {"turn": 20, "text": "肚子没事", "role": "patient"}, {"turn": 21, "text": "彩超能排除胎盘早剥，但看不到宫颈", "role": "doctor"}, {"turn": 22, "text": "宫颈糜烂是不是也是有白带有血丝的实况", "role": "patient"}, {"turn": 23, "text": "做个tct，排除宫颈病变，如果宫颈出血可以压迫治疗。", "role": "doctor"}, {"turn": 24, "text": "是的", "role": "doctor"}, {"turn": 25, "text": "如果宫颈糜烂引起的出血，用不用治疗", "role": "patient"}, {"turn": 26, "text": "用", "role": "doctor"}, {"turn": 27, "text": "生完孩子之后治疗吗", "role": "patient"}, {"turn": 28, "text": "先排除一下宫颈的病变", "role": "doctor"}, {"turn": 29, "text": "排除过了", "role": "patient"}, {"turn": 30, "text": "医生让我生完以后治疗", "role": "patient"}, {"turn": 31, "text": "如果宫颈出血，应该止血", "role": "doctor"}, {"turn": 32, "text": "好的医生", "role": "patient"}, {"turn": 33, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 151, "thread": [{"turn": 0, "text": "脾挫伤多少天是危险期（男，55岁）", "role": "patient"}, {"turn": 1, "text": "脾脏挫裂伤可因轻微外力至被膜破裂引起大出血", "role": "doctor"}, {"turn": 2, "text": "可以发生延迟性脾破裂", "role": "doctor"}, {"turn": 3, "text": "一般发生在伤后2周，也有迟至数月以后", "role": "doctor"}, {"turn": 4, "text": "当时什么症状也没有，医院检查什么也没有发现症状", "role": "patient"}, {"turn": 5, "text": "是的，有的人自觉好了，回去蹲厕所，就倒在厕所了", "role": "doctor"}, {"turn": 6, "text": "我是干体力活的，四个月后去医院检查说要脾切除", "role": "patient"}, {"turn": 7, "text": "怎么会这么严重", "role": "patient"}, {"turn": 8, "text": "肝脾损伤都比较凶险", "role": "doctor"}, {"turn": 9, "text": "几个月后还会出现脾损伤吗？", "role": "patient"}, {"turn": 10, "text": "当时为什么没检查出来", "role": "patient"}, {"turn": 11, "text": "当时如果是轻微脾挫裂伤比较难发现，回去如果不注意休息，就会发生延迟性脾破裂", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 152, "thread": [{"turn": 0, "text": "尿毒症脖子痛怎么回事针拔了有一年了（男，64岁）", "role": "patient"}, {"turn": 1, "text": "你好，脖子的什么部位痛？", "role": "doctor"}, {"turn": 2, "text": "我爸去年查出来的尿毒症，在脖子那里弄了个针管做透析，后面就拔出来把针管套到手上了，现在他的脖子会有肿痛，有时候睡到针管那个部位会头晕", "role": "patient"}, {"turn": 3, "text": "但是脖子套针管那里拔出来有一年了", "role": "patient"}, {"turn": 4, "text": "是当时插管的地方肿痛？有发红或局部的发热吗", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "没有局部的红肿热痛，说明没有局部的感染", "role": "doctor"}, {"turn": 7, "text": "有时候会痛", "role": "patient"}, {"turn": 8, "text": "但是如果睡觉睡之前插针管那边会晕，", "role": "patient"}, {"turn": 9, "text": "插管的伤口很小，比血管还细，拔管后会愈合，可能有时候会有局部的不适，就像开刀后刀口愈合后，总是不可能和没开刀前一样。但不会有明显的肿痛", "role": "doctor"}, {"turn": 10, "text": "一年的时间伤口应该长好了，不然会有渗血或发炎的表现", "role": "doctor"}, {"turn": 11, "text": "下次再有肿痛或头晕的话，去做一下血管彩超", "role": "doctor"}, {"turn": 12, "text": "睡觉的时候才会出现头晕，如果不睡在插针管那边就不会晕", "role": "patient"}, {"turn": 13, "text": "尿毒症患者，长期毒素浸润，心血管、脑血管本身都不太好，单用插管解释不了肿痛和晕的情况，我们三四百号透析患者，大部分都查过临时血透管，没有你父亲这样的情况，要小心有没有其他心脑血管的问题", "role": "doctor"}, {"turn": 14, "text": "他之前有脑梗塞", "role": "patient"}, {"turn": 15, "text": "做一下血管的检查，看有没有局部血管瘤或其他问题", "role": "doctor"}, {"turn": 16, "text": "好的！谢谢", "role": "patient"}, {"turn": 17, "text": "客气了", "role": "doctor"}, {"turn": 18, "text": "可不可以吃田七当归天麻打成粉给他吃", "role": "patient"}, {"turn": 19, "text": "可以适量吃一点，注意监测血钾和钙磷，别吃高了", "role": "doctor"}, {"turn": 20, "text": "好的！吃几天听两天在继续吃，这样可以吗？", "role": "patient"}, {"turn": 21, "text": "量也少一点，尿毒症很容易高钾，会抑制心跳。吃几天就去验一下血，如果有指标的升高，就不要吃了", "role": "doctor"}, {"turn": 22, "text": "好的！谢谢", "role": "patient"}, {"turn": 23, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 153, "thread": [{"turn": 0, "text": "每天早上起来不憋尿上小厕 小腹痛  小厕上完没一会 肚子痛要上大厕 甚至上两次大厕 肚子再好点（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为您解答，这样子有多久了？大便正常吗？成型吗？", "role": "doctor"}, {"turn": 2, "text": "已经腹痛一个月了 吃肠炎宁 配消炎药 一直都没见好转", "role": "patient"}, {"turn": 3, "text": "主要是小腹部疼痛呢，还是在上腹部呢？", "role": "doctor"}, {"turn": 4, "text": "大便有没有稀水样的感觉？有没有脓或者血？", "role": "doctor"}, {"turn": 5, "text": "大便不太成型", "role": "patient"}, {"turn": 6, "text": "大便没有脓 也没有血", "role": "patient"}, {"turn": 7, "text": "这个有可能是肠炎，但是应该先化验一下，便常规和血常规，看看有没有炎症存在？", "role": "doctor"}, {"turn": 8, "text": "就是每天早上肚子痛  七点多 都要醒来 先上个小厕  不憋尿 小腹胀", "role": "patient"}, {"turn": 9, "text": "这种情况还需要警惕，是不是有泌尿系的疾病？还要换验一下尿常规才行，因为在小腹部", "role": "doctor"}, {"turn": 10, "text": "上完小厕 没几分钟 肚子更痛 就要接着上大厕  每天早上都是这样 已经持续一个月了", "role": "patient"}, {"turn": 11, "text": "这个确实需要考虑，一个是泌尿系，一个就是肠道的，有没有炎症存在？", "role": "doctor"}, {"turn": 12, "text": "而且你用了药物效果不太好的话，就必须得化验一下才行", "role": "doctor"}, {"turn": 13, "text": "否则一直在用药，没有效果，这是不对的", "role": "doctor"}, {"turn": 14, "text": "这个和肠炎有没有关系", "role": "patient"}, {"turn": 15, "text": "有可能，但肠炎用药应该能改善，但你没有效果，就要考虑别的问题", "role": "doctor"}, {"turn": 16, "text": "我之前做过胃镜 有十二指肠炎", "role": "patient"}, {"turn": 17, "text": "好几年前做的", "role": "patient"}, {"turn": 18, "text": "但是胃炎不会引起，你下腹部不舒服的", "role": "doctor"}, {"turn": 19, "text": "做B超可以检查出来吗", "role": "patient"}, {"turn": 20, "text": "做B超也可以，但是要查泌尿系的彩超和阑尾彩超", "role": "doctor"}, {"turn": 21, "text": "吃了饭 下午可以去医院检查吗", "role": "patient"}, {"turn": 22, "text": "这个可以的，但是泌尿系的b需要憋尿", "role": "doctor"}, {"turn": 23, "text": "嗯", "role": "patient"}, {"turn": 24, "text": "谢谢", "role": "patient"}, {"turn": 25, "text": "先查一下这些，再化验一下血常规", "role": "doctor"}, {"turn": 26, "text": "我这个每天腹痛基本是什么原因 好治吗", "role": "patient"}, {"turn": 27, "text": "可能是尿路感染，如果化验正常就考虑是肠道功能紊乱引起的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 154, "thread": [{"turn": 0, "text": "智齿冠周炎吃头孢没有作用（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了", "role": "doctor"}, {"turn": 2, "text": "吃头孢多久？", "role": "doctor"}, {"turn": 3, "text": "今天第三天，第一天第二天还好，今天起床立刻疼死。头孢今天开始吃", "role": "patient"}, {"turn": 4, "text": "你好，吃药不是吃一次就有用的", "role": "doctor"}, {"turn": 5, "text": "一点作用都没有，中午12点吃了0.5g，没有丝毫舒缓。20点吃了1g，到现在还是疼，淋巴也疼。", "role": "patient"}, {"turn": 6, "text": "一般至少吃三天", "role": "doctor"}, {"turn": 7, "text": "也就是我至少熬到明天再看头孢有没有生效？", "role": "patient"}, {"turn": 8, "text": "并且头孢是消炎药，并没有止疼的作用", "role": "doctor"}, {"turn": 9, "text": "那我现在的疼痛影响到我的正常生活了有任何办法解决吗", "role": "patient"}, {"turn": 10, "text": "下午去三甲医院不让我挂水，可是我已经疼到整个脸都麻了什么都干不了了。", "role": "patient"}, {"turn": 11, "text": "你好，从你描述的来看你的症状挺严重", "role": "doctor"}, {"turn": 12, "text": "我布洛芬也吃了2天了，也没用", "role": "patient"}, {"turn": 13, "text": "我建议你输水消炎", "role": "doctor"}, {"turn": 14, "text": "就是疼到爆炸", "role": "patient"}, {"turn": 15, "text": "只有炎症消下去了才会不疼", "role": "doctor"}, {"turn": 16, "text": "我也是这么想的，可是急诊不让我挂，说是要住院", "role": "patient"}, {"turn": 17, "text": "我去普通的诊所挂水可以吗。", "role": "patient"}, {"turn": 18, "text": "虽然她们下班了，但我明天可以早起去", "role": "patient"}, {"turn": 19, "text": "去哪里需要你自己选择呦，输水效果好，消下去快", "role": "doctor"}, {"turn": 20, "text": "好。", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 155, "thread": [{"turn": 0, "text": "你好，痛风有什么办法吗？（男，42岁）", "role": "patient"}, {"turn": 1, "text": "急性发作期建议大量饮水，服用解热镇痛药，秋水仙碱，别嘌呤醇 小苏打片，但要注意别嘌呤醇超敏反应，可以选择非布司他治疗，但价格比较昂贵。若疼痛不缓解，还可以短期使用激素。", "role": "doctor"}, {"turn": 2, "text": "饮食上注意低嘌呤饮食，以下高嘌呤饮食要忌口，中嘌呤可以适当吃一些。", "role": "doctor"}, {"turn": 3, "text": "高嘌呤食物主要有：动物内脏、海鲜、沙丁鱼、凤尾鱼、带鱼、蚶、蛤、鸡汤、肉汤等。中嘌呤食物主要有：家禽家畜肉、鱼、虾、蟹、鳝鱼、白鱼、扁鱼、鲢鱼，各种豆类及花生、芝麻等。此外，有些蔬菜也含有较高的嘌呤，如韭菜、菜花、黄豆芽、豌豆苗、扁豆、菜花、紫菜、菌类等，最好不吃或少吃。 另外啤酒，炸鸡，火锅虽然好吃也属高嘌呤食物，要有节制哦。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 156, "thread": [{"turn": 0, "text": "小孩阑尾炎手术后经常肚脐眼阵痛（女，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问手术后多久了？", "role": "doctor"}, {"turn": 2, "text": "有二十几天了", "role": "patient"}, {"turn": 3, "text": "大便是否通畅", "role": "doctor"}, {"turn": 4, "text": "期间肚脐眼周围老是疼痛", "role": "patient"}, {"turn": 5, "text": "是否有肠道转气感觉", "role": "doctor"}, {"turn": 6, "text": "通畅", "role": "patient"}, {"turn": 7, "text": "没有   就是有时候有点恶心想吐", "role": "patient"}, {"turn": 8, "text": "多半是是术后肠粘连", "role": "doctor"}, {"turn": 9, "text": "去医院复查医生也说没有肠粘连", "role": "patient"}, {"turn": 10, "text": "她还有肠系膜淋巴会不会有影响", "role": "patient"}, {"turn": 11, "text": "去的时候有脐周阵痛没", "role": "doctor"}, {"turn": 12, "text": "去检查的时候没有疼去之前疼了", "role": "patient"}, {"turn": 13, "text": "淋巴结是人体正常结果?", "role": "doctor"}, {"turn": 14, "text": "肠系膜淋巴结炎?", "role": "doctor"}, {"turn": 15, "text": "就是她肠外长了一个", "role": "patient"}, {"turn": 16, "text": "不要紧", "role": "doctor"}, {"turn": 17, "text": "淋巴", "role": "patient"}, {"turn": 18, "text": "有没有发烧", "role": "doctor"}, {"turn": 19, "text": "没有发烧就是喊全身没力气", "role": "patient"}, {"turn": 20, "text": "复查的时候是否阵发腹痛，是否做过体检或检查", "role": "doctor"}, {"turn": 21, "text": "就是肚子疼痛了才去复查   做B超和腹部平扫都没问题", "role": "patient"}, {"turn": 22, "text": "那应该还好", "role": "doctor"}, {"turn": 23, "text": "那每次都阵痛是怎么回事呢", "role": "patient"}, {"turn": 24, "text": "有没有什么药可以缓解", "role": "patient"}, {"turn": 25, "text": "腹部粘连一般检查很难有什么特异表现，只有发展至肠梗阻才会出现气液平", "role": "doctor"}, {"turn": 26, "text": "可是她大便通畅也没有气", "role": "patient"}, {"turn": 27, "text": "腹腔粘连，没有发展到肠梗阻的阶段是没有肠梗阻症状的", "role": "doctor"}, {"turn": 28, "text": "主要是要生活饮食要注意", "role": "doctor"}, {"turn": 29, "text": "一般她的饮食能吃些什么", "role": "patient"}, {"turn": 30, "text": "要清淡的温热的易消化的，如果近期腹痛最好少吃多餐", "role": "doctor"}, {"turn": 31, "text": "不要暴饮暴食，以免突发肠梗阻", "role": "doctor"}, {"turn": 32, "text": "注意保暖", "role": "doctor"}, {"turn": 33, "text": "辛辣冰凉食物不要吃", "role": "doctor"}, {"turn": 34, "text": "不要剧烈运动", "role": "doctor"}, {"turn": 35, "text": "这些都是诱发和加重肠梗阻的诱因", "role": "doctor"}, {"turn": 36, "text": "如果肚子冷到了也是会疼的吧", "role": "patient"}, {"turn": 37, "text": "是的", "role": "doctor"}, {"turn": 38, "text": "好的    谢谢您的解答", "role": "patient"}, {"turn": 39, "text": "如果腹痛加重或持续疼痛一定要及时去医院就诊", "role": "doctor"}, {"turn": 40, "text": "可不可以给她贴上暖宝宝", "role": "patient"}, {"turn": 41, "text": "好的", "role": "patient"}, {"turn": 42, "text": "只要做过腹部手术，都有腹腔粘连，以后都有发生肠梗阻风险，这些生活饮食都要注意", "role": "doctor"}, {"turn": 43, "text": "如果腹痛加重或持续疼痛一定要及时去医院就诊", "role": "doctor"}, {"turn": 44, "text": "可以用下暖宝宝", "role": "doctor"}, {"turn": 45, "text": "好的   谢谢", "role": "patient"}, {"turn": 46, "text": "嗯，不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 157, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：宝宝感冒（男，4个月）", "role": "patient"}, {"turn": 1, "text": "您好！孩子有什么症状吗？宝宝都有哪些检查结果呢呢？", "role": "doctor"}, {"turn": 2, "text": "您好，宝宝有点流鼻涕偶尔咳嗽", "role": "patient"}, {"turn": 3, "text": "流鼻涕也是稍微有点", "role": "patient"}, {"turn": 4, "text": "有去医院查过血常规吗", "role": "doctor"}, {"turn": 5, "text": "病毒还是细菌", "role": "doctor"}, {"turn": 6, "text": "没有查", "role": "patient"}, {"turn": 7, "text": "那建议带着宝宝查一个", "role": "doctor"}, {"turn": 8, "text": "确定一下到底是什么感染引起的发热呢", "role": "doctor"}, {"turn": 9, "text": "没有发热", "role": "patient"}, {"turn": 10, "text": "就偶尔咳嗽流鼻涕", "role": "patient"}, {"turn": 11, "text": "四个月的宝宝不知道要不要用药，", "role": "patient"}, {"turn": 12, "text": "建议吃呢 要是引起肺炎就不好了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 158, "thread": [{"turn": 0, "text": "宝宝支原体感染需要怎么护理？（女，10个月）", "role": "patient"}, {"turn": 1, "text": "你好，给孩子吃上抗支原体药物了吗", "role": "doctor"}, {"turn": 2, "text": "咳嗽，咳痰吗", "role": "doctor"}, {"turn": 3, "text": "吃了阿奇颗粒", "role": "patient"}, {"turn": 4, "text": "昨天下午开始咳嗽，有痰咳不出来", "role": "patient"}, {"turn": 5, "text": "最近孩子辅食添加上以清淡易消化为主，鱼虾禁食", "role": "doctor"}, {"turn": 6, "text": "今天发烧了", "role": "patient"}, {"turn": 7, "text": "嗯嗯", "role": "doctor"}, {"turn": 8, "text": "联合做做雾化治疗", "role": "doctor"}, {"turn": 9, "text": "现在孩子体温怎么样", "role": "doctor"}, {"turn": 10, "text": "最近都没给吃辅食，感觉有点消化不良拉肚子", "role": "patient"}, {"turn": 11, "text": "刚量了38.2", "role": "patient"}, {"turn": 12, "text": "精神不太好，老想睡觉", "role": "patient"}, {"turn": 13, "text": "还不喝水", "role": "patient"}, {"turn": 14, "text": "水需要适当给予一些", "role": "doctor"}, {"turn": 15, "text": "水一口都不喝，这个支原体感染很严重的病么", "role": "patient"}, {"turn": 16, "text": "支原体感染，症状重，病程长，需要按规定治疗", "role": "doctor"}, {"turn": 17, "text": "什么样是按规定？我们就开了阿奇颗粒，小儿肺热颗粒，氯他定，四季抗病毒", "role": "patient"}, {"turn": 18, "text": "阿奇霉素  吃三天停四天", "role": "doctor"}, {"turn": 19, "text": "最少连续吃联合疗程", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 159, "thread": [{"turn": 0, "text": "中耳炎，滴了氧氟沙星滴耳液感到耳朵痛（女，23岁）今早感觉到右耳朵里面疼，然后右边太阳穴位置头皮一跳一跳地疼", "role": "patient"}, {"turn": 1, "text": "你好，请问你这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "就今天开始的", "role": "patient"}, {"turn": 3, "text": "医生怀疑是中耳炎，因为我昨天用刮耳勺掏过耳朵", "role": "patient"}, {"turn": 4, "text": "现在耳朵有流脓吗", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "但我也没有感冒，发烧", "role": "patient"}, {"turn": 7, "text": "刚才滴耳时感到很痛，就一下，然后耳浴时热热的，这是正常现象吗", "role": "patient"}, {"turn": 8, "text": "应该没事，滴耳液有时候会有点刺激性的", "role": "doctor"}, {"turn": 9, "text": "我这症状是不是中耳炎", "role": "patient"}, {"turn": 10, "text": "有可能是外耳道炎", "role": "doctor"}, {"turn": 11, "text": "听力有没有影响？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "氧氟沙星滴耳液也治外耳道炎吧", "role": "patient"}, {"turn": 14, "text": "对的", "role": "doctor"}, {"turn": 15, "text": "这个要用几次起效果", "role": "patient"}, {"turn": 16, "text": "一般外耳道炎三天左右", "role": "doctor"}, {"turn": 17, "text": "要不要吃阿莫西林消炎", "role": "patient"}, {"turn": 18, "text": "不需要，暂时外用药吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 160, "thread": [{"turn": 0, "text": "痔疮出血会导致贫血吗?（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，会的，痔疮导致缺铁性贫血", "role": "doctor"}, {"turn": 2, "text": "如果出血量不大呢", "role": "patient"}, {"turn": 3, "text": "正常每天出血量多少会引起贫血，现在每天就出一小点，有一周多一点", "role": "patient"}, {"turn": 4, "text": "不一定每天要出多少，慢性间断出血就可以导致贫血", "role": "doctor"}, {"turn": 5, "text": "贫血是不是会有症状，如果没有贫血的症状是不是暂时应该还没贫血", "role": "patient"}, {"turn": 6, "text": "出血大概在一周多一点，会有问题吗", "role": "patient"}, {"turn": 7, "text": "查血常规就可以看出来", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢大夫了", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 161, "thread": [{"turn": 0, "text": "早泄，性下降开的药，，，，（女，7个月）男，20岁", "role": "patient"}, {"turn": 1, "text": "你好，你有什么不适症状？？", "role": "doctor"}, {"turn": 2, "text": "不想要", "role": "patient"}, {"turn": 3, "text": "什么意思？？？", "role": "doctor"}, {"turn": 4, "text": "一个男的早泄，性欲下降应该吃什么药", "role": "patient"}, {"turn": 5, "text": "你好，医生是治病的，不是让人患病的。你说的这些药物也没有。", "role": "doctor"}, {"turn": 6, "text": "那不就是问治这种病的啊", "role": "patient"}, {"turn": 7, "text": "我还以为你要开让人早泄的药物呢！😓😓", "role": "doctor"}, {"turn": 8, "text": "有没有手淫习惯？？", "role": "doctor"}, {"turn": 9, "text": "我不知道，尴尬了", "role": "patient"}, {"turn": 10, "text": "性生活有几分钟？？", "role": "doctor"}, {"turn": 11, "text": "1分左右", "role": "patient"}, {"turn": 12, "text": "性生活规律吗？", "role": "doctor"}, {"turn": 13, "text": "现在几乎没有了", "role": "patient"}, {"turn": 14, "text": "之前是早泄，慢慢的就几乎没了", "role": "patient"}, {"turn": 15, "text": "性生活时有没有过度紧张兴奋？龟头敏感度怎么样？戴上避孕套性生活时间会不会有所延长？？", "role": "doctor"}, {"turn": 16, "text": "带避孕套会时间延长点", "role": "patient"}, {"turn": 17, "text": "好的👌🏻。他这个早泄主要就是龟头敏感度太高引起的。", "role": "doctor"}, {"turn": 18, "text": "然后呢？", "role": "patient"}, {"turn": 19, "text": "能治好吗？", "role": "patient"}, {"turn": 20, "text": "龟头敏感度太高可以在性生活前半小时用利多卡因乳膏涂抹龟头，这个药物可以明显降低龟头敏感度。", "role": "doctor"}, {"turn": 21, "text": "平时洗澡时可以用热毛巾摩擦龟头5分钟左右。经过长期的锻炼也可以有效降低龟头敏感度。", "role": "doctor"}, {"turn": 22, "text": "可以根治吗？", "role": "patient"}, {"turn": 23, "text": "这个可以治愈的。", "role": "doctor"}, {"turn": 24, "text": "现在心理压力大吗？", "role": "doctor"}, {"turn": 25, "text": "这个需要多长时间才能好呢？", "role": "patient"}, {"turn": 26, "text": "这个因人而异，没有一个确切的时间。不过是可以治愈的", "role": "doctor"}, {"turn": 27, "text": "有一个参茸鞭丸这个能治好吗", "role": "patient"}, {"turn": 28, "text": "这个可以服用，主要还是要降低龟头敏感度", "role": "doctor"}, {"turn": 29, "text": "现在心理压力大不大？？？", "role": "doctor"}, {"turn": 30, "text": "有点吧", "role": "patient"}, {"turn": 31, "text": "心理压力太大可以在性生活前一小时服用达泊西汀。这个药物可以增加自信心。", "role": "doctor"}, {"turn": 32, "text": "你这个还是因为性生活不规律，龟头还没有完全适应阴道刺激。", "role": "doctor"}, {"turn": 33, "text": "现在好像是根本就不想", "role": "patient"}, {"turn": 34, "text": "这个就是心里压力太大了。需要你给他做心理疏导", "role": "doctor"}, {"turn": 35, "text": "这不影响怀孕吧？", "role": "patient"}, {"turn": 36, "text": "只要精液常规没问题肯定不影响怀孕", "role": "doctor"}, {"turn": 37, "text": "好吧", "role": "patient"}, {"turn": 38, "text": "好的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 162, "thread": [{"turn": 0, "text": "又感冒了 扁桃体疼  吃点什么药呢（女，22岁）", "role": "patient"}, {"turn": 1, "text": "请问您的这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有没有发热情况？", "role": "doctor"}, {"turn": 3, "text": "今天中午开始的", "role": "patient"}, {"turn": 4, "text": "37度多一点", "role": "patient"}, {"turn": 5, "text": "我是不是暂时不吃参松养心 先治嗓子", "role": "patient"}, {"turn": 6, "text": "嗓子右边特别疼 扯的食道也疼", "role": "patient"}, {"turn": 7, "text": "不用停参松", "role": "doctor"}, {"turn": 8, "text": "右边胸口都带的有点疼", "role": "patient"}, {"turn": 9, "text": "多喝水考虑是感冒了，多喝水就行了", "role": "doctor"}, {"turn": 10, "text": "没事的，你想的太多了，放松", "role": "doctor"}, {"turn": 11, "text": "中午吃了香菜 感觉是香菜梗卡了一下", "role": "patient"}, {"turn": 12, "text": "扁桃体发炎了，不要紧，多喝水就行，也可以买点蒲地蓝冲剂吃几天，清热消炎", "role": "doctor"}, {"turn": 13, "text": "板蓝根冲剂可以吗", "role": "patient"}, {"turn": 14, "text": "也可以，记得多喝热水", "role": "doctor"}, {"turn": 15, "text": "嗓子还是疼 刚吃过午饭 感觉嗓子像卡住东西了", "role": "patient"}, {"turn": 16, "text": "老感觉嗓子有异物", "role": "patient"}, {"turn": 17, "text": "没事，亲，不要紧，观察就行了", "role": "doctor"}, {"turn": 18, "text": "刚才突然醒了 胸闷气短早搏", "role": "patient"}, {"turn": 19, "text": "睡不着了", "role": "patient"}, {"turn": 20, "text": "继续吃参松养心胶囊，如果还不缓解，你可以去医院再预约一次动态心电图，看看现在到底早搏是什么情况，再根据结果调整用药。", "role": "doctor"}, {"turn": 21, "text": "有时候和你焦虑有关，尤其是一个人的时候，容易犯", "role": "doctor"}, {"turn": 22, "text": "坐着呆了一会就好了 睡到现在", "role": "patient"}, {"turn": 23, "text": "所以吧，不要紧，还是和你的焦虑有关，有时候紧张了就心慌，有早博，不要紧的，现在当务之急应该是针对你焦虑用药", "role": "doctor"}, {"turn": 24, "text": "昨晚是醒了之后想排便 心慌 然后拍完便坐了一会就好了", "role": "patient"}, {"turn": 25, "text": "不要紧的，亲，没事，不紧张", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 163, "thread": [{"turn": 0, "text": "鼻咽炎用的药可以邮寄过来吗?（男，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你需要什么药。一般可以网购邮寄", "role": "doctor"}, {"turn": 2, "text": "您好，症状像咽喉炎，以治疗了4年多无效果。鼻涕有倒流现象老觉得挂在气管口上，咳不出吞不下。", "role": "patient"}, {"turn": 3, "text": "鼻子也需要检查看看药物治疗", "role": "doctor"}, {"turn": 4, "text": "鼻涕倒流对咽喉部有刺激", "role": "doctor"}, {"turn": 5, "text": "需要怎么检查", "role": "patient"}, {"turn": 6, "text": "鼻咽镜检查", "role": "doctor"}, {"turn": 7, "text": "鼻部cT做了", "role": "patient"}, {"turn": 8, "text": "喉镜也做过", "role": "patient"}, {"turn": 9, "text": "一般用什么药?", "role": "patient"}, {"turn": 10, "text": "检查结果提示有什么问题", "role": "doctor"}, {"turn": 11, "text": "没问题，数据都是正常的。", "role": "patient"}, {"turn": 12, "text": "大小医院都是诊断慢性咽炎", "role": "patient"}, {"turn": 13, "text": "使用那些药物治疗的", "role": "doctor"}, {"turn": 14, "text": "吃了太多药了我也弄不清了。", "role": "patient"}, {"turn": 15, "text": "效果怎么样？", "role": "doctor"}, {"turn": 16, "text": "可以使用蓝芩口服液，西吡氯铵含片等药物治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 164, "thread": [{"turn": 0, "text": "声带息肉为什么吃奥美拉磋（男，33岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问还有其他药物吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "就想知道为什么吃奥美", "role": "patient"}, {"turn": 4, "text": "您可以拍一个检查报告看看吗？", "role": "doctor"}, {"turn": 5, "text": "奥美拉唑考虑返流性食管炎引起的咽喉炎会用到", "role": "doctor"}, {"turn": 6, "text": "初诊没拍", "role": "patient"}, {"turn": 7, "text": "但是我没症状", "role": "patient"}, {"turn": 8, "text": "请问，您是因为什么原因就诊做了检查呢？", "role": "doctor"}, {"turn": 9, "text": "你好还在吗", "role": "patient"}, {"turn": 10, "text": "医生说是声带息肉  让吃奥美", "role": "patient"}, {"turn": 11, "text": "在的", "role": "doctor"}, {"turn": 12, "text": "但觉得奇怪的点就是，声带息肉会有声音嘶哑的症状，", "role": "doctor"}, {"turn": 13, "text": "奇怪的点是我胃没有不舒服。奥美不是治疗胃部的疾病吗？", "role": "patient"}, {"turn": 14, "text": "慢性咽喉炎里面有一类是返流性食管炎引起的，就是胃酸分泌过多、夜间睡眠时胃酸返流到食管和咽喉部刺激引起的炎症", "role": "doctor"}, {"turn": 15, "text": "所以耳鼻喉科医生有时候分析原因是这一类的会给予奥美拉唑", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不用谢，您还有其他疑问吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 165, "thread": [{"turn": 0, "text": "便秘、消化不良能吃炒熟的黑芝麻粉吗？（男，56岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "应该可以呢", "role": "doctor"}, {"turn": 3, "text": "大半年了", "role": "patient"}, {"turn": 4, "text": "炒过的会否热气的", "role": "patient"}, {"turn": 5, "text": "啥意思", "role": "doctor"}, {"turn": 6, "text": "寒凉或温热，", "role": "patient"}, {"turn": 7, "text": "应该不会", "role": "doctor"}, {"turn": 8, "text": "你肯定是泡着喝呢", "role": "doctor"}, {"turn": 9, "text": "流质饮食呢", "role": "doctor"}, {"turn": 10, "text": "吃了会加重便秘吗？是湖状的", "role": "patient"}, {"turn": 11, "text": "我觉得应该不会呢", "role": "doctor"}, {"turn": 12, "text": "但是你不能多吃呢", "role": "doctor"}, {"turn": 13, "text": "炒熟的应是热性的吧", "role": "patient"}, {"turn": 14, "text": "黑芝麻本身性温，缓，凉", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 166, "thread": [{"turn": 0, "text": "小腿肌肉拉伤去医院会让做检查吗（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，受伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "两三天", "role": "patient"}, {"turn": 3, "text": "其实肌肉拉伤不用做检查的", "role": "doctor"}, {"turn": 4, "text": "现在有什么症状", "role": "doctor"}, {"turn": 5, "text": "就是蹲下疼", "role": "patient"}, {"turn": 6, "text": "站一会也疼", "role": "patient"}, {"turn": 7, "text": "怎么受伤的", "role": "doctor"}, {"turn": 8, "text": "跑步跑的", "role": "patient"}, {"turn": 9, "text": "你是刚开始锻炼身体吗", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "一直在跑", "role": "patient"}, {"turn": 12, "text": "这种情况一般是运动量增大引起的", "role": "doctor"}, {"turn": 13, "text": "这两天没有跑步吧", "role": "doctor"}, {"turn": 14, "text": "疼就没跑了", "role": "patient"}, {"turn": 15, "text": "站一会就酸痛", "role": "patient"}, {"turn": 16, "text": "马上军训了，我怕更疼，可以去医院开证明吗", "role": "patient"}, {"turn": 17, "text": "这种情况要休息一下的", "role": "doctor"}, {"turn": 18, "text": "可以去医院开个证明", "role": "doctor"}, {"turn": 19, "text": "你可以吃点活血止痛药，缓解一下症状", "role": "doctor"}, {"turn": 20, "text": "那医院会让拍磁共振，或者别的才给开证明吗", "role": "patient"}, {"turn": 21, "text": "估计会让你拍磁共振", "role": "doctor"}, {"turn": 22, "text": "不拍的话就不可以给开证明吗，感觉拍也没啥用，浪费钱", "role": "patient"}, {"turn": 23, "text": "肌肉拉伤检查也看不出来的", "role": "doctor"}, {"turn": 24, "text": "你可以让给你开点药，", "role": "doctor"}, {"turn": 25, "text": "不要检查", "role": "doctor"}, {"turn": 26, "text": "那您说是不是和医生说明情况，他会给开的吗", "role": "patient"}, {"turn": 27, "text": "开点药的话，他能给开证明吗", "role": "patient"}, {"turn": 28, "text": "你说明情况，会开的", "role": "doctor"}, {"turn": 29, "text": "好的，谢谢", "role": "patient"}, {"turn": 30, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 167, "thread": [{"turn": 0, "text": "单纯的无套口交会得性病吗  （男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "几率微乎其微", "role": "doctor"}, {"turn": 3, "text": "医院里你见过吗", "role": "patient"}, {"turn": 4, "text": "没有", "role": "doctor"}, {"turn": 5, "text": "嗯", "role": "patient"}, {"turn": 6, "text": "祝你健康", "role": "doctor"}, {"turn": 7, "text": "不会得尖锐湿疣是吧", "role": "patient"}, {"turn": 8, "text": "不是的", "role": "doctor"}, {"turn": 9, "text": "有人口腔得尖锐湿疣吗", "role": "patient"}, {"turn": 10, "text": "没有遇到，", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "咨询你的他们有遇到这种情况吗  现在心里害怕", "role": "patient"}, {"turn": 13, "text": "没有", "role": "doctor"}, {"turn": 14, "text": "好的  谢谢", "role": "patient"}, {"turn": 15, "text": "不客气，祝你健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 168, "thread": [{"turn": 0, "text": "慢性咽喉炎，异物感，痛，甘痒（女，41岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的这种情况有多长时", "role": "doctor"}, {"turn": 2, "text": "咽部异物感一般与胃酸，气反流有关。你胃怎样?", "role": "doctor"}, {"turn": 3, "text": "20多年，胃不好吃药激光都不人", "role": "patient"}, {"turn": 4, "text": "、", "role": "patient"}, {"turn": 5, "text": "可能是胃反流引起的咽炎。", "role": "doctor"}, {"turn": 6, "text": "可以用奥美拉唑和莫沙必利治疗看看。", "role": "doctor"}, {"turn": 7, "text": "奥美拉唑20mg一天2次，莫沙必利5mg一天3次，都餐前用，先用1周看看。同时注意饮食8成饱，甜腻辛辣食物不吃，酒不喝。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 169, "thread": [{"turn": 0, "text": "静脉曲张伤口针眼发炎红且有脓怎么办（女，51岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "请问这种情况多久了？", "role": "doctor"}, {"turn": 3, "text": "发现两三天", "role": "patient"}, {"turn": 4, "text": "还没拆线 十天了 出院5天左右", "role": "patient"}, {"turn": 5, "text": "这个需要及时返院换药评估", "role": "doctor"}, {"turn": 6, "text": "常见于雷诺氏病", "role": "doctor"}, {"turn": 7, "text": "您说可以提前拆线么", "role": "patient"}, {"turn": 8, "text": "这是怎么回事儿", "role": "patient"}, {"turn": 9, "text": "拆线了会好么", "role": "patient"}, {"turn": 10, "text": "如果化脓了，需要提前拆线，加强换药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 170, "thread": [{"turn": 0, "text": "多次复发下肢深静脉血栓怎么查原因（男，36岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "可以检查蛋白c，s", "role": "doctor"}, {"turn": 3, "text": "哦", "role": "patient"}, {"turn": 4, "text": "都三次了", "role": "patient"}, {"turn": 5, "text": "先开始是左腿，后两次是右腿", "role": "patient"}, {"turn": 6, "text": "嗯，嗯，我从网上看什么肿瘤什么得，看的我都害怕[表情]我从网上看什么肿瘤什么得，看的我都害怕[表情]", "role": "patient"}, {"turn": 7, "text": "意思是化验易栓症吗", "role": "patient"}, {"turn": 8, "text": "不好意思刚刚看到", "role": "doctor"}, {"turn": 9, "text": "是的，抽血检查，排除是否易栓体质", "role": "doctor"}, {"turn": 10, "text": "易栓症严重吗", "role": "patient"}, {"turn": 11, "text": "体质问题，有反复血栓形成可能", "role": "doctor"}, {"turn": 12, "text": "从上次到现在吃着药呢，好长时间没有化验血难道是没有达标又复发的", "role": "patient"}, {"turn": 13, "text": "不好意思刚刚看到", "role": "doctor"}, {"turn": 14, "text": "有可能", "role": "doctor"}, {"turn": 15, "text": "如果是易栓症怎么治疗呢", "role": "patient"}, {"turn": 16, "text": "体质问题，需要长期抗凝治疗，建议和大夫沟通一下", "role": "doctor"}, {"turn": 17, "text": "用不用化验肿瘤标志物", "role": "patient"}, {"turn": 18, "text": "看的网上说的怪吓人的", "role": "patient"}, {"turn": 19, "text": "多数不需要", "role": "doctor"}, {"turn": 20, "text": "哦，把我吓坏了", "role": "patient"}, {"turn": 21, "text": "我老公才36岁，第一次下肢深静脉血栓是左腿，间隔了14个月是右腿，中间间隔了半年，这次又是右腿，这才不太严重", "role": "patient"}, {"turn": 22, "text": "愁人啊，他以后可怎么办", "role": "patient"}, {"turn": 23, "text": "多数是体质问题", "role": "doctor"}, {"turn": 24, "text": "哦，那我就放心了", "role": "patient"}, {"turn": 25, "text": "好的，定期检查为好", "role": "doctor"}, {"turn": 26, "text": "怎么检查啊", "role": "patient"}, {"turn": 27, "text": "凝血指标，c. s", "role": "doctor"}, {"turn": 28, "text": "这个是主要检查什么得", "role": "patient"}, {"turn": 29, "text": "抽血检查，排除是否易栓体质", "role": "doctor"}, {"turn": 30, "text": "哦，明白了", "role": "patient"}, {"turn": 31, "text": "如果没有，怎么办呢", "role": "patient"}, {"turn": 32, "text": "终身抗凝吗", "role": "patient"}, {"turn": 33, "text": "没有的话，不需要终身服药的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 171, "thread": [{"turn": 0, "text": "鼻息肉不治疗的后果严重吗？（男，46岁）", "role": "patient"}, {"turn": 1, "text": "你好，你发现鼻息肉这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "今晚在一家私人刚发现", "role": "patient"}, {"turn": 3, "text": "哦", "role": "doctor"}, {"turn": 4, "text": "请问你现在都有什么不适症状?", "role": "doctor"}, {"turn": 5, "text": "鼻塞", "role": "patient"}, {"turn": 6, "text": "还有吗", "role": "doctor"}, {"turn": 7, "text": "天气变化最近几天开始的", "role": "patient"}, {"turn": 8, "text": "鼻息肉不治疗，鼻塞症状会越来越重", "role": "doctor"}, {"turn": 9, "text": "其它没有", "role": "patient"}, {"turn": 10, "text": "进而会出现嗅觉下降", "role": "doctor"}, {"turn": 11, "text": "头疼", "role": "doctor"}, {"turn": 12, "text": "怎样治疗", "role": "patient"}, {"turn": 13, "text": "鼻息肉建议手术治疗", "role": "doctor"}, {"turn": 14, "text": "必须手术吗", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}, {"turn": 16, "text": "轻微的也要手术吗", "role": "patient"}, {"turn": 17, "text": "你可以先用药物治疗一下", "role": "doctor"}, {"turn": 18, "text": "如果能控制住那就好", "role": "doctor"}, {"turn": 19, "text": "控制不了那还是得手术", "role": "doctor"}, {"turn": 20, "text": "手术能根治？", "role": "patient"}, {"turn": 21, "text": "一般都能根治", "role": "doctor"}, {"turn": 22, "text": "嗯，谢谢", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 172, "thread": [{"turn": 0, "text": "腰椎间盘突出打针后有疙瘩怎么办（女，43岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？", "role": "doctor"}, {"turn": 2, "text": "很疼肿胀", "role": "patient"}, {"turn": 3, "text": "半个月", "role": "patient"}, {"turn": 4, "text": "具体是打的哪里呢", "role": "doctor"}, {"turn": 5, "text": "腰椎两侧", "role": "patient"}, {"turn": 6, "text": "右侧有肿块", "role": "patient"}, {"turn": 7, "text": "当时时打的什么针", "role": "doctor"}, {"turn": 8, "text": "打针四天很疼很疼没有肿块，第五天就起疙瘩", "role": "patient"}, {"turn": 9, "text": "嗯，可以问一下打的具体是什么针吗", "role": "doctor"}, {"turn": 10, "text": "封闭针", "role": "patient"}, {"turn": 11, "text": "哦 ，那不应该啊", "role": "doctor"}, {"turn": 12, "text": "应该有麻木的感觉", "role": "doctor"}, {"turn": 13, "text": "才对", "role": "doctor"}, {"turn": 14, "text": "我也不知道，起了个肿块", "role": "patient"}, {"turn": 15, "text": "可能是硬结", "role": "doctor"}, {"turn": 16, "text": "不用担心", "role": "doctor"}, {"turn": 17, "text": "很疼", "role": "patient"}, {"turn": 18, "text": "用毛巾敷一下", "role": "doctor"}, {"turn": 19, "text": "还有就是你这种疼痛和之前的椎间盘突出的疼痛", "role": "doctor"}, {"turn": 20, "text": "有没有差别", "role": "doctor"}, {"turn": 21, "text": "这个要区别开", "role": "doctor"}, {"turn": 22, "text": "昨晚用毛巾敷了，今天更厉害了", "role": "patient"}, {"turn": 23, "text": "看一下针眼，有没有感染的可能", "role": "doctor"}, {"turn": 24, "text": "现在腰不痛了", "role": "patient"}, {"turn": 25, "text": "嗯，你可以在吃点药", "role": "doctor"}, {"turn": 26, "text": "双氯芬酸钠缓释片", "role": "doctor"}, {"turn": 27, "text": "吃点什么药", "role": "patient"}, {"turn": 28, "text": "还有这几天尽可能少做事情", "role": "doctor"}, {"turn": 29, "text": "减少腰部的活动", "role": "doctor"}, {"turn": 30, "text": "用热毛巾敷了，疙瘩更大了", "role": "patient"}, {"turn": 31, "text": "嗯，可能是里面有水肿", "role": "doctor"}, {"turn": 32, "text": "可以平卧位压一下", "role": "doctor"}, {"turn": 33, "text": "然后一般这种情况，一周左右才能消退", "role": "doctor"}, {"turn": 34, "text": "就吃一一种药吗", "role": "patient"}, {"turn": 35, "text": "是的", "role": "doctor"}, {"turn": 36, "text": "起疙瘩有10天了", "role": "patient"}, {"turn": 37, "text": "那你，需要做个彩超看看", "role": "doctor"}, {"turn": 38, "text": "看看里面是不是形成血肿了", "role": "doctor"}, {"turn": 39, "text": "形成血块怎么治疗", "role": "patient"}, {"turn": 40, "text": "就是靠自己慢慢吸收", "role": "doctor"}, {"turn": 41, "text": "你还可以吃一点活血化瘀的药", "role": "doctor"}, {"turn": 42, "text": "比如，活血止痛胶囊", "role": "doctor"}, {"turn": 43, "text": "那就是说有两种可能，一种是水肿，另一种是血肿", "role": "patient"}, {"turn": 44, "text": "是的", "role": "doctor"}, {"turn": 45, "text": "谢谢", "role": "patient"}, {"turn": 46, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 173, "thread": [{"turn": 0, "text": "胃癌晚期下肢无力是腰椎转移了吗?（男，77岁）", "role": "patient"}, {"turn": 1, "text": "腰椎转移主要表现为疼痛，而不是无力", "role": "doctor"}, {"turn": 2, "text": "什么原因导致无力，有好的方法治疗吗？", "role": "patient"}, {"turn": 3, "text": "可能是缺钾，到医院查个电解质，看看结果，缺钾口服补钾就OK了", "role": "doctor"}, {"turn": 4, "text": "食物补钾可以多吃点海带", "role": "doctor"}, {"turn": 5, "text": "香蕉", "role": "doctor"}, {"turn": 6, "text": "橙子等", "role": "doctor"}, {"turn": 7, "text": "谢谢您", "role": "patient"}, {"turn": 8, "text": "不谢", "role": "doctor"}, {"turn": 9, "text": "可是每次觉难受起来，就出汗，小腿难受得不得了，就打一支曲马多才能缓解过来，", "role": "patient"}, {"turn": 10, "text": "查看看可能是缺钾", "role": "doctor"}, {"turn": 11, "text": "缺钾得赶紧治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 174, "thread": [{"turn": 0, "text": "新生儿肺炎要在保温箱里住多久（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝当时住院症状重不重啊", "role": "doctor"}, {"turn": 2, "text": "不重，现在只知道用的无创呼吸机", "role": "patient"}, {"turn": 3, "text": "听说吃奶也挺好的", "role": "patient"}, {"turn": 4, "text": "？5", "role": "patient"}, {"turn": 5, "text": "我想知道这种情况一般要住几天保温箱？", "role": "patient"}, {"turn": 6, "text": "？？？！！！？？？", "role": "patient"}, {"turn": 7, "text": "不好意思，刚刚刚刚有事", "role": "doctor"}, {"turn": 8, "text": "宝宝出生就在新生儿住院是吗？", "role": "doctor"}, {"turn": 9, "text": "我想知道这种情况一般要住几天保温箱？", "role": "patient"}, {"turn": 10, "text": "那要看宝宝症状哦", "role": "doctor"}, {"turn": 11, "text": "出生第二天", "role": "patient"}, {"turn": 12, "text": "现在用的无创呼吸机，听说吃奶这些都挺好的", "role": "patient"}, {"turn": 13, "text": "目前还在用呼吸机帮助呼吸", "role": "doctor"}, {"turn": 14, "text": "对", "role": "patient"}, {"turn": 15, "text": "最起码呼吸机撤了，自己呼吸，维持稳定72小时", "role": "doctor"}, {"turn": 16, "text": "肝肾功能，心脏彩超，头颅检查都是正常的话，奶量吃到30ml以上", "role": "doctor"}, {"turn": 17, "text": "我宝宝是因为出生吸了点羊水进肺里面。导致呼吸急促，", "role": "patient"}, {"turn": 18, "text": "现在吃奶都能吃30多一点了", "role": "patient"}, {"turn": 19, "text": "已经住了2天半保温箱", "role": "patient"}, {"turn": 20, "text": "嗯嗯，呼吸机要撤了，靠自己呼吸维持稳定，还有一些检查指标都正常，就可以出院了", "role": "doctor"}, {"turn": 21, "text": "一般最起码需要1周", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "还有", "role": "patient"}, {"turn": 24, "text": "这种危险性大不大，", "role": "patient"}, {"turn": 25, "text": "不大，吸入羊水新生儿很常见", "role": "doctor"}, {"turn": 26, "text": "好的，非常感谢你", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 175, "thread": [{"turn": 0, "text": "腰肌劳损可以做附身动作吗（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好！你这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "腰肌劳损可以做俯身动作，燕子飞锻炼腰肌效果更好", "role": "doctor"}, {"turn": 3, "text": "一年多了医生", "role": "patient"}, {"turn": 4, "text": "影响晚上休息吗", "role": "doctor"}, {"turn": 5, "text": "不影响，", "role": "patient"}, {"turn": 6, "text": "嗯，可以热敷局部肌肉，配合做燕子飞锻炼效果不错", "role": "doctor"}, {"turn": 7, "text": "在健身房做附身动作拿杠铃发不到力", "role": "patient"}, {"turn": 8, "text": "燕子飞动作怎么做", "role": "patient"}, {"turn": 9, "text": "腰肌劳损是影响腰部用力的", "role": "doctor"}, {"turn": 10, "text": "仰卧起坐反过来做", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "如果效果不理想建议到医院疼痛科检查一下，做小针刀治疗效果不错", "role": "doctor"}, {"turn": 13, "text": "在健身房锻炼后腰感觉会疼", "role": "patient"}, {"turn": 14, "text": "有腰肌劳损当然会有症状", "role": "doctor"}, {"turn": 15, "text": "意思不能练重的器械哟", "role": "patient"}, {"turn": 16, "text": "最好可以休息休息", "role": "doctor"}, {"turn": 17, "text": "但是是私教课，一节课几乎不停的在锻炼", "role": "patient"}, {"turn": 18, "text": "练重的又发不上力", "role": "patient"}, {"turn": 19, "text": "这个本来就矛盾的，休息和挣钱的矛盾", "role": "doctor"}, {"turn": 20, "text": "谢谢医生", "role": "patient"}, {"turn": 21, "text": "不客气祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 176, "thread": [{"turn": 0, "text": "请问脚踝扭伤了要用些什么药呀（女，47岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "今天下午扭伤的", "role": "patient"}, {"turn": 3, "text": "现在肿的厉害吗", "role": "doctor"}, {"turn": 4, "text": "嗯，很痛", "role": "patient"}, {"turn": 5, "text": "如果肿的特别厉害，最好是能去医院拍个片或者拍个磁共振，看一下是不是韧带有问题。", "role": "doctor"}, {"turn": 6, "text": "现在最主要的就是冷敷起来。", "role": "doctor"}, {"turn": 7, "text": "冷敷能消肿止痛。", "role": "doctor"}, {"turn": 8, "text": "如果疼的特别厉害。可以抹点扶他林这些止疼的药膏，不建议使用活血的药物。", "role": "doctor"}, {"turn": 9, "text": "如果拍片骨头没有问题，让大夫检查一下是不是韧带的问题，或者是拍个磁共振看一下是不是韧带的问题，很多时候脚的一个扭伤容易伴有韧带的一个撕裂或者是松弛，如果单纯的让它消肿，不处理它的话，将来有可能导致韧带的松弛，容易崴脚。", "role": "doctor"}, {"turn": 10, "text": "所以说一旦确认有韧带的一个损伤的话，可以打一个石膏固定4周左右，这样的话将来韧带不会松弛，不会容易崴脚。", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 177, "thread": [{"turn": 0, "text": "慢性荨麻疹可能会引起喉头肿大吗（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，慢性荨麻疹一般不会导致，急性发作可能", "role": "doctor"}, {"turn": 2, "text": "一个多月是慢性的吗", "role": "patient"}, {"turn": 3, "text": "超过一个半月是慢性", "role": "doctor"}, {"turn": 4, "text": "今天早上起来胃部有不舒服的感觉，吃饭下咽有一点阻塞感", "role": "patient"}, {"turn": 5, "text": "会不会起在内部", "role": "patient"}, {"turn": 6, "text": "可以", "role": "doctor"}, {"turn": 7, "text": "怎么治疗的？", "role": "doctor"}, {"turn": 8, "text": "吃中药和西药", "role": "patient"}, {"turn": 9, "text": "那会有什么的危险吗", "role": "patient"}, {"turn": 10, "text": "如果有憋喘呼吸困难的话尽快去医院", "role": "doctor"}, {"turn": 11, "text": "慢性一般多久会好", "role": "patient"}, {"turn": 12, "text": "没有具体时间，长期用药慢慢减量，维持3-4个月以上", "role": "doctor"}, {"turn": 13, "text": "用药这么久对身体会不会有影响，我还没有成年", "role": "patient"}, {"turn": 14, "text": "影响不大", "role": "doctor"}, {"turn": 15, "text": "我检查过过敏源，只是对一些树的花粉轻微过敏，会有其他原因引起的吗，怎么预防，每天睡觉起来会多一些", "role": "patient"}, {"turn": 16, "text": "室内保持干燥，勤清洗衣服床单被罩烫洗暴晒，忌食辣海鲜牛羊肉等", "role": "doctor"}, {"turn": 17, "text": "现在可以做一些运动增强免疫力吗，饮食起居还要注意啥", "role": "patient"}, {"turn": 18, "text": "适当锻炼可以，", "role": "doctor"}, {"turn": 19, "text": "避免熬夜紧张激动焦虑", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 178, "thread": [{"turn": 0, "text": "尿有泡沫，是糖尿病吗？（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，关于你的情况我给你总结如下：1.需要检查一个尿常规，空腹和餐后血糖，如果检查完这三个是正常的，就暂时不需要做别的检查，如果有问题就需要做糖尿病的全面检查；2.加强锻炼，减轻体重，运动以有氧运动为主，每天大概半小时，以微微出汗为好；3.饮食问题，建议三餐适当减少饮食，减少油腻，以蔬菜为主，晚餐可以较以前提前半小时到一小时左右，有助于晚餐消化，减轻体重。", "role": "doctor"}, {"turn": 2, "text": "4.药物减肥的问题。奥利司他不建议吃。因为你目前比较年轻，可以通过锻炼来减轻体重，用药物都会对身体有所影响到。奥利司他是减少食物中脂肪吸收到药物，你可以通过减少吃脂肪类食物来减肥。 临床上我们用利纳鲁肽来辅助减肥。这个药需要到医院指导你使用。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 179, "thread": [{"turn": 0, "text": "偏侧咀嚼导致面部不协调，怎么办，（女，18岁）", "role": "patient"}, {"turn": 1, "text": "长期的偏侧咀嚼会造成面部发育的不对称，也会造成颞下颌关节的紊乱。建议改变不良的咀嚼习惯。", "role": "doctor"}, {"turn": 2, "text": "两侧交替咀嚼食物，如果单侧缺牙，建议尽早修复。", "role": "doctor"}, {"turn": 3, "text": "那有什么办法可以把脸部矫正过来？", "role": "patient"}, {"turn": 4, "text": "面部的不对称非短时间可以矫正，习惯用哪边吃东西，哪边的咀嚼肌会发达，面型就显得突出。建议改变咀嚼习惯，会慢慢改善您面部的形态。如果要快的，也只能注射瘦脸针之类的美容产品，效果和安全度我不太清除。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 180, "thread": [{"turn": 0, "text": "慢性扁桃体炎会不会长期导致白细胞偏低（男，35岁）", "role": "patient"}, {"turn": 1, "text": "您好！慢性扁桃体炎不会引起白细胞偏低", "role": "doctor"}, {"turn": 2, "text": "您好，白细胞3.4，中性细胞1.2，一年多了，应该做些什么检查", "role": "patient"}, {"turn": 3, "text": "这个需要做血液方面检查", "role": "doctor"}, {"turn": 4, "text": "哦，我年年扁桃体都发炎几次，舌根有时发硬，是不是考虑摘除啊", "role": "patient"}, {"turn": 5, "text": "骨髓象检查过吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "穿刺吗？", "role": "patient"}, {"turn": 8, "text": "是的！", "role": "doctor"}, {"turn": 9, "text": "如果扁桃体发炎期，是不是会导致白细胞偏低啊", "role": "patient"}, {"turn": 10, "text": "扁桃体炎是细菌感染，白细胞会增高，大多超过正常值", "role": "doctor"}, {"turn": 11, "text": "哦，好的👌", "role": "patient"}, {"turn": 12, "text": "所以和扁桃体应该没有关系吧", "role": "doctor"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "银屑病和扁桃体炎有关吗", "role": "patient"}, {"turn": 15, "text": "客气了，不用谢，", "role": "doctor"}, {"turn": 16, "text": "感觉关系不大", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "客气了，不用谢，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 181, "thread": [{"turn": 0, "text": "腰肌筋膜炎和腰间盘突出的区别（男，33岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "腰椎间盘突出症是由于腰椎间盘突出引起的腰腿坐骨神经疼痛", "role": "doctor"}, {"turn": 3, "text": "我左腰酸", "role": "patient"}, {"turn": 4, "text": "酸不疼", "role": "patient"}, {"turn": 5, "text": "屁股下边有点紧", "role": "patient"}, {"turn": 6, "text": "做了什么检查没有？比如磁共振检查", "role": "doctor"}, {"turn": 7, "text": "拍片子医生说有点曲度变直", "role": "patient"}, {"turn": 8, "text": "外用消炎止痛的扶他林软膏和口服活血药物比如神威滑膜炎颗粒", "role": "doctor"}, {"turn": 9, "text": "腰椎骨筋膜炎主要是腰肌劳损引起的腰部肌肉局部炎症", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 182, "thread": [{"turn": 0, "text": "高血压晕倒相关问题咨询（男，54岁）", "role": "patient"}, {"turn": 1, "text": "您好！具体血压是多少？", "role": "doctor"}, {"turn": 2, "text": "你好！你高血压多长时间了？", "role": "doctor"}, {"turn": 3, "text": "很长时间了", "role": "patient"}, {"turn": 4, "text": "因为脑出血住过院", "role": "patient"}, {"turn": 5, "text": "在医院辗转了近半年", "role": "patient"}, {"turn": 6, "text": "出院有近半年的时间了", "role": "patient"}, {"turn": 7, "text": "现在是什么症状", "role": "doctor"}, {"turn": 8, "text": "今天临近晚上的时候又突然晕倒了", "role": "patient"}, {"turn": 9, "text": "救护车送到医院后清醒过来了", "role": "patient"}, {"turn": 10, "text": "没有症状", "role": "patient"}, {"turn": 11, "text": "没有不适", "role": "patient"}, {"turn": 12, "text": "忘了怎么晕倒", "role": "patient"}, {"turn": 13, "text": "住院时都查什么了呀", "role": "doctor"}, {"turn": 14, "text": "拍了CT", "role": "patient"}, {"turn": 15, "text": "有事吗", "role": "doctor"}, {"turn": 16, "text": "别的检查应该也有做", "role": "patient"}, {"turn": 17, "text": "没有发现任何异样", "role": "patient"}, {"turn": 18, "text": "因为之前发生过脑溢血", "role": "patient"}, {"turn": 19, "text": "再发生的可能性有吗", "role": "patient"}, {"turn": 20, "text": "根据您提供的信息考虑是晕厥或者后循环缺血，建议您查个头颅核磁及头颅血管彩超", "role": "doctor"}, {"turn": 21, "text": "或者可能性有多大呢", "role": "patient"}, {"turn": 22, "text": "这个问题大吗", "role": "patient"}, {"turn": 23, "text": "建议您去检查一下", "role": "doctor"}, {"turn": 24, "text": "明确一下", "role": "doctor"}, {"turn": 25, "text": "高血压会导致晕厥吗", "role": "patient"}, {"turn": 26, "text": "可以导致头晕的", "role": "doctor"}, {"turn": 27, "text": "您还有什么问题吗？如果没有了，感谢您的支持，祝您早日康复！", "role": "doctor"}, {"turn": 28, "text": "请问头颅核磁和血管彩超等在三甲医院和二甲医院的结果差别大吗", "role": "patient"}, {"turn": 29, "text": "检查结果误差不大", "role": "doctor"}, {"turn": 30, "text": "脑溢血的复发概率是不是挺大的呢", "role": "patient"}, {"turn": 31, "text": "对不起让您久等啦", "role": "doctor"}, {"turn": 32, "text": "出门诊患者多", "role": "doctor"}, {"turn": 33, "text": "脑出血要看看有没有血管畸形", "role": "doctor"}, {"turn": 34, "text": "或者有没有动脉瘤，如果都没有，就是高血压病导致的出血，只要您把血压控制好即可，复发几率不高", "role": "doctor"}, {"turn": 35, "text": "好的，谢谢医生了", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}, {"turn": 37, "text": "好的，感谢您的信任及支持！欢迎您给个“满意”好评，系统会自动给您发个打8折的优惠图文咨询，一个月内有效，再有事可以继续咨询我，记得给个“好评”呗，能送个“心意”更好了！！！您的“好评及心意”是我服务的动力，十分感谢！！！再见！！！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 183, "thread": [{"turn": 0, "text": "膜性肾病停药后怎么预防复发（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "不熬夜尽量不感冒，感冒尽快治疗", "role": "doctor"}, {"turn": 3, "text": "停药快一年了，没有什么不好的症状，但总是很担心复发，有什么需要注意的地方？饮食以及生活中", "role": "patient"}, {"turn": 4, "text": "饮食尽量不吃海鲜牛羊肉", "role": "doctor"}, {"turn": 5, "text": "别的没有特殊注意到", "role": "doctor"}, {"turn": 6, "text": "的", "role": "doctor"}, {"turn": 7, "text": "那能烫头发吗😂", "role": "patient"}, {"turn": 8, "text": "这个没影响", "role": "doctor"}, {"turn": 9, "text": "饮食上不用像之前一样需要饮食清淡了吗", "role": "patient"}, {"turn": 10, "text": "不能太油腻", "role": "doctor"}, {"turn": 11, "text": "但是瘦肉是可以吃的", "role": "doctor"}, {"turn": 12, "text": "好的，那纹眉可以吗", "role": "patient"}, {"turn": 13, "text": "也没有影响", "role": "doctor"}, {"turn": 14, "text": "之前做过肾穿刺，现在有时还会腰疼，没什么影响吧", "role": "patient"}, {"turn": 15, "text": "这个影响不大", "role": "doctor"}, {"turn": 16, "text": "我做的工作每天都需要运动，这个也没关系吗", "role": "patient"}, {"turn": 17, "text": "适量运动可以", "role": "doctor"}, {"turn": 18, "text": "那需不需要再去医院检查？或者说多久去检查一下比较好", "role": "patient"}, {"turn": 19, "text": "如果想去医院检查，需要查些什么项目呢", "role": "patient"}, {"turn": 20, "text": "是那个月检查一次", "role": "doctor"}, {"turn": 21, "text": "查尿常规肾功能肝功能电解质", "role": "doctor"}, {"turn": 22, "text": "十二个月检查一次？", "role": "patient"}, {"turn": 23, "text": "三个月", "role": "doctor"}, {"turn": 24, "text": "哦哦，好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 184, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：背部筋膜炎（男，31岁）", "role": "patient"}, {"turn": 1, "text": "最近有过外伤吗？或者是牵拉伤。", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "这种背部的筋膜炎多数是由于牵拉或者是局部的搁压所造成的。", "role": "doctor"}, {"turn": 4, "text": "这种情况有一年多了，夏天还好，就是总是上火，天一冷，疼的比较厉害，靠吃消炎药减轻疼痛", "role": "patient"}, {"turn": 5, "text": "配合局部热敷，适当的做一些理疗或者是按摩，如果疼痛严重可以吃活血止痛胶囊", "role": "doctor"}, {"turn": 6, "text": "活血止痛胶嚷吃过，但不起作用", "role": "patient"}, {"turn": 7, "text": "像伸筋丹胶囊这也可以", "role": "doctor"}, {"turn": 8, "text": "我这种情况是筋膜炎吗？", "role": "patient"}, {"turn": 9, "text": "通过查体按压疼痛的部位基本上就可以确诊，考虑肌膜炎的几率可能会", "role": "doctor"}, {"turn": 10, "text": "可能会非常的高", "role": "doctor"}, {"turn": 11, "text": "我认为这种疼痛是去年夏天连续工作时间较长，再加上休息时吹空调引起的，夏天已过，天已变凉就开始疼痛了", "role": "patient"}, {"turn": 12, "text": "整个背部胸部肋骨，腰部，用手按压时，都会有疼痛感，干活重一点就会疼痛，得休息两三天才能恢复过来", "role": "patient"}, {"turn": 13, "text": "如果是去医院检查，应该挂什么科", "role": "patient"}, {"turn": 14, "text": "多数是劳累所造成的，局部热敷按摩，吃活血止痛药，一般休息2~3周以后症状会逐渐的缓解，如果干活或者是剧烈运动，容易反复出现", "role": "doctor"}, {"turn": 15, "text": "我想去医院检查一下，应该挂什么科", "role": "patient"}, {"turn": 16, "text": "这应该是骨外科门诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 185, "thread": [{"turn": 0, "text": "宫颈糜烂二度，白带发黄，怎么办（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问检查宫颈tct了吗？", "role": "doctor"}, {"turn": 2, "text": "上周去医院检查了白带，白带正常", "role": "patient"}, {"turn": 3, "text": "去年查过，都是正常的", "role": "patient"}, {"turn": 4, "text": "就是有点炎症", "role": "patient"}, {"turn": 5, "text": "排出宫颈病变和癌前病变后、可以阴道放置聚甲酚磺醛栓（每两日阴道放置一次）或者治糜灵栓每晚一次，每次一粒，口服甲硝唑，宫炎康颗粒，7、8天，直至症状消失后停药。", "role": "doctor"}, {"turn": 6, "text": "啥症状", "role": "patient"}, {"turn": 7, "text": "我现在就是白带发黄，其他异味，瘙痒都没有", "role": "patient"}, {"turn": 8, "text": "比如，白带发黄、增多、粘稠、或者同房出血等等，这些症状。", "role": "doctor"}, {"turn": 9, "text": "宫颈糜烂会自愈吗", "role": "patient"}, {"turn": 10, "text": "宫颈糜烂用药物治疗只能改善症状，不可能使宫颈恢复光滑，\n可以生了孩子后物理治疗，\n物理治疗的方法有：\n电熨疗法；冷冻疗法；激光治疗。", "role": "doctor"}, {"turn": 11, "text": "宫颈糜烂是宫颈柱状上皮外移，\n是一种生理现象。\n如果没有症状，不需要治疗。\n宫颈为柱状上皮，而与其相接的阴道粘膜为鳞状上皮，宫颈糜烂就是宫颈上皮侵入阴道粘膜，长到了不该长的地方", "role": "doctor"}, {"turn": 12, "text": "宫颈糜烂建议每年定期复查一次tct，连续复查3年，如果没有什么问题，之后每3年复查一次。", "role": "doctor"}, {"turn": 13, "text": "祝您健康? \n\n有啥问题、就问哦?", "role": "doctor"}, {"turn": 14, "text": "二度会转化到一度，或者恢复正常吗", "role": "patient"}, {"turn": 15, "text": "一般不会的", "role": "doctor"}, {"turn": 16, "text": "那怎样可以预防变成3度", "role": "patient"}, {"turn": 17, "text": "宫颈糜烂与性活跃、HPV感染、吸烟、性生活过早、性传播疾病、口服避孕药、及免疫抑制等等有关。因此要养成良好的生活习惯，饮食习惯，卫生习惯，同时加强锻炼，提高身体抵抗力，避免吃紧急避孕药。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 186, "thread": [{"turn": 0, "text": "脑供血不足的神经性头痛要吃什么药（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，这个症状有多久了？有检查结果吗", "role": "doctor"}, {"turn": 2, "text": "好几年了", "role": "patient"}, {"turn": 3, "text": "九岁的时候就有", "role": "patient"}, {"turn": 4, "text": "做过哪些检查 血管超声或者CTA结果有吗", "role": "doctor"}, {"turn": 5, "text": "时间太久记不清了", "role": "patient"}, {"turn": 6, "text": "CT和彩超都做过", "role": "patient"}, {"turn": 7, "text": "那时候还做过纯氧仓的治疗", "role": "patient"}, {"turn": 8, "text": "未成年人脑供血不足需要警惕是否有烟雾病的可能", "role": "doctor"}, {"turn": 9, "text": "您好医生在的", "role": "patient"}, {"turn": 10, "text": "那我需要吃什么药来缓解这种症状吗", "role": "patient"}, {"turn": 11, "text": "最近几天经常后脑勺痛", "role": "patient"}, {"turn": 12, "text": "可以吃点头痛宁或者都梁软胶囊", "role": "doctor"}, {"turn": 13, "text": "嗯嗯好的", "role": "patient"}, {"turn": 14, "text": "那天麻素片那些还要吃吗", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 187, "thread": [{"turn": 0, "text": "肠易激综合征如何才能治好（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你提供咨询。", "role": "doctor"}, {"turn": 2, "text": "请问这种情况多长时间了？", "role": "doctor"}, {"turn": 3, "text": "一年多了，经常犯", "role": "patient"}, {"turn": 4, "text": "总是治不好", "role": "patient"}, {"turn": 5, "text": "一天大便几次，大便什么形态为主？", "role": "doctor"}, {"turn": 6, "text": "1至2次，大便不成型", "role": "patient"}, {"turn": 7, "text": "做过肠镜检查吗？", "role": "doctor"}, {"turn": 8, "text": "做过，没有问题", "role": "patient"}, {"turn": 9, "text": "不过做了好久了", "role": "patient"}, {"turn": 10, "text": "发一下肠镜检查单。", "role": "doctor"}, {"turn": 11, "text": "大便有没有血液或者粘液？", "role": "doctor"}, {"turn": 12, "text": "有时候有粘液", "role": "patient"}, {"turn": 13, "text": "我现在在外地，检查单不在", "role": "patient"}, {"turn": 14, "text": "血液没有，就是小肚子会不舒服，", "role": "patient"}, {"turn": 15, "text": "根据你的情况最好完善一下肠镜复查，看一下有没有结直肠炎的情况。", "role": "doctor"}, {"turn": 16, "text": "最近服用什么药物了？", "role": "doctor"}, {"turn": 17, "text": "每次去医院会吃痛泄宁颗粒", "role": "patient"}, {"turn": 18, "text": "最近没有吃药了，两星期前犯过一次", "role": "patient"}, {"turn": 19, "text": "可以服用人参健脾丸搭配乳酸菌素片，调节一下肠道功能，两种药物规律服用两周左右。", "role": "doctor"}, {"turn": 20, "text": "需不需要寒假回家后吃中药调理？", "role": "patient"}, {"turn": 21, "text": "条件允许的话，可以复查一下肠镜。", "role": "doctor"}, {"turn": 22, "text": "好的，有没有办法彻底治好", "role": "patient"}, {"turn": 23, "text": "我需要看一下肠道粘膜情况，才能明确一下你现在疾病的进展情况。", "role": "doctor"}, {"turn": 24, "text": "好吧，谢谢医生", "role": "patient"}, {"turn": 25, "text": "不客气的，服药期间或者平时有什么胃肠不适都可以随时咨询我。", "role": "doctor"}, {"turn": 26, "text": "可能两种药物服药3~5天后症状就会缓解，不过我是建议规律服药治疗两周。", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "嗯", "role": "doctor"}, {"turn": 29, "text": "好", "role": "patient"}, {"turn": 30, "text": "有什么问题可以随时咨询我，祝你生活愉快。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 188, "thread": [{"turn": 0, "text": "气虚血虚肾虚吃什么好（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答！", "role": "doctor"}, {"turn": 2, "text": "你好！都有哪些症状呢？", "role": "doctor"}, {"turn": 3, "text": "失眠 手脚冰冷出冷汗 掉头发", "role": "patient"}, {"turn": 4, "text": "出现这些症状有多久了？", "role": "doctor"}, {"turn": 5, "text": "有好几年了", "role": "patient"}, {"turn": 6, "text": "脱发持续了将近四五年了", "role": "patient"}, {"turn": 7, "text": "方便拍张舌头照片发过来看一下吗？", "role": "doctor"}, {"turn": 8, "text": "请问吃什么药可以缓解", "role": "patient"}, {"turn": 9, "text": "嗯～不太方便了抱歉", "role": "patient"}, {"turn": 10, "text": "可以服用八珍颗粒+金匮肾气丸调理，如果晚上睡觉有怕热出汗的症状，可以加用仲景六味地黄丸。", "role": "doctor"}, {"turn": 11, "text": "医生，我有生过孩子 除了掉发这些症状以外我上厕所的时间比较勤，最近有些便秘", "role": "patient"}, {"turn": 12, "text": "有上火的症状吗？", "role": "doctor"}, {"turn": 13, "text": "而且我的身体比较容易浮肿，尤其是腿部站一会 或者快走都会导致浮肿", "role": "patient"}, {"turn": 14, "text": "有上火，还有口腔溃疡", "role": "patient"}, {"turn": 15, "text": "可以加用牛黄上清丸调理", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 189, "thread": [{"turn": 0, "text": "70岁男有房颤怎么治吃什么药（男，70）", "role": "patient"}, {"turn": 1, "text": "你好，请问具体有什么症状？", "role": "doctor"}, {"turn": 2, "text": "您好！陈建迎医生已经接诊你的问题，请描述你的临床症状或者现在的身体不适。\n 如果做过一些辅助检查，请一起发送过来，我会认真阅读，分析，综合病史，辅助检查，尽可能给你一个明确的初步诊断或者诊断范围，或者指导用药治疗，生活中的注意事项。\n谢谢你的理解和配合。", "role": "doctor"}, {"turn": 3, "text": "心率快吗", "role": "doctor"}, {"turn": 4, "text": "胸闷医生吃稳心粿粒加阿斯匹林", "role": "patient"}, {"turn": 5, "text": "有心电图吗", "role": "doctor"}, {"turn": 6, "text": "是心率快导致的胸闷？还是有心肌缺血", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 190, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣耳聋（女，37岁）", "role": "patient"}, {"turn": 1, "text": "你好这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有没有检查过", "role": "doctor"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "很长时间了", "role": "patient"}, {"turn": 5, "text": "想咨询一下有没有方法治疗", "role": "patient"}, {"turn": 6, "text": "听力下降的严重吗", "role": "doctor"}, {"turn": 7, "text": "有没有检查一下原因", "role": "doctor"}, {"turn": 8, "text": "严重", "role": "patient"}, {"turn": 9, "text": "以前检查说是神经性的", "role": "patient"}, {"turn": 10, "text": "最近睡前耳鸣严重，后半夜失眠", "role": "patient"}, {"turn": 11, "text": "单侧双侧", "role": "doctor"}, {"turn": 12, "text": "当时为什么没有治疗", "role": "doctor"}, {"turn": 13, "text": "因为神经性耳聋，耳鸣，越早治疗效果好，时间长了，就不容易治疗了", "role": "doctor"}, {"turn": 14, "text": "治疗过，一直不好，越治越严重", "role": "patient"}, {"turn": 15, "text": "白天已经习惯了，现在就是夜里难受，", "role": "patient"}, {"turn": 16, "text": "后半夜会失眠", "role": "patient"}, {"turn": 17, "text": "单侧", "role": "patient"}, {"turn": 18, "text": "您有什么好的建议可以加减轻我的症状吗", "role": "patient"}, {"turn": 19, "text": "医生，您很忙吗？", "role": "patient"}, {"turn": 20, "text": "耳鸣的治疗，主要还是改善微循环，营养神经", "role": "doctor"}, {"turn": 21, "text": "保证睡眠，不能熬夜", "role": "doctor"}, {"turn": 22, "text": "能通俗点吗？", "role": "patient"}, {"turn": 23, "text": "失眠，怎么保证睡眠", "role": "patient"}, {"turn": 24, "text": "如果平时睡眠不好，就建议您去内科看一下", "role": "doctor"}, {"turn": 25, "text": "必要时候用药物治疗", "role": "doctor"}, {"turn": 26, "text": "因为熬夜，失眠会加重耳鸣", "role": "doctor"}, {"turn": 27, "text": "具体什么药物？", "role": "patient"}, {"turn": 28, "text": "我不熬夜", "role": "patient"}, {"turn": 29, "text": "有过敏药物和禁忌药物吗", "role": "doctor"}, {"turn": 30, "text": "有没有出血性疾病", "role": "doctor"}, {"turn": 31, "text": "没有", "role": "patient"}, {"turn": 32, "text": "都没有", "role": "patient"}, {"turn": 33, "text": "常用的药物就是银杏叶片，甲钴胺片", "role": "doctor"}, {"turn": 34, "text": "好，我明天去医院咨询一下，试试，还有其他好的药物吗", "role": "patient"}, {"turn": 35, "text": "一般都是这类药物", "role": "doctor"}, {"turn": 36, "text": "因为耳鸣现在还没有特别有效的药物", "role": "doctor"}, {"turn": 37, "text": "耳鸣与脑供血不足有关系吗", "role": "patient"}, {"turn": 38, "text": "我经常头的两侧疼，硬，", "role": "patient"}, {"turn": 39, "text": "就是太阳穴的位置", "role": "patient"}, {"turn": 40, "text": "就是太阳穴的位置", "role": "patient"}, {"turn": 41, "text": "？", "role": "patient"}, {"turn": 42, "text": "人呢？", "role": "patient"}, {"turn": 43, "text": "医生您给推荐一下我这情况应该再去做哪些检查，能更好的找到病因", "role": "patient"}, {"turn": 44, "text": "你好，不好意思，刚洗漱去了", "role": "doctor"}, {"turn": 45, "text": "头疼的原因很多，供血不足也是原因，需要神经内科进一步检查。耳鸣也有一部人是供血不足引起的", "role": "doctor"}, {"turn": 46, "text": "耳鸣建议您去医院检查一下电子耳镜。纯音测听，声导抗。必要时需要做耳部ct除外听神经瘤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 191, "thread": [{"turn": 0, "text": "患慢性咽炎还能做幼师吗?（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在主要有什么症状?", "role": "doctor"}, {"turn": 2, "text": "治疗过吗？经过治疗症状缓解后，可以做幼师", "role": "doctor"}, {"turn": 3, "text": "吃慢严舒柠的", "role": "patient"}, {"turn": 4, "text": "可以", "role": "doctor"}, {"turn": 5, "text": "那我继续吃了", "role": "patient"}, {"turn": 6, "text": "嗯嗯", "role": "doctor"}, {"turn": 7, "text": "幼师呢是我的职业规划", "role": "patient"}, {"turn": 8, "text": "读书就是为了这个的", "role": "patient"}, {"turn": 9, "text": "额额", "role": "doctor"}, {"turn": 10, "text": "谢谢", "role": "patient"}, {"turn": 11, "text": "不客气", "role": "doctor"}, {"turn": 12, "text": "鼻子破了", "role": "patient"}, {"turn": 13, "text": "疼", "role": "patient"}, {"turn": 14, "text": "上火", "role": "doctor"}, {"turn": 15, "text": "平时多喝热汤热水", "role": "doctor"}, {"turn": 16, "text": "不要扣", "role": "doctor"}, {"turn": 17, "text": "天冷", "role": "patient"}, {"turn": 18, "text": "注意保暖", "role": "doctor"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "金霉素眼膏能不能用", "role": "patient"}, {"turn": 21, "text": "涂鼻子？", "role": "doctor"}, {"turn": 22, "text": "对的", "role": "patient"}, {"turn": 23, "text": "好疼", "role": "patient"}, {"turn": 24, "text": "不要用手扣", "role": "doctor"}, {"turn": 25, "text": "不扣 吸气疼", "role": "patient"}, {"turn": 26, "text": "得慢慢来", "role": "doctor"}, {"turn": 27, "text": "可不可以吃炒饭", "role": "patient"}, {"turn": 28, "text": "猪排能不能吃", "role": "patient"}, {"turn": 29, "text": "可以", "role": "doctor"}, {"turn": 30, "text": "清淡饮食", "role": "doctor"}, {"turn": 31, "text": "不吃辣的", "role": "patient"}, {"turn": 32, "text": "太辣吃的我胃也不好", "role": "patient"}, {"turn": 33, "text": "对，不吃最好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 192, "thread": [{"turn": 0, "text": "痔疮，外疮，想问一下生姜好使不（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "就是疼  不出血", "role": "patient"}, {"turn": 3, "text": "肛门口凸出来", "role": "doctor"}, {"turn": 4, "text": "就是出来一个一肉球", "role": "patient"}, {"turn": 5, "text": "哦", "role": "doctor"}, {"turn": 6, "text": "我用过 痔疮栓", "role": "patient"}, {"turn": 7, "text": "你想用生姜涂吗？", "role": "doctor"}, {"turn": 8, "text": "嗯嗯", "role": "patient"}, {"turn": 9, "text": "就是问问好使不", "role": "patient"}, {"turn": 10, "text": "这个没有用哦", "role": "doctor"}, {"turn": 11, "text": "用了痔疮栓多久啦？", "role": "doctor"}, {"turn": 12, "text": "我朋友他用生姜管用了 直接是把生姜放到肛门里  痔疮就好了", "role": "patient"}, {"turn": 13, "text": "用了一个星期了", "role": "patient"}, {"turn": 14, "text": "哦", "role": "doctor"}, {"turn": 15, "text": "没有这个说法哦", "role": "doctor"}, {"turn": 16, "text": "哦哦", "role": "patient"}, {"turn": 17, "text": "有什么副作用吗", "role": "patient"}, {"turn": 18, "text": "用生姜吗？", "role": "doctor"}, {"turn": 19, "text": "是的", "role": "patient"}, {"turn": 20, "text": "副作用倒是没有什么，但是生姜治疗痔疮好像没有听说过", "role": "doctor"}, {"turn": 21, "text": "建议你可以使用太宁治疗", "role": "doctor"}, {"turn": 22, "text": "嗯嗯", "role": "patient"}, {"turn": 23, "text": "嗯嗯好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 193, "thread": [{"turn": 0, "text": "喝酒之后能吃治疗肺结核的药吗（男，49岁）", "role": "patient"}, {"turn": 1, "text": "什么时候喝的酒？肺结核药吃了多久了", "role": "doctor"}, {"turn": 2, "text": "晚9点，现在药还没有吃呢，不过早晨空腹吃过水飞蓟宾胶囊", "role": "patient"}, {"turn": 3, "text": "结核药一般是早上吃啊？", "role": "doctor"}, {"turn": 4, "text": "你现在用的什么药？", "role": "doctor"}, {"turn": 5, "text": "今天吃吃的晚。", "role": "patient"}, {"turn": 6, "text": "大部分人都不要紧的，没有反应。", "role": "doctor"}, {"turn": 7, "text": "以后还是避免类似情况", "role": "doctor"}, {"turn": 8, "text": "帕司烟肼片  盐酸莫西沙星片", "role": "patient"}, {"turn": 9, "text": "耐药结核？", "role": "doctor"}, {"turn": 10, "text": "风险比较低，可以吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 194, "thread": [{"turn": 0, "text": "尿反流导致肾积水该注意些什么（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好。首先需要查明返流原因和程度", "role": "doctor"}, {"turn": 2, "text": "如果是因为膀胱压高导致的返流，平常注意不要憋尿，勤排小便", "role": "doctor"}, {"turn": 3, "text": "如果是输尿管原因导致返流，需要进一步检查和评估", "role": "doctor"}, {"turn": 4, "text": "医生说是瓣膜的原因", "role": "patient"}, {"turn": 5, "text": "瓣膜的原因的话，如果症状重，可以考虑手术。输尿管膀胱再植", "role": "doctor"}, {"turn": 6, "text": "怎样能自愈或是防止发病", "role": "patient"}, {"turn": 7, "text": "勤排尿，不要憋尿会有所帮助。", "role": "doctor"}, {"turn": 8, "text": "其他没有什么特殊治疗", "role": "doctor"}, {"turn": 9, "text": "有所帮助意思是只能等待它越来越严重么", "role": "patient"}, {"turn": 10, "text": "不一定会严重。勤排尿，减少返流，是一个保护措施", "role": "doctor"}, {"turn": 11, "text": "哦哦，那可以维持多长时间", "role": "patient"}, {"turn": 12, "text": "有的人通过这种方式会改善，甚至自愈。", "role": "doctor"}, {"turn": 13, "text": "哦哦，平时确实经常憋尿", "role": "patient"}, {"turn": 14, "text": "此外返流可以预防性应用抗生素。", "role": "doctor"}, {"turn": 15, "text": "前列腺炎之前查出来，也导致解手不", "role": "patient"}, {"turn": 16, "text": "主要是防止肾脏感染么", "role": "patient"}, {"turn": 17, "text": "解手", "role": "patient"}, {"turn": 18, "text": "不利索", "role": "patient"}, {"turn": 19, "text": "是的。预防感染，有时候返流导致下腹部疼痛，也需要抗感染治疗", "role": "doctor"}, {"turn": 20, "text": "我现在是下腹部胀气是什么原因", "role": "patient"}, {"turn": 21, "text": "想放屁，也有一点想解手", "role": "patient"}, {"turn": 22, "text": "这个和输尿管返流没有什么关系。需要去肛肠科看看", "role": "doctor"}, {"turn": 23, "text": "哦哦好的谢谢啦", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}, {"turn": 25, "text": "再问一句，这个问题严重吗", "role": "patient"}, {"turn": 26, "text": "毕竟我还在上大学", "role": "patient"}, {"turn": 27, "text": "从目前资料现在无法判断严重程度。建议先不要憋尿，治疗一段时间吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 195, "thread": [{"turn": 0, "text": "滑膜炎到底是吃滑膜炎胶囊 还是西乐葆（男，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，这两个药一个是中成药，一个是西药，西乐葆可以在疼痛明显时服用", "role": "doctor"}, {"turn": 2, "text": "可以一起用", "role": "doctor"}, {"turn": 3, "text": "已经服用西乐葆三个月了 但是运动时还是会有疼痛感。是不是需要换药治疗。还是根本就不能运动了。", "role": "patient"}, {"turn": 4, "text": "滑膜炎存在症状期间，就不要运动了", "role": "doctor"}, {"turn": 5, "text": "可以结合理疗一起", "role": "doctor"}, {"turn": 6, "text": "理疗是做些什么呢？", "role": "patient"}, {"turn": 7, "text": "长短波，超声波等等", "role": "doctor"}, {"turn": 8, "text": "不运动 坚持吃药和理疗的话 一般多久会康复", "role": "patient"}, {"turn": 9, "text": "一般一个多月就有改善，完全症状消失时间不一定", "role": "doctor"}, {"turn": 10, "text": "希望这次能有所改善。谢谢🙏", "role": "patient"}, {"turn": 11, "text": "祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 196, "thread": [{"turn": 0, "text": "吃了感冒药可以吃过敏药吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，吃的什么感冒药？", "role": "doctor"}, {"turn": 2, "text": "感冒药啊", "role": "patient"}, {"turn": 3, "text": "配的", "role": "patient"}, {"turn": 4, "text": "toubsoo", "role": "patient"}, {"turn": 5, "text": "头包", "role": "patient"}, {"turn": 6, "text": "最下面这个啥意思？", "role": "doctor"}, {"turn": 7, "text": "一般来说感冒药是可以和过敏药一起服用的", "role": "doctor"}, {"turn": 8, "text": "头饱", "role": "patient"}, {"turn": 9, "text": "嗯嗯，那可以和过敏药一起服用", "role": "doctor"}, {"turn": 10, "text": "我现在吃过感冒药", "role": "patient"}, {"turn": 11, "text": "晚上睡觉吃过敏药可以吗", "role": "patient"}, {"turn": 12, "text": "可以的", "role": "doctor"}, {"turn": 13, "text": "可以吃猕猴桃吗", "role": "patient"}, {"turn": 14, "text": "吃了头饱", "role": "patient"}, {"turn": 15, "text": "可以的", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "嗯嗯", "role": "doctor"}, {"turn": 18, "text": "我吃了头孢", "role": "patient"}, {"turn": 19, "text": "然后在吃了过敏药", "role": "patient"}, {"turn": 20, "text": "会不会有问题阿", "role": "patient"}, {"turn": 21, "text": "没问题", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 197, "thread": [{"turn": 0, "text": "肺腺癌，52岁，胸腔有胸水（男，52岁）您好", "role": "patient"}, {"turn": 1, "text": "您好，请问您想咨询什么", "role": "doctor"}, {"turn": 2, "text": "我父亲前段时间胸闷，去医院检查，肺水中查出癌细胞，确诊为肺腺癌，打了几天消炎针，肺水没法止住，前段时间化疗，吉西他滨和洛铂，昨天体检肺水减少了百分之九十，基因检测也做了，790m和19号基因同时突变我想问问您，这个有误诊的可能吗？还有靶向药应该吃什么？", "role": "patient"}, {"turn": 3, "text": "您好，胸水病理确实不如原发灶病理更加准确。但是如果他直接报出腺癌，说明比较有把握，误诊可能性不大。靶向药物可以选择吉非替尼或者厄洛替尼", "role": "doctor"}, {"turn": 4, "text": "是不是就是9291和2992？", "role": "patient"}, {"turn": 5, "text": "我父亲现在和正常人一样，每天走路很有劲，胃口也很好，化疗期间就有些轻微皮疹，其他反应都没有啊", "role": "patient"}, {"turn": 6, "text": "出现恶性胸水，临床分期就已经是4期了，跟有没有症状是没有关系的。", "role": "doctor"}, {"turn": 7, "text": "靶向药物标准叫法就是吉非替尼跟厄洛替尼，9291一类的我们不太了解", "role": "doctor"}, {"turn": 8, "text": "这个是易瑞沙是吗？", "role": "patient"}, {"turn": 9, "text": "易瑞沙是吉非替尼", "role": "doctor"}, {"turn": 10, "text": "我父亲t790m原发突变，使用易瑞沙应该耐药吧？", "role": "patient"}, {"turn": 11, "text": "t790m是一个耐药基因突变，所以一线治疗您是用的化疗。靶向只能作为二线", "role": "doctor"}, {"turn": 12, "text": "t790m突变还能使用易瑞沙吗？", "role": "patient"}, {"turn": 13, "text": "二线或者三线是可以的", "role": "doctor"}, {"turn": 14, "text": "二线和三线是什么意思？我不是太清楚", "role": "patient"}, {"turn": 15, "text": "就是化疗如果失败了", "role": "doctor"}, {"turn": 16, "text": "作为备选方案", "role": "doctor"}, {"turn": 17, "text": "我父亲这是第一次化疗，只是有些轻微皮疹，如果化疗次数多了，副作用会变大吗？会出现掉头发的症状吗？", "role": "patient"}, {"turn": 18, "text": "副作用会有，常见的是胃肠道反应和白细胞降低。掉头发不会出现", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 198, "thread": [{"turn": 0, "text": "肌肉拉伤时间长了会不会好?（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问具体位置在哪里？有没有明显疼痛肿胀", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "注意休息，可以自己多揉揉捶捶痛点", "role": "doctor"}, {"turn": 4, "text": "打羽毛球的时候扭伤的，没怎么管它，很长时间了也不见好，用力过大的时候会痛，走路时间长了也会有点轻微的疼痛！", "role": "patient"}, {"turn": 5, "text": "您好，请问具体位置在哪里？", "role": "doctor"}, {"turn": 6, "text": "医生像我这种情况会不会好呀？", "role": "patient"}, {"turn": 7, "text": "在背后臀部上面一点的那个位置", "role": "patient"}, {"turn": 8, "text": "就是在腹外斜肌那个位置！", "role": "patient"}, {"turn": 9, "text": "还在吗？", "role": "patient"}, {"turn": 10, "text": "分析这种情况，可以多揉揉痛点，用热水袋热敷", "role": "doctor"}, {"turn": 11, "text": "慢慢会好的", "role": "doctor"}, {"turn": 12, "text": "可以贴膏药如伤湿止痛膏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 199, "thread": [{"turn": 0, "text": "请问牙结石是怎么形成的呢（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，牙结石是食物残渣和各种细菌微生物，积聚在牙齿表面，由于刷牙不彻底，时间久了矿化而成", "role": "doctor"}, {"turn": 2, "text": "最近牙龈老是时不时的会有血流出来，不知道会不会长了牙结石", "role": "patient"}, {"turn": 3, "text": "这种情况都是因为有牙结石导致的，建议去洗下牙", "role": "doctor"}, {"turn": 4, "text": "洗牙疼吗", "role": "patient"}, {"turn": 5, "text": "洗牙可能稍微有些酸痛，没有大的感觉", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 200, "thread": [{"turn": 0, "text": "肝硬化，如何保养治疗（男，36岁）医生我那天忘记问你了，能在你们医院开药吗", "role": "patient"}, {"turn": 1, "text": "您好，请问是什么原因导致的肝硬化", "role": "doctor"}, {"turn": 2, "text": "哦哦哦", "role": "doctor"}, {"turn": 3, "text": "可以的", "role": "doctor"}, {"turn": 4, "text": "有专门的开药门诊", "role": "doctor"}, {"turn": 5, "text": "肝炎门诊可以开药的", "role": "doctor"}, {"turn": 6, "text": "人不来都可以吗，还是必须可来医院开药", "role": "patient"}, {"turn": 7, "text": "现在成都开恩替卡韦是按4+7的价格嗎", "role": "patient"}, {"turn": 8, "text": "家属来也可以", "role": "doctor"}, {"turn": 9, "text": "带就诊卡", "role": "doctor"}, {"turn": 10, "text": "恩替卡韦国产的十几块钱一个月", "role": "doctor"}, {"turn": 11, "text": "没卡，呵呵", "role": "patient"}, {"turn": 12, "text": "拿身份证去刷", "role": "doctor"}, {"turn": 13, "text": "建设银行的卡也可以", "role": "doctor"}, {"turn": 14, "text": "哦，意思是说还在在那面在看一回了，还早不用直接带变诊卡就可以开药了", "role": "patient"}, {"turn": 15, "text": "建行卡可以直接当做就诊卡", "role": "doctor"}, {"turn": 16, "text": "必须挂号才能开药", "role": "doctor"}, {"turn": 17, "text": "嗯谢谢", "role": "patient"}, {"turn": 18, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 201, "thread": [{"turn": 0, "text": "不全肠梗阻排便了算好了吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你是有不全性肠梗阻有多长时间？", "role": "doctor"}, {"turn": 2, "text": "如果现在已经有排便的话，那没有很大问题，属于疾病已经好了。", "role": "doctor"}, {"turn": 3, "text": "住院8天了", "role": "patient"}, {"turn": 4, "text": "灌肠后才会排便", "role": "patient"}, {"turn": 5, "text": "还是拉稀的那种 然后今天吃了火龙果三个小时拉出来的也是火龙果正常吗", "role": "patient"}, {"turn": 6, "text": "医生在吗？", "role": "patient"}, {"turn": 7, "text": "目前如果已经有排便了，说明肠道有一些通气通便，肠梗阻应该会慢慢会缓解。", "role": "doctor"}, {"turn": 8, "text": "那通了可以吃些什么东西 可以吃煮的碎肉和混沌吗", "role": "patient"}, {"turn": 9, "text": "现在也可以吃一些碎肉和馄饨，也可以吃一些稀饭。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 202, "thread": [{"turn": 0, "text": "脑梗药吃了头晕怎么办（男，55岁）", "role": "patient"}, {"turn": 1, "text": "服用的什么药物？服用药物多长时间了？", "role": "doctor"}, {"turn": 2, "text": "氟柱利嗪，甲磺酸倍他司订片，脉管复康胶囊", "role": "patient"}, {"turn": 3, "text": "养血安神颗粒", "role": "patient"}, {"turn": 4, "text": "一到吃饭，就阵发头晕", "role": "patient"}, {"turn": 5, "text": "都服用了？", "role": "doctor"}, {"turn": 6, "text": "十天左右了，全都吃了", "role": "patient"}, {"turn": 7, "text": "头晕是头重脚轻还是天旋地转？", "role": "doctor"}, {"turn": 8, "text": "降压药吃培哚普利，降脂药吃阿托伐他汀钙片。其它辅助药血塞通，阿司匹林，三七花", "role": "patient"}, {"turn": 9, "text": "头重脚轻，阵发性的，吃饭就发作", "role": "patient"}, {"turn": 10, "text": "不吃饭，发作吗？", "role": "doctor"}, {"turn": 11, "text": "好多了，睌上六点很严重，吃饭，每次吃饭，中途休息了再吃", "role": "patient"}, {"turn": 12, "text": "可能是脑供血不足引起的，服用上述药物有没有改善？", "role": "doctor"}, {"turn": 13, "text": "医院检查是轻度脑梗，血管硬化，但是下这么重的药也应该足够了，一天到睌都是药。", "role": "patient"}, {"turn": 14, "text": "在医院还输了七天液", "role": "patient"}, {"turn": 15, "text": "可以去医院，做一下高压氧治疗，不用服用那么多药物", "role": "doctor"}, {"turn": 16, "text": "感觉药没下对", "role": "patient"}, {"turn": 17, "text": "药物种类太多了", "role": "doctor"}, {"turn": 18, "text": "停一些吗", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}, {"turn": 20, "text": "降压，降脂保留，血塞通和氟柱利嗪胶囊保留，阿司匹林保留", "role": "patient"}, {"turn": 21, "text": "可以", "role": "doctor"}, {"turn": 22, "text": "再试一周看看", "role": "patient"}, {"turn": 23, "text": "好的，注意休息，保证睡眠", "role": "doctor"}, {"turn": 24, "text": "谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 203, "thread": [{"turn": 0, "text": "乳腺癌患者更年期可以吃什么药（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好！现在都有什么症状？", "role": "doctor"}, {"turn": 2, "text": "烦躁，燥热出汗，全身麻木，酸疼痛，五脏燥热，头昏脑胀，心慌", "role": "patient"}, {"turn": 3, "text": "可以中药调理的", "role": "doctor"}, {"turn": 4, "text": "乳腺癌属于激素依赖型吗", "role": "doctor"}, {"turn": 5, "text": "四年前做的乳腺癌手术。", "role": "patient"}, {"turn": 6, "text": "病理和免疫组化是什么", "role": "doctor"}, {"turn": 7, "text": "做的放化疗，现在吃的啊那曲唑药", "role": "patient"}, {"turn": 8, "text": "那就是激素依赖型乳腺癌", "role": "doctor"}, {"turn": 9, "text": "用中药调理吧", "role": "doctor"}, {"turn": 10, "text": "乳腺癌术后吃啊那曲唑药，更年期期间反映强烈，吃什么药能缓解。", "role": "patient"}, {"turn": 11, "text": "吃的目的是抑制雌孕激素", "role": "doctor"}, {"turn": 12, "text": "吃中药，请问有什么中成药", "role": "patient"}, {"turn": 13, "text": "现在绝经了雌孕激素自然撤退，", "role": "doctor"}, {"turn": 14, "text": "挂中医门诊让专家根据体质调理吧", "role": "doctor"}, {"turn": 15, "text": "啊那曲唑有抑制雌激素作用，而更年期综合征是需要雌激素，请问有没有其他药物能缓解更年期反应强烈的药", "role": "patient"}, {"turn": 16, "text": "只有通过中药调理的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 204, "thread": [{"turn": 0, "text": "慢性粒细胞白血病能治好吗（男，62岁）", "role": "patient"}, {"turn": 1, "text": "吃完可以长期维持在慢性期", "role": "doctor"}, {"turn": 2, "text": "不可能治愈的", "role": "doctor"}, {"turn": 3, "text": "哦，这和许多慢性病是一样的吗，糖尿病之类的", "role": "patient"}, {"turn": 4, "text": "不治愈，不要命，会影响生活质量吗", "role": "patient"}, {"turn": 5, "text": "不能治愈", "role": "doctor"}, {"turn": 6, "text": "但是得长期吃药控制", "role": "doctor"}, {"turn": 7, "text": "不影响生活质量", "role": "doctor"}, {"turn": 8, "text": "和正常人一样，可以旅游，健身", "role": "patient"}, {"turn": 9, "text": "可以", "role": "doctor"}, {"turn": 10, "text": "但是得吃药", "role": "doctor"}, {"turn": 11, "text": "说实话，吃上药有些人可以存活10到20年", "role": "doctor"}, {"turn": 12, "text": "说实话，吃上药有些人可以存活10到20年", "role": "doctor"}, {"turn": 13, "text": "这是高血压引起的吗", "role": "patient"}, {"turn": 14, "text": "不是", "role": "doctor"}, {"turn": 15, "text": "和高血压没有关系", "role": "doctor"}, {"turn": 16, "text": "白血病的病因目前尚不明确", "role": "doctor"}, {"turn": 17, "text": "这是白血病里最轻的吧", "role": "patient"}, {"turn": 18, "text": "是的", "role": "doctor"}, {"turn": 19, "text": "如果是急性白血病，少的半年，多的也就是3年", "role": "doctor"}, {"turn": 20, "text": "您还有什么嘱咐吗，我也是比较慌", "role": "patient"}, {"turn": 21, "text": "规矩吃药。放宽心。一个好的心态也是很重要的", "role": "doctor"}, {"turn": 22, "text": "定期复查", "role": "doctor"}, {"turn": 23, "text": "好的，谢谢🙏", "role": "patient"}, {"turn": 24, "text": "如果伤风感冒的话，会对病情有有影响吗", "role": "patient"}, {"turn": 25, "text": "将来就是半休息状态了吧，不能劳累，吸烟喝酒\n了吧", "role": "patient"}, {"turn": 26, "text": "伤风感冒对症治疗就可以了", "role": "doctor"}, {"turn": 27, "text": "烟就戒了吧", "role": "doctor"}, {"turn": 28, "text": "酒实在想喝，可以适度喝点", "role": "doctor"}, {"turn": 29, "text": "谢谢医生", "role": "patient"}, {"turn": 30, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 205, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：颈椎病（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "头晕 坐久了就脖子特别僵", "role": "patient"}, {"turn": 3, "text": "昏昏沉沉的", "role": "patient"}, {"turn": 4, "text": "是不是颈椎病", "role": "patient"}, {"turn": 5, "text": "做过什么检查？", "role": "doctor"}, {"turn": 6, "text": "是不是颈椎病啊", "role": "patient"}, {"turn": 7, "text": "没做过", "role": "patient"}, {"turn": 8, "text": "是了", "role": "doctor"}, {"turn": 9, "text": "前几天还觉得胸闷", "role": "patient"}, {"turn": 10, "text": "做个颈椎核磁查一查", "role": "doctor"}, {"turn": 11, "text": "那", "role": "patient"}, {"turn": 12, "text": "怎么办", "role": "patient"}, {"turn": 13, "text": "我天天坐着", "role": "patient"}, {"turn": 14, "text": "平时少低头，多做仰头动作 睡觉时候低枕头", "role": "doctor"}, {"turn": 15, "text": "塞来昔布胶囊一天一次一次一粒\n买两盒连续吃", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 206, "thread": [{"turn": 0, "text": "宝宝细菌感染要吃药吗（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你服务。", "role": "doctor"}, {"turn": 2, "text": "细菌感染要吃消炎药的。", "role": "doctor"}, {"turn": 3, "text": "哦哦一定要吃的吗？退烧了也要吃？", "role": "patient"}, {"turn": 4, "text": "宝宝现在有些什么症状，有鼻塞，流涕，咳嗽之类的。", "role": "doctor"}, {"turn": 5, "text": "鼻塞流鼻涕，昨天晚上发热测耳温39度，现在量37.7", "role": "patient"}, {"turn": 6, "text": "然后抽血检查白细胞高，医生说细菌感染，要吃抗生素", "role": "patient"}, {"turn": 7, "text": "如果有细菌感染，还有高热这种情况，要吃消炎药。", "role": "doctor"}, {"turn": 8, "text": "退烧了也得吃的？不吃炎症还是在的？", "role": "patient"}, {"turn": 9, "text": "是的。炎症消费了发热自然会退。", "role": "doctor"}, {"turn": 10, "text": "好的知道了", "role": "patient"}, {"turn": 11, "text": "😊😊", "role": "doctor"}, {"turn": 12, "text": "阿莫西林能吃吧", "role": "patient"}, {"turn": 13, "text": "哪种药好", "role": "patient"}, {"turn": 14, "text": "阿莫西林克拉维酸钾效果更好。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 207, "thread": [{"turn": 0, "text": "肠易激综合征怎么治，每天拉几次肚子（男，33岁）在肠镜做过了，确诊肠易激综合征该怎么治疗", "role": "patient"}, {"turn": 1, "text": "您好，如果您确诊肠易激综合症，主要是饮食及药物调理", "role": "doctor"}, {"turn": 2, "text": "需要一段时间", "role": "doctor"}, {"turn": 3, "text": "那吃啥药", "role": "patient"}, {"turn": 4, "text": "每天上几次厕所", "role": "patient"}, {"turn": 5, "text": "感觉一吃凉的东西就拉肚", "role": "patient"}, {"turn": 6, "text": "嗯嗯，我建议您买一些整肠生，还有蒙脱石散", "role": "doctor"}, {"turn": 7, "text": "而且上厕所都拉肚子", "role": "patient"}, {"turn": 8, "text": "您还应该多吃一些蔬菜，五谷杂粮等粗纤维食物", "role": "doctor"}, {"turn": 9, "text": "药物吃上2-4周", "role": "doctor"}, {"turn": 10, "text": "整肠生吃了没用", "role": "patient"}, {"turn": 11, "text": "您可能吃的疗程不够", "role": "doctor"}, {"turn": 12, "text": "吃得要注意什么嘛", "role": "patient"}, {"turn": 13, "text": "多吃一些蔬菜，五谷杂粮等粗纤维食物", "role": "doctor"}, {"turn": 14, "text": "这个病重不", "role": "patient"}, {"turn": 15, "text": "感觉每次拉肚子都很急", "role": "patient"}, {"turn": 16, "text": "走慢了会拉在裤子上", "role": "patient"}, {"turn": 17, "text": "甜得和辣的能吃不", "role": "patient"}, {"turn": 18, "text": "不会，需要调理", "role": "doctor"}, {"turn": 19, "text": "辣的少吃一点", "role": "doctor"}, {"turn": 20, "text": "能治愈嘛", "role": "patient"}, {"turn": 21, "text": "我这病有4年了", "role": "patient"}, {"turn": 22, "text": "看了好几家医院都没有用", "role": "patient"}, {"turn": 23, "text": "在吗", "role": "patient"}, {"turn": 24, "text": "您好，这个不能治愈，可以缓解和控制", "role": "doctor"}, {"turn": 25, "text": "那我这个病不是永远都治不好了吗", "role": "patient"}, {"turn": 26, "text": "与您饮食，休息，还有心情很有关系", "role": "doctor"}, {"turn": 27, "text": "这2个药必须一起吃吗", "role": "patient"}, {"turn": 28, "text": "但是您可以控制的很好", "role": "doctor"}, {"turn": 29, "text": "恩", "role": "doctor"}, {"turn": 30, "text": "吃多久", "role": "patient"}, {"turn": 31, "text": "吃上两周到一个月，除非出现便秘，不然蒙脱石散就要吃。", "role": "doctor"}, {"turn": 32, "text": "保持愉快的心情很重要", "role": "doctor"}, {"turn": 33, "text": "嗯嗯，明白了", "role": "patient"}, {"turn": 34, "text": "我想问一下这个病会癌变嘛", "role": "patient"}, {"turn": 35, "text": "不会的", "role": "doctor"}, {"turn": 36, "text": "您反正", "role": "doctor"}, {"turn": 37, "text": "您放心", "role": "doctor"}, {"turn": 38, "text": "就是稍微影响生活", "role": "doctor"}, {"turn": 39, "text": "每天都拉死我了", "role": "patient"}, {"turn": 40, "text": "所以赶紧先吃药", "role": "doctor"}, {"turn": 41, "text": "我想问一下肠镜做出来没问题就是没问题了吧", "role": "patient"}, {"turn": 42, "text": "嗯嗯", "role": "doctor"}, {"turn": 43, "text": "是的", "role": "doctor"}, {"turn": 44, "text": "谢谢了", "role": "patient"}, {"turn": 45, "text": "我问完了", "role": "patient"}, {"turn": 46, "text": "不客气，希望帮得上您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 208, "thread": [{"turn": 0, "text": "80岁老人吃阿普唑仑1片房颤（男，82岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况出现多久了？", "role": "doctor"}, {"turn": 2, "text": "你好，老人做了直肠癌手术，已经20天了，一直睡眠不好，昨晚吃了一片，今天下午突然房颤，血压低", "role": "patient"}, {"turn": 3, "text": "是不是阿普唑仑的原因", "role": "patient"}, {"turn": 4, "text": "阿普唑仑不会出现房颤和血压低的反应", "role": "doctor"}, {"turn": 5, "text": "您稍等一下我处理一下病人", "role": "doctor"}, {"turn": 6, "text": "在没", "role": "doctor"}, {"turn": 7, "text": "常见的不良反应有：嗜睡、头昏、乏力等，大剂量偶见共济失调、震颤、尿潴留、黄疸。罕见的有皮疹、光敏、白细胞减少。个别病人发生兴奋，多语，睡眠障碍，甚至幻觉。停药后，上述症状很快消失。有成瘾性，长期应用后，停药可能发生撤药症状，表现为激动或忧郁。少数病人有口干、精神不集中、多汗、心悸、便秘或腹泻、视物模糊、低血压。", "role": "doctor"}, {"turn": 8, "text": "突然房颤和药没有关系，房颤会引起血压下降，甚至休克", "role": "doctor"}, {"turn": 9, "text": "患者可能存在心脏问题，所以要排查一下心脏的毛病", "role": "doctor"}, {"turn": 10, "text": "是与昨晚吃的药没有关系吗", "role": "patient"}, {"turn": 11, "text": "和药没有关系", "role": "doctor"}, {"turn": 12, "text": "房颤致血流动力学紊乱，血压下降，心脏电活动紊乱，需要做一个24小时动态心电图，心脏彩超，明确什么原因引起的房颤", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢", "role": "patient"}, {"turn": 14, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 209, "thread": [{"turn": 0, "text": "女儿十岁便秘还有血是怎么回事（女，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这样的情况多久了呢", "role": "doctor"}, {"turn": 2, "text": "最近一些时间", "role": "patient"}, {"turn": 3, "text": "已经有刚过这样的情况么？那孩子吃水果和菜怎么样，是否多呢？", "role": "doctor"}, {"turn": 4, "text": "很小的时候就有一次，那时买的七星茶喝的，每年夏天不便秘，一到冬天就便秘", "role": "patient"}, {"turn": 5, "text": "嗯，那孩子最近吃东西怎么样，水果，蔬菜吃的多不呢。", "role": "doctor"}, {"turn": 6, "text": "到冬天她不爱吃水果，她说冷", "role": "patient"}, {"turn": 7, "text": "便里的血是鲜血，还是颜色很深的呢", "role": "doctor"}, {"turn": 8, "text": "不多，连白开水喝的也多", "role": "patient"}, {"turn": 9, "text": "她说腔门痛", "role": "patient"}, {"turn": 10, "text": "孩子肛门是否有撑破呢？", "role": "doctor"}, {"turn": 11, "text": "她说有腔门痛", "role": "patient"}, {"turn": 12, "text": "便是黑粿粒的", "role": "patient"}, {"turn": 13, "text": "那这样，因为就是短时间的便秘，可以尽量多喝水，多吃水果，蔬菜，少吃肉，这样很多都会缓解。\n如果肛门破了，或者红，可以洗干净以后涂抹点红霉素眼膏，这样就不那么疼了。", "role": "doctor"}, {"turn": 14, "text": "便是黑稞粒的", "role": "patient"}, {"turn": 15, "text": "如果不缓解，那么可以吃点神曲消食口服液这样的促进消化的，如果还是不行，可以吃点乳果糖", "role": "doctor"}, {"turn": 16, "text": "嗯，实在不行就去化验一个便", "role": "doctor"}, {"turn": 17, "text": "她总说肚脐点一圈痛，好象又消化不良", "role": "patient"}, {"turn": 18, "text": "通常是这样的，可以注意饮食，然后吃药物，如果能缓解，那更好了，如果不行，需要去医院看看便常规和肚子彩超的", "role": "doctor"}, {"turn": 19, "text": "我买妈瞇噯她喝了的，好象好点", "role": "patient"}, {"turn": 20, "text": "益生菌可以吃，不过主要就是饮食，吃水果，蔬菜，神曲消食口服液也可以吃点", "role": "doctor"}, {"turn": 21, "text": "妈瞇嗳能喝吗", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}, {"turn": 23, "text": "妈咪爱就是益生菌", "role": "doctor"}, {"turn": 24, "text": "为什么夏天不便秘一到冬天就便秘呢", "role": "patient"}, {"turn": 25, "text": "跟饮食有一定关系", "role": "doctor"}, {"turn": 26, "text": "肉多，水果蔬菜少", "role": "doctor"}, {"turn": 27, "text": "那能打安基酸吗？", "role": "patient"}, {"turn": 28, "text": "点滴", "role": "patient"}, {"turn": 29, "text": "消化系统的都是口服的，或者饮食，点滴作用不大", "role": "doctor"}, {"turn": 30, "text": "请问口服什么药能改好消化呢？影响便秘", "role": "patient"}, {"turn": 31, "text": "一般就是神曲消食口服液，不行的话就吃乳果糖", "role": "doctor"}, {"turn": 32, "text": "好的，谢谢你", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 210, "thread": [{"turn": 0, "text": "小孩虫牙牙痛怎么快速止痛（女，10岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况得吃消炎药+止疼片止疼了", "role": "doctor"}, {"turn": 2, "text": "不管是止疼药还是消炎药，都只是起到一个缓解疼痛的作用，不能代替牙齿治疗，如果不治牙，往后还会继续疼的，明天带着孩子去口腔科看牙吧。", "role": "doctor"}, {"turn": 3, "text": "用什么方法能缓解", "role": "patient"}, {"turn": 4, "text": ".快速缓解", "role": "patient"}, {"turn": 5, "text": "儿童头孢（不过敏可以用）+布洛芬缓释胶囊", "role": "doctor"}, {"turn": 6, "text": "或者嘴里含一口凉水", "role": "doctor"}, {"turn": 7, "text": "再不行就得去医院打个局部麻醉，等到明天看牙了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 211, "thread": [{"turn": 0, "text": "慢性咽炎根治慢性咽炎,反复发作（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题！", "role": "doctor"}, {"turn": 2, "text": "主要症状是什么？", "role": "doctor"}, {"turn": 3, "text": "慢性咽炎", "role": "patient"}, {"turn": 4, "text": "咽炎发作，每天会有那么3-4次，急性咽炎", "role": "patient"}, {"turn": 5, "text": "每年", "role": "patient"}, {"turn": 6, "text": "每次治疗要彻底", "role": "doctor"}, {"turn": 7, "text": "平时勤饮水", "role": "doctor"}, {"turn": 8, "text": "每次一发作，就嗓子疼，大概在一个礼拜左右出现反复性发烧", "role": "patient"}, {"turn": 9, "text": "预防为主", "role": "doctor"}, {"turn": 10, "text": "有可能是扁桃腺炎，甚至化脓", "role": "doctor"}, {"turn": 11, "text": "看过医生吗？", "role": "doctor"}, {"turn": 12, "text": "这些我都清楚，药也吃过好多，我最想知道的是，这种是什么性质", "role": "patient"}, {"turn": 13, "text": "看多好多次 了", "role": "patient"}, {"turn": 14, "text": "回答大同小异", "role": "patient"}, {"turn": 15, "text": "照镜子能看到咽喉部位吗？", "role": "doctor"}, {"turn": 16, "text": "不是扁桃腺的问题吗？", "role": "doctor"}, {"turn": 17, "text": "我最想知道的，这是什么性质的咽炎，还有可以通过手术根治吗", "role": "patient"}, {"turn": 18, "text": "扁桃腺\n有问题", "role": "patient"}, {"turn": 19, "text": "可以看到", "role": "patient"}, {"turn": 20, "text": "我怀疑是扁桃腺发炎，扁桃腺反复发炎是可以手术的", "role": "doctor"}, {"turn": 21, "text": "那能拍张照片吗？", "role": "doctor"}, {"turn": 22, "text": "稍等", "role": "patient"}, {"turn": 23, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 212, "thread": [{"turn": 0, "text": "肾衰竭心衰晚期要进重症监护室吗82岁（男，82岁）", "role": "patient"}, {"turn": 1, "text": "你好，如果心衰很严重的话还是需要的。", "role": "doctor"}, {"turn": 2, "text": "主要是评估心衰的严重程度，肾衰可以血液透析维持。", "role": "doctor"}, {"turn": 3, "text": "现在病情很严重", "role": "patient"}, {"turn": 4, "text": "那么如果当地医生建议来，进icu也可以透析的，ICU都有床旁透析机。", "role": "doctor"}, {"turn": 5, "text": "本地医院已经无能为力了，这种情况有必要进吗", "role": "patient"}, {"turn": 6, "text": "他的身体情况肯定是不能透析的", "role": "patient"}, {"turn": 7, "text": "老年人肾衰合并严重心衰还是很危险的，当然如果需要可以转院，这就需要家属决定了。", "role": "doctor"}, {"turn": 8, "text": "这需要医生具体判断。", "role": "doctor"}, {"turn": 9, "text": "知道了", "role": "patient"}, {"turn": 10, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 213, "thread": [{"turn": 0, "text": "腰肌劳损怎么治疗有效果（男，56岁）", "role": "patient"}, {"turn": 1, "text": "你好，腰肌劳损最好的治疗就是休息。然后加强腰背肌的功能锻炼。可以吃非甾体类的抗炎药物。局部热疗。或做理疗，记住，最主要还是休息", "role": "doctor"}, {"turn": 2, "text": "腰机劳损是怎样造成的", "role": "patient"}, {"turn": 3, "text": "慢性损伤，跟久坐有关", "role": "doctor"}, {"turn": 4, "text": "我的爸爸今年在干活期间腰扭伤了两次，吃了点药就感觉好了，这一次要疼也一周了，现在疼得厉害了，蹲下起不来，起来蹲不下，是不是腰肌劳损", "role": "patient"}, {"turn": 5, "text": "他不做，都是站着干活", "role": "patient"}, {"turn": 6, "text": "也没去做检查，按摩的说他是腰肌劳损", "role": "patient"}, {"turn": 7, "text": "应该是不过还要去医院照个片子排除一下腰椎滑脱", "role": "doctor"}, {"turn": 8, "text": "腰椎滑拖有哪些症状", "role": "patient"}, {"turn": 9, "text": "我今天问他是不是腰掉下来了，他说不是", "role": "patient"}, {"turn": 10, "text": "腰痛", "role": "doctor"}, {"turn": 11, "text": "他说腰不疼，给他按按也不疼，就是蹲不下", "role": "patient"}, {"turn": 12, "text": "针灸了两天他说没感觉好", "role": "patient"}, {"turn": 13, "text": "去拍片吧", "role": "doctor"}, {"turn": 14, "text": "拍片子明显一点还是ct", "role": "patient"}, {"turn": 15, "text": "片子", "role": "doctor"}, {"turn": 16, "text": "哪一方面的", "role": "patient"}, {"turn": 17, "text": "腰椎正侧位片", "role": "doctor"}, {"turn": 18, "text": "腰部ct还是磁共振", "role": "patient"}, {"turn": 19, "text": "磁共振更好", "role": "doctor"}, {"turn": 20, "text": "如果是滑脱的的话，是需要怎么治疗！给他对上去？", "role": "patient"}, {"turn": 21, "text": "手术", "role": "doctor"}, {"turn": 22, "text": "手术？", "role": "patient"}, {"turn": 23, "text": "是", "role": "doctor"}, {"turn": 24, "text": "手术给他对上去？", "role": "patient"}, {"turn": 25, "text": "你说一下，腰椎滑脱什么症状", "role": "patient"}, {"turn": 26, "text": "我问问他是不是", "role": "patient"}, {"turn": 27, "text": "疼痛，不敢活动", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 214, "thread": [{"turn": 0, "text": "膀胱炎有什么症状呀？你好（女，52岁）", "role": "patient"}, {"turn": 1, "text": "主要是尿频尿急尿痛血尿", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "间质性膀胱炎还会小肚子疼", "role": "doctor"}, {"turn": 4, "text": "嗯", "role": "doctor"}, {"turn": 5, "text": "我是尿频尿急，尿道口难受，化验尿没事，就是小肚子憋疼", "role": "patient"}, {"turn": 6, "text": "多久了？", "role": "doctor"}, {"turn": 7, "text": "八个多月了", "role": "patient"}, {"turn": 8, "text": "做妇科检查也没事，做b超也没事", "role": "patient"}, {"turn": 9, "text": "这么久了，您可以先做膀胱镜找找原因", "role": "doctor"}, {"turn": 10, "text": "或者先吃卫喜康看看效果，效果好，主要考虑膀胱过度活动", "role": "doctor"}, {"turn": 11, "text": "效果不好，做膀胱镜，看看是不是腺性膀胱炎或者间质性膀胱炎", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 215, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：痤疮（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，你具体想问什么问题？", "role": "doctor"}, {"turn": 2, "text": "脸上反复长痘", "role": "patient"}, {"turn": 3, "text": "大概多久了？做过什么治疗？", "role": "doctor"}, {"turn": 4, "text": "发张照片看看", "role": "doctor"}, {"turn": 5, "text": "没做过什么治疗", "role": "patient"}, {"turn": 6, "text": "拍照看不清楚", "role": "patient"}, {"turn": 7, "text": "平时少吃辛辣油腻甜食零食", "role": "doctor"}, {"turn": 8, "text": "尽量不要熬夜不喝酒", "role": "doctor"}, {"turn": 9, "text": "现在是痘印加痘痘，一波未平一波又起", "role": "patient"}, {"turn": 10, "text": "平时多吃水果蔬菜粗粮", "role": "doctor"}, {"turn": 11, "text": "刚好点，又出3个", "role": "patient"}, {"turn": 12, "text": "又大，又红，又疼", "role": "patient"}, {"turn": 13, "text": "可以口服多西环素片，外用阿达帕林凝胶", "role": "doctor"}, {"turn": 14, "text": "唇毛也挺重的", "role": "patient"}, {"turn": 15, "text": "这个可以去医院查一下雄激素水平", "role": "doctor"}, {"turn": 16, "text": "之前查过挺正常的", "role": "patient"}, {"turn": 17, "text": "那就是个人体质的原因", "role": "doctor"}, {"turn": 18, "text": "不是吧，以前也不长呀", "role": "patient"}, {"turn": 19, "text": "最近有没有劳累、休息不好，饮食不规律", "role": "doctor"}, {"turn": 20, "text": "休息不太好，早上不吃饭", "role": "patient"}, {"turn": 21, "text": "休息一定要规律，早饭也要按时吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 216, "thread": [{"turn": 0, "text": "过敏性紫癜多久后可以打球（男，18岁）", "role": "patient"}, {"turn": 1, "text": "请问你得过敏性紫癜多长时间了，目前病情控制怎么，还在服药吗？", "role": "doctor"}, {"turn": 2, "text": "对", "role": "patient"}, {"turn": 3, "text": "我还在医院治疗中", "role": "patient"}, {"turn": 4, "text": "就是我想问一下出院多长时间可以打球", "role": "patient"}, {"turn": 5, "text": "因为过敏性紫癜皮损容易反复出现，就算停药控制好了也会出现。数月到一年或者更长时间都有可能。建议是稳定后还是先多休息，打球等几个月再说吧", "role": "doctor"}, {"turn": 6, "text": "那具体恢复到什么程度，最少几个月可以打球，我下学期篮球课还能继续吗", "role": "patient"}, {"turn": 7, "text": "每个人不同。停药后简单运动不会新发皮疹。一般建议3个月后。", "role": "doctor"}, {"turn": 8, "text": "哇😭，这么长时间", "role": "patient"}, {"turn": 9, "text": "那像烧烤辛辣的一种，另一种番茄锅这样的不辛辣的火锅多久能吃", "role": "patient"}, {"turn": 10, "text": "还有这个时间按发病的时期算起还是出院的时期算起", "role": "patient"}, {"turn": 11, "text": "清淡饮食，不要太注意有不有固定的时间。但是近期还是多休息，不要多走和活动。", "role": "doctor"}, {"turn": 12, "text": "那好吧", "role": "patient"}, {"turn": 13, "text": "其实我就想问一下恢复到什么程度才能够改善饮食", "role": "patient"}, {"turn": 14, "text": "毕竟一直忌口，营养赶不上，不利于身体的发展", "role": "patient"}, {"turn": 15, "text": "不大影响，主要还是多休息，不然反反复复更麻烦。", "role": "doctor"}, {"turn": 16, "text": "也是啊", "role": "patient"}, {"turn": 17, "text": "对头", "role": "doctor"}, {"turn": 18, "text": "那这个病注意休息是最主要的", "role": "patient"}, {"turn": 19, "text": "是的，一般不会影响的以后。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 217, "thread": [{"turn": 0, "text": "你好张医生 早泄困扰（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的症状持续有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "你有没有规律性生活，每周几次？每次从进入阴道算，能坚持几分钟？", "role": "doctor"}, {"turn": 3, "text": "大概2到3分钟程医生", "role": "patient"}, {"turn": 4, "text": "有没有腰酸乏力腰痛等症状？", "role": "doctor"}, {"turn": 5, "text": "这到是没有", "role": "patient"}, {"turn": 6, "text": "有手淫习惯？勃起怎么样？", "role": "doctor"}, {"turn": 7, "text": "有 勃起不是很硬", "role": "patient"}, {"turn": 8, "text": "你有没有规律性生活，每周几次？", "role": "doctor"}, {"turn": 9, "text": "从什么时候开始有这个症状的？", "role": "doctor"}, {"turn": 10, "text": "以前一天一次 这两年就很少了 很多年就早泄了", "role": "patient"}, {"turn": 11, "text": "严格来讲，你这些不是早泄", "role": "doctor"}, {"turn": 12, "text": "是什么了", "role": "patient"}, {"turn": 13, "text": "超过两分钟就不算是早泄了", "role": "doctor"}, {"turn": 14, "text": "应该是正常范围。只是没有达到你的心理预期。", "role": "doctor"}, {"turn": 15, "text": "那是什么原因了 程医生", "role": "patient"}, {"turn": 16, "text": "和你性生活过度频繁有点关系", "role": "doctor"}, {"turn": 17, "text": "很早以前就时间不长", "role": "patient"}, {"turn": 18, "text": "那这个就是个体体质问题，神经反射比较快，敏感度高", "role": "doctor"}, {"turn": 19, "text": "我现在一个月做不了一次也是这样啊", "role": "patient"}, {"turn": 20, "text": "那就只能这样了吗？没办法治疗了吗", "role": "patient"}, {"turn": 21, "text": "可以用点药看下", "role": "doctor"}, {"turn": 22, "text": "也不是肾虚吧", "role": "patient"}, {"turn": 23, "text": "不是", "role": "doctor"}, {"turn": 24, "text": "那我这失眠多梦 尿频尿急尿少 是什么原因了", "role": "patient"}, {"turn": 25, "text": "多久了？", "role": "doctor"}, {"turn": 26, "text": "每天能睡几个小时？几点睡？失眠是睡不着，还是多梦易醒？还是心烦多梦？还是早醒，醒后难以再入睡？", "role": "doctor"}, {"turn": 27, "text": "上床很难睡着 一般半夜才睡", "role": "patient"}, {"turn": 28, "text": "口干口苦有没有？阴囊潮湿有没有，尿痛有没有？小便黄不黄？小便分叉吗？尿完之后尿道口有没有滴白？有没有尿不尽的感觉？尿道或者是前列腺痛痒的感觉有没有？小腹坠胀有没有？", "role": "doctor"}, {"turn": 29, "text": "有时候晚上就一直做梦", "role": "patient"}, {"turn": 30, "text": "早上起来口苦 干到不干 潮湿有点 小便有时候好黄 后面那些问题有的时候感觉到有点", "role": "patient"}, {"turn": 31, "text": "有时候只看到尿道口流那种腺 不知道是什么", "role": "patient"}, {"turn": 32, "text": "应该是有点前列腺炎", "role": "doctor"}, {"turn": 33, "text": "就是前列腺炎吗", "role": "patient"}, {"turn": 34, "text": "嗯", "role": "doctor"}, {"turn": 35, "text": "我怎么感觉你给我下结论这么快", "role": "patient"}, {"turn": 36, "text": "回复也慢 病情结论也说得这么草率", "role": "patient"}, {"turn": 37, "text": "你可以退款找客服", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 218, "thread": [{"turn": 0, "text": "胃炎可以吃仑伐替尼吗（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你为什么要吃这个药呢？", "role": "doctor"}, {"turn": 2, "text": "你好医生，我是肝癌", "role": "patient"}, {"turn": 3, "text": "平时胃炎有些什么症状呢", "role": "doctor"}, {"turn": 4, "text": "十二指肠溃疡", "role": "patient"}, {"turn": 5, "text": "在吃胃药没有呢？", "role": "doctor"}, {"turn": 6, "text": "平时也不疼，没吃，就是每次做完介入疼些天。", "role": "patient"}, {"turn": 7, "text": "我想吃了仑伐替尼会不会疼？", "role": "patient"}, {"turn": 8, "text": "这个每个人对药物的反应不一样，不一定哦", "role": "doctor"}, {"turn": 9, "text": "有的病友胃没毛病的吃了也会胃疼的", "role": "patient"}, {"turn": 10, "text": "是的，所以我没有办法给你保证你吃了这个药不痛啊", "role": "doctor"}, {"turn": 11, "text": "哦好的，谢谢你了。", "role": "patient"}, {"turn": 12, "text": "不客气，如果你十二指肠溃疡的话，还是建议吃药哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 219, "thread": [{"turn": 0, "text": "医生您好，我想咨询“肌肉拉伤怎么快速恢复”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，拉伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "2天了", "role": "patient"}, {"turn": 3, "text": "做过什么检查吗？", "role": "doctor"}, {"turn": 4, "text": "用过什么药物吗？", "role": "doctor"}, {"turn": 5, "text": "没有检查在家休息", "role": "patient"}, {"turn": 6, "text": "您是怎么肌肉拉伤的，", "role": "doctor"}, {"turn": 7, "text": "能详细描述一下吗？", "role": "doctor"}, {"turn": 8, "text": "目前都有哪些症状呢？", "role": "doctor"}, {"turn": 9, "text": "那个部位一碰很痛不碰不痛", "role": "patient"}, {"turn": 10, "text": "也不肿", "role": "patient"}, {"turn": 11, "text": "局部是哪个位置？", "role": "doctor"}, {"turn": 12, "text": "当时受伤的力量大吗？", "role": "doctor"}, {"turn": 13, "text": "您吃什么药物呢？", "role": "doctor"}, {"turn": 14, "text": "右肋骨处", "role": "patient"}, {"turn": 15, "text": "抬东西碰到石头边止", "role": "patient"}, {"turn": 16, "text": "哦哦，", "role": "doctor"}, {"turn": 17, "text": "用点舒筋活血药就可以", "role": "doctor"}, {"turn": 18, "text": "口服尼美舒利缓释片和虎力散胶囊，", "role": "doctor"}, {"turn": 19, "text": "外用云南白药气雾剂就可以", "role": "doctor"}, {"turn": 20, "text": "休息很重要", "role": "doctor"}, {"turn": 21, "text": "用什么消炎药好", "role": "patient"}, {"turn": 22, "text": "我上面说的药物就可以，", "role": "doctor"}, {"turn": 23, "text": "消炎药不用，", "role": "doctor"}, {"turn": 24, "text": "谢谢了", "role": "patient"}, {"turn": 25, "text": "不客气的，感谢您的信任理解和支持，谢谢您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 220, "thread": [{"turn": 0, "text": "前列腺炎，附睾丸炎吃什么药呀（男，21岁）", "role": "patient"}, {"turn": 1, "text": "前列腺炎不易治愈，目前以缓解症状为主。首先要树立健康规律的生活方式，如每晚慢跑半小时、每周一次性生活或手淫、不熬夜，忌烟酒辛辣油腻久坐，多喝水勤排尿。其次服用左氧氟沙星、前列康等药物。药物仅在症状加重时服用，可服用半月。症状缓解后要继续健康的生活方式。", "role": "doctor"}, {"turn": 2, "text": "按这个方式长期调养", "role": "doctor"}, {"turn": 3, "text": "好的，谢谢", "role": "patient"}, {"turn": 4, "text": "不客气，亲", "role": "doctor"}, {"turn": 5, "text": "左氧氟沙星，这个药是治什么的", "role": "patient"}, {"turn": 6, "text": "消炎的", "role": "doctor"}, {"turn": 7, "text": "好的，谢谢", "role": "patient"}, {"turn": 8, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 221, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肾病综合症（男，6岁）", "role": "patient"}, {"turn": 1, "text": "你好，儿童的肾病综合征治疗效果一般比较理想，缺点是相对成人容易复发。", "role": "doctor"}, {"turn": 2, "text": "螺内酯片，氢氯噻嗪片可以同醋酸泼泥松片，肾炎康复片一起吃吗", "role": "patient"}, {"turn": 3, "text": "可以的，没问题。", "role": "doctor"}, {"turn": 4, "text": "醋酸泼尼松片小孩6岁一般吃多少", "role": "patient"}, {"turn": 5, "text": "孩子体重多少Kg", "role": "doctor"}, {"turn": 6, "text": "20", "role": "patient"}, {"turn": 7, "text": "足量可以用到8片左右每天。", "role": "doctor"}, {"turn": 8, "text": "一天吃几次", "role": "patient"}, {"turn": 9, "text": "一次。", "role": "doctor"}, {"turn": 10, "text": "肾炎康复片一次吃几次", "role": "patient"}, {"turn": 11, "text": "具体用量和方案需要按照当地医生方案，不可自行增建药物。", "role": "doctor"}, {"turn": 12, "text": "肾炎康复片，小孩可以每次2片，每天3次。", "role": "doctor"}, {"turn": 13, "text": "检查出结果了，是肾病综合症", "role": "patient"}, {"turn": 14, "text": "不用太担心，按照你们医生的建议来吃药，肾病综合征还是容易治疗的。", "role": "doctor"}, {"turn": 15, "text": "也容易复发啊", "role": "patient"}, {"turn": 16, "text": "是的，平时注意防寒保暖，不要感冒，可以减少复发。", "role": "doctor"}, {"turn": 17, "text": "哦好的，谢谢", "role": "patient"}, {"turn": 18, "text": "不客气。😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 222, "thread": [{"turn": 0, "text": "八个月宝宝吃了吐还喂感冒药有没有事（男，0岁）", "role": "patient"}, {"turn": 1, "text": "你好，吃的什么药物？", "role": "doctor"}, {"turn": 2, "text": "您好，很高兴为您解答，在线咨询患者较多，如回复慢了尽请谅解，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。", "role": "doctor"}, {"turn": 3, "text": "吐了几次？", "role": "doctor"}, {"turn": 4, "text": "你好，宝宝有感冒是什么症状？", "role": "doctor"}, {"turn": 5, "text": "小儿氨酚黄那敏颗粒", "role": "patient"}, {"turn": 6, "text": "吐了两次", "role": "patient"}, {"turn": 7, "text": "之前打喷嚏流鼻涕，今天晚上都没有", "role": "patient"}, {"turn": 8, "text": "宝宝精神状态怎么样？", "role": "doctor"}, {"turn": 9, "text": "可以，喝完药睡觉了", "role": "patient"}, {"turn": 10, "text": "还拉灰白色大便", "role": "patient"}, {"turn": 11, "text": "那可以用上益生菌对症治疗", "role": "doctor"}, {"turn": 12, "text": "喝了感冒药", "role": "patient"}, {"turn": 13, "text": "没有打喷嚏流鼻涕喂了感冒药会不会有问题", "role": "patient"}, {"turn": 14, "text": "没事，多喝水，如果没有流鼻涕打喷嚏了后面不要吃了", "role": "doctor"}, {"turn": 15, "text": "可是吃了啊", "role": "patient"}, {"turn": 16, "text": "吃了多少？", "role": "doctor"}, {"turn": 17, "text": "之前什么时候打喷嚏流鼻涕", "role": "doctor"}, {"turn": 18, "text": "4分之一", "role": "patient"}, {"turn": 19, "text": "那没事，没有影响，量很少，本身呕吐和受凉也有关系", "role": "doctor"}, {"turn": 20, "text": "早上还打喷嚏流鼻涕，到晚上就不会了", "role": "patient"}, {"turn": 21, "text": "那喝了也没事，多少还是有点感冒症状", "role": "doctor"}, {"turn": 22, "text": "感冒老是反反复复", "role": "patient"}, {"turn": 23, "text": "有多长时间了？", "role": "doctor"}, {"turn": 24, "text": "咳嗽没有？", "role": "doctor"}, {"turn": 25, "text": "有一个星期，偶尔咳嗽", "role": "patient"}, {"turn": 26, "text": "都用了什么药治疗？", "role": "doctor"}, {"turn": 27, "text": "感冒多是细菌或病毒感染引起，用药治疗没有？", "role": "doctor"}, {"turn": 28, "text": "有去医院检查，开药了，", "role": "patient"}, {"turn": 29, "text": "吃的什么药？吃了多长时间？", "role": "doctor"}, {"turn": 30, "text": "至少用药三至五天看效果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 223, "thread": [{"turn": 0, "text": "大夫您好甲状腺癌4a的话能活多久（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么不适吗？", "role": "doctor"}, {"turn": 2, "text": "做过什么检查吗？", "role": "doctor"}, {"turn": 3, "text": "甲状腺4结节需要先做手术明确病理", "role": "doctor"}, {"turn": 4, "text": "甲状腺癌的生存时间跟病理类型有关,甲状腺癌主要包括乳头状癌、滤泡状癌、未分化癌和髓样癌四种病理类型。分化型甲状腺癌的预后效果很好,患者生存时间较长；高分化侵袭性甲状腺癌的恶性程度较高,术后局部会出现复发的情况,且没有很好的治疗方法,会危及患者生命；髓样癌和未分化癌是甲状腺里恶性程度最高的肿瘤,预后最差。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 224, "thread": [{"turn": 0, "text": "中区神经脑溢血30ML结果会怎样?（女，76岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "老人脑溢血", "role": "patient"}, {"turn": 3, "text": "片子和报告发给我看一下", "role": "doctor"}, {"turn": 4, "text": "出血量30ML 中区神经部位", "role": "patient"}, {"turn": 5, "text": "中枢吧？", "role": "doctor"}, {"turn": 6, "text": "出血量比较大", "role": "doctor"}, {"turn": 7, "text": "现在在重症监护室室", "role": "patient"}, {"turn": 8, "text": "比较危险", "role": "doctor"}, {"turn": 9, "text": "根据你的描述，出血位置比较接近脑干。需注意的是并不是每个颅内出血的患者都必须手术或者能够手术的，颅内出血的手术指征为：颞叶、小脑、枕叶部位出血量大于25ml，顶叶、额叶出血量大于30ml，脑干部位大于3ml，中线移位大于10mm，GCS评分低于8分的患者或出血量虽未达到手术量，但生命体征不稳定且无严重的麻醉禁忌症的患者。对于出血量少于手术要求量并且生命体征平稳的患者，或是有严重的麻醉禁忌症的患者，进行开放手术时均应慎重。一般可采用保守治疗或引流手术。 急性期的治疗原则无非就是止血、抗水肿、营养支持以及处理并发症。", "role": "doctor"}, {"turn": 10, "text": "现在有时会说话\n在医院第二天\n医生说存活率0.05", "role": "patient"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "但是现在有时可以说话了 也吃少量的饭 这样是不是有好转的现象", "role": "patient"}, {"turn": 13, "text": "预后欠佳。死亡率极高。脑干出血量在3ml以下的，死亡率70%左右。脑干出血量在5ml以上，死亡率90%左右。其中脑干出血量超过10ml以上的死亡率100%", "role": "doctor"}, {"turn": 14, "text": "是的，如果目前是您说的情况还是好一些的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 225, "thread": [{"turn": 0, "text": "胰腺癌吃什么食物最好（男，62岁）", "role": "patient"}, {"turn": 1, "text": "新鲜蔬菜，牛奶，鸡蛋，鱼类，瘦肉，水果（不要太凉）", "role": "doctor"}, {"turn": 2, "text": "这些可以吃", "role": "doctor"}, {"turn": 3, "text": "饮食原则是清淡饮食，少油腻辛辣生冷，严禁饮酒", "role": "doctor"}, {"turn": 4, "text": "灵芝三七原块煮水每天喝可以吗", "role": "patient"}, {"turn": 5, "text": "可以喝", "role": "doctor"}, {"turn": 6, "text": "这是好东西", "role": "doctor"}, {"turn": 7, "text": "把它代替水可以?", "role": "patient"}, {"turn": 8, "text": "也可以，", "role": "doctor"}, {"turn": 9, "text": "太虚弱的时候不要", "role": "doctor"}, {"turn": 10, "text": "小心虚不受补", "role": "doctor"}, {"turn": 11, "text": "做了手术瘦了近20就可以，怕虚不受补", "role": "patient"}, {"turn": 12, "text": "对啊", "role": "doctor"}, {"turn": 13, "text": "先慢慢来", "role": "doctor"}, {"turn": 14, "text": "对量是没有什么特殊要求的对吗", "role": "patient"}, {"turn": 15, "text": "刚开始灵芝少一点，", "role": "doctor"}, {"turn": 16, "text": "慢慢的加量", "role": "doctor"}, {"turn": 17, "text": "滋补要慢慢来，一口吃不成胖子", "role": "doctor"}, {"turn": 18, "text": "泡脚什么的都可以吗", "role": "patient"}, {"turn": 19, "text": "灵芝泡脚？", "role": "doctor"}, {"turn": 20, "text": "土豪", "role": "doctor"}, {"turn": 21, "text": "👍👍👍", "role": "doctor"}, {"turn": 22, "text": "艾叶?", "role": "patient"}, {"turn": 23, "text": "那可以", "role": "doctor"}, {"turn": 24, "text": "灵芝可以泡?", "role": "patient"}, {"turn": 25, "text": "别，", "role": "doctor"}, {"turn": 26, "text": "灵芝只能当天喝不能隔夜是不？", "role": "patient"}, {"turn": 27, "text": "三七可以加进去一起喝是吧", "role": "patient"}, {"turn": 28, "text": "可以", "role": "doctor"}, {"turn": 29, "text": "可以隔夜", "role": "doctor"}, {"turn": 30, "text": "保健类的还有什么能吃", "role": "patient"}, {"turn": 31, "text": "速愈素", "role": "doctor"}, {"turn": 32, "text": "是啥", "role": "patient"}, {"turn": 33, "text": "营养素啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 226, "thread": [{"turn": 0, "text": "小叶增生和哺乳期少有关系吗（女，28岁）本人哺乳了三个月就自己回奶了没有找人回奶也没有排残奶请问和小叶增生有关系吗？没有排残奶会影响乳腺吗", "role": "patient"}, {"turn": 1, "text": "这个和乳腺增生没有关系", "role": "doctor"}, {"turn": 2, "text": "没有拍残奶的说法、都是骗人的", "role": "doctor"}, {"turn": 3, "text": "本人一个半月之前在区医院做了彩超说小叶增生说严重注意别生气", "role": "patient"}, {"turn": 4, "text": "乳腺增生是随着体内雌激素和孕激素水平的变化而变化的，若不是疼得比较严重，不必药物治疗，平时注意不要熬夜，劳累，生气；少吃油炸、辛辣食物即可。", "role": "doctor"}, {"turn": 5, "text": "就是我自己在家回奶就可以了呗对乳腺没有影响是吧", "role": "patient"}, {"turn": 6, "text": "小叶增生肿瘤风险高吗", "role": "patient"}, {"turn": 7, "text": "我就是偶尔一丁点疼", "role": "patient"}, {"turn": 8, "text": "可以自愈吗", "role": "patient"}, {"turn": 9, "text": "她们说不排残奶爱得肿瘤给我吓的", "role": "patient"}, {"turn": 10, "text": "还有我就哺乳了三个月", "role": "patient"}, {"turn": 11, "text": "可以热敷缓解疼痛", "role": "doctor"}, {"turn": 12, "text": "保持好心情即可", "role": "doctor"}, {"turn": 13, "text": "哦，", "role": "patient"}, {"turn": 14, "text": "我哺乳期少没事吧", "role": "patient"}, {"turn": 15, "text": "三个月也喂的不好", "role": "patient"}, {"turn": 16, "text": "奶少孩子吃的也少", "role": "patient"}, {"turn": 17, "text": "这个可以服用生乳灵刺激乳汁分泌", "role": "doctor"}, {"turn": 18, "text": "乳汁少与体内激素有关", "role": "doctor"}, {"turn": 19, "text": "我已经不哺乳了", "role": "patient"}, {"turn": 20, "text": "那就不需要管它了", "role": "doctor"}, {"turn": 21, "text": "哦", "role": "patient"}, {"turn": 22, "text": "避免挤压乳房即可", "role": "doctor"}, {"turn": 23, "text": "哺乳少问题也不大是吧", "role": "patient"}, {"turn": 24, "text": "没事的", "role": "doctor"}, {"turn": 25, "text": "小叶增生能自愈吗", "role": "patient"}, {"turn": 26, "text": "那是生理现象而已", "role": "doctor"}, {"turn": 27, "text": "平时抹乳房没有大的疙瘩就行是吧", "role": "patient"}, {"turn": 28, "text": "彩超没事就没事", "role": "doctor"}, {"turn": 29, "text": "哦一个半月前做的", "role": "patient"}, {"turn": 30, "text": "6月后复查一次", "role": "doctor"}, {"turn": 31, "text": "正常也需要六个月查一次吗", "role": "patient"}, {"turn": 32, "text": "六个月差一次是主要看什么呢", "role": "patient"}, {"turn": 33, "text": "是的、看增生有没有变化", "role": "doctor"}, {"turn": 34, "text": "哦", "role": "patient"}, {"turn": 35, "text": "看看有没有癌变的是吗", "role": "patient"}, {"turn": 36, "text": "可以这么理解", "role": "doctor"}, {"turn": 37, "text": "哦", "role": "patient"}, {"turn": 38, "text": "机率大嘛", "role": "patient"}, {"turn": 39, "text": "可能性低于2%", "role": "doctor"}, {"turn": 40, "text": "哦", "role": "patient"}, {"turn": 41, "text": "就是机率是有但是不大呗", "role": "patient"}, {"turn": 42, "text": "是的呀", "role": "doctor"}, {"turn": 43, "text": "医生快两个月了做一次乳腺彩超行吗", "role": "patient"}, {"turn": 44, "text": "有影响吗", "role": "patient"}, {"turn": 45, "text": "今天检查医生说有一个位置腺体厚", "role": "patient"}, {"turn": 46, "text": "我想检查一下", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 227, "thread": [{"turn": 0, "text": "婴幼儿急疹出诊后温度低多汗爱哭闹（男，8个月）", "role": "patient"}, {"turn": 1, "text": "你好宝宝现在体温多少？", "role": "doctor"}, {"turn": 2, "text": "35.6", "role": "patient"}, {"turn": 3, "text": "烧了几天？现在是热退疹出？", "role": "doctor"}, {"turn": 4, "text": "从昨天开始出疹 昨天上午一直37度多 下午到晚上就开始35度多 一直到今天", "role": "patient"}, {"turn": 5, "text": "这几天用过什么药？吃奶怎么样？", "role": "doctor"}, {"turn": 6, "text": "烧了三天 今天是第四天", "role": "patient"}, {"turn": 7, "text": "布洛芬 还有一种退烧药", "role": "patient"}, {"turn": 8, "text": "疹子没出前吃奶 精神状态都还可以 从昨天开始吃奶量减少 而且还比较爱哭闹", "role": "patient"}, {"turn": 9, "text": "不对 今天是第五天 第四天出得疹子", "role": "patient"}, {"turn": 10, "text": "还在吗 医生", "role": "patient"}, {"turn": 11, "text": "您好，在看你你的问题。", "role": "doctor"}, {"turn": 12, "text": "幼儿急诊一般会出三天，退三天，大便会稍微稀点。你喂些温开水，体温会慢慢上升的。", "role": "doctor"}, {"turn": 13, "text": "睡觉时会出很多汗 汗后额头发凉 身上也不是温热的 也是汗噜噜的", "role": "patient"}, {"turn": 14, "text": "高烧后的体质，与原来吃过退烧药和体质虚有一定关系，但对于没有啥生命危险。但建议最好去验个血常规看看有没有白细胞和中性粒细胞少的情况。平时适当补点锌和钙", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 228, "thread": [{"turn": 0, "text": "做什么样的检查才能确定是不是得了性病（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，性病种类很多，", "role": "doctor"}, {"turn": 2, "text": "我上周同房，之后觉得不是很舒服，然后就去检查一下妇科说我只是轻微的阴道炎，但是我内阴上药了3天还是没啥好转，主要是男友刚处没多久，不是很了解，还没做安全措施，所以有些担心，所以想咨询您一下有没有检验分泌物什么的来确认性病", "role": "patient"}, {"turn": 3, "text": "不好意思具体要", "role": "doctor"}, {"turn": 4, "text": "刚才在忙", "role": "doctor"}, {"turn": 5, "text": "时间上，现在有点短", "role": "doctor"}, {"turn": 6, "text": "可以一周后，去查分泌物，支原体衣原体淋球菌", "role": "doctor"}, {"turn": 7, "text": "这个是不是要去皮肤科检测的，妇科检查不出来吧", "role": "patient"}, {"turn": 8, "text": "因为我妇科做了分泌物检查", "role": "patient"}, {"turn": 9, "text": "对的", "role": "doctor"}, {"turn": 10, "text": "皮肤性病科", "role": "doctor"}, {"turn": 11, "text": "这个检查是可以确认一切的性病种类吗，我看有的还有潜伏期什么的", "role": "patient"}, {"turn": 12, "text": "再过一周检查就可以检查出有没有性病了是吧", "role": "patient"}, {"turn": 13, "text": "都有潜伏期的", "role": "doctor"}, {"turn": 14, "text": "梅毒六周", "role": "doctor"}, {"turn": 15, "text": "艾滋12周", "role": "doctor"}, {"turn": 16, "text": "尖锐湿疣2周到八个月", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 229, "thread": [{"turn": 0, "text": "肩颈扭伤灼痛可以刺血拔罐吗（男，47岁）", "role": "patient"}, {"turn": 1, "text": "你好这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "打球扭伤的，后来好了，可以第四天开始有点灼痛", "role": "patient"}, {"turn": 3, "text": "以前肩是经常酸痛的，但是从来没有像现在这样灼热的痛", "role": "patient"}, {"turn": 4, "text": "做什么检查了吗", "role": "doctor"}, {"turn": 5, "text": "检查了说没什么", "role": "patient"}, {"turn": 6, "text": "只是隐隐有点热，不是很厉害", "role": "patient"}, {"turn": 7, "text": "可以用点活血止痛的药对症治疗一下", "role": "doctor"}, {"turn": 8, "text": "如果理疗的话，可以怎么做呢？", "role": "patient"}, {"turn": 9, "text": "烤电", "role": "doctor"}, {"turn": 10, "text": "烤电是什么东西？局部加热吗", "role": "patient"}, {"turn": 11, "text": "对", "role": "doctor"}, {"turn": 12, "text": "有灼热加热没关系吗", "role": "patient"}, {"turn": 13, "text": "没关系", "role": "doctor"}, {"turn": 14, "text": "那艾灸可以吗？", "role": "patient"}, {"turn": 15, "text": "可以做。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 230, "thread": [{"turn": 0, "text": "生殖器疱疹破了怎么办，要用什么药，（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，确认是生殖器疱疹吗？", "role": "doctor"}, {"turn": 2, "text": "对", "role": "patient"}, {"turn": 3, "text": "之前查过，带状性疱疹，二型疱疹", "role": "patient"}, {"turn": 4, "text": "去医院看医院，说是生殖器，生殖器疱疹", "role": "patient"}, {"turn": 5, "text": "我想知道我要用什么药，现在那个疱疹破裂了，我还是否可以涂阿昔洛韦软膏？", "role": "patient"}, {"turn": 6, "text": "先用碘伏消毒，再外用莫匹罗星软膏，一天三次", "role": "doctor"}, {"turn": 7, "text": "需要打针吗？", "role": "patient"}, {"turn": 8, "text": "不需要", "role": "doctor"}, {"turn": 9, "text": "它长在外阴道口，靠近肛门的位置", "role": "patient"}, {"turn": 10, "text": "可以涂吗？", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "平时多注意休息，不要熬夜，饮食规律。", "role": "doctor"}, {"turn": 13, "text": "要不然很容易复发", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢你。", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}, {"turn": 16, "text": "刚才去皮肤性病医院他们让我打小针。说五天1500", "role": "patient"}, {"turn": 17, "text": "我好奇打的什么针。这么贵还是肌肉针", "role": "patient"}, {"turn": 18, "text": "你可以直接问医生打的是什么药物。", "role": "doctor"}, {"turn": 19, "text": "很多都是提高免疫力的药", "role": "doctor"}, {"turn": 20, "text": "哦哦哦，我问他她就说是治疗疱疹的药。不详细说明", "role": "patient"}, {"turn": 21, "text": "那具体是什么药物，我也不清楚。建议你直接去正规医院，不要去私立医院", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 231, "thread": [{"turn": 0, "text": "想问一下帕罗西汀治疗焦虑症需要多久（男，64岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问现在在服用这个药物吗", "role": "doctor"}, {"turn": 2, "text": "请问您都有哪些症状？", "role": "doctor"}, {"turn": 3, "text": "经常心跳很快，心情很烦躁", "role": "patient"}, {"turn": 4, "text": "是", "role": "patient"}, {"turn": 5, "text": "上星期去看门诊的大夫开的这个药", "role": "patient"}, {"turn": 6, "text": "但是没有说要吃多久", "role": "patient"}, {"turn": 7, "text": "好的明白", "role": "doctor"}, {"turn": 8, "text": "请问您吃药之后感觉有没有好一点呢", "role": "doctor"}, {"turn": 9, "text": "有", "role": "patient"}, {"turn": 10, "text": "但是还是经常有不舒服", "role": "patient"}, {"turn": 11, "text": "明白", "role": "doctor"}, {"turn": 12, "text": "您好，根据您目前的情况，", "role": "doctor"}, {"turn": 13, "text": "建议继续服药一段时间，", "role": "doctor"}, {"turn": 14, "text": "这个药不能突然间停药的，", "role": "doctor"}, {"turn": 15, "text": "要根据自己的情况停的", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "一直都吃吗", "role": "patient"}, {"turn": 18, "text": "您好，", "role": "doctor"}, {"turn": 19, "text": "是的，", "role": "doctor"}, {"turn": 20, "text": "就是先用一段时间", "role": "doctor"}, {"turn": 21, "text": "可以慢慢减量或者停药的", "role": "doctor"}, {"turn": 22, "text": "但是要在专业的医生指导只想", "role": "doctor"}, {"turn": 23, "text": "之下", "role": "doctor"}, {"turn": 24, "text": "好", "role": "patient"}, {"turn": 25, "text": "知道", "role": "patient"}, {"turn": 26, "text": "谢谢大夫", "role": "patient"}, {"turn": 27, "text": "不客气的😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 232, "thread": [{"turn": 0, "text": "胳膊肌肉劳损，很疼，胳膊无力。请问医生要怎么治", "role": "patient"}, {"turn": 1, "text": "主要是修养 可以做一下理疗 比如微波", "role": "doctor"}, {"turn": 2, "text": "尽量减少运动量", "role": "doctor"}, {"turn": 3, "text": "微波是什么", "role": "patient"}, {"turn": 4, "text": "一种理疗方式", "role": "doctor"}, {"turn": 5, "text": "哦", "role": "patient"}, {"turn": 6, "text": "请问一下医生，孕妇感冒了该怎么办才好", "role": "patient"}, {"turn": 7, "text": "请问一下医生，孕妇感冒了该怎么办才好，可以吃什么药不影响胎儿呢", "role": "patient"}, {"turn": 8, "text": "多饮水 至于药物可以问一问产科医生 有些药物尽量不用 但是我不是很专业对产科 不敢乱说呀", "role": "doctor"}, {"turn": 9, "text": "多谢你了", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 233, "thread": [{"turn": 0, "text": "做鼻息肉手术后半个月头疼厉害怎么了，（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。我是刘医生。", "role": "doctor"}, {"turn": 2, "text": "请问你，有什么禁忌的药物，不能使用的呢？或者过敏的呢？还有其他确认确定的疾病吗？", "role": "doctor"}, {"turn": 3, "text": "没有的话", "role": "doctor"}, {"turn": 4, "text": "常于熬夜、受凉、上火，疲劳、烟酒过度及全身抵抗力下降（过敏、饮食凉的冷的、心情很差等等其他原因）后导致的感冒受凉。", "role": "doctor"}, {"turn": 5, "text": "建议按感冒受凉，治疗即可。", "role": "doctor"}, {"turn": 6, "text": "这些都没有，就是做了一个鼻息肉手术，术后已经半个月了，还是头疼厉害，不知道怎么了！", "role": "patient"}, {"turn": 7, "text": "就是单纯鼻息肉，也不会头痛的。你按感冒受凉治疗即可。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 234, "thread": [{"turn": 0, "text": "1岁9个月儿童高度远视可以戴眼镜（男，1岁9个月）", "role": "patient"}, {"turn": 1, "text": "你好这种情况多久了之前去医院检查过吗", "role": "doctor"}, {"turn": 2, "text": "刚刚检查", "role": "patient"}, {"turn": 3, "text": "高度远视是阿托品散瞳后的结果吗", "role": "doctor"}, {"turn": 4, "text": "是的", "role": "patient"}, {"turn": 5, "text": "好的，建议您给孩子坚持戴镜，定期复查，因为高度远视极有可能会引起弱视，内斜等", "role": "doctor"}, {"turn": 6, "text": "不戴眼镜可以吗", "role": "patient"}, {"turn": 7, "text": "不可以的", "role": "doctor"}, {"turn": 8, "text": "不戴眼镜，一定会影响孩子视力发育，引起弱视的，", "role": "doctor"}, {"turn": 9, "text": "好的，谢谢！", "role": "patient"}, {"turn": 10, "text": "不戴眼镜，一定会影响孩子视力发育，引起弱视的，", "role": "doctor"}, {"turn": 11, "text": "不客气，记得要定期复查哈，孩子眼球发育期间度数会有变化，要换眼镜的哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 235, "thread": [{"turn": 0, "text": "我14岁手淫肾虚了每天头晕尿很多（男，14岁）", "role": "patient"}, {"turn": 1, "text": "你好，一周几次手淫？", "role": "doctor"}, {"turn": 2, "text": "1次", "role": "patient"}, {"turn": 3, "text": "在吗", "role": "patient"}, {"turn": 4, "text": "一周一次一般不会影响身体健康的", "role": "doctor"}, {"turn": 5, "text": "有时候就是2次或3次", "role": "patient"}, {"turn": 6, "text": "知识普及：绝大部分人自慰开始于青春期初期。首先要明白适度自慰有益健康。中国人养生效法自然。所以不提倡禁欲。节欲即可，要有张有弛，适度自慰，有益健康。其次，不要整天想着如何戒除，多做点其他事情，一般自然会少。 整天想着如何戒除，反而一直在心上。 换个角度，青壮年，性欲旺盛是自然而然的事，勿需过虑。至于度，什么是过度？一般正常青年每周1到3次，具体要根据自己的身体健康状态和工作学习调整。只要不 影响正常的生活即可。 如果短期过频自慰，则易导致包皮龟头炎 疲劳，甚至尿道炎等。长期过频自慰则可导致性行为模式的改变，如不喜欢阴道性交，性交无法射精等", "role": "doctor"}, {"turn": 7, "text": "我现在肾虚了还能好吗？", "role": "patient"}, {"turn": 8, "text": "你没肾虚的，你才多大就肾虚", "role": "doctor"}, {"turn": 9, "text": "哦", "role": "patient"}, {"turn": 10, "text": "注意多喝水勤排尿", "role": "doctor"}, {"turn": 11, "text": "那我那个头晕肚子有点疼尿很多该怎么治", "role": "patient"}, {"turn": 12, "text": "在吗", "role": "patient"}, {"turn": 13, "text": "把手淫戒了看看", "role": "doctor"}, {"turn": 14, "text": "注意休息不要熬夜", "role": "doctor"}, {"turn": 15, "text": "知道了", "role": "patient"}, {"turn": 16, "text": "先不用吃药", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 236, "thread": [{"turn": 0, "text": "幼儿内痔不出血肛门镜检查（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "我想问一下不锈钢肛门镜检查会不会感染疾病", "role": "patient"}, {"turn": 3, "text": "不会的，应该消毒的，我们都是一次性塑料的", "role": "doctor"}, {"turn": 4, "text": "我这边今天给孩子用的是不锈钢的", "role": "patient"}, {"turn": 5, "text": "我想问一下如果消毒不彻底会不会传染肿瘤疾病", "role": "patient"}, {"turn": 6, "text": "很担心", "role": "patient"}, {"turn": 7, "text": "那应该是消毒的，不会不彻底，我们换药的钳子都是不锈钢反复消毒的", "role": "doctor"}, {"turn": 8, "text": "还有手术器械都是不锈钢消毒的", "role": "doctor"}, {"turn": 9, "text": "哦，消毒就没事是吧", "role": "patient"}, {"turn": 10, "text": "我就担心消毒不彻底也不会传染肿瘤吧", "role": "patient"}, {"turn": 11, "text": "肿瘤应该不会传染吧", "role": "patient"}, {"turn": 12, "text": "正规医院都有消毒供应室，院感查的很严的", "role": "doctor"}, {"turn": 13, "text": "不会的", "role": "doctor"}, {"turn": 14, "text": "只要不会传染肿瘤就行", "role": "patient"}, {"turn": 15, "text": "很担心这个孩子还小", "role": "patient"}, {"turn": 16, "text": "不会的，公立医院有正规流程的", "role": "doctor"}, {"turn": 17, "text": "私立的医院", "role": "patient"}, {"turn": 18, "text": "但是也挺大的", "role": "patient"}, {"turn": 19, "text": "好多年了", "role": "patient"}, {"turn": 20, "text": "那不要紧，都是严查的，消毒供应中心", "role": "doctor"}, {"turn": 21, "text": "哦", "role": "patient"}, {"turn": 22, "text": "不用担心", "role": "doctor"}, {"turn": 23, "text": "万一消毒不干净也没大是吧", "role": "patient"}, {"turn": 24, "text": "不会的，不要乱想", "role": "doctor"}, {"turn": 25, "text": "哦谢谢啦", "role": "patient"}, {"turn": 26, "text": "不用谢，对宝宝都是很紧张的，理解", "role": "doctor"}, {"turn": 27, "text": "嗯孩子很小怕私立医院消毒不到位", "role": "patient"}, {"turn": 28, "text": "就怕传染肿瘤", "role": "patient"}, {"turn": 29, "text": "或者其它传染病", "role": "patient"}, {"turn": 30, "text": "不会的，民营医院可能存在多收费，基本的消毒不会有问题的", "role": "doctor"}, {"turn": 31, "text": "好吧谢谢啦", "role": "patient"}, {"turn": 32, "text": "不用谢", "role": "doctor"}, {"turn": 33, "text": "我能再问一下吗别嫌烦太担心孩子了", "role": "patient"}, {"turn": 34, "text": "就算他们没消毒干净也不会传染严重的疾病吧，", "role": "patient"}, {"turn": 35, "text": "不会的，有没有皮肤破损，不会传染", "role": "doctor"}, {"turn": 36, "text": "哦", "role": "patient"}, {"turn": 37, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 237, "thread": [{"turn": 0, "text": "什么药品扭伤后可以立刻搽的（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问你扭伤多久了？云南白药气雾剂可以外喷的", "role": "doctor"}, {"turn": 2, "text": "昨晚九点多", "role": "patient"}, {"turn": 3, "text": "但是我现在一动就痛", "role": "patient"}, {"turn": 4, "text": "哦，一定要注意休息。扭伤24小时之内局部冰敷，24小时之后改为热敷，外喷云南白药气雾剂治疗", "role": "doctor"}, {"turn": 5, "text": "药油可以吗", "role": "patient"}, {"turn": 6, "text": "搽同时要按摩吗", "role": "patient"}, {"turn": 7, "text": "扭伤直接热敷会怎么样", "role": "patient"}, {"turn": 8, "text": "您好，可以的，24小时之后可以轻按", "role": "doctor"}, {"turn": 9, "text": "24小时内热敷会使青紫，肿胀加重的", "role": "doctor"}, {"turn": 10, "text": "热敷我都是直接泡热水的", "role": "patient"}, {"turn": 11, "text": "那样只会加重肿胀和青紫", "role": "doctor"}, {"turn": 12, "text": "一般恢复要多久", "role": "patient"}, {"turn": 13, "text": "一般需要一到两周左右", "role": "doctor"}, {"turn": 14, "text": "具体与受伤程度有关", "role": "doctor"}, {"turn": 15, "text": "我感觉我是脚踝内外侧都痛", "role": "patient"}, {"turn": 16, "text": "您好，您这种情况最好及时拍片子检查一下", "role": "doctor"}, {"turn": 17, "text": "排除骨头问题，平常一定要注意休息", "role": "doctor"}, {"turn": 18, "text": "饮食方面要注意什么，该吃什么", "role": "patient"}, {"turn": 19, "text": "忌酸辣刺激饮食，禁酒，加强营养即可", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 238, "thread": [{"turn": 0, "text": "得了尖锐湿疣怀孕了怎么办（女，22岁）", "role": "patient"}, {"turn": 1, "text": "尖锐湿疣长在什么部位？", "role": "doctor"}, {"turn": 2, "text": "怀孕几个月？", "role": "doctor"}, {"turn": 3, "text": "2", "role": "patient"}, {"turn": 4, "text": "我男朋友有   我不知道我有木有", "role": "patient"}, {"turn": 5, "text": "?", "role": "doctor"}, {"turn": 6, "text": "那就去医院查", "role": "doctor"}, {"turn": 7, "text": "尽快", "role": "doctor"}, {"turn": 8, "text": "这个对宝宝有什么问题没有", "role": "patient"}, {"turn": 9, "text": "有尖锐湿疣，宝宝不适合顺产！", "role": "doctor"}, {"turn": 10, "text": "有可能生产时传染", "role": "doctor"}, {"turn": 11, "text": "这个医得好吗    如果要宝宝的话会对小孩有影响嘛", "role": "patient"}, {"turn": 12, "text": "可以治好，不顺产不影响孩子", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 239, "thread": [{"turn": 0, "text": "怎样判断是肾阴虚还是肾阳虚?（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，怎么不舒服？都有什么症状？", "role": "doctor"}, {"turn": 2, "text": "肾阴虚: 证见腰膝酸痛，头晕耳鸣，失眠多梦，五心烦热，潮热盗汗，阳强易举，遗精早泄，舌红少津无苔，脉细数等", "role": "doctor"}, {"turn": 3, "text": "肾阳虚证候主要有腰膝酸软而痛；男子阳痿早泄；畏寒肢冷，浮肿，腰以下为甚，下肢为甚；面色白，头目眩晕；面色黧黑无泽、小便频数，清长，夜尿多，女子经期小腹冷痛等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 240, "thread": [{"turn": 0, "text": "慢性鼻炎应该吃什么药（男，22岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "三年左右了。", "role": "patient"}, {"turn": 3, "text": "鼻子干头疼，", "role": "patient"}, {"turn": 4, "text": "因为工作问题一天12个小时都是在房间里。", "role": "patient"}, {"turn": 5, "text": "而且鼻子有点堵", "role": "patient"}, {"turn": 6, "text": "建议应用温0.9%氯化钠注射液冲洗鼻腔，每天两次，早晚冲， 鼻腔喷布地奈德喷雾剂 、，口服香菊胶囊", "role": "doctor"}, {"turn": 7, "text": "只用香菊胶囊可以吗？", "role": "patient"}, {"turn": 8, "text": "在吗", "role": "patient"}, {"turn": 9, "text": "建议应用温0.9%氯化钠注射液冲洗鼻腔，每天两次，早晚冲， 鼻腔喷布地奈德喷雾剂", "role": "doctor"}, {"turn": 10, "text": "那香菊胶囊呢？", "role": "patient"}, {"turn": 11, "text": "是一起用吗？", "role": "patient"}, {"turn": 12, "text": "是的", "role": "doctor"}, {"turn": 13, "text": "温0.9%氯化钠注射液冲洗鼻腔跟 鼻腔喷布地奈德喷雾剂也是一起用吗？", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 241, "thread": [{"turn": 0, "text": "精索静脉曲张会导致勃起不坚吗（男，22岁）", "role": "patient"}, {"turn": 1, "text": "有哪些不舒服表现腰酸乏力腰痛？", "role": "doctor"}, {"turn": 2, "text": "一般不会", "role": "doctor"}, {"turn": 3, "text": "腰部感觉没事", "role": "patient"}, {"turn": 4, "text": "左侧腹压增加时曲张0.31  也伴有前列腺炎", "role": "patient"}, {"turn": 5, "text": "还有其他不适症状没有", "role": "doctor"}, {"turn": 6, "text": "其他没有了吧  就睾丸坠胀", "role": "patient"}, {"turn": 7, "text": "久站后阴囊血管迂曲扩张明显不", "role": "doctor"}, {"turn": 8, "text": "要把睾丸拖起来才看的明显", "role": "patient"}, {"turn": 9, "text": "那症状不明显，可以观察", "role": "doctor"}, {"turn": 10, "text": "精索静脉曲张会影响精子质量，对性功能不影响", "role": "doctor"}, {"turn": 11, "text": "那勃起不坚一般是由那些因素导致的", "role": "patient"}, {"turn": 12, "text": "阴茎充血不足", "role": "doctor"}, {"turn": 13, "text": "那我要去医院的话  要做哪些检查", "role": "patient"}, {"turn": 14, "text": "正规医院泌尿外科就诊", "role": "doctor"}, {"turn": 15, "text": "阴茎血管超声，性激素等", "role": "doctor"}, {"turn": 16, "text": "好", "role": "patient"}, {"turn": 17, "text": "如果您需要再次咨询，可以直接搜索我的名字，进入主页后再次找我咨询。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 242, "thread": [{"turn": 0, "text": "三七粉对腰椎间盘突出有治疗效果吗？（男，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，没有多大效果。。。", "role": "doctor"}, {"turn": 2, "text": "用什么效果好？", "role": "patient"}, {"turn": 3, "text": "你好，现在有什么症状？", "role": "doctor"}, {"turn": 4, "text": "突出重不重？", "role": "doctor"}, {"turn": 5, "text": "腿有点胀痛", "role": "patient"}, {"turn": 6, "text": "有片子没？", "role": "doctor"}, {"turn": 7, "text": "过几天才能取片子", "role": "patient"}, {"turn": 8, "text": "今天拍的", "role": "patient"}, {"turn": 9, "text": "我想看下片子再说", "role": "doctor"}, {"turn": 10, "text": "因为如果突出严重", "role": "doctor"}, {"turn": 11, "text": "保守用药效果不好", "role": "doctor"}, {"turn": 12, "text": "那要怎么效果最好", "role": "patient"}, {"turn": 13, "text": "如果突出明显需要手术", "role": "doctor"}, {"turn": 14, "text": "手术后会发吗", "role": "patient"}, {"turn": 15, "text": "不一定", "role": "doctor"}, {"turn": 16, "text": "看你做的手术方式是什么了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 243, "thread": [{"turn": 0, "text": "慢性前列腺炎细菌阳性是什么意思（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "尿频", "role": "patient"}, {"turn": 3, "text": "尿无力", "role": "patient"}, {"turn": 4, "text": "没精神", "role": "patient"}, {"turn": 5, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 6, "text": "三四年", "role": "patient"}, {"turn": 7, "text": "查了说是慢性前列腺炎", "role": "patient"}, {"turn": 8, "text": "查细菌阳性多久了", "role": "doctor"}, {"turn": 9, "text": "支原体病毒", "role": "patient"}, {"turn": 10, "text": "细菌阳性需要治疗的", "role": "doctor"}, {"turn": 11, "text": "第一次来看", "role": "patient"}, {"turn": 12, "text": "刚查出来", "role": "patient"}, {"turn": 13, "text": "这个治疗是单纯用药吗", "role": "patient"}, {"turn": 14, "text": "恩，需要坚持用药至少4-6周，改善生活方式", "role": "doctor"}, {"turn": 15, "text": "可以治好吗", "role": "patient"}, {"turn": 16, "text": "是不是比无菌的难治", "role": "patient"}, {"turn": 17, "text": "可以治好的，这个需要您配合治疗的，慢性前列腺炎治疗需要一个过程", "role": "doctor"}, {"turn": 18, "text": "细菌消灭了就好了，无菌的也不好控制", "role": "doctor"}, {"turn": 19, "text": "建议您到专业的泌尿外科和男科检查，前列腺液做细菌培养加药敏试验，这样才能有针对性的用药，一般在4到6周是可以恢复正常的，一定要注意多饮水。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 244, "thread": [{"turn": 0, "text": "5岁男孩，小鸡有点包皮过长，怎么办？（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你答疑，我是泌尿男科陈医生😊。", "role": "doctor"}, {"turn": 2, "text": "朋友，孩子都有生理性包皮过长，他龟头能翻的出来吗？", "role": "doctor"}, {"turn": 3, "text": "孩子四岁半，感觉包皮有点长", "role": "patient"}, {"turn": 4, "text": "能", "role": "patient"}, {"turn": 5, "text": "平时包皮发过炎吗？", "role": "doctor"}, {"turn": 6, "text": "发炎？", "role": "patient"}, {"turn": 7, "text": "对，包皮龟头炎，红肿瘙痒疼痛破溃脱屑", "role": "doctor"}, {"turn": 8, "text": "哦？这个没有", "role": "patient"}, {"turn": 9, "text": "那不用特殊治疗的，每天翻洗翻洗即可，青春期发育后不少孩子能自愈的", "role": "doctor"}, {"turn": 10, "text": "上面我发了一个以前写的话题给你，你可以看看参考一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 245, "thread": [{"turn": 0, "text": "外耳道炎一般多久能好（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你主要什么症状？你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "从前天开始出现疼痛  然后往外出水", "role": "patient"}, {"turn": 3, "text": "还伴有耳闷  听力下降等症状", "role": "patient"}, {"turn": 4, "text": "流水~", "role": "doctor"}, {"turn": 5, "text": "是的", "role": "patient"}, {"turn": 6, "text": "之前有没有鼓膜穿孔", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "流水多吗？", "role": "doctor"}, {"turn": 9, "text": "还可以  水呈现淡黄色", "role": "patient"}, {"turn": 10, "text": "先消炎治疗", "role": "doctor"}, {"turn": 11, "text": "服用什么药物呢", "role": "patient"}, {"turn": 12, "text": "氧氟沙星滴耳液", "role": "doctor"}, {"turn": 13, "text": "大约多长时间能回复", "role": "patient"}, {"turn": 14, "text": "先用5~7天观察", "role": "doctor"}, {"turn": 15, "text": "加口服抗生素", "role": "doctor"}, {"turn": 16, "text": "罗红霉素胶囊", "role": "doctor"}, {"turn": 17, "text": "阿莫西林有用么", "role": "patient"}, {"turn": 18, "text": "也可以的", "role": "doctor"}, {"turn": 19, "text": "不过敏的话", "role": "doctor"}, {"turn": 20, "text": "好的  谢谢医生", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}, {"turn": 22, "text": "滴滴耳液之前棉签轻轻卷干外耳道~清除分泌物", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 246, "thread": [{"turn": 0, "text": "宫颈癌术后能吃青蒜吗（女，43岁）", "role": "patient"}, {"turn": 1, "text": "请问术后多长时间了？", "role": "doctor"}, {"turn": 2, "text": "可以吃，不影响", "role": "doctor"}, {"turn": 3, "text": "半个月了", "role": "patient"}, {"turn": 4, "text": "现在有什么治疗吗", "role": "doctor"}, {"turn": 5, "text": "出院了吗", "role": "doctor"}, {"turn": 6, "text": "没有，", "role": "patient"}, {"turn": 7, "text": "等着复查", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "出院十几了", "role": "patient"}, {"turn": 10, "text": "天", "role": "patient"}, {"turn": 11, "text": "可以吃，没有影响", "role": "doctor"}, {"turn": 12, "text": "还要注意什么呢", "role": "patient"}, {"turn": 13, "text": "休息3个月，适当活动就行", "role": "doctor"}, {"turn": 14, "text": "一般一个月去复查", "role": "doctor"}, {"turn": 15, "text": "注意有没有阴道流血", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 247, "thread": [{"turn": 0, "text": "慢性前列腺炎吃什么药效果最好（男，46岁）", "role": "patient"}, {"turn": 1, "text": "你好，您目前有什么症状？", "role": "doctor"}, {"turn": 2, "text": "膀胱左下有点疼痛", "role": "patient"}, {"turn": 3, "text": "阴茎根部有没有疼痛", "role": "doctor"}, {"turn": 4, "text": "慢性前列腺炎主要以对症治疗为主", "role": "doctor"}, {"turn": 5, "text": "请问医生这个病有什么好的治疗方法，阴茎根部左下边疼", "role": "patient"}, {"turn": 6, "text": "积大本特改善尿频", "role": "doctor"}, {"turn": 7, "text": "请问您这个病还能过夫妻生活吗", "role": "patient"}, {"turn": 8, "text": "泽桂龙爽", "role": "doctor"}, {"turn": 9, "text": "对症用药", "role": "doctor"}, {"turn": 10, "text": "可以性生活", "role": "doctor"}, {"turn": 11, "text": "但是要控制频率", "role": "doctor"}, {"turn": 12, "text": "大量饮酒 劳累 熬夜 久坐 频繁性生活", "role": "doctor"}, {"turn": 13, "text": "泽桂龙爽是药名吗", "role": "patient"}, {"turn": 14, "text": "都可以诱发加重前列腺炎", "role": "doctor"}, {"turn": 15, "text": "是的", "role": "doctor"}, {"turn": 16, "text": "中成药", "role": "doctor"}, {"turn": 17, "text": "能改善前列腺炎", "role": "doctor"}, {"turn": 18, "text": "谢谢您的指点！", "role": "patient"}, {"turn": 19, "text": "疼痛厉害的话可以睡前温水坐浴，40℃", "role": "doctor"}, {"turn": 20, "text": "实在疼的厉害就吃止痛药", "role": "doctor"}, {"turn": 21, "text": "好的！", "role": "patient"}, {"turn": 22, "text": "🍀", "role": "doctor"}, {"turn": 23, "text": "多吃洋葱对前列腺有好处吗", "role": "patient"}, {"turn": 24, "text": "没有这个说法", "role": "doctor"}, {"turn": 25, "text": "哦", "role": "patient"}, {"turn": 26, "text": "我是何永欢医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}, {"turn": 27, "text": "平常在饮食方面要多吃一些什么蔬菜", "role": "patient"}, {"turn": 28, "text": "正常饮食", "role": "doctor"}, {"turn": 29, "text": "避免辛辣油腻", "role": "doctor"}, {"turn": 30, "text": "谢谢您！", "role": "patient"}, {"turn": 31, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 248, "thread": [{"turn": 0, "text": "请问我老是想解小便是尿路感染吗（女，48岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "就从晚上十多多到现在", "role": "patient"}, {"turn": 3, "text": "除了尿频，还有其他不舒服吗，比如发热？腰痛？小便尿道烧灼感？尿急？尿里有血等等之一吗？", "role": "doctor"}, {"turn": 4, "text": "十点多到现在", "role": "patient"}, {"turn": 5, "text": "最近有跟你爱人频繁房事吗？", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "就连续两天在一起的", "role": "patient"}, {"turn": 8, "text": "没刚说的那些不舒服，最近也没房事对吗？", "role": "doctor"}, {"turn": 9, "text": "你还，还在吗？", "role": "doctor"}, {"turn": 10, "text": "在一起的两天有房事对吗？", "role": "doctor"}, {"turn": 11, "text": "有问题可以先留言，看到了会及时回复你的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 249, "thread": [{"turn": 0, "text": "宝宝对点青霉分枝孢霉烟过曲过敏,奶粉可以喝牛奶吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在多大？", "role": "doctor"}, {"turn": 2, "text": "五个月", "role": "patient"}, {"turn": 3, "text": "湿疹反复，不知道是不是奶粉过敏", "role": "patient"}, {"turn": 4, "text": "？", "role": "patient"}, {"turn": 5, "text": "大便正常吗？", "role": "doctor"}, {"turn": 6, "text": "正常的", "role": "patient"}, {"turn": 7, "text": "湿疹反复，可能是牛奶过敏", "role": "doctor"}, {"turn": 8, "text": "我们之前喝的是羊奶", "role": "patient"}, {"turn": 9, "text": "建议检查一下食物不耐受看看", "role": "doctor"}, {"turn": 10, "text": "准备换牛奶不知道行不行", "role": "patient"}, {"turn": 11, "text": "湿疹反复，还是不建议换，等湿疹好了再换，比较好", "role": "doctor"}, {"turn": 12, "text": "湿疹用的什么药", "role": "doctor"}, {"turn": 13, "text": "就是担心是奶粉问题，不换一直反复", "role": "patient"}, {"turn": 14, "text": "地奈德乳膏用过一次", "role": "patient"}, {"turn": 15, "text": "宝宝睡不好，很担心不知道怎么办", "role": "patient"}, {"turn": 16, "text": "换奶粉建议换水解奶粉吃，湿疹涂点氧化锌软膏", "role": "doctor"}, {"turn": 17, "text": "水解的牛奶行不行", "role": "patient"}, {"turn": 18, "text": "水解的牛奶可以的", "role": "doctor"}, {"turn": 19, "text": "去检查医生说是湿疹（特应性皮炎）就给我开了地奈德乳膏", "role": "patient"}, {"turn": 20, "text": "现在可以用不呢", "role": "patient"}, {"turn": 21, "text": "可以用", "role": "doctor"}, {"turn": 22, "text": "坚持用几天", "role": "doctor"}, {"turn": 23, "text": "换成适度水解奶粉会不会好呢", "role": "patient"}, {"turn": 24, "text": "适度水解也可以", "role": "doctor"}, {"turn": 25, "text": "对湿疹也有缓解作用", "role": "doctor"}, {"turn": 26, "text": "如果长期喝会不会有副作用", "role": "patient"}, {"turn": 27, "text": "没什么副作用", "role": "doctor"}, {"turn": 28, "text": "要不要吃抗过敏的药呢", "role": "patient"}, {"turn": 29, "text": "不需要吃", "role": "doctor"}, {"turn": 30, "text": "宝宝对点青霉分枝孢霉烟过曲过敏,水解奶粉可以喝牛奶吗", "role": "patient"}, {"turn": 31, "text": "就喝水解奶粉啊", "role": "doctor"}, {"turn": 32, "text": "关键奶粉是牛奶粉啊", "role": "patient"}, {"turn": 33, "text": "水解奶粉是吧蛋白质水解了，能懂吗", "role": "doctor"}, {"turn": 34, "text": "噢噢！不懂", "role": "patient"}, {"turn": 35, "text": "就是蛋白水解成多肽或者氨基酸", "role": "doctor"}, {"turn": 36, "text": "不是以蛋白质的形式喝", "role": "doctor"}, {"turn": 37, "text": "噢噢！", "role": "patient"}, {"turn": 38, "text": "平时要注意什么呢", "role": "patient"}, {"turn": 39, "text": "湿疹注意护理，皮肤保持湿润", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 250, "thread": [{"turn": 0, "text": "我小孩有癫痫，我想去那里咨询一下。（男，8岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你服务。", "role": "doctor"}, {"turn": 2, "text": "这种情况建议去儿神经内科。", "role": "doctor"}, {"turn": 3, "text": "不是看癫痫病的吗", "role": "patient"}, {"turn": 4, "text": "省儿童医院神经内科就有专家治疗癫痫这一块的。不推荐去私人医院。", "role": "doctor"}, {"turn": 5, "text": "好多癫痫病专科医院，都是私立的。不推荐去这种地方。有可能花了钱还没把病治好。", "role": "doctor"}, {"turn": 6, "text": "长沙儿童医院有治这种病的没有？", "role": "patient"}, {"turn": 7, "text": "肯定有的", "role": "doctor"}, {"turn": 8, "text": "我想去长沙湘雅医院。", "role": "patient"}, {"turn": 9, "text": "这种病能痊愈的吗？", "role": "patient"}, {"turn": 10, "text": "湘雅医院也有的。", "role": "doctor"}, {"turn": 11, "text": "合理用药后能控制，控制以后不发作，也就是痊愈", "role": "doctor"}, {"turn": 12, "text": "我们的没有别的情况，他主要是只是发呆。", "role": "patient"}, {"turn": 13, "text": "可是药物控制的话，那个药的副作用很大。", "role": "patient"}, {"turn": 14, "text": "你知道这个病有别的控制方法的吗？", "role": "patient"}, {"turn": 15, "text": "药物是有副作用，要权衡利弊。", "role": "doctor"}, {"turn": 16, "text": "现在这种情况就是要确定有没有问题，要做一些检查，结合宝宝的情况，再制定下一步治疗方案。", "role": "doctor"}, {"turn": 17, "text": "癫痫病分很多种是吧？", "role": "patient"}, {"turn": 18, "text": "是的分好多种，比较复杂。", "role": "doctor"}, {"turn": 19, "text": "我们的结果脑电图确诊是失神", "role": "patient"}, {"turn": 20, "text": "失神里面又分很多种。", "role": "doctor"}, {"turn": 21, "text": "我们在岳阳市一医院检查的，直接就给我们开了药", "role": "patient"}, {"turn": 22, "text": "失神发作首选是丙戊酸钠。", "role": "doctor"}, {"turn": 23, "text": "不放心再去大的医院咨询一下，失神发作建议药物控制", "role": "doctor"}, {"turn": 24, "text": "是的，我们就是买的这种药。", "role": "patient"}, {"turn": 25, "text": "像我们这种病情严不严重了。", "role": "patient"}, {"turn": 26, "text": "不是很严重。", "role": "doctor"}, {"turn": 27, "text": "嗯嗯，好的，谢谢。", "role": "patient"}, {"turn": 28, "text": "不客气，祝你宝宝健康成长。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 251, "thread": [{"turn": 0, "text": "怀孕28周可以用开塞露吗？便秘严重（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，便秘很严重吗？", "role": "doctor"}, {"turn": 2, "text": "可以用", "role": "doctor"}, {"turn": 3, "text": "严重", "role": "patient"}, {"turn": 4, "text": "一次用多少", "role": "patient"}, {"turn": 5, "text": "两只", "role": "doctor"}, {"turn": 6, "text": "刚刚解大便干，用力过大现在肚子痛", "role": "patient"}, {"turn": 7, "text": "一支不管用吗", "role": "patient"}, {"turn": 8, "text": "避免过度用力", "role": "doctor"}, {"turn": 9, "text": "用一只作用不大。", "role": "doctor"}, {"turn": 10, "text": "我刚刚用力过大了！这会肚子疼该怎么办", "role": "patient"}, {"turn": 11, "text": "用力过大，对刀口是不是没有好处", "role": "patient"}, {"turn": 12, "text": "怀孕28周了，有什么刀口？", "role": "doctor"}, {"turn": 13, "text": "肚子疼得严重吗？", "role": "doctor"}, {"turn": 14, "text": "剖腹产刀口", "role": "patient"}, {"turn": 15, "text": "会不会用力过大把刀口撑开", "role": "patient"}, {"turn": 16, "text": "疼的不严重", "role": "patient"}, {"turn": 17, "text": "不会的", "role": "doctor"}, {"turn": 18, "text": "你是剖宫产过吗？", "role": "doctor"}, {"turn": 19, "text": "对的我剖腹产", "role": "patient"}, {"turn": 20, "text": "这是第二胎。", "role": "doctor"}, {"turn": 21, "text": "平常多吃蔬菜水果，养成每天按时解大便的习惯。", "role": "doctor"}, {"turn": 22, "text": "第四胎", "role": "patient"}, {"turn": 23, "text": "肚子疼得不厉害，用力过大对刀口有没有影响", "role": "patient"}, {"turn": 24, "text": "对刀口没有影响。", "role": "doctor"}, {"turn": 25, "text": "怕引起子宫收缩。", "role": "doctor"}, {"turn": 26, "text": "用力过大不会影响到刀口", "role": "doctor"}, {"turn": 27, "text": "那我就放心了！我怕把刀口撑开", "role": "patient"}, {"turn": 28, "text": "不会的", "role": "doctor"}, {"turn": 29, "text": "放心", "role": "doctor"}, {"turn": 30, "text": "我现在就是左边刀口边疼有事吗？", "role": "patient"}, {"turn": 31, "text": "有红肿吗？", "role": "doctor"}, {"turn": 32, "text": "没有", "role": "patient"}, {"turn": 33, "text": "就是用力过大左边有点疼", "role": "patient"}, {"turn": 34, "text": "应该没有问题", "role": "doctor"}, {"turn": 35, "text": "用力过大怕引起宫缩吗？对刀口没影响吗？", "role": "patient"}, {"turn": 36, "text": "对刀口没有影响", "role": "doctor"}, {"turn": 37, "text": "嗯嗯，那如果便秘厉害可以用开塞露没有影响吗？", "role": "patient"}, {"turn": 38, "text": "可以用", "role": "doctor"}, {"turn": 39, "text": "是我用力过大引起的左边刀口边疼吗？", "role": "patient"}, {"turn": 40, "text": "可以肌肉牵拉的痛", "role": "doctor"}, {"turn": 41, "text": "嗯嗯好的谢谢你这会儿不痛了", "role": "patient"}, {"turn": 42, "text": "那就好", "role": "doctor"}, {"turn": 43, "text": "祝你顺利", "role": "doctor"}, {"turn": 44, "text": "我想问问怀孕烤火对胎儿有影响吗？是木柴火", "role": "patient"}, {"turn": 45, "text": "没有影响", "role": "doctor"}, {"turn": 46, "text": "怎么还经常烤火吗？", "role": "doctor"}, {"turn": 47, "text": "因为我这边冬天在农村，所以经常烤火，有烟味", "role": "patient"}, {"turn": 48, "text": "不要太靠近", "role": "doctor"}, {"turn": 49, "text": "我经常烤火那影响大不大", "role": "patient"}, {"turn": 50, "text": "你们那里都是在那个环境中过来的，", "role": "doctor"}, {"turn": 51, "text": "冬天没事冷都是烤火", "role": "patient"}, {"turn": 52, "text": "别靠的太近，没有问题", "role": "doctor"}, {"turn": 53, "text": "好的谢谢", "role": "patient"}, {"turn": 54, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 252, "thread": [{"turn": 0, "text": "贫血怎么办，吃点什么能快速补血（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，贫血很严重吗？具体有化验结果吗？", "role": "doctor"}, {"turn": 2, "text": "月经量每次都很大，查了b超又没什么问题", "role": "patient"}, {"turn": 3, "text": "没去化验", "role": "patient"}, {"turn": 4, "text": "但我自己感觉贫血啊", "role": "patient"}, {"turn": 5, "text": "网上查的症状都符合", "role": "patient"}, {"turn": 6, "text": "奥。这种情况可以多吃猪肝 猪血这类食物，含铁比较高。", "role": "doctor"}, {"turn": 7, "text": "可以去查一下，比较便宜，随便一个医院都可以查。", "role": "doctor"}, {"turn": 8, "text": "到医院哪个科啊", "role": "patient"}, {"turn": 9, "text": "内科都可以，就说查个血常规开单子查就行了。", "role": "doctor"}, {"turn": 10, "text": "只要不是很严重的贫血就食疗就行是吧", "role": "patient"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "看查出来血红蛋白处于哪种水平", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 253, "thread": [{"turn": 0, "text": "附睾炎吃前列安通片有效吗（男，20岁）", "role": "patient"}, {"turn": 1, "text": "目前有没有红肿，疼痛了？", "role": "doctor"}, {"turn": 2, "text": "没觉着红肿", "role": "patient"}, {"turn": 3, "text": "那这个是怎么诊断的附睾炎了？彩超检查结果传上来看一下", "role": "doctor"}, {"turn": 4, "text": "但左边睾丸那火拉拉的", "role": "patient"}, {"turn": 5, "text": "这个多长时间了？", "role": "doctor"}, {"turn": 6, "text": "我自己上网查的，没去检查", "role": "patient"}, {"turn": 7, "text": "这个可能不是附睾炎，可能是前列腺，或者精索静脉曲张影响", "role": "doctor"}, {"turn": 8, "text": "那假如是附睾炎", "role": "patient"}, {"turn": 9, "text": "吃前列安通片有效吗", "role": "patient"}, {"turn": 10, "text": "附睾炎作用不大，需要配合左氧氟沙星", "role": "doctor"}, {"turn": 11, "text": "老是觉着火辣辣的", "role": "patient"}, {"turn": 12, "text": "有过手淫", "role": "patient"}, {"turn": 13, "text": "可以配合左氧氟沙星配合一起，", "role": "doctor"}, {"turn": 14, "text": "那吃前列安通片一点用都没有？", "role": "patient"}, {"turn": 15, "text": "如果前列腺，有一定作用。", "role": "doctor"}, {"turn": 16, "text": "摸着测面左边侧面睾丸一点也不痛", "role": "patient"}, {"turn": 17, "text": "就是火拉拉的，", "role": "patient"}, {"turn": 18, "text": "这个附睾炎可能性不大。", "role": "doctor"}, {"turn": 19, "text": "应该不是附睾炎是不", "role": "patient"}, {"turn": 20, "text": "对的。可能是前列腺，或者精索静脉曲张可能性大", "role": "doctor"}, {"turn": 21, "text": "我搁网上查的说是得了附睾炎睾丸发硬，不发滑", "role": "patient"}, {"turn": 22, "text": "我摸着不硬也不发滑", "role": "patient"}, {"turn": 23, "text": "那个急性附睾炎。对着网上给自己诊断，这个不靠谱", "role": "doctor"}, {"turn": 24, "text": "普通附睾炎是啥症状", "role": "patient"}, {"turn": 25, "text": "阴囊红肿，疼痛，还有就是附睾结节，这样典型的附睾炎。", "role": "doctor"}, {"turn": 26, "text": "那我这是咋了😭😭", "role": "patient"}, {"turn": 27, "text": "吃点阿莫西林消炎行不", "role": "patient"}, {"turn": 28, "text": "？", "role": "patient"}, {"turn": 29, "text": "上面反复说了考虑两种情况的，", "role": "doctor"}, {"turn": 30, "text": "？？？", "role": "doctor"}, {"turn": 31, "text": "药物也推荐了，你一直自作主张，", "role": "doctor"}, {"turn": 32, "text": "目前需要做的就是检查阴囊彩超，了解由于精索静脉曲张，如果没有，可以服用药物治疗。前列腺，和精索静脉曲张药物不一样", "role": "doctor"}, {"turn": 33, "text": "哦哦谢谢", "role": "patient"}, {"turn": 34, "text": "不客气，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 254, "thread": [{"turn": 0, "text": "胎停有必要查胚胎染色体吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你是多大孕周胚停？孕早期有出血吗？", "role": "doctor"}, {"turn": 2, "text": "第二次胎停了 这次是9周没有胎心 想问下有必要做胚胎检查吗  检查这个有用吗 还是只检查双方的染色体", "role": "patient"}, {"turn": 3, "text": "没有出血", "role": "patient"}, {"turn": 4, "text": "如果想明确胚停的原因，可以行胚胎检查", "role": "doctor"}, {"turn": 5, "text": "但是对后面怀孕意义不大", "role": "doctor"}, {"turn": 6, "text": "建议行夫妻双方外周血染色体检查", "role": "doctor"}, {"turn": 7, "text": "做了这个 双方还是要做染色体检查吗 会不会多此一举", "role": "patient"}, {"turn": 8, "text": "就你目前来说，建议你只做夫妻双方染色体检查", "role": "doctor"}, {"turn": 9, "text": "是不是双方做染色体就知道胎停的原因了 就没必要做胚胎检查呢", "role": "patient"}, {"turn": 10, "text": "因为这个胚胎已经停止发育了", "role": "doctor"}, {"turn": 11, "text": "胚停的原因又很多，胚胎染色体检查有可能什么都查不出来", "role": "doctor"}, {"turn": 12, "text": "是不是这个胚胎有问题 也是我们双方的染色体有问题", "role": "patient"}, {"turn": 13, "text": "就是直接查双方的染色体就可以了", "role": "patient"}, {"turn": 14, "text": "引起胚胎停育的原因很多，主要有以下几个方面的原因：胚胎发育不全，孕卵异常；胎盘发育不良、母儿血型不合；女性内分泌功能失调、生殖器官疾病；女性孕期全身性疾病；女性孕期外伤、情绪急骤变化；男性精子质量问题，如发育异常、畸形等；以及男女双方中存在染色体异常等", "role": "doctor"}, {"turn": 15, "text": "不一定是你们的问题，好的种子好的土地，不一定都能生根发芽", "role": "doctor"}, {"turn": 16, "text": "好的 到时候会检查这些项目吗", "role": "patient"}, {"turn": 17, "text": "所以你也不用太焦虑", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "你们夫妻俩可以做个详细的孕前检查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 255, "thread": [{"turn": 0, "text": "牙髓炎怎么办？疼的难受（女，29）", "role": "patient"}, {"turn": 1, "text": "牙髓炎最有效的办法就是开髓引流，缓解牙髓腔的压力，疼痛就会缓解，然后按步骤完成根管治疗术，需要到医院口腔牙体牙髓科就诊治疗。", "role": "doctor"}, {"turn": 2, "text": "需要拔牙吗？需要把神经打了吗？疼吗？", "role": "patient"}, {"turn": 3, "text": "不建议轻易拔牙，需要去除牙髓，也就包括你说的牙神经。", "role": "doctor"}, {"turn": 4, "text": "去除牙髓疼吗？", "role": "patient"}, {"turn": 5, "text": "不好意思啊，上班很忙没来得及回复，这个会有疼痛的，不过可以局部麻醉下治疗。", "role": "doctor"}, {"turn": 6, "text": "好像是打麻醉针也很疼的啊！还没去治疗，先打退堂鼓了。", "role": "patient"}, {"turn": 7, "text": "这个问题，打了麻醉药后基本可以忍受的其实。", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢啊", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 256, "thread": [{"turn": 0, "text": "左脚骨折恢复中小腿和大腿酸胀痛（男，49岁）", "role": "patient"}, {"turn": 1, "text": "你好，手术后多长时间了？这是手术术后恢复的一个正常的表现，酸胀力量小", "role": "doctor"}, {"turn": 2, "text": "我左脚骨折50天左右了``", "role": "patient"}, {"turn": 3, "text": "没有做手术，", "role": "patient"}, {"turn": 4, "text": "因为你长时间不活动，刚开始锻炼肌肉是有这样的反应，时间长了，以后就好一点了，慢慢就恢复了", "role": "doctor"}, {"turn": 5, "text": "左脚七盖有一点痛", "role": "patient"}, {"turn": 6, "text": "您说的是左膝盖吗，因为你50天肌肉，韧带都有点萎缩了，所以说刚开始锻炼会出现酸痛的感觉，有一点疼，可以吃点消炎止痛的药物，布洛芬缓释胶囊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 257, "thread": [{"turn": 0, "text": "胃肠功能紊乱用什么药治疗（男，51岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "以前吃的啥药", "role": "doctor"}, {"turn": 3, "text": "多长时间了", "role": "doctor"}, {"turn": 4, "text": "胃痛不反酸，不烧心，腹胀腹痛，早起胀时有硬物，大便正常", "role": "patient"}, {"turn": 5, "text": "两个月了", "role": "patient"}, {"turn": 6, "text": "左下腹", "role": "patient"}, {"turn": 7, "text": "胃肠镜及腹部超声做过吗", "role": "doctor"}, {"turn": 8, "text": "吃了达喜泮托拉唑胃痛定，还喝了中药，有疼了", "role": "patient"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "建议你检查一下胃镜、肠镜、和腹部超声看看", "role": "doctor"}, {"turn": 11, "text": "没问题的话服药调节就可以了", "role": "doctor"}, {"turn": 12, "text": "中医说是胃肠功能紊乱", "role": "patient"}, {"turn": 13, "text": "不检查猜着给你给药效果差，", "role": "doctor"}, {"turn": 14, "text": "胃肠功能紊乱的诊断也是胃肠镜检查结果都是好的，才能诊断啊", "role": "doctor"}, {"turn": 15, "text": "药物调理用什么药好呢", "role": "patient"}, {"turn": 16, "text": "检查完了再说，胃炎也分好几种呢", "role": "doctor"}, {"turn": 17, "text": "用的药不一样", "role": "doctor"}, {"turn": 18, "text": "嗯", "role": "patient"}, {"turn": 19, "text": "好的，祝你早日康复！", "role": "doctor"}, {"turn": 20, "text": "明天去检查", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}, {"turn": 22, "text": "在吗医生", "role": "patient"}, {"turn": 23, "text": "咨询一下", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 258, "thread": [{"turn": 0, "text": "我患有慢性咽炎怎么治疗(女，37岁)", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "可以口服清咽利喉颗粒，金嗓散结丸，外用开喉剑喷雾剂喷咽", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "可以口服及外用药物治疗", "role": "doctor"}, {"turn": 5, "text": "平时主要是忌口", "role": "doctor"}, {"turn": 6, "text": "忌刺激性辛辣食物，忌腥，忌烟酒，忌生冷饮食", "role": "doctor"}, {"turn": 7, "text": "平时可以用金银花野菊花胖大海泡水喝", "role": "doctor"}, {"turn": 8, "text": "患病五个月了，嗓子上好像老有东西咳不出来，有时还痒，这症状是不是慢性咽炎", "role": "patient"}, {"turn": 9, "text": "是的", "role": "doctor"}, {"turn": 10, "text": "就是咽痒，咽部异物感", "role": "doctor"}, {"turn": 11, "text": "服药一个多月效果不好，在没吃药", "role": "patient"}, {"turn": 12, "text": "需要正规用药", "role": "doctor"}, {"turn": 13, "text": "这种病能治好吗？", "role": "patient"}, {"turn": 14, "text": "不能，容易复发", "role": "doctor"}, {"turn": 15, "text": "和情绪饮食都有关", "role": "doctor"}, {"turn": 16, "text": "我很担心怕引起其他病种该怎么办呢", "role": "patient"}, {"turn": 17, "text": "一般不会", "role": "doctor"}, {"turn": 18, "text": "现在咽炎比较常见", "role": "doctor"}, {"turn": 19, "text": "按您的意思我现在就是把口忌好，然后正规服药就能控制是不是", "role": "patient"}, {"turn": 20, "text": "是要长期服药吗", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "不用长期用药，先服用半月看看", "role": "doctor"}, {"turn": 23, "text": "好的谢谢您", "role": "patient"}, {"turn": 24, "text": "别客气😊", "role": "doctor"}, {"turn": 25, "text": "希望能帮到您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 259, "thread": [{"turn": 0, "text": "直肠息肉电切后为什么总肠鸣（女，48岁）", "role": "patient"}, {"turn": 1, "text": "你好、这种情况有多久了啊？", "role": "doctor"}, {"turn": 2, "text": "做肠镜了吗？", "role": "doctor"}, {"turn": 3, "text": "做了肠鏡切了直肠息肉到今天有3天时间一直肠鸣", "role": "patient"}, {"turn": 4, "text": "肠鸣是因为肠道有气肠蠕动导致的", "role": "doctor"}, {"turn": 5, "text": "做肠镜时候在肠道充气和水，之后会有这样的情况的", "role": "doctor"}, {"turn": 6, "text": "请问这种情况会持续多久", "role": "patient"}, {"turn": 7, "text": "会自行消退吗？", "role": "patient"}, {"turn": 8, "text": "会慢慢就好了", "role": "doctor"}, {"turn": 9, "text": "肠道恢复以前的状态就好了", "role": "doctor"}, {"turn": 10, "text": "一般要多长时间", "role": "patient"}, {"turn": 11, "text": "一周之内应该会好的", "role": "doctor"}, {"turn": 12, "text": "谢谢你", "role": "patient"}, {"turn": 13, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 260, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：中耳炎症状（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "我耳朵里有好多一个一个的像肉粒一样的东西，这是为什么", "role": "patient"}, {"turn": 3, "text": "做检查了吗", "role": "doctor"}, {"turn": 4, "text": "还没有", "role": "patient"}, {"turn": 5, "text": "去做一个耳内镜检查，有一个实物图才行", "role": "doctor"}, {"turn": 6, "text": "要不然无法判定", "role": "doctor"}, {"turn": 7, "text": "这都是手摸起来感觉到的，有直视图，才能给您确诊", "role": "doctor"}, {"turn": 8, "text": "我是油耳朵，在前段时间耳朵还有种撕裂感，一直拖到现在，耳朵里就有了一个一个的东西，我有没有可能是得了什么病", "role": "patient"}, {"turn": 9, "text": "不像是病", "role": "doctor"}, {"turn": 10, "text": "根据您的描述，像是耵聍栓塞", "role": "doctor"}, {"turn": 11, "text": "通俗来说就是耳屎多了", "role": "doctor"}, {"turn": 12, "text": "现在经常时不时耳朵会痛", "role": "patient"}, {"turn": 13, "text": "如果耵聍块大了，不及时取出，就会刺激的耳内疼，甚至发炎", "role": "doctor"}, {"turn": 14, "text": "耳朵里的一个一个的像肉粒一样的东西，可能是什么", "role": "patient"}, {"turn": 15, "text": "耳屎块", "role": "doctor"}, {"turn": 16, "text": "可是那一个一个的好像是长出来的", "role": "patient"}, {"turn": 17, "text": "这个可能性最大", "role": "doctor"}, {"turn": 18, "text": "油耳朵容易引起耵聍蓄积", "role": "doctor"}, {"turn": 19, "text": "那我现在是不是要经常清理耳朵", "role": "patient"}, {"turn": 20, "text": "那个一个一个的更像是长出来的东西，是耳屎块还是什么", "role": "patient"}, {"turn": 21, "text": "油耳朵要定时清理耳朵", "role": "doctor"}, {"turn": 22, "text": "因为容易耵聍积累", "role": "doctor"}, {"turn": 23, "text": "您没做检查，我无法确诊，我只是根据您描述", "role": "doctor"}, {"turn": 24, "text": "来初步判断", "role": "doctor"}, {"turn": 25, "text": "我无法百分百肯定", "role": "doctor"}, {"turn": 26, "text": "您可以清理清理耳朵试试", "role": "doctor"}, {"turn": 27, "text": "如果耵聍块较大，不建议您自己取了", "role": "doctor"}, {"turn": 28, "text": "可以去咨医院找大夫用专业工具取出来", "role": "doctor"}, {"turn": 29, "text": "嗯，我回头就去做检查，谢谢了", "role": "patient"}, {"turn": 30, "text": "好的，祝您生活愉快🍀🍀", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 261, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：结石（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，问题能否详细些", "role": "doctor"}, {"turn": 2, "text": "您好，医生", "role": "patient"}, {"turn": 3, "text": "你好，请问是什么部位结石，多大，有什么症状", "role": "doctor"}, {"turn": 4, "text": "我肾结石，检查结石有豌豆大小", "role": "patient"}, {"turn": 5, "text": "有没有报告", "role": "doctor"}, {"turn": 6, "text": "现在排尿怎么有血尿", "role": "patient"}, {"turn": 7, "text": "是否有报告，有的话能否上传我判断下", "role": "doctor"}, {"turn": 8, "text": "我以为问题不大，报告有，不在我这里，在儿子家", "role": "patient"}, {"turn": 9, "text": "除了血尿，你是否有疼痛不适感", "role": "doctor"}, {"turn": 10, "text": "坐久了，肾有疼痛", "role": "patient"}, {"turn": 11, "text": "是这样的，因为没有报告，我只能大概给你说下", "role": "doctor"}, {"turn": 12, "text": "第一，小的肾结石如果没有引起积水的话，是不做处理的，自己多喝水，自己排", "role": "doctor"}, {"turn": 13, "text": "第二，血尿的话，肾结石在肾脏能滑动，会出现血尿", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢您", "role": "patient"}, {"turn": 15, "text": "第三，如果肾结石引起了积水，或则肾结石掉在了输尿管内，那么就需要处理了", "role": "doctor"}, {"turn": 16, "text": "医生，我需要买什么药物治疗", "role": "patient"}, {"turn": 17, "text": "如果是小结石，可以吃点排石颗粒，平时多喝水，多运动", "role": "doctor"}, {"turn": 18, "text": "促进结石自行排出", "role": "doctor"}, {"turn": 19, "text": "是江西制药厂出的排石颗粒吗？", "role": "patient"}, {"turn": 20, "text": "好的，谢谢您的建议", "role": "patient"}, {"turn": 21, "text": "什么厂家无所谓，功能作用都是一样的", "role": "doctor"}, {"turn": 22, "text": "非常感谢🙏，我叫我老头子去买点药", "role": "patient"}, {"turn": 23, "text": "不客气，平时多喝水，定期复查彩超即可", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢您", "role": "patient"}, {"turn": 25, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 262, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肾病综合症（女，41岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问有什么问题呢", "role": "doctor"}, {"turn": 2, "text": "我想问问肾病综合征是必须要吃激素药治疗吗", "role": "patient"}, {"turn": 3, "text": "忙吗？医生", "role": "patient"}, {"turn": 4, "text": "忙哦，不过我会看到的", "role": "doctor"}, {"turn": 5, "text": "应该这样说，大部分肾病综合征，是需要吃激素的，除非有特别的原因。", "role": "doctor"}, {"turn": 6, "text": "我们一般建议肾病综合征要做肾穿刺，也是这个道理", "role": "doctor"}, {"turn": 7, "text": "有些肾病综合征，比如糖尿病引起的糖尿病肾病，也会表现为肾病综合征，就不需要用激素", "role": "doctor"}, {"turn": 8, "text": "现在医生叫我吃激素药治疗了", "role": "patient"}, {"turn": 9, "text": "那可能是医生觉得需要吃吧", "role": "doctor"}, {"turn": 10, "text": "医生目前没有说做肾穿刺，只有今天有一个医生说了一下", "role": "patient"}, {"turn": 11, "text": "这个我不清楚你那边的情况", "role": "doctor"}, {"turn": 12, "text": "我现在没有糖尿病，血清也正常，唯一就是肌酐有点高和蛋白尿", "role": "patient"}, {"turn": 13, "text": "这些资料太少", "role": "doctor"}, {"turn": 14, "text": "我无法判断", "role": "doctor"}, {"turn": 15, "text": "要啥资料呢", "role": "patient"}, {"turn": 16, "text": "疾病的发生，一开始的情况，临床表现，有无诱因，具体的所有正常或不正常的结果，详细的体格检查，诊治经过，完备的实验室检查，以及详细的个人资料等", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 263, "thread": [{"turn": 0, "text": "哺乳期出水痘多久才能喂奶（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好朋友，吃药没有啊！建议水痘结痂后五天", "role": "doctor"}, {"turn": 2, "text": "吃了抗病毒的药", "role": "patient"}, {"turn": 3, "text": "现在基本身上结痂都已经掉了", "role": "patient"}, {"turn": 4, "text": "现在是第二十一天了\n我吃了泛昔洛韦，外用了泛昔洛韦乳膏，应该停药多久才可以哺乳", "role": "patient"}, {"turn": 5, "text": "停药一周就可以母乳喂养", "role": "doctor"}, {"turn": 6, "text": "吃的药已经停药一周多了，外用的药没有停，可以哺乳吗", "role": "patient"}, {"turn": 7, "text": "建议外用的也停药，再母乳喂养吧", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 264, "thread": [{"turn": 0, "text": "乳腺癌术后复发期是几年之内（女，51岁）", "role": "patient"}, {"turn": 1, "text": "您好…这个具体看病理分型和具体手术情况…方便的话请把手术术式和术后病理发给我…一下", "role": "doctor"}, {"turn": 2, "text": "谢谢", "role": "doctor"}, {"turn": 3, "text": "你好，我拿这病例去找你，能给我开个书面上得材料么，就是乳腺癌术后得复发期是几年之内", "role": "patient"}, {"turn": 4, "text": "这个我们这里开不了…您可以去做手术的地方咨询一下…", "role": "doctor"}, {"turn": 5, "text": "再有肿瘤术后具体多久复发…没有具体的标准…", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 265, "thread": [{"turn": 0, "text": "直肠癌，化疗期间，牛肉可以吃吗（女，56岁）", "role": "patient"}, {"turn": 1, "text": "术后多久了你好，什么时候做的手术？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "doctor"}, {"turn": 3, "text": "没有做手术", "role": "patient"}, {"turn": 4, "text": "一直就在化疗", "role": "patient"}, {"turn": 5, "text": "可以少量吃一点", "role": "doctor"}, {"turn": 6, "text": "但是不要多吃", "role": "doctor"}, {"turn": 7, "text": "哪像老母鸡汤可以吃吗", "role": "patient"}, {"turn": 8, "text": "不消化", "role": "doctor"}, {"turn": 9, "text": "容易引起肠梗阻", "role": "doctor"}, {"turn": 10, "text": "鸡肉能吃吗？老母鸡汤可以喝吗", "role": "patient"}, {"turn": 11, "text": "病人化疗反应大吗", "role": "doctor"}, {"turn": 12, "text": "会没有井绳", "role": "patient"}, {"turn": 13, "text": "精神", "role": "patient"}, {"turn": 14, "text": "而且贫血", "role": "patient"}, {"turn": 15, "text": "在粪便干燥时可以适当增加饮水量。饮食应无刺激、营养丰富、忌生冷、清淡、易消化。指导患者生活要有规律，适当运动，保持心情愉快。", "role": "doctor"}, {"turn": 16, "text": "不是，医生，我就想知道鸡肉和老母鸡汤能吃和能喝吗", "role": "patient"}, {"turn": 17, "text": "可以", "role": "doctor"}, {"turn": 18, "text": "我建议还是少吃点", "role": "doctor"}, {"turn": 19, "text": "鸡肉可以吃吗", "role": "patient"}, {"turn": 20, "text": "荤素搭配", "role": "doctor"}, {"turn": 21, "text": "可以", "role": "doctor"}, {"turn": 22, "text": "肉类吃的太多", "role": "doctor"}, {"turn": 23, "text": "容易不消化", "role": "doctor"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "贫血现在", "role": "doctor"}, {"turn": 26, "text": "应注意加强营养", "role": "doctor"}, {"turn": 27, "text": "现在在吃中药", "role": "patient"}, {"turn": 28, "text": "老母鸡汤能喝吗", "role": "patient"}, {"turn": 29, "text": "硫酸亚铁", "role": "doctor"}, {"turn": 30, "text": "可以补血", "role": "doctor"}, {"turn": 31, "text": "可以", "role": "doctor"}, {"turn": 32, "text": "好的", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 266, "thread": [{"turn": 0, "text": "慢性咽炎老是有黄痰怎么办（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好 有黄痰说明有感染 抗生素用了吗", "role": "doctor"}, {"turn": 2, "text": "没有吧，之前", "role": "patient"}, {"turn": 3, "text": "那都用过什么药了", "role": "doctor"}, {"turn": 4, "text": "忘了，就咽炎片也吃过，含着的那种药也吃过", "role": "patient"}, {"turn": 5, "text": "那个枇杷糖浆也吃过好早之前", "role": "patient"}, {"turn": 6, "text": "还在吗医生", "role": "patient"}, {"turn": 7, "text": "在  这种情况需要口服抗生素  抗生素有过敏的吗", "role": "doctor"}, {"turn": 8, "text": "不知道，以前没有医生说我哪个过敏", "role": "patient"}, {"turn": 9, "text": "嗯  头孢克肟+氨溴索口服液+慢严舒柠 这三个药一起吃  忌辛辣 戒烟酒", "role": "doctor"}, {"turn": 10, "text": "嗯嗯，好，吃完一个周期再看一下怎么样是吗", "role": "patient"}, {"turn": 11, "text": "嗯 吃5-7天观察看看", "role": "doctor"}, {"turn": 12, "text": "好，再来咨询你吗，医生", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}, {"turn": 14, "text": "有什么疑问或者不明白的地方可以随时留言，祝你早日康复！！！", "role": "doctor"}, {"turn": 15, "text": "好，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 267, "thread": [{"turn": 0, "text": "做完大型手术跟急性胃炎有关系吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，做大手术时要预防急性应激反应，预防胃出血", "role": "doctor"}, {"turn": 2, "text": "大手术后有可能有应激性胃肠道反应", "role": "doctor"}, {"turn": 3, "text": "做完手术一个多月了 以前从来没胃疼过 就是最近疼了两次 \n热敷一下 东西吐出去就好了", "role": "patient"}, {"turn": 4, "text": "有胃炎的更应该注意预防", "role": "doctor"}, {"turn": 5, "text": "做的什么手术？", "role": "doctor"}, {"turn": 6, "text": "这样状况 有什么好方法吗", "role": "patient"}, {"turn": 7, "text": "这么久了一般不存在应激了", "role": "doctor"}, {"turn": 8, "text": "骶尾部的肿瘤切除", "role": "patient"}, {"turn": 9, "text": "胃疼外还有其他不舒服的症状吗？", "role": "doctor"}, {"turn": 10, "text": "可以吃点奥美拉唑", "role": "doctor"}, {"turn": 11, "text": "如果术后没服药的话，一个多月了与手术关系不大了，服药的话药物可能刺激胃黏膜", "role": "doctor"}, {"turn": 12, "text": "胃绞痛  第一次疼的时候胃右边特疼 今天就单纯胃绞痛 吃了点西瓜 吐出去了之后就不疼了 没有别的症状", "role": "patient"}, {"turn": 13, "text": "如果术后又放化疗的话，更有可能出现胃肠道症状", "role": "doctor"}, {"turn": 14, "text": "医院检查 胆管内有个一厘米的小结石。两者有关系吗", "role": "patient"}, {"turn": 15, "text": "没化疗。手术做完拆线就出院了 打了几天消炎针", "role": "patient"}, {"turn": 16, "text": "吃点药调节一下吧，一般会缓解的", "role": "doctor"}, {"turn": 17, "text": "结石有可能有关系", "role": "doctor"}, {"turn": 18, "text": "如果右边也疼的话，与胆管结石关系很大", "role": "doctor"}, {"turn": 19, "text": "吃点保护胃黏膜的药 平时饮食注意点就行吗 \n 去医院做个胃镜是不是能更清楚病因", "role": "patient"}, {"turn": 20, "text": "平时注意避免油腻生冷辛辣刺激性食物避免熬夜劳累受凉饮酒", "role": "doctor"}, {"turn": 21, "text": "肯定是做个胃镜更明确", "role": "doctor"}, {"turn": 22, "text": "好的 谢谢大夫", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 268, "thread": [{"turn": 0, "text": "肠道功能紊乱吃什么药好（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "肠道功能紊乱，做过肠镜了", "role": "patient"}, {"turn": 3, "text": "有什么症状", "role": "doctor"}, {"turn": 4, "text": "现在就是偶尔会有点疼但是就那么两秒，还有就是感觉大便偶尔会有些不规律", "role": "patient"}, {"turn": 5, "text": "还有就是肚子偶尔会咕咕咕的响，偶尔有些想上厕所，但是不注意感觉的话又不想上", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "一天几次大便", "role": "doctor"}, {"turn": 8, "text": "一般一天一次，都是在早上，偶尔会在晚上或者一天不上，又或者两次，一周出现一次的样子", "role": "patient"}, {"turn": 9, "text": "我现在在吃消化酶胶囊，匹维溴铵片和嗜酸乳杆菌片", "role": "patient"}, {"turn": 10, "text": "之前吃的谷氨酰胺肠溶片，嗜酸乳杆菌片和马来酸曲美布汀片", "role": "patient"}, {"turn": 11, "text": "我现在该怎么吃药", "role": "patient"}, {"turn": 12, "text": "医生在吗？", "role": "patient"}, {"turn": 13, "text": "那还可以", "role": "doctor"}, {"turn": 14, "text": "注意清淡饮食，禁忌辛辣生冷刺激食物，不要吃太饱，太油腻，禁烟酒", "role": "doctor"}, {"turn": 15, "text": "药物吃点舒丽启能，整肠生", "role": "doctor"}, {"turn": 16, "text": "那我可以吃益生菌发酵的酸奶吗", "role": "patient"}, {"turn": 17, "text": "整肠生里面含有什么菌群吗？对肠道功能紊乱作用大吗", "role": "patient"}, {"turn": 18, "text": "可以", "role": "doctor"}, {"turn": 19, "text": "双歧杆菌", "role": "doctor"}, {"turn": 20, "text": "我一个月吃了3种不同的药，再次更换药物会不会对肠道有影响，虽然每次只是换了一种药物", "role": "patient"}, {"turn": 21, "text": "那你就加舒丽启能", "role": "doctor"}, {"turn": 22, "text": "其他按照原来的", "role": "doctor"}, {"turn": 23, "text": "那我就按之前的舒丽启能，复方谷氨酰胺肠溶片和嗜酸乳杆菌这个搭配吃吗？可以把嗜酸乳杆菌片换成整肠生吗？", "role": "patient"}, {"turn": 24, "text": "也就是舒丽启能，复方谷氨酰胺肠溶片和整肠生可以一起吃吗", "role": "patient"}, {"turn": 25, "text": "可以", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 269, "thread": [{"turn": 0, "text": "和肝炎人吃饭会传染吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好请问是什么类型的肝炎？", "role": "doctor"}, {"turn": 2, "text": "其实我也不知道是什么肝炎，就是今天我上班那里的老师傅煮了点海鲜，就尝了尝，然后我的同事们就说翁师傅的肝有问题你还敢吃他的东西。把我吓着了，会不会传染呀", "role": "patient"}, {"turn": 3, "text": "然后前几天还还用了他多余的碗诶", "role": "patient"}, {"turn": 4, "text": "甲肝和戊肝经消化道传播，其他肝炎不经消化道传播", "role": "doctor"}, {"turn": 5, "text": "甲肝和戊肝传播速度很快吗？", "role": "patient"}, {"turn": 6, "text": "那万一是，我这是传染了呢？还是没有呢？", "role": "patient"}, {"turn": 7, "text": "嗯，最终感染也是受病毒数量、机体抵抗力等影响哈", "role": "doctor"}, {"turn": 8, "text": "去医院查血就知道了", "role": "doctor"}, {"turn": 9, "text": "那我去挂什么科呢？", "role": "patient"}, {"turn": 10, "text": "检查什么", "role": "patient"}, {"turn": 11, "text": "肝病科或者感染科都可以", "role": "doctor"}, {"turn": 12, "text": "查肝炎指标", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 270, "thread": [{"turn": 0, "text": "慢性鼻窦炎鼻中隔偏左治得好吗（男，41岁）", "role": "patient"}, {"turn": 1, "text": "请问你这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "十几年了", "role": "patient"}, {"turn": 3, "text": "有没有C T确诊是鼻窦炎和鼻中隔偏曲？", "role": "doctor"}, {"turn": 4, "text": "在县医院确诊", "role": "patient"}, {"turn": 5, "text": "目前有什么症状？", "role": "doctor"}, {"turn": 6, "text": "要是发作了记忆力减退头痛耳朵有点难受", "role": "patient"}, {"turn": 7, "text": "鼻涕什么颜色？", "role": "doctor"}, {"turn": 8, "text": "浓鼻涕", "role": "patient"}, {"turn": 9, "text": "鼻窦炎半鼻中隔偏曲可以做手术治疗，但是手术之后也有复发的风险。", "role": "doctor"}, {"turn": 10, "text": "另外可以吃中药治疗，中药治疗这个疾病效果还是挺好的。", "role": "doctor"}, {"turn": 11, "text": "同时能增加抵抗力减少感冒次数。", "role": "doctor"}, {"turn": 12, "text": "中药吃什么药", "role": "patient"}, {"turn": 13, "text": "中药要讲究辨证论治，要看到人才能跟你开适合你的中药，效果才会好一些。", "role": "doctor"}, {"turn": 14, "text": "医院中医能开药吗", "role": "patient"}, {"turn": 15, "text": "我建议去中医院的耳鼻喉科去开中药治疗", "role": "doctor"}, {"turn": 16, "text": "噢谢谢", "role": "patient"}, {"turn": 17, "text": "不客气！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 271, "thread": [{"turn": 0, "text": "月经不调可以用什么中药？（女，26岁）", "role": "patient"}, {"turn": 1, "text": "平时想调理月经主要是生活习惯配合药物", "role": "doctor"}, {"turn": 2, "text": "平时饮食上生冷辛辣油腻的尽量避免，带壳海鲜少吃点。\n晚上注意休息，不要太晚睡觉，最好把睡眠时间控制在十点左右。\n多去参加社交活动，适当锻炼一下。", "role": "doctor"}, {"turn": 3, "text": "中药可以吃点益母草，当归，黄芪，党参，枸杞来活血调经", "role": "doctor"}, {"turn": 4, "text": "怎么是男医生", "role": "patient"}, {"turn": 5, "text": "是的", "role": "doctor"}, {"turn": 6, "text": "可以换个女医生", "role": "patient"}, {"turn": 7, "text": "系统是随机分配的，没有男女指定的", "role": "doctor"}, {"turn": 8, "text": "我这里换不了，你可以跟客服申请一下看看可不可以", "role": "doctor"}, {"turn": 9, "text": "男医生没那么多经验。没那么了解。", "role": "patient"}, {"turn": 10, "text": "我这里换不了，你可以跟客服申请一下看看可不可以", "role": "doctor"}, {"turn": 11, "text": "那对话没有对话完，钱能退吗？", "role": "patient"}, {"turn": 12, "text": "你要跟客服申请退款", "role": "doctor"}, {"turn": 13, "text": "客服在哪点进去的", "role": "patient"}, {"turn": 14, "text": "你们的主界面上应该有的。因为我这边是医生的界面，所以我也不太确定患者的是不是跟我们一样的。", "role": "doctor"}, {"turn": 15, "text": "我们是主界面上就可以联系客服的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 272, "thread": [{"turn": 0, "text": "贫血，缺钙的患者该如何补充营养（女，17岁）", "role": "patient"}, {"turn": 1, "text": "贫血的话食物可以多吃动物血补铁，同时吃点维生素b 12和叶酸片。补铁也可以口服药物力蜚能。如果不严重建议通过食物就可以了。缺钙可以多吃高钙食品，也可以口服钙片，如钙尔奇等。", "role": "doctor"}, {"turn": 2, "text": "含钙高食物有：乳类与乳制品：牛、羊奶及其奶粉、乳酪、酸奶、炼乳。 豆类与豆制品：黄豆、毛豆、扁豆、蚕豆、豆腐、豆腐干、豆腐皮、豆腐乳等。 海产品：鲫鱼、鲤鱼、鲢鱼、泥鳅、虾、虾米、虾皮、螃蟹、海带、紫菜、蛤蜊、海参、田螺等。 肉类与禽蛋：羊肉、猪脑、鸡肉、鸡蛋、鸭蛋、鹌鹑蛋、松花蛋、猪肉松等。 蔬菜类：芹菜、油菜、胡萝卜、萝卜缨、芝麻、香菜、雪里蕻、黑木耳、蘑菇等。 水果与干果类：柠檬、枇杷、苹果、黑枣、杏脯、橘饼、桃脯、杏仁、山楂、葡萄干、胡桃、西瓜子、南瓜子、桑椹干、花生、莲子等。", "role": "doctor"}, {"turn": 3, "text": "一个严重缺钙的青少年大概吃多久的钙片才能不缺钙呢？", "role": "patient"}, {"turn": 4, "text": "严重缺钙这个一定要先找原因，往往是疾病导致的。排除了疾病才补钙才有效果。", "role": "doctor"}, {"turn": 5, "text": "因为肾炎呢", "role": "patient"}, {"turn": 6, "text": "肾炎不纠正，补钙只是对症，没有办法完全纠正的。而且肾炎造成的一般都是慢性肾炎，这个根去不了，补钙只是对症。", "role": "doctor"}, {"turn": 7, "text": "明白了", "role": "patient"}, {"turn": 8, "text": "希望您早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 273, "thread": [{"turn": 0, "text": "膀胱炎反复发作怎么办（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好！女同志的膀胱炎有的没有完全预防的办法。", "role": "doctor"}, {"turn": 2, "text": "怎么样才能完全好", "role": "patient"}, {"turn": 3, "text": "女性泌尿道感染非常常见，但是一般都不要意思提起，重点是多饮水保持会阴部卫生，不必紧张，很常见的疾病。如果确实经过大量饮水和保持会阴部卫生，感染还是反复发作，就需要去医院查查看看，排除一下会阴部泌尿系统畸形和膀胱残余尿过多。", "role": "doctor"}, {"turn": 4, "text": "没有什么好办法一劳永逸的解决问题。", "role": "doctor"}, {"turn": 5, "text": "怎么样才能预防反复发作", "role": "patient"}, {"turn": 6, "text": "多喝水，注意会阴部卫生", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 274, "thread": [{"turn": 0, "text": "腰部软组织损伤需要休息多久可以痊愈（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！什么时候扭伤的？现在主要是什么症状？", "role": "doctor"}, {"turn": 2, "text": "扭伤两天了，现在走路肌肉处于紧张状态，一放松就特别疼", "role": "patient"}, {"turn": 3, "text": "根据你的描述，保守治疗可以选择针灸按摩，必要时小针刀治疗，配合中药内服外用，勿久站久坐，防寒保暖，做腰背伸肌功能锻炼如飞燕点水等。", "role": "doctor"}, {"turn": 4, "text": "自己在家的话可以先贴贴膏药", "role": "doctor"}, {"turn": 5, "text": "贴了膏药", "role": "patient"}, {"turn": 6, "text": "有没有改善呢？", "role": "doctor"}, {"turn": 7, "text": "稍微有一点改善", "role": "patient"}, {"turn": 8, "text": "但是不是很明显", "role": "patient"}, {"turn": 9, "text": "那就需要做治疗啦，治疗方法同前", "role": "doctor"}, {"turn": 10, "text": "嗯，好的，谢谢", "role": "patient"}, {"turn": 11, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 275, "thread": [{"turn": 0, "text": "过敏性鼻炎怎么缓解和治疗？？？（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好！平时有什么症状？", "role": "doctor"}, {"turn": 2, "text": "鼻子经常痒，打喷嚏", "role": "patient"}, {"turn": 3, "text": "从小就有", "role": "patient"}, {"turn": 4, "text": "可以使用辅舒良或内舒拿喷鼻，氯雷他定抗过敏治疗", "role": "doctor"}, {"turn": 5, "text": "我想知道鼻炎对鼻子的形状有影响吗  ？", "role": "patient"}, {"turn": 6, "text": "比如经常擤鼻子", "role": "patient"}, {"turn": 7, "text": "一般没有多大影响", "role": "doctor"}, {"turn": 8, "text": "平时有症状时，及时药物治疗", "role": "doctor"}, {"turn": 9, "text": "我感觉自己鼻头有些变大了，请问医生正确擤鼻子的方法是什么", "role": "patient"}, {"turn": 10, "text": "堵住一侧鼻腔擤鼻子", "role": "doctor"}, {"turn": 11, "text": "噢噢噢，听说有中医能根治过敏性鼻炎，真的吗", "role": "patient"}, {"turn": 12, "text": "目前还没有办法根治过敏性鼻炎", "role": "doctor"}, {"turn": 13, "text": "同学通过中医治疗，似乎已经好了", "role": "patient"}, {"turn": 14, "text": "你也可以试试看", "role": "doctor"}, {"turn": 15, "text": "平常卫生上有什么要注意的吗", "role": "patient"}, {"turn": 16, "text": "可以做过敏源筛查了解对那些东西过敏，以后尽量避免接触", "role": "doctor"}, {"turn": 17, "text": "我是对螨虫过敏", "role": "patient"}, {"turn": 18, "text": "注意保持室内卫生，衣服和床单被罩经常阳光下暴晒", "role": "doctor"}, {"turn": 19, "text": "嗯嗯嗯 我知道了，谢谢医生，我没有问题了", "role": "patient"}, {"turn": 20, "text": "好的，不客气", "role": "doctor"}, {"turn": 21, "text": "谢谢你的心意", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 276, "thread": [{"turn": 0, "text": "关于痛风，的问题！！！！！！！！（男，29岁）痛风两年，一直吃苯溴马隆，控制的还好，这几天手脚关机有点疼，为什么吃药也会复发，而且持续好几天了，之前很少复发", "role": "patient"}, {"turn": 1, "text": "你好，这几天有没有喝酒吃海鲜喝浓汤呢？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "平时尿酸控制的怎么样？", "role": "doctor"}, {"turn": 4, "text": "控制的不错", "role": "patient"}, {"turn": 5, "text": "具体尿酸值是多少", "role": "doctor"}, {"turn": 6, "text": "前两个月查血肌酐130，以为肾功能不全了。过了一个礼拜检查80", "role": "patient"}, {"turn": 7, "text": "280-360尿酸", "role": "patient"}, {"turn": 8, "text": "尿酸呢？", "role": "doctor"}, {"turn": 9, "text": "嗯嗯", "role": "doctor"}, {"turn": 10, "text": "那最近有剧烈运动吗", "role": "doctor"}, {"turn": 11, "text": "肌酐130的时候尿酸280", "role": "patient"}, {"turn": 12, "text": "没有运动", "role": "patient"}, {"turn": 13, "text": "那这次发作有没有去复查尿酸", "role": "doctor"}, {"turn": 14, "text": "我这不是肾功能不全吧", "role": "patient"}, {"turn": 15, "text": "这次复发还没去查", "role": "patient"}, {"turn": 16, "text": "应该高了", "role": "patient"}, {"turn": 17, "text": "身高体重呢？", "role": "doctor"}, {"turn": 18, "text": "170斤，180厘米", "role": "patient"}, {"turn": 19, "text": "尿常规正常彩超正常", "role": "patient"}, {"turn": 20, "text": "还是偏重的", "role": "doctor"}, {"turn": 21, "text": "控制一下体重", "role": "doctor"}, {"turn": 22, "text": "尿酸可能会再降一点", "role": "doctor"}, {"turn": 23, "text": "我说我那两次的血肌酐检查不能说明有肾功能不全吧", "role": "patient"}, {"turn": 24, "text": "后面能降下来就可以", "role": "doctor"}, {"turn": 25, "text": "不算", "role": "doctor"}, {"turn": 26, "text": "尿酸控制好了可以减少痛风发作，但不代表都不发作", "role": "doctor"}, {"turn": 27, "text": "最好能把尿酸控制在300以下", "role": "doctor"}, {"turn": 28, "text": "嗯额", "role": "patient"}, {"turn": 29, "text": "😊", "role": "doctor"}, {"turn": 30, "text": "倒是最近吃药不按时，吃饭没有忌口", "role": "patient"}, {"turn": 31, "text": "那就是了", "role": "doctor"}, {"turn": 32, "text": "肉类也要控制", "role": "doctor"}, {"turn": 33, "text": "注意低嘌呤饮食", "role": "doctor"}, {"turn": 34, "text": "这个治不好？", "role": "patient"}, {"turn": 35, "text": "你可以试着把体重控制下来后面有希望尿酸自己就降下来了", "role": "doctor"}, {"turn": 36, "text": "我担心是不是已经肾功能不全导致这次发作", "role": "patient"}, {"turn": 37, "text": "你肌酐指标降下来了不是？一般不会", "role": "doctor"}, {"turn": 38, "text": "哦", "role": "patient"}, {"turn": 39, "text": "继续控制尿酸哈，减肥", "role": "doctor"}, {"turn": 40, "text": "但是这次好几天了恢复不了，会不会肾出了问题", "role": "patient"}, {"turn": 41, "text": "是指关节痛吗？如果担心可以复查一下肾功能哈，里面尿酸和肌酐都有", "role": "doctor"}, {"turn": 42, "text": "一般是没什么关联的", "role": "doctor"}, {"turn": 43, "text": "指关节痛", "role": "patient"}, {"turn": 44, "text": "一般痛风发作跟肾功能不全没有必然联系", "role": "doctor"}, {"turn": 45, "text": "可以进一步查下肾功能哈。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 277, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：月经不调（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您提供帮助", "role": "doctor"}, {"turn": 2, "text": "您好，请问月经怎么不调", "role": "doctor"}, {"turn": 3, "text": "是提前还是推后", "role": "doctor"}, {"turn": 4, "text": "月经不调，平时月经量少，颜色褐色的", "role": "patient"}, {"turn": 5, "text": "月经量少一般与宫寒着凉是有关系的", "role": "doctor"}, {"turn": 6, "text": "建议经期注意保暖不要着凉多喝红糖水腹部热敷", "role": "doctor"}, {"turn": 7, "text": "也可以吃点活血化瘀药物比如益母草冲剂新生化颗粒都可以", "role": "doctor"}, {"turn": 8, "text": "不一定，有些时候提前，有些时候推后，后面这几个月一直没有来月经，然后这段时间感觉小腹经常硬硬的", "role": "patient"}, {"turn": 9, "text": "多长时间没来了", "role": "doctor"}, {"turn": 10, "text": "三四个月了", "role": "patient"}, {"turn": 11, "text": "是否有性生活史", "role": "doctor"}, {"turn": 12, "text": "有", "role": "patient"}, {"turn": 13, "text": "能确定自己没有怀孕吗？", "role": "doctor"}, {"turn": 14, "text": "确定，是不是因为我一直有癫痫，所以吃的丙戊酸钠这个药物引起的啊那种", "role": "patient"}, {"turn": 15, "text": "这个药物一般不会影响月经", "role": "doctor"}, {"turn": 16, "text": "但是以前就是月经一直都是这样，就是月经量少，颜色是有点深褐色的那种，偶尔月经不调", "role": "patient"}, {"turn": 17, "text": "经期可以吃点活血化瘀药物", "role": "doctor"}, {"turn": 18, "text": "那这个小腹有些时候会硬硬的这个是什么原因引起的呢", "role": "patient"}, {"turn": 19, "text": "是否腹痛", "role": "doctor"}, {"turn": 20, "text": "不疼", "role": "patient"}, {"turn": 21, "text": "肚子发硬考虑是子宫收缩引起的", "role": "doctor"}, {"turn": 22, "text": "哦哦，那我这个就是吃点活血化瘀的药就行了嘛", "role": "patient"}, {"turn": 23, "text": "还有就是月经一直不来这个是没问题吧还是", "role": "patient"}, {"turn": 24, "text": "月经不来可以用黄体酮催经", "role": "doctor"}, {"turn": 25, "text": "那月经量少呢", "role": "patient"}, {"turn": 26, "text": "还不是卵巢或者是子宫有什么问题", "role": "patient"}, {"turn": 27, "text": "是不是子宫或者是卵巢上的问题", "role": "patient"}, {"turn": 28, "text": "可以先在月经第二到五天查一下性激素六项是否正常", "role": "doctor"}, {"turn": 29, "text": "然后根据结果确定调理", "role": "doctor"}, {"turn": 30, "text": "平时也喝红糖水吃红糖鸡蛋那种的", "role": "patient"}, {"turn": 31, "text": "平时不需要", "role": "doctor"}, {"turn": 32, "text": "哦哦，好呢", "role": "patient"}, {"turn": 33, "text": "好的", "role": "doctor"}, {"turn": 34, "text": "但是这几个月都一直没有来月经可以做那个性激素六项检查吗", "role": "patient"}, {"turn": 35, "text": "先用黄体酮催经然后再查", "role": "doctor"}, {"turn": 36, "text": "哦哦，好呢", "role": "patient"}, {"turn": 37, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 278, "thread": [{"turn": 0, "text": "蛛网膜下腔出血手术后说胡话（男，66岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "这种情况属于意识不太正常，还是说明病情没有得到完全恢复。还是需要配合医生继续治疗。可以注意观察调理，时间长一点可能会好的，不用担心。", "role": "doctor"}, {"turn": 3, "text": "蛛网膜下腔出血的患者，在恢复期出现神志不清，说话文不对题，主要考虑是病情加重，建议及时使用营养神经的药物治疗。", "role": "doctor"}, {"turn": 4, "text": "他4月24日做的动脉瘤栓塞手术，4月25日穿刺引流，4月30日结束穿刺，晚上睡觉的时候就不停说胡话", "role": "patient"}, {"turn": 5, "text": "在恢复期出现神志不清，说话文不对题，主要考虑是病情加重，建议及时使用营养神经的药物治疗。", "role": "doctor"}, {"turn": 6, "text": "他白天意识还是很清醒的，能和我们准确的对话，就是晚上睡觉的时候", "role": "patient"}, {"turn": 7, "text": "说明之前的脑部神经损伤还没有恢复", "role": "doctor"}, {"turn": 8, "text": "建议加大营养神经的药物使用", "role": "doctor"}, {"turn": 9, "text": "好的，请问这个能恢复吗", "role": "patient"}, {"turn": 10, "text": "可以的", "role": "doctor"}, {"turn": 11, "text": "通常术后再过7天左右就可以恢复", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢", "role": "patient"}, {"turn": 13, "text": "不客气的", "role": "doctor"}, {"turn": 14, "text": "以后有什么不清楚的可以随时咨询我，祝早日康复！", "role": "doctor"}, {"turn": 15, "text": "这就放心了，因为他进医院后意识一直是清醒的，就今晚把引流管拔了以后睡觉老说胡话，好担心", "role": "patient"}, {"turn": 16, "text": "非常理解家属心情", "role": "doctor"}, {"turn": 17, "text": "这是正常的术后反应，积极用药可以恢复的", "role": "doctor"}, {"turn": 18, "text": "嗯嗯，谢谢", "role": "patient"}, {"turn": 19, "text": "😊😊客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 279, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：局部瘙痒症（男，18岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？什么部位，起疹子吗", "role": "doctor"}, {"turn": 2, "text": "除了痒什么其他症状都没有", "role": "patient"}, {"turn": 3, "text": "一般不会痒，就是在我也不确定什么时候", "role": "patient"}, {"turn": 4, "text": "一冷一热这样", "role": "patient"}, {"turn": 5, "text": "什么部位？", "role": "doctor"}, {"turn": 6, "text": "或者心里一紧张也会", "role": "patient"}, {"turn": 7, "text": "后背，和腿，头皮", "role": "patient"}, {"turn": 8, "text": "这种情况可能是植物神经敏感引起的", "role": "doctor"}, {"turn": 9, "text": "口服谷维素片1片，每天三次", "role": "doctor"}, {"turn": 10, "text": "氯雷他定片每天一片", "role": "doctor"}, {"turn": 11, "text": "忌酒少吃辛辣食物多吃水果蔬菜不熬夜", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "早日康复，有问题再交流", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 280, "thread": [{"turn": 0, "text": "咽喉炎已有一周怎样治疗?（男，46岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "喉咙痛发炎，输过液吃过几天药，如阿莫西林", "role": "patient"}, {"turn": 3, "text": "咳嗽无啖", "role": "patient"}, {"turn": 4, "text": "咽喉不干，吃饭无痛", "role": "patient"}, {"turn": 5, "text": "有发烧吗", "role": "doctor"}, {"turn": 6, "text": "以前是重感冒有发烧，现在这两证状都好了，就只是咽喉炎", "role": "patient"}, {"turn": 7, "text": "巳有一周了。", "role": "patient"}, {"turn": 8, "text": "口有点苦", "role": "patient"}, {"turn": 9, "text": "嗯，你可以吃点药，多喝水吧", "role": "doctor"}, {"turn": 10, "text": "只有少少啖", "role": "patient"}, {"turn": 11, "text": "吃点清喉利咽颗粒，多喝水，忌烟酒，不要吃刺激食物", "role": "doctor"}, {"turn": 12, "text": "应该没大问题的", "role": "doctor"}, {"turn": 13, "text": "医生你好！吃什么药好？", "role": "patient"}, {"turn": 14, "text": "清喉利咽颗粒这一类的咽炎的药都可以的", "role": "doctor"}, {"turn": 15, "text": "已吃了几天药了，感冒好了，就是咽喉炎久治不好。", "role": "patient"}, {"turn": 16, "text": "才一个星期，时间也不长", "role": "doctor"}, {"turn": 17, "text": "是", "role": "patient"}, {"turn": 18, "text": "给点建议如果吃药吃什么药？", "role": "patient"}, {"turn": 19, "text": "上面都写着呢，清喉利咽颗粒这一类咽炎的药", "role": "doctor"}, {"turn": 20, "text": "都吃过了没有什么作用！", "role": "patient"}, {"turn": 21, "text": "那可以换换药，做做雾化吸入", "role": "doctor"}, {"turn": 22, "text": "还有更好的建议？", "role": "patient"}, {"turn": 23, "text": "喉疾灵，一清片也都可以", "role": "doctor"}, {"turn": 24, "text": "还有严重时啖带有血啊！", "role": "patient"}, {"turn": 25, "text": "不抽烟吧", "role": "doctor"}, {"turn": 26, "text": "不抽烟不喝酒", "role": "patient"}, {"turn": 27, "text": "声音沙哑等，那就按最后的方案可好？没有更好的了？确定？", "role": "patient"}, {"turn": 28, "text": "对，就做做雾化吸入，吃吃药好了，一般都可以恢复的", "role": "doctor"}, {"turn": 29, "text": "0K啦！谢谢！", "role": "patient"}, {"turn": 30, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 281, "thread": [{"turn": 0, "text": "老公肾虚喝什么茶好，吃饭都冒汉（男，31岁）出虚汗之前也喝过中药，不起做用", "role": "patient"}, {"turn": 1, "text": "你好！这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "好多年了", "role": "patient"}, {"turn": 3, "text": "干活吃饭都出很多汗", "role": "patient"}, {"turn": 4, "text": "如果你老公是出虚汗的话可以泡黄芪水喝", "role": "doctor"}, {"turn": 5, "text": "去医院查什么", "role": "patient"}, {"turn": 6, "text": "怎么检查", "role": "patient"}, {"turn": 7, "text": "如果只是干活吃饭都出很多汗  去医院没什么检查可以做", "role": "doctor"}, {"turn": 8, "text": "肾上没毛病吧", "role": "patient"}, {"turn": 9, "text": "因为按照西医的观点是没有病", "role": "doctor"}, {"turn": 10, "text": "虚汗是中医的观点", "role": "doctor"}, {"turn": 11, "text": "检查是西医的辅助手段", "role": "doctor"}, {"turn": 12, "text": "身体期他地方没毛病吧", "role": "patient"}, {"turn": 13, "text": "要不要检查一下", "role": "patient"}, {"turn": 14, "text": "肾虚喝什么茶好呢？", "role": "patient"}, {"turn": 15, "text": "不需要", "role": "doctor"}, {"turn": 16, "text": "肾虚喝什么茶好呢？", "role": "patient"}, {"turn": 17, "text": "肾虚可以泡枸杞水喝", "role": "doctor"}, {"turn": 18, "text": "那黄芪和枸杞一起泡了喝，可以吧", "role": "patient"}, {"turn": 19, "text": "可以", "role": "doctor"}, {"turn": 20, "text": "是不是经常喝才起做用里", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "那有什么好的药吧", "role": "patient"}, {"turn": 23, "text": "没有", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 282, "thread": [{"turn": 0, "text": "上吐下泻是病毒感染吗（女，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "昨晚上6点左右吃了一份拌面，回家后在22:00左右胃隐隐痛，差不多半个小时过后突然疼的难受，就开始上吐下泄。是怎回事？以前没有过这种情况", "role": "patient"}, {"turn": 3, "text": "今天人没精神，四肢也无力", "role": "patient"}, {"turn": 4, "text": "那不好说的", "role": "doctor"}, {"turn": 5, "text": "可能是病毒感染也可能是细菌感染", "role": "doctor"}, {"turn": 6, "text": "不过你得多喝水的", "role": "doctor"}, {"turn": 7, "text": "可以吃些什么药？", "role": "patient"}, {"turn": 8, "text": "身体恢复需要多长时间", "role": "patient"}, {"turn": 9, "text": "发烧吗", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "吃点蒙脱石散吧", "role": "doctor"}, {"turn": 12, "text": "另外喝水时里面放点盐", "role": "doctor"}, {"turn": 13, "text": "止泻", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "现在不拉肚子", "role": "patient"}, {"turn": 16, "text": "那就多喝点水", "role": "doctor"}, {"turn": 17, "text": "只是四肢无力", "role": "patient"}, {"turn": 18, "text": "恩，拉肚子后钾钠等电解质丢失，可以出现乏力的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 283, "thread": [{"turn": 0, "text": "嗓子一直干痒不舒服是不是肺结核（男，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这样有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "20多天", "role": "patient"}, {"turn": 3, "text": "以前有肺结核", "role": "patient"}, {"turn": 4, "text": "前一个礼拜去医院拍胸片说没有复发", "role": "patient"}, {"turn": 5, "text": "肺ct查了吗", "role": "doctor"}, {"turn": 6, "text": "没做ct", "role": "patient"}, {"turn": 7, "text": "胸片提示没有应该就不是结核", "role": "doctor"}, {"turn": 8, "text": "就拍了个胸片", "role": "patient"}, {"turn": 9, "text": "应该可以排除结核了", "role": "doctor"}, {"turn": 10, "text": "这个复发了前期能看出来吗", "role": "patient"}, {"turn": 11, "text": "上个星期拍的胸片", "role": "patient"}, {"turn": 12, "text": "不能，只有复发才可以看出来", "role": "doctor"}, {"turn": 13, "text": "没我检查可以提前预知有没有复发", "role": "doctor"}, {"turn": 14, "text": "拿上个礼拜拍片说正常是以前好的钙化灶还用拍吗", "role": "patient"}, {"turn": 15, "text": "最近嗓子总是不舒服干痒吃抗生素打针都没好", "role": "patient"}, {"turn": 16, "text": "应该不用，行程钙化一般就没有问题了", "role": "doctor"}, {"turn": 17, "text": "打的什么药？", "role": "doctor"}, {"turn": 18, "text": "阿奇霉素", "role": "patient"}, {"turn": 19, "text": "几天？", "role": "doctor"}, {"turn": 20, "text": "三天", "role": "patient"}, {"turn": 21, "text": "阿奇霉素一般用药5到7天", "role": "doctor"}, {"turn": 22, "text": "也不咳嗽就是嗓子不舒服", "role": "patient"}, {"turn": 23, "text": "这种情况一般考虑上呼吸道支原体感染或者咽炎", "role": "doctor"}, {"turn": 24, "text": "ct是不是准确一些", "role": "patient"}, {"turn": 25, "text": "胃好像前段时间有反流烧心", "role": "patient"}, {"turn": 26, "text": "ct会更准确一下", "role": "doctor"}, {"turn": 27, "text": "那用不用在拍个ct", "role": "patient"}, {"turn": 28, "text": "胃食管反流也会办成这种症状", "role": "doctor"}, {"turn": 29, "text": "像我这样像不像复发了", "role": "patient"}, {"turn": 30, "text": "从症状上不太像", "role": "doctor"}, {"turn": 31, "text": "上呼吸道感染会不会引起气短", "role": "patient"}, {"turn": 32, "text": "会的", "role": "doctor"}, {"turn": 33, "text": "复发一般都会有啥症状", "role": "patient"}, {"turn": 34, "text": "咳嗽咳痰发热乏力疲倦等等", "role": "doctor"}, {"turn": 35, "text": "我不咳嗽就是嗓子不舒服", "role": "patient"}, {"turn": 36, "text": "如果您实在担心自己有没有结核，就拍一个肺部ct检查，就会明确了", "role": "doctor"}, {"turn": 37, "text": "好的谢谢", "role": "patient"}, {"turn": 38, "text": "不客气", "role": "doctor"}, {"turn": 39, "text": "前几个礼拜拍胸片没有会不会不严重看不出来", "role": "patient"}, {"turn": 40, "text": "建议阿奇霉素再用几天", "role": "doctor"}, {"turn": 41, "text": "要是复发了需要吃哪几种药", "role": "patient"}, {"turn": 42, "text": "会有这个可能，所以说ct可以明确究竟有没有复发", "role": "doctor"}, {"turn": 43, "text": "复发的治疗需要根据影像情况决定", "role": "doctor"}, {"turn": 44, "text": "好的", "role": "patient"}, {"turn": 45, "text": "祝您早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 284, "thread": [{"turn": 0, "text": "糖尿病人脚起水泡了抹啥药膏呢谢谢（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "可以外用百多邦软膏预防感染", "role": "doctor"}, {"turn": 3, "text": "泡有的破了有的没破/请问没破的用剖开吗", "role": "patient"}, {"turn": 4, "text": "不要剖开", "role": "doctor"}, {"turn": 5, "text": "请问就这一种膏剂吗/我在黑龙江大庆住/我们这不知有没有百多邦软膏呀", "role": "patient"}, {"turn": 6, "text": "肯定有的，很普通的", "role": "doctor"}, {"turn": 7, "text": "谢了/口服药吃点啥药", "role": "patient"}, {"turn": 8, "text": "还需有注意事项吗", "role": "patient"}, {"turn": 9, "text": "注意穿宽松一点的，避免感染，注意休息，控制血糖稳定", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 285, "thread": [{"turn": 0, "text": "儿童肺炎吃药能好吗?（女，5岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "你好，支气管肺炎", "role": "patient"}, {"turn": 3, "text": "去医院开了红霉素，柴桂颗粒", "role": "patient"}, {"turn": 4, "text": "说需要输液，还是非常抵触", "role": "patient"}, {"turn": 5, "text": "有发烧吗", "role": "doctor"}, {"turn": 6, "text": "咳嗽多不多呢", "role": "doctor"}, {"turn": 7, "text": "现在睡了出了很多汗", "role": "patient"}, {"turn": 8, "text": "不多", "role": "patient"}, {"turn": 9, "text": "发烧，刚才去医院前39.6", "role": "patient"}, {"turn": 10, "text": "现在降下来了", "role": "patient"}, {"turn": 11, "text": "发烧几天了，有查过胸片明确是肺炎吗", "role": "doctor"}, {"turn": 12, "text": "发烧3天，昨天已经不烧了，今天又开始的。胸片显示支气管肺炎", "role": "patient"}, {"turn": 13, "text": "要是明确是肺炎的话输液是会好一些的，吃药的话有可能会控制不好，容易反复", "role": "doctor"}, {"turn": 14, "text": "我家孩子从来没吃过消炎药，一年就病一次，会不会吃药能得到控制", "role": "patient"}, {"turn": 15, "text": "消炎药这次吃了几天了", "role": "doctor"}, {"turn": 16, "text": "有没有什么药物或者物理上能帮助她好的方法", "role": "patient"}, {"turn": 17, "text": "晚上刚吃，吃完现在就出汗了", "role": "patient"}, {"turn": 18, "text": "肺炎主要的还是控住肺部炎症，血常规有没有查过", "role": "doctor"}, {"turn": 19, "text": "查了血项正常", "role": "patient"}, {"turn": 20, "text": "你实在不想输液的话就阿奇霉素，易坦静，小儿柴桂退热颗粒吃三天看看吧", "role": "doctor"}, {"turn": 21, "text": "不过能不能控住这个是不能保证的，吃三天症状没有好转的话是肯定要输液的", "role": "doctor"}, {"turn": 22, "text": "请问好的症状是什么好的谢谢", "role": "patient"}, {"turn": 23, "text": "什么状态说明她已经在好转呢", "role": "patient"}, {"turn": 24, "text": "不发烧了，咳嗽没有加重的", "role": "doctor"}, {"turn": 25, "text": "如果持续低烧呢？是不是也不好", "role": "patient"}, {"turn": 26, "text": "低烧太久一直不退的也是不好的，体温整天情况一天比一天有好转的话可以的", "role": "doctor"}, {"turn": 27, "text": "她现在只是偶尔咳两声", "role": "patient"}, {"turn": 28, "text": "再咨询您一下，我家孩子脚总出汗，有没有什么药可以泡泡，", "role": "patient"}, {"turn": 29, "text": "结束了么？还是您有事", "role": "patient"}, {"turn": 30, "text": "不好意思晚上咨询比较多", "role": "doctor"}, {"turn": 31, "text": "可以加点白醋泡一下的", "role": "doctor"}, {"turn": 32, "text": "行，我没有问题了", "role": "patient"}, {"turn": 33, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 286, "thread": [{"turn": 0, "text": "口腔溃疡，很难好，嘴巴里面三四个（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你买点西瓜霜喷雾剂喷喷缓解疼痛，促进愈合", "role": "doctor"}, {"turn": 2, "text": "口腔溃疡一有吃药都不管用，只有等它烂穿了才会好，太难受了", "role": "patient"}, {"turn": 3, "text": "下次嘴巴里面三四个，，，", "role": "patient"}, {"turn": 4, "text": "嗯嗯，一般一到两周自愈", "role": "doctor"}, {"turn": 5, "text": "没办法", "role": "doctor"}, {"turn": 6, "text": "你只能用药缓解疼痛", "role": "doctor"}, {"turn": 7, "text": "别的没办法", "role": "doctor"}, {"turn": 8, "text": "溃疡就是这样", "role": "doctor"}, {"turn": 9, "text": "😭😢太难了，", "role": "patient"}, {"turn": 10, "text": "没啥问题吧", "role": "patient"}, {"turn": 11, "text": "没问题", "role": "doctor"}, {"turn": 12, "text": "不是大事", "role": "doctor"}, {"turn": 13, "text": "😊", "role": "doctor"}, {"turn": 14, "text": "有没有效果好的漱口水，", "role": "patient"}, {"turn": 15, "text": "漱下口好像好的快点，还可以缓解疼痛", "role": "patient"}, {"turn": 16, "text": "就用氯己定就行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 287, "thread": [{"turn": 0, "text": "口腔溃疡很长时间了，好了坏，反复发作（男，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，口腔溃疡就是一种自身免疫性疾病，容易复发", "role": "doctor"}, {"turn": 2, "text": "怎么能治疗好了，反复发作，一个月好的时候没几天", "role": "patient"}, {"turn": 3, "text": "一个治不好，只能是预防，需要平时锻炼身体，提高免疫力，禁食辛辣刺激性食物，多吃蔬菜水果，戒烟限酒。就像预防感冒一样。", "role": "doctor"}, {"turn": 4, "text": "荣福堂口腔黏膜修复液好用吗？", "role": "patient"}, {"turn": 5, "text": "没用过，溃疡主要就是消炎止痛，可以用漱口水含漱，再加上维生素C含化。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 288, "thread": [{"turn": 0, "text": "一岁半宝宝贫血怎么补（男，1岁6个月）", "role": "patient"}, {"turn": 1, "text": "你好，有宝宝化验的血常规结果吗？最好上传看一下，平时的饮食都是什么呢？", "role": "doctor"}, {"turn": 2, "text": "84", "role": "patient"}, {"turn": 3, "text": "正常值是110-140", "role": "patient"}, {"turn": 4, "text": "宝宝平时有没有挑食厌食的情况呢？", "role": "doctor"}, {"turn": 5, "text": "有一点点", "role": "patient"}, {"turn": 6, "text": "除了血红蛋白的数值偏低以外，还有其他的症状吗？其他的数值正常吗？最常见的是和营养不良有关。做其他的检查了吗", "role": "doctor"}, {"turn": 7, "text": "其他没什么啊", "role": "patient"}, {"turn": 8, "text": "就验血查了一下", "role": "patient"}, {"turn": 9, "text": "一岁验血是110 现在一岁半84", "role": "patient"}, {"turn": 10, "text": "家族当中有没有贫血的病人呢？比如有没有海洋性的贫血。", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "最常见的和营养不良有关，平时经常多吃一些瘦肉，鸡蛋，豆制品，绿色的蔬菜。另外就是查一下血清铁，看有没有降低，如果有降低的话可以补充铁剂和维生素c", "role": "doctor"}, {"turn": 13, "text": "买什么样的铁剂？和什么样的weishengc", "role": "patient"}, {"turn": 14, "text": "这个要先检查，确定是有缺铁的情况再补充比较安全。", "role": "doctor"}, {"turn": 15, "text": "之前六个月的时候也贫血 没有这么严重 吃了铁剂", "role": "patient"}, {"turn": 16, "text": "常见的是缺铁性的贫血巨细胞贫血，但是如果是海洋性的贫血是不能够补充铁剂的，所以最好是查一下铁剂，常用的就是富马酸亚铁颗粒。您就对我说一下血红蛋白的数值，真的无法对宝宝做出准确的判断。", "role": "doctor"}, {"turn": 17, "text": "维生素C是什么样的", "role": "patient"}, {"turn": 18, "text": "普通的维生素片就可以。", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "好吧", "role": "doctor"}, {"turn": 21, "text": "我再去医院检查一下吧", "role": "patient"}, {"turn": 22, "text": "谢谢", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 289, "thread": [{"turn": 0, "text": "糖尿病人无法翻身怎么办（男，77岁）", "role": "patient"}, {"turn": 1, "text": "您好！患者只能卧床生活不能自理？", "role": "doctor"}, {"turn": 2, "text": "大腿骨头摔断了", "role": "patient"}, {"turn": 3, "text": "做手术了吗？", "role": "doctor"}, {"turn": 4, "text": "动不了", "role": "patient"}, {"turn": 5, "text": "就屁股下一点", "role": "patient"}, {"turn": 6, "text": "没有，糖尿病做不了手术", "role": "patient"}, {"turn": 7, "text": "建议保守治疗", "role": "patient"}, {"turn": 8, "text": "现在家里请民间医生敷草药", "role": "patient"}, {"turn": 9, "text": "后背稍微扶起说痛，而且后背都生褥疮了", "role": "patient"}, {"turn": 10, "text": "急性期还是要卧床休息", "role": "doctor"}, {"turn": 11, "text": "专人照顾 隔2小时翻身", "role": "doctor"}, {"turn": 12, "text": "自己去买翻身垫 找到合适的体位 避免褥疮部位受压", "role": "doctor"}, {"turn": 13, "text": "您这个问题在网上咨询还真不好解决 \r看看能不能抽空去医院现场学习一下卧床病人的护理", "role": "doctor"}, {"turn": 14, "text": "医院有得学吗", "role": "patient"}, {"turn": 15, "text": "就是不知道怎么翻身，翻身会弄到脚的", "role": "patient"}, {"turn": 16, "text": "护士肯定比家属专业啊", "role": "doctor"}, {"turn": 17, "text": "实在不行就去住院好好学习几天专业护理", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "👌", "role": "doctor"}, {"turn": 20, "text": "我想问下糖尿病人能吃些什么食物比较有益", "role": "patient"}, {"turn": 21, "text": "小米粥能吃吗", "role": "patient"}, {"turn": 22, "text": "自从摔了，他最近都不怎么吃", "role": "patient"}, {"turn": 23, "text": "只喝点汤和超市买的杂粮粉", "role": "patient"}, {"turn": 24, "text": "控制饮食，三餐规律，每顿主食不超过二两。餐后一小时过后合理安排运动，随身携带零食，避免发生低血糖。忌食：烟酒，甜的食物，大油大荤，糯米类食物，南瓜，芝麻酱，稀饭和粥，淀粉类食物少吃。太甜的水果尽量不吃，可以吃点西瓜、猕猴桃、火龙果、苹果、樱桃、杨梅、蓝莓、柚子、橙子、李子、橘子、桃子，每天总量50-100g左右。", "role": "doctor"}, {"turn": 25, "text": "现在骨折不能活动就算了", "role": "doctor"}, {"turn": 26, "text": "能吃干的就不要吃稀的  喝点素菜汤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 290, "thread": [{"turn": 0, "text": "腱鞘炎最佳治疗方法？（女，49岁）", "role": "patient"}, {"turn": 1, "text": "你好：什么部位的腱鞘炎？", "role": "doctor"}, {"turn": 2, "text": "如果是手指的腱鞘炎，目前疼痛不是很重，而且活动还行 可以采取每天温热水泡手  每天两次到三次，每次20分钟左右。泡完手以后，用另一手去揉去按摩疼痛部位五到八分钟。", "role": "doctor"}, {"turn": 3, "text": "大拇指", "role": "patient"}, {"turn": 4, "text": "如果是手指的腱鞘炎，目前疼痛不是很重，而且活动还行 可以采取每天温热水泡手 每天两次到三次，每次20分钟左右。泡完手以后，用另一手去揉去按摩疼痛部位五到八分钟。", "role": "doctor"}, {"turn": 5, "text": "如果初次发病而且疼痛比较重的话，也可以到骨科或者疼痛科采取腱鞘内药物注射效果也不错。", "role": "doctor"}, {"turn": 6, "text": "哦", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "那请问有没有什么保守的治疗方法", "role": "patient"}, {"turn": 9, "text": "第一个所说的就是保守治疗。", "role": "doctor"}, {"turn": 10, "text": "如果是手指的腱鞘炎，目前疼痛不是很重，而且活动还行 可以采取每天温热水泡手 每天两次到三次，每次20分钟左右。泡完手以后，用另一手去揉去按摩疼痛部位五到八分钟。", "role": "doctor"}, {"turn": 11, "text": "喔", "role": "patient"}, {"turn": 12, "text": "晓得了", "role": "patient"}, {"turn": 13, "text": "👍🏻", "role": "doctor"}, {"turn": 14, "text": "我是张强医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 291, "thread": [{"turn": 0, "text": "慢性咽喉炎应该配什么药治疗。（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，慢性咽炎多久了，有什么症状?", "role": "doctor"}, {"turn": 2, "text": "很久以前感冒在学校没有治，好了后喉咙一直不太舒服，最近两个星期才严重的咳嗽的睡不着，而且有痰咽不下去，吐不出来。", "role": "patient"}, {"turn": 3, "text": "过去的不舒服与这两周的咳嗽一样吗？", "role": "doctor"}, {"turn": 4, "text": "你那咽不下吐不出是一种异物感吗？", "role": "doctor"}, {"turn": 5, "text": "过去也是感觉喉咙有东西，但是不咳嗽，不过最近两周特别难受，而且特别痒，尤其中午吃过饭，午休都睡不好", "role": "patient"}, {"turn": 6, "text": "就感觉是喉咙里有东西，像是痰。", "role": "patient"}, {"turn": 7, "text": "你胃酸胃胀吗？这可能是胃酸，气反流引起的。", "role": "doctor"}, {"turn": 8, "text": "不胃酸胃胀，不最近放屁有点多。", "role": "patient"}, {"turn": 9, "text": "你咳嗽都是晚上睡觉时咳吗？白天不咳?", "role": "doctor"}, {"turn": 10, "text": "白天也咳嗽。尤其是刚吃了饭，特别厉害，平常可以忍住不咳，晚上能咳嗽一会。", "role": "patient"}, {"turn": 11, "text": "可能是胃酸反流引起的，用奥美拉唑和吗叮林看看。", "role": "doctor"}, {"turn": 12, "text": "是不是因为饭有点辛辣，所以导致的，我的胃没出现过不适", "role": "patient"}, {"turn": 13, "text": "有时胃酸反流自己不一定觉察到，平躺反后咳得厉害。异物感也是反流的表现，辛辣，甜酸都容易引起胃酸多。", "role": "doctor"}, {"turn": 14, "text": "那两种药应该怎么吃？我等下去药店买", "role": "patient"}, {"turn": 15, "text": "奥美拉唑1片，一天2次餐前半小时。吗叮林1片一天3次餐前。", "role": "doctor"}, {"turn": 16, "text": "恩，谢谢。", "role": "patient"}, {"turn": 17, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 292, "thread": [{"turn": 0, "text": "前列腺炎复发了  吃点什么药好呢（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "小腹有点不舒服  感觉有尿意", "role": "patient"}, {"turn": 3, "text": "做过什么检查吗", "role": "doctor"}, {"turn": 4, "text": "暂时没有", "role": "patient"}, {"turn": 5, "text": "我给你开药吃吃", "role": "doctor"}, {"turn": 6, "text": "尿频尿急尿不尽尿无力尿道刺痛有吗", "role": "doctor"}, {"turn": 7, "text": "有点尿频", "role": "patient"}, {"turn": 8, "text": "尿道刺痛 偶尔会有 别的倒是没有", "role": "patient"}, {"turn": 9, "text": "你可以点击右下角的购药客服，协助你购买药物", "role": "doctor"}, {"turn": 10, "text": "吃吃看，应该有效果", "role": "doctor"}, {"turn": 11, "text": "这是一个疗程的么 医生", "role": "patient"}, {"turn": 12, "text": "你吃吃，应该有效果", "role": "doctor"}, {"turn": 13, "text": "吃完药找我复诊", "role": "doctor"}, {"turn": 14, "text": "好的  那我先吃着  谢谢您😁", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 293, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：睡眠障碍（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "有半年多了", "role": "patient"}, {"turn": 3, "text": "一般晚上几点钟上床睡觉的呢？", "role": "doctor"}, {"turn": 4, "text": "九点多就上床了", "role": "patient"}, {"turn": 5, "text": "服用过一个月左右的安眠药", "role": "patient"}, {"turn": 6, "text": "我怕有依赖，不敢吃，经常就这样硬撑着到天亮", "role": "patient"}, {"turn": 7, "text": "你描述的这个问题考虑是与睡眠不足，精神神经紧张疲劳有关的！需要调整心情，舒缓情绪！平心静气！晚上提前到9点钟左右上床睡觉！规律并保持！晚饭后逐渐减少接触刺激信息过渡到睡眠状态为好！尽量化解生活中可能的压力以免造成影响！可以多听听喜欢的抒情音乐！逐步增加体育运动能够有帮助的！可以使用：安神补脑液，复合维生素B，谷维素等能够有帮助！", "role": "doctor"}, {"turn": 8, "text": "我有抑郁症病史", "role": "patient"}, {"turn": 9, "text": "嗯，建议按照前面说的加强综合调养观察一段时间再看的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 294, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：阑尾炎（女，7岁）", "role": "patient"}, {"turn": 1, "text": "你好你现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "小孩儿肚子疼做完b超  还拍了x光片显示阑尾炎", "role": "patient"}, {"turn": 3, "text": "那还不住院", "role": "doctor"}, {"turn": 4, "text": "现在医生建议动手术孩子韩语有点发烧37度八", "role": "patient"}, {"turn": 5, "text": "是的住院手术吧", "role": "doctor"}, {"turn": 6, "text": "我想明天再去大一点的医院再复查", "role": "patient"}, {"turn": 7, "text": "那就输液", "role": "doctor"}, {"turn": 8, "text": "保守治疗", "role": "doctor"}, {"turn": 9, "text": "等到明天，后果会很严重吗?", "role": "patient"}, {"turn": 10, "text": "不清楚", "role": "doctor"}, {"turn": 11, "text": "要看病情", "role": "doctor"}, {"turn": 12, "text": "要不就现在转院", "role": "doctor"}, {"turn": 13, "text": "用这个医院的救护车", "role": "doctor"}, {"turn": 14, "text": "用这个医院的救护车有什么区别吗?", "role": "patient"}, {"turn": 15, "text": "顺便哪个医院救护车", "role": "doctor"}, {"turn": 16, "text": "但是一定是救护车送哦", "role": "doctor"}, {"turn": 17, "text": "是报销不一样吗?  还是会有突发状况?还准备明天坐火车去乌鲁木齐", "role": "patient"}, {"turn": 18, "text": "怕有突发情况", "role": "doctor"}, {"turn": 19, "text": "用救护车好点", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 295, "thread": [{"turn": 0, "text": "肾病 肾虚 浑身没劲（男，15岁）", "role": "patient"}, {"turn": 1, "text": "请问以前得过肾病吗？什么病？", "role": "doctor"}, {"turn": 2, "text": "一年前得过肾囊肿", "role": "patient"}, {"turn": 3, "text": "得多肾炎之类的吗？", "role": "doctor"}, {"turn": 4, "text": "好像没有", "role": "patient"}, {"turn": 5, "text": "有哪些不舒服的表现呢？", "role": "doctor"}, {"turn": 6, "text": "就是浑身没劲。不愿意吃饭", "role": "patient"}, {"turn": 7, "text": "肾囊肿不会引起这些症状，跟天气热了有关系吗？建议可以去中医科调理一下。", "role": "doctor"}, {"turn": 8, "text": "哦。这个症状严重吗？", "role": "patient"}, {"turn": 9, "text": "如果没有具体器质性病变的话，就没有关系。因为夏天天气热，食欲也会差一点。", "role": "doctor"}, {"turn": 10, "text": "嗯 谢了", "role": "patient"}, {"turn": 11, "text": "不客气，可以先中药调理一下，如果没有缓解，再进一步检查。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 296, "thread": [{"turn": 0, "text": "上呼吸道感染可以吃水果捞吗（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题。上呼吸道感染是可以吃水果捞的，而且还能补充维生素，但是建议不要吃冷藏的水果做的，最好吃常温状态下的水果做的。", "role": "doctor"}, {"turn": 2, "text": "炸酱面可以吗？", "role": "patient"}, {"turn": 3, "text": "感染期间，尽量不要吃辛辣、油腻、冰冷食物，这样会对气道刺激比较大。炸酱面油腻性比较大所以不建议现在吃", "role": "doctor"}, {"turn": 4, "text": "卤味鸡腿可以吗？", "role": "patient"}, {"turn": 5, "text": "只要不是辛辣、油腻、冰冷食物都可以吃，你买的口味是辣的还是不辣的，我没办法判断，需要你自己判断的", "role": "doctor"}, {"turn": 6, "text": "谢谢", "role": "patient"}, {"turn": 7, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 297, "thread": [{"turn": 0, "text": "心肌炎饮食要注意7点（男，52岁）", "role": "patient"}, {"turn": 1, "text": "你好请问有什么不适症状吗？", "role": "doctor"}, {"turn": 2, "text": "应注意饮食营养，给予高蛋白、高热量、高维生素饮食，多食新鲜蔬菜、水果类；饮食宜清淡", "role": "doctor"}, {"turn": 3, "text": "感冒咳嗽引起了心肌发炎", "role": "patient"}, {"turn": 4, "text": "有什么补药可以调理吗", "role": "patient"}, {"turn": 5, "text": "芪参益气滴丸一次1代一日3次，辅酶Q10，1片日三次，果糖二磷酸口服液10毫升日三次", "role": "doctor"}, {"turn": 6, "text": "这些是西药还是中药？", "role": "patient"}, {"turn": 7, "text": "中成药，和西药", "role": "doctor"}, {"turn": 8, "text": "三种药平时可以吃吗？", "role": "patient"}, {"turn": 9, "text": "有什么负作用呢", "role": "patient"}, {"turn": 10, "text": "在药店可以买得到吗？", "role": "patient"}, {"turn": 11, "text": "一般药店都有", "role": "doctor"}, {"turn": 12, "text": "没事就不要吃了", "role": "doctor"}, {"turn": 13, "text": "营养心肌的", "role": "doctor"}, {"turn": 14, "text": "平时保健的话维生素c可以跟辅酶Q10搭配吃吗？", "role": "patient"}, {"turn": 15, "text": "可以吃", "role": "doctor"}, {"turn": 16, "text": "主要看需要不需要吃", "role": "doctor"}, {"turn": 17, "text": "发过一次心肌炎需要吃吗", "role": "patient"}, {"turn": 18, "text": "平时容易感冒", "role": "patient"}, {"turn": 19, "text": "多长时间了？有没有症状呢？", "role": "doctor"}, {"turn": 20, "text": "感冒吃感冒药就可以了。", "role": "doctor"}, {"turn": 21, "text": "心电图正常，没有心律失常，没有症状，心肌每都正常。就不用吃。", "role": "doctor"}, {"turn": 22, "text": "在打针", "role": "patient"}, {"turn": 23, "text": "打针干什么呢？治感冒吗？", "role": "doctor"}, {"turn": 24, "text": "什么时候诊断的心肌炎了？", "role": "doctor"}, {"turn": 25, "text": "前几天诊断的。感冒咳嗽引起的心肌炎", "role": "patient"}, {"turn": 26, "text": "那就继续治疗吧。", "role": "doctor"}, {"turn": 27, "text": "可以吃维生素c跟辅酶Q10吗？", "role": "patient"}, {"turn": 28, "text": "可以", "role": "doctor"}, {"turn": 29, "text": "好了可以继续吃不？", "role": "patient"}, {"turn": 30, "text": "可以，", "role": "doctor"}, {"turn": 31, "text": "建议吃三个月没事就算了", "role": "doctor"}, {"turn": 32, "text": "这个心肌炎严重吗？", "role": "patient"}, {"turn": 33, "text": "严重程度需要结合临床症状及化验室检查，还有心电图。", "role": "doctor"}, {"turn": 34, "text": "好吧", "role": "patient"}, {"turn": 35, "text": "抓紧时间治疗", "role": "doctor"}, {"turn": 36, "text": "已经在治疗了", "role": "patient"}, {"turn": 37, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 298, "thread": [{"turn": 0, "text": "你好飞蚊症要怎么治疗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你这种情况有多久了？用过什么药物吗？", "role": "doctor"}, {"turn": 2, "text": "没用过", "role": "patient"}, {"turn": 3, "text": "之前都没注意以为是眼睫毛", "role": "patient"}, {"turn": 4, "text": "目前只能是中药治疗", "role": "doctor"}, {"turn": 5, "text": "这个没事吗 影响大不大", "role": "patient"}, {"turn": 6, "text": "没有任何问题", "role": "doctor"}, {"turn": 7, "text": "不用担心", "role": "doctor"}, {"turn": 8, "text": "去哪里治疗 需要吃什么药吗", "role": "patient"}, {"turn": 9, "text": "还是去找中医", "role": "patient"}, {"turn": 10, "text": "我平时用眼比较多", "role": "patient"}, {"turn": 11, "text": "中医眼科", "role": "doctor"}, {"turn": 12, "text": "平时用眼注意强度", "role": "doctor"}, {"turn": 13, "text": "近视度数大么", "role": "doctor"}, {"turn": 14, "text": "50度", "role": "patient"}, {"turn": 15, "text": "不怎么近视的我平时不戴眼镜", "role": "patient"}, {"turn": 16, "text": "那更要注意用眼了", "role": "doctor"}, {"turn": 17, "text": "否则度数会快速增加", "role": "doctor"}, {"turn": 18, "text": "嗯嗯好", "role": "patient"}, {"turn": 19, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 299, "thread": [{"turn": 0, "text": "乳腺纤维瘤手术以后会不会长（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，乳腺纤维瘤术后是容易复发的，建议定期复查彩超", "role": "doctor"}, {"turn": 2, "text": "你如果不做手术呢，我不想做手术", "role": "patient"}, {"turn": 3, "text": "我前段时间喂奶不疼没感觉，隔奶很长时间了，这两天突然有点疼的感觉", "role": "patient"}, {"turn": 4, "text": "但是也没觉得瘤长大了，摸着有点疼", "role": "patient"}, {"turn": 5, "text": "我该怎么办医生", "role": "patient"}, {"turn": 6, "text": "复查彩超了吗？", "role": "doctor"}, {"turn": 7, "text": "没有，有没有什么药可以让它不疼，其实也不是特别疼，只是有点感觉，我担心，", "role": "patient"}, {"turn": 8, "text": "稍等", "role": "doctor"}, {"turn": 9, "text": "是不是最近烧烤吃得有点多的原因", "role": "patient"}, {"turn": 10, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 11, "text": "建议复查彩超，若是乳腺纤维瘤且直径较小可以保守治疗", "role": "doctor"}, {"turn": 12, "text": "若彩超提示乳腺结节BI-RADS分级3级以内，建议1.规律饮食，少食生辣刺激的食物;2.避免熬夜;3.保持心情舒畅;4.可以服用乳泰胶囊或者乳癖散结颗粒。结节4级以上建议穿刺取病理或者手术治疗。", "role": "doctor"}, {"turn": 13, "text": "那会不会轻易形成癌呢，如果形成癌症有些什么症状发生", "role": "patient"}, {"turn": 14, "text": "纤维瘤很少恶变，肿瘤前期一般没有症状，多数是以乳房肿物发现的", "role": "doctor"}, {"turn": 15, "text": "以前我在昆明做过B 超，医生建议我生了孩子以后去动手术，后来我生了孩子以后没有痛过，我就没去复查了，直到前两天才感觉有点疼，我想请问如果动手术以后会不会又复发长大或者更痛", "role": "patient"}, {"turn": 16, "text": "纤维瘤是容易复发的", "role": "doctor"}, {"turn": 17, "text": "有些人停止哺乳后纤维瘤自愈消失的。建议先复查彩超，根据彩超结果制定下一步治疗方案。", "role": "doctor"}, {"turn": 18, "text": "我的就是一边一个大包其他的都很小，医生说把大那两个切了", "role": "patient"}, {"turn": 19, "text": "直径大于3厘米建议手术治疗", "role": "doctor"}, {"turn": 20, "text": "但是我担心动手术后会复发甚至于比现在更严重", "role": "patient"}, {"turn": 21, "text": "术后注意饮食，少食辛辣刺激的食物少熬夜，保持心情舒畅，可以预防乳腺结节的形成。", "role": "doctor"}, {"turn": 22, "text": "那如果我不想动手术，有没有什么药吃了控制疼或者长，再假如我不吃药一直下去会有什么严重的后果，如果要吃药我该吃什么药呢", "role": "patient"}, {"turn": 23, "text": "建议1.规律饮食，少食生辣刺激的食物;2.避免熬夜;3.保持心情舒畅;4.定期复查乳腺彩超。可以服用乳泰胶囊或者乳癖散结颗粒。", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 300, "thread": [{"turn": 0, "text": "鼻炎会引起胸口疼痰多吗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前主要是什么症状呢，鼻炎有多长时间了", "role": "doctor"}, {"turn": 2, "text": "差不多三年了", "role": "patient"}, {"turn": 3, "text": "鼻炎倒不会引起胸痛", "role": "doctor"}, {"turn": 4, "text": "胸口正中疼痛吗，嗓子痰也多吗", "role": "doctor"}, {"turn": 5, "text": "嗯就是胸口中间会痛", "role": "patient"}, {"turn": 6, "text": "痰也是很多", "role": "patient"}, {"turn": 7, "text": "然后就是鼻涕不会往前流", "role": "patient"}, {"turn": 8, "text": "平时有没有反酸症状呢，胃有没有烧心症状，就是经常会有胃里的酸水吐出来，感觉胃里火燎燎的感觉", "role": "doctor"}, {"turn": 9, "text": "没有过", "role": "patient"}, {"turn": 10, "text": "这种倒是没有", "role": "patient"}, {"turn": 11, "text": "嗓子痰主要是白痰还是黄痰，以前有没有慢性咽炎呢，刷牙有没有恶心干呕症状呢", "role": "doctor"}, {"turn": 12, "text": "白痰，以前也没有过咽炎，刷牙不会恶心干呕", "role": "patient"}, {"turn": 13, "text": "平常鼻涕经常会回流到嗓子里吗，有没有鼻痒，打喷嚏症状呢", "role": "doctor"}, {"turn": 14, "text": "嗯就是感觉鼻涕都不会从鼻孔里流出来", "role": "patient"}, {"turn": 15, "text": "就是如果感冒的话就会感觉鼻子痒痒的打喷嚏就会比较多", "role": "patient"}, {"turn": 16, "text": "如果不感冒还好不会感觉到鼻子痒", "role": "patient"}, {"turn": 17, "text": "打喷嚏也不会太多", "role": "patient"}, {"turn": 18, "text": "鼻炎鼻涕多经常回吸到嗓子会刺激嗓子黏膜引起咽炎", "role": "doctor"}, {"turn": 19, "text": "咽炎的主要症状也是嗓子痰多", "role": "doctor"}, {"turn": 20, "text": "那会不会引起胸痛呢", "role": "patient"}, {"turn": 21, "text": "如果胃不好经常反酸的话会引起胃食管反流病，导致慢性食管炎，会引起胸骨后疼痛", "role": "doctor"}, {"turn": 22, "text": "就是感觉在胸口正中的地方", "role": "doctor"}, {"turn": 23, "text": "嗯是呢我的就是在胸口中间，然后有时候也是感觉会引起后背痛", "role": "patient"}, {"turn": 24, "text": "有没有心慌胸闷的症状呢", "role": "doctor"}, {"turn": 25, "text": "但是我y平时也不感觉会有反酸之类的症状", "role": "patient"}, {"turn": 26, "text": "没有", "role": "patient"}, {"turn": 27, "text": "如果说做深呼吸也会痛", "role": "patient"}, {"turn": 28, "text": "不好意思，刚刚病房有点事", "role": "doctor"}, {"turn": 29, "text": "如果有心慌胸闷的症状的话考虑别是心脏有问题", "role": "doctor"}, {"turn": 30, "text": "能去医院做个心电图看看最好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 301, "thread": [{"turn": 0, "text": "你好，张医师脑肿瘤不做手术吃哪些药好（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有什么可以帮助您的？", "role": "doctor"}, {"turn": 2, "text": "肿瘤不做手术的话吃什么药好点", "role": "patient"}, {"turn": 3, "text": "请问是什么部位的肿瘤？.", "role": "doctor"}, {"turn": 4, "text": "脑肿瘤", "role": "patient"}, {"turn": 5, "text": "能把相关的检查报告结果发给我看一下吗", "role": "doctor"}, {"turn": 6, "text": "放在我的主治医师哪里没有带", "role": "patient"}, {"turn": 7, "text": "脑部肿瘤病灶是单个还是多个？病理性质是什么？", "role": "doctor"}, {"turn": 8, "text": "这几天头很痛有流鼻血现象", "role": "patient"}, {"turn": 9, "text": "他说里面有个手指大的血块", "role": "patient"}, {"turn": 10, "text": "你最好能把你的病情资料拍了发给我看一下", "role": "doctor"}, {"turn": 11, "text": "单个", "role": "patient"}, {"turn": 12, "text": "头里有血块吗？", "role": "doctor"}, {"turn": 13, "text": "是的有血块", "role": "patient"}, {"turn": 14, "text": "单个病灶如果能做手术最好手术切除后做病理", "role": "doctor"}, {"turn": 15, "text": "术后根据病理可能还要放疗化疗", "role": "doctor"}, {"turn": 16, "text": "明天叫去拍下片子到时发给你", "role": "patient"}, {"turn": 17, "text": "血块在肿块里吗？", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "doctor"}, {"turn": 19, "text": "是的", "role": "patient"}, {"turn": 20, "text": "可能是瘤子破裂出血", "role": "doctor"}, {"turn": 21, "text": "上次头疼得厉害就去检查", "role": "patient"}, {"turn": 22, "text": "这样", "role": "patient"}, {"turn": 23, "text": "头疼有多久了？", "role": "doctor"}, {"turn": 24, "text": "这会有什么危险吗", "role": "patient"}, {"turn": 25, "text": "肿瘤有多大？", "role": "doctor"}, {"turn": 26, "text": "20多天", "role": "patient"}, {"turn": 27, "text": "大手指大", "role": "patient"}, {"turn": 28, "text": "在脑子里的哪个部位知道吗？", "role": "doctor"}, {"turn": 29, "text": "除了头，有没有做全身检查？", "role": "doctor"}, {"turn": 30, "text": "脑部左侧", "role": "patient"}, {"turn": 31, "text": "没有做", "role": "patient"}, {"turn": 32, "text": "你是住在脑外科？", "role": "doctor"}, {"turn": 33, "text": "没有住院在家住", "role": "patient"}, {"turn": 34, "text": "这种情况要手术哦，手术之前还要做个全身检查，看看脑部肿瘤是不是原发的，要排除一下是不是其他地方转移过去的？", "role": "doctor"}, {"turn": 35, "text": "而且现在肿瘤有出血，要用药啊，不然出血量增多的话还是有危险的？", "role": "doctor"}, {"turn": 36, "text": "这样啊", "role": "patient"}, {"turn": 37, "text": "是的", "role": "doctor"}, {"turn": 38, "text": "想去别的医院在检查一下，如果来你们医院要预约的吗？张医师", "role": "patient"}, {"turn": 39, "text": "你家是哪里的？", "role": "doctor"}, {"turn": 40, "text": "我们医院有些检查是要排队预约的，比如CT，核磁共振", "role": "doctor"}, {"turn": 41, "text": "贵州凯里", "role": "patient"}, {"turn": 42, "text": "哦", "role": "patient"}, {"turn": 43, "text": "我这是江苏盐城哦", "role": "doctor"}, {"turn": 44, "text": "哦", "role": "patient"}, {"turn": 45, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 302, "thread": [{"turn": 0, "text": "前叉重建，髌骨骨折，骨质疏松。（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，手术后多久了？", "role": "doctor"}, {"turn": 2, "text": "您好，3月份做的前叉重建半月板2针，8月中旬摔伤导致髌骨骨折。", "role": "patient"}, {"turn": 3, "text": "想问什么？", "role": "doctor"}, {"turn": 4, "text": "骨质疏松改如何改善呢？", "role": "patient"}, {"turn": 5, "text": "吃钙片，适当锻炼", "role": "doctor"}, {"turn": 6, "text": "晒太阳，吃虾皮牛奶", "role": "doctor"}, {"turn": 7, "text": "这种骨质疏松是全身性的还是患腿才有？", "role": "patient"}, {"turn": 8, "text": "明白了，谢谢医生。", "role": "patient"}, {"turn": 9, "text": "那得检查才能知道", "role": "doctor"}, {"turn": 10, "text": "不过你这么年轻，局部的可能性大", "role": "doctor"}, {"turn": 11, "text": "不用谢", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "👍👍", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 303, "thread": [{"turn": 0, "text": "被猫舔了，会得狂犬病吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好！马上给你解答。", "role": "doctor"}, {"turn": 2, "text": "是伤口被猫舔了没有", "role": "doctor"}, {"turn": 3, "text": "是的", "role": "patient"}, {"turn": 4, "text": "就是把伤口扣出脓了，但应该没有被舔到，但可能被猫咪的毛或爪子给碰到了", "role": "patient"}, {"turn": 5, "text": "猫咪一个月前打过疫苗了", "role": "patient"}, {"turn": 6, "text": "哦！", "role": "doctor"}, {"turn": 7, "text": "如果被舔到伤口，那么就去打狂犬疫苗的", "role": "doctor"}, {"turn": 8, "text": "但应该没有舔到，因为是胳膊上而且我家猫咪一般不舔人", "role": "patient"}, {"turn": 9, "text": "请问有事吗", "role": "patient"}, {"turn": 10, "text": "如果没有舔到伤口，那么就没有事的", "role": "doctor"}, {"turn": 11, "text": "只做伤口的处理消毒", "role": "doctor"}, {"turn": 12, "text": "那我家猫咪有猫藓碰到伤口有事吗", "role": "patient"}, {"turn": 13, "text": "没事的", "role": "doctor"}, {"turn": 14, "text": "我之前一个月打过两针加强狂犬疫苗", "role": "patient"}, {"turn": 15, "text": "哦", "role": "doctor"}, {"turn": 16, "text": "这样更放心的", "role": "doctor"}, {"turn": 17, "text": "好，谢谢医生", "role": "patient"}, {"turn": 18, "text": "不客气哈！祝你健康！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 304, "thread": [{"turn": 0, "text": "晚上忽然血压升高了可以吃高血压药吗（女，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你血压是多少？", "role": "doctor"}, {"turn": 2, "text": "今天晚上忽然血压升高173/107是怎么回事", "role": "patient"}, {"turn": 3, "text": "平时有高血压？", "role": "doctor"}, {"turn": 4, "text": "有，没有这么高", "role": "patient"}, {"turn": 5, "text": "现在都吃什么药？", "role": "doctor"}, {"turn": 6, "text": "苯磺酸氨氯地平片", "role": "patient"}, {"turn": 7, "text": "家里还有什么药？", "role": "doctor"}, {"turn": 8, "text": "缓释片", "role": "patient"}, {"turn": 9, "text": "？？", "role": "doctor"}, {"turn": 10, "text": "什么缓释片", "role": "doctor"}, {"turn": 11, "text": "硝苯地平？", "role": "doctor"}, {"turn": 12, "text": "对", "role": "patient"}, {"turn": 13, "text": "那可以吃一粒", "role": "doctor"}, {"turn": 14, "text": "这个降压快可以吗", "role": "patient"}, {"turn": 15, "text": "相对来说，还可以", "role": "doctor"}, {"turn": 16, "text": "最快当然去医院用静脉药", "role": "doctor"}, {"turn": 17, "text": "那为什么忽然血压高了呢，晚上也没怎么吃咸的呀", "role": "patient"}, {"turn": 18, "text": "有没有受什么刺激", "role": "doctor"}, {"turn": 19, "text": "没有呀。现在就是有点手麻和大脚指头有点麻", "role": "patient"}, {"turn": 20, "text": "建议去医院查一下", "role": "doctor"}, {"turn": 21, "text": "一侧肢体麻木无力？", "role": "doctor"}, {"turn": 22, "text": "没有", "role": "patient"}, {"turn": 23, "text": "那是哪里麻木？", "role": "doctor"}, {"turn": 24, "text": "手指头一阵一阵的", "role": "patient"}, {"turn": 25, "text": "建议你去医院查一下头颅ct", "role": "doctor"}, {"turn": 26, "text": "年初照过没事", "role": "patient"}, {"turn": 27, "text": "之前也这样症状？", "role": "doctor"}, {"turn": 28, "text": "是的", "role": "patient"}, {"turn": 29, "text": "那你就吃硝苯地平缓释片看一下", "role": "doctor"}, {"turn": 30, "text": "好的谢谢", "role": "patient"}, {"turn": 31, "text": "不过还是建议你去医院查一下头颅ct", "role": "doctor"}, {"turn": 32, "text": "好的", "role": "patient"}, {"turn": 33, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 305, "thread": [{"turn": 0, "text": "阳虚自汗吃什么中成药（女，57岁）", "role": "patient"}, {"turn": 1, "text": "您好，愿意为您提供咨询服务", "role": "doctor"}, {"turn": 2, "text": "阳虚自汗，如果出汗较多可以吃：黄芪精口服液与虚汗亭颗粒", "role": "doctor"}, {"turn": 3, "text": "出汗有两种情况，一种是自汗，另外还有一种盗汗", "role": "doctor"}, {"turn": 4, "text": "把自汗与盗汗的区别发给你", "role": "doctor"}, {"turn": 5, "text": "看看是否符合你的情况（自汗）", "role": "doctor"}, {"turn": 6, "text": "自汗与盗汗的区别：\n一，自汗：是指白天在清醒的状态下不活动就出汗或者稍稍活动就出汗增多（不是因为穿衣服过厚，或天气炎热，或劳累后，或运动后，或吃热饭喝热水而出汗），是身体虚弱引起，主要是卫气虚，中医认为卫气有固护肌表与管理汗孔开合的作用，卫气虚，管理汗孔开合功能失常，因此造成了爱出汗。\n二，盗汗：是在夜间睡眠时不知不觉的出汗，醒了出汗就停止了（醒后发现出汗了），一般是由于阴虚内热，逼迫津液外泄而造成。\n但需要注意的问题是，自汗或盗汗只是一个症状，可以因为身体虚弱而单独出现，但也可能是慢性疾病过程中伴随的症状。\n比如植物神经功能紊乱，甲亢，肺结核，贫血，风湿热等都可以出现自汗或盗汗的问题。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 306, "thread": [{"turn": 0, "text": "膝盖骨关节炎、骨刺，走路腿疼（女，65）", "role": "patient"}, {"turn": 1, "text": "您好，您是双膝关节还是单关单膝关节？", "role": "doctor"}, {"turn": 2, "text": "双膝", "role": "patient"}, {"turn": 3, "text": "病程有多长时间了？", "role": "doctor"}, {"turn": 4, "text": "3年了", "role": "patient"}, {"turn": 5, "text": "用过什么药", "role": "doctor"}, {"turn": 6, "text": "戴芬、各种膏药，都没起到什么作用", "role": "patient"}, {"turn": 7, "text": "戴芬，各种膏药，都没什么效果", "role": "patient"}, {"turn": 8, "text": "有没有晨僵，夜间痛，与天气变化有关没？", "role": "doctor"}, {"turn": 9, "text": "没有，就是走路腿疼", "role": "patient"}, {"turn": 10, "text": "那就是骨关节炎。可以考虑口服药物跟关节腔内注射相配合。", "role": "doctor"}, {"turn": 11, "text": "需要口服什么药？脑血管也不好，有没有外敷的药", "role": "patient"}, {"turn": 12, "text": "外敷的药物西医这面好像没有什么。可以考虑问问中医。", "role": "doctor"}, {"turn": 13, "text": "那口服的药有适合的吗", "role": "patient"}, {"turn": 14, "text": "可以试试盐酸氨基葡萄糖。", "role": "doctor"}, {"turn": 15, "text": "哦，知道了，谢谢", "role": "patient"}, {"turn": 16, "text": "不用客气，祝您早日康复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 307, "thread": [{"turn": 0, "text": "我肛裂一个月左右了，是慢性肛裂吗？（男，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问你现在有什么感觉？", "role": "doctor"}, {"turn": 2, "text": "中午大便的时候有一点裂开的感觉，没有血，最开始的时候就留血，这段时间大便就一点裂开的感觉，但没有血", "role": "patient"}, {"turn": 3, "text": "以前长过痔疮，做过一次手术", "role": "patient"}, {"turn": 4, "text": "额", "role": "doctor"}, {"turn": 5, "text": "一个月还没好", "role": "doctor"}, {"turn": 6, "text": "你大便干结吧", "role": "doctor"}, {"turn": 7, "text": "平时大便干燥吗？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "拉方便的时候撕裂是主要原因", "role": "doctor"}, {"turn": 10, "text": "你平常多吃蔬菜", "role": "doctor"}, {"turn": 11, "text": "水果", "role": "doctor"}, {"turn": 12, "text": "然后回去用温盐水泡泡屁股", "role": "doctor"}, {"turn": 13, "text": "有吃了药，现在没那么干", "role": "patient"}, {"turn": 14, "text": "买点痔疮膏涂涂", "role": "doctor"}, {"turn": 15, "text": "现在只能这样", "role": "doctor"}, {"turn": 16, "text": "用什么药，推荐一下", "role": "patient"}, {"turn": 17, "text": "马应龙", "role": "doctor"}, {"turn": 18, "text": "肤痔清", "role": "doctor"}, {"turn": 19, "text": "都可以", "role": "doctor"}, {"turn": 20, "text": "盐水是炒菜用的那个盐吗？", "role": "patient"}, {"turn": 21, "text": "对", "role": "doctor"}, {"turn": 22, "text": "啊", "role": "doctor"}, {"turn": 23, "text": "那个盐就可以了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 308, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：急性肠胃炎（女，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，胃肠炎多久，请问有什么症状？", "role": "doctor"}, {"turn": 2, "text": "四天了  第一天发烧  肚子痛  吃了感康后  不发烧了  拉肚子了 胃痛", "role": "patient"}, {"turn": 3, "text": "一天拉十次左右 我胃间隔五分钟左右疼一次   肚子也是", "role": "patient"}, {"turn": 4, "text": "有检查治疗过吗", "role": "doctor"}, {"turn": 5, "text": "拉稀，", "role": "patient"}, {"turn": 6, "text": "胃一阵一阵绞痛？", "role": "doctor"}, {"turn": 7, "text": "有胃病史吗？", "role": "doctor"}, {"turn": 8, "text": "没，吃的泻立停不管用", "role": "patient"}, {"turn": 9, "text": "嗯嗯，之前胃不太好", "role": "patient"}, {"turn": 10, "text": "还有其他伴随症状吗", "role": "doctor"}, {"turn": 11, "text": "也吃氟派酸了，不管用", "role": "patient"}, {"turn": 12, "text": "之前有吃了什么不合适食物吗？", "role": "doctor"}, {"turn": 13, "text": "肚子也疼", "role": "patient"}, {"turn": 14, "text": "3号那天吃肉吃多了，还吃了冷面，第二天就发烧，拉肚子，胃疼，到现在了", "role": "patient"}, {"turn": 15, "text": "颠茄磺苄啶片泻立停和氟哌酸(诺氟沙星胶囊)，都是治疗肠炎的抗菌药。建议血常规检查提示炎症加用。", "role": "doctor"}, {"turn": 16, "text": "那我现在应该吃啥药，", "role": "patient"}, {"turn": 17, "text": "颠茄磺苄啶片泻立停和氟哌酸(诺氟沙星胶囊)，都是治疗肠炎的抗菌药。建议血常规检查提示炎症加用。\n\n\n胃疼胃酸烧心胃不舒服建议用药奥美拉唑，腹痛建议匹维溴铵片缓解，腹泻建议蒙脱石散止泻。注意保暖，注意饮食清淡卫生防止病从口入。忌口辛辣油炸油腻烧烤生冷刺激性食物。", "role": "doctor"}, {"turn": 18, "text": "太难受了，半夜不停跑厕所，睡不着，一会儿一会儿的胃疼，肚子痛", "role": "patient"}, {"turn": 19, "text": "腹痛胃疼，可试试热敷。", "role": "doctor"}, {"turn": 20, "text": "好的  谢谢  我明早去买药", "role": "patient"}, {"turn": 21, "text": "注意饮食清淡卫生防止病从口入。", "role": "doctor"}, {"turn": 22, "text": "不用谢祝您健康。", "role": "doctor"}, {"turn": 23, "text": "吃馒头青菜可以吗", "role": "patient"}, {"turn": 24, "text": "可以，", "role": "doctor"}, {"turn": 25, "text": "好的  谢谢啦", "role": "patient"}, {"turn": 26, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 309, "thread": [{"turn": 0, "text": "甲胎蛋白8.30是肝癌吗？（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！数值不是很大，还做其他检查了吗？比如彩超，CT或是核磁共振", "role": "doctor"}, {"turn": 2, "text": "有慢性肝炎肝硬化病史吗", "role": "doctor"}, {"turn": 3, "text": "如果甲胎蛋白在一百以上，甚至二三百，，再有慢性肝炎病史的情况下，就需要提高警惕了", "role": "doctor"}, {"turn": 4, "text": "单纯根据甲胎蛋白，是不能确诊肝癌的", "role": "doctor"}, {"turn": 5, "text": "方便把检查资料拍照片看看吗？我了解一下病情，然后再帮您分析一下。。。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 310, "thread": [{"turn": 0, "text": "腰间盘突出压迫的腿部筋疼怎么治（男，55岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "腰椎间盘突出症，建议您到正规医院选择核磁共振检查明确诊断，可以选择药物，按摩，针灸，牵引，小针刀等保守治疗方法", "role": "doctor"}, {"turn": 3, "text": "您好，在吗", "role": "doctor"}, {"turn": 4, "text": "在", "role": "patient"}, {"turn": 5, "text": "还有问题吗", "role": "doctor"}, {"turn": 6, "text": "有二十多天了", "role": "patient"}, {"turn": 7, "text": "治疗了吗", "role": "doctor"}, {"turn": 8, "text": "按摩效果不是很好", "role": "patient"}, {"turn": 9, "text": "那可以选择药物啊", "role": "doctor"}, {"turn": 10, "text": "这种病能不能滴水", "role": "patient"}, {"turn": 11, "text": "嗯，静脉点滴一般效果不算太好的。", "role": "doctor"}, {"turn": 12, "text": "药也吃了", "role": "patient"}, {"turn": 13, "text": "一般这种病吃什么药好", "role": "patient"}, {"turn": 14, "text": "嗯安络疼片，甲钴胺片，洛索洛芬钠胶囊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 311, "thread": [{"turn": 0, "text": "宫颈糜烂要忌口什么呢（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，宫颈糜烂几度？", "role": "doctor"}, {"turn": 2, "text": "有一点点", "role": "patient"}, {"turn": 3, "text": "要忌口什么呢，可以喝酸奶巧克力咖啡吗这些", "role": "patient"}, {"turn": 4, "text": "饮食上要清淡，不要吃辛辣刺激性食物，还有甜食也要少吃", "role": "doctor"}, {"turn": 5, "text": "酸奶可以吃", "role": "doctor"}, {"turn": 6, "text": "巧克力少吃跟咖啡是吗", "role": "patient"}, {"turn": 7, "text": "是的，甜食少吃", "role": "doctor"}, {"turn": 8, "text": "戒烟戒酒，不要熬夜", "role": "doctor"}, {"turn": 9, "text": "天天熬夜", "role": "patient"}, {"turn": 10, "text": "建议少熬夜", "role": "doctor"}, {"turn": 11, "text": "那还需要注意什么吗", "role": "patient"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "胶原蛋白能喝吗", "role": "patient"}, {"turn": 14, "text": "基本就这些了", "role": "doctor"}, {"turn": 15, "text": "可以喝", "role": "doctor"}, {"turn": 16, "text": "好的，非常谢谢你", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 312, "thread": [{"turn": 0, "text": "请问医生头痛耳鸣怎么治？（女，68岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多久啦！", "role": "doctor"}, {"turn": 2, "text": "有没有做相关检查", "role": "doctor"}, {"turn": 3, "text": "有半年了，做了检查，脑腔梗", "role": "patient"}, {"turn": 4, "text": "听力检查做了吗？", "role": "doctor"}, {"turn": 5, "text": "耳鸣首先检查听力", "role": "doctor"}, {"turn": 6, "text": "很有必要", "role": "doctor"}, {"turn": 7, "text": "没有检查耳朵，只以为是脑梗引起的，到医院开了药吃了还是响", "role": "patient"}, {"turn": 8, "text": "建议详查耳朵", "role": "doctor"}, {"turn": 9, "text": "好的，明天去检查一下。没有基它原因？", "role": "patient"}, {"turn": 10, "text": "担心是耳朵原本的问题", "role": "doctor"}, {"turn": 11, "text": "今早排出耳朵神经问题", "role": "doctor"}, {"turn": 12, "text": "这很关键", "role": "doctor"}, {"turn": 13, "text": "耳鸣很多也找不出原因", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生了！", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 313, "thread": [{"turn": 0, "text": "腰椎间盘突出能吃田螺吗?（女，55岁）", "role": "patient"}, {"turn": 1, "text": "你好，腰椎间盘突出可以吃田螺的？", "role": "doctor"}, {"turn": 2, "text": "您好，我妈55岁，平常右脚从腰上到足部一直都是又痛又麻。经医生诊断为腰椎盘突出。吃了中药没什么好转。现在0听朋友介绍一个偏方。说田螺蒸冰糖吃。有效果。麻烦问下能吃吗？", "role": "patient"}, {"turn": 3, "text": "现在是感觉走久一点也会痛", "role": "patient"}, {"turn": 4, "text": "你好，还在的么？", "role": "patient"}, {"turn": 5, "text": "你好，那是骗人的", "role": "doctor"}, {"turn": 6, "text": "有什么好的建议么？", "role": "patient"}, {"turn": 7, "text": "你好，你妈妈的片子在吗？", "role": "doctor"}, {"turn": 8, "text": "发过来我看一下，严重吗？", "role": "doctor"}, {"turn": 9, "text": "片子没在，就是现在走路右脚一直痛，麻", "role": "patient"}, {"turn": 10, "text": "你好，出现脚痛麻木，说明严重了", "role": "doctor"}, {"turn": 11, "text": "可以口服甲钴胺营养神经", "role": "doctor"}, {"turn": 12, "text": "哦，还有其它吗？", "role": "patient"}, {"turn": 13, "text": "暂时口服芬必得或者西乐葆缓解疼痛", "role": "doctor"}, {"turn": 14, "text": "注意保暖，避免受凉", "role": "doctor"}, {"turn": 15, "text": "可以去医院康复科就诊，坐理疗，牵引等治疗", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不用谢的", "role": "doctor"}, {"turn": 18, "text": "有问题再联系😊", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "🤘", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 314, "thread": [{"turn": 0, "text": "病毒性肝炎传染吗家人怎么预防被传?（男，80）", "role": "patient"}, {"turn": 1, "text": "你好，是乙肝丙肝还是其他哪种？", "role": "doctor"}, {"turn": 2, "text": "乙肝", "role": "patient"}, {"turn": 3, "text": "乙肝主要是母婴产道传播，性传播和血液传播", "role": "doctor"}, {"turn": 4, "text": "普通接触一般不会", "role": "doctor"}, {"turn": 5, "text": "但为了保险，可以去查一下乙肝五项，没有抗体的可以通过打乙肝疫苗获取", "role": "doctor"}, {"turn": 6, "text": "好的，谢谢。", "role": "patient"}, {"turn": 7, "text": "有了抗体基本就能预防", "role": "doctor"}, {"turn": 8, "text": "不客气，有问题再联系", "role": "doctor"}, {"turn": 9, "text": "好吧，去医院查查，谢谢周医生。", "role": "patient"}, {"turn": 10, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 315, "thread": [{"turn": 0, "text": "前列腺增生手术后六天还流血并且无力（男，66岁）", "role": "patient"}, {"turn": 1, "text": "你好，导尿管已经拔掉了？", "role": "doctor"}, {"turn": 2, "text": "前列腺增生手术恢复需要三个月。", "role": "doctor"}, {"turn": 3, "text": "还没有", "role": "patient"}, {"turn": 4, "text": "手术六天了还没有一点好转", "role": "patient"}, {"turn": 5, "text": "一般前列腺手术后前列腺创面渗血、水肿会存在较长时间，大约痊愈需要三个月。", "role": "doctor"}, {"turn": 6, "text": "所以术后小便见血、排尿不畅等情况很常见。", "role": "doctor"}, {"turn": 7, "text": "多饮水，忌辛辣酒。", "role": "doctor"}, {"turn": 8, "text": "哈乐+保列治 继续服用。", "role": "doctor"}, {"turn": 9, "text": "没有力气定怎么回事", "role": "patient"}, {"turn": 10, "text": "血钾 检查一下看看", "role": "doctor"}, {"turn": 11, "text": "低钾 会出现此症状", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 316, "thread": [{"turn": 0, "text": "lga三级肾病能治愈吗（男，34岁）", "role": "patient"}, {"turn": 1, "text": "您好，方便发一下病理么？", "role": "doctor"}, {"turn": 2, "text": "之前血压，尿蛋白，肌酐是多少。有没有复查过？", "role": "doctor"}, {"turn": 3, "text": "LGA三级", "role": "patient"}, {"turn": 4, "text": "微聊可以吗", "role": "patient"}, {"turn": 5, "text": "什么是微聊？不能出现个人信息的", "role": "doctor"}, {"turn": 6, "text": "我是王元雪医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}, {"turn": 7, "text": "这样可以吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 317, "thread": [{"turn": 0, "text": "新生儿结膜炎，妈妈母乳需要忌口吗？（男，16天）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "不需要特殊忌口的，不要吃辛辣刺激的食物", "role": "doctor"}, {"turn": 3, "text": "羊肉可以吃吗？", "role": "patient"}, {"turn": 4, "text": "羊肉可以，但要少吃", "role": "doctor"}, {"turn": 5, "text": "先前是右眼，现在左眼又有点感染，医生说继续两只眼睛用药、一般多久可以好", "role": "patient"}, {"turn": 6, "text": "一般得2周左右", "role": "doctor"}, {"turn": 7, "text": "继续用药应该问题不大是不、会不会好了又复发？", "role": "patient"}, {"turn": 8, "text": "结膜炎复发的不多", "role": "doctor"}, {"turn": 9, "text": "继续用药就行", "role": "doctor"}, {"turn": 10, "text": "好的，谢谢", "role": "patient"}, {"turn": 11, "text": "不客气，祝宝宝健康", "role": "doctor"}, {"turn": 12, "text": "十几天的宝宝吃完奶放下总是会扭动憋得满脸通红，一用力憋就会吐奶、喂的也不是很饱，请问正常吗？", "role": "patient"}, {"turn": 13, "text": "这个正常，因为宝宝发育快引起的，建议把维生素D给宝宝吃上", "role": "doctor"}, {"turn": 14, "text": "还没到一个月也可以用维D吗？", "role": "patient"}, {"turn": 15, "text": "可以的", "role": "doctor"}, {"turn": 16, "text": "正常生后两周就可以用了", "role": "doctor"}, {"turn": 17, "text": "九个月大的宝宝吃了凉奶粉后呕吐肚子有点不舒服，，现在不呕吐了但是一直拉偏稀便，便便气味有点像肚子着凉了，每天拉两次。请问可以喝深度水解奶粉吗？或者需要吃点什么药调理下不", "role": "patient"}, {"turn": 18, "text": "奶粉可以继续吃。不过吧以后喂奶注意别喂凉的啦", "role": "doctor"}, {"turn": 19, "text": "如果只是这一次两次可以先不吃药", "role": "doctor"}, {"turn": 20, "text": "但是持续好多天都是拉稀便哦", "role": "patient"}, {"turn": 21, "text": "那就给宝宝吃点益生菌调节肠道菌群", "role": "doctor"}, {"turn": 22, "text": "现在需要给他换吃深度水解奶粉不、应该不需要吧？", "role": "patient"}, {"turn": 23, "text": "先不用", "role": "doctor"}, {"turn": 24, "text": "一般一天几次拉肚子？", "role": "patient"}, {"turn": 25, "text": "8-10次", "role": "doctor"}, {"turn": 26, "text": "水样便，大便不成形", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "嗯", "role": "doctor"}, {"turn": 29, "text": "如果现在突然给他吃水解奶粉是不是到时候还得转回普通奶粉？", "role": "patient"}, {"turn": 30, "text": "那就看你们家里了，可以转也可以不转", "role": "doctor"}, {"turn": 31, "text": "一直吃深度水解奶粉也可以，如果腹泻好转的话。再慢慢换回来也行", "role": "doctor"}, {"turn": 32, "text": "好的", "role": "patient"}, {"turn": 33, "text": "嗯嗯", "role": "doctor"}, {"turn": 34, "text": "调节肠道菌群妈咪爱可以不", "role": "patient"}, {"turn": 35, "text": "可以的", "role": "doctor"}, {"turn": 36, "text": "可以连续吃几天吗", "role": "patient"}, {"turn": 37, "text": "对，可以吃一周", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 318, "thread": [{"turn": 0, "text": "宝宝支气管炎反复发烧怎么办（男，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，发热多久了？体温多少？", "role": "doctor"}, {"turn": 2, "text": "你好，宝宝发热几天了？", "role": "doctor"}, {"turn": 3, "text": "查血了吗", "role": "doctor"}, {"turn": 4, "text": "拍片了吗", "role": "doctor"}, {"turn": 5, "text": "有没有感染啊", "role": "doctor"}, {"turn": 6, "text": "今天下午才发烧，38.5", "role": "patient"}, {"turn": 7, "text": "到现在已经第3次了，查血了，病毒感染", "role": "patient"}, {"turn": 8, "text": "吃退烧药", "role": "doctor"}, {"turn": 9, "text": "吃的什么药", "role": "doctor"}, {"turn": 10, "text": "医生没让拍片子，在医院回来后才开始发热的", "role": "patient"}, {"turn": 11, "text": "美林", "role": "patient"}, {"turn": 12, "text": "现在还流清水鼻涕", "role": "patient"}, {"turn": 13, "text": "还爱流眼泪", "role": "patient"}, {"turn": 14, "text": "咳嗽有痰吗？痰能吐出来吗？", "role": "doctor"}, {"turn": 15, "text": "宝妈，腋温超过38.5℃喝美林，4-6小时可重复一次，24小时不超过4次，无论是喝的还是塞肛门的退热药，一次只能用一种。不到38.5℃建议物理降温，可以贴退热贴，用温毛巾擦腋窝，脖子，大腿根这些血管走形处，一次20-30分钟！隔半小时后腋窝擦干，再给宝宝量体温，要避免孩子喝水，吃饭，活动后量体温，这样不准确！另外一定要多喂开水，出出汗体温才能慢慢降下来，如果体内缺水，就没法通过散热来降体温！", "role": "doctor"}, {"turn": 16, "text": "自己吐不出来，他这样反复发热正常么？医生", "role": "patient"}, {"turn": 17, "text": "病毒感染就会反复发烧3－5天", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 319, "thread": [{"turn": 0, "text": "精索静脉曲张手术都有哪几种（男，20岁）", "role": "patient"}, {"turn": 1, "text": "这个手术方式就是传统跟微创两种", "role": "doctor"}, {"turn": 2, "text": "请问  传统的  是指从睾丸旁切刀口的吗", "role": "patient"}, {"turn": 3, "text": "不是的，是在腹股沟区切口", "role": "doctor"}, {"turn": 4, "text": "那  从阴囊侧切口的属于哪一种", "role": "patient"}, {"turn": 5, "text": "一般不做这个切口的哦", "role": "doctor"}, {"turn": 6, "text": "？", "role": "patient"}, {"turn": 7, "text": "是我记错了吗？没有这个方法？", "role": "patient"}, {"turn": 8, "text": "都是腹股沟区切口", "role": "doctor"}, {"turn": 9, "text": "方法就是一样的，精索静脉曲张高位结扎，但不从阴囊部位做切口的哦", "role": "doctor"}, {"turn": 10, "text": "腹股沟区切口才是高位结扎", "role": "doctor"}, {"turn": 11, "text": "那这个腹股沟区的属于胸腹腔史吗", "role": "patient"}, {"turn": 12, "text": "这个微创和传统的哪个不属于胸腹腔手术史？", "role": "patient"}, {"turn": 13, "text": "不了进胸的，就是下腹部，也不进腹部的", "role": "doctor"}, {"turn": 14, "text": "两个都不属于胸部手术", "role": "doctor"}, {"turn": 15, "text": "也不进腹腔的手术", "role": "doctor"}, {"turn": 16, "text": "哦哦  从网上看到  传统的复发性低   微创的复发性相比较而言比较高？", "role": "patient"}, {"turn": 17, "text": "没有这个说法的，都一样的", "role": "doctor"}, {"turn": 18, "text": "哦哦  那二者区别在哪", "role": "patient"}, {"turn": 19, "text": "听说微创的这个是从腹部打入气体？", "role": "patient"}, {"turn": 20, "text": "一个是微创，恢复快，痛苦小啊", "role": "doctor"}, {"turn": 21, "text": "皮下打入气体", "role": "doctor"}, {"turn": 22, "text": "二氧化碳气体，人体能吸收的，不用担心", "role": "doctor"}, {"turn": 23, "text": "请问  显微镜的那一种是属于什么手术", "role": "patient"}, {"turn": 24, "text": "显微镜的也是微创吗  是从哪里切入的？", "role": "patient"}, {"turn": 25, "text": "显微镜的就是传统手术", "role": "doctor"}, {"turn": 26, "text": "微创就是腹腔镜做的手术", "role": "doctor"}, {"turn": 27, "text": "哦哦  好的  听说显微镜的是目前的金标准？复发更低一点", "role": "patient"}, {"turn": 28, "text": "没有这个说法的哦", "role": "doctor"}, {"turn": 29, "text": "百度上都是这样说的", "role": "patient"}, {"turn": 30, "text": "嗯？这个不能相信网络上说的哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 320, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肾虚吃什么药（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "肾虚   长期手淫   勃起障碍    应该吃什么药", "role": "patient"}, {"turn": 3, "text": "你现在有哪些不舒服的症状?怕冷还是怕热呢？", "role": "doctor"}, {"turn": 4, "text": "怕热的    睡觉还会流汗", "role": "patient"}, {"turn": 5, "text": "大便怎么样？感不感觉腰膝酸软？潮热盗汗？五心烦热？", "role": "doctor"}, {"turn": 6, "text": "大便还好的    其他都有", "role": "patient"}, {"turn": 7, "text": "嗯有口苦么?", "role": "doctor"}, {"turn": 8, "text": "口苦没有   口干", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "那你这种情况去买金匮肾气丸连续吃半个月", "role": "doctor"}, {"turn": 11, "text": "应该怎么办   医生", "role": "patient"}, {"turn": 12, "text": "好的    谢谢", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 321, "thread": [{"turn": 0, "text": "肺癌临床治愈后还会出现骨转移吗（男，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，一般治愈就代表的意思是完全治好了，不会再出现转移", "role": "doctor"}, {"turn": 2, "text": "我是肺癌晚期不能手术，吃克挫替尼一个月后肿瘤消失，转移部位的淋巴结肿大也基本好了，医生说cr了，现在继续在吃药，不会出现再转移了吗", "role": "patient"}, {"turn": 3, "text": "CR，是完全缓解，一般不会出现转移", "role": "doctor"}, {"turn": 4, "text": "你是ALK融合阳性的吧", "role": "doctor"}, {"turn": 5, "text": "嗯是的", "role": "patient"}, {"turn": 6, "text": "这个预后很好", "role": "doctor"}, {"turn": 7, "text": "不错", "role": "doctor"}, {"turn": 8, "text": "以后还能抽烟喝酒吗？", "role": "patient"}, {"turn": 9, "text": "饮食要注意些什么呢", "role": "patient"}, {"turn": 10, "text": "不能抽烟喝酒", "role": "doctor"}, {"turn": 11, "text": "禁忌辛辣刺激性食物，多吃蔬菜水果，戒烟限酒，注意休息，其他没什么特别注意的", "role": "doctor"}, {"turn": 12, "text": "我每天早上起床还是有农痰", "role": "patient"}, {"turn": 13, "text": "什么颜色的时候", "role": "doctor"}, {"turn": 14, "text": "嗯嗯喝点红酒可以吗", "role": "patient"}, {"turn": 15, "text": "黄色的", "role": "patient"}, {"turn": 16, "text": "就是晨起第一二口痰", "role": "patient"}, {"turn": 17, "text": "后面就没有了", "role": "patient"}, {"turn": 18, "text": "那问题不大，观察观察看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 322, "thread": [{"turn": 0, "text": "女人肾虚表现是怎样的？（女，46岁）你好，我腰疼。", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "只是腰疼吗？", "role": "doctor"}, {"turn": 3, "text": "有没有怕冷？手脚心发热？夜间盗汗？", "role": "doctor"}, {"turn": 4, "text": "腰疼有可能是腰肌劳损或者腰间盘突出", "role": "doctor"}, {"turn": 5, "text": "我腰间盘膨胀。", "role": "patient"}, {"turn": 6, "text": "就是最近几个月，特别厉害！特别是早晨起床，腰特别痛。", "role": "patient"}, {"turn": 7, "text": "各位专家，我是女性。是不是？因为我工作的原因，我是上三班的。经常熬夜。", "role": "patient"}, {"turn": 8, "text": "这个熬夜也会影响", "role": "doctor"}, {"turn": 9, "text": "有没有僵硬感？", "role": "doctor"}, {"turn": 10, "text": "有。", "role": "patient"}, {"turn": 11, "text": "活动后会不会减轻", "role": "doctor"}, {"turn": 12, "text": "特别是早晨起床。", "role": "patient"}, {"turn": 13, "text": "是啊！", "role": "patient"}, {"turn": 14, "text": "所以我怀疑是不是？肾出了问题。", "role": "patient"}, {"turn": 15, "text": "是疼痛减轻？还是僵硬感减轻？", "role": "doctor"}, {"turn": 16, "text": "两个都有。", "role": "patient"}, {"turn": 17, "text": "主要还是考虑腰间盘膨出和肌肉劳损的问题", "role": "doctor"}, {"turn": 18, "text": "肾虚的话不会单纯的腰痛", "role": "doctor"}, {"turn": 19, "text": "晚上经常2点或者3左右就睡不着了。", "role": "patient"}, {"turn": 20, "text": "是疼痛的睡不着？还是失眠？", "role": "doctor"}, {"turn": 21, "text": "醒了腰疼，特别疼。就没有睡意了？", "role": "patient"}, {"turn": 22, "text": "查个B27看看", "role": "doctor"}, {"turn": 23, "text": "没问题的话就做做理疗扎针", "role": "doctor"}, {"turn": 24, "text": "要是吃药的话你可以先加个氯唑沙宗片", "role": "doctor"}, {"turn": 25, "text": "这是什么检查？能说的具体点。", "role": "patient"}, {"turn": 26, "text": "就是抽血查个B27", "role": "doctor"}, {"turn": 27, "text": "你要是拍的片子时间长了可以再查个片子", "role": "doctor"}, {"turn": 28, "text": "奥，是不是？先查一下？肾", "role": "patient"}, {"turn": 29, "text": "这个需要多长时间？能出结果？", "role": "patient"}, {"turn": 30, "text": "肾虚的话是中医的说法 没有啥检查项目主要根据症状", "role": "doctor"}, {"turn": 31, "text": "第二天就出结果了", "role": "doctor"}, {"turn": 32, "text": "好，谢谢！", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 323, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：妇科炎症（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "阴道外部及内部，非常痒", "role": "patient"}, {"turn": 3, "text": "白带怎么样？", "role": "doctor"}, {"turn": 4, "text": "黄色的，跟流脓一样", "role": "patient"}, {"turn": 5, "text": "那考虑是阴道炎了", "role": "doctor"}, {"turn": 6, "text": "去医院检查一下", "role": "doctor"}, {"turn": 7, "text": "我昨天去药店买药，卖药的说我是霉菌所以给我拿了一盒冲洗剂我刚洗几下出血了是什么情况", "role": "patient"}, {"turn": 8, "text": "您是不是快来月经了？", "role": "doctor"}, {"turn": 9, "text": "还有，他给我两粒塞的药，今天早上我感觉更痒了里面，专心的痒", "role": "patient"}, {"turn": 10, "text": "我上个月十一号来的", "role": "patient"}, {"turn": 11, "text": "塞的药要注意无菌操作，怕你不太会，所以去医院调整一下药，顺便让医生教一下你怎么用", "role": "doctor"}, {"turn": 12, "text": "有没有过敏原因", "role": "patient"}, {"turn": 13, "text": "过敏的话，你身上其他地方有没有疹子？", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "那不怎么考虑过敏", "role": "doctor"}, {"turn": 16, "text": "但我现在内部痒得难受", "role": "patient"}, {"turn": 17, "text": "该怎么处理", "role": "patient"}, {"turn": 18, "text": "我还是建议去医院化验一下白带", "role": "doctor"}, {"turn": 19, "text": "如果很痒，您先用苦参洗液，或者红核妇洁洗液或者复方黄柏液清洗一下", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "吃一下奥硝唑分散片（切记不能喝酒）", "role": "doctor"}, {"turn": 22, "text": "我昨天洗了记下出血是什么原因", "role": "patient"}, {"turn": 23, "text": "要么就是阴道不耐受药物，要么是宫颈糜烂", "role": "doctor"}, {"turn": 24, "text": "那我这种情况昨天的那些药物我是不是都该停止用了", "role": "patient"}, {"turn": 25, "text": "我建议停药", "role": "doctor"}, {"turn": 26, "text": "嗯嗯，谢谢您", "role": "patient"}, {"turn": 27, "text": "不客气。国庆节快乐", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 324, "thread": [{"turn": 0, "text": "人流三十天同房了没来月经外射会怀孕吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，平时月经规律吗？多少天来一次月经？", "role": "doctor"}, {"turn": 2, "text": "30天左右 不是特别规律 有的时候提前 有的时候推迟", "role": "patient"}, {"turn": 3, "text": "1只要卵泡发育成熟，在18-25毫米之间，是有优势的，容易受孕。2子宫内膜够厚，排卵期，达到8-10毫米。3能够自行排卵4输卵管是通畅的 5男方精液正常 那么怀孕就是迟早的事。\n\n人流后30天，月经没有复潮，排卵不能确定，同房有怀孕可能", "role": "doctor"}, {"turn": 4, "text": "只是体外射精怀孕可能性不大", "role": "doctor"}, {"turn": 5, "text": "如果要确切避孕只能选择紧急避孕药", "role": "doctor"}, {"turn": 6, "text": "那我害怕怀孕 就吃避孕药是嘛", "role": "patient"}, {"turn": 7, "text": "紧急避孕药左炔诺孕酮的副作用：撤药性出血、月经提前或推迟以及阴道不规则出血。其他如恶心、呕吐、乳房痛、头痛、眩晕、腹痛、疲劳等症状。 紧急避孕药的避孕机制是显著抑制排卵和阻止孕卵着床，并使宫颈黏液稠度增加，精子穿透阻力增大，影响子宫内膜，从而发挥速效避孕作用。", "role": "doctor"}, {"turn": 8, "text": "紧急避孕药的正确用法，同房后72小时内尽早服用，且吃紧急避孕药后这一个月不能再有无保护措施的性生活的\n紧急避孕药不能常规用的，一年内吃也不建议超两次的", "role": "doctor"}, {"turn": 9, "text": "吃了会有什么影响 会不孕不育吗", "role": "patient"}, {"turn": 10, "text": "人流后有吃短效避孕药吗？", "role": "doctor"}, {"turn": 11, "text": "没有 吃了四天就没吃了", "role": "patient"}, {"turn": 12, "text": "偶尔一次紧急避孕药会引起月经紊乱，不至于不育不孕", "role": "doctor"}, {"turn": 13, "text": "可是我是在做完人流以后第三十天 就吃 会有很大的影响吗", "role": "patient"}, {"turn": 14, "text": "和再次意外怀孕相比，紧急避孕药的副作用不值一提", "role": "doctor"}, {"turn": 15, "text": "那会导致不孕吗以后", "role": "patient"}, {"turn": 16, "text": "不会", "role": "doctor"}, {"turn": 17, "text": "那如果这次没有怀孕 吃了避孕药 也没事吗 有什么影响", "role": "patient"}, {"turn": 18, "text": "月经紊乱", "role": "doctor"}, {"turn": 19, "text": "别的没有了吧 我就怕影响以后 不孕 因为刚做完人流", "role": "patient"}, {"turn": 20, "text": "严格避孕啊！", "role": "doctor"}, {"turn": 21, "text": "是药三分毒，但是和怀孕人流药流想比，吃药安全多了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 325, "thread": [{"turn": 0, "text": "有乙肝大三阳的谷丙转氨酶一定不正常吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "不一定，乙肝患者的转氨酶很多是正常的", "role": "doctor"}, {"turn": 2, "text": "那如果近期肝功能检查谷丙/谷草1.2，现在再检查谷丙转氨酶会有问题吗", "role": "patient"}, {"turn": 3, "text": "比值1.2，那两个酶的具体数值正常吗", "role": "doctor"}, {"turn": 4, "text": "天门冬氨酸氨基转移酶17，丙氨酸氨基转移酶14，谷草/谷丙1.21，这样的数据能说明谷丙转氨酶正常", "role": "patient"}, {"turn": 5, "text": "吗", "role": "patient"}, {"turn": 6, "text": "可以。是正常的", "role": "doctor"}, {"turn": 7, "text": "这个结果是正常的，如果是近期检查的，再复查也不会有太大的改变。", "role": "doctor"}, {"turn": 8, "text": "时间间隔超不过一星期，那也就是说再检查谷丙转氨酶是正常的，没有问题对吧", "role": "patient"}, {"turn": 9, "text": "嗯，刚一周一般不会有太大的变化。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 326, "thread": [{"turn": 0, "text": "怀孕28周喝了一点点99感冒灵要的吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，您这个问题是说要紧吗？对吗？", "role": "doctor"}, {"turn": 2, "text": "就是刚刚我老公喝了99感冒灵，杯子里有点点，我就冲水喝了，对胎儿有影响吗", "role": "patient"}, {"turn": 3, "text": "明天就28周", "role": "patient"}, {"turn": 4, "text": "你好，没事的，不用担心，现在这个月份使用药物一般不会导致畸形了，更何况你只是冲水喝了，没事的", "role": "doctor"}, {"turn": 5, "text": "没事就好", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "我想问一下，在我怀孕三到四个月的时候，有一次上厕所把肛门整烈了，就流了点血长了一个小包包，当时也咨询过说是痔疮，自己会好，到现在都还在，有影响吗", "role": "patient"}, {"turn": 8, "text": "你好这种痔疮的话一般可能不太容易好", "role": "doctor"}, {"turn": 9, "text": "是不是要擦药才能好", "role": "patient"}, {"turn": 10, "text": "形成的那个痔疮，一般可能在大便比较粗或者硬的情况下，也会再拖出来。", "role": "doctor"}, {"turn": 11, "text": "这个您需要去咨询一下肛肠科了", "role": "doctor"}, {"turn": 12, "text": "它不痛，我不敢用药", "role": "patient"}, {"turn": 13, "text": "你这个得需要让肛肠科的大夫给您判断一下", "role": "doctor"}, {"turn": 14, "text": "具体的话看看他们需要怎么治疗，有一些不需要治疗，只需要改变，蹲便习惯就应该没事了", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 327, "thread": [{"turn": 0, "text": "食道癌做化疗是用西药还是中药好些？（男，51岁）", "role": "patient"}, {"turn": 1, "text": "您好！您有什么症状么？", "role": "doctor"}, {"turn": 2, "text": "化疗单只的是化学药物治疗，不包括中药", "role": "doctor"}, {"turn": 3, "text": "中药辅助抗肿瘤", "role": "doctor"}, {"turn": 4, "text": "建议规范化西医治疗后在加用中药", "role": "doctor"}, {"turn": 5, "text": "好的，", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "刚做完食道手术，12天，前天去的医院做复查，医生没有说别的，只说要1个月后做化疗，回家这两天吃东西还是有点堵，和涨这样正常吗", "role": "patient"}, {"turn": 8, "text": "正常", "role": "doctor"}, {"turn": 9, "text": "可以吃流食，最好添加一些速愈素类的营养粉", "role": "doctor"}, {"turn": 10, "text": "普通药店里有吗，现在就是吃汤泡饭，但是不能多吃，吃多了就会吐，涨，这种现象要持多久呐", "role": "patient"}, {"turn": 11, "text": "少食多餐", "role": "doctor"}, {"turn": 12, "text": "药店都有的", "role": "doctor"}, {"turn": 13, "text": "好的，吃饭会涨的和梗的这种现象会要持续多久呐", "role": "patient"}, {"turn": 14, "text": "看患者恢复情况了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 328, "thread": [{"turn": 0, "text": "怎么检查是不是有艾滋病呢（女，23岁）", "role": "patient"}, {"turn": 1, "text": "危险接触后4-6周去医院抽血化验。", "role": "doctor"}, {"turn": 2, "text": "要挂什么科呢？", "role": "patient"}, {"turn": 3, "text": "抽血化验\n要空腹嘛", "role": "patient"}, {"turn": 4, "text": "什么了都行。只要能来化验单就行。空腹最好。", "role": "doctor"}, {"turn": 5, "text": "不空腹也能测", "role": "doctor"}, {"turn": 6, "text": "阴阜长了一个红色的硬痘 刚开始可以挤出浓水 挤了几次就变成一个硬痘了。不痒也不痛也没有消失  是不是艾滋病", "role": "patient"}, {"turn": 7, "text": "艾滋病多久会发作？", "role": "patient"}, {"turn": 8, "text": "你好，艾滋病是全是性疾病，你这情况不像是艾滋病，可能是局部疖肿，毛囊炎。", "role": "doctor"}, {"turn": 9, "text": "艾滋病潜伏期12-13年左右。", "role": "doctor"}, {"turn": 10, "text": "假如身体有任何的问题抽血都可以验出来吗", "role": "patient"}, {"turn": 11, "text": "去抽血化验要跟医生说想化验有没有艾滋病吗？怪尴尬的", "role": "patient"}, {"turn": 12, "text": "那你就化验个免疫八项吧。说是体检的。", "role": "doctor"}, {"turn": 13, "text": "包括乙肝丙肝艾滋梅毒", "role": "doctor"}, {"turn": 14, "text": "嘛我阴阜长了个硬痘应该挂什么科？妇科还是皮肤科呢？", "role": "patient"}, {"turn": 15, "text": "先去皮肤科看看吧。", "role": "doctor"}, {"turn": 16, "text": "办健康证抽血可以查出来是否有艾滋病吗", "role": "patient"}, {"turn": 17, "text": "办健康证应该不查HIV,这个不太清楚。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 329, "thread": [{"turn": 0, "text": "哺乳期偏头痛，能吃什么药？（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好您的情况有没有劳累着凉了？", "role": "doctor"}, {"turn": 2, "text": "夜间哺乳几次", "role": "doctor"}, {"turn": 3, "text": "三次。就是一阵阵过电一样疼。左边", "role": "patient"}, {"turn": 4, "text": "太疼了", "role": "patient"}, {"turn": 5, "text": "没有着凉", "role": "patient"}, {"turn": 6, "text": "已经疼了三天了", "role": "patient"}, {"turn": 7, "text": "你这个与夜间哺乳睡眠不好有关系", "role": "doctor"}, {"turn": 8, "text": "能不能先让头不疼", "role": "patient"}, {"turn": 9, "text": "可以吃诺福丁", "role": "doctor"}, {"turn": 10, "text": "一粒", "role": "doctor"}, {"turn": 11, "text": "还是别吃止痛药物了，可以热水洗头，局部热敷看有，哺乳期止痛药物不能吃", "role": "doctor"}, {"turn": 12, "text": "哺乳期能吃的有吗", "role": "patient"}, {"turn": 13, "text": "不能吃", "role": "doctor"}, {"turn": 14, "text": "哎，好吧。", "role": "patient"}, {"turn": 15, "text": "主要是保证睡眠", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 330, "thread": [{"turn": 0, "text": "高血压140 100（男，44岁）", "role": "patient"}, {"turn": 1, "text": "你的血压偏高而且是以舒张压高为主，建议药物控制，同时要规律生活，因为工作压力大，生活不规律，休息欠佳，还有肥胖都会导致血压升高，尤其低压高时", "role": "doctor"}, {"turn": 2, "text": "我身高180，体重160。工作比较忙。吃什么降压药比较好？", "role": "patient"}, {"turn": 3, "text": "建议你可以吃倍他乐克(β受体阻滯剂，为抑制交感神经兴奋的)或钙离子拮抗剂如左旋氨氯地平片，这两个药均适合你，若用左旋起始用量就是1片1次每日，若用倍他乐克起始量为半片/次，2次/日，因你仅说了一次血压尚不能给你一个合理的剂量，建议你监测完一天后血压(早，中，晚)后再依血压情况调药，可以再咨询我，但需告诉你单纯口舒张压高为主的血压高相对不好降，在降的同时调整生活习惯，注意休息是很重要的，有利于降压，希望我的回答能帮到你，欢迎再次咨询，祝你健康快乐！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 331, "thread": [{"turn": 0, "text": "慢性根尖周炎拔牙就好了吗（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，有拍过牙片吗？可以发给我看看", "role": "doctor"}, {"turn": 2, "text": "有拍片，是光盘的", "role": "patient"}, {"turn": 3, "text": "那应该是ct了", "role": "doctor"}, {"turn": 4, "text": "牙齿松动明显吗？", "role": "doctor"}, {"turn": 5, "text": "是的", "role": "patient"}, {"turn": 6, "text": "如果患牙没有保留价值了，可以考虑拔掉", "role": "doctor"}, {"turn": 7, "text": "我挂的专家号", "role": "patient"}, {"turn": 8, "text": "嗯", "role": "doctor"}, {"turn": 9, "text": "如果不治疗，直接拔掉可以吗？", "role": "patient"}, {"turn": 10, "text": "如果需要拔掉，自然就没有必要治疗牙齿了", "role": "doctor"}, {"turn": 11, "text": "如果牙齿有保留价值，尽量治疗保留", "role": "doctor"}, {"turn": 12, "text": "医生说成功率只有百分60", "role": "patient"}, {"turn": 13, "text": "是上面第七个", "role": "patient"}, {"turn": 14, "text": "嗯，根管治疗本身成功率也就是八十左右，如果牙齿条件差一些，自然更低一些，60左右的话还是建议治疗的", "role": "doctor"}, {"turn": 15, "text": "拔掉对整体牙齿有没有影响？", "role": "patient"}, {"turn": 16, "text": "毕竟牙齿拔掉就没有了，总归是自己的牙好一些，有机会保留尽量治疗保留", "role": "doctor"}, {"turn": 17, "text": "没有，但需要修复治疗，最好种植牙", "role": "doctor"}, {"turn": 18, "text": "下面还有个智齿没长出来", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "doctor"}, {"turn": 20, "text": "保留意义大吗？", "role": "patient"}, {"turn": 21, "text": "还可以的，如果医生说成功率百分之60，可以尝试保留", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 332, "thread": [{"turn": 0, "text": "上夜班有轻微心慌手抖，是低血糖吗（男，30岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有可能出现了低血糖，是否有其他代谢性疾病", "role": "doctor"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "偶尔上夜班时会出现", "role": "patient"}, {"turn": 5, "text": "写字时手抖", "role": "patient"}, {"turn": 6, "text": "进食后是否可以缓解", "role": "doctor"}, {"turn": 7, "text": "会", "role": "patient"}, {"turn": 8, "text": "那么有可能是低血糖症状，平时注意饮食，可以准备一些零食，进一步检查空腹和餐后血糖看糖耐量是否受损", "role": "doctor"}, {"turn": 9, "text": "尽量不要熬夜，多休息避免劳累过度，加强营养保证充足睡眠。", "role": "doctor"}, {"turn": 10, "text": "您好，我是段世彬医生，如果您需要再次咨询，可以直接搜索我的名字，进入主页后再次找我咨询。如有需要，可以随时找我。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 333, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脚踝韧带拉伤（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "4周了，走路没问题，但是还有一点点浮肿和另一只脚比起来，然后会按疼，请问这种情况正常吗", "role": "patient"}, {"turn": 3, "text": "正常的", "role": "doctor"}, {"turn": 4, "text": "一般要6至8周才能完全恢复", "role": "doctor"}, {"turn": 5, "text": "1.建议每天休息时抬高患肢休息，高过心脏利于静脉回流消肿。\n2.每天坚持多泡泡热水，睡前也泡十分钟。\n3.可以局部作下理疗按摩。", "role": "doctor"}, {"turn": 6, "text": "可以口服非甾体药物双氯芬酸钠及神威滑膜炎颗粒消肿止痛效果好", "role": "doctor"}, {"turn": 7, "text": "那我可以尝试慢跑吗？", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "我现在受伤的脚还是不能全方向扭转这个是不是正常现象", "role": "patient"}, {"turn": 10, "text": "是", "role": "doctor"}, {"turn": 11, "text": "韧带扭伤还没有完全修复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 334, "thread": [{"turn": 0, "text": "你好，脑出血患者4年了，恢复的很好（女，55岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "请问当时是什么原因引起的脑出血？", "role": "doctor"}, {"turn": 3, "text": "你好，我妈妈脑出血4年多了", "role": "patient"}, {"turn": 4, "text": "嗯。目前病人情况如何？", "role": "doctor"}, {"turn": 5, "text": "恢复的还挺好，但最近牙龈出血怎么回事？", "role": "patient"}, {"turn": 6, "text": "是不是刷牙太用力了？", "role": "doctor"}, {"turn": 7, "text": "可以补充一些维生素看看", "role": "doctor"}, {"turn": 8, "text": "脑出血患者，平时需要吃点什么护理药吗？", "role": "patient"}, {"turn": 9, "text": "嗯是一刷牙就出血", "role": "patient"}, {"turn": 10, "text": "身上会有淤血点吗？", "role": "doctor"}, {"turn": 11, "text": "身上还不知道，明天我问问", "role": "patient"}, {"turn": 12, "text": "请问当时是什么原因引起的脑出血？", "role": "doctor"}, {"turn": 13, "text": "淤血点是怎么回事？", "role": "patient"}, {"turn": 14, "text": "牙龈出血，也要警惕有没有凝血功能异常", "role": "doctor"}, {"turn": 15, "text": "当时是高血压200多", "role": "patient"}, {"turn": 16, "text": "平时要控制好血压", "role": "doctor"}, {"turn": 17, "text": "嗯，每天都在吃降压药", "role": "patient"}, {"turn": 18, "text": "嗯", "role": "doctor"}, {"turn": 19, "text": "除了吃降压药还要吃什么药呢？", "role": "patient"}, {"turn": 20, "text": "平时有定期去医院抽血看看嘛", "role": "doctor"}, {"turn": 21, "text": "血糖和血脂怎么样？", "role": "doctor"}, {"turn": 22, "text": "血糖还行，血脂可能有点高", "role": "patient"}, {"turn": 23, "text": "建议要定期复查生化", "role": "doctor"}, {"turn": 24, "text": "哦哦，那我们都需要差什么？", "role": "patient"}, {"turn": 25, "text": "生化全套检查。", "role": "doctor"}, {"turn": 26, "text": "然后平时除了吃降压药还需要吃点什么药吗？", "role": "patient"}, {"turn": 27, "text": "如果血脂高可以吃些降血脂的药", "role": "doctor"}, {"turn": 28, "text": "哦哦，经常吃降压药会伤害内脏或什么器官吗？", "role": "patient"}, {"turn": 29, "text": "需要吃些护理的药吗？", "role": "patient"}, {"turn": 30, "text": "一般还好", "role": "doctor"}, {"turn": 31, "text": "哦哦，那就是应该带她定期去检查", "role": "patient"}, {"turn": 32, "text": "一般多久复查一次", "role": "patient"}, {"turn": 33, "text": "是的", "role": "doctor"}, {"turn": 34, "text": "如果都还好的话，半年到一年复查一次", "role": "doctor"}, {"turn": 35, "text": "多长时间复查最好？", "role": "patient"}, {"turn": 36, "text": "嗯嗯，好的", "role": "patient"}, {"turn": 37, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 335, "thread": [{"turn": 0, "text": "胆囊结石可以吃生蚝吗（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问以前疼过吗？", "role": "doctor"}, {"turn": 2, "text": "疼过", "role": "patient"}, {"turn": 3, "text": "可以吃，但是要少吃", "role": "doctor"}, {"turn": 4, "text": "吃多了不行的", "role": "doctor"}, {"turn": 5, "text": "我就想知道，水煮虾，和桂鱼，八爪鱼，生蚝，能不能吃", "role": "patient"}, {"turn": 6, "text": "这些都可以吃", "role": "doctor"}, {"turn": 7, "text": "今天外甥女过生日，自家买的海鲜做的", "role": "patient"}, {"turn": 8, "text": "就是不能多", "role": "doctor"}, {"turn": 9, "text": "少吃一点可以的", "role": "doctor"}, {"turn": 10, "text": "多是多少？\n少是多少？", "role": "patient"}, {"turn": 11, "text": "一个", "role": "doctor"}, {"turn": 12, "text": "吃了这些，我吃止痛药和消炎药可以吗？", "role": "patient"}, {"turn": 13, "text": "因为我家里备用的有复发的药", "role": "patient"}, {"turn": 14, "text": "一旦疼起来，吃药不一定管用", "role": "doctor"}, {"turn": 15, "text": "就是生蚝可以吃一个对吗？", "role": "patient"}, {"turn": 16, "text": "我不建议你这么做", "role": "doctor"}, {"turn": 17, "text": "对", "role": "doctor"}, {"turn": 18, "text": "吃一个", "role": "doctor"}, {"turn": 19, "text": "虾也是", "role": "doctor"}, {"turn": 20, "text": "那八爪鱼和桂鱼呢？", "role": "patient"}, {"turn": 21, "text": "😂水煮虾让我吃一个？", "role": "patient"}, {"turn": 22, "text": "解解馋就行了", "role": "doctor"}, {"turn": 23, "text": "那个，夹两筷子就行了", "role": "doctor"}, {"turn": 24, "text": "我的天，你怎么跟其他医生说的不一样", "role": "patient"}, {"turn": 25, "text": "水煮虾可以吃啊", "role": "patient"}, {"turn": 26, "text": "让吃一个，有点……", "role": "patient"}, {"turn": 27, "text": "这个没有人敢保证你吃多少会没事", "role": "doctor"}, {"turn": 28, "text": "没有人知道这个量", "role": "doctor"}, {"turn": 29, "text": "一旦你发作了，你会发现一个都不该吃", "role": "doctor"}, {"turn": 30, "text": "因为我是生了孩子后检查出来的胆囊结石", "role": "patient"}, {"turn": 31, "text": "之后我就问医生，有哪些可以吃，就问了一下，", "role": "patient"}, {"turn": 32, "text": "说水煮虾是可以吃的", "role": "patient"}, {"turn": 33, "text": "如果没发做过，还可以多吃点", "role": "doctor"}, {"turn": 34, "text": "其他的可以不吃，但是水煮虾应该没事吧，我这都半年了，吃水煮虾从没有复发过", "role": "patient"}, {"turn": 35, "text": "你要是吃虾没事，那你就吃", "role": "doctor"}, {"turn": 36, "text": "水煮虾都是一盆一盆吃的", "role": "patient"}, {"turn": 37, "text": "有些人啥也不吃还发做的", "role": "doctor"}, {"turn": 38, "text": "桂鱼呢？鱼类的应该可以吧", "role": "patient"}, {"turn": 39, "text": "每个人不一样", "role": "doctor"}, {"turn": 40, "text": "只要不是油腻辣的", "role": "patient"}, {"turn": 41, "text": "其实鱼类跟虾一样", "role": "doctor"}, {"turn": 42, "text": "一帮来说没事", "role": "doctor"}, {"turn": 43, "text": "好的，那我知道了！谢谢啊", "role": "patient"}, {"turn": 44, "text": "但是就怕万一啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 336, "thread": [{"turn": 0, "text": "就是头晕，会不会是鼻炎引起的呀（女，26岁）", "role": "patient"}, {"turn": 1, "text": "您好，可能性比较小吧，是怎么样的一种感觉", "role": "doctor"}, {"turn": 2, "text": "就是头晕晕沉沉的", "role": "patient"}, {"turn": 3, "text": "有没有检查过神经内科", "role": "doctor"}, {"turn": 4, "text": "没有，啥检查也没做，就这两天才开始的", "role": "patient"}, {"turn": 5, "text": "眩晕的原因是有很多的，鼻炎引起的可能性极小，最多见的是头颅方面的问题以及耳朵方面的问题，需要首先排除头颅方面的问题，随后可以做一下前庭功能检查，多数是耳源性眩晕", "role": "doctor"}, {"turn": 6, "text": "好的，我再看看吧，谢谢您", "role": "patient"}, {"turn": 7, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 337, "thread": [{"turn": 0, "text": "重症肺炎的小孩晚上总哭闹怎么办（女，2个月）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "两天了", "role": "patient"}, {"turn": 3, "text": "宝宝的精神食欲怎样？", "role": "doctor"}, {"turn": 4, "text": "都好的", "role": "patient"}, {"turn": 5, "text": "大便怎么样？", "role": "doctor"}, {"turn": 6, "text": "稀的", "role": "patient"}, {"turn": 7, "text": "一天拉几次？", "role": "doctor"}, {"turn": 8, "text": "大概五六次", "role": "patient"}, {"turn": 9, "text": "口服益生菌调理一下。", "role": "doctor"}, {"turn": 10, "text": "哭闹怎么", "role": "patient"}, {"turn": 11, "text": "喂了奶也不睡", "role": "patient"}, {"turn": 12, "text": "考虑还是肠道不舒服？", "role": "doctor"}, {"turn": 13, "text": "我能做什么", "role": "patient"}, {"turn": 14, "text": "可以热水袋暖暖肚子", "role": "doctor"}, {"turn": 15, "text": "在医院里没有热水袋", "role": "patient"}, {"turn": 16, "text": "可以肚脐上铁丁桂儿脐贴", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "有什么好的化痰的办法吗", "role": "patient"}, {"turn": 19, "text": "口服药物和雾化治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 338, "thread": [{"turn": 0, "text": "乳腺增生怎么办，周期性胀痛（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "应该有一你年左右", "role": "patient"}, {"turn": 3, "text": "医生开过药，没有改善，就没在吃了", "role": "patient"}, {"turn": 4, "text": "建议口服乳癖消或百消丹，保持良好心情，避免过度熬夜劳累", "role": "doctor"}, {"turn": 5, "text": "长期这样痛，会出什么问题不", "role": "patient"}, {"turn": 6, "text": "不会，乳腺增生不会变成别的，要定期复查彩超", "role": "doctor"}, {"turn": 7, "text": "好的，谢谢", "role": "patient"}, {"turn": 8, "text": "不客气", "role": "doctor"}, {"turn": 9, "text": "郭医生，每次胀痛时，腋窝淋巴结能摸到，也很痛", "role": "patient"}, {"turn": 10, "text": "要紧不", "role": "patient"}, {"turn": 11, "text": "淋巴结肿大大多数炎症引起，建议彩超检查", "role": "doctor"}, {"turn": 12, "text": "做过b超，是乳腺小叶增生", "role": "patient"}, {"turn": 13, "text": "腋窝做了吗", "role": "doctor"}, {"turn": 14, "text": "没有诶", "role": "patient"}, {"turn": 15, "text": "建议口服治疗乳腺增生的药物，可能与乳腺增生有关", "role": "doctor"}, {"turn": 16, "text": "乳腺增生的药有哪些", "role": "patient"}, {"turn": 17, "text": "乳癖消，百消丹", "role": "doctor"}, {"turn": 18, "text": "腋窝不做b超可以不", "role": "patient"}, {"turn": 19, "text": "建议做一个", "role": "doctor"}, {"turn": 20, "text": "哦，好谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}, {"turn": 22, "text": "吃药大约多久症状能得到改善", "role": "patient"}, {"turn": 23, "text": "经期药应该不能吃吧", "role": "patient"}, {"turn": 24, "text": "多久缓解看具体情况，每个人对药物敏感性不一样", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 339, "thread": [{"turn": 0, "text": "半月板损伤吃什么药效果好（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问现在都有什么症状？", "role": "doctor"}, {"turn": 2, "text": "右腿半月板二级损伤。", "role": "patient"}, {"turn": 3, "text": "也拍过磁共振", "role": "patient"}, {"turn": 4, "text": "二级损伤属于正常的，不需要处理的。只有三级损伤才需要处理", "role": "doctor"}, {"turn": 5, "text": "你把核磁发给我", "role": "doctor"}, {"turn": 6, "text": "没有片子 就是腿关节疼痛", "role": "patient"}, {"turn": 7, "text": "有没有药可以缓解的？", "role": "patient"}, {"turn": 8, "text": "怎么个疼法？", "role": "doctor"}, {"turn": 9, "text": "可以口服英太青和神威滑膜炎颗粒", "role": "doctor"}, {"turn": 10, "text": "有时候感觉关节无力 疼痛感不知道怎么形容.", "role": "patient"}, {"turn": 11, "text": "有没有膝关节弹响和卡压", "role": "doctor"}, {"turn": 12, "text": "？", "role": "doctor"}, {"turn": 13, "text": "有响声 卡压是什么...", "role": "patient"}, {"turn": 14, "text": "就是膝关节突然卡住动不了，活动活动又正常了", "role": "doctor"}, {"turn": 15, "text": "这个没有.", "role": "patient"}, {"turn": 16, "text": "弹响的时候疼不疼？", "role": "doctor"}, {"turn": 17, "text": "没有。", "role": "patient"}, {"turn": 18, "text": "膝关节不舒服总共多久了？", "role": "doctor"}, {"turn": 19, "text": "还有核磁片子去哪里了？", "role": "doctor"}, {"turn": 20, "text": "4个月吧", "role": "patient"}, {"turn": 21, "text": "平时影响大不大？", "role": "doctor"}, {"turn": 22, "text": "嗯我是退伍的。拍核磁共振的时候没有拿...", "role": "patient"}, {"turn": 23, "text": "军人？家是哪里的？", "role": "doctor"}, {"turn": 24, "text": "嗯。江西的", "role": "patient"}, {"turn": 25, "text": "做完找医生看过没有？你的表现不是半月板损伤的表现", "role": "doctor"}, {"turn": 26, "text": "平时就是稍微动动疼痛感加深", "role": "patient"}, {"turn": 27, "text": "看了 是的。", "role": "patient"}, {"turn": 28, "text": "他说是半月板的损伤是吗？", "role": "doctor"}, {"turn": 29, "text": "嗯。", "role": "patient"}, {"turn": 30, "text": "那半月板损伤只能选择手术啊，其他没有特别好的办法", "role": "doctor"}, {"turn": 31, "text": "听部队的排长说有一种药可以缓解。因为排长也是半月板的问题", "role": "patient"}, {"turn": 32, "text": "就是问一下", "role": "patient"}, {"turn": 33, "text": "如果真的是半月板损伤，首先手术。缓解症状的你吃点英太青或者塞来昔布", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 340, "thread": [{"turn": 0, "text": "你好，请问我最近总是失眠怎么办（男，39岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您的这种症状有多久了", "role": "doctor"}, {"turn": 2, "text": "一个多星期了", "role": "patient"}, {"turn": 3, "text": "有什么原因引起的吗？比如情绪不好", "role": "doctor"}, {"turn": 4, "text": "这个不大清楚哦", "role": "patient"}, {"turn": 5, "text": "就是有不愉快的事吗", "role": "doctor"}, {"turn": 6, "text": "熬夜吗", "role": "doctor"}, {"turn": 7, "text": "饮酒吗", "role": "doctor"}, {"turn": 8, "text": "基本上都是十二点左右睡觉，算吗", "role": "patient"}, {"turn": 9, "text": "算熬夜", "role": "doctor"}, {"turn": 10, "text": "那一般几点前睡觉不算熬夜", "role": "patient"}, {"turn": 11, "text": "十一点以前", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢", "role": "patient"}, {"turn": 13, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 341, "thread": [{"turn": 0, "text": "感冒与鼻炎是什么区别（女，32岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "感冒引起的鼻塞，鼻涕喷嚏症状又叫做急性鼻炎", "role": "doctor"}, {"turn": 3, "text": "平时我们所说的鼻炎一般是指过敏性鼻炎", "role": "doctor"}, {"turn": 4, "text": "当接触冷空气，油烟，粉尘等等刺激物出现鼻塞鼻涕喷嚏等症状这种情况就是慢性鼻炎，也是我们平时所说的鼻炎", "role": "doctor"}, {"turn": 5, "text": "我现在分不清我是鼻炎还是感冒", "role": "patient"}, {"turn": 6, "text": "我现在的症状是鼻音挺严重，偶尔有鼻涕（早起多点，白色的），偶尔打喷嚏，鼻子早晨通气，晚上不通气，嗓子没什么事，", "role": "patient"}, {"turn": 7, "text": "这种情况考虑鼻炎", "role": "doctor"}, {"turn": 8, "text": "前几天孩子感冒了，不知道是不是给传上了", "role": "patient"}, {"turn": 9, "text": "平时有这种症状吗？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "我以前是有鼻炎，夏天犯过一次，之后就没什么事了，打昨天症状就加重了", "role": "patient"}, {"turn": 12, "text": "那先用点感冒药看看", "role": "doctor"}, {"turn": 13, "text": "我现在哺乳，能吃什么药啊", "role": "patient"}, {"turn": 14, "text": "用点双黄连口服液", "role": "doctor"}, {"turn": 15, "text": "四季感冒片", "role": "doctor"}, {"turn": 16, "text": "昨天把身上还有点皱巴，今天没事了", "role": "patient"}, {"turn": 17, "text": "恩", "role": "doctor"}, {"turn": 18, "text": "这个药，不影响喂奶？", "role": "patient"}, {"turn": 19, "text": "不影响", "role": "doctor"}, {"turn": 20, "text": "吃板蓝根行吗", "role": "patient"}, {"turn": 21, "text": "也可以", "role": "doctor"}, {"turn": 22, "text": "好的谢谢，要是感冒一般几天能好啊", "role": "patient"}, {"turn": 23, "text": "要是鼻炎多久能好啊", "role": "patient"}, {"turn": 24, "text": "一般一个星期", "role": "doctor"}, {"turn": 25, "text": "鼻炎一周也能好？", "role": "patient"}, {"turn": 26, "text": "鼻炎只要脱离过敏源，单纯症状缓解大约一个星期也可以", "role": "doctor"}, {"turn": 27, "text": "可是我没接触什么过敏源啊", "role": "patient"}, {"turn": 28, "text": "冷空气，灰尘，油烟，螨虫等等", "role": "doctor"}, {"turn": 29, "text": "我现在带孩子一直屋里待着", "role": "patient"}, {"turn": 30, "text": "能够引起过敏物质很多很多", "role": "doctor"}, {"turn": 31, "text": "嗷嗷好的", "role": "patient"}, {"turn": 32, "text": "恩", "role": "doctor"}, {"turn": 33, "text": "那怎么才能知道我是感冒还是鼻炎呢", "role": "patient"}, {"turn": 34, "text": "可以去医院检查鼻腔镜以及过敏原", "role": "doctor"}, {"turn": 35, "text": "感冒也会引起鼻炎出现", "role": "doctor"}, {"turn": 36, "text": "有哺乳期能吃的鼻炎药吗", "role": "patient"}, {"turn": 37, "text": "尽量不要吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 342, "thread": [{"turn": 0, "text": "宫外孕手术对身体危害（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，宫外孕手术本身没有特别危害，是你宫外孕本身就是之前有输卵管的不同，容易导致再次宫外孕", "role": "doctor"}, {"turn": 2, "text": "你好！你好，我是什么原因？子宫外孕呢？", "role": "patient"}, {"turn": 3, "text": "宫外孕主要原因是输卵管炎症导致输卵管不通导致的", "role": "doctor"}, {"turn": 4, "text": "是不是炎症", "role": "patient"}, {"turn": 5, "text": "是有炎症导致的", "role": "doctor"}, {"turn": 6, "text": "我有盆腔炎", "role": "patient"}, {"turn": 7, "text": "那就原因了", "role": "doctor"}, {"turn": 8, "text": "宫外孕做了手术后会对身体有什么害处呢？", "role": "patient"}, {"turn": 9, "text": "你得了宫外孕是必须手术的", "role": "doctor"}, {"turn": 10, "text": "第一次跟我约好，不会有第二次宫外孕呢。", "role": "patient"}, {"turn": 11, "text": "手术就是可能伤身体，导致身体虚弱等，还可能导致盆腔粘连等，医生都会尽量避免的", "role": "doctor"}, {"turn": 12, "text": "老师我这做了手术后，还要注意点什么，", "role": "patient"}, {"turn": 13, "text": "还会不会得钌二次宫外", "role": "patient"}, {"turn": 14, "text": "是还有可能宫外孕的", "role": "doctor"}, {"turn": 15, "text": "注意休息，尽量恢复好吧", "role": "doctor"}, {"turn": 16, "text": "那要怎么预防呢？", "role": "patient"}, {"turn": 17, "text": "我还上环呢", "role": "patient"}, {"turn": 18, "text": "你已经有炎症导致不通，才得的宫外孕，下次怀孕，看没宫外孕那测卵巢排卵再怀", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 343, "thread": [{"turn": 0, "text": "声带息肉手术能吃避孕药吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "可以。已经手术治疗了吗", "role": "doctor"}, {"turn": 2, "text": "嗯", "role": "patient"}, {"turn": 3, "text": "吃药吃了半个月了", "role": "patient"}, {"turn": 4, "text": "没有影响", "role": "doctor"}, {"turn": 5, "text": "现在能吃避孕药吗？", "role": "patient"}, {"turn": 6, "text": "可以", "role": "doctor"}, {"turn": 7, "text": "我就怕我吃的药，和避孕药会不会有影响", "role": "patient"}, {"turn": 8, "text": "没有", "role": "doctor"}, {"turn": 9, "text": "好的，谢谢", "role": "patient"}, {"turn": 10, "text": "还有，麻烦问一下", "role": "patient"}, {"turn": 11, "text": "？", "role": "doctor"}, {"turn": 12, "text": "做完声带息肉手术，为什么声音会变小", "role": "patient"}, {"turn": 13, "text": "术后多久", "role": "doctor"}, {"turn": 14, "text": "我现在的声音发不出大声", "role": "patient"}, {"turn": 15, "text": "半个月", "role": "patient"}, {"turn": 16, "text": "嗓子还会痛，上周查了喉镜，说是伤口水肿，吃了药，还是说不出大声", "role": "patient"}, {"turn": 17, "text": "慢慢的好", "role": "doctor"}, {"turn": 18, "text": "这以后会不会变不回来了", "role": "patient"}, {"turn": 19, "text": "会好的", "role": "doctor"}, {"turn": 20, "text": "我怕我哑巴了", "role": "patient"}, {"turn": 21, "text": "不会的", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "祝早日康复！非常感谢您的信任！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 344, "thread": [{"turn": 0, "text": "医生，膀胱过度活动症能治好吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "可以治疗的，需要一个过程！", "role": "doctor"}, {"turn": 2, "text": "医生开了酒石酸托特罗定片，吃完后肚子感觉很胀，会不会有什么问题", "role": "patient"}, {"turn": 3, "text": "这是此类药物的胃肠到副作用，你换副作用少一点的索利那新", "role": "doctor"}, {"turn": 4, "text": "这几天老是拉完尿还是想拉，感觉拉不干净，特别是晚上睡觉的时候，做了尿常规也没用问题，就说是膀胱过度活动症", "role": "patient"}, {"turn": 5, "text": "可以加点坦索罗辛调节一下膀胱颈口括约肌功能", "role": "doctor"}, {"turn": 6, "text": "我现在吃的药，减少剂量吃可以吗", "role": "patient"}, {"turn": 7, "text": "减量是可以的，但尿频可能会增加", "role": "doctor"}, {"turn": 8, "text": "那这些药吃完了，尿频也会复发吗", "role": "patient"}, {"turn": 9, "text": "如果不注意生活规律可能会复发的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 345, "thread": [{"turn": 0, "text": "治疗宫颈糜烂最好的药是什么药（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宫颈几度宫颈糜烂？", "role": "doctor"}, {"turn": 2, "text": "二度糜烂", "role": "patient"}, {"turn": 3, "text": "用什么药好？", "role": "patient"}, {"turn": 4, "text": "宫颈糜烂分为三度，一度属于轻度，可以药物干预治疗；二度属于中度，建议手术治疗，三度属于重度，需要手术治疗，通常二度及三度手术治疗效果好，药物治疗效果不理想，常用的手术有锥切手术，激光手术，自凝刀手术等。", "role": "doctor"}, {"turn": 5, "text": "消糜栓和复方苦参洗剂可以吗？", "role": "patient"}, {"turn": 6, "text": "就是用这两个药物", "role": "doctor"}, {"turn": 7, "text": "我用的修复疤痕的药可以吗？", "role": "patient"}, {"turn": 8, "text": "可以呀，", "role": "doctor"}, {"turn": 9, "text": "建议手术治疗效果好", "role": "doctor"}, {"turn": 10, "text": "修复疤痕的药哪种好？", "role": "patient"}, {"turn": 11, "text": "积雪苷片", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢", "role": "patient"}, {"turn": 13, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 346, "thread": [{"turn": 0, "text": "男人勃起困难跟前列腺炎有关系吗?