{
    "10115809": {
        "self_report": "宝宝三个多月了，最近总是拉稀啥原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你服务！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "三个多月的宝宝，最近老拉稀"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "每天大便几次"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一天四五次吧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "挺稀的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "大便为稀水样，当中奶瓣多不多"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没看到有奶瓣"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "主要是上午拉"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "查大便常规了吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "化验大便了，没问题"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这孩子既往有没有湿疹的情况"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "家族中有没有过敏体质的人，比如说过敏性鼻炎，过敏性咳嗽，支气管哮喘"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "她爸爸是过敏体质"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这孩子大便当中有没有脓血"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "宝宝爸是过敏体质"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "化验了没事"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果是这种情况需要考虑乳糖不耐受的可能"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "你在家中口服什么药物了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "宝宝一直是母乳喂养的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吃妈咪爱了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "母乳喂养的孩子也有可能会出现这种情况"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "口服妈咪爱效果怎么样，吃了多长时间"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "奥，咋以前吃过"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个孩子需要进行乳糖耐受"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "对于反复腹泻的孩子需要考虑如糖不耐受的可能"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "咋治疗呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果乳糖耐受试验是阳性的需要口服乳糖酶"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "吃母乳之前需要给孩子口服乳汤酶"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "需要检查吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这样孩子应该尽快地添加辅食"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "需要进行乳糖耐受试验或者是还原糖实验"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "添加辅食能好点吗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "主要是孩子肠道当中缺乏乳糖酶，不能消化奶当中的乳糖"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "添加辅食可能会好一些，但是避免辅食当中还有乳类成分"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "下午去检查看看"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "一般的医院是不进行此项检查的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "添加辅食不含奶就可以吧"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这样的孩子也可以尽早的更换为低乳糖奶粉"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "但是辅食的添加应该也是，从一种到多种，从简单到复杂"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不要添加得过多过猛，消化不良也会导致孩子出现腹泻"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "希望能够帮到你"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "祝你工作顺利"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "那我结束服务了"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10729578": {
        "self_report": "宝宝现在刚满六个月了，这几天老是拉稀，拉了有三四天了，请问可以吃点什么药吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝大便什么性状的？稀水便？粘液便？不消化便？脓血便？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "稀水状"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "因为引起腹泻原因很多，病因不同治疗也有区别，所以需要咨询一下宝宝其他伴随症状"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "其他没有什么症状"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝哺乳好吗？有呕吐，腹胀哭闹及发热现象吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "宝宝"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一直是吃奶粉的，这些情况都没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃饭也正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "腹泻前没有添加特殊辅食？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "为什么了？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "早上会喂一点稀饭，也吃过米糊"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "刚开始添加？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "是啊"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝没有发热呕吐哭闹等不适，腹泻前刚开始添加辅食，注意消化不良可能。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "目前辅食暂停添加，适当勤喂水，预防脱水，注意腹部保暖，可以先加用益生菌调理菌群，思密达止泻治疗。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "呕吐是指“吐奶”吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "最好同时留取1小时内大便送检化验便常规及轮状病毒抗体，除外肠道感染。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "恩，吐奶"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "吐奶有的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "之前有吐奶吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "也有的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "但是就这几天多点"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "次数"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "量也多"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "那还是有胃肠道症状。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "严重吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "消化不良及肠道感染都可以引起呕吐，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果宝宝精神反应好，哺乳量可，尿量正常，那不严重"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "只是明确原因后对因治疗。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "反应都挺好的，都挺正常"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "今天带宝宝去打疫苗，做了体检"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "只是宝宝如果腹泻次数多，便中水多，需要勤喂水，或口服（口服补液盐）预防脱水。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我以为宝宝差不多好了，没想到晚上又拉了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "腹泻宝宝最好延迟接种疫苗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "已经打了，怎么办"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "疫苗会对宝宝有什么影响吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "接种了就多注意体温变化。腹泻按上诉处理就可"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "化验大便后根据化验结果再酌情调整用药。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "疫苗接种后容易引起疫苗反应，加重原发病症状。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气。还有问题吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "我应该去药店开什么名字的药呢？"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "益生菌如双歧杆菌三联活菌散，止泻药如思密达，便水多次数多可以口服补液盐"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "晚饭都有吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "药店都有吗"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "注意辅食暂停添加"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "应该都有的，都是常用药"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，我明天去看看"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "谢谢哒"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气。祝宝宝早日康复"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "有问题可以留言，看到后会及时回复您。"
            }
        ]
    },
    "10603375": {
        "self_report": "小儿5个半月，拉肚子10几天不见好，查出有病毒，能不能不挂盐水。吃上乳糖低的腹泻奶粉。白细胞3+，有没有问题。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好！很高兴为您解答。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "只要宝宝精神食欲好，没有脱水情况，一般可以吃药的。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一般吃什么药合适？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有配益生菌，思密达，丁桂贴"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "轮状病毒输液也没有特效药，能自行恢复的，主要是预防脱水。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在宝宝吃奶如何？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃了没有效果、是不是把奶粉换成腹泻奶粉。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "每天小便量多不?"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃奶还行。一切正常"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "小便和以前也差不多"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃奶后，腹泻不用输液的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "换成无乳糖奶粉吧"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "白细胞3+有没有关系"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "病毒感染后，引起肠道分泌乳糖酶减少，出现了继发性乳糖不耐受，所以宝宝会腹泻很长时间，吃上俩周无乳糖奶粉会见效，再巩固2周，可以逐渐换回普通配方奶。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "大便什么样子？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好，白细胞三个加号也不严重的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "早上是水一样的，中午和下午就是鼻涕状"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝吃母乳吗？一直是奶粉喂养的?"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一天大约拉几次？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "帖肚脐的能不能继续帖"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "3-4次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "肚脐贴可以用，辅助治疗，只要皮肤不过敏就可以。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "现在喝的也是奶粉，半水解奶粉。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "小便一天几次？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "半水解，看看有乳糖吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "几次不太清楚、换尿包的频率差不多。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "喝半水解多长时间?"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那小便量不少"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "3个月开始喝、因为之前湿疹"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "湿疹好了吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "湿疹最近是好了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你看看现在的奶粉，如果是有乳糖，就换半水解或者水解的无乳糖奶粉。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的。我今天去买，可以给他吃米粉？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "湿疹好了以后，一般是半水解奶粉再巩固3个月，逐渐换回普通配方奶。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "本来是想6个月换，现在就是拉肚子没敢换。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "其它还需要注意什么吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在5个多月了，可以添加辅食了，米粉先从小量吃，如果过敏或者拉肚子加重，就先别喝"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "其实可以等半月再添加辅食也可以"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "注意观察宝宝精神食欲，大便次数性状，小便量多少。肚子别受凉，奶粉温度适宜。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果出现精神食欲不好，大便次数很多，小便减少，或者发热，考虑宝宝脱水，需要去正规医院儿内科门诊就诊，化验大便，可能需要补液治疗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "补液必须挂水"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不一定挂水，轻度脱水可以口服补液盐的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "去医院看过，医生怎么说的？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "那几种药吃了多长时间了?"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "一个星期"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "一星期左右就开始吃药"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "有效果吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "就是没有效果"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "没有效果就把药停了，换换无乳糖奶粉吧。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "只要宝宝精神食欲好，说明宝宝问题不大。这个年龄段宝宝胃肠功能弱，容易腹泻，有时候会持续几周。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "明白了，谢谢，非常感谢"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "如果影响体重增长，需要近早治愈。"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时给留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "您可以在咨询结束后点击（首页），在首页里找到（康复记录），在康复记录里找到我然后点（再次咨询）。"
            }
        ]
    },
    "10608429": {
        "self_report": "宝宝一岁半了！前半个月发烧去儿童医院检查病毒感染！开了针药！不发烧了，然后又咽炎开着消炎药！后来就一天大便两三次！这两天大便水便一天五次！需要吃什么药啊！宝宝现在的情况是不是不可以在吃抗生素和消炎药这些啦！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "是不是用了抗生素"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吃妈咪爱两天了还是一样的效果？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有可能是抗生素引起的腹泻"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "还有一个参苓白术散！"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "也有可能是感染引起的，然后用了抗生素"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "去儿童医院我怕又开抗生素！"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃益生菌"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "必须要用抗生素的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "化验大便没有问题！"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "因为有感染，感染控制好了腹泻会慢慢好转的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "这个吃几天才有效果啊！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "要多喝水"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "什么感染啊！"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃双歧杆菌可以一次吃两颗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "宝宝脱水是什么症状呢！"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "加点布拉氏酵母菌"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "然后吃点蒙脱石散"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是妈咪爱吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "口干，眼球凹陷，嘴巴干燥"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "皮肤干燥"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哭时无泪"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "蒙脱石散不是消炎的吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "止泻的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦哦！如果去儿童医院！不会在开消炎药和抗生素了吧！宝宝现在的这个情况"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "会的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "感染不控制还会拉肚子的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "胃肠道感染"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "抗生素不是主要原因，抗生素是抗炎的，只要炎症好转停了抗生素会好的呢"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "但是宝宝的情况应该是跟上次病毒感染吃的抗生素引起的！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "炎症不控制腹泻是不会好的呢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "也要抗病毒也要抗炎呢"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "跟吃消炎药，和抗生素没有关系吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "有些孩子用抗生素会有腹泻的症状"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "化验大便没有病毒！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "病毒有很多种，不是每一种病毒都能查出来的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "药停了有半个月了。就半个月之内，一天两三次！然后这两天一天五次而且还是水便了"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "那要是去医院会抽血化验吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "炎症控制好了，抗生素停了，腹泻会慢慢好转的呢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "有些孩子一天腹泻30多次的都有呢"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "可是药停了，怎么半个月开始拉水便了呢！"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "还是消化的原因？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "脱水了！去医院是打点滴吗？是打葡萄糖吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "有可能又有新的感染了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "或者说是原来的感染还未控制"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的！谢谢！"
            }
        ]
    },
    "10372549": {
        "self_report": "九个月宝宝元宵节的时候吃了点带猪油的东西，昨天早晨有点拉肚子。一天有三四次。今天又拉了四五次，下午有两次有点带血丝。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "怎么回事`"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有发热"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃也正常"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有呕吐"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "也没有哭"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "跟平常一样"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "您看一下，大便图片里面有点有那样的血丝正常吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这种情况有肠炎，轮状病毒感染性腹泻可能，"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "怎么办呢？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "喝了妈咪爱和思密达！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议化验一下大便常规和轮状病毒检查"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "肚子上有贴膏药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果化验正常，可以口服你说的药物，如果化验有肠炎需要加用抗感染药物"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "开始严重吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "合理检查，明确诊断后规范治疗就好，不严重"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "大便有血丝，也不严重吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "规范治疗就好。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "一般一周左右"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢哦！"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "你好，在吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝化验大便了吗？"
            }
        ]
    },
    "10267016": {
        "self_report": "宝宝拉肚子能打防疫针吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好，孩子今天去打乙肝和卡介疫苗，从昨天晚上拉肚子，到现在四次了，可以去打防疫针吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯宝宝有没有在用拉肚子的药？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "看不到吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "前几天喝过妈咪爱"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "拉肚子一般不建议打疫苗的。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "等拉肚子好了去。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "已经拖了一个星期了，如果这时打了疫苗会怎样？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还有他一直在服用葵花小儿智力糖浆，对打疫苗会不会有影响？今天早上因为要打疫苗没给他服用"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "因为这时候有拉肚子的情况身体抵抗力比较低，还怕宝宝过敏。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个药物本身对打疫苗没有影响的。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "疫苗拖延一段时间打也没事吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯，拖的时间不久没关系。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝生下来的时候没有打卡介苗吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "生下来打过一次，现在这次是满月打的，已经拖延了一个星期了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "打过一次就不用打卡介苗了。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这次打乙肝疫苗的。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就是在手臂上种个豆的那种？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "直接打针的。胳膊上。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，打乙肝疫苗，因为你第一天已经打过，拖一段时间关系不大。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝精神饮食怎么样？"
            }
        ]
    },
    "10122235": {
        "self_report": "宝宝出生第六天，请的月嫂照顾，每天白天都晒太阳晒黄疸，这两天皮肤黄疸可以看出开始消退，然后昨天晚上开始宝宝排出绿色希便，每次到晚上8点到12点期间都连续拉四五次，越拉越希，拉到最后是绿色的水泡沫，就跟蟹子吐泡泡一样，月嫂说是排黄疸，我觉得担心，不知道是不是腹泻肠炎之类的，刚测的宝宝体温正常，精神头也不错，吃奶也吃的不错，但是就是三四个小时内连续拉了五六次，还越拉越希，最后是水和泡沫，家里老人不忙我们看，只有我跟媳妇俩个新手父母，跪求大夫给分析一下，今晚需不需要立马去医院，难道真的是排黄疸吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝是母乳喂养？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "黄疸有服用药物吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有服用药物"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "只有晚上吃不饱的时候会喝20毫升左右的奶粉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "百分之90的情况下是喝母乳"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一般不吃退黄药物，不会出现排黄疸而腹泻的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "那请问大夫，我需要带宝宝去医院检查吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝之前每天大便几次？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "出生的时候24小时排了两次胎便，然后在医院两天没有拉，第三天出院回家后，开始拉这种绿的的希便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天大概拉了78次"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天大概9到10次"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果宝宝哺乳好，尿量正常，精神反应好，晚上可以观察，明天留大便做个化验。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "从8点到12点期间连续的拉了6次"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "越来越希，最后是绿色泡沫"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "母乳及配方买什么时候开始吃的？腹泻前就再吃吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "配方奶"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的，出生第一天奶没有下的很厉害，就喝奶粉多一点，大概一天喝90到110毫升，剩下的喝母乳，从第三天开始母乳增多，基本是每天百分之90母乳，一天吃个30毫升左右"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "另外宝宝大便量多吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "一开始拉的挺多的，然后逐渐减少，最后就拉绿色泡沫了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝目前尿量多吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "宝宝今天一共大概尿了8到9泡尿"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "尿量基本跟前几天一致"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "恩，宝宝哺乳量正常，尿量正常，那不用太紧张，注意腹部保暖，宝妈进食不要太油腻，避免宝宝消化不良，建议明天留取大便做个便常规检查除外肠道感染。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的，谢谢大夫"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "其实引起腹泻原因很多，先化验便常规及轮状病毒抗体后再决定治疗"
            }
        ]
    },
    "10193244": {
        "self_report": "请问严重吗?怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子的降钙素原明显的升高，应该考虑细菌感染"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在这个孩子有什么症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "发热咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那就应该是细菌感染所导致的发烧咳嗽"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "已输液，吃药"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "支气管炎还是肺炎？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "降钙素原是细菌感染的最敏感的指标"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这项指标的敏感率要高于c反应蛋白和白细胞"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这孩子还有支原体感染的情况"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "阿奇霉素已吃"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "应该考虑支原体和细菌的混合感染"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "蛋白什么意思啊"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这也是细菌感染的一个指标，炎性的一个指标"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "请问怎么治疗啊"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "需要应用阿奇霉素和头孢"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "两种消炎药"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这孩子的血常规化验单有没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "上传一下吧"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "医院不给化呀"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "什么意思"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃着药，也输液呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那就口服阿奇霉素，给予头孢输液治疗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这种治疗办法也是可以的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我们要求医院化验血常规，他们不给化啊"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不化验血常规也没有太大问题的，因为这个孩子的将来数明显的升高，应该考虑细菌感染"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "现在支原体是阳性，降钙素原明显的升高，应该考虑支原体和细菌混合感染"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这个孩子在住院治疗吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那现在体温正常了吗？输液几天了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "怕影响上学"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "早上高些，输2天了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "用的什么药物"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "阿奇，头孢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以的，继续输液治疗吧"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "需多长时间好啊"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "支原体感染的疗程要长一般在2到3个周，即便这个孩子没有任何症状，也需要继续应用阿奇霉素抗感染"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "耽误学习啊"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "细菌感染的孩子给予抗生素治疗，3到4天以后症状会逐渐的缓解。5到6天以后复查降钙素原如果正常就可以停用头孢，仅仅应用阿奇霉素看看"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不一定非得一直输液治疗，如果症状缓解，可以口服药物的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的，谢谢，再见，太感谢了！"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "希望能够帮到你"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "非常有用，谢谢！"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "阿奇霉素用的时间不能太长，最多3到5天。这药有副作用的，可能会导致肝脏损害"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "那我结束了"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "祝孩子早日康复"
            }
        ]
    },
    "10140791": {
        "self_report": "小孩3岁！感冒支气管炎！应该喝点什么药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "今天还发烧吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "烧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝有痒吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "37度4"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不痒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下血常规"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "烧的时候拿水擦就退烧了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "看看是否血象高"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "这属于幼儿急疹？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "幼儿急疹，是热退疹出"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天大夫说病毒性的、也没做检查"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在宝宝还发热，不考虑幼儿急疹"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这是就热就出疹子"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "出疹了，还有发热，不考虑幼儿急疹"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我给洗个个澡！现在不热了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "应该化验一下血常规，看看是细菌感染还是病毒感染引起的皮疹"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯，现在出皮疹了，最好不要洗澡"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "喝的是利巴韦林！头孢！牛磺酸颗粒"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哦，细菌，病毒感染的药都同时用的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "最好化验一下，如果考虑是病毒感染，就不需要吃头孢"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "大便干结"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "大便干，主要是多喝水"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦！好的！谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果不好排便，可以用开塞露协助排便"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嘴唇干裂红"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可能和发烧有关系"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "主要是多喝水"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以用棉棒蘸水润润嘴唇"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "小孩感冒"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "支气管炎"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "咳嗽挺厉害"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "前两天发烧好了吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "目前没痰！但是有过敏反应有点喘"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "发烧好了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以用雾化吸入治疗"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "上次发烧出完疹子就好了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "有鼻涕！"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "雾化一般用的是什么药？"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "有鼻涕可以口服小儿氨酚黄那敏"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "喘，雾化需要用激素"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "鼻涕像是过敏"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯，激素也有抗过敏的作用"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "支气管炎喝头孢好呢还是阿奇好？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "这个具体需要看看只要是那种病原体感染引起的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "这个具体需要看看主要是那种病原体感染引起的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "如果考虑是支原体感染引起的，就用阿奇霉素"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "所以用抗生素需要医生面诊"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "注意给宝宝多喝水，饮食注意一些"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "饮食清淡一些"
            }
        ]
    },
    "10163406": {
        "self_report": "我小孩4岁感冒老是好不了，去医院检查是气管炎，有一个多月了，吃药打针都没有好现在主要是有点咳嗽和流鼻涕，请问吃什么药才能好。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前咳嗽厉害吗，清鼻涕，还是脓鼻涕？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "只是有点咳，有时清鼻涕有时脓"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "如果咳嗽不厉害，一般吃药就可以了，不需要输液。流鼻涕吃点感冒药，注意保暖"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "请问，什么感冒药之内的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "可以吃小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不用消炎药吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "再加点"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "可以吃点头孢克肟颗粒，止咳橘红合剂"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前痰多，还是干咳"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "干咳"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "干咳的话，吃复方福尔可定口服液"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不要吃橘红，橘红主要对有痰的咳嗽起作用"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有时咳的时候想吐"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "那样子咳的，还是比较厉害点"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "消炎药需要吃一下"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不算厉害"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "止咳药是要吃的，感冒药也要吃。咳嗽厉害需要吃消炎药，不厉害，可以先不吃"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "就是早上起床和.晚上有点"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那先吃点止咳药，感冒药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是哪几种呢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "就你目前情况，暂时可以吃小儿氨酚黄那敏颗粒，复方福尔可定口服液"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，别客气，祝宝宝健康快乐，再见"
            }
        ]
    },
    "10248751": {
        "self_report": "三岁小孩咳嗽好了十几天又咳嗽怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一声声连着一声"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "白天咳的厉害"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "她说没痰"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有发热？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没发热"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好像没听到"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝有没有呛着过"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好像没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议带宝宝找医生听一下气管"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是的她气管一直不太好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝反复咳嗽，最好行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "只要受一点凉就会咳嗽"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果不严重可以口服止咳化痰药物和雾化治疗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，我明天带去听一下"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好的，合理检查，规范治疗，有助于疾病恢复"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不用客气，那就结束了，好吗？"
            }
        ]
    },
    "10486526": {
        "self_report": "你好我家宝宝嗓子一直有痰，不是很多，就打了预防针，打了两天了，嗓子的谈好像多了，请问能吃药不？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了呢？亲"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "你好我家宝宝嗓子一直有痰"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就去打了预防针"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "打了两天了，嗓子谈好像多了，请问可不可以吃药"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "五个月了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝贝主要是什么饮食呢"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "人奶"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有吃其它的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "最近吃奶量可以吗？亲"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝贝吃奶呛奶厉害吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就是半个月前感冒打针了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "说是支气管炎"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝贝这个嗓子有痰有几天了呢"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "咳不好力害，打了几天针就不咳了，但是嗓子的谈一直有，"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "一直有痰"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃奶不呛奶"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝贝这个从上次感冒支气管炎的话停药的话有几天了呢？当时用药用了几天了呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "声音太小了，亲，我有点清不清除"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有两个多星期了，停药有一个星期"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "当时再住院治疗吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "当时输液治疗的吗？再哪里输液的呢？当时做过什么检查吗？面诊医生让停药的吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "输液了，检查没做过，在广东大良医院，最后一天输液的时候医生说第二天就不要打了，开了三天的药，说是吃完就好了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "但是嗓子的谈一直都没好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝贝这个目前面诊医生给宝贝诊断的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "打了预防针过了两天了，可以吃药不"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "打了预防针过了两天了，可以吃药不"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "打了预防针过了两天了，可以吃药不"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没咳就是痰多了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "现在的痰比之前少多了，对吗？宝贝小不会排痰，气管里炎症排出来的话排到嗓子眼，这口痰有的宝贝化的比较慢，所以恢复起来可能比较慢点"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "咳嗽是一个过程，宝贝上痰后咳嗽症状比较厉害，并不代表宝贝病情加重了，痰液刺激的！不用担心，多给宝贝拍后背，促进痰的排除奥"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝这个的话太小了所以痰不会吐，只能被呕吐出去或者拉出去，所以多给宝贝拍背能把痰呕吐出去也是比较好的，痰咽下去之后胃肠功能会影响所以能吃多少吃多少别强喂奥"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦，那给她吃药不"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝贝目前的话咳嗽症状不明显的奥，痰上来后这口痰排的比较慢，目前的话您可以给宝贝带着去听诊一下看看气管炎恢复情况的奥，根据结果对症处理，这样能够指导我们用药，用药时间，对宝贝来说也是比较安全的奥"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，特别油腻食物容易生痰的奥，水果之类的也不要吃，多喝点温水，别着凉，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃奶会有影响可能，能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我们家人个个吃的很辣很油，我都吃不习惯，可一个人又不分开吃"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝贝这个的痰的目前拍上来的话就好了，这个病程总共大概需要7到10天时间，这个越小的宝贝恢复起来越慢宝贝排痰比较慢，这口痰的话就是比较难排，不过目前的话恢复的差不多了，就是听诊一下根据结果对症处理，看看用什么药"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦，谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝妈饮食的话也有一定的影响的奥，一定注意饮生冷辛辣刺激食物不能吃油腻食物不能吃的奥！"
            }
        ]
    },
    "10346047": {
        "self_report": "婴儿吃东西吐拉肚子怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前一天腹泻几次"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "一天腹泻三次啦"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "拉水吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便图片有吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "大便有点黄带水"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "呕吐厉害吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "又想吃东西喂点干饭没有一会儿就吐啦"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有发热情况吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "目前吐泻情况，考虑病毒性腹泻，或者急性胃肠炎可能"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "感觉肚子涨涨的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "小孩精神情况怎样，尿量多吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "尿量比平时少"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "精神状态还可以，就是有点啰嗦"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那精神还好的话，就吃点药，多喝水，吐泻容易脱水"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "像这种情况该怎么办，现在还在乡下交通不是很便利"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前先吃点止吐，止泻药，饭先别吃，水要多喝"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃点什么药？单纯喝水怕吐不？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃点多潘立酮止吐，蒙脱石散止泻，多喝水"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "刚刚喂点蒙脱石散医生说止泻，刚喝完就吐"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是吧，吃点止吐药"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "如果小孩想喝水，单纯喂水怕吐不？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不吐了才好喂药，喂水"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以，少量，多次喂水，一次不要喂太多"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "怎么才了解有无脱水想象"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "只买得止泻的，没有止吐的药，现在买不到药该怎么办"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "观察尿量，哭的时候泪水，皮肤有无弹性，以及精神状态"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "直接喝水可以防脱水？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "没有止吐药，就饿一下，空空肚子，也止吐"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "对，多喝水"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "目前呕吐厉害吗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "刚刚吃奶吐了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "今晚吃饭吐了些"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "饿一饿肚子，吃点止吐药治疗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "还拉肚子吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "昨晚饿肚子今早胃没有问题，但是今晚出现吐啦"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "是不是吃多了"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "昨天中午拉便便已经不拉啦"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "那还可以，是不是今天又吃多了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "今晚相对平时吃的量少多啦"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯，再饿一下，空空肚子，吃点止吐药"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "因为怕吐，所以才喂少量"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "但是眼睛感觉落了一圈"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "嗯，得少量吃，吃好消化的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯，吐泻的有点虚脱"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "少量吃，不够，哭"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "可以喂牛奶不"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "吃多了，也是吐"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "可以喂"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "刚刚吃了一百五十毫升吐了全部"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "喂少一点"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "目前肠胃功能紊乱"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "还是没有恢复"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "还要不要吃胀复的药？"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "建议吃些什么好些？"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "吃一点健胃消食口服液"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "如果呕吐厉害，就直接吃多潘立酮止吐"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "68",
                "speaker": "患者",
                "sentence": "暂时没有谢谢！需要再咨询你"
            },
            {
                "sentence_id": "69",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "70",
                "speaker": "医生",
                "sentence": "有问题随时联络，再见"
            }
        ]
    },
    "10175066": {
        "self_report": "宝宝七个半月了，感冒一个多月也没好，10月5号的时候去医院做的CT说是肺炎，挂了一个礼拜的瓶，又拿的药，没过几天又发烧了，去医院检查血，说是病毒性感染，烧了几天才好，没好几天又烧起来了，这次就烧了两天就退了，一直到现在还是咳嗽，流鼻涕，这两天还吐",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝现在晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温多少度"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "睡觉的时候也咳嗽，鼻子还不透气"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一阵一阵的吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "老是张着嘴呼吸"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一直流鼻涕，鼻塞吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "鼻涕黄色的吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "青水"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在还有发烧不"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "需要做雾化吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不发烧了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有时有点"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "拉肚子不"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不拉肚子"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "一天一次大便"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "肺炎时化验支原体和衣原体没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "什么意思"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是化验单吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10049529": {
        "self_report": "医生您好，宝宝两岁半，从七月中旬开始咳嗽，八月1号因为咳嗽伴有发烧，呕吐去医院检查说是支气管肺炎，然后住院了13天，8月14号回家，出院的时候也还是咳嗽，多半是在早晨还有半夜咳嗽，有点影响睡眠，白天的时候偶尔咳一下，喉咙有痰，一直都在吃止咳化痰的药！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽是一阵一阵的吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "李医生，宝宝现在还有点流鼻涕"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "黄吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "是的，他晚上基本上都是在后半夜每天都要咳一会"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "鼻涕不多有点黄"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "丝丝的声音，这种情况几天了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "昨天上幼儿园哭的厉害了吧今天嗓子还有点哑"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就最近几天开始流鼻涕才有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "肺炎时化验支原体和衣原体了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "额，那时是拍个个片然后查了个血"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "能发过来报告看看？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "报告医生都没给我，就只有拍的片有，其他什么都没有，都是嘴上说给我听的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "报告医生都没给我，就只有拍的片有，其他什么都没有，都是嘴上说给我听的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是化验血常规吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "还有别的吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "其他就没有了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "以前有过喘息吗？就是这种丝丝的声音"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "巴厘岛巴厘岛拍电影的地点发现这边的烟道，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "必须化验支原体和衣原体看看"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "现在得吃抗过敏药，消炎药，做雾化观察"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "用布地奈德和可必特雾化"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "那再带他到医院查查支衣原体"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "他这样的饮食上有什么不能吃的吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "清淡饮食为主，先别吃海鲜"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢你李医生"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10754275": {
        "self_report": "宝贝六个半月有点咳嗽很轻听着有点干咳",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "有没有着凉呢？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "除了咳嗽有其他感冒症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有别的没发现"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽几天了呢？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两天吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不是老是咳"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一天有三四次左右"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "要是玩起来就不咳"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽早期炎症渗出比较少，形成的痰少，随着炎症渗出痰开始增多，增多后刺激宝贝咳嗽症状比较明显"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那该怎么办呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝贝现在处于炎症渗出早期，未来几天的话咳嗽症状可能越来越厉害，痰无痰到上痰到化痰的一个过程的！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "精神状态好吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "挺好的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝这个的话太小了所以痰不会吐，有痰的话只能被呕吐出去或者拉出去，所以多给宝贝拍背能把痰呕吐出去也是比较好的，痰通过这两种途径排出去的话也是比较好的！利于宝贝的恢复"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "看过医生吗？这两天"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "需要多喝水还是怎么办"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "我了解完宝贝情况给您建议"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "最近吐了两次"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨天还有今天"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "咳嗽之后吐得吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "咳嗽这两天看过医生吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有看医生"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吐的就跟唾液差不多"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "不是咳完吐的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝贝目前的症状主要是支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦那该怎么治疗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯嗯，不是那种大口吐的话就可以！"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "吃药？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝贝目前的话痰量比较少炎症渗出少，咳嗽症状不是太明显，体温正常，精神状态好，目前病情比较稳定，所以我建议给宝贝先查个血常规胸片，排除一下支气管炎，看一下具体感染情况，根据结果对症处理！这样能够指导我们用药，用药大体时间，用的药物也是比较对症的，宝贝恢复起来也是比较快的，利于宝贝恢复！"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝贝吃母乳吗？"
            }
        ]
    },
    "10112308": {
        "self_report": "男宝宝10个月，昨晚拉了四次粑粑，第一次很干2小条，带点血，后面几次都是稀粑粑，最后一次还是绿色的，今早又拉了一次肚子，又带点雪，请问这是什么问题，需要去医院吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "以前有血么"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "头一次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "以前大便干么"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有时干"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "喝母乳还是奶粉？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "哦哦，有受凉吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "估计有点"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，还有别的不舒服么？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发烧吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不烧"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "精神状态还好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯，这种出血一般考虑肛门附近问题"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "比如肛裂，息肉什么的，但是暂时不需要特殊处理"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "先观察再说"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我估计也是"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在可以口服妈咪爱和蒙脱石"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "孩子还有消化不良"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "喝水少，干燥上火"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，得多喝温水"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "再肚子受凉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "另外妈咪爱多吃一段时间"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "对肠胃有好处"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯，一定得注意保护小肚肚"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "带个肚兜"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，以前就吃妈咪爱的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是有些消化不好"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯，妈咪爱可以继续吃"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "时间要长一些"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "昨天开始加了护肚"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "关键是不要受凉"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯，孩子辅食怎么样"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "吃鸡蛋糊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "哦哦，行，暂时停2-3天吧"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "还有虾肉沫"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "过两天开始吃，因为孩子拉肚子了肠胃消化更不好，缓缓"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯嗯，这几天清淡容易消化为主"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "稀饭可以吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "平时会给吃黄小米和大米煮的粥"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "恩这个都可以的"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "不客气，有问题随时联系"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10298131": {
        "self_report": "3个多月宝宝大便绿色还稀还臭怎么办呀，吃什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝一天拉几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "两三次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便量多吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有粘液？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不是很多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有脓血？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有一点点黏液，没浓血"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝纯母乳喂养吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不是的，吃奶粉人工喂养"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有换奶粉？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "同牌子的换了一次"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便发绿多久了?"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有十多天了，没换奶粉之前就带着绿但不稀"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝现在有没有恶心呕吐症状"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "肚子胀吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不涨"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "奶瓶每天消毒吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "都用开水烫"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "需要煮一下哦，需要十分钟左右"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "每次吃奶前后冲洗奶瓶，烫奶嘴"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "以前也是用开水烫始终没事呀"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果是卫生原因，是逐渐表现的，这个只是一个预防措施哦"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "给宝贝查大便常规了吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝大便发绿一般是消化不良，有臭味的话，最好查大便常规看看有没有炎症哦"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "建议给宝贝查大便常规看看哦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果没有异常的话，可以给宝贝吃些益生菌调理胃肠功能"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如何有炎症，根据结果，对症治疗"
            }
        ]
    },
    "10151741": {
        "self_report": "宝宝半个多月大，这两天一天拉粑粑6-7次，粑粑颜色是黄色颗粒状，请问是多少原因？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "问题宝宝半个多月大，这两天一天拉粑粑6-7次，粑粑颜色是黄色颗粒状，请问是多少原因？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子吃东西怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "喝母乳还是奶粉？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "吃东西很正常，奶粉母乳都喂"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这种情况多久了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是前几天宝宝有些黄疸，给喂了几天退黄的中药，也是一天拉很多次粑粑"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "拉的粑粑和这两天拉的粑粑一样"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦哦，这个会有关系的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在还吃退黄药么"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "昨天起我就没给喂药了，怎么还在拉呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那肯定会有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不会您停了药马上就好"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "需要3天左右"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦，这样啊！谢谢你"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不客气，如果三天后还拉就吃一点蒙脱石散及妈咪爱"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯，药店都有卖吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "都有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "并且便宜"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的，谢谢你"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "有问题随时联系"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "您好"
            }
        ]
    },
    "10311751": {
        "self_report": "宝宝发烧不退怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两个多月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最高体温多少度"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "38.8"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "睡觉不是很踏实"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "大便增多"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃奶好吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "大便稀吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃奶还好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便稀吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有咳嗽"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "大便是什么形状的（水样便还是粥样便）"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "粥样便"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "粥样便"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一天大便几次"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "五次左右"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝小便量少吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "还好"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "精神不是很好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "小便量少吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "比较吵闹"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "大便不是很多"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "从描述症状考虑腹泻病"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "小便量不多"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院合理检查，化验一下大便常规除外肠炎，化验一下血常规和CRP，了解炎症程度"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "腹泻也会发烧吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "会的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗，有助于疾病恢复"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不用客气，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            }
        ]
    },
    "10563745": {
        "self_report": "您好！宝宝八个月。这几天可能受凉了，肚子一直不太好。前两天每天都要拉2-4次便便，便便偏稀。给他喂了妈咪爱和康萃乐益生菌，效果不是太明显。昨晚又给他喂食了蒙脱石散，今早拉得便便还是稀糊状。请帮忙看看正常吗？妈咪爱、蒙脱石散、这两样一起吃会不会有什么反应？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "两种药物，一个是益生菌调节肠道的，一个是保护肠道黏膜的，合在一起会有什么反应"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "那吃这两种药效果好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吃这两种药是否就足够了？需要吃其他的吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "精神状态怎么样，食欲怎么样，有没有呕吐发烧？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "呕吐发烧没有精神状态与平常差不多就是胃口不太好"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "现在是辅食和母乳混合喂养这两天拉肚子辅食就没怎么吃都是吃得母乳"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "好的好的，目前还是主要的症状就是大便多，稀，颜色有改变，考虑腹泻待查"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "因为吃了两天的药物了，没有任何改善，我建议能尽快检查，找一下腹泻的原因。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "建议二甲以上公立医院儿科就诊，检查一下大便常规和乳糖。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果大便常规提示有感染，而且无药物过敏的情况下，可以抗感染治疗。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的谢谢！"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "比如口服头孢类药物。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "暂时这两种要么继续口服，保护胃肠道黏膜的药物。在吃奶之前吃，益生菌，在吃奶之后吃"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那妈咪爱和蒙脱石散还可以继续给他吃吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "继续吃"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这检查结果出来之前这两种药继续吃。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果是感染引起的，而没有去检查找原因，及对症处理，那有可能会腹泻加重长期腹泻。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "影响孩子的生长发育的哦"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "孩子的腹泻有可能就是单纯的受凉需要一个过程，那有可能是有细菌感染，那也有可能会继发乳糖不耐受"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "所以呢，需要检查去明确"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前继续吃这两种药物，少吃多餐，加强保暖。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "谢谢您专业得解答今天会带宝宝去医生做个检查"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "小孩子药物都是很安全的，这个你不要担心。"
            }
        ]
    },
    "10258108": {