（男，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，是有一定关系的", "role": "doctor"}, {"turn": 2, "text": "前列腺炎经常吃药，怎么也好不了", "role": "patient"}, {"turn": 3, "text": "用的是什么药", "role": "doctor"}, {"turn": 4, "text": "用过好多种了", "role": "patient"}, {"turn": 5, "text": "中药用过吗", "role": "doctor"}, {"turn": 6, "text": "中成药用过", "role": "patient"}, {"turn": 7, "text": "中药呢", "role": "doctor"}, {"turn": 8, "text": "没", "role": "patient"}, {"turn": 9, "text": "只能告诉你，前列腺炎会影响到勃起", "role": "doctor"}, {"turn": 10, "text": "有个中医给看过，他说不严重，就没给开药", "role": "patient"}, {"turn": 11, "text": "如果你想治疗前列腺炎，可以用中药配合西药一起治疗", "role": "doctor"}, {"turn": 12, "text": "嗯我感觉也是", "role": "patient"}, {"turn": 13, "text": "是的", "role": "doctor"}, {"turn": 14, "text": "好了", "role": "patient"}, {"turn": 15, "text": "好了谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 347, "thread": [{"turn": 0, "text": "怎么判断宝宝的细支气管炎好了呢（女，5个月）", "role": "patient"}, {"turn": 1, "text": "宝宝精神和吃奶怎么样？去医院听诊一下气管和肺部了吗", "role": "doctor"}, {"turn": 2, "text": "吃奶和平时一样，", "role": "patient"}, {"turn": 3, "text": "前两天去医院做了四天雾化开了点消炎药", "role": "patient"}, {"turn": 4, "text": "星期五去医院做了X光是细支气管炎", "role": "patient"}, {"turn": 5, "text": "还有气喘吗", "role": "doctor"}, {"turn": 6, "text": "呼吸急促吗", "role": "doctor"}, {"turn": 7, "text": "当时她的喘息声很大，现在没有了", "role": "patient"}, {"turn": 8, "text": "睡觉起来还有点咳嗽", "role": "patient"}, {"turn": 9, "text": "可以继续观察了", "role": "doctor"}, {"turn": 10, "text": "什么意思？？？", "role": "patient"}, {"turn": 11, "text": "可以不用治疗了", "role": "doctor"}, {"turn": 12, "text": "那可以去打疫苗嘛", "role": "patient"}, {"turn": 13, "text": "已经推迟了一个礼拜了", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "消炎药还有两包还要继续吃嘛", "role": "patient"}, {"turn": 16, "text": "可是她喉咙还有点痰", "role": "patient"}, {"turn": 17, "text": "不是很多，听着就是一点点", "role": "patient"}, {"turn": 18, "text": "可是平时她好着喉咙也会有点痰", "role": "patient"}, {"turn": 19, "text": "咳嗽不多的话可以不吃了", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 348, "thread": [{"turn": 0, "text": "医生最近出现头晕耳鸣的症状，怎么回事（男，36岁）有人说是因为肾虚", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "休息怎么样", "role": "doctor"}, {"turn": 3, "text": "一周时间", "role": "patient"}, {"turn": 4, "text": "休息不太好", "role": "patient"}, {"turn": 5, "text": "之前没有？", "role": "doctor"}, {"turn": 6, "text": "血压高吗", "role": "doctor"}, {"turn": 7, "text": "睡眠质量不行", "role": "patient"}, {"turn": 8, "text": "头晕的时候看东西转不转", "role": "doctor"}, {"turn": 9, "text": "出现过，没在意", "role": "patient"}, {"turn": 10, "text": "血压高吗", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "可以吃什么药调理吗", "role": "patient"}, {"turn": 13, "text": "我认为是睡眠障碍造成的", "role": "doctor"}, {"turn": 14, "text": "百乐眠或者佑佐匹克隆", "role": "doctor"}, {"turn": 15, "text": "先改善睡眠质量", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 349, "thread": [{"turn": 0, "text": "脂溢性皮炎荨麻疹需要打针么（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以不用打针，如果有呼吸困难胸闷就要打针", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "我是溢脂性皮炎  在吃依巴斯汀但是只要一停就过两天复发  而且脱发严重", "role": "patient"}, {"turn": 4, "text": "一停药过个几天就肯定复发  身上起类似荨麻疹的东西  一片片的  痒痒  而且吧  脱发也是  虽然不痒痒  但是脱发尤其严重  脸上也开始长痘痘了", "role": "patient"}, {"turn": 5, "text": "感觉头发发根特别脆弱", "role": "patient"}, {"turn": 6, "text": "？？？", "role": "patient"}, {"turn": 7, "text": "荨麻疹和脂溢性皮炎都不是用点药就能好了", "role": "doctor"}, {"turn": 8, "text": "荨麻疹的治疗需要长期服用抗组胺药，吃依巴斯汀能控制就算有效果", "role": "doctor"}, {"turn": 9, "text": "那怎么办呢  脱发什么的  还有痘痘  需要去医院么  打针之类的", "role": "patient"}, {"turn": 10, "text": "可以去查一下激素水平", "role": "doctor"}, {"turn": 11, "text": "激素水平是指什么？", "role": "patient"}, {"turn": 12, "text": "看雄激素水平高不高", "role": "doctor"}, {"turn": 13, "text": "这个和脱发长痘痘都有一定关系", "role": "doctor"}, {"turn": 14, "text": "如果雄性激素高怎么调和呢？", "role": "patient"}, {"turn": 15, "text": "可以用药的", "role": "doctor"}, {"turn": 16, "text": "雄性激素多的特征是什么啊", "role": "patient"}, {"turn": 17, "text": "脱发，油脂分泌旺盛，长痘", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 350, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：阶段性耳石症（男，55岁）", "role": "patient"}, {"turn": 1, "text": "您好请问有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "耳石症没有阶段性和非阶段性这么一说！", "role": "doctor"}, {"turn": 3, "text": "耳石症，又名良性陈发性位置性眩晕，多与头部位置改变有关。耳石是位于耳迷路里的钙离子结晶，只有显微镜下才能看到。起到维持平衡，参与本体感觉的作用。一但脱落，就会在迷路里晃动，引起旋转性眩晕。如果不正规复位，就有可能造成异位嵌顿，嵌顿的部位发生水肿和非细菌性炎性改变，造成头晕，脑胀，平衡失调症状，此症状可迁延不愈，给生活带来不便。\n常见原因，1，缺钙，缺钙致耳石脆性增加，耳石间易崩裂，致耳石脱落。2，缺血，由于缺血致耳石营养不良而缺钙，由此引起耳石脱落。缺血的原因又常见于颈椎病和病毒感染等。3，颅脑损伤合并耳迷路震荡，耳石脱落。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 351, "thread": [{"turn": 0, "text": "现在乳腺增生吃点什么药（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "您好，乳腺增生是和月经相关的，只要有月经就有乳腺增生。所以说几乎90％女性都有乳腺增生，一般来说判断乳腺的轻重主要看乳腺疼痛的轻重，疼痛较轻，增生比较轻，疼痛重增生比较严重， 如果疼的不厉害是不需要药物治疗的，平时少生气，少熬夜，少吃辛辣刺激食物就行了，如果疼的厉害可以吃点红金消结胶囊  乳癖消 平消片，消结安胶囊，乳宁丸之类的治疗乳腺增生的中成药，选其中一种即可。 乳腺增生平时要多吃绿色蔬菜，海藻类、鱼类、水果。 这些东西能够抑制脂肪合成，从而使激素水平下降，有利于乳腺增生疾病的恢复。 不宜吃：1.要少吃高脂肪食物；2.忌食辛辣刺激性调味品或食物；3.少饮咖啡，少喝酒；4.少吃油炸食品。", "role": "doctor"}, {"turn": 3, "text": "太专业了！", "role": "patient"}, {"turn": 4, "text": "1,注意情绪，少生气；2,注意休息，少熬夜。3,注意饮食，少吃辣。", "role": "doctor"}, {"turn": 5, "text": "就是忍不住生气，是不也和增生有关系啊", "role": "patient"}, {"turn": 6, "text": "现在一生气就难受，涨疼", "role": "patient"}, {"turn": 7, "text": "我知道了谢谢了！", "role": "patient"}, {"turn": 8, "text": "早休息晚安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 352, "thread": [{"turn": 0, "text": "哺乳期急性咽喉炎发热，是否可以喂奶（女，25岁）急性咽喉炎，发热38.3，刚刚喂奶了，是否对宝宝有影响", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有没有吃药？", "role": "doctor"}, {"turn": 3, "text": "不吃药可以哺乳的", "role": "doctor"}, {"turn": 4, "text": "多喝水", "role": "doctor"}, {"turn": 5, "text": "今天早上开始的", "role": "patient"}, {"turn": 6, "text": "刚刚喂完奶，吃了头孢克尼", "role": "patient"}, {"turn": 7, "text": "头孢问题不大", "role": "doctor"}, {"turn": 8, "text": "嗯嗯", "role": "patient"}, {"turn": 9, "text": "只要38.5以下就可以喂奶吧？", "role": "patient"}, {"turn": 10, "text": "我每次也注意戴口罩了", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "请问血常规白细胞和中性细胞升高是细菌性还是病毒感染？", "role": "patient"}, {"turn": 13, "text": "一般提示细菌", "role": "doctor"}, {"turn": 14, "text": "也就是说着凉引起的？", "role": "patient"}, {"turn": 15, "text": "细菌性的急性咽喉炎具备传染性不？", "role": "patient"}, {"turn": 16, "text": "细菌性的一般不传染", "role": "doctor"}, {"turn": 17, "text": "有没有鼻涕鼻塞？", "role": "doctor"}, {"turn": 18, "text": "没有", "role": "patient"}, {"turn": 19, "text": "要是39℃了还能喂奶么，我现在觉得好热，感觉晚上温度要飙升", "role": "patient"}, {"turn": 20, "text": "多喝水", "role": "doctor"}, {"turn": 21, "text": "可以吃对乙酰氨基酚", "role": "doctor"}, {"turn": 22, "text": "安全的", "role": "doctor"}, {"turn": 23, "text": "退热的", "role": "doctor"}, {"turn": 24, "text": "👌", "role": "patient"}, {"turn": 25, "text": "好", "role": "doctor"}, {"turn": 26, "text": "我现在是把自己缩在被子里发发汗还是物理降温？", "role": "patient"}, {"turn": 27, "text": "家里目前没那个药，等明天买", "role": "patient"}, {"turn": 28, "text": "可以物理降温", "role": "doctor"}, {"turn": 29, "text": "把冰块放在塑料袋中密封。外面用毛巾包一下，放在腋下，腹股沟，颈部等大血管暴露的地方。", "role": "doctor"}, {"turn": 30, "text": "不用捂着发汗么", "role": "patient"}, {"turn": 31, "text": "不要", "role": "doctor"}, {"turn": 32, "text": "嗯嗯", "role": "patient"}, {"turn": 33, "text": "要把温度降下来", "role": "doctor"}, {"turn": 34, "text": "一般烧到多少℃不能喂奶啦", "role": "patient"}, {"turn": 35, "text": "温度没有要求，", "role": "doctor"}, {"turn": 36, "text": "主要不要乱吃药", "role": "doctor"}, {"turn": 37, "text": "嗯嗯，👌", "role": "patient"}, {"turn": 38, "text": "好", "role": "doctor"}, {"turn": 39, "text": "谢谢医生", "role": "patient"}, {"turn": 40, "text": "多喝水，休息，", "role": "doctor"}, {"turn": 41, "text": "👌", "role": "patient"}, {"turn": 42, "text": "好", "role": "doctor"}, {"turn": 43, "text": "医生。。我的鼻子好像有点点塞了。。", "role": "patient"}, {"turn": 44, "text": "可能病毒性感冒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 353, "thread": [{"turn": 0, "text": "子宫肌瘤5.0，3.4需要手术吗？（女，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问发现多长时间了，影响到月经了吗？", "role": "doctor"}, {"turn": 2, "text": "发现四年了，平时没啥感觉，月经每月提前3到6天", "role": "patient"}, {"turn": 3, "text": "月经量多吗", "role": "doctor"}, {"turn": 4, "text": "量也算正常", "role": "patient"}, {"turn": 5, "text": "那样的话可以定期复查，看看这个肌瘤长大的速度快吗？如果快需要做手术，如果不变化可以定期观察就行。", "role": "doctor"}, {"turn": 6, "text": "大夫还在吗？", "role": "patient"}, {"turn": 7, "text": "没收到吗", "role": "doctor"}, {"turn": 8, "text": "有变化的，9月体检是4.5*3.9现在复查是5*3.4", "role": "patient"}, {"turn": 9, "text": "变化不大，可以半年查一查看看", "role": "doctor"}, {"turn": 10, "text": "好的，谢谢", "role": "patient"}, {"turn": 11, "text": "不用客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 354, "thread": [{"turn": 0, "text": "营养不良造成了视神经萎缩失明几率多少（女，13岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答！", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "营养不良导致的视神经萎缩失明几率多少", "role": "patient"}, {"turn": 4, "text": "视神经萎缩通常是指各种原因导致的视神经细胞受损，从而出现了视神经组织的萎缩，症状一般表现为视力不同程度的下降、视野缺损，如果严重的话，甚至会导致失明，至于失明的几率有多高，这个要看具体病情的严重程度，所以这个并没有具体的数字。但是这种损害一般是不可逆的，所以眼睛出现了视神经病变，一定要及早发现，及早治疗，只有这样才能避免视神经萎缩的发生。", "role": "doctor"}, {"turn": 5, "text": "视神经萎缩根据其导致视神经萎缩的病因不同，从而其预后也不尽相同。因此对于视力损伤的程度，要根据其病因来判断其预后。例如有些leber遗传性视神经病变的患者，在视力减退数月或者是数年以后，视力部分甚至全部恢复。这种视力部分或全部恢复的病例，据统计可分别为29%及12%，视力一旦有所恢复，通常很少会再减退。", "role": "doctor"}, {"turn": 6, "text": "那我该怎么办啊", "role": "patient"}, {"turn": 7, "text": "视神经萎缩通常是继发于各种视神经或者视网膜疾病。由于神经细胞是不可再生细胞，所以，一旦形成视神经萎缩，是没有太好的治疗方法的，而且视神经萎缩会造成视力不同程度的下降、视野缺损，严重甚至会导致失明。至于失明的几率，要看引起视神经萎缩的原发疾病以及视神经受损的严重程度，这个几率目前在临床上并没有相关的统计。对于这种疾病的治疗，建议要积极的治疗原发疾病，只有在疾病的早期进行了及早干预，才有可能尽量减缓或者减轻视神经受损，视力才能得到一定程度的保留。", "role": "doctor"}, {"turn": 8, "text": "一般多久治疗算快的", "role": "patient"}, {"turn": 9, "text": "尽早是多久", "role": "patient"}, {"turn": 10, "text": "你好，要去检查，按病因方可知道多久！", "role": "doctor"}, {"turn": 11, "text": "从刚刚发病开始多久要治疗算早", "role": "patient"}, {"turn": 12, "text": "以下是科学的饮食习惯和生活习惯建议，认真去做！", "role": "doctor"}, {"turn": 13, "text": "饮食清淡为主 \n多吃粗粮，鱼类，家禽类，蛋类，奶类，豆类及其制品，坚果类，菌藻类以及新鲜的水果和蔬菜！ \n\n早睡早起勤锻炼(慢跑，爬山，骑自行车，瑜伽，游泳，俯卧撑，仰卧起坐等) \n\n严禁：零食速食夜宵，冷饮，甜品糖块，油炸类，烧烤类等食物！", "role": "doctor"}, {"turn": 14, "text": "发现及时，及时去检查治疗为最佳！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 355, "thread": [{"turn": 0, "text": "小孩过敏性鼻炎还伴有支气管发炎（男，1岁8个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问孩子现在主要是什么症状？", "role": "doctor"}, {"turn": 2, "text": "你好，我的孩子一年经常生病，每次发病都是先打喷嚏，后来就一直发展到支气管炎，我想了解下这是什么原因", "role": "patient"}, {"turn": 3, "text": "打喷嚏发展到支气管炎，这种情况属于呼吸道的感染，是儿童常见病，主要是病毒感染引起的。如果孩子容易反复的发生上呼吸道的感染，可以考虑查一下免疫功能，抵抗力低下的孩子容易出现这种情况。", "role": "doctor"}, {"turn": 4, "text": "没有如此简单，每次还伴有咳喘", "role": "patient"}, {"turn": 5, "text": "而且周期很长，如果是普通感冒应该是吃了药就会及时控制，但是每次我们从普通感冒就给他开药吃，就算不见好，自动就是要发展为支气管还有喘", "role": "patient"}, {"turn": 6, "text": "有查过肺功能吗？平时是过敏体质吗？", "role": "doctor"}, {"turn": 7, "text": "如果咳喘三次以上，可以考虑查一下肺功能，这种情况需要排除支气管哮喘的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 356, "thread": [{"turn": 0, "text": "慢性前列腺炎，目前只有滴白症状（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好！很高兴为你解答！这种情况有多长时间了", "role": "doctor"}, {"turn": 2, "text": "两个月了吧", "role": "patient"}, {"turn": 3, "text": "首先，感谢对我的信任，其次，希望你能理解，春雨医生都是兼职，利用自己业余时间帮你们解答疑问的，一般白天都比较忙，有病人要处理，有时候还要做手术，所以有时候回复慢一点说明我在忙，希望理解一下，但只要我忙完有空余时间肯定会及时回复你的，谢谢合作！", "role": "doctor"}, {"turn": 4, "text": "属于前列腺炎。此病好发于青壮年，平时生活不规律、饮酒、睡眠不足、压力大、憋尿都可能会引起。", "role": "doctor"}, {"turn": 5, "text": "建议你口服罗红霉素、哈乐一周治疗", "role": "doctor"}, {"turn": 6, "text": "平时不饮酒，多饮水，保证睡眠，多锻炼身体，每晚温水坐浴20分钟对你是有帮助的！", "role": "doctor"}, {"turn": 7, "text": "一般至药店购买即可！因为是专科药物，所以最好到你当地比较大点药房买！多跑几家看看！", "role": "doctor"}, {"turn": 8, "text": "现在喝中药调呢 谢谢您", "role": "patient"}, {"turn": 9, "text": "口服上述药物即可", "role": "doctor"}, {"turn": 10, "text": "好嘞 谢谢", "role": "patient"}, {"turn": 11, "text": "不客气！祝生活愉快", "role": "doctor"}, {"turn": 12, "text": "谢谢", "role": "patient"}, {"turn": 13, "text": "好的", "role": "doctor"}, {"turn": 14, "text": "麻烦您，咨询一下中药加针灸可以治疗吗？不服西药", "role": "patient"}, {"turn": 15, "text": "不需要", "role": "doctor"}, {"turn": 16, "text": "一个中医的同学给我调理呢，我肾气还有点不足，一起调呢", "role": "patient"}, {"turn": 17, "text": "主要是辅助治疗", "role": "doctor"}, {"turn": 18, "text": "辅助治疗是指哪方面？自身的健康规律生活吗？", "role": "patient"}, {"turn": 19, "text": "平时不饮酒，多饮水，保证睡眠，多锻炼身体，每晚温水坐浴20分钟对你是有帮助的！这个就是辅助的", "role": "doctor"}, {"turn": 20, "text": "好嘞 谢谢 我先调理一个月添麻烦了", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}, {"turn": 22, "text": "早点休息 您也注意身体", "role": "patient"}, {"turn": 23, "text": "谢谢", "role": "doctor"}, {"turn": 24, "text": "您客气了（免回）", "role": "patient"}, {"turn": 25, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 357, "thread": [{"turn": 0, "text": "痔疮不便秘还流血为什么（女，20岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "鲜红色的血吗", "role": "doctor"}, {"turn": 3, "text": "两天吧", "role": "patient"}, {"turn": 4, "text": "是红色的", "role": "patient"}, {"turn": 5, "text": "出血有多少", "role": "doctor"}, {"turn": 6, "text": "矿泉水瓶盖对比", "role": "doctor"}, {"turn": 7, "text": "不管他的话 会一直出血", "role": "patient"}, {"turn": 8, "text": "拍张肛门的照片给我看一下", "role": "doctor"}, {"turn": 9, "text": "我买了痔疮膏 和口服的药  但我觉得出血太严重", "role": "patient"}, {"turn": 10, "text": "如果药物治疗无效或者反复出血需要手术", "role": "doctor"}, {"turn": 11, "text": "只是上完厕所会滴血 很严重吗", "role": "patient"}, {"turn": 12, "text": "一般几天 可以消一下", "role": "patient"}, {"turn": 13, "text": "你不是说出血很多吗", "role": "doctor"}, {"turn": 14, "text": "很严重吗", "role": "doctor"}, {"turn": 15, "text": "我问你矿泉水瓶盖有多少", "role": "doctor"}, {"turn": 16, "text": "没办法 衡量 因为会一直", "role": "patient"}, {"turn": 17, "text": "出血", "role": "patient"}, {"turn": 18, "text": "可用温盐水或者高锰酸钾或康复新液坐浴（高锰酸钾一次一片兑一盆温水，不要太浓，淡紫色就行；康复新液一次20-30ml兑在一盆温水里)，每日3次，便后加坐一次，一次坐浴时间为10分钟。", "role": "doctor"}, {"turn": 19, "text": "坐浴后塞点痔疮膏，比如马应龙痔疮膏或者普济痔疮栓或者太宁栓等", "role": "doctor"}, {"turn": 20, "text": "口服迈之灵或者地奥司明片，加上云南白药", "role": "doctor"}, {"turn": 21, "text": "养成良好的生活及排便习惯，不要久蹲厕所，保持大便通畅；不要久坐久站，保持肛周清洁卫生。管住嘴，多吃蔬菜水果，少吃辛辣刺激性食物", "role": "doctor"}, {"turn": 22, "text": "室内的空调 很热 第二天早起会很干燥  和这个也有关系吧", "role": "patient"}, {"turn": 23, "text": "有一定影响，多喝水", "role": "doctor"}, {"turn": 24, "text": "我想问您一下 以矿泉水瓶盖为例 出血 多少算是多的", "role": "patient"}, {"turn": 25, "text": "这样 我都不敢上厕所了", "role": "patient"}, {"turn": 26, "text": "每天两三盖吧", "role": "doctor"}, {"turn": 27, "text": "及以上", "role": "doctor"}, {"turn": 28, "text": "嗯好的 谢谢", "role": "patient"}, {"turn": 29, "text": "不客气，祝身体健康，生活愉快！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 358, "thread": [{"turn": 0, "text": "小孩咳嗽去查是支原体感染，怎么冶（男，7岁）", "role": "patient"}, {"turn": 1, "text": "你好，咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "支原体感染可以口服红霉素颗粒或阿奇霉素颗粒治疗", "role": "doctor"}, {"turn": 3, "text": "断断续续有三个月了", "role": "patient"}, {"turn": 4, "text": "没痰", "role": "patient"}, {"turn": 5, "text": "咳嗽厉害吗？", "role": "doctor"}, {"turn": 6, "text": "有去医院开，但是吃了好像后面又会咳", "role": "patient"}, {"turn": 7, "text": "不会很厉害", "role": "patient"}, {"turn": 8, "text": "得坚持一段时间", "role": "doctor"}, {"turn": 9, "text": "吃了9天的药💊", "role": "patient"}, {"turn": 10, "text": "哦，口服什么药?", "role": "doctor"}, {"turn": 11, "text": "医生说不要吃了", "role": "patient"}, {"turn": 12, "text": "阿奇霉素，孟斯特鲁，马替芬酮", "role": "patient"}, {"turn": 13, "text": "哦，阿奇霉素也是口服治疗9天吗?", "role": "doctor"}, {"turn": 14, "text": "是的，吃三天停四天，就吃了三次", "role": "patient"}, {"turn": 15, "text": "等于9天", "role": "patient"}, {"turn": 16, "text": "他好像还有鼻炎吧？鼻子有的塞", "role": "patient"}, {"turn": 17, "text": "有可能", "role": "doctor"}, {"turn": 18, "text": "咳嗽老不好，很烦啊", "role": "patient"}, {"turn": 19, "text": "停药多长时间了？", "role": "doctor"}, {"turn": 20, "text": "二天", "role": "patient"}, {"turn": 21, "text": "哦，可以去正规医院按摩推拿一下", "role": "doctor"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "谢谢", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 359, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：早孕反应太大（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在怀孕多久了", "role": "doctor"}, {"turn": 2, "text": "10周", "role": "patient"}, {"turn": 3, "text": "早孕反应太大了，不到一个月已经瘦了16斤了", "role": "patient"}, {"turn": 4, "text": "看什么都吐的厉害，喝水都吐", "role": "patient"}, {"turn": 5, "text": "什么也吃不下", "role": "patient"}, {"turn": 6, "text": "你有查尿常规嘛", "role": "doctor"}, {"turn": 7, "text": "孕吐一般持续到12周会好转", "role": "doctor"}, {"turn": 8, "text": "如果你吃啥都吐你得去打营养针和止吐针", "role": "doctor"}, {"turn": 9, "text": "我生第一个孩子的时候也非常厉害，16周左右才好", "role": "patient"}, {"turn": 10, "text": "可以打止吐针吗？", "role": "patient"}, {"turn": 11, "text": "我去医院检查，医生也没有说", "role": "patient"}, {"turn": 12, "text": "可以打止吐针", "role": "doctor"}, {"turn": 13, "text": "胃复安是可以用的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 360, "thread": [{"turn": 0, "text": "狗经常在家里月子里的孩会不会细菌感染（女，2个月）", "role": "patient"}, {"turn": 1, "text": "不会的啊。。。。。。", "role": "doctor"}, {"turn": 2, "text": "我们是农村的   家里狗不给洗澡", "role": "patient"}, {"turn": 3, "text": "这些不会的", "role": "doctor"}, {"turn": 4, "text": "我还怕有细菌   因为家里好多狗毛", "role": "patient"}, {"turn": 5, "text": "再加上这两天孩子老拉", "role": "patient"}, {"turn": 6, "text": "跟这个没关系的", "role": "doctor"}, {"turn": 7, "text": "其实细菌大自然无处不在", "role": "doctor"}, {"turn": 8, "text": "好吧", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "那狗就没有细菌？", "role": "patient"}, {"turn": 11, "text": "而且夏天细菌相对少", "role": "doctor"}, {"turn": 12, "text": "不像春天潮湿", "role": "doctor"}, {"turn": 13, "text": "当然有啊", "role": "doctor"}, {"turn": 14, "text": "人身上也有细菌的", "role": "doctor"}, {"turn": 15, "text": "少接触为好对吧", "role": "patient"}, {"turn": 16, "text": "是的", "role": "doctor"}, {"turn": 17, "text": "你别摸它", "role": "doctor"}, {"turn": 18, "text": "或者摸过记得洗手", "role": "doctor"}, {"turn": 19, "text": "还有个问题   孩今天一下就不肯母乳了", "role": "patient"}, {"turn": 20, "text": "她睡觉还好不", "role": "doctor"}, {"turn": 21, "text": "不怎么睡了", "role": "patient"}, {"turn": 22, "text": "吵不吵？", "role": "doctor"}, {"turn": 23, "text": "闹", "role": "patient"}, {"turn": 24, "text": "但是她吃奶粉", "role": "patient"}, {"turn": 25, "text": "本来母乳就不够   奶粉混合吃", "role": "patient"}, {"turn": 26, "text": "只要他肯吃，先喂饱她", "role": "doctor"}, {"turn": 27, "text": "那她不肯母乳怎么办", "role": "patient"}, {"turn": 28, "text": "试着喂", "role": "doctor"}, {"turn": 29, "text": "放在嘴里不吃就是哭", "role": "patient"}, {"turn": 30, "text": "是不是吃奶粉习惯了", "role": "patient"}, {"turn": 31, "text": "挤出来放奶瓶里看看", "role": "doctor"}, {"turn": 32, "text": "是的，可能吃出口感了", "role": "doctor"}, {"turn": 33, "text": "就算挤出来吃   不肯也不行啊", "role": "patient"}, {"turn": 34, "text": "会不会是变味了", "role": "patient"}, {"turn": 35, "text": "不会变味的", "role": "doctor"}, {"turn": 36, "text": "那要是挤出来也不吃是不是就没办法了", "role": "patient"}, {"turn": 37, "text": "蒽", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 361, "thread": [{"turn": 0, "text": "鼻咽癌可以吃竹丝鸡汤吗（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好！当然可以的，没有不良影响", "role": "doctor"}, {"turn": 2, "text": "只要吃了不难受就可以", "role": "doctor"}, {"turn": 3, "text": "只要是规范治疗，具体包括化疗放疗的综合，，就有希望能够控制病情", "role": "doctor"}, {"turn": 4, "text": "刚开始做化疗，体质弱", "role": "patient"}, {"turn": 5, "text": "第一次化疗吗", "role": "doctor"}, {"turn": 6, "text": "但有人说癌患者不能吃鸡肉", "role": "patient"}, {"turn": 7, "text": "争取试试吧，实在受不了，再调整治疗方案", "role": "doctor"}, {"turn": 8, "text": "当然可以吃，任何食物都可以", "role": "doctor"}, {"turn": 9, "text": "是的，", "role": "patient"}, {"turn": 10, "text": "不管吃什么食物，不影响肿瘤，不会促进肿瘤发展的", "role": "doctor"}, {"turn": 11, "text": "适当加强营养，还有助于增强身体素质，对抗疾病", "role": "doctor"}, {"turn": 12, "text": "我是在医院宣传册看的食疗方，乌鸡红豆杞子桂园肉陈皮一起煲汤给患者吃", "role": "patient"}, {"turn": 13, "text": "可以的，", "role": "doctor"}, {"turn": 14, "text": "最重要的还是，放疗化疗的综合治疗。。。食物只是为机体代谢补充营养", "role": "doctor"}, {"turn": 15, "text": "谢谢医生！", "role": "patient"}, {"turn": 16, "text": "不用客气，在治疗过程中有任何问题，可以随时联系交流，很希望能帮到你……", "role": "doctor"}, {"turn": 17, "text": "谢了！", "role": "patient"}, {"turn": 18, "text": "🙏🙏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 362, "thread": [{"turn": 0, "text": "高血压能不能刮痧脖子（女，66岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问血压控制怎么样？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "血压最高的时候是多少？", "role": "doctor"}, {"turn": 4, "text": "您好", "role": "doctor"}, {"turn": 5, "text": "每天吃一个降压药", "role": "patient"}, {"turn": 6, "text": "要是血压控制的可以的话是可以刮痧的", "role": "doctor"}, {"turn": 7, "text": "170", "role": "patient"}, {"turn": 8, "text": "力度要适中，不要太久", "role": "doctor"}, {"turn": 9, "text": "稍微有点高了", "role": "doctor"}, {"turn": 10, "text": "充完血管就正常了", "role": "patient"}, {"turn": 11, "text": "尽量控制在150/100左右", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "每次刮痧力度轻一些，时间15分钟左右", "role": "doctor"}, {"turn": 15, "text": "拔罐也可以吗？", "role": "patient"}, {"turn": 16, "text": "拔罐不弄脖子", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "拔旁边", "role": "patient"}, {"turn": 20, "text": "大椎可以", "role": "doctor"}, {"turn": 21, "text": "好的😄", "role": "patient"}, {"turn": 22, "text": "谢谢", "role": "patient"}, {"turn": 23, "text": "不客气，祝您身体健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 363, "thread": [{"turn": 0, "text": "请问医生胃痛吃什么药，慢性胃炎（女，35岁）", "role": "patient"}, {"turn": 1, "text": "您好请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "10年了！", "role": "patient"}, {"turn": 3, "text": "经常会胃疼", "role": "patient"}, {"turn": 4, "text": "10前照过一次胃镜", "role": "patient"}, {"turn": 5, "text": "建议您做呼气试验明确有无Hp(幽门螺杆菌)感染及胃镜检查。", "role": "doctor"}, {"turn": 6, "text": "药物治疗建议口服耐信，硫糖铝混悬液，莫沙必利，三种一起吃。但建议先检查。", "role": "doctor"}, {"turn": 7, "text": "医生请问有胃病是不是要忌嘴", "role": "patient"}, {"turn": 8, "text": "汤圆是不是不能吃", "role": "patient"}, {"turn": 9, "text": "生活要有规律，尽量避免生、冷、硬、辣食物，定时定量进食，忌暴饮暴食，尽量不抽烟、饮酒，晚上睡前二个小时尽量不要进食，午、晚餐后适当活动再休息。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 364, "thread": [{"turn": 0, "text": "花椒水泡脚能治疗风湿吗（男，51岁）", "role": "patient"}, {"turn": 1, "text": "你好！是可以的，每天坚持用花椒水泡脚，还可以起到祛病延年的效果", "role": "doctor"}, {"turn": 2, "text": "具体步骤啥样能教我吗？去市场买花椒吗？然后呢？", "role": "patient"}, {"turn": 3, "text": "你用一个棉布包50克花椒，用绳系紧，再加水煮开后，用这个水泡脚即可。花椒包可以反复利用，用一个星期左右再换新的就可以", "role": "doctor"}, {"turn": 4, "text": "这个每次大概泡多长时间啊？泡的话能不能去寒气？？", "role": "patient"}, {"turn": 5, "text": "每次泡10～15分钟，可以去除寒气", "role": "doctor"}, {"turn": 6, "text": "也可以去除身上的寒气吗？", "role": "patient"}, {"turn": 7, "text": "可以", "role": "doctor"}, {"turn": 8, "text": "谢谢医生", "role": "patient"}, {"turn": 9, "text": "不客气！", "role": "doctor"}, {"turn": 10, "text": "是不是要很热的水泡？多热的水？", "role": "patient"}, {"turn": 11, "text": "放在足浴盆里泡怎么样？", "role": "patient"}, {"turn": 12, "text": "可以，40～50度", "role": "doctor"}, {"turn": 13, "text": "好滴，谢谢", "role": "patient"}, {"turn": 14, "text": "不客气！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 365, "thread": [{"turn": 0, "text": "上环后像痛经一样怎么回事（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，你好，请问上环多长时间了？", "role": "doctor"}, {"turn": 2, "text": "第三天了", "role": "patient"}, {"turn": 3, "text": "还是像痛经一样痛", "role": "patient"}, {"turn": 4, "text": "有出血吗", "role": "doctor"}, {"turn": 5, "text": "也不知道正不正常", "role": "patient"}, {"turn": 6, "text": "有一点", "role": "patient"}, {"turn": 7, "text": "小腹痛，腰有点酸痛", "role": "patient"}, {"turn": 8, "text": "是正规医院去放的吗，有没有给你开药", "role": "doctor"}, {"turn": 9, "text": "是的，去人民医院的，开药吃了，也吃了，还是痛", "role": "patient"}, {"turn": 10, "text": "我女儿5个月，13斤，回来就偶尔抱孩子，没做什么事了", "role": "patient"}, {"turn": 11, "text": "放环之后是会有腰骶部不适，如果特别痛的话还是要去医院做个超声看一下", "role": "doctor"}, {"turn": 12, "text": "额", "role": "patient"}, {"turn": 13, "text": "不是特别痛那种，就是小腹痛得不舒服", "role": "patient"}, {"turn": 14, "text": "口服药继续吃，最好去医院做彩超，看一下环的位置", "role": "doctor"}, {"turn": 15, "text": "上环才三天也去B超吗", "role": "patient"}, {"turn": 16, "text": "要看环有没有移位和放置位置正常吗", "role": "doctor"}, {"turn": 17, "text": "嗯", "role": "patient"}, {"turn": 18, "text": "那就祝你早日康复😊", "role": "doctor"}, {"turn": 19, "text": "会不会是抱孩子影响呢", "role": "patient"}, {"turn": 20, "text": "一般会有影响吗", "role": "patient"}, {"turn": 21, "text": "有可能的，腹部加压会导致环移位", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 366, "thread": [{"turn": 0, "text": "激光近视手术十年后可以戴隐形眼睛吗（女，38岁）", "role": "patient"}, {"turn": 1, "text": "可以的，为什么要戴呢", "role": "doctor"}, {"turn": 2, "text": "当时手术后，左眼视力恢复比右眼差一些，这么多年用眼疲劳，两个眼睛的视力差距更大，感觉看东西都在用右眼看。会觉得左眼的眼珠有些偏。", "role": "patient"}, {"turn": 3, "text": "这种情况正常吗，是不是一定要戴眼睛了。但不想一直戴镜框", "role": "patient"}, {"turn": 4, "text": "可以戴隐形，如果确实是度数不合适引起的话", "role": "doctor"}, {"turn": 5, "text": "您这个情况得具体验光看看是不是还有度数未完全矫正之类的", "role": "doctor"}, {"turn": 6, "text": "另外，我现在电脑用厉害了有干眼症，想问下干眼症会影响视力吗，还可以戴隐形吗", "role": "patient"}, {"turn": 7, "text": "会影响，可以用用眼药水", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢！请问激光矫正视力的手术十多年后，如果再近视，还能再做手术吗", "role": "patient"}, {"turn": 9, "text": "那得看角膜的情况", "role": "doctor"}, {"turn": 10, "text": "厚度如何", "role": "doctor"}, {"turn": 11, "text": "具体要去医院检查，对吗？", "role": "patient"}, {"turn": 12, "text": "但是只要干眼症治好的话，是可以戴隐形眼镜对吗", "role": "patient"}, {"turn": 13, "text": "是这样的呢", "role": "doctor"}, {"turn": 14, "text": "请问美瞳是不是不可以再戴了", "role": "patient"}, {"turn": 15, "text": "尽量别带了", "role": "doctor"}, {"turn": 16, "text": "容易眼干", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 367, "thread": [{"turn": 0, "text": "慢性肾炎全身水肿破皮流水（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，像这样有多久？以前出现过", "role": "doctor"}, {"turn": 2, "text": "你好，能否拍张清楚的照片看下吗", "role": "doctor"}, {"turn": 3, "text": "有化验单吗？？", "role": "doctor"}, {"turn": 4, "text": "我是替我妈妈问的，她是十几种病了，由于肺心病肺部真菌感染没办法不上呼吸机就做透析。已经没办法治疗回家了。现在身体流水有腐臭气味。我想问问破的地方怎么处理避免感染", "role": "patient"}, {"turn": 5, "text": "关于破的地方，最好能保持创面清洁，如果已经有臭味道了，可能已经发生感染了", "role": "doctor"}, {"turn": 6, "text": "现在是心衰竭肾衰竭肺部真菌感染，都是很严重了，就想问问她这种流水怎么清洁，我怕进一步感染化脓。", "role": "patient"}, {"turn": 7, "text": "用什么药品清洁呢", "role": "patient"}, {"turn": 8, "text": "这个最好能由专业医师或护士做护理", "role": "doctor"}, {"turn": 9, "text": "如果感染了用什么药呢", "role": "patient"}, {"turn": 10, "text": "你们自己的普通操作会导致感染加重可能", "role": "doctor"}, {"turn": 11, "text": "常规消毒，最普通的可以用碘伏", "role": "doctor"}, {"turn": 12, "text": "……这样吗", "role": "patient"}, {"turn": 13, "text": "感染用药要根据具体情况而定，这个无法了解你的实验室指标情况及面见病人，无法制定，因为抗生素也存在副作用呢", "role": "doctor"}, {"turn": 14, "text": "好吧", "role": "patient"}, {"turn": 15, "text": "希望你能理解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 368, "thread": [{"turn": 0, "text": "56岁女性腰肌劳损怎么调理（女，54岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前都有什么症状（不适）？", "role": "doctor"}, {"turn": 2, "text": "白天的情况还是可以的，没有什么疼痛的感觉，就是到了晚上睡觉的时候，呃在睡觉的过程中会有疼痛，还有早上起来话稍微有点疼痛", "role": "patient"}, {"turn": 3, "text": "主要是腰痛吧？", "role": "doctor"}, {"turn": 4, "text": "两边肌肉疼", "role": "patient"}, {"turn": 5, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 6, "text": "我在我们当地拍片，说是捞腰肌劳损", "role": "patient"}, {"turn": 7, "text": "一年左右", "role": "patient"}, {"turn": 8, "text": "方便上传腰椎片子我看一下吗？", "role": "doctor"}, {"turn": 9, "text": "这个在老家了，没有带在身边", "role": "patient"}, {"turn": 10, "text": "你是做什么工作的？平时运动多吗？", "role": "doctor"}, {"turn": 11, "text": "是一直坐在那里做平缝车的，运动很少", "role": "patient"}, {"turn": 12, "text": "目前可以考虑通过药物（如服用腰痛宁胶囊，外用骨通贴膏），手法按摩，针灸，理疗等缓解症状", "role": "doctor"}, {"turn": 13, "text": "嗯，如果说是睡床的话，有什么要求？", "role": "patient"}, {"turn": 14, "text": "平时要减少久坐时间，多起身活动腰椎，症状缓解后要加强腰背肌功能锻炼，如游泳，做小燕飞等", "role": "doctor"}, {"turn": 15, "text": "不要睡太软的床", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 369, "thread": [{"turn": 0, "text": "精囊炎检查比较准确的是什么啊（男，26岁）", "role": "patient"}, {"turn": 1, "text": "彩超和精液常规。。。", "role": "doctor"}, {"turn": 2, "text": "你有血精吗？", "role": "doctor"}, {"turn": 3, "text": "什么彩超啊", "role": "patient"}, {"turn": 4, "text": "生殖系统彩超", "role": "doctor"}, {"turn": 5, "text": "以前有", "role": "patient"}, {"turn": 6, "text": "现在精液减少，会阴部痛", "role": "patient"}, {"turn": 7, "text": "那有可能是前列腺炎造成的。再去化验一下前列腺液", "role": "doctor"}, {"turn": 8, "text": "精液减少，不能一天检查这两个吧", "role": "patient"}, {"turn": 9, "text": "恩，可以分两次检测。", "role": "doctor"}, {"turn": 10, "text": "精囊炎，精液常规检查很可靠吗", "role": "patient"}, {"turn": 11, "text": "主要是看里面的红细胞", "role": "doctor"}, {"turn": 12, "text": "现在精液少，有点黄", "role": "patient"}, {"turn": 13, "text": "恩", "role": "doctor"}, {"turn": 14, "text": "正吃前列腺炎的药，好像没多大改善的，又不知道是不是营养不良", "role": "patient"}, {"turn": 15, "text": "你确诊了吗？如果没确诊别乱吃药", "role": "doctor"}, {"turn": 16, "text": "华西医生开的，但只做彩超检查，又讲了症状", "role": "patient"}, {"turn": 17, "text": "他还开了头孢地尼", "role": "patient"}, {"turn": 18, "text": "他诊断的是什么疾病？", "role": "doctor"}, {"turn": 19, "text": "但这个抗生素我没吃了，前列腺炎", "role": "patient"}, {"turn": 20, "text": "为啥不吃呢？", "role": "doctor"}, {"turn": 21, "text": "还开了什么药？", "role": "doctor"}, {"turn": 22, "text": "邦列安，射肛门的", "role": "patient"}, {"turn": 23, "text": "前列腺炎需要长期调理，不要因病情反复而大惊小怪。首先要树立健康的生活方式，如加强运动、不熬夜、不过频性生活，忌烟酒辛辣油腻久坐，多喝水勤排尿。生活方式非常重要。其次才是药物治疗，如左氧氟沙星、前列康。", "role": "doctor"}, {"turn": 24, "text": "差不多1000元了那药，他好黑", "role": "patient"}, {"turn": 25, "text": "你最好化验一下前列腺液常规，这样才能确诊", "role": "doctor"}, {"turn": 26, "text": "药才吃了几天，我想等吃了10天左右没改善就去检查", "role": "patient"}, {"turn": 27, "text": "把精液和前列腺液都检查一下", "role": "patient"}, {"turn": 28, "text": "恩，好的。", "role": "doctor"}, {"turn": 29, "text": "你觉得呢", "role": "patient"}, {"turn": 30, "text": "可以的。", "role": "doctor"}, {"turn": 31, "text": "做那天了pse 检查，排除了癌症我就放心了", "role": "patient"}, {"turn": 32, "text": "恩，这么年轻怎么可能是前列腺癌呢？", "role": "doctor"}, {"turn": 33, "text": "你在哪里上班啊", "role": "patient"}, {"turn": 34, "text": "西安，不过我现在在代职。", "role": "doctor"}, {"turn": 35, "text": "代职，什么意思啊", "role": "patient"}, {"turn": 36, "text": "医生都会代职的，有点像支边的意思。", "role": "doctor"}, {"turn": 37, "text": "这样啊", "role": "patient"}, {"turn": 38, "text": "恩", "role": "doctor"}, {"turn": 39, "text": "精液减少，会阴部痛，都有可能是什么部门出了问题啊", "role": "patient"}, {"turn": 40, "text": "前列腺炎。", "role": "doctor"}, {"turn": 41, "text": "还有什么吗", "role": "patient"}, {"turn": 42, "text": "附睾炎、精囊炎等也有可能", "role": "doctor"}, {"turn": 43, "text": "嗯，谢谢你", "role": "patient"}, {"turn": 44, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 370, "thread": [{"turn": 0, "text": "血压不高，有颈椎病，是耳石症吗（女，51岁）", "role": "patient"}, {"turn": 1, "text": "您好，您主要想咨询什么问题？", "role": "doctor"}, {"turn": 2, "text": "您说的三者没有特定关系", "role": "doctor"}, {"turn": 3, "text": "耳石症又叫良性位置性眩晕，主要表现是与体位改变相关的眩晕不适。", "role": "doctor"}, {"turn": 4, "text": "一般来说，耳石症需要排除一些器质性的疾病才能诊断。", "role": "doctor"}, {"turn": 5, "text": "您有做过那些检查呢？", "role": "doctor"}, {"turn": 6, "text": "方便发给我看看吗？这样便于我评估病情，谢谢", "role": "doctor"}, {"turn": 7, "text": "您好，还在吗？夜深了，如果需要咨询请及时回复，晚了可能就休息看不到了，可能会耽误您的时间。明天白天是工作日，回复可能会慢些请您见谅。", "role": "doctor"}, {"turn": 8, "text": "做过脑部CT，没问题，颈椎CT，有狭窄突出僵直", "role": "patient"}, {"turn": 9, "text": "要去医院挂哪个科", "role": "patient"}, {"turn": 10, "text": "如果需要明确有无耳石症，去神经内科", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 371, "thread": [{"turn": 0, "text": "我是二型糖尿病，口干口苦，用什么药（男，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，血糖控制的怎么样？", "role": "doctor"}, {"turn": 2, "text": "饭前不高，饭后高", "role": "patient"}, {"turn": 3, "text": "分别多少呢？", "role": "doctor"}, {"turn": 4, "text": "5.5，14", "role": "patient"}, {"turn": 5, "text": "服些什么降糖药物在呢？", "role": "doctor"}, {"turn": 6, "text": "我老是口干口苦，用二甲双胍就腰疼", "role": "patient"}, {"turn": 7, "text": "现在在吃什么药呢", "role": "doctor"}, {"turn": 8, "text": "二甲双胍", "role": "patient"}, {"turn": 9, "text": "餐后控制差可以服用阿卡波糖或者DPP-4抑制剂", "role": "doctor"}, {"turn": 10, "text": "血糖控制好，口干也会好些", "role": "doctor"}, {"turn": 11, "text": "口苦可以口服津立达，中成药，改善症状", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 372, "thread": [{"turn": 0, "text": "怀孕了得麦粒肿这么办（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，几天了？现在什么症状？", "role": "doctor"}, {"turn": 2, "text": "急性期过了吗？还疼  红肿嘛？", "role": "doctor"}, {"turn": 3, "text": "三天了眼睛闭眼就痛", "role": "patient"}, {"turn": 4, "text": "去年做个手术都是现在又长了", "role": "patient"}, {"turn": 5, "text": "但是怀孕了不知道怎么办", "role": "patient"}, {"turn": 6, "text": "今晚有点肿用热敷了但是闭眼还是痛", "role": "patient"}, {"turn": 7, "text": "都没人吗？", "role": "patient"}, {"turn": 8, "text": "不好意思，让您久等了", "role": "doctor"}, {"turn": 9, "text": "三天之后可以热敷", "role": "doctor"}, {"turn": 10, "text": "分泌物多吗？眼睑红肿嘛？急性期的话可以耳尖放血", "role": "doctor"}, {"turn": 11, "text": "反正热天我容易长", "role": "patient"}, {"turn": 12, "text": "怀孕了能滴眼药水吗", "role": "patient"}, {"turn": 13, "text": "不多", "role": "patient"}, {"turn": 14, "text": "确实，这也和个人体质有关", "role": "doctor"}, {"turn": 15, "text": "局部滴眼药水可以，托百士滴眼液  小孩儿可以用", "role": "doctor"}, {"turn": 16, "text": "万一严重可以去做手术吗", "role": "patient"}, {"turn": 17, "text": "如果实在不放心，正好也是急性期可以先耳尖放血", "role": "doctor"}, {"turn": 18, "text": "你先观察，有的成脓可以自己破了", "role": "doctor"}, {"turn": 19, "text": "耳朵吗", "role": "patient"}, {"turn": 20, "text": "我的不会啊只是会长出来然后越来越痛眼睛红", "role": "patient"}, {"turn": 21, "text": "所以好担心眼睛一疼就知道又长了", "role": "patient"}, {"turn": 22, "text": "对，耳朵，耳尖，太阳穴，还有耳背放血", "role": "doctor"}, {"turn": 23, "text": "如果不放心  可以中药做热敷", "role": "doctor"}, {"turn": 24, "text": "中药局部做热敷  效果还是不错的", "role": "doctor"}, {"turn": 25, "text": "哦好的", "role": "patient"}, {"turn": 26, "text": "不客气，可以去当地中医眼科就诊，耳尖发血，局部中药湿热敷", "role": "doctor"}, {"turn": 27, "text": "好的严重了也没办法必须去", "role": "patient"}, {"turn": 28, "text": "急性期 孕妇身份 可以采取中医方式", "role": "doctor"}, {"turn": 29, "text": "门诊总长麦粒肿得小儿童也常见，熬中药做湿热敷效果很好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 373, "thread": [{"turn": 0, "text": "平时手淫，导致阳痿怎么办（男，37）", "role": "patient"}, {"turn": 1, "text": "您好这样症状多久了?", "role": "doctor"}, {"turn": 2, "text": "也能用吃过药治疗过", "role": "doctor"}, {"turn": 3, "text": "有3年了，没吃过什么药", "role": "patient"}, {"turn": 4, "text": "阳痿西药可以用 西地那非片，中药可以吃八味益肾丸，复方玄驹胶囊等", "role": "doctor"}, {"turn": 5, "text": "通过锻炼身体，能解决这个问题吗？", "role": "patient"}, {"turn": 6, "text": "生活上调理要慢一些。可以慢慢恢复", "role": "doctor"}, {"turn": 7, "text": "生活上戒手淫，性生活规律节制一些，平时适当的锻炼身体，多吃高蛋白食物（比如说肉类，鸡蛋，牛奶，黄豆类等）。不要抽烟喝酒，注意休息，不要熬夜，每天保持心情舒畅，可适当吃动物睾丸。", "role": "doctor"}, {"turn": 8, "text": "谢谢", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "西药需要吃多长时间呢？", "role": "patient"}, {"turn": 11, "text": "西药就是性生活前吃一片就行了", "role": "doctor"}, {"turn": 12, "text": "中药调理一个月一个疗程", "role": "doctor"}, {"turn": 13, "text": "吃西药会有副作用吗？", "role": "patient"}, {"turn": 14, "text": "可能会有副作用，因人而异的。", "role": "doctor"}, {"turn": 15, "text": "西药能长久吃吗？", "role": "patient"}, {"turn": 16, "text": "不建议长期吃", "role": "doctor"}, {"turn": 17, "text": "你短期吃西药对症治疗。长期靠生活调理。", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 374, "thread": [{"turn": 0, "text": "如何区分风寒感冒和风热感冒（男，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，我现在给你解答问题。", "role": "doctor"}, {"turn": 2, "text": "感冒是临床上非常常见的，它四季都有发生，但是以冬季最为多见。感冒分为风热感冒和风寒感冒。对于两者的区别，主要就是风寒感冒的话，是以寒证为主，说明体内有寒，比如它的恶寒比较重，而发热却是轻微的，一般都伴有无汗，并且头痛、肢体酸楚、鼻塞、流涕。鼻塞流涕主要是流的是清涕，然后伴有咳嗽，主要通过舌象来看，一般舌苔薄白而润，或者是脉比较浮，这样的属于风寒型的感冒。 对于风热感冒，与这个风寒感冒大致上是相反的。风热感冒主要是身热比较严重，而且怕风，并且不愿意出汗，然后也有头胀、面红、目赤、咳嗽、咳痰，痰比较粘稠，并且有咽痒、咽痛这样的症状，并且舌苔是比较黄的，然后主要就是脉也是比较快，也比较数。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 375, "thread": [{"turn": 0, "text": "牙龈炎怎么治疗？？？？？（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，牙龈炎建议定期洗牙清除牙结石，平时多喝水保持好口腔卫生习惯，不吃辛辣刺激的食物。", "role": "doctor"}, {"turn": 2, "text": "现在很疼怎么治", "role": "patient"}, {"turn": 3, "text": "没有药物过敏史的话，可以口服抗炎药物，比如罗红霉素和甲硝唑片一起口服。", "role": "doctor"}, {"turn": 4, "text": "反复发作", "role": "patient"}, {"turn": 5, "text": "建议洗牙清除牙结石，平时保持好口腔卫生习惯。", "role": "doctor"}, {"turn": 6, "text": "自己能清理吗", "role": "patient"}, {"turn": 7, "text": "不能的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 376, "thread": [{"turn": 0, "text": "蛛网膜下腔出血20天了,头疼的难忍（男，51岁）", "role": "patient"}, {"turn": 1, "text": "你好，有没有进一步检查为什么蛛网膜下腔出血？原还有何病？", "role": "doctor"}, {"turn": 2, "text": "没有发现动脉瘤，应该是毛细血管出血，20天了，现在一直头疼难忍", "role": "patient"}, {"turn": 3, "text": "有片子吗？", "role": "doctor"}, {"turn": 4, "text": "有，拍的是cta", "role": "patient"}, {"turn": 5, "text": "造影做了吗", "role": "doctor"}, {"turn": 6, "text": "医生说不用做造影，只做了ct和cta，做了2次，然后说没有发现动脉瘤", "role": "patient"}, {"turn": 7, "text": "如果CTA没有发现还是建议回头做个造影", "role": "doctor"}, {"turn": 8, "text": "现在头疼该怎么治疗？", "role": "patient"}, {"turn": 9, "text": "不知道目前血吸收情况怎样，如果脑脊液还有血性液体可以做腰穿放脑脊液可以缓解", "role": "doctor"}, {"turn": 10, "text": "已经做3次腰穿了，第一次红细胞2000多，第二次500第三次300", "role": "patient"}, {"turn": 11, "text": "那还是高", "role": "doctor"}, {"turn": 12, "text": "这种血性脑脊液刺激肯定会头疼的", "role": "doctor"}, {"turn": 13, "text": "没有别的办法，只能做腰穿减轻头疼？", "role": "patient"}, {"turn": 14, "text": "一般是这样，然后可以口服点止痛药", "role": "doctor"}, {"turn": 15, "text": "让血慢慢吸收", "role": "doctor"}, {"turn": 16, "text": "这两天比前几天头疼要厉害是怎么回事啊", "role": "patient"}, {"turn": 17, "text": "那需要复查头颅片子排除再次出血可能", "role": "doctor"}, {"turn": 18, "text": "太阳穴疼，头疼不是和发病的时候那样疼，是不是刺激脑膜的问题？", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}, {"turn": 20, "text": "那现在需要怎么做？还是输液体，做腰穿？", "role": "patient"}, {"turn": 21, "text": "排除出血后对症止痛", "role": "doctor"}, {"turn": 22, "text": "再出血有什么症状吗？还是头疼，呕吐？", "role": "patient"}, {"turn": 23, "text": "抱歉，刚刚下手术", "role": "doctor"}, {"turn": 24, "text": "是的，再出血也会头疼恶心呕吐，可以复查头颅CT看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 377, "thread": [{"turn": 0, "text": "T淋巴瘤手肚子已变肿,属于恶化了吗（男，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，具体是什么部位呢", "role": "doctor"}, {"turn": 2, "text": "肚子和手", "role": "patient"}, {"turn": 3, "text": "肚子很涨", "role": "patient"}, {"turn": 4, "text": "皮肤肿？有结节或者包块吗", "role": "doctor"}, {"turn": 5, "text": "肿首先考虑是不是蛋白低", "role": "doctor"}, {"turn": 6, "text": "他全身现在已经长满淋巴肿块了", "role": "patient"}, {"turn": 7, "text": "哦，那就是比较重了", "role": "doctor"}, {"turn": 8, "text": "去检查确定是T淋巴瘤恶性", "role": "patient"}, {"turn": 9, "text": "治疗过了吗？", "role": "doctor"}, {"turn": 10, "text": "已经是晚期了", "role": "patient"}, {"turn": 11, "text": "嗯，看情况时晚期", "role": "doctor"}, {"turn": 12, "text": "没化疗过，现吃中药", "role": "patient"}, {"turn": 13, "text": "一发现确诊已经是晚期了", "role": "patient"}, {"turn": 14, "text": "一直没化疗？T淋巴瘤治疗效果都比较差", "role": "doctor"}, {"turn": 15, "text": "就是这几天肚子涨的厉害，不怎么吃东西，而且手还浮肿", "role": "patient"}, {"turn": 16, "text": "化疗有治愈的可能吗", "role": "patient"}, {"turn": 17, "text": "没有", "role": "doctor"}, {"turn": 18, "text": "小孩一直都不配合治疗", "role": "patient"}, {"turn": 19, "text": "T淋巴瘤基本没有治愈", "role": "doctor"}, {"turn": 20, "text": "都是改善和延长", "role": "doctor"}, {"turn": 21, "text": "那像我小孩现在这种情况是属于恶化了吗", "role": "patient"}, {"turn": 22, "text": "一般查出晚期，生命最多能延长多久", "role": "patient"}, {"turn": 23, "text": "还不能给你判断水肿的诱因，一是要排除低蛋白造成的二是看是否是淋巴瘤浸润还是肿大的包块压迫周位组织完成嗯水肿", "role": "doctor"}, {"turn": 24, "text": "本病生存期最好一年到两年", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 26, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 378, "thread": [{"turn": 0, "text": "慢性荨麻疹可以长期服用扑尔敏吗？（女，41岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "三个多月", "role": "patient"}, {"turn": 3, "text": "除了扑尔敏还用什么", "role": "doctor"}, {"turn": 4, "text": "吃了二十多天中药，还有中成药荨麻疹丸，瘙痒颗粒，维C,维B6", "role": "patient"}, {"turn": 5, "text": "这些药要慢慢减量再停药", "role": "doctor"}, {"turn": 6, "text": "不然会复发", "role": "doctor"}, {"turn": 7, "text": "现在隔一天吃一颗扑尔敏，就不会发病，可以用扑尔敏配防风通圣丸吗？", "role": "patient"}, {"turn": 8, "text": "配复方甘草酸苷胶囊或者防参止痒颗粒", "role": "doctor"}, {"turn": 9, "text": "吃多久？服用防风通圣丸不可以超过十天吗？", "role": "patient"}, {"turn": 10, "text": "不吃那个", "role": "doctor"}, {"turn": 11, "text": "吃我建议的药", "role": "doctor"}, {"turn": 12, "text": "吃扑尔敏配防参止痒颗粒吗", "role": "patient"}, {"turn": 13, "text": "荨麻疹丸继续啊", "role": "doctor"}, {"turn": 14, "text": "你直接用这些好了", "role": "doctor"}, {"turn": 15, "text": "依巴斯汀片白天一片，西替利嗪片晚上一片，复方甘草酸苷胶囊两粒一天三次。外用炉甘石薄荷脑洗剂一天三次。", "role": "doctor"}, {"turn": 16, "text": "控制好了就慢慢减白天的药", "role": "doctor"}, {"turn": 17, "text": "最后减晚上的药", "role": "doctor"}, {"turn": 18, "text": "最后停药", "role": "doctor"}, {"turn": 19, "text": "还是隔天吃一颗扑尔敏吗？长期吃有副作用吗？", "role": "patient"}, {"turn": 20, "text": "压痕性荨麻疹有效吗？", "role": "patient"}, {"turn": 21, "text": "不吃扑尔敏了", "role": "doctor"}, {"turn": 22, "text": "有效", "role": "doctor"}, {"turn": 23, "text": "大慨要吃多久", "role": "patient"}, {"turn": 24, "text": "根据病情", "role": "doctor"}, {"turn": 25, "text": "没有大概", "role": "doctor"}, {"turn": 26, "text": "吃几个月的也有", "role": "doctor"}, {"turn": 27, "text": "吃几个月有副作用吗？", "role": "patient"}, {"turn": 28, "text": "是药三分毒", "role": "doctor"}, {"turn": 29, "text": "谢谢罗医生", "role": "patient"}, {"turn": 30, "text": "不用谢", "role": "doctor"}, {"turn": 31, "text": "再见", "role": "patient"}, {"turn": 32, "text": "再见", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 379, "thread": [{"turn": 0, "text": "胆结石术后口苦怎么调理（女，48岁）", "role": "patient"}, {"turn": 1, "text": "你好，感谢你的信任，很高兴为你解答，我是肝胆外科张医生，不好意思，久等了，刚下手术", "role": "doctor"}, {"turn": 2, "text": "张医生好", "role": "patient"}, {"turn": 3, "text": "我最近口苦，吃消炎利胆片3天了还苦", "role": "patient"}, {"turn": 4, "text": "你吃点泌特", "role": "doctor"}, {"turn": 5, "text": "再加上奥美拉唑一起吃一下", "role": "doctor"}, {"turn": 6, "text": "泌特治什么？", "role": "patient"}, {"turn": 7, "text": "促进胆汁分泌", "role": "doctor"}, {"turn": 8, "text": "我还吃甲股铵的了", "role": "patient"}, {"turn": 9, "text": "口苦不是胆汁多才苦的", "role": "patient"}, {"turn": 10, "text": "你感觉有没有反酸？", "role": "doctor"}, {"turn": 11, "text": "胃也不舒服", "role": "patient"}, {"turn": 12, "text": "那就先不吃泌特", "role": "doctor"}, {"turn": 13, "text": "有点反酸但能忍住", "role": "patient"}, {"turn": 14, "text": "把硫糖铝咀嚼片吃上", "role": "doctor"}, {"turn": 15, "text": "一次四片，一天三次，饭前嚼服", "role": "doctor"}, {"turn": 16, "text": "我还背疼的，己过四十天了身体老不舒服", "role": "patient"}, {"turn": 17, "text": "背疼是哪一侧明显", "role": "doctor"}, {"turn": 18, "text": "右侧，现在左侧也疼还有左侧肋骨处也疼", "role": "patient"}, {"turn": 19, "text": "胆囊切除术后有一部分人会出现这种情况", "role": "doctor"}, {"turn": 20, "text": "吃一段消炎利胆片看看", "role": "doctor"}, {"turn": 21, "text": "平时注意清淡饮食", "role": "doctor"}, {"turn": 22, "text": "有一些饮食方面的注意事项，供您参考，希望能对您有一点帮助 1、规律饮食，定时三餐；细嚼慢咽，拒绝狼吞虎咽；一日三餐，搭配均衡。 2、尽量少吃辣椒、生蒜等刺激性强的食物或辛辣食品 3、高胆固醇类食品如：鸡蛋黄、肥肉、海鲜，动物内脏等食品不吃或少吃。 4、产气食物，像洋葱等尽量少吃。不易消化的食物，如柿子等也少吃为宜。 5、新鲜的水果蔬菜，多进食，补充人体必须的维生素以及保护肠道的纤维素。 6、注意休息，尽量不要熬夜，调整心态，保持良好心情。 希望能帮到您。", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "嗯嗯", "role": "doctor"}, {"turn": 25, "text": "会不会是胃反流啊？", "role": "patient"}, {"turn": 26, "text": "今天药吃了呀", "role": "doctor"}, {"turn": 27, "text": "吃了", "role": "patient"}, {"turn": 28, "text": "一般是胆汁反流性胃炎可能", "role": "doctor"}, {"turn": 29, "text": "嗯嗯，有没有减轻", "role": "doctor"}, {"turn": 30, "text": "这会儿上班胃反的好难受", "role": "patient"}, {"turn": 31, "text": "坚持吃两周看下", "role": "doctor"}, {"turn": 32, "text": "莫沙必利，一次一片，一天三次，饭前服用\n奥美拉唑胶囊，一次一粒，晨起空腹睡前各一次\n硫糖铝咀嚼片，一次四片，一天三次，饭前嚼服", "role": "doctor"}, {"turn": 33, "text": "奥", "role": "patient"}, {"turn": 34, "text": "这种情况多长时间才能好呀", "role": "patient"}, {"turn": 35, "text": "一般吃两三天就会明显缓解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 380, "thread": [{"turn": 0, "text": "产妇肠梗阻最佳治疗方法（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好，现在产后多长时间了", "role": "doctor"}, {"turn": 2, "text": "第四天了", "role": "patient"}, {"turn": 3, "text": "现在有什么症状", "role": "doctor"}, {"turn": 4, "text": "拍了DR有两个地方阻", "role": "patient"}, {"turn": 5, "text": "肚子胀", "role": "patient"}, {"turn": 6, "text": "还打嗝", "role": "patient"}, {"turn": 7, "text": "有没有排气", "role": "doctor"}, {"turn": 8, "text": "这几天吃东西了吗", "role": "doctor"}, {"turn": 9, "text": "有开塞露排了一点", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "肚子疼吗", "role": "doctor"}, {"turn": 12, "text": "今天水都没喝", "role": "patient"}, {"turn": 13, "text": "现在在医院吗", "role": "doctor"}, {"turn": 14, "text": "是的", "role": "patient"}, {"turn": 15, "text": "可不见效", "role": "patient"}, {"turn": 16, "text": "肠梗阻没有太好的办法，只能禁饮食，插胃管，灌肠，实在不行的话严重了需要手术", "role": "doctor"}, {"turn": 17, "text": "你这个应该保守治疗后就可以", "role": "doctor"}, {"turn": 18, "text": "有时候肠梗阻可能恢复起来比较慢", "role": "doctor"}, {"turn": 19, "text": "多活动活动", "role": "doctor"}, {"turn": 20, "text": "一般要多长时间", "role": "patient"}, {"turn": 21, "text": "这个具体时间不好说，每个人的情况都不同，有的四五天，五六天就可以通，有的可长达几个月", "role": "doctor"}, {"turn": 22, "text": "有好的方案嘛？", "role": "patient"}, {"turn": 23, "text": "没有，任何的肠梗阻都是这些治疗方案", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 381, "thread": [{"turn": 0, "text": "牙膏防早泄效果怎么样（男，30岁）", "role": "patient"}, {"turn": 1, "text": "插入阴道后多久射精？", "role": "doctor"}, {"turn": 2, "text": "也就俩三分钟", "role": "patient"}, {"turn": 3, "text": "牙膏没有效果的", "role": "doctor"}, {"turn": 4, "text": "除了时间不满意还有其他不舒服感觉吗", "role": "doctor"}, {"turn": 5, "text": "没有了，感觉龟头有点敏感", "role": "patient"}, {"turn": 6, "text": "有什么基础疾病吗", "role": "doctor"}, {"turn": 7, "text": "时间不满意，治疗过吗", "role": "doctor"}, {"turn": 8, "text": "没有什么疾病，没治过", "role": "patient"}, {"turn": 9, "text": "原来有手淫习惯，频繁吗？", "role": "doctor"}, {"turn": 10, "text": "时间不满意有多长时间了？", "role": "doctor"}, {"turn": 11, "text": "最近五六年没有过手淫，以前没结婚的时候经常手淫，一直都这样一直都早泄", "role": "patient"}, {"turn": 12, "text": "从一次性生活开始，时间就不满意", "role": "doctor"}, {"turn": 13, "text": "建议的治疗方案是：西药 可以用必利劲，每次性生活前一个小时左右服用，其他时间不要用，服用六次，观察一下效果。\n中成药可以用锁阳补肾胶囊，服用一个月观察一下效果！\n俩药可以同时服用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 382, "thread": [{"turn": 0, "text": "慢粒单核细胞白血病吃啥药（男，66岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个需要化疗，骨髓移植丰治疗", "role": "doctor"}, {"turn": 2, "text": "等", "role": "doctor"}, {"turn": 3, "text": "不想化疗，想吃点药看看那种能控制", "role": "patient"}, {"turn": 4, "text": "口服的没有 哈", "role": "doctor"}, {"turn": 5, "text": "没有靶向药吗", "role": "patient"}, {"turn": 6, "text": "注射的有", "role": "patient"}, {"turn": 7, "text": "靶向药物目前还没有常规使用", "role": "doctor"}, {"turn": 8, "text": "你告诉我名称就行", "role": "patient"}, {"turn": 9, "text": "鼻子出血控制不住，是不是晚期症状", "role": "patient"}, {"turn": 10, "text": "目前设计的pd1，bcl2抑制剂等", "role": "doctor"}, {"turn": 11, "text": "血液疾病不严格区分中晚期", "role": "doctor"}, {"turn": 12, "text": "奥", "role": "patient"}, {"turn": 13, "text": "存活期大概多久", "role": "patient"}, {"turn": 14, "text": "不规律治疗可能只有几周几个月", "role": "doctor"}, {"turn": 15, "text": "打扰您了，最后一个问题，六十六岁了，保守治疗的话您有啥好的建议", "role": "patient"}, {"turn": 16, "text": "保守治疗就没有特殊的建议，就是心里安慰，对症处理", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "客气啦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 383, "thread": [{"turn": 0, "text": "慢性分泌性中耳炎多久能治好（男，31岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问有些什么症状？耳闷，听力下降？多久了？", "role": "doctor"}, {"turn": 2, "text": "做过哪些检查？声导抗，纯音听阈测试，耳内镜？", "role": "doctor"}, {"turn": 3, "text": "耳鸣，有时有点痛，做过纯音，抽过好几次液，药也吃了不少，不见好", "role": "patient"}, {"turn": 4, "text": "近期又出现症状几天了呢？", "role": "doctor"}, {"turn": 5, "text": "如果反复穿刺和药物治疗都无效可以考虑鼓膜置管代替咽鼓管，再用时药物治疗", "role": "doctor"}, {"turn": 6, "text": "我就想问问这个能治好吗，要多久", "role": "patient"}, {"turn": 7, "text": "可以治好的啊，有的快，口服药一周就痊愈了，有的慢或反复，可以长达半年或1年的都有，有个体差异，大多数的口服药效果就很好", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 384, "thread": [{"turn": 0, "text": "艾滋病三个月能排除吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "您好。。三个月可以排除艾滋病了", "role": "doctor"}, {"turn": 2, "text": "还需要复查吗", "role": "patient"}, {"turn": 3, "text": "三个月查阴性就不需要再复查了", "role": "doctor"}, {"turn": 4, "text": "他为什么网上说6个月呢", "role": "patient"}, {"turn": 5, "text": "网上的说法很多啊，", "role": "doctor"}, {"turn": 6, "text": "哦，等于确定不用复查了", "role": "patient"}, {"turn": 7, "text": "是的。。确定不要复查了", "role": "doctor"}, {"turn": 8, "text": "我现在人蛮不舒服，上夜班总感觉身体不行，老以为是这个病", "role": "patient"}, {"turn": 9, "text": "上夜班当然伤身体了", "role": "doctor"}, {"turn": 10, "text": "熬夜伤肝啊", "role": "doctor"}, {"turn": 11, "text": "你不知道，烦", "role": "patient"}, {"turn": 12, "text": "不管怎么样。这个艾滋病不用担心了", "role": "doctor"}, {"turn": 13, "text": "就老把这个事放心上，身体不行就老往那上面址", "role": "patient"}, {"turn": 14, "text": "等于排除了", "role": "patient"}, {"turn": 15, "text": "是的。。等于排除了", "role": "doctor"}, {"turn": 16, "text": "确定肯定", "role": "patient"}, {"turn": 17, "text": "确定", "role": "doctor"}, {"turn": 18, "text": "等于不像复查的拉，是吧", "role": "patient"}, {"turn": 19, "text": "是的。。不需要复查", "role": "doctor"}, {"turn": 20, "text": "好", "role": "patient"}, {"turn": 21, "text": "嗯嗯。。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 385, "thread": [{"turn": 0, "text": "来例假痛经可以艾灸吗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "请问你痛经有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "今天例假刚来 痛经想吐拉肚子", "role": "patient"}, {"turn": 3, "text": "月经量多吗？", "role": "doctor"}, {"turn": 4, "text": "每次来都会痛经 但不会太严重 但都会拉一两次肚子", "role": "patient"}, {"turn": 5, "text": "时多时少", "role": "patient"}, {"turn": 6, "text": "可以用艾灸缓解一下", "role": "doctor"}, {"turn": 7, "text": "这一次不多", "role": "patient"}, {"turn": 8, "text": "月经量过多就停止艾灸", "role": "doctor"}, {"turn": 9, "text": "好的", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "doctor"}, {"turn": 11, "text": "会恶心想吐怎么办", "role": "patient"}, {"turn": 12, "text": "缓解了疼痛就不会了，还是疼痛引起的", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 386, "thread": [{"turn": 0, "text": "痛风还有风湿病以及腰椎间盘突出。（男，51岁）脚痛腰疼。", "role": "patient"}, {"turn": 1, "text": "你好，请问你是什么风湿病呢？痛风现在稳定吗？", "role": "doctor"}, {"turn": 2, "text": "不稳定。", "role": "patient"}, {"turn": 3, "text": "尿酸高。", "role": "patient"}, {"turn": 4, "text": "痛风发作期吗？", "role": "doctor"}, {"turn": 5, "text": "这几年频繁发。作", "role": "patient"}, {"turn": 6, "text": "急性期抗炎止痛即可", "role": "doctor"}, {"turn": 7, "text": "缓解后需要长期降尿酸治疗", "role": "doctor"}, {"turn": 8, "text": "吃过很多药。利加利仙。消炎痛  依托考昔", "role": "patient"}, {"turn": 9, "text": "谢谢医生。", "role": "patient"}, {"turn": 10, "text": "谢谢您的心意，太客气了", "role": "doctor"}, {"turn": 11, "text": "平时可以用利加利仙控制血尿酸", "role": "doctor"}, {"turn": 12, "text": "不用客气，你们医生非常辛苦，我知道的。", "role": "patient"}, {"turn": 13, "text": "谢谢您的理解😊", "role": "doctor"}, {"turn": 14, "text": "是医生都辛苦。我接触的医生都辛苦。我非常知道。", "role": "patient"}, {"turn": 15, "text": "👍", "role": "patient"}, {"turn": 16, "text": "真的非常感谢您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 387, "thread": [{"turn": 0, "text": "唾液酸   拉痢疾   失眠  不想吃饭（女，33岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一周了", "role": "patient"}, {"turn": 3, "text": "最近有没有感冒过？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "吃了什么不干净的东西吗？", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "哦", "role": "doctor"}, {"turn": 8, "text": "几顿饭没吃", "role": "patient"}, {"turn": 9, "text": "治疗过吗", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "哦", "role": "doctor"}, {"turn": 12, "text": "你这种情况，应该去医院检查一个大便常规。再检查一个血常规。", "role": "doctor"}, {"turn": 13, "text": "去医院可以挂消化内科。", "role": "doctor"}, {"turn": 14, "text": "检查一下。看看是不是细菌感染。", "role": "doctor"}, {"turn": 15, "text": "如果是细菌感染应该住院输液治疗。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 388, "thread": [{"turn": 0, "text": "颞下颌关节紊乱综合征（男，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "左侧颌骨压迫疼痛，说话吃饭及摇头引起头晕，后牙吃东西牙痛，左脸有时麻木，压颌骨听到响声", "role": "patient"}, {"turn": 3, "text": "去医院检查了吗？", "role": "doctor"}, {"turn": 4, "text": "吃饭说话摇头引起头晕，不一定是颞颌关节的问题啊。", "role": "doctor"}, {"turn": 5, "text": "有没有张口受限？张嘴疼痛或者吃东西疼痛。或者关节区杂音。", "role": "doctor"}, {"turn": 6, "text": "最好去带他去医院查一下颈椎和颞颌关节的ct或者磁共振排除器质性疾病。如果确诊是内核关节紊乱病的话。可以做以下治疗方法。", "role": "doctor"}, {"turn": 7, "text": "如果疼痛的话可以先吃点止痛药，美洛昔康早晚各一粒。关节局部做湿热敷早晚各一次，每次20分钟左右。然后平时尽量不要大张口，不要吃过硬食物，不要偏侧咀嚼，不要用手托下巴，并注意关节区保暖。", "role": "doctor"}, {"turn": 8, "text": "美洛昔康是什么药，消炎的?", "role": "patient"}, {"turn": 9, "text": "药店有售吗", "role": "patient"}, {"turn": 10, "text": "非甾体类的抗炎药。有止痛消炎作用", "role": "doctor"}, {"turn": 11, "text": "但是您这个不能盲目应用，还是要排除其他缺疾病，确诊为颞颌关节紊乱以后才可以用。", "role": "doctor"}, {"turn": 12, "text": "做cT什么的没器质性病变", "role": "patient"}, {"turn": 13, "text": "好的", "role": "doctor"}, {"turn": 14, "text": "注意事项也要重视。", "role": "doctor"}, {"turn": 15, "text": "怎么确诊呀", "role": "patient"}, {"turn": 16, "text": "您看医生了没有？", "role": "doctor"}, {"turn": 17, "text": "最好能让医生帮您确诊。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 389, "thread": [{"turn": 0, "text": "附睾炎输两个星期的液应该可以治好吧（男，32岁）", "role": "patient"}, {"turn": 1, "text": "这就是附睾炎的治疗方案，基本都可以治好", "role": "doctor"}, {"turn": 2, "text": "哦哦，谢谢", "role": "patient"}, {"turn": 3, "text": "不客气，祝你早日康复，有时间好评一下", "role": "doctor"}, {"turn": 4, "text": "医生请问下，输几天附睾炎症状消失", "role": "patient"}, {"turn": 5, "text": "输液第几天", "role": "patient"}, {"turn": 6, "text": "大约一周，疼痛就会明显减轻", "role": "doctor"}, {"turn": 7, "text": "哦哦", "role": "patient"}, {"turn": 8, "text": "👌", "role": "doctor"}, {"turn": 9, "text": "症状全部消失是输液第几天", "role": "patient"}, {"turn": 10, "text": "十天左右", "role": "doctor"}, {"turn": 11, "text": "哦哦，谢谢", "role": "patient"}, {"turn": 12, "text": "👌", "role": "doctor"}, {"turn": 13, "text": "医生我想问下，一般临床治愈是第几天", "role": "patient"}, {"turn": 14, "text": "第十四天就可以认为治愈了", "role": "doctor"}, {"turn": 15, "text": "医生我想问下，就是彩超检测不出炎症了，然后说是临床治愈这是第几天阿", "role": "patient"}, {"turn": 16, "text": "但睾丸还是有症状", "role": "patient"}, {"turn": 17, "text": "治疗疗程结束就认为治愈了，睾丸还有什么症状？", "role": "doctor"}, {"turn": 18, "text": "我在医院住院到第六天医生说要我复查彩超，彩超显示正常，就说我临床治愈，要我回去吊水，但是我的睾丸还是不适", "role": "patient"}, {"turn": 19, "text": "那继续治疗啊，坚持治疗两周", "role": "doctor"}, {"turn": 20, "text": "说我的病占用医疗资源，不过也是一间病房4个病人三个都是结石手术", "role": "patient"}, {"turn": 21, "text": "去社区医院打针就可以", "role": "doctor"}, {"turn": 22, "text": "嗯嗯，医生那我的症状全部消失要到第十天吗", "role": "patient"}, {"turn": 23, "text": "哦哦", "role": "patient"}, {"turn": 24, "text": "理论上是的", "role": "doctor"}, {"turn": 25, "text": "哦哦", "role": "patient"}, {"turn": 26, "text": "👌", "role": "doctor"}, {"turn": 27, "text": "到诊所吊水也是可以的吧", "role": "patient"}, {"turn": 28, "text": "可以", "role": "doctor"}, {"turn": 29, "text": "哦哦", "role": "patient"}, {"turn": 30, "text": "没大问题", "role": "doctor"}, {"turn": 31, "text": "医生请问下，附睾炎一般输液输几瓶", "role": "patient"}, {"turn": 32, "text": "消炎的药物两瓶", "role": "doctor"}, {"turn": 33, "text": "你输的是什么消炎药？", "role": "doctor"}, {"turn": 34, "text": "前5天早晚一次0.4g盐酸左氧氟沙星，后2天一天一次0.4g盐酸左氧氟沙星", "role": "patient"}, {"turn": 35, "text": "今天是输液的第7天", "role": "patient"}, {"turn": 36, "text": "现在左氧氟沙星一天一次就可以", "role": "doctor"}, {"turn": 37, "text": "哦哦，明天打算去诊所输0.4左氧，再输个头孢，保险", "role": "patient"}, {"turn": 38, "text": "只用左氧就可以", "role": "doctor"}, {"turn": 39, "text": "输个头孢保险阿，现在还有症状", "role": "patient"}, {"turn": 40, "text": "可以", "role": "doctor"}, {"turn": 41, "text": "再输个头孢可以吧", "role": "patient"}, {"turn": 42, "text": "没大有必要", "role": "doctor"}, {"turn": 43, "text": "只要不是药物冲突就行，保险", "role": "patient"}, {"turn": 44, "text": "不冲突", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 390, "thread": [{"turn": 0, "text": "肾病综合征快速利尿的方法（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，肾综需要快速利尿，可以先补充白蛋白，然后利尿。这是唯一快速有效的办法。", "role": "doctor"}, {"turn": 2, "text": "白蛋白口服行吗", "role": "patient"}, {"turn": 3, "text": "不行的。", "role": "doctor"}, {"turn": 4, "text": "静脉点滴", "role": "doctor"}, {"turn": 5, "text": "嗯", "role": "patient"}, {"turn": 6, "text": "当然，根本还是缓解治疗肾病综合征。", "role": "doctor"}, {"turn": 7, "text": "先要补充白蛋白在利尿是吗", "role": "patient"}, {"turn": 8, "text": "那平时饮食方面有什么注意的吗", "role": "patient"}, {"turn": 9, "text": "是的，肾病综合征导致低蛋白血症，然后浮肿，所以先补充白蛋白，这样利尿效果好。", "role": "doctor"}, {"turn": 10, "text": "辛辣的尽量不要吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 391, "thread": [{"turn": 0, "text": "长期妇科病引起的盆腔炎该怎么治疗（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "你好美女", "role": "patient"}, {"turn": 3, "text": "😓", "role": "doctor"}, {"turn": 4, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 5, "text": "我经常犯病盆腔炎", "role": "patient"}, {"turn": 6, "text": "有什么症状吗？", "role": "doctor"}, {"turn": 7, "text": "经常肚子疼和腰疼", "role": "patient"}, {"turn": 8, "text": "可以查一下宫颈细菌培养，支原体和衣原体，看有没有感染", "role": "doctor"}, {"turn": 9, "text": "没有，", "role": "patient"}, {"turn": 10, "text": "这个病已经几年了", "role": "patient"}, {"turn": 11, "text": "你反复盆腔炎腹痛的，考虑盆腔炎，肯定好多药物都用过了，这种情况容易导致耐药，一般盆腔炎还是考虑上行感染，所以从阴道查细菌，做药敏，应用敏感药物治疗效果好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 392, "thread": [{"turn": 0, "text": "新生儿出生15天，缺钙的表现（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝妈怀孕的时候有没有经常腿抽筋。", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "就是着凉了，腿抽筋儿", "role": "patient"}, {"turn": 4, "text": "宝宝现在有经常出现一惊一乍的动作吗？", "role": "doctor"}, {"turn": 5, "text": "对", "role": "patient"}, {"turn": 6, "text": "像吓着了似的", "role": "patient"}, {"turn": 7, "text": "这么大的宝宝神经系统发育不是太完善，可以出现一惊一乍的动作，如果经常出现的话，要注意与缺钙有关系的，可以补充维生素d促进钙吸收", "role": "doctor"}, {"turn": 8, "text": "可以吃伊可新", "role": "patient"}, {"turn": 9, "text": "吗", "role": "patient"}, {"turn": 10, "text": "可以的", "role": "doctor"}, {"turn": 11, "text": "现在15天就可以吃吗？", "role": "patient"}, {"turn": 12, "text": "每天一粒嘛？", "role": "patient"}, {"turn": 13, "text": "吃多久", "role": "patient"}, {"turn": 14, "text": "什么时候吃", "role": "patient"}, {"turn": 15, "text": "生后十四天就可以吃的。", "role": "doctor"}, {"turn": 16, "text": "每天一粒吃到两周岁。", "role": "doctor"}, {"turn": 17, "text": "睡前吃", "role": "doctor"}, {"turn": 18, "text": "好的～谢谢～", "role": "patient"}, {"turn": 19, "text": "不客气的祝宝宝健康成长", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 393, "thread": [{"turn": 0, "text": "乙肝性肾炎能生孩子吗（女，31岁）", "role": "patient"}, {"turn": 1, "text": "请问是大三阳还是小三阳？", "role": "doctor"}, {"turn": 2, "text": "已经治疗了三年，15阳四低", "role": "patient"}, {"turn": 3, "text": "尿蛋白高不高？", "role": "doctor"}, {"turn": 4, "text": "高的话不建议怀孕", "role": "doctor"}, {"turn": 5, "text": "吃的是恩替卡韦，非布司他片，肾炎康复片复，包醛氧滨粉胶囊，叶酸片，多糖铁复合", "role": "patient"}, {"turn": 6, "text": "哦，如果要怀孕风险比较高", "role": "doctor"}, {"turn": 7, "text": "2个十", "role": "patient"}, {"turn": 8, "text": "是的，风险高", "role": "doctor"}, {"turn": 9, "text": "肌酐139尿酸573", "role": "patient"}, {"turn": 10, "text": "不建议怀孕", "role": "doctor"}, {"turn": 11, "text": "现在正在治疗期，意外怀孕不知道怎么处理", "role": "patient"}, {"turn": 12, "text": "意外怀孕吃的这些药物也可能会对胎儿造成影响", "role": "doctor"}, {"turn": 13, "text": "如果想要留下，对病情有影响吗", "role": "patient"}, {"turn": 14, "text": "有，可能后期肌酐会很高，可能要透析，但胎儿还是很难保住", "role": "doctor"}, {"turn": 15, "text": "好的我知道了谢谢您艾医生", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}, {"turn": 17, "text": "还有就是想请问一下15阳四低，病毒测试低于下限，是不是没有传染性", "role": "patient"}, {"turn": 18, "text": "是的", "role": "doctor"}, {"turn": 19, "text": "但仍要看乙肝DNA定量", "role": "doctor"}, {"turn": 20, "text": "那是属于小三阳还是大二阳", "role": "patient"}, {"turn": 21, "text": "DNA检测低于下限", "role": "patient"}, {"turn": 22, "text": "那就没有传染性", "role": "doctor"}, {"turn": 23, "text": "肝功能正常", "role": "patient"}, {"turn": 24, "text": "那就没什么问题", "role": "doctor"}, {"turn": 25, "text": "不传染", "role": "doctor"}, {"turn": 26, "text": "那属于小三阳还是大二阳，", "role": "patient"}, {"turn": 27, "text": "小三阳", "role": "doctor"}, {"turn": 28, "text": "哦谢谢", "role": "patient"}, {"turn": 29, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 394, "thread": [{"turn": 0, "text": "请问叶酸含嘌呤吗？痛风的人能不能吃？（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好  叶酸不含嘌呤的  \n痛风病人一般不吃叶酸啊  \n为什么要吃叶酸呢", "role": "doctor"}, {"turn": 2, "text": "我有痛风，但是我怀孕了，最近在吃叶酸", "role": "patient"}, {"turn": 3, "text": "女性得痛风吗？", "role": "doctor"}, {"turn": 4, "text": "嗯", "role": "patient"}, {"turn": 5, "text": "请问下有没有什么注意的啊？好怕痛风发作。", "role": "patient"}, {"turn": 6, "text": "您尿酸多少啊", "role": "doctor"}, {"turn": 7, "text": "之前吃非不降下来了，后面备孕又停了，不知道现在多少了", "role": "patient"}, {"turn": 8, "text": "女性患痛风还是非常少之又少的", "role": "doctor"}, {"turn": 9, "text": "我也不知道啊，", "role": "patient"}, {"turn": 10, "text": "您没有关节痛症状吧", "role": "doctor"}, {"turn": 11, "text": "有啊，以前大拇指那里疼", "role": "patient"}, {"turn": 12, "text": "我觉得是这样  \n女性患者痛风的概率还是比较小的\n  而且也没有男性那种严重", "role": "doctor"}, {"turn": 13, "text": "尿酸下降后  \n也就不需要降尿酸药物了", "role": "doctor"}, {"turn": 14, "text": "以前定期查几次就行了", "role": "doctor"}, {"turn": 15, "text": "你不是怀孕了吗  \n也别考虑痛风的事了\n可以吃叶酸了", "role": "doctor"}, {"turn": 16, "text": "哦，好", "role": "patient"}, {"turn": 17, "text": "嗯嗯", "role": "doctor"}, {"turn": 18, "text": "别紧张哈", "role": "doctor"}, {"turn": 19, "text": "怀孕时候  雌激素是保护尿酸不上升因素", "role": "doctor"}, {"turn": 20, "text": "就是太紧张了，每天都是担心", "role": "patient"}, {"turn": 21, "text": "别担心了哈", "role": "doctor"}, {"turn": 22, "text": "女性痛风没什么大碍", "role": "doctor"}, {"turn": 23, "text": "风险比男性小", "role": "doctor"}, {"turn": 24, "text": "但是您孕期要查查你尿酸", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 395, "thread": [{"turn": 0, "text": "妊娠糖尿病生完孩子怎么办（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，需要继续检测血糖，看一下是否还需要降糖药物", "role": "doctor"}, {"turn": 2, "text": "生孩子之前用了胰岛素生完就在没用", "role": "patient"}, {"turn": 3, "text": "现在孩子还在吃奶能用胰岛素吗", "role": "patient"}, {"turn": 4, "text": "可以用胰岛素的，现在检测血糖看一下空腹和餐后两小时血糖", "role": "doctor"}, {"turn": 5, "text": "如果空腹在7以内，餐后两小时血糖＜10可以继续观察，不用胰岛素", "role": "doctor"}, {"turn": 6, "text": "好的", "role": "patient"}, {"turn": 7, "text": "嗯嗯😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 396, "thread": [{"turn": 0, "text": "胃幽门螺杆菌抗体阳性 呕吐腹泻反酸水（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有很久了", "role": "patient"}, {"turn": 3, "text": "胃镜做过吗", "role": "doctor"}, {"turn": 4, "text": "周一单位体检查出来胃幽门螺旋杆菌阳性", "role": "patient"}, {"turn": 5, "text": "建议您去做个胃镜", "role": "doctor"}, {"turn": 6, "text": "没做过，胃镜太痛苦了", "role": "patient"}, {"turn": 7, "text": "不会的", "role": "doctor"}, {"turn": 8, "text": "做无痛的", "role": "doctor"}, {"turn": 9, "text": "您是做什么工作的", "role": "doctor"}, {"turn": 10, "text": "没有胃痛之类的症状，只有偶尔反复呕吐腹泻 反酸水", "role": "patient"}, {"turn": 11, "text": "程序员工作", "role": "patient"}, {"turn": 12, "text": "呕吐？", "role": "doctor"}, {"turn": 13, "text": "吐的是", "role": "doctor"}, {"turn": 14, "text": "对 有时候就会恶心，上吐下泻 就是肠胃炎的症状", "role": "patient"}, {"turn": 15, "text": "经常这样？", "role": "doctor"}, {"turn": 16, "text": "我这个阳性严重吗", "role": "patient"}, {"turn": 17, "text": "是的 算是经常吧", "role": "patient"}, {"turn": 18, "text": "阳性只能代表你感染了幽门螺旋杆菌。", "role": "doctor"}, {"turn": 19, "text": "建议你去做个胃镜和肠镜。", "role": "doctor"}, {"turn": 20, "text": "感染了这个就会得胃癌吗", "role": "patient"}, {"turn": 21, "text": "我想去医院开点药，不做胃镜的话其他的我可以做些什么", "role": "patient"}, {"turn": 22, "text": "感染了不一定会得胃癌。", "role": "doctor"}, {"turn": 23, "text": "最好是去做个胃镜。", "role": "doctor"}, {"turn": 24, "text": "我觉得我这个是胃炎，您建议做胃镜是觉得我这个情况有些复杂严重吗", "role": "patient"}, {"turn": 25, "text": "就除了建议做胃镜没别的了？", "role": "patient"}, {"turn": 26, "text": "胃镜是最好的检查方式", "role": "doctor"}, {"turn": 27, "text": "可以先吃点药", "role": "doctor"}, {"turn": 28, "text": "奥美拉唑、铝碳酸镁、伊托必利", "role": "doctor"}, {"turn": 29, "text": "吃两周", "role": "doctor"}, {"turn": 30, "text": "那是线下的事情了 我就是想问您觉得这个症状大概会是什么 我有个底而已 您这一直就让我做胃镜", "role": "patient"}, {"turn": 31, "text": "比较像胃食管反流病和慢性胃炎", "role": "doctor"}, {"turn": 32, "text": "具体的要做完胃镜才能明确的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 397, "thread": [{"turn": 0, "text": "氨咖黄敏胶囊能和999感冒灵一起吃吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么不舒服呢？", "role": "doctor"}, {"turn": 2, "text": "您好，我是平台咨询呼吸内科科医生:李松。 很荣幸给您提供此次咨询。 由于在线咨询不同于当面就诊，所以需要您配合提供一些信息，让我更好为您分析情况，明确诊断范围。 我将以提问的方式，向您获取这样的信息。 在此先感谢您的配合！", "role": "doctor"}, {"turn": 3, "text": "氨咖黄敏胶囊能和999感冒灵不能一起吃", "role": "doctor"}, {"turn": 4, "text": "感冒药只能吃一种", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 398, "thread": [{"turn": 0, "text": "霉菌性包皮龟头炎是什么症状（男，19岁）", "role": "patient"}, {"turn": 1, "text": "一、阴茎头和阴茎皮肤奇痒、灼热是本病最突出的症状。 二、阴茎头、冠状沟和包皮内板红肿，并有散在的红色丘疹。 三、阴茎头、包皮内板、冠状沟处可见粘稠的豆腐渣样白色污垢。 四、阴囊被感染后，可见阴囊皮肤潮红，鳞屑性红斑。同时伴有瘙痒、疼痛、用肥皂水清洗后疼痛加剧。 五、尿道感染时，可出现尿痛、尿频、尿急、尿道内灼热和刺痒。", "role": "doctor"}, {"turn": 2, "text": "我就有白色分泌物加有异味其他的没有", "role": "patient"}, {"turn": 3, "text": "应用黄柏液或洁尔阴浸泡治疗", "role": "doctor"}, {"turn": 4, "text": "这是咋是回事啊", "role": "patient"}, {"turn": 5, "text": "炎症，真菌感染", "role": "doctor"}, {"turn": 6, "text": "为啥你们的说法都不一样啊", "role": "patient"}, {"turn": 7, "text": "怎么不一样", "role": "doctor"}, {"turn": 8, "text": "一个说是霉菌性包皮龟头炎", "role": "patient"}, {"turn": 9, "text": "一个是包皮垢", "role": "patient"}, {"turn": 10, "text": "一个用药一个不用药", "role": "patient"}, {"turn": 11, "text": "我告诉你是霉菌性龟头炎了吗？", "role": "doctor"}, {"turn": 12, "text": "和你的药物也不一样", "role": "patient"}, {"turn": 13, "text": "那我这是咋啦", "role": "patient"}, {"turn": 14, "text": "你自己问的霉菌性龟头炎的症状是什么", "role": "doctor"}, {"turn": 15, "text": "我告诉你了", "role": "doctor"}, {"turn": 16, "text": "炎症？", "role": "patient"}, {"turn": 17, "text": "如果单纯是包皮垢过多，与包皮过长、不注意个人卫生等有关，需要手术切除多余的包皮和每天清洗下体。", "role": "doctor"}, {"turn": 18, "text": "为啥是最近出来啦医生", "role": "patient"}, {"turn": 19, "text": "活动量大、天气炎热都可以引起", "role": "doctor"}, {"turn": 20, "text": "也就是最近做过爱会不会是这个原因啊", "role": "patient"}, {"turn": 21, "text": "做爱跟包皮垢过多没有直接关系", "role": "doctor"}, {"turn": 22, "text": "那应该怎么处理啊", "role": "patient"}, {"turn": 23, "text": "如果单纯是包皮垢过多，与包皮过长、不注意个人卫生等有关，需要手术切除多余的包皮和每天清洗下体。这是我上面已经告诉你的方法", "role": "doctor"}, {"turn": 24, "text": "行谢谢", "role": "patient"}, {"turn": 25, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 399, "thread": [{"turn": 0, "text": "高血压,脑梗塞患者可以做结扎吗可以（女，28岁）", "role": "patient"}, {"turn": 1, "text": "请问患者现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "我妈 48岁，患有高血压，脑梗塞", "role": "patient"}, {"turn": 3, "text": "可以做结扎手术吗", "role": "patient"}, {"turn": 4, "text": "医生", "role": "patient"}, {"turn": 5, "text": "女性是做绝育手术", "role": "doctor"}, {"turn": 6, "text": "嗯，绝育手术", "role": "patient"}, {"turn": 7, "text": "我妈可以做吗", "role": "patient"}, {"turn": 8, "text": "脑梗塞有什么表现呢", "role": "doctor"}, {"turn": 9, "text": "眼睛模糊", "role": "patient"}, {"turn": 10, "text": "头疼", "role": "patient"}, {"turn": 11, "text": "血压控制的如何", "role": "doctor"}, {"turn": 12, "text": "医生，我妈有高血压，脑梗塞，适合做绝育手术吗", "role": "patient"}, {"turn": 13, "text": "每天吃药，每个月一次治一个疗程", "role": "patient"}, {"turn": 14, "text": "不适合", "role": "doctor"}, {"turn": 15, "text": "可是，我们这里的卫生局 催着呢", "role": "patient"}, {"turn": 16, "text": "不适合的话   需要开证明", "role": "patient"}, {"turn": 17, "text": "能不能做手术，需要医生判断，根据病人的病情轻重", "role": "doctor"}, {"turn": 18, "text": "我无法判断轻重", "role": "doctor"}, {"turn": 19, "text": "这么说   我把这些 病例带去 当地的医院   给医生看     是吗", "role": "patient"}, {"turn": 20, "text": "然后  让他们 做出 判断", "role": "patient"}, {"turn": 21, "text": "对的", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢您啊", "role": "patient"}, {"turn": 23, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 400, "thread": [{"turn": 0, "text": "急性咽喉炎该怎么样才能好（女，14岁）", "role": "patient"}, {"turn": 1, "text": "有什么具体的不舒服的症状？多久了？", "role": "doctor"}, {"turn": 2, "text": "喉咙疼", "role": "patient"}, {"turn": 3, "text": "4天了", "role": "patient"}, {"turn": 4, "text": "口服消炎药。", "role": "doctor"}, {"turn": 5, "text": "如果头孢不过敏吃头孢类的", "role": "doctor"}, {"turn": 6, "text": "那另一种情况呢", "role": "patient"}, {"turn": 7, "text": "时不时就咳嗽", "role": "patient"}, {"turn": 8, "text": "一咳嗽就嗓子疼", "role": "patient"}, {"turn": 9, "text": "哪一种？", "role": "doctor"}, {"turn": 10, "text": "时不时就咳嗽 一咳嗽就嗓子疼", "role": "patient"}, {"turn": 11, "text": "咳嗽痰多么？", "role": "doctor"}, {"turn": 12, "text": "多", "role": "patient"}, {"turn": 13, "text": "有可能有肺部感染。服用抗生素都可以治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 401, "thread": [{"turn": 0, "text": "急性肠胃炎吊水后肚子还是咕咕响（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多长时间了", "role": "doctor"}, {"turn": 2, "text": "大便怎么样？一天大便几次？", "role": "doctor"}, {"turn": 3, "text": "前天半夜三点开始的肚子响然后就是拉肚子，拉稀拉水呕吐，昨天吊了水，回来到现在肚子突然又咕咕响了", "role": "patient"}, {"turn": 4, "text": "今天只有一次，墨绿色，稀", "role": "patient"}, {"turn": 5, "text": "有没有吃药？", "role": "doctor"}, {"turn": 6, "text": "没有 医生没开", "role": "patient"}, {"turn": 7, "text": "还拉水吗?", "role": "doctor"}, {"turn": 8, "text": "昨天吊完水之后发热，38度吃了布洛芬", "role": "patient"}, {"turn": 9, "text": "目前不拉", "role": "patient"}, {"turn": 10, "text": "用:黄连素/易蒙停/山良宕碱吧", "role": "doctor"}, {"turn": 11, "text": "好的 请问这样这样的情况是在好转吗？应该吃些什么食物呢？", "role": "patient"}, {"turn": 12, "text": "应该再恢复期,清淡饮食就可以了", "role": "doctor"}, {"turn": 13, "text": "还是只能喝粥水吗", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "药物三种都买还是三买一呢？", "role": "patient"}, {"turn": 16, "text": "3个都要", "role": "doctor"}, {"turn": 17, "text": "好的谢谢医生", "role": "patient"}, {"turn": 18, "text": "不用 谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 402, "thread": [{"turn": 0, "text": "慢性鼻窦炎发作，应不应该吃药（男，26岁）", "role": "patient"}, {"turn": 1, "text": "您好，都有什么症状呀？多久了", "role": "doctor"}, {"turn": 2, "text": "鼻子肿胀，导致头疼，轻微慢性鼻窦炎，已经有6，7年了，", "role": "patient"}, {"turn": 3, "text": "以前发作时会吃药，但是感觉一直吃药对身体不好，是不是可以不吃药让它自然好", "role": "patient"}, {"turn": 4, "text": "医生，在吗", "role": "patient"}, {"turn": 5, "text": "门诊特别忙，只能抽空回答。", "role": "doctor"}, {"turn": 6, "text": "慢性鼻窦炎最好手术治疗的", "role": "doctor"}, {"turn": 7, "text": "吃药效果不好", "role": "doctor"}, {"turn": 8, "text": "平时发作的时候，我必须吃药吗，还是可以等它自然好", "role": "patient"}, {"turn": 9, "text": "发作的时候用药更好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 403, "thread": [{"turn": 0, "text": "脑膜瘤手术后，要多久才能康复（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好请问术后多久了？", "role": "doctor"}, {"turn": 2, "text": "19号早上做的", "role": "patient"}, {"turn": 3, "text": "一般30天左右可以恢复", "role": "doctor"}, {"turn": 4, "text": "多久可以拆线？", "role": "patient"}, {"turn": 5, "text": "就是住院30天吗", "role": "patient"}, {"turn": 6, "text": "25-20天左右拆线", "role": "doctor"}, {"turn": 7, "text": "他叫我明天拆线的，怎么会这样", "role": "patient"}, {"turn": 8, "text": "如果愈合好的话7天左右也可以", "role": "doctor"}, {"turn": 9, "text": "因人而异", "role": "doctor"}, {"turn": 10, "text": "一般不超过15天拆线", "role": "doctor"}, {"turn": 11, "text": "我和他说一下，太快了，怕合不好", "role": "patient"}, {"turn": 12, "text": "可以再等等看", "role": "doctor"}, {"turn": 13, "text": "好", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "是不是拆线后就可以出院了", "role": "patient"}, {"turn": 16, "text": "再观察3天左右可以", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "以后有什么不舒服的可以随时咨询我，祝早日康复！", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "谢谢", "role": "patient"}, {"turn": 21, "text": "不客气的😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 404, "thread": [{"turn": 0, "text": "妊娠期糖尿病,生完孩子后会正常吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问血糖高很多吗？", "role": "doctor"}, {"turn": 2, "text": "一般是可以恢复的", "role": "doctor"}, {"turn": 3, "text": "血糖5.9", "role": "patient"}, {"turn": 4, "text": "饭后血糖5.9", "role": "patient"}, {"turn": 5, "text": "这个挺好的", "role": "doctor"}, {"turn": 6, "text": "可以恢复。以后注意尽量不吃甜食，不喝饮料", "role": "doctor"}, {"turn": 7, "text": "我能吃米饭吗", "role": "patient"}, {"turn": 8, "text": "可以的", "role": "doctor"}, {"turn": 9, "text": "嗯", "role": "patient"}, {"turn": 10, "text": "主食当然要吃的", "role": "doctor"}, {"turn": 11, "text": "你能帮我列个一日三餐表", "role": "patient"}, {"turn": 12, "text": "三餐规律，主食每餐2量左右，多蔬菜，肉1量左右，不要熬夜，管住嘴，迈开腿。", "role": "doctor"}, {"turn": 13, "text": "这个可以自己调配", "role": "doctor"}, {"turn": 14, "text": "把握原则就行", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 405, "thread": [{"turn": 0, "text": "慢性咽炎呼吸不畅胸闷（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有鼻塞这些症状么？", "role": "doctor"}, {"turn": 2, "text": "有，胸闷，轻微鼻塞，然后感觉嗓子像肿了一样，吸气感觉不到凉，是那种热热的感觉", "role": "patient"}, {"turn": 3, "text": "之前有受凉么？", "role": "doctor"}, {"turn": 4, "text": "感觉呼吸不过来", "role": "patient"}, {"turn": 5, "text": "有可能是有点受凉", "role": "patient"}, {"turn": 6, "text": "嗯，应该是受凉感冒引起的", "role": "doctor"}, {"turn": 7, "text": "不是慢性咽炎引起的", "role": "doctor"}, {"turn": 8, "text": "你家里有感冒药么？", "role": "doctor"}, {"turn": 9, "text": "我喉部有异物感然后早上刷牙还恶心干呕", "role": "patient"}, {"turn": 10, "text": "这个症状是慢性咽炎的表现", "role": "doctor"}, {"turn": 11, "text": "但是你现在有鼻塞、嗓子肿这些症状啊", "role": "doctor"}, {"turn": 12, "text": "对，前几天都是喉部异物感，刷牙恶心，但还是会有喘不上气的感觉", "role": "patient"}, {"turn": 13, "text": "今天就有喉咙肿的感觉", "role": "patient"}, {"turn": 14, "text": "你要是现在觉得症状特别重，可以去医院看看急诊哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 406, "thread": [{"turn": 0, "text": "慢性浅表性胃炎可以吃燕麦片吗（男，37岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以吃点，但不要吃太多。", "role": "doctor"}, {"turn": 2, "text": "慢性浅表性胃炎的症状", "role": "patient"}, {"turn": 3, "text": "恶心，呕吐，反酸，腹胀等", "role": "doctor"}, {"turn": 4, "text": "烧灼感吗", "role": "patient"}, {"turn": 5, "text": "是的", "role": "doctor"}, {"turn": 6, "text": "也会有烧灼感", "role": "doctor"}, {"turn": 7, "text": "胃镜检查是慢性浅表性胃炎可医生说是胃食管反流和慢性浅表性胃炎", "role": "patient"}, {"turn": 8, "text": "这不矛盾的", "role": "doctor"}, {"turn": 9, "text": "是什么原因", "role": "patient"}, {"turn": 10, "text": "你是说哪个？", "role": "doctor"}, {"turn": 11, "text": "这两种病情", "role": "patient"}, {"turn": 12, "text": "不能吃什么", "role": "patient"}, {"turn": 13, "text": "平时饮食搭配要合理，少吃辛辣刺激生硬不易消化的东西", "role": "doctor"}, {"turn": 14, "text": "奶茶，咖啡要少喝", "role": "doctor"}, {"turn": 15, "text": "烟酒也要尽量控制", "role": "doctor"}, {"turn": 16, "text": "能根治不", "role": "patient"}, {"turn": 17, "text": "如果调理的好，也是可以的", "role": "doctor"}, {"turn": 18, "text": "中药好，西药好两种哪种好", "role": "patient"}, {"turn": 19, "text": "这个怎么说呢", "role": "doctor"}, {"turn": 20, "text": "各有利弊的", "role": "doctor"}, {"turn": 21, "text": "有的西药吃多了，想换中药，也是可以的", "role": "doctor"}, {"turn": 22, "text": "我吃了一个月的奥美拉唑和铝镁加", "role": "patient"}, {"turn": 23, "text": "效果怎么样呢？", "role": "doctor"}, {"turn": 24, "text": "感觉胃里有点不舒服", "role": "patient"}, {"turn": 25, "text": "那你也可以吃点中药看看", "role": "doctor"}, {"turn": 26, "text": "前两天一吃药就呕吐", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}, {"turn": 28, "text": "这种病需要治疗多少", "role": "patient"}, {"turn": 29, "text": "治疗多少？", "role": "doctor"}, {"turn": 30, "text": "什么意思？", "role": "doctor"}, {"turn": 31, "text": "多久", "role": "patient"}, {"turn": 32, "text": "打错了", "role": "patient"}, {"turn": 33, "text": "这个时间不一定", "role": "doctor"}, {"turn": 34, "text": "有的2-3个月，也有的时间会更久一点", "role": "doctor"}, {"turn": 35, "text": "哦", "role": "patient"}, {"turn": 36, "text": "嗯嗯", "role": "doctor"}, {"turn": 37, "text": "吃药有副作用吗", "role": "patient"}, {"turn": 38, "text": "长期", "role": "patient"}, {"turn": 39, "text": "任何药物都有副作用的", "role": "doctor"}, {"turn": 40, "text": "只不过胃药副作用小一点", "role": "doctor"}, {"turn": 41, "text": "哦", "role": "patient"}, {"turn": 42, "text": "谢谢", "role": "patient"}, {"turn": 43, "text": "嗯嗯 ，不客气", "role": "doctor"}, {"turn": 44, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 407, "thread": [{"turn": 0, "text": "癫痫发过后手没力气抬不起来（男，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，癫痫过后是会全身无力的", "role": "doctor"}, {"turn": 2, "text": "不会瘫痪吧", "role": "patient"}, {"turn": 3, "text": "左手抽的没力气", "role": "patient"}, {"turn": 4, "text": "一般是不会的", "role": "doctor"}, {"turn": 5, "text": "感冒了癫痫反复发作", "role": "patient"}, {"turn": 6, "text": "用药治疗了吗？", "role": "doctor"}, {"turn": 7, "text": "治疗了", "role": "patient"}, {"turn": 8, "text": "那就好", "role": "doctor"}, {"turn": 9, "text": "边治疗边观察", "role": "doctor"}, {"turn": 10, "text": "暂时没控制住", "role": "patient"}, {"turn": 11, "text": "没控制住就要调整药物剂量，或者换药治疗，所以边调整药物边观察", "role": "doctor"}, {"turn": 12, "text": "在等26号做视频脑电图", "role": "patient"}, {"turn": 13, "text": "做脑电图不耽误治疗啊，是要求停药做吗？", "role": "doctor"}, {"turn": 14, "text": "再吃药。 就是刚发没压住", "role": "patient"}, {"turn": 15, "text": "肯定要吃药控制", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 408, "thread": [{"turn": 0, "text": "14岁鼻甲肥大做手术可以吗（男，14岁）", "role": "patient"}, {"turn": 1, "text": "你主要有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "上就是感觉鼻子不通", "role": "patient"}, {"turn": 3, "text": "天冷更重", "role": "patient"}, {"turn": 4, "text": "我就想知道，14岁孩子用等离了做，对小孩有没有伤害", "role": "patient"}, {"turn": 5, "text": "下鼻甲肥大", "role": "patient"}, {"turn": 6, "text": "不建议", "role": "doctor"}, {"turn": 7, "text": "因为孩子太小", "role": "doctor"}, {"turn": 8, "text": "建议应用药物治疗", "role": "doctor"}, {"turn": 9, "text": "建议应用温0.9%氯化钠注射液冲洗鼻腔，每天两次，早晚冲， 鼻腔喷布地奈德喷雾剂", "role": "doctor"}, {"turn": 10, "text": "哦。知道了，谢谢", "role": "patient"}, {"turn": 11, "text": "不客气", "role": "doctor"}, {"turn": 12, "text": "祝早日康复", "role": "doctor"}, {"turn": 13, "text": "做手术后有什么后遗症吗", "role": "patient"}, {"turn": 14, "text": "孩子说老不通气难受", "role": "patient"}, {"turn": 15, "text": "喷药，以前也有用过", "role": "patient"}, {"turn": 16, "text": "孩子太小了", "role": "doctor"}, {"turn": 17, "text": "坚持鼻腔冲洗治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 409, "thread": [{"turn": 0, "text": "脑出血出血量40多毫升怎么治疗好（女，51岁）", "role": "patient"}, {"turn": 1, "text": "出血超过30ml就有手术指征，建议手术治疗", "role": "doctor"}, {"turn": 2, "text": "意识清楚  能说话  什么都知道", "role": "patient"}, {"turn": 3, "text": "最好把片子给我看看，目前脑出血的手术方式很多，有微创钻孔，内镜下清血肿等等", "role": "doctor"}, {"turn": 4, "text": "就是左侧胳膊和腿不能动", "role": "patient"}, {"turn": 5, "text": "医院一直在给打点滴", "role": "patient"}, {"turn": 6, "text": "血肿靠自己吸收很慢，血肿在吸收过程中会产生水肿进一步压迫大脑，血肿压迫时间太长不利于神经功能的恢复", "role": "doctor"}, {"turn": 7, "text": "他们说不需要手术", "role": "patient"}, {"turn": 8, "text": "把片子给我看看", "role": "doctor"}, {"turn": 9, "text": "嗯", "role": "patient"}, {"turn": 10, "text": "我是陈俊瑜医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 410, "thread": [{"turn": 0, "text": "来月经时能吃治疗盆腔炎的药吗（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在吃的什么药。", "role": "doctor"}, {"turn": 2, "text": "妇炎康片", "role": "patient"}, {"turn": 3, "text": "腰困小腹胀痛", "role": "patient"}, {"turn": 4, "text": "你好，这个药，月经期间是可以吃的。", "role": "doctor"}, {"turn": 5, "text": "嗯，这次来例假稀稀拉拉的，已经5天了", "role": "patient"}, {"turn": 6, "text": "不知怎么回事", "role": "patient"}, {"turn": 7, "text": "是正常来月经时间吗", "role": "doctor"}, {"turn": 8, "text": "是的", "role": "patient"}, {"turn": 9, "text": "平时来也不肚疼，这次疼呢感觉有炎症", "role": "patient"}, {"turn": 10, "text": "也可能和炎症有关，你吃妇炎康再片，再加强益母草颗粒。再观察一下，如果量还是比较小，检查一下彩超", "role": "doctor"}, {"turn": 11, "text": "前段时间做彩超说没有事，喝药好了，这又发了", "role": "patient"}, {"turn": 12, "text": "不好意思打错了，是加上益母草颗粒", "role": "doctor"}, {"turn": 13, "text": "嗯那你就吃药吧，应该是炎症的事", "role": "doctor"}, {"turn": 14, "text": "不会有什么其他事吧，例假不正常挺恐怖的", "role": "patient"}, {"turn": 15, "text": "如果不是来例假的时候就有问题呢？", "role": "patient"}, {"turn": 16, "text": "做彩超说没有事", "role": "patient"}, {"turn": 17, "text": "就这一次这样，问题不大的。", "role": "doctor"}, {"turn": 18, "text": "嗯好的，谢谢", "role": "patient"}, {"turn": 19, "text": "不客气啦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 411, "thread": [{"turn": 0, "text": "心肌炎是什么意思？要怎么治疗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "心肌炎简单的说就是心肌的炎症性疾病，常见的就是病毒性心肌炎", "role": "doctor"}, {"turn": 2, "text": "常发生在感冒发烧以后1-3周", "role": "doctor"}, {"turn": 3, "text": "我之前去医院查过心电图 好像说没什么问题就是压力大产生的", "role": "patient"}, {"turn": 4, "text": "开了辅酶10 和维生素b", "role": "patient"}, {"turn": 5, "text": "治疗以休息为主，避免劳累，", "role": "doctor"}, {"turn": 6, "text": "嗯嗯，这些药就可以", "role": "doctor"}, {"turn": 7, "text": "最近一定要休息好", "role": "doctor"}, {"turn": 8, "text": "但是我今天呼吸很困难 已经左方后背开始疼痛 深呼吸的时候", "role": "patient"}, {"turn": 9, "text": "偶尔还觉得心脏抽搐一下", "role": "patient"}, {"turn": 10, "text": "你是几天前诊断的心肌炎？", "role": "doctor"}, {"turn": 11, "text": "然后我还会进行一些激烈的体育运动 是不是不应该", "role": "patient"}, {"turn": 12, "text": "感觉供氧不足", "role": "patient"}, {"turn": 13, "text": "很久了 大概有一个多月了", "role": "patient"}, {"turn": 14, "text": "嗯嗯，这段时间恢复最主要的就是休息，让心脏得到充分休息", "role": "doctor"}, {"turn": 15, "text": "当时医生也没说什么 照了心电图也没照彩超", "role": "patient"}, {"turn": 16, "text": "避免剧烈运动", "role": "doctor"}, {"turn": 17, "text": "我在读高三\n所以休息时间可能不够", "role": "patient"}, {"turn": 18, "text": "当时有呼吸困难这些症状吗", "role": "doctor"}, {"turn": 19, "text": "很害怕忽然就猝死了 因为感觉心脏现在就扯着扯着痛", "role": "patient"}, {"turn": 20, "text": "也有 都差不多 到我感觉今天是更严重的", "role": "patient"}, {"turn": 21, "text": "不要有心理负担", "role": "doctor"}, {"turn": 22, "text": "因为感觉穿透了我的背 都痛", "role": "patient"}, {"turn": 23, "text": "这是可以完全治愈的疾病", "role": "doctor"}, {"turn": 24, "text": "可是会不会一下子就猝死掉 感觉好可怕", "role": "patient"}, {"turn": 25, "text": "按你描述的，你的症状并没有明显缓解，建议医院就诊", "role": "doctor"}, {"turn": 26, "text": "啊好的吧 那我平时需要吃点什么或者做点什么 注意的", "role": "patient"}, {"turn": 27, "text": "现在心脏一直在疼吗？连着后背也疼？", "role": "doctor"}, {"turn": 28, "text": "主要就是休息，不要有心理负担，先把病养好了，你才能百分之百投入到学习，而且现在高三了，千万不要偏食，增加肉蛋奶高蛋白饮食，适量增加水果蔬菜的摄入", "role": "doctor"}, {"turn": 29, "text": "对 还在痛 呼吸的时候更痛", "role": "patient"}, {"turn": 30, "text": "你如果现在心脏疼得厉害而且连着后背也疼，建议你现在就去医院就诊，做个心电图，看是否有疾病的进展", "role": "doctor"}, {"turn": 31, "text": "好的谢谢医生", "role": "patient"}, {"turn": 32, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 412, "thread": [{"turn": 0, "text": "勃起功能障碍（阳痿）（男，26岁）你好，想问一下男性健康问题！", "role": "patient"}, {"turn": 1, "text": "这样的话属于勃起功能下降", "role": "doctor"}, {"turn": 2, "text": "您这种情况多于熬夜，劳累，饮酒过量，压力大等有关，一般对症下药是可以恢复的，祝您早日康复！", "role": "doctor"}, {"turn": 3, "text": "我想问下勃起的话是要勃起很高还是够硬就行！", "role": "patient"}, {"turn": 4, "text": "同时具备", "role": "doctor"}, {"turn": 5, "text": "那没有勃起很高的话建议吃点什么药呢？或者有什么建议", "role": "patient"}, {"turn": 6, "text": "麻烦你了", "role": "patient"}, {"turn": 7, "text": "因不见本人把脉，无法具体开药，可以到正规国办医院找中医把脉吃些中药可以调理。早日康复！.", "role": "doctor"}, {"turn": 8, "text": "三分药七分养建议:一，按疗程用药，二，不要久坐憋尿，三，适度生活，戒手淫，四，均衡营养，五，戒烟酒，六，适度锻炼，七，少看情色图像，八，休息规律，九，保持良好心态 你按照上边几条做，会逐渐康复的！", "role": "doctor"}, {"turn": 9, "text": "好的  谢谢", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 413, "thread": [{"turn": 0, "text": "过敏性鼻炎用什么药比较好？（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好       不过敏的话可以   糠酸莫米松鼻喷雾剂喷鼻子   加依巴斯丁片口服治疗", "role": "doctor"}, {"turn": 2, "text": "过敏性鼻炎用什么药", "role": "patient"}, {"turn": 3, "text": "已告知", "role": "doctor"}, {"turn": 4, "text": "你上面说的不是不过敏的话吗", "role": "patient"}, {"turn": 5, "text": "我说的是要是你对这些药物不过敏的话  就可以用", "role": "doctor"}, {"turn": 6, "text": "n误会了", "role": "doctor"}, {"turn": 7, "text": "除了这些还有没有其他常用一点的药物", "role": "patient"}, {"turn": 8, "text": "不用太复杂", "role": "doctor"}, {"turn": 9, "text": "这样就很好了", "role": "doctor"}, {"turn": 10, "text": "这些药我怎么样知道过不过瘾", "role": "patient"}, {"turn": 11, "text": "以前没有  一般就没问题", "role": "doctor"}, {"turn": 12, "text": "我不知道以前有没有过敏你还可以给我推荐一些其他的药物", "role": "patient"}, {"turn": 13, "text": "你就用这些吧", "role": "doctor"}, {"turn": 14, "text": "这些就可以了", "role": "doctor"}, {"turn": 15, "text": "我还想知道一些其他的药", "role": "patient"}, {"turn": 16, "text": "过敏性鼻炎吃什么药比较好", "role": "patient"}, {"turn": 17, "text": "西替利嗪   富马酸卢帕他定都行", "role": "doctor"}, {"turn": 18, "text": "还有顺宁尔", "role": "doctor"}, {"turn": 19, "text": "你好", "role": "patient"}, {"turn": 20, "text": "请讲", "role": "doctor"}, {"turn": 21, "text": "鼻炎用什么药", "role": "patient"}, {"turn": 22, "text": "鼻炎分分多类型的", "role": "doctor"}, {"turn": 23, "text": "具体哪种", "role": "doctor"}, {"turn": 24, "text": "是不是你前边说的过敏性鼻炎", "role": "doctor"}, {"turn": 25, "text": "是的过敏性鼻炎", "role": "patient"}, {"turn": 26, "text": "前边已经给你说了好几种了啊", "role": "doctor"}, {"turn": 27, "text": "为什么要反复提问呢", "role": "doctor"}, {"turn": 28, "text": "过敏性鼻炎需要做手术吗", "role": "patient"}, {"turn": 29, "text": "不需要", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 414, "thread": [{"turn": 0, "text": "得了急性乳腺炎需要回奶方法（女，26岁）", "role": "patient"}, {"turn": 1, "text": "口服溴隐亭", "role": "doctor"}, {"turn": 2, "text": "我现在得了急性乳腺炎", "role": "patient"}, {"turn": 3, "text": "口服溴隐亭回奶，挂水消炎治疗", "role": "doctor"}, {"turn": 4, "text": "后期脓肿形成后可能需要切开引流", "role": "doctor"}, {"turn": 5, "text": "在医院挂了三天水，吃的中药回奶，用硫酸镁敷的胸部", "role": "patient"}, {"turn": 6, "text": "喝了一天中药，乳房刺痛，正常吗", "role": "patient"}, {"turn": 7, "text": "中药回奶慢的", "role": "doctor"}, {"turn": 8, "text": "刺痛就是乳腺炎造成的，及时排空乳汁", "role": "doctor"}, {"turn": 9, "text": "挤不出来怎么办，每次只能挤一点点出来", "role": "patient"}, {"turn": 10, "text": "中药和你说的那个药能同时吃吗", "role": "patient"}, {"turn": 11, "text": "可以同时吃的", "role": "doctor"}, {"turn": 12, "text": "还可以口服抗生素，继续消炎治疗", "role": "doctor"}, {"turn": 13, "text": "乳腺还胀痛需要挤干净吗", "role": "patient"}, {"turn": 14, "text": "越是胀痛，越是需要挤干净", "role": "doctor"}, {"turn": 15, "text": "有一个挤不出来怎么办呢", "role": "patient"}, {"turn": 16, "text": "实在挤不出来那也没办法", "role": "doctor"}, {"turn": 17, "text": "我还没有喂过奶，刚生完十天", "role": "patient"}, {"turn": 18, "text": "额，乳房表面红肿明显么", "role": "doctor"}, {"turn": 19, "text": "还有没有其他方法", "role": "patient"}, {"turn": 20, "text": "就是回奶，消炎治疗", "role": "doctor"}, {"turn": 21, "text": "挂了几天水，没那么红了", "role": "patient"}, {"turn": 22, "text": "这个疾病恢复有过程的，没什么立马见效的方法", "role": "doctor"}, {"turn": 23, "text": "嗯", "role": "patient"}, {"turn": 24, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 415, "thread": [{"turn": 0, "text": "突发性耳聋引起的晕眩怎么治疗？（女，50岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问有几天了？突发性耳聋有没有在进行治疗？眩晕可以用敏使朗和眩晕停", "role": "doctor"}, {"turn": 2, "text": "已经治疗很久了", "role": "patient"}, {"turn": 3, "text": "听力受损治不好了", "role": "patient"}, {"turn": 4, "text": "但是现在一直会头晕", "role": "patient"}, {"turn": 5, "text": "那就把敏使朗加上", "role": "doctor"}, {"turn": 6, "text": "口服", "role": "doctor"}, {"turn": 7, "text": "这个药要注意什么吗 比如饭前饭后", "role": "patient"}, {"turn": 8, "text": "还有就是平时饮食上要注意什么呢生活细节上要注意些什么", "role": "patient"}, {"turn": 9, "text": "主要就是不要晕不要吐", "role": "patient"}, {"turn": 10, "text": "这个药大概要吃多久 晕吐症状可以不复发", "role": "patient"}, {"turn": 11, "text": "饭后半小时服用即可，平常清淡低盐饮食，不要吃辛辣食物，眩晕发作时避光避声休息", "role": "doctor"}, {"turn": 12, "text": "口服药物一般2-3周", "role": "doctor"}, {"turn": 13, "text": "2到3周吃完之后 以后还会晕吐发作吗", "role": "patient"}, {"turn": 14, "text": "一般那时就恢复了，这个眩晕比听力好恢复，不要担心，很多都在10天左右就恢复了", "role": "doctor"}, {"turn": 15, "text": "那以后还会复发吗", "role": "patient"}, {"turn": 16, "text": "一次几片？一天几次？", "role": "patient"}, {"turn": 17, "text": "眩晕停是发作时服用，一次2片，敏使朗是每次2片，每天三次", "role": "doctor"}, {"turn": 18, "text": "两个药要同时吃吗", "role": "patient"}, {"turn": 19, "text": "问了医院医生 说是血管堵塞 吃这个药有效吗", "role": "patient"}, {"turn": 20, "text": "这是缓解眩晕症状的，其它要配合服用银杏叶片或脉血康等扩血管药物", "role": "doctor"}, {"turn": 21, "text": "银杏叶片怎么服用", "role": "patient"}, {"turn": 22, "text": "看您买到哪种规格的，根据说明书用，规格不同，片数不同", "role": "doctor"}, {"turn": 23, "text": "那平时喝银杏叶泡的茶呢 可以吗", "role": "patient"}, {"turn": 24, "text": "这个和药物不能等同，药物是提取物有一定浓度，这个直接泡茶，不知道会有什么功效或副作用", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 416, "thread": [{"turn": 0, "text": "请问医生痛风能吃荔枝吗（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，痛风患者可以吃荔枝；嘌呤含量少或不含嘌呤的食品：精白米、玉米、精白面包、馒头、面条、通心粉、苏打饼干、卷心菜、胡萝卜、芹菜、黄瓜、茄子、甘蓝、莴苣、南瓜、西红柿、萝卜、山芋、土豆、泡菜、咸菜、龙眼、卷心菜、各种蛋类、牛奶、炼乳、酸奶、麦乳精、各种水果及干果类、糖果、各种饮料包括汽水、茶、巧克力、咖啡、可可等，各种油脂、花生酱、花生、杏仁、核桃、果酱等。  不含或含量少", "role": "doctor"}, {"turn": 2, "text": "你好，痛风的病人忌吃1、含有酸性成分较多的食物，酸性食物会导致痛风病人体内的酸性过于严重，容易干扰病情的正常恢复，常见的酸性食物有咖啡，可可，茶叶，豆制品等。2、含有嘌呤成分高的食物，高嘌呤食物是痛风的饮食主要不能吃的，患者在生活中一定要禁忌，常见的高嘌呤食物有海鲜，火锅，动物内脏，肉类等，同时豆类，菌类，野菜类食物含有嘌呤成分较为丰富。3、酒不能喝，痛风患者一定不可以喝酒，酒精可诱发痛风发作的概率增加十倍以上，发作阶段的痛风患者会导致病情更加严重。", "role": "doctor"}, {"turn": 3, "text": "谢谢医生", "role": "patient"}, {"turn": 4, "text": "不客气，祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 417, "thread": [{"turn": 0, "text": "肩周炎，胳膊抬起来就很疼（女，52）", "role": "patient"}, {"turn": 1, "text": "你好！肩周炎，治疗主要是要靠功能锻炼，练上举、后伸，甩胳膊，活动开就会好。平时肩部要保暖，不要受凉。另外，局部可以封闭，热敷理疗，推拿针灸治疗，也可以行小针刀治疗。", "role": "doctor"}, {"turn": 2, "text": "谢谢您，拔罐有用吗？如果有用拔哪里，哪个穴位呢？", "role": "patient"}, {"turn": 3, "text": "你好!可以。主要是功能锻炼，可以去康复理疗科咨询，请医师帮助你，指点最好。", "role": "doctor"}, {"turn": 4, "text": "恩，好的，谢谢您", "role": "patient"}, {"turn": 5, "text": "不客气！祝你早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 418, "thread": [{"turn": 0, "text": "胰腺炎为什么夜里疼的厉害（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，确诊是胰腺炎吗？", "role": "doctor"}, {"turn": 2, "text": "现在在医院治疗吗？", "role": "doctor"}, {"turn": 3, "text": "是的", "role": "patient"}, {"turn": 4, "text": "在", "role": "patient"}, {"turn": 5, "text": "住医院5天了", "role": "patient"}, {"turn": 6, "text": "其实严格意义上说夜里疼的厉害这种说法是不确切的", "role": "doctor"}, {"turn": 7, "text": "之所以会有这样的感觉是因为", "role": "doctor"}, {"turn": 8, "text": "晚上思想啊精力啊全都集中在了一处", "role": "doctor"}, {"turn": 9, "text": "但是感觉没有好转，半夜身上疼的太厉害了白天还好一点", "role": "patient"}, {"turn": 10, "text": "也就是自己的病上", "role": "doctor"}, {"turn": 11, "text": "主要疼的睡不着，半夜还用止疼药也没有用", "role": "patient"}, {"turn": 12, "text": "止疼药一般是有用的", "role": "doctor"}, {"turn": 13, "text": "没用的话建议医生换别的止疼药试试", "role": "doctor"}, {"turn": 14, "text": "但是晚上半夜就特别疼", "role": "patient"}, {"turn": 15, "text": "大概几天可以喝点水", "role": "patient"}, {"turn": 16, "text": "痛的肚子都发热后面也特别疼", "role": "patient"}, {"turn": 17, "text": "什么时候不疼了就可以喝水了", "role": "doctor"}, {"turn": 18, "text": "胰腺炎就是有一个过程", "role": "doctor"}, {"turn": 19, "text": "不会说一下子就好的", "role": "doctor"}, {"turn": 20, "text": "主要这个晚上半夜疼的受不了疼的死的心都有怎么办？可以让晚上不那么痛呢？", "role": "patient"}, {"turn": 21, "text": "白天还好晚上半夜真的疼的在地下打滚真的非常疼", "role": "patient"}, {"turn": 22, "text": "只有止疼针这一种办法", "role": "doctor"}, {"turn": 23, "text": "我们也碰到过胰腺炎疼好几天的", "role": "doctor"}, {"turn": 24, "text": "你们有没有遇到我这样情况半夜特别的疼", "role": "patient"}, {"turn": 25, "text": "有，止疼针", "role": "doctor"}, {"turn": 26, "text": "我是在一直用磅", "role": "patient"}, {"turn": 27, "text": "止疼针八小时打一次", "role": "patient"}, {"turn": 28, "text": "不好用可以建议医生用功效强一点的", "role": "doctor"}, {"turn": 29, "text": "但是也没有用，半夜特别特别的疼", "role": "patient"}, {"turn": 30, "text": "别的没有什么好办法", "role": "doctor"}, {"turn": 31, "text": "好的今天我来问问医生", "role": "patient"}, {"turn": 32, "text": "嗯", "role": "doctor"}, {"turn": 33, "text": "谢谢", "role": "patient"}, {"turn": 34, "text": "像我这样5天了，在过二三天应该可以喝水了吧吃点水果什么", "role": "patient"}, {"turn": 35, "text": "应该是可以的", "role": "doctor"}, {"turn": 36, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 419, "thread": [{"turn": 0, "text": "乳腺纤维瘤恶变的前兆（女，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，纤维腺瘤不会恶变", "role": "doctor"}, {"turn": 2, "text": "不会变癌症吗？", "role": "patient"}, {"turn": 3, "text": "嗯，不会的", "role": "doctor"}, {"turn": 4, "text": "我感觉睡觉时候压倒有点疼", "role": "patient"}, {"turn": 5, "text": "嗯，那不要紧", "role": "doctor"}, {"turn": 6, "text": "多么大了结节", "role": "doctor"}, {"turn": 7, "text": "1到1.6厘米", "role": "patient"}, {"turn": 8, "text": "一个月前查的", "role": "patient"}, {"turn": 9, "text": "哦，可以手术了", "role": "doctor"}, {"turn": 10, "text": "比较大了", "role": "doctor"}, {"turn": 11, "text": "我想在等两个月后手术", "role": "patient"}, {"turn": 12, "text": "害怕变成恶", "role": "patient"}, {"turn": 13, "text": "现在碰到有点疼，没事吗？医生", "role": "patient"}, {"turn": 14, "text": "不需要", "role": "doctor"}, {"turn": 15, "text": "不需要是什么意思？", "role": "patient"}, {"turn": 16, "text": "触碰疼不需要处理", "role": "doctor"}, {"turn": 17, "text": "两个月也不要紧。只是大小可以做手术切除了，并不是代表会变恶性", "role": "doctor"}, {"turn": 18, "text": "纤维瘤不会变成癌症吗？医生", "role": "patient"}, {"turn": 19, "text": "不会", "role": "doctor"}, {"turn": 20, "text": "那就好，谢谢您！", "role": "patient"}, {"turn": 21, "text": "我是王明宇医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}, {"turn": 22, "text": "谢谢医生", "role": "patient"}, {"turn": 23, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 420, "thread": [{"turn": 0, "text": "肺癌人吃了转基因油有危害吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "没有，转基因食品对肺癌没有影响", "role": "doctor"}, {"turn": 2, "text": "放心", "role": "doctor"}, {"turn": 3, "text": "不是吃了对身体不益吗", "role": "patient"}, {"turn": 4, "text": "研究表明美国人自己不吃他们的转基因食品，这个问题你自己想想吧", "role": "doctor"}, {"turn": 5, "text": "自己想想？", "role": "patient"}, {"turn": 6, "text": "肯定有害啊，对生殖系统不好", "role": "doctor"}, {"turn": 7, "text": "哦，既然有害，肺癌没有影响吗😭", "role": "patient"}, {"turn": 8, "text": "没有，不会引起癌症的，放心", "role": "doctor"}, {"turn": 9, "text": "好吧", "role": "patient"}, {"turn": 10, "text": "像肺癌患者可以适当养宠物吗？", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 421, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：生殖器疱疹（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，多久了？有什么感觉？", "role": "doctor"}, {"turn": 2, "text": "你好，请问你有什么症状吗？", "role": "doctor"}, {"turn": 3, "text": "您好 我23岁 大概是17岁那天就被传染了 现在基本一两个月复发一次 复发时吃泛昔洛韦 想问一下 有没有什么其他的办法能抑制复发 而且我复发时 多数不是在生殖器附近 是在臀部和腰部 也有少数在生殖器附近", "role": "patient"}, {"turn": 4, "text": "还有我想问一下 有朋友说 生殖器疱疹会诱发淋巴癌 我想问这个可能性大吗？可以做什么预防？是什么原因诱发淋巴癌呢？生殖器疱疹能诱发哪些疾病？", "role": "patient"}, {"turn": 5, "text": "你好，疱疹反复复发，需要长期服用", "role": "doctor"}, {"turn": 6, "text": "伐昔洛韦，0.5g每天一次", "role": "doctor"}, {"turn": 7, "text": "一般复发都是有原因的", "role": "doctor"}, {"turn": 8, "text": "淋巴癌目前没有报道", "role": "doctor"}, {"turn": 9, "text": "复发的原因都有什么呢？", "role": "patient"}, {"turn": 10, "text": "跟你自身的生活习惯有关系", "role": "doctor"}, {"turn": 11, "text": "熬夜，喝酒", "role": "doctor"}, {"turn": 12, "text": "生活不规律，", "role": "doctor"}, {"turn": 13, "text": "体抗力下降", "role": "doctor"}, {"turn": 14, "text": "我不熬夜不喝酒", "role": "patient"}, {"turn": 15, "text": "每天都洗澡", "role": "patient"}, {"turn": 16, "text": "但还是会复发", "role": "patient"}, {"turn": 17, "text": "我最近喝转移因子", "role": "patient"}, {"turn": 18, "text": "先吃药吧！", "role": "doctor"}, {"turn": 19, "text": "复发还有其他原因吗", "role": "patient"}, {"turn": 20, "text": "转移因子没有什么大用", "role": "doctor"}, {"turn": 21, "text": "我想知道的全面一些好预防", "role": "patient"}, {"turn": 22, "text": "最近不能性生活", "role": "doctor"}, {"turn": 23, "text": "这个病的特点就是容易复发", "role": "doctor"}, {"turn": 24, "text": "那提高抵抗力需要吃些什么呢？", "role": "patient"}, {"turn": 25, "text": "一方面，生活规律，最好锻炼身体", "role": "doctor"}, {"turn": 26, "text": "是不是没有治愈的可能？", "role": "patient"}, {"turn": 27, "text": "二是，不能有不洁性行为", "role": "doctor"}, {"turn": 28, "text": "我打算最近两年要孩子 是不是也有影响？", "role": "patient"}, {"turn": 29, "text": "提高免疫力，可以锻炼身体，口服药物，先不用", "role": "doctor"}, {"turn": 30, "text": "想吃的话，可以口服脾氨肽冻干粉口服", "role": "doctor"}, {"turn": 31, "text": "控制不复发，就可以要孩子了", "role": "doctor"}, {"turn": 32, "text": "如果怀孕期间复发了怎么办？", "role": "patient"}, {"turn": 33, "text": "而且 我之前跟您说的 复发的时候多数在腰部和臀部", "role": "patient"}, {"turn": 34, "text": "这是正常的吗？还是加重了？", "role": "patient"}, {"turn": 35, "text": "现在有吗？", "role": "doctor"}, {"turn": 36, "text": "有什么感觉吗？", "role": "doctor"}, {"turn": 37, "text": "疼不疼？", "role": "doctor"}, {"turn": 38, "text": "腰部不一定是疱疹", "role": "doctor"}, {"turn": 39, "text": "我去医院看过 大夫说应该是生殖器疱疹", "role": "patient"}, {"turn": 40, "text": "奥奥", "role": "doctor"}, {"turn": 41, "text": "不疼", "role": "patient"}, {"turn": 42, "text": "就是小水泡", "role": "patient"}, {"turn": 43, "text": "吃药，抹药", "role": "doctor"}, {"turn": 44, "text": "奥奥", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 422, "thread": [{"turn": 0, "text": "过敏性结膜炎+重组因子（男，8岁）", "role": "patient"}, {"turn": 1, "text": "你好！你的这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "去年秋季有，寒暑假好了，现在又起来，感觉一上学就会", "role": "patient"}, {"turn": 3, "text": "之前去查说是过敏性结膜炎好像", "role": "patient"}, {"turn": 4, "text": "用药后🈶好些，但是现在又起来，有没有治根的办法", "role": "patient"}, {"turn": 5, "text": "怎么说", "role": "patient"}, {"turn": 6, "text": "？？？？", "role": "patient"}, {"turn": 7, "text": "怎么没回复呢？", "role": "patient"}, {"turn": 8, "text": "还在吗", "role": "patient"}, {"turn": 9, "text": "您好，过敏性结膜炎就是容易复发", "role": "doctor"}, {"turn": 10, "text": "这个没办法彻底根除", "role": "doctor"}, {"turn": 11, "text": "那建议用什么眼药水缓解", "role": "patient"}, {"turn": 12, "text": "可以用氮卓斯汀滴眼液进行治疗", "role": "doctor"}, {"turn": 13, "text": "那素达和重组因子可以用吗", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "三种一起用还是其中一款就好了", "role": "patient"}, {"turn": 16, "text": "其中一种就可以", "role": "doctor"}, {"turn": 17, "text": "好", "role": "patient"}, {"turn": 18, "text": "嗯嗯，希望我的回答能够帮到您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 423, "thread": [{"turn": 0, "text": "孕期慢性鼻窦炎可以吃药吗？（女，32岁）", "role": "patient"}, {"turn": 1, "text": "您好，建议不要吃口服药", "role": "doctor"}, {"turn": 2, "text": "那怎么治疗呢", "role": "patient"}, {"turn": 3, "text": "比较适合", "role": "patient"}, {"turn": 4, "text": "中药也不可以吗？", "role": "patient"}, {"turn": 5, "text": "建议用生理盐水清洗鼻腔即可", "role": "doctor"}, {"turn": 6, "text": "最好是不要用药", "role": "doctor"}, {"turn": 7, "text": "哦", "role": "patient"}, {"turn": 8, "text": "感冒了两次感觉鼻窦炎有加重", "role": "patient"}, {"turn": 9, "text": "点盐水我一直用的是注射器每次2毫升，一天两次", "role": "patient"}, {"turn": 10, "text": "注意锻炼一下，走一走什么的", "role": "doctor"}, {"turn": 11, "text": "是不是量太小呢", "role": "patient"}, {"turn": 12, "text": "感冒了是这样，注意换季保暖", "role": "doctor"}, {"turn": 13, "text": "可以多清洗几次", "role": "doctor"}, {"turn": 14, "text": "只要不舒服，其实都可以洗的", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "不用谢", "role": "doctor"}, {"turn": 18, "text": "还想问一下感冒好了会不会减轻症状呢，因为现在感冒着3天了，鼻子不通气，不知道感冒好了以后会不会减轻", "role": "patient"}, {"turn": 19, "text": "会减轻的，注意房间通风", "role": "doctor"}, {"turn": 20, "text": "好的谢谢", "role": "patient"}, {"turn": 21, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 424, "thread": [{"turn": 0, "text": "食道癌微创好还是开胸好（女，67岁）", "role": "patient"}, {"turn": 1, "text": "你好，食管癌手术是开胸的", "role": "doctor"}, {"turn": 2, "text": "微创不可以吗", "role": "patient"}, {"turn": 3, "text": "腹腔镜", "role": "patient"}, {"turn": 4, "text": "可以，", "role": "doctor"}, {"turn": 5, "text": "选择起来有什么区别呢，为什么不同医院的大夫给的结果不一样呢，相比那种更好一些", "role": "patient"}, {"turn": 6, "text": "食管癌的微创治疗为通过胸腔镜、腹腔镜技术，不过建议你最好到省级医院去手术，", "role": "doctor"}, {"turn": 7, "text": "开胸手术创伤大，微创小，恢复快，有的医院开展了微创手术，有的没有开展，可能是这个原因吧", "role": "doctor"}, {"turn": 8, "text": "我也是在省立医院，三甲医院", "role": "patient"}, {"turn": 9, "text": "那也可以，具体手术方式还是需要患者主治医生来判断的，不同的病情有不同的手术方案", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 425, "thread": [{"turn": 0, "text": "早产儿老放屁很臭是怎么回事（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，大便稀没，奶瓣多吗", "role": "doctor"}, {"turn": 2, "text": "不会，有点奶瓣", "role": "patient"}, {"turn": 3, "text": "大便青色跟黄色", "role": "patient"}, {"turn": 4, "text": "吃着特殊配方奶粉吗？", "role": "doctor"}, {"turn": 5, "text": "早产奶粉", "role": "patient"}, {"turn": 6, "text": "正常的情况", "role": "doctor"}, {"turn": 7, "text": "奶瓣多，吃点益生菌调节下肠道菌群", "role": "doctor"}, {"turn": 8, "text": "好的", "role": "patient"}, {"turn": 9, "text": "放屁为什么还那么臭啊", "role": "patient"}, {"turn": 10, "text": "益生菌一般要吃多久", "role": "patient"}, {"turn": 11, "text": "吃奶粉有关系", "role": "doctor"}, {"turn": 12, "text": "消化不良，也容易这样", "role": "doctor"}, {"turn": 13, "text": "大便一天就一次", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "正常就好，谢谢啊", "role": "patient"}, {"turn": 16, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 426, "thread": [{"turn": 0, "text": "胎儿在肚子里有梅毒长大了会发作吗（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问母亲的滴度是多少呢？", "role": "doctor"}, {"turn": 2, "text": "现在忘了，但是之前检查医生说还好", "role": "patient"}, {"turn": 3, "text": "目前给孩子检查了吗？", "role": "doctor"}, {"turn": 4, "text": "现在小孩下面有分泌物会不会和梅毒有关系", "role": "patient"}, {"turn": 5, "text": "现在小孩下面有分泌物会不会和梅毒有关系", "role": "patient"}, {"turn": 6, "text": "还没有", "role": "patient"}, {"turn": 7, "text": "没有关系的", "role": "doctor"}, {"turn": 8, "text": "她说会痒   有点红红的", "role": "patient"}, {"turn": 9, "text": "我有梅毒   但是我爱人没有   检查医生说还好的", "role": "patient"}, {"turn": 10, "text": "这种表现不是梅毒的表现，可能是外阴炎症或湿疹的表现。", "role": "doctor"}, {"turn": 11, "text": "那如果梅毒发作的话会有哪些症状", "role": "patient"}, {"turn": 12, "text": "梅毒如果发作的话，可能是全身会出现无痛无痒的皮疹。这种情况需要及时给孩子看一下的。", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 427, "thread": [{"turn": 0, "text": "胃癌晚期还有办法治吗（男，75岁）", "role": "patient"}, {"turn": 1, "text": "你好病人现在情况怎么样?", "role": "doctor"}, {"turn": 2, "text": "现现代是为现代是胃癌晚期现代是胃癌晚期。就是那个。就是那个。肠子那个就是那个。肠子那个大肠就是那个。肠子那个大厂底下就是那个。肠子那个大厂底下友谊就是那个。肠子那个大肠底下有一个瘤就是那个。肠子那个大肠底下有一个瘤子。", "role": "patient"}, {"turn": 3, "text": "用什么药能空冶好", "role": "patient"}, {"turn": 4, "text": "周一周一周医生你说这个周医生你说这个病怎么周医生你说这个病怎么医治周医生你说这个病怎么医治？怎么不讲话呢？", "role": "patient"}, {"turn": 5, "text": "对于晚期肿瘤，以全身化疗为主的治疗", "role": "doctor"}, {"turn": 6, "text": "咱冶疗", "role": "patient"}, {"turn": 7, "text": "建议全身化疗", "role": "doctor"}, {"turn": 8, "text": "己经哪些部位转移了？", "role": "doctor"}, {"turn": 9, "text": "用什么药，喝什么药", "role": "patient"}, {"turn": 10, "text": "现在目前全身情况怎么样？", "role": "doctor"}, {"turn": 11, "text": "身体发肿，全身没有力气", "role": "patient"}, {"turn": 12, "text": "饮食怎么样？", "role": "doctor"}, {"turn": 13, "text": "吃饭只能吃软食品。我吸的东西。", "role": "patient"}, {"turn": 14, "text": "先对症治疗，积极化疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 428, "thread": [{"turn": 0, "text": "三岁宝宝鼻甲肥大吃什么药（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "医生你好，我的孩子去检查是鼻甲肥大，天天流清鼻子，其他也没发现什么", "role": "patient"}, {"turn": 3, "text": "医生怎么治疗的", "role": "doctor"}, {"turn": 4, "text": "就是开点喷鼻子的药", "role": "patient"}, {"turn": 5, "text": "喷鼻治疗可以了", "role": "doctor"}, {"turn": 6, "text": "看娃娃天天流鼻子难受了，我想问问给有什么吃的药", "role": "patient"}, {"turn": 7, "text": "鼻渊通窍颗粒也可以", "role": "doctor"}, {"turn": 8, "text": "喷了药还是流鼻子", "role": "patient"}, {"turn": 9, "text": "药物治疗需要时间", "role": "doctor"}, {"turn": 10, "text": "我是云南的，一心堂有卖吗", "role": "patient"}, {"turn": 11, "text": "同时需要注意尽量不感冒", "role": "doctor"}, {"turn": 12, "text": "可以去药店咨询", "role": "doctor"}, {"turn": 13, "text": "哦，好的，谢谢医生，我明天去问问看", "role": "patient"}, {"turn": 14, "text": "好的，不客气", "role": "doctor"}, {"turn": 15, "text": "希望宝宝早点康复", "role": "doctor"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 429, "thread": [{"turn": 0, "text": "二型糖尿病病人能吃魔芋代餐饼干吗？（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以吃的。但是要从一天主食总量里面减掉等份的食物", "role": "doctor"}, {"turn": 2, "text": "就是当主食吃了", "role": "patient"}, {"turn": 3, "text": "对的", "role": "doctor"}, {"turn": 4, "text": "里面含有蔓越莓干和葡萄干，不知道能不能吃", "role": "patient"}, {"turn": 5, "text": "还有木糖醇", "role": "patient"}, {"turn": 6, "text": "木糖醇没有影响。\n含莓干和葡萄干少量也影响小一些。\n如果含很多，就尽量少吃一点", "role": "doctor"}, {"turn": 7, "text": "好的，就是一块饼里加了几粒的样子", "role": "patient"}, {"turn": 8, "text": "血糖高提倡少量多餐进食。\n可以作为加餐食品，下一顿减掉一点主食，增加些绿色蔬菜就行", "role": "doctor"}, {"turn": 9, "text": "好的谢谢", "role": "patient"}, {"turn": 10, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 430, "thread": [{"turn": 0, "text": "二型糖尿病能吃饼干吗（女，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，平常最好不吃饼干", "role": "doctor"}, {"turn": 2, "text": "你好我想问一下我五六年了血糖高6点多，今年现阶段高7点多。今天我吃了盐酸二甲双胍片。以后不吃药能降下来吗？我怎么控制？谢谢", "role": "patient"}, {"turn": 3, "text": "我前段时间情绪不好，也因为吃了好多榴莲。都会受到影响吗？", "role": "patient"}, {"turn": 4, "text": "？", "role": "patient"}, {"turn": 5, "text": "这个当然有影响的", "role": "doctor"}, {"turn": 6, "text": "您能具体点给个建议吗", "role": "patient"}, {"turn": 7, "text": "三餐规律，主食每餐2量左右，多蔬菜，肉1量左右，不要熬夜，管住嘴，迈开腿。", "role": "doctor"}, {"turn": 8, "text": "活动后可以吃些水果", "role": "doctor"}, {"turn": 9, "text": "监测血糖", "role": "doctor"}, {"turn": 10, "text": "不用吃药可以控制吗？", "role": "patient"}, {"turn": 11, "text": "我不熬夜，睡眠还好。", "role": "patient"}, {"turn": 12, "text": "就是爱吃水果", "role": "patient"}, {"turn": 13, "text": "榴莲是不是以后就不能吃了？", "role": "patient"}, {"turn": 14, "text": "尽量少吃，活动后吃点", "role": "doctor"}, {"turn": 15, "text": "不吃药，看血糖情况", "role": "doctor"}, {"turn": 16, "text": "测血糖用每天都测吗？", "role": "patient"}, {"turn": 17, "text": "7点多就得吃药吧？", "role": "patient"}, {"turn": 18, "text": "7点多还可以观察下。", "role": "doctor"}, {"turn": 19, "text": "血糖不需要每天查，个把星期检查下", "role": "doctor"}, {"turn": 20, "text": "我连续测了十多天了，每天都测。就有三次6点多。所以今天吃了盐酸二甲双胍片", "role": "patient"}, {"turn": 21, "text": "我吃了这药。要是降下来了？就不用在吃了吗？我很想得到你的肯定？这个问题", "role": "patient"}, {"turn": 22, "text": "我只能这样回答您，吃药下来控制一段时间。血糖平稳后，停药，观察血糖，如果正常，可以停药。", "role": "doctor"}, {"turn": 23, "text": "6点多，也可以不用吃药的", "role": "doctor"}, {"turn": 24, "text": "谢谢好的", "role": "patient"}, {"turn": 25, "text": "明天我测量，要是6点多，就不用吃了？对吗？", "role": "patient"}, {"turn": 26, "text": "可以。主要停药后，还是6-7点多，那就可以不吃", "role": "doctor"}, {"turn": 27, "text": "好的谢谢，", "role": "patient"}, {"turn": 28, "text": "吃了这个药胃疼，拉肚子。不舒服", "role": "patient"}, {"turn": 29, "text": "是不是我不适合吃这个药？还是正常反应？", "role": "patient"}, {"turn": 30, "text": "这是这个药物的不良反应", "role": "doctor"}, {"turn": 31, "text": "好的谢谢", "role": "patient"}, {"turn": 32, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 431, "thread": [{"turn": 0, "text": "有胃病肠炎宁和苋莱黄莲素可以一起吃吗（男，33岁）", "role": "patient"}, {"turn": 1, "text": "你好！有什么不适症状吗？", "role": "doctor"}, {"turn": 2, "text": "这两种药可以一起吃的😊", "role": "doctor"}, {"turn": 3, "text": "胃病拉肚子吃了肠炎宁和黄莲素习以吗", "role": "patient"}, {"turn": 4, "text": "会胃出血吗", "role": "patient"}, {"turn": 5, "text": "肚子会痛吗？拉了多少次？有没有吐？", "role": "doctor"}, {"turn": 6, "text": "没有吐，就是拉了几次", "role": "patient"}, {"turn": 7, "text": "只是胃病，家里有人居然吃了胃出血，说是吃的这两种药引起\n，我也吃了为什么没事", "role": "patient"}, {"turn": 8, "text": "这两种药没有引起胃出血的副作用", "role": "doctor"}, {"turn": 9, "text": "可能是胃病本身的问题", "role": "doctor"}, {"turn": 10, "text": "有做胃镜吗？可能是胃溃疡出血哦", "role": "doctor"}, {"turn": 11, "text": "医生检查说是这两种药引起胃出血，但我看报告没说这两种药物问题", "role": "patient"}, {"turn": 12, "text": "所以我咨询更有权威的您", "role": "patient"}, {"turn": 13, "text": "我们这里的医疗有限", "role": "patient"}, {"turn": 14, "text": "这两种都是中成药，比较安全", "role": "doctor"}, {"turn": 15, "text": "连说明书里都没有写会引起胃出血", "role": "doctor"}, {"turn": 16, "text": "会不会是这两种药物引起", "role": "patient"}, {"turn": 17, "text": "这个谁都没办法给你肯定答案", "role": "doctor"}, {"turn": 18, "text": "只能说站在药物的作用机理上，这两种药物几乎不可能引起胃出血", "role": "doctor"}, {"turn": 19, "text": "明白了，谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}, {"turn": 21, "text": "进一步检查下胃镜，明确下就知道了", "role": "doctor"}, {"turn": 22, "text": "好的，家里人在住院，检查医生说吃过量引起的，我就郁闷了", "role": "patient"}, {"turn": 23, "text": "好的，谢谢", "role": "patient"}, {"turn": 24, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 432, "thread": [{"turn": 0, "text": "请问下急性乳腺炎的症状\n（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在是哺乳期吗", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "急性乳腺炎，乳房有硬块，也可以伴有发烧", "role": "doctor"}, {"turn": 4, "text": "局部肿痛", "role": "doctor"}, {"turn": 5, "text": "昨晚开始的症状是腿弯酸浑身无力，后来测体温是37.8喝了藿香正气颗粒，过了一个小时测的是38.5，又喝了退热颗粒，夜里口干头疼厉害，测了38.7了，然后也觉得左侧乳房胀痛用吸奶器吸奶排乳了，早上又排乳一次，体温也37.6了，乳房还是有点小硬块有点痛，之前本来也有乳腺增生，请问是不是急性乳腺炎？", "role": "patient"}, {"turn": 6, "text": "是急性乳腺炎，没有大硬块，问题不大，清淡饮食，多让宝宝吃", "role": "doctor"}, {"turn": 7, "text": "可以外用散结乳癖膏和口服蒲公英颗粒", "role": "doctor"}, {"turn": 8, "text": "哦，发烧可以吃奶？昨夜里没敢让她吃，吃的一侧不痛的", "role": "patient"}, {"turn": 9, "text": "为什么头疼的厉害，腿弯也酸痛的很，就是体温下去了，还需要喝退烧药吗？", "role": "patient"}, {"turn": 10, "text": "发烧能哺乳", "role": "doctor"}, {"turn": 11, "text": "不用退烧药", "role": "doctor"}, {"turn": 12, "text": "退烧药只是对症治疗", "role": "doctor"}, {"turn": 13, "text": "哦！中成药也不行？昨晚喝了藿香正气颗粒和消炎退热颗粒，都是中成药", "role": "patient"}, {"turn": 14, "text": "藿香正气没有用", "role": "doctor"}, {"turn": 15, "text": "开始以为是普通感冒", "role": "patient"}, {"turn": 16, "text": "好的，就把乳汁淤积排出来喝蒲公英颗粒就好了？", "role": "patient"}, {"turn": 17, "text": "关键是让孩子吃", "role": "doctor"}, {"turn": 18, "text": "哦，就是让孩子多吸痛的那侧的乳房？", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}, {"turn": 20, "text": "孩子能吃空乳房", "role": "doctor"}, {"turn": 21, "text": "那我头疼需要处理吗？", "role": "patient"}, {"turn": 22, "text": "不用", "role": "doctor"}, {"turn": 23, "text": "好的，谢谢你医生", "role": "patient"}, {"turn": 24, "text": "不用谢！希望对你有帮助。", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "明确下肯定有帮助", "role": "patient"}, {"turn": 27, "text": "哺乳期经常会有积乳发生，发现硬块，及时让孩子吃，就能吃通", "role": "doctor"}, {"turn": 28, "text": "散结乳癖膏效果很好，我们这里的宝妈们家中常备，有硬块就用上。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 433, "thread": [{"turn": 0, "text": "红霉素眼膏可以治鼻前庭炎吗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，红霉素眼膏可以治疗鼻前庭炎症", "role": "doctor"}, {"turn": 2, "text": "也可以抹曲安奈德乳膏", "role": "doctor"}, {"turn": 3, "text": "但是它上面写得是治疗眼部疾病", "role": "patient"}, {"turn": 4, "text": "我担心医生拿错药了", "role": "patient"}, {"turn": 5, "text": "是的，是治疗眼的，也可以治鼻子", "role": "doctor"}, {"turn": 6, "text": "没拿错", "role": "doctor"}, {"turn": 7, "text": "医生说要要用淡盐水洗了鼻子才可以擦", "role": "patient"}, {"turn": 8, "text": "可以不洗直接擦吗", "role": "patient"}, {"turn": 9, "text": "有什么坏处", "role": "patient"}, {"turn": 10, "text": "可以直接擦", "role": "doctor"}, {"turn": 11, "text": "没啥坏处啊", "role": "doctor"}, {"turn": 12, "text": "那为什么还要洗", "role": "patient"}, {"turn": 13, "text": "不洗完全可以", "role": "doctor"}, {"turn": 14, "text": "鼻前庭炎症没有必要洗", "role": "doctor"}, {"turn": 15, "text": "那个药怎么用", "role": "patient"}, {"turn": 16, "text": "就是抹到鼻腔里面", "role": "doctor"}, {"turn": 17, "text": "用手吗", "role": "patient"}, {"turn": 18, "text": "用棉棒抹", "role": "doctor"}, {"turn": 19, "text": "把药膏弄到棉棒上，然后抹到鼻腔", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 434, "thread": [{"turn": 0, "text": "吸烟可以引起勃起功能障碍吗男,  39岁", "role": "patient"}, {"turn": 1, "text": "大量、长期，对勃起有影响 。", "role": "doctor"}, {"turn": 2, "text": "现在一天一盒，吸烟有二十年", "role": "patient"}, {"turn": 3, "text": "有可能对勃起有影响。", "role": "doctor"}, {"turn": 4, "text": "现在戒烟能好些吗，我现在勃起功能不好，早泄，有时感觉睾丸不舒服，有点像抽筋的感觉", "role": "patient"}, {"turn": 5, "text": "能好些。但不是说吸烟可引起勃起功能下降，你的勃起障碍就单纯是这个原因导致的。", "role": "doctor"}, {"turn": 6, "text": "谢谢周医生，如果去医院检查需要查哪些，或者吃什么药可以调理下", "role": "patient"}, {"turn": 7, "text": "我吃过金匮肾气丸感觉没效果", "role": "patient"}, {"turn": 8, "text": "勃起不好一般不是器质性的，以心因性的为多见，通常是夫妻感情不好，对伴侣不满意，性生活环境不好，道德文化压力等等。  但也有可能与疾病、服药等有关。可考虑先查性激素、血糖血脂、夜间勃起试验。。  大部分患者在医生的解释和开导下可以缓解，平时要注意锻炼身体，劳逸适当，放松心情。 一般治疗药物有：西地那非（万艾可）、他达那非（希爱力）和伐地那非（爱力达）等性生活前服用临床有效率达到70-80%。最常见的副作用为头痛、潮红、消化不良和鼻塞，均通过一氧化氮-环磷酸鸟酐（NO-cGMP）途径发挥作用, 其禁忌症均为服用长效或短效硝酸脂类药物的患者。下列患者服用这些药物可能有风险：活动性冠心病、先天性心脏病伴心功能不全、低血压、心脏明显扩大、使用复合药物抗高血压、使用延长PDE5半衰期的药物。   也可以考虑使用些中药试试，如蚕蛹补肾胶囊，还少胶囊，伊木萨克片等等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 435, "thread": [{"turn": 0, "text": "好像是牙龈炎 牙齿上面那肉好疼（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好！很高兴为你解答！", "role": "doctor"}, {"turn": 2, "text": "可以发一张清楚照片看一下吗？", "role": "doctor"}, {"turn": 3, "text": "拍不到牙齿里面", "role": "patient"}, {"turn": 4, "text": "我头还疼", "role": "patient"}, {"turn": 5, "text": "太阳穴", "role": "patient"}, {"turn": 6, "text": "牙龈炎会导致嘴唇干吗？", "role": "patient"}, {"turn": 7, "text": "是最后智齿引起的吗？", "role": "doctor"}, {"turn": 8, "text": "好像是", "role": "patient"}, {"turn": 9, "text": "牙龈发炎不会影响嘴唇。", "role": "doctor"}, {"turn": 10, "text": "疼死了", "role": "patient"}, {"turn": 11, "text": "平时有舔唇不良习惯吗？", "role": "doctor"}, {"turn": 12, "text": "我嘴唇还发干", "role": "patient"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "牙龈炎会导致心脏病？我百度的 吓死我了", "role": "patient"}, {"turn": 15, "text": "我有焦虑症", "role": "patient"}, {"turn": 16, "text": "智齿冠周炎建议你用复方氯己定含漱液漱口，口服头孢类抗生素和甲硝唑消炎，布洛芬缓释胶囊止痛。", "role": "doctor"}, {"turn": 17, "text": "嘴唇发干可以局部涂红霉素软膏", "role": "doctor"}, {"turn": 18, "text": "明天去拍个牙齿片子看看", "role": "patient"}, {"turn": 19, "text": "可以。", "role": "doctor"}, {"turn": 20, "text": "智齿建议你消炎后尽早局麻下拔除", "role": "doctor"}, {"turn": 21, "text": "牙龈炎会导致心脏病？我百度的 吓死我了", "role": "patient"}, {"turn": 22, "text": "我有焦虑症", "role": "patient"}, {"turn": 23, "text": "不会引起心脏问题", "role": "doctor"}, {"turn": 24, "text": "头疼", "role": "patient"}, {"turn": 25, "text": "明天去看", "role": "patient"}, {"turn": 26, "text": "祝您早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 436, "thread": [{"turn": 0, "text": "什么是心脏神经官能症？（女，47岁）", "role": "patient"}, {"turn": 1, "text": "神经官能症就是患者有很多心血管疾病相关症状如胸闷、心悸等，但临床上没有找到心血管疾病证据及能影响心血管的其他疾病", "role": "doctor"}, {"turn": 2, "text": "一般应做啥检查后能确诊？", "role": "patient"}, {"turn": 3, "text": "这种病主要是根据症状，排除心血管疾病，没什么能确诊的", "role": "doctor"}, {"turn": 4, "text": "查了心电图正常，还要查心脏彩超及24小时动态心电图吗？", "role": "patient"}, {"turn": 5, "text": "心脏血管CT要查吗？？", "role": "patient"}, {"turn": 6, "text": "临居说应查下，不知他的话对不对？", "role": "patient"}, {"turn": 7, "text": "这个是排外性诊断，如果要排外心血管情况，可完善上面的检查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 437, "thread": [{"turn": 0, "text": "易醒记忆力差是不是神经衰弱（女，20岁）", "role": "patient"}, {"turn": 1, "text": "请问你这种情况持续有多久了？", "role": "doctor"}, {"turn": 2, "text": "有挺久的", "role": "patient"}, {"turn": 3, "text": "植物神经功能紊乱的主要症状有以下几种： 　　1.与精神易兴奋相联系的精神易疲劳表现为联想回忆增多,脑力劳动率下降,体力衰弱,疲劳感等. 　　2.情绪症状表现为烦恼.易激惹.心情紧张等. 　　3.睡眠障碍主要表现为失眠。4.出现紧张性头疼", "role": "doctor"}, {"turn": 4, "text": "上面症状有吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 438, "thread": [{"turn": 0, "text": "垂体瘤手术后第二个礼拜会不会头疼（女，49岁）", "role": "patient"}, {"turn": 1, "text": "你好！是有可能的。。。头痛很厉害吗？", "role": "doctor"}, {"turn": 2, "text": "不怎么厉害就是做手术都两做了还疼", "role": "patient"}, {"turn": 3, "text": "需不需要去医院检查", "role": "patient"}, {"turn": 4, "text": "发热吗？", "role": "doctor"}, {"turn": 5, "text": "你感觉怎么疼？", "role": "doctor"}, {"turn": 6, "text": "涨痛？还是尖锐的痛？", "role": "doctor"}, {"turn": 7, "text": "不发热", "role": "patient"}, {"turn": 8, "text": "这里疼一下那里疼一下", "role": "patient"}, {"turn": 9, "text": "是经鼻子做的？", "role": "doctor"}, {"turn": 10, "text": "鼻子有没有流水？", "role": "doctor"}, {"turn": 11, "text": "是的现在鼻子也通了", "role": "patient"}, {"turn": 12, "text": "没有流了", "role": "patient"}, {"turn": 13, "text": "我觉得问题不大，术后一月之内会有轻微的头痛，建议观察。。。另外，可以和你的主治医生联系，具体的他更明白，听听他的建议", "role": "doctor"}, {"turn": 14, "text": "我们在地方做不了这个手术请专家做的所以没办法联系", "role": "patient"}, {"turn": 15, "text": "你们医院的医生知道啊，问他们就可以", "role": "doctor"}, {"turn": 16, "text": "疼的倒是不怎么了厉害，就是经常疼", "role": "patient"}, {"turn": 17, "text": "所以啊，我觉得问题不大，但是慎重一点问一下你们那边的医生", "role": "doctor"}, {"turn": 18, "text": "好的谢谢你，", "role": "patient"}, {"turn": 19, "text": "不客气！", "role": "doctor"}, {"turn": 20, "text": "没做手术只前医生说锤体瘤不会头疼这话说的实话吗？", "role": "patient"}, {"turn": 21, "text": "头疼怎么看都不好才去做手术的，", "role": "patient"}, {"turn": 22, "text": "垂体瘤本身就可以引起头痛，只是小的时候不明显，越长越大压迫脑膜就容易引起头痛。。他的意思是不是你的肿瘤小，不会引起头痛", "role": "doctor"}, {"turn": 23, "text": "有1.8.1.9", "role": "patient"}, {"turn": 24, "text": "有没有视力不好？", "role": "doctor"}, {"turn": 25, "text": "好像是这个意思，两年前就检查出来了我们这的医生说头疼和这个瘤没关系，今年没办法看了才去做手术的", "role": "patient"}, {"turn": 26, "text": "有时候，有点头晕眼花", "role": "patient"}, {"turn": 27, "text": "有可能两年前并没有压迫脑膜，现在长大了压迫了", "role": "doctor"}, {"turn": 28, "text": "视力好像没影响", "role": "patient"}, {"turn": 29, "text": "现在不要纠结这些事情了，关键头痛还有吗", "role": "doctor"}, {"turn": 30, "text": "谢谢了，我们这里医疗条件不怎么好以后有什么不懂又问你", "role": "patient"}, {"turn": 31, "text": "就是手术做了两周还疼", "role": "patient"}, {"turn": 32, "text": "现在的痛和之前还一样吗", "role": "doctor"}, {"turn": 33, "text": "是的在医院的时候不痛有两天，", "role": "patient"}, {"turn": 34, "text": "过了一个月吧，那时候应该不痛了", "role": "doctor"}, {"turn": 35, "text": "好的谢谢了以后还痛的话又问你", "role": "patient"}, {"turn": 36, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 439, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肾气不足腰酸背疼（男，35岁）", "role": "patient"}, {"turn": 1, "text": "可能与近期工作压力太大，作息时间不规律，劳累紧张有关系", "role": "doctor"}, {"turn": 2, "text": "以前有手淫现在阳痿早泄腰酸背疼", "role": "patient"}, {"turn": 3, "text": "建议逐渐戒除或节制一下手淫，增强体质锻炼，规律作息时间，选择饮食调养。 狗肉、羊肉、核桃等；含锌食物如牡顿、牛肉、鸡肝、蛋、花生 米、猪肉、鸡肉等，含精氨酸食物如山药、银杏、冻豆腐、缮鱼、海参、墨鱼、章鱼等，", "role": "doctor"}, {"turn": 4, "text": "药应该吃哪个", "role": "patient"}, {"turn": 5, "text": "可以口服复方玄驹胶囊调节一段时间", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 440, "thread": [{"turn": 0, "text": "类风湿性关节炎可以治好吗（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个病不能治愈但是可以控制住病情", "role": "doctor"}, {"turn": 2, "text": "那以后有可能治好吗", "role": "patient"}, {"turn": 3, "text": "还在吗", "role": "patient"}, {"turn": 4, "text": "能控制住，使病情稳定", "role": "doctor"}, {"turn": 5, "text": "那个这个病除了用药物控制，还有什么别的缓解方法", "role": "patient"}, {"turn": 6, "text": "比如吃喝上有没有什么忌口", "role": "patient"}, {"turn": 7, "text": "？", "role": "patient"}, {"turn": 8, "text": "吃喝上没有特别要求", "role": "doctor"}, {"turn": 9, "text": "需要长期服药维持治疗", "role": "doctor"}, {"turn": 10, "text": "那这个病以后生孩子会遗传吗", "role": "patient"}, {"turn": 11, "text": "？", "role": "patient"}, {"turn": 12, "text": "不是遗传病", "role": "doctor"}, {"turn": 13, "text": "但是有一定家族聚集性", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 441, "thread": [{"turn": 0, "text": "宫颈糜烂宫颈囊肿膀胱炎该看什么科（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这种情况建议看妇科", "role": "doctor"}, {"turn": 2, "text": "谢谢医生", "role": "patient"}, {"turn": 3, "text": "不客气", "role": "doctor"}, {"turn": 4, "text": "我尿频尿急会得到解决吗", "role": "patient"}, {"turn": 5, "text": "尿频尿急，应该化验晨尿", "role": "doctor"}, {"turn": 6, "text": "查看是不是急性膀胱炎或者泌尿系统感染？", "role": "doctor"}, {"turn": 7, "text": "那是泌尿系感染，又有宫颈糜烂宫颈囊肿该怎么看", "role": "patient"}, {"turn": 8, "text": "一块去妇科也可以的", "role": "doctor"}, {"turn": 9, "text": "哦", "role": "patient"}, {"turn": 10, "text": "好的", "role": "doctor"}, {"turn": 11, "text": "我就烦尿频尿急", "role": "patient"}, {"turn": 12, "text": "可以多喝水，口服诺氟沙星和呋喃坦啶片", "role": "doctor"}, {"turn": 13, "text": "如果有溶血葡萄菌该怎么看", "role": "patient"}, {"turn": 14, "text": "一块去妇科就诊吧！", "role": "doctor"}, {"turn": 15, "text": "好的谢谢医生", "role": "patient"}, {"turn": 16, "text": "好的，不客气", "role": "doctor"}, {"turn": 17, "text": "怎么给你好评", "role": "patient"}, {"turn": 18, "text": "谢谢亲", "role": "doctor"}, {"turn": 19, "text": "我不知道在哪里评", "role": "patient"}, {"turn": 20, "text": "这个我还真不知道", "role": "doctor"}, {"turn": 21, "text": "我找到了", "role": "patient"}, {"turn": 22, "text": "先谢谢，亲", "role": "doctor"}, {"turn": 23, "text": "我要感谢你", "role": "patient"}, {"turn": 24, "text": "哈哈😄，谢谢", "role": "doctor"}, {"turn": 25, "text": "这个病容易治吗", "role": "patient"}, {"turn": 26, "text": "泌尿系感染或者膀胱炎，容易复发", "role": "doctor"}, {"turn": 27, "text": "溶血葡萄菌容易治吗", "role": "patient"}, {"turn": 28, "text": "平时应该多喝水", "role": "doctor"}, {"turn": 29, "text": "可以的，不用紧张的", "role": "doctor"}, {"turn": 30, "text": "就是容易复发", "role": "patient"}, {"turn": 31, "text": "膀胱炎容易复发", "role": "doctor"}, {"turn": 32, "text": "耐药", "role": "patient"}, {"turn": 33, "text": "不一定是耐药的问题，平时注意局部卫生养成，多喝水的好习惯", "role": "doctor"}, {"turn": 34, "text": "你说的药我吃过", "role": "patient"}, {"turn": 35, "text": "很伤胃", "role": "patient"}, {"turn": 36, "text": "可以饭后吃", "role": "doctor"}, {"turn": 37, "text": "减少对胃的刺激", "role": "doctor"}, {"turn": 38, "text": "我上一个厕所洗一次", "role": "patient"}, {"turn": 39, "text": "不用的，你太紧张了", "role": "doctor"}, {"turn": 40, "text": "我胃本身就不好", "role": "patient"}, {"turn": 41, "text": "经常这样清洗，也是容易造成菌群失调的", "role": "doctor"}, {"turn": 42, "text": "药物尽量饭后吃吧！", "role": "doctor"}, {"turn": 43, "text": "是不是这样洗也有问题", "role": "patient"}, {"turn": 44, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 442, "thread": [{"turn": 0, "text": "幽门螺杆菌吃什么药，我青霉素过敏（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，你是幽门螺旋杆菌阳性吗？", "role": "doctor"}, {"turn": 2, "text": "对的", "role": "patient"}, {"turn": 3, "text": "幽门螺旋杆菌的治疗目前临床上应用最多的为四联疗法，即抑制胃酸的药物、铋剂联合两种抗生素进行治疗，其中PPI制剂一般选择奥美拉唑、艾司奥美拉唑、雷贝拉唑等；铋剂选择枸橼酸铋钾；抗生素有阿莫西林、呋喃唑酮、克拉霉素、四环素、甲硝唑和左氧氟沙星等，疗程为10到14天，停药4周以后需再次进行幽门螺旋杆菌的检测，查看治疗情况，必要时结合胃镜检查。", "role": "doctor"}, {"turn": 4, "text": "我青霉素过敏怎么搭配合适？", "role": "patient"}, {"turn": 5, "text": "奥美拉唑，枸橼酸铋钾，克拉霉素，甲硝唑", "role": "doctor"}, {"turn": 6, "text": "四联疗法", "role": "doctor"}, {"turn": 7, "text": "用法用量？", "role": "patient"}, {"turn": 8, "text": "具体要看药物的剂型，不同厂家的药物用法不同，根据买的药物的说明书服用就行", "role": "doctor"}, {"turn": 9, "text": "把甲硝唑换成左氧佛沙星行不？", "role": "patient"}, {"turn": 10, "text": "也可以", "role": "doctor"}, {"turn": 11, "text": "那我要买的药是？各买一盒吗？", "role": "patient"}, {"turn": 12, "text": "奥美拉唑，枸橼酸铋钾，克拉霉素，左氧氟沙星", "role": "doctor"}, {"turn": 13, "text": "需要服用半个月", "role": "doctor"}, {"turn": 14, "text": "然后一个月后复查", "role": "doctor"}, {"turn": 15, "text": "如果仍为阳性，再服用半个月", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "谢了", "role": "patient"}, {"turn": 18, "text": "后面再联系", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}, {"turn": 20, "text": "祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 443, "thread": [{"turn": 0, "text": "咨询乳头内陷手术事项（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问发现多久了啊？", "role": "doctor"}, {"turn": 2, "text": "成年之后就一直这样了", "role": "patient"}, {"turn": 3, "text": "我这边是已经准备去做手术了，但是前期不知道要注意什么", "role": "patient"}, {"turn": 4, "text": "而且有点担心姨妈会赶上，所以想说姨妈在会影响吗？", "role": "patient"}, {"turn": 5, "text": "方便拍照给我看看吗？", "role": "doctor"}, {"turn": 6, "text": "做这个手术最好还是要避开月经期", "role": "doctor"}, {"turn": 7, "text": "那如果吃避孕药推迟这样子可以吗？", "role": "patient"}, {"turn": 8, "text": "避孕药不能乱吃的", "role": "doctor"}, {"turn": 9, "text": "主要已经预约了看诊，想看了就直接做了", "role": "patient"}, {"turn": 10, "text": "他干扰体内激素水平", "role": "doctor"}, {"turn": 11, "text": "容易引起乳腺癌", "role": "doctor"}, {"turn": 12, "text": "那经期过后几天能做这个手术", "role": "patient"}, {"turn": 13, "text": "你方便拍照给我看看吗？", "role": "doctor"}, {"turn": 14, "text": "手术过后大概几天可以做手术？  还有想咨询一下腋臭手术和乳头内陷手术能同时间做吗？", "role": "patient"}, {"turn": 15, "text": "你好", "role": "patient"}, {"turn": 16, "text": "可以同时做", "role": "doctor"}, {"turn": 17, "text": "但是乳头内陷做完以后需要把乳头后所有乳管都切断", "role": "doctor"}, {"turn": 18, "text": "以后就不能哺乳了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 444, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：妇科，早孕。（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好。", "role": "doctor"}, {"turn": 2, "text": "你好，上个月月经11.25来 11.28结束  12.6同房，男方射入，吃了避孕药 12.7-12.9均有同房，但都是才开始10-15秒进去，之后戴套了，我从昨天开始乳房有点疼，想咨询一下是否有怀孕的可能。", "role": "patient"}, {"turn": 3, "text": "我之前每次月经前也会有乳房疼的情况，但这次有些不确定。", "role": "patient"}, {"turn": 4, "text": "只能是等等看目前，有同房就可能怀孕的，也是危险期同房的，不过距离同房时间还比较短，目前不能知道是否怀孕", "role": "doctor"}, {"turn": 5, "text": "那么不确定吗", "role": "patient"}, {"turn": 6, "text": "按理来说即使怀孕，症状也不会那么早的对吧", "role": "patient"}, {"turn": 7, "text": "一般怀孕40多天了才会出现早孕症状的", "role": "doctor"}, {"turn": 8, "text": "因为我月经一直不稳定 很容易提前或者推后，再加上我吃过避孕药，可能会影响月经，我感觉有可能是月经有点提前，所以经前反应比较明显", "role": "patient"}, {"turn": 9, "text": "嗯，别着急，如果说你月经提前，没怀孕的话，也快来月经了，再等等看吧^_^", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 445, "thread": [{"turn": 0, "text": "请问下急性支气管炎吃什么药好（女，57岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "急性支气管炎，随时会发，只要发病就很累喘不过气来一样", "role": "patient"}, {"turn": 3, "text": "这怎么就是急性支气管炎了", "role": "doctor"}, {"turn": 4, "text": "你描述的症状是哮喘发作吧", "role": "doctor"}, {"turn": 5, "text": "感觉喉咙里还有谈咳不出", "role": "patient"}, {"turn": 6, "text": "我也不知道，只是去县医院看医生就说是急性支气管炎", "role": "patient"}, {"turn": 7, "text": "你所说的情况是多久发病一次呢？", "role": "doctor"}, {"turn": 8, "text": "没准确时间，有时候一年一次，有时候两三次都有，", "role": "patient"}, {"turn": 9, "text": "你去医院做检查了没有", "role": "doctor"}, {"turn": 10, "text": "就这个月都发过一次", "role": "patient"}, {"turn": 11, "text": "你直说随时发作，什么症状", "role": "doctor"}, {"turn": 12, "text": "咳嗽？", "role": "doctor"}, {"turn": 13, "text": "咳嗽两声就开始了", "role": "patient"}, {"turn": 14, "text": "有没有痰？", "role": "doctor"}, {"turn": 15, "text": "有，有时候还是有谈咳不出那种，呼吸还有声音，还很累", "role": "patient"}, {"turn": 16, "text": "在医院做过什么检查？", "role": "doctor"}, {"turn": 17, "text": "今年还没去检查过，每次去医生都说是急性支气管炎", "role": "patient"}, {"turn": 18, "text": "都说？都不做检查？", "role": "doctor"}, {"turn": 19, "text": "每次都是输液吃药几天就好了", "role": "patient"}, {"turn": 20, "text": "你是在诊所看的病？", "role": "doctor"}, {"turn": 21, "text": "对", "role": "patient"}, {"turn": 22, "text": "你应该去做检查", "role": "doctor"}, {"turn": 23, "text": "需要检查些什么呢", "role": "patient"}, {"turn": 24, "text": "抽血常规，做肺功能和激发试验", "role": "doctor"}, {"turn": 25, "text": "如果是哮喘吃什么药好呢", "role": "patient"}, {"turn": 26, "text": "前面两项应该还可以做，后面那个我们这里医院不知道能不能做呢", "role": "patient"}, {"turn": 27, "text": "肺功能包含激发试验", "role": "doctor"}, {"turn": 28, "text": "里面一般有这个检查", "role": "doctor"}, {"turn": 29, "text": "哦", "role": "patient"}, {"turn": 30, "text": "嗯，如果是哮喘用上舒利迭", "role": "doctor"}, {"turn": 31, "text": "好的，谢谢", "role": "patient"}, {"turn": 32, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 446, "thread": [{"turn": 0, "text": "怀孕35天能确定是否宫外孕吗（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好  确定宫外孕需要结合彩超和血hcg来确定的", "role": "doctor"}, {"turn": 2, "text": "彩超附件上可以看到包块", "role": "doctor"}, {"turn": 3, "text": "彩超没有在宫内发现孕囊，hcg值3000多", "role": "patient"}, {"turn": 4, "text": "附件上有包块", "role": "patient"}, {"turn": 5, "text": "多大的包块？", "role": "doctor"}, {"turn": 6, "text": "是阴式彩超查出来的", "role": "patient"}, {"turn": 7, "text": "忘了", "role": "patient"}, {"turn": 8, "text": "考虑还是宫外孕", "role": "doctor"}, {"turn": 9, "text": "现在用药了么？", "role": "doctor"}, {"turn": 10, "text": "有没有流血？", "role": "doctor"}, {"turn": 11, "text": "用米非司酮两次", "role": "patient"}, {"turn": 12, "text": "刚有流血迹象", "role": "patient"}, {"turn": 13, "text": "怀孕时间这么短，hcg那么高，难道不是孕囊太小宫内不容易发现吗", "role": "patient"}, {"turn": 14, "text": "也不除外宫内和宫外一起的", "role": "doctor"}, {"turn": 15, "text": "也有  但是很少", "role": "doctor"}, {"turn": 16, "text": "如果附件有包快还是考虑宫外孕可能性大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 447, "thread": [{"turn": 0, "text": "浅表性胃炎咋治***（男，44岁）", "role": "patient"}, {"turn": 1, "text": "您好，有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "胃疼，胀气，打嗝，肚子疼", "role": "patient"}, {"turn": 3, "text": "医院检查是浅表性胃炎，但用药后效果不好，一直犯病", "role": "patient"}, {"turn": 4, "text": "用过什么药呢？", "role": "doctor"}, {"turn": 5, "text": "查没查过幽门螺杆菌？", "role": "doctor"}, {"turn": 6, "text": "保和丸，奥秘拉多", "role": "patient"}, {"turn": 7, "text": "没查过幽门螺杆菌", "role": "patient"}, {"turn": 8, "text": "奥美拉唑正常吃，把莫沙必利加上，饭前吃", "role": "doctor"}, {"turn": 9, "text": "查一下幽门螺杆菌", "role": "doctor"}, {"turn": 10, "text": "吹气实验就可以", "role": "doctor"}, {"turn": 11, "text": "最近一段时间在内蒙古工地，在草原上，就医不方便，想问问吃什么药能抑制一下", "role": "patient"}, {"turn": 12, "text": "能止痛且病情不加重就行，熬过半月就可以城里就医", "role": "patient"}, {"turn": 13, "text": "奥美拉唑，莫沙必利", "role": "doctor"}, {"turn": 14, "text": "前者止疼", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 448, "thread": [{"turn": 0, "text": "请问医生，滑膜炎可以用艾灸进行治疗吗？（女，30）", "role": "patient"}, {"turn": 1, "text": "您好，请问您是哪个部位的滑膜炎", "role": "doctor"}, {"turn": 2, "text": "膝关节", "role": "patient"}, {"turn": 3, "text": "这是可以治疗的，但不能说可以治愈的，", "role": "doctor"}, {"turn": 4, "text": "那请问一下如何治愈？", "role": "patient"}, {"turn": 5, "text": "滑膜主要是关节囊内面，所以注意保暖，休息，缓解积液形成，理疗，抽液，艾灸，药物治疗等综合治疗，", "role": "doctor"}, {"turn": 6, "text": "药物是指哪些呢？", "role": "patient"}, {"turn": 7, "text": "如滑膜炎颗粒，通痹胶囊之类的，再就是最好住院治疗，如膝关节盥洗", "role": "doctor"}, {"turn": 8, "text": "要住院这么严重吗？", "role": "patient"}, {"turn": 9, "text": "不是的，主要是系统治疗好一些，滑膜炎容易复发，肿胀的，", "role": "doctor"}, {"turn": 10, "text": "明白，谢谢您！", "role": "patient"}, {"turn": 11, "text": "不客气的", "role": "doctor"}, {"turn": 12, "text": "医生，想再问一下，膝关节炎可以走路吗？", "role": "patient"}, {"turn": 13, "text": "减少活动", "role": "doctor"}, {"turn": 14, "text": "需要卧床休息吗？", "role": "patient"}, {"turn": 15, "text": "主要是减轻患侧关节挤压，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 449, "thread": [{"turn": 0, "text": "总担心自己会心梗，心梗有什么症状（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好你好，请问现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "胸口疼感觉是骨头疼", "role": "patient"}, {"turn": 3, "text": "月经正常吗？", "role": "doctor"}, {"turn": 4, "text": "是你本人吗，女，20岁？", "role": "doctor"}, {"turn": 5, "text": "对的", "role": "patient"}, {"turn": 6, "text": "正常", "role": "patient"}, {"turn": 7, "text": "我胸骨按着疼，网上说是白血病", "role": "patient"}, {"turn": 8, "text": "一般不会的心梗", "role": "doctor"}, {"turn": 9, "text": "白血病要查血", "role": "doctor"}, {"turn": 10, "text": "其实最大可能是无菌性肋软骨炎", "role": "doctor"}, {"turn": 11, "text": "所以胸骨按着疼不是白血病", "role": "patient"}, {"turn": 12, "text": "查个血看看", "role": "doctor"}, {"turn": 13, "text": "我感觉我胸前的骨头按着都疼", "role": "patient"}, {"turn": 14, "text": "我可以不查血吗？", "role": "patient"}, {"turn": 15, "text": "不查血不好判断", "role": "doctor"}, {"turn": 16, "text": "无菌肋骨炎是什么？", "role": "patient"}, {"turn": 17, "text": "是自限性疾病，即可以自然愈合，一般不需要处理，只有疼痛影响生活或休息时会对症止痛处理，\n当然诊断这个病需要排除其他器质性病变", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 450, "thread": [{"turn": 0, "text": "牙周炎晚上疼痛难忍怎么办（女，54岁）", "role": "patient"}, {"turn": 1, "text": "你的这种情况多长时间？", "role": "doctor"}, {"turn": 2, "text": "怎么个疼法", "role": "doctor"}, {"turn": 3, "text": "一个星期，晚上突然痛，就没办法睡觉。阵痛", "role": "patient"}, {"turn": 4, "text": "平均一天要阵痛3-4次，", "role": "patient"}, {"turn": 5, "text": "目前晚上在吃阿莫西林和和奥可安。但是只能缓解半个小时到一个小时", "role": "patient"}, {"turn": 6, "text": "短时间内有缓解后又持续疼痛。白天吃药缓解控制的时间有3-4小时", "role": "patient"}, {"turn": 7, "text": "吃点头孢跟甲硝唑吧", "role": "doctor"}, {"turn": 8, "text": "您这个需要去医院治疗牙齿", "role": "doctor"}, {"turn": 9, "text": "光吃药效果不好", "role": "doctor"}, {"turn": 10, "text": "今晚七点吃药后一个小时又有疼痛，然后九点又吃药。目前疼痛无法睡觉。是突然疼痛很严重疼哭的那种", "role": "patient"}, {"turn": 11, "text": "那就吃点止疼药", "role": "doctor"}, {"turn": 12, "text": "我知道这个疼起来是很疼的", "role": "doctor"}, {"turn": 13, "text": "三到五天左右就不会这么疼了", "role": "doctor"}, {"turn": 14, "text": "患者是我妈，54岁。前两天去看了说是牙周炎，牙齿两颗有松动。但是说只有痛的严重的时候只能拔牙。其他的只能吃药控制。", "role": "patient"}, {"turn": 15, "text": "确定是说的牙周炎嘛", "role": "doctor"}, {"turn": 16, "text": "牙周炎一般不会这么疼的", "role": "doctor"}, {"turn": 17, "text": "因为有牙疼一周，前三天疼痛没有这么频繁和严重，昨天和今天严重多了", "role": "patient"}, {"turn": 18, "text": "您这个症状也有牙髓炎的表现", "role": "doctor"}, {"turn": 19, "text": "牙医用镊子检查了牙齿，说是牙龈萎缩，两颗牙齿有松动，是牙周炎", "role": "patient"}, {"turn": 20, "text": "那不能拔牙就吃我刚刚跟您说的两种药吧", "role": "doctor"}, {"turn": 21, "text": "没有好的办法", "role": "doctor"}, {"turn": 22, "text": "主要是今晚已经吃药两次了，目前疼痛难忍，这会儿药店关门了。我在家里能有什么方法可以缓解吗？", "role": "patient"}, {"turn": 23, "text": "我这没有什么办法呀", "role": "doctor"}, {"turn": 24, "text": "因为之前是在牙医诊所看的得出的结论。我不是能完全相信，你觉得还有牙髓炎的可能性吗", "role": "patient"}, {"turn": 25, "text": "按照你说的用药，这类疼痛是突然性的，后期有疼痛都要吃药吗？", "role": "patient"}, {"turn": 26, "text": "？", "role": "patient"}, {"turn": 27, "text": "还在吗", "role": "patient"}, {"turn": 28, "text": "你好，大姨不是晚上比白天疼的厉害吗", "role": "doctor"}, {"turn": 29, "text": "但是牙髓炎一般也就这么疼个三天左右", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 451, "thread": [{"turn": 0, "text": "慢性阻塞性肺炎，疑似肺结核（男，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "CT检查下报告发下看看吧", "role": "doctor"}, {"turn": 3, "text": "好的", "role": "patient"}, {"turn": 4, "text": "好的", "role": "doctor"}, {"turn": 5, "text": "1.双肺上计继发型结核可能，较前来见明显变化，建议结合实验室检查，2，从隔内多发肿大淋巴结，部分钙化", "role": "patient"}, {"turn": 6, "text": "CT结果", "role": "patient"}, {"turn": 7, "text": "双肺上叶", "role": "patient"}, {"turn": 8, "text": "嗯，根据报告，考虑结核", "role": "doctor"}, {"turn": 9, "text": "血液检查过吗", "role": "doctor"}, {"turn": 10, "text": "检查过", "role": "patient"}, {"turn": 11, "text": "结核抗体    ppd实验   痰检涂片", "role": "doctor"}, {"turn": 12, "text": "结果怎么样", "role": "doctor"}, {"turn": 13, "text": "全部阴性", "role": "patient"}, {"turn": 14, "text": "那就先抗生素治疗，一周后再复查胸部CT", "role": "doctor"}, {"turn": 15, "text": "抗生素是指", "role": "patient"}, {"turn": 16, "text": "青霉素   头孢类  左氧氟沙星  这些，通俗的说法是消炎药", "role": "doctor"}, {"turn": 17, "text": "那就给我开点药", "role": "patient"}, {"turn": 18, "text": "你好，网上只能咨询，不能开药啊", "role": "doctor"}, {"turn": 19, "text": "好吧", "role": "patient"}, {"turn": 20, "text": "还有什么好的建议，还是再次做肺结核检查", "role": "patient"}, {"turn": 21, "text": "一般都是这些检查", "role": "doctor"}, {"turn": 22, "text": "如果都正常，先抗生素治疗吧。再复查CT", "role": "doctor"}, {"turn": 23, "text": "好，谢谢", "role": "patient"}, {"turn": 24, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 452, "thread": [{"turn": 0, "text": "头痛头昏 有颈椎病 是什么原因啊（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，欢迎来到春雨。", "role": "doctor"}, {"turn": 2, "text": "您的症状有多久了？", "role": "doctor"}, {"turn": 3, "text": "头痛部位固定吗？", "role": "doctor"}, {"turn": 4, "text": "是否伴有视物旋转？耳鸣？听力变化？", "role": "doctor"}, {"turn": 5, "text": "右半脑 手脚有时发麻", "role": "patient"}, {"turn": 6, "text": "多长时间了？做过什么检查？", "role": "doctor"}, {"turn": 7, "text": "听力还好 有时候感觉像要晕倒一样 有点鼻塞 4天左右 没做检查", "role": "patient"}, {"turn": 8, "text": "从你描述的症状来看，首先考虑受凉感冒可能性较大。", "role": "doctor"}, {"turn": 9, "text": "跟颈椎病没有直接关系。", "role": "doctor"}, {"turn": 10, "text": "另外，常常跟精神紧张，压力较大，作息时间不规律，休息不好等精神心理因素，也可能有关。", "role": "doctor"}, {"turn": 11, "text": "建议您积极抗感冒治疗，多饮水，注意休息，保证睡眠质量，看症状缓解情况。", "role": "doctor"}, {"turn": 12, "text": "如果效果不明显，建议完善头颅ct检查，明确颅内结构是否正常。完善精神心理量表测查，客观评估有无紧张焦虑状态。", "role": "doctor"}, {"turn": 13, "text": "哦哦 鼻子不留鼻涕就像气体堵塞一样 还有点刺激", "role": "patient"}, {"turn": 14, "text": "鼻塞常常也是感冒的一个表现。", "role": "doctor"}, {"turn": 15, "text": "先对症服用感冒药物，注意症状缓解情况。如果效果不好，完善上面我说的检查，请认真阅读上面的每一条建议。", "role": "doctor"}, {"turn": 16, "text": "经常出汗", "role": "patient"}, {"turn": 17, "text": "好的医生", "role": "patient"}, {"turn": 18, "text": "祝你身体健康！", "role": "doctor"}, {"turn": 19, "text": "有什么问题欢迎继续提问，我再为您予以相应解答。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 453, "thread": [{"turn": 0, "text": "新生儿黄疸高达15，用停母乳吗（女，0个月）", "role": "patient"}, {"turn": 1, "text": "你好，实际上是不建议停母乳的", "role": "doctor"}, {"turn": 2, "text": "那接下来咋办", "role": "patient"}, {"turn": 3, "text": "但是你可以试一试，停母乳三天，看看黄疸会不会有明显的减轻？如果停母乳三天后黄疸明显的减轻，说明是母乳性的黄疸，可能性大", "role": "doctor"}, {"turn": 4, "text": "如果停三天后没有明显减轻，可以给孩子选择蓝光照射，退黄治疗，或者是口服退黄药物治疗", "role": "doctor"}, {"turn": 5, "text": "嗯嗯  谢谢", "role": "patient"}, {"turn": 6, "text": "退黄药物选茵栀黄口服液", "role": "doctor"}, {"turn": 7, "text": "嗯嗯  好的", "role": "patient"}, {"turn": 8, "text": "一次五毫升，一天三次", "role": "doctor"}, {"turn": 9, "text": "嗯嗯 知道啦", "role": "patient"}, {"turn": 10, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 454, "thread": [{"turn": 0, "text": "过敏性鼻炎并发咳嗽。（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好。这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "吃过药吗", "role": "doctor"}, {"turn": 3, "text": "你好，之前是过敏性鼻炎，一直吃的息斯敏，有一周了。然后今晚开始咳嗽。", "role": "patient"}, {"turn": 4, "text": "一直用生理盐水洗鼻子。", "role": "patient"}, {"turn": 5, "text": "哦哦。可以口服孟鲁司特钠片 1片 每晚一次", "role": "doctor"}, {"turn": 6, "text": "这个是治疗咳嗽的吗？", "role": "patient"}, {"turn": 7, "text": "肺力咳胶囊 一次三粒 一日三次", "role": "doctor"}, {"turn": 8, "text": "服用这个药期间还用服用息斯敏吗？", "role": "patient"}, {"turn": 9, "text": "这两个药物。治疗这种过敏性因素所致刺激性咳嗽", "role": "doctor"}, {"turn": 10, "text": "可以同时服用", "role": "doctor"}, {"turn": 11, "text": "奥。", "role": "patient"}, {"turn": 12, "text": "嗯嗯", "role": "doctor"}, {"turn": 13, "text": "那个辅舒良的喷剂可以同用吗？", "role": "patient"}, {"turn": 14, "text": "鼻炎不要紧的话，可以先不用", "role": "doctor"}, {"turn": 15, "text": "奥。这个咳嗽是过敏性鼻炎引起的吗？", "role": "patient"}, {"turn": 16, "text": "鼻炎，有时候合并咽炎。气道反应增强有关", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢您。", "role": "patient"}, {"turn": 18, "text": "嗯嗯。不客气", "role": "doctor"}, {"turn": 19, "text": "你好，我再咨询一下，鼻炎导致的嗓子干痒，耳朵痒，这个要吃什么药吗？", "role": "patient"}, {"turn": 20, "text": "抗过敏药物，比如地氯雷他定", "role": "doctor"}, {"turn": 21, "text": "然后可以用孟鲁司特钠片每晚一片", "role": "doctor"}, {"turn": 22, "text": "奥。", "role": "patient"}, {"turn": 23, "text": "嗯嗯", "role": "doctor"}, {"turn": 24, "text": "先吃点孟鲁司特钠片吧", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢", "role": "patient"}, {"turn": 26, "text": "嗯嗯。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 455, "thread": [{"turn": 0, "text": "尖锐湿疣会引起尿路感染么（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "你说的这个是不会的", "role": "doctor"}, {"turn": 3, "text": "两种病", "role": "doctor"}, {"turn": 4, "text": "医生你好，我想咨询一下我男朋友尿路感染  我有尖锐湿疣  我想问下这个尖锐湿疣是不是引起他这个尿路感染的原因", "role": "patient"}, {"turn": 5, "text": "没有关系的", "role": "doctor"}, {"turn": 6, "text": "呢么，这个会感染么", "role": "patient"}, {"turn": 7, "text": "我需不需要做个尿检", "role": "patient"}, {"turn": 8, "text": "一般的尿路感染不传染", "role": "doctor"}, {"turn": 9, "text": "你有症状的话可以做个尿液化验", "role": "doctor"}, {"turn": 10, "text": "谢谢医生", "role": "patient"}, {"turn": 11, "text": "不客气，祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 456, "thread": [{"turn": 0, "text": "小女孩的滴虫阴道炎怎么治疗（女，8岁）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "3年了", "role": "patient"}, {"turn": 3, "text": "总是反复发作", "role": "patient"}, {"turn": 4, "text": "一直是滴虫性阴道炎？", "role": "doctor"}, {"turn": 5, "text": "上次检查分泌物就说滴虫", "role": "patient"}, {"turn": 6, "text": "怎么治疗的呢", "role": "doctor"}, {"turn": 7, "text": "现在的症状就是 流分泌物。有点发绿色", "role": "patient"}, {"turn": 8, "text": "每天晚上给她洗。加上吃了一段时间的甲硝唑", "role": "patient"}, {"turn": 9, "text": "这两天分泌物增多了。下身不红。不痒痒。就是流东西", "role": "patient"}, {"turn": 10, "text": "是怎么洗的", "role": "doctor"}, {"turn": 11, "text": "就用温水给她清洗", "role": "patient"}, {"turn": 12, "text": "吃了多久", "role": "doctor"}, {"turn": 13, "text": "这跟体重有关系吗。我姑娘就是太胖了。8岁100斤", "role": "patient"}, {"turn": 14, "text": "吃了两盒 应该是两个一个疗程", "role": "patient"}, {"turn": 15, "text": "不敢吃太多。", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}, {"turn": 17, "text": "我姑娘宫寒很严重", "role": "patient"}, {"turn": 18, "text": "这样子抵抗力可能会比较差", "role": "doctor"}, {"turn": 19, "text": "容易感染", "role": "doctor"}, {"turn": 20, "text": "吃点什么药能彻底治好呢？", "role": "patient"}, {"turn": 21, "text": "就是。我感觉。他吃一口凉的东西就明显。所以平时不让她吃凉的", "role": "patient"}, {"turn": 22, "text": "求大夫告诉我怎么治疗", "role": "patient"}, {"turn": 23, "text": "用温开水洗外阴", "role": "doctor"}, {"turn": 24, "text": "口服甲硝唑片", "role": "doctor"}, {"turn": 25, "text": "妇炎康片", "role": "doctor"}, {"turn": 26, "text": "按照小孩子的用量", "role": "doctor"}, {"turn": 27, "text": "按照体重计算", "role": "doctor"}, {"turn": 28, "text": "用量", "role": "doctor"}, {"turn": 29, "text": "期间要注意不吃辛辣刺激性的食物，一定要多喝水，平常要注意锻炼，增强体质。不适随诊。", "role": "doctor"}, {"turn": 30, "text": "好的。甲硝唑吃多了好吗？", "role": "patient"}, {"turn": 31, "text": "嗯，一个月里面用一周左右。", "role": "doctor"}, {"turn": 32, "text": "下个月可以继续这样子用。", "role": "doctor"}, {"turn": 33, "text": "症状消失之后再巩固一个疗程。", "role": "doctor"}, {"turn": 34, "text": "也是一周", "role": "doctor"}, {"turn": 35, "text": "好的。这两种药一起吃吗？", "role": "patient"}, {"turn": 36, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 457, "thread": [{"turn": 0, "text": "肩膀摔骨折 还有严重的风湿病（女，64岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴接受您的咨询，请把x线片传上来，我看一下。", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "病人是我奶奶 她在老家", "role": "patient"}, {"turn": 4, "text": "有几十年的风湿", "role": "patient"}, {"turn": 5, "text": "是锁骨骨折吗？还是肱骨？", "role": "doctor"}, {"turn": 6, "text": "锁骨", "role": "patient"}, {"turn": 7, "text": "锁骨骨折的治疗有两种方法，一个是外固定在一个就是手术，现在天气比较炎热，外固定比较痛苦。如果身体状况允许！建议手术治疗。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 458, "thread": [{"turn": 0, "text": "肺腺癌化疗的前一天晚上可以吃伟哥吗（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，不要吃这个，吃这个做什么", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "我明天就要化疗了今晚上吃伟哥可以吗", "role": "patient"}, {"turn": 5, "text": "今晚上吃伟哥对化疗有冲突吗", "role": "patient"}, {"turn": 6, "text": "不行的", "role": "doctor"}, {"turn": 7, "text": "有冲突", "role": "doctor"}, {"turn": 8, "text": "射精太快了不尽兴怎么办啊", "role": "patient"}, {"turn": 9, "text": "化疗前一天就不要性生活了", "role": "doctor"}, {"turn": 10, "text": "我的精神很好很想吃伟哥玩的尽兴点", "role": "patient"}, {"turn": 11, "text": "好久没有性生活了我精神很好很想性生活", "role": "patient"}, {"turn": 12, "text": "自己要对自己的身体负责", "role": "doctor"}, {"turn": 13, "text": "不吃伟哥可以性生活吗", "role": "patient"}, {"turn": 14, "text": "可以", "role": "doctor"}, {"turn": 15, "text": "我现在精神很好感觉自己和好人一样", "role": "patient"}, {"turn": 16, "text": "就想吃伟哥玩的尽兴点少吃点可以吗", "role": "patient"}, {"turn": 17, "text": "可以吗医生", "role": "patient"}, {"turn": 18, "text": "对明天化疗会有影响，慎用", "role": "doctor"}, {"turn": 19, "text": "有什么没有影响的药吗", "role": "patient"}, {"turn": 20, "text": "没有", "role": "doctor"}, {"turn": 21, "text": "好的谢谢", "role": "patient"}, {"turn": 22, "text": "嗯嗯，不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 459, "thread": [{"turn": 0, "text": "气胸好了后偶尔感觉胸口疼（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问觉得闷得慌吗？", "role": "doctor"}, {"turn": 2, "text": "不要紧，就那么一小阵", "role": "patient"}, {"turn": 3, "text": "气胸多久了？", "role": "doctor"}, {"turn": 4, "text": "手术了吗", "role": "doctor"}, {"turn": 5, "text": "儿子2014年做过气胸手术，上一个月又是气胸，没做手术，保守治疗小十天出院了，他说偶尔感觉胸口疼", "role": "patient"}, {"turn": 6, "text": "左肺，右肺也有肺大泡，没有破", "role": "patient"}, {"turn": 7, "text": "不觉得闷得慌就观察吧，没有好办法", "role": "doctor"}, {"turn": 8, "text": "如果闷得慌再去拍胸片，复发的话估计还得手术", "role": "doctor"}, {"turn": 9, "text": "哦", "role": "patient"}, {"turn": 10, "text": "开些中药吃行不？", "role": "patient"}, {"turn": 11, "text": "没用", "role": "doctor"}, {"turn": 12, "text": "这个知道，当时就是先保守治疗，实在不行做手术", "role": "patient"}, {"turn": 13, "text": "哦，谢谢医生", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 460, "thread": [{"turn": 0, "text": "腰椎间盘突出用曲度好还是用铁腰板好（男，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "腰酸左大腿酸", "role": "patient"}, {"turn": 3, "text": "三个月前做过微创", "role": "patient"}, {"turn": 4, "text": "这种情况建议尽量不要久坐以及弯腰等，少穿有跟的鞋子，不要睡太软的床，可以到医院进行牵引，按摩等理疗，可以口服腰痛宁胶囊，外敷扶他林软膏进行治疗", "role": "doctor"}, {"turn": 5, "text": "工作要弯腰负重", "role": "patient"}, {"turn": 6, "text": "这种情况最好还是尽量避免", "role": "doctor"}, {"turn": 7, "text": "否则有复发的可能", "role": "doctor"}, {"turn": 8, "text": "那个仪器有用吗？l", "role": "patient"}, {"turn": 9, "text": "可以辅助治疗", "role": "doctor"}, {"turn": 10, "text": "但是主要还是要靠改变平时习惯", "role": "doctor"}, {"turn": 11, "text": "这个病根治不了吗", "role": "patient"}, {"turn": 12, "text": "理论上是可以临床治愈的", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "网上有卖腰椎牵引器效果好吗？", "role": "patient"}, {"turn": 16, "text": "可以辅助治疗，缓解症状", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 461, "thread": [{"turn": 0, "text": "脑积水腹腔分流术后脑勺一直痛（女，48岁）", "role": "patient"}, {"turn": 1, "text": "你好，手术有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半年了", "role": "patient"}, {"turn": 3, "text": "除了现在除了后脑勺有头痛之外还有什么症状吗？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "如果疼痛的不是很厉害，也没有其他症状，可以先观察，适当的吃些止疼药物。", "role": "doctor"}, {"turn": 6, "text": "最近又复查了吗", "role": "doctor"}, {"turn": 7, "text": "时刻疼，复查C丅没问题", "role": "patient"}, {"turn": 8, "text": "吃过卡马西平和黛立新无效果", "role": "patient"}, {"turn": 9, "text": "如果复查ct没问题，单纯只有疼痛的话，也没有太好的办法。一般只有药物对症止痛治疗。我们也有这样的病人，单纯疼痛", "role": "doctor"}, {"turn": 10, "text": "吃药也只能缓解一时，关键现在搞不懂接下来看哪个科，有人说看疼痛科，有的说看神经内科，有的说看中医针炙。", "role": "patient"}, {"turn": 11, "text": "单纯只有头痛，没有头晕的情况吧", "role": "doctor"}, {"turn": 12, "text": "沒有", "role": "patient"}, {"turn": 13, "text": "手术切口在额顶部还是后脑勺的部位？", "role": "doctor"}, {"turn": 14, "text": "后脑勺", "role": "patient"}, {"turn": 15, "text": "因为人的后脑勺也就是枕部，皮下有枕大神经。不排除枕大神经受损引起的疼痛，也就是神经痛。可以吃些营养神经的药物。或者到疼痛科去看一下，看他们有什么要更好的止疼方法。", "role": "doctor"}, {"turn": 16, "text": "谢谢您耐心的答复，知道了！", "role": "patient"}, {"turn": 17, "text": "不客气，祝早日恢复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 462, "thread": [{"turn": 0, "text": "宫颈癌2B转移后是化疗没有效果吗？（女，40岁）", "role": "patient"}, {"turn": 1, "text": "你好。之前手术切除化疗结束多长时间", "role": "doctor"}, {"turn": 2, "text": "没有手术", "role": "patient"}, {"turn": 3, "text": "不到一年", "role": "patient"}, {"turn": 4, "text": "直接放化疗治疗的吗", "role": "doctor"}, {"turn": 5, "text": "现在转移到哪些部位？", "role": "doctor"}, {"turn": 6, "text": "卵巢", "role": "patient"}, {"turn": 7, "text": "对", "role": "patient"}, {"turn": 8, "text": "单纯转移到卵巢建议能手术还是手术切除", "role": "doctor"}, {"turn": 9, "text": "我就想问一下只要转移了就不会好了是吗？", "role": "patient"}, {"turn": 10, "text": "一般转移算是晚期", "role": "doctor"}, {"turn": 11, "text": "哦，好的明白了谢谢了", "role": "patient"}, {"turn": 12, "text": "局部晚期经过积极治疗也是有治愈几率 虽然几率小一些", "role": "doctor"}, {"turn": 13, "text": "我是帮朋友问的，我的两个病友都转移了", "role": "patient"}, {"turn": 14, "text": "哦哦", "role": "doctor"}, {"turn": 15, "text": "大部分转移的治疗都是为了延长生命", "role": "doctor"}, {"turn": 16, "text": "有极少一部分人可能会长期生存 几率很小", "role": "doctor"}, {"turn": 17, "text": "就是早晚的事儿呗", "role": "patient"}, {"turn": 18, "text": "哦知道了谢谢", "role": "patient"}, {"turn": 19, "text": "嗯嗯不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 463, "thread": [{"turn": 0, "text": "哺乳期乳腺炎37度6可以喂奶吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "为了孩子的健康,建议用药2—3后天再继续母乳喂养，建议38.5°C以上先暂停哺乳,但需要自己手法排奶,不能让乳汁继续淤积在乳房,那样会加重乳腺炎，如果您用了抗生素,孩子喝了没有类似过敏的表现,您就可以接着喂，但是原则上就是体温在38.5°C以上,短时间内不要喂了，比如说身上起红疹，乳腺炎的治疗原则就是在药物抗炎退热的基础上，要保持乳汁的通畅。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 464, "thread": [{"turn": 0, "text": "怀孕2个月早孕反应消失正常吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，做彩超检查了？", "role": "doctor"}, {"turn": 2, "text": "B超检查正常，早孕反应消失是正常。", "role": "doctor"}, {"turn": 3, "text": "我6周的时候做了彩超胎心胎芽都有了", "role": "patient"}, {"turn": 4, "text": "我这情况会不会是胎停育", "role": "patient"}, {"turn": 5, "text": "末次月经什么时候的呢？目前没有不舒服吧", "role": "doctor"}, {"turn": 6, "text": "第一次怀孕吗", "role": "doctor"}, {"turn": 7, "text": "嗯", "role": "patient"}, {"turn": 8, "text": "最后一次月经10月1号", "role": "patient"}, {"turn": 9, "text": "目前就是腰酸，然后胸部不明显的胀痛，一按就一点点胀痛感，没有之前那么明显了", "role": "patient"}, {"turn": 10, "text": "我是从刚刚1个月的时候胸部就胀痛了的", "role": "patient"}, {"turn": 11, "text": "可以再复查一下B超，若B超正常就不要紧", "role": "doctor"}, {"turn": 12, "text": "就是不晓得现在减轻正不正常", "role": "patient"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "有的孕妇妊娠反应会减轻的", "role": "doctor"}, {"turn": 15, "text": "我就是这俩天突然觉得有点减轻了", "role": "patient"}, {"turn": 16, "text": "先不要担心，我们复查B超看看", "role": "doctor"}, {"turn": 17, "text": "过分害怕胎停了", "role": "patient"}, {"turn": 18, "text": "嗯", "role": "patient"}, {"turn": 19, "text": "好好休息", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "谢谢", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 465, "thread": [{"turn": 0, "text": "人流后长痘是不是内分泌失调（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好 是属于内分泌失调引起的", "role": "doctor"}, {"turn": 2, "text": "尤其是雌激素紊乱", "role": "doctor"}, {"turn": 3, "text": "怎样调理呢", "role": "patient"}, {"turn": 4, "text": "可能是怀孕引起的体内激素变化", "role": "patient"}, {"turn": 5, "text": "现在刚刚人流5天，又出了点痘痘", "role": "patient"}, {"turn": 6, "text": "这个没事吧", "role": "patient"}, {"turn": 7, "text": "正不正常", "role": "patient"}, {"turn": 8, "text": "多注意休息 身体会自己调节的", "role": "doctor"}, {"turn": 9, "text": "期间可以多吃点豆制品", "role": "doctor"}, {"turn": 10, "text": "注意休息 不要熬夜", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 466, "thread": [{"turn": 0, "text": "老人青光眼眼睛疼流眼泪怎么办（女，49岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问眼压高到多少", "role": "doctor"}, {"turn": 2, "text": "54", "role": "patient"}, {"turn": 3, "text": "双眼还是单眼", "role": "doctor"}, {"turn": 4, "text": "一支54一支24。", "role": "patient"}, {"turn": 5, "text": "54的那只特疼。", "role": "patient"}, {"turn": 6, "text": "建议1到医院立即输甘露醇2吃上降眼压药3局部点药", "role": "doctor"}, {"turn": 7, "text": "控制住就观察，控制不住手术治疗", "role": "doctor"}, {"turn": 8, "text": "手术治疗有没有风险？", "role": "patient"}, {"turn": 9, "text": "每个手术都会有风险", "role": "doctor"}, {"turn": 10, "text": "今天有去医院看点了药之后还是会疼痛。流眼泪", "role": "patient"}, {"turn": 11, "text": "什么药？", "role": "doctor"}, {"turn": 12, "text": "布林佐安滴眼液。", "role": "patient"}, {"turn": 13, "text": "还有一个是盐酸卡替洛尔滴眼液。", "role": "patient"}, {"turn": 14, "text": "药物太少了", "role": "doctor"}, {"turn": 15, "text": "可以立即输一瓶甘露醇", "role": "doctor"}, {"turn": 16, "text": "还需要用什么药吗？", "role": "patient"}, {"turn": 17, "text": "甘露醇降眼压", "role": "doctor"}, {"turn": 18, "text": "哦！早上去的时候有输一瓶那个250ml的，那叫啥？", "role": "patient"}, {"turn": 19, "text": "他说那个时间输液快效果更好。", "role": "patient"}, {"turn": 20, "text": "输了没有呢？", "role": "doctor"}, {"turn": 21, "text": "早上去的时候输了。", "role": "patient"}, {"turn": 22, "text": "现在还涨疼吗？", "role": "doctor"}, {"turn": 23, "text": "嗯嗯", "role": "patient"}, {"turn": 24, "text": "还引起头痛。", "role": "patient"}, {"turn": 25, "text": "抓紧时间到医院", "role": "doctor"}, {"turn": 26, "text": "不要再等了", "role": "doctor"}, {"turn": 27, "text": "这种情况还会引起头痛流鼻涕吗？", "role": "patient"}, {"turn": 28, "text": "会", "role": "doctor"}, {"turn": 29, "text": "耽误了视力可能会下降", "role": "doctor"}, {"turn": 30, "text": "今天早上去了医院，医生说明天再去看一下。", "role": "patient"}, {"turn": 31, "text": "现在疼的厉害就去医院", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 467, "thread": [{"turn": 0, "text": "为什么鼻炎早上流鼻涕（女，3岁）", "role": "patient"}, {"turn": 1, "text": "请问这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "断断续续很久了", "role": "patient"}, {"turn": 3, "text": "流的是清鼻涕还是脓鼻涕？", "role": "doctor"}, {"turn": 4, "text": "两周前，咳嗽，鼻炎，吃头孢克洛吃感冒药，吃了一周，好了。\n周二，炕凉又犯了，又吃，吃了二三天，好了，周五不吃药又流鼻涕了，今早。", "role": "patient"}, {"turn": 5, "text": "昨天晚上是清鼻炎，今早是淡黄鼻涕", "role": "patient"}, {"turn": 6, "text": "嗯，那可以用地氯雷他定缓解流涕症状。必要时可以配合点糠酸莫米松喷鼻。", "role": "doctor"}, {"turn": 7, "text": "如果后面仍黄涕，建议再加点消炎药", "role": "doctor"}, {"turn": 8, "text": "是不是昨天没吃头孢克洛的缘故啊？", "role": "patient"}, {"turn": 9, "text": "一般消炎药，都是吃一周症状好才停药", "role": "doctor"}, {"turn": 10, "text": "没再多吃二三顿，周四好了，周五没吃", "role": "patient"}, {"turn": 11, "text": "没有药了", "role": "patient"}, {"turn": 12, "text": "可以先用点地氯雷他定", "role": "doctor"}, {"turn": 13, "text": "有康酸莫米松", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "可以配合用下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 468, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：神经性头痛（女，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "做过什么疾病相关检查与治疗？", "role": "doctor"}, {"turn": 3, "text": "头痛有好几年 做过ct 脑多普勒 都没问题", "role": "patient"}, {"turn": 4, "text": "这种情况避免劳累，精神紧张，睡眠不足，可以减少头痛发作次数。", "role": "doctor"}, {"turn": 5, "text": "目前吃药缓解", "role": "patient"}, {"turn": 6, "text": "昨天加重 但今天缓解了很多还是有些头晕", "role": "patient"}, {"turn": 7, "text": "可以服用药物西比灵与芬必得改善下症状，建议服用三天", "role": "doctor"}, {"turn": 8, "text": "现在在吃头痛柠 布洛芬和阿普仑", "role": "patient"}, {"turn": 9, "text": "可以", "role": "doctor"}, {"turn": 10, "text": "状况经常不好的话 要怎么办", "role": "patient"}, {"turn": 11, "text": "平时可以服用药物西比灵，早一粒，晚一粒，连续服用不超过一个月，预防头痛复发。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 469, "thread": [{"turn": 0, "text": "妇科炎症用什么药最好（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服？", "role": "doctor"}, {"turn": 2, "text": "你好，请问你是哪种妇科炎症？", "role": "doctor"}, {"turn": 3, "text": "可以具体说说情况吗？", "role": "doctor"}, {"turn": 4, "text": "痛痒", "role": "patient"}, {"turn": 5, "text": "白带多吗", "role": "doctor"}, {"turn": 6, "text": "有没有异味呢？", "role": "doctor"}, {"turn": 7, "text": "白带不好", "role": "patient"}, {"turn": 8, "text": "我用那个要没有注意", "role": "patient"}, {"turn": 9, "text": "双唑泰栓", "role": "patient"}, {"turn": 10, "text": "用药期间不要同房", "role": "doctor"}, {"turn": 11, "text": "和红核妇洁洗液", "role": "patient"}, {"turn": 12, "text": "用药多久了啊", "role": "doctor"}, {"turn": 13, "text": "具体想咨询什么呢？", "role": "doctor"}, {"turn": 14, "text": "用这个洗液特别痛", "role": "patient"}, {"turn": 15, "text": "两天", "role": "patient"}, {"turn": 16, "text": "外阴红肿吗？", "role": "doctor"}, {"turn": 17, "text": "没有效果", "role": "patient"}, {"turn": 18, "text": "用药前外阴红肿吗？", "role": "doctor"}, {"turn": 19, "text": "我感觉反到严重了", "role": "patient"}, {"turn": 20, "text": "我没有看", "role": "patient"}, {"turn": 21, "text": "就是特别痒", "role": "patient"}, {"turn": 22, "text": "应该是药物刺激造成的", "role": "doctor"}, {"turn": 23, "text": "可以先停药", "role": "doctor"}, {"turn": 24, "text": "温水洗洗外阴", "role": "doctor"}, {"turn": 25, "text": "抹点红霉素试试有没有效果", "role": "doctor"}, {"turn": 26, "text": "我还吃了那个硝呋太尔片", "role": "patient"}, {"turn": 27, "text": "可以的", "role": "doctor"}, {"turn": 28, "text": "没有用", "role": "patient"}, {"turn": 29, "text": "不要吃辛辣刺激的食物", "role": "doctor"}, {"turn": 30, "text": "时间短", "role": "doctor"}, {"turn": 31, "text": "没有吃", "role": "patient"}, {"turn": 32, "text": "一般的治疗炎症需要一周左右", "role": "doctor"}, {"turn": 33, "text": "是", "role": "patient"}, {"turn": 34, "text": "我现在用什么冼", "role": "patient"}, {"turn": 35, "text": "用药期间不要同房", "role": "doctor"}, {"turn": 36, "text": "出差呢", "role": "patient"}, {"turn": 37, "text": "没有同房", "role": "patient"}, {"turn": 38, "text": "是要去医院看看还是", "role": "patient"}, {"turn": 39, "text": "可以用温水洗洗外阴", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 470, "thread": [{"turn": 0, "text": "勃起功能障碍ed偶尔硬度不够（男，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，这样症状多久了?", "role": "doctor"}, {"turn": 2, "text": "有一段时间了", "role": "patient"}, {"turn": 3, "text": "平常也没有手淫习惯", "role": "patient"}, {"turn": 4, "text": "晨勃怎么样", "role": "doctor"}, {"turn": 5, "text": "一般般", "role": "patient"}, {"turn": 6, "text": "是经常不好还是偶尔", "role": "doctor"}, {"turn": 7, "text": "十次里面有几次不好", "role": "doctor"}, {"turn": 8, "text": "有六七次", "role": "patient"}, {"turn": 9, "text": "最近两次，一次早泄，一次硬不起来", "role": "patient"}, {"turn": 10, "text": "是不是有阳痿早泄的问题", "role": "patient"}, {"turn": 11, "text": "假如次数较多可能有勃起问题", "role": "doctor"}, {"turn": 12, "text": "我得身体情况是182，体重134斤，偏瘦", "role": "patient"}, {"turn": 13, "text": "跟这个没有关系的", "role": "doctor"}, {"turn": 14, "text": "那需要去医院男科就诊吗", "role": "patient"}, {"turn": 15, "text": "可以去正规医院的男科", "role": "doctor"}, {"turn": 16, "text": "可以采取生活方式调整配合药物来改善", "role": "doctor"}, {"turn": 17, "text": "生活方式调整，生活规律，避免烟酒辛辣食物刺激不要熬夜久坐，多运动锻炼身体，多食坚果核桃南瓜籽花生之类的食物。心理疏导也很关键", "role": "doctor"}, {"turn": 18, "text": "针对勃起，目前推荐的是小剂量他达拉非维持治疗（5mg,口服，每日一次）第一个月按照每日口服，其后根据效果调整用量和方案", "role": "doctor"}, {"turn": 19, "text": "这个是处方药，需要去医院开吧", "role": "patient"}, {"turn": 20, "text": "还是去医院诊断一下，根据医院指导用药呢", "role": "patient"}, {"turn": 21, "text": "可以医院检查以后针对性用药", "role": "doctor"}, {"turn": 22, "text": "同时六味地黄丸服用是否可以", "role": "patient"}, {"turn": 23, "text": "这个是中成药，需要面诊医生决定", "role": "doctor"}, {"turn": 24, "text": "那具体还是需要医生诊断是吧", "role": "patient"}, {"turn": 25, "text": "是的", "role": "doctor"}, {"turn": 26, "text": "生活方式调整是基础", "role": "doctor"}, {"turn": 27, "text": "好的，近期我会去医院检查一下，感谢医生", "role": "patient"}, {"turn": 28, "text": "好的，祝您早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 471, "thread": [{"turn": 0, "text": "没满月宝宝感冒鼻塞，喝奶老呛奶（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝还有别的症状吗？", "role": "doctor"}, {"turn": 2, "text": "就是鼻塞有些严重，已经一个星期了", "role": "patient"}, {"turn": 3, "text": "怎么治疗的？", "role": "doctor"}, {"turn": 4, "text": "喝奶也老是呛奶，有时呛的脸通红", "role": "patient"}, {"turn": 5, "text": "用过哪些药？", "role": "doctor"}, {"turn": 6, "text": "没有治疗，就是帮助宝宝把鼻屎夹出来，但是鼻子还是不通", "role": "patient"}, {"turn": 7, "text": "什么药都没有用过", "role": "patient"}, {"turn": 8, "text": "肺部怎么样？", "role": "doctor"}, {"turn": 9, "text": "体温每天都量，是正常的", "role": "patient"}, {"turn": 10, "text": "昨天宝宝的额头出现了很多的红疹子", "role": "patient"}, {"turn": 11, "text": "不知道呢，肺部怎么观察呢", "role": "patient"}, {"turn": 12, "text": "看着宝宝鼻塞，又一直呛奶，睡不安稳，好心疼", "role": "patient"}, {"turn": 13, "text": "医生，这种情况怎么办呢？", "role": "patient"}, {"turn": 14, "text": "你需要雾化了", "role": "doctor"}, {"turn": 15, "text": "找医师听听肺部", "role": "doctor"}, {"turn": 16, "text": "用点呋麻滴鼻液改善鼻塞", "role": "doctor"}, {"turn": 17, "text": "这么严重吗", "role": "patient"}, {"turn": 18, "text": "根据你的描述应该需要问\n这么做了", "role": "doctor"}, {"turn": 19, "text": "是不是已经很严重了", "role": "patient"}, {"turn": 20, "text": "排除肺炎的可能", "role": "doctor"}, {"turn": 21, "text": "如果排除肺炎的可能性，是不是还不算严重", "role": "patient"}, {"turn": 22, "text": "是的，只需要对症就行", "role": "doctor"}, {"turn": 23, "text": "宝宝没有满月，感冒了要怎么办哪", "role": "patient"}, {"turn": 24, "text": "可以雾化", "role": "doctor"}, {"turn": 25, "text": "可以用洗鼻器洗鼻子", "role": "doctor"}, {"turn": 26, "text": "要是感冒引起的鼻塞，洗了之后，还会鼻塞吗？", "role": "patient"}, {"turn": 27, "text": "我们在家也有给他夹鼻屎，但是夹了，还是不通气", "role": "patient"}, {"turn": 28, "text": "病程到了就不会了", "role": "doctor"}, {"turn": 29, "text": "新生儿感冒是不是不能吃药", "role": "patient"}, {"turn": 30, "text": "是不好用复方药", "role": "doctor"}, {"turn": 31, "text": "意思是我们还是要到医院去看医生才能对症下药，是吧", "role": "patient"}, {"turn": 32, "text": "是的，小宝宝用药慎重些", "role": "doctor"}, {"turn": 33, "text": "好，谢谢你了", "role": "patient"}, {"turn": 34, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 472, "thread": [{"turn": 0, "text": "有胎心怀孕7周胃口变好是不是胎停了（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个不一定的，每个人早孕反应情况不同，有人怀孕后就没啥反应", "role": "doctor"}, {"turn": 2, "text": "做彩超检查看胎儿发育情况是主要的", "role": "doctor"}, {"turn": 3, "text": "25号做过彩超有看到过胎心", "role": "patient"}, {"turn": 4, "text": "那就不用太担心，再观察看", "role": "doctor"}, {"turn": 5, "text": "前几天反应很大！经常恶心头晕啥的", "role": "patient"}, {"turn": 6, "text": "那现在没有不适，很好的，", "role": "doctor"}, {"turn": 7, "text": "可是这两天没啥反应了", "role": "patient"}, {"turn": 8, "text": "有点流褐色分泌物的但是之前检查都是正常的", "role": "patient"}, {"turn": 9, "text": "有褐色分泌物那还需要再到医院检查，", "role": "doctor"}, {"turn": 10, "text": "去医院检查过的！抽血彩超都做过", "role": "patient"}, {"turn": 11, "text": "就是不知道这两天啥反应都没有！不知道啥情况", "role": "patient"}, {"turn": 12, "text": "不一定是有问题的，定期产检就可以", "role": "doctor"}, {"turn": 13, "text": "好的！就是有些担心！突然没反应不知道有没有问题", "role": "patient"}, {"turn": 14, "text": "这个不一定有啥的", "role": "doctor"}, {"turn": 15, "text": "好的谢谢医生", "role": "patient"}, {"turn": 16, "text": "这种情况一般都是正常的吗？", "role": "patient"}, {"turn": 17, "text": "如果胚胎发育正常，那就没啥", "role": "doctor"}, {"turn": 18, "text": "好的谢谢医生", "role": "patient"}, {"turn": 19, "text": "这两天精神状态也很好", "role": "patient"}, {"turn": 20, "text": "不客气，如果没啥不适，在怀孕11-14周测NT值", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 473, "thread": [{"turn": 0, "text": "接骨七厘片心梗能吃吗（女，67岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答，请问诊断心梗多久了，这中药没有明确说明心梗患者不让服用", "role": "doctor"}, {"turn": 2, "text": "医生您好，诊断心梗3个月的时间了，这种药心梗病人用量多少？谢谢！", "role": "patient"}, {"turn": 3, "text": "这个西医用的不多，您为什么需要用这个药物", "role": "doctor"}, {"turn": 4, "text": "因为脸部还有外伤的", "role": "patient"}, {"turn": 5, "text": "什么时候的", "role": "doctor"}, {"turn": 6, "text": "这个药只说明孕妇禁用", "role": "doctor"}, {"turn": 7, "text": "也有3个月了，就是遭到撞击后，外伤和心梗同时发生的", "role": "patient"}, {"turn": 8, "text": "哦，是临床主管医生给开具的处方么", "role": "doctor"}, {"turn": 9, "text": "当时还没查出心梗，先开的外伤药，然后又换医院了另一家医院，隔了2天才发现的心梗", "role": "patient"}, {"turn": 10, "text": "嗯，该药物没有明确禁忌，不用过于担忧", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}, {"turn": 12, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 474, "thread": [{"turn": 0, "text": "b超检查，，双侧乳腺低回声结节是乳腺增生嘛？", "role": "patient"}, {"turn": 1, "text": "范围多大？有没有包块？", "role": "doctor"}, {"turn": 2, "text": "单侧乳房，在非例假时期，也会有轻微刺痛。并且，b超显示，双侧乳腺低回声结节。是那种可能较大呢？", "role": "patient"}, {"turn": 3, "text": "可能是小叶增生", "role": "doctor"}, {"turn": 4, "text": "最大直径约0.4", "role": "patient"}, {"turn": 5, "text": "可以经常按摩乳房胸罩不能太紧", "role": "doctor"}, {"turn": 6, "text": "乳房皮肤，外形，质地，都没感觉有异常，就是有时会刺痛，", "role": "patient"}, {"turn": 7, "text": "但是，b超显示边界不清，是怎么呢？", "role": "patient"}, {"turn": 8, "text": "说明不重", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 475, "thread": [{"turn": 0, "text": "高度近视能做手术吗？有后遗症吗？（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，现在近视多少度？", "role": "doctor"}, {"turn": 2, "text": "800度到900度左右吧", "role": "patient"}, {"turn": 3, "text": "还散光", "role": "patient"}, {"turn": 4, "text": "之前有详细检查过吗", "role": "doctor"}, {"turn": 5, "text": "这么高度数不太适合激光手术了，你可以考虑icl晶体植入手术治疗近视", "role": "doctor"}, {"turn": 6, "text": "有后遗症吗", "role": "patient"}, {"turn": 7, "text": "只要术前检查都符合条件的话，基本上都会排除可能的危险因素。", "role": "doctor"}, {"turn": 8, "text": "手术也不是每个人都适合的，要考虑眼睛的具体情况，避免一些潜在风险。", "role": "doctor"}, {"turn": 9, "text": "检查通过放心做就可以了，这个手术也是可以二次或者是把晶体再拿出的。也就是说有危险的话，把晶体拿出，你就恢复到现在目前的状态。", "role": "doctor"}, {"turn": 10, "text": "知道了。需要多少资金大概", "role": "patient"}, {"turn": 11, "text": "icl晶体植入要比激光要贵一些，大概要2万。", "role": "doctor"}, {"turn": 12, "text": "咱们医院能做吗", "role": "patient"}, {"turn": 13, "text": "你是什么地区？", "role": "doctor"}, {"turn": 14, "text": "河北省邯郸市", "role": "patient"}, {"turn": 15, "text": "能推荐好点医院吗", "role": "patient"}, {"turn": 16, "text": "一般当地来说，三级综合医院或者是眼科医院都是可以做的。", "role": "doctor"}, {"turn": 17, "text": "你地方我不是特别熟悉，我是山东地区的。", "role": "doctor"}, {"turn": 18, "text": "咱周边省份有好点的医院吗", "role": "patient"}, {"turn": 19, "text": "天津眼科医院距离近吗？这是比较好一些的。", "role": "doctor"}, {"turn": 20, "text": "谢谢您！不太远，高铁2小时", "role": "patient"}, {"turn": 21, "text": "请问如果做手术的话需多长时间恢复期", "role": "patient"}, {"turn": 22, "text": "当天做完，第2天就是完好的事例。", "role": "doctor"}, {"turn": 23, "text": "视力", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 476, "thread": [{"turn": 0, "text": "肾宝片的功效与作用肾虚吃肾宝可以不（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "性生活中途", "role": "patient"}, {"turn": 3, "text": "皮软", "role": "patient"}, {"turn": 4, "text": "可以用", "role": "doctor"}, {"turn": 5, "text": "腰痛", "role": "patient"}, {"turn": 6, "text": "阳痿", "role": "doctor"}, {"turn": 7, "text": "怕冷不", "role": "doctor"}, {"turn": 8, "text": "小腿胀痛", "role": "patient"}, {"turn": 9, "text": "不怕冷", "role": "patient"}, {"turn": 10, "text": "嗯嗯", "role": "doctor"}, {"turn": 11, "text": "爱流汉", "role": "patient"}, {"turn": 12, "text": "肾精亏虚", "role": "doctor"}, {"turn": 13, "text": "偏阴虚", "role": "doctor"}, {"turn": 14, "text": "有什么好的", "role": "patient"}, {"turn": 15, "text": "你也可以用五子衍宗丸", "role": "doctor"}, {"turn": 16, "text": "治疗方", "role": "patient"}, {"turn": 17, "text": "左归丸，六味地黄丸任选其一", "role": "doctor"}, {"turn": 18, "text": "平时有什么要注意的", "role": "patient"}, {"turn": 19, "text": "平时注意锻炼身体，戒手淫", "role": "doctor"}, {"turn": 20, "text": "注意睡眠时间充足，这样精力充沛慢慢就好了", "role": "doctor"}, {"turn": 21, "text": "好的", "role": "patient"}, {"turn": 22, "text": "嗯嗯", "role": "doctor"}, {"turn": 23, "text": "早泄怎么处理", "role": "patient"}, {"turn": 24, "text": "一样的治疗方法", "role": "doctor"}, {"turn": 25, "text": "以前好点了，后面上夜班感觉又复发了", "role": "patient"}, {"turn": 26, "text": "嗯嗯", "role": "doctor"}, {"turn": 27, "text": "注意事项一样", "role": "doctor"}, {"turn": 28, "text": "像这症状主要用那几样药呢", "role": "patient"}, {"turn": 29, "text": "好去药店买", "role": "patient"}, {"turn": 30, "text": "五子衍宗丸，左归丸，六味地黄丸任选其一", "role": "doctor"}, {"turn": 31, "text": "另外可以鹿茸泡酒一天少喝点", "role": "doctor"}, {"turn": 32, "text": "肾宝片可以用不", "role": "patient"}, {"turn": 33, "text": "也可以", "role": "doctor"}, {"turn": 34, "text": "只是这个好像挺贵的", "role": "doctor"}, {"turn": 35, "text": "现在主要是想把病治好，对夫妻生活影响太大了", "role": "patient"}, {"turn": 36, "text": "嗯", "role": "doctor"}, {"turn": 37, "text": "用用药慢慢就好了", "role": "doctor"}, {"turn": 38, "text": "需要有耐心及坚持用药", "role": "doctor"}, {"turn": 39, "text": "大概多久能好", "role": "patient"}, {"turn": 40, "text": "大概三个月到半年", "role": "doctor"}, {"turn": 41, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 42, "text": "应该的", "role": "doctor"}, {"turn": 43, "text": "还有其它疑问么", "role": "doctor"}, {"turn": 44, "text": "感谢", "role": "patient"}, {"turn": 45, "text": "😊", "role": "doctor"}, {"turn": 46, "text": "像晨勃消失又是怎么的", "role": "patient"}, {"turn": 47, "text": "有的比如说尿憋了，上厕所后就消失了", "role": "doctor"}, {"turn": 48, "text": "有过这样的感觉", "role": "patient"}, {"turn": 49, "text": "嗯嗯", "role": "doctor"}, {"turn": 50, "text": "要有耐心与信心治疗", "role": "doctor"}, {"turn": 51, "text": "好的谢谢", "role": "patient"}, {"turn": 52, "text": "坚持用药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 477, "thread": [{"turn": 0, "text": "什么是风湿关节炎？？？？？？（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好                 ！", "role": "doctor"}, {"turn": 2, "text": "请问哪里疼痛", "role": "doctor"}, {"turn": 3, "text": "我的膝盖一冷着就发热，僵硬，有的时候下蹲的时候，膝盖中间连接感觉疼一下", "role": "patient"}, {"turn": 4, "text": "1、膝踝、肩、肘等多关节疼痛、肿胀，可能是风湿性关节炎导致的，临床以关节和肌肉游走性酸楚、重著、疼痛为特征。属变态反应性疾病。是风湿热的主要表现之一，多以急性发热及关节疼痛起病。  2、肘关节肿胀，关节有时因交锁而活动受限，可能是肘关节剥脱性骨软骨炎。  3、肘关节全关节肿胀、疼痛而无红肿及关节活动受限者多见于肘关节的滑膜炎。  4、肘关节鹰嘴尖部囊性肿物，疼痛轻微或无痛，常见于尺骨鹰嘴滑囊炎，多由外伤或慢性刺激引起。  5、肘关节肿胀、关节活动时有摩擦感，常伴有疼痛，多由增生性骨性关节炎引起。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 478, "thread": [{"turn": 0, "text": "中度焦虑症，有没有不产生耐药性的药可以乞", "role": "patient"}, {"turn": 1, "text": "所有抗焦虑药物多少都有耐药性！", "role": "doctor"}, {"turn": 2, "text": "停不了吗", "role": "patient"}, {"turn": 3, "text": "不要轻易停", "role": "doctor"}, {"turn": 4, "text": "一辈子吃药?", "role": "patient"}, {"turn": 5, "text": "抗焦虑药物服用一段时间后根据效果来调整药物！", "role": "doctor"}, {"turn": 6, "text": "帕罗西汀和黛力新哪个更好停", "role": "patient"}, {"turn": 7, "text": "黛力新", "role": "doctor"}, {"turn": 8, "text": "哪个效果好副作用小", "role": "patient"}, {"turn": 9, "text": "药没有好不好之说，对症就是好药！", "role": "doctor"}, {"turn": 10, "text": "黛力新吃了一个月效果还可以，但吃了胆囊结石痛，有医生建议黛和帕一起吃，各吃半片", "role": "patient"}, {"turn": 11, "text": "可以这样吃", "role": "doctor"}, {"turn": 12, "text": "但增加了吃药风险啊", "role": "patient"}, {"turn": 13, "text": "而且帕不好停", "role": "patient"}, {"turn": 14, "text": "不想吃一辈子药", "role": "patient"}, {"turn": 15, "text": "很理解你的心情，但是现在只能用药维持治疗！", "role": "doctor"}, {"turn": 16, "text": "只吃黛一天一粒和黛帕各半粒", "role": "patient"}, {"turn": 17, "text": "哪个副作用更小", "role": "patient"}, {"turn": 18, "text": "先这样两种药配合吃", "role": "doctor"}, {"turn": 19, "text": "黛突然減半会不会反弹", "role": "patient"}, {"turn": 20, "text": "会", "role": "doctor"}, {"turn": 21, "text": "但是帕有吃半粒呀", "role": "patient"}, {"turn": 22, "text": "吃黛一天一粒和黛帕各半粒，这样服用就比较好", "role": "doctor"}, {"turn": 23, "text": "什么", "role": "patient"}, {"turn": 24, "text": "原来吃黛一天一次一粒，今天开始黛帕一天一次各半粒", "role": "patient"}, {"turn": 25, "text": "我建议你目前不要减量", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 479, "thread": [{"turn": 0, "text": "肾阳虚吃金贵肾气丸口干咋回事（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，还有其他什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "怕冷", "role": "patient"}, {"turn": 3, "text": "手脚没劲", "role": "patient"}, {"turn": 4, "text": "爱睡觉", "role": "patient"}, {"turn": 5, "text": "不想动", "role": "patient"}, {"turn": 6, "text": "可以喝点右归丸", "role": "doctor"}, {"turn": 7, "text": "腰痛冰冷", "role": "patient"}, {"turn": 8, "text": "头晕", "role": "patient"}, {"turn": 9, "text": "脑胀", "role": "patient"}, {"turn": 10, "text": "这就是肾阳虚", "role": "doctor"}, {"turn": 11, "text": "还有", "role": "patient"}, {"turn": 12, "text": "测试一下血压看看", "role": "doctor"}, {"turn": 13, "text": "走路容易累", "role": "patient"}, {"turn": 14, "text": "这是气虚", "role": "doctor"}, {"turn": 15, "text": "血压正常", "role": "patient"}, {"turn": 16, "text": "我最近口干脸又烫。。爱上火，牙痛", "role": "patient"}, {"turn": 17, "text": "多吃点红枣和枸杞", "role": "doctor"}, {"turn": 18, "text": "这是内热，多吃清淡饮食", "role": "doctor"}, {"turn": 19, "text": "吃了，天天喝红枣水", "role": "patient"}, {"turn": 20, "text": "没用", "role": "patient"}, {"turn": 21, "text": "那就喝点右归丸", "role": "doctor"}, {"turn": 22, "text": "那我吃肾阳虚的药怎么会口干", "role": "patient"}, {"turn": 23, "text": "右归丸不是更容易上火吗", "role": "patient"}, {"turn": 24, "text": "药物的副作用", "role": "doctor"}, {"turn": 25, "text": "那怎么办", "role": "patient"}, {"turn": 26, "text": "多吃水果蔬菜，清淡饮食", "role": "doctor"}, {"turn": 27, "text": "哦哦", "role": "patient"}, {"turn": 28, "text": "饭后半个小时吃", "role": "doctor"}, {"turn": 29, "text": "能确定我是肾阳虚吗？", "role": "patient"}, {"turn": 30, "text": "不是肾阴虚", "role": "patient"}, {"turn": 31, "text": "就是阳虚", "role": "doctor"}, {"turn": 32, "text": "还是别的虚", "role": "patient"}, {"turn": 33, "text": "就是肾阳虚", "role": "doctor"}, {"turn": 34, "text": "后背老是怕冷", "role": "patient"}, {"turn": 35, "text": "就是肾阳虚的症状", "role": "doctor"}, {"turn": 36, "text": "哦哦", "role": "patient"}, {"turn": 37, "text": "好的", "role": "doctor"}, {"turn": 38, "text": "不吃金贵肾气丸吗", "role": "patient"}, {"turn": 39, "text": "金奎肾气虚", "role": "doctor"}, {"turn": 40, "text": "金匮肾气丸", "role": "doctor"}, {"turn": 41, "text": "这也可以的", "role": "doctor"}, {"turn": 42, "text": "哦哦", "role": "patient"}, {"turn": 43, "text": "好哦", "role": "patient"}, {"turn": 44, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 480, "thread": [{"turn": 0, "text": "附睾丸炎会引起全身性放射性疼痛吗（男，47岁）", "role": "patient"}, {"turn": 1, "text": "一般附睾炎会导致阴囊不适，会放射到下腹部不适，不会导致全身放射性疼痛，如果高热，可能会导致全身不舒服，疲劳，倦怠", "role": "doctor"}, {"turn": 2, "text": "那么可以用点啥药", "role": "patient"}, {"turn": 3, "text": "大腿内侧淋巴有酸痛感觉佐右)", "role": "patient"}, {"turn": 4, "text": "建议检查一下彩超，口服或打点滴，抗炎治疗", "role": "doctor"}, {"turn": 5, "text": "验尿要吗", "role": "patient"}, {"turn": 6, "text": "最好检查一下彩超，血细胞分析，尿液分析", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 481, "thread": [{"turn": 0, "text": "低血压有脑中风可以办理特种病卡吗？（女，67岁）", "role": "patient"}, {"turn": 1, "text": "您好，是低血压吗？中风是否有后遗症", "role": "doctor"}, {"turn": 2, "text": "有脚无力", "role": "patient"}, {"turn": 3, "text": "这种情况应该是办理不了的", "role": "doctor"}, {"turn": 4, "text": "具体您可以向当地医保局咨询", "role": "doctor"}, {"turn": 5, "text": "这样可以办理特种病卡吗", "role": "patient"}, {"turn": 6, "text": "临床上这种办理特病的少见", "role": "doctor"}, {"turn": 7, "text": "少也是中风哦", "role": "patient"}, {"turn": 8, "text": "这种病也是每天吃药的哦，也不是说低血压没有中风的哦？", "role": "patient"}, {"turn": 9, "text": "您好，你可能不了解，办理特病都是按当地医保局的规定来办的，医生只能开出诊断证明", "role": "doctor"}, {"turn": 10, "text": "审核材料都是医保局的人在审", "role": "doctor"}, {"turn": 11, "text": "好的我咨询当地社保局", "role": "patient"}, {"turn": 12, "text": "好谢谢你了", "role": "patient"}, {"turn": 13, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 482, "thread": [{"turn": 0, "text": "细菌性阴道炎怎么治疗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，有过性生活么？", "role": "doctor"}, {"turn": 2, "text": "有，但是最近几个月没有", "role": "patient"}, {"turn": 3, "text": "可以用甲硝唑栓阴道上药", "role": "doctor"}, {"turn": 4, "text": "就是昨天去查了下是细菌性阴道炎，阴道里面有血", "role": "patient"}, {"turn": 5, "text": "血干净后连用一周，一天一次，一次一粒", "role": "doctor"}, {"turn": 6, "text": "就是他们给的治疗方法是红外线和盆疗", "role": "patient"}, {"turn": 7, "text": "不是月经血，我月经很早就走了", "role": "patient"}, {"turn": 8, "text": "请问就是可以吃药吗？", "role": "patient"}, {"turn": 9, "text": "知道，有血时先不要上药，上药效果更好，副作用还小", "role": "doctor"}, {"turn": 10, "text": "就是他们说往我里面放了药纱", "role": "patient"}, {"turn": 11, "text": "我要怎么取出来", "role": "patient"}, {"turn": 12, "text": "然后检验报告昨天也没给我", "role": "patient"}, {"turn": 13, "text": "纱布么？用手取出来", "role": "doctor"}, {"turn": 14, "text": "请问我这个病很严重吗？", "role": "patient"}, {"turn": 15, "text": "因为里面都出血了", "role": "patient"}, {"turn": 16, "text": "出血不是严重的表现，有炎症的，就会容易出血，阴道炎是很常见的病，用药治疗就可以了", "role": "doctor"}, {"turn": 17, "text": "而且就是细菌性阴道炎我不痒就是有点肿痛，现在症状是都没了", "role": "patient"}, {"turn": 18, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 19, "text": "用药治疗就可以了，平时注意外阴卫生", "role": "doctor"}, {"turn": 20, "text": "嗯嗯", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 483, "thread": [{"turn": 0, "text": "地中海贫血怀孕了对孩子有些什么影响（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，一是地贫可以遗传给孩子，二是如果贫血严重会影响胎儿发育", "role": "doctor"}, {"turn": 2, "text": "轻微的地中海贫血", "role": "patient"}, {"turn": 3, "text": "查了一次，就没去查过", "role": "patient"}, {"turn": 4, "text": "轻度贫血一般影响不大！注意遗传即可", "role": "doctor"}, {"turn": 5, "text": "应该按时孕检", "role": "doctor"}, {"turn": 6, "text": "我们家没有贫血这个病的", "role": "patient"}, {"turn": 7, "text": "以前生活一次，都没有过地中海贫血，我想不是遗传病吧", "role": "patient"}, {"turn": 8, "text": "产检我都做的", "role": "patient"}, {"turn": 9, "text": "本病是遗传病", "role": "doctor"}, {"turn": 10, "text": "只要你确诊有这个病，就有可能遗传的", "role": "doctor"}, {"turn": 11, "text": "需要做羊水穿刺筛查", "role": "doctor"}, {"turn": 12, "text": "我第一胎都没有，怎么会第二胎有呢", "role": "patient"}, {"turn": 13, "text": "那么以后生下来的孩子会怎么样啊", "role": "patient"}, {"turn": 14, "text": "每一胎几率是一样的，都会有可能", "role": "doctor"}, {"turn": 15, "text": "轻微的要吃点什么药吗", "role": "patient"}, {"turn": 16, "text": "不用吃药，也没有药物", "role": "doctor"}, {"turn": 17, "text": "那怎么办", "role": "patient"}, {"turn": 18, "text": "严重的输血", "role": "doctor"}, {"turn": 19, "text": "没有别的办法", "role": "doctor"}, {"turn": 20, "text": "那现在还能不要这个孩子吗", "role": "patient"}, {"turn": 21, "text": "做羊水穿刺筛查", "role": "doctor"}, {"turn": 22, "text": "轻微的生下来得病的激历大？", "role": "patient"}, {"turn": 23, "text": "现在32周了", "role": "patient"}, {"turn": 24, "text": "和你的表现一样", "role": "doctor"}, {"turn": 25, "text": "还能做吗", "role": "patient"}, {"turn": 26, "text": "我都没感觉我有什么不一样的", "role": "patient"}, {"turn": 27, "text": "28周以后就做不了了", "role": "doctor"}, {"turn": 28, "text": "你确诊了嘛？", "role": "doctor"}, {"turn": 29, "text": "还没有", "role": "patient"}, {"turn": 30, "text": "一直没去做确诊", "role": "patient"}, {"turn": 31, "text": "那纠结啥", "role": "doctor"}, {"turn": 32, "text": "确诊后再说", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 484, "thread": [{"turn": 0, "text": "左肾积水怎么治疗？症状不太明显（女，47岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前有哪些症状呢？", "role": "doctor"}, {"turn": 2, "text": "什么样的症状不太明显？", "role": "doctor"}, {"turn": 3, "text": "左肾积水多少？", "role": "doctor"}, {"turn": 4, "text": "有超声报告单吗？发过来", "role": "doctor"}, {"turn": 5, "text": "没有症状，检查了医生说积水较多，没有报告单。怎么治疗较好", "role": "patient"}, {"turn": 6, "text": "有没有输尿管扩张呢？", "role": "doctor"}, {"turn": 7, "text": "没有报告单？\n为什么做了检查没有报告单呢？", "role": "doctor"}, {"turn": 8, "text": "那建议去大医院再去复查", "role": "doctor"}, {"turn": 9, "text": "在小医院找熟人拍了个照，有点扩张", "role": "patient"}, {"turn": 10, "text": "一定要有报告单才好分析", "role": "doctor"}, {"turn": 11, "text": "小医院做的检查不一定很准确却", "role": "doctor"}, {"turn": 12, "text": "既然有异常，建议还是去大医院复查", "role": "doctor"}, {"turn": 13, "text": "输尿管扩张、肾积水的原因比较多，比如结石，肿瘤，先天发育异常等等", "role": "doctor"}, {"turn": 14, "text": "首先要明确是哪一种原因", "role": "doctor"}, {"turn": 15, "text": "主要做哪些检查", "role": "patient"}, {"turn": 16, "text": "做泌尿系超声，化验尿常规和肾功能\n如果的确存在输尿管扩张和肾积水，还需要做泌尿系统CT三维重建", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢", "role": "patient"}, {"turn": 18, "text": "好的，不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 485, "thread": [{"turn": 0, "text": "脂溢性皮炎，头皮经常长痘痘（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答，请问您这种情况有多长时间了？到医院就诊治疗过吗？", "role": "doctor"}, {"turn": 2, "text": "5年了", "role": "patient"}, {"turn": 3, "text": "没看过", "role": "patient"}, {"turn": 4, "text": "您这个脂溢性皮炎，头皮长痘痘的情况可以用酮康唑洗剂洗洗头，再用夫西地酸乳膏涂抹治疗就行。", "role": "doctor"}, {"turn": 5, "text": "酮康唑耐药了", "role": "patient"}, {"turn": 6, "text": "现在都用二硫化硒，可以长期用吗？一周用多少次呢？", "role": "patient"}, {"turn": 7, "text": "如果酮康唑洗剂原来用过了", "role": "doctor"}, {"turn": 8, "text": "那就可以换用二硫化硒洗剂的", "role": "doctor"}, {"turn": 9, "text": "一周用2-3次就可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 486, "thread": [{"turn": 0, "text": "胃痛，曾经做过B超说无明显结石（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以具体描述疼痛部位吗？", "role": "doctor"}, {"turn": 2, "text": "胸腔以下，两侧肋骨中间处，疼起来后背也疼", "role": "patient"}, {"turn": 3, "text": "确实像胃痛的部位，疼痛有规律吗？比如吃饱了痛，还是饿着痛", "role": "doctor"}, {"turn": 4, "text": "B超做的什么部位", "role": "doctor"}, {"turn": 5, "text": "胃部", "role": "patient"}, {"turn": 6, "text": "报告单还有吗", "role": "doctor"}, {"turn": 7, "text": "没有了，说建议做胃镜进一步检查", "role": "patient"}, {"turn": 8, "text": "胃镜还没做是吗", "role": "doctor"}, {"turn": 9, "text": "没做", "role": "patient"}, {"turn": 10, "text": "胃痛有规律吗", "role": "doctor"}, {"turn": 11, "text": "平时会有反酸或者嗳气吗", "role": "doctor"}, {"turn": 12, "text": "胃痛是要做个胃镜，看看有没有胃溃疡或十二指肠溃疡，有没有糜烂性胃炎，这些都会引起胃痛。胃镜可以做普通胃镜和无痛胃镜，没有想象的那么可怕", "role": "doctor"}, {"turn": 13, "text": "最好还要做个心电图，我们碰到不止一例以为是胃痛、其实是心肌缺血或心梗的年轻患者了", "role": "doctor"}, {"turn": 14, "text": "如果最近没时间做检查，痛的时候可以先吃点奥美拉唑和铝碳酸镁", "role": "doctor"}, {"turn": 15, "text": "看看有没有好转", "role": "doctor"}, {"turn": 16, "text": "好的 明白了谢谢医生了", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 487, "thread": [{"turn": 0, "text": "孩子尿道炎复发能接种结核菌素试验针吗（女，12岁）", "role": "patient"}, {"turn": 1, "text": "你好！这个是可以的，不影响", "role": "doctor"}, {"turn": 2, "text": "正在吃消炎药，也没有关系吧", "role": "patient"}, {"turn": 3, "text": "没关系的", "role": "doctor"}, {"turn": 4, "text": "好的，谢谢", "role": "patient"}, {"turn": 5, "text": "麻烦您再问一下，是什么原因造成她这炎症老复发呢", "role": "patient"}, {"turn": 6, "text": "一个是每次没治好", "role": "doctor"}, {"turn": 7, "text": "二个是不注意卫生，喝水少", "role": "doctor"}, {"turn": 8, "text": "哦，也许我们每次感觉舒服了就把消炎药给停了，是不是多吃几天好利索了再停呀", "role": "patient"}, {"turn": 9, "text": "喝水也是少", "role": "patient"}, {"turn": 10, "text": "嗯，肯定要巩固几天啊", "role": "doctor"}, {"turn": 11, "text": "在跟您确认一下，服用消炎药期间，可以接种结核菌素试验，对吧，", "role": "patient"}, {"turn": 12, "text": "可以的", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢", "role": "patient"}, {"turn": 14, "text": "嗯不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 488, "thread": [{"turn": 0, "text": "癫痫一次发作要吃药吗（男，9岁）", "role": "patient"}, {"turn": 1, "text": "一般来说一年发作不超过两次，可以不用吃抗癫痫药物", "role": "doctor"}, {"turn": 2, "text": "脑电图显示：异常儿童脑电图，痫样放电", "role": "patient"}, {"turn": 3, "text": "需要吃药吗", "role": "patient"}, {"turn": 4, "text": "一年发作不超过两次可以不用吃。发作过意识丧失，肢体抽搐么", "role": "doctor"}, {"turn": 5, "text": "是的，发了一次5分钟", "role": "patient"}, {"turn": 6, "text": "嗯嗯。一年发作不超过两次可以不用吃，因为抗癫痫药物副作用比较大", "role": "doctor"}, {"turn": 7, "text": "副作用很大啊？", "role": "patient"}, {"turn": 8, "text": "对肝功影响比较大", "role": "doctor"}, {"turn": 9, "text": "想问下医生，这个脑电波报告的意思是🈶️癫痫的意思吗", "role": "patient"}, {"turn": 10, "text": "第一有癫痫症状，第二有异常脑电波，可以诊断癫痫", "role": "doctor"}, {"turn": 11, "text": "但是如果就发作了一次，可以先不吃药是吧？那平时\n有什么要注意的吗", "role": "patient"}, {"turn": 12, "text": "平时注意减少刺激，预防感冒。可乐。咖啡不能喝。感冒发烧时一些药物也要慎用。避免自己去危险得地方", "role": "doctor"}, {"turn": 13, "text": "谢谢医生，正常去学校上课应该没关系吧？", "role": "patient"}, {"turn": 14, "text": "一般情况下问题不大", "role": "doctor"}, {"turn": 15, "text": "如果用药是要持续吃很长一段时间是吗？", "role": "patient"}, {"turn": 16, "text": "一般需要终生", "role": "doctor"}, {"turn": 17, "text": "不是说2，3年可以控制吗", "role": "patient"}, {"turn": 18, "text": "吃药能控制，不吃咋控制", "role": "doctor"}, {"turn": 19, "text": "不能完全治愈吗", "role": "patient"}, {"turn": 20, "text": "大部分不能治愈", "role": "doctor"}, {"turn": 21, "text": "会有一生只发一次吗", "role": "patient"}, {"turn": 22, "text": "说不好", "role": "doctor"}, {"turn": 23, "text": "谢谢医生", "role": "patient"}, {"turn": 24, "text": "那我这边先不吃药是吧", "role": "patient"}, {"turn": 25, "text": "可以", "role": "doctor"}, {"turn": 26, "text": "5分钟算大发作吗，万一发作要什么措施吗？", "role": "patient"}, {"turn": 27, "text": "大发作是指意识丧失，肢体抽搐，超过五分钟叫癫痫持续状态", "role": "doctor"}, {"turn": 28, "text": "医生，一般有什么措施吗？", "role": "patient"}, {"turn": 29, "text": "主要是防摔倒，放呕吐窒息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 489, "thread": [{"turn": 0, "text": "过敏性鼻炎用什么药效果最好（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "流鼻水，鼻塞", "role": "patient"}, {"turn": 3, "text": "打喷嚏", "role": "patient"}, {"turn": 4, "text": "有鼻子痒打喷嚏吗？", "role": "doctor"}, {"turn": 5, "text": "打喷嚏多不多？流清鼻涕多不多？", "role": "doctor"}, {"turn": 6, "text": "对", "role": "patient"}, {"turn": 7, "text": "多", "role": "patient"}, {"turn": 8, "text": "你目前有没有在用什么药物？", "role": "doctor"}, {"turn": 9, "text": "用什么药能缓解", "role": "patient"}, {"turn": 10, "text": "没用药", "role": "patient"}, {"turn": 11, "text": "你可以先买一点内舒拿或者辅舒良喷鼻，然后买一点氯雷他定口服。", "role": "doctor"}, {"turn": 12, "text": "以前粉尘过敏，在国外没犯，这两天回国犯病了", "role": "patient"}, {"turn": 13, "text": "方便的话也可以到医院去做一个过敏原检测看一下。", "role": "doctor"}, {"turn": 14, "text": "做过", "role": "patient"}, {"turn": 15, "text": "结果是什么", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 490, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：如何控制早泄（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，性生活大概能坚持多长时间", "role": "doctor"}, {"turn": 2, "text": "几分钟吧", "role": "patient"}, {"turn": 3, "text": "多长时间啦早泄", "role": "doctor"}, {"turn": 4, "text": "两分钟", "role": "patient"}, {"turn": 5, "text": "有什么办法治疗没", "role": "patient"}, {"turn": 6, "text": "吃点药调理一下", "role": "doctor"}, {"turn": 7, "text": "都吃过什么药", "role": "doctor"}, {"turn": 8, "text": "没吃过药", "role": "patient"}, {"turn": 9, "text": "吃点复方玄驹胶囊", "role": "doctor"}, {"turn": 10, "text": "两周", "role": "doctor"}, {"turn": 11, "text": "临床效果不错的", "role": "doctor"}, {"turn": 12, "text": "哦，感觉那地方太敏感。需要手术吗。", "role": "patient"}, {"turn": 13, "text": "千万别手术", "role": "doctor"}, {"turn": 14, "text": "别被人骗啦", "role": "doctor"}, {"turn": 15, "text": "先吃吃药吧", "role": "doctor"}, {"turn": 16, "text": "哦，谢谢医生。先调理一下看看", "role": "patient"}, {"turn": 17, "text": "嗯嗯好嘞客气，晚安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 491, "thread": [{"turn": 0, "text": "两次轻微脑震荡之后没怎么休息调养现在只要太累了或者在人多热闹的地方就会疼的厉害从太阳穴到后脑勺厉害的时候会呕吐会感觉眼睛上方也会疼是因为脑震荡的原因导致的嘛？（女，22岁）", "role": "patient"}, {"turn": 1, "text": "多长时间了？还有别的症状吗？", "role": "doctor"}, {"turn": 2, "text": "脑震荡多久了", "role": "doctor"}, {"turn": 3, "text": "第一次脑震荡2013年 第二次是2016年 从2013年开始有这种症状 但是没有太注意", "role": "patient"}, {"turn": 4, "text": "没有关系", "role": "doctor"}, {"turn": 5, "text": "几月份脑震荡的", "role": "doctor"}, {"turn": 6, "text": "几月份出现这个症状的", "role": "doctor"}, {"turn": 7, "text": "没有别的症状 这是因为脑震荡嘛", "role": "patient"}, {"turn": 8, "text": "8月份脑震荡 9月中旬开学的时候就出现这样的", "role": "patient"}, {"turn": 9, "text": "不是脑震荡引起的", "role": "doctor"}, {"turn": 10, "text": "脑震荡最多一个月就完全好了", "role": "doctor"}, {"turn": 11, "text": "这种症状有可能是因为什么呢", "role": "patient"}, {"turn": 12, "text": "心理因素可能性大", "role": "doctor"}, {"turn": 13, "text": "以前有个病人只要和他老公吵架就会呕吐", "role": "doctor"}, {"turn": 14, "text": "应激性的", "role": "doctor"}, {"turn": 15, "text": "那就是说我这一头疼就是神经反应的", "role": "patient"}, {"turn": 16, "text": "可能性很大", "role": "doctor"}, {"turn": 17, "text": "太累或人多后出现的", "role": "doctor"}, {"turn": 18, "text": "好的好的 谢谢🙏", "role": "patient"}, {"turn": 19, "text": "你这是有诱因的", "role": "doctor"}, {"turn": 20, "text": "你下次碰到这种情况你就打自己几下，不往这方面想看能不能好", "role": "doctor"}, {"turn": 21, "text": "诱因？", "role": "patient"}, {"turn": 22, "text": "就是只在劳累和人多下出现", "role": "doctor"}, {"turn": 23, "text": "懂了 懂了 \n谢谢您", "role": "patient"}, {"turn": 24, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 492, "thread": [{"turn": 0, "text": "血管瘤和血管畸形，的区别如何治疗？（男，17岁）", "role": "patient"}, {"turn": 1, "text": "请问是哪个部位的血管瘤？你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "腿部的血管瘤", "role": "patient"}, {"turn": 3, "text": "好多年了", "role": "patient"}, {"turn": 4, "text": "拍个照片看看可以吗", "role": "doctor"}, {"turn": 5, "text": "它们有什么本质上的区别吗？", "role": "patient"}, {"turn": 6, "text": "右小腿腓肠肌异常信号，血管畸形可能", "role": "patient"}, {"turn": 7, "text": "这之前做核磁共振报告上的，最后结论", "role": "patient"}, {"turn": 8, "text": "这应该是血管畸形，是血管瘤的一种类型。血管瘤包括的范围更广一些", "role": "doctor"}, {"turn": 9, "text": "那准确的来讲，称为什么呢？", "role": "patient"}, {"turn": 10, "text": "血管畸形吗？还是血管瘤呢？", "role": "patient"}, {"turn": 11, "text": "称血管畸形，更准确", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢", "role": "patient"}, {"turn": 13, "text": "那我想问一下，我之前做B超，上面最后结论是血管瘤，做核磁共振，最后结论是血管畸形，可能以谁为准的？", "role": "patient"}, {"turn": 14, "text": "这两个称呼并不是矛盾的，血管瘤更笼统一些，血管畸形更具体一些", "role": "doctor"}, {"turn": 15, "text": "那血管畸形和血管瘤怎样判断呢？", "role": "patient"}, {"turn": 16, "text": "我知道血管瘤是良性肿瘤，血管畸形，他不是", "role": "patient"}, {"turn": 17, "text": "血管畸形也是良性的", "role": "doctor"}, {"turn": 18, "text": "血管畸形也是良性肿瘤吗？", "role": "patient"}, {"turn": 19, "text": "是的是的，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 493, "thread": [{"turn": 0, "text": "反流性食管炎的症状有哪些（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么不舒服了？", "role": "doctor"}, {"turn": 2, "text": "打嗝儿反酸水", "role": "doctor"}, {"turn": 3, "text": "胸闷胸痛", "role": "doctor"}, {"turn": 4, "text": "胃部灼热，", "role": "patient"}, {"turn": 5, "text": "胃镜做过吗", "role": "doctor"}, {"turn": 6, "text": "反酸水   然后咽炎睡觉晚上经常憋醒", "role": "patient"}, {"turn": 7, "text": "没做过", "role": "patient"}, {"turn": 8, "text": "平时饮食规律吗？", "role": "doctor"}, {"turn": 9, "text": "吃完就躺着吗", "role": "doctor"}, {"turn": 10, "text": "不运动吗", "role": "doctor"}, {"turn": 11, "text": "不规律。  最近吃的比较多。   运动啊", "role": "patient"}, {"turn": 12, "text": "吃辛辣刺激食物了么？", "role": "doctor"}, {"turn": 13, "text": "我想知道憋挺和这个又关系没", "role": "patient"}, {"turn": 14, "text": "吃了十多天前。 一直吃辣的了", "role": "patient"}, {"turn": 15, "text": "关系肯定有", "role": "doctor"}, {"turn": 16, "text": "这是胃食管返流", "role": "doctor"}, {"turn": 17, "text": "现在咽炎也特别严重", "role": "patient"}, {"turn": 18, "text": "食管炎得做了胃镜才能诊断", "role": "doctor"}, {"turn": 19, "text": "做胃镜很难受吧", "role": "patient"}, {"turn": 20, "text": "不会", "role": "doctor"}, {"turn": 21, "text": "几分钟", "role": "doctor"}, {"turn": 22, "text": "你的意思是。 胃食管返流也可能引起晚上躺下憋气。 呼吸困难", "role": "patient"}, {"turn": 23, "text": "是的", "role": "doctor"}, {"turn": 24, "text": "前段医生给我做检查怀疑我是睡眠暂停", "role": "patient"}, {"turn": 25, "text": "当然如果你很胖", "role": "doctor"}, {"turn": 26, "text": "那就是考虑睡眠暂停", "role": "doctor"}, {"turn": 27, "text": "但你的反流是肯定有的", "role": "doctor"}, {"turn": 28, "text": "不胖。  96以前。  最近才重了达到110", "role": "patient"}, {"turn": 29, "text": "那就是还是胖的", "role": "doctor"}, {"turn": 30, "text": "睡眠监测可以做", "role": "doctor"}, {"turn": 31, "text": "就知道了", "role": "doctor"}, {"turn": 32, "text": "好的", "role": "patient"}, {"turn": 33, "text": "要是返流应该吃点什么药", "role": "patient"}, {"turn": 34, "text": "奥美拉唑20mg一天两次，莫沙必利5mg一天三次。", "role": "doctor"}, {"turn": 35, "text": "好的谢谢", "role": "patient"}, {"turn": 36, "text": "没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 494, "thread": [{"turn": 0, "text": "怀孕29周贫血能喝黄芪精吗（女，36岁）", "role": "patient"}, {"turn": 1, "text": "您好，血红蛋白是多少？", "role": "doctor"}, {"turn": 2, "text": "可以喝的", "role": "doctor"}, {"turn": 3, "text": "109", "role": "patient"}, {"turn": 4, "text": "需要吃补血药，比如力蜚能", "role": "doctor"}, {"turn": 5, "text": "最近晚上睡不好", "role": "patient"}, {"turn": 6, "text": "和维生素C一起吃", "role": "doctor"}, {"turn": 7, "text": "吃着琥珀酸亚铁呢", "role": "patient"}, {"turn": 8, "text": "效果好", "role": "doctor"}, {"turn": 9, "text": "哦，可以", "role": "doctor"}, {"turn": 10, "text": "睡前喝杯温牛奶", "role": "doctor"}, {"turn": 11, "text": "睡不好，亲戚建议吃点驴胶补血颗粒和黄芪精", "role": "patient"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "可以吃的", "role": "doctor"}, {"turn": 15, "text": "这两个可以吃吗？会不会影响胎儿", "role": "patient"}, {"turn": 16, "text": "不会", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "不客气😊", "role": "doctor"}, {"turn": 19, "text": "109算是特别低吗？", "role": "patient"}, {"turn": 20, "text": "好补吗？", "role": "patient"}, {"turn": 21, "text": "不算太低，可以补上来", "role": "doctor"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "😊", "role": "doctor"}, {"turn": 24, "text": "请问便秘咋整", "role": "patient"}, {"turn": 25, "text": "自从吃了那个补铁的之后，便秘严重", "role": "patient"}, {"turn": 26, "text": "早上空腹喝杯温淡盐水，多吃芹菜，地瓜等富含纤维素丰富的食物", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 495, "thread": [{"turn": 0, "text": "癫痫小发作是否有必要做微创手术（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "如果药物控制好，不需要手术的！", "role": "doctor"}, {"turn": 3, "text": "以药物控制为主！", "role": "doctor"}, {"turn": 4, "text": "核磁共振影相判断为左侧海马硬化，有医生说做背部穿刺微创手术，需花费一万多元手术费不懂该不该做这项手术，烦请权威专家回答。", "role": "patient"}, {"turn": 5, "text": "如果药物控制稳定建议继续药物控制！", "role": "doctor"}, {"turn": 6, "text": "癫痫小发作有十年之久却间隔两三个月发作一次。", "role": "patient"}, {"turn": 7, "text": "用药了吗？", "role": "doctor"}, {"turn": 8, "text": "开始服药治疗，必须坚持服用，万万不能间断，只有这样才能有效地控制发作，若发作已完全控制，减药时要逐渐减量，不可骤停。", "role": "doctor"}, {"turn": 9, "text": "服药从来未曾间断过。服德巴金妥泰两种药物早晚各一次。德巴金只一次妥泰两次，但就依然偶然会失神小发作五至十秒以內。", "role": "patient"}, {"turn": 10, "text": "注意休息，避免劳累，饮食清淡，忌食辛辣刺激性食物，避免饮酒，咖啡茶等刺激性饮品！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 496, "thread": [{"turn": 0, "text": "真菌性角膜炎能治好吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况是能治好的，但是比较困难", "role": "doctor"}, {"turn": 2, "text": "需要好好安医生要求治疗", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "我爸爸的眼备花生菌感染啦！现在去医院确诊为细菌性角膜炎，这个病", "role": "patient"}, {"turn": 5, "text": "需要多长时间能治好", "role": "patient"}, {"turn": 6, "text": "不是真菌吗？", "role": "doctor"}, {"turn": 7, "text": "细菌和真菌不是一样的", "role": "doctor"}, {"turn": 8, "text": "真菌性角膜炎", "role": "patient"}, {"turn": 9, "text": "嗯，好好治疗，定期复查", "role": "doctor"}, {"turn": 10, "text": "大慨要多长时间", "role": "patient"}, {"turn": 11, "text": "这个不好说，需要看具体恢复情况，和自身情况，损害程度，治疗依从性有关", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 497, "thread": [{"turn": 0, "text": "痛风发作了7天了,吃什么药好（男，40岁）", "role": "patient"}, {"turn": 1, "text": "您好  您痛风发作了七天  怎么用药了", "role": "doctor"}, {"turn": 2, "text": "我问你呢", "role": "patient"}, {"turn": 3, "text": "我意思是", "role": "doctor"}, {"turn": 4, "text": "您这七天都没怎么用药吗", "role": "doctor"}, {"turn": 5, "text": "我是想了解  \n您是用了药效果不好\n还是一点都有没有用药", "role": "doctor"}, {"turn": 6, "text": "痛风急性发作\n三个药物\n秋水仙碱\n非甾体抗炎药 如英太青\n激素  如得宝松\n我一般选择秋水仙碱 搭配非甾体抗炎药 艾瑞昔布\n都是一天两次 一次一片", "role": "doctor"}, {"turn": 7, "text": "您好  在吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 498, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：慢性结膜炎（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "这周一去看的医生给我开的药，盐酸莫西沙星，氟美龙滴眼液，还有玻璃酸钠滴眼液，说让我一周复诊，可我没约到号，想问一下这些药是不是长时间用不好呀？", "role": "patient"}, {"turn": 3, "text": "不能长时间使用，特别是氟美龙滴眼液，有激素", "role": "doctor"}, {"turn": 4, "text": "我约的下周五去复诊，会不会太晚了？这个时间", "role": "patient"}, {"turn": 5, "text": "时间确实有点久，你现在眼睛怎么样", "role": "doctor"}, {"turn": 6, "text": "还好吧，之前早起会疼，现在晚上早睡，一般不会疼了，就是白天上班看电脑久了会有点不舒服", "role": "patient"}, {"turn": 7, "text": "氟米龙滴眼液每天用几次", "role": "doctor"}, {"turn": 8, "text": "三次", "role": "patient"}, {"turn": 9, "text": "用一周后，减量到2次。", "role": "doctor"}, {"turn": 10, "text": "逐渐减量", "role": "doctor"}, {"turn": 11, "text": "那其他两种呢", "role": "patient"}, {"turn": 12, "text": "我看那个盐酸，上面写的用七天，那个有影响吗", "role": "patient"}, {"turn": 13, "text": "莫西沙星是滴眼液还是口服药", "role": "doctor"}, {"turn": 14, "text": "口服最多吃三天", "role": "doctor"}, {"turn": 15, "text": "滴眼液，三种都是滴眼的", "role": "patient"}, {"turn": 16, "text": "哦，除了氟米龙都可以继续用", "role": "doctor"}, {"turn": 17, "text": "嗯嗯，还有那个玻璃酸钠，他给我次数，是一天四次，这个可以吗", "role": "patient"}, {"turn": 18, "text": "可以，用到4-6次都可以", "role": "doctor"}, {"turn": 19, "text": "就是把那个氟米龙用量一天两次，这样我周五复诊再去看看就没问题是这个意思吗", "role": "patient"}, {"turn": 20, "text": "是的，就是这个意思", "role": "doctor"}, {"turn": 21, "text": "好的那谢谢啦，明白了", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 499, "thread": [{"turn": 0, "text": "肺炎积液一定要拍片复查吗（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题。如果是有存在肺炎胸腔积液的话，经过治疗，最好是复查一个胸片或者CT观察一下治疗情况", "role": "doctor"}, {"turn": 2, "text": "小朋友一个月已经拍了两次了", "role": "patient"}, {"turn": 3, "text": "那也是没办法，先找医生听诊听诊，然后看看有没有你要检查，如果有必要检查那就得做，毕竟这是诊断标准。", "role": "doctor"}, {"turn": 4, "text": "拍片辐射很小，一个月拍两次片辐射量也是微乎其微不需要担心", "role": "doctor"}, {"turn": 5, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 6, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 500, "thread": [{"turn": 0, "text": "肋软骨炎，疼痛难忍，吃了止痛药（男，24岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问这种情况多久了?", "role": "doctor"}, {"turn": 2, "text": "平时做什么工作，身体怎么样，有无劳累熬夜的情况？", "role": "doctor"}, {"turn": 3, "text": "最近疼起来了", "role": "patient"}, {"turn": 4, "text": "没有劳累", "role": "patient"}, {"turn": 5, "text": "以前疼过没？", "role": "doctor"}, {"turn": 6, "text": "去了医院看骨科，医生说是软骨炎", "role": "patient"}, {"turn": 7, "text": "疼过", "role": "patient"}, {"turn": 8, "text": "哪里痛呢？", "role": "doctor"}, {"turn": 9, "text": "季节性的", "role": "patient"}, {"turn": 10, "text": "肋骨", "role": "patient"}, {"turn": 11, "text": "之前有无受凉感冒的情况？", "role": "doctor"}, {"turn": 12, "text": "背，", "role": "patient"}, {"turn": 13, "text": "就是感觉站不住", "role": "patient"}, {"turn": 14, "text": "没有感冒", "role": "patient"}, {"turn": 15, "text": "可以局部热敷理疗，最好是加热的海盐袋或者红外线理疗仪热敷理疗。", "role": "doctor"}, {"turn": 16, "text": "特别疼", "role": "patient"}, {"turn": 17, "text": "封闭针有用吗", "role": "patient"}, {"turn": 18, "text": "现在特别疼", "role": "patient"}, {"turn": 19, "text": "可以，局部利多卡因+利多卡因封闭治疗。", "role": "doctor"}, {"turn": 20, "text": "贵吗", "role": "patient"}, {"turn": 21, "text": "不贵", "role": "doctor"}, {"turn": 22, "text": "去骨科封闭", "role": "doctor"}, {"turn": 23, "text": "那明天去医院挂胸外科", "role": "patient"}, {"turn": 24, "text": "我去了骨科，骨科让我去胸外科", "role": "patient"}, {"turn": 25, "text": "嗯嗯，可以胸外科就诊", "role": "doctor"}, {"turn": 26, "text": "但是现在特别痛", "role": "patient"}, {"turn": 27, "text": "局部热敷理疗，注意规律作息，加强营养，增强体质就好。", "role": "doctor"}, {"turn": 28, "text": "这个会好嘛。", "role": "patient"}, {"turn": 29, "text": "可以吃点氨酚待因片或者羟考酮。", "role": "doctor"}, {"turn": 30, "text": "坚持，慢慢就好了。", "role": "doctor"}, {"turn": 31, "text": "好的，谢谢", "role": "patient"}, {"turn": 32, "text": "不客气，祝早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 501, "thread": [{"turn": 0, "text": "例假刚走五天同房会不会怀孕（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问平时月经规律吗？", "role": "doctor"}, {"turn": 2, "text": "例假刚走5天，要算一算，你从来月经的第1天开始算是第几天了？", "role": "doctor"}, {"turn": 3, "text": "平时推迟一个星期", "role": "patient"}, {"turn": 4, "text": "平时总是推迟的话，那说明你的排卵也是推迟。", "role": "doctor"}, {"turn": 5, "text": "这个月是17号来的例假，23号刚走", "role": "patient"}, {"turn": 6, "text": "下个月会不会就是24号才会来呢？", "role": "doctor"}, {"turn": 7, "text": "对", "role": "patient"}, {"turn": 8, "text": "那你的排卵就是到10号。", "role": "doctor"}, {"turn": 9, "text": "今天同房的对吧", "role": "doctor"}, {"turn": 10, "text": "嗯", "role": "patient"}, {"turn": 11, "text": "精子排出来可以存活三天。三天之后距离10号还有八九天呢，所以说这个时间就不会怀孕。", "role": "doctor"}, {"turn": 12, "text": "距离排卵的时间越远，怀孕的几率越低。", "role": "doctor"}, {"turn": 13, "text": "那如果我的例假不推迟规律的情况下，有可能会怀孕吗", "role": "patient"}, {"turn": 14, "text": "如果你的月经不推迟，那是会怀孕的。", "role": "doctor"}, {"turn": 15, "text": "不推迟的话，还有几天就到排卵日了。", "role": "doctor"}, {"turn": 16, "text": "那几率大吗", "role": "patient"}, {"turn": 17, "text": "那几率大吗", "role": "patient"}, {"turn": 18, "text": "谢谢您", "role": "patient"}, {"turn": 19, "text": "你只要月经会推迟，半年之内每个月都推迟，那怀孕的几率不大。", "role": "doctor"}, {"turn": 20, "text": "谢谢", "role": "patient"}, {"turn": 21, "text": "好的，不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 502, "thread": [{"turn": 0, "text": "溃疡性结肠炎（男，29 岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "溃疡性结肠炎，做的结肠镜检查吗？", "role": "doctor"}, {"turn": 3, "text": "你好治疗一年了又犯了", "role": "patient"}, {"turn": 4, "text": "有脓血便", "role": "patient"}, {"turn": 5, "text": "现在都有什么症状啊！建议再做个结肠镜检查。", "role": "doctor"}, {"turn": 6, "text": "现在吃艾迪莎呢", "role": "patient"}, {"turn": 7, "text": "有什么好的治疗方法吗", "role": "patient"}, {"turn": 8, "text": "艾迪莎或你美沙拉肠溶片都可以的。", "role": "doctor"}, {"turn": 9, "text": "吃一年了没好啊", "role": "patient"}, {"turn": 10, "text": "稍等啊，我处理一个病人。", "role": "doctor"}, {"turn": 11, "text": "好了一个月又出现脓血便了；药也一直没断", "role": "patient"}, {"turn": 12, "text": "你可以换一下美沙拉嗪肠溶片，在用美沙拉嗪栓纳肛。", "role": "doctor"}, {"turn": 13, "text": "针对本次问诊，医生更新了总结建议：溃疡性结肠炎一年了，用药不缓解建议再做个结肠镜检查，可以换美沙拉嗪肠溶片口服，美沙拉嗪栓纳肛或灌肠。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 503, "thread": [{"turn": 0, "text": "hpv没感染会得尖锐湿疣吗？（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，尖锐湿疣是接触疣体传染的", "role": "doctor"}, {"turn": 2, "text": "那是没有感染hpv也会有尖锐湿疣的是吗", "role": "patient"}, {"turn": 3, "text": "是的", "role": "doctor"}, {"turn": 4, "text": "尖锐湿疣会在喉咙部位吗？我鄂下两边淋巴肿大呢，眼睛也模糊", "role": "patient"}, {"turn": 5, "text": "不会", "role": "doctor"}, {"turn": 6, "text": "这个部位接触不到疣体", "role": "doctor"}, {"turn": 7, "text": "2年前有过口交，会有可能感染吗", "role": "patient"}, {"turn": 8, "text": "如果感染现在已经很大了", "role": "doctor"}, {"turn": 9, "text": "就是淋巴结很大诶", "role": "patient"}, {"turn": 10, "text": "哪里淋巴结肿大", "role": "doctor"}, {"turn": 11, "text": "下鄂淋巴结两个肿大。还有腿根有个小的", "role": "patient"}, {"turn": 12, "text": "口腔周围炎症，", "role": "doctor"}, {"turn": 13, "text": "会有吗", "role": "patient"}, {"turn": 14, "text": "会有什么？", "role": "doctor"}, {"turn": 15, "text": "会是因为嘴里有尖锐湿疣才引起的淋巴结肿大吗", "role": "patient"}, {"turn": 16, "text": "不会", "role": "doctor"}, {"turn": 17, "text": "哦哦哦。得了这个病会引起视力摸糊，和头痛吗？", "role": "patient"}, {"turn": 18, "text": "不会的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 504, "thread": [{"turn": 0, "text": "孩子感冒发烧十天不好怎么办（女，7岁）", "role": "patient"}, {"turn": 1, "text": "除了发烧还有什么症状？", "role": "doctor"}, {"turn": 2, "text": "咳嗽", "role": "patient"}, {"turn": 3, "text": "血常规病毒感染。拍胸片是支气管炎", "role": "patient"}, {"turn": 4, "text": "发热，咳嗽多久了", "role": "doctor"}, {"turn": 5, "text": "下周四中午开始发烧 我断断续续到今天有10天了", "role": "patient"}, {"turn": 6, "text": "点滴打了5天", "role": "patient"}, {"turn": 7, "text": "把检查结果发过来看看。", "role": "doctor"}, {"turn": 8, "text": "打的什么针吃的什么药也发过来看看。", "role": "doctor"}, {"turn": 9, "text": "最近一个月开始甲流比较流行，有没有给孩子口服奥司他韦。很容易进转为肺炎。你说之前查的血常规是病毒感染查了有多久了，一般8月3000以上很容易合并细菌感染。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 505, "thread": [{"turn": 0, "text": "吃饭不好，吃着想吐，贫血（男，6岁）", "role": "patient"}, {"turn": 1, "text": "你好，是给孩子咨询吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "孩子的血红蛋白是多少呢？", "role": "doctor"}, {"turn": 4, "text": "没有测血红蛋白吗？您怎么知道孩子是贫血呢？", "role": "doctor"}, {"turn": 5, "text": "低一点点", "role": "patient"}, {"turn": 6, "text": "有测", "role": "patient"}, {"turn": 7, "text": "嗯，如果有数值，可以作为参考了解下孩子的贫血程度，六岁的孩子，现在的身高体重是多少呢？", "role": "doctor"}, {"turn": 8, "text": "119", "role": "patient"}, {"turn": 9, "text": "好的，孩子现在的身高体重是多少呢？", "role": "doctor"}, {"turn": 10, "text": "119cm,40斤", "role": "patient"}, {"turn": 11, "text": "还是六周岁整吗？", "role": "doctor"}, {"turn": 12, "text": "6岁8个多月", "role": "patient"}, {"turn": 13, "text": "嗯，身高还可以，体重也在正常范围内，偏瘦一些。", "role": "doctor"}, {"turn": 14, "text": "我看您说孩子吃饭想吐，是早饭这样还是每次吃饭都这样了？这种情况多久了呢？", "role": "doctor"}, {"turn": 15, "text": "早餐，午餐都不好好吃", "role": "patient"}, {"turn": 16, "text": "逼他吃就说想吐", "role": "patient"}, {"turn": 17, "text": "孩子平时都吃些什么呢？有没有挑食？", "role": "doctor"}, {"turn": 18, "text": "一直都这种情况", "role": "patient"}, {"turn": 19, "text": "给他爱吃的食物也是这样吗？", "role": "doctor"}, {"turn": 20, "text": "早上吃面条，粥，中午吃饭，晚上吃饭", "role": "patient"}, {"turn": 21, "text": "嗯，孩子有爱吃的食物吗？", "role": "doctor"}, {"turn": 22, "text": "他好像没什么爱吃的", "role": "patient"}, {"turn": 23, "text": "水蒸蛋", "role": "patient"}, {"turn": 24, "text": "鸡蛋炒西红柿", "role": "patient"}, {"turn": 25, "text": "平时吃这二个菜", "role": "patient"}, {"turn": 26, "text": "好的呢，孩子对食物一直好像不是太感兴趣，他吃的少，可能跟进食时的不愉快经历或记忆有关，建议您以后在他吃饭时尽量不吵他，食物做的丰盛一些，哪怕多吃一两口，或今天吃饭不用催促了，或其它一点点优点，多鼓励，多夸他。", "role": "doctor"}, {"turn": 27, "text": "孩子不爱吃饭，家长肯定着急，但稍微控制一下，给孩子一个相对愉悦的进餐环境，慢慢改善。同时有意识的带他出去多锻炼，活动量大了，食欲自然会好一些", "role": "doctor"}, {"turn": 28, "text": "孩子目前的生长发育情况还可以，体重偏瘦，跟平时进食少有关。饮食中可以增加些豆制品，肉类，奶制品，这些可以补铁，烹饪时花样多一些，孩子会喜欢的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 506, "thread": [{"turn": 0, "text": "慢性咽炎,喉咙干痛灼热吃什么药?（男，41岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种症状有多久了啊？", "role": "doctor"}, {"turn": 2, "text": "咽炎几年了", "role": "patient"}, {"turn": 3, "text": "最近特厉害", "role": "patient"}, {"turn": 4, "text": "你的胃好不好？吸烟喝酒吗？", "role": "doctor"}, {"turn": 5, "text": "胃可以，不喝酒，抽烟", "role": "patient"}, {"turn": 6, "text": "最近喉咙有白斑", "role": "patient"}, {"turn": 7, "text": "一个多月了吧", "role": "patient"}, {"turn": 8, "text": "一直没有用药物吗", "role": "doctor"}, {"turn": 9, "text": "最近几年咽炎药都用着", "role": "patient"}, {"turn": 10, "text": "蓝芩口服液，蒲地蓝什么的", "role": "patient"}, {"turn": 11, "text": "可以口服柑桔冰梅片，金嗓利咽丸，多喝水亲漱口，禁辛辣，如果短期加重适当加点消炎药", "role": "doctor"}, {"turn": 12, "text": "我四月份做过喉镜，现在没必要再做一次吧？", "role": "patient"}, {"turn": 13, "text": "当时没问题吧？", "role": "doctor"}, {"turn": 14, "text": "医生说咽咽，开的余甘子中药饮片", "role": "patient"}, {"turn": 15, "text": "那就没什么大问题，目前可以继续用药试试", "role": "doctor"}, {"turn": 16, "text": "方便的话做的雾化吸入治疗效果也不错。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 507, "thread": [{"turn": 0, "text": "您好我想问问我的过敏性唇炎（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好！你这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "四个月", "role": "patient"}, {"turn": 3, "text": "我是一名售楼员", "role": "patient"}, {"turn": 4, "text": "以前怎么抹都没有事 在5月份我离职没意义 看直播抹兰芝唇膜连用十天晚上", "role": "patient"}, {"turn": 5, "text": "然后就肿了", "role": "patient"}, {"turn": 6, "text": "但是第八天已经好了 我同事借我口红我膈应就抹了点红霉素软膏", "role": "patient"}, {"turn": 7, "text": "然后二次肿起到现在都不好", "role": "patient"}, {"turn": 8, "text": "一抹口红就肿", "role": "patient"}, {"turn": 9, "text": "很上火因为我的职业需要抹口红", "role": "patient"}, {"turn": 10, "text": "我不知道唇粘膜破损是不是很难恢复 我是不是永远不能用口红了呀", "role": "patient"}, {"turn": 11, "text": "唇膜不可以天天用。唇膜是唇部的“面膜”，唇膜中往往含有去角质酶和滋润唇部的功能性成分，使用唇膜的目的是滋润软化、去除老化角质，为双唇提供营养和光彩，淡化唇部色素沉淀。由于它有去角质的功效，如果天天用角质层会变薄，反而使唇部肌肤变得脆弱。", "role": "doctor"}, {"turn": 12, "text": "建议改善过敏体质，多补充一些维生素或者微量元素等，可以吃一些牛奶动物，肝脏，肾脏，绿叶，水果，蔬菜，鱼类，蛋类等。尽量避免日晒，及时补充水分", "role": "doctor"}, {"turn": 13, "text": "垂粘膜破损可以恢复，恢复一段时间后再使用口红", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 508, "thread": [{"turn": 0, "text": "膀胱炎引起的腰痛怎么治疗（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好  一侧腰疼还是两侧腰疼", "role": "doctor"}, {"turn": 2, "text": "两侧", "role": "patient"}, {"turn": 3, "text": "有发热症状吗", "role": "doctor"}, {"turn": 4, "text": "上午去做了个尿常规  说是  急性膀胱炎  下午回来突然就特别疼", "role": "patient"}, {"turn": 5, "text": "哦", "role": "doctor"}, {"turn": 6, "text": "暂时没有", "role": "patient"}, {"turn": 7, "text": "有开口服药吗？", "role": "doctor"}, {"turn": 8, "text": "大概是什么呢  是膀胱炎引起的吗  还是其他什么", "role": "patient"}, {"turn": 9, "text": "有头孢", "role": "patient"}, {"turn": 10, "text": "主要还是考虑感染引起", "role": "doctor"}, {"turn": 11, "text": "没其他问题吧应该", "role": "patient"}, {"turn": 12, "text": "头孢继续口服", "role": "doctor"}, {"turn": 13, "text": "是那种超级疼那种  吸着疼", "role": "patient"}, {"turn": 14, "text": "怎么能缓解疼痛呢", "role": "patient"}, {"turn": 15, "text": "可以口服一些止疼药物", "role": "doctor"}, {"turn": 16, "text": "会一直很疼吗", "role": "patient"}, {"turn": 17, "text": "一般不会", "role": "doctor"}, {"turn": 18, "text": "好像肚子还有点疼", "role": "patient"}, {"turn": 19, "text": "小肚子？", "role": "doctor"}, {"turn": 20, "text": "对", "role": "patient"}, {"turn": 21, "text": "小肚子疼还是跟膀胱炎引起的感染有关", "role": "doctor"}, {"turn": 22, "text": "会不会肾盂肾炎什么的好怕", "role": "patient"}, {"turn": 23, "text": "肾盂肾炎也是抗感染治疗", "role": "doctor"}, {"turn": 24, "text": "头孢就是抗干扰药吗", "role": "patient"}, {"turn": 25, "text": "嗯", "role": "doctor"}, {"turn": 26, "text": "吃头孢就不会继续发展了对吧", "role": "patient"}, {"turn": 27, "text": "治疗的结果要么有效  要么效果不佳", "role": "doctor"}, {"turn": 28, "text": "一般都会缓解", "role": "doctor"}, {"turn": 29, "text": "那行的", "role": "patient"}, {"turn": 30, "text": "要不要再去医院复诊什么的", "role": "patient"}, {"turn": 31, "text": "就担心影响到肾", "role": "patient"}, {"turn": 32, "text": "服药如果症状缓解  可以口服药物1周  如果不缓解  需要化验一下血液常规", "role": "doctor"}, {"turn": 33, "text": "行", "role": "patient"}, {"turn": 34, "text": "👌", "role": "doctor"}, {"turn": 35, "text": "谢谢医生", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 509, "thread": [{"turn": 0, "text": "医生您好，我想咨询“肺部感染”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "病人肺部感染耐药八个月了有什么办法吗", "role": "patient"}, {"turn": 3, "text": "住院治疗八个月了？", "role": "doctor"}, {"turn": 4, "text": "对", "role": "patient"}, {"turn": 5, "text": "对所有抗生素耐药？", "role": "doctor"}, {"turn": 6, "text": "因为脑梗塞住院，后来肺部感染后一直在治肺部", "role": "patient"}, {"turn": 7, "text": "是的", "role": "patient"}, {"turn": 8, "text": "对，躺的时间久了却是容易出现肺部感染", "role": "doctor"}, {"turn": 9, "text": "病人是根本不能活动吗", "role": "doctor"}, {"turn": 10, "text": "是的", "role": "patient"}, {"turn": 11, "text": "你住在哪个科室", "role": "doctor"}, {"turn": 12, "text": "呼吸科吗", "role": "doctor"}, {"turn": 13, "text": "目前在神经外科", "role": "patient"}, {"turn": 14, "text": "我们这边呼吸科环境不太好", "role": "patient"}, {"turn": 15, "text": "医院病人多了环境一般不会太好", "role": "doctor"}, {"turn": 16, "text": "主要是病人不能活动", "role": "doctor"}, {"turn": 17, "text": "对的", "role": "patient"}, {"turn": 18, "text": "病人做了气切", "role": "patient"}, {"turn": 19, "text": "应该不会对碳青霉烯类的抗生素或者替加环素耐药吧", "role": "doctor"}, {"turn": 20, "text": "那肺部情况很重了", "role": "doctor"}, {"turn": 21, "text": "ct报告是双肺感染支气管扩张", "role": "patient"}, {"turn": 22, "text": "支扩，他以前抽烟吗", "role": "doctor"}, {"turn": 23, "text": "是不是咳嗽好多年了", "role": "doctor"}, {"turn": 24, "text": "抽烟二三十年，不怎么咳嗽", "role": "patient"}, {"turn": 25, "text": "现在病人意识清楚吗", "role": "doctor"}, {"turn": 26, "text": "意识清楚就是不能动", "role": "patient"}, {"turn": 27, "text": "下着胃管？", "role": "doctor"}, {"turn": 28, "text": "对", "role": "patient"}, {"turn": 29, "text": "病人身体一般情况如何", "role": "doctor"}, {"turn": 30, "text": "体质很差", "role": "patient"}, {"turn": 31, "text": "得病以前身体挺好", "role": "patient"}, {"turn": 32, "text": "那真的不好说，关键是不能动。", "role": "doctor"}, {"turn": 33, "text": "现在就是肺部感染耐药不知道怎么办", "role": "patient"}, {"turn": 34, "text": "这样体制的病人气管切开后", "role": "doctor"}, {"turn": 35, "text": "如果对所有的药物都不敏感", "role": "doctor"}, {"turn": 36, "text": "而且就算是这次治好了。吃饭只要不注意误吸了就有感染", "role": "doctor"}, {"turn": 37, "text": "就没有别的什么办法吗？", "role": "patient"}, {"turn": 38, "text": "痰出不来就会一直感染", "role": "doctor"}, {"turn": 39, "text": "他自己都快没力气咳了吧", "role": "doctor"}, {"turn": 40, "text": "是现在很瘦了已经", "role": "patient"}, {"turn": 41, "text": "真的没什么好办法了。如果对所有抗生素不敏感", "role": "doctor"}, {"turn": 42, "text": "气管已经是第三次切开了", "role": "patient"}, {"turn": 43, "text": "就是在消耗病人的生命", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 510, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：滤泡性咽炎（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好！你有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "几个月前说我有滤泡咽炎，反反复复今年为了这个喉咙花了不少钱", "role": "patient"}, {"turn": 3, "text": "有什么症状？", "role": "doctor"}, {"turn": 4, "text": "喉咙很不舒服了，药天天吃也没什么效果", "role": "patient"}, {"turn": 5, "text": "是喉咙干喉咙痒还是有异物感？", "role": "doctor"}, {"turn": 6, "text": "喉咙里有痰，还有异物感，还有胀胀的感觉", "role": "patient"}, {"turn": 7, "text": "痰是咳嗽咳出来的吗？", "role": "doctor"}, {"turn": 8, "text": "有没有做过电子喉镜检查？", "role": "doctor"}, {"turn": 9, "text": "喉镜做过好几次了，又有医生说我是反流性咽喉炎", "role": "patient"}, {"turn": 10, "text": "那把报告可以发过来，我看一下吧。", "role": "doctor"}, {"turn": 11, "text": "我不咳嗽了，就感觉有痰才咳一下让痰吐出来", "role": "patient"}, {"turn": 12, "text": "把喉镜报告发过来，我看一下吧。", "role": "doctor"}, {"turn": 13, "text": "报告是两个月前做的，不知道放哪里去了", "role": "patient"}, {"turn": 14, "text": "那有胃病吗，反酸吗？", "role": "doctor"}, {"turn": 15, "text": "你的异物感呢，有可能是胃酸反酸，然后引起的舌根淋巴滤泡增生。", "role": "doctor"}, {"turn": 16, "text": "这种情况如果说药物保守治疗不好的话，可以考虑手术消融。", "role": "doctor"}, {"turn": 17, "text": "如果没有其他问题，我要下线了。晚安。", "role": "doctor"}, {"turn": 18, "text": "哦，我上次做胃镜没问题", "role": "patient"}, {"turn": 19, "text": "胃镜没问题，但是也会有胃酸反流，胃酸分泌过多的情况。", "role": "doctor"}, {"turn": 20, "text": "要不明天你把喉镜图发过来看看，我再帮你分析分析你的报告。", "role": "doctor"}, {"turn": 21, "text": "我要下线了，", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "报告有可能找不到了", "role": "patient"}, {"turn": 24, "text": "哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 511, "thread": [{"turn": 0, "text": "有没有比宫外孕还严重的（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你是有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "怀孕了吗？", "role": "doctor"}, {"turn": 3, "text": "月经推迟几天了？", "role": "doctor"}, {"turn": 4, "text": "化验血HCG了码", "role": "doctor"}, {"turn": 5, "text": "有没有比宫外孕还严重的", "role": "patient"}, {"turn": 6, "text": "？", "role": "patient"}, {"turn": 7, "text": "您是什么意思啊", "role": "doctor"}, {"turn": 8, "text": "问你怎么回事也没回答呢。", "role": "doctor"}, {"turn": 9, "text": "您是怎么了", "role": "doctor"}, {"turn": 10, "text": "说一下病史，我才能给初步诊断，可能诊断，", "role": "doctor"}, {"turn": 11, "text": "不能一下子说个什么病，比宫外孕还严重啊，你指的是什么方面呢？？", "role": "doctor"}, {"turn": 12, "text": "症状，体征之类的都说一下好吗", "role": "doctor"}, {"turn": 13, "text": "不说症状没法比较的", "role": "doctor"}, {"turn": 14, "text": "看您这么久没有回复，肯定有事耽搁了，这样吧，您有时间的时候把前面的问题回答了，或者还有什么问题继续留言，我有时间看见了就回复您，祝您好运，生活愉快，合作愉快！", "role": "doctor"}, {"turn": 15, "text": "你有空给我留言吧，说说具体病情。我看了立刻回", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 512, "thread": [{"turn": 0, "text": "受伤了脑震荡治疗多久会好（男，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，脑震荡多久了？", "role": "doctor"}, {"turn": 2, "text": "我爸爸受伤了，有年多了，老现在老实头晕，头痛。", "role": "patient"}, {"turn": 3, "text": "1年多了？", "role": "doctor"}, {"turn": 4, "text": "是的，现在头晕，头痛。", "role": "patient"}, {"turn": 5, "text": "是不是脑震荡。", "role": "patient"}, {"turn": 6, "text": "应该不是", "role": "doctor"}, {"turn": 7, "text": "可能是脑血管病", "role": "doctor"}, {"turn": 8, "text": "最近有的医生说脑震荡。", "role": "patient"}, {"turn": 9, "text": "脑震荡已经1年多了，后遗症可能有，建议做个颅脑磁共振+MRA  +颈部MRA 排除脑血管病引起", "role": "doctor"}, {"turn": 10, "text": "脑震荡半年以内有症状，而且绝大多数是没有后遗症的", "role": "doctor"}, {"turn": 11, "text": "他受伤的头部缝了几针。又说是叩面滩。", "role": "patient"}, {"turn": 12, "text": "现在老实头晕头痛怎么回事。", "role": "patient"}, {"turn": 13, "text": "脑供血不足", "role": "doctor"}, {"turn": 14, "text": "怎么治疗才不头疼头晕。", "role": "patient"}, {"turn": 15, "text": "先查查原因  再对症治疗", "role": "doctor"}, {"turn": 16, "text": "好的。", "role": "patient"}, {"turn": 17, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 513, "thread": [{"turn": 0, "text": "医生您好，我想咨询“腰肌劳损”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "腰侧面疼痛  抽的疼的感觉  有时间小便也会抽的疼", "role": "patient"}, {"turn": 3, "text": "左侧腰肌位置", "role": "patient"}, {"turn": 4, "text": "你说的这个症状像输尿管结石的表现", "role": "doctor"}, {"turn": 5, "text": "建议化验一下小便", "role": "doctor"}, {"turn": 6, "text": "主要是 腰肌位置  夏天疼过一段时间  后来没事了  现在又开始疼  时不时疼一会  这是怎么回事", "role": "patient"}, {"turn": 7, "text": "查查B超，看看是否有结石", "role": "doctor"}, {"turn": 8, "text": "肌肉疼痛是持续性的，输尿管结石的疼痛是阵发性的", "role": "doctor"}, {"turn": 9, "text": "这是个持续性的", "role": "patient"}, {"turn": 10, "text": "有啥药物可以控制 或者医治的吗？", "role": "patient"}, {"turn": 11, "text": "腰肌劳损肯定与小便无关。", "role": "doctor"}, {"turn": 12, "text": "肌肉劳损治疗主要是消炎镇痛和肌肉放松。消炎镇痛药如：芬必得、美洛昔康、双氯芬酸钠、洛索洛芬钠、艾瑞昔布等等，任选一个。肌肉松弛药如：复方氯唑沙宗、盐酸乙哌立松，任选一个。胃不好的需同时服保胃药，如奥美拉唑。局部外用药物也有效果，如解痉镇痛酊。另加血塞通滴丸改善局部血液循环。", "role": "doctor"}, {"turn": 13, "text": "可以给我推介一种可以医治的就好  这个药物我不了解  医生给我直接推介一个就可以", "role": "patient"}, {"turn": 14, "text": "芬必得，复方氯唑沙宗，二个药一起就可以，饭后服。前提是诊断正确。", "role": "doctor"}, {"turn": 15, "text": "就是再去医院确定下？", "role": "patient"}, {"turn": 16, "text": "就这样吧   谢谢医生", "role": "patient"}, {"turn": 17, "text": "我明天去医院确定下", "role": "patient"}, {"turn": 18, "text": "对，诊断不正确，治疗会不对症。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 514, "thread": [{"turn": 0, "text": "心律失常与心动有什么区别是突然的突（男，74岁）", "role": "patient"}, {"turn": 1, "text": "请问你现在有什么不适吗？", "role": "doctor"}, {"turn": 2, "text": "您好", "role": "patient"}, {"turn": 3, "text": "怎么了", "role": "doctor"}, {"turn": 4, "text": "发现心突", "role": "patient"}, {"turn": 5, "text": "血压60/80", "role": "patient"}, {"turn": 6, "text": "高压80？", "role": "doctor"}, {"turn": 7, "text": "既往有什么病", "role": "doctor"}, {"turn": 8, "text": "是的", "role": "patient"}, {"turn": 9, "text": "太低了", "role": "doctor"}, {"turn": 10, "text": "平时血压多少", "role": "doctor"}, {"turn": 11, "text": "心率失常", "role": "patient"}, {"turn": 12, "text": "平时压差就地", "role": "patient"}, {"turn": 13, "text": "平时血压多少", "role": "doctor"}, {"turn": 14, "text": "是什么心律失常？早搏，房颤？室上速？", "role": "doctor"}, {"turn": 15, "text": "80/140", "role": "patient"}, {"turn": 16, "text": "血压低了？", "role": "doctor"}, {"turn": 17, "text": "去医院吧，", "role": "doctor"}, {"turn": 18, "text": "都有", "role": "patient"}, {"turn": 19, "text": "休克了", "role": "doctor"}, {"turn": 20, "text": "体征都没事", "role": "patient"}, {"turn": 21, "text": "有危险，", "role": "doctor"}, {"turn": 22, "text": "血压太低了，", "role": "doctor"}, {"turn": 23, "text": "暂时用什么药缓解一下", "role": "patient"}, {"turn": 24, "text": "用利多卡因可以吗", "role": "patient"}, {"turn": 25, "text": "不可以，", "role": "doctor"}, {"turn": 26, "text": "还是去医院吧，有危险，看看什么原因来的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 515, "thread": [{"turn": 0, "text": "5岁视力0.6矫正视力1.0是弱视吗（男，5岁）", "role": "patient"}, {"turn": 1, "text": "你好，不是弱视，矫正视力1.0就不是弱视", "role": "doctor"}, {"turn": 2, "text": "您好，医生，目前医院就只是让孩子配镜矫正，没有让做其他的眼部训练，散瞳验光后确定为远视散光，散光度数为150度。请问不需要其他的辅助训练吗？这个情况有没有希望眼睛恢复视力摘掉眼镜？", "role": "patient"}, {"turn": 3, "text": "不是弱视，就不需要做治疗。戴眼镜就可以。在成长过程中远视度数是有可能会减小的。还是有机会摘掉眼镜的。但是要定期复查", "role": "doctor"}, {"turn": 4, "text": "孩子从2岁半戴上眼镜，之前一年半在一家医院看的说孩子弱视。后面换了一家医院说孩子根本不是弱视，只是散光远视", "role": "patient"}, {"turn": 5, "text": "现在矫正视力正常就不是弱视", "role": "doctor"}, {"turn": 6, "text": "两家医院说的不一样把我弄的很茫然", "role": "patient"}, {"turn": 7, "text": "好的，谢谢", "role": "patient"}, {"turn": 8, "text": "哦，现在看不是弱视", "role": "doctor"}, {"turn": 9, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 516, "thread": [{"turn": 0, "text": "基本上天天感冒 是过敏性鼻炎吗（女，17）", "role": "patient"}, {"turn": 1, "text": "你好，有什么不适？喷嚏，流鼻涕？咳嗽吗？", "role": "doctor"}, {"turn": 2, "text": "不停打喷嚏 流鼻涕 不咳嗽", "role": "patient"}, {"turn": 3, "text": "多长时间了？服用过什么药物吗？", "role": "doctor"}, {"turn": 4, "text": "基本上天天感冒 有时候突然加重就流眼泪了", "role": "patient"}, {"turn": 5, "text": "服用过感冒药物吗？冬天夏天症状一样吗？", "role": "doctor"}, {"turn": 6, "text": "普通感冒药 一样的", "role": "patient"}, {"turn": 7, "text": "有点鼻炎表现，如果方便最好去医院确诊一下。", "role": "doctor"}, {"turn": 8, "text": "那是不是过敏性鼻炎呢", "role": "patient"}, {"turn": 9, "text": "过敏性鼻炎一般来讲是与季节有关系，但你的与季节变化关系不大。", "role": "doctor"}, {"turn": 10, "text": "好的 谢谢哦", "role": "patient"}, {"turn": 11, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 517, "thread": [{"turn": 0, "text": "顽固性高血压目前有没有新的解决办法？（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的血压多高？", "role": "doctor"}, {"turn": 2, "text": "140-100", "role": "patient"}, {"turn": 3, "text": "一般什么时候血压高", "role": "doctor"}, {"turn": 4, "text": "每天早上吃拜新同，阿尔马尔，代文各一片，下午付硝苯地平10mg，晚上睡前服1m阿尔法阻滞剂", "role": "patient"}, {"turn": 5, "text": "一般早上和下午高", "role": "patient"}, {"turn": 6, "text": "去过包括华西医院在内的多个医院住院治疗，都没解决血压问题", "role": "patient"}, {"turn": 7, "text": "检查出来是什么原因引起的高血压呢？华西医院已经是很好的医院了", "role": "doctor"}, {"turn": 8, "text": "无继发性高血压，华西结论是raas活性高，睡眠呼吸障碍", "role": "patient"}, {"turn": 9, "text": "嗯，他们怎么建议的？", "role": "doctor"}, {"turn": 10, "text": "RAAS 系统活性高可以加用普利类降压药的", "role": "doctor"}, {"turn": 11, "text": "可以加用依那普利试试看", "role": "doctor"}, {"turn": 12, "text": "现在技术上有没有新的突破", "role": "patient"}, {"turn": 13, "text": "很遗憾，目前我们还没有看到新的指南", "role": "doctor"}, {"turn": 14, "text": "我已经还过很多个方案，生活上很注意，每天都要慢跑5公里，血压依然如此，真的绝望了", "role": "patient"}, {"turn": 15, "text": "要坦然面对，乐观一点，不要把注意力放在血压上面，放松心情对血压的降低也是很有作用的", "role": "doctor"}, {"turn": 16, "text": "呵呵，很多医生都这么说，今天单位体检，血压164-104，哎，真的没一点办法了吗", "role": "patient"}, {"turn": 17, "text": "加用口服药物", "role": "doctor"}, {"turn": 18, "text": "不要对自己失望嘛，血压高也是一天，低也是一天，何不快乐的过一天，把精力放在其他事情上呢", "role": "doctor"}, {"turn": 19, "text": "也许精力不在这上边了，心情放松了，血压也都降下来了呢", "role": "doctor"}, {"turn": 20, "text": "每天已经服5片药", "role": "patient"}, {"turn": 21, "text": "可以同时服用五种降压药的", "role": "doctor"}, {"turn": 22, "text": "您是不是现在已经为血压问题感到焦虑了？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 518, "thread": [{"turn": 0, "text": "复发性滤泡性淋巴瘤IIIA（男，69岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？您想咨询什么问题呢？", "role": "doctor"}, {"turn": 2, "text": "2003年检查发现，用了两疗程化疗后控制很好。今年初复发复诊，但化疗用药后很快又复发，再放疗一疗程，效果较差，且病人身体状况明显变差（无食欲、肿块继续增大、压迫疼痛难睡眠）。想问有什么治疗办法可控制肿块", "role": "patient"}, {"turn": 3, "text": "不好意思让您久等了", "role": "doctor"}, {"turn": 4, "text": "患者在哪个医院治疗着呢？", "role": "doctor"}, {"turn": 5, "text": "江门市中心医院", "role": "patient"}, {"turn": 6, "text": "哦，这种情况就很麻烦了，没有标准的治疗方案，建议是重新做病理看看有没有转化，治疗的话，如果经济条件好，可以选择新特药，干细胞移植，或积极参加临床试验", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 519, "thread": [{"turn": 0, "text": "肝硬化早期症状判断要如何进行（男，58岁）", "role": "patient"}, {"turn": 1, "text": "您好，肝硬化早期也就是代偿期，一般没有什么症状，大部分人出现的不舒服就是上腹部不适，腹胀，食欲下降，体重减轻，厌油等", "role": "doctor"}, {"turn": 2, "text": "做什么检查", "role": "patient"}, {"turn": 3, "text": "一般可以做腹部彩超，空腹做。还有肝纤谱检查，腹部CT,首先可以做彩超", "role": "doctor"}, {"turn": 4, "text": "检查报告什么情况下才算早期肝硬化症状", "role": "patient"}, {"turn": 5, "text": "早期肝硬化做检查能看的到肝脏实质改变，通俗的说就是拍的片子和正常不一样", "role": "doctor"}, {"turn": 6, "text": "其它部位，比如胃肠，肾脏这些都是正常的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 520, "thread": [{"turn": 0, "text": "蒲公英能缓解直肠癌疼痛吗？（男，72岁）", "role": "patient"}, {"turn": 1, "text": "你好，确认是直肠癌引起的癌症疼痛吗？", "role": "doctor"}, {"turn": 2, "text": "对", "role": "patient"}, {"turn": 3, "text": "直肠已做了手术，现在是造口了", "role": "patient"}, {"turn": 4, "text": "蒲公英的作用不大，还是考虑应用镇痛药物", "role": "doctor"}, {"turn": 5, "text": "是不是没保留肛门？", "role": "doctor"}, {"turn": 6, "text": "有什么好的介绍吗？", "role": "patient"}, {"turn": 7, "text": "肛门还保留", "role": "patient"}, {"turn": 8, "text": "但已经做了造口", "role": "patient"}, {"turn": 9, "text": "手术多久了？是根治手术吗？有没有复发", "role": "doctor"}, {"turn": 10, "text": "就是不想用太多西药镇痛，才向你请教用中药", "role": "patient"}, {"turn": 11, "text": "造口手术才两个多月", "role": "patient"}, {"turn": 12, "text": "中药作用不大，不是肿瘤晚期，临时用点镇痛药物影响不大", "role": "doctor"}, {"turn": 13, "text": "是不是根治我就不懂", "role": "patient"}, {"turn": 14, "text": "如果是晚期呢", "role": "patient"}, {"turn": 15, "text": "术后两个多月，应该不怎么疼痛了，除非肿瘤晚期", "role": "doctor"}, {"turn": 16, "text": "晚期肿瘤后期都需要镇痛药物维持，减轻患者痛苦", "role": "doctor"}, {"turn": 17, "text": "我不懂是晚期还是什么", "role": "patient"}, {"turn": 18, "text": "他是有时很痛，有时又不怎么痛", "role": "patient"}, {"turn": 19, "text": "哦，肿瘤有没有完整切除？", "role": "doctor"}, {"turn": 20, "text": "他们说用那镇痛药是有依赖性的", "role": "patient"}, {"turn": 21, "text": "所以想问下中药来试下", "role": "patient"}, {"turn": 22, "text": "医生不说。不知道", "role": "patient"}, {"turn": 23, "text": "有一定依赖性，如果是晚期肿瘤，那是必走之路，没有特别好的办法", "role": "doctor"}, {"turn": 24, "text": "有人建议我去买蒲公英来煮水", "role": "patient"}, {"turn": 25, "text": "所以，顺便问下蒲公英与什么配最好？不妨试下呗", "role": "patient"}, {"turn": 26, "text": "蒲公英有清热解毒的作用，喝点可以", "role": "doctor"}, {"turn": 27, "text": "又或者有什么好的中药，试下无妨。死马当活马医嘛", "role": "patient"}, {"turn": 28, "text": "缓解疼痛，还是镇痛药物为主", "role": "doctor"}, {"turn": 29, "text": "不好意思，中药的作用不大，我个人建议", "role": "doctor"}, {"turn": 30, "text": "什么建议？", "role": "patient"}, {"turn": 31, "text": "如果是晚期还是应用镇痛药物，分阶梯应用", "role": "doctor"}, {"turn": 32, "text": "开始用一般镇痛药物，后期需要杜冷丁等强效镇痛药物了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 521, "thread": [{"turn": 0, "text": "脂溢性脱发原因及治疗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是头顶毛发明显稀疏？\n发病多长时间？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "有大半年了", "role": "patient"}, {"turn": 4, "text": "好的。脂溢性脱发主要是遗传因素引起。\n自身激素水平高，雄激素在体内转化为二氢睾酮。后者会使毛囊逐渐萎缩退化，毛发逐渐变细弱甚至消退。", "role": "doctor"}, {"turn": 5, "text": "没有怀孕哺乳。可以外用米诺地尔酊每日二次。3个月以上止脱，12个月以上才能长出新的头发。", "role": "doctor"}, {"turn": 6, "text": "这个药有没有什么副作用", "role": "patient"}, {"turn": 7, "text": "只要没有接触涂抹部位过敏，就没事。", "role": "doctor"}, {"turn": 8, "text": "破溃渗液部位不能涂。", "role": "doctor"}, {"turn": 9, "text": "还有其他方式没有  那个用生姜搽试头皮有用吗", "role": "patient"}, {"turn": 10, "text": "生姜水刺激性大，会加重脱发。", "role": "doctor"}, {"turn": 11, "text": "可以每天用手指肚揉搓头皮，促进局部血液循环。", "role": "doctor"}, {"turn": 12, "text": "另外，忌烟酒。\n规律作息，不要熬夜。", "role": "doctor"}, {"turn": 13, "text": "这个药在药店能买吧", "role": "patient"}, {"turn": 14, "text": "能。", "role": "doctor"}, {"turn": 15, "text": "洗发水和护发素有推荐的吗", "role": "patient"}, {"turn": 16, "text": "医院开药会便宜点。", "role": "doctor"}, {"turn": 17, "text": "建议上海硫磺皂清洁皮肤，洗头，去油效果最好。", "role": "doctor"}, {"turn": 18, "text": "这个肥皂洗头皮可以呀？", "role": "patient"}, {"turn": 19, "text": "生发剂这些有没有用啊？", "role": "patient"}, {"turn": 20, "text": "硫磺皂清洁皮肤，可以洗头洗脸洗澡。", "role": "doctor"}, {"turn": 21, "text": "生发剂，就是米诺地尔酊最有效。\n\n还可以用复方斯亚旦生发酊。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 522, "thread": [{"turn": 0, "text": "肠道功能紊乱有哪些症状？（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "大便干燥", "role": "patient"}, {"turn": 3, "text": "多久了？", "role": "doctor"}, {"turn": 4, "text": "我也不知道，有时候干燥有时候不干燥", "role": "patient"}, {"turn": 5, "text": "不干燥时大便成型吗", "role": "doctor"}, {"turn": 6, "text": "成型", "role": "patient"}, {"turn": 7, "text": "平时吃蔬菜水果多吗？喝水多吗？", "role": "doctor"}, {"turn": 8, "text": "水果不咋吃，最近两天排便困难，左下腹还觉得难受", "role": "patient"}, {"turn": 9, "text": "蔬菜吃的也少。", "role": "patient"}, {"turn": 10, "text": "左下腹难受，有可能是粪便堆积到乙状结肠引起的", "role": "doctor"}, {"turn": 11, "text": "建议您多吃蔬菜水果，尤其是香蕉，火龙果，芹菜等", "role": "doctor"}, {"turn": 12, "text": "可以口服乳果糖口服液和双歧杆菌四联活菌片", "role": "doctor"}, {"turn": 13, "text": "昨天晚上感觉昨下腹摸着有条索状肿物一样，想拉屎又拉不出来", "role": "patient"}, {"turn": 14, "text": "昨晚就想拉，但是拉不出来，今天中午拉了一点点，但是很干燥，", "role": "patient"}, {"turn": 15, "text": "条索状肿物就是粪块在肠道内形成的肠型", "role": "doctor"}, {"turn": 16, "text": "可以打两支开塞露，保留半个小时后再排便", "role": "doctor"}, {"turn": 17, "text": "吃柿子会不会导致排便困难啊", "role": "patient"}, {"turn": 18, "text": "如果便秘时再吃柿子会加重便秘", "role": "doctor"}, {"turn": 19, "text": "另外柿子不能空腹吃，否则容易产生结石。", "role": "doctor"}, {"turn": 20, "text": "左下腹的肿块没事吧，就摸着一条条的，肿起来的一样", "role": "patient"}, {"turn": 21, "text": "我就吃了两个柿子，", "role": "patient"}, {"turn": 22, "text": "应该都是肠道里堆积的大便", "role": "doctor"}, {"turn": 23, "text": "那你吃的不多，应该没问题", "role": "doctor"}, {"turn": 24, "text": "建议您尽快通便", "role": "doctor"}, {"turn": 25, "text": "前两天肚子就突然抽筋", "role": "patient"}, {"turn": 26, "text": "抽筋一样的疼，也是想大便，但是大便不下啊我", "role": "patient"}, {"turn": 27, "text": "有没有腹胀、恶心、呕吐", "role": "doctor"}, {"turn": 28, "text": "没有，", "role": "patient"}, {"turn": 29, "text": "那就是大便不通", "role": "doctor"}, {"turn": 30, "text": "需要赶快通便", "role": "doctor"}, {"turn": 31, "text": "大便呈羊屎蛋状的，块块状的", "role": "patient"}, {"turn": 32, "text": "可以口服乳果糖口服液或者蓖麻油，加上开塞露", "role": "doctor"}, {"turn": 33, "text": "大便太干燥了", "role": "doctor"}, {"turn": 34, "text": "多喝水，多吃蔬菜水果", "role": "doctor"}, {"turn": 35, "text": "好的👌谢谢医生", "role": "patient"}, {"turn": 36, "text": "应该的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 523, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：孩子拔牙哭闹怎么办（女，8岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝为什么拔牙呢", "role": "doctor"}, {"turn": 2, "text": "有一个虫牙断了  还有四颗双排牙", "role": "patient"}, {"turn": 3, "text": "孩子是因为恐惧所以哭闹", "role": "doctor"}, {"turn": 4, "text": "所以您可以和她讲讲道理，以后不拔牙多难看呀之类的", "role": "doctor"}, {"turn": 5, "text": "对 没办法去牙科拔牙", "role": "patient"}, {"turn": 6, "text": "去了很多次 没有成功", "role": "patient"}, {"turn": 7, "text": "去那种专业的儿童口腔，有把孩子绑住的那种", "role": "doctor"}, {"turn": 8, "text": "而且拔牙难度不大，所以绑起来你不要心疼", "role": "doctor"}, {"turn": 9, "text": "有没有让孩子镇静的办法", "role": "patient"}, {"turn": 10, "text": "没有太好的，用镇静之类的药物犯不上吧", "role": "doctor"}, {"turn": 11, "text": "对孩子也没有益处", "role": "doctor"}, {"turn": 12, "text": "镇静之类的药物 伤害大吗", "role": "patient"}, {"turn": 13, "text": "伤害肯定是有的，但是不会太大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 524, "thread": [{"turn": 0, "text": "手肘关节滑膜炎怎么去治疗和康复（男，24岁）", "role": "patient"}, {"turn": 1, "text": "请问你这种情况有多久了?", "role": "doctor"}, {"turn": 2, "text": "请问多长时间了？有什么症状？", "role": "doctor"}, {"turn": 3, "text": "挺长了", "role": "patient"}, {"turn": 4, "text": "怎么不舒服？", "role": "doctor"}, {"turn": 5, "text": "关节反复发炎", "role": "patient"}, {"turn": 6, "text": "伸不直", "role": "patient"}, {"turn": 7, "text": "有没有发低烧平时？", "role": "doctor"}, {"turn": 8, "text": "关节肿不肿？", "role": "doctor"}, {"turn": 9, "text": "我是血友病患者", "role": "patient"}, {"turn": 10, "text": "但是很久没有关节出血了", "role": "patient"}, {"turn": 11, "text": "现在关节炎很难治疗好", "role": "patient"}, {"turn": 12, "text": "如果是血友病，建议做个肘关节穿刺看里面是否为积血，如果是还是要处理血友病本身", "role": "doctor"}, {"turn": 13, "text": "如果不是建议抽血化验，找到病因", "role": "doctor"}, {"turn": 14, "text": "积血积液估计都有，这种情况好治疗吗？", "role": "patient"}, {"turn": 15, "text": "如果是积液还需要详细查，排除是血友病引起的", "role": "doctor"}, {"turn": 16, "text": "如果是积血，只能靠治疗血友病，输血浆来改善出血情况了", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢", "role": "patient"}, {"turn": 18, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 525, "thread": [{"turn": 0, "text": "有慢性肾炎的人可以喝十全大补丸吗？（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好现在肾功能怎么样？", "role": "doctor"}, {"turn": 2, "text": "肾功能正常", "role": "patient"}, {"turn": 3, "text": "壮阳用吗？", "role": "doctor"}, {"turn": 4, "text": "还不如吃点百灵或者金水宝，护肾治疗的同时还能增强抵抗力", "role": "doctor"}, {"turn": 5, "text": "这个十全大补丸没有护肾的作用", "role": "doctor"}, {"turn": 6, "text": "我是补气血", "role": "patient"}, {"turn": 7, "text": "金水宝可以了解下，十全大补丸作用都有，但是可以护肾", "role": "doctor"}, {"turn": 8, "text": "是我们的处方药", "role": "doctor"}, {"turn": 9, "text": "但是您如果要吃十全大补丸的话也可以，因为是一个中成药物，对肾脏影响应该不大哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 526, "thread": [{"turn": 0, "text": "深静脉血栓属于上腔静脉综合征么（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "什么部位血栓", "role": "doctor"}, {"turn": 3, "text": "我做ppt", "role": "patient"}, {"turn": 4, "text": "不属于", "role": "doctor"}, {"turn": 5, "text": "我没病", "role": "patient"}, {"turn": 6, "text": "但是深静脉血栓会引起上腔静脉综合征是么", "role": "patient"}, {"turn": 7, "text": "上腔静脉综合征（SVCS）又称上腔静脉阻塞综合征，是一组由于通过上腔静脉回流到右心房的血流部分或完全受阻相互影响所致的症候群，为肿瘤临床上最常见的急症。患者出现急性或亚急性呼吸困难和面颈肿胀。检查可见面颈、上肢和胸部静脉回流受阻，淤血，水肿，进一步发展可导致缺氧和颅内压增高", "role": "doctor"}, {"turn": 8, "text": "可能性不大", "role": "doctor"}, {"turn": 9, "text": "为什么呢", "role": "patient"}, {"turn": 10, "text": "我看病因写了血栓啊", "role": "patient"}, {"turn": 11, "text": "上腔静脉回流到右心房路径", "role": "doctor"}, {"turn": 12, "text": "血栓会影响回流呀", "role": "patient"}, {"turn": 13, "text": "这个位置血栓形成可能性不大", "role": "doctor"}, {"turn": 14, "text": "这样", "role": "patient"}, {"turn": 15, "text": "那上腔静脉血栓形成一般都有哪些原因呢", "role": "patient"}, {"turn": 16, "text": "肿瘤", "role": "doctor"}, {"turn": 17, "text": "？", "role": "patient"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "深静脉血栓一般是指下肢么", "role": "patient"}, {"turn": 20, "text": "上肢深静脉血栓比较少是吗", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "好的 谢谢您", "role": "patient"}, {"turn": 23, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 527, "thread": [{"turn": 0, "text": "怀孕快三个月便秘怎么办了？（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，平时水果蔬菜吃的多吗？", "role": "doctor"}, {"turn": 2, "text": "还好吧", "role": "patient"}, {"turn": 3, "text": "可以用乳果糖", "role": "doctor"}, {"turn": 4, "text": "还有其他方法不", "role": "patient"}, {"turn": 5, "text": "吃点燕麦", "role": "doctor"}, {"turn": 6, "text": "粗粮", "role": "doctor"}, {"turn": 7, "text": "是芝麻也可以是不", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "那芝麻可以和葡萄干然后蜂蜜一起泡着喝不", "role": "patient"}, {"turn": 10, "text": "少喝蜂蜜", "role": "doctor"}, {"turn": 11, "text": "太甜了", "role": "doctor"}, {"turn": 12, "text": "没有放多少", "role": "patient"}, {"turn": 13, "text": "那可以的", "role": "doctor"}, {"turn": 14, "text": "那如果还便秘怎么办", "role": "patient"}, {"turn": 15, "text": "燕麦试试", "role": "doctor"}, {"turn": 16, "text": "那种燕麦了", "role": "patient"}, {"turn": 17, "text": "都可以的", "role": "doctor"}, {"turn": 18, "text": "燕麦当晩餐吃也可以吗", "role": "patient"}, {"turn": 19, "text": "可以，但是最好吃点菜", "role": "doctor"}, {"turn": 20, "text": "是不是应该少用米饭当主食", "role": "patient"}, {"turn": 21, "text": "每天要保证100克的肉制品，一个鸡蛋", "role": "doctor"}, {"turn": 22, "text": "是不是应该少用米饭当主食了？", "role": "patient"}, {"turn": 23, "text": "吃粗粮更好呢", "role": "doctor"}, {"turn": 24, "text": "粗粮除了燕麦还有那些了", "role": "patient"}, {"turn": 25, "text": "藜麦", "role": "doctor"}, {"turn": 26, "text": "超市都有卖的", "role": "doctor"}, {"turn": 27, "text": "嗯，那买纯麦片和有添加糖那种更好些了", "role": "patient"}, {"turn": 28, "text": "不要糖的", "role": "doctor"}, {"turn": 29, "text": "那纯麦片泡着自己再加点蜂蜜进去吗，不然不是没味道？", "role": "patient"}, {"turn": 30, "text": "可以的", "role": "doctor"}, {"turn": 31, "text": "用这个是当主食的早餐或晚餐吗", "role": "patient"}, {"turn": 32, "text": "是的", "role": "doctor"}, {"turn": 33, "text": "那我现在吃这些还可以改善不，三天没上厕所了，今天要上厕所但蹲了二十分钟也没上出来", "role": "patient"}, {"turn": 34, "text": "肯定不会马上有改善的", "role": "doctor"}, {"turn": 35, "text": "那像我现在这种情况什么方法有效快", "role": "patient"}, {"turn": 36, "text": "怕到时去上厕所还是上不出来", "role": "patient"}, {"turn": 37, "text": "开塞露是最快的", "role": "doctor"}, {"turn": 38, "text": "这两种都可以是吧", "role": "patient"}, {"turn": 39, "text": "可以", "role": "doctor"}, {"turn": 40, "text": "这两种对孕妇和胎儿有影响不？", "role": "patient"}, {"turn": 41, "text": "没有影响", "role": "doctor"}, {"turn": 42, "text": "药店都有卖是吧", "role": "patient"}, {"turn": 43, "text": "有的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 528, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：尿道炎（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有什么不舒服的症状吗？", "role": "doctor"}, {"turn": 2, "text": "尿频 尿急 尿痛半个月了 前几天打了左氧也没见好", "role": "patient"}, {"turn": 3, "text": "有做了什么检查吗？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "尿常规和泌尿B超检查一下", "role": "doctor"}, {"turn": 6, "text": "会不会是性病啊", "role": "patient"}, {"turn": 7, "text": "有没有尿道分泌物呢", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "尿道分泌物是什么样的", "role": "patient"}, {"turn": 10, "text": "就是有没有东西流出来", "role": "doctor"}, {"turn": 11, "text": "输液左氧氟沙星几天了", "role": "doctor"}, {"turn": 12, "text": "两天", "role": "patient"}, {"turn": 13, "text": "好像没有", "role": "patient"}, {"turn": 14, "text": "一点效果都没有吗", "role": "doctor"}, {"turn": 15, "text": "稍微有一点", "role": "patient"}, {"turn": 16, "text": "但是输完左氧小腹会有点不舒服", "role": "patient"}, {"turn": 17, "text": "症状不缓解，还是建议你倒医院做进一步的检查", "role": "doctor"}, {"turn": 18, "text": "要检查什么啊", "role": "patient"}, {"turn": 19, "text": "一般要是性病的话会有什么症状", "role": "patient"}, {"turn": 20, "text": "检查尿常规和泌尿系B超，根据结果调整用药", "role": "doctor"}, {"turn": 21, "text": "性病一般会有分泌物，溃疡或者长东西之类的症状", "role": "doctor"}, {"turn": 22, "text": "大概多久会发作啊", "role": "patient"}, {"turn": 23, "text": "出现这些症状", "role": "patient"}, {"turn": 24, "text": "最快一周发作", "role": "doctor"}, {"turn": 25, "text": "哦哦哦哦", "role": "patient"}, {"turn": 26, "text": "溃疡的话出现在哪里啊", "role": "patient"}, {"turn": 27, "text": "生殖器上", "role": "doctor"}, {"turn": 28, "text": "哦哦哦 知道了谢谢", "role": "patient"}, {"turn": 29, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 529, "thread": [{"turn": 0, "text": "神经官能症 经常心脏痛 胃痛（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，您有做过系统的阴阳检查吗？", "role": "doctor"}, {"turn": 2, "text": "什么叫系统的", "role": "patient"}, {"turn": 3, "text": "不懂", "role": "patient"}, {"turn": 4, "text": "我检查器械都检查了", "role": "patient"}, {"turn": 5, "text": "意思是关于心脏的检查都做过啦？都没有什么问题？", "role": "doctor"}, {"turn": 6, "text": "没啥问题", "role": "patient"}, {"turn": 7, "text": "那请问，您的心脏是怎么个疼法啊？？针扎样？还是闷疼", "role": "doctor"}, {"turn": 8, "text": "闷痛", "role": "patient"}, {"turn": 9, "text": "每次能疼多久啊？？疼得时候活动影响不", "role": "doctor"}, {"turn": 10, "text": "不影响", "role": "patient"}, {"turn": 11, "text": "半个小时", "role": "patient"}, {"turn": 12, "text": "那不考虑一个心脏疼，心脏疼一般是走不动的", "role": "doctor"}, {"turn": 13, "text": "那是什么疼？", "role": "patient"}, {"turn": 14, "text": "呼吸困难", "role": "patient"}, {"turn": 15, "text": "胸闷", "role": "patient"}, {"turn": 16, "text": "考虑还是神经痛啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 530, "thread": [{"turn": 0, "text": "我有鼻窦炎，鼻涕流的很，该怎么办（男，49岁）", "role": "patient"}, {"turn": 1, "text": "您好，这次发有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "鼻塞头疼有吗？鼻子通畅性怎么样呢？", "role": "doctor"}, {"turn": 3, "text": "您好，这次发病有多长时间了？", "role": "doctor"}, {"turn": 4, "text": "鼻窦炎主要为流脓涕，鼻塞，鼻子通畅性差，头痛。流清涕大多是急性鼻炎发作。可以用生理盐水冲洗鼻腔，保持鼻腔通畅，用呋嘛滴鼻液滴鼻子，口服维生素c,西替利嗪片减轻，缓解流涕鼻塞症状，", "role": "doctor"}, {"turn": 5, "text": "同时配合一些中成药香菊胶囊", "role": "doctor"}, {"turn": 6, "text": "如果是脓涕可以加消炎药，头孢丙烯，甲硝唑片", "role": "doctor"}, {"turn": 7, "text": "我大便又干燥，鼻窦炎一个星期左右了，鼻涕流的厉害，打喷涕又多", "role": "patient"}, {"turn": 8, "text": "流清涕还是黄脓涕？鼻塞严重吗？有没有头疼头晕？", "role": "doctor"}, {"turn": 9, "text": "流清鼻涕带点丝，鼻塞左边重一点，右边还好，就是鼻子里难受的很，鼻窦炎对眼睛有伤害吗，我眼睛也不怎么舒服", "role": "patient"}, {"turn": 10, "text": "请医生给我开点药方，我到药店去买，", "role": "patient"}, {"turn": 11, "text": "抱歉，太晚了，没能及时看到。\n\n你目前急性鼻炎或慢性鼻窦炎急性加重可能性大，对眼睛有影响的。可以1.用生理盐水冲洗鼻腔，保持鼻腔通畅2.用呋嘛滴鼻液滴鼻子，3.口服维生素c,西替利嗪片，鼻炎康片减轻缓解流涕鼻塞症状。4，方便时候最好到医院鼻科面诊进一步检查下。", "role": "doctor"}, {"turn": 12, "text": "注意多饮水，避免辛辣刺激上火饮食，多食蔬菜水果，避免熬夜劳累，戒烟酒。", "role": "doctor"}, {"turn": 13, "text": "大便干燥明显可以口服乳果糖口服液润肠通便，多食粗纤维饮食，早晚温开水", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 531, "thread": [{"turn": 0, "text": "脑震荡吃什么药恢复好（男，10岁）", "role": "patient"}, {"turn": 1, "text": "请问脑震荡多久了？现在有什么症", "role": "doctor"}, {"turn": 2, "text": "昨天才发生的，医生诊断了脑震荡", "role": "patient"}, {"turn": 3, "text": "请问一下有后遗症吗", "role": "patient"}, {"turn": 4, "text": "需要口服些什么药好", "role": "patient"}, {"turn": 5, "text": "脑震荡一般不会有后遗症", "role": "doctor"}, {"turn": 6, "text": "做过CT了吗", "role": "doctor"}, {"turn": 7, "text": "做了", "role": "patient"}, {"turn": 8, "text": "都是好的", "role": "patient"}, {"turn": 9, "text": "那就问题不大", "role": "doctor"}, {"turn": 10, "text": "不用吃什么药", "role": "doctor"}, {"turn": 11, "text": "多休息就行", "role": "doctor"}, {"turn": 12, "text": "我很担心，因为小孩太小了", "role": "patient"}, {"turn": 13, "text": "什么时候受伤的？", "role": "doctor"}, {"turn": 14, "text": "昨天下午2点左右", "role": "patient"}, {"turn": 15, "text": "注意休息就好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 532, "thread": [{"turn": 0, "text": "宝宝嗓子有痰就是上呼吸道感染吗?（男，6个月）", "role": "patient"}, {"turn": 1, "text": "嗓子有痰并不一定是上呼吸道感染，也有可能是脾胃不好", "role": "doctor"}, {"turn": 2, "text": "请问一下孩子咳嗽吗？", "role": "doctor"}, {"turn": 3, "text": "不咳嗽也不发烧", "role": "patient"}, {"turn": 4, "text": "看下孩子舌苔厚不厚啊。", "role": "doctor"}, {"turn": 5, "text": "舌苔不太厚，只是有一点白", "role": "patient"}, {"turn": 6, "text": "大夫请问这种情况可以打疫苗吗？", "role": "patient"}, {"turn": 7, "text": "只要不咳嗽不发烧是可以打疫苗的。", "role": "doctor"}, {"turn": 8, "text": "我家宝宝他的这个痰白天也听不到，怎么一到晚上睡下嗓子咕噜咕噜的就卡在那里好难受啊", "role": "patient"}, {"turn": 9, "text": "可以用橘红颗粒。", "role": "doctor"}, {"turn": 10, "text": "但是我家宝宝才快六个月大，能用这个药吗？", "role": "patient"}, {"turn": 11, "text": "注意不要让孩子吃太多，吃多了也会产痰的。", "role": "doctor"}, {"turn": 12, "text": "这个是中成药。", "role": "doctor"}, {"turn": 13, "text": "明天看一下孩子舌苔厚了。", "role": "doctor"}, {"turn": 14, "text": "明天看一下孩子的舌苔厚不厚。", "role": "doctor"}, {"turn": 15, "text": "那不吃药的话能有什么其他的方法化痰吗？", "role": "patient"}, {"turn": 16, "text": "也可以给孩子推拿按摩的。", "role": "doctor"}, {"turn": 17, "text": "也可以贴膏药。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 533, "thread": [{"turn": 0, "text": "四个月宝宝吃药过敏怎么（男，4个月）", "role": "patient"}, {"turn": 1, "text": "宝宝都有什么症状啊？", "role": "doctor"}, {"turn": 2, "text": "晚上睡得不好", "role": "patient"}, {"turn": 3, "text": "吃玩还是跟之前一样，就是晚上要抱着睡，一放醒", "role": "patient"}, {"turn": 4, "text": "吃得啥药", "role": "doctor"}, {"turn": 5, "text": "感冒的时候吃了阿莫西林，小二咳喘颗粒，蛇胆川贝口服液", "role": "patient"}, {"turn": 6, "text": "身上有皮疹吗？", "role": "doctor"}, {"turn": 7, "text": "上半身最严重，一大片一大片的", "role": "patient"}, {"turn": 8, "text": "多长时间了？", "role": "doctor"}, {"turn": 9, "text": "10来天了吧！之前没多少，就这两天好多，全身都是", "role": "patient"}, {"turn": 10, "text": "有接触切莫东西了吗？", "role": "doctor"}, {"turn": 11, "text": "什么意思", "role": "patient"}, {"turn": 12, "text": "一般吃药过敏不会这么长时间的。", "role": "doctor"}, {"turn": 13, "text": "有没有接触什么其他的东西，或者加重的诱因", "role": "doctor"}, {"turn": 14, "text": "药也吃了10来天啊", "role": "patient"}, {"turn": 15, "text": "天天吃吗？", "role": "doctor"}, {"turn": 16, "text": "之前吃这些药有没有过敏", "role": "doctor"}, {"turn": 17, "text": "刚开始有一点的时候，我以为是湿疹就搽了炉甘石洗剂", "role": "patient"}, {"turn": 18, "text": "天天吃，之前没吃过药，第一次感冒", "role": "patient"}, {"turn": 19, "text": "可以吃点抗过敏的药，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 534, "thread": [{"turn": 0, "text": "9天的宝宝，消化不良，怎么办啊！（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "一天几次大便？大便怎么样？", "role": "doctor"}, {"turn": 4, "text": "今天晚上反复吃了几次，还是一直哭，肚子硬的", "role": "patient"}, {"turn": 5, "text": "一天3次左右", "role": "patient"}, {"turn": 6, "text": "大便是正常的", "role": "patient"}, {"turn": 7, "text": "宝宝吃奶怎么样？", "role": "doctor"}, {"turn": 8, "text": "精神怎么样？", "role": "doctor"}, {"turn": 9, "text": "大便有没有酸臭味？", "role": "doctor"}, {"turn": 10, "text": "吃还是可以", "role": "patient"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "精神也可以，体温37.2", "role": "patient"}, {"turn": 13, "text": "就今天晚上吐了点出来", "role": "patient"}, {"turn": 14, "text": "考虑宝宝是消化不良了，跟新生儿胃肠功能发育不完善有关系，建议您可以给宝宝吃上益生菌调理一下，如宝乐安，布拉氏，妈咪爱都可以。", "role": "doctor"}, {"turn": 15, "text": "现在这个时间肯定没法买了，有没有什么办法可以缓解的啊", "role": "patient"}, {"turn": 16, "text": "另外腹部一定要注意保暖，在两奶之间顺时针按摩宝宝的腹部，每天3～5次，每次3～5分钟。", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "可以促进肠蠕动，适当缓解腹胀和消化不良。", "role": "doctor"}, {"turn": 19, "text": "那趴到可以缓解不", "role": "patient"}, {"turn": 20, "text": "趴着没有明显的效果，主要跟宝宝腹部受凉，喂养不当，还有跟新生儿的胃肠功能发育不完善有关系！", "role": "doctor"}, {"turn": 21, "text": "好", "role": "patient"}, {"turn": 22, "text": "谢谢", "role": "patient"}, {"turn": 23, "text": "可以用热宝隔着包被暖暖宝宝腹部，注意千万不要烫着宝宝，另外两奶之间按摩宝宝的腹部，都有效果的。", "role": "doctor"}, {"turn": 24, "text": "不客气，愿宝宝茁壮成长😊", "role": "doctor"}, {"turn": 25, "text": "宝宝胀气，母亲可以通过吃健胃消食片来改善不", "role": "patient"}, {"turn": 26, "text": "您好，你吃作用不大的！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 535, "thread": [{"turn": 0, "text": "宝宝二十八天感冒了能吃药吗（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "流鼻涕咳嗽有痰", "role": "patient"}, {"turn": 3, "text": "咳嗽频繁吗？鼻塞影不影响吃奶", "role": "doctor"}, {"turn": 4, "text": "家里有感冒病人吗？", "role": "doctor"}, {"turn": 5, "text": "家里人都感冒了", "role": "patient"}, {"turn": 6, "text": "鼻塞不影响吃奶", "role": "patient"}, {"turn": 7, "text": "咳嗽频繁吗？呼吸一分钟大概多少次", "role": "doctor"}, {"turn": 8, "text": "咳嗽不频繁", "role": "patient"}, {"turn": 9, "text": "呼吸一分钟多少次", "role": "doctor"}, {"turn": 10, "text": "宝妈数一下", "role": "doctor"}, {"turn": 11, "text": "宝宝还没有满月，接触家里感冒病人，出现咳嗽症状，首先考虑新生儿肺炎诊断，需要先看一下呼吸次数，伴有呼吸增快，不能吃药的，需要静脉用药配合雾化治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 536, "thread": [{"turn": 0, "text": "类风湿手关节是如何疼痛的？？（女，26）", "role": "patient"}, {"turn": 1, "text": "晨起会有麻木，遇冷或者活动可加重，", "role": "doctor"}, {"turn": 2, "text": "休息也不一定缓解", "role": "doctor"}, {"turn": 3, "text": "是一种慢性对称性关节炎，好发于手指，腕，膝关节等", "role": "doctor"}, {"turn": 4, "text": "疼的时候手的青筋会崩么？？", "role": "patient"}, {"turn": 5, "text": "我手有时候会觉得自己的青筋会绷着。。。。。觉得青筋很明显。。", "role": "patient"}, {"turn": 6, "text": "不会吧。没有患者有类似表现。", "role": "doctor"}, {"turn": 7, "text": "你说的青筋可能是静脉", "role": "doctor"}, {"turn": 8, "text": "静脉咋了？？", "role": "patient"}, {"turn": 9, "text": "嗯嗯嗯嗯嗯。。", "role": "patient"}, {"turn": 10, "text": "血管的问题我还真解决不了，最好咨询专科医生，建议你看看血管外科。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 537, "thread": [{"turn": 0, "text": "40天宝宝支气管炎医生开了牛磺酸颗粒（男，1个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么不舒服的表现吗？", "role": "doctor"}, {"turn": 2, "text": "偶尔咳嗽 有痰", "role": "patient"}, {"turn": 3, "text": "喉咙呼响吗", "role": "doctor"}, {"turn": 4, "text": "嗯", "role": "patient"}, {"turn": 5, "text": "今天去医院拍了片子显示双肺纹理增重", "role": "patient"}, {"turn": 6, "text": "有没有其他症状", "role": "doctor"}, {"turn": 7, "text": "这两天恶心 吐奶", "role": "patient"}, {"turn": 8, "text": "精神状态如何", "role": "doctor"}, {"turn": 9, "text": "这药在哪开的呢", "role": "doctor"}, {"turn": 10, "text": "有没有去医院检查", "role": "doctor"}, {"turn": 11, "text": "查血", "role": "doctor"}, {"turn": 12, "text": "精神还行", "role": "patient"}, {"turn": 13, "text": "这个药是自己买的，还是医生开的", "role": "doctor"}, {"turn": 14, "text": "今天去医院查血了 诊断支气管炎", "role": "patient"}, {"turn": 15, "text": "要是医生让自己买的", "role": "patient"}, {"turn": 16, "text": "嗯，如果症状不重，先吃药看看，如果有加重，需要复诊", "role": "doctor"}, {"turn": 17, "text": "医生今天叫买了牛磺酸颗粒和希刻劳", "role": "patient"}, {"turn": 18, "text": "孩子不发烧可以吃吗", "role": "patient"}, {"turn": 19, "text": "希刻劳是消炎药，牛黄酸颗粒可以用于支气管炎", "role": "doctor"}, {"turn": 20, "text": "孩子有痰 两种药可以吃是吧", "role": "patient"}, {"turn": 21, "text": "具体只能说这两种药治疗支气管炎可以", "role": "doctor"}, {"turn": 22, "text": "能不能吃还需检查医生检查后判断", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 538, "thread": [{"turn": 0, "text": "我有慢性荨麻疹，可以吃维c泡腾片吗（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，荨麻疹补充维生素C也有用处的。", "role": "doctor"}, {"turn": 2, "text": "同时需要注意忌口，腥（包括各种海产品，淡水鱼）,辛辣,牛羊肉等刺激性食物尽量不要吃。", "role": "doctor"}, {"turn": 3, "text": "有什么办法痊愈吗", "role": "patient"}, {"turn": 4, "text": "荨麻疹      容易反复发作，过敏源一般不好找，有时需要经过一段时间才能恢复。建议可以口服    西替利嗪片和口服    复方甘草酸苷片，同时肌注卡介菌多糖核酸注射液（三天一次，连用一个月），有望可以出根治的。还可以到医院检查过敏源，然后再做脱敏治疗，大部分也是可以根治的。", "role": "doctor"}, {"turn": 5, "text": "好的谢谢", "role": "patient"}, {"turn": 6, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 539, "thread": [{"turn": 0, "text": "尿道炎好了今晚做爱做了肚子不舒服（女，29岁）", "role": "patient"}, {"turn": 1, "text": "可能与炎症刺激或腹部受凉都有关系，不放心可以复查一下尿液分析", "role": "doctor"}, {"turn": 2, "text": "那我应该输液还是吃药哦医生，我是不是都不能性生活了", "role": "patient"}, {"turn": 3, "text": "不会的，可能有轻度炎症，还是先检查一下", "role": "doctor"}, {"turn": 4, "text": "我已经输液输了10天了呢", "role": "patient"}, {"turn": 5, "text": "还是复查一下，必要时行尿培养", "role": "doctor"}, {"turn": 6, "text": "那医生，像我炎症多久能彻底好哦，我现在只输液，没吃药，我不输液单吃三金片管用？？做哪些检查呢尿常规？", "role": "patient"}, {"turn": 7, "text": "一般需要1-2周", "role": "doctor"}, {"turn": 8, "text": "医生我躺着肚子不舒服，站这会舒服一点，现在上厕所好转很多，为什么戴套性生活尿尿好很多，肚子不舒服呢和套有关系？还是", "role": "patient"}, {"turn": 9, "text": "与炎症刺激有关系，性生活腹部受到挤压或用力，导致症状出现或加重", "role": "doctor"}, {"turn": 10, "text": "吃三金片管用？", "role": "patient"}, {"turn": 11, "text": "管用", "role": "doctor"}, {"turn": 12, "text": "医生我输液在吃三金片会影响输液？", "role": "patient"}, {"turn": 13, "text": "没啥影响，三金片属于中成药，效果慢一些，也可以中西医结合治疗", "role": "doctor"}, {"turn": 14, "text": "那三金片配哪些药快一点能治好炎症呢", "role": "patient"}, {"turn": 15, "text": "我以前都是尿频就吃三金片好的呢", "role": "patient"}, {"turn": 16, "text": "可以配合左氧氟沙星", "role": "doctor"}, {"turn": 17, "text": "三金片吃几天呢", "role": "patient"}, {"turn": 18, "text": "1-2周", "role": "doctor"}, {"turn": 19, "text": "医生三金片能治肾炎盆腔炎？医生我现在的情况尿频，尿的断断续，尿肚子痛才知道想尿，像我这个情况有肾炎或盆腔炎？", "role": "patient"}, {"turn": 20, "text": "应该是膀胱炎有关系", "role": "doctor"}, {"turn": 21, "text": "那三金片能治膀胱炎？", "role": "patient"}, {"turn": 22, "text": "可以的，平时多饮水", "role": "doctor"}, {"turn": 23, "text": "还是继续输液好，还是输液加吃三金片好", "role": "patient"}, {"turn": 24, "text": "配合治疗就可以", "role": "doctor"}, {"turn": 25, "text": "医生我现在摸了摸肚子，是胃这块凉凉的不舒服", "role": "patient"}, {"turn": 26, "text": "注意保暖", "role": "doctor"}, {"turn": 27, "text": "我刚热敷了也还是不舒服呢我需要吃药？", "role": "patient"}, {"turn": 28, "text": "可能与炎症刺激产生，建议积极抗炎治疗", "role": "doctor"}, {"turn": 29, "text": "不是胃炎？", "role": "patient"}, {"turn": 30, "text": "不是", "role": "doctor"}, {"turn": 31, "text": "哦谢谢医生", "role": "patient"}, {"turn": 32, "text": "不客气，祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 540, "thread": [{"turn": 0, "text": "痛风病人需要长期吃降尿酸药物吗（男，46岁）尿酸降下来稳定后可以停药吗", "role": "patient"}, {"turn": 1, "text": "您好 如果确诊有痛风，一年发作次数大于2次，是必须要将尿酸降至360以下的，如果不吃药能能将尿酸降下来当然可以不吃药，但一般仅靠饮食控制不到目标值以下", "role": "doctor"}, {"turn": 2, "text": "吃着药尿酸降下来那是药物的力量，停药后会再次升高的", "role": "doctor"}, {"turn": 3, "text": "一般是这样", "role": "doctor"}, {"turn": 4, "text": "有一点不明白，基本不怎么摄入嘌呤，体内产生的尿酸怎么会升高", "role": "patient"}, {"turn": 5, "text": "已是体内嘌呤代谢的问题，嘌呤代谢酶作用减弱，二是，尿酸从肾脏排泄少了", "role": "doctor"}, {"turn": 6, "text": "一是", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 541, "thread": [{"turn": 0, "text": "有滴虫性阴道炎带上避孕套可以性生活吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "滴虫子阴道炎还没治愈，建议不要性生活", "role": "doctor"}, {"turn": 3, "text": "有滴虫性阴道炎带上避孕套可以性生活吗", "role": "patient"}, {"turn": 4, "text": "不可以", "role": "doctor"}, {"turn": 5, "text": "没有直接接触也有影响吗", "role": "patient"}, {"turn": 6, "text": "有影响", "role": "doctor"}, {"turn": 7, "text": "有可能上行感染", "role": "doctor"}, {"turn": 8, "text": "或者感染加重", "role": "doctor"}, {"turn": 9, "text": "一般多久后可以", "role": "patient"}, {"turn": 10, "text": "治疗一周以后，检查阴性才能同房", "role": "doctor"}, {"turn": 11, "text": "治疗滴虫性阴道炎的甲硝唑片和治疗牙疼的是一种吗", "role": "patient"}, {"turn": 12, "text": "是的", "role": "doctor"}, {"turn": 13, "text": "同一种药", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "嗯嗯", "role": "doctor"}, {"turn": 16, "text": "预计一年左右的阴道炎大概需要治疗几个疗程", "role": "patient"}, {"turn": 17, "text": "是说发病时间一年吗？", "role": "doctor"}, {"turn": 18, "text": "是的", "role": "patient"}, {"turn": 19, "text": "滴虫性阴道炎用药治疗一疗程7天就可以了", "role": "doctor"}, {"turn": 20, "text": "好的   谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 542, "thread": [{"turn": 0, "text": "劳累引起的心肌缺血能治愈吗（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，是你本人还是其他人？", "role": "doctor"}, {"turn": 2, "text": "多大年纪了？", "role": "doctor"}, {"turn": 3, "text": "25", "role": "patient"}, {"turn": 4, "text": "本人", "role": "patient"}, {"turn": 5, "text": "做了心电图，", "role": "patient"}, {"turn": 6, "text": "能否把心电图发过来看看呢", "role": "doctor"}, {"turn": 7, "text": "没带回来", "role": "patient"}, {"turn": 8, "text": "你身高体重各是多少？", "role": "doctor"}, {"turn": 9, "text": "身高172体重110", "role": "patient"}, {"turn": 10, "text": "比较瘦嘛，没有甲亢吧", "role": "doctor"}, {"turn": 11, "text": "没有甲亢", "role": "patient"}, {"turn": 12, "text": "挺瘦的", "role": "patient"}, {"turn": 13, "text": "那你冠状动脉粥样硬化狭窄的可能性就很低了", "role": "doctor"}, {"turn": 14, "text": "就是最近加班比较厉害", "role": "patient"}, {"turn": 15, "text": "太劳累了", "role": "doctor"}, {"turn": 16, "text": "可以治愈", "role": "doctor"}, {"turn": 17, "text": "注意休息就行", "role": "doctor"}, {"turn": 18, "text": "需要用药或住院吗", "role": "patient"}, {"turn": 19, "text": "复方丹参滴丸 一次十粒 一天三次", "role": "doctor"}, {"turn": 20, "text": "不需要住院", "role": "doctor"}, {"turn": 21, "text": "会猝死吗", "role": "patient"}, {"turn": 22, "text": "不至于", "role": "doctor"}, {"turn": 23, "text": "好怕会猝死", "role": "patient"}, {"turn": 24, "text": "不要紧张焦虑", "role": "doctor"}, {"turn": 25, "text": "那晚上几点休息十一点，十二点", "role": "patient"}, {"turn": 26, "text": "十一点左右，早上七点左右起来", "role": "doctor"}, {"turn": 27, "text": "如果调整成晚上十一点休息早上八点多起来", "role": "patient"}, {"turn": 28, "text": "可以的", "role": "doctor"}, {"turn": 29, "text": "饮食方面呢", "role": "patient"}, {"turn": 30, "text": "清淡饮食就行", "role": "doctor"}, {"turn": 31, "text": "有时三餐不规律有影响吗", "role": "patient"}, {"turn": 32, "text": "有一定影响", "role": "doctor"}, {"turn": 33, "text": "喝酒呢", "role": "patient"}, {"turn": 34, "text": "戒烟酒", "role": "doctor"}, {"turn": 35, "text": "好的谢谢", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 543, "thread": [{"turn": 0, "text": "艾滋病人做放化疗危险吗（女，65岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问目前有没有确诊艾滋病？", "role": "doctor"}, {"turn": 2, "text": "我妈妈是爱滋病3年了，前两个月检查得宫颈癌1期！已做全子宫和左侧附件切除手术，", "role": "patient"}, {"turn": 3, "text": "做完了吗？", "role": "doctor"}, {"turn": 4, "text": "目前CD4细胞数如何", "role": "doctor"}, {"turn": 5, "text": "医生叫她做放化疗，", "role": "patient"}, {"turn": 6, "text": "还正常", "role": "patient"}, {"turn": 7, "text": "如果细胞数正常，就可以放化疗", "role": "doctor"}, {"turn": 8, "text": "抗病毒药物一定继续服用", "role": "doctor"}, {"turn": 9, "text": "放化后对爱滋病影响大吗", "role": "patient"}, {"turn": 10, "text": "她一直在吃抗病毒药", "role": "patient"}, {"turn": 11, "text": "只要他的CD 4细胞数是正常的，那影响就不大", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 544, "thread": [{"turn": 0, "text": "滑膜炎不能受凉吗？你好（女，55岁）", "role": "patient"}, {"turn": 1, "text": "你好，做过什么检查治疗吗?", "role": "doctor"}, {"turn": 2, "text": "拍片，，CT核磁", "role": "patient"}, {"turn": 3, "text": "滑膜炎", "role": "patient"}, {"turn": 4, "text": "滑膜炎到底能不能治愈", "role": "patient"}, {"turn": 5, "text": "去年，今年连续两年不间断治疗到现在还是不见好", "role": "patient"}, {"turn": 6, "text": "本人爱好跳舞，现在下蹲费劲，做膝关节睡觉都疼，现在右腿也开始疼", "role": "patient"}, {"turn": 7, "text": "吃多药都不管用，我是过敏体质，用不了贴膏，用上贴膏就过敏，红肿特别严重，像我这种情况有什么好一点的方法质量", "role": "patient"}, {"turn": 8, "text": "急性期治疗效果比较好", "role": "doctor"}, {"turn": 9, "text": "慢性期治疗效果比较差", "role": "doctor"}, {"turn": 10, "text": "最好不要剧烈运动", "role": "doctor"}, {"turn": 11, "text": "那么说！瑜伽，跳舞都不能进行了吗？", "role": "patient"}, {"turn": 12, "text": "瑜伽可以", "role": "doctor"}, {"turn": 13, "text": "红花20   当归20   川芎20  赤芍25   伸筋草30   珍珠透骨草30   海桐皮20   木瓜20   羌活20   醋乳香15   醋没药20   桂枝15    艾叶20   川牛膝15   鸡血藤30   独活20   接骨木5", "role": "doctor"}, {"turn": 14, "text": "你试试这个", "role": "doctor"}, {"turn": 15, "text": "比如说我每天压腿可以吗", "role": "patient"}, {"turn": 16, "text": "煮好水", "role": "doctor"}, {"turn": 17, "text": "毛巾热敷热敷", "role": "doctor"}, {"turn": 18, "text": "一天三次", "role": "doctor"}, {"turn": 19, "text": "一次二十分钟", "role": "doctor"}, {"turn": 20, "text": "这些药去哪儿能买到", "role": "patient"}, {"turn": 21, "text": "药店", "role": "doctor"}, {"turn": 22, "text": "这种方法能治好吗", "role": "patient"}, {"turn": 23, "text": "有效果", "role": "doctor"}, {"turn": 24, "text": "药得煮多长时间可以用", "role": "patient"}, {"turn": 25, "text": "十分钟", "role": "doctor"}, {"turn": 26, "text": "能不能通俗点说明一下使用", "role": "patient"}, {"turn": 27, "text": "就是煮好，用毛巾热敷", "role": "doctor"}, {"turn": 28, "text": "是把所有的药包在一起煮，然后再用药包热敷吗", "role": "patient"}, {"turn": 29, "text": "毛巾蘸药水", "role": "doctor"}, {"turn": 30, "text": "这不就完了吗，", "role": "patient"}, {"turn": 31, "text": "都是这样用的", "role": "doctor"}, {"turn": 32, "text": "毛巾热敷", "role": "doctor"}, {"turn": 33, "text": "我今天去药店买试一试看看有没有效果吧", "role": "patient"}, {"turn": 34, "text": "好", "role": "doctor"}, {"turn": 35, "text": "不用口服药了是吗", "role": "patient"}, {"turn": 36, "text": "胃都吃坏了也没治好腿", "role": "patient"}, {"turn": 37, "text": "不用", "role": "doctor"}, {"turn": 38, "text": "毛巾热敷", "role": "doctor"}, {"turn": 39, "text": "好的😄谢谢您的问答", "role": "patient"}, {"turn": 40, "text": "应该的，应该的", "role": "doctor"}, {"turn": 41, "text": "再问一下！