        "self_report": "宝宝十一个月被传染病毒性感冒高烧了一晚低烧了三天之后有点咳嗽尤其晚上睡着以后嗓子呼噜噜的有痰怎么办可以吃些什么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，有肺部听诊吗？有气管或肺部感染吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "前天发烧的时候听了没有问题"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "昨天晚上开始咳嗽的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天开始有痰了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前咳嗽有痰，可以口服止咳化痰药物如氨溴特罗，但宝宝小，免疫力差，目前咳嗽有痰，最好复查一下做个肺部听诊"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果有支气管炎或肺炎，需要口服止咳化痰药物同时抗炎治疗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "第一晚高烧第二天听诊的也抽血了没有什么问题然后第二天第三天都是低烧包括夜里第四天开始咳嗽今天是第五天"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "抗炎一般用什么药物"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "像这种病毒性感冒引起的需要吃阿莫西林吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "因为病情是有演变或进展的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "如果肺部和气管没有问题只要吃化痰的就行了如果有炎症还需要配消炎的是吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有什么好的食疗法吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "单纯病毒感染早期不需要服用抗生素，但3-5天无好转，需要查看是否合并细菌感染，如果有需要抗生素治疗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "消炎就是用抗生素吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以熬点冰糖雪梨润肺化痰"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的是冰糖和梨一起煮水还是蒸"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "炎症有病毒感染，细菌感染，支原体感染等，细菌感染要用抗生素"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "煮水就可"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果蒸可以川贝和梨一起蒸的吃"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "小宝宝可以吃川贝吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以的，不过较苦，不易接受"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "医生如果检查没有并发还只是病毒感染是不是只要化痰就行了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "恩，如果支气管及肺部没有问题注意加强护理，口服止咳化痰药物就可"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "宝宝十一个月建议哪种化痰的药效果比较好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "支气管和肺部是不是只要听诊就可以确诊了现在是不是还需要抽血？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "药物种类很多，可以口服氨溴特罗止咳化痰。先肺部听诊诊断，如果有必要再行胸片及验血。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "根据听诊检查决定"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦好的谢谢医生"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您好，在吗？"
            }
        ]
    },
    "10028315": {
        "self_report": "宝宝一岁十一个月，咳嗽有痰，吃了止咳化痰的药，还有利巴韦林颗粒，利君沙颗粒，已经吃了四天了，今天开始伴随拉肚子，心急如焚，求医生指点，要不要换药，要不要加治拉肚子的药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "得停利巴韦林"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "需要加药吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "替代利巴韦林的药"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不厉害"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "晨起比较频繁"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "一阵一阵的吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "流鼻涕不"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一阵一阵的咳嗽"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "流鼻涕不"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "鼻涕流了俩天，我给吃感冒药，然后不流了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "今天几次大便"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "四次"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "最后一次伴随黏液"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "前天上38度，然后再没有发烧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "得化验血常规和大便看看"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "就是得去医院"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "给宝贝吃益生菌和思密达，隔开2小时"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "应该去医院检查一下"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "以前用过头孢吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我们居住农村，去医院不方便"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "用过，但是拉肚子呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在有腹泻，得化验大便排除肠炎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "停辅食，可以吃奶米汤稀米粥"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "别的不能吃"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一周以前得过肠炎"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不排除肠炎反复发作了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "止咳化痰药换成易坦静口服液"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "今天拉肚子了，但是用的红霉素她自己的肠道，还是更难受更不说，"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "头孢和益生菌隔开2小时"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "以前用过头孢有异常反应吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "没有异常反应可以吃"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有异常反应"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "换成头孢，易坦静口服液，益生菌和思密达"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯那个啊哪天公布的时候先吱一声也，然后两个小时之内淘宝本身感觉赔了，"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "想见识的黑人，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10246370": {
        "self_report": "一个半月婴儿拉肚子，怎么办？昨晚下午开始拉了几次，晚上还继续拉。半夜贴了宝宝一贴灵，有好点，中午开始喂双歧杆菌三联活菌散，下午拉了三次，但是便量有点少，晚上现在还是拉，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝拉肚子了，用药了，还是拉"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子的精神状态怎么样？尿量怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "尿量正常，精神还好吧，就是哭闹有点厉害"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "孩子的吃奶量比以前明显增多吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那妈妈的饮食有没有特殊"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "这孩子母乳喂养还是人工喂养"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "母乳加奶粉"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "出生到现在一直混合的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "妈妈的饮食也需要注意的，尽可能进食容易消化的食物，这几天饮食有特殊吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有，但是我最近便秘"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有点严重"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果妈妈有胃肠功能紊乱的情况，可能会导致孩子出现胃肠功能紊乱"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这几天你吃水果吃的多吗？有没有口服药物"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "喝了点凉开水了，算吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "跟这个有关系的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子如果出现腹泻，首先应该考虑的就是喂养方面的因素"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果是母乳喂养的孩子，首先应该考虑妈妈自身的问题"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我没有用药，水果都是一天一个苹果，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "孩子现在有腹泻的情况，尽可能少吃水果"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "另外奶粉的浓度要适当的降低"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "需要给孩子按摩腹部，改善胃肠功能，采用少量多次的喂奶方式，减少每次喂奶的奶量，增加喂奶次数"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "进行腹部的热敷，双歧杆菌可以继续口服的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "另外如果腹泻的症状比较重，可以适当的口服思密达保护胃肠黏膜"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "最主要的就是调整妈妈的饮食，采用少量多次的喂奶方式"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "口服药物不是主要的，如果有可能这个年龄段的孩子尽量不口服药物，可以采用丁桂儿脐贴或者肠胃散贴片"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "按摩腹部的效果是相当不错的，以肚脐眼为中心，顺时针按摩5到10分钟，每天2到3次"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "每次碰宝宝肚子，他都哭闹很厉害"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "不让碰"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "腹泻的孩子，肠蠕动过快，就会出现阵发性的哭闹"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "尽可能按摩腹部吧，或者是进行腹部的热敷"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10307667": {
        "self_report": "女儿这两天开始干咳，是什么原因，没发烧，突然开始咳嗽",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "嗯呢"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "3周岁4个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一阵阵"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就是咳咳咳"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "咳咳咳"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "听着像干咳"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "应该无"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不过今天早上感觉有点点鼻塞好像"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "睡觉没有咳嗽"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝现在应用什么药物"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "睡觉咳嗽的少"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "还没用"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "两三天了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "上了2天学就开始咳嗽了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院找医生听一下气管"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "需要怎么治疗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果不严重可以口服止咳化痰药物"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯，如果是支气管炎，怎么处理"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "如果听诊严重需要行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "不严重喝消炎药吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "需要"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "因为医生基本去看就给小孩打针"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "毕竟平台不能详细查体，建议到公立医院"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢啦"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢，祝您生活愉快"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我先带她去医院"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "好吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10165305": {
        "self_report": "咳嗽，流鼻涕，医生开了复方愈酚喷托那敏糖浆能和葡萄糖酸钙锌混合在一起吃吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了，晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "咳嗽3天了，就是晚上咳嗽厉害"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一阵一阵的吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发烧，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是流鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有拉肚子，发烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "鼻涕多不，黄吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不黄"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不算多"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一阵一阵的咳嗽吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "也不算吧，就只是白天偶尔咳，晚上厉害些"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这种情况是喘息"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "到医院去看了，医生听的时候都说有痰音"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "以前有过喘息没"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "之前有的急性支气管炎，好了一个星期"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "因为她平时就在吃葡萄糖酸钙锌，她吃药又特别恼火，所以就想给她混在一起吃"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "之前那次有丝丝的声音吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "这个不清楚了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以一起吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "麻烦你了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还得化验血常规，支原体和衣原体看看"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "用布地耐德和可必特雾化"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10488713": {
        "self_report": "孩子3周了有点咳嗽喝什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我前几天发烧喉咙疼这几天好了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯啊宝贝这个如果有人感冒的话要带好口罩避免交叉感染的奥，多喝点温水"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝除了咳嗽的话有没有其他感冒症状呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "孩子咳嗽有几天了也不经常咳就是有时候咳下听着也不咕噜咕噜"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝咳嗽痰现在不多对吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还有点鼻涕也不长流就是鼻子吃一下就有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "恩痰听着不多"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "鼻涕是清水鼻涕吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "鼻涕几天了呢"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不是清水有点愁"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "鼻涕也好几天了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "炎症渗出早期的话就炎症渗出比较少，随着炎症渗出的话痰开始增多，增多后刺激宝贝可能咳嗽症状比现在厉害的奥，"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那可以喝点什么药呢能喝甘草片吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "愁鼻涕的话主要是排出来的粘菌的奥，这个粘菌排出来是比较好的奥，所以目前的话这个排出来是比较好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝贝精神状态怎么样呢"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "但是已经好几天了状态挺好的每天还在上学"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "期间看过医生吗？亲"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝这个目前的症状最大可能诊断的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那可以喝什么药呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝贝目前的话痰量增多炎症渗出增多，所以我建议给宝贝先查个血常规胸片，排除一下支气管炎，确定一下具体炎症大小，根据结果对症处理！这样能够指导我们用药，用药大体时间，用的药物也是比较对症的，宝贝恢复起来也是比较快的，利于宝贝恢复！"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我家孩子上次感冒才拍过胸片还没一个月呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个感冒的话每次感冒的程度肯定是不同的奥，您带着宝贝去听诊一下，这样根据面诊医生的听诊结果，最好能做个血常规胸片，这样能够明确一下宝贝目前的情况，根据结果对症处理的奥"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝贝吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，特别油腻食物容易生痰的奥，多喝点温水，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃饭会有影响可能，能吃多少吃多少别强喂奥"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝贝这个的痰的目前拍上来的话就好了，这个病程总共大概需要7到10天时间，这个越小的宝贝恢复起来越慢宝贝排痰比较慢，痰排出来的话就恢复的比较快的奥！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "所以目前宝贝的情况适合给宝贝做个检查根据结果对症处理，然后注意以上注意事项奥，有问题及时就医的奥！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "带着宝贝做个检查能够指导我们的治疗原则，对宝贝来说比较安全的奥，所以做个检查，根据结果对症处理，再注意以上注意事项哈"
            }
        ]
    },
    "10264141": {
        "self_report": "问题宝宝六个月咳嗽半个月了，没其他症状，白天不怎么咳嗽，晚上咳嗽厉害，一睡醒就咳嗽",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝睡醒就咳嗽"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "晚上厉害"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一阵一阵的咳嗽吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发烧，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "最近大便有点稀"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "家里人有感冒了吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我之前有咳嗽"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "咳嗽了20多天，最近又感冒了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可能是被你传染了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃药总是不好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "去医院检查没"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "换了几次药都不见效"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "去过门诊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "化验血没"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "拍胸片没"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这种情况建议去医院面诊"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "化验血常规，支原体和衣原体看看"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "拍胸片排除肺炎"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10395084": {
        "self_report": "请问3岁儿童做雾化，药量比例多少，以前医生说过，现在忘了！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在什么症状"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "咳嗽，吐痰"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "流鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "以前咳嗽都是做的雾化，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝也那样气喘"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝有没有气喘"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "然后医生给开了雾化的药，可是用药量是多少我忘了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有点"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝是过敏体质吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "她激动点或者说话大点就咳了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有过敏"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "家里有没有哮喘病人或者鼻炎患者"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还有就是早上发烧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "给宝贝听诊肺部了吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "早上的时候给她吃药没多久就退了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "听了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "有没有做检查？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "什么检查"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在个给宝贝诊断什么疾病？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "比如血常规，胸片，支原体"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯嗯，现在诊断的什么疾病"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "应该不用那么麻烦吧？只是咳嗽流鼻涕而已"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "在哪里就诊的?医生有没有说你呢什么病？肺里有没有炎症？宝宝这样咳嗽气喘几次了？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝经常这样咳嗽气喘，需要进一步明确原因，如果是婴幼儿哮喘需要正规治疗哦"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您还在吗"
            }
        ]
    },
    "10331181": {
        "self_report": "宝贝一岁，昨天晚上拉肚子，拉了好几次，还发烧，现在不拉了但老感觉他像吃多了，好像要吐出来又吐不出来，要喂点什么药？？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好在吗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝一天大便几次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "在的医生"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝一天大便几次"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天就一次"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨晚五六次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大便是什么形状的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是水样便还是粥样便"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天饭也不吃，还感觉要吐出来要吐出来的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "水"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天下午放了好多屁"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天一天的哭闹，感觉嘴唇也是很红"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝小便量少吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "今天就拉了一次"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "小便量少吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "穿尿不湿很看不出"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "不算太多"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "从描述症状考虑腹泻病伴有脱水现象"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝现在应用什么药物"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "今天有时感觉额头有点烫，用"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "思密达喂了一次"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "测量体温了吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还有健脾胃颗粒两次"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "体温多少度"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "感觉不拉了就没有喂思密达了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "建议继续应用药物巩固治疗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "最好化验一下大便常规除外肠炎"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "注意多喝水，预防脱水"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "用电子的量得37.2"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "低热"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "注意多喝水"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "如果宝宝精神差，小便量少，需要及时补液治疗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "宝宝感觉有点上火可以一起用药吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不建议"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "宝宝尿是感觉少，不输液可以吗，宝宝有点胖，去输液都是找不到血管"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果有脱水现象，建议补液治疗"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "脱水现象是怎么样的？"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "小便少，精神差，哭泪少"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10070589": {
        "self_report": "请问现在这种情况严重吗？如果不输液，先口服阿奇霉素可以吗。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，请问宝宝有什么症状？咳嗽吗？发烧吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "咳嗽。现在不发烧，昨天下午发烧"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "检查结果是阴性。可以不用。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "之前在诊所输液，输了4天了。氨曲南。今天加了组头孢"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你好，最好去正规的医院给孩子检查治疗。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "之前是因为嗓子先发炎溃疡。发烧。然后输液"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗓子好了吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天去医院做了血常规。又让输阿奇霉素。我想先让孩子口服"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗓子好很多了，基本没有溃疡了。只是还是有点咳嗽。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，是去医院检查了，那就用上吧！"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "先口服可以对不对"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以先口服。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这个阴性还不是很严重的对吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "先用三天。再观察。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那好的。谢谢您了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不用谢，祝宝宝早日康复。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "肺炎支原体阴性，不排除衣原体感染。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "服用阿奇霉素也是可以的吧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "能行。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不客气。"
            }
        ]
    },
    "10268375": {
        "self_report": "得肺炎的疗程一般多少天",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了？亲"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "11个月了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝主要是什么症状？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "咳嗽，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "咳嗽有多久了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "俩天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽勤吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我问一下一般肺炎多长时间就好了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝贝是支气管肺炎吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还行吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "还是大叶性肺炎呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那种肺炎呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这两种"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "第一种"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "几天就是一疗程"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一般7到10天时间"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦！谢谢了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不用担心"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "积极配合医生的治疗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯！"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "注意饮食"
            }
        ]
    },
    "10073358": {
        "self_report": "一岁宝宝7天前感冒了，喝了7天的小儿氨酚黄那敏颗粒，但是现在还是流鼻涕怎么办，还需要继续用药吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝除了流鼻涕还有什么症状"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "比如有没有发热"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "到医院检查过吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有时候流特别黄的鼻涕有时候流透明色的鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "粘稠鼻涕多吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有打喷嚏现象"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "多一点"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "睡眠时鼻腔通气吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "刚开始的时候打喷嚏了，现在不打了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "刚开始睡的时候鼻腔里咕噜咕噜响，睡着就通了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "到医院检查过吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "只是给他用了小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝发病以来饮食好吗，大便正常吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "都正常"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "饮食也和原来一样"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "以前有没有长期流粘稠鼻涕现象"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "父母有没有鼻炎病史"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "也有过"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "父母有吗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个也遗传吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在还要继续给孩子用药吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝上呼吸道感染，建议停用口服药物，找医生合理检查一下，除外鼻炎，可以给宝宝雾化治疗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，还有其他问题吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那我关闭了，再唠叨一下，合理检查，规范治疗。再次祝宝宝健康成长"
            }
        ]
    },
    "10424767": {
        "self_report": "宝宝转奶粉后，已经有一个多星期拉墨绿色的大便了，每天1-2次，糊状，粘粘的。怎么办呢？目前有给吃妈咪爱。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝转奶粉，拉大便呈墨绿色，糊状，粘粘的，已经有一个星期了。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了，宝贝添加辅食没有？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝有没有呕吐，口腔有没有异味，宝贝舌苔厚吗，还有其他症状吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "还没，宝宝纠正4个月多6天，刚从早产奶粉转普通奶粉，还没添加辅食"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝肚子胀吗，有没有咕噜响声？宝贝大便时候哭闹吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有特殊症状，就大便颜色墨绿，放屁臭臭的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯嗯，宝贝早产出生孕周多少，出生时候都好吧"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯嗯，有没有带宝宝去医院检查，医生给看过吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "30周早产，除肺功能差些，其它还好！还没有去医院检查"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝贝这个情况考虑刚换奶粉引起的消化不良情况"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "平时可以给宝宝腹部保暖，奶粉温度要适中，平时可以给宝宝吃点益生菌调节一下肠道菌群"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不良消化了，怎么办？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "尤其是宝贝比较小，胃肠功能比较差，刚更换奶粉，宝贝肠道可能不太适应，不要太担心了！"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝贝妈咪爱吃了多久了，您自己给宝宝吃的吗，感觉有些好转吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "可以添加哪些肠道细菌？我在家有给吃妈咪爱，吃了三天了，好像没多大变化。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "您可以继续给宝宝吃益生菌2-3天，如果宝贝没有好转，吃奶不好，精神差，就带宝贝去二级以上公立医院小儿内科就诊，检查一下大便常规看看，排除肠炎情况"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "通过体检化验结果，可以明确病因，便于对症治疗效果比较好，也能指导我们用药！"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "精神还是不错的，就是感觉胃口变差了，我以为刚换奶粉，不适应，就先吃少点"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在刚给宝宝更换奶粉，宝贝可能不太适应，可以少量多次喂宝宝，不要一吃吃太多了，适应几天观察一下"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯嗯，您不要太担心了，多观察，如果宝贝持续吃奶不好，精神差等就带宝贝及时就诊！"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "可以宝宝比之前胃口差了，以前3小时就饿，现在都要等上4小时"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，那我再观察几天看看，谢谢你医生"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，摸一摸宝贝肚子胀不胀，宝贝精神好，不用太担心了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "还有疑问吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "没了，再见"
            }
        ]
    },
    "10464066": {
        "self_report": "四岁孩子咳嗽老是不好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝咳嗽总共多久了呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "20天前孩子上幼儿园，园里有小孩感冒"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "奥，宝贝这个可能再幼儿园交叉感染的奥"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "大约有20天"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽勤吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "感冒以后就没再去幼儿园"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一天现在能咳嗽几阵呢"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "刚开始咳的厉害在家吃药吃了四天不见好，去医院输液输了三天，见好，回家吃药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝贝现在咳嗽有痰吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有，今天咳的厉害了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "痰量是比之前多了还是少了呢"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "多了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝贝这个20天一直没有间断，还是好转后又咳嗽了呢？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好转又咳"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝贝这个中间停过药吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃药也不见好，不吃药也不见坏，所以就没吃药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他嘴上还起了溃疡"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝贝期间总共看过几次医生呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "一次"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "期间做过什么检查吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "验血，拍x光片"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "是支气管肺炎还是支气管炎呢"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "支气管炎"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "出院后面诊医生给宝贝开的什么药呢？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没给开药我自己买的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "面诊医生输液完了之后医生说宝贝吃药巩固就可以了吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "当时您自己要求吃药不输液的吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "我看孩子好转了，就不该孩子输液了，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "之后您给宝贝用的什么药？用了多久停的呢"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "以为孩子血管很细，每次扎针都很费力，有时还得扎两三次，我心疼了，就没带他去"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝这个目前面诊医生给宝贝诊断的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "当时是住院治疗的吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "小儿咳喘灵口服液，"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "药吃了大约五天"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝贝目前咳嗽又勤点，痰多，这个我建议您给宝贝去面诊医生那里听诊一下，看看支气管炎的恢复情况的奥！这样能够根据结果对症处理的奥，能够指导我们用药，用药时间，具体用什么药，您要听从面诊医生的药物，不要随便增减"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦哦，好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝贝吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，特别油腻食物容易生痰的奥，多喝点温水，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃饭会有影响可能，能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "能是肺炎吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "这个听诊一下看看，根据结果看看需不需要调整药物，听诊一下看看需不需要做其他检查的奥，肺炎的治疗原则也是一样的奥，听诊一下看看肺里情况，根据结果对症处理就可以的奥！"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "上次验血报告说心肌酶有点高，心率过快，"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "做胸片的时候吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "现在一句为109没分钟，正常吗"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "这个心率也差不多的奥"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "现在心率为109每分钟正常吗"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "面诊医生给宝贝诊断心肌炎了吗"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "心肌酶高时诊断说是心肌受损，现在正常了，"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯啊那就没事的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "还能是心肌受损吗"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "这个心肌受损的话一般就是劳累，发烧时间长，"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦哦哦"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "宝贝这个咳嗽的话主要是支气管炎的原因的奥，目前就是带宝贝复查听诊一下看看支气管炎的恢复情况，根据结果对症处理，再注意以上注意事项奥就可以了！"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "感谢您的解答！"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不客气的，祝宝贝健康"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "祝您健康，工作顺利！"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "再见！"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10840443": {
        "self_report": "宝宝十一个月之前感冒流鼻涕，吃了两天小儿豉翘清热颗粒，感冒有点好转了，现在又咳嗽怎么办啊？刚刚又给他吃了止咳口服液",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "上次咳嗽好了几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "最近有没有受凉？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "上次是感冒流鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯嗯，好了几天了？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有3-5天吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "上医院开了就是我刚刚上传的豉翘"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看见了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "感冒刚刚好一点就开始咳嗽了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦，这个情况"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "目前仅仅表现咳嗽吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "是的，咳嗽还会吐奶"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吐出来有链状物"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "咳嗽，可以刺激咽部的呕吐反射。引起呕吐"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那怎么办啊"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "我考虑可能是上次感冒没有好利索，引起的气管发炎可能性大。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有没有好的办法啊"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯，应该是的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "咳嗽是刚开始吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "大约咳嗽几天了。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是的今天刚开始"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "刚开始的话不用担心。而且孩子没有发热。可以先吃帮我治疗看看。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "医院开的小儿消积止咳是可以的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "还吃我发的那两盒药吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以先吃药物治疗2到3天。是的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个药物有消炎的和止咳的，目前看是可以的。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "假如治疗2到3天不好转，建议再去医院找儿科大夫听诊一下。"
            }
        ]
    },
    "10411906": {
        "self_report": "宝宝八个月高烧38度时候做的灌肠以后体温36.7现在35.7怎么办啊怎么回事现在手脚脸额头冰凉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发烧几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在这种情况怎么办啊"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "老睡觉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天下午"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子是什么原因的发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "鼻塞流涕吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天下午五点多发烧37.8吃了美林以后今天早上四点多38度我又给他吃了一次，体温是37.4到中午十点多38.2我就带他去做了灌肠"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "灌肠以后是36.7现在是35.7怎么办"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "手机脸额头冰凉"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "在哪里做的灌肠"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "可能是冻到了然后感冒了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "大夫家"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有鼻塞流涕咳嗽吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不流鼻涕"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "也不咳嗽"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "拉肚子吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就是轻微带点鼻塞不过现在都好了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "不啦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "医生诊断什么病？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就是体温低手脚脸额头凉"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就是感冒啊"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "发烧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "用的什么药你知道吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "现在脸色也不好"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "脸色什么颜色？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "就是做的灌肠有退烧药的成分"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "脸色怎么不好？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "黄中带点白"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "就是跟平常不一样"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "根据你说的这些情况还是还是感冒的发烧。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "恩，我知道"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "体温偏低这是退烧药物的作用"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "就是现在脸色不好，体温低手脸额头凉"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "用了退烧药，以后孩子出汗，体温就偏低的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那怎么办啊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "给孩子多喝些水，会好的，这个没有问题的。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那就是没多大问题多喝水注意保暖被"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不要着急，等孩子醒了，适当的活动一下，多喝水会好的。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "是的，适当的多盖一些。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "行，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "上次感冒也这样"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "大夫也说是药物的事"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "这是退烧药物的作用"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "行，知道了谢谢您"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "没有问题哒，喝些水，会好的。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "及时观察体温变化"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "行，"
            }
        ]
    },
    "10642483": {
        "self_report": "宝宝没精神嗜睡，但是睡不熟，拉了两天肚子每天三到四次便便，每次多少不同有多有少，今天第三天，便便水水的比较清，今早便便有奶瓣，刚刚一次很清有绿色小点点，没有量过烧但摸额头并不烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝贝多大了呢！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "平常主要是什么饮食呢？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今年三月九号出生现在有四个多月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝最近吃奶量可以吗？有没有下降呢？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吃奶还好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "最近有没有呕吐症状呢？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是刚刚开始没精神"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "尿量多吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝贝哭闹吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "母乳喂养，我平时早上吃小米粥和馒头，中午下午吃饭菜"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不吃辣椒和辛辣食物"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝贝饮食一定注意的奥，别太油腻的奥"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不哭闹～"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "尿量呢？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "尿还算正常跟平时差不多"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯啊，目前精神状态还可以，尿量多的话就问题不大的奥"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝贝期间看过医生吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我星期天的时候是在外面吃的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "家里饮食一般都很清淡"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝目前的话宝贝大便奶瓣，绿色，大便次数增多主要是一个消化不良的表现，消化不良的话可能受凉或者胃肠功能弱都可能引起来消化不良的，治疗的原则一般就是调节胃肠功能的治疗原则的奥！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "您多给宝贝喝点温水的奥！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前的话宝贝精神状态还可以，尿量多，大便次数还是可以的，所以目前病情比较稳定的，如果宝贝大便次数比较多的话如果不控制的话就容易脱水的，表现为宝贝尿量少，眼窝凹陷之类的，皮肤粘膜干燥等脱水症状，目前的宝贝情况可以观察一下，可以给宝贝喝点益生菌调节一下胃肠功能的奥！"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "他以前有时候也会拉肚子但是精神状态不会受到影响，现在精神状态不好会不会有什么影响？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食不能吃，清淡饮食为主，水果之类的也不要吃的奥，多喝点温水，多给宝贝热敷一下肚子，顺时针揉揉肚子，别着凉肚子，晚上睡觉盖好被子，别着凉，这个时候胃肠功能会影响所以能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "就是睡觉，也不哭闹，尿量比较多的话目前的话倒是问题不大的奥"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您指的精神不好是睡觉，对吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "睡了多久了呢？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "恩恩，醒来也没精神不闹不玩就是还想睡嗜睡"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "早上就开始睡了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "断断续续的睡到现在"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯啊，不是说一直睡没醒，对吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您摸一下宝贝前囟门凹陷吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有中途有醒过"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "醒来也是正常吃奶的，对吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯啊，前囟门凹陷吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "醒了之后精神怎么样呢？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "之前吃，但刚刚睡了两个小时起来没吃"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "摸着还好"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "前囟门正常的话也不用太担心了的恩"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝贝期间一直断断续续睡，起来吃奶也还可以，醒了精神状态还可以尿量多不用太担心了，目前的情况还是比较稳定的奥！可以给宝贝巩固点益生菌的恩，利于宝贝的恢复的修复"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "醒来也是懒洋洋没精神的样子，以前会趴着抬脖子玩闹翻身打滚，现在醒了不玩闹趴着也不抬脖子了～"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果宝贝精神状态非常差尿量少的话就要及时带宝贝去儿内科就诊，及时补液治疗的奥！目前状况还是可以的，您多给宝贝喝点温水，观察一下的奥！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "吃着益生菌观察两天，大便次数不缓解或者加重及时带宝贝去儿内科就诊查个大便常规明确一下病因，看一下有没有感染，需不需要调整用药，根据结果对症处理，精神状态差，超过8小时没尿的话就可以及时带宝贝去儿内科就诊补液对症治疗了，防止宝贝脱水电解质紊乱的奥"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "吃妈咪爱双歧杆菌可以吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "如果宝贝醒了后吃奶欠佳，尿量少，皮肤粘膜干燥等脱水症状，多喝点温水，轻轻揉揉肚子，目前的话宝贝状态还是可以的，拉肚子的话可能活动度可能不如之前，断续睡觉，目前的状态比较稳定，可以观察两天，出现脱水症状及时就医补液治疗"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "医生还在吗，如果孩子还是不吃奶尿量减少会是什么情况？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "嗯啊，益生菌类的就可以的调节胃肠功能的奥"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "宝贝如果出现那种情况是有点脱水的症状的恩，就要及时就医补液治疗的奥！"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "我这几天都是白天晚上开28度的空调这样会不会有什么影响"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "目前宝贝只是有点不如之前活泼，其他症状情况还是可以的奥，目前可以观察一下的奥，按时服用益生菌，再注意以上注意事项奥，有问题及时就医的奥"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "28的话不是太高，空调风速别太大的奥！别直接吹宝贝的奥"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "恩恩，好的，谢谢医生"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不客气的，祝宝贝健康，有问题欢迎咨询"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题还有疑问吗？"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "宝宝现在的情况妈咪爱要按照什么量和次数喂呢？"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "您家里有这个吗？"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "这个得根据宝贝具体体重和具体情况用的恩，最好让面诊医生确定一下安全性，再面诊医生的指导下用的奥！"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            }
        ]
    },
    "10787421": {
        "self_report": "宝宝现在两个月二十天了，一直吃奶粉，昨天有点拉肚子，今天突然不喝了,一喝奶粉就闹，喝水不闹，怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好很高兴为你服务"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子目前有什么不舒服"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "还拉肚子吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有不舒服，也没拉肚子，睡眠也好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有鼻塞，流鼻涕吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是喝奶闹，不喝，喝水不闹"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "考虑是受凉了。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "受凉后小孩子会有点食欲不振"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是的，我觉得也是受凉了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "拉肚子的情况"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "因为前天的时候降温了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "医生，那要采取什么措施吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "受凉后孩子容易出现拉肚子"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是纯母乳喂养吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不是的，只喝奶粉"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "医生还在吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那喂奶的时候奶具一定要消毒"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "给孩子补充点益生菌"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "这种情况喝益生菌可以嘛"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "一定要注意保暖"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以吃点醒脾养儿颗粒益气健脾"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "改善食欲"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "注意保暖好肚子别着凉"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "每天配合按摩围绕肚脐按顺时针按摩每次5到10分钟"
            }
        ]
    },
    "10280623": {
        "self_report": "十一个月女宝宝，呕吐几次之后开始腹泻，是糊糊状，鲜黄色，喝了米汤，请问怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，大便几次了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "五次"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "现在不吐了就是腹泻，尤其是吃了点东西就会拉"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "尿量和精神状态怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "精神有些累，睡了一下午"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "尿不多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发热吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不发热"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子的这种情况建议查大便常规"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "腹泻要多喝水"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "喝口服补液盐"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "保持足够的尿量"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "在乡下不是特别方便去医院，补液盐卫生院可以买到吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "应该可以的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "药店也有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "喂氺喝吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不爱喝水有点闹"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "大便是稀水多吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "鲜黄色的有糊糊，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有照片吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的，拍一张，等会"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "尿不湿是是尿的还是拉的水"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "拉的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "喝着奶就打屁拉出来了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "孩子腹泻频繁，精神不好，喝水少，尿不多，建议输液治疗，避免出现脱水"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "十一个月小宝宝就输液有没有很大副作用"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "输液是补充糖盐水和电解质"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "卫生院可以输液吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "值夜班就可以"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "要看你们那的具体情况"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢你"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "你好，孩子是不是又受凉了"
            }
        ]
    },
    "10290764": {
        "self_report": "八个月宝宝咳嗽可以做小儿推拿治疗吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝咳嗽多久了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有无憋喘？有痰吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天去医院听了，有一点痰"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "喘吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "无憋喘"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有无发烧？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就咳嗽"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有无鼻塞流涕？家人有无感冒的？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有鼻涕"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是晚上严重？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我有一点感冒"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "都差不多"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有无腹泻？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "去医院做的什么检查？吃的什么药物？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃的消炎药，和止咳药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就听听"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没做检查"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以辅助推拿治疗的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "也没有查血常规？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "还用吃药吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "需要吃的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "这样就看不到推拿效果了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "单纯的推拿按摩治疗不行的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "宝宝八个月可以做推拿吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "推拿能够帮助宝宝好的快点的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "自己做的冰糖雪梨可以给他喝吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以清肺经，补啤经"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以少量喝"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不能太甜的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝宝吃奶好不好？精神怎么样？"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "有问题在来"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果效果不好建议去附近二甲医院儿科就诊，必要时查血常规，拍胸片检查"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果没有什么其他问题我就关闭对话框了，好吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝现在怎么样了？"
            }
        ]
    },
    "10311745": {
        "self_report": "宝宝5个月母乳喂养，拉这种便便是为什么？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "1天大便几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "一次到两次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "量不多，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦，有一些发绿"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "考虑有可能是腹部受凉引起的消化不好"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是不是消化不好啊！有粘液是为什么"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "找凉了是吧？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，图片看不到粘液"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "最近这几天一直是这样，宝宝没有什么不适"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "挺好的，其他的没什么。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，那就考虑是消化不好"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议给宝宝注意腹部保暖"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "口服妈咪爱调理一下"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "那应该怎么办呢"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意腹部保暖，口服妈咪爱"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "可以吃益生菌吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那大概服用多久啊！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外妈妈的饮食注意，不要吃的太油腻，不要吃辛辣刺激性的食物"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "大概吃1个星期"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "宝宝消化不好是我吃的太油腻吗，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦！好的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "妈妈的饮食也影响宝宝消化的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10137923": {
        "self_report": "你好，儿子三岁，现咳嗽有五天了，一直在做雾化，吃了头孢洛克和止咳口服液，没见效果，咳嗽第三天又出现腹泻和呕吐，吃了思密达腹泻止住了，这两天大便也正常了，可是呕吐现象还更为严重，一吃药就全呕吐出来了，请问医生我得考虑孩子得了什么病？医院这次又开了罗红霉素颗粒和氨酚黄那敏和止咳的，还有三天的雾化，不会是轮状病毒感染啵",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有痰吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "首选是干咳，尤为早上起来"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "像上火那种咳"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一生生"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "声"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "咳几下停一会"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝有没有喘息症状"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "体温一直正常"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝有没有喘息症状"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "咳嗽第三天傍晚出现拉稀，呕吐"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有没有拍胸片检查"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "怎么喘息有点不懂"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝现在呕吐与咳嗽有关系吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "咽喉部有吱吱声音吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没做胸片，急症时说是支气管炎"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有那种声音"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有没有化验血"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "呕吐不是咳嗽的时候"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "也没有"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "本检查大便，可等了一天都没拉"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "通过描述症状不除外宝宝支气管肺炎可能"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这两天大便正常，可呕吐现象还变为严重"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "大便应该与应用蒙脱石散有关"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "早上吃面条吐两次，中午吃饭一次，晚上两次"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "吃了一包思密达"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "现在应用药物口服及雾化治疗效果欠佳，建议带宝宝到医院合理检查一下胸片了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "但晚上两点多起床拉水，第二天晚上七点大便正常"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝现在既有呼吸道感染症状又有消化系统症状，个人建议带宝宝输液治疗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "应用抗感染，止咳化痰，保护胃肠粘膜药物综合治疗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "不会是那个轮状病毒啵"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "腹泻有可能是轮状病毒感染"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "他一岁半得过秋季腹泻"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "咳嗽考虑是细菌感染"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "秋季腹泻多数是由轮状病毒感染导致"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "可两天大便都正常呀，今天也拉了正常的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "每年秋冬季节多发病"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "正常了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "建议合理检查一下呼吸系统"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "然后根据结果合理应用药物"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "不拉肚子了就有点咳嗽也不是很厉害，带痰咳，然后就是呕吐"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "建议合理检查一下，"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "不吃东西不吐，吃了等会就吐"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "现在呕吐这种有可能是由于咳嗽或痰液刺激咽喉部导致的"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗，有助于疾病恢复"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "没有了谢谢你"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "那就结束了，再次祝宝宝健康成长"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10258207": {
        "self_report": "男孩。29个月，前两天，呕吐，腹泻，发烧，吃了蒙脱石散，贴了丁桂儿脐贴，吃了美林退烧药好了，今天又吐了，拉了一遍，有点稀，有臭味。肚子咕噜咕噜叫，鼓鼓的。怎么办啊，应该吃什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子今天还有发烧吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "今天拉了几次"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不发烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "拉了一次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，孩子之前腹泻，吃蒙脱石散好转"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有益生菌调节肠道吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有吃益生菌啊"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "肚子咕噜咕噜叫，大便臭，是肠道菌群失调表现"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃了蒙脱石散就好点了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "哦。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一般腹泻是蒙脱石散治疗稀水便"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那应该吃什么牌子的益生菌啊"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "腹泻常导致肠道菌群失调，所以一般加益生菌调节肠道"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议妈咪爱即可"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦，用不用吃别的了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "另外可以选择培菲康，好一点的亿活，但是亿活也比较贵"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "所以建议妈咪爱，性价比比较高"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前孩子情况，蒙脱石散配合妈咪爱就可以"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的。十分感谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯嗯，不客气的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "????"