像我这种情况用多久才能好？", "role": "patient"}, {"turn": 42, "text": "不会是天天用吧", "role": "patient"}, {"turn": 43, "text": "这个每个人的情况不一样，很难具体说多长时间", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 545, "thread": [{"turn": 0, "text": "医生问下心脏神经官能症能否喝酒（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问有什么症状", "role": "doctor"}, {"turn": 2, "text": "疲劳或者休息不好就容易心慌气短，心跳加速", "role": "patient"}, {"turn": 3, "text": "服用什么药物", "role": "doctor"}, {"turn": 4, "text": "去医院检查也查不出什么，就说是心脏神经症", "role": "patient"}, {"turn": 5, "text": "谷维素和倍他乐克", "role": "patient"}, {"turn": 6, "text": "服用多久了", "role": "doctor"}, {"turn": 7, "text": "半年多", "role": "patient"}, {"turn": 8, "text": "就是想问下我目前的情况能喝酒吗", "role": "patient"}, {"turn": 9, "text": "为什么喝酒", "role": "doctor"}, {"turn": 10, "text": "必须要喝吗", "role": "doctor"}, {"turn": 11, "text": "有时候家里来客人", "role": "patient"}, {"turn": 12, "text": "偶尔喝一下", "role": "patient"}, {"turn": 13, "text": "同龄人都喝了", "role": "patient"}, {"turn": 14, "text": "尽量不喝酒，最好戒酒", "role": "doctor"}, {"turn": 15, "text": "建议你的心脏不适配合中医中药调理", "role": "doctor"}, {"turn": 16, "text": "我有时候能听到大脑里血液流动的声音", "role": "patient"}, {"turn": 17, "text": "这是什么原因呢医生", "role": "patient"}, {"turn": 18, "text": "养成良好生活习惯与配合中医中药治疗，两者缺一不可", "role": "doctor"}, {"turn": 19, "text": "医生我是不是脑部疾病", "role": "patient"}, {"turn": 20, "text": "还是作息不规律引起的", "role": "patient"}, {"turn": 21, "text": "我考虑不是脑部疾病，你想都了", "role": "doctor"}, {"turn": 22, "text": "那我脑子里怎么老是翁嗡嗡的好像供血不足一样", "role": "patient"}, {"turn": 23, "text": "头也晕", "role": "patient"}, {"turn": 24, "text": "养成良好生活习惯与配合中医中药治疗，两者缺一不可", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 546, "thread": [{"turn": 0, "text": "肺结核传染多久能查出来（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "医生，我现在没有症状，我因为我男朋友检查出来有肺结核，我怕我被传染", "role": "patient"}, {"turn": 3, "text": "你男朋友有没有咳嗽？", "role": "doctor"}, {"turn": 4, "text": "被传染的可能性是比较大的是吗？", "role": "patient"}, {"turn": 5, "text": "没怎么注意", "role": "patient"}, {"turn": 6, "text": "但是这几天他头疼，去医院检查出来是肺结核", "role": "patient"}, {"turn": 7, "text": "那问题不大", "role": "doctor"}, {"turn": 8, "text": "那请问怎么可以检查我有没有被传染呢", "role": "patient"}, {"turn": 9, "text": "你可以去拍个胸片", "role": "doctor"}, {"turn": 10, "text": "可是我跟他有接吻过，我怕传染的可能性大", "role": "patient"}, {"turn": 11, "text": "问题不大，不用紧张，小姑娘", "role": "doctor"}, {"turn": 12, "text": "请问肺结核能治好吗？", "role": "patient"}, {"turn": 13, "text": "可以治疗", "role": "doctor"}, {"turn": 14, "text": "他现在头疼，好像肚子也疼，头是反复的疼，这个情况严重吗？", "role": "patient"}, {"turn": 15, "text": "得需要看看有没有脑结核？", "role": "doctor"}, {"turn": 16, "text": "请问医生如果我做一个像平时在学校做的皮试可以检查出来有没有被传染吗？", "role": "patient"}, {"turn": 17, "text": "可以", "role": "doctor"}, {"turn": 18, "text": "这个大概传染了多久以后才能检查出来呀", "role": "patient"}, {"turn": 19, "text": "你现在就可以去查", "role": "doctor"}, {"turn": 20, "text": "谢谢医生", "role": "patient"}, {"turn": 21, "text": "不用客气", "role": "doctor"}, {"turn": 22, "text": "医生我还是想问问我被传染的几率不大吗？", "role": "patient"}, {"turn": 23, "text": "不大", "role": "doctor"}, {"turn": 24, "text": "谢谢您", "role": "patient"}, {"turn": 25, "text": "不用客气", "role": "doctor"}, {"turn": 26, "text": "如果他住院我照顾他呢？", "role": "patient"}, {"turn": 27, "text": "可以", "role": "doctor"}, {"turn": 28, "text": "好的，谢谢您了", "role": "patient"}, {"turn": 29, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 547, "thread": [{"turn": 0, "text": "肌肉劳损可以拔火罐？（男，19岁）", "role": "patient"}, {"turn": 1, "text": "是什么地方的肌肉拉伤？", "role": "doctor"}, {"turn": 2, "text": "急性损伤是不能做拔火罐的！！", "role": "doctor"}, {"turn": 3, "text": "打篮球腰拉伤了", "role": "patient"}, {"turn": 4, "text": "都休息了2个月了，运动就疼", "role": "patient"}, {"turn": 5, "text": "我这情况能拔火罐？拔火罐对身体有什么副作用？", "role": "patient"}, {"turn": 6, "text": "没有休息够时间，半年后再去", "role": "doctor"}, {"turn": 7, "text": "针对本次问诊，医生更新了总结建议：  （1）卧床休息：急性腰扭伤后，卧床休息是最基本的治疗。卧床休息不仅有利于解除腰肌痉挛，减少活动还可减轻疼痛，而且有利于促进损伤组织的修复和愈合。床铺以加有10厘米厚棉垫的硬板床，自由体位，以不痛或轻痛为宜。急性腰肌和筋膜扭伤，卧床休息至少应在1周以上，急性腰部关节扭伤应坚持卧床3-4周，以保证损伤组织重复修复，以免遗留慢性腰腿痛。在卧床同时应配合其他治疗。   （2）解痉止痛药   （3）理疗：可根据病情选用超声波、高频电疗、离子透入、红外线、坎离砂等，理疗一般不宜过早。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 548, "thread": [{"turn": 0, "text": "想问问肠胃病和肠胃镜的相关问题（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，主要是想咨询什么？", "role": "doctor"}, {"turn": 2, "text": "今天准备做肠胃镜  想问问无痛肠胃镜痛吗？还有就是打麻醉要睡多久", "role": "patient"}, {"turn": 3, "text": "今天准备  明天做", "role": "patient"}, {"turn": 4, "text": "学生  只有同学陪同  所以有点担心  问问", "role": "patient"}, {"turn": 5, "text": "不痛，检查完了就醒了", "role": "doctor"}, {"turn": 6, "text": "这两天无渣饮食了吧", "role": "doctor"}, {"turn": 7, "text": "哦  另外就是想问问  就口干口黏口臭肠胃病可以引起吗", "role": "patient"}, {"turn": 8, "text": "嗯", "role": "patient"}, {"turn": 9, "text": "一部分人是感染了幽门螺旋杆菌", "role": "doctor"}, {"turn": 10, "text": "好治吗  有点久了  老不好  今天逼不得已才下决心去做肠镜和胃镜", "role": "patient"}, {"turn": 11, "text": "如果是感染幽门螺旋杆菌，口服药物就可以了", "role": "doctor"}, {"turn": 12, "text": "还有一个就是胸口那还不舒服  正中间  之前去查过心肺没啥问题   就胸口中间  自我感觉饭后和睡觉的时候更明显一点  不知道啥原因", "role": "patient"}, {"turn": 13, "text": "睡觉睡不好  一睡觉就觉得胸中间不舒服", "role": "patient"}, {"turn": 14, "text": "太难受了  最近没好  都有口腔溃疡了", "role": "patient"}, {"turn": 15, "text": "你这个有做胃镜的必要，看看有没有反流性食管炎", "role": "doctor"}, {"turn": 16, "text": "嗯  谢谢了  之前吃过西药 就莫沙必利  奥美拉挫之类的  越吃越不舒服  唉  你说的这些病好治疗吗？", "role": "patient"}, {"turn": 17, "text": "别客气，先做胃镜检查。有问题建议吃些进口的西药", "role": "doctor"}, {"turn": 18, "text": "谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 549, "thread": [{"turn": 0, "text": "精囊炎吃点啥药就能好（男，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，怎么确诊的精囊炎？🙏", "role": "doctor"}, {"turn": 2, "text": "精囊炎主要是一个抗生素的应用。", "role": "doctor"}, {"turn": 3, "text": "之前得过 前段时间有过血精 最近一直尿频尿急 阴囊还特别的潮湿 不知道是不是", "role": "patient"}, {"turn": 4, "text": "环丙沙星每次500毫克，每日两次，连服两周🙏", "role": "doctor"}, {"turn": 5, "text": "精囊炎最常见的并发症是前列腺炎。", "role": "doctor"}, {"turn": 6, "text": "不需要吃别的吗", "role": "patient"}, {"turn": 7, "text": "配上", "role": "doctor"}, {"turn": 8, "text": "🔴前列舒通胶囊(步长)🔸口服，一次3粒，一日3次🔸疗程1个月🔸清热利湿，化瘀散结。用于慢性前列腺炎，前列腺增生属湿热瘀阻证，症见尿频、尿急、尿淋沥，会阴、下腹或腰骶部坠胀或疼痛，阴囊潮湿等。", "role": "doctor"}, {"turn": 9, "text": "嗯 阴囊潮湿和尿频尿急也能治好吗", "role": "patient"}, {"turn": 10, "text": "🔴盐酸坦洛新缓释片(积大本特):🔸0.2mg*14片🔸晚饭后服用，一次1片，一日1次", "role": "doctor"}, {"turn": 11, "text": "你看我给你写的药物主治。", "role": "doctor"}, {"turn": 12, "text": "嗯 都吃还是只吃上面一个就行了", "role": "patient"}, {"turn": 13, "text": "环丙沙星用两周。", "role": "doctor"}, {"turn": 14, "text": "都吃", "role": "doctor"}, {"turn": 15, "text": "药店就能买到是吧", "role": "patient"}, {"turn": 16, "text": "前列腺舒通胶囊用4周。", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "坦洛新缓释片，用两周。", "role": "doctor"}, {"turn": 19, "text": "能的", "role": "doctor"}, {"turn": 20, "text": "生活方式改善是关键", "role": "doctor"}, {"turn": 21, "text": "好的 多谢医生", "role": "patient"}, {"turn": 22, "text": "注意事项：\n\n🍴🔴白天多饮水，2500ml以上，多饮水就会多排尿，浓度高的尿液会对前列腺产生一些刺激，长期不良的刺激会对前列腺有害，多饮水不仅可以稀释血液，还可有效稀释尿液的浓度\n\n🔴不饮酒，少吃辣椒，生姜等辛辣刺激性强的食品，以避免使前列腺及膀胱颈反复充血，加重局部胀痛的感觉\n\n🔴宜多进食蔬菜水果，减少便秘的发生，由于大便秘结可能加重前列腺坠胀的症状\n\n🔴多吃西红柿，科学研究证明，西红柿中的番茄红素，能显著改善前列腺炎症状\n\n🌃🔴不憋尿，一旦膀胱充盈，有尿意，就应小便，憋尿对膀胱和前列腺不利\n\n🔴不久坐\n\n🔴戒除手淫\n\n🔴不吸烟，不熬夜，不看色情相关\n\n🔴避免摩擦会阴部，会加重前列腺的病状，减少骑自行车、摩托车\n\n🔴多放松，保持心情愉悦，临床显示，当生活压力减缓时，前列腺症状会得到舒缓\n\n🏃🔴运动以快走，慢跑为主", "role": "doctor"}, {"turn": 23, "text": "仔细阅读🙏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 550, "thread": [{"turn": 0, "text": "鼻窦炎有黄鼻涕，需要吃消炎药吗？（女，35岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况下是需要吃消炎药的", "role": "doctor"}, {"turn": 2, "text": "好的", "role": "patient"}, {"turn": 3, "text": "小孩鼻炎需要吃什么药", "role": "patient"}, {"turn": 4, "text": "小孩子鼻炎您最好问问儿科医生", "role": "doctor"}, {"turn": 5, "text": "6岁了", "role": "patient"}, {"turn": 6, "text": "正常大人吃的 他可以吃吧", "role": "patient"}, {"turn": 7, "text": "阿莫西林克拉维酸钾", "role": "patient"}, {"turn": 8, "text": "小孩子要减量", "role": "doctor"}, {"turn": 9, "text": "哦", "role": "patient"}, {"turn": 10, "text": "鼻炎和鼻窦炎是有区别的", "role": "doctor"}, {"turn": 11, "text": "不能一概而论", "role": "doctor"}, {"turn": 12, "text": "鼻炎多半由过敏引起的，天气不好，冷空气刺激都会影响", "role": "doctor"}, {"turn": 13, "text": "鼻窦炎是鼻窦有炎症", "role": "doctor"}, {"turn": 14, "text": "鼻炎最重要的治疗是隔离过敏原，去耳鼻喉科洗鼻子", "role": "doctor"}, {"turn": 15, "text": "哦，好的，谢谢了", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 551, "thread": [{"turn": 0, "text": "念珠菌性龟头炎用什么药（男，26岁）", "role": "patient"}, {"turn": 1, "text": "您好，您好方便拍个照片发一下吗？", "role": "doctor"}, {"turn": 2, "text": "在外面没法拍", "role": "patient"}, {"turn": 3, "text": "好的", "role": "doctor"}, {"turn": 4, "text": "我女朋友刚查出来是念珠菌", "role": "patient"}, {"turn": 5, "text": "然后百度了", "role": "patient"}, {"turn": 6, "text": "我尿道口有点灼痛", "role": "patient"}, {"turn": 7, "text": "可以外涂克霉唑乳膏", "role": "doctor"}, {"turn": 8, "text": "符合症状", "role": "patient"}, {"turn": 9, "text": "平时每晚温水清洗一下", "role": "doctor"}, {"turn": 10, "text": "嗯", "role": "patient"}, {"turn": 11, "text": "口服药有么", "role": "patient"}, {"turn": 12, "text": "我想双管齐下", "role": "patient"}, {"turn": 13, "text": "内服外用好得快吧", "role": "patient"}, {"turn": 14, "text": "不需要口服药物", "role": "doctor"}, {"turn": 15, "text": "平时保持局部皮肤卫生清洁很重要", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 552, "thread": [{"turn": 0, "text": "破水了，一般多久要生呀？宫缩不强（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有肚子发紧发硬的感觉吗？", "role": "doctor"}, {"turn": 2, "text": "一般破水24小时左右会临产的", "role": "doctor"}, {"turn": 3, "text": "有的，我是三胎，是不是太慢了", "role": "patient"}, {"turn": 4, "text": "发紧，但是不强", "role": "patient"}, {"turn": 5, "text": "放松些，不要太担心的，慢慢宫缩会越来越强的", "role": "doctor"}, {"turn": 6, "text": "早晨就开始有点疼了，现在还是不强", "role": "patient"}, {"turn": 7, "text": "嗯嗯", "role": "doctor"}, {"turn": 8, "text": "就怕羊水流光了😭", "role": "patient"}, {"turn": 9, "text": "非常理解你的心情！不会的，现在是臀高位吗？在医院就方便多了，有不适及时找医护人员，大夫会根据你的情况给出更好建议的", "role": "doctor"}, {"turn": 10, "text": "医生让我等着", "role": "patient"}, {"turn": 11, "text": "😭", "role": "patient"}, {"turn": 12, "text": "嗯嗯，那就等等吧！放松些", "role": "doctor"}, {"turn": 13, "text": "三胎是不是会快点", "role": "patient"}, {"turn": 14, "text": "羊水一般流多久，必须生", "role": "patient"}, {"turn": 15, "text": "对，三胎产程会短些的", "role": "doctor"}, {"turn": 16, "text": "什么时候生还要看宫缩情况的，宫缩强了才能生的", "role": "doctor"}, {"turn": 17, "text": "树立信心，一定会顺利生产的！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 553, "thread": [{"turn": 0, "text": "癫痫病的宝宝喝牛奶好还是羊奶好?（女，1岁4个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在多大呀？", "role": "doctor"}, {"turn": 2, "text": "一岁零四个月。", "role": "patient"}, {"turn": 3, "text": "确诊癫痫多久了？", "role": "doctor"}, {"turn": 4, "text": "在这之前吃的是什么母乳喂养？还是奶粉喂养？", "role": "doctor"}, {"turn": 5, "text": "现在是怀疑。", "role": "patient"}, {"turn": 6, "text": "没有任何证据证明羊奶比牛奶好。", "role": "doctor"}, {"turn": 7, "text": "所以喝什么奶不影响疾病。", "role": "doctor"}, {"turn": 8, "text": "以前吃的牛奶，现在的话想跟他换羊奶。", "role": "patient"}, {"turn": 9, "text": "换不换的无所谓。", "role": "doctor"}, {"turn": 10, "text": "所谓的羊奶比牛奶好都是一种炒作。", "role": "doctor"}, {"turn": 11, "text": "因为有两次发病", "role": "patient"}, {"turn": 12, "text": ".到医院里面去，医生说排除癫痫。", "role": "patient"}, {"turn": 13, "text": "发热吗", "role": "doctor"}, {"turn": 14, "text": "但是每次宝宝高烧总是要长达十天之久。", "role": "patient"}, {"turn": 15, "text": "就是发烧", "role": "patient"}, {"turn": 16, "text": "热惊厥", "role": "doctor"}, {"turn": 17, "text": "哦好的谢谢", "role": "patient"}, {"turn": 18, "text": "😊", "role": "doctor"}, {"turn": 19, "text": "不客气祝宝宝健康快乐成长", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 554, "thread": [{"turn": 0, "text": "十个月宝宝病毒感染发烧反反复复（男，10个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝发烧几天了？", "role": "doctor"}, {"turn": 2, "text": "两天都是晚上", "role": "patient"}, {"turn": 3, "text": "体温最高多少度？", "role": "doctor"}, {"turn": 4, "text": "三十九，", "role": "patient"}, {"turn": 5, "text": "宝宝除了发烧还有其他症状吗？", "role": "doctor"}, {"turn": 6, "text": "有点流鼻涕", "role": "patient"}, {"turn": 7, "text": "化验血常规了吗？", "role": "doctor"}, {"turn": 8, "text": "宝宝的精神状态和食欲怎么样？", "role": "doctor"}, {"turn": 9, "text": "前两天清鼻涕，这几天黄鼻涕", "role": "patient"}, {"turn": 10, "text": "查了，病毒感染", "role": "patient"}, {"turn": 11, "text": "还好", "role": "patient"}, {"turn": 12, "text": "不怎么吃东西，就吃奶", "role": "patient"}, {"turn": 13, "text": "嗯嗯，一般病毒感染体温会出现反复，一般是3-5天。宝宝目前发热不频繁，是晚上发烧，精神状态可，也没有其他咳嗽等症状，可以先口服抗病毒及感冒药物。", "role": "doctor"}, {"turn": 14, "text": "目前考虑是感冒引起的，如果宝宝发热超过3天以上，需要去医院复诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 555, "thread": [{"turn": 0, "text": "以前好好的，就是感冒了以后就这样（女，2岁3个月）", "role": "patient"}, {"turn": 1, "text": "你好！宝宝目前有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "前段时间感冒后就不会说要尿尿了，以前好好的", "role": "patient"}, {"turn": 3, "text": "有时候会说屁屁痛，也不知道真的假的", "role": "patient"}, {"turn": 4, "text": "忙吗", "role": "patient"}, {"turn": 5, "text": "是感冒后才有的这种情况吗？", "role": "doctor"}, {"turn": 6, "text": "有多久了？", "role": "doctor"}, {"turn": 7, "text": "一个礼拜内", "role": "patient"}, {"turn": 8, "text": "以前都会自己喊，现在骂了也没用，", "role": "patient"}, {"turn": 9, "text": "就是感冒后出现的，感冒的时候也有几次没喊", "role": "patient"}, {"turn": 10, "text": "哦，那还是考虑与感冒有关，可以化验一个小便常规看一下", "role": "doctor"}, {"turn": 11, "text": "不要打骂孩子", "role": "doctor"}, {"turn": 12, "text": "好", "role": "patient"}, {"turn": 13, "text": "👌", "role": "doctor"}, {"turn": 14, "text": "这种情况有哪几种可能", "role": "patient"}, {"turn": 15, "text": "需要尿路感染，炎症的可能", "role": "doctor"}, {"turn": 16, "text": "小便先化验结果", "role": "patient"}, {"turn": 17, "text": "嗯，化验看看有没有尿路感染的情况", "role": "doctor"}, {"turn": 18, "text": "如果没有，就问题不大", "role": "doctor"}, {"turn": 19, "text": "心理不会出问题吧。", "role": "patient"}, {"turn": 20, "text": "一般不会的！", "role": "doctor"}, {"turn": 21, "text": "好的👌谢谢你了", "role": "patient"}, {"turn": 22, "text": "不客气的呀！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 556, "thread": [{"turn": 0, "text": "烟炎扁桃体炎怎么治疗？（女，36岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问目前主要的症状是？", "role": "doctor"}, {"turn": 2, "text": "烟炎扁桃体炎怎么治疗？", "role": "patient"}, {"turn": 3, "text": "我首先要知道您目前的症状，是急性还是慢性😊", "role": "doctor"}, {"turn": 4, "text": "急性吧", "role": "patient"}, {"turn": 5, "text": "吞咽疼痛吗？", "role": "doctor"}, {"turn": 6, "text": "干痒疼", "role": "patient"}, {"turn": 7, "text": "痛", "role": "patient"}, {"turn": 8, "text": "一痒就咳嗽。", "role": "patient"}, {"turn": 9, "text": "如果急性扁桃体炎没有发热，建议可以服用蒲地蓝.二丁颗粒一周左右，如果有发热，改蒲地蓝为阿莫西林", "role": "doctor"}, {"turn": 10, "text": "另外建议，1如果感觉空气不是特别好，根据空气质量可以配带口罩，在室内保持通风通气和湿度2.适当运动增强体质，忌烟酒，避免辛辣刺激的食物，多饮水3.保持口腔口咽清洁，可以用硼酸含漱液含漱，适当服用西瓜霜等含片，中成药慢严舒柠或玄麦柑橘颗粒也有一定疗效", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 557, "thread": [{"turn": 0, "text": "妈妈高度近视,爸爸不近视,会遗传吗（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你近视多少度呢？", "role": "doctor"}, {"turn": 2, "text": "500度", "role": "patient"}, {"turn": 3, "text": "会遗传给下一代吗", "role": "patient"}, {"turn": 4, "text": "近视主要由先天性因素及后天因素共同影响", "role": "doctor"}, {"turn": 5, "text": "后天形成", "role": "patient"}, {"turn": 6, "text": "大于600度的近视为高度近视，一般来说，低度数的近视是不遗传的", "role": "doctor"}, {"turn": 7, "text": "也就是说高度近视后天形成也会遗传吗", "role": "patient"}, {"turn": 8, "text": "如果父母双方皆为高度近视，孩子高度近视的可能性相对比较大", "role": "doctor"}, {"turn": 9, "text": "有一定的遗传性，但更重要的还是后天环境因素", "role": "doctor"}, {"turn": 10, "text": "您目前还不能说是高度近视，不用过度担心", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 558, "thread": [{"turn": 0, "text": "装了心脏支架还有糖尿病怎么吃:?（男，57岁）", "role": "patient"}, {"turn": 1, "text": "你好。支架装完多久了。你问的是饮食需要注意什么？是吧？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "你好。你这种情况饮食就是要以控制血糖为主，需要注意的有：第一低盐低脂糖尿病饮食，主食控制，以菜为主，尤其以绿叶蔬菜最好，限制食盐，每天少于5克，营养均衡，肉奶蛋蔬菜粗粮水果都要有；第二适当运动，可以进行规律的有氧运动，坚持锻炼身体，这样也可以保持血糖更好的控制。第三戒烟戒酒。糖尿病饮食具体怎么吃，怎么管理你可以去医院糖尿病科，每个医院的糖尿病科都有关于怎么吃的讲座，去学习一下。还有就是可以下载一个糖尿病的APP，里面会有指导你怎么吃饭，每天食物怎么搭配。", "role": "doctor"}, {"turn": 4, "text": "谢了！", "role": "patient"}, {"turn": 5, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 559, "thread": [{"turn": 0, "text": "请问医生，宝宝消化不良可以吃瘦肉吗（男，15个月）平时饮食要注意什么呢？可以吃什么食物不可以吃什么食物", "role": "patient"}, {"turn": 1, "text": "你好，瘦肉吃点可以的，最好煮的烂一些的，平时常见的食物都是可以吃的，不要吃太多。", "role": "doctor"}, {"turn": 2, "text": "不知道弄什么给宝宝吃，不吃肉没营养", "role": "patient"}, {"turn": 3, "text": "宝宝感冒可以喝醒脾养儿颗粒吗", "role": "patient"}, {"turn": 4, "text": "可以吃肉的，鱼肉、蔬菜，水果都可以吃的啊。就是不要吃的太多了，一次少吃点，煮的精细一些都可以的。", "role": "doctor"}, {"turn": 5, "text": "醒脾可以继续吃的", "role": "doctor"}, {"turn": 6, "text": "感冒吃会不会不好，醒脾的", "role": "patient"}, {"turn": 7, "text": "感冒了可能会吸收差一点", "role": "doctor"}, {"turn": 8, "text": "麻烦医生介绍下，消化不良吃什么粥好呢，推荐几款呗", "role": "patient"}, {"turn": 9, "text": "苹果大米粥，山药小米粥，胡萝卜大米粥都可以的", "role": "doctor"}, {"turn": 10, "text": "都可以放点肉对吗", "role": "patient"}, {"turn": 11, "text": "南瓜粥行吗", "role": "patient"}, {"turn": 12, "text": "瘦肉放点可以的", "role": "doctor"}, {"turn": 13, "text": "南瓜粥也可以吃", "role": "doctor"}, {"turn": 14, "text": "平时要注意什么啊", "role": "patient"}, {"turn": 15, "text": "注意不要一次吃太多，吃的多了积食了就容易消化不良的。冰冷的太油腻的尽量少吃", "role": "doctor"}, {"turn": 16, "text": "好的。我少给他吃点", "role": "patient"}, {"turn": 17, "text": "嗯嗯😊", "role": "doctor"}, {"turn": 18, "text": "慢慢会改善对吗", "role": "patient"}, {"turn": 19, "text": "是的，大点起来会慢慢好转的", "role": "doctor"}, {"turn": 20, "text": "医生，我宝宝这几天都拉稀，拉的次数不多，一天一次，有时候一天两次，都是稀稀的，会是什么问题呢，会不会是吃感冒药吃的问题", "role": "patient"}, {"turn": 21, "text": "消化不好，我就是这两三天才给他吃的少的", "role": "patient"}, {"turn": 22, "text": "吃感冒药会有影响的。一天一次关系不大的", "role": "doctor"}, {"turn": 23, "text": "不吃药会不会好啊", "role": "patient"}, {"turn": 24, "text": "医生，我宝宝是中午1点半吃的胡萝卜，刚刚7点就拉胡萝卜出来了，这是什么问题。也是消化不好吗", "role": "patient"}, {"turn": 25, "text": "胡萝卜比较难消化的，一般吃了拉出来也是正常的", "role": "doctor"}, {"turn": 26, "text": "这样吗，我以为胡萝卜好消化呢，就是这么快拉出来是什么原因", "role": "patient"}, {"turn": 27, "text": "消化不好也会有关系的", "role": "doctor"}, {"turn": 28, "text": "医生知道葆婴吗。宝宝抵抗力差可以吃葆婴的初乳片吗", "role": "patient"}, {"turn": 29, "text": "吃点也可以的呢，增强抵抗力的药比如匹多莫德口服液或者脾氨肽冻干粉吃段时间都可以的", "role": "doctor"}, {"turn": 30, "text": "宝宝现在身高75体重17斤。现在1岁3个月，是不是不达标啊，", "role": "patient"}, {"turn": 31, "text": "好担心", "role": "patient"}, {"turn": 32, "text": "身高还可以的，体重是有点偏轻一些的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 560, "thread": [{"turn": 0, "text": "我想知道淋病吃药期间，可以用手吗？（男，16岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴回答您的问题", "role": "doctor"}, {"turn": 2, "text": "不可以手淫的", "role": "doctor"}, {"turn": 3, "text": "我吃的药是盐     氧氟沙星片，效果会很好吗？", "role": "patient"}, {"turn": 4, "text": "我现在偶尔一点两点脓水，小便不疼，但是瘙痒，", "role": "patient"}, {"turn": 5, "text": "只是这个药不行，还需要加上一个药头孢克肟片每天三次每次二片。", "role": "doctor"}, {"turn": 6, "text": "药头孢克肟片吗？", "role": "patient"}, {"turn": 7, "text": "我现在吃的药要吃一个疗程，一个疗程是一个星期，我已经吃了三四天了，请问你的这个是怎么吃，？", "role": "patient"}, {"turn": 8, "text": "吃五天", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 561, "thread": [{"turn": 0, "text": "血管性头痛吃什么中药治疗（女，43岁）", "role": "patient"}, {"turn": 1, "text": "您好，您具体有什么症状？", "role": "doctor"}, {"turn": 2, "text": "吹风头痛头胀头凉", "role": "patient"}, {"turn": 3, "text": "多久了？", "role": "doctor"}, {"turn": 4, "text": "有其他疾病吗？", "role": "doctor"}, {"turn": 5, "text": "检查医生说有颈椎病脑共血不足", "role": "patient"}, {"turn": 6, "text": "口服天麻胶囊", "role": "doctor"}, {"turn": 7, "text": "有八年了，吃了很多西药，扎针电疗", "role": "patient"}, {"turn": 8, "text": "口服天麻不能根治", "role": "patient"}, {"turn": 9, "text": "效果如何？", "role": "doctor"}, {"turn": 10, "text": "吃药就好一点，停药就不行", "role": "patient"}, {"turn": 11, "text": "睡眠好吗？", "role": "doctor"}, {"turn": 12, "text": "有烦躁不安吗？", "role": "doctor"}, {"turn": 13, "text": "吃中药能根冶吗", "role": "patient"}, {"turn": 14, "text": "这些情况都不好", "role": "patient"}, {"turn": 15, "text": "我这是啥子病呢", "role": "patient"}, {"turn": 16, "text": "吃中药短时间也不能根治。", "role": "doctor"}, {"turn": 17, "text": "根本问题是要把睡眠调整好，把心情心态调整好。", "role": "doctor"}, {"turn": 18, "text": "医生说是血管性头痛，是吗", "role": "patient"}, {"turn": 19, "text": "脑ct结果正常吗？", "role": "doctor"}, {"turn": 20, "text": "大概要吃多久的中药", "role": "patient"}, {"turn": 21, "text": "检查就是颈椎病，脑血不足", "role": "patient"}, {"turn": 22, "text": "很可能是血管性头疼。", "role": "doctor"}, {"turn": 23, "text": "经常烦躁不安吗？", "role": "doctor"}, {"turn": 24, "text": "有烦燥", "role": "patient"}, {"turn": 25, "text": "需要治疗焦虑和失眠。", "role": "doctor"}, {"turn": 26, "text": "这要吃什么药治疗", "role": "patient"}, {"turn": 27, "text": "把这两个治好。", "role": "doctor"}, {"turn": 28, "text": "每天能睡几个小时呢？", "role": "doctor"}, {"turn": 29, "text": "有时候睡眠好，有时候只睡得到五个小时", "role": "patient"}, {"turn": 30, "text": "口服枣仁安神胶囊。", "role": "doctor"}, {"turn": 31, "text": "每天都到户外活动锻炼。", "role": "doctor"}, {"turn": 32, "text": "作息规律", "role": "doctor"}, {"turn": 33, "text": "中午睡眠不要超过半小时。", "role": "doctor"}, {"turn": 34, "text": "多参加集体活动。", "role": "doctor"}, {"turn": 35, "text": "我中午只睡得半个小时", "role": "patient"}, {"turn": 36, "text": "好的👌", "role": "doctor"}, {"turn": 37, "text": "头怕吹风头凉是什么原因呢", "role": "patient"}, {"turn": 38, "text": "心理疾病的原因，可能是焦虑症，", "role": "doctor"}, {"turn": 39, "text": "枣仁安神胶囊要吃多久呢", "role": "patient"}, {"turn": 40, "text": "至少一个月", "role": "doctor"}, {"turn": 41, "text": "看情况吧", "role": "doctor"}, {"turn": 42, "text": "好的，谢谢", "role": "patient"}, {"turn": 43, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 562, "thread": [{"turn": 0, "text": "黄体酮会导致内分泌失调吗（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问平时月经规律吗？", "role": "doctor"}, {"turn": 2, "text": "具体一下情况", "role": "doctor"}, {"turn": 3, "text": "黄体酮可以调理月经周期的", "role": "doctor"}, {"turn": 4, "text": "你好 我就是用它调理月经的 这次十月一打算出去玩 所以已经吃了一个星期多一点的黄体酮了", "role": "patient"}, {"turn": 5, "text": "想要推迟月经来着 用量是一天2次", "role": "patient"}, {"turn": 6, "text": "可能是这个引起了内分泌失调？", "role": "patient"}, {"turn": 7, "text": "有什么不适吗现在", "role": "doctor"}, {"turn": 8, "text": "我来例假时间一般是月初 2号3号左右 现在距离来月经还有一段时间 应该不是黄体酮用药失败然后要来例假才长得痘吧", "role": "patient"}, {"turn": 9, "text": "有关系的，但也不是绝对的，记得多多喝水促进代谢", "role": "doctor"}, {"turn": 10, "text": "倒没有 有时候会头晕 昨晚有点恶心 是服用黄体酮导致的？", "role": "patient"}, {"turn": 11, "text": "嗷嗷 好的 谢谢医生 那我就继续服药了？", "role": "patient"}, {"turn": 12, "text": "可以口服一天一次", "role": "doctor"}, {"turn": 13, "text": "这样副作用比较小", "role": "doctor"}, {"turn": 14, "text": "一天两次继续吃下去直到十月一结束可以吗", "role": "patient"}, {"turn": 15, "text": "哦哦 关键是怕推经失败", "role": "patient"}, {"turn": 16, "text": "有这种可能性吗", "role": "patient"}, {"turn": 17, "text": "也可以的。口服黄体酮期间是不会来月经的，停经后3-7天来月经", "role": "doctor"}, {"turn": 18, "text": "好的！ 谢谢医生 麻烦您了", "role": "patient"}, {"turn": 19, "text": "不客气！☺️", "role": "doctor"}, {"turn": 20, "text": "对了 还有一个问题 服用黄体酮同时可以服用布洛伪麻分散片吗 会有药效冲突吗", "role": "patient"}, {"turn": 21, "text": "不影响的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 563, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：直肠癌（男，42岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问想咨询直肠癌什么方面的问题啊？", "role": "doctor"}, {"turn": 2, "text": "就是我爸爸已经得这个病两三年了，但他一直没有给我说，之前好了一段时间，但是每月还要去医院打吊针，直到今年九月份后半月，他就又去西安的医院了，到现在还没回来，我就想问一下这个病有没有完全恢复的可能", "role": "patient"}, {"turn": 3, "text": "这个不好说啊，只能说越早期的，治好的可能性越大。因为目前不知道病人病情情况，所以不好说，能提供更多的信息吗", "role": "doctor"}, {"turn": 4, "text": "好的谢谢您！麻烦您了", "role": "patient"}, {"turn": 5, "text": "不客气哈！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 564, "thread": [{"turn": 0, "text": "心肌缺血会引起头疼吗（女，43岁）", "role": "patient"}, {"turn": 1, "text": "你好，心肌缺血一般不引起头疼", "role": "doctor"}, {"turn": 2, "text": "我经常会头痛，所有检查都做了也没查什么，是什么引起头痛呢", "role": "patient"}, {"turn": 3, "text": "检查要是都查了还没有问题就好说了", "role": "doctor"}, {"turn": 4, "text": "平时经期前后痛的时候比较多点，每个月都会痛上一两次，痛起来的时候就是两三天，吃什么药都不管用", "role": "patient"}, {"turn": 5, "text": "都做了什么检查了", "role": "doctor"}, {"turn": 6, "text": "CT磁共振，颈动脉血管彩超都做了", "role": "patient"}, {"turn": 7, "text": "都没有问题吧", "role": "doctor"}, {"turn": 8, "text": "说是血管神经痛，偏头痛", "role": "patient"}, {"turn": 9, "text": "哦哦", "role": "doctor"}, {"turn": 10, "text": "平时容易紧张压力大吗", "role": "doctor"}, {"turn": 11, "text": "这个月已经痛了快一个星期了，感觉一个头都重重的", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "doctor"}, {"turn": 13, "text": "也没有", "role": "patient"}, {"turn": 14, "text": "睡眠怎么样", "role": "doctor"}, {"turn": 15, "text": "晚上好好睡就醒来时就痛起了", "role": "patient"}, {"turn": 16, "text": "这段时间还可以", "role": "patient"}, {"turn": 17, "text": "会不会是晚上用生姜水泡脚的原因", "role": "patient"}, {"turn": 18, "text": "血管性头疼的话主要就是好好休息压力不要太大", "role": "doctor"}, {"turn": 19, "text": "不会的", "role": "doctor"}, {"turn": 20, "text": "压力也不是太大呀", "role": "patient"}, {"turn": 21, "text": "总之血管性头疼没有器质性问题", "role": "doctor"}, {"turn": 22, "text": "说睡眠应该也够了，晚上十点左右睡，早上五点半左右起么", "role": "patient"}, {"turn": 23, "text": "给你开药了没", "role": "doctor"}, {"turn": 24, "text": "会不会是长期早起引起的", "role": "patient"}, {"turn": 25, "text": "你睡的早", "role": "doctor"}, {"turn": 26, "text": "睡眠够呢", "role": "doctor"}, {"turn": 27, "text": "什么药都吃过了，都没什么效果", "role": "patient"}, {"turn": 28, "text": "吃的啥药", "role": "doctor"}, {"turn": 29, "text": "关于偏头痛的，血管性头疼的，还有脑供血不足的都吃过了", "role": "patient"}, {"turn": 30, "text": "中药也吃了不少，理疗也做了", "role": "patient"}, {"turn": 31, "text": "那这个就不好弄了", "role": "doctor"}, {"turn": 32, "text": "甚至这一年来一疼就打针，刚开始还有点效果，到现在也没用了", "role": "patient"}, {"turn": 33, "text": "我建议你咨询下神经内科", "role": "doctor"}, {"turn": 34, "text": "我们这个是心内科", "role": "doctor"}, {"turn": 35, "text": "好的，谢谢", "role": "patient"}, {"turn": 36, "text": "不客气啦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 565, "thread": [{"turn": 0, "text": "肩膀筋膜炎，已经疼了5天了（女，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，有没有其他地方不舒服？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "怎么引起的？有没有受外伤？", "role": "doctor"}, {"turn": 4, "text": "就是脖子后方以及右边，之前两个礼拜轻微算疼（以为就是工作造成酸胀），这周非常疼了，落枕加用电脑工作，这周是完全不能按压，非常痛，起床用一点力都痛", "role": "patient"}, {"turn": 5, "text": "患者是你本人吗？", "role": "doctor"}, {"turn": 6, "text": "是的", "role": "patient"}, {"turn": 7, "text": "那你做过什么检查及治疗？", "role": "doctor"}, {"turn": 8, "text": "吃了布洛芬，在小诊所总一个灯理疗，不知道叫什么，那个医生说我筋膜炎", "role": "patient"}, {"turn": 9, "text": "肩关节活动正常吗？", "role": "doctor"}, {"turn": 10, "text": "做了理疗，第二天好了点，第三天走又疼了", "role": "patient"}, {"turn": 11, "text": "不能活动，很痛", "role": "patient"}, {"turn": 12, "text": "主要是肩膀疼还是颈背部疼？", "role": "doctor"}, {"turn": 13, "text": "离脖子比较近，颈背部吧", "role": "patient"}, {"turn": 14, "text": "之前落枕过吗？", "role": "doctor"}, {"turn": 15, "text": "一次", "role": "patient"}, {"turn": 16, "text": "那你颈椎检查过吗？", "role": "doctor"}, {"turn": 17, "text": "没有，颈椎没问题，就是脖子右边疼", "role": "patient"}, {"turn": 18, "text": "第一次这样", "role": "patient"}, {"turn": 19, "text": "可以做做针灸。贴贴膏药。局部热敷。", "role": "doctor"}, {"turn": 20, "text": "多久会好，我还要上班", "role": "patient"}, {"turn": 21, "text": "这个因人而异，一般需要一周至两周。", "role": "doctor"}, {"turn": 22, "text": "可以吃布洛芬吗", "role": "patient"}, {"turn": 23, "text": "可以的。", "role": "doctor"}, {"turn": 24, "text": "可以配合吃点舒筋活血片。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 566, "thread": [{"turn": 0, "text": "肾衰竭晚期透析能活多久（女，76岁）", "role": "patient"}, {"turn": 1, "text": "请问现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "以前有什么疾病吗？", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "病人是我奶奶糖尿病很严重吐了两天了今天去医院住进重症监护室说要做透析我想问一下这个症状到底多严重", "role": "patient"}, {"turn": 5, "text": "糖尿病最严重的并发症是肾衰竭，就是肾脏没有功能，需要透析来代替肾脏工作，就是俗说的尿毒症", "role": "doctor"}, {"turn": 6, "text": "像我奶奶这个症状现在是不是有生命危险", "role": "patient"}, {"turn": 7, "text": "尿毒症了肯定有生命危险", "role": "doctor"}, {"turn": 8, "text": "麻烦问一下我就想知道我奶奶这种情况能维持多久", "role": "patient"}, {"turn": 9, "text": "一般根据病情，因为我看不到患者具体化验单及患者本人，生存期具体要根据患者病情，度过危险期透析是可以长期生存的", "role": "doctor"}, {"turn": 10, "text": "今天住的院明天开始透析危险期是几天啊", "role": "patient"}, {"turn": 11, "text": "这个需要看病情，我看不到患者本人及化验单，没法判断，如果一般状况好的话，三四天就会有好转", "role": "doctor"}, {"turn": 12, "text": "哦谢谢啦", "role": "patient"}, {"turn": 13, "text": "不客气，早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 567, "thread": [{"turn": 0, "text": "眼睛痛 头晕 恶心 有时候胃痛耳鸣（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多长时间了？平时睡眠好不好？", "role": "doctor"}, {"turn": 2, "text": "有个三四天", "role": "patient"}, {"turn": 3, "text": "睡眠可以", "role": "patient"}, {"turn": 4, "text": "就是有时候脑袋发晕", "role": "patient"}, {"turn": 5, "text": "什么情况下会发晕？是昏沉沉的感觉吗？不清晰的感觉吗？", "role": "doctor"}, {"turn": 6, "text": "什么情况下会发晕？是昏沉沉的感觉吗？不清晰的感觉吗？", "role": "doctor"}, {"turn": 7, "text": "昏沉沉", "role": "patient"}, {"turn": 8, "text": "有没有天旋地转的感觉？", "role": "doctor"}, {"turn": 9, "text": "每次发生会持续多久？", "role": "doctor"}, {"turn": 10, "text": "还可以", "role": "patient"}, {"turn": 11, "text": "一会", "role": "patient"}, {"turn": 12, "text": "就好了", "role": "patient"}, {"turn": 13, "text": "几秒就好了", "role": "patient"}, {"turn": 14, "text": "一般在什么情况下发生这种现象？", "role": "doctor"}, {"turn": 15, "text": "白天精神紧张吗？有没有体育运动锻炼？作息规律好吗？", "role": "doctor"}, {"turn": 16, "text": "不紧张啊 作息规律可以", "role": "patient"}, {"turn": 17, "text": "就是前几天上了8个小时网", "role": "patient"}, {"turn": 18, "text": "然后早午饭逗没怎么吃", "role": "patient"}, {"turn": 19, "text": "一回寝室就特虚弱无力", "role": "patient"}, {"turn": 20, "text": "然后这样了", "role": "patient"}, {"turn": 21, "text": "就是眼睛斜视的话会痛", "role": "patient"}, {"turn": 22, "text": "那你现在就要充分休息。补充睡眠。这是熬夜这是熬夜和过度疲劳，高度紧张出现的功能失调的症状。", "role": "doctor"}, {"turn": 23, "text": "眼睛痛也与你上网时持续紧张，姿势僵硬有关。", "role": "doctor"}, {"turn": 24, "text": "可能是我上网时间过长然后又没怎么吃饭", "role": "patient"}, {"turn": 25, "text": "多久能好", "role": "patient"}, {"turn": 26, "text": "对的，这是主要的原因。目前还不考虑其他的情况。", "role": "doctor"}, {"turn": 27, "text": "休息一天至两天就可以恢复。", "role": "doctor"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "😊👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 568, "thread": [{"turn": 0, "text": "脐带绕颈两周加绕体一周（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问现在孕周多少了？", "role": "doctor"}, {"turn": 2, "text": "35周", "role": "patient"}, {"turn": 3, "text": "胎儿一直是这样绕体绕颈吗，那建议你多注意胎动、定期产检，如果到产时还是这样，建议剖宫产", "role": "doctor"}, {"turn": 4, "text": "29周检查出脐带绕颈两周 35周检查出绕颈两周加绕体一周", "role": "patient"}, {"turn": 5, "text": "嗯，说明你的脐带比较长", "role": "doctor"}, {"turn": 6, "text": "这种情况需要怎么做呢 需不需要频繁去医院做个胎心监护", "role": "patient"}, {"turn": 7, "text": "现在35周了，以后至少一星期做一次胎心监护，要注意胎动，如果不放心可以去医院借胎心仪器，很多医院有这个项目", "role": "doctor"}, {"turn": 8, "text": "如果胎儿发生缺氧等情况 多久会造成窒息呢", "role": "patient"}, {"turn": 9, "text": "一般胎儿缺氧会出现先胎动变多，然后胎动减少至消失，多久会出问题这个没有具体统计", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 569, "thread": [{"turn": 0, "text": "心电图诊断频发室性早搏是什么意思?（男，8岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个就是说你心律不齐", "role": "doctor"}, {"turn": 2, "text": "孩子做这个心电图时，刚爬楼梯上去", "role": "patient"}, {"turn": 3, "text": "是不是也有关系？", "role": "patient"}, {"turn": 4, "text": "做动态心电图检查需不需要停止口服《专注达盐酸哌甲酯缓释片》？", "role": "patient"}, {"turn": 5, "text": "频发的的话就证明不活动时也有", "role": "doctor"}, {"turn": 6, "text": "今天第一次服用《盐酸哌甲酯缓释片》", "role": "patient"}, {"turn": 7, "text": "那你是那天做24h？", "role": "doctor"}, {"turn": 8, "text": "心电图是昨天做的", "role": "patient"}, {"turn": 9, "text": "您是说，哪天去做24小时的那个动态心电图检查吗？", "role": "patient"}, {"turn": 10, "text": "准备星期六做", "role": "patient"}, {"turn": 11, "text": "大夫，请问做24小时动态心电图检查，需要停止服用《盐酸哌甲缓释片》吗？", "role": "patient"}, {"turn": 12, "text": "大夫，请问孩子做24小时动态心电图检查，需要停止服用《盐酸哌甲缓释片》吗？", "role": "patient"}, {"turn": 13, "text": "大夫，还在吗？", "role": "patient"}, {"turn": 14, "text": "在", "role": "doctor"}, {"turn": 15, "text": "不好意思刚在忙", "role": "doctor"}, {"turn": 16, "text": "不需要停这个药物的。直接去做就可以了", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢！", "role": "patient"}, {"turn": 18, "text": "不用客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 570, "thread": [{"turn": 0, "text": "睡眠障碍晚上容易醒两三次（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半年了", "role": "patient"}, {"turn": 3, "text": "有什么原因吗？", "role": "doctor"}, {"turn": 4, "text": "还不多半年前头部被东西砸到导致睡眠极差", "role": "patient"}, {"turn": 5, "text": "压力增大了？还是环境有变化？", "role": "doctor"}, {"turn": 6, "text": "被东西砸到了？重物吗？", "role": "doctor"}, {"turn": 7, "text": "？？", "role": "patient"}, {"turn": 8, "text": "稍微有点重", "role": "patient"}, {"turn": 9, "text": "有点压力我也不知道就是莫名的睡眠极差容易醒两三次", "role": "patient"}, {"turn": 10, "text": "后来做过什么检查吗？", "role": "doctor"}, {"turn": 11, "text": "磁共振啊", "role": "patient"}, {"turn": 12, "text": "当时有问题吗？", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "哦哦", "role": "doctor"}, {"turn": 15, "text": "做过什么治疗吗？", "role": "doctor"}, {"turn": 16, "text": "吃了些精神药物和安神的药物没怎么效果还容易醒两三次", "role": "patient"}, {"turn": 17, "text": "哦哦，那您现在听药了吗？", "role": "doctor"}, {"turn": 18, "text": "停", "role": "doctor"}, {"turn": 19, "text": "你要是没有停药，我建议你加上每天半小时锻炼身体", "role": "doctor"}, {"turn": 20, "text": "停了", "role": "patient"}, {"turn": 21, "text": "哦哦", "role": "doctor"}, {"turn": 22, "text": "那我建议你每天锻炼身体，睡前听点轻音乐", "role": "doctor"}, {"turn": 23, "text": "必要时建议你挂了心理门诊进行一下压力的疏导", "role": "doctor"}, {"turn": 24, "text": "头部一直有滴滴滴的声音", "role": "patient"}, {"turn": 25, "text": "要是这样，我还是建议你到医院挂个心理门诊进行下心理疏导，让心理医生结合你的情况必要时再给予药物治疗", "role": "doctor"}, {"turn": 26, "text": "不要排斥心理门诊，好多大公司的领导都还有自己的私人心理医生那", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 571, "thread": [{"turn": 0, "text": "请问耳石症能治好吗，一般有什么症状，（男，37岁）", "role": "patient"}, {"turn": 1, "text": "你好，耳石症是可以治疗好的，主要的症状就是因为体位的变化引起眩晕。", "role": "doctor"}, {"turn": 2, "text": "就是躺下来起床感觉眩晕，起不来，要慢慢侧卧才能起来，起来了，就基本不眩晕了", "role": "patient"}, {"turn": 3, "text": "前段时间躺下来两边侧卧晕，过两天好了，今天早上起来又眩晕", "role": "patient"}, {"turn": 4, "text": "你好，那就多考虑耳石症", "role": "doctor"}, {"turn": 5, "text": "建议去耳鼻喉科看看，及时手法复位", "role": "doctor"}, {"turn": 6, "text": "听说复位特别难受啊", "role": "patient"}, {"turn": 7, "text": "你好，就和你体位变化时眩晕一样的", "role": "doctor"}, {"turn": 8, "text": "诊断耳石症是不是很复杂", "role": "patient"}, {"turn": 9, "text": "听说有的耳石症仪器查不出来", "role": "patient"}, {"turn": 10, "text": "不复杂，有些检查不出来那就不一定是耳石了", "role": "doctor"}, {"turn": 11, "text": "今天早上起来还是晕，要左侧慢慢起来靠墙上。才好点，起来基本不晕", "role": "patient"}, {"turn": 12, "text": "晕是那种脖子到脑袋颈椎那种感觉说不上来，就要倒下来才好点", "role": "patient"}, {"turn": 13, "text": "你好，就是起床时候出现眩晕吗？", "role": "doctor"}, {"turn": 14, "text": "就是早上起来晕", "role": "patient"}, {"turn": 15, "text": "刚去看了耳鼻喉科主任说耳石症不典型", "role": "patient"}, {"turn": 16, "text": "那就暂时用点药物观察看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 572, "thread": [{"turn": 0, "text": "一受凉就流脓鼻涕，一直不好，咽喉炎（女，30岁）", "role": "patient"}, {"turn": 1, "text": "平时鼻塞吗，受凉就流鼻涕估计有鼻炎", "role": "doctor"}, {"turn": 2, "text": "平时经常出现鼻塞的情况", "role": "patient"}, {"turn": 3, "text": "鼻炎很难根治的，症状明显急性加重吃一点抗生素和用一点布地奈德之类的喷鼻药物", "role": "doctor"}, {"turn": 4, "text": "有没有做过鼻窦CT呢", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "吃哪一类抗生素？", "role": "patient"}, {"turn": 7, "text": "您没有药物过敏吧", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "可以吃点罗红霉素或者阿奇霉素", "role": "doctor"}, {"turn": 10, "text": "鼻塞严重局部用药，用点激素类的喷鼻剂", "role": "doctor"}, {"turn": 11, "text": "口服鼻渊舒之类的中成药", "role": "doctor"}, {"turn": 12, "text": "咽喉一直都是红红的", "role": "patient"}, {"turn": 13, "text": "不好意思，咽喉痛不痛呢，慢性的不容易根治，如果急性发作口服抗生素联合蒲地蓝之类的中成药", "role": "doctor"}, {"turn": 14, "text": "不痛，就是不舒服，咽喉壁有滤泡", "role": "patient"}, {"turn": 15, "text": "吃点蒲地蓝吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 573, "thread": [{"turn": 0, "text": "严重便秘,大便出血,（男，7岁）", "role": "patient"}, {"turn": 1, "text": "你好。这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "2年", "role": "patient"}, {"turn": 3, "text": "多久一次大便？", "role": "doctor"}, {"turn": 4, "text": "2天-4天", "role": "patient"}, {"turn": 5, "text": "大便带血是鲜红？还是暗红？还是黑色的？", "role": "doctor"}, {"turn": 6, "text": "每次大便后，用纸檫屁屁有血在纸上", "role": "patient"}, {"turn": 7, "text": "平时多吃点含纤维高的蔬菜，注意清淡规律，忌生冷辛辣刺激油腻", "role": "doctor"}, {"turn": 8, "text": "便秘可以喝点乳果糖改善症状", "role": "doctor"}, {"turn": 9, "text": "大便上没有血，用纸去檫屁屁的时候会见到有血在纸巾上", "role": "patient"}, {"turn": 10, "text": "嗯，这是便秘引起的，主要改善便秘情况吧", "role": "doctor"}, {"turn": 11, "text": "乳果糖，甜的东西更加不行", "role": "patient"}, {"turn": 12, "text": "乳果糖口服液，是药，主要改善便秘的", "role": "doctor"}, {"turn": 13, "text": "有没有副作用", "role": "patient"}, {"turn": 14, "text": "7周岁的小盆友，长得体型瘦小", "role": "patient"}, {"turn": 15, "text": "乳果糖，怎么吃，要吃多久", "role": "patient"}, {"turn": 16, "text": "回复我呀谢谢", "role": "patient"}, {"turn": 17, "text": "乳果糖吃两三天症状改善了就好了", "role": "doctor"}, {"turn": 18, "text": "也可以给他吃点金双歧", "role": "doctor"}, {"turn": 19, "text": "乳果糖5-10ML，一日3次", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 574, "thread": [{"turn": 0, "text": "盐酸非索非那定片治疗神经性耳鸣吗（男，18岁）", "role": "patient"}, {"turn": 1, "text": "不治疗的，这个是抗过敏的", "role": "doctor"}, {"turn": 2, "text": "我神经性耳鸣，医生开的脉络疏通丸，", "role": "patient"}, {"turn": 3, "text": "盐酸非索非那定片，还有头孢地尼分散片", "role": "patient"}, {"turn": 4, "text": "你有中耳炎吗", "role": "doctor"}, {"turn": 5, "text": "这几种医生开错了吗？没有一种治疗神经性耳鸣的", "role": "patient"}, {"turn": 6, "text": "有点。", "role": "patient"}, {"turn": 7, "text": "那没错的", "role": "doctor"}, {"turn": 8, "text": "你的耳鸣可能是中耳炎引起的", "role": "doctor"}, {"turn": 9, "text": "但这次去医院是因为神经性耳鸣，这药不是治疗耳鸣的？", "role": "patient"}, {"turn": 10, "text": "OK，谢谢", "role": "patient"}, {"turn": 11, "text": "不客气哈", "role": "doctor"}, {"turn": 12, "text": "盐酸非索非我看说明书是治疗鼻炎的，还需要吃吗？", "role": "patient"}, {"turn": 13, "text": "你有鼻子症状吗", "role": "doctor"}, {"turn": 14, "text": "没问题，", "role": "patient"}, {"turn": 15, "text": "但是医生给我诊断神经性耳鸣给我开了盐酸非索非", "role": "patient"}, {"turn": 16, "text": "可能医生有他的道理", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 575, "thread": [{"turn": 0, "text": "病理性黄疸跟生理性黄疸的区别（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，生理性黄疸是出生后2-3天出现，4-6天是黄疸高峰期，最高值不超过12.9.，一般半个月左右就降到正常值6以下。", "role": "doctor"}, {"turn": 2, "text": "超过这样的情况就属于病理性黄疸", "role": "doctor"}, {"turn": 3, "text": "我家宝宝第七天时值是13.7，烤了十几个小时蓝光后就是8—9", "role": "patient"}, {"turn": 4, "text": "现在十几天了感觉脸还有点黄", "role": "patient"}, {"turn": 5, "text": "这两天天好晒了晒太阳感觉好点，我家宝宝36周加六也是早产儿吧", "role": "patient"}, {"turn": 6, "text": "哦，属于过度儿，超过37周就属于足月儿", "role": "doctor"}, {"turn": 7, "text": "现在测黄疸值了吗？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "哦，最好给宝宝测一下黄疸看看", "role": "doctor"}, {"turn": 10, "text": "早产的宝宝黄疸值退的稍微慢点，一般到满月左右可以降到正常值。", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}, {"turn": 12, "text": "不客气，有需要再联系", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "好的，有需要再联系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 576, "thread": [{"turn": 0, "text": "妊娠反应吐的厉害怎么办（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好 请问多少周了怀孕", "role": "doctor"}, {"turn": 2, "text": "十周左右", "role": "patient"}, {"turn": 3, "text": "验尿了么", "role": "doctor"}, {"turn": 4, "text": "一吃东西就吐么", "role": "doctor"}, {"turn": 5, "text": "吐的太严重了，有点吐血了", "role": "patient"}, {"turn": 6, "text": "检查了的，正常的", "role": "patient"}, {"turn": 7, "text": "鲜血还是有血丝 以前有胃病吗？", "role": "doctor"}, {"turn": 8, "text": "吃什么东西都吐", "role": "patient"}, {"turn": 9, "text": "尿正常?", "role": "doctor"}, {"turn": 10, "text": "尿里有酮体没", "role": "doctor"}, {"turn": 11, "text": "以前没胃病，一点血", "role": "patient"}, {"turn": 12, "text": "嗯 可能是呕吐的太厉害导致贲门有轻微出血", "role": "doctor"}, {"turn": 13, "text": "鲜血", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "如果尿没问题 建议查个肝肾功看看有没有离子紊乱", "role": "doctor"}, {"turn": 16, "text": "医生请问要怎么办啊", "role": "patient"}, {"turn": 17, "text": "建议查个肝肾功看看有没有离子紊乱  如果都没事 就可以适量饮温水", "role": "doctor"}, {"turn": 18, "text": "一般12周以后会有缓解", "role": "doctor"}, {"turn": 19, "text": "哦好呢", "role": "patient"}, {"turn": 20, "text": "那天医院检查尿液也正常的", "role": "patient"}, {"turn": 21, "text": "还去输了两天营养液", "role": "patient"}, {"turn": 22, "text": "需要查离子的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 577, "thread": [{"turn": 0, "text": "请问飞蚊症会影响怀孕吗（女，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，玻璃体混浊，俗称飞蚊症", "role": "doctor"}, {"turn": 2, "text": "近视，年纪大的人容易出现", "role": "doctor"}, {"turn": 3, "text": "如果眼底正常，单纯的飞蚊症是不影响视力，不影响怀孕的", "role": "doctor"}, {"turn": 4, "text": "对怀孕不会产生影响是吗", "role": "patient"}, {"turn": 5, "text": "是否高度近视，还要查看眼底，单纯玻璃体混浊对怀孕没影响", "role": "doctor"}, {"turn": 6, "text": "做了检查，医生说多注意休息，眼睛疲劳之类的，有散光", "role": "patient"}, {"turn": 7, "text": "哦哦 那说明眼底正常", "role": "doctor"}, {"turn": 8, "text": "正常备孕就好", "role": "doctor"}, {"turn": 9, "text": "平时减少用眼时间", "role": "doctor"}, {"turn": 10, "text": "好的", "role": "patient"}, {"turn": 11, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 578, "thread": [{"turn": 0, "text": "体检有内痔外痔可能 洗澡后肛门湿（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛门有肉疙瘩脱出和便血？", "role": "doctor"}, {"turn": 2, "text": "没有吧", "role": "patient"}, {"turn": 3, "text": "体检当天医生说问题不大", "role": "patient"}, {"turn": 4, "text": "目前有什么不适的感觉。", "role": "doctor"}, {"turn": 5, "text": "没有不适感", "role": "patient"}, {"turn": 6, "text": "就是每次洗完澡肛门湿", "role": "patient"}, {"turn": 7, "text": "痔疮，没有不适的感觉。可以暂时观察，不处理。平时注意饮食", "role": "doctor"}, {"turn": 8, "text": "禁忌辛辣食物，禁饮酒。多吃蔬菜水果，保持大便通畅，每次解大便的时间不超过15分钟。", "role": "doctor"}, {"turn": 9, "text": "弄纸巾擦了就好了", "role": "patient"}, {"turn": 10, "text": "洗了都湿，跟痔疮关系不大。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 579, "thread": [{"turn": 0, "text": "阳虚吃了六味地黄丸会有什么副作用吗（男，30岁）性生活多，脱发1年。不知道是阳虚还是阴虚", "role": "patient"}, {"turn": 1, "text": "你好，吃了多久呢？阳虚有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "肾阳虚有怕冷的情况", "role": "doctor"}, {"turn": 3, "text": "六味地黄丸有滋阴补肾。用于头晕耳鸣，腰膝酸软，遗精盗汗。", "role": "doctor"}, {"turn": 4, "text": "一般没有什么副作用，只要不是吃了很长一段时间", "role": "doctor"}, {"turn": 5, "text": "前段时间吃了10天吧", "role": "patient"}, {"turn": 6, "text": "主要是脱发", "role": "patient"}, {"turn": 7, "text": "具体阴虚阳虚还需要辩证，你除了有脱发，还有其他症状吗？", "role": "doctor"}, {"turn": 8, "text": "好像没有什么了", "role": "patient"}, {"turn": 9, "text": "头发变毛躁了", "role": "patient"}, {"turn": 10, "text": "细", "role": "patient"}, {"turn": 11, "text": "不知道是什么虚", "role": "patient"}, {"turn": 12, "text": "如果单纯头发毛糙，也可能跟最近饮食，天气干燥有关，不必太过于担心", "role": "doctor"}, {"turn": 13, "text": "营养不良也不会毛发干枯", "role": "doctor"}, {"turn": 14, "text": "营养不良也会毛发干枯，刚才打错了，不好意思", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 580, "thread": [{"turn": 0, "text": "怎么避免右侧股骨内外侧髁骨挫伤（男，16岁）", "role": "patient"}, {"turn": 1, "text": "你好什么时候受的伤？", "role": "doctor"}, {"turn": 2, "text": "走路及跑步时不要发生侧摔", "role": "doctor"}, {"turn": 3, "text": "不要剧烈运动", "role": "doctor"}, {"turn": 4, "text": "注意做好身体防护", "role": "doctor"}, {"turn": 5, "text": "祝早日康复。", "role": "doctor"}, {"turn": 6, "text": "那多久可以运动", "role": "patient"}, {"turn": 7, "text": "比如踢足球", "role": "patient"}, {"turn": 8, "text": "三个月后", "role": "doctor"}, {"turn": 9, "text": "第一次过了很久", "role": "patient"}, {"turn": 10, "text": "两个星期前好像有搞了一次", "role": "patient"}, {"turn": 11, "text": "就是感觉膝盖弹了一下", "role": "patient"}, {"turn": 12, "text": "也是需要三个月嘛", "role": "patient"}, {"turn": 13, "text": "不要剧烈运动", "role": "doctor"}, {"turn": 14, "text": "平时跑步可以嘛", "role": "patient"}, {"turn": 15, "text": "就是轻微的运动可以嘛？", "role": "patient"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "那可以通过锻炼让骨头以后不会这样了嘛", "role": "patient"}, {"turn": 18, "text": "可以", "role": "doctor"}, {"turn": 19, "text": "走路及跑步时不要发生侧摔", "role": "doctor"}, {"turn": 20, "text": "注意做好身体防护", "role": "doctor"}, {"turn": 21, "text": "那可以做什么样的运动呢", "role": "patient"}, {"turn": 22, "text": "可以吃什么或者锻炼让这个时间变短嘛", "role": "patient"}, {"turn": 23, "text": "散步", "role": "doctor"}, {"turn": 24, "text": "为什么会发生这种情况", "role": "patient"}, {"turn": 25, "text": "祝早日康复。", "role": "doctor"}, {"turn": 26, "text": "为啥会发生这样的情况", "role": "patient"}, {"turn": 27, "text": "过度运动", "role": "doctor"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "饮食上面可以吃什么加快恢复嘛", "role": "patient"}, {"turn": 30, "text": "高蛋白及维生素", "role": "doctor"}, {"turn": 31, "text": "这种情况没有恢复好会有后遗症嘛", "role": "patient"}, {"turn": 32, "text": "问题不大", "role": "doctor"}, {"turn": 33, "text": "祝早日康复。", "role": "doctor"}, {"turn": 34, "text": "不会习惯性嘛", "role": "patient"}, {"turn": 35, "text": "问题不大", "role": "doctor"}, {"turn": 36, "text": "祝早日康复。", "role": "doctor"}, {"turn": 37, "text": "好了以后踢足球打篮球之类运动不会影响吧", "role": "patient"}, {"turn": 38, "text": "不会", "role": "doctor"}, {"turn": 39, "text": "祝早日康复。", "role": "doctor"}, {"turn": 40, "text": "如果发生这种情况是要先冷敷嘛", "role": "patient"}, {"turn": 41, "text": "对", "role": "doctor"}, {"turn": 42, "text": "然后24小时之后可以热敷了对嘛", "role": "patient"}, {"turn": 43, "text": "72小时后", "role": "doctor"}, {"turn": 44, "text": "祝早日康复。", "role": "doctor"}, {"turn": 45, "text": "谢谢医生", "role": "patient"}, {"turn": 46, "text": "不客气", "role": "doctor"}, {"turn": 47, "text": "这种情况是韧带松了嘛", "role": "patient"}, {"turn": 48, "text": "对", "role": "doctor"}, {"turn": 49, "text": "那要怎么才可以让韧带恢复", "role": "patient"}, {"turn": 50, "text": "让韧带更好一点", "role": "patient"}, {"turn": 51, "text": "适当锻炼", "role": "doctor"}, {"turn": 52, "text": "祝早日康复。", "role": "doctor"}, {"turn": 53, "text": "锻炼下肢力量就可以了嘛", "role": "patient"}, {"turn": 54, "text": "对", "role": "doctor"}, {"turn": 55, "text": "现在锻炼会影响身高嘛😂", "role": "patient"}, {"turn": 56, "text": "不会，", "role": "doctor"}, {"turn": 57, "text": "祝早日康复。", "role": "doctor"}, {"turn": 58, "text": "那谢谢啦", "role": "patient"}, {"turn": 59, "text": "祝早日康复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 581, "thread": [{"turn": 0, "text": "3岁宝宝蛀牙怎么治疗（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，能提供一下照片吗？", "role": "doctor"}, {"turn": 2, "text": "孩子没在我身边，我昨天出来出差了", "role": "patient"}, {"turn": 3, "text": "好的", "role": "doctor"}, {"turn": 4, "text": "最近经常牙疼", "role": "patient"}, {"turn": 5, "text": "那牙齿烂的厉害吗", "role": "doctor"}, {"turn": 6, "text": "吃硬的东西也会疼", "role": "patient"}, {"turn": 7, "text": "牙疼的话说明牙齿烂的有点厉害了", "role": "doctor"}, {"turn": 8, "text": "这个要尽早带到医院去看", "role": "doctor"}, {"turn": 9, "text": "有个洞", "role": "patient"}, {"turn": 10, "text": "一般需要怎么治疗", "role": "patient"}, {"turn": 11, "text": "但是小朋友有点小，不知道能不能配合", "role": "doctor"}, {"turn": 12, "text": "补起来", "role": "doctor"}, {"turn": 13, "text": "牙烂了，要补", "role": "doctor"}, {"turn": 14, "text": "对就考虑这个问题", "role": "patient"}, {"turn": 15, "text": "是不是要处理神经", "role": "patient"}, {"turn": 16, "text": "那没办法，牙痛的话该看还是得看", "role": "doctor"}, {"turn": 17, "text": "这个要看小朋友牙齿烂的程度", "role": "doctor"}, {"turn": 18, "text": "我怎么看网上有的回复说要拔掉", "role": "patient"}, {"turn": 19, "text": "要不要处理神经，等医生给小朋友检查牙齿就知道了", "role": "doctor"}, {"turn": 20, "text": "不用的", "role": "doctor"}, {"turn": 21, "text": "如果不配合专业的儿童牙科能处理吧", "role": "patient"}, {"turn": 22, "text": "对，可以的", "role": "doctor"}, {"turn": 23, "text": "不能就像他们说的绑起来吧", "role": "patient"}, {"turn": 24, "text": "不配合的话就需要了", "role": "doctor"}, {"turn": 25, "text": "好吧", "role": "patient"}, {"turn": 26, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 582, "thread": [{"turn": 0, "text": "右耳耳鸣了一段时间，有时候有异物感（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "你好医生，耳鸣差不多半个月了，之前挖耳朵，把耳朵弄伤了，流了血", "role": "patient"}, {"turn": 3, "text": "现在结茧了，但是就是耳鸣，耳朵里面不痛", "role": "patient"}, {"turn": 4, "text": "嗯，可能还有血块。最好去医院让医生看看耳道", "role": "doctor"}, {"turn": 5, "text": "耳鸣是怎么引起的呢，我最近也一直鼻塞", "role": "patient"}, {"turn": 6, "text": "如果耳朵里有血块，就会耳鸣", "role": "doctor"}, {"turn": 7, "text": "那要吃药还是？", "role": "patient"}, {"turn": 8, "text": "如果是血块，让医生试着帮你清理一下", "role": "doctor"}, {"turn": 9, "text": "如果是别的问题，医生会给你处理的", "role": "doctor"}, {"turn": 10, "text": "自己能不能先试着吃药，平时忙，没时间去医院", "role": "patient"}, {"turn": 11, "text": "现在还不确定什么问题，先不要吃药", "role": "doctor"}, {"turn": 12, "text": "我觉得可能主要还是血块的问题", "role": "doctor"}, {"turn": 13, "text": "血块自己会消吗", "role": "patient"}, {"turn": 14, "text": "一般会慢慢出来，也有的需要医生帮忙", "role": "doctor"}, {"turn": 15, "text": "好的谢谢", "role": "patient"}, {"turn": 16, "text": "不客气，祝早日康复😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 583, "thread": [{"turn": 0, "text": "大便后发现纸巾有血，属于内痔？（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有没有局部照片", "role": "doctor"}, {"turn": 3, "text": "发现3天了", "role": "patient"}, {"turn": 4, "text": "没有照片", "role": "patient"}, {"turn": 5, "text": "是什么问题", "role": "patient"}, {"turn": 6, "text": "平时没有便秘，每天都有拉便", "role": "patient"}, {"turn": 7, "text": "平时没有什么感觉", "role": "patient"}, {"turn": 8, "text": "可能是痔疮", "role": "doctor"}, {"turn": 9, "text": "没有回复的？骗人的？", "role": "patient"}, {"turn": 10, "text": "痔疮？不是内痔？", "role": "patient"}, {"turn": 11, "text": "还有什么症状的？", "role": "patient"}, {"turn": 12, "text": "要怎么做", "role": "patient"}, {"turn": 13, "text": "去医院检查看看", "role": "doctor"}, {"turn": 14, "text": "肛诊一下", "role": "doctor"}, {"turn": 15, "text": "便血 疼痛之类的症状", "role": "doctor"}, {"turn": 16, "text": "是什么原因导致的？", "role": "patient"}, {"turn": 17, "text": "一般是静脉曲张", "role": "doctor"}, {"turn": 18, "text": "会影响母乳喂养吗？", "role": "patient"}, {"turn": 19, "text": "什么意思？", "role": "patient"}, {"turn": 20, "text": "不影响", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 584, "thread": [{"turn": 0, "text": "排便少，消化不良导致的肥胖如何解决（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答，...", "role": "doctor"}, {"turn": 2, "text": "可以问一下你的身高与体重吗，根据你的体重指数合理建议你...", "role": "doctor"}, {"turn": 3, "text": "身高163，体重132", "role": "patient"}, {"turn": 4, "text": "132斤吗", "role": "doctor"}, {"turn": 5, "text": "对", "role": "patient"}, {"turn": 6, "text": "排便次数少", "role": "patient"}, {"turn": 7, "text": "一个星期才两次", "role": "patient"}, {"turn": 8, "text": "你好，你的体重属于超重，24.84kgM2，正常18.5--24之间，饮食方面应注意荤素搭配均匀，多吃蔬菜水果，特别是纤维多的蔬菜，韭菜，芹菜，地瓜等，坚持锻炼身体，每次30--60分钟，如打篮球，爬山，慢跑。", "role": "doctor"}, {"turn": 9, "text": "但我血压低能吃芹菜吗", "role": "patient"}, {"turn": 10, "text": "服用乳酸菌素片，调节肠道菌群。", "role": "doctor"}, {"turn": 11, "text": "能吃芹菜", "role": "doctor"}, {"turn": 12, "text": "好的。谢谢医生", "role": "patient"}, {"turn": 13, "text": "不用谢", "role": "doctor"}, {"turn": 14, "text": "还有", "role": "patient"}, {"turn": 15, "text": "我想问那些水果纤维多", "role": "patient"}, {"turn": 16, "text": "打错了", "role": "patient"}, {"turn": 17, "text": "蔬菜", "role": "patient"}, {"turn": 18, "text": "芹菜，韭菜，菠菜，白菜， 萝卜，豆芽", "role": "doctor"}, {"turn": 19, "text": "好的。谢谢", "role": "patient"}, {"turn": 20, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 585, "thread": [{"turn": 0, "text": "恐艾一直不能脱恐，很痛苦（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请具体描述一下你的情况？", "role": "doctor"}, {"turn": 2, "text": "HIV检测10周和24周全是阴性，但是始终无法脱恐", "role": "patient"}, {"turn": 3, "text": "导致身体免疫力下降，体质变差", "role": "patient"}, {"turn": 4, "text": "感觉靠个人毅力摆脱不了", "role": "patient"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "不好意思，久等了", "role": "doctor"}, {"turn": 7, "text": "是自己检测的还是去医院检测的？", "role": "doctor"}, {"turn": 8, "text": "三甲", "role": "patient"}, {"turn": 9, "text": "两家三甲医院", "role": "patient"}, {"turn": 10, "text": "既然都是在正规医院查的，而且24周已经是第6个月了，已经在窗口期外了，可以排除的了", "role": "doctor"}, {"turn": 11, "text": "就是恐艾，感觉有点强迫症", "role": "patient"}, {"turn": 12, "text": "还是建议相信检查结果，没必要给自己添加这些无依无据的焦虑", "role": "doctor"}, {"turn": 13, "text": "感觉因为这段时间的紧张焦虑影响了身体，免疫力低了，体质也变差了，而且有点强迫症，我想咨询一下怎样能改善", "role": "patient"}, {"turn": 14, "text": "可以从饮食和生活习惯方面改善。首先建议保持一个轻松的心态。合理膳食，营养均衡，避开烟酒。保证足够的睡眠时间和休意，不要熬夜和过度劳累等。一周3-5次适度的运动，可以增强体质。另外，可以多做一下自己感兴趣的事，或者和朋友家人多交流，帮助分散一下注意力", "role": "doctor"}, {"turn": 15, "text": "需要看心理医生么，或者挂个什么健康类的科室", "role": "patient"}, {"turn": 16, "text": "根据你自己的情况吧，如果自己确实无法自行调理和控制，也是可以向心理卫生医师寻求帮助的", "role": "doctor"}, {"turn": 17, "text": "嗯嗯", "role": "patient"}, {"turn": 18, "text": "好的，若还有其他相关疑问，请随时再咨询", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 586, "thread": [{"turn": 0, "text": "医生您好！耳鸣两年了，还能治疗好吗？（男，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问当时有没有做听力学检查呢？确诊过是什么性质的耳鸣吗？", "role": "doctor"}, {"turn": 2, "text": "没有，之前经常泡吧，晚上睡觉的时候就偶尔耳鸣一下，现在差不多天天晚上都会耳鸣，没感觉听力有下降", "role": "patient"}, {"turn": 3, "text": "夜深人静的时候才感觉得到", "role": "patient"}, {"turn": 4, "text": "晚上经常熬夜或过度疲劳吗？", "role": "doctor"}, {"turn": 5, "text": "这种耳鸣多考虑神经性耳鸣，主要与作息不规律等有关", "role": "doctor"}, {"turn": 6, "text": "还得主要从调整作息入手，要注意休息，避免熬夜，过度疲劳，避免噪音刺激等", "role": "doctor"}, {"turn": 7, "text": "平常可以服用甲钴胺，维生素B1等", "role": "doctor"}, {"turn": 8, "text": "重在调整作息", "role": "doctor"}, {"turn": 9, "text": "晚上一般都是凌晨2点过后才休息，一天也就是9个小时上班时间不算累", "role": "patient"}, {"turn": 10, "text": "要不要经常按摩一下耳朵那里", "role": "patient"}, {"turn": 11, "text": "好", "role": "patient"}, {"turn": 12, "text": "按摩没有太大的作用，主要是睡眠时间要提前", "role": "doctor"}, {"turn": 13, "text": "人体有一个生物钟，该休息的时候如果没有休息，即使总的睡眠时间达到，实际上体内各内分泌系统工作时间是紊乱的", "role": "doctor"}, {"turn": 14, "text": "好，谢谢了", "role": "patient"}, {"turn": 15, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 587, "thread": [{"turn": 0, "text": "三岁孩子严重便秘可以喝蒲公英水吗（女，3岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答疑问。请问多长时间没解大便了呢？蒲公英水可以喝，但是不能通便哦", "role": "doctor"}, {"turn": 2, "text": "他每天都拉", "role": "patient"}, {"turn": 3, "text": "就是拉不了多少，拉出来一粒一粒的", "role": "patient"}, {"turn": 4, "text": "？", "role": "patient"}, {"turn": 5, "text": "像这样的情况也有两年左右了", "role": "patient"}, {"turn": 6, "text": "您好孩子平素饮食情况怎么样呢？吃蔬菜水果不", "role": "doctor"}, {"turn": 7, "text": "您泡蒲公英是为了给孩子清热嘛？还是想要通便的作用", "role": "doctor"}, {"turn": 8, "text": "通便，孩子不怎么吃蔬菜，水果倒是经常吃", "role": "patient"}, {"turn": 9, "text": "饮食平时都吃胡萝卜和鱼最都，肉不怎么吃，吃了他也吞不下，像带叶子的蔬菜他都吞不下，土豆萝卜内的她就可以吞下", "role": "patient"}, {"turn": 10, "text": "什么叫吞不下去？", "role": "doctor"}, {"turn": 11, "text": "孩子胃和肠道有没有问题呢？", "role": "doctor"}, {"turn": 12, "text": "没去检查过", "role": "patient"}, {"turn": 13, "text": "像白菜，青菜，她就吞不下", "role": "patient"}, {"turn": 14, "text": "泥状的也吃不下去嘛", "role": "doctor"}, {"turn": 15, "text": "孩子吃其他东西都正常嘛？", "role": "doctor"}, {"turn": 16, "text": "泥装可以呀，但是都三岁了，还需要到成泥吗", "role": "patient"}, {"turn": 17, "text": "其他都正常的", "role": "patient"}, {"turn": 18, "text": "不是，我的意思是可以弄小一点，吃的细一点，慢慢得培养成吃蔬菜的习惯", "role": "doctor"}, {"turn": 19, "text": "还可以多加一些粗粮之类的", "role": "doctor"}, {"turn": 20, "text": "切细也试过，吞不下总是呕吐，", "role": "patient"}, {"turn": 21, "text": "吃饭也是每顿都需要汤泡起才能吞下，干饭也会出现呕吐的，严重时吃了就全部吐出来", "role": "patient"}, {"turn": 22, "text": "汤泡饭吃了对胃不好的不能这么迟", "role": "doctor"}, {"turn": 23, "text": "好的，我知道了，", "role": "patient"}, {"turn": 24, "text": "但是没有汤他吃不下饭，咋办", "role": "patient"}, {"turn": 25, "text": "而且可以多弄一些山药，莲子，薏米之类的熬粥", "role": "doctor"}, {"turn": 26, "text": "您可以带孩子做一下进一步检查，排出胃部的问题的", "role": "doctor"}, {"turn": 27, "text": "嗯，好的，", "role": "patient"}, {"turn": 28, "text": "这么小可以做胃镜吗", "role": "patient"}, {"turn": 29, "text": "但是孩子成长检查都是正常的，", "role": "patient"}, {"turn": 30, "text": "您长期这样吃饭。以及大便，肯定就会影响了脾胃功能的", "role": "doctor"}, {"turn": 31, "text": "可以做胃镜的", "role": "doctor"}, {"turn": 32, "text": "额", "role": "patient"}, {"turn": 33, "text": "平时也不要吃太多零食之类的", "role": "doctor"}, {"turn": 34, "text": "都没让他多吃零食，", "role": "patient"}, {"turn": 35, "text": "我们几乎上不给他吃零食的，因为食欲不是很好，都不让他吃零食", "role": "patient"}, {"turn": 36, "text": "可以找个好点的中医，开点中药调理的", "role": "doctor"}, {"turn": 37, "text": "好的，谢谢了", "role": "patient"}, {"turn": 38, "text": "不客气的。希望孩子早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 588, "thread": [{"turn": 0, "text": "小猫咬伤需免疫球蛋白吗?（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，伤口大不大，有没有出血？", "role": "doctor"}, {"turn": 2, "text": "伤口不大", "role": "patient"}, {"turn": 3, "text": "但是出血了", "role": "patient"}, {"turn": 4, "text": "可以只注射狂犬疫苗", "role": "doctor"}, {"turn": 5, "text": "轻微抓伤？还是很深的伤口？", "role": "doctor"}, {"turn": 6, "text": "牙齿刮到的", "role": "patient"}, {"turn": 7, "text": "接种疫苗就可以了", "role": "doctor"}, {"turn": 8, "text": "是家养两个多月的小猫  也会携带病毒吗", "role": "patient"}, {"turn": 9, "text": "不过猫咪还没有接种疫苗", "role": "patient"}, {"turn": 10, "text": "就是出生后一直在你们家里呢？", "role": "doctor"}, {"turn": 11, "text": "那不是  一个多月的时候从朋友家接回来的", "role": "patient"}, {"turn": 12, "text": "问题是，就怕猫带有病毒，不能抱有侥幸心理", "role": "doctor"}, {"turn": 13, "text": "你家在城市吧？", "role": "doctor"}, {"turn": 14, "text": "哦哦", "role": "patient"}, {"turn": 15, "text": "在乡镇", "role": "patient"}, {"turn": 16, "text": "那还是打上对自己负责点", "role": "doctor"}, {"turn": 17, "text": "好的  明白了", "role": "patient"}, {"turn": 18, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 589, "thread": [{"turn": 0, "text": "四个月宝宝消化不良怎么办（女，2岁）", "role": "patient"}, {"turn": 1, "text": "您好", "role": "doctor"}, {"turn": 2, "text": "请问宝宝有什么症状吗？", "role": "doctor"}, {"turn": 3, "text": "宝宝喝奶粉少，好像不知道饿一样，", "role": "patient"}, {"turn": 4, "text": "怎么样才能让他胃口好，多喝一点", "role": "patient"}, {"turn": 5, "text": "宝宝一直是喝奶粉的吗？体重增长怎么样？大便什么样子？", "role": "doctor"}, {"turn": 6, "text": "在线咨询患者较多，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。", "role": "doctor"}, {"turn": 7, "text": "请问还在吗？宝宝大便什么样子的？", "role": "doctor"}, {"turn": 8, "text": "大便干燥，有时候一天一次，有时候两天一次", "role": "patient"}, {"turn": 9, "text": "大便不干", "role": "patient"}, {"turn": 10, "text": "喝奶粉的宝宝大便相对比较干燥。", "role": "doctor"}, {"turn": 11, "text": "请问宝宝体重增长了多少？", "role": "doctor"}, {"turn": 12, "text": "宝宝有没有湿疹？", "role": "doctor"}, {"turn": 13, "text": "3个月的时候5.2公斤，现在不知道多少斤", "role": "patient"}, {"turn": 14, "text": "没有，", "role": "patient"}, {"turn": 15, "text": "三个月宝宝体重增长是出生体重的一倍，如果出生6斤的话，那么三个月体重应该达到12斤。", "role": "doctor"}, {"turn": 16, "text": "宝宝奶量不足，体重增长的偏慢。如果答辩性状正常，那主要考虑宝宝脾胃虚弱这种情况，可以给宝宝吃上益生菌和小儿复方鸡内金散", "role": "doctor"}, {"turn": 17, "text": "如果大便性状正常。", "role": "doctor"}, {"turn": 18, "text": "另外可以给宝宝适当顺时针按摩，推拿捏脊，都有助于改善脾胃功能，增强食欲。4个月后的宝宝，也有可能会出现贫血或缺锌，也会导致食欲下降，消化不良，可以给宝宝化验检查一下。", "role": "doctor"}, {"turn": 19, "text": "白天可以让宝宝适当运动，增加胃肠蠕动，增加运动量，也有助于增加食欲。", "role": "doctor"}, {"turn": 20, "text": "益生菌吃的", "role": "patient"}, {"turn": 21, "text": "可以吃上益生菌和小儿复方鸡内金散调理脾胃，另外宝宝体重增长不足，考虑营养不均衡也可以给上赖氨肌醇Vb12口服液，增加营养，增强食欲。", "role": "doctor"}, {"turn": 22, "text": "氨肌醇Vb12口服液，药店有没有卖的", "role": "patient"}, {"turn": 23, "text": "一般大药店都有卖的。", "role": "doctor"}, {"turn": 24, "text": "可以给宝宝吃上一个月。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 590, "thread": [{"turn": 0, "text": "肋间神经痛和软肋骨炎怎么鉴别啊？（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个一般不太好鉴别", "role": "doctor"}, {"turn": 2, "text": "典型的肋软骨炎骨头上有明显的压痛，肋间神经痛典型的是刺痛过电样痛，两者如果不典型，就不太好鉴别了", "role": "doctor"}, {"turn": 3, "text": "我的胸痛已经一年了，胸口和左侧胸骨间隙按压时很难受，有的时候背锥会连着痛，", "role": "patient"}, {"turn": 4, "text": "平时吃有什么药没？做有什么检查吗？", "role": "doctor"}, {"turn": 5, "text": "现在没吃药了，之前吃过一些调节神经的药，现在就贴下膏药，但是膏药范围太局限，疼的范围太大了。这一年检查很多很多", "role": "patient"}, {"turn": 6, "text": "在医院做过两次全身检查都没查出来什么", "role": "patient"}, {"turn": 7, "text": "胸椎的磁共振和x片都做了两个。。", "role": "patient"}, {"turn": 8, "text": "肋软骨炎以及肋间神经痛，一般是检查不出来的，这些检查是排除其他病后才考虑它的", "role": "doctor"}, {"turn": 9, "text": "疼起来时特别难受。。有的时候疼的心悸。。但是做了24h心电图和超声都正常。", "role": "patient"}, {"turn": 10, "text": "这种情况你可以做个局部封闭，就是痛点局部药物注射治疗", "role": "doctor"}, {"turn": 11, "text": "除了封闭还有其他方法吗？", "role": "patient"}, {"turn": 12, "text": "其他的效果都不咋好，效果一般，比如吃药扶他林或布洛芬，局部热敷，中医理疗", "role": "doctor"}, {"turn": 13, "text": "刚刚吃了一颗布洛芬，左胸有点麻，药物一直从喉咙冒出来，喉咙都有点疼了，怎么回事呢？", "role": "patient"}, {"turn": 14, "text": "喉咙之前痛不痛？", "role": "doctor"}, {"turn": 15, "text": "不痛。。鼻子里都是药的味道。。", "role": "patient"}, {"turn": 16, "text": "从吃完药到现在有多长时间了？", "role": "doctor"}, {"turn": 17, "text": "1个小时左右", "role": "patient"}, {"turn": 18, "text": "现在还痛不！", "role": "doctor"}, {"turn": 19, "text": "就是这时候才发了几分钟。还在往嘴里冒。。", "role": "patient"}, {"turn": 20, "text": "平时胃怎么样？有没有胃炎？", "role": "doctor"}, {"turn": 21, "text": "你有没有反酸，嗳气，腹胀的症状？", "role": "doctor"}, {"turn": 22, "text": "有浅表性胃炎", "role": "patient"}, {"turn": 23, "text": "这种情况考虑可能是胃炎引起的", "role": "doctor"}, {"turn": 24, "text": "哦哦。不要紧吧？", "role": "patient"}, {"turn": 25, "text": "问题不大，可以吃点儿奥美拉唑枸橼酸铋钾", "role": "doctor"}, {"turn": 26, "text": "好", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 591, "thread": [{"turn": 0, "text": "耳鸣耳痛需要专门挂号耳鼻喉科吗（女，35岁）", "role": "patient"}, {"turn": 1, "text": "耳鸣耳痛常见于外耳道炎，中耳炎，大疱性鼓膜炎，耳带状疱疹，具体确诊需要耳鼻喉科进一步检查确诊😊", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "😊", "role": "doctor"}, {"turn": 4, "text": "还有什么问题了？", "role": "doctor"}, {"turn": 5, "text": "我想明天来看耳部位，最近听不到", "role": "patient"}, {"turn": 6, "text": "我想挂号", "role": "patient"}, {"turn": 7, "text": "你想从这个平台挂号吗？", "role": "doctor"}, {"turn": 8, "text": "明天下午就来就诊", "role": "patient"}, {"turn": 9, "text": "是的", "role": "patient"}, {"turn": 10, "text": "刚才付费就是挂号么", "role": "patient"}, {"turn": 11, "text": "你是哪儿的？这个平台好像不能挂医院的号", "role": "doctor"}, {"turn": 12, "text": "不是的", "role": "doctor"}, {"turn": 13, "text": "昆明的", "role": "patient"}, {"turn": 14, "text": "啊", "role": "patient"}, {"turn": 15, "text": "你可以从平台上先昆明的三级医院的大夫购买预约挂号", "role": "doctor"}, {"turn": 16, "text": "你不知道吗？你联系平台客服问问吧", "role": "doctor"}, {"turn": 17, "text": "你不是昆明附属医院耳科医生", "role": "patient"}, {"turn": 18, "text": "傻了，真不知道我是老家的亲戚最近耳朵听不到声音了，想来昆明检查看病，让我网上提前挂号，现在怎么办", "role": "patient"}, {"turn": 19, "text": "我不是的", "role": "doctor"}, {"turn": 20, "text": "需要提前约，怎么挂号", "role": "patient"}, {"turn": 21, "text": "你可以在平台找一下昆明当地的医院医生", "role": "doctor"}, {"turn": 22, "text": "三级医院的", "role": "doctor"}, {"turn": 23, "text": "他们有预约挂号的", "role": "doctor"}, {"turn": 24, "text": "你看看", "role": "doctor"}, {"turn": 25, "text": "怎么操作", "role": "patient"}, {"turn": 26, "text": "如果找不到可以问问客服", "role": "doctor"}, {"turn": 27, "text": "好我试试谢谢", "role": "patient"}, {"turn": 28, "text": "具体我也不清楚，因为我没有用过患者app，我们用的医生专用app", "role": "doctor"}, {"turn": 29, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 592, "thread": [{"turn": 0, "text": "便秘能做手术能根治吗（女，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，便秘不能通过手术治疗的", "role": "doctor"}, {"turn": 2, "text": "便秘不可以做手术", "role": "patient"}, {"turn": 3, "text": "长期便秘危害很多：影响美容，导致肥胖，产生体臭，饮食无味，神经衰弱，性欲减退，导致肛肠疾病，诱发癌变等。所以要及时纠正便秘。多吃蔬菜水果五谷杂粮，富含膳食纤维，容易消化的食物。多喝水，多运动，不久坐。少吃高脂肪高热量等不易消化的食物。再配合润肠通便的药物治疗。养成良好的饮食习惯和生活方式。", "role": "doctor"}, {"turn": 4, "text": "这个我知道", "role": "patient"}, {"turn": 5, "text": "我就想知道能做手术吗", "role": "patient"}, {"turn": 6, "text": "比较严重的便秘", "role": "patient"}, {"turn": 7, "text": "几天大便一次", "role": "doctor"}, {"turn": 8, "text": "不吃泻药就不", "role": "patient"}, {"turn": 9, "text": "拉", "role": "patient"}, {"turn": 10, "text": "就想做手术", "role": "patient"}, {"turn": 11, "text": "能好的快点", "role": "patient"}, {"turn": 12, "text": "只能做造瘘手术", "role": "doctor"}, {"turn": 13, "text": "能好了吗", "role": "patient"}, {"turn": 14, "text": "做这种手术疼吗", "role": "patient"}, {"turn": 15, "text": "需要住院多久", "role": "patient"}, {"turn": 16, "text": "有生命危险吗", "role": "patient"}, {"turn": 17, "text": "做这手术大便不经过肛门排泄了。从造瘘口排泄", "role": "doctor"}, {"turn": 18, "text": "您这么年轻，代价太大，不建议做", "role": "doctor"}, {"turn": 19, "text": "那没有别的手术吗", "role": "patient"}, {"turn": 20, "text": "便秘不是肠梗阻", "role": "doctor"}, {"turn": 21, "text": "没有了", "role": "doctor"}, {"turn": 22, "text": "便秘多长时间了", "role": "doctor"}, {"turn": 23, "text": "便秘的主要原因是什么", "role": "doctor"}, {"turn": 24, "text": "生完孩子", "role": "patient"}, {"turn": 25, "text": "好几年了", "role": "patient"}, {"turn": 26, "text": "我喝好多药，喝就拉不喝就不拉，太麻烦，就想做手术直接好了得了", "role": "patient"}, {"turn": 27, "text": "主要是什么原因导致的？", "role": "doctor"}, {"turn": 28, "text": "查明病因才好进一步治疗", "role": "doctor"}, {"turn": 29, "text": "生完孩子就开始了", "role": "patient"}, {"turn": 30, "text": "没有住院治疗吗", "role": "doctor"}, {"turn": 31, "text": "都用过什么药治疗", "role": "doctor"}, {"turn": 32, "text": "没治疗过", "role": "patient"}, {"turn": 33, "text": "从网上买的果冻，从医院开的汤药，好多好多", "role": "patient"}, {"turn": 34, "text": "不是说喝了好多药治疗了吗", "role": "doctor"}, {"turn": 35, "text": "喝点蜂蜜水", "role": "doctor"}, {"turn": 36, "text": "芦荟胶囊，番泻叶，果导片，芪蓉润肠口服液都用过吗", "role": "doctor"}, {"turn": 37, "text": "都用过，吃就拉不吃就不拉", "role": "patient"}, {"turn": 38, "text": "建议好点的医院找名专家看一下", "role": "doctor"}, {"turn": 39, "text": "问你好像没问一样", "role": "patient"}, {"turn": 40, "text": "能吃的药都吃了", "role": "doctor"}, {"turn": 41, "text": "再就是去医院住院治疗", "role": "doctor"}, {"turn": 42, "text": "比单纯服药治疗效果要好一些", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 593, "thread": [{"turn": 0, "text": "便秘什么药吃上能迅速腹泻。你好（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "几天一次大便", "role": "doctor"}, {"turn": 3, "text": "可以吃聚乙二醇，乳果糖", "role": "doctor"}, {"turn": 4, "text": "甘露醇也可以，就是泻的比较厉害", "role": "doctor"}, {"turn": 5, "text": "聚乙二醇副作用小些", "role": "doctor"}, {"turn": 6, "text": "您好医生，不好意思回复晚了", "role": "patient"}, {"turn": 7, "text": "一个礼拜，有时候更久。", "role": "patient"}, {"turn": 8, "text": "我就是想问问吃什么能快速的拉肚子", "role": "patient"}, {"turn": 9, "text": "聚乙二醇", "role": "doctor"}, {"turn": 10, "text": "这个效果好，副作用小", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "好的，这个一般药店就有吗", "role": "patient"}, {"turn": 13, "text": "有的", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生，祝你工作顺利，", "role": "patient"}, {"turn": 15, "text": "不客气，如果没有可以买乳果糖，这两都是副作用小的药。", "role": "doctor"}, {"turn": 16, "text": "好的，我刚刚出去买了一个您说的乳果糖，非常感谢您", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 594, "thread": [{"turn": 0, "text": "胃里边儿就像有石头翻来覆去的疼。（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，从什么时候开始痛的？吃什么东西了？", "role": "doctor"}, {"turn": 2, "text": "昨天晚上，今天中午吃面，今天晚上更难受了", "role": "patient"}, {"turn": 3, "text": "前天吃药了，穿心莲内酯片和四季感冒", "role": "patient"}, {"turn": 4, "text": "以前有过这种情况么？", "role": "doctor"}, {"turn": 5, "text": "高中时候有过", "role": "patient"}, {"turn": 6, "text": "胃里有酸水，老想吐。", "role": "patient"}, {"turn": 7, "text": "您吃的穿心莲还有四季感冒片都对胃有影响。可以先吃个奥美拉唑，匹维溴铵，铝碳酸镁片。", "role": "doctor"}, {"turn": 8, "text": "点按中脘穴也可以止痛", "role": "doctor"}, {"turn": 9, "text": "中脘穴在上腹部，胸骨下端和肚脐连接线中点，从肚脐向上4寸的位置。", "role": "doctor"}, {"turn": 10, "text": "如果效果不好，可以去医院打个止痛针", "role": "doctor"}, {"turn": 11, "text": "我怀孕五个多月了。能吃这个药吗", "role": "patient"}, {"turn": 12, "text": "?那就先吃铝碳酸镁片吧", "role": "doctor"}, {"turn": 13, "text": "另外两种不吃", "role": "doctor"}, {"turn": 14, "text": "好的谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 595, "thread": [{"turn": 0, "text": "右手边腹部靠上处一咳嗽就疼是什么原因（女，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "从元旦开始咳嗽 最近咳嗽才疼的", "role": "patient"}, {"turn": 3, "text": "之前去这个部位又疼过吗？", "role": "doctor"}, {"turn": 4, "text": "有", "role": "doctor"}, {"turn": 5, "text": "前天去医院看呼吸内科 当时也咳嗽 偶尔疼", "role": "patient"}, {"turn": 6, "text": "之前咳嗽的时候有个部位也有点疼 但不是右手边腹部这块", "role": "patient"}, {"turn": 7, "text": "有恶心或其他不适吗？", "role": "doctor"}, {"turn": 8, "text": "是胸部", "role": "patient"}, {"turn": 9, "text": "没有 就是想咳嗽 有点痰 在吃阿莫西林消炎药 没有吃止咳的", "role": "patient"}, {"turn": 10, "text": "可能是咳的比较严重，牵拉的肌肉痛……", "role": "doctor"}, {"turn": 11, "text": "把止咳药也加上吧！", "role": "doctor"}, {"turn": 12, "text": "宣肺止嗽合剂效果就不错", "role": "doctor"}, {"turn": 13, "text": "一支 一天三次", "role": "doctor"}, {"turn": 14, "text": "要配合阿莫西林一起吃吗", "role": "patient"}, {"turn": 15, "text": "吃多长时间？一周？", "role": "patient"}, {"turn": 16, "text": "阿莫西林可以继续服用，服用一周看效果！", "role": "doctor"}, {"turn": 17, "text": "不要吃寒凉食品！多喝水", "role": "doctor"}, {"turn": 18, "text": "好的谢谢", "role": "patient"}, {"turn": 19, "text": "还有其它止咳润肺的药吗", "role": "patient"}, {"turn": 20, "text": "川贝枇杷膏也不错", "role": "doctor"}, {"turn": 21, "text": "好的谢谢您", "role": "patient"}, {"turn": 22, "text": "喝川贝枇杷膏前后不喝水，是为了粘稠的药液附着于咽部，可以缓解不适症状", "role": "doctor"}, {"turn": 23, "text": "不客气！", "role": "doctor"}, {"turn": 24, "text": "一小口都不行？", "role": "patient"}, {"turn": 25, "text": "之前不知道 觉得药比较粘稠 喝了点水的 不多", "role": "patient"}, {"turn": 26, "text": "主要是粘稠的枇杷膏附着在咽部效果更好", "role": "doctor"}, {"turn": 27, "text": "不喜欢是可以喝水的", "role": "doctor"}, {"turn": 28, "text": "哦好的", "role": "patient"}, {"turn": 29, "text": "打扰您了", "role": "patient"}, {"turn": 30, "text": "不客气！早日好起来?", "role": "doctor"}, {"turn": 31, "text": "请问疼的部位可以热敷吗", "role": "patient"}, {"turn": 32, "text": "可以，但是效果不一定明显", "role": "doctor"}, {"turn": 33, "text": "好的", "role": "patient"}, {"turn": 34, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 596, "thread": [{"turn": 0, "text": "肛裂要怎么处理，有时候会便血（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "便时便后肛门有没有疼痛？", "role": "doctor"}, {"turn": 3, "text": "都有", "role": "patient"}, {"turn": 4, "text": "有时候好，又有来", "role": "patient"}, {"turn": 5, "text": "血是什么颜色的？是滴血还是厕纸染血？", "role": "doctor"}, {"turn": 6, "text": "纸染，也和大便一起排出", "role": "patient"}, {"turn": 7, "text": "平时大便怎么样？一天几次还是几天一次？大便是干结的还是软的？大便成形吗，大便有没有粘液或者脓？", "role": "doctor"}, {"turn": 8, "text": "肛裂出血疼痛的话，建议你便后用温水坐浴5-10分钟，再使用复方角菜酸酯乳膏或者马应龙麝香痔疮膏塞肛保守治疗。如果疼痛剧烈可以考虑用双氯芬酸钠栓塞肛止痛。平时要注意清淡饮食，忌熬夜和辛辣刺激的食物，保持大便通畅。 如果药物保守治疗1周没有效果，出血和疼痛的症状反复发作，建议到医院的肛肠科做进一步检查治疗。", "role": "doctor"}, {"turn": 9, "text": "不成粘，一天一次", "role": "patient"}, {"turn": 10, "text": "嗯，目前建议按上面推荐的方法用药治疗", "role": "doctor"}, {"turn": 11, "text": "如果药物保守治疗1周没有效果，上述的症状反复发作，建议到医院的肛肠科做进一步检查治疗。", "role": "doctor"}, {"turn": 12, "text": "马应龙有用过，好了没多久又来了", "role": "patient"}, {"turn": 13, "text": "如果药物治疗效果不好，就要通过手术治疗", "role": "doctor"}, {"turn": 14, "text": "好", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 597, "thread": [{"turn": 0, "text": "肛门上厕所有疼痛感，感觉像是肛裂（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好。这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一个星期", "role": "patient"}, {"turn": 3, "text": "平时大便干吗？", "role": "doctor"}, {"turn": 4, "text": "有没有便血？", "role": "doctor"}, {"turn": 5, "text": "有点", "role": "patient"}, {"turn": 6, "text": "有没有便血？", "role": "doctor"}, {"turn": 7, "text": "我目前是浦乳期，每次大便都特别费劲，又干又粗", "role": "patient"}, {"turn": 8, "text": "便后有没有肿物突出或者脱出？", "role": "doctor"}, {"turn": 9, "text": "没有便血，但是用纸巾擦时就会有一点点", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "便后有没有肿物突出或者脱出？", "role": "doctor"}, {"turn": 12, "text": "便后疼痛多长时间可以缓解", "role": "doctor"}, {"turn": 13, "text": "只要不大便就没事", "role": "patient"}, {"turn": 14, "text": "便后疼痛多长时间可以缓解？", "role": "doctor"}, {"turn": 15, "text": "不是疼，就像针眼扎一下那种", "role": "patient"}, {"turn": 16, "text": "考虑是大便干燥用力，把肛管皮肤撑破裂了疼痛", "role": "doctor"}, {"turn": 17, "text": "缓解不了，只要上厕所不管大小便都有一点疼痛", "role": "patient"}, {"turn": 18, "text": "考虑就是大便干燥用力，把肛管皮肤撑破裂了疼痛", "role": "doctor"}, {"turn": 19, "text": "那怎样能治疗", "role": "patient"}, {"turn": 20, "text": "哺乳期也不能用药。只有多喝水，想办法保持大便柔软通畅", "role": "doctor"}, {"turn": 21, "text": "保持肛门部清洁干燥", "role": "doctor"}, {"turn": 22, "text": "用药的话用什么药", "role": "patient"}, {"turn": 23, "text": "生完孩子多长时间了", "role": "doctor"}, {"turn": 24, "text": "103天", "role": "patient"}, {"turn": 25, "text": "哺乳期不能用药", "role": "doctor"}, {"turn": 26, "text": "用不用去医院做个检查", "role": "patient"}, {"turn": 27, "text": "可以去检查", "role": "doctor"}, {"turn": 28, "text": "检查挂什么科", "role": "patient"}, {"turn": 29, "text": "肛肠科", "role": "doctor"}, {"turn": 30, "text": "好的 谢谢", "role": "patient"}, {"turn": 31, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 598, "thread": [{"turn": 0, "text": "肛裂可以用盐酸金霉素眼膏吗（女，15岁）", "role": "patient"}, {"turn": 1, "text": "您好，肛裂为了预防感染的确可以涂抹消炎药膏，不过最好用可以促进愈合的痔疮膏", "role": "doctor"}, {"turn": 2, "text": "如果高锰酸钾坐浴呢", "role": "patient"}, {"turn": 3, "text": "可以的，高锰酸钾稀释液坐浴后局部涂抹太宁膏，这样有利于愈合", "role": "doctor"}, {"turn": 4, "text": "那大概要多久才会愈合", "role": "patient"}, {"turn": 5, "text": "忌辛辣刺激食物对么", "role": "patient"}, {"turn": 6, "text": "新鲜裂口几天就可以愈合，如果是陈旧性裂口很难愈合", "role": "doctor"}, {"turn": 7, "text": "进食需要忌口，忌食辛辣刺激食物，避免久坐久蹲，注意保暖，保持大便通畅并且便质松软，调整心情，会大大减少发病。", "role": "doctor"}, {"turn": 8, "text": "那肛裂一般吃什么食物好", "role": "patient"}, {"turn": 9, "text": "肛裂半个月左右", "role": "patient"}, {"turn": 10, "text": "算新鲜么", "role": "patient"}, {"turn": 11, "text": "只要忌食辛辣刺激食物，就好", "role": "doctor"}, {"turn": 12, "text": "大便干燥吗？", "role": "doctor"}, {"turn": 13, "text": "有点", "role": "patient"}, {"turn": 14, "text": "平时比较喜欢辛辣食物", "role": "patient"}, {"turn": 15, "text": "不喜欢蔬菜水果", "role": "patient"}, {"turn": 16, "text": "干燥是主要病因，所以先调理好大便", "role": "doctor"}, {"turn": 17, "text": "便秘年轻人不能依靠药物来维持。最好的是生活饮食起居的合理安排，饮食以多进食粗纤维为好，例如各种绿叶菜，土豆，地瓜，等，水果以苹果，香蕉，火龙果等。适当增加饮用白开水，适当运动。如果这些都很规律依然便秘，考虑应用药物，中药润肠通便类药物最为好，配合西药的增加胃肠动力药，会有好的疗效。", "role": "doctor"}, {"turn": 18, "text": "那上火的东西呢", "role": "patient"}, {"turn": 19, "text": "上火的尽量别吃", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "有问题随时沟通", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 599, "thread": [{"turn": 0, "text": "偏头痛怎么办快速缓解（男，25岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？用过什么药物吗？疼痛明显吗", "role": "doctor"}, {"turn": 2, "text": "可以吃脑宁片，去痛片试试", "role": "doctor"}, {"turn": 3, "text": "不用药", "role": "patient"}, {"turn": 4, "text": "实在疼的厉害吃利扎曲普坦片", "role": "doctor"}, {"turn": 5, "text": "你有检查过吗", "role": "doctor"}, {"turn": 6, "text": "没用过药", "role": "patient"}, {"turn": 7, "text": "我在家里有没有按那个穴位可以缓解的", "role": "patient"}, {"turn": 8, "text": "那建议你明天系统带患者去医院看病系统检查一下", "role": "doctor"}, {"turn": 9, "text": "家里也没药", "role": "patient"}, {"turn": 10, "text": "现在有医保，花费还能承受", "role": "doctor"}, {"turn": 11, "text": "偏头痛是什么引起的", "role": "patient"}, {"turn": 12, "text": "为什么会每晚10点开始痛", "role": "patient"}, {"turn": 13, "text": "痛一会就好了\n白天一点事都没有", "role": "patient"}, {"turn": 14, "text": "？", "role": "patient"}, {"turn": 15, "text": "一般原因很多，有血管性，遗传性等，有的就是不明原因", "role": "doctor"}, {"turn": 16, "text": "每次疼多久就好了", "role": "doctor"}, {"turn": 17, "text": "头痛前有先兆吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 600, "thread": [{"turn": 0, "text": "十三天新生儿便秘怎么办？（男，1个月）", "role": "patient"}, {"turn": 1, "text": "从出生就如此，还是最近出现的？", "role": "doctor"}, {"turn": 2, "text": "具体描述一下。", "role": "doctor"}, {"turn": 3, "text": "您好，在吗？", "role": "doctor"}, {"turn": 4, "text": "在这两天刚换的奶粉，", "role": "patient"}, {"turn": 5, "text": "出生6个月以内最好是纯母乳喂养。", "role": "doctor"}, {"turn": 6, "text": "所以这两天吃的多，就是不拉，一直放屁", "role": "patient"}, {"turn": 7, "text": "纯母乳喂养的宝宝大便一般都是稀一些次、数多一些的，每天七八次。", "role": "doctor"}, {"turn": 8, "text": "如果是纯奶粉喂养的，一般每天大便1~2次。", "role": "doctor"}, {"turn": 9, "text": "如果是母乳换奶粉了，这种情况可能会发生。", "role": "doctor"}, {"turn": 10, "text": "母乳不够，所以是母乳，奶粉一块吃", "role": "patient"}, {"turn": 11, "text": "如果宝宝吃喝正常，精神状态良好，没有腹胀，大便间隔不超过72小时可以观察。", "role": "doctor"}, {"turn": 12, "text": "最好是每天排便。", "role": "doctor"}, {"turn": 13, "text": "如果你的宝宝如我上面描述的那种情况，建议顺时针按摩肚子促进排便。", "role": "doctor"}, {"turn": 14, "text": "吃的多，我怕他肚子不舒服，能吃什么通便吗？", "role": "patient"}, {"turn": 15, "text": "不要随便使用药物，任何药物都是有副作用的。", "role": "doctor"}, {"turn": 16, "text": "建议按摩一下看看。", "role": "doctor"}, {"turn": 17, "text": "如果超过72小时可以开塞露通便。", "role": "doctor"}, {"turn": 18, "text": "好的，暂时两天没拉了，", "role": "patient"}, {"turn": 19, "text": "按需哺乳。", "role": "doctor"}, {"turn": 20, "text": "吃奶的情况不要主动干涉。", "role": "doctor"}, {"turn": 21, "text": "嗯好的，谢谢了", "role": "patient"}, {"turn": 22, "text": "您客气了😊", "role": "doctor"}, {"turn": 23, "text": "另外注意衣服被子厚薄适宜，环境温度适度合适，摄入的液体量足够。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 601, "thread": [{"turn": 0, "text": "最里面的下牙蛀牙长了一块肉（女，18岁）", "role": "patient"}, {"turn": 1, "text": "请问是智齿吗。", "role": "doctor"}, {"turn": 2, "text": "不是  还没长智齿", "role": "patient"}, {"turn": 3, "text": "您这是牙髓息肉", "role": "doctor"}, {"turn": 4, "text": "需要去医院做根管治疗", "role": "doctor"}, {"turn": 5, "text": "严重吗   久了的话会怎么样?  我这个息肉长了蛮久的了  大概三个月了", "role": "patient"}, {"turn": 6, "text": "久了的话 就会牙齿保不住了 需要拔掉", "role": "doctor"}, {"turn": 7, "text": "而且以后可能出现根尖炎症 就会疼痛", "role": "doctor"}, {"turn": 8, "text": "现在就是一碰到就会就疼   是不是要尽快做治疗了?", "role": "patient"}, {"turn": 9, "text": "是的呢", "role": "doctor"}, {"turn": 10, "text": "去口腔科就可以啦", "role": "doctor"}, {"turn": 11, "text": "好的  谢谢", "role": "patient"}, {"turn": 12, "text": "如果满意 系统提示后 麻烦给个满意好评哈", "role": "doctor"}, {"turn": 13, "text": "好的好的", "role": "patient"}, {"turn": 14, "text": "谢谢您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 602, "thread": [{"turn": 0, "text": "儿童免疫球蛋白e有****的吗（男，2岁9个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么症状？检查单子可以看下吗，有助于判断", "role": "doctor"}, {"turn": 2, "text": "宝宝免疫球蛋白e检查出来****", "role": "patient"}, {"turn": 3, "text": "这个值主要提示过敏。", "role": "doctor"}, {"turn": 4, "text": "宝宝有过敏症状吗？", "role": "doctor"}, {"turn": 5, "text": "有过敏性鼻炎和过敏性结膜炎", "role": "patient"}, {"turn": 6, "text": "那就肯定是过敏体质了。容易过敏", "role": "doctor"}, {"turn": 7, "text": "医生这个值是不是太高了？", "role": "patient"}, {"turn": 8, "text": "有点高。", "role": "doctor"}, {"turn": 9, "text": "这个严重了会发展成什么病呢？", "role": "patient"}, {"turn": 10, "text": "会有生命危险吗？", "role": "patient"}, {"turn": 11, "text": "过敏性疾病有很多。不会有生命危险", "role": "doctor"}, {"turn": 12, "text": "儿童哮喘", "role": "doctor"}, {"turn": 13, "text": "可以根治吗？有什么建议呢？", "role": "patient"}, {"turn": 14, "text": "过敏性疾病不好根治。跟孩子体质有关系。", "role": "doctor"}, {"turn": 15, "text": "而且过敏性疾病有遗传倾向。家长有过敏症状吗？", "role": "doctor"}, {"turn": 16, "text": "我有过敏症状", "role": "patient"}, {"turn": 17, "text": "好吧", "role": "doctor"}, {"turn": 18, "text": "是不是等宝宝长大点了就会好一点", "role": "patient"}, {"turn": 19, "text": "可能会逐渐好转", "role": "doctor"}, {"turn": 20, "text": "医生你之前有见过免疫球蛋白e这么高的人吗？", "role": "patient"}, {"turn": 21, "text": "有", "role": "doctor"}, {"turn": 22, "text": "过敏的孩子，有很多这么高的。", "role": "doctor"}, {"turn": 23, "text": "有可能就是过敏，没有其他的吗？", "role": "patient"}, {"turn": 24, "text": "没有其他的。", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢医生，听你这么说我感觉好多了！", "role": "patient"}, {"turn": 26, "text": "好的，别客气，有问题可以随时联系我", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 603, "thread": [{"turn": 0, "text": "咀嚼肌怎么变小，除了打针还有什么办法（男，24岁）", "role": "patient"}, {"turn": 1, "text": "这种情况尽量吃软的食物，不要用力咀嚼", "role": "doctor"}, {"turn": 2, "text": "已经有了大的咀嚼肌，怎么办", "role": "patient"}, {"turn": 3, "text": "那也没有太好的办法，先用另一侧咀嚼", "role": "doctor"}, {"turn": 4, "text": "瘦脸霜好使吗", "role": "patient"}, {"turn": 5, "text": "这个没用过", "role": "doctor"}, {"turn": 6, "text": "好吧", "role": "patient"}, {"turn": 7, "text": "不建议用在网上介绍的那种", "role": "doctor"}, {"turn": 8, "text": "那应该怎么办，腮帮子太大了", "role": "patient"}, {"turn": 9, "text": "太明显了", "role": "patient"}, {"turn": 10, "text": "也可以考虑微整形的", "role": "doctor"}, {"turn": 11, "text": "费事吗？", "role": "patient"}, {"turn": 12, "text": "这是整形的范围，可以咨询整形科医生看看的好", "role": "doctor"}, {"turn": 13, "text": "好的谢谢", "role": "patient"}, {"turn": 14, "text": "不客气的，祝您身体健康", "role": "doctor"}, {"turn": 15, "text": "谢谢医生", "role": "patient"}, {"turn": 16, "text": "客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 604, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：便秘（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好。几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "几乎没有 每次都是拉不出来 但是就是想拉", "role": "patient"}, {"turn": 3, "text": "这样情况多久了？", "role": "doctor"}, {"turn": 4, "text": "最近几天开始的", "role": "patient"}, {"turn": 5, "text": "最近有没有经常吃辛辣刺激生冷？", "role": "doctor"}, {"turn": 6, "text": "吃的很少", "role": "patient"}, {"turn": 7, "text": "既往多久大便一次", "role": "doctor"}, {"turn": 8, "text": "以前都是一天两次", "role": "patient"}, {"turn": 9, "text": "现在想拉都拉不出来", "role": "patient"}, {"turn": 10, "text": "有没有反酸打嗝？既往有没有胃炎？", "role": "doctor"}, {"turn": 11, "text": "这些都没有", "role": "patient"}, {"turn": 12, "text": "怎么办啊医生", "role": "patient"}, {"turn": 13, "text": "考虑胃肠功能紊乱，建议平常饮食要清淡，少吃辛辣刺激生冷，多吃蔬菜多喝水。药物建议用整肠生和舒丽启能调整一下，平常多喝点浓稠的酸奶，注意饮食习惯，作息习惯，少熬夜。\n如果反复大便不畅，可以用乳果糖口服液帮助排便", "role": "doctor"}, {"turn": 14, "text": "这些东西有用吗", "role": "patient"}, {"turn": 15, "text": "必须有用", "role": "doctor"}, {"turn": 16, "text": "好的 那一般药店有卖吗", "role": "patient"}, {"turn": 17, "text": "舒丽启能可能难点~其他都会有", "role": "doctor"}, {"turn": 18, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 19, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 605, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：婴儿消化不良（男，0岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "大便稀，夜间烦躁，爱哭", "role": "patient"}, {"turn": 3, "text": "腹部受凉导致的消化不良症状", "role": "doctor"}, {"turn": 4, "text": "闻到嘴里有酸酸的味道", "role": "patient"}, {"turn": 5, "text": "暖水袋暖肚子就可以改善", "role": "doctor"}, {"turn": 6, "text": "像是食物没有消化完的酸味", "role": "patient"}, {"turn": 7, "text": "腹部受凉导致的消化不良症状", "role": "doctor"}, {"turn": 8, "text": "不需要吃益生菌吗？哭是因为肚子疼吗？还是胃不舒服哟", "role": "patient"}, {"turn": 9, "text": "益生菌不推荐使用了", "role": "doctor"}, {"turn": 10, "text": "暖水袋暖肚子就可以改善", "role": "doctor"}, {"turn": 11, "text": "那用毛巾敷肚皮也可以嘛！", "role": "patient"}, {"turn": 12, "text": "可以的", "role": "doctor"}, {"turn": 13, "text": "湿热敷，要在娃儿安静状态下敷？还是随时都可以？敷好久啊？", "role": "patient"}, {"turn": 14, "text": "24小时不间断暖水袋暖肚子效果最好", "role": "doctor"}, {"turn": 15, "text": "婴儿如果是蛋白质吸收不好！导致的", "role": "patient"}, {"turn": 16, "text": "消化不良是什么症状呢？", "role": "patient"}, {"turn": 17, "text": "添加辅食就好了", "role": "doctor"}, {"turn": 18, "text": "湿热敷后需不需要按摩腹部？", "role": "patient"}, {"turn": 19, "text": "热敷一下就可以", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 606, "thread": [{"turn": 0, "text": "请问遇到挫伤扭伤应该先怎么治疗（男，24岁）", "role": "patient"}, {"turn": 1, "text": "您好。春雨医生正在为您解答。", "role": "doctor"}, {"turn": 2, "text": "请问遇到挫伤扭伤应该先怎么治疗（男，24岁）", "role": "patient"}, {"turn": 3, "text": "关节有没有错位？", "role": "doctor"}, {"turn": 4, "text": "没有的情况下怎么处理", "role": "patient"}, {"turn": 5, "text": "首先休息，尽快地对受伤的局部进行冷敷", "role": "doctor"}, {"turn": 6, "text": "在扭伤之后，经过24小时，内出血完全停止的时候，此时可以采用热敷的方法进行处理", "role": "doctor"}, {"turn": 7, "text": "用凉水冲可以吗", "role": "patient"}, {"turn": 8, "text": "冷敷的温度应该是多少。", "role": "patient"}, {"turn": 9, "text": "冰块就可以", "role": "doctor"}, {"turn": 10, "text": "要是没有冰块呢", "role": "patient"}, {"turn": 11, "text": "那就用凉水", "role": "doctor"}, {"turn": 12, "text": "如果没有皮肤破损，可以浸泡在凉水里", "role": "doctor"}, {"turn": 13, "text": "有的话呢", "role": "patient"}, {"turn": 14, "text": "一般需要冲多久？", "role": "patient"}, {"turn": 15, "text": "如果皮肤破损厉害当然先处理皮肤外伤了", "role": "doctor"}, {"turn": 16, "text": "什么样的算是厉害呢", "role": "patient"}, {"turn": 17, "text": "每1~2小时冷敷10~20分钟", "role": "doctor"}, {"turn": 18, "text": "处理玩外伤还可以冷水冲吗", "role": "patient"}, {"turn": 19, "text": "保护好外伤创面是可以用水冲扭伤的地方的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 607, "thread": [{"turn": 0, "text": "便秘第五天是怎么回事（女，25岁）", "role": "patient"}, {"turn": 1, "text": "有没有吃药啊？有没有吃辣椒啊？", "role": "doctor"}, {"turn": 2, "text": "没吃辣椒", "role": "patient"}, {"turn": 3, "text": "便秘平时要多喝点水啊，适当运动运动", "role": "doctor"}, {"turn": 4, "text": "睡眠不好好总失眠吃了点中药，吃了胃疼，没用就没吃了，没吃药之前就开始老是便秘", "role": "patient"}, {"turn": 5, "text": "可以只吃点百乐眠胶囊，吃点芦荟珍珠胶囊", "role": "doctor"}, {"turn": 6, "text": "我现在也运动，水喝的也多，还是便秘，", "role": "patient"}, {"turn": 7, "text": "可以吃点百乐眠胶囊治疗失眠，吃点芦荟珍珠胶囊，治疗便", "role": "doctor"}, {"turn": 8, "text": "可以吃点百乐眠胶囊治疗失眠，吃点芦荟珍珠胶囊，治疗便秘", "role": "doctor"}, {"turn": 9, "text": "拉也就一点   费劲还拉不完   是怎么会事", "role": "patient"}, {"turn": 10, "text": "需要到医院检查有什么病症吗", "role": "patient"}, {"turn": 11, "text": "可以做个肠镜", "role": "doctor"}, {"turn": 12, "text": "我肚子不痛", "role": "patient"}, {"turn": 13, "text": "检查下，也是可以的，不检查就先吃点药", "role": "doctor"}, {"turn": 14, "text": "现在胃还疼着那，好像不能吃药，", "role": "patient"}, {"turn": 15, "text": "也可以输液治疗啊！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 608, "thread": [{"turn": 0, "text": "五岁孩子晚上一直咳嗽怎么治（男，5岁）", "role": "patient"}, {"turn": 1, "text": "在线咨询患者较多，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。同时为了尽快解决你的问题，节省你的宝贵时间，请按照我的提问一次补充病史。谢谢你的合作。", "role": "doctor"}, {"turn": 2, "text": "咳嗽有痰吗，咳嗽多久了，单声还是连续咳嗽", "role": "doctor"}, {"turn": 3, "text": "精神状态好不好", "role": "doctor"}, {"turn": 4, "text": "有没有发热", "role": "doctor"}, {"turn": 5, "text": "现在已经不发热了，一直连续咳嗽、今天白天在医院打了一天消炎和退烧的针了，可是晚上回家一直咳嗽，有时候感觉咳嗽不上来似的", "role": "patient"}, {"turn": 6, "text": "咳嗽有痰吗", "role": "doctor"}, {"turn": 7, "text": "精神状态好不好", "role": "doctor"}, {"turn": 8, "text": "食欲如何", "role": "doctor"}, {"turn": 9, "text": "大小便正常吗", "role": "doctor"}, {"turn": 10, "text": "精神状态还可以就是一直咳嗽，咳嗽上来的时候有痰，有时候咳嗽不上来，小便正常、进食不是很好", "role": "patient"}, {"turn": 11, "text": "宝宝有没有其他不适", "role": "doctor"}, {"turn": 12, "text": "宝宝有没有化验检查", "role": "doctor"}, {"turn": 13, "text": "别的没有，早上发热破了鼻血", "role": "patient"}, {"turn": 14, "text": "只是化验了血", "role": "patient"}, {"turn": 15, "text": "发化验检查", "role": "doctor"}, {"turn": 16, "text": "结果没拿回来在医院", "role": "patient"}, {"turn": 17, "text": "麻烦问一下有没有好点的止咳的", "role": "patient"}, {"turn": 18, "text": "你好，发热，连续咳嗽，这种情况考虑支原体感染导致可能", "role": "doctor"}, {"turn": 19, "text": "他现在总是咳嗽不顺畅", "role": "patient"}, {"turn": 20, "text": "口服阿奇霉素消炎", "role": "doctor"}, {"turn": 21, "text": "口服孟鲁司特钠和小儿百部止咳糖浆治疗咳嗽", "role": "doctor"}, {"turn": 22, "text": "我买了清肺止咳糖浆感觉不管用", "role": "patient"}, {"turn": 23, "text": "现在就是一直咳", "role": "patient"}, {"turn": 24, "text": "有时咳嗽不上来", "role": "patient"}, {"turn": 25, "text": "你的药物不吃了", "role": "doctor"}, {"turn": 26, "text": "好的、那我买这两种药物吃对吗", "role": "patient"}, {"turn": 27, "text": "三种", "role": "doctor"}, {"turn": 28, "text": "阿奇霉素", "role": "doctor"}, {"turn": 29, "text": "孟鲁司特钠", "role": "doctor"}, {"turn": 30, "text": "小儿百部止咳糖浆", "role": "doctor"}, {"turn": 31, "text": "这三种和白天医院打的针不冲突是吗", "role": "patient"}, {"turn": 32, "text": "白天打了头孢", "role": "patient"}, {"turn": 33, "text": "打的什么针，具体药名", "role": "doctor"}, {"turn": 34, "text": "白天打了头孢，没有冲突", "role": "doctor"}, {"turn": 35, "text": "那我去买这三种药", "role": "patient"}, {"turn": 36, "text": "谢谢", "role": "patient"}, {"turn": 37, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 609, "thread": [{"turn": 0, "text": "宝宝便秘拉不出来，是和输液有关吗（男，15个月）", "role": "patient"}, {"turn": 1, "text": "你好，一般没有关系的。", "role": "doctor"}, {"turn": 2, "text": "那怎么治疗？", "role": "patient"}, {"turn": 3, "text": "几天一次？母乳喂养还是喝奶粉？", "role": "doctor"}, {"turn": 4, "text": "喝奶粉，两天没拉了，今天拉不出来哭。", "role": "patient"}, {"turn": 5, "text": "宝宝巨细胞病毒感染，怎么办", "role": "patient"}, {"turn": 6, "text": "拉不出来可以口服四磨汤口服液调节一下，平时多喝水多吃蔬菜水果。", "role": "doctor"}, {"turn": 7, "text": "巨细胞病毒感染对症治疗就可以，没有什么好的办法。", "role": "doctor"}, {"turn": 8, "text": "妈咪爱可以吗", "role": "patient"}, {"turn": 9, "text": "不行", "role": "doctor"}, {"turn": 10, "text": "输液了五天更昔洛韦体温最高时还是37.5，是不是这个药没效果？", "role": "patient"}, {"turn": 11, "text": "这个体温没事的，尤其这个天气热的时候", "role": "doctor"}, {"turn": 12, "text": "嗯，巨细胞病毒一般几个疗程能看好？", "role": "patient"}, {"turn": 13, "text": "这个不好说，怎么也得半月左右吧有的能持续很长时间", "role": "doctor"}, {"turn": 14, "text": "哦，哎愁人", "role": "patient"}, {"turn": 15, "text": "便秘跟这个没有什么关系。", "role": "doctor"}, {"turn": 16, "text": "跟奶粉有关系", "role": "doctor"}, {"turn": 17, "text": "以前都是喝这个奶粉大便很好，就是这两天便秘，而且食物都很清淡", "role": "patient"}, {"turn": 18, "text": "嗯嗯，先调节一下吧", "role": "doctor"}, {"turn": 19, "text": "嗯，让他喝点鸡汤没事吧？", "role": "patient"}, {"turn": 20, "text": "少喝点可以", "role": "doctor"}, {"turn": 21, "text": "不是说鸡汤可以治疗便秘吗？", "role": "patient"}, {"turn": 22, "text": "他这么大不适合吃油腻的，容易导致肠胃不舒服。", "role": "doctor"}, {"turn": 23, "text": "嗯，谢谢", "role": "patient"}, {"turn": 24, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 610, "thread": [{"turn": 0, "text": "头皮发紧发麻，易疲劳无力，耳鸣（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "两三年了", "role": "patient"}, {"turn": 3, "text": "长期熬夜？压力过大？", "role": "doctor"}, {"turn": 4, "text": "不熬夜，压力有一点大还可以", "role": "patient"}, {"turn": 5, "text": "你这种一般是免疫力下降引起，可以去中医院口服中药调理身体", "role": "doctor"}, {"turn": 6, "text": "这就能下结论吗？", "role": "patient"}, {"turn": 7, "text": "其次，最好做个颈椎核磁，看看有无颈椎问题导致的供血不足", "role": "doctor"}, {"turn": 8, "text": "我是免费在平台上当志愿者，只是给你个建议", "role": "doctor"}, {"turn": 9, "text": "中医上讲，耳鸣，易疲劳属于肾虚症", "role": "doctor"}, {"turn": 10, "text": "咨询了好多，有说焦虑的，有说颈椎问题的，你这就问了熬不熬夜就能判定我什么病", "role": "patient"}, {"turn": 11, "text": "西医就需要明确，有无颈椎问题引起供血不足导致耳鸣，头皮发麻", "role": "doctor"}, {"turn": 12, "text": "你当志愿者，你这是拿人命开玩笑，当医生的话能乱讲", "role": "patient"}, {"turn": 13, "text": "怎么开玩笑了", "role": "doctor"}, {"turn": 14, "text": "很认真的给你建议", "role": "doctor"}, {"turn": 15, "text": "你有看完所有回答吗？", "role": "doctor"}, {"turn": 16, "text": "就在这把自己当圣人一样", "role": "doctor"}, {"turn": 17, "text": "有认真看完所有回答吗？有谦虚的等待所有回答结束吗？", "role": "doctor"}, {"turn": 18, "text": "你有尊重人吗？", "role": "doctor"}, {"turn": 19, "text": "我不是圣人，你算什么医生，你问清情况了吗就下结论", "role": "patient"}, {"turn": 20, "text": "这不是结论", "role": "doctor"}, {"turn": 21, "text": "是在给你列举建议", "role": "doctor"}, {"turn": 22, "text": "你有仔细看吗？", "role": "doctor"}, {"turn": 23, "text": "有认真看吗", "role": "doctor"}, {"turn": 24, "text": "无理取闹", "role": "doctor"}, {"turn": 25, "text": "行，医生不诊断不按病情给建议，我会找你们医院对你的话进行评估，看看你说的话合不合适", "role": "patient"}, {"turn": 26, "text": "随便你", "role": "doctor"}, {"turn": 27, "text": "免费志愿者难道就可以这样吗", "role": "patient"}, {"turn": 28, "text": "乱来", "role": "doctor"}, {"turn": 29, "text": "没素质", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 611, "thread": [{"turn": 0, "text": "睡觉醒来偏头痛 恶心 怎么缓解（女，0个月）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "今天早上开始", "role": "patient"}, {"turn": 3, "text": "前几天也有一次", "role": "patient"}, {"turn": 4, "text": "做过检查？", "role": "doctor"}, {"turn": 5, "text": "0个月？", "role": "doctor"}, {"turn": 6, "text": "小孩子？", "role": "doctor"}, {"turn": 7, "text": "额 24了", "role": "patient"}, {"turn": 8, "text": "没检查过", "role": "patient"}, {"turn": 9, "text": "月经相关吗", "role": "doctor"}, {"turn": 10, "text": "不会", "role": "patient"}, {"turn": 11, "text": "其他还有什么不舒服吗？", "role": "doctor"}, {"turn": 12, "text": "来例假的时候也疼", "role": "patient"}, {"turn": 13, "text": "头晕 想吐 出汗", "role": "patient"}, {"turn": 14, "text": "吃点布洛芬，如果不行就到神经内科看看", "role": "doctor"}, {"turn": 15, "text": "好的 现在已经好多了 医生 这个病因也是需要坚持才能找出来吗？", "role": "patient"}, {"turn": 16, "text": "检查", "role": "patient"}, {"turn": 17, "text": "到专科门诊去看看", "role": "doctor"}, {"turn": 18, "text": "嗯嗯 好的 谢谢您😘", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 612, "thread": [{"turn": 0, "text": "小孩咳嗽有痰但是听诊器听又说没有痰（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝咳嗽多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有几天了，昨晚发烧咳的时候感觉喉咙有好多浓痰一样，今天带他去医院看，医生用听诊器听的时候说还有，没什么痰，不怎么咳，但是咳的时候明显感觉喉咙有痰，怎么个回事", "role": "patient"}, {"turn": 3, "text": "这个说明痰靠上，应该是痰不多，什么时候痰上来了会刺激咳嗽几声，咳嗽之后就没有了。", "role": "doctor"}, {"turn": 4, "text": "医院说是流感就开了奥司他韦和阿奇，我问下要不要开点止咳化痰的药，他说不用啦。", "role": "patient"}, {"turn": 5, "text": "听诊器听说肺部没有痰，还好，那会不会得肺炎", "role": "patient"}, {"turn": 6, "text": "听着肺部没事，应该不会。用着阿奇和奥司他韦对痰也有帮助的", "role": "doctor"}, {"turn": 7, "text": "前几天咳的频繁，我给他吃了豉翘颗粒，昨天发烧时咳的次数不多但是一咳就感觉喉咙有好多痰。咳不出来一样", "role": "patient"}, {"turn": 8, "text": "哦哦，这样的话还是可以加上化痰止咳药的。", "role": "doctor"}, {"turn": 9, "text": "医生还说有一种咳嗽感觉是有很多痰，但实际没什么痰，有这说法吗", "role": "patient"}, {"turn": 10, "text": "我问了医生我叫他给我开点止咳化痰的，他说不用了，就吃这两样", "role": "patient"}, {"turn": 11, "text": "只能说肺里听着没什么痰，炎症靠上，咳嗽还是有痰的。", "role": "doctor"}, {"turn": 12, "text": "肺力咳能吃吗，和奥司他韦一起", "role": "patient"}, {"turn": 13, "text": "嗯嗯，可以吃的", "role": "doctor"}, {"turn": 14, "text": "咳嗽有痰吃豉翘颗粒没有吧", "role": "patient"}, {"turn": 15, "text": "豉翘清热颗粒也有化痰止咳的作用。", "role": "doctor"}, {"turn": 16, "text": "那听诊器听不出肺部有痰，就说明不会得肺炎吗，如果没有吃化痰的药，吃阿奇消炎炎症没了，痰也会化掉的吗", "role": "patient"}, {"turn": 17, "text": "肺炎肺部听诊会有啰音，用消炎药炎症下去了痰也会消失的。", "role": "doctor"}, {"turn": 18, "text": "那他喉咙有痰不用吃止咳化痰的药吗，", "role": "patient"}, {"turn": 19, "text": "感觉孩子咳嗽不频繁的话可以不吃的。", "role": "doctor"}, {"turn": 20, "text": "喉咙有痰后期会不会变成肺炎的", "role": "patient"}, {"turn": 21, "text": "喉咙有痰吃消炎药也有所改善的对吗", "role": "patient"}, {"turn": 22, "text": "恢复期注意别让孩子着凉，如果着凉病情容易反复，可能会发展为肺炎的。", "role": "doctor"}, {"turn": 23, "text": "嗯嗯，是的", "role": "doctor"}, {"turn": 24, "text": "好的，", "role": "patient"}, {"turn": 25, "text": "能喝牛奶吗", "role": "patient"}, {"turn": 26, "text": "水果方面哪些能吃", "role": "patient"}, {"turn": 27, "text": "给孩子吃些容易消化的，水果现在最好别吃，甜的凉的东西别吃。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 613, "thread": [{"turn": 0, "text": "右侧上下腹痛，便秘，女27岁（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久？", "role": "doctor"}, {"turn": 2, "text": "有一段时间了", "role": "patient"}, {"turn": 3, "text": "去医院做过b超，不是阑尾炎", "role": "patient"}, {"turn": 4, "text": "嗯，一般多久排一次大便？", "role": "doctor"}, {"turn": 5, "text": "三天左右", "role": "patient"}, {"turn": 6, "text": "需要去挂肠胃科看下吗", "role": "patient"}, {"turn": 7, "text": "你腹痛情况排便之后会不会减轻呢？", "role": "doctor"}, {"turn": 8, "text": "好像还会有", "role": "patient"}, {"turn": 9, "text": "最好能去门诊看一下，让医生给你做一下触诊，有没有压痛，包块什么的", "role": "doctor"}, {"turn": 10, "text": "之前做过尿常规", "role": "patient"}, {"turn": 11, "text": "有问题吗？", "role": "doctor"}, {"turn": 12, "text": "白细胞很高是什么原因呀", "role": "patient"}, {"turn": 13, "text": "泌尿系感染时候白细胞会升高", "role": "doctor"}, {"turn": 14, "text": "你有尿频尿痛的症状吗", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "没有的话，建议在复查一次，尿常规标本有时候容易污染，污染之后白细胞也会高", "role": "doctor"}, {"turn": 17, "text": "这个会不会和妇科有关系", "role": "patient"}, {"turn": 18, "text": "腹痛", "role": "patient"}, {"turn": 19, "text": "会，女性腹痛需要考虑妇科跟胃肠问题", "role": "doctor"}, {"turn": 20, "text": "我发现最近老是经常放屁", "role": "patient"}, {"turn": 21, "text": "最近吃饭快不快？", "role": "doctor"}, {"turn": 22, "text": "我吃饭好像都挺快的", "role": "patient"}, {"turn": 23, "text": "肠胃不舒服，是不是需要做肠镜", "role": "patient"}, {"turn": 24, "text": "吃饭比较快的话，是会容易放屁的😃", "role": "doctor"}, {"turn": 25, "text": "胃肠不舒服如果能做个胃肠镜看一下是最好的", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}, {"turn": 28, "text": "会是妇科问题吗", "role": "patient"}, {"turn": 29, "text": "有点吓人", "role": "patient"}, {"turn": 30, "text": "妇科问题的可能性不太大", "role": "doctor"}, {"turn": 31, "text": "妇科的痛一般都比你这个剧烈", "role": "doctor"}, {"turn": 32, "text": "好的", "role": "patient"}, {"turn": 33, "text": "不过你还是需要做个子宫附件超声排除一下", "role": "doctor"}, {"turn": 34, "text": "我这个有时侯会疼，有时候就不疼", "role": "patient"}, {"turn": 35, "text": "就是感觉不舒服", "role": "patient"}, {"turn": 36, "text": "那应该不是妇科，", "role": "doctor"}, {"turn": 37, "text": "好的", "role": "patient"}, {"turn": 38, "text": "嗯嗯", "role": "doctor"}, {"turn": 39, "text": "那我有时间去挂肠胃科看看", "role": "patient"}, {"turn": 40, "text": "子宫超声附件是什么？", "role": "patient"}, {"turn": 41, "text": "是看看有没有妇科问题的", "role": "doctor"}, {"turn": 42, "text": "好的。", "role": "patient"}, {"turn": 43, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 614, "thread": [{"turn": 0, "text": "我这两天可能受凉了，今早上就有点咳嗽了，喉咙里有点卡，没有痰，就是喉咙有点痛和痒，请问医生该怎么办（女，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，还有其他的症状吗？有没有发热？", "role": "doctor"}, {"turn": 2, "text": "你好，没有其他的，就是感觉不停的想要咳嗽", "role": "patient"}, {"turn": 3, "text": "打喷嚏流鼻涕有吗", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "用力咳嗽就喉咙好痛", "role": "patient"}, {"turn": 6, "text": "多喝点水，饮食清淡些，不要吃辛辣刺激性的食物", "role": "doctor"}, {"turn": 7, "text": "好的谢谢！需要吃药吗", "role": "patient"}, {"turn": 8, "text": "普通感冒的可能性大，是自愈的，不加重的话一周左右会好", "role": "doctor"}, {"turn": 9, "text": "可以煮点具有清肺润喉作用的冰糖雪梨水服用", "role": "doctor"}, {"turn": 10, "text": "好的谢谢", "role": "patient"}, {"turn": 11, "text": "大蒜水和萝卜汤可以喝不", "role": "patient"}, {"turn": 12, "text": "大蒜水？没听说过呢", "role": "doctor"}, {"turn": 13, "text": "以前煮大蒜水泡蜂蜜喝过", "role": "patient"}, {"turn": 14, "text": "哦哦", "role": "doctor"}, {"turn": 15, "text": "可以喝的", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "不客气??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 615, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：咳嗽低烧（女，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问上述症状已持续多长时", "role": "doctor"}, {"turn": 2, "text": "咳嗽有没有痰", "role": "doctor"}, {"turn": 3, "text": "体温多少度", "role": "doctor"}, {"turn": 4, "text": "有", "role": "patient"}, {"turn": 5, "text": "一周以上", "role": "patient"}, {"turn": 6, "text": "34.6", "role": "patient"}, {"turn": 7, "text": "37.6", "role": "patient"}, {"turn": 8, "text": "?", "role": "patient"}, {"turn": 9, "text": "中药吃了六剂了", "role": "patient"}, {"turn": 10, "text": "是不是不能吃中药了，不管用是吗", "role": "patient"}, {"turn": 11, "text": "?", "role": "patient"}, {"turn": 12, "text": "不好意思回复迟了", "role": "doctor"}, {"turn": 13, "text": "你好", "role": "patient"}, {"turn": 14, "text": "会不会是肺炎啊", "role": "patient"}, {"turn": 15, "text": "首先一周不排除支气管炎，建议使用消炎药，观察情况", "role": "doctor"}, {"turn": 16, "text": "既往有啥疾病没", "role": "doctor"}, {"turn": 17, "text": "对啥药物过敏不", "role": "doctor"}, {"turn": 18, "text": "支气管炎", "role": "patient"}, {"turn": 19, "text": "没有", "role": "patient"}, {"turn": 20, "text": "小时候有过肺炎", "role": "patient"}, {"turn": 21, "text": "究竟有没有人在接受咨询啊", "role": "patient"}, {"turn": 22, "text": "还接受咨询吗", "role": "patient"}, {"turn": 23, "text": "骗钱的啊", "role": "patient"}, {"turn": 24, "text": "骗子平台", "role": "patient"}, {"turn": 25, "text": "不好意思回复迟了", "role": "doctor"}, {"turn": 26, "text": "开始给您说了不排除支气管炎", "role": "doctor"}, {"turn": 27, "text": "所以建议您吃消炎药，必要时建议您去检查胸片", "role": "doctor"}, {"turn": 28, "text": "开始有点忙不好意思", "role": "doctor"}, {"turn": 29, "text": "中药不要再吃了吗", "role": "patient"}, {"turn": 30, "text": "您知道生石膏吗", "role": "patient"}, {"turn": 31, "text": "中药一般针对后期感冒作用效果不明显", "role": "doctor"}, {"turn": 32, "text": "生石膏？", "role": "doctor"}, {"turn": 33, "text": "这个咋了？", "role": "doctor"}, {"turn": 34, "text": "我还不太清楚?", "role": "doctor"}, {"turn": 35, "text": "既往吃过啥消炎药没？头孢类的", "role": "doctor"}, {"turn": 36, "text": "过敏不", "role": "doctor"}, {"turn": 37, "text": "最近一又没喝酒不过敏就可以吃", "role": "doctor"}, {"turn": 38, "text": "肺力咳合剂加头孢", "role": "doctor"}, {"turn": 39, "text": "如果三天不缓解，建议您去检查胸片", "role": "doctor"}, {"turn": 40, "text": "头孢吃过的", "role": "patient"}, {"turn": 41, "text": "头孢也有好多", "role": "patient"}, {"turn": 42, "text": "头孢克洛", "role": "doctor"}, {"turn": 43, "text": "或者头孢泊肟", "role": "doctor"}, {"turn": 44, "text": "按说明吃", "role": "doctor"}, {"turn": 45, "text": "既往对头孢过敏不", "role": "doctor"}, {"turn": 46, "text": "头孢地尼", "role": "patient"}, {"turn": 47, "text": "没有", "role": "patient"}, {"turn": 48, "text": "头孢丙烯", "role": "patient"}, {"turn": 49, "text": "哪一种", "role": "patient"}, {"turn": 50, "text": "头孢地尼", "role": "doctor"}, {"turn": 51, "text": "吃药一周内不能喝酒", "role": "doctor"}, {"turn": 52, "text": "还在发烧", "role": "patient"}, {"turn": 53, "text": "能吃退烧药吗", "role": "patient"}, {"turn": 54, "text": "明明在发烧为什么想吃肉", "role": "patient"}, {"turn": 55, "text": "发烧多少度", "role": "doctor"}, {"turn": 56, "text": "一般大于38.5建议吃退烧药", "role": "doctor"}, {"turn": 57, "text": "没有的话，建议物理降温，退热贴，温水擦脖子", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 616, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳前淋巴结肿大（女，37岁）", "role": "patient"}, {"turn": 1, "text": "你好 你有其他症状吗 发热 疼痛 咽痛 最近感冒了吗", "role": "doctor"}, {"turn": 2, "text": "感冒流鼻涕", "role": "patient"}, {"turn": 3, "text": "今早发现耳前的下方有个小包，按着有点痛，不按没感觉", "role": "patient"}, {"turn": 4, "text": "这个多见于感染 你可以吃点消炎药 等感冒好了 大多就消失了", "role": "doctor"}, {"turn": 5, "text": "不会是淋巴瘤什么的嘛", "role": "patient"}, {"turn": 6, "text": "淋巴瘤不疼 你这是反应性淋巴结", "role": "doctor"}, {"turn": 7, "text": "就按着有点痛，不会有大问题嘛，害怕", "role": "patient"}, {"turn": 8, "text": "你担心的话就去做个b超看下", "role": "doctor"}, {"turn": 9, "text": "但是一般没必要", "role": "doctor"}, {"turn": 10, "text": "你有发热症状 或者淋巴结肿大进一步增大 建议你前往医院就诊", "role": "doctor"}, {"turn": 11, "text": "没有，就是感冒流鼻涕，喉咙也不舒服", "role": "patient"}, {"turn": 12, "text": "阿莫西林克拉维酸钾配合着感冒药吃 先观察吧", "role": "doctor"}, {"turn": 13, "text": "不会有大问题嘛", "role": "patient"}, {"turn": 14, "text": "你先观察呗 如果感冒好了 那还没好 再去进一步检查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 617, "thread": [{"turn": 0, "text": "异维a酸软胶囊怎么吃（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，异维a酸胶囊治疗痤疮，初始剂量一般推荐，每天2次，每次1粒，随正餐同服", "role": "doctor"}, {"turn": 2, "text": "症状缓解明显后改成每天1粒维持治疗，推荐口服3个月，定期检查肝肾功能", "role": "doctor"}, {"turn": 3, "text": "我脸上这个痘痘已经很久了 大概需要吃多久啊", "role": "patient"}, {"turn": 4, "text": "至少连续服用3个月", "role": "doctor"}, {"turn": 5, "text": "这个吃了有什么副作用吗？", "role": "patient"}, {"turn": 6, "text": "能够让痘痘不再长吗？", "role": "patient"}, {"turn": 7, "text": "皮肤会特别干燥，另外可能会对肝功能有一定影响", "role": "doctor"}, {"turn": 8, "text": "会让痘痘症状改善", "role": "doctor"}, {"turn": 9, "text": "但是不能保证根治", "role": "doctor"}, {"turn": 10, "text": "痘痘会停止生长吗？", "role": "patient"}, {"turn": 11, "text": "对我脸上已经有的痘痘有什么作用？", "role": "patient"}, {"turn": 12, "text": "会让已经发起来的消退啊", "role": "doctor"}, {"turn": 13, "text": "吃药期间会让痘痘消退，也会阻止新的发起来", "role": "doctor"}, {"turn": 14, "text": "早饭跟晚饭前吃？", "role": "patient"}, {"turn": 15, "text": "可以，饭中吃", "role": "doctor"}, {"turn": 16, "text": "早晚饭吗？", "role": "patient"}, {"turn": 17, "text": "是的", "role": "doctor"}, {"turn": 18, "text": "服药多久能看到效果？有什么需要忌口的？", "role": "patient"}, {"turn": 19, "text": "每个人时间不等2周到1个月甚至3个月", "role": "doctor"}, {"turn": 20, "text": "甜食，辛辣刺激和奶制品都不要吃", "role": "doctor"}, {"turn": 21, "text": "尽量不熬夜", "role": "doctor"}, {"turn": 22, "text": "有一点辣可以吗？ 大概几点前睡觉？", "role": "patient"}, {"turn": 23, "text": "11点之前", "role": "doctor"}, {"turn": 24, "text": "最好不要吃辣的，这样皮肤才会好起来的", "role": "doctor"}, {"turn": 25, "text": "一点点辣都不能吃吗？睡的晚一点 早上睡久一点可以吗？ 十二点之前睡", "role": "patient"}, {"turn": 26, "text": "不是，我交代的这些注意事项就是你要去遵守的，不能讲条件的哦，不是我说你可以吃，或者可以熬夜，皮肤就会好的", "role": "doctor"}, {"turn": 27, "text": "好的谢谢", "role": "patient"}, {"turn": 28, "text": "恩恩", "role": "doctor"}, {"turn": 29, "text": "但是我在上高三 十一点半才放学 晚上十二点左右才能睡觉 影响应该不大吧", "role": "patient"}, {"turn": 30, "text": "最好是可以早点睡觉的，因为熬夜是明确可以加重痤疮的", "role": "doctor"}, {"turn": 31, "text": "那好吧 我最早也就是十二点 不过第一个月可以早睡 现在在放假", "role": "patient"}, {"turn": 32, "text": "恩，那趁现在早睡让皮肤恢复的快点", "role": "doctor"}, {"turn": 33, "text": "好的谢谢", "role": "patient"}, {"turn": 34, "text": "恩恩", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 618, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肛裂露屎吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "大便干燥吗        大便时疼痛吗", "role": "doctor"}, {"turn": 2, "text": "我在孕期，一两周前发现上厕所轻微出血，近几天内裤总是不干净      刚才观察了一下才发现肛门后面一擦就有粪便一擦就有粪便，只是轻微疼", "role": "patient"}, {"turn": 3, "text": "大便干燥吗", "role": "doctor"}, {"turn": 4, "text": "有肛裂吗", "role": "doctor"}, {"turn": 5, "text": "大便还好", "role": "patient"}, {"turn": 6, "text": "我不知道啊", "role": "patient"}, {"turn": 7, "text": "不是特别干", "role": "patient"}, {"turn": 8, "text": "那就不是肛裂", "role": "doctor"}, {"turn": 9, "text": "是痔疮", "role": "doctor"}, {"turn": 10, "text": "口服痔速宁和槐角丸", "role": "doctor"}, {"turn": 11, "text": "每晚用花椒水坐浴    艾叶30g   金银花30g  花椒100g  加水煮  泡屁股半小时", "role": "doctor"}, {"turn": 12, "text": "避免辛辣", "role": "doctor"}, {"turn": 13, "text": "我是孕妇能吃吗", "role": "patient"}, {"turn": 14, "text": "几个月了", "role": "doctor"}, {"turn": 15, "text": "26周+", "role": "patient"}, {"turn": 16, "text": "不吃药能好吗", "role": "patient"}, {"turn": 17, "text": "那不能用", "role": "doctor"}, {"turn": 18, "text": "控制饮食", "role": "patient"}, {"turn": 19, "text": "调好饮食", "role": "doctor"}, {"turn": 20, "text": "多吃蔬菜和水果     保持大便通畅", "role": "doctor"}, {"turn": 21, "text": "每晚温水坐浴", "role": "doctor"}, {"turn": 22, "text": "多喝水吃水果痔疮是不是就不会再犯了", "role": "patient"}, {"turn": 23, "text": "对", "role": "doctor"}, {"turn": 24, "text": "以前没有过的", "role": "patient"}, {"turn": 25, "text": "关    注我         有问题多联系", "role": "doctor"}, {"turn": 26, "text": "痔疮露屎吗", "role": "patient"}, {"turn": 27, "text": "回", "role": "doctor"}, {"turn": 28, "text": "是痔疮不是肛瘘？", "role": "patient"}, {"turn": 29, "text": "导致存留大便", "role": "doctor"}, {"turn": 30, "text": "好的谢谢", "role": "patient"}, {"turn": 31, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 619, "thread": [{"turn": 0, "text": "滑冰摔倒 头一直疼是不是脑震*，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，什么时候摔的？", "role": "doctor"}, {"turn": 2, "text": "今天下午", "role": "patient"}, {"turn": 3, "text": "当时有晕过去吗？", "role": "doctor"}, {"turn": 4, "text": "没有 就是当时候感觉眼前黑黑的 过一会就好了 现在就是头疼", "role": "patient"}, {"turn": 5, "text": "当时有头部着地？", "role": "doctor"}, {"turn": 6, "text": "我没感觉到头部着地 但是我脸左右着了点地", "role": "patient"}, {"turn": 7, "text": "我脸左侧着了点地", "role": "patient"}, {"turn": 8, "text": "有没有头痛、恶心？", "role": "doctor"}, {"turn": 9, "text": "就头痛 没有恶心", "role": "patient"}, {"turn": 10, "text": "嗯，那估计伤的不重，可以暂时观察", "role": "doctor"}, {"turn": 11, "text": "就是太阳穴很疼", "role": "patient"}, {"turn": 12, "text": "左侧吗？", "role": "doctor"}, {"turn": 13, "text": "就是感觉头痛 左侧的太阳穴更疼一点", "role": "patient"}, {"turn": 14, "text": "嗯，有可能有轻微的脑震荡，一般休息几天就能好", "role": "doctor"}, {"turn": 15, "text": "那用不用去医院做个检查呀", "role": "patient"}, {"turn": 16, "text": "可以暂时观察，如果头痛越来越重，或者出现恶心呕吐，就去医院查一下", "role": "doctor"}, {"turn": 17, "text": "那轻微脑震荡有没有事啊", "role": "patient"}, {"turn": 18, "text": "问题不大", "role": "doctor"}, {"turn": 19, "text": "这几天好好休息", "role": "doctor"}, {"turn": 20, "text": "那就好 谢谢医生 知道了 那我这几天还能运动吗", "role": "patient"}, {"turn": 21, "text": "暂时别运动了，多休息", "role": "doctor"}, {"turn": 22, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 620, "thread": [{"turn": 0, "text": "幽门螺旋杆菌检测呼气试验正常值是多少（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，碳14的正常值小于100", "role": "doctor"}, {"turn": 2, "text": "118很高吗", "role": "patient"}, {"turn": 3, "text": "是不是很严重", "role": "patient"}, {"turn": 4, "text": "是做的碳14吗？", "role": "doctor"}, {"turn": 5, "text": "是", "role": "patient"}, {"turn": 6, "text": "平时有什么症状吗？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "你这个数值不是太高，而且也没有什么症状，不算太严重", "role": "doctor"}, {"turn": 9, "text": "吃药能好吗", "role": "patient"}, {"turn": 10, "text": "一般是能治好的", "role": "doctor"}, {"turn": 11, "text": "但要吃完药后需要复查", "role": "doctor"}, {"turn": 12, "text": "好", "role": "patient"}, {"turn": 13, "text": "听人说只要吃两星期的药就可以", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "好，谢谢", "role": "patient"}, {"turn": 16, "text": "嗯嗯，不客气的", "role": "doctor"}, {"turn": 17, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 621, "thread": [{"turn": 0, "text": "手腕扭伤怎么办，红肿，不怎么疼（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问受伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "是怎么扭伤的？", "role": "doctor"}, {"turn": 4, "text": "劳累", "role": "patient"}, {"turn": 5, "text": "皮肤有没有破损？有没有出血情况？", "role": "doctor"}, {"turn": 6, "text": "没有出血，就是红肿", "role": "patient"}, {"turn": 7, "text": "现在手腕活动怎么样？", "role": "doctor"}, {"turn": 8, "text": "活动正常", "role": "patient"}, {"turn": 9, "text": "局部皮肤有发热的情况吗？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "这种情况建议您先休息，限制活动，可以尝试外用扶他林，如果1周症状不缓解可以去拍个片子，如果后续出现疼痛、红肿发热建议去医院检查", "role": "doctor"}, {"turn": 12, "text": "用什么药", "role": "patient"}, {"turn": 13, "text": "扶他林", "role": "doctor"}, {"turn": 14, "text": "药店里都有的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 622, "thread": [{"turn": 0, "text": "产后气虚如何调理身体（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好你具体有什么症状", "role": "doctor"}, {"turn": 2, "text": "稍微一活动说话多了都出虚汗，浑身乏力，就得立马躺着一动都动不不了", "role": "patient"}, {"turn": 3, "text": "西医查了，没有毛病。就是现在说话都没有力气", "role": "patient"}, {"turn": 4, "text": "那就是气血亏虚", "role": "doctor"}, {"turn": 5, "text": "平时要多锻炼身体", "role": "doctor"}, {"turn": 6, "text": "黄芪颗粒一天两包，医院给开的，可以一天喝三包吗", "role": "patient"}, {"turn": 7, "text": "我现在发病时候，连坐都坐不起来，浑身没劲。可以运动吗？还是躺几天?", "role": "patient"}, {"turn": 8, "text": "我是产后60天现在，产后30天开始出现症状的", "role": "patient"}, {"turn": 9, "text": "?", "role": "patient"}, {"turn": 10, "text": "在吗", "role": "patient"}, {"turn": 11, "text": "可以运动", "role": "doctor"}, {"turn": 12, "text": "黄芪颗粒可以一天三包吗", "role": "patient"}, {"turn": 13, "text": "可以的", "role": "doctor"}, {"turn": 14, "text": "说明书写的一天两包，我觉得我气虚的厉害", "role": "patient"}, {"turn": 15, "text": "先吃一段时间看看", "role": "doctor"}, {"turn": 16, "text": "一天三包就是12克，特别气虚的时候，量大不会补坏了，起反作用吧？", "role": "patient"}, {"turn": 17, "text": "不行的话就中药调理", "role": "doctor"}, {"turn": 18, "text": "我开了中药了，也在配着吃。", "role": "patient"}, {"turn": 19, "text": "好的", "role": "doctor"}, {"turn": 20, "text": "中药调理身体大约得多久?", "role": "patient"}, {"turn": 21, "text": "配合运动", "role": "doctor"}, {"turn": 22, "text": "心情放松", "role": "doctor"}, {"turn": 23, "text": "现在是不敢动，说话多了都不行。", "role": "patient"}, {"turn": 24, "text": "越不动越没力气", "role": "doctor"}, {"turn": 25, "text": "嗯", "role": "patient"}, {"turn": 26, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 623, "thread": [{"turn": 0, "text": "这是扭伤腿部了么？？？？？？？（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "医生您好", "role": "patient"}, {"turn": 3, "text": "一个小时", "role": "patient"}, {"turn": 4, "text": "还不是很疼", "role": "patient"}, {"turn": 5, "text": "就是经过一个红色的塑料凳子的时候，腿站的很开，红色塑料凳在胯下这样", "role": "patient"}, {"turn": 6, "text": "一般问题不大，活动度正常就可以", "role": "doctor"}, {"turn": 7, "text": "不知道会不会受伤呢", "role": "patient"}, {"turn": 8, "text": "这样一般没什么事么", "role": "patient"}, {"turn": 9, "text": "目前休息为主", "role": "doctor"}, {"turn": 10, "text": "对的，一般没有什么事", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "一般没事么", "role": "patient"}, {"turn": 13, "text": "站的挺开的很正常么", "role": "patient"}, {"turn": 14, "text": "就是经过红色塑料凳的时候站的很开", "role": "patient"}, {"turn": 15, "text": "好的谢谢医生", "role": "patient"}, {"turn": 16, "text": "不放心，可以医院复查一个局部片子", "role": "doctor"}, {"turn": 17, "text": "就是膝盖有点累", "role": "patient"}, {"turn": 18, "text": "好的呢", "role": "patient"}, {"turn": 19, "text": "主要是膝盖么", "role": "patient"}, {"turn": 20, "text": "好的，祝你早日康复", "role": "doctor"}, {"turn": 21, "text": "查膝盖就可以了么", "role": "patient"}, {"turn": 22, "text": "哪里疼痛查哪里", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "好的", "role": "doctor"}, {"turn": 25, "text": "不疼就不用查了么", "role": "patient"}, {"turn": 26, "text": "走路不疼", "role": "patient"}, {"turn": 27, "text": "一般问题不大", "role": "doctor"}, {"turn": 28, "text": "只要结构发生改变一定会很痛么", "role": "patient"}, {"turn": 29, "text": "具体需要看片子", "role": "doctor"}, {"turn": 30, "text": "好的谢谢医生", "role": "patient"}, {"turn": 31, "text": "没事", "role": "doctor"}, {"turn": 32, "text": "如果觉得服务可以，点击右下角答谢医生随意给予心意支持工作", "role": "doctor"}, {"turn": 33, "text": "没什么影响吧", "role": "patient"}, {"turn": 34, "text": "没有", "role": "doctor"}, {"turn": 35, "text": "很正常的动作么", "role": "patient"}, {"turn": 36, "text": "对的。没有影响", "role": "doctor"}, {"turn": 37, "text": "医生您好", "role": "patient"}, {"turn": 38, "text": "轻微的拉伤不影响什么么", "role": "patient"}, {"turn": 39, "text": "不会", "role": "doctor"}, {"turn": 40, "text": "医生您好", "role": "patient"}, {"turn": 41, "text": "转头看东西会拉伤脖子么", "role": "patient"}, {"turn": 42, "text": "不会", "role": "doctor"}, {"turn": 43, "text": "很难扭伤吧", "role": "patient"}, {"turn": 44, "text": "对的", "role": "doctor"}, {"turn": 45, "text": "医生您好", "role": "patient"}, {"turn": 46, "text": "坐着的时候把两条膝盖并到一起会拉伤肌肉么", "role": "patient"}, {"turn": 47, "text": "不会", "role": "doctor"}, {"turn": 48, "text": "医生您好", "role": "patient"}, {"turn": 49, "text": "好的，你好", "role": "doctor"}, {"turn": 50, "text": "刚刚坐着左右移动椅子，身体也起来", "role": "patient"}, {"turn": 51, "text": "身体也随着椅子移动", "role": "patient"}, {"turn": 52, "text": "这没什么吧", "role": "patient"}, {"turn": 53, "text": "目前有没有哪里不舒服，或者活动度异常", "role": "doctor"}, {"turn": 54, "text": "没有", "role": "doctor"}, {"turn": 55, "text": "不疼", "role": "patient"}, {"turn": 56, "text": "可以走路", "role": "patient"}, {"turn": 57, "text": "没有问题", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 624, "thread": [{"turn": 0, "text": "为什么锻炼扭伤几个月还没好（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你扭伤了哪里？", "role": "doctor"}, {"turn": 2, "text": "腰肌", "role": "patient"}, {"turn": 3, "text": "有多久了？", "role": "doctor"}, {"turn": 4, "text": "三个月了哦", "role": "patient"}, {"turn": 5, "text": "做过什么治疗吗？", "role": "doctor"}, {"turn": 6, "text": "没有什么治疗", "role": "patient"}, {"turn": 7, "text": "受伤后一直在工作？", "role": "doctor"}, {"turn": 8, "text": "对的", "role": "patient"}, {"turn": 9, "text": "受伤后需要多休息", "role": "doctor"}, {"turn": 10, "text": "可以做一下腰部按摩", "role": "doctor"}, {"turn": 11, "text": "然后在药店买一下腰痛贴", "role": "doctor"}, {"turn": 12, "text": "还有其它效果好的办法不", "role": "patient"}, {"turn": 13, "text": "没有", "role": "doctor"}, {"turn": 14, "text": "以后需要锻炼腰部肌肉", "role": "doctor"}, {"turn": 15, "text": "怎么锻炼", "role": "patient"}, {"turn": 16, "text": "这个你可能得咨询健身教练了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 625, "thread": [{"turn": 0, "text": "有龋齿，肿了一大块，从今天早上到现在（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好 请问是哪里不舒服？", "role": "doctor"}, {"turn": 2, "text": "龃齿肿痛", "role": "patient"}, {"turn": 3, "text": "从凌晨到现在", "role": "patient"}, {"turn": 4, "text": "方便拍照我看下吗？", "role": "doctor"}, {"turn": 5, "text": "嗯，帮我女朋友问呢？我让她拍发过来", "role": "patient"}, {"turn": 6, "text": "好的", "role": "doctor"}, {"turn": 7, "text": "你们方便去看牙医吗？", "role": "doctor"}, {"turn": 8, "text": "龋齿要做治疗才会好 吃药治标不治本 建议尽快去看牙医", "role": "doctor"}, {"turn": 9, "text": "她上班呢，去看就要请假，而且人也听横，我不太敢惹", "role": "patient"}, {"turn": 10, "text": "不去看好不了的 牙齿疼起来真的很难受的 所以你还是劝劝你女朋友吧", "role": "doctor"}, {"turn": 11, "text": "早上给我说她智齿疼，我也忙的刚看到信息然后就帮她问，她可能这会也忙", "role": "patient"}, {"turn": 12, "text": "好吧 估计今天也看不了了", "role": "doctor"}, {"turn": 13, "text": "要是疼的厉害吃点布洛芬和消炎药吧", "role": "doctor"}, {"turn": 14, "text": "待会发给您", "role": "patient"}, {"turn": 15, "text": "你这个男朋友真是太贴心了", "role": "doctor"}, {"turn": 16, "text": "一天天不怼我就烧高香了", "role": "patient"}, {"turn": 17, "text": "👍👍", "role": "doctor"}, {"turn": 18, "text": "谢谢，她说下了班去买布洛芬，再不行的话让她去看医生", "role": "patient"}, {"turn": 19, "text": "谢谢医生啊🙏", "role": "patient"}, {"turn": 20, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 626, "thread": [{"turn": 0, "text": "蛀牙后边的牙龈肿要消肿才能把嘛?（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，能提供一下照片吗？", "role": "doctor"}, {"turn": 2, "text": "是智齿么？", "role": "doctor"}, {"turn": 3, "text": "不是，是烂牙", "role": "patient"}, {"turn": 4, "text": "肿了好多天了", "role": "patient"}, {"turn": 5, "text": "不能保留了么？", "role": "doctor"}, {"turn": 6, "text": "不能了", "role": "patient"}, {"turn": 7, "text": "那确实需要消肿之后拔除", "role": "doctor"}, {"turn": 8, "text": "但是一直没有消肿", "role": "patient"}, {"turn": 9, "text": "肿的时候，1.麻药吸收不好，2.容易引起术后感染", "role": "doctor"}, {"turn": 10, "text": "去口腔科给牙齿根管疏通", "role": "doctor"}, {"turn": 11, "text": "疏通之后消肿会比较快", "role": "doctor"}, {"turn": 12, "text": "我去了，但是他没有给我做这个", "role": "patient"}, {"turn": 13, "text": "做完之后配合吃点消炎药，很快就消肿了", "role": "doctor"}, {"turn": 14, "text": "嗯，没消肿是不能拔的对吗？", "role": "patient"}, {"turn": 15, "text": "尽量不要拔", "role": "doctor"}, {"turn": 16, "text": "我感觉不做根管应该消不了肿", "role": "patient"}, {"turn": 17, "text": "嗯", "role": "doctor"}, {"turn": 18, "text": "肿有五六天了", "role": "patient"}, {"turn": 19, "text": "单纯吃药效果不太好", "role": "doctor"}, {"turn": 20, "text": "嗯，现在要去做根管治疗对吗？", "role": "patient"}, {"turn": 21, "text": "嗯，疏通根管，排脓消肿就可以了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 627, "thread": [{"turn": 0, "text": "3岁，要么便秘，要么拉肚子？其它正常。（男，2岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "期间有没有治疗", "role": "doctor"}, {"turn": 3, "text": "以前也经常这样，最近半年比较严重点\n在镇上的小医院问问医生，他们就说肠胃的问题，叫多吃香蕉，红薯，益生菌，等。\n香蕉红薯小孩不吃，喝益生菌没有明显效果", "role": "patient"}, {"turn": 4, "text": "火龙果，木瓜，蔬菜这类食物都可以改善便秘", "role": "doctor"}, {"turn": 5, "text": "可以配合益生菌吃", "role": "doctor"}, {"turn": 6, "text": "有没有效果块，副作用小的药物合适小孩吃的？", "role": "patient"}, {"turn": 7, "text": "益生菌，比如金双歧，妈咪爱都可以", "role": "doctor"}, {"turn": 8, "text": "如果便秘，也可以喝乳果糖，晨起空腹", "role": "doctor"}, {"turn": 9, "text": "整肠生，地衣芽孢杆菌活菌胶囊，合适吗？", "role": "patient"}, {"turn": 10, "text": "可以", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢！", "role": "patient"}, {"turn": 12, "text": "不客气", "role": "doctor"}, {"turn": 13, "text": "我小孩一直在喝奶粉，请问喝奶粉对他这个状况影响大吗？我各种牌子的奶粉轮换着买给他喝的", "role": "patient"}, {"turn": 14, "text": "有些孩子对奶粉确实有拉肚子的~有的腹泻", "role": "doctor"}, {"turn": 15, "text": "这种情况不好说", "role": "doctor"}, {"turn": 16, "text": "我小孩的问题，主要不是拉肚子，而是便秘，拉肚子交替，几乎没有正常的", "role": "patient"}, {"turn": 17, "text": "主要是便秘", "role": "patient"}, {"turn": 18, "text": "嗯，我知道，益生菌可以调节。还可以平常喝含菌类多的酸奶，", "role": "doctor"}, {"turn": 19, "text": "这都需要比较长的时间调节", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 628, "thread": [{"turn": 0, "text": "一咳嗽就想吐怎么回事（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "冬天开始吧 一跑步 咳嗽 就干呕", "role": "patient"}, {"turn": 3, "text": "对什么东西过敏吗？", "role": "doctor"}, {"turn": 4, "text": "有哮喘病史吗？", "role": "doctor"}, {"turn": 5, "text": "没有过敏", "role": "patient"}, {"turn": 6, "text": "嗓子很不舒服", "role": "patient"}, {"turn": 7, "text": "五年前得了一次支气管炎", "role": "patient"}, {"turn": 8, "text": "建议您去做个肺功能（含舒张实验），血常规，血总ige，呼吸道病原体检查。排除一下哮喘和感染后咳嗽", "role": "doctor"}, {"turn": 9, "text": "我也没感冒也没发烧 这一类的病就五年前一次支气管炎", "role": "patient"}, {"turn": 10, "text": "只要是排除一下哮喘和明确一下每年冬季咳嗽原因", "role": "doctor"}, {"turn": 11, "text": "就感觉嗓子在摩擦 很干燥 可我每天都喝很多水", "role": "patient"}, {"turn": 12, "text": "用点百蕊颗粒，川射干黄酮胶囊，润一下嗓子。", "role": "doctor"}, {"turn": 13, "text": "检查还是需要完善的", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 629, "thread": [{"turn": 0, "text": "上火导致便秘，脸上起痘痘，怎么办，？（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这个情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "上个月有八九天，吃了点芦荟排毒胶囊，不大见效果，又吃了点三黄片，大便就好了，", "role": "patient"}, {"turn": 3, "text": "我看一下你的舌苔吧", "role": "doctor"}, {"turn": 4, "text": "拍相片吗？", "role": "patient"}, {"turn": 5, "text": "恩", "role": "doctor"}, {"turn": 6, "text": "舌苔有点发白，", "role": "patient"}, {"turn": 7, "text": "你这个嘴里面有没有异位味？", "role": "doctor"}, {"turn": 8, "text": "嗯嗯，有时候嘴里还有口臭，以前没有", "role": "patient"}, {"turn": 9, "text": "你这个是9胃火大的原因引起的", "role": "doctor"}, {"turn": 10, "text": "嗯嗯，，中午吃完饭以后，到了下午就感觉胃热，胃酸，胃胀，晚上也不敢吃多了，", "role": "patient"}, {"turn": 11, "text": "我便秘就这两天，胃里的毛病也是这两天啊，", "role": "patient"}, {"turn": 12, "text": "恩，你吃点麻子仁丸，平时用菊花和决明子泡水喝试试", "role": "doctor"}, {"turn": 13, "text": "嗯嗯，医生，这是胃引起的便秘吗，这几天胃里的毛病，吓坏了，胃热，酸，也胀，是吃饭太急了吗，我中午吃饭的时间也就几分钟，", "role": "patient"}, {"turn": 14, "text": "中医认为是胃火大引起的，你这个以后吃饭需要细嚼慢咽", "role": "doctor"}, {"turn": 15, "text": "嗯嗯，谢谢了医生，我以后注意，", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}, {"turn": 17, "text": "你好，医生，我这个芦荟排毒胶囊还继续吃吗？", "role": "patient"}, {"turn": 18, "text": "不要长时间吃", "role": "doctor"}, {"turn": 19, "text": "嗯嗯，", "role": "patient"}, {"turn": 20, "text": "恩", "role": "doctor"}, {"turn": 21, "text": "还吃点什么胃药吗？？我查了一下，是胃炎吗？", "role": "patient"}, {"turn": 22, "text": "吃点香砂养胃丸就行了", "role": "doctor"}, {"turn": 23, "text": "好吧，谢谢了医生", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 630, "thread": [{"turn": 0, "text": "消化不良，上火怎么办（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为您解答问题", "role": "doctor"}, {"turn": 2, "text": "请问您具体什么表现呢？", "role": "doctor"}, {"turn": 3, "text": "您好医生", "role": "patient"}, {"turn": 4, "text": "打扰了", "role": "patient"}, {"turn": 5, "text": "你好", "role": "doctor"}, {"turn": 6, "text": "我胃不好，最近只能吃点流食 奶粉什么的 然后就一直腹泻 拉白色大便", "role": "patient"}, {"turn": 7, "text": "中午喝了芝麻糊 刚才就拉灰色", "role": "patient"}, {"turn": 8, "text": "嗯嗯好的", "role": "doctor"}, {"turn": 9, "text": "请问这是消化不良么", "role": "patient"}, {"turn": 10, "text": "以前有过么？", "role": "doctor"}, {"turn": 11, "text": "吃别的粥什么的也这样么？", "role": "doctor"}, {"turn": 12, "text": "喝奶粉就腹泻拉水 中午改芝麻糊 现在又大便有些干燥", "role": "patient"}, {"turn": 13, "text": "也是这样", "role": "patient"}, {"turn": 14, "text": "嗯嗯好的", "role": "doctor"}, {"turn": 15, "text": "这种情况多久了？", "role": "doctor"}, {"turn": 16, "text": "就这两三天", "role": "patient"}, {"turn": 17, "text": "之前有没有吃什么不合适的东西", "role": "doctor"}, {"turn": 18, "text": "以前每次喝这些东西也都这样么？", "role": "doctor"}, {"turn": 19, "text": "胃痛吃不下 就没进油盐 只喝了奶粉什么的", "role": "patient"}, {"turn": 20, "text": "嗯嗯好的", "role": "doctor"}, {"turn": 21, "text": "每次喝奶粉都腹泻", "role": "patient"}, {"turn": 22, "text": "都是这样", "role": "patient"}, {"turn": 23, "text": "好的", "role": "doctor"}, {"turn": 24, "text": "那考虑并不是脾胃不好，是您体质的问题不能消化奶粉", "role": "doctor"}, {"turn": 25, "text": "我有些疑惑 我这刚吃一两个小时就拉    大便颜色什么的都不是黄色 是不是消化不良阿", "role": "patient"}, {"turn": 26, "text": "不是的", "role": "doctor"}, {"turn": 27, "text": "是胃肠道缺少消化乳类的霉", "role": "doctor"}, {"turn": 28, "text": "酶", "role": "doctor"}, {"turn": 29, "text": "这种体质就不能喝奶类，或者只能喝脱脂奶", "role": "doctor"}, {"turn": 30, "text": "就是喝了也是浪费 是吗", "role": "patient"}, {"turn": 31, "text": "吸收不了", "role": "doctor"}, {"turn": 32, "text": "反而引起腹泻", "role": "doctor"}, {"turn": 33, "text": "哦哦 这样呀 怪不得喝完就肚子咕噜噜的", "role": "patient"}, {"turn": 34, "text": "😫", "role": "patient"}, {"turn": 35, "text": "嗯嗯", "role": "doctor"}, {"turn": 36, "text": "可以喝脱脂的奶粉", "role": "doctor"}, {"turn": 37, "text": "我一喝奶粉还上火 是不是跟冲的太浓有关", "role": "patient"}, {"turn": 38, "text": "有一定的关系的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 631, "thread": [{"turn": 0, "text": "有什么方法能快速治疗牙痛，虫牙（女，16岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您这症状多久了？", "role": "doctor"}, {"turn": 2, "text": "大概一个月了，一直痛，刚开始吃了点药，不痛了，过两天又痛，反反复复", "role": "patient"}, {"turn": 3, "text": "您好，具体是哪颗牙齿呢", "role": "doctor"}, {"turn": 4, "text": "左边大牙，好大一个洞", "role": "patient"}, {"turn": 5, "text": "您好，有没有夜间痛？咬合痛？", "role": "doctor"}, {"turn": 6, "text": "一到晚上就特别痛", "role": "patient"}, {"turn": 7, "text": "您这是牙髓炎症", "role": "doctor"}, {"turn": 8, "text": "而且头也痛", "role": "patient"}, {"turn": 9, "text": "需要到口腔科检查治疗", "role": "doctor"}, {"turn": 10, "text": "牙疼引起的头痛", "role": "doctor"}, {"turn": 11, "text": "需要开髓治疗", "role": "doctor"}, {"turn": 12, "text": "感觉在小诊所吃些药没用", "role": "patient"}, {"turn": 13, "text": "能根治吗", "role": "patient"}, {"turn": 14, "text": "您好，吃药不能解决问题的", "role": "doctor"}, {"turn": 15, "text": "可以根治", "role": "doctor"}, {"turn": 16, "text": "还需要补吗", "role": "patient"}, {"turn": 17, "text": "需要的", "role": "doctor"}, {"turn": 18, "text": "一到晚上有时候痛得都只想哭", "role": "patient"}, {"turn": 19, "text": "谢谢医生", "role": "patient"}, {"turn": 20, "text": "您好，建议您明天及时到口腔科检查治疗", "role": "doctor"}, {"turn": 21, "text": "不客气，祝您早日康复", "role": "doctor"}, {"turn": 22, "text": "嗯嗯，是不是拖的更久，就会越来越严重", "role": "patient"}, {"turn": 23, "text": "您好，是的，及时治疗最好", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 25, "text": "医生对您的问题进行了总结：通过上述沟通，可以暂时采用我给你的诊疗意见，如有加重或复发请再次咨询或去医院进行检查治疗,您好，牙齿疼痛，一般是牙髓炎症或根尖炎症。患者牙齿夜间痛，冷热刺激痛，自发性疼痛，阵发性疼痛，疼痛不能定位。牙齿疼痛一般口服消炎药物，和止疼药效果不佳。若晚上牙齿疼痛，建议患者口服诺弗丁止疼药，并及时到口腔科检查具体哪颗牙齿疼痛，及其原因，对症治疗。", "role": "doctor"}, {"turn": 26, "text": "不客气，祝您早日康复", "role": "doctor"}, {"turn": 27, "text": "诺弗丁止痛片是吧医生", "role": "patient"}, {"turn": 28, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 632, "thread": [{"turn": 0, "text": "您好！虫牙特别疼，怎么办？（女，31岁）", "role": "patient"}, {"turn": 1, "text": "估计你得杀神经了，如果对药不过敏，先吃点头孢，甲硝唑和止痛药吧，明天去口腔医院治疗", "role": "doctor"}, {"turn": 2, "text": "我家里现在没有头孢和甲硝唑", "role": "patient"}, {"turn": 3, "text": "为什么要杀神经？", "role": "patient"}, {"turn": 4, "text": "你现在是什么疼", "role": "doctor"}, {"turn": 5, "text": "冷热痛，不碰它痛吗", "role": "doctor"}, {"turn": 6, "text": "牙疼呀", "role": "patient"}, {"turn": 7, "text": "一直痛", "role": "doctor"}, {"turn": 8, "text": "不碰也痛，咽吐沫嗓子也疼", "role": "patient"}, {"turn": 9, "text": "嗯！一直疼", "role": "patient"}, {"turn": 10, "text": "咬东西疼吗", "role": "doctor"}, {"turn": 11, "text": "刚才就是因为吃菜给碰着了，所以，疼的厉害", "role": "patient"}, {"turn": 12, "text": "根据临床经验，你是神经发炎的可能性大", "role": "doctor"}, {"turn": 13, "text": "那该怎么办呢？", "role": "patient"}, {"turn": 14, "text": "或是根尖炎", "role": "doctor"}, {"turn": 15, "text": "不明白", "role": "patient"}, {"turn": 16, "text": "这牙有洞一直没看过", "role": "doctor"}, {"turn": 17, "text": "嗯嗯！从针眼儿大小到现在半个牙都空了", "role": "patient"}, {"turn": 18, "text": "晚上也没有大夫，你如果对药不过敏，只能吃我给你说得药，明天早上去看看", "role": "doctor"}, {"turn": 19, "text": "不过敏", "role": "patient"}, {"turn": 20, "text": "那发炎了，该怎么处理半个牙？", "role": "patient"}, {"turn": 21, "text": "明天去医院大夫看看努这个牙还能保留吗，如果能保留，会给你把牙齿里面的细菌清除来，进行消炎", "role": "doctor"}, {"turn": 22, "text": "可是，就剩半个牙了，能保留的可能性大吗？", "role": "patient"}, {"turn": 23, "text": "这会儿就没有刚才疼了。", "role": "patient"}, {"turn": 24, "text": "不一定，明天去看看把，只要牙根没问题，都可以保留", "role": "doctor"}, {"turn": 25, "text": "有虫牙，早去看看，早期补上就可以了", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢！", "role": "patient"}, {"turn": 27, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 633, "thread": [{"turn": 0, "text": "习惯性扭伤怎么办，会好吗医生（男，22岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？去医院就诊过吗？", "role": "doctor"}, {"turn": 2, "text": "习惯性拐脚", "role": "patient"}, {"turn": 3, "text": "上个月4月25拐脚的", "role": "patient"}, {"turn": 4, "text": "好了，睡觉起来突然又疼了", "role": "patient"}, {"turn": 5, "text": "你好，拍过磁共振吗？", "role": "doctor"}, {"turn": 6, "text": "然后过一段有好了，每次都是睡觉起来后变疼", "role": "patient"}, {"turn": 7, "text": "拍过x光医生说骨头没事", "role": "patient"}, {"turn": 8, "text": "这一个月多反复3到4次了", "role": "patient"}, {"turn": 9, "text": "你好，这种情况需要磁共振检查", "role": "doctor"}, {"turn": 10, "text": "每次好了后平常都没什么睡觉起来就突然疼了", "role": "patient"}, {"turn": 11, "text": "如果诊断为踝关节不稳需要手术治疗", "role": "doctor"}, {"turn": 12, "text": "是扭伤引起的吗", "role": "patient"}, {"turn": 13, "text": "这么严重吗", "role": "patient"}, {"turn": 14, "text": "我上个月刚好扭伤", "role": "patient"}, {"turn": 15, "text": "是不是扭伤治疗不好变成习惯性拐脚", "role": "patient"}, {"turn": 16, "text": "你好，是习惯性扭脚引起的", "role": "doctor"}, {"turn": 17, "text": "好的。", "role": "patient"}, {"turn": 18, "text": "👌👌👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 634, "thread": [{"turn": 0, "text": "孩子脚踝扭伤有些红肿先要冷敷对？（女，3岁）", "role": "patient"}, {"turn": 1, "text": "是的，要进行冷敷，！", "role": "doctor"}, {"turn": 2, "text": "小孩子每次冰敷20分钟左右，隔两小时一次", "role": "doctor"}, {"turn": 3, "text": "昨天晚上扭的", "role": "patient"}, {"turn": 4, "text": "明天可以热敷了吧", "role": "patient"}, {"turn": 5, "text": "前三天都可以冷敷", "role": "doctor"}, {"turn": 6, "text": "不急着热敷", "role": "doctor"}, {"turn": 7, "text": "冷敷跟热敷的区别是什么", "role": "patient"}, {"turn": 8, "text": "我今天买了一瓶万通筋骨喷剂", "role": "patient"}, {"turn": 9, "text": "冷敷可以收缩血管，减少急性期的出血和肿胀", "role": "doctor"}, {"turn": 10, "text": "热敷是后期促进肿胀消除的", "role": "doctor"}, {"turn": 11, "text": "你买的这个喷剂不适用", "role": "doctor"}, {"turn": 12, "text": "不建议使用", "role": "doctor"}, {"turn": 13, "text": "肿胀不再加重再热敷，一般3-5天会有一个肿胀疼痛高峰期", "role": "doctor"}, {"turn": 14, "text": "以后会慢慢消退", "role": "doctor"}, {"turn": 15, "text": "n那喷什么好一些", "role": "patient"}, {"turn": 16, "text": "不喷", "role": "doctor"}, {"turn": 17, "text": "现在都不要用活血的药物", "role": "doctor"}, {"turn": 18, "text": "那什么时候用呢", "role": "patient"}, {"turn": 19, "text": "一周后吧", "role": "doctor"}, {"turn": 20, "text": "你买的那个不能用的", "role": "doctor"}, {"turn": 21, "text": "不适用", "role": "doctor"}, {"turn": 22, "text": "可以买云南白药喷雾剂", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "现在就是红肿，不发青", "role": "patient"}, {"turn": 25, "text": "要紧吗", "role": "patient"}, {"turn": 26, "text": "拍了片子么", "role": "doctor"}, {"turn": 27, "text": "没有", "role": "patient"}, {"turn": 28, "text": "一般问题不大", "role": "doctor"}, {"turn": 29, "text": "小孩子韧带什么的柔韧性极大，所以问题不大", "role": "doctor"}, {"turn": 30, "text": "至于骨头，要拍片子", "role": "doctor"}, {"turn": 31, "text": "不过如果可以走路，不是特别疼，t问题也不大", "role": "doctor"}, {"turn": 32, "text": "可以走路，不是特别疼", "role": "patient"}, {"turn": 33, "text": "那我明天后天冷敷两天，再热敷就可以是吧", "role": "patient"}, {"turn": 34, "text": "可以的", "role": "doctor"}, {"turn": 35, "text": "?", "role": "patient"}, {"turn": 36, "text": "嗯", "role": "doctor"}, {"turn": 37, "text": "我买的那个药是不适合小孩用还是什么原因", "role": "patient"}, {"turn": 38, "text": "成分不对", "role": "doctor"}, {"turn": 39, "text": "那个是祛风除湿的", "role": "doctor"}, {"turn": 40, "text": "好的，知道啦", "role": "patient"}, {"turn": 41, "text": "比如肩周炎，颈椎腰腿痛，关节炎更适合", "role": "doctor"}, {"turn": 42, "text": "好的", "role": "patient"}, {"turn": 43, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 635, "thread": [{"turn": 0, "text": "七个月的宝宝咳嗽妙招（女，0岁）", "role": "patient"}, {"turn": 1, "text": "宝宝现在是干咳还是有痰？", "role": "doctor"}, {"turn": 2, "text": "有痰", "role": "patient"}, {"turn": 3, "text": "为啥孩子一喝水就吐？", "role": "patient"}, {"turn": 4, "text": "一点喂不进去", "role": "patient"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "？", "role": "patient"}, {"turn": 7, "text": "在吗", "role": "patient"}, {"turn": 8, "text": "宝宝这种情况他吃奶吃的如何呀？吃奶会不会呕吐啊？", "role": "doctor"}, {"turn": 9, "text": "对于这种情况的话，我们首先得让孩子排痰，才能够缓解他这种咳嗽症状，因为痰液本身就容易导致孩子出现咳嗽。", "role": "doctor"}, {"turn": 10, "text": "排痰要有两个条件：一是痰液稀释；二是促进痰液运动。我们要给宝宝创造这两个条件。\n     第一个条件，我们可以给宝宝制造一个湿化的环境，让宝宝气道湿化，从而让痰液变稀利于排出。有条件的可以用生理盐水雾化，或让宝宝待在充满蒸汽的浴室中15分钟左右；\n第二个条件，家长给宝宝拍背，用空心掌拍背，震动气道，让痰液松动，在宝宝咳嗽的时候就把痰排出来了。孩子取坐位，家长用空掌于背部从下往上轻轻叩击，每次拍背时间为5-10分钟左右，每天可拍2-3次。", "role": "doctor"}, {"turn": 11, "text": "吃的没有平时多，吃奶不会呕吐，就是咳嗽会", "role": "patient"}, {"turn": 12, "text": "那么他这种情况就是不喜欢喝水，你给他喝就呛到他，他不往下吞咽。", "role": "doctor"}, {"turn": 13, "text": "而且我们孩子就早上起来咳嗽最厉害，平时没有早上咳嗽的厉害", "role": "patient"}, {"turn": 14, "text": "那不喝水能行？", "role": "patient"}, {"turn": 15, "text": "上火的", "role": "patient"}, {"turn": 16, "text": "那你可以给他用点冰糖梨水啊，稍微甜一点自然就会好了。", "role": "doctor"}, {"turn": 17, "text": "试了", "role": "patient"}, {"turn": 18, "text": "不行", "role": "patient"}, {"turn": 19, "text": "那如果是母乳喂养的话，妈妈可以多喝水的。", "role": "doctor"}, {"turn": 20, "text": "嗯", "role": "patient"}, {"turn": 21, "text": "还有啥办法", "role": "patient"}, {"turn": 22, "text": "还有就是给他配合着易坦静，加上乙酰半胱氨酸雾化。", "role": "doctor"}, {"turn": 23, "text": "我买的小儿止咳糖浆", "role": "patient"}, {"turn": 24, "text": "行吗", "role": "patient"}, {"turn": 25, "text": "你买的这个是止咳糖浆，你应该买一个止咳化痰糖浆。", "role": "doctor"}, {"turn": 26, "text": "都有啥样的药", "role": "patient"}, {"turn": 27, "text": "比如小葵花的小儿止咳化痰颗粒。\n金振口服液\n鲜竹沥口服液\n橘红颗粒都可以", "role": "doctor"}, {"turn": 28, "text": "孩子发烧该怎么办", "role": "patient"}, {"turn": 29, "text": "物理降温怎么降温？", "role": "patient"}, {"turn": 30, "text": "物理降温有两种方式，第一用温毛巾给孩子擦拭腋窝，额头，腹股沟。\n第二，可以去给孩子洗个温水澡。", "role": "doctor"}, {"turn": 31, "text": "39度呀，还管用吗物理降温", "role": "patient"}, {"turn": 32, "text": "39度你得赶紧给他用上，布洛芬退热了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 636, "thread": [{"turn": 0, "text": "80天宝宝咳嗽妈妈吃肉了可以喂奶吗?（女，2个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝除了咳嗽还有没有其他症状？", "role": "doctor"}, {"turn": 2, "text": "发热吗？", "role": "doctor"}, {"turn": 3, "text": "宝妈饮食不清淡宝宝容易咳嗽加重", "role": "doctor"}, {"turn": 4, "text": "喘", "role": "patient"}, {"turn": 5, "text": "建议稍微停一下母乳", "role": "doctor"}, {"turn": 6, "text": "挂水了4天了", "role": "patient"}, {"turn": 7, "text": "喂奶粉不喝怎么办？", "role": "patient"}, {"turn": 8, "text": "少量多次喂奶粉", "role": "doctor"}, {"turn": 9, "text": "建议雾化", "role": "doctor"}, {"turn": 10, "text": "请问停几天在喂母乳", "role": "patient"}, {"turn": 11, "text": "咳嗽喘息建议部分水解或者深度水解蛋白奶粉", "role": "doctor"}, {"turn": 12, "text": "1天", "role": "doctor"}, {"turn": 13, "text": "带她去医院，医生建议她\n住院，可是没床位", "role": "patient"}, {"turn": 14, "text": "你好", "role": "patient"}, {"turn": 15, "text": "您还", "role": "doctor"}, {"turn": 16, "text": "好", "role": "doctor"}, {"turn": 17, "text": "不好意思错字了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 637, "thread": [{"turn": 0, "text": "我在上年5月份的时候，CT检查到肺右下边有一个0.5cm的炎疤结节，食了三个月的中药。有时会觉喉咙痒（女，38）", "role": "patient"}, {"turn": 1, "text": "平时还有其他什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "炎症结节", "role": "patient"}, {"turn": 4, "text": "就以前不会咳，现在会干咳，食些咽炎药又好些", "role": "patient"}, {"turn": 5, "text": "建议您复查胸部CT检查，必要时行增强CT检查", "role": "doctor"}, {"turn": 6, "text": "什么叫增强CT", "role": "patient"}, {"turn": 7, "text": "64排CT是增强吗", "role": "patient"}, {"turn": 8, "text": "不是，增强是检查前要推造影剂的那种", "role": "doctor"}, {"turn": 9, "text": "炎症结节能食中药消散吗", "role": "patient"}, {"turn": 10, "text": "哦", "role": "patient"}, {"turn": 11, "text": "打针入去的？", "role": "patient"}, {"turn": 12, "text": "静脉推的", "role": "doctor"}, {"turn": 13, "text": "这个会是癌吗", "role": "patient"}, {"turn": 14, "text": "目前不好说", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 638, "thread": [{"turn": 0, "text": "男宝宝喝水之后就没有血尿了（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "模板：\n在线咨询患者较多，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。", "role": "doctor"}, {"turn": 3, "text": "3个月了。在EB病毒感染住院期间检查出的", "role": "patient"}, {"turn": 4, "text": "目前复查小便什么情况？", "role": "doctor"}, {"turn": 5, "text": "出院时有血尿吗", "role": "doctor"}, {"turn": 6, "text": "家族没遗传病史。出院时还有血尿。但是现在每次喝水多了检查的结果是正常的", "role": "patient"}, {"turn": 7, "text": "复查几次了？每次都是正常的吗", "role": "doctor"}, {"turn": 8, "text": "那就说明好了啊", "role": "doctor"}, {"turn": 9, "text": "你好在吗", "role": "doctor"}, {"turn": 10, "text": "最近一个多月内每星期都复查，前几次喝水多了检查就都是正常的，这次没喝水的晨尿就高了些，潜血是1十阴性，红细胞数30ul。", "role": "patient"}, {"turn": 11, "text": "最近3个月一直吃血尿胶囊和黄芪颗粒的", "role": "patient"}, {"turn": 12, "text": "不喝水就出现阳性了？", "role": "doctor"}, {"turn": 13, "text": "也是阴性\n但是潜血1十", "role": "patient"}, {"turn": 14, "text": "一直是阴性，也没出现蛋白尿，血项也都是正常的，都是在儿童医院检查的", "role": "patient"}, {"turn": 15, "text": "父母姐姐都没血尿，无家族肾病", "role": "patient"}, {"turn": 16, "text": "这个潜血+1不要紧的", "role": "doctor"}, {"turn": 17, "text": "考虑上次病毒感染引起的", "role": "doctor"}, {"turn": 18, "text": "是不是喝水会影响这个红细胞数？", "role": "patient"}, {"turn": 19, "text": "就是保持多喝水，慢慢会消失的", "role": "doctor"}, {"turn": 20, "text": "喝水多有好处，但是不会有太大的影响", "role": "doctor"}, {"turn": 21, "text": "就是自己喝水也不多。B超也是正常的，说不考虑泌尿系统。会不会是什么膀胱方面呢？", "role": "patient"}, {"turn": 22, "text": "不用担心，彩超正常的，不考虑膀胱的问题", "role": "doctor"}, {"turn": 23, "text": "慢性肾病呢？", "role": "patient"}, {"turn": 24, "text": "只是潜血1+不能说明有肾病的", "role": "doctor"}, {"turn": 25, "text": "就是继续吃药然后复查尿常规，是吧？", "role": "patient"}, {"turn": 26, "text": "是的，继续吃药复查", "role": "doctor"}, {"turn": 27, "text": "还是尽量多喝水", "role": "doctor"}, {"turn": 28, "text": "尿常规之前还是不要喝太多水，是吗？怕影响红细胞数据，是吗？", "role": "patient"}, {"turn": 29, "text": "还是多喝水，不会有太大影响的", "role": "doctor"}, {"turn": 30, "text": "嗯，好的", "role": "patient"}, {"turn": 31, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 639, "thread": [{"turn": 0, "text": "气虚怎么办？体质寒怎么办？（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "😊夏天，冬天手心有冷汗", "role": "patient"}, {"turn": 3, "text": "用西洋参泡水喝", "role": "doctor"}, {"turn": 4, "text": "这是气虚的症状吗？", "role": "patient"}, {"turn": 5, "text": "对", "role": "doctor"}, {"turn": 6, "text": "感觉没有劲吗？", "role": "doctor"}, {"turn": 7, "text": "夏天，同学们都觉得热，我不觉得热。这是怎么一回事？", "role": "patient"}, {"turn": 8, "text": "阳气虚", "role": "doctor"}, {"turn": 9, "text": "平时多吃羊肉补补", "role": "doctor"}, {"turn": 10, "text": "冬瓜荷叶茶可以喝吗？", "role": "patient"}, {"turn": 11, "text": "😊减肥有效果吗？", "role": "patient"}, {"turn": 12, "text": "对", "role": "doctor"}, {"turn": 13, "text": "可以减肥", "role": "doctor"}, {"turn": 14, "text": "应该是不太合适", "role": "doctor"}, {"turn": 15, "text": "那我适合喝吗？", "role": "patient"}, {"turn": 16, "text": "不太适合", "role": "doctor"}, {"turn": 17, "text": "😊那我怎么减肚子？", "role": "patient"}, {"turn": 18, "text": "😞😞😞", "role": "patient"}, {"turn": 19, "text": "做俯卧撑", "role": "doctor"}, {"turn": 20, "text": "仰卧起坐", "role": "doctor"}, {"turn": 21, "text": "😊十六岁胸下垂怎么办？", "role": "patient"}, {"turn": 22, "text": "不会吧", "role": "doctor"}, {"turn": 23, "text": "应该与气虚有关系", "role": "doctor"}, {"turn": 24, "text": "😊那怎么调整？", "role": "patient"}, {"turn": 25, "text": "用西洋参泡水喝吧", "role": "doctor"}, {"turn": 26, "text": "西洋参3克泡水喝，一天3克，", "role": "doctor"}, {"turn": 27, "text": "可以减肥吗？", "role": "patient"}, {"turn": 28, "text": "😊😊😊", "role": "patient"}, {"turn": 29, "text": "应该有效果", "role": "doctor"}, {"turn": 30, "text": "😊阳气虚也可以导致胸下垂吗。", "role": "patient"}, {"turn": 31, "text": "应该有关系", "role": "doctor"}, {"turn": 32, "text": "气虚可以胃下垂，子宫脱垂，等等", "role": "doctor"}, {"turn": 33, "text": "气虚和阳气虚哪个更严重？", "role": "patient"}, {"turn": 34, "text": "人和人不一样，如果太大就会下垂", "role": "doctor"}, {"turn": 35, "text": "阳虚比较重", "role": "doctor"}, {"turn": 36, "text": "阳虚怎么办？", "role": "patient"}, {"turn": 37, "text": "吃姜", "role": "doctor"}, {"turn": 38, "text": "羊肉", "role": "doctor"}, {"turn": 39, "text": "虚寒型是怎么一回事呢", "role": "patient"}, {"turn": 40, "text": "往往气虚和阳性同时都有", "role": "doctor"}, {"turn": 41, "text": "只能说有轻有重", "role": "doctor"}, {"turn": 42, "text": "年轻人以气虚为主", "role": "doctor"}, {"turn": 43, "text": "便秘对于我们十六岁的青少年来讲，是好事还是坏事？", "role": "patient"}, {"turn": 44, "text": "几天一次啊", "role": "doctor"}, {"turn": 45, "text": "三四天", "role": "patient"}, {"turn": 46, "text": "不太好", "role": "doctor"}, {"turn": 47, "text": "应该多吃蔬菜水果", "role": "doctor"}, {"turn": 48, "text": "应该保持一天一次", "role": "doctor"}, {"turn": 49, "text": "多吃桂圆", "role": "doctor"}, {"turn": 50, "text": "头发发质干枯怎么修护？", "role": "patient"}, {"turn": 51, "text": "怎么保养？", "role": "patient"}, {"turn": 52, "text": "这个我真的不知道", "role": "doctor"}, {"turn": 53, "text": "吃西洋参应该有好处", "role": "doctor"}, {"turn": 54, "text": "体质好了，头发也应该变好了，你说对不对啊", "role": "doctor"}, {"turn": 55, "text": "对对对", "role": "patient"}, {"turn": 56, "text": "😊😊😊", "role": "patient"}, {"turn": 57, "text": "👍", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 640, "thread": [{"turn": 0, "text": "胸闷，气短，头晕，满酸水，消化不良（男，25岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半个月", "role": "patient"}, {"turn": 3, "text": "主要是脾虚湿盛症状，可以服用参苓白术散调理", "role": "doctor"}, {"turn": 4, "text": "胃镜显示有胃炎", "role": "patient"}, {"turn": 5, "text": "可以按照我说的调理一下，是中成药，没什么副作用", "role": "doctor"}, {"turn": 6, "text": "吃了好多胃药都没什么效果，而且还很容易中暑", "role": "patient"}, {"turn": 7, "text": "可以试试我说的，健脾利湿的，或者藿香清胃胶囊调理", "role": "doctor"}, {"turn": 8, "text": "家里有吗丁啉和摩罗丹可以吗", "role": "patient"}, {"turn": 9, "text": "这个只能缓解暂时症状，不可以常吃，常吃的话还是考虑引用中成药或者中药调理", "role": "doctor"}, {"turn": 10, "text": "谢谢，感觉还是您说的靠谱一点，很多医生都是乱七八糟开药", "role": "patient"}, {"turn": 11, "text": "不用客气，祝你健康，你的好评是我最大的动力", "role": "doctor"}, {"turn": 12, "text": "这两天走路关节柯达柯达响不知道和这个有没有关系", "role": "patient"}, {"turn": 13, "text": "没什么关系，可以查一下磁共振确诊后再对症治疗", "role": "doctor"}, {"turn": 14, "text": "虚胖和我的症状有没有关系", "role": "patient"}, {"turn": 15, "text": "和脾虚湿盛有很大关系，坚持调理一下吧，同时加强锻炼", "role": "doctor"}, {"turn": 16, "text": "您重新给我说一下具体要买那几种药，等一下过去买，感谢您", "role": "patient"}, {"turn": 17, "text": "服用参苓白术散或者藿香清胃胶囊，选一种就可以了", "role": "doctor"}, {"turn": 18, "text": "一般大药房都可以买到吗", "role": "patient"}, {"turn": 19, "text": "是的，是常用药，服用参苓白术散调理吧，这个针对你的症状最好", "role": "doctor"}, {"turn": 20, "text": "两种药可以同时用吗", "role": "patient"}, {"turn": 21, "text": "用这一种就可以了", "role": "doctor"}, {"turn": 22, "text": "没有买到参白术丸，参芩健脾胃颗粒可以吗", "role": "patient"}, {"turn": 23, "text": "可以试试看吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 641, "thread": [{"turn": 0, "text": "突然牙痛怎么办、虫牙、吃饭都痛（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，喝凉的热的疼不疼？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "喝凉的有点", "role": "patient"}, {"turn": 4, "text": "虫牙、牙齿中间空了", "role": "patient"}, {"turn": 5, "text": "是板牙、、吃了止痛药、不吃东西不痛、吃东西特别痛", "role": "patient"}, {"turn": 6, "text": "不动它疼不疼？", "role": "doctor"}, {"turn": 7, "text": "昨晚痛了二个小时才吃止痛药的、没影响吧", "role": "patient"}, {"turn": 8, "text": "不动它不痛", "role": "patient"}, {"turn": 9, "text": "你需要去医院牙体牙髓科治疗牙齿不然的会还会反复痛", "role": "doctor"}, {"turn": 10, "text": "动它：或吃饭、就痛", "role": "patient"}, {"turn": 11, "text": "这问题大不大", "role": "patient"}, {"turn": 12, "text": "根据你的情况应该是牙髓发炎了，得需要进行根管治疗", "role": "doctor"}, {"turn": 13, "text": "去大医院还是小门诊", "role": "patient"}, {"turn": 14, "text": "还是牙科", "role": "patient"}, {"turn": 15, "text": "建议去正规的口腔医院或者综合医院", "role": "doctor"}, {"turn": 16, "text": "人民医院可以吗、", "role": "patient"}, {"turn": 17, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 642, "thread": [{"turn": 0, "text": "月子里便秘怎么办？？？（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，大便几天一次？", "role": "doctor"}, {"turn": 2, "text": "费力吗？", "role": "doctor"}, {"turn": 3, "text": "大便三天一次，非常费力，开塞露也不管用了", "role": "patient"}, {"turn": 4, "text": "月子里本来吃的就多，不拉肚子憋的难受", "role": "patient"}, {"turn": 5, "text": "你好，多喝水，多吃水果，蔬菜，定时上厕所，如早起或者饭后上厕所。", "role": "doctor"}, {"turn": 6, "text": "能不能吃点药啊？", "role": "patient"}, {"turn": 7, "text": "可以吃乳果糖", "role": "doctor"}, {"turn": 8, "text": "这个药店就有卖对吧", "role": "patient"}, {"turn": 9, "text": "有的，买时看看说明书，进口的孕妇，哺乳期可以用", "role": "doctor"}, {"turn": 10, "text": "买什么牌子的啊", "role": "patient"}, {"turn": 11, "text": "杜密克，利动都可以", "role": "doctor"}, {"turn": 12, "text": "是乳果糖口服溶液", "role": "patient"}, {"turn": 13, "text": "是吧医生？", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 643, "thread": [{"turn": 0, "text": "睾丸发痒，容易挫伤掉皮怎么回事（男，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，会阴部潮湿吗？阴囊有损伤吗？", "role": "doctor"}, {"turn": 2, "text": "这种情况，常见于会阴部湿疹；若有红肿疼痛，考虑睾丸附睾炎、泌尿系感染。", "role": "doctor"}, {"turn": 3, "text": "天气最近热了，发痒有点严重，用手挠后容易伤，最后有掉皮", "role": "patient"}, {"turn": 4, "text": "天热有点潮湿", "role": "patient"}, {"turn": 5, "text": "您好，衣服穿薄一些 ，保持会阴部清洁干燥，出汗了及时洗澡换衣服即可", "role": "doctor"}, {"turn": 6, "text": "关键是时间长了，有一年多了", "role": "patient"}, {"turn": 7, "text": "经常还容易搓伤结痂掉皮", "role": "patient"}, {"turn": 8, "text": "吃什么药或者外用的药", "role": "patient"}, {"turn": 9, "text": "身上其他地方有褪皮现象吗？", "role": "doctor"}, {"turn": 10, "text": "调节饮食，易清淡，多吃蔬菜水果，维生素C含量高的；", "role": "doctor"}, {"turn": 11, "text": "会阴部瘙痒可外用曲咪新乳膏", "role": "doctor"}, {"turn": 12, "text": "其他地方没有，就是下面老发痒", "role": "patient"}, {"turn": 13, "text": "湿疹可能性大", "role": "doctor"}, {"turn": 14, "text": "针对本次问诊，医生更新了总结建议：调理脾胃，饮食要清淡，避免辛辣、酸辣、太油腻、生冷", "role": "doctor"}, {"turn": 15, "text": "常洗下身，勤换内衣", "role": "doctor"}, {"turn": 16, "text": "酮康唑乳膏能用吗", "role": "patient"}, {"turn": 17, "text": "短时间用，少用", "role": "doctor"}, {"turn": 18, "text": "就用曲咪新吗", "role": "patient"}, {"turn": 19, "text": "这也是要少用，不能经常用", "role": "doctor"}, {"turn": 20, "text": "主要要针对病因治疗", "role": "doctor"}, {"turn": 21, "text": "那主要怎么治疗呢", "role": "patient"}, {"turn": 22, "text": "需要做什么检查", "role": "patient"}, {"turn": 23, "text": "调理脾胃，饮食要清淡，避免辛辣、酸辣、太油腻、生冷 ；常洗下身，勤换内衣；外治止痒。", "role": "doctor"}, {"turn": 24, "text": "可到皮肤科让医生面诊检查看看", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "祝您健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 644, "thread": [{"turn": 0, "text": "风湿，脚上有红块，触碰有点疼（女，45岁）", "role": "patient"}, {"turn": 1, "text": "请问：这种情况有多久了？都做过什么检查和治疗？想咨询什么问题？", "role": "doctor"}, {"turn": 2, "text": "结婚时就有，当时看医生，说是急性风湿。3年前又发，去医院贴过药膏，效果不错，昨天又发了", "role": "patient"}, {"turn": 3, "text": "去看中医好？怎么治疗，最好能根治", "role": "patient"}, {"turn": 4, "text": "如果有效果可以继续用原先的膏药。", "role": "doctor"}, {"turn": 5, "text": "类风湿性关节炎的治疗：.如果确诊了的话，.建议加强锻炼、保暖保养、休息、保持好的心情就可以。类风湿性关节炎目前没有根治的药物，不要有太多的心理负担，体质锻炼就是最好的药。.既来之，则安之，目前如果没有很痛的感觉的话，疼痛不严重可以不吃药，在疾病的急性期，可以用药物治疗，但不能有依赖药物的思想，一切以锻炼身体，多参加体育活动为主，这样你就会生活快乐起来。记住，没有特效药。也没有特效的其他措施。.如果用药物的话可以考虑以下几类：.根据严重程度不同选择的药物不一样。首先用非甾体消炎镇疼药如芬迪宁、尼美舒利、阿斯匹林等等；钙剂；疼痛严重关节积液等等严重情况而且非甾体消炎镇疼药无效者应用肾上腺皮质激素（此类药物副作用太大不能应用太久）；也可以免疫抑制剂；中药，雷公藤制剂，生物制剂等等。必须在医生指导下应用。还需要服用钙剂，维生素等等。每次急性发作开始应用抗菌素，都必须医生指导下应用。", "role": "doctor"}, {"turn": 6, "text": "还有什么疑问或者需要帮助的？", "role": "doctor"}, {"turn": 7, "text": "我尽快去看医生", "role": "patient"}, {"turn": 8, "text": "是否可以关闭？", "role": "doctor"}, {"turn": 9, "text": "时间不早了，是否可以关闭？", "role": "doctor"}, {"turn": 10, "text": "我告诉你系统治疗的方法是为了让你知道：风湿免疫性的疾病根治比较困难，只要症状轻微就可以正常生活，对人体就没有多少影响，不一定为了追求根治而服用很多的药物，那样反而对人体没有好处。可以再试用一下那个膏药，有效果即可。", "role": "doctor"}, {"turn": 11, "text": "建议不要追求根治而反复检查和用很多药物。", "role": "doctor"}, {"turn": 12, "text": "诊断明确了即可。按照以上介绍处理即可。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 645, "thread": [{"turn": 0, "text": "偏头痛伴有大腿肌肉震颤（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "就今天上午才发生的，现在右侧太阳穴后面点的位置又阵痛，同时腿部肌肉还震颤", "role": "patient"}, {"turn": 3, "text": "还有其它症状吗", "role": "doctor"}, {"turn": 4, "text": "按压那个位置也有点疼。不晓得我最近全身肌肉游走性酸痛跟这个有关系没", "role": "patient"}, {"turn": 5, "text": "去咨询医生都让我去化验有无类风湿关节炎，但是我觉得我关节并不痛，觉得应该不是类风湿", "role": "patient"}, {"turn": 6, "text": "风湿也可以是单有肌肉痛，你应该查一下", "role": "doctor"}, {"turn": 7, "text": "昨天贴了膏药好不容易肌肉酸痛缓解了很多。不知道头怎么了？", "role": "patient"}, {"turn": 8, "text": "您可以服用布洛芬缓释胶囊。", "role": "doctor"}, {"turn": 9, "text": "您觉得我是神经性的还是血管的原因呢", "role": "patient"}, {"turn": 10, "text": "因为头只是偶尔阵痛", "role": "patient"}, {"turn": 11, "text": "可能与你近期肌肉游走性疼痛有关。", "role": "doctor"}, {"turn": 12, "text": "就是类风湿导致的", "role": "patient"}, {"turn": 13, "text": "？", "role": "patient"}, {"turn": 14, "text": "您需要检查。排除风湿或类风湿。", "role": "doctor"}, {"turn": 15, "text": "也就是说风湿或类风湿会导致偏头痛？", "role": "patient"}, {"turn": 16, "text": "肌肉震颤怎么解释？我以为这是神经问题导致的", "role": "patient"}, {"turn": 17, "text": "风湿或者类风湿可以引起血管炎。可以出现偏头痛的。肌肉疼痛还需要排除皮肌炎。皮肌炎也可以引起肌肉的震颤，肌肉的疼痛。", "role": "doctor"}, {"turn": 18, "text": "您目前的情况需要到医院检查一下为好。", "role": "doctor"}, {"turn": 19, "text": "嗯谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 646, "thread": [{"turn": 0, "text": "右脚脚踝经常扭伤，还能进行打篮球吗？（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问受伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "受伤后有去医院检查吗", "role": "doctor"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "就是右脚踝经常扭伤，脚踝处就会肿，就用冷水敷一下，让它自己好", "role": "patient"}, {"turn": 5, "text": "如果经常扭伤的话，建议去医院骨科做个磁共振", "role": "doctor"}, {"turn": 6, "text": "看下有没有韧带损伤", "role": "doctor"}, {"turn": 7, "text": "但是我最近就经常性的会扭伤，而且都是右脚", "role": "patient"}, {"turn": 8, "text": "那这段时间可以打篮球或者跳健美操这些的吗？", "role": "patient"}, {"turn": 9, "text": "最近制动休息", "role": "doctor"}, {"turn": 10, "text": "运动会造成二次损伤的", "role": "doctor"}, {"turn": 11, "text": "不能打篮球这些吗？", "role": "patient"}, {"turn": 12, "text": "不能", "role": "doctor"}, {"turn": 13, "text": "因为您有习惯性扭伤，局部软组织没有完全恢复", "role": "doctor"}, {"turn": 14, "text": "再次运动只会加重损伤", "role": "doctor"}, {"turn": 15, "text": "好的，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}, {"turn": 17, "text": "希望我的回答对您有帮助", "role": "doctor"}, {"turn": 18, "text": "医生，请问健美操，乒乓球或羽毛球，我能进行哪一个？因为是学校体育选修课，必须上的", "role": "patient"}, {"turn": 19, "text": "你先去医院做MRI,这些运动都会使脚踝受力，如果明确有损伤，可以让医院开疾病证明的", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 647, "thread": [{"turn": 0, "text": "三岁宝积食,便秘可喝豆浆吗?（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天一次大便？都有哪些症状吗？", "role": "doctor"}, {"turn": 2, "text": "一天一次，或两次大便，便头硬，分裂状，肚皮胀，口臭。", "role": "patient"}, {"turn": 3, "text": "那这样的情况可以平时多喝一些温水，服用一些调节肠道的益生菌，多顺时针按摩腹部，注意腹部的保暖。", "role": "doctor"}, {"turn": 4, "text": "吃英吉利益生菌，豆浆可以喝吗？", "role": "patient"}, {"turn": 5, "text": "可以喝点  尽量少喝", "role": "doctor"}, {"turn": 6, "text": "牛奶，鸡蛋，肉类可以吃吗", "role": "patient"}, {"turn": 7, "text": "可以的", "role": "doctor"}, {"turn": 8, "text": "那为何每晚睡前唱益生菌牛奶后，半夜宝肚胀，睡觉不踏实？", "role": "patient"}, {"turn": 9, "text": "不要喝一些添加剂的牛奶或者乳制品，这一些你要服用调节肠道的益生菌。多注意腹部的保暖，平时的话顺时针给宝宝多按摩腹部。", "role": "doctor"}, {"turn": 10, "text": "网购君乐宝乐钙益生菌牛奶。", "role": "patient"}, {"turn": 11, "text": "如果想喝牛奶的话，喝普通配方奶粉或者喝巴士鲜奶。", "role": "doctor"}, {"turn": 12, "text": "15克大山楂颗粒一天三次，一次一包食用后胃口好，饮食量大，过量、过硬、过油腻食物后，积食，便秘。又是咱回事？", "role": "patient"}, {"turn": 13, "text": "那还是肠胃的原因，要多喝水，平时的话分泌一些调节肠道的益生菌。", "role": "doctor"}, {"turn": 14, "text": "是脾胃虚弱？肠胃消化功能出问题吗？吃柑橘排干甜橘，吃柚子排出柚子？", "role": "patient"}, {"turn": 15, "text": "那还是宝宝肠胃的原因，目前的话建议服用一段的医生却饮食上要以好消化的为主，多喝一些温水。", "role": "doctor"}, {"turn": 16, "text": "稍不慎就感冒，感冒后容易发高烧。", "role": "patient"}, {"turn": 17, "text": "还是孩子免疫抵抗能力低，才会出现这样的情况。", "role": "doctor"}, {"turn": 18, "text": "如何能解决这免疫为？", "role": "patient"}, {"turn": 19, "text": "平时的话想办法饮食上营养均衡，提高孩子免疫抵抗能力。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 648, "thread": [{"turn": 0, "text": "宝宝便秘怎么办？急人（男，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，孩子多大？母乳喂养还是混合呢？", "role": "doctor"}, {"turn": 2, "text": "六个多月吃母乳", "role": "patient"}, {"turn": 3, "text": "全母乳喂养", "role": "patient"}, {"turn": 4, "text": "？", "role": "patient"}, {"turn": 5, "text": "这种情况多久啦？", "role": "doctor"}, {"turn": 6, "text": "十来天了", "role": "patient"}, {"turn": 7, "text": "有没有吃点益生菌？", "role": "doctor"}, {"turn": 8, "text": "消化功能不良导致的。", "role": "doctor"}, {"turn": 9, "text": "这两天在吃益生菌", "role": "patient"}, {"turn": 10, "text": "还是效果不明显是吧。", "role": "doctor"}, {"turn": 11, "text": "便秘怎么办医生", "role": "patient"}, {"turn": 12, "text": "可以吃点四磨汤看下。", "role": "doctor"}, {"turn": 13, "text": "不知道昨天跟今天才吃", "role": "patient"}, {"turn": 14, "text": "四磨汤是什么？", "role": "patient"}, {"turn": 15, "text": "嗯，那先吃益生菌，吃奶正常吗？精神状态正常吗？", "role": "doctor"}, {"turn": 16, "text": "都挺好的", "role": "patient"}, {"turn": 17, "text": "那可以先吃点益生菌调理。", "role": "doctor"}, {"turn": 18, "text": "那拉不出来便便咋办医生", "role": "patient"}, {"turn": 19, "text": "急人", "role": "patient"}, {"turn": 20, "text": "吃益生菌能调理好吗？", "role": "patient"}, {"turn": 21, "text": "一般可以的。只要吃奶正常，精神状态好就不怕。小朋友是容易消化功能不良的。", "role": "doctor"}, {"turn": 22, "text": "那咋办医生？", "role": "patient"}, {"turn": 23, "text": "吃益生菌哦。", "role": "doctor"}, {"turn": 24, "text": "好", "role": "patient"}, {"turn": 25, "text": "益生菌吃哪种的好？", "role": "patient"}, {"turn": 26, "text": "嗯。试一下哈。", "role": "doctor"}, {"turn": 27, "text": "嗯", "role": "patient"}, {"turn": 28, "text": "👌🏻", "role": "doctor"}, {"turn": 29, "text": "可以吃香焦吗", "role": "patient"}, {"turn": 30, "text": "吃益生菌就可以哦，如果说改善不明显，可以吃点四磨汤。", "role": "doctor"}, {"turn": 31, "text": "香蕉可以吃吗", "role": "patient"}, {"turn": 32, "text": "好", "role": "patient"}, {"turn": 33, "text": "纯母乳就可以", "role": "doctor"}, {"turn": 34, "text": "不用吃。", "role": "doctor"}, {"turn": 35, "text": "谢谢医生", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}, {"turn": 37, "text": "再见👋", "role": "patient"}, {"turn": 38, "text": "嗯，再见。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 649, "thread": [{"turn": 0, "text": "扭伤脚踝很多年以后走路疼痛（女，62岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "8.9年了", "role": "patient"}, {"turn": 3, "text": "做过什么检查？", "role": "doctor"}, {"turn": 4, "text": "当时有点疼痛 没注意  最近两年疼的严重了", "role": "patient"}, {"turn": 5, "text": "是的，检查过", "role": "patient"}, {"turn": 6, "text": "医生说时间久了", "role": "patient"}, {"turn": 7, "text": "骨头那块变形了", "role": "patient"}, {"turn": 8, "text": "我想知道有没有更好的方法，医生当时说是不好治疗了 因为太久了", "role": "patient"}, {"turn": 9, "text": "要做磁共振检查啊", "role": "doctor"}, {"turn": 10, "text": "看看严重程度啊", "role": "doctor"}, {"turn": 11, "text": "我不太清楚，我不在场", "role": "patient"}, {"turn": 12, "text": "是我妈妈", "role": "patient"}, {"turn": 13, "text": "我想去医院再检查，她说是在老家看了好几次了", "role": "patient"}, {"turn": 14, "text": "这样的情况，医生 一般通过什么方法可以治疗吗？", "role": "patient"}, {"turn": 15, "text": "我妈不去医院，觉得我浪费时间和钱", "role": "patient"}, {"turn": 16, "text": "扭伤的脚 看上去和另外一只脚 明星不一样了", "role": "patient"}, {"turn": 17, "text": "这两年 她在家做了一些理疗", "role": "patient"}, {"turn": 18, "text": "如果骨头损伤较大就要关节置换啊", "role": "doctor"}, {"turn": 19, "text": "做的时候 好一点，停了 就还是疼痛", "role": "patient"}, {"turn": 20, "text": "手术是吗？", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "风险大吗？成功率一般有多少？", "role": "patient"}, {"turn": 23, "text": "不大", "role": "doctor"}, {"turn": 24, "text": "常规手术啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 650, "thread": [{"turn": 0, "text": "被猫咬伤了要怎么处理（男，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，需要处理好伤口，如果半年内没打过狂犬疫苗，还需要打狂犬疫苗", "role": "doctor"}, {"turn": 2, "text": "现在打了疫苗", "role": "patient"}, {"turn": 3, "text": "还用打血清吗", "role": "patient"}, {"turn": 4, "text": "那就好", "role": "doctor"}, {"turn": 5, "text": "以前打过吗", "role": "doctor"}, {"turn": 6, "text": "怎么要几千嗯", "role": "patient"}, {"turn": 7, "text": "出血了没", "role": "doctor"}, {"turn": 8, "text": "血清是干嘛的", "role": "patient"}, {"turn": 9, "text": "没出血", "role": "patient"}, {"turn": 10, "text": "破皮", "role": "patient"}, {"turn": 11, "text": "没出血不需要打", "role": "doctor"}, {"turn": 12, "text": "出血是指外流血", "role": "patient"}, {"turn": 13, "text": "血清的作用是什么", "role": "patient"}, {"turn": 14, "text": "血清和免疫球蛋白属于被动免疫制剂", "role": "doctor"}, {"turn": 15, "text": "被咬出血才需要打", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 651, "thread": [{"turn": 0, "text": "病情一周，开始前两天明显感觉心脏会偷停一下，胸闷气短，现在心脏停跳消失，胸闷也基本消失，就剩下气短，心脏彩超，胸部ct,心电图都正常，请问是为什么？上个三楼心率能到105（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况出现多久了？", "role": "doctor"}, {"turn": 2, "text": "有没有焦虑失眠", "role": "doctor"}, {"turn": 3, "text": "开篇点题。。。", "role": "patient"}, {"turn": 4, "text": "写的一周", "role": "patient"}, {"turn": 5, "text": "有没有焦虑失眠", "role": "doctor"}, {"turn": 6, "text": "没有焦虑和失眠，12点睡6点半醒", "role": "patient"}, {"turn": 7, "text": "每天睡太晚", "role": "doctor"}, {"turn": 8, "text": "建议10点睡觉", "role": "doctor"}, {"turn": 9, "text": "不是，一直这样也没事", "role": "patient"}, {"turn": 10, "text": "完善24小时动态心电图", "role": "doctor"}, {"turn": 11, "text": "看下有没有心脏停跳的情况", "role": "doctor"}, {"turn": 12, "text": "做了，室上早搏196次", "role": "patient"}, {"turn": 13, "text": "那还可以", "role": "doctor"}, {"turn": 14, "text": "身高体重多少", "role": "doctor"}, {"turn": 15, "text": "血脂高吗", "role": "doctor"}, {"turn": 16, "text": "47公斤，没有三高", "role": "patient"}, {"turn": 17, "text": "165", "role": "patient"}, {"turn": 18, "text": "那考虑还是功能性的", "role": "doctor"}, {"turn": 19, "text": "不爱太担心", "role": "doctor"}, {"turn": 20, "text": "不必", "role": "doctor"}, {"turn": 21, "text": "但是我现在上三楼心率能到105，还呼吸急促", "role": "patient"}, {"turn": 22, "text": "很快的爬还是慢悠悠的爬？", "role": "doctor"}, {"turn": 23, "text": "稍微快点那种", "role": "patient"}, {"turn": 24, "text": "那正常都会这样的啊", "role": "doctor"}, {"turn": 25, "text": "心率要安静下来只要在60-100就是正常的", "role": "doctor"}, {"turn": 26, "text": "运动时心率本来就增加的", "role": "doctor"}, {"turn": 27, "text": "平时坐着没事，走路快了就会稍微呼吸急促", "role": "patient"}, {"turn": 28, "text": "不必太担心", "role": "doctor"}, {"turn": 29, "text": "查肺功能没有", "role": "doctor"}, {"turn": 30, "text": "吸烟吗", "role": "doctor"}, {"turn": 31, "text": "肺功能查了，医生说属于正常值", "role": "patient"}, {"turn": 32, "text": "吸烟，还挺厉害", "role": "patient"}, {"turn": 33, "text": "戒烟", "role": "doctor"}, {"turn": 34, "text": "高分辨CT做了吗", "role": "doctor"}, {"turn": 35, "text": "没有，只做过胸部ct", "role": "patient"}, {"turn": 36, "text": "结果也正常吗", "role": "doctor"}, {"turn": 37, "text": "把报告发给我", "role": "doctor"}, {"turn": 38, "text": "报告没在身边", "role": "patient"}, {"turn": 39, "text": "上面的结果都是正常的", "role": "patient"}, {"turn": 40, "text": "好的", "role": "doctor"}, {"turn": 41, "text": "那没有什么疾病", "role": "doctor"}, {"turn": 42, "text": "还是心理因素", "role": "doctor"}, {"turn": 43, "text": "我是心肌缺血吗", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 652, "thread": [{"turn": 0, "text": "八个月宝宝便秘该怎么办（女，8个月）", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "三四天", "role": "patient"}, {"turn": 3, "text": "从添加辅食开始就一直便秘，都拉不出来，拉出来都很硬", "role": "patient"}, {"turn": 4, "text": "奶粉喂养，双歧杆菌三联和乳果糖喝了也没效果", "role": "patient"}, {"turn": 5, "text": "火龙果香蕉苹果牛油果，红薯，土豆，胡萝卜，山药，西蓝花，小米，颗粒面，辅食吃这些", "role": "patient"}, {"turn": 6, "text": "是新近添加了辅食就出现了便秘？", "role": "doctor"}, {"turn": 7, "text": "肚子涨不涨？", "role": "doctor"}, {"turn": 8, "text": "从添加辅食开始就一直便秘", "role": "patient"}, {"turn": 9, "text": "奶粉也不怎么喝", "role": "patient"}, {"turn": 10, "text": "这种情况建议您先回到之前的喂养，暂停辅食。治疗上可以做按摩，然后和四磨汤或者乳果糖，然后实在还不解大便，就用开塞露的", "role": "doctor"}, {"turn": 11, "text": "就是三天左右拉一次，拉的干，有点费劲", "role": "patient"}, {"turn": 12, "text": "这跟奶粉有关系吗？", "role": "patient"}, {"turn": 13, "text": "辅食宝宝还挺愿意吃的，不怎么喝奶粉呢", "role": "patient"}, {"turn": 14, "text": "奶粉换过了没有呢", "role": "doctor"}, {"turn": 15, "text": "三个月的时候换过一次", "role": "patient"}, {"turn": 16, "text": "辅食您多吃粗粮，比如土豆泥，红薯等", "role": "doctor"}, {"turn": 17, "text": "南瓜，也可以吧", "role": "patient"}, {"turn": 18, "text": "可以的呢", "role": "doctor"}, {"turn": 19, "text": "奶粉喝的很少怎么办呢", "role": "patient"}, {"turn": 20, "text": "八个月啦，奶粉少点没关系，辅食慢慢加上", "role": "doctor"}, {"turn": 21, "text": "那辅食一天可以喂几次呢", "role": "patient"}, {"turn": 22, "text": "到点喝奶粉的时候就是不愿意喝，给她弄米粉就吃", "role": "patient"}, {"turn": 23, "text": "辅食一天可以吃四次左右的", "role": "doctor"}, {"turn": 24, "text": "八个月吃四次？那白天就完全代替奶粉了？就晚上一两次奶粉就可以了？", "role": "patient"}, {"turn": 25, "text": "可以的", "role": "doctor"}, {"turn": 26, "text": "还没有一周岁，主要营养还在奶粉里吧？", "role": "patient"}, {"turn": 27, "text": "孩子不想吃奶粉，就不是只有把辅食多加了", "role": "doctor"}, {"turn": 28, "text": "如果孩子想吃了，就可以多吃两次奶粉的", "role": "doctor"}, {"turn": 29, "text": "您把益生菌可以继续吃着的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 653, "thread": [{"turn": 0, "text": "七个月宝宝咳嗽有痰怎么办（男，0岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝出现这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "有没有去医院看一下", "role": "doctor"}, {"turn": 3, "text": "没有", "role": "patient"}, {"turn": 4, "text": "就是咳嗽，有痰，能吃点啥药呢，还是有什么办法呢", "role": "patient"}, {"turn": 5, "text": "几天了？", "role": "doctor"}, {"turn": 6, "text": "吃过什么药物没有？", "role": "doctor"}, {"turn": 7, "text": "2天", "role": "patient"}, {"turn": 8, "text": "今天吃点金银花颗粒", "role": "patient"}, {"turn": 9, "text": "咳嗽频繁吗？有效果吗？", "role": "doctor"}, {"turn": 10, "text": "没看出来啥效果，", "role": "patient"}, {"turn": 11, "text": "时间太短", "role": "doctor"}, {"turn": 12, "text": "那还要继续吃吗", "role": "patient"}, {"turn": 13, "text": "药效没有出来", "role": "doctor"}, {"turn": 14, "text": "继续", "role": "doctor"}, {"turn": 15, "text": "这个小孩子可以吃吧", "role": "patient"}, {"turn": 16, "text": "那还要注意什么吗", "role": "patient"}, {"turn": 17, "text": "注意孩子有没有其它症状，比如发热流涕鼻塞", "role": "doctor"}, {"turn": 18, "text": "要有这些症状怎么办", "role": "patient"}, {"turn": 19, "text": "对症处理", "role": "doctor"}, {"turn": 20, "text": "刚刚感觉有点鼻塞，流鼻涕，如果再严重怎么办", "role": "patient"}, {"turn": 21, "text": "去医院查个血常规看一下有没有什么异常情况", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "如果没有这些症状就继续吃金银花颗粒可以吗", "role": "patient"}, {"turn": 24, "text": "嗯", "role": "doctor"}, {"turn": 25, "text": "可以", "role": "doctor"}, {"turn": 26, "text": "谢谢，好", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 654, "thread": [{"turn": 0, "text": "六个月婴儿鼓膜穿孔滴眼水能治好吗（男，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，是急性中耳炎了吗", "role": "doctor"}, {"turn": 2, "text": "如果是急性中耳炎，最好输液治疗", "role": "doctor"}, {"turn": 3, "text": "不知道是急性慢性医生没说", "role": "patient"}, {"turn": 4, "text": "发现多久了", "role": "doctor"}, {"turn": 5, "text": "是发烧引起的", "role": "patient"}, {"turn": 6, "text": "有三个星期了还没好", "role": "patient"}, {"turn": 7, "text": "应该是急性中耳炎", "role": "doctor"}, {"turn": 8, "text": "流脓了吧", "role": "doctor"}, {"turn": 9, "text": "是的", "role": "patient"}, {"turn": 10, "text": "到医院医生就开四只滴眼液", "role": "patient"}, {"turn": 11, "text": "最好是输液", "role": "doctor"}, {"turn": 12, "text": "小孩太小输液不好能", "role": "patient"}, {"turn": 13, "text": "最好是", "role": "doctor"}, {"turn": 14, "text": "不输液，不好痊愈", "role": "doctor"}, {"turn": 15, "text": "好吧", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}, {"turn": 17, "text": "谢谢大夫", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 655, "thread": [{"turn": 0, "text": "咳嗽，生痰，一直吐痰了。（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好出现这种症状多久时间了？", "role": "doctor"}, {"turn": 2, "text": "感冒了，我妈49岁，一直在小区里住，里面温度高，27度，一去外面转转，再回到小区就咳嗽，生痰。", "role": "patient"}, {"turn": 3, "text": "有多长时间了，发热么？", "role": "doctor"}, {"turn": 4, "text": "半个月了，反反复复，一直不好，中间吃点药，好点了，可是今天又去了趟外面，又生痰了。", "role": "patient"}, {"turn": 5, "text": "不发热。", "role": "patient"}, {"turn": 6, "text": "你好，以前有没有类似的情况？", "role": "doctor"}, {"turn": 7, "text": "痰是什么颜色的？", "role": "doctor"}, {"turn": 8, "text": "白色的，粘痰", "role": "patient"}, {"turn": 9, "text": "有，以前就有", "role": "patient"}, {"turn": 10, "text": "病人自己是否吸烟？是否每年都容易出现这种情况", "role": "doctor"}, {"turn": 11, "text": "不吸烟，是啊，每年都容易出现这个情况", "role": "patient"}, {"turn": 12, "text": "母性", "role": "patient"}, {"turn": 13, "text": "女性", "role": "patient"}, {"turn": 14, "text": "毎年几次，持续时间多久？", "role": "doctor"}, {"turn": 15, "text": "她也不太清楚啊", "role": "patient"}, {"turn": 16, "text": "反正年轻时候得过肺结核，但是好了，钙化了", "role": "patient"}, {"turn": 17, "text": "如果这次并称已经半月，病情反复，建议完善胸部CT及血常规检查", "role": "doctor"}, {"turn": 18, "text": "嗯嗯", "role": "patient"}, {"turn": 19, "text": "就是感冒，应该没事把", "role": "patient"}, {"turn": 20, "text": "你开点药", "role": "patient"}, {"turn": 21, "text": "准确的说现在应该考虑一个支气管炎的情况。结合既往结合的病史，可能肺部存在结核感染后引起的慢性迁延性病灶", "role": "doctor"}, {"turn": 22, "text": "容易出现呼吸道感染引起咳嗽", "role": "doctor"}, {"turn": 23, "text": "严重不", "role": "patient"}, {"turn": 24, "text": "嗯嗯嗯。", "role": "patient"}, {"turn": 25, "text": "冬天厉害", "role": "patient"}, {"turn": 26, "text": "需结合CT看肺的情况", "role": "doctor"}, {"turn": 27, "text": "嗯嗯嗯", "role": "patient"}, {"turn": 28, "text": "去年做过说没事啊", "role": "patient"}, {"turn": 29, "text": "说钙化了", "role": "patient"}, {"turn": 30, "text": "钙化灶本身是没什么的，但需定期随访", "role": "doctor"}, {"turn": 31, "text": "嗯嗯嗯", "role": "patient"}, {"turn": 32, "text": "近期用了什么药", "role": "doctor"}, {"turn": 33, "text": "嗯没吃，就吃了感冒药", "role": "patient"}, {"turn": 34, "text": "具体药名", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 656, "thread": [{"turn": 0, "text": "两个月宝宝哭闹不止的原因（男，2个月）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？有什么诱因吗？", "role": "doctor"}, {"turn": 2, "text": "今天晚上才刚开始，一开始是感冒", "role": "patient"}, {"turn": 3, "text": "大小便正常吗？", "role": "doctor"}, {"turn": 4, "text": "正常", "role": "patient"}, {"turn": 5, "text": "补过钙吗？", "role": "doctor"}, {"turn": 6, "text": "补过", "role": "patient"}, {"turn": 7, "text": "一般的情况下，小婴儿的哭闹大多分以下几种？第一缺钙引起神经兴奋性增高，可能会出现哭闹。第二孩子如果有腹泻腹的情况时候会出现肚子疼的情况，也会出现哭闹", "role": "doctor"}, {"turn": 8, "text": "哭闹是小婴儿表达语言和情绪的一种方式，比如说孩子饿了，尿了，拉大便了等等，都会出现哭闹的症状。", "role": "doctor"}, {"turn": 9, "text": "鼻子不通气，奶也不肯吃", "role": "patient"}, {"turn": 10, "text": "就是哭", "role": "patient"}, {"turn": 11, "text": "如果这种情况应该是感冒之后引起的小孩儿不舒服所致苦恼。", "role": "doctor"}, {"turn": 12, "text": "那该怎么办", "role": "patient"}, {"turn": 13, "text": "首先治疗原发病！", "role": "doctor"}, {"turn": 14, "text": "适当喝水，保持房间湿润别太干燥了！", "role": "doctor"}, {"turn": 15, "text": "如果持续哭闹需要去医院的！", "role": "doctor"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 657, "thread": [{"turn": 0, "text": "妇科霉菌性阴炎吃甲硝唑可以吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "霉菌性的阴道炎，吃甲硝唑效果不好，它需要吃一些氟康唑胶囊或者是一曲康唑胶囊治疗霉菌的药物。", "role": "doctor"}, {"turn": 2, "text": "我白带豆腐渣状", "role": "patient"}, {"turn": 3, "text": "在网上查了可能是霉菌性阴道炎", "role": "patient"}, {"turn": 4, "text": "白带成豆腐渣状是典型霉菌性阴道炎的症状", "role": "doctor"}, {"turn": 5, "text": "那我应该吃什么药啊", "role": "patient"}, {"turn": 6, "text": "氟康唑胶囊或者是一曲康唑胶囊。", "role": "doctor"}, {"turn": 7, "text": "伊曲康唑胶囊", "role": "doctor"}, {"turn": 8, "text": "哦哦", "role": "patient"}, {"turn": 9, "text": "这是什么引起的啊", "role": "patient"}, {"turn": 10, "text": "一般是不注意婚姻不卫生或者是有性生活，多少都容易感染这种常见的妇科炎症。", "role": "doctor"}, {"turn": 11, "text": "哦哦，那这个会不会对男朋友有影响啊", "role": "patient"}, {"turn": 12, "text": "他容易通过同房交叉感染。一般建议夫妻双方同时治疗。", "role": "doctor"}, {"turn": 13, "text": "那男的有什么症状啊，要怎么治疗啊", "role": "patient"}, {"turn": 14, "text": "他就是觉得痒", "role": "patient"}, {"turn": 15, "text": "要吃什么药，还是外用吗", "role": "patient"}, {"turn": 16, "text": "主要是痒。分泌物增多", "role": "doctor"}, {"turn": 17, "text": "像涂抹达克宁软膏，定期清洗口服氟康唑就可以，女性可以使用克霉唑阴道片阴道塞用药。", "role": "doctor"}, {"turn": 18, "text": "口服药效果没有用这个外用的效果好是吗", "role": "patient"}, {"turn": 19, "text": "我不好意思用外用的药", "role": "patient"}, {"turn": 20, "text": "口服药就吃氟康唑胶囊或者伊曲唑胶囊就可以呗", "role": "patient"}, {"turn": 21, "text": "可以", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "女性最好是塞用和口服一起使用。", "role": "doctor"}, {"turn": 24, "text": "谢谢", "role": "patient"}, {"turn": 25, "text": "哦哦哦", "role": "patient"}, {"turn": 26, "text": "这个不是处方药吧，去药店就可以买到是吧", "role": "patient"}, {"turn": 27, "text": "到药房就可以买得到", "role": "doctor"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "谢谢", "role": "patient"}, {"turn": 30, "text": "再见", "role": "patient"}, {"turn": 31, "text": "好的祝你健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 658, "thread": [{"turn": 0, "text": "北京儿童医院咨询台在线咨询你好您好（男，10个月）", "role": "patient"}, {"turn": 1, "text": "宝宝精神和吃奶怎么样？宝宝现在有什么不舒服症状？", "role": "doctor"}, {"turn": 2, "text": "您好", "role": "patient"}, {"turn": 3, "text": "孩子现在咳嗽有鼻涕不发烧，嗓子总像有痰一样", "role": "patient"}, {"turn": 4, "text": "精神状态和吃奶挺好的", "role": "patient"}, {"turn": 5, "text": "吃了止咳糖浆，两天了，也没管用", "role": "patient"}, {"turn": 6, "text": "在没", "role": "patient"}, {"turn": 7, "text": "有的时候会有些忙，回复的可能慢一些，请你多担待。一定会为你解决所有的疑问问题的。不好意思啊，让你等了这么长时间了！。", "role": "doctor"}, {"turn": 8, "text": "看看嗓子红不红？", "role": "doctor"}, {"turn": 9, "text": "嗓子刚有一点", "role": "patient"}, {"turn": 10, "text": "会不会得有肺炎", "role": "patient"}, {"turn": 11, "text": "孩子精神怎么样？有没有口吐泡沫？", "role": "doctor"}, {"turn": 12, "text": "没有，精神状态很好", "role": "patient"}, {"turn": 13, "text": "需要打点滴么，，我怎么觉得吃药不见好呢", "role": "patient"}, {"turn": 14, "text": "情况不能改善，精神不好，尿量不好，睡眠不好的话是需要考虑输液的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 659, "thread": [{"turn": 0, "text": "牙龈肿了，脸也有点肿，蛀牙上面的牙龈（女，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答问题", "role": "doctor"}, {"turn": 2, "text": "您好，能提供一下照片吗？", "role": "doctor"}, {"turn": 3, "text": "里面拍不了", "role": "patient"}, {"turn": 4, "text": "一般这种情况是牙神经发炎后导致根尖炎症引起的", "role": "doctor"}, {"turn": 5, "text": "吃什么药", "role": "patient"}, {"turn": 6, "text": "建议做根管治疗", "role": "doctor"}, {"turn": 7, "text": "应该是我的蛀牙引起的", "role": "patient"}, {"turn": 8, "text": "现在还疼还肿", "role": "patient"}, {"turn": 9, "text": "不能做这个吧", "role": "patient"}, {"turn": 10, "text": "吃药只是治标不治本，那如果青霉素不过敏的话，可以吃点头孢和甲硝唑，青霉素过敏的话吃点罗红霉素和甲硝唑。", "role": "doctor"}, {"turn": 11, "text": "这个要几天能好", "role": "patient"}, {"turn": 12, "text": "好了之后我去拔掉吧", "role": "patient"}, {"turn": 13, "text": "就吃这些消炎药吗", "role": "patient"}, {"turn": 14, "text": "是蛀牙引起的，同时治疗，把感染源去除，在吃药好的快些", "role": "doctor"}, {"turn": 15, "text": "如果肿的厉害的话，吃药也需要一周左右能好", "role": "doctor"}, {"turn": 16, "text": "一周啊", "role": "patient"}, {"turn": 17, "text": "嗯，是的", "role": "doctor"}, {"turn": 18, "text": "那我只能吃消炎药", "role": "patient"}, {"turn": 19, "text": "不痛了再去看牙齿", "role": "patient"}, {"turn": 20, "text": "最好去看看，如果结合治疗会好的更快些，就能少遭罪", "role": "doctor"}, {"turn": 21, "text": "看口腔科吗", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "现在肿了也能做根管治疗嘛", "role": "patient"}, {"turn": 24, "text": "对呀，肿了说明里面有炎性渗出物没有出来，牙齿打开，这样就有通路了，就能好的快些", "role": "doctor"}, {"turn": 25, "text": "痛不痛", "role": "patient"}, {"turn": 26, "text": "现在都是无痛治疗，打麻药处理", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 660, "thread": [{"turn": 0, "text": "您好我家宝宝6周半蛀牙疼怎么办呢（男，6岁）", "role": "patient"}, {"turn": 1, "text": "您好 很高兴为您提供解答", "role": "doctor"}, {"turn": 2, "text": "请问孩子是后面大牙疼吗？", "role": "doctor"}, {"turn": 3, "text": "您好", "role": "patient"}, {"turn": 4, "text": "您好我家宝宝6周半蛀牙疼怎么办呢（男，6岁）", "role": "patient"}, {"turn": 5, "text": "请问孩子是后面大牙疼吗？", "role": "doctor"}, {"turn": 6, "text": "能速度止痛吗", "role": "patient"}, {"turn": 7, "text": "嗯嗯是的", "role": "patient"}, {"turn": 8, "text": "没有速度止疼的办法", "role": "doctor"}, {"turn": 9, "text": "后面大牙疼建议做根管治疗", "role": "doctor"}, {"turn": 10, "text": "蛀牙出现疼痛考虑是影响牙神经导致", "role": "doctor"}, {"turn": 11, "text": "解决疼痛最有效的办法是做根管治疗", "role": "doctor"}, {"turn": 12, "text": "那怎么办呢", "role": "patient"}, {"turn": 13, "text": "建议去医院口腔科做根管治疗", "role": "doctor"}, {"turn": 14, "text": "治疗后就不疼了", "role": "doctor"}, {"turn": 15, "text": "一般需要两三次", "role": "doctor"}, {"turn": 16, "text": "每次间隔一周", "role": "doctor"}, {"turn": 17, "text": "第一次治疗后两天一般就不疼了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 661, "thread": [{"turn": 0, "text": "耳鸣十几天了，请问该如何治疗（男，50岁）", "role": "patient"}, {"turn": 1, "text": "你好！你是单侧还是双侧耳鸣？", "role": "doctor"}, {"turn": 2, "text": "单侧", "role": "patient"}, {"turn": 3, "text": "耳鸣是什么样的声音？听力下降了吗？", "role": "doctor"}, {"turn": 4, "text": "是双侧耳鸣，听力感觉不是很明显", "role": "patient"}, {"turn": 5, "text": "去医院耳鼻喉科检查过吗？", "role": "doctor"}, {"turn": 6, "text": "没有，在浙江瑞安工作，您给推荐一家附近医院", "role": "patient"}, {"turn": 7, "text": "该做哪些检查？", "role": "patient"}, {"turn": 8, "text": "不好意思，我是安徽的医生，对那边不了解", "role": "doctor"}, {"turn": 9, "text": "可以做纯音测听，声导抗等检查看看", "role": "doctor"}, {"turn": 10, "text": "哦，安徽这边推荐一下，可以让他回来治疗", "role": "patient"}, {"turn": 11, "text": "合肥的几个大医院耳鼻喉科都可以", "role": "doctor"}, {"turn": 12, "text": "安医大一附院，二附院 省立医院", "role": "doctor"}, {"turn": 13, "text": "哦哦，好的，谢谢您", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 662, "thread": [{"turn": 0, "text": "天气一冷，就会早搏，没有其他症状（女，20岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "注意保暖", "role": "doctor"}, {"turn": 3, "text": "可以口服稳心颗粒", "role": "doctor"}, {"turn": 4, "text": "大概四五天了", "role": "patient"}, {"turn": 5, "text": "早搏次数多吗", "role": "doctor"}, {"turn": 6, "text": "感觉到的次数不多", "role": "patient"}, {"turn": 7, "text": "但是没有做过动态", "role": "patient"}, {"turn": 8, "text": "不清楚", "role": "patient"}, {"turn": 9, "text": "动态心电图做了吗", "role": "doctor"}, {"turn": 10, "text": "这个没做", "role": "patient"}, {"turn": 11, "text": "可以服倍他乐克 稳心颗粒", "role": "doctor"}, {"turn": 12, "text": "我在吃比索洛尔", "role": "patient"}, {"turn": 13, "text": "这个可以吗", "role": "patient"}, {"turn": 14, "text": "之前因为植物神经紊乱有窦性心动过速", "role": "patient"}, {"turn": 15, "text": "可以的", "role": "doctor"}, {"turn": 16, "text": "一直在吃比索洛尔", "role": "patient"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "和倍他乐克是同类药品", "role": "doctor"}, {"turn": 19, "text": "嗯嗯，了解了", "role": "patient"}, {"turn": 20, "text": "😊", "role": "doctor"}, {"turn": 21, "text": "谢谢您", "role": "patient"}, {"turn": 22, "text": "😁😁😁😁😁", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 663, "thread": [{"turn": 0, "text": "头疼，头晕，耳鸣，时不时发冷，犯恶心（男，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，头晕出现多久了？是持续性还是阵发性？", "role": "doctor"}, {"turn": 2, "text": "持续的", "role": "patient"}, {"turn": 3, "text": "有没有旋转感、倾倒感、起伏感？", "role": "doctor"}, {"turn": 4, "text": "有一点", "role": "patient"}, {"turn": 5, "text": "最近休息的怎么样", "role": "doctor"}, {"turn": 6, "text": "这是不是感冒了", "role": "patient"}, {"turn": 7, "text": "有可能的，发热吗", "role": "doctor"}, {"turn": 8, "text": "睡眠质量较差", "role": "patient"}, {"turn": 9, "text": "发热", "role": "patient"}, {"turn": 10, "text": "多少度", "role": "doctor"}, {"turn": 11, "text": "还没量呢，就是问问您这种冬季感冒吃什么药比较好", "role": "patient"}, {"turn": 12, "text": "连花清瘟胶囊还不错", "role": "doctor"}, {"turn": 13, "text": "有没有药片，吃不惯胶囊", "role": "patient"}, {"turn": 14, "text": "感康也可以", "role": "doctor"}, {"turn": 15, "text": "好的，多谢您的解答", "role": "patient"}, {"turn": 16, "text": "不客气的祝您早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 664, "thread": [{"turn": 0, "text": "一岁半抱抱 龋齿怎么办（女，16个月）", "role": "patient"}, {"turn": 1, "text": "哪些牙龋齿？可以拍照看看", "role": "doctor"}, {"turn": 2, "text": "门牙三个", "role": "patient"}, {"turn": 3, "text": "小孩不在身边", "role": "patient"}, {"turn": 4, "text": "平时含着奶瓶睡觉？", "role": "doctor"}, {"turn": 5, "text": "吃母乳", "role": "patient"}, {"turn": 6, "text": "这么小的小朋友目前还不可以治疗龋齿", "role": "doctor"}, {"turn": 7, "text": "只能加强口腔卫生", "role": "doctor"}, {"turn": 8, "text": "哦    还有别的办法吗", "role": "patient"}, {"turn": 9, "text": "可以到医院去涂氟", "role": "doctor"}, {"turn": 10, "text": "我发现现在比以前重了", "role": "patient"}, {"turn": 11, "text": "延缓龋病进展", "role": "doctor"}, {"turn": 12, "text": "母乳要不要断掉", "role": "patient"}, {"turn": 13, "text": "主要是口内清洁，要用指套牙刷帮他刷牙", "role": "doctor"}, {"turn": 14, "text": "特别是每次吃奶后", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "涂氟对小孩有没有影响", "role": "patient"}, {"turn": 17, "text": "有什么影响", "role": "doctor"}, {"turn": 18, "text": "不会比牙齿都坏掉更糟糕的", "role": "doctor"}, {"turn": 19, "text": "你说的对啊   谢谢", "role": "patient"}, {"turn": 20, "text": "针对本次问诊，医生更新了总结建议：如果我的回答对您有帮助，请给予好评，谢谢。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 665, "thread": [{"turn": 0, "text": "三岁宝宝便秘吃什么三岁孩子便秘（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "这种情况多久了？孩子有没有挑食偏食？", "role": "doctor"}, {"turn": 3, "text": "之前宝宝一天一次，也有过便秘现象，突然隔了一天没拉，就厉害了", "role": "patient"}, {"turn": 4, "text": "这种情况一个星期了，孩子不爱吃蔬菜", "role": "patient"}, {"turn": 5, "text": "这种情况首先考虑是饮食结构不均衡，首先要让孩子多吃一些粗纤维的蔬菜水果，比如芹菜，菠菜，韭菜，西兰花，南瓜，香蕉，苹果，橙子，火龙果，猕猴桃等。", "role": "doctor"}, {"turn": 6, "text": "另外可以给孩子吃上益生菌和乳果糖口服液调理。", "role": "doctor"}, {"turn": 7, "text": "乳果糖都吃好多了，不管用，吃着斯唯诺，孩子吃饭多了，但是便秘不管用", "role": "patient"}, {"turn": 8, "text": "主要还是要饮食结构的调整，否则停药后还是会反复。", "role": "doctor"}, {"turn": 9, "text": "经常用开赛露对孩子是不是不好啊", "role": "patient"}, {"turn": 10, "text": "孩子还在喝奶粉，会不会是上火的原因", "role": "patient"}, {"turn": 11, "text": "不建议长时间用偶尔用的", "role": "doctor"}, {"turn": 12, "text": "没关系", "role": "doctor"}, {"turn": 13, "text": "用点去火药可以吗", "role": "patient"}, {"turn": 14, "text": "也可以喝上小儿七星茶口服液。", "role": "doctor"}, {"turn": 15, "text": "喝奶粉多也容易出现大便干燥，所以要适当控制一下高蛋白高淀粉的食物，多吃一些粗粮粗纤维的食物。", "role": "doctor"}, {"turn": 16, "text": "比如天天吃鸡蛋也有关系吧？", "role": "patient"}, {"turn": 17, "text": "有关系", "role": "doctor"}, {"turn": 18, "text": "他现在不敢拉，屁屁应该是疼，有什么办法吗", "role": "patient"}, {"turn": 19, "text": "他现在不敢拉，屁屁应该是疼，有什么办法吗", "role": "patient"}, {"turn": 20, "text": "那现在只能用开塞露暂时通便。", "role": "doctor"}, {"turn": 21, "text": "已经出现了大便干燥，宝宝排便费力的话就要用上开塞露，通便，另外如果糖口服液继续给宝宝吃上，注意调整饮食结构，适当控制一下牛奶鸡蛋海鲜，多吃一些粗粮蔬菜水果。让孩子多吃多喝水，每天定时蹲便", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 666, "thread": [{"turn": 0, "text": "小孩便秘 3-6天拉一次 两岁半（女，2岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝这种情况多长时间", "role": "doctor"}, {"turn": 2, "text": "从八九个月开始便秘  干硬 出血过  益生菌吃过 后来有段时间好点  就两天拉一次  在后来又严重  一直靠喝纤维素粉软化大便 但孩子三至五天一次", "role": "patient"}, {"turn": 3, "text": "先天性巨结肠 是做彩超就能排除的吗", "role": "patient"}, {"turn": 4, "text": "一岁多的时候有过肠套叠 那时候倒是做过几次彩超  没有说有这个情况  是不是可以排除这个先天性巨结肠", "role": "patient"}, {"turn": 5, "text": "可以排除巨结肠的", "role": "doctor"}, {"turn": 6, "text": "饮食怎么样", "role": "doctor"}, {"turn": 7, "text": "真的能排除这个吗 那时候做过几次彩超  心里想想也是怕  因为长期便秘", "role": "patient"}, {"turn": 8, "text": "饮食就是 吃青菜少 水果还可以", "role": "patient"}, {"turn": 9, "text": "主要是多吃水果蔬菜", "role": "doctor"}, {"turn": 10, "text": "喝水也不是很多  就是一直喝着纤维素粉  大便确实不硬了 可还是四五天拉 现在都五天了也不拉", "role": "patient"}, {"turn": 11, "text": "就五天都不说拉臭臭的", "role": "patient"}, {"turn": 12, "text": "主要与饮食习惯有关", "role": "doctor"}, {"turn": 13, "text": "问题不大的", "role": "doctor"}, {"turn": 14, "text": "可有时候吃青菜挺多 可还是不拉", "role": "patient"}, {"turn": 15, "text": "多吃点油大的", "role": "doctor"}, {"turn": 16, "text": "指猪油吗", "role": "patient"}, {"turn": 17, "text": "还有什么好办法吗", "role": "patient"}, {"turn": 18, "text": "乳果糖 也不喝   以前喝过很多天也没效果", "role": "patient"}, {"turn": 19, "text": "这个没有别的办法", "role": "doctor"}, {"turn": 20, "text": "最长几天不拉没有危险    两岁半", "role": "patient"}, {"turn": 21, "text": "只要能拉出来就没事的", "role": "doctor"}, {"turn": 22, "text": "不用紧张", "role": "doctor"}, {"turn": 23, "text": "多吃玉米粥有助于排便", "role": "doctor"}, {"turn": 24, "text": "唉 长期怕对身体不好", "role": "patient"}, {"turn": 25, "text": "两岁半 93高  24斤多  会不会太偏瘦了", "role": "patient"}, {"turn": 26, "text": "饮食正常就没事的", "role": "doctor"}, {"turn": 27, "text": "大些就好了", "role": "doctor"}, {"turn": 28, "text": "两岁半奶粉能断了吗", "role": "patient"}, {"turn": 29, "text": "她从小不喜欢喝奶粉  喝奶粉都是哄着喝进去", "role": "patient"}, {"turn": 30, "text": "断了正常吃饭能不能跟上营养", "role": "patient"}, {"turn": 31, "text": "纯牛奶不喝  喝点酸奶", "role": "patient"}, {"turn": 32, "text": "可以断奶了", "role": "doctor"}, {"turn": 33, "text": "只要辅食能跟上就行", "role": "doctor"}, {"turn": 34, "text": "一般便秘会分哪些情况 现在是便便不干也五天不拉    是故意憋便吗  可是便便不干 喝的不费劲 可依然很多天才拉", "role": "patient"}, {"turn": 35, "text": "还是吃的东西不够粪便量", "role": "patient"}, {"turn": 36, "text": "应该是吃的不多", "role": "doctor"}, {"turn": 37, "text": "大人吃什么孩子就可以吃什么", "role": "doctor"}, {"turn": 38, "text": "不限制饮食的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 667, "thread": [{"turn": 0, "text": "膝盖扭伤弯曲伸直疼怎么办（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "小时候就经常扭到", "role": "patient"}, {"turn": 3, "text": "一般是半月板问题", "role": "doctor"}, {"turn": 4, "text": "然后初二的时候打篮球  扭到然后立马肿了", "role": "patient"}, {"turn": 5, "text": "然后就用药酒抹了，扭了回来，然后打了干针", "role": "patient"}, {"turn": 6, "text": "然后就一直都在疼，偶尔会疼的特别严重", "role": "patient"}, {"turn": 7, "text": "应该是有问题的，", "role": "doctor"}, {"turn": 8, "text": "昨天疼  然后今天抹了云南白药  现在直接肿了", "role": "patient"}, {"turn": 9, "text": "然后特别疼", "role": "patient"}, {"turn": 10, "text": "去做个核磁吧，反复扭伤肯定是膝关节有问题", "role": "doctor"}, {"turn": 11, "text": "就是膝盖哪里，特别疼，每次就动的时候会感觉有声音  就像碎了一样", "role": "patient"}, {"turn": 12, "text": "哦哦", "role": "patient"}, {"turn": 13, "text": "要么是半月板，或者韧带", "role": "doctor"}, {"turn": 14, "text": "那我可以继续抹云南白药吗", "role": "patient"}, {"turn": 15, "text": "需要核磁检查", "role": "doctor"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "哦哦", "role": "patient"}, {"turn": 18, "text": "严重的话会怎样", "role": "patient"}, {"turn": 19, "text": "那要看具体是什么问题了", "role": "doctor"}, {"turn": 20, "text": "哦哦", "role": "patient"}, {"turn": 21, "text": "尽快检查吧，不要拖太久", "role": "doctor"}, {"turn": 22, "text": "哦哦", "role": "patient"}, {"turn": 23, "text": "谢谢医生", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 668, "thread": [{"turn": 0, "text": "先天性耳聋 能治好吗？（女，20岁）远了听不清，近了声音小了也听不清。困扰很多年了 ，有佩戴助听器   但是佩戴后 感觉听力还不如以前", "role": "patient"}, {"turn": 1, "text": "你好，做过什么检查？", "role": "doctor"}, {"turn": 2, "text": "小时候检查过", "role": "patient"}, {"turn": 3, "text": "但是不知道内容", "role": "patient"}, {"turn": 4, "text": "能否上传有关检查资料分析看看?", "role": "doctor"}, {"turn": 5, "text": "那些资料好像不见了", "role": "patient"}, {"turn": 6, "text": "会遗传不  我想知道现在这个时代能治好吗", "role": "patient"}, {"turn": 7, "text": "如果有机会，我还是愿意治的", "role": "patient"}, {"turn": 8, "text": "难以治疗", "role": "doctor"}, {"turn": 9, "text": "目前没有好办法。", "role": "doctor"}, {"turn": 10, "text": "我小时候更听不清，长大了好了点。就是远了听不见，近了声音小了也不行。", "role": "patient"}, {"turn": 11, "text": "佩戴助听器后，耳鸣都少了", "role": "patient"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "感音神经性耳聋，比较难治", "role": "doctor"}, {"turn": 14, "text": "效果差", "role": "doctor"}, {"turn": 15, "text": "以后结婚会遗传吗", "role": "patient"}, {"turn": 16, "text": "有遗传概率！", "role": "doctor"}, {"turn": 17, "text": "哦，我回去了我就找找  相关检查资料", "role": "patient"}, {"turn": 18, "text": "概率多大呢", "role": "patient"}, {"turn": 19, "text": "父母有无耳聋？", "role": "doctor"}, {"turn": 20, "text": "妈妈有点  我妹妹也有", "role": "patient"}, {"turn": 21, "text": "妈妈比我好点", "role": "patient"}, {"turn": 22, "text": "妹妹比我耳朵还差", "role": "patient"}, {"turn": 23, "text": "家族多发遗传性", "role": "doctor"}, {"turn": 24, "text": "带有耳聋遗传基因", "role": "doctor"}, {"turn": 25, "text": "我佩助听器时，说我左耳比右耳好点", "role": "patient"}, {"turn": 26, "text": "哦", "role": "patient"}, {"turn": 27, "text": "家族携带有耳聋遗传基因", "role": "doctor"}, {"turn": 28, "text": "遗传概率多大呢", "role": "patient"}, {"turn": 29, "text": "以后孕检能检查出来吗", "role": "patient"}, {"turn": 30, "text": "25-50%概率", "role": "doctor"}, {"turn": 31, "text": "哦", "role": "patient"}, {"turn": 32, "text": "这个算高的吗", "role": "patient"}, {"turn": 33, "text": "比较高", "role": "doctor"}, {"turn": 34, "text": "哦", "role": "patient"}, {"turn": 35, "text": "知道了", "role": "patient"}, {"turn": 36, "text": "嗯嗯！", "role": "doctor"}, {"turn": 37, "text": "以后怀孕了孕检能检查出来吗", "role": "patient"}, {"turn": 38, "text": "必要时做羊水检查看看", "role": "doctor"}, {"turn": 39, "text": "好的", "role": "patient"}, {"turn": 40, "text": "谢谢医生", "role": "patient"}, {"turn": 41, "text": "不客气", "role": "doctor"}, {"turn": 42, "text": "晚安", "role": "patient"}, {"turn": 43, "text": "晚安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 669, "thread": [{"turn": 0, "text": "张医生。这几天没有大便。感觉有点便秘（男，21岁）", "role": "patient"}, {"turn": 1, "text": "胃怎么样了？大便在观察吧", "role": "doctor"}, {"turn": 2, "text": "还在慢慢调理", "role": "patient"}, {"turn": 3, "text": "嗯  不太难受就行", "role": "doctor"}, {"turn": 4, "text": "不难受", "role": "patient"}, {"turn": 5, "text": "就是缺饥饿感", "role": "patient"}, {"turn": 6, "text": "一直没恢复过来么", "role": "doctor"}, {"turn": 7, "text": "不是", "role": "patient"}, {"turn": 8, "text": "上个星期星期都有点", "role": "patient"}, {"turn": 9, "text": "但是周末的时候起来的迟", "role": "patient"}, {"turn": 10, "text": "你自己怎么不调养呢", "role": "doctor"}, {"turn": 11, "text": "有点放纵", "role": "patient"}, {"turn": 12, "text": "周末，想休息", "role": "patient"}, {"turn": 13, "text": "那不利于养胃", "role": "doctor"}, {"turn": 14, "text": "嗯", "role": "patient"}, {"turn": 15, "text": "刚才大便了", "role": "patient"}, {"turn": 16, "text": "但是大便干燥", "role": "patient"}, {"turn": 17, "text": "很费劲么", "role": "doctor"}, {"turn": 18, "text": "不费劲", "role": "patient"}, {"turn": 19, "text": "那也没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 670, "thread": [{"turn": 0, "text": "左耳有耳鸣症状，是什么原因？（M，13）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了，听力有影响吗？有其他症状？", "role": "doctor"}, {"turn": 2, "text": "今天晚上放学后，孩子回来说左耳耳鸣。孩子骑车上下学。", "role": "patient"}, {"turn": 3, "text": "最近有没有受凉？孩子除了左耳耳鸣，有没有其他不舒服？", "role": "doctor"}, {"turn": 4, "text": "其他没有，可能有点感冒症状，不明显。", "role": "patient"}, {"turn": 5, "text": "建议去医院查个听力，明确一下", "role": "doctor"}, {"turn": 6, "text": "这个必须得尽快，最好不要耽误", "role": "doctor"}, {"turn": 7, "text": "这个会很严重?", "role": "patient"}, {"turn": 8, "text": "像这个年纪的孩子，突然出现这个情况，就需要警惕，是不是耳朵听力下降？也就是我们所说的突聋引起来的耳鸣，而突聋它分为低频中频和高频，低频和高频只有仪器能检测自己是感觉不出来的", "role": "doctor"}, {"turn": 9, "text": "好的，我们去看一下，谢谢", "role": "patient"}, {"turn": 10, "text": "?", "role": "doctor"}, {"turn": 11, "text": "没关系", "role": "doctor"}, {"turn": 12, "text": "如果没有什么问题，麻烦给我一个好评，谢谢", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "?", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 671, "thread": [{"turn": 0, "text": "儿童便秘怎么调理（女，2 岁）", "role": "patient"}, {"turn": 1, "text": "你好，便秘的宝宝最好食疗", "role": "doctor"}, {"turn": 2, "text": "便秘的宝宝多吃蔬菜和水果，比如火龙果和猕猴桃等，多吃粗粮，比如玉米、燕麦等，多喝点水，可以吃点益生菌调节肠胃", "role": "doctor"}, {"turn": 3, "text": "哦，现在挺重的", "role": "patient"}, {"turn": 4, "text": "就最近才出现这种情况", "role": "patient"}, {"turn": 5, "text": "已经半月了", "role": "patient"}, {"turn": 6, "text": "可以吃点益生菌，然后配合食疗", "role": "doctor"}, {"turn": 7, "text": "什么益生菌", "role": "patient"}, {"turn": 8, "text": "培菲康、米雅之类的", "role": "doctor"}, {"turn": 9, "text": "那修正的行吗", "role": "patient"}, {"turn": 10, "text": "我只知道修正的", "role": "patient"}, {"turn": 11, "text": "类似的都可以吧", "role": "doctor"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "那，女孩，2.5周岁，总口腔溃疡怎么回事", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "在吗  医生", "role": "patient"}, {"turn": 16, "text": "总口腔溃疡是怎么回事", "role": "patient"}, {"turn": 17, "text": "可能跟缺乏维生素有关", "role": "doctor"}, {"turn": 18, "text": "蔬菜水果都吃，饮食均衡", "role": "doctor"}, {"turn": 19, "text": "可以喝点赖氨酸B12", "role": "doctor"}, {"turn": 20, "text": "吃的还可以呀  难道是量还不够", "role": "patient"}, {"turn": 21, "text": "是药名吗", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "要吃多久好点", "role": "patient"}, {"turn": 24, "text": "你可以吃半个月到一个月看下有没有好点，饮食清淡一点，少吃上火的", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "谢谢", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 672, "thread": [{"turn": 0, "text": "宝宝便秘呕吐不爱吃饭（男，1岁11个月）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？有什么诱因吗", "role": "doctor"}, {"turn": 2, "text": "近三四天不怎么爱吃饭，昨天下午中午有吃点米饭和青菜，但是量很少！昨晚不肯吃东西，喝了点白开水就呕吐了。临睡前给他喝奶粉，喝了一口马上吐了", "role": "patient"}, {"turn": 3, "text": "大便怎么样呢？", "role": "doctor"}, {"turn": 4, "text": "之前每天都有一次大便，但是昨天就没有大便。好像有点腹痛，放屁有点臭", "role": "patient"}, {"turn": 5, "text": "呕吐的是水，还是食物？", "role": "doctor"}, {"turn": 6, "text": "今天只喝了两顿奶，没有吃其他，但是不吐", "role": "patient"}, {"turn": 7, "text": "恩", "role": "doctor"}, {"turn": 8, "text": "宝宝这是积食了", "role": "doctor"}, {"turn": 9, "text": "呕吐的是食物，青菜渣渣", "role": "patient"}, {"turn": 10, "text": "今天放了很多次屁，很臭", "role": "patient"}, {"turn": 11, "text": "建议您可以给宝宝吃点小儿七星茶", "role": "doctor"}, {"turn": 12, "text": "除了七星茶，还需要其他吗？", "role": "patient"}, {"turn": 13, "text": "你看看腹胀吗？", "role": "doctor"}, {"turn": 14, "text": "不涨，没吃什么东西，肚子扁扁的", "role": "patient"}, {"turn": 15, "text": "那就只吃七星茶就可以", "role": "doctor"}, {"turn": 16, "text": "他脾胃方面会不会不好呢？", "role": "patient"}, {"turn": 17, "text": "就是脾胃有火", "role": "doctor"}, {"turn": 18, "text": "其他没有了", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}, {"turn": 21, "text": "您好，我想问下家里有盒龙牧壮骨颗粒。宝宝这个情况还能喝吗？", "role": "patient"}, {"turn": 22, "text": "不建议喝了", "role": "doctor"}, {"turn": 23, "text": "还有个葡萄糖酸锌口服液。要不要停了？", "role": "patient"}, {"turn": 24, "text": "这个不用停", "role": "doctor"}, {"turn": 25, "text": "那就只喝小儿七星茶，还可以喝妈咪爱吗？", "role": "patient"}, {"turn": 26, "text": "可以", "role": "doctor"}, {"turn": 27, "text": "间隔半个小时", "role": "doctor"}, {"turn": 28, "text": "好的，明白", "role": "patient"}, {"turn": 29, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 673, "thread": [{"turn": 0, "text": "一个多月宝宝大便粘稠是消化不良吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝是母乳喂养还是人工喂养？", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "大便一天几次？", "role": "doctor"}, {"turn": 4, "text": "前段时间是四五天一次，这几天是两天一次，然后昨晚上拉了一次。今天晚上又拉了一次", "role": "patient"}, {"turn": 5, "text": "今天早上又拉了一次", "role": "patient"}, {"turn": 6, "text": "那可能有点消化不良，口服妈咪爱调理一下就好了", "role": "doctor"}, {"turn": 7, "text": "不是攒肚子吗", "role": "patient"}, {"turn": 8, "text": "不是", "role": "doctor"}, {"turn": 9, "text": "那攒肚子是什么表现啊", "role": "patient"}, {"turn": 10, "text": "妈咪爱一天吃几次啊", "role": "patient"}, {"turn": 11, "text": "2到3天一次大便", "role": "doctor"}, {"turn": 12, "text": "宝宝一般几个月开始攒肚子啊", "role": "patient"}, {"turn": 13, "text": "老是吐奶也是和消化不良有关系吗", "role": "patient"}, {"turn": 14, "text": "2到3个月，对有关系", "role": "doctor"}, {"turn": 15, "text": "妈咪爱一天吃几次啊", "role": "patient"}, {"turn": 16, "text": "一次半包，一天2次", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 674, "thread": [{"turn": 0, "text": "9个月宝宝3天没大便，是攒肚还是便秘（女，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝母乳还是奶粉喂养", "role": "doctor"}, {"turn": 2, "text": "以前每天都大便吗", "role": "doctor"}, {"turn": 3, "text": "考虑有一定便秘情况", "role": "doctor"}, {"turn": 4, "text": "我给宝宝断奶也是第3天了，喂奶粉", "role": "patient"}, {"turn": 5, "text": "喂奶粉容易大便干", "role": "doctor"}, {"turn": 6, "text": "那怎么办", "role": "patient"}, {"turn": 7, "text": "多喝水，适当吃菜", "role": "doctor"}, {"turn": 8, "text": "奶粉还可以喂吗", "role": "patient"}, {"turn": 9, "text": "必要时可以开塞露或软肥皂条刺激排便", "role": "doctor"}, {"turn": 10, "text": "可以适当喂奶粉", "role": "doctor"}, {"turn": 11, "text": "多吃其他辅食，多喝水，多吃蔬菜特别是芹菜菠菜", "role": "doctor"}, {"turn": 12, "text": "晚上半夜喝两次奶粉没问题吧，那我试试喂菜粥", "role": "patient"}, {"turn": 13, "text": "无妨", "role": "doctor"}, {"turn": 14, "text": "好的，今天已经第三天了，明天还是不拉需要看看医生吗", "role": "patient"}, {"turn": 15, "text": "可以开塞露或软肥皂条刺激排便看看", "role": "doctor"}, {"turn": 16, "text": "如果方便可以到正规医院面诊看看", "role": "doctor"}, {"turn": 17, "text": "哦，好的", "role": "patient"}, {"turn": 18, "text": "白天我没喂奶粉，喝粥跟米粉", "role": "patient"}, {"turn": 19, "text": "可以的", "role": "doctor"}, {"turn": 20, "text": "多吃蔬菜及其他辅食", "role": "doctor"}, {"turn": 21, "text": "什么水果有助于排便", "role": "patient"}, {"turn": 22, "text": "香蕉可以吗", "role": "patient"}, {"turn": 23, "text": "香蕉就可以", "role": "doctor"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "好的", "role": "doctor"}, {"turn": 26, "text": "我宝宝老是放屁的", "role": "patient"}, {"turn": 27, "text": "考虑消化欠佳", "role": "doctor"}, {"turn": 28, "text": "适当热敷肚脐改善肠道功能，绕肚脐顺时针按摩腹部促进排便排气看看", "role": "doctor"}, {"turn": 29, "text": "好的，谢谢", "role": "patient"}, {"turn": 30, "text": "不用谢", "role": "doctor"}, {"turn": 31, "text": "吃的东西也要注意什么", "role": "patient"}, {"turn": 32, "text": "吃的，多吃蔬菜特别是芹菜菠菜等，多喝水。", "role": "doctor"}, {"turn": 33, "text": "好的，谢谢", "role": "patient"}, {"turn": 34, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 675, "thread": [{"turn": 0, "text": "慢性鼻前庭炎有没有什么手术可以治好（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好请问您目前是什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "刺痛", "role": "patient"}, {"turn": 3, "text": "鼻头变大发红", "role": "patient"}, {"turn": 4, "text": "鼻子通气吗？", "role": "doctor"}, {"turn": 5, "text": "可以喷生理性海水喷雾剂", "role": "doctor"}, {"turn": 6, "text": "严重时脸也发红", "role": "patient"}, {"turn": 7, "text": "然后摸红霉素软膏", "role": "doctor"}, {"turn": 8, "text": "皮肤红吗？", "role": "doctor"}, {"turn": 9, "text": "发病时红", "role": "patient"}, {"turn": 10, "text": "鼻子红", "role": "patient"}, {"turn": 11, "text": "有时脸也红", "role": "patient"}, {"turn": 12, "text": "发胀", "role": "patient"}, {"turn": 13, "text": "鼻子的外面的皮肤红吗", "role": "doctor"}, {"turn": 14, "text": "嗯", "role": "patient"}, {"turn": 15, "text": "皮肤红的话建议您先去皮肤科排除一下皮肤病", "role": "doctor"}, {"turn": 16, "text": "不是皮肤病", "role": "patient"}, {"turn": 17, "text": "先排除一下", "role": "doctor"}, {"turn": 18, "text": "去过", "role": "patient"}, {"turn": 19, "text": "不是", "role": "patient"}, {"turn": 20, "text": "哦", "role": "doctor"}, {"turn": 21, "text": "我只要鼻腔抹上抗生素软膏就不红了", "role": "patient"}, {"turn": 22, "text": "但是不久就犯天天如此", "role": "patient"}, {"turn": 23, "text": "鼻前庭炎的话可以喷生理性海水喷雾剂", "role": "doctor"}, {"turn": 24, "text": "也可以每天用生理盐水冲洗鼻腔", "role": "doctor"}, {"turn": 25, "text": "平时预防感冒", "role": "doctor"}, {"turn": 26, "text": "有没有什么治愈的方法", "role": "patient"}, {"turn": 27, "text": "上面跟您说了", "role": "doctor"}, {"turn": 28, "text": "有手术吗", "role": "patient"}, {"turn": 29, "text": "一般是保守治疗", "role": "doctor"}, {"turn": 30, "text": "单纯的鼻前庭炎很少有手术的", "role": "doctor"}, {"turn": 31, "text": "我只想让鼻子发病不变大", "role": "patient"}, {"turn": 32, "text": "不发红就行", "role": "patient"}, {"turn": 33, "text": "一般鼻前庭炎只是炎症局部的，不会使你的鼻子变形", "role": "doctor"}, {"turn": 34, "text": "我鼻子皮肤变厚了", "role": "patient"}, {"turn": 35, "text": "我是慢性的", "role": "patient"}, {"turn": 36, "text": "什么疾病慢性的都不好治疗", "role": "doctor"}, {"turn": 37, "text": "艾灸可以吗", "role": "patient"}, {"turn": 38, "text": "按照我上面跟您说的治疗一段时间", "role": "doctor"}, {"turn": 39, "text": "如果我就是要手术该怎么办", "role": "patient"}, {"turn": 40, "text": "鼻前庭炎是什么手术", "role": "patient"}, {"turn": 41, "text": "我药物根本治不好", "role": "patient"}, {"turn": 42, "text": "可以当面咨询一下当地的医生，根据您的病情综合考虑", "role": "doctor"}, {"turn": 43, "text": "哦哦哦哦哦哦", "role": "patient"}, {"turn": 44, "text": "一般是激光手术", "role": "doctor"}, {"turn": 45, "text": "哦哦哦哦", "role": "patient"}, {"turn": 46, "text": "嗯嗯", "role": "doctor"}, {"turn": 47, "text": "哪个医院有啊", "role": "patient"}, {"turn": 48, "text": "一般三甲医院都有的", "role": "doctor"}, {"turn": 49, "text": "激光能治好鼻头肿胀和鼻腔刺痛吗", "role": "patient"}, {"turn": 50, "text": "可以缓解", "role": "doctor"}, {"turn": 51, "text": "不同的人体质不一样，所以恢复程度也不一样的。", "role": "doctor"}, {"turn": 52, "text": "慢性的也能用激光吗", "role": "patient"}, {"turn": 53, "text": "恩", "role": "doctor"}, {"turn": 54, "text": "哦哦", "role": "patient"}, {"turn": 55, "text": "有没有副作用", "role": "patient"}, {"turn": 56, "text": "我们医院没有这个设备", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 676, "thread": [{"turn": 0, "text": "解脲支原体阿奇霉素用法用量（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，阿奇霉素一般一天一次一次两颗", "role": "doctor"}, {"turn": 2, "text": "治疗接尿支原体的吗", "role": "patient"}, {"turn": 3, "text": "是的", "role": "doctor"}, {"turn": 4, "text": "吃多久呢 每次多少克", "role": "patient"}, {"turn": 5, "text": "不要吃辛辣刺激海鲜一类食物", "role": "doctor"}, {"turn": 6, "text": "要不要配合别的药吃了", "role": "patient"}, {"turn": 7, "text": "不需要别的药", "role": "doctor"}, {"turn": 8, "text": "一片是0.25的，一天0.5就可以", "role": "doctor"}, {"turn": 9, "text": "要吃多久 每次吃0.5还是 0.25 不是有的说第一次药吃1g吗", "role": "patient"}, {"turn": 10, "text": "嗯嗯 第一次要吃多少吗，一般吃几天", "role": "patient"}, {"turn": 11, "text": "也有第一次吃4片的，不过这阿奇对于胃有刺激，一次性不要吃多", "role": "doctor"}, {"turn": 12, "text": "先用药一周", "role": "doctor"}, {"turn": 13, "text": "这是个支原体感染能够彻底治愈吗", "role": "patient"}, {"turn": 14, "text": "可以治愈的，不用太担心", "role": "doctor"}, {"turn": 15, "text": "我现在引起的阴道炎 还是继续用甲硝锉塞药吗", "role": "patient"}, {"turn": 16, "text": "可以用甲硝唑", "role": "doctor"}, {"turn": 17, "text": "这个先用药一周是吧 什么时候复查呢", "role": "patient"}, {"turn": 18, "text": "用药一周停药2-3天去检查看看", "role": "doctor"}, {"turn": 19, "text": "好的谢谢 阿奇霉素是选哪个牌子的呢", "role": "patient"}, {"turn": 20, "text": "不用管什么品牌的，都可以", "role": "doctor"}, {"turn": 21, "text": "老公也要治疗吗 他要不要也化验一下", "role": "patient"}, {"turn": 22, "text": "这个都是相互传染的，你老公肯定要去检查", "role": "doctor"}, {"turn": 23, "text": "好的 这个治愈了影响怀孕吗", "role": "patient"}, {"turn": 24, "text": "治疗好不影响怀孕", "role": "doctor"}, {"turn": 25, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 26, "text": "不客气的", "role": "doctor"}, {"turn": 27, "text": "一般饭前饭后吃啊", "role": "patient"}, {"turn": 28, "text": "早上吗", "role": "patient"}, {"turn": 29, "text": "吃过饭以后吃", "role": "doctor"}, {"turn": 30, "text": "一天一次就可以了吗 早中晚都行吗", "role": "patient"}, {"turn": 31, "text": "是的，都可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 677, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：38周是几个月（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，8个多月啊。怎么了", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "我怀孕39周加3是几个月", "role": "patient"}, {"turn": 4, "text": "为什么要这么问", "role": "doctor"}, {"turn": 5, "text": "没有什么意义", "role": "doctor"}, {"turn": 6, "text": "我们医生算是4周一个月，按我们计算都已经9个多月了", "role": "doctor"}, {"turn": 7, "text": "没有严格按30天31天算", "role": "doctor"}, {"turn": 8, "text": "哦，哪我在等着", "role": "patient"}, {"turn": 9, "text": "我昨天去的医院，医生说在家等着，预产期一定到了", "role": "patient"}, {"turn": 10, "text": "全上骗子真多，", "role": "patient"}, {"turn": 11, "text": "如果没有异常，孕41前都不处理", "role": "doctor"}, {"turn": 12, "text": "什么意思", "role": "doctor"}, {"turn": 13, "text": "怎么骗你了", "role": "doctor"}, {"turn": 14, "text": "王八蛋不会说话", "role": "patient"}, {"turn": 15, "text": "怎么了呢", "role": "doctor"}, {"turn": 16, "text": "先别生气", "role": "doctor"}, {"turn": 17, "text": "别气着自己了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 678, "thread": [{"turn": 0, "text": "右肺底纹理点状增多,右膈面模糊考虑陈旧改变（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，你好，请问你有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "右肺底纹理点状增多，右膈面模糊考虑陈旧改变 这个什么意思啊", "role": "patient"}, {"turn": 3, "text": "有点感染，以前得过胸膜炎吗", "role": "doctor"}, {"turn": 4, "text": "没有 不过检查之前感冒没有好", "role": "patient"}, {"turn": 5, "text": "会是这个引起的嘛", "role": "patient"}, {"turn": 6, "text": "陈旧改变就是你既往可能得过什么疾病，", "role": "doctor"}, {"turn": 7, "text": "这个是复发的意思嘛", "role": "patient"}, {"turn": 8, "text": "不是复发，是你可能近期有感冒，右肺肺炎", "role": "doctor"}, {"turn": 9, "text": "好的 感谢医生", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}, {"turn": 11, "text": "明白了  那我最近感冒好了 这种还要去医院看一下嘛", "role": "patient"}, {"turn": 12, "text": "这是上次复查的吗，还是感冒期间查的", "role": "doctor"}, {"turn": 13, "text": "感冒期间查询的", "role": "patient"}, {"turn": 14, "text": "感冒好了，如果没有不舒服的可以不用复查，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 679, "thread": [{"turn": 0, "text": "被猫咬伤且打疫苗后需要打消炎针吗（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，我是感染科的张医生。", "role": "doctor"}, {"turn": 2, "text": "像这种情况下，可以口服头孢菌类抗菌素。", "role": "doctor"}, {"turn": 3, "text": "如果是成年人的话，可以也可以口服左氧氟沙星预防感染。", "role": "doctor"}, {"turn": 4, "text": "我的右中指关节处被猫牙咬中，有点肿痛，刚打的疫苗，犹豫要不要再打消炎针和吃药", "role": "patient"}, {"turn": 5, "text": "像你这种情况可以口服的，也不一定非要静脉注射的", "role": "doctor"}, {"turn": 6, "text": "好的，谢谢！", "role": "patient"}, {"turn": 7, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 680, "thread": [{"turn": 0, "text": "您好 孕21周 外耳道炎 怎么治疗好 谢谢（女，1天）", "role": "patient"}, {"turn": 1, "text": "你好，你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "快一星期了吧", "role": "patient"}, {"turn": 3, "text": "昨天晚上有点耳背的感觉了呢", "role": "patient"}, {"turn": 4, "text": "应该是肿了 特别疼", "role": "patient"}, {"turn": 5, "text": "你好，可以输液青霉素", "role": "doctor"}, {"turn": 6, "text": "这是孕妇用药最安全的", "role": "doctor"}, {"turn": 7, "text": "除了输液还可以怎么用", "role": "patient"}, {"turn": 8, "text": "耳朵滴药", "role": "doctor"}, {"turn": 9, "text": "不如输液治疗好", "role": "doctor"}, {"turn": 10, "text": "我看有用碘伏的有用双氧水的", "role": "patient"}, {"turn": 11, "text": "外用的药 您建议用什么呢", "role": "patient"}, {"turn": 12, "text": "滴洛美沙星滴耳液", "role": "doctor"}, {"turn": 13, "text": "对孕妇没有影响的吧", "role": "patient"}, {"turn": 14, "text": "有，影响不大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 681, "thread": [{"turn": 0, "text": "宝宝便秘呕吐肠道硬块（男，2岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "宝宝哭闹明显吗？", "role": "doctor"}, {"turn": 3, "text": "便秘有一段时间了，几乎是两天才一次大便，呕吐一个星期前吐了一次，今天又吐了一次，硬块我是今天才发现的。", "role": "patient"}, {"turn": 4, "text": "只有吐的时候哭", "role": "patient"}, {"turn": 5, "text": "是两岁的宝宝吗", "role": "doctor"}, {"turn": 6, "text": "是的", "role": "patient"}, {"turn": 7, "text": "都服过什么药物调理过", "role": "doctor"}, {"turn": 8, "text": "到诊所开了药，第一次开的是肠炎的药，今天去做了推拿，拿了四磨汤，小儿午时茶，硬块是才发现的。", "role": "patient"}, {"turn": 9, "text": "有没有听到宝宝放屁？", "role": "doctor"}, {"turn": 10, "text": "今天听到一次", "role": "patient"}, {"turn": 11, "text": "这情况可以让宝宝多饮水，推拿效果也挺不错的，但得坚持一段", "role": "doctor"}, {"turn": 12, "text": "硬块是什么原因？", "role": "patient"}, {"turn": 13, "text": "不排除是粪块，最好做腹部平片看看", "role": "doctor"}, {"turn": 14, "text": "查腹部平片是粪块还是梗阻都清楚", "role": "doctor"}, {"turn": 15, "text": "喔，好的，一个星期吐了两次有问题吗？", "role": "patient"}, {"turn": 16, "text": "可以口服一段益生菌调理", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 682, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脂肪瘤（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么症状吗？哪个部位的脂肪瘤？", "role": "doctor"}, {"turn": 2, "text": "手上 跟背上个有一个", "role": "patient"}, {"turn": 3, "text": "有没有做过什么检查？脂肪瘤有多大？有什么症状吗？", "role": "doctor"}, {"turn": 4, "text": "没做过检查 手臂的大概1cm左右", "role": "patient"}, {"turn": 5, "text": "如果心里有负担，想要解决的话可以做手术切除的", "role": "doctor"}, {"turn": 6, "text": "但是不影响生活 如果有切除 时候什么好方法的吗", "role": "patient"}, {"turn": 7, "text": "局麻下做就可以了", "role": "doctor"}, {"turn": 8, "text": "做的话有疤痕吗", "role": "patient"}, {"turn": 9, "text": "会有的", "role": "doctor"}, {"turn": 10, "text": "看起来大吗", "role": "patient"}, {"turn": 11, "text": "如果个人不是疤痕体质的话不会很大", "role": "doctor"}, {"turn": 12, "text": "不影响生活是可以不切除的是吗  那饮食 方面有什么要求吗", "role": "patient"}, {"turn": 13, "text": "不影响的话也可以不切除，定期复查就可以了", "role": "doctor"}, {"turn": 14, "text": "如果出现疼痛或者突然间增大很快的话记得及时就诊", "role": "doctor"}, {"turn": 15, "text": "那饮食方面生活方面要注意什么吗", "role": "patient"}, {"turn": 16, "text": "饮食方面没有特别注意的", "role": "doctor"}, {"turn": 17, "text": "不会引起恶性吧", "role": "patient"}, {"turn": 18, "text": "一般不会的，不用担心", "role": "doctor"}, {"turn": 19, "text": "好的。", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 683, "thread": [{"turn": 0, "text": "鼻窦炎引起的中耳炎头晕怎么办（男，32岁）", "role": "patient"}, {"turn": 1, "text": "中耳炎一般不会头晕，可能会头疼或头胀", "role": "doctor"}, {"turn": 2, "text": "鼻窦炎啦", "role": "patient"}, {"turn": 3, "text": "也不会头晕", "role": "doctor"}, {"turn": 4, "text": "头晕指的是天旋地转，房子转圈圈", "role": "doctor"}, {"turn": 5, "text": "走路 时晕  走到小空间时晕  和醉酒一样  然后 有时路都走不稳", "role": "patient"}, {"turn": 6, "text": "本来想去怕CT查一下  有没有中胆瘤什么的医生看了片子说我鼻窦炎很严重  已经发炎了都堵住了  所以晕", "role": "patient"}, {"turn": 7, "text": "颈椎病有吗", "role": "doctor"}, {"turn": 8, "text": "有的", "role": "patient"}, {"turn": 9, "text": "嗯，跟这个关系大", "role": "doctor"}, {"turn": 10, "text": "神经科看过吗", "role": "doctor"}, {"turn": 11, "text": "刚才医生看过了  说是  中耳乳突炎", "role": "patient"}, {"turn": 12, "text": "里面还有个胆子瘤", "role": "patient"}, {"turn": 13, "text": "这个是不是一定要手术了", "role": "patient"}, {"turn": 14, "text": "如果影响内耳的话，是有头晕的可能的", "role": "doctor"}, {"turn": 15, "text": "如果这个一定要手术吗", "role": "patient"}, {"turn": 16, "text": "或者和我前几天用的药粉有关系吗   一个叫中耳散的粉  会不会到中耳里去了", "role": "patient"}, {"turn": 17, "text": "有可能", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 684, "thread": [{"turn": 0, "text": "宝宝攒肚子和便秘的区别（男，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝几天没有大便？", "role": "doctor"}, {"turn": 2, "text": "有没有不舒服症状呢？", "role": "doctor"}, {"turn": 3, "text": "最近这次5天了", "role": "patient"}, {"turn": 4, "text": "宝宝是母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 5, "text": "没任何不适，能吃能睡的", "role": "patient"}, {"turn": 6, "text": "纯母乳喂养", "role": "patient"}, {"turn": 7, "text": "宝宝肚子胀吗？", "role": "doctor"}, {"turn": 8, "text": "上次大便干吗？解大便费劲吗？", "role": "doctor"}, {"turn": 9, "text": "我家宝目前2月23天，这二十多天来一共排便五次，一次是五六天不排便用的麻油，通出来是金黄色软膏，一次是十几天没排便，去医院用开塞露通的，拍出来的是金黄色软膏", "role": "patient"}, {"turn": 10, "text": "宝宝肚子软软的，不涨，便是金黄色软膏状", "role": "patient"}, {"turn": 11, "text": "这期间吃了妈咪爱还有生活空间这两个益生菌，宝宝放屁多，屁有酸臭的味道", "role": "patient"}, {"turn": 12, "text": "宝宝体重增长如何呢？", "role": "doctor"}, {"turn": 13, "text": "出生8斤，目前12斤", "role": "patient"}, {"turn": 14, "text": "请问这是攒肚子还是便秘啊？", "role": "patient"}, {"turn": 15, "text": "嗯嗯，体重增长挺正常的。", "role": "doctor"}, {"turn": 16, "text": "攒肚子", "role": "doctor"}, {"turn": 17, "text": "没有痛苦症状，而且宝宝生长发育正常，只有大便不解就属于攒肚子", "role": "doctor"}, {"turn": 18, "text": "可目前为止又五天没排便了，需要人为干预？", "role": "patient"}, {"turn": 19, "text": "哪里有宝宝攒肚子这么长时间不排便的啊？是不是有什么问题啊？", "role": "patient"}, {"turn": 20, "text": "现在看来问题不大的，可以帮宝宝做做小儿推拿的。比方揉揉肚脐旁开两寸的天枢穴。这个就可以很好的帮助宝宝排便的。", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢", "role": "patient"}, {"turn": 22, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 685, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：肠梗阻煲粥（男，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前有什么症状？", "role": "doctor"}, {"turn": 2, "text": "您好，我爱人肠根阻", "role": "patient"}, {"turn": 3, "text": "一年两次了", "role": "patient"}, {"turn": 4, "text": "多大年纪了", "role": "doctor"}, {"turn": 5, "text": "做过手术没有", "role": "doctor"}, {"turn": 6, "text": "保守治疗刚出院", "role": "patient"}, {"turn": 7, "text": "60", "role": "patient"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "您说是其它手术", "role": "patient"}, {"turn": 10, "text": "你想咨询什么问题", "role": "doctor"}, {"turn": 11, "text": "我就说是肠梗阻手术了没", "role": "doctor"}, {"turn": 12, "text": "还是肠梗阻手术", "role": "patient"}, {"turn": 13, "text": "没有做", "role": "patient"}, {"turn": 14, "text": "他做过胃转流手术", "role": "patient"}, {"turn": 15, "text": "因为糖尿病做的", "role": "patient"}, {"turn": 16, "text": "多久做的，有手术记录不", "role": "doctor"}, {"turn": 17, "text": "你想咨询什么问题", "role": "doctor"}, {"turn": 18, "text": "饮食", "role": "patient"}, {"turn": 19, "text": "怎么吃可以，注意什么⊙∀⊙？可不可以吃虾仁粥，", "role": "patient"}, {"turn": 20, "text": "可以吃，刚开始要清淡一点，最好不要喝牛奶，建议多下床促进胃肠功能恢复", "role": "doctor"}, {"turn": 21, "text": "鸡蛋能吃吗，豆浆", "role": "patient"}, {"turn": 22, "text": "那就是奶粉不能喝", "role": "patient"}, {"turn": 23, "text": "鸡蛋尽量吃碎的", "role": "doctor"}, {"turn": 24, "text": "豆浆建议先不要喝", "role": "doctor"}, {"turn": 25, "text": "奥奥", "role": "patient"}, {"turn": 26, "text": "是的", "role": "doctor"}, {"turn": 27, "text": "看网上一会这个那个都不能吃，愁死了", "role": "patient"}, {"turn": 28, "text": "喝点有营养的粥", "role": "doctor"}, {"turn": 29, "text": "即时燕麦可以喝吗", "role": "patient"}, {"turn": 30, "text": "就是说变成软乎的都能吃", "role": "patient"}, {"turn": 31, "text": "不好消化的不要吃，那些东西等好了再吃，粥里面放肉末最好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 686, "thread": [{"turn": 0, "text": "手足口病症状治疗方法（男，5岁）", "role": "patient"}, {"turn": 1, "text": "您好！手足口病属于病毒感染所致，需抗病毒治疗", "role": "doctor"}, {"turn": 2, "text": "吃什么药啊", "role": "patient"}, {"turn": 3, "text": "可以口服利巴韦林，蒲地蓝口服液，口腔局部开喉剑喷剂喷洒", "role": "doctor"}, {"turn": 4, "text": "如果持续高热，精神不好，需住院观察治疗，警惕手足口脑炎。", "role": "doctor"}, {"turn": 5, "text": "不发烧，嗓子也不痛，就是手脚有红点", "role": "patient"}, {"turn": 6, "text": "按上述药物治疗，注意观察。", "role": "doctor"}, {"turn": 7, "text": "3种药都用吗", "role": "patient"}, {"turn": 8, "text": "是的", "role": "doctor"}, {"turn": 9, "text": "好的谢谢", "role": "patient"}, {"turn": 10, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 687, "thread": [{"turn": 0, "text": "12岁小孩感冒没发过烧咋回事（男，12岁）", "role": "patient"}, {"turn": 1, "text": "感冒不发烧也很正常啊，这个没问题啊", "role": "doctor"}, {"turn": 2, "text": "问题他不说不发烧他这几年好几年都没发过烧头晕干月眼疼她睡一觉好了", "role": "patient"}, {"turn": 3, "text": "几年没发热也不是啥坏事啊，我们体质好的孩子很常见，现在孩子就是您说的头晕等症状吗", "role": "doctor"}, {"turn": 4, "text": "不好意思，我还不明确您的意图，您现在主要想了解什么问题呢？不发热？还是头晕干哕，眼疼？", "role": "doctor"}, {"turn": 5, "text": "它老是眼疼然后就是头疼然后就该干月然后睡一觉第二天都没事了", "role": "patient"}, {"turn": 6, "text": "这个考虑孩子可能眼压有点高，或者颈椎不好导致的，不知道平时熬不熬夜或者看书看电子产品时间长不长，", "role": "doctor"}, {"turn": 7, "text": "近视吗", "role": "doctor"}, {"turn": 8, "text": "一个眼0.2，另一个眼2.0", "role": "patient"}, {"turn": 9, "text": "一个眼睛视力正常，一个眼睛0.2。也有可能会引起视疲劳而出现头痛。建议到正规医院的眼科去散瞳孔验光，看看到底是远视还是近视，根据情况来决定是否需要配戴眼镜。", "role": "doctor"}, {"turn": 10, "text": "2.0那个视力很好", "role": "doctor"}, {"turn": 11, "text": "头晕后有时会出现呕吐，呕吐完睡一觉又没事了，", "role": "patient"}, {"turn": 12, "text": "有几年没发过烧，", "role": "patient"}, {"turn": 13, "text": "我个人觉得很有可能是视疲劳引起的，建议您去眼科查一下吧，平时注意缓解眼疲劳，多看看远处，看书时间不要太长，少看电子产品，平时滴点缓解疲劳的眼药水，", "role": "doctor"}, {"turn": 14, "text": "不发热不发热，如果您不放心，可以去查一个血常规看看，血象没事不发热也正擦", "role": "doctor"}, {"turn": 15, "text": "正常", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 688, "thread": [{"turn": 0, "text": "13的孩子检查脊柱炎怎么回事（女，14岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "腰疼，屁股两边髋骨疼", "role": "patient"}, {"turn": 3, "text": "有没有什么检查", "role": "doctor"}, {"turn": 4, "text": "检查过说是脊椎炎", "role": "patient"}, {"turn": 5, "text": "给拿的药和膏药，没有显著的结果", "role": "patient"}, {"turn": 6, "text": "做完阑尾炎好过几天之后又疼", "role": "patient"}, {"turn": 7, "text": "把你的检查结果，吃的药都发给我帮你分析分析", "role": "doctor"}, {"turn": 8, "text": "没在身边。不好意思", "role": "patient"}, {"turn": 9, "text": "暂时可以服用依托考昔片来消炎止痛", "role": "doctor"}, {"turn": 10, "text": "十四岁的孩子没有副作用吗", "role": "patient"}, {"turn": 11, "text": "任何药物都有副作用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 689, "thread": [{"turn": 0, "text": "膀胱过度活动症是怎么回事（女，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "逼尿肌过度活动", "role": "doctor"}, {"turn": 3, "text": "膀胱过度活动症", "role": "patient"}, {"turn": 4, "text": "什么症状？", "role": "doctor"}, {"turn": 5, "text": "就是老感觉有尿意", "role": "patient"}, {"turn": 6, "text": "嗯，排除尿道感染了吗？", "role": "doctor"}, {"turn": 7, "text": "特别是走路会带着尿道口不舒服", "role": "patient"}, {"turn": 8, "text": "也没有炎症呀", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "尿常规整正常", "role": "doctor"}, {"turn": 11, "text": "是的", "role": "patient"}, {"turn": 12, "text": "妇科有没有问题", "role": "doctor"}, {"turn": 13, "text": "确诊了？", "role": "doctor"}, {"turn": 14, "text": "也没有", "role": "patient"}, {"turn": 15, "text": "我有盆腔炎", "role": "patient"}, {"turn": 16, "text": "嗯，盆腔炎治治", "role": "doctor"}, {"turn": 17, "text": "做个尿力动力学", "role": "doctor"}, {"turn": 18, "text": "确诊下", "role": "doctor"}, {"turn": 19, "text": "但我觉的是膀胱的问题", "role": "patient"}, {"turn": 20, "text": "我不能走路时间久，久了就不舒服", "role": "patient"}, {"turn": 21, "text": "还有右侧腰背酸痛", "role": "patient"}, {"turn": 22, "text": "嗯，做个检查", "role": "doctor"}, {"turn": 23, "text": "做肾泌尿系彩超了吗？", "role": "doctor"}, {"turn": 24, "text": "站久了也会尿道口不舒服", "role": "patient"}, {"turn": 25, "text": "做了", "role": "patient"}, {"turn": 26, "text": "也没发现异常", "role": "patient"}, {"turn": 27, "text": "这样，你去大医院做个尿力动力学检查，", "role": "doctor"}, {"turn": 28, "text": "好吧？", "role": "doctor"}, {"turn": 29, "text": "嗯", "role": "patient"}, {"turn": 30, "text": "尿动力学检查，和膀胱镜检查", "role": "doctor"}, {"turn": 31, "text": "好的", "role": "patient"}, {"turn": 32, "text": "👌", "role": "doctor"}, {"turn": 33, "text": "多做收缩肛门动作", "role": "doctor"}, {"turn": 34, "text": "确诊了在治疗", "role": "doctor"}, {"turn": 35, "text": "对了，我早上起来大便用力就会尿道不舒服", "role": "patient"}, {"turn": 36, "text": "排便顺畅就会好点", "role": "patient"}, {"turn": 37, "text": "嗯，建议做个膀胱镜看看膀胱里面", "role": "doctor"}, {"turn": 38, "text": "好", "role": "patient"}, {"turn": 39, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 690, "thread": [{"turn": 0, "text": "过敏性结膜炎****（男，10岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？有什么诱因吗？", "role": "doctor"}, {"turn": 2, "text": "有5年多了", "role": "patient"}, {"turn": 3, "text": "小孩？", "role": "doctor"}, {"turn": 4, "text": "之前不知道是什么原因，前几天去查了过敏源，lge大于200，屋尘螨粉尘螨极高", "role": "patient"}, {"turn": 5, "text": "是的，10岁了", "role": "patient"}, {"turn": 6, "text": "那这种情况可以做脱敏", "role": "doctor"}, {"turn": 7, "text": "眼睛方面可以点药水缓解症状", "role": "doctor"}, {"turn": 8, "text": "一般没法根治", "role": "doctor"}, {"turn": 9, "text": "脱敏能百分之百有改善吗", "role": "patient"}, {"turn": 10, "text": "滴了几年的盐酸奥洛他定了", "role": "patient"}, {"turn": 11, "text": "他的过敏性不分季节的，天天都痒，一痒就揉，每天眼睛就像小兔子一样，但视力没差", "role": "patient"}, {"turn": 12, "text": "不能", "role": "doctor"}, {"turn": 13, "text": "有的脱敏可能就没用", "role": "doctor"}, {"turn": 14, "text": "过敏就是这样，跟体质有关", "role": "doctor"}, {"turn": 15, "text": "很难处理，几乎没办法", "role": "doctor"}, {"turn": 16, "text": "有遗传基因的吗", "role": "patient"}, {"turn": 17, "text": "那要增强体质就有所改善？", "role": "patient"}, {"turn": 18, "text": "没用", "role": "doctor"}, {"turn": 19, "text": "遗传的，天生的", "role": "doctor"}, {"turn": 20, "text": "没法改", "role": "doctor"}, {"turn": 21, "text": "可以试试脱敏", "role": "doctor"}, {"turn": 22, "text": "怎样脱敏？", "role": "patient"}, {"turn": 23, "text": "过敏性体质，增强抵抗力也不能改善？", "role": "patient"}, {"turn": 24, "text": "不能", "role": "doctor"}, {"turn": 25, "text": "去皮肤科就可以了", "role": "doctor"}, {"turn": 26, "text": "眼科不做这个操作", "role": "doctor"}, {"turn": 27, "text": "哦", "role": "patient"}, {"turn": 28, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 691, "thread": [{"turn": 0, "text": "脊椎压缩性骨折能自愈吗（男，68岁）", "role": "patient"}, {"turn": 1, "text": "你好，压缩骨折老年人常见，治疗方法分两种，手术和保守治疗，最后效果是一样的，各有优缺点", "role": "doctor"}, {"turn": 2, "text": "但是通常我们建议微创pvp或者pkp手术治疗，就是通常所说的骨水泥手术。因为保守治疗，需要绝对长期卧床，对老年人来说，卧床并发症有时候比手术风险更大，而且老年人骨质疏松，成骨能力差，自愈比较困难，甚至几个月后无法自愈还得需要手术治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 692, "thread": [{"turn": 0, "text": "细菌性阴道炎吃什么药（女，19岁）", "role": "patient"}, {"turn": 1, "text": "口服甲硝唑片，阴道可以放奥硝唑栓", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "有性生活的吧", "role": "doctor"}, {"turn": 5, "text": "我买得不是那个奥什么唑", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "patient"}, {"turn": 7, "text": "那是什么", "role": "doctor"}, {"turn": 8, "text": "发过来看看", "role": "doctor"}, {"turn": 9, "text": "阴道胶囊", "role": "patient"}, {"turn": 10, "text": "什么阴道胶囊", "role": "doctor"}, {"turn": 11, "text": "", "role": "patient"}, {"turn": 12, "text": "", "role": "patient"}, {"turn": 13, "text": "硝夫太尔阴道胶囊", "role": "patient"}, {"turn": 14, "text": "可以", "role": "doctor"}, {"turn": 15, "text": "可以吗", "role": "patient"}, {"turn": 16, "text": "好的谢谢你", "role": "patient"}, {"turn": 17, "text": "甲硝唑片", "role": "patient"}, {"turn": 18, "text": "是的", "role": "doctor"}, {"turn": 19, "text": "几天以后会好", "role": "patient"}, {"turn": 20, "text": "先用一周看看", "role": "doctor"}, {"turn": 21, "text": "那尿尿的时候会痛", "role": "patient"}, {"turn": 22, "text": "好", "role": "patient"}, {"turn": 23, "text": "可能合并有泌尿系感染", "role": "doctor"}, {"turn": 24, "text": "多喝水", "role": "doctor"}, {"turn": 25, "text": "还可以加三金片", "role": "doctor"}, {"turn": 26, "text": "大量喝水", "role": "doctor"}, {"turn": 27, "text": "好", "role": "patient"}, {"turn": 28, "text": "👌", "role": "doctor"}, {"turn": 29, "text": "嗯", "role": "patient"}, {"turn": 30, "text": "谢谢", "role": "patient"}, {"turn": 31, "text": "不客气", "role": "doctor"}, {"turn": 32, "text": "我是第一次", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "先治疗看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 693, "thread": [{"turn": 0, "text": "贫血气血不足毛囊萎缩脱发发梢变细（女，39岁）", "role": "patient"}, {"turn": 1, "text": "可以把血常规结果发过来看看么？", "role": "doctor"}, {"turn": 2, "text": "丢失了", "role": "patient"}, {"turn": 3, "text": "之前检查过，贫血比较严重，", "role": "patient"}, {"turn": 4, "text": "记得当时贫血厉害吗？", "role": "doctor"}, {"turn": 5, "text": "多少血色素？", "role": "doctor"}, {"turn": 6, "text": "医生说达到中度偏重了", "role": "patient"}, {"turn": 7, "text": "眼白发蓝，说是贫血症状", "role": "patient"}, {"turn": 8, "text": "医生还有查其他的吗", "role": "doctor"}, {"turn": 9, "text": "有说什么原因导致的贫血？", "role": "doctor"}, {"turn": 10, "text": "头昏脑胀，精神不集中，记忆力下降，思维没有以前灵活", "role": "patient"}, {"turn": 11, "text": "除了血常规还有其他检查的单子？", "role": "doctor"}, {"turn": 12, "text": "没说，平时容易乏累，腿酸，膝盖僵硬", "role": "patient"}, {"turn": 13, "text": "查的挺多，就说是缺铁性贫血", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "有吃什么药吗", "role": "doctor"}, {"turn": 16, "text": "着几年脱发很严重，而且白了很多，多发每天大把大把的掉，很明显感觉少了很多，发根枯萎，发梢变细", "role": "patient"}, {"turn": 17, "text": "👌", "role": "doctor"}, {"turn": 18, "text": "补铁的，但是也没什么效果，每天煮黑芝麻粥也没用", "role": "patient"}, {"turn": 19, "text": "琥珀酸亚铁是这个吗？", "role": "doctor"}, {"turn": 20, "text": "是的", "role": "patient"}, {"turn": 21, "text": "还有生血宁", "role": "patient"}, {"turn": 22, "text": "而且肠胃都吃的不好了", "role": "patient"}, {"turn": 23, "text": "嗯嗯，建议继续吃，会有这个副作用", "role": "doctor"}, {"turn": 24, "text": "可以吃点胃药", "role": "doctor"}, {"turn": 25, "text": "如何快速解决贫血问题呢，这样下去感觉撑不了了", "role": "patient"}, {"turn": 26, "text": "头发块掉光了", "role": "patient"}, {"turn": 27, "text": "而且白发，每天头昏脑胀很难受", "role": "patient"}, {"turn": 28, "text": "最近什么时候复查的", "role": "doctor"}, {"turn": 29, "text": "一个月", "role": "patient"}, {"turn": 30, "text": "有上升吗", "role": "doctor"}, {"turn": 31, "text": "平时月经多吗", "role": "doctor"}, {"turn": 32, "text": "这个忘了说了", "role": "patient"}, {"turn": 33, "text": "多？", "role": "doctor"}, {"turn": 34, "text": "这两个月特别少", "role": "patient"}, {"turn": 35, "text": "👌", "role": "doctor"}, {"turn": 36, "text": "第一饮食增加猪肝等", "role": "doctor"}, {"turn": 37, "text": "之前比年轻时候少很多了，这两个月少的厉害，我都担心四十岁不到会不会就停经了", "role": "patient"}, {"turn": 38, "text": "第二西药继续吃，胃不舒服加胃药，这个很重要", "role": "doctor"}, {"turn": 39, "text": "感觉自己像六十几岁的人了", "role": "patient"}, {"turn": 40, "text": "所以要积极治疗", "role": "doctor"}, {"turn": 41, "text": "有快速的办法吗", "role": "patient"}, {"turn": 42, "text": "输血", "role": "doctor"}, {"turn": 43, "text": "但是要达到指标才可以", "role": "doctor"}, {"turn": 44, "text": "可以快速治疗贫血吗", "role": "patient"}, {"turn": 45, "text": "什么指标呢", "role": "patient"}, {"turn": 46, "text": "输血可以缓解", "role": "doctor"}, {"turn": 47, "text": "血色素6以下", "role": "doctor"}, {"turn": 48, "text": "嗯嗯", "role": "patient"}, {"turn": 49, "text": "谢谢", "role": "patient"}, {"turn": 50, "text": "不客气", "role": "doctor"}, {"turn": 51, "text": "希望给个好评", "role": "doctor"}, {"turn": 52, "text": "谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 694, "thread": [{"turn": 0, "text": "韧带损伤有必要做康复吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "右腿韧带部分撕裂，已经有十个月，近三个月带了护具，右腿肌肉僵硬，走路姿势不正确，有点外八等，有必要做康复吗", "role": "patient"}, {"turn": 3, "text": "现在关节疼痛怎样？", "role": "doctor"}, {"turn": 4, "text": "一点点疼，右腿无力", "role": "patient"}, {"turn": 5, "text": "需要做康复理疗", "role": "doctor"}, {"turn": 6, "text": "没劲，没办法支持身体，走路不稳", "role": "patient"}, {"turn": 7, "text": "右腿萎缩了很多", "role": "patient"}, {"turn": 8, "text": "这更要加强功能锻炼", "role": "doctor"}, {"turn": 9, "text": "除了韧带损伤，还有不有关节炎，滑膜炎情况？", "role": "doctor"}, {"turn": 10, "text": "关节炎没有", "role": "patient"}, {"turn": 11, "text": "功能锻炼是自己锻炼吗", "role": "patient"}, {"turn": 12, "text": "还是去医院？", "role": "patient"}, {"turn": 13, "text": "关节有肿胀明显情况不？", "role": "doctor"}, {"turn": 14, "text": "现在可以在家锻炼", "role": "doctor"}, {"turn": 15, "text": "右下肢抬高，膝踝关节屈伸锻炼", "role": "doctor"}, {"turn": 16, "text": "我自己看着肿，磁共振说是有积液，医生说不肿，说韧带已经长疤了", "role": "patient"}, {"turn": 17, "text": "锻炼过程中可能会发生肿痛，可以热敷，患肢抬高。疼痛剧烈可以服用止痛药或神威滑膜炎颗粒。循序渐进的锻炼，直至恢复正常活动功能。", "role": "doctor"}, {"turn": 18, "text": "每个地方的康复会差别很大吗", "role": "patient"}, {"turn": 19, "text": "我是南昌", "role": "patient"}, {"turn": 20, "text": "不是很大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 695, "thread": [{"turn": 0, "text": "胃憋了八区的疼。还伴有肠炎。（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问您这种情况有多长时间", "role": "doctor"}, {"turn": 2, "text": "做过什么检查？口服过什么药物？", "role": "doctor"}, {"turn": 3, "text": "您好，这样的情况多长时间了？", "role": "doctor"}, {"turn": 4, "text": "你好有无上腹部涨满隐痛不适情况吗有无腹痛腹泻情况吗，有无唉气，反酸情况吗", "role": "doctor"}, {"turn": 5, "text": "大便一天几次呀有无粘液血便情况吗", "role": "doctor"}, {"turn": 6, "text": "有无上腹部涨满周期性疼痛情况吗", "role": "doctor"}, {"turn": 7, "text": "有无黑便粘液血便情况吗", "role": "doctor"}, {"turn": 8, "text": "有无有无空腹上腹部隐痛涨满加重情况吗", "role": "doctor"}, {"turn": 9, "text": "你好结合提供病史考虑有无慢性胃炎或消化性溃疡，结肠炎可能性较大，建议去公立医院外科做详细面诊检查，便常规检查，胃肠镜检查，胃液分析检查明确病因好对症处理。", "role": "doctor"}, {"turn": 10, "text": "也可以禁食辛辣刺激食物清淡饮食多食细软食物，口服气滞胃痛颗粒，肠道情况口服补脾益肠丸参苓白术散口服，结合腹部热敷或理疗观察看看效果不行就去医院胃外科做详细面诊检查明确病因好对症处理。", "role": "doctor"}, {"turn": 11, "text": "希望我的建议对你的治疗有一定帮助作用", "role": "doctor"}, {"turn": 12, "text": "祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 696, "thread": [{"turn": 0, "text": "盆腔炎中药调理好还是西药（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好 很高兴为你解答问题", "role": "doctor"}, {"turn": 2, "text": "请问有什么症状？", "role": "doctor"}, {"turn": 3, "text": "三个月前有盆腔炎，好了现在又腰痛小腹暗痛", "role": "patient"}, {"turn": 4, "text": "慢性盆腔炎建议抗生素联合中医理疗 效果更好 一般疗程在10-14天", "role": "doctor"}, {"turn": 5, "text": "什么意思，就是用西药吗", "role": "patient"}, {"turn": 6, "text": "不好意思 刚刚给你回信息", "role": "doctor"}, {"turn": 7, "text": "是的 盆腔炎一般用西药抗生素 联合中药口服 灌肠 微波 灸法等治疗 效果更好", "role": "doctor"}, {"turn": 8, "text": "单纯的中药治疗或者西药治疗 效果可能都不是很好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 697, "thread": [{"turn": 0, "text": "妊娠糖尿病短效和长效能一起用吗?（女，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问血糖控制的怎么样？", "role": "doctor"}, {"turn": 2, "text": "打得短效胰岛素", "role": "patient"}, {"turn": 3, "text": "什么胰岛素，打多少单位", "role": "doctor"}, {"turn": 4, "text": "血糖控制的怎么样", "role": "doctor"}, {"turn": 5, "text": "早晨空腹7点多，餐后两小时七点多，午餐前六点多五点多，餐后两小时七点多，不吃米饭就这样，吃了米饭就是九点多", "role": "patient"}, {"turn": 6, "text": "门冬胰岛素，打的8个单位，早晨中午，下午六个", "role": "patient"}, {"turn": 7, "text": "医生建议你打长效胰岛素吗", "role": "doctor"}, {"turn": 8, "text": "我是妊娠糖尿病", "role": "patient"}, {"turn": 9, "text": "对，现在说是短效和长效一起打", "role": "patient"}, {"turn": 10, "text": "孕妇的正常空腹在3.9-5.3，餐后两小时低于7.1毫摩尔/升，随机血糖不超过11毫摩尔/升，", "role": "doctor"}, {"turn": 11, "text": "可以一起打，打长效胰岛素让空腹血糖可以降下来", "role": "doctor"}, {"turn": 12, "text": "三餐打短效胰岛素", "role": "doctor"}, {"turn": 13, "text": "血糖要控制好", "role": "doctor"}, {"turn": 14, "text": "这个空腹血糖降下来就不打了吗？", "role": "patient"}, {"turn": 15, "text": "我以前的空腹血糖一直都是八点多九点，餐后两小时，12点，或者11", "role": "patient"}, {"turn": 16, "text": "我们大夫让我晚上打长效，11点打长效", "role": "patient"}, {"turn": 17, "text": "长效胰岛素降空腹血糖的，短效胰岛素降餐后血糖的", "role": "doctor"}, {"turn": 18, "text": "如果控制的好，可以不停胰岛素，如果胰岛素减量血糖也控制的达标，可以减量甚至不用胰岛素，但是一切停或者减量胰岛素都要在医生指导下进行", "role": "doctor"}, {"turn": 19, "text": "就是说我出院以后如果胰岛素不打血糖不高控制好，就可以停了胰岛素，不一定要打到生是吗？", "role": "patient"}, {"turn": 20, "text": "是的", "role": "doctor"}, {"turn": 21, "text": "看血糖控制情况", "role": "doctor"}, {"turn": 22, "text": "妊娠糖尿病第几周最危险", "role": "patient"}, {"turn": 23, "text": "整个怀孕期间一直都有风险", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 698, "thread": [{"turn": 0, "text": "鼻中隔偏曲鼻窦炎老感冒鼻塞怎么办感冒（男，19岁）", "role": "patient"}, {"turn": 1, "text": "感冒几天了？是否🈶相关药物在吃", "role": "doctor"}, {"turn": 2, "text": "五天，吃罗红和鼻通窍片", "role": "patient"}, {"turn": 3, "text": "感冒几天了？是否还有别的症状", "role": "doctor"}, {"turn": 4, "text": "鼻塞", "role": "patient"}, {"turn": 5, "text": "一开始嗓子疼现在不疼了就鼻塞", "role": "patient"}, {"turn": 6, "text": "我的建议是，我现在可以开点药你吃，等鼻炎好转后，可以去医院耳鼻喉看看，做相关检查，是否需要手术", "role": "doctor"}, {"turn": 7, "text": "辅舒良喷鼻剂，诺通喷鼻剂，切诺口服，➕上诉你吃的药物", "role": "doctor"}, {"turn": 8, "text": "大夫做手术伟危险吗", "role": "patient"}, {"turn": 9, "text": "去医院看看，可以做电子鼻咽镜，鼻窦鼻咽ct", "role": "doctor"}, {"turn": 10, "text": "一般不会有啥危险", "role": "doctor"}, {"turn": 11, "text": "大夫就买的喷的", "role": "patient"}, {"turn": 12, "text": "？", "role": "doctor"}, {"turn": 13, "text": "怕做的鼻老有毛病不会？", "role": "patient"}, {"turn": 14, "text": "不会的", "role": "doctor"}, {"turn": 15, "text": "大夫喝鼻炎通窍用再喝罗红吗", "role": "patient"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "再配上大夫说的喷的鼻药？", "role": "patient"}, {"turn": 18, "text": "是的啊", "role": "doctor"}, {"turn": 19, "text": "好的谢谢大夫", "role": "patient"}, {"turn": 20, "text": "切诺口服大夫是喝的吗", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "大夫你所说的那三种都配上？", "role": "patient"}, {"turn": 23, "text": "对", "role": "doctor"}, {"turn": 24, "text": "好的谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 699, "thread": [{"turn": 0, "text": "飞蚊症要怎办 就是眼前总有黑的飘", "role": "patient"}, {"turn": 1, "text": "飞蚊症不用担心，也叫生理性的，", "role": "doctor"}, {"turn": 2, "text": "可以用碘制剂", "role": "doctor"}, {"turn": 3, "text": "什么意思", "role": "patient"}, {"turn": 4, "text": "沃力仃", "role": "doctor"}, {"turn": 5, "text": "口服药", "role": "doctor"}, {"turn": 6, "text": "是生理性的吗", "role": "patient"}, {"turn": 7, "text": "复明片都可以", "role": "doctor"}, {"turn": 8, "text": "对", "role": "doctor"}, {"turn": 9, "text": "尤其是高度近视的更容易出现", "role": "doctor"}, {"turn": 10, "text": "叶黄素呢", "role": "patient"}, {"turn": 11, "text": "可以，加上点VC", "role": "doctor"}, {"turn": 12, "text": "VE", "role": "doctor"}, {"turn": 13, "text": "在吃那个果维康", "role": "patient"}, {"turn": 14, "text": "重要的是别注意它，过一段时间就不明显了", "role": "doctor"}, {"turn": 15, "text": "要多长时间", "role": "patient"}, {"turn": 16, "text": "一般一两周吧", "role": "doctor"}, {"turn": 17, "text": "我这个很长时间了", "role": "patient"}, {"turn": 18, "text": "吃过药吗", "role": "doctor"}, {"turn": 19, "text": "没有", "role": "patient"}, {"turn": 20, "text": "果维康不行", "role": "doctor"}, {"turn": 21, "text": "那是什么", "role": "patient"}, {"turn": 22, "text": "我上面说到了", "role": "doctor"}, {"turn": 23, "text": "维生素？", "role": "patient"}, {"turn": 24, "text": "果维康属于保健品", "role": "doctor"}, {"turn": 25, "text": "沃力仃，复明片", "role": "doctor"}, {"turn": 26, "text": "药", "role": "doctor"}, {"turn": 27, "text": "两个吗", "role": "patient"}, {"turn": 28, "text": "一种就可以", "role": "doctor"}, {"turn": 29, "text": "要吃一个礼拜吗", "role": "patient"}, {"turn": 30, "text": "重要是别担心，别注意它，", "role": "doctor"}, {"turn": 31, "text": "半月吧", "role": "doctor"}, {"turn": 32, "text": "会不会瞎啊", "role": "patient"}, {"turn": 33, "text": "不会的", "role": "doctor"}, {"turn": 34, "text": "就一只眼", "role": "patient"}, {"turn": 35, "text": "没事的，", "role": "doctor"}, {"turn": 36, "text": "我也是一只眼有", "role": "doctor"}, {"turn": 37, "text": "老长时间了", "role": "doctor"}, {"turn": 38, "text": "没管过", "role": "doctor"}, {"turn": 39, "text": "你不吃药吗", "role": "patient"}, {"turn": 40, "text": "没吃，因为我知道没事啊，", "role": "doctor"}, {"turn": 41, "text": "/::|多长时间了", "role": "patient"}, {"turn": 42, "text": "我都不知道多长时间了", "role": "doctor"}, {"turn": 43, "text": "这病没事的，不用担心", "role": "doctor"}, {"turn": 44, "text": "哦哦", "role": "patient"}, {"turn": 45, "text": "放心吧", "role": "doctor"}, {"turn": 46, "text": "叶黄素有什用", "role": "patient"}, {"turn": 47, "text": "也是保健品", "role": "doctor"}, {"turn": 48, "text": "营养的", "role": "doctor"}, {"turn": 49, "text": "效果呢", "role": "patient"}, {"turn": 50, "text": "还行吧", "role": "doctor"}, {"turn": 51, "text": "哦", "role": "patient"}, {"turn": 52, "text": "补充点没害处", "role": "doctor"}, {"turn": 53, "text": "治疗眼睛的吗", "role": "patient"}, {"turn": 54, "text": "对呀", "role": "doctor"}, {"turn": 55, "text": "试试吧", "role": "patient"}, {"turn": 56, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 700, "thread": [{"turn": 0, "text": "头晕眼花耳鸣四肢无力（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久了？", "role": "doctor"}, {"turn": 2, "text": "一年多，脚无力，没精神，头晕眼花", "role": "patient"}, {"turn": 3, "text": "胃口不好，视力下降", "role": "patient"}, {"turn": 4, "text": "高医生？", "role": "patient"}, {"turn": 5, "text": "平时有什么疾病吗？", "role": "doctor"}, {"turn": 6, "text": "做过什么检查？", "role": "doctor"}, {"turn": 7, "text": "睡眠好吗？", "role": "doctor"}, {"turn": 8, "text": "甲亢，指标正常了，", "role": "patient"}, {"turn": 9, "text": "晚上睡眠好吗好的", "role": "doctor"}, {"turn": 10, "text": "好吗？", "role": "doctor"}, {"turn": 11, "text": "不好", "role": "patient"}, {"turn": 12, "text": "做过检查吗？", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "还有基底供血不足", "role": "patient"}, {"turn": 15, "text": "有检查报告吗？拍照发上来看看", "role": "doctor"}, {"turn": 16, "text": "发不上来呀", "role": "patient"}, {"turn": 17, "text": "点右下角＋", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 701, "thread": [{"turn": 0, "text": "绝经后出血的几种可能（女，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在绝经后多长时间了", "role": "doctor"}, {"turn": 2, "text": "将近两年", "role": "patient"}, {"turn": 3, "text": "出血可能是子宫内膜病变有关系，", "role": "doctor"}, {"turn": 4, "text": "与炎症有关系", "role": "doctor"}, {"turn": 5, "text": "建议先检查彩超看看子宫内膜情况", "role": "doctor"}, {"turn": 6, "text": "宫颈癌筛查做了没事，阴道镜也做了", "role": "patient"}, {"turn": 7, "text": "不是宫颈问题，需要看看子宫内膜啊", "role": "doctor"}, {"turn": 8, "text": "做了大夫说没事啊", "role": "patient"}, {"turn": 9, "text": "和带绝育环有关系吗", "role": "patient"}, {"turn": 10, "text": "没事就吃药止血", "role": "doctor"}, {"turn": 11, "text": "与带环有关系，", "role": "doctor"}, {"turn": 12, "text": "就一点点，不多", "role": "patient"}, {"turn": 13, "text": "绝经了建议取环", "role": "doctor"}, {"turn": 14, "text": "那不行把环拿下去呢", "role": "patient"}, {"turn": 15, "text": "需要取环", "role": "doctor"}, {"turn": 16, "text": "嗯，那出血可能也和这个绝育环有关系哈", "role": "patient"}, {"turn": 17, "text": "还是取下去比不取好呗", "role": "patient"}, {"turn": 18, "text": "有关系", "role": "doctor"}, {"turn": 19, "text": "需要取环啊", "role": "doctor"}, {"turn": 20, "text": "好的，太疼了主要", "role": "patient"}, {"turn": 21, "text": "有无痛的，你可以申请无痛的", "role": "doctor"}, {"turn": 22, "text": "好的谢谢", "role": "patient"}, {"turn": 23, "text": "不客气了，祝你健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 702, "thread": [{"turn": 0, "text": "混合痔外剥内扎术的皮筋不掉怎么办？（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，手术后多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "十四", "role": "patient"}, {"turn": 3, "text": "可以在观察看看，一般是七到十天左右，问题不大的", "role": "doctor"}, {"turn": 4, "text": "明天我去复查，之前医生说一直不掉就剪掉，会不会很疼啊？", "role": "patient"}, {"turn": 5, "text": "不会的，😊😊这个不影响的", "role": "doctor"}, {"turn": 6, "text": "哦，谢谢医生", "role": "patient"}, {"turn": 7, "text": "不客气的。😊😊", "role": "doctor"}, {"turn": 8, "text": "这个跑步影响吗", "role": "patient"}, {"turn": 9, "text": "不要剧烈运动，这样容易引起出血的", "role": "doctor"}, {"turn": 10, "text": "或者多久可以跑步？", "role": "patient"}, {"turn": 11, "text": "一般得近一月时间的", "role": "doctor"}, {"turn": 12, "text": "好的谢谢医生。", "role": "patient"}, {"turn": 13, "text": "麻烦了", "role": "patient"}, {"turn": 14, "text": "不客气的。祝你早日康复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 703, "thread": [{"turn": 0, "text": "就是咀嚼食物的时候下巴响（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况出现多久了？", "role": "doctor"}, {"turn": 2, "text": "应该不是下巴响吧，是不是张闭口耳朵前面那个位置？", "role": "doctor"}, {"turn": 3, "text": "是的", "role": "patient"}, {"turn": 4, "text": "很多年了，以前没在意", "role": "patient"}, {"turn": 5, "text": "嗯，除了响有疼痛吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "颞下颌关节紊乱综合症的表现", "role": "doctor"}, {"turn": 9, "text": "有几个建议哈", "role": "doctor"}, {"turn": 10, "text": "1用热毛巾热敷", "role": "doctor"}, {"turn": 11, "text": "2避免大张口", "role": "doctor"}, {"turn": 12, "text": "3避免咀嚼硬物", "role": "doctor"}, {"turn": 13, "text": "这是可以改善还是可以根治", "role": "patient"}, {"turn": 14, "text": "可以改善，会慢慢恢复", "role": "doctor"}, {"turn": 15, "text": "好的，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 704, "thread": [{"turn": 0, "text": "脾脏挫伤自动恢复是要多久（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，一般四周就可以了", "role": "doctor"}, {"turn": 2, "text": "从受伤到不危险？", "role": "patient"}, {"turn": 3, "text": "四周", "role": "doctor"}, {"turn": 4, "text": "同时注意密切观察", "role": "doctor"}, {"turn": 5, "text": "其他的时候就是还是危险期？", "role": "patient"}, {"turn": 6, "text": "是的", "role": "doctor"}, {"turn": 7, "text": "就是放屁上厕所就正常是不是也没什么事？", "role": "patient"}, {"turn": 8, "text": "排气上厕所正常就可以，但是尽量不要用力", "role": "doctor"}, {"turn": 9, "text": "正常上厕所就可以", "role": "doctor"}, {"turn": 10, "text": "不能用力？", "role": "patient"}, {"turn": 11, "text": "比如说排气跟大小便都不能用力", "role": "doctor"}, {"turn": 12, "text": "用力会让她破裂吗", "role": "patient"}, {"turn": 13, "text": "您说的很对", "role": "doctor"}, {"turn": 14, "text": "真破裂大失血", "role": "doctor"}, {"turn": 15, "text": "就得手术了？", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}, {"turn": 17, "text": "那四个星期以后 是不是就就不用担心他出血了？", "role": "patient"}, {"turn": 18, "text": "所以尽量严格卧床休息", "role": "doctor"}, {"turn": 19, "text": "我知道", "role": "patient"}, {"turn": 20, "text": "四周后一般就没问题了", "role": "doctor"}, {"turn": 21, "text": "但是也得复查", "role": "doctor"}, {"turn": 22, "text": "也还是会担心他出血？", "role": "patient"}, {"turn": 23, "text": "严密观察，一般没事", "role": "doctor"}, {"turn": 24, "text": "您的大夫会掌握好的，不必担心", "role": "doctor"}, {"turn": 25, "text": "那饮食方面有什么禁忌的吗", "role": "patient"}, {"turn": 26, "text": "软食或者半流食为主", "role": "doctor"}, {"turn": 27, "text": "开始得禁食", "role": "doctor"}, {"turn": 28, "text": "我现在已经快两周了", "role": "patient"}, {"turn": 29, "text": "哦", "role": "doctor"}, {"turn": 30, "text": "但是我禁食了三天的样子", "role": "patient"}, {"turn": 31, "text": "那就软食吧", "role": "doctor"}, {"turn": 32, "text": "后面就没怎么禁食了", "role": "patient"}, {"turn": 33, "text": "不要太硬，辛辣都不能吃", "role": "doctor"}, {"turn": 34, "text": "包子之类的可以吗", "role": "patient"}, {"turn": 35, "text": "苹果呢", "role": "patient"}, {"turn": 36, "text": "现在不用禁食了", "role": "doctor"}, {"turn": 37, "text": "适量可以吃", "role": "doctor"}, {"turn": 38, "text": "包子可以吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 705, "thread": [{"turn": 0, "text": "龋齿到什么程度需要拔除（女，26岁）", "role": "patient"}, {"turn": 1, "text": "坏到牙龈以下，只剩残根", "role": "doctor"}, {"turn": 2, "text": "喔喔", "role": "patient"}, {"turn": 3, "text": "那药物治疗比较好还是直接拔除比较好呢", "role": "patient"}, {"turn": 4, "text": "龋齿吃药没有用，拔出没必要，拔了之后还得镶牙，你多年轻啊", "role": "doctor"}, {"turn": 5, "text": "23", "role": "patient"}, {"turn": 6, "text": "就是不知道现在能不能拔", "role": "patient"}, {"turn": 7, "text": "去医院检查看看坏到什么程度了，疼过吗", "role": "doctor"}, {"turn": 8, "text": "龋齿是很容易治的，没有必要拔掉，", "role": "doctor"}, {"turn": 9, "text": "堵牙听说过吗？就是把坏的部分清理干净，然后用材料堵上", "role": "doctor"}, {"turn": 10, "text": "一般也就一二百块钱", "role": "doctor"}, {"turn": 11, "text": "可是现在一个大坑", "role": "patient"}, {"turn": 12, "text": "听过 就是怕龋齿的程度太严重，堵了也没用", "role": "patient"}, {"turn": 13, "text": "疼过", "role": "patient"}, {"turn": 14, "text": "别等了，赶紧去医院治疗，大夫对给你检查看能不能留住，应该会做根管治疗，那样牙就能保住了", "role": "doctor"}, {"turn": 15, "text": "拔掉容易，关键不还得镶牙吗，镶牙比治牙贵多了", "role": "doctor"}, {"turn": 16, "text": "一个坑了是不是很严重啊", "role": "patient"}, {"turn": 17, "text": "得具体检查才能看出能不能保留，赶紧去医院吧", "role": "doctor"}, {"turn": 18, "text": "喔喔", "role": "patient"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "不客气，抓紧治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 706, "thread": [{"turn": 0, "text": "咳嗽的半夜睡不着觉，嗓子哑了（女，44岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "10天了", "role": "patient"}, {"turn": 3, "text": "症状就是咳嗽，咳嗽起来停不下来", "role": "patient"}, {"turn": 4, "text": "输了三天液也不见好", "role": "patient"}, {"turn": 5, "text": "嗓子疼不疼？有没有发干发痒的感觉", "role": "doctor"}, {"turn": 6, "text": "有", "role": "patient"}, {"turn": 7, "text": "咳嗽有痰吗？", "role": "doctor"}, {"turn": 8, "text": "没有痰", "role": "patient"}, {"turn": 9, "text": "咋咳嗽也没有谈", "role": "patient"}, {"turn": 10, "text": "做过什么检查？", "role": "doctor"}, {"turn": 11, "text": "就是嗓子干，总觉得渴", "role": "patient"}, {"turn": 12, "text": "没做过呢", "role": "patient"}, {"turn": 13, "text": "输液用的什么药？", "role": "doctor"}, {"turn": 14, "text": "输的是上呼吸道感染的", "role": "patient"}, {"turn": 15, "text": "消炎的啥的", "role": "patient"}, {"turn": 16, "text": "管感冒的", "role": "patient"}, {"turn": 17, "text": "最近一直在上火", "role": "patient"}, {"turn": 18, "text": "心情不好", "role": "patient"}, {"turn": 19, "text": "这是啥病啊", "role": "patient"}, {"turn": 20, "text": "上呼吸道感染", "role": "doctor"}, {"turn": 21, "text": "不是咽炎吗", "role": "patient"}, {"turn": 22, "text": "咽炎属于上呼吸道感染", "role": "doctor"}, {"turn": 23, "text": "怎么有效的治疗呢", "role": "patient"}, {"turn": 24, "text": "吃药输液也不见好", "role": "patient"}, {"turn": 25, "text": "都用过什么药？", "role": "doctor"}, {"turn": 26, "text": "消炎的感冒的", "role": "patient"}, {"turn": 27, "text": "都吃了", "role": "patient"}, {"turn": 28, "text": "输液也不好", "role": "patient"}, {"turn": 29, "text": "这回又买了咽炎片", "role": "patient"}, {"turn": 30, "text": "具体什么药知道吗", "role": "doctor"}, {"turn": 31, "text": "不知道", "role": "patient"}, {"turn": 32, "text": "有没有什么药物过敏或者不能吃的？", "role": "doctor"}, {"turn": 33, "text": "没有过敏", "role": "patient"}, {"turn": 34, "text": "还用继续输液吗", "role": "patient"}, {"turn": 35, "text": "头孢克肟，左氧氟沙星，柑桔冰梅片口服", "role": "doctor"}, {"turn": 36, "text": "咋样才能好呢", "role": "patient"}, {"turn": 37, "text": "这三个一起吃吗", "role": "patient"}, {"turn": 38, "text": "银黄含化片含服", "role": "doctor"}, {"turn": 39, "text": "一起吃", "role": "doctor"}, {"turn": 40, "text": "好的", "role": "patient"}, {"turn": 41, "text": "多喝温开水，少说话", "role": "doctor"}, {"turn": 42, "text": "还有别的要注意的吗", "role": "patient"}, {"turn": 43, "text": "注意保暖", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 707, "thread": [{"turn": 0, "text": "请问幽门螺旋杆菌如何治疗？（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "奥美拉唑➕果胶铋➕克拉霉素➕奥硝唑，口服两周，停药一个月可以复查C13。奥美拉唑：一次一粒 一日两粒；克拉霉素：一次一粒，一日两次。奥美拉唑的食用方法，是每天早晨空腹吞服，或者是早、晚饭前半小时各一次口服。该药物不可以咀嚼，应该整片口服。果胶铋服用方法：成人一次 3 粒，一日 4 次，餐前 1 小时及睡前服用。但是注意，这种细菌是会传染。主要传播途径：唾液传播。一起进食，接吻，都有可能传染。平时需要餐前洗手，最好是和家人分开碗筷进食，个人碗筷要消毒。", "role": "doctor"}, {"turn": 3, "text": "谢谢，目前我老婆没有特别的症状，就是这周体检除了发现有肾结晶以外就是这个幽门螺旋杆菌了", "role": "patient"}, {"turn": 4, "text": "好的", "role": "doctor"}, {"turn": 5, "text": "按照我所说的方案治疗吧😊", "role": "doctor"}, {"turn": 6, "text": "服药两周，停药4周，然后复查。", "role": "doctor"}, {"turn": 7, "text": "百度上还介绍了刷牙用的什么药，需要吗？", "role": "patient"}, {"turn": 8, "text": "按时服药，不要间断。期间注意饮食洁净清淡，不要饮酒。", "role": "doctor"}, {"turn": 9, "text": "不用看百度内容", "role": "doctor"}, {"turn": 10, "text": "听我的就可以", "role": "doctor"}, {"turn": 11, "text": "这个可以治疗彻底吗？", "role": "patient"}, {"turn": 12, "text": "那些都不是正规治疗幽门螺旋杆菌感染的正规用药", "role": "doctor"}, {"turn": 13, "text": "可以彻底治疗", "role": "doctor"}, {"turn": 14, "text": "谢谢", "role": "patient"}, {"turn": 15, "text": "只不过容易反复。平时不要饮酒，清淡洁净饮食，一般是可以避免再次反复的。", "role": "doctor"}, {"turn": 16, "text": "不客气", "role": "doctor"}, {"turn": 17, "text": "祝您全家身体健康！", "role": "doctor"}, {"turn": 18, "text": "为什么饮酒会反复？", "role": "patient"}, {"turn": 19, "text": "饮酒会造成胃粘膜的破坏", "role": "doctor"}, {"turn": 20, "text": "从而导致反复", "role": "doctor"}, {"turn": 21, "text": "哦，明白了😊。果然是术业专攻，谢谢", "role": "patient"}, {"turn": 22, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 708, "thread": [{"turn": 0, "text": "手腕扭伤怎么应急处理呀（女，25）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "请问怎么受伤的，受伤多久了", "role": "doctor"}, {"turn": 3, "text": "刚刚", "role": "patient"}, {"turn": 4, "text": "现在手腕活动怎么样", "role": "doctor"}, {"turn": 5, "text": "摔跤用手zhu了一下地", "role": "patient"}, {"turn": 6, "text": "受伤的地方有没红肿", "role": "doctor"}, {"turn": 7, "text": "疼，不太敢动", "role": "patient"}, {"turn": 8, "text": "不太明显", "role": "patient"}, {"turn": 9, "text": "如果肿胀的话建议进行冰敷，外用止疼药", "role": "doctor"}, {"turn": 10, "text": "比如扶他林，酮洛芬凝胶等", "role": "doctor"}, {"turn": 11, "text": "这种情况可以捋一捋吗", "role": "patient"}, {"turn": 12, "text": "急性期不要热敷和揉搓，不然会导致肿胀加重", "role": "doctor"}, {"turn": 13, "text": "嗯，那现在应该先冰敷吗", "role": "patient"}, {"turn": 14, "text": "是的，一般24小时以内冰敷", "role": "doctor"}, {"turn": 15, "text": "那如果越来越肿了呢？", "role": "patient"}, {"turn": 16, "text": "如果这出现活动明显受限，或者肿疼加重，手指发麻等建议去医院拍片子看看排除下有没有骨折", "role": "doctor"}, {"turn": 17, "text": "我记得之前有人扭伤捋一捋就会好多了，拍了片子没有骨折的话可以捋一捋吗？", "role": "patient"}, {"turn": 18, "text": "最好拍片子看完再说，如果移位了按摩的话会导致移位", "role": "doctor"}, {"turn": 19, "text": "嗯", "role": "patient"}, {"turn": 20, "text": "😊", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 709, "thread": [{"turn": 0, "text": "9个月宝宝总是便秘怎么办（男，9个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝怎么喂养呢？多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "纯母乳。偶尔吃点辅食", "role": "patient"}, {"turn": 3, "text": "5.6天一次。开头的大便很干，后面的正常。", "role": "patient"}, {"turn": 4, "text": "宝宝体重长的怎么样？这样多长时间了？", "role": "doctor"}, {"turn": 5, "text": "辅食吃的不多，怕撑着", "role": "patient"}, {"turn": 6, "text": "持续2个多月了，前一个月也是4.5天拉一次但不费劲，后面的这一个月拉屎的时候大哭。", "role": "patient"}, {"turn": 7, "text": "最近两次都是用肥皂条刺激才拉的", "role": "patient"}, {"turn": 8, "text": "最近一个多月没长体重", "role": "patient"}, {"turn": 9, "text": "宝宝大便干要注意是不是能吃的饱，9个月需要规律添加辅食了", "role": "doctor"}, {"turn": 10, "text": "那目前便秘情况怎么改善？", "role": "patient"}, {"turn": 11, "text": "给宝贝规律添加辅食，让宝贝吃饱，顺时针给宝贝揉揉肚子，用益生菌调理一下，少量多次勤给宝宝喂点温开水", "role": "doctor"}, {"turn": 12, "text": "什么益生菌？", "role": "patient"}, {"turn": 13, "text": "妈咪爱，双歧杆菌这一类都可以的", "role": "doctor"}, {"turn": 14, "text": "那这两个月孩子吃不饱会导致孩子营养不良吗", "role": "patient"}, {"turn": 15, "text": "现在体重多少？", "role": "doctor"}, {"turn": 16, "text": "20多点。这一个多月一直没长。9个月的宝宝", "role": "patient"}, {"turn": 17, "text": "宝宝这个体重在正常范围内，不会有营养不良的情况", "role": "doctor"}, {"turn": 18, "text": "多谢。", "role": "patient"}, {"turn": 19, "text": "不客气的，希望对您有帮助，祝宝贝健康成长(^_^)😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 710, "thread": [{"turn": 0, "text": "你好，宝宝有点消化不良怎么办，刚出生15天，", "role": "patient"}, {"turn": 1, "text": "建议给宝宝暖暖肚子，可以用暖袋暖暖肚子温度不要太高，", "role": "doctor"}, {"turn": 2, "text": "以免烫到宝宝", "role": "doctor"}, {"turn": 3, "text": "非常的吵，一直哭个不停，有喝了点四磨汤", "role": "patient"}, {"turn": 4, "text": "如果明天没有好转建议给宝宝口服妈咪爱调节调节调节比较好", "role": "doctor"}, {"turn": 5, "text": "你好，建议给宝宝喂好奶排排嗝比较好", "role": "doctor"}, {"turn": 6, "text": "有喝妈咪爱", "role": "patient"}, {"turn": 7, "text": "有排隔", "role": "patient"}, {"turn": 8, "text": "宝宝这些表现，可能是肠绞痛？ ①定时哭闹：宝宝每天几乎在同一时间段哭闹，好像上了闹钟一样。 ②哄不好：宝宝哭闹时间长，无论怎么安抚都会断断续续的哭。 ③在哭闹的同时，还会伴随不停的蹬腿", "role": "doctor"}, {"turn": 9, "text": "这两天便秘", "role": "patient"}, {"turn": 10, "text": "你好，建议给宝宝轻轻揉揉肚子有利于排便的", "role": "doctor"}, {"turn": 11, "text": "建议给宝宝适当喝一些水比较好", "role": "doctor"}, {"turn": 12, "text": "建议轻揉宝宝的腹部，在你手上涂一层婴儿润肤霜或者婴儿油，以肚脐为中心按顺时针方向轻轻揉宝宝的小肚子，有助于排除肠道内的气体，缓解胀气。 缓解疼痛的", "role": "doctor"}, {"turn": 13, "text": "水要什么时候喝比较合适", "role": "patient"}, {"turn": 14, "text": "喝完奶后，还是喝奶前", "role": "patient"}, {"turn": 15, "text": "你好 建议两次奶之间喂一次水比较好", "role": "doctor"}, {"turn": 16, "text": "如果母乳喂养建议妈妈注意饮食禁食生冷油腻辛辣刺激性食物比较好", "role": "doctor"}, {"turn": 17, "text": "你好，建议妈妈适当多喝水比较好", "role": "doctor"}, {"turn": 18, "text": "妈妈可以喝白开水吗", "role": "patient"}, {"turn": 19, "text": "还是要红糖水", "role": "patient"}, {"turn": 20, "text": "你好，建议喝白开水比较好", "role": "doctor"}, {"turn": 21, "text": "你好，可以适当喝红糖水", "role": "doctor"}, {"turn": 22, "text": "老人家不让喝白开水，说喝了以后全身会肿，有这说法吗", "role": "patient"}, {"turn": 23, "text": "祝宝宝健康快乐", "role": "doctor"}, {"turn": 24, "text": "你好，没有科学依据的", "role": "doctor"}, {"turn": 25, "text": "糖吃多了以免引起糖尿病", "role": "doctor"}, {"turn": 26, "text": "哦", "role": "patient"}, {"turn": 27, "text": "祝您幸福快乐", "role": "doctor"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 711, "thread": [{"turn": 0, "text": "治肠道菌群紊乱的药物（女，38岁）", "role": "patient"}, {"turn": 1, "text": "你好！很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "思连康", "role": "doctor"}, {"turn": 3, "text": "我想咨询一下胃肠道功能紊乱怎么治，已经一年了", "role": "patient"}, {"turn": 4, "text": "我想咨询胃肠功能紊乱的疾病", "role": "patient"}, {"turn": 5, "text": "这个你可以找个老中医调理下", "role": "doctor"}, {"turn": 6, "text": "西医主要就是对症治疗", "role": "doctor"}, {"turn": 7, "text": "大便不正常，拉不尽的感觉，腹痛", "role": "patient"}, {"turn": 8, "text": "做过肠镜吗？", "role": "doctor"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "这么长时间，得做个肠镜", "role": "doctor"}, {"turn": 11, "text": "肠镜好痛苦还有其他方法吗", "role": "patient"}, {"turn": 12, "text": "可以做的", "role": "doctor"}, {"turn": 13, "text": "没传说中那么痛苦", "role": "doctor"}, {"turn": 14, "text": "大便正常还要做肠镜吗？", "role": "patient"}, {"turn": 15, "text": "你不是有解不净的感觉吗？", "role": "doctor"}, {"turn": 16, "text": "诊断胃肠功能紊乱首先要排除器质性病变", "role": "doctor"}, {"turn": 17, "text": "有的", "role": "patient"}, {"turn": 18, "text": "恩", "role": "doctor"}, {"turn": 19, "text": "所以建议做个肠镜明确下", "role": "doctor"}, {"turn": 20, "text": "不然总是吃药没效", "role": "doctor"}, {"turn": 21, "text": "时间长了，不行", "role": "doctor"}, {"turn": 22, "text": "好的谢谢医生", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}, {"turn": 24, "text": "有结果可以随时联系", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "好的，拜", "role": "patient"}, {"turn": 27, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 712, "thread": [{"turn": 0, "text": "有没有手术可以治好慢性鼻前庭炎（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答。", "role": "doctor"}, {"turn": 2, "text": "您有什么症状？鼻前庭炎是在哪里诊断的呢？", "role": "doctor"}, {"turn": 3, "text": "在医院诊断的", "role": "patient"}, {"turn": 4, "text": "主要症状是鼻小柱肿胀鼻腔刺痛，天天犯病很少正常", "role": "patient"}, {"turn": 5, "text": "有没有给您开什么药？", "role": "doctor"}, {"turn": 6, "text": "红霉素", "role": "patient"}, {"turn": 7, "text": "不好用", "role": "patient"}, {"turn": 8, "text": "百多邦也不好用", "role": "patient"}, {"turn": 9, "text": "鼻前庭炎目前以药物治疗，非手术治疗，表面可以涂布红霉素软膏，口服阿莫西林或罗红霉素，必要时加用扑尔敏，强的松等药物治疗，", "role": "doctor"}, {"turn": 10, "text": "我每天都犯，为什么，怎样能防止", "role": "patient"}, {"turn": 11, "text": "反复", "role": "patient"}, {"turn": 12, "text": "多饮水，多食果蔬，避免烟酒，忌辛辣，", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "急性期可以用湿热敷，如果有痂皮可以用3%过氧化氢溶液清除痂皮和脓液，再涂用1%-2%黄降汞软膏或抗生素软膏；渗出较多者，用5%氧化锌软膏涂擦。", "role": "doctor"}, {"turn": 15, "text": "加强鼻腔保护，避免有害粉尘刺激，改正挖鼻习惯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 713, "thread": [{"turn": 0, "text": "左侧大脑血流减低耳鸣头晕（男，21岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "10多天了", "role": "patient"}, {"turn": 3, "text": "头晕是昏沉沉感觉吗？", "role": "doctor"}, {"turn": 4, "text": "还是天旋地转的？", "role": "doctor"}, {"turn": 5, "text": "昏沉沉的", "role": "patient"}, {"turn": 6, "text": "核磁正常", "role": "patient"}, {"turn": 7, "text": "睡眠好吗？", "role": "doctor"}, {"turn": 8, "text": "耳鸣是哪个耳朵？", "role": "doctor"}, {"turn": 9, "text": "睡眠十分", "role": "patient"}, {"turn": 10, "text": "左耳朵", "role": "patient"}, {"turn": 11, "text": "检查左侧脑袋上有囊肿，但说不影响", "role": "patient"}, {"turn": 12, "text": "那可能是脑供血不足", "role": "doctor"}, {"turn": 13, "text": "看过耳鼻喉科们吗？", "role": "doctor"}, {"turn": 14, "text": "耳鸣是持续性的吗？", "role": "doctor"}, {"turn": 15, "text": "说是神经耳鸣", "role": "patient"}, {"turn": 16, "text": "但核磁 血压正常", "role": "patient"}, {"turn": 17, "text": "听力也没问题", "role": "patient"}, {"turn": 18, "text": "口服改善脑供血的药物", "role": "doctor"}, {"turn": 19, "text": "输液可以吗", "role": "patient"}, {"turn": 20, "text": "精神压力濒临崩溃，工作环境十分吵", "role": "patient"}, {"turn": 21, "text": "可以输液", "role": "doctor"}, {"turn": 22, "text": "休息好，别紧张", "role": "doctor"}, {"turn": 23, "text": "环境无法休息", "role": "patient"}, {"turn": 24, "text": "能要求住院吗", "role": "patient"}, {"turn": 25, "text": "没必要住院", "role": "doctor"}, {"turn": 26, "text": "想静一静", "role": "patient"}, {"turn": 27, "text": "可以休班", "role": "doctor"}, {"turn": 28, "text": "我是当兵的", "role": "patient"}, {"turn": 29, "text": "严重失眠呕吐", "role": "patient"}, {"turn": 30, "text": "看看心理医生", "role": "doctor"}, {"turn": 31, "text": "需要休息", "role": "doctor"}, {"turn": 32, "text": "和部队领导说说情况", "role": "doctor"}, {"turn": 33, "text": "好的谢谢医生", "role": "patient"}, {"turn": 34, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 714, "thread": [{"turn": 0, "text": "恐艾又来了，求医生开导（男，25岁）我是嘴破了，和当地人说话的时候挨得比较近，感觉有东西溅到嘴上了", "role": "patient"}, {"turn": 1, "text": "你好单纯上述行为没事的放心吧。", "role": "doctor"}, {"turn": 2, "text": "朋友忘了以前回复了吗？", "role": "doctor"}, {"turn": 3, "text": "医生我感觉我心里有问题", "role": "patient"}, {"turn": 4, "text": "心理问题", "role": "doctor"}, {"turn": 5, "text": "看看心理大夫", "role": "doctor"}, {"turn": 6, "text": "我现在就是哪里破了都不敢接触人", "role": "patient"}, {"turn": 7, "text": "心理问题", "role": "doctor"}, {"turn": 8, "text": "那您说一下，我那个行为假如我唾液里有血液，喷到伤口上", "role": "patient"}, {"turn": 9, "text": "1.传染病发生需要三个条件即传染源又叫病原体，传播途径及易感人群。2.艾滋病是传染性疾病，传染病发生也需要三个因素即传染源（即艾滋病病毒）、传播途径（高危行为即容易导致被感染的行为）及易感人群。 艾滋病人人易感。 传播途径包括不洁性行为 应用血液及其制品，母婴传播。传染源即是艾滋病病毒携带者。 没有传播途径，虽然有传播源，也不会被感染。没有传染源，虽然有传播途径即高危行为，也不会被感染。 如果没有传染源，及传播途径，就根本不可能被感染。", "role": "doctor"}, {"turn": 10, "text": "艾滋病高危行为（传播途径）有: 1、通过性途径的高危性行为有 ：没有保护（未全程戴避孕套）性交（包括同性与同性之间；异性之间，）、多个性伙伴，和不知道对方情况人发生性生活等，包括同性恋。2、通过血液途径的高危性行为有：静脉注射吸毒；和他人共用注射器或共用其他可以刺破皮肤的器械，如共用剃须刀，牙刷，纹身等；使用未经检测的血液或是血制品。3、通过母婴途径的高危性行为有：艾滋病病毒阳性的女性怀孕并生育，艾滋病病毒阳性的母亲哺乳，都可以引起孩子的艾滋病病毒感染。预防关键是洁身自爱！避免上述高危行为！上述知识来自国家艾滋病防治指南。", "role": "doctor"}, {"turn": 11, "text": "看不大明白了", "role": "patient"}, {"turn": 12, "text": "一个字一个字一个字看看", "role": "doctor"}, {"turn": 13, "text": "掌握科学知识就不会紧张了", "role": "doctor"}, {"turn": 14, "text": "都是这样脱艾到。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 715, "thread": [{"turn": 0, "text": "4周岁孩子，一直咳嗽有痰，请问应该吃啥药（女，3）", "role": "patient"}, {"turn": 1, "text": "发热不，什么情况下明显，，", "role": "doctor"}, {"turn": 2, "text": "没有发热，就是咳嗽，痰一直有", "role": "patient"}, {"turn": 3, "text": "这种情况可以吃鱼吗？老人家给他吃鱼了", "role": "patient"}, {"turn": 4, "text": "？", "role": "patient"}, {"turn": 5, "text": "可以吃", "role": "doctor"}, {"turn": 6, "text": "单纯干咳，查没有支原体衣原体", "role": "doctor"}, {"turn": 7, "text": "血常规查没有", "role": "doctor"}, {"turn": 8, "text": "没有查", "role": "patient"}, {"turn": 9, "text": "能不能先吃药呢？", "role": "patient"}, {"turn": 10, "text": "用氨溴特罗口服液止咳化痰", "role": "doctor"}, {"turn": 11, "text": "建议最好查清楚，用药更准确", "role": "doctor"}, {"turn": 12, "text": "那她感冒反复导致鼻子一直绿色鼻涕，是不是鼻炎了", "role": "patient"}, {"turn": 13, "text": "多长时间了，平常鼻塞吗，鼻涕腥臭吗", "role": "doctor"}, {"turn": 14, "text": "睡觉鼻筛，鼻涕有十天了", "role": "patient"}, {"turn": 15, "text": "不算鼻炎", "role": "doctor"}, {"turn": 16, "text": "还是上呼吸道感染没有好", "role": "doctor"}, {"turn": 17, "text": "那怎么处理", "role": "patient"}, {"turn": 18, "text": "怎么用药", "role": "patient"}, {"turn": 19, "text": "用小儿感冒药，比如风热感冒冲剂", "role": "doctor"}, {"turn": 20, "text": "查血常规，看有没有细菌感染，再考虑是否用抗生素", "role": "doctor"}, {"turn": 21, "text": "要用抗病毒的吗", "role": "patient"}, {"turn": 22, "text": "不用", "role": "doctor"}, {"turn": 23, "text": "病毒可以自愈", "role": "doctor"}, {"turn": 24, "text": "有治疗鼻炎的药吗", "role": "patient"}, {"turn": 25, "text": "鼻渊片", "role": "doctor"}, {"turn": 26, "text": "这个药最长可以喝多久", "role": "patient"}, {"turn": 27, "text": "7到10天", "role": "doctor"}, {"turn": 28, "text": "冰糖炖雪梨可以吃的吗", "role": "patient"}, {"turn": 29, "text": "可以辅助", "role": "doctor"}, {"turn": 30, "text": "易坦静喝完，还可以加肺力咳吃吗", "role": "patient"}, {"turn": 31, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 716, "thread": [{"turn": 0, "text": "想问一下干咳无痰有两个星期了,吃了好多药都没有效果,（女，61岁）", "role": "patient"}, {"turn": 1, "text": "以前好不好咳嗽，近期有无受凉感冒", "role": "doctor"}, {"turn": 2, "text": "有的，因为带孙子，之前媳妇感冒，接着感染给了孙子，接着又是我。谢谢您", "role": "patient"}, {"turn": 3, "text": "差不多两个星期都是阵发性咳嗽，好难受。", "role": "patient"}, {"turn": 4, "text": "近期流感爆发，考虑病毒合并细菌感染，建议口服奥司他韦，或口服蓝芩口服液，蒲地蓝口服液等抗病毒治疗，如果出现黄痰在说明合并细菌感染，口服头孢类抗生素，头孢地尼，头孢克肟，咳嗽可以口服苏黄止咳，右美沙芬", "role": "doctor"}, {"turn": 5, "text": "考虑感染后咳嗽口服苏黄，右美沙芬，睡前氯雷他定止咳对症处理即可", "role": "doctor"}, {"turn": 6, "text": "好的，谢谢您！明天去药店买点看。谢谢您", "role": "patient"}, {"turn": 7, "text": "这些药药店有卖的吗？", "role": "patient"}, {"turn": 8, "text": "是有的。", "role": "doctor"}, {"turn": 9, "text": "没有痰", "role": "patient"}, {"turn": 10, "text": "就是阵发性咳嗽，有时咳得吐", "role": "patient"}, {"turn": 11, "text": "口服上述止咳药物止咳即可", "role": "doctor"}, {"turn": 12, "text": "谢谢您杨医生！", "role": "patient"}, {"turn": 13, "text": "不可欺。", "role": "doctor"}, {"turn": 14, "text": "不客气", "role": "doctor"}, {"turn": 15, "text": "谢谢您", "role": "patient"}, {"turn": 16, "text": "要过年了，怕病哦！祝杨医生新年快乐???", "role": "patient"}, {"turn": 17, "text": "拜拜?", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 717, "thread": [{"turn": 0, "text": "咳嗽，气短，还发低烧，（女，38岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问上述症状已持续多长时", "role": "doctor"}, {"turn": 2, "text": "三天", "role": "patient"}, {"turn": 3, "text": "我也到诊所输液了", "role": "patient"}, {"turn": 4, "text": "体温多少呢，？吃什么药了？做什么检查了吗", "role": "doctor"}, {"turn": 5, "text": "输了三天不见好", "role": "patient"}, {"turn": 6, "text": "38", "role": "patient"}, {"turn": 7, "text": "吃了小柴胡颗粒，桑菊、阿芬黄那明颗粒，灯台叶", "role": "patient"}, {"turn": 8, "text": "医生在吗？", "role": "patient"}, {"turn": 9, "text": "嗯，", "role": "doctor"}, {"turn": 10, "text": "什么情况", "role": "patient"}, {"turn": 11, "text": "发热咳嗽，气短，考虑上呼吸道感染，需要去做个血常规的，明确用药", "role": "doctor"}, {"turn": 12, "text": "要拍片吗", "role": "patient"}, {"turn": 13, "text": "最好是拍一个的，排除其他肺内感染的情况", "role": "doctor"}, {"turn": 14, "text": "您一定别急别担心，虽然我没办法在这里帮您解决问题，但是去了医院，医生们一定有办法的，如果您信任我，还可以回来搜索我，找我提问，很开心能够帮您解决问题。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 718, "thread": [{"turn": 0, "text": "急性根尖周炎不能马上做根管治疗吗？（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以做根管治疗", "role": "doctor"}, {"turn": 2, "text": "我牙疼的厉害，但是医生说要等我不痛了才能开始做根管治疗。我现在就很疼", "role": "patient"}, {"turn": 3, "text": "我不知道他在干嘛", "role": "patient"}, {"turn": 4, "text": "这种情况最好立即治疗牙齿，急性期吃药不一定管用的", "role": "doctor"}, {"turn": 5, "text": "治疗牙齿的效果会好一些，把牙齿打开之后，压力减轻了自然也就舒服些了", "role": "doctor"}, {"turn": 6, "text": "啊！那为什么他要给我开药说要等我不痛", "role": "patient"}, {"turn": 7, "text": "我吃了没多大效果也很疼啊", "role": "patient"}, {"turn": 8, "text": "如果是根尖炎，需要立即治疗", "role": "doctor"}, {"turn": 9, "text": "😭那我明天又要去挂号了", "role": "patient"}, {"turn": 10, "text": "可以到上级医院看看", "role": "doctor"}, {"turn": 11, "text": "我是在上海交通大学附属医院新华医院看的", "role": "patient"}, {"turn": 12, "text": "还有上级医院吗？", "role": "patient"}, {"turn": 13, "text": "可以换个医院看看", "role": "doctor"}, {"turn": 14, "text": "我哭了，我明天去杨浦中心医院看看吧", "role": "patient"}, {"turn": 15, "text": "九院，同济口腔，市牙防这些都可以，挂牙体牙髓科", "role": "doctor"}, {"turn": 16, "text": "okw谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}, {"turn": 18, "text": "****我感受到这颗牙齿松了怎么办", "role": "patient"}, {"turn": 19, "text": "根尖炎会有伸长付出感，拍片了吗？可以把片子发给我看看", "role": "doctor"}, {"turn": 20, "text": "他说要等我牙不疼了才能拍片然后接下来治疗，所以没有拍片", "role": "patient"}, {"turn": 21, "text": "😭", "role": "patient"}, {"turn": 22, "text": "就是感觉它长（zhang）长（chang）出来了", "role": "patient"}, {"turn": 23, "text": "需要拍片看下根尖炎症的情况，及早治疗牙齿，只要牙槽骨没有很厉害的吸收，牙齿可以治疗保留", "role": "doctor"}, {"turn": 24, "text": "那我明天早点起床去看病吧****你也早点睡", "role": "patient"}, {"turn": 25, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 719, "thread": [{"turn": 0, "text": "扭伤后能立即使用复方水杨酸甲脂乳膏吗（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问什么时候扭伤的？", "role": "doctor"}, {"turn": 2, "text": "有2个小时", "role": "patient"}, {"turn": 3, "text": "严重", "role": "patient"}, {"turn": 4, "text": "可以摸的", "role": "doctor"}, {"turn": 5, "text": "同时建议你冷敷", "role": "doctor"}, {"turn": 6, "text": "在冰，冰一个小时了", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "那就行", "role": "doctor"}, {"turn": 9, "text": "有时间再拍个片子", "role": "doctor"}, {"turn": 10, "text": "看看有没有骨折", "role": "doctor"}, {"turn": 11, "text": "感觉没骨折，24小时冰几次，一次多长时间合适", "role": "patient"}, {"turn": 12, "text": "一般敷个二十分钟", "role": "doctor"}, {"turn": 13, "text": "间隔一两个小时", "role": "doctor"}, {"turn": 14, "text": "好的，冷敷24还是48小时", "role": "patient"}, {"turn": 15, "text": "24小时就差不多了", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 720, "thread": [{"turn": 0, "text": "老人头晕呕吐，有时还有耳鸣（男，54岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半个月了", "role": "patient"}, {"turn": 3, "text": "血压高么", "role": "doctor"}, {"turn": 4, "text": "脑ct  磁共振 耳平衡都做了，正常，", "role": "patient"}, {"turn": 5, "text": "不那么高", "role": "patient"}, {"turn": 6, "text": "以前有过吗", "role": "doctor"}, {"turn": 7, "text": "感冒受凉没", "role": "doctor"}, {"turn": 8, "text": "以前没有，最近没感冒", "role": "patient"}, {"turn": 9, "text": "头晕持续还是间断？", "role": "doctor"}, {"turn": 10, "text": "每次多久", "role": "doctor"}, {"turn": 11, "text": "晕去医院开了药回来用就好，隔两天又这个样子", "role": "patient"}, {"turn": 12, "text": "那现在药没吃了吗", "role": "doctor"}, {"turn": 13, "text": "打的，一个疗程", "role": "patient"}, {"turn": 14, "text": "吃点止晕的看看吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 721, "thread": [{"turn": 0, "text": "想请教一些幽门螺旋杆菌方面的问题（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么不舒服？", "role": "doctor"}, {"turn": 2, "text": "你好，我想请问一下", "role": "patient"}, {"turn": 3, "text": "hp基本上都是从胃窦部开始感染的", "role": "patient"}, {"turn": 4, "text": "是的", "role": "doctor"}, {"turn": 5, "text": "那么为什么胃体部也会有炎症呢？", "role": "patient"}, {"turn": 6, "text": "你查了有幽门螺杆菌感染？？", "role": "doctor"}, {"turn": 7, "text": "不是的，我想知道为啥", "role": "patient"}, {"turn": 8, "text": "原理是什么", "role": "patient"}, {"turn": 9, "text": "我想不通", "role": "patient"}, {"turn": 10, "text": "刚开始可能只有胃窦，相对比较轻，胃内都是酸性环境，都是适合幽门螺杆菌生存的，所以胃窦，胃底胃体都可能感染", "role": "doctor"}, {"turn": 11, "text": "额", "role": "patient"}, {"turn": 12, "text": "😊", "role": "doctor"}, {"turn": 13, "text": "hp感染的时候，主要集中在胃窦，胃体可能会有少量存在，可是也不会导致胃体大范围的炎症和黏膜水肿呀", "role": "patient"}, {"turn": 14, "text": "为什么呢", "role": "patient"}, {"turn": 15, "text": "只能说明胃体也已经广泛感染了", "role": "doctor"}, {"turn": 16, "text": "不是的", "role": "patient"}, {"turn": 17, "text": "😊你是个医学生吧", "role": "doctor"}, {"turn": 18, "text": "是的 我想不通啊", "role": "patient"}, {"turn": 19, "text": "这里只看病，理论知识就不要在问了", "role": "doctor"}, {"turn": 20, "text": "胃窦萎缩后，胃酸分泌相对较少，幽门螺杆菌感染重的部位也会发生改变，有时候感染最重的不是胃窦，反而是胃体", "role": "doctor"}, {"turn": 21, "text": "所以有时活检查幽门螺杆菌胃窦不是最重的，反而是胃体部位", "role": "doctor"}, {"turn": 22, "text": "胃酸和胃蛋白酶都是胃体分泌的呀，胃窦是分泌胃泌素的", "role": "patient"}, {"turn": 23, "text": "这里只看病😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 722, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：蛀牙反复疼痛（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，是吃东西疼还是不碰都疼？", "role": "doctor"}, {"turn": 2, "text": "不碰都疼", "role": "patient"}, {"turn": 3, "text": "有多久了呢", "role": "doctor"}, {"turn": 4, "text": "白天还好，晚上很疼，之前去过医院，但是最近无法去拔", "role": "patient"}, {"turn": 5, "text": "接近一个月左右了", "role": "patient"}, {"turn": 6, "text": "医生检查后是说需要拔牙吗？", "role": "doctor"}, {"turn": 7, "text": "医生说让我拔智齿", "role": "patient"}, {"turn": 8, "text": "那就是智齿发炎，吃过什么药？", "role": "doctor"}, {"turn": 9, "text": "之前配了两种药，布洛芬", "role": "patient"}, {"turn": 10, "text": "盐酸克林毒素棕榈酸脂分散片", "role": "patient"}, {"turn": 11, "text": "我感觉蛀牙疼痛也有", "role": "patient"}, {"turn": 12, "text": "白天症状不明显，晚上疼痛明显的话，考虑诊断是牙髓炎", "role": "doctor"}, {"turn": 13, "text": "知道蛀牙是哪一颗吗", "role": "doctor"}, {"turn": 14, "text": "智齿旁边过来的两颗", "role": "patient"}, {"turn": 15, "text": "之前拍过全景照", "role": "patient"}, {"turn": 16, "text": "我看看片子", "role": "doctor"}, {"turn": 17, "text": "片子我没拿，直接医生那里看的", "role": "patient"}, {"turn": 18, "text": "右边的智齿和往左两颗是蛀牙", "role": "patient"}, {"turn": 19, "text": "那你可能需要去医院处理一下了", "role": "doctor"}, {"turn": 20, "text": "确定牙髓炎的患牙", "role": "doctor"}, {"turn": 21, "text": "局麻开髓引流，后面再进行根管治疗", "role": "doctor"}, {"turn": 22, "text": "同时可以考虑拔除智齿", "role": "doctor"}, {"turn": 23, "text": "可以先吃药止疼吗？我最近这段时间没时间去", "role": "patient"}, {"turn": 24, "text": "有有效的止疼药吗", "role": "patient"}, {"turn": 25, "text": "布洛芬缓释胶囊", "role": "doctor"}, {"turn": 26, "text": "还有吗", "role": "doctor"}, {"turn": 27, "text": "盐酸克林毒素棕榈酸脂分散片", "role": "patient"}, {"turn": 28, "text": "这是我上次配的两款药", "role": "patient"}, {"turn": 29, "text": "这俩药没止痛效果的哦", "role": "doctor"}, {"turn": 30, "text": "那有止疼效果的药吗", "role": "patient"}, {"turn": 31, "text": "主要是止疼，最好能配合消炎", "role": "patient"}, {"turn": 32, "text": "布洛芬缓释胶囊", "role": "doctor"}, {"turn": 33, "text": "尼美舒利", "role": "doctor"}, {"turn": 34, "text": "这两个药都可以", "role": "doctor"}, {"turn": 35, "text": "好的", "role": "patient"}, {"turn": 36, "text": "哪个是止疼的", "role": "patient"}, {"turn": 37, "text": "都是止痛药，买一个就可以了", "role": "doctor"}, {"turn": 38, "text": "哪个效果明显一些，晚上疼痛，无法入睡", "role": "patient"}, {"turn": 39, "text": "尼美舒利", "role": "doctor"}, {"turn": 40, "text": "好的，谢谢", "role": "patient"}, {"turn": 41, "text": "这款是哪个厂家的，我查到很多家", "role": "patient"}, {"turn": 42, "text": "分散片最好", "role": "doctor"}, {"turn": 43, "text": "厂家不清楚", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 723, "thread": [{"turn": 0, "text": "便秘 大便表面有暗红色血前段干燥（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "偶尔发生", "role": "patient"}, {"turn": 3, "text": "有痔疮没有", "role": "doctor"}, {"turn": 4, "text": "大部分都是几天没上就会出现这种情况", "role": "patient"}, {"turn": 5, "text": "有吧", "role": "patient"}, {"turn": 6, "text": "我没去看过", "role": "patient"}, {"turn": 7, "text": "之前生完孩子坐月子就出现过几天上不出大厕就有出血", "role": "patient"}, {"turn": 8, "text": "恩  考虑你这个跟痔疮和便秘有关", "role": "doctor"}, {"turn": 9, "text": "这两天没上厕所了，今天刚开始干燥然后后面是软便，便的表面有暗红色血液", "role": "patient"}, {"turn": 10, "text": "恩  大便干燥会加重痔疮", "role": "doctor"}, {"turn": 11, "text": "这不会得了肠癌吧，好怕怕", "role": "patient"}, {"turn": 12, "text": "就你的描述暂时不考虑 如果害怕的话可以做个肠镜", "role": "doctor"}, {"turn": 13, "text": "痔疮出血是鲜红色的。", "role": "patient"}, {"turn": 14, "text": "现在肛门里面有点火辣辣的", "role": "patient"}, {"turn": 15, "text": "对 一般痔疮出血是鲜红色 如果已经有痔疮 已经有少量出血  也会造成暗红色", "role": "doctor"}, {"turn": 16, "text": "还是痔疮", "role": "doctor"}, {"turn": 17, "text": "之前怀孕有时候感觉肛门有点坠坠的", "role": "patient"}, {"turn": 18, "text": "有点胀", "role": "patient"}, {"turn": 19, "text": "怀孕也会增加换痔疮风险  也会让痔疮加重", "role": "doctor"}, {"turn": 20, "text": "血便是什么意思", "role": "patient"}, {"turn": 21, "text": "你指的是？", "role": "doctor"}, {"turn": 22, "text": "血便是什么样的", "role": "patient"}, {"turn": 23, "text": "你的也可以称为血便", "role": "doctor"}, {"turn": 24, "text": "😭😭😭", "role": "patient"}, {"turn": 25, "text": "好吓人的节奏", "role": "patient"}, {"turn": 26, "text": "害怕就去做个肠镜  我不考虑肠癌  但是你要是恐惧就去做个", "role": "doctor"}, {"turn": 27, "text": "就是那个血是暗红色的，我有点怕", "role": "patient"}, {"turn": 28, "text": "那就去做个肠镜", "role": "doctor"}, {"turn": 29, "text": "那个内痔已经出血是暗红色的？", "role": "patient"}, {"turn": 30, "text": "出血了 你没有大便  等你排大便时当然是暗红了", "role": "doctor"}, {"turn": 31, "text": "哦哦", "role": "patient"}, {"turn": 32, "text": "👌", "role": "doctor"}, {"turn": 33, "text": "我现在肛门口里面有点不适，", "role": "patient"}, {"turn": 34, "text": "那考虑你还是痔疮啊", "role": "doctor"}, {"turn": 35, "text": "百度上有个私人医院医生说什么暗红色的血是深处出血的问题。", "role": "patient"}, {"turn": 36, "text": "太吓人说的，肛裂和痔疮是两回事？", "role": "patient"}, {"turn": 37, "text": "你害怕就去做个肠镜 这是金标准", "role": "doctor"}, {"turn": 38, "text": "对 两回事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 724, "thread": [{"turn": 0, "text": "内痔用什么药？？之前做过检查（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你现在有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "出血较多吗", "role": "doctor"}, {"turn": 3, "text": "我替别人问", "role": "patient"}, {"turn": 4, "text": "男生25岁", "role": "patient"}, {"turn": 5, "text": "不多", "role": "patient"}, {"turn": 6, "text": "1.建议调理大便和生活，防止腹泻和大便干，避免饮酒、辛辣；\n2.可以大便以后清洗肛门，抹上痔疮膏（肛泰软膏或太宁乳膏、马应龙痔疮膏等），一天两次；\n3.可以配合口服药物治疗。口服消脱止，迈之灵，地奥司明片，痔炎消片其中一种都可以；\n4.还可以适当的配合提肛运动，促进局部循环，缓解症状。", "role": "doctor"}, {"turn": 7, "text": "内痔也用痔疮膏吗", "role": "patient"}, {"turn": 8, "text": "是的", "role": "doctor"}, {"turn": 9, "text": "痔疮是指人体直肠末端黏膜下和肛管皮肤下静脉丛发生扩张和屈曲所形成的柔软静脉团。根据痔疮发生的部位特征，临床上把它分为外痔、内痔、混合痔三种。", "role": "doctor"}, {"turn": 10, "text": "之前医生给开了个普济痤疮栓", "role": "patient"}, {"turn": 11, "text": "这个栓还有必要用吗", "role": "patient"}, {"turn": 12, "text": "都可以使用", "role": "doctor"}, {"turn": 13, "text": "坐浴呢，治疗效果好吗", "role": "patient"}, {"turn": 14, "text": "可以配合坐浴清洗", "role": "doctor"}, {"turn": 15, "text": "效果比较好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 725, "thread": [{"turn": 0, "text": "耳鸣是什么原因引起的（男，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你耳鸣听到什么样声音？多长时间了？", "role": "doctor"}, {"turn": 2, "text": "耳鸣大多数是神经性耳鸣", "role": "doctor"}, {"turn": 3, "text": "原因比较多", "role": "doctor"}, {"turn": 4, "text": "动脉硬化，听神经瘤，病毒感冒带状疱疹（耳部）噪音刺激，颈椎病，熬夜疲劳等都有可能引起", "role": "doctor"}, {"turn": 5, "text": "像样", "role": "patient"}, {"turn": 6, "text": "像蝉叫", "role": "patient"}, {"turn": 7, "text": "神经性耳鸣", "role": "doctor"}, {"turn": 8, "text": "用什么药才能好", "role": "patient"}, {"turn": 9, "text": "常规治疗都是用扩血管改善微循环营养神经功能的药治疗", "role": "doctor"}, {"turn": 10, "text": "甲钴胺，敏使朗，脉血康等", "role": "doctor"}, {"turn": 11, "text": "可能效果不是很明显", "role": "doctor"}, {"turn": 12, "text": "有什么特别的药吗", "role": "patient"}, {"turn": 13, "text": "没有特效药", "role": "doctor"}, {"turn": 14, "text": "平时注意尽量避免噪音刺激", "role": "doctor"}, {"turn": 15, "text": "保证充分睡眠", "role": "doctor"}, {"turn": 16, "text": "控制血糖血压有帮助", "role": "doctor"}, {"turn": 17, "text": "有时候耳几天不鸣，有时候连吗几天，特别是吃了热的东西", "role": "patient"}, {"turn": 18, "text": "具体原因最好去医院耳鼻喉科检查一下", "role": "doctor"}, {"turn": 19, "text": "好吧", "role": "patient"}, {"turn": 20, "text": "一般我们会建议患者做个耳镜，听力学，ct或磁共振，排除占位病变。 确诊单纯耳鸣。从目前的治疗上很难治愈。就用前面推荐的药治疗。 注意休息，如果只是单纯耳鸣别担心！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 726, "thread": [{"turn": 0, "text": "咬牙咀嚼肌疼是怎么会事？？（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，最近有没有吃硬的东西？", "role": "doctor"}, {"turn": 2, "text": "没有，，，", "role": "patient"}, {"turn": 3, "text": "有没有受过外伤？", "role": "doctor"}, {"turn": 4, "text": "两侧关节有没有什么症状呢", "role": "doctor"}, {"turn": 5, "text": "请问晚上有夜磨牙的习惯吗", "role": "doctor"}, {"turn": 6, "text": "没受伤，，就是一咬牙咬合的那关节疼，，，应该不磨牙，", "role": "patient"}, {"turn": 7, "text": "嗯，你是说耳朵前的关节吗", "role": "doctor"}, {"turn": 8, "text": "是的，就是咀嚼肌附近那，", "role": "patient"}, {"turn": 9, "text": "嗯，你说的这是属于颞下颌关节紊乱病", "role": "doctor"}, {"turn": 10, "text": "是否现在有弹响呢，咀嚼的时候", "role": "doctor"}, {"turn": 11, "text": "请问有没有这些坏习惯？单侧咀嚼？", "role": "doctor"}, {"turn": 12, "text": "咀嚼的时候没声音，这病好治好吗？", "role": "patient"}, {"turn": 13, "text": "最近经常用疼的这边咀嚼，", "role": "patient"}, {"turn": 14, "text": "嗯，改正单侧咀嚼，吃饭的时候两边同时嚼东西", "role": "doctor"}, {"turn": 15, "text": "由于关节负荷过重", "role": "doctor"}, {"turn": 16, "text": "本病有自限性", "role": "doctor"}, {"turn": 17, "text": "但是不是很好治那种，不容易除根", "role": "doctor"}, {"turn": 18, "text": "只能平常注意了，不要吃硬东西，避免大张口", "role": "doctor"}, {"turn": 19, "text": "也可以局部热敷，红外线理疗", "role": "doctor"}, {"turn": 20, "text": "为什么有单侧咀嚼呢，口内有坏牙？若有，得治疗", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢，，", "role": "patient"}, {"turn": 22, "text": "嗯，不用客气", "role": "doctor"}, {"turn": 23, "text": "请记住，若哪天感觉强点了，也不要为了试试，就大张口，吃硬东西什么的了", "role": "doctor"}, {"turn": 24, "text": "最主要是好好注意一些不好的习惯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 727, "thread": [{"turn": 0, "text": "幽门螺旋杆菌50算高么（女，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么不适吗？", "role": "doctor"}, {"turn": 2, "text": "不算特别高", "role": "doctor"}, {"turn": 3, "text": "你好\n我想问一下，幽门杆菌50是不是也代表有", "role": "patient"}, {"turn": 4, "text": "化验是阴性", "role": "patient"}, {"turn": 5, "text": "我家保姆", "role": "patient"}, {"turn": 6, "text": "她带孩子，", "role": "patient"}, {"turn": 7, "text": "然后我们正常都是0", "role": "patient"}, {"turn": 8, "text": "不是的", "role": "doctor"}, {"turn": 9, "text": "正常阴性范围就是没有", "role": "doctor"}, {"turn": 10, "text": "那50是没有吗", "role": "patient"}, {"turn": 11, "text": "不必担心", "role": "doctor"}, {"turn": 12, "text": "阴性就是没有", "role": "doctor"}, {"turn": 13, "text": "那正常没有的不应该是0ma", "role": "patient"}, {"turn": 14, "text": "我们家人都是0", "role": "patient"}, {"turn": 15, "text": "都有一个正常范围", "role": "doctor"}, {"turn": 16, "text": "只要阴性就可以", "role": "doctor"}, {"turn": 17, "text": "阴性但是数值是50那意味着是多少有点菌只是不需要用药治疗吗", "role": "patient"}, {"turn": 18, "text": "阴性就是没有", "role": "doctor"}, {"turn": 19, "text": "啊那也不会传染吗", "role": "patient"}, {"turn": 20, "text": "那正常我和我家人检查没有都是0", "role": "patient"}, {"turn": 21, "text": "为什么有的人会30.50或者60呢", "role": "patient"}, {"turn": 22, "text": "完全不会传染吗", "role": "patient"}, {"turn": 23, "text": "因为她带一岁的宝宝", "role": "patient"}, {"turn": 24, "text": "我前一段时间看新闻说有阿姨把幽门杆菌传染了两岁的孩子而且孩子也不能检查，j", "role": "patient"}, {"turn": 25, "text": "没有问题", "role": "doctor"}, {"turn": 26, "text": "啊", "role": "patient"}, {"turn": 27, "text": "阴性的0跟50结果是一样的", "role": "doctor"}, {"turn": 28, "text": "啊，那行", "role": "patient"}, {"turn": 29, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 728, "thread": [{"turn": 0, "text": "肛门口感觉有东西堵着但不是便秘（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，我是湖北省中西医结合医院沈阳医生，很荣幸为你解答。", "role": "doctor"}, {"turn": 2, "text": "你好，这种情况多长时间了？肛门有肉疙瘩脱出吗？大便干结吗，排便时有无疼痛呢?", "role": "doctor"}, {"turn": 3, "text": "排便正常", "role": "patient"}, {"turn": 4, "text": "很软", "role": "patient"}, {"turn": 5, "text": "没有痔疮", "role": "patient"}, {"turn": 6, "text": "10天左右了", "role": "patient"}, {"turn": 7, "text": "坠涨感有没有呢？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "就是感觉肛门里面有硬物顶着", "role": "patient"}, {"turn": 10, "text": "不影响排便", "role": "patient"}, {"turn": 11, "text": "若实在担心的话，你这种情况，需要到医院找一下肛肠科医生做一下肛门指检，看是否存在你所感觉的硬物", "role": "doctor"}, {"turn": 12, "text": "躺床上用手指可以摸到里面的硬物，就在肛门口", "role": "patient"}, {"turn": 13, "text": "有可能是直肠息肉等情况，需要专业医生给你摸一下的，希望你可以理解", "role": "doctor"}, {"turn": 14, "text": "就你描述，只能给你分析", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "不客气，有什么疑问再给我留言。", "role": "doctor"}, {"turn": 17, "text": "排便正常，也没有痔疮，平时不痛不痒，就是便后感觉不尽，有硬物堵着", "role": "patient"}, {"turn": 18, "text": "明显用收可以摸到里面的硬物", "role": "patient"}, {"turn": 19, "text": "我知道你的描述，目前最首要的需要肛肠科医生给你做一下肛门指检。另你不吃辣不喝酒，坚持便后温水坐浴泡肛门部五分钟", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "有疑问再给我留言", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 729, "thread": [{"turn": 0, "text": "左边隐隐作痛是不是肠道紊乱（男，53岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了啊？", "role": "doctor"}, {"turn": 2, "text": "己状结肠炎在左边", "role": "doctor"}, {"turn": 3, "text": "是肠道积气", "role": "doctor"}, {"turn": 4, "text": "引起的痉挛", "role": "doctor"}, {"turn": 5, "text": "处理", "role": "doctor"}, {"turn": 6, "text": "热乎的湿毛巾敷一敷五分钟", "role": "doctor"}, {"turn": 7, "text": "以前就有，不严重，近期到医院做了检查，发现胃肠息肉已切除，吃药怏一个月了不见好转", "role": "patient"}, {"turn": 8, "text": "养胃护肠吧", "role": "doctor"}, {"turn": 9, "text": "找原因？饮食习惯差一点。吸烟饮酒类。吃烧烤类及生冷硬食物辛辣刺激食物，可致此。", "role": "doctor"}, {"turn": 10, "text": "早上喝小米粥。中午软烂易消化的不刺激的食物。晚上六点吃勿过饱。八分饱。 晚九点，吃点夜班餐。以忌食油腻的生冷硬食物为主。", "role": "doctor"}, {"turn": 11, "text": "消炎解痉挛。", "role": "doctor"}, {"turn": 12, "text": "几个月都在家里没到外面吃，人家说吃益生菌有用吗", "role": "patient"}, {"turn": 13, "text": "左氧氟沙星片一片，\n奥美拉唑片一片，\n各一份，日三次口服。", "role": "doctor"}, {"turn": 14, "text": "白开水送服", "role": "doctor"}, {"turn": 15, "text": "七天", "role": "doctor"}, {"turn": 16, "text": "医生我这个情况是什么病", "role": "patient"}, {"turn": 17, "text": "益生菌无用", "role": "doctor"}, {"turn": 18, "text": "哦！谢谢医生指点！", "role": "patient"}, {"turn": 19, "text": "术后后遗症", "role": "doctor"}, {"turn": 20, "text": "恢复期三个月。", "role": "doctor"}, {"turn": 21, "text": "禁烟忌酒。少吃烧考辛辣刺激的东西", "role": "doctor"}, {"turn": 22, "text": "下次还会找你指点，再次感谢医生！👍👍", "role": "patient"}, {"turn": 23, "text": "不客气的", "role": "doctor"}, {"turn": 24, "text": "👌👌👌👌👌", "role": "doctor"}, {"turn": 25, "text": "😀😀", "role": "patient"}, {"turn": 26, "text": "医生我每天吃了泮托拉唑，硫糖铝，现在不吃了，吃奥美拉唑和左氧氟沙星是吗？", "role": "patient"}, {"turn": 27, "text": "对", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 730, "thread": [{"turn": 0, "text": "七个月半宝宝便秘怎么办 ，（女，7个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝便秘几天了？母乳喂养还是奶粉喂养。", "role": "doctor"}, {"turn": 2, "text": "两天，现在在慢慢断奶，混合喂养，奶粉多，母乳少，宝宝想拉大便，拉了好几次没拉出来", "role": "patient"}, {"turn": 3, "text": "嗯嗯，应该是吃奶粉的原因。可以吃点清火宝或者是临时吃点四磨汤口服液。可以给宝宝多喝水。", "role": "doctor"}, {"turn": 4, "text": "好的", "role": "patient"}, {"turn": 5, "text": "嗯嗯😊", "role": "doctor"}, {"turn": 6, "text": "我朋友让我每天给我宝宝吃一包妈咪爱或者益生菌，说是养胃就不会便秘了，可以吗?", "role": "patient"}, {"turn": 7, "text": "这个效果也不好的", "role": "doctor"}, {"turn": 8, "text": "怎么不好，益生菌或是妈咪爱不是也有治便秘的效果", "role": "patient"}, {"turn": 9, "text": "有，时间比较长", "role": "doctor"}, {"turn": 10, "text": "见效慢点", "role": "doctor"}, {"turn": 11, "text": "噢噢，可以天天吃吗，我听别人说不可以天天吃，有的又说可以", "role": "patient"}, {"turn": 12, "text": "什么药都不可以长时间吃", "role": "doctor"}, {"turn": 13, "text": "噢噢，我宝宝还有点掉头发，是什么原因?", "role": "patient"}, {"turn": 14, "text": "宝宝一岁之前吧，就是掉头发的，现在还不能称之为真正的头发可以说是胎毛，到一岁以后，随着更新那才是，真的头发。", "role": "doctor"}, {"turn": 15, "text": "宝宝刚拉了大便，但是大便好干，怎么办", "role": "patient"}, {"turn": 16, "text": "先让宝宝多喝水，买点四磨汤口服液吧。", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "我宝宝现在头好烫，身上不烫，这是为什么", "role": "patient"}, {"turn": 19, "text": "量个体温看看呢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 731, "thread": [{"turn": 0, "text": "宝宝便秘了，吃什么药（女，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝吃母乳还是奶粉？大便几天拉一次呢", "role": "doctor"}, {"turn": 2, "text": "吃母乳", "role": "patient"}, {"turn": 3, "text": "三四天拉一次", "role": "patient"}, {"turn": 4, "text": "拉粑粑时哭的特别厉害", "role": "patient"}, {"turn": 5, "text": "拉出来干不干，难拉不难拉呢", "role": "doctor"}, {"turn": 6, "text": "干", "role": "patient"}, {"turn": 7, "text": "可以益生菌比妈咪爱或者四磨汤口服液吃点调理肠胃看看，宝妈自己清淡饮食", "role": "doctor"}, {"turn": 8, "text": "我家宝宝两个月，我认为难拉，拉的粑粑特别干，宝宝哭的很厉害", "role": "patient"}, {"turn": 9, "text": "嗯，那就先吃点调理肠胃看看的", "role": "doctor"}, {"turn": 10, "text": "妈咪爱不是治拉肚子的么", "role": "patient"}, {"turn": 11, "text": "可以调理便秘的，益生菌🈶️双向调节作用的", "role": "doctor"}, {"turn": 12, "text": "我去药店买，告诉我孩子太小了，不能吃妈咪爱", "role": "patient"}, {"turn": 13, "text": "妈咪爱新生儿都可以吃的", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢大夫", "role": "patient"}, {"turn": 15, "text": "不客气的哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 732, "thread": [{"turn": 0, "text": "宝宝便秘肚子有硬块怎么办（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，请问大便多久一次？摸到了肚子里面的硬块吗", "role": "doctor"}, {"turn": 2, "text": "这几天基本天天会有一次 但是每次就一点点", "role": "patient"}, {"turn": 3, "text": "又干又硬", "role": "patient"}, {"turn": 4, "text": "两天拉一次 每次拉都是哭闹 一大块堵在肛门处拉不出来", "role": "patient"}, {"turn": 5, "text": "宝宝的主要饮食是什么", "role": "doctor"}, {"turn": 6, "text": "母乳 加上软饭等辅食", "role": "patient"}, {"turn": 7, "text": "今天摸到小腹有硬块", "role": "patient"}, {"turn": 8, "text": "孩子这种情况应该是食积导致的，建议您吃点四磨汤或者乳果糖之类的通便的", "role": "doctor"}, {"turn": 9, "text": "然后这几天不要吃太多，多吃些容易消化的，还有蔬菜水果，粗纤维食物", "role": "doctor"}, {"turn": 10, "text": "那肚子有硬块需要马上用开塞露吗？", "role": "patient"}, {"turn": 11, "text": "开塞露也是通便的，", "role": "doctor"}, {"turn": 12, "text": "不一定就是立即的", "role": "doctor"}, {"turn": 13, "text": "主要是要把肠道里面的大便排出来的", "role": "doctor"}, {"turn": 14, "text": "是的 就是摸到小腹有硬块 所以想问问需不需要助排一下", "role": "patient"}, {"turn": 15, "text": "我前面说了，可以吃点四磨汤或者乳果糖之类的通便的", "role": "doctor"}, {"turn": 16, "text": "开塞露都是临时用的", "role": "doctor"}, {"turn": 17, "text": "好的 那明天早上如果没拉的话是用乳果糖还是用开塞露？", "role": "patient"}, {"turn": 18, "text": "家长，我说的意思是买四磨汤或者乳果糖吃两天的。并没有建议用开塞露的", "role": "doctor"}, {"turn": 19, "text": "您不是说每次只拉一点点嘛，", "role": "doctor"}, {"turn": 20, "text": "要排出来，后面大便才会通畅的", "role": "doctor"}, {"turn": 21, "text": "好的 我只是比较着急肚子里的硬块 想着能快点排出来", "role": "patient"}, {"turn": 22, "text": "是的，我也是这个建议的", "role": "doctor"}, {"turn": 23, "text": "四磨汤和乳果糖10个月的宝宝吃多少计量？", "role": "patient"}, {"turn": 24, "text": "选择一种就够了的。按说明书吃", "role": "doctor"}, {"turn": 25, "text": "好的 吃了马上就会排吗？如果吃了两天没多大改善怎么办？", "role": "patient"}, {"turn": 26, "text": "根据情况，一般要吃两三天", "role": "doctor"}, {"turn": 27, "text": "那肚子里的硬块没问题吧？排出来就好了？", "role": "patient"}, {"turn": 28, "text": "是的，", "role": "doctor"}, {"turn": 29, "text": "平时需要怎么预防？", "role": "patient"}, {"turn": 30, "text": "她从小就容易便秘", "role": "patient"}, {"turn": 31, "text": "多吃蔬菜，多吃粗纤维食物，适当运动。不吃零食。", "role": "doctor"}, {"turn": 32, "text": "良好的排便习惯", "role": "doctor"}, {"turn": 33, "text": "好的", "role": "patient"}, {"turn": 34, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 733, "thread": [{"turn": 0, "text": "昨天打球脚扭伤了 立马肿起来了（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，24小时之内不要热敷，冷敷，过了24小时再热敷。", "role": "doctor"}, {"turn": 2, "text": "这些措施做了 就是晚上痛醒了", "role": "patient"}, {"turn": 3, "text": "非常痛 地都下不了", "role": "patient"}, {"turn": 4, "text": "脚抬高，脚和小腿垫成一个斜面。", "role": "doctor"}, {"turn": 5, "text": "家里有什么药，布洛芬有吗？可以吃上。", "role": "doctor"}, {"turn": 6, "text": "疼的特别重的话，明天去拍个片子。", "role": "doctor"}, {"turn": 7, "text": "昨天下午扭了之后就肿了 但是还可以受点力 现在是地都下不了 内侧外侧都肿了 但是没有发青发紫", "role": "patient"}, {"turn": 8, "text": "脚踝也不能动 非常的痛", "role": "patient"}, {"turn": 9, "text": "扭伤之后又下地走路了？软组织损伤会加重的。", "role": "doctor"}, {"turn": 10, "text": "会不会骨折和韧带撕裂", "role": "patient"}, {"turn": 11, "text": "疼痛特别重的话不能除外的，需要限制活动，不下地，实在需要下地的话扶拐，脚不踩地，", "role": "doctor"}, {"turn": 12, "text": "口服洛索洛芬钠，草木犀流浸液片，盐酸替扎尼定", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "用三到五天，看下症状改善情况", "role": "doctor"}, {"turn": 15, "text": "准备明天去拍片", "role": "patient"}, {"turn": 16, "text": "拍个片子放心点儿。", "role": "doctor"}, {"turn": 17, "text": "最后不要伤到骨头", "role": "patient"}, {"turn": 18, "text": "嗯，那最好，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 734, "thread": [{"turn": 0, "text": "排精有血怎么会造成细菌 感染（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好。请问有什么不舒服症状？", "role": "doctor"}, {"turn": 2, "text": "开静音雪，考虑是有精囊炎。", "role": "doctor"}, {"turn": 3, "text": "排精有血", "role": "doctor"}, {"turn": 4, "text": "嗯", "role": "patient"}, {"turn": 5, "text": "那什么引起的", "role": "patient"}, {"turn": 6, "text": "你可以做一个精囊B超和精液常规检查确定。", "role": "doctor"}, {"turn": 7, "text": "不良的生活习惯，比如久坐辛辣刺激食物，不洁净的性生活。", "role": "doctor"}, {"turn": 8, "text": "是精囊炎的话严重吗", "role": "patient"}, {"turn": 9, "text": "我老公经常久坐", "role": "patient"}, {"turn": 10, "text": "其它都挺好的生活习惯", "role": "patient"}, {"turn": 11, "text": "这能治愈吗？才发现的昨晚", "role": "patient"}, {"turn": 12, "text": "他说有无力感", "role": "patient"}, {"turn": 13, "text": "在吗", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "建议到医院做个，精液常规检查。和前列腺精囊彩超，是前列腺炎还是精囊炎。", "role": "doctor"}, {"turn": 16, "text": "口服左氧氟沙星，", "role": "doctor"}, {"turn": 17, "text": "今天小便出血了", "role": "patient"}, {"turn": 18, "text": "有没有尿急尿痛？", "role": "doctor"}, {"turn": 19, "text": "头孢克亏胶囊", "role": "patient"}, {"turn": 20, "text": "可以吗", "role": "patient"}, {"turn": 21, "text": "呆会问一下他在忙", "role": "patient"}, {"turn": 22, "text": "最近几天尿痛", "role": "patient"}, {"turn": 23, "text": "考虑有泌尿系感染。", "role": "doctor"}, {"turn": 24, "text": "精囊炎前列腺炎和泌尿系感染常合并感染。", "role": "doctor"}, {"turn": 25, "text": "那么严重", "role": "patient"}, {"turn": 26, "text": "怎么治疗", "role": "patient"}, {"turn": 27, "text": "不是严重，只是有可能像合并感染。可以多喝水，勤排尿，不要久坐，多锻炼，嗯保持清洁卫生。", "role": "doctor"}, {"turn": 28, "text": "建议口服左氧氟沙星。", "role": "doctor"}, {"turn": 29, "text": "必要的时候到泌尿外科就诊", "role": "doctor"}, {"turn": 30, "text": "嗯", "role": "patient"}, {"turn": 31, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 735, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：胸口疼，咳嗽（男，13岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "两天左右", "role": "patient"}, {"turn": 3, "text": "有没有发烧？", "role": "doctor"}, {"turn": 4, "text": "有没有咳痰？", "role": "doctor"}, {"turn": 5, "text": "刚开始是咳嗽，后是用力呼吸疼痛，现在普通呼吸疼痛", "role": "patient"}, {"turn": 6, "text": "有咳痰", "role": "patient"}, {"turn": 7, "text": "没发烧", "role": "patient"}, {"turn": 8, "text": "躺下胸口会很疼痛，", "role": "patient"}, {"turn": 9, "text": "病人是13岁吗", "role": "doctor"}, {"turn": 10, "text": "还有点呼吸困难", "role": "patient"}, {"turn": 11, "text": "做什么检查没有？", "role": "doctor"}, {"turn": 12, "text": "最近吃过的药物有：感冒药，健胃消食片", "role": "patient"}, {"turn": 13, "text": "这种情况考虑呼吸系统有炎症的", "role": "doctor"}, {"turn": 14, "text": "需要检查胸片或者胸部CT", "role": "doctor"}, {"turn": 15, "text": "还有点焦虑", "role": "patient"}, {"turn": 16, "text": "病人是13岁吗?", "role": "doctor"}, {"turn": 17, "text": "胸口疼现在有不有方法缓解呢", "role": "patient"}, {"turn": 18, "text": "嗯是", "role": "patient"}, {"turn": 19, "text": "这个考虑是炎症引起的", "role": "doctor"}, {"turn": 20, "text": "没办法缓解的", "role": "doctor"}, {"turn": 21, "text": "需要检查以后用消炎药", "role": "doctor"}, {"turn": 22, "text": "哦哦", "role": "patient"}, {"turn": 23, "text": "晚上睡觉躺下疼痛怎么办", "role": "patient"}, {"turn": 24, "text": "是不是不能躺下睡觉了", "role": "patient"}, {"turn": 25, "text": "躺下加重的话可以半卧位", "role": "doctor"}, {"turn": 26, "text": "需要尽早到医院救治吗", "role": "patient"}, {"turn": 27, "text": "是的", "role": "doctor"}, {"turn": 28, "text": ".", "role": "patient"}, {"turn": 29, "text": "最好及时检查，及时治疗", "role": "doctor"}, {"turn": 30, "text": "深呼吸非常疼痛怎么办", "role": "patient"}, {"turn": 31, "text": "这个前面已经说过了，考虑是炎症引起的，需要用消炎药", "role": "doctor"}, {"turn": 32, "text": "目前没有办法缓解", "role": "doctor"}, {"turn": 33, "text": "好的谢谢", "role": "patient"}, {"turn": 34, "text": "不客气", "role": "doctor"}, {"turn": 35, "text": "这种情况严重吗", "role": "patient"}, {"turn": 36, "text": "严重不严重检查后才知道", "role": "doctor"}, {"turn": 37, "text": "还有一件事，我这几天闻了很多烟燃烧后的气体，这是病源吗", "role": "patient"}, {"turn": 38, "text": "闻这个也可能有影响的", "role": "doctor"}, {"turn": 39, "text": "现在有黑边", "role": "doctor"}, {"turn": 40, "text": "现在有黑便", "role": "doctor"}, {"turn": 41, "text": "目前主要考虑还是炎症引起的", "role": "doctor"}, {"turn": 42, "text": "到医院挂什么科", "role": "patient"}, {"turn": 43, "text": "呼吸科", "role": "doctor"}, {"turn": 44, "text": "会进行手术医治吗", "role": "patient"}, {"turn": 45, "text": "一般不需要", "role": "doctor"}, {"turn": 46, "text": "哦哦，谢谢", "role": "patient"}, {"turn": 47, "text": "不客气", "role": "doctor"}, {"turn": 48, "text": "还有没有其他疑问？", "role": "doctor"}, {"turn": 49, "text": "没有了", "role": "patient"}, {"turn": 50, "text": "?", "role": "doctor"}, {"turn": 51, "text": "会做支气管镜吗", "role": "patient"}, {"turn": 52, "text": "一般不需要", "role": "doctor"}, {"turn": 53, "text": "治疗后不好转的话可能需要", "role": "doctor"}, {"turn": 54, "text": "肺炎严重吗", "role": "patient"}, {"turn": 55, "text": "大部分都不严重，少数比较严重", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 736, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：妇科（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "做完人流后现在是第六天，在服用优思悦，同房会怀孕吗", "role": "patient"}, {"turn": 3, "text": "优思悦吃了几粒了。", "role": "doctor"}, {"turn": 4, "text": "？", "role": "doctor"}, {"turn": 5, "text": "六粒", "role": "patient"}, {"turn": 6, "text": "没射里", "role": "patient"}, {"turn": 7, "text": "不会怀孕。", "role": "doctor"}, {"turn": 8, "text": "有多囊，排卵不规律", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "需要吗", "role": "patient"}, {"turn": 11, "text": "会怀孕吗", "role": "patient"}, {"turn": 12, "text": "吃避孕药期间是不会怀孕的。", "role": "doctor"}, {"turn": 13, "text": "优思悦不是七天才有效吗，而且有多囊排卵不规律", "role": "patient"}, {"turn": 14, "text": "避孕药可以抑制排卵。", "role": "doctor"}, {"turn": 15, "text": "随机吃的话，吃够三天就有避孕的效果。", "role": "doctor"}, {"turn": 16, "text": "好吧", "role": "patient"}, {"turn": 17, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 737, "thread": [{"turn": 0, "text": "脚背被砸到里面筋疼,哪方面的检查能做出筋的损伤（男，45岁）", "role": "patient"}, {"turn": 1, "text": "核磁共振可以，但是比较贵", "role": "doctor"}, {"turn": 2, "text": "那方面的可以做出筋的损伤", "role": "patient"}, {"turn": 3, "text": "核磁共振啊", "role": "doctor"}, {"turn": 4, "text": "我的脚背被那个中物砸伤，牵着胯骨的筋疼，大脚趾与二脚趾之间，现在一个月了，需要做什么检查？", "role": "patient"}, {"turn": 5, "text": "脚一般不会牵起胯骨的筋痛的", "role": "doctor"}, {"turn": 6, "text": "首先你要去拍个x片看看有没骨折", "role": "doctor"}, {"turn": 7, "text": "这个地方最容易出现骨折", "role": "doctor"}, {"turn": 8, "text": "比，比如B超的做不出来吗？拍照片了没有骨折。", "role": "patient"}, {"turn": 9, "text": "然后如果你的每个脚趾都能翘的话筋一般问题不大", "role": "doctor"}, {"turn": 10, "text": "b超不太合适", "role": "doctor"}, {"turn": 11, "text": "像这种工伤，如何去鉴定？", "role": "patient"}, {"turn": 12, "text": "首先你要看病，确定伤情，再去司法鉴定所做伤情鉴定", "role": "doctor"}, {"turn": 13, "text": "核磁共振，是唯一的方法，可以鉴定出来的吗？", "role": "patient"}, {"turn": 14, "text": "核磁共振可以看到筋还有软组织的损伤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 738, "thread": [{"turn": 0, "text": "节食期间来月经为什么会便秘（女，38岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "还有别的不舒服吗？", "role": "doctor"}, {"turn": 3, "text": "节食期间，胃肠道功能已经紊乱，会出现便秘的", "role": "doctor"}, {"turn": 4, "text": "月经少，而且黑", "role": "patient"}, {"turn": 5, "text": "这哈是和节食有关系的", "role": "doctor"}, {"turn": 6, "text": "为什么要节食呢？", "role": "doctor"}, {"turn": 7, "text": "减肥", "role": "patient"}, {"turn": 8, "text": "减肥的话真的不需要那么控制饮食的", "role": "doctor"}, {"turn": 9, "text": "可以通过锻炼、适当的控制饮食来的", "role": "doctor"}, {"turn": 10, "text": "长期节食会是胃容量变小", "role": "doctor"}, {"turn": 11, "text": "现在月经少，还黑，怎么调理？？", "role": "patient"}, {"turn": 12, "text": "有没有痛经？", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "可以吃一些活血化淤的药物", "role": "doctor"}, {"turn": 15, "text": "药名是？？", "role": "patient"}, {"turn": 16, "text": "血府逐瘀颗粒", "role": "doctor"}, {"turn": 17, "text": "用不用吃月经不调的药", "role": "patient"}, {"turn": 18, "text": "或者乌鸡白凤丸", "role": "doctor"}, {"turn": 19, "text": "那还用喝红糖水吗？", "role": "patient"}, {"turn": 20, "text": "月经不调的药物可以不吃的", "role": "doctor"}, {"turn": 21, "text": "红糖水可以喝，不影响药物", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}, {"turn": 24, "text": "尽量不要刻意去节食", "role": "doctor"}, {"turn": 25, "text": "会影响胃功能的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 739, "thread": [{"turn": 0, "text": "扭伤撞伤，可以在立即贴氟比洛芬贴膏吗（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况可以的，不担心！", "role": "doctor"}, {"turn": 2, "text": "好的谢谢", "role": "patient"}, {"turn": 3, "text": "好，早日康复！", "role": "doctor"}, {"turn": 4, "text": "对了，医生我说一下我是怎么伤的，我也挺好奇的", "role": "patient"}, {"turn": 5, "text": "我坐在沙发上，要起身，然后左肩膀撞上茶几了，然后……", "role": "patient"}, {"turn": 6, "text": "疼吖，超级疼，疼了大概10多分钟", "role": "patient"}, {"turn": 7, "text": "不是肩膀疼", "role": "patient"}, {"turn": 8, "text": "是左半胸以下", "role": "patient"}, {"turn": 9, "text": "包括腋窝下面侧面", "role": "patient"}, {"turn": 10, "text": "超级疼", "role": "patient"}, {"turn": 11, "text": "后来就是左臂麻", "role": "patient"}, {"turn": 12, "text": "这个正常吗", "role": "patient"}, {"turn": 13, "text": "才看到，对不起，昨晚睡得有点早", "role": "doctor"}, {"turn": 14, "text": "这个正常的！", "role": "doctor"}, {"turn": 15, "text": "慢慢会好起来的", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 740, "thread": [{"turn": 0, "text": "医生你好，我最近一个月在擦一种护肤霜，可是最近一周觉得脸上一直发痒，也突然一下子长了很多红疹子，请问是什么问题？怎么解决呢？（女，35）", "role": "patient"}, {"turn": 1, "text": "您好，请提供照片让我看看具体情况。", "role": "doctor"}, {"turn": 2, "text": "我之前也长痘痘，但是不是这种发红发痒的症状", "role": "patient"}, {"turn": 3, "text": "能看清吗？", "role": "patient"}, {"turn": 4, "text": "照片有点模糊，不太清楚。", "role": "doctor"}, {"turn": 5, "text": "考虑是皮肤过敏引起的湿疹。", "role": "doctor"}, {"turn": 6, "text": "那怎么解决呢？", "role": "patient"}, {"turn": 7, "text": "因为一直发痒，也挺红的，挺难受的，有没有很好的药你推荐一下", "role": "patient"}, {"turn": 8, "text": "我也有点着急", "role": "patient"}, {"turn": 9, "text": "医生看到请回复一下，谢谢", "role": "patient"}, {"turn": 10, "text": "你能推荐效果好的药吗？", "role": "patient"}, {"turn": 11, "text": "？", "role": "patient"}, {"turn": 12, "text": "可以口服抗过敏药：氯雷他定片，复方甘草酸苷胶囊，外涂地奈德乳膏。", "role": "doctor"}, {"turn": 13, "text": "停用化妆品", "role": "doctor"}, {"turn": 14, "text": "忌酒辣椒海鲜", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 741, "thread": [{"turn": 0, "text": "头皮挫伤一个四厘米一个五厘米（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "现在想咨询什么问题？", "role": "doctor"}, {"turn": 3, "text": "打架致人头部挫伤一个四厘米一个五厘米，算轻伤害吗", "role": "patient"}, {"turn": 4, "text": "这个属于法医的范畴，不是临床医生决定的", "role": "doctor"}, {"turn": 5, "text": "但是据我所知，应该不算", "role": "doctor"}, {"turn": 6, "text": "轻伤害，也要伤的比较严重的", "role": "doctor"}, {"turn": 7, "text": "头皮挫伤一个四厘米一个五厘米，算伤害罪吗", "role": "patient"}, {"turn": 8, "text": "你说得对，麻烦医生了", "role": "patient"}, {"turn": 9, "text": "不至于定罪", "role": "doctor"}, {"turn": 10, "text": "好的谢谢医生，那你说住院已经十二天了，还有必要吗", "role": "patient"}, {"turn": 11, "text": "没听懂", "role": "doctor"}, {"turn": 12, "text": "什么有必要吗？", "role": "doctor"}, {"turn": 13, "text": "有必要住院吗", "role": "patient"}, {"turn": 14, "text": "已经住了十二天了", "role": "patient"}, {"turn": 15, "text": "单纯皮外伤，是不需要住院的", "role": "doctor"}, {"turn": 16, "text": "但是不知道有没有其他问题", "role": "doctor"}, {"turn": 17, "text": "没有CT核磁共振也做了好着呢", "role": "patient"}, {"turn": 18, "text": "那就不知道了，如果没有问题，医生也会让他出院的啊", "role": "doctor"}, {"turn": 19, "text": "我们这儿的医院没有医德只顾着挣钱", "role": "patient"}, {"turn": 20, "text": "关键，没有疾病，不需要治疗，赚不到钱啊😓", "role": "doctor"}, {"turn": 21, "text": "又不是旅馆，每天只收床位费，赚不到钱", "role": "doctor"}, {"turn": 22, "text": "哎营养针打了十几天一天500多元呢", "role": "patient"}, {"turn": 23, "text": "💔", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 742, "thread": [{"turn": 0, "text": "解脲支原体引起的角膜炎（女，39岁）你好，我解脲支原体引起的角膜炎，请问买什么眼药水啊在吗", "role": "patient"}, {"turn": 1, "text": "你好！可以使用红霉素眼膏", "role": "doctor"}, {"turn": 2, "text": "眼药水可以滴滴左氧氟沙星滴眼液。", "role": "doctor"}, {"turn": 3, "text": "我用左氧氟沙星为什么眼睛痒的厉害？", "role": "patient"}, {"turn": 4, "text": "红霉素眼膏是往眼睛里面滴的吗？", "role": "patient"}, {"turn": 5, "text": "红霉素眼膏涂在眼皮与眼球中间的空间", "role": "doctor"}, {"turn": 6, "text": "还有这个解脲支原体会不会引起角膜炎是？", "role": "patient"}, {"turn": 7, "text": "吧", "role": "patient"}, {"turn": 8, "text": "如果短暂的几秒钟就过去啦，没关系，如果一直痒的话可以更换一个滴眼液。", "role": "doctor"}, {"turn": 9, "text": "比如妥布霉素滴眼液。", "role": "doctor"}, {"turn": 10, "text": "是可以引起角膜炎的。", "role": "doctor"}, {"turn": 11, "text": "这个是不是很难治疗好。", "role": "patient"}, {"turn": 12, "text": "我感染已经一个月了。", "role": "patient"}, {"turn": 13, "text": "需要输液打针吗？", "role": "patient"}, {"turn": 14, "text": "有去医院检查过吗？", "role": "doctor"}, {"turn": 15, "text": "这个看病情的轻重吧。", "role": "doctor"}, {"turn": 16, "text": "那这个解脲支原体会不会引起咽喉炎？", "role": "patient"}, {"turn": 17, "text": "我咽喉也不舒服。", "role": "patient"}, {"turn": 18, "text": "查过。", "role": "patient"}, {"turn": 19, "text": "但是经过治疗已经转阴了呀！", "role": "patient"}, {"turn": 20, "text": "那这个是不是后遗症呢？", "role": "patient"}, {"turn": 21, "text": "现在主要什么症状呀？", "role": "doctor"}, {"turn": 22, "text": "我现在有时膝关节疼，角膜炎。咽喉炎。", "role": "patient"}, {"turn": 23, "text": "这个解脲支原体后遗症是不是就治不好了呀？", "role": "patient"}, {"turn": 24, "text": "治疗了一年半了。", "role": "patient"}, {"turn": 25, "text": "死的心都有了。", "role": "patient"}, {"turn": 26, "text": "角膜炎，如果当时治疗及时的话是可以治愈的，如果位置比较深的话可能会引起角膜白斑。影响视力遗留一定的后遗症。", "role": "doctor"}, {"turn": 27, "text": "但我这已经有一个月了", "role": "patient"}, {"turn": 28, "text": "还能治疗好嘛", "role": "patient"}, {"turn": 29, "text": "这个得让医生检查一下才能评估，单纯咨询的话不好判断。", "role": "doctor"}, {"turn": 30, "text": "红霉素软膏是吧", "role": "patient"}, {"turn": 31, "text": "眼膏，不是软膏", "role": "doctor"}, {"turn": 32, "text": "我先用试试", "role": "patient"}, {"turn": 33, "text": "嗯嗯", "role": "patient"}, {"turn": 34, "text": "好的", "role": "doctor"}, {"turn": 35, "text": "你接受的患者", "role": "patient"}, {"turn": 36, "text": "里面有没有我这个症状的呀", "role": "patient"}, {"turn": 37, "text": "有要输液打针的嘛", "role": "patient"}, {"turn": 38, "text": "医生", "role": "patient"}, {"turn": 39, "text": "是不是红霉素眼膏基本都能治疗好", "role": "patient"}, {"turn": 40, "text": "我们这一级的医院，查不了病原体。角膜炎的病人，除了局部治疗，有的也是需要全身用药的。", "role": "doctor"}, {"turn": 41, "text": "支原体对红霉素类的药物还是比较敏感的。", "role": "doctor"}, {"turn": 42, "text": "好的呢", "role": "patient"}, {"turn": 43, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 743, "thread": [{"turn": 0, "text": "丝状角膜炎头疼是怎么回事（男，41岁）", "role": "patient"}, {"turn": 1, "text": "您好，去医院眼科检查过吗？", "role": "doctor"}, {"turn": 2, "text": "检查过了", "role": "patient"}, {"turn": 3, "text": "眼疼带的吧", "role": "doctor"}, {"turn": 4, "text": "怎么缓解头疼", "role": "patient"}, {"turn": 5, "text": "吃点布洛芬", "role": "doctor"}, {"turn": 6, "text": "上眼皮肿了，睁不开眼睛", "role": "patient"}, {"turn": 7, "text": "涂红霉素眼膏", "role": "doctor"}, {"turn": 8, "text": "医院给开的小牛血去蛋白提取物眼用凝胶，更昔洛韦滴眼液是针对角膜炎的吗", "role": "patient"}, {"turn": 9, "text": "是的", "role": "doctor"}, {"turn": 10, "text": "眼肿症状多长时间能缓解", "role": "patient"}, {"turn": 11, "text": "眼肿能不能吃点消炎药啊", "role": "patient"}, {"turn": 12, "text": "一周左右", "role": "doctor"}, {"turn": 13, "text": "吃阿莫西林", "role": "doctor"}, {"turn": 14, "text": "眼疼多长时间能缓解", "role": "patient"}, {"turn": 15, "text": "一周左右", "role": "doctor"}, {"turn": 16, "text": "饮食需要注意些什么吗", "role": "patient"}, {"turn": 17, "text": "清淡饮食", "role": "doctor"}, {"turn": 18, "text": "怕光怎么回事", "role": "patient"}, {"turn": 19, "text": "角膜炎的原因", "role": "doctor"}, {"turn": 20, "text": "需要住院治疗吗", "role": "patient"}, {"turn": 21, "text": "可以住院治疗", "role": "doctor"}, {"turn": 22, "text": "角膜炎对视力有影响吗", "role": "patient"}, {"turn": 23, "text": "当然会有影响", "role": "doctor"}, {"turn": 24, "text": "治好了还会有影响吗", "role": "patient"}, {"turn": 25, "text": "有可能还会的", "role": "doctor"}, {"turn": 26, "text": "病人有糖尿病，是并发症吗", "role": "patient"}, {"turn": 27, "text": "不是", "role": "doctor"}, {"turn": 28, "text": "什么原因造成的眼角膜", "role": "patient"}, {"turn": 29, "text": "病毒感染", "role": "doctor"}, {"turn": 30, "text": "一层膜撕掉了，多长时间能长出新膜", "role": "patient"}, {"turn": 31, "text": "两周左右", "role": "doctor"}, {"turn": 32, "text": "多长时间能彻底好", "role": "patient"}, {"turn": 33, "text": "这个病不能彻底好", "role": "doctor"}, {"turn": 34, "text": "还可能会复发", "role": "doctor"}, {"turn": 35, "text": "一般情况下多长时间能好", "role": "patient"}, {"turn": 36, "text": "一个月", "role": "doctor"}, {"turn": 37, "text": "好了以后需要注意些什么", "role": "patient"}, {"turn": 38, "text": "清淡饮食，注意休息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 744, "thread": [{"turn": 0, "text": "腰痛怎么办？也没有扭伤啊（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！腰痛有多长时间了？是腰两侧痛还是中间痛？", "role": "doctor"}, {"turn": 2, "text": "中间", "role": "patient"}, {"turn": 3, "text": "疼痛有多长时间了？", "role": "doctor"}, {"turn": 4, "text": "有1个多月吧", "role": "patient"}, {"turn": 5, "text": "有没有长期久坐弯腰负重的情况？", "role": "doctor"}, {"turn": 6, "text": "有久坐，工作原因，做的时间长些", "role": "patient"}, {"turn": 7, "text": "弯腰会不会疼痛加重？", "role": "doctor"}, {"turn": 8, "text": "会的，不敢用力弯腰", "role": "patient"}, {"turn": 9, "text": "目前症状表现看考虑腰椎小关节紊乱或者肌筋膜炎症引起的疼痛。", "role": "doctor"}, {"turn": 10, "text": "那怎么之间呢？", "role": "patient"}, {"turn": 11, "text": "治疗", "role": "patient"}, {"turn": 12, "text": "建议到医院推拿科让大夫查体确诊作作手法整脊推拿，治疗几次就会有所好转的。配合先吃点扶他林缓释片先止止痛。", "role": "doctor"}, {"turn": 13, "text": "好，扶他林怎么吃？是止痛的吗？", "role": "patient"}, {"turn": 14, "text": "是的，消炎止痛，按说明书上要求吃。", "role": "doctor"}, {"turn": 15, "text": "好吧。谢谢胡医生。", "role": "patient"}, {"turn": 16, "text": "针对本次问诊，医生更新了总结建议：早点去医院确诊及时治疗，平时避免久坐弯腰负重或搬抬重物，作作小燕子飞，练练倒走步，双手拉单杠，以加强腰背肌力量的锻炼，腰椎稳定性提高了就不容易患腰椎病了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 745, "thread": [{"turn": 0, "text": "诺弗沙星能治睪丸炎吗（男，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，诺氟沙星可以治疗睾丸炎", "role": "doctor"}, {"turn": 2, "text": "注意饮食清淡一些，少吃太辣的食物，尽量减少活动。", "role": "doctor"}, {"turn": 3, "text": "请问医生。右睪丸上有个硬块有性冲动就疼，小肚子也疼，还有压迫感，是睪丸炎吗", "role": "patient"}, {"turn": 4, "text": "考虑附睾炎可能性大", "role": "doctor"}, {"turn": 5, "text": "做过检查么", "role": "doctor"}, {"turn": 6, "text": "一疼痛就混身无力不愿意动，老想大便，老想撒尿", "role": "patient"}, {"turn": 7, "text": "没事检查", "role": "patient"}, {"turn": 8, "text": "可以口服左氧氟沙星和热淋清颗粒治疗", "role": "doctor"}, {"turn": 9, "text": "平时要注意日常调理，多喝水，勤排尿，多运动增强体质，少看色情电影，避免过度性生活和手淫，少食辛辣刺激性食物，少烟酒", "role": "doctor"}, {"turn": 10, "text": "有什么药治疗附睪炎的，我现试试", "role": "patient"}, {"turn": 11, "text": "可以口服左氧氟沙星和热淋清颗粒治疗", "role": "doctor"}, {"turn": 12, "text": "好的谢谢您医生", "role": "patient"}, {"turn": 13, "text": "不客气的", "role": "doctor"}, {"turn": 14, "text": "医生我有严重早泄，以前有手淫十几年了，现在正在戒掉，戒掉了早泄能好吗", "role": "patient"}, {"turn": 15, "text": "每周几次性生活，大概几分钟？", "role": "doctor"}, {"turn": 16, "text": "我常年不在家，很少性生活，都是靠手淫，以前一天五六次，现在戒了一个多月了，我想问一下戒掉手淫早泄能恢复吗", "role": "patient"}, {"turn": 17, "text": "可以的", "role": "doctor"}, {"turn": 18, "text": "平时注意日常调理:\n①减少手淫\n②多喝水，勤排尿\n③少吃辛辣刺激食物\n④多运动增强体质\n⑤少看情色图像\n⑥不要熬夜，保证充足睡眠，晚11点前休息。", "role": "doctor"}, {"turn": 19, "text": "好的谢谢了", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 746, "thread": [{"turn": 0, "text": "宝宝两个多月老是便秘怎么办（女，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "母乳喂养", "role": "patient"}, {"turn": 3, "text": "宝宝几天一次大便？", "role": "doctor"}, {"turn": 4, "text": "两三天", "role": "patient"}, {"turn": 5, "text": "这次都六天了还没拉", "role": "patient"}, {"turn": 6, "text": "肚子涨不涨", "role": "doctor"}, {"turn": 7, "text": "不胀", "role": "patient"}, {"turn": 8, "text": "之前出现过这种情况吗？", "role": "doctor"}, {"turn": 9, "text": "平时喝水多吗？", "role": "doctor"}, {"turn": 10, "text": "宝宝拉的便便一直都是稀的", "role": "patient"}, {"turn": 11, "text": "母乳喂养的宝宝一般都比较稀", "role": "doctor"}, {"turn": 12, "text": "喝的不多", "role": "patient"}, {"turn": 13, "text": "用过什么药？", "role": "doctor"}, {"turn": 14, "text": "之前也有一次六天才拉，拉了好多", "role": "patient"}, {"turn": 15, "text": "只从宝宝四十多天后就是一天拉一次我时候两三天拉一次", "role": "patient"}, {"turn": 16, "text": "之前吃了妈咪爱", "role": "patient"}, {"turn": 17, "text": "有点胃动力不好", "role": "doctor"}, {"turn": 18, "text": "吃妈咪爱有缓解吗？", "role": "doctor"}, {"turn": 19, "text": "好像没有", "role": "patient"}, {"turn": 20, "text": "建议吃培菲康试试", "role": "doctor"}, {"turn": 21, "text": "那怎么办", "role": "patient"}, {"turn": 22, "text": "用热毛巾热敷一下肚子，揉一揉肚子，如果涨，或者孩子哭闹就可以用小儿开塞露", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 747, "thread": [{"turn": 0, "text": "龋齿伤到牙神经但是有外界干扰才会痛（男，15岁）", "role": "patient"}, {"turn": 1, "text": "您好，能拍个照片看看吗？", "role": "doctor"}, {"turn": 2, "text": "拍不到的", "role": "patient"}, {"turn": 3, "text": "几年了", "role": "patient"}, {"turn": 4, "text": "除了吸他基本上都不疼", "role": "patient"}, {"turn": 5, "text": "冷热刺激疼吗", "role": "doctor"}, {"turn": 6, "text": "不怎么疼", "role": "patient"}, {"turn": 7, "text": "就是遇冷有点敏感", "role": "patient"}, {"turn": 8, "text": "那应该还没到牙神经，可以去口腔科拍个牙片看看。", "role": "doctor"}, {"turn": 9, "text": "但是好几年了哦", "role": "patient"}, {"turn": 10, "text": "这里的牙医说没得补了", "role": "patient"}, {"turn": 11, "text": "这边的设备10几年前的了", "role": "patient"}, {"turn": 12, "text": "已经拍牙片了吗还是", "role": "doctor"}, {"turn": 13, "text": "没拍", "role": "patient"}, {"turn": 14, "text": "用镜子看了", "role": "patient"}, {"turn": 15, "text": "就说不能补了", "role": "patient"}, {"turn": 16, "text": "但是以前有出血，现在没血出了", "role": "patient"}, {"turn": 17, "text": "如果不能治疗，那只能拔牙", "role": "doctor"}, {"turn": 18, "text": "但是当地医院是怎么说", "role": "patient"}, {"turn": 19, "text": "我们这里是镇级的", "role": "patient"}, {"turn": 20, "text": "嗯", "role": "doctor"}, {"turn": 21, "text": "但是不会说轻轻碰一下就疼", "role": "patient"}, {"turn": 22, "text": "门牙后面", "role": "patient"}, {"turn": 23, "text": "那他是怎么自说治疗的", "role": "doctor"}, {"turn": 24, "text": "设备太老，他说不能补", "role": "patient"}, {"turn": 25, "text": "这里除了补材料和镶嵌金属牙以及做假牙基本上没什么可以做的了", "role": "patient"}, {"turn": 26, "text": "那如果我到城市里面看还能不能补", "role": "patient"}, {"turn": 27, "text": "只要这个牙齿可以保留，你就可以去正规的口腔医院治疗。", "role": "doctor"}, {"turn": 28, "text": "现在也没有活动的迹象", "role": "patient"}, {"turn": 29, "text": "主要是得拍片看那个牙根儿是否可以保留", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 748, "thread": [{"turn": 0, "text": "咳嗽有痰出不来吃什么药（女，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "还有其他症状吗", "role": "doctor"}, {"turn": 3, "text": "混身酸疼，起来头晕", "role": "patient"}, {"turn": 4, "text": "流鼻涕鼻塞有吗", "role": "doctor"}, {"turn": 5, "text": "体温多少", "role": "doctor"}, {"turn": 6, "text": "咳嗽，咳不出痰，", "role": "patient"}, {"turn": 7, "text": "正常", "role": "patient"}, {"turn": 8, "text": "三天", "role": "patient"}, {"turn": 9, "text": "几天了", "role": "doctor"}, {"turn": 10, "text": "嗓子痒", "role": "patient"}, {"turn": 11, "text": "三四天", "role": "patient"}, {"turn": 12, "text": "不流鼻涕，也没有鼻塞", "role": "patient"}, {"turn": 13, "text": "下线了吗", "role": "patient"}, {"turn": 14, "text": "周围有人类似感冒症状吗", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "你的症状不能排除病毒性感冒", "role": "doctor"}, {"turn": 17, "text": "吃什么药啊", "role": "patient"}, {"turn": 18, "text": "用点连花清瘟胶囊", "role": "doctor"}, {"turn": 19, "text": "多喝点热水", "role": "doctor"}, {"turn": 20, "text": "效果不好就要去医院检查一下看看", "role": "doctor"}, {"turn": 21, "text": "我也不发烧啊", "role": "patient"}, {"turn": 22, "text": "不是一定发热", "role": "doctor"}, {"turn": 23, "text": "有时候是还没表现出来", "role": "doctor"}, {"turn": 24, "text": "我看说明书是治疗高热", "role": "patient"}, {"turn": 25, "text": "我这个是风寒感冒还是风热感冒呢", "role": "patient"}, {"turn": 26, "text": "西医不分风寒风热", "role": "doctor"}, {"turn": 27, "text": "只分病毒和细菌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 749, "thread": [{"turn": 0, "text": "七个月孩子五天了不拉大便咋办呢是不是便秘了", "role": "patient"}, {"turn": 1, "text": "您好，宝宝5天不排大便，考虑便秘了", "role": "doctor"}, {"turn": 2, "text": "怎么办呢", "role": "patient"}, {"turn": 3, "text": "先用开塞露通便，然后口服妈咪爱调节肠道菌群", "role": "doctor"}, {"turn": 4, "text": "好的", "role": "patient"}, {"turn": 5, "text": "益生菌可以么", "role": "patient"}, {"turn": 6, "text": "可以", "role": "doctor"}, {"turn": 7, "text": "网上说开塞露对小孩不好", "role": "patient"}, {"turn": 8, "text": "怎么不好？", "role": "doctor"}, {"turn": 9, "text": "刺激了肠胃", "role": "patient"}, {"turn": 10, "text": "开塞露是润滑剂，影响不大，", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "祝好", "role": "doctor"}, {"turn": 13, "text": "滴上了还不啦啊", "role": "patient"}, {"turn": 14, "text": "不是滴，是把开塞露半支挤入肛门内，然后用纸堵一会大便就出来了", "role": "doctor"}, {"turn": 15, "text": "还是不啦堵上也是往外躺", "role": "patient"}, {"turn": 16, "text": "如果仍不大便，就需要去医院检查一下，行腹部透视，，", "role": "doctor"}, {"turn": 17, "text": "不严重么，内科检查么", "role": "patient"}, {"turn": 18, "text": "是不是鸡蛋吃多了", "role": "patient"}, {"turn": 19, "text": "主要是排除有无肠梗阻", "role": "doctor"}, {"turn": 20, "text": "不明白你说严重吗。医院怎么处理", "role": "patient"}, {"turn": 21, "text": "宝5天未排大便，用开塞露通便后仍不排大便，防止有肠梗阻，建议查一下腹部x线，如果无肠梗阻，就最好了，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 750, "thread": [{"turn": 0, "text": "产后15天。便秘 排不出大便怎么办（女，22岁）", "role": "patient"}, {"turn": 1, "text": "多吃蔬菜水果，香蕉！", "role": "doctor"}, {"turn": 2, "text": "可以买开塞露放两个", "role": "doctor"}, {"turn": 3, "text": "月子里可以吃水果吗", "role": "patient"}, {"turn": 4, "text": "或者买乳果糖溶液喝都可以的", "role": "doctor"}, {"turn": 5, "text": "可以呀", "role": "doctor"}, {"turn": 6, "text": "肯定要补充营养", "role": "doctor"}, {"turn": 7, "text": "维生素等等", "role": "doctor"}, {"turn": 8, "text": "还用热热 水果吗", "role": "patient"}, {"turn": 9, "text": "不用啊", "role": "doctor"}, {"turn": 10, "text": "难道放锅头煮？", "role": "doctor"}, {"turn": 11, "text": "没这种讲究", "role": "doctor"}, {"turn": 12, "text": "可以喝常温的酸奶吗。那种粘稠的", "role": "patient"}, {"turn": 13, "text": "可以的！", "role": "doctor"}, {"turn": 14, "text": "但是等通便后再喝", "role": "doctor"}, {"turn": 15, "text": "便秘不喝", "role": "doctor"}, {"turn": 16, "text": "月子里喝常温的也没事是吗。顺产", "role": "patient"}, {"turn": 17, "text": "没事的", "role": "doctor"}, {"turn": 18, "text": "多喝水，吃蔬菜水果", "role": "doctor"}, {"turn": 19, "text": "一般产后恶露多久没有了啊。", "role": "patient"}, {"turn": 20, "text": "我现在一天有一天没有", "role": "patient"}, {"turn": 21, "text": "42天干净", "role": "doctor"}, {"turn": 22, "text": "42天要到医院复查。", "role": "doctor"}, {"turn": 23, "text": "你好，开塞露怎么用啊", "role": "patient"}, {"turn": 24, "text": "买成人的两支，直接挤到肛门里面，坚持5分钟就可以了", "role": "doctor"}, {"turn": 25, "text": "实在不懂，药店有说明书和图谱看", "role": "doctor"}, {"turn": 26, "text": "产后多久可以用塑身衣。", "role": "patient"}, {"turn": 27, "text": "产后就可以", "role": "doctor"}, {"turn": 28, "text": "但要看自己身体状况", "role": "doctor"}, {"turn": 29, "text": "可以做盆底康复治疗", "role": "doctor"}, {"turn": 30, "text": "穿塑身衣不会影响排恶露吗", "role": "patient"}, {"turn": 31, "text": "是等恶露没有了在穿，还是随时都可以穿。", "role": "patient"}, {"turn": 32, "text": "有恶露穿塑身衣，有影响吗。", "role": "patient"}, {"turn": 33, "text": "会使子宫恢复不好吗", "role": "patient"}, {"turn": 34, "text": "排恶露排不干净", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 751, "thread": [{"turn": 0, "text": "嗓子痒，有痰，咳嗽，大概两周多了，时好时坏", "role": "patient"}, {"turn": 1, "text": "请问痰是什么颜色的？", "role": "doctor"}, {"turn": 2, "text": "白色", "role": "patient"}, {"turn": 3, "text": "咳嗽的厉害吗？一般什么时候咳嗽？", "role": "doctor"}, {"turn": 4, "text": "有没有鼻塞流鼻涕？", "role": "doctor"}, {"turn": 5, "text": "吃过什么药吗？", "role": "doctor"}, {"turn": 6, "text": "一天都咳嗽，不厉害，有时候会鼻塞流涕", "role": "patient"}, {"turn": 7, "text": "之前吃过一次止咳糖浆，没坚持吃", "role": "patient"}, {"turn": 8, "text": "那你这个要继续吃药", "role": "doctor"}, {"turn": 9, "text": "可以配点蓝芩口服液吃", "role": "doctor"}, {"turn": 10, "text": "影响哺乳吗", "role": "patient"}, {"turn": 11, "text": "这个哺乳期可以用", "role": "doctor"}, {"turn": 12, "text": "多喝开水", "role": "doctor"}, {"turn": 13, "text": "不要吃生冷辛辣刺激东西", "role": "doctor"}, {"turn": 14, "text": "只吃蓝岑口服液就可以吗？", "role": "patient"}, {"turn": 15, "text": "你那不是还有止咳糖浆吗？", "role": "doctor"}, {"turn": 16, "text": "自己可以炖点雪梨加陈皮汤喝", "role": "doctor"}, {"turn": 17, "text": "好的，多谢大夫", "role": "patient"}, {"turn": 18, "text": "不用客气", "role": "doctor"}, {"turn": 19, "text": "有问题随时咨询", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 752, "thread": [{"turn": 0, "text": "母亲65岁，多年耳鸣耳聋（男，38岁）想给她买个助听器，什么品牌的适合?", "role": "patient"}, {"turn": 1, "text": "你好，这个都差不多的，真正要去试戴", "role": "doctor"}, {"turn": 2, "text": "几千到上万都有", "role": "doctor"}, {"turn": 3, "text": "想买个靠谱品牌", "role": "patient"}, {"turn": 4, "text": "品牌太多了，不知道怎么选", "role": "patient"}, {"turn": 5, "text": "您给推荐俩品牌，另外用不用先去医院看看耳朵到底什么问题?", "role": "patient"}, {"turn": 6, "text": "需要的，一般要做纯音测听和声导抗", "role": "doctor"}, {"turn": 7, "text": "先看一下耳朵听力的情况", "role": "doctor"}, {"turn": 8, "text": "好的", "role": "patient"}, {"turn": 9, "text": "关于助听器品牌呢?", "role": "patient"}, {"turn": 10, "text": "常见的西门子，瑞声达", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "好的，一定要自己去体验", "role": "doctor"}, {"turn": 13, "text": "觉得舒适了，再购买", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢", "role": "patient"}, {"turn": 15, "text": "好的👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 753, "thread": [{"turn": 0, "text": "耳鸣是什么原因引起的（男，46岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "左耳响有半年了", "role": "patient"}, {"turn": 3, "text": "平时血压，血脂的有问题", "role": "doctor"}, {"turn": 4, "text": "有问题吗？", "role": "doctor"}, {"turn": 5, "text": "都正常", "role": "patient"}, {"turn": 6, "text": "就是一直响个不停", "role": "patient"}, {"turn": 7, "text": "在医院看了几次没有看好", "role": "patient"}, {"turn": 8, "text": "有没有检查的结果呢？", "role": "doctor"}, {"turn": 9, "text": "吃过什么药治疗过呢", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "嗯，这种耳鸣的情况一般是耳部供血不足引起的", "role": "doctor"}, {"turn": 12, "text": "医生开的活血的药", "role": "patient"}, {"turn": 13, "text": "怎么办能治好吗", "role": "patient"}, {"turn": 14, "text": "是的，需要用上活血的", "role": "doctor"}, {"turn": 15, "text": "这种情况我建议可以吃中药调理治疗效果比较好", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "我做个检查大脑供血不足有关系吗", "role": "patient"}, {"turn": 18, "text": "有关系的", "role": "doctor"}, {"turn": 19, "text": "这也是主要的问题", "role": "doctor"}, {"turn": 20, "text": "请问长期这样危险吗", "role": "patient"}, {"turn": 21, "text": "我面诊的病人中像耳鸣的患者中药调理治疗效果不错的", "role": "doctor"}, {"turn": 22, "text": "这个到没什么危险的", "role": "doctor"}, {"turn": 23, "text": "哦", "role": "patient"}, {"turn": 24, "text": "😊👌", "role": "doctor"}, {"turn": 25, "text": "你可以帮我开个药方吗", "role": "patient"}, {"turn": 26, "text": "这里开不了的😢不好意思。", "role": "doctor"}, {"turn": 27, "text": "这种情况面诊比较好。比较针对", "role": "doctor"}, {"turn": 28, "text": "只要没有危险到生命就不怕", "role": "patient"}, {"turn": 29, "text": "这个可以放心的。不会的", "role": "doctor"}, {"turn": 30, "text": "谢谢了🙏", "role": "patient"}, {"turn": 31, "text": "不客气的😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 754, "thread": [{"turn": 0, "text": "五个月宝宝癲痫长大会好吗（女，5个月）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "确诊了吗", "role": "doctor"}, {"turn": 3, "text": "一共发作几次啦？", "role": "doctor"}, {"turn": 4, "text": "就今晚", "role": "patient"}, {"turn": 5, "text": "还没有去检查", "role": "patient"}, {"turn": 6, "text": "宝宝有什么异常？", "role": "doctor"}, {"turn": 7, "text": "看起来有点像抽筋眼睛向上看", "role": "patient"}, {"turn": 8, "text": "不到一分钟", "role": "patient"}, {"turn": 9, "text": "有点吐奶", "role": "patient"}, {"turn": 10, "text": "那肯定需要检查", "role": "doctor"}, {"turn": 11, "text": "身体抖动", "role": "patient"}, {"turn": 12, "text": "检查什么呢", "role": "patient"}, {"turn": 13, "text": "脑电图和脑部磁共振", "role": "doctor"}, {"turn": 14, "text": "就是需要排除下癫痫", "role": "doctor"}, {"turn": 15, "text": "医生就是有可能是癫痫吗", "role": "patient"}, {"turn": 16, "text": "有可能", "role": "doctor"}, {"turn": 17, "text": "县医院可不可以做这些检查", "role": "patient"}, {"turn": 18, "text": "可以", "role": "doctor"}, {"turn": 19, "text": "会不会很难治啊", "role": "patient"}, {"turn": 20, "text": "不过最好去大点的医院", "role": "doctor"}, {"turn": 21, "text": "去重庆吗", "role": "patient"}, {"turn": 22, "text": "三甲以上医院最好", "role": "doctor"}, {"turn": 23, "text": "噢", "role": "patient"}, {"turn": 24, "text": "尽快去", "role": "doctor"}, {"turn": 25, "text": "这个如果确诊了能治好吗", "role": "patient"}, {"turn": 26, "text": "大多都没问题", "role": "doctor"}, {"turn": 27, "text": "先不要考虑这个问题", "role": "doctor"}, {"turn": 28, "text": "是不是还不一定", "role": "doctor"}, {"turn": 29, "text": "三甲医院专家都要预约挂号", "role": "patient"}, {"turn": 30, "text": "也不一定的", "role": "doctor"}, {"turn": 31, "text": "心里太怕了", "role": "patient"}, {"turn": 32, "text": "如果是我要怎么办", "role": "patient"}, {"turn": 33, "text": "积极治疗", "role": "doctor"}, {"turn": 34, "text": "我在网上查了下都没有专家号了", "role": "patient"}, {"turn": 35, "text": "直接就可以去", "role": "doctor"}, {"turn": 36, "text": "不一定非要预约", "role": "doctor"}, {"turn": 37, "text": "治疗会好吗听她们讲这个病很难治的", "role": "patient"}, {"turn": 38, "text": "这个病很难治的", "role": "patient"}, {"turn": 39, "text": "是的", "role": "doctor"}, {"turn": 40, "text": "就是怕确诊了治不好", "role": "patient"}, {"turn": 41, "text": "大多没问题", "role": "doctor"}, {"turn": 42, "text": "谢谢医生", "role": "patient"}, {"turn": 43, "text": "有没有好点的三甲医院", "role": "patient"}, {"turn": 44, "text": "不客气", "role": "doctor"}, {"turn": 45, "text": "专业的儿童医院", "role": "doctor"}, {"turn": 46, "text": "有什么儿童医院比较好医生可以推荐下吗", "role": "patient"}, {"turn": 47, "text": "重庆就可以", "role": "doctor"}, {"turn": 48, "text": "就是重庆儿童医院吗", "role": "patient"}, {"turn": 49, "text": "对", "role": "doctor"}, {"turn": 50, "text": "谢谢医生", "role": "patient"}, {"turn": 51, "text": "不客气", "role": "doctor"}, {"turn": 52, "text": "祝健康", "role": "doctor"}, {"turn": 53, "text": "再见", "role": "doctor"}, {"turn": 54, "text": "再见", "role": "patient"}, {"turn": 55, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 755, "thread": [{"turn": 0, "text": "生完孩子有点便秘，好像肛裂了，怎么办", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题。", "role": "doctor"}, {"turn": 2, "text": "出血疼痛吗？", "role": "doctor"}, {"turn": 3, "text": "肛裂一般都是大便干引起的。", "role": "doctor"}, {"turn": 4, "text": "用过药吗？", "role": "doctor"}, {"turn": 5, "text": "没有用过", "role": "patient"}, {"turn": 6, "text": "刚开始疼，现在好多了。可是还是有点", "role": "patient"}, {"turn": 7, "text": "可以先用药缓解症状", "role": "doctor"}, {"turn": 8, "text": "用药影响喂奶吗", "role": "patient"}, {"turn": 9, "text": "用药缓解症状的同时，保持大便通畅，不要干了。", "role": "doctor"}, {"turn": 10, "text": "不影响，肛门外用药。", "role": "doctor"}, {"turn": 11, "text": "大便不干可不可以不用药，让它自己好", "role": "patient"}, {"turn": 12, "text": "成人的肛裂，一般自己不会好的。有可能暂时没有症状，但是不好愈合。", "role": "doctor"}, {"turn": 13, "text": "用什么药呢", "role": "patient"}, {"turn": 14, "text": "可以用金玄痔科熏洗散坐浴和熏洗，外用马应龙麝香痔疮膏。", "role": "doctor"}, {"turn": 15, "text": "好的，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气，祝健康！有什么不明白的，可以给我留言。", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "38天了恶露又有了怎么办", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 756, "thread": [{"turn": 0, "text": "咳嗽快一个月了没彻底好（女，32岁）", "role": "patient"}, {"turn": 1, "text": "没有吃过药或者去过医院，检查过吗", "role": "doctor"}, {"turn": 2, "text": "没检查过", "role": "patient"}, {"turn": 3, "text": "除了咳嗽，还有其他不舒服吗", "role": "doctor"}, {"turn": 4, "text": "有没有咳痰，发烧", "role": "doctor"}, {"turn": 5, "text": "吃了咽炎的药，和双黄连，开始声音都哑了，现在是偶尔干咳", "role": "patient"}, {"turn": 6, "text": "可以加一颗酮替芬", "role": "doctor"}, {"turn": 7, "text": "感觉有时候有白痰，早上有点黄痰，", "role": "patient"}, {"turn": 8, "text": "金嗓利咽丸也可以", "role": "doctor"}, {"turn": 9, "text": "然后用复方硼砂溶液漱口", "role": "doctor"}, {"turn": 10, "text": "我这是咽炎吗", "role": "patient"}, {"turn": 11, "text": "早上冷的时候偶尔有清鼻涕，中午就没事了", "role": "patient"}, {"turn": 12, "text": "可能是一个咽炎", "role": "doctor"}, {"turn": 13, "text": "或者支气管炎", "role": "doctor"}, {"turn": 14, "text": "哦就用说的那两样药吗", "role": "patient"}, {"turn": 15, "text": "可以", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 757, "thread": [{"turn": 0, "text": "尿痛 感觉尿道管有点挤不出来（男，25）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "尿道口有分泌物吗？", "role": "doctor"}, {"turn": 3, "text": "以前有这样情况吗", "role": "doctor"}, {"turn": 4, "text": "就近两天 没有分泌物 但是裤头上有", "role": "patient"}, {"turn": 5, "text": "没有这个状况", "role": "patient"}, {"turn": 6, "text": "尿频尿急有没有", "role": "doctor"}, {"turn": 7, "text": "最近有没有性生活，有不洁性生活史吗？", "role": "doctor"}, {"turn": 8, "text": "性生活有 可能有关系 这是前列腺还是什么症状呢", "role": "patient"}, {"turn": 9, "text": "可能尿路感染", "role": "doctor"}, {"turn": 10, "text": "之前没这种小便症状吧？", "role": "doctor"}, {"turn": 11, "text": "没有 应该是尿路感染 弄点消炎药即可吧", "role": "patient"}, {"turn": 12, "text": "可以的，吃一周左右", "role": "doctor"}, {"turn": 13, "text": "明白了谢谢医生", "role": "patient"}, {"turn": 14, "text": "不用谢，祝你早日康复。如果满意的话给我点个好评哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 758, "thread": [{"turn": 0, "text": "肛裂要用什么药比较好？（男，29岁）", "role": "patient"}, {"turn": 1, "text": "马应龙麝香痔疮膏外涂，美辛唑酮红古豆醇酯栓塞肛止痛止血。", "role": "doctor"}, {"turn": 2, "text": "美辛唑酮红古豆醇酯栓这个怎么用的", "role": "patient"}, {"turn": 3, "text": "塞肛门里面 一天两次 一次一个  止疼效果非常好", "role": "doctor"}, {"turn": 4, "text": "恩。是慢慢融化在里面吗？", "role": "patient"}, {"turn": 5, "text": "对", "role": "doctor"}, {"turn": 6, "text": "在普通的药房可以买到吗", "role": "patient"}, {"turn": 7, "text": "恩。是慢慢融化在里面吗？", "role": "patient"}, {"turn": 8, "text": "一两个小时就化了 吸收了", "role": "doctor"}, {"turn": 9, "text": "各地有差异", "role": "doctor"}, {"turn": 10, "text": "买不到就网络购药吧", "role": "doctor"}, {"turn": 11, "text": "在药房不一定能买到？", "role": "patient"}, {"turn": 12, "text": "我们这儿医院和当地都能买得到，我不知道你们当地能不能买得到。", "role": "doctor"}, {"turn": 13, "text": "恩。要多久才好", "role": "patient"}, {"turn": 14, "text": "用药一周到两周", "role": "doctor"}, {"turn": 15, "text": "如果症状不缓解，建议到医院手术", "role": "doctor"}, {"turn": 16, "text": "那怎么手术", "role": "patient"}, {"turn": 17, "text": "肛裂切除术，肛门内括约肌侧切术", "role": "doctor"}, {"turn": 18, "text": "那做完手术不是短时间不能上厕所？", "role": "patient"}, {"turn": 19, "text": "不是", "role": "doctor"}, {"turn": 20, "text": "术前灌肠", "role": "doctor"}, {"turn": 21, "text": "术后第二三天就可以排便", "role": "doctor"}, {"turn": 22, "text": "哦。小手术对吧", "role": "patient"}, {"turn": 23, "text": "对 小手术", "role": "doctor"}, {"turn": 24, "text": "一般多久会恢复", "role": "patient"}, {"turn": 25, "text": "三到四周", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 759, "thread": [{"turn": 0, "text": "你好，一岁多的宝宝半夜突然醒了然后哭 躺着喂奶不吃还是哭，也睡不着，抱着不哭，可以睡着放下就会醒然后哭，反反复复好几次怎么回事", "role": "patient"}, {"turn": 1, "text": "你好，宝宝大便正常吗？", "role": "doctor"}, {"turn": 2, "text": "正常，一天一便，有时稀有时干，宝宝消化不良", "role": "patient"}, {"turn": 3, "text": "排除宝宝有没有积食 惊吓和肠痉挛 肠套叠的情况", "role": "doctor"}, {"turn": 4, "text": "宝宝昨天几点排的大便", "role": "doctor"}, {"turn": 5, "text": "拉的大便不成形，吃进去的东西没有消化", "role": "patient"}, {"turn": 6, "text": "这种情况几天了？还是第一次", "role": "doctor"}, {"turn": 7, "text": "3点左右", "role": "patient"}, {"turn": 8, "text": "第一次", "role": "patient"}, {"turn": 9, "text": "白天宝宝精神状态好食欲好，白天没受惊吓，", "role": "patient"}, {"turn": 10, "text": "可能有惊吓", "role": "doctor"}, {"turn": 11, "text": "有惊吓要怎么办", "role": "patient"}, {"turn": 12, "text": "试着给宝宝捏脊5遍，清天河水5分钟，顺时针按揉腹部60下", "role": "doctor"}, {"turn": 13, "text": "前半夜宝宝睡的挺好的，后半夜就突然醒了然后大哭，抱着就睡会，放下就醒然后哭", "role": "patient"}, {"turn": 14, "text": "可能白天吓着了，夜里做恶梦，抱着睡吧，白天再观察", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 760, "thread": [{"turn": 0, "text": "肚子胀痛消化不良，还有点发烧（男，21岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您这种情况有多久了呢", "role": "doctor"}, {"turn": 2, "text": "昨天后半夜开始的", "role": "patient"}, {"turn": 3, "text": "肚子痛是昨天下午，", "role": "patient"}, {"turn": 4, "text": "拉肚子吗", "role": "doctor"}, {"turn": 5, "text": "具体那个部位疼？", "role": "doctor"}, {"turn": 6, "text": "不拉肚子", "role": "patient"}, {"turn": 7, "text": "这两天吃什么东西了？", "role": "doctor"}, {"turn": 8, "text": "肚脐上面", "role": "patient"}, {"turn": 9, "text": "咳嗽咳痰吗？", "role": "doctor"}, {"turn": 10, "text": "受凉了吗", "role": "doctor"}, {"turn": 11, "text": "昨天中午吃了点儿辣椒。", "role": "patient"}, {"turn": 12, "text": "不咳嗽。", "role": "patient"}, {"turn": 13, "text": "没有啊", "role": "patient"}, {"turn": 14, "text": "你好，根据你的病史目前主要考虑胃炎。建议奥美拉唑，吗丁啉治疗下。", "role": "doctor"}, {"turn": 15, "text": "配点什么药吃了", "role": "patient"}, {"turn": 16, "text": "用不用退烧药？", "role": "patient"}, {"turn": 17, "text": "多少度", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 761, "thread": [{"turn": 0, "text": "宝宝四天，妈妈便秘，宝宝拉豆瓣怎么办", "role": "patient"}, {"turn": 1, "text": "你好，宝宝是母乳喂养吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "纯母乳", "role": "patient"}, {"turn": 4, "text": "就是今天水喝的多了点", "role": "patient"}, {"turn": 5, "text": "宝宝可能是有点消化不良了", "role": "doctor"}, {"turn": 6, "text": "建议给宝宝吃点益生菌调理一下胃肠道", "role": "doctor"}, {"turn": 7, "text": "妈咪爱就可以了", "role": "doctor"}, {"turn": 8, "text": "一次三分之一袋", "role": "doctor"}, {"turn": 9, "text": "一天两次", "role": "doctor"}, {"turn": 10, "text": "温水或者放进奶粉里面都可以", "role": "doctor"}, {"turn": 11, "text": "关系不大的", "role": "doctor"}, {"turn": 12, "text": "我喝不就好了吗", "role": "patient"}, {"turn": 13, "text": "我便秘", "role": "patient"}, {"turn": 14, "text": "你也可以喝点", "role": "doctor"}, {"turn": 15, "text": "宝宝也要喝", "role": "doctor"}, {"turn": 16, "text": "你喝就吃布拉氏酵母散", "role": "doctor"}, {"turn": 17, "text": "小孩子喝哪种", "role": "patient"}, {"turn": 18, "text": "推荐下", "role": "patient"}, {"turn": 19, "text": "我喝的药店有吗", "role": "patient"}, {"turn": 20, "text": "有点", "role": "doctor"}, {"turn": 21, "text": "有的", "role": "doctor"}, {"turn": 22, "text": "小孩喝妈咪爱", "role": "doctor"}, {"turn": 23, "text": "你喝布拉氏酵母散散", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 762, "thread": [{"turn": 0, "text": "内痔二度，需要手术吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，什么症状，有没有出血、脱出？", "role": "doctor"}, {"turn": 2, "text": "刚出血两三次，没有脱出，不疼，", "role": "patient"}, {"turn": 3, "text": "怎么出血？滴血？还是喷射状出血？还是手纸有血？", "role": "doctor"}, {"turn": 4, "text": "手纸", "role": "patient"}, {"turn": 5, "text": "量多不多？", "role": "doctor"}, {"turn": 6, "text": "不多，很少", "role": "patient"}, {"turn": 7, "text": "需要手术吗？想问下你们平时是怎么检查判断有没有痔疮", "role": "patient"}, {"turn": 8, "text": "指诊+肛门镜", "role": "doctor"}, {"turn": 9, "text": "如果痔疮只有少量的出血不用手术", "role": "doctor"}, {"turn": 10, "text": "如果控制得好，多久才会发展到三度四度", "role": "patient"}, {"turn": 11, "text": "这个不一定", "role": "doctor"}, {"turn": 12, "text": "没有具体时间", "role": "doctor"}, {"turn": 13, "text": "而且每个人情况不一样", "role": "doctor"}, {"turn": 14, "text": "五年内是可以的吗", "role": "patient"}, {"turn": 15, "text": "如果控制得好，大便通畅", "role": "patient"}, {"turn": 16, "text": "这个不好说。", "role": "doctor"}, {"turn": 17, "text": "好吧", "role": "patient"}, {"turn": 18, "text": "临床上没有这么详细的统计", "role": "doctor"}, {"turn": 19, "text": "那不能自愈吧？", "role": "patient"}, {"turn": 20, "text": "而且每个人痔疮发张程度不一样", "role": "doctor"}, {"turn": 21, "text": "而且每个人痔疮发展程度不一样", "role": "doctor"}, {"turn": 22, "text": "平时需要注意什么", "role": "patient"}, {"turn": 23, "text": "养成良好的饮食习惯。少吃辛辣的食物。养成良好的排便习惯，大便保持成形，别干别稀。", "role": "doctor"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "痔疮很难自愈的", "role": "doctor"}, {"turn": 26, "text": "内痔和外痔  哪个严重", "role": "patient"}, {"turn": 27, "text": "看症状，", "role": "doctor"}, {"turn": 28, "text": "表现不一样，不好比较", "role": "doctor"}, {"turn": 29, "text": "外痔主要是异物感、疼痛。内痔主要是便血、脱出。", "role": "doctor"}, {"turn": 30, "text": "好的，谢谢您的回答", "role": "patient"}, {"turn": 31, "text": "不客气", "role": "doctor"}, {"turn": 32, "text": "可以先用药治疗观察观察，但需要检查确认。", "role": "doctor"}, {"turn": 33, "text": "对了，便血次数两三次 ，无疼痛，我这症状是二度？不是一度吗", "role": "patient"}, {"turn": 34, "text": "一度", "role": "doctor"}, {"turn": 35, "text": "医生指诊说是二度", "role": "patient"}, {"turn": 36, "text": "挺年轻的住院医师", "role": "patient"}, {"turn": 37, "text": "二期应该有脱出了", "role": "doctor"}, {"turn": 38, "text": "二度应该有脱出了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 763, "thread": [{"turn": 0, "text": "病毒性角膜炎口服抗病毒药物可以吗！（男，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，病毒性角膜炎症来说，还是要以滴用眼药水为主", "role": "doctor"}, {"turn": 2, "text": "滴的有啊就是治不好啊", "role": "patient"}, {"turn": 3, "text": "发病多久了？", "role": "doctor"}, {"turn": 4, "text": "两三周了", "role": "patient"}, {"turn": 5, "text": "这是复发过的", "role": "patient"}, {"turn": 6, "text": "好了两三年复发了", "role": "patient"}, {"turn": 7, "text": "复发时比上一次严重", "role": "patient"}, {"turn": 8, "text": "病毒性角膜炎就是复发问题", "role": "doctor"}, {"turn": 9, "text": "复发时肉眼就能看到了", "role": "patient"}, {"turn": 10, "text": "都爆起来了", "role": "patient"}, {"turn": 11, "text": "如果已经两三周了症状缓解不明显，建议您还是加用静点抗病毒药物吧", "role": "doctor"}, {"turn": 12, "text": "口服药物效果并不是太好", "role": "doctor"}, {"turn": 13, "text": "什么是静点抗病毒药？", "role": "patient"}, {"turn": 14, "text": "医生给我拿的有氟米龙感觉减轻了", "role": "patient"}, {"turn": 15, "text": "更昔洛韦注射液每日两次静点", "role": "doctor"}, {"turn": 16, "text": "注射吗？", "role": "patient"}, {"turn": 17, "text": "打小针？", "role": "patient"}, {"turn": 18, "text": "是的", "role": "doctor"}, {"turn": 19, "text": "是静脉注射", "role": "doctor"}, {"turn": 20, "text": "这能静点好吗", "role": "patient"}, {"turn": 21, "text": "效果还是不错的", "role": "doctor"}, {"turn": 22, "text": "您同时需要滴用眼药水", "role": "doctor"}, {"turn": 23, "text": "点滴有副作用吗？", "role": "patient"}, {"turn": 24, "text": "任何药物都会有副作用的", "role": "doctor"}, {"turn": 25, "text": "需要点滴一周吗", "role": "patient"}, {"turn": 26, "text": "一般来说需要一周左右的", "role": "doctor"}, {"turn": 27, "text": "氟米龙要停用吗？", "role": "patient"}, {"turn": 28, "text": "不停", "role": "doctor"}, {"turn": 29, "text": "继续滴用", "role": "doctor"}, {"turn": 30, "text": "病毒角膜炎这么难好吗", "role": "patient"}, {"turn": 31, "text": "病毒性角膜炎是比较缠手的", "role": "doctor"}, {"turn": 32, "text": "有出什么特效药吗", "role": "patient"}, {"turn": 33, "text": "现在来说还没有的", "role": "doctor"}, {"turn": 34, "text": "应该口服也行吧", "role": "patient"}, {"turn": 35, "text": "口服省劲", "role": "patient"}, {"turn": 36, "text": "口服加滴眼效果应该强点", "role": "patient"}, {"turn": 37, "text": "您可以先口服一下试试看", "role": "doctor"}, {"turn": 38, "text": "药店都有卖吗？", "role": "patient"}, {"turn": 39, "text": "有的", "role": "doctor"}, {"turn": 40, "text": "这个不是紧缺药物", "role": "doctor"}, {"turn": 41, "text": "嗯", "role": "patient"}, {"turn": 42, "text": "吃阿昔洛韦好还是更昔洛韦好", "role": "patient"}, {"turn": 43, "text": "阿昔洛韦片", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 764, "thread": [{"turn": 0, "text": "打算再去补下牙 有四个蛀牙 一次能补完吗（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，时间上是可以的。", "role": "doctor"}, {"turn": 2, "text": "门牙之间有蛀牙了 不知道难弄吗", "role": "patient"}, {"turn": 3, "text": "请问一下您的蛀牙都是在同一侧吗？", "role": "doctor"}, {"turn": 4, "text": "然后就是最里面的牙齿两颗蛀牙在牙齿里面 一颗在侧面根部贴着牙床", "role": "patient"}, {"turn": 5, "text": "门牙不是太好处理，时间要长一点", "role": "doctor"}, {"turn": 6, "text": "补好容易掉吗 比较担心 以为就蛀牙了一点点 看上去会有黑色的，怕越来越多 补起来是不是要磨一个洞补", "role": "patient"}, {"turn": 7, "text": "可以一起补，一般补完牙后两个小时才能吃东西，建议早一点去，补了休息两个小时到饭点这种，四颗补下来可能要一个半小时左右", "role": "doctor"}, {"turn": 8, "text": "门牙缝里 吃东西影响大吗", "role": "patient"}, {"turn": 9, "text": "四颗要补那么久吗 普通门诊可以做不  一般是不是有时间限制", "role": "patient"}, {"turn": 10, "text": "没有时间限制牙，", "role": "doctor"}, {"turn": 11, "text": "可以做的", "role": "doctor"}, {"turn": 12, "text": "😊这样的吗，没去补过  那需要去挂专家号吗，一般门诊医生做这个会不会有区别", "role": "patient"}, {"turn": 13, "text": "补的美观之类的？", "role": "patient"}, {"turn": 14, "text": "嗯，要看医生细心不，有些年轻的也补的很好的，门牙一般要比色", "role": "doctor"}, {"turn": 15, "text": "水平差的做出来会有色差吗😱", "role": "patient"}, {"turn": 16, "text": "色差多少会有的，只能相近", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 765, "thread": [{"turn": 0, "text": "我家孩子一天一次大便就是干可是便秘了（女，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在多大？", "role": "doctor"}, {"turn": 2, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 3, "text": "每次排便费劲么", "role": "doctor"}, {"turn": 4, "text": "半年了", "role": "patient"}, {"turn": 5, "text": "不费劲", "role": "patient"}, {"turn": 6, "text": "四岁了", "role": "patient"}, {"turn": 7, "text": "这种情况不算便秘", "role": "doctor"}, {"turn": 8, "text": "体重怎么样", "role": "doctor"}, {"turn": 9, "text": "她大便有的时候还是羊屎蛋", "role": "patient"}, {"turn": 10, "text": "可以吃粗纤维蔬菜。水果。建议喝点酸奶", "role": "doctor"}, {"turn": 11, "text": "这都定不下来。。先别吃药了", "role": "doctor"}, {"turn": 12, "text": "有的时候还垃稀", "role": "patient"}, {"turn": 13, "text": "建议从饮食上调整。。实在不行吃点益生菌助消化", "role": "doctor"}, {"turn": 14, "text": "别吃凉的。", "role": "doctor"}, {"turn": 15, "text": "但她不是便秘吗", "role": "patient"}, {"turn": 16, "text": "我们认为便秘是三天以上。排便费劲", "role": "doctor"}, {"turn": 17, "text": "什么样的酸奶都可以喝吗", "role": "patient"}, {"turn": 18, "text": "我一只给她喝的是纯牛奶", "role": "patient"}, {"turn": 19, "text": "她每次大便两少", "role": "patient"}, {"turn": 20, "text": "饮料那种酸奶不建议", "role": "doctor"}, {"turn": 21, "text": "普通的。粘稠的都可以喝", "role": "doctor"}, {"turn": 22, "text": "可以先从饮食调整。四岁的孩子什么可以吃的蔬菜水果很多", "role": "doctor"}, {"turn": 23, "text": "就像胃动力和酸酸乳都可以喝吗", "role": "patient"}, {"turn": 24, "text": "这种是饮料", "role": "doctor"}, {"turn": 25, "text": "伊利蒙牛那种发酵的酸奶", "role": "doctor"}, {"turn": 26, "text": "她体重在35斤左右吧", "role": "patient"}, {"turn": 27, "text": "正常", "role": "doctor"}, {"turn": 28, "text": "好的，谢谢你了再见", "role": "patient"}, {"turn": 29, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 766, "thread": [{"turn": 0, "text": "7个月宝宝吃米粉便秘（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝几天大便一次呢？", "role": "doctor"}, {"turn": 2, "text": "我家宝宝一吃米粉就会便秘", "role": "patient"}, {"turn": 3, "text": "宝宝是母乳喂养的吗？", "role": "doctor"}, {"turn": 4, "text": "米粉确实是容易导致便秘的", "role": "doctor"}, {"turn": 5, "text": "吃奶粉就不会便秘", "role": "patient"}, {"turn": 6, "text": "米粉里面本身就含有益生菌，预防便秘的，但是量比较小", "role": "doctor"}, {"turn": 7, "text": "这样的话，就别吃米粉了，或者配合益生菌一起吃", "role": "doctor"}, {"turn": 8, "text": "连米饭都不敢给吃", "role": "patient"}, {"turn": 9, "text": "七个月可以吃小米粥", "role": "doctor"}, {"turn": 10, "text": "尽量吃些容易消化的", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "小孩子脾胃常虚，这是生理特点，就怕吃多，或者吃不消化，伤脾胃", "role": "doctor"}, {"turn": 13, "text": "我还想问一下我宝宝脚骨头经常响", "role": "patient"}, {"turn": 14, "text": "她脚一动就会响", "role": "patient"}, {"turn": 15, "text": "补钙呢吗？", "role": "doctor"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "补补钙吧，这也是出牙时期，需要更多的钙", "role": "doctor"}, {"turn": 18, "text": "问一下有没有影响啊", "role": "patient"}, {"turn": 19, "text": "考虑是缺钙", "role": "doctor"}, {"turn": 20, "text": "补钙就行，没什么影响", "role": "doctor"}, {"turn": 21, "text": "哦！那要补什么钙", "role": "patient"}, {"turn": 22, "text": "买碳酸钙吃最好", "role": "doctor"}, {"turn": 23, "text": "好，谢谢你医生", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 767, "thread": [{"turn": 0, "text": "两个月婴儿长期便秘怎么办（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "五天", "role": "patient"}, {"turn": 3, "text": "也喝了益生菌", "role": "patient"}, {"turn": 4, "text": "这一个多月都是四五天一次。拉绿色粑粑", "role": "patient"}, {"turn": 5, "text": "吐奶吗？大便怎么样？", "role": "doctor"}, {"turn": 6, "text": "睡觉踏实吗？", "role": "doctor"}, {"turn": 7, "text": "吐奶还好，也吐一点", "role": "patient"}, {"turn": 8, "text": "大便是绿色粑粑，不硬", "role": "patient"}, {"turn": 9, "text": "建议吃上小儿七星茶颗粒看看", "role": "doctor"}, {"turn": 10, "text": "睡觉老是醒，", "role": "patient"}, {"turn": 11, "text": "补充维生素D", "role": "doctor"}, {"turn": 12, "text": "那个是什么效果", "role": "patient"}, {"turn": 13, "text": "睡不太熟。考虑缺钙或者肚子不舒服有关系的", "role": "doctor"}, {"turn": 14, "text": "有吃", "role": "patient"}, {"turn": 15, "text": "接着补充上", "role": "doctor"}, {"turn": 16, "text": "一直在吃", "role": "patient"}, {"turn": 17, "text": "拉绿色粑粑正常吗", "role": "patient"}, {"turn": 18, "text": "母乳加奶粉喂养", "role": "patient"}, {"turn": 19, "text": "绿便考虑消化不好", "role": "doctor"}, {"turn": 20, "text": "需要怎样调理", "role": "patient"}, {"turn": 21, "text": "吃上小儿七星茶颗粒", "role": "doctor"}, {"turn": 22, "text": "益生菌还吃吗", "role": "patient"}, {"turn": 23, "text": "先别吃了，", "role": "doctor"}, {"turn": 24, "text": "额，", "role": "patient"}, {"turn": 25, "text": "药店都能买到吧", "role": "patient"}, {"turn": 26, "text": "那个是什么效果", "role": "patient"}, {"turn": 27, "text": "帮助消化", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 768, "thread": [{"turn": 0, "text": "膀胱全切是尿袋好还是直肠好（男，73岁）", "role": "patient"}, {"turn": 1, "text": "你好。各有利弊。如果能够做原位膀胱，更接近正常生理", "role": "doctor"}, {"turn": 2, "text": "因为肿瘤太大，医生建议全切了", "role": "patient"}, {"turn": 3, "text": "都说尿袋没有做一截直肠，会延误生命", "role": "patient"}, {"turn": 4, "text": "皮肤造口？", "role": "doctor"}, {"turn": 5, "text": "还没有确定手术方案，自己不了解，所以想问问您这方面的知识", "role": "patient"}, {"turn": 6, "text": "输尿管皮肤造口是最便捷的。不过需要终身带尿袋。", "role": "doctor"}, {"turn": 7, "text": "那个容易感染吗", "role": "patient"}, {"turn": 8, "text": "目前好像没有用直肠的", "role": "doctor"}, {"turn": 9, "text": "哦哦，以前是不是有？", "role": "patient"}, {"turn": 10, "text": "尿袋有感染风险，护理得当，风险也不大。我之前遇到一个全切了八年的，终身用尿袋，过得还挺好的", "role": "doctor"}, {"turn": 11, "text": "哦哦，那就好，看来后期护理相当重要", "role": "patient"}, {"turn": 12, "text": "有用回肠的，也就是尿流改道，皮肤上只有一个口，也是需要接尿袋", "role": "doctor"}, {"turn": 13, "text": "还有用结肠的，所谓屎尿共流，这种也有感染风险，一旦感染，处理起来麻烦", "role": "doctor"}, {"turn": 14, "text": "除了挂尿袋，也没有什么其他方法了是吗", "role": "patient"}, {"turn": 15, "text": "后期护理不好，经常上医院，很折腾的", "role": "doctor"}, {"turn": 16, "text": "如果不做新膀胱，都得尿袋储存尿液，不可能每时每刻上厕所", "role": "doctor"}, {"turn": 17, "text": "还可以做新膀胱？", "role": "patient"}, {"turn": 18, "text": "就是原位膀胱，用回肠。不过需要肿瘤分期早才行", "role": "doctor"}, {"turn": 19, "text": "哦哦，那好，我明白了，谢谢您百忙之中的解答，谢谢！！", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 769, "thread": [{"turn": 0, "text": "宝宝便秘要不要换奶粉（男，1岁8个月）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了", "role": "doctor"}, {"turn": 2, "text": "你好   一岁两三个月的时候   断断续续，有时候便秘吃点药就好了  ！", "role": "patient"}, {"turn": 3, "text": "那几天去医院做了彩超    医生让多喝水   多吃蔬菜    给开了点药   但是吃了还是便秘    有时候三四个天了  就给用点来塞露", "role": "patient"}, {"turn": 4, "text": "是从吃了这个奶粉就一直这样吗", "role": "doctor"}, {"turn": 5, "text": "奶粉最好喝那种含纤维素多的", "role": "doctor"}, {"turn": 6, "text": "可以吃益生菌", "role": "doctor"}, {"turn": 7, "text": "对   医院开了益生菌   但吃了这几天了还是没用", "role": "patient"}, {"turn": 8, "text": "没用的话可以喝乳果糖口服液", "role": "doctor"}, {"turn": 9, "text": "我是母乳喂养的  但是也给添了奶粉    一岁两个月的时候断奶了", "role": "patient"}, {"turn": 10, "text": "平时辅食让孩子多吃些含纤维素的蔬菜和水果，比如芹菜，西蓝花，黄瓜，橙子，火龙果", "role": "doctor"}, {"turn": 11, "text": "很多喝奶粉的孩子都便秘", "role": "doctor"}, {"turn": 12, "text": "嗯   不喜欢吃蔬菜   香蕉也不吃", "role": "patient"}, {"turn": 13, "text": "孩子生长发育怎么样", "role": "doctor"}, {"turn": 14, "text": "饭也不好好吃  一天就吃点奶粉   就几口饭", "role": "patient"}, {"turn": 15, "text": "身高80体重22斤", "role": "patient"}, {"turn": 16, "text": "平时可以补点锌", "role": "doctor"}, {"turn": 17, "text": "身高体重都有点低", "role": "doctor"}, {"turn": 18, "text": "一岁之前挺胖的    现在瘦了", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "patient"}, {"turn": 20, "text": "不拉的话   还有神马好办法吗", "role": "patient"}, {"turn": 21, "text": "喝乳果糖口服液", "role": "doctor"}, {"turn": 22, "text": "是润滑大便的", "role": "doctor"}, {"turn": 23, "text": "感觉用来塞露依耐性太强了", "role": "patient"}, {"turn": 24, "text": "平时肚子涨不涨", "role": "doctor"}, {"turn": 25, "text": "也可以用肥皂条", "role": "doctor"}, {"turn": 26, "text": "有专门宝宝喝的吗    药店不给买  说是大人的", "role": "patient"}, {"turn": 27, "text": "好的  不涨", "role": "patient"}, {"turn": 28, "text": "这个大人小孩都可以", "role": "doctor"}, {"turn": 29, "text": "这个会不会是奶粉的问题   我想给换个奶粉试试", "role": "patient"}, {"turn": 30, "text": "喝的水还挺多的一天", "role": "patient"}, {"turn": 31, "text": "买了健儿消食口服液   小儿七星茶  您看行吗", "role": "patient"}, {"turn": 32, "text": "要是从吃了这个奶粉就这样跟奶粉有关系", "role": "doctor"}, {"turn": 33, "text": "好的  谢谢解答", "role": "patient"}, {"turn": 34, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 770, "thread": [{"turn": 0, "text": "新生儿吃蒙脱石散便秘了怎么办（女，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "奶粉", "role": "patient"}, {"turn": 3, "text": "你好！首先是把蒙脱石散停掉", "role": "doctor"}, {"turn": 4, "text": "几天没有大便了？", "role": "doctor"}, {"turn": 5, "text": "前几天拉肚子  然后吃了妈咪爱 蒙脱石散  然后就便秘了", "role": "patient"}, {"turn": 6, "text": "这两个药都停了", "role": "doctor"}, {"turn": 7, "text": "几天没有大便了？", "role": "doctor"}, {"turn": 8, "text": "今天有拉一小点    都是使劲的拉出来", "role": "patient"}, {"turn": 9, "text": "嗯！可以的！", "role": "doctor"}, {"turn": 10, "text": "可以用开塞露灌肠试试", "role": "doctor"}, {"turn": 11, "text": "这么小也是可以的吗", "role": "patient"}, {"turn": 12, "text": "长时间不排大便，大便会有干结的，刚开始不好排，", "role": "doctor"}, {"turn": 13, "text": "是的", "role": "doctor"}, {"turn": 14, "text": "可以用的", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "用不用到医院看一下", "role": "patient"}, {"turn": 17, "text": "还是用开塞露就好", "role": "patient"}, {"turn": 18, "text": "可以先用开塞露试试", "role": "doctor"}, {"turn": 19, "text": "真不行了，去医院看看", "role": "doctor"}, {"turn": 20, "text": "好的  谢谢医生", "role": "patient"}, {"turn": 21, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 771, "thread": [{"turn": 0, "text": "耳鸣不通气一个星期不舒服（男，35岁）得骨多少次", "role": "patient"}, {"turn": 1, "text": "你好，鼓气能鼓通的话，就休息", "role": "doctor"}, {"turn": 2, "text": "这个是要看具体情况的", "role": "doctor"}, {"turn": 3, "text": "不同呢", "role": "patient"}, {"turn": 4, "text": "不通就继续鼓气", "role": "doctor"}, {"turn": 5, "text": "动作要轻柔", "role": "doctor"}, {"turn": 6, "text": "不怎么通", "role": "patient"}, {"turn": 7, "text": "好的", "role": "doctor"}, {"turn": 8, "text": "鼓气到5次还不通，就休息一会。", "role": "doctor"}, {"turn": 9, "text": "头都疼了鼓的", "role": "patient"}, {"turn": 10, "text": "那你可以休息一会", "role": "doctor"}, {"turn": 11, "text": "别太用力", "role": "doctor"}, {"turn": 12, "text": "别人在说话我只听到嗡嗡响了", "role": "patient"}, {"turn": 13, "text": "那你去医院做咽鼓管吹张把", "role": "doctor"}, {"turn": 14, "text": "这样效果比较明显", "role": "doctor"}, {"turn": 15, "text": "现在我回老家了去趟医院不容易", "role": "patient"}, {"turn": 16, "text": "我看看吧", "role": "patient"}, {"turn": 17, "text": "那我真不知道该怎么帮到你了", "role": "doctor"}, {"turn": 18, "text": "吃昨天的要也没有用", "role": "patient"}, {"turn": 19, "text": "那个已经反复和你说了", "role": "doctor"}, {"turn": 20, "text": "不是治疗咽鼓管不畅的。", "role": "doctor"}, {"turn": 21, "text": "昨天右边还好好的", "role": "patient"}, {"turn": 22, "text": "嗯", "role": "doctor"}, {"turn": 23, "text": "全身无力", "role": "patient"}, {"turn": 24, "text": "累了？", "role": "doctor"}, {"turn": 25, "text": "不知道。睡多了。生活不规律", "role": "patient"}, {"turn": 26, "text": "嗯，好吧，你慢慢把生物钟给改过来吧", "role": "doctor"}, {"turn": 27, "text": "得去大医院看看这样不行啊耳朵", "role": "patient"}, {"turn": 28, "text": "好的", "role": "doctor"}, {"turn": 29, "text": "去看看", "role": "doctor"}, {"turn": 30, "text": "这样比较稳妥", "role": "doctor"}, {"turn": 31, "text": "没有办法啊不好啊", "role": "patient"}, {"turn": 32, "text": "嗯，是啊", "role": "doctor"}, {"turn": 33, "text": "耳闷也是挺烦人的", "role": "doctor"}, {"turn": 34, "text": "只是没有见好。这样不是办法", "role": "patient"}, {"turn": 35, "text": "对的", "role": "doctor"}, {"turn": 36, "text": "复查一下鼻咽镜，声导抗，看看现在里面是什么情况", "role": "doctor"}, {"turn": 37, "text": "是不是咽鼓管口给堵了", "role": "doctor"}, {"turn": 38, "text": "像感冒一样声音出不来进不去", "role": "patient"}, {"turn": 39, "text": "嗯", "role": "doctor"}, {"turn": 40, "text": "知道的", "role": "doctor"}, {"turn": 41, "text": "烦啊这样", "role": "patient"}, {"turn": 42, "text": "😢", "role": "doctor"}, {"turn": 43, "text": "我不知道该怎么回答你", "role": "doctor"}, {"turn": 44, "text": "大哥，我实在没本事隔着几千公里给你治病啊", "role": "doctor"}, {"turn": 45, "text": "方法也告诉你了，建议也给了，你难受，我也不好过啊", "role": "doctor"}, {"turn": 46, "text": "明白", "role": "patient"}, {"turn": 47, "text": "先这样吧，把睡眠调整一下", "role": "doctor"}, {"turn": 48, "text": "白天尽量不睡觉，晚上睡", "role": "doctor"}, {"turn": 49, "text": "好吧。喷两天看看", "role": "patient"}, {"turn": 50, "text": "保证整体睡眠一天7到9个小时。", "role": "doctor"}, {"turn": 51, "text": "好", "role": "patient"}, {"turn": 52, "text": "好的，生活上也要注意别受凉，不要劳累，烟酒刺激注意避免，否则会加重的。", "role": "doctor"}, {"turn": 53, "text": "我没有饮酒抽烟习惯", "role": "patient"}, {"turn": 54, "text": "二手烟也要躲开", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 772, "thread": [{"turn": 0, "text": "宝宝便秘时,乳焦糖和益生菌需要吃多久（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝便秘多久了？", "role": "doctor"}, {"turn": 2, "text": "6个多月，有4、5天了", "role": "patient"}, {"turn": 3, "text": "宝宝喝母乳还是奶粉？", "role": "doctor"}, {"turn": 4, "text": "去医院看的时候配了乳焦糖和双杆益生菌", "role": "patient"}, {"turn": 5, "text": "母乳的", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "这个吃得时候会拉大便，软的，不吃的时候又不拉了", "role": "patient"}, {"turn": 8, "text": "这个的话要吃多久才能停，不然得话一直靠药物的，不会自助排便了", "role": "patient"}, {"turn": 9, "text": "这两个药啊，要给孩子吃上至少半个月。这是调节肠道菌群平衡的。", "role": "doctor"}, {"turn": 10, "text": "孩子便秘就是因为肠道菌群已经失调的原因。时间需要长一点来调节。", "role": "doctor"}, {"turn": 11, "text": "那我给宝宝添加米粉的话，要不要紧", "role": "patient"}, {"turn": 12, "text": "添加米粉会不会引起上火，使宝宝便秘", "role": "patient"}, {"turn": 13, "text": "暂时先别添加了。等便秘好一些了以后再添加辅食吧。", "role": "doctor"}, {"turn": 14, "text": "哦哦，好的", "role": "patient"}, {"turn": 15, "text": "👌", "role": "doctor"}, {"turn": 16, "text": "那给宝宝添加水果可以吗，苹果香蕉之类的", "role": "patient"}, {"turn": 17, "text": "这个可以，对了，香蕉一定是熟好的软软的，千万别用有点硬的，那种会加重便秘的", "role": "doctor"}, {"turn": 18, "text": "嗯嗯，好的，谢谢医生", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 773, "thread": [{"turn": 0, "text": "九个月宝宝添加辅食后便秘（，）", "role": "patient"}, {"turn": 1, "text": "现在添加什么辅食了？", "role": "doctor"}, {"turn": 2, "text": "粥，水果", "role": "patient"}, {"turn": 3, "text": "喂母乳", "role": "patient"}, {"turn": 4, "text": "之前单喂母乳的时候不便秘吗？", "role": "doctor"}, {"turn": 5, "text": "少吃水果", "role": "doctor"}, {"turn": 6, "text": "或蒸着吃", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "吃点蔬菜或菜汤", "role": "doctor"}, {"turn": 9, "text": "口服妈咪爱调理", "role": "doctor"}, {"turn": 10, "text": "益生菌可以吗，这两天喂的益生菌", "role": "patient"}, {"turn": 11, "text": "需不需要暂停添加辅食", "role": "patient"}, {"turn": 12, "text": "不需要", "role": "doctor"}, {"turn": 13, "text": "益生菌喂的什么样的？", "role": "doctor"}, {"turn": 14, "text": "不建议吃保健品", "role": "doctor"}, {"turn": 15, "text": "妈咪爱是药品", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 774, "thread": [{"turn": 0, "text": "便秘严重了会导致身体怎样?（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "您好，便秘多长时间了？", "role": "doctor"}, {"turn": 3, "text": "长期便秘 什么方法都用了 都不见效 现在怀孕了更严重", "role": "patient"}, {"turn": 4, "text": "嗯，你以前就便秘是吗？", "role": "doctor"}, {"turn": 5, "text": "几天一次大便？", "role": "doctor"}, {"turn": 6, "text": "是的", "role": "patient"}, {"turn": 7, "text": "差不多三到五天 甚至一周一次", "role": "patient"}, {"turn": 8, "text": "你平时饮食怎么样？", "role": "doctor"}, {"turn": 9, "text": "水喝的也不少", "role": "patient"}, {"turn": 10, "text": "导致便秘的因素有很多的，", "role": "doctor"}, {"turn": 11, "text": "有的人就是胃肠蠕动减慢，导致便秘，有的就是跟饮食有关，", "role": "doctor"}, {"turn": 12, "text": "那我是什么引起的呢", "role": "patient"}, {"turn": 13, "text": "建议你平时注意饮食不要吃太油腻的食物，多喝水，多吃水果蔬菜，多吃含纤维素的蔬菜", "role": "doctor"}, {"turn": 14, "text": "怎么来知道", "role": "patient"}, {"turn": 15, "text": "你平时饮食规律吗？", "role": "doctor"}, {"turn": 16, "text": "饮食上有没有荤素搭配，", "role": "doctor"}, {"turn": 17, "text": "挺好的 油腻的食物从来不吃", "role": "patient"}, {"turn": 18, "text": "长期久坐也会导致便秘", "role": "doctor"}, {"turn": 19, "text": "你有没有检查过或者吃过什么药物吗？", "role": "doctor"}, {"turn": 20, "text": "一般都已青菜为主 馒头也很少吃 多数喝稀饭", "role": "patient"}, {"turn": 21, "text": "都没有 以前用过开塞露", "role": "patient"}, {"turn": 22, "text": "嗯，那就考虑可能跟胃肠道的功能有关", "role": "doctor"}, {"turn": 23, "text": "你现在怀孕几个月了？", "role": "doctor"}, {"turn": 24, "text": "九个多月了", "role": "patient"}, {"turn": 25, "text": "嗯，建议现在从饮食上注意，等生下宝宝，在服用药物吧", "role": "doctor"}, {"turn": 26, "text": "多吃点火龙果，香蕉，喝点酸奶", "role": "doctor"}, {"turn": 27, "text": "用什么药能治好啊", "role": "patient"}, {"turn": 28, "text": "这个只能先调理胃肠功能", "role": "doctor"}, {"turn": 29, "text": "哦 谢谢医生", "role": "patient"}, {"turn": 30, "text": "你可以用乳酸菌片，这是调理肠道内环境的", "role": "doctor"}, {"turn": 31, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 775, "thread": [{"turn": 0, "text": "自行输液后晕倒了耳鸣舌头发麻（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "一个小时前", "role": "patient"}, {"turn": 3, "text": "输的左氧氟沙星", "role": "patient"}, {"turn": 4, "text": "建议立即去医院急诊看看为好的！", "role": "doctor"}, {"turn": 5, "text": "是不是输液速度太快了呢？第一次吗？", "role": "doctor"}, {"turn": 6, "text": "因为医院没床位又是晚上我就自己回来了，然后输完撤掉针有血出来，然后就觉得晕", "role": "patient"}, {"turn": 7, "text": "不是第一次输", "role": "patient"}, {"turn": 8, "text": "输液速度很慢", "role": "patient"}, {"turn": 9, "text": "哦！过去有过晕血吗？", "role": "doctor"}, {"turn": 10, "text": "我觉得晕了以后我就穿裤子说去医院，结果一下晕倒了，耳鸣，舌头发麻，恶心", "role": "patient"}, {"turn": 11, "text": "但是晕倒了几分钟，我就感觉恢复一点了", "role": "patient"}, {"turn": 12, "text": "现在头不晕了，就是舌头发麻，恶心", "role": "patient"}, {"turn": 13, "text": "过去没晕血", "role": "patient"}, {"turn": 14, "text": "输液打针都没有晕过血", "role": "patient"}, {"turn": 15, "text": "您好？", "role": "patient"}, {"turn": 16, "text": "还是去医院面诊看看为好的呢！", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "及时去医院看看为好的！也可能是体位性低血压导致的！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 776, "thread": [{"turn": 0, "text": "便秘了应该怎么办。拉的干粑粑。 （女，0）", "role": "patient"}, {"turn": 1, "text": "宝宝多大，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一岁了。  就这两天", "role": "patient"}, {"turn": 3, "text": "拉粑粑的时候还哭", "role": "patient"}, {"turn": 4, "text": "几天排一次大便？", "role": "doctor"}, {"turn": 5, "text": "大便有血丝吗？", "role": "doctor"}, {"turn": 6, "text": "每天都会拉。 但是这两天就是干干的   拉的时候会哭。没有血丝", "role": "patient"}, {"turn": 7, "text": "宝宝是母乳还是喝奶粉？", "role": "doctor"}, {"turn": 8, "text": "奶粉", "role": "patient"}, {"turn": 9, "text": "断奶有一个月了", "role": "patient"}, {"turn": 10, "text": "宝宝喝奶粉容易上火，容易引起便秘的症状。", "role": "doctor"}, {"turn": 11, "text": "建议给宝宝适量喝些酸奶，可以缓解便秘的症状，给宝宝多顺时针按摩腹部，可以口服小儿七星茶颗粒或王氏保赤丸、妈咪爱药物治疗。", "role": "doctor"}, {"turn": 12, "text": "哦哦。 多喝水吃水果会对症状有所缓解吗", "role": "patient"}, {"turn": 13, "text": "医生？", "role": "patient"}, {"turn": 14, "text": "不好意思让你久等了，可以给宝宝多喝一些温开水，吃一些果泥。", "role": "doctor"}, {"turn": 15, "text": "同时服药治疗。", "role": "doctor"}, {"turn": 16, "text": "嗯嗯。 好的。", "role": "patient"}, {"turn": 17, "text": "好的?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 777, "thread": [{"turn": 0, "text": "夫西地酸乳膏能用在脸上痘痘痒的地方吗（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好！夫西地酸乳膏可以用在痘痘上，有抗痤疮丙酸杆菌的作用", "role": "doctor"}, {"turn": 2, "text": "那要是有点瘙痒和泛红呢", "role": "patient"}, {"turn": 3, "text": "用了之后？", "role": "doctor"}, {"turn": 4, "text": "还是不用都那样？", "role": "doctor"}, {"turn": 5, "text": "还没用", "role": "patient"}, {"turn": 6, "text": "就不知道现在能不能用", "role": "patient"}, {"turn": 7, "text": "你查一下有没有毛囊虫", "role": "doctor"}, {"turn": 8, "text": "用是可以用", "role": "doctor"}, {"turn": 9, "text": "痤疮一般不瘙痒", "role": "doctor"}, {"turn": 10, "text": "那那些一个一个很小很小的白色痘痘是什么像小包一样的是什么", "role": "patient"}, {"turn": 11, "text": "所以叫你查有没有毛囊虫", "role": "doctor"}, {"turn": 12, "text": "白色的可能是脓点", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 778, "thread": [{"turn": 0, "text": "肛裂塞太宁栓塞不进去怎么办（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，你可以抹点太宁乳膏抹上啊", "role": "doctor"}, {"turn": 2, "text": "大便干不干？", "role": "doctor"}, {"turn": 3, "text": "大便前半段有点干，后面就不干了，抹了也塞不进去，进去一个头都很疼了", "role": "patient"}, {"turn": 4, "text": "抹了点马应龙", "role": "patient"}, {"turn": 5, "text": "那你只需要抹点马应龙就可以了啊", "role": "doctor"}, {"turn": 6, "text": "平时多吃蔬菜水果多喝水", "role": "doctor"}, {"turn": 7, "text": "如果大便还是太干，你还可以吃点润肠丸或者芦荟珍珠胶囊", "role": "doctor"}, {"turn": 8, "text": "每天睡前温水坐浴坐浴", "role": "doctor"}, {"turn": 9, "text": "马应龙也抹不进去多少吧，我感觉都在肛门外面，没有到里面", "role": "patient"}, {"turn": 10, "text": "你这个主要是便秘导致的肛裂啊", "role": "doctor"}, {"turn": 11, "text": "把那个太宁栓总热水融化小了再塞进去行吗", "role": "patient"}, {"turn": 12, "text": "用", "role": "patient"}, {"turn": 13, "text": "你让别人帮你塞估计就容易塞进去了", "role": "doctor"}, {"turn": 14, "text": "你排便的时候费力么？如果费力厉害，那就说明可能肛门狭窄啊", "role": "doctor"}, {"turn": 15, "text": "还有就是肛裂疼的厉害么？多久了啊？", "role": "doctor"}, {"turn": 16, "text": "你把它化小了也可以，只是药效小了一点而已", "role": "doctor"}, {"turn": 17, "text": "平时不要吃辛辣刺激食物，不能喝酒", "role": "doctor"}, {"turn": 18, "text": "刚刚化小了，塞进去了一半，疼死了，会不会里面已经裂的不成样子了", "role": "patient"}, {"turn": 19, "text": "不会的", "role": "doctor"}, {"turn": 20, "text": "你只是塞一个这个不会加重你的肛裂的", "role": "doctor"}, {"turn": 21, "text": "肛裂是大便干引起的", "role": "doctor"}, {"turn": 22, "text": "有没有效果好点的小点的塞的药", "role": "patient"}, {"turn": 23, "text": "没有啊", "role": "doctor"}, {"turn": 24, "text": "你只能先抹点马应龙痔疮膏了，然后每天睡前坐浴坐浴！平时多吃蔬菜水果多喝水，别吃辛辣刺激食物，别久蹲久坐", "role": "doctor"}, {"turn": 25, "text": "不要吃辛辣刺激食物，不能喝酒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 779, "thread": [{"turn": 0, "text": "被猫咬伤72小时内可以打针吗（男，54岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴问您解答问题。", "role": "doctor"}, {"turn": 2, "text": "这种情况还可以打", "role": "doctor"}, {"turn": 3, "text": "72小时内都可以是吗", "role": "patient"}, {"turn": 4, "text": "都还有效？", "role": "patient"}, {"turn": 5, "text": "听说要24小时内才有效？", "role": "patient"}, {"turn": 6, "text": "不是这种肯定有用的", "role": "doctor"}, {"turn": 7, "text": "打比不打好", "role": "doctor"}, {"turn": 8, "text": "？？？", "role": "patient"}, {"turn": 9, "text": "可以打", "role": "doctor"}, {"turn": 10, "text": "理论上是没发病之前都可以打", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "doctor"}, {"turn": 13, "text": "这个没有时间限制的吗", "role": "patient"}, {"turn": 14, "text": "好的👌", "role": "patient"}, {"turn": 15, "text": "时间限制一般是一个礼拜之内要打", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 780, "thread": [{"turn": 0, "text": "甲醛引起小儿咳嗽症状（男，8个月）", "role": "patient"}, {"turn": 1, "text": "你好，可以引起孩子刺激性咳嗽。", "role": "doctor"}, {"turn": 2, "text": "那去医院怎么去检查呢", "role": "patient"}, {"turn": 3, "text": "如何确诊呢", "role": "patient"}, {"turn": 4, "text": "孩子具体症状是什么？", "role": "doctor"}, {"turn": 5, "text": "使劲大笑大哭的时候会咳嗽，平躺着换尿不湿，翻身会咳嗽，尤其早上睡醒起床的时候也会咳嗽", "role": "patient"}, {"turn": 6, "text": "这个是活动刺激性咳嗽，不是甲醛引起的，如果是甲醛过敏是阵发性的，较频繁。", "role": "doctor"}, {"turn": 7, "text": "可以侧一下家里的甲醛含量", "role": "doctor"}, {"turn": 8, "text": "那这可能是什么过敏引起的吗", "role": "patient"}, {"turn": 9, "text": "像是冷空气过敏", "role": "doctor"}, {"turn": 10, "text": "之前吃的咳嗽的药都没什么见效", "role": "patient"}, {"turn": 11, "text": "什么是冷空气过敏？", "role": "patient"}, {"turn": 12, "text": "就是气温变低时出现的刺激性咳嗽", "role": "doctor"}, {"turn": 13, "text": "可是出门在外的时候不会咳嗽", "role": "patient"}, {"turn": 14, "text": "孩子适应就不咳嗽了，就是在温度变化时最明显", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 781, "thread": [{"turn": 0, "text": "宝宝白天咳嗽晚上不咳嗽是怎么回事（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝咳嗽多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有没有发热？有没有痰液", "role": "doctor"}, {"turn": 3, "text": "有几天了", "role": "patient"}, {"turn": 4, "text": "没用发热", "role": "patient"}, {"turn": 5, "text": "去医院检查过没有？", "role": "doctor"}, {"turn": 6, "text": "有痰", "role": "patient"}, {"turn": 7, "text": "看了", "role": "patient"}, {"turn": 8, "text": "有开药", "role": "patient"}, {"turn": 9, "text": "白痰黄痰？", "role": "doctor"}, {"turn": 10, "text": "血常规单子呢", "role": "doctor"}, {"turn": 11, "text": "都有", "role": "patient"}, {"turn": 12, "text": "发给我看看", "role": "doctor"}, {"turn": 13, "text": "没有查血", "role": "patient"}, {"turn": 14, "text": "就是听听的", "role": "patient"}, {"turn": 15, "text": "有黄痰需要消炎，吃抗生素 比如头孢，阿莫西林", "role": "doctor"}, {"turn": 16, "text": "有", "role": "patient"}, {"turn": 17, "text": "现在又咳嗽的声音沙哑的", "role": "patient"}, {"turn": 18, "text": "咳嗽厉害再吃一点氨溴特罗", "role": "doctor"}, {"turn": 19, "text": "化痰止咳药", "role": "patient"}, {"turn": 20, "text": "这个可能是细菌性呼吸道感染", "role": "doctor"}, {"turn": 21, "text": "吃什么药", "role": "patient"}, {"turn": 22, "text": "有点喘", "role": "patient"}, {"turn": 23, "text": "在", "role": "patient"}, {"turn": 24, "text": "再", "role": "doctor"}, {"turn": 25, "text": "您有没有头孢，阿莫西林", "role": "doctor"}, {"turn": 26, "text": "氨溴特罗用于治疗急、慢性呼吸道疾病（如急、慢性支气管炎、支气管哮喘、肺气肿等）引起的咳嗽、痰液粘稠、排痰困难、喘息等", "role": "doctor"}, {"turn": 27, "text": "可以止喘", "role": "doctor"}, {"turn": 28, "text": "支气管发炎了吃什么药", "role": "patient"}, {"turn": 29, "text": "做好去医院做做雾化比较好", "role": "doctor"}, {"turn": 30, "text": "哦", "role": "patient"}, {"turn": 31, "text": "阿莫西林，或者头孢都可以对支气管炎有效", "role": "doctor"}, {"turn": 32, "text": "一直在吃阿莫西林和止咳药不怎么管", "role": "patient"}, {"turn": 33, "text": "吃几天了", "role": "doctor"}, {"turn": 34, "text": "差不多一个星期了", "role": "patient"}, {"turn": 35, "text": "可能需要检查一下血常规，crp看看有没有合并病毒感染", "role": "doctor"}, {"turn": 36, "text": "好吧", "role": "patient"}, {"turn": 37, "text": "注意看体温和痰有没有很浓稠", "role": "doctor"}, {"turn": 38, "text": "黄浓痰", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 782, "thread": [{"turn": 0, "text": "中医怎么治疗飞蚊症，玻璃体浑浊（男，19岁）", "role": "patient"}, {"turn": 1, "text": "中医也没什么好的办法😓", "role": "doctor"}, {"turn": 2, "text": "你这个应该跟近视有关系是吧", "role": "doctor"}, {"turn": 3, "text": "对的", "role": "patient"}, {"turn": 4, "text": "高度近视", "role": "patient"}, {"turn": 5, "text": "飞蚊症真的很烦", "role": "patient"}, {"turn": 6, "text": "嗯，没什么好办法", "role": "doctor"}, {"turn": 7, "text": "我们经常说习惯了就好了😢", "role": "doctor"}, {"turn": 8, "text": "其实就是不能根本去除", "role": "doctor"}, {"turn": 9, "text": "那怎么办呀", "role": "patient"}, {"turn": 10, "text": "我才19岁呢", "role": "patient"}, {"turn": 11, "text": "你吃过施图伦么", "role": "doctor"}, {"turn": 12, "text": "不对", "role": "doctor"}, {"turn": 13, "text": "吃过卵磷脂络合碘么", "role": "doctor"}, {"turn": 14, "text": "刚才哪个施图伦发错了，不好意思", "role": "doctor"}, {"turn": 15, "text": "吃过没什么效果", "role": "patient"}, {"turn": 16, "text": "这个要长期吃吗", "role": "patient"}, {"turn": 17, "text": "吃了多久了？", "role": "doctor"}, {"turn": 18, "text": "一个多月", "role": "patient"}, {"turn": 19, "text": "要是一个多月还没有效果，那确实是没效果。", "role": "doctor"}, {"turn": 20, "text": "那就没有什么办法呢。", "role": "doctor"}, {"turn": 21, "text": "玻璃体混浊代谢很慢", "role": "patient"}, {"turn": 22, "text": "会自己恢复吗", "role": "patient"}, {"turn": 23, "text": "有的人有可能浑浊的这个东西跑到周边的话可能就觉不出来了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 783, "thread": [{"turn": 0, "text": "下雨膝盖疼不是风湿骨病吧（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "没注意过", "role": "patient"}, {"turn": 3, "text": "挺长了吧", "role": "patient"}, {"turn": 4, "text": "疼痛的时候，关节有没有肿呢？", "role": "doctor"}, {"turn": 5, "text": "疼的不得劲", "role": "patient"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "我才22岁", "role": "patient"}, {"turn": 8, "text": "有没有受过伤？", "role": "doctor"}, {"turn": 9, "text": "就膝盖里面", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "缺钙？", "role": "patient"}, {"turn": 12, "text": "疼加一点痒膝盖反正不得劲", "role": "patient"}, {"turn": 13, "text": "膝盖响不响？", "role": "doctor"}, {"turn": 14, "text": "着凉不是吧", "role": "patient"}, {"turn": 15, "text": "疼的时候不响", "role": "patient"}, {"turn": 16, "text": "有时候响", "role": "patient"}, {"turn": 17, "text": "蹲久了起来就响", "role": "patient"}, {"turn": 18, "text": "我试了", "role": "patient"}, {"turn": 19, "text": "来回活动响一点", "role": "patient"}, {"turn": 20, "text": "磨损声", "role": "patient"}, {"turn": 21, "text": "上下楼梯可以吗？", "role": "doctor"}, {"turn": 22, "text": "可以啊", "role": "patient"}, {"turn": 23, "text": "6楼上去轻松", "role": "patient"}, {"turn": 24, "text": "就是疼的不得劲想抓", "role": "patient"}, {"turn": 25, "text": "可是在膝盖里面", "role": "patient"}, {"turn": 26, "text": "考虑膝关节内炎症", "role": "doctor"}, {"turn": 27, "text": "有时候晚上痛的会睡不着", "role": "patient"}, {"turn": 28, "text": "这个啥时候会发作一次", "role": "patient"}, {"turn": 29, "text": "和活动量有关和天气有关", "role": "doctor"}, {"turn": 30, "text": "咋治", "role": "patient"}, {"turn": 31, "text": "每晚用热水袋热敷膝盖，有手顺时针按摩膝盖，口服西乐葆或双氯芬酸钠缓释片", "role": "doctor"}, {"turn": 32, "text": "有条件做个膝关节核磁共振", "role": "doctor"}, {"turn": 33, "text": "好吧", "role": "patient"}, {"turn": 34, "text": "有啥方法缓解疼痛吗", "role": "patient"}, {"turn": 35, "text": "口服西乐葆或双氯芬酸钠缓释片", "role": "doctor"}, {"turn": 36, "text": "平时多运动？", "role": "patient"}, {"turn": 37, "text": "有帮助吗", "role": "patient"}, {"turn": 38, "text": "不要剧烈运动哦", "role": "doctor"}, {"turn": 39, "text": "好", "role": "patient"}, {"turn": 40, "text": "👌", "role": "doctor"}, {"turn": 41, "text": "有啥方法能减少点疼痛不，现在疼的受不了😓", "role": "patient"}, {"turn": 42, "text": "疼中带痒却无能为力😓", "role": "patient"}, {"turn": 43, "text": "口服止痛药西乐葆或双氯芬酸钠", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 784, "thread": [{"turn": 0, "text": "扭伤时间长了,没肿反而廋了是什么情况（男，36岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "你好！做过什么检查及治疗吗？", "role": "doctor"}, {"turn": 3, "text": "半年多了，现在发现受伤地方瘦了。", "role": "patient"}, {"turn": 4, "text": "拍片子，骨头好着呢。", "role": "patient"}, {"turn": 5, "text": "活动多吗？", "role": "doctor"}, {"turn": 6, "text": "是哪里受伤？", "role": "doctor"}, {"turn": 7, "text": "一开始是肿，现在瘦了，明显瘦了。", "role": "patient"}, {"turn": 8, "text": "活动多，膝盖部位。", "role": "patient"}, {"turn": 9, "text": "脚踝吗", "role": "doctor"}, {"turn": 10, "text": "哦，加强股四头肌锻炼", "role": "doctor"}, {"turn": 11, "text": "比对侧细很多吗？", "role": "doctor"}, {"turn": 12, "text": "不踝，不能跑，只能走。", "role": "patient"}, {"turn": 13, "text": "嗯，多做直腿抬高", "role": "doctor"}, {"turn": 14, "text": "对细很多。", "role": "patient"}, {"turn": 15, "text": "可能肌肉萎缩了", "role": "doctor"}, {"turn": 16, "text": "多云锻炼", "role": "doctor"}, {"turn": 17, "text": "做", "role": "doctor"}, {"turn": 18, "text": "怎么治疗？", "role": "patient"}, {"turn": 19, "text": "按摩理疗，多活动", "role": "doctor"}, {"turn": 20, "text": "是可以恢复的", "role": "doctor"}, {"turn": 21, "text": "有什么药物治疗吗？", "role": "patient"}, {"turn": 22, "text": "没有什么大的影响吧？", "role": "patient"}, {"turn": 23, "text": "不用什么药物的", "role": "doctor"}, {"turn": 24, "text": "没有，主要多锻炼，就恢复了", "role": "doctor"}, {"turn": 25, "text": "现在只能正常走动，不能大幅度运动，比如跑步是不行的，不碍事吧？", "role": "patient"}, {"turn": 26, "text": "没关系，躺哪里做直腿抬高也可以锻炼的", "role": "doctor"}, {"turn": 27, "text": "两个腿明显不一样粗了，挺担心的。", "role": "patient"}, {"turn": 28, "text": "可以锻炼回来的，不用担心", "role": "doctor"}, {"turn": 29, "text": "关节一开始响动很大，还疼呢。现在响动小了，不疼了。膝盖关节。", "role": "patient"}, {"turn": 30, "text": "嗯，不疼就没大问题。", "role": "doctor"}, {"turn": 31, "text": "一开始没注意，还是前一阵子发现两腿不一样粗，把人吓了。", "role": "patient"}, {"turn": 32, "text": "没关系的，坚持锻炼", "role": "doctor"}, {"turn": 33, "text": "好的，好的，谢谢了，打扰你了。", "role": "patient"}, {"turn": 34, "text": "不客气，祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 785, "thread": [{"turn": 0, "text": "脖子扭伤了脖子痛头也痛（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，有多久了，做过什么检查治疗吗?", "role": "doctor"}, {"turn": 2, "text": "目前除了头痛 脖子动的话有没有痛的厉害", "role": "doctor"}, {"turn": 3, "text": "有两三天了", "role": "patient"}, {"turn": 4, "text": "嗯嗯 有拍过片子吗", "role": "doctor"}, {"turn": 5, "text": "脖子也痛 就是感觉脖子经很痛 然后头也痛", "role": "patient"}, {"turn": 6, "text": "还没呢", "role": "patient"}, {"turn": 7, "text": "当时具体是怎么扭伤的", "role": "doctor"}, {"turn": 8, "text": "能描述一下吗", "role": "doctor"}, {"turn": 9, "text": "自己扭脖子", "role": "patient"}, {"turn": 10, "text": "我平时就有扭脖子的习惯 这次应该是扭用力了", "role": "patient"}, {"turn": 11, "text": "嗯嗯 那除了头痛 脖子痛 有没有手麻 下肢麻的症状", "role": "doctor"}, {"turn": 12, "text": "脖子痛会影响到头痛的嘛", "role": "patient"}, {"turn": 13, "text": "没有呢", "role": "patient"}, {"turn": 14, "text": "而且头痛 我摇一下头它就痛 不摇就不痛m", "role": "patient"}, {"turn": 15, "text": "会的 就怕脊椎错位 使得颈椎旁边的动脉有卡压影响血运就会出现头痛", "role": "doctor"}, {"turn": 16, "text": "那我这种情况要去拍片嘛", "role": "patient"}, {"turn": 17, "text": "要的 目前考虑颈椎骨错位", "role": "doctor"}, {"turn": 18, "text": "可以去医院骨科（或者脊柱科）就诊，最好是中医院 如果是轻微的错位可以通过正骨手法复位", "role": "doctor"}, {"turn": 19, "text": "明白", "role": "patient"}, {"turn": 20, "text": "嗯嗯", "role": "doctor"}, {"turn": 21, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 22, "text": "是北湖中医院嘛", "role": "patient"}, {"turn": 23, "text": "不用客气，都可以的", "role": "doctor"}, {"turn": 24, "text": "晚上有急症的嘛", "role": "patient"}, {"turn": 25, "text": "晚上有急诊 但是不一定有中医类的骨科专家在，因为这个正骨推拿手法需要他们才会做  年轻的医生不一定会 你可以去拍个片子看下", "role": "doctor"}, {"turn": 26, "text": "白天不怎么有空", "role": "patient"}, {"turn": 27, "text": "你现在可以去拍个片子 如果需要明天再去的话就再请假过去 身体健康最重要了", "role": "doctor"}, {"turn": 28, "text": "明白", "role": "patient"}, {"turn": 29, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 786, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：我耳鸣一年了（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你是单侧还是双侧耳鸣？听力有没有下降了呢？", "role": "doctor"}, {"turn": 2, "text": "单侧", "role": "patient"}, {"turn": 3, "text": "左侧耳朵响去年怀孕三个半月耳朵响到生下娃娃五个月呀 还响  只要按住左侧脖子动脉就不响了", "role": "patient"}, {"turn": 4, "text": "听力有点下降", "role": "patient"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "在  我这是咋回事   该怎么治疗", "role": "patient"}, {"turn": 7, "text": "那就搏动性耳鸣，可能和脉搏一致！！\n去医院检查过么？\n有做过什么检查了吗？", "role": "doctor"}, {"turn": 8, "text": "我吃中药  针灸   吃营养神经的药物 都没作用", "role": "patient"}, {"turn": 9, "text": "一般应做个CT，磁共振什么的，必要做血管超声，听力检测！！", "role": "doctor"}, {"turn": 10, "text": "么有   因为我是哺乳期   说有些检查做不了  就没做", "role": "patient"}, {"turn": 11, "text": "做了听力  有些下降", "role": "patient"}, {"turn": 12, "text": "这病会自己好吗", "role": "patient"}, {"turn": 13, "text": "哦，是神经性耳聋耳鸣吗！一般还是用些神经营养药，改善循环的药，同时注意休息，避免劳累！\n哺乳期有些药物及检查受限，如果服药作用不大的话，还是建议进一步检查治疗，一般也不容易自行恢复！！", "role": "doctor"}, {"turn": 14, "text": "我是哺乳期   我可以用些什么药  对娃娃没有影响", "role": "patient"}, {"turn": 15, "text": "你给我说一下药名", "role": "patient"}, {"turn": 16, "text": "神经营养药影响小，如维生素B1，甲钴胺！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 787, "thread": [{"turn": 0, "text": "便秘咳嗽是什么原因？（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "便秘是经常的，两年了，有时候吃吃中药好点", "role": "patient"}, {"turn": 3, "text": "经常感冒了就咳嗽，一年三次，还发过一次肺炎", "role": "patient"}, {"turn": 4, "text": "一年三次感冒", "role": "patient"}, {"turn": 5, "text": "你会看舌苔吗？", "role": "patient"}, {"turn": 6, "text": "便秘的话今天大便一次", "role": "doctor"}, {"turn": 7, "text": "舌苔主要是中医看", "role": "doctor"}, {"turn": 8, "text": "我是西医", "role": "doctor"}, {"turn": 9, "text": "噢，大便两天一次", "role": "patient"}, {"turn": 10, "text": "好像是上火吗", "role": "patient"}, {"turn": 11, "text": "那还可以", "role": "doctor"}, {"turn": 12, "text": "排便费力吗", "role": "doctor"}, {"turn": 13, "text": "都是一粒一粒，有时候三天不拉，吃大黄胶囊就拉", "role": "patient"}, {"turn": 14, "text": "费力", "role": "patient"}, {"turn": 15, "text": "平时饮食怎么样", "role": "doctor"}, {"turn": 16, "text": "蔬菜水果吃的多不多", "role": "doctor"}, {"turn": 17, "text": "胃口可以的", "role": "patient"}, {"turn": 18, "text": "都吃的", "role": "patient"}, {"turn": 19, "text": "嗯嗯 你现在每天早上空腹口服乳果糖口服液20ml", "role": "doctor"}, {"turn": 20, "text": "平时可以吃益生菌调节肠道菌群", "role": "doctor"}, {"turn": 21, "text": "例如复方嗜酸乳杆菌或者三联活菌或者二联活菌选一种", "role": "doctor"}, {"turn": 22, "text": "吃过，吃的时候好的，不吃了就又便秘了", "role": "patient"}, {"turn": 23, "text": "你平时得养成良好的饮食习惯", "role": "doctor"}, {"turn": 24, "text": "加上排便习惯", "role": "doctor"}, {"turn": 25, "text": "吃益生菌和乳果糖没有什么副作用", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 788, "thread": [{"turn": 0, "text": "耳鸣吃药没有效果怎么办（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了？听力有没有下降？", "role": "doctor"}, {"turn": 2, "text": "一个月左右  听力没有下降", "role": "patient"}, {"turn": 3, "text": "耳鸣类似于什么样的声音了？", "role": "doctor"}, {"turn": 4, "text": "嗡嗡声？蝉鸣音？吱吱声？？", "role": "doctor"}, {"turn": 5, "text": "嗡嗡", "role": "patient"}, {"turn": 6, "text": "吃的什么药了？", "role": "doctor"}, {"turn": 7, "text": "最近有没有劳累？精神紧张？", "role": "doctor"}, {"turn": 8, "text": "做过什么检查没有？", "role": "doctor"}, {"turn": 9, "text": "甲钴胺  谷维素  丹参滴丸", "role": "patient"}, {"turn": 10, "text": "没有检查", "role": "patient"}, {"turn": 11, "text": "一直比较累  精神比较紧张", "role": "patient"}, {"turn": 12, "text": "像你这种比较劳累精神紧张的病人，一般通过休息缓解心理压力，精神放松，耳鸣有可能自然消失。", "role": "doctor"}, {"turn": 13, "text": "即使是用药，也必须做到以上几点。", "role": "doctor"}, {"turn": 14, "text": "你的耳鸣是持续性的还是间断性的？", "role": "doctor"}, {"turn": 15, "text": "换换药吧甲钴胺按说明服用，氟桂利嗪胶囊晚睡前口服一粒，金纳多按说明口服", "role": "doctor"}, {"turn": 16, "text": "安静的时候比较明显", "role": "patient"}, {"turn": 17, "text": "如果治疗一周还不行可以考虑输液+口服药物治疗", "role": "doctor"}, {"turn": 18, "text": "另外应该做个电测听检查", "role": "doctor"}, {"turn": 19, "text": "常常耳鸣伴随听力下降出现", "role": "doctor"}, {"turn": 20, "text": "需要去医院检查吗", "role": "patient"}, {"turn": 21, "text": "嗯去做个电测听检查吧", "role": "doctor"}, {"turn": 22, "text": "耳鸣的话，目前国际上也没有研究透彻。", "role": "doctor"}, {"turn": 23, "text": "电测听一月份体检时做过", "role": "patient"}, {"turn": 24, "text": "现在的主流学说就是血管痉挛或者血液循环障碍引起的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 789, "thread": [{"turn": 0, "text": "婴儿经常消化不良怎么办（男，2个月）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝是母乳还是奶粉喂养？", "role": "doctor"}, {"turn": 2, "text": "孩子消化不良有什么表现", "role": "doctor"}, {"turn": 3, "text": "奶粉喂养的。老是拉绿色大便，舌苔厚。而且经常哭闹。", "role": "patient"}, {"turn": 4, "text": "有多久了", "role": "doctor"}, {"turn": 5, "text": "吃的什么药物没", "role": "doctor"}, {"turn": 6, "text": "这可以跟孩子加用助消化的药物，加醒脾养儿颗粒", "role": "doctor"}, {"turn": 7, "text": "有半个多月了。", "role": "patient"}, {"turn": 8, "text": "吃的益生菌没什么效果。", "role": "patient"}, {"turn": 9, "text": "后来喝的七星茶颗粒有点儿效果，但是一停又消化不良了。", "role": "patient"}, {"turn": 10, "text": "我买了醒脾养儿颗粒，但上面没说治消化不良。所以没敢让他喝。", "role": "patient"}, {"turn": 11, "text": "七星茶颗粒可以长期服用吗？", "role": "patient"}, {"turn": 12, "text": "七星茶可以长期吃", "role": "doctor"}, {"turn": 13, "text": "醒脾养儿颗粒是健脾胃助消化的", "role": "doctor"}, {"turn": 14, "text": "像这种情况应该不是奶粉的问题吧？", "role": "patient"}, {"turn": 15, "text": "大便也没有拉肚子。就是发绿", "role": "patient"}, {"turn": 16, "text": "孩子小，奶粉对于孩子来说不好消化，所以容易出现消化不良", "role": "doctor"}, {"turn": 17, "text": "醒脾养儿喝颗粒喝多少天为益", "role": "patient"}, {"turn": 18, "text": "1-2个月", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}, {"turn": 20, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 790, "thread": [{"turn": 0, "text": "母乳宝宝如果便秘是什么症状（男，2个月）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝几天没大便了？", "role": "doctor"}, {"turn": 2, "text": "四天", "role": "patient"}, {"turn": 3, "text": "排气臭不？", "role": "doctor"}, {"turn": 4, "text": "臭", "role": "patient"}, {"turn": 5, "text": "终于窝粑粑了，，刚才我看了，正常吗？", "role": "patient"}, {"turn": 6, "text": "不好意思，刚才有个急诊", "role": "doctor"}, {"turn": 7, "text": "只要是臭，再就是四天不大便，就需要用益生菌调理", "role": "doctor"}, {"turn": 8, "text": "平时多按摩肚脐周围", "role": "doctor"}, {"turn": 9, "text": "顺时针", "role": "doctor"}, {"turn": 10, "text": "按摩的，，也吃了妈咪爱", "role": "patient"}, {"turn": 11, "text": "嗯嗯，坚持服用一段时间", "role": "doctor"}, {"turn": 12, "text": "妈咪爱我是一次半包，一天两次，对不对？", "role": "patient"}, {"turn": 13, "text": "可以三次", "role": "doctor"}, {"turn": 14, "text": "一天三次啊？？那服用多久？", "role": "patient"}, {"turn": 15, "text": "连续服用半个月左右，根据宝宝情况看", "role": "doctor"}, {"turn": 16, "text": "之前是一天两三次，我害怕他拉肚子，，。也吃了妈咪爱，哪知道现在几天一次，，，意思天天拉才正常是吧？", "role": "patient"}, {"turn": 17, "text": "一天一次最好", "role": "doctor"}, {"turn": 18, "text": "就是两天一次，只要大便不臭就没问题", "role": "doctor"}, {"turn": 19, "text": "四天时间就久了", "role": "doctor"}, {"turn": 20, "text": "呃呃，好的，谢谢你", "role": "patient"}, {"turn": 21, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 791, "thread": [{"turn": 0, "text": "两生日的孩子便秘怎么办（男，1岁11个月）", "role": "patient"}, {"turn": 1, "text": "您好，您小孩便秘一般几天拉一次大便啊", "role": "doctor"}, {"turn": 2, "text": "三天", "role": "patient"}, {"turn": 3, "text": "哦，那每次解大便需要用开塞露吗", "role": "doctor"}, {"turn": 4, "text": "没用", "role": "patient"}, {"turn": 5, "text": "您宝宝平时喝水多不多啊", "role": "doctor"}, {"turn": 6, "text": "最近有点少", "role": "patient"}, {"turn": 7, "text": "平时要给宝宝多喝水，您宝宝平时牛奶喝几餐啊", "role": "doctor"}, {"turn": 8, "text": "他全喝奶粉，一天也就6至700亳升", "role": "patient"}, {"turn": 9, "text": "他现在还没有开始吃辅食吗", "role": "doctor"}, {"turn": 10, "text": "以前从不便秘，也就这个20天左右开始的", "role": "patient"}, {"turn": 11, "text": "吃的很少", "role": "patient"}, {"turn": 12, "text": "这20天左右宝宝有没有感冒过啊", "role": "doctor"}, {"turn": 13, "text": "感冒过，轻微咳嗽", "role": "patient"}, {"turn": 14, "text": "嗯，一般感冒过后宝宝消化功能都会紊乱的", "role": "doctor"}, {"turn": 15, "text": "大夫你好!有没有好办法", "role": "patient"}, {"turn": 16, "text": "以前一天一次大便", "role": "patient"}, {"turn": 17, "text": "您现在可以给益生菌给宝宝吃，宝宝每餐想吃多少就吃多少不要强行喂，还有就是晚上那餐牛奶最好减点量吧", "role": "doctor"}, {"turn": 18, "text": "好的，谢谢", "role": "patient"}, {"turn": 19, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 792, "thread": [{"turn": 0, "text": "宝宝四十几天，老是便秘吃什么好（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "请问宝宝是母乳喂养吗？", "role": "doctor"}, {"turn": 3, "text": "混合的", "role": "patient"}, {"turn": 4, "text": "大便干吗？", "role": "doctor"}, {"turn": 5, "text": "不算", "role": "patient"}, {"turn": 6, "text": "那可以吃益生菌调理看看", "role": "doctor"}, {"turn": 7, "text": "三天一次，有时开塞露才拉，医院开了开塞露和复方蛋白酶散", "role": "patient"}, {"turn": 8, "text": "开塞露偶尔用一次，不要经常用，容易引起习惯性便秘", "role": "doctor"}, {"turn": 9, "text": "吃益生菌，", "role": "doctor"}, {"turn": 10, "text": "调理看看", "role": "doctor"}, {"turn": 11, "text": "要是都不见效怎么办", "role": "patient"}, {"turn": 12, "text": "可以吃中成药", "role": "doctor"}, {"turn": 13, "text": "健儿消食口服液或者小儿化食口服液，或者王氏保赤丸", "role": "doctor"}, {"turn": 14, "text": "好", "role": "patient"}, {"turn": 15, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 793, "thread": [{"turn": 0, "text": "低烧咳嗽吐黄痰流鼻涕打喷嚏（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "4天", "role": "patient"}, {"turn": 3, "text": "发烧多少度呀？", "role": "doctor"}, {"turn": 4, "text": "现在不让我吃消炎药因为血象低", "role": "patient"}, {"turn": 5, "text": "37.5", "role": "patient"}, {"turn": 6, "text": "咳嗽的特别严重，有黄痰", "role": "patient"}, {"turn": 7, "text": "那你吃的什么药？", "role": "doctor"}, {"turn": 8, "text": "现在吃银翘解毒片和蛇胆川贝液", "role": "patient"}, {"turn": 9, "text": "吃不了消炎药", "role": "patient"}, {"turn": 10, "text": "我血象3000", "role": "patient"}, {"turn": 11, "text": "白细胞多少？", "role": "doctor"}, {"turn": 12, "text": "再去复查一下吧，不吃消炎药很难好的", "role": "doctor"}, {"turn": 13, "text": "没带那个单子", "role": "patient"}, {"turn": 14, "text": "我昨天刚去的", "role": "patient"}, {"turn": 15, "text": "现在血象3000可以吃消炎药么", "role": "patient"}, {"turn": 16, "text": "那中性粒细胞多少？", "role": "doctor"}, {"turn": 17, "text": "你把报告发给我看看", "role": "doctor"}, {"turn": 18, "text": "我也不太清楚，都在一张单子上我也看不懂", "role": "patient"}, {"turn": 19, "text": "今天我还没带单子", "role": "patient"}, {"turn": 20, "text": "发给我看看", "role": "doctor"}, {"turn": 21, "text": "忘记带单子了，", "role": "patient"}, {"turn": 22, "text": "那你加上孟鲁司特钠片一起吃上，这个抗炎抗过敏，可以减轻咳嗽和鼻塞流涕的", "role": "doctor"}, {"turn": 23, "text": "血象低吃也没问题么", "role": "patient"}, {"turn": 24, "text": "然后等会把单子发给我看看，必要的时候还是需要抗感染治疗", "role": "doctor"}, {"turn": 25, "text": "那需要中午了", "role": "patient"}, {"turn": 26, "text": "白细胞低有可能是病毒感染，但也可能是细菌感染", "role": "doctor"}, {"turn": 27, "text": "应该是病毒", "role": "patient"}, {"turn": 28, "text": "病毒感染对症治疗就可以，那继续吃你目前的药物", "role": "doctor"}, {"turn": 29, "text": "好的", "role": "patient"}, {"turn": 30, "text": "消炎吃么", "role": "patient"}, {"turn": 31, "text": "主要看是细菌感染还是病毒感染，病毒感染不用吃，细菌感染或者支原体感染那需要吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 794, "thread": [{"turn": 0, "text": "便秘想拉拉不出来是怎么回事？（男，27岁）", "role": "patient"}, {"turn": 1, "text": "便秘干燥很了，如果拉不下来建议用点开塞露", "role": "doctor"}, {"turn": 2, "text": "您好，还在吗", "role": "patient"}, {"turn": 3, "text": "在的", "role": "doctor"}, {"turn": 4, "text": "你好", "role": "doctor"}, {"turn": 5, "text": "开赛露效果也不怎么好，用一次出来一点", "role": "patient"}, {"turn": 6, "text": "排便一次要用好几次", "role": "patient"}, {"turn": 7, "text": "效果不好可以睡床上，屁股太高，打两支，等五分钟到十分钟再去解，但注意别解到床上去了", "role": "doctor"}, {"turn": 8, "text": "一开始吐一次拉一次，然后就一直便秘了，之前吃点清热去火的药就好了，反复几次就不不行了，清火片三黄片，麻仁丸都没用", "role": "patient"}, {"turn": 9, "text": "麻仁丸没有用可能就要吃点果导片了", "role": "doctor"}, {"turn": 10, "text": "平时饮食也要注意", "role": "doctor"}, {"turn": 11, "text": "前段时间吃六味地黄丸早上能自己拉出来了，但是也不多，后来改用知柏地黄丸就再用六味地黄丸就彻底不行了", "role": "patient"}, {"turn": 12, "text": "滋阴的药物对通便也有一点点作用，平时饮食注意调理", "role": "doctor"}, {"turn": 13, "text": "多吃点能润肠通便的食物", "role": "doctor"}, {"turn": 14, "text": "嗯，好的谢谢您了", "role": "patient"}, {"turn": 15, "text": "1、早餐      很多人都喜欢吃苹果，其实吃苹果是一个很不错的养身方法，苹果里含有人体所需要的多种元素，而且可以帮助肠胃蠕动、帮助消化。所以早餐吃一个苹果是个不错的选择。并且记住早晨起床后一定要记得喝一杯白开水，温的就可以，不要太烫。      2、中餐      中饭一定要多吃蔬菜，像黄瓜、青菜等。肉可以吃但不要太油腻，饭前喝碗汤。饭后一小时记得吃一个梨子。      3、晚餐      晚餐记住吃的一定要少，大概7成饱就可以了，吃过后散散步。  白天要多喝白开水、饮食要清淡、多吃水果青菜、多运动。这样做的话，便秘一定会远离你的！", "role": "doctor"}, {"turn": 16, "text": "按时排便，养成规律", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 795, "thread": [{"turn": 0, "text": "宝宝五个月零七天,鼻塞,流清鼻涕,怎么办,吃什么药能好（女，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，孩子发烧吗。", "role": "doctor"}, {"turn": 2, "text": "不发烧", "role": "patient"}, {"turn": 3, "text": "冻着了还是别人传染的", "role": "doctor"}, {"turn": 4, "text": "宝宝一打喷嚏就流清鼻子，还有鼻塞", "role": "patient"}, {"turn": 5, "text": "传染的", "role": "patient"}, {"turn": 6, "text": "那您可以给孩子吃点纳而平，多喝水", "role": "doctor"}, {"turn": 7, "text": "可以适当洗洗鼻子", "role": "doctor"}, {"turn": 8, "text": "给看了医生，开的药吃了几天了，还是不见好", "role": "patient"}, {"turn": 9, "text": "什么", "role": "doctor"}, {"turn": 10, "text": "什么药", "role": "doctor"}, {"turn": 11, "text": "消炎的头孢克肟颗粒，感冒的事抗感颗粒，还有小儿止咳颗粒", "role": "patient"}, {"turn": 12, "text": "吃了几天了就是不见好", "role": "patient"}, {"turn": 13, "text": "感冒不用吃那么高级的抗生素吧", "role": "doctor"}, {"turn": 14, "text": "验血了吗", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "那更不用消炎药了", "role": "doctor"}, {"turn": 17, "text": "宝宝现在还是鼻塞，流鼻子，打喷嚏", "role": "patient"}, {"turn": 18, "text": "宝宝嗓子有点炎症", "role": "patient"}, {"turn": 19, "text": "还有什么药治感冒就鼻子鼻塞好点的药", "role": "patient"}, {"turn": 20, "text": "嗓子红不代表有炎症", "role": "doctor"}, {"turn": 21, "text": "您孩子喝水够嘛大便如何", "role": "doctor"}, {"turn": 22, "text": "咳嗽明显？", "role": "doctor"}, {"turn": 23, "text": "吃的母乳，喝水不多，偶尔咳嗽", "role": "patient"}, {"turn": 24, "text": "我觉得您可以给孩子试试纳而平", "role": "doctor"}, {"turn": 25, "text": "多喝水，咳嗽明显，把您的咳嗽药吃上", "role": "doctor"}, {"turn": 26, "text": "纳儿平主要治什么", "role": "patient"}, {"turn": 27, "text": "流涕感冒", "role": "doctor"}, {"turn": 28, "text": "哦", "role": "patient"}, {"turn": 29, "text": "孩子得多喝水", "role": "doctor"}, {"turn": 30, "text": "而且不要和感冒的人继续在一起", "role": "doctor"}, {"turn": 31, "text": "要隔离", "role": "doctor"}, {"turn": 32, "text": "抗感颗粒吃了不管用，我还给吃了小儿氨酚黄那敏颗粒", "role": "patient"}, {"turn": 33, "text": "好吧", "role": "patient"}, {"turn": 34, "text": "孩子太小了，吃不了氨酚", "role": "doctor"}, {"turn": 35, "text": "这个药就叫纳儿平吗？", "role": "patient"}, {"turn": 36, "text": "药品名叫复方氨酚甲麻口服液", "role": "doctor"}, {"turn": 37, "text": "纳儿平在药店能买到不", "role": "patient"}, {"turn": 38, "text": "我们这里药店有，不知道您那，您问问吧", "role": "doctor"}, {"turn": 39, "text": "这个药，药店能买到吗？", "role": "patient"}, {"turn": 40, "text": "好的", "role": "patient"}, {"turn": 41, "text": "我们这可以", "role": "doctor"}, {"turn": 42, "text": "是不是处方药", "role": "patient"}, {"turn": 43, "text": "除了这个药还有什么药效果好点", "role": "patient"}, {"turn": 44, "text": "不对", "role": "doctor"}, {"turn": 45, "text": "对", "role": "doctor"}, {"turn": 46, "text": "抱歉，打错了", "role": "doctor"}, {"turn": 47, "text": "是处方药", "role": "doctor"}, {"turn": 48, "text": "那还有什么药效果好点能给娃吃", "role": "patient"}, {"turn": 49, "text": "目前您孩子也就吃这个，其他的都吃不了，太小了", "role": "doctor"}, {"turn": 50, "text": "就是复方氨酚甲麻口服液吗", "role": "patient"}, {"turn": 51, "text": "只能吃这个药啊", "role": "patient"}, {"turn": 52, "text": "对，商品名叫纳而平", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 796, "thread": [{"turn": 0, "text": "请问宝宝坐飞机下飞机前呕吐了很多 之前也坐过好几次飞机 但没有吐过，请问这是晕机还是生病了？（女，43岁）", "role": "patient"}, {"turn": 1, "text": "这样子多久了？有什么诱因？", "role": "doctor"}, {"turn": 2, "text": "飞机上吃了酸奶 七八天前有点咳嗽感冒 当时没有发烧", "role": "patient"}, {"turn": 3, "text": "恩", "role": "doctor"}, {"turn": 4, "text": "但之前的咳嗽感冒基本已经好了", "role": "patient"}, {"turn": 5, "text": "如果孩子吃得多肚子胀，加上坐飞机，有可能会出现吐奶。", "role": "doctor"}, {"turn": 6, "text": "请问这是晕机还是生病？", "role": "patient"}, {"turn": 7, "text": "是吃得比较多 飞机上动得也很厉害", "role": "patient"}, {"turn": 8, "text": "等下要去打疫苗 我特别担心", "role": "patient"}, {"turn": 9, "text": "应该是消化不良吧。", "role": "doctor"}, {"turn": 10, "text": "如果是晕机的话，每次都会有呕吐恶心的症状。", "role": "doctor"}, {"turn": 11, "text": "他以前坐飞机不吐", "role": "patient"}, {"turn": 12, "text": "一会还可以打疫苗吗", "role": "patient"}, {"turn": 13, "text": "可以打疫苗没事。", "role": "doctor"}, {"turn": 14, "text": "消化系统的不舒服对打疫苗影响不大。", "role": "doctor"}, {"turn": 15, "text": "主要不发烧就没事。", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "还有什么其他可以帮助你的吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 797, "thread": [{"turn": 0, "text": "胸部靠近腋窝按压会有酸痛感，按压会有一块一块的肌肉感倒不像硬块，这是什么情况呢（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个位置是有胸壁肌肉的，这个酸痛感可能是肌肉劳损引起的，没什么大问题的。", "role": "doctor"}, {"turn": 2, "text": "那乳腺增生和乳腺癌有什么症状啊", "role": "patient"}, {"turn": 3, "text": "不一定有症状，一般可以摸到肿块", "role": "doctor"}, {"turn": 4, "text": "肿块大概长在什么位置啊？", "role": "patient"}, {"turn": 5, "text": "整个乳房区域都是可以长的", "role": "doctor"}, {"turn": 6, "text": "没有摸到硬块就不用担心的", "role": "doctor"}, {"turn": 7, "text": "是很硬很硬的吗？", "role": "patient"}, {"turn": 8, "text": "嗯，一般都比较硬的", "role": "doctor"}, {"turn": 9, "text": "那这种肌肉劳损大概多久好啊", "role": "patient"}, {"turn": 10, "text": "一般一两周就可以好的，这段时间就要多休息，避免劳累熬夜这些。", "role": "doctor"}, {"turn": 11, "text": "什么会导致乳腺癌或者乳腺增生啊", "role": "patient"}, {"turn": 12, "text": "一般跟遗传基因，自身生长发育异常，周边环境及心情等有关", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 798, "thread": [{"turn": 0, "text": "小完便两到三分钟，走路，或者夹紧大腿时会有一滴尿出来，这是怎么回事（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "还有其他什么不舒服吗？", "role": "doctor"}, {"turn": 3, "text": "暂时没有", "role": "patient"}, {"turn": 4, "text": "好的，排尿时也没有其他不适？尿频尿痛？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "应该在十年前左右吧，有过前列腺炎", "role": "patient"}, {"turn": 7, "text": "好的，目前没有其他症状可以尝试每次排尿后挤一下阴茎也就是前尿道，把尿液都挤出来，然后再观察还会不会出现这个情况", "role": "doctor"}, {"turn": 8, "text": "有时挤出来的尿液还有拉丝，丝很小，要仔细看才看得出来", "role": "patient"}, {"turn": 9, "text": "会啊，我都是挤干净了才走的，过一会走走路感觉会有一滴尿出来", "role": "patient"}, {"turn": 10, "text": "尿不尽感觉明显吗", "role": "doctor"}, {"turn": 11, "text": "不明显", "role": "patient"}, {"turn": 12, "text": "肾虚会不会有这症状", "role": "patient"}, {"turn": 13, "text": "中医的说法有肾虚", "role": "doctor"}, {"turn": 14, "text": "西医没有这个说法", "role": "doctor"}, {"turn": 15, "text": "最常见还是前列腺炎有相关", "role": "doctor"}, {"turn": 16, "text": "那是前列腺炎复发了？", "role": "patient"}, {"turn": 17, "text": "有可能是这个情况，但是目前你还没有其他不适", "role": "doctor"}, {"turn": 18, "text": "所以建议继续观察，或者到正规医院进行前列腺相关检查", "role": "doctor"}, {"turn": 19, "text": "勃起不坚，早泄", "role": "patient"}, {"turn": 20, "text": "或者先应用坦索罗辛改善尿道阻力，看看症状有没有缓解也可以的", "role": "doctor"}, {"turn": 21, "text": "那么可能和前列腺炎关系较大", "role": "doctor"}, {"turn": 22, "text": "前列腺炎会不会发展成前列腺癌呀", "role": "patient"}, {"turn": 23, "text": "这个关系不是特别明显，不用过于忧虑", "role": "doctor"}, {"turn": 24, "text": "好吧，谢谢", "role": "patient"}, {"turn": 25, "text": "如果您需要再次咨询，可以直接搜索我的名字，进入主页后再次找我咨询。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 799, "thread": [{"turn": 0, "text": "前段时间便秘，查出内痔（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "具体有什么不舒服的症状吗？", "role": "doctor"}, {"turn": 3, "text": "四五天左右，闹肚子拉稀", "role": "patient"}, {"turn": 4, "text": "？？", "role": "doctor"}, {"turn": 5, "text": "不是便秘吗", "role": "doctor"}, {"turn": 6, "text": "前段时间便秘", "role": "patient"}, {"turn": 7, "text": "然后最近几天不知道为什么拉稀很严重", "role": "patient"}, {"turn": 8, "text": "这种情况如果反复，建议去做个肠镜，查一下有没有肠道的问题？", "role": "doctor"}, {"turn": 9, "text": "没有反复，就最近几天拉稀", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "doctor"}, {"turn": 11, "text": "这种情况可以外用痔疮栓或者痔疮膏，口服可以选择迈之灵或者地奥司明，再加上温水坐浴15分钟左右", "role": "doctor"}, {"turn": 12, "text": "另外，生活中要注意清淡饮食，不吃辛辣刺激的食物，戒烟戒酒，不要劳累，不要熬夜，多吃瓜果蔬菜，保持大便通畅。另外可以做做提肛运动，就是肛门夹紧往上提，也有助于恢复。", "role": "doctor"}, {"turn": 13, "text": "拉稀什么原因呢？", "role": "patient"}, {"turn": 14, "text": "有可能是肠炎啊！", "role": "doctor"}, {"turn": 15, "text": "这个严重吗？", "role": "patient"}, {"turn": 16, "text": "可以美常安调节肠道菌群", "role": "doctor"}, {"turn": 17, "text": "如果是短时间的就问题不大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 800, "thread": [{"turn": 0, "text": "如何判断是否有幽门螺旋杆菌，如何治疗（男，34）", "role": "patient"}, {"turn": 1, "text": "幽门螺旋杆菌可以空腹吹气检查  这个最直接准确。", "role": "doctor"}, {"turn": 2, "text": "吃什么药治疗", "role": "patient"}, {"turn": 3, "text": "如果有反复口臭以及胃肠道不适  一般是幽门螺旋杆菌引起的", "role": "doctor"}, {"turn": 4, "text": "好的谢谢医生，如果得了吃什么药治疗", "role": "patient"}, {"turn": 5, "text": "一般得抗幽门螺旋杆菌治疗  需要四联药物吃7-14天", "role": "doctor"}, {"turn": 6, "text": "药物有下面这些", "role": "doctor"}, {"turn": 7, "text": "两种抗生素 比如阿奇霉素 阿莫西林 呋喃唑酮 克拉霉素等", "role": "doctor"}, {"turn": 8, "text": "加抑制胃酸一种，比如奥美拉唑  兰索拉唑  雷贝拉唑等。和保护胃黏膜的药一种  ，比如枸橼酸铋钾  胶体果胶铋", "role": "doctor"}, {"turn": 9, "text": "感谢您的指导，我感觉自己口臭好多年了，肠胃也好多年了不舒服，如果得幽门螺旋菌很多年也能一次性治愈吗", "role": "patient"}, {"turn": 10, "text": "这个好转率还是很高的", "role": "doctor"}, {"turn": 11, "text": "好的，再次感谢您的指导，谢谢，没有什么问题了。", "role": "patient"}, {"turn": 12, "text": "OK", "role": "doctor"}, {"turn": 13, "text": "晚安  有问题白天也可以再交流", "role": "doctor"}, {"turn": 14, "text": "后续也可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 801, "thread": [{"turn": 0, "text": "满月宝宝便秘了怎么办（女，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "母乳呢", "role": "patient"}, {"turn": 3, "text": "几天啦", "role": "doctor"}, {"turn": 4, "text": "5天了", "role": "patient"}, {"turn": 5, "text": "上次的时候4天用棉棒刺激出来的", "role": "patient"}, {"turn": 6, "text": "可以用妈咪爱", "role": "doctor"}, {"turn": 7, "text": "这次又5天了", "role": "patient"}, {"turn": 8, "text": "可以吃点妈咪爱", "role": "doctor"}, {"turn": 9, "text": "吃了两天了还没拉", "role": "patient"}, {"turn": 10, "text": "怎么办呢", "role": "patient"}, {"turn": 11, "text": "四磨汤口服液也可以，万不得已用开塞露", "role": "doctor"}, {"turn": 12, "text": "用棉棒刺激出来的是稠的", "role": "patient"}, {"turn": 13, "text": "39天的宝宝，这是便秘啊还是攒肚", "role": "patient"}, {"turn": 14, "text": "如果大便干结就是便秘", "role": "doctor"}, {"turn": 15, "text": "大便不干稠", "role": "patient"}, {"turn": 16, "text": "那就是攒肚", "role": "doctor"}, {"turn": 17, "text": "攒肚怎么办呢", "role": "patient"}, {"turn": 18, "text": "不需要吃药治疗", "role": "doctor"}, {"turn": 19, "text": "光放臭屁", "role": "patient"}, {"turn": 20, "text": "消化不良", "role": "doctor"}, {"turn": 21, "text": "不碍事", "role": "doctor"}, {"turn": 22, "text": "用棉棒干预了两次了", "role": "patient"}, {"turn": 23, "text": "这次又5天了，不敢再干预了", "role": "patient"}, {"turn": 24, "text": "需要怎么办呢", "role": "patient"}, {"turn": 25, "text": "不需要", "role": "doctor"}, {"turn": 26, "text": "攒肚不需要治疗", "role": "doctor"}, {"turn": 27, "text": "就等着让她自己拉吗", "role": "patient"}, {"turn": 28, "text": "不知道要几天才自己拉呢", "role": "patient"}, {"turn": 29, "text": "这种情况一般会持续多久呢", "role": "patient"}, {"turn": 30, "text": "大便次数没有标准的", "role": "doctor"}, {"turn": 31, "text": "刚出满月也会出现这种情况吗", "role": "patient"}, {"turn": 32, "text": "也会", "role": "doctor"}, {"turn": 33, "text": "攒肚也不会宝宝难受吗", "role": "patient"}, {"turn": 34, "text": "不会", "role": "doctor"}, {"turn": 35, "text": "不干预出来的话", "role": "patient"}, {"turn": 36, "text": "目前不是便秘", "role": "doctor"}, {"turn": 37, "text": "也不需要继续吃妈咪爱吗", "role": "patient"}, {"turn": 38, "text": "不需要", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 802, "thread": [{"turn": 0, "text": "2个月宝宝不怎么吃奶吐奶有痰样粘液（男，0岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "两天了", "role": "patient"}, {"turn": 3, "text": "宝宝有没有其他症状？", "role": "doctor"}, {"turn": 4, "text": "本来宝宝只是有点感冒和咳嗽流鼻涕", "role": "patient"}, {"turn": 5, "text": "宝宝精神好不好？体温正常吗？", "role": "doctor"}, {"turn": 6, "text": "在医院打了四天水", "role": "patient"}, {"turn": 7, "text": "体温正常", "role": "patient"}, {"turn": 8, "text": "做过什么检查？", "role": "doctor"}, {"turn": 9, "text": "拍过片和验血验尿", "role": "patient"}, {"turn": 10, "text": "结果怎么样？", "role": "doctor"}, {"turn": 11, "text": "住院前检查的", "role": "patient"}, {"turn": 12, "text": "发上来。", "role": "doctor"}, {"turn": 13, "text": "结果是正常的就是鼻塞和咳嗽", "role": "patient"}, {"turn": 14, "text": "现在住院了。", "role": "doctor"}, {"turn": 15, "text": "片子在家没有拿", "role": "patient"}, {"turn": 16, "text": "是的", "role": "patient"}, {"turn": 17, "text": "这两天就吐奶不吃奶还肚子疼", "role": "patient"}, {"turn": 18, "text": "这个考虑感染引起的。", "role": "doctor"}, {"turn": 19, "text": "我这边的医生都说没事有点不放心", "role": "patient"}, {"turn": 20, "text": "你说过来的情况不严重？", "role": "doctor"}, {"turn": 21, "text": "老是哭一哭肚脐眼突出", "role": "patient"}, {"turn": 22, "text": "是啊我跟这边医生说了", "role": "patient"}, {"turn": 23, "text": "这个可能是脐疝", "role": "doctor"}, {"turn": 24, "text": "我怀疑过跟医生说过都不当回事", "role": "patient"}, {"turn": 25, "text": "宝宝现在体重下降的厉害", "role": "patient"}, {"turn": 26, "text": "就这两天体重下降。", "role": "doctor"}, {"turn": 27, "text": "是的", "role": "patient"}, {"turn": 28, "text": "那是因为生病了，消耗大又吃得少。", "role": "doctor"}, {"turn": 29, "text": "宝宝只要吃奶就肚子疼", "role": "patient"}, {"turn": 30, "text": "吐的都像痰一样的", "role": "patient"}, {"turn": 31, "text": "向他吐干净点。", "role": "doctor"}, {"turn": 32, "text": "一顿才吃20有点担心", "role": "patient"}, {"turn": 33, "text": "恢复要三到五天。", "role": "doctor"}, {"turn": 34, "text": "宝宝之前都是吃110的", "role": "patient"}, {"turn": 35, "text": "主要原因是什么啊", "role": "patient"}, {"turn": 36, "text": "呼吸道感染。", "role": "doctor"}, {"turn": 37, "text": "消化功能紊乱。", "role": "doctor"}, {"turn": 38, "text": "需要验血确定吗", "role": "patient"}, {"turn": 39, "text": "要的", "role": "doctor"}, {"turn": 40, "text": "治疗方法呢", "role": "patient"}, {"turn": 41, "text": "是吃药还是输水啊", "role": "patient"}, {"turn": 42, "text": "输液", "role": "doctor"}, {"turn": 43, "text": "好的", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 803, "thread": [{"turn": 0, "text": "脚扭伤了 用藏红花花椒和艾叶可以吗（男，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了", "role": "doctor"}, {"turn": 2, "text": "今年三月底扭伤的", "role": "patient"}, {"turn": 3, "text": "现在是走路了就有点痛  还有微肿", "role": "patient"}, {"turn": 4, "text": "在年轻时我的脚就扭过  有错位现象  没有很好复位", "role": "patient"}, {"turn": 5, "text": "那这是陈旧性的了", "role": "doctor"}, {"turn": 6, "text": "我想用藏红花和艾叶 花椒煮水泡脚  可以吗", "role": "patient"}, {"turn": 7, "text": "经常会扭伤吗", "role": "doctor"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "我是右脚  扭过几次了  但糊糊膏药  都回复了  这次一直到现在还没回复", "role": "patient"}, {"turn": 10, "text": "泡脚  会起到什么效果", "role": "patient"}, {"turn": 11, "text": "如果同一个位置经常容易扭伤的话，可能会有韧带的损伤导致关节不稳定。", "role": "doctor"}, {"turn": 12, "text": "这几个作用都偏温性，可以促进局部循环", "role": "doctor"}, {"turn": 13, "text": "怎么去治疗", "role": "patient"}, {"turn": 14, "text": "先确定是不是有这种情况，在谈治疗", "role": "doctor"}, {"turn": 15, "text": "基本上是这个情况", "role": "patient"}, {"turn": 16, "text": "确定的话，需要进行磁共振检查看一下", "role": "doctor"}, {"turn": 17, "text": "基本上是你说的情况", "role": "patient"}, {"turn": 18, "text": "检查完了？", "role": "patient"}, {"turn": 19, "text": "检查完了？那结果是什么情况", "role": "doctor"}, {"turn": 20, "text": "还没检查呢", "role": "patient"}, {"turn": 21, "text": "哦，那建议做一个", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 804, "thread": [{"turn": 0, "text": "消化不良 吃了很多药不管用（男，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "吃过 木香顺气丸   和吗叮咛", "role": "patient"}, {"turn": 3, "text": "感觉 不饿", "role": "patient"}, {"turn": 4, "text": "我早上喝了一杯粥  现在感觉不饿", "role": "patient"}, {"turn": 5, "text": "嘴里有点口水", "role": "patient"}, {"turn": 6, "text": "放屁有点多", "role": "patient"}, {"turn": 7, "text": "打嗝反酸吗？", "role": "doctor"}, {"turn": 8, "text": "不打隔", "role": "patient"}, {"turn": 9, "text": "没酸", "role": "patient"}, {"turn": 10, "text": "只是有点流口水", "role": "patient"}, {"turn": 11, "text": "嗯", "role": "doctor"}, {"turn": 12, "text": "你这情况多久了？有加重麽？", "role": "doctor"}, {"turn": 13, "text": "可能过年的时候", "role": "patient"}, {"turn": 14, "text": "吃的太撑了", "role": "patient"}, {"turn": 15, "text": "没有加重", "role": "patient"}, {"turn": 16, "text": "有一两个星期了", "role": "patient"}, {"turn": 17, "text": "为什么吃 吗叮咛 和那个木香顺气丸 没有用", "role": "patient"}, {"turn": 18, "text": "促进胃动力的", "role": "doctor"}, {"turn": 19, "text": "吃上效果怎么样", "role": "doctor"}, {"turn": 20, "text": "强了点", "role": "patient"}, {"turn": 21, "text": "吃了 快5天了", "role": "patient"}, {"turn": 22, "text": "那就继续吃哦", "role": "doctor"}, {"turn": 23, "text": "现在还是 感觉不饿", "role": "patient"}, {"turn": 24, "text": "恩，", "role": "doctor"}, {"turn": 25, "text": "慢慢治，脾胃恢复得一段时间呢", "role": "doctor"}, {"turn": 26, "text": "不饿就先少吃点", "role": "doctor"}, {"turn": 27, "text": "继续吃什么？", "role": "patient"}, {"turn": 28, "text": "吗叮咛 加奥美拉挫？", "role": "patient"}, {"turn": 29, "text": "你没告诉我有奥美拉唑", "role": "doctor"}, {"turn": 30, "text": "我还没有吃奥美拉挫", "role": "patient"}, {"turn": 31, "text": "你现在吃的什么药感觉好点了？你就继续吃上，说明还是有效果的", "role": "doctor"}, {"turn": 32, "text": "只是看到吗叮咛和奥美拉挫一般一起吃", "role": "patient"}, {"turn": 33, "text": "不需要吃奥美拉唑", "role": "doctor"}, {"turn": 34, "text": "你只是有点消化不良不需要吃奥美拉唑", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 805, "thread": [{"turn": 0, "text": "什么是双侧咀嚼问问医生（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，所谓的双侧咀嚼，其实就是吃东西时，左右测的牙齿都会用上", "role": "doctor"}, {"turn": 2, "text": "对于正常人来说，一般是先用一侧咀嚼若干次之后，换到另一侧", "role": "doctor"}, {"turn": 3, "text": "哦", "role": "patient"}, {"turn": 4, "text": "如果是佩戴全口义齿的患者，就要两侧同时咀嚼", "role": "doctor"}, {"turn": 5, "text": "颞颌怎么办", "role": "patient"}, {"turn": 6, "text": "关节", "role": "patient"}, {"turn": 7, "text": "什么意思，颞下颌关节怎么了", "role": "doctor"}, {"turn": 8, "text": "咯吱咯吱的", "role": "patient"}, {"turn": 9, "text": "你有没有吃硬物的习惯", "role": "doctor"}, {"turn": 10, "text": "或者经常紧咬牙，夜磨牙之类的", "role": "doctor"}, {"turn": 11, "text": "吃东西有声音", "role": "patient"}, {"turn": 12, "text": "或者你的牙齿咬合是不是不标准", "role": "doctor"}, {"turn": 13, "text": "声音出现在耳前位置，对吧", "role": "doctor"}, {"turn": 14, "text": "恩", "role": "patient"}, {"turn": 15, "text": "一侧还是两侧", "role": "doctor"}, {"turn": 16, "text": "吃了过硬的东西", "role": "patient"}, {"turn": 17, "text": "你是怎么知道的", "role": "patient"}, {"turn": 18, "text": "一侧", "role": "patient"}, {"turn": 19, "text": "右侧", "role": "patient"}, {"turn": 20, "text": "以后尽量双侧咀嚼", "role": "doctor"}, {"turn": 21, "text": "最近先少用右侧", "role": "doctor"}, {"turn": 22, "text": "可以热敷颞下颌关节", "role": "doctor"}, {"turn": 23, "text": "不吃硬物", "role": "doctor"}, {"turn": 24, "text": "可以少量吃一些消炎药", "role": "doctor"}, {"turn": 25, "text": "不要大张口", "role": "doctor"}, {"turn": 26, "text": "不要用手托腮或托着下巴", "role": "doctor"}, {"turn": 27, "text": "消炎药怎么还要少吃啊", "role": "patient"}, {"turn": 28, "text": "因为你关节是外因造成", "role": "doctor"}, {"turn": 29, "text": "少量消炎药只是为了预防关节处发生无菌性炎症", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 806, "thread": [{"turn": 0, "text": "我经常偏头痛，是什么回事（女，38岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "几年了", "role": "patient"}, {"turn": 3, "text": "嗯", "role": "doctor"}, {"turn": 4, "text": "检查过么", "role": "doctor"}, {"turn": 5, "text": "头疼是针扎一样疼还是一跳一跳的疼", "role": "doctor"}, {"turn": 6, "text": "胀痛", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "大概多久发作一次？疼痛时是否可自己缓解？", "role": "doctor"}, {"turn": 9, "text": "特别是感冒就痛", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "doctor"}, {"turn": 11, "text": "具体什么部位疼？", "role": "doctor"}, {"turn": 12, "text": "左脑上方", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}, {"turn": 14, "text": "头疼前有没有看到闪光点等先兆？", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "请问一下医生我咋了", "role": "patient"}, {"turn": 17, "text": "有没有说睡一觉起来就好了？", "role": "doctor"}, {"turn": 18, "text": "或者一阵疼多长时间？", "role": "doctor"}, {"turn": 19, "text": "有，一个小时那些就好了", "role": "patient"}, {"turn": 20, "text": "嗯", "role": "doctor"}, {"turn": 21, "text": "考虑是血管神经性头疼", "role": "doctor"}, {"turn": 22, "text": "建议您做个颅脑ct，排除器质性病变", "role": "doctor"}, {"turn": 23, "text": "没事就吃点药", "role": "doctor"}, {"turn": 24, "text": "考虑是血管神经性头疼，因为血管功能紊乱引起的。注意休息避免劳累熬夜受凉。吃点头痛宁路盖克", "role": "doctor"}, {"turn": 25, "text": "谢谢！好的，平时都可以吃的吗", "role": "patient"}, {"turn": 26, "text": "平常没必要吃😊", "role": "doctor"}, {"turn": 27, "text": "注意休息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 807, "thread": [{"turn": 0, "text": "填充过的龋齿受到外力产生不适感怎么办（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，之前补牙的时候牙齿洞深么", "role": "doctor"}, {"turn": 2, "text": "深", "role": "patient"}, {"turn": 3, "text": "除了外壳是原来的牙，里面全是填充物", "role": "patient"}, {"turn": 4, "text": "而且是门牙", "role": "patient"}, {"turn": 5, "text": "做根管治疗了么", "role": "doctor"}, {"turn": 6, "text": "是七年前补的，忘记了", "role": "patient"}, {"turn": 7, "text": "以前没有出现不适感，昨晚受到外力才有的，其他牙齿都没感觉", "role": "patient"}, {"turn": 8, "text": "现在该怎么办呢", "role": "patient"}, {"turn": 9, "text": "你可以花十几块钱拍个小牙片，看下根尖有没有病变，应该是根尖有炎症了", "role": "doctor"}, {"turn": 10, "text": "七年之后根尖有改变了应该", "role": "doctor"}, {"turn": 11, "text": "看下根尖改变再做治疗计划", "role": "doctor"}, {"turn": 12, "text": "哦哦，就是受到外力怎么会有炎症呢", "role": "patient"}, {"turn": 13, "text": "有可能当时补牙的时候洞比较深", "role": "doctor"}, {"turn": 14, "text": "哦哦，那它自己可以恢复吗", "role": "patient"}, {"turn": 15, "text": "不可以，你现在是根尖有症状", "role": "doctor"}, {"turn": 16, "text": "不能恢复", "role": "doctor"}, {"turn": 17, "text": "哦哦，知道了", "role": "patient"}, {"turn": 18, "text": "需要重新填充吗", "role": "patient"}, {"turn": 19, "text": "补过的地方跟原牙的颜色区别挺大的", "role": "patient"}, {"turn": 20, "text": "先看看根尖有没有炎症，如果有的话需要先治疗", "role": "doctor"}, {"turn": 21, "text": "哦哦，那如果没有炎症的话呢", "role": "patient"}, {"turn": 22, "text": "那就重新补，然后看看剩下的牙体组织多不需不需要做牙套", "role": "doctor"}, {"turn": 23, "text": "哦哦，好的，谢谢您", "role": "patient"}, {"turn": 24, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 808, "thread": [{"turn": 0, "text": "膀胱刺激症！小腹好痛怎么办（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，是有尿频尿急尿痛吗？排尿时候就痛吗？是在例假期间吗？", "role": "doctor"}, {"turn": 2, "text": "尿频尿急痛昨天服用了清淋颗粒好了", "role": "patient"}, {"turn": 3, "text": "今天小腹特别痛", "role": "patient"}, {"turn": 4, "text": "按时服用药物了吗？昨天有没有去化验一个尿常规，如果尿常规提示有感染，应该口服3天抗生素，症状消退后停服，每天饮水保证2千毫升就可以", "role": "doctor"}, {"turn": 5, "text": "但是下腹部痛严重建议门诊就诊，排除有没有盆腔炎症或者妇科疾病", "role": "doctor"}, {"turn": 6, "text": "因为单纯泌尿系感染引起下腹部疼痛较为少见", "role": "doctor"}, {"turn": 7, "text": "按压下腹部哪个区域最痛，偏左还是偏右", "role": "doctor"}, {"turn": 8, "text": "右边", "role": "patient"}, {"turn": 9, "text": "有没有恶心和腹胀，有开始上腹部不适，后转移至右下腹的情况吗？有腰痛吗？", "role": "doctor"}, {"turn": 10, "text": "没得腰痛", "role": "patient"}, {"turn": 11, "text": "建议您今天去急诊外科就诊", "role": "doctor"}, {"turn": 12, "text": "有恶心的感觉", "role": "patient"}, {"turn": 13, "text": "看一下，做一些相关检查", "role": "doctor"}, {"turn": 14, "text": "您现在的症状有好几种情况，第一，需要排除是否有阑尾炎，因为阑尾炎比较紧急，早期也会有你这些类似症状，第二，考虑盆腔炎症或者泌尿系感染，泌尿系感染引起下腹痛较少", "role": "doctor"}, {"turn": 15, "text": "建议急诊外科就诊", "role": "doctor"}, {"turn": 16, "text": "如果疼痛刚开始不超过3天，及早就诊是有必要的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 809, "thread": [{"turn": 0, "text": "八个月宝宝便秘怎么办（女，8个月）", "role": "patient"}, {"turn": 1, "text": "您好宝宝现在是母乳还是牛奶喂养的", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "你好，医生", "role": "patient"}, {"turn": 4, "text": "宝宝大便几天一次？", "role": "doctor"}, {"turn": 5, "text": "几乎每天都拉，可是拉的很硬，拉的在哭。有时候拉不出，这样已经有两个月", "role": "patient"}, {"turn": 6, "text": "请问宝宝有没有添加辅食？", "role": "doctor"}, {"turn": 7, "text": "吃青菜稀饭，还有水果", "role": "patient"}, {"turn": 8, "text": "医生你在忙吗", "role": "patient"}, {"turn": 9, "text": "您好，请问吃的多吗？", "role": "doctor"}, {"turn": 10, "text": "吃得还可以", "role": "patient"}, {"turn": 11, "text": "可以适当让宝宝多喝点水，同时给予妈咪爱口服调理", "role": "doctor"}, {"turn": 12, "text": "妈咪爱不是治拉肚子的吗？", "role": "patient"}, {"turn": 13, "text": "调理肠道菌群作用，双向调节", "role": "doctor"}, {"turn": 14, "text": "可是吃也没什么用呀", "role": "patient"}, {"turn": 15, "text": "吃过吗？", "role": "doctor"}, {"turn": 16, "text": "请问还有别的办法吗", "role": "patient"}, {"turn": 17, "text": "有", "role": "patient"}, {"turn": 18, "text": "也可以使用乳果糖口服", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 810, "thread": [{"turn": 0, "text": "十个月宝宝便秘怎么办？五天没拉（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝平时几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "有没有想排大便的动作，或者阵发性哭闹？", "role": "doctor"}, {"turn": 3, "text": "可以用次开塞露的", "role": "doctor"}, {"turn": 4, "text": "对，一拉就哭", "role": "patient"}, {"turn": 5, "text": "用了四五次了", "role": "patient"}, {"turn": 6, "text": "以前都是一天一次，最近半个月四天一次还都是用开塞露才拉", "role": "patient"}, {"turn": 7, "text": "这种情况可以补充益生菌，多吃香蕉，多喝水，如果还不缓解就口服乳果糖口服液", "role": "doctor"}, {"turn": 8, "text": "这次用了开塞露也没有想拉，不知道为什么", "role": "patient"}, {"turn": 9, "text": "这次大便因为已经变硬了，先用次开塞露吧", "role": "doctor"}, {"turn": 10, "text": "在吃妈咪爱", "role": "patient"}, {"turn": 11, "text": "用了也没拉出来", "role": "patient"}, {"turn": 12, "text": "那说明大便位置还比较靠上，不到排便的时候", "role": "doctor"}, {"turn": 13, "text": "哦好", "role": "patient"}, {"turn": 14, "text": "开塞露一般在宝宝想排便时用效果最明显", "role": "doctor"}, {"turn": 15, "text": "乳果糖十个月宝宝能吃吗", "role": "patient"}, {"turn": 16, "text": "先多吃熟透的香蕉吧", "role": "doctor"}, {"turn": 17, "text": "乳果糖是可以吃的，", "role": "doctor"}, {"turn": 18, "text": "用了四次了，会不会有影响", "role": "patient"}, {"turn": 19, "text": "不要紧的，这个就是甘油起润滑作用，没有大的副作用", "role": "doctor"}, {"turn": 20, "text": "好", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 811, "thread": [{"turn": 0, "text": "头晕心慌恶心憋气耳鸣怎么办（女，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？第一次吗？", "role": "doctor"}, {"turn": 2, "text": "您好，以前偶尔有过，胸闷一会好了", "role": "patient"}, {"turn": 3, "text": "平时睡眠、心情怎么样？有没有抽烟喝酒习惯？有没有其它疾病？如高血压", "role": "doctor"}, {"turn": 4, "text": "还有过像突然心紧张，像马上就不行了", "role": "patient"}, {"turn": 5, "text": "考虑惊恐发作，焦虑的一种形式", "role": "doctor"}, {"turn": 6, "text": "属于心理科疾病，建议看一下心理科", "role": "doctor"}, {"turn": 7, "text": "这次症状多了，昨晚和今早", "role": "patient"}, {"turn": 8, "text": "不抽烟不喝酒，没有高血压", "role": "patient"}, {"turn": 9, "text": "焦虑可以出现很多症状，不用担心，可以深呼吸，慢慢会缓解的", "role": "doctor"}, {"turn": 10, "text": "现在头晕，心慌，胸闷，憋气，恶心，昨晚还有耳鸣", "role": "patient"}, {"turn": 11, "text": "用不用吃药", "role": "patient"}, {"turn": 12, "text": "如果频繁出现，建议药物治疗", "role": "doctor"}, {"turn": 13, "text": "我有时就感觉要马上就上不来气，要过去似的", "role": "patient"}, {"turn": 14, "text": "吃什么药啊", "role": "patient"}, {"turn": 15, "text": "一般吃抗焦虑药物如赛乐特", "role": "doctor"}, {"turn": 16, "text": "头晕晕的是怎么回事啊", "role": "patient"}, {"turn": 17, "text": "与焦虑有关", "role": "doctor"}, {"turn": 18, "text": "用不用吃救心丸和硝酸甘油啊", "role": "patient"}, {"turn": 19, "text": "不需要，不放心就用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 812, "thread": [{"turn": 0, "text": "换奶粉便秘3天怎么弄（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，先吃益生菌调理，如果还拉不下就得用开塞露，", "role": "doctor"}, {"turn": 2, "text": "妈咪爱现在可以哥吗？", "role": "patient"}, {"turn": 3, "text": "晚上妈咪爱可以喝吗？", "role": "patient"}, {"turn": 4, "text": "可以喝，", "role": "doctor"}, {"turn": 5, "text": "喝多少！早上一起来就喝会不会更好", "role": "patient"}, {"turn": 6, "text": "一天两次，一次半袋，多会都行，", "role": "doctor"}, {"turn": 7, "text": "嗯好的那要多少天呢？", "role": "patient"}, {"turn": 8, "text": "先吃几天看一下，不拉就继续吃，拉就不吃了，", "role": "doctor"}, {"turn": 9, "text": "嗯好的", "role": "patient"}, {"turn": 10, "text": "好，", "role": "doctor"}, {"turn": 11, "text": "之前两种混的喝都不会！", "role": "patient"}, {"turn": 12, "text": "什么混着喝？奶粉？", "role": "doctor"}, {"turn": 13, "text": "后面没有混的喝就喝全部喝新的奶粉就开始不拉", "role": "patient"}, {"turn": 14, "text": "那就说明后面这个不适合，", "role": "doctor"}, {"turn": 15, "text": "嗯我家的宝宝都是奶粉喂养！前面喝的是惠氏的现在给她换安满！", "role": "patient"}, {"turn": 16, "text": "那要怎么弄在换回来还是", "role": "patient"}, {"turn": 17, "text": "先喝益生菌调理，不行就得换回，", "role": "doctor"}, {"turn": 18, "text": "之前喝惠氏有的时候也是三四天才拉！", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "patient"}, {"turn": 20, "text": "只要规律，大便不干就行，", "role": "doctor"}, {"turn": 21, "text": "就是喝惠氏拉的便都不是很好！都比较硬！所以才给她换奶粉的", "role": "patient"}, {"turn": 22, "text": "哦哦，那你试试调一段时间，", "role": "doctor"}, {"turn": 23, "text": "在混的喝还是？", "role": "patient"}, {"turn": 24, "text": "我喝新的奶刚还喝了三天", "role": "patient"}, {"turn": 25, "text": "再喝，用益生菌调理，", "role": "doctor"}, {"turn": 26, "text": "嗯好的", "role": "patient"}, {"turn": 27, "text": "嗯嗯，", "role": "doctor"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "还是给她喝妈咪爱！还是其他", "role": "patient"}, {"turn": 30, "text": "其他牌子的益声菌", "role": "patient"}, {"turn": 31, "text": "妈咪爱", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 813, "thread": [{"turn": 0, "text": "偏头痛快一星期了一振一振（男，52岁）", "role": "patient"}, {"turn": 1, "text": "您好，吃过什么药物吗", "role": "doctor"}, {"turn": 2, "text": "吃点止痛药缓解后又发作了", "role": "patient"}, {"turn": 3, "text": "氟桂利嗪胶囊", "role": "doctor"}, {"turn": 4, "text": "后头痛改成右偏头痛", "role": "patient"}, {"turn": 5, "text": "尼莫地平片", "role": "doctor"}, {"turn": 6, "text": "口服", "role": "doctor"}, {"turn": 7, "text": "效果不理想就吃特效药苯甲酸利扎曲普坦片", "role": "doctor"}, {"turn": 8, "text": "不过这个药贵", "role": "doctor"}, {"turn": 9, "text": "双氯芬酸纳", "role": "patient"}, {"turn": 10, "text": "止痛可以的", "role": "doctor"}, {"turn": 11, "text": "又发作了", "role": "patient"}, {"turn": 12, "text": "吃我说的这个药", "role": "doctor"}, {"turn": 13, "text": "就一种药", "role": "patient"}, {"turn": 14, "text": "氟桂利嗪胶囊", "role": "doctor"}, {"turn": 15, "text": "尼莫地平片", "role": "doctor"}, {"turn": 16, "text": "➕双氯芬酸钠缓释片", "role": "doctor"}, {"turn": 17, "text": "你现在痛可以加一片双氯芬酸钠", "role": "doctor"}, {"turn": 18, "text": "哪种最好", "role": "patient"}, {"turn": 19, "text": "苯甲酸利扎曲普坦片", "role": "doctor"}, {"turn": 20, "text": "白天买吧，还检查吗", "role": "patient"}, {"turn": 21, "text": "不用了", "role": "doctor"}, {"turn": 22, "text": "很典型偏头痛", "role": "doctor"}, {"turn": 23, "text": "从前也有，这次重些", "role": "patient"}, {"turn": 24, "text": "嗯", "role": "doctor"}, {"turn": 25, "text": "偏右后侧", "role": "patient"}, {"turn": 26, "text": "嗯，把我说的药物吃上再看", "role": "doctor"}, {"turn": 27, "text": "好，", "role": "patient"}, {"turn": 28, "text": "嗯", "role": "doctor"}, {"turn": 29, "text": "利扎曲还配其它药吗", "role": "patient"}, {"turn": 30, "text": "尼莫地平片缓解血管痉挛", "role": "doctor"}, {"turn": 31, "text": "长时间痛，会有后异证吗", "role": "patient"}, {"turn": 32, "text": "长年累月痛存在头疼相关脑梗风险", "role": "doctor"}, {"turn": 33, "text": "就这两种配着吃吗", "role": "patient"}, {"turn": 34, "text": "可以，曲谱坦不疼就不吃了", "role": "doctor"}, {"turn": 35, "text": "现在痛", "role": "patient"}, {"turn": 36, "text": "曲普坦三种药吗", "role": "patient"}, {"turn": 37, "text": "曲谱坦➕尼莫地平", "role": "doctor"}, {"turn": 38, "text": "这两种药就行了？", "role": "patient"}, {"turn": 39, "text": "嗯", "role": "doctor"}, {"turn": 40, "text": "甲酸利扎曲就不买了？", "role": "patient"}, {"turn": 41, "text": "唉😔，苯甲酸利扎曲普坦是一个药", "role": "doctor"}, {"turn": 42, "text": "懂了吗", "role": "doctor"}, {"turn": 43, "text": "平时吃鸡蛋有关吗", "role": "patient"}, {"turn": 44, "text": "没得", "role": "doctor"}, {"turn": 45, "text": "注意事项?", "role": "patient"}, {"turn": 46, "text": "不要熬夜，喝酒，劳累，情绪激动", "role": "doctor"}, {"turn": 47, "text": "我从来没查过血与体检", "role": "patient"}, {"turn": 48, "text": "噢，谢谢", "role": "patient"}, {"turn": 49, "text": "不客气", "role": "doctor"}, {"turn": 50, "text": "体检对我有帮助吗", "role": "patient"}, {"turn": 51, "text": "每年体检必要的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 814, "thread": [{"turn": 0, "text": "带睡眠耳塞睡觉早上摘掉以后耳鸣（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，以前有过这种情况吗？", "role": "doctor"}, {"turn": 2, "text": "可以手电筒看一下外耳道眼，有没有耳屎堵塞", "role": "doctor"}, {"turn": 3, "text": "前天带耳机摘掉之后开始，昨天就好多了，然后今早上带了会睡眠耳塞睡觉摘掉之后又有了", "role": "patient"}, {"turn": 4, "text": "而且左耳听力明显不如右耳了", "role": "patient"}, {"turn": 5, "text": "一侧还是双侧?", "role": "doctor"}, {"turn": 6, "text": "暂时不要佩戴耳塞比较好", "role": "doctor"}, {"turn": 7, "text": "左耳一侧", "role": "patient"}, {"turn": 8, "text": "有没有耳屎堵塞", "role": "doctor"}, {"turn": 9, "text": "就自己看不到啊", "role": "patient"}, {"turn": 10, "text": "家人或者朋友帮忙手电筒看一下", "role": "doctor"}, {"turn": 11, "text": "或者用挖耳勺清理耳屎试试", "role": "doctor"}, {"turn": 12, "text": "前两天还清理过不过不确定清理得干不干净", "role": "patient"}, {"turn": 13, "text": "不敢太深挖", "role": "patient"}, {"turn": 14, "text": "听力下降明显吗？", "role": "doctor"}, {"turn": 15, "text": "如果听力下降明显，建议尽早到医院耳鼻喉科看一下，必要时电测听声导抗检查。", "role": "doctor"}, {"turn": 16, "text": "嗯能明显感觉出和右耳有差别", "role": "patient"}, {"turn": 17, "text": "前天也是这样的情况不过昨天没带耳机和耳塞就有好转", "role": "patient"}, {"turn": 18, "text": "需要注意突发性耳聋", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 815, "thread": [{"turn": 0, "text": "你好宝宝咳嗽发热怎么办（女，2岁6个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝出现这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "三天", "role": "patient"}, {"turn": 3, "text": "家里有人感冒吗？", "role": "doctor"}, {"turn": 4, "text": "就是感冒了，轻微流鼻涕，然后咳嗽，晚上睡着了，会有发热，但不发烧。", "role": "patient"}, {"turn": 5, "text": "家里有轻微感冒了都好了。", "role": "patient"}, {"turn": 6, "text": "去医院查血了没有？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "前天有痰，会吐痰出来，昨天开始就是咳但不吐痰了", "role": "patient"}, {"turn": 9, "text": "如果还是发热最好到医院查血和查个流感", "role": "doctor"}, {"turn": 10, "text": "不知道是什么情况？", "role": "patient"}, {"turn": 11, "text": "这种情况属于正常吗？", "role": "patient"}, {"turn": 12, "text": "警惕流感。", "role": "doctor"}, {"turn": 13, "text": "发热3天还是查明原因比较好", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "?", "role": "doctor"}, {"turn": 16, "text": "流感是怎么治疗呢？", "role": "patient"}, {"turn": 17, "text": "口服奥司他韦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 816, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：1岁宝宝咳嗽怎么办（男，1岁）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "2.3天", "role": "patient"}, {"turn": 3, "text": "没痰 不发烧", "role": "patient"}, {"turn": 4, "text": "一开始不严重 今天比之前严重了 睡觉咳醒好几次", "role": "patient"}, {"turn": 5, "text": "有没有流鼻涕鼻塞？宝宝之前有过什么疾病吗？", "role": "doctor"}, {"turn": 6, "text": "没流鼻涕", "role": "patient"}, {"turn": 7, "text": "没有疾病 都是两个月前幼儿急疹 发烧起疹子了一次", "role": "patient"}, {"turn": 8, "text": "那宝宝一般情况还好，现在考虑是有呼吸道感染。可以吃上小儿肺咳颗粒", "role": "doctor"}, {"turn": 9, "text": "呼吸道感染一般是什么引起的呢 我们好主意一些", "role": "patient"}, {"turn": 10, "text": "现在这种情况必须吃药的哈？", "role": "patient"}, {"turn": 11, "text": "现在有什么特别的注意事项吗", "role": "patient"}, {"turn": 12, "text": "因为最近病毒感染比较厉害 所以如果不是太严重不想带宝宝去医院", "role": "patient"}, {"turn": 13, "text": "呼吸道感染和平时的护理不当有关系，比如说受凉，室内空气干燥，空气不流通，忽冷忽热，或者是给宝宝喝水少，家人有感冒都会导致。", "role": "doctor"}, {"turn": 14, "text": "注意保持室内空气清洁流动湿润，避免忽冷忽热，空气干燥用上加湿器，保持湿度在60温度22~26，适当开窗通风。", "role": "doctor"}, {"turn": 15, "text": "一合理喂养，适当抬头，上身一脸吐奶呛奶。", "role": "doctor"}, {"turn": 16, "text": "好 这个药是需要吃的吗 现在这种情况 还是说好好照顾可以挺过去", "role": "patient"}, {"turn": 17, "text": "如果咳嗽比较多，观察3~5天没有缓解，建议给宝宝吃上，如果咳嗽不多可以先护理观察。", "role": "doctor"}, {"turn": 18, "text": "好 不会咳出肺炎什么的吧 不发烧是不是就没问题", "role": "patient"}, {"turn": 19, "text": "观察呼吸平稳，吃奶好不发烧一般问题不大。", "role": "doctor"}, {"turn": 20, "text": "好 我给他喝了些梨枸杞熬的水 可以吗？还是说喝温水更好一些呢", "role": "patient"}, {"turn": 21, "text": "可以熬梨水喝", "role": "doctor"}, {"turn": 22, "text": "这样咳下去嗓子会不会发炎呢", "role": "patient"}, {"turn": 23, "text": "考虑是有嗓子发炎，咳嗽严重的话有可能会导致支气管炎或肺炎。", "role": "doctor"}, {"turn": 24, "text": "我觉得现在就挺严重的 因为他会连着咳 不过就是没发烧。这种情况你感觉问题大吗 您的建议是在观察一两天 还是说直接吃药 或者去医院呢", "role": "patient"}, {"turn": 25, "text": "如果是咳嗽挺严重的，建议直接吃药或者是到医院就诊。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 817, "thread": [{"turn": 0, "text": "女人大便干！便秘，中气不足吃什么药好（女，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了呢？", "role": "doctor"}, {"turn": 2, "text": "可以看看舌头吗", "role": "doctor"}, {"turn": 3, "text": "一个多月了", "role": "patient"}, {"turn": 4, "text": "有没有胃肠不舒服", "role": "doctor"}, {"turn": 5, "text": "看看舌头", "role": "doctor"}, {"turn": 6, "text": "是想吃中药吗", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "吃过什么药吗？", "role": "doctor"}, {"turn": 9, "text": "舌头拍一下", "role": "doctor"}, {"turn": 10, "text": "可以吃中药，或补药", "role": "patient"}, {"turn": 11, "text": "去医院看了。但是没有效果。", "role": "patient"}, {"turn": 12, "text": "您能介绍一两个补药来补一下吗？", "role": "patient"}, {"turn": 13, "text": "可以开点中药来吃一下嘛。", "role": "patient"}, {"turn": 14, "text": "可以，舌头看一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 818, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：混合痔（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有什么要咨询的呢", "role": "doctor"}, {"turn": 2, "text": "大半年前做了混合痔手术后", "role": "patient"}, {"turn": 3, "text": "今天出血了", "role": "patient"}, {"turn": 4, "text": "出血多吗", "role": "doctor"}, {"turn": 5, "text": "会不会是复发", "role": "patient"}, {"turn": 6, "text": "今天大便干燥吗", "role": "doctor"}, {"turn": 7, "text": "两次，一次干，一次西", "role": "patient"}, {"turn": 8, "text": "疼吗", "role": "doctor"}, {"turn": 9, "text": "在吗", "role": "doctor"}, {"turn": 10, "text": "不疼，上厕所没有滴血，就刚才发现滴了几滴", "role": "patient"}, {"turn": 11, "text": "哦", "role": "doctor"}, {"turn": 12, "text": "肛门口有疙瘩吗", "role": "doctor"}, {"turn": 13, "text": "擦的时候周边有点疼，", "role": "patient"}, {"turn": 14, "text": "摸了，好像没有发现", "role": "patient"}, {"turn": 15, "text": "大便是特别干燥的那种吗", "role": "doctor"}, {"turn": 16, "text": "应该不会复发吧，做完手术医生说不会复发，", "role": "patient"}, {"turn": 17, "text": "不是特别干，", "role": "patient"}, {"turn": 18, "text": "解大便时候疼吗", "role": "doctor"}, {"turn": 19, "text": "周边么，", "role": "patient"}, {"turn": 20, "text": "混合痔术前时候肛门有疙瘩吗", "role": "doctor"}, {"turn": 21, "text": "以前是有点用力，周边裂开了出了点血，", "role": "patient"}, {"turn": 22, "text": "大便干燥可引起肛门部损伤，也可能会出血的", "role": "doctor"}, {"turn": 23, "text": "没有，医生拍了拍子在里面，内痔加混合痔，", "role": "patient"}, {"turn": 24, "text": "哦", "role": "doctor"}, {"turn": 25, "text": "擦的时候周边疼，", "role": "patient"}, {"turn": 26, "text": "做的哪种术式？", "role": "doctor"}, {"turn": 27, "text": "微创", "role": "patient"}, {"turn": 28, "text": "现在周边破了没有", "role": "doctor"}, {"turn": 29, "text": "应该是破了，，", "role": "patient"}, {"turn": 30, "text": "破了可能是破损部位出的血", "role": "doctor"}, {"turn": 31, "text": "观察一下", "role": "doctor"}, {"turn": 32, "text": "擦的时候疼", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "注意饮食，尽量保持大便不干燥", "role": "doctor"}, {"turn": 35, "text": "复发有可能吗", "role": "patient"}, {"turn": 36, "text": "很可能是肛门损伤引起的出血", "role": "doctor"}, {"turn": 37, "text": "好的谢谢", "role": "patient"}, {"turn": 38, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 819, "thread": [{"turn": 0, "text": "手腕扭伤恢复期间过量活动（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？现在有什么症状", "role": "doctor"}, {"turn": 2, "text": "我手腕扭伤一个月 基本都会恢复了  手腕特定角度发力会疼且不敢发力", "role": "patient"}, {"turn": 3, "text": "当时做过什么检查，检查结果怎么样", "role": "doctor"}, {"turn": 4, "text": "没做什么检查  和同学掰手腕时候扭伤的  基本一个周就基本不疼了  两个周的时候 去健身  最近出现上述情况", "role": "patient"}, {"turn": 5, "text": "当时扭伤时有没有红肿，这段时间是怎么保守治疗的", "role": "doctor"}, {"turn": 6, "text": "没有红肿 伤后两个星期的时候健了两次身 锻炼力量  发现有点不舒服 就没锻炼过  最近贴了膏药", "role": "patient"}, {"turn": 7, "text": "现在腕关节活动怎么样，疼得厉害吗", "role": "doctor"}, {"turn": 8, "text": "疼的不厉害  特定角度不敢发力  或者 说特定角度发力手腕疼", "role": "patient"}, {"turn": 9, "text": "那应该还是没有完全恢复造成的，建议这段时间减少用腕力的活动，继续外用膏药", "role": "doctor"}, {"turn": 10, "text": "外用喷雾可以吗？", "role": "patient"}, {"turn": 11, "text": "可以试试", "role": "doctor"}, {"turn": 12, "text": "还是膏药好用？", "role": "patient"}, {"turn": 13, "text": "建议可以使用氟比洛芬巴布膏试试看，然后平时可以做做热敷，促进关节周围血液循环", "role": "doctor"}, {"turn": 14, "text": "您好，麻烦在系统关闭这个问题后给个好评，谢谢😊，最后祝您生活愉快，早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 820, "thread": [{"turn": 0, "text": "入冬以来  一直便秘怎么回事（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一个多月了  就是大便很干", "role": "patient"}, {"turn": 3, "text": "大便多长时间一次", "role": "doctor"}, {"turn": 4, "text": "一天一次", "role": "patient"}, {"turn": 5, "text": "饮食和以前一样吗", "role": "doctor"}, {"turn": 6, "text": "一样", "role": "patient"}, {"turn": 7, "text": "可以多吃吃水果蔬菜，多运动", "role": "doctor"}, {"turn": 8, "text": "我一到冬天就这样  但是我感觉今年的时间比较长  一直很干", "role": "patient"}, {"turn": 9, "text": "如果症状不缓解的话可以口服芦荟胶囊", "role": "doctor"}, {"turn": 10, "text": "我这是怎么回事", "role": "patient"}, {"turn": 11, "text": "可能是肠道功能减退，肠道蠕动减弱引起的", "role": "doctor"}, {"turn": 12, "text": "它自己能缓解吗", "role": "patient"}, {"turn": 13, "text": "建议你多吃水果蔬菜，多运动，应该是可以缓解的", "role": "doctor"}, {"turn": 14, "text": "不是痔疮吧", "role": "patient"}, {"turn": 15, "text": "痔疮也会引起的", "role": "doctor"}, {"turn": 16, "text": "但是我从小就这样  每年冬天都这样 我不会是从小时候就有痔疮吧", "role": "patient"}, {"turn": 17, "text": "不放心的话可以去检查一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 821, "thread": [{"turn": 0, "text": "宝宝17个月，便秘，乳果糖可以吗？（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴给您解答问题", "role": "doctor"}, {"turn": 2, "text": "你好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 3, "text": "宝宝便秘多长时间了", "role": "doctor"}, {"turn": 4, "text": "一般3天", "role": "patient"}, {"turn": 5, "text": "大约2周了吧", "role": "patient"}, {"turn": 6, "text": "宝宝平时大便干燥吗", "role": "doctor"}, {"turn": 7, "text": "干燥", "role": "patient"}, {"turn": 8, "text": "宝宝平时饮食如何", "role": "doctor"}, {"turn": 9, "text": "挑食吗？蔬菜吃吗", "role": "doctor"}, {"turn": 10, "text": "不挑食", "role": "patient"}, {"turn": 11, "text": "可以喝乳果糖", "role": "doctor"}, {"turn": 12, "text": "同时每天给宝宝顺时针按摩腹部增强胃肠道蠕动", "role": "doctor"}, {"turn": 13, "text": "给宝宝口服益生菌如妈咪爱或是宝乐安", "role": "doctor"}, {"turn": 14, "text": "多给宝宝喝水", "role": "doctor"}, {"turn": 15, "text": "一天喝多少？喝几次？饭前还是饭后？", "role": "patient"}, {"turn": 16, "text": "您说的那个药", "role": "doctor"}, {"turn": 17, "text": "嗯，乳果糖", "role": "patient"}, {"turn": 18, "text": "一天5毫升，分三次口服", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}, {"turn": 20, "text": "医生，麻烦再问一下，饭前吃还是饭后", "role": "patient"}, {"turn": 21, "text": "都可以", "role": "doctor"}, {"turn": 22, "text": "不用谢，祝宝宝健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 822, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：眼睛有飞蚊症（女，42岁）", "role": "patient"}, {"turn": 1, "text": "您好，请您发送眼b超结果", "role": "doctor"}, {"turn": 2, "text": "b超没做啦", "role": "patient"}, {"turn": 3, "text": "我们这里小地方没有眼b超的", "role": "patient"}, {"turn": 4, "text": "现在有什么症状", "role": "doctor"}, {"turn": 5, "text": "我是近视眼三天前左眼出现飞蚊症医院里测了眼压看了眼底都正常的平时身体也好的没有高血压糖尿病", "role": "patient"}, {"turn": 6, "text": "我们这里医生说是玻璃体浑浊", "role": "patient"}, {"turn": 7, "text": "如果视力没问题，只是有黑影飘动，可以想观察", "role": "doctor"}, {"turn": 8, "text": "不用治疗", "role": "doctor"}, {"turn": 9, "text": "我问问怎么治疗用什么药需要去大医院做其他检查吗", "role": "patient"}, {"turn": 10, "text": "就是一个小黑影随眼睛转动很不舒服", "role": "patient"}, {"turn": 11, "text": "这个会好转吗", "role": "patient"}, {"turn": 12, "text": "不会", "role": "doctor"}, {"turn": 13, "text": "什么也不影响", "role": "doctor"}, {"turn": 14, "text": "哦那咋办呀感觉好难受呀", "role": "patient"}, {"turn": 15, "text": "不需要治疗，也没有什么药物能治疗", "role": "doctor"}, {"turn": 16, "text": "会严重吗", "role": "patient"}, {"turn": 17, "text": "有可能", "role": "doctor"}, {"turn": 18, "text": "怎么预防", "role": "patient"}, {"turn": 19, "text": "不能预防啊", "role": "doctor"}, {"turn": 20, "text": "正常老化", "role": "doctor"}, {"turn": 21, "text": "那严重了可以手术治疗吗", "role": "patient"}, {"turn": 22, "text": "不建议", "role": "doctor"}, {"turn": 23, "text": "得不偿失", "role": "doctor"}, {"turn": 24, "text": "那就是顺其自然吗", "role": "patient"}, {"turn": 25, "text": "不用总去找它", "role": "doctor"}, {"turn": 26, "text": "不影响视力就没事", "role": "doctor"}, {"turn": 27, "text": "不用管", "role": "doctor"}, {"turn": 28, "text": "嗯谢谢就是还不适应", "role": "patient"}, {"turn": 29, "text": "嗯", "role": "doctor"}, {"turn": 30, "text": "如果您对我的回答满意，请您务必给我一个好评，谢谢您的支持", "role": "doctor"}, {"turn": 31, "text": "麻烦再问一下可以用胺碘肽滴眼液吗", "role": "patient"}, {"turn": 32, "text": "可以用，但是不要过于期待药物效果", "role": "doctor"}, {"turn": 33, "text": "好的", "role": "patient"}, {"turn": 34, "text": "如果您对我的回答满意，请您务必给我一个好评，谢谢您的支持", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 823, "thread": [{"turn": 0, "text": "宝宝有点消化不良可以打预防针吗（女，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝具体有哪些症状？", "role": "doctor"}, {"turn": 2, "text": "多长时间了？", "role": "doctor"}, {"turn": 3, "text": "宝宝34天", "role": "patient"}, {"turn": 4, "text": "之前大便一天五六次，有奶瓣", "role": "patient"}, {"turn": 5, "text": "有没有口服药物呢？", "role": "doctor"}, {"turn": 6, "text": "溢奶有点厉害，但精神状态正常", "role": "patient"}, {"turn": 7, "text": "这几天基本不溢奶，一天拉三次", "role": "patient"}, {"turn": 8, "text": "有没有口服药物呢？", "role": "doctor"}, {"turn": 9, "text": "今天又溢奶，大便四次了，有奶瓣", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "昨天的汤有点油？", "role": "patient"}, {"turn": 12, "text": "然后这几天我吃了点辣椒", "role": "patient"}, {"turn": 13, "text": "今天她肚子经常咕噜咕噜响", "role": "patient"}, {"turn": 14, "text": "宝宝的消化系统发育还不够完善，喷门括约肌比较松弛，幽门括约肌比较紧张，胃呈水平位，4个月以内的宝宝容易溢奶。", "role": "doctor"}, {"turn": 15, "text": "那为啥前几天不溢奶，今天又开始啊", "role": "patient"}, {"turn": 16, "text": "与你饮食有关系。胃不好", "role": "doctor"}, {"turn": 17, "text": "昨天是大骨汤，有点油", "role": "patient"}, {"turn": 18, "text": "今天中午吃了红苋菜和油豆腐？有关系吗？", "role": "patient"}, {"turn": 19, "text": "以后注意饮食。有关系。", "role": "doctor"}, {"turn": 20, "text": "明天打预防针可以打吗？", "role": "patient"}, {"turn": 21, "text": "这种情况的话先不要打。", "role": "doctor"}, {"turn": 22, "text": "那如果一直这样呢？", "role": "patient"}, {"turn": 23, "text": "精神状态正常", "role": "patient"}, {"turn": 24, "text": "你的治疗消化不良。", "role": "doctor"}, {"turn": 25, "text": "口服药物，小儿推拿按摩，注意你的饮食。", "role": "doctor"}, {"turn": 26, "text": "好吧，谢谢", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 824, "thread": [{"turn": 0, "text": "双侧锁骨上区多发肿大淋巴结（男，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "就是体检发现的", "role": "patient"}, {"turn": 3, "text": "没症状", "role": "patient"}, {"turn": 4, "text": "这个要怎么检查？", "role": "patient"}, {"turn": 5, "text": "别的项目还查了什么", "role": "doctor"}, {"turn": 6, "text": "就只是拍了颈部彩超", "role": "patient"}, {"turn": 7, "text": "医生建议拍个肺部CT", "role": "patient"}, {"turn": 8, "text": "这个最好做个全身细致的检查", "role": "doctor"}, {"turn": 9, "text": "这个需要做吗", "role": "patient"}, {"turn": 10, "text": "看看为什么会肿大", "role": "doctor"}, {"turn": 11, "text": "细致的检查比如？", "role": "patient"}, {"turn": 12, "text": "胃肠镜要做是吗", "role": "patient"}, {"turn": 13, "text": "颌面部CT", "role": "doctor"}, {"turn": 14, "text": "胃肠应该不用", "role": "doctor"}, {"turn": 15, "text": "肺最好也看看", "role": "doctor"}, {"turn": 16, "text": "好的 那就拍个肺部的", "role": "patient"}, {"turn": 17, "text": "嗯嗯", "role": "doctor"}, {"turn": 18, "text": "颌面部CT是主要看哪方面的？", "role": "patient"}, {"turn": 19, "text": "因为刚刚医生只开了肺部CT的", "role": "patient"}, {"turn": 20, "text": "头部有没有什么问题", "role": "doctor"}, {"turn": 21, "text": "好像体检医生说他眼部下端有一块脂肪 这个不知道会不会引起炎症", "role": "patient"}, {"turn": 22, "text": "如果是脂肪那应该不用", "role": "doctor"}, {"turn": 23, "text": "噢", "role": "patient"}, {"turn": 24, "text": "嗯嗯", "role": "doctor"}, {"turn": 25, "text": "头部从来没疼痛过 还是建议做颌面部CT是吗", "role": "patient"}, {"turn": 26, "text": "排除一下", "role": "doctor"}, {"turn": 27, "text": "如果这个做出来都正常那就没问题", "role": "doctor"}, {"turn": 28, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 29, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 825, "thread": [{"turn": 0, "text": "憋气，老觉得喘不上气，耳鸣（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了啊？", "role": "doctor"}, {"turn": 2, "text": "这种情况几天了", "role": "patient"}, {"turn": 3, "text": "一换季就犯病", "role": "patient"}, {"turn": 4, "text": "自己吃复方丹参缓解了些", "role": "patient"}, {"turn": 5, "text": "憋气出去走一圈也管用", "role": "patient"}, {"turn": 6, "text": "耳朵的话，我有听力损，但是最近憋气的时候有一次特别的响", "role": "patient"}, {"turn": 7, "text": "流鼻涕打喷嚏吗", "role": "doctor"}, {"turn": 8, "text": "你有过敏性疾病吗", "role": "doctor"}, {"turn": 9, "text": "有鼻炎", "role": "patient"}, {"turn": 10, "text": "不打喷嚏", "role": "patient"}, {"turn": 11, "text": "也不流鼻涕", "role": "patient"}, {"turn": 12, "text": "鼻腔通气好吗", "role": "doctor"}, {"turn": 13, "text": "不太好", "role": "patient"}, {"turn": 14, "text": "鼻炎了", "role": "doctor"}, {"turn": 15, "text": "你可以检查一下心电图", "role": "doctor"}, {"turn": 16, "text": "鼻炎还能憋气这么难受吗😣", "role": "patient"}, {"turn": 17, "text": "每到换季", "role": "patient"}, {"turn": 18, "text": "如果没有问题，可以喷布地奈德鼻喷剂", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "有可能", "role": "doctor"}, {"turn": 21, "text": "这个等到换季一过就会好", "role": "patient"}, {"turn": 22, "text": "然后阴天那种天气也憋气", "role": "patient"}, {"turn": 23, "text": "如果心电图没有问题，就去挂耳鼻喉科是吗？", "role": "patient"}, {"turn": 24, "text": "对", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 826, "thread": [{"turn": 0, "text": "幽门螺杆菌那四联药最好（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，平时有没有胃痛胃胀等症状？", "role": "doctor"}, {"turn": 2, "text": "饭前:胶体酒石酸铋剂220mg，泮拖拉唑钠20mg，\n饭后:呋喃唑酮片0.1g，四环素片0.75g\n都是每天2次，\n共10天", "role": "doctor"}, {"turn": 3, "text": "感染一年多了，吃了四联疗法，现在就是，感觉吃早餐了，过一个多小时，不舒服，中餐，晚餐还好", "role": "patient"}, {"turn": 4, "text": "你这些症状跟幽门螺杆菌都没有关系。", "role": "doctor"}, {"turn": 5, "text": "去年检查，医生说幽门螺杆菌感染", "role": "patient"}, {"turn": 6, "text": "幽门螺杆菌感染，99%没有症状，OK。", "role": "doctor"}, {"turn": 7, "text": "有症状的是胃病。", "role": "doctor"}, {"turn": 8, "text": "哦，谢谢", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "吃的，稍微不注意，就不舒服", "role": "patient"}, {"turn": 11, "text": "那是胃不好。", "role": "doctor"}, {"turn": 12, "text": "尽量多吃水果蔬菜。规律饮食，睡眠要好，锻炼身体。少吃辛辣刺激食品。不能熬夜，戒酒戒烟", "role": "doctor"}, {"turn": 13, "text": "反而饿点，比吃了舒服", "role": "patient"}, {"turn": 14, "text": "你这个不能只靠药一定要从生活上注意，明白吗？", "role": "doctor"}, {"turn": 15, "text": "谢谢，知道了😊", "role": "patient"}, {"turn": 16, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 827, "thread": [{"turn": 0, "text": "想问下耳朵有耳鸣的迹象，听不清（女，73岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的这种情况有多长时间了", "role": "doctor"}, {"turn": 2, "text": "好几个月了", "role": "patient"}, {"turn": 3, "text": "有没有耳朵堵塞感和耳朵疼痛的情况", "role": "doctor"}, {"turn": 4, "text": "请问是不是平时电视机声音开的太大了，导致有耳鸣的迹象？\n有时候听力不太好，鼻子吸一吸好像又不嗡嗡响了，没有疼痛和堵塞感", "role": "patient"}, {"turn": 5, "text": "70多岁的话，首先考虑是老年性耳聋。", "role": "doctor"}, {"turn": 6, "text": "有时候一摇头耳朵就会有点嗡嗡响，不摇头不觉得嗡嗡响\n会不会和颈椎有点关系？年纪大了79了", "role": "patient"}, {"turn": 7, "text": "如果摇头才有感觉的话，可能是外耳道耵聍栓塞，颈椎病可能也会有影响", "role": "doctor"}, {"turn": 8, "text": "那这个老年性耳聋有什么办法吗", "role": "patient"}, {"turn": 9, "text": "就一个耳朵是这样", "role": "patient"}, {"turn": 10, "text": "目前只是推断，要明确的话，需要到医院检查，也有可能只是外耳道耵聍栓塞，特别是单侧。", "role": "doctor"}, {"turn": 11, "text": "那如果是要去医院的话挂哪个科看啊有什么药可以吃吗", "role": "patient"}, {"turn": 12, "text": "外耳道这个的话有什么解决办法吗", "role": "patient"}, {"turn": 13, "text": "耳鼻喉科，如果是耵聍栓塞，清理干净就行了，老年性耳聋的话，只能够佩戴助听器。", "role": "doctor"}, {"turn": 14, "text": "哦哦好的，谢谢", "role": "patient"}, {"turn": 15, "text": "不客气啦", "role": "doctor"}, {"turn": 16, "text": "如果是颈椎问题的话是挂哪个科啊", "role": "patient"}, {"turn": 17, "text": "这个一般是骨科", "role": "doctor"}, {"turn": 18, "text": "如好的到时候如果眼耳鼻科查下来没事就去挂个骨科", "role": "patient"}, {"turn": 19, "text": "谢谢谢谢", "role": "patient"}, {"turn": 20, "text": "不客气啦😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 828, "thread": [{"turn": 0, "text": "宝宝两岁半，总是便秘，很严重怎么办吃了半个月益生菌，没有任何作用", "role": "patient"}, {"turn": 1, "text": "您好，什么时候出现这种情况的？", "role": "doctor"}, {"turn": 2, "text": "几个月了", "role": "patient"}, {"turn": 3, "text": "有什么好的办法解决吗", "role": "patient"}, {"turn": 4, "text": "蔬菜、水果吃的多不多？水喝的多不多？", "role": "doctor"}, {"turn": 5, "text": "水果和蔬菜吃的还可以，水喝的不是很多，她不爱喝", "role": "patient"}, {"turn": 6, "text": "是什么原因会导致宝宝便秘呢", "role": "patient"}, {"turn": 7, "text": "可以给宝宝服用乳果糖。另外鼓励宝宝喝水。", "role": "doctor"}, {"turn": 8, "text": "若当地有小儿推拿可以带宝宝去做", "role": "doctor"}, {"turn": 9, "text": "乳果糖一般哪里可以买到", "role": "patient"}, {"turn": 10, "text": "宝宝便秘是因为消化功能弱的原因吗", "role": "patient"}, {"turn": 11, "text": "药店就有卖的", "role": "doctor"}, {"turn": 12, "text": "肠道蠕动不好、水分摄入不足等都会引起便秘", "role": "doctor"}, {"turn": 13, "text": "乳果糖是一种药？孩子两岁半可以服用吗？会不会有副作用和依赖性", "role": "patient"}, {"turn": 14, "text": "可以服用的", "role": "doctor"}, {"turn": 15, "text": "喝了便秘好转了就不喝了", "role": "doctor"}, {"turn": 16, "text": "属于西药是吗？有副作用吧", "role": "patient"}, {"turn": 17, "text": "是西药，任何药物（西药、中药、中成药）有治疗作用，也会有副作用，这个药物的副作用很小，临床上也是常用药，您放心", "role": "doctor"}, {"turn": 18, "text": "那不喝了会不会还是便秘", "role": "patient"}, {"turn": 19, "text": "一般不会，这个药效果还是比较好", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 829, "thread": [{"turn": 0, "text": "小孩咳嗽有痰吃什么药（女，9个月）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "有痰，三天了", "role": "patient"}, {"turn": 3, "text": "咳嗽是白天严重还是晚上严重？", "role": "doctor"}, {"turn": 4, "text": "前两天睡觉也咳嗽，昨晚倒是睡觉没咳嗽", "role": "patient"}, {"turn": 5, "text": "白天咳嗽", "role": "patient"}, {"turn": 6, "text": "吃了头孢", "role": "patient"}, {"turn": 7, "text": "昨天下午开始发热", "role": "patient"}, {"turn": 8, "text": "37.5", "role": "patient"}, {"turn": 9, "text": "孩子多大", "role": "doctor"}, {"turn": 10, "text": "体重多少", "role": "doctor"}, {"turn": 11, "text": "我给孩子开点药了", "role": "doctor"}, {"turn": 12, "text": "9kg", "role": "patient"}, {"turn": 13, "text": "八个月", "role": "patient"}, {"turn": 14, "text": "易坦静口服液3毫升一天两次", "role": "doctor"}, {"turn": 15, "text": "这个是化痰止咳药", "role": "doctor"}, {"turn": 16, "text": "嗯，好的", "role": "patient"}, {"turn": 17, "text": "祝宝宝早日康复了，茁壮成长", "role": "doctor"}, {"turn": 18, "text": "还得吃啥药啊，快38度了，吃了头孢还是这", "role": "patient"}, {"turn": 19, "text": "小儿氨酚黄敏颗粒半包一天三次", "role": "doctor"}, {"turn": 20, "text": "还感冒", "role": "patient"}, {"turn": 21, "text": "好的，那头孢还吃吗", "role": "patient"}, {"turn": 22, "text": "吃上吧", "role": "doctor"}, {"turn": 23, "text": "用不用吃别的了", "role": "patient"}, {"turn": 24, "text": "别的不用了", "role": "doctor"}, {"turn": 25, "text": "不到三十八度，不用吃退烧药吧", "role": "patient"}, {"turn": 26, "text": "不喝退热药", "role": "doctor"}, {"turn": 27, "text": "38.5才喝", "role": "doctor"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "恩，祝宝宝早日康复了", "role": "doctor"}, {"turn": 30, "text": "谢谢", "role": "patient"}, {"turn": 31, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 830, "thread": [{"turn": 0, "text": "宝宝一个多月大，消化不良怎么办？", "role": "patient"}, {"turn": 1, "text": "你好，小宝宝胃肠道功能欠佳，尤其存在受凉或者喂养不当等因素后多会出现消化不良，随着宝宝日龄的增加，肠道功能的健全，有可能会逐渐好转，也可以应用肠道益生菌如妈咪爱颗粒或者金双歧等助消化治疗一段时间的。", "role": "doctor"}, {"turn": 2, "text": "大便🈶奶伴有时也有啦水的症状，这正常吗？", "role": "patient"}, {"turn": 3, "text": "你好，请问宝宝是母乳还是奶粉喂养？有无呕吐发热等表现？", "role": "doctor"}, {"turn": 4, "text": "混合喂养，没有呕吐和发热", "role": "patient"}, {"turn": 5, "text": "小宝宝大便含有奶瓣，水分多，多提示消化不良，应用肠道益生菌助消化治疗是对症的。", "role": "doctor"}, {"turn": 6, "text": "在吃妈咪爱，现在每天拉2到3次", "role": "patient"}, {"turn": 7, "text": "肠道益生菌需要在肠道内定植起来才能起到最大的效果，短期服用效果欠佳，一般需要口服7-10天。", "role": "doctor"}, {"turn": 8, "text": "宝宝才一个多月，妈咪爱一天能吃几次啊？我每天只喂一次，能加量吗？", "role": "patient"}, {"turn": 9, "text": "妈咪爱颗粒可以一次温水冲服半袋每天两次。", "role": "doctor"}, {"turn": 10, "text": "我大部分是母乳喂养奶粉只喂一两次，这是不是跟我吃的东西有关？", "role": "patient"}, {"turn": 11, "text": "你好，母乳喂养的宝宝，宝妈的饮食对于宝宝有一定的影响，宝妈少吃生冷辛辣以及过油腻食物，喂奶前喝点热水，用温毛巾擦拭乳房后再喂哺对于宝宝是有好处的。", "role": "doctor"}, {"turn": 12, "text": "吃无乳糖的奶粉对宝宝这种情况是不是也会有所改善", "role": "patient"}, {"turn": 13, "text": "有改善的，无乳糖配方奶粉可以减少腹泻发生。", "role": "doctor"}, {"turn": 14, "text": "无乳糖奶粉和妈咪爱可以一起吃吗？", "role": "patient"}, {"turn": 15, "text": "可以一起吃，待宝宝腹泻缓解后一般还需要坚持母乳喂养，或者母乳不足的话，应用普通的奶粉混合喂养的。", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不客气，祝宝宝健康成长！", "role": "doctor"}, {"turn": 18, "text": "鱼肝油可以吃吗？", "role": "patient"}, {"turn": 19, "text": "可以吃，这种情况下一般不影响维生素D的补充。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 831, "thread": [{"turn": 0, "text": "口臭，经常便秘，舌苔白重，长斑（女，34岁）", "role": "patient"}, {"turn": 1, "text": "从你描述的情况分析，你所出现的问题应该是中焦湿热的情况。", "role": "doctor"}, {"turn": 2, "text": "应该么解决这个问题，而且己有很长的时间了", "role": "patient"}, {"turn": 3, "text": "建议你先口服龙胆泻肝丸来治疗。", "role": "doctor"}, {"turn": 4, "text": "能具体说一下吗", "role": "patient"}, {"turn": 5, "text": "因为你的情况属于中焦湿热，所以说应该口服一些清热祛湿的药物来治疗。", "role": "doctor"}, {"turn": 6, "text": "同时要保持大便通畅，", "role": "doctor"}, {"turn": 7, "text": ",需服多长时间", "role": "patient"}, {"turn": 8, "text": "冬天去湿好吗", "role": "patient"}, {"turn": 9, "text": "具体服用时间因人而异，关于冬天去世的问题，因为你现在有症状，和没有关系。", "role": "doctor"}, {"turn": 10, "text": "祛湿", "role": "doctor"}, {"turn": 11, "text": "和季节没有关系", "role": "doctor"}, {"turn": 12, "text": "只需要这一种药吗？还需合其它的吗", "role": "patient"}, {"turn": 13, "text": "如果便秘比较严重，可以加一些润肠通便的药。", "role": "doctor"}, {"turn": 14, "text": "买哪个牌子的好呢", "role": "patient"}, {"turn": 15, "text": "那个厂家的都可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 832, "thread": [{"turn": 0, "text": "头晕脑胀，耳鸣，眼发花，手麻（男，39岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "1年多了", "role": "patient"}, {"turn": 3, "text": "做过什么检查没有", "role": "doctor"}, {"turn": 4, "text": "做了脑Ct", "role": "patient"}, {"turn": 5, "text": "没什么问题", "role": "patient"}, {"turn": 6, "text": "以前有什么病没有", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "听力有问题吗？", "role": "doctor"}, {"turn": 9, "text": "比以前差多了", "role": "patient"}, {"turn": 10, "text": "建议你做听力检查", "role": "doctor"}, {"turn": 11, "text": "以前查转胺酶有点高", "role": "patient"}, {"turn": 12, "text": "那个不影响", "role": "doctor"}, {"turn": 13, "text": "是什么原因呢", "role": "patient"}, {"turn": 14, "text": "耳朵引起的吗", "role": "patient"}, {"turn": 15, "text": "还不清楚", "role": "doctor"}, {"turn": 16, "text": "还是需要再检查", "role": "doctor"}, {"turn": 17, "text": "那要做哪些检查", "role": "patient"}, {"turn": 18, "text": "头颅核磁和听力", "role": "doctor"}, {"turn": 19, "text": "还有吗", "role": "patient"}, {"turn": 20, "text": "暂时不用", "role": "doctor"}, {"turn": 21, "text": "好的谢谢", "role": "patient"}, {"turn": 22, "text": "听力会影响头晕吗", "role": "patient"}, {"turn": 23, "text": "耳石症吗", "role": "patient"}, {"turn": 24, "text": "你这个症状不考虑耳石症", "role": "doctor"}, {"turn": 25, "text": "那检查听力是哪方面的呢", "role": "patient"}, {"turn": 26, "text": "是考虑什么症状呢", "role": "patient"}, {"turn": 27, "text": "你有听力下降看看是否有下降", "role": "doctor"}, {"turn": 28, "text": "我自己感觉下降好多", "role": "patient"}, {"turn": 29, "text": "所以还是需要检查", "role": "doctor"}, {"turn": 30, "text": "耳鸣声很大的", "role": "patient"}, {"turn": 31, "text": "我的意思是如果听力下降考虑是什么原因", "role": "patient"}, {"turn": 32, "text": "如果下降会是什么病引起的", "role": "patient"}, {"turn": 33, "text": "那得看是神经性的好的感音性", "role": "doctor"}, {"turn": 34, "text": "不懂", "role": "patient"}, {"turn": 35, "text": "所以要检查才能明确病因", "role": "doctor"}, {"turn": 36, "text": "我的意思是：如果耳朵听力下降，会是哪种病引起头晕脑胀，耳鸣", "role": "patient"}, {"turn": 37, "text": "在吗", "role": "patient"}, {"turn": 38, "text": "内耳疾病", "role": "doctor"}, {"turn": 39, "text": "比如说迷路炎", "role": "doctor"}, {"turn": 40, "text": "内耳疾病也会引起头晕？", "role": "patient"}, {"turn": 41, "text": "会的", "role": "doctor"}, {"turn": 42, "text": "那需要做听力检查可以查出来吗", "role": "patient"}, {"turn": 43, "text": "只是一项辅助检查", "role": "doctor"}, {"turn": 44, "text": "还有就是耳朵一听到大一点的响声的话，就会很烦躁", "role": "patient"}, {"turn": 45, "text": "这是畏声", "role": "doctor"}, {"turn": 46, "text": "像神经给震撼到了", "role": "patient"}, {"turn": 47, "text": "对对", "role": "patient"}, {"turn": 48, "text": "这与内耳的压力有关", "role": "doctor"}, {"turn": 49, "text": "为什么会这样呢", "role": "patient"}, {"turn": 50, "text": "会不会与脑供血不足有关呢", "role": "patient"}, {"turn": 51, "text": "不考虑", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 833, "thread": [{"turn": 0, "text": "肝火旺胃火旺症状：早上睡起来，口干舌燥、口苦、口臭，、睡眠质量差、老做梦，、舌苔增厚等；爱发脾气（女，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您服务，", "role": "doctor"}, {"turn": 2, "text": "这种情况很长时间了", "role": "patient"}, {"turn": 3, "text": "不知道什么问题引起，个人有一些胃糜烂胃炎", "role": "patient"}, {"turn": 4, "text": "您好，结合您症状，考虑肝郁化火", "role": "doctor"}, {"turn": 5, "text": "大便情况怎么样", "role": "doctor"}, {"turn": 6, "text": "大便有时候便秘", "role": "patient"}, {"turn": 7, "text": "需要吃香蕉等水果助消化", "role": "patient"}, {"turn": 8, "text": "就是主要感觉早上起来，口气特别大，口很干，总爱做梦，脾气不大好", "role": "patient"}, {"turn": 9, "text": "腹胀吗？", "role": "doctor"}, {"turn": 10, "text": "腹胀", "role": "patient"}, {"turn": 11, "text": "嗯嗯，这些症状都跟您好生气有关系", "role": "doctor"}, {"turn": 12, "text": "建议您可以口服柴胡舒肝丸联合唇齿清胃丸", "role": "doctor"}, {"turn": 13, "text": "我这是不是肝火旺，需不需要再搭配一些降火茶", "role": "patient"}, {"turn": 14, "text": "你平常也可以泡点菊花和金银花", "role": "doctor"}, {"turn": 15, "text": "我还有点体寒，平时手脚冰凉，痛经，这个茶有影响吗，需不需要再加点什么", "role": "patient"}, {"turn": 16, "text": "您好，您可以菊花和干姜一起泡着喝", "role": "doctor"}, {"turn": 17, "text": "好的，非常感谢您", "role": "patient"}, {"turn": 18, "text": "不客气，祝您生活愉快！身体健康！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 834, "thread": [{"turn": 0, "text": "受风寒，流鼻涕，头痛，喉咙疼，打喷嚏怕冷。该吃什么药？（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你的症状有多久了？", "role": "doctor"}, {"turn": 2, "text": "有什么药物过敏吗？", "role": "doctor"}, {"turn": 3, "text": "症状两三天，没有药物过敏", "role": "patient"}, {"turn": 4, "text": "可以吃点中成药连花清瘟颗粒", "role": "doctor"}, {"turn": 5, "text": "或者选择复方制剂新康泰克，这种药吃咯有一定嗜睡副作用。", "role": "doctor"}, {"turn": 6, "text": "然后多喝点温热水，避免接触人多的地方，注意休息。", "role": "doctor"}, {"turn": 7, "text": "要多久才能好啊？", "role": "patient"}, {"turn": 8, "text": "有什么要注意的吗？", "role": "patient"}, {"turn": 9, "text": "消炎药要不要吃？喉咙痛可能是烤火熬夜导致上火", "role": "patient"}, {"turn": 10, "text": "可以吃点含片", "role": "doctor"}, {"turn": 11, "text": "不建议吃抗生素", "role": "doctor"}, {"turn": 12, "text": "要有明确的细菌感染，才有指针吃抗生素", "role": "doctor"}, {"turn": 13, "text": "一般感冒初期大多为病毒感染，病毒感染有一定自限性，病程一般7天左右。", "role": "doctor"}, {"turn": 14, "text": "这期间多喝水，戒烟戒酒，戒辛辣刺激食物食物", "role": "doctor"}, {"turn": 15, "text": "中医药有什么方式改善症状呢？", "role": "patient"}, {"turn": 16, "text": "中成药，一般连花清瘟颗粒治疗感冒还可以，咽喉疼痛，还可以吃蓝芩口服液", "role": "doctor"}, {"turn": 17, "text": "还有金果饮", "role": "doctor"}, {"turn": 18, "text": "对了，还有点低烧", "role": "patient"}, {"turn": 19, "text": "好多度呢", "role": "doctor"}, {"turn": 20, "text": "没测量过，不是很烫，就昨晚有点低烧", "role": "patient"}, {"turn": 21, "text": "嗯嗯。刚刚说的药可以用", "role": "doctor"}, {"turn": 22, "text": "然后你方便的时候测量一下体温", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "如果持续发烧应该怎么办？", "role": "patient"}, {"turn": 25, "text": "持续发热需要排除一下细菌感染，查血+crp，排除一下流感筛查，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 835, "thread": [{"turn": 0, "text": "婴儿肛裂怎么用，每次大便都带血（女，10个月）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "您的宝宝大便干吗", "role": "doctor"}, {"turn": 3, "text": "前面那截干而且粗", "role": "patient"}, {"turn": 4, "text": "治疗肛裂，特别是婴幼儿，还是以改善大便发干为主。", "role": "doctor"}, {"turn": 5, "text": "有一个月了", "role": "patient"}, {"turn": 6, "text": "药物不建议用，大便改善了，小孩子长的很快，裂口几天就长好了", "role": "doctor"}, {"turn": 7, "text": "现在，这么大的孩子，需要每天添加白开水才可以", "role": "doctor"}, {"turn": 8, "text": "可以适当吃点菜泥", "role": "doctor"}, {"turn": 9, "text": "怎样改善大便干呢，每天吃蔬菜也没用", "role": "patient"}, {"turn": 10, "text": "只要大便不干了，肛裂自然就好了", "role": "doctor"}, {"turn": 11, "text": "主要是饮水 很蔬菜，在就是可以添加益生菌。", "role": "doctor"}, {"turn": 12, "text": "喝七星茶也不行", "role": "patient"}, {"turn": 13, "text": "白开水是最好的", "role": "doctor"}, {"turn": 14, "text": "很多小孩子大便干，主要是饮水少", "role": "doctor"}, {"turn": 15, "text": "能不能用乳果糖改善大便呢", "role": "patient"}, {"turn": 16, "text": "孩子太小了，不建议用", "role": "doctor"}, {"turn": 17, "text": "益生菌效果就不错，还适合孩子使用。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 836, "thread": [{"turn": 0, "text": "中医，便秘，有没有润肠通便的中药（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你这情况多久了？有加重麽？", "role": "doctor"}, {"turn": 2, "text": "最近吧", "role": "patient"}, {"turn": 3, "text": "有两个多月", "role": "patient"}, {"turn": 4, "text": "有没有润肠通便的药物 副作用小", "role": "patient"}, {"turn": 5, "text": "可以每天吃一片", "role": "patient"}, {"turn": 6, "text": "这种可以吗", "role": "patient"}, {"turn": 7, "text": "还有一个问题，，润肠通便，会把营养也排出来吗", "role": "patient"}, {"turn": 8, "text": "这个度", "role": "patient"}, {"turn": 9, "text": "坚持吃麻仁润肠丸", "role": "doctor"}, {"turn": 10, "text": "或者麻子仁丸", "role": "doctor"}, {"turn": 11, "text": "每天吃 一片吗", "role": "patient"}, {"turn": 12, "text": "按说明吃", "role": "doctor"}, {"turn": 13, "text": "副作用小吗", "role": "patient"}, {"turn": 14, "text": "一天2-3次", "role": "doctor"}, {"turn": 15, "text": "还有一个问题润肠通便，会把营养也排出去吗", "role": "patient"}, {"turn": 16, "text": "不会的，怎么会这么想？", "role": "doctor"}, {"turn": 17, "text": "不会吗 ，", "role": "patient"}, {"turn": 18, "text": "感谢", "role": "patient"}, {"turn": 19, "text": "排出的是不需要的大便", "role": "doctor"}, {"turn": 20, "text": "哦哦", "role": "patient"}, {"turn": 21, "text": "懂了", "role": "patient"}, {"turn": 22, "text": "。。。。。", "role": "patient"}, {"turn": 23, "text": "营养都会在肠胃分段吸收", "role": "doctor"}, {"turn": 24, "text": "哦哦", "role": "patient"}, {"turn": 25, "text": "有没有让胃吸收更多营养的办法", "role": "patient"}, {"turn": 26, "text": "祝早日康复。您可点击通过我头像，左下角关zhu我。以后有什么问题可以随时复诊或咨询我。", "role": "doctor"}, {"turn": 27, "text": "吸收营养多会有副作用吗", "role": "patient"}, {"turn": 28, "text": "吃点山楂片", "role": "doctor"}, {"turn": 29, "text": "嗯嗯", "role": "patient"}, {"turn": 30, "text": "一定", "role": "patient"}, {"turn": 31, "text": "药健脾消食", "role": "doctor"}, {"turn": 32, "text": "保护胃肠有没有药或方法", "role": "patient"}, {"turn": 33, "text": "特别感谢", "role": "patient"}, {"turn": 34, "text": "没有保护一说，你这么年轻，要对症用药", "role": "doctor"}, {"turn": 35, "text": "嗯嗯", "role": "patient"}, {"turn": 36, "text": "医生你真好，这么耐心回答", "role": "patient"}, {"turn": 37, "text": "嗯嗯", "role": "patient"}, {"turn": 38, "text": "先吃我说的中药，再有问题后面及时找我复诊", "role": "doctor"}, {"turn": 39, "text": "你的便秘与你上厕所的环境有关系，有时有压力就会这样", "role": "doctor"}, {"turn": 40, "text": "嗯嗯", "role": "patient"}, {"turn": 41, "text": "平时注意:避免过饱、晚餐过多或夜宵，七八分饱； 最好忌口重口味 ，少食辛辣、冰冷的、海鲜类； 不要熬夜，尽量十一点前睡觉； 保持心情舒畅，避免劳累。", "role": "doctor"}, {"turn": 42, "text": "请记得关      注我", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 837, "thread": [{"turn": 0, "text": "半月板外侧前角扭伤二度能痊愈吗（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，半月板2度撕裂伤一般需要手术治疗", "role": "doctor"}, {"turn": 2, "text": "医生说让我养一个月看看，无需手术", "role": "patient"}, {"turn": 3, "text": "保守治疗没有痊愈的可能吗", "role": "patient"}, {"turn": 4, "text": "可以先行保守治疗，患肢制动，但是到最终估计还是需要手术", "role": "doctor"}, {"turn": 5, "text": "患肢，我现在是少活动，但是也活动，活动的很少，几乎在躺着", "role": "patient"}, {"turn": 6, "text": "可以正常行走，但是不可以上下台阶和做蹲起动作", "role": "doctor"}, {"turn": 7, "text": "如果手术的话，能恢复好了吗？能跟以前一样正常吗", "role": "patient"}, {"turn": 8, "text": "正常的上厕所能蹲下吗？没事吧", "role": "patient"}, {"turn": 9, "text": "睡觉的时候腿可以弯吗？还是得伸的很直啊？", "role": "patient"}, {"turn": 10, "text": "在吗？", "role": "patient"}, {"turn": 11, "text": "可以屈膝", "role": "doctor"}, {"turn": 12, "text": "不要做蹲起运动和跨级上下台阶", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 838, "thread": [{"turn": 0, "text": "你好，咀嚼肌受损怎么办？（女，56岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "损伤厉害吗？", "role": "doctor"}, {"turn": 3, "text": "有一个星期多了，刚开始耳朵下面一张嘴就疼，不知道怎么回事，后来问了一个诊所大夫，说是咀嚼肌受损，", "role": "patient"}, {"turn": 4, "text": "这个热敷一下，或者理疗，", "role": "doctor"}, {"turn": 5, "text": "注意不要大张口，不要吃过硬的东西，慢慢恢复一下的", "role": "doctor"}, {"turn": 6, "text": "没去医院看，不知道诊所大夫说的对不对，姜医生根据你的经验是不是咀嚼肌受损？", "role": "patient"}, {"turn": 7, "text": "可能是关节的问题", "role": "doctor"}, {"turn": 8, "text": "那需要拍片子吗？", "role": "patient"}, {"turn": 9, "text": "最好拍关节片检查一下", "role": "doctor"}, {"turn": 10, "text": "那如果是关节的怎么怎么治疗？", "role": "patient"}, {"turn": 11, "text": "理疗", "role": "doctor"}, {"turn": 12, "text": "注意不要大张口，不要吃过硬的东西", "role": "doctor"}, {"turn": 13, "text": "理疗是用医院机器理疗？", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "那应该挂什么科？", "role": "patient"}, {"turn": 16, "text": "口腔颌面", "role": "doctor"}, {"turn": 17, "text": "外科", "role": "doctor"}, {"turn": 18, "text": "我们医院没有口腔这个科？那挂外科？", "role": "patient"}, {"turn": 19, "text": "口腔科", "role": "doctor"}, {"turn": 20, "text": "挂口腔科？", "role": "patient"}, {"turn": 21, "text": "外科不行？", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "那如果是咀嚼肌受损，除了热敷理疗需要喝什么药吗？", "role": "patient"}, {"turn": 24, "text": "消炎药", "role": "doctor"}, {"turn": 25, "text": "那如果是关节的问题，就必须理疗？", "role": "patient"}, {"turn": 26, "text": "最好是", "role": "doctor"}, {"turn": 27, "text": "没有必须", "role": "doctor"}, {"turn": 28, "text": "噢，谢谢医生！", "role": "patient"}, {"turn": 29, "text": "不客气了", "role": "doctor"}, {"turn": 30, "text": "这个恢复要多长时间？", "role": "patient"}, {"turn": 31, "text": "不好说，", "role": "doctor"}, {"turn": 32, "text": "一般需要多久", "role": "patient"}, {"turn": 33, "text": "大概", "role": "patient"}, {"turn": 34, "text": "几个月", "role": "doctor"}, {"turn": 35, "text": "这么久啊", "role": "patient"}, {"turn": 36, "text": "嗯", "role": "doctor"}, {"turn": 37, "text": "噢", "role": "patient"}, {"turn": 38, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 839, "thread": [{"turn": 0, "text": "宝宝才15天消化不良怎么办（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好家长朋友，宝宝消化不良有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "在吗亲？", "role": "doctor"}, {"turn": 3, "text": "在，肚子涨，大便不通", "role": "patient"}, {"turn": 4, "text": "医生要怎么办", "role": "patient"}, {"turn": 5, "text": "多久没有大便了？", "role": "doctor"}, {"turn": 6, "text": "有无频繁的呕吐？", "role": "doctor"}, {"turn": 7, "text": "宝宝是母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 8, "text": "大便早上才拉的，平时好好的时候一天早上！3-4次的，", "role": "patient"}, {"turn": 9, "text": "是母乳", "role": "patient"}, {"turn": 10, "text": "可以顺时针的按摩肚子看看，每天2次，每次10-20分钟，也可以吃点益生菌妈咪爱调理一下", "role": "doctor"}, {"turn": 11, "text": "消化不良宝宝一会就惊醒，", "role": "patient"}, {"turn": 12, "text": "妈咪爱每天两次，每次半包，用温水花开", "role": "doctor"}, {"turn": 13, "text": "健儿清解液可以喂吗", "role": "patient"}, {"turn": 14, "text": "不用这个", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 840, "thread": [{"turn": 0, "text": "耳鸣，恶心，呕吐，腹泻，伴有耳鸣（女，62岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一个小时半小时", "role": "patient"}, {"turn": 3, "text": "以前有吗", "role": "doctor"}, {"turn": 4, "text": "现在症状稍微缓解，不那么迷糊了", "role": "patient"}, {"turn": 5, "text": "是否受凉感冒", "role": "doctor"}, {"turn": 6, "text": "以前没有   以前只有耳鸣", "role": "patient"}, {"turn": 7, "text": "最近有没有受凉，吃辣，劳累，熬", "role": "doctor"}, {"turn": 8, "text": "除了熬，其他三种都有", "role": "patient"}, {"turn": 9, "text": "这就是原因", "role": "doctor"}, {"turn": 10, "text": "那怎么办？刚才又吐完之后没那么晕了", "role": "patient"}, {"turn": 11, "text": "急性肠胃炎", "role": "doctor"}, {"turn": 12, "text": "那现在是卧床休息，还是需要外出就诊", "role": "patient"}, {"turn": 13, "text": "去医院", "role": "doctor"}, {"turn": 14, "text": "有什么药可以吃吗", "role": "patient"}, {"turn": 15, "text": "服用肠胃宁，诺氟沙星", "role": "doctor"}, {"turn": 16, "text": "这俩要对耳鸣有作用吗", "role": "patient"}, {"turn": 17, "text": "没有", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 841, "thread": [{"turn": 0, "text": "三岁小孩消化不良呕吐拉肚怎么办（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝这样多久了？", "role": "doctor"}, {"turn": 2, "text": "昨晚半夜三点多吐了一次", "role": "patient"}, {"turn": 3, "text": "宝宝吃了什么吃不对劲了吗？", "role": "doctor"}, {"turn": 4, "text": "五点多又吐了一次，今天白天吐了一次，拉稀四次", "role": "patient"}, {"turn": 5, "text": "体温怎么样", "role": "doctor"}, {"turn": 6, "text": "前两天吃了口香糖全给咽下去了", "role": "patient"}, {"turn": 7, "text": "体温还算正常，喂了乳酸菌素片，贴着丁桂，一下下叫肚子痛", "role": "patient"}, {"turn": 8, "text": "嗯嗯，查过便常规和便病毒没", "role": "doctor"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "孩子目前精神状态怎么样", "role": "doctor"}, {"turn": 11, "text": "不吃东西，肚子摸着腹胀严重", "role": "patient"}, {"turn": 12, "text": "尿少不少", "role": "doctor"}, {"turn": 13, "text": "不太好", "role": "patient"}, {"turn": 14, "text": "孩子尿少不", "role": "doctor"}, {"turn": 15, "text": "少", "role": "patient"}, {"turn": 16, "text": "孩子状态不好，尿少，可能存在心肌酶谱升高，脱水离子紊乱酸中毒的", "role": "doctor"}, {"turn": 17, "text": "你得给孩子抽血看一下心肌酶和离子", "role": "doctor"}, {"turn": 18, "text": "如果吃的不好，尿少，得静脉补液", "role": "doctor"}, {"turn": 19, "text": "现在就需要补吗？", "role": "patient"}, {"turn": 20, "text": "孩子一点都吃不进去么", "role": "doctor"}, {"turn": 21, "text": "白天上班也不太清楚他的状况，下午回来就焉焉的", "role": "patient"}, {"turn": 22, "text": "试着少喂点水", "role": "doctor"}, {"turn": 23, "text": "只喝旺仔牛奶，别的啥都不吃", "role": "patient"}, {"turn": 24, "text": "你可以给旺仔牛奶兑的稀一点", "role": "doctor"}, {"turn": 25, "text": "喝水为主", "role": "doctor"}, {"turn": 26, "text": "他平时就不爱喝水。。牛奶兑水就不喝了", "role": "patient"}, {"turn": 27, "text": "喝牛奶我怕他更腹泻", "role": "doctor"}, {"turn": 28, "text": "晚饭吃了几口面", "role": "patient"}, {"turn": 29, "text": "乳酸菌奶也不行吗？", "role": "patient"}, {"turn": 30, "text": "不建议", "role": "doctor"}, {"turn": 31, "text": "好的，明天尽快带去医院检查", "role": "patient"}, {"turn": 32, "text": "嗯嗯", "role": "doctor"}, {"turn": 33, "text": "谢谢医生", "role": "patient"}, {"turn": 34, "text": "不谢不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 842, "thread": [{"turn": 0, "text": "嗓子有炎症,晚上一躺下就剧烈咳嗽（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "两天了", "role": "patient"}, {"turn": 3, "text": "嗓子痒不痒", "role": "doctor"}, {"turn": 4, "text": "特别痒，一痒就咳嗽", "role": "patient"}, {"turn": 5, "text": "有没有痰？体温怎么样？嗓子疼不疼？", "role": "doctor"}, {"turn": 6, "text": "有痰", "role": "patient"}, {"turn": 7, "text": "咳嗽多的时候才疼，其他时候不怎么疼，就是痒", "role": "patient"}, {"turn": 8, "text": "好的，用过什么药", "role": "doctor"}, {"turn": 9, "text": "最近在吃盐酸左氧氟沙星胶囊，请问这种药最多用几次", "role": "patient"}, {"turn": 10, "text": "你怎么吃的，吃了几天", "role": "doctor"}, {"turn": 11, "text": "一天两次，一次两粒，一粒0.1克，今天是第二天，每天早晨和临睡前吃", "role": "patient"}, {"turn": 12, "text": "好的，从症状考虑急性支气管炎，这个药很好，建议加油阿斯美一起口服五天", "role": "doctor"}, {"turn": 13, "text": "请问盐酸左氧氟沙星胶囊最多服用几天呢", "role": "patient"}, {"turn": 14, "text": "五天即可", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "一天要喝多少水", "role": "patient"}, {"turn": 17, "text": "没有要求，多饮水有好处", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "最近一个礼拜早晨醒来总是会出一身汗，但是并没有感冒，是为什么", "role": "patient"}, {"turn": 20, "text": "如果体温都正常，可能和天气或者内分泌或者近期体质有关，没有其他不适可以观察", "role": "doctor"}, {"turn": 21, "text": "像我这种嗓子发炎，最快几天能好", "role": "patient"}, {"turn": 22, "text": "至少三天以上", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 843, "thread": [{"turn": 0, "text": "俩个月宝宝消化不良，怎么办", "role": "patient"}, {"turn": 1, "text": "您好，宝宝母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 3, "text": "混合喂养，，只喝一次奶粉", "role": "patient"}, {"turn": 4, "text": "隔几天就消化不良，喂点妈咪爱就好多了，不喂就消化不好了", "role": "patient"}, {"turn": 5, "text": "消化不好有哪些表现呢？", "role": "doctor"}, {"turn": 6, "text": "拉的比较稀，还有奶瓣，肚子胀", "role": "patient"}, {"turn": 7, "text": "一天拉几次呢？", "role": "doctor"}, {"turn": 8, "text": "只要放下就醒", "role": "patient"}, {"turn": 9, "text": "多的五次左右，少的俩三次吧", "role": "patient"}, {"turn": 10, "text": "睡觉不踏实？手足心热吗？小便黄吗？", "role": "doctor"}, {"turn": 11, "text": "有些时候拉出来和蛋花似的", "role": "patient"}, {"turn": 12, "text": "小便不黄尿的次数很多", "role": "patient"}, {"turn": 13, "text": "手脚不是很热", "role": "patient"}, {"turn": 14, "text": "可以给宝宝做做小儿推拿的。", "role": "doctor"}, {"turn": 15, "text": "还吐奶", "role": "patient"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "怎么做", "role": "patient"}, {"turn": 18, "text": "清天河水200次、清大肠、补脾经各300、捣小天心、顺运内八卦各100次、利小肠500次。具体位置可以再网上查到。", "role": "doctor"}, {"turn": 19, "text": "好吧！", "role": "patient"}, {"turn": 20, "text": "爱放屁是怎么了", "role": "patient"}, {"turn": 21, "text": "药物可以给宝宝吃点婴儿健脾散。", "role": "doctor"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "知道了", "role": "patient"}, {"turn": 24, "text": "胃肠道气机不通畅就容易放屁，着凉或者吃进空气了。", "role": "doctor"}, {"turn": 25, "text": "谢谢", "role": "patient"}, {"turn": 26, "text": "消化不好也会放屁多点的。", "role": "doctor"}, {"turn": 27, "text": "不客气😊😊", "role": "doctor"}, {"turn": 28, "text": "恩明白了", "role": "patient"}, {"turn": 29, "text": "嗯嗯😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 844, "thread": [{"turn": 0, "text": "被猫咬伤多久打针有效？已经半年多了（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，是被猫咬伤有半年多了吗？", "role": "doctor"}, {"turn": 2, "text": "对的", "role": "patient"}, {"turn": 3, "text": "当时就简单消毒了一下", "role": "patient"}, {"turn": 4, "text": "猫咪现在怎么样呢？", "role": "doctor"}, {"turn": 5, "text": "还健康吗？", "role": "doctor"}, {"turn": 6, "text": "跑丢了", "role": "patient"}, {"turn": 7, "text": "咬伤你之后多久跑丢了？", "role": "doctor"}, {"turn": 8, "text": "当时猫五六个月左右", "role": "patient"}, {"turn": 9, "text": "咬伤后一个半月左右", "role": "patient"}, {"turn": 10, "text": "消毒是怎么消的？用肥皂水清洗了吗？", "role": "doctor"}, {"turn": 11, "text": "酒精棉", "role": "patient"}, {"turn": 12, "text": "以前没有接种过狂犬疫苗是吗？", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "嗯，猫咪当时是发狂咬伤你的还是意外被抓咬的呢？", "role": "doctor"}, {"turn": 15, "text": "喂食的时候它以为是肉", "role": "patient"}, {"turn": 16, "text": "咬伤你前后猫的行为跟以前有没有不一样呢？", "role": "doctor"}, {"turn": 17, "text": "哦，考虑感染狂犬病毒的可能性小的", "role": "doctor"}, {"turn": 18, "text": "已经过去半年了，不接种问题也不大的", "role": "doctor"}, {"turn": 19, "text": "没有啊，就是跑丢了，然后有一只野猫一直在院子里", "role": "patient"}, {"turn": 20, "text": "你确定吗", "role": "patient"}, {"turn": 21, "text": "如果现在再打针还有用吗", "role": "patient"}, {"turn": 22, "text": "如果确定是被病犬病猫咬伤的，只要没发病什么时候疫苗都是有效的", "role": "doctor"}, {"turn": 23, "text": "好的，谢谢。", "role": "patient"}, {"turn": 24, "text": "麻烦了", "role": "patient"}, {"turn": 25, "text": "不客气的~千万别被野猫抓咬了，小心些", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}, {"turn": 27, "text": "嗯~", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 845, "thread": [{"turn": 0, "text": "头晕，耳鸣，睡了一觉之后想吐（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "大半天了", "role": "patient"}, {"turn": 3, "text": "有什么诱发因素吗？", "role": "doctor"}, {"turn": 4, "text": "之前感冒发烧的，在吃药中还没有好，", "role": "patient"}, {"turn": 5, "text": "又咳嗽", "role": "patient"}, {"turn": 6, "text": "晕是天旋地转吗？还是感觉头昏昏沉沉？", "role": "doctor"}, {"turn": 7, "text": "昏昏沉沉的", "role": "patient"}, {"turn": 8, "text": "就是想吐", "role": "patient"}, {"turn": 9, "text": "听力有变化吗？", "role": "doctor"}, {"turn": 10, "text": "没有明显的变化", "role": "patient"}, {"turn": 11, "text": "感冒发烧几天了？", "role": "doctor"}, {"turn": 12, "text": "现在除了中药还吃其他药物吗？", "role": "doctor"}, {"turn": 13, "text": "目前还有没有发烧？", "role": "doctor"}, {"turn": 14, "text": "感冒一个多星期了，现在没有发烧，吃的感冒药", "role": "patient"}, {"turn": 15, "text": "头晕是持续性还是发作性？", "role": "doctor"}, {"turn": 16, "text": "持续性", "role": "patient"}, {"turn": 17, "text": "有没有头痛？", "role": "doctor"}, {"turn": 18, "text": "没有", "role": "patient"}, {"turn": 19, "text": "根据你的描述首先考虑头晕和你的感冒有关系", "role": "doctor"}, {"turn": 20, "text": "应该是受凉感冒后诱发的头晕症状", "role": "doctor"}, {"turn": 21, "text": "晚上休息怎么样？", "role": "doctor"}, {"turn": 22, "text": "吐出来之后就不耳鸣了", "role": "patient"}, {"turn": 23, "text": "先治疗感冒", "role": "doctor"}, {"turn": 24, "text": "如果症状持续或者出现天旋地转的晕，听力出现异常，及时去医院就诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 846, "thread": [{"turn": 0, "text": "耳鸣，鼓室内压。。。。（女，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，之前检查出来左耳压力增高，这一周来服药后好转了吗？", "role": "doctor"}, {"turn": 2, "text": "医生，这是免费的吗哈哈哈哈", "role": "patient"}, {"turn": 3, "text": "还是有同种耳鸣不同音调，尖音。", "role": "patient"}, {"turn": 4, "text": "是免费的", "role": "doctor"}, {"turn": 5, "text": "药物吃上了吗？", "role": "doctor"}, {"turn": 6, "text": "吃上了，少了一点。", "role": "patient"}, {"turn": 7, "text": "晚上影响入眠吗？", "role": "doctor"}, {"turn": 8, "text": "有一点影响呢，医生，神经性耳鸣是检查不出来的是吗？", "role": "patient"}, {"turn": 9, "text": "神经性耳鸣主要靠排除法，没有客观的影像学或直接检查出来，因为它是看不见摸不着的，只有你自己能够听见，别人都是听不到的，它不像肿瘤或炎症，可以通过拍片或肉眼可以看到或摸到", "role": "doctor"}, {"turn": 10, "text": "建议加一个甲钴胺和西比灵口服", "role": "doctor"}, {"turn": 11, "text": "那神经性耳鸣是怎么造成的？", "role": "patient"}, {"turn": 12, "text": "神经性耳鸣多与局部供血不足，病毒感染，血管痉挛有关，熬夜，疲劳，睡眠不足是常见诱因", "role": "doctor"}, {"turn": 13, "text": "肾虚呢？", "role": "patient"}, {"turn": 14, "text": "肾虚是中医说法，是指一系列的经络脉络问题，不是单指肾脏这一个器官，，具体的可以咨询一下中医科，我是西医，只能从西医角度加以解释", "role": "doctor"}, {"turn": 15, "text": "可以，好的，我觉得是我戴耳机的原因。", "role": "patient"}, {"turn": 16, "text": "嗯，耳机使用长时间会影响听力也可以引起耳鸣", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 847, "thread": [{"turn": 0, "text": "中午忽然头有点晕，耳鸣（男，37岁）", "role": "patient"}, {"turn": 1, "text": "你好，以前出现过这种情况吗？", "role": "doctor"}, {"turn": 2, "text": "好像也有过", "role": "patient"}, {"turn": 3, "text": "当时还有什么其他症状吗？", "role": "doctor"}, {"turn": 4, "text": "以前有什么其他疾病吗？", "role": "doctor"}, {"turn": 5, "text": "以前发生过就诊过吗？", "role": "doctor"}, {"turn": 6, "text": "上午还没事，快中午的时候忽然有点晕", "role": "patient"}, {"turn": 7, "text": "最近睡眠怎么样？压力大吗？", "role": "doctor"}, {"turn": 8, "text": "就诊过,脑ct做过，没事", "role": "patient"}, {"turn": 9, "text": "最近睡眠不好，压力有点大", "role": "patient"}, {"turn": 10, "text": "头晕的时候看外面东西有旋转吗？或者是有没有感觉到自身的旋转，翻滚，漂浮。", "role": "doctor"}, {"turn": 11, "text": "头晕时有眼前发黑吗？", "role": "doctor"}, {"turn": 12, "text": "昨天晚上4点起来,睡不着了", "role": "patient"}, {"turn": 13, "text": "没有发黑", "role": "patient"}, {"turn": 14, "text": "平时有没有走路不稳，", "role": "doctor"}, {"turn": 15, "text": "没有天旋地转的感觉，就是感觉有点晕，", "role": "patient"}, {"turn": 16, "text": "有什么其他疾病吗？血压正常吗？有贫血吗？", "role": "doctor"}, {"turn": 17, "text": "没有", "role": "patient"}, {"turn": 18, "text": "我量了血压113，74", "role": "patient"}, {"turn": 19, "text": "贫血好像没有", "role": "patient"}, {"turn": 20, "text": "情绪波动大吗？", "role": "doctor"}, {"turn": 21, "text": "上午工作有点累,用脑比较多", "role": "patient"}, {"turn": 22, "text": "还行", "role": "patient"}, {"turn": 23, "text": "这种情况建议你先观察，然后注意休息，调整睡眠，减轻压力，不要过于劳累。", "role": "doctor"}, {"turn": 24, "text": "严重吗，有可能是颈椎的问题吗", "role": "patient"}, {"turn": 25, "text": "颈椎有什么不舒服吗？", "role": "doctor"}, {"turn": 26, "text": "还行，但只看按摩的时候说颈椎不太好，一按有响声", "role": "patient"}, {"turn": 27, "text": "颈部肌肉僵硬疼痛，也会引起。 颈椎可以做一做按摩和针灸治疗。", "role": "doctor"}, {"turn": 28, "text": "好的，谢谢，一般血压没问题，就没什么大事吧", "role": "patient"}, {"turn": 29, "text": "你好，你这个血压是正常的。", "role": "doctor"}, {"turn": 30, "text": "好的，谢谢", "role": "patient"}, {"turn": 31, "text": "客气，祝您身体健康，万事如意！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 848, "thread": [{"turn": 0, "text": "新生儿喝母乳消化不良（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，是不是喂的比较勤？", "role": "doctor"}, {"turn": 2, "text": "大便一天几次？", "role": "doctor"}, {"turn": 3, "text": "建议2一3小时喂一次，别喂太勤了，喂勤了大便次数就多，还容易消化不良", "role": "doctor"}, {"turn": 4, "text": "你好，新生儿今天第五天，刚开始母乳喂养，大约三个小时喂一次，", "role": "patient"}, {"turn": 5, "text": "宝宝什么表现？", "role": "doctor"}, {"turn": 6, "text": "怎么消化不良了？", "role": "doctor"}, {"turn": 7, "text": "喂奶的时候，孩子正吃奶呢就拉，是孩子消化不良吗", "role": "patient"}, {"turn": 8, "text": "拉的很多吗？", "role": "doctor"}, {"turn": 9, "text": "就是边吃边拉，不吃的时候没事，每次都是正吃奶呢就拉", "role": "patient"}, {"turn": 10, "text": "不多，一点，", "role": "patient"}, {"turn": 11, "text": "大便是不是比较稀？", "role": "doctor"}, {"turn": 12, "text": "对，有一点", "role": "patient"}, {"turn": 13, "text": "这样正常吗，还是消化不好呢", "role": "patient"}, {"turn": 14, "text": "应该是有点消化不良", "role": "doctor"}, {"turn": 15, "text": "建议给宝宝口服妈咪爱调节一下胃肠功能", "role": "doctor"}, {"turn": 16, "text": "现在喂呢，妈咪爱需要吃多久呢，新生儿我给一天俩次，每次半袋的量", "role": "patient"}, {"turn": 17, "text": "可以多吃几天", "role": "doctor"}, {"turn": 18, "text": "属于益生菌没有不良反应", "role": "doctor"}, {"turn": 19, "text": "嗯嗯，好的，谢谢", "role": "patient"}, {"turn": 20, "text": "不客气，祝宝宝健康成长", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 849, "thread": [{"turn": 0, "text": "风湿五项没有问题是风湿的几率还大吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好！如果风湿五项检查阴性风湿疾病几率不大的。", "role": "doctor"}, {"turn": 2, "text": "医生啊我的髋关节滑膜炎少量积液怎么治才能好啊，我都不敢乱动，", "role": "patient"}, {"turn": 3, "text": "吃药没什么效果", "role": "patient"}, {"turn": 4, "text": "你好！要限制活动，局部坚持理疗会好的。", "role": "doctor"}, {"turn": 5, "text": "那我挂什么科做什么方面的理疗", "role": "patient"}, {"turn": 6, "text": "理疗科", "role": "doctor"}, {"turn": 7, "text": "不是每个医院都有理疗科啊", "role": "patient"}, {"turn": 8, "text": "最好是三甲医院", "role": "doctor"}, {"turn": 9, "text": "免疫球蛋白补体全套是查什么的啊", "role": "patient"}, {"turn": 10, "text": "你好！免疫五项包括IgA（免疫球蛋白A）、IgG（免疫球蛋白G）、IgM（免疫球蛋白M）、补体C3和C4五项内容，免疫球蛋白A、免疫球蛋白G、免疫球蛋白M主要用于诊断慢性肝病及自身免疫系统疾病，而补体C3和C4主要用于各种炎症性疾病、糖尿病、各种肌炎、混合性结缔组织病等的诊断。", "role": "doctor"}, {"turn": 11, "text": "补体c40.15怎么回事啊", "role": "patient"}, {"turn": 12, "text": "正常值是0.1-0.4，高于正常值说明有有感染，低于正常值说明免疫力低下。", "role": "doctor"}, {"turn": 13, "text": "会不会是狼疮", "role": "patient"}, {"turn": 14, "text": "可以去医院内科（免疫科）检查。", "role": "doctor"}, {"turn": 15, "text": "偏低一点要紧吗", "role": "patient"}, {"turn": 16, "text": "风湿五项可以排除红疮狼吗", "role": "patient"}, {"turn": 17, "text": "系统性红斑狼疮疾病是多器官会有改变的。做血常规检查及尿常规检查会有异常，同时自身抗体检查也会有改变的，在系统性红斑狼疮患者体内存在多种自身抗体, 如: 抗核抗体、抗 ds-dna 抗体、抗 rnp 抗体、抗 ro/ssa抗体、狼疮细胞、类风湿因子、抗组蛋白抗体、抗 u 抗体等等。其中抗ds-dna 抗体，抗 sm 抗体具有诊断特异性。去医院内科（风湿免疫科）检查确诊！", "role": "doctor"}, {"turn": 18, "text": "阮医生我四肢肌肉酸胀会不会心理压力过大也会这样啊", "role": "patient"}, {"turn": 19, "text": "多热敷按摩，有可能的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 850, "thread": [{"turn": 0, "text": "咳嗽发热吃阿奇霉素好还是头孢克（男，13岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问孩子咳嗽厉害吗？", "role": "doctor"}, {"turn": 2, "text": "昨天晚上开始咳", "role": "patient"}, {"turn": 3, "text": "孩子体温最高多少度？", "role": "doctor"}, {"turn": 4, "text": "中午39度吃了退热药", "role": "patient"}, {"turn": 5, "text": "嗯，孩子咳嗽有痰吗？", "role": "doctor"}, {"turn": 6, "text": "晚上6点又39度又给了是药退了", "role": "patient"}, {"turn": 7, "text": "没有痰", "role": "patient"}, {"turn": 8, "text": "早上吃了阿奇2片", "role": "patient"}, {"turn": 9, "text": "一般体温大于38.5度，可以口服布洛芬颗粒降温，注意多喝水，最近是呼吸道疾病的高发季节，尤其是流感比较多，如果怀疑流感的话，建议口服奥司他韦颗粒。", "role": "doctor"}, {"turn": 10, "text": "可以的", "role": "doctor"}, {"turn": 11, "text": "晚上又吃了两粒头饱克肟", "role": "patient"}, {"turn": 12, "text": "还吃了两粒感冒药", "role": "patient"}, {"turn": 13, "text": "阿奇霉素和头孢克肟都属于抗生素，不能乱用的，建议化验血常规和crp看一下，以指导用药。", "role": "doctor"}, {"turn": 14, "text": "请问只吃阿奇吗", "role": "patient"}, {"turn": 15, "text": "还是头饱好", "role": "patient"}, {"turn": 16, "text": "可以暂时吃阿奇霉素，另外加上蒲地蓝消炎口服液和小儿柴桂退热颗粒。", "role": "doctor"}, {"turn": 17, "text": "最近流感和支原体的混合感染是比较多的。", "role": "doctor"}, {"turn": 18, "text": "那您给个建议，哪个消炎药继续用", "role": "patient"}, {"turn": 19, "text": "孩子只有干咳，个人建议吃阿奇霉素。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 851, "thread": [{"turn": 0, "text": "飞机打多了是阴虚还是阳虚（男，21岁）", "role": "patient"}, {"turn": 1, "text": "肾虚有以下主要症状：肾阳虚的症状为腰酸、四肢发冷、畏寒，甚至还有水肿，为“寒”的症状。肾阴虚的症状为“热”，主要有腰酸、燥热、盗汗、虚汗、头晕、耳鸣等。", "role": "doctor"}, {"turn": 2, "text": "阴虚和阳虚的症状不一样的", "role": "doctor"}, {"turn": 3, "text": "您看您有什么症状呢？", "role": "doctor"}, {"turn": 4, "text": "手淫过度，现在出现浑身无力，晚上盗汗，爱出汗，怕热，四肢爱出汗，情绪暴躁，记忆力下降，做事注意力不集中（男，21岁）", "role": "patient"}, {"turn": 5, "text": "爱出虚汗", "role": "patient"}, {"turn": 6, "text": "您是肾阴虚", "role": "doctor"}, {"turn": 7, "text": "怎么治？？食补还是药补", "role": "patient"}, {"turn": 8, "text": "吃六味地黄丸", "role": "doctor"}, {"turn": 9, "text": "补肾阴", "role": "doctor"}, {"turn": 10, "text": "吃多久？怎么服用？", "role": "patient"}, {"turn": 11, "text": "半个月到一个月左右", "role": "doctor"}, {"turn": 12, "text": "要注意什么禁忌？", "role": "patient"}, {"turn": 13, "text": "您看您买的后的说明书，因为厂家不同，服用的药量也不同的", "role": "doctor"}, {"turn": 14, "text": "节制！", "role": "doctor"}, {"turn": 15, "text": "辛辣，油腻，生冷，海鲜先不吃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 852, "thread": [{"turn": 0, "text": "耳鸣一周。影响睡眠。（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有没有听力下降，熬夜上火？", "role": "doctor"}, {"turn": 2, "text": "听力感觉没有下降。12点左右睡觉", "role": "patient"}, {"turn": 3, "text": "有鼻炎。有没有可能是鼻子引起", "role": "patient"}, {"turn": 4, "text": "你鼻炎都有什么症状？", "role": "doctor"}, {"turn": 5, "text": "我以前鼻子很干", "role": "patient"}, {"turn": 6, "text": "昨天洗完鼻子后", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "昨天晚上右耳耳鸣", "role": "patient"}, {"turn": 9, "text": "鼻子有鼻塞吗", "role": "doctor"}, {"turn": 10, "text": "现在有点出水", "role": "patient"}, {"turn": 11, "text": "不太鼻塞", "role": "patient"}, {"turn": 12, "text": "黄涕吗", "role": "doctor"}, {"turn": 13, "text": "白的", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "带有血丝", "role": "patient"}, {"turn": 16, "text": "你用力擤鼻了吗", "role": "doctor"}, {"turn": 17, "text": "嗯嗯", "role": "patient"}, {"turn": 18, "text": "用了", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "doctor"}, {"turn": 20, "text": "那时候洗鼻子感觉耳膜有点疼", "role": "patient"}, {"turn": 21, "text": "用力擤鼻胡引起耳鸣", "role": "doctor"}, {"turn": 22, "text": "但医生说是神经性耳鸣", "role": "patient"}, {"turn": 23, "text": "初步考虑是用力擤鼻时鼻腔气体过大，冲击耳膜引起的耳鸣", "role": "doctor"}, {"turn": 24, "text": "那这个耳鸣为什么持续啊", "role": "patient"}, {"turn": 25, "text": "然后就是我感觉肾疼", "role": "patient"}, {"turn": 26, "text": "有没有可能是肾病", "role": "patient"}, {"turn": 27, "text": "如果中耳或者鼓膜有神经损伤", "role": "doctor"}, {"turn": 28, "text": "的话就会持续性耳鸣", "role": "doctor"}, {"turn": 29, "text": "我上个月做过肾功能检查", "role": "patient"}, {"turn": 30, "text": "肾病?", "role": "doctor"}, {"turn": 31, "text": "中耳炎什么的可以排除吧", "role": "patient"}, {"turn": 32, "text": "具体什么病?", "role": "doctor"}, {"turn": 33, "text": "肾功能检查正常", "role": "patient"}, {"turn": 34, "text": "反正就是腰疼", "role": "patient"}, {"turn": 35, "text": "如果没有耳道流脓，听力下降，耳痛，那就不是中耳炎", "role": "doctor"}, {"turn": 36, "text": "有点耳朵疼", "role": "patient"}, {"turn": 37, "text": "有一点点", "role": "patient"}, {"turn": 38, "text": "没有脓", "role": "patient"}, {"turn": 39, "text": "不知道肾脏什么疾病不好判断是否耳鸣和肾脏有关", "role": "doctor"}, {"turn": 40, "text": "那我这个能治好吗", "role": "patient"}, {"turn": 41, "text": "感觉现在影响我睡眠了", "role": "patient"}, {"turn": 42, "text": "你都做什么检查了", "role": "doctor"}, {"turn": 43, "text": "声导抗", "role": "patient"}, {"turn": 44, "text": "耳测听", "role": "patient"}, {"turn": 45, "text": "是不是和我洗鼻子有关系", "role": "patient"}, {"turn": 46, "text": "如果是鼻炎，擤鼻引起的耳鸣，比较好治疗，口服鼻炎康，鼻腔陪内舒拿就可以治疗的。", "role": "doctor"}, {"turn": 47, "text": "我现在有想死的冲动", "role": "patient"}, {"turn": 48, "text": "很烦躁", "role": "patient"}, {"turn": 49, "text": "声导抗和电测听都正常是吗", "role": "doctor"}, {"turn": 50, "text": "嗯嗯正常", "role": "patient"}, {"turn": 51, "text": "你去医院做过检查，用什么药物治疗了？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 853, "thread": [{"turn": 0, "text": "为什么白天一睡觉就耳鸣（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问多长时间了，", "role": "doctor"}, {"turn": 2, "text": "几个月吧", "role": "patient"}, {"turn": 3, "text": "还有做梦  想醒醒不来", "role": "patient"}, {"turn": 4, "text": "什么时候耳鸣", "role": "doctor"}, {"turn": 5, "text": "睡觉前？", "role": "doctor"}, {"turn": 6, "text": "睡觉时", "role": "patient"}, {"turn": 7, "text": "睡着后？", "role": "doctor"}, {"turn": 8, "text": "嗯", "role": "patient"}, {"turn": 9, "text": "是睡眠瘫痪", "role": "doctor"}, {"turn": 10, "text": "那应该怎么办呢", "role": "patient"}, {"turn": 11, "text": "是什么原因引起的呢", "role": "patient"}, {"turn": 12, "text": "劳累 熬夜 紧张 焦虑 鼻炎 鼻窦炎 肥胖，神经衰弱等情况都有可能", "role": "doctor"}, {"turn": 13, "text": "那应该怎么办呢", "role": "patient"}, {"turn": 14, "text": "这种情况", "role": "doctor"}, {"turn": 15, "text": "不要吃辛辣刺激生冷油腻，不要熬夜，不要抽烟喝酒，每天适当运动，比如慢跑，保持心情舒畅，", "role": "doctor"}, {"turn": 16, "text": "药物可以", "role": "doctor"}, {"turn": 17, "text": "用健脑补肾丸，甜梦口服液等", "role": "doctor"}, {"turn": 18, "text": "睡前2小时不要吃东西", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 854, "thread": [{"turn": 0, "text": "医生我一开口说话就咳嗽不停（女，33）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "有一个月了", "role": "patient"}, {"turn": 3, "text": "请问检查过吗？", "role": "doctor"}, {"turn": 4, "text": "检查过，没检查结果", "role": "patient"}, {"turn": 5, "text": "那你现在在吃什么药？", "role": "doctor"}, {"turn": 6, "text": "消炎药", "role": "patient"}, {"turn": 7, "text": "什么药？", "role": "doctor"}, {"turn": 8, "text": "药名", "role": "doctor"}, {"turn": 9, "text": "没什么好转，", "role": "patient"}, {"turn": 10, "text": "咳嗽有痰？什么颜色？", "role": "doctor"}, {"turn": 11, "text": "干咳，没痰", "role": "patient"}, {"turn": 12, "text": "夜间还是白天厉害？", "role": "doctor"}, {"turn": 13, "text": "都一样", "role": "patient"}, {"turn": 14, "text": "只要开口说话就不停的咳", "role": "patient"}, {"turn": 15, "text": "嗯，吃的具体什么药啊？", "role": "doctor"}, {"turn": 16, "text": "咽痒咽痛？", "role": "doctor"}, {"turn": 17, "text": "嗯", "role": "patient"}, {"turn": 18, "text": "嗯，吃的具体什么药啊？", "role": "doctor"}, {"turn": 19, "text": "这两天没吃药了，之前吃的记不得了", "role": "patient"}, {"turn": 20, "text": "嗯，你这个情况最好是做一个肺部CT？", "role": "doctor"}, {"turn": 21, "text": "。", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "咳了这么久，就怕肺部有没问题", "role": "doctor"}, {"turn": 24, "text": "嗯嗯", "role": "patient"}, {"turn": 25, "text": "嗯?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 855, "thread": [{"turn": 0, "text": "肛裂怎么治疗啊！每次大便都出血...（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "肛门皮肤及粘膜有裂口，便时疼痛伴出血，大便干燥吗，急性肛裂可行保守治疗，如坐浴、外用痔疮膏，避免便秘，慢性肛裂导致肛门瘢痕硬化和肛门狭窄、感染瘘道形成等需要手术治疗。", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "这种情况十多天了", "role": "patient"}, {"turn": 5, "text": "大便干燥吗，大便时有疼痛吗？", "role": "doctor"}, {"turn": 6, "text": "大便干", "role": "patient"}, {"turn": 7, "text": "疼", "role": "patient"}, {"turn": 8, "text": "肛门有裂口吗", "role": "doctor"}, {"turn": 9, "text": "昨天晚上喝了点凉水半夜肚子痛拉便来，还是带血", "role": "patient"}, {"turn": 10, "text": "昨天晚上大便不干", "role": "patient"}, {"turn": 11, "text": "是鲜血吗", "role": "doctor"}, {"turn": 12, "text": "不知道有没有裂口", "role": "patient"}, {"turn": 13, "text": "有不多", "role": "patient"}, {"turn": 14, "text": "红色", "role": "patient"}, {"turn": 15, "text": "那你就先外用痔疮膏治疗看看", "role": "doctor"}, {"turn": 16, "text": "我心里害怕，怕是肠癌", "role": "patient"}, {"turn": 17, "text": "你要是不放心就去医院检查一下吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 856, "thread": [{"turn": 0, "text": "肛裂吃什么药效果好点？（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛裂以外用药为主，吃药只是调节大便，对创面没有直接作用。", "role": "doctor"}, {"turn": 2, "text": "请问你有什么症状吗？", "role": "doctor"}, {"turn": 3, "text": "是去检查过确定肛裂吗？", "role": "doctor"}, {"turn": 4, "text": "是的", "role": "patient"}, {"turn": 5, "text": "大便干吗？有没一天一次？", "role": "doctor"}, {"turn": 6, "text": "t挺难愈合的", "role": "patient"}, {"turn": 7, "text": "时间多久了？", "role": "doctor"}, {"turn": 8, "text": "用过药去医院", "role": "patient"}, {"turn": 9, "text": "大便时有疼痛吗？", "role": "doctor"}, {"turn": 10, "text": "但是用了一星期感觉没有什么效果", "role": "patient"}, {"turn": 11, "text": "还是每怎么愈合", "role": "patient"}, {"turn": 12, "text": "肛门口有颗肉疙瘩吗？", "role": "doctor"}, {"turn": 13, "text": "最早出现这种情况多久了？", "role": "doctor"}, {"turn": 14, "text": "也是最近", "role": "patient"}, {"turn": 15, "text": "早期肛裂一般用药一周会好的，陈旧性肛裂用药效果不好，要手术的", "role": "doctor"}, {"turn": 16, "text": "你用过什么药？", "role": "doctor"}, {"turn": 17, "text": "我第一次肛裂", "role": "patient"}, {"turn": 18, "text": "在专门医院用的药", "role": "patient"}, {"turn": 19, "text": "最近大便怎么样？", "role": "doctor"}, {"turn": 20, "text": "可以用太宁栓加马应龙痔疮膏。", "role": "doctor"}, {"turn": 21, "text": "没有血 也不疼 大便也正常", "role": "patient"}, {"turn": 22, "text": "就是伤口不愈合", "role": "patient"}, {"turn": 23, "text": "每晚睡前温水洗澡或坐浴后将太宁栓塞入肛门，再将痔疮膏挤入肛门，这样药物容易吸收，效果会好一些。", "role": "doctor"}, {"turn": 24, "text": "平时有熬夜喝酒劳累或吃辛辣刺激食物吗？", "role": "doctor"}, {"turn": 25, "text": "不愈合就会有一点点血", "role": "patient"}, {"turn": 26, "text": "嗯，我认为问题不大，你继续再用几天药看一下。", "role": "doctor"}, {"turn": 27, "text": "按我说的方法用药看看。", "role": "doctor"}, {"turn": 28, "text": "用过马应龙", "role": "patient"}, {"turn": 29, "text": "还是红霉素？", "role": "patient"}, {"turn": 30, "text": "和太宁栓一起用。", "role": "doctor"}, {"turn": 31, "text": "马应龙痔疮膏和红霉素软膏都可以。", "role": "doctor"}, {"turn": 32, "text": "往伤口上么", "role": "patient"}, {"turn": 33, "text": "我上过两天", "role": "patient"}, {"turn": 34, "text": "没啥效果", "role": "patient"}, {"turn": 35, "text": "还有点痒", "role": "patient"}, {"turn": 36, "text": "是的，要挤进肛门，平时创口收缩，擦外面没用的。", "role": "doctor"}, {"turn": 37, "text": "忌辛辣刺激食物，忌熬夜喝酒劳累，多吃蔬菜水果，保持大便通畅，保证充足的睡眠。", "role": "doctor"}, {"turn": 38, "text": "别担心，你再用几天药看一下，有情况可以随时联系我。", "role": "doctor"}, {"turn": 39, "text": "不应该擦在 没有愈合的溃烂面上么", "role": "patient"}, {"turn": 40, "text": "是要擦在溃疡面上，但破口一般在肛门里面的，要挤进去才有效。", "role": "doctor"}, {"turn": 41, "text": "哦", "role": "patient"}, {"turn": 42, "text": "别担心，我认为继续用药，过几天会好的。有情况可以随时联系。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 857, "thread": [{"turn": 0, "text": "产后便秘怎么办！！！！！（女，29岁）", "role": "patient"}, {"turn": 1, "text": "可以喝蜂蜜水，用开塞露都行的", "role": "doctor"}, {"turn": 2, "text": "口服的杜密克也可以", "role": "doctor"}, {"turn": 3, "text": "我也不是便秘，就是拉屎的时候屎堵屁股里不出来，得用开塞露还能出来", "role": "patient"}, {"turn": 4, "text": "那也算便秘的", "role": "doctor"}, {"turn": 5, "text": "有的时候屎堵屁股门不出来，就得用开塞露还能出来，这是怎么回事", "role": "patient"}, {"turn": 6, "text": "大便太干了", "role": "doctor"}, {"turn": 7, "text": "注意多喝水，吃软食易消化的", "role": "doctor"}, {"turn": 8, "text": "大便拉出来也不干", "role": "patient"}, {"turn": 9, "text": "就是拉不出来，就得用开塞露还能拉出来", "role": "patient"}, {"turn": 10, "text": "这是怎么回事", "role": "patient"}, {"turn": 11, "text": "这个你要问一下产科的医生是不是跟你生小孩以后有关系", "role": "doctor"}, {"turn": 12, "text": "看跟骨盆的变化 子宫的缩小有没有关系", "role": "doctor"}, {"turn": 13, "text": "那吃点什么排便，乳果糖吗", "role": "patient"}, {"turn": 14, "text": "嗯，就是乳果糖", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 858, "thread": [{"turn": 0, "text": "消化不良，反胃，呕吐。（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答嗯", "role": "doctor"}, {"turn": 2, "text": "这个症状多长时间啦？", "role": "doctor"}, {"turn": 3, "text": "有没有做过胃镜看看？都吃过什么药？", "role": "doctor"}, {"turn": 4, "text": "医生好，今天晚餐吃了鱿鱼。现在觉得反胃。", "role": "patient"}, {"turn": 5, "text": "嗯鱿鱼不太好消化", "role": "doctor"}, {"turn": 6, "text": "是的。刚才吐过一次。", "role": "patient"}, {"turn": 7, "text": "我推荐一下治疗方案，可以口服奥美拉唑和吗丁啉，饭前半小时吃，饭后可以口服健胃消食片", "role": "doctor"}, {"turn": 8, "text": "家里没有这类药", "role": "patient"}, {"turn": 9, "text": "有酵母片", "role": "patient"}, {"turn": 10, "text": "如果明天还有症状，去当地医院买药就可以，酵母片不可以吃", "role": "doctor"}, {"turn": 11, "text": "可以先做点小米粥养养肠胃，以后尽量少吃鱿鱼或者油腻不好消化", "role": "doctor"}, {"turn": 12, "text": "哦，好的。医生请问为啥不能吃酵母片", "role": "patient"}, {"turn": 13, "text": "顺时针按摩腹部，促进肠胃动力，你看还有问题么", "role": "doctor"}, {"turn": 14, "text": "酵母片，是的肠道菌群失调的患者服用你本身胃不舒服，吃了会加重症状，导致胃胀，呕吐", "role": "doctor"}, {"turn": 15, "text": "你看还有问题么？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 859, "thread": [{"turn": 0, "text": "小手指挫伤不能完全弯曲（女，44岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "受伤将近三个月，当时挫伤后过几天就缓解了，也可以弯曲，没有重视没有检查，上周喷了云南白药气雾剂就肿了，停药后又消了肿，手指也没有不适的感觉，这才发现手指虽然可以弯曲，但和另一只手比较，还是弯曲的不够充分，现在怎么办，会不会是骨头的问题，还有没可能治好，好担心啊，求您了，如果就这样治不好了该咋办啊，会不会因为当时没治就治不好了，真的要哭了", "role": "patient"}, {"turn": 3, "text": "不要担心，建议您去康复科进行功能锻炼", "role": "doctor"}, {"turn": 4, "text": "通过锻炼可以恢复的", "role": "doctor"}, {"turn": 5, "text": "如果关节受损还能治好吗", "role": "patient"}, {"turn": 6, "text": "可以通过功能锻炼恢复 但不要心急", "role": "doctor"}, {"turn": 7, "text": "需要拍片检查吧", "role": "patient"}, {"turn": 8, "text": "还有哪些治疗手段", "role": "patient"}, {"turn": 9, "text": "请问您我是去医院康复科还是骨科", "role": "patient"}, {"turn": 10, "text": "这种情况能治好吗", "role": "patient"}, {"turn": 11, "text": "去康复科就可以", "role": "doctor"}, {"turn": 12, "text": "可以恢复的，只是时间问题", "role": "doctor"}, {"turn": 13, "text": "谢谢您医生，虽然还是很担心，但您的话给了我信心和温暖", "role": "patient"}, {"turn": 14, "text": "积极配合医生，一起努力，会恢复的", "role": "doctor"}, {"turn": 15, "text": "自己做锻炼吗？还有哪些有效的治疗手段", "role": "patient"}, {"turn": 16, "text": "听康复医生的", "role": "doctor"}, {"turn": 17, "text": "自己锻炼过了会加重病情", "role": "doctor"}, {"turn": 18, "text": "锻炼不够起不到效果", "role": "doctor"}, {"turn": 19, "text": "是的，那还能正常上班吗，这种情况能请假做治疗吗", "role": "patient"}, {"turn": 20, "text": "是右手，现在思想包袱也很大，不敢用手了", "role": "patient"}, {"turn": 21, "text": "可以正常上班", "role": "doctor"}, {"turn": 22, "text": "先看康复科医生给什么锻炼计划", "role": "doctor"}, {"turn": 23, "text": "我需要做什么检查", "role": "patient"}, {"turn": 24, "text": "估计可能做核磁", "role": "doctor"}, {"turn": 25, "text": "x光还是核磁呢", "role": "patient"}, {"turn": 26, "text": "具体得康复科医生定", "role": "doctor"}, {"turn": 27, "text": "小指和手掌的关节会发生哪些损伤", "role": "patient"}, {"turn": 28, "text": "会不会要动手术", "role": "patient"}, {"turn": 29, "text": "软组织挫伤", "role": "doctor"}, {"turn": 30, "text": "也有可能要小手术", "role": "doctor"}, {"turn": 31, "text": "会不会当时骨折了不知道，真的要哭了", "role": "patient"}, {"turn": 32, "text": "之前就没有注意，虽然不疼，弯曲度还是和另一个有差别，不知道这种情况还能不能治好啊，或者是关节损伤的话还能治吗", "role": "patient"}, {"turn": 33, "text": "可以慢慢恢复的哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 860, "thread": [{"turn": 0, "text": "肾挫伤后多久才算稳定？（男，28岁）", "role": "patient"}, {"turn": 1, "text": "有什么检查资料吗？比如ct", "role": "doctor"}, {"turn": 2, "text": "6月1号摔伤，6月10号又血尿，两天后就没有了，7月21出院，8月7号复查CT，复查结果说血肿变小了，CT没有说肾萎缩，这会出现肾萎缩吗？", "role": "patient"}, {"turn": 3, "text": "九月初再复查一次ct", "role": "doctor"}, {"turn": 4, "text": "从6月1号到8月7号，已经有6次CT了，会不会太频繁了啊", "role": "patient"}, {"turn": 5, "text": "不频繁，复查是为了了解肾挫伤愈合的情况。", "role": "doctor"}, {"turn": 6, "text": "只是右肾挫伤，如果萎缩了  会有些什么症状？", "role": "patient"}, {"turn": 7, "text": "没有感染的话，一般是没有什么表现的", "role": "doctor"}, {"turn": 8, "text": "6月1号受的伤，8月7号复查的CT,两个月了还会出现肾萎缩吗？", "role": "patient"}, {"turn": 9, "text": "九月份复查肾脏CT，复查后如果已经完全愈合，没有萎缩，那么，以后就不会萎缩了。", "role": "doctor"}, {"turn": 10, "text": "现在都是平躺睡觉，躺的时间长了会对肾不好吗？是否应该多活动一下，饮食上有什么要注意的吗？", "role": "patient"}, {"turn": 11, "text": "不用整天躺着，一般的走动是可以的。饮食上就是普通的饮食即可。", "role": "doctor"}, {"turn": 12, "text": "肾包膜下血肿，如果肾萎缩  CT能查的出来吗？", "role": "patient"}, {"turn": 13, "text": "可以的", "role": "doctor"}, {"turn": 14, "text": "6月1号受的伤，8月7号复查，CT影像表现，内有团片样较高密度影，周围低密度影，下面诊断写的是  肾体积增大，血肿可能性大，主治医生说血肿吸收很多了，现在就是担心后面还要怎么修养，避免肾萎缩？", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 861, "thread": [{"turn": 0, "text": "内痔怎治疗有几个月了（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，目前您痔疮有什么症状？", "role": "doctor"}, {"turn": 2, "text": "就是大便的时候会拉出来一块肉眼   不痛", "role": "patient"}, {"turn": 3, "text": "之前上WC的时候会出血", "role": "patient"}, {"turn": 4, "text": "哦，您用药了吗？疗效如何？", "role": "doctor"}, {"turn": 5, "text": "一般可以应用高锰酸钾稀释液坐浴后局部涂抹太宁膏，口服致康胶囊止血", "role": "doctor"}, {"turn": 6, "text": "之前吃过地榆槐角丸", "role": "patient"}, {"turn": 7, "text": "就我现在的情况   怎么治疗好的", "role": "patient"}, {"turn": 8, "text": "现在不出血了", "role": "patient"}, {"turn": 9, "text": "如果不出血那么现在还有什么症状？", "role": "doctor"}, {"turn": 10, "text": "如果不疼不痒不出血就是没有发病的状态，不需要治疗，等发病再治疗", "role": "doctor"}, {"turn": 11, "text": "暂时没有那些  就是上完WC的时候 就有一块肉凸出来 难受", "role": "patient"}, {"turn": 12, "text": "嗯，那可以暂时不用治疗，平时可以适当做提肛运动，", "role": "doctor"}, {"turn": 13, "text": "就这样就行了？", "role": "patient"}, {"turn": 14, "text": "是的，这就是平时不发病状态的保养。因为用药痔疮是不能消失的", "role": "doctor"}, {"turn": 15, "text": "进食需要忌口，忌食辛辣刺激食物，避免久坐久蹲，注意保暖，保持大便通畅并且便质松软，调整心情，会大大减少发病。", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "有问题随时沟通", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 862, "thread": [{"turn": 0, "text": "耳冷热检查为啥会耳鸣加重（女，56岁）", "role": "patient"}, {"turn": 1, "text": "有多长时间了？听力怎么样？", "role": "doctor"}, {"turn": 2, "text": "在吗", "role": "patient"}, {"turn": 3, "text": "耳外伤后耳闷耳堵耳鸣，摸耳晕做前庭功能冷热检查感觉耳鸣严重是咋回事", "role": "patient"}, {"turn": 4, "text": "耳外伤都半月了，8月6号做冷热检查后感觉耳鸣加重是咋回事", "role": "patient"}, {"turn": 5, "text": "在吗", "role": "patient"}, {"turn": 6, "text": "说话呀", "role": "patient"}, {"turn": 7, "text": "应该是刺激造成的暂时性加重，注意休息，转移注意力，放松心情，调整睡眠", "role": "doctor"}, {"turn": 8, "text": "能恢复正常吗", "role": "patient"}, {"turn": 9, "text": "原先有耳鸣多久了", "role": "doctor"}, {"turn": 10, "text": "严重吗", "role": "doctor"}, {"turn": 11, "text": "半个月", "role": "patient"}, {"turn": 12, "text": "没做冷热检查都好转了，做完感觉耳鸣加重", "role": "patient"}, {"turn": 13, "text": "这样还能好转吗", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "放松心情", "role": "doctor"}, {"turn": 16, "text": "转移注意力", "role": "doctor"}, {"turn": 17, "text": "昨晚耳鸣加重我半宿上火没睡觉", "role": "patient"}, {"turn": 18, "text": "我是外伤引起耳鸣的", "role": "patient"}, {"turn": 19, "text": "越在意越明显", "role": "doctor"}, {"turn": 20, "text": "做冷热检查头晕", "role": "patient"}, {"turn": 21, "text": "耳鸣一般对健康危害不大，但却令人烦恼不安。目前治疗亦存在一定困难。有耳鸣症状，应积极到医院作相应的检查与处理，以免延误某些重要疾病的诊治。如确无特殊疾病，则不必紧张，应保持心情愉快，转移注意力，耳鸣或可减轻。", "role": "doctor"}, {"turn": 22, "text": "你意思是精神紧张造成的", "role": "patient"}, {"turn": 23, "text": "没外伤之前没有耳鸣症状", "role": "patient"}, {"turn": 24, "text": "这种冷热实验刺激得多久能恢复", "role": "patient"}, {"turn": 25, "text": "每个人不一样", "role": "doctor"}, {"turn": 26, "text": "一般半月左右", "role": "doctor"}, {"turn": 27, "text": "不能持续不好吧", "role": "patient"}, {"turn": 28, "text": "什么不能持续", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 863, "thread": [{"turn": 0, "text": "咳嗽 偏头痛 全身乏力（男，27岁）", "role": "patient"}, {"turn": 1, "text": "您好很高兴为您服务！", "role": "doctor"}, {"turn": 2, "text": "这个症状有多长时间了？", "role": "doctor"}, {"turn": 3, "text": "4.5天了", "role": "patient"}, {"turn": 4, "text": "有没有感冒发热受凉的情况？", "role": "doctor"}, {"turn": 5, "text": "最开始是偏头痛 腰酸背痛 ，因为刚从外地回来 没睡好，第二天就开始咳嗽 流鼻涕", "role": "patient"}, {"turn": 6, "text": "发热没有", "role": "patient"}, {"turn": 7, "text": "那考虑受凉导致的", "role": "doctor"}, {"turn": 8, "text": "劳累导致的", "role": "doctor"}, {"turn": 9, "text": "可以吃点芬必得对症治疗的。", "role": "doctor"}, {"turn": 10, "text": "不用吃感冒药吗", "role": "patient"}, {"turn": 11, "text": "芬必得有治疗感冒的作用的", "role": "doctor"}, {"turn": 12, "text": "昨天有去医院看病 验了血常规 其中白细胞指数只有2.5，医生说可能是吃了感冒药原因让不要吃特效药了，想请教下原因", "role": "patient"}, {"turn": 13, "text": "那就要不要吃芬必得了", "role": "doctor"}, {"turn": 14, "text": "喝点鲜竹沥或者川贝批把膏的", "role": "doctor"}, {"turn": 15, "text": "注意保暖，休息，好好睡一觉的", "role": "doctor"}, {"turn": 16, "text": "白细胞低严重不？", "role": "patient"}, {"turn": 17, "text": "目前问题不大的，一周后复查的", "role": "doctor"}, {"turn": 18, "text": "什么原因会出现这种情况？", "role": "patient"}, {"turn": 19, "text": "一是考虑感冒的原因，二是考虑药物原因的", "role": "doctor"}, {"turn": 20, "text": "谢谢医生，那我再坚持几天吧", "role": "patient"}, {"turn": 21, "text": "不客气的", "role": "doctor"}, {"turn": 22, "text": "注意多进饮食，加加营养的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 864, "thread": [{"turn": 0, "text": "六个月宝宝消化不良怎么办（男，6个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么表现？", "role": "doctor"}, {"turn": 2, "text": "宝宝六个多月了，吃过奶打过奶嗝，抱起来玩之后一嗝又会吐奶怎么回事？", "role": "patient"}, {"turn": 3, "text": "这种情况🈶️十几天了", "role": "patient"}, {"turn": 4, "text": "可能还是有点消化不良的，一次不要吃太饱了，益生菌吃点调理肠胃看看", "role": "doctor"}, {"turn": 5, "text": "还有便便是黄色的，🈶️奶片，益生菌也一直吃的", "role": "patient"}, {"turn": 6, "text": "益生菌继续吃，醒脾养儿颗粒配合再吃点看看", "role": "doctor"}, {"turn": 7, "text": "益生菌一直都有吃的，没有听过。", "role": "patient"}, {"turn": 8, "text": "药店会有的", "role": "doctor"}, {"turn": 9, "text": "他这个是什么原因啊？", "role": "patient"}, {"turn": 10, "text": "总是打奶嗝，有时候流口水，有时嗝一打那就吐出来了。", "role": "patient"}, {"turn": 11, "text": "以前没有过", "role": "patient"}, {"turn": 12, "text": "？", "role": "patient"}, {"turn": 13, "text": "脾胃消化不好引起的", "role": "doctor"}, {"turn": 14, "text": "是着凉引起的吗？", "role": "patient"}, {"turn": 15, "text": "着凉也有影响的", "role": "doctor"}, {"turn": 16, "text": "哦，这个要紧呀", "role": "patient"}, {"turn": 17, "text": "要不要去大医院看一下。", "role": "patient"}, {"turn": 18, "text": "还有这个跟我平时喂多了🈶️关系呀？", "role": "patient"}, {"turn": 19, "text": "？", "role": "patient"}, {"turn": 20, "text": "要是症状明显的建议去儿童喜欢内科看一下的", "role": "doctor"}, {"turn": 21, "text": "喂多了很有关系的", "role": "doctor"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "嗯嗯", "role": "doctor"}, {"turn": 24, "text": "还有老打卡怎么回事？", "role": "patient"}, {"turn": 25, "text": "跟消化不好也有关系的", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢，打扰了", "role": "patient"}, {"turn": 27, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 865, "thread": [{"turn": 0, "text": "病毒性角膜炎需要消毒吗（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，不需要消毒的。", "role": "doctor"}, {"turn": 2, "text": "病毒感染怎么才能预防", "role": "patient"}, {"turn": 3, "text": "注意休息，增强抵抗力。不要熬夜。避免上火，注意卫生，注意用眼休息", "role": "doctor"}, {"turn": 4, "text": "日常生活中会感染吗  还是去了公共场合", "role": "patient"}, {"turn": 5, "text": "一般是不会的。", "role": "doctor"}, {"turn": 6, "text": "我是去洗浴不知道怎么回家眼睛就红了", "role": "patient"}, {"turn": 7, "text": "看了是角膜炎？", "role": "doctor"}, {"turn": 8, "text": "病毒性角膜炎  点状侵润", "role": "patient"}, {"turn": 9, "text": "嗯嗯。", "role": "doctor"}, {"turn": 10, "text": "一开始是单眼结膜炎后来2只都有了", "role": "patient"}, {"turn": 11, "text": "注意休息。少去洗浴", "role": "doctor"}, {"turn": 12, "text": "嗯嗯。", "role": "doctor"}, {"turn": 13, "text": "发病很快只一天眼睛就红了血丝狠毒", "role": "patient"}, {"turn": 14, "text": "是的。", "role": "doctor"}, {"turn": 15, "text": "毛巾可以热开水烫烫", "role": "doctor"}, {"turn": 16, "text": "如果跟有结膜炎的患者接吻会传染吗", "role": "patient"}, {"turn": 17, "text": "单纯接吻不会。", "role": "doctor"}, {"turn": 18, "text": "那是怎么传染的呢", "role": "patient"}, {"turn": 19, "text": "手揉眼睛，", "role": "doctor"}, {"turn": 20, "text": "再接触。", "role": "doctor"}, {"turn": 21, "text": "是不是摸了患者的眼镜再摸自己眼睛", "role": "patient"}, {"turn": 22, "text": "是", "role": "doctor"}, {"turn": 23, "text": "如果摸了后用香皂洗手可以避免吗", "role": "patient"}, {"turn": 24, "text": "多数可以。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 866, "thread": [{"turn": 0, "text": "膀胱過度活動症能治好嗎（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "尿頻尿急，上完小便下腹部還脹尿，晚上下腹部脹，好不舒服，焦慮，有輕生諗頭，每天睡不好，11.12點睡，5.6點就醒，", "role": "patient"}, {"turn": 3, "text": "每天上廁所10次以上", "role": "patient"}, {"turn": 4, "text": "在？？", "role": "patient"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "刚才忙着呢，不好意思", "role": "doctor"}, {"turn": 7, "text": "都做过哪些检查", "role": "doctor"}, {"turn": 8, "text": "男的女的？", "role": "doctor"}, {"turn": 9, "text": "女的", "role": "patient"}, {"turn": 10, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 11, "text": "做過幾次尿常規陰性，B超也沒什麽事", "role": "patient"}, {"turn": 12, "text": "兩個多月", "role": "patient"}, {"turn": 13, "text": "之前有尿道炎，後面開藥，復檢已陰性，但還尿頻尿急", "role": "patient"}, {"turn": 14, "text": "彩超做了没，残余尿多少", "role": "doctor"}, {"turn": 15, "text": "尿流动力学检查做了没", "role": "doctor"}, {"turn": 16, "text": "沒做", "role": "patient"}, {"turn": 17, "text": "不会以前没有，突然就出现这种情况的，你应该去做个尿流动力学检查，看看逼尿肌功能，以及膀胱神经功能，看看到底是不是膀胱过度活动", "role": "doctor"}, {"turn": 18, "text": "每次尿量有多少", "role": "doctor"}, {"turn": 19, "text": "不知道噢", "role": "patient"}, {"turn": 20, "text": "上一年四五月尿頻尿急，也一個多月才好了", "role": "patient"}, {"turn": 21, "text": "？", "role": "patient"}, {"turn": 22, "text": "你应该自己测量一下每次尿量，还有每次小便时能否自己控制", "role": "doctor"}, {"turn": 23, "text": "还有，如果怀疑膀胱过度活动症，应该去做一个尿流动力学检查以确诊", "role": "doctor"}, {"turn": 24, "text": "如果是膀胱過度活動症能治好嗎", "role": "patient"}, {"turn": 25, "text": "小便能控制，試過一次咳嗽，咳出尿", "role": "patient"}, {"turn": 26, "text": "那要看程度，如果轻度的话是可以的", "role": "doctor"}, {"turn": 27, "text": "怎樣才叫輕度？？", "role": "patient"}, {"turn": 28, "text": "一天尿频次数，白天多少，夜里多少，每次尿量多少，尿急时能否憋住，能憋多久，有没有伴随其他症状", "role": "doctor"}, {"turn": 29, "text": "首先，你要确诊自己到底得的啥病，不知道你去的哪的医院诊断的，光凭彩超和尿常规是不能诊断膀胱过度活动症的", "role": "doctor"}, {"turn": 30, "text": "太復雜了", "role": "patient"}, {"turn": 31, "text": "所以你要去医院全面检查，医学很复杂，没你想的那么简单，膀胱过度活动症，间质性膀胱炎，尿路梗阻？有阴道炎，宫颈炎原发灶，没治疗好等等都会导致尿频尿急的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 867, "thread": [{"turn": 0, "text": "吃了斯利安的叶酸就开始便秘。（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，多喝水，适当吃点青菜水果", "role": "doctor"}, {"turn": 2, "text": "吃了", "role": "patient"}, {"turn": 3, "text": "还是那样。", "role": "patient"}, {"turn": 4, "text": "是不是我不适合吃啊？", "role": "patient"}, {"turn": 5, "text": "有的人吃了有可能会便秘，你可以试试爱乐维是含有叶酸的复合维生素片，", "role": "doctor"}, {"turn": 6, "text": "每天养成固定时间排便的习惯，", "role": "doctor"}, {"turn": 7, "text": "每天都排便", "role": "patient"}, {"turn": 8, "text": "但是超级干", "role": "patient"}, {"turn": 9, "text": "倒是天天都排", "role": "patient"}, {"turn": 10, "text": "早上七点左右喝上一杯淡盐水，然后活动半小时有利于排便", "role": "doctor"}, {"turn": 11, "text": "我每天到点就排便", "role": "patient"}, {"turn": 12, "text": "我只是特别干。", "role": "patient"}, {"turn": 13, "text": "是因为吃叶酸吃的吗？", "role": "patient"}, {"turn": 14, "text": "这个不一定，您可以停叶酸两天看看是否是吃叶酸引起的", "role": "doctor"}, {"turn": 15, "text": "嗯好的", "role": "patient"}, {"turn": 16, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 868, "thread": [{"turn": 0, "text": "风湿关节平常生活饮食需要注意哪些（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么不舒服呢？", "role": "doctor"}, {"turn": 2, "text": "日常护理", "role": "patient"}, {"turn": 3, "text": "不要受凉，不要吃太冷的食物，注意休息", "role": "doctor"}, {"turn": 4, "text": "尽量避免爬楼梯爬山", "role": "doctor"}, {"turn": 5, "text": "大概哪些食物呢", "role": "patient"}, {"turn": 6, "text": "冰箱里的东西不能吃", "role": "doctor"}, {"turn": 7, "text": "常温的都可以", "role": "doctor"}, {"turn": 8, "text": "可以喝汤吗", "role": "patient"}, {"turn": 9, "text": "有忌口的吗", "role": "patient"}, {"turn": 10, "text": "可以喝汤", "role": "doctor"}, {"turn": 11, "text": "汤类不忌口", "role": "doctor"}, {"turn": 12, "text": "高嘌呤的食物呢", "role": "patient"}, {"turn": 13, "text": "海鲜", "role": "patient"}, {"turn": 14, "text": "都不需要忌口", "role": "patient"}, {"turn": 15, "text": "是嘛", "role": "patient"}, {"turn": 16, "text": "你又不是痛风", "role": "doctor"}, {"turn": 17, "text": "不需忌口", "role": "doctor"}, {"turn": 18, "text": "除非痛风的病人才需要忌口高嘌呤食物", "role": "doctor"}, {"turn": 19, "text": "空气湿度大会对风湿关节有影响吗", "role": "patient"}, {"turn": 20, "text": "有影响的", "role": "doctor"}, {"turn": 21, "text": "有可能会加重病情", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 869, "thread": [{"turn": 0, "text": "混合痔会引起肚子疼吗（女，36岁）", "role": "patient"}, {"turn": 1, "text": "混合痔不会引起肚子疼", "role": "doctor"}, {"turn": 2, "text": "感觉肛门坠，引起腿抽筋，肚子疼，目前需要怎么处理", "role": "patient"}, {"turn": 3, "text": "你好，这种情况多久了？看来症状比较严重呀", "role": "doctor"}, {"turn": 4, "text": "半年时间", "role": "patient"}, {"turn": 5, "text": "还有其它症状吗", "role": "doctor"}, {"turn": 6, "text": "大便一天两次", "role": "patient"}, {"turn": 7, "text": "还有其它不舒服的症状吗", "role": "doctor"}, {"turn": 8, "text": "医生指检说混合痔四度，但是我没有出现过出血症状", "role": "patient"}, {"turn": 9, "text": "混合痔不会引起您说的这些症状", "role": "doctor"}, {"turn": 10, "text": "痔疮是不是都会出血", "role": "patient"}, {"turn": 11, "text": "初期痔疮可能会出血，后期不出血", "role": "doctor"}, {"turn": 12, "text": "您觉得我目前应该做什么治疗", "role": "patient"}, {"turn": 13, "text": "四度必须手术吗", "role": "patient"}, {"turn": 14, "text": "到普通外科、骨科检查，明确腹痛、腿抽筋原因", "role": "doctor"}, {"turn": 15, "text": "如果确定是四度痔疮，需要手术", "role": "doctor"}, {"turn": 16, "text": "需要做肠镜或着肛镜吗", "role": "patient"}, {"turn": 17, "text": "需要", "role": "doctor"}, {"turn": 18, "text": "会不会和直肠有关", "role": "patient"}, {"turn": 19, "text": "不一定", "role": "doctor"}, {"turn": 20, "text": "直肠问题一般不会腿抽筋", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 870, "thread": [{"turn": 0, "text": "五个月宝宝怎么区分热咳嗽还是寒咳嗽（男，5个月）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝咳嗽有痰吗？", "role": "doctor"}, {"turn": 2, "text": "听着有", "role": "patient"}, {"turn": 3, "text": "痰是什么颜色的？", "role": "doctor"}, {"turn": 4, "text": "咳不出来呀", "role": "patient"}, {"turn": 5, "text": "才五个月", "role": "patient"}, {"turn": 6, "text": "咳嗽不分寒热，看痰液才能看出", "role": "doctor"}, {"turn": 7, "text": "不出门也会受寒吗？", "role": "patient"}, {"turn": 8, "text": "痰液出不来呀，咋办", "role": "patient"}, {"turn": 9, "text": "是啊，不出门也会啊", "role": "doctor"}, {"turn": 10, "text": "宝宝太小，不耐受", "role": "doctor"}, {"turn": 11, "text": "宝宝脖子或脑袋湿湿的，但手脚是凉的，这是凉还是热", "role": "patient"}, {"turn": 12, "text": "有啥让咳痰的小妙招", "role": "patient"}, {"turn": 13, "text": "宝宝这种情况属于正常", "role": "doctor"}, {"turn": 14, "text": "小宝宝基础体温高，头部血液循环丰富，所以出汗多，四肢末梢循环不好，手脚凉", "role": "doctor"}, {"turn": 15, "text": "让宝宝坐在妈妈腿上，用手轻拍宝宝后背，可以促进痰液排出", "role": "doctor"}, {"turn": 16, "text": "一次几分钟", "role": "patient"}, {"turn": 17, "text": "我这两天给拍的了，一次一两分钟左右", "role": "patient"}, {"turn": 18, "text": "就是一般早上咳，平常也不咳", "role": "patient"}, {"turn": 19, "text": "是咳嗽的时候拍更好吗", "role": "patient"}, {"turn": 20, "text": "小宝宝还不会坐，", "role": "patient"}, {"turn": 21, "text": "一次三分钟左右，咳嗽时拍最好", "role": "doctor"}, {"turn": 22, "text": "我是让他趴我大腿上，拍的", "role": "patient"}, {"turn": 23, "text": "也可以", "role": "doctor"}, {"turn": 24, "text": "咳也拍不出来呀，咋能让拉出来", "role": "patient"}, {"turn": 25, "text": "一直没用药吗？", "role": "doctor"}, {"turn": 26, "text": "没有", "role": "patient"}, {"turn": 27, "text": "服用止咳化痰颗粒", "role": "doctor"}, {"turn": 28, "text": "用药才能拉出来？", "role": "patient"}, {"turn": 29, "text": "用药就化掉了", "role": "doctor"}, {"turn": 30, "text": "不用药的情况下，怎么弄", "role": "patient"}, {"turn": 31, "text": "没法弄", "role": "doctor"}, {"turn": 32, "text": "好吧", "role": "patient"}, {"turn": 33, "text": "嗯嗯", "role": "doctor"}, {"turn": 34, "text": "有鼻涕不是像水一样，也不是黄的，是咋啦", "role": "patient"}, {"turn": 35, "text": "具体啥样啊？", "role": "doctor"}, {"turn": 36, "text": "就是浑浊的，灰色的，在鼻子里呼哧呼哧的", "role": "patient"}, {"turn": 37, "text": "比较粘稠的", "role": "doctor"}, {"turn": 38, "text": "差不多", "role": "patient"}, {"turn": 39, "text": "这种很难办", "role": "doctor"}, {"turn": 40, "text": "再加上小儿氨酚黄那敏颗粒吧", "role": "doctor"}, {"turn": 41, "text": "平时多喝水", "role": "doctor"}, {"turn": 42, "text": "这鼻涕流一两次就没了，这是去哪儿了", "role": "patient"}, {"turn": 43, "text": "没有了就是鼻腔粘膜不分泌了啊", "role": "doctor"}, {"turn": 44, "text": "这是护彤吗？", "role": "patient"}, {"turn": 45, "text": "有好几个厂家的，护彤是其中之一", "role": "doctor"}, {"turn": 46, "text": "这种的需要喝药吗？", "role": "patient"}, {"turn": 47, "text": "不流鼻涕了就不要喝了", "role": "doctor"}, {"turn": 48, "text": "昨天就一次", "role": "patient"}, {"turn": 49, "text": "嗯嗯，那就没事", "role": "doctor"}, {"turn": 50, "text": "这属于感冒吗？", "role": "patient"}, {"turn": 51, "text": "对，是感冒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 871, "thread": [{"turn": 0, "text": "吃什么对腰扭伤康复有好处（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在主要是什么症状？", "role": "doctor"}, {"turn": 2, "text": "腰扭伤要多休息", "role": "doctor"}, {"turn": 3, "text": "酸痛，不能长时间坐或躺着", "role": "patient"}, {"turn": 4, "text": "可以做一下按摩", "role": "doctor"}, {"turn": 5, "text": "吃什么对恢复有好处啊？", "role": "patient"}, {"turn": 6, "text": "这样肌肉损伤，不需要吃什么", "role": "doctor"}, {"turn": 7, "text": "也没有什么可吃的", "role": "doctor"}, {"turn": 8, "text": "上医院做过针灸拔罐", "role": "patient"}, {"turn": 9, "text": "用云南白药喷雾剂", "role": "doctor"}, {"turn": 10, "text": "或者红花油", "role": "doctor"}, {"turn": 11, "text": "平时怎样锻炼对康复有好处啊？", "role": "patient"}, {"turn": 12, "text": "等这次好了之后，要训练腰背部肌肉", "role": "doctor"}, {"turn": 13, "text": "训练之后不会那么容易受伤", "role": "doctor"}, {"turn": 14, "text": "怎么练呢？有什么建议，或者方法？", "role": "patient"}, {"turn": 15, "text": "训练腰背部肌肉可能得咨询健身教练", "role": "doctor"}, {"turn": 16, "text": "他们最专业", "role": "doctor"}, {"turn": 17, "text": "您没有什么简单的方法和建议吗？", "role": "patient"}, {"turn": 18, "text": "训练腰肌我没有什么好方法", "role": "doctor"}, {"turn": 19, "text": "我是外行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 872, "thread": [{"turn": 0, "text": "给顾客挤痘痘蹦到眼里会不会得艾滋（女，28岁）", "role": "patient"}, {"turn": 1, "text": "没有听说过这种传染艾滋病的情况", "role": "doctor"}, {"turn": 2, "text": "而且眼泪有杀毒功能", "role": "doctor"}, {"turn": 3, "text": "接着就用盐水冲了", "role": "patient"}, {"turn": 4, "text": "都有一个多月了", "role": "patient"}, {"turn": 5, "text": "前两天拉肚子 拉了三次就没事了 我有点害怕什么急性期", "role": "patient"}, {"turn": 6, "text": "?", "role": "doctor"}, {"turn": 7, "text": "你那是急性肠胃炎", "role": "doctor"}, {"turn": 8, "text": "和艾滋病没关系", "role": "doctor"}, {"turn": 9, "text": "好的 没事就行", "role": "patient"}, {"turn": 10, "text": "自己吓唬自己", "role": "patient"}, {"turn": 11, "text": "艾滋病传染通过血液！母婴！性生活！除了这些一般不考虑！", "role": "doctor"}, {"turn": 12, "text": "?", "role": "doctor"}, {"turn": 13, "text": "好的 就是挤痘痘有少量血液出来 蹦到眼里了 所以就有点害怕", "role": "patient"}, {"turn": 14, "text": "谢谢医生", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 873, "thread": [{"turn": 0, "text": "左上腹部痛是怎么回事，没有规律的痛（女，29）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "你好！有没有其他症状需要补充的？", "role": "doctor"}, {"turn": 3, "text": "有三四天了，还有打嗝，五个月前检查慢性浅表性胃炎", "role": "patient"}, {"turn": 4, "text": "做的胃镜还有什么", "role": "doctor"}, {"turn": 5, "text": "做的胃镜还有什么", "role": "doctor"}, {"turn": 6, "text": "吃药了吗", "role": "doctor"}, {"turn": 7, "text": "胃镜", "role": "patient"}, {"turn": 8, "text": "吃了两颗奥美拉唑，不管用", "role": "patient"}, {"turn": 9, "text": "你hp阳性？", "role": "doctor"}, {"turn": 10, "text": "有没有反酸打嗝胃胀胃疼恶心呕吐的感觉？", "role": "doctor"}, {"turn": 11, "text": "当时检查是阴性", "role": "patient"}, {"turn": 12, "text": "当时检查是阴性", "role": "patient"}, {"turn": 13, "text": "有打嗝胃疼胃胀的感觉", "role": "patient"}, {"turn": 14, "text": "但是主要是左边疼", "role": "patient"}, {"turn": 15, "text": "大便怎么样？有没有黑便？", "role": "doctor"}, {"turn": 16, "text": "腹部彩超做了吗", "role": "doctor"}, {"turn": 17, "text": "没有黑便", "role": "patient"}, {"turn": 18, "text": "目前来看，有可能还是你的胃", "role": "doctor"}, {"turn": 19, "text": "但也不排除腹部其他器官", "role": "doctor"}, {"turn": 20, "text": "其他肝胆胰脾前两个月检查也没事", "role": "patient"}, {"turn": 21, "text": "会不会变成胃癌呀", "role": "patient"}, {"turn": 22, "text": "你不是做了胃镜", "role": "doctor"}, {"turn": 23, "text": "一般不会的", "role": "doctor"}, {"turn": 24, "text": "是做了胃镜的，但是是五个月前做的啊，好害怕", "role": "patient"}, {"turn": 25, "text": "一般不会的", "role": "doctor"}, {"turn": 26, "text": "一年复查一次就行", "role": "doctor"}, {"turn": 27, "text": "哦", "role": "patient"}, {"turn": 28, "text": "你才27", "role": "doctor"}, {"turn": 29, "text": "还小", "role": "doctor"}, {"turn": 30, "text": "平时多注意饮食卫生", "role": "doctor"}, {"turn": 31, "text": "29", "role": "patient"}, {"turn": 32, "text": "?", "role": "patient"}, {"turn": 33, "text": "估计和饮食有关，最近吃的有点辣", "role": "patient"}, {"turn": 34, "text": "胃是靠养的", "role": "doctor"}, {"turn": 35, "text": "一天三餐都要注意", "role": "doctor"}, {"turn": 36, "text": "好的", "role": "patient"}, {"turn": 37, "text": "t?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 874, "thread": [{"turn": 0, "text": "吃完四联去检查还做胃镜吗（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，去复查呼气实验看下杀菌情况就可以", "role": "doctor"}, {"turn": 2, "text": "我是国庆节检查出来的", "role": "patient"}, {"turn": 3, "text": "停药一个月后复查就可以", "role": "doctor"}, {"turn": 4, "text": "中问感冒了，把四联药停了", "role": "patient"}, {"turn": 5, "text": "那你吃了几天", "role": "doctor"}, {"turn": 6, "text": "后来感冒好了，我一直吃到现在", "role": "patient"}, {"turn": 7, "text": "杀菌治疗最多就吃两周", "role": "doctor"}, {"turn": 8, "text": "现在才把药停了，停有六七天了", "role": "patient"}, {"turn": 9, "text": "停药一个月后复查呼气实验看下杀菌情况", "role": "doctor"}, {"turn": 10, "text": "不过这几天还行，吃饭胃也不胀了", "role": "patient"}, {"turn": 11, "text": "嗯", "role": "doctor"}, {"turn": 12, "text": "不过晚上我不赶吃的多", "role": "patient"}, {"turn": 13, "text": "这是胃病引起的", "role": "doctor"}, {"turn": 14, "text": "一碗稀饭", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}, {"turn": 16, "text": "你不是做了胃镜了吗", "role": "doctor"}, {"turn": 17, "text": "是的", "role": "patient"}, {"turn": 18, "text": "那就行了呀", "role": "doctor"}, {"turn": 19, "text": "我每年都去做", "role": "patient"}, {"turn": 20, "text": "嗯，好的", "role": "doctor"}, {"turn": 21, "text": "检查一下，看看胃病", "role": "patient"}, {"turn": 22, "text": "停药一个月后复查呼气实验就可以", "role": "doctor"}, {"turn": 23, "text": "晚上吃的少，夜里饿的慌", "role": "patient"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "少吃多餐就可以", "role": "doctor"}, {"turn": 26, "text": "祝你早日康复^_^", "role": "doctor"}, {"turn": 27, "text": "我的儿子十岁了，他用吃药吗", "role": "patient"}, {"turn": 28, "text": "没有不舒服，不需要吃药", "role": "doctor"}, {"turn": 29, "text": "我怕传染给孩子", "role": "patient"}, {"turn": 30, "text": "那应该先去医院检查清楚比较好", "role": "doctor"}, {"turn": 31, "text": "我把碗筷全部都消过毒", "role": "patient"}, {"turn": 32, "text": "这样最好", "role": "doctor"}, {"turn": 33, "text": "我用我的碗筷", "role": "patient"}, {"turn": 34, "text": "嗯，好的", "role": "doctor"}, {"turn": 35, "text": "谢谢了", "role": "patient"}, {"turn": 36, "text": "不客气^_^", "role": "doctor"}, {"turn": 37, "text": "不过孩子没有不舒服过，不用检查了", "role": "patient"}, {"turn": 38, "text": "现在可以不检查", "role": "doctor"}, {"turn": 39, "text": "行，好的", "role": "patient"}, {"turn": 40, "text": "嗯", "role": "doctor"}, {"turn": 41, "text": "谢谢了", "role": "patient"}, {"turn": 42, "text": "不客气^_^", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 875, "thread": [{"turn": 0, "text": "左眼50度散光右眼135度散光（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的矫正视力是多少？想咨询什么问题？", "role": "doctor"}, {"turn": 2, "text": "不是近视", "role": "patient"}, {"turn": 3, "text": "散光也会影响视力", "role": "doctor"}, {"turn": 4, "text": "裸眼视力都是5.0", "role": "patient"}, {"turn": 5, "text": "恩，那你是想咨询什么呢？", "role": "doctor"}, {"turn": 6, "text": "就是散光 而且左右眼散光度数差别大", "role": "patient"}, {"turn": 7, "text": "不影响视力的话没关系，不用处理", "role": "doctor"}, {"turn": 8, "text": "我这散光严重吗", "role": "patient"}, {"turn": 9, "text": "右眼有点高，不算严重，轴位好的话没关系", "role": "doctor"}, {"turn": 10, "text": "有时候看黑板 ppt会有点重影", "role": "patient"}, {"turn": 11, "text": "现在配了眼镜", "role": "patient"}, {"turn": 12, "text": "戴眼镜不重影了？", "role": "doctor"}, {"turn": 13, "text": "是的", "role": "patient"}, {"turn": 14, "text": "那就可以了，散光度数不严重", "role": "doctor"}, {"turn": 15, "text": "之前得过结膜炎  会不会有影响", "role": "patient"}, {"turn": 16, "text": "和结膜炎没关系，散光是天生的", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 876, "thread": [{"turn": 0, "text": "5周岁儿童咳嗽厉害可以吃甘草片吗？（男，5岁）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "吃成甘草合剂", "role": "doctor"}, {"turn": 3, "text": "咳嗽34天了，有痰", "role": "patient"}, {"turn": 4, "text": "在吃一个易坦静", "role": "doctor"}, {"turn": 5, "text": "现在吃的头孢跟止咳糖浆，还可以吃甘草片吗？", "role": "patient"}, {"turn": 6, "text": "吃成甘草片的水剂，甘草口服液", "role": "doctor"}, {"turn": 7, "text": "家里没有易坦静呀", "role": "patient"}, {"turn": 8, "text": "不能吃甘草片吗？", "role": "patient"}, {"turn": 9, "text": "氨溴索", "role": "doctor"}, {"turn": 10, "text": "不吃", "role": "doctor"}, {"turn": 11, "text": "嗯，晚上咳嗽的特别厉害", "role": "patient"}, {"turn": 12, "text": "你把头孢换成阿奇霉素", "role": "doctor"}, {"turn": 13, "text": "怀疑有支原体感染", "role": "doctor"}, {"turn": 14, "text": "哦，好的", "role": "patient"}, {"turn": 15, "text": "?", "role": "doctor"}, {"turn": 16, "text": "晚饭时吃的头孢，间隔多长时间可以吃阿奇？", "role": "patient"}, {"turn": 17, "text": "现在也可以", "role": "doctor"}, {"turn": 18, "text": "没有副作用吗？", "role": "patient"}, {"turn": 19, "text": "我忘记了他有没有吃过阿奇", "role": "patient"}, {"turn": 20, "text": "吃几天没有", "role": "doctor"}, {"turn": 21, "text": "嗯好的", "role": "patient"}, {"turn": 22, "text": "任何药都有副作用", "role": "doctor"}, {"turn": 23, "text": "一般吃几天，基本没事", "role": "doctor"}, {"turn": 24, "text": "嗯好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 877, "thread": [{"turn": 0, "text": "宝宝肛裂期间可不可以给她把屎（女，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，你说的把屎是指抱着大便吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "这个一般小孩不建议你这样子的。", "role": "doctor"}, {"turn": 4, "text": "这个一般小孩不建议你这样子的。", "role": "doctor"}, {"turn": 5, "text": "肛裂不能把屎是吧", "role": "patient"}, {"turn": 6, "text": "可是她老憋着，", "role": "patient"}, {"turn": 7, "text": "不是，肛裂也可以大便的。说的是不能大人把屎，应该让孩子习惯使用大便器大便，只要能自己坐着就可以。", "role": "doctor"}, {"turn": 8, "text": "她才一岁", "role": "patient"}, {"turn": 9, "text": "可以用点开塞露刺激一下，另外让宝宝多喝水，多吃蔬菜水果，不能大便干燥，越干燥，越疼，越不敢大便，如此恶性循环", "role": "doctor"}, {"turn": 10, "text": "可是她自己老憋着，有也不拉", "role": "patient"}, {"turn": 11, "text": "那就不要把这来，用纸尿裤就行的。", "role": "doctor"}, {"turn": 12, "text": "平时大便干燥吗？", "role": "doctor"}, {"turn": 13, "text": "干", "role": "patient"}, {"turn": 14, "text": "给她吃了清清宝和七星茶", "role": "patient"}, {"turn": 15, "text": "给她吃了清清宝和七星茶", "role": "patient"}, {"turn": 16, "text": "今天还没拉，平时我都是把，", "role": "patient"}, {"turn": 17, "text": "可以口服乳果糖通便的，这个婴儿可以使用的安全药物", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 878, "thread": [{"turn": 0, "text": "拔牙第六天，剧烈疼痛。 上周三在北大口腔拔左下智齿，比较接近神经。拔牙后周四不痛，周五晚上开始有些疼痛，周六间歇性疼痛，周日下午5点剧烈疼痛，然后吃了止痛药。  现在（周一凌晨3点）剧烈疼痛（男，25岁）", "role": "patient"}, {"turn": 1, "text": "嗯，你好，你描述的可能是创口感染或者干槽症", "role": "doctor"}, {"turn": 2, "text": "现在口服消炎药和止痛药，明天口腔科面诊检查", "role": "doctor"}, {"turn": 3, "text": "干槽症是不是口服止痛药是无效的啊？", "role": "patient"}, {"turn": 4, "text": "有效果", "role": "doctor"}, {"turn": 5, "text": "好的 我明天去医院复查一下", "role": "patient"}, {"turn": 6, "text": "感谢医生", "role": "patient"}, {"turn": 7, "text": "不客气不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 879, "thread": [{"turn": 0, "text": "宝宝治疗鼻炎怎么觉得咳嗽多了（女，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，孩子这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有鼻炎就有分泌物，分泌物倒流会引起咳嗽增多的", "role": "doctor"}, {"turn": 3, "text": "现在正在治疗，儿童医院开的药，阿莫西林，滴鼻子的药水，", "role": "patient"}, {"turn": 4, "text": "这两天反而咳嗽比之前多", "role": "patient"}, {"turn": 5, "text": "会有这种情况的", "role": "doctor"}, {"turn": 6, "text": "滴鼻子药水反流咽部会刺激性咳嗽", "role": "doctor"}, {"turn": 7, "text": "这种情况会持续多久  大夫", "role": "patient"}, {"turn": 8, "text": "直到鼻炎好转", "role": "doctor"}, {"turn": 9, "text": "像药水的话，一般滴多久 几周", "role": "patient"}, {"turn": 10, "text": "要看孩子的鼻炎的轻重", "role": "doctor"}, {"turn": 11, "text": "鼻窦炎", "role": "patient"}, {"turn": 12, "text": "孩子是", "role": "patient"}, {"turn": 13, "text": "消炎药一般吃多久", "role": "patient"}, {"turn": 14, "text": "一般吃1-2周，3-4周一疗程", "role": "doctor"}, {"turn": 15, "text": "鼻炎是不是无法根治", "role": "patient"}, {"turn": 16, "text": "容易感冒后反复", "role": "doctor"}, {"turn": 17, "text": "不过小孩子好的快", "role": "doctor"}, {"turn": 18, "text": "好的，大夫，那像鱼虾的，是不是不能吃", "role": "patient"}, {"turn": 19, "text": "儿童医院还开了氯雷他定口服液", "role": "patient"}, {"turn": 20, "text": "辛辣鱼虾不能吃", "role": "doctor"}, {"turn": 21, "text": "好的大夫", "role": "patient"}, {"turn": 22, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 880, "thread": [{"turn": 0, "text": "你好，我想问一下我的月经不调情况（女，1天）", "role": "patient"}, {"turn": 1, "text": "你好，月经怎么不调？", "role": "doctor"}, {"turn": 2, "text": "是这样的", "role": "patient"}, {"turn": 3, "text": "7月份左右月经都还好都是月底来的只是比较少", "role": "patient"}, {"turn": 4, "text": "后面的8月份月底来，也是少，后面9月跟10月都没有来", "role": "patient"}, {"turn": 5, "text": "也不知道什么情况", "role": "patient"}, {"turn": 6, "text": "有性生活吗？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "建议做个B超看看", "role": "doctor"}, {"turn": 9, "text": "排除多囊卵巢", "role": "doctor"}, {"turn": 10, "text": "再化验一下性激素", "role": "doctor"}, {"turn": 11, "text": "我做彩超了", "role": "patient"}, {"turn": 12, "text": "意思说我彩超子宫内膜0.5", "role": "patient"}, {"turn": 13, "text": "来不到", "role": "patient"}, {"turn": 14, "text": "发一下B超单", "role": "doctor"}, {"turn": 15, "text": "在家里", "role": "patient"}, {"turn": 16, "text": "不在我上班这里", "role": "patient"}, {"turn": 17, "text": "我做的彩超", "role": "patient"}, {"turn": 18, "text": "上面是0.5的子宫内膜", "role": "patient"}, {"turn": 19, "text": "然后医生说我子宫小", "role": "patient"}, {"turn": 20, "text": "我之前吃过黄体酮一次后面来了，但是来了三个月以后，感觉特别少，然后就没有来，到现在了", "role": "patient"}, {"turn": 21, "text": "彩超那个医生说我有没有做过B 超，然后我说做过，是以前做的，但是也没有发现什么异常，然后医生的，你这个子宫一点小哎，但是你这个没什么问题，差不多正常的，问我有其他的问题没有，然后我说，没有我就是月经不调，然后就这样了", "role": "patient"}, {"turn": 22, "text": "然后我那单子下去找那个妇科医生，她说，我这个子宫一点小，子宫内膜0.5又就爱你要我抽血做那个雌性激素，然后我做，结果出来了，然后医生说我这个上面有多囊的表现，但是彩超上面没有显示，于是开这个药给我吃，我也不知道该吃还是不吃，有点担心，以后会不会控制我的月经，不会来，要吃药才会来", "role": "patient"}, {"turn": 23, "text": "医生给你开的什么药", "role": "doctor"}, {"turn": 24, "text": "妇科再造胶囊", "role": "patient"}, {"turn": 25, "text": "还有就是黄体酮", "role": "patient"}, {"turn": 26, "text": "那就吃上五天停掉看看能来不", "role": "doctor"}, {"turn": 27, "text": "嗯呢", "role": "patient"}, {"turn": 28, "text": "好", "role": "patient"}, {"turn": 29, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 881, "thread": [{"turn": 0, "text": "慢性直肠炎会引起肛门和下身坠痛吗？