            }
        ]
    },
    "10138903": {
        "self_report": "宝贝八个月，她一直有痰却很少咳嗽还有鼻涕",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "5天了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一声声"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "现在白天不咳嗽了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝有没有喘息症状"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "晚上也不咳嗽了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在应用什么药物"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在没有用了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "前期应用什么药物"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "停药物几天了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "今天刚停"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "前期有没有检查过"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "比如胸片，血常规"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有去医院"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "通过描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那要用什么药呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "应用药物后仍有痰，建议带宝宝到医院找医生听一下气管，最好做一下胸片，了解一下肺部和气管情况"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果没有问题可以应用化痰药物，比如氨溴索口服液"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那就结束了，再见"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10209025": {
        "self_report": "宝宝之前有流鼻涕，昨天下午有吃四分之一颗煮熟的花生米之后有呛咳的症状，昨天到现在偶尔会有咳嗽的症状，去医院儿科医生说支气管有点炎症。宝宝还能喊叫，能排除气管异物吗。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "十个多月"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝吃的时候呛咳了吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "这个软件要收费？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有，但不是很严重。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "辅诊这个服务本身是收费的，但拇指医生会先补贴给您一些“赞”，所以一般前两次都相当于不收钱。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这个是按照时间收费的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "医生给宝贝做过什么检查"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "看了喉咙，看了鼻腔，听了肺部"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有做检查"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "比如胸片"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "您有没有说宝宝呛咳的情况"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "因为人太多。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "在哪里就诊的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "湖南旺旺医院耳鼻喉科"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "您需要去医院儿科看看"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "他让我考虑了做不做"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "去过儿科"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "开了感冒药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果排除异物需要胸透或者支气管镜"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "说支气管有点炎症"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不能通过别的方法排除？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "异物也可以引起炎症"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "没有更好的方法"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好吧，拍胸片能排除？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯嗯，如果颗粒比较大可以排除"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "如果是气管异物小的话不取出会有什么后果？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "可以再观察几天看喝感冒药能不能好？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以反复感染"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "就是炎症好不了？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "引起肺部慢性病，脓肿"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦哦，那过几天喝药不咳嗽了是不是就能排除气管异物"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不是，停药后反复，听诊有啰音都需要进一步检查"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "哦哦，好的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝宝太小不要吃坚果了哦"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "可以做成粉末或者酱"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯。好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10032827": {
        "self_report": "宝宝现在6个半月了，拉便便一般都是.4.5天一拉吃的是奶粉而且便便是绿色的。请你正常吗该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，发热不，几天了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "不发热一切正常，将近2月了都"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "以前是2天一次，现在将近两个月了4.5天一次便便"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便干不"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "拉时费劲不"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不干不稀就是绿色好几天一啦还多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "恩，考虑肠道菌群失调，可以用妈咪爱帮助改善肠道菌群"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "配合顺时针揉腹"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这个严重吗问题！？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "不是很严重，儿童发育期常见"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果效果不明显，可以换个奶粉品牌"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的吃点益生菌条例一下，是铁不吸收引起的拉绿粑粑吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "消化不良易出现绿色大便"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那我家孩子都两个月了一直消化不良都是绿粑粑"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨天打的疫苗今天能吃益生菌吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "恩，菌群失调"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "没有发热的情况下可以"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "一直拉绿粑粑没事吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不利于营养吸收和发育，易形成便秘"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那只能调理了吃益生菌、多喝水"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前是的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "配合顺时针揉腹效果也不错"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哎愁"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "养个孩子不容易啊"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还有问题吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我家孩子嘴生出来的时候下嘴唇跟上嘴唇不对称？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "然后躺着的时候是对称的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这个建议去医院神经科进一步检查"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "像是下嘴唇有点歪怎么回事呀现在大点了好了很多，刚出生的时候明显"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一周是周围神经问题，一种是先天面部发育问题"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "神经有问题？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "具体是那个需要进一步检查明确"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "不是面瘫我家孩子"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "引起面部肌肉不对称的原因很多，面神经是其中之一"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "恩，"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "好的，还有问题吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "没了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "恩好的"
            }
        ]
    },
    "10365842": {
        "self_report": "宝宝牛奶蛋白过敏深度水解喝不进去咋办，拉稀一个月了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "深度水解奶粉太难喝，我给她试了羊奶粉拉的更厉害了，五个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "那还要喝深度水解奶粉的。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "喝了总是呕吐咋办"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "可以换个牌子的试试口味儿不一样的。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "一次不要喂了太多"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "深度水解喝了两三次，羊奶喝了三四次拉的更厉害了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "喂得不多，她本来不喜欢喝奶粉"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一直在用药"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃的什么药？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "双酶散布拉氏"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以换一下药物"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃上妈咪爱调节胃肠功能的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在又喝回原来奶粉了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "把水解奶粉，换个牌子的试一试。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "原来一直拉肚子吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "买的雀巢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "原来大便一天几次？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "四个月开始拉的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "四个月以前吃什么了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "原来一天一次"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "奶粉偶尔喝点米汤"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "也可以吃原来的奶粉呐。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "化验只对牛奶过敏"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以适当的加点儿米汤，米粉。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "就是一直吃这种奶粉突然过敏了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "1+"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这属于轻度是吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的轻度的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "过敏以后大便几次一天"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有别的不舒服就是拉肚子"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "吃药后两三次"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "但是不消化"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "羊奶也不吃吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "对牛奶过敏可以吃羊奶粉的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "羊奶吃的，今天吃了三四次我看她拉的又稀了不敢喂了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "这个是不是需要慢慢过度呢"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "今天直接就给她吃了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的需要有个过程的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以继续口服益生菌吃羊奶粉"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "现在拉的很稀我要慢慢给她过度羊奶粉是吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "吃上三至四天，观察变化。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "是的可以的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "今天真后悔不该直接给她喝"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "圣元牌的也有腹泻奶粉，你也可以试一试。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "这个没效果"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "你喝过吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "开始以为乳糖不耐受喝了也是拉的很厉害"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "应该和水解奶粉最好啦。"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "可以换个牌子的水解奶粉试一试。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "我慢慢过度羊奶试试"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "都不好喝"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "也可以的"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "嗯，好的"
            }
        ]
    },
    "10772095": {
        "self_report": "宝宝15个月，宝宝27号晚上发烧吃了退烧药一直反复发烧，都是在38.5以上，昨晚10点多又发烧38.9吃了退烧药退到37.8-38到目前一直这样怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝目前体温多少？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "37.8"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "体温在38.5℃以下可以适当喂水，温水擦浴物理降温就可"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前身上有汗吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发热处理选择，38.5℃以上可以口服退烧药，38.5℃以下温水擦浴物理降温。如果发热不退退烧药物服用需要间隔开4-6小时"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的，昨晚去医院检查，化验了小血，今晚一直没有退烧明天还要去化验吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有汗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "刚化验血常规不需频繁化验。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "查体有问题吗？又嗓子发红吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有其他不适症状吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的，谢谢，就是没有38.5以上一直不退烧也可以吃药是吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不超过38.5℃不需要口服退烧药物"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗓子红"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前除了退烧药有服用什么药物？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "他现在一直处在37.8-38的体温，一直不退"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "清热解毒颗粒"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还有服用清热解毒颗粒"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "血常规白细胞正常，c反应蛋白增高提示混合感染可能。结合查体嗓子红，多是上呼吸道感染引起"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以给予清热利咽治疗，注意适当勤喂水，清淡易消化饮食"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦，谢谢，他小时候得过2-3次支气管肺炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般发热2-3天，感染控制后体温会逐渐恢复"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的，什么情况下我需要去就医呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "恩，孩子小，上呼吸道感染控制不好确实会感染下行引起支气管炎或肺炎，所以注意宝宝体温正常时如果精神不好，3-4天后任何反复发热"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "昨天本来要挂水的，血管一直找不到，小孩子哭到不行，后来就放弃了，配了药回来吃的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "医生还开了口服抗生素"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "咳嗽等现象需要及时就诊"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "昨晚没吃，这个在什么情况下需要吃呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "恩，c反应蛋白增高提示混合喂养就是说病毒感染合并细菌感染可能，所以大夫开的药物可以安顿口服"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "只是退烧药发热时，体温大于38.5℃时再服用"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦，好的，抗生素也要吃是吧"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "恩，不客气"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "这么晚打扰您，非常感谢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "注意近日适当喂水促进代谢，清淡易消化饮食。不客气。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            }
        ]
    },
    "10297723": {
        "self_report": "你好医生，宝宝喉咙湿哑，喉咙有痰咋办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "请问宝宝这样有多久了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天有的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "前几天有感冒"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝之前有没有受凉的情况是什么诱因呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "应该有受凉"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "需要吃药吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝喉咙都哑了，我建议需要用点药。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不知道是不是吃了上火的东西"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "什么药?"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "银翘解毒颗粒可以给宝宝吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝还有其他什么症状吗？我需要再详细了解一下，才能给出就是最佳的建议。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "晚上睡觉自己坐起来哭，这几天有几次了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "前两天老是流黄绿鼻涕，不停的流"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "晚上咳嗽厉害吗？是不是因为咳嗽咳醒的？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这两天没咳了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有没有发烧鼻塞流涕的情况？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "今天晚上几声咳，间接性的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "前俩天感冒才吃药完"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的，您说的那个药可以用。宝宝现在喉咙里面还有没有有痰的情况。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "听上去有痰"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "白天没怎么哭闹"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "听上去有痰可以加一个氨溴特罗口服液。止咳化痰。前两天吃的是什么感冒药？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "小儿氨，小儿止咳化痰，利巴韦林，头孢"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "小儿氨黄那敏颗粒"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "利巴韦林和头孢吃多久了？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "家里对面是村卫生室，可能没有你说的那个药"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "吃了两天，一天三次"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "哦，可以试试那个氨溴索口服液。看看有没有，这两个药都一共只吃了两天吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "小儿止咳化痰好吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝嗓子红不红。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "这个就没看"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "现在发烧是没有"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "光喝水，宝宝能好吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "如果是病毒性的，自己也能拖好时间比较长。查那个血常规了吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有去医院检查"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的，目前宝宝饮食和精神有没有受到影响？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "没感冒之前宝宝吃饭不香，不吃米饭，只吃菜，喝奶倒是挺好"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "跟平常差不多吧"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯。好的。那建议还是用点药，不要只喝开水。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "喉咙发炎，就会发烧吧"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯，不一定，发烧的话应该要重复一些，不发烧就要轻一些。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "恩，就是怕半夜发烧"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "今天才湿哑的，没那快吧"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "是的，所以您的那个头孢类的药物才用两天，我建议您继续用。发烧的话就去查血。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "恩，那可以给她吃橙子吗"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "会上火吗"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "可以吃。要用开水温一下。"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "橙子不上火是吗"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "一般情况下橙子下火，橘子上火。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "就是那种小橘子一般是上火的。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的，谢谢您的回答"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "嗯，不客气。"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "那再见"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "宝宝多喝水。"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "祝宝宝健康。"
            }
        ]
    },
    "10035922": {
        "self_report": "小孩5岁，从6月至今，总是间接性咳嗽，偶尔有痰，不思饮食，中间吃过头孢克洛，阿莫西林，止咳糖浆，盐酸溴索口服液，利巴韦林喷剂等药，总是时好时犯，请问怎么办，谢谢医生",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "这个孩子除了咳嗽以外，还有其他的症状吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "前1周有脖子处淋巴结肿大"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "发烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子断断续续的咳嗽有多长时间了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "7月份至今"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "你都进行过什么检查？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "去医院验过血，血项都正常"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "进行过胸片的检查吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有，医生听了说没有必要，诊断为上呼吸道感染，但至今未痊愈，时好时坏"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这孩子既往有没有喘息发作，家族中有没有过敏性体质的人，小时候有没有湿疹的情况？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "你说的都没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这个孩子夜间咳嗽重，还是白天咳嗽重？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "他咳嗽主要集中在早上起床，间接咳嗽十声左右，明显带痰，但咳不出来，晚间不咳"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嘴唇发白"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个孩子有没有鼻塞，流鼻涕的情况？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "有贫血吗，有没有其他的疾病？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "七天前发过一次烧和淋巴结肿大，您说的症状都没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这个孩子反复的咳嗽应该进行支原体的检查"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "特别是年长儿，很容易合并支原体感染。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "在排除上述因素以后，需要进行肺功能的检查，即便家族中没有类似的病例，也需要注意支气管哮喘或者说过敏性咳嗽的可能"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "这孩子一直以来都特别容易咳嗽，曾经开过增加免疫力的药吃了能好点，但过段时间不吃，再次犯了就不好了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "支原体感染和过敏体质的孩子，都会导致免疫功能低下。特别是支源体感染的孩子，会导致免疫功能的紊乱，会出现反复的呼吸道感染。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以继续应用免疫调节剂"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "长期服用免疫性药物，会对孩子身体造成不良影响吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "免疫调节剂需要口服的时间要长，至少需要半个月，短时间内应用效果不明显。对孩子的身体没有太大的影响"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢你医生"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一定要进行支原体的检查"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢您！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "我可以结束服务了吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "可以了"
            }
        ]
    },
    "10048311": {
        "self_report": "孩子4岁最近有点咳嗽倒不是很严重也就是偶尔咳几声门口看了下中医说是积食了给吃了一瓶40粒小儿七珍丹但还是咳嗽之前在药店看说嗓子里有泡泡这到底是什么症状呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝咳嗽几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "流鼻涕不"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "拉肚子不"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好几天了倒也不严重白天在幼儿园老师说不怎么咳"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有拉肚子也不流鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "晚上偶尔会咳也就是一两声"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗓子疼吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不疼"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "还是呼噜呼噜的声音"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "晚上没有白天偶尔声音塞吖"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有痰吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有时有有时没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以接着吃抗病毒药，做雾化观察"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "加上止咳化痰药"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我就光给他吃的消积止咳的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "痰是黄的吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "他这两天没有大便"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没见过"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "平时几天一次大便"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "吃的多的话每天基本上最多也就是2天这两天放学回来没给他吃"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "接着吃止咳化痰药，加上抗病毒药观察"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "配合雾化效果好一些"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "但之前有中医给看过说就是积食了呀"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "中医认为是积食引起的，西医一般都是认为感冒引起的气管炎"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗓子发炎造成的咳嗽"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那要吃消炎药吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不是一阵一阵的咳嗽，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "没有黄痰先不用吃消炎药"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "我就没见过他吐过痰不知道是什么痰"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "先不用吃"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "屋子里别太热了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "保持湿度在50%"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "用布地奈德和可必特雾化观察"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10349422": {
        "self_report": "二个月宝宝有点腹泻可以洗澡吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "婴儿两个月有点腹泻可以洗澡吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝腹泻多久了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天傍晚"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝吃母乳还是奶粉呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "吃母乳的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最近吃母乳量怎么样呢？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "吃奶量怎么样呢"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "肚子咕噜咕噜响的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天早上好像不怎么想吃"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "另外时间和平时一样"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯啊，宝妈有没有吃生冷辛辣刺激食物油腻食物呢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "喝了两瓶饮料"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "甜的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "凉吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "冬天常温下的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "算凉的哇"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝这个有一定影响的奥"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝贝这个主要是拉肚子，对吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "这样啊"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "大便一天几次呢"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "昨天傍晚有个四次吧"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯啊，大便是什么样子的呢"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "每次便量是不多的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯啊，浠水便吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "颜色正常吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "黄色的有点小颗粒"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有没有粘液脓血之类"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "有点稀"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝贝这个精神状态好吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那没有"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "有时候有点偏绿"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "尿量多吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "主要是有点消化不良的奥"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "尿量还好吧"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "今天比平时好像少了点"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯啊！"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "消化不良有什么措施好采取的吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝贝的多喝温水"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "宝贝期间看过医生吗？亲"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "有没有看过医生吗？亲"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "没呢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝贝可以吃点益生菌"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "多喝点温水"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "母婴店那种助消化的吃了有用吗"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "妈咪爱吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "益生菌类的就可以"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "多给宝贝热敷一下肚子"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "顺时针揉揉肚子"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "别着凉肚子"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "那可以洗澡吗"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "生冷辛辣刺激食物不能吃油腻食物不能吃"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "饮食一定要注意的奥"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "这个的话您一定要注意哈"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "洗澡的话别着凉了奥"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "知道了哈"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "嗯呢"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "嗯啊，好的"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "谢谢医生啦"
            }
        ]
    },
    "10890160": {
        "self_report": "宝宝六个月拉肚子，之前是黄色现在变成黄绿色是什么原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子拉肚子总共几天了呢？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "五天"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大便次数增多了吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天两次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前几天是五次左右"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子吃母乳吗？吃奶量下降了吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "母乳，吃奶很好"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神睡眠都很好"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "偶尔吃点米汤"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子期间看过医生吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "孩子这个大便绿色主要是消化不良的表现，主要是着凉饮食不当等因素引起来的的，治疗原则主要是调节胃肠功能的治疗原则一般会有3到5天的疗程"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "他之前是带泡泡的黄色，之后是蛋花汤样的，现在是黄绿色的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子现在大便的情况次数还可以，大便绿色，精神状态还可以，目前的情况比较稳定的，您可以给孩子喝点益生菌调节胃肠功能，看一下大便缓解情况！"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "这是什么原因呢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "孩子还是消化不良的表现，蛋黄汤之类的大便，大便泡泡"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大便怎么一直在变化"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "跟吃迷糊有关系吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "他添加了辅食，拉肚子之前吃过米糊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "期间现在没有治疗之前是有点消化不良的表现，现在可能胃肠功能有点缓解，没有恢复的情况的！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "孩子米糊添加之后就不正常了吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯，是这样的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可能刚添加不适应，您可以给孩子换一种米糊看一下，着凉可能也会引起来的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "自己磨得"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "孩子现在消化不良的情况可以用着益生菌调节胃肠，观察三天，症状不缓解及时带宝贝去儿内科就诊给孩子查个大便常规，根据结果对症治疗，需不需要调整用药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "小米汤可以的，其他的辅食慢慢添加，别一下太多了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "孩子吃母乳吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "孩子的情况吃母乳的话孩子妈妈吃饭清淡饮食为主，别吃凉的油腻的东西，多喝点温水，别着凉热敷一下肚子，揉揉肚子！"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "吃"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是给我敷肚子还是给宝宝"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "如果期间精神状态差，尿量少，皮肤粘膜干燥等脱水症状及时就医补液治疗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "给孩子热敷一下肚子，别着凉揉揉肚子"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "他就是单纯的拉肚子"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有其他的症状"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "现在大便情况主要是消化不良的表现，暂时稳定可以吃点益生菌调节胃肠，观察三天"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您的病情后续还需要观察，如您信任我，欢迎您再次找我咨询，我会继续为您提供指导建议，助您尽快康复，谢谢"
            }
        ]
    },
    "10431177": {
        "self_report": "8天的新生儿，大便豆瓣(羊屎)状，绿色的，每次60-70毫升奶量，每次间隔3-4小时，正常吗？？？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝主要是什么饮食呢"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "配方奶粉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "母乳非常少"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "最近吃奶粉吃的量还是可以的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝有没有呕吐症状呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝贝大便次数正常吗？一天几次呢"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃完奶粉后有点溢奶"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是偶尔"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "4-5次大便"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃完奶粉那个溢奶的话是正常的，这个新生儿胃处于水平位，所以吃完奶多给宝贝拍拍后背，别呛到就可以，大大就好了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "主要就是感觉大便颜色是羊屎状的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "而且是绿色"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便排便困难吗？排便前哭闹吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不哭闹"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝这个大便绿色的话主要是有点消化不良，由受凉或者胃肠功能紊乱都可能会引起来的，治疗原则的话一般就是调节胃肠功能！"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "昨天从医院刚回来，说是黄疸，有用药，"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "茵栀黄口服液，医生你看看和这个有关系吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝这个茵栀黄口服液喝了之后一般有点腹泻的，大便稀"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "总共吃了几次呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "4-5次"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝这个茵栀黄的话吃了可能会出现这样的大便，这个大便主要是表现出来的消化不良的表现"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝贝这个如果吃过茵栀黄的话有这个因素的，亲"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "意思是羊屎状绿色的大便，与药也有关系的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "目前的话您可以给宝贝吃点益生菌，多喝点温水，喝的奶粉别喝太凉了，多热敷一下肚子，顺时针揉揉肚子，别着凉肚子！这个时候能吃多少吃多少别强喂奥"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝贝这个大便绿色的话就是可能由这个药物引起来的消化不良的表现，我们对症处理的就可以的！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝贝目前精神状态好吗？尿量多吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "感觉睡眠比较多"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "吃了就睡"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "尿量感觉一般"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯啊，这个新生儿睡眠时间就是比较长"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "益生菌和茵栀黄能同时服用吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这个可以同时服用的，茵栀黄喝了有点消化不良的，您可以给宝贝喝点益生菌调节胃肠功能"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "喝奶粉的时候奶嘴两边别溜缝，防止空气的进入，多给宝贝揉揉肚子"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "目前的话就可以吃着益生菌观察三天，如果大便次数不缓解或者加重及时带宝贝去儿内科就诊查个大便常规，明确一下腹泻病因，根据结果对症处理！"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，谢谢医生的建议，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "然后再注意以上注意事项奥"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "换尿布之类快点别着凉，肚子容易着凉也可能会引起来的，这个茵栀黄药物也可能会这样，我们根据对症处理就可以的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "目前的话就可以观察三天，再注意以上注意事项奥就可以了哈！"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气的，祝宝贝健康"
            }
        ]
    },
    "10684080": {
        "self_report": "宝宝刚满月，嗓子有痰，鼻子不顺畅，有鼻涕，去医院开的药，百蕊颗粒跟克洛己新干混悬剂，孩子不愿意吃，药能放在奶粉里给孩子吃吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有没有着凉呢？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝鼻涕几天了呢？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有感冒的，不知道是不是着凉了，昨天晚上才发现鼻子不通畅的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯啊，鼻塞的话您多给宝贝喝点温水，可以用热毛巾那个热气熏一下鼻子！别着凉"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "鼻涕是清水鼻涕吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嘴里吐泡泡吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "开始鼻涕留不出来，只能听见声音，上午给喷了诺斯清，流出了些发黄的鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嘴里没怎么吐泡泡"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "黄鼻涕的话一般就是排出来的粘菌，这个排出去的话也是比较好的，利于宝贝的恢复的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝贝痰量的话这两天比之前多了还是少了呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "生下来就有点谈，昨天好像是多了点"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咳嗽是一个过程，宝贝上痰后咳嗽症状比较厉害，并不代表宝贝病情加重了，痰液刺激的！不用担心，多给宝贝拍后背，促进痰的排除的奥"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝贝生下来有痰，期间一点也没有缓解吗？还是后来又开始咳嗽有痰的呢？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "生下来一直是那样，嗓子里好像有东西，就是从昨晚开始，鼻子不通气"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯啊，吃奶呛奶厉害吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "还发出咔咔咔的声音，不知道是不是咳嗽"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃奶一直有点吃力，因为她吃奶的时候容易憋的上"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝贝昨天痰量开始增多这几天有点咳嗽，宝贝这个可能有点感冒的奥"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "吃奶的奶水别太急了，别呛到宝贝！吃完奶多给宝贝拍拍后背的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝这个的话太小了所以痰不会吐，只能被呕吐出去或者拉出去，所以多给宝贝拍背能把痰呕吐出去也是比较好的，痰咽下去之后胃肠功能会有影响，痰通过这两种途径排出去的话也是比较好的利于宝贝的恢复"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "精神状态怎么样呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好像是有点感冒，医生给开了那两种药，还有喷鼻子的，吃了药就吐了一口痰"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "有点贪睡"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯啊这个痰能吐出去也是一个排痰的途径，利于宝贝的恢复的奥"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "什么时候看的面诊医生呢？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "做过什么检查吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯，大夫，那个药可以掺奶粉里给她喂吗？实在是不好喂"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "上午去看的面诊，没做检查"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "药的话您可以给宝贝用一丁点水的，一下喂下去，宝贝如果不爱这个药的话您放奶粉里可能也不好喂"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "面诊医生给宝贝诊断的什么呢？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "气管有问题吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好像多少有点"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "也没说具体是怎么了，就说吃吃药就行"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝贝这个目前面诊医生主要是考虑的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝吃了几天了呢？症状缓解怎么样呢？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "今天第一次吃"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝贝目前痰量增多了，炎症渗出比较多了，随着我们用药，痰渗出增多，增多后刺激宝贝咳嗽症状可能比较明显，面诊医生根据宝贝目前情况，给宝贝开的药是消炎的，止咳化痰的治疗方案，目前的治疗原则符合治疗原则，目前选择的也是比较适合宝贝的，用药比较安全，是宝贝恢复最快的以一种治疗方式的！不积极配合医生的治疗体内感染得不到控制，不利于宝贝的恢复"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，特别油腻食物容易生痰的奥，清淡饮食为主，多喝点温水，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃奶会有影响可能，能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "目前可以用着药观察五天，如果宝贝咳嗽症状咳痰症状不缓解或者加重及时带宝贝去儿内科就诊，听诊一下看一下需不需要给宝贝查个血常规胸片，明确一下感染恢复情况，需不需要调整用药，根据结果对症处理，呼吸困难精神状态差也要及时带宝贝去儿内科就诊"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝贝这个的痰的目前拍上来的话就好了，这个病程总共大概需要7到10天时间，这个越小的宝贝恢复起来越慢宝贝排痰比较慢，面诊医生用药药物吸收也是一个过程的，不可能用上药之后症状立马就好了的奥！"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "对于咳嗽症状多给宝贝拍背，促进痰的排除按时服用医生的药物，一定注意以上注意事项奥，有问题及时就医"
            }
        ]
    },
    "10155943": {
        "self_report": "2周六的宝宝，感冒发烧了两天，吃了臣功再欣半包后l.“脸上长出一粒粒，舌头一直扣，第二天脸上就开始出现红红的一粒粒，舌头两侧有白色一粒粒，伴有口臭，请问医生这是什么原因引起的？什么药效果好？非常感谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "再"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在体温正常吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "体温正常了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝胸口有没有皮疹"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就舌头"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "这是舌乳头肿大"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "眼睛有点红，一直哭"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "睡觉哭，吃饭也吃不好"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "揉眼睛吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不会，眼睛没事"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "吃饭会说疼吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没说疼吧，吃饭就是要吵"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝扁桃体发炎吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃粥不怎么，吃干饭要哭"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "扁桃体发炎怎么看"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗓子眼有没有两个肉球"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "怎么治疗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一般是感染引起的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃了b2"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "拿了中药炖"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "什么药？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "需要给宝贝查一下哦"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "比如血常规"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果是有细菌感染，需要消炎的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝应该口腔不适，所以食欲不振"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯啊"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "给宝贝清淡饮食，以软和易消化食物为主"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "带孩子去公立医院儿科就诊，查明原因"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "稍等"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "图片收到了吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "我看看"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "这些都是消炎的吧"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "是清热解毒的"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "."