（女，35岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "会的", "role": "doctor"}, {"turn": 3, "text": "很久了", "role": "patient"}, {"turn": 4, "text": "会引起的", "role": "doctor"}, {"turn": 5, "text": "怎么治", "role": "patient"}, {"turn": 6, "text": "不用特殊处理", "role": "doctor"}, {"turn": 7, "text": "用温盐水", "role": "doctor"}, {"turn": 8, "text": "多洗洗屁股", "role": "doctor"}, {"turn": 9, "text": "自己灌灌肠", "role": "doctor"}, {"turn": 10, "text": "肿痛呢", "role": "patient"}, {"turn": 11, "text": "会的", "role": "doctor"}, {"turn": 12, "text": "我就吃东西一吃多点，就会上厕所", "role": "patient"}, {"turn": 13, "text": "会的", "role": "doctor"}, {"turn": 14, "text": "药物没什么特殊的", "role": "doctor"}, {"turn": 15, "text": "可以用点肛栓", "role": "doctor"}, {"turn": 16, "text": "饮食清淡点", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 882, "thread": [{"turn": 0, "text": "大拇指关节疼半个月了是类风湿还是通风（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "有没有什么检查结果", "role": "doctor"}, {"turn": 3, "text": "有/ASO正常0-200我的是330", "role": "patient"}, {"turn": 4, "text": "别的检查数据都正常", "role": "patient"}, {"turn": 5, "text": "之前疼了三四天/检查就这个高点/完了不疼了……也没吃药", "role": "patient"}, {"turn": 6, "text": "最近又疼了就一个左大拇指疼好几天了……我是孕妇现在", "role": "patient"}, {"turn": 7, "text": "抗0高提示链球菌感染，", "role": "doctor"}, {"turn": 8, "text": "因为你怀孕，所以暂时无法用药", "role": "doctor"}, {"turn": 9, "text": "关节疼痛大多数都是风湿病，但是风湿免疫疾病有一百多种，你的这种情况具体是哪一种不好说的，建议你去风湿免疫科空腹抽血查查抗核抗体谱，抗核抗体，抗环瓜氨酸抗体，抗角蛋白抗体，类风湿因子，安卡全项，甲状腺功能，HLA-B27，骶髂关节磁共振等等筛查一下风湿免疫疾病，确诊之后再制定治疗方案", "role": "doctor"}, {"turn": 10, "text": "类风湿因子正常/抗环瓜酸抗体/抗觉蛋白抗体/甲状腺/c反应蛋白这些都检查过/都正常啊", "role": "patient"}, {"turn": 11, "text": "只有aso高点/我就一个手指关节疼///这个是属于类风湿还是通风", "role": "patient"}, {"turn": 12, "text": "不属于类风湿关节炎，也不属于痛风", "role": "doctor"}, {"turn": 13, "text": "可能是腱鞘炎", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 883, "thread": [{"turn": 0, "text": "小孩子经常便秘怎么办（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，便秘多长时间了？用过什么药没？", "role": "doctor"}, {"turn": 2, "text": "我家宝宝从出生基本上就不是每天一次拉大便，好几天才拉一次，月龄大一点了就拉的前面特别硬，后面变成稀的了解现在六个月了一直拉的是硬的，特别费劲，每天也喂蔬菜和水", "role": "patient"}, {"turn": 3, "text": "用过药没", "role": "doctor"}, {"turn": 4, "text": "没有，只吃过益生菌调理，吃点就好一点，但也不经常拉", "role": "patient"}, {"turn": 5, "text": "做过一次b超，说没啥事", "role": "patient"}, {"turn": 6, "text": "还有其他症状吗", "role": "doctor"}, {"turn": 7, "text": "没有，只是总是拉屎费劲，太硬", "role": "patient"}, {"turn": 8, "text": "可以间断的补充益生菌", "role": "doctor"}, {"turn": 9, "text": "也可以用四磨汤看看", "role": "doctor"}, {"turn": 10, "text": "什么叫四磨tang", "role": "patient"}, {"turn": 11, "text": "我家宝宝这个没事吧？我怕她身体出问题", "role": "patient"}, {"turn": 12, "text": "怎么样间断补充益生菌呢？", "role": "patient"}, {"turn": 13, "text": "四磨汤是个中成药", "role": "doctor"}, {"turn": 14, "text": "我家宝宝这个没事吧？我怕她身体出问题", "role": "patient"}, {"turn": 15, "text": "怎么样间断补充益生菌呢？", "role": "patient"}, {"turn": 16, "text": "宝宝这种情况可能和他的体质有关，", "role": "doctor"}, {"turn": 17, "text": "我就爱经常便秘，跟我有关系吗？", "role": "patient"}, {"turn": 18, "text": "每次拉屎都好费劲，出一头的汗，好心疼又不知道怎么办好？", "role": "patient"}, {"turn": 19, "text": "益生菌一个月里吃个十天半个月", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 884, "thread": [{"turn": 0, "text": "乳腺炎硬块很疼打三天消炎（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有发烧和乳房红肿吗？", "role": "doctor"}, {"turn": 2, "text": "有的", "role": "patient"}, {"turn": 3, "text": "体温多少度？乳腺彩超做了没？血常规呢？", "role": "doctor"}, {"turn": 4, "text": "哺乳期，体温37.5", "role": "patient"}, {"turn": 5, "text": "彩超和血常规没做", "role": "patient"}, {"turn": 6, "text": "掉了消炎的水", "role": "patient"}, {"turn": 7, "text": "红肿的疼痛范围大吗？", "role": "doctor"}, {"turn": 8, "text": "有个硬块，有点痛", "role": "patient"}, {"turn": 9, "text": "不大", "role": "patient"}, {"turn": 10, "text": "您听我说，目前低热，可以先热敷，及时排空乳汁，口服消炎药或静滴消炎药，明天医院做个乳腺彩超和血常规！", "role": "doctor"}, {"turn": 11, "text": "不要忽视，别形成乳腺脓肿！", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "消炎之后还会痛吗，硬块要怎么消", "role": "patient"}, {"turn": 14, "text": "检查后看看有没有脓肿，没有的话，继续消炎，然后热敷理疗", "role": "doctor"}, {"turn": 15, "text": "炎症得到有效控制，疼痛可减轻。", "role": "doctor"}, {"turn": 16, "text": "好的谢谢医生", "role": "patient"}, {"turn": 17, "text": "客气了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 885, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：手足口（女，2岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么的症状吗？", "role": "doctor"}, {"turn": 2, "text": "口腔内全是泡，大腿根和屁股后面都有少量的泡，舌头和喉咙上面也有疱疹", "role": "patient"}, {"turn": 3, "text": "有没有发热", "role": "doctor"}, {"turn": 4, "text": "今天已经是第五天了，昨天开始嘴巴有口气很臭的那种，然后声音沙哑，我想问一下口臭和声音沙哑也是这个病引起的吗？", "role": "patient"}, {"turn": 5, "text": "是的，", "role": "doctor"}, {"turn": 6, "text": "不发热了，第三天开始就没有发热了", "role": "patient"}, {"turn": 7, "text": "这个要不要去医院看看呢？会不会影响声带", "role": "patient"}, {"turn": 8, "text": "这种情况可以注意清淡饮食，雾化干扰素看看", "role": "doctor"}, {"turn": 9, "text": "做雾化吗？我家里还有药，但是我不知道他这情况我应该怎么兑药比例", "role": "patient"}, {"turn": 10, "text": "干扰素一次一支，加3ml氯化钠溶液，一天二次雾化", "role": "doctor"}, {"turn": 11, "text": "哦，那平时除了饮食方面，其他的地方我需要注意些什么？这个病周期大概多久是正常的？在哪种情况下要及时就医", "role": "patient"}, {"turn": 12, "text": "注意清淡饮食，多吃蔬菜水果，避免油腻食物以及刺激性食物。一般持续一周到二周", "role": "doctor"}, {"turn": 13, "text": "如果孩子进食不好，精神状态不好就需要医院就诊", "role": "doctor"}, {"turn": 14, "text": "但是现在不管吃什么都是难以吞咽，大量的粘稠口水流出来，稍微有点味道的就会哭。吃白粥也吃不下去，我感觉还是蛮严重的，我也没有给他喂药，就每天吃维生素B2", "role": "patient"}, {"turn": 15, "text": "这种需要医院输液治疗的", "role": "doctor"}, {"turn": 16, "text": "喝奶粉能喝800一天", "role": "patient"}, {"turn": 17, "text": "宝宝现在多大", "role": "doctor"}, {"turn": 18, "text": "去医院有的医生说是疱疹性咽峡炎，也有的说是手足口，搞得我都不知道去哪里看了，我们去的都是三甲医院", "role": "patient"}, {"turn": 19, "text": "2周岁", "role": "patient"}, {"turn": 20, "text": "应该是手足口病的", "role": "doctor"}, {"turn": 21, "text": "这个手足口病是肠道感染引起的吗？", "role": "patient"}, {"turn": 22, "text": "肠道病毒或者柯萨奇病毒都可以引起的", "role": "doctor"}, {"turn": 23, "text": "是不是通便正常了就会好的快些呢？现在两天或者三天一次大便，而且还是墨绿色的", "role": "patient"}, {"turn": 24, "text": "可以口服益生菌调整胃肠功能看看", "role": "doctor"}, {"turn": 25, "text": "打消炎针有用吗？之前打了两天，医生建议我们继续打，这几天就没去，我听说这个可以自愈", "role": "patient"}, {"turn": 26, "text": "没有用，是病毒感染，干扰素有一定作用，主要还是自行恢复的", "role": "doctor"}, {"turn": 27, "text": "好的，谢谢！", "role": "patient"}, {"turn": 28, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 886, "thread": [{"turn": 0, "text": "非甾体抗炎药对筋膜炎有治疗作用吗（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？做过什么检查治疗", "role": "doctor"}, {"turn": 2, "text": "腰椎   胸椎    片子  都做了，最后确诊腰背肌筋膜炎，8个月", "role": "patient"}, {"turn": 3, "text": "这种药物可以治疗筋膜炎", "role": "doctor"}, {"turn": 4, "text": "前4个月按腰突治疗的，时间浪费了，我休息了4个月现在开始治疗", "role": "patient"}, {"turn": 5, "text": "我怕是单一的止痛药", "role": "patient"}, {"turn": 6, "text": "还有消炎作用的", "role": "doctor"}, {"turn": 7, "text": "你能为我推荐一款效果比较好的药吗", "role": "patient"}, {"turn": 8, "text": "塞来昔布可以", "role": "doctor"}, {"turn": 9, "text": "谢谢", "role": "patient"}, {"turn": 10, "text": "不客气，祝早日康复，关闭问题后记得右上角好评满意哟，另外一个可以点击头像关柱我，有问题再联系我", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 887, "thread": [{"turn": 0, "text": "肋软骨炎胸部ct可以查出来嘛（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "胸骨疼肋骨疼", "role": "patient"}, {"turn": 3, "text": "按压加重", "role": "patient"}, {"turn": 4, "text": "剑突两侧肋弓疼痛", "role": "patient"}, {"turn": 5, "text": "抽痛钝痛", "role": "patient"}, {"turn": 6, "text": "这样的症状考虑是肋软骨炎，检查胸部CT是为了排除其他异常，如果检查结果正常就可以确认是肋软骨炎了", "role": "doctor"}, {"turn": 7, "text": "好难受，要怎么治疗", "role": "patient"}, {"turn": 8, "text": "不需要特殊治疗，可以热敷或者理疗有助于加快恢复，疼痛明显可以口服止痛药。日常注意多锻炼身体，增强自身抵抗力；不要经常熬夜，避免过于劳累；搬重物时不要用力过猛伤及胸肋软骨，注意劳逸结合。", "role": "doctor"}, {"turn": 9, "text": "会不会引起上腹部抽痛钝痛", "role": "patient"}, {"turn": 10, "text": "不会", "role": "doctor"}, {"turn": 11, "text": "上腹部疼痛，抽痛，钝痛比较常见的原因是胃肠痉挛或者肠管积气", "role": "doctor"}, {"turn": 12, "text": "胸部ct可以检查胸椎嘛", "role": "patient"}, {"turn": 13, "text": "要检查胸椎最好是核磁共振", "role": "doctor"}, {"turn": 14, "text": "胸椎小关节紊乱", "role": "patient"}, {"turn": 15, "text": "胸椎的小关节紊乱显示出的症状是胸背部疼痛不是胸前区域和胸两侧。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 888, "thread": [{"turn": 0, "text": "哺乳期消化不良可以吃健胃消食片吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以少吃点，影响不大", "role": "doctor"}, {"turn": 2, "text": "消化不良都有些什么症状", "role": "patient"}, {"turn": 3, "text": "多久能好啊", "role": "patient"}, {"turn": 4, "text": "多久能好，因人而异，没有固定", "role": "doctor"}, {"turn": 5, "text": "可以出现腹痛腹胀呕吐打嗝等很多症状", "role": "doctor"}, {"turn": 6, "text": "除了健胃消食片有没有效果明显的药啊", "role": "patient"}, {"turn": 7, "text": "有，但是大部分胃药哺乳期间都不能吃", "role": "doctor"}, {"turn": 8, "text": "你有什么症状，具体说清楚", "role": "doctor"}, {"turn": 9, "text": "大便正常吗", "role": "doctor"}, {"turn": 10, "text": "打嗝想吐但是没吐 肚子有点涨 一阵好一点一阵厉害一点", "role": "patient"}, {"turn": 11, "text": "上午拉了两回", "role": "patient"}, {"turn": 12, "text": "干的还是稀的", "role": "doctor"}, {"turn": 13, "text": "多久了", "role": "doctor"}, {"turn": 14, "text": "做过什么检查吗", "role": "doctor"}, {"turn": 15, "text": "不是干的也不很稀", "role": "patient"}, {"turn": 16, "text": "今天上午", "role": "patient"}, {"turn": 17, "text": "你的情况考虑是有胃肠炎或胃肠功能紊乱等引起可能性大，建议清淡饮食，注意保暖，不要吃辛辣油腻和生冷食物，多喝点热水，不要抽烟喝酒，饭后适当活动，可以吃曲美布汀，双歧杆菌三联活菌片和雷贝拉唑一起改善症状，不行的话需要去医院化验大便和血常规检查等具体看下比较好，吃药期间需要暂停哺乳避免影响宝宝", "role": "doctor"}, {"turn": 18, "text": "看了说消化不良给了点药 吃了好像还没什么效果", "role": "patient"}, {"turn": 19, "text": "吃完再看看吧", "role": "patient"}, {"turn": 20, "text": "那你继续吃药治疗改善症状观察下吧", "role": "doctor"}, {"turn": 21, "text": "祝你早日康复^_^", "role": "doctor"}, {"turn": 22, "text": "我这些症状吃健胃消食片有效果吗", "role": "patient"}, {"turn": 23, "text": "可以吃观察下", "role": "doctor"}, {"turn": 24, "text": "具体效果因人而异", "role": "doctor"}, {"turn": 25, "text": "刚在看病人来不及回复，不好意思", "role": "doctor"}, {"turn": 26, "text": "没事", "role": "patient"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "谢谢理解", "role": "doctor"}, {"turn": 29, "text": "第一次出现消化不良是吃多了还是有别的原因引起的", "role": "patient"}, {"turn": 30, "text": "受凉，不洁饮食，熬夜劳累，幽门螺杆菌感染等很多因素都可以引起，具体需要检查清楚才能知道", "role": "doctor"}, {"turn": 31, "text": "需要做什么检查能确诊是什么原因引起的", "role": "patient"}, {"turn": 32, "text": "胃镜等检查比较好", "role": "doctor"}, {"turn": 33, "text": "你现在怀孕期间不能做", "role": "doctor"}, {"turn": 34, "text": "刚在抢救病人，来不及回复，不好意思，请见谅", "role": "doctor"}, {"turn": 35, "text": "你可以先吃药治疗改善症状观察下，另外把血常规和大便常规等检查下比较好", "role": "doctor"}, {"turn": 36, "text": "好的", "role": "patient"}, {"turn": 37, "text": "祝你早日康复^_^", "role": "doctor"}, {"turn": 38, "text": "谢谢理解^_^", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 889, "thread": [{"turn": 0, "text": "我31岁经常神经性头痛（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "头的哪个部位痛？", "role": "doctor"}, {"turn": 3, "text": "头痛，沉重，眼睛胀", "role": "patient"}, {"turn": 4, "text": "前后左右还是头顶痛呢。", "role": "doctor"}, {"turn": 5, "text": "前额", "role": "patient"}, {"turn": 6, "text": "多久了。", "role": "doctor"}, {"turn": 7, "text": "左右", "role": "patient"}, {"turn": 8, "text": "每次发作持续多久？多久发作一次？", "role": "doctor"}, {"turn": 9, "text": "两年多了", "role": "patient"}, {"turn": 10, "text": "两年多", "role": "patient"}, {"turn": 11, "text": "招风，遇冷，失眠发作", "role": "patient"}, {"turn": 12, "text": "不定期", "role": "patient"}, {"turn": 13, "text": "以前看过医生说神经性头痛", "role": "patient"}, {"turn": 14, "text": "伊大夫好", "role": "patient"}, {"turn": 15, "text": "你好", "role": "doctor"}, {"turn": 16, "text": "用什么药了吗", "role": "doctor"}, {"turn": 17, "text": "每次发作两小时", "role": "patient"}, {"turn": 18, "text": "嗯嗯，那你这个情况得多注意了，别着凉受风，作息规律，别熬夜", "role": "doctor"}, {"turn": 19, "text": "脑宁", "role": "patient"}, {"turn": 20, "text": "影响正常生活吗？", "role": "doctor"}, {"turn": 21, "text": "影响，我是老师", "role": "patient"}, {"turn": 22, "text": "用药后有效果吗？", "role": "doctor"}, {"turn": 23, "text": "不明显", "role": "patient"}, {"turn": 24, "text": "嗯嗯，那影响正常教学", "role": "doctor"}, {"turn": 25, "text": "嗯", "role": "patient"}, {"turn": 26, "text": "你好，紧张性头痛是血管神经性头痛", "role": "doctor"}, {"turn": 27, "text": "你看像神经性头痛吗", "role": "patient"}, {"turn": 28, "text": "吃什么药好", "role": "patient"}, {"turn": 29, "text": "建议吃点盐酸氟桂利嗪胶囊加养血清脑颗粒试试", "role": "doctor"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "再见", "role": "patient"}, {"turn": 32, "text": "盐酸氟桂利嗪胶囊睡前一到两片，养血清脑颗粒，一包，每日三次", "role": "doctor"}, {"turn": 33, "text": "还可以考虑做做头部的针灸理疗按摩", "role": "doctor"}, {"turn": 34, "text": "也可以减轻症状的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 890, "thread": [{"turn": 0, "text": "小叶增生有什么要注意的吗？（女，34岁）", "role": "patient"}, {"turn": 1, "text": "您好\n如果您查过乳腺彩超\n确定是乳腺小叶增生\n没有结节", "role": "doctor"}, {"turn": 2, "text": "轻度增生不需要特殊处理\n疼痛比较严重  可以口服药物干预\n夏枯草  逍遥丸  乳必消等中成药\n吃一种就可以\n月经期间不吃\n可能加重流血", "role": "doctor"}, {"turn": 3, "text": "还有少劳累  少熬夜  少生气\n少吃刺激辛辣食物", "role": "doctor"}, {"turn": 4, "text": "然后定期复查\n半年左右就可以", "role": "doctor"}, {"turn": 5, "text": "前段时间做过一次木马，检查结果是小叶增生，吃了两天药不疼了，最近这几天不经意的碰到会很疼，用手摸又不疼了，这是什么原因造成的，我想咨询一下，有什么需要注意的", "role": "patient"}, {"turn": 6, "text": "钼靶和彩超是结合在一起看的\n不是谁比谁看的好", "role": "doctor"}, {"turn": 7, "text": "建议您有时间复查彩超\n钼靶有辐射\n不能做的太频繁", "role": "doctor"}, {"turn": 8, "text": "这个会造成严重后果吗", "role": "patient"}, {"turn": 9, "text": "乳腺增生本身就是周期性的\n和月经有一定关系\n不能完全治愈", "role": "doctor"}, {"turn": 10, "text": "如果疼痛缓解可以不用吃药\n但可能会反复\n是正常的\n平时少熬夜  少生气", "role": "doctor"}, {"turn": 11, "text": "乳腺增生一般不会恶变的\n不用太紧张", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 891, "thread": [{"turn": 0, "text": "腿粗，而且有慢性咽喉炎（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，咽部主要有什么症状?", "role": "doctor"}, {"turn": 2, "text": "就是平时看电视或者一些什么喉咙就不停的发出恩的那种声音", "role": "patient"}, {"turn": 3, "text": "有咽痒咽干?多久了？", "role": "doctor"}, {"turn": 4, "text": "四五年", "role": "patient"}, {"turn": 5, "text": "你能把你的症状描述一下吗？", "role": "doctor"}, {"turn": 6, "text": "症状？", "role": "patient"}, {"turn": 7, "text": "是的", "role": "doctor"}, {"turn": 8, "text": "反正有时候喉咙特别不舒服，但是那种声音我自己都受不了，就感觉里面有东西一样", "role": "patient"}, {"turn": 9, "text": "是咽部异物感?声哑吗？", "role": "doctor"}, {"turn": 10, "text": "不哑", "role": "patient"}, {"turn": 11, "text": "反正就是很不舒服", "role": "patient"}, {"turn": 12, "text": "你胃好吗？有胃酸，气反流吗？", "role": "doctor"}, {"turn": 13, "text": "有胃炎", "role": "patient"}, {"turn": 14, "text": "可能是反流性咽炎。建议奥美拉唑和吗叮林口服看看。", "role": "doctor"}, {"turn": 15, "text": "以前去医院检查过，也吃了药，但感觉效果不是很好", "role": "patient"}, {"turn": 16, "text": "吃了什么药?", "role": "doctor"}, {"turn": 17, "text": "名字记不清了", "role": "patient"}, {"turn": 18, "text": "你先用我上面建议的药看看是否有效。", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 892, "thread": [{"turn": 0, "text": "子宫肌瘤的形成和治疗（女，31岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？", "role": "doctor"}, {"turn": 2, "text": "您好，子宫肌瘤是属于常见的妇科疾病，这是属于一种良性肿瘤，在早期一般无明 显症状，若是未及时治疗处理，可出现阴道出血，腹部疼痛，继发性贫血，白带增 多，不孕等症状，引起的因素可能与长期收雌激素刺激有关，需要及时治疗，其治疗的方法可以通过相关的药物治疗，在理疗方面，可以通过超声波等治疗，若是病情严重可能需要手术治疗。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 893, "thread": [{"turn": 0, "text": "肝囊肿术后八天了拉不出来大便怎么办？（女，51岁）", "role": "patient"}, {"turn": 1, "text": "您好 可以喝点乳果糖，四磨汤", "role": "doctor"}, {"turn": 2, "text": "都是帮助排气，排便的常用要药", "role": "doctor"}, {"turn": 3, "text": "问，肝囊肿术后肝创伤口耍多长时间恢复？", "role": "patient"}, {"turn": 4, "text": "术后吃些什么食物会好点，不能吃什么食物？", "role": "patient"}, {"turn": 5, "text": "术后有什么后遗症？", "role": "patient"}, {"turn": 6, "text": "您好，不好意思久等了", "role": "doctor"}, {"turn": 7, "text": "肝脏囊肿手术术后，3－5天创面可愈合。", "role": "doctor"}, {"turn": 8, "text": "目前都是微创手术", "role": "doctor"}, {"turn": 9, "text": "平时注意饮食 尽量低脂饮食，少吃多餐，保持好心态，不吃难消化的生冷，硬的食物，多吃新鲜蔬菜水果呢😊", "role": "doctor"}, {"turn": 10, "text": "微创手术治疗肝囊肿是比较安全的治疗方法，没有明显的后遗症。比较安全的手术治疗", "role": "doctor"}, {"turn": 11, "text": "谢谢医生", "role": "patient"}, {"turn": 12, "text": "👍👍👍😁😁😁", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 894, "thread": [{"turn": 0, "text": "和小姐亲嘴得了咽炎怎么办（男，41岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况需要口服消炎药，头孢氨苄片即可", "role": "doctor"}, {"turn": 2, "text": "和小姐亲嘴会得咽炎吗，那小姐要吹箫的", "role": "patient"}, {"turn": 3, "text": "有可能感染淋球菌", "role": "doctor"}, {"turn": 4, "text": "医生该吃什么药好呀，半年了，吃红霉素，阿奇多没好", "role": "patient"}, {"turn": 5, "text": "这种久了", "role": "doctor"}, {"turn": 6, "text": "咽部有什么特殊症状呢", "role": "doctor"}, {"turn": 7, "text": "半年了，发红，有泡，好像增生，", "role": "patient"}, {"turn": 8, "text": "哦哦", "role": "doctor"}, {"turn": 9, "text": "疼痛吗？", "role": "doctor"}, {"turn": 10, "text": "难过，有咽物感", "role": "patient"}, {"turn": 11, "text": "嗯", "role": "doctor"}, {"turn": 12, "text": "好像有点痛疼，不舒服感觉", "role": "patient"}, {"turn": 13, "text": "检查过喉镜吗", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}, {"turn": 16, "text": "有空检查一下喉镜", "role": "doctor"}, {"turn": 17, "text": "食管好像有白点", "role": "patient"}, {"turn": 18, "text": "哦哦", "role": "doctor"}, {"turn": 19, "text": "医生，没办法，该吃什么药好。", "role": "patient"}, {"turn": 20, "text": "自己是个搬运工，又没老婆，亲嘴，出这个事", "role": "patient"}, {"turn": 21, "text": "当时只是接吻了对吧", "role": "doctor"}, {"turn": 22, "text": "没有别的是吧", "role": "doctor"}, {"turn": 23, "text": "对", "role": "patient"}, {"turn": 24, "text": "那不怕的", "role": "doctor"}, {"turn": 25, "text": "放心", "role": "doctor"}, {"turn": 26, "text": "不会有任何事的", "role": "doctor"}, {"turn": 27, "text": "而且您之前吃的药即使有细菌也杀死了", "role": "doctor"}, {"turn": 28, "text": "医生该吃什么药好", "role": "patient"}, {"turn": 29, "text": "之前消炎药吃了多久", "role": "doctor"}, {"turn": 30, "text": "好红喉咙", "role": "patient"}, {"turn": 31, "text": "嗯嗯", "role": "doctor"}, {"turn": 32, "text": "一个多星期", "role": "patient"}, {"turn": 33, "text": "吃过头孢吗", "role": "doctor"}, {"turn": 34, "text": "吃过一回", "role": "patient"}, {"turn": 35, "text": "就一次啊", "role": "doctor"}, {"turn": 36, "text": "对", "role": "patient"}, {"turn": 37, "text": "一个星期", "role": "patient"}, {"turn": 38, "text": "可以的", "role": "doctor"}, {"turn": 39, "text": "消炎药对症的", "role": "doctor"}, {"turn": 40, "text": "不用再吃了", "role": "doctor"}, {"turn": 41, "text": "到现在也不舒服", "role": "patient"}, {"turn": 42, "text": "医生该怎么办", "role": "patient"}, {"turn": 43, "text": "心理作用很大的", "role": "doctor"}, {"turn": 44, "text": "是喉咙难过，真的，又发红", "role": "patient"}, {"turn": 45, "text": "雾化吸入过吗？", "role": "doctor"}, {"turn": 46, "text": "没有", "role": "patient"}, {"turn": 47, "text": "建议做一周", "role": "doctor"}, {"turn": 48, "text": "好", "role": "patient"}, {"turn": 49, "text": "嗯嗯", "role": "doctor"}, {"turn": 50, "text": "谢谢医生", "role": "patient"}, {"turn": 51, "text": "不客气的😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 895, "thread": [{"turn": 0, "text": "孩子肺炎住院一星期,刚出院又发烧（女，4岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝体温多少？", "role": "doctor"}, {"turn": 2, "text": "现在是37.6从八点多到现在去医院看了看化验了血，结果是细菌感染", "role": "patient"}, {"turn": 3, "text": "中间有一会退烧了", "role": "patient"}, {"turn": 4, "text": "嗯，那又是重新感染了", "role": "doctor"}, {"turn": 5, "text": "烧的体温不是特别高，可以吃药先观察", "role": "doctor"}, {"turn": 6, "text": "是，像她这种情况是不是还需要继续住院治疗", "role": "patient"}, {"turn": 7, "text": "这种情况一般吃药多长时间能降下体温呢？", "role": "patient"}, {"turn": 8, "text": "如果精神状态好可以先吃药观察两天", "role": "doctor"}, {"turn": 9, "text": "吃药有效需要两天左右体温才会正常", "role": "doctor"}, {"turn": 10, "text": "精神状态一直不错，这种情况吃什么药效果会好点呢？", "role": "patient"}, {"turn": 11, "text": "细菌感染需要吃消炎药", "role": "doctor"}, {"turn": 12, "text": "我感觉她住院一直是输的液，现在靠吃药是不是作用不会太大呢？", "role": "patient"}, {"turn": 13, "text": "消炎的头孢一直没停", "role": "patient"}, {"turn": 14, "text": "今天刚出院第三天", "role": "patient"}, {"turn": 15, "text": "这个不一定的，重新感染时一般和之前的感染不一样，吃药不一定没有效果", "role": "doctor"}, {"turn": 16, "text": "一直吃着头孢克洛来着，这又感染了，要不要换别的抗生素", "role": "patient"}, {"turn": 17, "text": "需要换一换的", "role": "doctor"}, {"turn": 18, "text": "换什么样的", "role": "patient"}, {"turn": 19, "text": "建议换阿奇霉素试一试", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}, {"turn": 22, "text": "还有就是她住院输阿奇输了五天，不会有啥影响吧", "role": "patient"}, {"turn": 23, "text": "间隔三天以上就行了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 896, "thread": [{"turn": 0, "text": "结肠息肉摘除后三天都不大便是咋回事（女，54岁）", "role": "patient"}, {"turn": 1, "text": "有没有腹痛，放屁有没有？", "role": "doctor"}, {"turn": 2, "text": "有放屁的，有点腹痛是偶尔", "role": "patient"}, {"turn": 3, "text": "没有问题，目前无大便是肠镜前限制饮食、肠道准备以及肠镜后进食流食所致。没关系，随着正常饮食恢复大便会正常的。", "role": "doctor"}, {"turn": 4, "text": "可以喝果汁蔬菜汁吗", "role": "patient"}, {"turn": 5, "text": "可以喝，注意饮食卫生就行了。", "role": "doctor"}, {"turn": 6, "text": "可以告诉我喝什么果汁及蔬菜汁有利于肠道蠕动及排便", "role": "patient"}, {"turn": 7, "text": "要利于肠道蠕动及排便就不要喝果汁直接吃水果（苹果、梨、要多吃蔬菜）。", "role": "doctor"}, {"turn": 8, "text": "芹菜、薯类、绿色蔬菜都可以。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 897, "thread": [{"turn": 0, "text": "吃丙戊酸钠引起的耳鸣怎么治疗（男，47岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问吃这个药后多久出现的呢", "role": "doctor"}, {"turn": 2, "text": "两三月出现得，现在有一年了", "role": "patient"}, {"turn": 3, "text": "哦", "role": "doctor"}, {"turn": 4, "text": "这么久了", "role": "doctor"}, {"turn": 5, "text": "治疗过吗", "role": "doctor"}, {"turn": 6, "text": "吃很多药，有时有一点效果，但没有好", "role": "patient"}, {"turn": 7, "text": "哦哦", "role": "doctor"}, {"turn": 8, "text": "这么久了，的确不好治疗了", "role": "doctor"}, {"turn": 9, "text": "耳鸣声音很大吗", "role": "doctor"}, {"turn": 10, "text": "是的，前几天晚上有好些，这几天又厉害了", "role": "patient"}, {"turn": 11, "text": "哦", "role": "doctor"}, {"turn": 12, "text": "平时熬夜吗", "role": "doctor"}, {"turn": 13, "text": "没有，我都是按时睡觉", "role": "patient"}, {"turn": 14, "text": "哦", "role": "doctor"}, {"turn": 15, "text": "那就好", "role": "doctor"}, {"turn": 16, "text": "吃过金纳多片吗", "role": "doctor"}, {"turn": 17, "text": "我在网上查询，说丙戊酸钠能引起耳鸣，不知其他的药能不能引起耳鸣。", "role": "patient"}, {"turn": 18, "text": "好多药都会引起的耳鸣", "role": "doctor"}, {"turn": 19, "text": "不过停药以后耳鸣会逐渐消失", "role": "doctor"}, {"turn": 20, "text": "吃过三盒，感觉是有效，又买了两盒，正在吃", "role": "patient"}, {"turn": 21, "text": "哦哦", "role": "doctor"}, {"turn": 22, "text": "再吃一阵看看", "role": "doctor"}, {"turn": 23, "text": "每天坚持体育锻炼", "role": "doctor"}, {"turn": 24, "text": "抗精神病药不敢停，癫痫药还可以停", "role": "patient"}, {"turn": 25, "text": "嗯", "role": "doctor"}, {"turn": 26, "text": "我打算把丙戊酸钠停了，但不知其他的药会不会引起耳鸣。", "role": "patient"}, {"turn": 27, "text": "明天到医院去问一下", "role": "patient"}, {"turn": 28, "text": "其它的药不会的", "role": "doctor"}, {"turn": 29, "text": "不要担心", "role": "doctor"}, {"turn": 30, "text": "真的吗，那就好。谢谢", "role": "patient"}, {"turn": 31, "text": "真的，放心", "role": "doctor"}, {"turn": 32, "text": "祝您生活愉快", "role": "doctor"}, {"turn": 33, "text": "谢谢", "role": "patient"}, {"turn": 34, "text": "客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 898, "thread": [{"turn": 0, "text": "腰椎間盤突出怎麼治療？吃什麼💊好（女，42岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多久了？现在什么症状？", "role": "doctor"}, {"turn": 2, "text": "快一個月了現在就是小腿疼", "role": "patient"}, {"turn": 3, "text": "小腿内侧？外侧？后侧？有没有大腿腰痛？", "role": "doctor"}, {"turn": 4, "text": "腰疼的厲害", "role": "patient"}, {"turn": 5, "text": "这一个月以来做了什么检查治疗没有", "role": "doctor"}, {"turn": 6, "text": "后側", "role": "patient"}, {"turn": 7, "text": "做了什么检查治疗没有呢", "role": "doctor"}, {"turn": 8, "text": "沒有做治療就到診所裡買的💊吃", "role": "patient"}, {"turn": 9, "text": "这个建议最好是去医院检查看下，可能是腰椎间盘突出压迫神经引起的，需要看下压迫程度重不重", "role": "doctor"}, {"turn": 10, "text": "打了止痛針", "role": "patient"}, {"turn": 11, "text": "疼痛明显可以买点膏药，比如乌梢蛇活骨贴黑膏，这个可以的。", "role": "doctor"}, {"turn": 12, "text": "不能光靠止痛针来维持", "role": "doctor"}, {"turn": 13, "text": "還有沒有什麼好的藥嗎", "role": "patient"}, {"turn": 14, "text": "建议最好是这段时间卧床休息，不要久坐久站劳累，或是弯腰做事太久，坐超过一个小时就起来活动放松下肌肉，可以吃点非甾体类消炎镇痛药物，比如乐松或是西乐葆。也可以贴点膏药，比如消痛贴，如果两周还改善不明显，最好是去医院做个核磁共振看下，明确下诊断。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 899, "thread": [{"turn": 0, "text": "从昨天开始，大便后擦屁股后，纸上有血是内痔吗", "role": "patient"}, {"turn": 1, "text": "是否伴有便时肛门疼痛？", "role": "doctor"}, {"turn": 2, "text": "肛门不疼", "role": "patient"}, {"turn": 3, "text": "血是鲜红色还是暗红色？", "role": "doctor"}, {"turn": 4, "text": "就跟草莓的颜色一样", "role": "patient"}, {"turn": 5, "text": "内痔的可能性很大，", "role": "doctor"}, {"turn": 6, "text": "建议口服迈之灵片，用太宁栓（复方角菜酸酯栓）纳肛，每天2次。用5天。", "role": "doctor"}, {"turn": 7, "text": "如果仍不能止血，建议去医院检查。", "role": "doctor"}, {"turn": 8, "text": "痔疮膏管用吗", "role": "patient"}, {"turn": 9, "text": "不管用。痔疮膏是治外痔的", "role": "doctor"}, {"turn": 10, "text": "哦，跟长时间没排大便有关系吗", "role": "patient"}, {"turn": 11, "text": "有可能有相关性，但没有直接关系。", "role": "doctor"}, {"turn": 12, "text": "荣昌肛泰可以用吗", "role": "patient"}, {"turn": 13, "text": "用我推荐的药更好些", "role": "doctor"}, {"turn": 14, "text": "两种药是吧", "role": "patient"}, {"turn": 15, "text": "对，一种吃的，一种栓", "role": "doctor"}, {"turn": 16, "text": "那这是怎么造成的呢，我之前没有这个毛病", "role": "patient"}, {"turn": 17, "text": "人类直立行走很容易得痔疮。久蹲久坐排便时间长都会导致", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 900, "thread": [{"turn": 0, "text": "被猫咬伤人正在打疫苗又咬伤别人怎么办（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "家养的猫？", "role": "doctor"}, {"turn": 3, "text": "家养的这个事已过去几个月了", "role": "patient"}, {"turn": 4, "text": "当时我被猫咬了，刚好打了第一针疫苗以后和别人打架咬了别人一口", "role": "patient"}, {"turn": 5, "text": "如果再次咬伤是家养的，咬伤也不严重，按照原来时间接种完成就可以", "role": "doctor"}, {"turn": 6, "text": "是我咬别的人一口", "role": "patient"}, {"turn": 7, "text": "狂犬病不会在人与人之间感染", "role": "doctor"}, {"turn": 8, "text": "意思是没什么问题", "role": "patient"}, {"turn": 9, "text": "对！", "role": "doctor"}, {"turn": 10, "text": "谢谢了", "role": "patient"}, {"turn": 11, "text": "不客气的！", "role": "doctor"}, {"turn": 12, "text": "注意规律休息！", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 901, "thread": [{"turn": 0, "text": "调理宝宝脾胃虚弱，便秘（女，1岁4个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝多长时间大便一次？", "role": "doctor"}, {"turn": 2, "text": "3-4天4-5天", "role": "patient"}, {"turn": 3, "text": "就几次1天一次", "role": "patient"}, {"turn": 4, "text": "你好，可以看下舌头了解情况吗？宝宝母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 5, "text": "母乳", "role": "patient"}, {"turn": 6, "text": "刚开始宝宝舌苔有点黄色", "role": "patient"}, {"turn": 7, "text": "有点厚", "role": "patient"}, {"turn": 8, "text": "有没有照片给我看一下。", "role": "doctor"}, {"turn": 9, "text": "没有哎", "role": "patient"}, {"turn": 10, "text": "目前用药考虑给你提供的是如果糖。加小儿七星茶。加小儿养脾颗粒。", "role": "doctor"}, {"turn": 11, "text": "这三种药物可以。", "role": "doctor"}, {"turn": 12, "text": "宝宝便秘严重的时候嘴巴里酸酸的味道，大便💩也是酸臭味", "role": "patient"}, {"turn": 13, "text": "宝宝排便困难的时候我给她用了开塞露", "role": "patient"}, {"turn": 14, "text": "是的，这种情况的话，一般都是因为便秘所造成的。", "role": "doctor"}, {"turn": 15, "text": "益生菌我们也在吃，这都反复两次便秘了，用药了她就好点，不用又开始便秘，这种我们要不要多补点矿物质和维生素", "role": "patient"}, {"turn": 16, "text": "目前来说用我跟你说的这几种药物配合效果好。", "role": "doctor"}, {"turn": 17, "text": "这几种药，在哪里都容易买的到吧", "role": "patient"}, {"turn": 18, "text": "是的，带药店的都是能买到的。", "role": "doctor"}, {"turn": 19, "text": "每天大概吃几次这个药物", "role": "patient"}, {"turn": 20, "text": "按业务说明书就可以买来，不明白了之后再问我。", "role": "doctor"}, {"turn": 21, "text": "像我们这种情况，母乳喂养需要多注意点什么吗？", "role": "patient"}, {"turn": 22, "text": "母乳喂养的话，平时你的饮食要注意吃一些清淡的，油腻的，不要吃辛辣的，刺激性的不要吃。", "role": "doctor"}, {"turn": 23, "text": "嗯嗯", "role": "patient"}, {"turn": 24, "text": "好的，明天去药店买来，不懂的再来找你", "role": "patient"}, {"turn": 25, "text": "好的👌", "role": "doctor"}, {"turn": 26, "text": "像这种宝妈要不要多补点维生素1-2-3-6呢？", "role": "patient"}, {"turn": 27, "text": "这个作用不是很大呀。", "role": "doctor"}, {"turn": 28, "text": "哦哦，好吧，主要还是宝宝自身", "role": "patient"}, {"turn": 29, "text": "是的，妈妈吃东西宝宝吸收量非常少。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 902, "thread": [{"turn": 0, "text": "能打预防针吗宝宝消化不良（男，2个月）你好", "role": "patient"}, {"turn": 1, "text": "您好，宝宝大便一天几次？", "role": "doctor"}, {"turn": 2, "text": "一天一两次就就是有时候排气大一点", "role": "patient"}, {"turn": 3, "text": "肚子咕咕叫", "role": "patient"}, {"turn": 4, "text": "一般不影响打疫苗的", "role": "doctor"}, {"turn": 5, "text": "大便就像黄色大便就像黄色的粥", "role": "patient"}, {"turn": 6, "text": "也不算很稀", "role": "patient"}, {"turn": 7, "text": "是消化不好，最好吃点促进消化的药", "role": "doctor"}, {"turn": 8, "text": "给他贴肚脐", "role": "patient"}, {"turn": 9, "text": "吃点妈咪爱调理下肠道", "role": "doctor"}, {"turn": 10, "text": "吃妈咪爱", "role": "patient"}, {"turn": 11, "text": "今天打预防针可以", "role": "patient"}, {"turn": 12, "text": "宝宝消化好了，再打疫苗", "role": "doctor"}, {"turn": 13, "text": "打预防针说没事", "role": "patient"}, {"turn": 14, "text": "是的，没事", "role": "doctor"}, {"turn": 15, "text": "我不放心", "role": "patient"}, {"turn": 16, "text": "一般不影响的", "role": "doctor"}, {"turn": 17, "text": "停两三天再去", "role": "patient"}, {"turn": 18, "text": "可以吗快到年了快可以吗快到年了快放假了", "role": "patient"}, {"turn": 19, "text": "这您看下您那边防疫站过年有没有人值班", "role": "doctor"}, {"turn": 20, "text": "今天打也没事", "role": "doctor"}, {"turn": 21, "text": "如果停两三天去还可以吗有影响吗", "role": "patient"}, {"turn": 22, "text": "过年放假太长了", "role": "patient"}, {"turn": 23, "text": "没有影响", "role": "doctor"}, {"turn": 24, "text": "妈咪爱效果怎么样", "role": "patient"}, {"turn": 25, "text": "效果挺好的，比较常用", "role": "doctor"}, {"turn": 26, "text": "宝宝什么时间吃一次奶", "role": "patient"}, {"turn": 27, "text": "根据宝宝的需求，建议按需喂养", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 903, "thread": [{"turn": 0, "text": "4个月宝宝消化不良腹泻吃什么好的快（女，4个月）", "role": "patient"}, {"turn": 1, "text": "你好。腹泻多久了？一天大便有几次？", "role": "doctor"}, {"turn": 2, "text": "4天了，一天6次", "role": "patient"}, {"turn": 3, "text": "宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 4, "text": "大便怎么样的", "role": "doctor"}, {"turn": 5, "text": "有颗粒，有水", "role": "patient"}, {"turn": 6, "text": "母乳，还有泡沫", "role": "patient"}, {"turn": 7, "text": "有查过大便常规吗", "role": "doctor"}, {"turn": 8, "text": "差了，没什么就是消化不良", "role": "patient"}, {"turn": 9, "text": "那一般关系不大的，可以益生菌比如布拉氏酵母菌配合蒙脱石散吃点调理肠胃看看", "role": "doctor"}, {"turn": 10, "text": "吃了思密达和妈咪爱2天了还不好", "role": "patient"}, {"turn": 11, "text": "最好母乳少吃，吃腹泻奶粉会好一些的", "role": "doctor"}, {"turn": 12, "text": "嗯，她吃过母乳就拉", "role": "patient"}, {"turn": 13, "text": "嗯嗯", "role": "doctor"}, {"turn": 14, "text": "要几天能好呢，体重一直下降", "role": "patient"}, {"turn": 15, "text": "可以喝焦米汤吗", "role": "patient"}, {"turn": 16, "text": "一般腹泻可能需要1个星期左右的时间的，米汤可以喝的", "role": "doctor"}, {"turn": 17, "text": "嗯嗯好的", "role": "patient"}, {"turn": 18, "text": "嗯嗯😊", "role": "doctor"}, {"turn": 19, "text": "我用米粉做的焦米汤可以吃吗", "role": "patient"}, {"turn": 20, "text": "也可以的", "role": "doctor"}, {"turn": 21, "text": "嗯嗯，谢谢医生", "role": "patient"}, {"turn": 22, "text": "不客气的哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 904, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：龋齿（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答问题", "role": "doctor"}, {"turn": 2, "text": "您好，请问您的牙齿现在疼吗？", "role": "doctor"}, {"turn": 3, "text": "疼", "role": "patient"}, {"turn": 4, "text": "不严重", "role": "patient"}, {"turn": 5, "text": "平时自己疼还是吃冷热东西疼？", "role": "doctor"}, {"turn": 6, "text": "昨天夜里开始疼的", "role": "patient"}, {"turn": 7, "text": "这颗牙补过", "role": "patient"}, {"turn": 8, "text": "但是侧面又有一个洞，黑的", "role": "patient"}, {"turn": 9, "text": "平时没疼", "role": "patient"}, {"turn": 10, "text": "夜里疼醒了？", "role": "doctor"}, {"turn": 11, "text": "怎么办", "role": "patient"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "早上起来头疼，应该是它引起的", "role": "patient"}, {"turn": 14, "text": "现在你发现侧面还有个洞是吗", "role": "doctor"}, {"turn": 15, "text": "是", "role": "patient"}, {"turn": 16, "text": "请问补过多久了", "role": "doctor"}, {"turn": 17, "text": "我一直不知道", "role": "patient"}, {"turn": 18, "text": "一年多了", "role": "patient"}, {"turn": 19, "text": "是再补吗", "role": "patient"}, {"turn": 20, "text": "吗建议您，去拍个牙片看看，如果离神经近的话，出现自发性疼痛症状，就怀疑神经是否感染，可能需要治疗神经", "role": "doctor"}, {"turn": 21, "text": "那建议您", "role": "doctor"}, {"turn": 22, "text": "是补牙吗", "role": "patient"}, {"turn": 23, "text": "治疗神经什么意思", "role": "patient"}, {"turn": 24, "text": "不是，是抽神经", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 905, "thread": [{"turn": 0, "text": "医生您好，我想咨询“3周宝宝便秘怎么办”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，请问您这种情况有多长时间", "role": "doctor"}, {"turn": 2, "text": "孩子经常喝水，吃蔬菜水果吗", "role": "doctor"}, {"turn": 3, "text": "有好长时间", "role": "patient"}, {"turn": 4, "text": "吃水果蔬菜", "role": "patient"}, {"turn": 5, "text": "喜欢吃香蕉，火龙果胡萝卜", "role": "patient"}, {"turn": 6, "text": "多久大便一次", "role": "doctor"}, {"turn": 7, "text": "2天", "role": "patient"}, {"turn": 8, "text": "怎么回事", "role": "patient"}, {"turn": 9, "text": "木人了吗", "role": "patient"}, {"turn": 10, "text": "？？？", "role": "patient"}, {"turn": 11, "text": "最近饮食习惯和之前有区别吗", "role": "doctor"}, {"turn": 12, "text": "如果觉得便秘也没啥事，就是让宝宝多喝水，多吃蔬菜水果，平时可以喝点蜂蜜水，润肠又泄火", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "有时会吃点乳果糖", "role": "patient"}, {"turn": 15, "text": "可以经常吃吗", "role": "patient"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "不会产生依赖吗", "role": "patient"}, {"turn": 18, "text": "为什么经常吃呢", "role": "doctor"}, {"turn": 19, "text": "有时候隔2天不拉会喂一次", "role": "patient"}, {"turn": 20, "text": "也不经常吃", "role": "patient"}, {"turn": 21, "text": "不喂就不拉吗", "role": "doctor"}, {"turn": 22, "text": "有些宝宝有自己的生物钟，不是每天必须大便", "role": "doctor"}, {"turn": 23, "text": "怕隔的时间了更难拉", "role": "patient"}, {"turn": 24, "text": "多喝水不会的", "role": "doctor"}, {"turn": 25, "text": "他就没有便便的意思", "role": "patient"}, {"turn": 26, "text": "意思不吃这个就不会拉", "role": "doctor"}, {"turn": 27, "text": "也不是", "role": "patient"}, {"turn": 28, "text": "过一段时间就会", "role": "patient"}, {"turn": 29, "text": "过一段时间就会便秘", "role": "patient"}, {"turn": 30, "text": "吃药后会好一段时间", "role": "patient"}, {"turn": 31, "text": "这种情况还是去医院检查一下吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 906, "thread": [{"turn": 0, "text": "十个月宝宝便秘怎么办（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "你好宝宝现在是一天一次但是每天就拉一点或是一节和羊屎蛋一样的特别干硬", "role": "patient"}, {"turn": 3, "text": "你好！宝宝是母乳还是奶粉喂养？还是辅食", "role": "doctor"}, {"turn": 4, "text": "宝宝每天脾气也大感觉很暴躁一样不知道和这个我没有关系", "role": "patient"}, {"turn": 5, "text": "现在是辅食加奶粉喂养", "role": "patient"}, {"turn": 6, "text": "平时青菜，水果吃得多吗", "role": "doctor"}, {"turn": 7, "text": "宝宝从出生一直都吃的奶粉都没便秘过，，就是从加过辅食之后才开始的", "role": "patient"}, {"turn": 8, "text": "水果每天都在吃青菜也在吃", "role": "patient"}, {"turn": 9, "text": "大便每天都解，不能称为便秘，只能说大便干燥", "role": "doctor"}, {"turn": 10, "text": "但是每次只有一点", "role": "patient"}, {"turn": 11, "text": "这种情况要怎么才能缓解呀", "role": "patient"}, {"turn": 12, "text": "孩子拉不出来哭的不行", "role": "patient"}, {"turn": 13, "text": "我给检了中药吃了几天也不管用感觉还越来越严重了", "role": "patient"}, {"turn": 14, "text": "宝宝这种情况，要排除牛奶过敏", "role": "doctor"}, {"turn": 15, "text": "怎么排除法呀，，需要做什么检查", "role": "patient"}, {"turn": 16, "text": "先把牛奶停几天，或喂水解蛋白奶粉观察", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 907, "thread": [{"turn": 0, "text": "一岁半宝宝经常容易便秘是肠胃不好吗（女，5个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝大便是什么情况？", "role": "doctor"}, {"turn": 2, "text": "大便困难？干燥？", "role": "doctor"}, {"turn": 3, "text": "两天才拉一次", "role": "patient"}, {"turn": 4, "text": "硬", "role": "patient"}, {"turn": 5, "text": "宝宝大便困难吗？", "role": "doctor"}, {"turn": 6, "text": "今天就拉的一节手指长，硬硬的", "role": "patient"}, {"turn": 7, "text": "拉的也不多", "role": "patient"}, {"turn": 8, "text": "你好，宝宝大便困难与宝宝的饮食结构有关系", "role": "doctor"}, {"turn": 9, "text": "平时多吃些含有纤维素多的食物", "role": "doctor"}, {"turn": 10, "text": "不是很困难", "role": "patient"}, {"turn": 11, "text": "如红薯、地瓜、西兰花、西梅等等", "role": "doctor"}, {"turn": 12, "text": "他不怎么喝水", "role": "patient"}, {"turn": 13, "text": "多喝温水", "role": "doctor"}, {"turn": 14, "text": "我都是冲凉茶给他才喝", "role": "patient"}, {"turn": 15, "text": "要帮助宝宝养成喝白开水的习惯", "role": "doctor"}, {"turn": 16, "text": "可以在宝宝每次吃饭的时候，旁边放一杯温水", "role": "doctor"}, {"turn": 17, "text": "不肯喝", "role": "patient"}, {"turn": 18, "text": "宝宝吃饭中途，给宝宝喂水", "role": "doctor"}, {"turn": 19, "text": "他家是有时候吃饭才会找水喝", "role": "patient"}, {"turn": 20, "text": "现在吃的也不多", "role": "patient"}, {"turn": 21, "text": "你好，可以给宝宝喝些益生菌，调节肠道菌群，改善消化不良", "role": "doctor"}, {"turn": 22, "text": "但建议还是从饮食结构上改善", "role": "doctor"}, {"turn": 23, "text": "什么益生菌好", "role": "patient"}, {"turn": 24, "text": "吃的多吃什么好", "role": "patient"}, {"turn": 25, "text": "可以服用妈咪爱", "role": "doctor"}, {"turn": 26, "text": "西梅是零食的一种是吗", "role": "patient"}, {"turn": 27, "text": "是加工过的是吗", "role": "patient"}, {"turn": 28, "text": "乳果糖是益生菌吗", "role": "patient"}, {"turn": 29, "text": "有宝宝吃的西梅泥", "role": "doctor"}, {"turn": 30, "text": "是药店有买还是商场有买", "role": "patient"}, {"turn": 31, "text": "商场有", "role": "doctor"}, {"turn": 32, "text": "网上也有", "role": "doctor"}, {"turn": 33, "text": "乳果糖不是益生菌", "role": "doctor"}, {"turn": 34, "text": "能用吗", "role": "patient"}, {"turn": 35, "text": "可以", "role": "doctor"}, {"turn": 36, "text": "但是最好不要用乳果糖", "role": "doctor"}, {"turn": 37, "text": "还是从饮食上改善", "role": "doctor"}, {"turn": 38, "text": "次者可以用益生菌", "role": "doctor"}, {"turn": 39, "text": "吃西梅泥效果好吗", "role": "patient"}, {"turn": 40, "text": "嗯", "role": "doctor"}, {"turn": 41, "text": "可以", "role": "doctor"}, {"turn": 42, "text": "妈咪爱不是拉肚子才用吗", "role": "patient"}, {"turn": 43, "text": "我以前都是拉肚子才给用", "role": "patient"}, {"turn": 44, "text": "妈咪爱是调节肠道菌群的", "role": "doctor"}, {"turn": 45, "text": "腹泻、便秘、消化不良、食欲不振等都可以用", "role": "doctor"}, {"turn": 46, "text": "吃多久有效果", "role": "patient"}, {"turn": 47, "text": "我宝一岁半多了吃西梅泥有用吗", "role": "patient"}, {"turn": 48, "text": "只要吃含有纤维素多的食物，会有效果的", "role": "doctor"}, {"turn": 49, "text": "好的", "role": "patient"}, {"turn": 50, "text": "谢谢", "role": "patient"}, {"turn": 51, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 908, "thread": [{"turn": 0, "text": "宝宝反复发烧没流鼻涕没咳嗽（女，0岁）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "孩子多大？", "role": "doctor"}, {"turn": 3, "text": "九个月了", "role": "patient"}, {"turn": 4, "text": "二天了", "role": "patient"}, {"turn": 5, "text": "还有其他不适吗？", "role": "doctor"}, {"turn": 6, "text": "今天验血和超敏都正常", "role": "patient"}, {"turn": 7, "text": "就晚上会烧", "role": "patient"}, {"turn": 8, "text": "嘴巴有起湿疹", "role": "patient"}, {"turn": 9, "text": "有可能有一点出幼儿急疹呀", "role": "doctor"}, {"turn": 10, "text": "精神不怎么好，老是哭闹", "role": "patient"}, {"turn": 11, "text": "一般这样会烧几天呢", "role": "patient"}, {"turn": 12, "text": "可以喂一点小儿柴桂退热口服液", "role": "doctor"}, {"turn": 13, "text": "三整天", "role": "doctor"}, {"turn": 14, "text": "要注意什么", "role": "patient"}, {"turn": 15, "text": "避免着风，饮食清淡半流食", "role": "doctor"}, {"turn": 16, "text": "精神不好正常吗", "role": "patient"}, {"turn": 17, "text": "也是正常的", "role": "doctor"}, {"turn": 18, "text": "几天后出疹子呢", "role": "patient"}, {"turn": 19, "text": "三整天", "role": "doctor"}, {"turn": 20, "text": "请问要吃退烧药吗", "role": "patient"}, {"turn": 21, "text": "体温超过38.5就喂一点布洛芬混悬液", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 909, "thread": [{"turn": 0, "text": "吃奶粉便秘，能换什么品牌奶粉？3岁半女孩（男，3）", "role": "patient"}, {"turn": 1, "text": "孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "前天没拉，昨天2次干黑羊坨坨屎，今天一次干黑羊坨屎，一次好点的", "role": "patient"}, {"turn": 3, "text": "三岁半现在应该奶粉吃一次就可以", "role": "doctor"}, {"turn": 4, "text": "以吃饭为主", "role": "doctor"}, {"turn": 5, "text": "你们吃的怎么样啊", "role": "doctor"}, {"turn": 6, "text": "中午晚上可以。那一天喝多少奶？", "role": "patient"}, {"turn": 7, "text": "150左右就可以", "role": "doctor"}, {"turn": 8, "text": "一天150ml奶就可以了?", "role": "patient"}, {"turn": 9, "text": "是的", "role": "doctor"}, {"turn": 10, "text": "主要吃饭", "role": "doctor"}, {"turn": 11, "text": "蔬菜水果都得吃", "role": "doctor"}, {"turn": 12, "text": "肉吃多少？", "role": "patient"}, {"turn": 13, "text": "肉蛋一天吃多少合适", "role": "patient"}, {"turn": 14, "text": "鸡蛋最多两个", "role": "doctor"}, {"turn": 15, "text": "肉的话也不能太多", "role": "doctor"}, {"turn": 16, "text": "他这么大孩子知道饥饱了", "role": "doctor"}, {"turn": 17, "text": "肉有参考量吗", "role": "patient"}, {"turn": 18, "text": "奶粉里有dha那些是不是深海鱼坚果才补的到", "role": "patient"}, {"turn": 19, "text": "肉少吃点，一天吃一顿", "role": "doctor"}, {"turn": 20, "text": "DHA没必要补", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 910, "thread": [{"turn": 0, "text": "喉咙很痛咳嗽严重发烧38.2是喉咙发炎吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好。请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "发烧是今天", "role": "patient"}, {"turn": 3, "text": "咳嗽有痰吗？什么颜色？", "role": "doctor"}, {"turn": 4, "text": "喉咙痛咳嗽严重昨晚到今天", "role": "patient"}, {"turn": 5, "text": "没有痰", "role": "patient"}, {"turn": 6, "text": "应该是咽炎或呼吸道感染", "role": "doctor"}, {"turn": 7, "text": "有什么消炎药和退烧药可以吃吗？", "role": "patient"}, {"turn": 8, "text": "以前有没有什么药过敏？", "role": "doctor"}, {"turn": 9, "text": "阿奇霉素片，连花清瘟胶囊", "role": "doctor"}, {"turn": 10, "text": "没有啊", "role": "patient"}, {"turn": 11, "text": "扑感敏现在药店都没卖吗？", "role": "patient"}, {"turn": 12, "text": "超过38.5就加吃布洛芬退热", "role": "doctor"}, {"turn": 13, "text": "有", "role": "doctor"}, {"turn": 14, "text": "这两个可以一起吃吗", "role": "patient"}, {"turn": 15, "text": "阿奇和莲花可一起吃吗", "role": "patient"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "这两个都是退烧药吧？", "role": "patient"}, {"turn": 18, "text": "都不是退烧药吧", "role": "patient"}, {"turn": 19, "text": "不是退热药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 911, "thread": [{"turn": 0, "text": "最近耳朵出现耳鸣现象（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "两天", "role": "patient"}, {"turn": 3, "text": "刚开始是昨天晚上两只耳朵一起响，今天是右耳朵响了一天，现在也是还在响", "role": "patient"}, {"turn": 4, "text": "听力有问题吗", "role": "doctor"}, {"turn": 5, "text": "有没有感觉耳朵堵", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "没有感觉赌", "role": "patient"}, {"turn": 8, "text": "就是单纯耳鸣", "role": "doctor"}, {"turn": 9, "text": "我昨天晚上在想考证 然后后面就响了", "role": "patient"}, {"turn": 10, "text": "熬夜多不多", "role": "doctor"}, {"turn": 11, "text": "不多呀", "role": "patient"}, {"turn": 12, "text": "就耳鸣", "role": "patient"}, {"turn": 13, "text": "我基本都在十二点前睡觉", "role": "patient"}, {"turn": 14, "text": "然后我很荣易上火", "role": "patient"}, {"turn": 15, "text": "容", "role": "patient"}, {"turn": 16, "text": "我建议你最好能查一下听力", "role": "doctor"}, {"turn": 17, "text": "听力是会有及数什么的吗", "role": "patient"}, {"turn": 18, "text": "我可以听见的呀", "role": "patient"}, {"turn": 19, "text": "我知道", "role": "doctor"}, {"turn": 20, "text": "我比较想知道耳鸣大概会有什么引起的", "role": "patient"}, {"turn": 21, "text": "有些程度不重的 突发性耳聋", "role": "doctor"}, {"turn": 22, "text": "主要感觉就是耳鸣", "role": "doctor"}, {"turn": 23, "text": "然后大概要怎么做去解决", "role": "patient"}, {"turn": 24, "text": "啊", "role": "patient"}, {"turn": 25, "text": "你最好能查一下听力", "role": "doctor"}, {"turn": 26, "text": "然后根据病情来用药", "role": "doctor"}, {"turn": 27, "text": "好的，", "role": "patient"}, {"turn": 28, "text": "明天去查个听力", "role": "doctor"}, {"turn": 29, "text": "对了，我想知道感冒会影响吗，喉咙痛和鼻塞", "role": "patient"}, {"turn": 30, "text": "有可能", "role": "doctor"}, {"turn": 31, "text": "但是会堵", "role": "doctor"}, {"turn": 32, "text": "堵了就会耳闷 积液", "role": "doctor"}, {"turn": 33, "text": "好的吧，明天去检查 感觉精神很崩溃", "role": "patient"}, {"turn": 34, "text": "没事 不用太担心", "role": "doctor"}, {"turn": 35, "text": "及时突发性耳聋 也有办法治疗", "role": "doctor"}, {"turn": 36, "text": "好的，但是还是想知道一起耳鸣的一些原因和预防", "role": "patient"}, {"turn": 37, "text": "避免使用闭式耳塞，平时加强运动锻炼，培养一些兴趣爱好，转移注意力。", "role": "doctor"}, {"turn": 38, "text": "这也是我经常对耳鸣患者的的建议", "role": "doctor"}, {"turn": 39, "text": "好的😄", "role": "patient"}, {"turn": 40, "text": "祝安好🍀🍀🍀", "role": "doctor"}, {"turn": 41, "text": "今天没有检查听力，但是去了医务室 鼻塞引起的耳鸣  然后喉咙发炎", "role": "patient"}, {"turn": 42, "text": "鼻塞一般不会引起耳鸣", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 912, "thread": [{"turn": 0, "text": "散光时间长了会不会增长（女，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，散光度数基本是比较稳定不变的，如果变化增大很多得需要排查角膜病变可能性", "role": "doctor"}, {"turn": 2, "text": "是不是需要定期复查", "role": "patient"}, {"turn": 3, "text": "是的，基本半年复查一次就可以", "role": "doctor"}, {"turn": 4, "text": "散光两百多度，算不算严重", "role": "patient"}, {"turn": 5, "text": "200多算挺高度数了，有增长吗", "role": "doctor"}, {"turn": 6, "text": "我这次检查的没有怎么增长", "role": "patient"}, {"turn": 7, "text": "需不需要治疗", "role": "patient"}, {"turn": 8, "text": "这没什么治疗的", "role": "doctor"}, {"turn": 9, "text": "就是戴眼镜矫正", "role": "doctor"}, {"turn": 10, "text": "好吧，是不是必须要戴眼镜", "role": "patient"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "不带眼镜会不会严重", "role": "patient"}, {"turn": 13, "text": "不带眼镜长期会引起近视度数增高的", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生了", "role": "patient"}, {"turn": 15, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 913, "thread": [{"turn": 0, "text": "经常偏头痛怎么办？除了吃止疼药。（女，31岁）一头痛就恶心想吐", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "大半个月，时不时隔一两天就右边偏头痛", "role": "patient"}, {"turn": 3, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 4, "text": "多久了？原还有何病？", "role": "doctor"}, {"turn": 5, "text": "以前也会，但没那么经常犯，现在就是经常头疼", "role": "patient"}, {"turn": 6, "text": "做过何检查？睡眠质量不好？", "role": "doctor"}, {"turn": 7, "text": "没做检查，睡的不怎么样，一般", "role": "patient"}, {"turn": 8, "text": "压力大吗？睡眠环境有变化吗？", "role": "doctor"}, {"turn": 9, "text": "有时候睡了跟没睡一样", "role": "patient"}, {"turn": 10, "text": "几点休息", "role": "doctor"}, {"turn": 11, "text": "带小孩", "role": "patient"}, {"turn": 12, "text": "11点前，又上班，晚上带小孩", "role": "patient"}, {"turn": 13, "text": "多梦吗", "role": "doctor"}, {"turn": 14, "text": "多梦", "role": "patient"}, {"turn": 15, "text": "频繁起夜吗", "role": "doctor"}, {"turn": 16, "text": "嘴巴苦", "role": "patient"}, {"turn": 17, "text": "脾虚", "role": "doctor"}, {"turn": 18, "text": "要夜起，泡奶，也频繁醒", "role": "patient"}, {"turn": 19, "text": "频繁起夜会出现头痛", "role": "doctor"}, {"turn": 20, "text": "有什么药可以治疗吗？除了止疼的", "role": "patient"}, {"turn": 21, "text": "没办法", "role": "doctor"}, {"turn": 22, "text": "止疼的吃了好多了", "role": "patient"}, {"turn": 23, "text": "除非注意休息", "role": "doctor"}, {"turn": 24, "text": "那痛止能吃止痛药吗。", "role": "patient"}, {"turn": 25, "text": "可以", "role": "doctor"}, {"turn": 26, "text": "很早睡，还要怎么注意休息", "role": "patient"}, {"turn": 27, "text": "别起夜", "role": "doctor"}, {"turn": 28, "text": "我是频繁醒", "role": "patient"}, {"turn": 29, "text": "起夜就一次", "role": "patient"}, {"turn": 30, "text": "神经衰弱引起的", "role": "doctor"}, {"turn": 31, "text": "那要怎么办", "role": "patient"}, {"turn": 32, "text": "可以服用谷维素", "role": "doctor"}, {"turn": 33, "text": "药店能买？", "role": "patient"}, {"turn": 34, "text": "可以", "role": "doctor"}, {"turn": 35, "text": "神经衰弱也会引起偏头痛？", "role": "patient"}, {"turn": 36, "text": "会出现多梦", "role": "doctor"}, {"turn": 37, "text": "易醒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 914, "thread": [{"turn": 0, "text": "婴儿精神状态好白细胞高可以打疫苗吗（男，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，白细高不能打疫苗的！", "role": "doctor"}, {"turn": 2, "text": "但是精神状态好，也没有感冒发烧", "role": "patient"}, {"turn": 3, "text": "最好是不要打，有一部分宝宝打完疫苗会有发烧，腹泻的症状，裙子最好往后延一下", "role": "doctor"}, {"turn": 4, "text": "孩子3个月大，一个星期前给他吃了头孢。吃了一片多一点。", "role": "patient"}, {"turn": 5, "text": "得去医院化验血呗？如果化验结果，还是高，高的不多呢？可以打吗", "role": "patient"}, {"turn": 6, "text": "不好意思刚才有门诊病号，没能及时回复您", "role": "doctor"}, {"turn": 7, "text": "原则上白细胞高不能打疫苗的", "role": "doctor"}, {"turn": 8, "text": "如果不高，没有症状，可以多给宝宝喝点水，不用吃抗生素的", "role": "doctor"}, {"turn": 9, "text": "白细胞高不吃抗生素能降下来吗？", "role": "patient"}, {"turn": 10, "text": "如果不是特别厉害，宝宝也有抵抗力的", "role": "doctor"}, {"turn": 11, "text": "白细胞23，还是挺高的", "role": "patient"}, {"turn": 12, "text": "对的，23是很高，", "role": "doctor"}, {"turn": 13, "text": "你给宝宝查了几次，有没有查错？这个数值的话应该是个高烧，这个数值，我们在临床碰到肯定要输液", "role": "doctor"}, {"turn": 14, "text": "查了一次。。量体温是正常的。", "role": "patient"}, {"turn": 15, "text": "明天去医院再查一下吧", "role": "patient"}, {"turn": 16, "text": "你换个地方，再给宝宝检查一个吧！按这个数值，肯定有症状", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢。", "role": "patient"}, {"turn": 18, "text": "就是有时候他会咳嗽两下。。看上去像是被痰呛到了", "role": "patient"}, {"turn": 19, "text": "如果是单纯咳嗽两声的话，白细胞计数不会这这么高", "role": "doctor"}, {"turn": 20, "text": "咳嗽一天有几次一次能有几声", "role": "doctor"}, {"turn": 21, "text": "咳嗽2，3次。有时候一声，最多两声。。。", "role": "patient"}, {"turn": 22, "text": "不好意思刚才开车在下班路上", "role": "doctor"}, {"turn": 23, "text": "那问题应该不大，多喝点水，如果去医院可以顺便做一下听诊", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢大夫", "role": "patient"}, {"turn": 25, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 915, "thread": [{"turn": 0, "text": "前列腺液检查卵磷脂两个加白细胞15-20红细胞未见精子未见（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好！你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "尿频 尿急  半小时就想尿尿", "role": "patient"}, {"turn": 3, "text": "这种情况有多久了？", "role": "doctor"}, {"turn": 4, "text": "看了好多医生  反反复复三四年了", "role": "patient"}, {"turn": 5, "text": "你这个就是前列腺炎啊", "role": "doctor"}, {"turn": 6, "text": "不知道是不是细菌性慢性前列腺炎  严不严重", "role": "patient"}, {"turn": 7, "text": "有没有对我病因对应药物治疗", "role": "patient"}, {"turn": 8, "text": "好几年了，基本上都是无菌性前列腺炎", "role": "doctor"}, {"turn": 9, "text": "这个没有特效药的", "role": "doctor"}, {"turn": 10, "text": "你可以试试前列欣胶囊，坦索罗辛缓释胶囊，复方玄驹胶囊", "role": "doctor"}, {"turn": 11, "text": "然后配合前列安栓", "role": "doctor"}, {"turn": 12, "text": "四个药一起服用", "role": "doctor"}, {"turn": 13, "text": "四个药一起吃能治疗好我这病吗", "role": "patient"}, {"turn": 14, "text": "前列腺炎不能根治的，只能控制症状，避免复发", "role": "doctor"}, {"turn": 15, "text": "四个药吃  没有相克吧", "role": "patient"}, {"turn": 16, "text": "吃三个药，前列安栓是塞肛门的", "role": "doctor"}, {"turn": 17, "text": "请问医生吃多久才可以", "role": "patient"}, {"turn": 18, "text": "需要吃一个月左右", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 916, "thread": [{"turn": 0, "text": "三岁男孩，发烧24小时，38.8到40度之前上下浮动,口服美林，泰若林穿插服用，头孢地尼，吃完退烧药效果不明显，目前还是39度左右，该怎么办？需要去挂盐水吗？（男，3岁）", "role": "patient"}, {"turn": 1, "text": "除了发烧还有其他症状吗？", "role": "doctor"}, {"turn": 2, "text": "病毒感染导致的反复发烧", "role": "doctor"}, {"turn": 3, "text": "需要口服布洛芬退热治疗", "role": "doctor"}, {"turn": 4, "text": "偶尔咳嗽，鼻涕", "role": "patient"}, {"turn": 5, "text": "及时退热治疗就可以", "role": "doctor"}, {"turn": 6, "text": "去医院化验了，白细胞正常，淋巴细胞低，说是细菌感染", "role": "patient"}, {"turn": 7, "text": "血常规白细胞正常，提示病毒感染", "role": "doctor"}, {"turn": 8, "text": "一个月前支原体感染，吃了阿奇和红梅，好了，昨天又开始发烧", "role": "patient"}, {"turn": 9, "text": "病毒感染导致的", "role": "doctor"}, {"turn": 10, "text": "那目前这个温度，需要去医院吗？", "role": "patient"}, {"turn": 11, "text": "如果持续高热不缓解超过2小时，需要去医院检查一下比较好", "role": "doctor"}, {"turn": 12, "text": "去了两次医院了，到了医院，孩子体温都是38度多，大夫不给打针，只是开了消炎药，但是目前这个温度，我们也没招了", "role": "patient"}, {"turn": 13, "text": "及时退热治疗就可以改善", "role": "doctor"}, {"turn": 14, "text": "可是退烧药效果不是特别理想，一直都是这么高热", "role": "patient"}, {"turn": 15, "text": "如果持续高热不缓解超过3小时，需要去医院检查治疗比较好", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 917, "thread": [{"turn": 0, "text": "飞蚊症有点加重了，吃什么药能缓解？（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "好多年了，今年感觉条纹增加了", "role": "patient"}, {"turn": 3, "text": "如果近期加重了，最好是做眼球的B超检查，进一步明确浑浊的程度。", "role": "doctor"}, {"turn": 4, "text": "有去眼科做眼底检查，视力没下降，眼底也没问题", "role": "patient"}, {"turn": 5, "text": "玻璃体混浊与眼底是没有关系的。", "role": "doctor"}, {"turn": 6, "text": "有什么药可以减轻症状", "role": "patient"}, {"turn": 7, "text": "可以口服治疗玻璃体混浊的药物，卵磷脂络合碘片，每天三次，每次两片。", "role": "doctor"}, {"turn": 8, "text": "有没有副作用", "role": "patient"}, {"turn": 9, "text": "没有副作用的", "role": "doctor"}, {"turn": 10, "text": "那我买点吃试试", "role": "patient"}, {"turn": 11, "text": "好的", "role": "doctor"}, {"turn": 12, "text": "因为上次去眼科检查医生也没让我做眼科b超", "role": "patient"}, {"turn": 13, "text": "可以连续口服7到10天临床观察的。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 918, "thread": [{"turn": 0, "text": "妊娠血压高有什么影响，是怎么回事（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在怀孕多少周了？", "role": "doctor"}, {"turn": 2, "text": "7+2", "role": "patient"}, {"turn": 3, "text": "现在血压多高", "role": "doctor"}, {"turn": 4, "text": "孕前血压高吗", "role": "doctor"}, {"turn": 5, "text": "孕前不高", "role": "patient"}, {"turn": 6, "text": "145—100", "role": "patient"}, {"turn": 7, "text": "偏高", "role": "doctor"}, {"turn": 8, "text": "测了几次血压", "role": "doctor"}, {"turn": 9, "text": "一般是连续测2-3天才能确定是不是高血压", "role": "doctor"}, {"turn": 10, "text": "测之前需要静做5分钟", "role": "doctor"}, {"turn": 11, "text": "嗯好的", "role": "patient"}, {"turn": 12, "text": "谢谢", "role": "patient"}, {"turn": 13, "text": "这种情况很危险吗", "role": "patient"}, {"turn": 14, "text": "孕期如果是高血压，需要控制血压", "role": "doctor"}, {"turn": 15, "text": "血压控制不好的话，胎儿可能会发育不好，还有胎盘早剥的风险", "role": "doctor"}, {"turn": 16, "text": "跟严重吗", "role": "patient"}, {"turn": 17, "text": "看血压高低了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 919, "thread": [{"turn": 0, "text": "耳鸣和耳朵进了苍蝇的区别（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问，耳鸣有多久了？如果有苍蝇进入耳道内，除了有耳鸣，还会有耳内疼痛的。", "role": "doctor"}, {"turn": 2, "text": "就刚才", "role": "patient"}, {"turn": 3, "text": "不疼   就是嗡嗡响", "role": "patient"}, {"turn": 4, "text": "原来耳朵有问题吗？", "role": "doctor"}, {"turn": 5, "text": "不是一直响   这会儿不响了   就感觉进了苍蝇  想出来", "role": "patient"}, {"turn": 6, "text": "前几天我另外一个耳朵因为掏的厉害了  然后出去玩 耳朵又进了水特别疼     已经好了好几天了    这次是这个", "role": "patient"}, {"turn": 7, "text": "如果原来耳朵没有问题，怀疑进了昆虫，可以点几滴白酒，最好是高度的，将其麻醉，然后再让他人，或者是找医生取出来。", "role": "doctor"}, {"turn": 8, "text": "那如果不去医院回怎么着       这会不响了      是死在里面了吗", "role": "patient"}, {"turn": 9, "text": "另一个耳道，如果因为掏耳引起的疼痛，考虑是耳道皮肤发炎了，可以口服点抗菌药，耳内点氧氟沙星滴耳液。", "role": "doctor"}, {"turn": 10, "text": "如果耳内没有什么不适感，就先观察看看吧。", "role": "doctor"}, {"turn": 11, "text": "那只耳朵好了好几天了     但是两个耳朵都被我掏的有些不舒服了      如果是进了苍蝇不会死吧    哟有些害怕    它这会不动了是死在里面了吗", "role": "patient"}, {"turn": 12, "text": "如果是苍蝇，死在耳道里面，暂时也没有什么大事，时间长了，就会干燥了。如果不放心，明天去看看耳鼻喉科医生，做个耳内镜检查，一看就明白了，如果耳道内有东西，当时就可以取出来，很简单的。", "role": "doctor"}, {"turn": 13, "text": "好的   谢谢您啦     我快困死了   又不敢睡    不去医院也没事吧", "role": "patient"}, {"turn": 14, "text": "没事的，太晚了，睡觉吧。祝你睡个好觉，晚安！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 920, "thread": [{"turn": 0, "text": "宝宝便秘可以换羊奶粉吗（男，5个月）", "role": "patient"}, {"turn": 1, "text": "您好，几天一次大便呢？", "role": "doctor"}, {"turn": 2, "text": "理论上是可以的，注意少量喝点水", "role": "doctor"}, {"turn": 3, "text": "基本上5天一次，医生听说羊奶粉好消化一点", "role": "patient"}, {"turn": 4, "text": "的确是", "role": "doctor"}, {"turn": 5, "text": "就想换，牛奶粉这样换成羊奶粉可以吧", "role": "patient"}, {"turn": 6, "text": "可以", "role": "doctor"}, {"turn": 7, "text": "5个月的宝宝", "role": "patient"}, {"turn": 8, "text": "嗯", "role": "doctor"}, {"turn": 9, "text": "医生想问下开塞露有依赖吗", "role": "patient"}, {"turn": 10, "text": "不会", "role": "doctor"}, {"turn": 11, "text": "不要紧张", "role": "doctor"}, {"turn": 12, "text": "我家宝宝就是没有排便意识总是用开塞露", "role": "patient"}, {"turn": 13, "text": "医生想问下宝宝6个月以后可以加水果蔬菜泥吗", "role": "patient"}, {"turn": 14, "text": "大便干燥吗", "role": "doctor"}, {"turn": 15, "text": "可以添加", "role": "doctor"}, {"turn": 16, "text": "不干燥", "role": "patient"}, {"turn": 17, "text": "排便困难不", "role": "doctor"}, {"turn": 18, "text": "就是不拉，开塞露一用马上拉，排的时候不困难", "role": "patient"}, {"turn": 19, "text": "那不一定是便秘，有可能是奶量不足，或者小朋友吸收比较好，导致大便量比较少，大便次数减少", "role": "doctor"}, {"turn": 20, "text": "那医生那我还是可以换羊奶粉试试吧", "role": "patient"}, {"turn": 21, "text": "可以", "role": "doctor"}, {"turn": 22, "text": "医生就直接换就行吧", "role": "patient"}, {"turn": 23, "text": "是的，直接更换", "role": "doctor"}, {"turn": 24, "text": "医生我这个月给宝宝给了米粉可以吧，不知道是不是到了厌奶期了，不好好吃奶", "role": "patient"}, {"turn": 25, "text": "可以少量尝一尝味道", "role": "doctor"}, {"turn": 26, "text": "医生下午给好呢还是晚上", "role": "patient"}, {"turn": 27, "text": "都一样", "role": "doctor"}, {"turn": 28, "text": "好的谢谢医生", "role": "patient"}, {"turn": 29, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 921, "thread": [{"turn": 0, "text": "5个月宝宝拉绿粑粑是消化不良吗？（男，5个月）", "role": "patient"}, {"turn": 1, "text": "您好！请问宝宝母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 2, "text": "母乳喂养", "role": "patient"}, {"turn": 3, "text": "添加辅食了吗", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "绿色大便第一有可能受凉，第二有可能消化不良", "role": "doctor"}, {"turn": 6, "text": "一天拉3到4次粑粑", "role": "patient"}, {"turn": 7, "text": "早晨第一次粑粑是稠稠的，然后都是稀的", "role": "patient"}, {"turn": 8, "text": "而且是绿的", "role": "patient"}, {"turn": 9, "text": "查过大便常规吗", "role": "doctor"}, {"turn": 10, "text": "查了", "role": "patient"}, {"turn": 11, "text": "方便发一下吗", "role": "doctor"}, {"turn": 12, "text": "是乳糖不耐受，吃的飞歌！还吃了蒙脱石散还是在拉粑粑！", "role": "patient"}, {"turn": 13, "text": "医生是不是没有更好方法了，只能让他继续每天拉绿粑粑", "role": "patient"}, {"turn": 14, "text": "宝宝腹泻多久了", "role": "doctor"}, {"turn": 15, "text": "宝宝是一直在母乳吗", "role": "doctor"}, {"turn": 16, "text": "10天了", "role": "patient"}, {"turn": 17, "text": "昨天拉两次，今天又开始3到4次了，反复无常", "role": "patient"}, {"turn": 18, "text": "买无乳糖买粉吃了就吐！所以一直吃母乳", "role": "patient"}, {"turn": 19, "text": "奶粉", "role": "patient"}, {"turn": 20, "text": "可以配合小儿推拿", "role": "doctor"}, {"turn": 21, "text": "健脾助消化", "role": "doctor"}, {"turn": 22, "text": "怎么推拿！有手法吗？", "role": "patient"}, {"turn": 23, "text": "在家可以给宝宝推拿一下，对宝宝的脾胃功能还是有提高，一是运内八卦，即用大拇指顺时针按摩患儿手掌300次。二按揉足三里300次。三捏脊3~5遍。坚持每天按摩1~2次，连续数日能够起到调理脾胃，改善脏腑的功能，这些方法在家就可以做！", "role": "doctor"}, {"turn": 24, "text": "也可以去专业的小儿推拿店做", "role": "doctor"}, {"turn": 25, "text": "谢谢医生！学习了！", "role": "patient"}, {"turn": 26, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 922, "thread": [{"turn": 0, "text": "吃完饭就想大便 容易消化不良腹胀（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，多长时间了？还有别的症状吗？", "role": "doctor"}, {"turn": 2, "text": "快一周了", "role": "patient"}, {"turn": 3, "text": "之前老是腹泻或者便秘", "role": "patient"}, {"turn": 4, "text": "偶尔想吐", "role": "patient"}, {"turn": 5, "text": "吃的不多 偶尔吃得多", "role": "patient"}, {"turn": 6, "text": "面部有痤疮吗", "role": "doctor"}, {"turn": 7, "text": "痤疮是什么？", "role": "patient"}, {"turn": 8, "text": "就是青春痘，疙瘩", "role": "doctor"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "可能脾胃不和", "role": "doctor"}, {"turn": 11, "text": "之前去医院检查过 照片子 医生说 肚子里的气太多 吃了药以后排气顺了", "role": "patient"}, {"turn": 12, "text": "平时爱生气吗", "role": "doctor"}, {"turn": 13, "text": "爱", "role": "patient"}, {"turn": 14, "text": "去正规中医院结合舌脉喝点中药吧", "role": "doctor"}, {"turn": 15, "text": "我的便便是香蕉型的 不是稀", "role": "patient"}, {"turn": 16, "text": "粘马桶吗", "role": "doctor"}, {"turn": 17, "text": "不沾", "role": "patient"}, {"turn": 18, "text": "偶尔沾", "role": "patient"}, {"turn": 19, "text": "首先要自我调节心情", "role": "doctor"}, {"turn": 20, "text": "心情挺好的", "role": "patient"}, {"turn": 21, "text": "不要轻易生气", "role": "doctor"}, {"turn": 22, "text": "不会", "role": "patient"}, {"turn": 23, "text": "我是属于消化吸收好还是不好？", "role": "patient"}, {"turn": 24, "text": "不好", "role": "doctor"}, {"turn": 25, "text": "吸收不了营养？", "role": "patient"}, {"turn": 26, "text": "对，脾胃不和", "role": "doctor"}, {"turn": 27, "text": "时间长了 会怎样？", "role": "patient"}, {"turn": 28, "text": "消瘦，疲劳", "role": "doctor"}, {"turn": 29, "text": "精神差", "role": "doctor"}, {"turn": 30, "text": "哦哦", "role": "patient"}, {"turn": 31, "text": "我就是吃了饭就想大便 不吃饭还好", "role": "patient"}, {"turn": 32, "text": "就是不吸收啊，吃了饭消化不了，脾胃不运化", "role": "doctor"}, {"turn": 33, "text": "哦哦 但是不拉稀", "role": "patient"}, {"turn": 34, "text": "嗯", "role": "doctor"}, {"turn": 35, "text": "也是脾胃不和！", "role": "patient"}, {"turn": 36, "text": "？", "role": "patient"}, {"turn": 37, "text": "不是所有脾胃不和都拉稀的", "role": "doctor"}, {"turn": 38, "text": "哦哦", "role": "patient"}, {"turn": 39, "text": "怎么改善？", "role": "patient"}, {"turn": 40, "text": "就像不是所有感冒都发烧一样", "role": "doctor"}, {"turn": 41, "text": "哦哦", "role": "patient"}, {"turn": 42, "text": "我经常运动", "role": "patient"}, {"turn": 43, "text": "吃软和的容易消化的", "role": "doctor"}, {"turn": 44, "text": "不要吃辛辣刺激的", "role": "doctor"}, {"turn": 45, "text": "哦哦", "role": "patient"}, {"turn": 46, "text": "有没有什么忌讳", "role": "patient"}, {"turn": 47, "text": "不要吃辛辣刺激的，还有大鱼大肉", "role": "doctor"}, {"turn": 48, "text": "哦哦", "role": "patient"}, {"turn": 49, "text": "嗯", "role": "doctor"}, {"turn": 50, "text": "谢谢", "role": "patient"}, {"turn": 51, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 923, "thread": [{"turn": 0, "text": "偏头痛的非药物治疗方法（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问病史有多久了？", "role": "doctor"}, {"turn": 2, "text": "两年", "role": "patient"}, {"turn": 3, "text": "多久发作一次呢", "role": "doctor"}, {"turn": 4, "text": "这三四个月还是第一次", "role": "patient"}, {"turn": 5, "text": "如果不要用药物治疗的话一般的话休息睡觉就可缓解", "role": "doctor"}, {"turn": 6, "text": "其实偏头痛最重要的是要避免诱发因素", "role": "doctor"}, {"turn": 7, "text": "不要劳累、受凉、吃辛辣刺激性食物、情绪不要过度紧张", "role": "doctor"}, {"turn": 8, "text": "那病发了，有没有什么办法可以缓解呢", "role": "patient"}, {"turn": 9, "text": "发作时先休息，局部按摩", "role": "doctor"}, {"turn": 10, "text": "可以做针灸", "role": "doctor"}, {"turn": 11, "text": "针灸什么地方呢", "role": "patient"}, {"turn": 12, "text": "针头部", "role": "doctor"}, {"turn": 13, "text": "热敷头部有没有用", "role": "patient"}, {"turn": 14, "text": "热敷头部也可以", "role": "doctor"}, {"turn": 15, "text": "还有什么办法可以教教我么", "role": "patient"}, {"turn": 16, "text": "其他的没有什么好办法了", "role": "doctor"}, {"turn": 17, "text": "如果头痛严重的话建议还是用药", "role": "doctor"}, {"turn": 18, "text": "什么药推荐一下", "role": "patient"}, {"turn": 19, "text": "西乐葆", "role": "doctor"}, {"turn": 20, "text": "这个副作用不大吧", "role": "patient"}, {"turn": 21, "text": "饮食和水果方面有没有建议的呢", "role": "patient"}, {"turn": 22, "text": "不要吃辛辣刺激性食物，不要喝咖啡", "role": "doctor"}, {"turn": 23, "text": "水果呢", "role": "patient"}, {"turn": 24, "text": "水果无禁忌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 924, "thread": [{"turn": 0, "text": "母乳期可以治虫牙吗？（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你服务，疼痛很严重吗？", "role": "doctor"}, {"turn": 2, "text": "每个医生观念不一样的~", "role": "doctor"}, {"turn": 3, "text": "从昨天晚上开始一直痛", "role": "patient"}, {"turn": 4, "text": "我主张如果疼痛症状明显可以去治疗的", "role": "doctor"}, {"turn": 5, "text": "打麻药一般3个小时左右就代谢掉了的", "role": "doctor"}, {"turn": 6, "text": "会影响母乳吗", "role": "patient"}, {"turn": 7, "text": "建议第二天母乳", "role": "doctor"}, {"turn": 8, "text": "为了安全起见", "role": "doctor"}, {"turn": 9, "text": "打麻药后可以喂奶吗", "role": "patient"}, {"turn": 10, "text": "哦，可以去吃点止疼药吗", "role": "patient"}, {"turn": 11, "text": "止疼药要看说明书的", "role": "doctor"}, {"turn": 12, "text": "上边有没有注明哺乳期不可以吃的", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "哪种止痛药好点", "role": "patient"}, {"turn": 16, "text": "诺福丁好用一些，如果买不到就买布洛芬", "role": "doctor"}, {"turn": 17, "text": "怎么吃", "role": "patient"}, {"turn": 18, "text": "按照说明书", "role": "doctor"}, {"turn": 19, "text": "就可以的", "role": "doctor"}, {"turn": 20, "text": "如果疼痛严重最好还是治牙的", "role": "doctor"}, {"turn": 21, "text": "我刚才在网上查了，是哺乳期妇女禁用啊", "role": "patient"}, {"turn": 22, "text": "所以还是去治疗牙齿吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 925, "thread": [{"turn": 0, "text": "右眼得了角膜炎 严重吗（女，17岁）", "role": "patient"}, {"turn": 1, "text": "发现角膜炎有多久了？现在，右眼看东西清楚吗？目前在用什么药？", "role": "doctor"}, {"turn": 2, "text": "今天才发现  右眼看的不太清楚  用的复方硫酸软骨素滴眼液", "role": "patient"}, {"turn": 3, "text": "硫酸小诺美素滴眼液", "role": "patient"}, {"turn": 4, "text": "近期感冒的吗？平时戴隐形眼镜吗？", "role": "doctor"}, {"turn": 5, "text": "不带", "role": "patient"}, {"turn": 6, "text": "没感冒", "role": "patient"}, {"turn": 7, "text": "严重吗会失明吗", "role": "patient"}, {"turn": 8, "text": "不用担心。轻度的角膜炎治疗以后可以完全恢复。", "role": "doctor"}, {"turn": 9, "text": "他会反复发作吗", "role": "patient"}, {"turn": 10, "text": "坚持点眼药水。不要吃刺激性东西，避免感冒。", "role": "doctor"}, {"turn": 11, "text": "好", "role": "patient"}, {"turn": 12, "text": "有时会会反复发。出现症状就治疗就行了。", "role": "doctor"}, {"turn": 13, "text": "唉跟我做双眼皮有关吗", "role": "patient"}, {"turn": 14, "text": "得角膜炎跟做双眼皮有关吗", "role": "patient"}, {"turn": 15, "text": "你是说才做的双眼皮手术吗？", "role": "doctor"}, {"turn": 16, "text": "做了三个月多了", "role": "patient"}, {"turn": 17, "text": "现在眼睑能闭合上吗？", "role": "doctor"}, {"turn": 18, "text": "能啊", "role": "patient"}, {"turn": 19, "text": "就是说闭上眼睛的时候会留下缝隙吗？", "role": "doctor"}, {"turn": 20, "text": "不会", "role": "patient"}, {"turn": 21, "text": "那没有影响的。", "role": "doctor"}, {"turn": 22, "text": "那不是双眼皮影响的才会得角膜炎？", "role": "patient"}, {"turn": 23, "text": "今天医生给我说 做了双眼皮 都翻不上去 如果有物体 都不好弄出来", "role": "patient"}, {"turn": 24, "text": "严重吗", "role": "patient"}, {"turn": 25, "text": "不严重的。做过双眼皮，上眼睑是很难翻过来。这个不影响角膜炎的治疗。", "role": "doctor"}, {"turn": 26, "text": "上脸难翻是大问题吗", "role": "patient"}, {"turn": 27, "text": "如果以后里边进东西", "role": "patient"}, {"turn": 28, "text": "能翻过来吗", "role": "patient"}, {"turn": 29, "text": "不是大问题的。如果以后眼睛进东西还是有办法弄出来的。这个是医生的问题，你不用担心呀！", "role": "doctor"}, {"turn": 30, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 31, "text": "不用谢的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 926, "thread": [{"turn": 0, "text": "腰扭伤了如何快速恢复小窍门（男，53岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "3天", "role": "patient"}, {"turn": 3, "text": "现在疼痛部位具体位于哪里呢？", "role": "doctor"}, {"turn": 4, "text": "腰部两侧，还是中间呢？", "role": "doctor"}, {"turn": 5, "text": "请问一下扎银针后可以热敷吗？", "role": "patient"}, {"turn": 6, "text": "可以的", "role": "doctor"}, {"turn": 7, "text": "中间和两侧有什么不同吗？", "role": "patient"}, {"turn": 8, "text": "看看具体部位位置", "role": "doctor"}, {"turn": 9, "text": "哦", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "doctor"}, {"turn": 11, "text": "我们家里老方法把麸子和白醋一起炒黄装进袋子里给患者热敷", "role": "patient"}, {"turn": 12, "text": "建议平时可以用两层布包裹粗盐粒，放微波炉加热两到三分钟（温度自己控制好，避免太烫灼伤皮肤），局部热敷，一天两到三次，一次二十分钟左右", "role": "doctor"}, {"turn": 13, "text": "不知道可以所以问问你", "role": "patient"}, {"turn": 14, "text": "好的，是可以的", "role": "doctor"}, {"turn": 15, "text": "谢谢啦", "role": "patient"}, {"turn": 16, "text": "嗯嗯，客气了，亲😛", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 927, "thread": [{"turn": 0, "text": "之前咨询的耳朵问题，又觉得耳堵耳鸣了（男，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，这次这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "有没有耳道进水", "role": "doctor"}, {"turn": 3, "text": "昨天几乎没睡，耳朵像打鼓，不断流清水", "role": "patient"}, {"turn": 4, "text": "头也疼", "role": "patient"}, {"turn": 5, "text": "嗯，考虑是发生感染了", "role": "doctor"}, {"turn": 6, "text": "这种情况可以用些抗感染药物，比如说头孢克洛", "role": "doctor"}, {"turn": 7, "text": "去医院，说是真菌感染，外耳道炎", "role": "patient"}, {"turn": 8, "text": "那比较麻烦了", "role": "doctor"}, {"turn": 9, "text": "要把真菌上皮都弄干净", "role": "doctor"}, {"turn": 10, "text": "然后局部使用抗真菌药物", "role": "doctor"}, {"turn": 11, "text": "比如氟康唑滴耳液，硼酸甘油滴耳液等", "role": "doctor"}, {"turn": 12, "text": "上午处理了一下，现在还在流水", "role": "patient"}, {"turn": 13, "text": "嗯，目前用的什么药物", "role": "doctor"}, {"turn": 14, "text": "医生只开了达克宁", "role": "patient"}, {"turn": 15, "text": "嗯，那你先涂吧", "role": "doctor"}, {"turn": 16, "text": "这个也是抗真菌药物", "role": "doctor"}, {"turn": 17, "text": "一直流水，涂有用不？", "role": "patient"}, {"turn": 18, "text": "上午总设备吸了下，也洗了下", "role": "patient"}, {"turn": 19, "text": "有用的", "role": "doctor"}, {"turn": 20, "text": "耳朵疼，能吃点什么药吗？", "role": "patient"}, {"turn": 21, "text": "确实疼的很难受，可以使用洛索洛芬钠口服", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 928, "thread": [{"turn": 0, "text": "宝宝拉肚子吃腹泻奶粉有可能会便秘吗（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好!宝宝现在多大哪？这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "宝宝之前拉肚子 四五天 后面换成腹泻奶粉 还吃了蒙脱石散 拉肚子前天粑粑都还是稀的 昨天突然就便秘了。而且有点严重 还是用开塞露弄出来的 到底是吃了蒙脱石散的原因 还是腹泻奶粉的问题？", "role": "patient"}, {"turn": 3, "text": "吃蒙脱石散有四五天", "role": "patient"}, {"turn": 4, "text": "这种情况怎么办？", "role": "patient"}, {"turn": 5, "text": "偶尔一天两天不解大便，问题不大的，其他要都不吃了，吃几天益生菌", "role": "doctor"}, {"turn": 6, "text": "不拉了，腹泻奶粉就可以换过来了", "role": "doctor"}, {"turn": 7, "text": "但是现在她便秘。她是想拉拉不出来。粑粑在肛门哪里 就是出不来。所以给她用了开塞露", "role": "patient"}, {"turn": 8, "text": "之前吃的惠氏。我想现在给她换另外一种。这个时候可以换吗 便秘期间可以换吗", "role": "patient"}, {"turn": 9, "text": "不能母乳吗？", "role": "doctor"}, {"turn": 10, "text": "她都一岁四个月了。早就没有吃了", "role": "patient"}, {"turn": 11, "text": "哦，那就换成普通的奶粉，不用吃腹泻奶粉了", "role": "doctor"}, {"turn": 12, "text": "需要跟腹泻奶粉一起转吗", "role": "patient"}, {"turn": 13, "text": "就是把腹泻奶粉停了，换成普通奶粉就可以的！", "role": "doctor"}, {"turn": 14, "text": "不需要混在一起吗", "role": "patient"}, {"turn": 15, "text": "可以不用，直接换过来", "role": "doctor"}, {"turn": 16, "text": "但是我不是吃以前的普通奶粉 我要换一种之前没有吃过的", "role": "patient"}, {"turn": 17, "text": "嗯，可以试试呀！一般没啥事的", "role": "doctor"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "会不会再次腹泻", "role": "patient"}, {"turn": 20, "text": "一般不会的！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 929, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：轻度耳鸣（女，13岁）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了，听力有影响吗", "role": "doctor"}, {"turn": 2, "text": "左侧轻度耳鸣耳朵里面有心跳声睡觉的时候才能听见，喉咙和鼻子处好像有点痰，今天是我左侧耳膜内陷的第十二天", "role": "patient"}, {"turn": 3, "text": "没有影响", "role": "patient"}, {"turn": 4, "text": "只是这两天好像有痰卡在那里", "role": "patient"}, {"turn": 5, "text": "鼻子有点难受", "role": "patient"}, {"turn": 6, "text": "这是怎么回事", "role": "patient"}, {"turn": 7, "text": "是像脉搏，心脏跳动一样，一下一下，有节律吗？如果是这样考虑血管搏动性耳鸣。你如果是左侧耳鸣，可以用右手掌压迫左侧颈部，同时向外侧转头，如果耳鸣减弱或者消失，就是静脉性的，如果耳鸣增强或者不变，就是动脉性的，如果想查找原因，可以做颞骨CT看血管情况，及内听道核磁", "role": "doctor"}, {"turn": 8, "text": "不严重", "role": "patient"}, {"turn": 9, "text": "判断不出来", "role": "patient"}, {"turn": 10, "text": "我照过耳镜", "role": "patient"}, {"turn": 11, "text": "我是想问一下像有痰卡在那里是怎么回事", "role": "patient"}, {"turn": 12, "text": "医生在吗", "role": "patient"}, {"turn": 13, "text": "回", "role": "patient"}, {"turn": 14, "text": "你在忙吗", "role": "patient"}, {"turn": 15, "text": "在", "role": "doctor"}, {"turn": 16, "text": "是在鼻腔和喉咙交界的地方吗", "role": "doctor"}, {"turn": 17, "text": "还是异物感", "role": "doctor"}, {"turn": 18, "text": "嗯", "role": "patient"}, {"turn": 19, "text": "有痰", "role": "patient"}, {"turn": 20, "text": "做过鼻内镜检查吗", "role": "doctor"}, {"turn": 21, "text": "没有", "role": "patient"}, {"turn": 22, "text": "是这两天才有的", "role": "patient"}, {"turn": 23, "text": "先用药", "role": "doctor"}, {"turn": 24, "text": "祛痰药就可以", "role": "doctor"}, {"turn": 25, "text": "鼻喷有用吗", "role": "patient"}, {"turn": 26, "text": "可以不用药吗", "role": "patient"}, {"turn": 27, "text": "可以结合耳鸣这个症状得出结论吗", "role": "patient"}, {"turn": 28, "text": "耳鸣和痰没有关系", "role": "doctor"}, {"turn": 29, "text": "鼻喷的也可以，如果有痰最好吃药", "role": "doctor"}, {"turn": 30, "text": "可是我有内陷的症状", "role": "patient"}, {"turn": 31, "text": "类似痰，不知道是不是", "role": "patient"}, {"turn": 32, "text": "以前就是干干的这两天才有", "role": "patient"}, {"turn": 33, "text": "痰", "role": "patient"}, {"turn": 34, "text": "考虑是痰", "role": "doctor"}, {"turn": 35, "text": "可以吃祛痰药", "role": "doctor"}, {"turn": 36, "text": "痰和耳鸣，内陷都没有关系", "role": "doctor"}, {"turn": 37, "text": "会影响耳朵吗", "role": "patient"}, {"turn": 38, "text": "不会", "role": "doctor"}, {"turn": 39, "text": "你最好面诊检查一下", "role": "doctor"}, {"turn": 40, "text": "一般是怎么引起的呢", "role": "patient"}, {"turn": 41, "text": "炎症", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 930, "thread": [{"turn": 0, "text": "虫牙，现在牙齿很痛，该怎么办（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，吃冷的热的也疼吧？不动的时候也疼吗？", "role": "doctor"}, {"turn": 2, "text": "牙疼得去医院做治疗，这是最根本的治疗方法。可以暂时吃点止疼药缓解。", "role": "doctor"}, {"turn": 3, "text": "我在药店买了这个药，吃了还痛呢", "role": "patient"}, {"turn": 4, "text": "双氯芬酸钠缓释片", "role": "patient"}, {"turn": 5, "text": "牙疼得治疗才行，把牙钻开压力减轻了就舒服了", "role": "doctor"}, {"turn": 6, "text": "这个时间也只能吃些止疼药了", "role": "doctor"}, {"turn": 7, "text": "针对本次问诊，医生更新了总结建议：现在没什么好办法，只能吃止疼药缓解，如果这个药效果不佳，建议换一种，及早治疗比较好。", "role": "doctor"}, {"turn": 8, "text": "补牙齿就不痛了？", "role": "patient"}, {"turn": 9, "text": "我的牙齿现在被虫吃了个洞", "role": "patient"}, {"turn": 10, "text": "如果牙齿没有疼过，可以直接补牙，现在已经是牙髓炎的症状了，坏的太深导致牙神经发炎了，不能直接补牙，得做根管治疗", "role": "doctor"}, {"turn": 11, "text": "根管治疗得去两三次，大约半月左右，一般隔一周复诊一次。", "role": "doctor"}, {"turn": 12, "text": "根管治疗术是治疗牙髓和根尖周病的最有效的方法，其核心原则是有效地控制根管内的感染。它通过机械清创和化学消毒的方法预备根管，将存在于牙髓腔内的病原刺激物全部清除，经过对根管的清理、成行，必要的药物消毒，以及严密充填，达到消除感染原，堵塞、封闭根管空腔，防止再感染的目的。", "role": "doctor"}, {"turn": 13, "text": "那会不会痛？有麻醉么", "role": "patient"}, {"turn": 14, "text": "会局部麻醉的", "role": "doctor"}, {"turn": 15, "text": "哦", "role": "patient"}, {"turn": 16, "text": "建议及早就诊。", "role": "doctor"}, {"turn": 17, "text": "嗯", "role": "patient"}, {"turn": 18, "text": "～", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 931, "thread": [{"turn": 0, "text": "混合痔手术出院在家自己也要上药吗（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，最好能够在每次便后清洗以后，外用药膏就可以", "role": "doctor"}, {"turn": 2, "text": "我有在医院拿那个中药熏洗的   一早一晚两次   每次熏洗后自己上药吗?", "role": "patient"}, {"turn": 3, "text": "是需要上药的对吗?", "role": "patient"}, {"turn": 4, "text": "是的，可以在创面局部外用点痔疮膏就可以", "role": "doctor"}, {"turn": 5, "text": "马应龙痔疮膏就可以吗?", "role": "patient"}, {"turn": 6, "text": "可以的，单纯用马应龙就可以", "role": "doctor"}, {"turn": 7, "text": "我上厕所时是那种蹲厕不影响伤口吧", "role": "patient"}, {"turn": 8, "text": "只要排便时不要太用力就可以", "role": "doctor"}, {"turn": 9, "text": "平时要多吃蔬菜水果，多喝水，保持大便通畅", "role": "doctor"}, {"turn": 10, "text": "排便后总有排不完的感觉", "role": "patient"}, {"turn": 11, "text": "这个是手术切口的刺激，后期会慢慢消失", "role": "doctor"}, {"turn": 12, "text": "很疼的话怎么办", "role": "patient"}, {"turn": 13, "text": "疼痛的话可以便后中药坐浴，必要的时候可以口服去痛片", "role": "doctor"}, {"turn": 14, "text": "自己摸着总感觉还有一块", "role": "patient"}, {"turn": 15, "text": "那有可能是术后的水肿，一般2~3周以后会缩小", "role": "doctor"}, {"turn": 16, "text": "不可以出汗的吗也?", "role": "patient"}, {"turn": 17, "text": "什么意思？我没听懂😓", "role": "doctor"}, {"turn": 18, "text": "术后一般都要隔一天去医院换一次药吗?", "role": "patient"}, {"turn": 19, "text": "这个也不是说绝对的，有些隔个两三天换一次也没关系", "role": "doctor"}, {"turn": 20, "text": "那像这种情况就是自己在家上药就可以吗?", "role": "patient"}, {"turn": 21, "text": "可以", "role": "doctor"}, {"turn": 22, "text": "那要是像肉类的食物可以吃吗?", "role": "patient"}, {"turn": 23, "text": "目前饮食可以正常，在饮食均衡的前提下，适当多吃蔬菜水果，保持大便通畅", "role": "doctor"}, {"turn": 24, "text": "那要是解不下来或者太干  是不是需要吃通便的药物", "role": "patient"}, {"turn": 25, "text": "是的", "role": "doctor"}, {"turn": 26, "text": "可以吃乳果糖", "role": "doctor"}, {"turn": 27, "text": "那吃这个不会有什么影响吧", "role": "patient"}, {"turn": 28, "text": "不会", "role": "doctor"}, {"turn": 29, "text": "没什么副作用的", "role": "doctor"}, {"turn": 30, "text": "那还需要注意什么吗", "role": "patient"}, {"turn": 31, "text": "主要是注意清淡饮食，避免辛辣刺激性食物，避免饮酒，保持大便通畅，病后注意肛门部切口清洁就可以", "role": "doctor"}, {"turn": 32, "text": "好的  谢谢您", "role": "patient"}, {"turn": 33, "text": "不客气😊", "role": "doctor"}, {"turn": 34, "text": "那个   由于下尿管  现在上小便总会有尿不净是怎么回事呢", "role": "patient"}, {"turn": 35, "text": "这个是由于手术切口的刺激，后期回恢复", "role": "doctor"}, {"turn": 36, "text": "平躺着好还是趴着好", "role": "patient"}, {"turn": 37, "text": "这个体位是无所谓的，都可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 932, "thread": [{"turn": 0, "text": "吃饭喝水噎着的感觉是怎么回事（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？用过什么药物吗，还有什么不适症状，比如说烧心反酸吗，大便怎么样？", "role": "doctor"}, {"turn": 2, "text": "进食后疼痛吗", "role": "doctor"}, {"turn": 3, "text": "进食后胸部闷痛吗", "role": "doctor"}, {"turn": 4, "text": "平时有慢性胃炎，现在口酸", "role": "patient"}, {"turn": 5, "text": "有多长时间了", "role": "doctor"}, {"turn": 6, "text": "不疼，", "role": "patient"}, {"turn": 7, "text": "半个月了", "role": "patient"}, {"turn": 8, "text": "用过什么药物吗，用药后症状有改善吗", "role": "doctor"}, {"turn": 9, "text": "进食不敢吃多了", "role": "patient"}, {"turn": 10, "text": "考虑至少是反流性胃食管炎", "role": "doctor"}, {"turn": 11, "text": "建议用一些莫沙必利，泮托拉唑和康复新液来治疗，忌食辛辣刺激性的食物，餐后不要立即平卧", "role": "doctor"}, {"turn": 12, "text": "吃了中药，不烧心了", "role": "patient"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "那就好，加上莫沙必利，泮托拉唑和康复新液来治疗", "role": "doctor"}, {"turn": 15, "text": "若用药一周症状不见好转应该及时到医院做个胃镜的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 933, "thread": [{"turn": 0, "text": "散光戴眼镜还是有重影（男，15岁）", "role": "patient"}, {"turn": 1, "text": "您好，您这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "矫正视力好不", "role": "doctor"}, {"turn": 3, "text": "四五个月了", "role": "patient"}, {"turn": 4, "text": "带了一年多的眼镜就一个月没带然后就重影了", "role": "patient"}, {"turn": 5, "text": "换了一副新眼镜也是有重影", "role": "patient"}, {"turn": 6, "text": "如果验光准确矫正视力正常就要适应", "role": "doctor"}, {"turn": 7, "text": "这副新眼镜也戴了2个月左右了", "role": "patient"}, {"turn": 8, "text": "如果不戴眼镜有没不清楚", "role": "doctor"}, {"turn": 9, "text": "有", "role": "patient"}, {"turn": 10, "text": "不清楚", "role": "patient"}, {"turn": 11, "text": "现在是上下散光", "role": "patient"}, {"turn": 12, "text": "那就不是眼镜问题", "role": "doctor"}, {"turn": 13, "text": "上下重影之前就只有上面重影", "role": "patient"}, {"turn": 14, "text": "哦", "role": "patient"}, {"turn": 15, "text": "需要去眼科查一下", "role": "doctor"}, {"turn": 16, "text": "那我这种情况可以恢复戴眼镜没重影么", "role": "patient"}, {"turn": 17, "text": "我这种情况可恢复么", "role": "patient"}, {"turn": 18, "text": "先得排除眼睛本身问题", "role": "doctor"}, {"turn": 19, "text": "我眼镜没任何问题就是一个月没带眼镜", "role": "patient"}, {"turn": 20, "text": "然后又戴了现在就有重影", "role": "patient"}, {"turn": 21, "text": "有散光的眼镜往往轴向做不准", "role": "doctor"}, {"turn": 22, "text": "眼镜没问题啊", "role": "patient"}, {"turn": 23, "text": "蔡司镜片爱尔眼科验光", "role": "patient"}, {"turn": 24, "text": "散瞳也做了", "role": "patient"}, {"turn": 25, "text": "如果眼睛和眼镜都没问题就适应", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 934, "thread": [{"turn": 0, "text": "您好我的一个朋友，经常吐的是黄痰，鼻子囔囔的也是大黄鼻涕，有鼻嘎，鼻子有时候感觉没那么通常（男，33）", "role": "patient"}, {"turn": 1, "text": "您好，咳嗽厉害吗？平时抽烟吗？发不发烧？", "role": "doctor"}, {"turn": 2, "text": "抽烟，抽的是过堂烟，抽10多年了，不发烧，", "role": "patient"}, {"turn": 3, "text": "不咳嗽", "role": "patient"}, {"turn": 4, "text": "考虑是鼻窦炎引起的，可以口服几天双黄连口服液和头孢类消炎药，注意多喝水清淡饮食", "role": "doctor"}, {"turn": 5, "text": "大约这样有1年左右了，以前没有这样情况，", "role": "patient"}, {"turn": 6, "text": "这个跟体重有没有关系，将近1.7的个头\n原来体重135，去年体重160", "role": "patient"}, {"turn": 7, "text": "和体重没有什么关系，主要是鼻腔炎症引起的", "role": "doctor"}, {"turn": 8, "text": "那吃头孢吗？头孢不是感冒药吗？", "role": "patient"}, {"turn": 9, "text": "还有尿尿一直都黄，", "role": "patient"}, {"turn": 10, "text": "吃头孢可以，头孢就是常用的抗生素，吃头孢不要喝酒", "role": "doctor"}, {"turn": 11, "text": "好几年了，尿尿都是发黄", "role": "patient"}, {"turn": 12, "text": "嗯，平时注意多喝水清淡饮食", "role": "doctor"}, {"turn": 13, "text": "嗯谢谢您 水是经常喝，就是饮食基本没有肉吃的不香，肉吃的多一些，", "role": "patient"}, {"turn": 14, "text": "可以适当吃点肉，少吃油腻油炸的东西", "role": "doctor"}, {"turn": 15, "text": "嗯，油炸的很少吃的，现在的头孢很多种，就是消炎的头孢就是可以对吧", "role": "patient"}, {"turn": 16, "text": "嗯，头孢克洛或者头孢克肟都可以", "role": "doctor"}, {"turn": 17, "text": "谢谢了您忙吧，非常感谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 935, "thread": [{"turn": 0, "text": "肛裂会个不会有裂开的组织掉下来?（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛裂有多长时间了啊？肛裂是指肛管皮肤全层裂开，不会有东西掉下来。", "role": "doctor"}, {"turn": 2, "text": "怀孕七个月的时候，一直延续到现在，现在产后40天了", "role": "patient"}, {"turn": 3, "text": "本来好的差不多了，结果大便干燥，又复发了，", "role": "patient"}, {"turn": 4, "text": "第一胎的时候，检查出来有痔疮和肛裂，", "role": "patient"}, {"turn": 5, "text": "那有可能是陈旧性肛裂，用药效果不一定好。", "role": "doctor"}, {"turn": 6, "text": "可是裂开的部位不同，", "role": "patient"}, {"turn": 7, "text": "你可以先用点药膏看一下。", "role": "doctor"}, {"turn": 8, "text": "最近感觉肛门部位有点痒，", "role": "patient"}, {"turn": 9, "text": "肛裂会不会不排便的时候也流血，", "role": "patient"}, {"turn": 10, "text": "用纸擦，会有点雪，是鲜红色的！", "role": "patient"}, {"turn": 11, "text": "血", "role": "patient"}, {"turn": 12, "text": "你的情况应该是有肛裂，也有痔疮。", "role": "doctor"}, {"turn": 13, "text": "嗯，内痔和肛裂，", "role": "patient"}, {"turn": 14, "text": "掉出来的东西，好像一根线，细细的，", "role": "patient"}, {"turn": 15, "text": "你现在是哺乳期吗？", "role": "doctor"}, {"turn": 16, "text": "嗯，在哺乳期", "role": "patient"}, {"turn": 17, "text": "掉出来的东西有照片吗？", "role": "doctor"}, {"turn": 18, "text": "没有，", "role": "patient"}, {"turn": 19, "text": "你现在的情况不适合口服药，只能外用药。", "role": "doctor"}, {"turn": 20, "text": "嗯，用的吲哚美辛栓，京万红，口服乳果糖，", "role": "patient"}, {"turn": 21, "text": "就是想知道哈，肛门周围痒和掉出来的东西，是什么？", "role": "patient"}, {"turn": 22, "text": "你在哺乳，最好不要吃乳果糖，以免引起孩子腹泻。", "role": "doctor"}, {"turn": 23, "text": "肛门周围痒可能和肛裂痔疮的粘液有关，但掉出来是什么我回答不了。", "role": "doctor"}, {"turn": 24, "text": "嗯，太没有吃！", "role": "patient"}, {"turn": 25, "text": "你先用几天药膏看一下吧，有问题可以随时联系我。", "role": "doctor"}, {"turn": 26, "text": "哦，", "role": "patient"}, {"turn": 27, "text": "👌", "role": "doctor"}, {"turn": 28, "text": "那您推荐使用什么药膏", "role": "patient"}, {"turn": 29, "text": "太宁栓，马应龙痔疮膏或太宁乳膏。", "role": "doctor"}, {"turn": 30, "text": "哦，用膏剂，会不会影响妇科？？", "role": "patient"}, {"turn": 31, "text": "不会的。", "role": "doctor"}, {"turn": 32, "text": "哦，好的，谢谢😜", "role": "patient"}, {"turn": 33, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 936, "thread": [{"turn": 0, "text": "今天没有昨天明显 会不会是肋间神经痛", "role": "patient"}, {"turn": 1, "text": "现在疼的厉害吗？按着疼痛加重了吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "就是早上醒来深呼吸有点疼", "role": "patient"}, {"turn": 4, "text": "按着也不疼", "role": "patient"}, {"turn": 5, "text": "发现有几天了", "role": "doctor"}, {"turn": 6, "text": "一星期吧", "role": "patient"}, {"turn": 7, "text": "也不是天天都这样", "role": "patient"}, {"turn": 8, "text": "还有其他不舒服的吗？如反酸恶心。", "role": "doctor"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "我觉得是不是呼吸上面的问题", "role": "patient"}, {"turn": 11, "text": "以前没有受过外伤吗", "role": "doctor"}, {"turn": 12, "text": "再一个就是。岔气。", "role": "doctor"}, {"turn": 13, "text": "没有受伤过", "role": "patient"}, {"turn": 14, "text": "我这种情况严重吗", "role": "patient"}, {"turn": 15, "text": "休息几天就好", "role": "doctor"}, {"turn": 16, "text": "好的 谢谢啊", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 937, "thread": [{"turn": 0, "text": "。。。。。内痔怎么办（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "内痔主要的临床表现是出血，这种出血多是无疼性出血，一般是鲜红色的，有时候为手纸带血，滴血，厉害时为喷射状出血，便后出血停止。在饮酒，疲劳，过食辛辣食物，便秘后出血情况加重。出血厉害后可以导致继发性贫血。另外就是脱出，可见淡红色的疙瘩脱出肛门外，一般轻度的可以自己在排便后回到肛门里面，厉害的话不能回去后导致内痔脱出嵌顿。内痔一般不疼，但是如果厉害到内痔脱出嵌顿的时候就会引起水肿血栓形成，糜烂坏死，可有剧烈疼痛。第三就是内痔反复脱出，分泌物增多可以导致肛门潮湿，分泌物长期刺激肛周皮肤，容易引发湿疹，瘙痒。", "role": "doctor"}, {"turn": 3, "text": "断断续续两三个月", "role": "patient"}, {"turn": 4, "text": "嗯", "role": "doctor"}, {"turn": 5, "text": "什么情况断断续续三个月", "role": "doctor"}, {"turn": 6, "text": "手纸带血", "role": "patient"}, {"turn": 7, "text": "嗯，用过什么药物吗？", "role": "doctor"}, {"turn": 8, "text": "吃过一点药具体是什么记不清了", "role": "patient"}, {"turn": 9, "text": "有用吗？", "role": "doctor"}, {"turn": 10, "text": "有效果", "role": "patient"}, {"turn": 11, "text": "嗯，那可以继续用的", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "请问你还需要什么帮助吗？可以点击我的头像关 注我，随时咨询我的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 938, "thread": [{"turn": 0, "text": "猫咬伤出了一点血怎么办（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好！马上给您解答。", "role": "doctor"}, {"turn": 2, "text": "首先进行伤口处理，伤口用20％肥皂水或者流动的水反复冲洗15分钟以上，再用碘伏或75%酒精消毒，24小时内注射狂犬疫苗。", "role": "doctor"}, {"turn": 3, "text": "有必要注射血清吗", "role": "patient"}, {"turn": 4, "text": "如果伤口小", "role": "doctor"}, {"turn": 5, "text": "可以不用打血清", "role": "doctor"}, {"turn": 6, "text": "只打狂犬疫苗的", "role": "doctor"}, {"turn": 7, "text": "是牛皮癣患者", "role": "patient"}, {"turn": 8, "text": "可以打疫苗吗", "role": "patient"}, {"turn": 9, "text": "目前严重吗", "role": "doctor"}, {"turn": 10, "text": "正在治疗，快好了", "role": "patient"}, {"turn": 11, "text": "哦！", "role": "doctor"}, {"turn": 12, "text": "那么就可以打的", "role": "doctor"}, {"turn": 13, "text": "正在用外用药卡泊三醇和阿达帕林，会和疫苗冲突吗", "role": "patient"}, {"turn": 14, "text": "您好", "role": "patient"}, {"turn": 15, "text": "你还要用多长时间", "role": "doctor"}, {"turn": 16, "text": "是外用药物吗", "role": "doctor"}, {"turn": 17, "text": "如果是外用药物，对打疫苗没有什么影响的", "role": "doctor"}, {"turn": 18, "text": "是的，还没好利索得继续用", "role": "patient"}, {"turn": 19, "text": "哦", "role": "doctor"}, {"turn": 20, "text": "打疫苗期间，用不用停用外用药？", "role": "patient"}, {"turn": 21, "text": "不用停，可以少用一些", "role": "doctor"}, {"turn": 22, "text": "血清和白蛋白是一种东西吗", "role": "patient"}, {"turn": 23, "text": "差不多，都是抗体", "role": "doctor"}, {"turn": 24, "text": "只是有人会对血清过敏", "role": "doctor"}, {"turn": 25, "text": "需要做皮试", "role": "doctor"}, {"turn": 26, "text": "预防狂犬病注射的是血清还是白蛋白呢？", "role": "patient"}, {"turn": 27, "text": "都不是", "role": "doctor"}, {"turn": 28, "text": "是单独的狂犬疫苗", "role": "doctor"}, {"turn": 29, "text": "血清和免费球蛋白是血液制品", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 939, "thread": [{"turn": 0, "text": "老人风湿疼痛严重怎么治（男，73岁）", "role": "patient"}, {"turn": 1, "text": "你好，有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "哪些地方疼痛？", "role": "doctor"}, {"turn": 3, "text": "做过什么检查吗？", "role": "doctor"}, {"turn": 4, "text": "没有做过检查", "role": "patient"}, {"turn": 5, "text": "小腿肌肉抽痛", "role": "patient"}, {"turn": 6, "text": "老人就是痛的睡不了觉", "role": "patient"}, {"turn": 7, "text": "是不是缺钙啊？", "role": "doctor"}, {"turn": 8, "text": "有点缺钙", "role": "patient"}, {"turn": 9, "text": "先补钙看看吧", "role": "doctor"}, {"turn": 10, "text": "不一定就是风湿病", "role": "doctor"}, {"turn": 11, "text": "口服钙尔奇和骨化三醇", "role": "doctor"}, {"turn": 12, "text": "小腿肌肉疼痛补钙有用吗？", "role": "patient"}, {"turn": 13, "text": "还要注意有没有血栓", "role": "doctor"}, {"turn": 14, "text": "肌间静脉或者动脉血栓", "role": "doctor"}, {"turn": 15, "text": "可以查一下血管彩超检查看看有没有问题", "role": "doctor"}, {"turn": 16, "text": "谢谢医生", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 940, "thread": [{"turn": 0, "text": "早上起床后口干舌燥偏头痛（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "以前也有过，后来又没有了，近一个星期又有了", "role": "patient"}, {"turn": 3, "text": "偏头痛的时候胃也不好，吃什么吐什么", "role": "patient"}, {"turn": 4, "text": "过年的时候做了子宫肌瘤切除手术。后面一阵子没有偏头痛了", "role": "patient"}, {"turn": 5, "text": "但是后面就总是整个人很燥热，睡醒就口干舌燥嗯", "role": "patient"}, {"turn": 6, "text": "然后前天偏头痛，吃了一颗布洛芬，不痛了，今天晚上睡醒就口干舌头，偏头痛也来了", "role": "patient"}, {"turn": 7, "text": "做过血糖检查吗", "role": "doctor"}, {"turn": 8, "text": "上年快过年的时候做过，今年还没有", "role": "patient"}, {"turn": 9, "text": "每天睡眠不好吗", "role": "doctor"}, {"turn": 10, "text": "最近是11点之后才睡", "role": "patient"}, {"turn": 11, "text": "平时饮水少吗", "role": "doctor"}, {"turn": 12, "text": "睡眠质量好吗，还伴有其他什么不适？如发热或怕冷，流涕喷嚏，鼻咽喉部等五官不适？", "role": "doctor"}, {"turn": 13, "text": "如无睡眠不好，无感冒，无伴有其他什么不适，可服用布洛芬或扑热息痛止痛，口干舌燥，可用金银花，麦冬，泡水当茶饮", "role": "doctor"}, {"turn": 14, "text": "注意早睡早起，适度锻炼身体，如不见好转建议去医院看下神经内科，做下头部ct检查，经颅多普勒检查看血管血流有问题不", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 941, "thread": [{"turn": 0, "text": "妊娠反应呕吐厉害会影响身体健康吗？（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "您平时能不能自己吃点东西？", "role": "doctor"}, {"turn": 3, "text": "有大便情况怎么样？", "role": "doctor"}, {"turn": 4, "text": "都是晚上呕吐呢", "role": "patient"}, {"turn": 5, "text": "白天正常吗？", "role": "doctor"}, {"turn": 6, "text": "白天上班正常", "role": "patient"}, {"turn": 7, "text": "你这种情况有多久了？", "role": "doctor"}, {"turn": 8, "text": "晚上把吃晚饭的都吐出来了，", "role": "patient"}, {"turn": 9, "text": "一个月了吧", "role": "patient"}, {"turn": 10, "text": "你大便情况正常吗？", "role": "doctor"}, {"turn": 11, "text": "正常", "role": "patient"}, {"turn": 12, "text": "那您就不用担心，您目前的情况，说明机体代谢还是正常，不影响胎儿。", "role": "doctor"}, {"turn": 13, "text": "呕吐这么厉害要注意什么呢，医生", "role": "patient"}, {"turn": 14, "text": "注意每次少吃多餐，不要吃生冷冰冻食物，可以煲点陈皮干姜水喝，可以帮助缓解症状", "role": "doctor"}, {"turn": 15, "text": "吐真是难受死了", "role": "patient"}, {"turn": 16, "text": "吃水果可以吗？", "role": "patient"}, {"turn": 17, "text": "您可以补液治疗，也可以口服维生素Ｂ6片，帮助缓解症状", "role": "doctor"}, {"turn": 18, "text": "可以吃水果", "role": "doctor"}, {"turn": 19, "text": "现在半夜了还想吐呢", "role": "patient"}, {"turn": 20, "text": "可以服用维生素Ｂ6片，帮助缓解症状。也可以考虑去医院补液治疗", "role": "doctor"}, {"turn": 21, "text": "这样吐会影响胎儿发育吗？医生", "role": "patient"}, {"turn": 22, "text": "你每天都有大便，只是晚上才会有呕吐，说明机体代谢正常，不影响胎儿", "role": "doctor"}, {"turn": 23, "text": "好，知道", "role": "patient"}, {"turn": 24, "text": "💝", "role": "doctor"}, {"turn": 25, "text": "谢谢医生", "role": "patient"}, {"turn": 26, "text": "晚安", "role": "patient"}, {"turn": 27, "text": "💝💝💝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 942, "thread": [{"turn": 0, "text": "幽门螺旋杆菌hp****严重吗（女，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这报告提示有幽门螺杆菌感染，不严重的。", "role": "doctor"}, {"turn": 2, "text": "建议你先杀菌治疗。", "role": "doctor"}, {"turn": 3, "text": "开了4联，需要吃多久呢", "role": "patient"}, {"turn": 4, "text": "2周", "role": "doctor"}, {"turn": 5, "text": "我儿子是103，也开了4连，开了20多天的，需要吃这么常时间吗", "role": "patient"}, {"turn": 6, "text": "他12岁", "role": "patient"}, {"turn": 7, "text": "你儿子如果没有症状，就不要口服药物治疗。", "role": "doctor"}, {"turn": 8, "text": "他有时经常肚子疼，儿且不愿吃饭还很瘦", "role": "patient"}, {"turn": 9, "text": "我觉得你儿子不必杀菌。", "role": "doctor"}, {"turn": 10, "text": "也不长个子", "role": "patient"}, {"turn": 11, "text": "这个跟幽门螺杆菌感染没有必然联系。", "role": "doctor"}, {"turn": 12, "text": "这里的大夫给开了药", "role": "patient"}, {"turn": 13, "text": "现在其它人都不干往我家里来了", "role": "patient"}, {"turn": 14, "text": "不用口服，况且杀菌治疗疗程最多两周。", "role": "doctor"}, {"turn": 15, "text": "奥，那都吃2周就可以是吧", "role": "patient"}, {"turn": 16, "text": "我小女儿才2岁应该也有，不用管他就行是吧", "role": "patient"}, {"turn": 17, "text": "是的", "role": "doctor"}, {"turn": 18, "text": "还有我吃了这个4联的药胃就不舒服，是这个药的副作用吗？", "role": "patient"}, {"turn": 19, "text": "你具体口服哪4种药。", "role": "doctor"}, {"turn": 20, "text": "没查之前没有胃难受过，就有时肚子凉咕噜咕噜的有时也疼，", "role": "patient"}, {"turn": 21, "text": "克拉霉素，雷贝拉唑钠肠溶胶囊，阿莫西林，丽珠得乐", "role": "patient"}, {"turn": 22, "text": "部分人口服克拉霉素会的。", "role": "doctor"}, {"turn": 23, "text": "奥好的，谢谢，那这个4联就服用2周就可以是吧", "role": "patient"}, {"turn": 24, "text": "是的", "role": "doctor"}, {"turn": 25, "text": "好的谢谢了", "role": "patient"}, {"turn": 26, "text": "不用谢", "role": "doctor"}, {"turn": 27, "text": "还有大夫我问问这个吹气的指标是多少正常啊", "role": "patient"}, {"turn": 28, "text": "我做的好像是c14的", "role": "patient"}, {"turn": 29, "text": "不同检测方法正常值是不一样的，在我医院碳14呼气试验正常值是在50以下。", "role": "doctor"}, {"turn": 30, "text": "奥，那我检测的也是50以下，那超过50就待吃药吗", "role": "patient"}, {"turn": 31, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 943, "thread": [{"turn": 0, "text": "脾虚便秘可以吃补脾益肠丸么（女，18岁）", "role": "patient"}, {"turn": 1, "text": "这个药主要治疗脾虚泻泄的", "role": "doctor"}, {"turn": 2, "text": "不对证么", "role": "patient"}, {"turn": 3, "text": "那应该吃啥", "role": "patient"}, {"turn": 4, "text": "建议您应该先健脾益气，可服用健脾丸", "role": "doctor"}, {"turn": 5, "text": "哦哦，，那我要重新买么", "role": "patient"}, {"turn": 6, "text": "您这个药也有一定健脾益气的作用", "role": "doctor"}, {"turn": 7, "text": "您主要是大便解不出来还是大便干？", "role": "doctor"}, {"turn": 8, "text": "大便不成型，，，解不出来，", "role": "patient"}, {"turn": 9, "text": "大便粘吗", "role": "doctor"}, {"turn": 10, "text": "粘", "role": "patient"}, {"turn": 11, "text": "又烂又粘", "role": "patient"}, {"turn": 12, "text": "平时容易疲乏劳累吗？", "role": "doctor"}, {"turn": 13, "text": "我有结肠炎", "role": "patient"}, {"turn": 14, "text": "哦、那您就更不能随便吃药啦", "role": "doctor"}, {"turn": 15, "text": "那我现在吃什么药呢", "role": "patient"}, {"turn": 16, "text": "您结肠炎多久了", "role": "doctor"}, {"turn": 17, "text": "最近有没有复查", "role": "doctor"}, {"turn": 18, "text": "半年了，没有复查，，，之前治疗的，，，效果不好，，，后面就没我了", "role": "patient"}, {"turn": 19, "text": "之前吃什么药还记得吗？吃了多久", "role": "doctor"}, {"turn": 20, "text": "吃的中药，，吃了一个月左右", "role": "patient"}, {"turn": 21, "text": "建议您再去复查看看，结肠炎是个慢性病，中药治疗效果本来就会慢些，坚持服药才行，另外饮食上也得注意才行", "role": "doctor"}, {"turn": 22, "text": "哦哦，谢谢。。结肠炎要多久会癌变啊！因为现在大学期间，在外地，也不能去开药", "role": "patient"}, {"turn": 23, "text": "建议您去医院复查看看，也许您不严重，慢慢恢复了呢、不要那么紧张，", "role": "doctor"}, {"turn": 24, "text": "外地也可以吃药啊，现在有中药颗粒制剂、热水冲服即可，很方便，不要耽误治疗才是啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 944, "thread": [{"turn": 0, "text": "腰扭伤了怎么老想小便（女，63岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答，扭伤了多久了", "role": "doctor"}, {"turn": 2, "text": "一般只是腰部扭伤的话是不会引起尿频的", "role": "doctor"}, {"turn": 3, "text": "下午", "role": "patient"}, {"turn": 4, "text": "大约多久一次小便", "role": "doctor"}, {"turn": 5, "text": "有没有做过检查", "role": "doctor"}, {"turn": 6, "text": "从13点到现在上了5次小便了", "role": "patient"}, {"turn": 7, "text": "没有去检查", "role": "patient"}, {"turn": 8, "text": "建议您做一个泌尿系的彩超看一下", "role": "doctor"}, {"turn": 9, "text": "腰部具体是怎么扭伤的", "role": "doctor"}, {"turn": 10, "text": "是泌尿科？和腰没有关系", "role": "patient"}, {"turn": 11, "text": "不小心摔倒了", "role": "patient"}, {"turn": 12, "text": "一般腰部扭伤不会引起小便次数增加的，这种情况最好是做个泌尿系彩超和腰椎ct", "role": "doctor"}, {"turn": 13, "text": "不动不疼，一动就疼。喷了云南白药又贴了膏药", "role": "patient"}, {"turn": 14, "text": "贴膏药后有缓解么", "role": "doctor"}, {"turn": 15, "text": "有好一点，不动就不疼。腰有点发热。开始冷敷了的", "role": "patient"}, {"turn": 16, "text": "嗯嗯，建议平躺休息", "role": "doctor"}, {"turn": 17, "text": "腿脚有麻木么", "role": "doctor"}, {"turn": 18, "text": "哦！休息一晚明天去检查应该不影响吧", "role": "patient"}, {"turn": 19, "text": "不麻", "role": "patient"}, {"turn": 20, "text": "不影响的", "role": "doctor"}, {"turn": 21, "text": "好的。谢谢", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 945, "thread": [{"turn": 0, "text": "左耳一直耳鸣这几天怎么回事（男，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问听力有影响吗？", "role": "doctor"}, {"turn": 2, "text": "基本没影响，但是捂住耳朵感觉左耳没有右耳听力好", "role": "patient"}, {"turn": 3, "text": "发病的情况是什么样的？是早上一起床就突然发现耳鸣的还是其他的时间段？", "role": "doctor"}, {"turn": 4, "text": "晚上开始注意的，现在好想一直有，现在也有，", "role": "patient"}, {"turn": 5, "text": "只要周围安静下来，左耳就很明显", "role": "patient"}, {"turn": 6, "text": "你最近有没有接触噪音或者疲劳熬夜的情况？或者情绪压力大的情况。", "role": "doctor"}, {"turn": 7, "text": "有熬夜，基本12点以后休息，偶尔一点多", "role": "patient"}, {"turn": 8, "text": "情绪激动紧张也有过最近，", "role": "patient"}, {"turn": 9, "text": "如果你耳鸣症状一直持续的话，建议你要到医院尽早去就诊检查一下。有的人可能只是一个单纯性的耳鸣，有的可能会有一个突发性耳聋的情况。如果是后一种情况的话，那是需要及时用药治疗的，检查的结果如果比较重的话，可能还需要住院治疗。", "role": "doctor"}, {"turn": 10, "text": "这么严重吗", "role": "patient"}, {"turn": 11, "text": "不一定有这么重，但是还是要排除一下这种情况的可能性。因为如果是这种情况的话，那就要尽早治疗。拖延不治会导致错过最佳的治疗时机。", "role": "doctor"}, {"turn": 12, "text": "嗯，", "role": "patient"}, {"turn": 13, "text": "最近要注意保证休息和睡眠。", "role": "doctor"}, {"turn": 14, "text": "嗯嗯，好的，谢谢，", "role": "patient"}, {"turn": 15, "text": "不客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 946, "thread": [{"turn": 0, "text": "四十几天的宝宝消化不良怎么办", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "宝宝胃口变差了，肚子有点空响，放屁，有时候奶嘴放嘴里想呕吐，刚吃就立马吐出来 都听到肚子的响，大便时候很用力，拉出来才舒服一点", "role": "patient"}, {"turn": 3, "text": "这是消化不良还是什么？要去医院吗", "role": "patient"}, {"turn": 4, "text": "孩子体重和奶量是多少", "role": "doctor"}, {"turn": 5, "text": "奶量现在60，", "role": "patient"}, {"turn": 6, "text": "好像吃下去难消化，以前胃口很好，月子里吃六十", "role": "patient"}, {"turn": 7, "text": "体重多少", "role": "doctor"}, {"turn": 8, "text": "体重生下来6.3目前不知道呢", "role": "patient"}, {"turn": 9, "text": "60毫升奶量对于40多天的孩子不算多，但是如果出现你说的症状，孩子还是有腹胀，可以口服一些益生菌", "role": "doctor"}, {"turn": 10, "text": "益生菌吃了有一个星期了，没什么效果，我们在二十几天的时候住了几天院，从那出院以后肠胃才这样的", "role": "patient"}, {"turn": 11, "text": "那就慢慢来吧，住院输消炎药也会导致消化不良", "role": "doctor"}, {"turn": 12, "text": "在医院医生减量喂养了，回来之后吃奶明显没之前好了，胃口也差", "role": "patient"}, {"turn": 13, "text": "舌苔也很白厚", "role": "patient"}, {"turn": 14, "text": "肠胃功能差吗", "role": "patient"}, {"turn": 15, "text": "光吃益生菌有用吗？", "role": "patient"}, {"turn": 16, "text": "两顿奶中间要喂水，顺时针按摩腹部", "role": "doctor"}, {"turn": 17, "text": "可以吃醒脾养儿颗粒加益生菌调理吗", "role": "patient"}, {"turn": 18, "text": "我觉得孩子是属消炎药引起的菌群失调，醒睥养儿对脾虚泻有关，", "role": "doctor"}, {"turn": 19, "text": "就是吃不多少，还老要呕吐，有时候一吐一大堆", "role": "patient"}, {"turn": 20, "text": "如果这么严重，最好医院就诊，完善相关检查，", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 947, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脑袋晕耳鸣（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "耳鸣头晕", "role": "patient"}, {"turn": 3, "text": "67年了", "role": "patient"}, {"turn": 4, "text": "右耳禅叫声非常严重", "role": "patient"}, {"turn": 5, "text": "听力有问题吗", "role": "doctor"}, {"turn": 6, "text": "看东西转吗", "role": "doctor"}, {"turn": 7, "text": "听力明显下降很多去医院查过", "role": "patient"}, {"turn": 8, "text": "有一点晕不转", "role": "patient"}, {"turn": 9, "text": "做过哪些检查 能否发给我看下", "role": "doctor"}, {"turn": 10, "text": "只检查过听力", "role": "patient"}, {"turn": 11, "text": "明显下降很多", "role": "patient"}, {"turn": 12, "text": "结果能发给我看下吗", "role": "doctor"}, {"turn": 13, "text": "耳鸣这病，好治吗，我都没有信心了", "role": "patient"}, {"turn": 14, "text": "结果都弄丢了，检查有半年了快，一共检查过两次，都是听力下降", "role": "patient"}, {"turn": 15, "text": "要看情况", "role": "doctor"}, {"turn": 16, "text": "有些有明确疾病引起来的", "role": "doctor"}, {"turn": 17, "text": "是可以治疗的", "role": "doctor"}, {"turn": 18, "text": "像我这能治疗吗", "role": "patient"}, {"turn": 19, "text": "我要知道你是什么问题啊", "role": "doctor"}, {"turn": 20, "text": "你问", "role": "patient"}, {"turn": 21, "text": "你有什么检查", "role": "doctor"}, {"turn": 22, "text": "我知道的就这么多，右耳耳鸣67年了，这两年又严重了，去医院检查听力，右耳基本听不见了", "role": "patient"}, {"turn": 23, "text": "都是需要什么检查可以检查出来", "role": "patient"}, {"turn": 24, "text": "混合音禅叫，还有一个说不出来的", "role": "patient"}, {"turn": 25, "text": "能不能判断，出什么原因，", "role": "patient"}, {"turn": 26, "text": "在吗", "role": "patient"}, {"turn": 27, "text": "在吗", "role": "patient"}, {"turn": 28, "text": "都是需要我做哪个检查", "role": "patient"}, {"turn": 29, "text": "退钱", "role": "patient"}, {"turn": 30, "text": "不咨询了，", "role": "patient"}, {"turn": 31, "text": "忽悠人呢，半天不吭声", "role": "patient"}, {"turn": 32, "text": "睡着了了吧你", "role": "patient"}, {"turn": 33, "text": "退钱退钱", "role": "patient"}, {"turn": 34, "text": "不好意思 刚才有事出去了会", "role": "doctor"}, {"turn": 35, "text": "只是单纯耳鸣 没有看东西转？", "role": "doctor"}, {"turn": 36, "text": "头晕有头痛吗", "role": "doctor"}, {"turn": 37, "text": "听力下降到什么程度", "role": "doctor"}, {"turn": 38, "text": "退钱不问了", "role": "patient"}, {"turn": 39, "text": "你什么问题也解决不了", "role": "patient"}, {"turn": 40, "text": "我要睡觉了，困了你这人不行，询问半天，不吭声啥问题也解决不了", "role": "patient"}, {"turn": 41, "text": "退钱", "role": "patient"}, {"turn": 42, "text": "不退举报你", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 948, "thread": [{"turn": 0, "text": "女 已育 30 天天便秘 有什么好方法吗（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好 大便颜色没有异常吧", "role": "doctor"}, {"turn": 2, "text": "烂 不是太好 上了 天天也感觉上了一半 是不是病啊 谢谢医生", "role": "patient"}, {"turn": 3, "text": "医生怎么办啊 谢谢", "role": "patient"}, {"turn": 4, "text": "做过什么检查么", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "有吃过什么药么", "role": "doctor"}, {"turn": 7, "text": "拉肚子的那个几块钱的不记得什么名字了 吃了5科也没什么用 肚子已经是铜墙铁壁了 就是便秘 怎么办啊 医生 谢谢", "role": "patient"}, {"turn": 8, "text": "平时爱吃辛辣刺激食物么 有没有吃过乳果糖类似的缓泻剂？", "role": "doctor"}, {"turn": 9, "text": "喜欢辣的 没吃过", "role": "patient"}, {"turn": 10, "text": "可以买一些吃一下 效果不错 一天早晚各一包", "role": "doctor"}, {"turn": 11, "text": "备孕不敢吃 便秘严重者还有什么别的方法吗", "role": "patient"}, {"turn": 12, "text": "乳果糖不影响备孕", "role": "doctor"}, {"turn": 13, "text": "如果怕 那就只能多吃蜂蜜 香蕉等润便的食物了", "role": "doctor"}, {"turn": 14, "text": "饮食啥的呢", "role": "patient"}, {"turn": 15, "text": "清淡些", "role": "doctor"}, {"turn": 16, "text": "灌肠可以吗", "role": "patient"}, {"turn": 17, "text": "又不能天天灌肠", "role": "doctor"}, {"turn": 18, "text": "乳果糖是缓泻剂 可以吃", "role": "doctor"}, {"turn": 19, "text": "好的 谢谢医生  乳果糖药店买的到吗", "role": "patient"}, {"turn": 20, "text": "可以买到的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 949, "thread": [{"turn": 0, "text": "耳鸣里面一直流水，还有非常刺耳的声音（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，多久了？耳朵痛不痛痒不痒？听力下降没？流黄色臭水吗", "role": "doctor"}, {"turn": 2, "text": "大概五六个月了吧！有点痒，有时候里面会有振动一下", "role": "patient"}, {"turn": 3, "text": "流水还臭", "role": "patient"}, {"turn": 4, "text": "那你肯定有化脓性中耳炎，", "role": "doctor"}, {"turn": 5, "text": "听力我也不知道有没有下降，中间有吃药，但是都没有好", "role": "patient"}, {"turn": 6, "text": "那我应该怎么办？吃点什么药呢", "role": "patient"}, {"turn": 7, "text": "一直耳鸣，还很刺耳，想问下医生，我耳鸣和中耳炎都会有什么引起的？", "role": "patient"}, {"turn": 8, "text": "你这个这长时间了，打针治疗吧！头孢呋辛，用氧氟沙星滴耳液，吃切诺，每天医院清洗，规律治疗，不要在院外三天打网两天炸鱼", "role": "doctor"}, {"turn": 9, "text": "需要每天清理吗", "role": "patient"}, {"turn": 10, "text": "中耳炎能造成耳鸣，而且关系可能很大，你考虑是中耳炎引起耳鸣，如果中耳炎好了，还有耳鸣那可能就是神经性了，你现在考虑中耳炎引起", "role": "doctor"}, {"turn": 11, "text": "前面每天清洗，后面慢慢间隔长", "role": "doctor"}, {"turn": 12, "text": "嗯", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "patient"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "那我耳鸣会造成失聪吗？", "role": "patient"}, {"turn": 16, "text": "不会失聪，你把中耳炎治疗好，不要在外面拖，不然对你以后听力不好", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 18, "text": "不用谢(≧∇≦*)", "role": "doctor"}, {"turn": 19, "text": "我是陈灿医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 950, "thread": [{"turn": 0, "text": "46天的宝宝消化不良怎么办（女，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "腹胀，呛奶，吐奶", "role": "patient"}, {"turn": 3, "text": "吐奶严重吗？每次都吐？吃完多久吐？", "role": "doctor"}, {"turn": 4, "text": "刚刚喂了点水，也吐了好多", "role": "patient"}, {"turn": 5, "text": "下午吐的奶很稠，不多", "role": "patient"}, {"turn": 6, "text": "多久了？", "role": "doctor"}, {"turn": 7, "text": "这两天", "role": "patient"}, {"turn": 8, "text": "哦。不咳嗽吧？", "role": "doctor"}, {"turn": 9, "text": "不咳嗽", "role": "patient"}, {"turn": 10, "text": "哦。吃点益生菌，贴贴肚脐贴吧。", "role": "doctor"}, {"turn": 11, "text": "刚刚喂了双歧杆菌", "role": "patient"}, {"turn": 12, "text": "双歧杆菌和妈咪爱哪种效果好", "role": "patient"}, {"turn": 13, "text": "这两天嘴里经常吐泡泡", "role": "patient"}, {"turn": 14, "text": "吃妈咪爱吧。", "role": "doctor"}, {"turn": 15, "text": "嗯。呛奶次数多吗", "role": "doctor"}, {"turn": 16, "text": "今天发现囟门忽闪忽闪的，以前没有", "role": "patient"}, {"turn": 17, "text": "10次有8次都呛奶", "role": "patient"}, {"turn": 18, "text": "呛奶好几天了", "role": "patient"}, {"turn": 19, "text": "打嗝次数也多，吃一次奶能打好几个嗝", "role": "patient"}, {"turn": 20, "text": "嗯。所以我问有咳嗽吗。宝宝嘴里吐泡泡，呛奶，建议去医院看一下，容易肺炎。", "role": "doctor"}, {"turn": 21, "text": "嗯", "role": "patient"}, {"turn": 22, "text": "嗯。宝宝太小了，还是重视一下。去医院面诊一下。", "role": "doctor"}, {"turn": 23, "text": "45天体重就增加2斤4两正常不", "role": "patient"}, {"turn": 24, "text": "体重增长的还可以。", "role": "doctor"}, {"turn": 25, "text": "她一直哭着想吃，我又不敢喂太多，怎么办", "role": "patient"}, {"turn": 26, "text": "喂了奶竖着宝宝拍拍。可以少量多次的喂。", "role": "doctor"}, {"turn": 27, "text": "嗯", "role": "patient"}, {"turn": 28, "text": "👌", "role": "doctor"}, {"turn": 29, "text": "妈咪爱一次吃多少", "role": "patient"}, {"turn": 30, "text": "一次半袋，一天两次。", "role": "doctor"}, {"turn": 31, "text": "刚刚吃了双歧杆菌，现在还敢吃妈咪爱吗", "role": "patient"}, {"turn": 32, "text": "还有就是她肚子经常咕噜咕噜的", "role": "patient"}, {"turn": 33, "text": "大便还可以，一天1-2次", "role": "patient"}, {"turn": 34, "text": "可以吃的。", "role": "doctor"}, {"turn": 35, "text": "好的，谢谢", "role": "patient"}, {"turn": 36, "text": "我最近有点上火，敢喝蒲公英水吗？", "role": "patient"}, {"turn": 37, "text": "别喝了，宝宝现在还腹泻。注意下饮食吧。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 951, "thread": [{"turn": 0, "text": "混合痔，有没有必要做手术（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有疼痛出血现象吗？", "role": "doctor"}, {"turn": 2, "text": "没有疼痛，但是偶尔就会有便血的情况", "role": "patient"}, {"turn": 3, "text": "便血是什么颜色的？", "role": "doctor"}, {"turn": 4, "text": "是滴血还是喷射性出血？", "role": "doctor"}, {"turn": 5, "text": "手纸上带有血", "role": "patient"}, {"turn": 6, "text": "血是什么颜色的？", "role": "doctor"}, {"turn": 7, "text": "颜色比较鲜", "role": "patient"}, {"turn": 8, "text": "根据你描述的症状，考虑内痔出血的可能性大，建议你便后用温水坐浴5分钟，再用痔疮栓或者痔疮膏塞肛保守治疗，平时要注意清淡饮食，多吃新鲜的蔬菜水果，保持大便通畅。如果药物保守治疗1周没有效果，建议及时到医院的肛肠科检查治疗。（止血效果好的痔疮栓有太宁栓或者普济痔疮栓。）", "role": "doctor"}, {"turn": 9, "text": "就是正常的颜色", "role": "patient"}, {"turn": 10, "text": "痔疮治疗应遵循三个原则： 1、无症状的痔无需治疗； 2、有症状的痔重在减轻或消除症状，以保守治疗为主，而非根治； 3、如果痔经常出血或出血量多，经常出现疼痛或疼痛严重，脱出不能自行还纳或难以还纳严重影响生活，这时才考虑手术治疗。 记住了这三个原则就不会轻易被忽悠去做一些不必要的手术。", "role": "doctor"}, {"turn": 11, "text": "我去差不多七八个月前有过一次便血，后面就没有了，然后到前一两个月又便血，那段时间饮食都是吃外卖，一天会便血两三次，但是只是一天然后就又正常了", "role": "patient"}, {"turn": 12, "text": "昨天医生看完检查问我自己考虑一下要不要做，我不清楚要不要做，然后我问她如果不做会有什么影响，她说痔疮会越来越大，然后以后也要做，是这样吗", "role": "patient"}, {"turn": 13, "text": "痔疮的治疗一般是先用药保守治疗，如果药物保守治疗效果不好才要手术治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 952, "thread": [{"turn": 0, "text": "你好，头经常晕乎乎的，并且还有耳鸣（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问这种情况有多长时间了", "role": "doctor"}, {"turn": 2, "text": "时间长了，两年左右了", "role": "patient"}, {"turn": 3, "text": "多久了？原还有何病？", "role": "doctor"}, {"turn": 4, "text": "我去医院检查过，我拍片，我有颈椎病", "role": "patient"}, {"turn": 5, "text": "耳鸣是什么样的声音？", "role": "doctor"}, {"turn": 6, "text": "吱吱吱的", "role": "patient"}, {"turn": 7, "text": "耳鼻喉科就诊过吗？听力下降吗？", "role": "doctor"}, {"turn": 8, "text": "没有检查过", "role": "patient"}, {"turn": 9, "text": "听力这几天有一点下降了", "role": "patient"}, {"turn": 10, "text": "具体报告单发给我", "role": "doctor"}, {"turn": 11, "text": "那个片子不见了", "role": "patient"}, {"turn": 12, "text": "多久查的", "role": "doctor"}, {"turn": 13, "text": "我检查过，那个颈椎直的", "role": "patient"}, {"turn": 14, "text": "去年12月份", "role": "patient"}, {"turn": 15, "text": "一般什么情况会出现", "role": "doctor"}, {"turn": 16, "text": "耳鸣，一天没有精神，头晕乎乎的，没力", "role": "patient"}, {"turn": 17, "text": "中午", "role": "patient"}, {"turn": 18, "text": "是否频繁手淫", "role": "doctor"}, {"turn": 19, "text": "有一点", "role": "patient"}, {"turn": 20, "text": "运动如何", "role": "doctor"}, {"turn": 21, "text": "基本没怎么运动", "role": "patient"}, {"turn": 22, "text": "就是手工活", "role": "patient"}, {"turn": 23, "text": "有无其它疾病", "role": "doctor"}, {"turn": 24, "text": "还有晚上睡觉有时候醒了手麻", "role": "patient"}, {"turn": 25, "text": "没有", "role": "patient"}, {"turn": 26, "text": "手麻头晕是颈椎病引起", "role": "doctor"}, {"turn": 27, "text": "就是头昏呼呼的，", "role": "patient"}, {"turn": 28, "text": "手淫也会引起头昏", "role": "doctor"}, {"turn": 29, "text": "有时候睡觉要睡着的时候，突然一下失去意识，不过几秒就好了", "role": "patient"}, {"turn": 30, "text": "有可能是短暂性脑缺血", "role": "doctor"}, {"turn": 31, "text": "特别是热的时候头更晕乎乎", "role": "patient"}, {"turn": 32, "text": "是否有压力焦虑", "role": "doctor"}, {"turn": 33, "text": "在密闭的空间里面", "role": "patient"}, {"turn": 34, "text": "是的，因为我怕患上什么绝症", "role": "patient"}, {"turn": 35, "text": "心理精神作用也有关", "role": "doctor"}, {"turn": 36, "text": "我家里负担都是我，所以我考虑的太多", "role": "patient"}, {"turn": 37, "text": "不要担心太多", "role": "doctor"}, {"turn": 38, "text": "有掉悬崖的感觉", "role": "doctor"}, {"turn": 39, "text": "我这个大概是什么症状，医院可以给我一个症状吗", "role": "patient"}, {"turn": 40, "text": "有", "role": "patient"}, {"turn": 41, "text": "颈椎病，脑供血不足", "role": "doctor"}, {"turn": 42, "text": "压力焦虑", "role": "doctor"}, {"turn": 43, "text": "那我应该怎么治疗", "role": "patient"}, {"turn": 44, "text": "戒除手淫", "role": "doctor"}, {"turn": 45, "text": "释放压力，参加积极向上活动", "role": "doctor"}, {"turn": 46, "text": "每天骑单车", "role": "doctor"}, {"turn": 47, "text": "好的", "role": "patient"}, {"turn": 48, "text": "服用谷维素，六味地黄丸", "role": "doctor"}, {"turn": 49, "text": "我这个会不会的脑癌", "role": "patient"}, {"turn": 50, "text": "那就要至医院检查头颅磁共振排除下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 953, "thread": [{"turn": 0, "text": "胃吃东西就吐半有便秘（男，75岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这样的症状有多久了？", "role": "doctor"}, {"turn": 2, "text": "便秘有5天了，吃东西就吐有1天", "role": "patient"}, {"turn": 3, "text": "有腹痛吗？有大便？还是没有大便 排气吗？", "role": "doctor"}, {"turn": 4, "text": "都没有", "role": "patient"}, {"turn": 5, "text": "那你得去医院了 可能是肠梗阻了", "role": "doctor"}, {"turn": 6, "text": "吃啥都吐，喝水都想吐", "role": "patient"}, {"turn": 7, "text": "不排便排气  呕吐 很有可能是肠梗阻了", "role": "doctor"}, {"turn": 8, "text": "我是肺癌晚期，有脑转移和骨转移", "role": "patient"}, {"turn": 9, "text": "那是不是肠道也转转移了", "role": "doctor"}, {"turn": 10, "text": "和这些没有关系？", "role": "patient"}, {"turn": 11, "text": "有", "role": "doctor"}, {"turn": 12, "text": "去查查吧", "role": "doctor"}, {"turn": 13, "text": "8号刚复查完，没发现", "role": "patient"}, {"turn": 14, "text": "你8号就有这个症状？", "role": "doctor"}, {"turn": 15, "text": "肠道转移的话需要做什么检查", "role": "patient"}, {"turn": 16, "text": "肠镜或者钡餐  你现在需要做个腹平片或者腹部CT", "role": "doctor"}, {"turn": 17, "text": "没有吐，就有点刚便秘，以为一两天就好", "role": "patient"}, {"turn": 18, "text": "你现在不是进食后就呕吐？", "role": "doctor"}, {"turn": 19, "text": "要是肠梗阻需要查什么", "role": "patient"}, {"turn": 20, "text": "是的", "role": "patient"}, {"turn": 21, "text": "腹平片或者腹部CT", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "恩", "role": "doctor"}, {"turn": 24, "text": "现在已经9点多了，我要是明天早上起来在去医院行吗", "role": "patient"}, {"turn": 25, "text": "能现在去就现在去吧  这是个急腹症 需要马上处理的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 954, "thread": [{"turn": 0, "text": "经期，然后出现了一点褐色物，前一天同房了，但是做了安全措施（女，24岁）", "role": "patient"}, {"turn": 1, "text": "就是月经期间同房容易引起妇科的炎症，你如果没有什么不舒服就没事的。", "role": "doctor"}, {"turn": 2, "text": "保持清洁干净，用温开水洗干净了。", "role": "doctor"}, {"turn": 3, "text": "就是一些经期的问题", "role": "patient"}, {"turn": 4, "text": "现在经期", "role": "patient"}, {"turn": 5, "text": "你现在有什么不舒服的感觉吗？", "role": "doctor"}, {"turn": 6, "text": "你如果月经前一天同房没有什么影响。", "role": "doctor"}, {"turn": 7, "text": "就是经期存在的痛经，还有腰酸", "role": "patient"}, {"turn": 8, "text": "这个时候是在安全期也不会怀孕的。", "role": "doctor"}, {"turn": 9, "text": "你经期痛经就是你自己内分泌的问题，宫寒气血不通畅也会引起这种现象，你可以在月经来前7天找中医开中药调理调理", "role": "doctor"}, {"turn": 10, "text": "但就是现在按理说是经期，月经还不来，会出现有一点的血带些分泌物", "role": "patient"}, {"turn": 11, "text": "月经期间要注意腹部的保暖，多喝热水，不要吃凉的，辛辣的刺激性食物。", "role": "doctor"}, {"turn": 12, "text": "可以喝点益母草颗粒，喝点姜丝红糖水，有利于经血流出的。", "role": "doctor"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "那怀孕有什么征兆丫", "role": "patient"}, {"turn": 15, "text": "这个你怀孕刚刚同房也不会有什么反应的，一般同房10天以后化验血可以验出来是否怀孕，同房半个月以后试纸可以验出来是否怀孕。", "role": "doctor"}, {"turn": 16, "text": "距离末次月经40天左右，会有恶心呕吐，嗜睡，乏力疲倦的现象，刚同房以后不会有什么反应的。", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "不客气，祝愿身心健康一切平安", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 955, "thread": [{"turn": 0, "text": "郑哥，我从昨天半夜到现在就拉稀，拉了好几次，嗓子还难受，有痰。太害怕了。也不知道咋回事，还是恐。。。（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，抽血检查结果都已经排除了，不要再去恐了。", "role": "doctor"}, {"turn": 2, "text": "身体不舒服，就控制不住去想。会联想到，是不是艾滋病引起的这些症状。", "role": "patient"}, {"turn": 3, "text": "就一直怕一件事，害怕是不是感染了艾滋病没能查出来", "role": "patient"}, {"turn": 4, "text": "唉", "role": "patient"}, {"turn": 5, "text": "不知咋回事，控制不住去想", "role": "patient"}, {"turn": 6, "text": "告诉自己没事，还是会去想。", "role": "patient"}, {"turn": 7, "text": "按理说核酸也做了，应该没事了，可就像着魔一样害怕海善时不准确，就心慌了", "role": "patient"}, {"turn": 8, "text": "如果你认为症状是艾滋病，目前完全是可以检出来的。反过来说，目前抽血检查阴性，就说明目前症状跟艾滋病没有任何关系。", "role": "doctor"}, {"turn": 9, "text": "郑哥，有没有可能是被感染了没查出来？", "role": "patient"}, {"turn": 10, "text": "心里太难受了", "role": "patient"}, {"turn": 11, "text": "抗体也做了，医院测抗体肯定是准确的", "role": "doctor"}, {"turn": 12, "text": "不可能的", "role": "doctor"}, {"turn": 13, "text": "这是咋回事呢，唉。心里面就是不踏实。", "role": "patient"}, {"turn": 14, "text": "不要怀疑，要坚信检测结果", "role": "doctor"}, {"turn": 15, "text": "有时候在网上看，窗口期说多少的都有，活生生给我整复恐了", "role": "patient"}, {"turn": 16, "text": "那些人都不是专业的，乱说的", "role": "doctor"}, {"turn": 17, "text": "按说国家发布新标准肯定是权威的，可心里就是慌", "role": "patient"}, {"turn": 18, "text": "国家发布，那是官方的，肯定权威", "role": "doctor"}, {"turn": 19, "text": "怕自己是特殊体质?", "role": "patient"}, {"turn": 20, "text": "按说核酸和抗体也都查了", "role": "patient"}, {"turn": 21, "text": "就是过不去心里这关", "role": "patient"}, {"turn": 22, "text": "双保险排除了，放心啊", "role": "doctor"}, {"turn": 23, "text": "有没有什么让自己心安的办法吗", "role": "patient"}, {"turn": 24, "text": "现在每天只有和您沟通的时候心里踏实点", "role": "patient"}, {"turn": 25, "text": "找你平常兴趣的事情去做", "role": "doctor"}, {"turn": 26, "text": "相信核酸结果和抗体一个月的结果，如果被感染了一定已经查出来了", "role": "patient"}, {"turn": 27, "text": "三代一个月阴影了，肯定不会转阳了?", "role": "patient"}, {"turn": 28, "text": "不会转阳，已经排除感染，不可能转阳", "role": "doctor"}, {"turn": 29, "text": "谢谢您郑哥，我争取早点儿走出来", "role": "patient"}, {"turn": 30, "text": "快过年了，保持舒畅的心情过好年", "role": "doctor"}, {"turn": 31, "text": "郑哥，祝您新年快乐。我会尽快脱恐的", "role": "patient"}, {"turn": 32, "text": "感谢您", "role": "patient"}, {"turn": 33, "text": "好的，祝您健康！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 956, "thread": [{"turn": 0, "text": "孩子脚扭伤，拍片老的固定夹板，咨询一下（男，14）", "role": "patient"}, {"turn": 1, "text": "您好，有片子么，方便上传一下？", "role": "doctor"}, {"turn": 2, "text": "有片子", "role": "patient"}, {"turn": 3, "text": "我看下片子吧。", "role": "doctor"}, {"turn": 4, "text": "这是片", "role": "patient"}, {"turn": 5, "text": "脚踝肿么。脚踝屈伸活动情况怎么样。", "role": "doctor"}, {"turn": 6, "text": "不是特肿", "role": "patient"}, {"turn": 7, "text": "建议固定制动，观察看看，片子问题并不大。", "role": "doctor"}, {"turn": 8, "text": "往回勾脚有点疼痛", "role": "patient"}, {"turn": 9, "text": "一周后如果疼痛肿胀还很明显，建议再复查片子看一下。", "role": "doctor"}, {"turn": 10, "text": "那您的意见用夹板吗", "role": "patient"}, {"turn": 11, "text": "这个要是用药的话用啥药啊", "role": "patient"}, {"turn": 12, "text": "夹板或者石膏，即使是单纯扭伤，固定也有利于恢复的，", "role": "doctor"}, {"turn": 13, "text": "我觉得不需要。", "role": "doctor"}, {"turn": 14, "text": "用药了。", "role": "doctor"}, {"turn": 15, "text": "想用的话，可以加点迈之灵口服促进消肿。", "role": "doctor"}, {"turn": 16, "text": "好的谢谢", "role": "patient"}, {"turn": 17, "text": "不用谢。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 957, "thread": [{"turn": 0, "text": "做手术又有有霉菌性阴炎吃什么消炎药（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以口服氟康唑", "role": "doctor"}, {"turn": 2, "text": "你好，我需要吃消炎药，又不敢，吃了怕霉菌性阴道炎发", "role": "patient"}, {"turn": 3, "text": "我刚刚做了个足步开刀，有点发热", "role": "patient"}, {"turn": 4, "text": "哦哦明白了", "role": "doctor"}, {"turn": 5, "text": "可以吃", "role": "doctor"}, {"turn": 6, "text": "霉菌是经常吃消炎药才会", "role": "doctor"}, {"turn": 7, "text": "我上次医生开了一盒吃了两三天就有了", "role": "patient"}, {"turn": 8, "text": "头疱跟佛康搓可以同时服用吗", "role": "patient"}, {"turn": 9, "text": "你有没有霉菌性阴道炎？", "role": "doctor"}, {"turn": 10, "text": "就是吃了头疱就会发", "role": "patient"}, {"turn": 11, "text": "没有不要吃氟康唑，吃头孢就行", "role": "doctor"}, {"turn": 12, "text": "但是又必须吃消炎药现在", "role": "patient"}, {"turn": 13, "text": "先吃消炎药", "role": "doctor"}, {"turn": 14, "text": "消炎药有其他吃了不发的吗", "role": "patient"}, {"turn": 15, "text": "吃头孢就行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 958, "thread": [{"turn": 0, "text": "神经痛（偏头痛）应该怎么治疗（男，63岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这个症状有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "好几年了", "role": "patient"}, {"turn": 3, "text": "最近又犯了", "role": "patient"}, {"turn": 4, "text": "总是用止痛药顶着", "role": "patient"}, {"turn": 5, "text": "每次会持续多长时间", "role": "doctor"}, {"turn": 6, "text": "不吃药，总是一跳一跳的痛", "role": "patient"}, {"turn": 7, "text": "一般在什么时候发作", "role": "doctor"}, {"turn": 8, "text": "出门了，也说不好什么时候发作", "role": "patient"}, {"turn": 9, "text": "与受凉休息不好有没有关系？", "role": "doctor"}, {"turn": 10, "text": "有点关系", "role": "patient"}, {"turn": 11, "text": "具体哪个位置疼", "role": "doctor"}, {"turn": 12, "text": "前年针灸好些，现在又犯了", "role": "patient"}, {"turn": 13, "text": "右侧头部", "role": "patient"}, {"turn": 14, "text": "具体服用过什么药物", "role": "doctor"}, {"turn": 15, "text": "各种止痛药都吃过", "role": "patient"}, {"turn": 16, "text": "顶一会", "role": "patient"}, {"turn": 17, "text": "这种情况考虑是偏头痛", "role": "doctor"}, {"turn": 18, "text": "可以服用西比灵及清脑复神液等药物", "role": "doctor"}, {"turn": 19, "text": "注意要休息好", "role": "doctor"}, {"turn": 20, "text": "就这两种药物", "role": "patient"}, {"turn": 21, "text": "一般服用两种就可以，不行可以换用其他的", "role": "doctor"}, {"turn": 22, "text": "重在预防", "role": "doctor"}, {"turn": 23, "text": "怎么预防呢", "role": "patient"}, {"turn": 24, "text": "其他药物还有什么", "role": "patient"}, {"turn": 25, "text": "药物就有预防作用，不属于休息不好有关吗，保证休息", "role": "doctor"}, {"turn": 26, "text": "这就是预防", "role": "doctor"}, {"turn": 27, "text": "布洛芬胶囊，振源胶囊等", "role": "doctor"}, {"turn": 28, "text": "试试吧，谢谢", "role": "patient"}, {"turn": 29, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 959, "thread": [{"turn": 0, "text": "双侧甲状腺多发性结节严重吗在吧（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，能把彩超结果发过来看看吗", "role": "doctor"}, {"turn": 2, "text": "要看什么类型结节", "role": "doctor"}, {"turn": 3, "text": "多数是不用处理的", "role": "doctor"}, {"turn": 4, "text": "我是昨天单位组织体检的时候做B超的大夫说的", "role": "patient"}, {"turn": 5, "text": "结果还没拿来", "role": "patient"}, {"turn": 6, "text": "我脖子前面右侧有点高", "role": "patient"}, {"turn": 7, "text": "这个要根据结节形态来评估的", "role": "doctor"}, {"turn": 8, "text": "那很难判断要不要紧", "role": "doctor"}, {"turn": 9, "text": "哦，他就随口说了句，具体多大他也没说，只说不要紧", "role": "patient"}, {"turn": 10, "text": "那应该是考虑结节性甲状腺肿", "role": "doctor"}, {"turn": 11, "text": "良性结节，没有症状时不用处理", "role": "doctor"}, {"turn": 12, "text": "需要吃什么药么", "role": "patient"}, {"turn": 13, "text": "还是做微创", "role": "patient"}, {"turn": 14, "text": "甲状腺结节吃药效果不好", "role": "doctor"}, {"turn": 15, "text": "考虑良性结节就不用治疗", "role": "doctor"}, {"turn": 16, "text": "我的脖子前面右侧有点高了", "role": "patient"}, {"turn": 17, "text": "所以要看结节大小，如果外观明显肿起来也是有手术指征的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 960, "thread": [{"turn": 0, "text": "早上跟你咨询的，你说消化不良的那个。（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，收到你的问题了，请稍等😊", "role": "doctor"}, {"turn": 2, "text": "但是医生啊，有什么办法能让我吃饭不，我怕我再减少饮食，我本来就有胃病，我怕我胃痛", "role": "patient"}, {"turn": 3, "text": "放心，我给你考虑一个中药方子，配合服用中药，几天之后会逐渐好转", "role": "doctor"}, {"turn": 4, "text": "嗯好", "role": "patient"}, {"turn": 5, "text": "请稍等", "role": "doctor"}, {"turn": 6, "text": "抱歉，让你久等了", "role": "doctor"}, {"turn": 7, "text": "大便有量少不畅、解不尽的感觉吗？月经是否正常？", "role": "doctor"}, {"turn": 8, "text": "今天来回去了好几趟卫生间想上大号，但是没拉出来", "role": "patient"}, {"turn": 9, "text": "月经正常", "role": "patient"}, {"turn": 10, "text": "平时大便经常这样吗？", "role": "doctor"}, {"turn": 11, "text": "平时的话  没有", "role": "patient"}, {"turn": 12, "text": "新会10 半夏10 云苓15 枳壳10 竹茹6 香附20 重皮10 苏梗10 白术10 佛手10 干白10 炒麦芽15 炒莱菔子15 首乌藤30 灵通6            七剂", "role": "doctor"}, {"turn": 13, "text": "先列出方子，有什么补充的再调整", "role": "doctor"}, {"turn": 14, "text": "请问在吗？可以拿这个方子取免煎颗粒，用水一冲即可，不用煎煮。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 961, "thread": [{"turn": 0, "text": "十五天宝宝便秘严重怎么办？", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "你好，宝宝多长时间排一次大便？", "role": "doctor"}, {"turn": 3, "text": "母乳喂养，还是奶粉喂养？", "role": "doctor"}, {"turn": 4, "text": "两三天一次，而且都只有一点点！奶粉喂养，吃了益生菌，每天喝三次水，经常顺时针摸宝宝肚子！还是一样没有便秘，怎么办？", "role": "patient"}, {"turn": 5, "text": "你好", "role": "doctor"}, {"turn": 6, "text": "有可能是奶粉的原因。", "role": "doctor"}, {"turn": 7, "text": "说明宝宝吃这个奶粉不太适应。", "role": "doctor"}, {"turn": 8, "text": "之前吃的是一种奶粉，现在已经换过了一种奶粉，换了6，7天还是这样的！", "role": "patient"}, {"turn": 9, "text": "原来那个奶粉吃了以后便秘吗？", "role": "doctor"}, {"turn": 10, "text": "反正目前看着是吃这个奶粉不太合适。", "role": "doctor"}, {"turn": 11, "text": "好多宝宝因为更换奶粉导致腹泻便秘的很多见", "role": "doctor"}, {"turn": 12, "text": "之前就是因为便秘才换的奶粉！", "role": "patient"}, {"turn": 13, "text": "总不能两种牌子的奶粉都便秘吧！", "role": "patient"}, {"turn": 14, "text": "还需要换吗？", "role": "patient"}, {"turn": 15, "text": "那你给孩子配合吃上奶粉伴侣，这个是防止便秘的。", "role": "doctor"}, {"turn": 16, "text": "吃奶粉伴侣或者叫每伴。超市里都有卖的。", "role": "doctor"}, {"turn": 17, "text": "那益生菌还需要吃吗？", "role": "patient"}, {"turn": 18, "text": "先吃着吧！", "role": "doctor"}, {"turn": 19, "text": "等宝宝大便正常之后在停", "role": "doctor"}, {"turn": 20, "text": "吃的是合生元的益生菌可以吗？", "role": "patient"}, {"turn": 21, "text": "需要换其它牌子的吗？", "role": "patient"}, {"turn": 22, "text": "那是保健品，最好换啦。", "role": "doctor"}, {"turn": 23, "text": "金双歧。", "role": "doctor"}, {"turn": 24, "text": "我们这边药店好像没有这个牌子的，妈咪爱可以吗？", "role": "patient"}, {"turn": 25, "text": "也可以。", "role": "doctor"}, {"turn": 26, "text": "宝宝应该怎么吃呢？妈咪爱？", "role": "patient"}, {"turn": 27, "text": "一次一袋儿，一天两次。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 962, "thread": [{"turn": 0, "text": "嘴巴苦，半夜口干，便秘，口臭（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间啦？", "role": "doctor"}, {"turn": 2, "text": "大便几天一次？硬不硬？量多吗？", "role": "doctor"}, {"turn": 3, "text": "一个多星期了，大便不硬，量很少，三四天一次", "role": "patient"}, {"turn": 4, "text": "平时水果蔬菜吃的多吗？水每天喝几杯呢？", "role": "doctor"}, {"turn": 5, "text": "都不是很多", "role": "patient"}, {"turn": 6, "text": "莫沙必利5mg一天三次.金双歧2g一天三次.", "role": "doctor"}, {"turn": 7, "text": "水要多喝", "role": "doctor"}, {"turn": 8, "text": "菜要吃", "role": "doctor"}, {"turn": 9, "text": "以前没有，突然这样的，医生", "role": "patient"}, {"turn": 10, "text": "病就是积累的", "role": "doctor"}, {"turn": 11, "text": "没有突然这一次", "role": "doctor"}, {"turn": 12, "text": "你下一次还是会有一次", "role": "doctor"}, {"turn": 13, "text": "最近吃的治甲亢的中药", "role": "patient"}, {"turn": 14, "text": "不冲突", "role": "doctor"}, {"turn": 15, "text": "药物", "role": "doctor"}, {"turn": 16, "text": "可以停下来，吃你的药么，医生", "role": "patient"}, {"turn": 17, "text": "不用停药", "role": "doctor"}, {"turn": 18, "text": "甲亢跟这个没关系", "role": "doctor"}, {"turn": 19, "text": "药物不冲突", "role": "doctor"}, {"turn": 20, "text": "好的医生", "role": "patient"}, {"turn": 21, "text": "OK", "role": "doctor"}, {"turn": 22, "text": "她口臭", "role": "patient"}, {"turn": 23, "text": "也是这个引起的，以前没有", "role": "patient"}, {"turn": 24, "text": "就是便秘导致的", "role": "doctor"}, {"turn": 25, "text": "奥奥", "role": "patient"}, {"turn": 26, "text": "嗯嗯", "role": "doctor"}, {"turn": 27, "text": "她近期精神也不好", "role": "patient"}, {"turn": 28, "text": "都是便秘引起的吧", "role": "patient"}, {"turn": 29, "text": "是的", "role": "doctor"}, {"turn": 30, "text": "明白，谢谢您", "role": "patient"}, {"turn": 31, "text": "没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 963, "thread": [{"turn": 0, "text": "虫牙疼痛难忍，但是口含冷水就不疼了。（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您的牙齿晚上有疼过吗？", "role": "doctor"}, {"turn": 2, "text": "就是晚上疼痛", "role": "patient"}, {"turn": 3, "text": "睡不着", "role": "patient"}, {"turn": 4, "text": "现在还是很疼，但是口含冷水就会缓解", "role": "patient"}, {"turn": 5, "text": "吃布洛芬缓释胶囊和甲硝唑片\n没有效果", "role": "patient"}, {"turn": 6, "text": "这是牙髓炎后期的表现了，热痛冷缓解", "role": "doctor"}, {"turn": 7, "text": "需要到口腔牙体牙髓科，拍片检查确定患牙之后，牙齿可以保留的情况下，做根管治疗", "role": "doctor"}, {"turn": 8, "text": "现在怎么缓解疼痛？", "role": "patient"}, {"turn": 9, "text": "自己能做的只有吃药，但是吃药不一定管用", "role": "doctor"}, {"turn": 10, "text": "临床上经常有半夜看急诊的，吃药不管用，需要治疗牙齿，直接治疗就不需要吃药了", "role": "doctor"}, {"turn": 11, "text": "对的，以前也没有痛过。昨天中午开始疼痛难忍", "role": "patient"}, {"turn": 12, "text": "牙髓炎吃药没有任何效果是吗？", "role": "patient"}, {"turn": 13, "text": "离医院比较远，想吃药缓解一下马上就医。", "role": "patient"}, {"turn": 14, "text": "消炎药头孢+甲硝唑，止疼药布洛芬，不过敏就行", "role": "doctor"}, {"turn": 15, "text": "药物不宜多吃，伤胃", "role": "doctor"}, {"turn": 16, "text": "饭后吃", "role": "doctor"}, {"turn": 17, "text": "不过敏", "role": "patient"}, {"turn": 18, "text": "嗯", "role": "doctor"}, {"turn": 19, "text": "甲硝唑和布洛芬缓释胶囊都吃了也没有效果，整晚还是睡不着。", "role": "patient"}, {"turn": 20, "text": "消炎药单纯甲硝唑不行的，可以加头孢试试", "role": "doctor"}, {"turn": 21, "text": "我还是尽快上医院去吧！对症下药估计要好一点，之前就知道有虫牙但是因为怀孕期间不能去弄导致现在的严重性。", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "谢谢你", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 964, "thread": [{"turn": 0, "text": "后槽牙蛀牙，有点空了，最近有点疼（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您这症状多久了呢？", "role": "doctor"}, {"turn": 2, "text": "吃冷的热的会痛吗", "role": "doctor"}, {"turn": 3, "text": "暂时不会。今天才开始疼的。之前吃东西会被堵住。", "role": "patient"}, {"turn": 4, "text": "不吃东西会痛吗", "role": "doctor"}, {"turn": 5, "text": "是的", "role": "patient"}, {"turn": 6, "text": "那牙齿神经应该发炎了", "role": "doctor"}, {"turn": 7, "text": "要去医院检查下", "role": "doctor"}, {"turn": 8, "text": "如果确定是神经发炎，那要做根管治疗", "role": "doctor"}, {"turn": 9, "text": "后槽牙被蛀空了是不是应该拔牙处理呢", "role": "patient"}, {"turn": 10, "text": "如果不严重是不是可以直接补牙", "role": "patient"}, {"turn": 11, "text": "所以要检查孤独", "role": "doctor"}, {"turn": 12, "text": "检查过", "role": "doctor"}, {"turn": 13, "text": "如果烂到只剩下牙根了要拔掉", "role": "doctor"}, {"turn": 14, "text": "如果只是蛀了一点那可以补牙", "role": "doctor"}, {"turn": 15, "text": "到神经了要先烂神经", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "可以用什么药暂时缓解吗", "role": "patient"}, {"turn": 18, "text": "可以吃点头孢类的消炎药", "role": "doctor"}, {"turn": 19, "text": "还有甲硝唑", "role": "doctor"}, {"turn": 20, "text": "痛的话布洛芬", "role": "doctor"}, {"turn": 21, "text": "好的。", "role": "patient"}, {"turn": 22, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 965, "thread": [{"turn": 0, "text": "小孩便秘吃什么最管用（男，2岁5个月）", "role": "patient"}, {"turn": 1, "text": "你好，小孩便秘饮食主要是增加蔬菜水果。药物可以吃益生菌+乳果糖", "role": "doctor"}, {"turn": 2, "text": "他还口臭吃益生菌好几天没效果，吃了七星茶", "role": "patient"}, {"turn": 3, "text": "口臭立要是要清洁口腔，刷牙、漱口", "role": "doctor"}, {"turn": 4, "text": "七星茶颗粒吃了几天效果不怎么好", "role": "patient"}, {"turn": 5, "text": "以前没有口臭就是几天不拉屎有点口臭", "role": "patient"}, {"turn": 6, "text": "七星茶没用", "role": "doctor"}, {"turn": 7, "text": "那吃点什么", "role": "patient"}, {"turn": 8, "text": "益生菌也在吃，也觉得效果不大", "role": "patient"}, {"turn": 9, "text": "老是便秘怎么调理呢？也喝奶粉的", "role": "patient"}, {"turn": 10, "text": "不用靠什么药物，适当吃些蔬菜水果。加强口腔卫生就行。必要时用点开塞露", "role": "doctor"}, {"turn": 11, "text": "好吧", "role": "patient"}, {"turn": 12, "text": "😊", "role": "doctor"}, {"turn": 13, "text": "还有，平时要多喝水。因为小孩子可能出汗多。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 966, "thread": [{"turn": 0, "text": "新生儿五十五天咳嗽三天了（女，0岁）", "role": "patient"}, {"turn": 1, "text": "你好", "role": "doctor"}, {"turn": 2, "text": "你好，宝宝精神吃奶怎么样？", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "有痰吗，鼻塞呛奶吗", "role": "doctor"}, {"turn": 5, "text": "口中有沫吗", "role": "doctor"}, {"turn": 6, "text": "精神还行 吃奶没有昨天吃的多", "role": "patient"}, {"turn": 7, "text": "口中涂抹", "role": "patient"}, {"turn": 8, "text": "咳嗽厉害吗？", "role": "doctor"}, {"turn": 9, "text": "有痰", "role": "patient"}, {"turn": 10, "text": "今天挺严重", "role": "patient"}, {"turn": 11, "text": "我建议到医院为宝宝查查有否肺炎", "role": "doctor"}, {"turn": 12, "text": "如果存在肺炎，在家里吃药恐怕控制不住", "role": "doctor"}, {"turn": 13, "text": "宝宝睡觉的时候不咳 就是睡醒的时候咳得特别厉害", "role": "patient"}, {"turn": 14, "text": "家里有感冒的", "role": "doctor"}, {"turn": 15, "text": "一活动会加重", "role": "doctor"}, {"turn": 16, "text": "昨天去查血了 没有", "role": "patient"}, {"turn": 17, "text": "吃的什么药物", "role": "doctor"}, {"turn": 18, "text": "嗯 有感冒的", "role": "patient"}, {"turn": 19, "text": "传染上了", "role": "doctor"}, {"turn": 20, "text": "吃的小儿咳嗽糖浆 和红霉素", "role": "patient"}, {"turn": 21, "text": "有效吗", "role": "doctor"}, {"turn": 22, "text": "从描述上看，恐怕控制不住", "role": "doctor"}, {"turn": 23, "text": "今天吃了一天", "role": "patient"}, {"turn": 24, "text": "嗯 今天晚上特别厉害", "role": "patient"}, {"turn": 25, "text": "注意宝宝精神和吃奶情况", "role": "doctor"}, {"turn": 26, "text": "精神不好 害怕引起什么原因", "role": "patient"}, {"turn": 27, "text": "就怕肺炎", "role": "doctor"}, {"turn": 28, "text": "这样会引起肺炎吗", "role": "patient"}, {"turn": 29, "text": "会的", "role": "doctor"}, {"turn": 30, "text": "消炎药吃着也控制不住吗", "role": "patient"}, {"turn": 31, "text": "肺炎的话是不是 需要打针", "role": "patient"}, {"turn": 32, "text": "咳嗽厉害有发展趋势", "role": "doctor"}, {"turn": 33, "text": "输液治疗", "role": "doctor"}, {"turn": 34, "text": "这么小 可以打针吗", "role": "patient"}, {"turn": 35, "text": "不建议打屁股针", "role": "doctor"}, {"turn": 36, "text": "那需要打哪里^_^", "role": "patient"}, {"turn": 37, "text": "输液治疗", "role": "doctor"}, {"turn": 38, "text": "就怕这么小的宝宝打针", "role": "patient"}, {"turn": 39, "text": "看看宝宝病情变化", "role": "doctor"}, {"turn": 40, "text": "是不是得 住院", "role": "patient"}, {"turn": 41, "text": "可以做雾化吗", "role": "patient"}, {"turn": 42, "text": "是的", "role": "doctor"}, {"turn": 43, "text": "一般需要住几天院", "role": "patient"}, {"turn": 44, "text": "7-10天", "role": "doctor"}, {"turn": 45, "text": "那么长时间", "role": "patient"}, {"turn": 46, "text": "是的", "role": "doctor"}, {"turn": 47, "text": "输液 扎针 扎宝宝哪个位置", "role": "patient"}, {"turn": 48, "text": "手胳膊脚均可", "role": "doctor"}, {"turn": 49, "text": "宝宝现在咳嗽就带出臭臭 这样对消化也不好", "role": "patient"}, {"turn": 50, "text": "中医认为肺与大肠相表里，大便稀，也是反应，可以口服妈咪爱", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 967, "thread": [{"turn": 0, "text": "孩子六岁了老是便秘该怎么办（女，5岁）", "role": "patient"}, {"turn": 1, "text": "您好，您小孩一般几天解一次大便啊", "role": "doctor"}, {"turn": 2, "text": "三天", "role": "patient"}, {"turn": 3, "text": "大便性状怎么样啊", "role": "doctor"}, {"turn": 4, "text": "解出来黑的一坨坨的，像算盘子一样的", "role": "patient"}, {"turn": 5, "text": "就是去年一年都是这样", "role": "patient"}, {"turn": 6, "text": "以前没有，不知怎么回事", "role": "patient"}, {"turn": 7, "text": "您小孩现在饮食怎么样", "role": "doctor"}, {"turn": 8, "text": "零售饮料平时接触多不多啊", "role": "doctor"}, {"turn": 9, "text": "吃饭每餐都能吃一碗饭，有时还多点", "role": "patient"}, {"turn": 10, "text": "那您小孩晚上吃的多不多啊", "role": "doctor"}, {"turn": 11, "text": "零食会吃一点饼干，苹果梨子", "role": "patient"}, {"turn": 12, "text": "一样的，也不会吃多", "role": "patient"}, {"turn": 13, "text": "饼干这些膨化食品平时尽量少吃，可以多吃苹果帮助消化的", "role": "doctor"}, {"turn": 14, "text": "喜欢吃薯片", "role": "patient"}, {"turn": 15, "text": "恩", "role": "patient"}, {"turn": 16, "text": "您小孩平时蔬菜吃得多不多啊", "role": "doctor"}, {"turn": 17, "text": "这是不是什么病", "role": "patient"}, {"turn": 18, "text": "薯片吃多了对于便秘影响最大的", "role": "doctor"}, {"turn": 19, "text": "吃一点点", "role": "patient"}, {"turn": 20, "text": "您小孩这就属于便秘大便干结的情况", "role": "doctor"}, {"turn": 21, "text": "恩", "role": "patient"}, {"turn": 22, "text": "您可以买益生菌给孩子口服的", "role": "doctor"}, {"turn": 23, "text": "要不要紧", "role": "patient"}, {"turn": 24, "text": "严重会怎么样", "role": "patient"}, {"turn": 25, "text": "您小孩这情况不严重的，把饮食调节好，再配合益生菌口服就可以了", "role": "doctor"}, {"turn": 26, "text": "药店有卖是吧", "role": "patient"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "去药店买益生菌吗", "role": "patient"}, {"turn": 29, "text": "药店一般都有", "role": "doctor"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "吃多久", "role": "patient"}, {"turn": 32, "text": "一般口服一个月左右时间的", "role": "doctor"}, {"turn": 33, "text": "恩", "role": "patient"}, {"turn": 34, "text": "还是少吃膨化零食", "role": "doctor"}, {"turn": 35, "text": "多吃蔬菜🥬", "role": "doctor"}, {"turn": 36, "text": "吃一个月以后就好了不会便秘了是吧", "role": "patient"}, {"turn": 37, "text": "恩，知道了", "role": "patient"}, {"turn": 38, "text": "是的，一般好了就不会便秘了的", "role": "doctor"}, {"turn": 39, "text": "恩", "role": "patient"}, {"turn": 40, "text": "平时还要多喝水", "role": "doctor"}, {"turn": 41, "text": "好的", "role": "patient"}, {"turn": 42, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 968, "thread": [{"turn": 0, "text": "孩子咳嗽老不好，怎么回事？（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，咳嗽多久了，有痰吗，发热吗", "role": "doctor"}, {"turn": 2, "text": "不发热", "role": "patient"}, {"turn": 3, "text": "咳嗽几天了，有痰吗，声音哑吗", "role": "doctor"}, {"turn": 4, "text": "就是感觉咳嗽的时候有点痰", "role": "patient"}, {"turn": 5, "text": "咳嗽一个星期了", "role": "patient"}, {"turn": 6, "text": "当地医生给开的化痰止咳和利君沙", "role": "patient"}, {"turn": 7, "text": "声音哑吗，有咳到恶心吐吗", "role": "doctor"}, {"turn": 8, "text": "听诊说有啰音吗，查血或者拍片了吗", "role": "doctor"}, {"turn": 9, "text": "声音不哑，有时咳嗽的时候有点恶心", "role": "patient"}, {"turn": 10, "text": "没有查血拍片", "role": "patient"}, {"turn": 11, "text": "嗯，可以口服氨嗅索糖浆", "role": "doctor"}, {"turn": 12, "text": "咳嗽厉害的话，配合雾化布地奈德", "role": "doctor"}, {"turn": 13, "text": "医生用听诊器听后给加了利君沙", "role": "patient"}, {"turn": 14, "text": "去年冬天就咳嗽了好长时间", "role": "patient"}, {"turn": 15, "text": "可以喝川贝清肺糖浆吗？", "role": "patient"}, {"turn": 16, "text": "长期慢性咳嗽可以加孟鲁司特", "role": "doctor"}, {"turn": 17, "text": "雾化或者孟鲁司特效果比较好", "role": "doctor"}, {"turn": 18, "text": "孟鲁司特钠咀嚼片是不是指过敏性咳嗽？", "role": "patient"}, {"turn": 19, "text": "对感染刺激引起的慢性咳嗽也有作用", "role": "doctor"}, {"turn": 20, "text": "感染刺激后，气道反应性增高，慢性咳嗽，也可以应用孟鲁司特，这个用的时间短，过敏性咳嗽需要长期吃", "role": "doctor"}, {"turn": 21, "text": "那咨询您一下，川贝清肺糖浆能喝吗？", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}, {"turn": 23, "text": "能不能喝咳克敏？", "role": "patient"}, {"turn": 24, "text": "不建议", "role": "doctor"}, {"turn": 25, "text": "孩子的奶奶给孩子喝了，喝了后症状有所减轻，但还是咳", "role": "patient"}, {"turn": 26, "text": "谢谢您了", "role": "patient"}, {"turn": 27, "text": "孩子的咳嗽一直困扰着我", "role": "patient"}, {"turn": 28, "text": "儿童一般慎用镇咳药", "role": "doctor"}, {"turn": 29, "text": "所以不要追求效果明显，还是建议用相对比较安全的", "role": "doctor"}, {"turn": 30, "text": "长期慢性咳嗽，比较常见的原因，一个是支原体", "role": "doctor"}, {"turn": 31, "text": "一个是过敏", "role": "doctor"}, {"turn": 32, "text": "目前可以糖浆➕孟鲁司特", "role": "doctor"}, {"turn": 33, "text": "可以查一个血常规➕支原体看看", "role": "doctor"}, {"turn": 34, "text": "好的！川贝清肺糖浆就行吧？", "role": "patient"}, {"turn": 35, "text": "可以的", "role": "doctor"}, {"turn": 36, "text": "非常感谢您", "role": "patient"}, {"turn": 37, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 969, "thread": [{"turn": 0, "text": "2个月宝宝头发吃进嘴里，后来咳嗽（男，2个月）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "今天1点左右头发吃进嘴里，2点咳嗽一次，3点咳嗽一次，6点咳嗽一次，每次咳嗽3到4声", "role": "patient"}, {"turn": 3, "text": "感觉咳嗽有痰吗。", "role": "doctor"}, {"turn": 4, "text": "？", "role": "doctor"}, {"turn": 5, "text": "没有，干咳嗽", "role": "patient"}, {"turn": 6, "text": "有口水，泡沫", "role": "patient"}, {"turn": 7, "text": "家里有没有大人感冒？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "精神状态怎么样？宝宝有没鼻塞流鼻涕？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "是那种长头发吗？", "role": "doctor"}, {"turn": 12, "text": "还是比较短的呢？", "role": "doctor"}, {"turn": 13, "text": "较短\n，", "role": "patient"}, {"turn": 14, "text": "好的，这种情况目前不考虑吸入气管里", "role": "doctor"}, {"turn": 15, "text": "那如果在咳嗽呢，怎么办？", "role": "patient"}, {"turn": 16, "text": "喉咙就是气管么？", "role": "patient"}, {"turn": 17, "text": "目前咳嗽考虑轻度支气管炎。", "role": "doctor"}, {"turn": 18, "text": "那有什么药么？", "role": "patient"}, {"turn": 19, "text": "目前这种情况如果不是很严重的话，一般是考虑病毒感染引起的自己可以愈合。", "role": "doctor"}, {"turn": 20, "text": "目前我觉得可以观察", "role": "doctor"}, {"turn": 21, "text": "如果咳嗽加重，有痰，发热，食欲减退，需要处理", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 970, "thread": [{"turn": 0, "text": "转氨酶133总胆红素20（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，有肝炎病史么？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "体检的数据，b超重度脂肪肝", "role": "patient"}, {"turn": 4, "text": "脂肪肝会引起转氨酶升高", "role": "doctor"}, {"turn": 5, "text": "平时肠胃不好，每天排便次数多，中医开药调理下，不拉肚子，但排便还是多", "role": "patient"}, {"turn": 6, "text": "次数", "role": "patient"}, {"turn": 7, "text": "有什么治疗建议吗", "role": "patient"}, {"turn": 8, "text": "1，对于脂肪肝，一般通过低脂饮食，油腻食物少吃，辛辣刺激食物少吃，多运动，是可以恢复的。", "role": "doctor"}, {"turn": 9, "text": "护肝和肠胃这块需要用药调理吗？", "role": "patient"}, {"turn": 10, "text": "规律饮食，油腻食物少吃", "role": "doctor"}, {"turn": 11, "text": "😂", "role": "patient"}, {"turn": 12, "text": "但肠胃经常不舒服，有的时候做不到规律饮食呀！", "role": "patient"}, {"turn": 13, "text": "左上腹有时候还隐痛", "role": "patient"}, {"turn": 14, "text": "血脂高吗？", "role": "doctor"}, {"turn": 15, "text": "血脂高一点", "role": "patient"}, {"turn": 16, "text": "查一下淀粉酶排除胰腺炎", "role": "doctor"}, {"turn": 17, "text": "血脂1.96", "role": "patient"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "有问题可以随时咨询，祝一切顺利", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 971, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：小孩便秘怎么办（女，2岁）", "role": "patient"}, {"turn": 1, "text": "孩子多长时间排一次大便？便秘多长时间了？", "role": "doctor"}, {"turn": 2, "text": "便秘一年了，刚开始是五六天拉一次，后来喝乳果糖，停了乳果糖还是以前那样，医生又开了妈咪爱跟乳果糖一起喝，不喝了还是便秘，现在吃的双歧杆菌，吃了三天更拉不出来，拉的跟羊屎一样的", "role": "patient"}, {"turn": 3, "text": "宝宝喝水少吗？吃蔬菜水果少吗？肚子胀不胀？", "role": "doctor"}, {"turn": 4, "text": "有没有给他做过小儿推拿按摩？要养成定时排便的习惯，每日一次。给他喝点小儿消食颗粒。", "role": "doctor"}, {"turn": 5, "text": "肚子不胀，不让我给推拿，喝水不多", "role": "patient"}, {"turn": 6, "text": "那不行，你得给他多喝水，多吃蔬菜，高纤维的食物，养成排便的习惯，给他做做小儿推拿按摩，可以到社区门诊或者医院。口服小儿小巧克力", "role": "doctor"}, {"turn": 7, "text": "小儿消食颗粒", "role": "doctor"}, {"turn": 8, "text": "双歧杆菌不是调理肠胃的吗，怎么越吃越严重呢", "role": "patient"}, {"turn": 9, "text": "有可能他不适合。", "role": "doctor"}, {"turn": 10, "text": "我会做小孩便秘的推拿", "role": "patient"}, {"turn": 11, "text": "那更好了", "role": "doctor"}, {"turn": 12, "text": "你自己做", "role": "doctor"}, {"turn": 13, "text": "大便粗条，干结主要是什么原因", "role": "patient"}, {"turn": 14, "text": "主要是有内火。需要中医解释。", "role": "doctor"}, {"turn": 15, "text": "要用中药调理吗", "role": "patient"}, {"turn": 16, "text": "你先给他用小儿消食颗粒试试。不行的话就喝中药调理。", "role": "doctor"}, {"turn": 17, "text": "功能性便秘跟病理性便秘有什么区别", "role": "patient"}, {"turn": 18, "text": "新生儿通常出现的便秘多为功能性的便秘，因为宝宝的情绪要消化功能不好或者赞助，或者吃奶粉，都可以去，两三天甚至三四天或者更长一段时间不排便，但是宝宝没有太多的不舒服。但是如果宝宝长时间便秘会出现食欲减退、腹胀，甚至出.现腹痛、睡眠不安、哭闹的情况，严重的会出现肛门或者是肛裂出血，这就是病理性的便秘了。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 972, "thread": [{"turn": 0, "text": "医生  您好   腰扭伤可以做悬挂治疗吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "应该不要做，最好的治疗就是休息，松弛肌肉，卧硬床，禁止推拿，可局部热敷", "role": "doctor"}, {"turn": 2, "text": "已经扭伤快三个月了", "role": "patient"}, {"turn": 3, "text": "还是有点不舒服   隔两天就会不舒服一次", "role": "patient"}, {"turn": 4, "text": "会修复的，需要时间，神经的治疗不要瞎弄，改善生活习惯", "role": "doctor"}, {"turn": 5, "text": "要休息，改善生活习惯。可以改善，不要久站久坐、弯腰低头负重，卧硬床低枕平卧；可局部热敷、禁止推拿，局部注意保暖；进行仰伸活动，如游泳、羽毛球、风筝等", "role": "doctor"}, {"turn": 6, "text": "做过ct  说骨头没事", "role": "patient"}, {"turn": 7, "text": "注意保护，逐渐恢复", "role": "doctor"}, {"turn": 8, "text": "有点担心   都三个月了  还不好", "role": "patient"}, {"turn": 9, "text": "怕留下后遗症", "role": "patient"}, {"turn": 10, "text": "没有大问题的，勿忧", "role": "doctor"}, {"turn": 11, "text": "一般来说扭伤一个月就应该好了", "role": "patient"}, {"turn": 12, "text": "太担心了   谢谢您  医生", "role": "patient"}, {"turn": 13, "text": "没有关系，淡定", "role": "doctor"}, {"turn": 14, "text": "谢谢", "role": "patient"}, {"turn": 15, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 973, "thread": [{"turn": 0, "text": "老人58岁，偏头痛，手麻，是怎么回事（男，29岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "两个月了", "role": "patient"}, {"turn": 3, "text": "头疼是持续的吗？血压怎么样", "role": "doctor"}, {"turn": 4, "text": "左面身体感觉不方便", "role": "patient"}, {"turn": 5, "text": "手麻是单侧还是双侧，麻木位置到什么地方。", "role": "doctor"}, {"turn": 6, "text": "是左侧都麻木吗？有去医院检查吗？", "role": "doctor"}, {"turn": 7, "text": "这些症状已经两个月了吗，都没有用过药物治疗吗？", "role": "doctor"}, {"turn": 8, "text": "头疼不是持续的，血压正常，左侧头皮麻，而且感觉一弯一弯的疼，两侧太阳穴也疼，后脑勺也疼，最严重的时候，手臂麻，睡不着觉，手上像有蚂蚁爬一样", "role": "patient"}, {"turn": 9, "text": "没去过医院，没用过药物", "role": "patient"}, {"turn": 10, "text": "有糖尿病吗？你刚才说左侧身体不方便是指什么。睡眠怎么样", "role": "doctor"}, {"turn": 11, "text": "这种麻木的症状都在左侧吗？", "role": "doctor"}, {"turn": 12, "text": "去医院拍了脑ct，没看出来。\n但是眼睛有过两三次看不清，有时左眼睛，有时右眼睛，\n眼睛看什么都是黑的，像有水波纹似的，持续二十分钟", "role": "patient"}, {"turn": 13, "text": "没有糖尿病，睡眠不好，左侧身体不方便是左手和手臂麻", "role": "patient"}, {"turn": 14, "text": "有服用过治疗睡眠的药物吗？", "role": "doctor"}, {"turn": 15, "text": "左手和手臂的麻木，是整条手臂麻木，还是肘关节以下。", "role": "doctor"}, {"turn": 16, "text": "没用过", "role": "patient"}, {"turn": 17, "text": "平时血压怎么样，眼前发黑，是单眼吗？还是两个眼同时发黑看不清楚", "role": "doctor"}, {"turn": 18, "text": "肘关节以上，像过电一样。\n肘关节以下，到手这里，没知觉。\n手上，像蚂蚁咬一下。   单个眼睛发黑", "role": "patient"}, {"turn": 19, "text": "如果头CT没有问题，头疼和睡眠不好关系比较的，给老人调节一下睡眠。口服阿普唑仑或者佐匹克隆，前者便宜但是不太好买，后者贵一点，但一般药店都有。", "role": "doctor"}, {"turn": 20, "text": "麻木的原因和麻木位置关系比较大。整条手臂麻木，一般是颈椎病可能性大。肘以下是周围神经炎，和受凉或者压迫有关。", "role": "doctor"}, {"turn": 21, "text": "可以口服甲钴胺，营养神经治疗。", "role": "doctor"}, {"turn": 22, "text": "这是老年人常见病还是睡眠不好导致的", "role": "patient"}, {"turn": 23, "text": "麻木还是和颈椎有关系。最好看一下脊柱外科，看看是不是椎管狭窄。", "role": "doctor"}, {"turn": 24, "text": "头疼和其他症状和睡眠不好有关系。", "role": "doctor"}, {"turn": 25, "text": "要是单眼发黑，就不考虑供血不足或者脑子，血压的原因了，要排除视神经和眼睛本身的问题。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 974, "thread": [{"turn": 0, "text": "老年人便秘能吃黑米吗?（男，80岁）", "role": "patient"}, {"turn": 1, "text": "你好，便秘和黑米没有什么关系的", "role": "doctor"}, {"turn": 2, "text": "请问王医生，老年人得了阿尔茨默症便秘怎办？", "role": "patient"}, {"turn": 3, "text": "能回答吗？", "role": "patient"}, {"turn": 4, "text": "可以服用乳果糖", "role": "doctor"}, {"turn": 5, "text": "如果效果不好使用开塞露", "role": "doctor"}, {"turn": 6, "text": "平时不要吃辛辣刺激食物", "role": "doctor"}, {"turn": 7, "text": "多吃水果蔬菜", "role": "doctor"}, {"turn": 8, "text": "好的，谢谢！", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "还有什么办法吗？开赛露用多了效果也不好。", "role": "patient"}, {"turn": 11, "text": "服用乳果糖不错的", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "?", "role": "doctor"}, {"turn": 14, "text": "请问喝蜂蜜水有用吗？", "role": "patient"}, {"turn": 15, "text": "蜂蜜水有一定的作用", "role": "doctor"}, {"turn": 16, "text": "蜂蜜水应该在什么时候喝？注意事项麻烦告诉我一下？谢谢！", "role": "patient"}, {"turn": 17, "text": "什么时候喝都可以啊", "role": "doctor"}, {"turn": 18, "text": "蜂蜜水没有什么禁忌的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 975, "thread": [{"turn": 0, "text": "吃完虾可以喝咳嗽药吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个情况是可以吃咳嗽药的", "role": "doctor"}, {"turn": 2, "text": "为什么我吃了虾，然后吃药就会没力气，头晕脸很红，胃还不舒服", "role": "patient"}, {"turn": 3, "text": "你对虾过敏吗", "role": "doctor"}, {"turn": 4, "text": "药物是第一次吃吗", "role": "doctor"}, {"turn": 5, "text": "对虾不过敏", "role": "patient"}, {"turn": 6, "text": "开了两天的药，今天是第二天吃", "role": "patient"}, {"turn": 7, "text": "你什么时候吃的虾", "role": "doctor"}, {"turn": 8, "text": "什么时候吃的药", "role": "doctor"}, {"turn": 9, "text": "晚上七点多吃的，过了十分钟左右吃的药", "role": "patient"}, {"turn": 10, "text": "好的，这个考虑是个体差异性的原因", "role": "doctor"}, {"turn": 11, "text": "这么长时间了还是不舒服吗", "role": "doctor"}, {"turn": 12, "text": "是的", "role": "patient"}, {"turn": 13, "text": "前面没感觉到胃不舒服，现在胃就一直不舒服了", "role": "patient"}, {"turn": 14, "text": "你这种情况考虑是药物和虾起了反应", "role": "doctor"}, {"turn": 15, "text": "最好能去医院看一下", "role": "doctor"}, {"turn": 16, "text": "我的胃就是酸痛的感觉", "role": "patient"}, {"turn": 17, "text": "那家里有胃药吗", "role": "doctor"}, {"turn": 18, "text": "没有胃药", "role": "patient"}, {"turn": 19, "text": "一阵一阵的", "role": "patient"}, {"turn": 20, "text": "你现在症状明显，最好能吃点胃炎或者去医院看一下", "role": "doctor"}, {"turn": 21, "text": "我平时胃不好，本身有点胃炎", "role": "patient"}, {"turn": 22, "text": "哦哦，那你不常备点胃药啊", "role": "doctor"}, {"turn": 23, "text": "你现在要改善症状，是需要用药的", "role": "doctor"}, {"turn": 24, "text": "没有备", "role": "patient"}, {"turn": 25, "text": "不吃药一会，会不会好", "role": "patient"}, {"turn": 26, "text": "你现在有两个方案，一去医院，二去药房买胃药", "role": "doctor"}, {"turn": 27, "text": "你都好几个小时没好了，一会就好的可能性不太大", "role": "doctor"}, {"turn": 28, "text": "好吧", "role": "patient"}, {"turn": 29, "text": "我建议你不要继续等", "role": "doctor"}, {"turn": 30, "text": "等到明天不会有事吧，因为现在太晚了", "role": "patient"}, {"turn": 31, "text": "你自己把握，如果难受明显再晚都要去，如果还能忍耐，可以再观察", "role": "doctor"}, {"turn": 32, "text": "还可以忍耐的", "role": "patient"}, {"turn": 33, "text": "嗯嗯，好的，那就再观察看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 976, "thread": [{"turn": 0, "text": "胃动力不足会引起便秘吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，胃肠功能差，动力不足，也可能会引起大便不通畅的", "role": "doctor"}, {"turn": 2, "text": "我去医院检查.我有胃炎然后胃几乎都不动.一直便秘.我很长一段时间都用开塞露.", "role": "patient"}, {"turn": 3, "text": "这种情况有必要做一个消化道的造影，看看蠕动大概有多慢", "role": "doctor"}, {"turn": 4, "text": "呢个疼不疼.我也没敢做胃镜啥的 便秘该怎么办.", "role": "patient"}, {"turn": 5, "text": "那个不痛苦的，放心吧！只是喝一些白糊糊，也就是被记到时候就能看清楚的", "role": "doctor"}, {"turn": 6, "text": "呢便秘怎么办医生?", "role": "patient"}, {"turn": 7, "text": "先弄清楚到底是哪种原因引起的才好对症用药", "role": "doctor"}, {"turn": 8, "text": "一直用开塞露不会有什么影响吧", "role": "patient"}, {"turn": 9, "text": "这个肯定不好的，长时间应用这个，会对肛门括约肌有影响", "role": "doctor"}, {"turn": 10, "text": "大便是不是特别干燥呢？", "role": "doctor"}, {"turn": 11, "text": "对.就是很干.就是使劲都使不上", "role": "patient"}, {"turn": 12, "text": "这种情况可以吃上福松和莫沙必利，同时要多喝水，多吃蔬菜水果", "role": "doctor"}, {"turn": 13, "text": "医生我买了乳木果糖呢个口服液.来月经可以喝吗", "role": "patient"}, {"turn": 14, "text": "可以的，不影响的", "role": "doctor"}, {"turn": 15, "text": "呢个喝了多久会有反应", "role": "patient"}, {"turn": 16, "text": "一天喝几次好", "role": "patient"}, {"turn": 17, "text": "一般第二天就会反应，一天一到两次", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 977, "thread": [{"turn": 0, "text": "幽门螺杆菌不给开药你好（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，胃有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "C13试验数值14，胃蛋白酶原2数值偏高16，当地医院没有开药，说不致病，先不杀菌，我该", "role": "patient"}, {"turn": 3, "text": "C13试验数值14，胃蛋白酶原2数值偏高16，当地医院没有开药，说不致病，先不杀菌，我该怎么办", "role": "patient"}, {"turn": 4, "text": "胃镜做了么？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "那不用吃药", "role": "doctor"}, {"turn": 7, "text": "没做胃镜，那就是一张废纸", "role": "doctor"}, {"turn": 8, "text": "胃部平时没有不适，就是吃完饭感觉消化很慢", "role": "patient"}, {"turn": 9, "text": "你的建议做胃镜？", "role": "patient"}, {"turn": 10, "text": "连查都没必要查", "role": "doctor"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "应该是先做胃镜，再查这个", "role": "doctor"}, {"turn": 13, "text": "当地医院的医生挺好的", "role": "doctor"}, {"turn": 14, "text": "好的，这个是体检做的，这个值严重么", "role": "patient"}, {"turn": 15, "text": "我说了，没做胃镜，那就是一张废纸", "role": "doctor"}, {"turn": 16, "text": "没有不适，我干嘛做胃镜啊，现在就是体检这个值不正常，问问你平时需要注意什么", "role": "patient"}, {"turn": 17, "text": "体检这个值不正常，不做胃镜没有意义，平时避免辛辣刺激食物，三餐规律饮食，生活规律即可。", "role": "doctor"}, {"turn": 18, "text": "有的胃病是没有腹痛症状的，首发表现是出血或者穿孔。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 978, "thread": [{"turn": 0, "text": "挫伤5天了,还没完全消肿,还需外敷吗（女，56岁）", "role": "patient"}, {"turn": 1, "text": "请问你用什么外敷的呢？？", "role": "doctor"}, {"turn": 2, "text": "二次田七酒", "role": "patient"}, {"turn": 3, "text": "不用了", "role": "doctor"}, {"turn": 4, "text": "医生您好:你是说不需要再敷了吗", "role": "patient"}, {"turn": 5, "text": "那下步该怎么用什么了呢", "role": "patient"}, {"turn": 6, "text": "你是哪里的挫伤？", "role": "doctor"}, {"turn": 7, "text": "我看看照片", "role": "doctor"}, {"turn": 8, "text": "手腕关节，没有拍", "role": "patient"}, {"turn": 9, "text": "那就修养就行", "role": "doctor"}, {"turn": 10, "text": "这是个过程！慢慢恢复", "role": "doctor"}, {"turn": 11, "text": "还好胀痛了哦，就完全不用放药了嘛", "role": "patient"}, {"turn": 12, "text": "不建议用啦！本来就是个过程！", "role": "doctor"}, {"turn": 13, "text": "如果还用药会怎么样呢", "role": "patient"}, {"turn": 14, "text": "用也可以啊", "role": "doctor"}, {"turn": 15, "text": "用药总归对身体不好吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 979, "thread": [{"turn": 0, "text": "血虚，气虚，可以买点鹿茸来吃嘛（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，鹿茸是益精血的，力量有点强", "role": "doctor"}, {"turn": 2, "text": "年轻人不建议服用", "role": "doctor"}, {"turn": 3, "text": "那吃什么呀，", "role": "patient"}, {"turn": 4, "text": "你描述一下你的症状", "role": "doctor"}, {"turn": 5, "text": "我给你做个诊断", "role": "doctor"}, {"turn": 6, "text": "再建议你服用什么药物", "role": "doctor"}, {"turn": 7, "text": "好吧，就是怕冷，", "role": "patient"}, {"turn": 8, "text": "是不是手脚凉，平时容易疲倦打击", "role": "doctor"}, {"turn": 9, "text": "有是足底发麻，头晕，到了晚上12点这样就很热出汗", "role": "patient"}, {"turn": 10, "text": "平时容易腰膝酸软无力吗", "role": "doctor"}, {"turn": 11, "text": "晚上睡不着，就早上睡的比较好点", "role": "patient"}, {"turn": 12, "text": "对的", "role": "patient"}, {"turn": 13, "text": "睡眠也不太好对吧", "role": "doctor"}, {"turn": 14, "text": "是不是我11月份引产导致的", "role": "patient"}, {"turn": 15, "text": "嗯，你目前的情况是肝肾阴虚", "role": "doctor"}, {"turn": 16, "text": "与你引产有关系的", "role": "doctor"}, {"turn": 17, "text": "自从引产后就会出现这样的情况", "role": "patient"}, {"turn": 18, "text": "我给你开点药吧", "role": "doctor"}, {"turn": 19, "text": "那要吃什么呀", "role": "patient"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "天麻钩藤颗粒加知柏地黄丸", "role": "doctor"}, {"turn": 22, "text": "这两个药合起来服用", "role": "doctor"}, {"turn": 23, "text": "要不要吃什么补品呀", "role": "patient"}, {"turn": 24, "text": "哦哦", "role": "patient"}, {"turn": 25, "text": "不要吃补品", "role": "doctor"}, {"turn": 26, "text": "你这个情况吃补品容易上火", "role": "doctor"}, {"turn": 27, "text": "而且效果不好", "role": "doctor"}, {"turn": 28, "text": "你服用这两个药2周", "role": "doctor"}, {"turn": 29, "text": "服用方法按照说明书服用就可以", "role": "doctor"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 980, "thread": [{"turn": 0, "text": "为什么稍微用脑就偏头痛（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "一直都是这样", "role": "patient"}, {"turn": 3, "text": "嗯", "role": "doctor"}, {"turn": 4, "text": "头疼是针扎一样疼还是一跳一跳的疼", "role": "doctor"}, {"turn": 5, "text": "不知道为什么烦躁起来也头痛", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "胀痛", "role": "patient"}, {"turn": 8, "text": "两边，有时候头顶", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "头疼前有没有看到闪光点等先兆？", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "就是两边太阳穴胀痛", "role": "patient"}, {"turn": 13, "text": "嗯嗯", "role": "doctor"}, {"turn": 14, "text": "有没有说睡一觉起来就缓解了？", "role": "doctor"}, {"turn": 15, "text": "有没有糖尿病，高血压等基础病？", "role": "doctor"}, {"turn": 16, "text": "睡一觉就好了", "role": "patient"}, {"turn": 17, "text": "没有那些", "role": "patient"}, {"turn": 18, "text": "嗯嗯", "role": "doctor"}, {"turn": 19, "text": "家里人有没有头疼病史？", "role": "doctor"}, {"turn": 20, "text": "没有", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}, {"turn": 22, "text": "劳累，熬夜加重？", "role": "doctor"}, {"turn": 23, "text": "您这情况考虑是血管神经性头疼", "role": "doctor"}, {"turn": 24, "text": "最好做颅脑ct，排除器质性病变", "role": "doctor"}, {"turn": 25, "text": "考虑是血管神经性头疼，因为血管功能紊乱引起的。注意休息避免劳累熬夜受凉。吃点头痛宁路盖克", "role": "doctor"}, {"turn": 26, "text": "谢谢", "role": "patient"}, {"turn": 27, "text": "嗯嗯，您客气了。用脑啊，劳累啊，会使脑血管功能紊乱，不是大问题", "role": "doctor"}, {"turn": 28, "text": "注意休息避免劳累受凉熬夜", "role": "doctor"}, {"turn": 29, "text": "要是吃药不管用，再去医院检查一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 981, "thread": [{"turn": 0, "text": "宝宝有点消化不良吃什么药好呢（男，5个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么症状？多长时间了？", "role": "doctor"}, {"turn": 2, "text": "四五天了", "role": "patient"}, {"turn": 3, "text": "消化不良", "role": "patient"}, {"turn": 4, "text": "用药了吗？", "role": "doctor"}, {"turn": 5, "text": "不爱吃奶", "role": "patient"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "大便怎么样？", "role": "doctor"}, {"turn": 8, "text": "吃什么药好呢", "role": "patient"}, {"turn": 9, "text": "做做小儿推拿按摩", "role": "doctor"}, {"turn": 10, "text": "口服益生菌，", "role": "doctor"}, {"turn": 11, "text": "乳酶生", "role": "doctor"}, {"turn": 12, "text": "大便都是奶掰", "role": "patient"}, {"turn": 13, "text": "少吃多餐", "role": "doctor"}, {"turn": 14, "text": "乳酶生一次吃多少", "role": "patient"}, {"turn": 15, "text": "一次一片一日三次", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "嗯", "role": "doctor"}, {"turn": 18, "text": "跟益生菌一起吃爱事吗", "role": "patient"}, {"turn": 19, "text": "有益生菌就不用吃", "role": "doctor"}, {"turn": 20, "text": "那益生菌一天需要吃几次", "role": "patient"}, {"turn": 21, "text": "三次", "role": "doctor"}, {"turn": 22, "text": "一次多少", "role": "patient"}, {"turn": 23, "text": "什么样的？一般一次半包一日三次", "role": "doctor"}, {"turn": 24, "text": "复合益生菌冻干粉", "role": "patient"}, {"turn": 25, "text": "有说明", "role": "doctor"}, {"turn": 26, "text": "卖益生菌的让我一天吃一次", "role": "patient"}, {"turn": 27, "text": "保健品吗", "role": "doctor"}, {"turn": 28, "text": "不是", "role": "patient"}, {"turn": 29, "text": "医院？", "role": "doctor"}, {"turn": 30, "text": "吃妈咪爱管事吗", "role": "patient"}, {"turn": 31, "text": "管事", "role": "doctor"}, {"turn": 32, "text": "药店", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "那我们刚才吃的益生菌，晚上再吃点妈咪爱可以吗", "role": "patient"}, {"turn": 35, "text": "明天吃", "role": "doctor"}, {"turn": 36, "text": "嗯", "role": "patient"}, {"turn": 37, "text": "好", "role": "doctor"}, {"turn": 38, "text": "谢谢您", "role": "patient"}, {"turn": 39, "text": "还有我们可以吃点辅食吗", "role": "patient"}, {"turn": 40, "text": "如果消化不良比较明显先不加辅食，做做小儿推拿按摩，口服药好转了慢慢添加", "role": "doctor"}, {"turn": 41, "text": "好的", "role": "patient"}, {"turn": 42, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 982, "thread": [{"turn": 0, "text": "气血不足会引起心脏早搏吗（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "早博", "role": "patient"}, {"turn": 3, "text": "心慌", "role": "patient"}, {"turn": 4, "text": "做过动态心电图吗", "role": "doctor"}, {"turn": 5, "text": "做过", "role": "patient"}, {"turn": 6, "text": "房性早搏", "role": "patient"}, {"turn": 7, "text": "24小时多少", "role": "doctor"}, {"turn": 8, "text": "不到一百吧，忘了", "role": "patient"}, {"turn": 9, "text": "不算多，问题不大", "role": "doctor"}, {"turn": 10, "text": "有时连续早博会觉得胸闷", "role": "patient"}, {"turn": 11, "text": "隔一段时间就会犯病", "role": "patient"}, {"turn": 12, "text": "出现早搏会有症状的", "role": "doctor"}, {"turn": 13, "text": "有时一个多月，有事一二十天，就会犯病", "role": "patient"}, {"turn": 14, "text": "吃美托洛尔或者稳心颗粒调理", "role": "doctor"}, {"turn": 15, "text": "早博喝啥药，我觉喝陪他乐克，不顶事，犯病的时候", "role": "patient"}, {"turn": 16, "text": "发作起来吃啥效果都不好，只能平时预防发作", "role": "doctor"}, {"turn": 17, "text": "稳心颗粒也喝过，没啥效果", "role": "patient"}, {"turn": 18, "text": "早搏不多，吃其他药物副作用大，得不偿失", "role": "doctor"}, {"turn": 19, "text": "就吃这两种药效果好？", "role": "patient"}, {"turn": 20, "text": "副作用小，作用还好", "role": "doctor"}, {"turn": 21, "text": "两个同时喝吗", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "喝多久？", "role": "patient"}, {"turn": 24, "text": "看症状", "role": "doctor"}, {"turn": 25, "text": "1月复查", "role": "doctor"}, {"turn": 26, "text": "好的谢谢你", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 983, "thread": [{"turn": 0, "text": "蛀牙痛和午时茶有用吗（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答。", "role": "doctor"}, {"turn": 2, "text": "您好，方便拍张蛀牙的照片吗？", "role": "doctor"}, {"turn": 3, "text": "不方便", "role": "patient"}, {"turn": 4, "text": "蛀牙痛喝午时茶有用吗", "role": "patient"}, {"turn": 5, "text": "您好，疼了多长时间了？", "role": "doctor"}, {"turn": 6, "text": "一晚上", "role": "patient"}, {"turn": 7, "text": "您好，不管用", "role": "doctor"}, {"turn": 8, "text": "家里有布洛芬缓释胶囊吗？", "role": "doctor"}, {"turn": 9, "text": "好吧。那我旁边没有任何药物。如何止痛", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "您好，躺下疼的厉害吗？", "role": "doctor"}, {"turn": 12, "text": "站着坐着躺着都一样", "role": "patient"}, {"turn": 13, "text": "嗯嗯，您好，没有什么方法可以缓解疼痛😭", "role": "doctor"}, {"turn": 14, "text": "你家离医院近不近？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 984, "thread": [{"turn": 0, "text": "医生，你好虫牙痛怎么办，（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，是吃东西疼还是不碰都疼？", "role": "doctor"}, {"turn": 2, "text": "吃东西痛，牙对牙也很痛", "role": "patient"}, {"turn": 3, "text": "考虑牙神经或者牙根发炎了", "role": "doctor"}, {"turn": 4, "text": "要就诊处理", "role": "doctor"}, {"turn": 5, "text": "怎么处理", "role": "patient"}, {"turn": 6, "text": "做根管治疗", "role": "doctor"}, {"turn": 7, "text": "去哪做", "role": "patient"}, {"turn": 8, "text": "口腔科", "role": "doctor"}, {"turn": 9, "text": "贵吗", "role": "patient"}, {"turn": 10, "text": "400-1000", "role": "doctor"}, {"turn": 11, "text": "看地方收费", "role": "doctor"}, {"turn": 12, "text": "这么贵的", "role": "patient"}, {"turn": 13, "text": "看你们那边收费", "role": "doctor"}, {"turn": 14, "text": "用手指弄它都痛", "role": "patient"}, {"turn": 15, "text": "😭😭", "role": "patient"}, {"turn": 16, "text": "可以拔掉吗", "role": "patient"}, {"turn": 17, "text": "能保留建议治疗的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 985, "thread": [{"turn": 0, "text": "耳鸣2年了，像蝉鸣一样（男，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，听力有下降吗？", "role": "doctor"}, {"turn": 2, "text": "没有下降", "role": "patient"}, {"turn": 3, "text": "吃过氟桂利嗪10几天，好一点", "role": "patient"}, {"turn": 4, "text": "单侧还是双侧", "role": "doctor"}, {"turn": 5, "text": "听力有点下降，双侧，左边重点", "role": "patient"}, {"turn": 6, "text": "听力查过吗", "role": "doctor"}, {"turn": 7, "text": "查过，基本正常", "role": "patient"}, {"turn": 8, "text": "报告在吗", "role": "doctor"}, {"turn": 9, "text": "2年前做的，找不到了", "role": "patient"}, {"turn": 10, "text": "结果好像说是神经性耳聋", "role": "patient"}, {"turn": 11, "text": "嗯，耳聋必然会耳鸣", "role": "doctor"}, {"turn": 12, "text": "注意避免噪音，不要熬夜", "role": "doctor"}, {"turn": 13, "text": "神经性耳鸣不是耳聋，不好意思写错了", "role": "patient"}, {"turn": 14, "text": "有什么药可以吃吗？还是要做什么检查", "role": "patient"}, {"turn": 15, "text": "吃氟桂利嗪和归脾丸，有点效果，不吃还是和原来一样", "role": "patient"}, {"turn": 16, "text": "建议查电测听+声导抗+耳声发射确诊", "role": "doctor"}, {"turn": 17, "text": "好的，如果是神经性的话，吃什么药好呢", "role": "patient"}, {"turn": 18, "text": "银杏叶+甲钴胺", "role": "doctor"}, {"turn": 19, "text": "要吃多久呢", "role": "patient"}, {"turn": 20, "text": "要看病情，你先去检查再吃药吧", "role": "doctor"}, {"turn": 21, "text": "好的，其他还需要做什么检查吗", "role": "patient"}, {"turn": 22, "text": "暂时先做这三个", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 986, "thread": [{"turn": 0, "text": "消化不良消化不良消化不良（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好很高兴为您答复！", "role": "doctor"}, {"turn": 2, "text": "你好医生 我最近两周偶尔有一天 就吃了饭一直卡在喉咙下面那里 堵着", "role": "patient"}, {"turn": 3, "text": "您怎么不舒服？", "role": "doctor"}, {"turn": 4, "text": "有口气口臭口苦发酸嗳气打嗝吗？", "role": "doctor"}, {"turn": 5, "text": "不是腹胀 是在喉咙口那里感觉", "role": "patient"}, {"turn": 6, "text": "有口臭 这个有大半年了", "role": "patient"}, {"turn": 7, "text": "但是吃了东西在喉咙那里堵着下不去是这两周的事", "role": "patient"}, {"turn": 8, "text": "大便干燥或者便秘吗？", "role": "doctor"}, {"turn": 9, "text": "昨天晚上吃了白菜肉饺子 到睡觉时也那样 下不去 也打不出隔来感觉 堵的慌", "role": "patient"}, {"turn": 10, "text": "今早好了 可吃了早饭 到现在一天都还堵着", "role": "patient"}, {"turn": 11, "text": "大便不规律 可能好几天一次", "role": "patient"}, {"turn": 12, "text": "但是不太干燥 湿", "role": "patient"}, {"turn": 13, "text": "胃肠动力不足", "role": "doctor"}, {"turn": 14, "text": "怎么得的这个", "role": "patient"}, {"turn": 15, "text": "可我不是腹胀 是在嗓子眼那", "role": "patient"}, {"turn": 16, "text": "那该怎么办呢", "role": "patient"}, {"turn": 17, "text": "服用吗丁啉", "role": "doctor"}, {"turn": 18, "text": "能吃栗子吗", "role": "patient"}, {"turn": 19, "text": "不能吃", "role": "doctor"}, {"turn": 20, "text": "如何增加肠胃动力呢", "role": "patient"}, {"turn": 21, "text": "除了吃药", "role": "patient"}, {"turn": 22, "text": "少量吃几个山楂", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 987, "thread": [{"turn": 0, "text": "牙痛然后是蛀牙而且是大牙，本人15女（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是哪颗牙疼？疼了多久啦，怎么个疼法，", "role": "doctor"}, {"turn": 2, "text": "喝凉热水疼还是咬东西疼，还是自发性疼？", "role": "doctor"}, {"turn": 3, "text": "现在牙疼的话建议你口服消炎药阿莫西林和甲硝唑", "role": "doctor"}, {"turn": 4, "text": "止疼药可以服用布洛芬或者路盖克或者戴芬", "role": "doctor"}, {"turn": 5, "text": "大牙疼", "role": "patient"}, {"turn": 6, "text": "嗯嗯", "role": "doctor"}, {"turn": 7, "text": "根据你说的症状可能是牙髓炎", "role": "doctor"}, {"turn": 8, "text": "疼了好久了", "role": "patient"}, {"turn": 9, "text": "建议你今天先吃药", "role": "doctor"}, {"turn": 10, "text": "明天去口腔科治疗牙齿", "role": "doctor"}, {"turn": 11, "text": "没有药", "role": "patient"}, {"turn": 12, "text": "嗯嗯", "role": "doctor"}, {"turn": 13, "text": "离医院近？", "role": "doctor"}, {"turn": 14, "text": "有没有现在可以克制一下的方法", "role": "patient"}, {"turn": 15, "text": "不近", "role": "patient"}, {"turn": 16, "text": "没有了", "role": "doctor"}, {"turn": 17, "text": "要么吃药，要么治牙", "role": "doctor"}, {"turn": 18, "text": "喔，好吧", "role": "patient"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "疼了这么久啦，建议你去治疗一下牙齿", "role": "doctor"}, {"turn": 21, "text": "不能拖，越拖越严重", "role": "doctor"}, {"turn": 22, "text": "不客气", "role": "doctor"}, {"turn": 23, "text": "嗯呢", "role": "patient"}, {"turn": 24, "text": "👌", "role": "doctor"}, {"turn": 25, "text": "阿莫西林胶囊可以吗", "role": "patient"}, {"turn": 26, "text": "可以", "role": "doctor"}, {"turn": 27, "text": "哦哦", "role": "patient"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "最好和甲硝唑或者奥硝唑配合着一块吃", "role": "doctor"}, {"turn": 30, "text": "不客气", "role": "doctor"}, {"turn": 31, "text": "蓝芩口服液和阿莫西林胶囊可以一起吃吗", "role": "patient"}, {"turn": 32, "text": "我刚喝完蓝芩口服液", "role": "patient"}, {"turn": 33, "text": "可以", "role": "doctor"}, {"turn": 34, "text": "这个口服液是中药成分", "role": "doctor"}, {"turn": 35, "text": "喔", "role": "patient"}, {"turn": 36, "text": "那我应该吃几颗阿莫西林胶囊", "role": "patient"}, {"turn": 37, "text": "这个你需要按说明书吃", "role": "doctor"}, {"turn": 38, "text": "不同厂家剂量不一样", "role": "doctor"}, {"turn": 39, "text": "他说成人两粒", "role": "patient"}, {"turn": 40, "text": "我15岁", "role": "patient"}, {"turn": 41, "text": "那你是1粒", "role": "doctor"}, {"turn": 42, "text": "喔", "role": "patient"}, {"turn": 43, "text": "首次可以加倍吃两粒，以后是一次一颗", "role": "doctor"}, {"turn": 44, "text": "谢谢", "role": "patient"}, {"turn": 45, "text": "不客气", "role": "doctor"}, {"turn": 46, "text": "那么晚了真敬业，谢谢", "role": "patient"}, {"turn": 47, "text": "早点休息，晚安", "role": "doctor"}, {"turn": 48, "text": "你太客气啦", "role": "doctor"}, {"turn": 49, "text": "晚安", "role": "patient"}, {"turn": 50, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 988, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：一岁宝宝便秘（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "大便特别干吗", "role": "doctor"}, {"turn": 3, "text": "2天", "role": "patient"}, {"turn": 4, "text": "每次解的费力吗", "role": "doctor"}, {"turn": 5, "text": "是，很硬", "role": "patient"}, {"turn": 6, "text": "宝宝是什么喂养", "role": "doctor"}, {"turn": 7, "text": "奶粉➕稀饭", "role": "patient"}, {"turn": 8, "text": "日常多喝水，多吃蔬菜水果，多吃富含粗纤维食物，每天顺时针按摩肚脐，口服益生菌调理肠道菌群环境，必要时口服乳果糖口服液促进胃肠蠕动功能", "role": "doctor"}, {"turn": 9, "text": "不爱喝水", "role": "patient"}, {"turn": 10, "text": "拉得辛苦肛门出血", "role": "patient"}, {"turn": 11, "text": "必须好好调理", "role": "doctor"}, {"turn": 12, "text": "有肛裂了", "role": "doctor"}, {"turn": 13, "text": "那要怎么办", "role": "patient"}, {"turn": 14, "text": "口服益生菌调理，乳果糖口服液可以快速改善大便性状，同时肛门用温水热敷，抹红霉素软膏", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "不用谢，祝宝宝早日康复，健康快乐😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 989, "thread": [{"turn": 0, "text": "十四个月宝宝便秘原因（男，1岁2个月）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答疑问。请问孩子多久没有解大便了呢？", "role": "doctor"}, {"turn": 2, "text": "每天都会解，但每次都是一点点", "role": "patient"}, {"turn": 3, "text": "有时两三次，三四次也有", "role": "patient"}, {"turn": 4, "text": "干不干呢？宝宝饮食怎么样？", "role": "doctor"}, {"turn": 5, "text": "有点干，饮食还可以，白天运动量也不少，自己已经会走了", "role": "patient"}, {"turn": 6, "text": "吃辅食蔬菜水果不？肚子涨不涨呢？口臭不？", "role": "doctor"}, {"turn": 7, "text": "现在母乳没断，每天加两次奶粉", "role": "patient"}, {"turn": 8, "text": "辅食添加情况如何？母乳还够不够？", "role": "doctor"}, {"turn": 9, "text": "辅食蔬菜水果都吃，肚子有点涨，口不臭", "role": "patient"}, {"turn": 10, "text": "辅食每天两到三次，母乳不够，白天不吃，夜奶没断，每天加两次奶粉", "role": "patient"}, {"turn": 11, "text": "这种情况还是考虑消化不良，夜奶可以开始断了，晚上吃一次奶粉就可以了的", "role": "doctor"}, {"turn": 12, "text": "母乳也可以开始断了的", "role": "doctor"}, {"turn": 13, "text": "母乳打算过了年暖和点就断", "role": "patient"}, {"turn": 14, "text": "他现在这种情况需要吃点什么？", "role": "patient"}, {"turn": 15, "text": "可以吃点益生菌或者，消积口服液之类的", "role": "doctor"}, {"turn": 16, "text": "之前没加奶粉就有点便秘后面又好了，现在加奶粉比之前便秘好像严重，前一天晚上用开塞露拉干净了，但第二天早上排的便还是一点，不过不硬，后面排的就硬点", "role": "patient"}, {"turn": 17, "text": "益生菌吃过几天没效果，这几天就没给吃了", "role": "patient"}, {"turn": 18, "text": "益生菌需要多吃一段时间的", "role": "doctor"}, {"turn": 19, "text": "如果大便比较费力，就可以吃点四磨汤的", "role": "doctor"}, {"turn": 20, "text": "开塞露也是临时用的", "role": "doctor"}, {"turn": 21, "text": "好的，以为他喝奶粉上火，这几天在给他喝清火宝，水他也不大喝", "role": "patient"}, {"turn": 22, "text": "水需要多喝的", "role": "doctor"}, {"turn": 23, "text": "给他喝不喝，喝了还会吐出来", "role": "patient"}, {"turn": 24, "text": "那就多吃些蔬菜水果", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢", "role": "patient"}, {"turn": 26, "text": "不客气的。希望孩子健康！", "role": "doctor"}, {"turn": 27, "text": "吃什么水果比较好", "role": "patient"}, {"turn": 28, "text": "什么蔬菜比较好", "role": "patient"}, {"turn": 29, "text": "水果就是当季的就可以了。最近就是橙子和橘子之类的", "role": "doctor"}, {"turn": 30, "text": "蔬菜的多吃粗纤维，比如芹菜之类的", "role": "doctor"}, {"turn": 31, "text": "好的，谢谢", "role": "patient"}, {"turn": 32, "text": "菌菇类可以多吃吗？", "role": "patient"}, {"turn": 33, "text": "不建议多吃，偶尔可以吃的", "role": "doctor"}, {"turn": 34, "text": "好的", "role": "patient"}, {"turn": 35, "text": "嗯嗯", "role": "doctor"}, {"turn": 36, "text": "谢谢你的解答", "role": "patient"}, {"turn": 37, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 990, "thread": [{"turn": 0, "text": "右侧咀嚼实物七天了 咬肌会变大吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，短期偏侧咀嚼不会的", "role": "doctor"}, {"turn": 2, "text": "那多久咬肌会大啊", "role": "patient"}, {"turn": 3, "text": "可是为什么我感觉变大了呢 右脸咬肌那块有个硬块", "role": "patient"}, {"turn": 4, "text": "几个月甚至几年", "role": "doctor"}, {"turn": 5, "text": "一个多月会吗", "role": "patient"}, {"turn": 6, "text": "因为前两天牙坏了 所以一直都在用右侧咀嚼实物 真的咬肌不会变大吗", "role": "patient"}, {"turn": 7, "text": "不会", "role": "doctor"}, {"turn": 8, "text": "那硬块是什么", "role": "patient"}, {"turn": 9, "text": "肌肉", "role": "doctor"}, {"turn": 10, "text": "对了医生 我牙前两天吃硬东西完事很疼 喝凉水也牙疼 去看说是漏神经让我抽神经 完事给我整个洞添的杀死神经的药 今天吃东西牙掉了一大块 请问怎么补救啊", "role": "patient"}, {"turn": 11, "text": "没掉完就按时复诊", "role": "doctor"}, {"turn": 12, "text": "掉完了尽早就诊", "role": "doctor"}, {"turn": 13, "text": "还没抽神经呢 用镶牙吗", "role": "patient"}, {"turn": 14, "text": "这几天不是过年吗 说开门给我抽", "role": "patient"}, {"turn": 15, "text": "那就按时复诊可以了", "role": "doctor"}, {"turn": 16, "text": "牙花子有一小块没牙 带牙套可以不", "role": "patient"}, {"turn": 17, "text": "可以的", "role": "doctor"}, {"turn": 18, "text": "那经常揉咬肌会不会变小", "role": "patient"}, {"turn": 19, "text": "基本不会", "role": "doctor"}, {"turn": 20, "text": "那怎样咬肌会变小", "role": "patient"}, {"turn": 21, "text": "没办法，要么整形", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 991, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的症状持续有多长时间了", "role": "doctor"}, {"turn": 2, "text": "二年了", "role": "patient"}, {"turn": 3, "text": "一直耳鸣吗", "role": "doctor"}, {"turn": 4, "text": "之前看耳科说没问题", "role": "patient"}, {"turn": 5, "text": "这一个月每天都是", "role": "patient"}, {"turn": 6, "text": "做了什么检查", "role": "doctor"}, {"turn": 7, "text": "自己说话外界因素都响", "role": "patient"}, {"turn": 8, "text": "哦，做过什么检查吗", "role": "doctor"}, {"turn": 9, "text": "您好，这个情况根据症状表现是耳鸣，这个情况一般考虑是神经性耳鸣多见，传导性耳鸣一般是感冒导致的中耳炎导致的，这个神经性耳鸣一般是和长时间生活不规律，和上火，疲劳等因素导致的神经问题，这个情况建议可以在医生指导下积极对症治疗，可以吃点倍他司汀片，维生素B1片，吃点甲钴胺片对症治疗，注意休息，保持生活规律，少吃辛辣刺激食物，一周症状不缓解建议去医院进一步检查听力确诊后在医生指导下积极对症治疗", "role": "doctor"}, {"turn": 10, "text": "看耳朵，说外表看没问题", "role": "patient"}, {"turn": 11, "text": "需要进一步检查听力", "role": "doctor"}, {"turn": 12, "text": "中医说肾虚，现在都不知道看什么科了", "role": "patient"}, {"turn": 13, "text": "建议去耳鼻喉科进一步检查", "role": "doctor"}, {"turn": 14, "text": "也可以先对症吃点药", "role": "doctor"}, {"turn": 15, "text": "一直都左耳", "role": "patient"}, {"turn": 16, "text": "哦", "role": "doctor"}, {"turn": 17, "text": "哦，好的，谢谢", "role": "patient"}, {"turn": 18, "text": "患者您好，网络问诊只可作为治疗建议，如果3日内病情仍未有好转，请及时就医以免贻误病情", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 992, "thread": [{"turn": 0, "text": "耳鸣，头晕。感觉是后脑勺晕（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "耳鸣有十来天了头晕是这几天才发现的，", "role": "patient"}, {"turn": 3, "text": "整天都耳鸣吗？", "role": "doctor"}, {"turn": 4, "text": "嗯，对", "role": "patient"}, {"turn": 5, "text": "头晕呢？", "role": "doctor"}, {"turn": 6, "text": "走路的时候晕，而且好像是后脑勺晕", "role": "patient"}, {"turn": 7, "text": "躺着没事？", "role": "doctor"}, {"turn": 8, "text": "躺着要好点", "role": "patient"}, {"turn": 9, "text": "最近有没有感冒的情况", "role": "doctor"}, {"turn": 10, "text": "没有啊", "role": "patient"}, {"turn": 11, "text": "有耳鸣的情况考虑是耳源性头晕", "role": "doctor"}, {"turn": 12, "text": "可以查查前庭功能", "role": "doctor"}, {"turn": 13, "text": "就是说可能是耳朵影响的头晕吗", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "它有没有可能会自己好", "role": "patient"}, {"turn": 16, "text": "有这种可能", "role": "doctor"}, {"turn": 17, "text": "这个有没有什么药可以治疗", "role": "patient"}, {"turn": 18, "text": "可以服用敏使朗", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 993, "thread": [{"turn": 0, "text": "宝宝5个月，咳嗽怎么办？（男，5个月）", "role": "patient"}, {"turn": 1, "text": "宝宝咳嗽多久了？有痰吗？", "role": "doctor"}, {"turn": 2, "text": "今天第二天", "role": "patient"}, {"turn": 3, "text": "听着没有痰", "role": "patient"}, {"turn": 4, "text": "有没有吃过药？", "role": "doctor"}, {"turn": 5, "text": "有其他症状吗？", "role": "doctor"}, {"turn": 6, "text": "有打喷嚏的症状，没有鼻涕", "role": "patient"}, {"turn": 7, "text": "吃了两顿小儿肺热咳喘颗粒，头孢克肟颗粒", "role": "patient"}, {"turn": 8, "text": "还是咳，感觉比昨天咳嗽勤一点，睡觉后也咳", "role": "patient"}, {"turn": 9, "text": "咳嗽两天不建议吃头孢", "role": "doctor"}, {"turn": 10, "text": "最好到医院让医生听听肺部情况", "role": "doctor"}, {"turn": 11, "text": "嗯嗯", "role": "patient"}, {"turn": 12, "text": "要听肺部有没有啰音", "role": "doctor"}, {"turn": 13, "text": "现在吃小儿肺热咳喘颗粒效果不好吗", "role": "patient"}, {"turn": 14, "text": "可以吃", "role": "doctor"}, {"turn": 15, "text": "吃完三天才评估效果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 994, "thread": [{"turn": 0, "text": "七个月的宝宝流鼻涕咳嗽，有时还呕吐（男，7个月）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "两三天了", "role": "patient"}, {"turn": 3, "text": "有发热么？", "role": "doctor"}, {"turn": 4, "text": "有痰", "role": "patient"}, {"turn": 5, "text": "昨天去诊所量的38.5", "role": "patient"}, {"turn": 6, "text": "贴的贴", "role": "patient"}, {"turn": 7, "text": "呕吐多少次？精神好么？", "role": "doctor"}, {"turn": 8, "text": "现在体温呢？", "role": "doctor"}, {"turn": 9, "text": "呕吐次数不多几天吐一次", "role": "patient"}, {"turn": 10, "text": "37", "role": "patient"}, {"turn": 11, "text": "精神好么？", "role": "doctor"}, {"turn": 12, "text": "看着比那两天有点懒", "role": "patient"}, {"turn": 13, "text": "食欲好么？", "role": "doctor"}, {"turn": 14, "text": "这两天也不爱吃", "role": "patient"}, {"turn": 15, "text": "奶粉都不大喝", "role": "patient"}, {"turn": 16, "text": "大便正常么？", "role": "doctor"}, {"turn": 17, "text": "大便正常", "role": "patient"}, {"turn": 18, "text": "有用过什么药么？", "role": "doctor"}, {"turn": 19, "text": "就是昨天拉的怎么有点发黑", "role": "patient"}, {"turn": 20, "text": "有用过什么药么？", "role": "doctor"}, {"turn": 21, "text": "是吃药吃的吗", "role": "patient"}, {"turn": 22, "text": "吃的三个九黄那敏颗粒跟小儿化痰止咳颗粒", "role": "patient"}, {"turn": 23, "text": "有好转么？", "role": "doctor"}, {"turn": 24, "text": "没有昨天贴的贴也没有", "role": "patient"}, {"turn": 25, "text": "中成药可以致大便黑色", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 995, "thread": [{"turn": 0, "text": "菊花益智仁一起泡茶会上火吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好  。菊花是可以清火解毒的", "role": "doctor"}, {"turn": 2, "text": "益智仁上火泡茶可以加金银花或者菊花吗？", "role": "patient"}, {"turn": 3, "text": "没有人嘛", "role": "patient"}, {"turn": 4, "text": "可以加的", "role": "doctor"}, {"turn": 5, "text": "刚有点事", "role": "doctor"}, {"turn": 6, "text": "金银花  菊花都是可以清火的", "role": "doctor"}, {"turn": 7, "text": "脾肾阳虚可以用益智仁泡茶吗加菊花我易上火", "role": "patient"}, {"turn": 8, "text": "益智仁可以的", "role": "doctor"}, {"turn": 9, "text": "加了菊花你还上火么", "role": "doctor"}, {"turn": 10, "text": "还没有泡过刚买来怕上火", "role": "patient"}, {"turn": 11, "text": "也就是说益智仁这个你也还没泡水", "role": "doctor"}, {"turn": 12, "text": "就是怕上火是吧", "role": "doctor"}, {"turn": 13, "text": "脾肾阳虚益智仁有功效吗？是的医生", "role": "patient"}, {"turn": 14, "text": "益智仁可以温补脾肾的", "role": "doctor"}, {"turn": 15, "text": "这个药物是没问题的", "role": "doctor"}, {"turn": 16, "text": "那你可以不用加菊花", "role": "doctor"}, {"turn": 17, "text": "可以加点枸杞", "role": "doctor"}, {"turn": 18, "text": "可以治我的脾肾阳虚是吗？我易上火?想加菊花问下可以不？", "role": "patient"}, {"turn": 19, "text": "你先不加菊花吧", "role": "doctor"}, {"turn": 20, "text": "菊花是凉性的", "role": "doctor"}, {"turn": 21, "text": "噢那我肯定上火", "role": "patient"}, {"turn": 22, "text": "那可以配什么不上火了？", "role": "patient"}, {"turn": 23, "text": "你如果担心  菊花这个是可以加的", "role": "doctor"}, {"turn": 24, "text": "你脾虚阳虚  我怕你加了菊花拉肚子", "role": "doctor"}, {"turn": 25, "text": "我拉肚子还好的就是脸色不好", "role": "patient"}, {"turn": 26, "text": "嗯嗯   你可以用益智仁  枸杞  菊花  放一起泡水喝", "role": "doctor"}, {"turn": 27, "text": "益智仁可以喝多少长时间", "role": "patient"}, {"turn": 28, "text": "每一种大概5g左右   这个你喝1个月问题不大", "role": "doctor"}, {"turn": 29, "text": "好的可以治我的脾肾阳虚是吗医生", "role": "patient"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "这些药物有这方面的作用", "role": "doctor"}, {"turn": 32, "text": "好的谢谢", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 996, "thread": [{"turn": 0, "text": "宝宝咳嗽 不流鼻涕怎么办（女，16个月）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝咳嗽多久了？，", "role": "doctor"}, {"turn": 2, "text": "有痰吗", "role": "doctor"}, {"turn": 3, "text": "今天早上开始的", "role": "patient"}, {"turn": 4, "text": "好像没感觉到痰", "role": "patient"}, {"turn": 5, "text": "大便干燥吗", "role": "doctor"}, {"turn": 6, "text": "还好", "role": "patient"}, {"turn": 7, "text": "跟原来一样", "role": "patient"}, {"turn": 8, "text": "可以喝小儿化痰止咳颗粒", "role": "doctor"}, {"turn": 9, "text": "多喝水。", "role": "doctor"}, {"turn": 10, "text": "好的 要不要抱到诊所去听听有没有痰", "role": "patient"}, {"turn": 11, "text": "要的", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "希望宝宝茁壮成长", "role": "doctor"}, {"turn": 14, "text": "去诊所说是支气管炎", "role": "patient"}, {"turn": 15, "text": "现在发烧了怎么办", "role": "patient"}, {"turn": 16, "text": "38.7", "role": "patient"}, {"turn": 17, "text": "38.7可以喝布洛芬混悬液退烧", "role": "doctor"}, {"turn": 18, "text": "还要吃消炎药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 997, "thread": [{"turn": 0, "text": "经常偏头痛是什么原因。（女，17岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多久了呢？疼痛的剧烈吗", "role": "doctor"}, {"turn": 2, "text": "这种疼痛有时候不疼，有时候疼大概有两三年了吧！", "role": "patient"}, {"turn": 3, "text": "有时候疼的厉害就会有恶心想吐的感觉。", "role": "patient"}, {"turn": 4, "text": "休息的怎么样呢", "role": "doctor"}, {"turn": 5, "text": "每次持续多久呢", "role": "doctor"}, {"turn": 6, "text": "休息有点不正常，有时候早睡有时候熬夜。", "role": "patient"}, {"turn": 7, "text": "比如说我今天头有点痛，就是中午睡觉睡醒了，头就痛了。", "role": "patient"}, {"turn": 8, "text": "有时候睡觉没睡好就会头痛。", "role": "patient"}, {"turn": 9, "text": "每天一般睡眠多久呢", "role": "doctor"}, {"turn": 10, "text": "七八个小时。", "role": "patient"}, {"turn": 11, "text": "我这种偏头痛就是靠近太阳穴的地方特别的痛。", "role": "patient"}, {"turn": 12, "text": "平时睡眠多梦吗", "role": "doctor"}, {"turn": 13, "text": "做过什么检查吗", "role": "doctor"}, {"turn": 14, "text": "晚上睡眠的时候不做梦白天的时候，就是中午睡觉的时候去了，有时候会做梦。只要做梦了，醒了过后头就会痛。", "role": "patient"}, {"turn": 15, "text": "这种情况建议您去查一下头ct如果没有问题可以吃点药调节一下", "role": "doctor"}, {"turn": 16, "text": "可以吃点百乐眠和克比奇", "role": "doctor"}, {"turn": 17, "text": "噢，谢谢", "role": "patient"}, {"turn": 18, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 998, "thread": [{"turn": 0, "text": "胃消化不良。胀气。打嗝。返酸（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "4天", "role": "patient"}, {"turn": 3, "text": "开始那天我乱吃东西。到了晚上胃绞痛。后来到医院打了止痛针", "role": "patient"}, {"turn": 4, "text": "以前有没有这样的症状？", "role": "doctor"}, {"turn": 5, "text": "这几天吃了吗丁啉好了很多", "role": "patient"}, {"turn": 6, "text": "但是还有胀气之类的", "role": "patient"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "那你的症状可能是急性胃炎引起的", "role": "doctor"}, {"turn": 9, "text": "建议再吃点奥美拉唑肠溶胶囊 每日两次，每次一粒", "role": "doctor"}, {"turn": 10, "text": "我现在每天都是吃稀饭。其他的不敢吃", "role": "patient"}, {"turn": 11, "text": "现在吃什么食物好", "role": "patient"}, {"turn": 12, "text": "现在不要吃辛辣刺激食物就可以了，其他的都可以吃", "role": "doctor"}, {"turn": 13, "text": "奥美拉唑可以继续吃", "role": "doctor"}, {"turn": 14, "text": "喝可乐之类的行吗", "role": "patient"}, {"turn": 15, "text": "可乐最好少喝，容易引起肚子胀气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 999, "thread": [{"turn": 0, "text": "中西气虚血堵可以吃红枣吗（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好  气虚亏虚是可以吃红枣的", "role": "doctor"}, {"turn": 2, "text": "气虚血堵", "role": "patient"}, {"turn": 3, "text": "可以吃红枣和桂圆吗", "role": "patient"}, {"turn": 4, "text": "失眠多梦，胸口跳", "role": "patient"}, {"turn": 5, "text": "中医说的气虚血堵", "role": "patient"}, {"turn": 6, "text": "西西说的心脏神经官能症", "role": "patient"}, {"turn": 7, "text": "西医说的神经官能症", "role": "patient"}, {"turn": 8, "text": "我说的干桂圆", "role": "patient"}, {"turn": 9, "text": "能吃吗，红枣和干桂圆", "role": "patient"}, {"turn": 10, "text": "你好这个还可以的", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}, {"turn": 12, "text": "你这个可以加点黄芪", "role": "doctor"}, {"turn": 13, "text": "桂圆可以吃的", "role": "doctor"}, {"turn": 14, "text": "好", "role": "patient"}, {"turn": 15, "text": "还有谷维素可以吃的   你这个情况", "role": "doctor"}, {"turn": 16, "text": "我吃了的", "role": "patient"}, {"turn": 17, "text": "嗯嗯那就可以", "role": "doctor"}, {"turn": 18, "text": "中药开了酸枣仁，那么还可以吃点大红枣吗？会不会多了", "role": "patient"}, {"turn": 19, "text": "酸枣仁是酸枣仁  这个是安眠的  红枣是养血的", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "中医说的气虚血堵可以吃干核桃，干桂圆，大红枣吧", "role": "patient"}, {"turn": 22, "text": "可以吃的你这些药物", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "😊", "role": "doctor"}, {"turn": 25, "text": "胃酸重。有法吃面条和喝蜂蜜水吗？听说，蜂蜜可以调理睡眠。", "role": "patient"}, {"turn": 26, "text": "烧心可以吃面条吗", "role": "patient"}, {"turn": 27, "text": "嗯  有烧心感你吃点胃药吧", "role": "doctor"}, {"turn": 28, "text": "这个可以吃的", "role": "doctor"}, {"turn": 29, "text": "你吃点奥美拉唑胶囊", "role": "doctor"}, {"turn": 30, "text": "还有胃酸重可以喝蜂蜜水吗？这个是甜的。听说蜂蜜对失眠有帮助", "role": "patient"}, {"turn": 31, "text": "可以喝一些", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1000, "thread": [{"turn": 0, "text": "脖子扭伤，不能动，十分痛（女，39岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "昨晚", "role": "patient"}, {"turn": 3, "text": "应该是睡眠姿势不正确的事。", "role": "doctor"}, {"turn": 4, "text": "用热毛巾热敷", "role": "doctor"}, {"turn": 5, "text": "晚上都不能动", "role": "patient"}, {"turn": 6, "text": "吃点芬必得，症状缓解需要个过程", "role": "doctor"}, {"turn": 7, "text": "睡前运动了下，感觉忽然痛", "role": "patient"}, {"turn": 8, "text": "那就是肌肉拉伤了", "role": "doctor"}, {"turn": 9, "text": "睡下更痛，不能动弹", "role": "patient"}, {"turn": 10, "text": "热fu时好一点", "role": "patient"}, {"turn": 11, "text": "症状缓解需要一个过程", "role": "doctor"}, {"turn": 12, "text": "好得很慢", "role": "doctor"}, {"turn": 13, "text": "完全不能动也没居烈运动", "role": "patient"}, {"turn": 14, "text": "肌肉损伤就是这样", "role": "doctor"}, {"turn": 15, "text": "半边身体却动不了", "role": "patient"}, {"turn": 16, "text": "怎么动不了？是完全不能动，还是脖子疼得不敢动", "role": "doctor"}, {"turn": 17, "text": "推拿行吗", "role": "patient"}, {"turn": 18, "text": "不行，会加重", "role": "doctor"}, {"turn": 19, "text": "就是静养等其自己慢慢好", "role": "doctor"}, {"turn": 20, "text": "项疼得不能动", "role": "patient"}, {"turn": 21, "text": "买芬必得吃", "role": "doctor"}, {"turn": 22, "text": "如果能买到乙哌立松，也一块吃点", "role": "doctor"}, {"turn": 23, "text": "没有别的治疗办法么，痛，没法工作", "role": "patient"}, {"turn": 24, "text": "这个病不是一下就能好的病", "role": "doctor"}, {"turn": 25, "text": "需要请假休息至少三天", "role": "doctor"}, {"turn": 26, "text": "哎", "role": "patient"}, {"turn": 27, "text": "自然规律无法打破，安心养病", "role": "doctor"}, {"turn": 28, "text": "好吧，", "role": "patient"}, {"turn": 29, "text": "少活动，吃点药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1001, "thread": [{"turn": 0, "text": "声带小结，晚上疼痛难忍（，）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？n做过检查嘛", "role": "doctor"}, {"turn": 2, "text": "做了", "role": "patient"}, {"turn": 3, "text": "两个月w", "role": "patient"}, {"turn": 4, "text": "我想问一下平时我应该如何保护它", "role": "patient"}, {"turn": 5, "text": "你现在有声音沙哑吗？", "role": "doctor"}, {"turn": 6, "text": "是不是因为季节的原因", "role": "patient"}, {"turn": 7, "text": "有", "role": "patient"}, {"turn": 8, "text": "我是老师", "role": "patient"}, {"turn": 9, "text": "做了喉镜检查", "role": "patient"}, {"turn": 10, "text": "晚上睡起来感觉喉咙超级干疼", "role": "patient"}, {"turn": 11, "text": "午休睡起来也是感觉喉咙干", "role": "patient"}, {"turn": 12, "text": "在吗", "role": "patient"}, {"turn": 13, "text": "职业病防护措施少说话，不吃刺激性食物。", "role": "doctor"}, {"turn": 14, "text": "喝热水，不熬夜", "role": "doctor"}, {"turn": 15, "text": "晚上疼", "role": "patient"}, {"turn": 16, "text": "我平时生活中可以怎样保护它", "role": "patient"}, {"turn": 17, "text": "我才工作两个月", "role": "patient"}, {"turn": 18, "text": "慢性咽炎症状", "role": "doctor"}, {"turn": 19, "text": "是因为季节问题吗", "role": "patient"}, {"turn": 20, "text": "平时生活中，我应该多吃什么去调节保护", "role": "patient"}, {"turn": 21, "text": "你嗓子可有干痒症状？", "role": "doctor"}, {"turn": 22, "text": "一天吃一个梨吗", "role": "patient"}, {"turn": 23, "text": "有", "role": "patient"}, {"turn": 24, "text": "我一天上三节课下来，喉咙感觉冒烟起火一样难受😣", "role": "patient"}, {"turn": 25, "text": "上课时间喝热水，", "role": "doctor"}, {"turn": 26, "text": "注意发音的方法", "role": "doctor"}, {"turn": 27, "text": "我现在注意很多", "role": "patient"}, {"turn": 28, "text": "发音技巧很重要", "role": "doctor"}, {"turn": 29, "text": "我想问一下有什么比较好的食谱吗，我平时保护自己", "role": "patient"}, {"turn": 30, "text": "正常饮食，不吃刺激性食物，不吃凉东西，多吃水果蔬菜维生素", "role": "doctor"}, {"turn": 31, "text": "那个炖梨，可以吃吗", "role": "patient"}, {"turn": 32, "text": "可以吃，", "role": "doctor"}, {"turn": 33, "text": "梨汤热吃，效果好", "role": "doctor"}, {"turn": 34, "text": "可以天天吃吗", "role": "patient"}, {"turn": 35, "text": "除此之外还有别的方法吗", "role": "patient"}, {"turn": 36, "text": "坚果类食物少吃", "role": "doctor"}, {"turn": 37, "text": "好，那个我总是感觉喉咙有痰", "role": "patient"}, {"turn": 38, "text": "你最近去医院耳鼻喉科检查了吗？", "role": "doctor"}, {"turn": 39, "text": "去了，做了喉镜，诊断是声带小结", "role": "patient"}, {"turn": 40, "text": "咽炎症状明显", "role": "doctor"}, {"turn": 41, "text": "那应该怎么治疗", "role": "patient"}, {"turn": 42, "text": "主要是自己保养，少吃刺激性食物，少吃凉东西，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1002, "thread": [{"turn": 0, "text": "耳鸣头晕时不时全身有些地方抖怎么回事（男，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问症状是天旋地转，发作性的么？", "role": "doctor"}, {"turn": 2, "text": "不是", "role": "patient"}, {"turn": 3, "text": "没有那么严重，就是觉得头闷闷的", "role": "patient"}, {"turn": 4, "text": "多久了？持续发作么？", "role": "doctor"}, {"turn": 5, "text": "一周吧", "role": "patient"}, {"turn": 6, "text": "最近休息怎么样？", "role": "doctor"}, {"turn": 7, "text": "有没有高血压？", "role": "doctor"}, {"turn": 8, "text": "还行", "role": "patient"}, {"turn": 9, "text": "刚测的血压142，95", "role": "patient"}, {"turn": 10, "text": "血压有些高，轻度高血压", "role": "doctor"}, {"turn": 11, "text": "大年初二的时候测了一个心电图和心肌酶都好着呢，", "role": "patient"}, {"turn": 12, "text": "我这是什么原因导致的呢医生", "role": "patient"}, {"turn": 13, "text": "有高血压家族史么？", "role": "doctor"}, {"turn": 14, "text": "我妈我爸都没有，", "role": "patient"}, {"turn": 15, "text": "以前测量高不高？您应该连续测量血压一周，早晨", "role": "doctor"}, {"turn": 16, "text": "有时候高有时候不高", "role": "patient"}, {"turn": 17, "text": "如果连续三次测量超过140/90，可以考虑高血压", "role": "doctor"}, {"turn": 18, "text": "我这是怎么回事呢", "role": "patient"}, {"turn": 19, "text": "高血压导致耳鸣头晕？", "role": "patient"}, {"turn": 20, "text": "高血压症状是，头晕，耳鸣，心悸，乏力", "role": "doctor"}, {"turn": 21, "text": "抖也是这个原因吗，", "role": "patient"}, {"turn": 22, "text": "和抖有关，我还真没有见过", "role": "doctor"}, {"turn": 23, "text": "那你说是高血压", "role": "patient"}, {"turn": 24, "text": "您血压的确高么", "role": "doctor"}, {"turn": 25, "text": "＞140/90不高么", "role": "doctor"}, {"turn": 26, "text": "哪个部位抖？", "role": "doctor"}, {"turn": 27, "text": "抖动是什么症状？可以详细描述一下。不过高血压没有抖动这个症状", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1003, "thread": [{"turn": 0, "text": "出生7天的宝宝便秘怎么办（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "几天一次大便？", "role": "doctor"}, {"turn": 3, "text": "你好，小孩现在喝牛奶，从28号开始到现在都没有大便。", "role": "patient"}, {"turn": 4, "text": "刚开始三天每天都有三次大便，中间26号一直到27号晚上才有一次大便。28号中午有一次。", "role": "patient"}, {"turn": 5, "text": "宝宝肚子涨不涨？", "role": "doctor"}, {"turn": 6, "text": "拍了不涨，也有屁。", "role": "patient"}, {"turn": 7, "text": "婴儿排便跟大人道理是相通的，有时候受食量，活动量等影响，一天甚至两三天没有大便也是允许的。建议注意奶量，是否存在喂养不足。其次，可以通过按摩腹部（面向宝宝，顺时针方向）促进肠蠕动从而加快排便。但是，如果不拍大便时间太长，大便存留时间也长，易干结，也会加重排便困难。三天以上建议用开塞露排便。", "role": "doctor"}, {"turn": 8, "text": "可以给宝宝吃益生菌调理一下", "role": "doctor"}, {"turn": 9, "text": "嗯，好的， 谢谢你啊，这么小也是可以吃益生菌对吧。", "role": "patient"}, {"turn": 10, "text": "开塞露有婴儿用的，还是药店里卖的都可以。", "role": "patient"}, {"turn": 11, "text": "可以吃", "role": "doctor"}, {"turn": 12, "text": "益生菌没什么副作用的", "role": "doctor"}, {"turn": 13, "text": "开塞露只有一种，不分小孩和成人", "role": "doctor"}, {"turn": 14, "text": "我觉得宝宝目前不需要用开塞露", "role": "doctor"}, {"turn": 15, "text": "好的，知道了，谢谢你哦。", "role": "patient"}, {"turn": 16, "text": "没事，祝宝宝健康成长！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1004, "thread": [{"turn": 0, "text": "离预产期还有几天了，可这几天便秘怎么办？", "role": "patient"}, {"turn": 1, "text": "你好。", "role": "doctor"}, {"turn": 2, "text": "养成定时排便的习惯。 2：多吃韭菜、芹菜等多纤维的菜及木耳、海带等。 3：不吃含鞣酸多的苹果、柿子、山楂等。 4：吃瘦肉时要搭配一定量的肥肉与多纤维蔬菜。 5：晨起用温开水冲服一小勺蜂蜜既治疗缓解便秘又增加营养。 6：勤活动，莫久坐，多喝水。", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "哦！好的，谢谢", "role": "patient"}, {"turn": 5, "text": "调整饮食", "role": "doctor"}, {"turn": 6, "text": "不客气-_-#", "role": "doctor"}, {"turn": 7, "text": "我每天晚上都留半杯水，早上起来再烧一些开水兑着喝", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "或者早上空腹喝牛奶试试", "role": "doctor"}, {"turn": 10, "text": "我不喝牛奶，酸奶可以嘛", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "好的知道了！谢谢", "role": "patient"}, {"turn": 13, "text": "不客气...希望能对您有帮助...也很满意（：）^_^早点休息吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1005, "thread": [{"turn": 0, "text": "病毒性角膜炎用什么药比较好？（男，55岁）", "role": "patient"}, {"turn": 1, "text": "病毒性角膜炎主要要用抗病毒的眼药，比如更昔洛韦眼用凝胶、阿昔洛韦眼液、干扰素眼液", "role": "doctor"}, {"turn": 2, "text": "但具体怎么用要根据您的病情具体看", "role": "doctor"}, {"turn": 3, "text": "你好，医生", "role": "patient"}, {"turn": 4, "text": "你好", "role": "doctor"}, {"turn": 5, "text": "我爸，他是每年都犯病，主要就是眼睛胀痛，红血丝很多", "role": "patient"}, {"turn": 6, "text": "那去医院看过是病毒性角膜炎吗？", "role": "doctor"}, {"turn": 7, "text": "还有就是流眼泪，以前在医院检查后诊断是病毒性角膜炎，您看用什么药比较好呢？", "role": "patient"}, {"turn": 8, "text": "如果确诊是病毒性角膜炎，主要要用抗病毒的眼药，比如更昔洛韦眼用凝胶、阿昔洛韦眼液、干扰素眼液", "role": "doctor"}, {"turn": 9, "text": "但首先是要确定诊断", "role": "doctor"}, {"turn": 10, "text": "这几个药是一起用吗？", "role": "patient"}, {"turn": 11, "text": "发红流泪只是症状，很多眼病都可以有这样的症状", "role": "doctor"}, {"turn": 12, "text": "更昔洛韦眼用凝胶每天3次，干扰素眼液每天6次", "role": "doctor"}, {"turn": 13, "text": "确定是病毒性角膜炎，都好多年了，并且每年都犯，你看有没得更好的治疗建议呢？", "role": "patient"}, {"turn": 14, "text": "病毒性角膜炎就是容易反复发作", "role": "doctor"}, {"turn": 15, "text": "如果严重可能需要输液抗病毒药和口服抗病毒药", "role": "doctor"}, {"turn": 16, "text": "而且建议眼科做一下角膜共聚焦显微镜，明确病原体", "role": "doctor"}, {"turn": 17, "text": "嗯，好的，谢谢", "role": "patient"}, {"turn": 18, "text": "饮食需要注意哪些呢", "role": "patient"}, {"turn": 19, "text": "饮食不要过分辛辣和刺激就行，没有特殊忌口的", "role": "doctor"}, {"turn": 20, "text": "那你刚才说的那三种药都要用吗还是只需要用你刚刚讲了用法得那两种药就好了？", "role": "patient"}, {"turn": 21, "text": "两种就可以", "role": "doctor"}, {"turn": 22, "text": "眼液任选其一", "role": "doctor"}, {"turn": 23, "text": "好的，谢谢了医生", "role": "patient"}, {"turn": 24, "text": "不客气！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1006, "thread": [{"turn": 0, "text": "腰遭扭伤了，腰痛厉害，怎么办啊？（女，59岁）", "role": "patient"}, {"turn": 1, "text": "你好受过伤吗？腰是正中间疼还是两边疼？", "role": "doctor"}, {"turn": 2, "text": "正中间", "role": "patient"}, {"turn": 3, "text": "腿疼痛憋胀吗", "role": "doctor"}, {"turn": 4, "text": "搬啤酒", "role": "patient"}, {"turn": 5, "text": "腿痛", "role": "patient"}, {"turn": 6, "text": "两条腿一样吗", "role": "doctor"}, {"turn": 7, "text": "以前有腰椎骨质增生", "role": "patient"}, {"turn": 8, "text": "这种情况有可能是受凉劳累姿势不当引起的。", "role": "doctor"}, {"turn": 9, "text": "建议搞搞热敷，外用氟比洛芬巴布膏。必要时吃点布洛芬或依托考昔。", "role": "doctor"}, {"turn": 10, "text": "建议别受凉，别劳累，别用力弯腰，别搬重物", "role": "doctor"}, {"turn": 11, "text": "只有右边腿痛", "role": "patient"}, {"turn": 12, "text": "腰痛引起腿痛", "role": "patient"}, {"turn": 13, "text": "也有可能是腰椎间盘突出压迫神经", "role": "doctor"}, {"turn": 14, "text": "建议去医院做个腰椎的核磁共振。", "role": "doctor"}, {"turn": 15, "text": "之前做过检查", "role": "patient"}, {"turn": 16, "text": "腰椎骨质增生，有腰椎间盘突出", "role": "patient"}, {"turn": 17, "text": "那您按我说的治疗治疗应该效果不错。", "role": "doctor"}, {"turn": 18, "text": "氟比洛芬巴布膏", "role": "patient"}, {"turn": 19, "text": "这个药老家没有", "role": "patient"}, {"turn": 20, "text": "对，膏药", "role": "doctor"}, {"turn": 21, "text": "可以换成天和骨通贴膏", "role": "doctor"}, {"turn": 22, "text": "云南白药的膏药和云南白药的气雾剂有效果吗", "role": "patient"}, {"turn": 23, "text": "老家只有这些药", "role": "patient"}, {"turn": 24, "text": "气雾剂没有效果，可以试试云南白药膏。", "role": "doctor"}, {"turn": 25, "text": "需要吃药吗？", "role": "patient"}, {"turn": 26, "text": "腰痛期间能活动吗？还是要卧床休息", "role": "patient"}, {"turn": 27, "text": "尽量多卧床休息，可以吃点布洛芬", "role": "doctor"}, {"turn": 28, "text": "需要吃药吗？", "role": "patient"}, {"turn": 29, "text": "活血止痛胶囊可以吃吗？", "role": "patient"}, {"turn": 30, "text": "布洛芬最好。可以辅助应用活血止痛胶囊。", "role": "doctor"}, {"turn": 31, "text": "需要注意什么", "role": "patient"}, {"turn": 32, "text": "风湿骨痛胶囊，活血止痛胶囊，哪种好？家里都有药", "role": "patient"}, {"turn": 33, "text": "可以吃点活血止痛胶囊吧", "role": "doctor"}, {"turn": 34, "text": "别用力弯腰，别搬重物", "role": "doctor"}, {"turn": 35, "text": "好", "role": "patient"}, {"turn": 36, "text": "祝您早日康复", "role": "doctor"}, {"turn": 37, "text": "用药几天？", "role": "patient"}, {"turn": 38, "text": "5天左右吧", "role": "doctor"}, {"turn": 39, "text": "腰痛宁胶囊有效果吗", "role": "patient"}, {"turn": 40, "text": "中成药还缓和一点儿。", "role": "doctor"}, {"turn": 41, "text": "什么意思？不懂呢？", "role": "patient"}, {"turn": 42, "text": "中成药来的慢一点。", "role": "doctor"}, {"turn": 43, "text": "哦", "role": "patient"}, {"turn": 44, "text": "不如布洛芬效果好。", "role": "doctor"}, {"turn": 45, "text": "医生开了布洛芬胶囊，腰痛宁胶囊，活血止痛胶囊", "role": "patient"}, {"turn": 46, "text": "需要都吃这些药吗？", "role": "patient"}, {"turn": 47, "text": "感觉有点多", "role": "patient"}, {"turn": 48, "text": "吃前两样就行。", "role": "doctor"}, {"turn": 49, "text": "热敷每天敷多久？敷几次", "role": "patient"}, {"turn": 50, "text": "一次热敷15~20分钟，一天2~3次。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1007, "thread": [{"turn": 0, "text": "脚扭伤热敷用热帖可以吗（女，54岁）", "role": "patient"}, {"turn": 1, "text": "你好：很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "扭伤多长时间了？", "role": "doctor"}, {"turn": 3, "text": "36个小时了", "role": "patient"}, {"turn": 4, "text": "暂时不做热敷，损伤48小时后再做热敷。", "role": "doctor"}, {"turn": 5, "text": "用热贴可以", "role": "doctor"}, {"turn": 6, "text": "我还以为是24小时就可以了", "role": "patient"}, {"turn": 7, "text": "现在还冷敷吗", "role": "patient"}, {"turn": 8, "text": "损伤48小时内冷敷，损伤48小时后热敷", "role": "doctor"}, {"turn": 9, "text": "用云南白药喷雾可以吧", "role": "patient"}, {"turn": 10, "text": "可以", "role": "doctor"}, {"turn": 11, "text": "每次要冷敷多长时间", "role": "patient"}, {"turn": 12, "text": "谢谢", "role": "patient"}, {"turn": 13, "text": "冷敷30分钟；一天4-6次", "role": "doctor"}, {"turn": 14, "text": "可以吃葱吗", "role": "patient"}, {"turn": 15, "text": "好滴", "role": "patient"}, {"turn": 16, "text": "太感谢医生了，多亏了问您！", "role": "patient"}, {"turn": 17, "text": "可以", "role": "doctor"}, {"turn": 18, "text": "不客气，希望我的解答对您有所帮助，㊗️您早日康复！", "role": "doctor"}, {"turn": 19, "text": "还得请教一下您！冷敷用凉水可以的吧，在齐齐哈尔", "role": "patient"}, {"turn": 20, "text": "可以", "role": "doctor"}, {"turn": 21, "text": "可以吃舒筋活血片吧😄，谢谢哈", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1008, "thread": [{"turn": 0, "text": "右耳耳朵听不见，伴有耳鸣（女，14岁）经常熬夜不常戴耳机？", "role": "patient"}, {"turn": 1, "text": "您好！这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "差不多一个星期多了", "role": "patient"}, {"turn": 4, "text": "是突然耳朵耳鸣听力下降吗？", "role": "doctor"}, {"turn": 5, "text": "不", "role": "patient"}, {"turn": 6, "text": "是从小就听不到吗？", "role": "doctor"}, {"turn": 7, "text": "是以前前就有了", "role": "patient"}, {"turn": 8, "text": "不过持续的时间不长", "role": "patient"}, {"turn": 9, "text": "那这种类型的听力损失可能不能恢复了。耳鸣的话跟听力下降和经常熬夜都有关系", "role": "doctor"}, {"turn": 10, "text": "如果在照顾好自己身体的情况下 ，耳鸣可以减轻吗", "role": "patient"}, {"turn": 11, "text": "会的。主要是要生活规律和休息好", "role": "doctor"}, {"turn": 12, "text": "恩", "role": "patient"}, {"turn": 13, "text": "右耳会不会也听不见？", "role": "patient"}, {"turn": 14, "text": "一般不会的。注意要休息好，避免噪声，因为只有一侧听力所以尤其要注意耳朵的保护。", "role": "doctor"}, {"turn": 15, "text": "是", "role": "patient"}, {"turn": 16, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1009, "thread": [{"turn": 0, "text": "膝盖骨一直有酸麻的感觉！是风湿么", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "双侧膝盖骨？", "role": "doctor"}, {"turn": 3, "text": "只有一侧这样", "role": "patient"}, {"turn": 4, "text": "你多大岁数？", "role": "doctor"}, {"turn": 5, "text": "好长时间了", "role": "patient"}, {"turn": 6, "text": "29", "role": "patient"}, {"turn": 7, "text": "会是缺钙么", "role": "patient"}, {"turn": 8, "text": "还是缺氨基酸", "role": "patient"}, {"turn": 9, "text": "平时活动量大吗？", "role": "doctor"}, {"turn": 10, "text": "走路怎么样？", "role": "doctor"}, {"turn": 11, "text": "不大，没有啥活动", "role": "patient"}, {"turn": 12, "text": "首先不考虑是风湿病😊", "role": "doctor"}, {"turn": 13, "text": "走路没啥影响", "role": "patient"}, {"turn": 14, "text": "嗯，检查治疗过没有", "role": "doctor"}, {"turn": 15, "text": "那是啥啊", "role": "patient"}, {"turn": 16, "text": "你别着急啊，我问问病情，帮你分析呢😊", "role": "doctor"}, {"turn": 17, "text": "能吹空调吗？", "role": "doctor"}, {"turn": 18, "text": "什么时候感觉最严重？", "role": "doctor"}, {"turn": 19, "text": "晚上睡觉时候严重", "role": "patient"}, {"turn": 20, "text": "你是做什么工作呢", "role": "doctor"}, {"turn": 21, "text": "平时久站走路多吗", "role": "doctor"}, {"turn": 22, "text": "这几天白天也严重了，坐着时候就酸麻。平时坐着时候多", "role": "patient"}, {"turn": 23, "text": "文员", "role": "patient"}, {"turn": 24, "text": "小腿有这情况吗😊", "role": "doctor"}, {"turn": 25, "text": "困麻不适？", "role": "doctor"}, {"turn": 26, "text": "小腿捏着有一点点疼", "role": "patient"}, {"turn": 27, "text": "就膝盖骨", "role": "patient"}, {"turn": 28, "text": "有问题", "role": "patient"}, {"turn": 29, "text": "你这情况也可能是腰椎间盘突出或者膨出引起的", "role": "doctor"}, {"turn": 30, "text": "我要去医院，是化验血看看缺钙，还是去拍片子，去那个科室", "role": "patient"}, {"turn": 31, "text": "你这情况建议去骨科门诊，先让医生当面亲自给你体格检查一下😊", "role": "doctor"}, {"turn": 32, "text": "膝盖骨这是腰引起的？", "role": "patient"}, {"turn": 33, "text": "嗯，感觉上这是受神经支配的", "role": "doctor"}, {"turn": 34, "text": "我", "role": "patient"}, {"turn": 35, "text": "知道了，谢谢", "role": "patient"}, {"turn": 36, "text": "也可以先口服甲钴胺一段时间看看😊", "role": "doctor"}, {"turn": 37, "text": "别客气，祝您早日康复，以后有问题随时联系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1010, "thread": [{"turn": 0, "text": "脚扭伤了怎么恢复最快（女，9岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "下午扭的", "role": "patient"}, {"turn": 3, "text": "肿了么", "role": "doctor"}, {"turn": 4, "text": "有点肿，好疼", "role": "patient"}, {"turn": 5, "text": "是用酒揉还是用熟鸡蛋揉", "role": "patient"}, {"turn": 6, "text": "？？？？", "role": "patient"}, {"turn": 7, "text": "拍过片么", "role": "doctor"}, {"turn": 8, "text": "有没有确定骨头有没有问题？", "role": "doctor"}, {"turn": 9, "text": "如果骨头没有问题，扭伤后两天内冷敷", "role": "doctor"}, {"turn": 10, "text": "休息，制动，受伤的脚不要踩地活动", "role": "doctor"}, {"turn": 11, "text": "冷敷怎么敷", "role": "patient"}, {"turn": 12, "text": "冰块包在毛巾里放在肿胀的位置", "role": "doctor"}, {"turn": 13, "text": "或者凉水沾湿毛巾冷敷", "role": "doctor"}, {"turn": 14, "text": "一次20到30分钟", "role": "doctor"}, {"turn": 15, "text": "熟鸡蛋可以吗", "role": "patient"}, {"turn": 16, "text": "建议冷敷", "role": "doctor"}, {"turn": 17, "text": "一般来说伤后两天内是不能热敷的。应该是是伤后立刻给于局部冷敷，外用云南白药气雾剂，口服非甾体及舒筋活血类药物治疗，抬高患肢，限制活动等应该是可以缓解症状的", "role": "doctor"}, {"turn": 18, "text": "能揉吗", "role": "patient"}, {"turn": 19, "text": "可以轻柔", "role": "doctor"}, {"turn": 20, "text": "用煮熟的鸡蛋晾冷揉可以吗", "role": "patient"}, {"turn": 21, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1011, "thread": [{"turn": 0, "text": "耳鸣，眼睛模糊，睡不着，头晕（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "有一周了", "role": "patient"}, {"turn": 3, "text": "嗓子还粘", "role": "patient"}, {"turn": 4, "text": "体温多少？有没有着凉？", "role": "doctor"}, {"turn": 5, "text": "没有着凉，体温正常", "role": "patient"}, {"turn": 6, "text": "休息睡眠怎么样？熬夜吗？几点睡？每晚睡几个小时？打鼾吗？做梦吗？起夜吗？", "role": "doctor"}, {"turn": 7, "text": "晚上睡得晚", "role": "patient"}, {"turn": 8, "text": "白天休息不好", "role": "patient"}, {"turn": 9, "text": "不起夜，不做梦，不打呼噜", "role": "patient"}, {"turn": 10, "text": "晚上睡觉都十二点多了", "role": "patient"}, {"turn": 11, "text": "你这个心情情绪怎么样，有没有焦虑抑郁紧张？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "你这个耳鸣等症状应该是与睡眠不好有关系，而且这个睡眠不好一般都是心情情绪不好或工作压力大，想事情多，心身不能放松引起", "role": "doctor"}, {"turn": 14, "text": "我需要吃什么药", "role": "patient"}, {"turn": 15, "text": "首先你要保证心情情绪舒畅。避免焦虑紧张放松心身。可以吃枣仁安神颗粒或安神补脑液。白天要多出去走走。多参加集体活动", "role": "doctor"}, {"turn": 16, "text": "不是因为肝火吗？", "role": "patient"}, {"turn": 17, "text": "不是。主要是心情情绪不好的事", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "恩😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1012, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：膝关节扭伤（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了", "role": "doctor"}, {"turn": 2, "text": "一天", "role": "patient"}, {"turn": 3, "text": "现在什么症状", "role": "doctor"}, {"turn": 4, "text": "我十月七号新扭伤的", "role": "patient"}, {"turn": 5, "text": "有没有照片给我看看", "role": "doctor"}, {"turn": 6, "text": "这又扭伤了", "role": "patient"}, {"turn": 7, "text": "你能用手按压找到准确疼痛位置吗？", "role": "doctor"}, {"turn": 8, "text": "不是特别肿。能伸直。就是一走路就疼", "role": "patient"}, {"turn": 9, "text": "没有疼痛的位置", "role": "patient"}, {"turn": 10, "text": "就是下地 疼", "role": "patient"}, {"turn": 11, "text": "走路的时候", "role": "patient"}, {"turn": 12, "text": "建议口服双氯芬酸钠片，云南白药胶囊吧", "role": "doctor"}, {"turn": 13, "text": "贴贴膏药热敷热敷", "role": "doctor"}, {"turn": 14, "text": "我就是翘着二郎腿，一伸直的，就扭伤了", "role": "patient"}, {"turn": 15, "text": "我能问问是怎么回事吗", "role": "patient"}, {"turn": 16, "text": "考虑半月板扭伤了", "role": "doctor"}, {"turn": 17, "text": "我这都是习惯性扭伤了。", "role": "patient"}, {"turn": 18, "text": "建议检查一下核磁共振", "role": "doctor"}, {"turn": 19, "text": "怎么可以预防", "role": "patient"}, {"turn": 20, "text": "需要做手术吗", "role": "patient"}, {"turn": 21, "text": "已经是老毛病了", "role": "patient"}, {"turn": 22, "text": "用扭伤。", "role": "patient"}, {"turn": 23, "text": "现在不知道什么原因呢，那能手术啊", "role": "doctor"}, {"turn": 24, "text": "核磁共振来例假可以做吗", "role": "patient"}, {"turn": 25, "text": "这个没有影响的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1013, "thread": [{"turn": 0, "text": "头晕耳鸣，做核磁振荡也显示正常（男，33岁）核磁振荡平扫与血管造影", "role": "patient"}, {"turn": 1, "text": "这个本身就不是颅内的事", "role": "doctor"}, {"turn": 2, "text": "头晕我也有点怀疑是脑梗这方面的问题", "role": "patient"}, {"turn": 3, "text": "一般这个岁数不是", "role": "doctor"}, {"turn": 4, "text": "您觉得大概会是哪里出问题了", "role": "patient"}, {"turn": 5, "text": "今晚炒菜那会好像闻到炒菜气看到菜锅就会晕的厉害", "role": "patient"}, {"turn": 6, "text": "休息睡眠怎么样？每晚睡几个小时？打鼾吗？做梦吗？起夜吗？", "role": "doctor"}, {"turn": 7, "text": "心情情绪怎么样？有没有焦虑抑郁紧张？", "role": "doctor"}, {"turn": 8, "text": "晚上躺床上眼皮就打架，晚上一般睡五到七个小时。有打呼噜。不经常做梦。五六点起床尿一次", "role": "patient"}, {"turn": 9, "text": "心情情绪怎么样？有没有焦虑抑郁紧张？？？", "role": "doctor"}, {"turn": 10, "text": "刚开始头晕时有点害怕，有焦虑不安的感觉", "role": "patient"}, {"turn": 11, "text": "做过磁共振后，焦虑感还有，很轻微", "role": "patient"}, {"turn": 12, "text": "我认为与睡眠质量不好有主要关系", "role": "doctor"}, {"turn": 13, "text": "今天区做了血检，血糖胆固醇都正常，只有甘油三酯略高2.93", "role": "patient"}, {"turn": 14, "text": "应该不是器质性疾病，是功能性的", "role": "doctor"}, {"turn": 15, "text": "过年在家快两个月，白天没午休过，夜里睡眠确实不足", "role": "patient"}, {"turn": 16, "text": "白天别老在家呆着。多出去活动活动", "role": "doctor"}, {"turn": 17, "text": "天天运动，每天步行四到五公里", "role": "patient"}, {"turn": 18, "text": "哦。那还不错。注意保证睡眠质量，出门注意头部保暖", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1014, "thread": [{"turn": 0, "text": "咳嗽白痰很多。困觉不咳嗽不吐痰（男，43岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "喉咙痒不痒？", "role": "doctor"}, {"turn": 3, "text": "可能有半年了。喉咙发炎", "role": "patient"}, {"turn": 4, "text": "有没有拍胸片？", "role": "doctor"}, {"turn": 5, "text": "今年拍个两次，肺上没有问题", "role": "patient"}, {"turn": 6, "text": "有没有胸闷气喘？", "role": "doctor"}, {"turn": 7, "text": "没有胸闷，就是有点气喘", "role": "patient"}, {"turn": 8, "text": "就是睡觉不咳嗽不吐痰", "role": "patient"}, {"turn": 9, "text": "就是喉咙发炎", "role": "patient"}, {"turn": 10, "text": "吃药一直没有好转", "role": "patient"}, {"turn": 11, "text": "陈医生，请问下我说的是有点不懂吗", "role": "patient"}, {"turn": 12, "text": "人呢", "role": "patient"}, {"turn": 13, "text": "请问下是什么原因？", "role": "patient"}, {"turn": 14, "text": "应该是咽喉炎的问题", "role": "doctor"}, {"turn": 15, "text": "建议多喝水，不要吃辣得食物、海鲜，不要抽烟、喝酒，可口服西瓜霜润喉含片、清开灵、宣肺止嗽合剂等。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1015, "thread": [{"turn": 0, "text": "老人半边头皮,脸,鼻孔麻木是怎么回事（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有十天了", "role": "patient"}, {"turn": 3, "text": "有没有嘴角歪", "role": "doctor"}, {"turn": 4, "text": "有没有高血压，糖尿病，以前有没有脑梗死", "role": "doctor"}, {"turn": 5, "text": "没有，就是麻木", "role": "patient"}, {"turn": 6, "text": "胳膊麻不麻", "role": "doctor"}, {"turn": 7, "text": "有没有腿脚不好使", "role": "doctor"}, {"turn": 8, "text": "有高血压好几年了，血糖也高一点但不是很高", "role": "patient"}, {"turn": 9, "text": "建议赶紧去医院神经内科查头部磁共振", "role": "doctor"}, {"turn": 10, "text": "有可能有新发的", "role": "doctor"}, {"turn": 11, "text": "我妈妈是骨质增生患者", "role": "patient"}, {"turn": 12, "text": "脑血栓", "role": "doctor"}, {"turn": 13, "text": "是查CT还是磁共振", "role": "patient"}, {"turn": 14, "text": "头疼吗", "role": "doctor"}, {"turn": 15, "text": "建议直接查隔壁", "role": "doctor"}, {"turn": 16, "text": "核磁", "role": "doctor"}, {"turn": 17, "text": "有头疼", "role": "patient"}, {"turn": 18, "text": "CT查不出来是不", "role": "patient"}, {"turn": 19, "text": "头疼几天了", "role": "doctor"}, {"turn": 20, "text": "这个严重吗？需要住院吗", "role": "patient"}, {"turn": 21, "text": "就是这几天", "role": "patient"}, {"turn": 22, "text": "考虑像脑血栓", "role": "doctor"}, {"turn": 23, "text": "不及时治疗会导致瘫痪什么的", "role": "doctor"}, {"turn": 24, "text": "快过年了，就是想着需不需要住院", "role": "patient"}, {"turn": 25, "text": "头部ct看出血很好，隔壁看新发血栓好", "role": "doctor"}, {"turn": 26, "text": "可以先去医院门诊做个核磁", "role": "doctor"}, {"turn": 27, "text": "是不是两个都做一下好", "role": "patient"}, {"turn": 28, "text": "看看情况需不需要住院", "role": "doctor"}, {"turn": 29, "text": "那是一定的啊", "role": "doctor"}, {"turn": 30, "text": "去小诊所看了一下，大夫说是脑梗塞", "role": "patient"}, {"turn": 31, "text": "所以需要做个磁共振", "role": "doctor"}, {"turn": 32, "text": "看看有没有新发的", "role": "doctor"}, {"turn": 33, "text": "及时住院治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1016, "thread": [{"turn": 0, "text": "胸闷气短呼吸困难，发病时间：一是运动之后，二是夜里12:00左右睡眠中（女，70岁）", "role": "patient"}, {"turn": 1, "text": "你好，这样的情况多久了？", "role": "doctor"}, {"turn": 2, "text": "多大岁数了？男的女的", "role": "doctor"}, {"turn": 3, "text": "大概有两周时间了，其间经历一次感冒，然后就这样了", "role": "patient"}, {"turn": 4, "text": "咳嗽咳痰吗", "role": "doctor"}, {"turn": 5, "text": "有没有做什么检查。", "role": "doctor"}, {"turn": 6, "text": "没有咳，没有痰", "role": "patient"}, {"turn": 7, "text": "70岁吗？有没有高血压糖尿病？", "role": "doctor"}, {"turn": 8, "text": "心电图，有点早博，彩超，冠心病，验血，血沉有点高其他正常值之内", "role": "patient"}, {"turn": 9, "text": "高血压有，到不严重，没有糖尿病", "role": "patient"}, {"turn": 10, "text": "请问病人多大岁数了？", "role": "doctor"}, {"turn": 11, "text": "目前吃的是什么药？", "role": "doctor"}, {"turn": 12, "text": "把心电图心脏彩超报告单的发过来看看好吗？", "role": "doctor"}, {"turn": 13, "text": "阿司匹林，高血压药名记不清了，报告单没在身边，10:00给您发过去可以吗？", "role": "patient"}, {"turn": 14, "text": "70岁", "role": "patient"}, {"turn": 15, "text": "可以", "role": "doctor"}, {"turn": 16, "text": "冠心病，早搏没有吃药吗", "role": "doctor"}, {"turn": 17, "text": "吃呢，但我都记不清药名字，病人是我老妈，10:00一并给您发过去", "role": "patient"}, {"turn": 18, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1017, "thread": [{"turn": 0, "text": "内痔，2颗，不治可以吗？（男，36岁）医生建议套扎", "role": "patient"}, {"turn": 1, "text": "您好，请问有什么症状？", "role": "doctor"}, {"turn": 2, "text": "便血", "role": "patient"}, {"turn": 3, "text": "火气大的时候会", "role": "patient"}, {"turn": 4, "text": "2-3天就好了，但是大便时会突出，要用手推回", "role": "patient"}, {"turn": 5, "text": "如果不出血，保守治疗，或者注意控制，不手术可以吗？会不会变肠癌？", "role": "patient"}, {"turn": 6, "text": "这个需不需要手术是你决定的，但是你这种情况不注意的话会越来越厉害，内痔发生癌变的几率很低", "role": "doctor"}, {"turn": 7, "text": "有没办法控制或者让痔核变小", "role": "patient"}, {"turn": 8, "text": "套扎手术是什么手术？有后遗症吗？", "role": "patient"}, {"turn": 9, "text": "只要控制饮食，尽量减少复发的几率。套扎手术是一种微创手术，创伤比较小", "role": "doctor"}, {"turn": 10, "text": "痔疮不能吃火锅和喝酒吗", "role": "patient"}, {"turn": 11, "text": "尽量少吃", "role": "doctor"}, {"turn": 12, "text": "你吃了火锅或者喝酒了肛门一般不舒服", "role": "doctor"}, {"turn": 13, "text": "嗯嗯", "role": "patient"}, {"turn": 14, "text": "手术后复发概率大吗", "role": "patient"}, {"turn": 15, "text": "之后注意的话复发几率还是比较低的", "role": "doctor"}, {"turn": 16, "text": "这就跟我们开车一样，平常自己多爱惜可能多开几年，要是平常不爱惜的话可能几年就出问题了", "role": "doctor"}, {"turn": 17, "text": "明白。谢谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1018, "thread": [{"turn": 0, "text": "以前是虫牙后来做了治疗现在开始痛了（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好！目前是怎样疼痛，夜间睡觉时自发痛，还是咬合痛？", "role": "doctor"}, {"turn": 2, "text": "昨天是夜间睡觉痛 现在是两个都有", "role": "patient"}, {"turn": 3, "text": "昨天晚上痛到现在", "role": "patient"}, {"turn": 4, "text": "您这种情况，多半是治疗不彻底，或者继发龋引起的牙髓炎或者根尖炎症的表现。", "role": "doctor"}, {"turn": 5, "text": "需要去口腔科拍片检查确定。", "role": "doctor"}, {"turn": 6, "text": "前天晚上开始痛的 昨天一天不通 晚上开始痛 痛到现在", "role": "patient"}, {"turn": 7, "text": "如果是这样，那就需要重新治疗这颗牙齿，做这颗牙齿的彻底的根管治疗才能治好的。", "role": "doctor"}, {"turn": 8, "text": "髓齿炎是什么", "role": "patient"}, {"turn": 9, "text": "尽早去口腔科面诊拍片检查，早治疗早好，否则今晚还会疼的哦。", "role": "doctor"}, {"turn": 10, "text": "牙髓炎是龋坏侵及牙神经引起的牙髓炎症。", "role": "doctor"}, {"turn": 11, "text": "只能做根管治疗吗", "role": "patient"}, {"turn": 12, "text": "嗯嗯，是的。", "role": "doctor"}, {"turn": 13, "text": "没有别的办法。", "role": "doctor"}, {"turn": 14, "text": "根管治疗是不是很痛", "role": "patient"}, {"turn": 15, "text": "😭", "role": "patient"}, {"turn": 16, "text": "根管治疗一般不疼的，万一有疼痛，医生也会打麻药的。", "role": "doctor"}, {"turn": 17, "text": "打完麻药完全可以做到无痛的，您放心！", "role": "doctor"}, {"turn": 18, "text": "好的 我虫牙都治疗五年六年了 还会复发吗", "role": "patient"}, {"turn": 19, "text": "是的。", "role": "doctor"}, {"turn": 20, "text": "完全有可能的哦。", "role": "doctor"}, {"turn": 21, "text": "那有没有可能是当时医生技术不太好", "role": "patient"}, {"turn": 22, "text": "治疗不彻底", "role": "patient"}, {"turn": 23, "text": "嗯嗯，这种可能性比较大。", "role": "doctor"}, {"turn": 24, "text": "还是说这就是正常现象", "role": "patient"}, {"turn": 25, "text": "不是正常现象", "role": "doctor"}, {"turn": 26, "text": "需要再次治疗。", "role": "doctor"}, {"turn": 27, "text": "好的 谢谢 我明白了 尽快去治疗 一颗牙做根管治疗一般要多久啊", "role": "patient"}, {"turn": 28, "text": "嗯嗯👍👍！根管治疗一般需要2-4周，复诊2-3次，每周复诊一次。", "role": "doctor"}, {"turn": 29, "text": "明白 谢谢", "role": "patient"}, {"turn": 30, "text": "嗯嗯👍！不必客气啦👍", "role": "doctor"}, {"turn": 31, "text": "祝您早日康复，健康美丽💝！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1019, "thread": [{"turn": 0, "text": "蛀牙疼引起的偏头痛吃哪种消炎药好一些（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "今天才开始疼，但是蛀牙已经很久了准备下个周去看牙", "role": "patient"}, {"turn": 3, "text": "是不是晚上疼的格外厉害呢", "role": "doctor"}, {"turn": 4, "text": "是的", "role": "patient"}, {"turn": 5, "text": "整个半边脸都疼", "role": "doctor"}, {"turn": 6, "text": "脸还好就是牙和半边头疼", "role": "patient"}, {"turn": 7, "text": "嗯嗯", "role": "doctor"}, {"turn": 8, "text": "您这是急性牙髓炎", "role": "doctor"}, {"turn": 9, "text": "需要去做根管治疗", "role": "doctor"}, {"turn": 10, "text": "那颗蛀牙已经只剩牙根了我之前问过了他们建议种牙 但是我现在开学了时间就不太够，准备下个星期去看一下 现在针对牙疼引起的头疼有什么好的办法吗", "role": "patient"}, {"turn": 11, "text": "您可以先口服布洛芬与对乙酰氨基酚", "role": "doctor"}, {"turn": 12, "text": "但您需要明天就去看", "role": "doctor"}, {"turn": 13, "text": "不然 明晚还会痛 而且药物止痛作用很小", "role": "doctor"}, {"turn": 14, "text": "明天就要去牙科看嘛 😭如果拔牙的话牙齿发炎是不是还不能拔啊 可不可以先吃点阿莫西林或者甲硝唑", "role": "patient"}, {"turn": 15, "text": "作用不大", "role": "doctor"}, {"turn": 16, "text": "牙髓炎可以拔牙", "role": "doctor"}, {"turn": 17, "text": "不是禁忌症", "role": "doctor"}, {"turn": 18, "text": "拔牙后是不是三个月后才能种牙啊", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}, {"turn": 20, "text": "吃药是不是就吃布洛芬和消炎药就可以了啊您说的那个药好买嘛 我太难了 还是得等放假了才能去看😭", "role": "patient"}, {"turn": 21, "text": "额", "role": "doctor"}, {"turn": 22, "text": "就吃我说的药 但作用不大 只能管当时", "role": "doctor"}, {"turn": 23, "text": "您请个假出来 很快就治疗结束了", "role": "doctor"}, {"turn": 24, "text": "要不然 您会经常疼的", "role": "doctor"}, {"turn": 25, "text": "好的我知道了谢谢😭👍", "role": "patient"}, {"turn": 26, "text": "不客气 祝您赶紧好起来", "role": "doctor"}, {"turn": 27, "text": "如果满意 系统提示后 麻烦给个满意好评哈", "role": "doctor"}, {"turn": 28, "text": "好滴", "role": "patient"}, {"turn": 29, "text": "谢谢理解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1020, "thread": [{"turn": 0, "text": "耳聋配助听器有用吗。。。（女，25岁）", "role": "patient"}, {"turn": 1, "text": "请问你，耳聋有多长时间了？什么原因引起的耳聋？", "role": "doctor"}, {"turn": 2, "text": "耳聋佩戴助听器，可以提高听力。", "role": "doctor"}, {"turn": 3, "text": "小时候游泳，耳朵发炎", "role": "patient"}, {"turn": 4, "text": "听力掉到120分贝", "role": "patient"}, {"turn": 5, "text": "配助听器听得到吗", "role": "patient"}, {"turn": 6, "text": "就只有一只耳朵正常", "role": "patient"}, {"turn": 7, "text": "我就想问问，掉到120分贝，戴什么助听器听得到", "role": "patient"}, {"turn": 8, "text": "90分贝以上是极重度耳聋。", "role": "doctor"}, {"turn": 9, "text": "对于重度以上听力障碍，应选配特大功率助听器，如果验配助听器效果甚微或无效时可考虑人工耳蜗植入，因为这种情况助听器已经无法解决问题了。", "role": "doctor"}, {"turn": 10, "text": "那就是戴了也听不到了", "role": "patient"}, {"turn": 11, "text": "因为工作需要，", "role": "patient"}, {"turn": 12, "text": "一只耳朵不影响平常交流", "role": "patient"}, {"turn": 13, "text": "还有一只耳朵听得到，不吵的情况下，交流没影响", "role": "patient"}, {"turn": 14, "text": "有一只耳朵听力正常，可以正常工作生活。", "role": "doctor"}, {"turn": 15, "text": "一只耳朵耳聋，可能来自耳聋侧声音听的差一些。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1021, "thread": [{"turn": 0, "text": "新生儿21天便秘,肛门破了怎么办（女，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，便出鲜血了吗？", "role": "doctor"}, {"turn": 2, "text": "没走", "role": "patient"}, {"turn": 3, "text": "就是拉屎的时候哭，有点便秘", "role": "patient"}, {"turn": 4, "text": "破了用点红霉素软膏", "role": "doctor"}, {"turn": 5, "text": "是直接涂在破的地方吗", "role": "patient"}, {"turn": 6, "text": "对", "role": "doctor"}, {"turn": 7, "text": "好的，谢谢", "role": "patient"}, {"turn": 8, "text": "我想问下，孩子21天吃奶粉，有点便秘，给孩子吃点什么呢", "role": "patient"}, {"turn": 9, "text": "吃点益生菌调节一下消化就行", "role": "doctor"}, {"turn": 10, "text": "需要喝水", "role": "doctor"}, {"turn": 11, "text": "现在就给孩子吃益生菌呢，孩子肛门不是破了吗，益生菌和红霉素软膏用的时候有没有冲突，用不用间隔呢", "role": "patient"}, {"turn": 12, "text": "益生菌是吃的", "role": "doctor"}, {"turn": 13, "text": "红霉素软膏是涂的", "role": "doctor"}, {"turn": 14, "text": "不冲突", "role": "doctor"}, {"turn": 15, "text": "红霉素软膏一次用多少呢", "role": "patient"}, {"turn": 16, "text": "新生儿21天正常应该喝多少毫升的水呢", "role": "patient"}, {"turn": 17, "text": "涂上就行，没有规定量的", "role": "doctor"}, {"turn": 18, "text": "外用药", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}, {"turn": 21, "text": "亲，我们家孩子每天都是后半夜两点拉屎，昨天晚上上的药膏，没拉屎正常吗", "role": "patient"}, {"turn": 22, "text": "没事，和药膏没有关系", "role": "doctor"}, {"turn": 23, "text": "啊，给孩子上药了，也吃益生菌了，孩子今天拉屎还是哭，大概得几天能有效果呢", "role": "patient"}, {"turn": 24, "text": "孩子便秘严重，现在是每天一包合生元益生菌，能给孩子多吃点益生菌吗", "role": "patient"}, {"turn": 25, "text": "一包可以，宝宝需要喝水，顺时针按摩肚子会加速肠蠕动", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1022, "thread": [{"turn": 0, "text": "两个月宝宝咳嗽有点喘（男，0岁）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "怎么治疗的", "role": "doctor"}, {"turn": 3, "text": "需要雾化吃药", "role": "doctor"}, {"turn": 4, "text": "昨天下午五点多开始咳嗽的，没有痰，今天拿了治感冒的和肺力咳合剂", "role": "patient"}, {"turn": 5, "text": "嗯", "role": "doctor"}, {"turn": 6, "text": "是不是宝宝比较小的原因，咳得时候会有点喘", "role": "patient"}, {"turn": 7, "text": "需要雾化亲", "role": "doctor"}, {"turn": 8, "text": "雾化效果好副作用少", "role": "doctor"}, {"turn": 9, "text": "今天晚上吃了一次药了", "role": "patient"}, {"turn": 10, "text": "那就好", "role": "doctor"}, {"turn": 11, "text": "总有一个过程", "role": "doctor"}, {"turn": 12, "text": "大概5点吃的", "role": "patient"}, {"turn": 13, "text": "还用给他吃一次止咳的嘛", "role": "patient"}, {"turn": 14, "text": "不能啊", "role": "doctor"}, {"turn": 15, "text": "明天再吃吧", "role": "doctor"}, {"turn": 16, "text": "我是上火有点咳嗽、是不是我传染的他", "role": "patient"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "有关系", "role": "doctor"}, {"turn": 19, "text": "妈妈多喝水赶紧好", "role": "doctor"}, {"turn": 20, "text": "宝宝现在睡着了、刚才咳嗽了几次，一会等他醒了用不用给他喝点水润润嗓子", "role": "patient"}, {"turn": 21, "text": "嗯嗯，我是在多喝水，", "role": "patient"}, {"turn": 22, "text": "可以喝水", "role": "doctor"}, {"turn": 23, "text": "我舌头上都是小泡，也不知道哪来的这么大火", "role": "patient"}, {"turn": 24, "text": "孩子醒了多喝水", "role": "doctor"}, {"turn": 25, "text": "有好处", "role": "doctor"}, {"turn": 26, "text": "我是专业儿童医生亲", "role": "doctor"}, {"turn": 27, "text": "大人的话不是特别专业", "role": "doctor"}, {"turn": 28, "text": "嗯嗯，我就是跟你说一下", "role": "patient"}, {"turn": 29, "text": "嗯", "role": "doctor"}, {"turn": 30, "text": "妈妈多喝水吧", "role": "doctor"}, {"turn": 31, "text": "对孩子有影响", "role": "doctor"}, {"turn": 32, "text": "估计两点多醒了吃奶", "role": "patient"}, {"turn": 33, "text": "好的", "role": "patient"}, {"turn": 34, "text": "看着他睡着了啥事没有，就是咳嗽，看着真心疼", "role": "patient"}, {"turn": 35, "text": "你知不知道孩子卤门总是凹下去怎么回事嘛", "role": "patient"}, {"turn": 36, "text": "尿量正常吗", "role": "doctor"}, {"turn": 37, "text": "咳嗽严重需要雾化会好很多", "role": "doctor"}, {"turn": 38, "text": "尿正常", "role": "patient"}, {"turn": 39, "text": "那凹陷没事", "role": "doctor"}, {"turn": 40, "text": "发热也会凹陷", "role": "doctor"}, {"turn": 41, "text": "精神好吗", "role": "doctor"}, {"turn": 42, "text": "上火脱水也会凹陷", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1023, "thread": [{"turn": 0, "text": "您好：我儿子早上起来总口臭！不便秘（男，5岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "几天一次大便", "role": "doctor"}, {"turn": 3, "text": "偏食吗", "role": "doctor"}, {"turn": 4, "text": "每天刷牙吗", "role": "doctor"}, {"turn": 5, "text": "父母有没有这种情况", "role": "doctor"}, {"turn": 6, "text": "您好", "role": "patient"}, {"turn": 7, "text": "你好", "role": "doctor"}, {"turn": 8, "text": "刚刚有事", "role": "patient"}, {"turn": 9, "text": "平时蔬菜水果吃的多吗？", "role": "doctor"}, {"turn": 10, "text": "没关系", "role": "doctor"}, {"turn": 11, "text": "有些偏食", "role": "patient"}, {"turn": 12, "text": "不爱吃水果", "role": "patient"}, {"turn": 13, "text": "肚子硬吗，放屁多吗臭吗", "role": "doctor"}, {"turn": 14, "text": "在家就喜欢吃米饭其他都不怎么吃", "role": "patient"}, {"turn": 15, "text": "前几天爱放屁", "role": "patient"}, {"turn": 16, "text": "肚子不硬", "role": "patient"}, {"turn": 17, "text": "便便有点稀", "role": "patient"}, {"turn": 18, "text": "有没有牙疼", "role": "doctor"}, {"turn": 19, "text": "有没有口腔溃疡", "role": "doctor"}, {"turn": 20, "text": "没有", "role": "patient"}, {"turn": 21, "text": "父母有没有这种情况", "role": "doctor"}, {"turn": 22, "text": "我没有他爸爸有时候会", "role": "patient"}, {"turn": 23, "text": "宝宝现在每天总奶量多少", "role": "doctor"}, {"turn": 24, "text": "前段时间我经常给他吃健胃消食的要，吃了就会好些", "role": "patient"}, {"turn": 25, "text": "每晚喝酸奶", "role": "patient"}, {"turn": 26, "text": "宝宝除了以上有没有其他不适", "role": "doctor"}, {"turn": 27, "text": "我也不太敢给他天天吃健胃药！停了过些天就又会口臭", "role": "patient"}, {"turn": 28, "text": "没有了！其他都很好", "role": "patient"}, {"turn": 29, "text": "对了早上起来眼屎很多", "role": "patient"}, {"turn": 30, "text": "你好，眼屎颜色", "role": "doctor"}, {"turn": 31, "text": "是不是有火", "role": "patient"}, {"turn": 32, "text": "黄色", "role": "patient"}, {"turn": 33, "text": "特别粘的那种", "role": "patient"}, {"turn": 34, "text": "还有没有其他不适", "role": "doctor"}, {"turn": 35, "text": "没有了", "role": "patient"}, {"turn": 36, "text": "你好，1岁以上生长发育期宝宝每天除了正常吃饭，每天总奶量500ml才能满足生长发育期需要钙剂和蛋白质和脂肪等营养需求", "role": "doctor"}, {"turn": 37, "text": "宝宝奶量不足，营养不足，偏食，还有可以遗传爸爸，这些都可以导致口臭", "role": "doctor"}, {"turn": 38, "text": "他不喝奶用什么代替好点", "role": "patient"}, {"turn": 39, "text": "宝宝每天总奶量500ml，奶可以是纯牛奶，酸奶不能代替纯牛奶", "role": "doctor"}, {"turn": 40, "text": "没有其他食物可以代替奶类", "role": "doctor"}, {"turn": 41, "text": "纠正偏食习惯", "role": "doctor"}, {"turn": 42, "text": "好的谢谢您", "role": "patient"}, {"turn": 43, "text": "口服凝结芽孢杆菌活菌片调理胃肠功能", "role": "doctor"}, {"turn": 44, "text": "眼睛考虑结膜炎，滴左氧氟沙星滴眼液治疗", "role": "doctor"}, {"turn": 45, "text": "麻烦您了谢谢", "role": "patient"}, {"turn": 46, "text": "不客气", "role": "doctor"}, {"turn": 47, "text": "好的", "role": "patient"}, {"turn": 48, "text": "😊", "role": "doctor"}, {"turn": 49, "text": "谢谢没别的了辛苦您了再见", "role": "patient"}, {"turn": 50, "text": "再见，祝你愉快，宝宝健康成长", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1024, "thread": [{"turn": 0, "text": "心率110-120！早搏！怎么治疗（女，76）", "role": "patient"}, {"turn": 1, "text": "您好！请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "是哪种类型早搏", "role": "doctor"}, {"turn": 3, "text": "有没有心电图", "role": "doctor"}, {"turn": 4, "text": "三年了", "role": "patient"}, {"turn": 5, "text": "有没有去医院检查过", "role": "doctor"}, {"turn": 6, "text": "体检报告有", "role": "patient"}, {"turn": 7, "text": "我看看体检心电图", "role": "doctor"}, {"turn": 8, "text": "可以看到吗", "role": "patient"}, {"turn": 9, "text": "不是早搏", "role": "doctor"}, {"turn": 10, "text": "是心房颤动", "role": "doctor"}, {"turn": 11, "text": "那该如何保养及治疗呢", "role": "patient"}, {"turn": 12, "text": "抗凝，控制心室率", "role": "doctor"}, {"turn": 13, "text": "有没有吃药", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "那需要吃药了", "role": "doctor"}, {"turn": 16, "text": "如何抗凝控制心率", "role": "patient"}, {"turn": 17, "text": "就是根据实际情况药物治疗，特别积极可以考虑射频消融术微创手术", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1025, "thread": [{"turn": 0, "text": "嗓子痒咳嗽，痰不多，基本干咳（女，37岁）", "role": "patient"}, {"turn": 1, "text": "你好，有多长时间了？之前有没有感冒？", "role": "doctor"}, {"turn": 2, "text": "之前感冒过，但是是一个半月之前了", "role": "patient"}, {"turn": 3, "text": "会发烧吗？", "role": "doctor"}, {"turn": 4, "text": "不发烧", "role": "patient"}, {"turn": 5, "text": "有没有吃什么药？", "role": "doctor"}, {"turn": 6, "text": "头孢地尼，福尔可定糖浆", "role": "patient"}, {"turn": 7, "text": "吃了没有效果吗？", "role": "doctor"}, {"turn": 8, "text": "没有还是咳嗽", "role": "patient"}, {"turn": 9, "text": "这两个可以继续吃", "role": "doctor"}, {"turn": 10, "text": "加酮替芬片一起吃效果更好", "role": "doctor"}, {"turn": 11, "text": "顺尔宁呢", "role": "patient"}, {"turn": 12, "text": "这个也可以。效果也更好", "role": "doctor"}, {"turn": 13, "text": "酮替芬还吃吗", "role": "patient"}, {"turn": 14, "text": "吃了顺尔宁就不用酮替芬了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1026, "thread": [{"turn": 0, "text": "左眼散光160右眼散光40（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好！请把验光单发过来看看好吗", "role": "doctor"}, {"turn": 2, "text": "没单子，学校组织的检查", "role": "patient"}, {"turn": 3, "text": "这种严重吗？", "role": "patient"}, {"turn": 4, "text": "那回答不了你哦", "role": "doctor"}, {"turn": 5, "text": "因为你说的散光数据是错误的", "role": "doctor"}, {"turn": 6, "text": "没有160和40", "role": "doctor"}, {"turn": 7, "text": "哦，那我具体问问孩子。散光是怎么回事呢", "role": "patient"}, {"turn": 8, "text": "屈光不正的一种分类", "role": "doctor"}, {"turn": 9, "text": "一般需要怎么治疗", "role": "patient"}, {"turn": 10, "text": "没有结果，没办法说", "role": "doctor"}, {"turn": 11, "text": "我问了孩子近视右125，栓镜-0.75，轴线46 左175，栓镜-100，轴线161", "role": "patient"}, {"turn": 12, "text": "刚刚给我的数据", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}, {"turn": 14, "text": "小孩多大？", "role": "doctor"}, {"turn": 15, "text": "裸眼视力多少？", "role": "doctor"}, {"turn": 16, "text": "18", "role": "patient"}, {"turn": 17, "text": "裸眼视力多少？", "role": "doctor"}, {"turn": 18, "text": "4.8  4.8", "role": "patient"}, {"turn": 19, "text": "近视，配镜吧", "role": "doctor"}, {"turn": 20, "text": "散光严重吗，需要治疗吗", "role": "patient"}, {"turn": 21, "text": "需要配多少度眼镜", "role": "patient"}, {"turn": 22, "text": "散光也只能配镜", "role": "doctor"}, {"turn": 23, "text": "哦", "role": "patient"}, {"turn": 24, "text": "配多少度就只能去医院检查了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1027, "thread": [{"turn": 0, "text": "颈椎引起的耳鸣和头晕怎么办（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "去年开始的，好几个月了吧", "role": "patient"}, {"turn": 3, "text": "头晕是昏沉感还是天旋地转？", "role": "doctor"}, {"turn": 4, "text": "都有", "role": "patient"}, {"turn": 5, "text": "前个星期去检查了医生说我的颈椎有点直，吃了中药，做了5天的按摩和针灸", "role": "patient"}, {"turn": 6, "text": "因为最近要考试，所以这几天没有去，感觉自己的耳鸣更频繁了，有时手肘会发麻，", "role": "patient"}, {"turn": 7, "text": "颈椎病是没有耳聋的", "role": "doctor"}, {"turn": 8, "text": "考虑美尼尔综合症或者前庭神经炎", "role": "doctor"}, {"turn": 9, "text": "还有头会疼，太阳穴涨涨的，前额也疼", "role": "patient"}, {"turn": 10, "text": "睡眠好吗？", "role": "doctor"}, {"turn": 11, "text": "可以的", "role": "patient"}, {"turn": 12, "text": "平时心情怎么样？", "role": "doctor"}, {"turn": 13, "text": "睡觉的时候会感觉自己的身体在转动", "role": "patient"}, {"turn": 14, "text": "好可以的", "role": "patient"}, {"turn": 15, "text": "有没有心烦，紧张，压力大，考虑问题多？", "role": "doctor"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "都不知道到底怎么了，一直这样，我快受不了了", "role": "patient"}, {"turn": 18, "text": "，考虑美尼尔综合症或者前庭神经炎，建议到耳鼻喉科检查前庭功能", "role": "doctor"}, {"turn": 19, "text": "哦哦，", "role": "patient"}, {"turn": 20, "text": "很高兴为你提供咨询，祝早日康复。", "role": "doctor"}, {"turn": 21, "text": "颈椎病不会引起耳鸣吗？", "role": "patient"}, {"turn": 22, "text": "不会引起", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1028, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：宝宝便秘（男，1岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝大便几天一次？", "role": "doctor"}, {"turn": 2, "text": "一般两三天一次", "role": "patient"}, {"turn": 3, "text": "这一次三四天没拉，他使劲儿但是没拉出来，我就给他用了开塞露", "role": "patient"}, {"turn": 4, "text": "想问一下您一般宝宝灌肠的软管放进去多长比较合适呢？", "role": "patient"}, {"turn": 5, "text": "我看百度上有的说是10厘米，今天给宝宝弄了一下，现在担心10厘米会不会伤害宝宝的肠道", "role": "patient"}, {"turn": 6, "text": "2-3公分", "role": "doctor"}, {"turn": 7, "text": "用的是婴儿灌肠用的细软管", "role": "patient"}, {"turn": 8, "text": "3公分？", "role": "patient"}, {"turn": 9, "text": "那今天放进去了10公分怎么办", "role": "patient"}, {"turn": 10, "text": "没事", "role": "doctor"}, {"turn": 11, "text": "他已经拉了，拉的特别粗，还很硬", "role": "patient"}, {"turn": 12, "text": "还有建议你饮食调解", "role": "doctor"}, {"turn": 13, "text": "不要给灌肠", "role": "doctor"}, {"turn": 14, "text": "拉完还哭了一会儿就睡了，我不知道是软管伤到了肠道还是肛门红肿的原因，比较担心", "role": "patient"}, {"turn": 15, "text": "拉的特别费力，特别粗，我给他抹了点红霉素", "role": "patient"}, {"turn": 16, "text": "你以后大便很干，几天不大便，用点开塞露就可以了", "role": "doctor"}, {"turn": 17, "text": "不要给灌肠了", "role": "doctor"}, {"turn": 18, "text": "好的，以后尽量不给宝宝用灌肠的方法", "role": "patient"}, {"turn": 19, "text": "?", "role": "doctor"}, {"turn": 20, "text": "我用的就是开塞露", "role": "patient"}, {"turn": 21, "text": "对呀", "role": "doctor"}, {"turn": 22, "text": "我是用软管给他送进去的", "role": "patient"}, {"turn": 23, "text": "没有必要", "role": "doctor"}, {"turn": 24, "text": "觉得开塞露比较粗", "role": "patient"}, {"turn": 25, "text": "有婴儿开塞露了", "role": "doctor"}, {"turn": 26, "text": "那今天宝宝这个情况需要观察观察吗", "role": "patient"}, {"turn": 27, "text": "没事", "role": "doctor"}, {"turn": 28, "text": "不会造成肠道出血吧？", "role": "patient"}, {"turn": 29, "text": "建议以后不要拿软管那个了", "role": "doctor"}, {"turn": 30, "text": "不会", "role": "doctor"}, {"turn": 31, "text": "出血当时就出了", "role": "doctor"}, {"turn": 32, "text": "好的，谢谢", "role": "patient"}, {"turn": 33, "text": "?", "role": "doctor"}, {"turn": 34, "text": "我特意看了便便，没有血", "role": "patient"}, {"turn": 35, "text": "没事", "role": "doctor"}, {"turn": 36, "text": "谢谢了，担心了好久", "role": "patient"}, {"turn": 37, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1029, "thread": [{"turn": 0, "text": "脚扭伤了可以贴万灵五香膏吗（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在都有什么症状啊", "role": "doctor"}, {"turn": 2, "text": "脚扭伤了十来天了可以贴万灵五香膏吗", "role": "patient"}, {"turn": 3, "text": "之前拍过CT骨头没事", "role": "patient"}, {"turn": 4, "text": "可以用，最好配合热敷", "role": "doctor"}, {"turn": 5, "text": "现在走路还走不来，大概多久能下地走走，完全好要多久", "role": "patient"}, {"turn": 6, "text": "这个万灵五香膏效果好吗？之前也贴过膏药贴了十来天还是有点肿，感觉效果不大，今天去贴了这个万灵五香膏", "role": "patient"}, {"turn": 7, "text": "效果应该可以，现在主要是晚上睡觉的时候脚部稍微抬高点促进血液循环，热敷一下局部", "role": "doctor"}, {"turn": 8, "text": "好的，大概多久能下地走走呢？完全好要多久", "role": "patient"}, {"turn": 9, "text": "有石膏外固定吗", "role": "doctor"}, {"turn": 10, "text": "没有，没伤到骨头", "role": "patient"}, {"turn": 11, "text": "没有，没伤到骨头", "role": "patient"}, {"turn": 12, "text": "嗯，从现在的情况考虑是局部韧带损伤，用膏药可以，具体恢复，每个人体质不一样快慢不同，局部不疼了就可以下地活动，但是不可以剧烈运动", "role": "doctor"}, {"turn": 13, "text": "你是说完全不痛了才可以下地，还是稍微不怎么痛可以下地稍微走走", "role": "patient"}, {"turn": 14, "text": "可以", "role": "doctor"}, {"turn": 15, "text": "好的，", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1030, "thread": [{"turn": 0, "text": "最近脖子有点疼，加上最近极度恐艾（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，您有高危行为吗？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "在吗？", "role": "patient"}, {"turn": 4, "text": "您好", "role": "doctor"}, {"turn": 5, "text": "前段时间喝多了，大脑一热找了个小姐，全程戴套套，完事之后特别后悔，加上最近极度恐艾，心里不干净", "role": "patient"}, {"turn": 6, "text": "？", "role": "patient"}, {"turn": 7, "text": "说话", "role": "patient"}, {"turn": 8, "text": "如果有安全措施是不会感染的", "role": "doctor"}, {"turn": 9, "text": "就感觉这几天脖子疼，对了淋巴结肿大一般有什么感觉。明显吗", "role": "patient"}, {"turn": 10, "text": "没有感觉", "role": "doctor"}, {"turn": 11, "text": "不疼", "role": "doctor"}, {"turn": 12, "text": "带避孕套的感染几率大吗", "role": "patient"}, {"turn": 13, "text": "你就这样服务别人吗？", "role": "patient"}, {"turn": 14, "text": "不会感染的", "role": "doctor"}, {"turn": 15, "text": "我不是服务员，不好意思", "role": "doctor"}, {"turn": 16, "text": "我的病人需要处理我就要去处理", "role": "doctor"}, {"turn": 17, "text": "他们比你危急", "role": "doctor"}, {"turn": 18, "text": "行吧，不好意思说话有点直接", "role": "patient"}, {"turn": 19, "text": "您是不会感染的，所以您不用担心", "role": "doctor"}, {"turn": 20, "text": "我就是心里不干净，", "role": "patient"}, {"turn": 21, "text": "您太焦虑了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1031, "thread": [{"turn": 0, "text": "八个月宝宝消化不良能吃苹果吗?（女，8个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝有哪些症状呢？", "role": "doctor"}, {"turn": 2, "text": "拉大便有腥味", "role": "patient"}, {"turn": 3, "text": "宝宝现在大便一天是几次？", "role": "doctor"}, {"turn": 4, "text": "不成型", "role": "patient"}, {"turn": 5, "text": "正常两次，不正常有时候三到四次", "role": "patient"}, {"turn": 6, "text": "嗯，最近给宝宝口服用药过吗？", "role": "doctor"}, {"turn": 7, "text": "早上拉的大便还可以，成型了就是没有臭味，倒有股腥味", "role": "patient"}, {"turn": 8, "text": "前段时间有", "role": "patient"}, {"turn": 9, "text": "嗯，宝宝大便气味改变考虑主要由消化不良引起的，可以先给宝宝口服醒脾养儿颗粒。", "role": "doctor"}, {"turn": 10, "text": "然后中午拉的大便就有股腥味，而且不消化", "role": "patient"}, {"turn": 11, "text": "嗯，可以先给宝宝口服用药调理，如果症状不缓解最好带宝宝的大便到医院检查一下大便常规。", "role": "doctor"}, {"turn": 12, "text": "能吃苹果不？", "role": "patient"}, {"turn": 13, "text": "因为宝宝现在的大便还不是太规律，最好不要给宝宝添加苹果这一类的辅食，容易引起腹泻。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "嗯😊", "role": "doctor"}, {"turn": 16, "text": "那消化不良应该如何调理呢？", "role": "patient"}, {"turn": 17, "text": "先给宝宝口服醒脾养儿进行调理就可以。", "role": "doctor"}, {"turn": 18, "text": "需要调理多长时间呢？", "role": "patient"}, {"turn": 19, "text": "连续用药三到五天就可以的。", "role": "doctor"}, {"turn": 20, "text": "治消化不良的药有哪些呢？", "role": "patient"}, {"turn": 21, "text": "一般来讲这么大的宝宝，临床上常用的都是中成药类的健脾胃药物。", "role": "doctor"}, {"turn": 22, "text": "对了服用了醒脾养儿的药物，能否打预防针？", "role": "patient"}, {"turn": 23, "text": "只要宝宝大便次数不大于三次，是可以带宝宝去注射疫苗的。", "role": "doctor"}, {"turn": 24, "text": "服用了药物，不是要隔一个礼拜去打预防针吗？", "role": "patient"}, {"turn": 25, "text": "这个为健脾胃的中成药类药物，不影响注射疫苗。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1032, "thread": [{"turn": 0, "text": "偏瘫型偏头痛能痊愈吗（男，39岁）", "role": "patient"}, {"turn": 1, "text": "你好，像这样有多久了？以前出现吗", "role": "doctor"}, {"turn": 2, "text": "确诊了吗", "role": "doctor"}, {"turn": 3, "text": "还没有确诊，上周四出血头疼呕吐的症状以为是感冒周五就没事了然后周天又出现了，去医院检查了还没有完全检查完，做了核磁共振和脑部CT都显示没有问题", "role": "patient"}, {"turn": 4, "text": "哪里出血", "role": "doctor"}, {"turn": 5, "text": "但是昨天又出现了头疼半身麻木，口齿不清的症状，大约二十分钟左右又好了，但是还是说话有点不一样然后头疼", "role": "patient"}, {"turn": 6, "text": "没有出血，打错字了，我想说的是出现", "role": "patient"}, {"turn": 7, "text": "以前有无类似症状", "role": "doctor"}, {"turn": 8, "text": "如果是这个病不好确诊", "role": "doctor"}, {"turn": 9, "text": "嗯，之前没有", "role": "patient"}, {"turn": 10, "text": "一般是根据症状临床诊断", "role": "doctor"}, {"turn": 11, "text": "那如果是偏瘫型偏头痛能完全治愈吗？", "role": "patient"}, {"turn": 12, "text": "不能完全治愈会有什么后遗症吗？", "role": "patient"}, {"turn": 13, "text": "可能还会发作", "role": "doctor"}, {"turn": 14, "text": "就连感冒都还会发作，更何况头痛了", "role": "doctor"}, {"turn": 15, "text": "你指的是头疼还是半身麻木会发作，如果好好配合治疗，能尽量避免吗？", "role": "patient"}, {"turn": 16, "text": "都有可能啊", "role": "doctor"}, {"turn": 17, "text": "那发作的频率能会因为什么因素改变呢？", "role": "patient"}, {"turn": 18, "text": "失眠，劳累，焦虑等因素可能诱发", "role": "doctor"}, {"turn": 19, "text": "那饮食方面有什么需要特别注意的吗？", "role": "patient"}, {"turn": 20, "text": "低盐低脂肪", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1033, "thread": [{"turn": 0, "text": "您好8个月宝宝便秘该怎么办（女，8个月）", "role": "patient"}, {"turn": 1, "text": "你好，几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "前段时间五天，这又两天没有大便", "role": "patient"}, {"turn": 3, "text": "饮食调节，平常多喝水，每天吃香蕉或者猕猴桃，", "role": "doctor"}, {"turn": 4, "text": "吃完一个小时左右做做腹部抚触按摩促进消化，肚脐周围顺时针方向按摩", "role": "doctor"}, {"turn": 5, "text": "喝上雅培奶粉每天拉，现在喝上爱恩思奶粉就没拉，8个月不能多吃吧", "role": "patient"}, {"turn": 6, "text": "8个月除了肉不能吃，别的食物都可以吃了。", "role": "doctor"}, {"turn": 7, "text": "这可能跟奶粉有关吧", "role": "doctor"}, {"turn": 8, "text": "可以换奶粉吗", "role": "patient"}, {"turn": 9, "text": "可以换", "role": "doctor"}, {"turn": 10, "text": "以前和的圣特拉慕刚换爱恩思吃两桶还敢换吗", "role": "patient"}, {"turn": 11, "text": "这个不要紧的，不适应随时都可以换的", "role": "doctor"}, {"turn": 12, "text": "好的谢谢推介一种奶粉，谢谢", "role": "patient"}, {"turn": 13, "text": "平台不允许推荐奶粉的。", "role": "doctor"}, {"turn": 14, "text": "完", "role": "doctor"}, {"turn": 15, "text": "达", "role": "doctor"}, {"turn": 16, "text": "山", "role": "doctor"}, {"turn": 17, "text": "不错的，可以试试", "role": "doctor"}, {"turn": 18, "text": "好的谢谢", "role": "patient"}, {"turn": 19, "text": "不客气???", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1034, "thread": [{"turn": 0, "text": "耳鸣了一宿，怎么办？（女，21岁）", "role": "patient"}, {"turn": 1, "text": "原来有类似的情况没有，最近有什么原因？", "role": "doctor"}, {"turn": 2, "text": "原来没有，这是头一次，最近可能是压力比较大，学习睡得晚", "role": "patient"}, {"turn": 3, "text": "然后前两天抠耳朵的时候不小心抠深了，疼了几分钟，然后就没事了", "role": "patient"}, {"turn": 4, "text": "不知道跟这个有没有关系", "role": "patient"}, {"turn": 5, "text": "耳鸣像什么声音，是机器一样的，嗡嗡的叫，还是像知了一样的高调的尖调的响声。", "role": "doctor"}, {"turn": 6, "text": "就是嗡嗡的一直响，像电灯响的那种声音", "role": "patient"}, {"turn": 7, "text": "应该是精神紧张压力大造成的内耳血管痉挛造成的，如果不能充分的休息的话，可以吃几天尼莫地平治疗。", "role": "doctor"}, {"turn": 8, "text": "不用去医院看看吧，怕是耳朵出了什么问题", "role": "patient"}, {"turn": 9, "text": "不用", "role": "doctor"}, {"turn": 10, "text": "好的谢谢医生！", "role": "patient"}, {"turn": 11, "text": "大概什么时候能好啊，一直耳鸣太烦了", "role": "patient"}, {"turn": 12, "text": "如果好好休息，减轻压力，保证适当的睡眠，一般情况下三五天左右可以减轻的，最好配合吃尼莫地平治疗。", "role": "doctor"}, {"turn": 13, "text": "好的谢谢医生", "role": "patient"}, {"turn": 14, "text": "一定注意预防感冒着凉，不用刺激食物包括烟酒。", "role": "doctor"}, {"turn": 15, "text": "不客气，再见，祝你早日康复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1035, "thread": [{"turn": 0, "text": "您好！耳鸣〈玆兹响〉要吃哪些中成药（男，49岁）", "role": "patient"}, {"turn": 1, "text": "你好。这种情况可以吃银杏叶片和甲钴胺片就可以了", "role": "doctor"}, {"turn": 2, "text": "謝谢！对了，刚才您所提供可吃银杏叶片和甲钴胺片，不分什么症状引起的耳鸣，对吗", "role": "patient"}, {"turn": 3, "text": "不分的，中成药不分的。", "role": "doctor"}, {"turn": 4, "text": "中药才分证形的。", "role": "doctor"}, {"turn": 5, "text": "謝谢！最近我先服了2盒耳聋左慈丸  大粒丸〈共10粒〉，隔2天改服知柏地黄丸〈大粒丸〉，刚服过二天〈一日2粒〉，至现在没什么感觉好转，对了，我耳鸣已有10来年了", "role": "patient"}, {"turn": 6, "text": "这么久了啊。这种情况建议可以中药颗粒调理治疗效果会比较好", "role": "doctor"}, {"turn": 7, "text": "是啊！我本人自我感觉〈肾虚火旺〉，因为半夜或早上伴有口干，苦的现像", "role": "patient"}, {"turn": 8, "text": "嗯，很多这种情况的病人吃成药没作用的。中药才行", "role": "doctor"}, {"turn": 9, "text": "之前吃过中药吗？", "role": "doctor"}, {"turn": 10, "text": "熬制的对吗？", "role": "patient"}, {"turn": 11, "text": "是的，中药颗粒剂的", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "另您所提供要用中药颗粒调理治疗，用什配方，服中药是什么配方", "role": "patient"}, {"turn": 14, "text": "这个配方要根据你自身的情况具体的调配才行", "role": "doctor"}, {"turn": 15, "text": "那怎么办？", "role": "patient"}, {"turn": 16, "text": "可以去当地中医院调理的", "role": "doctor"}, {"turn": 17, "text": "哦！", "role": "patient"}, {"turn": 18, "text": "如果不方便我也可以从网上开药直接邮寄到家也可以", "role": "doctor"}, {"turn": 19, "text": "谢谢！", "role": "patient"}, {"turn": 20, "text": "那怎么邮法？", "role": "patient"}, {"turn": 21, "text": "他是配好药快递过去的。", "role": "doctor"}, {"turn": 22, "text": "回耒自己熬的对吗？", "role": "patient"}, {"turn": 23, "text": "不用自己熬。它是熬成颗粒剂的，直接冲水喝就可以了", "role": "doctor"}, {"turn": 24, "text": "什么药方呢？", "role": "patient"}, {"turn": 25, "text": "药方会和药一起邮寄过去的", "role": "doctor"}, {"turn": 26, "text": "怎么收费？", "role": "patient"}, {"turn": 27, "text": "一个星期大概2，300吧。", "role": "doctor"}, {"turn": 28, "text": "这么贵？", "role": "patient"}, {"turn": 29, "text": "免了", "role": "patient"}, {"turn": 30, "text": "谢谢您！您是白求思精神", "role": "patient"}, {"turn": 31, "text": "😊好的，中药颗粒剂本身是比较贵的。你也可以去当地中医院开中药自己熬制，这样成本就比较低了", "role": "doctor"}, {"turn": 32, "text": "谢谢您！", "role": "patient"}, {"turn": 33, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1036, "thread": [{"turn": 0, "text": "继续刚才便秘的咨询，刚才对话次数到了（男，42岁）", "role": "patient"}, {"turn": 1, "text": "非常感谢您的信任?", "role": "doctor"}, {"turn": 2, "text": "请问还能帮助您什么呢", "role": "doctor"}, {"turn": 3, "text": "以前有时擦屁股发现纸上有血，但不是每次都有，没怎么痒过", "role": "patient"}, {"turn": 4, "text": "回答您刚问题痔疮，常见自我感觉有便秘，疼痛，有的只表现肛门便时沉重感异物，肛周不适当大便硬结还会便血。晚期痔疮就了还会脱出。可以行肛门指检及肛门镜或电子肠镜检查。\n\n便秘，您注意正常饮食，继续服药，建议多吃易消化东西。先吃药，如果还是没有改善可以至医院完善电子肠镜检查。", "role": "doctor"}, {"turn": 5, "text": "嗯嗯！", "role": "doctor"}, {"turn": 6, "text": "那是有可能的，便血常见症状，有时仅仅便纸上有血丝", "role": "doctor"}, {"turn": 7, "text": "昨天大夫也做了肛门指检，按说能发现痔疮吧？", "role": "patient"}, {"turn": 8, "text": "可以的发现的", "role": "doctor"}, {"turn": 9, "text": "但是大夫当时没说有痔疮，只说怀疑有肛周脓肿，帮我开了b超", "role": "patient"}, {"turn": 10, "text": "做了指检，没有说，应该没有。", "role": "doctor"}, {"turn": 11, "text": "明白了，我现在做提肛动作，会有异物感", "role": "patient"}, {"turn": 12, "text": "位置和拉不出来时的异物感相同", "role": "patient"}, {"turn": 13, "text": "嗯嗯", "role": "doctor"}, {"turn": 14, "text": "吃完药没有改善，那可以约一下肠镜检查排除其他问题", "role": "doctor"}, {"turn": 15, "text": "ok，没问题了，谢谢您的时间和耐心，晚安", "role": "patient"}, {"turn": 16, "text": "也谢谢您的支撑与信任，晚安！", "role": "doctor"}, {"turn": 17, "text": "应该的，希望能帮助到您。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1037, "thread": [{"turn": 0, "text": "幽门螺杆菌不给开药你好（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，胃有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "C13试验数值14，胃蛋白酶原2数值偏高16，当地医院没有开药，说不致病，先不杀菌，我该", "role": "patient"}, {"turn": 3, "text": "C13试验数值14，胃蛋白酶原2数值偏高16，当地医院没有开药，说不致病，先不杀菌，我该怎么办", "role": "patient"}, {"turn": 4, "text": "胃镜做了么？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "那不用吃药", "role": "doctor"}, {"turn": 7, "text": "没做胃镜，那就是一张废纸", "role": "doctor"}, {"turn": 8, "text": "胃部平时没有不适，就是吃完饭感觉消化很慢", "role": "patient"}, {"turn": 9, "text": "你的建议做胃镜？", "role": "patient"}, {"turn": 10, "text": "连查都没必要查", "role": "doctor"}, {"turn": 11, "text": "是的", "role": "doctor"}, {"turn": 12, "text": "应该是先做胃镜，再查这个", "role": "doctor"}, {"turn": 13, "text": "当地医院的医生挺好的", "role": "doctor"}, {"turn": 14, "text": "好的，这个是体检做的，这个值严重么", "role": "patient"}, {"turn": 15, "text": "我说了，没做胃镜，那就是一张废纸", "role": "doctor"}, {"turn": 16, "text": "没有不适，我干嘛做胃镜啊，现在就是体检这个值不正常，问问你平时需要注意什么", "role": "patient"}, {"turn": 17, "text": "体检这个值不正常，不做胃镜没有意义，平时避免辛辣刺激食物，三餐规律饮食，生活规律即可。", "role": "doctor"}, {"turn": 18, "text": "有的胃病是没有腹痛症状的，首发表现是出血或者穿孔。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1038, "thread": [{"turn": 0, "text": "挫伤5天了,还没完全消肿,还需外敷吗（女，56岁）", "role": "patient"}, {"turn": 1, "text": "请问你用什么外敷的呢？？", "role": "doctor"}, {"turn": 2, "text": "二次田七酒", "role": "patient"}, {"turn": 3, "text": "不用了", "role": "doctor"}, {"turn": 4, "text": "医生您好:你是说不需要再敷了吗", "role": "patient"}, {"turn": 5, "text": "那下步该怎么用什么了呢", "role": "patient"}, {"turn": 6, "text": "你是哪里的挫伤？", "role": "doctor"}, {"turn": 7, "text": "我看看照片", "role": "doctor"}, {"turn": 8, "text": "手腕关节，没有拍", "role": "patient"}, {"turn": 9, "text": "那就修养就行", "role": "doctor"}, {"turn": 10, "text": "这是个过程！慢慢恢复", "role": "doctor"}, {"turn": 11, "text": "还好胀痛了哦，就完全不用放药了嘛", "role": "patient"}, {"turn": 12, "text": "不建议用啦！本来就是个过程！", "role": "doctor"}, {"turn": 13, "text": "如果还用药会怎么样呢", "role": "patient"}, {"turn": 14, "text": "用也可以啊", "role": "doctor"}, {"turn": 15, "text": "用药总归对身体不好吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1039, "thread": [{"turn": 0, "text": "血虚，气虚，可以买点鹿茸来吃嘛（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，鹿茸是益精血的，力量有点强", "role": "doctor"}, {"turn": 2, "text": "年轻人不建议服用", "role": "doctor"}, {"turn": 3, "text": "那吃什么呀，", "role": "patient"}, {"turn": 4, "text": "你描述一下你的症状", "role": "doctor"}, {"turn": 5, "text": "我给你做个诊断", "role": "doctor"}, {"turn": 6, "text": "再建议你服用什么药物", "role": "doctor"}, {"turn": 7, "text": "好吧，就是怕冷，", "role": "patient"}, {"turn": 8, "text": "是不是手脚凉，平时容易疲倦打击", "role": "doctor"}, {"turn": 9, "text": "有是足底发麻，头晕，到了晚上12点这样就很热出汗", "role": "patient"}, {"turn": 10, "text": "平时容易腰膝酸软无力吗", "role": "doctor"}, {"turn": 11, "text": "晚上睡不着，就早上睡的比较好点", "role": "patient"}, {"turn": 12, "text": "对的", "role": "patient"}, {"turn": 13, "text": "睡眠也不太好对吧", "role": "doctor"}, {"turn": 14, "text": "是不是我11月份引产导致的", "role": "patient"}, {"turn": 15, "text": "嗯，你目前的情况是肝肾阴虚", "role": "doctor"}, {"turn": 16, "text": "与你引产有关系的", "role": "doctor"}, {"turn": 17, "text": "自从引产后就会出现这样的情况", "role": "patient"}, {"turn": 18, "text": "我给你开点药吧", "role": "doctor"}, {"turn": 19, "text": "那要吃什么呀", "role": "patient"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "天麻钩藤颗粒加知柏地黄丸", "role": "doctor"}, {"turn": 22, "text": "这两个药合起来服用", "role": "doctor"}, {"turn": 23, "text": "要不要吃什么补品呀", "role": "patient"}, {"turn": 24, "text": "哦哦", "role": "patient"}, {"turn": 25, "text": "不要吃补品", "role": "doctor"}, {"turn": 26, "text": "你这个情况吃补品容易上火", "role": "doctor"}, {"turn": 27, "text": "而且效果不好", "role": "doctor"}, {"turn": 28, "text": "你服用这两个药2周", "role": "doctor"}, {"turn": 29, "text": "服用方法按照说明书服用就可以", "role": "doctor"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1040, "thread": [{"turn": 0, "text": "为什么稍微用脑就偏头痛（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "一直都是这样", "role": "patient"}, {"turn": 3, "text": "嗯", "role": "doctor"}, {"turn": 4, "text": "头疼是针扎一样疼还是一跳一跳的疼", "role": "doctor"}, {"turn": 5, "text": "不知道为什么烦躁起来也头痛", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "胀痛", "role": "patient"}, {"turn": 8, "text": "两边，有时候头顶", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "头疼前有没有看到闪光点等先兆？", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "就是两边太阳穴胀痛", "role": "patient"}, {"turn": 13, "text": "嗯嗯", "role": "doctor"}, {"turn": 14, "text": "有没有说睡一觉起来就缓解了？", "role": "doctor"}, {"turn": 15, "text": "有没有糖尿病，高血压等基础病？", "role": "doctor"}, {"turn": 16, "text": "睡一觉就好了", "role": "patient"}, {"turn": 17, "text": "没有那些", "role": "patient"}, {"turn": 18, "text": "嗯嗯", "role": "doctor"}, {"turn": 19, "text": "家里人有没有头疼病史？", "role": "doctor"}, {"turn": 20, "text": "没有", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}, {"turn": 22, "text": "劳累，熬夜加重？", "role": "doctor"}, {"turn": 23, "text": "您这情况考虑是血管神经性头疼", "role": "doctor"}, {"turn": 24, "text": "最好做颅脑ct，排除器质性病变", "role": "doctor"}, {"turn": 25, "text": "考虑是血管神经性头疼，因为血管功能紊乱引起的。注意休息避免劳累熬夜受凉。吃点头痛宁路盖克", "role": "doctor"}, {"turn": 26, "text": "谢谢", "role": "patient"}, {"turn": 27, "text": "嗯嗯，您客气了。用脑啊，劳累啊，会使脑血管功能紊乱，不是大问题", "role": "doctor"}, {"turn": 28, "text": "注意休息避免劳累受凉熬夜", "role": "doctor"}, {"turn": 29, "text": "要是吃药不管用，再去医院检查一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1041, "thread": [{"turn": 0, "text": "宝宝有点消化不良吃什么药好呢（男，5个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么症状？多长时间了？", "role": "doctor"}, {"turn": 2, "text": "四五天了", "role": "patient"}, {"turn": 3, "text": "消化不良", "role": "patient"}, {"turn": 4, "text": "用药了吗？", "role": "doctor"}, {"turn": 5, "text": "不爱吃奶", "role": "patient"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "大便怎么样？", "role": "doctor"}, {"turn": 8, "text": "吃什么药好呢", "role": "patient"}, {"turn": 9, "text": "做做小儿推拿按摩", "role": "doctor"}, {"turn": 10, "text": "口服益生菌，", "role": "doctor"}, {"turn": 11, "text": "乳酶生", "role": "doctor"}, {"turn": 12, "text": "大便都是奶掰", "role": "patient"}, {"turn": 13, "text": "少吃多餐", "role": "doctor"}, {"turn": 14, "text": "乳酶生一次吃多少", "role": "patient"}, {"turn": 15, "text": "一次一片一日三次", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "嗯", "role": "doctor"}, {"turn": 18, "text": "跟益生菌一起吃爱事吗", "role": "patient"}, {"turn": 19, "text": "有益生菌就不用吃", "role": "doctor"}, {"turn": 20, "text": "那益生菌一天需要吃几次", "role": "patient"}, {"turn": 21, "text": "三次", "role": "doctor"}, {"turn": 22, "text": "一次多少", "role": "patient"}, {"turn": 23, "text": "什么样的？一般一次半包一日三次", "role": "doctor"}, {"turn": 24, "text": "复合益生菌冻干粉", "role": "patient"}, {"turn": 25, "text": "有说明", "role": "doctor"}, {"turn": 26, "text": "卖益生菌的让我一天吃一次", "role": "patient"}, {"turn": 27, "text": "保健品吗", "role": "doctor"}, {"turn": 28, "text": "不是", "role": "patient"}, {"turn": 29, "text": "医院？", "role": "doctor"}, {"turn": 30, "text": "吃妈咪爱管事吗", "role": "patient"}, {"turn": 31, "text": "管事", "role": "doctor"}, {"turn": 32, "text": "药店", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "那我们刚才吃的益生菌，晚上再吃点妈咪爱可以吗", "role": "patient"}, {"turn": 35, "text": "明天吃", "role": "doctor"}, {"turn": 36, "text": "嗯", "role": "patient"}, {"turn": 37, "text": "好", "role": "doctor"}, {"turn": 38, "text": "谢谢您", "role": "patient"}, {"turn": 39, "text": "还有我们可以吃点辅食吗", "role": "patient"}, {"turn": 40, "text": "如果消化不良比较明显先不加辅食，做做小儿推拿按摩，口服药好转了慢慢添加", "role": "doctor"}, {"turn": 41, "text": "好的", "role": "patient"}, {"turn": 42, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1042, "thread": [{"turn": 0, "text": "气血不足会引起心脏早搏吗（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "早博", "role": "patient"}, {"turn": 3, "text": "心慌", "role": "patient"}, {"turn": 4, "text": "做过动态心电图吗", "role": "doctor"}, {"turn": 5, "text": "做过", "role": "patient"}, {"turn": 6, "text": "房性早搏", "role": "patient"}, {"turn": 7, "text": "24小时多少", "role": "doctor"}, {"turn": 8, "text": "不到一百吧，忘了", "role": "patient"}, {"turn": 9, "text": "不算多，问题不大", "role": "doctor"}, {"turn": 10, "text": "有时连续早博会觉得胸闷", "role": "patient"}, {"turn": 11, "text": "隔一段时间就会犯病", "role": "patient"}, {"turn": 12, "text": "出现早搏会有症状的", "role": "doctor"}, {"turn": 13, "text": "有时一个多月，有事一二十天，就会犯病", "role": "patient"}, {"turn": 14, "text": "吃美托洛尔或者稳心颗粒调理", "role": "doctor"}, {"turn": 15, "text": "早博喝啥药，我觉喝陪他乐克，不顶事，犯病的时候", "role": "patient"}, {"turn": 16, "text": "发作起来吃啥效果都不好，只能平时预防发作", "role": "doctor"}, {"turn": 17, "text": "稳心颗粒也喝过，没啥效果", "role": "patient"}, {"turn": 18, "text": "早搏不多，吃其他药物副作用大，得不偿失", "role": "doctor"}, {"turn": 19, "text": "就吃这两种药效果好？", "role": "patient"}, {"turn": 20, "text": "副作用小，作用还好", "role": "doctor"}, {"turn": 21, "text": "两个同时喝吗", "role": "patient"}, {"turn": 22, "text": "是的", "role": "doctor"}, {"turn": 23, "text": "喝多久？", "role": "patient"}, {"turn": 24, "text": "看症状", "role": "doctor"}, {"turn": 25, "text": "1月复查", "role": "doctor"}, {"turn": 26, "text": "好的谢谢你", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1043, "thread": [{"turn": 0, "text": "蛀牙痛和午时茶有用吗（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答。", "role": "doctor"}, {"turn": 2, "text": "您好，方便拍张蛀牙的照片吗？", "role": "doctor"}, {"turn": 3, "text": "不方便", "role": "patient"}, {"turn": 4, "text": "蛀牙痛喝午时茶有用吗", "role": "patient"}, {"turn": 5, "text": "您好，疼了多长时间了？", "role": "doctor"}, {"turn": 6, "text": "一晚上", "role": "patient"}, {"turn": 7, "text": "您好，不管用", "role": "doctor"}, {"turn": 8, "text": "家里有布洛芬缓释胶囊吗？", "role": "doctor"}, {"turn": 9, "text": "好吧。那我旁边没有任何药物。如何止痛", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "您好，躺下疼的厉害吗？", "role": "doctor"}, {"turn": 12, "text": "站着坐着躺着都一样", "role": "patient"}, {"turn": 13, "text": "嗯嗯，您好，没有什么方法可以缓解疼痛😭", "role": "doctor"}, {"turn": 14, "text": "你家离医院近不近？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1044, "thread": [{"turn": 0, "text": "医生，你好虫牙痛怎么办，（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，是吃东西疼还是不碰都疼？", "role": "doctor"}, {"turn": 2, "text": "吃东西痛，牙对牙也很痛", "role": "patient"}, {"turn": 3, "text": "考虑牙神经或者牙根发炎了", "role": "doctor"}, {"turn": 4, "text": "要就诊处理", "role": "doctor"}, {"turn": 5, "text": "怎么处理", "role": "patient"}, {"turn": 6, "text": "做根管治疗", "role": "doctor"}, {"turn": 7, "text": "去哪做", "role": "patient"}, {"turn": 8, "text": "口腔科", "role": "doctor"}, {"turn": 9, "text": "贵吗", "role": "patient"}, {"turn": 10, "text": "400-1000", "role": "doctor"}, {"turn": 11, "text": "看地方收费", "role": "doctor"}, {"turn": 12, "text": "这么贵的", "role": "patient"}, {"turn": 13, "text": "看你们那边收费", "role": "doctor"}, {"turn": 14, "text": "用手指弄它都痛", "role": "patient"}, {"turn": 15, "text": "😭😭", "role": "patient"}, {"turn": 16, "text": "可以拔掉吗", "role": "patient"}, {"turn": 17, "text": "能保留建议治疗的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1045, "thread": [{"turn": 0, "text": "耳鸣2年了，像蝉鸣一样（男，52岁）", "role": "patient"}, {"turn": 1, "text": "你好，听力有下降吗？", "role": "doctor"}, {"turn": 2, "text": "没有下降", "role": "patient"}, {"turn": 3, "text": "吃过氟桂利嗪10几天，好一点", "role": "patient"}, {"turn": 4, "text": "单侧还是双侧", "role": "doctor"}, {"turn": 5, "text": "听力有点下降，双侧，左边重点", "role": "patient"}, {"turn": 6, "text": "听力查过吗", "role": "doctor"}, {"turn": 7, "text": "查过，基本正常", "role": "patient"}, {"turn": 8, "text": "报告在吗", "role": "doctor"}, {"turn": 9, "text": "2年前做的，找不到了", "role": "patient"}, {"turn": 10, "text": "结果好像说是神经性耳聋", "role": "patient"}, {"turn": 11, "text": "嗯，耳聋必然会耳鸣", "role": "doctor"}, {"turn": 12, "text": "注意避免噪音，不要熬夜", "role": "doctor"}, {"turn": 13, "text": "神经性耳鸣不是耳聋，不好意思写错了", "role": "patient"}, {"turn": 14, "text": "有什么药可以吃吗？还是要做什么检查", "role": "patient"}, {"turn": 15, "text": "吃氟桂利嗪和归脾丸，有点效果，不吃还是和原来一样", "role": "patient"}, {"turn": 16, "text": "建议查电测听+声导抗+耳声发射确诊", "role": "doctor"}, {"turn": 17, "text": "好的，如果是神经性的话，吃什么药好呢", "role": "patient"}, {"turn": 18, "text": "银杏叶+甲钴胺", "role": "doctor"}, {"turn": 19, "text": "要吃多久呢", "role": "patient"}, {"turn": 20, "text": "要看病情，你先去检查再吃药吧", "role": "doctor"}, {"turn": 21, "text": "好的，其他还需要做什么检查吗", "role": "patient"}, {"turn": 22, "text": "暂时先做这三个", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1046, "thread": [{"turn": 0, "text": "消化不良消化不良消化不良（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好很高兴为您答复！", "role": "doctor"}, {"turn": 2, "text": "你好医生 我最近两周偶尔有一天 就吃了饭一直卡在喉咙下面那里 堵着", "role": "patient"}, {"turn": 3, "text": "您怎么不舒服？", "role": "doctor"}, {"turn": 4, "text": "有口气口臭口苦发酸嗳气打嗝吗？", "role": "doctor"}, {"turn": 5, "text": "不是腹胀 是在喉咙口那里感觉", "role": "patient"}, {"turn": 6, "text": "有口臭 这个有大半年了", "role": "patient"}, {"turn": 7, "text": "但是吃了东西在喉咙那里堵着下不去是这两周的事", "role": "patient"}, {"turn": 8, "text": "大便干燥或者便秘吗？", "role": "doctor"}, {"turn": 9, "text": "昨天晚上吃了白菜肉饺子 到睡觉时也那样 下不去 也打不出隔来感觉 堵的慌", "role": "patient"}, {"turn": 10, "text": "今早好了 可吃了早饭 到现在一天都还堵着", "role": "patient"}, {"turn": 11, "text": "大便不规律 可能好几天一次", "role": "patient"}, {"turn": 12, "text": "但是不太干燥 湿", "role": "patient"}, {"turn": 13, "text": "胃肠动力不足", "role": "doctor"}, {"turn": 14, "text": "怎么得的这个", "role": "patient"}, {"turn": 15, "text": "可我不是腹胀 是在嗓子眼那", "role": "patient"}, {"turn": 16, "text": "那该怎么办呢", "role": "patient"}, {"turn": 17, "text": "服用吗丁啉", "role": "doctor"}, {"turn": 18, "text": "能吃栗子吗", "role": "patient"}, {"turn": 19, "text": "不能吃", "role": "doctor"}, {"turn": 20, "text": "如何增加肠胃动力呢", "role": "patient"}, {"turn": 21, "text": "除了吃药", "role": "patient"}, {"turn": 22, "text": "少量吃几个山楂", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1047, "thread": [{"turn": 0, "text": "牙痛然后是蛀牙而且是大牙，本人15女（女，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是哪颗牙疼？疼了多久啦，怎么个疼法，", "role": "doctor"}, {"turn": 2, "text": "喝凉热水疼还是咬东西疼，还是自发性疼？", "role": "doctor"}, {"turn": 3, "text": "现在牙疼的话建议你口服消炎药阿莫西林和甲硝唑", "role": "doctor"}, {"turn": 4, "text": "止疼药可以服用布洛芬或者路盖克或者戴芬", "role": "doctor"}, {"turn": 5, "text": "大牙疼", "role": "patient"}, {"turn": 6, "text": "嗯嗯", "role": "doctor"}, {"turn": 7, "text": "根据你说的症状可能是牙髓炎", "role": "doctor"}, {"turn": 8, "text": "疼了好久了", "role": "patient"}, {"turn": 9, "text": "建议你今天先吃药", "role": "doctor"}, {"turn": 10, "text": "明天去口腔科治疗牙齿", "role": "doctor"}, {"turn": 11, "text": "没有药", "role": "patient"}, {"turn": 12, "text": "嗯嗯", "role": "doctor"}, {"turn": 13, "text": "离医院近？", "role": "doctor"}, {"turn": 14, "text": "有没有现在可以克制一下的方法", "role": "patient"}, {"turn": 15, "text": "不近", "role": "patient"}, {"turn": 16, "text": "没有了", "role": "doctor"}, {"turn": 17, "text": "要么吃药，要么治牙", "role": "doctor"}, {"turn": 18, "text": "喔，好吧", "role": "patient"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "疼了这么久啦，建议你去治疗一下牙齿", "role": "doctor"}, {"turn": 21, "text": "不能拖，越拖越严重", "role": "doctor"}, {"turn": 22, "text": "不客气", "role": "doctor"}, {"turn": 23, "text": "嗯呢", "role": "patient"}, {"turn": 24, "text": "👌", "role": "doctor"}, {"turn": 25, "text": "阿莫西林胶囊可以吗", "role": "patient"}, {"turn": 26, "text": "可以", "role": "doctor"}, {"turn": 27, "text": "哦哦", "role": "patient"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "最好和甲硝唑或者奥硝唑配合着一块吃", "role": "doctor"}, {"turn": 30, "text": "不客气", "role": "doctor"}, {"turn": 31, "text": "蓝芩口服液和阿莫西林胶囊可以一起吃吗", "role": "patient"}, {"turn": 32, "text": "我刚喝完蓝芩口服液", "role": "patient"}, {"turn": 33, "text": "可以", "role": "doctor"}, {"turn": 34, "text": "这个口服液是中药成分", "role": "doctor"}, {"turn": 35, "text": "喔", "role": "patient"}, {"turn": 36, "text": "那我应该吃几颗阿莫西林胶囊", "role": "patient"}, {"turn": 37, "text": "这个你需要按说明书吃", "role": "doctor"}, {"turn": 38, "text": "不同厂家剂量不一样", "role": "doctor"}, {"turn": 39, "text": "他说成人两粒", "role": "patient"}, {"turn": 40, "text": "我15岁", "role": "patient"}, {"turn": 41, "text": "那你是1粒", "role": "doctor"}, {"turn": 42, "text": "喔", "role": "patient"}, {"turn": 43, "text": "首次可以加倍吃两粒，以后是一次一颗", "role": "doctor"}, {"turn": 44, "text": "谢谢", "role": "patient"}, {"turn": 45, "text": "不客气", "role": "doctor"}, {"turn": 46, "text": "那么晚了真敬业，谢谢", "role": "patient"}, {"turn": 47, "text": "早点休息，晚安", "role": "doctor"}, {"turn": 48, "text": "你太客气啦", "role": "doctor"}, {"turn": 49, "text": "晚安", "role": "patient"}, {"turn": 50, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1048, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：一岁宝宝便秘（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "大便特别干吗", "role": "doctor"}, {"turn": 3, "text": "2天", "role": "patient"}, {"turn": 4, "text": "每次解的费力吗", "role": "doctor"}, {"turn": 5, "text": "是，很硬", "role": "patient"}, {"turn": 6, "text": "宝宝是什么喂养", "role": "doctor"}, {"turn": 7, "text": "奶粉➕稀饭", "role": "patient"}, {"turn": 8, "text": "日常多喝水，多吃蔬菜水果，多吃富含粗纤维食物，每天顺时针按摩肚脐，口服益生菌调理肠道菌群环境，必要时口服乳果糖口服液促进胃肠蠕动功能", "role": "doctor"}, {"turn": 9, "text": "不爱喝水", "role": "patient"}, {"turn": 10, "text": "拉得辛苦肛门出血", "role": "patient"}, {"turn": 11, "text": "必须好好调理", "role": "doctor"}, {"turn": 12, "text": "有肛裂了", "role": "doctor"}, {"turn": 13, "text": "那要怎么办", "role": "patient"}, {"turn": 14, "text": "口服益生菌调理，乳果糖口服液可以快速改善大便性状，同时肛门用温水热敷，抹红霉素软膏", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "不用谢，祝宝宝早日康复，健康快乐😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1049, "thread": [{"turn": 0, "text": "十四个月宝宝便秘原因（男，1岁2个月）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答疑问。