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "中药效果慢一点"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "给宝贝外涂口腔用药也可以"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "就检查血常规吗"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "什么药"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "暂时是"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "如果医生检查后有其他疑问可能还需要查一些项目"
            }
        ]
    },
    "10266492": {
        "self_report": "六个月宝宝发烧37.9度怎么办可以洗澡降温么？物理降温怎么样最有效？都已经两天了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有鼻塞流涕咳嗽吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有但是不咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "就是发烧，鼻塞流涕是吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "检查了就说有点感冒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "吃药了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃了吃两次今天第二次还吐了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "今天发还是发烧是吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "嗯刚才量的37.9度"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "暂时不要洗澡啦，以免着凉的，可以物理降温。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "物理降温怎样效果好啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "用温毛巾擦头部和背部。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "然后可以贴上退热贴"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "在屋里穿什么样合适"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "20多度屋里"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "和平时穿的衣服一样就可以。不要捂得太热"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "正常穿还是多穿"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "正常穿不要多穿的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃奶怎么样？精神怎么样？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没怎么吃奶老闹"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这是发烧不舒服"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "得多久能退烧啊"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "继续吃药，可以适当的多喂一些水喝。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "吃的感冒药"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没吃退烧的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "病情恢复是要有个过程的，一般的也要两三天的。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是的，可以吃上感冒药的。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "及时测量体温38°五以上可以吃上退烧药的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "感冒完全恢复，大约要一周左右的。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，感冒以后很容易合并气管炎和肺炎的。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "要注意观察，如果发烧持续不退就应该去医院进一步的检查。"
            }
        ]
    },
    "10042235": {
        "self_report": "孩子八个半月，感冒，流鼻子，咳嗽有打针，吃药，总是不见好转，现在嗓子总是呼噜呼噜有痰，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好宝宝这些症状持续多长时间了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "七八天"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝刚开始出现症状的时候有没有发热"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "都做过哪些检查"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有，只有一晚上"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "拍过片"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "支气管炎"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有做血化验吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "打了几天针"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "用的什么药"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "四天"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝现在还有咳嗽吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不咳嗽，就是嗓子呼噜呼噜"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这种有痰的声音消失的会慢一些"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以给宝宝勤喝点水"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "方便的话可以做下雾化吸入"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "最近有贴膏药，止咳化痰"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "贴膏药是一种物理治疗的方法可以促进痰液吸收但不会立即见效"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "孩子总是闹，做不了雾化"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这样的话就要让宝宝勤喝点水没事让他就喝两口水"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "喝冰糖梨水，有效果吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "孩子现在状态好不好吃奶好不好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以的少放些冰糖不要太甜"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "很好"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "不像病的，还有运动的时候，呼噜呼噜的厉害"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝状态好，吃奶好没有咳嗽，可以观察一段时间看一下的他这种痰鸣音消失是会慢一些不要太着急"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝运动后呼吸会曾快他这种声音是会加重的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "奥谢谢"
            }
        ]
    },
    "10810089": {
        "self_report": "一岁十一个月的宝宝周五中午睡觉起来后又打喷嚏又流鼻涕，我给吃了点抗感颗粒，到星期天下午不打喷嚏了，有时会流一点鼻涕，可是到晚上又咳嗽厉害，该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子鼻涕清水鼻涕吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "清水鼻涕一般是受凉引起来的，这个一定注意别着凉，多喝水，还有水要盖好被子，可能睡觉着凉了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子咳嗽总共几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "现在鼻涕有时流，可是咳嗽又一会一咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天下午开始咳嗽的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子鼻涕先着凉的时候可能比较明显！一定别着凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗓子听起来有痰"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一般开始炎症渗出比较少，痰排出来的比较少，随着炎症渗出痰开始增多，咳嗽症状可能明显，现在有痰，炎症渗出来了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子期间看过医生吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "家里有止咳糖浆我给喝了点，还给吃点什么药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有看"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "孩子这个症状主要是支气管炎的症状，主要是由于感染，受凉等因素引起来的，治疗原则一般是抗感染止咳等治疗方案！一般会有7到10天的疗程"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "还给吃药吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃什么药？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "孩子现在痰上来了，炎症渗出来了，现在最好能带着孩子去医院儿内科就诊给孩子查个血常规，胸片明确一下感染情况，根据结果用药，需不需要用消炎药，指导我们用药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "必须拍片子吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "除此之外吃饭还是要注意，别吃油腻的容易生痰，清淡饮食为主，多喝点水，别着凉，多拍拍后背，孩子痰能吐出去比较好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "拍片子能明确一下炎症感染大小，指导我用药，用药大概几天这样比较明确"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好，那止咳糖浆还喝吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以先做个检查，我们止咳不是最主要是，根据结果看一下目前的糖浆适合吗？这样比较好"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我去我家医疗站看一下"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "您最好能带着孩子去就近医院儿内科看一下"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我说的就是高新人民医院的儿科"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "谢谢刘医生"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "恩，可以的，带着去检查一下，治疗有指导性，注意刚才那些注意方面"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "恩祝孩子健康"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "谢谢刘医生"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10275183": {
        "self_report": "宝宝晚上轻微咳嗽一晚上大概咳嗽四五次白天咳嗽次数少需要吃药吗？影响打预防针吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大啦？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "15个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发烧吗？咳嗽几天了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不发烧前几天支气管炎在医院打五天针医生说好了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这次没去医院检查是吗？这次咳嗽几天啦。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "回来这几天都还好有时一天咳嗽一两声有时候不咳嗽昨天晚上就咳嗽的多了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "这是孩子又感冒了，引起的咳嗽。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有从上次回来到今天"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "一直咳嗽，今天加重啦。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "晚上多一点"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "没有吃药吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以吃上止咳祛痰的药物。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "复方福尔可定可以吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "预防针儿不能打的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯好的谢谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的，祝孩子早日康复！"
            }
        ]
    },
    "10433592": {
        "self_report": "宝宝83天了，出生做了肠闭锁手术，现在恢复良好，就是每天大便次数多，我想问一下吃着妈咪爱和思密达可以打预防针吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "妈咪爱最好停用三天以后再打预防针，请问宝宝现在一天大便几次？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "十次左右"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是吃着不能打对吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "大便稀吗？对的，最好不要打"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "前两天有点稀，化验个大便常规没事，这两天不稀不稠"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "母乳还是奶粉喂养？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "注意腹部保暖，妈妈饮食要清淡一点，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "20天长了一斤二两"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我吃的特别注意"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "增长的还可以。那可以先停用妈咪爱三天，打完疫苗后再继续吃。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯，牛肉我可以吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "少吃一点是可以的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "他是回肠闭锁，现在还有110cm.这种一天拉十几次的状态大概要持续多长时间，因为吃的母乳我们是按需喂养可以吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "母乳喂养是需要按需哺乳的。手术后恢复个人差异较大，有些可能一两周，长者也有一两个月的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我们这种状态持续快一个月了，他体重也在长，精神状况也可好"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有的喂养说少量多餐，但是母乳没法控制量，刚开始少量多餐，后来就直接吃了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "好，那除了手术的原因，还需要注意母乳不耐受，有条件的话可以到医院把大便化验一下乳糖酶抗体。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的，他以后能跟正常小孩一样吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果手术很成功，一般没什么问题的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是肠子太短了，吸收的不好"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "怕他以后吸收不好，经常性拉肚子"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是的，所以早期可以用些助消化的药帮助孩子过渡。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "有的说容易梗阻粘连之类的，每天都担心"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那些药可以长期吃啊"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一种品牌的益生菌连续吃最长只能吃两周，可以买几种品牌的交替着吃。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "思密达是不是不能长期吃"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是的，长期吃容易形成依赖，所以还要找找原因。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "要做什么检查吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "就是上面说的化验大便的乳糖酶抗体，有些医院是抽血化验乳糖酶的含量的。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "上周六去医院复查，医生也没让检查"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯，由于药不能长期吃，所以最好找找原因，从原因上去除最好。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的，我们去医院化验化验，这个要挂什么科，小儿内科吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的，如果分得细的话，属于儿童消化内科。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "如果有乳糖不耐受的话，是不是就要停掉母乳，改吃不含糖的奶粉"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以先给宝宝补充乳糖酶，如果还是不改善的话，就要换奶粉了。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，我们明天去检查检查，前两天挂的小儿内科，我说化验化验母乳，医生说没必要，我也就没要求"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是的，一般母乳化验不出来的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我们化验大便，就化验有没有病毒之类的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯，这是常规的化验。化验乳糖酶的话，不是所有医院能化验的，所以去之前可以先咨询一下能不能查。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，他长时间一天拉十几次是不是对肠道也不好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "是的，就像水管里的水一直冲来冲去，不能使管道有休息的时间一个道理。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯，谢谢医生了，我明天去检查"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "好的，不客气的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "对了，医生一般正常的新生儿小肠大概多长啊"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "小肠是每个月慢慢的变长还是跟身高成一定的比例，随着身高长小肠也长得"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "是的。一般为身长的八倍，大概在400厘米左右。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "哦，谢谢医生了"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "400是整个肠道还是仅仅指小肠"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "小肠的长度"
            }
        ]
    },
    "10299275": {
        "self_report": "十一个月大宝宝中午拉了稀屎，晚上又拉了稀屎，扑的一声，气味带酸味，请问下医生，这是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "明白"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝多大了？这两天饮食都吃的什么？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有无呕吐？腹胀吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "在吗家长朋友"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "十一个月，吃有母乳，米饭，面条，无呕吐，昨天晚上吃了一块桔子"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "吃的比平时多么？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "腹部不胀"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃的跟平时差不多"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有无发烧？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没发烧"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝大便水分多么？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "每次大便量多么？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "水分不多"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "大便比较多"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "考虑可能是消化不良"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "与母乳有关吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以吃点妈咪爱调节肠道菌群看看"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "头天晚上到第二天早上吃的母乳较多。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "妈妈饮食有无油腻寒凉刺激性？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "吃了点洋葱和桔子"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "妈妈饮食注意点"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "给宝宝逆时针按摩肚子看看，每天两次，每次十分钟"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "医生请问下如果小孩吃了没剥那层白衣，小孩"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果还是很稀可以查大便常规看看"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "会拉肚子吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你说的是橘子吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝吃的橘子多么？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是的，一小瓣"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "小孩一下子就吞了下去"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "主要是寒凉会刺激的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一般与白色的无关的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是外面那层次，没剥开，连皮带瓤一起"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果大便很稀，次数很多可以加上蒙脱石散一起吃，两个药间隔半小时，蒙脱石散空腹吃"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "那就不好说了，不知道橘子干净不干净"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "用没用药物"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "没有用药"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "橘子没用打药？"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "市场买的。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "就是说不知道橘子干净不干净的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "所以不好说的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果干净问题不大的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "是刚刚剥开的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "吃的量少也关系不大的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，明白了，多谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "如果没有什么其他问题我就关闭对话框了，好吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝现在怎么样了？"
            }
        ]
    },
    "10206718": {
        "self_report": "孩子快六个月了，最近咳嗽医生包的药都吃没效果，可是医生说气管也不会发炎也不会喘，到每天有时候就会咳嗽，请问小孩这样是什么原因需要住院吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝是有喘息吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "看了两个医生包的药都吃没效果"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，宝宝有什么症状"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是每天都会咳嗽，但也不会很厉害，就是有时候一咳了就咳一会，而且每天半夜都会咳，"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "医生建议住院"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "半夜咳嗽严重吗？每次会持续多久"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "每次咳的话一咳就两三声然后一会就又会咳，咳一次她就很久了才会在咳，晚上半夜咳也是这样，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "每次咳的话一咳就两三声然后一会就又会咳，咳一次她就很久了才会在咳，晚上半夜咳也是这样，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我都不知道要怎么说"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "而且有痰"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "我能理解"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝一共持续多长时间了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "半个月了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "以前两三个月有一次肺炎住了院"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的，有没有发热这些"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有发热过"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "哦，可能宝宝的抵抗力不是很好"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那怎么办，您觉得需要住院吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "因为两个医生都给他给过药，效果不明显，可以去医院查查血常规，胸片看看"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "血常规是检查什么"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "去医院做这两个检查看看吗，如果有问题在住院吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是抽血，扎一下子手指头就行了。看看白细胞，红细胞血小板这些。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯，如果白细胞高的话，提示就是有细菌性感染，需要加上消炎药。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "有可能，她每次乱什么都要舔"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这是宝宝的天性。用嘴巴去探知世界。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "消炎药就要打吊瓶的是吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "有口服的和有输液的。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "只是输液的效果可能快一点。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那我明天就去找医生看血常规和拍胸片吗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "拍胸片是看什么的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以先检查看看。因为宝宝咳嗽这么长时间了。宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯，做胸片就是看看有没有支气管，肺部的炎症。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "就是宝宝吃奶一天还要拉很多次大便"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "建议您先查完血常规，根据血常规的结果再说。胸片有少量的辐射。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "咳嗽吃奶我不能吃些什么呢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "平均每天大便在多少次？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "以前好像都有五六次，每次都不多，最近比较少一天两三次，每次都不是很多"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "母乳喂养吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "她现在有时候咳嗽大力的话就会便便出来"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "哺乳喂养的宝宝。如果大便量不多，在五次以内都比较常见。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "那孩子咳嗽喂奶期间我不能吃些什么"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不能吃辣的，也不能吃那些过度油腻的东西。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "鸡肉鸭肉能吃吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不能吃凉的。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不要太油腻。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "这是我们应该做的。"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "没问题了"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "祝宝宝身体健康。"
            }
        ]
    },
    "10708561": {
        "self_report": "宝宝几分钟拉一次屎，肚子老是咕噜响，肚子有点发饱怎么办，能吃蒙脱石散吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝多大了呢"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "未满月"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝主要是母乳还是奶粉呢"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "最近吃奶量可以吗？下降了吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一会拉一点一会拉一点"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝妈有没有吃生冷辛辣刺激食物油腻食物呢？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没下降"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝贝肚子着凉来吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "放了一点辣椒，放的少"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯啊，辛辣刺激最好少吃"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是咕咕老响是不是就是着凉了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "那个可能拉肚子引起来的肠鸣音活跃，多给宝贝热敷一下肚子"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "怎么热敷"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以搓热双手，可以用热水袋别太烫了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝贝之前大便一天几次呢？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "刚开始一天两三次"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "现在呢一天几次"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "后来吃茵栀黄一天就十来次"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "茵栀黄现在停了吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在几分钟一次，一次拉一点点"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "茵栀黄吃了有一定的胃肠道反应的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "停了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯嗯，现在大便是什么样子的呢"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "但是黄疸还没好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "几分钟拉一次"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个黄疸的话下降的话注意复查就可以，吃奶之类的不影响精神状态好的话"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一次拉一点点"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "大便颜色正常吗？有没有未消化的奶瓣呢？有没有粘液脓血之类呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝贝精神状态好吗？尿量多吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "有奶瓣"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯嗯，这次大便次数增多后看过医生吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好，尿量还好"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前的精神状态好尿量多的话就问题不大的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝目前的话大便的表现主要是一个消化不良的表现，消化不良的话可能受凉或者胃肠功能弱都可能引起来消化不良的，治疗的原则一般就是调节胃肠功能的治疗原则"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "尿没拉屎多呢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯嗯，尿量还可以的话就问题不大"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "目前的话宝贝精神状态好，尿量多，大便次数还是可以的，所以目前病情比较稳定的，如果宝贝大便次数比较多的话如果不控制的话就容易脱水的，表现为宝贝尿量少，眼窝凹陷之类的，皮肤粘膜干燥等脱水症状，目前的宝贝情况可以观察一下，可以给宝贝喝点益生菌的奥！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食不能吃，清淡饮食为主，水果之类的也不要吃，多喝点温水，多给宝贝热敷一下肚子，顺时针揉揉肚子，别着凉肚子，晚上睡觉盖好被子，别着凉，这个时候胃肠功能会影响所以能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "吃着益生菌观察三天，大便次数，大便性状不缓解或者加重及时带宝贝去儿内科就诊查个大便常规明确一下病因，需不需要调整用药，根据结果对症处理，精神状态差，超过8小时没尿的话就可以及时带宝贝去儿内科就诊补液对症治疗了，防止宝贝脱水电解质紊乱的奥"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "正常吗"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "看到了，有点消化不良的表现的奥"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "目前的话胃肠功能修复也是需要一定时间的奥，还有就是益生菌吸收也是一个过程的，不可能用上之后症状立马就好了，所以可以用着益生菌观察三天，一定注意以上注意事项奥，有问题及时就医就可以了"
            }
        ]
    },
    "10329555": {
        "self_report": "宝宝高烧两天，喝了六次美林，今天拉的水",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前反复发热，化验过血常规吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前只是吃的美林，别的没吃吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨晚上四十度喝美林到现在不烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一般反复发热，提示还是有炎症，没用点消炎药吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "妈咪爱益生菌都吃了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "腹泻是个什么情况，一天大便几次，稀不稀"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前天拉了一次消化不良"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这两天老是放屁带点屎，今晚就拉了好多水"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "腹泻的话，可以吃点蒙脱石散，益生菌治疗，贴个肚脐贴"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "上个月底家里人感冒传染两次"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "都是好了两三天又复发"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "发烧咳嗽，现在好了一星期着了点又复发了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前对于反复发热，只是吃的美林吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有吃别的药"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦！只吃美林"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "反复发热，还是有炎症，可以加点消炎药，清热解毒药治疗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "止咳药也吃了，宝宝‘好了喂口大开，挡都挡不住"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前还有咳嗽情况吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不咳了，昨晚到现在也不烧了，就是晚上拉了好多水"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那目前主要治疗腹泻，就可以了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃点蒙脱石散，益生菌治疗，贴个肚脐贴"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那就吃妈咪爱和益生菌可以吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "妈咪爱就是益生菌"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦！这都快一个月了，需要给宝宝补充什么"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你说腹泻快一月了吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "发烧反复快一个月了，腹泻是今晚才开始，鸡蛋还可以吃吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "鸡蛋少吃点，比较难消化"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "反复发热一个月，看过医生吗，检查过吗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有看过医生"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "前面两次是家里人感冒被传染"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯，目前不烧了还好"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "这次是着凉"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "主要治疗下腹泻，就可以了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "需要补充什么营养，水果敢吃吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "水果可以烫过再吃，不要吃凉的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦！谢谢医师"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "暂时没有了，很高兴看到您的解答"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "有问题随时再联络"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "这几天还能吃维D吗"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "目前腹泻，先暂停下吧"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "再见，早点休息"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "晚安"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "晚安"
            }
        ]
    },
    "10259579": {
        "self_report": "小孩喝完水躺着，怎么会反酸水。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "问题小孩喝完水躺着，怎么会反酸水。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "出现这种情况有多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "近段时间这个孩子饮食有没有过多的情况，或者说吃东西过多过杂"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不会杂"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这孩子平时有没有腹痛呕吐的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就偶尔会打嗝"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "不躺着的时候有没有反酸水的情况"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不会的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "如果有打嗝的情况，这就是胃肠功能不好的表现"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可能与孩子吃东西过多，有一定的关系"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "如果肠胃不好，该怎么办，这么小的孩子"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应该给孩子采用少量多餐的喂养方式，尽可能进食容易消化的食物，并且量要少，最多为原来的2/3"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以给孩子口服促进消化的药物，比如说小儿消食片"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "或者说也可以给孩子口服调节脾胃的药物，比如说婴儿健脾散"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那孩子很喜欢吃鸡蛋，可以吃吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "尽可能少吃"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "或者吃甜粥，比如小米，红米，紫米，红薯这样一起加着煮"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "煮甜的也可以吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "吃完东西以后不要让孩子立刻就休息"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不要吃太甜的东西"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那这个孩子大便臭不臭啊"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那饮食上有没有助于孩子的食物，比较希望饮食上治疗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "适当给孩子多进食开胃的食物，比如说山楂，这样可以促进消化"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "生的还是干的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "橙子可以吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "都可以的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "橙子没有这方面的功效"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "大便臭，嘴巴也臭臭的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这就是胃肠功能不好的表现呀"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "需要慢慢来的，需要给孩子口服调节脾胃的药物，改善胃肠功能"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "有一种什么白术建脾颗粒可以吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "水果方面的有那些可以助肠胃"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "什么水果都可以吃的，但是不要吃太多"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那食物上那些可以助肠胃"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "多吃山楂"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10651497": {
        "self_report": "30天女宝，腹泻两天，晚上不拉，没有发烧，精神也很好，吃母乳，食欲也挺好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前一天大便几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "每次拉一点，次数挺多，有时候拉点水"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "看过医生吗，化验过大便常规检查吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没去医院"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "我前两天拉肚子，吃了一包思密达好了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前看小孩大便图片，考虑还是有小儿消化不良的情况，一般主要和小婴儿肠道菌群没有完全建立好，消化能力弱。或者腹部着凉，还有妈妈饮食也可能有关系。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不像是感染对吧？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我今天早上给她吃了一包益生菌和三分之一包思密达，目前看效果不太明显"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是的，目前看到大便没有血，是没有脓液，并不像肠炎的情况。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看到目前的服药治疗方法，还是很对症的，也是最常用的治疗消化不良的方法。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦那就好，那还是继续吃思密达和益生菌吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "是的，我觉得这两个药物就很对症。目前治疗后有好转吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "早上喂过，效果不太明显啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "一般来说，消化不良后伴随胃肠道功能紊乱，大约需要几天的过程。服药后，肠道自身也可以调理恢复，慢慢会好，治疗一天时间还比较短，需要继续服药。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "同时注意保暖宝宝的腹部，妈妈的饮食，注意清淡，别吃油腻的，别吃凉的。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "她大便还有酸味不臭，是消化不良吧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意观察大便里有没有血丝，有没有脓液，如果出现上述情况，建议就医小儿科，进一步化验大便常规，明确情况。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前看到的情况还是一个消化不良的情况，先按照消化不良治疗，如果大便出现异常情况，或者是按照消化不良治疗效果不好，再进一步化验大便看一下。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "好了，别客气，祝身体健康。"
            }
        ]
    },
    "10240897": {
        "self_report": "我家女儿最近咳嗽以前的药能喝吗？下面是图片？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "再"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "五岁"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我宝总跑来跑去消汗就咳嗽"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "某谈"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽严重吗，是一声声还是一顿顿的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "咳嗽几下"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "某"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝咳嗽夜间会有吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不会"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "偶尔"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "某"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "建议找医生听一下气管，如果不严重可以单一应用止咳药物"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "经常脱袄子，因为总跑来跑去"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果听诊异常在合理加用抗生素"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "加阿莫西林胶囊？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "先这样喝着可以吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议在医生指导下合理应用抗生素"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "止咳药物可以应用"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "先喝点消咳颗粒可以吗？最近好冷"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "注意多喝水"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝咳嗽痰多吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "没吐出来过"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "听着不少"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "昨天有一点今天有点厉害"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "有没有检查过"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "检查过吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "某"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "去医院直接拿药"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "头疱氨苄颗粒"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "建议给宝宝行胸片检查，了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果单纯支气管炎可以考虑口服抗感染，止咳化痰药物，如果是肺炎建议给宝宝输液治疗。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "宝宝痰多可以配合给宝宝雾化治疗"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "局部应用药物，作用不错，而且副作用小"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "小儿咳喘灵泡腾颗粒"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "这俩药吃"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "建议合理检查一下"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "如果检查问题不严重可以在口服药物基础上加用雾化治疗"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "有啥偏方吗？葱须煮开水喝，或是其他？"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不好意思，我是西医专业"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦，那俺属于风寒感冒吗？"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "对中药医学不是很了解，不能乱解释，乱应用。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10096931": {
        "self_report": "儿子发烧几天，打了几天的点滴，到现在还有一点微烧，今天早上睡醒又有咳嗽而且痰很多，都卡在喉咙里咳不出来，不想再给他打针的情况下应该给他吃什么？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，精神好不好？玩的好不好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，昨晚还好，今天早上有一点累累的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "4岁多"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一天咳嗽几次？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "是不是早上和晚上咳嗽重"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "白天轻"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天发现咳嗽的，还没计，不过痰很多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一共有病几天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有几天不发烧了？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "2天"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "前天还在发烧是吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有一点"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "最高多少度"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "39.3"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "当时容易退烧吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "前两天基本不咳嗽是吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不容易"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不流鼻涕不打喷嚏吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不拉肚子也不呕吐对吧"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "明白了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "家里有什么药物"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "我看看对症不"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "还是我直接给你开点药试试"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "还在吗"
            }
        ]
    },
    "10299491": {
        "self_report": "我女儿快一岁了，可是经常咳嗽流鼻涕，去医院开药来吃，也不见好，医生说是支气管炎，而且我女儿这样的情况都是吊针好了没几天又挨，这样的情况，是不是免疫力差导致的，请问吃什么药物能增强免疫力？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "请问这样的情况怎么调理"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这孩子需要考虑免疫功能低下"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "需要口服免疫调节剂，增加抵抗力"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "六个月以后的孩子从母体带来的免疫球蛋白消失殆尽，自身产生的免疫球蛋白数量有很少，就会出现反复的呼吸呼吸道感染"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那该吃什么好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "可以给孩子口服匹多莫德或者脾氨肽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "另外就是尽可能避免发生呼吸道感染，避免受凉，合理的饮食，均衡的营养"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这些药店有卖吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "怎么避免呼吸道感染"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "避免受凉，适当的添减衣服，避免到人多的地方去"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯，是不是个人的体质比较差啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "就是上面我给你说的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "体质差吃刚才你说的药可以增强吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那像我女儿这样的情况，要吃多久啊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "至少需要口服半个月"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯，平日要吃什么食物比较好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "多给孩子进食蛋白质和维生素丰富的食物"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "但是一定要均衡的饮食"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那我应该怎么搭配"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "什么东西都需要给孩子吃"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "适当强化一下蛋白质和维生素丰富的食物，特别是优质的蛋白"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个孩子最需要注意的就是避免感染"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "会不会是家里人咳嗽，传染给她的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这种情况也是有可能的，如果家里的大人有呼吸道感染的情况，很容易传染给孩子"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那应该怎么避免感染"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果家里的大人有呼吸道感染的情况，可以佩戴口罩"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "大人戴口罩可以吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "尽可能减少与孩子接触的机会，或者说进行隔离"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那支气管炎吃什么药物好呢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "支气管炎的孩子需要口服的是消炎药和清热止咳药物"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "当然需要看是哪一种病原体感染，如果是细菌感染，首选的药物是头孢"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那气管炎还要查血常规吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "应该查血常规的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "那生病期间，可以口服增强免疫力药物吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "这几天口服免疫调节剂本身就可以缩短病程"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "这个期间免疫调节剂本身就可以缩短病程"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "那我结束了"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "嗯，谢谢医生"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10198861": {
        "self_report": "孩子反复发烧，吃药就退烧了，不吃药又发烧了，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "孩子有点感冒，引起的发烧，昨晚在医院吧药吃了，退烧了，今天早上起来又发烧了，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "刚才把药吃了，量体温又退烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "看到宝宝的血常规白细胞和中性粒细胞比率都偏高。提示细菌性感染，加用消炎药了吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝发热一共有几天了。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天下午才开始的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "也不需要住院治疗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "发错了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这属于感冒的早期。发热是容易反复的。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "需不需要住院治疗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个看宝宝的具体情况。宝宝烧到多少度呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "38°3"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这是发烧时候最高的温度吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "最高38°7"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，有没有其他症状？比如咳嗽。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "流鼻涕，流眼泪，在没有其他症状"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "好的，这个考虑是上呼吸道感染的症状。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "因为鼻涕鼻塞导致鼻泪管不通畅，所以会出现流眼泪的情况。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "刚才你看的单子需要住院治疗吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "按照宝宝的单子来看，可以考虑消炎治疗。就是加用抗生素。如果宝宝精神还好，吃饭也还好的话可以先口服药。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "精神差不多，吃饭都差不多，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "先应该吃点什么药比较好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "都跟以往一样吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "跟以往一样"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "您看一下吃什么药比较好"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "因为白细胞升高嘛，可以加用点头孢克肟消炎治疗。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10356623": {
        "self_report": "50天宝宝咳嗽怎么办？开始有点干咳，昨晚是揪的咳嗽，母乳喂养，宝宝不喝水，用奶瓶不喝啊，昨天下午给他熬个川贝梨喝汤，可能有点甜味，稍微喝一点，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有流鼻涕吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "体温是正常的，量了几次都是37度"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不流鼻涕"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一切都好，就是有点咳嗽"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦，咳嗽有痰吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不想去医院，我们这医院去了就让住院打针"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，听着是干咳"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果宝宝只是干咳几声，就没有事的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "继续观察"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨天晚上咳嗽频繁了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "咳嗽也是一种保护性反应"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯。那建议给宝宝喝小儿止咳糖浆观察一下"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我今天可以继续给他蒸川贝梨吗？把那汁和水兑起来喝"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以继续喝川贝梨汤"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那一种糖浆"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "小儿止咳糖浆"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他不喝水，我可以去孕婴点买点葡萄糖粉给他喝吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不需要喝葡萄糖水"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "母乳喂养，不需要喝水"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好吧！谢谢你"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "就喝川贝梨水，就可以的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，你先忙。新年快乐"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "新年快乐"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "满满的感谢，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不谢！有事留言"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "??"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好，拜拜"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "忘了问你，火梨可以不"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "吃雪梨"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "用雪梨煮汤"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "就是市面上卖的那种大梨？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯，是的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "有事联系"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "继续把川贝磨成粉是吧"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10364270": {
        "self_report": "宝宝纯母乳，最近四五天一会儿拉绿黄色的便便一会儿拉拉绿便，有时候黄绿都有，次数也比较多，是什么问题呢？放屁次数也很多，喂奶时吃的时多时少",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温正常吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "两个月十天"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "精神吃奶好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "36，6"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "正常"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "精神很好但是吃奶容易有隔拉粑粑"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "比较闹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃的时多时少"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有可能是受凉引起的消化不好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "给宝宝注意腹部保暖"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "已经好几天了呢需要我做什么吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以口服妈咪爱调理一下"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "穿肚兜"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "妈咪爱是益生菌嘛？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "妈妈的饮食注意，不要吃的太油腻"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "需要减少奶量嘛？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不要吃辛辣刺激性食物"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "奶量不需要减少"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "意思是多吃水果蔬菜吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "水果蔬菜正常吃就可以的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那需要适当拉长喂奶的间隔帮助消化吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "就是不要吃油太大的食物"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不需要"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的如果还不好转问题大吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "问题不大"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝小，本身消化功能发育不健全，很容易引起消化不好"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，那我再观察几天"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "所以主要是注意腹部保暖"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的好的谢谢您"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10216174": {
        "self_report": "50多天的宝宝喝敖喜鸡胆口服液呕吐的原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝因为什么症状吃这个药的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "咳嗽鼻塞"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个是清热解毒的中成药"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝嗓子哑吗有没有气喘？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝吃这个药，吃了当时就吐出来"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "呼吸有点粗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "之后有呕吐吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有，只有当时呕吐"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不要担心"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这是宝宝正常的反应，宝宝对药物不适应或者哭闹时都会呕吐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有没有什么可以替代这个药的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "您是在医院开的吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝吃过几次了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃了3天，一次3分之一支，一天三次"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "吃了多久了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃了3天"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "每次都会引起宝宝呕吐吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "第二天就开始呕吐了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一天会吐几次"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃药的时候会吐"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "平常不会是吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "那您不用着急换药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝这么小一般会选择中成药"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "关键是宝宝吃这个药吃不下去"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "中成药都有味道的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您是吃奶前喂还会什么时候给宝宝吃"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃过奶1个小时吃的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您下次可以在喂奶前给宝贝吃，这样试试"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "医院开的利君沙和鸡胆口服液"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "利君沙吃了吐吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "不吐"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您先按照我说的喂一下试试"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10043704": {
        "self_report": "宝宝四个月，这两天有点咳嗽，打喷嚏，医生给开的蒲地蓝消炎口服液和小儿化痰止咳颗粒，前天晚上开始吃的，今天拉了两次，大便是黑色的，是吃药的原因吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您这次的咨询医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更准确的判断病情，我需要询问您几个与病症相关的问题，好吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便是水一样的吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不是很稀，有点糊状的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "会呕吐吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有发烧吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "肚子胀吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "这个不知道，怎么看肚子涨不涨"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "捏一下肚子，软软的就不涨"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "假如觉得有点硬就是胀"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "软的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "大便带有泡沫吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "小孩这个情况还真的可能是跟这个药有关"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "跟蒲地蓝有关"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以先停掉"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，对孩子有伤害吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "口服思密达止泻（大便干了就不吃）"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "没有，只是有点凉引起腹泻"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那个小儿止咳化痰的可以继续吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "孩子不腹泻，就是拉的大便是黑色的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "这个药就不能继续吃了是吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "糊状算腹泻一种"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "暂时不吃"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "比较凉一点"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "现在孩子咳嗽打喷嚏，不吃这个药吃什么呢？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "小孩可能比较敏感"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "小儿止咳化痰颗粒可以继续吃"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "只吃这一种吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "中成药一般一种就可以。太多种也会有副作用"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "轻症一般可以的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以先吃两天看看"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "假如还会的话得去医院门诊就诊，让医生调整一下用药"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦，孩子大便一直是这种糊状的，喝奶粉拉绿色的大便，正常吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "四个月的小孩大便应该是成条的了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "那要考虑是否平时合并有消化不良"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "对这种奶粉消化不良"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "每天大便次数有几次？"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "一般都是隔一天一次"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您可以点益生菌给他吃"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "调节一下肠道菌群，可以助消化"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "妈咪爱可以吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以啊"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "四个月后小孩可以添加辅食了"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "还用换奶粉吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "您可以服用益生菌后看看，假如不会了就不用换，假如还会的话就换一下"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "最好换成不含乳糖或者低乳糖的奶粉"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "可以取点大便去医院化验一下，假如没有发现脂肪滴（有的话就确诊消化不良）可以继续吃奶粉"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "请问还有什么不清楚的吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "我给您总结一下吧，现在开始停用蒲地蓝，可以口服小儿止咳化痰颗粒和妈咪爱（假如大便很水的话就服思密达）"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "吃几天看看，假如大便还是稀烂样的就取点去医院化验一下再对症处理"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "您好，请问小孩现在怎样了？"
            }
        ]
    },
    "10886878": {