请问孩子多久没有解大便了呢？", "role": "doctor"}, {"turn": 2, "text": "每天都会解，但每次都是一点点", "role": "patient"}, {"turn": 3, "text": "有时两三次，三四次也有", "role": "patient"}, {"turn": 4, "text": "干不干呢？宝宝饮食怎么样？", "role": "doctor"}, {"turn": 5, "text": "有点干，饮食还可以，白天运动量也不少，自己已经会走了", "role": "patient"}, {"turn": 6, "text": "吃辅食蔬菜水果不？肚子涨不涨呢？口臭不？", "role": "doctor"}, {"turn": 7, "text": "现在母乳没断，每天加两次奶粉", "role": "patient"}, {"turn": 8, "text": "辅食添加情况如何？母乳还够不够？", "role": "doctor"}, {"turn": 9, "text": "辅食蔬菜水果都吃，肚子有点涨，口不臭", "role": "patient"}, {"turn": 10, "text": "辅食每天两到三次，母乳不够，白天不吃，夜奶没断，每天加两次奶粉", "role": "patient"}, {"turn": 11, "text": "这种情况还是考虑消化不良，夜奶可以开始断了，晚上吃一次奶粉就可以了的", "role": "doctor"}, {"turn": 12, "text": "母乳也可以开始断了的", "role": "doctor"}, {"turn": 13, "text": "母乳打算过了年暖和点就断", "role": "patient"}, {"turn": 14, "text": "他现在这种情况需要吃点什么？", "role": "patient"}, {"turn": 15, "text": "可以吃点益生菌或者，消积口服液之类的", "role": "doctor"}, {"turn": 16, "text": "之前没加奶粉就有点便秘后面又好了，现在加奶粉比之前便秘好像严重，前一天晚上用开塞露拉干净了，但第二天早上排的便还是一点，不过不硬，后面排的就硬点", "role": "patient"}, {"turn": 17, "text": "益生菌吃过几天没效果，这几天就没给吃了", "role": "patient"}, {"turn": 18, "text": "益生菌需要多吃一段时间的", "role": "doctor"}, {"turn": 19, "text": "如果大便比较费力，就可以吃点四磨汤的", "role": "doctor"}, {"turn": 20, "text": "开塞露也是临时用的", "role": "doctor"}, {"turn": 21, "text": "好的，以为他喝奶粉上火，这几天在给他喝清火宝，水他也不大喝", "role": "patient"}, {"turn": 22, "text": "水需要多喝的", "role": "doctor"}, {"turn": 23, "text": "给他喝不喝，喝了还会吐出来", "role": "patient"}, {"turn": 24, "text": "那就多吃些蔬菜水果", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢", "role": "patient"}, {"turn": 26, "text": "不客气的。希望孩子健康！", "role": "doctor"}, {"turn": 27, "text": "吃什么水果比较好", "role": "patient"}, {"turn": 28, "text": "什么蔬菜比较好", "role": "patient"}, {"turn": 29, "text": "水果就是当季的就可以了。最近就是橙子和橘子之类的", "role": "doctor"}, {"turn": 30, "text": "蔬菜的多吃粗纤维，比如芹菜之类的", "role": "doctor"}, {"turn": 31, "text": "好的，谢谢", "role": "patient"}, {"turn": 32, "text": "菌菇类可以多吃吗？", "role": "patient"}, {"turn": 33, "text": "不建议多吃，偶尔可以吃的", "role": "doctor"}, {"turn": 34, "text": "好的", "role": "patient"}, {"turn": 35, "text": "嗯嗯", "role": "doctor"}, {"turn": 36, "text": "谢谢你的解答", "role": "patient"}, {"turn": 37, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1050, "thread": [{"turn": 0, "text": "右侧咀嚼实物七天了 咬肌会变大吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，短期偏侧咀嚼不会的", "role": "doctor"}, {"turn": 2, "text": "那多久咬肌会大啊", "role": "patient"}, {"turn": 3, "text": "可是为什么我感觉变大了呢 右脸咬肌那块有个硬块", "role": "patient"}, {"turn": 4, "text": "几个月甚至几年", "role": "doctor"}, {"turn": 5, "text": "一个多月会吗", "role": "patient"}, {"turn": 6, "text": "因为前两天牙坏了 所以一直都在用右侧咀嚼实物 真的咬肌不会变大吗", "role": "patient"}, {"turn": 7, "text": "不会", "role": "doctor"}, {"turn": 8, "text": "那硬块是什么", "role": "patient"}, {"turn": 9, "text": "肌肉", "role": "doctor"}, {"turn": 10, "text": "对了医生 我牙前两天吃硬东西完事很疼 喝凉水也牙疼 去看说是漏神经让我抽神经 完事给我整个洞添的杀死神经的药 今天吃东西牙掉了一大块 请问怎么补救啊", "role": "patient"}, {"turn": 11, "text": "没掉完就按时复诊", "role": "doctor"}, {"turn": 12, "text": "掉完了尽早就诊", "role": "doctor"}, {"turn": 13, "text": "还没抽神经呢 用镶牙吗", "role": "patient"}, {"turn": 14, "text": "这几天不是过年吗 说开门给我抽", "role": "patient"}, {"turn": 15, "text": "那就按时复诊可以了", "role": "doctor"}, {"turn": 16, "text": "牙花子有一小块没牙 带牙套可以不", "role": "patient"}, {"turn": 17, "text": "可以的", "role": "doctor"}, {"turn": 18, "text": "那经常揉咬肌会不会变小", "role": "patient"}, {"turn": 19, "text": "基本不会", "role": "doctor"}, {"turn": 20, "text": "那怎样咬肌会变小", "role": "patient"}, {"turn": 21, "text": "没办法，要么整形", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1051, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的症状持续有多长时间了", "role": "doctor"}, {"turn": 2, "text": "二年了", "role": "patient"}, {"turn": 3, "text": "一直耳鸣吗", "role": "doctor"}, {"turn": 4, "text": "之前看耳科说没问题", "role": "patient"}, {"turn": 5, "text": "这一个月每天都是", "role": "patient"}, {"turn": 6, "text": "做了什么检查", "role": "doctor"}, {"turn": 7, "text": "自己说话外界因素都响", "role": "patient"}, {"turn": 8, "text": "哦，做过什么检查吗", "role": "doctor"}, {"turn": 9, "text": "您好，这个情况根据症状表现是耳鸣，这个情况一般考虑是神经性耳鸣多见，传导性耳鸣一般是感冒导致的中耳炎导致的，这个神经性耳鸣一般是和长时间生活不规律，和上火，疲劳等因素导致的神经问题，这个情况建议可以在医生指导下积极对症治疗，可以吃点倍他司汀片，维生素B1片，吃点甲钴胺片对症治疗，注意休息，保持生活规律，少吃辛辣刺激食物，一周症状不缓解建议去医院进一步检查听力确诊后在医生指导下积极对症治疗", "role": "doctor"}, {"turn": 10, "text": "看耳朵，说外表看没问题", "role": "patient"}, {"turn": 11, "text": "需要进一步检查听力", "role": "doctor"}, {"turn": 12, "text": "中医说肾虚，现在都不知道看什么科了", "role": "patient"}, {"turn": 13, "text": "建议去耳鼻喉科进一步检查", "role": "doctor"}, {"turn": 14, "text": "也可以先对症吃点药", "role": "doctor"}, {"turn": 15, "text": "一直都左耳", "role": "patient"}, {"turn": 16, "text": "哦", "role": "doctor"}, {"turn": 17, "text": "哦，好的，谢谢", "role": "patient"}, {"turn": 18, "text": "患者您好，网络问诊只可作为治疗建议，如果3日内病情仍未有好转，请及时就医以免贻误病情", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1052, "thread": [{"turn": 0, "text": "耳鸣，头晕。感觉是后脑勺晕（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "耳鸣有十来天了头晕是这几天才发现的，", "role": "patient"}, {"turn": 3, "text": "整天都耳鸣吗？", "role": "doctor"}, {"turn": 4, "text": "嗯，对", "role": "patient"}, {"turn": 5, "text": "头晕呢？", "role": "doctor"}, {"turn": 6, "text": "走路的时候晕，而且好像是后脑勺晕", "role": "patient"}, {"turn": 7, "text": "躺着没事？", "role": "doctor"}, {"turn": 8, "text": "躺着要好点", "role": "patient"}, {"turn": 9, "text": "最近有没有感冒的情况", "role": "doctor"}, {"turn": 10, "text": "没有啊", "role": "patient"}, {"turn": 11, "text": "有耳鸣的情况考虑是耳源性头晕", "role": "doctor"}, {"turn": 12, "text": "可以查查前庭功能", "role": "doctor"}, {"turn": 13, "text": "就是说可能是耳朵影响的头晕吗", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "它有没有可能会自己好", "role": "patient"}, {"turn": 16, "text": "有这种可能", "role": "doctor"}, {"turn": 17, "text": "这个有没有什么药可以治疗", "role": "patient"}, {"turn": 18, "text": "可以服用敏使朗", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1053, "thread": [{"turn": 0, "text": "宝宝5个月，咳嗽怎么办？（男，5个月）", "role": "patient"}, {"turn": 1, "text": "宝宝咳嗽多久了？有痰吗？", "role": "doctor"}, {"turn": 2, "text": "今天第二天", "role": "patient"}, {"turn": 3, "text": "听着没有痰", "role": "patient"}, {"turn": 4, "text": "有没有吃过药？", "role": "doctor"}, {"turn": 5, "text": "有其他症状吗？", "role": "doctor"}, {"turn": 6, "text": "有打喷嚏的症状，没有鼻涕", "role": "patient"}, {"turn": 7, "text": "吃了两顿小儿肺热咳喘颗粒，头孢克肟颗粒", "role": "patient"}, {"turn": 8, "text": "还是咳，感觉比昨天咳嗽勤一点，睡觉后也咳", "role": "patient"}, {"turn": 9, "text": "咳嗽两天不建议吃头孢", "role": "doctor"}, {"turn": 10, "text": "最好到医院让医生听听肺部情况", "role": "doctor"}, {"turn": 11, "text": "嗯嗯", "role": "patient"}, {"turn": 12, "text": "要听肺部有没有啰音", "role": "doctor"}, {"turn": 13, "text": "现在吃小儿肺热咳喘颗粒效果不好吗", "role": "patient"}, {"turn": 14, "text": "可以吃", "role": "doctor"}, {"turn": 15, "text": "吃完三天才评估效果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1054, "thread": [{"turn": 0, "text": "七个月的宝宝流鼻涕咳嗽，有时还呕吐（男，7个月）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "两三天了", "role": "patient"}, {"turn": 3, "text": "有发热么？", "role": "doctor"}, {"turn": 4, "text": "有痰", "role": "patient"}, {"turn": 5, "text": "昨天去诊所量的38.5", "role": "patient"}, {"turn": 6, "text": "贴的贴", "role": "patient"}, {"turn": 7, "text": "呕吐多少次？精神好么？", "role": "doctor"}, {"turn": 8, "text": "现在体温呢？", "role": "doctor"}, {"turn": 9, "text": "呕吐次数不多几天吐一次", "role": "patient"}, {"turn": 10, "text": "37", "role": "patient"}, {"turn": 11, "text": "精神好么？", "role": "doctor"}, {"turn": 12, "text": "看着比那两天有点懒", "role": "patient"}, {"turn": 13, "text": "食欲好么？", "role": "doctor"}, {"turn": 14, "text": "这两天也不爱吃", "role": "patient"}, {"turn": 15, "text": "奶粉都不大喝", "role": "patient"}, {"turn": 16, "text": "大便正常么？", "role": "doctor"}, {"turn": 17, "text": "大便正常", "role": "patient"}, {"turn": 18, "text": "有用过什么药么？", "role": "doctor"}, {"turn": 19, "text": "就是昨天拉的怎么有点发黑", "role": "patient"}, {"turn": 20, "text": "有用过什么药么？", "role": "doctor"}, {"turn": 21, "text": "是吃药吃的吗", "role": "patient"}, {"turn": 22, "text": "吃的三个九黄那敏颗粒跟小儿化痰止咳颗粒", "role": "patient"}, {"turn": 23, "text": "有好转么？", "role": "doctor"}, {"turn": 24, "text": "没有昨天贴的贴也没有", "role": "patient"}, {"turn": 25, "text": "中成药可以致大便黑色", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1055, "thread": [{"turn": 0, "text": "菊花益智仁一起泡茶会上火吗（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好  。菊花是可以清火解毒的", "role": "doctor"}, {"turn": 2, "text": "益智仁上火泡茶可以加金银花或者菊花吗？", "role": "patient"}, {"turn": 3, "text": "没有人嘛", "role": "patient"}, {"turn": 4, "text": "可以加的", "role": "doctor"}, {"turn": 5, "text": "刚有点事", "role": "doctor"}, {"turn": 6, "text": "金银花  菊花都是可以清火的", "role": "doctor"}, {"turn": 7, "text": "脾肾阳虚可以用益智仁泡茶吗加菊花我易上火", "role": "patient"}, {"turn": 8, "text": "益智仁可以的", "role": "doctor"}, {"turn": 9, "text": "加了菊花你还上火么", "role": "doctor"}, {"turn": 10, "text": "还没有泡过刚买来怕上火", "role": "patient"}, {"turn": 11, "text": "也就是说益智仁这个你也还没泡水", "role": "doctor"}, {"turn": 12, "text": "就是怕上火是吧", "role": "doctor"}, {"turn": 13, "text": "脾肾阳虚益智仁有功效吗？是的医生", "role": "patient"}, {"turn": 14, "text": "益智仁可以温补脾肾的", "role": "doctor"}, {"turn": 15, "text": "这个药物是没问题的", "role": "doctor"}, {"turn": 16, "text": "那你可以不用加菊花", "role": "doctor"}, {"turn": 17, "text": "可以加点枸杞", "role": "doctor"}, {"turn": 18, "text": "可以治我的脾肾阳虚是吗？我易上火?想加菊花问下可以不？", "role": "patient"}, {"turn": 19, "text": "你先不加菊花吧", "role": "doctor"}, {"turn": 20, "text": "菊花是凉性的", "role": "doctor"}, {"turn": 21, "text": "噢那我肯定上火", "role": "patient"}, {"turn": 22, "text": "那可以配什么不上火了？", "role": "patient"}, {"turn": 23, "text": "你如果担心  菊花这个是可以加的", "role": "doctor"}, {"turn": 24, "text": "你脾虚阳虚  我怕你加了菊花拉肚子", "role": "doctor"}, {"turn": 25, "text": "我拉肚子还好的就是脸色不好", "role": "patient"}, {"turn": 26, "text": "嗯嗯   你可以用益智仁  枸杞  菊花  放一起泡水喝", "role": "doctor"}, {"turn": 27, "text": "益智仁可以喝多少长时间", "role": "patient"}, {"turn": 28, "text": "每一种大概5g左右   这个你喝1个月问题不大", "role": "doctor"}, {"turn": 29, "text": "好的可以治我的脾肾阳虚是吗医生", "role": "patient"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "这些药物有这方面的作用", "role": "doctor"}, {"turn": 32, "text": "好的谢谢", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1056, "thread": [{"turn": 0, "text": "宝宝咳嗽 不流鼻涕怎么办（女，16个月）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝咳嗽多久了？，", "role": "doctor"}, {"turn": 2, "text": "有痰吗", "role": "doctor"}, {"turn": 3, "text": "今天早上开始的", "role": "patient"}, {"turn": 4, "text": "好像没感觉到痰", "role": "patient"}, {"turn": 5, "text": "大便干燥吗", "role": "doctor"}, {"turn": 6, "text": "还好", "role": "patient"}, {"turn": 7, "text": "跟原来一样", "role": "patient"}, {"turn": 8, "text": "可以喝小儿化痰止咳颗粒", "role": "doctor"}, {"turn": 9, "text": "多喝水。", "role": "doctor"}, {"turn": 10, "text": "好的 要不要抱到诊所去听听有没有痰", "role": "patient"}, {"turn": 11, "text": "要的", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "希望宝宝茁壮成长", "role": "doctor"}, {"turn": 14, "text": "去诊所说是支气管炎", "role": "patient"}, {"turn": 15, "text": "现在发烧了怎么办", "role": "patient"}, {"turn": 16, "text": "38.7", "role": "patient"}, {"turn": 17, "text": "38.7可以喝布洛芬混悬液退烧", "role": "doctor"}, {"turn": 18, "text": "还要吃消炎药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1057, "thread": [{"turn": 0, "text": "咳嗽喉咙痛是什么原因（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，出现这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "有没有发烧鼻塞流鼻涕吗", "role": "doctor"}, {"turn": 3, "text": "前两天有点咳，到今天就比之前严重一点，就这两天的事情，之前没有任何的症状，今天有点轻微流鼻涕，也算没流", "role": "patient"}, {"turn": 4, "text": "应该是病毒性感冒", "role": "doctor"}, {"turn": 5, "text": "你可以用点美敏伪麻溶液", "role": "doctor"}, {"turn": 6, "text": "可是我这个月月经时间到了，还没有来，这个会有影响吗", "role": "patient"}, {"turn": 7, "text": "一般不会影响", "role": "doctor"}, {"turn": 8, "text": "那我可以吃促进月经来的药吗？", "role": "patient"}, {"turn": 9, "text": "抱歉，这需要咨询妇科医生", "role": "doctor"}, {"turn": 10, "text": "一般是可以吃的", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢医生，还有就是我晚上睡觉的时候会突然有那种吸气然后就醒了", "role": "patient"}, {"turn": 12, "text": "你好，这种情况是正常现象", "role": "doctor"}, {"turn": 13, "text": "哦，好的，喉咙非常的痛", "role": "patient"}, {"turn": 14, "text": "嗯，可以再加点清热去火的中成药，如清开灵颗粒", "role": "doctor"}, {"turn": 15, "text": "好的，我再观察下", "role": "patient"}, {"turn": 16, "text": "?", "role": "doctor"}, {"turn": 17, "text": "可以打针么", "role": "patient"}, {"turn": 18, "text": "不需要", "role": "doctor"}, {"turn": 19, "text": "疾病也是有一个过程的", "role": "doctor"}, {"turn": 20, "text": "可是我想要给他快一点好", "role": "patient"}, {"turn": 21, "text": "病毒感染没有特效药", "role": "doctor"}, {"turn": 22, "text": "好吧！谢谢医生", "role": "patient"}, {"turn": 23, "text": "我的这个吃药大概几天好啊", "role": "patient"}, {"turn": 24, "text": "短则两三天", "role": "doctor"}, {"turn": 25, "text": "好吧！我去打针配着药吃一下", "role": "patient"}, {"turn": 26, "text": "没有是使用抗生素指针", "role": "doctor"}, {"turn": 27, "text": "可是我已经打了，意思是不管用了？", "role": "patient"}, {"turn": 28, "text": "病毒感染打抗菌药物有什么用呢", "role": "doctor"}, {"turn": 29, "text": "好吧，那我吊水可以吗？", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1058, "thread": [{"turn": 0, "text": "飞蚊症怎么治？有办法治好吗？（女，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，到医院散瞳检查过眼底吗", "role": "doctor"}, {"turn": 2, "text": "检查过正常", "role": "patient"}, {"turn": 3, "text": "b超也正常", "role": "patient"}, {"turn": 4, "text": "眼压也正常", "role": "patient"}, {"turn": 5, "text": "飞蚊症如果到医院散瞳检查眼底没有异常则不需太担心。可试试改善微循环的药物，如复方血栓通、甲钴胺等。但大部分人对药物不敏感，飞蚊可终生存在，定期复查即可。", "role": "doctor"}, {"turn": 6, "text": "能不能彻底去掉飞蚊？", "role": "patient"}, {"turn": 7, "text": "眼睛分泌物多，粘", "role": "patient"}, {"turn": 8, "text": "可以试试玻璃体激光消融手术。有可能可以。但效果并不能保证100%。有些人术后仍然有飞蚊症", "role": "doctor"}, {"turn": 9, "text": "早上眼屎多", "role": "patient"}, {"turn": 10, "text": "眼屎多的情况有多久了", "role": "doctor"}, {"turn": 11, "text": "有两月了", "role": "patient"}, {"turn": 12, "text": "白天会流泪多吗", "role": "doctor"}, {"turn": 13, "text": "不多，就是粘", "role": "patient"}, {"turn": 14, "text": "以前多通过泪腺", "role": "patient"}, {"turn": 15, "text": "噢。那你可能存在慢性泪囊炎。", "role": "doctor"}, {"turn": 16, "text": "仍然需要再去通泪道看看。然后可以试试左氧氟沙星滴眼液。一天四次", "role": "doctor"}, {"turn": 17, "text": "好的谢谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1059, "thread": [{"turn": 0, "text": "1岁宝宝消化不良7.8个月了（男，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "我的宝宝经常消化不良", "role": "patient"}, {"turn": 4, "text": "消化不良有什么表现", "role": "doctor"}, {"turn": 5, "text": "吃东西太着急 胃口太好", "role": "patient"}, {"turn": 6, "text": "吃饱拉 拉的屎很臭 掉肉", "role": "patient"}, {"turn": 7, "text": "大便稀不", "role": "doctor"}, {"turn": 8, "text": "不会太稀 就是不正常", "role": "patient"}, {"turn": 9, "text": "已经有8个月了", "role": "patient"}, {"turn": 10, "text": "到处看", "role": "patient"}, {"turn": 11, "text": "喂养是很大关系 但是他撑的肚子鼓起来都要吃的那种", "role": "patient"}, {"turn": 12, "text": "肚子胀不", "role": "doctor"}, {"turn": 13, "text": "持续8个月消化不良了", "role": "patient"}, {"turn": 14, "text": "现在1岁6个月 中途试过2次肠炎 有一次脱水", "role": "patient"}, {"turn": 15, "text": "看过医生后，吃过些什么药", "role": "doctor"}, {"turn": 16, "text": "胀", "role": "patient"}, {"turn": 17, "text": "吃些什么药", "role": "doctor"}, {"turn": 18, "text": "铅镁 茄片", "role": "patient"}, {"turn": 19, "text": "中间那个字打", "role": "patient"}, {"turn": 20, "text": "不出来", "role": "patient"}, {"turn": 21, "text": "这个药止拉很好", "role": "patient"}, {"turn": 22, "text": "其他都是益生菌", "role": "patient"}, {"turn": 23, "text": "什么双歧杆菌", "role": "patient"}, {"turn": 24, "text": "什么四盒磨汤", "role": "patient"}, {"turn": 25, "text": "有无改善？", "role": "doctor"}, {"turn": 26, "text": "都没有太大的改善 一开始是一天吃饱就拉 拉3.4次 后面拉久了 就拉厉害了 拉的很稀臭酸就去看医生 医生开始止了几天又会吃饱又拉 就这样反复", "role": "patient"}, {"turn": 27, "text": "有半年了", "role": "patient"}, {"turn": 28, "text": "我这个小孩是太特别 吃饱了都要找东西吃 撑到肚子鼓起来 完全定不了她的食量", "role": "patient"}, {"turn": 29, "text": "医生 时间才30分钟 你们回信息慢了点", "role": "patient"}, {"turn": 30, "text": "考虑脾胃功能不好引起消化不良，时间久了，建议作下小儿推拿与吃点中药调节脾胃功能好些", "role": "doctor"}, {"turn": 31, "text": "益生菌西药，对急性消化不良效好，时间久的效不好", "role": "doctor"}, {"turn": 32, "text": "中医有推荐的地方吗 医生", "role": "patient"}, {"turn": 33, "text": "谢谢医生的建议", "role": "patient"}, {"turn": 34, "text": "我在广东省惠州市", "role": "patient"}, {"turn": 35, "text": "离我近的医院有的推荐吗", "role": "patient"}, {"turn": 36, "text": "中医的", "role": "patient"}, {"turn": 37, "text": "不好意思，我不是当地人", "role": "doctor"}, {"turn": 38, "text": "专门中医院找中医看，专业些", "role": "doctor"}, {"turn": 39, "text": "如果做个详细检查需要做哪个", "role": "patient"}, {"turn": 40, "text": "医生建议一下", "role": "patient"}, {"turn": 41, "text": "想查明原因治疗", "role": "patient"}, {"turn": 42, "text": "腹部B超，肝功，大便常规等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1060, "thread": [{"turn": 0, "text": "用自体血清能治疗角膜炎吗（，）", "role": "patient"}, {"turn": 1, "text": "你好，自家血具有抗炎、抗病毒作用", "role": "doctor"}, {"turn": 2, "text": "能治疗角膜炎吗", "role": "patient"}, {"turn": 3, "text": "用了很多抗病毒药物眼疾还是不好，老是卡痛", "role": "patient"}, {"turn": 4, "text": "辅助治疗", "role": "doctor"}, {"turn": 5, "text": "自家血结膜下注射，是一种治疗办法", "role": "doctor"}, {"turn": 6, "text": "自体血清滴眼液怎么样呢", "role": "patient"}, {"turn": 7, "text": "主要是用了很多抗病毒药物都没什么效果", "role": "patient"}, {"turn": 8, "text": "可以用", "role": "doctor"}, {"turn": 9, "text": "输液也没用", "role": "patient"}, {"turn": 10, "text": "多长时间了", "role": "doctor"}, {"turn": 11, "text": "2个月了", "role": "patient"}, {"turn": 12, "text": "时间确实比较长", "role": "doctor"}, {"turn": 13, "text": "意思除了自体血清还要用其他滴眼液吗，能推荐一下吗", "role": "patient"}, {"turn": 14, "text": "好的", "role": "doctor"}, {"turn": 15, "text": "白天用左氧氟沙星滴眼液，重组人干扰素滴眼液，晚上用更昔洛韦眼用凝胶", "role": "doctor"}, {"turn": 16, "text": "都用过了，眼睛还是卡痛", "role": "patient"}, {"turn": 17, "text": "没有效果", "role": "patient"}, {"turn": 18, "text": "慢慢恢复", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "谢谢您", "role": "patient"}, {"turn": 21, "text": "这种都没效果的情况，用自体血清有用吗", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}, {"turn": 23, "text": "只有用着看了", "role": "patient"}, {"turn": 24, "text": "自家血只是一种治疗办法，不能保证", "role": "doctor"}, {"turn": 25, "text": "哦", "role": "patient"}, {"turn": 26, "text": "试试看吧", "role": "patient"}, {"turn": 27, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1061, "thread": [{"turn": 0, "text": "龋齿会不会引起淋巴结肿大？（男，39岁）", "role": "patient"}, {"turn": 1, "text": "龋齿一般不会，如果出现疼痛有可能", "role": "doctor"}, {"turn": 2, "text": "我龋齿很严重，左边上下后面的都坏了几个，前两年经常疼的睡不着", "role": "patient"}, {"turn": 3, "text": "这个会不会引起左颈淋巴结肿大呢？", "role": "patient"}, {"turn": 4, "text": "这种情况一般可能需要牙齿做治疗，建议去医院拍个片子看一下", "role": "doctor"}, {"turn": 5, "text": "会的", "role": "doctor"}, {"turn": 6, "text": "牙齿都拨了，基本都坏了，就剩下一些牙脚，所以拨了", "role": "patient"}, {"turn": 7, "text": "嗯嗯", "role": "doctor"}, {"turn": 8, "text": "现在淋巴结没消下去？这是什么回事？", "role": "patient"}, {"turn": 9, "text": "一般很难消的，如果不疼痛不要紧", "role": "doctor"}, {"turn": 10, "text": "现在还有三个牙齿也差不多要全坏了", "role": "patient"}, {"turn": 11, "text": "建议尽早治疗该拔的拔该治疗的治疗", "role": "doctor"}, {"turn": 12, "text": "医生，如果这些坏的牙齿，没处理，是不是肿大的淋巴结就不会变小？", "role": "patient"}, {"turn": 13, "text": "还有需要吃什么药？", "role": "patient"}, {"turn": 14, "text": "一般吃阿莫西林消炎", "role": "doctor"}, {"turn": 15, "text": "肿大的淋巴结一般消炎后变小，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1062, "thread": [{"turn": 0, "text": "头顶压破痛,耳鸣晕这几天睡不好（女，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "三四天了", "role": "patient"}, {"turn": 3, "text": "发病前有感冒发烧吗？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "突然出现的吗？", "role": "doctor"}, {"turn": 6, "text": "之外有过这种情况吗", "role": "doctor"}, {"turn": 7, "text": "有过去年的时候", "role": "patient"}, {"turn": 8, "text": "这次情况和之前相识吗？", "role": "doctor"}, {"turn": 9, "text": "嗯一样", "role": "patient"}, {"turn": 10, "text": "头晕是天旋地转还是昏昏沉沉", "role": "doctor"}, {"turn": 11, "text": "昏昏沉沉", "role": "patient"}, {"turn": 12, "text": "一天到晚都是这样吗", "role": "doctor"}, {"turn": 13, "text": "嗯", "role": "patient"}, {"turn": 14, "text": "有高血压糖尿病或者心脏病吗？", "role": "doctor"}, {"turn": 15, "text": "没有，头顶压破痛，晕，没力气有时还要吐", "role": "patient"}, {"turn": 16, "text": "颈椎怎么样", "role": "doctor"}, {"turn": 17, "text": "痛不痛", "role": "doctor"}, {"turn": 18, "text": "轻微颈椎病", "role": "patient"}, {"turn": 19, "text": "做过颅脑的磁共振吗", "role": "doctor"}, {"turn": 20, "text": "后背疼痛", "role": "patient"}, {"turn": 21, "text": "做过没事", "role": "patient"}, {"turn": 22, "text": "耳鸣也是这几天才出现的吗", "role": "doctor"}, {"turn": 23, "text": "嗯", "role": "patient"}, {"turn": 24, "text": "嗯一阵一阵耳鸣", "role": "patient"}, {"turn": 25, "text": "不是一直耳鸣", "role": "patient"}, {"turn": 26, "text": "这几天量血压了吗", "role": "doctor"}, {"turn": 27, "text": "没有", "role": "patient"}, {"turn": 28, "text": "头疼可以忍受吗", "role": "doctor"}, {"turn": 29, "text": "可以", "role": "patient"}, {"turn": 30, "text": "有心慌胸闷，恶心想吐的情况吗", "role": "doctor"}, {"turn": 31, "text": "有", "role": "patient"}, {"turn": 32, "text": "咱们没几次对话了医生", "role": "patient"}, {"turn": 33, "text": "也是和头疼头晕一起出现的吗", "role": "doctor"}, {"turn": 34, "text": "所以我才要问清楚一些。", "role": "doctor"}, {"turn": 35, "text": "不是", "role": "patient"}, {"turn": 36, "text": "其他的还有哪里不舒服吗？", "role": "doctor"}, {"turn": 37, "text": "今天才开始", "role": "patient"}, {"turn": 38, "text": "请问您在没发病的时候，平常的情绪怎么样", "role": "doctor"}, {"turn": 39, "text": "烦躁易怒或者焦虑吗？", "role": "doctor"}, {"turn": 40, "text": "挺好没有不舒服", "role": "patient"}, {"turn": 41, "text": "这个情况，我考虑是血管痉挛引起的脑供血不足。", "role": "doctor"}, {"turn": 42, "text": "我建议您首先这几天多量量血压", "role": "doctor"}, {"turn": 43, "text": "看看血压情况怎么样", "role": "doctor"}, {"turn": 44, "text": "嗯好的，吃什么药医生", "role": "patient"}, {"turn": 45, "text": "另外您的颈椎也不好，最好能够做一下颈椎的检查，有条件做做针灸，都可以改善症状", "role": "doctor"}, {"turn": 46, "text": "药物方面，我建议先吃点盐酸氟桂利嗪（西比灵）", "role": "doctor"}, {"turn": 47, "text": "盐酸倍他司丁，吃过", "role": "patient"}, {"turn": 48, "text": "倍他司汀可以改善内耳循环，治疗耳鸣。西比灵可以增加脑供血，作用机制不太一样", "role": "doctor"}, {"turn": 49, "text": "哦谢谢医生", "role": "patient"}, {"turn": 50, "text": "不客气，祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1063, "thread": [{"turn": 0, "text": "14个月小孩，消化不良拉肚子（男，1岁2个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问腹泻多久了？一天大便有几次呢？", "role": "doctor"}, {"turn": 2, "text": "都快一个月了", "role": "patient"}, {"turn": 3, "text": "就是每天都有腹泻呗？", "role": "doctor"}, {"turn": 4, "text": "今天都拉5次了", "role": "patient"}, {"turn": 5, "text": "嗯，那除了腹泻，还有其他表现么，比如发热，呕吐等", "role": "doctor"}, {"turn": 6, "text": "以前没这么多，有时候两次，有时3次", "role": "patient"}, {"turn": 7, "text": "现在在感冒，还没好", "role": "patient"}, {"turn": 8, "text": "嗯，那便里有血或者粘液么？", "role": "doctor"}, {"turn": 9, "text": "他每次感冒都会拉肚子", "role": "patient"}, {"turn": 10, "text": "这次就是时间太久了", "role": "patient"}, {"turn": 11, "text": "嗯，那便里有血或者粘液么？", "role": "doctor"}, {"turn": 12, "text": "以前吃点药就好了", "role": "patient"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "就是感觉是消化不良", "role": "patient"}, {"turn": 15, "text": "嗯，那最近吃了什么药物呢？", "role": "doctor"}, {"turn": 16, "text": "消炎，化痰感冒药", "role": "patient"}, {"turn": 17, "text": "四季抗病毒", "role": "patient"}, {"turn": 18, "text": "嗯，那这样，可以吃点益生菌，还有蒙脱石，这个是管拉肚子的。\n然后最好可以化验一个大便，看看有没有红白细胞，轮状病毒等。\n这几天尽量吃点清淡易消化的，孩子腹泻时间比较长了，一般没吃好，或者凉到了，怎么7周也就好了，所以再吃药的同时最好可以系统检查一下。", "role": "doctor"}, {"turn": 19, "text": "而且吃一些抗病毒的药物，有的药物也会引起腹泻", "role": "doctor"}, {"turn": 20, "text": "吃合生元益生菌可以吗", "role": "patient"}, {"turn": 21, "text": "这个是保健品，最好吃点药物的，比如布拉氏，妈咪爱之类的", "role": "doctor"}, {"turn": 22, "text": "好的，", "role": "patient"}, {"turn": 23, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1064, "thread": [{"turn": 0, "text": "李医生，我严重的恐艾，害怕传染给妻子（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，我是李医生，很高兴为你提供健康咨询服务。", "role": "doctor"}, {"turn": 2, "text": "怎么回事呀", "role": "doctor"}, {"turn": 3, "text": "我想问一下，有没有通过蚊子传播艾滋病的。去年夏天，和朋友在一起，无意中发现手上有血，还有一只死蚊子，从此恐艾", "role": "patient"}, {"turn": 4, "text": "蚊子不会传播的。", "role": "doctor"}, {"turn": 5, "text": "这不是他的传播途径", "role": "doctor"}, {"turn": 6, "text": "因为我的朋友他乱搞，又经常生病，害怕蚊子吸他的血，然后我拍死蚊子，蚊子血碰到我伤口", "role": "patient"}, {"turn": 7, "text": "还有在两三个月之后，我拉过几天肚子，都是水样便", "role": "patient"}, {"turn": 8, "text": "两个星期", "role": "patient"}, {"turn": 9, "text": "那应该是受凉或者吃拉肚子。", "role": "doctor"}, {"turn": 10, "text": "我在3月5日你们医院检测了两次，一直心里有恐艾情绪", "role": "patient"}, {"turn": 11, "text": "正常的就好", "role": "doctor"}, {"turn": 12, "text": "不用担心", "role": "doctor"}, {"turn": 13, "text": "一直害怕测不准。医院应该这方面很谨慎吧", "role": "patient"}, {"turn": 14, "text": "😭", "role": "patient"}, {"turn": 15, "text": "我们很准的", "role": "doctor"}, {"turn": 16, "text": "嗯，那我就放心了", "role": "patient"}, {"turn": 17, "text": "😊😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1065, "thread": [{"turn": 0, "text": "口臭怎么办  没有蛀牙（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，口腔异味原因很多", "role": "doctor"}, {"turn": 2, "text": "大部分口腔异味都是口腔因素引起，极少数是鼻炎，咽喉炎，呼吸系统，消化系统问题", "role": "doctor"}, {"turn": 3, "text": "怎么解决\n吧", "role": "patient"}, {"turn": 4, "text": "口腔因素还包括牙结石，食物嵌塞，或者阻生齿", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "有牙结石就需要洗牙", "role": "doctor"}, {"turn": 7, "text": "口腔去检查了么", "role": "doctor"}, {"turn": 8, "text": "有舌苔", "role": "patient"}, {"turn": 9, "text": "刷过牙  早上起来还是有口气", "role": "patient"}, {"turn": 10, "text": "其实我们口腔最常见的是牙结石，牙结石不是刷了牙能消掉的，需要专门器械", "role": "doctor"}, {"turn": 11, "text": "然后呢", "role": "patient"}, {"turn": 12, "text": "最好明确诊断，确实有牙结石，就去洗牙。没有可以去消化内科检查", "role": "doctor"}, {"turn": 13, "text": "消化有问题呢", "role": "patient"}, {"turn": 14, "text": "看是什么原因，可能需要做检查明确诊断，然后用药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1066, "thread": [{"turn": 0, "text": "腰扭伤坐的时候疼，尾骨疼。（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "腰扭伤就会这样。不建议坐，躺着休息最好", "role": "doctor"}, {"turn": 3, "text": "前天晚上扭伤的。", "role": "patient"}, {"turn": 4, "text": "主要是九年前得过腰间盘突出，现在有点担心。", "role": "patient"}, {"turn": 5, "text": "腿疼或麻么？", "role": "doctor"}, {"turn": 6, "text": "椎间盘突出到一定时候人人都有，不用过于担心", "role": "doctor"}, {"turn": 7, "text": "目前不疼，就是坐的时候和弯腰的时候尾骨疼，屁股也有点疼。感觉有点僵。", "role": "patient"}, {"turn": 8, "text": "现在担心会不会复发，九年前做过手术。", "role": "patient"}, {"turn": 9, "text": "这些不是椎间盘突出的症状", "role": "doctor"}, {"turn": 10, "text": "但也要多躺着休息，时间长了有复发的可能", "role": "doctor"}, {"turn": 11, "text": "那就好，上次腰间盘突出的时候症状最早是右侧屁股有点疼。", "role": "patient"}, {"turn": 12, "text": "前天抱了一下小孩，回来坐下就感觉腰和屁股不舒服。", "role": "patient"}, {"turn": 13, "text": "屁股疼本身就不是椎间盘突出的症状。当然应该是合并症", "role": "doctor"}, {"turn": 14, "text": "腰不好，不能抱孩子", "role": "doctor"}, {"turn": 15, "text": "这种症状可以贴膏药吗？", "role": "patient"}, {"turn": 16, "text": "可以贴，但治标不治本", "role": "doctor"}, {"turn": 17, "text": "自己大意了，心想好多年了应该没事了。", "role": "patient"}, {"turn": 18, "text": "主要还是得卧床休息是吗？", "role": "patient"}, {"turn": 19, "text": "不可掉以轻心", "role": "doctor"}, {"turn": 20, "text": "对，卧床休息，少坐少走路", "role": "doctor"}, {"turn": 21, "text": "还想问您一下，腰扭伤可否采取热敷或是冷敷？", "role": "patient"}, {"turn": 22, "text": "早期都不建议，会加重症状，后期可以热敷", "role": "doctor"}, {"turn": 23, "text": "大概多久会有缓解呢？", "role": "patient"}, {"turn": 24, "text": "看你配合的情况", "role": "doctor"}, {"turn": 25, "text": "不是到点就好", "role": "doctor"}, {"turn": 26, "text": "那我好像不能上班了，上班得坐着，而是应该采取卧床措施，是吗？", "role": "patient"}, {"turn": 27, "text": "该请假就请假", "role": "doctor"}, {"turn": 28, "text": "是啊，身体重要啊。", "role": "patient"}, {"turn": 29, "text": "卧床是最好的办法，省钱省事，看似慢实则快的办法", "role": "doctor"}, {"turn": 30, "text": "我想问一下用不用做个ct看看呢？", "role": "patient"}, {"turn": 31, "text": "没有腿放射疼，不需要", "role": "doctor"}, {"turn": 32, "text": "奥，好的，谢谢您！有问题我可以随时咨询您。", "role": "patient"}, {"turn": 33, "text": "不用客气。24小时内本次问诊有效", "role": "doctor"}, {"turn": 34, "text": "随时咨询您吗？", "role": "patient"}, {"turn": 35, "text": "这个软件有时间限制", "role": "doctor"}, {"turn": 36, "text": "好的，谢谢您！", "role": "patient"}, {"turn": 37, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1067, "thread": [{"turn": 0, "text": "脚踝扭伤。消肿后又肿了（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "3.4天了", "role": "patient"}, {"turn": 3, "text": "之前消肿，今天又肿了。走路也可以正常走", "role": "patient"}, {"turn": 4, "text": "下楼梯时候扭的，还听到声音了。现在摸脚踝那边骨头，按压有点疼。脚掌侧边也是青紫的", "role": "patient"}, {"turn": 5, "text": "请问你做过什么检查和治疗？", "role": "doctor"}, {"turn": 6, "text": "用的什么花红。止痛消肿的", "role": "patient"}, {"turn": 7, "text": "用的红花油吗", "role": "doctor"}, {"turn": 8, "text": "时间比较短，肿胀也是正常的", "role": "doctor"}, {"turn": 9, "text": "不是。止痛消肿酊", "role": "patient"}, {"turn": 10, "text": "一般踝关节扭伤肿胀三个月的都有", "role": "doctor"}, {"turn": 11, "text": "你现在走路有什么影响吗", "role": "doctor"}, {"turn": 12, "text": "可以正常走路不会塞骨折吧，只有按的时候有疼痛感", "role": "patient"}, {"turn": 13, "text": "这种情况，不拍片子，不好判断", "role": "doctor"}, {"turn": 14, "text": "一般踝关节扭伤，就考虑两个问题，一是骨折，二是韧带损伤", "role": "doctor"}, {"turn": 15, "text": "骨折都不能下地吧…我还能跑", "role": "patient"}, {"turn": 16, "text": "一般的骨折，是不能活动", "role": "doctor"}, {"turn": 17, "text": "但是撕脱性骨折，有时候，不耽误运动", "role": "doctor"}, {"turn": 18, "text": "那就不是了…我在观察观察2天吧", "role": "patient"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}, {"turn": 20, "text": "不用客气", "role": "doctor"}, {"turn": 21, "text": "观察期间少活动", "role": "doctor"}, {"turn": 22, "text": "晚上睡觉的时候把脚垫高一点，有利于消肿", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1068, "thread": [{"turn": 0, "text": "医生您好，我想咨询“婴儿便秘的解决方法”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多长时间", "role": "doctor"}, {"turn": 2, "text": "大概十天左右，现在每天喝牛奶，五个半月加辅食，现在一般还是吃米糊，蔬菜，少量鱼和肉", "role": "patient"}, {"turn": 3, "text": "宝宝现在多大，多久一次大便呢", "role": "doctor"}, {"turn": 4, "text": "之前每天大便，十天前有点感冒症状，喂了童年时光第一防御液，后面那几天三天没有拉粑粑，感觉他想拉，不敢用力，后面用开塞露，果然拉了一些，前面粑粑比较硬", "role": "patient"}, {"turn": 5, "text": "而且拉的时候很费力，屁屁感觉都拉出痔疮了", "role": "patient"}, {"turn": 6, "text": "现在食欲怎么样,", "role": "doctor"}, {"turn": 7, "text": "一直比较好，现在不拉都不敢给他吃太多", "role": "patient"}, {"turn": 8, "text": "可以先饮食上调整下，配合益生菌", "role": "doctor"}, {"turn": 9, "text": "平时蔬菜吃些什么", "role": "doctor"}, {"turn": 10, "text": "可以吃些绿叶蔬菜,南瓜红薯都有助于排便", "role": "doctor"}, {"turn": 11, "text": "适当补充些水分", "role": "doctor"}, {"turn": 12, "text": "都是吃的这些，南瓜，土豆，胡萝卜，青菜，水果，苹果和香蕉", "role": "patient"}, {"turn": 13, "text": "最近吃钙剂或者铁剂没", "role": "doctor"}, {"turn": 14, "text": "一直在吃醋酸钙，从出生开始，医院说要吃到什么两岁", "role": "patient"}, {"turn": 15, "text": "钙剂不用一直吃，维生素D需要补充到2岁", "role": "doctor"}, {"turn": 16, "text": "便秘厉害的话先停一段时间", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1069, "thread": [{"turn": 0, "text": "肠道紊乱复诊，腹胀缓解，便后腹痛（男，46岁）陈医生，我是以前咨询过你两次的，第一次腹胀屁多拉稀，吃了你介绍的曲啥，症状缓解，后来停药感觉腹胀吃了三天吗丁啉也缓解了但前天吃了西瓜后拉了三次，吃了保济丸就没事了，昨天没上厕所，今天正常上厕所后感觉肚子一阵的绞痛，过了一会儿就没事了，今天大便条状黄色这样是什么回事呢？", "role": "patient"}, {"turn": 1, "text": "你好 这个绞痛很可能就是肠道痉挛引起的", "role": "doctor"}, {"turn": 2, "text": "偶尔出现 不需要处理", "role": "doctor"}, {"turn": 3, "text": "刚刚绞痛后到现在也没有痛过了", "role": "patient"}, {"turn": 4, "text": "痛的时候有点想上厕所的感觉，但几分钟后就不痛了", "role": "patient"}, {"turn": 5, "text": "2点后到现在再没痛了", "role": "patient"}, {"turn": 6, "text": "也没有大便", "role": "patient"}, {"turn": 7, "text": "这个正常人排便之前都会有肠道痉挛，提示需要排便，排完就没事了", "role": "doctor"}, {"turn": 8, "text": "我目前是便后绞痛", "role": "patient"}, {"turn": 9, "text": "绞痛时有一点点便意，但过一会儿就不痛不急", "role": "patient"}, {"turn": 10, "text": "这会不会跟我之前的肠道紊乱也有关系的呢", "role": "patient"}, {"turn": 11, "text": "你可能没看清楚我说什么", "role": "patient"}, {"turn": 12, "text": "疼痛时候还是有想上厕所的感觉，这个与肠道痉挛有关的，属于肠道功能紊乱", "role": "doctor"}, {"turn": 13, "text": "难道又复发了？", "role": "patient"}, {"turn": 14, "text": "吃曲美两周后好了一阵子", "role": "patient"}, {"turn": 15, "text": "需要继续吃药吗？", "role": "patient"}, {"turn": 16, "text": "可以继续用马来酸曲美布汀", "role": "doctor"}, {"turn": 17, "text": "吃多少天？", "role": "patient"}, {"turn": 18, "text": "用一周看看", "role": "doctor"}, {"turn": 19, "text": "偶尔出现 不需要处理--你刚刚说", "role": "patient"}, {"turn": 20, "text": "对的 偶尔出现就不需要处理", "role": "doctor"}, {"turn": 21, "text": "哦哦", "role": "patient"}, {"turn": 22, "text": "反复出现就可以用下药物", "role": "doctor"}, {"turn": 23, "text": "我看看明天情况如何再决定吃否吧，如果还是便后痛再吃", "role": "patient"}, {"turn": 24, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1070, "thread": [{"turn": 0, "text": "儿童最近消化不良，吐了好几次（女，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了?", "role": "doctor"}, {"turn": 2, "text": "一个月前感冒发烧，这一个月之间吐了几次，体重下降了几斤", "role": "patient"}, {"turn": 3, "text": "胃口不好，不是很爱吃饭，很爱吃零食，香的，油炸的", "role": "patient"}, {"turn": 4, "text": "孩子做腹部按摩，把手搓热，围绕脐周，顺时针，每次15分钟，一天两次。促进胃肠蠕动，帮助消化", "role": "doctor"}, {"turn": 5, "text": "吃点益生菌", "role": "doctor"}, {"turn": 6, "text": "妈咪爱可以吗？要吃多久", "role": "patient"}, {"turn": 7, "text": "可以的吃上一个星期", "role": "doctor"}, {"turn": 8, "text": "多久会见效，需要吃点醒脾养儿颗粒这种的吗", "role": "patient"}, {"turn": 9, "text": "可以的", "role": "doctor"}, {"turn": 10, "text": "或者是消化酶这种的", "role": "patient"}, {"turn": 11, "text": "乳酶生片", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "孩子生病后会有消化不良，观察孩子体温变化，一定要少吃多餐，吃易消化的食物。必要的时候吃点益生菌，多做腹部按摩。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "还有什么疑问吗", "role": "doctor"}, {"turn": 16, "text": "易消化食物指什么", "role": "patient"}, {"turn": 17, "text": "比如肉类，鱼，可以吃吗", "role": "patient"}, {"turn": 18, "text": "这几天不要吃了", "role": "doctor"}, {"turn": 19, "text": "化验一下微量元素，看有没有缺锌", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "还有什么疑问吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1071, "thread": [{"turn": 0, "text": "耳鸣，头晕，特别眩晕（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久？77", "role": "doctor"}, {"turn": 2, "text": "大半个月", "role": "patient"}, {"turn": 3, "text": "每天都头晕和耳鸣？？", "role": "doctor"}, {"turn": 4, "text": "不是，每个星期会有一两次，头晕的时候会站不稳", "role": "patient"}, {"turn": 5, "text": "您几岁了？19？？", "role": "doctor"}, {"turn": 6, "text": "有没有其他高血压糖尿病等？", "role": "doctor"}, {"turn": 7, "text": "伴随症状有什么？比如手脚偏瘫麻木等等？", "role": "doctor"}, {"turn": 8, "text": "刚开始的时候是一只耳朵感觉被堵住，头晕一点，然后去医院检查耳鼻喉科没发现大问题，医生说是因为精神太紧张了，后来耳朵不堵了，又会耳鸣，头眩晕", "role": "patient"}, {"turn": 9, "text": "四肢不会麻", "role": "patient"}, {"turn": 10, "text": "您有必要去查一下耳部检查", "role": "doctor"}, {"turn": 11, "text": "比如听力学", "role": "doctor"}, {"turn": 12, "text": "检查过了", "role": "patient"}, {"turn": 13, "text": "我需要去做脑部的检查吗", "role": "patient"}, {"turn": 14, "text": "眼振图", "role": "doctor"}, {"turn": 15, "text": "可以做个头颅磁共振临床", "role": "doctor"}, {"turn": 16, "text": "可以做个头颅磁共振检查", "role": "doctor"}, {"turn": 17, "text": "好的，请问您还有什么建议吗", "role": "patient"}, {"turn": 18, "text": "检查先做", "role": "doctor"}, {"turn": 19, "text": "治疗的话可以选择倍他司汀片+地西泮对症处理。", "role": "doctor"}, {"turn": 20, "text": "改善头晕", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1072, "thread": [{"turn": 0, "text": "宝宝消化不良吃什么药你好（男，2岁9个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "多长时间了？", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "😊", "role": "doctor"}, {"turn": 5, "text": "你好我小孩九岁了也不肯吃饭。消化不好", "role": "patient"}, {"turn": 6, "text": "吃过什么药吗？", "role": "doctor"}, {"turn": 7, "text": "现在没有", "role": "patient"}, {"turn": 8, "text": "大便怎么样？", "role": "doctor"}, {"turn": 9, "text": "现在两个星期拉一次大便有血", "role": "patient"}, {"turn": 10, "text": "宝宝这还是肠胃消化吸收不太好", "role": "doctor"}, {"turn": 11, "text": "建议您可以给宝宝吃点参苓白术颗粒", "role": "doctor"}, {"turn": 12, "text": "一天不给他吃饭。他都不说饿", "role": "patient"}, {"turn": 13, "text": "就是脾胃不消化", "role": "doctor"}, {"turn": 14, "text": "要吃吃多久", "role": "patient"}, {"turn": 15, "text": "吃一个月", "role": "doctor"}, {"turn": 16, "text": "我推荐小儿推拿这种方法。因为孩子的皮肤以及穴位比较敏感，这种方法见效快，而且无痛苦，无副作用。最好找专业的医院，专业的医生", "role": "doctor"}, {"turn": 17, "text": "内服加外治", "role": "doctor"}, {"turn": 18, "text": "怎么内服外治", "role": "patient"}, {"turn": 19, "text": "内服参苓白术颗粒", "role": "doctor"}, {"turn": 20, "text": "外治法选择小儿推拿", "role": "doctor"}, {"turn": 21, "text": "怎么内九岁了。体重才2020公斤服外治", "role": "patient"}, {"turn": 22, "text": "什么意思？", "role": "doctor"}, {"turn": 23, "text": "体重20公斤", "role": "patient"}, {"turn": 24, "text": "恩", "role": "doctor"}, {"turn": 25, "text": "你想想，宝宝吸收不好，怎么长体重啊", "role": "doctor"}, {"turn": 26, "text": "体重20身高一米二公斤", "role": "patient"}, {"turn": 27, "text": "根本上还得从脾胃调", "role": "doctor"}, {"turn": 28, "text": "吃你给说的那药吗？", "role": "patient"}, {"turn": 29, "text": "是", "role": "doctor"}, {"turn": 30, "text": "吃你给好的说的那药吗？", "role": "patient"}, {"turn": 31, "text": "是的", "role": "doctor"}, {"turn": 32, "text": "谢谢", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1073, "thread": [{"turn": 0, "text": "新生儿消化不良的处理（女，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝消化不良多长时间了😊", "role": "doctor"}, {"turn": 2, "text": "快两个礼拜了", "role": "patient"}, {"turn": 3, "text": "医院给开了双岐杆菌三联活菌散", "role": "patient"}, {"turn": 4, "text": "这两个星期吃的好吗?体重长的好吗?一天大便几次?", "role": "doctor"}, {"turn": 5, "text": "她拉的便便里面都是奶瓣还有果冻条一样的东西", "role": "patient"}, {"turn": 6, "text": "化验过大便常规吗?", "role": "doctor"}, {"turn": 7, "text": "能吃 有食欲 大便一天一次", "role": "patient"}, {"turn": 8, "text": "没有 去医院跟医生说了这个情况就只给开了那个药", "role": "patient"}, {"turn": 9, "text": "睡觉老是惊醒跟消化不良是不是也有关系", "role": "patient"}, {"turn": 10, "text": "如果是想给她停餐两顿 要用什么水来代替这两餐", "role": "patient"}, {"turn": 11, "text": "您好，大便一天一次应该是问题不大，最好是化验个大便常规看看有事了吗。也可以加点醒脾养儿颗粒看看。绝对不能仃餐😊", "role": "doctor"}, {"turn": 12, "text": "一般喂水一天喝多少毫升算合适啊", "role": "patient"}, {"turn": 13, "text": "吃维生素D了，没吃就吃点，如果是吃着睡不宁可能与消化不良有关😊", "role": "doctor"}, {"turn": 14, "text": "吃母乳吗？", "role": "doctor"}, {"turn": 15, "text": "母乳少 混合喂养的", "role": "patient"}, {"turn": 16, "text": "只要小便多，体重长的好，混合喂养也不一定要喂水😊", "role": "doctor"}, {"turn": 17, "text": "还有她最近老是吐奶是什么原因呢", "role": "patient"}, {"turn": 18, "text": "吃完也拍嗝了", "role": "patient"}, {"turn": 19, "text": "一天吐几次?每次奶后都吐吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1074, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：鼻梁左侧抽动（男，34岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "3.4天吧。有慢性鼻炎。", "role": "patient"}, {"turn": 3, "text": "鼻子睡觉时候交替堵塞。白天流鼻涕", "role": "patient"}, {"turn": 4, "text": "嗯，考虑是鼻炎，可以口服药物观察的", "role": "doctor"}, {"turn": 5, "text": "口服啥药物", "role": "patient"}, {"turn": 6, "text": "抗病毒口服液", "role": "doctor"}, {"turn": 7, "text": "好的。", "role": "patient"}, {"turn": 8, "text": "嗯，发错了位置", "role": "doctor"}, {"turn": 9, "text": "您有感冒症状吗", "role": "doctor"}, {"turn": 10, "text": "如果沒有感冒症状可以不用抗病毒口服液，用鼻渊通窍颗粒", "role": "doctor"}, {"turn": 11, "text": "慢性鼻炎，扁桃体比较大算么", "role": "patient"}, {"turn": 12, "text": "嗯，不算，", "role": "doctor"}, {"turn": 13, "text": "😊尽量多饮温水~少食甜咸辛辣食物刺激~避免二手烟环境~尽量戴口罩防护", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生。", "role": "patient"}, {"turn": 15, "text": "、嗯😊👍", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1075, "thread": [{"turn": 0, "text": "孩子十一岁了,乳房还在分泌乳汁（女，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是乳白色的吗", "role": "doctor"}, {"turn": 2, "text": "能拍照给我看吗", "role": "doctor"}, {"turn": 3, "text": "乳汁是乳白色的", "role": "patient"}, {"turn": 4, "text": "挤出来的，还是流出来的？", "role": "doctor"}, {"turn": 5, "text": "挤出来的，可不挤就涨痛", "role": "patient"}, {"turn": 6, "text": "一直都有，还是最近才发现的？", "role": "doctor"}, {"turn": 7, "text": "有中医医生说要做脑部检查", "role": "patient"}, {"turn": 8, "text": "一直都是有的", "role": "patient"}, {"turn": 9, "text": "嗯，需要查一下泌乳素和头颅核磁，排除一下垂体瘤", "role": "doctor"}, {"turn": 10, "text": "因为头老是有偏头痛，也是伴随着有10年了", "role": "patient"}, {"turn": 11, "text": "嗯，那就更需要查一下头颅核磁了", "role": "doctor"}, {"turn": 12, "text": "哦，", "role": "patient"}, {"turn": 13, "text": "可能性大吗？", "role": "patient"}, {"turn": 14, "text": "现在不能排除，考虑", "role": "doctor"}, {"turn": 15, "text": "恩理解", "role": "patient"}, {"turn": 16, "text": "谢谢啦", "role": "patient"}, {"turn": 17, "text": "嗯", "role": "doctor"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1076, "thread": [{"turn": 0, "text": "便秘 流很多血 会出现血块（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好。鲜红色还是暗红色的血", "role": "doctor"}, {"turn": 2, "text": "鲜红色", "role": "patient"}, {"turn": 3, "text": "多不多", "role": "doctor"}, {"turn": 4, "text": "有的时候会多", "role": "patient"}, {"turn": 5, "text": "肛门疼痛不", "role": "doctor"}, {"turn": 6, "text": "大便太干的时候 疼痛", "role": "patient"}, {"turn": 7, "text": "哦", "role": "doctor"}, {"turn": 8, "text": "肛门长东西没有", "role": "doctor"}, {"turn": 9, "text": "有痔疮", "role": "patient"}, {"turn": 10, "text": "哦", "role": "doctor"}, {"turn": 11, "text": "大便前还是大便后出血", "role": "doctor"}, {"turn": 12, "text": "大便后", "role": "patient"}, {"turn": 13, "text": "可能是痔疮引起的", "role": "doctor"}, {"turn": 14, "text": "清淡饮食、戒烟酒、忌辛辣、刺激性食物、每天温盐水坐浴、使用痔疮膏，裸花紫珠片治疗了。", "role": "doctor"}, {"turn": 15, "text": "那她有血块怎能回事", "role": "patient"}, {"turn": 16, "text": "痔疮出血多一样会引起血块", "role": "doctor"}, {"turn": 17, "text": "出的多，就去医院处理了", "role": "doctor"}, {"turn": 18, "text": "哦哦", "role": "patient"}, {"turn": 19, "text": "好的", "role": "doctor"}, {"turn": 20, "text": "那有没有什么东西可以让痔疮变小", "role": "patient"}, {"turn": 21, "text": "按我说的治疗就会变小的", "role": "doctor"}, {"turn": 22, "text": "温盐水是什么", "role": "patient"}, {"turn": 23, "text": "家用盐吗", "role": "patient"}, {"turn": 24, "text": "就是用温水，里面加入食用盐", "role": "doctor"}, {"turn": 25, "text": "痔疮膏您有什么推荐的品牌", "role": "patient"}, {"turn": 26, "text": "马应龙", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "谢谢医生", "role": "patient"}, {"turn": 29, "text": "好的", "role": "doctor"}, {"turn": 30, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1077, "thread": [{"turn": 0, "text": "偏头痛的症状是怎样的？？？？？？（男，30岁）", "role": "patient"}, {"turn": 1, "text": "一般是偏侧头部疼痛，呈跳痛或者胀痛，发作时间几天能自行缓解，发病前可以有畏光，流泪等先兆", "role": "doctor"}, {"turn": 2, "text": "可是我一侧持续性头痛，三个月了，查了脑CT，x光，都没检查出来，现在延伸到一侧的肩膀也痛", "role": "patient"}, {"turn": 3, "text": "从一侧的头部到颈部到肩膀都疼，不是阵痛，而是不停的痛", "role": "patient"}, {"turn": 4, "text": "没有缓解吗", "role": "doctor"}, {"turn": 5, "text": "多大年纪", "role": "doctor"}, {"turn": 6, "text": "男的还是女", "role": "doctor"}, {"turn": 7, "text": "你平时做什么工作", "role": "doctor"}, {"turn": 8, "text": "30岁，男", "role": "patient"}, {"turn": 9, "text": "以前是电焊工", "role": "patient"}, {"turn": 10, "text": "辞工之后帮家里做事，天天熬夜，也就从那时开始的，到现在三个月了。", "role": "patient"}, {"turn": 11, "text": "要少熬夜，做电焊长期保持一个姿势也会出现头颈部疼痛", "role": "doctor"}, {"turn": 12, "text": "晚上睡眠不好也是头疼的原因", "role": "doctor"}, {"turn": 13, "text": "我做电焊工的时候也没有长时间保持一个姿势", "role": "patient"}, {"turn": 14, "text": "你先把睡眠调整好，用一点药，慢慢会有好转", "role": "doctor"}, {"turn": 15, "text": "偏头痛会一直头痛吗？持续的痛", "role": "patient"}, {"turn": 16, "text": "很少见", "role": "doctor"}, {"turn": 17, "text": "一般不会持续痛", "role": "doctor"}, {"turn": 18, "text": "用药后也会有好转", "role": "doctor"}, {"turn": 19, "text": "要去做个头颈部的磁共振", "role": "doctor"}, {"turn": 20, "text": "脑CT不行吗？", "role": "patient"}, {"turn": 21, "text": "那要吃什么药？", "role": "patient"}, {"turn": 22, "text": "ct可以没有核磁共振清楚", "role": "doctor"}, {"turn": 23, "text": "可以吃一点西比灵，和头痛宁胶囊", "role": "doctor"}, {"turn": 24, "text": "布洛芬也可以", "role": "doctor"}, {"turn": 25, "text": "那不是止疼药吗？", "role": "patient"}, {"turn": 26, "text": "不治根吧？", "role": "patient"}, {"turn": 27, "text": "像偏头痛这种头痛就是没有办法从根本上解决问题的", "role": "doctor"}, {"turn": 28, "text": "那要怎么确诊呢？", "role": "patient"}, {"turn": 29, "text": "先做检查排除脑部问题，再根据症状和发作来诊断", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1078, "thread": [{"turn": 0, "text": "五个月宝宝消化不良可以吃药吗（男，4个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "手在肚子上敲咚咚响", "role": "patient"}, {"turn": 3, "text": "晚上睡觉老是憋劲", "role": "patient"}, {"turn": 4, "text": "比较磨人，也不想吃奶", "role": "patient"}, {"turn": 5, "text": "可以口服妈咪爱颗粒，每次半袋，每天两次调理", "role": "doctor"}, {"turn": 6, "text": "我给他喝了双歧杆菌两天了没啥用", "role": "patient"}, {"turn": 7, "text": "还有些咳嗽，雾化两天了喉咙还是吼吼的", "role": "patient"}, {"turn": 8, "text": "可能与感冒有关，随着病情的好转，逐渐会缓解的", "role": "doctor"}, {"turn": 9, "text": "昨天喝了两次小儿氨酚黄那敏颗粒", "role": "patient"}, {"turn": 10, "text": "他这样可以洗澡吗", "role": "patient"}, {"turn": 11, "text": "不可以的", "role": "doctor"}, {"turn": 12, "text": "那氨酚黄那敏还用继续吃吗", "role": "patient"}, {"turn": 13, "text": "如果体温正常，可以停用", "role": "doctor"}, {"turn": 14, "text": "可是还会流鼻涕", "role": "patient"}, {"turn": 15, "text": "如果有流涕，可以减一半量服用", "role": "doctor"}, {"turn": 16, "text": "每次三分之一，一天三次", "role": "patient"}, {"turn": 17, "text": "可以的", "role": "doctor"}, {"turn": 18, "text": "在吗医生", "role": "patient"}, {"turn": 19, "text": "在", "role": "doctor"}, {"turn": 20, "text": "宝宝怎么动不动就挺肚子作出一副很难受的样子，挺着肚子憋劲", "role": "patient"}, {"turn": 21, "text": "吃一点就吐", "role": "patient"}, {"turn": 22, "text": "可以轻柔按摩宝宝腹部，观察是否能缓解", "role": "doctor"}, {"turn": 23, "text": "顺时针", "role": "doctor"}, {"turn": 24, "text": "按摩", "role": "doctor"}, {"turn": 25, "text": "就肚脐眼那里顺时针是吧", "role": "patient"}, {"turn": 26, "text": "可不可以热敷", "role": "patient"}, {"turn": 27, "text": "可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1079, "thread": [{"turn": 0, "text": "试管移植第一天便秘能用力解大便吗?（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，移植后几天了？", "role": "doctor"}, {"turn": 2, "text": "今天移植的", "role": "patient"}, {"turn": 3, "text": "一般可以的", "role": "doctor"}, {"turn": 4, "text": "但是尽量保持通畅", "role": "doctor"}, {"turn": 5, "text": "我不敢太用力，听说能用开塞露，可以吗？", "role": "patient"}, {"turn": 6, "text": "我蹲了好久都拉不出 肚子好胀", "role": "patient"}, {"turn": 7, "text": "一般不建议用", "role": "doctor"}, {"turn": 8, "text": "有的人用了会拉肚子", "role": "doctor"}, {"turn": 9, "text": "我怕用力过度", "role": "patient"}, {"turn": 10, "text": "会影响着床吗", "role": "patient"}, {"turn": 11, "text": "一般不会影响", "role": "doctor"}, {"turn": 12, "text": "您可以吃点香蕉", "role": "doctor"}, {"turn": 13, "text": "如果几天还是拉不出 能用开塞露吗", "role": "patient"}, {"turn": 14, "text": "可以用一点点", "role": "doctor"}, {"turn": 15, "text": "一点点是指不要全部用完是吗", "role": "patient"}, {"turn": 16, "text": "是的", "role": "doctor"}, {"turn": 17, "text": "好的 谢谢你", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1080, "thread": [{"turn": 0, "text": "内痔怎么治疗，吃啥药可以（男，17岁）有点内痔", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "这种情况多久了？", "role": "doctor"}, {"turn": 3, "text": "这个是需要养的病", "role": "doctor"}, {"turn": 4, "text": "如果有疼痛，或者是出血的症状，只需要用药治疗哦", "role": "doctor"}, {"turn": 5, "text": "一个星期左右了", "role": "patient"}, {"turn": 6, "text": "没有出血，就是感觉肛门口附近湿湿的", "role": "patient"}, {"turn": 7, "text": "有内痔吗？", "role": "doctor"}, {"turn": 8, "text": "恩，应该是内痔吧", "role": "patient"}, {"turn": 9, "text": "这种情况可以外用痔疮栓或者痔疮膏，口服可以选择迈之灵或者地奥司明，再加上温水坐浴15分钟左右", "role": "doctor"}, {"turn": 10, "text": "另外，生活中要注意清淡饮食，不吃辛辣刺激的食物，戒烟戒酒，不要劳累，不要熬夜，多吃瓜果蔬菜，保持大便通畅。另外可以做做提肛运动，就是肛门夹紧往上提，也有助于恢复。", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "😊😊", "role": "doctor"}, {"turn": 13, "text": "晚上温水坐浴泡泡屁股➕用药➕生活饮食习惯注意就好了", "role": "doctor"}, {"turn": 14, "text": "哦，要是吃辣椒，还会复发吗", "role": "patient"}, {"turn": 15, "text": "还是有可能的，所以饮食尽量清淡一点", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1081, "thread": [{"turn": 0, "text": "今下午膀胱突然隐痛隐痛的，是什么情况（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，有没有尿频尿急尿痛？", "role": "doctor"}, {"turn": 2, "text": "尿频有的", "role": "patient"}, {"turn": 3, "text": "我有慢性前列腺炎症", "role": "patient"}, {"turn": 4, "text": "有没有手淫习惯？", "role": "doctor"}, {"turn": 5, "text": "有的", "role": "patient"}, {"turn": 6, "text": "有没有久坐，熬夜抽烟喝酒的习惯？", "role": "doctor"}, {"turn": 7, "text": "以前久坐有，最近这段时间没有久坐", "role": "patient"}, {"turn": 8, "text": "熬夜有的", "role": "patient"}, {"turn": 9, "text": "抽烟喝酒没有", "role": "patient"}, {"turn": 10, "text": "建议去医院检查一下尿常规", "role": "doctor"}, {"turn": 11, "text": "排除一下尿道炎", "role": "doctor"}, {"turn": 12, "text": "如果没有尿道炎那就是前列腺炎引起的小腹部不适", "role": "doctor"}, {"turn": 13, "text": "嗯，如果明天不痛了，还需要下不", "role": "patient"}, {"turn": 14, "text": "喝水少了，会不会引起痛", "role": "patient"}, {"turn": 15, "text": "你可以观察一天，如果疼痛缓解就不用去检查尿常规了", "role": "doctor"}, {"turn": 16, "text": "饮水少，吃辛辣刺激食物都会引起前列腺充血水肿，膀胱尿道不适", "role": "doctor"}, {"turn": 17, "text": "嗯", "role": "patient"}, {"turn": 18, "text": "你的前列腺炎有没有用药物治疗一下？", "role": "doctor"}, {"turn": 19, "text": "之前吃过一个星期的药，然后就没吃了", "role": "patient"}, {"turn": 20, "text": "现在有没有尿频尿急尿等待尿不尽，小腹部坠胀感？", "role": "doctor"}, {"turn": 21, "text": "昨晚就没有痛了", "role": "patient"}, {"turn": 22, "text": "不需要去医院检查尿常规了把", "role": "patient"}, {"turn": 23, "text": "那就不用去检查尿常规了", "role": "doctor"}, {"turn": 24, "text": "按前列腺炎治疗就行了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1082, "thread": [{"turn": 0, "text": "新生儿便秘怎么办……（男，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝是吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "宝宝大便多久拉一次？", "role": "doctor"}, {"turn": 4, "text": "之前是一天一次，现在4-5天也不拉", "role": "patient"}, {"turn": 5, "text": "舌苔也很白", "role": "patient"}, {"turn": 6, "text": "光放屁不拉粑粑", "role": "patient"}, {"turn": 7, "text": "大便干不干？", "role": "doctor"}, {"turn": 8, "text": "不干", "role": "patient"}, {"turn": 9, "text": "宝宝腹胀不", "role": "doctor"}, {"turn": 10, "text": "肚子也不鼓", "role": "patient"}, {"turn": 11, "text": "妈妈有没有吃上火的食物？", "role": "doctor"}, {"turn": 12, "text": "是不是我的母乳有问题，不是说母乳一般不会便秘吗", "role": "patient"}, {"turn": 13, "text": "母乳喂养也会有这种情况，只是相对比较少。", "role": "doctor"}, {"turn": 14, "text": "没有，就喝鸡汤，没了", "role": "patient"}, {"turn": 15, "text": "宝宝可以吃一点益生菌调节肠道菌群，另外顺时间按摩一下腹部。", "role": "doctor"}, {"turn": 16, "text": "合生元益生菌可以吗？要怎么吃", "role": "patient"}, {"turn": 17, "text": "建议吃双歧杆菌，如双歧四联活菌片。", "role": "doctor"}, {"turn": 18, "text": "修益升益生菌粉是改善肠道的吗？", "role": "patient"}, {"turn": 19, "text": "双歧四联活菌片，一天三次，一片一片，容于温水，水温不超过40摄氏度", "role": "doctor"}, {"turn": 20, "text": "药店有地方卖吗？", "role": "patient"}, {"turn": 21, "text": "大药店有卖。", "role": "doctor"}, {"turn": 22, "text": "修益升益生菌粉是改善肠道的吗？", "role": "patient"}, {"turn": 23, "text": "是的", "role": "doctor"}, {"turn": 24, "text": "之前说黄疸开这个吃过", "role": "patient"}, {"turn": 25, "text": "吃了几天也没改善肠道", "role": "patient"}, {"turn": 26, "text": "双歧4联活菌片效果好一些。", "role": "doctor"}, {"turn": 27, "text": "现在才33天的新生儿可以一天 3次，一次一片吗", "role": "patient"}, {"turn": 28, "text": "新生儿就是一天三次，一次一片。", "role": "doctor"}, {"turn": 29, "text": "好的", "role": "patient"}, {"turn": 30, "text": "胎垢要怎么清洗", "role": "patient"}, {"turn": 31, "text": "满月后，突然长出好多胎垢", "role": "patient"}, {"turn": 32, "text": "是为什么", "role": "patient"}, {"turn": 33, "text": "这个需要慢慢才能脱落", "role": "doctor"}, {"turn": 34, "text": "没有什么影响吧", "role": "patient"}, {"turn": 35, "text": "这个没有关系", "role": "doctor"}, {"turn": 36, "text": "好的谢谢", "role": "patient"}, {"turn": 37, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1083, "thread": [{"turn": 0, "text": "虫牙，牙疼怎么缓解，或者吃什么药（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，是吃东西疼还是不碰都疼？", "role": "doctor"}, {"turn": 2, "text": "不碰有点疼，吃东西塞进去疼", "role": "patient"}, {"turn": 3, "text": "怎么疼的", "role": "doctor"}, {"turn": 4, "text": "阵疼", "role": "patient"}, {"turn": 5, "text": "冷热刺激疼么", "role": "doctor"}, {"turn": 6, "text": "一阵一阵的，就和上火了似的", "role": "patient"}, {"turn": 7, "text": "就是虫牙", "role": "patient"}, {"turn": 8, "text": "冷热刺激有点疼", "role": "patient"}, {"turn": 9, "text": "冷热刺激痛的话一下还是一会", "role": "doctor"}, {"turn": 10, "text": "一下子疼，疼过去就好啦", "role": "patient"}, {"turn": 11, "text": "嗯，您考虑是牙髓炎", "role": "doctor"}, {"turn": 12, "text": "需要去医院治疗", "role": "doctor"}, {"turn": 13, "text": "我可以吃什么药缓解吗", "role": "patient"}, {"turn": 14, "text": "现在没时间去医院", "role": "patient"}, {"turn": 15, "text": "可以吃，甲硝唑，阿莫西林还有布洛芬", "role": "doctor"}, {"turn": 16, "text": "行，谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1084, "thread": [{"turn": 0, "text": "脚趾头扭伤有点肿了，用不上力（男，18岁）", "role": "patient"}, {"turn": 1, "text": "建议拍片看一下骨头情况 如果没事保守治疗就行", "role": "doctor"}, {"turn": 2, "text": "哦", "role": "patient"}, {"turn": 3, "text": "看过了", "role": "patient"}, {"turn": 4, "text": "医生说没什么事，但是很长时间了还不好", "role": "patient"}, {"turn": 5, "text": "脚上的韧带损伤好得慢要三周", "role": "doctor"}, {"turn": 6, "text": "还是用不上力", "role": "patient"}, {"turn": 7, "text": "那拍核磁的看一下韧带", "role": "doctor"}, {"turn": 8, "text": "保守治疗应该怎么治", "role": "patient"}, {"turn": 9, "text": "就是多泡泡脚", "role": "doctor"}, {"turn": 10, "text": "注意休息", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "谢谢您", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1085, "thread": [{"turn": 0, "text": "小孩便秘，哭闹，怎么办？（男，3个月）", "role": "patient"}, {"turn": 1, "text": "你好家长朋友，宝宝多久一次大便？排除哭闹吗？大便是否干硬？", "role": "doctor"}, {"turn": 2, "text": "正常情况下是一天一次，有稀的也有硬的", "role": "patient"}, {"turn": 3, "text": "平时没有哭闹", "role": "patient"}, {"turn": 4, "text": "现在几天没有大便了？", "role": "doctor"}, {"turn": 5, "text": "第五天了", "role": "patient"}, {"turn": 6, "text": "肚子涨吗？吃奶好不好？", "role": "doctor"}, {"turn": 7, "text": "宝宝是母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 8, "text": "可以顺时针按摩肚子看看，每天两次，每次十分钟。如果还是不行用棉棒沾点食用油塞肛门里面2-3cm处刺激一下。或是用肥皂头削成小拇指粗，泡软塞肛门里面", "role": "doctor"}, {"turn": 9, "text": "从昨天下午开始肚子会涨，吃奶也没那么好，母乳喂养的", "role": "patient"}, {"turn": 10, "text": "前几天用肥皂试过了，也没反应，屁眼是红的", "role": "patient"}, {"turn": 11, "text": "实在不行就用开塞露", "role": "doctor"}, {"turn": 12, "text": "也可以去医院做灌肠", "role": "doctor"}, {"turn": 13, "text": "但开塞露不能长用，以免形成依赖", "role": "doctor"}, {"turn": 14, "text": "好的，之前给他吃过小儿七星茶和四磨汤可以吗", "role": "patient"}, {"turn": 15, "text": "可以喝四磨汤", "role": "doctor"}, {"turn": 16, "text": "七星茶不能吃么", "role": "patient"}, {"turn": 17, "text": "最好不吃了", "role": "doctor"}, {"turn": 18, "text": "嗯嗯，好的", "role": "patient"}, {"turn": 19, "text": "小孩便秘是不是跟大人吃东西有关？", "role": "patient"}, {"turn": 20, "text": "关系不大的，腹泻与家长饮食有关的", "role": "doctor"}, {"turn": 21, "text": "那平时大人应该注意什么？", "role": "patient"}, {"turn": 22, "text": "家长不要吃太油腻寒凉刺激性的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1086, "thread": [{"turn": 0, "text": "2岁宝宝老是便秘拉不出来（男，2岁3个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "两三天的有样子", "role": "patient"}, {"turn": 3, "text": "正常他是一天一次", "role": "patient"}, {"turn": 4, "text": "特别干吗", "role": "doctor"}, {"turn": 5, "text": "也不是特别干", "role": "patient"}, {"turn": 6, "text": "孩子平时喝水少吗？蔬菜水果吃的多不多？", "role": "doctor"}, {"turn": 7, "text": "但是就是感觉很不好拉出来", "role": "patient"}, {"turn": 8, "text": "很大块", "role": "patient"}, {"turn": 9, "text": "也都有吃", "role": "patient"}, {"turn": 10, "text": "也给吃益生菌", "role": "patient"}, {"turn": 11, "text": "还是便秘吗", "role": "doctor"}, {"turn": 12, "text": "嗯", "role": "patient"}, {"turn": 13, "text": "拉的哭", "role": "patient"}, {"turn": 14, "text": "香蕉吃吗", "role": "doctor"}, {"turn": 15, "text": "上次都拉得出血了", "role": "patient"}, {"turn": 16, "text": "有给他做香蕉饼吃", "role": "patient"}, {"turn": 17, "text": "再有便秘的时候你用香油擦一下肛门那", "role": "doctor"}, {"turn": 18, "text": "嗯", "role": "patient"}, {"turn": 19, "text": "平时饮食多注意", "role": "doctor"}, {"turn": 20, "text": "会不会吃的少或者吃的多也会造成便秘？", "role": "patient"}, {"turn": 21, "text": "这些不会", "role": "doctor"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "荤素搭配好", "role": "doctor"}, {"turn": 24, "text": "水果，酸奶，还有一定要多喝水", "role": "doctor"}, {"turn": 25, "text": "嗯", "role": "patient"}, {"turn": 26, "text": "嗯", "role": "doctor"}, {"turn": 27, "text": "另外还有就是小孩身上老痒老是抓，", "role": "patient"}, {"turn": 28, "text": "用手感觉有一些很细的东西", "role": "patient"}, {"turn": 29, "text": "很小", "role": "patient"}, {"turn": 30, "text": "肚子上到乳房那一块", "role": "patient"}, {"turn": 31, "text": "腿上也有", "role": "patient"}, {"turn": 32, "text": "孩子有湿疹吗", "role": "doctor"}, {"turn": 33, "text": "就是不确定是不是湿疹", "role": "patient"}, {"turn": 34, "text": "在北方这边天气很干", "role": "patient"}, {"turn": 35, "text": "可以先用点润肤霜观察下", "role": "doctor"}, {"turn": 36, "text": "我也感觉像是湿疹", "role": "patient"}, {"turn": 37, "text": "用小儿肤乐霜", "role": "doctor"}, {"turn": 38, "text": "就是不知道那一类", "role": "patient"}, {"turn": 39, "text": "药店有吗", "role": "patient"}, {"turn": 40, "text": "应该有", "role": "doctor"}, {"turn": 41, "text": "没有的话，你上网看看", "role": "doctor"}, {"turn": 42, "text": "都挠坏了，结痂了，就是很小很细", "role": "patient"}, {"turn": 43, "text": "应该是湿疹", "role": "doctor"}, {"turn": 44, "text": "是不是也有干性湿疹？", "role": "patient"}, {"turn": 45, "text": "他属于这一类", "role": "patient"}, {"turn": 46, "text": "干性的", "role": "doctor"}, {"turn": 47, "text": "嗯嗯好的明白了", "role": "patient"}, {"turn": 48, "text": "谢谢", "role": "patient"}, {"turn": 49, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1087, "thread": [{"turn": 0, "text": "我是混合痔患者，如何治疗好混合痔，（男，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在有什么症状吗？疼痛出血坠涨?", "role": "doctor"}, {"turn": 2, "text": "我是多年的痔疮，现在是检查结果是混合痔，直肠黏膜糜烂", "role": "patient"}, {"turn": 3, "text": "痔疮一般有疼痛出血等症状，才需要药物治疗的", "role": "doctor"}, {"turn": 4, "text": "一般包括三个方面", "role": "doctor"}, {"turn": 5, "text": "建议你不吃辣不喝酒，不久坐久站，不熬夜，规律排便，多吃水果蔬菜，保持大便软化。", "role": "doctor"}, {"turn": 6, "text": "坚持便后温水坐浴泡肛门部五分钟", "role": "doctor"}, {"turn": 7, "text": "药物有很多种选择，可以肛门使用复方角菜酸脂栓，牛黄痔清栓，或马应龙痔疮栓，选择其中一种就可以了", "role": "doctor"}, {"turn": 8, "text": "这几样能对我的混合痔管用了吗？我的是主要痔核脱出不能回位啊", "role": "patient"}, {"turn": 9, "text": "稍微干点活就脱出痔核了", "role": "patient"}, {"turn": 10, "text": "你这属于脱出比较厉害的，用药的话，会缩小一些，但是完全消失不太可能", "role": "doctor"}, {"turn": 11, "text": "哪怎么办啊大夫，我己二个多月没有干活了，我自己着急，家里都跟着给我急了，不知还有什么好办法没有，大夫，谢谢", "role": "patient"}, {"turn": 12, "text": "咋天我老婆给我急了，她说的都能干活，就你在家天天闲着，", "role": "patient"}, {"turn": 13, "text": "实在不行，就手术切除即可，小手术，别担心", "role": "doctor"}, {"turn": 14, "text": "我们老家的乡村医生说混合痔是母的，做完手术还是二次发作啊", "role": "patient"}, {"turn": 15, "text": "是有可能复发而已，没那么严重", "role": "doctor"}, {"turn": 16, "text": "小手术，别担心", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1088, "thread": [{"turn": 0, "text": "头蒙耳鸣浑身乏力提不起精神（女，32岁）", "role": "patient"}, {"turn": 1, "text": "您好，这个症状有多久了？", "role": "doctor"}, {"turn": 2, "text": "有好长时间了，我是山西人我今年去武汉之后就这样了", "role": "patient"}, {"turn": 3, "text": "睡眠怎么样？压力大吗？", "role": "doctor"}, {"turn": 4, "text": "早上起来没事，但是过一会就头蒙，特别安静的地方我感觉耳朵特别响", "role": "patient"}, {"turn": 5, "text": "睡眠不怎么好，不过这段时间睡眠还行", "role": "patient"}, {"turn": 6, "text": "有时候想的多点吧", "role": "patient"}, {"turn": 7, "text": "奥，听力怎么样？", "role": "doctor"}, {"turn": 8, "text": "躺床上就不头蒙，起来过一会就开始头蒙，感觉头特别涨", "role": "patient"}, {"turn": 9, "text": "听力还行", "role": "patient"}, {"turn": 10, "text": "血压测过吗？", "role": "doctor"}, {"turn": 11, "text": "头蒙感觉有时候眼睛看东西也不清楚", "role": "patient"}, {"turn": 12, "text": "我血压正常", "role": "patient"}, {"turn": 13, "text": "那需要看看神经内科医生了。有一过性黑矇", "role": "doctor"}, {"turn": 14, "text": "医生你说我这是哪里出问题了", "role": "patient"}, {"turn": 15, "text": "没有黑过", "role": "patient"}, {"turn": 16, "text": "和平时不锻炼有没有关系", "role": "patient"}, {"turn": 17, "text": "可能和活动少，一过性脑缺血。看看医生吧。", "role": "doctor"}, {"turn": 18, "text": "我一直喝着中药呢", "role": "patient"}, {"turn": 19, "text": "为啥喝中药", "role": "doctor"}, {"turn": 20, "text": "我去找的中医，医生给我开的药", "role": "patient"}, {"turn": 21, "text": "喝这个中药有一点缓解", "role": "patient"}, {"turn": 22, "text": "奥。那就继续喝吧。", "role": "doctor"}, {"turn": 23, "text": "不吃刺激性食物，注意休息，清淡饮食，适当锻炼。提高自体免疫力，就会好些。", "role": "doctor"}, {"turn": 24, "text": "嗯，好的，医生", "role": "patient"}, {"turn": 25, "text": "早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1089, "thread": [{"turn": 0, "text": "肾挫伤严重吗？谢谢大夫（女，54岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答！", "role": "doctor"}, {"turn": 2, "text": "从半米高坐到了地上，刚开始发现尿里有点血，医生给了点药血尿片吧，现在检查好了，但是屁股还是疼，都快一月，在医院拍片，做B超都说是好的，为什么还疼啊（女，54岁）", "role": "patient"}, {"turn": 3, "text": "开始到医院检查是肾挫伤", "role": "patient"}, {"turn": 4, "text": "挫伤一般不是很严重，可以保守治疗！", "role": "doctor"}, {"turn": 5, "text": "肾裂伤和肾蒂损失较重！", "role": "doctor"}, {"turn": 6, "text": "要看其他地方还有没有损伤！", "role": "doctor"}, {"turn": 7, "text": "做B超及拍片都说是好的", "role": "patient"}, {"turn": 8, "text": "那就问题不大！", "role": "doctor"}, {"turn": 9, "text": "肾脏能损伤考虑其他地方也有损伤！", "role": "doctor"}, {"turn": 10, "text": "但是都一个月了活动时间大了就疼", "role": "patient"}, {"turn": 11, "text": "当时还有什么地方损伤？", "role": "doctor"}, {"turn": 12, "text": "有骨折没？", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "肾挫伤已经好了，考虑还是其他地方问题引起的！一个月了可以外科门诊再复查下！", "role": "doctor"}, {"turn": 15, "text": "都去了好几次，在宝鸡第三陆军医院", "role": "patient"}, {"turn": 16, "text": "医生这么说的？", "role": "doctor"}, {"turn": 17, "text": "他们说没事，但是这么长时间还是疼", "role": "patient"}, {"turn": 18, "text": "我们担心呀！", "role": "patient"}, {"turn": 19, "text": "那就问题不大！有时候肌肉挫伤也会疼痛很久！", "role": "doctor"}, {"turn": 20, "text": "哦   就怕肾有问题", "role": "patient"}, {"turn": 21, "text": "各种仪器检查没问题了，只少会没大的问题！放心好了！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1090, "thread": [{"turn": 0, "text": "耳朵鼓膜穿孔吃头孢地尼胶囊可以吗？（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，鼓莫穿孔多久了，", "role": "doctor"}, {"turn": 2, "text": "你可以再口服甲钴胺胶囊和敏使朗。", "role": "doctor"}, {"turn": 3, "text": "配合头孢一起，", "role": "doctor"}, {"turn": 4, "text": "一个星期了", "role": "patient"}, {"turn": 5, "text": "只吃头孢也可以是吧", "role": "patient"}, {"turn": 6, "text": "现在还有什么不适呢，头孢可以不吃了，", "role": "doctor"}, {"turn": 7, "text": "现在主要是促进鼓膜愈合，用扩血管的及营养神经的药物就可以了。", "role": "doctor"}, {"turn": 8, "text": "甲钴胺胶囊和敏使朗。", "role": "doctor"}, {"turn": 9, "text": "我是今天刚到医院检查的，医生刚给我开的这个药，我看说明也没说治耳朵的，所以才问这个可不可以吃的", "role": "patient"}, {"turn": 10, "text": "那我可不可以先吃这个药几天看效果", "role": "patient"}, {"turn": 11, "text": "头孢是预防感染，", "role": "doctor"}, {"turn": 12, "text": "甲钴胺胶囊和敏使朗。是促进鼓膜愈合和听力恢复。", "role": "doctor"}, {"turn": 13, "text": "嗯，那我等下把您说的两种药买来和我现在的药一起吃可以吧", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "头孢少吃几天就可以的", "role": "doctor"}, {"turn": 16, "text": "我买了6天的", "role": "patient"}, {"turn": 17, "text": "吃完就不买了", "role": "patient"}, {"turn": 18, "text": "好的", "role": "doctor"}, {"turn": 19, "text": "另外两种药物可以多吃一段时间。", "role": "doctor"}, {"turn": 20, "text": "注意预防感冒，别让耳朵内进水。", "role": "doctor"}, {"turn": 21, "text": "我好像有点轻微的流鼻涕可以用这些药吗？", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}, {"turn": 23, "text": "可以与感冒药一起吃。", "role": "doctor"}, {"turn": 24, "text": "感冒药不吃可以吧，我觉得没什么严重的，以往都是有点这样的", "role": "patient"}, {"turn": 25, "text": "症状比较轻，多喝点热水，注意保暖，清淡饮食,室内空气别太干燥。可以鼻部热敷。", "role": "doctor"}, {"turn": 26, "text": "嗯，现在就安您说的，先这样吃一个星期看看好的", "role": "patient"}, {"turn": 27, "text": "好的,等再联系吧，好吗", "role": "doctor"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "不客气的", "role": "doctor"}, {"turn": 30, "text": "再问您一下，我有耳鸣在吃地黄丸可以和这些一起吃吗", "role": "patient"}, {"turn": 31, "text": "可以的，这几种药物没有禁忌", "role": "doctor"}, {"turn": 32, "text": "谢谢", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1091, "thread": [{"turn": 0, "text": "高血壓患者冬季應該注意什麼呢？（男，25岁）男 48歲剛剛那個是我的資料名字這是我的父親的狀況 去年發現的高血壓之前肥胖現在差不多瘦了20斤", "role": "patient"}, {"turn": 1, "text": "注意保暖，控制血压，定期复查", "role": "doctor"}, {"turn": 2, "text": "多久複查一次呢 需不需要服用什麼藥物", "role": "patient"}, {"turn": 3, "text": "心内科就诊，每天定期监测血压，挑针药物", "role": "doctor"}, {"turn": 4, "text": "什麼挑針藥物 朱醫生", "role": "patient"}, {"turn": 5, "text": "调整药物", "role": "doctor"}, {"turn": 6, "text": "就不需要注意其他的了嗎", "role": "patient"}, {"turn": 7, "text": "之前出鍋血", "role": "patient"}, {"turn": 8, "text": "情況不嚴重", "role": "patient"}, {"turn": 9, "text": "一周就能正常走路了", "role": "patient"}, {"turn": 10, "text": "快滿一年了", "role": "patient"}, {"turn": 11, "text": "都脑出血过，你还不注意呀，医院查体综合情况后采取治疗措施", "role": "doctor"}, {"turn": 12, "text": "對 就是恢復了 之前出血的時候很嚴重 半邊肢體不能動彈 為了不讓其復發 所以想特別注意採取什麼措施可以避免復發 請教醫生指點高明", "role": "patient"}, {"turn": 13, "text": "控制血压吧，注意保暖", "role": "doctor"}, {"turn": 14, "text": "其他不需要了嗎", "role": "patient"}, {"turn": 15, "text": "其他的你也避免不了的", "role": "doctor"}, {"turn": 16, "text": "我說注意什麼比較重要", "role": "patient"}, {"turn": 17, "text": "人生在世 誰能避免一切事為", "role": "patient"}, {"turn": 18, "text": "ok", "role": "doctor"}, {"turn": 19, "text": "OK？", "role": "patient"}, {"turn": 20, "text": "没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1092, "thread": [{"turn": 0, "text": "大便干燥排便困难是哪种便秘（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，便秘这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "几天一次大便？", "role": "doctor"}, {"turn": 3, "text": "平时注意饮食很主要的。", "role": "doctor"}, {"turn": 4, "text": "平时饮食要规律清淡，多吃新鲜水果和蔬菜，禁吃辛辣的食物，多喝水，有时间多运动，促进胃肠蠕动，还强身健体。", "role": "doctor"}, {"turn": 5, "text": "近几天多吃芹菜和韭菜，还有地瓜，含粗纤维，易拍便的。", "role": "doctor"}, {"turn": 6, "text": "一天一次 但是大便干燥 有时便不出来", "role": "patient"}, {"turn": 7, "text": "好的", "role": "patient"}, {"turn": 8, "text": "嗯嗯", "role": "doctor"}, {"turn": 9, "text": "作息时间要规律，不要熬夜。", "role": "doctor"}, {"turn": 10, "text": "面食什么的能正常吃嘛", "role": "patient"}, {"turn": 11, "text": "能的", "role": "doctor"}, {"turn": 12, "text": "每天早晨起来喝一杯蜂蜜水，润肠通便，还养颜美容。", "role": "doctor"}, {"turn": 13, "text": "好的 平时有没有什么不能吃的食物", "role": "patient"}, {"turn": 14, "text": "不要吃辛辣的食物就行。", "role": "doctor"}, {"turn": 15, "text": "不要吃零食", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1093, "thread": [{"turn": 0, "text": "打球以后咳嗽然后嗓子和胸口里有点痒（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "昨晚上打完球就这些", "role": "patient"}, {"turn": 3, "text": "这样", "role": "patient"}, {"turn": 4, "text": "有受凉了吗？打喷嚏流鼻涕吗", "role": "doctor"}, {"turn": 5, "text": "应该是受凉了", "role": "patient"}, {"turn": 6, "text": "没有打喷嚏流鼻涕", "role": "patient"}, {"turn": 7, "text": "普通感冒的可能性大，注意保暖，多喝水", "role": "doctor"}, {"turn": 8, "text": "吃点啥药呢", "role": "patient"}, {"turn": 9, "text": "饮食清淡些，不要吃辛辣刺激性的食物", "role": "doctor"}, {"turn": 10, "text": "普通是自愈的，目前症状看不吃药也行", "role": "doctor"}, {"turn": 11, "text": "大夫我吃点啥药好", "role": "patient"}, {"turn": 12, "text": "好", "role": "patient"}, {"turn": 13, "text": "谢谢大夫", "role": "patient"}, {"turn": 14, "text": "可以煮点具有清肺润喉作用的冰糖雪梨水服用", "role": "doctor"}, {"turn": 15, "text": "前提是不要加重的情况下?", "role": "doctor"}, {"turn": 16, "text": "注意保暖哦", "role": "doctor"}, {"turn": 17, "text": "大夫我喝了两杯热水，已经2 3个小时没咳嗽了", "role": "patient"}, {"turn": 18, "text": "是不是好了。。", "role": "patient"}, {"turn": 19, "text": "继续保持，本来感冒也不严重", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1094, "thread": [{"turn": 0, "text": "晚上后半夜咳嗽的厉害，怎么办（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "因为我感冒了，感冒了有一个多星期啦", "role": "patient"}, {"turn": 3, "text": "白天的话，不怎么咳嗽", "role": "patient"}, {"turn": 4, "text": "咳嗽有没有痰？", "role": "doctor"}, {"turn": 5, "text": "白天的话会有", "role": "patient"}, {"turn": 6, "text": "晚上是干咳", "role": "patient"}, {"turn": 7, "text": "痰什么颜色的", "role": "doctor"}, {"turn": 8, "text": "吃过什么药没有", "role": "doctor"}, {"turn": 9, "text": "颜色没注意，因为没有咳出来过", "role": "patient"}, {"turn": 10, "text": "以前有没有容易反复咳嗽？有没有反酸", "role": "doctor"}, {"turn": 11, "text": "喝了甜的止咳露", "role": "patient"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "是因为感冒了", "role": "patient"}, {"turn": 14, "text": "所以这样", "role": "patient"}, {"turn": 15, "text": "嗯哪你这种情况还是呼吸道感染导致的", "role": "doctor"}, {"turn": 16, "text": "吃三天阿奇霉素", "role": "doctor"}, {"turn": 17, "text": "平时没有咳嗽过", "role": "patient"}, {"turn": 18, "text": "吃阿斯美+孟鲁司特钠，吃到咳嗽好转", "role": "doctor"}, {"turn": 19, "text": "还可以怎么止咳呢", "role": "patient"}, {"turn": 20, "text": "下面两个药就是止咳的", "role": "doctor"}, {"turn": 21, "text": "非要吃药吗", "role": "patient"}, {"turn": 22, "text": "因为我吃了好几天的药了", "role": "patient"}, {"turn": 23, "text": "不吃药的话喝蜂蜜水", "role": "doctor"}, {"turn": 24, "text": "做雾化", "role": "doctor"}, {"turn": 25, "text": "怎样能不影响我睡觉呢", "role": "patient"}, {"turn": 26, "text": "咳的话，我睡不好", "role": "patient"}, {"turn": 27, "text": "不吃药没办法", "role": "doctor"}, {"turn": 28, "text": "为什么晚上咳的厉害", "role": "patient"}, {"turn": 29, "text": "白天就还好", "role": "patient"}, {"turn": 30, "text": "晚上咳嗽，和迷走神经兴奋刺激气管有关", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1095, "thread": [{"turn": 0, "text": "宝宝消化不良，体重增加慢，", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答，宝宝多大？如何喂养？平时精神如何？大便如何？体重是多少？", "role": "doctor"}, {"turn": 2, "text": "35天，吃伊利珍护，消化不良，吃药不起效果", "role": "patient"}, {"turn": 3, "text": "吃的是什么药？益生菌吗？", "role": "doctor"}, {"turn": 4, "text": "没有母乳喂养吗？", "role": "doctor"}, {"turn": 5, "text": "奶不够，后来停了", "role": "patient"}, {"turn": 6, "text": "嗯，可能是奶粉不适合，可以换奶粉看看", "role": "doctor"}, {"turn": 7, "text": "王氏保赤丸", "role": "patient"}, {"turn": 8, "text": "哦", "role": "patient"}, {"turn": 9, "text": "没有吃过益生菌吗？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "嗯，也可以服用益生菌调理一下", "role": "doctor"}, {"turn": 12, "text": "谢谢", "role": "patient"}, {"turn": 13, "text": "不行在换奶粉", "role": "doctor"}, {"turn": 14, "text": "嗯", "role": "patient"}, {"turn": 15, "text": "益生菌可以选合生元的", "role": "doctor"}, {"turn": 16, "text": "嗯，好的，不用谢😊", "role": "doctor"}, {"turn": 17, "text": "谢谢你", "role": "patient"}, {"turn": 18, "text": "嗯，不用谢😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1096, "thread": [{"turn": 0, "text": "肋间神经痛会引起心脏间歇抖动（女，10岁）", "role": "patient"}, {"turn": 1, "text": "你好，做过什么检查？", "role": "doctor"}, {"turn": 2, "text": "心电图", "role": "patient"}, {"turn": 3, "text": "有事吗", "role": "doctor"}, {"turn": 4, "text": "正常", "role": "patient"}, {"turn": 5, "text": "是你本人吗，多大啦", "role": "doctor"}, {"turn": 6, "text": "10岁，女孩。", "role": "patient"}, {"turn": 7, "text": "孩子说心脏附近抽筋疼，后背也疼，不能躺，只", "role": "patient"}, {"turn": 8, "text": "建议做个心脏彩超检查", "role": "doctor"}, {"turn": 9, "text": "我刚听心脏跳动声音节奏正常，偶尔有抖动", "role": "patient"}, {"turn": 10, "text": "有可能是肋间神经痛", "role": "doctor"}, {"turn": 11, "text": "是肋间神经炎引起的吗？", "role": "patient"}, {"turn": 12, "text": "为什么会得肋间神经炎，好好的怎么引起的", "role": "patient"}, {"turn": 13, "text": "不一定是心脏的事，建议复查心电图做个心脏彩超除外心脏毛病", "role": "doctor"}, {"turn": 14, "text": "这是第二次，每次都是发生在晚上要睡觉的时候", "role": "patient"}, {"turn": 15, "text": "持续多久", "role": "doctor"}, {"turn": 16, "text": "孩子靠着睡着，就不好疼了。", "role": "patient"}, {"turn": 17, "text": "那可能是肋间神经非特异炎症引起的", "role": "doctor"}, {"turn": 18, "text": "什么意思", "role": "patient"}, {"turn": 19, "text": "不是细菌引起的炎症", "role": "doctor"}, {"turn": 20, "text": "那会是什么引起的", "role": "patient"}, {"turn": 21, "text": "可以用点芬必得", "role": "doctor"}, {"turn": 22, "text": "家里人都没有心脏病史", "role": "patient"}, {"turn": 23, "text": "具体原因医学上也没完全明确", "role": "doctor"}, {"turn": 24, "text": "芬必得有副作用吗？", "role": "patient"}, {"turn": 25, "text": "那也建议复查心电图做个心脏彩超除外心脏毛病", "role": "doctor"}, {"turn": 26, "text": "一般没啥大的副作用，解热镇痛药", "role": "doctor"}, {"turn": 27, "text": "观察看看", "role": "doctor"}, {"turn": 28, "text": "不疼好了就不用吃", "role": "doctor"}, {"turn": 29, "text": "请问，你见过这种病症吗？", "role": "patient"}, {"turn": 30, "text": "也见过，但不多，孩子还有其他症状吗", "role": "doctor"}, {"turn": 31, "text": "我想起来，孩子睡觉时半夜喜欢把头放的高点，或蜷着头睡觉，和这个有关吗", "role": "patient"}, {"turn": 32, "text": "没啥关系", "role": "doctor"}, {"turn": 33, "text": "哦！", "role": "patient"}, {"turn": 34, "text": "肋间神经炎和脊椎有关吗？", "role": "patient"}, {"turn": 35, "text": "观察看看孩子好没好，不好建议检查一下", "role": "doctor"}, {"turn": 36, "text": "没关系", "role": "doctor"}, {"turn": 37, "text": "睡着了，平躺还是喊疼。", "role": "patient"}, {"turn": 38, "text": "谢谢！", "role": "patient"}, {"turn": 39, "text": "假如是肋间神经炎一般吃点药就好了，没啥大事，建议检查一下除外心脏的事", "role": "doctor"}, {"turn": 40, "text": "好的谢谢！", "role": "patient"}, {"turn": 41, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1097, "thread": [{"turn": 0, "text": "七个月宝宝肛周脓肿怎么办（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "三个月左右", "role": "patient"}, {"turn": 3, "text": "可以涂红霉素软膏", "role": "doctor"}, {"turn": 4, "text": "去医院检查了说是肛周脓肿开了百多邦，说孩子小，要等到10岁才能手术，我想问的是宝宝脓包一长就疼的厉害睡不好吃不好，会不会影响到他的生长发育", "role": "patient"}, {"turn": 5, "text": "对生长发育没有影响", "role": "doctor"}, {"turn": 6, "text": "这么小只能用药治疗", "role": "doctor"}, {"turn": 7, "text": "如果脓肿不破溃可以切开排脓", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1098, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：鼻炎的症状（女，42岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的鼻子主要是怎么不舒服的呢？", "role": "doctor"}, {"turn": 2, "text": "最近一个月反复出现鼻塞，流清鼻涕，打喷嚏", "role": "patient"}, {"turn": 3, "text": "嗯，这是比较典型的过敏性鼻炎引起的", "role": "doctor"}, {"turn": 4, "text": "以前出现过这种情况吗？", "role": "doctor"}, {"turn": 5, "text": "起初以为是感冒，吃了感冒药好了没几天又开始了，反反复复一个月四，五次了", "role": "patient"}, {"turn": 6, "text": "之前从来没有过", "role": "patient"}, {"turn": 7, "text": "嗯，这种情况开始一般都不太重视", "role": "doctor"}, {"turn": 8, "text": "那还好。时间不算很长", "role": "doctor"}, {"turn": 9, "text": "但是这种过敏性鼻炎西药很难去根", "role": "doctor"}, {"turn": 10, "text": "我建议可以中药调理治疗效果比较好", "role": "doctor"}, {"turn": 11, "text": "总是想打喷嚏", "role": "patient"}, {"turn": 12, "text": "嗯，这就是过敏的症状", "role": "doctor"}, {"turn": 13, "text": "有中成药可以吃吗？是不是最近西安雾霾的原因", "role": "patient"}, {"turn": 14, "text": "有关系的，", "role": "doctor"}, {"turn": 15, "text": "中成药的话我建议可以用鼻炎康片一个星期看看效果如果。", "role": "doctor"}, {"turn": 16, "text": "如果作用不好的话可以再找我开中药调理治疗吧?", "role": "doctor"}, {"turn": 17, "text": "这两种药都要吃吗？还是只吃一种", "role": "patient"}, {"turn": 18, "text": "只吃一种就可以了", "role": "doctor"}, {"turn": 19, "text": "最近我在吃中药调理身体，一起吃不会有影响吧", "role": "patient"}, {"turn": 20, "text": "比如吃中成药鼻炎康片就不用中药了。?", "role": "doctor"}, {"turn": 21, "text": "不会的", "role": "doctor"}, {"turn": 22, "text": "谢谢", "role": "patient"}, {"turn": 23, "text": "不客气的?有问题再咨询我", "role": "doctor"}, {"turn": 24, "text": "对了，有没有鼻炎注意事项，忌口的", "role": "patient"}, {"turn": 25, "text": "主要别吃刺激性食物。牛羊肉鱼虾海鲜这类不要吃", "role": "doctor"}, {"turn": 26, "text": "酒也不行么", "role": "patient"}, {"turn": 27, "text": "肯定不行", "role": "doctor"}, {"turn": 28, "text": "我就说晚上严重了，喝了电酒", "role": "patient"}, {"turn": 29, "text": "?一定要注意别喝了", "role": "doctor"}, {"turn": 30, "text": "好的好的?谢谢", "role": "patient"}, {"turn": 31, "text": "不客气的?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1099, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：小儿鼻窦炎（男，7岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "睡觉时打呼噜", "role": "patient"}, {"turn": 3, "text": "一个鼻孔不怎么通气", "role": "patient"}, {"turn": 4, "text": "多久了", "role": "doctor"}, {"turn": 5, "text": "一直张嘴呼吸么，憋气么", "role": "doctor"}, {"turn": 6, "text": "不怎么憋气半年多了", "role": "patient"}, {"turn": 7, "text": "扁桃体大么", "role": "doctor"}, {"turn": 8, "text": "用喷鼻药了么", "role": "doctor"}, {"turn": 9, "text": "扁桃体有点大没用喷药", "role": "patient"}, {"turn": 10, "text": "有什么药可以用吗", "role": "patient"}, {"turn": 11, "text": "可以用糠酸莫米松喷鼻", "role": "doctor"}, {"turn": 12, "text": "好的谢谢", "role": "patient"}, {"turn": 13, "text": "要是扁桃体肥大可以用什么药呢", "role": "patient"}, {"turn": 14, "text": "避免发炎就可以了，要是三度影响呼吸就手术切除", "role": "doctor"}, {"turn": 15, "text": "好的谢谢", "role": "patient"}, {"turn": 16, "text": "好呢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1100, "thread": [{"turn": 0, "text": "感音性神经性耳聋能治好吗（男，3）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了？是孩子吗", "role": "doctor"}, {"turn": 2, "text": "一个多月了，孩子三岁半", "role": "patient"}, {"turn": 3, "text": "这个不好治疗", "role": "doctor"}, {"turn": 4, "text": "我们做了核磁共振看看说是贫血性缺氧", "role": "patient"}, {"turn": 5, "text": "梗塞灶", "role": "patient"}, {"turn": 6, "text": "是啥意思呀", "role": "patient"}, {"turn": 7, "text": "有听力检查结果吗？", "role": "doctor"}, {"turn": 8, "text": "有", "role": "patient"}, {"turn": 9, "text": "这么差以前不知道？？", "role": "doctor"}, {"turn": 10, "text": "他之前都能听见  是突然失聪了", "role": "patient"}, {"turn": 11, "text": "9.19突然发现他听不到了", "role": "patient"}, {"turn": 12, "text": "他那个磁共振是怎么回事啊有点不懂", "role": "patient"}, {"turn": 13, "text": "磁共振耳朵没问题，颅脑的问题需要咨询神经外科", "role": "doctor"}, {"turn": 14, "text": "神经外科吗", "role": "patient"}, {"turn": 15, "text": "不是神经内科？", "role": "patient"}, {"turn": 16, "text": "都可以，", "role": "doctor"}, {"turn": 17, "text": "因为这种情况两个科都可以看", "role": "doctor"}, {"turn": 18, "text": "像我们这种情况有没有办法保守治疗呀", "role": "patient"}, {"turn": 19, "text": "这种情况保守治疗没有什么用。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1101, "thread": [{"turn": 0, "text": "肠梗阻肠子坏血液感染小孩（男，2岁7个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝现在有症状吗？", "role": "doctor"}, {"turn": 2, "text": "肠子截了八公分", "role": "patient"}, {"turn": 3, "text": "现在怎么样", "role": "doctor"}, {"turn": 4, "text": "有什么不舒服", "role": "doctor"}, {"turn": 5, "text": "大便通了吗", "role": "doctor"}, {"turn": 6, "text": "小血板不凝聚", "role": "patient"}, {"turn": 7, "text": "在医学她们说要骨髓穿刺", "role": "patient"}, {"turn": 8, "text": "在吗", "role": "patient"}, {"turn": 9, "text": "出血吗", "role": "doctor"}, {"turn": 10, "text": "有其他地方渗血？", "role": "doctor"}, {"turn": 11, "text": "就是伤口不愈合都会浓了", "role": "patient"}, {"turn": 12, "text": "方便看看伤口那里吗", "role": "doctor"}, {"turn": 13, "text": "我想问一下这个有骨髓穿刺的必要吗？", "role": "patient"}, {"turn": 14, "text": "如果真是血液系统有问题就得做骨穿", "role": "doctor"}, {"turn": 15, "text": "我没在现场", "role": "patient"}, {"turn": 16, "text": "骨穿其实也很简单", "role": "doctor"}, {"turn": 17, "text": "他在医院", "role": "patient"}, {"turn": 18, "text": "小孩太小", "role": "patient"}, {"turn": 19, "text": "医生说病毒感染太重血液感染太重输入的营养都破坏了", "role": "patient"}, {"turn": 20, "text": "抗生素", "role": "doctor"}, {"turn": 21, "text": "还有减轻全身炎症反应的药", "role": "doctor"}, {"turn": 22, "text": "她们说血小版底两个伤口都不凝血伤口溃烂", "role": "patient"}, {"turn": 23, "text": "她们说要么激素药要么，骨髓穿刺", "role": "patient"}, {"turn": 24, "text": "我们现在就一直输血和血小板就是不受补", "role": "patient"}, {"turn": 25, "text": "激素冲击也是可以的", "role": "doctor"}, {"turn": 26, "text": "没有大问题吧", "role": "patient"}, {"turn": 27, "text": "她们在郑州儿童医院那里咋样", "role": "patient"}, {"turn": 28, "text": "可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1102, "thread": [{"turn": 0, "text": "韧带拉伤要多韧带拉伤（男，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，什么部位？韧带拉伤多长时间了？疼痛吗？", "role": "doctor"}, {"turn": 2, "text": "左腿大腿与小腿之间，膝盖左侧的地方", "role": "patient"}, {"turn": 3, "text": "受过伤吗？膝关节肿胀吗？关节活动响吗？做过什么检查？", "role": "doctor"}, {"turn": 4, "text": "打错了，是膝关节右侧", "role": "patient"}, {"turn": 5, "text": "没有肿胀", "role": "patient"}, {"turn": 6, "text": "就是前两天拉韧带拉的吧", "role": "patient"}, {"turn": 7, "text": "有可能是韧带拉伤", "role": "doctor"}, {"turn": 8, "text": "建议别受凉，别劳累，带个护膝，避免剧烈运动。", "role": "doctor"}, {"turn": 9, "text": "可以外用氟比洛芬凝胶吃点依托考昔", "role": "doctor"}, {"turn": 10, "text": "走起路来会痛", "role": "patient"}, {"turn": 11, "text": "尽量少走恢复的快", "role": "doctor"}, {"turn": 12, "text": "我是练体育的，这要多久能好呀", "role": "patient"}, {"turn": 13, "text": "一般得三周左右。", "role": "doctor"}, {"turn": 14, "text": "好吧", "role": "patient"}, {"turn": 15, "text": "祝您早日康复", "role": "doctor"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1103, "thread": [{"turn": 0, "text": "肺炎阿奇霉素和头孢一起注射（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，这两个药可以一起用的。", "role": "doctor"}, {"turn": 2, "text": "好的 一般用几天？", "role": "patient"}, {"turn": 3, "text": "医院说是3-5天", "role": "patient"}, {"turn": 4, "text": "到时候还需要拍片复查吗", "role": "patient"}, {"turn": 5, "text": "如果是肺炎链球菌肺炎，一般一周就够了", "role": "doctor"}, {"turn": 6, "text": "需要复查", "role": "doctor"}, {"turn": 7, "text": "拍片说是支气管肺炎 怎么看是什么菌啊", "role": "patient"}, {"turn": 8, "text": "很难查的到具体致病菌", "role": "doctor"}, {"turn": 9, "text": "一般最常见肺炎链球菌和支原体", "role": "doctor"}, {"turn": 10, "text": "验血可以查一下支原体", "role": "doctor"}, {"turn": 11, "text": "那到时候是抽血复查还是拍片", "role": "patient"}, {"turn": 12, "text": "都需要", "role": "doctor"}, {"turn": 13, "text": "好的 谢谢", "role": "patient"}, {"turn": 14, "text": "好的有问题再咨询我", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1104, "thread": [{"turn": 0, "text": "多囊肾可以吃罗红霉素不（男，46岁）", "role": "patient"}, {"turn": 1, "text": "目前血肌酐多少？有没有透析", "role": "doctor"}, {"turn": 2, "text": "血肌酐没查过也没透析", "role": "patient"}, {"turn": 3, "text": "抽血化验肾功能，如果没有问题可以吃", "role": "doctor"}, {"turn": 4, "text": "肾功能没问题", "role": "patient"}, {"turn": 5, "text": "那就可以吃", "role": "doctor"}, {"turn": 6, "text": "我记得以前查过我肾不虚", "role": "patient"}, {"turn": 7, "text": "不是肾虚，是肾衰竭", "role": "doctor"}, {"turn": 8, "text": "我去医院查他们说我的前列腺堵塞", "role": "patient"}, {"turn": 9, "text": "这个跟肾脏没关系", "role": "doctor"}, {"turn": 10, "text": "堵塞吃罗红霉素管用不", "role": "patient"}, {"turn": 11, "text": "关于前列腺的问题，请前往泌尿外科或者男科咨询，这里是肾内科，超出诊疗范围。", "role": "doctor"}, {"turn": 12, "text": "有什么办法阻止肾衰竭吗", "role": "patient"}, {"turn": 13, "text": "就是让它发展的慢点", "role": "patient"}, {"turn": 14, "text": "多囊肾可以切除吗", "role": "patient"}, {"turn": 15, "text": ",注意休息，保护好血压。其他的没有什么特殊的。", "role": "doctor"}, {"turn": 16, "text": "我高压不高低压有点高", "role": "patient"}, {"turn": 17, "text": "嗯嗯，另外避免剧烈运动。", "role": "doctor"}, {"turn": 18, "text": "多囊肾的寿命一般多少年", "role": "patient"}, {"turn": 19, "text": "这个可预期不了，每个人都不一样的。", "role": "doctor"}, {"turn": 20, "text": "请问有什么好方法我自己控制控制的", "role": "patient"}, {"turn": 21, "text": "上面已经告知了，注意控制好身体的各项指标。血压，血脂血糖是最基本的。", "role": "doctor"}, {"turn": 22, "text": "比如说药物呢", "role": "patient"}, {"turn": 23, "text": "如果目前肾功能正常，没有必要服用药物。", "role": "doctor"}, {"turn": 24, "text": "我查出好几年了我一直没吃药啥的", "role": "patient"}, {"turn": 25, "text": "嗯嗯，如果各项指标都正常的话，是不需要服用药物的。只需要定期复查", "role": "doctor"}, {"turn": 26, "text": "我也再没去查过", "role": "patient"}, {"turn": 27, "text": "当时医生建议我做穿刺", "role": "patient"}, {"turn": 28, "text": "多长时间没查了", "role": "doctor"}, {"turn": 29, "text": "有几年了", "role": "patient"}, {"turn": 30, "text": "如果确定是多囊肾，不可能建议做肾穿刺。", "role": "doctor"}, {"turn": 31, "text": "另外建议尽快医院复查", "role": "doctor"}, {"turn": 32, "text": "我是遗传的", "role": "patient"}, {"turn": 33, "text": "多囊肾本来就是遗传性疾病", "role": "doctor"}, {"turn": 34, "text": "我母亲是我大姐也是我也是", "role": "patient"}, {"turn": 35, "text": "嗯嗯", "role": "doctor"}, {"turn": 36, "text": "谢谢你有时间我去医院查查", "role": "patient"}, {"turn": 37, "text": "OK，不客气", "role": "doctor"}, {"turn": 38, "text": "拜拜再见", "role": "patient"}, {"turn": 39, "text": "再见", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1105, "thread": [{"turn": 0, "text": "怀疑有前列腺炎，要检查什么？（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "早泄、精子发黄", "role": "patient"}, {"turn": 3, "text": "精液是白色的，精子是黄色的像果冻一样的", "role": "patient"}, {"turn": 4, "text": "可以查一个前列腺液常规➕精液常规➕泌尿系彩超", "role": "doctor"}, {"turn": 5, "text": "要做精液分析吗", "role": "patient"}, {"turn": 6, "text": "精子密度及活动力分析", "role": "doctor"}, {"turn": 7, "text": "还有小便很黄", "role": "patient"}, {"turn": 8, "text": "几项一起检查还是先检查一两项", "role": "patient"}, {"turn": 9, "text": "那还需要查一个尿常规看看", "role": "doctor"}, {"turn": 10, "text": "最好一起都查一查，这些加起来400左右吧，医院不一样收费不一样", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1106, "thread": [{"turn": 0, "text": "避孕药一周后出血一个月后测出怀孕（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，末次月经是什么时候？", "role": "doctor"}, {"turn": 2, "text": "10月5号和6号有了性生活，6号吃了避孕药，10月13号来了月经", "role": "patient"}, {"turn": 3, "text": "13号之后同房避孕了吗", "role": "doctor"}, {"turn": 4, "text": "13号之后有同房，没避孕", "role": "patient"}, {"turn": 5, "text": "那你现在想咨询什么问题呢", "role": "doctor"}, {"turn": 6, "text": "是什么时候怀的", "role": "patient"}, {"turn": 7, "text": "13号之后", "role": "doctor"}, {"turn": 8, "text": "没有可能是之前吗", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "我吃的那个避孕药，对肚子里的宝宝有影响吗", "role": "patient"}, {"turn": 11, "text": "没有影响", "role": "doctor"}, {"turn": 12, "text": "13号的会不会是撤退性出血还是大姨妈呀", "role": "patient"}, {"turn": 13, "text": "是撤退性出血，也是月经", "role": "doctor"}, {"turn": 14, "text": "所以你能确定是后面怀的吗", "role": "patient"}, {"turn": 15, "text": "能", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1107, "thread": [{"turn": 0, "text": "膝盖韧带损伤什么时候可以弯曲练习（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "在吗", "role": "patient"}, {"turn": 3, "text": "大概3周了", "role": "patient"}, {"turn": 4, "text": "都做过什么检查和治疗吗？", "role": "doctor"}, {"turn": 5, "text": "韧带损伤当时是怎么治疗的？", "role": "doctor"}, {"turn": 6, "text": "做了核磁说韧带半月板损伤，让保守治疗", "role": "patient"}, {"turn": 7, "text": "你把你的检查报告单发过来，我看一下", "role": "doctor"}, {"turn": 8, "text": "就是红花油，吃的消炎的，跌打丸", "role": "patient"}, {"turn": 9, "text": "没在这我在亲戚家呢，没在身边", "role": "patient"}, {"turn": 10, "text": "那你膝关节韧带损伤一直没有固定治疗吗", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "现在膝关节有没有肿胀？", "role": "doctor"}, {"turn": 13, "text": "他说就休息一个月", "role": "patient"}, {"turn": 14, "text": "是的，最好要卧床休息，减少活动，在床上可以练习，脚趾往上翘", "role": "doctor"}, {"turn": 15, "text": "现在就是有点肿胀，没有其他感觉，弯曲的时候酸胀", "role": "patient"}, {"turn": 16, "text": "你可以口服消肿的药物，目前如果肿胀的话还是要减少活动的。", "role": "doctor"}, {"turn": 17, "text": "你就用红花油和跌打丸，这种效果是不好的。", "role": "doctor"}, {"turn": 18, "text": "不可以弯曲练习吗，我弯曲一会就很舒服，可是再过一会又无法弯曲了", "role": "patient"}, {"turn": 19, "text": "你可以口服盐酸氨基葡萄糖胶囊和草木犀流寝叶片。", "role": "doctor"}, {"turn": 20, "text": "那要用什么啊", "role": "patient"}, {"turn": 21, "text": "用上面这两种药。", "role": "doctor"}, {"turn": 22, "text": "可以热敷吗？用理疗器", "role": "patient"}, {"turn": 23, "text": "可以", "role": "doctor"}, {"turn": 24, "text": "你应该做一个关节的B超，如果关节腔积液多的话就要抽出来。", "role": "doctor"}, {"turn": 25, "text": "一天几次呢，多长时间", "role": "patient"}, {"turn": 26, "text": "一次10~15分钟1天两次。", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "嗯好的", "role": "doctor"}, {"turn": 29, "text": "有积水，一定要抽吗", "role": "patient"}, {"turn": 30, "text": "如果积液量超过20毫升，就需要抽出来的。", "role": "doctor"}, {"turn": 31, "text": "也不疼，要是不管他会怎么样", "role": "patient"}, {"turn": 32, "text": "有可有可能导致关节腔积液，导致化脓性关节炎。", "role": "doctor"}, {"turn": 33, "text": "要是现在工作，会有什么后癔症吗", "role": "patient"}, {"turn": 34, "text": "以后的容易导致慢性疼痛，或者说慢性关节炎。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1108, "thread": [{"turn": 0, "text": "颈椎病是不是也可以引起心前区不适（男，41岁）", "role": "patient"}, {"turn": 1, "text": "你好，你现在主要是什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "心前区不适，左臂活动时会引起心前区疼痛", "role": "patient"}, {"turn": 3, "text": "我颈椎不好，令外最近上夜班。", "role": "patient"}, {"turn": 4, "text": "可能睡眠不足，头晕左胸三四肋骨间疼痛，改变体位时或活动时疼痛，并且全身感觉无力", "role": "patient"}, {"turn": 5, "text": "请问你做过什么检查和治疗？", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "平时经常低头工作吗？", "role": "doctor"}, {"turn": 8, "text": "一年前也有心前区疼痛，做了心电图，血常规正常", "role": "patient"}, {"turn": 9, "text": "最好做一个颈椎磁共振", "role": "doctor"}, {"turn": 10, "text": "一般颈椎病不会引起心脏疼痛", "role": "doctor"}, {"turn": 11, "text": "就是我这个心前区疼痛会不会是颈椎病引起的", "role": "patient"}, {"turn": 12, "text": "一般颈椎病不会引起心脏疼痛", "role": "doctor"}, {"turn": 13, "text": "哪我这个有可能是心脏病了？", "role": "patient"}, {"turn": 14, "text": "需要做心脏彩超或者冠脉造影检查", "role": "doctor"}, {"turn": 15, "text": "心电图检查不出来？", "role": "patient"}, {"turn": 16, "text": "心电图一般查不准确", "role": "doctor"}, {"turn": 17, "text": "还有什么情况会引起左胸疼痛？感觉主要是在肋骨哪里。", "role": "patient"}, {"turn": 18, "text": "肺部或者胃疼", "role": "doctor"}, {"turn": 19, "text": "明天检查！谢了！", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1109, "thread": [{"turn": 0, "text": "七个月的孕妇吃了参党感冒片要不要紧（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，你一共吃了几天？", "role": "doctor"}, {"turn": 2, "text": "吃了两餐，一共八片", "role": "patient"}, {"turn": 3, "text": "对胎儿有影响吗？", "role": "patient"}, {"turn": 4, "text": "感冒片孕期不是禁用，是慎用，你吃的不算多，理论上是没影响的", "role": "doctor"}, {"turn": 5, "text": "加上你现在7个月了，对药物的敏感度也会降低", "role": "doctor"}, {"turn": 6, "text": "问题是我感冒没好，还能吃吗？", "role": "patient"}, {"turn": 7, "text": "最好换个安全点的", "role": "doctor"}, {"turn": 8, "text": "蓝芩口服液是抗病毒的，孕期安全的", "role": "doctor"}, {"turn": 9, "text": "你有没有咳嗽或者发烧？", "role": "doctor"}, {"turn": 10, "text": "就是咳嗽，己经有痰和血了", "role": "patient"}, {"turn": 11, "text": "配上鲜竹沥", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1110, "thread": [{"turn": 0, "text": "胃病会引起口腔溃疡咽喉吗（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你这情况多久了？有加重麽", "role": "doctor"}, {"turn": 2, "text": "胃病一般不引起口腔溃疡", "role": "doctor"}, {"turn": 3, "text": "感冒就会", "role": "patient"}, {"turn": 4, "text": "一感冒就口腔溃疡？", "role": "doctor"}, {"turn": 5, "text": "口腔会感觉有冷气", "role": "patient"}, {"turn": 6, "text": "有没有吃辣喝酒的", "role": "doctor"}, {"turn": 7, "text": "有冷气的时候就会犯病", "role": "patient"}, {"turn": 8, "text": "不喝", "role": "patient"}, {"turn": 9, "text": "有没有不规律饮食的", "role": "doctor"}, {"turn": 10, "text": "很少", "role": "patient"}, {"turn": 11, "text": "有没有吃上火的东西？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "你有什么胃病", "role": "doctor"}, {"turn": 14, "text": "犯病还会感觉偏头痛", "role": "patient"}, {"turn": 15, "text": "？", "role": "doctor"}, {"turn": 16, "text": "具体什么胃病", "role": "doctor"}, {"turn": 17, "text": "她就感觉胃胀", "role": "patient"}, {"turn": 18, "text": "有没有做过胃镜", "role": "doctor"}, {"turn": 19, "text": "也没查出啥胃病", "role": "patient"}, {"turn": 20, "text": "查了什么东西", "role": "doctor"}, {"turn": 21, "text": "做过", "role": "patient"}, {"turn": 22, "text": "具体做过什么检查", "role": "doctor"}, {"turn": 23, "text": "请列出", "role": "doctor"}, {"turn": 24, "text": "没查出啥", "role": "patient"}, {"turn": 25, "text": "做过什么检查", "role": "doctor"}, {"turn": 26, "text": "请列出", "role": "doctor"}, {"turn": 27, "text": "胃镜", "role": "patient"}, {"turn": 28, "text": "请提供胃镜报告", "role": "doctor"}, {"turn": 29, "text": "还有吹的那个啥", "role": "patient"}, {"turn": 30, "text": "那结果正常么", "role": "doctor"}, {"turn": 31, "text": "现在没有了", "role": "patient"}, {"turn": 32, "text": "正常", "role": "patient"}, {"turn": 33, "text": "哦", "role": "doctor"}, {"turn": 34, "text": "有没有反酸打嗝的", "role": "doctor"}, {"turn": 35, "text": "就有点炎症", "role": "patient"}, {"turn": 36, "text": "有没有恶心呕吐的", "role": "doctor"}, {"turn": 37, "text": "没有", "role": "patient"}, {"turn": 38, "text": "胃的话考虑胃炎", "role": "doctor"}, {"turn": 39, "text": "口腔溃疡请到口腔科就诊", "role": "doctor"}, {"turn": 40, "text": "明确原因", "role": "doctor"}, {"turn": 41, "text": "胃炎会引起溃疡吗", "role": "patient"}, {"turn": 42, "text": "还有偏头痛", "role": "patient"}, {"turn": 43, "text": "不会引起口腔溃疡", "role": "doctor"}, {"turn": 44, "text": "带右耳痛", "role": "patient"}, {"turn": 45, "text": "也不会引起偏头痛", "role": "doctor"}, {"turn": 46, "text": "他主要是口腔溃疡与咽喉气泡", "role": "patient"}, {"turn": 47, "text": "这个需要到口腔科以及耳鼻喉科详细看看", "role": "doctor"}, {"turn": 48, "text": "做个喉镜看看", "role": "doctor"}, {"turn": 49, "text": "捎加感冒就会发", "role": "patient"}, {"turn": 50, "text": "也没查出啥", "role": "patient"}, {"turn": 51, "text": "清淡饮食，以及本人就诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1111, "thread": [{"turn": 0, "text": "粉尘螨,户尘螨过敏怎么回事（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，过敏反应是已产生免疫的机体在再次接受相同抗原刺激时所发生的组织损伤或功能紊乱的反应。反应的特点是发作迅速、反应强烈、消退较快；一般不会破坏组织细胞，也不会引起组织严重损伤，有明显的遗传倾向和个体差异", "role": "doctor"}, {"turn": 2, "text": "任何物质都可以成为过敏源，包括您说的上述物质，机理同上", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1112, "thread": [{"turn": 0, "text": "4岁男孩牙龋齿厉害，不能做全麻怎么处理（男，4）", "role": "patient"}, {"turn": 1, "text": "您好，能拍个照片看看吗？", "role": "doctor"}, {"turn": 2, "text": "有没有自发疼或者夜间疼？", "role": "doctor"}, {"turn": 3, "text": "没有疼", "role": "patient"}, {"turn": 4, "text": "稍后给您拍照片，现在外面", "role": "patient"}, {"turn": 5, "text": "好的", "role": "doctor"}, {"turn": 6, "text": "前面四个门牙只剩根了", "role": "patient"}, {"turn": 7, "text": "现在主要是孩子害怕做治疗", "role": "doctor"}, {"turn": 8, "text": "只要孩子配合，治疗是没问题的", "role": "doctor"}, {"turn": 9, "text": "就是孩子不太配合", "role": "patient"}, {"turn": 10, "text": "多做安慰和思想工作", "role": "doctor"}, {"turn": 11, "text": "可以先让它观摩一下别的小朋友做治疗", "role": "doctor"}, {"turn": 12, "text": "等他知道补牙是怎么回事以后，就会好很多", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1113, "thread": [{"turn": 0, "text": "你好，怀孕了咳嗽可以吃甘草片吗（女，27岁）", "role": "patient"}, {"turn": 1, "text": "不可以，如果青霉素不过敏，可以口服头孢地尼治疗", "role": "doctor"}, {"turn": 2, "text": "那咳嗽得厉害怎么办", "role": "patient"}, {"turn": 3, "text": "止咳药都是慎用禁用。", "role": "doctor"}, {"turn": 4, "text": "你看说明书，医生都是按说明书用药", "role": "doctor"}, {"turn": 5, "text": "头孢地尼可以用", "role": "doctor"}, {"turn": 6, "text": "我有吃头孢丙烯分散片", "role": "patient"}, {"turn": 7, "text": "可以", "role": "doctor"}, {"turn": 8, "text": "但是不止咳啊", "role": "patient"}, {"turn": 9, "text": "医生给我开的", "role": "patient"}, {"turn": 10, "text": "抗炎是根本", "role": "doctor"}, {"turn": 11, "text": "孕期用药很受限", "role": "doctor"}, {"turn": 12, "text": "那一直这样咳下去呢", "role": "patient"}, {"turn": 13, "text": "吃药又没效果", "role": "patient"}, {"turn": 14, "text": "重的可以输液", "role": "doctor"}, {"turn": 15, "text": "可以去吊针吗", "role": "patient"}, {"turn": 16, "text": "可以", "role": "doctor"}, {"turn": 17, "text": "哦哦，好的，知道了", "role": "patient"}, {"turn": 18, "text": "我明天去看看", "role": "patient"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "可以", "role": "doctor"}, {"turn": 21, "text": "不客气有问题再问就行", "role": "doctor"}, {"turn": 22, "text": "?", "role": "patient"}, {"turn": 23, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1114, "thread": [{"turn": 0, "text": "布病迟药6周了还用在吃吗（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为您解答", "role": "doctor"}, {"turn": 2, "text": "一般疗程6周", "role": "doctor"}, {"turn": 3, "text": "现在有什么症状？", "role": "doctor"}, {"turn": 4, "text": "已经吃了六周了", "role": "patient"}, {"turn": 5, "text": "没什么症状了", "role": "patient"}, {"turn": 6, "text": "还用继续吃药吗医生", "role": "patient"}, {"turn": 7, "text": "还在吗刘医生", "role": "patient"}, {"turn": 8, "text": "不需要再服药了，疗程已经完成了", "role": "doctor"}, {"turn": 9, "text": "肝功，肾工都正常", "role": "patient"}, {"turn": 10, "text": "那能喝酒了吗", "role": "patient"}, {"turn": 11, "text": "乙肝病人绝对不能饮酒的", "role": "doctor"}, {"turn": 12, "text": "饮酒会促进乙肝病毒反弹的", "role": "doctor"}, {"turn": 13, "text": "没有乙肝", "role": "patient"}, {"turn": 14, "text": "布病引起的肝损伤，现在已经正常了", "role": "patient"}, {"turn": 15, "text": "哦，不好意思，发错了", "role": "doctor"}, {"turn": 16, "text": "布病恢复后可以少量饮酒的", "role": "doctor"}, {"turn": 17, "text": "停药后能不能喝酒", "role": "patient"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "还用在查下血吗，看看是不是阴性", "role": "patient"}, {"turn": 20, "text": "可以查下布氏凝集试验", "role": "doctor"}, {"turn": 21, "text": "怎么不说话了医生", "role": "patient"}, {"turn": 22, "text": "哦", "role": "patient"}, {"turn": 23, "text": "好的谢谢医生", "role": "patient"}, {"turn": 24, "text": "我打字慢", "role": "doctor"}, {"turn": 25, "text": "不客气，这是我们应该做的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1115, "thread": [{"turn": 0, "text": "慢性喉炎，声带小结，息肉，严重么（女，23岁）", "role": "patient"}, {"turn": 1, "text": "不严重，小的息肉少说话，大一点的需要手术治疗", "role": "doctor"}, {"turn": 2, "text": "我的我也不知道是，什么就是一个多月了都沙哑，我还没有去检查", "role": "patient"}, {"turn": 3, "text": "会有什么特症啊", "role": "patient"}, {"turn": 4, "text": "声带小结或者息肉的话会有声音嘶哑", "role": "doctor"}, {"turn": 5, "text": "我也不知是什么，一开始是扁导体发炎。输了4天水，还是没有好", "role": "patient"}, {"turn": 6, "text": "可以做个喉镜检查一下声带情况", "role": "doctor"}, {"turn": 7, "text": "会不会很严重，担心", "role": "patient"}, {"turn": 8, "text": "不严重，小的小结或者息肉少说话就可以，大的需要手术，你先检查有没有", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1116, "thread": [{"turn": 0, "text": "气虚和中气不足怎么区别？（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "气虚是统称，包括心气虚，肺气虚，肾气虚，脾气虚或脏腑兼气虚。脾气虚即中气虚，脾胃位为中焦，脾胃之气故名中气。", "role": "doctor"}, {"turn": 3, "text": "那我说一下我的症状吧", "role": "patient"}, {"turn": 4, "text": "长时间讲话会气短 就是感觉喘不上气来 咽干口干", "role": "patient"}, {"turn": 5, "text": "有咽喉炎病史", "role": "patient"}, {"turn": 6, "text": "嗯，胸闷吗？", "role": "doctor"}, {"turn": 7, "text": "有", "role": "patient"}, {"turn": 8, "text": "其他都正常吗h？", "role": "doctor"}, {"turn": 9, "text": "其他是指的什么？ 对了医生 我还有鼻炎 咽炎就是鼻炎来的", "role": "patient"}, {"turn": 10, "text": "其他指饮食，大小便，身体任何部位的不舒服", "role": "doctor"}, {"turn": 11, "text": "每天早上起来嘴角都会分泌物质 大小便正常 其他的部分正常 口唇常年是干的", "role": "patient"}, {"turn": 12, "text": "气阴两虚", "role": "doctor"}, {"turn": 13, "text": "可以喝生脉饮，补气养阴", "role": "doctor"}, {"turn": 14, "text": "我这边没有卖生脉饮的 能开个方子吗。还有高丽参可以吃吗", "role": "patient"}, {"turn": 15, "text": "人参或者党参，麦冬，五味子，熬汤或者泡水", "role": "doctor"}, {"turn": 16, "text": "医生。吃多久能见效", "role": "patient"}, {"turn": 17, "text": "这种泡水喝的比较慢，1个月左右吧", "role": "doctor"}, {"turn": 18, "text": "那吃药呢 我明天去我们这的同仁堂看看", "role": "patient"}, {"turn": 19, "text": "中成药比泡水效果好点，不如你就熬着水吃吧，这个效果好", "role": "doctor"}, {"turn": 20, "text": "谢谢", "role": "patient"}, {"turn": 21, "text": "针对本次问诊，医生更新了总结建议：常见病证区别问题", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1117, "thread": [{"turn": 0, "text": "轻度偏头痛在不吃药的情况下怎样缓解？（男，58岁）", "role": "patient"}, {"turn": 1, "text": "注意休息，规律作息，不熬夜，不生气，控制情绪", "role": "doctor"}, {"turn": 2, "text": "主要是避免偏头痛发作", "role": "doctor"}, {"turn": 3, "text": "痛起来了怎么缓解？", "role": "patient"}, {"turn": 4, "text": "痛起来就只能吃药了，", "role": "doctor"}, {"turn": 5, "text": "我较重脑出血的，轻度头痛经常有，痛一会儿，较重时一二小时时有，严重时好几个小时都有，7年来痛大几个小时搞过四次，没吃过药。", "role": "patient"}, {"turn": 6, "text": "如果疼痛厉害，影响生活，可以吃，", "role": "doctor"}, {"turn": 7, "text": "你这吃的次数也少", "role": "doctor"}, {"turn": 8, "text": "我哪来吃过药呀？", "role": "patient"}, {"turn": 9, "text": "我是说可以吃", "role": "doctor"}, {"turn": 10, "text": "吃啥药呀？", "role": "patient"}, {"turn": 11, "text": "布洛芬，", "role": "doctor"}, {"turn": 12, "text": "西比灵，都可以，选择一种，疼痛厉害布洛芬效果不错", "role": "doctor"}, {"turn": 13, "text": "你一说痛的厉害可以吃，那什么状况叫厉害？布洛芬也只能缓解轻中度痛吧？", "role": "patient"}, {"turn": 14, "text": "不一定", "role": "doctor"}, {"turn": 15, "text": "有的人对这种药物很敏感", "role": "doctor"}, {"turn": 16, "text": "我今天晚饭后吃了50mg（泰嘉）氯吡格雷片，刚才又吃了一颗布洛芬行吗？", "role": "patient"}, {"turn": 17, "text": "可以", "role": "doctor"}, {"turn": 18, "text": "说明书上说的与抗凝药同服有风险！", "role": "patient"}, {"turn": 19, "text": "你的量也不大，", "role": "doctor"}, {"turn": 20, "text": "50mg", "role": "doctor"}, {"turn": 21, "text": "晚饭喝了半两白酒的已过四小时了，不知能不能吃这药？", "role": "patient"}, {"turn": 22, "text": "啊？你还喝酒", "role": "doctor"}, {"turn": 23, "text": "药酒，5钱一天，今年四月以前还一天一两呢，脑出血后是医生让喝的，现在喝五钱治腰腿痛的药酒。", "role": "patient"}, {"turn": 24, "text": "哦，酒精会和药物有影响", "role": "doctor"}, {"turn": 25, "text": "新的指南已经不建议饮酒，哪怕是五钱", "role": "doctor"}, {"turn": 26, "text": "晚饭六点喝的5钱酒，吃药是10点多", "role": "patient"}, {"turn": 27, "text": "会不会出什么双硫仑反应呢？", "role": "patient"}, {"turn": 28, "text": "隔开四个小时，", "role": "doctor"}, {"turn": 29, "text": "不会，那是头孢类抗生素和酒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1118, "thread": [{"turn": 0, "text": "宝宝一直消化不良拉肚子怎么办（男，11个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝吃母乳，还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "宝宝具体有什么症状", "role": "doctor"}, {"turn": 3, "text": "你好，奶粉，7个月断奶吃的奶粉一直没有问题，当时辅食也吃，大便都很好，就是从上个月3号左右拉肚子了，化验结果是消化不良引起的拉肚子", "role": "patient"}, {"turn": 4, "text": "反反复复到现在好了又拉药也吃了，中医药膏也贴了，就是好不了了", "role": "patient"}, {"turn": 5, "text": "大便一天几次？", "role": "doctor"}, {"turn": 6, "text": "拉的是糊糊的大便还是水水的？", "role": "doctor"}, {"turn": 7, "text": "稀糊糊的，奶瓣，三四次最近几天", "role": "patient"}, {"turn": 8, "text": "饮食情况如何", "role": "doctor"}, {"turn": 9, "text": "一个多月了，反复好不了了", "role": "patient"}, {"turn": 10, "text": "肚子胀不胀", "role": "doctor"}, {"turn": 11, "text": "一直都还好，昨天开始不怎么爱喝奶了", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "doctor"}, {"turn": 13, "text": "肚子胀不胀？", "role": "doctor"}, {"turn": 14, "text": "精神一直都很好，化验两次大便都说没有问题，请问我到底该怎么办", "role": "patient"}, {"turn": 15, "text": "我不会看涨不涨肚子，请问这种反复消化不良腹泻，时间一个多月了，辅食可以继续吃吗？", "role": "patient"}, {"turn": 16, "text": "你好，有没有做过什么检查？", "role": "doctor"}, {"turn": 17, "text": "有吃过什么药？", "role": "doctor"}, {"turn": 18, "text": "就做过两次大便检查说是没有问题，我还应该做哪些检查吗", "role": "patient"}, {"turn": 19, "text": "就是医生开的药治消化不良腹泻的和益生菌", "role": "patient"}, {"turn": 20, "text": "还有做其他检查吗", "role": "doctor"}, {"turn": 21, "text": "没有", "role": "patient"}, {"turn": 22, "text": "你好，宝宝这样子，建议给他做个过敏原跟乳糖不耐受相关检查", "role": "doctor"}, {"turn": 23, "text": "有些过敏体质的或者乳糖不耐受的会这样子", "role": "doctor"}, {"turn": 24, "text": "这个是抽血吗？还是大便", "role": "patient"}, {"turn": 25, "text": "抽血检查", "role": "doctor"}, {"turn": 26, "text": "哦！可需要空腹什么的呢", "role": "patient"}, {"turn": 27, "text": "不用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1119, "thread": [{"turn": 0, "text": "手腕扭伤怎么办 一动就疼 不肿（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "就是昨天下午五点的时候到现在", "role": "patient"}, {"turn": 3, "text": "首先是严格制动，戴个护腕", "role": "doctor"}, {"turn": 4, "text": "制动2到3周", "role": "doctor"}, {"turn": 5, "text": "要去医院看一下吗", "role": "patient"}, {"turn": 6, "text": "刚开始的时候不疼   就晚上睡一觉就疼", "role": "patient"}, {"turn": 7, "text": "可以，", "role": "doctor"}, {"turn": 8, "text": "也可以制动一周先观察是否减轻", "role": "doctor"}, {"turn": 9, "text": "或者直接拍片排除骨折等情况", "role": "doctor"}, {"turn": 10, "text": "那不是上不成班了", "role": "patient"}, {"turn": 11, "text": "只要手腕制动就行了", "role": "doctor"}, {"turn": 12, "text": "上班要用电脑处理文件", "role": "patient"}, {"turn": 13, "text": "现在这情况你也干不了了", "role": "doctor"}, {"turn": 14, "text": "肯定要休息了", "role": "doctor"}, {"turn": 15, "text": "好吧", "role": "patient"}, {"turn": 16, "text": "最好戴个护腕", "role": "doctor"}, {"turn": 17, "text": "嗯", "role": "patient"}, {"turn": 18, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1120, "thread": [{"turn": 0, "text": "幽门螺旋杆菌怎样容易存活（女，39岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "我爱人有幽门螺旋杆菌，他吃过的黑芝麻酱放冰箱里，后来我吃了，不知道会不会传染", "role": "patient"}, {"turn": 3, "text": "你好，幽门螺杆菌不耐高温，低温并不能杀死，共用碗筷可能传染，并不是一定传染，所以不用太担心", "role": "doctor"}, {"turn": 4, "text": "不是碗筷，是他吃过的东西我也吃了", "role": "patient"}, {"turn": 5, "text": "是有可能传染的", "role": "doctor"}, {"turn": 6, "text": "低温他也能存活？", "role": "patient"}, {"turn": 7, "text": "嗯", "role": "doctor"}, {"turn": 8, "text": "高温可以杀死", "role": "doctor"}, {"turn": 9, "text": "不是说37度左右好存活吗", "role": "patient"}, {"turn": 10, "text": "但低温并不能杀死，", "role": "doctor"}, {"turn": 11, "text": "数量50多容易传染吗", "role": "patient"}, {"turn": 12, "text": "你不必纠结这个，不是百分百能传染，你可以去做个碳呼吸实验检查看看", "role": "doctor"}, {"turn": 13, "text": "我本来胃就不好，在吃中药", "role": "patient"}, {"turn": 14, "text": "吃药期间又不能做", "role": "patient"}, {"turn": 15, "text": "停药过段时间之后查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1121, "thread": [{"turn": 0, "text": "幽门螺旋杆菌为何大便不准（女，27岁）", "role": "patient"}, {"turn": 1, "text": "请问你现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "我买了幽门螺旋杆菌试纸，显示弱阳。", "role": "patient"}, {"turn": 3, "text": "我买了幽门螺旋杆菌试纸，显示弱阳。", "role": "patient"}, {"turn": 4, "text": "目前备孕", "role": "patient"}, {"turn": 5, "text": "能治疗吗？", "role": "patient"}, {"turn": 6, "text": "这个粪便准不准呢？", "role": "patient"}, {"turn": 7, "text": "可以正常怀孕", "role": "doctor"}, {"turn": 8, "text": "只要不吃药就可以", "role": "doctor"}, {"turn": 9, "text": "这个幽门螺旋杆菌需要特别治疗吗？", "role": "patient"}, {"turn": 10, "text": "得了幽门菌，要不要去做个胃镜？", "role": "patient"}, {"turn": 11, "text": "如果不怀孕，可以吃点药", "role": "doctor"}, {"turn": 12, "text": "如果备孕，就不管了", "role": "doctor"}, {"turn": 13, "text": "不是什么大问题", "role": "doctor"}, {"turn": 14, "text": "不影响怀孕", "role": "doctor"}, {"turn": 15, "text": "口腔一直有臭味道，是为啥呀。跟这个有关系吗", "role": "patient"}, {"turn": 16, "text": "有关系", "role": "doctor"}, {"turn": 17, "text": "还有就是口腔卫生，比如龋齿等", "role": "doctor"}, {"turn": 18, "text": "口臭应该怎么办？需要做胃镜吗？有时会吃撑了不消化。", "role": "patient"}, {"turn": 19, "text": "慢性胃炎的表现", "role": "doctor"}, {"turn": 20, "text": "你就说备孕不", "role": "doctor"}, {"turn": 21, "text": "备孕什么药都不给你开了", "role": "doctor"}, {"turn": 22, "text": "不备孕给你开点药", "role": "doctor"}, {"turn": 23, "text": "好吧，那我胃镜也不能做咯？", "role": "patient"}, {"turn": 24, "text": "先不做", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1122, "thread": [{"turn": 0, "text": "小儿解感颗粒和复方五指柑片能同吃吗（男，13岁）", "role": "patient"}, {"turn": 1, "text": "您好，这两种药物可以一起吃的", "role": "doctor"}, {"turn": 2, "text": "不冲突的", "role": "doctor"}, {"turn": 3, "text": "柑片写着是风热感冒，解感颗粒是风寒", "role": "patient"}, {"turn": 4, "text": "您好，医生，孩子今下午拉稀肚子疼还发烧，我给他吃的五指柑片，解感颗粒和蓝芩口服液，你看行吗？", "role": "patient"}, {"turn": 5, "text": "过了一个小时退烧了", "role": "patient"}, {"turn": 6, "text": "柑片是风热感冒，解感颗粒是清热解毒，风热风寒都可以的", "role": "doctor"}, {"turn": 7, "text": "口服解感颗粒就没有必要用蓝芩口服液的", "role": "doctor"}, {"turn": 8, "text": "都属于清热解毒药物", "role": "doctor"}, {"turn": 9, "text": "是喝的这种", "role": "patient"}, {"turn": 10, "text": "嗯，这两种药物选择一种就可以", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}, {"turn": 12, "text": "不用客气😊", "role": "doctor"}, {"turn": 13, "text": "如果孩子还是拉稀肚子疼还是这样吃法吗", "role": "patient"}, {"turn": 14, "text": "还需要加什么药物吗？", "role": "patient"}, {"turn": 15, "text": "可以加点蒙脱石散", "role": "doctor"}, {"turn": 16, "text": "蒙脱石散，乳酸菌片，", "role": "patient"}, {"turn": 17, "text": "别的暂时没有必要了", "role": "doctor"}, {"turn": 18, "text": "好的，孩子肚子咕噜咕噜响", "role": "patient"}, {"turn": 19, "text": "嗯，这是肠鸣音", "role": "doctor"}, {"turn": 20, "text": "可以顺时针揉揉肚子", "role": "doctor"}, {"turn": 21, "text": "是不是消化不良呀", "role": "patient"}, {"turn": 22, "text": "嗯额", "role": "patient"}, {"turn": 23, "text": "嗯，是的", "role": "doctor"}, {"turn": 24, "text": "感冒药加蒙脱石散加五指柑片这样吃", "role": "patient"}, {"turn": 25, "text": "嗯，可以的", "role": "doctor"}, {"turn": 26, "text": "谢谢", "role": "patient"}, {"turn": 27, "text": "不拉了光肚子疼怎么吃呀？", "role": "patient"}, {"turn": 28, "text": "肚子哪个部位疼呢？", "role": "doctor"}, {"turn": 29, "text": "肚脐周围还是上腹部？", "role": "doctor"}, {"turn": 30, "text": "肚脐四周", "role": "patient"}, {"turn": 31, "text": "嗯，那可能是肠痉挛", "role": "doctor"}, {"turn": 32, "text": "顺时针揉一下", "role": "doctor"}, {"turn": 33, "text": "上上热敷就可以的", "role": "doctor"}, {"turn": 34, "text": "好", "role": "patient"}, {"turn": 35, "text": "😊", "role": "doctor"}, {"turn": 36, "text": "感谢", "role": "patient"}, {"turn": 37, "text": "不用客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1123, "thread": [{"turn": 0, "text": "医生你好！耳鸣要怎么办？（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，一侧还是两侧？这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "是右边，前天晚上开始的", "role": "patient"}, {"turn": 3, "text": "有没有耳闷或听力下降", "role": "doctor"}, {"turn": 4, "text": "刚开始那声音像开机器声一上一下的，到了昨天上午好了一点，昨晚又开始了，现在有一直小小的吱吱声不停", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "你好，有没有头晕头痛或恶心呕吐", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "近期有没有着凉感冒，", "role": "doctor"}, {"turn": 9, "text": "耳道内疼痛或者流水吗？", "role": "doctor"}, {"turn": 10, "text": "都没有", "role": "patient"}, {"turn": 11, "text": "你好，近期有没有接触噪音或者着急熬夜", "role": "doctor"}, {"turn": 12, "text": "噪音没有，一般都比较晚睡晚起", "role": "patient"}, {"turn": 13, "text": "你好，根据描述，比较常见的原因有两种，一种是神经性，一种是传导性，个人认为第一种的可能性大，建议先去医院查一下，查明原因，积极治疗", "role": "doctor"}, {"turn": 14, "text": "要挂什么科？一般检查那一些？", "role": "patient"}, {"turn": 15, "text": "你好，耳鼻喉科，普通检查包括耳内窥镜，纯音听阈检查，声导抗检查", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢你", "role": "patient"}, {"turn": 17, "text": "好的，希望能帮到你", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1124, "thread": [{"turn": 0, "text": "便秘，4到5天上一次厕所（女，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问这样的情况多长时间了", "role": "doctor"}, {"turn": 2, "text": "一年多", "role": "patient"}, {"turn": 3, "text": "大便干燥吗", "role": "doctor"}, {"turn": 4, "text": "平常蔬菜水果粗粮吃的多吗", "role": "doctor"}, {"turn": 5, "text": "不干，黏黏的，排不干净", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "多吃蔬菜水果粗粮", "role": "doctor"}, {"turn": 8, "text": "多喝水多活动", "role": "doctor"}, {"turn": 9, "text": "能吃的药调理一下吗", "role": "patient"}, {"turn": 10, "text": "调理:1.调节情绪，保持良好的心态，2 生活有节奏，生物钟稳定3.合理饮食，调整饮食结构，应多吃粗食杂粮和瓜果蔬菜，多喝水，避免煎炸干炒刺激类食品，4.选定自己相对比较清闲的时晨，每天在这个时候排便，没有便意也要行排便动作，排便时需要专心，不能看书看报，养成定时排便的习惯，5.加强体育锻炼，提高体质，增强肠蠕动，利于排便，6，按摩腹部，有助于促进肠蠕动，晨起喝杯蜂蜜水或冷开水，能刺激肠蠕动，起到软化粪便的作用。", "role": "doctor"}, {"turn": 11, "text": "实在排便困难可以用开塞露或者口服乳果糖通便", "role": "doctor"}, {"turn": 12, "text": "建议调理，不要依赖药物", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1125, "thread": [{"turn": 0, "text": "十个月宝宝便秘吃什么水果好（女，10个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "可以吃点香蕉", "role": "doctor"}, {"turn": 3, "text": "稍微喝点水", "role": "doctor"}, {"turn": 4, "text": "前段时间是三四天", "role": "patient"}, {"turn": 5, "text": "益生菌可以吃个几天", "role": "doctor"}, {"turn": 6, "text": "最近是二三天，感觉一次拉不完就一点点的", "role": "patient"}, {"turn": 7, "text": "吃什么水能好些", "role": "patient"}, {"turn": 8, "text": "十个月可以喝点水了", "role": "doctor"}, {"turn": 9, "text": "不太爱喝水", "role": "patient"}, {"turn": 10, "text": "香蕉爱吃吗", "role": "doctor"}, {"turn": 11, "text": "嗯嗯", "role": "patient"}, {"turn": 12, "text": "有吃香蕉感觉没作用", "role": "patient"}, {"turn": 13, "text": "还有奶粉可以泡稀点", "role": "doctor"}, {"turn": 14, "text": "就当喝水", "role": "doctor"}, {"turn": 15, "text": "每天都中午都有给她吃面", "role": "patient"}, {"turn": 16, "text": "吃母乳", "role": "patient"}, {"turn": 17, "text": "体重多少了", "role": "doctor"}, {"turn": 18, "text": "18斤", "role": "patient"}, {"turn": 19, "text": "平时不喝奶粉吗", "role": "doctor"}, {"turn": 20, "text": "体重还可以", "role": "doctor"}, {"turn": 21, "text": "是的", "role": "patient"}, {"turn": 22, "text": "出了吃香蕉还吃些什么好", "role": "patient"}, {"turn": 23, "text": "今天一天拉了好几次都是拉一点硬球球", "role": "patient"}, {"turn": 24, "text": "梨也可以，蔬菜都是能帮助排便的", "role": "doctor"}, {"turn": 25, "text": "现在每天给她中午吃辅食面，面里弄的胡萝卜，西红柿，香菇", "role": "patient"}, {"turn": 26, "text": "这些都暂时停了还是，继续吃上，加些水果", "role": "patient"}, {"turn": 27, "text": "每天没事了给她多吃些香蕉，苹果，梨，，中午的面正常吃可以吗", "role": "patient"}, {"turn": 28, "text": "可以吃的，你可以其他时间给他吃水果", "role": "doctor"}, {"turn": 29, "text": "好的，", "role": "patient"}, {"turn": 30, "text": "益生菌吃了是不也更好些", "role": "patient"}, {"turn": 31, "text": "益生菌也可以吃一段时间", "role": "doctor"}, {"turn": 32, "text": "蔬菜我给你发的那些都可以一次性给里面加的把", "role": "patient"}, {"turn": 33, "text": "可以加点绿叶子蔬菜", "role": "doctor"}, {"turn": 34, "text": "菠菜，", "role": "patient"}, {"turn": 35, "text": "可以", "role": "doctor"}, {"turn": 36, "text": "还有什么菜能好些", "role": "patient"}, {"turn": 37, "text": "白菜了", "role": "patient"}, {"turn": 38, "text": "火龙果和苹果，香蕉，梨，一次性每天一起吃都是可以的吗", "role": "patient"}, {"turn": 39, "text": "我怕你吃成拉肚子了😛", "role": "doctor"}, {"turn": 40, "text": "那是怎么给她加了", "role": "patient"}, {"turn": 41, "text": "可以两种两种试", "role": "doctor"}, {"turn": 42, "text": "看看哪个效果好", "role": "doctor"}, {"turn": 43, "text": "那是先把益生菌加上，每天蔬菜面条，在少量加些水果", "role": "patient"}, {"turn": 44, "text": "嗯嗯", "role": "doctor"}, {"turn": 45, "text": "好的", "role": "patient"}, {"turn": 46, "text": "谢谢", "role": "patient"}, {"turn": 47, "text": "一种一天一换还是二三天一换", "role": "patient"}, {"turn": 48, "text": "吃一段时间看看效果", "role": "doctor"}, {"turn": 49, "text": "没这么快", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1126, "thread": [{"turn": 0, "text": "睡着睡着，突然感觉耳鸣（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "就是今晚睡下才有的，以前没有", "role": "patient"}, {"turn": 3, "text": "你好，是单侧还是双侧呢？", "role": "doctor"}, {"turn": 4, "text": "有没有其他不舒服", "role": "doctor"}, {"turn": 5, "text": "双侧", "role": "patient"}, {"turn": 6, "text": "没有其他不舒服", "role": "patient"}, {"turn": 7, "text": "听力有改变吗？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "就只是睡觉的时候会感觉到耳鸣", "role": "patient"}, {"turn": 10, "text": "最近有感冒吗？", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "压力有点大", "role": "patient"}, {"turn": 13, "text": "有没有熬夜、上火", "role": "doctor"}, {"turn": 14, "text": "有上火，熬夜没有", "role": "patient"}, {"turn": 15, "text": "还在吗", "role": "patient"}, {"turn": 16, "text": "在的", "role": "doctor"}, {"turn": 17, "text": "可能跟这个有关", "role": "doctor"}, {"turn": 18, "text": "先泄火吧", "role": "doctor"}, {"turn": 19, "text": "应该问题不大", "role": "doctor"}, {"turn": 20, "text": "好好休息", "role": "doctor"}, {"turn": 21, "text": "嗯嗯要得", "role": "patient"}, {"turn": 22, "text": "恩", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1127, "thread": [{"turn": 0, "text": "一岁七个月宝宝便秘怎么办？（女，27岁）一天一次，大便困难，干硬，拉的一粒一粒的，饮食还算是正常的", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝几天排一次大便呢？大便是不是很干很硬呢？宝宝平时都吃些什么呢？", "role": "doctor"}, {"turn": 2, "text": "水果蔬菜爱吃吗？和肉类相比呢？", "role": "doctor"}, {"turn": 3, "text": "白天吃些米饭面条之类的，晚上睡觉前喝240ml奶粉", "role": "patient"}, {"turn": 4, "text": "不爱吃，喝水还挺多的", "role": "patient"}, {"turn": 5, "text": "您多给宝宝吃点水果蔬菜泥什么的能好一点。", "role": "doctor"}, {"turn": 6, "text": "肉也不怎么吃，就是喜欢吃菜汤泡米饭", "role": "patient"}, {"turn": 7, "text": "或者不爱吃可以吃点清火宝。", "role": "doctor"}, {"turn": 8, "text": "那他现在已经便秘了，什么药可以调节一下呢", "role": "patient"}, {"turn": 9, "text": "能让她快速排便，把毒排出来", "role": "patient"}, {"turn": 10, "text": "吃点清火宝看看，如果五天还是便秘就改成太极丸吃吧！", "role": "doctor"}, {"turn": 11, "text": "鼻子好像也有点不通气", "role": "patient"}, {"turn": 12, "text": "鼻子不通气可以用热毛巾敷一下鼻子看看。", "role": "doctor"}, {"turn": 13, "text": "但是我看了，里面没有鼻子堵着啊", "role": "patient"}, {"turn": 14, "text": "嗯，可能是受凉了。要不用葱和蒜片，红糖煮点水给宝宝喝也行。", "role": "doctor"}, {"turn": 15, "text": "哦，谢谢医生", "role": "patient"}, {"turn": 16, "text": "不客气😊！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1128, "thread": [{"turn": 0, "text": "经常偏头痛，有什么办法吗！（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问偏头痛有多久", "role": "doctor"}, {"turn": 2, "text": "好几年了", "role": "patient"}, {"turn": 3, "text": "是在医院诊断的吗？", "role": "doctor"}, {"turn": 4, "text": "自从生了孩子开始的！", "role": "patient"}, {"turn": 5, "text": "7年了", "role": "patient"}, {"turn": 6, "text": "没有诊断，", "role": "patient"}, {"turn": 7, "text": "就从生了孩子就开始偏头痛！", "role": "patient"}, {"turn": 8, "text": "能描述一下，头痛的特点吗？一次疼痛持续的时间，有无呕吐？有无眼花？睡眠如何？一跳一跳的痛吗？", "role": "doctor"}, {"turn": 9, "text": "我不知道是颈椎引起的还是什么引起的，就是一俺妈就颈椎就特别舒服，不太疼了", "role": "patient"}, {"turn": 10, "text": "不是一跳一跳疼，就是就是太阳穴中间疼，", "role": "patient"}, {"turn": 11, "text": "有时候疼得厉害的话，疼得想吐，", "role": "patient"}, {"turn": 12, "text": "就是他一直疼得那种感觉，", "role": "patient"}, {"turn": 13, "text": "我要是按摩后面颈椎，就疼了不厉害，", "role": "patient"}, {"turn": 14, "text": "睡觉好吗", "role": "doctor"}, {"turn": 15, "text": "这怎么缓解啊", "role": "patient"}, {"turn": 16, "text": "还可以吧，", "role": "patient"}, {"turn": 17, "text": "不太好，", "role": "patient"}, {"turn": 18, "text": "如果检查，做个磁共振可以吗，磁共振都可以看出来什么", "role": "patient"}, {"turn": 19, "text": "做梦多吗？如果按摩就能改善头痛的话，还是考虑肌肉紧张引起的紧张性头痛", "role": "doctor"}, {"turn": 20, "text": "磁共振可以排除脑瘤 脑梗死 脑出血等", "role": "doctor"}, {"turn": 21, "text": "这有办法，不让他偏头疼吗", "role": "patient"}, {"turn": 22, "text": "做梦多吗？", "role": "doctor"}, {"turn": 23, "text": "不太多", "role": "patient"}, {"turn": 24, "text": "还可以", "role": "patient"}, {"turn": 25, "text": "不是经常做梦", "role": "patient"}, {"turn": 26, "text": "一晚上睡几个小时？中间易醒不？", "role": "doctor"}, {"turn": 27, "text": "有时候醒", "role": "patient"}, {"turn": 28, "text": "晚上10点睡，5店左右醒了", "role": "patient"}, {"turn": 29, "text": "睡眠时间可以，易醒则睡眠质量下降，有没有生气情绪变化时就头痛厉害？", "role": "doctor"}, {"turn": 30, "text": "没，就是从昨天下了班，回到家无缘无故就头疼了", "role": "patient"}, {"turn": 31, "text": "奥，以前也是无缘无故就痛了吗，痛后想安静的卧床还是想走走？", "role": "doctor"}, {"turn": 32, "text": "想躺着，啥也不愿意干", "role": "patient"}, {"turn": 33, "text": "父母有头痛的吗？做个脑检查看看，没事的话，吃点西比灵试试，考虑偏头痛可能性大些", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1129, "thread": [{"turn": 0, "text": "请问一下医生我患有长期耳鸣怎么办！（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，您一直没查过吗？", "role": "doctor"}, {"turn": 2, "text": "没有去医院检查过，三年前有过黄疸肝炎，", "role": "patient"}, {"turn": 3, "text": "如果您想排除其他的器质性病变，得做颞骨ct，和头颅核磁，还有耳蜗电图等检查，", "role": "doctor"}, {"turn": 4, "text": "如果其他都排除了，就是神经性耳鸣", "role": "doctor"}, {"turn": 5, "text": "神经性耳鸣，其实挺不容易好的", "role": "doctor"}, {"turn": 6, "text": "一般的处理方法就是输液，吃药", "role": "doctor"}, {"turn": 7, "text": "不过您这个好久了，输液的效果也没办法保证", "role": "doctor"}, {"turn": 8, "text": "哦，我感觉有几年了，今年耳鸣声音要大一点点了", "role": "patient"}, {"turn": 9, "text": "如果您感觉耳鸣声音变化了，建议您查查，然后尽早输液，吃药效果不如输液", "role": "doctor"}, {"turn": 10, "text": "好的，有药能控制的吗？医生", "role": "patient"}, {"turn": 11, "text": "或者是能减轻点，", "role": "patient"}, {"turn": 12, "text": "药效果不如输液，我可以告诉您药名，您试试，不过还是建议查查，如果是神经性耳鸣，还是建议输液", "role": "doctor"}, {"turn": 13, "text": "银杏叶片，甲钴胺片，长春胺缓释胶囊，乌灵胶囊，葛酮通络胶囊，前两种一起吃，后三种选一种就行", "role": "doctor"}, {"turn": 14, "text": "你说，谢谢医生 我准备回家乡二级甲等医院去检查，县人民医院可以吗？", "role": "patient"}, {"turn": 15, "text": "如果检查全的话可以，不过，像耳蜗电图这些，我怕没有这种检查，", "role": "doctor"}, {"turn": 16, "text": "药房能买到这些药吗？医生", "role": "patient"}, {"turn": 17, "text": "应该可以吧，不过说实话，我不太清楚，我一般都是门诊给病人开了，😊😊😊", "role": "doctor"}, {"turn": 18, "text": "哦，谢谢您", "role": "patient"}, {"turn": 19, "text": "不客气您，😊😊", "role": "doctor"}, {"turn": 20, "text": "谢谢蒋医生，好评", "role": "patient"}, {"turn": 21, "text": "😊😊😊十分感谢，祝早日康复哦，💝💝💝", "role": "doctor"}, {"turn": 22, "text": "蒋医生我白天晚上睡觉都会做梦，和耳鸣有关系吗？", "role": "patient"}, {"turn": 23, "text": "耳鸣的本质是循环不好，如果入院输液的话，输的液你会发现跟脑血栓之类的药差不多，耳鸣造成的病因有很多，熬夜，感冒，等都有可能，所以休息不好，也是一个因素", "role": "doctor"}, {"turn": 24, "text": "哦，好的，谢谢您", "role": "patient"}, {"turn": 25, "text": "😊不客气您😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1130, "thread": [{"turn": 0, "text": "60岁的男性咳嗽一边头痛（男，63岁）", "role": "patient"}, {"turn": 1, "text": "请问您这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "我爸爸说昨天开始的", "role": "patient"}, {"turn": 3, "text": "我问他是不是着凉感冒了，他自己又说没有，就是一咳嗽，右边头就很痛", "role": "patient"}, {"turn": 4, "text": "平时有什么基础疾病吗？比如高血压，脑梗塞等等这些个。", "role": "doctor"}, {"turn": 5, "text": "血压正常的，脑梗塞也没有，我爸单位刚做的体检", "role": "patient"}, {"turn": 6, "text": "那您需要给监测一下体温，这个季节属于感冒，尤其是流感的多发季节，要警惕这些情况。", "role": "doctor"}, {"turn": 7, "text": "请给监测一下血压。注意头痛时的血压变化。", "role": "doctor"}, {"turn": 8, "text": "那如果去医院挂号的话，挂什么科合适呢？", "role": "patient"}, {"turn": 9, "text": "如果咳嗽比较持续的话，建议去医院验一下血常规，看看是不是感染性的炎症。", "role": "doctor"}, {"turn": 10, "text": "这种情况您挂普通内科就可以，因为比较综合。", "role": "doctor"}, {"turn": 11, "text": "需要挂个心脑血管看看吗", "role": "patient"}, {"turn": 12, "text": "因为还有咳嗽，咳嗽好像和心脑血管关系不太大，我个人觉得先挂普通内科初筛一下。", "role": "doctor"}, {"turn": 13, "text": "好的，还有，我刚才问了我爸，他说今天头痛的时候我妈给他按了下，他说疼痛感往下移到脸上了，一会儿又好了，这是怎么回事", "role": "patient"}, {"turn": 14, "text": "因为不是按摩专业的医生，尽量还是不要按摩为好。注意观察，如果有疼痛或者其他症状，时有时无的话，一定要及时去医院，夜间可以去急诊。如果您觉得咳嗽不是很厉害，而是头痛和神经系统有关的症状比较明显的话，那不宜耽误，越早越好去医院评估。", "role": "doctor"}, {"turn": 15, "text": "那挂什么科？\n我爸说明早起来头不痛不晕的话就不去看了，老人家有点固执", "role": "patient"}, {"turn": 16, "text": "如果明天白天去的话，我推荐您去普通内科。比较全面的评估病情。\n如果现在夜间去的话，那只能是去医院的急诊内科。", "role": "doctor"}, {"turn": 17, "text": "如果咳嗽的也比较厉害的话，顺便和医生强调一下。", "role": "doctor"}, {"turn": 18, "text": "您明天早晨起床前给量一下血压。", "role": "doctor"}, {"turn": 19, "text": "好的，我爸爸这个情况应该没什么大问题吧", "role": "patient"}, {"turn": 20, "text": "您好，因为看不见叔叔的具体情况，不太好和您说，因为毕竟远程医疗还是有局限性的，请您谅解。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1131, "thread": [{"turn": 0, "text": "鼻子总是只有一个鼻孔通气（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？之前有没有鼻炎？", "role": "doctor"}, {"turn": 2, "text": "有没有伴随打喷嚏，流鼻涕或头痛等症状", "role": "doctor"}, {"turn": 3, "text": "很长时间了，没有检查过有没有鼻炎", "role": "patient"}, {"turn": 4, "text": "感冒的时候会流鼻涕，平时不会", "role": "patient"}, {"turn": 5, "text": "打喷嚏和头疼没有发现", "role": "patient"}, {"turn": 6, "text": "嗯，鼻塞是固定一侧鼻腔还是两侧-出现交替呢？", "role": "doctor"}, {"turn": 7, "text": "两侧交替", "role": "patient"}, {"turn": 8, "text": "白天基本是左侧通，晚上交替", "role": "patient"}, {"turn": 9, "text": "嗯，从症状描述看多考虑是鼻甲肥大，尤其是夜间明显者，出现交替性或往哪侧睡哪侧明显一些", "role": "doctor"}, {"turn": 10, "text": "如果左侧明显一些，也不能排除鼻中隔偏曲的可能", "role": "doctor"}, {"turn": 11, "text": "鼻子上面感觉是有一些歪", "role": "patient"}, {"turn": 12, "text": "是侧卧的时候，哪个鼻孔在上面哪个通气", "role": "patient"}, {"turn": 13, "text": "平躺睡觉睡着睡着就用嘴呼吸了", "role": "patient"}, {"turn": 14, "text": "嗯，那你这种情况还是考虑鼻甲肥大可能性最大", "role": "doctor"}, {"turn": 15, "text": "可以先生理性海水（鼻朗）冲洗鼻腔，内舒拿喷鼻治疗", "role": "doctor"}, {"turn": 16, "text": "一般情况下3.5天就会明显缓解鼻塞症状", "role": "doctor"}, {"turn": 17, "text": "如果症状没有明显缓解，就要到耳鼻喉科门做个鼻内镜检查一下", "role": "doctor"}, {"turn": 18, "text": "鼻朗，内舒拿", "role": "patient"}, {"turn": 19, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 20, "text": "客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1132, "thread": [{"turn": 0, "text": "咳嗽，喉咙有点疼，就鼻涕。（男，38岁）流鼻涕。", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有两天了。", "role": "patient"}, {"turn": 3, "text": "吃药了吗", "role": "doctor"}, {"turn": 4, "text": "还没有！", "role": "patient"}, {"turn": 5, "text": "吃点消炎的药", "role": "doctor"}, {"turn": 6, "text": "青霉素过敏吗", "role": "doctor"}, {"turn": 7, "text": "不会，需要吃什么咳嗽的药吗？", "role": "patient"}, {"turn": 8, "text": "阿莫西林克拉维酸钾，感冒灵颗粒，", "role": "doctor"}, {"turn": 9, "text": "咳嗽有痰吗", "role": "doctor"}, {"turn": 10, "text": "没什么痰！", "role": "patient"}, {"turn": 11, "text": "右美沙芬口服液", "role": "doctor"}, {"turn": 12, "text": "这些药店有卖吗？", "role": "patient"}, {"turn": 13, "text": "有卖的", "role": "doctor"}, {"turn": 14, "text": "好的。谢谢医生！", "role": "patient"}, {"turn": 15, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1133, "thread": [{"turn": 0, "text": "一星期前有过性生活，两三天后出现明明就没尿却频繁想上厕所的症状，小便时尿道口还疼，后来逐渐好转。昨天开始有点腰疼，逐渐加重，昨晚疼得一夜没怎么睡，一使劲就会更疼，像是肌肉在疼，但是不仅仅是在背部后面按压疼，肚子这面右方按压也会疼，不清楚是肾疼还是腰疼。这几天白带也比较多，颜色发黄，没什么异味（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好！以前有过这种情况吗？", "role": "doctor"}, {"turn": 2, "text": "小便发红吗？体温如何？", "role": "doctor"}, {"turn": 3, "text": "不发红，但我也不怎么喝水，体温37.3。以前没有过，但是在去年十一月份有过一段时间外阴瘙痒，我当时没看它自己好了", "role": "patient"}, {"turn": 4, "text": "哦，目前症状考虑急性尿道炎", "role": "doctor"}, {"turn": 5, "text": "需要尽快去泌尿外科查尿常规。", "role": "doctor"}, {"turn": 6, "text": "需要注意  （1） 注意个人卫生；  （2） 日常生活中多饮水，每日至少2000ml，注意休息，避免过度劳累；  （3） 适当锻炼，增加抵抗力；少吃辛辣，忌憋尿  （4） 性生活后及时排尿，平时性生活不能过度。", "role": "doctor"}, {"turn": 7, "text": "急性尿道炎会引起腰痛吗，我这是腰痛还是肾痛", "role": "patient"}, {"turn": 8, "text": "可以的", "role": "doctor"}, {"turn": 9, "text": "需要当面查体才能分辨的", "role": "doctor"}, {"turn": 10, "text": "会不会是淋病啊，怪吓人的，感觉症状差不多", "role": "patient"}, {"turn": 11, "text": "不是的，", "role": "doctor"}, {"turn": 12, "text": "有个叫非淋菌性尿道炎，感觉症状差不多哇", "role": "patient"}, {"turn": 13, "text": "医生我刚刚发现我小便发红了！！！", "role": "patient"}, {"turn": 14, "text": "那个是血吗", "role": "patient"}, {"turn": 15, "text": "嗯，八成是的。尽快去查吧，", "role": "doctor"}, {"turn": 16, "text": "就是这个吗，这个和淋病一样吗，还是这个就叫急性尿道炎", "role": "patient"}, {"turn": 17, "text": "这些都属于急性尿道炎的范围", "role": "doctor"}, {"turn": 18, "text": "淋病是不是很难治啊，可我也没有滥交啊，为什么还会有", "role": "patient"}, {"turn": 19, "text": "你的不考虑淋病，", "role": "doctor"}, {"turn": 20, "text": "即使淋病也可以根治的。", "role": "doctor"}, {"turn": 21, "text": "先按前面说的做吧，", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢医生，那我是挂泌尿科吗", "role": "patient"}, {"turn": 23, "text": "我的分泌物是偏黄色的啊！！！会不会不是非淋菌啊！枯了", "role": "patient"}, {"turn": 24, "text": "黄色不是绝对的", "role": "doctor"}, {"turn": 25, "text": "好，只要不是淋病就行，我的伴侣他说他没有任何问题，也没症状，会是潜伏期吗，这个一定是他传染给我的吗", "role": "patient"}, {"turn": 26, "text": "没有这种推论的", "role": "doctor"}, {"turn": 27, "text": "我不喝水会导致一个肾萎缩到看不见吗，医生检查说我没有左肾", "role": "patient"}, {"turn": 28, "text": "不会的，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1134, "thread": [{"turn": 0, "text": "你好，我体检幽门螺旋杆菌阳性，请问怎么治疗呀（女，40岁）", "role": "patient"}, {"turn": 1, "text": "你好根除幽门螺杆菌是有指征的，一般来讲，如果有长期的上腹部不适，包括上腹痛，腹胀，恶心，呕吐，反酸烧心等等。或者有上消化道恶性肿瘤家族史，可以根除幽门螺杆菌治疗，如果平时胃部一点症状没有，那可以不管它。", "role": "doctor"}, {"turn": 2, "text": "做过胃镜，好像是有反流性胃炎", "role": "patient"}, {"turn": 3, "text": "其他还好", "role": "patient"}, {"turn": 4, "text": "没有遗传", "role": "patient"}, {"turn": 5, "text": "反流性食管炎跟幽门螺杆菌没有什么关系。胃镜什么时候做的？", "role": "doctor"}, {"turn": 6, "text": "上个月", "role": "patient"}, {"turn": 7, "text": "这个不吃药会有传染性吗？", "role": "patient"}, {"turn": 8, "text": "有，一般是通过长期一起吃饭有可能传播。", "role": "doctor"}, {"turn": 9, "text": "所以有时候建议，如果家里有小孩的话，也建议根除治疗。", "role": "doctor"}, {"turn": 10, "text": "怎么治？", "role": "patient"}, {"turn": 11, "text": "吃什么药？", "role": "patient"}, {"turn": 12, "text": "根除幽门螺杆菌，有标准的四联疗法，我把具体的药物发过去。", "role": "doctor"}, {"turn": 13, "text": "雷贝拉唑10mg丽珠得乐220mg 阿莫西林1g克拉霉素0.5g，1日2次， 连服2周，停药1个月，复查呼气实验", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢", "role": "patient"}, {"turn": 15, "text": "其他还有要注意的吗", "role": "patient"}, {"turn": 16, "text": "吃药本身有什么要注意的吗？", "role": "patient"}, {"turn": 17, "text": "一个是丽珠得乐吃完之后大便会变黑，这是正常情况，不用管它，另外一个是个别人吃完两种抗生素之后可能会有一些胃部的不适，如果能耐受就继续吃，如果不耐受就别吃了。", "role": "doctor"}, {"turn": 18, "text": "好", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1135, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：希爱力影响生育吗（男，30岁）", "role": "patient"}, {"turn": 1, "text": "希爱力是不影响精液质量的，也不影响怀孕，不用担心。", "role": "doctor"}, {"turn": 2, "text": "我30岁能不能用啊", "role": "patient"}, {"turn": 3, "text": "可以用", "role": "doctor"}, {"turn": 4, "text": "之前去男科医院治疗也吃了一些药发现效果不明显", "role": "patient"}, {"turn": 5, "text": "是不是要到3甲医院检查一下吗？？", "role": "patient"}, {"turn": 6, "text": "可以先用这种药物试试，效果不好了再去检查。", "role": "doctor"}, {"turn": 7, "text": "友情提示：一定要到正规公立医院就诊，不要到民营医院，或专科医院，或男科医院，谨防上当受骗！！！", "role": "doctor"}, {"turn": 8, "text": "我现在阳痿就是手淫多了戒掉能慢慢恢复吗", "role": "patient"}, {"turn": 9, "text": "可以", "role": "doctor"}, {"turn": 10, "text": "那要多久的时间呢", "role": "patient"}, {"turn": 11, "text": "一般都需要1~2个月才能恢复。", "role": "doctor"}, {"turn": 12, "text": "我都戒了3个多月了感觉不太明显啊", "role": "patient"}, {"turn": 13, "text": "配合药物治疗", "role": "doctor"}, {"turn": 14, "text": "那吃点什么药好呢", "role": "patient"}, {"turn": 15, "text": "可以口服疏肝益阳胶囊配合金戈", "role": "doctor"}, {"turn": 16, "text": "之前我就吃的疏肝益阳胶囊", "role": "patient"}, {"turn": 17, "text": "效果不好可以换成复方玄驹胶囊", "role": "doctor"}, {"turn": 18, "text": "嗯金戈和希爱力差不多效果吗", "role": "patient"}, {"turn": 19, "text": "都可以", "role": "doctor"}, {"turn": 20, "text": "如果没用就到医院去检查吗", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "先治疗一段时间看看吧，这种疾病属于功性疾病，恢复比较慢。", "role": "doctor"}, {"turn": 23, "text": "唉那金戈对治疗也有效果？", "role": "patient"}, {"turn": 24, "text": "有治疗效果。", "role": "doctor"}, {"turn": 25, "text": "总比阳痿强，治疗心理性阳痿还是首选药物。", "role": "doctor"}, {"turn": 26, "text": "正常药店都能买到吧一般价格多少啊", "role": "patient"}, {"turn": 27, "text": "一般药店都有卖的一片四十块钱左右", "role": "doctor"}, {"turn": 28, "text": "如果说要孩子没有影响吧", "role": "patient"}, {"turn": 29, "text": "不影响", "role": "doctor"}, {"turn": 30, "text": "嗯谢谢", "role": "patient"}, {"turn": 31, "text": "我这个情况戒掉手淫以后会时间长了总会慢慢恢复的吧", "role": "patient"}, {"turn": 32, "text": "可以", "role": "doctor"}, {"turn": 33, "text": "嗯就是可能恢复慢点是吧", "role": "patient"}, {"turn": 34, "text": "是的", "role": "doctor"}, {"turn": 35, "text": "嗯知道了谢谢你了医生", "role": "patient"}, {"turn": 36, "text": "?", "role": "doctor"}, {"turn": 37, "text": "那个金戈我买了6颗一次吃一颗吗", "role": "patient"}, {"turn": 38, "text": "是的", "role": "doctor"}, {"turn": 39, "text": "同房前半小时口服", "role": "doctor"}, {"turn": 40, "text": "嗯谢谢", "role": "patient"}, {"turn": 41, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1136, "thread": [{"turn": 0, "text": "便秘肠胃消化不良睡眠不好脸上长斑（女，37岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "几年了", "role": "patient"}, {"turn": 3, "text": "平时饮食结构如何？", "role": "doctor"}, {"turn": 4, "text": "十饮食都很规律自己知道自己消化不好就吃得很清淡", "role": "patient"}, {"turn": 5, "text": "生冷硬的东西都不敢吃吃了胃会不舒服", "role": "patient"}, {"turn": 6, "text": "用过药物吗？", "role": "doctor"}, {"turn": 7, "text": "没有用过药只是便秘的时候偶尔会用一下开塞露", "role": "patient"}, {"turn": 8, "text": "大便几天一次呢", "role": "doctor"}, {"turn": 9, "text": "睡眠不好是指一天睡几个小时呢", "role": "doctor"}, {"turn": 10, "text": "每天一次", "role": "patient"}, {"turn": 11, "text": "很难解", "role": "patient"}, {"turn": 12, "text": "睡眠不好是一睡觉就做梦", "role": "patient"}, {"turn": 13, "text": "做梦多不是睡眠不好的表现呢，睡眠不好是入睡困难，早醒，睡眠不足6个小时", "role": "doctor"}, {"turn": 14, "text": "如果大便很难解的话，可以吃一点凉的东西，可以吃火龙果，香蕉等水果，还可以吃燕麦粗粮类的食物帮助排便", "role": "doctor"}, {"turn": 15, "text": "我要很晚才睡的着早了就睡不着", "role": "patient"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "那可能跟你睡眠周期有关系，习惯了比较晚睡，没关系，只要保持每天6个小时睡眠就可以了，白天不要睡太久，最多睡半个小时就可以了，这样晚上更好睡着。另外平时注意防晒，预防长斑，多补水", "role": "doctor"}, {"turn": 18, "text": "谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1137, "thread": [{"turn": 0, "text": "一岁小孩流鼻涕咳嗽,瞌睡多什么原因（男，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有几天了呢？", "role": "doctor"}, {"turn": 2, "text": "医生，是这种情况，我家孩子一岁三个月，白天就是手和头有点热，然后给吃了点小孩感冒药，那时候量体温是37.5℃，结果在晚上10点20的时候发现孩子特别烧，量体温39.5℃，赶紧给上了一个屁股退烧药，喝了点温水，现在温度还是39℃，怎么办？", "role": "patient"}, {"turn": 3, "text": "用不用吃小孩退烧药，还是赶紧去医院，最近几天孩子都挺好的，没有什么状况，家里也没有人感冒。", "role": "patient"}, {"turn": 4, "text": "温水擦浴，多喂水，贴退热贴", "role": "doctor"}, {"turn": 5, "text": "再过两个小时还是不退，就可以用小孩的退热药。", "role": "doctor"}, {"turn": 6, "text": "孩子这种状况是什么原因造成的，刚刚量的温度是38.1℃，体温是下来了，今晚会不会反复？", "role": "patient"}, {"turn": 7, "text": "有可能反复", "role": "doctor"}, {"turn": 8, "text": "病毒感染引起的", "role": "doctor"}, {"turn": 9, "text": "现在我该怎么做？这种突然的情况会不会经常出现？", "role": "patient"}, {"turn": 10, "text": "抗病毒治疗一下", "role": "doctor"}, {"turn": 11, "text": "就会好的", "role": "doctor"}, {"turn": 12, "text": "会持续多长时间？我该给孩子用什么药？", "role": "patient"}, {"turn": 13, "text": "可以用小儿热速清", "role": "doctor"}, {"turn": 14, "text": "奥司他韦", "role": "doctor"}, {"turn": 15, "text": "4-7天", "role": "doctor"}, {"turn": 16, "text": "这是小的，大的五岁半，会不会传染，两个孩子在一个房子睡觉。", "role": "patient"}, {"turn": 17, "text": "会", "role": "doctor"}, {"turn": 18, "text": "隔离开", "role": "doctor"}, {"turn": 19, "text": "现在就隔离开吗？用不用给大的吃点药预防一下？", "role": "patient"}, {"turn": 20, "text": "隔离开", "role": "doctor"}, {"turn": 21, "text": "可以喂一点四季抗病毒", "role": "doctor"}, {"turn": 22, "text": "今天两个孩子都没出门，怎么会感染？这种情况我该怎么预防？还有，孩子在吃的方面有什么注意的吗？我问得是主食和水果？", "role": "patient"}, {"turn": 23, "text": "最近流行，家里也有", "role": "doctor"}, {"turn": 24, "text": "粥，面条，普通苹果梨水果", "role": "doctor"}, {"turn": 25, "text": "这些都可以吃吗？谢谢你了！", "role": "patient"}, {"turn": 26, "text": "可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1138, "thread": [{"turn": 0, "text": "你好！小孩眼睛一直痒，医院诊断角膜炎（男，34）各种眼药水都用了，都没用", "role": "patient"}, {"turn": 1, "text": "您好，是结膜炎还是角膜炎呢", "role": "doctor"}, {"turn": 2, "text": "角膜炎主要症状不是痒的", "role": "doctor"}, {"turn": 3, "text": "那就是结膜炎", "role": "patient"}, {"turn": 4, "text": "上海华山医院开的消炎药水也没用", "role": "patient"}, {"turn": 5, "text": "哦，孩子有过敏性鼻炎吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "除了痒，眼睛红有分泌物吗", "role": "doctor"}, {"turn": 8, "text": "现在还流眼泪", "role": "patient"}, {"turn": 9, "text": "眼睛红，有分泌物吗", "role": "doctor"}, {"turn": 10, "text": "没有分泌物", "role": "patient"}, {"turn": 11, "text": "那过敏性结膜炎的可能性比较大，要用抗过敏的，普通的消炎药不管用", "role": "doctor"}, {"turn": 12, "text": "用的小牛", "role": "patient"}, {"turn": 13, "text": "还有吗", "role": "doctor"}, {"turn": 14, "text": "抗过敏也用的", "role": "patient"}, {"turn": 15, "text": "奈敏维吗", "role": "doctor"}, {"turn": 16, "text": "这个效果不好", "role": "doctor"}, {"turn": 17, "text": "奥洛他定滴眼液一天两次，这个效果好", "role": "doctor"}, {"turn": 18, "text": "用了好多抗过敏药", "role": "patient"}, {"turn": 19, "text": "也用过啦", "role": "patient"}, {"turn": 20, "text": "抗过敏药用了也没用", "role": "patient"}, {"turn": 21, "text": "好多都是那几种呀", "role": "doctor"}, {"turn": 22, "text": "奥洛他定用过吗", "role": "doctor"}, {"turn": 23, "text": "没有用过", "role": "patient"}, {"turn": 24, "text": "可以在京东购买吗，94一瓶", "role": "patient"}, {"turn": 25, "text": "是的", "role": "doctor"}, {"turn": 26, "text": "还需要其他药吗", "role": "patient"}, {"turn": 27, "text": "小牛还需要用吗", "role": "patient"}, {"turn": 28, "text": "小牛就是可以不用的", "role": "doctor"}, {"turn": 29, "text": "只用一种吗", "role": "patient"}, {"turn": 30, "text": "先用一种，可以配合玻璃酸钠滴眼液，", "role": "doctor"}, {"turn": 31, "text": "也可以先不用也行", "role": "doctor"}, {"turn": 32, "text": "京东可以购买吗", "role": "patient"}, {"turn": 33, "text": "这我可不知道。", "role": "doctor"}, {"turn": 34, "text": "我们这边医院没有那种药", "role": "patient"}, {"turn": 35, "text": "网上应该有", "role": "doctor"}, {"turn": 36, "text": "在网上哪一家买比较放心呢", "role": "patient"}, {"turn": 37, "text": "呵呵，这我就不知道了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1139, "thread": [{"turn": 0, "text": "女性脾虚，气虚，怎么调理（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你答疑！", "role": "doctor"}, {"turn": 2, "text": "可以考虑中医中药调理！", "role": "doctor"}, {"turn": 3, "text": "怎么调理？", "role": "patient"}, {"turn": 4, "text": "可用健脾丸！", "role": "doctor"}, {"turn": 5, "text": "是不是人参健脾丸", "role": "patient"}, {"turn": 6, "text": "是的！吃过吗？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "有没有其他食谱之类的来调理吗？", "role": "patient"}, {"turn": 9, "text": "没有呢！", "role": "doctor"}, {"turn": 10, "text": "注意休息及清淡营养饮食，有利于身体健康！", "role": "doctor"}, {"turn": 11, "text": "怀山百合莲子汤可不可以呢？", "role": "patient"}, {"turn": 12, "text": "不行的！", "role": "doctor"}, {"turn": 13, "text": "为什么", "role": "patient"}, {"turn": 14, "text": "能不能说一下他的主要功效？", "role": "patient"}, {"turn": 15, "text": "淮山莲子百合主要是清热养阴的！", "role": "doctor"}, {"turn": 16, "text": "好吧", "role": "patient"}, {"turn": 17, "text": "嗯！", "role": "doctor"}, {"turn": 18, "text": "针对本次问诊，医生更新了总结建议：可以考虑中医中药调理！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1140, "thread": [{"turn": 0, "text": "幽门螺旋杆菌对胃影响大吗（女，39岁）", "role": "patient"}, {"turn": 1, "text": "您好，这个要看幽门螺旋杆菌感染的严不严重的", "role": "doctor"}, {"turn": 2, "text": "五十多严重吗", "role": "patient"}, {"turn": 3, "text": "您做的是C13还是14呢", "role": "doctor"}, {"turn": 4, "text": "不知道", "role": "patient"}, {"turn": 5, "text": "是我老公", "role": "patient"}, {"turn": 6, "text": "嗯嗯", "role": "doctor"}, {"turn": 7, "text": "这两个有什么区别", "role": "patient"}, {"turn": 8, "text": "那您把检查结果发给我看看吧", "role": "doctor"}, {"turn": 9, "text": "两者不一样的范围", "role": "doctor"}, {"turn": 10, "text": "我现在没有呢，反正他的是能测出数量的", "role": "patient"}, {"turn": 11, "text": "都能测出的", "role": "doctor"}, {"turn": 12, "text": "之前年初测还只是三十多，上个月测变成五十多", "role": "patient"}, {"turn": 13, "text": "嗯嗯，这个要看结果", "role": "doctor"}, {"turn": 14, "text": "测法有区别吗，他好像是先吹一次，半小时后吹第二次", "role": "patient"}, {"turn": 15, "text": "一样的吹法", "role": "doctor"}, {"turn": 16, "text": "问题是我吃了他吃过的芝麻酱不知道会不会被传染", "role": "patient"}, {"turn": 17, "text": "这个一般不会。您把他的结果给我看看吧", "role": "doctor"}, {"turn": 18, "text": "让他吃药他也不吃", "role": "patient"}, {"turn": 19, "text": "嗯嗯", "role": "doctor"}, {"turn": 20, "text": "现在没有他检查报告", "role": "patient"}, {"turn": 21, "text": "要根据结果来", "role": "doctor"}, {"turn": 22, "text": "那等您有再发给我看看吧", "role": "doctor"}, {"turn": 23, "text": "他吃过的芝麻酱放冰箱里，我还以为用公筷，我就去吃了", "role": "patient"}, {"turn": 24, "text": "那不会传染的", "role": "doctor"}, {"turn": 25, "text": "别担心", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}, {"turn": 27, "text": "嗯", "role": "doctor"}, {"turn": 28, "text": "他没用公筷", "role": "patient"}, {"turn": 29, "text": "直接吃的", "role": "patient"}, {"turn": 30, "text": "没事", "role": "doctor"}, {"turn": 31, "text": "一般不会", "role": "doctor"}, {"turn": 32, "text": "他这方面不注意", "role": "patient"}, {"turn": 33, "text": "这个如果阳性要注意", "role": "doctor"}, {"turn": 34, "text": "嗯，我到时候向他要发你看看", "role": "patient"}, {"turn": 35, "text": "嗯嗯。好的", "role": "doctor"}, {"turn": 36, "text": "他就是阳性", "role": "patient"}, {"turn": 37, "text": "是哪个测法呢", "role": "doctor"}, {"turn": 38, "text": "超出50多", "role": "patient"}, {"turn": 39, "text": "我之前17年也感染过，后来吃药好了，但我胃一直不好", "role": "patient"}, {"turn": 40, "text": "嗯嗯", "role": "doctor"}, {"turn": 41, "text": "有可能是您传染给他的", "role": "doctor"}, {"turn": 42, "text": "哪个测法，测的结果回头跟他要发你", "role": "patient"}, {"turn": 43, "text": "好的好的", "role": "doctor"}, {"turn": 44, "text": "我17年还没跟他一起，是他家人", "role": "patient"}, {"turn": 45, "text": "等您的结果", "role": "doctor"}, {"turn": 46, "text": "好吧", "role": "doctor"}, {"turn": 47, "text": "我以为在一起了", "role": "doctor"}, {"turn": 48, "text": "嗯", "role": "patient"}, {"turn": 49, "text": "好的，您到时候记得发给我看看啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1141, "thread": [{"turn": 0, "text": "新生儿消化不良妈妈可以吃益生菌吗（女，35岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多长时间？妈妈可以吃益生菌，但是对宝宝消化不良帮助不大。", "role": "doctor"}, {"turn": 2, "text": "宝宝20天了，一放屁或使劲就带屎水，有十几天了", "role": "patient"}, {"turn": 3, "text": "这两天偶尔还有吐奶", "role": "patient"}, {"turn": 4, "text": "这种情况可以给宝宝吃益生菌调节一下肠道功能，妈妈吃益生菌没有什么作用。", "role": "doctor"}, {"turn": 5, "text": "36周早产，和早产有关系吗", "role": "patient"}, {"turn": 6, "text": "和早产没有关系，通常宝宝生后一个月左右会有一段时间生理性腹泻，吃奶好，体重增长也好就不需要太担心", "role": "doctor"}, {"turn": 7, "text": "宝爸买的安琪～纽特益生菌可以给小孩吃吗", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "按说明吃，一次也吃一包吗", "role": "patient"}, {"turn": 10, "text": "可以的", "role": "doctor"}, {"turn": 11, "text": "小宝这两天红屁股了 请问有什么药膏可以修护，能推荐下吗", "role": "patient"}, {"turn": 12, "text": "嗯嗯", "role": "patient"}, {"turn": 13, "text": "氧化锌软膏就可以，或者日本的无比滴的湿疹膏也可以", "role": "doctor"}, {"turn": 14, "text": "好的～谢谢陈医生", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1142, "thread": [{"turn": 0, "text": "混合型耳聋能治吗？我今年二十八了（男，28）", "role": "patient"}, {"turn": 1, "text": "受过伤还是中耳炎引起的传导性聋？", "role": "doctor"}, {"turn": 2, "text": "没有，带有神经性的", "role": "patient"}, {"turn": 3, "text": "蹬骨发育不好", "role": "patient"}, {"turn": 4, "text": "耳蜗发育正常吗？", "role": "doctor"}, {"turn": 5, "text": "正常的", "role": "patient"}, {"turn": 6, "text": "就是听骨链发育不好", "role": "patient"}, {"turn": 7, "text": "到医院看看适不适合做人工听骨手术", "role": "doctor"}, {"turn": 8, "text": "而且还带神经性的，这部分能解决了吗？", "role": "patient"}, {"turn": 9, "text": "这个就很难了。", "role": "doctor"}, {"turn": 10, "text": "哦，如果把传导性治了，75分贝的能不能恢复多少分贝了？", "role": "patient"}, {"turn": 11, "text": "30分贝吧", "role": "doctor"}, {"turn": 12, "text": "但也要根据神经性的程度", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "我到山西省人民医院看了，他说不用治了。治完了还是一样的", "role": "patient"}, {"turn": 15, "text": "那有可能神经性耳聋比较重", "role": "doctor"}, {"turn": 16, "text": "哦，估计是吧", "role": "patient"}, {"turn": 17, "text": "如果有听力图可以传上来", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "我回去找找", "role": "patient"}, {"turn": 20, "text": "有病例了", "role": "patient"}, {"turn": 21, "text": "穿上来", "role": "doctor"}, {"turn": 22, "text": "恩，晚上八点下班回去就弄", "role": "patient"}, {"turn": 23, "text": "谢谢范大夫", "role": "patient"}, {"turn": 24, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1143, "thread": [{"turn": 0, "text": "2个月宝宝消化不良怎么调整自愈（女，2个月）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "孩子目前有什么症状？", "role": "doctor"}, {"turn": 3, "text": "您号", "role": "patient"}, {"turn": 4, "text": "您好", "role": "patient"}, {"turn": 5, "text": "就是吐奶有点严重", "role": "patient"}, {"turn": 6, "text": "可以口服益生菌调节一下肠道菌群。", "role": "doctor"}, {"turn": 7, "text": "如妈咪爱或者思连康", "role": "doctor"}, {"turn": 8, "text": "11号打的脊灰疫苗.11号开始吐奶.到晚上7点左右就开始了.第一天是直接喷奶.今天也是.一天一次大便.今天还没有大便", "role": "patient"}, {"turn": 9, "text": "我们在吃益生菌.", "role": "patient"}, {"turn": 10, "text": "合生元的益生菌可以吗？", "role": "patient"}, {"turn": 11, "text": "那是保健品", "role": "doctor"}, {"turn": 12, "text": "建议还是应用以上两种", "role": "doctor"}, {"turn": 13, "text": "用妈咪爱吧", "role": "patient"}, {"turn": 14, "text": "积食和消化不良有啥区别呢", "role": "patient"}, {"turn": 15, "text": "积食属于消化不良的一种", "role": "doctor"}, {"turn": 16, "text": "好的非常感谢您", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1144, "thread": [{"turn": 0, "text": "幽门螺旋杆菌阳性HP值2896严重吗（女，40岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问有做胃镜吗？", "role": "doctor"}, {"turn": 2, "text": "没有，只是做了体检碳14呼吸实验", "role": "patient"}, {"turn": 3, "text": "你好，你平时有什么症状？", "role": "doctor"}, {"turn": 4, "text": "没什么症状，就是爱打嗝", "role": "patient"}, {"turn": 5, "text": "你好，我的建议你最好做一个胃镜检查。", "role": "doctor"}, {"turn": 6, "text": "如果不想做胃镜，可以先吃药根治幽门螺杆菌", "role": "doctor"}, {"turn": 7, "text": "标准值多少", "role": "patient"}, {"turn": 8, "text": "可以吃的药有什么", "role": "patient"}, {"turn": 9, "text": "奥美拉唑，枸橼酸铋钾，阿莫西林，克林霉素", "role": "doctor"}, {"turn": 10, "text": "这几个一起吃，吃两周，是根治幽门螺杆菌嗯方法", "role": "doctor"}, {"turn": 11, "text": "严重吗", "role": "patient"}, {"turn": 12, "text": "不严重", "role": "doctor"}, {"turn": 13, "text": "好的谢谢", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1145, "thread": [{"turn": 0, "text": "落枕会不会引起耳鸣，（男，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，落枕主要是肌肉痉挛，一般来说是不会引起耳鸣的", "role": "doctor"}, {"turn": 2, "text": "我这左耳朵一天了跟里面堵了个东西一样", "role": "patient"}, {"turn": 3, "text": "落枕一般晚上都没有睡好，没有睡好倒是有可能会引起耳鸣", "role": "doctor"}, {"turn": 4, "text": "有明显的堵塞感吗", "role": "doctor"}, {"turn": 5, "text": "嗯嗯", "role": "patient"}, {"turn": 6, "text": "有没有听力下降", "role": "doctor"}, {"turn": 7, "text": "就是听不清楚，有声音大的时候耳朵里就跟敲鼓一样", "role": "patient"}, {"turn": 8, "text": "那这种肯定不是落枕引起的，不过您这种症状可能性较多", "role": "doctor"}, {"turn": 9, "text": "？没懂", "role": "patient"}, {"turn": 10, "text": "临床常见的有咽鼓管功能不良，分泌性中耳炎，有些甚至仅仅就是外耳道有耳屎堵住了。", "role": "doctor"}, {"turn": 11, "text": "这怎么能好？", "role": "patient"}, {"turn": 12, "text": "我这嚼口香糖都不好使", "role": "patient"}, {"turn": 13, "text": "首先应该明确具体的病因，耵聍栓塞需要清理外耳道", "role": "doctor"}, {"turn": 14, "text": "咽鼓管功能不良倒是可以嚼口香糖，严重的话需要鼻腔局部喷药。", "role": "doctor"}, {"turn": 15, "text": "咽鼓管吹张治疗", "role": "doctor"}, {"turn": 16, "text": "好吧", "role": "patient"}, {"turn": 17, "text": "如果耳朵里面有东西堵了，嚼口香糖也不管用啊。", "role": "doctor"}, {"turn": 18, "text": "不会堵吧，我自己掏着没啥东西啊", "role": "patient"}, {"turn": 19, "text": "深处堵塞自己根本掏不到，我们上门诊也经常遇到，自己说挖耳朵什么都没有，结果一看耳朵里面都堵满了。", "role": "doctor"}, {"turn": 20, "text": "只是说有有这种可能性，并不是说你一定就是这种情况。", "role": "doctor"}, {"turn": 21, "text": "好吧一会去耳鼻喉科去看看去", "role": "patient"}, {"turn": 22, "text": "好的，这种首先就应该看一下有没有东西，如果没有的话，那就要重点考虑咽鼓管功能不良或者分泌性中耳炎。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1146, "thread": [{"turn": 0, "text": "为什么晚上咳嗽特别严重 白天基本不咳嗽（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，晚上迷走神经兴奋，支气管平滑肌会生理性收缩，所以咳嗽可能就会加重", "role": "doctor"}, {"turn": 2, "text": "你咳嗽有没有痰？", "role": "doctor"}, {"turn": 3, "text": "另外咳嗽有没有喘的情况？", "role": "doctor"}, {"turn": 4, "text": "有痰  嗓子齁齁的响那种", "role": "patient"}, {"turn": 5, "text": "你平时吸入冷空气或者油烟等刺激性气体有没有容易咳嗽的情况？", "role": "doctor"}, {"turn": 6, "text": "另外现在咳嗽有没有喘的情况？", "role": "doctor"}, {"turn": 7, "text": "有点喘", "role": "patient"}, {"turn": 8, "text": "这个我没咋注意", "role": "patient"}, {"turn": 9, "text": "嗯，你现在除了晚上咳嗽严重还有没有别的症状？", "role": "doctor"}, {"turn": 10, "text": "呕吐 严重了就会吐", "role": "patient"}, {"turn": 11, "text": "刚才刚吐完", "role": "patient"}, {"turn": 12, "text": "你这种情况有多少天了？有没有自己吃什么药物治疗？", "role": "doctor"}, {"turn": 13, "text": "晚上咳嗽有好两个月左右了 吃了好多药 也去医院看了 医生开的药 刚开始吃的话是有点管用 后来就没什么用了", "role": "patient"}, {"turn": 14, "text": "你吃的什么药？", "role": "doctor"}, {"turn": 15, "text": "我帮你看一下", "role": "doctor"}, {"turn": 16, "text": "我忘了 不管用我就不吃了", "role": "patient"}, {"turn": 17, "text": "那我给你推荐两个药", "role": "doctor"}, {"turn": 18, "text": "复方甲氧那明胶囊，口服，一次两粒，一天三次\n孟鲁司特钠片，口服，每晚吃一片（10mg）", "role": "doctor"}, {"turn": 19, "text": "这两个药按时口服一周后可以找我复诊", "role": "doctor"}, {"turn": 20, "text": "吃药的同时多喝点热水好的快一些，近期不要吃辛辣刺激性以及生冷的食物，忌烟酒", "role": "doctor"}, {"turn": 21, "text": "好的 那我在药店就可以买到的是吧", "role": "patient"}, {"turn": 22, "text": "好的 谢谢医生", "role": "patient"}, {"turn": 23, "text": "是的，去大点的药店买，一般药店可能不好买", "role": "doctor"}, {"turn": 24, "text": "不客气的", "role": "doctor"}, {"turn": 25, "text": "你的这种情况肯定能治好", "role": "doctor"}, {"turn": 26, "text": "嗯嗯 好的 谢谢", "role": "patient"}, {"turn": 27, "text": "吃药不起作用应该就是你吃的药不是很对症", "role": "doctor"}, {"turn": 28, "text": "祝你能够早日康复，身体健康💐💐💐", "role": "doctor"}, {"turn": 29, "text": "时间也不早了，那你也早点休息", "role": "doctor"}, {"turn": 30, "text": "我也休息了，明天还得正常上班😊", "role": "doctor"}, {"turn": 31, "text": "好的 谢谢您了 辛苦了 早点休息", "role": "patient"}, {"turn": 32, "text": "不客气的😊", "role": "doctor"}, {"turn": 33, "text": "明天有什么问题留言给我就行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1147, "thread": [{"turn": 0, "text": "散光150的孩子能测出视力1.0吗（男，6岁）", "role": "patient"}, {"turn": 1, "text": "你好，验光结果是什么？", "role": "doctor"}, {"turn": 2, "text": "说散光100和150先天的", "role": "patient"}, {"turn": 3, "text": "有的孩子调节能力强，视力可能影响不大", "role": "doctor"}, {"turn": 4, "text": "是电脑验的还是在医院验的", "role": "doctor"}, {"turn": 5, "text": "可是前两天学校检查视力是1.0。我怎么觉得散光的孩子是看不到1.0的视力表呢？", "role": "patient"}, {"turn": 6, "text": "散光是医院仪器测的我", "role": "patient"}, {"turn": 7, "text": "电脑结果一般只能做参考", "role": "doctor"}, {"turn": 8, "text": "视力是学校看视力表测的", "role": "patient"}, {"turn": 9, "text": "把单子发过来", "role": "doctor"}, {"turn": 10, "text": "最好去医院检查一下", "role": "doctor"}, {"turn": 11, "text": "那我要回家找找。是不是我孩子很可能没有先天性散光？", "role": "patient"}, {"turn": 12, "text": "不好说，具体要验光才知道", "role": "doctor"}, {"turn": 13, "text": "散光150可以看清1.0的视力表吗？", "role": "patient"}, {"turn": 14, "text": "有这个可能", "role": "doctor"}, {"turn": 15, "text": "好吧", "role": "patient"}, {"turn": 16, "text": "建议最好到医院进一步检查确诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1148, "thread": [{"turn": 0, "text": "18岁男孩不便秘大便拉血,（男，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答疑问。请问孩子大便多久没解了？血是鲜红色的吗？多不多呢？", "role": "doctor"}, {"turn": 2, "text": "这几天天天解大便", "role": "patient"}, {"turn": 3, "text": "刚刚便血", "role": "patient"}, {"turn": 4, "text": "鲜红的", "role": "patient"}, {"turn": 5, "text": "多", "role": "patient"}, {"turn": 6, "text": "吃什么有颜色的食物没有？最近吃辛辣刺激食物没有呢？大便费力不？肛周疼痛不？", "role": "doctor"}, {"turn": 7, "text": "最近为了能瘦点，天天下午运动，不怎么吃晚饭", "role": "patient"}, {"turn": 8, "text": "肛周不疼", "role": "patient"}, {"turn": 9, "text": "以前出现过这种情况吗？还有没有其他不舒服呢？", "role": "doctor"}, {"turn": 10, "text": "不吃腊", "role": "patient"}, {"turn": 11, "text": "恶心想吐不？胃疼不？", "role": "doctor"}, {"turn": 12, "text": "肛周不疼", "role": "patient"}, {"turn": 13, "text": "大便很顺", "role": "patient"}, {"turn": 14, "text": "昨天有恶心的感觉，今晚大便出血前胃子里有东西的感觉", "role": "patient"}, {"turn": 15, "text": "这种情况建议您去医院检查，害怕消化道出血的，", "role": "doctor"}, {"turn": 16, "text": "不要吃东西", "role": "doctor"}, {"turn": 17, "text": "他不疼", "role": "patient"}, {"turn": 18, "text": "现在什么感觉也没有", "role": "patient"}, {"turn": 19, "text": "如果放心的话，就观察一晚上，看有没有继续便血，吐血，呕吐，胃痛，腹痛，精神萎靡，汗出等，都需要及时去医院的", "role": "doctor"}, {"turn": 20, "text": "觉得胃子里暖暖的", "role": "patient"}, {"turn": 21, "text": "现在", "role": "patient"}, {"turn": 22, "text": "会不会在出血呀", "role": "patient"}, {"turn": 23, "text": "有可能会继续出血，", "role": "doctor"}, {"turn": 24, "text": "等等看吧", "role": "patient"}, {"turn": 25, "text": "我建议有不舒服，及时去医院，毕竟消化道出血是会要命的疾病的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1149, "thread": [{"turn": 0, "text": "感染科，恐艾的厉害，又不敢去（女，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，情况具体说一下，帮您分析一下，", "role": "doctor"}, {"turn": 2, "text": "有个男友有过2次性行为", "role": "patient"}, {"turn": 3, "text": "这段时间老演这个艾滋病宣传，我就害怕", "role": "patient"}, {"turn": 4, "text": "就这些吗？这很正常啊，怎么会考虑艾滋病呢？", "role": "doctor"}, {"turn": 5, "text": "他后背有几个痘痘，他看大夫说什么熬夜吃烧烤弄的什么油脂分泌旺盛，但是他老出差，我就怕他外面传染什么东西", "role": "patient"}, {"turn": 6, "text": "这些都跟艾滋病没有关系，放心吧！", "role": "doctor"}, {"turn": 7, "text": "压力很大，不敢去查", "role": "patient"}, {"turn": 8, "text": "是你想多了，艾滋病的发病率很低的，放轻松，不要胡思乱想了。", "role": "doctor"}, {"turn": 9, "text": "谢谢，我这几天一想就恶心出汗，我还有哮喘，最近特别焦虑", "role": "patient"}, {"turn": 10, "text": "不客气，你现在就有点恐艾症了，不要胡思乱想了。", "role": "doctor"}, {"turn": 11, "text": "用去做个检查吗", "role": "patient"}, {"turn": 12, "text": "我觉得没有必要。", "role": "doctor"}, {"turn": 13, "text": "好，谢谢，如果是会有什么症状吗", "role": "patient"}, {"turn": 14, "text": "我这几天脸上起个痘痘我都害怕", "role": "patient"}, {"turn": 15, "text": "不客气，艾滋病早期没有什么症状的", "role": "doctor"}, {"turn": 16, "text": "如果有多会才会发现", "role": "patient"}, {"turn": 17, "text": "可以接触后6周检测艾滋病抗体", "role": "doctor"}, {"turn": 18, "text": "我不敢去…压力好大", "role": "patient"}, {"turn": 19, "text": "你的情况可以不用查的，放心吧！", "role": "doctor"}, {"turn": 20, "text": "谢谢，我现在好了很多，这几天我老想，觉得我那不舒服都是不是让感染了，睡觉都梦见", "role": "patient"}, {"turn": 21, "text": "不客气，放心吧！", "role": "doctor"}, {"turn": 22, "text": "谢谢", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}, {"turn": 24, "text": "37度1算低烧吗", "role": "patient"}, {"turn": 25, "text": "不算，超过37.2才算", "role": "doctor"}, {"turn": 26, "text": "嗯嗯，我太紧张了", "role": "patient"}, {"turn": 27, "text": "呵呵，放松", "role": "doctor"}, {"turn": 28, "text": "刚才测37.3了", "role": "patient"}, {"turn": 29, "text": "没事的，放心吧！", "role": "doctor"}, {"turn": 30, "text": "试纸准确高吗", "role": "patient"}, {"turn": 31, "text": "嗯，挺高的。", "role": "doctor"}, {"turn": 32, "text": "我可以买点试纸试试", "role": "patient"}, {"turn": 33, "text": "嗯，可以", "role": "doctor"}, {"turn": 34, "text": "这几天偶尔有点咳嗽", "role": "patient"}, {"turn": 35, "text": "跟艾滋病无关", "role": "doctor"}, {"turn": 36, "text": "谢谢，麻烦了你这么久，我自己老怕，我觉得病不死，我会被吓死了", "role": "patient"}, {"turn": 37, "text": "是的，你说的挺对的，没有必要担心的", "role": "doctor"}, {"turn": 38, "text": "最近新闻天天演，看的我害怕了", "role": "patient"}, {"turn": 39, "text": "担心只会吓唬自己，放心吧！", "role": "doctor"}, {"turn": 40, "text": "我这是有点焦虑症了是吗", "role": "patient"}, {"turn": 41, "text": "嗯，有点", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1150, "thread": [{"turn": 0, "text": "脑络通胶囊盐酸氟桂利胶囊蚓激酶肠溶胶囊复方降脂片舒胸颗粒这几种能一起（男，38岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问是治疗什么疾病？", "role": "doctor"}, {"turn": 2, "text": "他说脑供血不足，脑缺氧缺血", "role": "patient"}, {"turn": 3, "text": "这几种药吃起来作用有点重复。", "role": "doctor"}, {"turn": 4, "text": "药有点杂乱。", "role": "doctor"}, {"turn": 5, "text": "不能一起吃吗", "role": "patient"}, {"turn": 6, "text": "你可以吃脑络通胶囊，盐酸氟桂利嗪胶囊，蚓激酶肠溶胶囊，复方降脂片就可以了。", "role": "doctor"}, {"turn": 7, "text": "舒胸颗粒不吃吗", "role": "patient"}, {"turn": 8, "text": "你做过什么检查？", "role": "doctor"}, {"turn": 9, "text": "但是我有颈椎病", "role": "patient"}, {"turn": 10, "text": "这些药是什么医院的大夫给你开的。你吃过吗？感觉效果怎么样？", "role": "doctor"}, {"turn": 11, "text": "我做了检查的头部磁共振，颈椎病磁共振，血管影响，胸部CT", "role": "patient"}, {"turn": 12, "text": "乡镇医院", "role": "patient"}, {"turn": 13, "text": "还没有开吃，今天才开的", "role": "patient"}, {"turn": 14, "text": "这开的药有点太杂乱，作用有些重复。治病简直是药物大包围。", "role": "doctor"}, {"turn": 15, "text": "可以吃不", "role": "patient"}, {"turn": 16, "text": "供血不足一般要吃多就药，他说要吃2个月才有效果", "role": "patient"}, {"turn": 17, "text": "稍等一下！", "role": "doctor"}, {"turn": 18, "text": "可以吃。但是要预防胃肠道反应。就是药物量比较大，对胃肠可能有刺激。", "role": "doctor"}, {"turn": 19, "text": "建议在饭后吃。假如有胃痛，胃胀烧心等不舒服，就要减少药量。", "role": "doctor"}, {"turn": 20, "text": "建议吃的同时要观察，有任何不舒服就要咨询医师。", "role": "doctor"}, {"turn": 21, "text": "我是刘武军医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1151, "thread": [{"turn": 0, "text": "快6个月了，最近晚上睡觉特别不好，不踏实，睡得晚，睡一会就哭闹，怎么回事呢？（女，5个月）", "role": "patient"}, {"turn": 1, "text": "你好", "role": "doctor"}, {"turn": 2, "text": "宝宝汗多不？补鱼肝油与钙没", "role": "doctor"}, {"turn": 3, "text": "没汗，这两天没吃，家里没了，今天刚买的，是缺钙吗？", "role": "patient"}, {"turn": 4, "text": "宝宝要警惕缺钙引起的可能", "role": "doctor"}, {"turn": 5, "text": "宝宝饮食如何？肚子胀不？大便如何？", "role": "doctor"}, {"turn": 6, "text": "除了鱼肝油还补充什么钙呢", "role": "patient"}, {"turn": 7, "text": "大便挺好，也吃米粉了", "role": "patient"}, {"turn": 8, "text": "不象肚子不舒服引起", "role": "doctor"}, {"turn": 9, "text": "补葡萄糖酸钙或佳加钙，乳钙等", "role": "doctor"}, {"turn": 10, "text": "不是肚子，哪里都没有不舒服，白天特别好，就到晚上不踏实睡觉，以前还挺好的，就最近，睡得越来越晚，还不踏实", "role": "patient"}, {"turn": 11, "text": "这么小都能吃吗？", "role": "patient"}, {"turn": 12, "text": "能吃的，水剂的。", "role": "doctor"}, {"turn": 13, "text": "哪个牌子的您推荐下", "role": "patient"}, {"turn": 14, "text": "别我买错了", "role": "patient"}, {"turn": 15, "text": "吃多久呢", "role": "patient"}, {"turn": 16, "text": "牌子不限，里面成分是就行", "role": "doctor"}, {"turn": 17, "text": "行，吃多久呢", "role": "patient"}, {"turn": 18, "text": "一般先吃一周看改善情况", "role": "doctor"}, {"turn": 19, "text": "嗯嗯，好的", "role": "patient"}, {"turn": 20, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1152, "thread": [{"turn": 0, "text": "3个月宝宝5个小时不吃奶怎么办（男，3个月）", "role": "patient"}, {"turn": 1, "text": "这种情况有多久了？有什么诱因吗？", "role": "doctor"}, {"turn": 2, "text": "就最近几天", "role": "patient"}, {"turn": 3, "text": "母乳喂养还是混合喂养？", "role": "doctor"}, {"turn": 4, "text": "5.6个小时吃一次奶", "role": "patient"}, {"turn": 5, "text": "母乳喂养", "role": "patient"}, {"turn": 6, "text": "平时给吃奶就不好好吃，有的时候就吃一点点就不吃了", "role": "patient"}, {"turn": 7, "text": "大便正常吗？体重增长如何", "role": "doctor"}, {"turn": 8, "text": "宝宝最近攒肚子，上次攒了10天，我用肥皂条刺激之后拉了，现在又4天没排便了", "role": "patient"}, {"turn": 9, "text": "体重最近没有量", "role": "patient"}, {"turn": 10, "text": "有湿疹吗？母亲忌口了吗？", "role": "doctor"}, {"turn": 11, "text": "没有湿疹，我在饮食上不吃辛辣的东西", "role": "patient"}, {"turn": 12, "text": "鸡蛋和牛奶也不要吃", "role": "doctor"}, {"turn": 13, "text": "为什么不可以吃呀？", "role": "patient"}, {"turn": 14, "text": "鸡蛋我几乎天天都在吃", "role": "patient"}, {"turn": 15, "text": "容易导致孩子的蛋白质过敏", "role": "doctor"}, {"turn": 16, "text": "哦哦，那宝宝现在这种情况该怎么办啊？", "role": "patient"}, {"turn": 17, "text": "什么原因导致的啊", "role": "patient"}, {"turn": 18, "text": "给他吃点益生菌", "role": "doctor"}, {"turn": 19, "text": "什么牌子的益生菌比较好啊？", "role": "patient"}, {"turn": 20, "text": "布拉氏酵母菌散", "role": "doctor"}, {"turn": 21, "text": "那我家宝宝这种情况是什么原因导致的啊？", "role": "patient"}, {"turn": 22, "text": "过敏体质", "role": "doctor"}, {"turn": 23, "text": "过敏体质会导致不爱吃奶吗？", "role": "patient"}, {"turn": 24, "text": "是的", "role": "doctor"}, {"turn": 25, "text": "之前吃的一直还挺好的啊", "role": "patient"}, {"turn": 26, "text": "这种情况是逐渐出现的", "role": "doctor"}, {"turn": 27, "text": "我之前也吃鸡蛋喝牛奶", "role": "patient"}, {"turn": 28, "text": "这种情况往往要到一定的阶段才逐渐出现", "role": "doctor"}, {"turn": 29, "text": "那我现在就是不吃鸡蛋和牛奶就可以了吗？", "role": "patient"}, {"turn": 30, "text": "对", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1153, "thread": [{"turn": 0, "text": "便秘，每天喝四五千毫升水，吃一个苹果，2个火龙果，很多圣女果。还是便秘，每天排出一点点大便，较为粘稠细细的，容易粘壁。有便意，排不出。（女，27岁）每天步行6000多步。", "role": "patient"}, {"turn": 1, "text": "你好请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "最近几天吧", "role": "patient"}, {"turn": 3, "text": "以前不会吗", "role": "doctor"}, {"turn": 4, "text": "以前也会，一直都便秘，只是最近严重了。", "role": "patient"}, {"turn": 5, "text": "大便多久一次？", "role": "doctor"}, {"turn": 6, "text": "每天一次或两次。", "role": "patient"}, {"turn": 7, "text": "但是老感觉排不尽，排不出。", "role": "patient"}, {"turn": 8, "text": "莫沙必利5mg一天三次.金双歧2g一天三次.聚乙二醇4000散剂一袋一天一次", "role": "doctor"}, {"turn": 9, "text": "吃药调理", "role": "doctor"}, {"turn": 10, "text": "平时运动量要到", "role": "doctor"}, {"turn": 11, "text": "好的，谢谢", "role": "patient"}, {"turn": 12, "text": "一周三次，每次半小时以上跑步，有氧运动！", "role": "doctor"}, {"turn": 13, "text": "一周150分钟以上才是", "role": "doctor"}, {"turn": 14, "text": "嗯嗯，平时只走路了。加上跑步，加强运动。", "role": "patient"}, {"turn": 15, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1154, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：孩子咳嗽喘不过气来（男，10岁）", "role": "patient"}, {"turn": 1, "text": "你好！多长时间了？有其他症状吗", "role": "doctor"}, {"turn": 2, "text": "以前咳嗽厉害，半月前", "role": "patient"}, {"turn": 3, "text": "现在偶尔咳嗽但会喘不过气来", "role": "patient"}, {"turn": 4, "text": "孩子有时候会发出嗝嗝的声音", "role": "patient"}, {"turn": 5, "text": "要是咳嗽，我就建议吃点药了，如果孩子感觉喘不上来气，有呼吸困难的症状，建议你上医院，让医生检查一下，这样对孩子的病情是有好处的", "role": "doctor"}, {"turn": 6, "text": "去过医院查过血，做过雾化，有过过敏", "role": "patient"}, {"turn": 7, "text": "去过，像这种情况应该查什么查不出来", "role": "patient"}, {"turn": 8, "text": "那我建议你现在再把雾化做一次，因为孩子现在有呼吸困难的症状吗，如果缓解观察病情，如果不缓解，立即上医院", "role": "doctor"}, {"turn": 9, "text": "具体检查什么项目", "role": "patient"}, {"turn": 10, "text": "可是一天只有一次呼吸困难的情况", "role": "patient"}, {"turn": 11, "text": "建议做一个肺部的胸片，在让医生根据孩子的病情适当的对症处理，必要时输液治疗", "role": "doctor"}, {"turn": 12, "text": "咳嗽也少", "role": "patient"}, {"turn": 13, "text": "晚上拍不了片子吧", "role": "patient"}, {"turn": 14, "text": "医院晚上都能拍片子", "role": "doctor"}, {"turn": 15, "text": "县里也能吗？", "role": "patient"}, {"turn": 16, "text": "那还用抽血化验啥的吗", "role": "patient"}, {"turn": 17, "text": "血项还用化验吗？", "role": "patient"}, {"turn": 18, "text": "正规的医院都可以检查哦，抽血的话我还是建议再做一个血常规", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1155, "thread": [{"turn": 0, "text": "三个月婴儿晚上咳嗽怎么办（女，25岁）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "开始是干咳，后面感觉好像有点痰", "role": "patient"}, {"turn": 4, "text": "睡着咳嗽比较腻害，", "role": "patient"}, {"turn": 5, "text": "你好，还在吗？", "role": "patient"}, {"turn": 6, "text": "睡着咳嗽比较严重", "role": "patient"}, {"turn": 7, "text": "有没有发热？流鼻涕、打喷嚏吗？", "role": "doctor"}, {"turn": 8, "text": "自己用过什么药物吗？", "role": "doctor"}, {"turn": 9, "text": "不发热，不流鼻涕，有打喷嚏", "role": "patient"}, {"turn": 10, "text": "去医院看医生，第一天医生开了小儿化痰止咳的药，吃了一次，宝宝咳嗽吐出来了", "role": "patient"}, {"turn": 11, "text": "第二天去看医生开了贴的药膏帮助化痰的", "role": "patient"}, {"turn": 12, "text": "这两天感觉睡觉时咳嗽更加严重了", "role": "patient"}, {"turn": 13, "text": "晚上影响睡眠，咳嗽就是连着咳嗽好几声，", "role": "patient"}, {"turn": 14, "text": "孩子嘴里有没有吐白沫沫？", "role": "doctor"}, {"turn": 15, "text": "好像有", "role": "patient"}, {"turn": 16, "text": "不知道是白沫沫还是吃的奶", "role": "patient"}, {"turn": 17, "text": "你好，你家孩子不排除婴儿肺炎。", "role": "doctor"}, {"turn": 18, "text": "在医院检查了，两次检查医生都说是风寒引起的感冒咳嗽，", "role": "patient"}, {"turn": 19, "text": "呼吸道感染", "role": "patient"}, {"turn": 20, "text": "一般这么小的孩子很少会出现咳嗽的。", "role": "doctor"}, {"turn": 21, "text": "那也是什么情况呀", "role": "patient"}, {"turn": 22, "text": "去医院检查了医生也没说什么", "role": "patient"}, {"turn": 23, "text": "这两天睡着咳嗽明显加重", "role": "patient"}, {"turn": 24, "text": "医生还在吗？那这种情况应该怎么办呀？", "role": "patient"}, {"turn": 25, "text": "小孩子呼吸道的免疫力特别低。一般感冒是以鼻塞为主。", "role": "doctor"}, {"turn": 26, "text": "如果咳嗽的话好，可能是肺炎的症状。", "role": "doctor"}, {"turn": 27, "text": "明天最好去医院给检查一下。", "role": "doctor"}, {"turn": 28, "text": "宝宝不鼻塞", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1156, "thread": [{"turn": 0, "text": "明决子加红糖胃寒可以吃吗智便秘（男，50岁）", "role": "patient"}, {"turn": 1, "text": "你好！有没有其他症状需要补充的", "role": "doctor"}, {"turn": 2, "text": "我有胃寒便秘湿热性便秘", "role": "patient"}, {"turn": 3, "text": "我用便秘果不行，胃不舒服", "role": "patient"}, {"turn": 4, "text": "决明子润肠通便，但性微寒，加红糖可中和寒性，这个搭配是可以的", "role": "doctor"}, {"turn": 5, "text": "谢谢医生", "role": "patient"}, {"turn": 6, "text": "不客气。", "role": "doctor"}, {"turn": 7, "text": "吃中药行不", "role": "patient"}, {"turn": 8, "text": "可以", "role": "doctor"}, {"turn": 9, "text": "胃寒内热一般医生下不准药", "role": "patient"}, {"turn": 10, "text": "看了五个中医没好", "role": "patient"}, {"turn": 11, "text": "嗯嗯，寒热错杂的情况比较难把握。", "role": "doctor"}, {"turn": 12, "text": "医生，我问一下要看样的医生可以智", "role": "patient"}, {"turn": 13, "text": "一般要看中医脾胃方向的医生", "role": "doctor"}, {"turn": 14, "text": "哦，在想一下便秘果寒性能不能加什么热性药搭配一下，能喝吗", "role": "patient"}, {"turn": 15, "text": "一般，用偏温的药中和即可。", "role": "doctor"}, {"turn": 16, "text": "医生能，告诉我一下什么药可以", "role": "patient"}, {"turn": 17, "text": "一般在通便药的基础上炙甘草，红糖，山药等健脾温里的药失同源的药物。", "role": "doctor"}, {"turn": 18, "text": "谢谢医生，我明天加红糖喝看看", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1157, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：儿童拉稀腹痛（女，4岁）", "role": "patient"}, {"turn": 1, "text": "宝宝还有其他不舒服吗？你好，孩子出现这样的情况多久了", "role": "doctor"}, {"turn": 2, "text": "今天第三天。抽血化验说是支原体感染加感冒加肠炎", "role": "patient"}, {"turn": 3, "text": "您的问题是什么，想获得什么帮助", "role": "doctor"}, {"turn": 4, "text": "吃的蒙脱石散第二天，小建中。断断续续发烧。拉稀。总说肚子疼。我想问我这个治疗对症吗。第三天还在发烧。拉稀。", "role": "patient"}, {"turn": 5, "text": "拉肚子可以在加用益生菌，如果拉的厉害可以口服口服补液盐", "role": "doctor"}, {"turn": 6, "text": "支原体感染有没有吃阿奇霉素", "role": "doctor"}, {"turn": 7, "text": "补液盐就是防止脱水吗。她正常喝水吃饭。没有脱水。就是没有停止发烧拉稀，大概这样的情况还会多久。益生菌在吃。阿奇霉素说不拉以后在吃，怕现在导致拉稀更严重", "role": "patient"}, {"turn": 8, "text": "嗯嗯，有没有鼻塞流涕打喷嚏呢", "role": "doctor"}, {"turn": 9, "text": "大便有没有查轮状病毒呢", "role": "doctor"}, {"turn": 10, "text": "鼻塞现在。没有流鼻涕，咳嗽厉害。大便没有化验。就是抽血化验病毒哪来的，然后说是细菌加病毒。", "role": "patient"}, {"turn": 11, "text": "细菌建议加用抗生素口服", "role": "doctor"}, {"turn": 12, "text": "进口阿奇", "role": "patient"}, {"turn": 13, "text": "阿奇主要是抗支原体的，会加重腹泻，建议先口服头孢", "role": "doctor"}, {"turn": 14, "text": "头孢过敏", "role": "patient"}, {"turn": 15, "text": "阿莫西林克拉维酸钾也行", "role": "doctor"}, {"turn": 16, "text": "请问今天第三天。拉肚子吃个两天蒙脱石散了。几天能好转。", "role": "patient"}, {"turn": 17, "text": "现在一天拉几次？", "role": "doctor"}, {"turn": 18, "text": "昨天呢？", "role": "doctor"}, {"turn": 19, "text": "孩子躺着不懂，肚子疼的没力气，有什么更好的缓解？", "role": "patient"}, {"turn": 20, "text": "如果精神不好是需要去医院复诊的", "role": "doctor"}, {"turn": 21, "text": "第一天酱色稀水。昨天酱色粘稠。今天有点正常颜色。便便有点块了", "role": "patient"}, {"turn": 22, "text": "几次？", "role": "doctor"}, {"turn": 23, "text": "昨天10次。今天5次目前", "role": "patient"}, {"turn": 24, "text": "已经好一些了啊", "role": "doctor"}, {"turn": 25, "text": "是有好转，主要她说肚子疼束手无策。把自己蒙起来", "role": "patient"}, {"turn": 26, "text": "还有就是蒙脱石散最多吃几天", "role": "patient"}, {"turn": 27, "text": "如果肚子疼的厉害需要去医院就诊排除急腹症，蒙脱石散可以口服到大便成型为止", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1158, "thread": [{"turn": 0, "text": "最近左耳耳朵耳鸣是怎么回事啦（女，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "四天", "role": "patient"}, {"turn": 3, "text": "有没有听力下降呢？", "role": "doctor"}, {"turn": 4, "text": "左耳响的", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "有没有觉得耳闷胀呢？", "role": "doctor"}, {"turn": 7, "text": "就是响呢", "role": "patient"}, {"turn": 8, "text": "干点别的哇也听不见", "role": "patient"}, {"turn": 9, "text": "你觉得响是机器轰鸣还是知了叫呢？", "role": "doctor"}, {"turn": 10, "text": "就是静时跟熬夜🈶️关系没", "role": "patient"}, {"turn": 11, "text": "熬夜有可能引起耳鸣的", "role": "doctor"}, {"turn": 12, "text": "不是就跟蜜蜂声", "role": "patient"}, {"turn": 13, "text": "我也说不上来", "role": "patient"}, {"turn": 14, "text": "你最近是不是睡眠不好", "role": "doctor"}, {"turn": 15, "text": "有熬夜呢", "role": "doctor"}, {"turn": 16, "text": "我经常上夜班", "role": "patient"}, {"turn": 17, "text": "嗯，那是不是第二天觉得耳鸣比较厉害", "role": "doctor"}, {"turn": 18, "text": "还好", "role": "patient"}, {"turn": 19, "text": "恩", "role": "patient"}, {"turn": 20, "text": "收费站呢", "role": "patient"}, {"turn": 21, "text": "嗯，那是可能引起耳鸣的", "role": "doctor"}, {"turn": 22, "text": "这种情况的话不影响听力问题不是很大", "role": "doctor"}, {"turn": 23, "text": "那俩天好呢上班就是响的", "role": "patient"}, {"turn": 24, "text": "如果确实影响到生活了", "role": "doctor"}, {"turn": 25, "text": "不影响", "role": "patient"}, {"turn": 26, "text": "可以用些氟桂利嗪，可以促其恢复", "role": "doctor"}, {"turn": 27, "text": "喝店啥药呢", "role": "patient"}, {"turn": 28, "text": "如果不影响生活", "role": "doctor"}, {"turn": 29, "text": "就不要担心", "role": "doctor"}, {"turn": 30, "text": "如果比较明显", "role": "doctor"}, {"turn": 31, "text": "响我就烦", "role": "patient"}, {"turn": 32, "text": "用氟桂利嗪这个药物可以改善", "role": "doctor"}, {"turn": 33, "text": "哦哦", "role": "patient"}, {"turn": 34, "text": "药店有卖的没", "role": "patient"}, {"turn": 35, "text": "有的", "role": "doctor"}, {"turn": 36, "text": "这是很常见的药物", "role": "doctor"}, {"turn": 37, "text": "好的我是一试", "role": "patient"}, {"turn": 38, "text": "我经常夜班是不有关系", "role": "patient"}, {"turn": 39, "text": "好的，生活上也要好好休息", "role": "doctor"}, {"turn": 40, "text": "夜班上了，不及时休息", "role": "doctor"}, {"turn": 41, "text": "也不利于恢复", "role": "doctor"}, {"turn": 42, "text": "好", "role": "patient"}, {"turn": 43, "text": "恩", "role": "patient"}, {"turn": 44, "text": "好的👌", "role": "doctor"}, {"turn": 45, "text": "哦哦", "role": "patient"}, {"turn": 46, "text": "好的医生", "role": "patient"}, {"turn": 47, "text": "谢谢", "role": "patient"}, {"turn": 48, "text": "颈椎不好会影响不", "role": "patient"}, {"turn": 49, "text": "一般影响不是很大", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1159, "thread": [{"turn": 0, "text": "自家猫咬伤要打人血蛋白嘛（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，多久了？有没有出血？", "role": "doctor"}, {"turn": 2, "text": "猫咪有没有注射过疫苗？", "role": "doctor"}, {"turn": 3, "text": "嘴唇上，出血了，半年的猫，打过疫苗", "role": "patient"}, {"turn": 4, "text": "伤口深吗", "role": "doctor"}, {"turn": 5, "text": "有点深", "role": "patient"}, {"turn": 6, "text": "猫咪是规律注射的疫苗吗", "role": "doctor"}, {"turn": 7, "text": "如果伤口很深的话，建议彻底清洗一下伤口。", "role": "doctor"}, {"turn": 8, "text": "就是打过三针", "role": "patient"}, {"turn": 9, "text": "因为嘴唇的距离离大脑比较近。", "role": "doctor"}, {"turn": 10, "text": "需要打球蛋白嘛？", "role": "patient"}, {"turn": 11, "text": "有条件的话可以打免疫球蛋白。另外疫苗也要注射。", "role": "doctor"}, {"turn": 12, "text": "因为这个部位距离大脑太近了。", "role": "doctor"}, {"turn": 13, "text": "条件不太好，然后是家里的正常猫", "role": "patient"}, {"turn": 14, "text": "那可以采用十日观察法。十日观察法，如果猫以前注射过疫苗，那么人被咬伤或者抓伤后，可以边打疫苗边观察猫咪。如果十日时候猫咪健在，说明可以排除感染。这时候可以中止后续疫苗的注射。这就是十日观察法", "role": "doctor"}, {"turn": 15, "text": "还用打免疫球蛋白嘛", "role": "patient"}, {"turn": 16, "text": "如果条件允许建议打", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1160, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：阴毛长痘痘（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一周左右吧", "role": "patient"}, {"turn": 3, "text": "有什么感觉吗？", "role": "doctor"}, {"turn": 4, "text": "刚开始没感觉，这两天有点痒", "role": "patient"}, {"turn": 5, "text": "拍个照片我看看", "role": "doctor"}, {"turn": 6, "text": "我私护很干净啊", "role": "patient"}, {"turn": 7, "text": "就像个小痘痘一样，貌似有一丁点脓似的", "role": "patient"}, {"turn": 8, "text": "那就是毛囊炎", "role": "doctor"}, {"turn": 9, "text": "这个不一定跟卫生情况有关系，有可能跟你自身抵抗力有关系", "role": "doctor"}, {"turn": 10, "text": "这个不一定跟卫生情况有关系，有可能跟你自身抵抗力有关系", "role": "doctor"}, {"turn": 11, "text": "这个可以抹点夫西地酸乳膏或者莫匹罗星软膏", "role": "doctor"}, {"turn": 12, "text": "这个可以抹点夫西地酸乳膏或者莫匹罗星软膏", "role": "doctor"}, {"turn": 13, "text": "抵抗力？我抵抗力还可以啊", "role": "patient"}, {"turn": 14, "text": "抵抗力？我抵抗力还可以啊", "role": "patient"}, {"turn": 15, "text": "这个就是你局部的抵抗力弱了，所以才有机会引起感染的", "role": "doctor"}, {"turn": 16, "text": "怎么说呢", "role": "patient"}, {"turn": 17, "text": "就是你会阴这个局部的抵抗力不够，然后正常毛发寄生的细菌造成的感染", "role": "doctor"}, {"turn": 18, "text": "那怎么办啊", "role": "patient"}, {"turn": 19, "text": "那怎么办啊", "role": "patient"}, {"turn": 20, "text": "怎么会局部抵抗力不够呢", "role": "patient"}, {"turn": 21, "text": "抹点夫西地酸乳膏或者莫匹罗星软膏就可以的", "role": "doctor"}, {"turn": 22, "text": "这个是很正常的，每个人几乎都会有的，尤其熬夜休息不好了更容易出现", "role": "doctor"}, {"turn": 23, "text": "嗯，好的，知道了医生", "role": "patient"}, {"turn": 24, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1161, "thread": [{"turn": 0, "text": "这几天便秘很严重，而且上厕所肛门出血（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，便秘会导致肛门肛裂或者痔疮发作引起出血", "role": "doctor"}, {"turn": 2, "text": "？", "role": "patient"}, {"turn": 3, "text": "便血是新鲜的不？", "role": "doctor"}, {"turn": 4, "text": "是的，还会便秘", "role": "patient"}, {"turn": 5, "text": "便秘年轻人不能依靠药物来维持。最好的是生活饮食起居的合理安排，饮食以多进食粗纤维为好，例如各种绿叶菜，土豆，地瓜，等，水果以苹果，香蕉，火龙果等。适当增加饮用白开水，适当运动。如果这些都很规律依然便秘，考虑应用药物，中药润肠通便类药物最为好，配合西药的增加胃肠动力药，会有好的疗效。", "role": "doctor"}, {"turn": 6, "text": "那怎么样才可以排便", "role": "patient"}, {"turn": 7, "text": "按照上述调理应该可以缓解便秘", "role": "doctor"}, {"turn": 8, "text": "这几天都感觉很不舒服，感觉下腹大堵塞，", "role": "patient"}, {"turn": 9, "text": "如果您有便实在排不出，可以临时应用开塞露促进排便", "role": "doctor"}, {"turn": 10, "text": "开塞露？", "role": "patient"}, {"turn": 11, "text": "对，一种可以马上排出大便的药直接注入肛内", "role": "doctor"}, {"turn": 12, "text": "呃", "role": "patient"}, {"turn": 13, "text": "谢谢您的建议", "role": "patient"}, {"turn": 14, "text": "不客气的，还是以调理饮食起居来缓解便秘最好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1162, "thread": [{"turn": 0, "text": "先是眼睛发黑，之后就是偏头痛（女，32）眼前发黑", "role": "patient"}, {"turn": 1, "text": "你好，我是毛医生，有什么可以帮您？😊", "role": "doctor"}, {"turn": 2, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 3, "text": "一周吧", "role": "patient"}, {"turn": 4, "text": "也不是每天都这样", "role": "patient"}, {"turn": 5, "text": "以前没有疼过，就是这一周才出现的。", "role": "doctor"}, {"turn": 6, "text": "对", "role": "patient"}, {"turn": 7, "text": "这样吧，您一直没有回复我，我这里也不能等太久，那么如果有问题请给我留言，我看到后会及时回复。", "role": "doctor"}, {"turn": 8, "text": "检查过吗？", "role": "doctor"}, {"turn": 9, "text": "从表现来看呢，比较符合偏头痛", "role": "doctor"}, {"turn": 10, "text": "那吃点什么药吗？", "role": "patient"}, {"turn": 11, "text": "没有检查过", "role": "patient"}, {"turn": 12, "text": "建议还是先查头颅ct排除一下器质性问题", "role": "doctor"}, {"turn": 13, "text": "发作时的治疗： ① 止吐剂；② 非甾体类抗炎药（NSAIDs）、部分中药；③ 曲坦类药物；④ 紧急治疗：曲普坦类（sc）、乙酰水杨酸（iv）、类固醇。\n\n\n预防性治疗：①一线药物：β受体阻滞剂、氟桂利嗪、丙戊酸、托吡酯；②二线药物：乙酰水杨酸、萘普生、阿米替林；③三线药物：镁剂、核黄素、蜂斗菜、中药。\n\n\n非药物治疗：放松治疗；行为治疗（包括生物反馈治疗）等。", "role": "doctor"}, {"turn": 14, "text": "这是什么药啊", "role": "patient"}, {"turn": 15, "text": "头痛发作时止痛药物", "role": "doctor"}, {"turn": 16, "text": "发作频繁可以使用预防药物", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1163, "thread": [{"turn": 0, "text": "感染了幽门螺旋杆菌，有口臭的症状了（女，27岁）年初检查上次去的，这段时间感觉口臭严重了", "role": "patient"}, {"turn": 1, "text": "你好，有胃胀、返酸、嗳气吗", "role": "doctor"}, {"turn": 2, "text": "吃药杀幽门螺旋杆菌了吗", "role": "doctor"}, {"turn": 3, "text": "如果有幽门螺旋杆菌感染，建议吃药杀幽门螺旋杆菌治疗", "role": "doctor"}, {"turn": 4, "text": "我刚结婚，吃药，会不会影响要宝宝？", "role": "patient"}, {"turn": 5, "text": "有的听说吃药杀死了，还会复发是吗？", "role": "patient"}, {"turn": 6, "text": "如果最近1个月要宝宝不建议吃药", "role": "doctor"}, {"turn": 7, "text": "有时候胃会反酸", "role": "patient"}, {"turn": 8, "text": "杀死有可能再复发的，复发几率比较小的", "role": "doctor"}, {"turn": 9, "text": "这个吃完药，多久才能要宝宝呢？", "role": "patient"}, {"turn": 10, "text": "1个月后要是可以的", "role": "doctor"}, {"turn": 11, "text": "那我要是去看中医能好吗？", "role": "patient"}, {"turn": 12, "text": "看中医或者消化内科都可以的", "role": "doctor"}, {"turn": 13, "text": "好的", "role": "patient"}, {"turn": 14, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1164, "thread": [{"turn": 0, "text": "九个月宝宝消化不良拉肚子（男，9个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝腹泻多久了？一天大便有几次？", "role": "doctor"}, {"turn": 2, "text": "一天两三次，两三个", "role": "patient"}, {"turn": 3, "text": "多久了", "role": "doctor"}, {"turn": 4, "text": "大便检查了吗", "role": "doctor"}, {"turn": 5, "text": "没有，拉的都是正常粑粑", "role": "patient"}, {"turn": 6, "text": "是母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 7, "text": "奶粉", "role": "patient"}, {"turn": 8, "text": "不说是消化不良吗", "role": "doctor"}, {"turn": 9, "text": "这种情况多久了", "role": "doctor"}, {"turn": 10, "text": "是啊", "role": "patient"}, {"turn": 11, "text": "怎么又说正常了？", "role": "doctor"}, {"turn": 12, "text": "我的意思是拉出来的粑粑是正常的，就是一天两三次有时候五六次", "role": "patient"}, {"turn": 13, "text": "通常吃奶粉，大便不应该这么多，是不是吃的多，奶粉喂养要定时定量", "role": "doctor"}, {"turn": 14, "text": "不多啊，一天才吃600－700", "role": "patient"}, {"turn": 15, "text": "老是拉长得瘦，不怎么长肉，现在才15斤", "role": "patient"}, {"turn": 16, "text": "应该是宝宝的消化吸收不好", "role": "doctor"}, {"turn": 17, "text": "怎么办，益生菌在吃，推拿在做", "role": "patient"}, {"turn": 18, "text": "加服醒脾养儿颗粒", "role": "doctor"}, {"turn": 19, "text": "宝宝是不是乳糖不耐受或奶粉过敏", "role": "doctor"}, {"turn": 20, "text": "可是有时候一天就一次啊，感觉不是乳糖不耐受，过敏的话前期吃的蛮好啊", "role": "patient"}, {"turn": 21, "text": "也就是最近大便消化不良是吗", "role": "doctor"}, {"turn": 22, "text": "奶粉每次喝多少", "role": "doctor"}, {"turn": 23, "text": "两个月了，奶粉每天600多", "role": "patient"}, {"turn": 24, "text": "每次150", "role": "patient"}, {"turn": 25, "text": "还可以的，不算太多，估计就是消化不良", "role": "doctor"}, {"turn": 26, "text": "中间有腹泻过吗", "role": "doctor"}, {"turn": 27, "text": "就是没有检查大便看看", "role": "doctor"}, {"turn": 28, "text": "有过，乳糖不耐受", "role": "patient"}, {"turn": 29, "text": "没有换腹泻奶粉", "role": "doctor"}, {"turn": 30, "text": "抱歉，刚才有急诊，请谅解，谢谢", "role": "doctor"}, {"turn": 31, "text": "没有", "role": "patient"}, {"turn": 32, "text": "换过，换成无乳糖奶粉", "role": "patient"}, {"turn": 33, "text": "就是无乳糖奶粉，感觉好点吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1165, "thread": [{"turn": 0, "text": "十个月宝宝老是便秘喝夜奶有关系吗（女，11个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝几天排便一次呢", "role": "doctor"}, {"turn": 2, "text": "平日宝宝辅食添加好吗？宝宝夜奶几次呢？", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "这两天都一点，都有点硬，", "role": "patient"}, {"turn": 5, "text": "前两天屁屁都红了。", "role": "patient"}, {"turn": 6, "text": "前两天屁屁都红了。是什么原因导致的，", "role": "patient"}, {"turn": 7, "text": "宝宝平时奶粉吃多啦，部分宝宝会有便秘可能", "role": "doctor"}, {"turn": 8, "text": "但是宝宝大便最主要还是因为宝宝自身的消化问题，您可以调整宝宝的辅食，可以吃点香蕉，苹果泥这些帮助消化的水果，然后饮食平时开始吃米饭了吗？米饭不能太硬", "role": "doctor"}, {"turn": 9, "text": "菜可以整点蔬菜，然后再吃点醒脾养儿颗粒健脾胃的，夜奶如果次数不多也不会太影响宝宝的排便情况的。", "role": "doctor"}, {"turn": 10, "text": "屁股红，要警惕我们的尿布皮炎，或者及时换尿布，因为宝宝皮肤嫩，容易过敏的", "role": "doctor"}, {"turn": 11, "text": "屁屁红是内有火，和尿不湿没有关系。奶粉喝的少，", "role": "patient"}, {"turn": 12, "text": "米饭偶尔吃", "role": "patient"}, {"turn": 13, "text": "宝宝有打屁，腹胀没呢？如果没有，您看屁屁是肛门周围还是臀部红为主，如果是肛周那和大便也有关系的，现在给宝宝吃点醒脾养儿颗粒，调整饮食，多喝温水，如果大便超过3天不排便或者宝宝有想排便的感觉，可以用点开塞露通便", "role": "doctor"}, {"turn": 14, "text": "来月经喂母乳有影响吗", "role": "patient"}, {"turn": 15, "text": "这个还不是很清楚呀😓", "role": "doctor"}, {"turn": 16, "text": "应该没问题吧，因为它不会影响乳汁吧", "role": "doctor"}, {"turn": 17, "text": "朋友建议换羊奶粉试试，", "role": "patient"}, {"turn": 18, "text": "现在都11月，我觉得不用换哦", "role": "doctor"}, {"turn": 19, "text": "宝宝现在因为主要以辅食为主啦😄", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1166, "thread": [{"turn": 0, "text": "头疼咳嗽喉咙痛吃什么药（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "从昨天到现在", "role": "patient"}, {"turn": 3, "text": "有没有受凉？", "role": "doctor"}, {"turn": 4, "text": "有", "role": "patient"}, {"turn": 5, "text": "有没有发烧？", "role": "doctor"}, {"turn": 6, "text": "有，现在头有点烫", "role": "patient"}, {"turn": 7, "text": "量一下体温吧", "role": "doctor"}, {"turn": 8, "text": "没有体温计", "role": "patient"}, {"turn": 9, "text": "在学校", "role": "patient"}, {"turn": 10, "text": "咳嗽厉害吗？有没有痰？", "role": "doctor"}, {"turn": 11, "text": "厉害而且有痰", "role": "patient"}, {"turn": 12, "text": "什么颜色的痰？", "role": "doctor"}, {"turn": 13, "text": "不清楚，喉咙有点苦", "role": "patient"}, {"turn": 14, "text": "痰没吐出来吗？", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "鼻塞，流涕吗？", "role": "doctor"}, {"turn": 17, "text": "有点鼻涕不鼻塞", "role": "patient"}, {"turn": 18, "text": "那鼻涕什么颜色的。", "role": "doctor"}, {"turn": 19, "text": "透明", "role": "patient"}, {"turn": 20, "text": "目前吃了什么药物吗？", "role": "doctor"}, {"turn": 21, "text": "川贝清肺糖浆", "role": "patient"}, {"turn": 22, "text": "可以吃三九感冒灵颗粒，然后配点消炎药吃", "role": "doctor"}, {"turn": 23, "text": "最好买个体温计，量一下体温，如果体温超过38.5，还需要口服退烧药", "role": "doctor"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "多喝温开水，清淡饮食。注意休息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1167, "thread": [{"turn": 0, "text": "在眼镜店验光 散光200怎么办（男，21岁）", "role": "patient"}, {"turn": 1, "text": "就根据结果配散光，如果你以前没有带过散光的眼睛，就不要配这么高度数", "role": "doctor"}, {"turn": 2, "text": "我在眼镜店验的 我怕不准 要不要去医院看看", "role": "patient"}, {"turn": 3, "text": "噢，那当然可以去，眼镜店确实不知道水平如何", "role": "doctor"}, {"turn": 4, "text": "嗯嗯", "role": "patient"}, {"turn": 5, "text": "散光这个东西可以治好吗", "role": "patient"}, {"turn": 6, "text": "只能佩戴眼镜", "role": "doctor"}, {"turn": 7, "text": "我在医院验过之后 知道多少度了   可不可以在外面眼镜店配眼镜", "role": "patient"}, {"turn": 8, "text": "好像医院配都好贵", "role": "patient"}, {"turn": 9, "text": "可以的", "role": "doctor"}, {"turn": 10, "text": "这个手术会不会好呢", "role": "patient"}, {"turn": 11, "text": "这个不能手术", "role": "doctor"}, {"turn": 12, "text": "那就只能戴眼镜维持吗", "role": "patient"}, {"turn": 13, "text": "是的", "role": "doctor"}, {"turn": 14, "text": "平时要注意什么  怎么可以改善一下", "role": "patient"}, {"turn": 15, "text": "这个无法改善只能佩戴眼镜", "role": "doctor"}, {"turn": 16, "text": "吃什么都没有用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1168, "thread": [{"turn": 0, "text": "虫牙松动 需要怎么治疗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，您的牙齿很松吗", "role": "doctor"}, {"turn": 2, "text": "就是有两颗虫牙  就是已经松动了", "role": "patient"}, {"turn": 3, "text": "虫牙是可以补的", "role": "doctor"}, {"turn": 4, "text": "而且一半一半的掉", "role": "patient"}, {"turn": 5, "text": "就是您牙如果特别松动的话", "role": "doctor"}, {"turn": 6, "text": "哦哦，是虫牙那里松呀", "role": "doctor"}, {"turn": 7, "text": "您是不是有釉质发育不全呢", "role": "doctor"}, {"turn": 8, "text": "嗯嗯 对", "role": "patient"}, {"turn": 9, "text": "那要尽早去补呢", "role": "doctor"}, {"turn": 10, "text": "神经坏了的话是什么症状呢", "role": "patient"}, {"turn": 11, "text": "一般会牙疼", "role": "doctor"}, {"turn": 12, "text": "不过有的也不会疼，牙齿会变色", "role": "doctor"}, {"turn": 13, "text": "什么情况下需要种牙呢", "role": "patient"}, {"turn": 14, "text": "拔完牙，牙齿少一个需要", "role": "doctor"}, {"turn": 15, "text": "可是虫牙就已经变色了呀", "role": "patient"}, {"turn": 16, "text": "那很可能虫牙已经破坏神经了", "role": "doctor"}, {"turn": 17, "text": "不过也可能是虫牙本身的黑色", "role": "doctor"}, {"turn": 18, "text": "嗯嗯", "role": "patient"}, {"turn": 19, "text": "那我肯定得需要种牙了 因为那颗虫牙已经松动了", "role": "patient"}, {"turn": 20, "text": "而且都掉的一半一半的了", "role": "patient"}, {"turn": 21, "text": "那不一定的", "role": "doctor"}, {"turn": 22, "text": "早点去补", "role": "doctor"}, {"turn": 23, "text": "能保牙一般我们都会保住的", "role": "doctor"}, {"turn": 24, "text": "那什么情况下需要种植牙了呢", "role": "patient"}, {"turn": 25, "text": "种植牙是缺少一颗牙的情况才做种植", "role": "doctor"}, {"turn": 26, "text": "您现在需要的是补牙就行", "role": "doctor"}, {"turn": 27, "text": "补牙是牙齿缺少一块，或者虫牙，叫做补牙", "role": "doctor"}, {"turn": 28, "text": "可是如果我的牙已经松动了  得把它拔掉 不就没了吗", "role": "patient"}, {"turn": 29, "text": "不需要拔掉啊", "role": "doctor"}, {"turn": 30, "text": "您的牙齿是因为龋齿所以才有些松动", "role": "doctor"}, {"turn": 31, "text": "把松动的那一部分去掉", "role": "doctor"}, {"turn": 32, "text": "然后再补起来", "role": "doctor"}, {"turn": 33, "text": "昂", "role": "patient"}, {"turn": 34, "text": "我讲清楚了吗", "role": "doctor"}, {"turn": 35, "text": "我有两颗虫牙  还有一颗牙是四周都掉了  就剩个坑了  这那这可不是咋整", "role": "patient"}, {"turn": 36, "text": "这种也是要评估能不能保留的，如果能保留就保留", "role": "doctor"}, {"turn": 37, "text": "不能保留就只能拔掉做种植", "role": "doctor"}, {"turn": 38, "text": "哦哦  好的", "role": "patient"}, {"turn": 39, "text": "明白了", "role": "patient"}, {"turn": 40, "text": "谢谢", "role": "patient"}, {"turn": 41, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1169, "thread": [{"turn": 0, "text": "肺挫伤会影响以后干活吗（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在还有什么不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "麻烦问一下，肺挫伤有积液，会影响以后工作吗", "role": "patient"}, {"turn": 5, "text": "积液还有多少？", "role": "doctor"}, {"turn": 6, "text": "你知道吗？", "role": "doctor"}, {"turn": 7, "text": "做手术了吗？", "role": "doctor"}, {"turn": 8, "text": "现在排的还有一点", "role": "patient"}, {"turn": 9, "text": "做了引流手术", "role": "patient"}, {"turn": 10, "text": "管子现在拔了", "role": "patient"}, {"turn": 11, "text": "嗯", "role": "doctor"}, {"turn": 12, "text": "又复查了吗？现在还有积液吗？", "role": "doctor"}, {"turn": 13, "text": "这个会影响以后干体力活吗", "role": "patient"}, {"turn": 14, "text": "你说干什么体力活？", "role": "doctor"}, {"turn": 15, "text": "现在还没出院", "role": "patient"}, {"turn": 16, "text": "重体力吗？", "role": "doctor"}, {"turn": 17, "text": "就是拿重一点的东西，会不会有影响呢", "role": "patient"}, {"turn": 18, "text": "对", "role": "patient"}, {"turn": 19, "text": "上次CT出来说有所吸收，然后就把管子拔了", "role": "patient"}, {"turn": 20, "text": "哦", "role": "doctor"}, {"turn": 21, "text": "我建议您半年以后再干活", "role": "doctor"}, {"turn": 22, "text": "因为你肺挫伤，如果干体力活，容易使劲，使劲容易再出现撕裂的", "role": "doctor"}, {"turn": 23, "text": "这个会影响干体力活吗", "role": "patient"}, {"turn": 24, "text": "就是说半年之后干体力活会有影响吗", "role": "patient"}, {"turn": 25, "text": "还是以后都不能干体力活", "role": "patient"}, {"turn": 26, "text": "你好", "role": "patient"}, {"turn": 27, "text": "还在吗", "role": "patient"}, {"turn": 28, "text": "在的", "role": "doctor"}, {"turn": 29, "text": "尽量不要干重体力活儿", "role": "doctor"}, {"turn": 30, "text": "你肺挫伤严重吗当时", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1170, "thread": [{"turn": 0, "text": "女童下体红痒，平时有轻度便秘（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好。孩子小时候长湿疹厉害吗", "role": "doctor"}, {"turn": 2, "text": "12岁左右的时候会有，现在已经不会长", "role": "patient"}, {"turn": 3, "text": "1岁左右的时候会有，现在已经不会长", "role": "patient"}, {"turn": 4, "text": "还是过敏体质造成的，忌口鱼虾辛辣食物就行", "role": "doctor"}, {"turn": 5, "text": "因为这段时间有感冒咳嗽，有一些时间都没有吃过鱼虾了", "role": "patient"}, {"turn": 6, "text": "吃什么药物了吗？药物也有可能过敏", "role": "doctor"}, {"turn": 7, "text": "近期以食疗为主", "role": "patient"}, {"turn": 8, "text": "不要吃鱼虾辛辣食物就行", "role": "doctor"}, {"turn": 9, "text": "下体红痒，如果是大人的话，还要去看妇科了吧？小朋友的话怎么办", "role": "patient"}, {"turn": 10, "text": "每天注意清水勤洗屁股观察就行", "role": "doctor"}, {"turn": 11, "text": "好吧", "role": "patient"}, {"turn": 12, "text": "嗯😊不用担心，注意忌口就行", "role": "doctor"}, {"turn": 13, "text": "不需要就诊么", "role": "patient"}, {"turn": 14, "text": "一般不用。局部分泌物多吗", "role": "doctor"}, {"turn": 15, "text": "不多", "role": "patient"}, {"turn": 16, "text": "那就先观察吧，没必要去", "role": "doctor"}, {"turn": 17, "text": "好，谢谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}, {"turn": 19, "text": "如果您需要再次咨询，可以直接搜索我的名字，进入主页后再次找我咨询。", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "嗯😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1171, "thread": [{"turn": 0, "text": "吃完大蒜甜醋会感觉下巴跟喉咙很酸是怎么回事（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题！", "role": "doctor"}, {"turn": 2, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 3, "text": "每次吃都这样吗？", "role": "doctor"}, {"turn": 4, "text": "就近一两年两三年的样子每次吃那个药膳鸡的大蒜甜醋都会这样", "role": "patient"}, {"turn": 5, "text": "每次酸的时候过一会又不酸了", "role": "patient"}, {"turn": 6, "text": "那就不能吃这种东西了，这是一种类似于过敏一样的反应", "role": "doctor"}, {"turn": 7, "text": "但是问题不大，就像吃酸东西倒牙一样", "role": "doctor"}, {"turn": 8, "text": "下巴跟脖子是酸不是痒感觉是胀酸一样这是过敏吗", "role": "patient"}, {"turn": 9, "text": "是类似于", "role": "doctor"}, {"turn": 10, "text": "就是对这种成分比较敏感", "role": "doctor"}, {"turn": 11, "text": "那以后都不能吃了吗", "role": "patient"}, {"turn": 12, "text": "有的人吃醋倒牙就是这个道理", "role": "doctor"}, {"turn": 13, "text": "不是绝对不能吃，但你得忍受这种不适感", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 15, "text": "不客气！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1172, "thread": [{"turn": 0, "text": "嗓子发炎，咳嗽，吃什么药（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的症状持续有多长时间了", "role": "doctor"}, {"turn": 2, "text": "三天了", "role": "patient"}, {"turn": 3, "text": "做过什么检查吗？", "role": "doctor"}, {"turn": 4, "text": "没做检查", "role": "patient"}, {"turn": 5, "text": "都有什么症状呢？", "role": "doctor"}, {"turn": 6, "text": "最近感冒了吗", "role": "doctor"}, {"turn": 7, "text": "就是嗓子发干，发痒，咳嗽", "role": "patient"}, {"turn": 8, "text": "没感冒啊", "role": "patient"}, {"turn": 9, "text": "嗓子疼吗", "role": "doctor"}, {"turn": 10, "text": "疼", "role": "patient"}, {"turn": 11, "text": "应该是急性咽喉炎", "role": "doctor"}, {"turn": 12, "text": "可以用点消炎药或者利咽消肿的", "role": "doctor"}, {"turn": 13, "text": "比如罗红霉素", "role": "doctor"}, {"turn": 14, "text": "喝点感冒药，比如连花清瘟胶囊", "role": "doctor"}, {"turn": 15, "text": "有盐酸左氧氟沙星片，阿莫西林克拉维咀嚼片，阿奇霉素分散片", "role": "patient"}, {"turn": 16, "text": "迟哪个", "role": "patient"}, {"turn": 17, "text": "阿奇就行", "role": "doctor"}, {"turn": 18, "text": "多喝水多休息", "role": "doctor"}, {"turn": 19, "text": "忌辛辣刺激", "role": "doctor"}, {"turn": 20, "text": "忌烟酒", "role": "doctor"}, {"turn": 21, "text": "不好意思，刚才发现阿奇霉素没多少了，还是吃罗红霉素吧，罗红霉素一次吃多少", "role": "patient"}, {"turn": 22, "text": "按说明书用就行", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "嗯嗯", "role": "doctor"}, {"turn": 25, "text": "医生，我还想问一下，我这个病不吃药能好吗", "role": "patient"}, {"turn": 26, "text": "可能好，也可能更严重", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1173, "thread": [{"turn": 0, "text": "咳嗽有痰胸闷气短吃什么药（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "有两三个月了", "role": "patient"}, {"turn": 3, "text": "做过什么检查没有？", "role": "doctor"}, {"turn": 4, "text": "就是说如果有心脏病的会出现这种情况吗", "role": "patient"}, {"turn": 5, "text": "痰是什么颜色的？", "role": "doctor"}, {"turn": 6, "text": "会的", "role": "doctor"}, {"turn": 7, "text": "白的", "role": "patient"}, {"turn": 8, "text": "有没有检查过", "role": "doctor"}, {"turn": 9, "text": "胸闷是一直有还是间断的？", "role": "doctor"}, {"turn": 10, "text": "就早上晚上咳嗽吐痰胸闷", "role": "patient"}, {"turn": 11, "text": "你这种情况得先检查一下的", "role": "doctor"}, {"turn": 12, "text": "吃过什么药没有？", "role": "doctor"}, {"turn": 13, "text": "做过心电图，心脏彩超，说是冠心病", "role": "patient"}, {"turn": 14, "text": "结果发一下", "role": "doctor"}, {"turn": 15, "text": "但还不太确定", "role": "patient"}, {"turn": 16, "text": "冠心病也会引起你现在这种症状", "role": "doctor"}, {"turn": 17, "text": "建议你全面检查一下", "role": "doctor"}, {"turn": 18, "text": "首先要检查胸部ct，肺功能", "role": "doctor"}, {"turn": 19, "text": "这些没问题的话要做冠脉造影看有没有冠心病", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1174, "thread": [{"turn": 0, "text": "做运动后，腰部周围都疼怎么回事（女，43岁）", "role": "patient"}, {"turn": 1, "text": "您好请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "之前有没有受过伤？", "role": "doctor"}, {"turn": 4, "text": "做的什么运动", "role": "doctor"}, {"turn": 5, "text": "十几岁的时候摔了一跤，疼了俩月，腰底部，后来好了，但不能弯腰干活，干活就酸痛", "role": "patient"}, {"turn": 6, "text": "四天之前你做的什么运动", "role": "doctor"}, {"turn": 7, "text": "躺着，伸缩退，左做部减肥", "role": "patient"}, {"turn": 8, "text": "做", "role": "patient"}, {"turn": 9, "text": "这个动作很容易拉伤腰部肌肉", "role": "doctor"}, {"turn": 10, "text": "还是应该停止一下", "role": "doctor"}, {"turn": 11, "text": "多休息几天", "role": "doctor"}, {"turn": 12, "text": "就能缓解", "role": "doctor"}, {"turn": 13, "text": "现在躺着，翻身费劲，站着走路抻着疼，总之就是疼", "role": "patient"}, {"turn": 14, "text": "可以口服一些止疼药", "role": "doctor"}, {"turn": 15, "text": "能缓解症状", "role": "doctor"}, {"turn": 16, "text": "然后多卧床几天", "role": "doctor"}, {"turn": 17, "text": "腰部第几节也疼", "role": "patient"}, {"turn": 18, "text": "有做过检查吗", "role": "doctor"}, {"turn": 19, "text": "以前做过，没有腰间盘突出啥的", "role": "patient"}, {"turn": 20, "text": "那现在最好可以复查一下", "role": "doctor"}, {"turn": 21, "text": "上了年纪很容易有椎间盘病变", "role": "doctor"}, {"turn": 22, "text": "双下肢有感觉吗", "role": "doctor"}, {"turn": 23, "text": "每天运动也不疼啊，就那天突然疼，而且是肌肉疼，第二天腰椎也开始疼了", "role": "patient"}, {"turn": 24, "text": "还没有", "role": "patient"}, {"turn": 25, "text": "说不定做什么动作，就容易把肌肉拉伤", "role": "doctor"}, {"turn": 26, "text": "这个不一定", "role": "doctor"}, {"turn": 27, "text": "之后再没敢运动", "role": "patient"}, {"turn": 28, "text": "对", "role": "doctor"}, {"turn": 29, "text": "一般急性腰扭伤最起码一个星期才能恢复", "role": "doctor"}, {"turn": 30, "text": "口服红药片了，贴云南白药膏，也没见好转", "role": "patient"}, {"turn": 31, "text": "加上布洛芬", "role": "doctor"}, {"turn": 32, "text": "止疼效果比较好", "role": "doctor"}, {"turn": 33, "text": "药膏吗", "role": "patient"}, {"turn": 34, "text": "这起来费劲，躺下也费劲的，不会是韧带拉伤啦吧", "role": "patient"}, {"turn": 35, "text": "口服药", "role": "doctor"}, {"turn": 36, "text": "就是肌肉拉伤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1175, "thread": [{"turn": 0, "text": "孩子咳嗽厉害有痰用什么药比较好（女，1岁4个月）", "role": "patient"}, {"turn": 1, "text": "您好，咳嗽有痰，可以吃易坦静或肺力咳或桔贝合剂治疗", "role": "doctor"}, {"turn": 2, "text": "咳嗽的厉害  怎么办", "role": "patient"}, {"turn": 3, "text": "今天大夫给开了易坦静  头孢克圬", "role": "patient"}, {"turn": 4, "text": "这些药是止咳化痰的，如果咳嗽频繁，去医院看看，如果有细菌感染，加上消炎药，如果吃药治疗效果不好，打针治疗", "role": "doctor"}, {"turn": 5, "text": "刚开始是晚上睡觉咳嗽 白天不咳嗽  昨天开始白天也咳嗽  到昨天晚上咳嗽的厉害了 感觉嗓子里有痰", "role": "patient"}, {"turn": 6, "text": "吃这些药可以的，多喝水，勤拍背", "role": "doctor"}, {"turn": 7, "text": "要加什么消炎药吗", "role": "patient"}, {"turn": 8, "text": "头孢就是消炎药", "role": "doctor"}, {"turn": 9, "text": "现在睡着平均一两分钟就要咳嗽一次", "role": "patient"}, {"turn": 10, "text": "吃药治疗，如果效果不好，打针", "role": "doctor"}, {"turn": 11, "text": "那就先吃这些要 如果症状不减轻 就打针吗", "role": "patient"}, {"turn": 12, "text": "是", "role": "doctor"}, {"turn": 13, "text": "蒲地蓝消炎口服液可以喝吗", "role": "patient"}, {"turn": 14, "text": "可以，清热解毒的", "role": "doctor"}, {"turn": 15, "text": "一次喝半瓶吗", "role": "patient"}, {"turn": 16, "text": "喝3毫升，一天三次，一天一支", "role": "doctor"}, {"turn": 17, "text": "好的  谢谢你", "role": "patient"}, {"turn": 18, "text": "不用谢，祝宝宝健康快乐成长", "role": "doctor"}, {"turn": 19, "text": "嗯嗯   好的  非常感谢", "role": "patient"}, {"turn": 20, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1176, "thread": [{"turn": 0, "text": "牙齿根尖周炎需要吃消炎药吗", "role": "patient"}, {"turn": 1, "text": "你好，如果有在根管里封药的话，可以不吃，但是如果没有封药，就需要吃，同时尽快去医院封药", "role": "doctor"}, {"turn": 2, "text": "封药是什么意思？", "role": "patient"}, {"turn": 3, "text": "就是将牙齿钻开，将神经拔除，拍牙齿里面放药", "role": "doctor"}, {"turn": 4, "text": "嗯嗯", "role": "patient"}, {"turn": 5, "text": "3个月前治疗的", "role": "patient"}, {"turn": 6, "text": "有给你封药吗", "role": "doctor"}, {"turn": 7, "text": "有", "role": "patient"}, {"turn": 8, "text": "治疗结束了吗？告诉你什么时候再去了吗？", "role": "doctor"}, {"turn": 9, "text": "结束了", "role": "patient"}, {"turn": 10, "text": "那就不用吃了", "role": "doctor"}, {"turn": 11, "text": "他说让我暑假过去做牙套，暑假没时间就没去", "role": "patient"}, {"turn": 12, "text": "真的没事吗", "role": "patient"}, {"turn": 13, "text": "已经疼了3天了", "role": "patient"}, {"turn": 14, "text": "不用吃药了，消炎药也就是最开始吃几天，不可能吃很久的", "role": "doctor"}, {"turn": 15, "text": "哦哦", "role": "patient"}, {"turn": 16, "text": "你现在的疼我不能确定是什么原因来的，需要去医院再检查", "role": "doctor"}, {"turn": 17, "text": "谢谢啦", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1177, "thread": [{"turn": 0, "text": "一觉醒来忽然耳鸣 左耳较严重 是什么情况（女，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，除了这个还有其他症状吗？", "role": "doctor"}, {"turn": 2, "text": "听力下降吗？", "role": "doctor"}, {"turn": 3, "text": "我也不知道 右耳正常的 左耳就是一直耳鸣", "role": "patient"}, {"turn": 4, "text": "左耳也能听到声音 但是有破音", "role": "patient"}, {"turn": 5, "text": "这种情况多久了", "role": "doctor"}, {"turn": 6, "text": "今天第五天", "role": "patient"}, {"turn": 7, "text": "前两天症状断断续续的 没有这么严重", "role": "patient"}, {"turn": 8, "text": "但从昨晚开始就一直耳鸣到现在了也没好", "role": "patient"}, {"turn": 9, "text": "建议面诊检查听力阻抗", "role": "doctor"}, {"turn": 10, "text": "这是什么原因造成的", "role": "patient"}, {"turn": 11, "text": "除外突发性耳聋耳鸣", "role": "doctor"}, {"turn": 12, "text": "怎么会突发耳聋呢", "role": "patient"}, {"turn": 13, "text": "我还很年轻额", "role": "patient"}, {"turn": 14, "text": "我接诊最小患者14岁", "role": "doctor"}, {"turn": 15, "text": "这。。 造成突发耳聋的原因是啥啊", "role": "patient"}, {"turn": 16, "text": "原因不明", "role": "doctor"}, {"turn": 17, "text": "目前突发性耳聋的病因不明", "role": "doctor"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1178, "thread": [{"turn": 0, "text": "脚扭伤没肿但走路痛怎么回事（女，9岁）", "role": "patient"}, {"turn": 1, "text": "扭了多长时间啊？这种情况一般是一个韧带的一个损伤，但是不需要手术治疗。一般首先要进行一个热敷的一个处理，可以稍微进行按摩的处理。一般1~2个月左右就会恢复。", "role": "doctor"}, {"turn": 2, "text": "今天下午4点的时候扭的", "role": "patient"}, {"turn": 3, "text": "没有肿", "role": "patient"}, {"turn": 4, "text": "我下午拍了个片子，说是没有问题，但是走路疼", "role": "patient"}, {"turn": 5, "text": "大部分原因是因为韧带的一个损伤，但是韧带损伤的话不需要手术治疗，如果您实在担心的话，可以到医院拍一个片子进行确定。", "role": "doctor"}, {"turn": 6, "text": "想知道怎么做，可以尽快缓解疼痛", "role": "patient"}, {"turn": 7, "text": "我拍过片子了", "role": "patient"}, {"turn": 8, "text": "就恢复的过程，手术恢复的过程是需要一个过程。这个您不能操之过急这个只有妈妈", "role": "doctor"}, {"turn": 9, "text": "只有慢慢的来才可以。", "role": "doctor"}, {"turn": 10, "text": "我现在就是冰敷", "role": "patient"}, {"turn": 11, "text": "其他什么都没有做", "role": "patient"}, {"turn": 12, "text": "嗯，可以的，现在进行一个冰敷是正常的呢，如果是2~3天以后，我建议您进行一个热敷的一个处理和一个慢慢的一个按摩，患者就会有很大的一个缓解，一般孩子的话一般在1到一个半月就会有缓解。", "role": "doctor"}, {"turn": 13, "text": "是否需要喷活血的药", "role": "patient"}, {"turn": 14, "text": "可以，可以用一下云南白药，可以用一下的。", "role": "doctor"}, {"turn": 15, "text": "冰敷的同时，就可以用这种活血的喷雾吗？", "role": "patient"}, {"turn": 16, "text": "冰敷的意思是对周围的一个血管的一个损伤，进行一个及时的缩小血管，减少出血的一个症状，从而缓解症状活血呢他两个是完全截然相反的意思我建议两到三天之后再进行一个活血的治疗。", "role": "doctor"}, {"turn": 17, "text": "我这样说您理解吗？", "role": "doctor"}, {"turn": 18, "text": "明白了，也就是2到3天以后再使用活血的喷雾", "role": "patient"}, {"turn": 19, "text": "是的呢，是的呢，如果后边有什么不理解或者是不明白，或者是症状有加重的话，您再跟我联系。", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "应该的呢，如果是您方便的话给我一个好评，后边有什么不懂的可以过来找我。", "role": "doctor"}, {"turn": 22, "text": "冰敷的时间，是24小时，还是2到3天啊！好多说法都不一致", "role": "patient"}, {"turn": 23, "text": "这个一般我建议你还是两天之后再进行一个热敷，因为它小血管出血的话，它不一定情况不一定。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1179, "thread": [{"turn": 0, "text": "肩膀扭伤后大臂出现淤青（女，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多长时间了？有没有其他什么不舒服的地方", "role": "doctor"}, {"turn": 2, "text": "中午扭伤的", "role": "patient"}, {"turn": 3, "text": "晚上胳膊出现淤青的", "role": "patient"}, {"turn": 4, "text": "肩胛缝那里一直到脖子剧痛", "role": "patient"}, {"turn": 5, "text": "在吗!", "role": "patient"}, {"turn": 6, "text": "你好？", "role": "patient"}, {"turn": 7, "text": "嗯嗯，肩关节活动没有问题吧？脖子活动呢？手不麻吧？", "role": "doctor"}, {"turn": 8, "text": "如果活动都没有问题，考虑还得扭伤导致的软组织损伤，建议你患肢制动，悬吊保护，局部可以适当的冰敷一下", "role": "doctor"}, {"turn": 9, "text": "为什么大臂会淤青呢？", "role": "patient"}, {"turn": 10, "text": "？？？", "role": "patient"}, {"turn": 11, "text": "软组织损伤导致的皮下淤血", "role": "doctor"}, {"turn": 12, "text": "肩膀扭到了胳膊会软组织损伤？", "role": "patient"}, {"turn": 13, "text": "肩膀和上臂是连着一起的，肌肉也是连在一起的", "role": "doctor"}, {"turn": 14, "text": "好的谢谢", "role": "patient"}, {"turn": 15, "text": "用去医院就医吗", "role": "patient"}, {"turn": 16, "text": "但是肩膀一点淤青都没有啊 有这种可能吗", "role": "patient"}, {"turn": 17, "text": "如果活动没有问题可以先不去医院，疼的地方可以应扶他林软骨涂抹，局部冷敷，患肢制动保护", "role": "doctor"}, {"turn": 18, "text": "有这种可能的，不要太担心了！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1180, "thread": [{"turn": 0, "text": "被猫咬伤伤口红肿，打了疫苗，（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，被咬了多久了？", "role": "doctor"}, {"turn": 2, "text": "首先清洁伤口", "role": "doctor"}, {"turn": 3, "text": "肥皂水冲洗", "role": "doctor"}, {"turn": 4, "text": "酒精或者碘伏消毒", "role": "doctor"}, {"turn": 5, "text": "如果出血了，需要注射狂犬疫苗", "role": "doctor"}, {"turn": 6, "text": "都清洗干净了，泡了15分钟肥皂水，打了疫苗，还有4针，昨天晚上被咬的，有6个洞洞", "role": "patient"}, {"turn": 7, "text": "手，现在又红，又肿", "role": "patient"}, {"turn": 8, "text": "用碘伏消毒，", "role": "doctor"}, {"turn": 9, "text": "可以用冰块冷敷", "role": "doctor"}, {"turn": 10, "text": "冰块可以吗", "role": "patient"}, {"turn": 11, "text": "一般多久消肿\n啊", "role": "patient"}, {"turn": 12, "text": "半天左右", "role": "doctor"}, {"turn": 13, "text": "特别肿啊", "role": "patient"}, {"turn": 14, "text": "昨天晚上咬的，如果几天不消肿，还不有事情啊", "role": "patient"}, {"turn": 15, "text": "不会的，细胞水肿需要一个过程才能消肿", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1181, "thread": [{"turn": 0, "text": "已经喝了酒，蛀牙发痛，怎么快速止痛（男，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问是一阵阵的疼还是一直疼？", "role": "doctor"}, {"turn": 2, "text": "一直疼", "role": "patient"}, {"turn": 3, "text": "已经喝了酒了，能什么方法快速止痛吗？", "role": "patient"}, {"turn": 4, "text": "您试一下喝口凉水疼不疼", "role": "doctor"}, {"turn": 5, "text": "喝在口中不疼", "role": "patient"}, {"turn": 6, "text": "那可以用凉水冰一下", "role": "doctor"}, {"turn": 7, "text": "怎么凉水？", "role": "patient"}, {"turn": 8, "text": "有可能化脓期 用凉水含漱会好一些", "role": "doctor"}, {"turn": 9, "text": "能吃分必得吗？", "role": "patient"}, {"turn": 10, "text": "不可以的", "role": "doctor"}, {"turn": 11, "text": "好吧", "role": "patient"}, {"turn": 12, "text": "喝酒尽量避免吃药", "role": "doctor"}, {"turn": 13, "text": "用冰水只能缓解一下⼁", "role": "patient"}, {"turn": 14, "text": "还有别的方法吗？", "role": "patient"}, {"turn": 15, "text": "建议您明天去医院就诊处理的", "role": "doctor"}, {"turn": 16, "text": "我怕顶不了今晚啊\n(｡ì _ í｡)", "role": "patient"}, {"turn": 17, "text": "那您只能含漱凉水了 喝酒是不能吃药的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1182, "thread": [{"turn": 0, "text": "血於气虚可以用藏红花泡水喝吗？（女，26岁）", "role": "patient"}, {"turn": 1, "text": "最好再配合点补气的药物，另外，建议按照中药的煎煮方式水煎药物，效果比较容易保证！", "role": "doctor"}, {"turn": 2, "text": "是你自己认为自己气虚血瘀？还是有医生告诉你的？另外，有症状吗？", "role": "doctor"}, {"turn": 3, "text": "中医把脉的，肾虚湿调，气血失和，要温阳利湿，理气化於。多梦，冬季恶寒怕冷，最近天冷了白带都稀的像水。", "role": "patient"}, {"turn": 4, "text": "舌苔发白代表阳气不足或有寒，症状也符合，但一般因寒引起的月经不调多延期。您的月经一般提前几天？颜色、质地、经量怎样？几天干净？有无痛经？另外，对于月经不调建议画几个周期的基础体温。", "role": "doctor"}, {"turn": 5, "text": "另外，既然看过医生，做了检查没？有的话也一并提供，大概说一下就可以。", "role": "doctor"}, {"turn": 6, "text": "做了B超没有问题，七月份之前都是推迟，七月份之后就开始提前，17天一个周期，八到九天才完，吃了一个月中药后，22天一个周期，六天左右完，来的颜色头一两天都是咖啡色的，腰有点酸，后面几天血变红的时候腰就不算了，肚子不疼。", "role": "patient"}, {"turn": 7, "text": "阳气不足指肾阳虚，寒会延期，但如果寒见提前，多说明兼有气虚，服用一个月中药的变化还是有效的，一般月经方面中药多需连续服用几个周期，如三个月或者半年，建议和给你开中药的医生再沟通，或者就月经问题再咨询其他医生，多方面听取意见。但给你开中药的医生意见最重要，毕竟他看过你的舌苔及诊过脉。", "role": "doctor"}, {"turn": 8, "text": "对了，回归正题。藏红花性微寒，所以不适合你目前的状态，不建议使用，中医如果要用得话必须配伍温热的药物来抵消寒凉。", "role": "doctor"}, {"turn": 9, "text": "嗯，那可以用那个泡脚吗？", "role": "patient"}, {"turn": 10, "text": "也没有必要，热水即可。", "role": "doctor"}, {"turn": 11, "text": "医生说我血於，虽然红花可以活血化瘀，还是不能泡茶喝是吧。那平时饮食上可以多吃什么或是用什么泡水喝比较好。", "role": "patient"}, {"turn": 12, "text": "对的，当归比较合适一些。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1183, "thread": [{"turn": 0, "text": "膀胱过度活跃症是什么情况 该怎么治（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "尿频尿急", "role": "patient"}, {"turn": 3, "text": "每天尿有七八次  十次左右", "role": "patient"}, {"turn": 4, "text": "有验尿吗", "role": "doctor"}, {"turn": 5, "text": "尿常规  培养都是正常的", "role": "patient"}, {"turn": 6, "text": "妇科也是正常的", "role": "patient"}, {"turn": 7, "text": "有人说可能是膀胱过度活跃", "role": "patient"}, {"turn": 8, "text": "但又不想做膀胱镜  感觉太痛苦了", "role": "patient"}, {"turn": 9, "text": "那建议你做个膀胱镜检查", "role": "doctor"}, {"turn": 10, "text": "可不可以不做  吃些药试试", "role": "patient"}, {"turn": 11, "text": "也是吃消炎药", "role": "doctor"}, {"turn": 12, "text": "膀胱过度活跃是发炎吗", "role": "patient"}, {"turn": 13, "text": "吃了很多消炎药都没有用", "role": "patient"}, {"turn": 14, "text": "也可能是腺性膀胱炎", "role": "doctor"}, {"turn": 15, "text": "每次去医院 医生都当泌尿系感染治", "role": "patient"}, {"turn": 16, "text": "我检查了膀胱B超也是正常的", "role": "patient"}, {"turn": 17, "text": "b超看不出的", "role": "doctor"}, {"turn": 18, "text": "可是我吃了很多消炎的药都没有用", "role": "patient"}, {"turn": 19, "text": "腺性膀胱炎消炎药效果一般", "role": "doctor"}, {"turn": 20, "text": "这个病是这个症状吗", "role": "patient"}, {"turn": 21, "text": "是啊", "role": "doctor"}, {"turn": 22, "text": "多见女性", "role": "doctor"}, {"turn": 23, "text": "尿频尿急为主要症状", "role": "doctor"}, {"turn": 24, "text": "腺是什么腺？", "role": "patient"}, {"turn": 25, "text": "针对本次问诊，医生更新了总结建议：膀胱腺体，还是建议你进一步检查膀胱镜", "role": "doctor"}, {"turn": 26, "text": "这是癌前病变？", "role": "patient"}, {"turn": 27, "text": "不是", "role": "doctor"}, {"turn": 28, "text": "百度百科里说的", "role": "patient"}, {"turn": 29, "text": "你是时间太久了，担心这个担心那个", "role": "doctor"}, {"turn": 30, "text": "有无痛膀胱镜吗", "role": "patient"}, {"turn": 31, "text": "有", "role": "doctor"}, {"turn": 32, "text": "三甲医院有吗", "role": "patient"}, {"turn": 33, "text": "有啊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1184, "thread": [{"turn": 0, "text": "耳鸣了5-6天，晚上响的睡不着（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，耳鸣是持续性的吗？", "role": "doctor"}, {"turn": 2, "text": "什么声音", "role": "doctor"}, {"turn": 3, "text": "持续性的", "role": "patient"}, {"turn": 4, "text": "像蝉鸣又像电流声", "role": "patient"}, {"turn": 5, "text": "特别响", "role": "patient"}, {"turn": 6, "text": "单侧还是双侧", "role": "doctor"}, {"turn": 7, "text": "近期有没有感冒", "role": "doctor"}, {"turn": 8, "text": "怎么判断单双侧呢？反正感觉两边没有明显的差别", "role": "patient"}, {"turn": 9, "text": "一直有很多回吸性痰，之前ct有鼻腔积液", "role": "patient"}, {"turn": 10, "text": "前两天用手搓耳根会缓解1分钟左右，现在不能了", "role": "patient"}, {"turn": 11, "text": "耳鸣，耳聋的诊断需要借助耳鼻喉科仪器检查，做个耳内镜检查一下外耳道及鼓室，电测听检查看看是神经性的还是传导性的", "role": "doctor"}, {"turn": 12, "text": "感冒貌似没有", "role": "patient"}, {"turn": 13, "text": "如果是传导性的多是感冒引起的，好治疗", "role": "doctor"}, {"turn": 14, "text": "牵拉耳廓有没有缓解", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "嗯，如果鼻腔有积液或鼻咽部痰存积，多考虑咽鼓管阻塞引起的传导性", "role": "doctor"}, {"turn": 17, "text": "怎么办呢", "role": "patient"}, {"turn": 18, "text": "可以发复方呋嘛液滴鼻，生理性海水冲洗鼻腔，口服西替利嗪片", "role": "doctor"}, {"turn": 19, "text": "治疗5天左右，如果症状没有明显改善，就要到医院耳鼻喉科上述检查一下了", "role": "doctor"}, {"turn": 20, "text": "我眼睛只要不完全睁开，虚着眼睛，耳朵里就会一鼓一鼓的，感觉贴别疲惫", "role": "patient"}, {"turn": 21, "text": "之前有很长一段时间都在熬夜，2-3点才睡", "role": "patient"}, {"turn": 22, "text": "嗯，可以先上述药物缓解治疗", "role": "doctor"}, {"turn": 23, "text": "然后一个月前国庆节吃了5天常规剂量的阿奇霉素，不知道有没有耳毒性", "role": "patient"}, {"turn": 24, "text": "如果压力大，熬夜劳累，也不能排除神经性原因", "role": "doctor"}, {"turn": 25, "text": "不会的，多虑了，孩子都可以用", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1185, "thread": [{"turn": 0, "text": "我经常偏头痛，容易忘事（女，45岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久了？", "role": "doctor"}, {"turn": 2, "text": "5元", "role": "patient"}, {"turn": 3, "text": "？", "role": "doctor"}, {"turn": 4, "text": "5个月了吗？", "role": "doctor"}, {"turn": 5, "text": "我从小就喜欢头痛", "role": "patient"}, {"turn": 6, "text": "从小就头痛", "role": "patient"}, {"turn": 7, "text": "哦，忘事非常频繁吗？是之前的事记不得？还是最近发生的事记不得？", "role": "doctor"}, {"turn": 8, "text": "小时候就容易头痛", "role": "patient"}, {"turn": 9, "text": "能具体详细描述一下吗？", "role": "doctor"}, {"turn": 10, "text": "之前的事大多半不记得了", "role": "patient"}, {"turn": 11, "text": "现在是说要办什么事一下就忘记了，等一会儿看到就记得了，", "role": "patient"}, {"turn": 12, "text": "这样的症状是老年痴呆症的前兆吗？", "role": "patient"}, {"turn": 13, "text": "怎么预防", "role": "patient"}, {"turn": 14, "text": "请问您家人或者亲戚有类似症状吗？", "role": "doctor"}, {"turn": 15, "text": "您做过磁共振吗？", "role": "doctor"}, {"turn": 16, "text": "预防方式可以尝试着有意地去记住一组数字或者某些事情，每天训练", "role": "doctor"}, {"turn": 17, "text": "但如果症状感觉很重的话我建议至少需要做个颅脑的磁共振", "role": "doctor"}, {"turn": 18, "text": "你好，因今天有介入手术，没有给您及时回复，抱歉。一会又要继续手术，您先留言，我会尽快给您回复", "role": "doctor"}, {"turn": 19, "text": "我老爸70多了，发现有一点老年痴呆症的前兆，我我没有做过颅脑磁共振，以前头痛做过脑C丅，没有什么", "role": "patient"}, {"turn": 20, "text": "建议先做个颅脑磁共振（平扫和磁敏感）", "role": "doctor"}, {"turn": 21, "text": "您才45岁，如果记忆障碍明显，我认为需要仔细查一下，即使最后可能查不到明确病因，至少可以排除一些疾病", "role": "doctor"}, {"turn": 22, "text": "到时候要做个磁共振", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1186, "thread": [{"turn": 0, "text": "蛀牙半夜痛怎么办应急（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你这个这时候只能吃止痛药，要么去急诊", "role": "doctor"}, {"turn": 2, "text": "刚吃过止痛片一个多小时", "role": "patient"}, {"turn": 3, "text": "还能在吃吗", "role": "patient"}, {"turn": 4, "text": "这个时候的口腔科一般都没有夜班", "role": "doctor"}, {"turn": 5, "text": "除非口腔医院晚上可能有夜间急诊", "role": "doctor"}, {"turn": 6, "text": "你可以等两个小时再吃", "role": "doctor"}, {"turn": 7, "text": "哪有没有什么可以缓解一下的     很痛", "role": "patient"}, {"turn": 8, "text": "过两个小时吃止痛片不会有问题吧", "role": "patient"}, {"turn": 9, "text": "现在喝一些盐温水可以吗", "role": "patient"}, {"turn": 10, "text": "盐水没用", "role": "doctor"}, {"turn": 11, "text": "你这是牙髓炎", "role": "doctor"}, {"turn": 12, "text": "最简单的办法就是开髓减压", "role": "doctor"}, {"turn": 13, "text": "你现在不能处理", "role": "doctor"}, {"turn": 14, "text": "可以拔掉吗", "role": "patient"}, {"turn": 15, "text": "你这个时候去哪拔", "role": "doctor"}, {"turn": 16, "text": "有消炎药也可以吃点", "role": "doctor"}, {"turn": 17, "text": "那医生你有没有什么可以缓解疼痛的办法", "role": "patient"}, {"turn": 18, "text": "我是说明天或者以后", "role": "patient"}, {"turn": 19, "text": "去医院", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "治疗这个牙齿", "role": "doctor"}, {"turn": 22, "text": "很简单就止痛了", "role": "doctor"}, {"turn": 23, "text": "牙痛不是病，疼起来要命", "role": "doctor"}, {"turn": 24, "text": "是的     痛的要死", "role": "patient"}, {"turn": 25, "text": "你可以做起来看电视", "role": "doctor"}, {"turn": 26, "text": "现在只想让它缓解一下       过完一晚上明天去医院", "role": "patient"}, {"turn": 27, "text": "躺下的时候会感觉比较疼", "role": "doctor"}, {"turn": 28, "text": "分散注意力吗？", "role": "patient"}, {"turn": 29, "text": "嗯", "role": "doctor"}, {"turn": 30, "text": "现在痛的已经没什么心思了   只想睡着等到明天去医院", "role": "patient"}, {"turn": 31, "text": "那也可以", "role": "doctor"}, {"turn": 32, "text": "明天一定要治疗", "role": "doctor"}, {"turn": 33, "text": "不然夜间还会疼", "role": "doctor"}, {"turn": 34, "text": "嗯嗯", "role": "patient"}, {"turn": 35, "text": "只想搞个办法缓解一下    睡个觉", "role": "patient"}, {"turn": 36, "text": "现在只能看药物", "role": "doctor"}, {"turn": 37, "text": "适可而止", "role": "doctor"}, {"turn": 38, "text": "好吧      痛的想吃止痛药又怕间隔太短有什么副作用", "role": "patient"}, {"turn": 39, "text": "👌按照说明书", "role": "doctor"}, {"turn": 40, "text": "好的", "role": "patient"}, {"turn": 41, "text": "今天有空了要及时去治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1187, "thread": [{"turn": 0, "text": "孩子一直便秘不知道怎么办？4.5天便一次（男，9）", "role": "patient"}, {"turn": 1, "text": "你好，请问孩子这样的情况多久了呢？", "role": "doctor"}, {"turn": 2, "text": "好几年了", "role": "patient"}, {"turn": 3, "text": "嗯，那孩子平时饮食，水果和蔬菜吃的怎么样呢？", "role": "doctor"}, {"turn": 4, "text": "嗯，那孩子平时饮食，水果和蔬菜吃的怎么样呢？", "role": "doctor"}, {"turn": 5, "text": "蔬菜吃的少，水果还可以", "role": "patient"}, {"turn": 6, "text": "蔬菜吃的少，水果还可以", "role": "patient"}, {"turn": 7, "text": "嗯，那孩子肉类吃的怎么样呢？感觉比蔬菜多很多呢", "role": "doctor"}, {"turn": 8, "text": "有做过什么检查，或者吃过什么药物呢", "role": "doctor"}, {"turn": 9, "text": "喜欢吃肉，没做过检查", "role": "patient"}, {"turn": 10, "text": "嗯，那这样，一般来说便秘的话大多数都是功能性的，和饮食有一定关系。\n可以给孩子多吃水果，蔬菜，肉少吃。\n然后可以吃点促进消化的药物，比如神曲消食口服液，如果不见好转，可以吃点乳果糖。", "role": "doctor"}, {"turn": 11, "text": "如果饮食注意了，药物两个都吃了，还是不好使，那么就要去医院做一下检查了，看看到底什么原因", "role": "doctor"}, {"turn": 12, "text": "如果检查得做什么检查", "role": "patient"}, {"turn": 13, "text": "抱歉，这个没有提醒，刚看到，大多数都是功能性的，少数是器质性的，所以饮食和药物可以先用着，大多数都可以解决，如果不行，那么需要具体分析，必要时可以看看片子，有的需要做肠镜，有一些也需要看看是否有过敏的", "role": "doctor"}, {"turn": 14, "text": "抱歉，这个没有提醒，刚看到，大多数都是功能性的，少数是器质性的，所以饮食和药物可以先用着，大多数都可以解决，如果不行，那么需要具体分析，必要时可以看看片子，有的需要做肠镜，有一些也需要看看是否有过敏的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1188, "thread": [{"turn": 0, "text": "手腕转动疼。是不是扭伤了（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "受过伤没？", "role": "doctor"}, {"turn": 3, "text": "昨天开始的  以后手手受过伤", "role": "patient"}, {"turn": 4, "text": "什么时候怎么受的伤？", "role": "doctor"}, {"turn": 5, "text": "去年夏天肌腱断了  接好了 恢复的也挺好", "role": "patient"}, {"turn": 6, "text": "这次疼和受伤疼一样么？", "role": "doctor"}, {"turn": 7, "text": "不一样", "role": "patient"}, {"turn": 8, "text": "这次感觉是扭伤疼", "role": "patient"}, {"turn": 9, "text": "你能看视频嘛", "role": "patient"}, {"turn": 10, "text": "你发一下试试", "role": "doctor"}, {"turn": 11, "text": "你不能看", "role": "patient"}, {"turn": 12, "text": "握拳不疼  左右两侧翻司机就疼", "role": "patient"}, {"turn": 13, "text": "左右翻时就疼", "role": "patient"}, {"turn": 14, "text": "这次有受伤么？", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "是不是和反手腕有关", "role": "patient"}, {"turn": 17, "text": "用力过猛", "role": "patient"}, {"turn": 18, "text": "你掰手腕了？", "role": "doctor"}, {"turn": 19, "text": "昂 和朋友", "role": "patient"}, {"turn": 20, "text": "这个动作最伤手腕", "role": "doctor"}, {"turn": 21, "text": "以后记住了 会慢慢好嘛", "role": "patient"}, {"turn": 22, "text": "要怎么弄大夫", "role": "patient"}, {"turn": 23, "text": "会慢慢好", "role": "doctor"}, {"turn": 24, "text": "可以用热水袋热敷", "role": "doctor"}, {"turn": 25, "text": "要不要抹点药", "role": "patient"}, {"turn": 26, "text": "可以抹扶他林", "role": "doctor"}, {"turn": 27, "text": "好的  谢谢大夫", "role": "patient"}, {"turn": 28, "text": "热毛巾可以热敷吧", "role": "patient"}, {"turn": 29, "text": "可以", "role": "doctor"}, {"turn": 30, "text": "不用谢！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1189, "thread": [{"turn": 0, "text": "耵聍栓塞点了小苏打后头疼痛难忍怎么办（女，20岁）特别疼 怎么办", "role": "patient"}, {"turn": 1, "text": "你好，可能和滴小苏打后耵聍栓膨胀刺激有关，没有什么好办法，请问滴了几天了？可以等明天去医院看看，把耵聍取出来就可以了", "role": "doctor"}, {"turn": 2, "text": "之前滴了两天今天去看说取不出来在滴两天  好回来后在用药 右半个头都好痛 吃了布洛芬 晚上了吃了两个药还是疼", "role": "patient"}, {"turn": 3, "text": "只是头疼？耳朵不痛吧？自己没有掏耳朵吧？", "role": "doctor"}, {"turn": 4, "text": "就感觉耳朵在向太阳穴输送疼痛  非常难忍", "role": "patient"}, {"turn": 5, "text": "应该还是和耵聍膨胀刺激有关，你试着牵拉一下耳廓试试能否缓解", "role": "doctor"}, {"turn": 6, "text": "没有掏过", "role": "patient"}, {"turn": 7, "text": "我如果滴两天还不能取出怎么办", "role": "patient"}, {"turn": 8, "text": "先轻轻牵拉耳廓试试能否缓解，实在不行的话建议去医院就诊", "role": "doctor"}, {"turn": 9, "text": "实在忍受不了 都疼哭了使劲哭后还好受点", "role": "patient"}, {"turn": 10, "text": "除非是胆脂瘤型的栓塞，绝大部分情况下都可以取出", "role": "doctor"}, {"turn": 11, "text": "点香油可以么 看到说点香油不疼", "role": "patient"}, {"turn": 12, "text": "香油软化效果不好呢，建议你现在临时什么都不要滴了，明天再去医院看看，能否取出来，还是不行的话再考虑滴香油", "role": "doctor"}, {"turn": 13, "text": "好难受 大夫", "role": "patient"}, {"turn": 14, "text": "牵拉耳廓也不行吗", "role": "doctor"}, {"turn": 15, "text": "都不能碰 一碰就疼", "role": "patient"}, {"turn": 16, "text": "那请问之前没有滴耳之前耳朵疼了吗？你说的这种情况不像是单纯滴耳后压迫的疼痛，考虑可能有外耳道炎或者疖肿的情况", "role": "doctor"}, {"turn": 17, "text": "之前去诊所看说是有个包  后来去了两次医院都没说有包就说是耵聍", "role": "patient"}, {"turn": 18, "text": "哦，那有可能有炎症或者疖肿，建议你口服蒲地蓝消炎片及抗生素如阿莫西林或罗红霉素吃吃看", "role": "doctor"}, {"turn": 19, "text": "没滴前情微疼痛点药次数多了越来越痛", "role": "patient"}, {"turn": 20, "text": "上午去医院做了冲洗 和抽吸 都没有出来", "role": "patient"}, {"turn": 21, "text": "针对本次问诊，医生更新了总结建议：也可能和今天一刺激有关，家里有消炎药吗？先吃点吧，今天先别泡了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1190, "thread": [{"turn": 0, "text": "儿童哮喘一直咳嗽怎么办（女，4岁）", "role": "patient"}, {"turn": 1, "text": "亲，你好？给孩子用孟鲁司特片", "role": "doctor"}, {"turn": 2, "text": "加雾化治疗或者信必可吸入", "role": "doctor"}, {"turn": 3, "text": "加了孟鲁司特片的，还是一直咳嗽", "role": "patient"}, {"turn": 4, "text": "医院确诊是哮喘的吗？孩子是对什么过敏了吗", "role": "doctor"}, {"turn": 5, "text": "接触了什么引起的一直磕头", "role": "doctor"}, {"turn": 6, "text": "咳嗽", "role": "doctor"}, {"turn": 7, "text": "确诊了的，没对什么过敏", "role": "patient"}, {"turn": 8, "text": "那家里又雾化器吗或布地奈德吸剂", "role": "doctor"}, {"turn": 9, "text": "她是这个月十二号确诊的哮喘，然后吃了几天药就不咳嗽了，但是三四天后就又开始咳嗽并发烧，", "role": "patient"}, {"turn": 10, "text": "如果确诊哮喘就需要连续用药，这几天发热咳嗽是存在感冒引起", "role": "doctor"}, {"turn": 11, "text": "哮喘不会发热", "role": "doctor"}, {"turn": 12, "text": "她用的是辅舒酮吸入气雾剂", "role": "patient"}, {"turn": 13, "text": "主要是这回都吃药一周了都还是咳嗽", "role": "patient"}, {"turn": 14, "text": "检查什么原因引起发热咳嗽的", "role": "doctor"}, {"turn": 15, "text": "病毒性感冒", "role": "patient"}, {"turn": 16, "text": "哦，用了哪些药物", "role": "doctor"}, {"turn": 17, "text": "现在在吃复尔可定，丙卡，", "role": "patient"}, {"turn": 18, "text": "然后还有治疗哮喘的", "role": "patient"}, {"turn": 19, "text": "还有阿奇霉素", "role": "patient"}, {"turn": 20, "text": "哦，咳嗽药换成宣肺止嗽合剂", "role": "doctor"}, {"turn": 21, "text": "复尔可定和丙卡不吃了吗", "role": "patient"}, {"turn": 22, "text": "不是已经吃了一周效果不好吗", "role": "doctor"}, {"turn": 23, "text": "对", "role": "patient"}, {"turn": 24, "text": "就只吃宣肺止咳这个吗？", "role": "patient"}, {"turn": 25, "text": "如果只有咳嗽就只吃这个加哮喘药物", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}, {"turn": 28, "text": "注意孩子后背保暖贴止咳贴", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1191, "thread": [{"turn": 0, "text": "两岁八个月宝宝睡觉咳嗽厉害怎么办（女，2岁8个月）", "role": "patient"}, {"turn": 1, "text": "请问咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "反反复复快四个月了", "role": "patient"}, {"turn": 3, "text": "咳嗽痰多吗", "role": "doctor"}, {"turn": 4, "text": "这次咳嗽没有痰", "role": "patient"}, {"turn": 5, "text": "尤其睡觉咳嗽厉害", "role": "patient"}, {"turn": 6, "text": "睡觉时咳嗽重？白天咳嗽吗", "role": "doctor"}, {"turn": 7, "text": "总是被咳嗽醒", "role": "patient"}, {"turn": 8, "text": "孩子有些过敏咳嗽，吃些氯雷他定咀嚼片", "role": "doctor"}, {"turn": 9, "text": "睡觉咳嗽重，白天也咳嗽，到没有晚上厉害", "role": "patient"}, {"turn": 10, "text": "去儿童医院看的中医，诊断为风寒外束，寒饮内伏", "role": "patient"}, {"turn": 11, "text": "开的中药吃了没有效果", "role": "patient"}, {"turn": 12, "text": "只吃这一种药就可以吗", "role": "patient"}, {"turn": 13, "text": "还在吗", "role": "patient"}, {"turn": 14, "text": "这个药吃多久", "role": "patient"}, {"turn": 15, "text": "吃半个月左右加阿奇霉素", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1192, "thread": [{"turn": 0, "text": "医生您好，我想咨询“消化不良会引起发烧吗”相关问题", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "就是有点咳嗽跟嗓子疼，还有点消化不良，发低烧，怕冷", "role": "patient"}, {"turn": 3, "text": "消化不良一般不会引起发烧", "role": "doctor"}, {"turn": 4, "text": "单纯的消化不良一般不会引起发烧", "role": "doctor"}, {"turn": 5, "text": "那是咋了", "role": "patient"}, {"turn": 6, "text": "咳嗽嗓子疼可能会起发烧的", "role": "doctor"}, {"turn": 7, "text": "那消化不良咋了", "role": "patient"}, {"turn": 8, "text": "我昨晚上吃过药没发了，今早上又发了", "role": "patient"}, {"turn": 9, "text": "发烧有可能引起不消化", "role": "doctor"}, {"turn": 10, "text": "那吃点啥药", "role": "patient"}, {"turn": 11, "text": "现在发烧多少度呢？", "role": "doctor"}, {"turn": 12, "text": "37度左右", "role": "patient"}, {"turn": 13, "text": "家里有什么退烧药物呢？", "role": "doctor"}, {"turn": 14, "text": "瑞芝清", "role": "patient"}, {"turn": 15, "text": "可以先吃这个退烧", "role": "doctor"}, {"turn": 16, "text": "我昨晚上吃了，然后今天又发了", "role": "patient"}, {"turn": 17, "text": "那还是炎症没有消退呢", "role": "doctor"}, {"turn": 18, "text": "建议您明天去做个血常规检查一下", "role": "doctor"}, {"turn": 19, "text": "一直吃，就会好了吗", "role": "patient"}, {"turn": 20, "text": "如果化验有细菌感染那就需要服用抗生素，如果没有细菌感染那就吃抗病毒药物就可以了", "role": "doctor"}, {"turn": 21, "text": "就是，12月份，我感冒的时候做过", "role": "patient"}, {"turn": 22, "text": "现在还可以用吗", "role": "patient"}, {"turn": 23, "text": "不可以了", "role": "doctor"}, {"turn": 24, "text": "那好吧", "role": "patient"}, {"turn": 25, "text": "嗯嗯", "role": "doctor"}, {"turn": 26, "text": "能现在先吃一点消炎药，等明天去看，可以吗，现在还在上班", "role": "patient"}, {"turn": 27, "text": "可以", "role": "doctor"}, {"turn": 28, "text": "但需要吃些退烧药", "role": "doctor"}, {"turn": 29, "text": "好的，那谢谢医生了", "role": "patient"}, {"turn": 30, "text": "不客气", "role": "doctor"}, {"turn": 31, "text": "嗯嗯", "role": "patient"}, {"turn": 32, "text": "?", "role": "doctor"}, {"turn": 33, "text": "那一般吃点什么消炎药", "role": "patient"}, {"turn": 34, "text": "罗红霉素吧", "role": "doctor"}, {"turn": 35, "text": "好的，谢谢医生了", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1193, "thread": [{"turn": 0, "text": "没啥别的症状，没痰。就是咳嗽，主要是睡觉躺下或者变换下冷暖环境。（女，48岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "咳嗽厉害吗？", "role": "doctor"}, {"turn": 3, "text": "近二十天", "role": "patient"}, {"turn": 4, "text": "一点痰都没有吗？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "前两天略有太阳穴疼，今天不疼了", "role": "patient"}, {"turn": 7, "text": "咽喉部有没有什么不适？", "role": "doctor"}, {"turn": 8, "text": "咳嗽厉害吗？", "role": "doctor"}, {"turn": 9, "text": "午睡，晚上躺下睡觉容易咳嗽厉害", "role": "patient"}, {"turn": 10, "text": "影响休息", "role": "patient"}, {"turn": 11, "text": "咳嗽前喉咙觉得有没有发痒？", "role": "doctor"}, {"turn": 12, "text": "是的", "role": "patient"}, {"turn": 13, "text": "现在冬季，从外面进屋也容易咳嗽", "role": "patient"}, {"turn": 14, "text": "有没有做过什么检查？", "role": "doctor"}, {"turn": 15, "text": "尤其是肺部的", "role": "doctor"}, {"turn": 16, "text": "没有做过", "role": "patient"}, {"turn": 17, "text": "你的情况建议去医院做个肺部CT检查看看有没有肺部问题，如果没有就需要做支气管激发试验，排除一下咳嗽变异性哮喘哈", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1194, "thread": [{"turn": 0, "text": "嗓子下面胸口上面的气管有痰，想咳嗽，会不会是冠状病毒（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "今天早上开始吧，昨天有点劳累，我在北京。", "role": "patient"}, {"turn": 3, "text": "你去过武汉吗？", "role": "doctor"}, {"turn": 4, "text": "感觉还有点上呼吸道感染的症状", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "北京确实发现两粒", "role": "doctor"}, {"turn": 7, "text": "这个我知道", "role": "doctor"}, {"turn": 8, "text": "恩", "role": "patient"}, {"turn": 9, "text": "你接触过咳嗽咳痰的患者吗", "role": "doctor"}, {"turn": 10, "text": "最近", "role": "doctor"}, {"turn": 11, "text": "有，我同事但她和止咳糖浆已经好了", "role": "patient"}, {"turn": 12, "text": "一周之前", "role": "patient"}, {"turn": 13, "text": "就目前来看你应该是普通感冒", "role": "doctor"}, {"turn": 14, "text": "用点感冒药", "role": "doctor"}, {"turn": 15, "text": "吃了阿奇霉素", "role": "patient"}, {"turn": 16, "text": "用点抗病毒的", "role": "doctor"}, {"turn": 17, "text": "有痰用阿奇效果也不好啊", "role": "doctor"}, {"turn": 18, "text": "你如果近期没喝酒对头孢不过敏的话", "role": "doctor"}, {"turn": 19, "text": "用点头孢", "role": "doctor"}, {"turn": 20, "text": "主要还有点上呼吸道感染的症状，嗓子上面有点肿", "role": "patient"}, {"turn": 21, "text": "好的", "role": "patient"}, {"turn": 22, "text": "肿痛的话用点肿痛安胶囊", "role": "doctor"}, {"turn": 23, "text": "不愿意吃的话用点开喉剑", "role": "doctor"}, {"turn": 24, "text": "好", "role": "patient"}, {"turn": 25, "text": "抗病毒的你吃上", "role": "doctor"}, {"turn": 26, "text": "这玩意没那么容易感染吧", "role": "patient"}, {"turn": 27, "text": "好", "role": "patient"}, {"turn": 28, "text": "连花清瘟胶囊", "role": "doctor"}, {"turn": 29, "text": "行", "role": "patient"}, {"turn": 30, "text": "目前为止一般是去过武汉的", "role": "doctor"}, {"turn": 31, "text": "接触过患者的人", "role": "doctor"}, {"turn": 32, "text": "普通人普通感冒比较多", "role": "doctor"}, {"turn": 33, "text": "少去人群聚集地", "role": "doctor"}, {"turn": 34, "text": "去公共场所戴口罩", "role": "doctor"}, {"turn": 35, "text": "多喝水勤洗手", "role": "doctor"}, {"turn": 36, "text": "好的！", "role": "patient"}, {"turn": 37, "text": "虽然快过年了但是目前的情况还是少去人多的地方", "role": "doctor"}, {"turn": 38, "text": "好的", "role": "patient"}, {"turn": 39, "text": "放假还是在家跟家人团聚", "role": "doctor"}, {"turn": 40, "text": "少出门吧", "role": "doctor"}, {"turn": 41, "text": "好，谢谢大夫！", "role": "patient"}, {"turn": 42, "text": "不客气哈", "role": "doctor"}, {"turn": 43, "text": "吃了药以后多喝水多排尿帮助药物吸收代谢，晚上睡前两小时就不要喝太多水了，多吃些优质蛋白，好好休息，别熬夜", "role": "doctor"}, {"turn": 44, "text": "好！", "role": "patient"}, {"turn": 45, "text": "早日康复", "role": "doctor"}, {"turn": 46, "text": "????", "role": "doctor"}, {"turn": 47, "text": "谢谢！", "role": "patient"}, {"turn": 48, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1195, "thread": [{"turn": 0, "text": "消化不良一天到底吃多少健胃消食片好（女，35岁）", "role": "patient"}, {"turn": 1, "text": "您好，有腹痛腹胀吗？有胃疼？健胃消食片一天三次，一次三片", "role": "doctor"}, {"turn": 2, "text": "胃不疼 但是胀气 不排便 得打开赛露 吃东西就涨 我一天吃一板多", "role": "patient"}, {"turn": 3, "text": "还有其他伴随症状吗？", "role": "doctor"}, {"turn": 4, "text": "几天一次大便？", "role": "doctor"}, {"turn": 5, "text": "我有红斑狼疮刚出院一个多月 在大量用激素 口服激素9片", "role": "patient"}, {"turn": 6, "text": "打两次开赛露就两回 不打就不去", "role": "patient"}, {"turn": 7, "text": "哦，便秘建议多喝水多吃蔬菜水果，蜂蜜水火龙果香蕉苹果，乳果糖口服溶液缓解便秘大便干燥，金双歧调节肠道菌群促进排便排气，可以开塞露注入肛门", "role": "doctor"}, {"turn": 8, "text": "我是胃的问题 不是肠道的问题 是胃不往下走", "role": "patient"}, {"turn": 9, "text": "试试马来酸曲美布汀片促进胃肠蠕动，促进排便排气。", "role": "doctor"}, {"turn": 10, "text": "试了 现在还在吃 没有什么反应 还是不排 每天还喝酸奶", "role": "patient"}, {"turn": 11, "text": "也适当运动，揉揉肚子，促进胃肠蠕动，促进排便排气，", "role": "doctor"}, {"turn": 12, "text": "这些都做了 排气 不排便", "role": "patient"}, {"turn": 13, "text": "可以看看上面建议，如健胃消食片消化不好，试试复方消化酶胶囊", "role": "doctor"}, {"turn": 14, "text": "谢谢", "role": "patient"}, {"turn": 15, "text": "我现在能做胃镜吗", "role": "patient"}, {"turn": 16, "text": "有胃疼？", "role": "doctor"}, {"turn": 17, "text": "没有", "role": "patient"}, {"turn": 18, "text": "经常胃不舒服再胃镜检查看看", "role": "doctor"}, {"turn": 19, "text": "我胃不疼 但是就是胃胀 能做吗", "role": "patient"}, {"turn": 20, "text": "，是可以查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1196, "thread": [{"turn": 0, "text": "老便秘吃什么药见效快呢（女，31）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "这一次有个半月了", "role": "patient"}, {"turn": 3, "text": "几天大便一次", "role": "doctor"}, {"turn": 4, "text": "大便费力吗", "role": "doctor"}, {"turn": 5, "text": "不规律3   5天老费劲了", "role": "patient"}, {"turn": 6, "text": "平时饮食怎么样", "role": "doctor"}, {"turn": 7, "text": "辛辣刺激生冷的吃的多不多", "role": "doctor"}, {"turn": 8, "text": "蔬菜水果吃的多吗", "role": "doctor"}, {"turn": 9, "text": "水果不爱我了不爱喝水喜欢吃馒头", "role": "patient"}, {"turn": 10, "text": "你得改善一下饮食", "role": "doctor"}, {"turn": 11, "text": "多吃蔬菜水果", "role": "doctor"}, {"turn": 12, "text": "然后可以喝乳果糖口服液每天早上20ml", "role": "doctor"}, {"turn": 13, "text": "便秘的这几天肚子里面还老响", "role": "patient"}, {"turn": 14, "text": "嗯嗯 肠蠕动", "role": "doctor"}, {"turn": 15, "text": "你每天喝乳果糖然后加上益生菌调节肠道菌群", "role": "doctor"}, {"turn": 16, "text": "例如复方嗜酸乳杆菌或者三联活菌或者二联活菌", "role": "doctor"}, {"turn": 17, "text": "好的医生我这需要吃中药调理一下吗", "role": "patient"}, {"turn": 18, "text": "你按照我说的吃", "role": "doctor"}, {"turn": 19, "text": "这些药一般的药店里能买到吗", "role": "patient"}, {"turn": 20, "text": "能", "role": "doctor"}, {"turn": 21, "text": "好的谢谢您了医生我吃一段时间看看吧", "role": "patient"}, {"turn": 22, "text": "好的", "role": "doctor"}, {"turn": 23, "text": "我给你开的没有副作用", "role": "doctor"}, {"turn": 24, "text": "那就好谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}, {"turn": 26, "text": "祝好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1197, "thread": [{"turn": 0, "text": "椎间盘突出会引起腰疼吗（男，19岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "腰椎间盘突出最主要的表现就是腰痛", "role": "doctor"}, {"turn": 3, "text": "今天突然腰疼了，以前偶尔有点左则腰疼", "role": "patient"}, {"turn": 4, "text": "平时有久坐，久站经常弯腰情况么", "role": "doctor"}, {"turn": 5, "text": "腰痛的原因有很多", "role": "doctor"}, {"turn": 6, "text": "今天中年扑到床上后就整腰疼了，", "role": "patient"}, {"turn": 7, "text": "当然最常见的就是骨科疾病，比如腰肌劳损和腰椎间盘突出", "role": "doctor"}, {"turn": 8, "text": "最常见的应该是肌肉及软组织损伤", "role": "doctor"}, {"turn": 9, "text": "可以休息看看有没有缓解", "role": "doctor"}, {"turn": 10, "text": "高三学生，经常久坐", "role": "patient"}, {"turn": 11, "text": "腰椎有点突出", "role": "patient"}, {"turn": 12, "text": "嗯嗯，", "role": "doctor"}, {"turn": 13, "text": "注意休息，减少弯腰活动。 注意腰部保暖，防止受凉。热敷有利于康复的。 可以适当口服活血化瘀的中成药，腰痛宁胶囊等。以及非甾体消炎镇痛药布洛芬缓释胶囊等。担药物治疗不是主要的！ 卧稍硬的床，睡合适的枕头，有利于保护脊柱，可防可治腰痛。 不痛时，可腰背肌功能锻炼，小燕飞/拱桥运动(网上可搜到的)等可防治腰痛的复发或加重！疼痛加重时，及时复查", "role": "doctor"}, {"turn": 14, "text": "可以用什么药么？", "role": "patient"}, {"turn": 15, "text": "可以的", "role": "doctor"}, {"turn": 16, "text": "腰痛宁胶囊", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1198, "thread": [{"turn": 0, "text": "脚扭伤后三个月了还酸软怎么办（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问当时有没有拍片子呀？怎么处理的？", "role": "doctor"}, {"turn": 2, "text": "扭伤后一个月去拍的。", "role": "patient"}, {"turn": 3, "text": "现在都三个月了，还不能正常走路。一下雨就酸痛酸痛的。", "role": "patient"}, {"turn": 4, "text": "当时拍片子，医生说没事。", "role": "patient"}, {"turn": 5, "text": "扭伤的时候抹了红花油喷雾。吃了药，还贴了云南白药药膏。当时扭伤了，挺严重的。是从楼梯上少踩了一个扭的掉下去了。", "role": "patient"}, {"turn": 6, "text": "有没有制动？卧床休息？", "role": "doctor"}, {"turn": 7, "text": "当时就我和儿子在家。每天要上楼下楼送儿子上学。其他的也没有做别的事。", "role": "patient"}, {"turn": 8, "text": "您这种情况肯定是当时急性踝关节扭伤后造成踝关节韧带急性损伤，没有休息制动，韧带成为慢性劳损了", "role": "doctor"}, {"turn": 9, "text": "当时肿的特别严重。全是淤血。现在痛不怎么痛了。就是下楼梯还不能正常下。像这样，晚上脚就火烧火辣的。上个月蹲着脚都不能用劲。现在蹲着能用一点，不能用太多。", "role": "patient"}, {"turn": 10, "text": "那我这个还会不会好啊？以后不会就是残疾了吧？有没有什么药让他好快点呢？", "role": "patient"}, {"turn": 11, "text": "现在只要天要下雨，这一一只腿都痛。", "role": "patient"}, {"turn": 12, "text": "那到不会，您这种情况首先我建议您医院就诊做个踝关节磁共振看看韧带目前情况，治疗的话首先多休息，需要你买个强力护踝或者换关节支具保护固定，每天坚持热水泡脚两次，每次15分钟", "role": "doctor"}, {"turn": 13, "text": "哦，有没有什么药吃啊？能好的快点。", "role": "patient"}, {"turn": 14, "text": "然后配合吃点药物，然后慢慢就行踝部肌肉韧带功能锻炼，不建议您穿高跟鞋", "role": "doctor"}, {"turn": 15, "text": "我不穿高跟鞋。我扭到的时候也是穿平底鞋扭到的。", "role": "patient"}, {"turn": 16, "text": "如果您没有怀孕或者胃溃疡的话，可以吃点活血化物类药物，然后一定吃点非甾体消炎，最常用的就是双氯芬酸钠缓释胶囊", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "上个月拍片子，医生说没事。然后现在都还不能正常走路，就有点着急。", "role": "patient"}, {"turn": 19, "text": "您这个情况不能着急，这个需要一段时间来改善，吃药然后主要是缓解护踝保护6到8周后开始功能锻炼", "role": "doctor"}, {"turn": 20, "text": "那我先买些药来吃", "role": "patient"}, {"turn": 21, "text": "还有我建议您医院就诊做个踝关节磁共振，然后最好就诊关节科或者运动医学科让医生给你综合判断一下情况", "role": "doctor"}, {"turn": 22, "text": "要是没时间就先吃药，泡脚，然后支具或者护踝保护", "role": "doctor"}, {"turn": 23, "text": "嗯。好的，谢谢", "role": "patient"}, {"turn": 24, "text": "嗯嗯，您客气了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1199, "thread": [{"turn": 0, "text": "儿童声带小结能自愈吗（女，6岁）", "role": "patient"}, {"turn": 1, "text": "您好，孩子是做了喉镜吗", "role": "doctor"}, {"turn": 2, "text": "需要看声带小结的大小", "role": "doctor"}, {"turn": 3, "text": "如果小结很小，以后是可能慢慢恢复的", "role": "doctor"}, {"turn": 4, "text": "但是要孩子保持良好的生活习惯，少吃辛辣酸的食物，不要经常大喊大叫", "role": "doctor"}, {"turn": 5, "text": "您好", "role": "patient"}, {"turn": 6, "text": "已经检查过了，比较小，医生说不需要做手术", "role": "patient"}, {"turn": 7, "text": "当时吃了点药，孩子有一个星期没有上幼儿园，感觉还不错，但好像经常嘶哑", "role": "patient"}, {"turn": 8, "text": "我想知道，我们目前在家里应该怎么做", "role": "patient"}, {"turn": 9, "text": "嗯，再观察，是不用做手术的", "role": "doctor"}, {"turn": 10, "text": "要孩子保持良好的生活习惯，少吃辛辣酸的食物，不要经常大喊大叫", "role": "doctor"}, {"turn": 11, "text": "就可以了", "role": "doctor"}, {"turn": 12, "text": "没有其他的了", "role": "doctor"}, {"turn": 13, "text": "嗯嗯，这些我们都会注意，需要吃什么药，感觉孩子说话比较吃力，听着心里难受", "role": "patient"}, {"turn": 14, "text": "有没有什么药或者泡茶喝，可以缓解一下的", "role": "patient"}, {"turn": 15, "text": "还在吗？", "role": "patient"}, {"turn": 16, "text": "除非是声音嘶哑加重，加重都是有原因的，比如感冒，治疗感冒就可以了。平时不用吃什么药，也没什么泡茶喝的", "role": "doctor"}, {"turn": 17, "text": "因为没很大作用", "role": "doctor"}, {"turn": 18, "text": "多喝些水", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1200, "thread": [{"turn": 0, "text": "咀嚼东西左边脸骨头响，几年了（女，22岁）张嘴也会出现这种情况", "role": "patient"}, {"turn": 1, "text": "有疼痛吗？还有其他不适吗", "role": "doctor"}, {"turn": 2, "text": "我看看牙齿照片吧", "role": "doctor"}, {"turn": 3, "text": "不疼", "role": "patient"}, {"turn": 4, "text": "牙齿都很好，骨头关节那里", "role": "patient"}, {"turn": 5, "text": "最近压力怎么样？", "role": "doctor"}, {"turn": 6, "text": "用手按住就没有声了", "role": "patient"}, {"turn": 7, "text": "是颞下颌关节紊乱", "role": "doctor"}, {"turn": 8, "text": "这个和压力没关系吧，一直都有", "role": "patient"}, {"turn": 9, "text": "颞下颌关节疾病和很多因素有关，压力，熬夜，精神状态等。平时避免咬食硬物，避免大张口，适当热敷，如果疼痛的话吃点西乐葆", "role": "doctor"}, {"turn": 10, "text": "几年了", "role": "patient"}, {"turn": 11, "text": "和精神压力有关系", "role": "doctor"}, {"turn": 12, "text": "那则么办", "role": "patient"}, {"turn": 13, "text": "会脱臼吗", "role": "patient"}, {"turn": 14, "text": "你看看我上面注意事项", "role": "doctor"}, {"turn": 15, "text": "避免大张口不会脱臼的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1201, "thread": [{"turn": 0, "text": "耳朵流浓牙齿流浓是怎么回事呢？（男，31岁）", "role": "patient"}, {"turn": 1, "text": "请问您的这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一周吧", "role": "patient"}, {"turn": 3, "text": "赵医师大约一周的时间", "role": "patient"}, {"turn": 4, "text": "耳朵流脓考虑是中耳炎，", "role": "doctor"}, {"turn": 5, "text": "你怎么治疗的，牙齿流脓？之前牙疼么", "role": "doctor"}, {"turn": 6, "text": "疼", "role": "patient"}, {"turn": 7, "text": "中耳炎流浓怎么处理呢？他一直都没有去看过", "role": "patient"}, {"turn": 8, "text": "牙齿还流血", "role": "patient"}, {"turn": 9, "text": "是不是中耳炎影响到牙齿的呢", "role": "patient"}, {"turn": 10, "text": "牙齿需要看看牙医，可能是牙周炎，可能有脓肿", "role": "doctor"}, {"turn": 11, "text": "中耳炎的话建议你口服头孢类药物，配合氧氟沙星滴耳液灌洗耳朵", "role": "doctor"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "是不是中耳炎影响的呢？", "role": "patient"}, {"turn": 14, "text": "这两个没太大关系，", "role": "doctor"}, {"turn": 15, "text": "可能是感冒导致的，牙齿可能之前也有问题，", "role": "doctor"}, {"turn": 16, "text": "赵医师麻烦你开点药之类的好吗", "role": "patient"}, {"turn": 17, "text": "头孢克肟，如果不过敏的话就吃这个", "role": "doctor"}, {"turn": 18, "text": "最近这段时间头也比较痛", "role": "patient"}, {"turn": 19, "text": "然后去买氧氟沙星滴耳液洗耳朵", "role": "doctor"}, {"turn": 20, "text": "如果过敏呢？", "role": "patient"}, {"turn": 21, "text": "如果过敏的话就吃罗红霉素", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "牙齿又开什么药呢", "role": "patient"}, {"turn": 24, "text": "牙齿要检查一下看看有没有脓肿，必要时可能需要根管治疗，", "role": "doctor"}, {"turn": 25, "text": "可以吃点甲硝唑", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢！", "role": "patient"}, {"turn": 27, "text": "不客气", "role": "doctor"}, {"turn": 28, "text": "赵医师我忘了给你，他耳朵流浓这段时间是早上", "role": "patient"}, {"turn": 29, "text": "每天早上流浓", "role": "patient"}, {"turn": 30, "text": "没事的，把炎症控制好，滴耳液好好灌洗耳朵慢慢就好了", "role": "doctor"}, {"turn": 31, "text": "应该没有多大问题吧", "role": "patient"}, {"turn": 32, "text": "没事的考虑是个中耳炎", "role": "doctor"}, {"turn": 33, "text": "先控制炎症，", "role": "doctor"}, {"turn": 34, "text": "他小的时候就有中耳炎", "role": "patient"}, {"turn": 35, "text": "禁什么不呢？", "role": "patient"}, {"turn": 36, "text": "海鲜辛辣刺激的尽量别吃", "role": "doctor"}, {"turn": 37, "text": "而且好了之后洗脸洗澡时候一定不要耳朵进水，", "role": "doctor"}, {"turn": 38, "text": "好的", "role": "patient"}, {"turn": 39, "text": "谢谢！", "role": "patient"}, {"turn": 40, "text": "辛苦赵医师了！", "role": "patient"}, {"turn": 41, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1202, "thread": [{"turn": 0, "text": "请问便秘可以吃整肠生吗（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，便秘吃这个效果不是特别明显", "role": "doctor"}, {"turn": 2, "text": "便秘多久了？", "role": "doctor"}, {"turn": 3, "text": "很长一段时间了！现在不知该怎么办！", "role": "patient"}, {"turn": 4, "text": "这样吧，给你些建议", "role": "doctor"}, {"turn": 5, "text": "饮食上，三餐要按时，尤其是早餐，而且不能暴饮暴食；别吃生冷硬辣，油腻和甜食要控制好量，但你可以适当吃一些干果等含有油脂的，咖啡浓茶要少喝；多吃水果蔬菜粗粮等富含纤维的食物，尤其是绿叶菜，种类要多样化；戒烟酒。可以选择吃一些具有润肠作用的食物，例如黑芝麻、蜂蜜和香蕉。少吃豆制品，还有豆浆牛奶，这些都是产气食品，要控制好量。 \n作息上，早睡早起，不能熬夜，保证睡眠质量，平时要养成每天早上排便的习惯，形成条件反射。 平时多运动，没事儿的时候顺时针揉腹部，能够促进肠蠕动。\n可以吃点调节胃肠功能紊乱的药物，例如马来酸曲美布汀，另外比沙可啶肠溶片也可以治疗便秘。", "role": "doctor"}, {"turn": 6, "text": "我还有慢性浅表性胃窦炎！", "role": "patient"}, {"turn": 7, "text": "非常感谢老师给我的建议！我会照做！", "role": "patient"}, {"turn": 8, "text": "那个没事，调整饮食，别吃刺激性食物", "role": "doctor"}, {"turn": 9, "text": "如果胃疼反酸烧心，可以吃点奥美拉唑", "role": "doctor"}, {"turn": 10, "text": "好的老师！感谢您了！", "role": "patient"}, {"turn": 11, "text": "不客气啊", "role": "doctor"}, {"turn": 12, "text": "现在就是便秘让我难受！", "role": "patient"}, {"turn": 13, "text": "嗯，你先调整一下，不用有负担", "role": "doctor"}, {"turn": 14, "text": "好的老师！祝您和家人平安健康！", "role": "patient"}, {"turn": 15, "text": "谢谢，也祝你一切都好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1203, "thread": [{"turn": 0, "text": "气虚吃什么好，总个人吸气好难，（男，31岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "还有其他症状没有", "role": "doctor"}, {"turn": 3, "text": "总天觉得很累，无力，易感冒，晚上做梦", "role": "patient"}, {"turn": 4, "text": "归脾丸配合补中益气丸调理一段时间", "role": "doctor"}, {"turn": 5, "text": "大概吃多少，多久，", "role": "patient"}, {"turn": 6, "text": "先服用两周", "role": "doctor"}, {"turn": 7, "text": "2周后可以根据那个时候的情况相应调药", "role": "doctor"}, {"turn": 8, "text": "如果好点怎样，或是没什么感觉又怎样", "role": "patient"}, {"turn": 9, "text": "好点可以继续服用", "role": "doctor"}, {"turn": 10, "text": "没有效果可以调药", "role": "doctor"}, {"turn": 11, "text": "没有效果的话换吃什么", "role": "patient"}, {"turn": 12, "text": "没有效果再加服一个玉屏风散", "role": "doctor"}, {"turn": 13, "text": "好，感谢", "role": "patient"}, {"turn": 14, "text": "没事儿", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1204, "thread": [{"turn": 0, "text": "便秘，脚臭，口臭，该怎么治疗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "您好！便秘多长时间了？", "role": "doctor"}, {"turn": 2, "text": "还有别的症状吗", "role": "doctor"}, {"turn": 3, "text": "一直都这样", "role": "patient"}, {"turn": 4, "text": "没有改善过", "role": "patient"}, {"turn": 5, "text": "便秘是一个良性疾病，多见于女性，是胃肠蠕动减慢所引起的，用药的话，可以用乳果糖口服液、聚乙二醇电解质等，尽量不要经常用中药的泻药，容易引起结肠黑变病", "role": "doctor"}, {"turn": 6, "text": "如果喝粥，吃青菜多的时候就两三天", "role": "patient"}, {"turn": 7, "text": "平时注意多运动，多吃含纤维素的食物", "role": "doctor"}, {"turn": 8, "text": "饮食不注意就四五天", "role": "patient"}, {"turn": 9, "text": "是滴，青菜这些还有纤维素比较多，", "role": "doctor"}, {"turn": 10, "text": "对便秘有好处", "role": "doctor"}, {"turn": 11, "text": "口臭和脚臭呢", "role": "patient"}, {"turn": 12, "text": "是不是因为这个便秘导致的", "role": "patient"}, {"turn": 13, "text": "脚臭自己都闻得到", "role": "patient"}, {"turn": 14, "text": "可我并感觉不到自己口臭", "role": "patient"}, {"turn": 15, "text": "医院有专门测口臭的方法吗", "role": "patient"}, {"turn": 16, "text": "口臭的原因比较多，可以是胃肠道功能不好，也需要看有没有长期的牙龈炎等", "role": "doctor"}, {"turn": 17, "text": "胃肠道最常见的有幽门螺旋杆菌感染，消化性溃疡，还有一部分胆囊炎、胆管炎的也会出现口臭", "role": "doctor"}, {"turn": 18, "text": "还有一种就是胃酸反流，长期也出现口臭", "role": "doctor"}, {"turn": 19, "text": "口臭没有直接的特效药", "role": "doctor"}, {"turn": 20, "text": "如果有明显的原因，可以对症治疗", "role": "doctor"}, {"turn": 21, "text": "脚臭多数是一种真菌感染所引起的", "role": "doctor"}, {"turn": 22, "text": "可以用一些抗真菌的局部药物，如达克宁等", "role": "doctor"}, {"turn": 23, "text": "口臭和便秘可以用些药物，莫沙必利，泮托拉唑，乳果糖", "role": "doctor"}, {"turn": 24, "text": "生活饮食习惯的改变更重要", "role": "doctor"}, {"turn": 25, "text": "多吃哪些食物呢，", "role": "patient"}, {"turn": 26, "text": "尽量清淡饮食", "role": "doctor"}, {"turn": 27, "text": "纤维素较多的是哪些", "role": "patient"}, {"turn": 28, "text": "青菜，香蕉等", "role": "doctor"}, {"turn": 29, "text": "怎么测试真的口臭", "role": "patient"}, {"turn": 30, "text": "那就看别人能不能闻到", "role": "doctor"}, {"turn": 31, "text": "有的是自我感觉，但是别人闻不到", "role": "doctor"}, {"turn": 32, "text": "这样啊，医院有专门的仪器可以测试口臭吗", "role": "patient"}, {"turn": 33, "text": "这个没有专门的检测", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1205, "thread": [{"turn": 0, "text": "5个月孩子消化不良拉肚子老是不好（男，0岁）", "role": "patient"}, {"turn": 1, "text": "您好", "role": "doctor"}, {"turn": 2, "text": "您好，宝宝多长时间了？有什么症状", "role": "doctor"}, {"turn": 3, "text": "今天10天了", "role": "patient"}, {"turn": 4, "text": "今天10天了", "role": "patient"}, {"turn": 5, "text": "吃过立马拉 特别是母乳", "role": "patient"}, {"turn": 6, "text": "一天几次大便查过大便吗", "role": "doctor"}, {"turn": 7, "text": "有时是绿色大便 稀粘状", "role": "patient"}, {"turn": 8, "text": "还没查", "role": "patient"}, {"turn": 9, "text": "有时是绿色大便 稀粘状", "role": "patient"}, {"turn": 10, "text": "3-6次", "role": "patient"}, {"turn": 11, "text": "查一下大便看看。我建议妈妈最近忌口牛奶鸡蛋鱼虾贝类不要吃。", "role": "doctor"}, {"turn": 12, "text": "哦", "role": "patient"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "宝宝顺时针按摩肚子每天三次一次300下", "role": "doctor"}, {"turn": 15, "text": "宝宝顺时针按摩肚子每天三次一次300下", "role": "doctor"}, {"turn": 16, "text": "外用丁桂儿脐贴贴肚脐", "role": "doctor"}, {"turn": 17, "text": "感觉是消化不良 8点喂了米糊 9点多就拉了出来 没消化", "role": "patient"}, {"turn": 18, "text": "嗯。一次不要喂太多，可以勤喂", "role": "doctor"}, {"turn": 19, "text": "嗯。一次不要喂太多，可以勤喂", "role": "doctor"}, {"turn": 20, "text": "嗯", "role": "patient"}, {"turn": 21, "text": "?", "role": "doctor"}, {"turn": 22, "text": "要是肠炎或消极不良的话吃什么药", "role": "patient"}, {"turn": 23, "text": "不要考虑吃药。孩子消化功能要自己恢复可以用点益生菌比如妈咪爱宝乐安之类的", "role": "doctor"}, {"turn": 24, "text": "好的", "role": "patient"}, {"turn": 25, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1206, "thread": [{"turn": 0, "text": "飞蚊症用眼药水有效吗？？？？？？？（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，有的人上了有减轻，这和发病时间发病原因有关。", "role": "doctor"}, {"turn": 2, "text": "近视引起的可用眼水吗", "role": "patient"}, {"turn": 3, "text": "可以的", "role": "doctor"}, {"turn": 4, "text": "哪种好", "role": "patient"}, {"turn": 5, "text": "氨碘肽滴眼液", "role": "doctor"}, {"turn": 6, "text": "多钱", "role": "patient"}, {"turn": 7, "text": "也可以沃丽汀片口服。", "role": "doctor"}, {"turn": 8, "text": "20多", "role": "doctor"}, {"turn": 9, "text": "如有效多久贝效？", "role": "patient"}, {"turn": 10, "text": "用多久", "role": "patient"}, {"turn": 11, "text": "二周", "role": "doctor"}, {"turn": 12, "text": "沃多钱", "role": "patient"}, {"turn": 13, "text": "160一瓶", "role": "doctor"}, {"turn": 14, "text": "德国进口治疗玻璃体浑浊", "role": "doctor"}, {"turn": 15, "text": "一瓶用多久？得用几瓶", "role": "patient"}, {"turn": 16, "text": "先上药吧。现在玻璃体浑浊可以做手术，叫玻璃体消融术。", "role": "doctor"}, {"turn": 17, "text": "吃药效果不确定会好", "role": "doctor"}, {"turn": 18, "text": "先上眼水？", "role": "patient"}, {"turn": 19, "text": "对的", "role": "doctor"}, {"turn": 20, "text": "氨碘肽滴眼液", "role": "doctor"}, {"turn": 21, "text": "多谢", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1207, "thread": [{"turn": 0, "text": "我儿子便秘，怎么办啊（男，13个月）", "role": "patient"}, {"turn": 1, "text": "便秘多久了？几日一便？手足心热吗？", "role": "doctor"}, {"turn": 2, "text": "手足心热", "role": "patient"}, {"turn": 3, "text": "有半个月了", "role": "patient"}, {"turn": 4, "text": "两天一便", "role": "patient"}, {"turn": 5, "text": "食积引起的", "role": "doctor"}, {"turn": 6, "text": "建议口服点太极丸", "role": "doctor"}, {"turn": 7, "text": "全是很硬的一粒一粒的，每次大便都难排，憋得哭", "role": "patient"}, {"turn": 8, "text": "或者化积导滞片。", "role": "doctor"}, {"turn": 9, "text": "注意多饮水", "role": "doctor"}, {"turn": 10, "text": "小儿的吗？能不能食疗或者物理疗法", "role": "patient"}, {"turn": 11, "text": "食疗太慢，吃我说的药吧，都是小儿的", "role": "doctor"}, {"turn": 12, "text": "好，网上没有找到", "role": "patient"}, {"turn": 13, "text": "哪个牌子的好？", "role": "patient"}, {"turn": 14, "text": "一定有的", "role": "doctor"}, {"turn": 15, "text": "全名叫什么", "role": "patient"}, {"turn": 16, "text": "太极丸或者小儿化积导滞片", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1208, "thread": [{"turn": 0, "text": "脚扭伤了，用什么药擦，可以缓解（女，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "16号", "role": "patient"}, {"turn": 3, "text": "现在肿的厉害嘛？", "role": "doctor"}, {"turn": 4, "text": "吃过药，在骨科诊所看过，敷过药，", "role": "patient"}, {"turn": 5, "text": "不是很厉害", "role": "patient"}, {"turn": 6, "text": "青的", "role": "patient"}, {"turn": 7, "text": "目前还疼吗？", "role": "doctor"}, {"turn": 8, "text": "有点", "role": "patient"}, {"turn": 9, "text": "外用的什么药呢？吃的什么药呢？", "role": "doctor"}, {"turn": 10, "text": "我也不知道，就是像膏药班的东西敷在我脚上的", "role": "patient"}, {"turn": 11, "text": "吃药是医生开的", "role": "patient"}, {"turn": 12, "text": "嗯，吃的药名告诉我一下吧", "role": "doctor"}, {"turn": 13, "text": "我不知道，他是包装好了的那种", "role": "patient"}, {"turn": 14, "text": "嗯，现在没有了吧", "role": "doctor"}, {"turn": 15, "text": "还有一到", "role": "patient"}, {"turn": 16, "text": "什么是一到？", "role": "doctor"}, {"turn": 17, "text": "中午吃了就没有了，这个药", "role": "patient"}, {"turn": 18, "text": "噢，好的", "role": "doctor"}, {"turn": 19, "text": "平常我可以用什么擦药擦一下嘛", "role": "patient"}, {"turn": 20, "text": "买个护踝，然后带上护踝，白天晚上都要带，晚上睡觉脚抬高，外用云南白药喷雾剂，扶他林乳胶剂，口服跌打丸，用热敷理疗。减少下地活动，卧床休息为主。", "role": "doctor"}, {"turn": 21, "text": "这样治疗吧", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "嗯", "role": "doctor"}, {"turn": 24, "text": "麝香舒活灵", "role": "patient"}, {"turn": 25, "text": "可以嘛", "role": "patient"}, {"turn": 26, "text": "😊", "role": "patient"}, {"turn": 27, "text": "😘", "role": "patient"}, {"turn": 28, "text": "可以的", "role": "doctor"}, {"turn": 29, "text": "这个是每天贴还是", "role": "patient"}, {"turn": 30, "text": "每天都要用药，护踝带一个月", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1209, "thread": [{"turn": 0, "text": "右肩冈上肌冈下肌挫伤（男，34岁）上举受限", "role": "patient"}, {"turn": 1, "text": "您好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "75天", "role": "patient"}, {"turn": 3, "text": "已经形成肩周炎了，存在功能障碍", "role": "doctor"}, {"turn": 4, "text": "怎么治疗", "role": "patient"}, {"turn": 5, "text": "住院46天，理疗15天现在在家休息", "role": "patient"}, {"turn": 6, "text": "建议坚持功能锻炼", "role": "doctor"}, {"turn": 7, "text": "配合理疗按摩", "role": "doctor"}, {"turn": 8, "text": "怎么锻炼", "role": "patient"}, {"turn": 9, "text": "另外受伤当时就不能抬了吗", "role": "doctor"}, {"turn": 10, "text": "做过磁共振检查了吗", "role": "doctor"}, {"turn": 11, "text": "能", "role": "patient"}, {"turn": 12, "text": "是之后逐渐出现的吧", "role": "doctor"}, {"turn": 13, "text": "能抬过头顶", "role": "patient"}, {"turn": 14, "text": "受伤时就抬肩膀这么高，现在能抬头顶这么高", "role": "patient"}, {"turn": 15, "text": "怎么锻炼？", "role": "patient"}, {"turn": 16, "text": "坚持每天用手靠墙壁上往上拃", "role": "doctor"}, {"turn": 17, "text": "循序渐进", "role": "doctor"}, {"turn": 18, "text": "能捞到头吗", "role": "doctor"}, {"turn": 19, "text": "能", "role": "patient"}, {"turn": 20, "text": "每天爬墙很疼", "role": "patient"}, {"turn": 21, "text": "那功能恢复的差不多了", "role": "doctor"}, {"turn": 22, "text": "也可以洗头了", "role": "patient"}, {"turn": 23, "text": "坚持锻炼才行，可以配合药物缓解疼痛", "role": "doctor"}, {"turn": 24, "text": "每天吃药的", "role": "patient"}, {"turn": 25, "text": "活血化瘀", "role": "patient"}, {"turn": 26, "text": "可以的", "role": "doctor"}, {"turn": 27, "text": "只能逐渐恢复的", "role": "doctor"}, {"turn": 28, "text": "就是每天练会不会伤到", "role": "patient"}, {"turn": 29, "text": "我爬墙还压一压的", "role": "patient"}, {"turn": 30, "text": "循序渐进就行，不必一步到位", "role": "doctor"}, {"turn": 31, "text": "好的👌", "role": "patient"}, {"turn": 32, "text": "👌👍", "role": "doctor"}, {"turn": 33, "text": "多久能练正常", "role": "patient"}, {"turn": 34, "text": "这个因人而异，大多三月", "role": "doctor"}, {"turn": 35, "text": "为什么右边的肩膀举起来，比左边的肩膀高，什么原因", "role": "patient"}, {"turn": 36, "text": "坚持锻炼的结果，本来右臂比左臂灵活", "role": "doctor"}, {"turn": 37, "text": "是的", "role": "patient"}, {"turn": 38, "text": "这个不必管", "role": "doctor"}, {"turn": 39, "text": "左边好的肩膀比较柔软的", "role": "patient"}, {"turn": 40, "text": "嗯嗯", "role": "patient"}, {"turn": 41, "text": "我现在就是练多了，手会疼", "role": "patient"}, {"turn": 42, "text": "避免强度过大", "role": "doctor"}, {"turn": 43, "text": "好", "role": "patient"}, {"turn": 44, "text": "贴狗皮膏药", "role": "patient"}, {"turn": 45, "text": "有更好的膏药吗", "role": "patient"}, {"turn": 46, "text": "可以的，云南白药膏，海马追风壮骨膏", "role": "doctor"}, {"turn": 47, "text": "好的", "role": "patient"}, {"turn": 48, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1210, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣如何是好（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问您的这种情况有多长时间了？耳鸣声音是什么样子的", "role": "doctor"}, {"turn": 2, "text": "一年多", "role": "patient"}, {"turn": 3, "text": "蝉鸣声", "role": "patient"}, {"turn": 4, "text": "嗯，那多考虑是神经性耳鸣", "role": "doctor"}, {"turn": 5, "text": "因为车祸导致耳鸣", "role": "patient"}, {"turn": 6, "text": "神经性耳鸣", "role": "patient"}, {"turn": 7, "text": "有没有电测听或声导抗检查", "role": "doctor"}, {"turn": 8, "text": "做过了", "role": "patient"}, {"turn": 9, "text": "我看一下吧", "role": "doctor"}, {"turn": 10, "text": "电测听吗", "role": "patient"}, {"turn": 11, "text": "嗯，是的", "role": "doctor"}, {"turn": 12, "text": "医院的人没有给我", "role": "patient"}, {"turn": 13, "text": "哦", "role": "doctor"}, {"turn": 14, "text": "耳鸣相对治疗缓慢", "role": "doctor"}, {"turn": 15, "text": "很难治吗", "role": "patient"}, {"turn": 16, "text": "尤其是神经性的耳鸣", "role": "doctor"}, {"turn": 17, "text": "嗯，是的", "role": "doctor"}, {"turn": 18, "text": "是耳鼻喉科比较棘手的", "role": "doctor"}, {"turn": 19, "text": "打针打了9天了 什么缓解都没有", "role": "patient"}, {"turn": 20, "text": "可以先改善循环，营养神经，激素，针灸，高压氧综合治疗", "role": "doctor"}, {"turn": 21, "text": "都试过了", "role": "patient"}, {"turn": 22, "text": "没啥用 还是缓解慢", "role": "patient"}, {"turn": 23, "text": "嗯，但不要太灰心，目前治疗方案是上述药物，治疗时间15天", "role": "doctor"}, {"turn": 24, "text": "在坚持继续治疗看看效果", "role": "doctor"}, {"turn": 25, "text": "一直打针？", "role": "patient"}, {"turn": 26, "text": "药物治疗继续，配合高压氧，针灸综合治疗", "role": "doctor"}, {"turn": 27, "text": "部分患者是有治疗效果的", "role": "doctor"}, {"turn": 28, "text": "我19应该恢复的快", "role": "patient"}, {"turn": 29, "text": "？", "role": "patient"}, {"turn": 30, "text": "嗯，因素比较多，临床治疗结果看，是有效果的，但治疗缓慢，部分患者没有好的效果", "role": "doctor"}, {"turn": 31, "text": "说的有点直接，但目前耳鸣治疗就是这么个情况", "role": "doctor"}, {"turn": 32, "text": "？吃中药慢慢调理？", "role": "patient"}, {"turn": 33, "text": "中药治疗效果目前也不是很肯定的，但可以试试，部分患者针灸治疗时有效果的，可以两者配合一起治疗", "role": "doctor"}, {"turn": 34, "text": "好的 谢谢", "role": "patient"}, {"turn": 35, "text": "客气了😊👍", "role": "doctor"}, {"turn": 36, "text": "祝您生活愉快，希望我的建议对您有帮助，还请您此次问答结束后给予好评，谢谢，再见😄👍", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1211, "thread": [{"turn": 0, "text": "你好，幽门螺旋杆菌，吃什么药（女，63岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "并非所有幽门螺杆菌阳性患者都需要根除治疗，根据专家共识意见，以下四类人群推荐进行治疗：患有消化性溃疡的人群；慢性胃炎有胃癌家族史的人群；胃癌术后的人群及其一级家属；患有胃黏膜相关淋巴组织淋巴瘤的患者。如个人强烈要求治疗时亦可治疗。除上述情况外，特别是幽门螺杆菌感染无症状者不推荐治疗，否则可能会因滥用抗生素治疗，导致细菌耐药性大大增加，根除率越来越低。如果你没有做胃镜，不建议你杀菌。要杀菌，先做胃镜，看是否需要", "role": "doctor"}, {"turn": 3, "text": "腹部疼痛，经常反酸，吐酸水", "role": "patient"}, {"turn": 4, "text": "胃镜做了么", "role": "doctor"}, {"turn": 5, "text": "以前检查糜烂性胃炎还有小息肉，经过处理好了，最近胃部总是隐隐疼痛，口臭，吐酸水，吃了20天中药感觉缓解了，但还是有症状，医生说可能是幽门螺旋杆菌引起的，", "role": "patient"}, {"turn": 6, "text": "没必要吃", "role": "doctor"}, {"turn": 7, "text": "别吃了", "role": "doctor"}, {"turn": 8, "text": "吃了也不一定解决你的问题", "role": "doctor"}, {"turn": 9, "text": "患者是我妈妈，她不想做胃镜，妈妈听医生说四联疗法能治疗幽门杆菌，她不记得都有什么药和怎么吃了，想问问医生您可以告诉她不", "role": "patient"}, {"turn": 10, "text": "没必要吃，这个细菌不一定会引起口腔异味", "role": "doctor"}, {"turn": 11, "text": "对的，我不让妈妈吃中药了，刚停了三天", "role": "patient"}, {"turn": 12, "text": "而且容易复发", "role": "doctor"}, {"turn": 13, "text": "吃了没意义", "role": "doctor"}, {"turn": 14, "text": "那怎么办呀", "role": "patient"}, {"turn": 15, "text": "不管他", "role": "doctor"}, {"turn": 16, "text": "不管能行吗？", "role": "patient"}, {"turn": 17, "text": "为啥不行？中国一半人都有", "role": "doctor"}, {"turn": 18, "text": "难道都口腔异味么？", "role": "doctor"}, {"turn": 19, "text": "那我妈妈总觉得胃隐隐疼痛，能忍，必须做胃镜吗？", "role": "patient"}, {"turn": 20, "text": "嗯，是的，必须？", "role": "doctor"}, {"turn": 21, "text": "必须要做", "role": "doctor"}, {"turn": 22, "text": "医生，做胃镜也会伤害胃面膜吧，如果检查结果出来胃病已经好了，需不需要吃点保护胃粘膜的药呀，我只是希望我妈妈身体健康，跟您唠叨了一些，谢谢您了", "role": "patient"}, {"turn": 23, "text": "做胃镜不伤害胃的", "role": "doctor"}, {"turn": 24, "text": "而且有的病只有胃镜检查才可以看到", "role": "doctor"}, {"turn": 25, "text": "有症状，不去做胃镜，不怕出问题么？", "role": "doctor"}, {"turn": 26, "text": "好的，我知道了，明天带她去检查，谢谢医生", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1212, "thread": [{"turn": 0, "text": "8个月宝宝便秘怎么办（女，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝平时几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "你好，我家宝宝平时1到2次，吃了有3瓶2段的奶粉，平时都是跟1段的混合吃，这几天都是吃2段的，吃了有5天左右，发现便便有点不规律，有时一天2/3次，有时又没有，会不会是2段奶粉的原因", "role": "patient"}, {"turn": 3, "text": "前几天有一天2次，隔一天又没有，再隔一天又3次，", "role": "patient"}, {"turn": 4, "text": "宝宝肚子胀不胀", "role": "doctor"}, {"turn": 5, "text": "不会，奶量也正常，", "role": "patient"}, {"turn": 6, "text": "便便看起来也跟以前差不多，", "role": "patient"}, {"turn": 7, "text": "考虑应该和奶粉有关系", "role": "doctor"}, {"turn": 8, "text": "可以给宝宝吃益生菌调节一下", "role": "doctor"}, {"turn": 9, "text": "有给宝宝吃妈咪爱", "role": "patient"}, {"turn": 10, "text": "可是之前都给他吃过3大瓶了啊，", "role": "patient"}, {"turn": 11, "text": "正常都适应了啊，", "role": "patient"}, {"turn": 12, "text": "这次吃了几天了", "role": "doctor"}, {"turn": 13, "text": "5天左右", "role": "patient"}, {"turn": 14, "text": "有没有给宝宝揉肚子", "role": "doctor"}, {"turn": 15, "text": "前几天拉3次是给他吃了橙子", "role": "patient"}, {"turn": 16, "text": "可以加点香蕉辅食", "role": "doctor"}, {"turn": 17, "text": "没有哦，不敢乱揉", "role": "patient"}, {"turn": 18, "text": "可以给宝宝顺时针揉揉肚子", "role": "doctor"}, {"turn": 19, "text": "跟奶粉有关系吗", "role": "patient"}, {"turn": 20, "text": "考虑有关系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1213, "thread": [{"turn": 0, "text": "孩子五岁 扁桃体发炎导致高烧 医院验血白细胞16 crp62 吃头孢地尼3天退烧 并且症状消失 又继续吃了3天 请问可以停药了吗（女，5岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在小宝还有什么症状", "role": "doctor"}, {"turn": 2, "text": "没有症状了", "role": "patient"}, {"turn": 3, "text": "小血复查了吗", "role": "doctor"}, {"turn": 4, "text": "不咳嗽 不喷嚏 不发烧 扁桃体大小正常", "role": "patient"}, {"turn": 5, "text": "没有 最近医院又一波感冒 没带她去", "role": "patient"}, {"turn": 6, "text": "症状消失后又吃了3天头孢 配热速清口服液", "role": "patient"}, {"turn": 7, "text": "最好复查小血，指标下去了就可以不吃了。", "role": "doctor"}, {"turn": 8, "text": "奥 好的 谢谢", "role": "patient"}, {"turn": 9, "text": "不客气", "role": "doctor"}, {"turn": 10, "text": "小儿吃头孢地尼多长时间一个疗程啊", "role": "patient"}, {"turn": 11, "text": "一般10天", "role": "doctor"}, {"turn": 12, "text": "吃的时间长是不是会对免疫功能有影响？", "role": "patient"}, {"turn": 13, "text": "不会，只是会产生耐药", "role": "doctor"}, {"turn": 14, "text": "奥 那正常吃一个疗程 会产生耐药吗", "role": "patient"}, {"turn": 15, "text": "一般不会的，没那么容易耐药的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1214, "thread": [{"turn": 0, "text": "咳嗽或者打喷嚏就右胸口痛是什么原因（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好！这种情况多久了？最快频繁咳嗽和打喷嚏吗？", "role": "doctor"}, {"turn": 2, "text": "不是啊，就是只有打喷嚏和咳嗽会痛，其他正常", "role": "patient"}, {"turn": 3, "text": "有呼吸困难吗？", "role": "doctor"}, {"turn": 4, "text": "而且偶尔打喷嚏，现在没有咳嗽", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "就单纯的只打喷嚏，咳嗽会痛", "role": "patient"}, {"turn": 7, "text": "有时候笑的太过了也会", "role": "patient"}, {"turn": 8, "text": "而且我不清楚痛的具体位置，感觉就在右胸附近", "role": "patient"}, {"turn": 9, "text": "这种情况多久了", "role": "doctor"}, {"turn": 10, "text": "应该是我上个月咳嗽，然后咳嗽了一个多月，然后有天咳嗽突然就胸会痛，然后没几天咳嗽就好了，胸腔", "role": "patient"}, {"turn": 11, "text": "不应该是胸，胸不会痛，胸里面会痛", "role": "patient"}, {"turn": 12, "text": "上上个月，不是上个月，就是流感爆发的一段时间，但我不是流感，就单纯咳嗽，然后现在打喷嚏还是会痛", "role": "patient"}, {"turn": 13, "text": "你看下打喷嚏要运用什么部位打喷嚏，为什么会打喷嚏？", "role": "patient"}, {"turn": 14, "text": "需要做个胸部CT看看，同时让医生查体听双肺呼吸音 ，按压疼痛部位看看有压痛吗", "role": "doctor"}, {"turn": 15, "text": "有！！！？", "role": "patient"}, {"turn": 16, "text": "但压痛没有打喷嚏时痛", "role": "patient"}, {"turn": 17, "text": "然后痛的部位好像是右胸下面一点点，不是胸口中心", "role": "patient"}, {"turn": 18, "text": "胸膜炎，肋软骨炎，肺部感染性疾病，气胸等都可以", "role": "doctor"}, {"turn": 19, "text": "您好，您一直没有回复我问诊，现在时间太晚了，我先休息了，我看到您的回复后会尽早回复您的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1215, "thread": [{"turn": 0, "text": "大人消化不良吃什么药（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好，现在有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "吃点复方阿嗪米特，莫沙必利，潘多立酮", "role": "doctor"}, {"turn": 3, "text": "都行", "role": "doctor"}, {"turn": 4, "text": "胃胀", "role": "patient"}, {"turn": 5, "text": "然后一直口渴", "role": "patient"}, {"turn": 6, "text": "很撑，但是很渴，一直喝水", "role": "patient"}, {"turn": 7, "text": "你平时吃饭怎么样", "role": "doctor"}, {"turn": 8, "text": "这三种吃其中一种就可以还是怎么样", "role": "patient"}, {"turn": 9, "text": "吃饭不规律", "role": "patient"}, {"turn": 10, "text": "一种就行", "role": "doctor"}, {"turn": 11, "text": "生冷辛辣刺激的食物吃的多吗", "role": "doctor"}, {"turn": 12, "text": "有时候一餐，有时候两餐，饿的时候吃，不饿就不吃了", "role": "patient"}, {"turn": 13, "text": "多", "role": "patient"}, {"turn": 14, "text": "做过什么检查", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "你生冷辛辣刺激的食物不要吃了，规律进食，清淡为主，吃上面的药", "role": "doctor"}, {"turn": 17, "text": "就是这几天胃有点不舒服，嘴巴有时候很酸，有时候很苦，然后一直口渴，不停的喝水", "role": "patient"}, {"turn": 18, "text": "如果不好转。做胃镜和幽门螺杆菌检测", "role": "doctor"}, {"turn": 19, "text": "好的，谢谢您", "role": "patient"}, {"turn": 20, "text": "如有问题请及时问我", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1216, "thread": [{"turn": 0, "text": "6个多月宝宝消化不良怎么办（男，0岁）", "role": "patient"}, {"turn": 1, "text": "在线咨询患者较多，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。同时为了尽快解决你的问题，节省你的宝贵时间，请按照我的提问一次补充病史。谢谢你的合作。", "role": "doctor"}, {"turn": 2, "text": "你好：宝宝有什么症状？