        "self_report": "宝宝1岁4个月，出生1个月左右就发现有的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "舌苔比较厚？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有透明的小炮"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发白，舌苔厚应该考虑消化不良"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "孩子其他都挺正常的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这是舌乳头"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "舌头上有小泡泡"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这个应该问题不大"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "大便怎么样？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "其他孩子的都没有啊"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "臭不臭？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有时候西"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有时候还好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "每个孩子都有个体差异"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "臭"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不是每个孩子都有的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那就应该消化功能不好"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃点大山楂颗粒吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "消化功能不好的孩子可能出现舌乳头增粗增大"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "孩子太小怎么护理啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "最主要就是调节脾胃药物"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "采用少量多次的喂养方式，按摩腹部改善胃肠功能"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "尽可能吃容易消化食物，避免进食油腻生冷辛辣刺激食物"
            }
        ]
    },
    "10215045": {
        "self_report": "你好，医生十个月的宝宝有点咳嗽，喉咙里有痰，平时呼吸的时候有喉鸣的声音，都好几个星期了，一直吃着药（下图）还不好，怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "以前不咳嗽就这三四天咳"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "咳一两声"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "白天，晚上就咳一两次"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝咳嗽痰多吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "听声音有可能不多"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝咳嗽期间应用过什么药物"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "就这一种吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "做过检查吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "做过检查吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "八月份的时候做过说是巨细胞感染"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "近期检查过吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "巨细胞感染很严重吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝反复咳嗽，从描述症状考虑宝宝支气管炎，建议给宝宝行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "必要时雾化治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "八月份的时候做过雾化，我感觉不怎么管用"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "建议首先合理检查一下"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "根据结果合理应用药物"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你说的药物可以应用，个人建议首先合理检查，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "当时他老是在医院闹住了三天医院就没接着治疗，回来吃了几天药就好了，不过这段时间反反复复老是不好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "。宝宝反复咳嗽，建议合理检查，除外支气管肺炎，然后规范治疗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "巨细胞感染很严重吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "会反反复复吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果确诊巨细胞病毒感染需要规范治疗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不是严重，而是需要规范治疗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般疗程4-6周"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "建议合理检查，规范治疗，这才有助于疾病恢复"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯，谢谢，下午去医院看看"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯，你有推荐的药吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "止咳化痰的中药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不好意思，平台不允许推荐药物"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "止咳化痰中药一般可以应用肺力咳，小儿止咳化痰冲剂"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "一般巨噬细胞病毒感染需要应用抗病毒药物"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "建议首先明确诊断，然后规范应用药物"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "肺力咳是药吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝宝反复咳嗽，从描述症状考虑宝宝支气管炎，建议给宝宝行胸片检查了解一下肺部和气管炎症情况。给宝宝合理检查一下吧"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗，"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10824397": {
        "self_report": "十个月的宝宝，今天宝宝排便便排出线一线的东西，是怎么回事啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "嗨你好啊请问宝宝现在发烧是几天了体温是多少度，还有没有其他的症状，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "发烧第二天，早晨正常，中午到晚上发烧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点干咳"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯哪宝宝有没有做过肺里有没有做过肺部的听诊查没查过血常规现在还服用了什么药物吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "肺部和支气管都听了没事，用的中药贴，血尝规没做"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "在诊所看的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯是这样啊，嗯建议那就是说是应该是完善一下这个血常规看看孩子吧有没有病毒和细菌的感染，比如说有白小增高这种细菌感染的，需要这个，根据情况抗感染治疗，贴吧一般有这个清热解毒和退热的作用，但是物有细菌感染的话还是要根据情况对症使用抗生素治疗，"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "早晨体温正常"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那在诊所看的时候这个跟宝宝那个有没有就是说身上没出现起皮疹当时诊所的大夫给他诊断的是什么？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有疹子，就是给宝宝看看舌苔，听听肺和支气管，和看看了手"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在这个情况的话就是说宝宝以前有没有发过烧，德国像幼儿急疹这种情况也没有，就是说发个三天左右烧退身上起东西以前宝有这种情况吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "宝宝就是干咳，还拍拍了小肚子"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯他当时给你诊断什么是上道感染吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "宝宝有次打疫苗发烧，起了些红点点，但很快退烧，当天就退了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有时候话你这个不排除上次就是说如果说有热的有发烧之后有疹子出来这个就是幼儿急疹，但现在这个情况我见你还是应该先上医院查一个血常规看一下，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那诊所的大夫他是当时是给你掐出什么诊断她是考虑你是有上呼吸道感染呢还是什么情况，在一个他是个什么诊所是社区的门诊呢还是什么？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "宝宝也不流鼻涕也只是轻微咳嗽"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "一天就咳嗽两三次"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那就是说你这种不流鼻涕轻微的咳嗽一定的就是说声回道感染可以出现你现在这个情况，嗯这个就是说是如果查的血有病毒和细菌的话这些都有可能导致于出现有咳嗽但是就是说这个，最好每天得听听他有可能会有变化，他如果出现肺部听诊有罗音得根据情况还需要完善胸片看看有没有肺部的情况，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "唉，当时诊所给你下了什么诊断是感冒吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "社区的门诊，他是中医，他也没怎么说，就听听肺和支气管没事，看看舌苔和拍拍肚子，正好赶上我儿子咳嗽，他听见了，说是干咳"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哦那这样的话他就说他并没有告诉你是什么名，明确的诊断就等于是没有确诊所以我见你还是上正规医院的儿科去肺部听诊下比较好，这样才可以就是说看他的肺部到底有没有问题需要完善血常规看看他有没有感染的表现，这样才好对症判断，"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "听了两天"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "感冒"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "从你描述的症状上的还是现在考虑这个有这个上回头感染的情况，但是这个肺部听诊比较关键入听有罗音的话就不排除是有这个支气管炎和肺炎的情况，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "每次去他都先听听"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "早就说她明确跟你说他的诊断就是感冒是吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "哦那你现在吧就说通知几天还是反复有发烧如果张症状用了药这个不见好转，应该就是在专门儿学儿科看一下，根据情况是我应该调整下用药，一般的就是说入肺部听诊没有什么问题的话，单纯的这种咳嗽发烧查血了过是有这个感染一个那是使用一些这个相性有清宣止咳颗粒了会清热解毒药物都可以对政治，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果伴随有细菌感染而根据情况选择像头孢类的抗生素之类的对症治疗，"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯孩子玩这种上呼吸道感染如果控制不好也很容易演变成支气管炎肺炎也会出现有这种发烧啊咳嗽的表现轻度的时候儿他也不就是说张铮了跟感冒有说是很相似的笑完善检查之后才能够判断，"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的，谢谢您医生"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "现在我三十七度以上现在贴退热贴多喝水三十八度以上用退烧药，还是先及时就诊，晚上这个茶的和检查好明确判断治疗，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝今天大便了几次？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "今天宝宝排便便排出线一样的东西是怎么回事啊"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "到现在就拉了一次"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "添加过什么辅食吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "排出很多红色"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "需要查一个大便常规，用显微镜看一下。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "吃了点米粉跟蛋黄，中途还吃了点蒸苹果"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "体温正常吗？有无呕吐？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "正常，没有呕吐"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "大便常规看一下，看看有没有感染，只要没有感染的话，有可能单纯就有些食物残渣。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "会不会吃蒸苹果吃的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "取个半小时以内大便，送到医院查一下。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "哦哦，好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不排除，如大便常规无异常，吃点益生菌调节就可以，如培菲康"
            }
        ]
    },
    "10279536": {
        "self_report": "宝宝刚满月，鼻子里面鼻屎多正常吗？而且这两天拉粑，都是好多泡沫一样的，粑是黄色的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子这种情况多长时间了。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在吃奶好不好，吃奶有没有呛到过？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "还好，没呛，就是一直会吐奶"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "是吃母乳吗？每次吐得多不多"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就这两天，昨天换尿不湿，刚好她在拉粑，就看到拉的都是泡沫"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃母乳，基本十次有八次要吐，有的时候都从鼻子里出来了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝吃奶急不急每次吃完奶有给他拍嗝吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "好像没有拍隔，也不太会。就是吃完把她抱起来抱抱"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "小宝宝拍嗝的时候可以拖住头颈部让他轻轻趴在你的肩头，身体稍后仰，轻拍后背"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯，那她拉这种粑粑是怎么回事"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "小宝宝肚子中气体比较多，另外消化过程中乳糖分解代谢也会产生气体，如果泡沫多，特别多要考虑消化不良。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯，刚换尿不湿还粑里有白色的奶块。是消化不良吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "是的，这种情况要考虑消化不良，可以用肠道益生菌给他调理几天。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "要到医院去配吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般药店就有的，这么小的宝宝一般常用妈咪爱或者是培菲康。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯，好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "好的，祝宝宝健康成长。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "对了，刚满月的吃母乳的宝宝会感冒吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "家里大人有感冒的，或者是气温变化，明显，小宝宝也会出现感冒的。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯，谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气的。"
            }
        ]
    },
    "10479239": {
        "self_report": "你好，我家孩子刚五个月每天大便一到两次是蛋清状，从昨天体温有时37度2，有时37度6是怎么回事呢，体温忽高忽低的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "问题你好，我家孩子刚五个月每天大便一到两次是蛋清状，从昨天体温有时37度2，有时37度6是怎么回事呢，体温忽高忽低的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝是母乳喂养吗，最近有没有添加辅食？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一直喝奶粉，最近没有添加辅食"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝贝最近有没有腹部着凉？有没有鼻塞流鼻涕咳嗽？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝贝有没有吐奶？宝贝精神状态怎么样？最近宝贝吃奶怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有鼻塞，比赛有点干"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝贝大便时候有没有哭闹？肚子摸着胀吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不哭闹，也不胀"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "最近有没有带宝宝检查？吃什么药没有？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝这个体温稍微偏高一些，但是不要太担心，暂时给宝宝喝点水，勤测体温看看！"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "就是这几晚上睡觉开始登被子，有时候我醒了她都没盖被子，不过她穿着保暖衣睡觉"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "也没检查，准备给她弄点药吃"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝大便这样，考虑有点消化不良引起的，可以暂时给宝宝热敷一下肚子，或顺时针揉揉肚子，给宝宝口服一些益生菌调节看看！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝贝现在主要及时腹泻，轻微发热对吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "你什么样的益生菌好呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是呀，最高37度6"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝贝消化不良或着凉的话也可能引起宝贝轻微发热，需要及时喂水，少量多次喂宝宝"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "大便是蛋清样里面全是颗粒"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "药店普通的益生菌就可以！"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦不知道是不是感冒，也不咳嗽流鼻涕的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，宝贝比较小，胃肠功能比较差，着凉后很容易出现消化不良，可以暂时口服益生菌调节3-5天，如果宝贝加重或没有好转，体温增高，反复，就要及时带宝宝去二级以上公立医院儿科就诊，检查一下大便常规血常规看看，排除肠炎或病毒感染引起的发热"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝贝如果长期腹泻，体温反复，出现高热等情况需要及时就诊，检查后明确病因，便于对症支持治疗。避免出现高热惊厥等情况！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝贝平时要注意保暖，少量多次喂宝宝，避免消化不良，平时多喂水，避免温差刺激预防宝宝感冒！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝贝体温38.5以下手脚温暖可以多喂水，退热贴外用，或用温毛巾擦额头腋窝腹股沟物理降温，给孩子勤测体温，不要太担心，如果高热不退就要及时就诊明确发热原因！"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10678228": {
        "self_report": "4个月宝宝拉这样的大便是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝大便一天几次？体温正常吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "体温正常，前几天拉肚子这几天又拉这样的，拉肚子的时候一天3.4次，这两天1.2次"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "可以完善大便常规，如无感染就不要紧，服用几天益生菌调节，如培菲康等"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "喂了4天妈咪爱了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "大便常规无异常就不要紧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "要去检查吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "建议完善大便常规"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "他左边内骨有点往外翻是缺钙吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不懂你说的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有无多汗，枕秃？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "送大便去医院检查"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有夏天流好多汗，脑袋后面一圈没长头发"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有缺钙症状，建议补充维生素d和钙剂"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那他拉这个大便是消化不良还是？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好的，祝宝宝健康"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "需要显微镜下查看，无感染就不要紧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10112233": {
        "self_report": "我家宝贝5岁，反复咳嗽，不发烧，睡觉嗓子呼噜呼噜响，吃点什么药合适？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，小孩咳嗽有多久了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "三四天了，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有发热吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "痰多不多"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "前两天发热，现在不发热"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "精神怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "咳的厉害吋想呕吐似的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "做过什么检查没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没精神"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "让医生听过肺部吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我给她喝头孢克肟和化痰止咳药"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "自己买的还是医生推荐的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "医生推荐"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "说是细菌引起"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "做过血常规显示"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以看看吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "已在用消炎和化痰药，可以继续服用，观察变化"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "在医院里呢，当时确诊胃肠感冒，扁桃体中度炎症输四天液轻了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在在住院治疗还是门诊输液"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "过了一星期发热就咳嗽"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "拍了胸片吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "吃了清热解毒的就不发热了，就是咳嗽"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没拍"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "住院还是门诊？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "昨天去医院听了肺上没事，让吃头孢"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "在家"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那就先按医生开的药吃着。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "最好能拍个片子"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "明确诊断"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我想还用加其他药吗？还是食疗吃点啥？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "支气管炎，肺炎的病程，预后都不一样的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "食疗可用雪梨炖百合，冰糖"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "化痰药可选择用桔贝合剂，氨溴特罗，沐舒坦等"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "家里有秋梨膏冲水行吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "自己炖的效果更好些。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "喝的是小葵花化淡止咳药"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以用。也是小儿常用药"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "加头孢克肟一袋半"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果用药两三天后咳嗽没缓解，建议及时拍片"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦，知道了谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不谢。随时联系"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的王大夫"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "ok"
            }
        ]
    },
    "10462427": {
        "self_report": "孩子咳嗽一个月了，每天咳个五六声，感觉从气管里咳的浓痰，到医院查了是支原体感染！阿奇喝了几天！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，阿奇霉素吃了几天？现在血常规化验怎么样？晚上咳吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "最近有发热吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "支原体感染，容易引起肺炎。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "晚上不咳！血常规没查！"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "医生有听过肺部吗？有没有罗音？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "支原体感染一般要2-3疗程。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那么应喝什么药合适！"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在还有咳嗽，有痰，最好是化验血常规看看炎症指标怎么样，肺部怎么样，有没有罗音，如果没有肺炎，就可以吃阿奇霉素5天，停4天，然后第二疗程3-5天"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "在吃点止咳化痰的药。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果这样治疗了，效果还不好，那么要看看是不是有其他原因"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一般多长时间会好！吃了一个疗程的阿奇！"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "比如鼻涕倒流喉咙，过敏性咳嗽"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一般一个疗程，症状就会好转"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "第二疗程后就基本上不怎么咳了。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果效果不好，就要看看是不是还有其他原因"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有鼻涕"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在小孩有鼻塞流鼻涕吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有揉眼睛揉鼻子挖鼻子的动作吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "小时候有没有湿疹"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有没有什么过敏过"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "有过湿疹"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "那么过敏性咳嗽，也有可能的，现在咳嗽时间，可以再加一个顺尔宁口服"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "因为咳嗽时间长，气道反应性高，所以稍微有痰，就会刺激咳嗽。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "现在诊断支气管炎考虑支原体感染，治疗上阿奇霉素顺尔宁"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "还有口服止咳药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "最好治疗前到医院化验血常规和肺部听诊，排除一下肺炎。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "还有其他问题或者不理解的地方吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "顺尔宁服用多长时间"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以根据情况，2-4周。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "她有时晚上睡觉时会出汗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果2周后没有咳嗽，就可以停停看。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "大便怎么样？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "出汗说明体虚"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "大便正常"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以吃点黄芪颗粒"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "或者玉屏风散"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "现在饮食要注意稍清淡点，不吃油腻辛辣，腥气的，比如鱼虾"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "你好，现在小孩情况怎么样了？咳嗽怎么样了？"
            }
        ]
    },
    "10702545": {
        "self_report": "孩子白天偶尔咳嗽，干咳，夜里睡觉前咳嗽，醒来也会咳几声。该吃什么药，2岁半。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "出现上述情况有多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "除了咳嗽以外，还有其他的症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我想问下这种情况吃什么药"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "3天"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这个孩子应该考虑气管炎"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就昨晚睡觉前咳嗽厉害点，其他很少的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "需要给孩子口服化痰止咳的药物"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嘴巴臭"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果有黄痰或者黄鼻涕的情况，需要加消炎药"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "口腔当中有臭味，说明这个孩子胃肠功能不是特别的好，与咳嗽没有太大的关系"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有鼻涕"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有痰"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "即便这个孩子没有流鼻涕的情况，也应该考虑呼吸道感染"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果气管当中没有痰，就不会出现刺激气道出现咳嗽了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "该吃什么药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "气管当中肯定有分泌物，但是不是特别的多，如果分泌物增多了才会形成痰液"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那就给孩子口服清热止咳的药物吧，可以选择小儿清热止咳口服液，或者金振口服液"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那这个孩子既往体质怎么样？有没有出现反复的呼吸道感染"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "以前会"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果这个孩子体质不是特别的好，应该口服消炎药的控制感染，可以选择阿奇霉素，因为这个孩子夜间咳嗽症状比较重，不能排除支原体感染"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，谢谢。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "先口服上述药物，观察2到3天，如果咳嗽的症状没有明显的缓解，或者说有加重的趋势，那就需要到医院就诊的，有必要进行进一步的检查"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "毕竟这个孩子年龄有点小，应该给予积极的治疗，以免症状加重"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个疾病都是由于炎症刺激所引起的，病毒或者细菌感染，当然支原体也会导致孩子出现咳嗽的情况"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果有可能的话应该到医院进行血常规的检查，肺炎支原体抗体的检查，明确一下感染的病原体"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "另外需要给孩子多喝水的，这样有助于痰液的排出"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "保持室内的湿度高一些，请给孩子拍背，可以促进气道当中的分泌物排出体外"
            }
        ]
    },
    "10228448": {
        "self_report": "3岁多孩子感冒，咳嗽。有痰。无发烧。晚上睡觉时候咳的比较多。吃什么食疗对孩子最有帮助？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，咳嗽有痰几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "咳嗽有3.4天了。咳嗽的不是跟厉害"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝有发热吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "无发烧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有痰比较多。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "鼻塞。流鼻涕。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "食疗是辅助治疗的方法。不知宝宝有做肺部听诊吗？肺部及支气管有问题吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有。医生说肺部没什么问题"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "饮食可以熬雪梨蒸贝母有止咳化痰作用"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "但如果有支气管感染还是加用口服药物，以便短期恢复"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在有吃匹多莫德。百蕊野马追浆。还有鼻子用药的是宝恩生理盐水"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "匹多莫德是调理免疫增强免疫功能作用，百蕊有止咳化痰清肺作用，盐水有清洁鼻腔改善鼻塞流涕作用"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不知有化验血常规吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有化验。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "大夫！雪梨蒸贝母需要加冰糖吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "大夫诊断是感冒还是支气管炎？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以少加，不要太甜"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大夫诊断是感冒。引起的咳嗽。喉咙有点红。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "恩，那可以上诉治疗，配合食疗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "孩子吞咽口水不疼。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的。谢谢。大夫！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气，勤喂水，注意咳嗽情况，避免下行感染引起支气管炎"
            }
        ]
    },
    "10240507": {
        "self_report": "宝宝前两天感冒了！流鼻涕，吃了三天药好了！但是这两天一到晚上就咳嗽！白天没事儿，晚安咳嗽的特别厉害！咳嗽药也吃了，但是感觉没效果。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好！大夫，宝宝十个月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不发烧，量体温了！37度左右"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "孩子精神头不错，就是晚上咳嗽厉害，抱起来竖着能好些。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "治疗咳嗽的药吃了几天啦？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有，以前也有过这种情况，看了几个医院，排的片子，说没问题，让慢慢养。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "好了四五个月了，这又这样了，但是白天不咳嗽"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃了三天了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这次没去医院检查是吧？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这次没去呢！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是一个呼吸道的感染。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果吃药效果不好，应该去检查一下，看看气管里和肺里是否有炎症。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那请问要怎么办呢？已经影响晚上睡眠了！"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "建议你去医院检查一下，拍胸片看看是否有肺炎和气管炎。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "再针对性治疗效果还好。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦！好的，谢谢您大夫！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果有气管炎和肺炎口服药物效果是不好的。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不客气，尽快检查再决定治疗方案。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那需要输液是吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果有气管炎和肺炎，输液效果还好。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这个跟接触过气管炎的患者有关系吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果是单纯的感冒可以口服药物的。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有关系的，通过呼吸道传播的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦哦！那能够治愈吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以治好的，没问题哒。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "我家奶奶气管不好，总咳嗽，孩子跟她接触过几天。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果是慢性气管炎和孩子没有关系的。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果是急性气管炎，有传染性的。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦！她都咳嗽了好多年了！"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个对孩子影响不大"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那好的，我去医院查一查，感谢您的耐心讲解。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气，有事及时联系。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的??"
            }
        ]
    },
    "10474698": {
        "self_report": "宝宝七个月，从昨天开始发烧，昨天最高38.1度，最低37.6度，今早去看的医院，开了药，然后忘记问医生那个布洛芬可以和其他药一起吃吗？中午吃了药都退了烧的，刚刚又烧起来烧到38.6度，手脚冰凉发白看起来没得血色，医生，想问下，是不是要开始出牙的时候就会这样反复发烧呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "看过医生吗，化验血常规了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "那个布洛芬悬液可以和其他的药一起吃吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "看过医生，看的急诊，没有化血"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "你指的是布洛芬和哪个药一起吃"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "医生说是因为感冒引起的，但是宝宝又没有感冒的症状，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在看过医生后，诊断的是小儿感冒吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "医生开了三个药，蒲地蓝消炎口服液，氨酚麻美干混悬剂，富马酸酮替芬片"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "诊断上写的，急性呼吸道感染"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看目前医生开的中成药抗病毒药，缓解感冒症状药。对于上呼吸道感染治疗，还是很对症的。可以继续服用。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天感觉宝宝有拉肚子的现象"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "布洛芬和这些药物不重复，可以吃的。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "大便一天几次，稀不稀"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那如果烧到38.5以上可以和布洛芬一起吃吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天大便5次，后两次比较稀，是那种像水一样的大便"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以一起吃的。同时发热注意多喝水。手脚冰凉，考虑喝水少，或者体温还在上升引起。注意保暖手脚，多喝水。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前大便情况，考虑发热引起的肠道反应，也可能和服药，刺激肠胃有关系"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "治疗方案的话，可以吃点益生菌，调理肠道菌群，辅助消化。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议按照上述方案，服药治疗，多喝水，多观察。治疗2天后，如果还有发热，就医小儿科，让医生检查，化验血常规。复诊病情后治疗。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那医生，他这个降温的话，那个最有效"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "体温超过38.5度，口服布洛芬退热。如果不超过，物理降温，主要是温水擦拭全身，冷毛巾敷额头，贴退热贴。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医生，还有个问题，物理降温哪种最有效快捷呢？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "泡澡比较有效"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "你看到图片了吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在还发热吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有发热了，体温正常的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "能够摸到小红点，"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "看着痒不痒"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "出来皮疹后，孩子精神，吃奶怎样"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我摸宝宝也没什么反应，他也不去挠"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "是烧退后出的皮疹，还是发热同时出的。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "精神比较好，他才睡醒还没有吃奶"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "烧退后出的皮疹么，父母有对花生过敏吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "昨天就没有发烧了，疹子是昨天晚上出的，舔芒果之前就有点不是很多，舔了芒果之后就越发越多了"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "分析病情，婴儿，目前热退后出现皮疹，不痒，父母没有过敏病史。考虑是幼儿急疹可能性较大。一般也是病毒感染后，出现的良性皮疹"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "目前怎么处理的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "你讲花生，我才想起，昨天早上煮了花生稀饭吃，我喂宝宝吃了一点"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "没有处理"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "幼儿急疹处理方案，就是多喝水，清淡饮食，多观察即可。一般皮疹无需处理，2-3天后慢慢消退。注意皮肤清洁，保湿。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "家里有上次他急性荨麻疹的药，可以涂抹吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "目前看到小儿皮肤不痒。没有感染，一般情况好，不需要外用药物。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "一般两三天，自己会退。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "建议按照上述方案处理，多观察。3天后，如果皮疹没有消退，建议就医小儿科，让医生检查。明确病情后治疗。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好"
            }
        ]
    },
    "10819429": {
        "self_report": "五个多月宝宝，总张嘴，差不多快三天了，还有点干呕，之前流几天鼻涕，怎么回事，急",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "我的孩子没有感冒流鼻涕之前有没有张嘴的情况"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个孩子有鼻塞的情况"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "流鼻涕好几天都不怎么流了开始张嘴"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有的时候干呕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个孩子是不是还有鼻子不通气的情况"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "通气"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没张嘴的时候鼻子不通气后来好了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦，我认为与这个孩子嗓子红有一定的关系"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "感冒的孩子多会出现咽部充血"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咽部充血就会导致这个孩子嗓子疼痛，有可能会出现张嘴，也会出现恶心的情况"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "这一天就像这样"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有流口水呀"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "流口水"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那还是应该与口腔有关系啊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "应该是这个孩子嗓子红肿疼痛引起的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "就会出现张着嘴，流口水，你需要看一下口腔当中有没有溃疡或者疱疹"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "看了没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "哦，那嗓子眼红的厉害吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，我认为这个孩子应该考虑呼吸道感染"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "也就是咱们常说的感冒了，这样的孩子由于嗓子疼痛，有可能会出现张口呼吸会出现流口水的情况，有的孩子会出现恶心，甚至吃奶减少"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "今天我看见下嘴唇有白色痕"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "哦，可能与这个也有关系"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "老能喝水了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "就像口干似的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "张着嘴肯定不显性失水增多，就会导致这个孩子出现脱水的情况，肯定需要多喝水的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦哦，需要去医院看一下是吧"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以到医院看一下嗓子有没有红肿的情况，另外需要查血常规的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "行谢谢了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10295273": {
        "self_report": "七个月婴儿四天没解大便，今天拉出来非常干燥，而且拉的特别费劲。请问如何治疗呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在吃母乳吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有没有添加辅食？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吃的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "大米粥"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "也吃母乳"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝平常多久一次大便"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "以前一天两次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "最近一次是两天"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "以前大便干吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有，其他正常"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝有没有恶心呕吐？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "肚子胀吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝现在属于便秘情况"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "有没有给宝贝加水果泥"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "母亲最近有没有吃上火的食物?有没有便秘症状？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我最近感冒，特别干"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没有便秘"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "母亲注意这几天清淡饮食，多吃些水果蔬菜"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "有助排便"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "现在可以给宝宝吃些水果泥和菜泥了哦"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "便秘主要是改变饮食结构为主"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "每天吃多少呢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝现在可以从少到多，比如小半个苹果"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "每天都要吃吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "香蕉泥也可以哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还有煮熟的蔬菜，南瓜，胡萝卜，都可以"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "先试试看吧"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "不行的话再咨询"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "您可以给我留言"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10305098": {
        "self_report": "孩子食火吃什么药管用",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "孩子食火吃什么药管用"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问孩子一周岁吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "十个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝有什么症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝以前大便怎么样？母乳还是奶粉喂养？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "以前大便正常ｔｏｍ也吃奶粉也吃，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "生活环境、妈妈饮食有变化吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "挺好"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有换奶粉吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "最近有添加新的辅食吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "水果"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "米粉一直都吃着呢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子有腹胀、呕吐、排气增多吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好像有点腹胀，"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有排气"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "食欲有降低吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃饭挺好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以顺时针帮他揉肚子，用温毛巾热敷肚子，帮助肠道蠕动，促进排便排气。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还用吃药吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "实在着急，可以吃健儿清解液败败火。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10466748": {
        "self_report": "问刚出生14天的婴儿肚子胀气怎么办？有什么办法快速排气，肚子鼓鼓的，里面有响声。婴儿睡不安稳，时不时都用力伸懒腰，并发出声音。满脸通红",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，如果说出现了腹胀的情况，最好的治疗办法就是给孩子按摩腹部，这样可以促进肠蠕动，有利于腹内的气体排出体外"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "肚子咕噜咕噜响的声音是正常的肠蠕动，可能这个孩子的肠蠕动过快一些"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "如果这个孩子肚子敲起来跟鼓一样的声音，那应该考虑腹胀，与这个孩子的胃肠功能不好消化吸收能力差有关系的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "请问怎么按摩"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "以肚脐眼为中心，顺时针按摩5到10分钟，每天3到5次"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "画圈，是吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "另外在喂养方面也需要适当的调整，减少每次喂奶的奶量，增加喂奶次数，每天总的奶量是不变的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "每次喂奶完毕后，都要竖着抱起来拍一拍孩子打嗝以后再把孩子放躺下"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "请问她这个年龄一次喂多少毫升"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子每次60到80毫升吧，但是考虑到这个孩子有腹胀的情况，最多六十毫升"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以增加每天的喂奶次数，减少每次的奶量"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "我想问一下这个孩子是母乳喂养还是人工喂养"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果是母乳喂养，妈妈的饮食也需要调整的，尽可能进食容易消化的食物，避免进食油腻生冷辛辣刺激的食物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我是母乳放在奶瓶喂"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "先按照上述方法进行调整，观察3到5天。如果这个孩子的症状没有明显的缓解，仍然有腹胀的情况，肠鸣音比较活跃，需要到医院就诊的，应该进行进一步的检查，毕竟这个孩子年龄太小了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以将母乳挤到奶瓶当中给孩子喂养"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "请问多久喂一次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以两个小时喂一次，或者说一个半小时"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "夜间可以减少喂奶的次数，但是不应该超过四个小时给孩子喂奶，这样会造成孩子低血糖的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "低血糖症状是？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "低血糖的症状就是孩子出汗比较多，不吃不动"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "精神状态比较差，脸色苍白"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "喔，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果超过五个小时，这个孩子能不能不吃奶，需要将孩子弄醒进行喂奶的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "除开按摩"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以进行腹部的热敷，这样也可以促进肠蠕动，改善胃肠功能"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "9还有其他办法吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，如果有可能尽量不口服药物，毕竟所有的药物都是有副作用的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "按摩腹部是最有效的方法"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果这个孩子出现了精神状态的改变，出现了阵发性的哭闹，一定要到医院就诊的，毕竟这个孩子年龄比较小，病情变化比较快"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "对于胃肠功能不好的孩子，很容易出现肠梗阻的，特别是这个孩子有腹胀的情况，家长一定要重视。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "她现在肚子硬硬"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这就是腹胀的表现"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，如果出现胃肠功能不好，很容易出现腹胀的情况"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "她要打嗝出来就好些是吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "刚才我按摩打了一个隔"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "打出嗝来也会好很多呀"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "就是因为这个孩子吃奶的时候吞咽下过多的气体，才会出现腹胀的情况"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "她就是喝奶时，很急，老是呛了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "这与孩子的性格有关系，反复的呛奶会导致支气管黏膜的损伤"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "当然喝奶比较急，也会吞咽下过多的气体，就会出现腹胀的情况"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "刚才打个隔，肚子软点了"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "还吐了点奶"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "对呀，排出了过多的气体，这个孩子腹胀的情况就会明显的缓解"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "所以说需要减少每次喂奶的奶量增加喂奶次数，吃奶过多就会出现呕吐的情况"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "本身这个年龄段的孩子贲门发育不成熟，胃是横的，吃奶以后就会出现呕吐的情况"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "我忘记我吃了土豆和花菜"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "与妈妈的饮食有一定的关系，妈妈尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "妈妈的饮食不规律，吃一些不容易消化的食物就会影响奶的质量，就会导致这个孩子出现消化功能不良的情况"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "谢谢，我会注意的"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子胃肠功能出现了紊乱，出现了损伤，最常见的原因就是奶的质量问题，还有就是吃奶过多，喂养的方式出现了问题"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10375956": {
        "self_report": "二个月宝宝的大便颜色是否正常？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的，这两天夜里加了两顿配方奶"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，1天大便几次？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "基本上三天一次，有时候隔天一次"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦，宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "之前都是金黄色，今天有点不一样，不知道是不是加了奶粉的原因"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神好的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，考虑是消化不良"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有可能是受凉，或者是加了奶粉的原因"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "建议给宝宝腹部保暖"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "一直都吃着益生菌的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "哦，继续吃益生菌"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦！好的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这个便便看上去没啥大问题吧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "看上去，没有什么大问题"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "配方奶还能继续喝吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯，继续喝观察一下"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "注意奶粉的温度，不要喝到后面凉了，那样也会导致消化不良"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "这样啊，好的，我一定会注意的，谢谢！"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不谢！"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我还想顺便问一下，我得了产后荨麻疹，差不多一个月了，一直在吃维C和葡萄糖酸钙，可还是时好时坏的，还有什么办法吗？就是半夜起，白天几乎就没了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以看中医吃中药调理一下"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "可我还在喂奶中"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯，喂奶可以吃中药的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦！好吧，那我去看看中医"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "看医生的时候，和医生说一下，是母乳期，医生就会开相应的药"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，非常感谢您！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气，有事联系"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "????"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好，拜拜"
            }
        ]
    },
    "10711293": {
        "self_report": "8个月的女宝宝，早上起来流鼻涕，尿液是黄色的，拉屎是干硬。这是怎么了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，流涕是清涕还是黄涕？体温正常吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "清鼻涕，体温正常"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "是上火了还是有炎症？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝接触过感冒病人吗？有无着凉？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "大便几次了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "宝宝之前感冒来，也有过着凉。今天就早上大便来，干硬"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝还有眼屎，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有流涕，有上呼吸道感染表现，小便黄，要加强喂养，保证水份摄入，大便干燥，感冒或伴有消化不良都可以引起"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "避免接触感冒病人，观察体温变化，建议医院查体，肺部听诊一下，看有无感染表现"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "早晨起来开窗户之后会留鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如查体明确诊断感冒，流涕可以服用治疗感冒药物，和活菌调节肠道菌群"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "妈妈有些感冒"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "妈妈要带口罩，避免呼吸道交叉感染"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "注意室内通风"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "大便干燥两天了，不考虑上火吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "活菌可以调节肠道菌群，可以缓解上火引起的干燥，活菌如培菲康，妈咪爱等，可以服用"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "妈妈可以喂奶的吧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "感冒要适量饮水，避免接触感冒病人，母亲感冒能暂停哺乳最好，乳汁也可以代谢病毒"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议需要完善查体，感冒也容易引发支气管炎等情况，需要及时就诊，根据查体情况选择治疗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "眼睛分泌物多，要注意室内温度合适，观察有无充血，不要揉眼"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如有明显充血，分泌物增多，要及时眼科就诊"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝现在主要是有上呼吸道感染表现和消化不良症状，医院完善查体，如无其他异常，按上述对症治疗就可以"
            }
        ]
    },
    "10342011": {
        "self_report": "宝宝今天四十多天这些天总是37多，嗓子有痰，吃易痰静，做雾化感觉更厉害了，还有呼吸急促，去我们这医院，医生说注意观察请问怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好赵医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发病几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "前20多天有一次肺炎，住七天院，回家以后到现在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是痰多三十七度网上"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "吃奶怎么样？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "对不起，语音听不清楚，你打一下字吧。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃奶有所减少"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一直在吃药吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不见好转，是吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有效果"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "去医院拍过胸片么？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "呼吸特别急促"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有轻微肺炎"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是呼吸道有炎症的。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "孩子太小，抵抗力差"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "赵医生"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃药不见好转建议你住院治疗静脉输液效果还好。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "呼吸急促，说明肺里还是有炎症。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "出院后全家都感冒了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这是家里感冒又传染给孩子了。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯应该是"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "输液治疗效果还好是好的。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在这种情况，医生说注意观察，很担心"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，变化比较快的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "孩子太小了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "有副作用吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的孩子小感冒以后容易合并气管炎和肺炎的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "建议你尽快去住院输液治疗吧。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "以免耽误病情"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "主要是痰，和轻微发烧"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的，孩子小没有抵抗力，又不会吐痰。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "一共吃了几天药啦"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "输液对孩子有伤害嘛赵医生"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "没有伤害的，对病情治疗效果比较快的。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "吃5天做三天雾化"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不见好转应该去输液的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "一般的感冒四五天，应该是好了。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "今天上午好像轻点了，下午嗓子又呼呼响了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不见好转就是气管里或者是肺里有炎症的"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯嗯嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的，抓紧时间治疗"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "那"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "好的，有问题及时联系。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复！"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "对了赵医生输液对孩子有伤害嘛"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "嗯嗯嗯谢谢赵医生"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "没有伤害的，但是所有的药物都是有副作用的。短期内用是没有问题的。"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "口服药物和输液用的药物副作用是一样的。"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "嗯嗯好的赵医生谢谢你了"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "嗯嗯再见"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "好的，再见"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10267630": {
        "self_report": "宝宝三个月多一点，拉大便带绿色带泡沫，一天十次，是怎么回事，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子有发烧吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "什么时候开始拉的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "宝宝精神很好"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好几天"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "大便偏绿是消化不良表现"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天早上拉黄色的大便"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "带泡沫说明肠道菌群有点紊乱，产气菌增多"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我是纯母乳"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "大便带绿色还有泡沫，一天好几遍"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯，孩子腹泻会很水吗，有在吃蒙脱石散吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以益生菌调节"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有吃"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "会不会是孩子哭的时候，凉气进到肚子里面去了，然后有泡沫，会有这种可能吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "腹泻导致消化不良肠道菌群失调，很大部分是孩子着凉"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "另外就是孩子妈妈饮食方面，要注意忌上火，辛辣刺激食物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "会不会是因为凉气进去的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "妈咪爱"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这个可能性是有的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "妈咪爱是可以的，妈咪爱是益生菌调节肠道"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果孩子拉的次数多，比较稀7最好加点蒙脱石散"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "如果是凉气进去还要吃妈咪爱吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "拉的次数挺多的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "要吃妈咪爱的，大便偏绿泡泡多，妈咪爱是调节的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "凉气进去导致菌群失调"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "然后一点就是注意保暖，尽量不要再凉气进去着凉"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这样调节基本是可以的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "适当少量喂点温开水"
            }
        ]
    },
    "10081187": {