消化不良的具体表现是什么呢？", "role": "doctor"}, {"turn": 3, "text": "不拉粑粑", "role": "patient"}, {"turn": 4, "text": "这种情况多久了", "role": "doctor"}, {"turn": 5, "text": "母乳还是奶粉喂养？", "role": "doctor"}, {"turn": 6, "text": "一开始没添加奶粉的时候有一个礼拜没拉粑粑然后就去医院检查医生叫做了下灌肠 后来母乳不太够就加了奶粉就一直消化不好", "role": "patient"}, {"turn": 7, "text": "咳嗽流涕鼻塞喷嚏有没有", "role": "doctor"}, {"turn": 8, "text": "肚子硬吗放屁多吗臭吗", "role": "doctor"}, {"turn": 9, "text": "大概加一起有半个月了吧", "role": "patient"}, {"turn": 10, "text": "宝宝有没有湿疹", "role": "doctor"}, {"turn": 11, "text": "咳嗽流涕鼻塞喷嚏有没有", "role": "doctor"}, {"turn": 12, "text": "早上风大的时候会流鼻涕", "role": "patient"}, {"turn": 13, "text": "肚子不硬 会放屁", "role": "patient"}, {"turn": 14, "text": "没有湿疹", "role": "patient"}, {"turn": 15, "text": "鼻塞也有", "role": "patient"}, {"turn": 16, "text": "宝宝足月还是早产", "role": "doctor"}, {"turn": 17, "text": "父母有没有这种情况", "role": "doctor"}, {"turn": 18, "text": "足月", "role": "patient"}, {"turn": 19, "text": "没有", "role": "patient"}, {"turn": 20, "text": "宝宝有没有其他不适", "role": "doctor"}, {"turn": 21, "text": "没有的", "role": "patient"}, {"turn": 22, "text": "你好，消化不良，口服妈咪爱和乳果糖口服液调理胃肠功能", "role": "doctor"}, {"turn": 23, "text": "口服小儿感冒宁糖浆治疗鼻塞流涕", "role": "doctor"}, {"turn": 24, "text": "需要查找原因，化验血过敏原看看有没有牛奶蛋白过敏导致", "role": "doctor"}, {"turn": 25, "text": "这样就可以了吗", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1217, "thread": [{"turn": 0, "text": "如果被猫咬伤了怎么办（女，14岁）", "role": "patient"}, {"turn": 1, "text": "先用力挤一挤，用肥皂水冲洗半小时，碘伏消毒，然后去打狂犬疫苗", "role": "doctor"}, {"turn": 2, "text": "我以前打过疫苗", "role": "patient"}, {"turn": 3, "text": "可以不打疫苗的吗？是家里的猫", "role": "patient"}, {"turn": 4, "text": "以前什么时候打过", "role": "doctor"}, {"turn": 5, "text": "前年", "role": "patient"}, {"turn": 6, "text": "好像", "role": "patient"}, {"turn": 7, "text": "超过一年就没有作用了，需要重新打", "role": "doctor"}, {"turn": 8, "text": "打了到现在应该没有超过一年", "role": "patient"}, {"turn": 9, "text": "是年尾的时候打的", "role": "patient"}, {"turn": 10, "text": "不到一年加强两针", "role": "doctor"}, {"turn": 11, "text": "好的", "role": "patient"}, {"turn": 12, "text": "谢谢", "role": "patient"}, {"turn": 13, "text": "不客气", "role": "doctor"}, {"turn": 14, "text": "请问如果在家的话有什么办法可以清理一下的，", "role": "patient"}, {"turn": 15, "text": "用肥皂水冲洗", "role": "doctor"}, {"turn": 16, "text": "应该洗过就没什么大碍了吧？", "role": "patient"}, {"turn": 17, "text": "多洗洗，尽早去打狂犬疫苗", "role": "doctor"}, {"turn": 18, "text": "好的，谢谢", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1218, "thread": [{"turn": 0, "text": "你好请问耳鼓膜穿空耳聋可以治疗吗（女，33岁）有2年左右了，有什么药物治疗不田医生", "role": "patient"}, {"turn": 1, "text": "你好！是外伤穿孔还是化脓性中耳炎引起的穿孔", "role": "doctor"}, {"turn": 2, "text": "有流脓吗？耳痛吗？头痛吗", "role": "doctor"}, {"turn": 3, "text": "化脓性中耳炎引起", "role": "patient"}, {"turn": 4, "text": "现在还有脓吗", "role": "doctor"}, {"turn": 5, "text": "现在没有脓了", "role": "patient"}, {"turn": 6, "text": "就是穿空耳聋", "role": "patient"}, {"turn": 7, "text": "急性发作流脓可以用药物治疗，，没有脓就不需要药物治疗了，可以做手术鼓膜修补", "role": "doctor"}, {"turn": 8, "text": "只有鼓膜修补了吗", "role": "patient"}, {"turn": 9, "text": "2年可以修补不", "role": "patient"}, {"turn": 10, "text": "平时洗头洗澡别进水，感冒时别用力擤鼻涕，否则容易反复感染", "role": "doctor"}, {"turn": 11, "text": "可以修补，", "role": "doctor"}, {"turn": 12, "text": "手术大概要多少啊", "role": "patient"}, {"turn": 13, "text": "万元左右", "role": "doctor"}, {"turn": 14, "text": "哦，是小手术吧", "role": "patient"}, {"turn": 15, "text": "修补就不耳聋了哦", "role": "patient"}, {"turn": 16, "text": "手术不大，需显微镜下做，比较精细", "role": "doctor"}, {"turn": 17, "text": "能提高听力，", "role": "doctor"}, {"turn": 18, "text": "哦，这手术过程概多长时间", "role": "patient"}, {"turn": 19, "text": "一小时左右", "role": "doctor"}, {"turn": 20, "text": "需要住院吗", "role": "patient"}, {"turn": 21, "text": "需要住院", "role": "doctor"}, {"turn": 22, "text": "哦，", "role": "patient"}, {"turn": 23, "text": "谢谢田医生", "role": "patient"}, {"turn": 24, "text": "不客气，谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1219, "thread": [{"turn": 0, "text": "恐艾，经常去想，怎么办啊？（女，22岁）医院测过，是阴性的。但是有点担心结果不准确。我问过医生，医生说不用再抽血验，可是我还是放不下心。", "role": "patient"}, {"turn": 1, "text": "你好！马上给你解答。", "role": "doctor"}, {"turn": 2, "text": "你有什么问题想咨询医生吗？为什么恐艾呢", "role": "doctor"}, {"turn": 3, "text": "因为谈了一个男朋友，很像有艾滋病。现在已经分手了。", "role": "patient"}, {"turn": 4, "text": "那你去医院检查了艾滋病病毒的抗体吗", "role": "doctor"}, {"turn": 5, "text": "他做手术的术前四项，也不肯给我看见。他可能早就知道有这个病。", "role": "patient"}, {"turn": 6, "text": "我测过了，阴的。医生说三个月排除，按照时间我测的时候，已经排除了", "role": "patient"}, {"turn": 7, "text": "三甲医院，用的金标法测的。我也不知道准不准确。", "role": "patient"}, {"turn": 8, "text": "已经排除了，你还担心什么呢", "role": "doctor"}, {"turn": 9, "text": "我担心不准确，是三代试剂，可是不是酶联法或发光法。金标准确吗", "role": "patient"}, {"turn": 10, "text": "如果三甲医院检测都不准确，那么医院每天有很多人都在检查，这不是不负责任吗", "role": "doctor"}, {"turn": 11, "text": "你不用担心医院的，如果医院都不相信，还能相信哪个机构呢", "role": "doctor"}, {"turn": 12, "text": "我原本拿到检验单时不怕了。可是看志愿者说说酶联和发光都是机器做的，金标是试纸。就有点担心了，不到一个小时就出结果了，真的可以吗", "role": "patient"}, {"turn": 13, "text": "你是相信外人还是医院呢，不放心可以去疾控中心检测了", "role": "doctor"}, {"turn": 14, "text": "志愿者是疾控的", "role": "patient"}, {"turn": 15, "text": "我还是需要再验验吗，那我知道了……", "role": "patient"}, {"turn": 16, "text": "志愿者不是疾控中心的专家，你不是很担心吗，那就去再查一次", "role": "doctor"}, {"turn": 17, "text": "去疾控也是初筛吗，需要带什么东西去吗", "role": "patient"}, {"turn": 18, "text": "什么都不用带", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1220, "thread": [{"turn": 0, "text": "舌苔湿气重胃胀，好点有点消化不良（女，37岁）", "role": "patient"}, {"turn": 1, "text": "您好，可以看一下舌头吗？", "role": "doctor"}, {"turn": 2, "text": "舌苔很白", "role": "patient"}, {"turn": 3, "text": "大便怎么样", "role": "doctor"}, {"turn": 4, "text": "大便正常", "role": "patient"}, {"turn": 5, "text": "平时怕冷吗？", "role": "doctor"}, {"turn": 6, "text": "不怕", "role": "patient"}, {"turn": 7, "text": "有没有乏力，精神不振的情况？", "role": "doctor"}, {"turn": 8, "text": "胃不点胀气", "role": "patient"}, {"turn": 9, "text": "我常吃盐酸西替利嗪片", "role": "patient"}, {"turn": 10, "text": "胃痛吗？", "role": "doctor"}, {"turn": 11, "text": "查没查过胃部检查", "role": "doctor"}, {"turn": 12, "text": "没有检查", "role": "patient"}, {"turn": 13, "text": "嗯，从症状来看可能有慢性胃炎或者胃溃疡，这个具体需要做胃镜确诊。中医来讲是脾胃湿热积滞，可以用中药调理一段时间。", "role": "doctor"}, {"turn": 14, "text": "我之前有吃香砂养胃丸，多潘立酮口腔崩解片", "role": "patient"}, {"turn": 15, "text": "效果不好？", "role": "doctor"}, {"turn": 16, "text": "那吃什么药", "role": "patient"}, {"turn": 17, "text": "可以试试保和丸", "role": "doctor"}, {"turn": 18, "text": "慢性荨麻疹该吃什么药", "role": "patient"}, {"turn": 19, "text": "扑尔敏或者氯雷他定，可以加玉屏风颗粒辅助治疗", "role": "doctor"}, {"turn": 20, "text": "中药呢", "role": "patient"}, {"turn": 21, "text": "玉屏风颗粒就是中药", "role": "doctor"}, {"turn": 22, "text": "舌苔湿气重呢？", "role": "patient"}, {"turn": 23, "text": "用保和丸就可以一起调理了", "role": "doctor"}, {"turn": 24, "text": "不用吃中药吗", "role": "patient"}, {"turn": 25, "text": "中成药更加方便，而且我给您开的这两个药是可以长期服用的。当然了，您要是想吃中药的话，我也可以给您开一个方子。", "role": "doctor"}, {"turn": 26, "text": "慢性荨麻疹是什么引起的", "role": "patient"}, {"turn": 27, "text": "西医讲可能是过敏，中医讲卫气不固。", "role": "doctor"}, {"turn": 28, "text": "那该怎么调理", "role": "patient"}, {"turn": 29, "text": "平时注意避风寒，饮食清淡，适当运动，出汗后避风（很重要）查一下过敏源，远离过敏源。", "role": "doctor"}, {"turn": 30, "text": "没有什么药吃吗？", "role": "patient"}, {"turn": 31, "text": "刚才跟您说了啊，西药用扑尔敏或者氯雷他定。中药用玉屏风颗粒", "role": "doctor"}, {"turn": 32, "text": "到医院去检查，查不出来", "role": "patient"}, {"turn": 33, "text": "那就用药对症治疗吧，没什么好办法。就用我给您推荐的就可以", "role": "doctor"}, {"turn": 34, "text": "盐酸西替利嗪片可以吃", "role": "patient"}, {"turn": 35, "text": "可以，这个和扑尔敏，氯雷他定三选一就可以。玉屏风颗粒跟这些不冲突", "role": "doctor"}, {"turn": 36, "text": "这个药吃了就怕只能注根，不注本", "role": "patient"}, {"turn": 37, "text": "是啊，慢性荨麻疹确实没什么好的治疗方法，只能抑制。", "role": "doctor"}, {"turn": 38, "text": "盐酸西替利我吃了很多都是当时好而已", "role": "patient"}, {"turn": 39, "text": "嗯，是的。加上玉屏风颗粒吃一段时间看看吧", "role": "doctor"}, {"turn": 40, "text": "慢性荨麻疹是不是跟血液，身体有关", "role": "patient"}, {"turn": 41, "text": "很免疫系统有关，是免疫系统的过多反应。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1221, "thread": [{"turn": 0, "text": "脾胃虚弱消化不良吃什么病人药最好（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "你好，请问你具体什么症状呢？", "role": "doctor"}, {"turn": 4, "text": "有一个月了，病人肚子发胀，有糖尿病二级，现在换德脑梗，一直躺在床上", "role": "patient"}, {"turn": 5, "text": "还有没有其他不适？", "role": "doctor"}, {"turn": 6, "text": "身体虚弱，就是问问看有什么药，比较好点，先调理肠胃，好让病人吃饭，病人食欲也不好，每天都是不想吃饭，我们也是为难，所以请医生提示一下", "role": "patient"}, {"turn": 7, "text": "患者大便正常吗？", "role": "doctor"}, {"turn": 8, "text": "你好，", "role": "patient"}, {"turn": 9, "text": "有时间指点一下，非常感谢", "role": "patient"}, {"turn": 10, "text": "患者有没有便秘？", "role": "doctor"}, {"turn": 11, "text": "可以给患者喝点儿奥美拉唑胶囊和健胃消食片，如果患者大便不通建议开塞露灌肠通大便，如果腹胀明显可以给患者熬点莱菔子（白萝卜）汤", "role": "doctor"}, {"turn": 12, "text": "患者大便干燥，就是肠胃不好", "role": "patient"}, {"turn": 13, "text": "让患者喝点儿奥美拉唑胶囊和健胃消食片吧，适当吃点儿粗纤维食物或者水果，有助于大便通畅", "role": "doctor"}, {"turn": 14, "text": "因为一直卧床不起，有一年了，这之前好好的，就是最近一个星期，病人腹部发胀，肠道干，不想吃饭，有什么西药治疗，脾胃虚弱，消化不良的", "role": "patient"}, {"turn": 15, "text": "西药可以吃段时间西沙必利，促进胃动力的药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1222, "thread": [{"turn": 0, "text": "吃优甲乐可以吃便秘药吗（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问已经确诊是甲减了吗？", "role": "doctor"}, {"turn": 2, "text": "可以吃便秘药的", "role": "doctor"}, {"turn": 3, "text": "最好多吃点蔬菜水果等高纤维食物", "role": "doctor"}, {"turn": 4, "text": "医生说吃不含碘的盐 不吃紫菜海带虾皮是属于什么？", "role": "patient"}, {"turn": 5, "text": "海产品含碘都比较丰富", "role": "doctor"}, {"turn": 6, "text": "你是桥本甲状腺炎吧", "role": "doctor"}, {"turn": 7, "text": "乳头状甲状腺癌", "role": "patient"}, {"turn": 8, "text": "手术了十天了，便秘很严重 想吃点治疗便秘的药 不知道能不能吃", "role": "patient"}, {"turn": 9, "text": "可以吃的，比如便通胶囊，芦荟胶囊都可以的", "role": "doctor"}, {"turn": 10, "text": "这些药晚上吃可以吧 不影响优甲乐吧", "role": "patient"}, {"turn": 11, "text": "你可以放在白天吃啊，和优甲乐时间隔开", "role": "doctor"}, {"turn": 12, "text": "你优甲乐是早上吃还是睡前吃？", "role": "doctor"}, {"turn": 13, "text": "优甲乐早上空腹吃的", "role": "patient"}, {"turn": 14, "text": "和其它药物隔开时间就可以的", "role": "doctor"}, {"turn": 15, "text": "好的 谢谢您 感谢", "role": "patient"}, {"turn": 16, "text": "不客气。", "role": "doctor"}, {"turn": 17, "text": "祝早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1223, "thread": [{"turn": 0, "text": "老人偏头痛流口水，太阳穴一抽一抽的疼（女，74岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "以前有过类似的情况吗？除了头痛、流口水之外，还有没有别的症状？", "role": "doctor"}, {"turn": 3, "text": "以前也会偏头痛，最近才有那种流口水的毛病，别的也没什么状况了", "role": "patient"}, {"turn": 4, "text": "头痛是自行缓解还是服药缓解？流口水是持续性地还是间断性地？", "role": "doctor"}, {"turn": 5, "text": "前段时间好像牙龈有点发炎，也没去看，就是牙疼。现在好了，是不是流口水跟这个有关系?", "role": "patient"}, {"turn": 6, "text": "有关系的，肢体活动怎么样？", "role": "doctor"}, {"turn": 7, "text": "太阳穴疼痛一直都是一抽一抽地疼？", "role": "doctor"}, {"turn": 8, "text": "还没有吃药，口水不是老流，偶然有一点", "role": "patient"}, {"turn": 9, "text": "对", "role": "patient"}, {"turn": 10, "text": "是跳痛还是针刺样痛？烧灼样痛？", "role": "doctor"}, {"turn": 11, "text": "跳疼", "role": "patient"}, {"turn": 12, "text": "不经常疼", "role": "patient"}, {"turn": 13, "text": "但是每次都是一跳一跳的", "role": "patient"}, {"turn": 14, "text": "头痛之前有没有视物旋转、变形、黒朦、暗点及偏身感觉减退？", "role": "doctor"}, {"turn": 15, "text": "老人天天出去走，走的挺多的，身体好像还可以", "role": "patient"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "做过头颅CT吗？平时头痛都是自行缓解吗？大概多长时间头痛发作一次？", "role": "doctor"}, {"turn": 18, "text": "不一定什么时候疼", "role": "patient"}, {"turn": 19, "text": "频繁吗？", "role": "doctor"}, {"turn": 20, "text": "原来CT说毛细管稍微有点堵，但不是很厉害", "role": "patient"}, {"turn": 21, "text": "不频繁", "role": "patient"}, {"turn": 22, "text": "一上火就疼，还有情绪不好的时候也会疼", "role": "patient"}, {"turn": 23, "text": "这个是因为什么呢", "role": "patient"}, {"turn": 24, "text": "嗯，是要考虑偏头痛可能的", "role": "doctor"}, {"turn": 25, "text": "那用吃药吗？", "role": "patient"}, {"turn": 26, "text": "偏头痛属于原发性头痛，病因和发病机制尚不完全明确", "role": "doctor"}, {"turn": 27, "text": "那怎么缓解呢？", "role": "patient"}, {"turn": 28, "text": "可以服用止痛药比如布洛芬缓释胶囊或头痛宁胶囊", "role": "doctor"}, {"turn": 29, "text": "好的", "role": "patient"}, {"turn": 30, "text": "应该没太大毛病吧?", "role": "patient"}, {"turn": 31, "text": "偏头痛的发作常有诱因，并且常有多重诱因。常见的诱因有：睡眠障碍、过劳和饮食等。常见诱发偏头痛的食物有：酒（尤其红酒）、巧克力、成熟奶酪、腌制品、熏制品、发酵食品、咖啡、茶、碳酸饮料、味精、糖精、柑橘类水果（橘、柑、橙、柠檬、柚、枳等）。此外，女性多见", "role": "doctor"}, {"turn": 32, "text": "嗯，发作不频繁主要是对症治疗为主", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1224, "thread": [{"turn": 0, "text": "宝宝消化不良吃什么益生菌（女，10个月）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一直都有", "role": "patient"}, {"turn": 3, "text": "孩子主要是什么症状呀？孩子多大？", "role": "doctor"}, {"turn": 4, "text": "益生菌也吃了很多牌子", "role": "patient"}, {"turn": 5, "text": "孩子是拉肚子吗", "role": "doctor"}, {"turn": 6, "text": "就有的时候胃口不好 肚子挺大的", "role": "patient"}, {"turn": 7, "text": "之前拉肚子的", "role": "patient"}, {"turn": 8, "text": "以前孩子吃的什么益生菌呀？你可以给孩子吃点健脾健胃的药呀。", "role": "doctor"}, {"turn": 9, "text": "爱过健胃消食口服液", "role": "patient"}, {"turn": 10, "text": "吃了拉肚子", "role": "patient"}, {"turn": 11, "text": "益生菌吃的保健品累的", "role": "patient"}, {"turn": 12, "text": "你可以给孩子口服双歧杆菌三联活菌散及婴儿健脾散助消化治疗看看", "role": "doctor"}, {"turn": 13, "text": "那不是拉肚子吃的吗", "role": "patient"}, {"turn": 14, "text": "这属于健脾健胃的药，消化不好的孩子就可以吃的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1225, "thread": [{"turn": 0, "text": "请问一下哪里有没有复方风湿骨痛宁胶囊（男，72岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个药可以在正规药店都有的", "role": "doctor"}, {"turn": 2, "text": "或者在网上购买", "role": "doctor"}, {"turn": 3, "text": "问了没有", "role": "patient"}, {"turn": 4, "text": "是否名字搞错了", "role": "doctor"}, {"turn": 5, "text": "是风湿骨痛胶囊吧？", "role": "doctor"}, {"turn": 6, "text": "复方风湿骨痛胶囊", "role": "patient"}, {"turn": 7, "text": "这个药应该都有的", "role": "doctor"}, {"turn": 8, "text": "阿里大药房，或者京东药房都有的", "role": "doctor"}, {"turn": 9, "text": "问了没有", "role": "patient"}, {"turn": 10, "text": "在什么地方", "role": "patient"}, {"turn": 11, "text": "到医院去问过吗？", "role": "doctor"}, {"turn": 12, "text": "人呢", "role": "patient"}, {"turn": 13, "text": "问过", "role": "patient"}, {"turn": 14, "text": "不好意思，这个就不清楚了，", "role": "doctor"}, {"turn": 15, "text": "这个药平常都很容易买", "role": "doctor"}, {"turn": 16, "text": "是否有特殊原因下架了就不清楚了", "role": "doctor"}, {"turn": 17, "text": "你帮我查查呗", "role": "patient"}, {"turn": 18, "text": "稍等", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "因为含有激素，精神镇静药物，副作用大，已经被禁止了", "role": "doctor"}, {"turn": 21, "text": "那就是买不到了", "role": "patient"}, {"turn": 22, "text": "是的，这个药已经被国家禁止了", "role": "doctor"}, {"turn": 23, "text": "不建议继续吃了", "role": "doctor"}, {"turn": 24, "text": "那怎么办", "role": "patient"}, {"turn": 25, "text": "主要是什么问题？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1226, "thread": [{"turn": 0, "text": "鼓膜穿孔还有炎症多久能消掉（男，16岁）", "role": "patient"}, {"turn": 1, "text": "你是想问鼓膜穿孔多久能长好？", "role": "doctor"}, {"turn": 2, "text": "我怀疑有穿孔？昨天我拿棉签伸进右耳比较深的地方，就感觉没有被阻挡一样", "role": "patient"}, {"turn": 3, "text": "而且我炎症还没消", "role": "patient"}, {"turn": 4, "text": "外耳道炎？", "role": "doctor"}, {"turn": 5, "text": "像我这样吃抗生素要多久能好呢", "role": "patient"}, {"turn": 6, "text": "上次医生检查是外耳道炎", "role": "patient"}, {"turn": 7, "text": "一般不用吃抗生素", "role": "doctor"}, {"turn": 8, "text": "医生给你开什么药了", "role": "doctor"}, {"turn": 9, "text": "我现在用力张嘴会痛", "role": "patient"}, {"turn": 10, "text": "上次开的头孢克污", "role": "patient"}, {"turn": 11, "text": "不张嘴不会痛吗", "role": "doctor"}, {"turn": 12, "text": "还有一瓶滴耳液", "role": "patient"}, {"turn": 13, "text": "不会痛", "role": "patient"}, {"turn": 14, "text": "上次医生检查的时候没检查出来有穿孔，应该是最近才有的", "role": "patient"}, {"turn": 15, "text": "一个月前就有外耳道炎了", "role": "patient"}, {"turn": 16, "text": "穿孔的话，就不要滴耳了", "role": "doctor"}, {"turn": 17, "text": "那多久能好，像我这种又有炎症又有穿孔的", "role": "patient"}, {"turn": 18, "text": "穿孔三个月长不好的话，手术修补", "role": "doctor"}, {"turn": 19, "text": "该继续吃抗生素吗", "role": "patient"}, {"turn": 20, "text": "还在么..", "role": "patient"}, {"turn": 21, "text": "你现在该做的是做个耳镜，看看鼓膜情况", "role": "doctor"}, {"turn": 22, "text": "保持患耳干燥，不要挖耳朵，避免感冒", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1227, "thread": [{"turn": 0, "text": "宝宝17个月 便秘怎么办（女，17个月）", "role": "patient"}, {"turn": 1, "text": "你好。宝宝大便几天拉一次呢，很干吗？", "role": "doctor"}, {"turn": 2, "text": "本来是一天一次 现在两三天都不拉 但其间要拉拉不出来 用开塞露都很难拉出来", "role": "patient"}, {"turn": 3, "text": "每次拉都哭的很历害 宝宝害怕不敢用力拉", "role": "patient"}, {"turn": 4, "text": "便秘的宝宝建议多吃蔬菜和水果，比如火龙果和猕猴桃等，多吃粗粮，比如玉米、燕麦等，多喝点水，实在难拉的可以吃点乳果糖口服液调理一下肠胃", "role": "doctor"}, {"turn": 5, "text": "现在还以奶粉为主 饭 稀饭都不吃", "role": "patient"}, {"turn": 6, "text": "并且体重 身高都不达标17.5斤  73cm", "role": "patient"}, {"turn": 7, "text": "可以水果给他吃点，一般便秘最好还是要多吃蔬菜和水果一般会好拉起来的，现在不吃的话就乳果糖口服液给他吃3天看一下", "role": "doctor"}, {"turn": 8, "text": "好动", "role": "patient"}, {"turn": 9, "text": "一岁以后就单纯以奶为主的容易营养不良的", "role": "doctor"}, {"turn": 10, "text": "那我先试试 乳果糖口服液", "role": "patient"}, {"turn": 11, "text": "好的，先吃吃看", "role": "doctor"}, {"turn": 12, "text": "稀饭宝宝都不吃 吃几口吐出来在手上玩", "role": "patient"}, {"turn": 13, "text": "有没有让宝宝吃饭的好秘方", "role": "patient"}, {"turn": 14, "text": "可以面条、馄饨或者软饭都可以吃的，只能多尝试尝试，可以在他饿点多时候给他吃，大人吃饭的时候也让他坐在餐桌上一起进食。", "role": "doctor"}, {"turn": 15, "text": "好的 那先谢谢你了", "role": "patient"}, {"turn": 16, "text": "不客气的哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1228, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：半膀胱酸血症（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "你是同型半胱氨酸高吗", "role": "doctor"}, {"turn": 3, "text": "我伙伴说的，", "role": "patient"}, {"turn": 4, "text": "你想咨询什么", "role": "doctor"}, {"turn": 5, "text": "他刚刚说他心脏有点疼，那个症状，可引起动脉硬化", "role": "patient"}, {"turn": 6, "text": "我想问问可以治愈不", "role": "patient"}, {"turn": 7, "text": "他这种应该是染色体异常导致的吗", "role": "patient"}, {"turn": 8, "text": "同型半胱氨酸高就有引起动脉斑块的可能", "role": "doctor"}, {"turn": 9, "text": "一般就是叶酸吸收不好", "role": "doctor"}, {"turn": 10, "text": "又多高", "role": "doctor"}, {"turn": 11, "text": "胖吗", "role": "doctor"}, {"turn": 12, "text": "不胖，挺瘦的，我感觉他长的像马，是吃着叶酸呢", "role": "patient"}, {"turn": 13, "text": "吃叶酸和复合维生素B就可以了", "role": "doctor"}, {"turn": 14, "text": "41", "role": "patient"}, {"turn": 15, "text": "吃这两种吸收好？", "role": "patient"}, {"turn": 16, "text": "有没有颈动脉斑块形成", "role": "doctor"}, {"turn": 17, "text": "没说", "role": "patient"}, {"turn": 18, "text": "做颈部动脉血管彩超没有", "role": "doctor"}, {"turn": 19, "text": "全都做过了", "role": "patient"}, {"turn": 20, "text": "就差造影了", "role": "patient"}, {"turn": 21, "text": "心脏造影", "role": "doctor"}, {"turn": 22, "text": "对啊，任何检查都没问题", "role": "patient"}, {"turn": 23, "text": "出现心绞痛了吗", "role": "doctor"}, {"turn": 24, "text": "但是说心脏偶尔疼，我也不确定，因为我气大发了也心绞痛", "role": "patient"}, {"turn": 25, "text": "心电图有事吗", "role": "doctor"}, {"turn": 26, "text": "没事", "role": "patient"}, {"turn": 27, "text": "没有做心脏CTA吗", "role": "doctor"}, {"turn": 28, "text": "都没事", "role": "patient"}, {"turn": 29, "text": "那就问题不大", "role": "doctor"}, {"turn": 30, "text": "熬夜多吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1229, "thread": [{"turn": 0, "text": "膝盖股骨下段挫伤，多久能好呢（男，21岁）", "role": "patient"}, {"turn": 1, "text": "伤了多久了，有没有去医院拍过片子", "role": "doctor"}, {"turn": 2, "text": "拍了MR报告显示骨挫伤", "role": "patient"}, {"turn": 3, "text": "上星期才伤的", "role": "patient"}, {"turn": 4, "text": "哦哦，骨挫伤的话一般要至少休息四周才能好", "role": "doctor"}, {"turn": 5, "text": "是 不负重休息吗", "role": "patient"}, {"turn": 6, "text": "年轻人骨头长的快，要是年纪大的，时间要更长。", "role": "doctor"}, {"turn": 7, "text": "我22岁", "role": "patient"}, {"turn": 8, "text": "你下肢的话，避免负重，尽量减少走路，或者用拐杖", "role": "doctor"}, {"turn": 9, "text": "不能负重休息是吗", "role": "patient"}, {"turn": 10, "text": "恩，年轻人好长", "role": "doctor"}, {"turn": 11, "text": "是的。", "role": "doctor"}, {"turn": 12, "text": "但是也得至少一个月是吧", "role": "patient"}, {"turn": 13, "text": "恩呢", "role": "doctor"}, {"turn": 14, "text": "祝早日康复！", "role": "doctor"}, {"turn": 15, "text": "谢谢", "role": "patient"}, {"turn": 16, "text": "不客气呢", "role": "doctor"}, {"turn": 17, "text": "我已经5天了，可是膝盖还是痛，正常吗", "role": "patient"}, {"turn": 18, "text": "有这种情况的", "role": "doctor"}, {"turn": 19, "text": "皮肤有没有瘀血什么的", "role": "doctor"}, {"turn": 20, "text": "没有", "role": "patient"}, {"turn": 21, "text": "那就注意休息就好了", "role": "doctor"}, {"turn": 22, "text": "我摸髌骨有脆脆的感觉，而且这位子很痛", "role": "patient"}, {"turn": 23, "text": "髌骨有没有骨折", "role": "doctor"}, {"turn": 24, "text": "我不知道", "role": "patient"}, {"turn": 25, "text": "拍片子看看吧", "role": "doctor"}, {"turn": 26, "text": "我MR检查的时候说是股骨下段挫伤，然后我休息了3天，一天晚上下蹲了一下，然后髌骨这位子就开始疼痛", "role": "patient"}, {"turn": 27, "text": "有可能损伤了髌骨", "role": "doctor"}, {"turn": 28, "text": "损伤髌骨就麻烦了是吧", "role": "patient"}, {"turn": 29, "text": "拍平片看下骨头吧。", "role": "doctor"}, {"turn": 30, "text": "x光？", "role": "patient"}, {"turn": 31, "text": "恩", "role": "doctor"}, {"turn": 32, "text": "如果髌骨挫伤是不是就麻烦了", "role": "patient"}, {"turn": 33, "text": "挫伤不碍事", "role": "doctor"}, {"turn": 34, "text": "主要怕骨折", "role": "doctor"}, {"turn": 35, "text": "我就蹲了那么一下不可能就这么骨折了吧", "role": "patient"}, {"turn": 36, "text": "应该不会，", "role": "doctor"}, {"turn": 37, "text": "反正现在很痛", "role": "patient"}, {"turn": 38, "text": "不方便拍片子", "role": "doctor"}, {"turn": 39, "text": "？", "role": "doctor"}, {"turn": 40, "text": "医生叫我3号去看看 可是现在好痛", "role": "patient"}, {"turn": 41, "text": "那就明天去吧", "role": "doctor"}, {"turn": 42, "text": "如果骨折了，需要打石膏静养吗", "role": "patient"}, {"turn": 43, "text": "切掉", "role": "doctor"}, {"turn": 44, "text": "打错了", "role": "doctor"}, {"turn": 45, "text": "轻微的骨折打石膏就好了，如果严重可能要手术。", "role": "doctor"}, {"turn": 46, "text": "轻微骨折休息1个月能好吗", "role": "patient"}, {"turn": 47, "text": "恩，那差不多", "role": "doctor"}, {"turn": 48, "text": "针对本次问诊，医生更新了总结建议：建议你还是要查清楚原因，不要自己在家瞎猜啦，不一定有骨折呢。祝早日康复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1230, "thread": [{"turn": 0, "text": "宝宝便秘3个月了现在10个月（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，喝水多吗，吃水果蔬菜怎样", "role": "doctor"}, {"turn": 2, "text": "明天都是水果  水还可以  不是很多", "role": "patient"}, {"turn": 3, "text": "尽量多喝水，多吃水果蔬菜，饮食调节，不行吃点益生菌，如妈咪爱或双歧杆菌", "role": "doctor"}, {"turn": 4, "text": "明天两顿辅食  都吃白菜  胡萝卜  紫薯 南瓜 菠菜", "role": "patient"}, {"turn": 5, "text": "现在吃倍顿益生菌呢", "role": "patient"}, {"turn": 6, "text": "可以，多喝水，多吃水果蔬菜，青菜菠菜，西兰花，火龙果等，香蕉等", "role": "doctor"}, {"turn": 7, "text": "吃了10天乳果糖不不见效果", "role": "patient"}, {"turn": 8, "text": "可以吃健胃消食片或鸡内金等，主要是饮食调节", "role": "doctor"}, {"turn": 9, "text": "都有在吃  每次都用开塞露  昨天肛门出血了", "role": "patient"}, {"turn": 10, "text": "10个月宝宝可以吃吗", "role": "patient"}, {"turn": 11, "text": "尽量少用的，在一个可以喝梨汤，在一个穿薄点，", "role": "doctor"}, {"turn": 12, "text": "被灌肠也做了  体检6个月的时候也体检了  都正常", "role": "patient"}, {"turn": 13, "text": "现在吃氨基酸奶粉呢  牛奶过敏", "role": "patient"}, {"turn": 14, "text": "主要是饮食调节，多喝水，多吃水果蔬菜，穿薄点，捂热了，水分吸收，就会大便干，几天一次", "role": "doctor"}, {"turn": 15, "text": "一个星期", "role": "patient"}, {"turn": 16, "text": "不行吃清火宝", "role": "doctor"}, {"turn": 17, "text": "从小就是 一个星期一次  从8个月做的过敏源 牛奶过敏  有没有可能牛奶过敏导致的呢", "role": "patient"}, {"turn": 18, "text": "这个不是过敏", "role": "doctor"}, {"turn": 19, "text": "那是什么原因呢医生", "role": "patient"}, {"turn": 20, "text": "水分吸收了，上火了，就会出现的", "role": "doctor"}, {"turn": 21, "text": "那就是吃清火宝就管事 是吗", "role": "patient"}, {"turn": 22, "text": "是", "role": "doctor"}, {"turn": 23, "text": "药房有卖的吗  还是母婴店有", "role": "patient"}, {"turn": 24, "text": "药店", "role": "doctor"}, {"turn": 25, "text": "好的医生谢谢  那便秘这么长时间 3个多月 就是上火引起的呗", "role": "patient"}, {"turn": 26, "text": "有可能是上火了，也可能是消化不良或攒肚子，有的宝宝攒肚子，就会几天大便一次的", "role": "doctor"}, {"turn": 27, "text": "以前是攒肚  拉的好  就算一个星期一拉也不干  但是从7个月的时候就拉不出来了  头干 后边非常好", "role": "patient"}, {"turn": 28, "text": "多喝水，", "role": "doctor"}, {"turn": 29, "text": "那就试试清火宝吧  没有副作用吧  和益生菌不冲突吧医生", "role": "patient"}, {"turn": 30, "text": "没有什么的，", "role": "doctor"}, {"turn": 31, "text": "还有就是宝宝肛门处有个小口  但是今天宝宝没哭没闹  不用特别处理吧", "role": "patient"}, {"turn": 32, "text": "先不用，拉后洗干净", "role": "doctor"}, {"turn": 33, "text": "洗干净了  谢谢医生", "role": "patient"}, {"turn": 34, "text": "不用谢，祝宝宝健康快乐成长", "role": "doctor"}, {"turn": 35, "text": "谢谢医生", "role": "patient"}, {"turn": 36, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1231, "thread": [{"turn": 0, "text": "用甲硝唑洗剂排出豆腐渣的东西（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，甲硝唑洗剂就是治疗妇科炎症的，豆腐渣样排出物考虑是阴道内的炎症分泌物。", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "我检查是什么滴虫性阴道炎", "role": "patient"}, {"turn": 4, "text": "昨天用了甲硝唑洗剂，今天刚用完从里面吸出黄色的东西", "role": "patient"}, {"turn": 5, "text": "是什么", "role": "patient"}, {"turn": 6, "text": "我白带常规检查是滴虫性阴道炎啊", "role": "patient"}, {"turn": 7, "text": "滴虫性阴道炎大部分会合并细菌性阴道炎", "role": "doctor"}, {"turn": 8, "text": "那是检查不合适吗", "role": "patient"}, {"turn": 9, "text": "黄色结块样的东西一般是阴道内炎症分泌物", "role": "doctor"}, {"turn": 10, "text": "不是不合适呀，滴虫性阴道炎就是常用甲硝唑治疗", "role": "doctor"}, {"turn": 11, "text": "拍出来会不会是好现象呢", "role": "patient"}, {"turn": 12, "text": "是的", "role": "doctor"}, {"turn": 13, "text": "白带常规检查出是滴虫性阴道炎", "role": "patient"}, {"turn": 14, "text": "用消炎洗剂后多少都会出现分泌物增多现象，不管是哪种阴道炎", "role": "doctor"}, {"turn": 15, "text": "贵妇凝胶可以用吗", "role": "patient"}, {"turn": 16, "text": "我检查是滴虫性阴道炎，就用甲硝唑洗剂，今天使用第二天，刚用的时候从里面吸出了黄色的东西，我担心是不是有问题", "role": "patient"}, {"turn": 17, "text": "建议先用正规药物治疗，你说的贵妇凝胶有轻微消炎作用，但不是正规的抗生素", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "滴虫性阴道炎可以痊愈吗", "role": "patient"}, {"turn": 20, "text": "会不会复发", "role": "patient"}, {"turn": 21, "text": "是不是得一次之后很容易继续生病", "role": "patient"}, {"turn": 22, "text": "可以治愈，但是有可能会复发", "role": "doctor"}, {"turn": 23, "text": "滴虫性阴道炎是怎么形成的呢，我该注意什么", "role": "patient"}, {"turn": 24, "text": "患滴虫性阴道炎一个多月了，时间越长是不是越难治愈", "role": "patient"}, {"turn": 25, "text": "滴虫性阴道炎的发生是由于毛滴虫引起的，是一种主要通过性交进行传播的寄生虫疾病，也是女性比较多发的一种妇科疾病。滴虫性阴道炎形成的原因是多方面的，着装习惯、公共场所传播都是导致这种疾病产生的重要因素。再有就是皮肤病变，比如疱疹等，这些会引起外阴瘙痒脱皮，这时候阴道对病毒的抵抗能力就会减弱。", "role": "doctor"}, {"turn": 26, "text": "治疗滴虫性阴道炎必须用足药量，并坚持使用，一定要好彻底，不然很容易会反复。", "role": "doctor"}, {"turn": 27, "text": "平时注意卫生，治疗期间禁止同房，穿宽松透气性好的内裤，并注意饮食清淡，避免辛辣刺激，多吃水果蔬菜，提高自身的免疫力。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1232, "thread": [{"turn": 0, "text": "不咳嗽嗓子疼吐痰有血怎么回事（女，30岁）", "role": "patient"}, {"turn": 1, "text": "您好！请问您的这种情况有多长时", "role": "doctor"}, {"turn": 2, "text": "一般还是上呼吸道感染引起", "role": "doctor"}, {"turn": 3, "text": "多喝水", "role": "doctor"}, {"turn": 4, "text": "三天了，不流鼻水。", "role": "patient"}, {"turn": 5, "text": "我前几天在家大声嚷孩子有关吗。", "role": "patient"}, {"turn": 6, "text": "这个有可能", "role": "doctor"}, {"turn": 7, "text": "嗓子疼的咽吐沫都疼，应该吃点什么药。金嗓子喉宝我都吃了一盒了", "role": "patient"}, {"turn": 8, "text": "吃点甜的咸的都疼", "role": "patient"}, {"turn": 9, "text": "建议查个血常规比较好", "role": "doctor"}, {"turn": 10, "text": "多喝水", "role": "doctor"}, {"turn": 11, "text": "清淡饮食", "role": "doctor"}, {"turn": 12, "text": "嗯", "role": "patient"}, {"turn": 13, "text": "嗯嗯", "role": "doctor"}, {"turn": 14, "text": "不好的结果是什么", "role": "patient"}, {"turn": 15, "text": "肺部有问题，不过一般没事的，不用太担心", "role": "doctor"}, {"turn": 16, "text": "嗯好的", "role": "patient"}, {"turn": 17, "text": "嗯嗯", "role": "doctor"}, {"turn": 18, "text": "但是喉咙里还特别干", "role": "patient"}, {"turn": 19, "text": "嗯嗯，多喝水，清淡饮食即可", "role": "doctor"}, {"turn": 20, "text": "谢谢医生了", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1233, "thread": [{"turn": 0, "text": "咳嗽 十几天，很严重，晚上咳得特别难受\n（女，10）", "role": "patient"}, {"turn": 1, "text": "你好 咳嗽有痰吗  什么颜色的痰", "role": "doctor"}, {"turn": 2, "text": "痰比较少，黄色的", "role": "patient"}, {"turn": 3, "text": "咳嗽的时候嗓子痒吗", "role": "doctor"}, {"turn": 4, "text": "嗓子痒就咳", "role": "patient"}, {"turn": 5, "text": "嗯  还有其他症状吗", "role": "doctor"}, {"turn": 6, "text": "鼻塞", "role": "patient"}, {"turn": 7, "text": "这次是感冒后引起的吗", "role": "doctor"}, {"turn": 8, "text": "开始是好多痰的", "role": "patient"}, {"turn": 9, "text": "嗯  用过什么药了吗", "role": "doctor"}, {"turn": 10, "text": "止咳的药", "role": "patient"}, {"turn": 11, "text": "嗯  这种情况考虑是过敏性咳嗽引起的  可以阿斯美+苏黄止咳胶囊来治疗  忌辛辣 戒烟酒", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢你", "role": "patient"}, {"turn": 13, "text": "不客气的，今后有什么疑问或者不明白的地方可以随时留言，祝你早日康复！！！", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢你", "role": "patient"}, {"turn": 15, "text": "?", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1234, "thread": [{"turn": 0, "text": "安神补脑液可以和脑心通同时服吗（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问现在主要有什么不舒服呢", "role": "doctor"}, {"turn": 2, "text": "理论上来说，如果肝肾功能正常，是可以一起吃的哦", "role": "doctor"}, {"turn": 3, "text": "都正常", "role": "patient"}, {"turn": 4, "text": "嗯嗯", "role": "doctor"}, {"turn": 5, "text": "就是颈椎不好  脑供血不足  吃的脑心通", "role": "patient"}, {"turn": 6, "text": "可是睡眠多梦  喝的安神补脑液", "role": "patient"}, {"turn": 7, "text": "可是不知道能不能一起吃  怕有别的反应  所以咨询下医生", "role": "patient"}, {"turn": 8, "text": "两个都是中成药  可以一起吃  是吧", "role": "patient"}, {"turn": 9, "text": "嗯啊", "role": "doctor"}, {"turn": 10, "text": "明白呢", "role": "doctor"}, {"turn": 11, "text": "您好，", "role": "doctor"}, {"turn": 12, "text": "就是因为是中成药哦，", "role": "doctor"}, {"turn": 13, "text": "性质一般比较温和，", "role": "doctor"}, {"turn": 14, "text": "如果肝肾功能比较好，", "role": "doctor"}, {"turn": 15, "text": "然后也正常剂量用药的话", "role": "doctor"}, {"turn": 16, "text": "是不怕的", "role": "doctor"}, {"turn": 17, "text": "好的  谢谢医生", "role": "patient"}, {"turn": 18, "text": "不客气哦", "role": "doctor"}, {"turn": 19, "text": "如果担心的话可以定期复查一下肝肾功能", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1235, "thread": [{"turn": 0, "text": "消化不良会引起胃痛吗?（男，36岁）", "role": "patient"}, {"turn": 1, "text": "您好，是胃病可引起消化不良。", "role": "doctor"}, {"turn": 2, "text": "请问您胃痛多长时间了", "role": "doctor"}, {"turn": 3, "text": "在吗？", "role": "doctor"}, {"turn": 4, "text": "这3，4天感觉打磕多了，打屁也多了，大便比平时多一两次，胃部隐隐作痛，请问这是什么情况？", "role": "patient"}, {"turn": 5, "text": "大便正常吗", "role": "doctor"}, {"turn": 6, "text": "应该是胃肠道问题", "role": "doctor"}, {"turn": 7, "text": "正常", "role": "patient"}, {"turn": 8, "text": "具体是什么原因造成？", "role": "patient"}, {"turn": 9, "text": "可以是胃炎", "role": "doctor"}, {"turn": 10, "text": "确诊需要做胃镜检查", "role": "doctor"}, {"turn": 11, "text": "像这种情况严重吗？", "role": "patient"}, {"turn": 12, "text": "不严重，是常见病，多发病", "role": "doctor"}, {"turn": 13, "text": "如果确诊是胃炎，治疗会麻烦吗？", "role": "patient"}, {"turn": 14, "text": "不麻烦", "role": "doctor"}, {"turn": 15, "text": "很多胃肠道疾病就是不好的饮食习惯和生活方式造成的。所以要养成良好的饮食习惯和生活方式。尽量不要吃辛辣刺激，太热太凉太油腻的食物。多吃蔬菜水果五谷杂粮，少吃高脂肪高热量的食物。不吃垃圾食品，不喝碳酸饮料。戒烟限酒。三餐按时有规律，吃饭七八分饱，饭后适量运动。不熬夜，不劳累过度。保持良好的心态。再加上正规规律有效的服用药物治疗，可以在很大程度上减少复发，甚至治愈。", "role": "doctor"}, {"turn": 16, "text": "用什么药？", "role": "patient"}, {"turn": 17, "text": "抑制胃酸分泌保护胃粘膜的药", "role": "doctor"}, {"turn": 18, "text": "具体药名？", "role": "patient"}, {"turn": 19, "text": "奥美拉唑，达喜，蒲元和胃等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1236, "thread": [{"turn": 0, "text": "一岁宝宝消化不良不吃东西怎么办（男，1岁2个月）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一星期了", "role": "patient"}, {"turn": 3, "text": "不吃东西，就喝奶粉", "role": "patient"}, {"turn": 4, "text": "宝宝还有其他症状吗", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "就是不爱吃东西，", "role": "patient"}, {"turn": 7, "text": "宝宝大便怎么样？", "role": "doctor"}, {"turn": 8, "text": "开始几天拉稀，现在大便还是稀一天一两次黄色的", "role": "patient"}, {"turn": 9, "text": "宝宝是不是吃坏肚子了", "role": "doctor"}, {"turn": 10, "text": "化验大便了说是消化不良", "role": "patient"}, {"turn": 11, "text": "嗯嗯，吃药了吗", "role": "doctor"}, {"turn": 12, "text": "吃了一星期的妈咪爱了，", "role": "patient"}, {"turn": 13, "text": "没有效果是吗", "role": "doctor"}, {"turn": 14, "text": "没什么效果", "role": "patient"}, {"turn": 15, "text": "嗯嗯，建议给宝宝服用醒脾养儿颗粒", "role": "doctor"}, {"turn": 16, "text": "助消化效果比较好", "role": "doctor"}, {"turn": 17, "text": "需要吃多久", "role": "patient"}, {"turn": 18, "text": "3~5天", "role": "doctor"}, {"turn": 19, "text": "现在不吃饭怎办", "role": "patient"}, {"turn": 20, "text": "宝宝喝奶粉可以让宝宝喝", "role": "doctor"}, {"turn": 21, "text": "其他不吃就不要强喂是吧", "role": "patient"}, {"turn": 22, "text": "不建议强喂", "role": "doctor"}, {"turn": 23, "text": "蒽", "role": "patient"}, {"turn": 24, "text": "嗯嗯，多喝水", "role": "doctor"}, {"turn": 25, "text": "好的谢谢医生", "role": "patient"}, {"turn": 26, "text": "不客气的，祝宝宝健康快乐成长", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1237, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：左下腹部隐痛的原因（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久？大小便正常吗?还有什么症状?", "role": "doctor"}, {"turn": 2, "text": "3个月前我去医院看说是结肠炎吃了点中药稍微好点了", "role": "patient"}, {"turn": 3, "text": "这个月我又拉肚子拉咱肚子又开始疼", "role": "patient"}, {"turn": 4, "text": "现在吃完饭就想大便", "role": "patient"}, {"turn": 5, "text": "不过大便正常不干也不拉肚子", "role": "patient"}, {"turn": 6, "text": "就是左侧肚子疼", "role": "patient"}, {"turn": 7, "text": "女性左下腹痛常见原因有慢性肠炎，渍疡性结肠炎，妇科炎症等。但是看你的描述，既往有这个结肠炎病史，还有这个结合症状，有这个大便不太正常，考虑还是和结肠炎有关。", "role": "doctor"}, {"turn": 8, "text": "有时候从胃往下都疼 有时候就下面疼", "role": "patient"}, {"turn": 9, "text": "我没做检查医生看了看就说结肠炎", "role": "patient"}, {"turn": 10, "text": "建议你如果没有做过肠镜的话呢，就就做一个肠镜，口服药物柳氮磺胺吡啶，肠炎宁，整肠生", "role": "doctor"}, {"turn": 11, "text": "想大便的时候疼的厉害", "role": "patient"}, {"turn": 12, "text": "想大便的时候疼的厉害", "role": "patient"}, {"turn": 13, "text": "大便后能缓解吗？", "role": "doctor"}, {"turn": 14, "text": "能轻一点", "role": "patient"}, {"turn": 15, "text": "反正一整天都有点疼 但不厉害", "role": "patient"}, {"turn": 16, "text": "那考虑最大可能肠炎。把肠镜做一下，做一下妇科，泌尿系彩超。", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "不客气，祝健康", "role": "doctor"}, {"turn": 20, "text": "对了我要吃点辣的东西有时候小肚子疼 然后就拉血就是喷的那种", "role": "patient"}, {"turn": 21, "text": "我不吃就没事 我有痔疮", "role": "patient"}, {"turn": 22, "text": "那有痔疮的话呢，就不要吃辛辣刺激性的食物了。", "role": "doctor"}, {"turn": 23, "text": "为什么会肚子疼？", "role": "patient"}, {"turn": 24, "text": "辛辣刺激食物刺激肠道，加重了炎症", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1238, "thread": [{"turn": 0, "text": "新生儿十二天喝奶粉便秘怎么办出生才十二天，不肯吃母乳", "role": "patient"}, {"turn": 1, "text": "你好，宝宝大便干吗？", "role": "doctor"}, {"turn": 2, "text": "几天拉一次大便？", "role": "doctor"}, {"turn": 3, "text": "很干 没水份的", "role": "patient"}, {"turn": 4, "text": "一天一次就拉一点很干", "role": "patient"}, {"turn": 5, "text": "那你把奶粉浓度调稀点", "role": "doctor"}, {"turn": 6, "text": "两勺就放一勺行吗", "role": "patient"}, {"turn": 7, "text": "不用稀这么多", "role": "doctor"}, {"turn": 8, "text": "稍微稀点", "role": "doctor"}, {"turn": 9, "text": "这么小的婴儿便秘会有什么影响吗？", "role": "patient"}, {"turn": 10, "text": "宝宝每天都有大便不算便秘", "role": "doctor"}, {"turn": 11, "text": "有什么办法能改善的吗？", "role": "patient"}, {"turn": 12, "text": "先把奶粉调稀再看看大便情况有没有好转", "role": "doctor"}, {"turn": 13, "text": "很难拉就拉出一点", "role": "patient"}, {"turn": 14, "text": "是不是喝奶粉的宝宝都是这样？", "role": "patient"}, {"turn": 15, "text": "把奶粉调稀还没有好转的话要怎么办？", "role": "patient"}, {"turn": 16, "text": "对，奶粉喂养宝宝大便次数都少", "role": "doctor"}, {"turn": 17, "text": "每天都能拉就没事", "role": "doctor"}, {"turn": 18, "text": "但前两天一天都会拉两三次的", "role": "patient"}, {"turn": 19, "text": "宝宝肚子胀吗？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1239, "thread": [{"turn": 0, "text": "4个月婴儿消化不良拉肚子总是不好怎么办（男，0岁）", "role": "patient"}, {"turn": 1, "text": "腹泻多久了？一天大便有几次？", "role": "doctor"}, {"turn": 2, "text": "可以吃点益生菌思连康", "role": "doctor"}, {"turn": 3, "text": "可以做做小儿推拿", "role": "doctor"}, {"turn": 4, "text": "2个多月的时候得过轮状病毒性肠炎住了5天院，回家吃益生菌调理差不多一个月，又得了感染性腹泻，大便隐约弱阳性，又打了4天盐水，现在吃的布拉氏酵母菌散", "role": "patient"}, {"turn": 5, "text": "可以", "role": "doctor"}, {"turn": 6, "text": "这几天大便发货粘液，张鼻涕", "role": "patient"}, {"turn": 7, "text": "再化验一下大便吧", "role": "doctor"}, {"turn": 8, "text": "该怎么办？药也吃了，针也打了", "role": "patient"}, {"turn": 9, "text": "打完针没有10天，不可能又是肠炎吧？", "role": "patient"}, {"turn": 10, "text": "大便鼻涕，粘液，有可能是肠炎", "role": "doctor"}, {"turn": 11, "text": "但是他打完针还没有10天，不可能又去打针吧？", "role": "patient"}, {"turn": 12, "text": "建议先化验一下大便", "role": "doctor"}, {"turn": 13, "text": "看看情况", "role": "doctor"}, {"turn": 14, "text": "为什么总是好不了，", "role": "patient"}, {"turn": 15, "text": "可能宝宝肠道功能弱点", "role": "doctor"}, {"turn": 16, "text": "前面打完针去化验了大便说是脂肪球3个加", "role": "patient"}, {"turn": 17, "text": "消化不好", "role": "doctor"}, {"turn": 18, "text": "这个是什么意思？", "role": "patient"}, {"turn": 19, "text": "消化不良", "role": "doctor"}, {"turn": 20, "text": "大便有粘液会不会跟消化不良有关系？", "role": "patient"}, {"turn": 21, "text": "有可能的", "role": "doctor"}, {"turn": 22, "text": "消化不良会不会大便带粘液，还要不要去化验大便？", "role": "patient"}, {"turn": 23, "text": "化验一下吧", "role": "doctor"}, {"turn": 24, "text": "这样更放心", "role": "doctor"}, {"turn": 25, "text": "嗯，如果是大便有炎症，是不是又要抗炎治疗？", "role": "patient"}, {"turn": 26, "text": "是的", "role": "doctor"}, {"turn": 27, "text": "宝宝总是这样，怎么办？", "role": "patient"}, {"turn": 28, "text": "上次打针还不到10天", "role": "patient"}, {"turn": 29, "text": "只能吃益生菌，慢慢调节", "role": "doctor"}, {"turn": 30, "text": "吃了呀，动不动就肠炎", "role": "patient"}, {"turn": 31, "text": "换换思连康", "role": "doctor"}, {"turn": 32, "text": "这个月都挂了一次盐水了", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "可以吃婴儿素吗？", "role": "patient"}, {"turn": 35, "text": "可以的", "role": "doctor"}, {"turn": 36, "text": "是两联活菌散吗？", "role": "patient"}, {"turn": 37, "text": "有", "role": "doctor"}, {"turn": 38, "text": "都吃了几种益生菌了，都没什么效果", "role": "patient"}, {"turn": 39, "text": "都瘦了好多，不长肉", "role": "patient"}, {"turn": 40, "text": "做做小儿推拿", "role": "doctor"}, {"turn": 41, "text": "有用吗？", "role": "patient"}, {"turn": 42, "text": "有用", "role": "doctor"}, {"turn": 43, "text": "可以调节肠道", "role": "doctor"}, {"turn": 44, "text": "嗯，一般要多久才有效果？", "role": "patient"}, {"turn": 45, "text": "半个月", "role": "doctor"}, {"turn": 46, "text": "宝宝这种情况可能时间要长点", "role": "doctor"}, {"turn": 47, "text": "嗯，好的，我去试试", "role": "patient"}, {"turn": 48, "text": "希望我的解答对你有所帮助，祝宝宝健康成长，早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1240, "thread": [{"turn": 0, "text": "请问新生儿便秘原因是什么？（男，27天）已经一天一夜没有大便了", "role": "patient"}, {"turn": 1, "text": "宝宝是母乳喂养还是奶粉喂养了", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "肚子是软的", "role": "patient"}, {"turn": 4, "text": "平时大便怎么样了", "role": "doctor"}, {"turn": 5, "text": "宝宝现在多少天，吃的怎么样", "role": "doctor"}, {"turn": 6, "text": "之前一直在吃黄疸药", "role": "patient"}, {"turn": 7, "text": "宝宝之前有吃26天的黄疸药，这两天没有吃，宝宝不拉大便会不会是对药产生了依赖？", "role": "patient"}, {"turn": 8, "text": "吃的茵栀黄吗", "role": "doctor"}, {"turn": 9, "text": "吃药的时候一天四五次", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "patient"}, {"turn": 11, "text": "一天没大便有点着急", "role": "patient"}, {"turn": 12, "text": "不一定是依赖，因为茵栀黄喝了会引起大便性状和次数的改变，所以吃了这么长时间，停了后，宝宝肠道需要调节", "role": "doctor"}, {"turn": 13, "text": "如果宝宝肚子是软的，喝奶好的，精神可以，可以继续观察", "role": "doctor"}, {"turn": 14, "text": "所以有可能是肠道调节引起的不拉大便么？", "role": "patient"}, {"turn": 15, "text": "对的", "role": "doctor"}, {"turn": 16, "text": "连续多少天不大便我们就需要去医院看看啊", "role": "patient"}, {"turn": 17, "text": "3天如果不大便，可以用开塞露通大便，也可以去医院看下", "role": "doctor"}, {"turn": 18, "text": "小宝贝使用开塞露的方法是什么呢？", "role": "patient"}, {"turn": 19, "text": "就是开塞露挤一点到宝宝肛门啊", "role": "doctor"}, {"turn": 20, "text": "好的，谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}, {"turn": 22, "text": "您好", "role": "patient"}, {"turn": 23, "text": "昨天我有咨询过宝宝不拉便便的问题", "role": "patient"}, {"turn": 24, "text": "对的", "role": "doctor"}, {"turn": 25, "text": "拉了没", "role": "doctor"}, {"turn": 26, "text": "宝宝今天白天睡五分钟就醒，然后哭哭，哄睡着了又只能睡五分钟", "role": "patient"}, {"turn": 27, "text": "没有拉", "role": "patient"}, {"turn": 28, "text": "抱着哄哄不行吗", "role": "doctor"}, {"turn": 29, "text": "行啊，但是睡五分钟又醒了", "role": "patient"}, {"turn": 30, "text": "然后又是哭闹，五分钟一循环", "role": "patient"}, {"turn": 31, "text": "因为我家娃娃也是哄了一上午，刚抱着睡了，放下一会就醒，累了我一上午", "role": "doctor"}, {"turn": 32, "text": "不行去买个开塞露通大便吧", "role": "doctor"}, {"turn": 33, "text": "从来没有这样过，睡在床上很安神，但是只能睡五分钟", "role": "patient"}, {"turn": 34, "text": "家里热不热，小宝宝是这样的，多点耐心", "role": "doctor"}, {"turn": 35, "text": "不热啊，家里空调24度，穿短袖", "role": "patient"}, {"turn": 36, "text": "去医院护士可以帮我们用开塞露么", "role": "patient"}, {"turn": 37, "text": "自己还是不敢", "role": "patient"}, {"turn": 38, "text": "你去医院问问", "role": "doctor"}, {"turn": 39, "text": "24°有些低了，这么小的宝宝28°左右", "role": "doctor"}, {"turn": 40, "text": "好的，谢谢", "role": "patient"}, {"turn": 41, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1241, "thread": [{"turn": 0, "text": "内痔药熏导致上吐下泻（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况出现多久了？", "role": "doctor"}, {"turn": 2, "text": "具体什么药物", "role": "doctor"}, {"turn": 3, "text": "中药，刚出现", "role": "patient"}, {"turn": 4, "text": "医生开的药", "role": "patient"}, {"turn": 5, "text": "应该不会这样的", "role": "doctor"}, {"turn": 6, "text": "今天刚用，直接导致上吐下泻", "role": "patient"}, {"turn": 7, "text": "应该不会这样", "role": "doctor"}, {"turn": 8, "text": "刚开始好好的，没有感到恶心", "role": "patient"}, {"turn": 9, "text": "我们每个病人都用中药", "role": "doctor"}, {"turn": 10, "text": "中药具体成分知道吗", "role": "doctor"}, {"turn": 11, "text": "那是什么引起的", "role": "patient"}, {"turn": 12, "text": "明天再看看", "role": "doctor"}, {"turn": 13, "text": "饮食怎么样", "role": "doctor"}, {"turn": 14, "text": "不知道成分，已经熬制好的", "role": "patient"}, {"turn": 15, "text": "挺好", "role": "patient"}, {"turn": 16, "text": "现在一直上吐下泻，有什么治疗方法吗", "role": "patient"}, {"turn": 17, "text": "明天最好问问医生有没有什么特殊药物", "role": "doctor"}, {"turn": 18, "text": "实在不行要去急诊挂水", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1242, "thread": [{"turn": 0, "text": "我昨天晚上吃了酚酞片，还在便秘（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好！有没有其他症状需要补充的", "role": "doctor"}, {"turn": 2, "text": "是酚酞片是单纯治疗便秘还是准备肠道", "role": "doctor"}, {"turn": 3, "text": "大便如羊疙瘩", "role": "patient"}, {"turn": 4, "text": "哦，吃了几片", "role": "doctor"}, {"turn": 5, "text": "两片", "role": "patient"}, {"turn": 6, "text": "这一周都是疙瘩", "role": "patient"}, {"turn": 7, "text": "如果效果不好可以多吃几片", "role": "doctor"}, {"turn": 8, "text": "再不行换成其他的药也行", "role": "doctor"}, {"turn": 9, "text": "我吃了后早上肚子痛", "role": "patient"}, {"turn": 10, "text": "牛黄清胃丸可以吗？", "role": "patient"}, {"turn": 11, "text": "先用点开塞露把下面的硬的大便搞出来", "role": "doctor"}, {"turn": 12, "text": "再吃", "role": "doctor"}, {"turn": 13, "text": "牛黄不吃", "role": "doctor"}, {"turn": 14, "text": "喔喔", "role": "patient"}, {"turn": 15, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1243, "thread": [{"turn": 0, "text": "幽门螺旋杆菌应该吃哪些药（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "之前体检时候发现自己感染了幽门螺旋杆菌，想问下怎么治疗", "role": "patient"}, {"turn": 3, "text": "自从感染这个东西之后肚子容易反胃，喝酒也容易吐", "role": "patient"}, {"turn": 4, "text": "吹的气有好多", "role": "doctor"}, {"turn": 5, "text": "嗯，是的", "role": "patient"}, {"turn": 6, "text": "指标是好多", "role": "doctor"}, {"turn": 7, "text": "没有看到具体指标", "role": "patient"}, {"turn": 8, "text": "抗幽门螺杆菌现在主要是三联或者四联疗法", "role": "doctor"}, {"turn": 9, "text": "嗯，我在网上查了相关资料，感觉四联比较好。我该购买哪些药物呢", "role": "patient"}, {"turn": 10, "text": "有什么药物过敏史没得", "role": "doctor"}, {"turn": 11, "text": "没有的", "role": "patient"}, {"turn": 12, "text": "基本都测过，暂时没有发现药物过敏。", "role": "patient"}, {"turn": 13, "text": "阿莫西林胶囊1.0g   一日2次，饭后克拉霉素片  0.5g  一日2次，饭后   奥美拉唑肠溶胶囊  20mg  一日两次，饭前   胶体果胶铋胶囊  150mg  一日三次，饭前。吃14天一个疗程", "role": "doctor"}, {"turn": 14, "text": "这些药物我直接去药店买可以么", "role": "patient"}, {"turn": 15, "text": "还是得购买指定品牌", "role": "patient"}, {"turn": 16, "text": "直接去医院开", "role": "doctor"}, {"turn": 17, "text": "医院的药正规些", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1244, "thread": [{"turn": 0, "text": "宝宝消化不良不爱吃饭大便干（男，1岁5个月）", "role": "patient"}, {"turn": 1, "text": "宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一阵一阵的", "role": "patient"}, {"turn": 3, "text": "几天拍一次", "role": "doctor"}, {"turn": 4, "text": "有时候吃饭就挺好的，大便也是", "role": "patient"}, {"turn": 5, "text": "两三天", "role": "patient"}, {"turn": 6, "text": "干吗？", "role": "doctor"}, {"turn": 7, "text": "头上干", "role": "patient"}, {"turn": 8, "text": "特别干头上", "role": "patient"}, {"turn": 9, "text": "排便困难吗", "role": "doctor"}, {"turn": 10, "text": "困难，", "role": "patient"}, {"turn": 11, "text": "都给孩子急哭了", "role": "patient"}, {"turn": 12, "text": "平常蔬菜，水果，吃的多吗", "role": "doctor"}, {"turn": 13, "text": "蔬菜他不爱吃，水果天天吃", "role": "patient"}, {"turn": 14, "text": "多吃蔬菜，水果，多喝水", "role": "doctor"}, {"turn": 15, "text": "不爱喝水可咋整", "role": "patient"}, {"turn": 16, "text": "也不爱吃饭", "role": "patient"}, {"turn": 17, "text": "老爱涨肚子", "role": "patient"}, {"turn": 18, "text": "这得慢慢养成爱喝水的习惯", "role": "doctor"}, {"turn": 19, "text": "是不是消化不好呀", "role": "patient"}, {"turn": 20, "text": "不能是积食了吧", "role": "patient"}, {"turn": 21, "text": "肚子着凉气了吗？", "role": "doctor"}, {"turn": 22, "text": "没有", "role": "patient"}, {"turn": 23, "text": "您是怎么觉得胀气？", "role": "doctor"}, {"turn": 24, "text": "我是说之前的时候，动不动就涨肚子", "role": "patient"}, {"turn": 25, "text": "嗯嗯", "role": "doctor"}, {"turn": 26, "text": "这些都和饮食习惯有密切关系", "role": "doctor"}, {"turn": 27, "text": "怎么改善", "role": "patient"}, {"turn": 28, "text": "不能是积食吧", "role": "patient"}, {"turn": 29, "text": "多吃蔬菜，水果，多喝水，肉蛋奶均衡饮食，规律，到点吃饭，适当运动", "role": "doctor"}, {"turn": 30, "text": "没有别的办法吗", "role": "patient"}, {"turn": 31, "text": "剩下就是吃药", "role": "doctor"}, {"turn": 32, "text": "好吧，只要不是积食怎么都好说", "role": "patient"}, {"turn": 33, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1245, "thread": [{"turn": 0, "text": "15个月的宝宝总是便秘怎么办？（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "有时候一天一次，便秘的时候两天一次，偶尔三天一次", "role": "patient"}, {"turn": 3, "text": "主要是这几次都是屁屁上夹一个羊便一样的球球状的，在就拉不出来了", "role": "patient"}, {"turn": 4, "text": "知道她要拉臭了，然后就拉一个蛋蛋就不拉了", "role": "patient"}, {"turn": 5, "text": "拉不出来，用了两次开塞露了", "role": "patient"}, {"turn": 6, "text": "嗯嗯，可以给孩子吃点益生菌，", "role": "doctor"}, {"turn": 7, "text": "这样没有事吧？", "role": "patient"}, {"turn": 8, "text": "没事的，小孩子好多都有便秘的情况！", "role": "doctor"}, {"turn": 9, "text": "看着感觉挺受罪", "role": "patient"}, {"turn": 10, "text": "吃益生菌的话停了后会不会又开始便秘", "role": "patient"}, {"turn": 11, "text": "主要是饮食调理，水果蔬菜多吃，", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "不客气，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1246, "thread": [{"turn": 0, "text": "我有耳鸣，睡不着觉头疼（男，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了", "role": "doctor"}, {"turn": 2, "text": "我晚上睡不着觉，耳鸣，头涨，有两个月了", "role": "patient"}, {"turn": 3, "text": "有熬夜吗？一般晚上几点钟上床睡", "role": "doctor"}, {"turn": 4, "text": "有的时候左耳鸣，有的时候右耳鸣", "role": "patient"}, {"turn": 5, "text": "这种情况到医院看没有呢", "role": "doctor"}, {"turn": 6, "text": "不熬夜，就是睡不着觉", "role": "patient"}, {"turn": 7, "text": "除了这些还有其他不舒服的吗", "role": "doctor"}, {"turn": 8, "text": "我去医院检查肾功能正常", "role": "patient"}, {"turn": 9, "text": "以为是肾虚是吧", "role": "doctor"}, {"turn": 10, "text": "平时有什么疾病没有", "role": "doctor"}, {"turn": 11, "text": "就是胃痛", "role": "patient"}, {"turn": 12, "text": "哦，最近是否发生什么事了", "role": "doctor"}, {"turn": 13, "text": "现在有肺结核", "role": "patient"}, {"turn": 14, "text": "但是肺结核不会引起耳鸣的吧", "role": "patient"}, {"turn": 15, "text": "现在是在吃结核的药吗", "role": "doctor"}, {"turn": 16, "text": "是的，", "role": "patient"}, {"turn": 17, "text": "吃的是异烟肼，利福平，盐酸乙胺丁醇", "role": "patient"}, {"turn": 18, "text": "这个有可能是结核药物导致的", "role": "doctor"}, {"turn": 19, "text": "建议把甲钴胺片和维生素B6服用", "role": "doctor"}, {"turn": 20, "text": "那怎么办，", "role": "patient"}, {"turn": 21, "text": "现吃这药观察一下", "role": "doctor"}, {"turn": 22, "text": "如果是吃药物引起的耳鸣，那怎么治疗呢", "role": "patient"}, {"turn": 23, "text": "吃我说两个药", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1247, "thread": [{"turn": 0, "text": "五个月婴儿便秘怎么办（女，5个月）", "role": "patient"}, {"turn": 1, "text": "您好，请问宝宝母乳喂养还是奶粉", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "混合", "role": "patient"}, {"turn": 4, "text": "大便几天一次", "role": "doctor"}, {"turn": 5, "text": "今天第五天了，只拉过一次大便", "role": "patient"}, {"turn": 6, "text": "距上次大便，快三天了", "role": "patient"}, {"turn": 7, "text": "肚子也不胀啊，吃的也还好", "role": "patient"}, {"turn": 8, "text": "医生？", "role": "patient"}, {"turn": 9, "text": "大便干吗？", "role": "doctor"}, {"turn": 10, "text": "不干", "role": "patient"}, {"turn": 11, "text": "孩子几天不排便也没有痛苦是吧", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "目前考虑是攒肚子，不要紧，也不用治疗", "role": "doctor"}, {"turn": 14, "text": "是一种生理性现象", "role": "doctor"}, {"turn": 15, "text": "三天了都没问题吗", "role": "patient"}, {"turn": 16, "text": "最多一周，超过一周就要采取措施了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1248, "thread": [{"turn": 0, "text": "先天性一只耳聋，没有病史（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问听力下降程度如何", "role": "doctor"}, {"turn": 2, "text": "一只耳聋听不见，另一只有轻微聋", "role": "patient"}, {"turn": 3, "text": "有没有做听力检查呢", "role": "doctor"}, {"turn": 4, "text": "看看听力下降情况", "role": "doctor"}, {"turn": 5, "text": "小时候做过，现在都没有做过", "role": "patient"}, {"turn": 6, "text": "我这个是不是不能治，治不好", "role": "patient"}, {"turn": 7, "text": "嗯嗯，很难了", "role": "doctor"}, {"turn": 8, "text": "看看残余听力怎么样，如果残余听力可以的话可以人工耳蜗", "role": "doctor"}, {"turn": 9, "text": "人工耳蜗", "role": "patient"}, {"turn": 10, "text": "助听器不行吗？", "role": "patient"}, {"turn": 11, "text": "得看残余听力", "role": "doctor"}, {"turn": 12, "text": "你最好做个测听看看", "role": "doctor"}, {"turn": 13, "text": "人工耳蜗戴的很明显看的出开", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "我戴过助听器，我觉得声音很吵就没戴了", "role": "patient"}, {"turn": 16, "text": "可能没配好，噶公司配个质量好点的", "role": "doctor"}, {"turn": 17, "text": "还是配个质量好点的", "role": "doctor"}, {"turn": 18, "text": "那就是我耳朵没得治了是吗？", "role": "patient"}, {"turn": 19, "text": "先做个听力检查看看残余听力怎么样", "role": "doctor"}, {"turn": 20, "text": "如果没有看到你的听力图，我给你说是对你不负责任", "role": "doctor"}, {"turn": 21, "text": "好吧，谢谢医生", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1249, "thread": [{"turn": 0, "text": "头晕厉害，偶尔偏头痛（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，经常头疼、头晕吗", "role": "doctor"}, {"turn": 2, "text": "血压正常吗", "role": "doctor"}, {"turn": 3, "text": "不是经常", "role": "patient"}, {"turn": 4, "text": "血压正常", "role": "patient"}, {"turn": 5, "text": "一般什么情况发作", "role": "doctor"}, {"turn": 6, "text": "一年发生2次", "role": "patient"}, {"turn": 7, "text": "也不确定什么时候", "role": "patient"}, {"turn": 8, "text": "最近就头晕", "role": "patient"}, {"turn": 9, "text": "最近睡眠好吗", "role": "doctor"}, {"turn": 10, "text": "吃饭怎样", "role": "doctor"}, {"turn": 11, "text": "有几天睡眠不好", "role": "patient"}, {"turn": 12, "text": "吃饭不行", "role": "patient"}, {"turn": 13, "text": "不爱吃饭", "role": "patient"}, {"turn": 14, "text": "贫血吗", "role": "doctor"}, {"turn": 15, "text": "不贫", "role": "patient"}, {"turn": 16, "text": "头疼头晕的程度厉害吗", "role": "doctor"}, {"turn": 17, "text": "头晕厉害", "role": "patient"}, {"turn": 18, "text": "前两天晕的都走不了路", "role": "patient"}, {"turn": 19, "text": "这个是人民长说的眩晕症吗", "role": "patient"}, {"turn": 20, "text": "这么厉害，是不是颈椎有问题", "role": "doctor"}, {"turn": 21, "text": "查过吗", "role": "doctor"}, {"turn": 22, "text": "没查过", "role": "patient"}, {"turn": 23, "text": "头晕时有耳鸣吗", "role": "doctor"}, {"turn": 24, "text": "头晕的原因很多，常见原因：美尼尔综合征、耳石症、颈椎病、前庭神经炎，还有找不到原因的眩晕综合征", "role": "doctor"}, {"turn": 25, "text": "那这个去医院都查啥", "role": "patient"}, {"turn": 26, "text": "查前庭功能，耳ct", "role": "doctor"}, {"turn": 27, "text": "是挂什么科室呢", "role": "patient"}, {"turn": 28, "text": "去年做过核磁和前庭功能都没事", "role": "patient"}, {"turn": 29, "text": "颈椎有几节有问题但不大", "role": "patient"}, {"turn": 30, "text": "耳没事，需要挂神经内科", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1250, "thread": [{"turn": 0, "text": "鼓膜穿孔小  吃要注意什么（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，这有多长时间了？外伤引起的么", "role": "doctor"}, {"turn": 2, "text": "医生说是挖耳朵引起 现在一切正常就是穿孔", "role": "patient"}, {"turn": 3, "text": "医生说海鲜不能吃 我想问 是一辈子不能吃还是什么", "role": "patient"}, {"turn": 4, "text": "不是的，小穿孔一般很快就愈合了，需要2周左右可以", "role": "doctor"}, {"turn": 5, "text": "长好了以后就能吃了😓", "role": "doctor"}, {"turn": 6, "text": "那医生说穿孔好不了啊", "role": "patient"}, {"turn": 7, "text": "小穿孔可以愈合的，有图么？我看下", "role": "doctor"}, {"turn": 8, "text": "没有哎", "role": "patient"}, {"turn": 9, "text": "穿孔多长时间了？", "role": "doctor"}, {"turn": 10, "text": "半个月左右吧", "role": "patient"}, {"turn": 11, "text": "听力差3分", "role": "patient"}, {"turn": 12, "text": "医生说穿孔好不了", "role": "patient"}, {"turn": 13, "text": "应该没问题，外伤引起的穿孔一般不大的话都能愈合的", "role": "doctor"}, {"turn": 14, "text": "医生说好不了   憋屈耳朵有出气", "role": "patient"}, {"turn": 15, "text": "憋气", "role": "patient"}, {"turn": 16, "text": "现在还有漏气么？", "role": "doctor"}, {"turn": 17, "text": "憋气的时候有", "role": "patient"}, {"turn": 18, "text": "然后之前ct拍起来说乳突炎现在应该好了", "role": "patient"}, {"turn": 19, "text": "现在不要鼓气了，本来快长好了，你一鼓气就又开了", "role": "doctor"}, {"turn": 20, "text": "时间长了就能长好的，不要担心😊1个月后复查下就行", "role": "doctor"}, {"turn": 21, "text": "医生那时候 叫我这样做", "role": "patient"}, {"turn": 22, "text": "他没叫我复查 说如果不舒服在过来看 没有不舒服就不用了", "role": "patient"}, {"turn": 23, "text": "嗯，时间长了都能长住，一个月左右就可以了", "role": "doctor"}, {"turn": 24, "text": "有穿孔不能吃海鲜  ？", "role": "patient"}, {"turn": 25, "text": "少吃点不影响，好了以后就行了", "role": "doctor"}, {"turn": 26, "text": "穿孔好没好  不去医院怎么知道嘛", "role": "patient"}, {"turn": 27, "text": "就是不去医院   什么办法 可以知道有没有好", "role": "patient"}, {"turn": 28, "text": "鼓腮漏气可以自己检查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1251, "thread": [{"turn": 0, "text": "左边偏头痛是怎么回事（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有几年了，有时痛有时不痛", "role": "patient"}, {"turn": 3, "text": "一想就痛，分散注意就不痛这是怎么回事呢医生", "role": "patient"}, {"turn": 4, "text": "在吗医生", "role": "patient"}, {"turn": 5, "text": "在", "role": "doctor"}, {"turn": 6, "text": "那你有去医院检查过吗？", "role": "doctor"}, {"turn": 7, "text": "睡眠怎么样", "role": "doctor"}, {"turn": 8, "text": "睡眠好啊", "role": "patient"}, {"turn": 9, "text": "没有去过", "role": "patient"}, {"turn": 10, "text": "这是怎么回事呢", "role": "patient"}, {"turn": 11, "text": "不想他就不痛", "role": "patient"}, {"turn": 12, "text": "根据你提供的情况，考虑紧张性头疼", "role": "doctor"}, {"turn": 13, "text": "那要怎么办呢", "role": "patient"}, {"turn": 14, "text": "严重吗", "role": "patient"}, {"turn": 15, "text": "问题不大，可以观察一下有无诱发因素", "role": "doctor"}, {"turn": 16, "text": "可是我这几天天想，越不想就越想", "role": "patient"}, {"turn": 17, "text": "有什么办法可以让他不痛吗", "role": "patient"}, {"turn": 18, "text": "可以用点止痛药，缓解症状的", "role": "doctor"}, {"turn": 19, "text": "同时要放松心悄，避免受凉，熬夜", "role": "doctor"}, {"turn": 20, "text": "没有期他的药吗可以治好的吗", "role": "patient"}, {"turn": 21, "text": "就是吃药缓解症状，", "role": "doctor"}, {"turn": 22, "text": "不是很痛，轻微的", "role": "patient"}, {"turn": 23, "text": "就是老喜欢想", "role": "patient"}, {"turn": 24, "text": "别想太多，否则就会出现焦虑印，本身沒什么大问题", "role": "doctor"}, {"turn": 25, "text": "哦好的", "role": "patient"}, {"turn": 26, "text": "😊", "role": "doctor"}, {"turn": 27, "text": "经常想，想的好累，放松不了", "role": "patient"}, {"turn": 28, "text": "那就得去看心理医生了", "role": "doctor"}, {"turn": 29, "text": "不是吧", "role": "patient"}, {"turn": 30, "text": "如果出现明显焦虑就得心理医生干预了，不过我觉得你还不至于，吃点药缓解一下症状，没什么问题的", "role": "doctor"}, {"turn": 31, "text": "吃什么药呢", "role": "patient"}, {"turn": 32, "text": "用布洛芬吧", "role": "doctor"}, {"turn": 33, "text": "哪里有卖呢", "role": "patient"}, {"turn": 34, "text": "药店，医院都有的", "role": "doctor"}, {"turn": 35, "text": "哦好的谢医生", "role": "patient"}, {"turn": 36, "text": "不客气的😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1252, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：严重便秘（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，大便几天一次？", "role": "doctor"}, {"turn": 2, "text": "1周两次吧", "role": "patient"}, {"turn": 3, "text": "爱运动和吃蔬菜吗？", "role": "doctor"}, {"turn": 4, "text": "每天都运动 爱吃", "role": "patient"}, {"turn": 5, "text": "我从小就便秘", "role": "patient"}, {"turn": 6, "text": "大便干结的？", "role": "doctor"}, {"turn": 7, "text": "嗯 有时候是黏的", "role": "patient"}, {"turn": 8, "text": "恩 有时候便秘 并不是一直有？", "role": "doctor"}, {"turn": 9, "text": "如果吃特别辣的东西 会黏或者拉肚子", "role": "patient"}, {"turn": 10, "text": "但是便秘是一直的", "role": "patient"}, {"turn": 11, "text": "恩  你做过检查没有？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "恩   你可以用点通肠润便的药看看", "role": "doctor"}, {"turn": 14, "text": "都有什么", "role": "patient"}, {"turn": 15, "text": "乳果糖口服溶液  用上益生菌 思联康", "role": "doctor"}, {"turn": 16, "text": "好的", "role": "patient"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "会有依赖性吗", "role": "patient"}, {"turn": 19, "text": "不会的", "role": "doctor"}, {"turn": 20, "text": "谢谢", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1253, "thread": [{"turn": 0, "text": "右腹部有点不舒服，感觉沉沉的，火辣辣的，一个礼拜了（男，24岁）", "role": "patient"}, {"turn": 1, "text": "请问:是右上腹，还是右下腹?有没有吃不干净食物或者受凉？", "role": "doctor"}, {"turn": 2, "text": "右前腰部", "role": "patient"}, {"turn": 3, "text": "有没有尿急尿频排尿费力和腰疼情况？", "role": "doctor"}, {"turn": 4, "text": "就是那感觉和左边慢性胃炎感觉一样", "role": "patient"}, {"turn": 5, "text": "这个位置一般多是胃炎或者溃疡引起的，一般可以吃些泮托拉唑和流淌吕混玄凝胶治疗下，必要时可以检查胃镜看看", "role": "doctor"}, {"turn": 6, "text": "我说的是右腰", "role": "patient"}, {"turn": 7, "text": "右侧腰腹部一般是输尿管位置，多是除了尿路问题就是结石类疾病", "role": "doctor"}, {"turn": 8, "text": "我查了腹部彩超，啥都没查出来", "role": "patient"}, {"turn": 9, "text": "嗯，那就暂时不要紧，一般可以多喝水，局部按揉下就可以", "role": "doctor"}, {"turn": 10, "text": "噢", "role": "patient"}, {"turn": 11, "text": "嗯，注意饮食清淡容易消化", "role": "doctor"}, {"turn": 12, "text": "噢", "role": "patient"}, {"turn": 13, "text": "局部也可以热敷治疗下", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1254, "thread": [{"turn": 0, "text": "久坐久站左侧尾椎鼓位置髋骨连着左侧大腿根疼，热敷或者揉揉舒服点，但是还是会疼，能有半个月时间，半个月有两天走的路比较多，天气特别冷，在外面停留时间长，回来就有这感觉了，一直持续到现在，这要怎么办呢？（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这是肌肉拉伤的表现", "role": "doctor"}, {"turn": 2, "text": "不像肌肉拉伤", "role": "patient"}, {"turn": 3, "text": "可以做做理疗，注意保暖", "role": "doctor"}, {"turn": 4, "text": "以往也会肌肉拉伤 估计天就好了哈", "role": "patient"}, {"turn": 5, "text": "现在左侧胯骨轴一走路就会难受 或者坐久也难受", "role": "patient"}, {"turn": 6, "text": "会是骨头或者什么软组织受伤了吗", "role": "patient"}, {"turn": 7, "text": "或者风湿", "role": "patient"}, {"turn": 8, "text": "因为前几天特别冷", "role": "patient"}, {"turn": 9, "text": "天气冷，大量活动后会出现这种情况的。理解成软组织损伤也可以。", "role": "doctor"}, {"turn": 10, "text": "嗯嗯 因为现在走路什么的 还完全不影响", "role": "patient"}, {"turn": 11, "text": "风湿骨折不用考虑的", "role": "doctor"}, {"turn": 12, "text": "回家后用理疗灯做做理疗，或者热毛巾敷一下别烫伤，是可以恢复的", "role": "doctor"}, {"turn": 13, "text": "疼得严重的话可以抹点扶他林软膏", "role": "doctor"}, {"turn": 14, "text": "有没有什么膏药类的推荐呢", "role": "patient"}, {"turn": 15, "text": "复方南星止痛膏", "role": "doctor"}, {"turn": 16, "text": "不知道你们那边可以买到吗", "role": "doctor"}, {"turn": 17, "text": "哦哦 我问一下吧", "role": "patient"}, {"turn": 18, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1255, "thread": [{"turn": 0, "text": "肛裂涂什么药膏能愈合（女，34岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问肛裂多长时间了？", "role": "doctor"}, {"turn": 2, "text": "平时大便干吗", "role": "doctor"}, {"turn": 3, "text": "肛裂大便主要是大便干时发病，大便不干，一般都没啥问题，所以要积极调理大便", "role": "doctor"}, {"turn": 4, "text": "平时多食蔬菜水果多饮水，也可以吃点六味安消胶囊或者麻仁丸调理大便", "role": "doctor"}, {"turn": 5, "text": "我是生完孩子，大便干燥，肛裂了4个月，平时只要大便不干燥，基本没事儿，但是大便一干燥，就出月", "role": "patient"}, {"turn": 6, "text": "现在是只要大便稍微干燥一点就出血", "role": "patient"}, {"turn": 7, "text": "如果经常大便干，肛裂吃完需要手术才行，好不了。", "role": "doctor"}, {"turn": 8, "text": "迟早", "role": "doctor"}, {"turn": 9, "text": "现在我在哺乳期，没有吃药 ，就用开塞露软化大便，偶尔还有出血情况", "role": "patient"}, {"turn": 10, "text": "开塞露可以长期用吗", "role": "patient"}, {"turn": 11, "text": "哺乳期主要靠饮食调理大便，不建议服药，开塞露可以用", "role": "doctor"}, {"turn": 12, "text": "尽量不要长期用", "role": "doctor"}, {"turn": 13, "text": "可以喝点益生菌吗", "role": "patient"}, {"turn": 14, "text": "可以的", "role": "doctor"}, {"turn": 15, "text": "可以调肠道功能", "role": "doctor"}, {"turn": 16, "text": "怎么通过饮食调整大便，", "role": "patient"}, {"turn": 17, "text": "只能多吃蔬菜水果多饮水，吃点粗粮，喝点蜂蜜水等", "role": "doctor"}, {"turn": 18, "text": "别的也没有办法", "role": "doctor"}, {"turn": 19, "text": "好的谢谢", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1256, "thread": [{"turn": 0, "text": "严重便秘，不吃药就没有屎，（女，20岁）有什么中药可以调理吗", "role": "patient"}, {"turn": 1, "text": "可以用大承气汤来调理", "role": "doctor"}, {"turn": 2, "text": "药店有卖吗", "role": "patient"}, {"turn": 3, "text": "是中药吗", "role": "patient"}, {"turn": 4, "text": "是中药啊，有大黄，芒硝，枳实，厚朴四味药，在根据症状及病情的情况加减用药。", "role": "doctor"}, {"turn": 5, "text": "这个按什么量", "role": "patient"}, {"turn": 6, "text": "你大便几天一次？", "role": "doctor"}, {"turn": 7, "text": "不吃药就没有", "role": "patient"}, {"turn": 8, "text": "比较严重", "role": "patient"}, {"turn": 9, "text": "大黄10克（后下），芒硝10克，枳实15克，厚朴15克➕生地10克，麦冬30克，玄参10克➕火麻仁30克，柏子仁30克，肉苁蓉30克", "role": "doctor"}, {"turn": 10, "text": "嗯嗯", "role": "patient"}, {"turn": 11, "text": "这个要喝多久", "role": "patient"}, {"turn": 12, "text": "如果大便两日一解用10克。如果大便三日以上仍不解，逐渐加大大黄用量，如15克20克等。", "role": "doctor"}, {"turn": 13, "text": "每日一付，水煎400毫升，分早晚两次空腹温服。先喝一周，如果好了就不喝了，没好继续巩固。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "我最近一年依赖药物比较严重", "role": "patient"}, {"turn": 16, "text": "不吃辛辣刺激食物，多食用粗纤维蔬菜，养成每日定点排便的好喜欢。", "role": "doctor"}, {"turn": 17, "text": "嗯嗯", "role": "patient"}, {"turn": 18, "text": "👌", "role": "doctor"}, {"turn": 19, "text": "大黄是生的还是熟的", "role": "patient"}, {"turn": 20, "text": "生的", "role": "doctor"}, {"turn": 21, "text": "有些中药好像有分炒的和不炒的", "role": "patient"}, {"turn": 22, "text": "生大黄10克（后下），芒硝10克，枳实15克，厚朴15克➕生地10克，麦冬30克，玄参10克➕火麻仁30克，柏子仁30克，肉苁蓉30克", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "早晚喝吗", "role": "patient"}, {"turn": 25, "text": "是的", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1257, "thread": [{"turn": 0, "text": "偏头痛 一阵阵的 经常这样 怎么治（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，头疼时候还有其他症状吗", "role": "doctor"}, {"turn": 2, "text": "恶心呕吐？", "role": "doctor"}, {"turn": 3, "text": "没有 就是单纯的头疼", "role": "patient"}, {"turn": 4, "text": "家族有这样的吗？", "role": "doctor"}, {"turn": 5, "text": "不清楚啊", "role": "patient"}, {"turn": 6, "text": "偏头疼遗传性很高", "role": "doctor"}, {"turn": 7, "text": "这跟身体激素水平也有关系", "role": "doctor"}, {"turn": 8, "text": "最近压力大吗？", "role": "doctor"}, {"turn": 9, "text": "挺大的吧 我是高中生 作业很多", "role": "patient"}, {"turn": 10, "text": "你这就是压力太大引起的偏头疼", "role": "doctor"}, {"turn": 11, "text": "你多放松一下心情，不让自己太紧张，压力太大", "role": "doctor"}, {"turn": 12, "text": "我上学的时候跟你一样，只要考试就头疼，做梦。你不必紧张，", "role": "doctor"}, {"turn": 13, "text": "少吃巧克力，乳酪，不喝酒，", "role": "doctor"}, {"turn": 14, "text": "恩好的 但是我几乎不怎么吃您说的那些东西啊", "role": "patient"}, {"turn": 15, "text": "不是因为吃这些东西才头疼，他里面成分会加重你头疼", "role": "doctor"}, {"turn": 16, "text": "多和父母，朋友聊聊天，别给自己太大压力", "role": "doctor"}, {"turn": 17, "text": "这样子啊 好的我知道了谢谢医生~", "role": "patient"}, {"turn": 18, "text": "还有什么不明白的吗？如果没有请帮我点非常满意，谢谢了！", "role": "doctor"}, {"turn": 19, "text": "然后加我，成为我的粉丝吧，谢谢啦", "role": "doctor"}, {"turn": 20, "text": "好的~", "role": "patient"}, {"turn": 21, "text": "谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1258, "thread": [{"turn": 0, "text": "怀疑自己声带小结，但声音没有沙哑。（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好！声带小结最常见的临床表现就是声音嘶哑声带劳累。你可以检查一下喉镜。就可以确诊了", "role": "doctor"}, {"turn": 2, "text": "你现在能听听我的情况先帮我估计一下吗？", "role": "patient"}, {"turn": 3, "text": "我大概13年前有一次去KTV唱歌后第二天发展嗓子发音不受控制，发不出原来的声音，而且有异物感。", "role": "patient"}, {"turn": 4, "text": "可以的～", "role": "doctor"}, {"turn": 5, "text": "但是声音没有沙哑，直到现在，这会是小结吗？", "role": "patient"}, {"turn": 6, "text": "一般不会～", "role": "doctor"}, {"turn": 7, "text": "还是声带息肉比较有可能？或还有其它可能性。", "role": "patient"}, {"turn": 8, "text": "声带小结的表现就是声音嘶哑", "role": "doctor"}, {"turn": 9, "text": "也不会～声带息肉也是声音嘶哑～", "role": "doctor"}, {"turn": 10, "text": "小结是双侧声带，息肉是单侧声带。", "role": "doctor"}, {"turn": 11, "text": "我现在有时试着去唱歌，唱一首歌就会很累，喘气，这是怎么回事？", "role": "patient"}, {"turn": 12, "text": "这是声带容易劳累引起的", "role": "doctor"}, {"turn": 13, "text": "和肌肉张力，肺功能都有关系", "role": "doctor"}, {"turn": 14, "text": "我该如何去治疗比较好，像我这样的情况你见过没有，能治疗痊愈吗？", "role": "patient"}, {"turn": 15, "text": "首先检查一下喉镜，排除咽喉部肿瘤，其次就是多休息，不能过度劳累！", "role": "doctor"}, {"turn": 16, "text": "这个在广东有没有比较专业的医院？", "role": "patient"}, {"turn": 17, "text": "任何一家三甲医院都可以的～", "role": "doctor"}, {"turn": 18, "text": "好的，那谢谢你！", "role": "patient"}, {"turn": 19, "text": "不客气😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1259, "thread": [{"turn": 0, "text": "打篮球手腕撑地扭伤你好（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "左手右手啊", "role": "doctor"}, {"turn": 3, "text": "拍片检查过吗", "role": "doctor"}, {"turn": 4, "text": "骨头没事吧", "role": "doctor"}, {"turn": 5, "text": "你好", "role": "patient"}, {"turn": 6, "text": "左手", "role": "patient"}, {"turn": 7, "text": "您好", "role": "doctor"}, {"turn": 8, "text": "敢活动吗", "role": "doctor"}, {"turn": 9, "text": "今天打篮球时左手手腕撑地", "role": "patient"}, {"turn": 10, "text": "肿胀吗", "role": "doctor"}, {"turn": 11, "text": "当时很痛，但是休息了几分钟后感觉还能动，不是很痛了，就又打了一会，但是打完后洗澡了", "role": "patient"}, {"turn": 12, "text": "后面基本手指动都痛", "role": "patient"}, {"turn": 13, "text": "破皮出血吗", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "肿胀吗", "role": "doctor"}, {"turn": 16, "text": "基本用不了力", "role": "patient"}, {"turn": 17, "text": "是骨折吗", "role": "patient"}, {"turn": 18, "text": "敢活动。一般骨头应该没事", "role": "doctor"}, {"turn": 19, "text": "现在晚上又洗了一个热水澡", "role": "patient"}, {"turn": 20, "text": "没动也能感觉通", "role": "patient"}, {"turn": 21, "text": "才发生时肿了一点点", "role": "patient"}, {"turn": 22, "text": "没觉得很痛，还能动，就继续打篮球了", "role": "patient"}, {"turn": 23, "text": "急性期，24小时以内，局部冷敷", "role": "doctor"}, {"turn": 24, "text": "现在没动也感觉痛，比白天痛多了", "role": "patient"}, {"turn": 25, "text": "云南白药喷剂外用", "role": "doctor"}, {"turn": 26, "text": "三七伤药片口服", "role": "doctor"}, {"turn": 27, "text": "会不会骨折哦", "role": "patient"}, {"turn": 28, "text": "疼痛，加上…芬必得胶囊", "role": "doctor"}, {"turn": 29, "text": "拍片检查是确诊，排除骨折的金标准", "role": "doctor"}, {"turn": 30, "text": "观察看看", "role": "doctor"}, {"turn": 31, "text": "明天拍片检查", "role": "doctor"}, {"turn": 32, "text": "把片子发过来我帮您详细分析判断一下", "role": "doctor"}, {"turn": 33, "text": "就是才发生时虽然痛，但是过了一分钟感觉不痛很多，就又打篮球了一会", "role": "patient"}, {"turn": 34, "text": "完后也不是很痛的", "role": "patient"}, {"turn": 35, "text": "到了晚上越来越痛", "role": "patient"}, {"turn": 36, "text": "不动也痛", "role": "patient"}, {"turn": 37, "text": "这种情况骨头一般有事吗", "role": "patient"}, {"turn": 38, "text": "按着我的建议办", "role": "doctor"}, {"turn": 39, "text": "好", "role": "patient"}, {"turn": 40, "text": "没有拍片确诊之前不要活动了。", "role": "doctor"}, {"turn": 41, "text": "嗯", "role": "patient"}, {"turn": 42, "text": "万一有个骨裂，一活动就严重了。", "role": "doctor"}, {"turn": 43, "text": "嗯", "role": "patient"}, {"turn": 44, "text": "以后千万小心避免外伤", "role": "doctor"}, {"turn": 45, "text": "好的谢谢", "role": "patient"}, {"turn": 46, "text": "不客气啦", "role": "doctor"}, {"turn": 47, "text": "祝早日康复", "role": "doctor"}, {"turn": 48, "text": "💝💝💝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1260, "thread": [{"turn": 0, "text": "偏头痛恶心想吐是怎么回事（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "就这两天才想吐的", "role": "patient"}, {"turn": 3, "text": "我是腔隙性脑梗死", "role": "patient"}, {"turn": 4, "text": "和偏头痛有关系吗", "role": "patient"}, {"turn": 5, "text": "疼痛事胀痛，刺痛还是一跳一跳的疼痛", "role": "doctor"}, {"turn": 6, "text": "胀痛", "role": "patient"}, {"turn": 7, "text": "发作严重吗？会不会影响睡觉", "role": "doctor"}, {"turn": 8, "text": "有没有肢体麻木，无力？言语不清", "role": "doctor"}, {"turn": 9, "text": "睡觉不好老做梦", "role": "patient"}, {"turn": 10, "text": "就胳膊麻一个胳膊", "role": "patient"}, {"turn": 11, "text": "别的没有", "role": "patient"}, {"turn": 12, "text": "嗯，那就更有可能了", "role": "doctor"}, {"turn": 13, "text": "我也有腰间盘，但不严重", "role": "patient"}, {"turn": 14, "text": "严重吗", "role": "patient"}, {"turn": 15, "text": "头痛是哪一种头痛", "role": "doctor"}, {"turn": 16, "text": "持续还是简短", "role": "doctor"}, {"turn": 17, "text": "间断", "role": "doctor"}, {"turn": 18, "text": "胀痛，偏头痛，一测", "role": "patient"}, {"turn": 19, "text": "太阳穴还是后脑勺，还是前额", "role": "doctor"}, {"turn": 20, "text": "持续像在那乎着是的，太阳穴", "role": "patient"}, {"turn": 21, "text": "跟腔梗有关系吗，", "role": "patient"}, {"turn": 22, "text": "一个手麻可能是颈椎病", "role": "doctor"}, {"turn": 23, "text": "可能您颈椎腰椎都不好", "role": "doctor"}, {"turn": 24, "text": "晚上会不会因为头痛睡不着", "role": "doctor"}, {"turn": 25, "text": "能睡觉就是老做梦", "role": "patient"}, {"turn": 26, "text": "那应该不是偏头痛，很有可能是紧张型疼痛，跟疲劳，睡眠差，精神紧张，颈椎病有关", "role": "doctor"}, {"turn": 27, "text": "睡眠不好，偏头痛，持续的", "role": "patient"}, {"turn": 28, "text": "可以吃一点布洛芬缓释胶囊", "role": "doctor"}, {"turn": 29, "text": "啊那怎么调理呢", "role": "patient"}, {"turn": 30, "text": "睡眠不好可以吃一点枣仁安神颗粒改善一下", "role": "doctor"}, {"turn": 31, "text": "养血安神糖浆可以吗", "role": "patient"}, {"turn": 32, "text": "平时保持心情良好，改善睡眠，颈椎病可以去医院做牵引和推拿放松放松应该会好", "role": "doctor"}, {"turn": 33, "text": "枣仁安神颗粒效果不错", "role": "doctor"}, {"turn": 34, "text": "这个痛好的是不是慢啊", "role": "patient"}, {"turn": 35, "text": "预后良好", "role": "doctor"}, {"turn": 36, "text": "好的我吃看看，就是不爱好，药也吃不少了，", "role": "patient"}, {"turn": 37, "text": "这个不是大毛病，但是不注意情绪和休息，容易复发", "role": "doctor"}, {"turn": 38, "text": "是啊跟心情好像有关系，我心情一直不好", "role": "patient"}, {"turn": 39, "text": "嗯，好好调整心情", "role": "doctor"}, {"turn": 40, "text": "谢谢代夫有问题我在问你，", "role": "patient"}, {"turn": 41, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1261, "thread": [{"turn": 0, "text": "五个月宝宝积食消化不良怎么办（男，5个月）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝有什么表现？", "role": "doctor"}, {"turn": 2, "text": "一直打饱嗝，不好好吃奶，嗜睡，睡的时间不长，舌头上有一层白的，厚的", "role": "patient"}, {"turn": 3, "text": "嗯，那有没有腹泻，便秘等症状呢？", "role": "doctor"}, {"turn": 4, "text": "孩子喝母乳还是奶粉呢？", "role": "doctor"}, {"turn": 5, "text": "有腹泻，吃了四天妈咪爱，不拉肚子了", "role": "patient"}, {"turn": 6, "text": "之前纯母乳，刚给吃上奶粉", "role": "patient"}, {"turn": 7, "text": "那一天几次呢？大便稀糊样的么", "role": "doctor"}, {"turn": 8, "text": "这些症状是不是消化不良？", "role": "patient"}, {"turn": 9, "text": "就是感觉换成奶粉以后就这样了呗？", "role": "doctor"}, {"turn": 10, "text": "今天没拉，昨天一次", "role": "patient"}, {"turn": 11, "text": "嗯，那还可以，根据这个描述，还是跟换奶粉有关", "role": "doctor"}, {"turn": 12, "text": "不是，之前也不好好吃，一直打饱嗝，我之前看医生了，给吃的醒脾养儿颗粒，么效果，之后腹泻拉肚子，我有给吃了妈咪爱，", "role": "patient"}, {"turn": 13, "text": "嗯，如果妈咪爱不太好用，可以换成布拉氏酵母菌，这个相对来说属于比较好一点的益生菌了，然后可以吃点消食，健脾，补锌的，比如山葡健脾颗粒，或者神曲消食口服液，然后观察看看怎么样", "role": "doctor"}, {"turn": 14, "text": "差不多有俩个月了，一直不好好吃，打饱嗝", "role": "patient"}, {"turn": 15, "text": "嗯，可以吃点消食的，比如我说那两个，吃完以后好好拍嗝，然后躺着时候可以稍微头比脚高点，有点斜度", "role": "doctor"}, {"turn": 16, "text": "就是母乳时候也不行呗", "role": "doctor"}, {"turn": 17, "text": "是的，", "role": "patient"}, {"turn": 18, "text": "一般食欲不好，舌头有白的，苔厚可以吃点健脾，消食，补锌的，我是我说的那两个药可以去选择一个，如果吃了7～10天还是一点都不行，最好去儿保科，或者消化科看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1262, "thread": [{"turn": 0, "text": "偏头痛，蹲下起来就会眩晕（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久了？", "role": "doctor"}, {"turn": 2, "text": "这个眩晕的情况，如果是蹲下了站起来的话，应该考虑体位性低血压", "role": "doctor"}, {"turn": 3, "text": "七八年了", "role": "patient"}, {"turn": 4, "text": "偏头痛一般比较少见引起眩晕的情况", "role": "doctor"}, {"turn": 5, "text": "嗯，没有体会改变的时候会不会头晕呢？", "role": "doctor"}, {"turn": 6, "text": "偏头痛有什么好的缓解方法吗", "role": "patient"}, {"turn": 7, "text": "目前偏头痛具体病因不太非常明确，主要还是建议临时对症止痛为主呢", "role": "doctor"}, {"turn": 8, "text": "一般主流一些认为健康规律的生活，避免接触一些刺激性的因素，有助于减少偏头痛的发作", "role": "doctor"}, {"turn": 9, "text": "哺乳期可以用什么药", "role": "patient"}, {"turn": 10, "text": "血管性头痛分为原发性和继发性两大类。因头部血管舒缩功能障碍引起的头痛，称为原发性血管性头痛，包括偏头痛、丛集性头痛等；有明确的脑血管疾病所致的头痛，称为继发性头痛，包括高血压、蛛网膜下腔出血、脑卒中、颅内血肿、脑血管炎等所引起的头痛。一般常见的头痛诱发因素，包括强烈的情绪刺激，进食，某些食物有乳酪，巧克力，饮酒，月经来潮，以及应用血管运动药物等都可能会诱发头痛。头痛有些病因不明，是很多诱发因素出现的，所以处理只能尽量避免接触这些诱因，如果头痛剧烈，难以忍受，可以吃一点止痛药，例如布洛芬。另外，如果是血管原因引起的头痛，轻度以刺痛为主，严重的头痛可以考虑手术。", "role": "doctor"}, {"turn": 11, "text": "哺乳期偏头痛可以吃布洛芬对乙酰氨基酚之类的", "role": "doctor"}, {"turn": 12, "text": "好的谢谢", "role": "patient"}, {"turn": 13, "text": "您客气啦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1263, "thread": [{"turn": 0, "text": "由于消化不良引起的口臭怎么办（男，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，平时有腹胀的感觉吗？", "role": "doctor"}, {"turn": 2, "text": "什么样算腹胀", "role": "patient"}, {"turn": 3, "text": "肚子胀", "role": "doctor"}, {"turn": 4, "text": "没有的", "role": "patient"}, {"turn": 5, "text": "老有东西在胃里，吃饭没有胃口", "role": "doctor"}, {"turn": 6, "text": "打嗝算吗", "role": "patient"}, {"turn": 7, "text": "打嗝是胃气上冲的表现", "role": "doctor"}, {"turn": 8, "text": "大便会不会不规律呢？如果是消化不良的话建议服用复方消化酶或者双歧杆菌，每天喝一瓶酸奶促进消化", "role": "doctor"}, {"turn": 9, "text": "吃药能治好吗", "role": "patient"}, {"turn": 10, "text": "会不会胃痛反酸呢？", "role": "doctor"}, {"turn": 11, "text": "反酸有时有", "role": "patient"}, {"turn": 12, "text": "胃痛基本没有", "role": "patient"}, {"turn": 13, "text": "本来就有胃病", "role": "patient"}, {"turn": 14, "text": "也有一点胃热症", "role": "patient"}, {"turn": 15, "text": "大便规律吗", "role": "doctor"}, {"turn": 16, "text": "规律的", "role": "patient"}, {"turn": 17, "text": "吃到有些高热量的东西面部就会冒汗", "role": "patient"}, {"turn": 18, "text": "嗯，可以用霍香佩兰泡水喝，再吃点促消化的，如果有条件，最好去门诊用中药调理一下", "role": "doctor"}, {"turn": 19, "text": "每餐饭一吃多就会有口臭", "role": "patient"}, {"turn": 20, "text": "藿香佩兰哪里有的买", "role": "patient"}, {"turn": 21, "text": "药房有的", "role": "doctor"}, {"turn": 22, "text": "药店有吗", "role": "patient"}, {"turn": 23, "text": "有中药的药店就有", "role": "doctor"}, {"turn": 24, "text": "好", "role": "patient"}, {"turn": 25, "text": "嗯", "role": "doctor"}, {"turn": 26, "text": "只要吃这味中药就好了嘛", "role": "patient"}, {"turn": 27, "text": "这样能不能根治啊 主要是想去口臭", "role": "patient"}, {"turn": 28, "text": "这个是做茶饮，可以配合服用消化酶", "role": "doctor"}, {"turn": 29, "text": "一般是有效果的，但是要根治还是要去治疗胃的问题", "role": "doctor"}, {"turn": 30, "text": "那怎么样才能根治啊", "role": "patient"}, {"turn": 31, "text": "建议喝中药调理，养成良好的生活习惯，少吃辛辣刺激的食物", "role": "doctor"}, {"turn": 32, "text": "好 谢谢医生", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1264, "thread": [{"turn": 0, "text": "虫牙吃什么药能治好虫牙（女，20岁）", "role": "patient"}, {"turn": 1, "text": "龋齿是不能靠吃药来恢复的，因为这是一个不可逆转的过程，只能去医院将龋坏的部分磨掉，用树脂恢复", "role": "doctor"}, {"turn": 2, "text": "就是要到牙科配药咯！", "role": "patient"}, {"turn": 3, "text": "不是配药", "role": "doctor"}, {"turn": 4, "text": "拨牙吗", "role": "patient"}, {"turn": 5, "text": "是磨掉坏的部分，然后用材料将缺的地方补上", "role": "doctor"}, {"turn": 6, "text": "不拔", "role": "doctor"}, {"turn": 7, "text": "哦", "role": "patient"}, {"turn": 8, "text": "如果没有疼痛症状，龋齿可以做填充治疗，去一次门诊就可以完成治疗", "role": "doctor"}, {"turn": 9, "text": "痛啊", "role": "patient"}, {"turn": 10, "text": "是一直疼吗？", "role": "doctor"}, {"turn": 11, "text": "嗯也不很疼", "role": "patient"}, {"turn": 12, "text": "可能是龋太深了，离牙髓太近造成的，要尽快去医院治疗", "role": "doctor"}, {"turn": 13, "text": "嗯", "role": "patient"}, {"turn": 14, "text": "希望我的回答对你有帮助", "role": "doctor"}, {"turn": 15, "text": "", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "patient"}, {"turn": 17, "text": "针对本次问诊，医生更新了总结建议：龋齿，建议尽快充填治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1265, "thread": [{"turn": 0, "text": "最近有耳鸣，晚上睡觉安静时比较明显（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，那非安静环境下也能听到吗？", "role": "doctor"}, {"turn": 2, "text": "是的    一起比较轻", "role": "patient"}, {"turn": 3, "text": "是像机器轰鸣还是知了叫呢？", "role": "doctor"}, {"turn": 4, "text": "应该是知了叫吧", "role": "patient"}, {"turn": 5, "text": "有没有影响到听力，觉得耳闷呢？", "role": "doctor"}, {"turn": 6, "text": "没有  只有安静的时候响", "role": "patient"}, {"turn": 7, "text": "嗯，影响到生活了吗？", "role": "doctor"}, {"turn": 8, "text": "睡觉的时候比较烦", "role": "patient"}, {"turn": 9, "text": "嗯，你这种考虑是生理性耳鸣", "role": "doctor"}, {"turn": 10, "text": "一般正常人可以在安静的环境下听到平时听不到的声音，这种情况叫做生理性耳鸣，一般不影响听力，不影响生活的话，是不必特殊治疗的。", "role": "doctor"}, {"turn": 11, "text": "哦  哪有什么方法减轻么  一起不想现在这么响", "role": "patient"}, {"turn": 12, "text": "以前", "role": "patient"}, {"turn": 13, "text": "实在影响睡眠", "role": "doctor"}, {"turn": 14, "text": "可以睡前用些氟桂利嗪", "role": "doctor"}, {"turn": 15, "text": "有时睡觉会带耳塞  那样声音更大", "role": "patient"}, {"turn": 16, "text": "哦   好的", "role": "patient"}, {"turn": 17, "text": "不要戴耳塞", "role": "doctor"}, {"turn": 18, "text": "我睡眠不是很好   有点声音就睡不着", "role": "patient"}, {"turn": 19, "text": "嗯，但就是因为环境太安静", "role": "doctor"}, {"turn": 20, "text": "这种耳鸣反而显得更明显", "role": "doctor"}, {"turn": 21, "text": "哦   我这不是什么大问题吧", "role": "patient"}, {"turn": 22, "text": "并不是啊", "role": "doctor"}, {"turn": 23, "text": "正常人在安静环境下都会有的", "role": "doctor"}, {"turn": 24, "text": "好的  谢谢您了", "role": "patient"}, {"turn": 25, "text": "好的，好好休息吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1266, "thread": [{"turn": 0, "text": "三岁小孩 女 便秘 近段时间常有（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝几天一次大便", "role": "doctor"}, {"turn": 2, "text": "益生菌也吃", "role": "patient"}, {"turn": 3, "text": "多吃含纤维的蔬菜，水果，含益生菌的酸奶", "role": "doctor"}, {"turn": 4, "text": "一天两天便衣次", "role": "patient"}, {"turn": 5, "text": "呈状样", "role": "patient"}, {"turn": 6, "text": "头有点干就是", "role": "patient"}, {"turn": 7, "text": "哪些水果蔬菜 含益生菌", "role": "patient"}, {"turn": 8, "text": "医生像这种情况是什么原因", "role": "patient"}, {"turn": 9, "text": "肠蠕动慢", "role": "doctor"}, {"turn": 10, "text": "芹菜，韭菜，白菜纤维多，促使肠蠕动的", "role": "doctor"}, {"turn": 11, "text": "水果有哪些医生", "role": "patient"}, {"turn": 12, "text": "苹果，橘子均可", "role": "doctor"}, {"turn": 13, "text": "谢谢您 医生", "role": "patient"}, {"turn": 14, "text": "不客气，帮助你是我的职责。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1267, "thread": [{"turn": 0, "text": "牙齿裂缝会影响咀嚼嘛（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，能拍个牙齿照片看看吗？", "role": "doctor"}, {"turn": 2, "text": "没有拍，我只用眼睛看到了", "role": "patient"}, {"turn": 3, "text": "牙齿吃东西有感觉吗？", "role": "doctor"}, {"turn": 4, "text": "因为我当时在住院，下巴缝了7针，我以为当时痛是因为下巴的原因", "role": "patient"}, {"turn": 5, "text": "前面吃东西有酸痛感，我以为是下巴的原因", "role": "patient"}, {"turn": 6, "text": "牙齿如果裂开就会影响咀嚼，如果有隐裂也会影响，如果是正常的釉面纹路是不影响的", "role": "doctor"}, {"turn": 7, "text": "现在就发现左边吃东西很酸，不能嚼很硬的东西。软的东西只能轻轻嚼几下", "role": "patient"}, {"turn": 8, "text": "那考虑牙齿引起的，有可能有牙隐裂或者牙齿牙本质过敏反应", "role": "doctor"}, {"turn": 9, "text": "但它会影响嘴巴张开嘛", "role": "patient"}, {"turn": 10, "text": "不会影响嘴巴，影响嘴巴张开的是颞颌关节", "role": "doctor"}, {"turn": 11, "text": "我现在嘴巴也只能张开2个手指的开度耶", "role": "patient"}, {"turn": 12, "text": "那考虑颞颌关节的问题，需要拍个颞颌关节部位的片子看看", "role": "doctor"}, {"turn": 13, "text": "那这样我应该去骨科还是牙科呢", "role": "patient"}, {"turn": 14, "text": "口腔科，颞颌关节也是口腔科", "role": "doctor"}, {"turn": 15, "text": "但因为我前几天摔伤，左脚还骨折了，我可以过几天再去看嘛", "role": "patient"}, {"turn": 16, "text": "等我脚休养好再去看", "role": "patient"}, {"turn": 17, "text": "可以的，现在住院的话可以找口腔科会诊", "role": "doctor"}, {"turn": 18, "text": "我昨天出院了", "role": "patient"}, {"turn": 19, "text": "嗯，那就先养养吧", "role": "doctor"}, {"turn": 20, "text": "当时我和医生说医生给我开了一个头颅三维", "role": "patient"}, {"turn": 21, "text": "如果等太久再去看，会不会有什么影响", "role": "patient"}, {"turn": 22, "text": "头颅看不到口腔的，需要做颌面部或者颞颌关节部位", "role": "doctor"}, {"turn": 23, "text": "那如果等我脚伤好，差不多要一个月，那样的话如果有问题，会不会留下后遗症呢", "role": "patient"}, {"turn": 24, "text": "不会的", "role": "doctor"}, {"turn": 25, "text": "如果像你所说，是你说的关节有问题，也不会有后遗症嘛", "role": "patient"}, {"turn": 26, "text": "关节有问题的话需要以后张口练习", "role": "doctor"}, {"turn": 27, "text": "除了练习张开", "role": "patient"}, {"turn": 28, "text": "没有其他问题", "role": "doctor"}, {"turn": 29, "text": "那这个月我在养脚的时候可以练习张口，以后去看也不会有什么问题，不会有后遗症？", "role": "patient"}, {"turn": 30, "text": "可以练习", "role": "doctor"}, {"turn": 31, "text": "以后去看会有后遗症嘛", "role": "patient"}, {"turn": 32, "text": "现在去看也是不会治愈的，现在和以后看是一样的，不过不要偏侧咀嚼", "role": "doctor"}, {"turn": 33, "text": "就是没有好的治疗方法", "role": "patient"}, {"turn": 34, "text": "是的，做好张口练习", "role": "doctor"}, {"turn": 35, "text": "好的，谢谢", "role": "patient"}, {"turn": 36, "text": "客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1268, "thread": [{"turn": 0, "text": "八个多月宝宝便秘拉不出怎么办（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "一般也得五六天一次，但这次比较严重，已经六七天，但是每天按摩肚子，给吃香蕉泥菜泥都不管用，今天给吃的妈咪爱，但这两天明显感觉宝宝想大但就大不出来，刚才给用了下开塞露，勉强大出了些但出了血", "role": "patient"}, {"turn": 3, "text": "吃点口服的药吧", "role": "doctor"}, {"turn": 4, "text": "太久了，不大便，容易出问题的哦", "role": "doctor"}, {"turn": 5, "text": "但是医生，便便出血会不会感染呢？", "role": "patient"}, {"turn": 6, "text": "出血是因为便在肠道堵了太久太干燥了的", "role": "doctor"}, {"turn": 7, "text": "所以一定要痛了大便，不然每次大便孩子会痛，就更不想解大便，就更便秘，", "role": "doctor"}, {"turn": 8, "text": "好的，医生，如何解决这个问题呢？可以使用哪些药物呢？", "role": "patient"}, {"turn": 9, "text": "口服的比如乳果糖或者四磨汤口服液的", "role": "doctor"}, {"turn": 10, "text": "口服的比如乳果糖或者四磨汤口服液的", "role": "doctor"}, {"turn": 11, "text": "好的，医生，家里有给买帮助消食的口服液可以使用吗？", "role": "patient"}, {"turn": 12, "text": "可以的", "role": "doctor"}, {"turn": 13, "text": "医生，还得问下，便秘一般是因为上火还是菌群失调呢？", "role": "patient"}, {"turn": 14, "text": "这个原因比不多，包括您说的，还有就是器质性的（也就是肠道的问题），其他就是害怕上厕所等心理问题", "role": "doctor"}, {"turn": 15, "text": "好的，医生，宝宝吃辅食应该注意什么呢？", "role": "patient"}, {"turn": 16, "text": "尽量吃容易消化的哦", "role": "doctor"}, {"turn": 17, "text": "少量，多样", "role": "doctor"}, {"turn": 18, "text": "那最近是不应该停下米粉和鸡蛋羹肉泥呢？", "role": "patient"}, {"turn": 19, "text": "是加了之后出现的便秘吗", "role": "doctor"}, {"turn": 20, "text": "加了辅食后出现的", "role": "patient"}, {"turn": 21, "text": "那就先不吃了哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1269, "thread": [{"turn": 0, "text": "宝宝三岁，经常便秘肛裂便血", "role": "patient"}, {"turn": 1, "text": "您好，您小孩的大便很干结吧", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "很粗硬", "role": "patient"}, {"turn": 4, "text": "平时喝水喝得多不多啊", "role": "doctor"}, {"turn": 5, "text": "近期总是这样 好两天又开始 近几天便血比较多", "role": "patient"}, {"turn": 6, "text": "不太多", "role": "patient"}, {"turn": 7, "text": "确实喝水不多 吃菜也不多", "role": "patient"}, {"turn": 8, "text": "要多喝水啊", "role": "doctor"}, {"turn": 9, "text": "还要荤素搭配多吃带纤维的蔬菜", "role": "doctor"}, {"turn": 10, "text": "宝宝也不哭闹 就是大便费劲 有时候比大人的大便还粗", "role": "patient"}, {"turn": 11, "text": "她这样老出血怎么办", "role": "patient"}, {"turn": 12, "text": "显改善大便啊，先饮食调节", "role": "doctor"}, {"turn": 13, "text": "看着那么些血真有点害怕", "role": "patient"}, {"turn": 14, "text": "也是", "role": "patient"}, {"turn": 15, "text": "需要吃点什么呢 感觉饮食好难改变啊 她就是不吃", "role": "patient"}, {"turn": 16, "text": "如果饮食调节不好就可以买乳果糖口服液给小孩吃以软化大便", "role": "doctor"}, {"turn": 17, "text": "乳果糖？", "role": "patient"}, {"turn": 18, "text": "乳果糖口服液", "role": "doctor"}, {"turn": 19, "text": "药店就有卖的吗", "role": "patient"}, {"turn": 20, "text": "有卖的", "role": "doctor"}, {"turn": 21, "text": "可以软化大便", "role": "doctor"}, {"turn": 22, "text": "她就是大便太粗太硬 肛裂 有时候有血块", "role": "patient"}, {"turn": 23, "text": "大便不干结就好了的", "role": "doctor"}, {"turn": 24, "text": "反正大便顺畅的时候就没血", "role": "patient"}, {"turn": 25, "text": "是的，还有等您小孩再长大点一会好些的", "role": "doctor"}, {"turn": 26, "text": "老大之前也是便秘 现在上学了 基本没再出现过", "role": "patient"}, {"turn": 27, "text": "是的，小孩长大点也会好点的", "role": "doctor"}, {"turn": 28, "text": "主要还是不能挑食", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1270, "thread": [{"turn": 0, "text": "宝宝便秘怎么办老是拉不出来（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "昨天没拉 今天拉了三坨小段 老是拉不出来", "role": "patient"}, {"turn": 3, "text": "一次拉一坨", "role": "patient"}, {"turn": 4, "text": "可以给宝宝吃点妈咪爱来调节一下胃肠", "role": "doctor"}, {"turn": 5, "text": "吃了  益生菌也吃", "role": "patient"}, {"turn": 6, "text": "妈咪爱都没用", "role": "patient"}, {"turn": 7, "text": "都便秘一个月", "role": "patient"}, {"turn": 8, "text": "那给宝宝塞个肥皂条在屁眼里", "role": "doctor"}, {"turn": 9, "text": "也塞过", "role": "patient"}, {"turn": 10, "text": "开塞露也用过", "role": "patient"}, {"turn": 11, "text": "还是便秘", "role": "patient"}, {"turn": 12, "text": "宝宝是母乳喂养还是奶粉喂养？", "role": "doctor"}, {"turn": 13, "text": "母乳", "role": "patient"}, {"turn": 14, "text": "添加辅食了？辅食都吃什么？", "role": "doctor"}, {"turn": 15, "text": "米粉偶尔吃点饭", "role": "patient"}, {"turn": 16, "text": "那还可以给宝宝加点蔬菜泥，水果泥啊，再就是去推拿店给宝宝做做推拿", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1271, "thread": [{"turn": 0, "text": "牙根尖周炎的症状是什么呢（女，26）", "role": "patient"}, {"turn": 1, "text": "你好！牙齿发展到根尖周炎时表明牙齿的神经已经坏死了", "role": "doctor"}, {"turn": 2, "text": "会出现牙齿咬牙一松开疼吗", "role": "patient"}, {"turn": 3, "text": "坏死的神经液化，感染聚集在根尖，表现为咬合痛，牙齿有伸长感、浮出感", "role": "doctor"}, {"turn": 4, "text": "会的", "role": "doctor"}, {"turn": 5, "text": "有的牙龈肿胀、出现瘘管", "role": "doctor"}, {"turn": 6, "text": "X线片显示根尖有阴影", "role": "doctor"}, {"turn": 7, "text": "那道没有，就是咬合疼，可是怎么能确诊呢之前刚开始疼还不是特厉害的时候我去看过，大夫没查出来", "role": "patient"}, {"turn": 8, "text": "你在这之前有没有冷热刺激痛？", "role": "doctor"}, {"turn": 9, "text": "拍片就可以确诊了", "role": "doctor"}, {"turn": 10, "text": "没有，好像是之前补的牙，因为补牙后过了半个月开始疼", "role": "patient"}, {"turn": 11, "text": "现在遇冷热痛不？不吃东西时疼不疼？夜里睡觉时疼不疼？", "role": "doctor"}, {"turn": 12, "text": "之前拍过，大夫说牙根还可以，但那时候我的牙只是疼一阵子去的时候不疼了，那时老是起床疼，现在只要咬牙就会疼了", "role": "patient"}, {"turn": 13, "text": "从你的描述看你现在应该是根尖周炎了。", "role": "doctor"}, {"turn": 14, "text": "冷热不疼，不吃东西不咬牙不疼，咬牙就疼，夜里好像也是如果不咬牙就不疼", "role": "patient"}, {"turn": 15, "text": "现在需要把充填物全部去除，做彻底的根管治疗。", "role": "doctor"}, {"turn": 16, "text": "呃，那还用拍片子吗？我现在去不了医院得过些日子，用不用吃点消炎药一类的？我之前吃过头孢，但是没效果", "role": "patient"}, {"turn": 17, "text": "做根管治疗需要拍片的", "role": "doctor"}, {"turn": 18, "text": "可以暂时吃药", "role": "doctor"}, {"turn": 19, "text": "头孢类需要配合甲硝唑片一起吃。", "role": "doctor"}, {"turn": 20, "text": "那现在拍片子能看出来我的牙的问题了吧？不会又看不出来吧", "role": "patient"}, {"turn": 21, "text": "应该能看出来", "role": "doctor"}, {"turn": 22, "text": "替硝挫可以吗？我之前有颗牙开髓就吃的替硝挫", "role": "patient"}, {"turn": 23, "text": "关键是需要在片子上测量牙根长度", "role": "doctor"}, {"turn": 24, "text": "可以的，比甲硝唑好。", "role": "doctor"}, {"turn": 25, "text": "那好我去买点吃吧，吃完了是不是只是能控制下疼啊？还是好不了吧", "role": "patient"}, {"turn": 26, "text": "好不了的，只能暂时消炎。", "role": "doctor"}, {"turn": 27, "text": "哦明白了，那是不是吃完一盒就不吃了？", "role": "patient"}, {"turn": 28, "text": "三天以后才能见效，你不怎么痛的时候就可以不吃了。", "role": "doctor"}, {"turn": 29, "text": "好的谢谢您", "role": "patient"}, {"turn": 30, "text": "不客气的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1272, "thread": [{"turn": 0, "text": "我女儿四岁半这几天流鼻涕有血好像鼻孔里面都化脓了是什么原因（女，4岁）", "role": "patient"}, {"turn": 1, "text": "你好！孩子这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "最近感冒过吗？", "role": "doctor"}, {"turn": 3, "text": "就是这几天", "role": "patient"}, {"turn": 4, "text": "前段时间有感冒，他时不时都爱流鼻涕。", "role": "patient"}, {"turn": 5, "text": "流的鼻涕是黄色的吗？", "role": "doctor"}, {"turn": 6, "text": "带血。", "role": "patient"}, {"turn": 7, "text": "刚才我看到孔都化脓了里面。", "role": "patient"}, {"turn": 8, "text": "这应该是因为冬天空气干燥引起的一个鼻黏膜的损伤，这个不用太担心。", "role": "doctor"}, {"turn": 9, "text": "我刚才看到鼻孔里面都化脓了。有那个白白的", "role": "patient"}, {"turn": 10, "text": "鼻孔里面怎么会化脓呢？一般不会出现这个问题。", "role": "doctor"}, {"turn": 11, "text": "就是就是不知就是不知道什么原因。", "role": "patient"}, {"turn": 12, "text": "他流的鼻涕出来，然后周围那个鼻涕都感觉是血红色的。", "role": "patient"}, {"turn": 13, "text": "鼻孔里面一般不会化脓的，如果实在是不放心，你可以带孩子去耳鼻喉科用这个内镜看一下。", "role": "doctor"}, {"turn": 14, "text": "明天带去看看才知道", "role": "patient"}, {"turn": 15, "text": "请问你请问你们这请问你们这是什么医院呢？", "role": "patient"}, {"turn": 16, "text": "一般不会出现这个鼻孔化脓的情况，应该就是一个鼻涕或者是鼻粘膜厄实在不放心的话带孩子去看一下。", "role": "doctor"}, {"turn": 17, "text": "我们都是来自全国各地的网络医生。", "role": "doctor"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "😊", "role": "doctor"}, {"turn": 20, "text": "明天带他去耳鼻科看一下。", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1273, "thread": [{"turn": 0, "text": "我最近大便不正常，长期都是有点希有时候一半干一半希怎么回事呢！（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的这个情况有多久了", "role": "doctor"}, {"turn": 2, "text": "还是好久了，一直有胃炎现在害怕得癌症了", "role": "patient"}, {"turn": 3, "text": "一天几次大便", "role": "doctor"}, {"turn": 4, "text": "次把两次", "role": "patient"}, {"turn": 5, "text": "腹痛，腹胀不", "role": "doctor"}, {"turn": 6, "text": "不管解没解过肚子都胀", "role": "patient"}, {"turn": 7, "text": "哦", "role": "doctor"}, {"turn": 8, "text": "可能有肠炎了", "role": "doctor"}, {"turn": 9, "text": "反反复复的", "role": "patient"}, {"turn": 10, "text": "肚子天天都胀起的", "role": "patient"}, {"turn": 11, "text": "做过什么检查没有", "role": "doctor"}, {"turn": 12, "text": "没有嘛", "role": "patient"}, {"turn": 13, "text": "3年前做过胃镜了", "role": "patient"}, {"turn": 14, "text": "可能有肠炎了", "role": "doctor"}, {"turn": 15, "text": "建议使用整肠生，复方阿嗪米特治疗、清淡饮食、忌辛辣，刺激性食物，戒烟酒、规律进食，规律休息，保持好的心情。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1274, "thread": [{"turn": 0, "text": "小孩11个月呕吐，可以吃vb6吗？吃多少（女，0）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝一天呕吐几次？喝水呕吐不？", "role": "doctor"}, {"turn": 2, "text": "呕吐", "role": "patient"}, {"turn": 3, "text": "下午5点去医院推了一针，推得提米西丁和一个止吐的！", "role": "patient"}, {"turn": 4, "text": "回来2小时以后喂饭没吐，刚喂了点水就吐了！", "role": "patient"}, {"turn": 5, "text": "是感冒吗？不发烧精神很好", "role": "patient"}, {"turn": 6, "text": "可以吃vb6吗，现在家里有，吃多少", "role": "patient"}, {"turn": 7, "text": "如果喝水都呕吐，吃药也会呕吐的", "role": "doctor"}, {"turn": 8, "text": "那怎么办？", "role": "patient"}, {"turn": 9, "text": "吃是可以吃的，一次半片", "role": "doctor"}, {"turn": 10, "text": "今天呕吐几次？", "role": "doctor"}, {"turn": 11, "text": "吐了四次了！", "role": "patient"}, {"turn": 12, "text": "是怎么了！", "role": "patient"}, {"turn": 13, "text": "她老打饱嗝现在！", "role": "patient"}, {"turn": 14, "text": "我可以喂点水吗？", "role": "patient"}, {"turn": 15, "text": "建议不吃任何东西和喝水，空空肚子，一般就不呕吐了", "role": "doctor"}, {"turn": 16, "text": "明天再喝水，如果不呕吐，就没事了", "role": "doctor"}, {"turn": 17, "text": "还呕吐，需要去医院看看", "role": "doctor"}, {"turn": 18, "text": "哦好的！谢谢！", "role": "patient"}, {"turn": 19, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1275, "thread": [{"turn": 0, "text": "消化不良，恶心想吐，最近吐了两次（女，24岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了啊？", "role": "doctor"}, {"turn": 2, "text": "半年", "role": "patient"}, {"turn": 3, "text": "大便如何？", "role": "doctor"}, {"turn": 4, "text": "平常饮食规律吗", "role": "doctor"}, {"turn": 5, "text": "有便秘，饮食规律", "role": "patient"}, {"turn": 6, "text": "大便比较干燥", "role": "patient"}, {"turn": 7, "text": "查过胃镜吗", "role": "doctor"}, {"turn": 8, "text": "一直都便秘吗？几天一次大便？", "role": "doctor"}, {"turn": 9, "text": "没有一直，现在基本一天一次", "role": "patient"}, {"turn": 10, "text": "没查过胃镜", "role": "patient"}, {"turn": 11, "text": "你说的消化不良具体是什么症状能详细说下吗", "role": "doctor"}, {"turn": 12, "text": "胃胀，气多", "role": "patient"}, {"turn": 13, "text": "严重时反胃，呕吐", "role": "patient"}, {"turn": 14, "text": "你这个不排除有胃炎呢", "role": "doctor"}, {"turn": 15, "text": "你有吃药治疗吗", "role": "doctor"}, {"turn": 16, "text": "没有长期吃过", "role": "patient"}, {"turn": 17, "text": "呕吐的时候吃一些止吐药", "role": "patient"}, {"turn": 18, "text": "你这个最好是规律用药段时间", "role": "doctor"}, {"turn": 19, "text": "不能到有症状就吃药没症状就停药", "role": "doctor"}, {"turn": 20, "text": "请问该吃什么药呢", "role": "patient"}, {"turn": 21, "text": "你可以服用奥美拉唑一次一片一天一次空腹服用，莫沙必利片一次一片一天三次饭前半小时服用", "role": "doctor"}, {"turn": 22, "text": "吃多长时间", "role": "patient"}, {"turn": 23, "text": "奥美拉唑最少服用4到6周", "role": "doctor"}, {"turn": 24, "text": "莫沙必利片没有胃胀，反胃，呕吐就可以停了", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢", "role": "patient"}, {"turn": 26, "text": "不客气呢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1276, "thread": [{"turn": 0, "text": "脚扭伤，脚面靠近关节的地方肿了（女，19岁）", "role": "patient"}, {"turn": 1, "text": "什么时候扭伤的呢？？？？", "role": "doctor"}, {"turn": 2, "text": "做过什么处理没有", "role": "doctor"}, {"turn": 3, "text": "晚上8点多", "role": "patient"}, {"turn": 4, "text": "去给学校诊所看了，配了药，给我一瓶喷雾", "role": "patient"}, {"turn": 5, "text": "应该不会很严重吧，还可以走路，就是上楼梯单脚有点撑不住", "role": "patient"}, {"turn": 6, "text": "就是想问有没有什么比较快消肿的方法，上课很不方便", "role": "patient"}, {"turn": 7, "text": "然后这扭伤是伤到哪了", "role": "patient"}, {"turn": 8, "text": "晚上睡觉把脚垫高", "role": "doctor"}, {"turn": 9, "text": "利于消肿", "role": "doctor"}, {"turn": 10, "text": "可以先冰敷", "role": "doctor"}, {"turn": 11, "text": "不要喷云南白药先", "role": "doctor"}, {"turn": 12, "text": "今天明天都是冰敷", "role": "doctor"}, {"turn": 13, "text": "后天可以喷云南白药", "role": "doctor"}, {"turn": 14, "text": "尽量少走路", "role": "doctor"}, {"turn": 15, "text": "问题不大的", "role": "doctor"}, {"turn": 16, "text": "就是肌肉韧带有损伤", "role": "doctor"}, {"turn": 17, "text": "两三个礼拜就会好转的差不多的", "role": "doctor"}, {"turn": 18, "text": "没冰块，怎么办", "role": "patient"}, {"turn": 19, "text": "就休息就可以了", "role": "doctor"}, {"turn": 20, "text": "少走路", "role": "doctor"}, {"turn": 21, "text": "肿才消的快", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "嗯，不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1277, "thread": [{"turn": 0, "text": "肺气虚会有哪些具体症状？（男，27岁）", "role": "patient"}, {"turn": 1, "text": "这位朋友您好，呼吸不畅，说话声低，容易感冒，咳嗽，容易出汗等", "role": "doctor"}, {"turn": 2, "text": "你好  大夫  那说话时感觉气短   胸口和后背疼是不是也是症状呢？", "role": "patient"}, {"turn": 3, "text": "口苦么", "role": "doctor"}, {"turn": 4, "text": "不口苦  可能是因为吸烟我有点口臭～", "role": "patient"}, {"turn": 5, "text": "去查过什么检查么", "role": "doctor"}, {"turn": 6, "text": "去年查过CT和肺功能以及支气管激发实验", "role": "patient"}, {"turn": 7, "text": "结果？", "role": "doctor"}, {"turn": 8, "text": "都正常的～  我一般都是烟抽多了就会有这些症状      。", "role": "patient"}, {"turn": 9, "text": "胸闷气短  特别是在说话的时候感觉气短  前胸和后背感觉酸痛！", "role": "patient"}, {"turn": 10, "text": "年纪轻轻的最好是把烟戒了", "role": "doctor"}, {"turn": 11, "text": "对肺不好", "role": "doctor"}, {"turn": 12, "text": "我已经戒了几天了  但这次症状延续时间比较长！", "role": "patient"}, {"turn": 13, "text": "这个要坚持", "role": "doctor"}, {"turn": 14, "text": "不要熬夜", "role": "doctor"}, {"turn": 15, "text": "没怎么熬夜吧  睡眠还是比较规律的  大夫你在门诊吗？  我是南京的  我可以去省中医院找您看看吗？", "role": "patient"}, {"turn": 16, "text": "可以，", "role": "doctor"}, {"turn": 17, "text": "上海路3号出口", "role": "doctor"}, {"turn": 18, "text": "星期二，三下午，星期四上午", "role": "doctor"}, {"turn": 19, "text": "星期二下午星期四上午人比较少", "role": "doctor"}, {"turn": 20, "text": "好的  谢谢了！", "role": "patient"}, {"turn": 21, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1278, "thread": [{"turn": 0, "text": "飞蚊症应该怎么治疗跟注意事项（男，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问有近视吗？影响视力吗", "role": "doctor"}, {"turn": 2, "text": "不近视", "role": "patient"}, {"turn": 3, "text": "就像眼睛里面有个黑影一样", "role": "patient"}, {"turn": 4, "text": "嗯", "role": "doctor"}, {"turn": 5, "text": "嗯", "role": "doctor"}, {"turn": 6, "text": "去医院检查了吗？", "role": "doctor"}, {"turn": 7, "text": "去了", "role": "patient"}, {"turn": 8, "text": "医生说是飞蚊症", "role": "patient"}, {"turn": 9, "text": "奥，", "role": "doctor"}, {"turn": 10, "text": "跟着眼球转动吗？", "role": "doctor"}, {"turn": 11, "text": "有多大？", "role": "doctor"}, {"turn": 12, "text": "几个？", "role": "doctor"}, {"turn": 13, "text": "有一个 一点点", "role": "patient"}, {"turn": 14, "text": "透明的还是黑的？", "role": "doctor"}, {"turn": 15, "text": "有变化吗？", "role": "doctor"}, {"turn": 16, "text": "跟着眼睛转动", "role": "patient"}, {"turn": 17, "text": "嗯嗯，", "role": "doctor"}, {"turn": 18, "text": "嗯嗯，", "role": "doctor"}, {"turn": 19, "text": "感觉干扰视力吗？", "role": "doctor"}, {"turn": 20, "text": "黑色的 没有变化", "role": "patient"}, {"turn": 21, "text": "嗯，圆点？", "role": "doctor"}, {"turn": 22, "text": "嗯，圆点？", "role": "doctor"}, {"turn": 23, "text": "这个情况可以先不用药，观察一段时间看看", "role": "doctor"}, {"turn": 24, "text": "不干扰视力", "role": "patient"}, {"turn": 25, "text": "有时候就看不见了", "role": "doctor"}, {"turn": 26, "text": "差不多是的", "role": "patient"}, {"turn": 27, "text": "如果吃药就吃银杏叶片 ，活血化瘀的", "role": "doctor"}, {"turn": 28, "text": "最好先不吃", "role": "doctor"}, {"turn": 29, "text": "不用滴眼药水啥的吗", "role": "patient"}, {"turn": 30, "text": "除非好几个，干扰视力", "role": "doctor"}, {"turn": 31, "text": "可能不是很严重  要注意什么吗", "role": "patient"}, {"turn": 32, "text": "保护眼睛，少看电子产品，不要用眼过度，不熬夜 。", "role": "doctor"}, {"turn": 33, "text": "眼睛里面就是一个黑点 像个蚊子一样", "role": "patient"}, {"turn": 34, "text": "一个黑色的东西", "role": "patient"}, {"turn": 35, "text": "嗯嗯", "role": "doctor"}, {"turn": 36, "text": "典型的飞蚊症", "role": "doctor"}, {"turn": 37, "text": "生理性飞蚊症", "role": "doctor"}, {"turn": 38, "text": "没有问题的", "role": "doctor"}, {"turn": 39, "text": "不要紧张", "role": "doctor"}, {"turn": 40, "text": "就是像您说的那样做就好了咯？那就先不吃药", "role": "patient"}, {"turn": 41, "text": "观察一段时间", "role": "patient"}, {"turn": 42, "text": "会自愈吗", "role": "patient"}, {"turn": 43, "text": "嗯嗯", "role": "doctor"}, {"turn": 44, "text": "会慢慢看不出来的", "role": "doctor"}, {"turn": 45, "text": "好的", "role": "patient"}, {"turn": 46, "text": "嗯", "role": "doctor"}, {"turn": 47, "text": "谢谢您", "role": "patient"}, {"turn": 48, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1279, "thread": [{"turn": 0, "text": "太阳穴疼 头晕 还耳鸣（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好：我是吴医生，神经内科主任医师", "role": "doctor"}, {"turn": 2, "text": "请问，头晕、头痛有多长时间了？", "role": "doctor"}, {"turn": 3, "text": "今天疼晕   太阳穴疼十多天了  每天就是一会  昨天疼的比较厉害", "role": "patient"}, {"turn": 4, "text": "头晕", "role": "patient"}, {"turn": 5, "text": "发热吗？", "role": "doctor"}, {"turn": 6, "text": "昨天有发烧", "role": "patient"}, {"turn": 7, "text": "38度6", "role": "patient"}, {"turn": 8, "text": "发热多少天了？", "role": "doctor"}, {"turn": 9, "text": "一天", "role": "patient"}, {"turn": 10, "text": "？？", "role": "patient"}, {"turn": 11, "text": "颈部僵硬酸痛吗？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "感觉有全身酸痛、乏力吗？", "role": "doctor"}, {"turn": 14, "text": "耳鸣是一侧还是两侧", "role": "doctor"}, {"turn": 15, "text": "困  倒是有", "role": "patient"}, {"turn": 16, "text": "刚刚才感觉到耳鸣   两侧都有", "role": "patient"}, {"turn": 17, "text": "我哪里出现问题了", "role": "patient"}, {"turn": 18, "text": "根据你的描述，你的情况初步考虑一下可能1  急性上呼吸道感染2  颈椎病", "role": "doctor"}, {"turn": 19, "text": "由于发热，建议当地医院面诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1280, "thread": [{"turn": 0, "text": "脚踝扭伤暂时不能走路怎么办（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "晚上五点扭到的", "role": "patient"}, {"turn": 3, "text": "拍片子吗？有无骨折", "role": "doctor"}, {"turn": 4, "text": "没去拍", "role": "patient"}, {"turn": 5, "text": "不能走路暂时", "role": "patient"}, {"turn": 6, "text": "先拍片子", "role": "doctor"}, {"turn": 7, "text": "看看有无骨折", "role": "doctor"}, {"turn": 8, "text": "一般踝关节扭伤大多都是韧带损伤", "role": "doctor"}, {"turn": 9, "text": "冰敷", "role": "doctor"}, {"turn": 10, "text": "制动", "role": "doctor"}, {"turn": 11, "text": "抬高患肢", "role": "doctor"}, {"turn": 12, "text": "石膏固定", "role": "doctor"}, {"turn": 13, "text": "若没有骨折，按照上面的治疗方案治疗", "role": "doctor"}, {"turn": 14, "text": "暂时先贴了膏药", "role": "patient"}, {"turn": 15, "text": "可以喷云南白药", "role": "doctor"}, {"turn": 16, "text": "让她躺着休息了", "role": "patient"}, {"turn": 17, "text": "冰敷", "role": "doctor"}, {"turn": 18, "text": "需要冰敷吗", "role": "patient"}, {"turn": 19, "text": "要敷多久", "role": "patient"}, {"turn": 20, "text": "48小时内", "role": "doctor"}, {"turn": 21, "text": "睡觉怎么敷啊", "role": "patient"}, {"turn": 22, "text": "晚上天气凉", "role": "patient"}, {"turn": 23, "text": "没问题", "role": "doctor"}, {"turn": 24, "text": "冰敷可以减轻肿胀", "role": "doctor"}, {"turn": 25, "text": "晚上睡觉没人帮她一直敷呢", "role": "patient"}, {"turn": 26, "text": "放在踝关节两侧就可以了", "role": "doctor"}, {"turn": 27, "text": "不用人帮忙", "role": "doctor"}, {"turn": 28, "text": "哦哦", "role": "patient"}, {"turn": 29, "text": "一般消肿就好了吗", "role": "patient"}, {"turn": 30, "text": "如果没骨折 正常几天会好啊", "role": "patient"}, {"turn": 31, "text": "她55岁了", "role": "patient"}, {"turn": 32, "text": "若果没有骨折，单纯扭伤", "role": "doctor"}, {"turn": 33, "text": "一般得“制动、抬高患肢、冰敷、石膏固定”", "role": "doctor"}, {"turn": 34, "text": "制动是什么意思啊", "role": "patient"}, {"turn": 35, "text": "不要动", "role": "doctor"}, {"turn": 36, "text": "休息", "role": "doctor"}, {"turn": 37, "text": "一般几天能好啊", "role": "patient"}, {"turn": 38, "text": "石膏固定3周", "role": "doctor"}, {"turn": 39, "text": "没骨折固定干嘛啊", "role": "patient"}, {"turn": 40, "text": "韧带损伤", "role": "doctor"}, {"turn": 41, "text": "给韧带损伤提供愈合的空间", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1281, "thread": [{"turn": 0, "text": "孩子18，经常扭伤脚腰部怎么回事（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "这两天军训完，孩子回寝室弯腰去床下拿鞋扭腰", "role": "patient"}, {"turn": 3, "text": "局部有没有红热肿胀", "role": "doctor"}, {"turn": 4, "text": "18年底扭伤脚踝附近", "role": "patient"}, {"turn": 5, "text": "没有就是不敢动120送医院", "role": "patient"}, {"turn": 6, "text": "拍片骨头没事", "role": "patient"}, {"turn": 7, "text": "医生是不是缺钙", "role": "patient"}, {"turn": 8, "text": "孩子爱出汗", "role": "patient"}, {"turn": 9, "text": "导致这样", "role": "patient"}, {"turn": 10, "text": "出汗很久了？", "role": "doctor"}, {"turn": 11, "text": "您好，出汗和天气情况，皮肤疾病，精神紧张，植物神经紊乱，甲状腺和糖尿病等疾病都有关系，如果有睡觉出汗，醒来汗消，伴有低热咳嗽还需要注意排除结核病的情况，如果出汗严重就需要去医院检查一下比较好", "role": "doctor"}, {"turn": 12, "text": "您的情况肌肉紧张筋膜炎可能性比较大一般因为受凉劳累负重或者一个姿势过久比如久坐久站引起来的，时间久了就形成慢性劳损，急性期如果疼痛可以局部热敷休息外用扶他林或者云南白药喷雾剂膏药也可以。疼痛严重可以口服路盖克或者腰痛宁胶囊等止痛药物，同时注意休息避免劳累受凉慢性期在不疼痛的情况下适当活动锻炼腰背部肌肉力量，可以双手上举抬头走路用颈椎写米字等锻炼颈部肌肉力量，三点五点支撑和飞燕式等锻炼腰部肌肉力量", "role": "doctor"}, {"turn": 13, "text": "好", "role": "patient"}, {"turn": 14, "text": "出汗大概五六年了", "role": "patient"}, {"turn": 15, "text": "孩子爱运动，就是夏天不动后背呼呼出汗", "role": "patient"}, {"turn": 16, "text": "需不需要去医院化验下缺钙不", "role": "patient"}, {"turn": 17, "text": "可以查一下不过不是完全对应，去内分泌科请医生查体检查", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1282, "thread": [{"turn": 0, "text": "宝宝十三个月了体重没怎么长19斤（男，1岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝精神状态好吗？", "role": "doctor"}, {"turn": 2, "text": "挺好的爱运动", "role": "patient"}, {"turn": 3, "text": "就是不爱吃饭轻度贫血有关系吗", "role": "patient"}, {"turn": 4, "text": "有关系", "role": "doctor"}, {"turn": 5, "text": "怎么办", "role": "patient"}, {"turn": 6, "text": "暖水袋暖肚子就可以改善", "role": "doctor"}, {"turn": 7, "text": "宝宝的囟门前方额头上方有个凸起怎么回事", "role": "patient"}, {"turn": 8, "text": "口服硫酸亚铁颗粒", "role": "doctor"}, {"turn": 9, "text": "囟门前凸起怎么回事", "role": "patient"}, {"turn": 10, "text": "颅内压增高导致的", "role": "doctor"}, {"turn": 11, "text": "有什么影响吗", "role": "patient"}, {"turn": 12, "text": "需要怎么治疗", "role": "patient"}, {"turn": 13, "text": "需要去医院输液治疗", "role": "doctor"}, {"turn": 14, "text": "不是缺钙是吗", "role": "patient"}, {"turn": 15, "text": "不是缺钙导致的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1283, "thread": [{"turn": 0, "text": "气虚阴虚血瘀湿热的体质调理方法（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好。气阴两虚，痰湿体质，可以中成药，也可以熬药调理", "role": "doctor"}, {"turn": 2, "text": "您是否方便熬药", "role": "doctor"}, {"turn": 3, "text": "现在有什么症状吗？\n\n头晕，乏力，痛经，白带多，妇科炎症，心慌，怕冷怕热？", "role": "doctor"}, {"turn": 4, "text": "头晕,四肢无力，痛经，白带多，妇科炎症，容易心慌，走一下路脚痛，出气困难，早上起来喉咙总是有点痰，有时起来全身重，手发紧，又总是疲惫", "role": "patient"}, {"turn": 5, "text": "平时，肝火脾气怎么样", "role": "doctor"}, {"turn": 6, "text": "有脂肪肝！！脾气还好", "role": "patient"}, {"turn": 7, "text": "体重超标了？", "role": "doctor"}, {"turn": 8, "text": "150Cm，122斤", "role": "patient"}, {"turn": 9, "text": "偏胖", "role": "doctor"}, {"turn": 10, "text": "你的心脏功能不是很好，有心脏供血不足的表现，心慌气短，出气困难。", "role": "doctor"}, {"turn": 11, "text": "舌苔照片发给我看一下吧👌", "role": "doctor"}, {"turn": 12, "text": "频发室性早搏", "role": "patient"}, {"turn": 13, "text": "有窦性心律不齐", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "①气滞血瘀，心血不足\n②湿热下注，妇科炎症", "role": "doctor"}, {"turn": 16, "text": "可以中药治疗", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "这个吃什么中药好呢！", "role": "patient"}, {"turn": 20, "text": "舌苔照片，面色照片，发来我看一下。确定体质", "role": "doctor"}, {"turn": 21, "text": "我需要吃点什么药好呢", "role": "patient"}, {"turn": 22, "text": "睡眠也不是很好", "role": "patient"}, {"turn": 23, "text": "是否可以熬药", "role": "doctor"}, {"turn": 24, "text": "可以！", "role": "patient"}, {"turn": 25, "text": "好的", "role": "doctor"}, {"turn": 26, "text": "等一下我给您处方", "role": "doctor"}, {"turn": 27, "text": "好的！谢谢你", "role": "patient"}, {"turn": 28, "text": "舌苔照片发给我看一下😊", "role": "doctor"}, {"turn": 29, "text": "再次判断体质。为了准确的开药", "role": "doctor"}, {"turn": 30, "text": "哦！", "role": "patient"}, {"turn": 31, "text": "经常头晕，心悸，有时心慌，有时起床身体重，手背发紧，睡一下醒一下，经常两边胸骨痛，或者左胸骨以下痛，有痛经，妇科炎症，尿黄，有时口干眼涩，嘴唇颜色暗红，嘴巴里容易烂，有酸臭味", "role": "patient"}, {"turn": 32, "text": "心绞痛，妇科炎症，肝胆湿热，阴虚", "role": "doctor"}, {"turn": 33, "text": "给您开草药，熬药治疗，方便吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1284, "thread": [{"turn": 0, "text": "腰酸腿疼睡觉出汗，是阳虚还是阴虚（男，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，还有其他症状吗？", "role": "doctor"}, {"turn": 2, "text": "睡觉时爱出汗，醒来后 汗就没了  是不是？", "role": "doctor"}, {"turn": 3, "text": "嗯，", "role": "patient"}, {"turn": 4, "text": "属于阴虚", "role": "doctor"}, {"turn": 5, "text": "腰腿酸痛还", "role": "patient"}, {"turn": 6, "text": "可以服用  六味地黄丸  很对症", "role": "doctor"}, {"turn": 7, "text": "这是什么造", "role": "patient"}, {"turn": 8, "text": "这是什么造成的", "role": "patient"}, {"turn": 9, "text": "有性生活嘛？", "role": "doctor"}, {"turn": 10, "text": "有", "role": "patient"}, {"turn": 11, "text": "频繁嘛？", "role": "doctor"}, {"turn": 12, "text": "两三天一次", "role": "patient"}, {"turn": 13, "text": "服用2周的六味地黄丸，最近减少性生活 就可以了", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "吃那个牌子好", "role": "patient"}, {"turn": 16, "text": "九芝堂  佛慈", "role": "doctor"}, {"turn": 17, "text": "都可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1285, "thread": [{"turn": 0, "text": "腰肌扭伤了如何快速恢复正常（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，扭伤了多长时间了？休息为主，局部热敷，腰围保护，可以口服塞来昔布和乙哌立松缓解症状", "role": "doctor"}, {"turn": 2, "text": "晚上9点左右扭到，弯不了腰，现在躺着，翻不了身、", "role": "patient"}, {"turn": 3, "text": "可以用热毛巾热敷", "role": "doctor"}, {"turn": 4, "text": "直接热敷吗？不需要冷敷以后在热敷吗？", "role": "patient"}, {"turn": 5, "text": "你24小时冷敷，以后热敷", "role": "doctor"}, {"turn": 6, "text": "需不需要到医院就医、太疼了，有没有快递缓解的方法", "role": "patient"}, {"turn": 7, "text": "如果你不放心，去医院，挂水的效果很好", "role": "doctor"}, {"turn": 8, "text": "就我这种情况，这种天气必须冷敷24小时吗？中间需不需要间隔", "role": "patient"}, {"turn": 9, "text": "我觉得可以冷敷", "role": "doctor"}, {"turn": 10, "text": "冷敷过程不需要间隔吗？有没有专业的医院推荐，我现在去急诊", "role": "patient"}, {"turn": 11, "text": "去急诊吧，比你在家好", "role": "doctor"}, {"turn": 12, "text": "昆明红会医院应该有这方面治疗吧，", "role": "patient"}, {"turn": 13, "text": "我现在离的最近的我医院", "role": "patient"}, {"turn": 14, "text": "冷敷过程不需要间隔吗？", "role": "patient"}, {"turn": 15, "text": "不用", "role": "doctor"}, {"turn": 16, "text": "一直冷敷不间隔", "role": "patient"}, {"turn": 17, "text": "是的", "role": "doctor"}, {"turn": 18, "text": "已经去往医院就医", "role": "patient"}, {"turn": 19, "text": "好的", "role": "doctor"}, {"turn": 20, "text": "只是拍了片并没有给我治疗", "role": "patient"}, {"turn": 21, "text": "那说明没有大的问题，静养几天", "role": "doctor"}, {"turn": 22, "text": "说是有点点错位，叫我去拉杆吊一下，看能不能拉开", "role": "patient"}, {"turn": 23, "text": "可以的，叫小关节紊乱，会慢慢恢复", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢，我等下出去活动区试下", "role": "patient"}, {"turn": 25, "text": "好的😄", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1286, "thread": [{"turn": 0, "text": "一周岁宝宝经常消化不良拉奶瓣怎么办（女，1岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝是母乳喂养还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "奶粉", "role": "patient"}, {"turn": 3, "text": "现在都在都有吃三餐辅食", "role": "patient"}, {"turn": 4, "text": "反复消化不良是我中秋节断奶后开始的", "role": "patient"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "一天几次大便？", "role": "doctor"}, {"turn": 7, "text": "三次 四次", "role": "patient"}, {"turn": 8, "text": "有吃什么药吗", "role": "doctor"}, {"turn": 9, "text": "大便有奶瓣，消化不良", "role": "doctor"}, {"turn": 10, "text": "益生菌有吃吃 家里买了好几种 不知道吃什么样的好", "role": "patient"}, {"turn": 11, "text": "益生菌要吃一段时间吗", "role": "patient"}, {"turn": 12, "text": "可以给我看看", "role": "doctor"}, {"turn": 13, "text": "现在的情况，要吃哦", "role": "doctor"}, {"turn": 14, "text": "你的宝宝可能对奶粉不耐受", "role": "doctor"}, {"turn": 15, "text": "断奶后，吃牛奶，就出现腹泻，可能对奶粉不耐受", "role": "doctor"}, {"turn": 16, "text": "我已经吃第三种奶粉了", "role": "patient"}, {"turn": 17, "text": "还是这样吗", "role": "doctor"}, {"turn": 18, "text": "就反复反复反复", "role": "patient"}, {"turn": 19, "text": "有没有好段时间", "role": "doctor"}, {"turn": 20, "text": "吃了卫生院开的整肠生 有好几天", "role": "patient"}, {"turn": 21, "text": "注意奶瓶卫生", "role": "doctor"}, {"turn": 22, "text": "稍微有好些  现在又开始", "role": "patient"}, {"turn": 23, "text": "反正有吃药就会好些", "role": "patient"}, {"turn": 24, "text": "以前喝母乳不这样啊", "role": "patient"}, {"turn": 25, "text": "可以查个过敏原，是不是对牛奶过敏", "role": "doctor"}, {"turn": 26, "text": "那如果是对奶粉不耐受我什么方法吗0t", "role": "patient"}, {"turn": 27, "text": "若是过敏，就换深度水解奶粉", "role": "doctor"}, {"turn": 28, "text": "可是我宝宝出生时也有喝奶粉", "role": "patient"}, {"turn": 29, "text": "喝了几件", "role": "patient"}, {"turn": 30, "text": "几天", "role": "patient"}, {"turn": 31, "text": "之前吃不过敏，不代表现在不过敏", "role": "doctor"}, {"turn": 32, "text": "另外就是，小儿肠炎，这是最常见的情况", "role": "doctor"}, {"turn": 33, "text": "这需要去化验大便", "role": "doctor"}, {"turn": 34, "text": "那我还是去医院查查", "role": "patient"}, {"turn": 35, "text": "查过敏 需要把奶粉带去吗", "role": "patient"}, {"turn": 36, "text": "不需要", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1287, "thread": [{"turn": 0, "text": "三岁宝宝吃进硬币会不会引起便秘（男，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝目前有什么症状吗", "role": "doctor"}, {"turn": 2, "text": "宝宝三天没有排便了", "role": "patient"}, {"turn": 3, "text": "有没有做进一步检查？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "可以引起便秘的情况", "role": "doctor"}, {"turn": 6, "text": "他可能吃了一个硬币", "role": "patient"}, {"turn": 7, "text": "我是不是要带他去做个检查", "role": "patient"}, {"turn": 8, "text": "建议最好还是检查一下，排除一下吞服硬币的可能", "role": "doctor"}, {"turn": 9, "text": "他这几天和平时一样能吃能睡以没有哪里不舒服", "role": "patient"}, {"turn": 10, "text": "就是排便", "role": "patient"}, {"turn": 11, "text": "就是不排便", "role": "patient"}, {"turn": 12, "text": "还是检查一下，比较放心", "role": "doctor"}, {"turn": 13, "text": "好的  谢谢", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1288, "thread": [{"turn": 0, "text": "你好 7岁的小孩虫牙了 疼怎么办", "role": "patient"}, {"turn": 1, "text": "您好 请问是哪颗牙齿蛀掉了 可以拍个照片看看吗", "role": "doctor"}, {"turn": 2, "text": "请问这种情况多久了？", "role": "doctor"}, {"turn": 3, "text": "上边的右边第一颗大牙和小牙连一起的", "role": "patient"}, {"turn": 4, "text": "这种情况可能是虫牙引起的牙髓炎或根尖周炎 需要做根管治疗", "role": "doctor"}, {"turn": 5, "text": "很久疼一次 今天是中午吃了冷饮 下午就疼了", "role": "patient"}, {"turn": 6, "text": "建议尽快做治疗", "role": "doctor"}, {"turn": 7, "text": "吃药缓解不了疼痛", "role": "doctor"}, {"turn": 8, "text": "有没有什么办法缓解一下呢  在农村诊所都下班了", "role": "patient"}, {"turn": 9, "text": "有阿莫西林克拉维酸钾吗", "role": "doctor"}, {"turn": 10, "text": "这个可以吃一点 明天赶紧去看医生", "role": "doctor"}, {"turn": 11, "text": "呃 应该没有", "role": "patient"}, {"turn": 12, "text": "现在还能买吗？", "role": "doctor"}, {"turn": 13, "text": "这是奶牙被虫蛀了还能长新的吗", "role": "patient"}, {"turn": 14, "text": "应该不能买了", "role": "patient"}, {"turn": 15, "text": "刚看了一个有虫洞", "role": "patient"}, {"turn": 16, "text": "能 但是还有四五年才会长新牙", "role": "doctor"}, {"turn": 17, "text": "呃", "role": "patient"}, {"turn": 18, "text": "所以能做治疗尽量做治疗", "role": "doctor"}, {"turn": 19, "text": "农村不知道能不能做", "role": "doctor"}, {"turn": 20, "text": "用淡盐水漱口能缓解吗", "role": "patient"}, {"turn": 21, "text": "您可以试试", "role": "doctor"}, {"turn": 22, "text": "但是治标不治本", "role": "doctor"}, {"turn": 23, "text": "不知道呀 明天去市里看看吧", "role": "patient"}, {"turn": 24, "text": "嗯嗯 尽快处理", "role": "doctor"}, {"turn": 25, "text": "主要是想先缓解疼痛", "role": "patient"}, {"turn": 26, "text": "好的 有问题可以再问我", "role": "doctor"}, {"turn": 27, "text": "好的 谢谢", "role": "patient"}, {"turn": 28, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1289, "thread": [{"turn": 0, "text": "长时间便秘，易怒，烦燥（女，30岁）求解答", "role": "patient"}, {"turn": 1, "text": "你好，多久了？饮食，便秘多久了？月经周期，经期，经量怎么样？", "role": "doctor"}, {"turn": 2, "text": "便秘好几个月了，经期，经量还行，", "role": "patient"}, {"turn": 3, "text": "大便十多天一次，也不憋的慌", "role": "patient"}, {"turn": 4, "text": "不好意思，刚在处理患者", "role": "doctor"}, {"turn": 5, "text": "请问您平时饮水多吗？", "role": "doctor"}, {"turn": 6, "text": "饮食规律吗？有没有食用辛辣刺激油炸等食物", "role": "doctor"}, {"turn": 7, "text": "也饮不少水，饮食也很规律，就是不排便", "role": "patient"}, {"turn": 8, "text": "有没有胸胁胀满，腹中胀满，喜欢长舒气，晚上睡不好觉等情况呢？", "role": "doctor"}, {"turn": 9, "text": "饮食有没有觉得有所减少呢？", "role": "doctor"}, {"turn": 10, "text": "晚上睡不好，饮食没减", "role": "patient"}, {"turn": 11, "text": "我这是怎么回事啊", "role": "patient"}, {"turn": 12, "text": "有没有情绪经常急躁易怒呢？", "role": "doctor"}, {"turn": 13, "text": "是的有时候急躁易怒", "role": "patient"}, {"turn": 14, "text": "您属于中医上讲的热秘", "role": "doctor"}, {"turn": 15, "text": "肠腑燥热，伤几津液，导致大便泌结", "role": "doctor"}, {"turn": 16, "text": "建议您可以服用些麻子仁丸缓解", "role": "doctor"}, {"turn": 17, "text": "我吃了芦荟胶囊，可是没有什么效果", "role": "patient"}, {"turn": 18, "text": "补气.养血的也吃了，都没有什么效果", "role": "patient"}, {"turn": 19, "text": "您可以吃麻子仁丸，润肠泄热的", "role": "doctor"}, {"turn": 20, "text": "平时多吃水果和蔬菜，热性水果像榴莲，芒果等不要食用，不要吃辛辣刺激油炸等食物，牛羊肉等也不要吃了", "role": "doctor"}, {"turn": 21, "text": "多喝水", "role": "doctor"}, {"turn": 22, "text": "好的", "role": "patient"}, {"turn": 23, "text": "谢谢你了", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}, {"turn": 25, "text": "请问麻子仁丸是中药还是西药。", "role": "patient"}, {"turn": 26, "text": "中成药", "role": "doctor"}, {"turn": 27, "text": "去哪里买", "role": "patient"}, {"turn": 28, "text": "药店，医院应该都有的", "role": "doctor"}, {"turn": 29, "text": "像我这样的情况，要吃多长时间", "role": "patient"}, {"turn": 30, "text": "您可以先吃一周看看情况，因为每个人的身体状况和代谢情况不一样的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1290, "thread": [{"turn": 0, "text": "小孩2岁半老是便秘怎么回事啊（女，2岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半年了", "role": "patient"}, {"turn": 3, "text": "都是两三天才拉一次", "role": "patient"}, {"turn": 4, "text": "宝宝平时吃水果蔬菜多嘛？", "role": "doctor"}, {"turn": 5, "text": "有时候吃有时候不吃", "role": "patient"}, {"turn": 6, "text": "平时喝水多吗？", "role": "doctor"}, {"turn": 7, "text": "一天最少能喝400毫升", "role": "patient"}, {"turn": 8, "text": "晚上睡觉老是闹", "role": "patient"}, {"turn": 9, "text": "宝宝闹，还是肠胃积热，消化吸收不太好", "role": "doctor"}, {"turn": 10, "text": "建议您可以给宝宝吃点小儿七星茶", "role": "doctor"}, {"turn": 11, "text": "我推荐小儿推拿这种方法。因为孩子的皮肤以及穴位比较敏感，这种方法见效快，而且无痛苦，无副作用。最好找专业的医院，专业的医生", "role": "doctor"}, {"turn": 12, "text": "最近老是说肚子痛，就一会会又好了", "role": "patient"}, {"turn": 13, "text": "肚里有没有虫子？查过大便常规吗？", "role": "doctor"}, {"turn": 14, "text": "没有呢", "role": "patient"}, {"turn": 15, "text": "不好查。她都不拉", "role": "patient"}, {"turn": 16, "text": "平时多注意给宝宝吃点熟透的香蕉，火龙果", "role": "doctor"}, {"turn": 17, "text": "口服小儿七星茶＋益生菌", "role": "doctor"}, {"turn": 18, "text": "这个便秘时间长了，对孩子有什么影响", "role": "patient"}, {"turn": 19, "text": "合生元益生菌也喝过不管用", "role": "patient"}, {"turn": 20, "text": "会导致上火和呼吸道问题奥", "role": "doctor"}, {"turn": 21, "text": "对是老上火，我也给看了，也没看好", "role": "patient"}, {"turn": 22, "text": "这就是大便排不下去造成的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1291, "thread": [{"turn": 0, "text": "我有内痔，不动手术，请问有特效约没有（男，45岁）", "role": "patient"}, {"turn": 1, "text": "您好，内痔平时如果没有症状是可以不必用药的。但是如果经常脱出肛外的就需要手术治疗", "role": "doctor"}, {"turn": 2, "text": "是大便里带血丝，今天到医院检查了说要动手术", "role": "patient"}, {"turn": 3, "text": "哦，血丝？颜色新鲜吗？大便怎么样？", "role": "doctor"}, {"turn": 4, "text": "颜色是红的，大便还可以，一天一至二次", "role": "patient"}, {"turn": 5, "text": "我就是问看有什么药没有", "role": "patient"}, {"turn": 6, "text": "可以塞太宁栓，这个是止血效果好的。口服致康胶囊止血", "role": "doctor"}, {"turn": 7, "text": "不过这些都不能根治", "role": "doctor"}, {"turn": 8, "text": "迈之灵，痔根断这都是治疗痔疮比较好的药了。", "role": "doctor"}, {"turn": 9, "text": "吃东西是不是不能刺激性的东西，百酒不能喝对吗？啤酒能喝吗？", "role": "patient"}, {"turn": 10, "text": "进食需要忌口，忌食辛辣刺激食物，避免久坐久蹲，注意保暖，保持大便通畅并且便质松软，调整心情，会大大减少发病。", "role": "doctor"}, {"turn": 11, "text": "酒类肯定不能喝的", "role": "doctor"}, {"turn": 12, "text": "如果严重就要动手术是吗？手术可以根治吗", "role": "patient"}, {"turn": 13, "text": "痔疮不是一个可以根治的疾病，因此即使手术以后也是需要好好保养的", "role": "doctor"}, {"turn": 14, "text": "严重的痔疮会严重影响生活应该手术", "role": "doctor"}, {"turn": 15, "text": "严重的是不是不能走路和排便", "role": "patient"}, {"turn": 16, "text": "严重的会出现肛门翻出来疼痛，出血导致贫血等", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1292, "thread": [{"turn": 0, "text": "为什么右上腹一咳嗽就疼（男，39岁）", "role": "patient"}, {"turn": 1, "text": "您好！您可以把位置描述的更清楚一些吗？", "role": "doctor"}, {"turn": 2, "text": "一咳嗽就胸前和胸侧就痛", "role": "patient"}, {"turn": 3, "text": "除了咳嗽时，平时还有别的症状吗", "role": "doctor"}, {"turn": 4, "text": "右侧上腹", "role": "patient"}, {"turn": 5, "text": "睡觉时用手按就有一点痛", "role": "patient"}, {"turn": 6, "text": "持续痛？还是在什么情况下会疼", "role": "doctor"}, {"turn": 7, "text": "饮食有受影响吗？", "role": "doctor"}, {"turn": 8, "text": "不持续反正一咳就痛说话声音大了也会痛", "role": "patient"}, {"turn": 9, "text": "有没有过恶心，呕吐？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "您描述的部位有肝脏、胆囊和阑尾", "role": "doctor"}, {"turn": 12, "text": "有压痛不排除胆囊炎或阑尾炎", "role": "doctor"}, {"turn": 13, "text": "对，应该是肝脏部位", "role": "patient"}, {"turn": 14, "text": "有半个月的时间", "role": "patient"}, {"turn": 15, "text": "建议您到医院请医生帮您查体或做血常规及B超检查", "role": "doctor"}, {"turn": 16, "text": "多喝水", "role": "doctor"}, {"turn": 17, "text": "应该是肝脏问题不大吧", "role": "patient"}, {"turn": 18, "text": "应该是的", "role": "doctor"}, {"turn": 19, "text": "根据检查结果，再定要不要消炎", "role": "doctor"}, {"turn": 20, "text": "好的谢谢", "role": "patient"}, {"turn": 21, "text": "不客气！记得多喝水", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1293, "thread": [{"turn": 0, "text": "宝宝反复发烧不咳嗽不流涕不啦不吐（男，3岁）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝发热几天了？", "role": "doctor"}, {"turn": 2, "text": "昨天晚上发烧，不啦不吐，不咳嗽", "role": "patient"}, {"turn": 3, "text": "您好，宝宝体温多少？", "role": "doctor"}, {"turn": 4, "text": "吃退烧药就降了 然后过几个小时又发烧", "role": "patient"}, {"turn": 5, "text": "38.7", "role": "patient"}, {"turn": 6, "text": "一个三岁是昨天晚上开始发烧，今天晚上又开始发烧", "role": "patient"}, {"turn": 7, "text": "建议去医院看看，应该是呼吸道感染引起的发热", "role": "doctor"}, {"turn": 8, "text": "一岁四个月的午觉起来发烧，吃了小柴胡，退烧栓退烧了，晚饭都正常吃了，现在都又开始发烧", "role": "patient"}, {"turn": 9, "text": "不咳嗽，不流涕，", "role": "patient"}, {"turn": 10, "text": "去医院检查咽喉", "role": "doctor"}, {"turn": 11, "text": "还有化验血常规及CRP", "role": "doctor"}, {"turn": 12, "text": "好吧，那也要明天早上去了，今天太晚了，离医院又很远", "role": "patient"}, {"turn": 13, "text": "多谢医生", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1294, "thread": [{"turn": 0, "text": "贾医生，你好！宝宝13个月。今天有点流鼻涕，流眼泪！（女，33岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝爸妈，从描述来看，孩子是有感冒了。", "role": "doctor"}, {"turn": 2, "text": "症状不严重，还是日常护理好，多喝水为主，配合生理海水鼻喷剂", "role": "doctor"}, {"turn": 3, "text": "鼻涕是清涕还是脓涕？", "role": "doctor"}, {"turn": 4, "text": "有点清的，偶尔打喷嚏，还是多喝水，上次宝宝感冒你说也用这个鼻喷，没用完，可以继续用哈。其它不需要吃药哈", "role": "patient"}, {"turn": 5, "text": "可以继续用的", "role": "doctor"}, {"turn": 6, "text": "好的", "role": "patient"}, {"turn": 7, "text": "没有其他政协", "role": "doctor"}, {"turn": 8, "text": "没有其他症状吧？", "role": "doctor"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "食欲、精神状态好不好？", "role": "doctor"}, {"turn": 11, "text": "我老公有点感冒，可能有点原因吧", "role": "patient"}, {"turn": 12, "text": "还好的", "role": "patient"}, {"turn": 13, "text": "会有关系的。如果没有其他症状，各方面都还稳定的，不着急用其他药的", "role": "doctor"}, {"turn": 14, "text": "嗯嗯，", "role": "patient"}, {"turn": 15, "text": "额头也不烫", "role": "patient"}, {"turn": 16, "text": "嗯，体温后续还是要监测好", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "不客气的?新的总结已发您", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1295, "thread": [{"turn": 0, "text": "幼儿拉肚子消化不良吃什么药（女，8个月）", "role": "patient"}, {"turn": 1, "text": "腹泻多久了？一天大便有几次？", "role": "doctor"}, {"turn": 2, "text": "你好\n早上就一次", "role": "patient"}, {"turn": 3, "text": "然后发烧了37.8", "role": "patient"}, {"turn": 4, "text": "给了栓剂现在降下来了", "role": "patient"}, {"turn": 5, "text": "大便什么性状？", "role": "doctor"}, {"turn": 6, "text": "你是说宝宝发热是吧", "role": "doctor"}, {"turn": 7, "text": "比较稀\n不是很稀", "role": "patient"}, {"turn": 8, "text": "是的", "role": "patient"}, {"turn": 9, "text": "以为感冒给了要全部吐出来了", "role": "patient"}, {"turn": 10, "text": "有点嗜睡", "role": "patient"}, {"turn": 11, "text": "宝宝进食怎么样？", "role": "doctor"}, {"turn": 12, "text": "还有什么症状一起说出来", "role": "doctor"}, {"turn": 13, "text": "我帮你分析一下", "role": "doctor"}, {"turn": 14, "text": "我们从青海到成都是不是水土不服啊", "role": "patient"}, {"turn": 15, "text": "嗜睡.呕吐.恶心.发热.饭量还行", "role": "patient"}, {"turn": 16, "text": "体温最高多少？", "role": "doctor"}, {"turn": 17, "text": "37.8", "role": "patient"}, {"turn": 18, "text": "宝宝这种情况考虑病毒感染引起的可能性大一些，可以先对症治疗，", "role": "doctor"}, {"turn": 19, "text": "低热不用吃退热药，喝温水就可以", "role": "doctor"}, {"turn": 20, "text": "哦", "role": "patient"}, {"turn": 21, "text": "38.5以上需要吃退热药", "role": "doctor"}, {"turn": 22, "text": "喝温水配合物理降温", "role": "doctor"}, {"turn": 23, "text": "好的", "role": "patient"}, {"turn": 24, "text": "观察宝宝精神状态和尿量，", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "如果大便稀，吃益生菌和蒙脱石散止泻", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1296, "thread": [{"turn": 0, "text": "消化不良按摩左手右手?（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，主要是怎么不舒服啊？", "role": "doctor"}, {"turn": 2, "text": "五个月的婴儿消化不良，睡不踏实", "role": "patient"}, {"turn": 3, "text": "玩的时候很精神，白天晚上睡觉总是醒，睡不踏实，微量元素化验了正常", "role": "patient"}, {"turn": 4, "text": "小儿推拿，按摩左手？还是右手？", "role": "patient"}, {"turn": 5, "text": "大便正常吗？", "role": "doctor"}, {"turn": 6, "text": "大便有时候黄，有时候绿，有臭味，一天两三次", "role": "patient"}, {"turn": 7, "text": "吃母乳", "role": "patient"}, {"turn": 8, "text": "消化不良一般都是揉腹部", "role": "doctor"}, {"turn": 9, "text": "哦，什么办法效果好呢", "role": "patient"}, {"turn": 10, "text": "小儿推拿？还是吃药？", "role": "patient"}, {"turn": 11, "text": "先推拿看看吧，以前做过吗", "role": "doctor"}, {"turn": 12, "text": "做过，效果不是很好", "role": "patient"}, {"turn": 13, "text": "正规医院做的吗？", "role": "doctor"}, {"turn": 14, "text": "一般几天有效果", "role": "patient"}, {"turn": 15, "text": "不是", "role": "patient"}, {"turn": 16, "text": "正规医院，是指的中医院吗？", "role": "patient"}, {"turn": 17, "text": "五天吧，是的", "role": "doctor"}, {"turn": 18, "text": "不是。。。去中医院按摩是找儿科？还是消化科？", "role": "patient"}, {"turn": 19, "text": "五天有效果？还是五天好？", "role": "patient"}, {"turn": 20, "text": "中医院理疗科，五天能有效果吧，个体差异也比较大", "role": "doctor"}, {"turn": 21, "text": "哦哦", "role": "patient"}, {"turn": 22, "text": "吃药的话，吃啥？", "role": "patient"}, {"turn": 23, "text": "孩子太小了，建议推拿治疗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1297, "thread": [{"turn": 0, "text": "宝宝消化不良呕吐怎么办？（女，1岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "还有什么症状？", "role": "doctor"}, {"turn": 3, "text": "今天刚", "role": "patient"}, {"turn": 4, "text": "吐了一次", "role": "patient"}, {"turn": 5, "text": "我感觉我家宝宝经常吃不好就会吐", "role": "patient"}, {"turn": 6, "text": "喝点什么药可能调理这个", "role": "patient"}, {"turn": 7, "text": "肚子胀不？大便如何？", "role": "doctor"}, {"turn": 8, "text": "大便也正常", "role": "patient"}, {"turn": 9, "text": "饮食是什么？吃得好子", "role": "doctor"}, {"turn": 10, "text": "不", "role": "doctor"}, {"turn": 11, "text": "她奶奶今天给她喝了方便面，我感觉是这个", "role": "patient"}, {"turn": 12, "text": "可能喝点什么药", "role": "patient"}, {"turn": 13, "text": "可吃点维生素B6止吐，硫糖铝保护胃粘膜，益生菌调节肠胃功能。同时注意饮食，吃点粥，稀饭，面条，米汤等淀粉类食物，易消化，忌食奶粉与脂重及生冷饮食，不易消化。", "role": "doctor"}, {"turn": 14, "text": "可能喝点妈咪爱吗", "role": "patient"}, {"turn": 15, "text": "这个没什么大问题吧", "role": "patient"}, {"turn": 16, "text": "可吃妈咪爱，问题不大，注意饮食就行", "role": "doctor"}, {"turn": 17, "text": "喝妈咪爱的时候用加消炎药吗", "role": "patient"}, {"turn": 18, "text": "不是炎症引起的，不加消炎药吃", "role": "doctor"}, {"turn": 19, "text": "2岁宝宝怎么用量", "role": "patient"}, {"turn": 20, "text": "一次一支，一天二次，温水兑", "role": "doctor"}, {"turn": 21, "text": "好", "role": "patient"}, {"turn": 22, "text": "0K", "role": "doctor"}, {"turn": 23, "text": "谢谢", "role": "patient"}, {"turn": 24, "text": "不谢", "role": "doctor"}, {"turn": 25, "text": "我家宝宝今天从床上摔下来了和这个有关系吗", "role": "patient"}, {"turn": 26, "text": "精神好不", "role": "doctor"}, {"turn": 27, "text": "摔倒时哪儿先着地？", "role": "doctor"}, {"turn": 28, "text": "精神挺好", "role": "patient"}, {"turn": 29, "text": "后脑勺", "role": "patient"}, {"turn": 30, "text": "有无外伤？", "role": "doctor"}, {"turn": 31, "text": "她是摔倒后玩了一阵子，玩的也挺嗨。过了一会就吐了", "role": "patient"}, {"turn": 32, "text": "起了个疙瘩", "role": "patient"}, {"turn": 33, "text": "应只是外伤，不象颅内出血引起吐", "role": "doctor"}, {"turn": 34, "text": "如果做个ct打镇定剂会有什么影响吗", "role": "patient"}, {"turn": 35, "text": "这种情况需要做ct吗", "role": "patient"}, {"turn": 36, "text": "仍吐，建议最好作下。", "role": "doctor"}, {"turn": 37, "text": "镇静剂用一次没影响", "role": "doctor"}, {"turn": 38, "text": "目前是吐了一次", "role": "patient"}, {"turn": 39, "text": "吃点药观察到，仍吐再去作CT", "role": "doctor"}, {"turn": 40, "text": "一般摔这之后什么情况下会吐", "role": "patient"}, {"turn": 41, "text": "好", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1298, "thread": [{"turn": 0, "text": "用取暖器会导致便秘吗（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一般不会的", "role": "doctor"}, {"turn": 3, "text": "我天天有用取暖器。然后加上这里本来就干燥", "role": "patient"}, {"turn": 4, "text": "那就多喝水", "role": "doctor"}, {"turn": 5, "text": "或者是用加湿器", "role": "doctor"}, {"turn": 6, "text": "是因为水分少引起的", "role": "doctor"}, {"turn": 7, "text": "长痔疮能用取暖器吗", "role": "patient"}, {"turn": 8, "text": "可以用，但是注意补充水分", "role": "doctor"}, {"turn": 9, "text": "痔疮会治愈吗", "role": "patient"}, {"turn": 10, "text": "可以，通过手术", "role": "doctor"}, {"turn": 11, "text": "长了痔疮是不是会便秘啊", "role": "patient"}, {"turn": 12, "text": "能不手术吗", "role": "patient"}, {"turn": 13, "text": "是的", "role": "doctor"}, {"turn": 14, "text": "手术是根治的唯一方式", "role": "doctor"}, {"turn": 15, "text": "好吧。", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}, {"turn": 17, "text": "那痔疮不会自己消了吗", "role": "patient"}, {"turn": 18, "text": "不会的", "role": "doctor"}, {"turn": 19, "text": "只会越来越严重", "role": "doctor"}, {"turn": 20, "text": "用药膏也不行啊", "role": "patient"}, {"turn": 21, "text": "可以，但是效果只是暂时缓解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1299, "thread": [{"turn": 0, "text": "鼻子通气但头疼低烧眼睛胀痛还耳鸣（男，44岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？以前有过鼻窦炎吗？", "role": "doctor"}, {"turn": 2, "text": "有十几年了", "role": "patient"}, {"turn": 3, "text": "这种情况几个月了", "role": "patient"}, {"turn": 4, "text": "以前有过鼻窦炎吗？", "role": "doctor"}, {"turn": 5, "text": "有", "role": "patient"}, {"turn": 6, "text": "你的这些症状考虑还是鼻窦炎引起来的。", "role": "doctor"}, {"turn": 7, "text": "耳鸣的原因需要去做检查，有可能是神经性的，也有可能是中耳有关系。", "role": "doctor"}, {"turn": 8, "text": "上个月做CT检查结果是鼻上下颌窦鼻甲肥大鼻蝶炎", "role": "patient"}, {"turn": 9, "text": "奥。那你得用药治疗鼻窦炎", "role": "doctor"}, {"turn": 10, "text": "还有鼻窦炎。要注意休息，避免晚睡，睡晚了，抵抗力下降会加重鼻窦炎，现在就有点晚了。", "role": "doctor"}, {"turn": 11, "text": "用什么药", "role": "patient"}, {"turn": 12, "text": "可以口服头孢克肟和苍耳子鼻炎滴丸。用高效单体银鼻喷喷鼻子。", "role": "doctor"}, {"turn": 13, "text": "但目前鼻子一直都是通的没有堵怎么还是头额低烧眼睛肿胀有时候还耳鸣呢", "role": "patient"}, {"turn": 14, "text": "你的鼻子是通的，但是鼻窦口都堵住了。", "role": "doctor"}, {"turn": 15, "text": "都拍片子确定了。", "role": "doctor"}, {"turn": 16, "text": "是鼻子里面吗", "role": "patient"}, {"turn": 17, "text": "对的。鼻子就像一个走廊一样。鼻窦就是走廊旁边的屋子。屋子的门关上了，就会有鼻窦炎。这个门应该是开着的才行。", "role": "doctor"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1300, "thread": [{"turn": 0, "text": "风湿三项需要空腹吗？（女，40）", "role": "patient"}, {"turn": 1, "text": "您好，抽风湿三项不用空腹。", "role": "doctor"}, {"turn": 2, "text": "一般需要静滴青霉素。", "role": "doctor"}, {"turn": 3, "text": "如果抗O阳性，需要怎么治疗？", "role": "patient"}, {"turn": 4, "text": "需要静滴多久一个疗程？", "role": "patient"}, {"turn": 5, "text": "一般7-10天", "role": "doctor"}, {"turn": 6, "text": "我吃了一周的头胞，不知道行吗？", "role": "patient"}, {"turn": 7, "text": "不如青霉素效果好", "role": "doctor"}, {"turn": 8, "text": "那口服阿莫西林呢？", "role": "patient"}, {"turn": 9, "text": "可以", "role": "doctor"}, {"turn": 10, "text": "我髋关节滑膜炎，制动2周，没效果，还要制动吗？", "role": "patient"}, {"turn": 11, "text": "还需要。", "role": "doctor"}, {"turn": 12, "text": "需要制动多久？", "role": "patient"}, {"turn": 13, "text": "1个月", "role": "doctor"}, {"turn": 14, "text": "请问是完全卧床？还是可以少量活动？", "role": "patient"}, {"turn": 15, "text": "少量活动", "role": "doctor"}, {"turn": 16, "text": "我制动了两周？怎么一点效果都沒有？", "role": "patient"}, {"turn": 17, "text": "静滴青霉素。效果不好，去医院复查", "role": "doctor"}, {"turn": 18, "text": "谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1301, "thread": [{"turn": 0, "text": "出生23天的宝宝便秘怎么办（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，几天没排便？？", "role": "doctor"}, {"turn": 2, "text": "两三天", "role": "patient"}, {"turn": 3, "text": "奶粉喂养", "role": "patient"}, {"turn": 4, "text": "肚子涨吗？", "role": "doctor"}, {"turn": 5, "text": "通气的", "role": "patient"}, {"turn": 6, "text": "不涨", "role": "patient"}, {"turn": 7, "text": "但是有时吃奶哭闹挣扎怎么回事", "role": "patient"}, {"turn": 8, "text": "可以吃点益生菌，调节肠道菌群", "role": "doctor"}, {"turn": 9, "text": "那是正常的，不需要处理", "role": "doctor"}, {"turn": 10, "text": "这么小能吃益生菌吗", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "有时吃奶的时候苦闹吃两口就挣扎，摇头，想吃又不想吃", "role": "patient"}, {"turn": 13, "text": "嘴里长东西了吗？", "role": "doctor"}, {"turn": 14, "text": "没有啊，长什么啊", "role": "patient"}, {"turn": 15, "text": "白点之类的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1302, "thread": [{"turn": 0, "text": "宝宝一天便秘会一天拉十几次吗（女，6个月）", "role": "patient"}, {"turn": 1, "text": "你好，什么意思？？？？", "role": "doctor"}, {"turn": 2, "text": "宝宝从昨天开始，拉屎好困难，要用很大的力，每次又只拉一点点，一天拉了上十次，这是怎么回事", "role": "patient"}, {"turn": 3, "text": "拉的屎量少，次数多，干燥", "role": "patient"}, {"turn": 4, "text": "在吗", "role": "patient"}, {"turn": 5, "text": "在", "role": "doctor"}, {"turn": 6, "text": "吃母乳还是奶粉？", "role": "doctor"}, {"turn": 7, "text": "吃母乳", "role": "patient"}, {"turn": 8, "text": "我最近比较上火，喉咙有点痛", "role": "patient"}, {"turn": 9, "text": "所以孩子也会上火，", "role": "doctor"}, {"turn": 10, "text": "您需要吃点去火的药物", "role": "doctor"}, {"turn": 11, "text": "可以吃什么", "role": "patient"}, {"turn": 12, "text": "浦地兰口服液", "role": "doctor"}, {"turn": 13, "text": "宝宝拉的次数多，今天屁股红的厉害，不知道是不是尿布疹了", "role": "patient"}, {"turn": 14, "text": "浦地兰口服液，是我吃的吧", "role": "patient"}, {"turn": 15, "text": "不是，只是没有及时擦掉排便引起的", "role": "doctor"}, {"turn": 16, "text": "对，宝妈吃", "role": "doctor"}, {"turn": 17, "text": "那怎么办，屁股好红，看起来很痛的样子", "role": "patient"}, {"turn": 18, "text": "摸点护臀膏就可以", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "恩", "role": "doctor"}, {"turn": 21, "text": "还要注意些什么吗", "role": "patient"}, {"turn": 22, "text": "排便的时候及时擦掉就可以", "role": "doctor"}, {"turn": 23, "text": "宝宝现在不肯碰她的屁股，清洗或者擦拭都反抗", "role": "patient"}, {"turn": 24, "text": "家里有香油吗", "role": "doctor"}, {"turn": 25, "text": "可以抹香油", "role": "doctor"}, {"turn": 26, "text": "香油是指什么？家里有茶籽油、麻油", "role": "patient"}, {"turn": 27, "text": "茶籽油就可以", "role": "doctor"}, {"turn": 28, "text": "家里人给她摸了点红霉素软膏，可以用吗", "role": "patient"}, {"turn": 29, "text": "可以", "role": "doctor"}, {"turn": 30, "text": "好的，浦地兰口服液宝妈吃了不会影响母乳质量吧", "role": "patient"}, {"turn": 31, "text": "不会的", "role": "doctor"}, {"turn": 32, "text": "好的，谢谢", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1303, "thread": [{"turn": 0, "text": "右手关节睡觉疼、是不是风湿？（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "最近几天睡觉老疼醒了", "role": "patient"}, {"turn": 3, "text": "有没有劳累？", "role": "doctor"}, {"turn": 4, "text": "不是很累，？", "role": "patient"}, {"turn": 5, "text": "上半年累点、货也重", "role": "patient"}, {"turn": 6, "text": "可以抽血化验下风湿指标", "role": "doctor"}, {"turn": 7, "text": "这几个月就是热，是不是空调吹的", "role": "patient"}, {"turn": 8, "text": "嗯，注意保暖", "role": "doctor"}, {"turn": 9, "text": "不是痛风吧？", "role": "patient"}, {"turn": 10, "text": "不是", "role": "doctor"}, {"turn": 11, "text": "是风湿？", "role": "patient"}, {"turn": 12, "text": "局部可以贴代温灸贴", "role": "doctor"}, {"turn": 13, "text": "可以抽血化验下风湿指标", "role": "doctor"}, {"turn": 14, "text": "风湿啊？", "role": "patient"}, {"turn": 15, "text": "抽血化验才知道呢", "role": "doctor"}, {"turn": 16, "text": "哦", "role": "patient"}, {"turn": 17, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1304, "thread": [{"turn": 0, "text": "易疲劳多梦阳虚吃什么药（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "你好，还有什么不适的症状吗？", "role": "doctor"}, {"turn": 3, "text": "有没有腰膝酸软这些症状呢", "role": "doctor"}, {"turn": 4, "text": "如果是肾阳虚的话可以吃右归丸或者桂附地黄丸", "role": "doctor"}, {"turn": 5, "text": "易疲劳多梦", "role": "patient"}, {"turn": 6, "text": "多长时间了？", "role": "doctor"}, {"turn": 7, "text": "还有没有其它不适？", "role": "doctor"}, {"turn": 8, "text": "两年多了", "role": "patient"}, {"turn": 9, "text": "健忘", "role": "patient"}, {"turn": 10, "text": "有没有怕冷呢", "role": "doctor"}, {"turn": 11, "text": "记忆力差", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "doctor"}, {"turn": 13, "text": "怕冷", "role": "patient"}, {"turn": 14, "text": "有没有看过医生？", "role": "doctor"}, {"turn": 15, "text": "没有", "role": "patient"}, {"turn": 16, "text": "哦哦，再有没有其他症状了？", "role": "doctor"}, {"turn": 17, "text": "没有啦！", "role": "patient"}, {"turn": 18, "text": "嗯嗯，根据你说的这个情况，初步考虑肾阳虚", "role": "doctor"}, {"turn": 19, "text": "可以吃点温补肾阳的药物调理一下", "role": "doctor"}, {"turn": 20, "text": "用点什么药见效快的？", "role": "patient"}, {"turn": 21, "text": "最常用的效果也不错的就是桂附地黄丸", "role": "doctor"}, {"turn": 22, "text": "谢谢你医生", "role": "patient"}, {"turn": 23, "text": "不客气的", "role": "doctor"}, {"turn": 24, "text": "你可以先吃两周看看有没有效果，有效果就可以继续服用。", "role": "doctor"}, {"turn": 25, "text": "如果方便的话完了给我一个好评哦。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1305, "thread": [{"turn": 0, "text": "龋齿填入氧化锌后还用吃甲硝唑消炎吗（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好，您是牙齿痛做治疗了吗吗", "role": "doctor"}, {"turn": 2, "text": "对的", "role": "patient"}, {"turn": 3, "text": "之前没有做治疗的时候牙龈肿痛就吃了甲硝唑", "role": "patient"}, {"turn": 4, "text": "现在封了药还是痛是吗", "role": "doctor"}, {"turn": 5, "text": "今天刚封的药", "role": "patient"}, {"turn": 6, "text": "嗯，可以吃点甲硝唑消炎", "role": "doctor"}, {"turn": 7, "text": "有点痛冷热刺激比之前还敏感", "role": "patient"}, {"turn": 8, "text": "医生给您做的是安抚还是根管治疗啊？", "role": "doctor"}, {"turn": 9, "text": "安抚", "role": "patient"}, {"turn": 10, "text": "如果安抚后牙齿疼痛难忍，并且有明显的夜间痛，那就要做根管治疗了", "role": "doctor"}, {"turn": 11, "text": "这个您的医生应该也跟您交代了吧", "role": "doctor"}, {"turn": 12, "text": "今天第一天封药就会开始痛吗", "role": "patient"}, {"turn": 13, "text": "对的医生跟我说了", "role": "patient"}, {"turn": 14, "text": "是有可能的，因为烂的太深不排除会发生牙髓炎", "role": "doctor"}, {"turn": 15, "text": "您现在只是冷热刺激酸痛是吗", "role": "doctor"}, {"turn": 16, "text": "对的", "role": "patient"}, {"turn": 17, "text": "那没关系，可以先观察", "role": "doctor"}, {"turn": 18, "text": "跟喝酒有关系吗前面喝了酒", "role": "patient"}, {"turn": 19, "text": "喝了酒就不要吃药了", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "吃药前后都不能饮酒", "role": "doctor"}, {"turn": 22, "text": "好的我知道啦", "role": "patient"}, {"turn": 23, "text": "嗯呢", "role": "doctor"}, {"turn": 24, "text": "谢谢医生", "role": "patient"}, {"turn": 25, "text": "不客气！", "role": "doctor"}, {"turn": 26, "text": "医生您好，那喝酒吸烟会刺激牙痛吗", "role": "patient"}, {"turn": 27, "text": "吸烟喝酒不会引起牙痛", "role": "doctor"}, {"turn": 28, "text": "但是会刺激口腔粘膜", "role": "doctor"}, {"turn": 29, "text": "所以建议不抽烟，少饮酒", "role": "doctor"}, {"turn": 30, "text": "我现在上牙一碰下牙就有刺痛感", "role": "patient"}, {"turn": 31, "text": "我是不是要做根管治疗了", "role": "patient"}, {"turn": 32, "text": "是那颗安抚的牙齿吗", "role": "doctor"}, {"turn": 33, "text": "对的", "role": "patient"}, {"turn": 34, "text": "不碰不会痛是吗", "role": "doctor"}, {"turn": 35, "text": "对的", "role": "patient"}, {"turn": 36, "text": "那不是牙髓炎的症状，还可以再观察", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1306, "thread": [{"turn": 0, "text": "牙齿松动怎么办，不敢咀嚼东西，疼痛（女，42岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "您这种情况多久了？", "role": "doctor"}, {"turn": 3, "text": "4个月了", "role": "patient"}, {"turn": 4, "text": "疼痛是咬东西疼还是不咬东西也疼？", "role": "doctor"}, {"turn": 5, "text": "咬东西疼，遇冷也疼", "role": "patient"}, {"turn": 6, "text": "这半边不敢咬食物", "role": "patient"}, {"turn": 7, "text": "您好！", "role": "patient"}, {"turn": 8, "text": "不好意思，网络不好", "role": "doctor"}, {"turn": 9, "text": "看过牙医吗？", "role": "doctor"}, {"turn": 10, "text": "看过了，不知有什么好方法能解决疼痛", "role": "patient"}, {"turn": 11, "text": "看过牙医做什么治疗了吗？", "role": "doctor"}, {"turn": 12, "text": "你好。在吗？", "role": "doctor"}, {"turn": 13, "text": "我要根据你有没有治疗和你的情况给您建议的", "role": "doctor"}, {"turn": 14, "text": "按照你的描述，牙齿松动可能是牙周炎引起的，松动厉害咀嚼肯定会疼痛。这种牙周病需要做牙周治疗，对不能保留的松动牙及时拔除考虑修复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1307, "thread": [{"turn": 0, "text": "风湿骨头疼吃'什么药（女，45岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您具体是哪种风湿病？", "role": "doctor"}, {"turn": 2, "text": "十多年前得过风湿，现在大腿的骨头疼", "role": "patient"}, {"turn": 3, "text": "您好，您说的风湿具体是哪种疾病？因为风湿包括是好多疾病呢。比如类风湿关节炎，强直性脊柱炎，骨关节炎等。", "role": "doctor"}, {"turn": 4, "text": "现在没有检查过", "role": "patient"}, {"turn": 5, "text": "大腿根凉，骨头疼", "role": "patient"}, {"turn": 6, "text": "还有没有其他关节的疼痛不是。", "role": "doctor"}, {"turn": 7, "text": "吃两个月的天麻丸也不管用", "role": "patient"}, {"turn": 8, "text": "没有，就是大腿根骨头疼", "role": "patient"}, {"turn": 9, "text": "有没有晨僵跟天气变化有没有关系？", "role": "doctor"}, {"turn": 10, "text": "没有，腿出汗，越疼", "role": "patient"}, {"turn": 11, "text": "做过什么检查没有？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "您这种情况我觉得需要去医院检查一下，明确原因后再治疗。", "role": "doctor"}, {"turn": 14, "text": "这两天大连下雨，下雪疼的严重", "role": "patient"}, {"turn": 15, "text": "止痛的话可以用非甾体消炎药。", "role": "doctor"}, {"turn": 16, "text": "吃两个月的天麻丸没有什么效果", "role": "patient"}, {"turn": 17, "text": "你吃这么多药都没有效果，更应该检查明确诊断呀。", "role": "doctor"}, {"turn": 18, "text": "您的疼痛有没有伴有下肢麻木？", "role": "doctor"}, {"turn": 19, "text": "没有", "role": "patient"}, {"turn": 20, "text": "你有什么基础疾病吗？", "role": "doctor"}, {"turn": 21, "text": "没有", "role": "patient"}, {"turn": 22, "text": "您说的就是单侧下肢疼痛疼起来比较厉害。", "role": "doctor"}, {"turn": 23, "text": "后臀下面骨头疼，肉麻", "role": "patient"}, {"turn": 24, "text": "平常还吃什么药吗", "role": "doctor"}, {"turn": 25, "text": "没有，最近吃的天麻丸有一个月吧", "role": "patient"}, {"turn": 26, "text": "就是天冷冻着了更疼，", "role": "patient"}, {"turn": 27, "text": "你这种情况需要明确诊断再治疗", "role": "doctor"}, {"turn": 28, "text": "可以挂骨科或风湿科", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1308, "thread": [{"turn": 0, "text": "月子宝宝消化不良应吃哪种奶粉（男，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝大便一天几次？有奶瓣吗", "role": "doctor"}, {"turn": 2, "text": "两天一次大便", "role": "patient"}, {"turn": 3, "text": "有奶瓣", "role": "patient"}, {"turn": 4, "text": "有时一天半拉一次", "role": "patient"}, {"turn": 5, "text": "那建议给宝宝吃一段奶粉，然后给宝宝吃上益生菌调理", "role": "doctor"}, {"turn": 6, "text": "是一段奶粉啊", "role": "patient"}, {"turn": 7, "text": "这么小的宝宝可以吃益生菌吗？", "role": "patient"}, {"turn": 8, "text": "吃了以后会不会依赖的？", "role": "patient"}, {"turn": 9, "text": "可以吃益生菌的", "role": "doctor"}, {"turn": 10, "text": "不会有依赖的", "role": "doctor"}, {"turn": 11, "text": "是上火？", "role": "patient"}, {"turn": 12, "text": "还是消化不良？", "role": "patient"}, {"turn": 13, "text": "考虑消化不良", "role": "doctor"}, {"turn": 14, "text": "需要换奶粉吗？", "role": "patient"}, {"turn": 15, "text": "不用换奶粉，这不是奶粉的原因。", "role": "doctor"}, {"turn": 16, "text": "买那种有益生菌的奶粉", "role": "patient"}, {"turn": 17, "text": "宝宝现在吃这种奶粉没有益生菌的", "role": "patient"}, {"turn": 18, "text": "可以的", "role": "doctor"}, {"turn": 19, "text": "宝宝有时会出眼屎", "role": "patient"}, {"turn": 20, "text": "吃上含有益生菌", "role": "doctor"}, {"turn": 21, "text": "奶粉", "role": "doctor"}, {"turn": 22, "text": "哦，宝宝出眼屎这种情况考虑是上火的表现", "role": "doctor"}, {"turn": 23, "text": "麻烦医生推荐下", "role": "patient"}, {"turn": 24, "text": "比如合生元益生菌奶粉", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "比如哪种不上火，含有益生菌的奶粉", "role": "patient"}, {"turn": 27, "text": "奶粉一般都容易上火的。两次奶粉之间喝等量的白开水", "role": "doctor"}, {"turn": 28, "text": "都有喝宝宝开水的", "role": "patient"}, {"turn": 29, "text": "益生菌一次给宝宝吃多少？", "role": "patient"}, {"turn": 30, "text": "一个月的宝宝一次1/3袋，一天两次", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1309, "thread": [{"turn": 0, "text": "耳鸣疑病症，怎么治疗，特别焦虑（男，25岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "耳鸣吗？", "role": "patient"}, {"turn": 3, "text": "一年多了，", "role": "patient"}, {"turn": 4, "text": "一年半了", "role": "patient"}, {"turn": 5, "text": "是单侧还是双侧，是高调如蝉鸣，还是低调，如蚊子，嗡嗡声，还是像心脏，脉搏，跳动一样，有节律的。", "role": "doctor"}, {"turn": 6, "text": "单双侧我也不清楚，声音的话有时像电流有时想蝉鸣，", "role": "patient"}, {"turn": 7, "text": "听力下降吗", "role": "doctor"}, {"turn": 8, "text": "现在耳鸣只有在焦虑晚睡的情况下出现，其他情况就只有及其安静的情况下才能听见", "role": "patient"}, {"turn": 9, "text": "听力没检测过，但是我个人没感觉到受影响", "role": "patient"}, {"turn": 10, "text": "耳鸣就是安静的时候才听到", "role": "doctor"}, {"turn": 11, "text": "白天外界噪音影响", "role": "doctor"}, {"turn": 12, "text": "考虑你是神经性耳鸣了", "role": "doctor"}, {"turn": 13, "text": "如果不影响睡眠可以不用处理", "role": "doctor"}, {"turn": 14, "text": "焦虑也会引起耳鸣", "role": "doctor"}, {"turn": 15, "text": "会是听神经瘤吗？", "role": "patient"}, {"turn": 16, "text": "刚开始的时候睡眠有影响，后来自己调整作息中医调理声音变小了", "role": "patient"}, {"turn": 17, "text": "听神经瘤一般是单侧耳鸣", "role": "doctor"}, {"turn": 18, "text": "不会两侧都有", "role": "doctor"}, {"turn": 19, "text": "我分不清单双侧，但是堵住一个耳朵基本也能听见", "role": "patient"}, {"turn": 20, "text": "耳鸣三天还是四天后做过核磁共振。显示正常", "role": "patient"}, {"turn": 21, "text": "单侧耳鸣，最好除外一下听神经瘤", "role": "doctor"}, {"turn": 22, "text": "那就没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1310, "thread": [{"turn": 0, "text": "肚子咕噜咕噜便秘老放屁（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一周了", "role": "patient"}, {"turn": 3, "text": "最近一周有排大便吗", "role": "doctor"}, {"turn": 4, "text": "以前有过吗？", "role": "doctor"}, {"turn": 5, "text": "2天一次排便", "role": "patient"}, {"turn": 6, "text": "有时候一天一次排便", "role": "patient"}, {"turn": 7, "text": "腹部有做过手术吗", "role": "doctor"}, {"turn": 8, "text": "然后肚子有点胀气 老打嗝", "role": "patient"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "最近饮食规律吗？", "role": "doctor"}, {"turn": 11, "text": "上周不规律引起的我觉得", "role": "patient"}, {"turn": 12, "text": "平时蔬菜水果喝水多吗", "role": "doctor"}, {"turn": 13, "text": "喝水不多最近", "role": "patient"}, {"turn": 14, "text": "多吃点青菜水果，多喝水", "role": "doctor"}, {"turn": 15, "text": "大便通畅了，症状能缓解", "role": "doctor"}, {"turn": 16, "text": "另外要规律饮食和作息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1311, "thread": [{"turn": 0, "text": "鼻塞，流鼻涕，浑身痛，背上像被打了一样，太阳穴也痛。这些症状吃什么药比较好（女，26岁）不发烧！", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "浑身疼有好几天了", "role": "patient"}, {"turn": 3, "text": "家里有人感冒.10号左右被传染了吧", "role": "patient"}, {"turn": 4, "text": "既往有没有病史？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "咳嗽咳痰？", "role": "doctor"}, {"turn": 7, "text": "有咳嗽，肺是有点不舒服", "role": "patient"}, {"turn": 8, "text": "鼻涕和痰都是什么颜色？", "role": "doctor"}, {"turn": 9, "text": "没有痰出来", "role": "patient"}, {"turn": 10, "text": "鼻涕呢？", "role": "doctor"}, {"turn": 11, "text": "鼻涕黄色", "role": "patient"}, {"turn": 12, "text": "目前来看，你可能得的是急性上呼吸道感染。细菌性感染可能性大", "role": "doctor"}, {"turn": 13, "text": "去医院抽血检查？", "role": "patient"}, {"turn": 14, "text": "再遵医嘱？", "role": "patient"}, {"turn": 15, "text": "明确诊断常规检查是不可缺少的。但是目前你可以先口服感康对症治疗", "role": "doctor"}, {"turn": 16, "text": "好了好几次金感胶囊了，都不管用", "role": "patient"}, {"turn": 17, "text": "只是肺热，会不会发烧？", "role": "patient"}, {"turn": 18, "text": "这个目前来看，发热可能性很小。", "role": "doctor"}, {"turn": 19, "text": "您的意思只是普通感冒是吗？", "role": "patient"}, {"turn": 20, "text": "需要抽血检查吗？", "role": "patient"}, {"turn": 21, "text": "如果发热可能合并肺炎等加重情况了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1312, "thread": [{"turn": 0, "text": "两岁多宝宝一直流鼻涕 擦流血了（男，2岁7个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝这种情况多长时间了?", "role": "doctor"}, {"turn": 2, "text": "一个月", "role": "patient"}, {"turn": 3, "text": "以前宝宝有流过么？", "role": "doctor"}, {"turn": 4, "text": "时间吃奥司他韦 也吃了鼻炎通窍颗粒", "role": "patient"}, {"turn": 5, "text": "一直不见好", "role": "patient"}, {"turn": 6, "text": "以前宝宝有流鼻血么？", "role": "doctor"}, {"turn": 7, "text": "宝宝还有其他症状么？", "role": "doctor"}, {"turn": 8, "text": "不过他晚上总是踢被子 不知道是不是反复着凉得原因呢", "role": "patient"}, {"turn": 9, "text": "宝宝精神食欲好么？", "role": "doctor"}, {"turn": 10, "text": "不是流鼻血 是总流鼻涕 总是擦 鼻子下边擦破皮 流血了", "role": "patient"}, {"turn": 11, "text": "都很好", "role": "patient"}, {"turn": 12, "text": "哦！好的。", "role": "doctor"}, {"turn": 13, "text": "宝宝反复感冒可以引起流鼻涕，可以给宝宝使用生理性海水喷鼻腔，清洗鼻腔病毒。", "role": "doctor"}, {"turn": 14, "text": "生理性盐水需要去药房买吗", "role": "patient"}, {"turn": 15, "text": "嗯的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1313, "thread": [{"turn": 0, "text": "胰岛素扎到我手出血了（男，2岁8个月）", "role": "patient"}, {"turn": 1, "text": "你好很高兴为你解答。", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "小孩刚刚被他爷爷糖尿病胰岛素针滑破手了，没事吧？", "role": "patient"}, {"turn": 4, "text": "患者有没有什么传染性疾病", "role": "doctor"}, {"turn": 5, "text": "没有，有糖尿病中风", "role": "patient"}, {"turn": 6, "text": "那没有什么影响的，不要担心", "role": "doctor"}, {"turn": 7, "text": "我就把血给挤了一下水冲洗了，然后用碘伏消毒两次", "role": "patient"}, {"turn": 8, "text": "这个需要打什么针吗？", "role": "patient"}, {"turn": 9, "text": "正确，一挤二洗三消毒，非常正确", "role": "doctor"}, {"turn": 10, "text": "不用", "role": "doctor"}, {"turn": 11, "text": "真没事，我都担心死了，准备去医院的", "role": "patient"}, {"turn": 12, "text": "不用紧张，没事的", "role": "doctor"}, {"turn": 13, "text": "这个胰岛素打入身体，能碰到血吗？", "role": "patient"}, {"turn": 14, "text": "胰岛素应该是没有注射进入小孩体内的", "role": "doctor"}, {"turn": 15, "text": "没有，就是胰岛素放在那里没有盖盖子，小孩碰到了", "role": "patient"}, {"turn": 16, "text": "我咨询的是这个胰岛素针打入患者身里碰到血吗？", "role": "patient"}, {"turn": 17, "text": "胰岛素是皮下注射，皮下血液是比较少的", "role": "doctor"}, {"turn": 18, "text": "哦，那就没有碰到血液", "role": "patient"}, {"turn": 19, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1314, "thread": [{"turn": 0, "text": "老年人服用富酸喹硫平缓释片出现便秘（男，83岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "不只半个月", "role": "patient"}, {"turn": 3, "text": "怎么办，医生", "role": "patient"}, {"turn": 4, "text": "用过什么药了吗", "role": "doctor"}, {"turn": 5, "text": "？", "role": "patient"}, {"turn": 6, "text": "乳果糖口服液", "role": "doctor"}, {"turn": 7, "text": "以前脑出血", "role": "patient"}, {"turn": 8, "text": "现在在家，没吃什么药", "role": "patient"}, {"turn": 9, "text": "吃一点乳果糖口服液", "role": "doctor"}, {"turn": 10, "text": "买乳果糖口服液给他吃吗？", "role": "patient"}, {"turn": 11, "text": "是", "role": "doctor"}, {"turn": 12, "text": "早上吃了麻仁丸，有用吗", "role": "patient"}, {"turn": 13, "text": "有用", "role": "doctor"}, {"turn": 14, "text": "太极麻仁丸", "role": "patient"}, {"turn": 15, "text": "那下午再吃一包看看", "role": "patient"}, {"turn": 16, "text": "是", "role": "doctor"}, {"turn": 17, "text": "老人目前精神可以，痰特别多，痰多以是好多年的了", "role": "patient"}, {"turn": 18, "text": "有什么药可以吃吗，多年痰多", "role": "patient"}, {"turn": 19, "text": "老人有前列泉症，目前有导尿管在身，行动不方便，无法去医院", "role": "patient"}, {"turn": 20, "text": "医生，？", "role": "patient"}, {"turn": 21, "text": "医生？", "role": "patient"}, {"turn": 22, "text": "买一点化痰止咳糖浆", "role": "doctor"}, {"turn": 23, "text": "医生，当地乡医生建议老人尿管十多天要换一次，重新插尿管，如果不换可以吗？或者一个月换", "role": "patient"}, {"turn": 24, "text": "太久换一次尿管，会有什么影响身体吗？", "role": "patient"}, {"turn": 25, "text": "？", "role": "patient"}, {"turn": 26, "text": "要看有没有尿道感染", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1315, "thread": [{"turn": 0, "text": "三个月婴儿一直消化不良体重不涨（女，4个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝是母乳喂养吗？", "role": "doctor"}, {"turn": 2, "text": "你好，是喂牛奶", "role": "patient"}, {"turn": 3, "text": "没有母乳？", "role": "doctor"}, {"turn": 4, "text": "宝宝一直都是拉绿色的大便还很臭，要睡着才肯喝奶醒了就不肯喝了", "role": "patient"}, {"turn": 5, "text": "没有母乳", "role": "patient"}, {"turn": 6, "text": "吃了益生菌也没有用", "role": "patient"}, {"turn": 7, "text": "换奶粉", "role": "doctor"}, {"turn": 8, "text": "拉绿色大便是因为含的铁没有完全吸收", "role": "doctor"}, {"turn": 9, "text": "前几天已经换成羊奶了还是拉绿色的大便", "role": "patient"}, {"turn": 10, "text": "那这样会严重吗", "role": "patient"}, {"turn": 11, "text": "这样的大便有几天了？这样的大便有几天了？这样的大便有几天了？", "role": "doctor"}, {"turn": 12, "text": "已经有一个多月左右了", "role": "patient"}, {"turn": 13, "text": "一直如此", "role": "doctor"}, {"turn": 14, "text": "奶粉换了也这样，益生菌继续吃", "role": "doctor"}, {"turn": 15, "text": "宝宝每次都吃120毫升的奶平均3个小时喂一次", "role": "patient"}, {"turn": 16, "text": "奶量可以", "role": "doctor"}, {"turn": 17, "text": "对一直都是拉绿色大便，换奶粉有5天左右了还是拉绿色大便", "role": "patient"}, {"turn": 18, "text": "益生菌要吃到什么时候呢会有依赖性吗", "role": "patient"}, {"turn": 19, "text": "就是宝贝小，消化系统不完善", "role": "doctor"}, {"turn": 20, "text": "不会哦", "role": "doctor"}, {"turn": 21, "text": "那这样一直不涨体重要怎么办呢", "role": "patient"}, {"turn": 22, "text": "宝贝慢慢长大点，各项生理指标完善", "role": "doctor"}, {"turn": 23, "text": "慢慢吃会长的", "role": "doctor"}, {"turn": 24, "text": "鱼肝油那些补起", "role": "doctor"}, {"turn": 25, "text": "有吃鱼肝油", "role": "patient"}, {"turn": 26, "text": "嗯", "role": "doctor"}, {"turn": 27, "text": "还吃牛初乳和DHA", "role": "patient"}, {"turn": 28, "text": "😊可以", "role": "doctor"}, {"turn": 29, "text": "这些可以吃吗", "role": "patient"}, {"turn": 30, "text": "辅食慢慢加，还是以母乳为主", "role": "doctor"}, {"turn": 31, "text": "可以", "role": "doctor"}, {"turn": 32, "text": "没有母乳", "role": "patient"}, {"turn": 33, "text": "奶粉为主", "role": "doctor"}, {"turn": 34, "text": "那宝宝一直都是睡着才喝奶是什么原因呢", "role": "patient"}, {"turn": 35, "text": "三个月可以吃配方羊奶吗", "role": "patient"}, {"turn": 36, "text": "醒着不吃？", "role": "doctor"}, {"turn": 37, "text": "可以", "role": "doctor"}, {"turn": 38, "text": "是的醒着就不肯吃没吃都要哄睡了才吃", "role": "patient"}, {"turn": 39, "text": "这样会不会影响睡眠质量呢", "role": "patient"}, {"turn": 40, "text": "也没有影响", "role": "doctor"}, {"turn": 41, "text": "宝贝只要不哭闹，精神好", "role": "doctor"}, {"turn": 42, "text": "就没有关系", "role": "doctor"}, {"turn": 43, "text": "医生在忙吗", "role": "patient"}, {"turn": 44, "text": "😊", "role": "doctor"}, {"turn": 45, "text": "那有必要去医院检查一下肠胃吗", "role": "patient"}, {"turn": 46, "text": "在的呢", "role": "doctor"}, {"turn": 47, "text": "可以去看看小儿科，", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1316, "thread": [{"turn": 0, "text": "胃胀消化不良怎么回事（男，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "有恶心，呕吐，腹泻，腹痛吗", "role": "doctor"}, {"turn": 3, "text": "有", "role": "patient"}, {"turn": 4, "text": "腹痛不明显", "role": "patient"}, {"turn": 5, "text": "前天开始", "role": "patient"}, {"turn": 6, "text": "在？", "role": "patient"}, {"turn": 7, "text": "与饮食有关吗", "role": "doctor"}, {"turn": 8, "text": "大便一天几次", "role": "doctor"}, {"turn": 9, "text": "便意比胶多", "role": "patient"}, {"turn": 10, "text": "大便正常吗", "role": "doctor"}, {"turn": 11, "text": "有些潮湿", "role": "patient"}, {"turn": 12, "text": "可以别吃点药调理一下，", "role": "doctor"}, {"turn": 13, "text": "吃点曲美布汀和培菲康", "role": "doctor"}, {"turn": 14, "text": "胃病的可能性大吗", "role": "patient"}, {"turn": 15, "text": "前天有些感冒就开始有了", "role": "patient"}, {"turn": 16, "text": "胃病一般表现为反酸嗳气烧心，胃疼胃胀等", "role": "doctor"}, {"turn": 17, "text": "吃点药调理一下看看", "role": "doctor"}, {"turn": 18, "text": "10年前查的是慢性浅表性胃窦炎", "role": "patient"}, {"turn": 19, "text": "与这个关系不大", "role": "doctor"}, {"turn": 20, "text": "再说10年的检查一点参考意义没有", "role": "doctor"}, {"turn": 21, "text": "真的胃病一般都不好治啊", "role": "patient"}, {"turn": 22, "text": "胃病三分靠治七分靠养", "role": "doctor"}, {"turn": 23, "text": "多数人都有胃病，十人九胃", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1317, "thread": [{"turn": 0, "text": "精索静脉曲张手术后多久可以恢复（男，26岁）", "role": "patient"}, {"turn": 1, "text": "手术后大约10天就会好。", "role": "doctor"}, {"turn": 2, "text": "多久可以性生活", "role": "patient"}, {"turn": 3, "text": "一个月", "role": "doctor"}, {"turn": 4, "text": "我这十五天了看黄色片子没事儿吧？", "role": "patient"}, {"turn": 5, "text": "确定一个月就可以吗？", "role": "patient"}, {"turn": 6, "text": "没问题", "role": "doctor"}, {"turn": 7, "text": "主要看你回复的怎么样", "role": "doctor"}, {"turn": 8, "text": "如果回复的不好，就挺时间长点", "role": "doctor"}, {"turn": 9, "text": "看黄色没事吧？", "role": "patient"}, {"turn": 10, "text": "没问题", "role": "doctor"}, {"turn": 11, "text": "一般做完手术之后时间会不会比以前长", "role": "patient"}, {"turn": 12, "text": "不好说啊，这个，没研究过", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "我老是放屁是怎么回事", "role": "patient"}, {"turn": 16, "text": "？", "role": "patient"}, {"turn": 17, "text": "这个不是太清楚，可能跟你饮食有关吧", "role": "doctor"}, {"turn": 18, "text": "伤口这块有些发紫了没事吧？", "role": "patient"}, {"turn": 19, "text": "？", "role": "patient"}, {"turn": 20, "text": "那是当时做手术时候有血渗出来，没事，只要伤口没感染就行", "role": "doctor"}, {"turn": 21, "text": "伤口怎么看有没有感染？", "role": "patient"}, {"turn": 22, "text": "红肿", "role": "doctor"}, {"turn": 23, "text": "有脓性渗出", "role": "doctor"}, {"turn": 24, "text": "有些红的发紫，锋线的地方，有些黄色的东西", "role": "patient"}, {"turn": 25, "text": "那没问题，到时候去医院让大夫换个药看看", "role": "doctor"}, {"turn": 26, "text": "那天换了以后他说不用换了", "role": "patient"}, {"turn": 27, "text": "奥，那就没事了", "role": "doctor"}, {"turn": 28, "text": "可是发红和有点红中似的没事吧", "role": "patient"}, {"turn": 29, "text": "应该没问题，你要是害怕就去医院在看一下", "role": "doctor"}, {"turn": 30, "text": "好吧", "role": "patient"}, {"turn": 31, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1318, "thread": [{"turn": 0, "text": "急性咽炎，要吃些什么药好一点？（男，26岁）刚开始是喉咙痛，后来是有点低，热，后来是头痛，现在是恶心啊，怕冷啊，全身酸痛啊，都有。", "role": "patient"}, {"turn": 1, "text": "需要吃感冒药。多喝水。", "role": "doctor"}, {"turn": 2, "text": "感冒药吃了没效果啊，这两天都没吃什么饭了？", "role": "patient"}, {"turn": 3, "text": "吃的什么药？", "role": "doctor"}, {"turn": 4, "text": "什么伤风停胶囊。", "role": "patient"}, {"turn": 5, "text": "我现在感觉就是喉咙痛跟头痛最严重的。", "role": "patient"}, {"turn": 6, "text": "现在吞口水都很痛。", "role": "patient"}, {"turn": 7, "text": "建议服用头孢类消炎药。再服用复方金刚烷安类感冒药", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1319, "thread": [{"turn": 0, "text": "治疗阳痿早泄用啥药见效快（男，48岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您服务", "role": "doctor"}, {"turn": 2, "text": "当然是西药见效快了", "role": "doctor"}, {"turn": 3, "text": "阳痿用药:", "role": "doctor"}, {"turn": 4, "text": "最常用、最有效的药物是5磷酸二酯酶的抑制剂，俗称“伟哥”类药物。包括西地那非（万艾可、金戈）、他打拉非（希爱力）、伐地那非（艾力达）", "role": "doctor"}, {"turn": 5, "text": "早泄用药:必利劲，盐酸舍曲林", "role": "doctor"}, {"turn": 6, "text": "阳痿用药您可以任选一种，早泄用药您任选一种，可以配合使用，中间错开10分钟就行。", "role": "doctor"}, {"turn": 7, "text": "哦", "role": "patient"}, {"turn": 8, "text": "阳痿早泄药怎么搭配好", "role": "patient"}, {"turn": 9, "text": "错开10分钟就行了。", "role": "doctor"}, {"turn": 10, "text": "比如我今天进行性生活，在性生活开始前一小时我先服用金戈，然后过45分钟以后我再服用必利劲就可以了。", "role": "doctor"}, {"turn": 11, "text": "也就三个左右", "role": "patient"}, {"turn": 12, "text": "服用顿长时间呢", "role": "patient"}, {"turn": 13, "text": "？？", "role": "doctor"}, {"turn": 14, "text": "没太明白您说的什么意思。", "role": "doctor"}, {"turn": 15, "text": "打个比方", "role": "doctor"}, {"turn": 16, "text": "如果您用的是金戈", "role": "doctor"}, {"turn": 17, "text": "推荐剂量为50毫克", "role": "doctor"}, {"turn": 18, "text": "在性活动前0.5-1小时都可以", "role": "doctor"}, {"turn": 19, "text": "您可以在性生活前1小时服用", "role": "doctor"}, {"turn": 20, "text": "剂量可增加至100毫克（最大推荐剂量）或降低至25毫克", "role": "doctor"}, {"turn": 21, "text": "每日最多服用1次。", "role": "doctor"}, {"turn": 22, "text": "您性生活前1小时服用金戈后，过10分钟再用必利劲", "role": "doctor"}, {"turn": 23, "text": "推荐的首次剂量为30mg，需要在性生活之前约1至3小时服用。如果服用30mg后效果不够满意且副作用尚在可接受范围以内，可以将用药剂量增加至最大推荐剂量的60mg。推荐的最大用药剂量使用频率为每24小时一次。", "role": "doctor"}, {"turn": 24, "text": "您性生活前1小时服用必利劲，过20分钟再用金戈", "role": "doctor"}, {"turn": 25, "text": "这样用，更好。", "role": "doctor"}, {"turn": 26, "text": "嗯", "role": "patient"}, {"turn": 27, "text": "🙏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1320, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：急性乳腺炎（女，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问发现多久了？", "role": "doctor"}, {"turn": 2, "text": "发烧吗", "role": "doctor"}, {"turn": 3, "text": "20多天", "role": "patient"}, {"turn": 4, "text": "不", "role": "patient"}, {"turn": 5, "text": "哺乳期吗？", "role": "doctor"}, {"turn": 6, "text": "嗯嗯", "role": "patient"}, {"turn": 7, "text": "血常规正常", "role": "patient"}, {"turn": 8, "text": "你好。您的情况考虑为乳汁堆积导致的的乳腺炎，建议您用毛巾热敷，用木梳子顺着乳房方向梳梳子，然后再用吸奶器吸，或者让宝宝吸。必要时可以找专业的催乳师按摩排空乳汁", "role": "doctor"}, {"turn": 9, "text": "疼  红肿", "role": "patient"}, {"turn": 10, "text": "是的", "role": "doctor"}, {"turn": 11, "text": "按照我说的试一试", "role": "doctor"}, {"turn": 12, "text": "有少量的血流现象", "role": "patient"}, {"turn": 13, "text": "乳头破了", "role": "patient"}, {"turn": 14, "text": "嗯，主要还是排空乳汁", "role": "doctor"}, {"turn": 15, "text": "乳头破了 咋整", "role": "patient"}, {"turn": 16, "text": "可以涂抹一些红霉素软膏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1321, "thread": [{"turn": 0, "text": "主动脉夹层手术后多久能工作（男，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问手术后多长时间了？", "role": "doctor"}, {"turn": 2, "text": "25天", "role": "patient"}, {"turn": 3, "text": "他原来是驾校教练，以后还能干这工作吗", "role": "patient"}, {"turn": 4, "text": "最好换换", "role": "doctor"}, {"turn": 5, "text": "尽量避免过劳过累等", "role": "doctor"}, {"turn": 6, "text": "朮后需要注意哪些事项", "role": "patient"}, {"turn": 7, "text": "需要多长时间才能工作", "role": "patient"}, {"turn": 8, "text": "术后需要控制血压", "role": "doctor"}, {"turn": 9, "text": "最好在120/80以下，当然一般不低于90/60", "role": "doctor"}, {"turn": 10, "text": "工作，需要根据病情恢复情况，半年以后看情况", "role": "doctor"}, {"turn": 11, "text": "高压一直在120一130之间，低压正常，这种情况需要再去医院吗", "role": "patient"}, {"turn": 12, "text": "还可以", "role": "doctor"}, {"turn": 13, "text": "有时侯坐一会儿后背觉的酸痛，走一会儿，大腿的部分肌肉发硬，这是术后的恢复还是有什么原因呢", "role": "patient"}, {"turn": 14, "text": "这些症状需要时间逐渐恢复", "role": "doctor"}, {"turn": 15, "text": "出院以后医生给开的这些降压药，苯磺酸氨氯地平5mg1片/次，3次/天\n替米沙坦20mg4片/次1次/天\n琥珀酸美托洛尔缓释片47.5mg/片1片/天\n螺内酯片20mg/片1次/天\n特拉唑嗪2mg/片3片/次睡前\n我想问您一下这些药是一直喝下去，还是血压稳定能降点量了，您有好的荐意吗？这么多降压药长时间服用对身体会不会造成伤害", "role": "patient"}, {"turn": 16, "text": "暂时不降", "role": "doctor"}, {"turn": 17, "text": "不减", "role": "doctor"}, {"turn": 18, "text": "术后复查时听一下手术医生的建议", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1322, "thread": [{"turn": 0, "text": "妇科支原体感染的怎么治疗（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，妇科支原体感染吃药治疗，做药敏实验了吗。如果没做可以吃多西环素", "role": "doctor"}, {"turn": 2, "text": "就可以治好", "role": "doctor"}, {"turn": 3, "text": "没做药敏，有孩子吃奶，吃过两盒啊奇没管用", "role": "patient"}, {"turn": 4, "text": "多西环素效果要优于阿奇霉素", "role": "doctor"}, {"turn": 5, "text": "这是我用药经验", "role": "doctor"}, {"turn": 6, "text": "好的，有孩子吃奶也没事吗", "role": "patient"}, {"turn": 7, "text": "有事", "role": "doctor"}, {"turn": 8, "text": "需要让孩子停止母乳", "role": "doctor"}, {"turn": 9, "text": "10天", "role": "doctor"}, {"turn": 10, "text": "一般10天可以治愈", "role": "doctor"}, {"turn": 11, "text": "这种情况要是等孩子不吃奶了在治疗行吗", "role": "patient"}, {"turn": 12, "text": "还是有什么别的办法", "role": "patient"}, {"turn": 13, "text": "没有别的办法", "role": "doctor"}, {"turn": 14, "text": "想让支原体转阴，只能吃药", "role": "doctor"}, {"turn": 15, "text": "那等两个月再治疗，问题大吗", "role": "patient"}, {"turn": 16, "text": "是解脲支原体感染吧，有什么症状呢", "role": "doctor"}, {"turn": 17, "text": "如果没有症状不要紧", "role": "doctor"}, {"turn": 18, "text": "白带多，有点黄", "role": "patient"}, {"turn": 19, "text": "我症状建议治疗", "role": "doctor"}, {"turn": 20, "text": "还有点宫颈炎", "role": "patient"}, {"turn": 21, "text": "那为什么不治疗要在等2个月呢", "role": "doctor"}, {"turn": 22, "text": "孩子吃奶啊", "role": "patient"}, {"turn": 23, "text": "用的取舍吧", "role": "doctor"}, {"turn": 24, "text": "总得取舍吧", "role": "doctor"}, {"turn": 25, "text": "治疗周期也不长", "role": "doctor"}, {"turn": 26, "text": "10天左右", "role": "doctor"}, {"turn": 27, "text": "那样就得给孩子掐奶", "role": "patient"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "那只能想你说的2个月以后在治疗了", "role": "doctor"}, {"turn": 30, "text": "那只能等，想你说的那样2个月后治疗", "role": "doctor"}, {"turn": 31, "text": "哦好的，就吃多西环素是吧", "role": "patient"}, {"turn": 32, "text": "是的", "role": "doctor"}, {"turn": 33, "text": "好的，谢谢", "role": "patient"}, {"turn": 34, "text": "药店买就行吧，吃几个", "role": "patient"}, {"turn": 35, "text": "一次一片一天二次", "role": "doctor"}, {"turn": 36, "text": "连续吃10天", "role": "doctor"}, {"turn": 37, "text": "停药3天复查", "role": "doctor"}, {"turn": 38, "text": "好的，谢谢", "role": "patient"}, {"turn": 39, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1323, "thread": [{"turn": 0, "text": "肩胛骨筋膜炎治疗方法？（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前主要都有什么症状（不适）？", "role": "doctor"}, {"turn": 2, "text": "今天下雨，疼的厉害", "role": "patient"}, {"turn": 3, "text": "原来平时也疼，贴过一段膏药，所以平时还好，不受凉就行", "role": "patient"}, {"turn": 4, "text": "想咨询一下有没有可以根除的办法", "role": "patient"}, {"turn": 5, "text": "目前可考虑外用代温灸膏，做做手法按摩，针灸等缓解症状。症状是可以缓解的，但有可能复发，不存在治疗一次永不复发", "role": "doctor"}, {"turn": 6, "text": "因此平时要减少同一姿势时间过久，加强锻炼，注意防寒保暖", "role": "doctor"}, {"turn": 7, "text": "这些平时有注意，只是今天下雨，疼的太厉害了，想看看有没有有效的治疗办法", "role": "patient"}, {"turn": 8, "text": "或者您推荐用什么药可以治疗", "role": "patient"}, {"turn": 9, "text": "这个病可以永久根治吗？", "role": "patient"}, {"turn": 10, "text": "口服药物可以考虑布洛芬，乐松，扶他林等", "role": "doctor"}, {"turn": 11, "text": "选择一种就可以", "role": "doctor"}, {"turn": 12, "text": "不存在，我之前提到过，你自己想想，治疗一次，然后想怎么zuo怎么zuo，都不会生病，你觉得可能吗", "role": "doctor"}, {"turn": 13, "text": "好的，外敷的药您有推荐的吗", "role": "patient"}, {"turn": 14, "text": "再者本身疾病和健康就是伴随着的，保养的好，疾病是可控的，保养的差，疾病会不可控，影响生活", "role": "doctor"}, {"turn": 15, "text": "刚刚我提到过，代温灸膏", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1324, "thread": [{"turn": 0, "text": "六岁宝宝吃完感冒药后体温35.5度（女，6岁）", "role": "patient"}, {"turn": 1, "text": "你好", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "这种情况考虑是病毒感染引起的", "role": "doctor"}, {"turn": 4, "text": "保保暖，喝些温水", "role": "doctor"}, {"turn": 5, "text": "五岁半宝宝，吃了感冒药说想睡觉35.5度", "role": "patient"}, {"turn": 6, "text": "现在睡觉，刚量了35度", "role": "patient"}, {"turn": 7, "text": "我该怎么办呢？", "role": "patient"}, {"turn": 8, "text": "保暖，不用特殊处理的", "role": "doctor"}, {"turn": 9, "text": "可以上来的", "role": "doctor"}, {"turn": 10, "text": "姐姐今天是乙流弱阳性，一直把她俩分开的", "role": "patient"}, {"turn": 11, "text": "要多盖被子吗？需不需要去医院", "role": "patient"}, {"turn": 12, "text": "晚饭精神都很好，饭后吃了橙子，不知道会不会是太凉了", "role": "patient"}, {"turn": 13, "text": "不用去医院", "role": "doctor"}, {"turn": 14, "text": "保暖就可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1325, "thread": [{"turn": 0, "text": "高血压正常低血压偏低怎么办（女，59岁）", "role": "patient"}, {"turn": 1, "text": "一方面饮食，食盐可以稍微多一点，平时多一些身体锻炼可以改善", "role": "doctor"}, {"turn": 2, "text": "廠医生您好！", "role": "patient"}, {"turn": 3, "text": "您好", "role": "doctor"}, {"turn": 4, "text": "我的高血压在11O左右，.低血压在40至52之間，現在该怎么调整這个問題？", "role": "patient"}, {"turn": 5, "text": "加强营养，鸡蛋，瘦肉，猪牛羊的肉哦！！", "role": "doctor"}, {"turn": 6, "text": "口味稍微重一些，盐多一点", "role": "doctor"}, {"turn": 7, "text": "最重要的，坚持有氧运动", "role": "doctor"}, {"turn": 8, "text": "可是我的血脂还有点偏高", "role": "patient"}, {"turn": 9, "text": "油脂，包括植物油少一些啊", "role": "doctor"}, {"turn": 10, "text": "并且运动是可以减脂的", "role": "doctor"}, {"turn": 11, "text": "哦", "role": "patient"}, {"turn": 12, "text": "每天坚持慢跑", "role": "doctor"}, {"turn": 13, "text": "慢跑運動可以让低血压升高吗？", "role": "patient"}, {"turn": 14, "text": "可以的，肌肉弹性更高，血液携氧能力更强", "role": "doctor"}, {"turn": 15, "text": "飲食要多吃什麼有助低血压的改善？", "role": "patient"}, {"turn": 16, "text": "鸡蛋！瘦肉", "role": "doctor"}, {"turn": 17, "text": "适当多一些咸盐", "role": "doctor"}, {"turn": 18, "text": "瘦肉指的是猪牛羊", "role": "doctor"}, {"turn": 19, "text": "好的，謝謝医生！！", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1326, "thread": [{"turn": 0, "text": "血尿酸600多，应该怎么降下来（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么症状么？", "role": "doctor"}, {"turn": 2, "text": "控制饮食，吃药物治疗", "role": "doctor"}, {"turn": 3, "text": "前几天痛风了，吃了几天药，刚不疼", "role": "patient"}, {"turn": 4, "text": "那需要降到300以下", "role": "doctor"}, {"turn": 5, "text": "怎么降啊", "role": "patient"}, {"turn": 6, "text": "听说别嘌呤有副作用", "role": "patient"}, {"turn": 7, "text": "没有肾结石可以吃苯溴马隆", "role": "doctor"}, {"turn": 8, "text": "避免大量进食高嘌呤食物，像花生，牛肉，猪肉，海鲜，如动物的内脏、沙丁鱼、金枪鱼，豆类及发酵食物等；鱼虾类、鲜肉、豌豆、菠菜、酒等！避免吃炖肉或卤肉。每天饮食中蛋白质的量应控制在每公斤体重1克左右，动物内脏心、肝、肠、肾、脑和肉汤等以及沙丁鱼、虾、贝等海鲜都应少吃。蛋白质以牛奶、鸡蛋为主。多喝水，每日保持3000毫升，少量多次喝完，以助尿酸排出。", "role": "doctor"}, {"turn": 9, "text": "还可以吃非布司他", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1327, "thread": [{"turn": 0, "text": "安全期体外射精会不会怀孕?（女，20岁）", "role": "patient"}, {"turn": 1, "text": "大部分不会，但有时会遇到类似病人怀孕了。因为女性不能确定男朋友在体外射精前没有射一点点在体内", "role": "doctor"}, {"turn": 2, "text": "今天早上做的，然后是第一次做，他要射的时候就出来了，月经是在五号左右来，是安全期吗，要吃避孕药吗", "role": "patient"}, {"turn": 3, "text": "都是个人口头表述，没办法去确定所有精液都排在了体外。", "role": "doctor"}, {"turn": 4, "text": "那我是不是最好吃一下避孕药", "role": "patient"}, {"turn": 5, "text": "是所谓的安全期，但安全期不是百分百不会怀孕的", "role": "doctor"}, {"turn": 6, "text": "只是几率比较低而已", "role": "doctor"}, {"turn": 7, "text": "可以推荐一下避孕药吗", "role": "patient"}, {"turn": 8, "text": "吃避孕药对身体伤害大吗", "role": "patient"}, {"turn": 9, "text": "短效口服避孕药，每天吃那种，副作用小。成功率高", "role": "doctor"}, {"turn": 10, "text": "优思明，优思悦等", "role": "doctor"}, {"turn": 11, "text": "那酶婷呢", "role": "patient"}, {"turn": 12, "text": "那是紧急避孕药，不建议常规服用", "role": "doctor"}, {"turn": 13, "text": "不是，是那个毓婷", "role": "patient"}, {"turn": 14, "text": "这样啊", "role": "patient"}, {"turn": 15, "text": "那优思明，优思悦这两种要吃多久", "role": "patient"}, {"turn": 16, "text": "紧急避孕药是预防意外的，不是计划之中的", "role": "doctor"}, {"turn": 17, "text": "按周期吃，吃的时候就有避孕作用，不吃的时候就没有", "role": "doctor"}, {"turn": 18, "text": "那吃多久停", "role": "patient"}, {"turn": 19, "text": "看你想避孕多久啊", "role": "doctor"}, {"turn": 20, "text": "每盒一周期，大概一个月", "role": "doctor"}, {"turn": 21, "text": "那如果我大姨妈来了是不是说明没怀孕", "role": "patient"}, {"turn": 22, "text": "我不知道该吃多久", "role": "patient"}, {"turn": 23, "text": "这个月已经不能用了", "role": "doctor"}, {"turn": 24, "text": "短效口服避孕药是月经开始就吃，避孕这个月", "role": "doctor"}, {"turn": 25, "text": "不是同房后吃的", "role": "doctor"}, {"turn": 26, "text": "也就是说是以后的建议，不是这次的处理。", "role": "doctor"}, {"turn": 27, "text": "来月经吃不会有影响吗", "role": "patient"}, {"turn": 28, "text": "不会的，你可以百度一下说明书，短效的就是这样的口服方法", "role": "doctor"}, {"turn": 29, "text": "一盒是一个月吗，那我吃一个月买一盒可以了吗", "role": "patient"}, {"turn": 30, "text": "只是在吃药这一个月才有避孕左右", "role": "doctor"}, {"turn": 31, "text": "那我这种情况该吃多久好呢？", "role": "patient"}, {"turn": 32, "text": "你先把这个月的问题处理好", "role": "doctor"}, {"turn": 33, "text": "现在不是吃这个药来处理这个月的问题", "role": "doctor"}, {"turn": 34, "text": "现在可以吃毓婷紧急避孕也可以不吃等月经", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1328, "thread": [{"turn": 0, "text": "人流早产多久可以再次怀孕（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好 根据您的病情描述，一般建议3 到6个月后再次备孕", "role": "doctor"}, {"turn": 2, "text": "上一胎早产要间隔3-6个月吗", "role": "patient"}, {"turn": 3, "text": "是的", "role": "doctor"}, {"turn": 4, "text": "3个月可以吗", "role": "patient"}, {"turn": 5, "text": "可以", "role": "doctor"}, {"turn": 6, "text": "恢复好了吗", "role": "patient"}, {"turn": 7, "text": "3个月以上就可以", "role": "doctor"}, {"turn": 8, "text": "不需要隔一年吗", "role": "patient"}, {"turn": 9, "text": "不需要", "role": "doctor"}, {"turn": 10, "text": "什么时候可以开始吃叶酸", "role": "patient"}, {"turn": 11, "text": "备孕前3个月开始服用", "role": "doctor"}, {"turn": 12, "text": "没有早产，正常生的话隔多久可以二胎", "role": "patient"}, {"turn": 13, "text": "也是3到6个月后", "role": "doctor"}, {"turn": 14, "text": "产妇子宫下垂是什么原因", "role": "patient"}, {"turn": 15, "text": "这种情况跟生产损伤有关系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1329, "thread": [{"turn": 0, "text": "治疗腰部:肌肉拉伤药酒处腰疼方（男，46岁）", "role": "patient"}, {"turn": 1, "text": "腰部的肌肉拉伤，要严格卧床休息，避免剧烈运动，适当的热敷理疗，促进局部的血液循环，疼痛严重可以吃一些布洛芬胶囊，一般会在3~4周左右，症状会逐渐的缓解，7-10天后基本上就可以下地活动。", "role": "doctor"}, {"turn": 2, "text": "有没有治疗腰部肌肉拉伤药酒处方", "role": "patient"}, {"turn": 3, "text": "这个没有，药酒也是通过擦拭活血化瘀的功效，你吃一些止痛药，局部热敷也可以达到效果", "role": "doctor"}, {"turn": 4, "text": "那应该吃什么药最好？", "role": "patient"}, {"turn": 5, "text": "像活血止痛胶囊，伸筋丹胶囊，疼痛严重就吃布洛芬胶囊，芬必得胶囊都可以。", "role": "doctor"}, {"turn": 6, "text": "主要是靠养。肌肉拉伤需要很长的时间，韧带拉伸最起码需要3~4成", "role": "doctor"}, {"turn": 7, "text": "3~4周", "role": "doctor"}, {"turn": 8, "text": "应该注意什么", "role": "patient"}, {"turn": 9, "text": "严格握硬板床休息腰部预热，7~10天后症状会逐渐的缓解。以免长时间的久坐。", "role": "doctor"}, {"turn": 10, "text": "一好的，谢谢你", "role": "patient"}, {"turn": 11, "text": "好的祝你健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1330, "thread": [{"turn": 0, "text": "颈椎病手木多少天恢复（男，47岁）", "role": "patient"}, {"turn": 1, "text": "你好，一般得术后制动一个月后才能活动，逐渐恢复", "role": "doctor"}, {"turn": 2, "text": "你好医生，现在有什么好办法", "role": "patient"}, {"turn": 3, "text": "现在有什么症状", "role": "doctor"}, {"turn": 4, "text": "现在在手抖无力，左脚，拖地\n无力", "role": "patient"}, {"turn": 5, "text": "嗯", "role": "doctor"}, {"turn": 6, "text": "症状比较厉害", "role": "doctor"}, {"turn": 7, "text": "医生说压胉时间长了", "role": "patient"}, {"turn": 8, "text": "对啊", "role": "doctor"}, {"turn": 9, "text": "是的", "role": "patient"}, {"turn": 10, "text": "现在最好的办法就是手术", "role": "doctor"}, {"turn": 11, "text": "现在有什么好办法", "role": "patient"}, {"turn": 12, "text": "还是考虑手术吧", "role": "doctor"}, {"turn": 13, "text": "做什么手木", "role": "patient"}, {"turn": 14, "text": "颈椎啊", "role": "doctor"}, {"turn": 15, "text": "手术失败了吗", "role": "patient"}, {"turn": 16, "text": "已经完成手术了吗", "role": "doctor"}, {"turn": 17, "text": "是的", "role": "patient"}, {"turn": 18, "text": "哦", "role": "doctor"}, {"turn": 19, "text": "症状缓解了多少了", "role": "doctor"}, {"turn": 20, "text": "手木7月14日刚做好", "role": "patient"}, {"turn": 21, "text": "哦", "role": "doctor"}, {"turn": 22, "text": "四个月了吗", "role": "doctor"}, {"turn": 23, "text": "是的", "role": "patient"}, {"turn": 24, "text": "没多大缓解", "role": "patient"}, {"turn": 25, "text": "现在还有什么症状", "role": "doctor"}, {"turn": 26, "text": "还是老样子", "role": "patient"}, {"turn": 27, "text": "回医院复查了吗？", "role": "doctor"}, {"turn": 28, "text": "手抖历害", "role": "patient"}, {"turn": 29, "text": "脚疼", "role": "patient"}, {"turn": 30, "text": "跟之前一个感觉吗", "role": "doctor"}, {"turn": 31, "text": "查了，医生说压胉时间长了", "role": "patient"}, {"turn": 32, "text": "基本差不多", "role": "patient"}, {"turn": 33, "text": "嗯", "role": "doctor"}, {"turn": 34, "text": "神经就是恢复比较慢", "role": "doctor"}, {"turn": 35, "text": "一般多长时间", "role": "patient"}, {"turn": 36, "text": "压迫时间长了，得缓过劲来，坏死了，再生更慢", "role": "doctor"}, {"turn": 37, "text": "现在可以做点什么理疗吗", "role": "patient"}, {"turn": 38, "text": "理疗就是促进循环", "role": "doctor"}, {"turn": 39, "text": "都可以", "role": "doctor"}, {"turn": 40, "text": "效果怎样", "role": "patient"}, {"turn": 41, "text": "可以体育锻炼吗？什么锻炼", "role": "patient"}, {"turn": 42, "text": "应该舒服", "role": "doctor"}, {"turn": 43, "text": "比如推拿行吗", "role": "patient"}, {"turn": 44, "text": "别推拿", "role": "doctor"}, {"turn": 45, "text": "太危险", "role": "doctor"}, {"turn": 46, "text": "那做什么", "role": "patient"}, {"turn": 47, "text": "上上热敷简单的，想做理疗也可以", "role": "doctor"}, {"turn": 48, "text": "平时手脚多锻炼", "role": "doctor"}, {"turn": 49, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 50, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1331, "thread": [{"turn": 0, "text": "附睾结核吃药要吃多长时间才能康复（男，33岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴问您解答问题。", "role": "doctor"}, {"turn": 2, "text": "你", "role": "patient"}, {"turn": 3, "text": "好", "role": "patient"}, {"turn": 4, "text": "一般要一年左右", "role": "doctor"}, {"turn": 5, "text": "可以完全康复吗", "role": "patient"}, {"turn": 6, "text": "可以的", "role": "doctor"}, {"turn": 7, "text": "睾丸上面有硬结，是怎么回事？", "role": "patient"}, {"turn": 8, "text": "结核就是这样子的", "role": "doctor"}, {"turn": 9, "text": "睾丸上面有硬结，要采取怎样的治疗方法？", "role": "patient"}, {"turn": 10, "text": "还有他这个有附睾炎，以后整个就是完全没有精液", "role": "patient"}, {"turn": 11, "text": "多大年纪了？", "role": "doctor"}, {"turn": 12, "text": "33岁", "role": "patient"}, {"turn": 13, "text": "那有可能要做手术把它切掉", "role": "doctor"}, {"turn": 14, "text": "是需要把整个附睾都切掉吗？", "role": "patient"}, {"turn": 15, "text": "就是把那个多余的肿大的", "role": "doctor"}, {"turn": 16, "text": "具体怎么做手术，这个要问外科，泌尿外科", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "建议你到泌尿外科去看一下吧", "role": "doctor"}, {"turn": 19, "text": "好的", "role": "patient"}, {"turn": 20, "text": "那个硬结有纸头的吗？", "role": "patient"}, {"turn": 21, "text": "像这个的话，吃药不可以吗？", "role": "patient"}, {"turn": 22, "text": "这个你先吃药看一下", "role": "doctor"}, {"turn": 23, "text": "然后再去泌尿外科看一下", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1332, "thread": [{"turn": 0, "text": "腰间盘突出护腰带多久合适？（男，47岁）", "role": "patient"}, {"turn": 1, "text": "你好，腰椎间盘突出压迫神经导致下肢疼痛麻木无力，突出平卧硬板床，带腰围作用不大，腰疼下地活动可以带腰围保护，一般一周左右，带时间长了不好，容易导致肌肉无力。", "role": "doctor"}, {"turn": 2, "text": "腰椎间盘突出，首先保守治疗，平卧硬板床，口服舒筋健腰丸或者腰痛宁胶囊，加迈之灵，疼痛严重加用消炎镇痛药物，如洛索洛芬或者双氯芬酸钠，外用天和骨通贴膏缓解局部疼痛，严重的静滴甘露醇和地塞米松，麻木可以口服营养神经药物，维生素B1，甲钴胺，保守无效，影响生活考虑手术治疗。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1333, "thread": [{"turn": 0, "text": "胆囊结石切除手术后会得后遗症吗?（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，这个绝大多数都不会有后遗症的", "role": "doctor"}, {"turn": 2, "text": "您好医生。", "role": "patient"}, {"turn": 3, "text": "小部分人短期内可能会出现消化不良的症状", "role": "doctor"}, {"turn": 4, "text": "我8月14号做的胆囊结石切除手术完后屁股打了一针现在这个部位有点疼是没有问题吧？", "role": "patient"}, {"turn": 5, "text": "没问题的", "role": "doctor"}, {"turn": 6, "text": "都过了那么久了，不有疼，但是这几天才疼的。疼得好几天了没好？", "role": "patient"}, {"turn": 7, "text": "我买消炎药来吃了两天了也没见好。", "role": "patient"}, {"turn": 8, "text": "好担心，怕有什么事，", "role": "patient"}, {"turn": 9, "text": "看看那个地方有没有红肿啥的", "role": "doctor"}, {"turn": 10, "text": "一般没事的", "role": "doctor"}, {"turn": 11, "text": "不是刀口，这面就是屁股，这打针了一块疼也没有什么红肿。", "role": "patient"}, {"turn": 12, "text": "这个应该没什么的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1334, "thread": [{"turn": 0, "text": "感冒，咳嗽有白痰，干呕（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "三天了", "role": "patient"}, {"turn": 5, "text": "发烧吗", "role": "doctor"}, {"turn": 6, "text": "请问买什么药？", "role": "patient"}, {"turn": 7, "text": "有点儿吧，没测量体温", "role": "patient"}, {"turn": 8, "text": "流鼻涕", "role": "patient"}, {"turn": 9, "text": "你做过啥检查吗", "role": "doctor"}, {"turn": 10, "text": "喉咙痒", "role": "patient"}, {"turn": 11, "text": "没有呢", "role": "patient"}, {"turn": 12, "text": "有黄痰吗", "role": "doctor"}, {"turn": 13, "text": "没有", "role": "patient"}, {"turn": 14, "text": "建议抗病毒治疗", "role": "doctor"}, {"turn": 15, "text": "流感流行季节", "role": "doctor"}, {"turn": 16, "text": "买哪些药", "role": "patient"}, {"turn": 17, "text": "小柴胡颗粒     奥司他韦胶囊     二氧丙嗪片", "role": "doctor"}, {"turn": 18, "text": "????", "role": "patient"}, {"turn": 19, "text": "谢谢", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}, {"turn": 21, "text": "能和你说点别的", "role": "doctor"}, {"turn": 22, "text": "？", "role": "patient"}, {"turn": 23, "text": "没事了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1335, "thread": [{"turn": 0, "text": "扁桃体炎发炎，经常会痛（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "每年发作几次？", "role": "doctor"}, {"turn": 3, "text": "这次有五天了", "role": "patient"}, {"turn": 4, "text": "一年有十来次", "role": "patient"}, {"turn": 5, "text": "你好", "role": "patient"}, {"turn": 6, "text": "考虑慢性扁桃体炎。反复发作的话，建议手术切除双侧扁桃体。", "role": "doctor"}, {"turn": 7, "text": "您的情况考虑慢性扁桃体炎，个人建议行双侧扁桃体切除术。扁桃体手术切除指针如下：1.扁桃体反复发炎，大于每年3-5次以上。2.扁桃体过度肥大，影响通气，吞咽。3.扁桃体良恶性肿瘤。4.引起全身免疫系统疾病。诱发慢性肾炎，心内膜炎。从您的描述来看，扁桃体炎的病程长，频率每月1次，目前扁桃体已经作为一个病灶存在，会对身体造成严重危害，甚至严重的会引起肾炎等免疫系统疾病。唯有手术完整切除才能解决。希望能对您有帮助。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1336, "thread": [{"turn": 0, "text": "小孩睡觉不咳嗽醒着就咳嗽又不是肺炎（女，10岁）", "role": "patient"}, {"turn": 1, "text": "咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "有没有发烧？", "role": "doctor"}, {"turn": 3, "text": "快两个月了，也没发烧。", "role": "patient"}, {"turn": 4, "text": "咳嗽有痰吗", "role": "doctor"}, {"turn": 5, "text": "刚开始没有，现在有。", "role": "patient"}, {"turn": 6, "text": "都是吃过什么药？", "role": "doctor"}, {"turn": 7, "text": "不清楚，都是正规医院开出来的。", "role": "patient"}, {"turn": 8, "text": "住院了，上午刚办完出院手续下午又咳了。", "role": "patient"}, {"turn": 9, "text": "超过一周的咳嗽就需要考虑过敏性咳嗽的问题", "role": "doctor"}, {"turn": 10, "text": "可以加用抗过敏药物", "role": "doctor"}, {"turn": 11, "text": "那要加什么药？", "role": "patient"}, {"turn": 12, "text": "可以吃地氯雷他定干混悬剂", "role": "doctor"}, {"turn": 13, "text": "是叫医生多开这种药是吗？", "role": "patient"}, {"turn": 14, "text": "是的，", "role": "doctor"}, {"turn": 15, "text": "反反复复住院出院好多次了，都是出院后不超过一下午又咳个不停。", "role": "patient"}, {"turn": 16, "text": "做一下肺功能测试，看看有没有咳嗽变异性哮喘的可能", "role": "doctor"}, {"turn": 17, "text": "检查了，没问题。", "role": "patient"}, {"turn": 18, "text": "如果没有，加抗过敏药物吃", "role": "doctor"}, {"turn": 19, "text": "那只能试下了。", "role": "patient"}, {"turn": 20, "text": "谢谢！", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1337, "thread": [{"turn": 0, "text": "睡醒觉耳鸣，今天一天了（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，以前有过这种情况吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "听力有影响吗", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "就是耳朵嗡嗡响", "role": "patient"}, {"turn": 6, "text": "很别扭", "role": "patient"}, {"turn": 7, "text": "很难受", "role": "patient"}, {"turn": 8, "text": "最好明天及时去医院耳鼻喉科检查看看，及时药物治疗", "role": "doctor"}, {"turn": 9, "text": "您不知道？", "role": "patient"}, {"turn": 10, "text": "耳鸣治疗越早越好", "role": "doctor"}, {"turn": 11, "text": "我要知道病情我也去医院", "role": "patient"}, {"turn": 12, "text": "药物治疗也需要去医院", "role": "doctor"}, {"turn": 13, "text": "是双耳还是单耳耳鸣", "role": "doctor"}, {"turn": 14, "text": "那我这是怎么造成的？", "role": "patient"}, {"turn": 15, "text": "引起耳鸣的病因很多，可能是感冒劳累，精神因素或听力系统病变等等", "role": "doctor"}, {"turn": 16, "text": "我没感冒 就是这两天睡得不怎么好", "role": "patient"}, {"turn": 17, "text": "我刚刚睡醒 就耳鸣了", "role": "patient"}, {"turn": 18, "text": "可能有关，但是耳鸣很多时候很难明确具体病因", "role": "doctor"}, {"turn": 19, "text": "那我明天还是去趟医院吧", "role": "patient"}, {"turn": 20, "text": "嗯，及时使用营养神经，激素等药物治疗", "role": "doctor"}, {"turn": 21, "text": "注意休息", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1338, "thread": [{"turn": 0, "text": "气虚，脾虚，食物差！（女，65岁）", "role": "patient"}, {"turn": 1, "text": "您好，愿意为您提供咨询服务", "role": "doctor"}, {"turn": 2, "text": "把肺脾气虚的症状发给你，仔细阅读后，把其中符合你情况的症状全部都写下来", "role": "doctor"}, {"turn": 3, "text": "肺脾气虚的症状：\n气短（或活动后气喘），爱出汗，说话声音低弱，有时觉得冷，有时又觉得热，容易感冒；食欲不好，餐后胃不舒服，疲乏无力或四肢沉重，不爱活动，面色发黄，大便不成形吗？", "role": "doctor"}, {"turn": 4, "text": "应该把你的症状都描述清楚，如果不知道你的症状，无法提出用药建议", "role": "doctor"}, {"turn": 5, "text": "把症状描述清楚，便于准确用药", "role": "doctor"}, {"turn": 6, "text": "气虚、脾虚，食欲不佳的用药建议：\n一，人参健脾丸\n二，香砂六君丸", "role": "doctor"}, {"turn": 7, "text": "上面的两个药既能补气又能健脾助消化（增强食欲）", "role": "doctor"}, {"turn": 8, "text": "吃上面介绍的这两个药应该就可以", "role": "doctor"}, {"turn": 9, "text": "如果气虚非常严重，可以考虑再加服补中益气丸", "role": "doctor"}, {"turn": 10, "text": "（先吃人参健脾丸与香砂六君丸看看效果如何，如果气虚不能得到有效的纠正，再加服补中益气丸）", "role": "doctor"}, {"turn": 11, "text": "如果吃人参健脾丸与香砂六君丸有效果，应该坚持服用到症状明显好转（基本痊愈）", "role": "doctor"}, {"turn": 12, "text": "如果是在服药期间症状出现了变化，应该及时更换治疗药物", "role": "doctor"}, {"turn": 13, "text": "如果是吃人参健脾丸与香砂六君丸效果不好，则应该改喝汤药治疗", "role": "doctor"}, {"turn": 14, "text": "再把脾胃病的饮食注意事项和其他注意事项发给你，供参考", "role": "doctor"}, {"turn": 15, "text": "脾胃病的饮食注意和其他注意事项\n一,饮食注意：一是饮食要有时间规律，一日三餐的时间不应差的太多；二是吃饭要大致定量，好的不多吃，不顺口的也不少吃；三是不宜吃得过多过饱（如果觉得饿，可以少量多餐）；四是少吃或不吃不容易消化的食物（如粘豆包，炸糕，烙饼等）；五是尽量不吃刺激性食物（如生葱，生蒜，辣椒等）；六是不吃或少吃冷凉食物，特别是冷饮等；七是吃饭应细嚼慢咽，不应狼吞虎咽；八是尽量少吃酸性食物，特别是反酸烧心的病人，应不吃酸性食物。\n二，其他注意：1要保持情绪的稳定，不激动，尽量少生气或不生气，保持舒畅的心情。2要注意保持充足的睡眠。3要在饭后特别是晚饭后应适当散步。4要避免过度劳累。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1339, "thread": [{"turn": 0, "text": "医生，关节韧带扭伤，一个星期恢复够吗（男，23岁）", "role": "patient"}, {"turn": 1, "text": "不够 软组织损伤恢复最起码三周 可以贴膏药", "role": "doctor"}, {"turn": 2, "text": "我要去当兵了，恢复有半个月差不多", "role": "patient"}, {"turn": 3, "text": "部队里不能贴膏药", "role": "patient"}, {"turn": 4, "text": "热敷吧 可以帮助缓解 但是最好歇够三周", "role": "doctor"}, {"turn": 5, "text": "怎么热敷？", "role": "patient"}, {"turn": 6, "text": "热毛巾敷啊 加速血液循环 利于组织恢复", "role": "doctor"}, {"turn": 7, "text": "用取暖器照可以吗", "role": "patient"}, {"turn": 8, "text": "可以 但是没有热毛巾热敷效果好", "role": "doctor"}, {"turn": 9, "text": "我绑了膏药，就这样把毛巾绑上面吗", "role": "patient"}, {"turn": 10, "text": "把热毛巾贴上面", "role": "doctor"}, {"turn": 11, "text": "刚开的水冲在热毛巾上。贴上去。是这样吗", "role": "patient"}, {"turn": 12, "text": "嗯 是的 注意温度 别烫伤了", "role": "doctor"}, {"turn": 13, "text": "温水可以吗，", "role": "patient"}, {"turn": 14, "text": "60～70度就行", "role": "doctor"}, {"turn": 15, "text": "一天热敷几次", "role": "patient"}, {"turn": 16, "text": "三四次", "role": "doctor"}, {"turn": 17, "text": "时间是跟吃药一个意思吗", "role": "patient"}, {"turn": 18, "text": "差不多", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1340, "thread": [{"turn": 0, "text": "脚扭伤引起的寒热可以吃头孢拉丁么（男，38岁）", "role": "patient"}, {"turn": 1, "text": "这种情况多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "你好，现在有什么症状？", "role": "doctor"}, {"turn": 3, "text": "还有什么其它的不适症状吗？", "role": "doctor"}, {"turn": 4, "text": "就有点寒热", "role": "patient"}, {"turn": 5, "text": "发热吗？", "role": "doctor"}, {"turn": 6, "text": "脚上一根筋，足弓一走就痛", "role": "patient"}, {"turn": 7, "text": "白天没发热，一到晚上有点发热", "role": "patient"}, {"turn": 8, "text": "低烧", "role": "patient"}, {"turn": 9, "text": "体温多少？", "role": "doctor"}, {"turn": 10, "text": "做过什么检查吗？", "role": "doctor"}, {"turn": 11, "text": "化验血没有", "role": "doctor"}, {"turn": 12, "text": "没，骑自行车引起的劳损", "role": "patient"}, {"turn": 13, "text": "体温没量", "role": "patient"}, {"turn": 14, "text": "一般情况扭伤不会引起发热", "role": "doctor"}, {"turn": 15, "text": "不是很高", "role": "patient"}, {"turn": 16, "text": "建议你检查下", "role": "doctor"}, {"turn": 17, "text": "去医院检查看看是什么原因引起的发热", "role": "doctor"}, {"turn": 18, "text": "好的，可以吃头孢拉丁么", "role": "patient"}, {"turn": 19, "text": "还是芬必得", "role": "patient"}, {"turn": 20, "text": "先不要吃药", "role": "doctor"}, {"turn": 21, "text": "好的👌", "role": "patient"}, {"turn": 22, "text": "查明什么原因", "role": "doctor"}, {"turn": 23, "text": "就是扭伤，运动引起的", "role": "patient"}, {"turn": 24, "text": "可以用点外用药", "role": "doctor"}, {"turn": 25, "text": "比如雪山金锣汉涂抹剂", "role": "doctor"}, {"turn": 26, "text": "或者扶他林", "role": "doctor"}, {"turn": 27, "text": "体温38", "role": "patient"}, {"turn": 28, "text": "有点发热", "role": "doctor"}, {"turn": 29, "text": "多喝点热水", "role": "doctor"}, {"turn": 30, "text": "好的", "role": "patient"}, {"turn": 31, "text": "好的", "role": "patient"}, {"turn": 32, "text": "祝你早日康复，天天开心快乐", "role": "doctor"}, {"turn": 33, "text": "早点睡吧！好梦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1341, "thread": [{"turn": 0, "text": "宝宝六个月便秘，吃什么食物可以缓解（女，26岁）", "role": "patient"}, {"turn": 1, "text": "您好，大便几天一次呢？", "role": "doctor"}, {"turn": 2, "text": "可以用点醒脾养儿颗粒看看", "role": "doctor"}, {"turn": 3, "text": "大便七天一次", "role": "patient"}, {"turn": 4, "text": "以前的时候纯母乳也是三四天一次", "role": "patient"}, {"turn": 5, "text": "但是大便不干", "role": "patient"}, {"turn": 6, "text": "现在添加米粉，大便干", "role": "patient"}, {"turn": 7, "text": "宝宝大便哭闹", "role": "patient"}, {"turn": 8, "text": "不想用药什么的，打算通过添加辅食改善", "role": "patient"}, {"turn": 9, "text": "宝宝喝水少，不喜欢喝水", "role": "patient"}, {"turn": 10, "text": "？？？", "role": "patient"}, {"turn": 11, "text": "不好意思，刚才信号不好，", "role": "doctor"}, {"turn": 12, "text": "可以适当给宝宝喝点自制的果汁，菜泥等，适当用点油脂类的", "role": "doctor"}, {"turn": 13, "text": "香蕉  苹果  土豆泥什么的可以么", "role": "patient"}, {"turn": 14, "text": "可以吃馒头芯或者肉类吗", "role": "patient"}, {"turn": 15, "text": "可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1342, "thread": [{"turn": 0, "text": "宝贝15天便秘，想换奶粉", "role": "patient"}, {"turn": 1, "text": "奶粉喂养的宝宝大便会比较干的", "role": "doctor"}, {"turn": 2, "text": "可是拉的和羊屎蛋一样", "role": "patient"}, {"turn": 3, "text": "很费劲", "role": "patient"}, {"turn": 4, "text": "一次拉一个", "role": "patient"}, {"turn": 5, "text": "肚子还有点涨", "role": "patient"}, {"turn": 6, "text": "喂养时加点白糖吧", "role": "doctor"}, {"turn": 7, "text": "葡萄糖粉可以吗？", "role": "patient"}, {"turn": 8, "text": "还有现在给他吃的妈咪爱", "role": "patient"}, {"turn": 9, "text": "可以，对大便没有用的", "role": "doctor"}, {"turn": 10, "text": "妈咪爱可以", "role": "doctor"}, {"turn": 11, "text": "是不是得多喝水？", "role": "patient"}, {"turn": 12, "text": "葡萄糖没用", "role": "doctor"}, {"turn": 13, "text": "多喝水也不行的", "role": "doctor"}, {"turn": 14, "text": "白糖？就是家里的白砂糖？", "role": "patient"}, {"turn": 15, "text": "是的", "role": "doctor"}, {"turn": 16, "text": "这个对排便有好处？", "role": "patient"}, {"turn": 17, "text": "有的", "role": "doctor"}, {"turn": 18, "text": "直接加奶粉里？", "role": "patient"}, {"turn": 19, "text": "对", "role": "doctor"}, {"turn": 20, "text": "放一点点就行？", "role": "patient"}, {"turn": 21, "text": "不用有甜味吧？", "role": "patient"}, {"turn": 22, "text": "不用的", "role": "doctor"}, {"turn": 23, "text": "不要太多", "role": "doctor"}, {"turn": 24, "text": "嗯嗯，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气，希望对你有所帮助(^_^)", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1343, "thread": [{"turn": 0, "text": "晚上感觉耳鸣特别厉害，是什么原因？（女，29岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "劳累或者熬夜了吗？", "role": "doctor"}, {"turn": 3, "text": "好几年了", "role": "patient"}, {"turn": 4, "text": "以前没在意过", "role": "patient"}, {"turn": 5, "text": "以为是正常的", "role": "patient"}, {"turn": 6, "text": "现在觉得有点严重了", "role": "patient"}, {"turn": 7, "text": "白天也能微微听到有点耳鸣", "role": "patient"}, {"turn": 8, "text": "那您应该查查的", "role": "doctor"}, {"turn": 9, "text": "做个耳镜，最好做个头颅核磁，", "role": "doctor"}, {"turn": 10, "text": "耳鸣分好多种", "role": "doctor"}, {"turn": 11, "text": "中耳炎可能耳鸣", "role": "doctor"}, {"turn": 12, "text": "听神经瘤可能耳鸣", "role": "doctor"}, {"turn": 13, "text": "其实最大的概率还是神经性耳鸣", "role": "doctor"}, {"turn": 14, "text": "神经性耳鸣，就是输液或者吃药，营养神经，改善微循环", "role": "doctor"}, {"turn": 15, "text": "嗯嗯，我7月份做了体检，好像有头颅核磁这项，也没啥异常的呢", "role": "patient"}, {"turn": 16, "text": "小时候得过中耳炎", "role": "patient"}, {"turn": 17, "text": "耳朵里面痛还流脓的那种", "role": "patient"}, {"turn": 18, "text": "会不会跟这有关系呢", "role": "patient"}, {"turn": 19, "text": "恩，中耳炎是可能会导致耳鸣的，不好意思，一直在查房，刚完事", "role": "doctor"}, {"turn": 20, "text": "嗯嗯没事的", "role": "patient"}, {"turn": 21, "text": "小时候得了中耳炎，会影响到现在的耳鸣吗？", "role": "patient"}, {"turn": 22, "text": "因为不知道有没有复发", "role": "doctor"}, {"turn": 23, "text": "如果复发可能会导致", "role": "doctor"}, {"turn": 24, "text": "应该没有复发的，没有觉得痛", "role": "patient"}, {"turn": 25, "text": "这需要怎么检查呢？", "role": "patient"}, {"turn": 26, "text": "我想知道一下耳鸣的原因是什么，需要做哪些检查", "role": "patient"}, {"turn": 27, "text": "做耳镜，就能看看有没有中耳炎，", "role": "doctor"}, {"turn": 28, "text": "您有听力下降吗？", "role": "doctor"}, {"turn": 29, "text": "可以在做个纯音听阈和声阻抗", "role": "doctor"}, {"turn": 30, "text": "神经性耳鸣，是循环的问题", "role": "doctor"}, {"turn": 31, "text": "输液，或者吃药，就是营养神经，改善微循环", "role": "doctor"}, {"turn": 32, "text": "听力好像有那么一点点吧，因为也没测试过，具体不清楚听力到底是不是降低了，平时的说话声响什么的都能听见", "role": "patient"}, {"turn": 33, "text": "因为分高频低频，咱们正常说话算低频，您测一下，能测出来高频还是低频有问题", "role": "doctor"}, {"turn": 34, "text": "年轻，如果有问题，输输液，还是有很大程度能好转", "role": "doctor"}, {"turn": 35, "text": "嗯嗯好的，谢谢意思", "role": "patient"}, {"turn": 36, "text": "不客气您，今天手术有点多，确实有点慢回复的，实在抱歉，😊😊😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1344, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：严重便秘（女，25岁）", "role": "patient"}, {"turn": 1, "text": "你好请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "一个多月了\n严重就是近半个月", "role": "patient"}, {"turn": 3, "text": "有腹痛腹胀吗？最近活动量怎么样", "role": "doctor"}, {"turn": 4, "text": "活动量不大。腹胀", "role": "patient"}, {"turn": 5, "text": "饮食怎么样啊？", "role": "doctor"}, {"turn": 6, "text": "还是正常吃饭，没有吃辛辣刺激食物。没减过肥", "role": "patient"}, {"turn": 7, "text": "最近又没有感冒，或在外地生活", "role": "doctor"}, {"turn": 8, "text": "有时候想排便，但是排不出来，感觉堵住了一样", "role": "patient"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "大便很干燥还是大便解不出来呀", "role": "doctor"}, {"turn": 11, "text": "排大便的时候很难。排出来是干燥的，一小坨的", "role": "patient"}, {"turn": 12, "text": "建议多吃蔬菜，多喝点水，每天都多走走运动一下，", "role": "doctor"}, {"turn": 13, "text": "没有其他的问题吧？", "role": "patient"}, {"turn": 14, "text": "没事，考虑活动量少，", "role": "doctor"}, {"turn": 15, "text": "多喝水多活动，每天可吃点火龙果或香蕉", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1345, "thread": [{"turn": 0, "text": "一岁半宝宝吃虾全吐了（男，1岁5个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝有什么症状呢？", "role": "doctor"}, {"turn": 2, "text": "出现多久了？呕吐物都是什么东西？", "role": "doctor"}, {"turn": 3, "text": "吃的虾仁水饺看着消化不良", "role": "patient"}, {"turn": 4, "text": "今天下午喝的奶", "role": "patient"}, {"turn": 5, "text": "用什么药了", "role": "doctor"}, {"turn": 6, "text": "有五六个小时了，", "role": "patient"}, {"turn": 7, "text": "给刚貼了丁桂儿脐贴", "role": "patient"}, {"turn": 8, "text": "宝宝还喝母乳的，多长时间可以喂母乳", "role": "patient"}, {"turn": 9, "text": "可以喝一点红糖姜水，和胃止吐，解鱼虾毒", "role": "doctor"}, {"turn": 10, "text": "医生刚又吐了", "role": "patient"}, {"turn": 11, "text": "喝一点我说的", "role": "doctor"}, {"turn": 12, "text": "注意观察一下体温", "role": "doctor"}, {"turn": 13, "text": "可以喝水吧", "role": "patient"}, {"turn": 14, "text": "喝要一点一点喝", "role": "doctor"}, {"turn": 15, "text": "体温正常", "role": "patient"}, {"turn": 16, "text": "顺时针方向按摩一下肚脐周围", "role": "doctor"}, {"turn": 17, "text": "今天下午还吃了点葡萄有五个葡萄粒，还喝的草莓酸奶", "role": "patient"}, {"turn": 18, "text": "吃多了积食", "role": "doctor"}, {"turn": 19, "text": "放锅里煮吗", "role": "patient"}, {"turn": 20, "text": "开水泡", "role": "doctor"}, {"turn": 21, "text": "他睡觉的可以喝红糖姜水", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}, {"turn": 23, "text": "泡多长时间医生", "role": "patient"}, {"turn": 24, "text": "5分钟左右就可以喝", "role": "doctor"}, {"turn": 25, "text": "多长时间可以喂奶", "role": "patient"}, {"turn": 26, "text": "奶不着急", "role": "doctor"}, {"turn": 27, "text": "不喝也没事", "role": "doctor"}, {"turn": 28, "text": "天亮再说", "role": "doctor"}, {"turn": 29, "text": "姜切成小块吗", "role": "patient"}, {"turn": 30, "text": "是的", "role": "doctor"}, {"turn": 31, "text": "宝宝还睡的很香", "role": "patient"}, {"turn": 32, "text": "可以观察一下", "role": "doctor"}, {"turn": 33, "text": "是不是不能平躺啊，吐了我一直抱着的", "role": "patient"}, {"turn": 34, "text": "侧躺着", "role": "doctor"}, {"turn": 35, "text": "左侧还是右侧医生", "role": "patient"}, {"turn": 36, "text": "右侧", "role": "doctor"}, {"turn": 37, "text": "宝宝睡觉也能给喝红糖姜水", "role": "patient"}, {"turn": 38, "text": "可以", "role": "doctor"}, {"turn": 39, "text": "医生宝宝都的吐几次啊", "role": "patient"}, {"turn": 40, "text": "喝一点就不吐了", "role": "doctor"}, {"turn": 41, "text": "奥谢谢，我切了三片姜不少吧，用的赤沙红糖可以吧", "role": "patient"}, {"turn": 42, "text": "可以", "role": "doctor"}, {"turn": 43, "text": "刚刚就喂了一勺又吐了点，还给喝红糖姜水吧", "role": "patient"}, {"turn": 44, "text": "一点点喝", "role": "doctor"}, {"turn": 45, "text": "不要喝凉了", "role": "doctor"}, {"turn": 46, "text": "大约喂几勺医生", "role": "patient"}, {"turn": 47, "text": "可以适当多喝些", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1346, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：小儿便秘（男，2岁）", "role": "patient"}, {"turn": 1, "text": "你好", "role": "doctor"}, {"turn": 2, "text": "孩子便秘多长时间了？一般几天接一次大便？", "role": "doctor"}, {"turn": 3, "text": "还在吗？", "role": "doctor"}, {"turn": 4, "text": "孩子一般几天解一次大便呢？", "role": "doctor"}, {"turn": 5, "text": "有一个礼拜 开始三天yi c", "role": "patient"}, {"turn": 6, "text": "宝宝如果大便时费劲、次数减少、粪便很干硬，要考虑发生便秘 建议辅食中多添加菜泥 水果泥 如香蕉 苹果泥 芹菜等 饮食调节如果不能很快见效 可以口服小儿七星茶颗粒、金银花露或者乳果糖口服液等，大便太干硬可酌情使用开塞露 ，以免肛门破损", "role": "doctor"}, {"turn": 7, "text": "昨天 前天 都大便了 今天没有", "role": "patient"}, {"turn": 8, "text": "大便干燥吗？", "role": "doctor"}, {"turn": 9, "text": "昨天大便不干 但是只要宝宝想大便的时候 他就喊屁眼疼", "role": "patient"}, {"turn": 10, "text": "奥以前大便干燥过吗？", "role": "doctor"}, {"turn": 11, "text": "但是一时有解不出来", "role": "patient"}, {"turn": 12, "text": "以前有点干", "role": "patient"}, {"turn": 13, "text": "那样的话可能是因为大便干燥引起有点肛裂", "role": "doctor"}, {"turn": 14, "text": "宝宝如果大便时费劲、次数减少、粪便很干硬，要考虑发生便秘 建议辅食中多添加菜泥 水果泥 如香蕉 苹果泥 芹菜等 饮食调节如果不能很快见效 可以口服小儿七星茶颗粒、金银花露或者乳果糖口服液等，大便太干硬可酌情使用开塞露 ，以免肛门破损", "role": "doctor"}, {"turn": 15, "text": "那怎么办", "role": "patient"}, {"turn": 16, "text": "平时调理饮食多揉揉肚子顺时针大便实在干燥就临时用开塞露", "role": "doctor"}, {"turn": 17, "text": "便秘还是需要平时饮食调理的", "role": "doctor"}, {"turn": 18, "text": "用过了", "role": "patient"}, {"turn": 19, "text": "宝宝如果大便时费劲、次数减少、粪便很干硬，要考虑发生便秘 建议辅食中多添加菜泥 水果泥 如香蕉 苹果泥 芹菜等 饮食调节如果不能很快见效 可以口服小儿七星茶颗粒、金银花露或者乳果糖口服液等，大便太干硬可酌情使用开塞露 ，以免肛门破损", "role": "doctor"}, {"turn": 20, "text": "这个药效果好吗", "role": "patient"}, {"turn": 21, "text": "一般效果不错的", "role": "doctor"}, {"turn": 22, "text": "三个月宝宝咳嗽能吃什么药", "role": "patient"}, {"turn": 23, "text": "咳嗽几天了？喘吗？看过大夫吗？", "role": "doctor"}, {"turn": 24, "text": "我看过他的屁眼 没有伤口", "role": "patient"}, {"turn": 25, "text": "有三天了 有一点喘 就是咳 医生看过 有听诊器听过", "role": "patient"}, {"turn": 26, "text": "那考虑气管有炎症的", "role": "doctor"}, {"turn": 27, "text": "便秘的孩子也是三个月吗？", "role": "doctor"}, {"turn": 28, "text": "说没有什么 开了一点止咳药没有起作用", "role": "patient"}, {"turn": 29, "text": "那能吃什么药 便秘是二岁了", "role": "patient"}, {"turn": 30, "text": "那样的话，可以给孩子吃点阿莫西林颗粒和咳喘灵颗粒吧，因为孩子太小，最好的时候是找大夫听一下，别是肺炎了最近肺炎的孩子挺多的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1347, "thread": [{"turn": 0, "text": "左慈耳鸣丸银杏叶片甲钴胺胶囊能同吃吗（男，56岁）", "role": "patient"}, {"turn": 1, "text": "你好。这几个可以一起吃的。没影响的", "role": "doctor"}, {"turn": 2, "text": "银杏叶片甲钴胺片左聋左慈丸能同时服用吗", "role": "patient"}, {"turn": 3, "text": "可以同时服用的", "role": "doctor"}, {"turn": 4, "text": "二十四岁女孩掉头发吃什么药", "role": "patient"}, {"turn": 5, "text": "掉头发这种情况最好去中医院号脉吃中药调理比较好", "role": "doctor"}, {"turn": 6, "text": "好的", "role": "patient"}, {"turn": 7, "text": "轻中度耳鸣还可以吃什么中成药？", "role": "patient"}, {"turn": 8, "text": "比如说金匮肾气丸，五子衍宗丸，六味地黄丸等，能不能加在一起吃", "role": "patient"}, {"turn": 9, "text": "耳鸣。就吃呢开始说的那几个药就可以了", "role": "doctor"}, {"turn": 10, "text": "银杏叶片甲钴胺片和耳聋左慈丸", "role": "doctor"}, {"turn": 11, "text": "那好吧", "role": "patient"}, {"turn": 12, "text": "嗯😊", "role": "doctor"}, {"turn": 13, "text": "谢谢", "role": "patient"}, {"turn": 14, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1348, "thread": [{"turn": 0, "text": "偏头痛有什么办法可以治疗？（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好！你的偏头痛有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "5 年了", "role": "patient"}, {"turn": 3, "text": "现在大概多久能痛一次", "role": "doctor"}, {"turn": 4, "text": "半个月到一个月左右", "role": "patient"}, {"turn": 5, "text": "做过颅脑磁共振或者CT吗？", "role": "doctor"}, {"turn": 6, "text": "头痛的时候会呕吐", "role": "patient"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "今天吐的时候有血丝", "role": "patient"}, {"turn": 9, "text": "是不是要吃止痛药才能好", "role": "doctor"}, {"turn": 10, "text": "吃了止痛药要稍微好一点 ，但是这样不治根 怎么办啊", "role": "patient"}, {"turn": 11, "text": "我建议你查个颅脑CT或者磁共振去", "role": "doctor"}, {"turn": 12, "text": "如果颅内没有问题，就考虑是偏头痛", "role": "doctor"}, {"turn": 13, "text": "应该是偏头痛 有家族史", "role": "patient"}, {"turn": 14, "text": "偏头痛最主要的治疗是预防，平常注意休息，避免劳累和受凉，不要情绪波动很大，少吃辛辣刺激的食物", "role": "doctor"}, {"turn": 15, "text": "这样的情况是不是多运动会好一点", "role": "patient"}, {"turn": 16, "text": "这一次呕吐带血 是什么状况", "role": "patient"}, {"turn": 17, "text": "呕吐带血提示消化道有出血", "role": "doctor"}, {"turn": 18, "text": "你平常是不是经常胃不舒服", "role": "doctor"}, {"turn": 19, "text": "之前有检查出阑尾炎 这一次一开始是吐晚上吃的东西，由于吐的次数太多后面就吐水里面夹带着血", "role": "patient"}, {"turn": 20, "text": "你这个情况得去医院检查看看", "role": "doctor"}, {"turn": 21, "text": "有偏头痛家族史，但是得做个磁共振排除一下颅内的问题", "role": "doctor"}, {"turn": 22, "text": "我这样的情况算严重么 以后会不会持续恶化", "role": "patient"}, {"turn": 23, "text": "你今天呕吐带血，应该算是严重的了", "role": "doctor"}, {"turn": 24, "text": "但是首先要确诊，你是不是偏头痛", "role": "doctor"}, {"turn": 25, "text": "好的 吐血是和胃有关系么", "role": "patient"}, {"turn": 26, "text": "一般是胃和消化道", "role": "doctor"}, {"turn": 27, "text": "然后后来吐的的时候带血丝是锈的味道的 这是这是怎么回事", "role": "patient"}, {"turn": 28, "text": "血中含有血红蛋白，血红蛋白是含铁的，所以是生锈的味道", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1349, "thread": [{"turn": 0, "text": "内痔有便血，无痛，怎么治？（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "几个月前有过一次，这次也才有", "role": "patient"}, {"turn": 3, "text": "平时要注意少食辛辣刺激食物，避免久蹲厕所，多食蔬菜，水果，多饮水，防止大便干结", "role": "doctor"}, {"turn": 4, "text": "之前也是因为大便干结才有的，这次也是", "role": "patient"}, {"turn": 5, "text": "医生严重吗？", "role": "patient"}, {"turn": 6, "text": "需要去医院检查一下吗？", "role": "patient"}, {"turn": 7, "text": "可以口服槐角丸和痔速宁，马应龙痔疮膏和痔疮栓纳肛", "role": "doctor"}, {"turn": 8, "text": "如果出血不太多，痔疮脱出不严重的话，不重", "role": "doctor"}, {"turn": 9, "text": "这个可以治好吗？", "role": "patient"}, {"turn": 10, "text": "如果不放心，也可去医院就诊", "role": "doctor"}, {"turn": 11, "text": "用药可能会减轻，但彻底治好需要手术", "role": "doctor"}, {"turn": 12, "text": "所以这个病得了就不会好了吗？", "role": "patient"}, {"turn": 13, "text": "用药不能，可能会经常复发", "role": "doctor"}, {"turn": 14, "text": "如果我长期保持大便通畅也会经常复发吗？", "role": "patient"}, {"turn": 15, "text": "注意大便及饮食，应该好点", "role": "doctor"}, {"turn": 16, "text": "到这个谁也不敢保证", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢医生，我还是去检查一下吧", "role": "patient"}, {"turn": 18, "text": "好的，不客气", "role": "doctor"}, {"turn": 19, "text": "医生，请问一下你得过吗？", "role": "patient"}, {"turn": 20, "text": "没有", "role": "doctor"}, {"turn": 21, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1350, "thread": [{"turn": 0, "text": "右腿膝盖酸痛，这是风湿吗（男，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "最近有剧烈活动吗？", "role": "doctor"}, {"turn": 3, "text": "有打球，以前都不会呃呃呃", "role": "patient"}, {"turn": 4, "text": "跑步之后会出现这种现象吗？", "role": "doctor"}, {"turn": 5, "text": "以前不会", "role": "patient"}, {"turn": 6, "text": "就今天早上一起来，莫名的有点酸痛", "role": "patient"}, {"turn": 7, "text": "没有发烧吧？", "role": "doctor"}, {"turn": 8, "text": "没有发烧", "role": "patient"}, {"turn": 9, "text": "那应该不是风湿，不要太担心了！可能是有点儿活动过量了", "role": "doctor"}, {"turn": 10, "text": "膝盖也不是特别的酸痛，就是有一点，我就想问我是不是风湿了", "role": "patient"}, {"turn": 11, "text": "我以前更剧烈都不会这样的", "role": "patient"}, {"turn": 12, "text": "我理解你的心情，不过应该不是的，不要太紧张了！", "role": "doctor"}, {"turn": 13, "text": "我建议你最近注意膝关节保暖，避免参加剧烈运动，少爬山、打球等，尽量少上下楼梯，疼痛明显的话配合点止痛药，如芬必得或塞来昔布，也可以贴膏药！", "role": "doctor"}, {"turn": 14, "text": "好的👌谢谢医生", "role": "patient"}, {"turn": 15, "text": "不用客气！🤗", "role": "doctor"}, {"turn": 16, "text": "有什么问题还可以随时咨询！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1351, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：检查痰没有痰怎么办（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "没有痰确实没法做", "role": "doctor"}, {"turn": 3, "text": "请问有哪些不适症状？", "role": "doctor"}, {"turn": 4, "text": "查ct有阴影，是肺炎，现在在住院", "role": "patient"}, {"turn": 5, "text": "做了抗炎治疗吗", "role": "doctor"}, {"turn": 6, "text": "多长时间了", "role": "doctor"}, {"turn": 7, "text": "治疗后复查了吗", "role": "doctor"}, {"turn": 8, "text": "今天是第2天，昨天下午入的院，打了一针", "role": "patient"}, {"turn": 9, "text": "肺炎要规范治疗半个月到20天时间", "role": "doctor"}, {"turn": 10, "text": "恢复后复查ct", "role": "doctor"}, {"turn": 11, "text": "医生说大概一个星期左右", "role": "patient"}, {"turn": 12, "text": "如果不严重，可能时间短些", "role": "doctor"}, {"turn": 13, "text": "但要规范治疗", "role": "doctor"}, {"turn": 14, "text": "不要太过担心", "role": "doctor"}, {"turn": 15, "text": "不是什么大问题", "role": "doctor"}, {"turn": 16, "text": "积极配合治疗", "role": "doctor"}, {"turn": 17, "text": "平时多喝水，合理膳食，良好作息", "role": "doctor"}, {"turn": 18, "text": "查痰如果没有痰就交空的上去吗", "role": "patient"}, {"turn": 19, "text": "没痰就不交，等有痰再交", "role": "doctor"}, {"turn": 20, "text": "好", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1352, "thread": [{"turn": 0, "text": "三天前流鼻涕吃了小儿氨酚黄那敏颗粒，两天前微咳，今天咳的厉害，是咳的时候感觉没有什么痰，吃的头孢跟小儿止痰颗粒，请问这样吃有用否（男，2）", "role": "patient"}, {"turn": 1, "text": "你好，头孢可以不吃的呢", "role": "doctor"}, {"turn": 2, "text": "头孢不吃，怕会变厉害", "role": "patient"}, {"turn": 3, "text": "加成双黄连", "role": "doctor"}, {"turn": 4, "text": "以前感冒吃点感冒药能压下去火", "role": "patient"}, {"turn": 5, "text": "现在都吃的什么药", "role": "doctor"}, {"turn": 6, "text": "这次药吃了，还压不下去", "role": "patient"}, {"turn": 7, "text": "就氨酚黄那敏颗粒，头孢，还有止咳颗粒", "role": "patient"}, {"turn": 8, "text": "止咳颗粒，跟双黄连口服液", "role": "doctor"}, {"turn": 9, "text": "其他的不吃了", "role": "doctor"}, {"turn": 10, "text": "吃饭的时候咳的很厉害，吃完饭，听到喉咙里有痰", "role": "patient"}, {"turn": 11, "text": "还是有痰的", "role": "doctor"}, {"turn": 12, "text": "咳的时候感觉很利索，是不是刚开始咳的原因", "role": "patient"}, {"turn": 13, "text": "还不严重", "role": "patient"}, {"turn": 14, "text": "你买的止咳颗粒有没有止咳化痰的作用", "role": "doctor"}, {"turn": 15, "text": "有", "role": "patient"}, {"turn": 16, "text": "那就吃那两样就可以", "role": "doctor"}, {"turn": 17, "text": "这边农村给的都是那种", "role": "patient"}, {"turn": 18, "text": "报销完三块钱", "role": "patient"}, {"turn": 19, "text": "也不知道管不管用", "role": "patient"}, {"turn": 20, "text": "头孢不能吃了？", "role": "patient"}, {"turn": 21, "text": "头孢不吃", "role": "doctor"}, {"turn": 22, "text": "已经给他吃了两袋了，不要紧吧？", "role": "patient"}, {"turn": 23, "text": "要吃的话就连着吃三天", "role": "doctor"}, {"turn": 24, "text": "要不然容易引起耐药", "role": "doctor"}, {"turn": 25, "text": "不然我先给他连着吃吧，这也没有去医院化验，别严重了，回头再吃就不管用了", "role": "patient"}, {"turn": 26, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1353, "thread": [{"turn": 0, "text": "咳嗽厉害有时候干呕,低烧（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "没几天", "role": "patient"}, {"turn": 3, "text": "就是一直咳，咳到干呕", "role": "patient"}, {"turn": 4, "text": "有痰", "role": "patient"}, {"turn": 5, "text": "白痰还是黄痰？", "role": "doctor"}, {"turn": 6, "text": "体温呢", "role": "doctor"}, {"turn": 7, "text": "白色", "role": "patient"}, {"turn": 8, "text": "吃的啥药", "role": "doctor"}, {"turn": 9, "text": "前几天吃的白加黑，今儿买了止咳糖浆，川贝", "role": "patient"}, {"turn": 10, "text": "建议查个血常规，看需不需要用抗生素", "role": "doctor"}, {"turn": 11, "text": "好", "role": "patient"}, {"turn": 12, "text": "OK", "role": "doctor"}, {"turn": 13, "text": "早点休息", "role": "doctor"}, {"turn": 14, "text": "好的??", "role": "patient"}, {"turn": 15, "text": "OK", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1354, "thread": [{"turn": 0, "text": "月经刚走同房后有褐色分泌物持续了几天后基本没了，突然今天白带是果冻状的而且是褐色的怎么回事呢？我刚刚吃了三个月的达英35停药。（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好 为什么吃达英？", "role": "doctor"}, {"turn": 2, "text": "因为检查内分泌失调月经不正常，医生是是多囊", "role": "patient"}, {"turn": 3, "text": "可能是有宫颈炎症 或者内分泌还没调好", "role": "doctor"}, {"turn": 4, "text": "以前月经走了从来没有褐色分泌物，白带也没有颜色的，这次不知道为什么，难道是月经没有彻底走，同房导致么", "role": "patient"}, {"turn": 5, "text": "那我应该怎么办呢？", "role": "patient"}, {"turn": 6, "text": "可以下次月经干净后再观察看看", "role": "doctor"}, {"turn": 7, "text": "如果还这样可以做一下妇科检查和内分泌", "role": "doctor"}, {"turn": 8, "text": "哦哦，我吃了达英3个月，什么时候可以备孕啊", "role": "patient"}, {"turn": 9, "text": "停药就可以备孕", "role": "doctor"}, {"turn": 10, "text": "多囊必须去促排么，停药就要促排吗？", "role": "patient"}, {"turn": 11, "text": "有的多囊可以自己排卵就不用促排  不能自己排卵就得促排", "role": "doctor"}, {"turn": 12, "text": "停药促排效果好", "role": "doctor"}, {"turn": 13, "text": "哦哦，我这个月有褐色分泌物，跟达英停药有没有关系啊", "role": "patient"}, {"turn": 14, "text": "还是同房导致的啊", "role": "patient"}, {"turn": 15, "text": "两者都有可能", "role": "doctor"}, {"turn": 16, "text": "哦哦，那我还能继续备孕么", "role": "patient"}, {"turn": 17, "text": "还是先观察", "role": "patient"}, {"turn": 18, "text": "可以观察", "role": "doctor"}, {"turn": 19, "text": "以后还出现这种情况最好去医院再检查一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1355, "thread": [{"turn": 0, "text": "消化不良，有时古古的（女，17）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答。", "role": "doctor"}, {"turn": 2, "text": "一般什么时候发生这样的情况？", "role": "doctor"}, {"turn": 3, "text": "肚皮痛", "role": "patient"}, {"turn": 4, "text": "肚皮？", "role": "doctor"}, {"turn": 5, "text": "不是消化不良吗？", "role": "doctor"}, {"turn": 6, "text": "吃撑了？", "role": "doctor"}, {"turn": 7, "text": "嗯嗯", "role": "patient"}, {"turn": 8, "text": "现在还撑着？", "role": "doctor"}, {"turn": 9, "text": "可以吃点健胃消食片", "role": "doctor"}, {"turn": 10, "text": "下次不要吃那么多了，细嚼慢咽，七八分饱就可以停下来不要继续吃了", "role": "doctor"}, {"turn": 11, "text": "饭后也可以站在或者稍微走动或者洗洗碗之类的，有助消化", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢", "role": "patient"}, {"turn": 13, "text": "早上起床肚皮痛是什么原因啊！", "role": "patient"}, {"turn": 14, "text": "皮肤干燥么？", "role": "doctor"}, {"turn": 15, "text": "裂开？", "role": "doctor"}, {"turn": 16, "text": "红肿么？", "role": "doctor"}, {"turn": 17, "text": "没有", "role": "patient"}, {"turn": 18, "text": "如果只是单纯的肚皮痛，那可能是皮肤上的神经受压迫", "role": "doctor"}, {"turn": 19, "text": "如果肚子硬，那要考虑的疾病很多", "role": "doctor"}, {"turn": 20, "text": "建议问一下消化内科的医生", "role": "doctor"}, {"turn": 21, "text": "我只是营养医师，专业知识受限", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1356, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：消化不良（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "两周", "role": "patient"}, {"turn": 3, "text": "有没有吃辣喝酒的", "role": "doctor"}, {"turn": 4, "text": "去了医院，呼气试验阴性", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "然后开了开胸顺气胶囊，兰索拉挫肠溶片", "role": "patient"}, {"turn": 7, "text": "你有什么不舒服", "role": "doctor"}, {"turn": 8, "text": "吃东西刚觉有异物感", "role": "patient"}, {"turn": 9, "text": "胸口那里堵挺", "role": "patient"}, {"turn": 10, "text": "有没有吃辣喝酒的", "role": "doctor"}, {"turn": 11, "text": "有没有不规律饮食的", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "有没有上腹痛", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "你吃了那些药物有没有好转", "role": "doctor"}, {"turn": 16, "text": "没好转", "role": "patient"}, {"turn": 17, "text": "有没有喉咙不舒服", "role": "doctor"}, {"turn": 18, "text": "喉咙也有点堵", "role": "patient"}, {"turn": 19, "text": "目前考虑咽喉炎可能", "role": "doctor"}, {"turn": 20, "text": "建议完善喉镜", "role": "doctor"}, {"turn": 21, "text": "可是胸口那里堵", "role": "patient"}, {"turn": 22, "text": "这是感觉而已", "role": "doctor"}, {"turn": 23, "text": "喉镜我做过，没啥问题", "role": "patient"}, {"turn": 24, "text": "你吃胃药一点效果没有，如果是胃的问题，那就有效的了", "role": "doctor"}, {"turn": 25, "text": "l可是我总想打嗝，然后打不出来", "role": "patient"}, {"turn": 26, "text": "那你再一个药看看", "role": "doctor"}, {"turn": 27, "text": "吗丁啉", "role": "doctor"}, {"turn": 28, "text": "要做胃镜吗", "role": "patient"}, {"turn": 29, "text": "可是我害怕", "role": "patient"}, {"turn": 30, "text": "要", "role": "doctor"}, {"turn": 31, "text": "无痛，普通哪个可以？还有就是我吃的那两个药，能做吗", "role": "patient"}, {"turn": 32, "text": "无痛胃镜", "role": "doctor"}, {"turn": 33, "text": "麻药不危险吗", "role": "patient"}, {"turn": 34, "text": "没有麻药", "role": "doctor"}, {"turn": 35, "text": "还有那两个药，不会影响胃镜吗", "role": "patient"}, {"turn": 36, "text": "不会", "role": "doctor"}, {"turn": 37, "text": "不是要打麻醉剂吗", "role": "patient"}, {"turn": 38, "text": "镇静药物", "role": "doctor"}, {"turn": 39, "text": "没事吧？", "role": "patient"}, {"turn": 40, "text": "没事的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1357, "thread": [{"turn": 0, "text": "幽门螺旋杆菌呼气数值1350（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "这么高，开药治疗了吗", "role": "doctor"}, {"turn": 3, "text": "没什么症状 就是体检数值是这个", "role": "patient"}, {"turn": 4, "text": "好吧", "role": "doctor"}, {"turn": 5, "text": "平时口气重吗", "role": "doctor"}, {"turn": 6, "text": "还好吧", "role": "patient"}, {"turn": 7, "text": "需要药物治疗哦", "role": "doctor"}, {"turn": 8, "text": "家里有宝宝是不是宝宝也会传染？", "role": "patient"}, {"turn": 9, "text": "从来没有胃痛胃胀嗳气反酸过吗", "role": "doctor"}, {"turn": 10, "text": "去医院仔检查一下吗？偶尔会反酸", "role": "patient"}, {"turn": 11, "text": "可以通过碗筷传染", "role": "doctor"}, {"turn": 12, "text": "但是不影响正常生活", "role": "patient"}, {"turn": 13, "text": "检查要空腹吗", "role": "patient"}, {"turn": 14, "text": "空腹检查", "role": "doctor"}, {"turn": 15, "text": "宝宝多大", "role": "doctor"}, {"turn": 16, "text": "宝宝要检查吗？宝宝只有2岁", "role": "patient"}, {"turn": 17, "text": "建议你最好做个胃镜检查", "role": "doctor"}, {"turn": 18, "text": "宝宝可有什么症状", "role": "doctor"}, {"turn": 19, "text": "你需要根治细菌治疗", "role": "doctor"}, {"turn": 20, "text": "开药了吗", "role": "doctor"}, {"turn": 21, "text": "没有去检查 宝宝也看不出来啊", "role": "patient"}, {"turn": 22, "text": "我要不是体检也不会注意到呀", "role": "patient"}, {"turn": 23, "text": "嗯", "role": "doctor"}, {"turn": 24, "text": "平时肠胃很少出现这种情况啊", "role": "patient"}, {"turn": 25, "text": "下次也可以带宝宝去儿科咨询一下看看", "role": "doctor"}, {"turn": 26, "text": "哦", "role": "patient"}, {"turn": 27, "text": "数值高很严重吗", "role": "patient"}, {"turn": 28, "text": "可是你目前的数量值很高了", "role": "doctor"}, {"turn": 29, "text": "当然", "role": "doctor"}, {"turn": 30, "text": "有多严重？", "role": "patient"}, {"turn": 31, "text": "很多胃部疾病都是因为这个细菌感染引起的", "role": "doctor"}, {"turn": 32, "text": "哦哦就是做个胃镜看看到底是什么情况？换句话讲就是说这个数值可能已经引起了胃的其他问题？", "role": "patient"}, {"turn": 33, "text": "是这个意思不？", "role": "patient"}, {"turn": 34, "text": "是的", "role": "doctor"}, {"turn": 35, "text": "好吧 那我去查查吧", "role": "patient"}, {"turn": 36, "text": "根据胃镜结果需要评估", "role": "doctor"}, {"turn": 37, "text": "顺便去开药治疗", "role": "doctor"}, {"turn": 38, "text": "家里你的碗筷分开吧，消毒", "role": "doctor"}, {"turn": 39, "text": "好", "role": "patient"}, {"turn": 40, "text": "建议你老公也去做个吹气检查看看", "role": "doctor"}, {"turn": 41, "text": "嗯", "role": "patient"}, {"turn": 42, "text": "到时候你去做完胃镜医生会综合你的情况给你开药根治的", "role": "doctor"}, {"turn": 43, "text": "要挂内科对不？", "role": "patient"}, {"turn": 44, "text": "对的", "role": "doctor"}, {"turn": 45, "text": "消化内科", "role": "doctor"}, {"turn": 46, "text": "ok", "role": "patient"}, {"turn": 47, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1358, "thread": [{"turn": 0, "text": "什么牙膏对预防龋齿蛀牙有效果？（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问宝宝现在有蛀牙吗？", "role": "doctor"}, {"turn": 2, "text": "有", "role": "patient"}, {"turn": 3, "text": "现在开始刷牙了吗", "role": "doctor"}, {"turn": 4, "text": "太小不能补牙，只能预防着", "role": "patient"}, {"turn": 5, "text": "开始刷牙了吗", "role": "doctor"}, {"turn": 6, "text": "很早开始刷牙，也不吃糖这些也不知道为什么会有蛀牙", "role": "patient"}, {"turn": 7, "text": "刷了牙还吃东西吗", "role": "doctor"}, {"turn": 8, "text": "比如晚上喝奶？", "role": "doctor"}, {"turn": 9, "text": "不喝", "role": "patient"}, {"turn": 10, "text": "建议带宝宝去医院涂氟治疗", "role": "doctor"}, {"turn": 11, "text": "牙膏的作用只是清洁口腔", "role": "doctor"}, {"turn": 12, "text": "涂氟可以预防蛀牙", "role": "doctor"}, {"turn": 13, "text": "不配合怎么办", "role": "patient"}, {"turn": 14, "text": "医生只联系早晚刷牙预防一下", "role": "patient"}, {"turn": 15, "text": "医生只建议早晚刷牙预防一下", "role": "patient"}, {"turn": 16, "text": "涂氟就给刷牙是一样", "role": "doctor"}, {"turn": 17, "text": "那含氟牙膏管不管用呢？", "role": "patient"}, {"turn": 18, "text": "含氟牙膏量没有办法准确控制", "role": "doctor"}, {"turn": 19, "text": "涂氟相对更安全", "role": "doctor"}, {"turn": 20, "text": "好的谢谢", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1359, "thread": [{"turn": 0, "text": "气虚，舌苔有点黄还有点滑腻，怎么办", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "请稍等", "role": "doctor"}, {"turn": 4, "text": "从舌苔看是脾虚內湿的表现", "role": "doctor"}, {"turn": 5, "text": "嗯", "role": "patient"}, {"turn": 6, "text": "怎么治疗呢", "role": "patient"}, {"turn": 7, "text": "吃了饭就会睡觉", "role": "patient"}, {"turn": 8, "text": "你好", "role": "patient"}, {"turn": 9, "text": "门诊忙，耽误一会", "role": "doctor"}, {"turn": 10, "text": "嗯", "role": "patient"}, {"turn": 11, "text": "可以服用参苓白术散治疗", "role": "doctor"}, {"turn": 12, "text": "麻烦了", "role": "patient"}, {"turn": 13, "text": "这个也管气虚是不", "role": "patient"}, {"turn": 14, "text": "是的，平时多运动，增强体质", "role": "doctor"}, {"turn": 15, "text": "现在也是在月经期间", "role": "patient"}, {"turn": 16, "text": "可以服用", "role": "doctor"}, {"turn": 17, "text": "可以服用补中益气汤吗", "role": "patient"}, {"turn": 18, "text": "补中益气汤利湿效果不如参苓白术散", "role": "doctor"}, {"turn": 19, "text": "嗯，谢谢", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1360, "thread": [{"turn": 0, "text": "消化不良大便是什么样的（男，36岁）", "role": "patient"}, {"turn": 1, "text": "会出现稀状或者食物不完全吸收排出", "role": "doctor"}, {"turn": 2, "text": "什么症状", "role": "doctor"}, {"turn": 3, "text": "吃饭不消化放屁多肚子经常叫排便不正常", "role": "patient"}, {"turn": 4, "text": "有想大便但又排不出来", "role": "patient"}, {"turn": 5, "text": "有便秘的情况吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "一般多久一次大便", "role": "doctor"}, {"turn": 8, "text": "一般很不正常有时侯刚上又排不出来过几分钟又想上", "role": "patient"}, {"turn": 9, "text": "有点肠功能凌乱伴有肠炎的症状", "role": "doctor"}, {"turn": 10, "text": "这样多久了？", "role": "doctor"}, {"turn": 11, "text": "有五个月左右了", "role": "patient"}, {"turn": 12, "text": "考虑有肠炎的情况", "role": "doctor"}, {"turn": 13, "text": "肠功能凌乱", "role": "doctor"}, {"turn": 14, "text": "没有吃过治疗肠炎和调理肠功能的药物？", "role": "doctor"}, {"turn": 15, "text": "肛门还有长诗沧", "role": "patient"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "可以化验大便看看", "role": "doctor"}, {"turn": 18, "text": "大便有时会出血", "role": "patient"}, {"turn": 19, "text": "好", "role": "patient"}, {"turn": 20, "text": "这种病情会不会严重", "role": "patient"}, {"turn": 21, "text": "不严重", "role": "doctor"}, {"turn": 22, "text": "不要担心", "role": "doctor"}, {"turn": 23, "text": "但是需要慢慢调理", "role": "doctor"}, {"turn": 24, "text": "我怕会失去健康", "role": "patient"}, {"turn": 25, "text": "多注意饮食", "role": "doctor"}, {"turn": 26, "text": "怎么调理用药物调理吗", "role": "patient"}, {"turn": 27, "text": "正常需要禁那些东西不能吃", "role": "patient"}, {"turn": 28, "text": "刺激性食物和过于油腻的，不容易消化的和过凉的", "role": "doctor"}, {"turn": 29, "text": "多锻炼身体", "role": "doctor"}, {"turn": 30, "text": "多注意腹部保暖", "role": "doctor"}, {"turn": 31, "text": "不要熬夜", "role": "doctor"}, {"turn": 32, "text": "哦知道谢谢医生", "role": "patient"}, {"turn": 33, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1361, "thread": [{"turn": 0, "text": "长虫牙了怎么怎么办？？？？？（男，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，是哪颗牙齿？？？？", "role": "doctor"}, {"turn": 2, "text": "最里面的", "role": "patient"}, {"turn": 3, "text": "如果是智齿，就去拔掉", "role": "doctor"}, {"turn": 4, "text": "如果不是，可以补上", "role": "doctor"}, {"turn": 5, "text": "现在疼吗？", "role": "doctor"}, {"turn": 6, "text": "不痛", "role": "patient"}, {"turn": 7, "text": "只是有黑色的线", "role": "patient"}, {"turn": 8, "text": "嗯，那可以治", "role": "doctor"}, {"turn": 9, "text": "怎么治", "role": "patient"}, {"turn": 10, "text": "就是把黑色的腐败组织去掉，然后用材料补上", "role": "doctor"}, {"turn": 11, "text": "哦哦", "role": "patient"}, {"turn": 12, "text": "那对牙齿有什么影响么", "role": "patient"}, {"turn": 13, "text": "没有，你治牙，是在保护它，要不越坏越大", "role": "doctor"}, {"turn": 14, "text": "哦哦谢谢", "role": "patient"}, {"turn": 15, "text": "平时要好好刷牙，", "role": "doctor"}, {"turn": 16, "text": "你可以去网上看正确刷牙方法视频，叫bass刷牙法", "role": "doctor"}, {"turn": 17, "text": "嗯嗯", "role": "patient"}, {"turn": 18, "text": "👌🏻", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1362, "thread": [{"turn": 0, "text": "咳嗽 嗓子不舒服里面有点浓痰 身体疲惫（女，26岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了？自己吃药没", "role": "doctor"}, {"turn": 2, "text": "三天了", "role": "patient"}, {"turn": 3, "text": "姨妈期间去景区山洞里面吹了冷风", "role": "patient"}, {"turn": 4, "text": "回来之后一直咳嗽 吃药没有好点", "role": "patient"}, {"turn": 5, "text": "吃的什么药", "role": "doctor"}, {"turn": 6, "text": "复方氨酚烷胺片", "role": "patient"}, {"turn": 7, "text": "这个治疗感冒的", "role": "doctor"}, {"turn": 8, "text": "光吃这个不行", "role": "doctor"}, {"turn": 9, "text": "再加头孢丙烯和蒲地蓝消炎口服液", "role": "doctor"}, {"turn": 10, "text": "你好医生推荐药方谢谢", "role": "patient"}, {"turn": 11, "text": "头孢丙烯片，一次0.5一日两次", "role": "doctor"}, {"turn": 12, "text": "蒲地蓝消炎口服液一次一支一日三次", "role": "doctor"}, {"turn": 13, "text": "你好医生", "role": "patient"}, {"turn": 14, "text": "我们这边没有口服液 有川贝枇杷膏行吗", "role": "patient"}, {"turn": 15, "text": "可以", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1363, "thread": [{"turn": 0, "text": "请问大夫左耳耳鸣是什么原因（男，40岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种症状有多久了？", "role": "doctor"}, {"turn": 2, "text": "大夫好今天才开始，以前没有", "role": "patient"}, {"turn": 3, "text": "持续多长时间了", "role": "doctor"}, {"turn": 4, "text": "阿明持续多长时间了？今天？", "role": "doctor"}, {"turn": 5, "text": "今天耳鸣持续多长时间了?", "role": "doctor"}, {"turn": 6, "text": "从今天早上到现在", "role": "patient"}, {"turn": 7, "text": "耳鸣的声音，是什么样的叫声?", "role": "doctor"}, {"turn": 8, "text": "嗡嗡的样子", "role": "patient"}, {"turn": 9, "text": "最近有没有熬夜或者失眠等现象？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "影响听力吗", "role": "doctor"}, {"turn": 12, "text": "听力不影响，就是嗡嗡的", "role": "patient"}, {"turn": 13, "text": "这种持续性耳鸣，还是要用药治疗", "role": "doctor"}, {"turn": 14, "text": "哦！那明天我去医院看看吧！谢谢大夫", "role": "patient"}, {"turn": 15, "text": "🍀，不客气", "role": "doctor"}, {"turn": 16, "text": "作晚上我喝了点酒，请问有关系吗？", "role": "patient"}, {"turn": 17, "text": "没有关系", "role": "doctor"}, {"turn": 18, "text": "哦！那是什么原因", "role": "patient"}, {"turn": 19, "text": "哦！那是什么原因？", "role": "patient"}, {"turn": 20, "text": "耳鸣的原因就多了", "role": "doctor"}, {"turn": 21, "text": "神经性耳鸣大多是劳累、熬夜、休息不好、噪音环境、情绪波动以及工作生活压力大都可以引起。", "role": "doctor"}, {"turn": 22, "text": "哦！那一般是什么原因", "role": "patient"}, {"turn": 23, "text": "神经性耳鸣大多是劳累、熬夜、休息不好、噪音环境、情绪波动以及工作生活压力大都可以引起。", "role": "doctor"}, {"turn": 24, "text": "哦！请问我血糖高有关系吗？", "role": "patient"}, {"turn": 25, "text": "你还有高血压?跟高血糖有关系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1364, "thread": [{"turn": 0, "text": "气虚乏力气短，二脚无力吃什么好（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您这样的情况有多久了", "role": "doctor"}, {"turn": 2, "text": "一年多了", "role": "patient"}, {"turn": 3, "text": "一年", "role": "patient"}, {"turn": 4, "text": "吃饭胃口怎么样呢", "role": "doctor"}, {"turn": 5, "text": "胃口一般化，吃了好多中药不管用", "role": "patient"}, {"turn": 6, "text": "而且冬天手脚冷", "role": "patient"}, {"turn": 7, "text": "您这个属于阳虚", "role": "doctor"}, {"turn": 8, "text": "中医讲的阳气不足，不达四末，所以您的四肢会冷", "role": "doctor"}, {"turn": 9, "text": "", "role": "patient"}, {"turn": 10, "text": "缺乏温昫", "role": "doctor"}, {"turn": 11, "text": "那我吃什么好", "role": "patient"}, {"turn": 12, "text": "吃点中药调理一下", "role": "doctor"}, {"turn": 13, "text": "灸黄芪21克，当归7克，甘草21克，麦冬21克，石膏21克，陈皮21克，淡竹叶7克，太子参7克，姜半夏7克", "role": "patient"}, {"turn": 14, "text": "我一直吃的是这个中药", "role": "patient"}, {"turn": 15, "text": "这个有点用", "role": "doctor"}, {"turn": 16, "text": "但是需要加减一下就更好了", "role": "doctor"}, {"turn": 17, "text": "您如果愿意，我可以给您开点", "role": "doctor"}, {"turn": 18, "text": "就用这个方子加减", "role": "doctor"}, {"turn": 19, "text": "您看怎么样", "role": "doctor"}, {"turn": 20, "text": "可以", "role": "patient"}, {"turn": 21, "text": "帮我开", "role": "patient"}, {"turn": 22, "text": "您可以留个V吗", "role": "doctor"}, {"turn": 23, "text": "我在那里帮您开", "role": "doctor"}, {"turn": 24, "text": "****", "role": "patient"}, {"turn": 25, "text": "用户不存在", "role": "doctor"}, {"turn": 26, "text": "我来看下", "role": "patient"}, {"turn": 27, "text": "好的", "role": "doctor"}, {"turn": 28, "text": "试试看可以了吗", "role": "patient"}, {"turn": 29, "text": "可以了吗", "role": "patient"}, {"turn": 30, "text": "可以了", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1365, "thread": [{"turn": 0, "text": "医生您好，请问耳鸣怎么办（女，30岁）", "role": "patient"}, {"turn": 1, "text": "多长时间了？有没有听力下降？", "role": "doctor"}, {"turn": 2, "text": "断断续续半年多了吧，听力没有下降", "role": "patient"}, {"turn": 3, "text": "一般来说早期用药效果还是好一些，半年的话时间稍微偏长，一般来说只要听力没有问题，就没有什么大问题。", "role": "doctor"}, {"turn": 4, "text": "之前只是单侧，断断续续，这几天严重了，嗡嗡响个不停。现在好像左侧也开始响了，只是声音很小，右侧比较严重", "role": "patient"}, {"turn": 5, "text": "那我该如何调理呢？", "role": "patient"}, {"turn": 6, "text": "嗡嗡响个不停，导致我好烦", "role": "patient"}, {"turn": 7, "text": "那就建议去检查听功能看看，越早越好，目前就是注意休息", "role": "doctor"}, {"turn": 8, "text": "今年六月份检查过，听力没有问题", "role": "patient"}, {"turn": 9, "text": "我这种情况还能治好吗医生？", "role": "patient"}, {"turn": 10, "text": "目前和6月份可能有些不一样，还是建议检查看一看，目前的话就是一个注意休息，可以适当的用药。", "role": "doctor"}, {"turn": 11, "text": "我之前吃过甲钴胺，吃后头疼", "role": "patient"}, {"turn": 12, "text": "如果不治疗还会更严重吗？", "role": "patient"}, {"turn": 13, "text": "这个目前不好说，一般早期治疗还是有意义的，建议再检查看看", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 15, "text": "不客气，不要着急生气", "role": "doctor"}, {"turn": 16, "text": "我以前经常熬夜", "role": "patient"}, {"turn": 17, "text": "孩子小，睡眠不规律，我经常熬夜", "role": "patient"}, {"turn": 18, "text": "熬夜有两年多。", "role": "patient"}, {"turn": 19, "text": "如果白天干活有关系么？", "role": "patient"}, {"turn": 20, "text": "和白天干活累有关系么？", "role": "patient"}, {"turn": 21, "text": "干活没什么关系", "role": "doctor"}, {"turn": 22, "text": "主要是注意休息", "role": "doctor"}, {"turn": 23, "text": "会不会肾虚引起耳鸣？", "role": "patient"}, {"turn": 24, "text": "和噪音有关系么？我在幼儿园工作，一天孩子哇哇乱说话", "role": "patient"}, {"turn": 25, "text": "白天听不到声音，晚上安静就能听到。", "role": "patient"}, {"turn": 26, "text": "这个不是噪音，其次应该和肾虚没关系", "role": "doctor"}, {"turn": 27, "text": "我之前在我们这里检查过，也没查出来什么结果，我们当地医术不高啊", "role": "patient"}, {"turn": 28, "text": "不是，没什么结果，一般就是没什么大问题", "role": "doctor"}, {"turn": 29, "text": "但是总是响，怎么办", "role": "patient"}, {"turn": 30, "text": "如果去医院检查，我该查什么项目？", "role": "patient"}, {"turn": 31, "text": "现在两侧都嗡嗡嗡响个不停，我好苦恼", "role": "patient"}, {"turn": 32, "text": "医生，请问上火会引起耳鸣吗？我只是想搞清楚我耳鸣的原因，该如何治疗？", "role": "patient"}, {"turn": 33, "text": "，你好，一般上火不会引起耳鸣，其次去医院主要检查听功能有没有问题，", "role": "doctor"}, {"turn": 34, "text": "目前一定注意休息", "role": "doctor"}, {"turn": 35, "text": "谢谢医生", "role": "patient"}, {"turn": 36, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1366, "thread": [{"turn": 0, "text": "宝宝九个月消化不良拉肚子怎么办（男，9个月）", "role": "patient"}, {"turn": 1, "text": "你好！请问孩子母乳喂养吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "孩子吃奶精神怎么样？", "role": "doctor"}, {"turn": 4, "text": "开始添加辅食了，面条，米粉", "role": "patient"}, {"turn": 5, "text": "嗯，孩子最近没有发烧流鼻涕吧？", "role": "doctor"}, {"turn": 6, "text": "孩子精神很好，就是拉肚子，吃的益生菌，刚开始一天拉四五次，现在一天拉三四次", "role": "patient"}, {"turn": 7, "text": "刚开始拉肚子，这两天有点流鼻涕，感冒了", "role": "patient"}, {"turn": 8, "text": "孩子大便很稀吗？发绿？", "role": "doctor"}, {"turn": 9, "text": "对的，感冒可以引起孩子腹泻等胃肠道症状。", "role": "doctor"}, {"turn": 10, "text": "可以加用益生菌和蒙脱石混悬液调理一下。", "role": "doctor"}, {"turn": 11, "text": "发绿", "role": "patient"}, {"turn": 12, "text": "嗯，感冒时可以引起消化不良表现。", "role": "doctor"}, {"turn": 13, "text": "家里开的小儿复方鸡内金，酪酸梭菌活菌片，醒脾养儿颗粒，赖氨葡锌颗粒", "role": "patient"}, {"turn": 14, "text": "感冒开的复方氢溴酸右美沙芬糖浆", "role": "patient"}, {"turn": 15, "text": "可以吃点感冒药，再加上宝乐安，然后再去买点蒙脱石混悬液吃。", "role": "doctor"}, {"turn": 16, "text": "嗯", "role": "patient"}, {"turn": 17, "text": "观察效果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1367, "thread": [{"turn": 0, "text": "有点鼓膜穿孔一直耳鸣还有脓水（女，32岁）", "role": "patient"}, {"turn": 1, "text": "您好！您的这种情况有多长时间了", "role": "doctor"}, {"turn": 2, "text": "两个多月了", "role": "patient"}, {"turn": 3, "text": "会一直耳鸣，经常有脓水", "role": "patient"}, {"turn": 4, "text": "前段时间 在省人民医院看过，鼓膜穿孔", "role": "patient"}, {"turn": 5, "text": "嗯化脓性中耳炎", "role": "doctor"}, {"turn": 6, "text": "怎么治疗的", "role": "doctor"}, {"turn": 7, "text": "吃了点药 喷了点美菌轻  也没有怎么好转", "role": "patient"}, {"turn": 8, "text": "现在耳朵经常发闷", "role": "patient"}, {"turn": 9, "text": "吃的是消炎药", "role": "patient"}, {"turn": 10, "text": "需要用左氧氟沙星滴耳液里面兑一只地塞米松然后滴耳", "role": "doctor"}, {"turn": 11, "text": "继续口服抗生素", "role": "doctor"}, {"turn": 12, "text": "头往一边侧的话 就感觉 往出流水", "role": "patient"}, {"turn": 13, "text": "嗯里面还有炎症", "role": "doctor"}, {"turn": 14, "text": "什么抗生素了", "role": "patient"}, {"turn": 15, "text": "一般不过敏可以吃头孢克肟", "role": "doctor"}, {"turn": 16, "text": "能滴什么药了", "role": "patient"}, {"turn": 17, "text": "嗯好的  谢谢", "role": "patient"}, {"turn": 18, "text": "嗯坚持一段时间", "role": "doctor"}, {"turn": 19, "text": "外用的药什么药可以", "role": "patient"}, {"turn": 20, "text": "不流脓了再说下一步治疗方案", "role": "doctor"}, {"turn": 21, "text": "嗯好的谢谢", "role": "patient"}, {"turn": 22, "text": "只吃头孢克肟就可以吧", "role": "patient"}, {"turn": 23, "text": "嗯，不过敏的话可以", "role": "doctor"}, {"turn": 24, "text": "吃这个，然后用滴耳液", "role": "doctor"}, {"turn": 25, "text": "什么的滴耳液了", "role": "patient"}, {"turn": 26, "text": "需要用左氧氟沙星滴耳液里面兑一只地塞米松然后滴耳", "role": "doctor"}, {"turn": 27, "text": "嗯好的  谢谢大夫", "role": "patient"}, {"turn": 28, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1368, "thread": [{"turn": 0, "text": "脚婉扭伤了怎么办肿了（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "大概有四-五个小时了 当时扭伤就及时在附近的中医诊所进行了草药包扎 脚很痛 走不了路 肿胀痛", "role": "patient"}, {"turn": 3, "text": "骨头也痛", "role": "patient"}, {"turn": 4, "text": "最好拍个片子看看", "role": "doctor"}, {"turn": 5, "text": "看看骨头有没有问题", "role": "doctor"}, {"turn": 6, "text": "然后要冰敷", "role": "doctor"}, {"turn": 7, "text": "包着草药热敷吗", "role": "patient"}, {"turn": 8, "text": "不是热敷", "role": "doctor"}, {"turn": 9, "text": "是冷敷", "role": "doctor"}, {"turn": 10, "text": "如果明天早上醒来了 没那么痛 还需要去医院拍片子吗", "role": "patient"}, {"turn": 11, "text": "草药作用不大", "role": "doctor"}, {"turn": 12, "text": "睡觉把脚抬高", "role": "doctor"}, {"turn": 13, "text": "明天如果没那么痛 还需要去医院拍片子吗", "role": "patient"}, {"turn": 14, "text": "最好拍一个看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1369, "thread": [{"turn": 0, "text": "脚扭伤了35天了，怎么还会胀啊（女，43岁）", "role": "patient"}, {"turn": 1, "text": "你好！当时没有骨折吧？", "role": "doctor"}, {"turn": 2, "text": "有没有口服什么消肿的药物", "role": "doctor"}, {"turn": 3, "text": "没骨折，没吃口服消炎药", "role": "patient"}, {"turn": 4, "text": "针灸，冲激波，最近一周。但还是下地脚裸又肿，想知道是什么问题", "role": "patient"}, {"turn": 5, "text": "正常你脚踝扭伤后，局部毛细血管会破裂出血，血液淤积在局部形成血肿。需要一段时间吸收的。具体时间依你伤情而定", "role": "doctor"}, {"turn": 6, "text": "淤青至小腿肚，现不会淤青，但内侧会痛", "role": "patient"}, {"turn": 7, "text": "嗯正常的，你受伤时力量会往上传导", "role": "doctor"}, {"turn": 8, "text": "有什么良方？", "role": "patient"}, {"turn": 9, "text": "所以不只是脚踝肿胀。", "role": "doctor"}, {"turn": 10, "text": "可以口服点消肿的药物", "role": "doctor"}, {"turn": 11, "text": "配合着局部热敷，按摩等", "role": "doctor"}, {"turn": 12, "text": "那怎么办，而且脚肚还长斑", "role": "patient"}, {"turn": 13, "text": "口服药？", "role": "patient"}, {"turn": 14, "text": "三七片或者草木犀片", "role": "doctor"}, {"turn": 15, "text": "有泡脚，针灸，及消病贴", "role": "patient"}, {"turn": 16, "text": "每日几次片？", "role": "patient"}, {"turn": 17, "text": "可以贴膏药", "role": "doctor"}, {"turn": 18, "text": "泡脚热敷都行", "role": "doctor"}, {"turn": 19, "text": "不同规格厂家的剂量也不同。依说明书而定即可", "role": "doctor"}, {"turn": 20, "text": "药怎么服用？", "role": "patient"}, {"turn": 21, "text": "好的，谢谢，我试试看吧", "role": "patient"}, {"turn": 22, "text": "口服就行，不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1370, "thread": [{"turn": 0, "text": "嗓子痒痒老想咳嗽怎么办（男，46岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴替你解答问题", "role": "doctor"}, {"turn": 2, "text": "请问这症状多久了？", "role": "doctor"}, {"turn": 3, "text": "最近有感冒吗？", "role": "doctor"}, {"turn": 4, "text": "有咽炎吗", "role": "doctor"}, {"turn": 5, "text": "有一个星期了", "role": "patient"}, {"turn": 6, "text": "你这有咳痰吗", "role": "doctor"}, {"turn": 7, "text": "嗓子干咳嗽", "role": "patient"}, {"turn": 8, "text": "最近有感冒吗", "role": "doctor"}, {"turn": 9, "text": "没有感冒", "role": "patient"}, {"turn": 10, "text": "有抽烟吗？", "role": "doctor"}, {"turn": 11, "text": "抽烟，偶尔抽一点", "role": "patient"}, {"turn": 12, "text": "最近天气寒冷吗？雾霾吗？", "role": "doctor"}, {"turn": 13, "text": "有", "role": "patient"}, {"turn": 14, "text": "你这没有感冒，咽痒，要考虑是咽喉炎可能", "role": "doctor"}, {"turn": 15, "text": "建议首先注意保暖，防雾霾", "role": "doctor"}, {"turn": 16, "text": "可以适当多喝水，含服下咽炎含片，", "role": "doctor"}, {"turn": 17, "text": "咽痒咳嗽明星，口服下氯雷他定，右美沙芬！", "role": "doctor"}, {"turn": 18, "text": "最好要尽量少抽烟，最好要戒烟", "role": "doctor"}, {"turn": 19, "text": "嗓子干", "role": "patient"}, {"turn": 20, "text": "嗓子干，要注意多喝水", "role": "doctor"}, {"turn": 21, "text": "也可以适当口服下我推荐的药", "role": "doctor"}, {"turn": 22, "text": "咳嗽", "role": "patient"}, {"turn": 23, "text": "有什么好的治疗方法", "role": "patient"}, {"turn": 24, "text": "建议口服三天，效果不好，就去医院检查一下", "role": "doctor"}, {"turn": 25, "text": "我刚刚退出了一下，在找不到你了", "role": "patient"}, {"turn": 26, "text": "现在不是可以继续问诊吗？", "role": "doctor"}, {"turn": 27, "text": "聊天记录看的到吗", "role": "doctor"}, {"turn": 28, "text": "能", "role": "patient"}, {"turn": 29, "text": "就是考虑咽喉炎可能，", "role": "doctor"}, {"turn": 30, "text": "多喝水，注意防寒保暖，防雾霾，", "role": "doctor"}, {"turn": 31, "text": "戒烟，", "role": "doctor"}, {"turn": 32, "text": "含服咽炎含片，咳嗽症状明星，口服下氯雷他定，右美沙芬", "role": "doctor"}, {"turn": 33, "text": "新疆最近雾霾", "role": "patient"}, {"turn": 34, "text": "注意防雾霾！", "role": "doctor"}, {"turn": 35, "text": "多喝水，还有出门戴口罩", "role": "doctor"}, {"turn": 36, "text": "要及早戒烟或者尽量少抽烟", "role": "doctor"}, {"turn": 37, "text": "谢谢", "role": "patient"}, {"turn": 38, "text": "不客气", "role": "doctor"}, {"turn": 39, "text": "早点休息，晚安", "role": "doctor"}, {"turn": 40, "text": "平时记住多喝水！少吃辛辣油炸食品！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1371, "thread": [{"turn": 0, "text": "阴茎挫伤怎样能尽快恢复（男，26岁）", "role": "patient"}, {"turn": 1, "text": "受伤多长时间了，有便血吗？", "role": "doctor"}, {"turn": 2, "text": "半个多月。没有", "role": "patient"}, {"turn": 3, "text": "做一下热敷，理疗", "role": "doctor"}, {"turn": 4, "text": "阴茎稍微偏了一点可以恢复吗？", "role": "patient"}, {"turn": 5, "text": "可以", "role": "doctor"}, {"turn": 6, "text": "挫伤后才出现的", "role": "patient"}, {"turn": 7, "text": "医生请问你懂骨科吗？", "role": "patient"}, {"turn": 8, "text": "懂", "role": "doctor"}, {"turn": 9, "text": "我前段时间膝关节有拉伤的情况，就是膑骨连接韧带的地方疼，按压更疼。膝盖无肿胀", "role": "patient"}, {"turn": 10, "text": "应该是扭伤了，外用止痛帖，口服氨基葡萄糖，西乐葆", "role": "doctor"}, {"turn": 11, "text": "我想请问如果半月板损伤会有症状吗？", "role": "patient"}, {"turn": 12, "text": "走路有落空感，需要核磁共振检查", "role": "doctor"}, {"turn": 13, "text": "落空感是什么意思？", "role": "patient"}, {"turn": 14, "text": "做MR检查吧，", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1372, "thread": [{"turn": 0, "text": "胖子，一睡觉就容易咳嗽，且痰中带血（男，45岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "体重多少？以前有过什么疾病吗？", "role": "doctor"}, {"turn": 3, "text": "挺久了，大概是160斤", "role": "patient"}, {"turn": 4, "text": "没有疾病", "role": "patient"}, {"turn": 5, "text": "身高呢？", "role": "doctor"}, {"turn": 6, "text": "一米七", "role": "patient"}, {"turn": 7, "text": "属于偏胖，还不算肥胖，不睡觉的时候有咳嗽吗？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "咳的痰是什么颜色的？", "role": "doctor"}, {"turn": 10, "text": "口腔有没有破溃？", "role": "doctor"}, {"turn": 11, "text": "晚上会不会出汗", "role": "doctor"}, {"turn": 12, "text": "黄色偏深", "role": "patient"}, {"turn": 13, "text": "有点出汗", "role": "patient"}, {"turn": 14, "text": "家里有人或者说身边有人有得过结核吗？", "role": "doctor"}, {"turn": 15, "text": "有去医院看过，做过什么检查吗？", "role": "doctor"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "晚上咳得厉害嘛？", "role": "doctor"}, {"turn": 18, "text": "挺厉害的，特别早上起来还干呕", "role": "patient"}, {"turn": 19, "text": "偶尔出现痰中带血还是经常有？", "role": "doctor"}, {"turn": 20, "text": "经常有", "role": "patient"}, {"turn": 21, "text": "建议去医院就诊，要做胸部CT，血常规，和结核相关检查", "role": "doctor"}, {"turn": 22, "text": "是患肺结核的可能性比较大是吗", "role": "patient"}, {"turn": 23, "text": "有这种可能，也有可能是支气管扩张，需要做进一步检查来明确，才好对症治疗", "role": "doctor"}, {"turn": 24, "text": "需要引起重视", "role": "doctor"}, {"turn": 25, "text": "好的，谢谢医生\n那这种情况平时在生活中应该注意些什么呢", "role": "patient"}, {"turn": 26, "text": "主要是睡觉要注意，保护呼吸通畅，警惕突然痰液堵塞气道", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1373, "thread": [{"turn": 0, "text": "半个月的宝宝吐奶从鼻子出来（男，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，鼻子口腔是相通的，别呛到肺里", "role": "doctor"}, {"turn": 2, "text": "就好", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "你好", "role": "doctor"}, {"turn": 5, "text": "孩子呼吸，脸色有变化吗", "role": "doctor"}, {"turn": 6, "text": "半个月的宝宝睡觉的时候，就像喉咙有痰一样，哼哼的奶水就从鼻子里面出来了，这是怎么回事", "role": "patient"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "反流", "role": "doctor"}, {"turn": 9, "text": "不知道这是感冒了还是怎么了", "role": "patient"}, {"turn": 10, "text": "新生儿的胃呈水平横位，胃的贲门括约肌发育 差，松弛，而幽门括约肌发育较好，肌力较强，即入口松、 出口紧，使得胃的排空比较慢，吃进的奶在胃中停留的时间 较长，奶水容易反流", "role": "doctor"}, {"turn": 11, "text": "活动或者使劲后吐奶，反流是正常的", "role": "doctor"}, {"turn": 12, "text": "那应该怎么做呢？", "role": "patient"}, {"turn": 13, "text": "让宝宝头偏向一侧，或者孩子侧着睡", "role": "doctor"}, {"turn": 14, "text": "老是这样，就慢慢有经验了，接着清理下，别呛着", "role": "doctor"}, {"turn": 15, "text": "一直都是侧睡的", "role": "patient"}, {"turn": 16, "text": "睡觉的时候也是偏向一侧，相对不容易呛奶", "role": "doctor"}, {"turn": 17, "text": "垫枕头", "role": "doctor"}, {"turn": 18, "text": "可以垫枕头吗？", "role": "patient"}, {"turn": 19, "text": "婴儿枕头", "role": "doctor"}, {"turn": 20, "text": "可以的", "role": "doctor"}, {"turn": 21, "text": "喂完奶，可以多竖着抱一会儿，拍拍嗝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1374, "thread": [{"turn": 0, "text": "我家孩子8周岁半，身高 126，是不是矮小，孩子挑食，怎么能让孩子身高在成年之后达到175以上呢（男，8岁）", "role": "patient"}, {"turn": 1, "text": "你好，小孩子这种情况可能是缺锌缺钙的原因导致的，您可以给孩子检查微量元素看看。", "role": "doctor"}, {"turn": 2, "text": "如果是缺这些东西怎么办，我一直给孩子吃钙和锌，都补着呢", "role": "patient"}, {"turn": 3, "text": "孩子抵抗力还可以。从来不怎么感冒发烧", "role": "patient"}, {"turn": 4, "text": "嗯嗯，适当的给孩子服用一些健胃消食片，等调理一下肠胃。", "role": "doctor"}, {"turn": 5, "text": "消化也可以的，但是吃的不算多，", "role": "patient"}, {"turn": 6, "text": "哦，那平时让孩子多跑动多运动，还要注意让孩子多吃一些高钙高蛋白的食物，有助于长身体。", "role": "doctor"}, {"turn": 7, "text": "吃一些什么样的食物有助于长高呢", "role": "patient"}, {"turn": 8, "text": "高钙高蛋白的食物。", "role": "doctor"}, {"turn": 9, "text": "像牛奶鸡蛋。还有富含维生素微量元素的水果和绿叶蔬菜等。", "role": "doctor"}, {"turn": 10, "text": "孩子会不会是缺乏生长激素", "role": "patient"}, {"turn": 11, "text": "用不用去医院测一下骨龄之类的", "role": "patient"}, {"turn": 12, "text": "您可以带孩子去医院检查，看看钙的吸收情况。", "role": "doctor"}, {"turn": 13, "text": "有些孩子经常补钙，但是吸收不了。最好检查个骨钙。", "role": "doctor"}, {"turn": 14, "text": "知道了", "role": "patient"}, {"turn": 15, "text": "嗯嗯！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1375, "thread": [{"turn": 0, "text": "脸部和头皮经常出油，脸部长痘痘（女，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "小半年了", "role": "patient"}, {"turn": 3, "text": "这个主要与内分泌，饮食，睡眠等有关系的", "role": "doctor"}, {"turn": 4, "text": "看过好多地方都没看好", "role": "patient"}, {"turn": 5, "text": "这种情况可以口服丹参酮胶囊与维生素b6", "role": "doctor"}, {"turn": 6, "text": "但面部的痤疮痘痘很难根治", "role": "doctor"}, {"turn": 7, "text": "现在主要是脸上长豆比较厉害，还有出油厉害", "role": "patient"}, {"turn": 8, "text": "这种情况可以同时口服维胺酯胶囊", "role": "doctor"}, {"turn": 9, "text": "嗓子还每天干", "role": "patient"}, {"turn": 10, "text": "平时少吃辛辣油腻与甜的食物", "role": "doctor"}, {"turn": 11, "text": "不怎么吃辣", "role": "patient"}, {"turn": 12, "text": "发病原因很多，不一定能找到", "role": "doctor"}, {"turn": 13, "text": "是啊，现在长痘越来越厉害，中药也吃过好多，就是没治好", "role": "patient"}, {"turn": 14, "text": "那嗓子干是什么原因呢？", "role": "patient"}, {"turn": 15, "text": "很多诱发因素都会加重或引起痤疮的复发，就像感冒一样难以真正意义上的根治", "role": "doctor"}, {"turn": 16, "text": "这个嗓子干有一年多了，一直也没见好", "role": "patient"}, {"turn": 17, "text": "这个需要咨询一下五官科医生", "role": "doctor"}, {"turn": 18, "text": "哦哦，吃点你说的那些药试试吧", "role": "patient"}, {"turn": 19, "text": "可以的", "role": "doctor"}, {"turn": 20, "text": "要是去医院检查需要挂什么科呀？", "role": "patient"}, {"turn": 21, "text": "皮肤科", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢您了，给您添麻烦了", "role": "patient"}, {"turn": 23, "text": "不用谢的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1376, "thread": [{"turn": 0, "text": "在拉萨第五天 晚上睡觉头很痛 吃了芬必得头也还是痛 吸了一些便携式氧气 也没用 呼吸难受 口渴 白天症状缓解一些（女，26岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您服务", "role": "doctor"}, {"turn": 2, "text": "感觉感冒了吗？", "role": "doctor"}, {"turn": 3, "text": "好像有一点点感冒 鼻塞 有点", "role": "patient"}, {"turn": 4, "text": "以前去过拉萨吗？", "role": "doctor"}, {"turn": 5, "text": "没有 第一次来", "role": "patient"}, {"turn": 6, "text": "晚上凌晨之后就特别难受", "role": "patient"}, {"turn": 7, "text": "原来家住在哪里？", "role": "doctor"}, {"turn": 8, "text": "就是去拉萨之前您平常在哪生活？", "role": "doctor"}, {"turn": 9, "text": "在重庆噢", "role": "patient"}, {"turn": 10, "text": "怎么进入西藏的", "role": "doctor"}, {"turn": 11, "text": "做的飞机 第一天第二天没有这么严重 第三天洗了澡 开始头痛的厉害", "role": "patient"}, {"turn": 12, "text": "嗯嗯，呼吸困难明显吗", "role": "doctor"}, {"turn": 13, "text": "白天还好 晚上很明显 头痛也是 白天稍微缓和一点", "role": "patient"}, {"turn": 14, "text": "您好，考虑还是有些高原反应。再加上您洗完澡后可能有些感冒了", "role": "doctor"}, {"turn": 15, "text": "这个需要吃药还是去医院吸氧呢", "role": "patient"}, {"turn": 16, "text": "建议您要是可以，到当地医院就诊", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "嗯嗯，", "role": "doctor"}, {"turn": 19, "text": "避免剧烈运动，奔跑，快走，攀爬等活动，要不然病情会加重，多喝水。可以吃点止痛药，可以用点诺迪康或红景天口服液、葡萄糖等，间断吸氧，如果病情加重，赶紧上医院，或者出西藏", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1377, "thread": [{"turn": 0, "text": "什么手术可以治好便秘（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，你便秘多久了？", "role": "doctor"}, {"turn": 2, "text": "两年了", "role": "patient"}, {"turn": 3, "text": "现在泻药吃50片才能拉出一点", "role": "patient"}, {"turn": 4, "text": "排不干净", "role": "patient"}, {"turn": 5, "text": "还有混合痣，一拉就会掉出来，跟这个有关系吗？", "role": "patient"}, {"turn": 6, "text": "在吗？", "role": "patient"}, {"turn": 7, "text": "医生", "role": "patient"}, {"turn": 8, "text": "嗯嗯", "role": "doctor"}, {"turn": 9, "text": "你便秘不需要手术", "role": "doctor"}, {"turn": 10, "text": "混合痔有脱出，需手术治疗了", "role": "doctor"}, {"turn": 11, "text": "平时水果蔬菜吃的多吗？", "role": "doctor"}, {"turn": 12, "text": "吃，吃的也多", "role": "patient"}, {"turn": 13, "text": "吃了不拉肚子越来越大，身子也胖了，难过", "role": "patient"}, {"turn": 14, "text": "便秘手术是很慎重的", "role": "doctor"}, {"turn": 15, "text": "要做很多评估和检查。确定有结肠冗长或慢传输，且严重影响生活的话才考虑手术治疗", "role": "doctor"}, {"turn": 16, "text": "便秘分慢传输性和出口梗阻性，要确定好", "role": "doctor"}, {"turn": 17, "text": "你这么年轻，应该没大问题", "role": "doctor"}, {"turn": 18, "text": "确实有问题的话，去正轨医院，肛肠科看看", "role": "doctor"}, {"turn": 19, "text": "嗯嗯", "role": "patient"}, {"turn": 20, "text": "记得好评哈😊👍", "role": "doctor"}, {"turn": 21, "text": "我有贪食症，一焦虑就想吃，不拉我着急", "role": "patient"}, {"turn": 22, "text": "胃也大吃的少不饱，再不拉越来越胖", "role": "patient"}, {"turn": 23, "text": "哈哈，那样的话，你正常，不便秘，吃的多拉的多，", "role": "doctor"}, {"turn": 24, "text": "嗯", "role": "patient"}, {"turn": 25, "text": "啥办法？医生", "role": "patient"}, {"turn": 26, "text": "靠毅力！减肥，运动加节食", "role": "doctor"}, {"turn": 27, "text": "没时间，胃大，还有贪食坚持不了", "role": "patient"}, {"turn": 28, "text": "那就晚饭别吃了", "role": "doctor"}, {"turn": 29, "text": "哎", "role": "patient"}, {"turn": 30, "text": "记得好评哈😊👍", "role": "doctor"}, {"turn": 31, "text": "嗯", "role": "patient"}, {"turn": 32, "text": "🍀", "role": "doctor"}, {"turn": 33, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1378, "thread": [{"turn": 0, "text": "内痔压到子宫要看什么科（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，建议你到肛肠科就诊", "role": "doctor"}, {"turn": 2, "text": "好的谢谢", "role": "patient"}, {"turn": 3, "text": "一般内痔在肛门口，子宫比较深，无法压到的", "role": "doctor"}, {"turn": 4, "text": "你什么不舒服呢", "role": "doctor"}, {"turn": 5, "text": "内痔压到子宫后果有多严重", "role": "patient"}, {"turn": 6, "text": "原理上压不到的", "role": "doctor"}, {"turn": 7, "text": "你到肛肠科找专业医生给你做一下肛门部检查", "role": "doctor"}, {"turn": 8, "text": "大便的时候肛门痛", "role": "patient"}, {"turn": 9, "text": "痔疮症状主要是疼痛出血等", "role": "doctor"}, {"turn": 10, "text": "好的谢谢", "role": "patient"}, {"turn": 11, "text": "请问大便干结吗?排便后肛门口有肉疙瘩脱出吗？", "role": "doctor"}, {"turn": 12, "text": "昨天拍的片子说是内痔压倒子宫", "role": "patient"}, {"turn": 13, "text": "不好意思不是内痔压倒子宫的", "role": "patient"}, {"turn": 14, "text": "是子宫下垂", "role": "patient"}, {"turn": 15, "text": "需要做手术是吗", "role": "patient"}, {"turn": 16, "text": "你把结果拍我看一下", "role": "doctor"}, {"turn": 17, "text": "我现在不在家", "role": "patient"}, {"turn": 18, "text": "晚上拍可以吗？", "role": "patient"}, {"turn": 19, "text": "那晚上再发我看一下", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "💝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1379, "thread": [{"turn": 0, "text": "头老是偏头痛是怎么回事（女，32岁）", "role": "patient"}, {"turn": 1, "text": "出现这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "很早以前就会了，", "role": "patient"}, {"turn": 3, "text": "只是时间不会很长，一般第二天就没事", "role": "patient"}, {"turn": 4, "text": "痛的时候感觉就会有一根筋鼓起来", "role": "patient"}, {"turn": 5, "text": "请问你头痛多长时间了？几年？头痛的部位主要是哪里？是针刺样疼，刀割样疼？搏动样一拱一拱的疼？还是胀疼？头沉？", "role": "doctor"}, {"turn": 6, "text": "好多年了，在太阳穴位置，像刺样痛", "role": "patient"}, {"turn": 7, "text": "头痛之前有没有眼前闪光，视物变形的情况？在头疼的时候有没有怕光怕乱怕烦的感觉？感觉自己在屋里拉上窗帘，睡一觉会好一些。", "role": "doctor"}, {"turn": 8, "text": "没有闪光视物变形的情况。有时候睡觉起来就没事了", "role": "patient"}, {"turn": 9, "text": "头疼的时候怕光怕乱怕烦吗", "role": "doctor"}, {"turn": 10, "text": "头痛的时候蹲下去再起来眼睛就黑了", "role": "patient"}, {"turn": 11, "text": "不会", "role": "patient"}, {"turn": 12, "text": "你母亲，姥姥年轻的时候或者现在有头晕头痛的情况吗", "role": "doctor"}, {"turn": 13, "text": "这次好像痛的比较久了，前天就开始了，今天感觉在另一边痛了，一阵一阵的", "role": "patient"}, {"turn": 14, "text": "我母亲会", "role": "patient"}, {"turn": 15, "text": "吃过药吗", "role": "doctor"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "我一般睡觉起来就没事了，这次比较久", "role": "patient"}, {"turn": 18, "text": "可以服用西比灵治疗", "role": "doctor"}, {"turn": 19, "text": "考虑有可能是偏头痛", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1380, "thread": [{"turn": 0, "text": "新生儿13天消化不良可以吃益生菌吗（男，13天）", "role": "patient"}, {"turn": 1, "text": "您好，，，消化不良的症状很多，不同的症状处理方法不同，您的宝宝有什么异常表现？", "role": "doctor"}, {"turn": 2, "text": "肚子胀，溢奶", "role": "patient"}, {"turn": 3, "text": "打嗝", "role": "patient"}, {"turn": 4, "text": "而且拉稀", "role": "patient"}, {"turn": 5, "text": "可以口服妈咪爱治疗", "role": "doctor"}, {"turn": 6, "text": "只要一吃奶粉。大便能成条状，吃母乳就变成稀的了", "role": "patient"}, {"turn": 7, "text": "益生菌不能吃吗，我之前买好了", "role": "patient"}, {"turn": 8, "text": "妈咪爱是益生菌的一种。您买的是什么名字", "role": "doctor"}, {"turn": 9, "text": "合生元", "role": "patient"}, {"turn": 10, "text": "也可以", "role": "doctor"}, {"turn": 11, "text": "没有妈咪爱好是吗", "role": "patient"}, {"turn": 12, "text": "只要一吃奶粉。大便能成条状，吃母乳就变成稀的了，这是为什么啊", "role": "patient"}, {"turn": 13, "text": "个人习惯，我个人认为妈咪爱比较好", "role": "doctor"}, {"turn": 14, "text": "哦", "role": "patient"}, {"turn": 15, "text": "。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1381, "thread": [{"turn": 0, "text": "丝状角膜炎治疗后眼睛痒怎么回事（女，34岁）", "role": "patient"}, {"turn": 1, "text": "需要用抗生素滴眼液抗炎治疗", "role": "doctor"}, {"turn": 2, "text": "哪个牌子的", "role": "patient"}, {"turn": 3, "text": "可乐必妥滴眼液，玻璃酸钠滴眼液", "role": "doctor"}, {"turn": 4, "text": "我现在在用托百士及玻璃酸钠滴眼液。这是医院开的，现在是丝状物消失后眼晴奇痒", "role": "patient"}, {"turn": 5, "text": "本来要去医院复查的，但刚好有事回来了。", "role": "patient"}, {"turn": 6, "text": "可以，丝状角膜炎容易反复，去医院用裂隙灯检查一下", "role": "doctor"}, {"turn": 7, "text": "我以为丝状角膜炎好了，不能用眼药水了，就停了一天玻璃酸钠眼液，托百士还在坚持用，结果还是痒", "role": "patient"}, {"turn": 8, "text": "己经检查过了，丝状物也没见长了，现在就是痒", "role": "patient"}, {"turn": 9, "text": "痒的难受，我想知道是什么原因，怎么能控制住痒", "role": "patient"}, {"turn": 10, "text": "继续用眼药水，闭眼休息", "role": "doctor"}, {"turn": 11, "text": "角膜炎会有刺激", "role": "doctor"}, {"turn": 12, "text": "还有过敏性结膜炎会有眼痒", "role": "doctor"}, {"turn": 13, "text": "这个有没有别的眼药水可以用", "role": "patient"}, {"turn": 14, "text": "以前没去医院做还不痒", "role": "patient"}, {"turn": 15, "text": "托百士换成可乐必妥", "role": "doctor"}, {"turn": 16, "text": "丝状物去除以后没长了就奇痒", "role": "patient"}, {"turn": 17, "text": "好，这个一般的药店买得到吗", "role": "patient"}, {"turn": 18, "text": "可以，角膜丝状物去除，会使角膜上皮损伤，会有异物感，流泪，需要时间修复，1到2天", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1382, "thread": [{"turn": 0, "text": "一到晚上就浑身发热，感觉气虚（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "大约有一个星期了", "role": "patient"}, {"turn": 3, "text": "还有其他什么症状吗", "role": "doctor"}, {"turn": 4, "text": "头有点晕  嘴唇发干 喝了水也没用  眼睛发木  气短 动多了会有虚汗", "role": "patient"}, {"turn": 5, "text": "白天没有这些症状吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "你做什么工作的", "role": "doctor"}, {"turn": 8, "text": "我是大三学生", "role": "patient"}, {"turn": 9, "text": "而且最近胃也不舒服  睡眠不太好", "role": "patient"}, {"turn": 10, "text": "胃怎么了", "role": "doctor"}, {"turn": 11, "text": "吃不下油腻的东西  闻见油腻的就反应", "role": "patient"}, {"turn": 12, "text": "月经这些正常吗", "role": "doctor"}, {"turn": 13, "text": "这个月月经推迟了", "role": "patient"}, {"turn": 14, "text": "应该20号左右就来的", "role": "patient"}, {"turn": 15, "text": "是还没有来吗", "role": "doctor"}, {"turn": 16, "text": "还没", "role": "patient"}, {"turn": 17, "text": "今天23号，才推了三天，是吗", "role": "doctor"}, {"turn": 18, "text": "嗯", "role": "patient"}, {"turn": 19, "text": "我的月经是每个月都会提前两天来", "role": "patient"}, {"turn": 20, "text": "冒昧问一下你耍男朋友没有", "role": "doctor"}, {"turn": 21, "text": "没有", "role": "patient"}, {"turn": 22, "text": "没有过", "role": "patient"}, {"turn": 23, "text": "哦，那可能需要调理一下脾胃和睡眠", "role": "doctor"}, {"turn": 24, "text": "为什么会发热呢", "role": "patient"}, {"turn": 25, "text": "脾胃不好，吸收不好，气血差了，也会出现虚热症状", "role": "doctor"}, {"turn": 26, "text": "对了 我最近有点贫血", "role": "patient"}, {"turn": 27, "text": "我应该吃点什么药", "role": "patient"}, {"turn": 28, "text": "建议开个中药方子调理一下", "role": "doctor"}, {"turn": 29, "text": "那我还是挺着吧 我不想吃中药", "role": "patient"}, {"turn": 30, "text": "贫血可以吃点枣子", "role": "doctor"}, {"turn": 31, "text": "嗯", "role": "patient"}, {"turn": 32, "text": "最好还是要吃药调理一下", "role": "doctor"}, {"turn": 33, "text": "医生 我现在热 想洗冷水澡 风扇想对着吹", "role": "patient"}, {"turn": 34, "text": "那还是要不得", "role": "doctor"}, {"turn": 35, "text": "那怎么办", "role": "patient"}, {"turn": 36, "text": "去医院看看，吃点中药撒，心态放平和，不要急躁", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1383, "thread": [{"turn": 0, "text": "医生您好，龋齿，该怎么办？（女，64岁）", "role": "patient"}, {"turn": 1, "text": "你好，应该尽早去医院补牙", "role": "doctor"}, {"turn": 2, "text": "老人牙疼，一吃东西就疼，看表面，靠近根部感觉快断了", "role": "patient"}, {"turn": 3, "text": "可以用材料补上", "role": "doctor"}, {"turn": 4, "text": "有没有暂时止疼的办法，周末才有时间去", "role": "patient"}, {"turn": 5, "text": "不吃东西疼吗？", "role": "doctor"}, {"turn": 6, "text": "这个补牙是去了就可以直接补吗？", "role": "patient"}, {"turn": 7, "text": "不吃东西不疼，一嚼东西就疼", "role": "patient"}, {"turn": 8, "text": "如果没漏神经，可以直接补", "role": "doctor"}, {"turn": 9, "text": "吃东西疼可能是牙齿敏感，也可能是牙根发炎", "role": "doctor"}, {"turn": 10, "text": "那就避免用那颗牙吃东西", "role": "doctor"}, {"turn": 11, "text": "哦。", "role": "patient"}, {"turn": 12, "text": "有没有啥止疼的办法啊？", "role": "patient"}, {"turn": 13, "text": "疼得是门牙左侧两颗牙齿。这种补牙是补了当天就能吃东西吗？", "role": "patient"}, {"turn": 14, "text": "老人有高血压糖尿病，能不能补牙？", "role": "patient"}, {"turn": 15, "text": "因为没检查确诊，所以也不能随便吃药", "role": "doctor"}, {"turn": 16, "text": "牙齿敏感，吃药没有用", "role": "doctor"}, {"turn": 17, "text": "牙根发炎，可以吃消炎药", "role": "doctor"}, {"turn": 18, "text": "哦", "role": "patient"}, {"turn": 19, "text": "既然不吃东西不疼，我的建议就是先避免用那颗牙吃东西，这几天先吃点软的", "role": "doctor"}, {"turn": 20, "text": "好，知道了，谢谢医生", "role": "patient"}, {"turn": 21, "text": "如果神经没有发炎，去一次就行", "role": "doctor"}, {"turn": 22, "text": "如果神经发炎了，就得去三次或者四次", "role": "doctor"}, {"turn": 23, "text": "嗯，周末去看一下。谢谢您医生", "role": "patient"}, {"turn": 24, "text": "不客气", "role": "doctor"}, {"turn": 25, "text": "血糖血压吃药控制在正常范围，是可以治牙的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1384, "thread": [{"turn": 0, "text": "偏头痛吃强的松效果怎么样（女，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，不推荐吃强的松的", "role": "doctor"}, {"turn": 2, "text": "强的松不能吃吗", "role": "patient"}, {"turn": 3, "text": "那天丹通络片呢", "role": "patient"}, {"turn": 4, "text": "医生给开的", "role": "patient"}, {"turn": 5, "text": "可以吃点天丹", "role": "doctor"}, {"turn": 6, "text": "强的松不建议吃呢", "role": "doctor"}, {"turn": 7, "text": "左侧头疼了半个月了", "role": "patient"}, {"turn": 8, "text": "一直不见好，中药也吃了", "role": "patient"}, {"turn": 9, "text": "可以吃芬必得", "role": "doctor"}, {"turn": 10, "text": "头疼是什么引起的", "role": "patient"}, {"turn": 11, "text": "这个药可以和中药一起吗", "role": "patient"}, {"turn": 12, "text": "太阳穴疼", "role": "patient"}, {"turn": 13, "text": "还有点发热", "role": "patient"}, {"turn": 14, "text": "还有发热？", "role": "doctor"}, {"turn": 15, "text": "那要去医院看看呢", "role": "doctor"}, {"turn": 16, "text": "把CT   还有脑供血，脑电图都查了都是好的", "role": "patient"}, {"turn": 17, "text": "不是身体发热是太阳穴发热", "role": "patient"}, {"turn": 18, "text": "那估计还是头痛的感觉", "role": "doctor"}, {"turn": 19, "text": "先买点芬必得吃", "role": "doctor"}, {"turn": 20, "text": "太阳穴疼还发热是什么原因引起的", "role": "patient"}, {"turn": 21, "text": "持续疼，", "role": "patient"}, {"turn": 22, "text": "偏头痛", "role": "doctor"}, {"turn": 23, "text": "强的的，副作用是不是很大", "role": "patient"}, {"turn": 24, "text": "治头疼的中药和天丹通络片，元胡止痛胶囊，天舒胶囊能一起吃吗", "role": "patient"}, {"turn": 25, "text": "可以吃，加点西药吃吧", "role": "doctor"}, {"turn": 26, "text": "加哪个", "role": "patient"}, {"turn": 27, "text": "药店能买到吗", "role": "patient"}, {"turn": 28, "text": "中药和剩下的这几个中间隔一点时间", "role": "patient"}, {"turn": 29, "text": "再吃吗", "role": "patient"}, {"turn": 30, "text": "药店有卖的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1385, "thread": [{"turn": 0, "text": "满月的新生儿，便秘两天，怎么办？", "role": "patient"}, {"turn": 1, "text": "您好，宝宝大便习惯一直这样吗？", "role": "doctor"}, {"turn": 2, "text": "不是", "role": "patient"}, {"turn": 3, "text": "之前一天最少一回", "role": "patient"}, {"turn": 4, "text": "之前大便干结吗？", "role": "doctor"}, {"turn": 5, "text": "多则一天好几回，没有", "role": "patient"}, {"turn": 6, "text": "有没有吐奶的情况？", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "宝宝肚子涨不涨？", "role": "doctor"}, {"turn": 9, "text": "还行吧！一直就是略微鼓鼓的", "role": "patient"}, {"turn": 10, "text": "小婴儿的肚子都是鼓出来的", "role": "doctor"}, {"turn": 11, "text": "吃母乳还是奶粉？", "role": "doctor"}, {"turn": 12, "text": "都吃", "role": "patient"}, {"turn": 13, "text": "这几天，反应、精神状态如何？", "role": "doctor"}, {"turn": 14, "text": "精神还好，就是偶尔的大哭，哭起来特别厉害", "role": "patient"}, {"turn": 15, "text": "稍等，我替您总结一下。", "role": "doctor"}, {"turn": 16, "text": "好的！尤其天快黑的时候就容易哭", "role": "patient"}, {"turn": 17, "text": "针对本次问诊，医生更新了总结建议：按您的描述，大便这样很有可能是消化的残渣，在肠道内存留时间太长所致。宝宝这个时候，肠道功能还弱，吃奶粉的宝宝，更加常见，只要大便不干结，没有明显的呕吐及腹胀，一般问题不大的。大便这样跟小婴儿肠道菌群尚未建立平衡有很大的关系。可以补充金双歧、培菲康等益生菌加以调理。平时可以顺时针方向轻揉宝宝肚子，做好肠道按摩，促进肠蠕动，辅助宝宝排便。", "role": "doctor"}, {"turn": 18, "text": "好的！谢谢", "role": "patient"}, {"turn": 19, "text": "那孩子肚脐还没掉怎么办", "role": "patient"}, {"turn": 20, "text": "不客气的。", "role": "doctor"}, {"turn": 21, "text": "这几天，有在做脐部消毒吗？", "role": "doctor"}, {"turn": 22, "text": "消了", "role": "patient"}, {"turn": 23, "text": "用什么在消毒？", "role": "doctor"}, {"turn": 24, "text": "康脐宝", "role": "patient"}, {"turn": 25, "text": "可以的，继续做好脐部消毒，每个孩子脐部残端脱落的时间会有不同的。", "role": "doctor"}, {"turn": 26, "text": "嗯嗯！