        "self_report": "孩子不到9个月，前天开始有轻度拉肚子，并且高烧，39度左右，去医院医生给开了一针，然后拿了些药有退烧的，并说问题不大，吃药后了会退烧或者自己会退烧，反反复复，拉肚子有改善，对了，便便是绿色的那样的！看过几个医生都说是拉肚子引起，但都没有根治，是需要继续吃药等等还是？！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "首先很乐意为您解答！我需咨询相关信息，请如实作答。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好！"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝这样具体有几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在大便一天几次"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "前天开始发烧的，应该是星期一有拉肚子现象，吃药好了的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一天有四五次吧，算晚上的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "之前宝宝拉肚子一天是几次。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "之前的没问过家人"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "您目前的疑虑是因为拉肚子没有完全好，是选择继续吃药还是改用其他方法，是吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前您觉得宝宝的拉肚子好了百分之多少了？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "你好，在吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在很担心的是高烧不退"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在体温多少？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "但是不知道病因是不是如医生所说"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "三个小时前是38.8"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "今天体温反复了几次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在再测一次体温"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "用了退烧药了吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "前天是什么开始烧的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在我不在家的，因为在外地很担心的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "前天下午"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "前天是什么时候开始烧的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一天基本，发烧就是一个小时量一次的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "间隔多久发烧一次"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "一般的话可能3个小时也可能会是半天，或者晚上睡醒一觉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "您觉得宝宝发烧是加重了还是好些了？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "主要看间隔时间有没有延长"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "最高体温有没有下降些？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不确定，今天白天7点左右退烧，一天没有发烧，然后下午6点左右吧又发烧"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "最高39.1，一般都是38.8左右的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝的基本情况已了解。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前宝宝一个间隔时间还是比较长的，一般的发烧的间隔时间是六到八个小时。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "恩恩有时候以为好了，但是可能又不好！像今天白天一天没事的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "从宝宝前天下午开始发烧到今天，也就是说发烧的时间是两天多。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "一般宝宝发烧之后体温一般会反复三天左右。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝吃完药之后很少会出现体温马上就稳定了的，一般我们判断用药之后是不是有好转，主要是根据宝宝的最高体温是否下降，间隔的时间是否延长。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "所以建议您继续观察宝宝的体温到明天晚上。药物还是继续吃。如果宝宝到后天，体温还是高烧，建议您带宝宝再去医院就诊。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "恩恩"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝吃了药腹泻症状好些了，说明药物还是对症的，有效的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "只是需要一定的时间"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "您能判断出病因吗？是拉肚子引起的高烧？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "根据您所提供的信息，也觉得是腹泻引起的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "是有些作用的，只是发烧很让人担心的，因为药是一天两次的，中间发烧了，就只能干着急"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以使用退烧药物"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "体温大于三十八度五就可以吃的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那样不会有其他影响？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "您看能给推荐下退烧药吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不会的，按照说明用药"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "小儿常用的退烧药有布洛芬滴剂"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "口服吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "恩，好的！谢谢您！"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "这么晚了，您辛苦了！"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气，请记得评价"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的！再见"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10345523": {
        "self_report": "宝宝高烧吃了退烧药了，有一点点咳，吃头孢还是阿奇霉素？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发烧几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天晚上"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "伴有咳嗽是吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "偶尔咳一下"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有鼻塞流涕吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "拉肚子吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天到现在还没拉臭臭呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "8个月20天"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是像感冒了。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是不是着凉了？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "恩，昨天出门了，回来就高烧了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃的什么药物？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在吃退烧药，还有头孢"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "今天没有烧是吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有，现在还有一点烧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "头孢可以继续吃，再吃上看感冒的药物。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "吃上抗感冒的药物"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "抗感冒什么药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以吃上小儿双金清热解毒口服液和小儿肺科颗粒"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是小儿肺咳颗粒"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这是治疗咳嗽的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "大便什么样？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "头几天有点稀，现在拉臭臭有点费劲"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "大便稀吗？消化怎么样？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "吃奶好吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "消化还行"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃奶也行"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "9个月"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "有点胀肚"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "吃药几天了？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "5天"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "没有效果吧"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以调整一下药物"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "吃什么药"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "吃上醒脾养儿颗粒"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以吃上这个药，三至五天观察变化。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "吃健脾散行吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不是我说的，这个效果好。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不要给孩子捂得太热上火，容易干燥，"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "你说的这个我们没好像没有"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "药房都有卖的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "小儿鸡内金散也可以哒"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "吃专用小儿的药物副作用还比较少。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "孩子还吃母乳吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "宝宝喝铁呢"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "吃母乳"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "这个药可以继续吃的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "妈妈尽量少吃上火的东西"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "这个药吃多长时间"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "这个铁剂要连续吃上一个月再去复查血常规。"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "助消化的药吃上五至七天观察变化"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "不客气的有问题及时联系"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10387023": {
        "self_report": "我家宝宝今天一百天了，满月后都是10天拉一次大便，颜色金黄，孩子不哭不闹，最近半个月夜里总是哭闹，大便也变成3天5天一次，昨天凌晨5点多拉一次，今天凌晨6点又拉一次，但是昨晚她总是哭闹！昨晚拉的开始颜色金黄，也不稀，又拉了点有点稀还有点绿，这是怎么回事？不会是什么病毒性腹泻吧？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "精神吃奶好吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "体温正常吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "这两天吃奶少点"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦。小便正常吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "也正常"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝每天大便1次，或者是2天大便1次属于正常的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦！可是她有点哭闹"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "大便发绿，考虑是消化不良"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃母乳也会经常消化不良吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好，尿量正常，体温正常，不考虑是病毒性腹泻"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃母乳也会消化不良的，有可能是腹部受凉导致的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦！"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "给宝宝注意腹部保暖，可以口服妈咪爱调理一下"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦！好的！"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好，另外妈妈的饮食注意，不要吃的太油腻，不要吃辛食物辣刺激性的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "昨天给她买了点合生元的益生菌"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好，另外妈妈的饮食注意，不要吃的太油腻，不要吃辛辣刺激性的食物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "她是早产儿会不会也有影响"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯，合生元的益生菌可以的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "她是早产儿会不会也有影响"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "已经100天多了，考虑不影响的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吃了合生元益生菌，还要吃妈咪爱吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不用吃妈咪爱了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "吃1种就可以的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好，有事联系"
            }
        ]
    },
    "10847204": {
        "self_report": "你好宝宝两个多月因为家人感冒传染给宝宝导致宝宝鼻塞打喷嚏轻微咳嗽有点还时常犯恶心期间吃奶老是呛咳9中途吃过保婴丹和小儿安宁颗粒都没见效我本人喝午时茶过奶给她也不见效母乳喂养但是宝宝精神和吃奶情况都正常是什么情况呢家里买了合生元的益生菌现在能给她吃吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "？？？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子出现鼻塞咳嗽。要考虑家属感染，引起来的感冒。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "是啊"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "恶心和呛咳。也是小儿感冒的一个表现。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这个知道一般感冒不是七天左右就好的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "现在已二十天了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "已经感冒20天了，目前还有什么症状吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有点漾奶"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没别的还是持续开始的症状"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "如果目前还是有鼻塞，咳嗽那么考虑感冒没有好，而且时间比较长的话，怕引起气管炎症"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "鼻塞呢睡觉不鼻塞的呼吸平稳咳嗽一天大概咳四五次"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一般来说两个月之内的宝宝应该没有什么咳嗽，目前时间长了，我考虑支气管炎的可能性大。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "家里的益生菌能吃吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我们现在两个月十二天"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "那泡澡能泡的好吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "两个月出现每天的4到5咳嗽也不正常。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "需要挂水吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "因为孩子小，建议吃药治疗，怕病情加重。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "建议给宝宝吃上双黄连口服液，每次2毫升一天三次治疗炎症。肺力咳合剂，治疗咳嗽。生理海水鼻喷剂，治疗鼻塞。假如治疗三天不减轻或是克咳嗽加重，建议及时去医院儿科就诊。益生菌可以吃的"
            }
        ]
    },
    "10004115": {
        "self_report": "小宝宝四个月了，这阵天太热，大概是吹多了风扇空调，这两天拉肚子厉害，贴了宝宝一贴灵和止拉稀的肚脐贴，还喂了一点霍香正气液，没效果，请问怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝大便一天几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大便什么样的？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "总是拉水一样的稀"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "十多二十次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "小便量少吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有无泡沫？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "小便次数也多，量少"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大便有无泡沫？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是母乳喂养还是奶粉喂养？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "查大便常规了吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "农村里面不方便"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "所有的腹泻应该查大便常规看看，是细菌感染还是病毒感染，还是消化不良？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝精神好不好？有无嗜睡？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "精神还是一样好，也不嗜睡"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "大便每次的量多么？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不多，一次一点点，主要是水一样的黄色液体"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以口服蒙脱石散，用10ml水化开，饭前吃。口服补液盐"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "逆时针按摩肚子，一次200下"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "谢谢您了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果有呕吐，尿量少，精神不好及时去附近二甲医院就诊"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢您了"
            }
        ]
    },
    "10118153": {
        "self_report": "宝贝前几天感冒了，流清鼻涕，咳嗽有痰，但是症状也好多了，偶尔咳嗽，偶尔流鼻涕，但是昨晚半夜发烧，一直到今早不退，我就给吃了退烧药，退了后，下午睡觉时又烧了，宝贝以前发烧都是反复几天才退的，他算是病毒性感冒么？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "请问宝宝多大了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝贝快一岁"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "请问宝宝多大了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前面是咳嗽，流鼻涕，四五天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨晚开始才发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "查血了吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没去医院"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是干咳吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "他之前发烧，都是反复几天才会好的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我感觉这次也不例外"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "之前吃的是什么药？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "最早是干咳，中途咳嗽感觉有痰，现在很少咳，咳的话也是干咳吧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "四季抗病毒合剂"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝多大了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感觉没用，去诊所吃了医生开的，吃吃婷婷，后面没吃完"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "十一个月"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "家里有人感冒吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我好像被他传染了有点"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "趁时间不晚，建议去医院查下血，看是什么感染再用药"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "但是不算严重"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10033729": {
        "self_report": "二十七个月宝宝反复发烧。三十八度。吃退烧药哪。手脚屁股冰凉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "这个孩子目前的体温是多少？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "三百度"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "三十八度"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "口服退热药物多长时间了？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你指的是口服退热药物以后手脚发凉，还是未口服退热药物这个孩子手脚发凉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前天晚上开始吃的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个孩子的最高体温是多少？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没吃药之前手脚屁股冰凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "三十八度五"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "除了发热，还有其他的症状吗？比如说流鼻涕咳嗽，腹泻"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一般来说超过38.5度的体温，给孩子用退热药物。目前的这个体温多给孩子喝水，可以外用退热贴。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "在体温的上升期可能会出现手脚发凉的情况。过一会儿再量体温可能比现在要高得多。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "总反复发烧怎么办啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "进行血常规的检查了吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没查"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有点烫鼻涕了呐"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这种情况考虑呼吸道感染的可能性非常大"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "病毒感染的可能性大，病毒感染一般有3到4天的高峰期，在高峰期内孩子会出现反复的发热，过了高峰期以后症状会逐渐的缓解，如果孩子精神状态好，可以口服药物对症治疗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不用去医院化验血吧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "应该查血常规的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你现在口服什么药物？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "美林退烧的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "除了退热药物以外，还有其他的药物吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "头孢克圬"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "应该口服感冒颗粒和清热解毒药物"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果白细胞总数不高，没有细菌感染的指征，没有必要口服头孢克肟"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "可以选择小儿氨酚黄纳米颗粒和小儿双金口服液或者蓝芩口服液"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "小儿氨酚黄那敏颗粒999"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "清热解毒药物需要吃的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果超过3天体温还是不稳定，需要到医院查血常规"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "另外还需要观察孩子的精神状态，如果精神状态不好，需要尽快到医院就诊"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "前天晚上到现在。烧七八回了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "在疾病的早期会出现反复的发热"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯"
            }
        ]
    },
    "10171899": {
        "self_report": "我家宝宝两周岁了，最近不知道什么原因吃完东西就吐出来，也不发烧就是拉肚子。到医院检查说是病毒感染，吃药也不见好转。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子做了什么检查了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "大便检查。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "看看结果吧"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有血常规么"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "检查结果不在我这里，我家宝宝是在老家。我婆婆跟我说的。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦哦，孩子吃不干净的东西么"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她说明天在去拍片看看，需要拍吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "为什么拍片？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看肚子？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "她说不知道是不是胃里有什么东西。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "怀疑吃了什么东西？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "目前为止还拉肚子。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "吃了什么药呀"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那也不一定是胃的问题"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便是水样么"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的，不过今天有所好转。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "吃的什么药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "掉水，必奇，肚奇贴。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "我觉得不着急拍片子"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以口服蒙脱石散试试"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果还不行再拍片子"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "但是她一吃东西就吐怎么办？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这几天就只喝粥"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "喝大米粥"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "就是喝大米粥，喝了就吐。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "喝热水吐么"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "热水不吐。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "米汤吐么"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有喝米汤，就喝大米粥，这几天奶粉都没有给她喝。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "喝米汤吧，慢慢再喝大米粥"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "孩子肠胃现在不好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "只能慢慢来"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "到是看她像是很饿的样子，她也很想吃。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "那就喝米汤，孩子想吃也是好事"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "米汤能放糖吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不过先吃他能接受的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "先不放试试"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "看吐不吐"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯，然后吃蒙脱石散"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "奶粉还给她吃吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "看明天怎么样"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "暂时不吃"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的，谢谢谢你！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "有问题随时联系吧"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的。再见。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯再见"
            }
        ]
    },
    "10116672": {
        "self_report": "宝宝6个半月从昨天晚上到现在一直低烧37.7度。暂时贴的退热贴和物理降温。。没有吃药。这样可以嘛。还有什么好办法可以退烧嘛。。偶尔咳嗽有清鼻涕。。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，低热可以吃点小儿柴桂退热颗粒。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？有去医院看看喉咙吗？血常规化验了吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "流鼻多吗？鼻塞明显吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没谈"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不多。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "家里有人感冒吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "呕吐拉肚子有吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "血常规说是病毒性感冒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "化验单在吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有人咳嗽但没人发烧"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "大人咳嗽严重吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "说是喉咙红了让吃消炎药。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "血常规化验单在吗？可以拍照片看看吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "但是一直低烧不退不增啊。。用着退热贴和物理降温都没效果呢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "37.7这个温度不要紧的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个血常规是细菌感染的，要吃消炎药的，不吃，炎症没消退，体温是不会退的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "孩子总是哭闹是不舒服嘛。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "而且还有可能会加重的。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦。消炎药吃着呢，退烧的用吃嘛。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "你现在是有哪些药？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我想给他1mm的泰诺林可以嘛。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "体温39℃以下，可以不用吃的。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "泰诺林。布洛芬颗粒。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这两个是退热药，高热时用的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "还有清热解毒的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "消炎药是什么？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦。现在低烧怎么处理好呢"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "头孢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "退热贴"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "热水察浴"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "热水泡脚。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "退热贴一直贴着呢。快24小时了没啥效果呀。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "4小时要换退热贴"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "大概多少度的水泡脚好呢。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "没有发热，就还可以的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "早上给喝了点清热解毒液。有点拉肚子"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "没有发高热，就还可以的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "喝过之后便了6次"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "很稀吗？是水样吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "而且便水了。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "现在是秋季腹泻的高发期。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "明天大便化验一下。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "没干的就是水一样"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "小孩可以是肚子不舒服，才哭闹的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "这个体温不是哭闹的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "就是喝过清热解毒液之后开始便的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "要吃点蒙脱石，妈咪爱。"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "清热解毒的不会水便的。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "这个体温不会哭闹的。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "还喝了菩提蓝。这个会拉肚子嘛。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "你肚子听听看，有没咕噜响"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "有些小孩大便会稀，但不会水便。"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "没有呀"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "有点咳嗽还吃了白蕊。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "就吃点白蕊，其它清热解毒就可以不吃了。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "今天下午才水便的。早上大便是正常的。水便一边是啥情况导致的啊。"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "现在水便，要吃点蒙脱石，妈咪爱。"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "很可能是秋季腹泻，开始发热流鼻涕，然后出现腹泻，水便。"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "哦。下午便的。现在晚上还没有便了。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "要是腹泻是不是一直便呀。。现在还没有便"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "如果明天还水便，就化验一下。"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "嗯。好的"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "低烧现在就退热贴就可以是吧。"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "是的。"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "好的。谢谢"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "你好，小孩体温退了吗？"
            }
        ]
    },
    "10049143": {
        "self_report": "拇指医生提醒您：医生建议仅供参考。5个半月孩子咳嗽不发烧不哭不闹精神也好在门诊打七天针不见好越咳越严重然后住院了一查是支气管炎没有肺炎打了七天针咳嗽好得差不多了，只是血象从进医院的时候1900，七天准备出院的时候1800，是什么原因会是白血病吗.需要做那些检查！谢谢！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，现在支气管炎好了吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "不咳嗽了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "我是全国第三的儿童医院医生，重庆医科大学附属儿童医院"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有血常规化验单吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子有发烧没有？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "明天发给您看一下谢谢"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "白血病发病率很低"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "需要有感染，出血，贫血表现"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "从前到后都没有发烧"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "同时外周血常规可能有幼稚细胞存在"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "需要有感染，出血，贫血表现都没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "而且可能有血小板减少和贫血表现"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有些有肝脾肿大"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "要做哪些检查呢"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "血常规做了两次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果医生高度怀疑白细胞"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "需要血常规，骨髓细胞学"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "骨髓穿刺细胞学最准确"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "医生说可能是白血病。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "能够确诊或者排除"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那明天晚上把血常规单子传给我"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "哪种级别医院？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "中心医院。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "市级医院吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "水平如何"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "市级最好的医院"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "最好把血常规单子传一下，把肝脏脾脏彩超做一下"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果想明确是不是白血病，最主要的检查就是骨髓穿刺检查"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢告知"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气，宝宝的健康是我们医生最大的心愿"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您有问题可以随时和我联系或留言，虽不能当面诊断，但是我能给您提供专业的解答和咨询，做您就医的私人顾问"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "如果降了就不会有问题了吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不降都不能首先怀疑白血病的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "有些是炎症还没有完全消退的原因"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "血象降了就没问题了吔"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "当然降了是最好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "血常规正常当然是最好的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "怎么会打了半个月都不降呢"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "担心死了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果您也很担心是不是白血病，做一下骨髓细胞学"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这么小的孩子能做吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "炎症不是您想象的只要用药就一定会降下来的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "孩子会不会很痛"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以做骨髓"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "骨髓对孩子有伤害吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "就痛一会儿，做完就完全不痛了"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "没有损害"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "多少钱呢！"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "就是在骨头上穿个洞抽点骨髓出来化验"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "300左右吧"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "小医院做不了吧！"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "市级医院就可以"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "结果多多久才能出来？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "三个工作日"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "我是全国第三的儿童医院医生，重庆医科大学附属儿童医院"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "我们医院是三个工作日"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "每个医院可能不一样"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "武汉儿童医院好不好"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "您是哪个省？"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "湖北省"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "可以去武汉妇女儿童医院"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "或者去隔壁的南京市儿童医院"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "好的，谢谢！我们这里离武汉近！"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "或者来重庆"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "不客气，宝宝的健康是我们医生最大的心愿"
            },
            {
                "sentence_id": "68",
                "speaker": "患者",
                "sentence": "医生明天把，血常规发给你，再见。"
            },
            {
                "sentence_id": "69",
                "speaker": "医生",
                "sentence": "好的哈"
            },
            {
                "sentence_id": "70",
                "speaker": "患者",
                "sentence": "重庆太远了。"
            }
        ]
    },
    "10170874": {
        "self_report": "11岁男孩拉肚子，连续四天，明天三次以上，大便黄棕色",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "您讲三次以上，大概在多少次？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不呕吐"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天两次今天两次"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不发烧精神状态还好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝的大便次数还好。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "能吃什么药么？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "您可以先给他用点益生菌。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "之前很少拉肚子"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "怕耽误学习"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "益生菌是？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "建议可以用双歧杆菌三联活菌。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "噢好的。喝胡椒水可以吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "也就是说宝宝已经有四天拉肚子了，前天都在三次以上？现在在两次左右对吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "请问这药药店有购吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "星期五一次量最多之后每天两次"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "再大一点的药房应该有卖"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "儿自己说不舒服的感觉一点没减少"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还有哪些需注意的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多补水"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "您说的胡椒水可以喝"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝主要是什么不舒服？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "双歧杆菌三联活菌是一种药品吧？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯。是的是一种益生菌。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "儿说拉之前感觉很急"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "拉完之后有没有还有再想拉的感觉？就是里急后重的感觉？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝大便如果超过三次，你可以再给他加蒙脱石散。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "稍等..."
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "就是那种感觉吗？拉了还想来拉？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "有这感觉"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "他说回教室又没有了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有这种感觉的话，建议您化验一下大便常规，看有没有细菌性的感染。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "有这感觉他说回教室又没有了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "时间紧不想到医院"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "嗯。那您可以先用上面的药物调理"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝宝有没有说肚子痛？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "目前宝宝拉肚子两次也不算严重，实在没有时间去医院的话，可以药物治疗。观察三天。"
            }
        ]
    },
    "10188926": {
        "self_report": "宝宝咳嗽昨天去医院医生给开的蒲地蓝消炎片、抗感颗粒、硫酸沙丁胺醇片、羧甲司坦、复方氢溴酸右美沙芬糖浆。今天早晨发烧了38.5℃还用不用再加点什么药吃？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一阵一阵的吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有鼻涕不拉肚子"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "干咳"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "体温超过38.5可以吃退热药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃了退烧药了会不会反复的烧"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "会的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "因为还是有感染引起的发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果反复超过38.5就得去儿科就诊"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "化验血常规，必要时拍胸片排除肺炎"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "能加点什么药吃吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "加上消炎药"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "有蒲地蓝消炎片再加什么样的消炎的？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "以前用过头孢没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这个是中药"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "用过"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不是抗生素"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果头孢不过敏"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以吃头孢"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的谢谢医生了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "别客气再见"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10242600": {
        "self_report": "快四个月宝宝有时候一天两次大便第二次比较稀正常吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝是吃母乳还是喂奶粉？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "吃母乳"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这种情况多长时间了。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "上个礼拜有拉稀带泡沫给她买了药吃了昨天晚上又有拉稀"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子现在吃奶好吗，她闹不闹。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "其他方面都挺好的不是很闹"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "他现在便中有没有黏液，"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有，是水"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝妈最近有没有吃特殊东西"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一直都喝母乳没吃别的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "是不是我吃了水果才这样的啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "我是说妈妈有没有吃特殊东西生冷的辛辣的油腻的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那有可能的。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "哦哦，那明天可以给她打疫苗吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "可不可以给她用丁桂儿脐贴"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在拉肚子，最好是不要打预防针。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "丁桂儿脐贴可以用的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦哦。好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那什么时候可以打疫苗啊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这种情况可以再给他吃几天肠道益生菌调理一下，没有水了就可以打。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好。谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你好啊，孩子大便正常了吗"
            }
        ]
    },
    "10315712": {
        "self_report": "宝宝9个月，宝宝昨天拉稀了，看看跟吃这两种药有关系吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "帮忙看下吃这两种药会拉稀吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子怎么不好啊，为什么吃药。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "前天发烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽流鼻涕吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不流"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "也不咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在还发烧吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这会不烧了，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "根据你说的，还是消化不良，这两种药不会拉稀的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "大便一天几次？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "从昨天晚上开始的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "都是这种绿色的吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "昨天晚上一吃，今天早上一次"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "次"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "发烧以后消化功能差会引起拉肚子的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "用吃药吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物调解一下。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "把肚子盖暖一些"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "饮食也要注意，不要吃不好消化的东西。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吃布拉氏可以吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以吃吗咪爱效果还好"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那什么东西不好消化呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不要吃肉类的东西啦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不要吃凉水果了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "像土豆山药这些可以吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以吃小米粥米粉米糊粥可以的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "土豆，山药都不要吃的，不好消化。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "就吃蔬菜呗是嘛"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的可以吃少量的蔬菜"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "只是暂时不要吃的，等拉肚子好了，都可以吃的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那现在不烧了，这两种药还用吃吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "吃了几天了这药"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以再吃上两天巩固治疗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的谢谢您"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10689699": {
        "self_report": "月子第八天，宝宝屁多，又响，有时还带有便便，产妇鼻梁骨肿痛，带有感冒，肚子里也会咕噜咕噜，请问怎么处理，吃药期间能母乳喂养吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝大便一天几次？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝一天有时大便七八次"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是纯母乳喂养吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "白天母乳，晚上有时会给吃一点奶粉"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "混合喂养容易出现一些消化不良症状，一般宝宝食欲好，体重增加正常就不要紧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "宝宝会有消化不良，我看便便会有颗粒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "做好臀部护理，及时清洗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "如有加重，可以服用几天益生菌，如培菲康妈咪爱等"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前天有给宝宝吃益生菌，昨天宝宝放屁就基本没大便出来"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃的什么药物？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不过屁还是很多，又响又长"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "换培菲康试试"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这是种保健品"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "培菲康，一般药房都有售吧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "母亲有感冒，最好带口罩，感冒严重，暂停母乳喂养最好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喉咙痒，吃过药俩天了，不过还会有点小咳"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨天晚上还忽冷忽热，出了好大一身汗，盖毛毯还冷"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "建议内科看一下，肺部听诊和咽部查体一下"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那还能给宝宝吃母乳吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "要看感冒轻重，最好暂停是最保险的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "晚上不舒服，白天又没事了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "出了汗后还是没哪里不舒服"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "所以不知道母乳喂养会不会对宝宝有影响"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "能暂停两天最好"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10174602": {
        "self_report": "俩月宝宝最近有点咳嗽鼻塞吃了头孢和感冒药现在一咳嗽就拉出大便",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问药物吃多久了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "才吃了两天"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "具体是哪种感冒药？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "愈酚甲麻那敏颗粒"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "拉出的大便正常吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "很稀"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "是不是拉肚子了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子用药后感冒症状有缓解吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "暂时没有"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "还是有咳嗽鼻塞那样"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "是干咳吗？之前查血了吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "干咳"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这两种药是第一次吃吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没查就听诊和看喉咙"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "第一次"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "平时两三天才一次大便还在吃益生菌"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子有可能是因为药物的反应，也有可能是本身胃肠型感冒的原因，建议化验一下血和大便常规。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "家里有人感冒吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我感冒"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "而且是母乳的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你是妈妈吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你吃药了吗？发烧吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我没吃药不发烧"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不过我在吃产妇康和头孢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那最好给孩子吃上奶粉，等你感冒好了以后再吃母乳。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没吃感冒药"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "并且你最好戴上口罩接触孩子，孩子太小，没有抵抗力，容易被交叉感染，不容易好。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "今天宝宝大便拉了两三次"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你这两样药吃多久了？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "产妇康吃了接近十天"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "头孢吃了5天"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这些药物都会通过乳汁给孩子的，加上孩子自己有用药，所以可能影响胃肠道，导致大便不好。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "她平时两三天拉一次也不正常吧"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "纯母乳喂养的孩子在两个月的时候应该一天两次左右大便的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "就是不知道怎么回事"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "刚生出来一天有三次后来就几天一次"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "平时顺时针帮他揉肚子，用温毛巾热敷肚子，帮助肠道蠕动。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "注意腹部保暖，妈妈饮食要清淡一点，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "昨天拉了今天早上拉了下午又拉了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "孩子有可能是因为药物的反应，也有可能是本身胃肠型感冒的原因，建议化验一下血和大便常规。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "益生菌可以继续吃吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "还有宝宝在服用的要"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "药"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "益生菌可以吃，其他药物到明天化验结果出来后再决定怎么吃。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "??"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "母乳不要喂是吗"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "是的，你用药期间最好还是不要喂母乳。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "医生开过来说可以喂就没管那么多"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯，在妈妈用药期间，一般是不建议哺乳的。"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "尤其在孩子出现胃肠道反应后。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "谢谢您的帮助"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气的，希望能帮到你。"
            }
        ]
    },
    "10024025": {
        "self_report": "医生你好，我家宝宝昨晚发热到38.4度，贴了退热贴一个小时后上升到39.3度，就给塞了PP栓，体温降到正常。今早7点又37.8度，具体发热时间与度数记录在图片，宝宝没有感冒症状，想要知道宝宝这是怎么了，需要去医院检查吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝多大了？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "是1岁吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "15个月多"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯，没有咳嗽吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "考虑是病毒感染引起的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "应该注意幼儿急疹"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "病毒感染？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯，考虑病毒感染的可能性大"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "建议给宝宝多喝水，口服抗病毒药观察一下"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "几天前宝宝用棉签弄到耳朵，去医院检查，医生说耳膜边上有个小孔，开了头孢，会不会和这个有关系的？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃了四天头孢了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "考虑关系不大，吃了4天头孢，应该不会再发烧的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下血常规"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有可能是受凉导致宝宝感冒了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃坏东西会引起发烧吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "目前没有感冒症状的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果有腹泻，可以引起发烧的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨晚吃了牛肉"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有的感冒就表现为单纯的发热"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "吃了牛肉，有拉肚子吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "目前没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前没有，建议观察"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医生你说的抗病毒药是只哪些"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "化验血常规能知道是怎么了吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "清热解毒的中药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "化验血常规，可以定是否是细菌或者是病毒感染"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "什么情况下会是病毒感染呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "还需要观察宝宝的体温变化，以及是否出现咳嗽，腹泻等症状"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "如果是幼儿急疹化验血常规能看出来吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一般小儿没有其他症状的情况，突然出现的发热，考虑病毒感染的可能性大"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "宝宝目前没有咳嗽和腹泻的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯，没有暂时考虑病毒感染"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "幼儿急疹就是病毒感染"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "幼儿急疹就是发热3-5天，热退出疹"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯！一般社康医院能做血常规检查吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以做的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "如果是幼儿急疹宝宝能洗澡吗，能带到外面去玩吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "怕吹到风吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以洗澡，但是不要到外面玩"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "因为宝宝生病了，抵抗力差，最好在家休息"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "那可以吹风扇吗？深圳太热了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "注意多喝水，避免受凉，观察体温情况，及是否出现咳嗽，腹泻等其他不适"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不能吹风扇，可以用毛巾擦身体"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "就是这些情况，还有什么需要帮助的吗？"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "现在在给宝宝测体温"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "宝宝老是扯退热贴怎么办好？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "那就用温水擦身体"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "PP栓也不能多用是吗"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "隔开4小时"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "可以再用1次"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "折腾一晚上了，宝宝这会在睡觉，她睡觉清浅，不敢动她"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "是超过39度才能用PP栓吗"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "超过38.5度，再用退烧药"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "嗯，可以用凉毛巾敷头部"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "现在37.5度了"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "用凉毛巾敷头部"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "继续注意观察"
            },
            {
                "sentence_id": "68",
                "speaker": "患者",
                "sentence": "好的！谢谢医生了"
            }
        ]
    },
    "10300079": {
        "self_report": "孩子肝功不正常转氨酶高，发烧37.5度该吃什么药不会伤肝的？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发烧几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有别的疾病吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我家孩子现在转氨酶高正在保肝治疗，昨天夜里才烧的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "烧的也不高37.5左右"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "流鼻涕咳嗽不拉肚子"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "这种情况几天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "应该是感冒了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天开始的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃什么药好呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "你这种情况应该是物理降温为主，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "脑袋也不高，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "怎么物理降温"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "多喝温水可以温水浴，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "那就一定多的话那可以给他吃点那个胃蛮美的，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "要是还不降温呢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "以前有过高烧抽搐吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "能超过三十五个一点在吃布洛芬退热，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一般来说女的对这种温度应该问题不大给他多喝点水见你就给他换一个给团队看看，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "化验血常规看看"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10210158": {