好的", "role": "patient"}, {"turn": 27, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1386, "thread": [{"turn": 0, "text": "偏头痛，恶心想吐怎么回事儿？（男，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "三四天了吧", "role": "patient"}, {"turn": 3, "text": "一开始没熬夜的时候 抽烟以后就恶心 想吐", "role": "patient"}, {"turn": 4, "text": "这几天熬夜 喝酒 抽烟 又头晕 又恶心想吐", "role": "patient"}, {"turn": 5, "text": "以前有偏头痛？", "role": "doctor"}, {"turn": 6, "text": "只要睡眠不足 我都会偏头痛", "role": "patient"}, {"turn": 7, "text": "你好，除了头疼，还有没有其他症", "role": "doctor"}, {"turn": 8, "text": "恶心 想吐", "role": "patient"}, {"turn": 9, "text": "有没有治疗过呢？", "role": "doctor"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "因为我偏头痛的话 好好睡一觉就好了", "role": "patient"}, {"turn": 12, "text": "嗯嗯", "role": "doctor"}, {"turn": 13, "text": "以前偏头痛也没有恶心想吐", "role": "patient"}, {"turn": 14, "text": "这三四天来休息后有没有减轻呢？", "role": "doctor"}, {"turn": 15, "text": "这几天一直睡不好", "role": "patient"}, {"turn": 16, "text": "这次头痛和以前的头痛部位，性质都是一样的吗？", "role": "doctor"}, {"turn": 17, "text": "一样的 就是多了个恶心想吐的症状", "role": "patient"}, {"turn": 18, "text": "还吐不出来 反胃", "role": "patient"}, {"turn": 19, "text": "嗯嗯，您的情况考虑是偏头痛加重了", "role": "doctor"}, {"turn": 20, "text": "可以口服药物治疗", "role": "doctor"}, {"turn": 21, "text": "吃啥药", "role": "patient"}, {"turn": 22, "text": "咽炎或者啥的会引起恶心反胃么", "role": "patient"}, {"turn": 23, "text": "咽炎也会出现恶心呕吐，您有咽部干，痒，咳吗？", "role": "doctor"}, {"turn": 24, "text": "没有", "role": "patient"}, {"turn": 25, "text": "但是抽烟比较多", "role": "patient"}, {"turn": 26, "text": "早上刷牙恶心干呕", "role": "patient"}, {"turn": 27, "text": "偏头痛可以口服西比灵，布洛芬，睡不好可以口服安定或者阿普唑仑", "role": "doctor"}, {"turn": 28, "text": "好的 谢谢", "role": "patient"}, {"turn": 29, "text": "嗯嗯，抽烟对身体不好，尽量避免烟酒吧", "role": "doctor"}, {"turn": 30, "text": "嗯嗯，不客气的", "role": "doctor"}, {"turn": 31, "text": "上班 不能不喝呀😢", "role": "patient"}, {"turn": 32, "text": "这些药物效果好，普遍，便宜", "role": "doctor"}, {"turn": 33, "text": "嗯嗯，理解的，尽量少一些吧", "role": "doctor"}, {"turn": 34, "text": "安定，阿普唑仑在医院能买到，药店没有", "role": "doctor"}, {"turn": 35, "text": "我买个布洛芬吧", "role": "patient"}, {"turn": 36, "text": "我这个人有个习惯 就是只要十二点前不睡 就得熬夜到三点", "role": "patient"}, {"turn": 37, "text": "嗯嗯，您熬夜对健康不太好，建议您口服一片阿普唑仑助眠", "role": "doctor"}, {"turn": 38, "text": "好的 谢谢", "role": "patient"}, {"turn": 39, "text": "嗯嗯，不客气", "role": "doctor"}, {"turn": 40, "text": "祝您早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1387, "thread": [{"turn": 0, "text": "扭伤脚，现已消肿，但有淤紫（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，受伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一周了", "role": "patient"}, {"turn": 3, "text": "是踝关节扭伤？", "role": "doctor"}, {"turn": 4, "text": "我现在已经消肿了，但还有淤青，走太久脚也会无力", "role": "patient"}, {"turn": 5, "text": "做了什么检查治疗没有", "role": "doctor"}, {"turn": 6, "text": "拍片子没有", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "扭伤容易造成软组织损伤", "role": "doctor"}, {"turn": 9, "text": "我就是去药店检查了一下买了药", "role": "patient"}, {"turn": 10, "text": "严重会引起撕脱性骨折", "role": "doctor"}, {"turn": 11, "text": "疼痛明显可以买点膏药，比如乌梢蛇活骨贴黑膏，这个可以的。", "role": "doctor"}, {"turn": 12, "text": "一般来说踝关节扭伤会造成韧带拉伤撕裂，局部就会出现出血，造成肿胀疼痛活动受限等情况。这种情况就需要48小时内冰敷治疗，切不可热敷或是去推揉损伤部位，不然会造成肿胀加重。48小时以后再可以考虑热敷，推拿揉等。一般休息2周左右就会好的", "role": "doctor"}, {"turn": 13, "text": "他脚踝不是很疼，但是走久了后腿会有点疼", "role": "patient"}, {"turn": 14, "text": "最好不要走路，受伤后需要多休息，过早负重会造成疼痛反复，也不利于血液回流", "role": "doctor"}, {"turn": 15, "text": "那我现在怎么办呢", "role": "patient"}, {"turn": 16, "text": "休息不要下地走路，用外用药促进血液循环，消肿去瘀", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1388, "thread": [{"turn": 0, "text": "倒数第二个牙齿四分之黑了是龋齿吗（女，29岁）", "role": "patient"}, {"turn": 1, "text": "您好，能拍个照片看看吗？", "role": "doctor"}, {"turn": 2, "text": "奇怪 发不出照片 网络失败", "role": "patient"}, {"turn": 3, "text": "黑了的话应该是龋齿", "role": "doctor"}, {"turn": 4, "text": "疼不疼呀？", "role": "doctor"}, {"turn": 5, "text": "不疼", "role": "patient"}, {"turn": 6, "text": "龋齿如果不疼，可能没到神经，可以直接补牙", "role": "doctor"}, {"turn": 7, "text": "4分之一黑了", "role": "patient"}, {"turn": 8, "text": "后面大牙", "role": "patient"}, {"turn": 9, "text": "坏的深的话可能需要治疗", "role": "doctor"}, {"turn": 10, "text": "那你去拍片看看，看看龋坏程度", "role": "doctor"}, {"turn": 11, "text": "好的 谢谢", "role": "patient"}, {"turn": 12, "text": "不客气啦", "role": "doctor"}, {"turn": 13, "text": "尽快去", "role": "doctor"}, {"turn": 14, "text": "越早越好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1389, "thread": [{"turn": 0, "text": "我长期便秘，并且大便不成型，还带血（女，43岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "大便几天一次，有脓血吗", "role": "doctor"}, {"turn": 3, "text": "一个多月了，一天一次，并且特别困难", "role": "patient"}, {"turn": 4, "text": "有腹痛腹胀呕吐打嗝等其他症状吗", "role": "doctor"}, {"turn": 5, "text": "没有脓血，只是肛门处有少量鲜血", "role": "patient"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "治疗或检查了吗", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "还没去", "role": "patient"}, {"turn": 10, "text": "准备去看，医生，您好！这个挂哪个科呢", "role": "patient"}, {"turn": 11, "text": "你的情况考虑是有胃肠炎或胃肠功能紊乱等引起可能性大，建议清淡饮食，注意保暖，不要吃辛辣油腻和生冷食物，多喝点热水，不要抽烟喝酒，饭后适当活动，保持大便通畅，可以吃曲美布汀，双歧杆菌三联活菌片一起改善症状，不行的话需要去医院消化科做个肠镜检查等具体看下比较好", "role": "doctor"}, {"turn": 12, "text": "非常感谢陈医生的建议和帮助！", "role": "patient"}, {"turn": 13, "text": "不客气，祝你早日康复^_^", "role": "doctor"}, {"turn": 14, "text": "这个是不是直肠癌的前期", "role": "patient"}, {"turn": 15, "text": "癌症可能性不大，具体需要检查清楚比较好", "role": "doctor"}, {"turn": 16, "text": "这个是不是直肠癌的前兆", "role": "patient"}, {"turn": 17, "text": "说过了呀", "role": "doctor"}, {"turn": 18, "text": "单纯你说的情况判断不了有没有癌症", "role": "doctor"}, {"turn": 19, "text": "哦，谢谢！", "role": "patient"}, {"turn": 20, "text": "谢谢", "role": "patient"}, {"turn": 21, "text": "不客气^_^", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1390, "thread": [{"turn": 0, "text": "戴套嫖娼后会得艾滋吗，还是恐艾症状（男，26岁）", "role": "patient"}, {"turn": 1, "text": "你好，戴套性交是不可能感染艾滋病毒的！这个没有任何疑问的", "role": "doctor"}, {"turn": 2, "text": "找的是街女不会吗", "role": "patient"}, {"turn": 3, "text": "不会的，只要使用安全套就不可能感染艾滋病毒", "role": "doctor"}, {"turn": 4, "text": "我好担心", "role": "patient"}, {"turn": 5, "text": "如果全程使用安全套，就没有什么好担心的了", "role": "doctor"}, {"turn": 6, "text": "万一套子自身就带病毒怎么办那个套子是她给我的也是她帮我带的", "role": "patient"}, {"turn": 7, "text": "安全套不可能携带艾滋病毒的", "role": "doctor"}, {"turn": 8, "text": "因为艾滋病毒比较脆弱，离开人体数分钟就会失活，失去致病能力的！所以不可能通过这种途径传染艾滋病的", "role": "doctor"}, {"turn": 9, "text": "我插的时候比较深会有危险吗", "role": "patient"}, {"turn": 10, "text": "没有任何问题的", "role": "doctor"}, {"turn": 11, "text": "不是说艾滋病是通过性传播的吗", "role": "patient"}, {"turn": 12, "text": "是通过性传播的！但是您是使用安全套的啊！所以不可能感染的", "role": "doctor"}, {"turn": 13, "text": "那有些人为什么即使用了套可是依然还是会传染", "role": "patient"}, {"turn": 14, "text": "只要是全程使用避孕套就不可能感染的！他们肯定还有其他高危性行为😢", "role": "doctor"}, {"turn": 15, "text": "好的知道了谢谢", "role": "patient"}, {"turn": 16, "text": "不客气的，祝您健康💝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1391, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脱发问题（男，21岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？", "role": "doctor"}, {"turn": 2, "text": "没有不舒服", "role": "patient"}, {"turn": 3, "text": "每天脱发能超过100根吗？", "role": "doctor"}, {"turn": 4, "text": "就是之前洗头的时候都会掉三四十根头发", "role": "patient"}, {"turn": 5, "text": "头发的新陈代谢分生长期。休止期和退行期。正常情况下，每天有多少根头发生长？就有多少根头发脱落？如果每天脱发不超过一百根。就属于正常的生理性脱发。", "role": "doctor"}, {"turn": 6, "text": "那应该没有", "role": "patient"}, {"turn": 7, "text": "嗷嗷，什么样算自然脱落呢医生", "role": "patient"}, {"turn": 8, "text": "经常有头皮屑吗？头发油吗？头皮痒吗？", "role": "doctor"}, {"turn": 9, "text": "我头发比较爱出油", "role": "patient"}, {"turn": 10, "text": "哦", "role": "doctor"}, {"turn": 11, "text": "熬夜多吗", "role": "doctor"}, {"turn": 12, "text": "不多", "role": "patient"}, {"turn": 13, "text": "我一般11点多就睡了", "role": "patient"}, {"turn": 14, "text": "平时不洗头的时候没感觉有掉发", "role": "patient"}, {"turn": 15, "text": "有男型秃发家族遗传史吗", "role": "doctor"}, {"turn": 16, "text": "我父亲是光头", "role": "patient"}, {"turn": 17, "text": "但是我老叔没有", "role": "patient"}, {"turn": 18, "text": "😂😂", "role": "patient"}, {"turn": 19, "text": "有家族遗传史", "role": "doctor"}, {"turn": 20, "text": "根据您的描述，考虑是脂溢性脱发", "role": "doctor"}, {"turn": 21, "text": "轻度", "role": "doctor"}, {"turn": 22, "text": "建议应用康王洗发剂洗头，每天一次", "role": "doctor"}, {"turn": 23, "text": "口服除脂生发片，胱氨酸片，维生素B6片", "role": "doctor"}, {"turn": 24, "text": "脱发比较严重的，可以外用米诺地尔溶液", "role": "doctor"}, {"turn": 25, "text": "生活规律，不熬夜，不饮酒，不吃辛辣刺激性饮食，低脂低糖饮食。多吃蔬菜水果。", "role": "doctor"}, {"turn": 26, "text": "不要熬夜，每天晚上保持在九点到十点休息，多吃黑色食物，比如黑芝麻，黑米，黑木耳", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1392, "thread": [{"turn": 0, "text": "孩子晚上连续咳嗽停不下来（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，咳嗽多久了？有没有痰？", "role": "doctor"}, {"turn": 2, "text": "差不多10天了，一开始没有，现在昨天呕吐我看有一些白色泡沫状的也不多，一开始就是咳嗽，也不发烧，也不喘", "role": "patient"}, {"turn": 3, "text": "稍等", "role": "doctor"}, {"turn": 4, "text": "不运动基本不咳嗽，走路跑步就会咳嗽，而且很严重，连续咳嗽，尤其是半夜，咳嗽的特别厉害，连续咳嗽不停", "role": "patient"}, {"turn": 5, "text": "就咳嗽差不多得有半个小时左右就不咳嗽了，一晚上差不多两天", "role": "patient"}, {"turn": 6, "text": "一晚上差不多两次", "role": "patient"}, {"turn": 7, "text": "稍等", "role": "doctor"}, {"turn": 8, "text": "报谦", "role": "doctor"}, {"turn": 9, "text": "人呢", "role": "patient"}, {"turn": 10, "text": "怎么一直不回", "role": "patient"}, {"turn": 11, "text": "您好，很抱歉，上班时间有时说话会中断，请您见谅。", "role": "doctor"}, {"turn": 12, "text": "宝宝这种情况很可能是过敏性咳嗽。", "role": "doctor"}, {"turn": 13, "text": "可以口服止咳化痰的药物，配合雾化吸入药物治疗。", "role": "doctor"}, {"turn": 14, "text": "一直吃药没效果啊", "role": "patient"}, {"turn": 15, "text": "给宝宝吃的什么药呢？", "role": "doctor"}, {"turn": 16, "text": "阿莫西林克拉维酸钾，小肺宁，易坦静", "role": "patient"}, {"turn": 17, "text": "配合雾化吸入药物治疗。", "role": "doctor"}, {"turn": 18, "text": "口服抗过敏的药物孟鲁司特。", "role": "doctor"}, {"turn": 19, "text": "孟鲁司特要吃多久", "role": "patient"}, {"turn": 20, "text": "根据宝宝症状，决定吃药时间。", "role": "doctor"}, {"turn": 21, "text": "您好，刚才看了几个门诊病人，耽搁了给您的回复，很抱歉，请您见谅。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1393, "thread": [{"turn": 0, "text": "左侧睾丸有点微痛，不总是痛（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "最近这两天刚感觉出来，也不能算是痛，只是有些不舒服，", "role": "patient"}, {"turn": 3, "text": "有没有肿起来", "role": "doctor"}, {"turn": 4, "text": "没有肿，但是蛋蛋有点往里缩，也不是总不舒服，坐一会才会出现不舒服的感觉", "role": "patient"}, {"turn": 5, "text": "您这个情况要小心附睾炎", "role": "doctor"}, {"turn": 6, "text": "可以先观察看看", "role": "doctor"}, {"turn": 7, "text": "如果出现肿痛加重", "role": "doctor"}, {"turn": 8, "text": "建议泌尿外科面诊", "role": "doctor"}, {"turn": 9, "text": "查双侧阴囊睾丸附睾b超", "role": "doctor"}, {"turn": 10, "text": "与前列腺和精索静脉曲张没有关系吗", "role": "patient"}, {"turn": 11, "text": "现在需要吃点什么药缓解一下吗？", "role": "patient"}, {"turn": 12, "text": "单纯阴囊疼痛", "role": "doctor"}, {"turn": 13, "text": "那和前列腺 无关", "role": "doctor"}, {"turn": 14, "text": "您有精索静脉曲张？", "role": "doctor"}, {"turn": 15, "text": "以前没有，我这情况在网上搜了出来的精索静脉曲张", "role": "patient"}, {"turn": 16, "text": "您可以去医院查b超看看", "role": "doctor"}, {"turn": 17, "text": "能明确诊断", "role": "doctor"}, {"turn": 18, "text": "如果没有明显静脉曲张，一般不会痛", "role": "doctor"}, {"turn": 19, "text": "只是左侧睾丸有些不舒服，类似胀痛的感觉", "role": "patient"}, {"turn": 20, "text": "我怀疑有睾丸附睾炎", "role": "doctor"}, {"turn": 21, "text": "好的谢谢", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}, {"turn": 23, "text": "如果您需要再次咨询，可以直接搜索我的名字，进入主页后再次找我咨询。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1394, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：眼睛散光（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，你想问的是什么问题呢？", "role": "doctor"}, {"turn": 2, "text": "眼睛散光50度，近视一百多度，", "role": "patient"}, {"turn": 3, "text": "嗯嗯，散光度数还可以，不是很大", "role": "doctor"}, {"turn": 4, "text": "问题不大吧", "role": "patient"}, {"turn": 5, "text": "加起来二百多都", "role": "patient"}, {"turn": 6, "text": "度", "role": "patient"}, {"turn": 7, "text": "陪戴眼镜不了", "role": "patient"}, {"turn": 8, "text": "还在吗", "role": "patient"}, {"turn": 9, "text": "在的，刚才有病号了，不好意思。", "role": "doctor"}, {"turn": 10, "text": "问题不大。就是得需要佩戴眼镜了。", "role": "doctor"}, {"turn": 11, "text": "没事", "role": "patient"}, {"turn": 12, "text": "好吧", "role": "patient"}, {"turn": 13, "text": "平时注意不要用眼过度，注意眼睛休息", "role": "doctor"}, {"turn": 14, "text": "嗯嗯，好的?，谢谢", "role": "patient"}, {"turn": 15, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1395, "thread": [{"turn": 0, "text": "胃与肝形成网壮粘连会引起消化不良吗?（男，41岁）", "role": "patient"}, {"turn": 1, "text": "你好，可以导致消化不好的。", "role": "doctor"}, {"turn": 2, "text": "那要怎么治疗", "role": "patient"}, {"turn": 3, "text": "肚子胀气吗", "role": "doctor"}, {"turn": 4, "text": "胀气隐痛拉肚子", "role": "patient"}, {"turn": 5, "text": "肚子疼嘛", "role": "doctor"}, {"turn": 6, "text": "大便有粘液吗", "role": "doctor"}, {"turn": 7, "text": "大便油油还有泡", "role": "patient"}, {"turn": 8, "text": "有下坠感吗", "role": "doctor"}, {"turn": 9, "text": "没", "role": "patient"}, {"turn": 10, "text": "这种情况可以吃乳酸菌素片，胃肠安丸，快胃片治疗", "role": "doctor"}, {"turn": 11, "text": "几种药一起吃吗？", "role": "patient"}, {"turn": 12, "text": "一块使用", "role": "doctor"}, {"turn": 13, "text": "只吃一种是吗？", "role": "patient"}, {"turn": 14, "text": "亲", "role": "doctor"}, {"turn": 15, "text": "一块使用的", "role": "doctor"}, {"turn": 16, "text": "一起使用三样对吗？", "role": "patient"}, {"turn": 17, "text": "是的", "role": "doctor"}, {"turn": 18, "text": "好的谢谢", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1396, "thread": [{"turn": 0, "text": "女13岁低烧咳嗽吐痰有泡泡（女，13岁）", "role": "patient"}, {"turn": 1, "text": "你好请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "一个多月", "role": "patient"}, {"turn": 3, "text": "拍CT右半部分有细菌感染", "role": "patient"}, {"turn": 4, "text": "用的什么药物是", "role": "doctor"}, {"turn": 5, "text": "说了一星期左右的液", "role": "patient"}, {"turn": 6, "text": "检查血常规正常，也不是结核", "role": "patient"}, {"turn": 7, "text": "现在体温多少？", "role": "doctor"}, {"turn": 8, "text": "37度2到37度六", "role": "patient"}, {"turn": 9, "text": "多长时间了", "role": "doctor"}, {"turn": 10, "text": "低烧？", "role": "doctor"}, {"turn": 11, "text": "一个月左右", "role": "patient"}, {"turn": 12, "text": "嗯", "role": "patient"}, {"turn": 13, "text": "那还要用药", "role": "doctor"}, {"turn": 14, "text": "嗯", "role": "patient"}, {"turn": 15, "text": "用不用住院", "role": "patient"}, {"turn": 16, "text": "输液治疗", "role": "patient"}, {"turn": 17, "text": "现在用的什么药物", "role": "doctor"}, {"turn": 18, "text": "完一星期左右的液出院就没有用什么药", "role": "patient"}, {"turn": 19, "text": "现在要用药物，阿奇霉素用过吗", "role": "doctor"}, {"turn": 20, "text": "吃过", "role": "patient"}, {"turn": 21, "text": "建议用几天阿奇霉素", "role": "doctor"}, {"turn": 22, "text": "嗯，不用住院治疗吧", "role": "patient"}, {"turn": 23, "text": "这是什么病", "role": "patient"}, {"turn": 24, "text": "最好再拍片和血常规看看", "role": "doctor"}, {"turn": 25, "text": "这是什么病", "role": "patient"}, {"turn": 26, "text": "喂", "role": "patient"}, {"turn": 27, "text": "嗯", "role": "patient"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "还是炎症，有可能是肺炎", "role": "doctor"}, {"turn": 30, "text": "恩", "role": "patient"}, {"turn": 31, "text": "好的", "role": "doctor"}, {"turn": 32, "text": "检查血常规正常，还做了其他检查就拍CT检查出肺部有细菌感染", "role": "patient"}, {"turn": 33, "text": "这种情况多久能好", "role": "patient"}, {"turn": 34, "text": "在吗", "role": "patient"}, {"turn": 35, "text": "一般两周左右，到也有时间长的", "role": "doctor"}, {"turn": 36, "text": "嗯好的", "role": "patient"}, {"turn": 37, "text": "再去医院做个血常规和拍个CT就行吧", "role": "patient"}, {"turn": 38, "text": "对", "role": "doctor"}, {"turn": 39, "text": "咳嗽也不是一直咳嗽就是有时咳嗽一两声，吐痰有白色泡泡是怎么回事", "role": "patient"}, {"turn": 40, "text": "有泡泡说明炎症再肺里，最好查一下", "role": "doctor"}, {"turn": 41, "text": "你是说住院治疗两周能好还是怎样治疗两周能好", "role": "patient"}, {"turn": 42, "text": "如果不重可以吃药物", "role": "doctor"}, {"turn": 43, "text": "嗯好的谢谢", "role": "patient"}, {"turn": 44, "text": "再见", "role": "patient"}, {"turn": 45, "text": "拜拜", "role": "patient"}, {"turn": 46, "text": "再见", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1397, "thread": [{"turn": 0, "text": "椎间盘突出压迫神经怎么办（女，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问多长时间了？有什么症状？", "role": "doctor"}, {"turn": 2, "text": "一年多了，椎间盘突出压迫神经", "role": "patient"}, {"turn": 3, "text": "哪几节突出，结果是什么？", "role": "doctor"}, {"turn": 4, "text": "有没有下肢感觉运动障碍", "role": "doctor"}, {"turn": 5, "text": "没去查，四肢无力用点力手就麻了", "role": "patient"}, {"turn": 6, "text": "天天两腿都要痛死了", "role": "patient"}, {"turn": 7, "text": "你好，有没有做腰间盘磁共振呢？", "role": "doctor"}, {"turn": 8, "text": "查过，没问题", "role": "patient"}, {"turn": 9, "text": "你好，腰间盘查过，是哪几节突出压迫神经呢？", "role": "doctor"}, {"turn": 10, "text": "还是就没有突出", "role": "doctor"}, {"turn": 11, "text": "腰，没突出", "role": "patient"}, {"turn": 12, "text": "那是颈椎键盘突出？", "role": "doctor"}, {"turn": 13, "text": "就是椎间盘突出", "role": "patient"}, {"turn": 14, "text": "你好椎间盘分腰，颈，胸", "role": "doctor"}, {"turn": 15, "text": "突出的话肯定有地方", "role": "doctor"}, {"turn": 16, "text": "手无力，麻不麻", "role": "doctor"}, {"turn": 17, "text": "双下肢无力能不能抬起来", "role": "doctor"}, {"turn": 18, "text": "手用力就会麻", "role": "patient"}, {"turn": 19, "text": "双下肢还能凑合抬起来", "role": "patient"}, {"turn": 20, "text": "你好，双上肢有力吗？", "role": "doctor"}, {"turn": 21, "text": "四肢都这样", "role": "patient"}, {"turn": 22, "text": "你好，你这个颈椎间盘突出严重呢？", "role": "doctor"}, {"turn": 23, "text": "有片子吗？", "role": "doctor"}, {"turn": 24, "text": "没有", "role": "patient"}, {"turn": 25, "text": "你好，有没有服用过什么药，症状有缓解吗？", "role": "doctor"}, {"turn": 26, "text": "没有，就做过按摩", "role": "patient"}, {"turn": 27, "text": "有没有缓解呢？", "role": "doctor"}, {"turn": 28, "text": "没什么效果", "role": "patient"}, {"turn": 29, "text": "你好，症状一直是这么重吗？", "role": "doctor"}, {"turn": 30, "text": "看不到片子也没法处置", "role": "doctor"}, {"turn": 31, "text": "首先建议你拍个照片确诊一下，其次可以口服点消肿药缓解一下症状", "role": "doctor"}, {"turn": 32, "text": "哦", "role": "patient"}, {"turn": 33, "text": "👌👌👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1398, "thread": [{"turn": 0, "text": "被猫咬伤了但是猫打过疫苗了有事吗?（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，为您解答问题很荣幸！", "role": "doctor"}, {"turn": 2, "text": "什么时候的事？有没有破皮出血？", "role": "doctor"}, {"turn": 3, "text": "我被猫咬伤了，但是猫已经打过疫苗了，我还需要打针吗？", "role": "patient"}, {"turn": 4, "text": "刚刚咬伤的", "role": "patient"}, {"turn": 5, "text": "出血了", "role": "patient"}, {"turn": 6, "text": "可以先肥皂水冲洗，再碘伏消毒，再及时接种疫苗！", "role": "doctor"}, {"turn": 7, "text": "猫已经打过疫苗了，我不打会有什么问题吗？", "role": "patient"}, {"turn": 8, "text": "容易感染狂犬病毒！", "role": "doctor"}, {"turn": 9, "text": "猫已经打过狂犬疫苗了还会携带病毒吗？", "role": "patient"}, {"turn": 10, "text": "有可能！", "role": "doctor"}, {"turn": 11, "text": "不是说有保护期的吗？", "role": "patient"}, {"turn": 12, "text": "保护动物的！", "role": "doctor"}, {"turn": 13, "text": "就是说我最好也去接种一下疫苗是吧", "role": "patient"}, {"turn": 14, "text": "打过疫苗咬到人也是需要打疫苗的吗？", "role": "patient"}, {"turn": 15, "text": "是的！", "role": "doctor"}, {"turn": 16, "text": "好的，谢谢", "role": "patient"}, {"turn": 17, "text": "不用客气！应该的！", "role": "doctor"}, {"turn": 18, "text": "又打扰您了，我应该在多长时间内接种啊", "role": "patient"}, {"turn": 19, "text": "越早越好！", "role": "doctor"}, {"turn": 20, "text": "24内可以吗？", "role": "patient"}, {"turn": 21, "text": "也可以！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1399, "thread": [{"turn": 0, "text": "骨質疏鬆，整天全身疼痛怎麼辦（男，59岁）", "role": "patient"}, {"turn": 1, "text": "你好！多久了？做过什么检查？", "role": "doctor"}, {"turn": 2, "text": "三年了，反反復復檢查了幾次，藥也吃了，就是不見好。現在越來越痛了", "role": "patient"}, {"turn": 3, "text": "确诊了？", "role": "doctor"}, {"turn": 4, "text": "检查给我看看", "role": "doctor"}, {"turn": 5, "text": "嗯嗯，等等", "role": "patient"}, {"turn": 6, "text": "好的", "role": "doctor"}, {"turn": 7, "text": "找不到了", "role": "patient"}, {"turn": 8, "text": "去查了兩三次多是骨質疏鬆", "role": "patient"}, {"turn": 9, "text": "这么说吧，骨质疏松的治疗是比较慢的，及时药物控制，通常需要半年药物治疗，单纯止痛是没有什么意义的，要对症处理", "role": "doctor"}, {"turn": 10, "text": "需要吃什麼藥物", "role": "patient"}, {"turn": 11, "text": "这个药物很多，需要结合检查及患者体质分析了，具体你去医院和医生沟通，必要时可以考虑三甲医院诊疗", "role": "doctor"}, {"turn": 12, "text": "具體要進行怎麼治療", "role": "patient"}, {"turn": 13, "text": "先查明骨质疏松的原因，对症用药", "role": "doctor"}, {"turn": 14, "text": "骨質疏鬆，大概是有什麼引起的", "role": "patient"}, {"turn": 15, "text": "很多原因，我也没办法和你一一解说，", "role": "doctor"}, {"turn": 16, "text": "好吧。謝謝", "role": "patient"}, {"turn": 17, "text": "你自己完全可以百度看看原因，现在网络很发达", "role": "doctor"}, {"turn": 18, "text": "好", "role": "patient"}, {"turn": 19, "text": "恩", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1400, "thread": [{"turn": 0, "text": "扭伤脚踝不碰就疼是怎么回事（男，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "七个小时", "role": "patient"}, {"turn": 3, "text": "拍ct说没事", "role": "patient"}, {"turn": 4, "text": "但是疼的睡不着觉", "role": "patient"}, {"turn": 5, "text": "这是受伤过后一种表现，建议吃点非甾体消炎药试试", "role": "doctor"}, {"turn": 6, "text": "不动也疼", "role": "patient"}, {"turn": 7, "text": "就是那种刺骨的疼", "role": "patient"}, {"turn": 8, "text": "今晚睡觉把脚抬高", "role": "doctor"}, {"turn": 9, "text": "更疼啊", "role": "patient"}, {"turn": 10, "text": "那还能睡着啊", "role": "patient"}, {"turn": 11, "text": "肿的特别严重", "role": "patient"}, {"turn": 12, "text": "需要把脚抬高", "role": "doctor"}, {"turn": 13, "text": "冰敷", "role": "doctor"}, {"turn": 14, "text": "但是现在疼得我都睡不着觉了", "role": "patient"}, {"turn": 15, "text": "敷了不管事", "role": "patient"}, {"turn": 16, "text": "还是疼的严重", "role": "patient"}, {"turn": 17, "text": "吃点非甾体消炎药", "role": "doctor"}, {"turn": 18, "text": "那玩意止痛吗", "role": "patient"}, {"turn": 19, "text": "止痛", "role": "doctor"}, {"turn": 20, "text": "依托考昔", "role": "doctor"}, {"turn": 21, "text": "还有别的法减轻疼痛的吗", "role": "patient"}, {"turn": 22, "text": "氟比洛芬巴布膏", "role": "doctor"}, {"turn": 23, "text": "能让我睡着觉的方法", "role": "patient"}, {"turn": 24, "text": "买不到药大半夜的", "role": "patient"}, {"turn": 25, "text": "消肿，非甾体消炎药，氟比洛芬巴布膏", "role": "doctor"}, {"turn": 26, "text": "本来腿脚就不好还让我出去", "role": "patient"}, {"turn": 27, "text": "有没有家人", "role": "doctor"}, {"turn": 28, "text": "帮助你", "role": "doctor"}, {"turn": 29, "text": "自己在外面", "role": "patient"}, {"turn": 30, "text": "就我自己啊", "role": "patient"}, {"turn": 31, "text": "我想知道为什骨头没事会一直疼", "role": "patient"}, {"turn": 32, "text": "因为受伤了，会肿", "role": "doctor"}, {"turn": 33, "text": "到现在还没好", "role": "patient"}, {"turn": 34, "text": "还疼的厉害", "role": "patient"}, {"turn": 35, "text": "这是伤到哪里了", "role": "patient"}, {"turn": 36, "text": "韧带", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1401, "thread": [{"turn": 0, "text": "昨天吃了几个橘子，今天早上右边上下大牙疼，吃饭更疼，而且疼的那一面脸都有些麻木，会不会有什么问题（男，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，这边的牙齿有没有蛀牙呢？", "role": "doctor"}, {"turn": 2, "text": "看不到也没注意过，以前没疼过", "role": "patient"}, {"turn": 3, "text": "一般有坏牙的话吃冷热酸甜会引起激发痛", "role": "doctor"}, {"turn": 4, "text": "所以建议您去口腔科检查一下吧", "role": "doctor"}, {"turn": 5, "text": "如果有蛀牙请及时充填", "role": "doctor"}, {"turn": 6, "text": "如果开始自发痛就得根管治疗了", "role": "doctor"}, {"turn": 7, "text": "如果不是蛀牙会是什么一个症状呢", "role": "patient"}, {"turn": 8, "text": "如果不是蛀牙有可能会有牙隐裂哦", "role": "doctor"}, {"turn": 9, "text": "牙隐裂的时候吃酸的也会有敏感的症状", "role": "doctor"}, {"turn": 10, "text": "我的妈啊，上火牙疼会这么严重吗", "role": "patient"}, {"turn": 11, "text": "我是上下大牙疼，难道上下大牙都裂了吗", "role": "patient"}, {"turn": 12, "text": "上火只是一个刺激因素，如果没问题不会无缘无故就不舒服的呀", "role": "doctor"}, {"turn": 13, "text": "所以建议您去检查一下呀", "role": "doctor"}, {"turn": 14, "text": "好吧", "role": "patient"}, {"turn": 15, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1402, "thread": [{"turn": 0, "text": "产妇便秘造成肛裂如何诊治？（男，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "大便疼吗？便后持续疼吗", "role": "doctor"}, {"turn": 3, "text": "是，你说的都有。应该有10天了。", "role": "patient"}, {"turn": 4, "text": "嗯，这是肛裂的特点。", "role": "doctor"}, {"turn": 5, "text": "孕几周？", "role": "doctor"}, {"turn": 6, "text": "那怎么治疗", "role": "patient"}, {"turn": 7, "text": "便秘是大便很干还是大便不痛快？", "role": "doctor"}, {"turn": 8, "text": "很干也不痛快，有血。是产妇不是孕妇。", "role": "patient"}, {"turn": 9, "text": "😭😭看错了。哈哈，今天看病的净是孕妇，", "role": "doctor"}, {"turn": 10, "text": "产后多久？", "role": "doctor"}, {"turn": 11, "text": "就是刚才的25天了。", "role": "patient"}, {"turn": 12, "text": "你看看，还要喂奶需要给买什么药治病。", "role": "patient"}, {"turn": 13, "text": "好的，便秘和肛裂，两个疾病，一个一个解决。", "role": "doctor"}, {"turn": 14, "text": "肛裂可以肛门内抹复方角菜酸酯乳膏，一天两次。便秘可以口服乳果糖口服液，一天两次，早晚用，每次喝15-20ml。", "role": "doctor"}, {"turn": 15, "text": "吃这个药影响喂奶吗？", "role": "patient"}, {"turn": 16, "text": "没事的，不影响。", "role": "doctor"}, {"turn": 17, "text": "好的谢谢，明天去买去。", "role": "patient"}, {"turn": 18, "text": "😁😁", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1403, "thread": [{"turn": 0, "text": "脚踝韧带扭伤要固定吗（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，假如严重的话最好石膏固定4周，恢复更好些", "role": "doctor"}, {"turn": 2, "text": "再严重出现踝关节不稳的话，还早手术", "role": "doctor"}, {"turn": 3, "text": "还要手术治疗，稳定踝关节", "role": "doctor"}, {"turn": 4, "text": "下楼时踩空了一下，右脚踝扭伤，医院诊断是韧带", "role": "patient"}, {"turn": 5, "text": "肿涨的已下去了，也可以轻微着地用力了", "role": "patient"}, {"turn": 6, "text": "有多长时间啊", "role": "doctor"}, {"turn": 7, "text": "这种情况是不是不严重", "role": "patient"}, {"turn": 8, "text": "三天了", "role": "patient"}, {"turn": 9, "text": "你可以支具固定", "role": "doctor"}, {"turn": 10, "text": "吃药，还有贴的，然后花椒水泡脚", "role": "patient"}, {"turn": 11, "text": "如果不支具固定会不会有损伤或后遗症", "role": "patient"}, {"turn": 12, "text": "因为孩子需要住宿和上课，固定支具不方便", "role": "patient"}, {"turn": 13, "text": "现在左脚支撑，右脚稍着力，能行走", "role": "patient"}, {"turn": 14, "text": "不固定有可能会导致恢复不佳，留下后遗症", "role": "doctor"}, {"turn": 15, "text": "网上有像鞋子样的支具，几百元，戴上能行走的", "role": "doctor"}, {"turn": 16, "text": "是吗，我查查", "role": "patient"}, {"turn": 17, "text": "👌", "role": "doctor"}, {"turn": 18, "text": "肿已基本消去，不是走路的话已不痛，走路可缓慢，白天贴膏药，这样还用固定肢具吗?", "role": "patient"}, {"turn": 19, "text": "肿消了，但是韧带没有这么快好哦", "role": "doctor"}, {"turn": 20, "text": "固定后恢复更好些", "role": "doctor"}, {"turn": 21, "text": "在恢复上需要长期用药吗，用什么药", "role": "patient"}, {"turn": 22, "text": "还是消肿之后就不用口服和贴的药了", "role": "patient"}, {"turn": 23, "text": "谢谢，打扰了", "role": "patient"}, {"turn": 24, "text": "不需要长期用药2周就行了", "role": "doctor"}, {"turn": 25, "text": "不需要再用消炎的药了？那就是注意日常保护，到一定时间才能正常", "role": "patient"}, {"turn": 26, "text": "不要用消炎药，固定4周左右，进行功能恢复锻炼", "role": "doctor"}, {"turn": 27, "text": "您说的功能恢复锻炼具体是", "role": "patient"}, {"turn": 28, "text": "踝关节固定4周后，会有踝关节功能的退化，要恢复正常走路，还需要一定时间练习", "role": "doctor"}, {"turn": 29, "text": "好的，谢谢解答", "role": "patient"}, {"turn": 30, "text": "不用谢，请好评满意哦", "role": "doctor"}, {"turn": 31, "text": "好的", "role": "patient"}, {"turn": 32, "text": "👍", "role": "doctor"}, {"turn": 33, "text": "医生您好，我现在用的泽普思，云南白药膏，口服双骨三子胶囊，如果肿涨下去了，是不是就可以不用了。", "role": "patient"}, {"turn": 34, "text": "膏药只要一种就行了，口服药可以停了", "role": "doctor"}, {"turn": 35, "text": "我看说明书泽普思作用是消炎，云南白药膏是消肿止痛，用一种就行的话，那就用云南白药吧，怕长期贴再药物过敏", "role": "patient"}, {"turn": 36, "text": "泽普思对皮肤没有刺激", "role": "doctor"}, {"turn": 37, "text": "那是不是继续用泽普思效果更好一些", "role": "patient"}, {"turn": 38, "text": "不痛就可以不用了", "role": "doctor"}, {"turn": 39, "text": "好的，谢谢", "role": "patient"}, {"turn": 40, "text": "😊😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1404, "thread": [{"turn": 0, "text": "脖子扭伤了？？？？？？（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "什么情况了？", "role": "doctor"}, {"turn": 3, "text": "医生您好", "role": "patient"}, {"turn": 4, "text": "肌肉有点累", "role": "patient"}, {"turn": 5, "text": "会不会扭伤了", "role": "patient"}, {"turn": 6, "text": "哪个部位？", "role": "doctor"}, {"turn": 7, "text": "脖子的", "role": "patient"}, {"turn": 8, "text": "多久了？", "role": "doctor"}, {"turn": 9, "text": "一天了", "role": "patient"}, {"turn": 10, "text": "目前主要是什么症状", "role": "doctor"}, {"turn": 11, "text": "有点劳累的感觉？", "role": "patient"}, {"turn": 12, "text": "颈部？", "role": "doctor"}, {"turn": 13, "text": "可以用下抗炎止痛贴", "role": "doctor"}, {"turn": 14, "text": "如吲哚美辛贴", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "医生您好", "role": "patient"}, {"turn": 17, "text": "坐着的时候，脚跟不动，用力抬脚掌不影响什么吧", "role": "patient"}, {"turn": 18, "text": "不会的", "role": "doctor"}, {"turn": 19, "text": "抬到极限也不影响么", "role": "patient"}, {"turn": 20, "text": "是的", "role": "doctor"}, {"turn": 21, "text": "为啥抬到极限", "role": "doctor"}, {"turn": 22, "text": "我有焦虑症", "role": "patient"}, {"turn": 23, "text": "总爱动动身体才舒服", "role": "patient"}, {"turn": 24, "text": "嗯", "role": "doctor"}, {"turn": 25, "text": "你这些动作正常情况是没问题的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1405, "thread": [{"turn": 0, "text": "哺乳期脚扭伤用正骨水可以？（女，24岁）", "role": "patient"}, {"turn": 1, "text": "局部少量涂擦可以，服药药物不行。可以去理疗用红外微波啊", "role": "doctor"}, {"turn": 2, "text": "是局部涂抹，用这个会不会回奶？", "role": "patient"}, {"turn": 3, "text": "少量影响不大，吃就有！如果怕就只休息和理疗，也会好。", "role": "doctor"}, {"turn": 4, "text": "休息两周，抬高消肿。", "role": "doctor"}, {"turn": 5, "text": "就涂表皮，然后自己揉揉，做法对？", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "什么时候能好？我是揉到表皮发热，", "role": "patient"}, {"turn": 8, "text": "好像扭伤了，还能走路，没有到骨折程度", "role": "patient"}, {"turn": 9, "text": "其实扭伤，休息理疗也会好！不是一定得用活络油。", "role": "doctor"}, {"turn": 10, "text": "不用，它走路痛，目前看还没有肿", "role": "patient"}, {"turn": 11, "text": "不能走路！休息两周。", "role": "doctor"}, {"turn": 12, "text": "不可能不走路的，走慢点没事吧，就是脚趾上方扭到", "role": "patient"}, {"turn": 13, "text": "呵呵 那就好得慢！韧带修复主要考静养，自身修复。用药只是缓解症状。", "role": "doctor"}, {"turn": 14, "text": "最好查个X线排除撕脱性骨折。", "role": "doctor"}, {"turn": 15, "text": "我尽量吧，谢谢", "role": "patient"}, {"turn": 16, "text": "乡里卫生院没有这个条件，县级太远了", "role": "patient"}, {"turn": 17, "text": "嗯 好", "role": "doctor"}, {"turn": 18, "text": "一般急性期24小时内冰敷，24小时过后可以热敷，活络油按摩。脚踝扭伤，如果没有骨折的话，多数是有韧带损伤。至少一般也要制动2-3周，如果有无移位骨折是4-6周制动。最好是石膏固定制动，其次是护踝。抬高消肿是必须！可以适度应用安康信或西乐葆等非甾体抗炎药镇痛，加用活血舒筋类中成药。", "role": "doctor"}, {"turn": 19, "text": "应该没有那么严重，摔到先屁股着地，脚就连着下痛", "role": "patient"}, {"turn": 20, "text": "这是一般原则！", "role": "doctor"}, {"turn": 21, "text": "如果实在下地，脚跟着地，不要弯曲踝关节！", "role": "doctor"}, {"turn": 22, "text": "明白，谢谢", "role": "patient"}, {"turn": 23, "text": "嗯", "role": "doctor"}, {"turn": 24, "text": "嗯，是这样的，不然优酷会痛", "role": "patient"}, {"turn": 25, "text": "谢谢", "role": "patient"}, {"turn": 26, "text": "好的", "role": "doctor"}, {"turn": 27, "text": "不会回奶是吧？我是纯母乳", "role": "patient"}, {"turn": 28, "text": "谢谢", "role": "patient"}, {"turn": 29, "text": "少量皮肤吸收不会，多了不定。最好理疗，休息，会好！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1406, "thread": [{"turn": 0, "text": "我在淘宝买的怯湿查喝后耳聋（男，40岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "昨天晚上到现在", "role": "patient"}, {"turn": 3, "text": "有没有到耳鼻喉科检查听力呀？", "role": "doctor"}, {"turn": 4, "text": "首先，要立即停用药物", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "然后明天请立即到耳鼻喉科检查听力", "role": "doctor"}, {"turn": 7, "text": "我在淘宝买的意米红豆荷业茶有5天了", "role": "patient"}, {"turn": 8, "text": "如果有听力下降，要立即使用营养神经、改善微循环的药物", "role": "doctor"}, {"turn": 9, "text": "立即停止服用", "role": "doctor"}, {"turn": 10, "text": "当时喝不再意，喝头一天晚上一觉睡到天明第二天很做梦然后耳聋了，我停喝一天好了，我以为不是茶的事接着喝1天，耳又聋了", "role": "patient"}, {"turn": 11, "text": "赶紧不要再喝了", "role": "doctor"}, {"turn": 12, "text": "明天赶紧去检查一下听力", "role": "doctor"}, {"turn": 13, "text": "现在听力都不行", "role": "patient"}, {"turn": 14, "text": "现在去医院也检查不了听力", "role": "doctor"}, {"turn": 15, "text": "明天早上去", "role": "doctor"}, {"turn": 16, "text": "耳朵里面用手挖有湿的感觉", "role": "patient"}, {"turn": 17, "text": "这个不是主要问题", "role": "doctor"}, {"turn": 18, "text": "因为药物性聋的治疗需要及时", "role": "doctor"}, {"turn": 19, "text": "不知道等2天会好吗", "role": "patient"}, {"turn": 20, "text": "我不建议等", "role": "doctor"}, {"turn": 21, "text": "这样拖可能会延误治疗时机", "role": "doctor"}, {"turn": 22, "text": "检查什么", "role": "patient"}, {"turn": 23, "text": "检查听力", "role": "doctor"}, {"turn": 24, "text": "还有肝肾功能", "role": "doctor"}, {"turn": 25, "text": "好", "role": "patient"}, {"turn": 26, "text": "😊😊", "role": "doctor"}, {"turn": 27, "text": "謝了", "role": "patient"}, {"turn": 28, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1407, "thread": [{"turn": 0, "text": "儿童便秘怎么你好治疗效果最好（女，3岁）", "role": "patient"}, {"turn": 1, "text": "你好，孩子多长时间排一次大便？", "role": "doctor"}, {"turn": 2, "text": "多大孩子平时喝水多吗，水果蔬菜吃得多吗", "role": "doctor"}, {"turn": 3, "text": "孩子三天排便一次。", "role": "patient"}, {"turn": 4, "text": "大便干硬吗", "role": "doctor"}, {"turn": 5, "text": "是的，大便很干。", "role": "patient"}, {"turn": 6, "text": "多大孩子平时喝水多吗，水果蔬菜吃得多吗", "role": "doctor"}, {"turn": 7, "text": "他是从半岁的时候开始的。现现在都三岁了，中间益生菌也喝过。中药也喝过。喝吃药的时候是好的药一停下来就不行了。", "role": "patient"}, {"turn": 8, "text": "嗯", "role": "doctor"}, {"turn": 9, "text": "像这种问题。到什么时候有好多呢？", "role": "patient"}, {"turn": 10, "text": "还是到医院检查？", "role": "patient"}, {"turn": 11, "text": "人呢", "role": "patient"}, {"turn": 12, "text": "医生在吗", "role": "patient"}, {"turn": 13, "text": "多大孩子平时喝水多吗，水果蔬菜吃得多吗", "role": "doctor"}, {"turn": 14, "text": "你一直都不回复问题，啥都不说，也不能了解情况呀😊", "role": "doctor"}, {"turn": 15, "text": "主要还是多喝水，多吃水果蔬菜，这个做不到，不可能根本缓解便秘，另外就是口服益生菌，一般需要至少三个月时间。", "role": "doctor"}, {"turn": 16, "text": "你在吗", "role": "doctor"}, {"turn": 17, "text": "不在的话，我就下线了，明早有时间再回复😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1408, "thread": [{"turn": 0, "text": "五个月宝宝辅食后便秘（男，5个月）", "role": "patient"}, {"turn": 1, "text": "你好！宝宝这种情况应该是上火引起的", "role": "doctor"}, {"turn": 2, "text": "宝宝几天没拉了？", "role": "doctor"}, {"turn": 3, "text": "是母乳喂养还是奶粉？", "role": "doctor"}, {"turn": 4, "text": "今天一天都没拉", "role": "patient"}, {"turn": 5, "text": "平时一天拉几次？", "role": "doctor"}, {"turn": 6, "text": "看他一直都是用力在拉就是拉不出来", "role": "patient"}, {"turn": 7, "text": "有点上火了", "role": "doctor"}, {"turn": 8, "text": "这两天吃辅食 跟母乳 没吃奶粉", "role": "patient"}, {"turn": 9, "text": "昨天陆陆续续有拉了三四次", "role": "patient"}, {"turn": 10, "text": "给宝宝吃点香蕉泥", "role": "doctor"}, {"turn": 11, "text": "那应该吃什么呢", "role": "patient"}, {"turn": 12, "text": "今天再观察看看", "role": "doctor"}, {"turn": 13, "text": "如果明天还不拉，可以吃益生菌", "role": "doctor"}, {"turn": 14, "text": "调理一下", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1409, "thread": [{"turn": 0, "text": "脖子扭伤是躺着比较好还是多活动比较好（女，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤几天了？有什么症状么", "role": "doctor"}, {"turn": 2, "text": "今天扭伤的，只是歪了一下头而已。以前出现过几次这种情况，喝中药调理的。说是肩周炎… 现在感觉整个背都是肿的，脖子和背部不能受力。", "role": "patient"}, {"turn": 3, "text": "脖子活动一下会舒服么？身子活动下舒服么", "role": "doctor"}, {"turn": 4, "text": "很痛。躺着也很痛～很不巧的是昨天腰给扭伤了。现在感觉整个上半身都是瘫痪的。", "role": "patient"}, {"turn": 5, "text": "每次来月经就会腰痛得特别厉害，会不会和剖腹产有关呢？", "role": "patient"}, {"turn": 6, "text": "目前建议你，晚上洗热水澡，口服消脱止，妙钠，扶他林。加强腰背肌锻炼", "role": "doctor"}, {"turn": 7, "text": "好的 谢谢您", "role": "patient"}, {"turn": 8, "text": "不客气", "role": "doctor"}, {"turn": 9, "text": "祝你早日康复", "role": "doctor"}, {"turn": 10, "text": "对了，现在是动动比较好还是躺着比较好。", "role": "patient"}, {"turn": 11, "text": "可以做做按摩，然后轻微的活动下。", "role": "doctor"}, {"turn": 12, "text": "活动前吃上药", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢", "role": "patient"}, {"turn": 14, "text": "可以按照上面的方法活动", "role": "doctor"}, {"turn": 15, "text": "好", "role": "patient"}, {"turn": 16, "text": "嗯嗯，没什么大问题", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1410, "thread": [{"turn": 0, "text": "有点耳鸣，是什么原因（男，32岁）", "role": "patient"}, {"turn": 1, "text": "多长时间了？听力有影响吗？", "role": "doctor"}, {"turn": 2, "text": "你好大夫", "role": "patient"}, {"turn": 3, "text": "没有影响", "role": "patient"}, {"turn": 4, "text": "什么样的耳鸣声", "role": "doctor"}, {"turn": 5, "text": "我也不知道什么时候开始的", "role": "patient"}, {"turn": 6, "text": "什么情况会加重或者缓解", "role": "doctor"}, {"turn": 7, "text": "叽", "role": "patient"}, {"turn": 8, "text": "没有严重过", "role": "patient"}, {"turn": 9, "text": "好像就这样", "role": "patient"}, {"turn": 10, "text": "整天响还是有间隔时间", "role": "doctor"}, {"turn": 11, "text": "忙了就没有", "role": "patient"}, {"turn": 12, "text": "空了就有", "role": "patient"}, {"turn": 13, "text": "工作压力大或者晚上劳累吗", "role": "doctor"}, {"turn": 14, "text": "也还好", "role": "patient"}, {"turn": 15, "text": "好的谢谢你大夫", "role": "patient"}, {"turn": 16, "text": "晚上去买", "role": "patient"}, {"turn": 17, "text": "休息好，不要熬夜", "role": "doctor"}, {"turn": 18, "text": "会失眠", "role": "patient"}, {"turn": 19, "text": "晚上睡觉前吃一颗睡觉的药", "role": "doctor"}, {"turn": 20, "text": "好的谢谢", "role": "patient"}, {"turn": 21, "text": "再见", "role": "patient"}, {"turn": 22, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1411, "thread": [{"turn": 0, "text": "做完腰推滑脱手术近两年有时由于重力作用腰椎两骨节连接处象断开似的并且发热（男，56岁）", "role": "patient"}, {"turn": 1, "text": "您好！当时做的什么手术？", "role": "doctor"}, {"turn": 2, "text": "腰椎滑脱固定术", "role": "patient"}, {"turn": 3, "text": "是上了内固定对吗？", "role": "doctor"}, {"turn": 4, "text": ".对，己取出一年了，有时提物时腰椎象开裂那种感觉。", "role": "patient"}, {"turn": 5, "text": "最近复查过吗？", "role": "doctor"}, {"turn": 6, "text": ".医生说是肌肉拉伤，不用复查。", "role": "patient"}, {"turn": 7, "text": "那您最近有没有剧烈运动或者外伤", "role": "doctor"}, {"turn": 8, "text": ".没伤，没有太大的运动。", "role": "patient"}, {"turn": 9, "text": "那建议您到医院去复查一下", "role": "doctor"}, {"turn": 10, "text": ".有次公交车无座，汽车急刹车，没站稳闪了一下。", "role": "patient"}, {"turn": 11, "text": "多长时间了", "role": "doctor"}, {"turn": 12, "text": ".有一半月了，大约五六天就见轻了，昨天提重物又闪了一下。还是以前症状，腰椎象是断开是的。", "role": "patient"}, {"turn": 13, "text": "之前有胸腰段支具吗？", "role": "doctor"}, {"turn": 14, "text": ".什么是支具", "role": "patient"}, {"turn": 15, "text": "手术以后让您戴上下床活动的", "role": "doctor"}, {"turn": 16, "text": "护腰，早都不用了", "role": "patient"}, {"turn": 17, "text": ".不用快一年了", "role": "patient"}, {"turn": 18, "text": "现在可以用了", "role": "doctor"}, {"turn": 19, "text": "怎么还用呢", "role": "patient"}, {"turn": 20, "text": ".主治大夫早都不让用了", "role": "patient"}, {"turn": 21, "text": "现在不是腰痛吗？戴上第一可以起一个保护作用，第二可以缓解疼痛，特别是提重物，久站的时候", "role": "doctor"}, {"turn": 22, "text": "噢", "role": "patient"}, {"turn": 23, "text": "有时跑步有振痛感", "role": "patient"}, {"turn": 24, "text": "两个月一直都没有缓解吗", "role": "doctor"}, {"turn": 25, "text": ".大约一星期减轻或无症状，偶尔一次提重物或运动量一大又犯了", "role": "patient"}, {"turn": 26, "text": "有用过什么药吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1412, "thread": [{"turn": 0, "text": "儿子9岁多了,晚上总是发梦哭,干呕,还起床走动,这是什么情况（男，9岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "出虚汗吗？", "role": "doctor"}, {"turn": 3, "text": "干呕的厉害或者呕吐了就出", "role": "patient"}, {"turn": 4, "text": "快三年了", "role": "patient"}, {"turn": 5, "text": "缺钙导致的大脑皮层兴奋性高导致的", "role": "doctor"}, {"turn": 6, "text": "需要口服碳酸钙补钙治疗就可以改善症状", "role": "doctor"}, {"turn": 7, "text": "去儿童医院检查过了，查出的原因是铅超标，吃药半年后好了，过了半年又是现在这个情况", "role": "patient"}, {"turn": 8, "text": "可以口服碳酸钙补钙治疗", "role": "doctor"}, {"turn": 9, "text": "我买了那个蓝塑料瓶子的钙铁锌吃过，好像作用也不是很好", "role": "patient"}, {"turn": 10, "text": "换一下补钙产品", "role": "doctor"}, {"turn": 11, "text": "这是缺钙的原因吗，只需要补钙就行了吗？那我明天去买", "role": "patient"}, {"turn": 12, "text": "是的，补钙治疗就可以改善", "role": "doctor"}, {"turn": 13, "text": "我儿子9岁多，1米4几，七十多斤，这两年长胖了好多", "role": "patient"}, {"turn": 14, "text": "生长发育期钙需要量大", "role": "doctor"}, {"turn": 15, "text": "你介绍一下哪个牌子的补钙产品更好", "role": "patient"}, {"turn": 16, "text": "国药准字的都可以", "role": "doctor"}, {"turn": 17, "text": "碳酸钙", "role": "doctor"}, {"turn": 18, "text": "好的，希望这次能治好", "role": "patient"}, {"turn": 19, "text": "应该可以", "role": "doctor"}, {"turn": 20, "text": "每次深更半夜的闹一阵，揪心，再不行我就要去北京看看了", "role": "patient"}, {"turn": 21, "text": "及时补钙治疗就可以改善", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢，打拢了", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1413, "thread": [{"turn": 0, "text": "氨咖黄敏口服溶液能和定喘止咳糖浆一起服用吗还有头孢克洛干混悬剂（男，3个月）", "role": "patient"}, {"turn": 1, "text": "您好。宝宝多大，宝宝有什么症状？", "role": "doctor"}, {"turn": 2, "text": "宝宝有点咳嗽。量体温有37.5", "role": "patient"}, {"turn": 3, "text": "宝宝是三个月吗？", "role": "doctor"}, {"turn": 4, "text": "是的", "role": "patient"}, {"turn": 5, "text": "可以服用吗", "role": "patient"}, {"turn": 6, "text": "氨咖黄敏口服液不能吃", "role": "doctor"}, {"turn": 7, "text": "头孢跟定喘能一起服用吗", "role": "patient"}, {"turn": 8, "text": "其他2种可以吃", "role": "doctor"}, {"turn": 9, "text": "可以一起服用吗", "role": "patient"}, {"turn": 10, "text": "这两种间隔十分钟吃", "role": "doctor"}, {"turn": 11, "text": "好。", "role": "patient"}, {"turn": 12, "text": "另外一种要什么症状才能吃", "role": "patient"}, {"turn": 13, "text": "另外一种小孩不能吃", "role": "doctor"}, {"turn": 14, "text": "克医院里医生开的。一瓶都喂了要完了", "role": "patient"}, {"turn": 15, "text": "这么小不建议吃这个", "role": "doctor"}, {"turn": 16, "text": "好的。那体温37.5怎么才能退下来", "role": "patient"}, {"turn": 17, "text": "可以勤喝水", "role": "doctor"}, {"turn": 18, "text": "贴退烧贴", "role": "doctor"}, {"turn": 19, "text": "物理降温", "role": "doctor"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1414, "thread": [{"turn": 0, "text": "吃了8.5元的阿奇霉素不顶用怎么回事（女，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答问题！", "role": "doctor"}, {"turn": 2, "text": "主要症状是什么？", "role": "doctor"}, {"turn": 3, "text": "前两天干咳嗽，这两天有黄痰，鼻子不通，咳嗽更厉害", "role": "patient"}, {"turn": 4, "text": "2016年患过支原体肺炎", "role": "patient"}, {"turn": 5, "text": "没有发烧？", "role": "doctor"}, {"turn": 6, "text": "不发烧", "role": "patient"}, {"turn": 7, "text": "这次不一定还是支原体肺炎", "role": "doctor"}, {"turn": 8, "text": "应该拍个胸片，化验一下血常规", "role": "doctor"}, {"turn": 9, "text": "吃过三种药都不管用，反而更厉害了", "role": "patient"}, {"turn": 10, "text": "昨天买了阿奇霉素，让吃两颗，一天下来更厉害了晚上又吃了两颗，现在感觉又更厉害了", "role": "patient"}, {"turn": 11, "text": "不一定对阿奇霉素敏感", "role": "doctor"}, {"turn": 12, "text": "需要进一步检查", "role": "doctor"}, {"turn": 13, "text": "昨天买的阿奇霉素8.5元，晚上爱人又去买了一种38元，差别很大，是不是8.5元的不顶用", "role": "patient"}, {"turn": 14, "text": "哦，那倒不是", "role": "doctor"}, {"turn": 15, "text": "应该没有那么大的区别", "role": "doctor"}, {"turn": 16, "text": "只能拍胸片，化验血常规吗", "role": "patient"}, {"turn": 17, "text": "最好检查一下", "role": "doctor"}, {"turn": 18, "text": "还有化验支原体衣原体", "role": "doctor"}, {"turn": 19, "text": "c反应蛋白", "role": "doctor"}, {"turn": 20, "text": "好的，目前咽喉肿痛，鼻塞，咳咳厉害怎么办呢", "role": "patient"}, {"turn": 21, "text": "家里有感冒药物吗？", "role": "doctor"}, {"turn": 22, "text": "有感康，感冒冲剂", "role": "patient"}, {"turn": 23, "text": "吃感康还有点用，其他不起作用好像", "role": "patient"}, {"turn": 24, "text": "建议口服银黄颗粒，感康，克咳胶囊", "role": "doctor"}, {"turn": 25, "text": "之前姑娘患病毒性流感，是不是她传染给我了", "role": "patient"}, {"turn": 26, "text": "主要还是感冒症状", "role": "doctor"}, {"turn": 27, "text": "是了", "role": "patient"}, {"turn": 28, "text": "早晚有时会后背发凉", "role": "patient"}, {"turn": 29, "text": "那就主要抗感冒治疗吧，煮点红糖姜末水", "role": "doctor"}, {"turn": 30, "text": "热敷，拔火罐都可以的", "role": "doctor"}, {"turn": 31, "text": "有黄痰，咽喉肿痛的厉害，可以喝吗", "role": "patient"}, {"turn": 32, "text": "可以，还有下火药物呢", "role": "doctor"}, {"turn": 33, "text": "银黄颗粒", "role": "doctor"}, {"turn": 34, "text": "好的", "role": "patient"}, {"turn": 35, "text": "黄痰多吗？", "role": "doctor"}, {"turn": 36, "text": "可以口服化痰药，氨溴索", "role": "doctor"}, {"turn": 37, "text": "前面也吃过主治功能类似的药，没用么，意思换一下药试试？", "role": "patient"}, {"turn": 38, "text": "不多", "role": "patient"}, {"turn": 39, "text": "哦，那就吃这些药物就可以了，需要一个过程", "role": "doctor"}, {"turn": 40, "text": "多喝点水", "role": "doctor"}, {"turn": 41, "text": "主要过年啦，担心更厉害，大夫，你说不一定这次就是支原体肺炎？", "role": "patient"}, {"turn": 42, "text": "是的", "role": "doctor"}, {"turn": 43, "text": "当然化验一下更好了", "role": "doctor"}, {"turn": 44, "text": "拍个胸片", "role": "doctor"}, {"turn": 45, "text": "哦哦，谢谢大夫", "role": "patient"}, {"turn": 46, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1415, "thread": [{"turn": 0, "text": "你好医生我想问下肛裂怎么办啊（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛裂有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "上个月份有过一回然后用了一阵时间痔疮栓和红霉素软膏好了", "role": "patient"}, {"turn": 3, "text": "然后一个星期左右没有出血和疼痛了", "role": "patient"}, {"turn": 4, "text": "今天便秘   上完厕所发现纸上有血", "role": "patient"}, {"turn": 5, "text": "注意多吃蔬菜水果，多喝水，少吃辛辣食物，保持大便通畅。", "role": "doctor"}, {"turn": 6, "text": "便后温水坐浴，用马应龙麝香痔疮膏或云南白药痔疮膏挤肛门里面。", "role": "doctor"}, {"turn": 7, "text": "如果饮食调理大便效果不好，可服用聚乙二醇4000散，一次一包，一天两次。以软化大便，促进排便。", "role": "doctor"}, {"turn": 8, "text": "我前几天吃了些红薯不便秘   但是一停下就便秘", "role": "patient"}, {"turn": 9, "text": "嗯", "role": "doctor"}, {"turn": 10, "text": "我用了痔疮栓感觉肚子有点不舒服是痔疮栓的副作用吗", "role": "patient"}, {"turn": 11, "text": "把大便调理成一天一次，质地松软，排出顺畅。", "role": "doctor"}, {"turn": 12, "text": "痔疮栓有点反应", "role": "doctor"}, {"turn": 13, "text": "如果反应重，改成用痔疮膏。", "role": "doctor"}, {"turn": 14, "text": "好的  谢谢医生", "role": "patient"}, {"turn": 15, "text": "不用客气。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1416, "thread": [{"turn": 0, "text": "刚裂大便后疼数小时有肛裂（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？大便干燥吗", "role": "doctor"}, {"turn": 2, "text": "大便头干  排出很困难  有半年多了", "role": "patient"}, {"turn": 3, "text": "现在是哺乳期从生完孩子就这样了，之前没事", "role": "patient"}, {"turn": 4, "text": "肛门有裂口吗", "role": "doctor"}, {"turn": 5, "text": "急性肛裂可行保守治疗，如坐浴、外用痔疮膏，避免便秘，慢性肛裂导致肛门瘢痕硬化和肛门狭窄、感染瘘道形成等需要手术治疗。", "role": "doctor"}, {"turn": 6, "text": "有裂口", "role": "patient"}, {"turn": 7, "text": "那就按我说的方案治疗就可以了", "role": "doctor"}, {"turn": 8, "text": "这裂口会越来越多吗", "role": "patient"}, {"turn": 9, "text": "只能保持大便正常不干燥就不会的", "role": "doctor"}, {"turn": 10, "text": "大便每次都干", "role": "patient"}, {"turn": 11, "text": "这怎么改善", "role": "patient"}, {"turn": 12, "text": "养成良好的生活及饮食习惯，如不能凹夜，少生气，饮食要均衡，做到荤素搭配，多吃粗纤维食物、多饮水及疏菜、水果，适当活动或运动，晨起空腹温开水冲服蜂蜜水，必要时可口服通便药，如槐角丸或麻仁丸。如没有效果可能需要做相关检查，排除肠道是否有病变。", "role": "doctor"}, {"turn": 13, "text": "这是啥", "role": "patient"}, {"turn": 14, "text": "治什么的", "role": "patient"}, {"turn": 15, "text": "我还在哺乳期，可以服用吗", "role": "patient"}, {"turn": 16, "text": "这是改善大便的治疗方法", "role": "doctor"}, {"turn": 17, "text": "你可先饮食调理看大便能否改善", "role": "doctor"}, {"turn": 18, "text": "因为你肛裂是大便干燥引起注意，如果大便不正常的话肛裂是不会好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1417, "thread": [{"turn": 0, "text": "孩子有声带小结怎么治疗（男，9岁）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了，有什么症状？", "role": "doctor"}, {"turn": 2, "text": "没啥症状", "role": "patient"}, {"turn": 3, "text": "没有声音嘶哑吗？", "role": "doctor"}, {"turn": 4, "text": "就是拍了个片", "role": "patient"}, {"turn": 5, "text": "说是声道小结", "role": "patient"}, {"turn": 6, "text": "是做了电子喉镜吗？", "role": "doctor"}, {"turn": 7, "text": "有点沙哑", "role": "patient"}, {"turn": 8, "text": "对", "role": "patient"}, {"turn": 9, "text": "这种的一般怎么治疗啊", "role": "patient"}, {"turn": 10, "text": "就是一大声说话就沙哑了", "role": "patient"}, {"turn": 11, "text": "小孩声带小结不要手术，就是要小声音说话。不要喝凉水", "role": "doctor"}, {"turn": 12, "text": "自己就能好吗", "role": "patient"}, {"turn": 13, "text": "自己慢慢会好的。", "role": "doctor"}, {"turn": 14, "text": "去医院给了点吃的药，也没说啥情况", "role": "patient"}, {"turn": 15, "text": "一般多久能痊愈，平时有什么需要特别注意的吗", "role": "patient"}, {"turn": 16, "text": "不要大声疾呼，不要喝凉水，", "role": "doctor"}, {"turn": 17, "text": "还有其他的吗", "role": "patient"}, {"turn": 18, "text": "吃点金嗓散结丸，", "role": "doctor"}, {"turn": 19, "text": "还有别的吗", "role": "patient"}, {"turn": 20, "text": "一般的小结都是自己慢慢好的吗", "role": "patient"}, {"turn": 21, "text": "对于小儿来说就是自己慢慢好的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1418, "thread": [{"turn": 0, "text": "宝宝有痰一个月偶尔咳嗽（男，2岁）", "role": "patient"}, {"turn": 1, "text": "你好，有没有发热？流鼻涕、打喷嚏吗？", "role": "doctor"}, {"turn": 2, "text": "没有发热，显流鼻涕", "role": "patient"}, {"turn": 3, "text": "可治疗了？", "role": "doctor"}, {"turn": 4, "text": "治疗了", "role": "patient"}, {"turn": 5, "text": "吃那些药物治疗了？", "role": "doctor"}, {"turn": 6, "text": "之前吃了得有十天的药，现在又在贴膏药", "role": "patient"}, {"turn": 7, "text": "不知道是啥药，给的药面", "role": "patient"}, {"turn": 8, "text": "？？？", "role": "patient"}, {"turn": 9, "text": "不好意思", "role": "doctor"}, {"turn": 10, "text": "吃的什么药不知道啊？", "role": "doctor"}, {"turn": 11, "text": "有没有做什么检查？", "role": "doctor"}, {"turn": 12, "text": "在吗？", "role": "doctor"}, {"turn": 13, "text": "咳嗽有喘吗？", "role": "doctor"}, {"turn": 14, "text": "在吗？", "role": "doctor"}, {"turn": 15, "text": "如果咳嗽咳痰时间有一个月了，建议还是到医院复诊看看", "role": "doctor"}, {"turn": 16, "text": "建议还是到正规医院就诊，一般吃药有处方的", "role": "doctor"}, {"turn": 17, "text": "在", "role": "patient"}, {"turn": 18, "text": "他偶尔咳一声，主要就是有痰，早上嗓子呼噜呼噜的", "role": "patient"}, {"turn": 19, "text": "有痰建议吃点消炎药", "role": "doctor"}, {"turn": 20, "text": "加易痰净", "role": "doctor"}, {"turn": 21, "text": "喝鲜竹沥可以吗", "role": "patient"}, {"turn": 22, "text": "或氨溴索口服液", "role": "patient"}, {"turn": 23, "text": "可以", "role": "doctor"}, {"turn": 24, "text": "加消炎药口服", "role": "doctor"}, {"turn": 25, "text": "知道了，麻烦你了", "role": "patient"}, {"turn": 26, "text": "😊", "role": "doctor"}, {"turn": 27, "text": "还在吗", "role": "patient"}, {"turn": 28, "text": "还有我家老二脾胃也不好", "role": "patient"}, {"turn": 29, "text": "吃的还可以，就是不长肉，偏瘦，", "role": "patient"}, {"turn": 30, "text": "可以吃点醒脾养儿颗粒", "role": "doctor"}, {"turn": 31, "text": "对，我家一直吃这种药呢", "role": "patient"}, {"turn": 32, "text": "营养均衡", "role": "doctor"}, {"turn": 33, "text": "😊", "role": "doctor"}, {"turn": 34, "text": "还有我家老大一吃饭，吃不了两口就打嗝是不是胃不好啊", "role": "patient"}, {"turn": 35, "text": "要我家老大也喝点这个行吗", "role": "patient"}, {"turn": 36, "text": "可以", "role": "doctor"}, {"turn": 37, "text": "他那是什么原因", "role": "patient"}, {"turn": 38, "text": "考虑是", "role": "doctor"}, {"turn": 39, "text": "羔羊胃提取物维B12颗粒", "role": "doctor"}, {"turn": 40, "text": "可以吃点", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1419, "thread": [{"turn": 0, "text": "角膜炎眼干和大哭有关吗（女，23岁）", "role": "patient"}, {"turn": 1, "text": "您好，有一些关系，现在用的什么眼药", "role": "doctor"}, {"turn": 2, "text": "妥布霉素地塞米松滴眼液，阿昔洛韦，重组牛减性成纤维细胞生长因子眼用凝胶", "role": "patient"}, {"turn": 3, "text": "可以", "role": "doctor"}, {"turn": 4, "text": "还有症状吗", "role": "doctor"}, {"turn": 5, "text": "还有一个晚上用一次的妥布霉素地赛米眼膏", "role": "patient"}, {"turn": 6, "text": "这个眼干可以治根吗", "role": "patient"}, {"turn": 7, "text": "之前患有红眼病后成了角膜炎，感觉角膜炎好了然后昨天大哭了一次晚上就觉得眼干疼", "role": "patient"}, {"turn": 8, "text": "之前红眼病后来成了角膜炎，昨天大哭了一次晚上觉得眼干", "role": "patient"}, {"turn": 9, "text": "阿昔洛韦建议您在用几天", "role": "doctor"}, {"turn": 10, "text": "眼干和平时用眼有关系，注意休息，不要过度用眼", "role": "doctor"}, {"turn": 11, "text": "慢慢会好转的", "role": "doctor"}, {"turn": 12, "text": "这个会有后遗症吗", "role": "patient"}, {"turn": 13, "text": "一般多长时间可以好转", "role": "patient"}, {"turn": 14, "text": "不会的", "role": "doctor"}, {"turn": 15, "text": "感染恢复是比较慢的，需要结合用眼习惯", "role": "doctor"}, {"turn": 16, "text": "干眼", "role": "doctor"}, {"turn": 17, "text": "可以点一些人工泪液，比如说聚乙烯醇滴眼液，或者是玻璃酸钠滴眼液。", "role": "doctor"}, {"turn": 18, "text": "行吧，眼干也是角膜炎严重导致的吗", "role": "patient"}, {"turn": 19, "text": "不一定，角膜炎可以导致干眼，但是干眼不一定是角膜炎引起的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1420, "thread": [{"turn": 0, "text": "哺乳期突发性耳鸣伴眩晕（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "2O号开始的，今天第5天了", "role": "patient"}, {"turn": 3, "text": "第6天了，24号去门诊看了的开了药吃了两天也没见效", "role": "patient"}, {"turn": 4, "text": "脑磁共振做了没有", "role": "doctor"}, {"turn": 5, "text": "脑磁共振", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "说是咽鼓管堵了，", "role": "patient"}, {"turn": 8, "text": "首先要排除一下是不是脑子的问题哦", "role": "doctor"}, {"turn": 9, "text": "应该没这方面的毛病，早前右耳也堵过没耳鸣过两天就好了，现在是右耳堵了左耳堵了耳鸣还眩晕", "role": "patient"}, {"turn": 10, "text": "血压血糖都还好吧", "role": "doctor"}, {"turn": 11, "text": "眩晕分为中枢性眩晕与周围性眩晕", "role": "doctor"}, {"turn": 12, "text": "一般都是要先排除中枢性眩晕哦", "role": "doctor"}, {"turn": 13, "text": "没查过", "role": "patient"}, {"turn": 14, "text": "如果单纯耳朵原因导致的，确实效果不好", "role": "doctor"}, {"turn": 15, "text": "但是，首先要明确诊断哦", "role": "doctor"}, {"turn": 16, "text": "怎么办？急急急", "role": "patient"}, {"turn": 17, "text": "建议先去神经内科看一下脑子，脑血管", "role": "doctor"}, {"turn": 18, "text": "如果还好", "role": "doctor"}, {"turn": 19, "text": "可以去耳鼻喉科看一下", "role": "doctor"}, {"turn": 20, "text": "咽喉炎复发了和这有关吗？", "role": "patient"}, {"turn": 21, "text": "如果是周围性眩晕没什么大问题，就是麻烦", "role": "doctor"}, {"turn": 22, "text": "可以吃消炎药治疗？", "role": "patient"}, {"turn": 23, "text": "如果咽鼓管有问题，会影响到耳朵里平衡感受器哦", "role": "doctor"}, {"turn": 24, "text": "哦", "role": "patient"}, {"turn": 25, "text": "不管怎么说，先要排除中枢性眩晕哦，这个是一般诊疗步骤", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1421, "thread": [{"turn": 0, "text": "大便的时候出血，鲜红色，便秘（女，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，排便时有明显的疼痛感吗", "role": "doctor"}, {"turn": 2, "text": "不明显", "role": "patient"}, {"turn": 3, "text": "我一直有痔疮", "role": "patient"}, {"turn": 4, "text": "您之前治疗过么", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "之前没有什么血", "role": "patient"}, {"turn": 7, "text": "会不会是我最近火锅吃太多了", "role": "patient"}, {"turn": 8, "text": "有关系的，您有痔疮应该适当减少吃辣的", "role": "doctor"}, {"turn": 9, "text": "需要吃止血的药吗", "role": "patient"}, {"turn": 10, "text": "用不着，您外用痔疮栓就可以", "role": "doctor"}, {"turn": 11, "text": "马应龙或者太宁都行", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 13, "text": "这几天尽量少吃辛辣饮酒吧", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1422, "thread": [{"turn": 0, "text": "这两天消化不良，便秘怎么办？（女，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，大便几天一次？还有其他的不舒服吗？", "role": "doctor"}, {"turn": 2, "text": "这两天就刚刚大便过一次，肚子胀胀的", "role": "patient"}, {"turn": 3, "text": "刚大便过吗？便后腹胀有好转吗？", "role": "doctor"}, {"turn": 4, "text": "感觉没有", "role": "patient"}, {"turn": 5, "text": "嗯，您的情况目前考虑存在胃肠动力不足。建议口服吗丁啉三餐前各一片试一下，促进胃肠动力，减轻腹胀。", "role": "doctor"}, {"turn": 6, "text": "便秘主要靠饮食生活上调节。 ①多吃蔬菜水果。多饮水，每天饮水量在两千毫升以上。让大便变软。 ②饭后散步，每天坚持锻炼，增强胃肠动力，促进排便。 ③规律饮食，吃好消化易吸收的食物，尽量少吃辛辣生冷刺激性食物。远离烟酒！！减少不良刺激。 ④平时不要过于劳累，尽量不要熬夜。减少肠功能紊乱的机会。", "role": "doctor"}, {"turn": 7, "text": "我现在在吃溴隐亭能吃吗丁啉吗", "role": "patient"}, {"turn": 8, "text": "您是什么原因吃的溴隐亭？", "role": "doctor"}, {"turn": 9, "text": "上个月泌乳素高，现在是正常了，医生叫我继续吃溴隐亭", "role": "patient"}, {"turn": 10, "text": "可以吃的，并不影响，好转后即可停药。", "role": "doctor"}, {"turn": 11, "text": "吃药只是辅助，上面说的饮食生活上的调节更重要。", "role": "doctor"}, {"turn": 12, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 13, "text": "💝", "role": "doctor"}, {"turn": 14, "text": "您好，详细查了一下，两个药一块吃确实不会有什么副作用。但吗丁啉有时会减弱溴隐亭的药效，您还是先不要吃了。", "role": "doctor"}, {"turn": 15, "text": "主要还是饮食生活上调节。", "role": "doctor"}, {"turn": 16, "text": "您还在吗？您看到了吗？", "role": "doctor"}, {"turn": 17, "text": "以您口服溴隐亭为主，吗丁啉有减弱溴隐亭药效的可能，先不要口服。胃肠的问题通过饮食生活改变，也会有很大改善的。给您带来困扰，实在报歉😢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1423, "thread": [{"turn": 0, "text": "6个月婴儿吃了抗生素药后一吃母乳就拉蛋花汤（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "宝宝上星期吃了三天药，支气管炎", "role": "patient"}, {"turn": 3, "text": "宝宝大便一天几次？", "role": "doctor"}, {"turn": 4, "text": "一吃奶后就拉", "role": "patient"}, {"turn": 5, "text": "拉几天了？吐吗？", "role": "doctor"}, {"turn": 6, "text": "吃了妈咪爱和蒙脱石散2天也没有用", "role": "patient"}, {"turn": 7, "text": "不吐", "role": "patient"}, {"turn": 8, "text": "5天了", "role": "patient"}, {"turn": 9, "text": "建议您给宝宝检查一下大便，排除感染和菌群失调", "role": "doctor"}, {"turn": 10, "text": "吃不含乳糖奶粉就不拉", "role": "patient"}, {"turn": 11, "text": "吃母乳就拉", "role": "patient"}, {"turn": 12, "text": "母乳性腹泻", "role": "doctor"}, {"turn": 13, "text": "吃不含乳糖的奶粉吧", "role": "doctor"}, {"turn": 14, "text": "要吃多久", "role": "patient"}, {"turn": 15, "text": "之前没有的", "role": "patient"}, {"turn": 16, "text": "就5天前吃了药才这样", "role": "patient"}, {"turn": 17, "text": "吃一周看看", "role": "doctor"}, {"turn": 18, "text": "后面怎么转回母乳？", "role": "patient"}, {"turn": 19, "text": "从一天一次开始慢慢增加", "role": "doctor"}, {"turn": 20, "text": "可以吃乳糖酶吗", "role": "patient"}, {"turn": 21, "text": "可以的", "role": "doctor"}, {"turn": 22, "text": "可以同时吃？", "role": "patient"}, {"turn": 23, "text": "可以的", "role": "doctor"}, {"turn": 24, "text": "如果吃乳糖酶就不会腹泻了，就不吃其他药了", "role": "doctor"}, {"turn": 25, "text": "今晚吃了一次还是拉", "role": "patient"}, {"turn": 26, "text": "吃了乳糖酶很快就不拉了", "role": "doctor"}, {"turn": 27, "text": "一天吃几次乳糖酶", "role": "patient"}, {"turn": 28, "text": "从一次开始慢慢增加", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1424, "thread": [{"turn": 0, "text": "严重恐艾   担心生活上的接触会感染（女，24岁）", "role": "patient"}, {"turn": 1, "text": "生活一般接触是不会感染的", "role": "doctor"}, {"turn": 2, "text": "今天在宾馆用冲洗器冲洗阴道，然后往阴道里放了一个栓剂，但是放之前指尖碰到了水池的边上，然后就用水冲了一下就往阴道了放栓剂了，会不会感染阿", "role": "patient"}, {"turn": 3, "text": "不会的", "role": "doctor"}, {"turn": 4, "text": "一点几率都没有吗", "role": "patient"}, {"turn": 5, "text": "是的", "role": "doctor"}, {"turn": 6, "text": "病毒在外界  可以生活四五个小时吗", "role": "patient"}, {"turn": 7, "text": "不会的，几分钟到半小时", "role": "doctor"}, {"turn": 8, "text": "就算是有血液   也是大概这么长时间吗", "role": "patient"}, {"turn": 9, "text": "不会通过外界的物品感染的吗", "role": "patient"}, {"turn": 10, "text": "是的，不会的", "role": "doctor"}, {"turn": 11, "text": "因为我万一手指沾到病毒了   之后上药进入阴道不就感染了吗", "role": "patient"}, {"turn": 12, "text": "只要你粘膜完整也是不会的", "role": "doctor"}, {"turn": 13, "text": "但是我不确定我阴道里的黏膜是否完整阿", "role": "patient"}, {"turn": 14, "text": "万一我冲洗的时候有细微的破损呢", "role": "patient"}, {"turn": 15, "text": "细微破损是没事的", "role": "doctor"}, {"turn": 16, "text": "可是再怎么也不确定阿   万一呢    用不用吃阻断药阿", "role": "patient"}, {"turn": 17, "text": "但是今天早上上的药    距离我昨天开房有进屋有十六七个小时", "role": "patient"}, {"turn": 18, "text": "我觉得不用吃", "role": "doctor"}, {"turn": 19, "text": "就是指尖沾了一下水池边，是无名指和小指沾到了，我是中指上的药，怕两个手指埃一起接触到", "role": "patient"}, {"turn": 20, "text": "不要想多了，不会的", "role": "doctor"}, {"turn": 21, "text": "开水几分钟可以杀死病毒", "role": "patient"}, {"turn": 22, "text": "可以的", "role": "doctor"}, {"turn": 23, "text": "多久", "role": "patient"}, {"turn": 24, "text": "三五分钟", "role": "doctor"}, {"turn": 25, "text": "既然半个小时病毒在体外就灭活    那位什么我的阴道黏膜没破损才没事，是因为死了的病毒，遇见活细胞还可以复活继续复制吗", "role": "patient"}, {"turn": 26, "text": "是的", "role": "doctor"}, {"turn": 27, "text": "死了的病毒遇见活细胞还可以复制？那就说明我还会感染？", "role": "patient"}, {"turn": 28, "text": "死的病毒是不会的", "role": "doctor"}, {"turn": 29, "text": "水池上的病毒会生存几个小时吗", "role": "patient"}, {"turn": 30, "text": "一般不会的，几分钟", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1425, "thread": [{"turn": 0, "text": "出口梗阻性便秘怎么办（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "就这几天", "role": "patient"}, {"turn": 3, "text": "是不是因为开塞露用的啊", "role": "patient"}, {"turn": 4, "text": "泻药什么的用处也不大了", "role": "patient"}, {"turn": 5, "text": "可以应用开塞露。或者灌肠", "role": "doctor"}, {"turn": 6, "text": "用开塞露的话 岂不是更严重了", "role": "patient"}, {"turn": 7, "text": "不会的。", "role": "doctor"}, {"turn": 8, "text": "现在服用泻药什么的 没之前作用明显了 估计就是开塞露导致的", "role": "patient"}, {"turn": 9, "text": "不会的。主要是要调整饮食，多饮水，粗纤维饮食，多吃蔬菜水果，适量运动。", "role": "doctor"}, {"turn": 10, "text": "医生中午用了开塞露 拉了很多  然后现在又有便意 感觉就堵在小腹那里  刚才蹲半天没拉出来", "role": "patient"}, {"turn": 11, "text": "番泻叶感觉失去作用了", "role": "patient"}, {"turn": 12, "text": "不会的。药物起效是有一定时间的。", "role": "doctor"}, {"turn": 13, "text": "不想在依赖药物了", "role": "patient"}, {"turn": 14, "text": "有什么别的办法吗", "role": "patient"}, {"turn": 15, "text": "注意饮食，多饮水，避免辛辣刺激性食物，粗纤维食物", "role": "doctor"}, {"turn": 16, "text": "开塞露用多了 是不是导致直肠刺激不敏感", "role": "patient"}, {"turn": 17, "text": "不会的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1426, "thread": [{"turn": 0, "text": "嗓子干痒疼总咳嗽  有黄痰（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了？有没有感冒？", "role": "doctor"}, {"turn": 2, "text": "偶尔会流清水鼻涕", "role": "patient"}, {"turn": 3, "text": "但是好像没什么感冒的症状", "role": "patient"}, {"turn": 4, "text": "是感冒了", "role": "doctor"}, {"turn": 5, "text": "喝点感冒药吧", "role": "doctor"}, {"turn": 6, "text": "嗓子感觉肿肿的异物感啊", "role": "patient"}, {"turn": 7, "text": "挺久了", "role": "patient"}, {"turn": 8, "text": "感觉有七八天了", "role": "patient"}, {"turn": 9, "text": "最近吃鱼之类的了吗", "role": "doctor"}, {"turn": 10, "text": "没有啊", "role": "patient"}, {"turn": 11, "text": "要去耳鼻喉科看看", "role": "doctor"}, {"turn": 12, "text": "做个喉镜看看", "role": "doctor"}, {"turn": 13, "text": "好", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1427, "thread": [{"turn": 0, "text": "腰扭伤半年了肚子还胀难受咋回事（男，35岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你平时运动减少了", "role": "doctor"}, {"turn": 2, "text": "腰部还难受吗", "role": "doctor"}, {"turn": 3, "text": "您好，腰还难受", "role": "patient"}, {"turn": 4, "text": "当时做检查了吗？", "role": "doctor"}, {"turn": 5, "text": "就是去年十二月伤弯腰抬重东西腰部响一声就疼的不行了", "role": "patient"}, {"turn": 6, "text": "嗯", "role": "doctor"}, {"turn": 7, "text": "之后做检查和治疗了吗", "role": "doctor"}, {"turn": 8, "text": "做过捡查的磁共振拍片说腰4丶5突出，不奋严重，我认前从来腰没疼过", "role": "patient"}, {"turn": 9, "text": "那你这个病主要是腰间盘突出引起的", "role": "doctor"}, {"turn": 10, "text": "吃药治疗了吗", "role": "doctor"}, {"turn": 11, "text": "你这种情况是原来有腰间盘突出，扭伤后加重了病情", "role": "doctor"}, {"turn": 12, "text": "因为有腰间盘突出后比较脆弱，更容易受伤的", "role": "doctor"}, {"turn": 13, "text": "当时我也没再义，越来越疼，一月后又到医院针灸二十多天，一点作用没有，后来就吃药一直在家里。", "role": "patient"}, {"turn": 14, "text": "嗯", "role": "doctor"}, {"turn": 15, "text": "有没有腰椎滑脱？", "role": "doctor"}, {"turn": 16, "text": "以前从来腰没疼过，就困去年扭伤后就这样肚子也胀", "role": "patient"}, {"turn": 17, "text": "你最近是不是很少活动？", "role": "doctor"}, {"turn": 18, "text": "大便通畅吗？有无便秘？", "role": "doctor"}, {"turn": 19, "text": "没有滑，先后拍了两次磁共振都说的一样弟一次拍的说有水肿，", "role": "patient"}, {"turn": 20, "text": "嗯", "role": "doctor"}, {"turn": 21, "text": "不敢活动，", "role": "patient"}, {"turn": 22, "text": "那你应该多卧床休息，吃点活血止痛药物", "role": "doctor"}, {"turn": 23, "text": "坐着特别难受，感觉腰部沉重，肚子也胀的难受", "role": "patient"}, {"turn": 24, "text": "不可以久坐", "role": "doctor"}, {"turn": 25, "text": "最好不要坐着了", "role": "doctor"}, {"turn": 26, "text": "王医生您看吃些啥药好", "role": "patient"}, {"turn": 27, "text": "你可以吃几天枸橼酸莫沙必利，治疗肚子胀", "role": "doctor"}, {"turn": 28, "text": "吃一个月腰痛宁胶囊，吃三天莫沙必利", "role": "doctor"}, {"turn": 29, "text": "卧床休息", "role": "doctor"}, {"turn": 30, "text": "哦，谢谢您了，您看还有啥好的见义，", "role": "patient"}, {"turn": 31, "text": "没有更好的建议了", "role": "doctor"}, {"turn": 32, "text": "按我说的这个方法，治疗一个月看一下", "role": "doctor"}, {"turn": 33, "text": "我想快点好起来，家有七口人，我一个劳动", "role": "patient"}, {"turn": 34, "text": "有好办法肯定会告诉你的", "role": "doctor"}, {"turn": 35, "text": "这个病治疗就是慢", "role": "doctor"}, {"turn": 36, "text": "哦谢谢，您看还能吃些啥药。", "role": "patient"}, {"turn": 37, "text": "就吃这两种吧", "role": "doctor"}, {"turn": 38, "text": "莫沙必利吃三天", "role": "doctor"}, {"turn": 39, "text": "腰痛宁吃一个月", "role": "doctor"}, {"turn": 40, "text": "一定要注意休息，不要久坐劳累", "role": "doctor"}, {"turn": 41, "text": "好吧，谢谢。🙏", "role": "patient"}, {"turn": 42, "text": "不客气", "role": "doctor"}, {"turn": 43, "text": "好好，先吃哪个药", "role": "patient"}, {"turn": 44, "text": "一起吃", "role": "doctor"}, {"turn": 45, "text": "好，谢了。", "role": "patient"}, {"turn": 46, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1428, "thread": [{"turn": 0, "text": "三个月的男宝宝消化不良喝益生菌（男，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，婴幼儿消化不良一般采用益生菌治疗，调理肠道菌群", "role": "doctor"}, {"turn": 2, "text": "宝宝什么症状？吃的什么益生菌？", "role": "doctor"}, {"turn": 3, "text": "宝宝今天早上三点之后拉了四次都是黄色的不是很稀，有绿色的颗粒，中午拉的多点有点稀还带有条状的，大便看起来黏黏的", "role": "patient"}, {"turn": 4, "text": "买的合生元益生菌，纯母乳喂养", "role": "patient"}, {"turn": 5, "text": "合生元是保健品类，您给宝宝用妈咪爱就可以", "role": "doctor"}, {"turn": 6, "text": "现在两个多月了用妈咪爱还有效果吗", "role": "patient"}, {"turn": 7, "text": "腹泻2个多月了？", "role": "doctor"}, {"turn": 8, "text": "一直没有化验过大便？", "role": "doctor"}, {"turn": 9, "text": "宝宝两个多月了，腹泻有一个星期了", "role": "patient"}, {"turn": 10, "text": "这样的话吃妈咪爱是有用的", "role": "doctor"}, {"turn": 11, "text": "一次一袋，一天一次，先吃5天左右，大便没有改善就需要到医院化验大便进一步检查", "role": "doctor"}, {"turn": 12, "text": "好", "role": "patient"}, {"turn": 13, "text": "嗯，宝妈饮食上注意些，不要吃生冷油腻或者辛辣的东西", "role": "doctor"}, {"turn": 14, "text": "消化不良跟我吃消炎药有关系吗", "role": "patient"}, {"turn": 15, "text": "吃的什么消炎药？", "role": "doctor"}, {"turn": 16, "text": "有阴道炎和急性肾盂肾炎医生开的药，问医生哺乳可以吃吗，医生说可以，不知道有没有关系", "role": "patient"}, {"turn": 17, "text": "一般问题不大。再者能通过乳汁分泌出来的", "role": "doctor"}, {"turn": 18, "text": "已经是微乎其微了", "role": "doctor"}, {"turn": 19, "text": "好", "role": "patient"}, {"turn": 20, "text": "先吃药观察看看吧", "role": "doctor"}, {"turn": 21, "text": "嗯", "role": "patient"}, {"turn": 22, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1429, "thread": [{"turn": 0, "text": "幽门螺旋杆菌410需要怎么治疗啊（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状？", "role": "doctor"}, {"turn": 2, "text": "症状倒是没有什么特别的", "role": "patient"}, {"turn": 3, "text": "感觉没有", "role": "patient"}, {"turn": 4, "text": "就是有时候胃有点不舒服", "role": "patient"}, {"turn": 5, "text": "今天做了幽门螺旋杆菌测试数值410", "role": "patient"}, {"turn": 6, "text": "要吃除菌药", "role": "doctor"}, {"turn": 7, "text": "有什么药", "role": "patient"}, {"turn": 8, "text": "需要吃多久", "role": "patient"}, {"turn": 9, "text": "多久复查", "role": "patient"}, {"turn": 10, "text": "我肋骨疼早上做了ct没问题", "role": "patient"}, {"turn": 11, "text": "医生说等我肋骨身体这些症状好了再杀幽门螺杆菌是这样嘛", "role": "patient"}, {"turn": 12, "text": "吃两周", "role": "doctor"}, {"turn": 13, "text": "吃完是不是再去复查一下", "role": "patient"}, {"turn": 14, "text": "吃完过三周再复查", "role": "doctor"}, {"turn": 15, "text": "好的", "role": "patient"}, {"turn": 16, "text": "👌", "role": "doctor"}, {"turn": 17, "text": "根治后还是会被感染吧", "role": "patient"}, {"turn": 18, "text": "短期内不会", "role": "doctor"}, {"turn": 19, "text": "短期是多久", "role": "patient"}, {"turn": 20, "text": "半年", "role": "doctor"}, {"turn": 21, "text": "吃什么药好", "role": "patient"}, {"turn": 22, "text": "阿莫西林，克拉霉素，奥美拉唑，胶体果胶铋，四联", "role": "doctor"}, {"turn": 23, "text": "用法用量呢", "role": "patient"}, {"turn": 24, "text": "要在医师的处方指导下使用", "role": "doctor"}, {"turn": 25, "text": "好的", "role": "patient"}, {"turn": 26, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1430, "thread": [{"turn": 0, "text": "便秘右侧肋骨下按压痛（女，37岁）", "role": "patient"}, {"turn": 1, "text": "您好，你这情况多久了？", "role": "doctor"}, {"turn": 2, "text": "便秘有一年了", "role": "patient"}, {"turn": 3, "text": "一开始比较轻，这次比较严重，三天排一次便特别干燥", "role": "patient"}, {"turn": 4, "text": "最近半个月恶心呕吐，排不出大便，右侧肋骨偶尔会疼", "role": "patient"}, {"turn": 5, "text": "大便有脓血吗", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "就是特别干燥，用开塞露，会排出来一点，过后会肚子疼", "role": "patient"}, {"turn": 8, "text": "最近消瘦了吗", "role": "doctor"}, {"turn": 9, "text": "之前没有过吗", "role": "doctor"}, {"turn": 10, "text": "最近一年才出现吗", "role": "doctor"}, {"turn": 11, "text": "没见瘦，今年开始经常便秘都不严重，就这半个月开始，恶心呕吐，排出困难", "role": "patient"}, {"turn": 12, "text": "我这是什么情况啊", "role": "patient"}, {"turn": 13, "text": "建议您最好能去医院做个肠镜看一下", "role": "doctor"}, {"turn": 14, "text": "做肠镜检查吗", "role": "patient"}, {"turn": 15, "text": "是的", "role": "doctor"}, {"turn": 16, "text": "你症状一年多了，最好做个肠镜看看", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1431, "thread": [{"turn": 0, "text": "鼻子从六月份开始经常每天打喷嚏还有流鼻涕，现在也是一样，每天打喷嚏流鼻涕，越来越严重，而且鼻子很敏感，经常痒（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，之前有鼻炎吗？", "role": "doctor"}, {"turn": 2, "text": "以前没有", "role": "patient"}, {"turn": 3, "text": "不知道现在这个是不是鼻炎", "role": "patient"}, {"turn": 4, "text": "是的。", "role": "doctor"}, {"turn": 5, "text": "考虑是慢性鼻炎的症状。", "role": "doctor"}, {"turn": 6, "text": "那这个怎么治疗", "role": "patient"}, {"turn": 7, "text": "平时吃药过敏吗？", "role": "doctor"}, {"turn": 8, "text": "不会，不过我对青霉素过敏", "role": "patient"}, {"turn": 9, "text": "嗯嗯。其他的药物没事是吧。", "role": "doctor"}, {"turn": 10, "text": "平时喜欢吃辣椒吗，喝水多不？", "role": "doctor"}, {"turn": 11, "text": "喜欢吃，喝水一般，不多也不少", "role": "patient"}, {"turn": 12, "text": "给你推荐两个药吃一周左右。", "role": "doctor"}, {"turn": 13, "text": "同时要忌口，忌辛辣刺激食物，多喝开水。", "role": "doctor"}, {"turn": 14, "text": "通窍鼻炎片和左西替利嗪片。两个药坚持吃几天。", "role": "doctor"}, {"turn": 15, "text": "这个鼻炎为什么会突然得呢", "role": "patient"}, {"turn": 16, "text": "然后就好不了了", "role": "patient"}, {"turn": 17, "text": "最近半月要注意多休息，充足睡眠，多泡新鲜柠檬水，金银花茶，多吃蔬菜水果补充维生素，适当加强营养，适当锻炼，增强免疫力。一定要忌辛辣烟酒等刺激饮食，按时吃药，多喝开水。", "role": "doctor"}, {"turn": 18, "text": "也不是突然得的。是感冒没有好利索，鼻子的症状一直有，没有管，流程慢性鼻炎了", "role": "doctor"}, {"turn": 19, "text": "吃这两种药能好吗", "role": "patient"}, {"turn": 20, "text": "我听说鼻炎不会治好的，只是缓解", "role": "patient"}, {"turn": 21, "text": "先缓解症状。", "role": "doctor"}, {"turn": 22, "text": "如果能忌口，多喝开水，一般不容易再复发，", "role": "doctor"}, {"turn": 23, "text": "一般容易反复的情况。大多是体质差，容易感冒。还有就是不忌口，辛辣刺激食物经常吃，喝水少。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1432, "thread": [{"turn": 0, "text": "咳嗽，鼻塞，有时候还有点晕（女，32）", "role": "patient"}, {"turn": 1, "text": "您好请问您的症状持续多长时间了", "role": "doctor"}, {"turn": 2, "text": "昨天开始有点咳嗽的！", "role": "patient"}, {"turn": 3, "text": "今天就更严重了点", "role": "patient"}, {"turn": 4, "text": "嗓子疼吗？", "role": "doctor"}, {"turn": 5, "text": "还好，嗓子倒是没疼", "role": "patient"}, {"turn": 6, "text": "发烧吗", "role": "doctor"}, {"turn": 7, "text": "就是不舒服，老想咳嗽", "role": "patient"}, {"turn": 8, "text": "用了什么药呢？", "role": "doctor"}, {"turn": 9, "text": "喝了感冒药，也泡了艾叶之类的吃，也不见效", "role": "patient"}, {"turn": 10, "text": "继续用", "role": "doctor"}, {"turn": 11, "text": "再含点西瓜霜", "role": "doctor"}, {"turn": 12, "text": "或者喝点利咽消肿的药", "role": "doctor"}, {"turn": 13, "text": "哦！这次感冒来势挺凶的！何以往不一样", "role": "patient"}, {"turn": 14, "text": "所以特意来咨询您们，麻烦了", "role": "patient"}, {"turn": 15, "text": "其实今年的感冒除了个别特别重的跟以往治疗方案差不多", "role": "doctor"}, {"turn": 16, "text": "继续用感冒药，嗓子疼得厉害可以用消炎药，不厉害可以含点西瓜霜片，或者喝点蒲地蓝口服液", "role": "doctor"}, {"turn": 17, "text": "多喝水多休息忌辛辣刺激", "role": "doctor"}, {"turn": 18, "text": "忌烟酒", "role": "doctor"}, {"turn": 19, "text": "咳嗽特别厉害可以用点止咳药，比如甘草片或者复方甲氧那明胶囊", "role": "doctor"}, {"turn": 20, "text": "好的！谢谢肖医生", "role": "patient"}, {"turn": 21, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1433, "thread": [{"turn": 0, "text": "流鼻涕，咳嗽，打喷嚏（男，5）", "role": "patient"}, {"turn": 1, "text": "你好，请问你面前这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "前几天发烧感冒刚好，但是流鼻涕一直就没好", "role": "patient"}, {"turn": 3, "text": "今天开始打喷嚏，", "role": "patient"}, {"turn": 4, "text": "目前咳嗽有痰吗？", "role": "doctor"}, {"turn": 5, "text": "咳嗽有两天了", "role": "patient"}, {"turn": 6, "text": "鼻涕是什么颜色的", "role": "doctor"}, {"turn": 7, "text": "无痰，", "role": "patient"}, {"turn": 8, "text": "清鼻涕", "role": "patient"}, {"turn": 9, "text": "精神状态也挺好", "role": "patient"}, {"turn": 10, "text": "目前宝宝5岁了对吗？", "role": "doctor"}, {"turn": 11, "text": "对", "role": "patient"}, {"turn": 12, "text": "那这个情况建议冲服小儿氨酚黄那敏颗粒比较好", "role": "doctor"}, {"turn": 13, "text": "什么品牌的效果好一些，消炎药和止咳药一起吃吗？还是只用一些氨酚黄那敏颗粒", "role": "patient"}, {"turn": 14, "text": "只需要冲服小儿氨酚黄那敏颗粒即可", "role": "doctor"}, {"turn": 15, "text": "其他的都不需要", "role": "doctor"}, {"turn": 16, "text": "这症状就是属于着凉吧！体内湿气重吧！导致感冒流鼻涕，咳嗽不用管吗？", "role": "patient"}, {"turn": 17, "text": "这个情况准确来讲还是感冒的范畴", "role": "doctor"}, {"turn": 18, "text": "只有两种情况", "role": "doctor"}, {"turn": 19, "text": "一种就是之前的感冒没好利索", "role": "doctor"}, {"turn": 20, "text": "另一种就是之前的感冒痊愈了，这次又新发了", "role": "doctor"}, {"turn": 21, "text": "那这种情况下，只服用感冒药得需要几天时间可以好一些", "role": "patient"}, {"turn": 22, "text": "使用小儿氨酚黄那敏颗粒3-5天即可", "role": "doctor"}, {"turn": 23, "text": "具体哪个品牌的小儿感冒颗粒比较好一些呢", "role": "patient"}, {"turn": 24, "text": "快克就可以", "role": "doctor"}, {"turn": 25, "text": "好的：谢谢医师", "role": "patient"}, {"turn": 26, "text": "不客气 我也衷心祝愿宝宝早日康复。", "role": "doctor"}, {"turn": 27, "text": "一次一袋服用就好对吧！", "role": "patient"}, {"turn": 28, "text": "谢谢医师指点", "role": "patient"}, {"turn": 29, "text": "是的", "role": "doctor"}, {"turn": 30, "text": "5岁是1袋", "role": "doctor"}, {"turn": 31, "text": "嗯", "role": "patient"}, {"turn": 32, "text": "???", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1434, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：女性脱发（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？每天大约掉多少根头发？", "role": "doctor"}, {"turn": 2, "text": "有头屑吗，痒吗", "role": "doctor"}, {"turn": 3, "text": "我在别的医院查的，抗甲状腺球蛋白抗体测定是105.6  抗甲状腺过氧化物酶抗体测定是671.3 其他都正常，医生说是由两种造成的脱发，是吗？这样严重吗？", "role": "patient"}, {"turn": 4, "text": "我从去年五月份左右开始发量减少，现在洗头的话大概掉20-30根左右，平常掉发很少，不痒，头皮稍微有点，不多", "role": "patient"}, {"turn": 5, "text": "从检验结果看可能有一定原因，", "role": "doctor"}, {"turn": 6, "text": "脱发不是太严重，", "role": "doctor"}, {"turn": 7, "text": "一般每天脱发在100根以内，问题不大", "role": "doctor"}, {"turn": 8, "text": "平时调理就可以了", "role": "doctor"}, {"turn": 9, "text": "养成良好生活习惯限制高糖高脂油炸烧烤辛辣食物多吃水果蔬菜不熬夜", "role": "doctor"}, {"turn": 10, "text": "用二硫化硒洗发水洗发，每周二次", "role": "doctor"}, {"turn": 11, "text": "口服养血生发胶囊和21金维他片", "role": "doctor"}, {"turn": 12, "text": "头发细软 这个可以改善吗？", "role": "patient"}, {"turn": 13, "text": "可以的，", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢", "role": "patient"}, {"turn": 15, "text": "不客气早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1435, "thread": [{"turn": 0, "text": "肛裂用什么药？，，，（男，24岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛裂有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "你好，请问你有什么症状么？", "role": "doctor"}, {"turn": 3, "text": "建议槐角丸口服，马应龙痔疮膏，马应龙痔疮栓，花椒水熏蒸，坐浴，温度38℃，10分钟每天一次。保证大便通畅！多喝水，多吃蔬菜水果，少吃辛辣刺激的食物！", "role": "doctor"}, {"turn": 4, "text": "很多年了", "role": "patient"}, {"turn": 5, "text": "有时候便秘，撑破了", "role": "patient"}, {"turn": 6, "text": "慢性肛裂呢呢？", "role": "doctor"}, {"turn": 7, "text": "就前两天便利已经破了，这几天每次上厕所都好痛，流血", "role": "patient"}, {"turn": 8, "text": "不知道，没去医院看过", "role": "patient"}, {"turn": 9, "text": "用过药么？", "role": "doctor"}, {"turn": 10, "text": "没用过药，一年也就两三次，一般过几天就好了", "role": "patient"}, {"turn": 11, "text": "嗯，可用我的方法治疗几天看看", "role": "doctor"}, {"turn": 12, "text": "好的", "role": "patient"}, {"turn": 13, "text": "祝你早日康复，需要耐心，不要着急，如果发现了，就早日治疗。", "role": "doctor"}, {"turn": 14, "text": "可以用碘伏喷吗？", "role": "patient"}, {"turn": 15, "text": "可以消毒", "role": "doctor"}, {"turn": 16, "text": "直接喷吗", "role": "patient"}, {"turn": 17, "text": "擦洗", "role": "doctor"}, {"turn": 18, "text": "。。谢谢", "role": "patient"}, {"turn": 19, "text": "不用客气，很高兴能帮助到您！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1436, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：便秘怎么办（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多久？", "role": "doctor"}, {"turn": 2, "text": "之前也有，但吃了中药后缓解了些，现在开学后又开始便秘了", "role": "patient"}, {"turn": 3, "text": "大便多久一次，是什么样的？", "role": "doctor"}, {"turn": 4, "text": "四五天，甚至更长。导致我经常用开塞露来缓解", "role": "patient"}, {"turn": 5, "text": "大便是干的吗？", "role": "doctor"}, {"turn": 6, "text": "吃了中药几天一次呢？什么样的？", "role": "doctor"}, {"turn": 7, "text": "是的，大约一个月半", "role": "patient"}, {"turn": 8, "text": "刚开始吃后一个月左右正常", "role": "patient"}, {"turn": 9, "text": "大便干的，还是分开一块一块，是吧？", "role": "doctor"}, {"turn": 10, "text": "大便什么颜色呢？", "role": "doctor"}, {"turn": 11, "text": "分开一块一块", "role": "patient"}, {"turn": 12, "text": "时间长了就偏黑", "role": "patient"}, {"turn": 13, "text": "平时运动吗？水和蔬菜水果吃的量呢？", "role": "doctor"}, {"turn": 14, "text": "运动，经常吃蔬菜。我在吃中药前喝过酵素来缓解，但现在喝好像没什么用", "role": "patient"}, {"turn": 15, "text": "酵素一般只能暂时缓解呢，", "role": "doctor"}, {"turn": 16, "text": "便秘多久了？", "role": "doctor"}, {"turn": 17, "text": "一个月左右了", "role": "patient"}, {"turn": 18, "text": "以前没有便秘", "role": "doctor"}, {"turn": 19, "text": "有", "role": "patient"}, {"turn": 20, "text": "除了大便不好解，还有其他不舒服的吗", "role": "doctor"}, {"turn": 21, "text": "无", "role": "patient"}, {"turn": 22, "text": "你之前做过什么检查吗？", "role": "doctor"}, {"turn": 23, "text": "没", "role": "patient"}, {"turn": 24, "text": "你是有便意解不出还是根本就没便意呢？", "role": "doctor"}, {"turn": 25, "text": "没便意", "role": "patient"}, {"turn": 26, "text": "吃的东西多吗", "role": "doctor"}, {"turn": 27, "text": "算多吧", "role": "patient"}, {"turn": 28, "text": "运动呢，，", "role": "doctor"}, {"turn": 29, "text": "运动", "role": "patient"}, {"turn": 30, "text": "既往有什么疾病吗？体重多少月经正常吗？", "role": "doctor"}, {"turn": 31, "text": "身高174，体重101", "role": "patient"}, {"turn": 32, "text": "不正常", "role": "patient"}, {"turn": 33, "text": "针对您目前的情况，我建议适当增加膳食纤维和水果的摄入，多运动，和酸奶，平时可以多揉揉肚子增加肠胃蠕动", "role": "doctor"}, {"turn": 34, "text": "知道啊，谢谢了", "role": "patient"}, {"turn": 35, "text": "不用谢，在没有明确病因之前，最好不要乱吃药哦", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1437, "thread": [{"turn": 0, "text": "右边太阳穴疼，有点偏头痛（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问你这种情况持续有多久", "role": "doctor"}, {"turn": 2, "text": "昨天中午到现在", "role": "patient"}, {"turn": 3, "text": "是搏动性痛？", "role": "doctor"}, {"turn": 4, "text": "以前有过吗？", "role": "doctor"}, {"turn": 5, "text": "痛之前眼睛看东西会不会模糊？流眼泪？怕光？", "role": "doctor"}, {"turn": 6, "text": "有点搏动", "role": "patient"}, {"turn": 7, "text": "有过", "role": "patient"}, {"turn": 8, "text": "流泪会有，别的好像没有吧", "role": "patient"}, {"turn": 9, "text": "没觉得", "role": "patient"}, {"turn": 10, "text": "以前有做过什么检查？服用过什么药物？家里人有没有这种情况？多久发作一次？", "role": "doctor"}, {"turn": 11, "text": "没检查gun", "role": "patient"}, {"turn": 12, "text": "吃过止痛片", "role": "patient"}, {"turn": 13, "text": "我妈妈有时好像头疼", "role": "patient"}, {"turn": 14, "text": "服用止痛药物可以止痛吗？", "role": "doctor"}, {"turn": 15, "text": "可以", "role": "patient"}, {"turn": 16, "text": "之前晚上睡觉，第二天就好了", "role": "patient"}, {"turn": 17, "text": "这次没有", "role": "patient"}, {"turn": 18, "text": "那痛比昨天有没有好一点？", "role": "doctor"}, {"turn": 19, "text": "没有", "role": "patient"}, {"turn": 20, "text": "多久发作一次头痛？", "role": "doctor"}, {"turn": 21, "text": "没有规律", "role": "patient"}, {"turn": 22, "text": "这次头痛没有发烧，感冒症状？", "role": "doctor"}, {"turn": 23, "text": "这次有感冒", "role": "patient"}, {"turn": 24, "text": "没发烧", "role": "patient"}, {"turn": 25, "text": "吃了感冒药了吗？", "role": "doctor"}, {"turn": 26, "text": "一直在吃", "role": "patient"}, {"turn": 27, "text": "这次头痛可能是偏头痛跟感冒叠加在一起", "role": "doctor"}, {"turn": 28, "text": "吃了什么类型的感冒药？", "role": "doctor"}, {"turn": 29, "text": "复方氨酚烷胺片", "role": "patient"}, {"turn": 30, "text": "以前吃的止痛药物是啥？", "role": "doctor"}, {"turn": 31, "text": "不记得了", "role": "patient"}, {"turn": 32, "text": "也不是常备，就家里有什么吃什么", "role": "patient"}, {"turn": 33, "text": "可以加一个布洛芬止痛", "role": "doctor"}, {"turn": 34, "text": "或者家里现在还有什么止痛药物？", "role": "doctor"}, {"turn": 35, "text": "现在没有，裙所以我也没吃", "role": "patient"}, {"turn": 36, "text": "如果头痛影响到日常生活，建议您还是加用止痛药物", "role": "doctor"}, {"turn": 37, "text": "有什么推荐嘛？", "role": "patient"}, {"turn": 38, "text": "布洛芬", "role": "doctor"}, {"turn": 39, "text": "好", "role": "patient"}, {"turn": 40, "text": "因为您吃的感冒药没有布洛芬成分，只有对乙酰氨基酚止痛", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1438, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：便秘（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好，大便几天一次呢？", "role": "doctor"}, {"turn": 2, "text": "不规律", "role": "patient"}, {"turn": 3, "text": "有的时候一周都不去", "role": "patient"}, {"turn": 4, "text": "平时吃辛辣的东西多吗？", "role": "doctor"}, {"turn": 5, "text": "很少", "role": "patient"}, {"turn": 6, "text": "平时运动多吗？", "role": "doctor"}, {"turn": 7, "text": "一天动的挺多的", "role": "patient"}, {"turn": 8, "text": "那你这是习惯性便秘", "role": "doctor"}, {"turn": 9, "text": "恩从小一直都是这样", "role": "patient"}, {"turn": 10, "text": "平时吃的有药吗？", "role": "doctor"}, {"turn": 11, "text": "没有", "role": "patient"}, {"turn": 12, "text": "一直都没注意这个问题", "role": "patient"}, {"turn": 13, "text": "那你这次想咨询什么呢？", "role": "doctor"}, {"turn": 14, "text": "解决便秘问题", "role": "patient"}, {"turn": 15, "text": "经常上厕所都很不通畅", "role": "patient"}, {"turn": 16, "text": "1，吃药的话，平时可以吃点芦荟胶囊\n2，平时饮食搭配要合理，少吃辛辣生硬刺激不易消化的东西，平时多吃点水果蔬菜", "role": "doctor"}, {"turn": 17, "text": "治疗便秘，其实也没有什么特别好的办法", "role": "doctor"}, {"turn": 18, "text": "唉 一便秘", "role": "patient"}, {"turn": 19, "text": "嗯嗯", "role": "doctor"}, {"turn": 20, "text": "有没有药可以治疗的", "role": "patient"}, {"turn": 21, "text": "药物的话，可以吃点芦荟胶囊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1439, "thread": [{"turn": 0, "text": "自己又像阴虚又像阳虚（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你有什么症状吗？", "role": "doctor"}, {"turn": 2, "text": "勃起后不硬 早泄", "role": "patient"}, {"turn": 3, "text": "平时怕冷么？手心脚心烫不烫？睡觉时候出汗么？尿黄么？舌苔能否拍照看下", "role": "doctor"}, {"turn": 4, "text": "不怕冷 手心脚心都热 睡觉有时会出汗 尿有点黄", "role": "patient"}, {"turn": 5, "text": "嗯 你的情况症状上是肾阴虚的表现", "role": "doctor"}, {"turn": 6, "text": "那怎么办啊", "role": "patient"}, {"turn": 7, "text": "这样情况可以口服六味地黄丸和左归丸治疗一段时间看看", "role": "doctor"}, {"turn": 8, "text": "如果需要的话也可以给你开些中药调理下，效果会好些", "role": "doctor"}, {"turn": 9, "text": "吃五子衍宗丸有用嘛  能不能解决勃起不硬的问题", "role": "patient"}, {"turn": 10, "text": "你要吃五子衍宗丸得配合六味地黄丸，否则容易上火", "role": "doctor"}, {"turn": 11, "text": "配合着吃是不是效果会好一点", "role": "patient"}, {"turn": 12, "text": "对 需要一起吃", "role": "doctor"}, {"turn": 13, "text": "大概吃多久会见效呢", "role": "patient"}, {"turn": 14, "text": "可以先吃十天看下", "role": "doctor"}, {"turn": 15, "text": "十天有效果继续吃  效果不好再调整", "role": "doctor"}, {"turn": 16, "text": "我是张兴明医生，如果您需要再次咨询，可以找到过往咨询记录，点击我的头像进入主页进行咨询。若头像不能点击，请向客服反馈。祝您身体健康。", "role": "doctor"}, {"turn": 17, "text": "一般十天都会有些改善", "role": "doctor"}, {"turn": 18, "text": "谢谢医生", "role": "patient"}, {"turn": 19, "text": "嗯嗯 别客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1440, "thread": [{"turn": 0, "text": "新生儿总是上火便秘怎么办（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，孩子精神状态好不，吃母乳吗，吃奶正常不，大便正常不", "role": "doctor"}, {"turn": 2, "text": "房间温度适宜，穿衣服不要太厚，孩子小，肠蠕动慢，用手轻揉揉孩子肚子，或者游泳促进肠蠕动。", "role": "doctor"}, {"turn": 3, "text": "我是混合喂养的，昨天一天都是迷糊状态，一直想睡觉，也感觉不饿，大便是黄色泥湖状，", "role": "patient"}, {"turn": 4, "text": "宝宝45天可以游泳吗", "role": "patient"}, {"turn": 5, "text": "白天适当多陪孩子说说话，逗引孩子玩，游泳洗澡抚触按摩，晚上尽量让孩子休息好，有利于孩子大脑发育", "role": "doctor"}, {"turn": 6, "text": "可以游泳的", "role": "doctor"}, {"turn": 7, "text": "这两天总是想睡觉，吃的比以前也少，而且还哭闹", "role": "patient"}, {"turn": 8, "text": "孩子小，出生后缺乏心里安全感，要多哄哄抱抱安慰安慰孩子，抱着孩子入睡。", "role": "doctor"}, {"turn": 9, "text": "今早还吐奶了，", "role": "patient"}, {"turn": 10, "text": "偶尔吐奶是正常的。现在可以补充维生素D，适当晒晒太阳促进奶中钙的吸收", "role": "doctor"}, {"turn": 11, "text": "奶里面有白色颗粒，是奶粉没冲好吗", "role": "patient"}, {"turn": 12, "text": "现在可以定时间吃奶，", "role": "doctor"}, {"turn": 13, "text": "30ml水兑1勺奶粉，温水冲奶粉摇一摇", "role": "doctor"}, {"turn": 14, "text": "那便秘要不要吃妈咪爱来调理啊", "role": "patient"}, {"turn": 15, "text": "孩子几天大便1次", "role": "doctor"}, {"turn": 16, "text": "月子里一直都是2天一次，都是绿粑粑，之后喝了益生菌调理是每天一次，这两天又便秘了，今天已经是第三天没拉粑粑了", "role": "patient"}, {"turn": 17, "text": "每次吃奶先母乳，不够奶粉按比例配。房间温度适宜，穿衣服不要太厚，用手轻揉揉孩子肚子，或者游泳促进肠蠕动。", "role": "doctor"}, {"turn": 18, "text": "我们都是宝宝饿了就给他吃的，基本3小时一次奶粉，", "role": "patient"}, {"turn": 19, "text": "吃点吗咪爱，每次半包，1天2次", "role": "doctor"}, {"turn": 20, "text": "对的，我们就是每次奶粉前先母乳，", "role": "patient"}, {"turn": 21, "text": "先按我说的试试", "role": "doctor"}, {"turn": 22, "text": "妈咪爱对宝宝有影响吗", "role": "patient"}, {"turn": 23, "text": "无影响的，它是益生菌类药，主要作用是调节肠道菌群", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1441, "thread": [{"turn": 0, "text": "膀胱里有尿排不出怎么回事（女，68岁）", "role": "patient"}, {"turn": 1, "text": "考虑膀胱功能不好，或是有盆腔占位压迫", "role": "doctor"}, {"turn": 2, "text": "膀胱里有尿，怎么办", "role": "patient"}, {"turn": 3, "text": "上厕所完事还不点", "role": "patient"}, {"turn": 4, "text": "哦哦", "role": "patient"}, {"turn": 5, "text": "那得怎么办呢，", "role": "patient"}, {"turn": 6, "text": "建议进行尿液常规及泌尿系彩超检查的", "role": "doctor"}, {"turn": 7, "text": "那现在在家里，得吃什么药呢，让他先排尿", "role": "patient"}, {"turn": 8, "text": "先做个彩超检查看看尿液多少", "role": "doctor"}, {"turn": 9, "text": "哦哦", "role": "patient"}, {"turn": 10, "text": "做完彩超有400", "role": "patient"}, {"turn": 11, "text": "可以导尿", "role": "doctor"}, {"turn": 12, "text": "残余尿超过200就需要导尿", "role": "doctor"}, {"turn": 13, "text": "哦哦", "role": "patient"}, {"turn": 14, "text": "这在家没法倒啊，吃药好使吗", "role": "patient"}, {"turn": 15, "text": "这种情况吃药效果不理想，时间长了对肾功能不好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1442, "thread": [{"turn": 0, "text": "吃东西不消化，大便不正常，便秘（男，34岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "半个月左右", "role": "patient"}, {"turn": 3, "text": "请问大便怎么样呢", "role": "doctor"}, {"turn": 4, "text": "之前一直都正常", "role": "patient"}, {"turn": 5, "text": "现在呢", "role": "doctor"}, {"turn": 6, "text": "几天几次呢", "role": "doctor"}, {"turn": 7, "text": "现在感觉肚子有点不舒服，但是上厕所就没有，要不就是一点点", "role": "patient"}, {"turn": 8, "text": "一两天也没多少", "role": "patient"}, {"turn": 9, "text": "您有腹痛吗", "role": "doctor"}, {"turn": 10, "text": "没有，只是有一点胀气的感觉", "role": "patient"}, {"turn": 11, "text": "请问有打嗝嗳气吗", "role": "doctor"}, {"turn": 12, "text": "刻意的可以打出膈，平时也没有", "role": "patient"}, {"turn": 13, "text": "您有恶心呕吐吗", "role": "doctor"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "这个情况考虑是消化不良引起的", "role": "doctor"}, {"turn": 16, "text": "建议您点药", "role": "doctor"}, {"turn": 17, "text": "建议您吃点药，您去买吗丁啉，双歧杆菌。这药店有卖的，吗丁啉，您饭前吃，双歧饭后吃。", "role": "doctor"}, {"turn": 18, "text": "就这两种药吗", "role": "patient"}, {"turn": 19, "text": "嗯嗯", "role": "doctor"}, {"turn": 20, "text": "您吃三天", "role": "doctor"}, {"turn": 21, "text": "三天后您找我复诊看看情况", "role": "doctor"}, {"turn": 22, "text": "之前一天一到两次很正常", "role": "patient"}, {"turn": 23, "text": "这个一两次正常的", "role": "doctor"}, {"turn": 24, "text": "这是什么情况引起的呢", "role": "patient"}, {"turn": 25, "text": "这个情况考虑是消化不良引起的", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢", "role": "patient"}, {"turn": 27, "text": "不客气的", "role": "doctor"}, {"turn": 28, "text": "记得找我复诊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1443, "thread": [{"turn": 0, "text": "耳鸣，蝉鸣声一直有，尤其是睡觉（男，36岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "单耳还是双耳？有没有听力减退？", "role": "doctor"}, {"turn": 3, "text": "两个", "role": "patient"}, {"turn": 4, "text": "没有下降", "role": "patient"}, {"turn": 5, "text": "有一天晚上吃了上火东西有点多，熬夜，喝了点酒，第二天就开始耳鸣了？是怎么回事？", "role": "patient"}, {"turn": 6, "text": "熬夜或过度疲劳，烟酒都可以引起耳鸣，有的为间歇性，一般几天可以自己恢复，如果长时间耳鸣就得去医院做检查", "role": "doctor"}, {"turn": 7, "text": "检查什么？", "role": "patient"}, {"turn": 8, "text": "纯音听阈及声导抗，很多高频听力损失自己感觉不出来，但会表现为耳鸣", "role": "doctor"}, {"turn": 9, "text": "我总感觉是神经性的耳鸣，当时正好一直可紧张", "role": "patient"}, {"turn": 10, "text": "神经性耳鸣一旦确诊就得及时治疗，最佳治疗时机为发病一周以内，药物以扩血管营养神经类药物为主", "role": "doctor"}, {"turn": 11, "text": "疗效因人而异，并非百分百，一般不超过50%", "role": "doctor"}, {"turn": 12, "text": "我已经两年了", "role": "patient"}, {"turn": 13, "text": "时间越长的效果越差", "role": "doctor"}, {"turn": 14, "text": "如果耳鸣影响夜间睡眠可以睡前口服西比灵", "role": "doctor"}, {"turn": 15, "text": "好的，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}, {"turn": 17, "text": "对了，营养神经的药管用吗？", "role": "patient"}, {"turn": 18, "text": "效果都不是百分百", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1444, "thread": [{"turn": 0, "text": "耳鸣伴随头疼是怎么回事（女，20岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "两个月吧 不是每次耳鸣都会头疼 但是之前会有一点晕", "role": "patient"}, {"turn": 3, "text": "两个月耳鸣过六 七 次", "role": "patient"}, {"turn": 4, "text": "双侧耳都耳鸣么？听力有没有下降", "role": "doctor"}, {"turn": 5, "text": "单侧", "role": "patient"}, {"turn": 6, "text": "没感觉到听力下降", "role": "patient"}, {"turn": 7, "text": "最近累着了么？有没有感冒", "role": "doctor"}, {"turn": 8, "text": "没有感冒", "role": "patient"}, {"turn": 9, "text": "也不是特别累", "role": "patient"}, {"turn": 10, "text": "头晕是超一个方向转头时晕么，还是跟体位没有关系", "role": "doctor"}, {"turn": 11, "text": "你血压正常吗", "role": "doctor"}, {"turn": 12, "text": "跟方位没关系", "role": "patient"}, {"turn": 13, "text": "过年的时候血压低压偏低", "role": "patient"}, {"turn": 14, "text": "眩晕症可能，建议口服敏使朗", "role": "doctor"}, {"turn": 15, "text": "避免熬夜劳累，多饮水", "role": "doctor"}, {"turn": 16, "text": "如果感到听力下降可以做做高压氧", "role": "doctor"}, {"turn": 17, "text": "那到底是哪里的问题啊", "role": "patient"}, {"turn": 18, "text": "眩晕症又叫梅尼埃氏病，病因不十分清楚，多见于年轻女性", "role": "doctor"}, {"turn": 19, "text": "如果你持续不好转，建议做一下头CT和脑血流图，血常规", "role": "doctor"}, {"turn": 20, "text": "平时注意生活方式，预防发作为主", "role": "doctor"}, {"turn": 21, "text": "那就是脑部的问题引起的耳鸣嘛", "role": "patient"}, {"turn": 22, "text": "那是因为什么才会引起眩晕症呢", "role": "patient"}, {"turn": 23, "text": "内耳淋巴的问题", "role": "doctor"}, {"turn": 24, "text": "病因不完全清楚，感冒劳累情绪激动等可以诱发", "role": "doctor"}, {"turn": 25, "text": "什么造成的啊", "role": "patient"}, {"turn": 26, "text": "好 谢谢", "role": "patient"}, {"turn": 27, "text": "跟遗传等多因素相关", "role": "doctor"}, {"turn": 28, "text": "建议查一下头CT，脑血流图除外一下其他颅内器质性病变", "role": "doctor"}, {"turn": 29, "text": "嗯", "role": "patient"}, {"turn": 30, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1445, "thread": [{"turn": 0, "text": "发烧37度7，头疼，咳嗽，发冷，关节疼（女，31）", "role": "patient"}, {"turn": 1, "text": "您好，请问这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "您好医生", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "从昨天下午到现在", "role": "patient"}, {"turn": 5, "text": "你有什么药", "role": "doctor"}, {"turn": 6, "text": "头孢，阿奇霉素", "role": "patient"}, {"turn": 7, "text": "建议口服布洛芬一片退热，多喝水", "role": "doctor"}, {"turn": 8, "text": "建议口服阿奇霉素，复方甘草口服液治疗。", "role": "doctor"}, {"turn": 9, "text": "这是感冒了是吧", "role": "patient"}, {"turn": 10, "text": "急性上呼吸道感染", "role": "doctor"}, {"turn": 11, "text": "医生，给您发的照片您收到了吧", "role": "patient"}, {"turn": 12, "text": "这些药都哪个能吃，没有复方甘草口服液", "role": "patient"}, {"turn": 13, "text": "小柴胡和桔贝合剂可以", "role": "doctor"}, {"turn": 14, "text": "好的，阿奇霉素只剩一小袋了，吃完了可以吃头孢嘛", "role": "patient"}, {"turn": 15, "text": "可以", "role": "doctor"}, {"turn": 16, "text": "好的，没有问题了医生，谢谢您", "role": "patient"}, {"turn": 17, "text": "不客气有问题再问就行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1446, "thread": [{"turn": 0, "text": "长期性偏头痛是怎么回事？（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问头痛多久了？", "role": "doctor"}, {"turn": 2, "text": "小时候就有", "role": "patient"}, {"turn": 3, "text": "对于偏头痛，原因很多，目前临床上对这种反复发生的头痛病症也没有特别有效的控制或根治办法。以对症止痛治疗为主。对于偏头痛的治疗，如果疼痛可以忍受，一般以休息为主，不需要药物治疗，如果疼痛剧烈，可以至当地医院神经内科配一些NSAID类或曲普坦类止痛药物对症止痛治疗。临床上一部分偏头痛患者是可以自行好转的，但目前也尚未得知这些自行好转人群头痛症状消失的确切机制。考虑刺激性因素所致的偏头痛。建议完善头部检查。注意休息，避免情绪紧张焦虑，注意避免酒精，烟熏肉制品，味精，巧克力，干酪，强光刺激，高海拔，劳累，避免使用硝酸甘油，西洛他唑，利舍平，雷尼替丁等。", "role": "doctor"}, {"turn": 4, "text": "从8岁多开始的到现在", "role": "patient"}, {"turn": 5, "text": "嗯，病因很多，主要是刺激因素有关", "role": "doctor"}, {"turn": 6, "text": "现在有的时候是一个头都在痛", "role": "patient"}, {"turn": 7, "text": "嗯，目前您吃什么药物调节", "role": "doctor"}, {"turn": 8, "text": "主要避免，我上述说的刺激因素", "role": "doctor"}, {"turn": 9, "text": "口服药物，首选布洛芬，", "role": "doctor"}, {"turn": 10, "text": "有问题，随时和我联系", "role": "doctor"}, {"turn": 11, "text": "现在时间已晚，明早我会第一时间回复您，望谅解", "role": "doctor"}, {"turn": 12, "text": "您好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1447, "thread": [{"turn": 0, "text": "l你好，四个月孩子便秘怎么办？三天拉一次大便黏在么", "role": "patient"}, {"turn": 1, "text": "你好，孩子是母乳喂养还是奶粉喂", "role": "doctor"}, {"turn": 2, "text": "n奶粉", "role": "patient"}, {"turn": 3, "text": "吃了一个月的中药影响消化吗？", "role": "patient"}, {"turn": 4, "text": "两个多月的时候得了肺炎，吃吃了一个月药。现在好了。但是便秘了", "role": "patient"}, {"turn": 5, "text": "但是食欲比较好，一次吃160，四小时吃一次，喂完奶三小时就很饿，开始磨人要吃的", "role": "patient"}, {"turn": 6, "text": "屁多，还有臭味", "role": "patient"}, {"turn": 7, "text": "肚子涨不涨", "role": "doctor"}, {"turn": 8, "text": "跟中药没关系的", "role": "doctor"}, {"turn": 9, "text": "一直都是三天一次大便吗？", "role": "doctor"}, {"turn": 10, "text": "一天一次或两次以前是混合喂养，", "role": "patient"}, {"turn": 11, "text": "这一个月改为纯奶粉喂养了，就便秘了，两天一次或三天一次", "role": "patient"}, {"turn": 12, "text": "奶粉更容易上火导致便秘的，喝水多吗", "role": "doctor"}, {"turn": 13, "text": "肚子是不硬的", "role": "patient"}, {"turn": 14, "text": "喝水很多", "role": "patient"}, {"turn": 15, "text": "用过什么药呢", "role": "doctor"}, {"turn": 16, "text": "愿意喝水，喝完奶两个小时后喝水，一次都喝挺多", "role": "patient"}, {"turn": 17, "text": "小儿孝咳胶囊，f", "role": "patient"}, {"turn": 18, "text": "还有一个止咳化痰的中药", "role": "patient"}, {"turn": 19, "text": "我说针对便秘的", "role": "doctor"}, {"turn": 20, "text": "吃了一个月", "role": "patient"}, {"turn": 21, "text": "吃过益生菌", "role": "patient"}, {"turn": 22, "text": "再没吃过针对便秘的", "role": "patient"}, {"turn": 23, "text": "效果如何", "role": "doctor"}, {"turn": 24, "text": "不好", "role": "patient"}, {"turn": 25, "text": "还是那样", "role": "patient"}, {"turn": 26, "text": "感觉还是有痰", "role": "patient"}, {"turn": 27, "text": "偶尔嗓子有呼噜声", "role": "patient"}, {"turn": 28, "text": "便秘可以吃水苏糖", "role": "doctor"}, {"turn": 29, "text": "检查肺子声音了", "role": "patient"}, {"turn": 30, "text": "没有声音了", "role": "patient"}, {"turn": 31, "text": "水苏糖是啥？药店就有吗", "role": "patient"}, {"turn": 32, "text": "现在调节便秘就行，孕婴店有卖", "role": "doctor"}, {"turn": 33, "text": "效果挺好的", "role": "doctor"}, {"turn": 34, "text": "恩", "role": "patient"}, {"turn": 35, "text": "zie x", "role": "patient"}, {"turn": 36, "text": "好的", "role": "doctor"}, {"turn": 37, "text": "谢谢谢谢", "role": "patient"}, {"turn": 38, "text": "不客气", "role": "doctor"}, {"turn": 39, "text": "吃水苏糖的同时就不用吃益生菌了吧？", "role": "patient"}, {"turn": 40, "text": "嗯嗯", "role": "doctor"}, {"turn": 41, "text": "谢谢", "role": "patient"}, {"turn": 42, "text": "还有一个问题，我家老大七岁最近也便秘了，大便黏，不爱吃饭，有时候拉粑粑说屁股都疼。也两三天拉一次了。他这种情况都半年了。没用过任何便秘药，这种情况怎么办呀？是否也可以吃水苏糖", "role": "patient"}, {"turn": 43, "text": "大便都粘屁股了", "role": "patient"}, {"turn": 44, "text": "吃面化积颗粒", "role": "doctor"}, {"turn": 45, "text": "药店卖的么？", "role": "patient"}, {"turn": 46, "text": "有的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1448, "thread": [{"turn": 0, "text": "一提东西把前洵后背扭伤了吃什么药啊（男，43岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "可以吃点芬必得", "role": "doctor"}, {"turn": 3, "text": "20来天了", "role": "patient"}, {"turn": 4, "text": "腰肌劳损。需要多躺着休息", "role": "doctor"}, {"turn": 5, "text": "就想有股气是的一会这边一会哪边", "role": "patient"}, {"turn": 6, "text": "就想差气是的", "role": "patient"}, {"turn": 7, "text": "这其实就是肌肉损伤的表现", "role": "doctor"}, {"turn": 8, "text": "肌肉痉挛", "role": "doctor"}, {"turn": 9, "text": "再吃点乙哌立松", "role": "doctor"}, {"turn": 10, "text": "双手拿50斤的东西上楼梯，走了几步突然前后背就痛了痛的受不了哪种", "role": "patient"}, {"turn": 11, "text": "嗯，肌肉劳损", "role": "doctor"}, {"turn": 12, "text": "是差气吗", "role": "patient"}, {"turn": 13, "text": "需要多躺着休息", "role": "doctor"}, {"turn": 14, "text": "岔气就是肌肉损伤的一种表现", "role": "doctor"}, {"turn": 15, "text": "不是真有气在里面", "role": "doctor"}, {"turn": 16, "text": "你好大夫，就吃这两种药就可以吗", "role": "patient"}, {"turn": 17, "text": "得多长时间好啊", "role": "patient"}, {"turn": 18, "text": "卧床休息的前提下两周", "role": "doctor"}, {"turn": 19, "text": "用排片吗", "role": "patient"}, {"turn": 20, "text": "没必要", "role": "doctor"}, {"turn": 21, "text": "吃这两样药就可以吗", "role": "patient"}, {"turn": 22, "text": "可以", "role": "doctor"}, {"turn": 23, "text": "还可以再贴点云南白药膏", "role": "doctor"}, {"turn": 24, "text": "好的，打扰您了谢谢您了再见您休息吧", "role": "patient"}, {"turn": 25, "text": "不用谢", "role": "doctor"}, {"turn": 26, "text": "再见", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1449, "thread": [{"turn": 0, "text": "两个月婴儿便秘怎么办?（女，2个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "两样都吃", "role": "patient"}, {"turn": 3, "text": "可以开塞露外用，适当喂点金银花水", "role": "doctor"}, {"turn": 4, "text": "在？？？", "role": "patient"}, {"turn": 5, "text": "嗯", "role": "doctor"}, {"turn": 6, "text": "用了一个月开塞露开", "role": "patient"}, {"turn": 7, "text": "用多药物有影响？", "role": "patient"}, {"turn": 8, "text": "开塞露没有大问题", "role": "doctor"}, {"turn": 9, "text": "那不可以经常用吧！用久了，宝宝宝会习惯性？", "role": "patient"}, {"turn": 10, "text": "不会", "role": "doctor"}, {"turn": 11, "text": "金银花水是那种？", "role": "patient"}, {"turn": 12, "text": "还有其它办法？", "role": "patient"}, {"turn": 13, "text": "可以吃益生菌", "role": "doctor"}, {"turn": 14, "text": "不可以换奶粉一，因为换一次闹一次", "role": "patient"}, {"turn": 15, "text": "吃过", "role": "patient"}, {"turn": 16, "text": "不用换", "role": "doctor"}, {"turn": 17, "text": "是奶粉热气？", "role": "patient"}, {"turn": 18, "text": "还是人奶有问题？", "role": "patient"}, {"turn": 19, "text": "要付款的咨询，没人回", "role": "patient"}, {"turn": 20, "text": "奶粉容易便秘", "role": "doctor"}, {"turn": 21, "text": "不够人奶，", "role": "patient"}, {"turn": 22, "text": "可以吃段时间益生菌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1450, "thread": [{"turn": 0, "text": "咳嗽可以吃感通片吗？（女，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "咳嗽痰多吗？还有没有其他不舒服", "role": "doctor"}, {"turn": 3, "text": "两三天了", "role": "patient"}, {"turn": 4, "text": "有时候咳到干呕", "role": "patient"}, {"turn": 5, "text": "嗓子痛吗？", "role": "doctor"}, {"turn": 6, "text": "咳的时候疼", "role": "patient"}, {"turn": 7, "text": "有痰吗？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "可以吃，这个也有治疗咳嗽的作用", "role": "doctor"}, {"turn": 10, "text": "药一般是不是吃三天？如果吃三天了不好就重新找医生开？", "role": "patient"}, {"turn": 11, "text": "嗯，如果不好，就再吃点其他药", "role": "doctor"}, {"turn": 12, "text": "可以喝点肺力咳合剂", "role": "doctor"}, {"turn": 13, "text": "感通片有催眠成分吗？", "role": "patient"}, {"turn": 14, "text": "有", "role": "doctor"}, {"turn": 15, "text": "哦哦，谢谢", "role": "patient"}, {"turn": 16, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1451, "thread": [{"turn": 0, "text": "有早搏+并且最近心脏连续刺疼（女，25岁）", "role": "patient"}, {"turn": 1, "text": "您好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "14年开始有的早搏", "role": "patient"}, {"turn": 3, "text": "当时做动态心电图了吗？有多少个？", "role": "doctor"}, {"turn": 4, "text": "三连律，这几天都感觉很不舒服，胸口一呼吸就刺痛", "role": "patient"}, {"turn": 5, "text": "可以再去复查一下", "role": "doctor"}, {"turn": 6, "text": "看看有没有什么变化", "role": "doctor"}, {"turn": 7, "text": "动态心电图做过，但是医生说没多大问题", "role": "patient"}, {"turn": 8, "text": "七月份我刚生了小孩去做心电图没有什么了，然后打麻药了，是不是有影响啊？", "role": "patient"}, {"turn": 9, "text": "我感觉最近心脏都好痛，呼吸都痛", "role": "patient"}, {"turn": 10, "text": "一般不会有影响", "role": "doctor"}, {"turn": 11, "text": "是不是我休息不好引起的心脏痛", "role": "patient"}, {"turn": 12, "text": "最近走一点路都觉得胸闷气短，上楼梯到二楼都快断气了感觉", "role": "patient"}, {"turn": 13, "text": "跟休息，情绪都有关系", "role": "doctor"}, {"turn": 14, "text": "现在出月子了吗？", "role": "doctor"}, {"turn": 15, "text": "出月子了，但是情绪很不好，休息也不好，没生的时候120，生出来115，孩子五斤二两，孩子满月体检的时候去称才有98", "role": "patient"}, {"turn": 16, "text": "吃不下，睡不好", "role": "patient"}, {"turn": 17, "text": "还是要保重身体", "role": "doctor"}, {"turn": 18, "text": "家人帮忙带孩子", "role": "doctor"}, {"turn": 19, "text": "都是自己带自己看", "role": "patient"}, {"turn": 20, "text": "找人帮帮忙", "role": "doctor"}, {"turn": 21, "text": "好吧，我问完了，谢谢啊，我有时间我会去再做个动态心电图", "role": "patient"}, {"turn": 22, "text": "没有人帮带的", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1452, "thread": [{"turn": 0, "text": "老是打嗝胃不舒服怎么回事（男，48岁）", "role": "patient"}, {"turn": 1, "text": "你好。这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "三个月左右", "role": "patient"}, {"turn": 3, "text": "有做过胃镜，提示胃溃疡", "role": "patient"}, {"turn": 4, "text": "胃溃疡复查了吗", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "胃溃疡规律治疗了吗", "role": "doctor"}, {"turn": 7, "text": "幽门螺旋杆菌查了吗", "role": "doctor"}, {"turn": 8, "text": "出现经常打嗝嗳气这种情况后就去照胃镜结果就是胃溃疡", "role": "patient"}, {"turn": 9, "text": "没有服药", "role": "patient"}, {"turn": 10, "text": "没有", "role": "patient"}, {"turn": 11, "text": "你不服药溃疡怎么可能会好？", "role": "doctor"}, {"turn": 12, "text": "那医生建议服用哪种药", "role": "patient"}, {"turn": 13, "text": "到时严重堵住了，饭都下不去，溃疡纤维化，胃变小了", "role": "doctor"}, {"turn": 14, "text": "胃镜呢", "role": "doctor"}, {"turn": 15, "text": "报告发过来", "role": "doctor"}, {"turn": 16, "text": "报告忘记放哪了?", "role": "patient"}, {"turn": 17, "text": "记得报告上写着胃溃疡，还有见黑色血痂，有吸烟史，偶尔还有喝酒", "role": "patient"}, {"turn": 18, "text": "要彻底治愈，幽门螺旋杆菌查一下，做个13c呼气试验，大部分是有这个感染才会胃溃疡", "role": "doctor"}, {"turn": 19, "text": "有的话要杀菌", "role": "doctor"}, {"turn": 20, "text": "然后再吃胃溃疡的药", "role": "doctor"}, {"turn": 21, "text": "比如哪种药", "role": "patient"}, {"turn": 22, "text": "奥美拉唑20mg一天两次、施维舒50mg一天三次护胃.莫沙必利5mg一天三次。", "role": "doctor"}, {"turn": 23, "text": "不去查就吃这个药，容易反复", "role": "doctor"}, {"turn": 24, "text": "好的，谢谢", "role": "patient"}, {"turn": 25, "text": "这个药至少4-6周", "role": "doctor"}, {"turn": 26, "text": "一年后复查胃镜", "role": "doctor"}, {"turn": 27, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 28, "text": "嗯嗯", "role": "doctor"}, {"turn": 29, "text": "请问那些检查需要空腹吗", "role": "patient"}, {"turn": 30, "text": "要", "role": "doctor"}, {"turn": 31, "text": "好的，谢谢", "role": "patient"}, {"turn": 32, "text": "没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1453, "thread": [{"turn": 0, "text": "咳嗽而且有痰，咽喉不舒服（男，75）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多久了？", "role": "doctor"}, {"turn": 2, "text": "什么药颜色的痰啊？", "role": "doctor"}, {"turn": 3, "text": "有几天了", "role": "patient"}, {"turn": 4, "text": "嗯", "role": "doctor"}, {"turn": 5, "text": "什么药颜色的痰啊？", "role": "doctor"}, {"turn": 6, "text": "有点黄色", "role": "patient"}, {"turn": 7, "text": "发热吗？", "role": "doctor"}, {"turn": 8, "text": "一天咳嗽几次，偶尔会有一点痰", "role": "patient"}, {"turn": 9, "text": "没测", "role": "patient"}, {"turn": 10, "text": "不是很严重，就没有量体温", "role": "patient"}, {"turn": 11, "text": "鼻塞流涕吗？", "role": "doctor"}, {"turn": 12, "text": "没有", "role": "patient"}, {"turn": 13, "text": "肺宁颗粒口服下", "role": "doctor"}, {"turn": 14, "text": "蒲地蓝口服液", "role": "doctor"}, {"turn": 15, "text": "就是清肺和消炎是吗", "role": "patient"}, {"turn": 16, "text": "抗病毒  止咳化痰", "role": "doctor"}, {"turn": 17, "text": "没有抗生素", "role": "doctor"}, {"turn": 18, "text": "谢谢医生", "role": "patient"}, {"turn": 19, "text": "不用客气", "role": "doctor"}, {"turn": 20, "text": "明白了，谢谢", "role": "patient"}, {"turn": 21, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1454, "thread": [{"turn": 0, "text": "肛裂疼了四五天，然后不疼了，是好了吗（女，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，肛裂是第一次发作吗？", "role": "doctor"}, {"turn": 2, "text": "是一次大便干燥引起的吗？", "role": "doctor"}, {"turn": 3, "text": "是的，，第一次不知道怎么就突然肛裂了", "role": "patient"}, {"turn": 4, "text": "你去医院确诊肛裂了吗", "role": "doctor"}, {"turn": 5, "text": "就是那天早上，我在上厕所，我外甥使劲拍厕所门，那时候我正在解大便。我一着急就用力了，然后擦的时候有血，当时没注意，从那天就开始疼了。", "role": "patient"}, {"turn": 6, "text": "确诊了，医生给我指诊说肛裂了。", "role": "patient"}, {"turn": 7, "text": "初步考虑有肛裂了", "role": "doctor"}, {"turn": 8, "text": "裂口一般情况下，调理好大便，2周左右完全愈合", "role": "doctor"}, {"turn": 9, "text": "现在4-5天不痛不出血，也属于正常现象", "role": "doctor"}, {"turn": 10, "text": "有用药物吗", "role": "doctor"}, {"turn": 11, "text": "然后疼了好多天，我一直用太宁栓塞药，马应龙外抹，，昨天还有点疼，今天就不疼了。", "role": "patient"}, {"turn": 12, "text": "医院的医生还开了中药给我吃，还有三副没吃完。", "role": "patient"}, {"turn": 13, "text": "这个属于好的现象", "role": "doctor"}, {"turn": 14, "text": "我建议你继续再用一周", "role": "doctor"}, {"turn": 15, "text": "我以为好不了，要手术了，因为那会疼的太厉害了", "role": "patient"}, {"turn": 16, "text": "肛裂属于小问题", "role": "doctor"}, {"turn": 17, "text": "偶尔发作，不需要手术", "role": "doctor"}, {"turn": 18, "text": "太宁栓已经用完了，那我就用马应龙挤进肛门里面可不可以", "role": "patient"}, {"turn": 19, "text": "我在用几天药，万一去而复返就要命了", "role": "patient"}, {"turn": 20, "text": "太宁栓再买一盒吧", "role": "doctor"}, {"turn": 21, "text": "注意局部清洗坐浴很关键", "role": "doctor"}, {"turn": 22, "text": "那还要坐浴吗，，前几天还用高锰酸钾坐浴", "role": "patient"}, {"turn": 23, "text": "用点温盐水洗洗，可以吗。最近", "role": "patient"}, {"turn": 24, "text": "可以的", "role": "doctor"}, {"turn": 25, "text": "需要坐浴", "role": "doctor"}, {"turn": 26, "text": "一代食用盐分8-10份，兑温水2000-3000ml", "role": "doctor"}, {"turn": 27, "text": "2000ml的水需要加多少食用盐", "role": "patient"}, {"turn": 28, "text": "50克", "role": "doctor"}, {"turn": 29, "text": "不想塞太宁栓了，我感觉不舒服，，，可以换成其他的栓剂吗", "role": "patient"}, {"turn": 30, "text": "太宁栓是最舒服的", "role": "doctor"}, {"turn": 31, "text": "有没有副作用", "role": "doctor"}, {"turn": 32, "text": "止血愈合伤口效果好", "role": "doctor"}, {"turn": 33, "text": "好的，我知道了。谢谢", "role": "patient"}, {"turn": 34, "text": "进食需要忌口，多吃疏菜水果粗纤维的食物，忌食辛辣刺激食物，避免久坐久蹲，保持大便通畅并且便质松软，调整心情，保持心情舒畅，会有大大的受益的！", "role": "doctor"}, {"turn": 35, "text": "万分感谢您的信任和支持！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1455, "thread": [{"turn": 0, "text": "肛裂反复，请问如何治疗（女，46）", "role": "patient"}, {"turn": 1, "text": "你好，请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "断断续续一年了", "role": "patient"}, {"turn": 3, "text": "有治疗过没有", "role": "doctor"}, {"turn": 4, "text": "我看过，他说轻微的，开了点擦药", "role": "patient"}, {"turn": 5, "text": "轻微肛裂保守治疗就行了", "role": "doctor"}, {"turn": 6, "text": "有时痒得厉害", "role": "patient"}, {"turn": 7, "text": "可以用马应龙痔疮膏", "role": "doctor"}, {"turn": 8, "text": "保持大便通畅", "role": "doctor"}, {"turn": 9, "text": "忌辛辣", "role": "doctor"}, {"turn": 10, "text": "我擦的龙珠", "role": "patient"}, {"turn": 11, "text": "也可以的", "role": "doctor"}, {"turn": 12, "text": "谢谢医生了", "role": "patient"}, {"turn": 13, "text": "祝早日康复", "role": "doctor"}, {"turn": 14, "text": "感谢", "role": "patient"}, {"turn": 15, "text": "不用谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1456, "thread": [{"turn": 0, "text": "刚满月婴儿肚子消化不良怎么调理（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，刚满月的婴儿有消化不良的现象，最好口服益生菌来调理肠道菌群。", "role": "doctor"}, {"turn": 2, "text": "你好", "role": "patient"}, {"turn": 3, "text": "我家宝宝刚满月了十天，肚子消化可能不好怎么办", "role": "patient"}, {"turn": 4, "text": "在吗？", "role": "patient"}, {"turn": 5, "text": "刚出生的宝宝肠道还在发育中，所以最好口服益生菌来调理肠道菌群", "role": "doctor"}, {"turn": 6, "text": "大便有味怎么回事？", "role": "patient"}, {"turn": 7, "text": "大便都应该有味的", "role": "doctor"}, {"turn": 8, "text": "有一种涨气的味，还有奶瓣", "role": "patient"}, {"turn": 9, "text": "口服益生菌调理肠道菌群就可以了。", "role": "doctor"}, {"turn": 10, "text": "不爱喝奶，哭闹，", "role": "patient"}, {"turn": 11, "text": "睡眠也不好一会就醒", "role": "patient"}, {"turn": 12, "text": "也可以做一个微量元素的检测，看看身体是否是缺乏某种微量元素导致的现象", "role": "doctor"}, {"turn": 13, "text": "奥", "role": "patient"}, {"turn": 14, "text": "这是属于消化不良吗", "role": "patient"}, {"turn": 15, "text": "不属于刚才已经说了宝宝的肠道还在发育中，当出现这种现象属于正常的。", "role": "doctor"}, {"turn": 16, "text": "奥，吃点益生菌就能改善吗？", "role": "patient"}, {"turn": 17, "text": "可以的", "role": "doctor"}, {"turn": 18, "text": "好的，谢谢", "role": "patient"}, {"turn": 19, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1457, "thread": [{"turn": 0, "text": "妊娠反应严重  怎么办（男，28）", "role": "patient"}, {"turn": 1, "text": "你好，现在怀孕多少周？", "role": "doctor"}, {"turn": 2, "text": "12周", "role": "patient"}, {"turn": 3, "text": "一天能吐多少次", "role": "doctor"}, {"turn": 4, "text": "不是干恶  就是吐   早上开始就吐 时不时的吐", "role": "patient"}, {"turn": 5, "text": "今天出现的？", "role": "doctor"}, {"turn": 6, "text": "这一个星期以内   四五天了", "role": "patient"}, {"turn": 7, "text": "之前没有？", "role": "doctor"}, {"turn": 8, "text": "没有", "role": "patient"}, {"turn": 9, "text": "吐的什么", "role": "doctor"}, {"turn": 10, "text": "吃饭吐饭  没吃饭干恶", "role": "patient"}, {"turn": 11, "text": "产检好着没", "role": "doctor"}, {"turn": 12, "text": "医院查一下尿", "role": "doctor"}, {"turn": 13, "text": "必要时要住院呢", "role": "doctor"}, {"turn": 14, "text": "一般早孕反应在孕早期", "role": "doctor"}, {"turn": 15, "text": "你这个孕周才出现", "role": "doctor"}, {"turn": 16, "text": "有点奇怪", "role": "doctor"}, {"turn": 17, "text": "去医院说  一切正常   妊娠反应没办法   也没开药", "role": "patient"}, {"turn": 18, "text": "吃点什么药么", "role": "patient"}, {"turn": 19, "text": "维生素", "role": "doctor"}, {"turn": 20, "text": "补充可以缓解", "role": "doctor"}, {"turn": 21, "text": "维生素几呀", "role": "patient"}, {"turn": 22, "text": "复合维生素", "role": "doctor"}, {"turn": 23, "text": "谢谢", "role": "patient"}, {"turn": 24, "text": "不客气呢", "role": "doctor"}, {"turn": 25, "text": "生姜水也可以缓解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1458, "thread": [{"turn": 0, "text": "我脑壳偏头痛多年了，右边脑壳痛（女，49）", "role": "patient"}, {"turn": 1, "text": "您好，右边具体哪个部位疼痛？", "role": "doctor"}, {"turn": 2, "text": "脑壳右边骨头高的地方", "role": "patient"}, {"turn": 3, "text": "太阳穴？什么样的疼痛？胀痛？刺痛？跳痛？搏动痛？电击样痛？针刺样痛？每次是自行缓解还是服药缓解？", "role": "doctor"}, {"turn": 4, "text": "胀痛，自行缓解", "role": "patient"}, {"turn": 5, "text": "每次大概持续多长时间？有没有恶心呕吐、畏光畏声？每个月大概发作多少次？", "role": "doctor"}, {"turn": 6, "text": "没有恶心，时间有时候一个小时左右，每个月次数多，尤其晚上", "role": "patient"}, {"turn": 7, "text": "做过头颅磁共振或CT吗？", "role": "doctor"}, {"turn": 8, "text": "捶击以后舒服一点", "role": "patient"}, {"turn": 9, "text": "以前做过，医生说供血不足，脑血管痉挛", "role": "patient"}, {"turn": 10, "text": "吃过西比灵？", "role": "doctor"}, {"turn": 11, "text": "做过经颅多普勒超声？平时压力大吗？心情怎么样？压力大吗？", "role": "doctor"}, {"turn": 12, "text": "压力太大", "role": "patient"}, {"turn": 13, "text": "吃过西比灵", "role": "patient"}, {"turn": 14, "text": "嗯，是要考虑脑血管痉挛可能", "role": "doctor"}, {"turn": 15, "text": "除了西比灵还吃过哪些药？", "role": "doctor"}, {"turn": 16, "text": "没有", "role": "patient"}, {"turn": 17, "text": "家族中有没有类似的情况", "role": "doctor"}, {"turn": 18, "text": "可以服用尼麦角林片和头痛宁胶囊", "role": "doctor"}, {"turn": 19, "text": "家族没有内似的", "role": "patient"}, {"turn": 20, "text": "好的", "role": "patient"}, {"turn": 21, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1459, "thread": [{"turn": 0, "text": "新生婴儿便秘能吖飞妈咪爱吗（女，1个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝是母乳还是奶粉？", "role": "doctor"}, {"turn": 2, "text": "奶粉有两三天没有大便了", "role": "patient"}, {"turn": 3, "text": "宝宝肚子胀不胀？", "role": "doctor"}, {"turn": 4, "text": "胀", "role": "patient"}, {"turn": 5, "text": "宝宝有没有呕吐情况？", "role": "doctor"}, {"turn": 6, "text": "没有呕吐", "role": "patient"}, {"turn": 7, "text": "宝宝大便干的话，有点缺水了，尤其喂奶粉的宝宝，容易出现消化不良，可以适量喂点温水，多给宝宝揉揉肚子，揉之前搓热双手，顺时针方向揉。", "role": "doctor"}, {"turn": 8, "text": "效屁不拉屎", "role": "patient"}, {"turn": 9, "text": "妈咪爱得继续吃，可以调节胃肠道，帮助消化。", "role": "doctor"}, {"turn": 10, "text": "没有吃过妈咪爱不知道多少剂量", "role": "patient"}, {"turn": 11, "text": "一天三次，一次三分之一袋就可以了。", "role": "doctor"}, {"turn": 12, "text": "没有吃过妈咪爱不知道多少剂量。", "role": "patient"}, {"turn": 13, "text": "一天三次，一次三分之一袋就可以了。奶后半小时吃。", "role": "doctor"}, {"turn": 14, "text": "有没有更好的药治婴儿便秘", "role": "patient"}, {"turn": 15, "text": "益生菌就可以了，宝宝还太小，很多药都是不能用的，副作用太大。", "role": "doctor"}, {"turn": 16, "text": "两种药那个效果更好", "role": "patient"}, {"turn": 17, "text": "妈咪爱就是益生菌的一种。", "role": "doctor"}, {"turn": 18, "text": "好的谢谢", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1460, "thread": [{"turn": 0, "text": "头疼头晕和鼻子堵塞人不清醒和又咳嗽?（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，感冒几天了，现在除了上述症状外，发热吗？", "role": "doctor"}, {"turn": 2, "text": "你好，感冒有半过月了，一开始就是喉咙发炎然后一输液就导致咳嗽和鼻子堵塞。然整个人不清醒", "role": "patient"}, {"turn": 3, "text": "输的什么药", "role": "doctor"}, {"turn": 4, "text": "不知道医生给我输的什么药", "role": "patient"}, {"turn": 5, "text": "这久太咳嗽了老壳又不清晰鼻子又堵塞。", "role": "patient"}, {"turn": 6, "text": "输的药肯定是对症治疗的，一般不会有什么问题，您输完药，后面出现的情况都是感冒的伴随症状。", "role": "doctor"}, {"turn": 7, "text": "输液也没有用，没有一点好转", "role": "patient"}, {"turn": 8, "text": "最近流感季 您应该就是感冒了 因为这一波的感冒病毒致病能力较强 导致病程时间也较长", "role": "doctor"}, {"turn": 9, "text": "现就咳嗽和耳鸣鼻子堵塞。", "role": "patient"}, {"turn": 10, "text": "咳嗽厉害了吗？嗓子痒、疼吗？咳嗽伴有痰吗？这一段时间自己有吃什么药吗？", "role": "doctor"}, {"turn": 11, "text": "嗓子不痒也不疼咳嗽有痰这段时间没吃药", "role": "patient"}, {"turn": 12, "text": "痰是什么颜色 容易咳出吗", "role": "doctor"}, {"turn": 13, "text": "痰多，痰是白色有时带点血", "role": "patient"}, {"turn": 14, "text": "呼吸有点困难。", "role": "patient"}, {"turn": 15, "text": "带血 是因为咳嗽是小的毛细血管破裂导致的 没啥大事 用点止咳化痰颗粒", "role": "doctor"}, {"turn": 16, "text": "主要是咳嗽头不清晰鼻子堵塞。", "role": "patient"}, {"turn": 17, "text": "头不清晰？", "role": "patient"}, {"turn": 18, "text": "这些都是感冒的伴随症状", "role": "doctor"}, {"turn": 19, "text": "医生我这个会不会是肺炎？", "role": "patient"}, {"turn": 20, "text": "严重的话可以发展为肺炎", "role": "doctor"}, {"turn": 21, "text": "就太咳嗽了", "role": "patient"}, {"turn": 22, "text": "肚子都咳痛", "role": "patient"}, {"turn": 23, "text": "也感觉肚子又不舒服。", "role": "patient"}, {"turn": 24, "text": "肺炎吃什么药好？", "role": "patient"}, {"turn": 25, "text": "肺炎需要根据您的胸片和化痰结果选用不同的抗生素治疗方案", "role": "doctor"}, {"turn": 26, "text": "给您科普一下：感冒大多数都是由病毒引起的，具有自限性，吃抗生素是无效的，都是对症治疗。", "role": "doctor"}, {"turn": 27, "text": "给您说一个小方法可以试试，之前学中医时，有这种情况的父母曾给孩子吃姜炒鸡蛋：一个鸡蛋，多切些姜，切成姜末，炒一下，趁热吃。吃两三天，效果还不错。您可以试试。", "role": "doctor"}, {"turn": 28, "text": "好的", "role": "patient"}, {"turn": 29, "text": "谢谢", "role": "patient"}, {"turn": 30, "text": "嗯嗯 没事儿 不用客气 祝身体健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1461, "thread": [{"turn": 0, "text": "便秘严重并且还有混合痔（女，17岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "挺久了", "role": "patient"}, {"turn": 3, "text": "你好，请问大便几天一次？", "role": "doctor"}, {"turn": 4, "text": "这个没怎么注意   时间长的话5.6天都有", "role": "patient"}, {"turn": 5, "text": "而且大便总有拉不干净的感觉", "role": "patient"}, {"turn": 6, "text": "好几天不拉腹胀有吗？", "role": "doctor"}, {"turn": 7, "text": "每次大便量多吗？", "role": "doctor"}, {"turn": 8, "text": "硬吗？", "role": "doctor"}, {"turn": 9, "text": "有", "role": "patient"}, {"turn": 10, "text": "不多", "role": "patient"}, {"turn": 11, "text": "不硬  大便溏池", "role": "patient"}, {"turn": 12, "text": "上完厕所有时候不好冲下去", "role": "patient"}, {"turn": 13, "text": "平蔬菜水果吃的多吗？", "role": "doctor"}, {"turn": 14, "text": "不多  很少吃", "role": "patient"}, {"turn": 15, "text": "饮食也不规律", "role": "patient"}, {"turn": 16, "text": "很少吃饭", "role": "patient"}, {"turn": 17, "text": "而且吃完东西不易消化", "role": "patient"}, {"turn": 18, "text": "饮食不规律，会导致肠蠕动也不规律，时间久了，就容易便秘。", "role": "doctor"}, {"turn": 19, "text": "为什么很少吃饭呢？", "role": "doctor"}, {"turn": 20, "text": "要规律饮食", "role": "doctor"}, {"turn": 21, "text": "多吃蔬菜水果", "role": "doctor"}, {"turn": 22, "text": "工作原因就很少吃   一般就吃早餐  吃泡面什么之类的", "role": "patient"}, {"turn": 23, "text": "便秘导致我小腹特别大", "role": "patient"}, {"turn": 24, "text": "要一日三餐规律饮食", "role": "doctor"}, {"turn": 25, "text": "不需要用药什么之类的吗", "role": "patient"}, {"turn": 26, "text": "你先饮食调整，看看会不会好转。可以配合口服培菲康。", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "祝您早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1462, "thread": [{"turn": 0, "text": "腰部扭伤 已经疼痛三天（男，28岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在主要有什么不适症状？有下肢麻吗？", "role": "doctor"}, {"turn": 2, "text": "不麻", "role": "patient"}, {"turn": 3, "text": "主要就是腰疼", "role": "patient"}, {"turn": 4, "text": "腰部扭伤有两种情况，一个腰部肌肉拉伤，二是腰部小关节错位，刺激了窦椎神经，引起腰肌痉挛", "role": "doctor"}, {"turn": 5, "text": "有脊椎震动这种说法吗", "role": "patient"}, {"turn": 6, "text": "没有听说过", "role": "doctor"}, {"turn": 7, "text": "脊髓震荡是有的", "role": "doctor"}, {"turn": 8, "text": "扭伤的话有什么止痛的方法吗？", "role": "patient"}, {"turn": 9, "text": "治疗主要是消炎镇痛和肌肉放松。消炎镇痛药如：芬必得、美洛昔康、双氯芬酸钠、洛索洛芬钠、艾瑞昔布等等，任选一个。肌肉松弛药如：复方氯唑沙宗、盐酸乙呱立松，任选一个。胃不好的需同时服保胃药，如奥美拉唑。局部外用药物也有效果，如解痉镇痛酊。", "role": "doctor"}, {"turn": 10, "text": "怎么分辨是扭伤还是脊髓震荡？", "role": "patient"}, {"turn": 11, "text": "你肯定不是脊髓震荡，脊髓震荡是外份后瘫痪了", "role": "doctor"}, {"turn": 12, "text": "哦哦哦 是脊椎两侧痛 就是扭伤哈？", "role": "patient"}, {"turn": 13, "text": "是扭伤后的肌炎", "role": "doctor"}, {"turn": 14, "text": "好的 谢谢 一般多久能好？", "role": "patient"}, {"turn": 15, "text": "一至二周", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1463, "thread": [{"turn": 0, "text": "脚扭伤了怎么恢复最快（女，42岁）", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "刚刚", "role": "patient"}, {"turn": 3, "text": "摔了一跤，穿了高跟鞋，前面有个坑，脚腕肿了", "role": "patient"}, {"turn": 4, "text": "拍片子了吗？骨头有事吗？", "role": "doctor"}, {"turn": 5, "text": "没有拍，可以走路", "role": "patient"}, {"turn": 6, "text": "骨头应该没事", "role": "patient"}, {"turn": 7, "text": "脱了鞋，拍一张脚的照片发我看一下吧", "role": "doctor"}, {"turn": 8, "text": "好", "role": "patient"}, {"turn": 9, "text": "😊", "role": "doctor"}, {"turn": 10, "text": "能看到片子吗", "role": "patient"}, {"turn": 11, "text": "看不到", "role": "doctor"}, {"turn": 12, "text": "我们再试试", "role": "patient"}, {"turn": 13, "text": "好的", "role": "doctor"}, {"turn": 14, "text": "我一会要上手术，可能回复会不及时，我会利用接台间隙及时给你回复，有问题你可以留言，谢啦", "role": "doctor"}, {"turn": 15, "text": "现在，我们先按照软组织损伤来处理，有时间去拍个片子看看骨头", "role": "doctor"}, {"turn": 16, "text": "受伤以后不要再穿高跟鞋了，把脚抬高，下垂会肿得更厉害。24-48小时内冰敷，千万不要热敷。48小时内不要涂抹活血化瘀的药物，不要贴膏药，48小时以后再用膏药和活血化瘀类的药物。", "role": "doctor"}, {"turn": 17, "text": "1周以内卧床休息，避免活动。", "role": "doctor"}, {"turn": 18, "text": "如果拍片显示骨折，再根据情况对症处理。因为有些骨折是受伤以后还敢走路的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1464, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣（男，30岁）", "role": "patient"}, {"turn": 1, "text": "您好，耳鸣多长时间了？", "role": "doctor"}, {"turn": 2, "text": "去年九月份开始的", "role": "patient"}, {"turn": 3, "text": "是持续性耳鸣吗", "role": "doctor"}, {"turn": 4, "text": "嗯 是的", "role": "patient"}, {"turn": 5, "text": "有一年多了，是慢性耳鸣了", "role": "doctor"}, {"turn": 6, "text": "影响您睡眠吗", "role": "doctor"}, {"turn": 7, "text": "去年的时候就是用棉棒掏了一次耳朵 第二天早上下床就脑袋眩晕加耳鸣  现在是偶尔晕  耳鸣持续", "role": "patient"}, {"turn": 8, "text": "睡眠不影响", "role": "patient"}, {"turn": 9, "text": "检查完  说是耳膜没事 里面是红肿的", "role": "patient"}, {"turn": 10, "text": "什么时候检查的", "role": "doctor"}, {"turn": 11, "text": "去年检查完给我开的醒脑补血的药  没效果  今年七月份检查的  但也没效果", "role": "patient"}, {"turn": 12, "text": "您这是慢性耳鸣了，很难治疗。注意心情放松，避免焦虑，转移注意力，耳鸣的不适感就会减轻。如果耳鸣没有对工作生活造成影响，能耐受，可以观察，不必治疗。", "role": "doctor"}, {"turn": 13, "text": "耳鸣跟劳累、压力、焦虑、情绪波动等关系较密切，很多耳鸣经过休息能缓解，慢性耳鸣没有特效药，但有一定的自愈性", "role": "doctor"}, {"turn": 14, "text": "有没有可能是颈椎引起的  吃扩充血管的药行吗", "role": "patient"}, {"turn": 15, "text": "颈椎病引起耳鸣的可能性很小。可以试用银杏叶片、乌灵胶囊、复方苁蓉益智胶囊、长春胺缓释胶囊等药物，对部分耳鸣有效", "role": "doctor"}, {"turn": 16, "text": "那我买这些药试试  谢谢您", "role": "patient"}, {"turn": 17, "text": "😊，不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1465, "thread": [{"turn": 0, "text": "小孩老是吐还便秘\n已经快4岁了\n（男，4岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝出现这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "2年多了", "role": "patient"}, {"turn": 3, "text": "看过医生没有？", "role": "doctor"}, {"turn": 4, "text": "吐完又好好的了，然后又开始吃东西", "role": "patient"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "初步考虑消化功能紊乱。建议小孩做个胃肠电图。明确病因针对性治疗比较合适", "role": "doctor"}, {"turn": 7, "text": "因为一直放在老家，给奶奶带所以就不太清楚情况", "role": "patient"}, {"turn": 8, "text": "做肠胃电图难受吗", "role": "patient"}, {"turn": 9, "text": "有时间还是自己带比较合适，现在有时间带小孩检查一下看看。不排除精神因素。也许父母带小孩这些症状就消失了", "role": "doctor"}, {"turn": 10, "text": "不难受", "role": "doctor"}, {"turn": 11, "text": "哦，现在我带他出去有一个月了，这两天吐的是比较频繁的的，然后便密比较严重", "role": "patient"}, {"turn": 12, "text": "先去医院看看。查个胃肠电图。", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢！", "role": "patient"}, {"turn": 14, "text": "不谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1466, "thread": [{"turn": 0, "text": "虫牙坏的很严重怎么办（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您提供解答！", "role": "doctor"}, {"turn": 2, "text": "请问方便拍张牙齿照片我看一下吗？请尽量拍清楚一些，谢谢！", "role": "doctor"}, {"turn": 3, "text": "请问这颗牙齿疼过吗？", "role": "doctor"}, {"turn": 4, "text": "以前痛，后面慢慢就不痛了", "role": "patient"}, {"turn": 5, "text": "这种情况很有可能牙神经已经坏死了", "role": "doctor"}, {"turn": 6, "text": "然后有一个一边有一点点牙齿松动，然后还流脓了，会不会很严重啊", "role": "patient"}, {"turn": 7, "text": "建议您去医院口腔科拍个x线片做根管治疗", "role": "doctor"}, {"turn": 8, "text": "您说的流脓是牙龈起了个小包流脓吗？", "role": "doctor"}, {"turn": 9, "text": "我打算放假去看医生，可能还要拖半个月左右", "role": "patient"}, {"turn": 10, "text": "半个月一般不会导致多么严重的问题", "role": "doctor"}, {"turn": 11, "text": "您流脓的牙齿是牙龈鼓包流脓吗？", "role": "doctor"}, {"turn": 12, "text": "打算放假了去看医生，还得拖半个月左右", "role": "patient"}, {"turn": 13, "text": "对就是鼓包流脓", "role": "patient"}, {"turn": 14, "text": "这颗牙应该是牙根下面发炎，专业上叫根尖周炎", "role": "doctor"}, {"turn": 15, "text": "被我挤掉了", "role": "patient"}, {"turn": 16, "text": "也需要拍片做根管治疗", "role": "doctor"}, {"turn": 17, "text": "牙齿根尖周炎急性期有可能导致牙齿松动度增加", "role": "doctor"}, {"turn": 18, "text": "怪不得，鼓包的地方就是有一一点牙齿松动的", "role": "patient"}, {"turn": 19, "text": "嗯，牙根炎症对牙齿的松动度有影响的", "role": "doctor"}, {"turn": 20, "text": "今天我用棉签看的时候，那个包的脓挤出来了，现在好多了，也不痛了，我会尽快去治疗的", "role": "patient"}, {"turn": 21, "text": "嗯，等有时间的时候尽快去医院口腔科治疗吧。只有治疗了牙齿这个包才会彻底好", "role": "doctor"}, {"turn": 22, "text": "流脓多的时候可以吃三天消炎药，可以辅助控制一下炎症", "role": "doctor"}, {"turn": 23, "text": "如果没有药物过敏，可以吃阿莫西林和甲硝唑", "role": "doctor"}, {"turn": 24, "text": "吃点消炎药可以帮助控制一下，解决根本问题还是要做治疗", "role": "doctor"}, {"turn": 25, "text": "看到了😛😛", "role": "patient"}, {"turn": 26, "text": "嗯嗯😁😁", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1467, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脚踝扭伤（女，30岁）", "role": "patient"}, {"turn": 1, "text": "足踝部的扭伤都是超过了正常足踝部的活动范围，主要就是足踝部外侧的韧带拉伤的居多，它会造成疼痛和肿胀，通常建议严格卧床休息，可以吃一些活血止痛胶囊，尽量将患者抬高，伤后三天内冷敷，伤后三天后，再用热敷喷一些活血止痛类的药物，比如说云南白药气雾剂等等。", "role": "doctor"}, {"turn": 2, "text": "一般的需要两周后才会逐渐的缓解。最好做个放射性检查，看看有没有骨折。", "role": "doctor"}, {"turn": 3, "text": "你好", "role": "patient"}, {"turn": 4, "text": "我脚踝扭伤休息两个月了", "role": "patient"}, {"turn": 5, "text": "向左侧抬脚时会发抖", "role": "patient"}, {"turn": 6, "text": "做放射线检查了吗", "role": "doctor"}, {"turn": 7, "text": "没有", "role": "patient"}, {"turn": 8, "text": "下地走路不疼", "role": "patient"}, {"turn": 9, "text": "应该复查个放射线检查，两个月即使有骨折已经愈合了，这种情况只能慢慢的锻炼，他要有一个过程。", "role": "doctor"}, {"turn": 10, "text": "放射检查？", "role": "patient"}, {"turn": 11, "text": "就是照相。", "role": "doctor"}, {"turn": 12, "text": "是拍韧带的么", "role": "patient"}, {"turn": 13, "text": "韧带拍不了，这需要做核磁。", "role": "doctor"}, {"turn": 14, "text": "韧带撕裂的话会引起脚步使力发抖么", "role": "patient"}, {"turn": 15, "text": "？", "role": "patient"}, {"turn": 16, "text": "一般崴脚不会导致韧带完全断裂，只会导致他损伤或者是部分撕裂", "role": "doctor"}, {"turn": 17, "text": "那使力会发抖是什么原因", "role": "patient"}, {"turn": 18, "text": "？", "role": "patient"}, {"turn": 19, "text": "第1个是疼痛使不上劲，这样就容易出现抖，就是没有恢复的很好。", "role": "doctor"}, {"turn": 20, "text": "在么", "role": "patient"}, {"turn": 21, "text": "看到上面回复的了吗？", "role": "doctor"}, {"turn": 22, "text": "那是还需要养么", "role": "patient"}, {"turn": 23, "text": "需要养，伤筋动骨得过百天，它好的非常慢。", "role": "doctor"}, {"turn": 24, "text": "软组织损伤在什么情况下需要手术呢", "role": "patient"}, {"turn": 25, "text": "现在这个阶段除了用药外用温水泡脚是否合适", "role": "patient"}, {"turn": 26, "text": "软组织损伤一般不需要手术，它自己可以很快的恢复。", "role": "doctor"}, {"turn": 27, "text": "热敷就行泡脚也可以", "role": "doctor"}, {"turn": 28, "text": "有什么好的建议么", "role": "patient"}, {"turn": 29, "text": "白天偶尔下地做饭什么的可以么", "role": "patient"}, {"turn": 30, "text": "还是要一直卧床休息", "role": "patient"}, {"turn": 31, "text": "休息，等他慢慢恢复。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1468, "thread": [{"turn": 0, "text": "如何克服恐艾的心理呢（男，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，要理性分析，然后做出正确判断，没有必要自寻烦恼！", "role": "doctor"}, {"turn": 2, "text": "哎，说着简单，做着难，", "role": "patient"}, {"turn": 3, "text": "心里忘不了，总是想起来，", "role": "patient"}, {"turn": 4, "text": "嗯，可以理解！要洁身自好就不会感染的！", "role": "doctor"}, {"turn": 5, "text": "我去年有过一次性交，", "role": "patient"}, {"turn": 6, "text": "事后需要多久检查可以完全除外？", "role": "patient"}, {"turn": 7, "text": "去年啦，现在检测了吗，阴性可以排除了！", "role": "doctor"}, {"turn": 8, "text": "3个月就可以彻底排除", "role": "doctor"}, {"turn": 9, "text": "检查了，在疾病控制中心检查的，", "role": "patient"}, {"turn": 10, "text": "阴性？", "role": "doctor"}, {"turn": 11, "text": "在三甲医院是三个月，四个月的时候检查的，六个月，七个月，八个月是在疾病控制中心检查的，", "role": "patient"}, {"turn": 12, "text": "恩，阴性的，", "role": "patient"}, {"turn": 13, "text": "那没有必要担心了", "role": "doctor"}, {"turn": 14, "text": "完全没必要？", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}, {"turn": 16, "text": "会不会还有那么一点点的可能性呢？", "role": "patient"}, {"turn": 17, "text": "我个人觉得没有", "role": "doctor"}, {"turn": 18, "text": "真没事吧？", "role": "patient"}, {"turn": 19, "text": "只从哪次之后再也没有过了，", "role": "patient"}, {"turn": 20, "text": "嗯，真的没事了！", "role": "doctor"}, {"turn": 21, "text": "谢谢您，", "role": "patient"}, {"turn": 22, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1469, "thread": [{"turn": 0, "text": "用眼贴后能控制眼压吗？（女，64岁）", "role": "patient"}, {"turn": 1, "text": "您好，不能的，目前没有对于眼压治疗作用的眼贴", "role": "doctor"}, {"turn": 2, "text": "对治青光眼也是没作用的吗", "role": "patient"}, {"turn": 3, "text": "我的左眼已经手术了，右眼激光手术 用眼贴没作用吗", "role": "patient"}, {"turn": 4, "text": "没有特殊效果的", "role": "doctor"}, {"turn": 5, "text": "有降眼压作用的滴眼液才是主要的", "role": "doctor"}, {"turn": 6, "text": "目前用的是降压的眼滴药", "role": "patient"}, {"turn": 7, "text": "可是网上介绍孙丽琴医生的眼贴可以治青光眼", "role": "patient"}, {"turn": 8, "text": "目前眼贴大多还属于保健类型不属于治疗药物", "role": "doctor"}, {"turn": 9, "text": "那么青光眼能治疗吗？", "role": "patient"}, {"turn": 10, "text": "只能控制没有治愈", "role": "doctor"}, {"turn": 11, "text": "眼压稳定正常就是治疗好的结果", "role": "doctor"}, {"turn": 12, "text": "没可能可以恢复视力的治疗吗", "role": "patient"}, {"turn": 13, "text": "没有", "role": "doctor"}, {"turn": 14, "text": "青光眼是导致眼底神经萎缩，控制眼压的目的就是防止高眼压进一步损害导致进一步视力丧失甚至失明", "role": "doctor"}, {"turn": 15, "text": "网上宣传的眼贴是没作用的吧", "role": "patient"}, {"turn": 16, "text": "那都是野药，真的药都没有什么宣传的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1470, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：耳鸣如何冶（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，很高兴为你解答。我是刘医生。", "role": "doctor"}, {"turn": 2, "text": "请问这种情况有多长时间了？", "role": "doctor"}, {"turn": 3, "text": "听力有没有下降？", "role": "doctor"}, {"turn": 4, "text": "单侧双侧？", "role": "doctor"}, {"turn": 5, "text": "单侧", "role": "patient"}, {"turn": 6, "text": "请问这种情况有多长时间了？", "role": "doctor"}, {"turn": 7, "text": "听力有没有下降？", "role": "doctor"}, {"turn": 8, "text": "有半年了", "role": "patient"}, {"turn": 9, "text": "听力有没有下降？", "role": "doctor"}, {"turn": 10, "text": "有", "role": "patient"}, {"turn": 11, "text": "还有其他不舒服吗？堵闷？", "role": "doctor"}, {"turn": 12, "text": "感觉有点赌", "role": "patient"}, {"turn": 13, "text": "有听力下降，一般建议医院检查下。电测听和声阻抗→可以判断什么性质的耳鸣耳聋。", "role": "doctor"}, {"turn": 14, "text": "我就是不想上医院去也查不出什么", "role": "patient"}, {"turn": 15, "text": "这样的话，治疗针对性强。\n如果暂时不想去医院，建议→", "role": "doctor"}, {"turn": 16, "text": ".1.捏鼻子鼓气。\n.2. 鼓膜治疗：双手张开按住耳朵，说1.2.3.4.5然后突然松开。\n3.雷诺考特。\n4.西比灵，口服。\n5.敏使朗，口服。\n6.弥可保，口服。\n7.美卓乐，口服。\n8.不能吃凉的冷的。\n9.注意保暖，预防感冒受凉。\n10.避免劳累熬夜。", "role": "doctor"}, {"turn": 17, "text": "是不是几种药一起用", "role": "patient"}, {"turn": 18, "text": "从你那开药行吗", "role": "patient"}, {"turn": 19, "text": "一起用。", "role": "doctor"}, {"turn": 20, "text": "开不了啊。药店，网上，医院都可以的。", "role": "doctor"}, {"turn": 21, "text": "谢谢", "role": "patient"}, {"turn": 22, "text": "好的👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1471, "thread": [{"turn": 0, "text": "为什么我这几天 一笑起来就头晕 感觉神经紧张（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，睡眠怎么样的，最近忙不忙", "role": "doctor"}, {"turn": 2, "text": "我有焦虑症 睡眠不熟很好 睡得很浅", "role": "patient"}, {"turn": 3, "text": "这几天放假了 一直呆在家看电视 也没怎么出去过", "role": "patient"}, {"turn": 4, "text": "但是我睡觉还是睡得很久的 早上睡到九点过 下午睡到三点", "role": "patient"}, {"turn": 5, "text": "建议白天适当运动一下，有助于睡眠，保持心情舒畅哦", "role": "doctor"}, {"turn": 6, "text": "那我这是什么情况呢", "role": "patient"}, {"turn": 7, "text": "没笑的时候也感觉头有点晕", "role": "patient"}, {"turn": 8, "text": "就是感觉神经紧绷想闭眼睛的感觉", "role": "patient"}, {"turn": 9, "text": "之前有没有贫血", "role": "doctor"}, {"turn": 10, "text": "好像没有吧", "role": "patient"}, {"turn": 11, "text": "这个我也不知道", "role": "patient"}, {"turn": 12, "text": "但是我体重确实很轻", "role": "patient"}, {"turn": 13, "text": "可以检查一下血常规，没事就不要紧，休息好适当运动就可以了", "role": "doctor"}, {"turn": 14, "text": "那我这是什么原因呢 如果血常规没事的话", "role": "patient"}, {"turn": 15, "text": "我真的连续几天都这样", "role": "patient"}, {"turn": 16, "text": "很不舒服的", "role": "patient"}, {"turn": 17, "text": "头晕到想闭眼睛", "role": "patient"}, {"turn": 18, "text": "最近有没有感冒", "role": "doctor"}, {"turn": 19, "text": "你是不是平时容易紧张，建议放松心情哦", "role": "doctor"}, {"turn": 20, "text": "没有感冒", "role": "patient"}, {"turn": 21, "text": "我有重度焦虑症是真的", "role": "patient"}, {"turn": 22, "text": "平时头痛我会吃全天麻胶囊", "role": "patient"}, {"turn": 23, "text": "有没有治疗过焦虑症", "role": "doctor"}, {"turn": 24, "text": "有", "role": "patient"}, {"turn": 25, "text": "吃的什么药", "role": "doctor"}, {"turn": 26, "text": "丁螺环酮和舍曲林", "role": "patient"}, {"turn": 27, "text": "目前吃的剂量多少", "role": "doctor"}, {"turn": 28, "text": "丁螺环酮一天两次 一次一颗", "role": "patient"}, {"turn": 29, "text": "舍曲林一天一次一次一颗", "role": "patient"}, {"turn": 30, "text": "但是我白天的经常忘记吃 只有晚上的丁螺环酮记着吃了", "role": "patient"}, {"turn": 31, "text": "感觉效果不满意了，暂时可以把丁螺环酮加成三次", "role": "doctor"}, {"turn": 32, "text": "那就记着吃呗", "role": "doctor"}, {"turn": 33, "text": "那我这个到底是个什么情况啊医生", "role": "patient"}, {"turn": 34, "text": "我不想问其他的", "role": "patient"}, {"turn": 35, "text": "我就想问我这个头晕是个什么情况", "role": "patient"}, {"turn": 36, "text": "今天尤其严重", "role": "patient"}, {"turn": 37, "text": "还有点犯恶心", "role": "patient"}, {"turn": 38, "text": "你头晕暂时考虑和焦虑有关的，按时吃药，最好检查一下血常规排除一下贫血", "role": "doctor"}, {"turn": 39, "text": "平时有没有颈椎病，有没有感觉脖子僵硬不适", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1472, "thread": [{"turn": 0, "text": "头痛发热，咳嗽，喝了急支糖浆没有好转（女，17岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "三天", "role": "patient"}, {"turn": 3, "text": "体温还高吗？", "role": "doctor"}, {"turn": 4, "text": "做过检查吗？", "role": "doctor"}, {"turn": 5, "text": "没有", "role": "patient"}, {"turn": 6, "text": "前天晚上发了次烧", "role": "patient"}, {"turn": 7, "text": "现在咳嗽厉害？？", "role": "doctor"}, {"turn": 8, "text": "前天咳了一晚上，白天晚上都咳", "role": "patient"}, {"turn": 9, "text": "很厉害", "role": "patient"}, {"turn": 10, "text": "建议去拍个胸片", "role": "doctor"}, {"turn": 11, "text": "肚子咳痛了，背也疼", "role": "patient"}, {"turn": 12, "text": "排除肺部疾病引起咳嗽", "role": "doctor"}, {"turn": 13, "text": "哦", "role": "patient"}, {"turn": 14, "text": "还吃了头孢也没什么用感觉", "role": "patient"}, {"turn": 15, "text": "排除肺炎了可以吃感冒药和肺力咳", "role": "doctor"}, {"turn": 16, "text": "有时抗生素不一定有效", "role": "doctor"}, {"turn": 17, "text": "肺炎不是咳出来的吗", "role": "patient"}, {"turn": 18, "text": "不是", "role": "doctor"}, {"turn": 19, "text": "是肺部感染引起的肺组织疾病", "role": "doctor"}, {"turn": 20, "text": "好吧", "role": "patient"}, {"turn": 21, "text": "肺炎传染吗", "role": "patient"}, {"turn": 22, "text": "普通的肺炎一般不传染", "role": "doctor"}, {"turn": 23, "text": "病毒性的传染吗", "role": "patient"}, {"turn": 24, "text": "病毒的要分什么病毒", "role": "doctor"}, {"turn": 25, "text": "哦哦", "role": "patient"}, {"turn": 26, "text": "流行性病毒一般传染", "role": "doctor"}, {"turn": 27, "text": "好的", "role": "patient"}, {"turn": 28, "text": "如果是肺炎的话怎么治疗，大概要好久", "role": "patient"}, {"turn": 29, "text": "普通的半", "role": "doctor"}, {"turn": 30, "text": "月", "role": "doctor"}, {"turn": 31, "text": "不一定是肺炎", "role": "doctor"}, {"turn": 32, "text": "但我每次咳都要咳呕了，而且还很大声", "role": "patient"}, {"turn": 33, "text": "所以先拍胸片", "role": "doctor"}, {"turn": 34, "text": "我这几天便秘和这个感冒有关吗", "role": "patient"}, {"turn": 35, "text": "饮食怎么样啊最近？", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1473, "thread": [{"turn": 0, "text": "肚脐眼周围疼痛并伴有消化不良（女，33岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "一直肠胃不好，前一阵子胃疼，做了胃镜，轻微胃炎，大夫建议中药调理，吃了一个月中药后没啥效果，发现自己肚脐眼里面四周疼，肠道疼，又看了西医，开了庆大霉素，胶体果胶铋，枫蓼肠胃康，还有一个专治肠炎的忘记叫啥名字了，吃了近半个月强了很多，现在主要是肚脐周围隐痛，不像之前那么明显的痛了。饮食也很注意，但是每次吃完饭后都感觉不消化，屁多，吃馒头面条之类的也不消化", "role": "patient"}, {"turn": 3, "text": "吃完饭后感觉胃里有石头一样，伴有特别轻微的恶心但是吐不出", "role": "patient"}, {"turn": 4, "text": "大便正常吗？", "role": "doctor"}, {"turn": 5, "text": "一天一次，不拉稀，偶尔便秘", "role": "patient"}, {"turn": 6, "text": "反酸，烧心，胃胀的症状有吗？", "role": "doctor"}, {"turn": 7, "text": "目前没有", "role": "patient"}, {"turn": 8, "text": "你现在主要是肚脐周围痛，考虑肠道功能紊乱", "role": "doctor"}, {"turn": 9, "text": "可以吃点曲美布汀跟整肠生调节肠道功能", "role": "doctor"}, {"turn": 10, "text": "消化不良的话可以吃点多酶片辅助消化", "role": "doctor"}, {"turn": 11, "text": "请问这个药是什么解痉止痛药匹维溴铵片", "role": "patient"}, {"turn": 12, "text": "有个大夫让我吃这个可是我也不懂", "role": "patient"}, {"turn": 13, "text": "所以问问你，你专业", "role": "patient"}, {"turn": 14, "text": "是的", "role": "doctor"}, {"turn": 15, "text": "那个药是治什么", "role": "patient"}, {"turn": 16, "text": "差不多，都是调节肠道功能的", "role": "doctor"}, {"turn": 17, "text": "哦", "role": "patient"}, {"turn": 18, "text": "酶片是多酶片么", "role": "patient"}, {"turn": 19, "text": "😊", "role": "doctor"}, {"turn": 20, "text": "是的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1474, "thread": [{"turn": 0, "text": "大便带血你好大夫痛，我这是肛裂吗？（男，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "你好，肛门有肉疙瘩脱出吗？", "role": "doctor"}, {"turn": 3, "text": "你好，肛门有肉疙瘩脱出吗？", "role": "doctor"}, {"turn": 4, "text": "大便一天几次有无便秘情况吗", "role": "doctor"}, {"turn": 5, "text": "有无排便撕裂样疼痛出血情况吗", "role": "doctor"}, {"turn": 6, "text": "肛门局部出血情况是滴血喷血还是擦有血情况是鲜血吗出血量多少呀", "role": "doctor"}, {"turn": 7, "text": "有无嗜食辛辣饮酒刺激食物情况吗", "role": "doctor"}, {"turn": 8, "text": "你好如果 有便秘情况排便撕裂样疼痛出血情况肛裂造成肛门局部出血情况可能性较大，如果没有便秘情况肛门有包块脱出便后无痛性肛门局部出血情况考虑痔疮出血情况可能性较大，建议如果便秘情况建议去公立医院肛肠外科做详细面诊检查，便常规检查，肛门指诊检查，肛门镜检查明确病因对症处理治疗。", "role": "doctor"}, {"turn": 9, "text": "也可以禁食辛辣刺激食物饮酒情况，清淡饮食，多食粗纤维食物，水果蔬菜情况，便秘情况可以口服聚乙二醇4000散或枯草芽孢杆菌活菌双联调理便秘情况，肛门局部口服痔速宁云南白药胶囊，肛门局部用1:5000高锰酸钾溶液坐浴，局部涂药马应龙痔疮膏或京万红软膏入肛，太宁栓入肛，观察看看效果不行就去医院肛肠外科做详细面诊检查明确病因对症处理治疗。", "role": "doctor"}, {"turn": 10, "text": "你好如果肛门局部疼痛可以便前便后温水坐浴，结合饮食习惯调整多食粗纤维食物水果蔬菜情况，增加运动量，口服通便药物聚乙二醇4000散或枯草芽孢杆菌活菌双联调理便秘情况，结合局部涂药马应龙痔疮膏入肛太宁栓入肛观察看看效果不行就去医院肛肠外科做详细面诊检查明确病因对症处理治疗。", "role": "doctor"}, {"turn": 11, "text": "希望我建议对你的治疗有一定帮助作用", "role": "doctor"}, {"turn": 12, "text": "祝你早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1475, "thread": [{"turn": 0, "text": "便秘很厉害，吃通幽润燥丸注意什么（女，53岁）", "role": "patient"}, {"turn": 1, "text": "您好，多喝水就行，，", "role": "doctor"}, {"turn": 2, "text": "她皮肤过敏能吃么", "role": "patient"}, {"turn": 3, "text": "录雷他定治疗过敏", "role": "doctor"}, {"turn": 4, "text": "知道，皮肤过敏能吃通幽润燥丸么", "role": "patient"}, {"turn": 5, "text": "奥", "role": "doctor"}, {"turn": 6, "text": "可以啊", "role": "doctor"}, {"turn": 7, "text": "我看注意事项上说过敏体质慎服", "role": "patient"}, {"turn": 8, "text": "慎用不是禁用", "role": "doctor"}, {"turn": 9, "text": "我妈血糖高吃过这个药没事吧", "role": "patient"}, {"turn": 10, "text": "哦", "role": "patient"}, {"turn": 11, "text": "没有问题的", "role": "doctor"}, {"turn": 12, "text": "水蜜丸啥意思", "role": "patient"}, {"turn": 13, "text": "是药物的一种剂型啊", "role": "doctor"}, {"turn": 14, "text": "没有什么意思", "role": "doctor"}, {"turn": 15, "text": "哦，以为辅料是蜂蜜呢", "role": "patient"}, {"turn": 16, "text": "不是的", "role": "doctor"}, {"turn": 17, "text": "哦，好", "role": "patient"}, {"turn": 18, "text": "谢谢", "role": "patient"}, {"turn": 19, "text": "不客气，祝您健康", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1476, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脱发（女，18岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？", "role": "doctor"}, {"turn": 2, "text": "有两年了", "role": "patient"}, {"turn": 3, "text": "就是脱发，平时没什么感觉", "role": "patient"}, {"turn": 4, "text": "有头屑吗", "role": "doctor"}, {"turn": 5, "text": "总耳鸣，不知道有没有关系", "role": "patient"}, {"turn": 6, "text": "头发油腻吗", "role": "doctor"}, {"turn": 7, "text": "有的，比较多，容易油腻", "role": "patient"}, {"turn": 8, "text": "脂溢性脱发", "role": "doctor"}, {"turn": 9, "text": "会是雄激素分泌多吗大夫，我头发脱发以后就变得比较细了", "role": "patient"}, {"turn": 10, "text": "是的", "role": "doctor"}, {"turn": 11, "text": "你爱长痘吗", "role": "doctor"}, {"turn": 12, "text": "体毛多不多", "role": "doctor"}, {"turn": 13, "text": "长..有六七年了，体毛偏多，胳膊上腿上都有", "role": "patient"}, {"turn": 14, "text": "那就是了", "role": "doctor"}, {"turn": 15, "text": "是雄激素的原因？但是我一直就不太平衡，脱发是最近两年才开始的", "role": "patient"}, {"turn": 16, "text": "是", "role": "doctor"}, {"turn": 17, "text": "该用什么药吗，还是先去医院检查一下之类的", "role": "patient"}, {"turn": 18, "text": "平时是不是得 注意什么...我生活习惯还好，也不熬夜", "role": "patient"}, {"turn": 19, "text": "可以先做一个性激素六项的检查", "role": "doctor"}, {"turn": 20, "text": "挂皮肤科？", "role": "patient"}, {"turn": 21, "text": "是的", "role": "doctor"}, {"turn": 22, "text": "好的，谢谢大夫", "role": "patient"}, {"turn": 23, "text": "好的，谢谢大夫", "role": "patient"}, {"turn": 24, "text": "那平时需要做什么控制的措施吗", "role": "patient"}, {"turn": 25, "text": "少吃甜食", "role": "doctor"}, {"turn": 26, "text": "巧克力咖啡牛奶酸奶", "role": "doctor"}, {"turn": 27, "text": "二硫化硒洗剂可以用来洗头，一周用两次", "role": "doctor"}, {"turn": 28, "text": "噢噢...我朋友推荐我用什么米诺地尔的药，需要采纳吗？还有一些生发固发的药", "role": "patient"}, {"turn": 29, "text": "可以", "role": "doctor"}, {"turn": 30, "text": "米诺地尔改善头皮血液循环", "role": "doctor"}, {"turn": 31, "text": "洗头两天一次会不会有点频繁啊..", "role": "patient"}, {"turn": 32, "text": "还好", "role": "doctor"}, {"turn": 33, "text": "水温不要太高", "role": "doctor"}, {"turn": 34, "text": "不要抓扯太多", "role": "doctor"}, {"turn": 35, "text": "我一直耳鸣嘛 我家人就说会不会是肾虚型脱发，会有这个可能吗", "role": "patient"}, {"turn": 36, "text": "那看中医，我们不懂", "role": "doctor"}, {"turn": 37, "text": "好吧，谢谢你啊大夫", "role": "patient"}, {"turn": 38, "text": "不客气", "role": "doctor"}, {"turn": 39, "text": "激素和脂溢性怎么区分啊", "role": "patient"}, {"turn": 40, "text": "都一样", "role": "doctor"}, {"turn": 41, "text": "一个是原因", "role": "doctor"}, {"turn": 42, "text": "明白了", "role": "patient"}, {"turn": 43, "text": "辛苦你了大夫！", "role": "patient"}, {"turn": 44, "text": "这个问题一定要问完吗", "role": "patient"}, {"turn": 45, "text": "没关系的，到时间会自动结束", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1477, "thread": [{"turn": 0, "text": "宝宝出生13天出现便秘，怎么办？", "role": "patient"}, {"turn": 1, "text": "您好，宝妈，孩子几天没解大便了？", "role": "doctor"}, {"turn": 2, "text": "每天都有排就是排便特别费力，今天拉的有小颗干的颗粒粪便今天还量少", "role": "patient"}, {"turn": 3, "text": "宝宝吃母乳还是奶粉？", "role": "doctor"}, {"turn": 4, "text": "奶粉，金领冠珍护一段", "role": "patient"}, {"turn": 5, "text": "嗯，吃奶粉宝宝，大便是会偏干些，奶粉是按正常比例配比的吧？", "role": "doctor"}, {"turn": 6, "text": "因为出现了排便费力我稍微调稀了一点", "role": "patient"}, {"turn": 7, "text": "嗯，可以的，宝宝大便这样，主要与宝宝这个时候肠道功能弱引起的", "role": "doctor"}, {"turn": 8, "text": "可以两餐奶之间，给孩子喂些温水", "role": "doctor"}, {"turn": 9, "text": "平常用点妈咪爱等益生菌调理一下宝宝肠道", "role": "doctor"}, {"turn": 10, "text": "放到奶粉里？", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "也可以单独化水", "role": "doctor"}, {"turn": 13, "text": "化水是什么？", "role": "patient"}, {"turn": 14, "text": "妈咪爱化水里", "role": "doctor"}, {"turn": 15, "text": "给宝宝服用", "role": "doctor"}, {"turn": 16, "text": "哦，谢谢", "role": "patient"}, {"turn": 17, "text": "不客气的，记得温水化，不能开水", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "嗯嗯", "role": "doctor"}, {"turn": 20, "text": "平常给孩子做做肠道按摩，顺时针方向沿孩子脐周", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1478, "thread": [{"turn": 0, "text": "侧身对着镜子带帽子会不会扭伤颈椎（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，有没有什么症状？", "role": "doctor"}, {"turn": 2, "text": "就是我在侧身对着镜子带帽子会不会扭伤颈椎", "role": "patient"}, {"turn": 3, "text": "不会啊，正常的颈椎他都会左右活动", "role": "doctor"}, {"turn": 4, "text": "可是 是别人侧着身帮我带帽子感觉之后颈椎就很疼", "role": "patient"}, {"turn": 5, "text": "脖子疼", "role": "patient"}, {"turn": 6, "text": "别人帮你戴，然后你颈椎疼？", "role": "doctor"}, {"turn": 7, "text": "嗯", "role": "patient"}, {"turn": 8, "text": "是侧身带", "role": "patient"}, {"turn": 9, "text": "有可能是不是你扭得太狠了，正常不会的", "role": "doctor"}, {"turn": 10, "text": "一位服务员他侧身帮我戴的帽子，我然后感觉。脖子非常疼，感觉骨头", "role": "patient"}, {"turn": 11, "text": "不是，", "role": "patient"}, {"turn": 12, "text": "感觉到了背上颈椎也会疼", "role": "patient"}, {"turn": 13, "text": "这种你要么就休息两天看，如果实在疼得厉害，你可以吃点尼美舒利分散片", "role": "doctor"}, {"turn": 14, "text": "实在不行就去医院骨科看一看", "role": "doctor"}, {"turn": 15, "text": "会不会是这个侧身姿势引起的？", "role": "patient"}, {"turn": 16, "text": "拍一张照片给我看你当时是怎样侧身的", "role": "doctor"}, {"turn": 17, "text": "是别人侧身。比如我正常站在中间，然后那个服务员，侧着身子对着镜子帮我带帽子，她就在我左边，戴的", "role": "patient"}, {"turn": 18, "text": "那这种情况肯定不会的，你都正常姿势", "role": "doctor"}, {"turn": 19, "text": "但这种我建议你到医院骨科去照一个颈椎的x片，看会不会有颈椎的问题", "role": "doctor"}, {"turn": 20, "text": "可是感觉全身都痛", "role": "patient"}, {"turn": 21, "text": "那这种你更应该去医院检查一下", "role": "doctor"}, {"turn": 22, "text": "好吧", "role": "patient"}, {"turn": 23, "text": "骨科哦", "role": "doctor"}, {"turn": 24, "text": "嗯", "role": "patient"}, {"turn": 25, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1479, "thread": [{"turn": 0, "text": "七岁宝宝咳嗽的厉害怎么治好的快（女，7岁）", "role": "patient"}, {"turn": 1, "text": "在线咨询患者较多，我会尽快回复，问题关闭后，未能及时回复的问题，我将通过总结功能统一答复，敬请留意提醒。同时为了尽快解决你的问题，节省你的宝贵时间，请按照我的提问一次补充病史。谢谢你的合作。", "role": "doctor"}, {"turn": 2, "text": "您好，宝宝咳嗽多久了？", "role": "doctor"}, {"turn": 3, "text": "单声还是连续咳嗽", "role": "doctor"}, {"turn": 4, "text": "咳嗽有痰吗", "role": "doctor"}, {"turn": 5, "text": "精神状态好不好", "role": "doctor"}, {"turn": 6, "text": "一个星期了", "role": "patient"}, {"turn": 7, "text": "就干咳没有痰", "role": "patient"}, {"turn": 8, "text": "就是精神不怎么好，又不怎么吃饭", "role": "patient"}, {"turn": 9, "text": "吃了止咳药，还灌过", "role": "patient"}, {"turn": 10, "text": "单声还是连续咳嗽", "role": "doctor"}, {"turn": 11, "text": "连续咳", "role": "patient"}, {"turn": 12, "text": "吃了止咳药，还灌了肠，但一直都没好转", "role": "patient"}, {"turn": 13, "text": "有没有其他不适", "role": "doctor"}, {"turn": 14, "text": "没有其他不适", "role": "patient"}, {"turn": 15, "text": "你好，考虑呼吸道感染，过敏性咳嗽或者支原体感染", "role": "doctor"}, {"turn": 16, "text": "治疗方法口服阿奇霉素消炎，口服孟鲁司特和小儿百部止咳糖浆治疗咳嗽", "role": "doctor"}, {"turn": 17, "text": "她吃的药有止咳糖浆，止咳颗粒，我想问一下还有没有其他好的点药，麻烦医生给我推荐一下", "role": "patient"}, {"turn": 18, "text": "目前根据提供，暂时不需要其他", "role": "doctor"}, {"turn": 19, "text": "嗯，谢谢医生", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1480, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：咳嗽流黄绿鼻涕（女，7岁）", "role": "patient"}, {"turn": 1, "text": "这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "孩子有没有感冒或者受凉", "role": "doctor"}, {"turn": 3, "text": "周五晚上开始，没有发烧", "role": "patient"}, {"turn": 4, "text": "有没有感冒没有注意", "role": "patient"}, {"turn": 5, "text": "嗯，你这个就是感冒，", "role": "doctor"}, {"turn": 6, "text": "可以吃点感冒灵颗粒", "role": "doctor"}, {"turn": 7, "text": "多喝水", "role": "doctor"}, {"turn": 8, "text": "家里有小快克，小儿感冒颗粒", "role": "patient"}, {"turn": 9, "text": "嗯可以，", "role": "doctor"}, {"turn": 10, "text": "二选一", "role": "doctor"}, {"turn": 11, "text": "咳嗽厉害吗", "role": "doctor"}, {"turn": 12, "text": "不厉害，吃了复方百部止咳颗粒", "role": "patient"}, {"turn": 13, "text": "嗯", "role": "doctor"}, {"turn": 14, "text": "你可以吃点冰糖炖梨", "role": "doctor"}, {"turn": 15, "text": "炖上了，放了川贝玫瑰花", "role": "patient"}, {"turn": 16, "text": "有服用鲜竹沥", "role": "patient"}, {"turn": 17, "text": "嗯可以", "role": "doctor"}, {"turn": 18, "text": "谢谢医生", "role": "patient"}, {"turn": 19, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1481, "thread": [{"turn": 0, "text": "宝宝输完液拉肚子可以喝奶粉吗（女，10个月）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝一天拉几次？", "role": "doctor"}, {"turn": 2, "text": "支气管炎输了八天的水，今天拉了五六次", "role": "patient"}, {"turn": 3, "text": "拉的都是黄色的泡沫还有蛋花一样的", "role": "patient"}, {"turn": 4, "text": "拉肚子啥时候开始的", "role": "doctor"}, {"turn": 5, "text": "就今天", "role": "patient"}, {"turn": 6, "text": "可以喝奶粉吗", "role": "patient"}, {"turn": 7, "text": "输完液回来拉了五六次", "role": "patient"}, {"turn": 8, "text": "说话啊", "role": "patient"}, {"turn": 9, "text": "嗯呢", "role": "doctor"}, {"turn": 10, "text": "刚刚在忙", "role": "doctor"}, {"turn": 11, "text": "孩子平时饮食以奶粉为主吗？", "role": "doctor"}, {"turn": 12, "text": "是的", "role": "patient"}, {"turn": 13, "text": "这个应该是引起肠道疾病了", "role": "doctor"}, {"turn": 14, "text": "是病毒感染引起的", "role": "doctor"}, {"turn": 15, "text": "查血了说是病毒感染", "role": "patient"}, {"turn": 16, "text": "一般五天左右就好了 但是孩子脱水严重需要进行补液", "role": "doctor"}, {"turn": 17, "text": "奶粉不给喝就闹", "role": "patient"}, {"turn": 18, "text": "现在还没脱水", "role": "patient"}, {"turn": 19, "text": "小便都正常", "role": "patient"}, {"turn": 20, "text": "刚才就闹人，我充的特别稀", "role": "patient"}, {"turn": 21, "text": "之前宝宝五个月做了肠套叠手术", "role": "patient"}, {"turn": 22, "text": "请你回复快点可以吗，我得带宝宝", "role": "patient"}, {"turn": 23, "text": "孩子之前是空气灌肠吗？", "role": "doctor"}, {"turn": 24, "text": "怎么治疗的肠梗阻", "role": "doctor"}, {"turn": 25, "text": "不严重的话可以喝点奶粉", "role": "doctor"}, {"turn": 26, "text": "空气灌肠六次都不行，后来开刀的", "role": "patient"}, {"turn": 27, "text": "如果不输液了，这个拉肚子可不可以自行消退", "role": "patient"}, {"turn": 28, "text": "根据你描述的症状，这种一般一周左右会自己好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1482, "thread": [{"turn": 0, "text": "经常腹泻便秘是咋回事（男，21岁）", "role": "patient"}, {"turn": 1, "text": "请问这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "初中开始一直有，初中那会挺严重的，高中还好，大学又严重了", "role": "patient"}, {"turn": 3, "text": "吃完饭走路的时候特别容易拉肚子", "role": "patient"}, {"turn": 4, "text": "还有就是冷风吹到腹部也容易拉肚子", "role": "patient"}, {"turn": 5, "text": "还有就是经常出血便秘腹泻交替，正常的情况不多", "role": "patient"}, {"turn": 6, "text": "还有就是前一天晚上如果没有排便第二天早上起床就拉肚子", "role": "patient"}, {"turn": 7, "text": "我担心是不是肠胃炎", "role": "patient"}, {"turn": 8, "text": "你好，应该查结肠镜看看", "role": "doctor"}, {"turn": 9, "text": "严重吗", "role": "patient"}, {"turn": 10, "text": "肠胃功能紊乱不算疾病吧", "role": "patient"}, {"turn": 11, "text": "不好说，需要明确诊断再说", "role": "doctor"}, {"turn": 12, "text": "肠功能紊乱也算病，而且比较麻烦", "role": "doctor"}, {"turn": 13, "text": "好的啦", "role": "patient"}, {"turn": 14, "text": "谢谢医生", "role": "patient"}, {"turn": 15, "text": "最近肚子很难受", "role": "patient"}, {"turn": 16, "text": "如果确诊的话，可以申请走读或者回家吃饭吧，我吃不惯外面的菜", "role": "patient"}, {"turn": 17, "text": "可以，大部分都是吃口服药治疗", "role": "doctor"}, {"turn": 18, "text": "好的", "role": "patient"}, {"turn": 19, "text": "谢谢医生啦", "role": "patient"}, {"turn": 20, "text": "不客气", "role": "doctor"}, {"turn": 21, "text": "做胃镜肠镜要多久啊", "role": "patient"}, {"turn": 22, "text": "用一天时间确诊够不够", "role": "patient"}, {"turn": 23, "text": "一般检查过程半小时", "role": "doctor"}, {"turn": 24, "text": "要不要做无痛的，我比较胖", "role": "patient"}, {"turn": 25, "text": "无痛的不痛苦", "role": "doctor"}, {"turn": 26, "text": "好的，谢谢医生啦，半天时间检查确诊够吗，我明天下午上课，上午有时间", "role": "patient"}, {"turn": 27, "text": "医生", "role": "patient"}, {"turn": 28, "text": "我这个具体来说是九月入校以来便秘腹泻时断时续，中间也有正常的排便，但便秘腹泻居多", "role": "patient"}, {"turn": 29, "text": "有没有必要做肠镜检查啊", "role": "patient"}, {"turn": 30, "text": "你好，半天时间肯定来不及，那就先化验大便看看，然后对症用药治疗，看看效果", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1483, "thread": [{"turn": 0, "text": "偏头痛发作了，怎么治疗？（女，20岁）", "role": "patient"}, {"turn": 1, "text": "您好很高兴为您服务！", "role": "doctor"}, {"turn": 2, "text": "可以吃去痛片或者欧立停对症治疗。", "role": "doctor"}, {"turn": 3, "text": "好好睡一觉应该就会好的", "role": "doctor"}, {"turn": 4, "text": "医生可以根治吗", "role": "patient"}, {"turn": 5, "text": "偏头痛是不能根治的", "role": "doctor"}, {"turn": 6, "text": "平常注意预防的", "role": "doctor"}, {"turn": 7, "text": "平时应该要注意哪些", "role": "patient"}, {"turn": 8, "text": "偏头痛的预防： 1、远离酪胺酸类食物：酪胺酸是造成血管痉挛的主要诱因易导致头痛发作，这类食物包括：奶酪 、巧克力、柑橘类食物，以及腌渍沙丁鱼、鸡肝、西红柿、牛奶、乳酸饮料等。 2、减少摄酒：所有酒精类饮料都会引发头痛，特别是红酒含有更多诱发头痛的化学物质。 3、学会减压：放松心情，选择泡泡温水浴，做瑜伽等放松运动可以避免头痛。 4、规律运动：对有偏头痛的人来说，着重呼吸训练、调息的运动，可帮助患者稳定自律神经系统、减缓焦虑、肌肉紧绷等症状。 5、生活规律：营造安静的环境，维持规律的作息，即使在假日也定时上床、起床。", "role": "doctor"}, {"turn": 9, "text": "邸医生，去痛片和欧立停要吃多久", "role": "patient"}, {"turn": 10, "text": "会有依赖性吗", "role": "patient"}, {"turn": 11, "text": "没有依赖性的", "role": "doctor"}, {"turn": 12, "text": "邸医生，知道了", "role": "patient"}, {"turn": 13, "text": "👌", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1484, "thread": [{"turn": 0, "text": "消化不良会引起拉肚子吗？", "role": "patient"}, {"turn": 1, "text": "消化不良是可以引起拉肚子的。", "role": "doctor"}, {"turn": 2, "text": "那我该怎么办呢", "role": "patient"}, {"turn": 3, "text": "中医有一种腹泻叫饮食所致腹泻，西医有种腹泻叫叫脂肪泻", "role": "doctor"}, {"turn": 4, "text": "要吃药吗？", "role": "patient"}, {"turn": 5, "text": "无论怎样你应该止泻，", "role": "doctor"}, {"turn": 6, "text": "看情况", "role": "doctor"}, {"turn": 7, "text": "如果不严重暂时可以不吃药", "role": "doctor"}, {"turn": 8, "text": "我宝宝是刚开始吃辅食，就吃了点鸡蛋和稀饭", "role": "patient"}, {"turn": 9, "text": "就有点拉肚子", "role": "patient"}, {"turn": 10, "text": "辅食不能吃了吗？", "role": "patient"}, {"turn": 11, "text": "小宝宝建议还是口服杜拉宝", "role": "doctor"}, {"turn": 12, "text": "蒙脱石散不行吗", "role": "patient"}, {"turn": 13, "text": "有没有其它症状？", "role": "doctor"}, {"turn": 14, "text": "也可以", "role": "doctor"}, {"turn": 15, "text": "没有其他的", "role": "patient"}, {"turn": 16, "text": "哦还可以吃点帮助消化的", "role": "doctor"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "再见", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1485, "thread": [{"turn": 0, "text": "干活时扭伤了手腕都肿了（女，52岁）", "role": "patient"}, {"turn": 1, "text": "有多久了？做过什么检查没？", "role": "doctor"}, {"turn": 2, "text": "有四个多月了", "role": "patient"}, {"turn": 3, "text": "休息热敷了吗？", "role": "doctor"}, {"turn": 4, "text": "口服活血通络止痛药治疗", "role": "doctor"}, {"turn": 5, "text": "做了检查吃了药", "role": "patient"}, {"turn": 6, "text": "有好转吗？", "role": "doctor"}, {"turn": 7, "text": "没有热敷", "role": "patient"}, {"turn": 8, "text": "没有管用", "role": "patient"}, {"turn": 9, "text": "建议去医院检查一下。排除关节软骨盘损伤的可能", "role": "doctor"}, {"turn": 10, "text": "吃了甲钴胺和维生素B1", "role": "patient"}, {"turn": 11, "text": "去挂啥科", "role": "patient"}, {"turn": 12, "text": "骨科", "role": "doctor"}, {"turn": 13, "text": "上次挂的神经内科", "role": "patient"}, {"turn": 14, "text": "外伤引起的肿胀看骨科", "role": "doctor"}, {"turn": 15, "text": "手指还麻骨关节痛肿胀", "role": "patient"}, {"turn": 16, "text": "去化验一下血风湿四项", "role": "doctor"}, {"turn": 17, "text": "查一下颈椎", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1486, "thread": [{"turn": 0, "text": "七个月宝宝吃奶粉便秘了怎么办？（女，7个月）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "三天没拉了，今天下午就拉了一颗硬疙瘩，怎么办呢？", "role": "patient"}, {"turn": 3, "text": "有没有给宝宝吃点益生菌？", "role": "doctor"}, {"turn": 4, "text": "下午吃了一包合生元，目前还没看到效果", "role": "patient"}, {"turn": 5, "text": "目前宝宝哭闹吗？", "role": "doctor"}, {"turn": 6, "text": "肚子胀吗？", "role": "doctor"}, {"turn": 7, "text": "白天情绪很好，晚上睡觉容易醒哭闹，感觉肚子还是不大舒服，摸上去还是比较软的，胃口没有以前好了", "role": "patient"}, {"turn": 8, "text": "如果是这样的话，建议您可以用开塞露", "role": "doctor"}, {"turn": 9, "text": "但是一定要连续吃一星期的益生菌，慢慢可以调节过来的", "role": "doctor"}, {"turn": 10, "text": "这么小可以用开塞露吗？会不会有什么伤害？", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "稀释一下就行", "role": "doctor"}, {"turn": 13, "text": "好的，谢谢您", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1487, "thread": [{"turn": 0, "text": "腰扭伤好几天了吃红药片了还疼（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好！扭伤有多久了？", "role": "doctor"}, {"turn": 2, "text": "四天了", "role": "patient"}, {"turn": 3, "text": "怎么扭伤的？", "role": "doctor"}, {"turn": 4, "text": "搬沉东西", "role": "patient"}, {"turn": 5, "text": "原来没扭过", "role": "patient"}, {"turn": 6, "text": "今天做了按摩了", "role": "patient"}, {"turn": 7, "text": "有没有臀部，或者腿部的不适感", "role": "doctor"}, {"turn": 8, "text": "有点", "role": "patient"}, {"turn": 9, "text": "又来有过类似的情况吗？", "role": "doctor"}, {"turn": 10, "text": "股骨头那一左一右", "role": "patient"}, {"turn": 11, "text": "原来没有", "role": "patient"}, {"turn": 12, "text": "不能搓一下腰突吧\n😓", "role": "patient"}, {"turn": 13, "text": "这个情况我觉得不仅仅是扭伤的问题，我觉得不排除腰椎间盘突出的可能性", "role": "doctor"}, {"turn": 14, "text": "另外不排除腰椎小关节紊乱的可能性", "role": "doctor"}, {"turn": 15, "text": "腰突一般不都干重活得的吗", "role": "patient"}, {"turn": 16, "text": "我腰椎本身不好，当时我抛妇产手术时候打麻药还是麻醉主任打的呢", "role": "patient"}, {"turn": 17, "text": "麻醉科打不上", "role": "patient"}, {"turn": 18, "text": "腰椎间盘突出跟麻醉没关系。另外不是重体力活才得腰椎间盘突出的。", "role": "doctor"}, {"turn": 19, "text": "比如说教师，司机，白领，会计等等", "role": "doctor"}, {"turn": 20, "text": "这次能影响腰椎吗", "role": "patient"}, {"turn": 21, "text": "艾玛⊙∀⊙？", "role": "patient"}, {"turn": 22, "text": "我个人建议，你最好是去医院做个腰椎CT，", "role": "doctor"}, {"turn": 23, "text": "这样放心，然后在对症处理", "role": "doctor"}, {"turn": 24, "text": "谢谢大夫，扭伤多长时间能好", "role": "patient"}, {"turn": 25, "text": "我觉得一个星期够呛了", "role": "patient"}, {"turn": 26, "text": "扭伤，休息＋按摩的话，一周左右吧", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1488, "thread": [{"turn": 0, "text": "十个月宝宝大便像牙膏状是不是便秘（女，0岁）", "role": "patient"}, {"turn": 1, "text": "您好，宝宝几天一次大便？", "role": "doctor"}, {"turn": 2, "text": "吃米粉的时候两天一次，大便特别费劲。", "role": "patient"}, {"turn": 3, "text": "如果不吃辅食一天就两三次这样就是", "role": "patient"}, {"turn": 4, "text": "腹部保暖就可以改善", "role": "doctor"}, {"turn": 5, "text": "排牙膏状的大便就哭。", "role": "patient"}, {"turn": 6, "text": "可以口服乳果糖口服液促进肠蠕动", "role": "doctor"}, {"turn": 7, "text": "您说这种情况是不是肛门狭窄呢", "role": "patient"}, {"turn": 8, "text": "也不是便秘形状质地都和牙膏一样。", "role": "patient"}, {"turn": 9, "text": "肛门狭窄的可能性不大", "role": "doctor"}, {"turn": 10, "text": "给她喝了。", "role": "patient"}, {"turn": 11, "text": "可以的", "role": "doctor"}, {"turn": 12, "text": "暖水袋暖肚子就可以", "role": "doctor"}, {"turn": 13, "text": "什么是肛门狭窄呢。感觉孩子屁眼小。大便撑的有点裂", "role": "patient"}, {"turn": 14, "text": "好哒", "role": "patient"}, {"turn": 15, "text": "是个月的孩子加辅食以后大便应该是什么形状的", "role": "patient"}, {"turn": 16, "text": "十个月大的孩子", "role": "patient"}, {"turn": 17, "text": "软便", "role": "doctor"}, {"turn": 18, "text": "像牙膏这样的是软便吗", "role": "patient"}, {"turn": 19, "text": "有可能", "role": "doctor"}, {"turn": 20, "text": "像麻酱一样", "role": "patient"}, {"turn": 21, "text": "不是固定不变的大便形状", "role": "doctor"}, {"turn": 22, "text": "好吧。", "role": "patient"}, {"turn": 23, "text": "好的", "role": "doctor"}, {"turn": 24, "text": "孩子拉成型的大便就哭", "role": "patient"}, {"turn": 25, "text": "看一下有没有肛裂", "role": "doctor"}, {"turn": 26, "text": "肛门狭窄是什么样的", "role": "patient"}, {"turn": 27, "text": "有点撑的裂了", "role": "patient"}, {"turn": 28, "text": "不能描述", "role": "doctor"}, {"turn": 29, "text": "康复新液湿敷一下", "role": "doctor"}, {"turn": 30, "text": "我看孩子屁眼有点小呢。", "role": "patient"}, {"turn": 31, "text": "好吧。有时间去趟医院检查看看吧。谢谢您了", "role": "patient"}, {"turn": 32, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1489, "thread": [{"turn": 0, "text": "肝血不足耳鸣，三年，头晕（男，27岁）", "role": "patient"}, {"turn": 1, "text": "你好，头晕是昏昏沉沉还是天旋地转", "role": "doctor"}, {"turn": 2, "text": "有时候昏昏沉沉的", "role": "patient"}, {"turn": 3, "text": "有时候还算正常", "role": "patient"}, {"turn": 4, "text": "？？？。", "role": "patient"}, {"turn": 5, "text": "耳鸣是阵发性还是持续性，听力减退吗，身体有其他系统性疾病吗?", "role": "doctor"}, {"turn": 6, "text": "肝血不足是中医诊断，除了头昏耳鸣还有其他不适吗?夜间睡眠好吗？", "role": "doctor"}, {"turn": 7, "text": "三年期间去医院看过吗?做过什么检查吗?", "role": "doctor"}, {"turn": 8, "text": "睡眠一躺下很快就睡着了，最近去体检了没检查出其他问题，没有去三甲医院看过呢", "role": "patient"}, {"turn": 9, "text": "耳鸣是阵发性还是持续性，听力减退吗，身体有其他系统性疾病吗?", "role": "doctor"}, {"turn": 10, "text": "最近工作学习压力大吗？\n头昏昏沉沉有服用过药物吗?", "role": "doctor"}, {"turn": 11, "text": "持续的，没有其他系统疾病", "role": "patient"}, {"turn": 12, "text": "有服过药的，但是没有好转", "role": "patient"}, {"turn": 13, "text": "听力是正常的，对吗？\n有没有做过电测听及声阻抗", "role": "doctor"}, {"turn": 14, "text": "吃的什么药物，效果不好?", "role": "doctor"}, {"turn": 15, "text": "听力正常，没有做过电测听及声阻抗", "role": "patient"}, {"turn": 16, "text": "耳鸣伴头昏，建议完善头颅核磁及电测听及声阻抗，排除器质性问题，耳鸣有耳朵问题，脑的问题及功能性问题都可以引起，排除器质性问题，可以服用药物改善症状", "role": "doctor"}, {"turn": 17, "text": "去哪里做呢", "role": "patient"}, {"turn": 18, "text": "可以到当地医院就诊。便民门诊给你开检查预约做就可以", "role": "doctor"}, {"turn": 19, "text": "先去挂号，在检查咯", "role": "patient"}, {"turn": 20, "text": "嗯嗯", "role": "doctor"}, {"turn": 21, "text": "便民门诊比较方便", "role": "doctor"}, {"turn": 22, "text": "有问题随时咨询啊", "role": "doctor"}, {"turn": 23, "text": "希望能早日康复，如有问题可随时咨询啊 你的满意就是我最大的心愿🍀🍀🍀，满意别忘了给我好评吆👍", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1490, "thread": [{"turn": 0, "text": "20个月的宝宝消化不良吃什么药（男，1岁8个月）", "role": "patient"}, {"turn": 1, "text": "你好，孩子有什么症状呢", "role": "doctor"}, {"turn": 2, "text": "前几天有点拉肚子，然后大便有稀的还有小块的，然后今天大便就不行成型了", "role": "patient"}, {"turn": 3, "text": "胃口怎么样呢", "role": "doctor"}, {"turn": 4, "text": "白天没什么特别的，有两天晚上哭来着，给揉揉肚子就好了", "role": "patient"}, {"turn": 5, "text": "胃口还可以", "role": "patient"}, {"turn": 6, "text": "嗯嗯，可能是拉肚子了引起的，今天大便正常了吗", "role": "doctor"}, {"turn": 7, "text": "今天还是不成型", "role": "patient"}, {"turn": 8, "text": "看着大便吃的东西也消化的不太好", "role": "patient"}, {"turn": 9, "text": "可以益生菌配合醒脾养儿颗粒吃点看看", "role": "doctor"}, {"turn": 10, "text": "什么益生菌", "role": "patient"}, {"turn": 11, "text": "就都是养脾胃助消化的药是吧", "role": "patient"}, {"turn": 12, "text": "嗯是的，益生菌比如布拉氏酵母菌或者培菲康或者合生元的益生菌也可以的", "role": "doctor"}, {"turn": 13, "text": "哦哦好的我给买点试试", "role": "patient"}, {"turn": 14, "text": "嗯嗯", "role": "doctor"}, {"turn": 15, "text": "他这个不用先吃点止泻的吗", "role": "patient"}, {"turn": 16, "text": "不是很稀的可以先这样吃的，很稀的可以买点蒙脱石散一起吃的", "role": "doctor"}, {"turn": 17, "text": "好的，谢谢", "role": "patient"}, {"turn": 18, "text": "不客气的哈", "role": "doctor"}, {"turn": 19, "text": "他吃核桃啥的有影响吗", "role": "patient"}, {"turn": 20, "text": "核桃现在消化不好先不要吃哦", "role": "doctor"}, {"turn": 21, "text": "哦哦好的", "role": "patient"}, {"turn": 22, "text": "嗯嗯😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1491, "thread": [{"turn": 0, "text": "经常耳鸣是怎么回事？（女，50岁）", "role": "patient"}, {"turn": 1, "text": "你好，能引起耳鸣的原因很多，请问，你是单侧耳鸣，还是双侧耳鸣", "role": "doctor"}, {"turn": 2, "text": "单侧耳呜，在左边。", "role": "patient"}, {"turn": 3, "text": "多长时间了", "role": "doctor"}, {"turn": 4, "text": "有一年多了，时好时坏。", "role": "patient"}, {"turn": 5, "text": "耳鸣是什么音调，是高音调，如蝉鸣，，还是低音调的，如嗡嗡响", "role": "doctor"}, {"turn": 6, "text": "低音响，嗡嗡响。", "role": "patient"}, {"turn": 7, "text": "平时鼻腔通气好不好", "role": "doctor"}, {"turn": 8, "text": "还好，我左边鼻腔有点毛病。有时候会发炎。", "role": "patient"}, {"turn": 9, "text": "耳朵是哪一侧耳鸣，耳朵听力怎么样", "role": "doctor"}, {"turn": 10, "text": "左侧，听力还好，能听见。", "role": "patient"}, {"turn": 11, "text": "好的，左侧耳鸣有以下原因可以引起，\n1.左侧鼻腔导致左耳咽鼓管不通畅引起，这种情况下鼻腔里没有分泌物的时候，可以做捏鼻鼓气。看看耳鸣有没有缓解。\n2.也不排除耳部神经引起，需要去医院做检查看。\n3.平时注意有没有颈椎病。", "role": "doctor"}, {"turn": 12, "text": "我有颈推病，听别人说肾不好也会引起耳鸣，有这么回事吗？", "role": "patient"}, {"turn": 13, "text": "中医学上讲肾开窍于耳，，但是具体怎么和耳部有联系，我不清楚哈。如果你想了解中医方面，我可以给你转中医科哈。", "role": "doctor"}, {"turn": 14, "text": "好的谢谢", "role": "patient"}, {"turn": 15, "text": "不客气哈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1492, "thread": [{"turn": 0, "text": "嗓子痒想咳嗽吃什么比较好（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，多长时间了？有没有感冒？", "role": "doctor"}, {"turn": 2, "text": "有三四天了", "role": "patient"}, {"turn": 3, "text": "没有感冒", "role": "patient"}, {"turn": 4, "text": "不发烧，不流鼻子", "role": "patient"}, {"turn": 5, "text": "除了嗓子痒想咳嗽还有没有其他症状？", "role": "doctor"}, {"turn": 6, "text": "没有了", "role": "patient"}, {"turn": 7, "text": "这种情况的话可以煮点冰糖雪梨水喝润肺的", "role": "doctor"}, {"turn": 8, "text": "就是嗓子痒想咳嗽，晚上更严重频繁些", "role": "patient"}, {"turn": 9, "text": "那是干咳吗", "role": "doctor"}, {"turn": 10, "text": "是的", "role": "patient"}, {"turn": 11, "text": "干咳", "role": "patient"}, {"turn": 12, "text": "以前有没有这种情况出现过", "role": "doctor"}, {"turn": 13, "text": "以前感冒时也有过", "role": "patient"}, {"turn": 14, "text": "缓解咳嗽症状的话可以吃点复方甘草片", "role": "doctor"}, {"turn": 15, "text": "比较经常嗓子痒疼不舒服的情况", "role": "patient"}, {"turn": 16, "text": "但也不是天天这样，偶尔感冒会这样", "role": "patient"}, {"turn": 17, "text": "好的", "role": "patient"}, {"turn": 18, "text": "是不是天气变化容易发作", "role": "doctor"}, {"turn": 19, "text": "是的", "role": "patient"}, {"turn": 20, "text": "养阴清肺膏咋样", "role": "patient"}, {"turn": 21, "text": "既往有没有什么疾病", "role": "doctor"}, {"turn": 22, "text": "没有", "role": "patient"}, {"turn": 23, "text": "天冷就是经常感冒，别的没什么", "role": "patient"}, {"turn": 24, "text": "可以吃的，主要还是注意保暖，避免感冒", "role": "doctor"}, {"turn": 25, "text": "饮食清淡", "role": "doctor"}, {"turn": 26, "text": "这才感冒好了没多久", "role": "patient"}, {"turn": 27, "text": "做过胸片没有，如果经常感冒咳嗽，可以做个胸片看看", "role": "doctor"}, {"turn": 28, "text": "做过", "role": "patient"}, {"turn": 29, "text": "稍微支气管炎，医生说成年人很多都是这，开些药不必放在心上", "role": "patient"}, {"turn": 30, "text": "我也就没在意", "role": "patient"}, {"turn": 31, "text": "那就更要注意了，反复发作是会引起慢性支气管炎的，后期会出并发症", "role": "doctor"}, {"turn": 32, "text": "那我炖梨水喝比较好还是喝清肺膏", "role": "patient"}, {"turn": 33, "text": "怎样注意", "role": "patient"}, {"turn": 34, "text": "穿厚饮食清淡？", "role": "patient"}, {"turn": 35, "text": "都可以吃的", "role": "doctor"}, {"turn": 36, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 37, "text": "注意保暖，避免冷空气刺激，加强自身锻炼，增加免疫力", "role": "doctor"}, {"turn": 38, "text": "嗯，好的", "role": "patient"}, {"turn": 39, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1493, "thread": [{"turn": 0, "text": "朱医生，咨询问题哈? \n女  25岁   近期有性生活\n姨妈推迟16天，小腹有下坠感且轻微疼痛? 今天下午来月经了，第一次量大，然后没有了，到晚上有一次，量也挺大?    腰酸背痛，因为之前这种现象很少，不知道是不是月经还是别的什么（女，24岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您月经血是什么颜色的", "role": "doctor"}, {"turn": 2, "text": "上一次月经什么时候？", "role": "doctor"}, {"turn": 3, "text": "有点儿偏褐色，上次大概12.1左右", "role": "patient"}, {"turn": 4, "text": "排除怀孕了吗？", "role": "doctor"}, {"turn": 5, "text": "月经推迟16天", "role": "doctor"}, {"turn": 6, "text": "做过早孕试纸检测了吗？", "role": "doctor"}, {"turn": 7, "text": "没有排除，因为今天刚来", "role": "patient"}, {"turn": 8, "text": "就是在考虑有没有怀孕的可能因为", "role": "patient"}, {"turn": 9, "text": "所以先来咨询一下医生的?", "role": "patient"}, {"turn": 10, "text": "嗯", "role": "doctor"}, {"turn": 11, "text": "要不明天早晨用早孕试纸检测一下。", "role": "doctor"}, {"turn": 12, "text": "取晨尿", "role": "doctor"}, {"turn": 13, "text": "月经推迟这么多时间了。也没查下呀？", "role": "doctor"}, {"turn": 14, "text": "好的，因为有几次也推迟了的", "role": "patient"}, {"turn": 15, "text": "但这次推迟的有点儿长，而且月经量不对", "role": "patient"}, {"turn": 16, "text": "嗯", "role": "doctor"}, {"turn": 17, "text": "所以是要排除一下呀。", "role": "doctor"}, {"turn": 18, "text": "同时也要注意不要熬夜，要养成良好的生活作息习惯，争取在晚上11:00之前睡觉呀。", "role": "doctor"}, {"turn": 19, "text": "我有点儿不太懂? 坐车的时候做副驾驶，坐着都有点儿腰疼", "role": "patient"}, {"turn": 20, "text": "不然这种也会影响内分泌。", "role": "doctor"}, {"turn": 21, "text": "嗯，不管是什么情况下都不宜久坐或者是久站。", "role": "doctor"}, {"turn": 22, "text": "好的，以后不熬夜了? 这两天熬夜了", "role": "patient"}, {"turn": 23, "text": "?是的哟", "role": "doctor"}, {"turn": 24, "text": "也要进行积极的体育运动，比如嗯，跳跳舞，跑跑步，练练瑜伽什么的。", "role": "doctor"}, {"turn": 25, "text": "好嘞，我先自我排除下哈", "role": "patient"}, {"turn": 26, "text": "可以提高身体的免疫力。", "role": "doctor"}, {"turn": 27, "text": "嗯呐", "role": "doctor"}, {"turn": 28, "text": "有什么不懂的，以后再来咨询。", "role": "doctor"}, {"turn": 29, "text": "有别的情况我再来咨询医生", "role": "patient"}, {"turn": 30, "text": "? ? ?", "role": "patient"}, {"turn": 31, "text": "??好的好的", "role": "doctor"}, {"turn": 32, "text": "辛苦了，朱医生", "role": "patient"}, {"turn": 33, "text": "不辛苦，应该滴", "role": "doctor"}, {"turn": 34, "text": "??", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1494, "thread": [{"turn": 0, "text": "喉咙痒咳嗽，一个月左右（男，42岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您服务", "role": "doctor"}, {"turn": 2, "text": "请问有没有晨起睡前咳嗽啊", "role": "doctor"}, {"turn": 3, "text": "平时有没有过敏性鼻炎", "role": "doctor"}, {"turn": 4, "text": "没有鼻炎", "role": "patient"}, {"turn": 5, "text": "一个月前感冒咳嗽，一直到现在", "role": "patient"}, {"turn": 6, "text": "咳嗽前有没有感冒啊", "role": "doctor"}, {"turn": 7, "text": "做了哪些检查", "role": "doctor"}, {"turn": 8, "text": "吃了什么药物啊", "role": "doctor"}, {"turn": 9, "text": "感冒了", "role": "patient"}, {"turn": 10, "text": "有没有抽血查个肺炎支原体抗体和胸片啊", "role": "doctor"}, {"turn": 11, "text": "咽炎，肺炎，支气管炎", "role": "patient"}, {"turn": 12, "text": "血项没问题", "role": "patient"}, {"turn": 13, "text": "把检查结果发来看看", "role": "doctor"}, {"turn": 14, "text": "现在呼吸时喉咙痒咳嗽", "role": "patient"}, {"turn": 15, "text": "没在身边", "role": "patient"}, {"turn": 16, "text": "医生有诊断肺炎吗", "role": "doctor"}, {"turn": 17, "text": "输液还是吃药了", "role": "doctor"}, {"turn": 18, "text": "没有", "role": "patient"}, {"turn": 19, "text": "开了点咽炎，肺炎，支气管炎的药", "role": "patient"}, {"turn": 20, "text": "吃了多久啊", "role": "doctor"}, {"turn": 21, "text": "平时有没有药物过敏啊", "role": "doctor"}, {"turn": 22, "text": "没有药物过敏", "role": "patient"}, {"turn": 23, "text": "吃了半个月", "role": "patient"}, {"turn": 24, "text": "最近吃的药名是什么啊", "role": "doctor"}, {"turn": 25, "text": "还记得吗", "role": "doctor"}, {"turn": 26, "text": "阿莫斯林", "role": "patient"}, {"turn": 27, "text": "阿莫西林", "role": "doctor"}, {"turn": 28, "text": "还有呢", "role": "doctor"}, {"turn": 29, "text": "目前咳嗽有黄痰吗", "role": "doctor"}, {"turn": 30, "text": "还要三个记不得了", "role": "patient"}, {"turn": 31, "text": "咳嗽什么时段厉害啊", "role": "doctor"}, {"turn": 32, "text": "这几天没什么痰了，有时是白痰", "role": "patient"}, {"turn": 33, "text": "间接性咳嗽，喉咙一痒，就要咳嗽", "role": "patient"}, {"turn": 34, "text": "人呢", "role": "patient"}, {"turn": 35, "text": "怎么没有回复了", "role": "patient"}, {"turn": 36, "text": "稍等一下", "role": "doctor"}, {"turn": 37, "text": "开车中", "role": "doctor"}, {"turn": 38, "text": "可以考虑吃点美敏伪麻溶液和苏黄止咳胶囊看看", "role": "doctor"}, {"turn": 39, "text": "如果有黄痰，可以吃点阿奇霉素", "role": "doctor"}, {"turn": 40, "text": "感觉有可能是感冒后气道高敏状态", "role": "doctor"}, {"turn": 41, "text": "吃点苏黄止咳胶囊和美敏伪麻溶液应该能缓解", "role": "doctor"}, {"turn": 42, "text": "如果有效估计三五天就会看到明显效果", "role": "doctor"}, {"turn": 43, "text": "咳嗽久了，阿莫西林不建议吃，万一有支原体感染，阿莫西林就无效", "role": "doctor"}, {"turn": 44, "text": "避免辛辣食物，避免烟酒刺激", "role": "doctor"}, {"turn": 45, "text": "避免再次受凉", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1495, "thread": [{"turn": 0, "text": "肚子消化不良怎么办快速解决（女，23岁）", "role": "patient"}, {"turn": 1, "text": "你好、这种情况有多久了啊？", "role": "doctor"}, {"turn": 2, "text": "大概半年差不多", "role": "patient"}, {"turn": 3, "text": "具体什么症状？", "role": "doctor"}, {"turn": 4, "text": "感觉周围人消化都比较好", "role": "patient"}, {"turn": 5, "text": "我是3 4 天才排便", "role": "patient"}, {"turn": 6, "text": "还有别的症状吗", "role": "doctor"}, {"turn": 7, "text": "肚子按下去都是硬硬", "role": "patient"}, {"turn": 8, "text": "肚子按下去都是硬硬的", "role": "patient"}, {"turn": 9, "text": "其它没有什么情况", "role": "patient"}, {"turn": 10, "text": "平时水果蔬菜吃得多吗", "role": "doctor"}, {"turn": 11, "text": "一般", "role": "patient"}, {"turn": 12, "text": "一般吧", "role": "patient"}, {"turn": 13, "text": "活动量大吗？水喝的多吗", "role": "doctor"}, {"turn": 14, "text": "活动量不大，工作基本坐着", "role": "patient"}, {"turn": 15, "text": "嗯", "role": "doctor"}, {"turn": 16, "text": "建议您增加水果蔬菜等膳食纤维的摄入", "role": "doctor"}, {"turn": 17, "text": "喝水会感觉肚子很撑，没有吸收", "role": "patient"}, {"turn": 18, "text": "喝的肚子会难受，很", "role": "patient"}, {"turn": 19, "text": "喝的肚子会难受，很涨", "role": "patient"}, {"turn": 20, "text": "如果没有不舒服，只是排便不好，可以吃通便的药，比如乳果糖或者舒泰清", "role": "doctor"}, {"turn": 21, "text": "喝水是通过肾脏排泄的，如果喝的太急，会引起腹胀", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1496, "thread": [{"turn": 0, "text": "昨天试管移植囊胚后高烧38.3。今早上退烧了。并有点拉肚子。但不是水样。四次。昨天去医院建议物理降温。好担心今天还会烧起来。早上九点测体温36.8。三点测体温37.3。  会不会影响胚胎着床。（女，26岁）", "role": "patient"}, {"turn": 1, "text": "发烧有可能会影响的 ，多喝水", "role": "doctor"}, {"turn": 2, "text": "清淡饮食", "role": "doctor"}, {"turn": 3, "text": "有别的不舒服的感觉吗", "role": "doctor"}, {"turn": 4, "text": "没感冒吧", "role": "doctor"}, {"turn": 5, "text": "是不是流感，有没有咳嗽鼻塞流涕的感觉", "role": "doctor"}, {"turn": 6, "text": "没有感冒症状。除了有点头疼", "role": "patient"}, {"turn": 7, "text": "都没有", "role": "patient"}, {"turn": 8, "text": "那就先观察看看吧", "role": "doctor"}, {"turn": 9, "text": "多喝水，物理降温吧", "role": "doctor"}, {"turn": 10, "text": "有可能和移植有关", "role": "doctor"}, {"turn": 11, "text": "和移植有关是不是排斥反应", "role": "patient"}, {"turn": 12, "text": "对呢", "role": "doctor"}, {"turn": 13, "text": "那是不是成功的概率就不高了", "role": "patient"}, {"turn": 14, "text": "也不一定", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1497, "thread": [{"turn": 0, "text": "您好，我想咨询有关早孕的问题（女，31岁）", "role": "patient"}, {"turn": 1, "text": "您好，末次月经是什么时候？", "role": "doctor"}, {"turn": 2, "text": "9月27日", "role": "patient"}, {"turn": 3, "text": "月经规律吗？", "role": "doctor"}, {"turn": 4, "text": "近半年基本上规律的，偶尔会推迟一天", "role": "patient"}, {"turn": 5, "text": "目前停经24天，应该还验不出怀孕", "role": "doctor"}, {"turn": 6, "text": "如果月经规律，排卵日应该是10月13号", "role": "doctor"}, {"turn": 7, "text": "如果有月经提早情况，才刚刚验血能验出来", "role": "doctor"}, {"turn": 8, "text": "是不是这个时候不会有任何反应和症状，我最近有点恶心，还有体温持续升高，尿频的症状", "role": "patient"}, {"turn": 9, "text": "我监测排卵9号就排卵了", "role": "patient"}, {"turn": 10, "text": "目前不会有症状，要血hcg升高，你才有症状", "role": "doctor"}, {"turn": 11, "text": "是试纸验的还是超声监测排卵", "role": "doctor"}, {"turn": 12, "text": "B超监测的", "role": "patient"}, {"turn": 13, "text": "那应该挺准的", "role": "doctor"}, {"turn": 14, "text": "你是9号同房的？", "role": "doctor"}, {"turn": 15, "text": "8号", "role": "patient"}, {"turn": 16, "text": "那你可以去医院验血hcg确认一下是否怀孕", "role": "doctor"}, {"turn": 17, "text": "这么短时间能验血吗？", "role": "patient"}, {"turn": 18, "text": "同房13天，血hcg可以查出是否怀孕", "role": "doctor"}, {"turn": 19, "text": "如果你9号以后还有同房，也可以等几天", "role": "doctor"}, {"turn": 20, "text": "好的，还有我服用过地屈孕酮片这个会不会引起恶心呕吐， 停药两天了还是有恶心症状", "role": "patient"}, {"turn": 21, "text": "你为什么提前服用地屈孕酮？激素水平有问题？", "role": "doctor"}, {"turn": 22, "text": "孕酮药容易引起头晕，恶心", "role": "doctor"}, {"turn": 23, "text": "是的，医生给我开的，我已经停药了", "role": "patient"}, {"turn": 24, "text": "我服用了6天", "role": "patient"}, {"turn": 25, "text": "那应该是服用地屈孕酮片引起的副作用吧？", "role": "patient"}, {"turn": 26, "text": "你再观察一下看看", "role": "doctor"}, {"turn": 27, "text": "应该是，怀孕最早期除了乳房胀痛，劳累，没啥症状，血hcg越来越高，孕期症状才明显", "role": "doctor"}, {"turn": 28, "text": "乳房确实也有胀痛，劳累也有，想睡觉，口干体温升高", "role": "patient"}, {"turn": 29, "text": "不着急的话，过个几天去医院验个血", "role": "doctor"}, {"turn": 30, "text": "好的，谢谢", "role": "patient"}, {"turn": 31, "text": "不用客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1498, "thread": [{"turn": 0, "text": "提重物上楼会导致气胸吗？（女，22岁）", "role": "patient"}, {"turn": 1, "text": "您好，您目前情况持续多久了？", "role": "doctor"}, {"turn": 2, "text": "干重活，是可以引起气胸的", "role": "doctor"}, {"turn": 3, "text": "特别是在有憋气的情况年", "role": "doctor"}, {"turn": 4, "text": "特别是在有憋气的情况下", "role": "doctor"}, {"turn": 5, "text": "我是大学生 现在兼职送餐员，就是每天负责提很多个饭送到寝室，", "role": "patient"}, {"turn": 6, "text": "现在有什么症状？", "role": "doctor"}, {"turn": 7, "text": "呼吸困难吗？", "role": "doctor"}, {"turn": 8, "text": "但是我倒没有憋气提", "role": "patient"}, {"turn": 9, "text": "就是感觉前胸有点不舒服", "role": "patient"}, {"turn": 10, "text": "应该不是气胸", "role": "doctor"}, {"turn": 11, "text": "气胸的主要症状是胸痛，呼吸困难", "role": "doctor"}, {"turn": 12, "text": "这两天还有点咳嗽，气胸的症状有咳嗽吗", "role": "patient"}, {"turn": 13, "text": "不是", "role": "doctor"}, {"turn": 14, "text": "气胸的主要症状是胸痛，呼吸困难", "role": "doctor"}, {"turn": 15, "text": "咳嗽，气管炎最容易引起", "role": "doctor"}, {"turn": 16, "text": "那我想确诊的话，是不是要拍ct吗？", "role": "patient"}, {"turn": 17, "text": "听诊能听出来吗", "role": "patient"}, {"turn": 18, "text": "拍x线即可", "role": "doctor"}, {"turn": 19, "text": "听诊不准确", "role": "doctor"}, {"turn": 20, "text": "嗯嗯 那您觉得我有必要去检查吗", "role": "patient"}, {"turn": 21, "text": "现在这个症状", "role": "patient"}, {"turn": 22, "text": "我建议你注意休息一下", "role": "doctor"}, {"turn": 23, "text": "观察随访即可", "role": "doctor"}, {"turn": 24, "text": "一般一周左右就慢慢恢复了", "role": "doctor"}, {"turn": 25, "text": "如果持续超过一周或者症状更明显了，再去做检查也不迟", "role": "doctor"}, {"turn": 26, "text": "好的", "role": "patient"}, {"turn": 27, "text": "气胸可以自愈吗？", "role": "patient"}, {"turn": 28, "text": "少量气胸，可以自愈", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1499, "thread": [{"turn": 0, "text": "化脓性扁桃体炎怎么才能舒服点（女，21岁）", "role": "patient"}, {"turn": 1, "text": "你好，目前有什么症状吗？多长时间了？体温怎么样？", "role": "doctor"}, {"turn": 2, "text": "目前有发热的情况 喉咙疼是第五天 但是今天是第二天挂水的回来以后嗓子还是干疼  咽口水也疼的厉害", "role": "patient"}, {"turn": 3, "text": "扁桃体化脓的话一般是链球菌感染，需要注意休息好，多喝水，清淡饮食，可以输液抗生素类的，体温超过38.5度的话需要口服退烧药物如布洛芬", "role": "doctor"}, {"turn": 4, "text": "怎么能减少疼痛呢医生 这疼的我什么都没办法做 吃饭睡觉都不行 牙齿还开始痛", "role": "patient"}, {"turn": 5, "text": "炎症控制了的话疼痛也会减轻的，如果目前疼痛厉害，可以口服布洛芬止痛", "role": "doctor"}, {"turn": 6, "text": "好的谢谢医生了", "role": "patient"}, {"turn": 7, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1500, "thread": [{"turn": 0, "text": "主动脉夹层手术后不醒（男，65岁）", "role": "patient"}, {"turn": 1, "text": "你好，术后多长时间了？", "role": "doctor"}, {"turn": 2, "text": "今天第六天", "role": "patient"}, {"turn": 3, "text": "CT显示脑梗不是脑干部位", "role": "patient"}, {"turn": 4, "text": "CT显示脑梗不是脑干部位", "role": "patient"}, {"turn": 5, "text": "头会动一下这样然后会咳嗽但是叫他没反应", "role": "patient"}, {"turn": 6, "text": "在监护室吗？", "role": "doctor"}, {"turn": 7, "text": "是的", "role": "patient"}, {"turn": 8, "text": "是的呼吸机在用医生说下周可能要切喉", "role": "patient"}, {"turn": 9, "text": "你好医生还在吗", "role": "patient"}, {"turn": 10, "text": "说吧", "role": "doctor"}, {"turn": 11, "text": "他现在这样醒过来的概率还大吗", "role": "patient"}, {"turn": 12, "text": "右侧大面积脑梗塞，医生说属于术后并发症", "role": "patient"}, {"turn": 13, "text": "时间短，应该有机会，如果超过一月没有醒过来，当然是在不用镇静药的前提下，醒过来的可能就不大了", "role": "doctor"}, {"turn": 14, "text": "好那我再等等看", "role": "patient"}, {"turn": 15, "text": "明天白天我上传下他之前的脑CT麻烦帮我看看", "role": "patient"}, {"turn": 16, "text": "行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1501, "thread": [{"turn": 0, "text": "早孕反应不吐只是恶心正常吗（女，18岁）", "role": "patient"}, {"turn": 1, "text": "你好，这是正常的哈！", "role": "doctor"}, {"turn": 2, "text": "只是恶心不吐，总是想睡，有时候回腹痛", "role": "patient"}, {"turn": 3, "text": "正常的反应", "role": "doctor"}, {"turn": 4, "text": "50天能看见胎心胎芽了吗？", "role": "patient"}, {"turn": 5, "text": "可以", "role": "doctor"}, {"turn": 6, "text": "49天去会不会看不清楚", "role": "patient"}, {"turn": 7, "text": "可以的", "role": "doctor"}, {"turn": 8, "text": "怀孕期间不能吃什么东西", "role": "patient"}, {"turn": 9, "text": "没有饮食禁忌", "role": "doctor"}, {"turn": 10, "text": "什么都可以吃吗", "role": "patient"}, {"turn": 11, "text": "可以", "role": "doctor"}, {"turn": 12, "text": "饮料有什么不能喝的", "role": "patient"}, {"turn": 13, "text": "不能", "role": "doctor"}, {"turn": 14, "text": "饮料都不建议喝", "role": "doctor"}, {"turn": 15, "text": "哦哦", "role": "patient"}, {"turn": 16, "text": "好的，谢谢，", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1502, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：狂犬病（男，19岁）", "role": "patient"}, {"turn": 1, "text": "你好，请详细叙述一下你的问题。", "role": "doctor"}, {"turn": 2, "text": "我前几天被猫抓了一下也不疼它抓在背后\n然后我没在意就给忘了我最近想起来拍照看了看啥也没有\n用打针吗", "role": "patient"}, {"turn": 3, "text": "现在打还来的及吗？", "role": "patient"}, {"turn": 4, "text": "不好意思，刚才有事儿，没能及时回复您。", "role": "doctor"}, {"turn": 5, "text": "当时破皮出血了吗？", "role": "doctor"}, {"turn": 6, "text": "不知道", "role": "patient"}, {"turn": 7, "text": "他在背后也不疼然后那就给忘了", "role": "patient"}, {"turn": 8, "text": "到现在有几天了？", "role": "doctor"}, {"turn": 9, "text": "三四天吧", "role": "patient"}, {"turn": 10, "text": "我被来是不想打的 但是猫这两天突然没精神了走路也又不稳 我才想打的", "role": "patient"}, {"turn": 11, "text": "可以考虑打上疫苗的，在发病之前打上疫苗，产生抗体，都可以起到一定的保护作用。", "role": "doctor"}, {"turn": 12, "text": "那我去打两针吧", "role": "patient"}, {"turn": 13, "text": "三四天他伤口会长好吗", "role": "patient"}, {"turn": 14, "text": "皮肤的愈合能力很强，小伤口的话是可以长好的。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1503, "thread": [{"turn": 0, "text": "青光眼控制住眼压是不是就能保住视力?（男，31岁）", "role": "patient"}, {"turn": 1, "text": "你好，大概率是这样的，有些患者眼压正常也会有视神经损伤", "role": "doctor"}, {"turn": 2, "text": "先天性的青光眼，手术28年，三年前复发，现在视力左眼0.5右眼0.05", "role": "patient"}, {"turn": 3, "text": "现在在滴眼药水控制眼压，是不是眼压控制住了视力就可以保持", "role": "patient"}, {"turn": 4, "text": "视力这样多长时间了", "role": "doctor"}, {"turn": 5, "text": "两年", "role": "patient"}, {"turn": 6, "text": "那应该控制好眼压视力可以保持", "role": "doctor"}, {"turn": 7, "text": "会一直保持吗，最后会不会失明", "role": "patient"}, {"turn": 8, "text": "控制住眼压应该会保持住", "role": "doctor"}, {"turn": 9, "text": "若是眼压又控制不了", "role": "doctor"}, {"turn": 10, "text": "就不好说了", "role": "doctor"}, {"turn": 11, "text": "眼压时高时低呢", "role": "patient"}, {"turn": 12, "text": "你就想想血压时高时低对身体的坏处", "role": "doctor"}, {"turn": 13, "text": "是不是眼压时高时低就要用手术控制", "role": "patient"}, {"turn": 14, "text": "规律用药能控制住最好", "role": "doctor"}, {"turn": 15, "text": "如果眼压控制住，最后会失明吗", "role": "patient"}, {"turn": 16, "text": "青光眼最后会不会失明", "role": "patient"}, {"turn": 17, "text": "控制好了失明的概率极小", "role": "doctor"}, {"turn": 18, "text": "现在才31岁，后面还有很多年，担心啥时候就看不见了", "role": "patient"}, {"turn": 19, "text": "定期测量眼压，规律用药控制好眼压，应该就可以维持住", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1504, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：脑梗死（女，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么不舒服的？", "role": "doctor"}, {"turn": 2, "text": "这段时间经常偏头痛 脑袋中间前面不舒服 走路走快点就下肢酸疼没力抬不起来", "role": "patient"}, {"turn": 3, "text": "有多长时间了？", "role": "doctor"}, {"turn": 4, "text": "有时候感觉头一沉晕的感觉", "role": "patient"}, {"turn": 5, "text": "小腿酸有好长时间了 头是最近才开始不舒服", "role": "patient"}, {"turn": 6, "text": "一两月左右 退的话一年左右", "role": "patient"}, {"turn": 7, "text": "腿", "role": "patient"}, {"turn": 8, "text": "请问做过什么检查吗？", "role": "doctor"}, {"turn": 9, "text": "做过心电图24小时动态心电图，还有验血全胸片和颈动脉彩超。", "role": "patient"}, {"turn": 10, "text": "然后我这两个月，呕吐过三四次。然后前两个星期那个胸椎那个地方特别疼 肩膀也疼，两个手都疼的麻了。我就一直想是不是颈椎的问题。", "role": "patient"}, {"turn": 11, "text": "检查结果就说有一点血脂高尿酸高。就没有什么了。", "role": "patient"}, {"turn": 12, "text": "腰椎有问题吗", "role": "doctor"}, {"turn": 13, "text": "腰椎没有问题呀，腰椎不疼。", "role": "patient"}, {"turn": 14, "text": "我这可能是脑梗塞吗？", "role": "patient"}, {"turn": 15, "text": "我需要坐哪些检查啊", "role": "patient"}, {"turn": 16, "text": "建议做一下腰椎的核磁共振", "role": "doctor"}, {"turn": 17, "text": "我之前是有颈椎的不舒服。我腰的话好像没怎么不舒服。", "role": "patient"}, {"turn": 18, "text": "下肢症状很有可能是腰椎引起，建议查一下！", "role": "doctor"}, {"turn": 19, "text": "请问一下医生 我最近经常头顶难受 有的时候眼睛就突然一下看东西模糊一会儿就好。再加上。双腿走快了抬不起来。现在好像20岁左右的脑梗也好多呀，我就挺害怕的，感觉挺像脑梗前期的症状。", "role": "patient"}, {"turn": 20, "text": "我的考虑就是我以上所说", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1505, "thread": [{"turn": 0, "text": "高血压能吃人参和黄芪吗？（女，27岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问您的血压多少呢？", "role": "doctor"}, {"turn": 2, "text": "气虚导致的高血压，可以用人参黄芪", "role": "doctor"}, {"turn": 3, "text": "不吃降压药", "role": "patient"}, {"turn": 4, "text": "100到160多", "role": "patient"}, {"turn": 5, "text": "吃了降压药就是80到134", "role": "patient"}, {"turn": 6, "text": "她平时没有力气", "role": "patient"}, {"turn": 7, "text": "现在有什么不适症状吗？", "role": "doctor"}, {"turn": 8, "text": "感冒", "role": "patient"}, {"turn": 9, "text": "行动艰难", "role": "patient"}, {"turn": 10, "text": "咳嗽", "role": "patient"}, {"turn": 11, "text": "她57了", "role": "patient"}, {"turn": 12, "text": "多久了?看看舌苔", "role": "doctor"}, {"turn": 13, "text": "好几年了", "role": "patient"}, {"turn": 14, "text": "基本上没有什么白色的", "role": "patient"}, {"turn": 15, "text": "舌苔", "role": "patient"}, {"turn": 16, "text": "降压药不要随便停用，血压波动会引起脑血管疾病。", "role": "doctor"}, {"turn": 17, "text": "嗯，她没停", "role": "patient"}, {"turn": 18, "text": "那么同时可以吃人参吗", "role": "patient"}, {"turn": 19, "text": "黄芪呢", "role": "patient"}, {"turn": 20, "text": "中医辨证气虚的，可以服用人参黄芪。", "role": "doctor"}, {"turn": 21, "text": "哦哦，她没有舌苔", "role": "patient"}, {"turn": 22, "text": "是气虚吗", "role": "patient"}, {"turn": 23, "text": "我觉得她有气无力，气若游丝", "role": "patient"}, {"turn": 24, "text": "像是气虚", "role": "patient"}, {"turn": 25, "text": "我非常担心她", "role": "patient"}, {"turn": 26, "text": "之前做了乳腺切割手术", "role": "patient"}, {"turn": 27, "text": "从症状上看有气虚，可以用人参黄芪，注意监测血压", "role": "doctor"}, {"turn": 28, "text": "好的谢谢您", "role": "patient"}, {"turn": 29, "text": "我先给她煮两片参片试试", "role": "patient"}, {"turn": 30, "text": "如果有好转就可以多吃了是吗", "role": "patient"}, {"turn": 31, "text": "人参和黄芪要一起用吗", "role": "patient"}, {"turn": 32, "text": "可以一起用", "role": "doctor"}, {"turn": 33, "text": "好的谢谢您", "role": "patient"}, {"turn": 34, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1506, "thread": [{"turn": 0, "text": "怀孕4个月170斤是不是容易早产（女，32岁）", "role": "patient"}, {"turn": 1, "text": "你好，孕前体重是多少", "role": "doctor"}, {"turn": 2, "text": "160", "role": "patient"}, {"turn": 3, "text": "现在怀孕4个月了", "role": "patient"}, {"turn": 4, "text": "老师还在吗？", "role": "patient"}, {"turn": 5, "text": "在的", "role": "doctor"}, {"turn": 6, "text": "身高多少", "role": "doctor"}, {"turn": 7, "text": "今天去量血压也是正常的，胎心也是正常的胎心", "role": "patient"}, {"turn": 8, "text": "身高157", "role": "patient"}, {"turn": 9, "text": "体重大", "role": "doctor"}, {"turn": 10, "text": "孕期需要控制饮食", "role": "doctor"}, {"turn": 11, "text": "会不会容易早产", "role": "patient"}, {"turn": 12, "text": "任何人怀孕都会有早产的风险", "role": "doctor"}, {"turn": 13, "text": "对于你来说，需要控制饮食，孕期运动", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "第一胎吗", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1507, "thread": [{"turn": 0, "text": "血压高压88低压58，是不是低血压（女，34岁）", "role": "patient"}, {"turn": 1, "text": "你好是的，血压有点低", "role": "doctor"}, {"turn": 2, "text": "明天复查一下", "role": "doctor"}, {"turn": 3, "text": "人精神不集中，容易疲劳跟血压低有没有关系", "role": "patient"}, {"turn": 4, "text": "如果一直低呢", "role": "patient"}, {"turn": 5, "text": "有关系", "role": "doctor"}, {"turn": 6, "text": "如果一直这样，加强营养就好了", "role": "doctor"}, {"turn": 7, "text": "血压低有什么办法", "role": "patient"}, {"turn": 8, "text": "意思我缺营养，可是我不瘦", "role": "patient"}, {"turn": 9, "text": "可以吃点鸡蛋，大枣，红糖", "role": "doctor"}, {"turn": 10, "text": "不行的话可以吃点生脉饮", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1508, "thread": [{"turn": 0, "text": "孕中期检查不溶血到孕晚期还会溶血吗?（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问现在怀孕多少周？", "role": "doctor"}, {"turn": 2, "text": "19周加2", "role": "patient"}, {"turn": 3, "text": "为什么担心溶血的问题", "role": "doctor"}, {"turn": 4, "text": "我是o型血我老公是A型血，我第二个宝宝就是溶血住了半个月院，我前几天检溶血结果是这样还好没有，我就想问问到后期还会溶血吗？", "role": "patient"}, {"turn": 5, "text": "我现在是第三胎", "role": "patient"}, {"turn": 6, "text": "检查结果抗a抗体效价1:16，抗b抗体效价1:16", "role": "patient"}, {"turn": 7, "text": "RH血型阳性，不规则抗体筛检结果阴性（-）", "role": "patient"}, {"turn": 8, "text": "医生你在吗？", "role": "patient"}, {"turn": 9, "text": "动态观察抗体滴度", "role": "doctor"}, {"turn": 10, "text": "是什么意思呢？", "role": "patient"}, {"turn": 11, "text": "抗体滴度需要多次检测", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1509, "thread": [{"turn": 0, "text": "孕早期失眠睡眠障碍彻夜不眠（女，30岁）", "role": "patient"}, {"turn": 1, "text": "调节一下生活习惯，作息时间调整一下，适量活动", "role": "doctor"}, {"turn": 2, "text": "避免夜间吃油腻食品", "role": "doctor"}, {"turn": 3, "text": "医生你说的我都试过，就是不怎么起作用", "role": "patient"}, {"turn": 4, "text": "但是你现在不适合吃药物", "role": "doctor"}, {"turn": 5, "text": "感觉随时都是清醒的，哪里有什么响动都知道。心情一点都不好", "role": "patient"}, {"turn": 6, "text": "爱人在身边多陪陪，调节调节心情", "role": "doctor"}, {"turn": 7, "text": "我就是动不动朝着老公发火", "role": "patient"}, {"turn": 8, "text": "那你得找找原因嘛，为什么发火？什么不满意？", "role": "doctor"}, {"turn": 9, "text": "心情特别差，感觉都要抑郁了", "role": "patient"}, {"turn": 10, "text": "就是因为睡不着嘛心情不好", "role": "patient"}, {"turn": 11, "text": "读一些能修身养性的书，要适当的让自己的胸怀宽广一点", "role": "doctor"}, {"turn": 12, "text": "不然情绪不好影响睡眠，影响宝宝", "role": "doctor"}, {"turn": 13, "text": "听音乐，旅游", "role": "doctor"}, {"turn": 14, "text": "医生你可以推荐一下书，或者音乐。", "role": "patient"}, {"turn": 15, "text": "书的名字和音乐的名字", "role": "patient"}, {"turn": 16, "text": "😄，我对这些也没有特别的研究，和你年轻的朋友沟通一下，适合你们青年人的", "role": "doctor"}, {"turn": 17, "text": "😭😭😭😭😭", "role": "patient"}, {"turn": 18, "text": "总之，每天适当的规划一下生活，让生活变得有意义", "role": "doctor"}, {"turn": 19, "text": "嗯，我都感觉生活没有意义，感觉没有什么意思。我怕是抑郁了", "role": "patient"}, {"turn": 20, "text": "为什么这么悲观呢？迎接新生命了多好！", "role": "doctor"}, {"turn": 21, "text": "是啊医生原本应该高兴的事，可就是高兴不起来", "role": "patient"}, {"turn": 22, "text": "感觉晚上神经总是亢奋，兴奋。怎么也睡不着", "role": "patient"}, {"turn": 23, "text": "生物钟有点紊乱", "role": "doctor"}, {"turn": 24, "text": "这要怎么办", "role": "patient"}, {"turn": 25, "text": "最好靠自我调节，那样对宝宝好", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1510, "thread": [{"turn": 0, "text": "感觉外阴有点痒 之前有霉菌性阴道炎（女，19岁）", "role": "patient"}, {"turn": 1, "text": "那要去复查呢，霉阴炎很容易复发呢", "role": "doctor"}, {"turn": 2, "text": "这个需要吃药还是洗一洗就可以好", "role": "patient"}, {"turn": 3, "text": "用阴道上的药呢", "role": "doctor"}, {"turn": 4, "text": "我就有点痒还有擦的时候感觉有一点一点的东西", "role": "patient"}, {"turn": 5, "text": "应该不是很严重吧", "role": "patient"}, {"turn": 6, "text": "霉阴炎本身很好控制，就是容易反复发作", "role": "doctor"}, {"turn": 7, "text": "那我如果自己买可以买点啥", "role": "patient"}, {"turn": 8, "text": "自己不能用药呢，要查了白带确定是霉菌才能用抗真菌的药，否则适得其反呢", "role": "doctor"}, {"turn": 9, "text": "洗的药也不行嘛", "role": "patient"}, {"turn": 10, "text": "洗的药效果不大，你可以试试", "role": "doctor"}, {"turn": 11, "text": "挂号哪个科呀", "role": "patient"}, {"turn": 12, "text": "妇科呀", "role": "doctor"}, {"turn": 13, "text": "妇产科跟妇科一样吗", "role": "patient"}, {"turn": 14, "text": "妇产科多了产科呀", "role": "doctor"}, {"turn": 15, "text": "不能挂嘛", "role": "patient"}, {"turn": 16, "text": "可以呀", "role": "doctor"}, {"turn": 17, "text": "就是痒", "role": "patient"}, {"turn": 18, "text": "严重吗", "role": "patient"}, {"turn": 19, "text": "不严重呢，用药就行了", "role": "doctor"}, {"turn": 20, "text": "白带有点味道", "role": "patient"}, {"turn": 21, "text": "像药味", "role": "patient"}, {"turn": 22, "text": "好像最近排卵期可以用药吗", "role": "patient"}, {"turn": 23, "text": "可以呀", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1511, "thread": [{"turn": 0, "text": "儿童小肠疝气手术什么时候做合适（女，1岁）", "role": "patient"}, {"turn": 1, "text": "宝妈你好！宝宝这个情况多久了？", "role": "doctor"}, {"turn": 2, "text": "1、保守治疗：一岁以内的小孩，疝气有自愈的可能性，比较小的疝块建议观察。腹股沟疝采用疝带方法，脐疝采用硬币加压包扎法；\n\n2、手术治疗：比较大、突出比较频繁的疝，一岁之内很难愈合，特别是有嵌顿疝病史，建议手术治疗。手术的方式有：传统的开刀方式、腹腔镜手术即微创手术。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1512, "thread": [{"turn": 0, "text": "医生您好，这是我的问题：痛经怎么缓解（女，30岁）", "role": "patient"}, {"turn": 1, "text": "请问类似症状出现多长时间了？", "role": "doctor"}, {"turn": 2, "text": "你好，有没有做过什么检查？", "role": "doctor"}, {"turn": 3, "text": "做过。。没问题", "role": "patient"}, {"turn": 4, "text": "就是大姨妈来了痛经", "role": "patient"}, {"turn": 5, "text": "没有子宫内膜异位症是吗", "role": "doctor"}, {"turn": 6, "text": "嗯嗯", "role": "doctor"}, {"turn": 7, "text": "没有。", "role": "patient"}, {"turn": 8, "text": "那来月经时避免着凉", "role": "doctor"}, {"turn": 9, "text": "可以用点盆炎清栓", "role": "doctor"}, {"turn": 10, "text": "嗯。。有什么快速的缓解方法", "role": "patient"}, {"turn": 11, "text": "盆炎清栓效果不错", "role": "doctor"}, {"turn": 12, "text": "月经期放肛门", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1513, "thread": [{"turn": 0, "text": "韧带损伤和撕裂的区别（男，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，请问受伤多久了啊？", "role": "doctor"}, {"turn": 2, "text": "具体什么部位啊有没有什么不舒服的？", "role": "doctor"}, {"turn": 3, "text": "4", "role": "patient"}, {"turn": 4, "text": "天？", "role": "doctor"}, {"turn": 5, "text": "有淤青是拉伤还是撕裂", "role": "patient"}, {"turn": 6, "text": "拍图发过来我帮你看看", "role": "doctor"}, {"turn": 7, "text": "具体什么部位", "role": "doctor"}, {"turn": 8, "text": "对，脚踝", "role": "patient"}, {"turn": 9, "text": "左侧右侧啊", "role": "doctor"}, {"turn": 10, "text": "我打石膏了", "role": "patient"}, {"turn": 11, "text": "右", "role": "patient"}, {"turn": 12, "text": "医院检查", "role": "doctor"}, {"turn": 13, "text": "有撕裂吗", "role": "doctor"}, {"turn": 14, "text": "嗯，人家打石膏了", "role": "patient"}, {"turn": 15, "text": "医生怎么诊断的？", "role": "doctor"}, {"turn": 16, "text": "这不才问你么，", "role": "patient"}, {"turn": 17, "text": "替别人咨询，还是自己啊", "role": "doctor"}, {"turn": 18, "text": "片子呢？", "role": "doctor"}, {"turn": 19, "text": "嗯嗯", "role": "doctor"}, {"turn": 20, "text": "我没听清撕裂还是损伤，就打石膏了", "role": "patient"}, {"turn": 21, "text": "自己", "role": "patient"}, {"turn": 22, "text": "咋弄的啊？😱", "role": "doctor"}, {"turn": 23, "text": "骨头没事", "role": "patient"}, {"turn": 24, "text": "楼梯摔的", "role": "patient"}, {"turn": 25, "text": "当时敢活动吗？", "role": "doctor"}, {"turn": 26, "text": "当时咔吱一声吗", "role": "doctor"}, {"turn": 27, "text": "有淤青是撕裂还是损伤", "role": "patient"}, {"turn": 28, "text": "肿胀非常厉害吗？", "role": "doctor"}, {"turn": 29, "text": "可以活动啊，", "role": "patient"}, {"turn": 30, "text": "损伤是个大的概念。", "role": "doctor"}, {"turn": 31, "text": "可以一点一点走，", "role": "patient"}, {"turn": 32, "text": "一瘸一拐的走", "role": "patient"}, {"turn": 33, "text": "可能有轻微的拉伤。", "role": "doctor"}, {"turn": 34, "text": "那我算？什么？", "role": "patient"}, {"turn": 35, "text": "我的是拉伤是不", "role": "patient"}, {"turn": 36, "text": "应该是拉伤", "role": "doctor"}, {"turn": 37, "text": "如果撕裂断裂需要手术的。", "role": "doctor"}, {"turn": 38, "text": "需要缝合把它接起来。", "role": "doctor"}, {"turn": 39, "text": "医生给你打了石膏，那就是不严重。", "role": "doctor"}, {"turn": 40, "text": "石膏固定，养一养就好了。", "role": "doctor"}, {"turn": 41, "text": "注意休息减少活动，下肢垫高", "role": "doctor"}, {"turn": 42, "text": "三七伤药片，洛索洛芬钠口服，拆石膏以后，天和骨通贴膏外用。", "role": "doctor"}, {"turn": 43, "text": "有什么不明白的，或者您感觉我回答不够细致，不够透彻的地方，千万提出来，我全力以赴帮你解答，我一定达到您【满意】！好吧？", "role": "doctor"}, {"turn": 44, "text": "以后千万小心避免外伤", "role": "doctor"}, {"turn": 45, "text": "祝早日康复", "role": "doctor"}, {"turn": 46, "text": "😊", "role": "doctor"}, {"turn": 47, "text": "好的", "role": "patient"}, {"turn": 48, "text": "不要着急啦", "role": "doctor"}, {"turn": 49, "text": "💝", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1514, "thread": [{"turn": 0, "text": "阴道炎好了为什么外阴还痒（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，白带现在还多吗？", "role": "doctor"}, {"turn": 2, "text": "想水一样吧，不多", "role": "patient"}, {"turn": 3, "text": "偶尔出来不少", "role": "patient"}, {"turn": 4, "text": "哦哦，之前查白带是什么颜色的", "role": "doctor"}, {"turn": 5, "text": "打错了，是什么炎症啊", "role": "doctor"}, {"turn": 6, "text": "霉菌", "role": "patient"}, {"turn": 7, "text": "感觉好的差不多了，没有豆腐渣一样的白带了，可是外阴痒，用完千金妇洁阴洗液后变成外阴刺痛", "role": "patient"}, {"turn": 8, "text": "霉菌好复发，平常要增强免疫力，注意休息，心情要好", "role": "doctor"}, {"turn": 9, "text": "那现在为什么还会痒啊？", "role": "patient"}, {"turn": 10, "text": "多久会好", "role": "patient"}, {"turn": 11, "text": "霉菌阴道炎用小苏打片泡着效果比较好", "role": "doctor"}, {"turn": 12, "text": "可能复方了", "role": "doctor"}, {"turn": 13, "text": "你月经什么时候来？", "role": "doctor"}, {"turn": 14, "text": "就在这两天", "role": "patient"}, {"turn": 15, "text": "嗯嗯，应该是复发了，霉菌好在月经来之前表现症状", "role": "doctor"}, {"turn": 16, "text": "现在继续用药，平常用的纸卫生间放在干燥的地方，还有短裤开水烫阳光下暴晒", "role": "doctor"}, {"turn": 17, "text": "经期不能用药？", "role": "patient"}, {"turn": 18, "text": "如果老是复发就要连续用药，每次在月经前10天用一周的药，这样三个周期", "role": "doctor"}, {"turn": 19, "text": "经期不用药", "role": "doctor"}, {"turn": 20, "text": "嗯", "role": "patient"}, {"turn": 21, "text": "那很痒怎么办", "role": "patient"}, {"turn": 22, "text": "👌🏻", "role": "doctor"}, {"turn": 23, "text": "有没有什么擦外阴的药", "role": "patient"}, {"turn": 24, "text": "你现在月经不还没有来吗？这两天可以用药", "role": "doctor"}, {"turn": 25, "text": "克林霉素软膏", "role": "doctor"}, {"turn": 26, "text": "嗯还没有来", "role": "patient"}, {"turn": 27, "text": "好", "role": "patient"}, {"turn": 28, "text": "先用治疗霉菌阴道炎的药", "role": "doctor"}, {"turn": 29, "text": "好", "role": "patient"}, {"turn": 30, "text": "嗯嗯", "role": "doctor"}, {"turn": 31, "text": "还有别的药嘛，怕药店没有", "role": "patient"}, {"turn": 32, "text": "你说的是外用涂的药膏吗", "role": "doctor"}, {"turn": 33, "text": "嗯", "role": "patient"}, {"turn": 34, "text": "也可以买碘伏棉签消毒", "role": "doctor"}, {"turn": 35, "text": "好", "role": "patient"}, {"turn": 36, "text": "谢谢", "role": "patient"}, {"turn": 37, "text": "嗯嗯", "role": "doctor"}, {"turn": 38, "text": "没事，不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1515, "thread": [{"turn": 0, "text": "骨质疏松治疗服药的同时能吃微c吗（女，58岁）", "role": "patient"}, {"turn": 1, "text": "你好，现在有什么症状？做的什么检查", "role": "doctor"}, {"turn": 2, "text": "这个没问题", "role": "doctor"}, {"turn": 3, "text": "做的骨密度检测，就是有时候环跳穴一下酸痛。", "role": "patient"}, {"turn": 4, "text": "嗯嗯，可以吃", "role": "doctor"}, {"turn": 5, "text": "谢谢，我比较瘦1.57只有46公斤，吃什么可以增肥？", "role": "patient"}, {"turn": 6, "text": "哈哈，这个问题有意思。个人建议，适当加强锻炼，这个年纪，跳跳广场舞，多活动活动，保证摄入的能量多余消耗的能量，即使不胖，身体也会壮起来", "role": "doctor"}, {"turn": 7, "text": "谢谢你😊", "role": "patient"}, {"turn": 8, "text": "客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1516, "thread": [{"turn": 0, "text": "慢性咽炎，刷牙恶心干呕，痰多（男，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了呢？", "role": "doctor"}, {"turn": 2, "text": "以前都有，只是不严重，最近半年多时间里比较严重。", "role": "patient"}, {"turn": 3, "text": "做过什么检查吗？扁桃体可肿大？", "role": "doctor"}, {"turn": 4, "text": "没有做过检查，常识告诉我，这就是慢性咽炎，应该是长期处在吸烟人群中，吸所谓的二手烟造成的！", "role": "patient"}, {"turn": 5, "text": "是慢性咽炎的症状，平时吃辣的多吗？", "role": "doctor"}, {"turn": 6, "text": "从小都吃不了太辣的东西", "role": "patient"}, {"turn": 7, "text": "如果你认为是吸二手烟引起的慢性咽炎，建议你只有永远离开二手烟污染环境", "role": "doctor"}, {"turn": 8, "text": "不是啊！你重点是告诉我怎么治疗啊！比如吃些什么药之类，你要我避开二手烟环境，我工作的同事十个中有八个抽烟，你叫我怎么避开啊！重新参加公考，换个工作啊！不现实吧！", "role": "patient"}, {"turn": 9, "text": "看病首先要去检查病因，你自己感觉是二手烟引起的慢性咽炎？", "role": "doctor"}, {"turn": 10, "text": "你也没有去医院耳鼻喉科检查看看，确诊是不是有慢性咽炎？", "role": "doctor"}, {"turn": 11, "text": "如果不是慢性咽炎，那医生您觉得我这是什么情况啊！就是有吐不完的痰，早上刷牙恶心干呕，感觉老有异物卡在喉咙，咳也咳不出来，咽也咽不下去啊！医生，你得支个招呗！", "role": "patient"}, {"turn": 12, "text": "根据你的主诉符合慢性咽炎症状，你没时间去医院检查看看，就先吃点清开灵颗粒，嗓子喷生理性海水", "role": "doctor"}, {"turn": 13, "text": "平时多喝热水", "role": "doctor"}, {"turn": 14, "text": "我听说“慢性咽炎”可以通过手术的方式彻底治愈，可以吗？", "role": "patient"}, {"turn": 15, "text": "慢性咽炎是没有办法手术解决的。", "role": "doctor"}, {"turn": 16, "text": "生理性海水，一般的医院或者药店，有卖的吗？", "role": "patient"}, {"turn": 17, "text": "有的，在医院周围的大药房都有卖的。", "role": "doctor"}, {"turn": 18, "text": "您说的吃清开灵颗粒和喷生理性海水，大概要坚持多久？？", "role": "patient"}, {"turn": 19, "text": "一周时间", "role": "doctor"}, {"turn": 20, "text": "谢谢您，医生", "role": "patient"}, {"turn": 21, "text": "不客气！祝你早日康复！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1517, "thread": [{"turn": 0, "text": "眼里血丝充血导致的飞蚊症能治好么（男，23岁）", "role": "patient"}, {"turn": 1, "text": "你好，飞蚊症大部分是正常现象", "role": "doctor"}, {"turn": 2, "text": "眼睛有血丝与飞蚊症无关", "role": "doctor"}, {"turn": 3, "text": "有没有什么办法能消除眼里的血丝？", "role": "patient"}, {"turn": 4, "text": "主要是诊断明确", "role": "doctor"}, {"turn": 5, "text": "有眼屎吗？", "role": "doctor"}, {"turn": 6, "text": "有，眼睛有点结膜炎，在用托百士", "role": "patient"}, {"turn": 7, "text": "用托百士滴眼液可以", "role": "doctor"}, {"turn": 8, "text": "嗯嗯，用多久，我已经用了四天了？", "role": "patient"}, {"turn": 9, "text": "眼屎消失后继续用药2天", "role": "doctor"}, {"turn": 10, "text": "好的，", "role": "patient"}, {"turn": 11, "text": "飞蚊症会不会是结膜炎导致的？", "role": "patient"}, {"turn": 12, "text": "不会", "role": "doctor"}, {"turn": 13, "text": "那是因为啥啊？  我以前没有的", "role": "patient"}, {"turn": 14, "text": "有近视吗？", "role": "doctor"}, {"turn": 15, "text": "近视500度", "role": "patient"}, {"turn": 16, "text": "飞蚊症与近视有关", "role": "doctor"}, {"turn": 17, "text": "我家人也近视他们没有啊...", "role": "patient"}, {"turn": 18, "text": "每人感受、症状不可能一样", "role": "doctor"}, {"turn": 19, "text": "哦", "role": "patient"}, {"turn": 20, "text": "好的，祝你开心快乐！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1518, "thread": [{"turn": 0, "text": "头部眉心和右侧太阳穴疼痛是偏头痛吗？（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "两年多", "role": "patient"}, {"turn": 3, "text": "还有其他不舒服吗？", "role": "doctor"}, {"turn": 4, "text": "没有", "role": "patient"}, {"turn": 5, "text": "能描述一下具体怎样的疼痛吗？是胀痛？刺痛？", "role": "doctor"}, {"turn": 6, "text": "刺痛", "role": "patient"}, {"turn": 7, "text": "然后差不多两天疼一次", "role": "patient"}, {"turn": 8, "text": "感觉不是特别强烈 能忍", "role": "patient"}, {"turn": 9, "text": "平时身体怎么样？有没有其他疾病史？比如鼻窦炎？", "role": "doctor"}, {"turn": 10, "text": "有抑郁症", "role": "patient"}, {"turn": 11, "text": "我不确定是因为血管紧张压力过大导致的头痛", "role": "patient"}, {"turn": 12, "text": "还是说是偏头痛", "role": "patient"}, {"turn": 13, "text": "有在药物治疗吗？", "role": "doctor"}, {"turn": 14, "text": "有", "role": "patient"}, {"turn": 15, "text": "头部有没有做过相关检查呢？", "role": "doctor"}, {"turn": 16, "text": "有", "role": "patient"}, {"turn": 17, "text": "脑部激素紊乱 然后两侧血管高度紧张", "role": "patient"}, {"turn": 18, "text": "好的！建议可以服用药物治疗！也可以高压氧舱内治疗！", "role": "doctor"}, {"turn": 19, "text": "那就不是偏头痛", "role": "patient"}, {"turn": 20, "text": "是正常的神经性头痛或者是血管性头痛是吗？", "role": "patient"}, {"turn": 21, "text": "你描述的上面的情侣也是偏头痛！", "role": "doctor"}, {"turn": 22, "text": "那我是那种病症都有？？？", "role": "patient"}, {"turn": 23, "text": "上面的情况也是偏头痛！打错字了！请谅解！", "role": "doctor"}, {"turn": 24, "text": "好的 我知道了 谢谢医生", "role": "patient"}, {"turn": 25, "text": "不客气！", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1519, "thread": [{"turn": 0, "text": "舌苔厚白 便秘 早上起来有口臭（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好！这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "还有什么不适症状吗？", "role": "doctor"}, {"turn": 3, "text": "便秘口臭很久了 舌苔厚白是最近一个月左右才发现的", "role": "patient"}, {"turn": 4, "text": "做过什么检查没有？", "role": "doctor"}, {"turn": 5, "text": "之前以为是胃热吃了栀子金花丸", "role": "patient"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "平时生活习惯吃辛辣油腻？", "role": "doctor"}, {"turn": 8, "text": "有一点 还是上夜班 之前一年半因为工作原因经常就是一天只吃一两顿饭 现在饮食稍微要规律一点", "role": "patient"}, {"turn": 9, "text": "大便一天几次？", "role": "doctor"}, {"turn": 10, "text": "现在有时候一天一次 或者两三天才一次", "role": "patient"}, {"turn": 11, "text": "以前要好几天才大便一次", "role": "patient"}, {"turn": 12, "text": "噢", "role": "doctor"}, {"turn": 13, "text": "工作有压力吗", "role": "doctor"}, {"turn": 14, "text": "我能吃点什么药吗", "role": "patient"}, {"turn": 15, "text": "家里压力大", "role": "patient"}, {"turn": 16, "text": "有时候心里挺烦躁的", "role": "patient"}, {"turn": 17, "text": "有牙龈炎吗", "role": "doctor"}, {"turn": 18, "text": "没有", "role": "patient"}, {"turn": 19, "text": "可以试试中成药", "role": "doctor"}, {"turn": 20, "text": "吃什么药", "role": "patient"}, {"turn": 21, "text": "比如舒肝健胃丸，通便灵", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1520, "thread": [{"turn": 0, "text": "你好，妊娠剧吐怎么办？想死不想活的（女，33岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您解答问题", "role": "doctor"}, {"turn": 2, "text": "是进食后即吐吗？", "role": "doctor"}, {"turn": 3, "text": "理解您的感受", "role": "doctor"}, {"turn": 4, "text": "门诊上常见到这种情况", "role": "doctor"}, {"turn": 5, "text": "现在怀孕多长时间了？", "role": "doctor"}, {"turn": 6, "text": "检查过尿常规和电解质吗？", "role": "doctor"}, {"turn": 7, "text": "有没有电解质紊乱的情况？", "role": "doctor"}, {"turn": 8, "text": "60天了", "role": "patient"}, {"turn": 9, "text": "现在饮食情况怎么样？", "role": "doctor"}, {"turn": 10, "text": "可以说一下您的具体情况吗？", "role": "doctor"}, {"turn": 11, "text": "不吃东西也吐，都吐血了", "role": "patient"}, {"turn": 12, "text": "吃不下任何东西", "role": "patient"}, {"turn": 13, "text": "今天做的B 超什么事没有", "role": "patient"}, {"turn": 14, "text": "就是吐的不要不要的了", "role": "patient"}, {"turn": 15, "text": "又喝又饿就是什么都不能吃", "role": "patient"}, {"turn": 16, "text": "如果出现这种妊娠剧吐情况可以住院治疗", "role": "doctor"}, {"turn": 17, "text": "可以去早上抽空腹血，查一下电解质有没有紊乱的情况？", "role": "doctor"}, {"turn": 18, "text": "检查尿常规，看有没有酮体？", "role": "doctor"}, {"turn": 19, "text": "然后可以对症调理", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1521, "thread": [{"turn": 0, "text": "七岁小女孩长期便秘怎么办（女，7岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "有4年", "role": "patient"}, {"turn": 3, "text": "你好，一般像这种情况的话，基本上都是饮食结构不合理。应该调节它的饮食结构，多吃一些含有膳食纤维的食物，不要吃得太精细，吃的太精细，就容易导致它便秘。同时要养成定时排便的习惯，每天早上让他大便。", "role": "doctor"}, {"turn": 4, "text": "有什么泡水的方法", "role": "patient"}, {"turn": 5, "text": "有什么方法解决的", "role": "patient"}, {"turn": 6, "text": "你好。可以给他吃一些汉森四磨汤或者是小儿七星茶。", "role": "doctor"}, {"turn": 7, "text": "主要还是要调节它的饮食结构，如果它的大便太干的话，可以用一些乳果糖来软化大便。", "role": "doctor"}, {"turn": 8, "text": "都吃过不管用", "role": "patient"}, {"turn": 9, "text": "像兔子屎一样", "role": "patient"}, {"turn": 10, "text": "这些药物只是一个辅助的治疗。调节饮食结构，养成定时排便的习惯。这才是治疗的关键。", "role": "doctor"}, {"turn": 11, "text": "乳果糖是什么", "role": "patient"}, {"turn": 12, "text": "它是一种软化大便的药物。", "role": "doctor"}, {"turn": 13, "text": "药店有卖吗可以说名字出来吗", "role": "patient"}, {"turn": 14, "text": "对药店就有卖的。", "role": "doctor"}, {"turn": 15, "text": "有什么泡水喝的吗", "role": "patient"}, {"turn": 16, "text": "有什么更好的治疗方法", "role": "patient"}, {"turn": 17, "text": "你好，可以适当的给他喝一些蜂蜜。", "role": "doctor"}, {"turn": 18, "text": "喝蜂蜜肥胖吗", "role": "patient"}, {"turn": 19, "text": "不会的", "role": "doctor"}, {"turn": 20, "text": "有时候吃了四合联菌", "role": "patient"}, {"turn": 21, "text": "你好，这个四联活菌它是肠道益生菌，它有调节肠道的作用。但是对于这么大的宝宝，效果不是很好。", "role": "doctor"}, {"turn": 22, "text": "有什么泡水当茶喝了", "role": "patient"}, {"turn": 23, "text": "目前这么大的宝宝一般不建议。", "role": "doctor"}, {"turn": 24, "text": "意思就是多吃青菜多运动多喝水", "role": "patient"}, {"turn": 25, "text": "是的，多吃蔬菜，多喝水，多运动，每天早上清晨空腹喝水，定时排便。植物要多样化，不要吃得太精细。少吃一些含蛋白高的食物。", "role": "doctor"}, {"turn": 26, "text": "他喜欢吃油炸的，饼干，糖果", "role": "patient"}, {"turn": 27, "text": "什么牌的蜂蜜", "role": "patient"}, {"turn": 28, "text": "对这些油炸的饼干糖果之类的就容易导致便秘。且容易导致腹胀。", "role": "doctor"}, {"turn": 29, "text": "不用什么牌子的蜂蜜，只要是蜂蜜就可以，但要是真真正正的蜂蜜。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1522, "thread": [{"turn": 0, "text": "龋齿，牙黑，爱吃糖（女，4）", "role": "patient"}, {"turn": 1, "text": "您好，可以拍照看看牙齿情况", "role": "doctor"}, {"turn": 2, "text": "她不喜欢刷牙，害怕用牙膏刷牙", "role": "patient"}, {"turn": 3, "text": "这个就要靠家长督促了，帮忙刷牙", "role": "doctor"}, {"turn": 4, "text": "有牙了就需要刷牙了", "role": "doctor"}, {"turn": 5, "text": "龋坏的牙齿及早到儿童口腔科治疗", "role": "doctor"}, {"turn": 6, "text": "4岁已经可以治疗了", "role": "doctor"}, {"turn": 7, "text": "要怎样才能让她不害怕用牙膏？", "role": "patient"}, {"turn": 8, "text": "现在儿童牙膏口味很多，可以选择她喜欢的口味", "role": "doctor"}, {"turn": 9, "text": "即便不用牙膏，也需要刷牙的，可以先试着少一点牙膏", "role": "doctor"}, {"turn": 10, "text": "她怕一嘴的泡泡，又怕不小心吞进去", "role": "patient"}, {"turn": 11, "text": "4岁孩子的吞咽功能基本已经建立了，儿童牙膏有可以吞下去的，少量的问题不大", "role": "doctor"}, {"turn": 12, "text": "叫她就刷一次不叫不刷，刷也不敢用牙膏", "role": "patient"}, {"turn": 13, "text": "孩子刚开始做一件事情基本都是抗拒的，这个需要家长的密切配合以及监督，刚开始肯定需要家长帮忙刷牙的，两岁之前家长刷，养成习惯，等到自己大一点了就会自己刷牙了", "role": "doctor"}, {"turn": 14, "text": "还有就是从小养成看牙医的习惯，三个月到半年检查一次，刚开始可以不做治疗，只是单纯检查牙齿，这样她不会抗拒看牙医，等到需要治疗的时候也会配合一些", "role": "doctor"}, {"turn": 15, "text": "一开始我就要求她自己刷，她是一点都不主动", "role": "patient"}, {"turn": 16, "text": "单纯靠她自己刷牙刷不好的，可以早上自己刷，晚上家长帮忙刷", "role": "doctor"}, {"turn": 17, "text": "两岁半开始给她买牙刷牙膏到最后都是给她刷玩具了，现在出现问题了她也不怕", "role": "patient"}, {"turn": 18, "text": "这个只能靠家长多教育了", "role": "doctor"}, {"turn": 19, "text": "已经坏了的牙齿最好及早到儿童口腔科处理", "role": "doctor"}, {"turn": 20, "text": "不是还没换乳牙吗？不会坏到牙根吧", "role": "patient"}, {"turn": 21, "text": "6-12岁换牙", "role": "doctor"}, {"turn": 22, "text": "乳牙坏了也需要治疗啊", "role": "doctor"}, {"turn": 23, "text": "没有坏到牙神经的及早补牙；已经坏到牙神经的根管治疗之后补牙", "role": "doctor"}, {"turn": 24, "text": "乳牙龋有进展快的特点，平时还是需要多注意口腔卫生", "role": "doctor"}, {"turn": 25, "text": "哦，谢谢", "role": "patient"}, {"turn": 26, "text": "可以到儿童口腔科全口涂氟，氟化物有防龋的功能，可以适当保护牙齿，建议三个月涂氟一次", "role": "doctor"}, {"turn": 27, "text": "不客气", "role": "doctor"}, {"turn": 28, "text": "针对本次问诊，医生更新了总结建议：建议儿童口腔科检查治疗。平时多注意孩子口腔卫生清洁。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1523, "thread": [{"turn": 0, "text": "牙疼，原来钻过虫牙的地方。（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问症状出现多久了？具体是哪个牙齿？方便拍张照片给我看下吗？", "role": "doctor"}, {"turn": 2, "text": "右上角最里边拍不到照片，但是那个虫牙原来钻过的已经掉了。", "role": "patient"}, {"turn": 3, "text": "以前拍过片子吗？", "role": "doctor"}, {"turn": 4, "text": "没有拍，以前是因为虫牙疼的厉害，就把他钻了，然后这个窟窿往里面贴了石膏。好几年了。", "role": "patient"}, {"turn": 5, "text": "你现在是吃东西的时候痛还是不吃东西的时候痛？", "role": "doctor"}, {"turn": 6, "text": "一直都疼。", "role": "patient"}, {"turn": 7, "text": "你好，从你的症状看应该是以前补过的牙齿牙髓发炎了，需要先开髓引流，再做根管治疗才能彻底解决疼痛症状。", "role": "doctor"}, {"turn": 8, "text": "可我现在是怀孕初期。", "role": "patient"}, {"turn": 9, "text": "怀孕初期可以先开髓引流缓解疼痛，等怀孕期三个月到六个月期间可以做根管治疗。", "role": "doctor"}, {"turn": 10, "text": "那现在有什么办法可以缓解一下吗？", "role": "patient"}, {"turn": 11, "text": "怀孕初期尽量少用药，尽快去做开髓引流吧，现在如果不能去医院，可以试试用冰敷能否缓解疼痛。", "role": "doctor"}, {"turn": 12, "text": "好的。", "role": "patient"}, {"turn": 13, "text": "也可以含冰水试试，也有缓解症状的作用。", "role": "doctor"}, {"turn": 14, "text": "好的", "role": "patient"}, {"turn": 15, "text": "好的，尽快去医院开髓吧😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1524, "thread": [{"turn": 0, "text": "虫牙，经常牙痛，有什么办法吗？（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，牙齿晚上疼过么，", "role": "doctor"}, {"turn": 2, "text": "不定时", "role": "patient"}, {"turn": 3, "text": "吃饭疼么，冷热刺激疼么", "role": "doctor"}, {"turn": 4, "text": "平时都不疼。", "role": "patient"}, {"turn": 5, "text": "就有时候突然就疼了", "role": "patient"}, {"turn": 6, "text": "有时候疼两下就好，有时候疼的比较久", "role": "patient"}, {"turn": 7, "text": "疼了多久", "role": "doctor"}, {"turn": 8, "text": "个小时吧", "role": "patient"}, {"turn": 9, "text": "有时候就几分钟", "role": "patient"}, {"turn": 10, "text": "虫牙好像是小时候就有的，大概十三四岁", "role": "patient"}, {"turn": 11, "text": "这个牙齿坏了很多年了么", "role": "doctor"}, {"turn": 12, "text": "嗯", "role": "patient"}, {"turn": 13, "text": "就这两年才开始痛的", "role": "patient"}, {"turn": 14, "text": "吃饭的时候疼么比如说冷热刺激", "role": "doctor"}, {"turn": 15, "text": "特别冰的有时候有点酸疼，平常都不疼", "role": "patient"}, {"turn": 16, "text": "嗯，应该没有伤到神经。去医院拍个片子确诊下，然后补牙就可以", "role": "doctor"}, {"turn": 17, "text": "谢谢", "role": "patient"}, {"turn": 18, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1525, "thread": [{"turn": 0, "text": "脚腕扭伤次数较多，走路都会扭伤，有时肿（女，13）脚腕经常扭伤", "role": "patient"}, {"turn": 1, "text": "你好，扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "最近一次", "role": "doctor"}, {"turn": 3, "text": "刚", "role": "patient"}, {"turn": 4, "text": "第一次呢", "role": "doctor"}, {"turn": 5, "text": "两年前", "role": "patient"}, {"turn": 6, "text": "当时怎么处理的", "role": "doctor"}, {"turn": 7, "text": "没去医院，就是用万花油揉了一下", "role": "patient"}, {"turn": 8, "text": "这是怎么回事呐", "role": "patient"}, {"turn": 9, "text": "习惯性关节扭伤", "role": "doctor"}, {"turn": 10, "text": "跟第一次创伤后没有正确处理有关", "role": "doctor"}, {"turn": 11, "text": "怎么办哪", "role": "patient"}, {"turn": 12, "text": "韧带损伤没有休养恢复，导致韧带松弛，关节稳定性下降，以后就会反复扭伤", "role": "doctor"}, {"turn": 13, "text": "避免反复揉搓患处，外用扶他林软膏或法斯通凝胶，平时佩戴护踝保护", "role": "doctor"}, {"turn": 14, "text": "每天做踝泵建议，多垫脚尖训练关节稳定性", "role": "doctor"}, {"turn": 15, "text": "即使这样，她这个关节也会比正常的关节薄弱，今后活动时要注意避免损伤", "role": "doctor"}, {"turn": 16, "text": "谢谢", "role": "patient"}, {"turn": 17, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1526, "thread": [{"turn": 0, "text": "九个月宝宝便秘怎么回事（女，30岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝母乳喂养还是奶粉喂养，大便几天拉一次呢", "role": "doctor"}, {"turn": 2, "text": "母乳，三四天一次", "role": "patient"}, {"turn": 3, "text": "吃点什么调理一下", "role": "patient"}, {"turn": 4, "text": "有没有加辅食了呢", "role": "doctor"}, {"turn": 5, "text": "拉的大便很干吗", "role": "doctor"}, {"turn": 6, "text": "加了，八个月一天两次，九个月一天三次", "role": "patient"}, {"turn": 7, "text": "边头特别干", "role": "patient"}, {"turn": 8, "text": "在吗，", "role": "patient"}, {"turn": 9, "text": "怎么调理", "role": "patient"}, {"turn": 10, "text": "建议给孩子多吃点蔬菜和水果补充纤维素，多吃点粗粮，比如番薯，玉米这些，可以吃点益生菌或者四磨汤口服液看看", "role": "doctor"}, {"turn": 11, "text": "还是缓解不明显的可以加乳果糖口服液吃的", "role": "doctor"}, {"turn": 12, "text": "在不住", "role": "patient"}, {"turn": 13, "text": "发给你了没收到吗", "role": "doctor"}, {"turn": 14, "text": "便秘的宝宝尽量多吃点蔬菜和水果，多吃点粗粮，比如玉米、红薯等，多喝水，可以益生菌配合四磨汤口服液喝点看看，还是缓解不明显的可以乳果糖口服液喝段时间也可以的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1527, "thread": [{"turn": 0, "text": "宝宝两个多月   便秘   吐奶严重（男，1岁）", "role": "patient"}, {"turn": 1, "text": "您好！宝宝是母乳还是奶粉喂养？", "role": "doctor"}, {"turn": 2, "text": "母乳", "role": "patient"}, {"turn": 3, "text": "你好   而且他睡眠也不好", "role": "patient"}, {"turn": 4, "text": "宝宝一天几次大便？", "role": "doctor"}, {"turn": 5, "text": "六七天一次  最长一次九天", "role": "patient"}, {"turn": 6, "text": "宝宝精神怎么样？生长发育正常吗？", "role": "doctor"}, {"turn": 7, "text": "这个挺正常的  精神头也可以  就是大便前要闹腾好长时间   大便的时候会哭闹   睡眠不好  睡不实 时间也短   这不最近又吐奶", "role": "patient"}, {"turn": 8, "text": "宝宝肚子涨不涨？", "role": "doctor"}, {"turn": 9, "text": "肚子挺软的", "role": "patient"}, {"turn": 10, "text": "我给他吃益生菌了  也做推拿  可也没见多大效果", "role": "patient"}, {"turn": 11, "text": "妈妈是不是吃的有点油腻？吃水果蔬菜多吗？也尽量少吃辛辣刺激的食物。", "role": "doctor"}, {"turn": 12, "text": "吃的也不油腻  辣我也不吃   基本就是吃蔬菜 可他还是这样", "role": "patient"}, {"turn": 13, "text": "宝宝吐奶是什么味道的？酸吗？", "role": "doctor"}, {"turn": 14, "text": "不酸", "role": "patient"}, {"turn": 15, "text": "他吃了过不多久就吐出来", "role": "patient"}, {"turn": 16, "text": "大便的时候还哭闹", "role": "patient"}, {"turn": 17, "text": "肚子不舒服，肯定哭闹了。先少吃点，先把呕吐纠正过来。", "role": "doctor"}, {"turn": 18, "text": "我用不用带他去医院看看啊", "role": "patient"}, {"turn": 19, "text": "呕吐也是才呕吐  可便秘这么久了", "role": "patient"}, {"turn": 20, "text": "还是去医院查查吧，毕竟宝宝太小了。", "role": "doctor"}, {"turn": 21, "text": "光排气     就是不拉粑粑啊   而且睡眠也不好", "role": "patient"}, {"turn": 22, "text": "他这是怎么回事", "role": "patient"}, {"turn": 23, "text": "食欲好吗？", "role": "doctor"}, {"turn": 24, "text": "还可以啊", "role": "patient"}, {"turn": 25, "text": "找不到原因，还是去医院查查吧。", "role": "doctor"}, {"turn": 26, "text": "你好  我再咨询一下  他要是老不大便   对他身体有什么影响啊", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1528, "thread": [{"turn": 0, "text": "扭伤脚踝一般几天能好（女，16岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问扭伤多长时间了？", "role": "doctor"}, {"turn": 2, "text": "上个星期天", "role": "patient"}, {"turn": 3, "text": "现在有什么症状？", "role": "doctor"}, {"turn": 4, "text": "还疼吗？肿胀？", "role": "doctor"}, {"turn": 5, "text": "上下楼不放便，消肿了", "role": "patient"}, {"turn": 6, "text": "还要注意休息", "role": "doctor"}, {"turn": 7, "text": "您好您可以局部抹【扶他林软膏】，抹上之后用吹风机热风吹上五分钟，或者用手按摩五分钟。帮助镇痛", "role": "doctor"}, {"turn": 8, "text": "我母亲拿中药给我弄", "role": "patient"}, {"turn": 9, "text": "什么中药？", "role": "doctor"}, {"turn": 10, "text": "我也不太清楚", "role": "patient"}, {"turn": 11, "text": "好吧", "role": "doctor"}, {"turn": 12, "text": "最主要是要休息减少活动", "role": "doctor"}, {"turn": 13, "text": "才能恢复好", "role": "doctor"}, {"turn": 14, "text": "是我一个叔叔给的", "role": "patient"}, {"turn": 15, "text": "可以用的", "role": "doctor"}, {"turn": 16, "text": "如果有短时间活动呢", "role": "patient"}, {"turn": 17, "text": "不要参加影响恢复", "role": "doctor"}, {"turn": 18, "text": "如果扭伤当时进行步行，没没有用冰。要多长时间能好", "role": "patient"}, {"turn": 19, "text": "那要看损伤的程度呢", "role": "doctor"}, {"turn": 20, "text": "轻度一到两周", "role": "doctor"}, {"turn": 21, "text": "中度一月", "role": "doctor"}, {"turn": 22, "text": "重度呢", "role": "patient"}, {"turn": 23, "text": "重的就没法确定了", "role": "doctor"}, {"turn": 24, "text": "三个月到半年甚至无法恢复", "role": "doctor"}, {"turn": 25, "text": "因为我经损伤", "role": "patient"}, {"turn": 26, "text": "这个没法判断的需要现场检查", "role": "doctor"}, {"turn": 27, "text": "但是去医院检查过了一切正", "role": "patient"}, {"turn": 28, "text": "我小时候得过脑膜炎", "role": "patient"}, {"turn": 29, "text": "有影响吗", "role": "patient"}, {"turn": 30, "text": "没有影响的", "role": "doctor"}, {"turn": 31, "text": "我觉得我脚好得差不多了但是我也是去学校但是学校离家太远了。课室离宿舍也有点远。这対恢复有好处", "role": "patient"}, {"turn": 32, "text": "不疼的话就可以适当走路", "role": "doctor"}, {"turn": 33, "text": "问题是路程有点远", "role": "patient"}, {"turn": 34, "text": "那就不行的", "role": "doctor"}, {"turn": 35, "text": "对恢复有影响?", "role": "patient"}, {"turn": 36, "text": "是的，过早的活动会有影响的", "role": "doctor"}, {"turn": 37, "text": "那以后可以正常走路吗", "role": "patient"}, {"turn": 38, "text": "恢复好了就可以了", "role": "doctor"}, {"turn": 39, "text": "那我要回家静养还是在学校", "role": "patient"}, {"turn": 40, "text": "我们学校课室离宿舍有点远", "role": "patient"}, {"turn": 41, "text": "那就在家静养", "role": "doctor"}, {"turn": 42, "text": "如果这样国庆后能不能好", "role": "patient"}, {"turn": 43, "text": "休息两周应该差不多", "role": "doctor"}, {"turn": 44, "text": "嗯", "role": "patient"}, {"turn": 45, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1529, "thread": [{"turn": 0, "text": "膀胱有异物怎么取出来（男，41岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问是什么异物？", "role": "doctor"}, {"turn": 2, "text": "蒜", "role": "patient"}, {"turn": 3, "text": "大概多大？", "role": "doctor"}, {"turn": 4, "text": "三毫米大小", "role": "patient"}, {"turn": 5, "text": "它在里边会腐烂吗", "role": "patient"}, {"turn": 6, "text": "那多喝白开水多排尿应该能排出来", "role": "doctor"}, {"turn": 7, "text": "比较小应该不会留在里面", "role": "doctor"}, {"turn": 8, "text": "尿不出来", "role": "patient"}, {"turn": 9, "text": "每次排尿用个盆接一下，观察着点", "role": "doctor"}, {"turn": 10, "text": "多长时间了？", "role": "doctor"}, {"turn": 11, "text": "三四天", "role": "patient"}, {"turn": 12, "text": "那你有啥不舒服症状吗？", "role": "doctor"}, {"turn": 13, "text": "就是尿的时候感觉膀胱有排尿不畅的感觉", "role": "patient"}, {"turn": 14, "text": "还有刺痛", "role": "patient"}, {"turn": 15, "text": "医医生时间长了会腐烂吗", "role": "patient"}, {"turn": 16, "text": "张大夫您说该怎么办？", "role": "patient"}, {"turn": 17, "text": "在吗张大夫", "role": "patient"}, {"turn": 18, "text": "如果确定没有排出来，那就需要做个膀胱镜看看了", "role": "doctor"}, {"turn": 19, "text": "它在里边时间长了，如果腐烂了会不会排出来？", "role": "patient"}, {"turn": 20, "text": "如果腐烂了好吗那只能是引起局部炎症或者感染", "role": "doctor"}, {"turn": 21, "text": "不过你说的那么小，按说应该可以排出来才对", "role": "doctor"}, {"turn": 22, "text": "另外这么小你是怎么塞到膀胱里面的呢？应该塞不进去呀", "role": "doctor"}, {"turn": 23, "text": "每次排尿好像就堵在口上，排尿不畅！", "role": "patient"}, {"turn": 24, "text": "那不应该，如果已经到尿道口了，那应该可以看到，或者随尿液早就排出来了才对", "role": "doctor"}, {"turn": 25, "text": "推进去", "role": "patient"}, {"turn": 26, "text": "尿道有近16厘米这么长，基本上是不可能推进去的", "role": "doctor"}, {"turn": 27, "text": "耳机线推进去的", "role": "patient"}, {"turn": 28, "text": "自作孽，不可活", "role": "patient"}, {"turn": 29, "text": "我认为这么小应该排出了，如果不放心，那只能做个尿道膀胱镜检查确诊一下", "role": "doctor"}, {"turn": 30, "text": "好有时间我去医院看看", "role": "patient"}, {"turn": 31, "text": "谢谢你张大夫！", "role": "patient"}, {"turn": 32, "text": "好的，不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1530, "thread": [{"turn": 0, "text": "产后便秘有点肛裂怎么办（女，29岁）", "role": "patient"}, {"turn": 1, "text": "排便时肛门疼痛严重吗？疼痛多长时间可以缓解？", "role": "doctor"}, {"turn": 2, "text": "挺严重，不敢用力，不知道顺产时撑的还是后期用力大便撑的，有点肛裂", "role": "patient"}, {"turn": 3, "text": "一直有很强烈的便意，产后三天自己上出一点来，之后四五天一直没上出大便来，昨天下午用了一支开塞露，感觉还是没上干净，还是觉得大便撑的肛门疼", "role": "patient"}, {"turn": 4, "text": "可以再外用一支开塞露帮助排便", "role": "doctor"}, {"turn": 5, "text": "生活规律，饮食规律，多喝水，多吃蔬菜水果，保持大便柔软通畅，避免久蹲，适当活动，必要时吃润肠通便的药物。吃乳果糖口服溶液润肠通便，外用开塞露帮助排便。", "role": "doctor"}, {"turn": 6, "text": "那肛裂怎么处理", "role": "patient"}, {"turn": 7, "text": "可以外用复方角菜酸酯乳膏", "role": "doctor"}, {"turn": 8, "text": "肛裂一般多久会好", "role": "patient"}, {"turn": 9, "text": "产后母乳中，内服乳糖果没副作用吧", "role": "patient"}, {"turn": 10, "text": "乳果糖口服溶液可以服用", "role": "doctor"}, {"turn": 11, "text": "保持大便柔软通畅，让裂口自行愈合，一周左右肛裂裂口愈合", "role": "doctor"}, {"turn": 12, "text": "我现在涂了点红霉素软膏可以吗", "role": "patient"}, {"turn": 13, "text": "乳糖果和开塞露时间长了会有依赖性吗", "role": "patient"}, {"turn": 14, "text": "不建议用红霉素软膏", "role": "doctor"}, {"turn": 15, "text": "不需要长时间用，大便调理好后就不用了", "role": "doctor"}, {"turn": 16, "text": "我用碘酒洗后涂过两次，没关系吧", "role": "patient"}, {"turn": 17, "text": "关系不大", "role": "doctor"}, {"turn": 18, "text": "开塞露是用完接着去洗手间还是要憋一会再去", "role": "patient"}, {"turn": 19, "text": "用完有便意的时候去", "role": "doctor"}, {"turn": 20, "text": "我是一直有便意", "role": "patient"}, {"turn": 21, "text": "那用一支开塞露就去，如果能排出来就排一下", "role": "doctor"}, {"turn": 22, "text": "乳果糖按照说明书剂量服用就可以是吧，药店能买到吗？还是需要去医院开？", "role": "patient"}, {"turn": 23, "text": "药店有，按照说明书", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1531, "thread": [{"turn": 0, "text": "便秘拉屎流血怎么回事（男，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多长时间了？", "role": "doctor"}, {"turn": 2, "text": "医生好", "role": "patient"}, {"turn": 3, "text": "你好", "role": "doctor"}, {"turn": 4, "text": "我便秘了有快2个月了", "role": "patient"}, {"turn": 5, "text": "自从九月来国外读书", "role": "patient"}, {"turn": 6, "text": "学习紧张所以四五天才有排便意识", "role": "patient"}, {"turn": 7, "text": "今天排便发现滴血", "role": "patient"}, {"turn": 8, "text": "多吗", "role": "doctor"}, {"turn": 9, "text": "排便肛门疼不疼", "role": "doctor"}, {"turn": 10, "text": "滴了20滴左右 擦完屁股后还在出血", "role": "patient"}, {"turn": 11, "text": "疼 最初那个最大块的粪便即将排出时肛门会有撕裂感 以前都有撕裂感 擦屁股的时候会有血 今天直接往下滴血了", "role": "patient"}, {"turn": 12, "text": "可能是肛裂", "role": "doctor"}, {"turn": 13, "text": "那请问我该怎么办 身处异国他乡 每次排便我都知道又是一场煎熬 我应该自己做些什么措施或者自己买些什么药物", "role": "patient"}, {"turn": 14, "text": "多吃点蔬菜", "role": "doctor"}, {"turn": 15, "text": "软化大便", "role": "doctor"}, {"turn": 16, "text": "好的 我是不是有极地可能性是直肠癌", "role": "patient"}, {"turn": 17, "text": "不会的", "role": "doctor"}, {"turn": 18, "text": "这么年轻", "role": "doctor"}, {"turn": 19, "text": "好 那我多吃点蔬菜水果 如果使用药物的话你推荐什么药物 还是说没有使用药物的必要", "role": "patient"}, {"turn": 20, "text": "乳果糖口服液，不知道你能买到不", "role": "doctor"}, {"turn": 21, "text": "好 我去药店找找 谢谢你。", "role": "patient"}, {"turn": 22, "text": "不客气的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1532, "thread": [{"turn": 0, "text": "搞不清自己是阳虚阴虚（男，25岁）", "role": "patient"}, {"turn": 1, "text": "你好，你有什么症状么？", "role": "doctor"}, {"turn": 2, "text": "医生您好", "role": "patient"}, {"turn": 3, "text": "我感觉自己身体很虚", "role": "patient"}, {"turn": 4, "text": "你把你的症状告知我", "role": "doctor"}, {"turn": 5, "text": "以前喜欢手淫，现在和媳妇房事总是太短，一开始很好，几分钟不到就没了，然后硬不起来，身体总犯困，晚上容易出汗，遗精", "role": "patient"}, {"turn": 6, "text": "嗯嗯好的  腰膝酸软头晕乏力耳鸣有么", "role": "doctor"}, {"turn": 7, "text": "还有我的精液总是不太正常，并不是很浓", "role": "patient"}, {"turn": 8, "text": "有的", "role": "patient"}, {"turn": 9, "text": "偶尔有", "role": "patient"}, {"turn": 10, "text": "嗯嗯好的   口干舌燥有么", "role": "doctor"}, {"turn": 11, "text": "晚上睡觉如何", "role": "doctor"}, {"turn": 12, "text": "口到不干，就是咽喉晚上总是干，然后就咳，这是因为我有炎症，晚上睡觉正常，有点嗜睡", "role": "patient"}, {"turn": 13, "text": "嗯嗯好的   你这个情况多久了", "role": "doctor"}, {"turn": 14, "text": "有很久了，半年吧", "role": "patient"}, {"turn": 15, "text": "有很久了，半年多了，之前还好，现在有点严重", "role": "patient"}, {"turn": 16, "text": "之前有吃过药没", "role": "doctor"}, {"turn": 17, "text": "性生活频繁么", "role": "doctor"}, {"turn": 18, "text": "没呢", "role": "patient"}, {"turn": 19, "text": "最近有点频繁，之前不是很频繁，但是也一周一次，您帮我看看是阴虚还是阳虚，我该怎么吃药还是怎么", "role": "patient"}, {"turn": 20, "text": "你这个我考虑阴虚为主", "role": "doctor"}, {"turn": 21, "text": "我刚买了六味地黄丸和肾宝丸片，但是不知道吃哪个", "role": "patient"}, {"turn": 22, "text": "你吃六味地黄丸", "role": "doctor"}, {"turn": 23, "text": "然后再用枸杞加黄芪泡水喝", "role": "doctor"}, {"turn": 24, "text": "枸杞  黄芪3-5g就行", "role": "doctor"}, {"turn": 25, "text": "我也觉得阴虚为主，但是我也感觉阳气也不足，有点阳虚症状", "role": "patient"}, {"turn": 26, "text": "这段时间性生活节制一些", "role": "doctor"}, {"turn": 27, "text": "你先按这个方案来吃药", "role": "doctor"}, {"turn": 28, "text": "还有加强锻炼", "role": "doctor"}, {"turn": 29, "text": "好的，那我不用吃肾宝丸片吧，两种也不能一起吃对吧", "role": "patient"}, {"turn": 30, "text": "暂时不吃肾宝片", "role": "doctor"}, {"turn": 31, "text": "你先吃六味地黄丸", "role": "doctor"}, {"turn": 32, "text": "再用上面两个药物泡水喝", "role": "doctor"}, {"turn": 33, "text": "好的", "role": "patient"}, {"turn": 34, "text": "有没有中药之类的，中药治本嘛，我想吃点中药调理下", "role": "patient"}, {"turn": 35, "text": "您给我开一副中药吧，我去药店配点药吃", "role": "patient"}, {"turn": 36, "text": "麻烦您", "role": "patient"}, {"turn": 37, "text": "中药这个你得去面诊开   不把脉中药是开不了   药效不够还不如不开   我个人是不推崇不面诊开中药", "role": "doctor"}, {"turn": 38, "text": "好的", "role": "patient"}, {"turn": 39, "text": "嗯嗯  希望理解", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1533, "thread": [{"turn": 0, "text": "鼓膜穿孔一个多月请问能坐飞机吗（女，21岁）", "role": "patient"}, {"turn": 1, "text": "您好，什么原因引起的鼓膜穿孔？现在鼓膜愈合情况如何呢？", "role": "doctor"}, {"turn": 2, "text": "水上乐园玩被水冲了", "role": "patient"}, {"turn": 3, "text": "现在复查了么？鼓膜什么情况", "role": "doctor"}, {"turn": 4, "text": "没有复查", "role": "patient"}, {"turn": 5, "text": "飞机气压大，担心影响鼓膜愈合。", "role": "doctor"}, {"turn": 6, "text": "就偶尔感觉耳朵痒也在没有其他感觉", "role": "patient"}, {"turn": 7, "text": "不建议乘飞机", "role": "doctor"}, {"turn": 8, "text": "带耳塞可以不", "role": "patient"}, {"turn": 9, "text": "不建议乘飞机，即使戴耳塞也有风险", "role": "doctor"}, {"turn": 10, "text": "那不能乘坐哪些交通工具呢", "role": "patient"}, {"turn": 11, "text": "高铁我一直在坐", "role": "patient"}, {"turn": 12, "text": "只要气压大的，主要是飞机不建议乘坐", "role": "doctor"}, {"turn": 13, "text": "主要这次要坐飞机看有啥影响没", "role": "patient"}, {"turn": 14, "text": "因为气压大，担心影响鼓膜愈合", "role": "doctor"}, {"turn": 15, "text": "嗯好", "role": "patient"}, {"turn": 16, "text": "是", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1534, "thread": [{"turn": 0, "text": "7岁孩子反复发烧咳嗽嗜睡（女，6岁）", "role": "patient"}, {"turn": 1, "text": "你好，宝宝发热几天了？", "role": "doctor"}, {"turn": 2, "text": "今天第三天", "role": "patient"}, {"turn": 3, "text": "咳嗽，流鼻涕，打喷嚏，", "role": "patient"}, {"turn": 4, "text": "反复发烧，", "role": "patient"}, {"turn": 5, "text": "体温多少", "role": "doctor"}, {"turn": 6, "text": "39度", "role": "patient"}, {"turn": 7, "text": "最近一次", "role": "patient"}, {"turn": 8, "text": "喝了布洛芬不烧了。但是睡了有一会了", "role": "patient"}, {"turn": 9, "text": "不想喝水。不想吃饭", "role": "patient"}, {"turn": 10, "text": "感冒的因素", "role": "doctor"}, {"turn": 11, "text": "怎样治疗，", "role": "patient"}, {"turn": 12, "text": "口服四季抗病毒，再林颗粒", "role": "patient"}, {"turn": 13, "text": "刚才醒了喝了奥司他韦颗粒", "role": "patient"}, {"turn": 14, "text": "？？？", "role": "patient"}, {"turn": 15, "text": "只要是他为就不要再吃四季抗病毒口服液了", "role": "doctor"}, {"turn": 16, "text": "医生有什么建议吗", "role": "patient"}, {"turn": 17, "text": "继续吃奥司他韦", "role": "doctor"}, {"turn": 18, "text": "再林颗粒要吃吗", "role": "patient"}, {"turn": 19, "text": "美林吧", "role": "doctor"}, {"turn": 20, "text": "美林不退烧的么？", "role": "patient"}, {"turn": 21, "text": "是啊", "role": "doctor"}, {"turn": 22, "text": "医生你能给点什么建议性的话语吗？", "role": "patient"}, {"turn": 23, "text": "感冒感冒的孩子一般发烧，没有那么多的精力，他只有睡觉这个情况建议你吃，奥斯卡里没有任何问题，我不建议你吃四季抗病毒，是因为这两个药都是抗病毒的效果，奥斯卡韦的药效要比四季抗病毒效果更好一些。", "role": "doctor"}, {"turn": 24, "text": "反复发烧第三天了已经", "role": "patient"}, {"turn": 25, "text": "抗生素之类的药物要继续吃吗", "role": "patient"}, {"turn": 26, "text": "抗生素吃一周就可以", "role": "doctor"}, {"turn": 27, "text": "哦。", "role": "patient"}, {"turn": 28, "text": "是的", "role": "doctor"}, {"turn": 29, "text": "就是奥司他韦，加抗生素。不用吃治疗感冒咳嗽之类的吗", "role": "patient"}, {"turn": 30, "text": "咳嗽不是不严重吗", "role": "doctor"}, {"turn": 31, "text": "不严重，不用吃止咳药，因为止咳药的话会抑制痰的分泌。", "role": "doctor"}, {"turn": 32, "text": "好像咳嗽的还有点多", "role": "patient"}, {"turn": 33, "text": "你看一下能不能买到小儿化痰清肺散这个药里边的是中药成分的贝母效果不错。", "role": "doctor"}, {"turn": 34, "text": "好的，", "role": "patient"}, {"turn": 35, "text": "好的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1535, "thread": [{"turn": 0, "text": "中医开的消化酶片对便秘有效果么（女，29岁）", "role": "patient"}, {"turn": 1, "text": "你好，消化酶主要是帮助消化的", "role": "doctor"}, {"turn": 2, "text": "可以促进胃肠蠕动", "role": "doctor"}, {"turn": 3, "text": "这个药会不会有什么副作用呢", "role": "patient"}, {"turn": 4, "text": "一般来说，没有明显的不良反应", "role": "doctor"}, {"turn": 5, "text": "请问湿气会引起便秘么", "role": "patient"}, {"turn": 6, "text": "请用中成药和汤药哪个效果会好一些呀", "role": "patient"}, {"turn": 7, "text": "湿气重一般会出现腹部胀满，食少，大便溏，妇女带下量多", "role": "doctor"}, {"turn": 8, "text": "请问湿气重会导致气虚么", "role": "patient"}, {"turn": 9, "text": "瘀血痹和四妙丸可以治疗气虚么", "role": "patient"}, {"turn": 10, "text": "湿气重一般不会导致气虚", "role": "doctor"}, {"turn": 11, "text": "瘀血痹是用于瘀血阻滞导致的关节肌肉疼痛", "role": "doctor"}, {"turn": 12, "text": "四妙丸可以清热利湿", "role": "doctor"}, {"turn": 13, "text": "这两种药不太适用于气虚", "role": "doctor"}, {"turn": 14, "text": "今天去中医内科看的，大夫说是因为有湿气才会没有力气，脸色不好，脸上有痘，平时心情不太好，有压力或者焦虑什么的，说是这些都是相互关联的，所以开的这个药，请问这些药不对症么", "role": "patient"}, {"turn": 15, "text": "湿气重的话，可以导致肢体沉重困乏，可以健脾祛湿", "role": "doctor"}, {"turn": 16, "text": "至于那三种药的主要作用已经跟你说了", "role": "doctor"}, {"turn": 17, "text": "我的腿有的时候会隐隐的有一点疼，是不是瘀血导致的呀，请问她给开的些药是对应我的症状的么", "role": "patient"}, {"turn": 18, "text": "请问湿气重和气虚哪个是根源呀", "role": "patient"}, {"turn": 19, "text": "如果之前受过外伤，疼痛像针刺样，夜间加重的话，考虑可能是瘀血导致的", "role": "doctor"}, {"turn": 20, "text": "至于气虚和湿邪的问题，其实是相互影响的，可能是先有脾气虚，不能运化水湿，水湿内挺，也可能是湿邪困脾，导致脾失健运，脾气亏虚", "role": "doctor"}, {"turn": 21, "text": "之前没有过外伤，只是有时候某一个部位有一点疼，因为当时我跟大夫提过月经前三天比较多第四第五天就很少了，所以是不是指血淤影响月经量和肌肉的疼痛这两方面呀", "role": "patient"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1536, "thread": [{"turn": 0, "text": "头皮屑特别多，还脱发（男，18岁）", "role": "patient"}, {"turn": 1, "text": "多久了？有没有什么不舒服的？每天大约掉多少根头发？", "role": "doctor"}, {"turn": 2, "text": "一个多月了，医生给了复方甘草酸苷片和维生素B片服用，外用采乐洗头发，没有效果", "role": "patient"}, {"turn": 3, "text": "脱发多吗", "role": "doctor"}, {"turn": 4, "text": "洗头时盆底大概30多根每次", "role": "patient"}, {"turn": 5, "text": "不是太多", "role": "doctor"}, {"turn": 6, "text": "应该是脂溢性脱发", "role": "doctor"}, {"turn": 7, "text": "养成良好生活习惯限制高糖高脂油炸烧烤辛辣食物多吃水果蔬菜不熬夜", "role": "doctor"}, {"turn": 8, "text": "主要是头皮屑衣服上一圈", "role": "patient"}, {"turn": 9, "text": "用二硫化硒洗发水洗发，每周三次", "role": "doctor"}, {"turn": 10, "text": "口服养血生发胶囊和21金维他片", "role": "doctor"}, {"turn": 11, "text": "药店买吗？用了采乐没有效果", "role": "patient"}, {"turn": 12, "text": "好的，谢谢医生", "role": "patient"}, {"turn": 13, "text": "二硫化硒药店买，去头屑效果好", "role": "doctor"}, {"turn": 14, "text": "好的，谢谢您了", "role": "patient"}, {"turn": 15, "text": "不客气早日康复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1537, "thread": [{"turn": 0, "text": "三阴性乳腺癌疼痛怎么处理（女，55岁）", "role": "patient"}, {"turn": 1, "text": "你做完手术了吗？..", "role": "doctor"}, {"turn": 2, "text": "做过两次手术，第一次是局部，第二次是根治", "role": "patient"}, {"turn": 3, "text": "手术后多长时间了", "role": "doctor"}, {"turn": 4, "text": "不到两年", "role": "patient"}, {"turn": 5, "text": "哪个部位疼痛", "role": "doctor"}, {"turn": 6, "text": "先是转移胸膜，现在转移骨头，疼痛解决不了，吗啡不好用", "role": "patient"}, {"turn": 7, "text": "胸膜那周围前后左右都疼，肋骨也疼，每天疼的地方不一样.神经到处走那种，这都是她自己描述的", "role": "patient"}, {"turn": 8, "text": "这种情况可以麻醉科联合应用多种药物止痛", "role": "doctor"}, {"turn": 9, "text": "要去疼痛门诊就诊", "role": "doctor"}, {"turn": 10, "text": "没有别的办法了吗", "role": "patient"}, {"turn": 11, "text": "这个时期只能这么治疗", "role": "doctor"}, {"turn": 12, "text": "麻醉科除了吗啡能有别的是吧，如果只有吗啡那没什么用", "role": "patient"}, {"turn": 13, "text": "可以联合镇静作用的药物", "role": "doctor"}, {"turn": 14, "text": "好我挂个麻醉科问问", "role": "patient"}, {"turn": 15, "text": "疼痛科或麻醉科", "role": "doctor"}, {"turn": 16, "text": "这个除了放化疗，没有别的手段吗", "role": "patient"}, {"turn": 17, "text": "没有了", "role": "doctor"}, {"turn": 18, "text": "她第九肋骨那长了个包，不敢碰，就每次那周围疼的厉害，医生建议放疗减轻痛苦，但是她不能平躺", "role": "patient"}, {"turn": 19, "text": "化疗有什么药针对她好用", "role": "patient"}, {"turn": 20, "text": "这种时候可以考虑阿帕替尼治疗；但太昂贵了", "role": "doctor"}, {"turn": 21, "text": "口服的吧，吃过了", "role": "patient"}, {"turn": 22, "text": "是的；没有其他更有效的药了", "role": "doctor"}, {"turn": 23, "text": "好吧我知道了", "role": "patient"}, {"turn": 24, "text": "这个时期不要再过度治疗了；让疼痛科医生采取措施减轻患者痛苦最重要", "role": "doctor"}, {"turn": 25, "text": "嗯好", "role": "patient"}, {"turn": 26, "text": "祝健康", "role": "doctor"}, {"turn": 27, "text": "谢谢", "role": "patient"}, {"turn": 28, "text": "😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1538, "thread": [{"turn": 0, "text": "精索静脉曲张手术多久恢复可以上班（男，37岁）", "role": "patient"}, {"turn": 1, "text": "一般来说，只要伤口恢复顺利，一周左右就可以上班了。", "role": "doctor"}, {"turn": 2, "text": "请问你工作是什么呢", "role": "doctor"}, {"turn": 3, "text": "现在没工作", "role": "patient"}, {"turn": 4, "text": "一月内不要做重体力活动", "role": "doctor"}, {"turn": 5, "text": "但是快一个了走路还有点疼", "role": "patient"}, {"turn": 6, "text": "一个月？", "role": "doctor"}, {"turn": 7, "text": "还是一周？", "role": "doctor"}, {"turn": 8, "text": "还有就是阴囊精索有坠感", "role": "patient"}, {"turn": 9, "text": "一个月了", "role": "patient"}, {"turn": 10, "text": "坠胀感是一直都有么", "role": "doctor"}, {"turn": 11, "text": "偶尔", "role": "patient"}, {"turn": 12, "text": "走路疼痛是伤口疼痛还是阴囊呢", "role": "doctor"}, {"turn": 13, "text": "偶尔坠胀不用管它", "role": "doctor"}, {"turn": 14, "text": "阴囊上面好像手术结扎的地方", "role": "patient"}, {"turn": 15, "text": "应该是皮神经破坏后引起的。", "role": "doctor"}, {"turn": 16, "text": "神经的恢复相对要慢一些", "role": "doctor"}, {"turn": 17, "text": "有的人3-6个月后这种感觉才会逐渐好转", "role": "doctor"}, {"turn": 18, "text": "因为一个月了，伤口肯定都已经恢复了", "role": "doctor"}, {"turn": 19, "text": "时间有点久", "role": "patient"}, {"turn": 20, "text": "手术后精索觉得变小一点", "role": "patient"}, {"turn": 21, "text": "因为结扎了曲张的静脉，是会变小一些的", "role": "doctor"}, {"turn": 22, "text": "手术前静脉曲张充血，肯定要粗一些", "role": "doctor"}, {"turn": 23, "text": "是的", "role": "patient"}, {"turn": 24, "text": "你做的是显微镜还是腹腔镜呢？", "role": "doctor"}, {"turn": 25, "text": "当时医生做传统手术然后加一个显微镜头。", "role": "patient"}, {"turn": 26, "text": "额，那就是显微镜手术", "role": "doctor"}, {"turn": 27, "text": "这个效果要比腹腔镜好一些", "role": "doctor"}, {"turn": 28, "text": "因为显微镜下曲张静脉看得更加清楚。", "role": "doctor"}, {"turn": 29, "text": "是的", "role": "patient"}, {"turn": 30, "text": "左边精索静脉曲张比较严重", "role": "patient"}, {"turn": 31, "text": "你目前这些症状都是正常的，可预见的。不用太紧张。", "role": "doctor"}, {"turn": 32, "text": "你做的双侧么？", "role": "doctor"}, {"turn": 33, "text": "左侧", "role": "patient"}, {"turn": 34, "text": "你现在有孩子没有", "role": "doctor"}, {"turn": 35, "text": "没有", "role": "patient"}, {"turn": 36, "text": "精索静脉曲张主要会影响精子质量", "role": "doctor"}, {"turn": 37, "text": "你可以手术后3个月左右复查个精液看看精子质量", "role": "doctor"}, {"turn": 38, "text": "今年精索静脉曲张比较严重一直没有办工作", "role": "patient"}, {"turn": 39, "text": "3个月能恢复吧", "role": "patient"}, {"turn": 40, "text": "你现在术后一个月了，可以开始尝试工作了。", "role": "doctor"}, {"turn": 41, "text": "只要不是做重体力就行", "role": "doctor"}, {"turn": 42, "text": "好的", "role": "patient"}, {"turn": 43, "text": "一般是3-6个月恢复", "role": "doctor"}, {"turn": 44, "text": "所以我建议你3个月后复查看恢复得怎么样", "role": "doctor"}, {"turn": 45, "text": "好的", "role": "patient"}, {"turn": 46, "text": "嗯嗯", "role": "doctor"}, {"turn": 47, "text": "麻烦给我一个好评吧，谢谢你啦", "role": "doctor"}, {"turn": 48, "text": "好的", "role": "patient"}, {"turn": 49, "text": "嗯嗯谢谢", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1539, "thread": [{"turn": 0, "text": "妇科支原体感染阴性是什么意思 严重吗（女，26岁）", "role": "patient"}, {"turn": 1, "text": "说明没有被支原体病菌感染。", "role": "doctor"}, {"turn": 2, "text": "没事", "role": "doctor"}, {"turn": 3, "text": "都去医院检查出来了，你怎可能說没感染呢", "role": "patient"}, {"turn": 4, "text": "说等于没说", "role": "patient"}, {"turn": 5, "text": "你说的是阴性，支原体感染阴性。你问支原体感染阴性是什么意思？我的回答是，如果是阴性的话那就是没有感染。", "role": "doctor"}, {"turn": 6, "text": "可能你自己描述有错误，你把检查单发过来看一下。", "role": "doctor"}, {"turn": 7, "text": "你仔细看你说的问题，是你自己说的阴性。", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1540, "thread": [{"turn": 0, "text": "肝纤维化要吃什么药我是脂肪肝引起的。（女，58岁）", "role": "patient"}, {"turn": 1, "text": "您好，有什么可以帮到您", "role": "doctor"}, {"turn": 2, "text": "您好，肝纤维化首先要就诊医院，检查是否有乙肝，还是其他因素导致", "role": "doctor"}, {"turn": 3, "text": "然后在主管医生指导下服用化纤药物", "role": "doctor"}, {"turn": 4, "text": "这种药物只能在医院购买", "role": "doctor"}, {"turn": 5, "text": "您这个如果确诊是脂肪肝引起，只能改善饮食及化纤药物", "role": "doctor"}, {"turn": 6, "text": "必要时加用降脂药物", "role": "doctor"}, {"turn": 7, "text": "都需要在您主管医生指导下服用，不要自行服用", "role": "doctor"}, {"turn": 8, "text": "我是乙肝大三阳通过治疗现在已经没有病毒复制了，最近有点不舒服正好在瑞士就找了瑞士的肝胆专家看了一下并做了肝穿后发现纤维化，他诊断是脂肪肝引起的。因为是来玩没有1时间在去问诊，就想问一下中国专家怎样治疗。除了减脂还有别的治疗吗？", "role": "patient"}, {"turn": 9, "text": "目前初期的话只能减脂及化纤", "role": "doctor"}, {"turn": 10, "text": "肝硬化目前只能对症", "role": "doctor"}, {"turn": 11, "text": "化纤怎么做", "role": "patient"}, {"turn": 12, "text": "在医生指导下服用药物", "role": "doctor"}, {"turn": 13, "text": "不要自行服用药物，这种药物只能在医院购买", "role": "doctor"}, {"turn": 14, "text": "去医院看", "role": "patient"}, {"turn": 15, "text": "嗯嗯，在医院购买药物，及在医生指导下服用药物就行", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1541, "thread": [{"turn": 0, "text": "男士阴茎发育到什么时你好候（男，19岁）", "role": "patient"}, {"turn": 1, "text": "您好，很高兴为您服务！", "role": "doctor"}, {"turn": 2, "text": "一般18岁就会停止发育", "role": "doctor"}, {"turn": 3, "text": "那有什么办法增长呢", "role": "patient"}, {"turn": 4, "text": "你好！你的阴茎勃起后有多长？", "role": "doctor"}, {"turn": 5, "text": "除了手术没有其他办法", "role": "doctor"}, {"turn": 6, "text": "阴茎延长是切断阴茎悬韧带能延长阴茎，该手术会阴备皮，需要麻醉，在阴茎背部上方的阴阜切开皮肤3cm左右，从适当位置切断阴茎上的浅悬韧带和深悬韧带，使埋藏在会阴的那段阴茎海绵体分离出来，其体外部分即能因此延长3厘米左右。", "role": "doctor"}, {"turn": 7, "text": "没仔细量过，那有没有治疗早泄的办法", "role": "patient"}, {"turn": 8, "text": "口服必利劲（盐酸达泊西汀）治疗。配合使用外用药，在性交前15-30分钟使用达克罗宁或者利多卡因乳膏涂在龟头、冠状沟、阴茎上，降低敏感度，同房前可以清洗掉。性生活不要频繁，戒烟戒酒，早睡早起，加强锻炼改善体质有助于治疗。", "role": "doctor"}, {"turn": 9, "text": "有没有改善的方法，也不能没次都用药呀", "role": "patient"}, {"turn": 10, "text": "包皮会影响吗", "role": "patient"}, {"turn": 11, "text": "会的", "role": "doctor"}, {"turn": 12, "text": "包皮过长会引起龟头敏感度增加的", "role": "doctor"}, {"turn": 13, "text": "刚才我看了，一下勃起之后再12，13厘米左右", "role": "patient"}, {"turn": 14, "text": "正常的", "role": "doctor"}, {"turn": 15, "text": "那就是早泄，没一会就射了", "role": "patient"}, {"turn": 16, "text": "如果包皮过长可以做个包皮环切术", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1542, "thread": [{"turn": 0, "text": "半月板损伤应该怎么康复（男，20岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问你现在有什么症状？", "role": "doctor"}, {"turn": 2, "text": "复发会很痛", "role": "patient"}, {"turn": 3, "text": "多久了", "role": "doctor"}, {"turn": 4, "text": "什么原因引起", "role": "doctor"}, {"turn": 5, "text": "1年多了", "role": "patient"}, {"turn": 6, "text": "受伤的", "role": "patient"}, {"turn": 7, "text": "做过什么检查和治疗吗", "role": "doctor"}, {"turn": 8, "text": "要动手术的，但是没有动", "role": "patient"}, {"turn": 9, "text": "目前走路影响吗", "role": "doctor"}, {"turn": 10, "text": "是否可以跑跳", "role": "doctor"}, {"turn": 11, "text": "不影响", "role": "patient"}, {"turn": 12, "text": "做什么动作会痛", "role": "doctor"}, {"turn": 13, "text": "可以", "role": "patient"}, {"turn": 14, "text": "没有", "role": "patient"}, {"turn": 15, "text": "那已经恢复的很好了", "role": "doctor"}, {"turn": 16, "text": "不需要额外康复训练", "role": "doctor"}, {"turn": 17, "text": "但复发会特别痛", "role": "patient"}, {"turn": 18, "text": "什么情况下会复发", "role": "doctor"}, {"turn": 19, "text": "雨天", "role": "patient"}, {"turn": 20, "text": "可以做膝盖艾灸，减少膝盖里的寒湿气，一年四季都要注意膝盖保暖", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1543, "thread": [{"turn": 0, "text": "松果体囊肿与甲亢有关吗（女，29岁）", "role": "patient"}, {"turn": 1, "text": "这个一般没有什么关系", "role": "doctor"}, {"turn": 2, "text": "松果体是脑子解剖的一个部位，主要在三脑室后部，叫松果体区。松果体囊肿是一种先天性疾病，发生率没有具体统计，但是在门诊经常可以看到松果体区的囊肿。如果这种囊肿对病人没有任何影响，同时在随诊观察过程中囊肿大小没有任何改变，是不需要任何治疗的。", "role": "doctor"}, {"turn": 3, "text": "甲亢是甲状腺的病变。跟松果体没有什么关系", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1544, "thread": [{"turn": 0, "text": "直肠癌造口手术后肛门流血（男，60岁）", "role": "patient"}, {"turn": 1, "text": "你好，请问术后多长时间了？", "role": "doctor"}, {"turn": 2, "text": "术后20多天", "role": "patient"}, {"turn": 3, "text": "肿瘤切掉了吗？", "role": "doctor"}, {"turn": 4, "text": "之前一直良好，今天肛门有排便感，如厕有暗色血块便出，之后又有两次，今天已经三次排出血块了。", "role": "patient"}, {"turn": 5, "text": "如果肿瘤切掉了，说明是肛门周围出血。", "role": "doctor"}, {"turn": 6, "text": "如果肿瘤没有切掉，极有可能是肿瘤出血。", "role": "doctor"}, {"turn": 7, "text": "切掉了，病理报告显示切缘无癌", "role": "patient"}, {"turn": 8, "text": "什么情况下会有肛门出血？", "role": "patient"}, {"turn": 9, "text": "剩下的直肠有分泌功能，会导致有排便感。如果用力挣的话，就会出血。", "role": "doctor"}, {"turn": 10, "text": "可以塞一点痔疮栓，看看能不能缓解。如果不能缓解，需要去医院肛肠科用肛门镜检查一下。", "role": "doctor"}, {"turn": 11, "text": "昨天做了核磁共振，结果用来参考是否需要放疗", "role": "patient"}, {"turn": 12, "text": "磁共振是检查直肠这一块最好的。", "role": "doctor"}, {"turn": 13, "text": "可以把磁共振报告发给我看一下。", "role": "doctor"}, {"turn": 14, "text": "昨天刚做，周一才会出结果", "role": "patient"}, {"turn": 15, "text": "只要不是肿瘤复发就不怕。", "role": "doctor"}, {"turn": 16, "text": "好的，现在病人无不适感，是不是可以观察", "role": "patient"}, {"turn": 17, "text": "可以观察的，只要出血量不是很大。", "role": "doctor"}, {"turn": 18, "text": "几级医院以上才能查这个肛门镜啊？", "role": "patient"}, {"turn": 19, "text": "二级医院就有", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1545, "thread": [{"turn": 0, "text": "水痘四五天了长了600多个怎么办?（男，15岁）", "role": "patient"}, {"turn": 1, "text": "你好，你期间有没有使用阿昔洛韦治疗水痘呢？", "role": "doctor"}, {"turn": 2, "text": "没有，吃了4天的发药，然后用炉甘石洗剂止痒", "role": "patient"}, {"turn": 3, "text": "然后就起的这么多了", "role": "patient"}, {"turn": 4, "text": "那你需要吃抗病毒的药物的", "role": "doctor"}, {"turn": 5, "text": "水痘不是出的越多越好", "role": "doctor"}, {"turn": 6, "text": "那要吃什么呢？", "role": "patient"}, {"turn": 7, "text": "阿昔洛韦片", "role": "doctor"}, {"turn": 8, "text": "那需不需要中药治疗？", "role": "patient"}, {"turn": 9, "text": "中药不治疗水痘", "role": "doctor"}, {"turn": 10, "text": "那吃阿昔韦洛片就够了么，还有没有其他的药一起用可以治疗？", "role": "patient"}, {"turn": 11, "text": "我们这都是这样治疗的，而且效果很好", "role": "doctor"}, {"turn": 12, "text": "如果血象高，可以使用抗生素", "role": "doctor"}, {"turn": 13, "text": "嗯，谢谢医生", "role": "patient"}, {"turn": 14, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1546, "thread": [{"turn": 0, "text": "胆囊炎应该怎么办啊，一疼一疼的（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，做过彩超了吗？", "role": "doctor"}, {"turn": 2, "text": "没有", "role": "patient"}, {"turn": 3, "text": "这种情况多久了？", "role": "doctor"}, {"turn": 4, "text": "就这几天，", "role": "patient"}, {"turn": 5, "text": "我吃饭就开始一疼一疼的", "role": "patient"}, {"turn": 6, "text": "有治疗嘛？", "role": "doctor"}, {"turn": 7, "text": "我暴饮暴食，吃饭不规律", "role": "patient"}, {"turn": 8, "text": "没有治疗", "role": "patient"}, {"turn": 9, "text": "你怎么知道是胆囊炎", "role": "doctor"}, {"turn": 10, "text": "我开始禁食了", "role": "patient"}, {"turn": 11, "text": "首先你需要做个彩超", "role": "doctor"}, {"turn": 12, "text": "猜的，不过百分之八十是的", "role": "patient"}, {"turn": 13, "text": "我以前也疼过几次，不过，自己好了", "role": "patient"}, {"turn": 14, "text": "其次，如果确认是胆囊炎可以先考虑保守治疗，用消炎药之类的", "role": "doctor"}, {"turn": 15, "text": "不想去医院", "role": "patient"}, {"turn": 16, "text": "如果药物治疗无效就只能手术治疗", "role": "doctor"}, {"turn": 17, "text": "可以吃头孢呋辛吗", "role": "patient"}, {"turn": 18, "text": "可以", "role": "doctor"}, {"turn": 19, "text": "哦哦，甲硝唑需要吃吗", "role": "patient"}, {"turn": 20, "text": "甲硝唑没必要", "role": "doctor"}, {"turn": 21, "text": "吃点头孢就可以", "role": "doctor"}, {"turn": 22, "text": "可以再吃点消炎利胆片", "role": "doctor"}, {"turn": 23, "text": "哦哦，好的，非常感谢", "role": "patient"}, {"turn": 24, "text": "不客气的", "role": "doctor"}, {"turn": 25, "text": "可以吃饭吗", "role": "patient"}, {"turn": 26, "text": "😭😭😭", "role": "patient"}, {"turn": 27, "text": "可以吃", "role": "doctor"}, {"turn": 28, "text": "吃清淡的", "role": "doctor"}, {"turn": 29, "text": "好的，我近几天吃的高脂肪的", "role": "patient"}, {"turn": 30, "text": "😁😁😁😁", "role": "patient"}, {"turn": 31, "text": "一定要清淡饮食", "role": "doctor"}, {"turn": 32, "text": "好", "role": "patient"}, {"turn": 33, "text": "😊😊😊", "role": "patient"}, {"turn": 34, "text": "嗯嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1547, "thread": [{"turn": 0, "text": "十二脂胃溃疡严重会致癌吗（女，14岁）", "role": "patient"}, {"turn": 1, "text": "你好！欢迎来健康咨询", "role": "doctor"}, {"turn": 2, "text": "请问是十二指肠溃疡？还是胃溃疡？", "role": "doctor"}, {"turn": 3, "text": "十二指胃溃疡", "role": "patient"}, {"turn": 4, "text": "十二指胃溃疡", "role": "patient"}, {"turn": 5, "text": "请把检查单子传上来看看", "role": "doctor"}, {"turn": 6, "text": "没有十二指胃这个说法", "role": "doctor"}, {"turn": 7, "text": "只有十二指肠", "role": "doctor"}, {"turn": 8, "text": "或者胃", "role": "doctor"}, {"turn": 9, "text": "或者两个位置都有溃疡？", "role": "doctor"}, {"turn": 10, "text": "不是", "role": "patient"}, {"turn": 11, "text": "十二脂胃溃疡", "role": "patient"}, {"turn": 12, "text": "你把检查单发过来看看", "role": "doctor"}, {"turn": 13, "text": "还在吗？", "role": "doctor"}, {"turn": 14, "text": "看一下检查单怎么写的", "role": "doctor"}, {"turn": 15, "text": "是不是十二指肠，胃都有溃疡", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1548, "thread": [{"turn": 0, "text": "新生儿上呼吸道感染会是甲醛的原因吗（女，22岁）", "role": "patient"}, {"turn": 1, "text": "你好，甲醛这类有害气体可能会降低呼吸道免疫力，增加呼吸道感染的几率，但是不是直接感染因素", "role": "doctor"}, {"turn": 2, "text": "1个月28天了，今天去医院检查上呼吸道感染了，会是甲醛造成的吗", "role": "patient"}, {"turn": 3, "text": "甲醛会导致孩子容易生病，但是呼吸道感染应该还是病毒感染", "role": "doctor"}, {"turn": 4, "text": "哦谢谢，你的意思就是，她的呼吸道感染不是甲醛导致的，", "role": "patient"}, {"turn": 5, "text": "不是甲醛直接导致的，", "role": "doctor"}, {"turn": 6, "text": "但是甲醛接触对孩子有伤害", "role": "doctor"}, {"turn": 7, "text": "装修7个月了，才住进来，也不知道有没有甲醛", "role": "patient"}, {"turn": 8, "text": "空置的时间也够久了，平时尽可能保持室内空气流通，通风透气是最好的办法", "role": "doctor"}, {"turn": 9, "text": "这么久了应该对宝宝没影响吧", "role": "patient"}, {"turn": 10, "text": "因为没有办法去测量空气中甲醛有多少，我们只能做到室内通风透气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1549, "thread": [{"turn": 0, "text": "腰肌劳损最好的解决方法什么(女，34岁)", "role": "patient"}, {"turn": 1, "text": "你好，这种情况多久了？", "role": "doctor"}, {"turn": 2, "text": "有两年了吧，最近这段时间厉害了，疼的厉害", "role": "patient"}, {"turn": 3, "text": "嗯嗯，你是做什么工作的？", "role": "doctor"}, {"turn": 4, "text": "最近这几天在市场装西红柿了", "role": "patient"}, {"turn": 5, "text": "嗯嗯，你这个是多个原因共同造成的", "role": "doctor"}, {"turn": 6, "text": "可能跟天气啊，劳累啊，还有一些长期不良的姿势之类的有关", "role": "doctor"}, {"turn": 7, "text": "你可以先保守治疗一段时间。", "role": "doctor"}, {"turn": 8, "text": "比如，中药热敷，中药熏蒸，针灸，烤灯等。", "role": "doctor"}, {"turn": 9, "text": "疗效都还可以。", "role": "doctor"}, {"turn": 10, "text": "哦哦", "role": "patient"}, {"turn": 11, "text": "嗯嗯😊", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1550, "thread": [{"turn": 0, "text": "霉菌性阴道炎传染可能性（女，19岁）", "role": "patient"}, {"turn": 1, "text": "你好！请问确诊是霉菌性阴道炎吗？", "role": "doctor"}, {"turn": 2, "text": "是的", "role": "patient"}, {"turn": 3, "text": "想问一下 如果同房了 他传染的可能性", "role": "patient"}, {"turn": 4, "text": "有传染的情况", "role": "doctor"}, {"turn": 5, "text": "如果有保护措施 他也会传染吗", "role": "patient"}, {"turn": 6, "text": "？？", "role": "patient"}, {"turn": 7, "text": "不是都传染，有传染的可能", "role": "doctor"}, {"turn": 8, "text": "可能性大吗？如果没有保护措施的话", "role": "patient"}, {"turn": 9, "text": "看机体的免疫力了", "role": "doctor"}, {"turn": 10, "text": "有的可以，有些就没有关系", "role": "doctor"}, {"turn": 11, "text": "一般感染后有情况发生的周期是多久", "role": "patient"}, {"turn": 12, "text": "他可能没有症状，但是可以在传染给别人", "role": "doctor"}, {"turn": 13, "text": "有些传染后就可以有不适的感觉", "role": "doctor"}, {"turn": 14, "text": "一般治疗这种阴道炎会要多久？", "role": "patient"}, {"turn": 15, "text": "一周就会好", "role": "doctor"}, {"turn": 16, "text": "痔疮跟这个有关系吗？", "role": "patient"}, {"turn": 17, "text": "没有", "role": "doctor"}, {"turn": 18, "text": "怎么样判断他是严重了还是好一点了？", "role": "patient"}, {"turn": 19, "text": "就这个病", "role": "patient"}, {"turn": 20, "text": "去医院检查做化验", "role": "doctor"}, {"turn": 21, "text": "没有现象吗？", "role": "patient"}, {"turn": 22, "text": "确定需要化验", "role": "doctor"}, {"turn": 23, "text": "好吧…", "role": "patient"}, {"turn": 24, "text": "谢谢?", "role": "patient"}, {"turn": 25, "text": "祝你早日恢复", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1551, "thread": [{"turn": 0, "text": "慢性咽喉炎咳嗽，吃什么药有疗效（男，41岁）", "role": "patient"}, {"turn": 1, "text": "你好，你的症状持续有多长时间了？", "role": "doctor"}, {"turn": 2, "text": "没有特效药", "role": "doctor"}, {"turn": 3, "text": "两个礼拜", "role": "patient"}, {"turn": 4, "text": "咳嗽难受，现在无法入睡", "role": "patient"}, {"turn": 5, "text": "医院做过什么检查呢？", "role": "doctor"}, {"turn": 6, "text": "没有", "role": "patient"}, {"turn": 7, "text": "咳痰吗", "role": "doctor"}, {"turn": 8, "text": "喉咙痛吗", "role": "doctor"}, {"turn": 9, "text": "这个是老病重犯", "role": "patient"}, {"turn": 10, "text": "有痰，喉咙痛", "role": "patient"}, {"turn": 11, "text": "干痒", "role": "patient"}, {"turn": 12, "text": "痰什么颜色", "role": "doctor"}, {"turn": 13, "text": "你可以推荐一下，可以买什么药吃来缓解一下", "role": "patient"}, {"turn": 14, "text": "黄色", "role": "patient"}, {"turn": 15, "text": "黄色有炎症了", "role": "doctor"}, {"turn": 16, "text": "这个我知道", "role": "patient"}, {"turn": 17, "text": "头孢氨苄，左氧氟沙星，慢严舒柠", "role": "doctor"}, {"turn": 18, "text": "蜜炼川贝枇杷膏", "role": "doctor"}, {"turn": 19, "text": "就是念慈庵糖浆", "role": "patient"}, {"turn": 20, "text": "也可以", "role": "doctor"}, {"turn": 21, "text": "好吧", "role": "patient"}, {"turn": 22, "text": "谢谢你", "role": "patient"}, {"turn": 23, "text": "不客气", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1552, "thread": [{"turn": 0, "text": "我主要是后背疼考虑可能是腰肌劳损（男，58岁）", "role": "patient"}, {"turn": 1, "text": "您好请问症状有多久了呢？", "role": "doctor"}, {"turn": 2, "text": "记得二十多岁就疼", "role": "patient"}, {"turn": 3, "text": "我是十几岁农村干活累的", "role": "patient"}, {"turn": 4, "text": "当时不知咋回事", "role": "patient"}, {"turn": 5, "text": "你好！现在主要是什么症状呢？", "role": "doctor"}, {"turn": 6, "text": "就是后背疼", "role": "patient"}, {"turn": 7, "text": "请问有无肢体麻木、无力等症状？", "role": "doctor"}, {"turn": 8, "text": "干点弯腰的活就疼的严重", "role": "patient"}, {"turn": 9, "text": "没有", "role": "patient"}, {"turn": 10, "text": "请问有无夜间痛和晨僵现象？", "role": "doctor"}, {"turn": 11, "text": "最近感觉两边肾也不舒服", "role": "patient"}, {"turn": 12, "text": "有", "role": "patient"}, {"turn": 13, "text": "现在疼痛明显吗？", "role": "doctor"}, {"turn": 14, "text": "最近吃的什么药物呢？", "role": "doctor"}, {"turn": 15, "text": "特别过夫妻生活过后严重", "role": "patient"}, {"turn": 16, "text": "现在疼的明显", "role": "patient"}, {"turn": 17, "text": "吃腰息痛胶囊", "role": "patient"}, {"turn": 18, "text": "我也有腰脱的毛病", "role": "patient"}, {"turn": 19, "text": "没有外用药物吗？", "role": "doctor"}, {"turn": 20, "text": "平时你是干什么工作的呢？", "role": "doctor"}, {"turn": 21, "text": "长期久站久坐不呢？", "role": "doctor"}, {"turn": 22, "text": "我是开快餐店的", "role": "patient"}, {"turn": 23, "text": "我没用过药", "role": "patient"}, {"turn": 24, "text": "也不知用什么药", "role": "patient"}, {"turn": 25, "text": "你先吃盐酸替扎尼定片松弛肌肉", "role": "doctor"}, {"turn": 26, "text": "二是可以外用奇正消痛贴外贴", "role": "doctor"}, {"turn": 27, "text": "药店就有吗", "role": "patient"}, {"turn": 28, "text": "每次贴前局部热敷三十分钟", "role": "doctor"}, {"turn": 29, "text": "药店都有卖的", "role": "doctor"}, {"turn": 30, "text": "晚上贴可以吗", "role": "patient"}, {"turn": 31, "text": "啊", "role": "patient"}, {"turn": 32, "text": "最主要是尽量避免长期久站久坐和弯腰", "role": "doctor"}, {"turn": 33, "text": "我这么多年都没干过啥", "role": "patient"}, {"turn": 34, "text": "就今年整个店", "role": "patient"}, {"turn": 35, "text": "以前就开车有时疼", "role": "patient"}, {"turn": 36, "text": "我最近疼的历害", "role": "patient"}, {"turn": 37, "text": "慢性腰肌劳损，就是容易反复出现", "role": "doctor"}, {"turn": 38, "text": "你现在疼痛剧烈，那么建议你加用双氯芬酸钠缓释片口服", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1553, "thread": [{"turn": 0, "text": "尿路感染跟前列腺炎可以做无氧运动吗？（男，16岁）", "role": "patient"}, {"turn": 1, "text": "完全可以，只要是有益于身体健康的，都可以。", "role": "doctor"}, {"turn": 2, "text": "要注意多饮水，勤排尿", "role": "doctor"}, {"turn": 3, "text": "吃药期间也可以吗", "role": "patient"}, {"turn": 4, "text": "运动吗？可以的", "role": "doctor"}, {"turn": 5, "text": "是啊 就是健身吗", "role": "patient"}, {"turn": 6, "text": "还有不能吃什么", "role": "patient"}, {"turn": 7, "text": "消炎药，还要多喝水，忌辛辣、烟酒、羊肉、狗肉", "role": "doctor"}, {"turn": 8, "text": "鱼肉 猪肉可以吗", "role": "patient"}, {"turn": 9, "text": "可以", "role": "doctor"}, {"turn": 10, "text": "不能吃海鲜", "role": "doctor"}, {"turn": 11, "text": "茶可以喝吗", "role": "patient"}, {"turn": 12, "text": "可以喝，不要喝太浓的", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1554, "thread": [{"turn": 0, "text": "孕期痔疮犯了便血怎么办？（女，28岁）", "role": "patient"}, {"turn": 1, "text": "您好，怀孕期间便血可以使用太宁栓", "role": "doctor"}, {"turn": 2, "text": "如果不想用呢", "role": "patient"}, {"turn": 3, "text": "之前就有痔疮的，现在孕4个多月 最近经常便血", "role": "patient"}, {"turn": 4, "text": "但是大便不干燥", "role": "patient"}, {"turn": 5, "text": "稀的", "role": "patient"}, {"turn": 6, "text": "不想用那就控制饮食，少吃辛辣油腻，花椒盐水坐浴，待生产后再用药", "role": "doctor"}, {"turn": 7, "text": "会影响生产吗", "role": "patient"}, {"turn": 8, "text": "只要出血不是太多，一般不会影响", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1555, "thread": [{"turn": 0, "text": "慢性前列腺炎吃什么药好，大概要吃多久（男，30岁）", "role": "patient"}, {"turn": 1, "text": "请问您确诊了吗？？？", "role": "doctor"}, {"turn": 2, "text": "方案建议因人而异，为避免错用乱用，春雨已将此部分内容屏蔽，如您希望获得医生定制的方案建议，请点击下方立即咨询", "role": "doctor"}, {"turn": 3, "text": "我还没有确诊", "role": "patient"}, {"turn": 4, "text": "那你有什么症状了吗", "role": "doctor"}, {"turn": 5, "text": "尿等待，尿不尽，早泄，没有性爱经历，但是手淫几下就出来了，看色情电影，看着看着自己也会射出来", "role": "patient"}, {"turn": 6, "text": "嗯。建议你去公立医院检查一下前列腺液常规和前列腺彩超", "role": "doctor"}, {"turn": 7, "text": "查了，不是前列腺炎，但是尿等待尿频是怎么回事啊？", "role": "patient"}, {"turn": 8, "text": "今天查了，前列腺没有问题，就给我开了治疗早泄的药", "role": "patient"}, {"turn": 9, "text": "你包皮长吗", "role": "doctor"}, {"turn": 10, "text": "半个龟头漏在外边吧", "role": "patient"}, {"turn": 11, "text": "有点长吧", "role": "patient"}, {"turn": 12, "text": "这算长吗", "role": "patient"}, {"turn": 13, "text": "算", "role": "doctor"}, {"turn": 14, "text": "但不是很严重那种", "role": "doctor"}, {"turn": 15, "text": "你没事多洗洗，多喝水多排尿。", "role": "doctor"}, {"turn": 16, "text": "👌，谢谢医生，我拿了药先吃吃观察一下", "role": "patient"}, {"turn": 17, "text": "都什么病会引起尿等待啊，这个很让我头疼", "role": "patient"}, {"turn": 18, "text": "尿道有感染", "role": "doctor"}, {"turn": 19, "text": "懂了", "role": "patient"}, {"turn": 20, "text": "以后注意清洗", "role": "patient"}, {"turn": 21, "text": "嗯", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}
{"dialog_id": 1556, "thread": [{"turn": 0, "text": "滑膜炎有积液应该提前几天去打封闭针（女，18岁）", "role": "patient"}, {"turn": 1, "text": "您好，哪个位置滑膜炎？", "role": "doctor"}, {"turn": 2, "text": "膝盖", "role": "patient"}, {"turn": 3, "text": "去医院看过吗", "role": "doctor"}, {"turn": 4, "text": "看过", "role": "patient"}, {"turn": 5, "text": "因为我十八号舞蹈联考，所以我想去打下封闭针", "role": "patient"}, {"turn": 6, "text": "想问一下应该提前几天去", "role": "patient"}, {"turn": 7, "text": "没有要求几天，明天就可以去", "role": "doctor"}, {"turn": 8, "text": "没有时间限制嘛，就是只管几天", "role": "patient"}, {"turn": 9, "text": "如果是滑膜炎封闭只是一种治疗方法，最重要是减少炎症，消肿止疼", "role": "doctor"}, {"turn": 10, "text": "是不是打完不能活动啊", "role": "patient"}, {"turn": 11, "text": "因为我十七号可能走场会活动剧烈，十八号考试也会剧烈，不会影响吧？", "role": "patient"}, {"turn": 12, "text": "滑膜炎本身就不让剧烈运动", "role": "doctor"}, {"turn": 13, "text": "必须休息", "role": "doctor"}, {"turn": 14, "text": "你这也没办法，可以封闭，或者吃非甾体抗炎药", "role": "doctor"}, {"turn": 15, "text": "打完可以活动吗", "role": "patient"}, {"turn": 16, "text": "可以活动", "role": "doctor"}, {"turn": 17, "text": "但建议比赛结束必须休息", "role": "doctor"}, {"turn": 18, "text": "打完会很难受吗", "role": "patient"}, {"turn": 19, "text": "不会", "role": "doctor"}, {"turn": 20, "text": "这个打完剧烈活动不会让封闭时间剪短吧？", "role": "patient"}, {"turn": 21, "text": "不会，但封闭不是万能的，打完就不疼了，因人而异", "role": "doctor"}, {"turn": 22, "text": "所以你明天打完看看效果，不好需要其他治疗", "role": "doctor"}, {"turn": 23, "text": "好", "role": "patient"}, {"turn": 24, "text": "嗯", "role": "doctor"}, {"turn": 25, "text": "有的显示封闭时间只有24小时", "role": "patient"}, {"turn": 26, "text": "因人而异，对药物敏感性，还有严重程度等", "role": "doctor"}, {"turn": 27, "text": "本身封闭也不是治疗滑膜炎的最好选择", "role": "doctor"}, {"turn": 28, "text": "谢谢您", "role": "patient"}, {"turn": 29, "text": "打这个会对以后膝盖有什么影响嘛", "role": "patient"}, {"turn": 30, "text": "几次没事", "role": "doctor"}], "meta": {"lang": "zh", "source": "ReMeDi"}}