        "self_report": "4岁孩子高烧7天不退，上午体温37.5-38°C.中午12:00之后体温体温开始升高到39－40°C，交替吃美林和泰诺，下午能维持3-4小时，一般给药4次，到半夜12.00之后再给次药，可以挺到第二天中午。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "4岁孩子高烧7天不退，上午体温37.5-38°C.中午12:00之后体温体温开始升高到39－40°C，交替吃美林和泰诺，下午能维持3-4小时，一般给药4次，到半夜12.00之后再给次药，可以挺到第二天中午。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有其他症状吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "比如溃疡，咳嗽，嗓子哑等等"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一直伴有咳嗽吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "什么时候咳嗽厉害"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "发烧第二天开始咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "给宝贝做过什么检查"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "晚上睡觉最严重"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有嗓子哑或者气喘症状"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "血常规"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "拍胸片了吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗓子哑"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有，去医院医生给听了说听着没事儿，就没给拍胸片"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝现在咳嗽加重了吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯，加重了，有痰不多"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "吃药后有没有缓解"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "您是只止咳的还是消炎的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "止咳的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "效果不明显"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝现在忌饮食了吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不能吃海鲜油腻零食"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯，没吃，每天简单的粥或者面条"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "还有幼儿奶粉"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "多吃些水果蔬菜"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如何一直喝就可以继续，否则暂停一下"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "建议口服药物三天看看，没有明显减轻及时复诊"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯，好的，还便秘，3-4天没便了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "需要增加水果蔬菜的摄入了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "烧了这么久对孩子有什么不良影响吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "在您的界面可以找到已就诊医生哦"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "只要可以吃药退下就没事"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "持续发热，超过39°才会对宝宝有损坏"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "体温在38.5以上可以吃点退热药，手脚热的话可以用温水擦一下眉头脖子腋窝，不要用酒精，擦十几分钟"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "一直吃退烧药没事儿吗，吃了7天了"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "每天4-5次"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "如果体温没有改善，建议完善支原体，心肌酶登相关检查"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "需要空腹检查哦"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的，谢谢啦"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "先吃这个药看看"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "没问题了"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "没有减轻建议带孩子去公立医院儿科就诊"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "再见哦"
            }
        ]
    },
    "10132692": {
        "self_report": "宝宝已经十二个月了老是拉肚子，吃拉肚子药刚好没多长时间又拉肚子了，请问您该吃什么药治疗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "问题宝宝已经十二个月了老是拉肚子，吃拉肚子药刚好没多长时间又拉肚子了，请问您该吃什么药治疗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝现在是母乳喂养吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "饭也吃"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "出生后一直这样吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在体重是多少斤"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "10.3"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "体重达标"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "也不多两次左右但是拉的很稀"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "而正常是纯母乳喂养的孩子大便次数多的都是正常现象，但是一般这种情况添加辅食以后就能好麻宝宝要是每天两个大便是可数集的话我觉得还是问题，"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议去医院检查一下"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "还有拉的粘粘的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "化验过敏源看看"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以长期吃益生菌和健脾药观察"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有可能是食物过敏"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那用什么治疗呢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "给他长的最大值点到那个你想理发店洗要调价玩当然了这个还得还得最好是换一个更难看我会拿出足够的连接处容易引起过敏的食物，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "噢好的谢谢你"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10348756": {
        "self_report": "婴儿生理性腹泻带血丝正常吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "婴儿腹泻，大便带血丝，红色。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "看到了，宝宝肛门有裂口吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有破的地方"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "大不大？周围有没有红肿？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不大，发红但不肿"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一天大便4－4次，有时带血，有时不带"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝肛门有裂口多长时间了？腹泻多久了？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "在吗。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "大便带血有十天了。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "基本上是上面那种量吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "腹泻有20天了。刚开始红屁股。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "基本上，有时还少点"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "现在吃益生菌，但大便次数没有减少"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有的宝宝生理性腹泻也会出现这个有出血的情况。但是比较少，大部分可能是因为有炎症或者有其他什么原因导致的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大便化验白细胞WBC1－2"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦，可以配合消炎治疗。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "用什么药？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以用头孢类的药物。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "比如说头孢克肟或者头孢丙烯等等。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝有没有脱水的情况。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "生长情况正常"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "好的，那不影响。宝宝是吃的没有吗。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "母乳吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "混合"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "每天吃两次配方奶粉"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "小宝宝一岁以内的胃肠道没有发育完全，可能是会出现腹泻或者便秘的，特别是受凉或更换奶粉等受刺激的时候。大点就会好些的。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "肛门破了，能导致出血吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "会的，血一般是鲜红色在大便表面"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "可以上外用药吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以，可以用红霉素软膏"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "一般情况几天可愈合"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "大便带的血好象有黏液"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "看具体裂口大小，小的一般在5天左右"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那个有粘液的考虑是跟肠炎有关系"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "妈咪爱治疗肠炎吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以，因为有白细胞还要配合消炎药。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不用谢"
            }
        ]
    },
    "10072190": {
        "self_report": "十个月的宝宝最近老是拉肚子！多的一天要五六次！而且拉出来有泡沬！不是水样腹泻！该怎么办！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "这孩子除了腹泻，还有其他的症状吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有！精神各方面全部是好的！"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "尿量正常吧！精神状态也挺好的？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "正常！"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个孩子母乳喂养还是人工喂养还是混合喂养？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "纯母乳！"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "查大便常规了吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有！"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一共腹泻多长时间了？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有一星期了！"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "对于拉肚子孩子应该查大便常规的，主要是看大便当中有没有炎症"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "你在家口服药物了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "怎么治疗的？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有！吃了宝乐安！和思密达！没效果！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝乐安是肠道微生态制剂，具有调节肠道微生态环境的作用，思密达具有保护胃肠黏膜的作用，这两种药物是不能同时吃的，应该间隔半小时以上。思密达这个药比较特殊，有浓度限制，每包需要加五十毫升，水过多过少都是不可以的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "对于母乳喂养的孩子，如果出现了腹泻，除了口服药物以外，最主要的是从喂养方面进行调整。减少每次喂奶的奶量，增加喂奶次数，每天总的奶量是不变的。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "同时，妈妈的饮食也要注意，尽可能避免进食油腻生冷不容易消化的食物"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "大便当中有没有你粘液？就是跟鼻涕一样的物质"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好像有一点！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那就应该到医院查大便常规的，如果有炎症，单纯口服上述药物是不可以的，需要加消炎药"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "另外需要注意孩子的饮食卫生，避免让孩子啃手，啃玩具，勤给孩子洗手"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "主要是泡沬！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这就是消化功能不良的表现，需要给孩子查大便常规，如果没有炎症，除了继续口服上述药物以外，在喂养方面进行适当的调整。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "当然口服药物一定要按着正常的服用方法进行，服用方法不正确，也会影响药物的疗效。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "孩子胃肠功能损伤以后修复需要一定的时间，不可能一蹴而就"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的！非常感谢！"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气，希望能够帮到你"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "祝孩子早日康复"
            }
        ]
    },
    "10271206": {
        "self_report": "你好小孩一周岁九，昨天有点发烧还有点拉稀，今天不发烧了但还有点拉稀，不知道是不是着凉了还是吃坏东西了，医生我该怎么做呢要不要去医院",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝大便什么样子？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "就是有点稀"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "而且不想吃东西"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一天拉几次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有奶瓣或者稀水样大便？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两三次"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "量多吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那还么有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝肚子胀吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有点账"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝最近有没有吃凉的食物?或者不好消化的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "前天吃了点鸡爪"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是零食吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "舌苔有些白"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝有没有呕吐？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不是外面吃饭的时候"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "今天就是大便稀不吃东西"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有发烧了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有没有流鼻涕或者咳嗽症状"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在给宝贝吃药了吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝现在精神怎么样"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "白天要睡两回这两天没有前几天有精神"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "现在在睡觉"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "会不会食物中毒呀医生"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝大便次数不多"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "对两三次"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果中毒主要表现是反复呕吐之后才是腹泻，抽搐等等"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "所以您不用担心"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "有助消化"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦好，那我可以给她喝点午时茶呀"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "现在建议给宝贝吃点益生菌，调理胃肠功能，同时观察宝宝精神，大便形状，次数，还有尿量"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好，谢谢医生"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "益生菌副作用少哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "午时茶也是中药"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦哦好的感谢"
            }
        ]
    },
    "10103346": {
        "self_report": "我家宝宝现在四个月了，纯母乳喂养，以前一直都是每天都有大便的，基本上一天好几次，大概二十天前，突然就变成了两天一次，偶尔三天一次，每次都是下午。大便相比较以前，没有那么稀了，但是也没有结块，颜色也比之前的稍微深一点。一直这样大概二十天了，可是今天却大便了三次，前两次看看都没有什么异常，可是第三次好像有那种像鼻涕一样的粘液，请问这是什么情况呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子还有别的不舒服么"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好像没有别的不舒服"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有发烧？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "吃东西怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有哭闹"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃母乳的，今天吃母乳也都正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃东西怎么样"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "跟平时差不多"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "您摸摸小肚肚怎么样"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "软软的，也跟平常差不多"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "您的饮食怎么样"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "请问怎么会有那种像鼻涕一样的粘液呢，我也是跟平常一样"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子有时候肠道功能有问题"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "家常菜，没吃什么特殊的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般来说如果没有别的不舒服或者问题就多观察"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "会不会是什么发炎或者是细菌感染什么的啊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "但是孩子三天一次大便还是不好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前看起来不像"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果发炎不会就只有这么一点点东西出来"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "因为这大概二十天都是两天大便一次，偶尔还三天。可是今天就有三次"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，今天肯定也是有问题，有可能小肚肚受凉了"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "医生如果你不介意的话，我给你看一下照片吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "您发过来吧"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不好意思，麻烦您了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯看到了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "没关系"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "这是什么情侣呢，严重吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "看上去是有胶东样的，但是没发现别的问题"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还行，没发现什么严重的问题"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不过您的注意给孩子的肚肚保暖"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "是的，就是那样的感觉，还黏黏的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "另外建议吃点儿益生菌，让孩子肠胃好一些"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，我知道了，谢谢啊"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "对的，您先观察，暂时不用别的处理，您注意观察三点"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "第一，肚肚是不是软软的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "这个像是肚子着凉的表现吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "第二孩子是不是哭闹厉害"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "第三，注意观察下一次大便情况"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的好的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢医生啊"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "像是肠道功能不好，有可能是受凉引起"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "这三个问题一定观察到位就行了"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，知道了，谢谢医生，我会观察的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果这三个没什么别的问题，就不会有什么太大的毛病"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "嗯不咳日期"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯不客气"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "有问题随时联系"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10198434": {
        "self_report": "孩子支气管炎连续吃了三天的头孢还是持续发烧38.5度，昨晚上我我擅自给孩子加了阿奇霉素后孩子半夜退烧了37.4度我是否可以停用头孢，改用阿奇霉素",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我想停头孢改用阿奇霉素行吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吃了头孢一点效果都没有吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "感觉好像是吧，要不然昨晚吃了阿奇霉素后半夜退烧了，可是今天下午有烧起来了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "阿奇霉素我就是昨天晚上给吃的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今日一天都是吃头孢的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "我知道了。那宝宝现在有什么症状？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "发烧38.1度还是咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽喉咙里面有没有呼噜呼噜的痰音？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有点，孩子不会咳痰"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有鼻塞流鼻涕？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是咳嗽的时候感觉有痰，说话时候感觉没有"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有，鼻塞黄鼻涕"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "好的，估计痰不多"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "改怎么办"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "头孢类的药物用了三天，效果不明显，而且您吃阿奇霉素有效果，可以换用的。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "该怎么办呀哭(′;︵;`)"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "你看到了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "看到了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不用谢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "还要继续观察宝宝体温。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "阿奇霉素一天吃几回"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "吃几次"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你按照说明书用就行了。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好吧??"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我好好看看说明书"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不用谢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝发热的时候可以少盖一点，不发热的时候注意保暖。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您还在吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你好，很高兴能够为您再次服务。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "问题孩子支气管炎已经5天了有高烧38.7度三天到现在的低烧37.4度两天，什么时候才能恢复正常体温（吃头孢和阿奇霉素，开始咳嗽严重，现在咳嗽减轻，就是黄鼻涕太多）"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不用谢。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "现在体温属于低热，今天才退下来吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "昨晚退下来的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "今天一直是这样的体温"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "好的，可能明天就会正常了。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "有明显好转。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "我是头孢加阿奇霉素一起吃"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "已经请假4天了，明天可否让孩子去上学"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯。暂时不要去。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "早晨吃了药走，中午带药吃，晚上回家吃药行吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "拉下的功课太多了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "愁死我了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "建议体温完全正常之后去上课。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "对了我还给他加上雾化治疗"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "上课的话雾化可能就要被耽搁了。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "一天两次"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "早晨早起雾化后走"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "嗯。我建议宝宝可以缓一两天。等体温控制正常了去。"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "就是咨询一下明天上学会有什么情况"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "会给其他同学传染吗，支气管炎是想回传染的病吗"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "目前宝宝只是低热，他的精神和饮食怎么样？"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "现在非常调皮，小吃货一个"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "就是体温有点高37.2左右"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "好的，估计恢复差不多了，这个一般不会传染的。"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "目前上学影响不大，只是最好把体温控制到正常再去。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "哦，太好了，我担心会相互传染"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "他那个不是传染性的，问题不大"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "宝宝注意保暖。"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "阿奇霉素悬剂冲水后为何有透明的絮状物"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "跟里面的药物辅助成分有关系。"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "是正常的吗"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "没过期"
            },
            {
                "sentence_id": "68",
                "speaker": "医生",
                "sentence": "是的。正常现象。"
            },
            {
                "sentence_id": "69",
                "speaker": "医生",
                "sentence": "跟他里面的那些辅助药物成分有关系。"
            }
        ]
    },
    "10318379": {
        "self_report": "宝宝2岁3个月流鼻涕有4天了，今天开始喂的药，吃的是小二黄纳米颗粒一包，宝宝吃药有点难，请问医生还需要吃其他药吗？如果光吃小二黄纳米可以吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，为了更好的为您服务，我需要再询问几个相关问题，感谢您的配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子还有没有其他情况？比如咳嗽？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有咳嗽只有流鼻涕是浓鼻涕"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "只吃黄纳你颗粒可以吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "如果单纯这些情况，可以保保暖，多喝水就可以了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "原来的药可以继续吃"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "注意多喝水"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "其他没有什么，就只流鼻涕是黄色浓鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "原来吃的药，可以继续吃，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这种情况，不排除孩子有受凉的可能"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是光吃黄纳米颗粒，还是在要配些其他什么药呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "宝宝是受凉引起的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "所以，首选保暖"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不建议再加药了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那就光给宝宝吃黄纳米颗粒吧？其他的就不吃了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的谢谢医生！"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "最近几天注意保暖"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的呢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10148821": {
        "self_report": "小孩2013年7月出生的，上个月住了一次院，大概10天左右，是因为咳嗽，还老是出虚汗，后来检查是有肺炎，当然住院也用了阿奇，也做了雾化，出院的时候基本上好了，还带了一个星期的雾化回来做的，也开了不少的药，可是最近几天又开始咳嗽起来了，虽然没有之前咳嗽的那么厉害，但是睡觉平躺着就感觉喉咙里有痰，这样就咳嗽了，但是痰又咳不出来，小孩睡觉也不好睡，感觉无精打采的样子，白天精神还可以，请问医生怎么办才好？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我小孩咳嗽"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "还需要住院吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝贝住院时化验支原体和衣原体没有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好像有的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "当然该做的检查都做了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "是支原体和衣原体都有感染吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "当时"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "具体我也不是很清楚"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗓子里面有过丝丝的声音吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "感觉就是有黏痰"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这个丝丝的声音是喘息，以前有过喘息吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "以前没有过"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "是这次肺炎引起的喘息吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今年刚刚上小班，上了几天就这样了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "当时不知道，咳嗽了上医院，医生检查说有肺炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝现在流鼻涕，发烧，拉肚子不"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "偶尔有点鼻涕，但是不多，不流出来的那种"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在感觉不出来"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "尤其是夜里睡觉的时候"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝贝现在咳嗽应该是感冒引起的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "和支原体，衣原体感染引起的气道反应性高有关系"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃抗过敏药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "用布地奈德和可必特沐舒坦雾化观察"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我也测体温的，正常体温"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果发烧就得去医院面诊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还得复查血常规看看"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "就是说自己买回来做雾化就行吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "定期去医院复查就行"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "现在可以每天做2次雾化"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以吃中药止咳化痰药"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "还有几种药需要吃吗？我看下药名"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "加上清热抗病毒药更好一些"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "醒脾养儿颗粒，头孢克圬颗粒，肺力咳"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "这暂时还要吃吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝现在还有别的症状吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "就是咳嗽，有点鼻涕，不发热"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "睡觉喉咙有痰"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果晚上咳嗽加重，一阵一阵的，建议去医院化验血常规看看再决定吃头孢不"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "鼻涕黄色的吗"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "食欲怎么样"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "食欲一阵一阵的，昨天前天两天吃的还可以，今天就不想着吃了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "宝贝现在体重身高是多少"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "体重30斤，身高92"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果是满3周岁，体重达标，身高缺一点"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "建议化验微量元素看看缺钙铁锌不"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "平时注意饮食，可以吃健脾开胃药调节食欲"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "那个肺力咳可以吃"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "他就是挑食"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "平时不能吃零食，得调整饮食习惯"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "太感谢您了，我明天带他去做个验血常规先"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "不知道要不要再做个肺部"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "先不用拍胸片"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "那明天做完血常规，结果出来了我还能再咨询您吗？"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "能"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "万分感谢！"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "在健康记录里面能看到我"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "别客气再见"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "好的，打扰了，再见"
            },
            {
                "sentence_id": "68",
                "speaker": "医生",
                "sentence": "别客气"
            }
        ]
    },
    "10297019": {
        "self_report": "4个半月的宝宝，从出生开始就是块块尿不湿都有便便，最近就是经常有绿便或者奶瓣很多，然后胀气经常放屁，还有吐奶次数比较多，有时喝奶过后也拍过隔了，但是过会还会吐奶块出来，可不可以用妈咪爱调理？一天用量是多少？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我们是纯母乳喂养的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便发绿，或者说大便当中有奶瓣，应该考虑消化功能不良"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯嗯，出生开始一直是这样"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这个孩子应该考虑消化功能不良"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "基本每天都有绿便，奶瓣也是比较多的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "需要给孩子按摩腹部，促进肠蠕动"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "应该减少每次喂奶的奶量，增加喂奶次数"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "顺时针还是逆时针？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "以肚脐眼为中心顺时针按摩5到10分钟"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一次喝奶大概70-100ml"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个奶量偏小啊"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "每隔3-4小时一次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应该考虑孩子的胃肠功能不好"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "奶量偏小"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "那要怎么办？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那这个孩子现在的体重是多少？体重达标吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "宝宝大概6.5-7公斤"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "出生的时候体重是多少"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "出生三个月体重应该增加一倍呀"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "出生49cm，6斤3两"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "基本上还可以的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "应该适当增加喂奶的次数和量"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "经常吃了容易吐奶块"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这就是胃肠功能不好的表现，需要慢慢的调整"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "可以吃点妈咪爱吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "或者益生菌"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "当然可以口服妈咪爱或者益生菌"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "但是最主要的就是从喂养养方面进行调整"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那像妈咪爱每天用量是怎么样的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，妈咪爱每次一包一天两次"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "一般要吃几天？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "至少需要口服一个周"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "我看说明2岁以下是一天2次一次1包，我们4个月也是这么吃没关系吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "当然没有问题了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "我其实挺担心药物过量的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这个药是肠道微生态制剂，具有调节肠道微生态环境的作用。口服的剂量依据临床表现和症状"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "如果你很担心，那就每次半包一天两次"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "喂养方面就是您说的那个吃奶量还有就是腹部按摩"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "其他还有需要注意的吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "有没有可能存在是生理性腹泻？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "每次喂奶完毕后，都要竖着抱起来拍一拍，孩子打嗝以后再把孩子放躺下"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "现在没有生理性腹泻这个说法了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果这个孩子腹泻的时间比较长，次数比较多，应该进行乳糖耐受试验，需要确定一下是不是乳糖不耐受"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "这个是抽血检查吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "这个不需要抽血检查的，在吃奶以后进行尿的检查"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "一般来说吃奶半个小时到一个小时进行尿的检查"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果确定为乳糖不耐受，应该给孩子口服乳糖酶的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "噢，那有没有必要再检查下大便呢？"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "应该复查大便常规的"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的，那我按您说的再观察下，真不行还是去医院检查下，谢谢您"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10854229": {
        "self_report": "小孩子感冒发烧喝哪一种消炎药效果比较好一点",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "感冒都是由于病毒感染引起的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "四岁多儿童感冒喝哪种消炎药比较好一点"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "病毒感染是没有必要吃消炎药的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果是细菌感染引起的，需要口服消炎药控制感染，你有没有查血常规啊"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨晚发烧今早喝了药烧退了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那这个孩子除了发热还有其他的症状吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "前两天有一点咳嗽"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在还有咳嗽的情况吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天不咳嗽了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有流黄鼻涕或者黄痰"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦，有没有查血常规"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "秒查"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那孩子的精神状态怎么样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "挺好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那就应该问题不大的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "感冒都是由于病毒感染引起的，细菌感染的可能性不是特别的大"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那这个孩子既往体质怎么样？有没有出现反复的呼吸道感染"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯所以想先在家喝点药看看"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "有过反复"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以先给孩子口服药物试试看的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果这个孩子反复的出现呼吸道感染，可以口服消炎药预防感染"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以选择阿莫西林"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "或者是头孢"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "家里没消炎药了只有头孢辛酯"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "头孢呋辛酯也是可以的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "早上喝的罗红莓素和小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "头孢呋辛酯片一次喝多少比较好呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "消炎药选择一种就可以了，罗红霉素和头孢呋辛酯都是可以"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "头孢呋辛酯是处方药，这个平台不允许我们指导处方用药的剂量，你可以按照说明书口服，实在不好意思"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "另外还需要给孩子应用清热解毒的药物"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "非选择小儿柴桂退热颗粒，小儿双金口服液"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的谢谢医生"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "反复的出现发热，应该到医院进行血常规的检查，明确一下感染的病原体"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这样更有针对性的选择药物进行治疗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "呼吸道感染一般有3到4天的高峰期，在这个期间孩子会出现反复的发热，过了高峰期以后症状会逐渐的缓解。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "疾病的治疗总有个过程，不可能一蹴而就的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯是的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "我们用药物只是将高峰期缩短，并不能使高峰期消失"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "前两天咳嗽买过一次药喝了好了昨晚上就发热"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "还是应该考虑呼吸道感染引起的，炎症的刺激，有可能会出现发热，有的孩子还会出现咳嗽"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "既然这个孩子之前有咳嗽的情况，那就是呼吸道感染的一个表现，现在出现发热应该与炎症刺激有关系"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯是是炎症没完全好"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "那麻烦医生给讲一下买什么药比较合适"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "我想去先买点明天看孩子情况如果不发热就先不去医院看"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "需要给孩子口服清热解毒的药物，可以选择小儿双金口服液，小儿柴桂退热口服液"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "如果这个孩子仍然有咳嗽，你可以选择小儿清热止咳口服液或者金振口服液，这两种药物除了具有止咳的作用以外，还具有清热解毒的作用"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "可以起到一举双得的作用"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "那消炎药买什么更合适呢"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "消炎药选择头孢呋辛酯吧，这个药物就可以了"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "只是头孢丙烯，头孢克洛都是可以的"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "要配点小儿氨酚黄那敏颗粒一起喝吗"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "嗯，需要给孩子口服氨酚黄那敏颗粒的"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "好的谢谢您！"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10222983": {
        "self_report": "昨天我儿子感冒发烧，昨天晚上喝了退烧药今天又闹肚子了怎么回事啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发热体温多少度，今天拉了几次，大便什么样"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天烧退了，拉的稀屎还有水"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "拉几次了？小便量少吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一咳嗽就蹦出来"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "四次了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝胃肠功能弱，感冒发热容出现腹泻的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗？宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃的多么药？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "流鼻涕咳嗽咳嗽厉害点"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在宝宝精神如何？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃饭好吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就是母乳"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "十一个半月了宝宝"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "喝的，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝精神好吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "又哭又闹"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "小便量多么"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝吃的什么药？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "十味龙胆花颗粒，氨酚麻美干混悬挤，环酯红霉素干混悬挤"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "怎么办啊好着急啊"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "部分药物有轻微引起腹泻的，可以口服蒙脱石止泻保护胃肠粘膜，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "孩子老是哭"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "今天去医院看过吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "昨天晚上去的医院"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天没去"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果小便少，出现脱水症状，可以服用口服补液盐"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "都有，可以和治感冒和止咳药一起吃吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "孩子哭闹厉害，建议去儿科看看，医生给检查一下放心"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "蒙脱石饭前吃，之后饭后再吃感冒药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "口服补液盐少喝勤喝"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，咳嗽厉害喝什么药好的快点"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "咳嗽是保护性反射，气管内有东西刺激咳嗽，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "一般不用镇咳药，可以口服氨溴特罗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "十味龙胆花颗粒，这个药可以吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "十味龙胆花颗粒就是止咳的，可以服用"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "氨溴特罗是西药，先吃一种就可以"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "先吃大夫开的龙胆花看看吧"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这个止咳药可以和优卡丹一起服用吗"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以，不冲突"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的谢谢了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "咳嗽好的慢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "宝宝很快会好的观察宝宝精神，尿量，体温。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "精神不好就再去医院看看"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "好"
            }
        ]
    },
    "10703642": {
        "self_report": "医生您好宝宝9个月腹泻12天了每天十多次大便之前由于吃了鸡汤引起消化不良化验过大便是正常的医生配了能拖石散和益生菌至今都没有完全止住现在吃了雅培的部分水解奶粉但是每次喂了之后都会腹泻拉肚子大便呈黄绿色稀薄昨天起大便次数减少就是吃奶后要大一次现在这种情况是不是属于继发性的乳糖不耐受了？我担心宝宝的生长发育，在喂养方面应该怎么处理调整呢？可以吃辅食了吗？蒙托石散还要继续吃吗？可以吃D3和钙了吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个情况，首先大夫是按照腹泻病来看的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "医生您好宝宝9个月腹泻12天了每天十多次大便之前由于吃了鸡汤引起消化不良化验过大便是正常的医生配了能拖石散和益生菌至今都没有完全止住现在吃了雅培的部分水解奶粉但是每次喂了之后都会腹泻拉肚子大便呈黄绿色稀薄昨天起大便次数减少就是吃奶后要大一次现在这种情况是不是属于继发性的乳糖不耐受了？我担心宝宝的生长发育，在喂养方面应该怎么处理调整呢？可以吃辅食了吗？蒙托石散还要继续吃吗？可以吃D3和钙了吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯嗯，我看见了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "就是需要整理信息"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "但是现在我觉得是乳糖不耐受了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前吃了奶粉还是拉稀吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "拉的什么样子的？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "黄绿色稀薄尿布基本吸收进去"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "奶粉拉的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "但是次数比一开始少吃了之后有反应要拉"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦，次数减少了。有好转"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我想知道这种情况应该怎么喂养宝宝？其他平时吃的东西，比较好消化的可以给他适当吃一点吗？因为已经体重下降了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "绿色，还是有消化不良"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "首先来说，换奶粉后腹泻减少，还是治疗有效"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是的因为天数很多天了。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在基本上一天两顿纯大米米粉三到4顿奶粉这个奶粉是低乳糖的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "拉的次数在六七次左右"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "信号不好，不好意思"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦你说的这种腹泻病引起来的继发性的乳糖不难受那要考虑，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "哦肠炎之后可以饮血孩子空场上皮细胞的功能发生改变，哦一起就是这个乳糖吸收减少就是煮汤不难受的表现那就是长期的腹泻伴有就是大概消化不良，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "应用腹泻奶粉也是缓解，可以明确诊断，"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "需要换成无乳糖的吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我担心孩子不吃乳糖会营养不良吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "最好是无乳糖的，比较深度水解的奶粉效果好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那么钙和D3可以吃了吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "已经停了半个月了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个情况是随着时间延长，不耐受的程度减小的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "钙剂别吃，维生素D不要断"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的我可以适当添加一些容易消化的辅食吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前可以加上辅食，淀粉类的。可以保护肠道黏膜"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以的。这个是饮食治疗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "多久后可以吃点荤的呢？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "还有蒙脱石散和益生菌还要吃"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这次腹泻病，应该是之前辅食添加不当，加上宝宝胃肠道功能不好引起的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "肉类停一段时间添加看看"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "是的老人不懂吃了鸡汤"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "配方米粉可以添加的。增加各种营养"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "我想问一下大夫我现在给他吃奶粉前添加一粒乳糖酶那么换成深度水解奶粉还要添加乳糖酶吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "现在是部分水解的奶粉"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以的，添加没问题"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的谢谢大夫呢"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "大概这种情况要持续多久才能康复呢？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "一般2-3月"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "注意蒙脱石散空腹吃"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "益生菌奶前吃，用温水"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "假如出现腹泻加重，精神不好，就要及时再去医院看看的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯嗯非常感谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "注意药物间隔2小时以上"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "额不客气的啦，哦哦你还有问题吗？"
            }
        ]
    },
    "10065223": {
        "self_report": "新生儿出世25天的时候有点流鼻水，有鼻涕，偶尔轻微咳嗽几声，上医院开了下面4种药，吃了现在30天了睡觉时候还是鼻塞，感觉有痰，胃口睡眠，大小便也正常，不哭不闹。要不要继续吃药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子现在还是有鼻塞，喉间痰响吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "睡觉的时候有的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "还有没有咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "睡觉偶尔咳嗽，没有鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "精神状态，奶量这些都正常吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗯，都很正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "针对鼻塞，这些药里面没有治疗鼻塞的药物"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "针对鼻塞，儿童可以选择艾畅或者亿儿利康"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "而您这些药物是消炎和止咳，清热退烧的药物"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯，你上面说的药，药店有买吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有卖的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "医院也有"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的，平时要不要多喂水？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "三个月内不需要喂水"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "三个月内孩子需要按需喂养，想吃就吃，如果每天小便6-8次，不需要喂水"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气，宝宝的健康是我们医生最大的心愿"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "我是全国第三的儿童医院医生，重庆医科大学附属儿童医院"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "您有问题可以随时和我联系或留言，虽不能当面诊断，但是我能给您提供专业的解答和咨询，做您就医的私人顾问"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "您好，在吗？"
            }
        ]
    },
    "10272596": {
        "self_report": "小孩扁桃体发炎后炎症消了，但是咳嗽的很厉害，现在吃这两样药，头孢，和阿奇霉素",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，发烧吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "现在不发烧，就是咳嗽的厉害，都往外吐东西了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吃了几天药啦"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天第三天"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "不见好转吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "咳嗽越来越厉害"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前天发烧，现在不发烧了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "拍过胸片么"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "没有去医院检查过"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "当时扁桃体发炎去的急诊"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "医生说吃药就好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "你现在咳嗽，是呼吸道有感染"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "不是单纯的扁桃体发炎了。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "阿奇霉素是今晚上才开始吃"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "根据你说的孩子咳嗽很厉害是吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "就今晚上厉害了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议你去医院检查一下，拍胸片，化验血常规，看是否有气管炎和肺炎。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "在对症治疗效果还好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢，我尽快去，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "拍片只能白天么"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是的，尽快检查以明确诊断，治疗效果还好。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯，非常感谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "晚上也可以检查的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好吧，祝孩子早日康复！"
            }
        ]
    },
    "10321304": {
        "self_report": "宝宝四个月，前一段咳嗽发烧，吃中药调理了，不咳嗽了，但嗓子孩子呼噜呼噜的，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好，杨医生"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝这种现象几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "从圣诞节开始咳嗽的，有痰，医生说是支气管炎"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃中药半个月"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝咽喉部有没有吱吱声"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有发现"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "咳嗽期间发烧但没有超过38.5"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "挺好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便正常吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "一天一次，有奶瓣"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "下午6点左右排便"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "也有点黏条"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "每天早上会喝点益生菌"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "还需要吃药吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院合理检查一下"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃完奶呼噜呼噜明显"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "首先找医生听一下气管，然后行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，主要那个医生的号太难挂了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "普通门诊号就可以"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "宝宝不爱喝水"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "是不是喝水少"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "锻炼少量多次"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "是，每次小勺喝不到10勺"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果检查问题不大，宝宝也有可能是先天性喉骨软化"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "是不是应该喝烧开的水，一直喝的纯净水"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这一般需要维生素D，随宝宝长大逐渐会自愈"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "烧开的水特别污浊"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "纯净水可以的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "每天都吃一粒VD"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯，继续应用就好"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "她晚上睡觉一直摇头，是不是缺钙"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "要补吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以补的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "宝宝有枕秃吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "建议吃那种钙啊"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "一般应用乳酸钙或碳酸钙"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "她头发长，目前看不出来有"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯，继续应用"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "用不用查微量元素"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "可以，明确一下更好"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的，谢谢您！"
            }
        ]
    },
    "10219395": {
        "self_report": "宝宝八个月体温37.5度，流鼻涕，有咳嗽状况",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "几天啦？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "吃药了吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天才发现有低热"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "咳嗽药吃了一餐"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这是感冒了可以吃上看感冒的药物。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "你吃的什么药啊？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天还去推拿了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃了咳嗽药"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "小禄叶"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还给她喝萝卜水了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "也可以吃上小儿氨酚黄那敏颗粒，治疗感冒的。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "可以用艾叶泡澡吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "再加上你的药物一起吃。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气，有事及时联系。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "好吧，祝宝宝早日康复！"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "也可以推拿吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以的，促进血液循环，促使感冒恢复。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "萝卜水也可以喝"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以喝的，不要多喝，以免拉肚子。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "自己炖枇杷叶能喝吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "自己炖的枇杷叶不能喝的。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "感冒以后消化功能差，容易引起拉肚子。"
            }
        ]
    },
    "10292473": {
        "self_report": "两岁多的小孩发烧。打针吃药都不会退烧怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "行"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "最高体温多少度"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "39"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "昨天晚上咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "咳嗽久了机会吐"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有检查过"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "检查个"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "也打个针"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "化验血常规和胸片检查吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "你怎么办"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下血常规和CRP,分析一下是病毒感染还是细菌感染，行胸片检查了解一下肺部和气管炎症情况。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "注意观察宝宝体温，超过38.5度应用退热药物。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "可是现在怎么办。有什么药可以用吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一般应用止咳化痰药物，比如氨溴索，肺力咳，及退热药物，一般应用布洛芬，奈普生"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在离医院有点远"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "明天及时检查一下"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "可是现在着急啊"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "这样的话，可以打车去"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢医院"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "那就结束了，再见"
            }
        ]
    },
    "10398436": {
        "self_report": "四岁宝宝半夜呕吐三次，每次吐后喊喉咙疼一直喝水，第二天一喝水吃东西没多久就喊难受想吐吐不出来，过段时间就都吐出来了是什么情况胃不好么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发病几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就今天凌晨开始的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有发烧吐吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有发烧和拉肚子吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便什么样？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "晚上脸通红"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是不是有发烧测体温了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "凌晨喊肚子疼上厕所，先放屁后大便还好正常的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不是没发烧测测看的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "根据你说的情况，这是消化不良的。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是不是吃的着凉了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "白天不肚子疼了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有吧！昨天晚饭吃的比较多了点"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "先是呕吐，可能还要拉肚子的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "啊！吐了一天了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "啥都吃不进"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃多了，有时候着凉也会引起消化不良的。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在睡着了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃过药了吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吐的时候都从鼻子里出来，难受死了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没吃"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "把肚子盖暖一些，不要着凉的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "买的马丁灵"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没让他吃"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "现在睡了可能有点烧了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱和小儿鸡内金散"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我来量量"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "都是助消化的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果发烧38°以上应该吃上退烧的。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "你要回复一下，二分钟不恢复系统就自动关闭了。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "你先打一个字"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "在吗？先打一个字不然系统会自动关闭的"
            }
        ]
    },
    "10148432": {
        "self_report": "医生，宝宝病毒感染反复高烧怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "最高体温多少度？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨晚开始高烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "最高体温多少度"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这个是昨天早上化验单，麻烦你看下是什么感染"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "39.2"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "还有什么症状"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "脸蛋昨晚和耳朵都是红烫，今天下午好了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "从化验结果看白细胞正常，中性粒细胞正常，CRO正常"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "考虑病毒感染"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有咽痛，咳嗽等症状"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有细菌感染吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "咳嗽呢"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喉咙红"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "单纯化验结果不考虑"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "刚才有人说是病毒和细菌混合感染"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有点痰"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "4天了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "昨天晚上高烧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "咳嗽情况不大，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "白天和晚上都不太严重"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "有没有给宝宝拍胸片检查"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "考虑宝宝支气管炎，建议拍胸片检查"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "了解一下肺部和气管情况"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "医生，刚给你发的化验单，你看是什么感染？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "再就是最好化验一下支原体抗体"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "从血常规考虑病毒感染"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不过个别细菌感染不会有异常反应"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "比如支原体感染"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那对于宝宝现在的高烧反复，应该吃什么药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以应用清热解毒药物，止咳化痰药物"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "多喝水，体温超过38.5应用退热药物"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "还有其他问题吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗。有助于疾病恢复"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "那就结束了，好吗？"
            }
        ]
    },
    "10419241": {
        "self_report": "您好！我孙子前二天有点感冒低烧还有点拉稀，不消化，昨天沒发烧但还是拉稀有水和有些不消化的渣子白色的，服了二次蒙脱石散，今天早上又拉了一次，刚才加了三分之二包午时茶，请问还要服用什么药，怎样护理？谢谢！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝多大了呢"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "十七个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "最近吃什么不合适东西来吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "生冷辛辣刺激食物油腻食物吃来吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "沒吃"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝目前有没有呕吐症状呢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "主要是拉肚子吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前二天吐了二次，昨天没吐，主要是拉肚子"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "拉肚子一天几次呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天早上七点拉了一次"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便有没有粘液脓血之类的？有没有未消化得东西呢？颜色正常吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有点不消化的东西，白色的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝这个主要是有点消化不良的表现"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝精神状态好吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "尿量多吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "沒原来好，尿还差不多"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "多给宝贝喝点温水哈，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "期间看过医生吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不肯吃东西"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个时候胃肠功能会影响所以能吃多少吃多少别强喂，清淡饮食为主奥，生冷辛辣刺激食物不能吃油腻食物不能吃奥"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "昨天问了一个医生"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果没有看过面诊医生的话您目前可以给宝贝喝点益生菌，多喝点温水，可以再水里加点糖和盐，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "多给宝贝热敷一下肚子，顺时针揉揉肚子，别着凉肚子，！"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果宝贝精神状态好尿量多就问题不大，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "可以用生山楂炖苹果汁给他喝吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "目前就可以给宝贝观察三天，如果症状不缓解或者加重及时带宝贝去儿内科就诊查个大便常规明确一下腹泻原因"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那个别太凉了奥，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "您一定给宝贝把水喂下去，不爱喝的话可以换个喝水东西或者您可以用注射器喂水的奥"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "昨天拉了四次，今天一次，就是不消化"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯啊，所以吃点益生菌调节一下脾胃"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "目前就是吃着点益生菌观察三天，再注意以上注意事项奥就可以了！"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "还可以继续服蒙脱石散吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "那个可以停停，主要是调节胃肠功能"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好，谢谢！"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果三天症状不缓解或者加重查个大便常规之后再根据结果对症处理奥"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气的，祝宝贝健康"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题还有疑问吗？亲"
            }
        ]
    },
    "10191761": {
        "self_report": "我家宝宝两个多月了。月子里因为我感冒，传染给他，导致他咳嗽打喷嚏，去医院开了阿莫西林，后面好了。后面我又感冒又传染给他，他就轻微感冒一直没好彻底。到现在，就是有时候换尿不湿时，着凉了会打喷嚏，平时鼻子里有点鼻屎。但是有个严重的问题，就是他喉咙有痰，特别到晚上，很明显。我该怎么办呢？因为去医院去了好几次，医生也没特别好的方法，所以想请教拇指医生，谢谢！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "两个多月"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "偶尔"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "白天严重还是夜间严重"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "咳嗽就偶尔会"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没注意白天还是晚上多点"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "是一声声的吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不锅应该是晚上，因为他白天睡的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "多"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有喘息"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "咽喉部有没有吱吱声"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝有没有呛奶"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吱吱声"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝大便正常吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "刚出月子有呛过"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "现在没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "大便正常吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "挺正常的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "吃奶好吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "还好吧"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "白天睡"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "晚上不睡"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "有没有检查过胸片"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那要怎么办啊"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "期间给宝宝应用过什么药物"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "医生没说要检查"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "阿莫西林"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "应用什么药物"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院合理检查一下胸片了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果不严重可以加用止咳化痰药物"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "主要是之前感冒了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，还有其他问题吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "有感冒有关"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "建议合理检查一下"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "医生不建议过多服用药物"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "说让他自己扛"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "根据结果规范应用药物"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "增强免疫力"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "合理检查一下，了解炎症程度"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "必要时根据病情需要规范应用药物"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "之前抽过血"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "检查一下胸片吧！"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，还有其他问题吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10214226": {
        "self_report": "宝宝3个月。这种情况持续有2周多了。开始有吃妈咪爱。后来医生开了双岐。医生说妈咪爱不可以长期吃。基本一天2到3次。偶尔放屁会震出一点。请问这样是严重了吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "这样严重吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝的大便一直都是这样吗？带奶瓣"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "3个月开始就这样。以前很粘稠没有奶瓣"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "现在3个月24天。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这种情况维持了，2，3周"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "从两周前开始带奶瓣的吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "去医院看过2次。第一次开了药。吃完没有改善。只是次数少了。后来医生说吃妈咪爱。还是没有改善。上周又去看。医生开了双歧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那加上放屁带出的一共几次？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃这个药有一周了。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "2到3次左右。没有超过3次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个是活菌比之前那个好些"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那宝宝这个不算严重"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "都是温水送服的。没有用很烫的水"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这20天体重长了2斤。3个月的宝宝14斤。生下来6斤"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯。一岁以内的宝宝胃肠道没有完全发育好是容易这样的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "医生说只要宝宝生长。不爱哭闹。就问题不大。但是我看奶瓣越来越大了。之前是很小的颗粒呢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "医生说只要宝宝生长。不爱哭闹。就问题不大。但是我看奶瓣越来越大了。之前是很小的颗粒呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "宝宝是纯母乳"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "体重增长正常，大便次数多没有影响宝宝"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，宝宝的生长指标正常的，不用担心"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那现在怎样处理"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "她有补锌和钙还有鱼肝油"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "母乳喂养的小孩大便容易带奶瓣"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "这些都正常吃吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "您继续用益生菌。加强保暖。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "母乳喂养的宝宝比较常见大便次数多，但是宝宝的没有超过三次"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "穿的很厚。可是宝宝手总是凉的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "而且发现她老打喷嚏"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "背上有没有出汗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "大便4、5次是不是就不正常了？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "平躺的时候背上老出汗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯，超过五次，你就需要给宝宝加点小儿蒙脱石这类止泻的了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "受凉可能是宝宝穿多了。出汗带走了一部分热量。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "手凉"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "是穿多了吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "可是老人一听娃娃打喷嚏就说穿少了。不停的加衣服"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "背上出汗了，穿的有点多"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝生下来直到半岁以内是比较容易打喷嚏，这也是宝宝抵抗外界病毒细菌的一种方式"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "您上医院查过大便常规吗？"
            }
        ]
    },
    "10279923": {
        "self_report": "你好，我宝宝今年4岁，7月份因为肺炎住了10天医院。这几天有点咳嗽今天区医院检查说是支气管发炎，需要住院。孩子就是咳嗽厉害，有痰。我不想去住院了，在家喝药可以吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我孩子上次肺炎就不太厉害，"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天第三天"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "星期三老师说有点咳嗽，我没给喝药，星期四咳嗽的厉害了，有痰，喝了一天药。今天去医院检查的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "发烧了，昨天晚上最高38.5"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "一阵阵的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "去医院检查血常规和胸片了吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有，就是有痰，听着咳嗽的时候有痰。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "拍了胸片，血常规没做，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "从描述症状（宝宝咳嗽，有痰伴有发热）支持支气管炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般应用抗感染，止咳化痰药物"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "毕竟平台不能详细查体，建议遵循当地医生医嘱规范治疗，"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我现在给喝的消炎药，咳嗽药，抗病毒的药。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "最好做一下血常规和CRP，分析一下感染程度"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我们这的医生就是让住院"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以，可以配合雾化治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我家有雾化器可以做，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "建议遵循当地医生医嘱规范治疗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以在医院规范治疗3-5天，然后回家巩固治疗。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "这的医生有点夸张，小病也是让住院。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "我孩子上次不厉害，也是支气管炎，住了10天。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不是的，支气管炎，需要积极控制，不然容易演变成肺炎"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我让吓的，没主见了。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我们孩子上次住院，一天才输两瓶液体。一直输了10天。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一般支气管炎疗程7-10天，肺炎一般10-14天"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "我知道医生也是好意，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "给宝宝合理检查，规范治疗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我下午再去做个血常规"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我们孩子血管不好找，去了医院就是受大罪"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "在吗"
            }
        ]
    },
    "10352551": {
        "self_report": "六个半月的宝宝早上拉这样的便便，感觉肚子疼，来回翻的折腾的，哼唧……",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "这是怎么了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "早上拉了两次"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是母乳喂养吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "第一次拉这样的便便"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "是呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "都是腹部受冷，或者是消化不良的表现。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天晚上给吃了点牛油果有关系吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝没有吃中药成分的药物吧。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有一定的关系的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没，别的啥也没吃"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "母亲也没有吃韭菜，菠菜之类的食物吧。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "那就没事儿的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "给宝宝腹部保暖，口服点妈咪爱就可以了。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯，感觉他不舒服，就磨人呢，就让抱"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝可能是肚子不舒服的一种表现。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一般拉肚子，都会引起肠痉挛"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "多给宝宝按摩腹部，可以贴宝宝一贴灵。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯嗯，那会给揉了揉肚子"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "给宝宝腹部保暖，口服妈咪爱2到三天就好啦。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "一般情况下都是正常的，不需要处理的。口服妈咪爱2到三天就好了。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "知道了吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "给宝宝少量多次喂奶"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "顺时针揉还是逆时针揉呢？那会是顺时针揉的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯，知道啦"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "以肚脐为中心顺时针按摩。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "一般两到三天左右，宝宝就转过来了。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气地，祝宝宝早日康复，身体健康。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "以后有什么问题随时咨询，我会结成为您服务的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯，谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气再见"
            }
        ]
    },
    "10128565": {
        "self_report": "宝宝咳嗽到医院拿的头包，肺力咳和回春散吃了第二天晚上怎么还咳严重了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，在吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝多大了咳嗽几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "九个月有好几天"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "药物吃了几天"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有做血化验吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两天，上火了粑粑拉不过来，从昨天下午到现在都不吃了，沒有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝是药物停了还是不愿意吃饭了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "药没停，不愿吃饭"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝几天没有排便了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这种情况可以给宝宝用开塞露通一下便，让她多喝水适当多吃蔬菜水果用肠道益生菌调理几天"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "他想排但是排不出来，小宝宝可以用开塞露吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以的现在有儿童开塞露"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不客气的，孩子有没有查血化验"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "孩子现在如果咳嗽明显加重最好给他查下血化验看是不是病毒感染引起的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "咳嗽有痰的话做下雾化吸入效果也不错的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "你好，孩子咳嗽好点了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吗"
            }
        ]
    },
    "10100659": {
        "self_report": "两岁半宝宝感冒发烧，打了肌肉针，烧退了，可是第二天开始连续三天早上烧在37.9度左右，药吃了就退，白天都没事，为什么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好孩子除了发热还有别的症状吗?比如咳嗽呕吐腹泻?精神状态怎么样?"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "这是第一天的时候有拉肚子"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "第二天开始发烧38度左右，吐了两次，然后拿了药吃，肌肉针，没有发烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "打的什么药物?"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在孩子精神怎么样?"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "第三天没烧也没什么，第四天第五天今天第六天都是早上发烧37.8这样，药一吃，降温一整天都没事"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "村上诊所，什么药物具体不懂，就是消炎针"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "精神都挺好的，吃饭也还可以，就是早上五六点会烧，昨天开始有点流清涕"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "你好这种情况最好去查个血常规看看"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "如果血常规没事孩子精神状态好可以回家吃药"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "看看什么原因导致发烧是吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "确定病毒还是细菌对吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "对"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好的，明白了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果是病毒性的属于自限性的自己慢慢会好"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "也要吃药的吧，不吃药能好吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃点抗病毒的药物会好"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，明白了，谢谢"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子发热时间长了需要查血找找原因"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您还有什么问题需要咨询吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你好孩子好了吗"
            }
        ]
    },
    "10665419": {
        "self_report": "宝宝消化不良拉肚子吃奶水还吃奶粉查大便脂肪求高是奶粉的事还是奶水的事这个奶粉里面含有益生菌",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝多大了呢？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "最近吃奶量可以吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝妈有没有吃生冷辛辣刺激食物油腻食物来吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不大想吃"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "两个月"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝肚子有没有着凉呢？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝吐奶厉害吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我也不知道睡觉都是盖好的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不吐奶"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝贝主要是什么消化不良症状呢？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃了药也不见好"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便次数怎么样呢？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "一天六七次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "次数比正常情况下大便是增多了吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便什么样子的呢？颜色正常吗？有没有未消化的奶瓣？有没有粘液脓血之类呢？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯啊，精神状态好吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "尿量多吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还好尿没以前尿的多"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "您得多给宝贝喝点温水的奥！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "什么时候看的医生呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "面诊医生给宝贝怎么治疗的呢？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "拉的都是奶半昨天"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "主要是消化不良的表现的奥！宝贝目前的话主要是一个消化不良的表现，消化不良的话可能受凉或者胃肠功能弱都可能引起来消化不良的，治疗的原则一般就是调节胃肠功能的治疗原则的奥！"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "查大便"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在怎么治疗的呢？用了几天药了呢？用的什么药呢？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "思密达和双岐"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "吃了几天了呢？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "两三天了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "不见效"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "大便次数一点没有缓解？大便性状也一点没有缓解吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前的话宝贝精神状态好，尿量多，大便次数还是可以的，所以目前病情比较稳定的，如果宝贝大便次数比较多的话如果不控制的话就容易脱水的，表现为宝贝尿量少，眼窝凹陷之类的，皮肤粘膜干燥等脱水症状，目前的宝贝情况可以观察一下，面诊医生根据宝贝情况和化验结果给宝贝用了益生菌调节胃肠功能，蒙脱石散止泻功能，治疗符合治疗原则的奥。对宝贝来说恢复起来比较快的一种治疗方案，您可以按照医生的医嘱积极治疗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝目前用了两天了，胃肠功能修复是需要一个过程的奥，宝贝这个胃肠功能紊乱的话治疗疗程怎么也得5到7天的疗程的，目前的话胃肠功能恢复就像手破了修复是有一个过程的奥，可以继续巩固益生菌的奥，这个益生菌吸收也是一个过程的奥，所以这个不可能用上之后症状立马就好了奥！"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝贝喝奶粉的话别喝太凉了奥，奶嘴两边尽量塞到嘴里，别溜缝，防止空气的进入！宝妈生冷辛辣刺激食物不能吃油腻食物不能吃的奥，这个时候奶粉能吃多少吃多少别强喂奥！宝贝晚上睡觉盖好被子，别着凉，多给宝贝热敷一下肚子，顺时针揉揉肚子，多喝点温水！这个时候胃肠功能会影响所以能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "吃着益生菌观察三天，大便次数，大便性状不缓解或者加重及时带宝贝去儿内科就诊需不需要复查大便常规明确一下病因，需不需要调整用药，根据结果对症处理，精神状态差，超过8小时没尿的话就可以及时带宝贝去儿内科就诊补液对症治疗了，防止宝贝脱水电解质紊乱的奥"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "需要喝无乳糖奶粉吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "能吃奶水吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "暂时的话可以用着面诊医生调节胃肠功能止泻的药物先观察一下，如果腹泻时间长，可以查个乳糖不耐受，这样再面诊医生的指导下用腹泻奶粉的奥！"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可以喝的奥！宝妈饮食注意饮食的奥！"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "目前的话病情比较稳定，您可以按时服用医生的药物，再注意以上注意事项奥，有问题及时就医就可以的奥！"
            }
        ]
    },
    "10042927": {
        "self_report": "宝宝半岁，最近拉肚子，去医院检查了大便，没什么异样，医生开了点思密达，和双歧杆菌三联活菌散，和贴肚脐的药，但吃了两三天，感觉没有好转，到底怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "大便拉得会比较稀吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "有，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "而且有水！"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，我报告单看一下"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯，查的粪便确实没太大问题"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大便有点稀糊状，消化有些不好"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "医生开的药，吃了两三天了，可宝宝还是拉肚子！"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在吃的什么，辅食加的是什么"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯嗯！蒙脱石散你是怎么吃的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "最近才添加辅食，吃的米粉！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "那母乳喂养为主吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "蒙脱石散一包吃三次，也就是一次吃三分之一，一天三次！"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "混合喂养！"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是的一次泡水15ml，饭前半小时喂"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "培菲康呢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可能跟最近添加辅食有关"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "培菲康一天吃三次，一次半包！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以跟奶一起泡"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这样吃的都是对的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "辅食在一个星期就给他停了，怕他拉肚子"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是停完才拉的吗，还是拉的才停"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "就是呀，宝宝药也吃了，大便查也正常！可现在还是有点拉肚子！"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "其实从四个月开始就要添加辅食"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一天拉几次"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是拉的时候就停了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "米糊可以继续吃"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "一天有个5或6次"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "那还是有点多，有发烧吗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "不发烧，精神状态很好，能吃也能睡！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那都挺好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "蒙脱石散和培菲康继续吃两天"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "培菲康一般要吃比较久一点"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯，吃了有两三天了！"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "蒙脱石散差不多三天左右可以看到效果"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果接下去这两天没有好一点，要注意是排除一下其他原因"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "现在大便颜色还可以，只是有点水，问题应该不会太大"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯！那如果还是拉肚子，一般要注意哪些？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯！宝宝精神好，也不脱水，"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "如果说有发烧，那可能要考虑有感染"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "宝宝不发烧！"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "是的，所以这样拉肚子，倒不一定有问题"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "医生开的这些药，应该可以解决消化不良的问题吧！"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "一般蒙脱石散和培菲康就已经可以了"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "先再吃两天看看，如果效果差一点建议培菲康换妈咪爱试试"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "那宝宝从所有症状来看，不严重吧！"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "这样来看，不严重"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "可能有点生理性腹泻"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "嗯，好的！"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "是消化不良嘛？"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "考虑是的，从大便性状看有些稀糊状，而且大便验的没有问题"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "嗯！好"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "谢谢你，请问，怎么跟你们点赞呀！？"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不用客气，结束了就可以点赞"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "嗯！好的！谢谢你"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "不用客气的"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "嗯！谢谢！拜拜，"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10070641": {
        "self_report": "孩子本来肚脐周围痛拉肚子，吃了蒙脱石散，可是早上7点多到10点多拉了四次，每次就一点点在裤子上，老是要喝水，而且老想睡觉，10点多带去医院看，医生给开了“磷酸铝凝胶”和“双歧杆菌乳杆菌三联活菌片”，现在说肚脐上方痛（感觉像是胃的位置），然后手酸脚酸，很累的样子，请问这是什么状况？应该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好宝宝现在尿量有没有减少？体温有没有升高"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没发烧，尿量正常"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子这两天有吃特殊东西吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有，只吃大米粥"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "他大便是什么性状的有没有粘液和脓血之类的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "现在说手脚都很酸"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "四肢有没有酸痛的感觉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有脓血，之前拉的是水样的，早上的感觉好像有黏液"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有，他说就是手脚很酸"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看医生的时候有没有做相关的化验"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，医生也有问有没有黏液，我说好像有点，但是他也没有让化验"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "给孩子测试一下体温"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "刚测过，没发烧"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有时候的低热状态会出现四肢酸痛的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "可是没发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "他现在状态特别不好吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "他就是觉得累"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "他就是觉得累"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "今天饭吃的好不好他有剧烈活动吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "中午吃了小半碗大米粥，没有运动"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "他现在虽然排了四次便但每次不是太多不应该会出现脱水症状如果感觉特别累的话最好找医生看一下"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气的祝宝宝早日康复"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不用谢的，带孩子看一下吧"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你好！在吗？孩子现在什么状况"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还是四肢还酸痛吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "从医院回来就一直说手脚酸，很累的样子，现在好了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "状态好不好"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "现在状态好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "又有排便吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "问他还酸不酸，他说酸，但是明显状态好了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "下午都没有排便过"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这样的话你主要观察孩子状态，不要总问她，有的问习惯了他想引起你的注意就会假装说酸了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我就是不太明白为什么他会四肢酸呢？也没发烧也没有再拉肚子了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯，我会注意的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "孩子有没有感冒症状"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "就是肚子疼拉肚子"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这么大的宝宝四肢酸痛一般多见于感冒发热前期再有一个就是缺钙缺维生素d"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "那就是该补钙？需不需要先去测下微量元素？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "孩子如果经常说四肢酸痛的话你可以给她做个微量元素看一下有没有缺钙"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "在拉肚子以前的挺长一段时间他常说肚子痛，一天好几次，但是几分钟就好了，去问了医生，吃了打虫药，还是会说肚子痛，也有说要补钙，之前也有买过钙片给他吃，好像也没有什么作用，又有人说可能是胃肠生长痛……实在迷惑"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "这么大的孩子可以有一过性肠痉挛"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "它的主要表现就是孩子说疼就疼一会儿就好"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "有的是与缺钙有关系的"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好吧，等这个拉肚子好了去测下微量元素"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢您的耐心"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不客气的祝宝宝健康成长"
            }
        ]
    },
    "10659670": {
        "self_report": "宝宝早晨咳嗽，吃药十多天无好转，今天抽血化验无感染。医生说可以吃提高免疫力的药，宝宝四个半月可以吃吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有没有着凉呢"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝一个月之前得过支气管炎"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝支气管炎之后还是偶尔咳嗽的，对吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝这次咳嗽总共几天了呢？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "支气管炎后好了两周"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这次咳嗽的话总共几天了呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一共10天"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽勤吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽现在比开始有所缓解吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "主要是早上咳，白天不，晚上偶尔咳一次"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯啊，现在咳嗽好多了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "咳嗽期间有痰吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好像有一点"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在还能听到痰吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "早起咳嗽听着没有"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "这是今早的化验单"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "血常规的话问题不大的奥"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝咳嗽这十天的话期间看过几次医生也"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "两三天看一次"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "期间换了一次药"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "做了三天雾化"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这次咳嗽期间除了血常规做过其他检查吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "面诊医生这次考虑是支气管炎还是什么病呢？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一个月前做过系统检查，没什么问题"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "听诊了，肺上没问题"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "说是免疫力低"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这次没做过检查的话，给宝贝主要是考虑什么病呢？气管有问题奥！"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "血查过支原体吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "之前查过"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯啊，这次的话治疗的话都是怎么治疗的呢？用过什么药呢？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "效果现在只有早晨晚上偶尔咳嗽，是有点好转的奥，痰也比较少了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "怎么治疗的呢？期间用过什么药？吃了多久？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "这几天吃了清热化痰的药水跟雾化"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "今天去的话面诊医生怎么给宝贝治疗的呢？还是让吃止咳化痰的药和雾化吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "让吃点提高免疫力的药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "开了吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "让把之前的药跟雾化做完"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "开了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝贝这个目前面诊医生主要是考虑的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "从开始到现在都是这个症状，没好转也没恶化"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那现在怎么处理"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝贝目前的话咳嗽症状的话是好转很多了，咳嗽症状不怎么明显了，面诊医生给宝贝用了之后治疗缓解了很多的。目前病情比较稳定了，您就按照面诊医生的话用的雾化的药物止咳化痰的治疗的奥，用点免疫力的药物提高免疫力的，目前的治疗的话比较符合治疗原则的，对宝贝来说也是恢复起来比较快的吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "宝贝吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，清淡饮食为主，特别油腻食物容易生痰的奥，多喝点温水，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃饭会有影响可能，能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "目前可以用着雾化药观察一下，如果宝贝咳嗽症状不缓解或者加重及时带宝贝去儿内科就诊，给宝贝查个胸片，肺炎支原体，看一下结果，根据结果对症处理，需不需要用药，呼吸困难精神状态差也要及时带宝贝去儿内科就诊的奥"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "宝宝四个半月，提高免疫力的药能吃吗？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "那个可以吃的，这个没什副作用的奥，您不用太担心了的奥"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "宝贝这个的痰的目前拍上来的话就好了，这个病程总共大概需要7到10天时间，这个越小的宝贝恢复起来越慢宝贝排痰比较慢，偶尔一点的咳嗽这个可能会有一点，做雾化这个会有效果的奥！药物吸收也是一个过程的奥，所以会有一个过程的，不用太担心了，目前按照医生的医嘱先治疗观察一下"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "这个免疫力的药可以给宝贝用点，提高体质！多喝点温水，早晨起来就给宝贝喝点温水，别活动太厉害了奥！"
            }
        ]
    },
    "10283277": {
        "self_report": "孩孩子咳嗽，检查结果是病毒感染，照片为开的药方。阿奇开的是三天的量，第一天按处方吃了两袋，晚上睡觉明显见轻，第二天就吃个一袋，晚上咳嗽较重，第三天吃了两袋，不知道对孩子有什么影响。下一步该怎么做？谢谢大夫！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "阿奇霉素是长效的消炎药"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "而且用药是第一次加倍，以后半量"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "所以您不需要在给宝贝加量哦"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那我是每天几袋呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "首次加倍是为了让宝贝血中药物浓度尽快达到治疗效果"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一袋，按照医嘱"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "医生说的是每天两袋"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝体重多少"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在多大了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "40多斤"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "7周"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个药是10mg每公斤体重"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "医生用的是三日服用方案"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "如果是五日服用方案的话，第二天减半"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "我说的是第二种方案"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "医生开的方子是每天两袋的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝现在咳嗽减轻了吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "第一天吃药后明显见轻"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "第二天阿奇减半后严重了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "今天怎么样了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "今天严重"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "让她吃了两袋"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "孩子现在体温正常吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？嗓子哑吗？有没有气喘？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "考虑到是抗生素怕对孩子有影响"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "有痰，体温正常，嗓子哑"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "阿奇霉素一般用药五到七天"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "今天早上听着呼吸有声音，像我们正常人是没有声音的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "您的意思是继续用药"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "还按每天两袋的量吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您现在已经给宝贝吃了三天两袋的量了是吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "到今天是用药第三天，第一天两袋，第二天一袋，今天两袋"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "按照第二种方案是五到七天，您现在最好给宝宝再次听诊，看看是不是该调整用药了"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "不用阿奇吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "现在量也不少了，除非有明确支原体感染"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以继续用阿奇"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "我们是县城的，去市里很不方便"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "您的意思是改成一袋"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝宝现在情况不重，在县医院就可以治疗的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "因为阿奇容易有胃肠道反应，不建议吃太多太久"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "根据宝宝听诊还有检查再确定"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "如果每天两袋的话最多吃几天"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "三天"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "之后可以复查支原体"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "哦谢谢"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "再见！"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10633521": {
        "self_report": "我宝宝9个月了感冒咳嗽已经20几天了，吃药吃到现在雾化也做了，可还是有点咳，但没给她吃药了。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好！"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子现在就只有咳嗽了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽频繁吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我家宝宝感冒咳嗽已经有20几天了。现在还是有点咳"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯！"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "频繁咳嗽？咳嗽干咳，还是有痰？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃药雾化都做了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不是就是偶尔有咳"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "白天咳嗽厉害，还是晚上咳嗽厉害呢？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "听起来有痰"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "白天偶尔有咳几声，还有些痰"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "额去你们到底干过，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "去你们当地公立医院儿科门诊看过了吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯啦看过了。雾化也是昨天才结束的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "你们当地公立医院儿科门诊医生怎么说？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感冒"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "肺部听诊有问题吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "考虑支气管炎还是急性上呼吸道感染"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃了几天药？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "雾化了几天？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "听了没有问题。也看了喉咙也没问题"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "吃了药，做了雾化，咳嗽有好转吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "吃了20几天的药雾化做了三天"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃了这么久的药啊"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好些了。就是偶尔还有些咳，要不要吃些消炎药呢？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯啦，所以现在没给她吃药了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以不要吃药，喝点水喝点绿豆汤啊这个给东花坛，家政是不孝顺，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "之前是感冒、发烧、拉肚子，现在就是咳"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不影响孩子睡眠"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯好的。就是用梨子炖冰糖"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝症状主要是咳嗽，之前有感冒，在你们当地公立医院儿科门诊看过，明确是急性上呼吸道感染，吃药20多天，雾化三天，现在咳嗽明显好转，偶尔有点咳嗽，有痰"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "没有加重，体温正常，考虑现在是恢复期"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "不影响，晚上还是吃的好谁的好。白天也好就是偶尔咳"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "多喝水，吃点冰糖雪梨，避免受凉就可以了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "哦。没发烧没加重就没什么问题是吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "关键就是孩子现在可能免疫力低下，如果受凉，容易导致再感染"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "没有发烧，咳嗽没有加重，就先观察"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢医生了！这样就放心了。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "没有必要再吃了，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的！就先观察一下再说。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "像9个月的宝宝吃什么能提高免疫力呢？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，谢谢张医生"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "孩子平时容易生病吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "生下来到现在感冒两次。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "就是这次感冒搞了这么久"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "频繁的感冒，不需要吃什么？"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "以前有点流鼻涕给她喝些开水自己就好了"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯嗯好么谢谢张医生了！"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "现在吃母乳还是奶粉？"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "辅食吃了吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "吃的母乳"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "平时均衡营养，护理上注意适当增减衣物"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "面条稀饭，米饭都在吃。各种汤也在给她喂"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "水果都吃"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "那孩子不是频繁生病"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "目前不需要吃增强免疫力的"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "饮食和护理上注意些就可以了"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "您可在咨询结束后点击（首页），在首页里找到（康复记录），在康复记录里找到我然后点（再次咨询)"
            }
        ]
    },
    "10328586": {
        "self_report": "宝宝10.个月已经第二天了病毒性肠胃炎第一天吐得厉害拉稀厉害，第二不吐了不怎么拉了，又开始咳嗽流鼻涕晚上发烧38度一直不退烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝病毒性肠胃炎咳嗽流鼻涕发烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子目前最主要的症状就是发热，流鼻涕咳嗽，还有拉肚子的情况吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "呕吐的症状消失了吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天第三天"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天晚上一直发烧不退38°"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯，病毒感染的高峰期为3到4天，度过高峰期以后症状会逐渐缓解"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "这个孩子应该处于高峰期，所以说会出现反复的发热，不超过38.5度是不需要给孩子口服退热药物的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "消失了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那孩子目前的精神状态怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在每天大便几次啊"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天正常"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果孩子精神状态好，可以给孩子多喝水，观察体温变化"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "前天大便多，昨天三次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "也就是说这个孩子仅仅是有呼吸道的症状，胃肠道的症状现在都消失了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天还没大便"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "应该给孩子口服感冒颗粒和清热解毒药物"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不吐了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那这个孩子现在呕吐消失了，今天也没有出现拉肚子的情况，胃肠道的症状明显地缓解了呀"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "咳嗽厉害流鼻涕"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在最主要的问题就是呼吸道的症状"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "喉咙就像有痰"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "就是上面你说的咳嗽厉害流鼻涕"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "需要给孩子口服清热止咳药物和感冒颗粒"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "发烧有问题嘛"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个体温不需要特殊处理的呼吸道感染的孩子，特别是病毒感染的孩子，可能会出现发热的情况，这是一种正常的现象，在感染控制以后，症状会逐步的缓解。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "一直不退烧没问题嘛"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "应该没有问题的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "药也喂了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这还是最高的体温是多少"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "你指的是体温不退，就是38度的体温"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "咳嗽我能用桐油唔背吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "当然可以"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "是滴"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你在家中给孩子口服什么药物了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "38度的体温对孩子影响不大的，没有问题"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "最高38.2昨天"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不超过38.5度不需要给孩子口服退热药物，这个体温可以外用退热贴用温水擦浴，额头敷冷毛巾"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "清感口服液"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还有其他的药物"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "和999小儿感冒颗粒"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "那就继续口服这两种药物暂时观察2到3天"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "多给孩子喝水，就可以了"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好滴，不需要去医院在看"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好滴，谢谢医生"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "我认为暂时没有必要"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果孩子精神状态差，反复地出现高热不退，建议你到医院就诊，这个体温没有问题的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "昨天晚上到现在一直没退"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "没有问题的，低热对孩子来说是一种保护机制，除非这个孩子有抽搐的情况，需要口服退热药物"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "没有，精神还不错"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "那没有问题的，可以暂时观察"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好，"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "现在最主要的就是多给孩子喝水，外用退热贴，额头敷冷毛巾，用温水擦浴"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "继续口服原有的药物"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "或者说出现高热不退，或者说咳嗽症状加重，才需要到医院就诊"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "疾病的治疗总有个过程，不可能一蹴而就的"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "特别是呼吸道感染的孩子，一般有3到4天的高峰期，我们口服药只是将高峰期缩短，并不能使高峰期消失"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10457195": {
        "self_report": "宝宝前两天拉稀是绿色的，消化不好，有点哭闹，贴咯宝宝一贴灵好多了可是昨天又开始拉了，怎么回事，夜里还有点哭闹。求解",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝多大了，还在母乳喂养吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "最近有没有腹部着凉或吃不合适的食物？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "7个月零10天"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "纯母乳"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，宝贝有没有呕吐，吃奶怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝贝肚子摸着胀吗？大便时候哭闹吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "他奶奶最近怕他吃不饱，开始添辅食了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "刚添加辅食对吗？宝贝今天大便了几次？大便什么样的？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝贝小便量多吗？精神状态怎么样？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "肚子好像不胀，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有带宝宝看医生。检查过大便常规吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不到七个月就添辅食了，今天大便3回了，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯，有孩子大便的照片吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "大便有点稀，还有点绿"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝贝有吃药物吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有大便的照片，也没吃药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "也没有看医生检查对吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没看医生，也没查大便常规"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝贝这个情况还是考虑刚添加辅食引起的消化不良情况，治疗上可以给宝宝贴一贴灵，或热敷肚子，吃点益生菌调节一下就可以"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "观察1-2天，勤给宝宝吃母乳，或喝水，观察宝宝精神状态，和小便量"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "贴一贴灵，贴那个，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还用给宝宝吃辅食吗，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝贝脱水主要表现为精神差，皮肤颜色苍白或发灰色，皮肤弹性差，囟门或眼窝凹陷，小便量少或无尿，宝贝哭闹时候没有泪，泪少等等"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯嗯1，最近少给宝宝吃辅食，还是以母乳喂养为主"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝贝饮食上要母乳为主，如果刚添加辅食就要减少辅食。平时可以添加益生菌调节胃肠功能，宝贝如果不吐，轻度脱水以补充水分电解质为主，如果宝贝有细菌感染还要口服抗生素"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，他奶奶怕他吃不饱，偷偷的给他吃饭，他可能也有点吃着"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "观察1-2天，如果孩子呕吐，腹泻加重，出现我刚才说的情况，就要带宝宝及时去医院小儿内科就诊检查大便常规，排除病毒感染引起的肠炎"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "少量多次给宝宝吃，给孩子胃肠道一个适应过程"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "我要给宝宝吃点什么药"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝贝添加辅食，要少量多次，由稀到稠，由少到多，给胃肠道一个适应过程"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好让宝宝缓解缓解啊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "益生菌就可以，普通药店都有卖的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "什么牌子的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯嗯，可以用手顺时针帮孩子揉肚子缓解宝贝哭闹情况"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "普通的就可以，您去药店咨询就可以了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "或者平时用毛巾包着热水袋帮宝宝热敷一下肚子，减轻症状"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "宝宝白天也不哭闹。精神也不错。就是有点拉肚子。昨天都好看，拉咯一次，怎么今天又拉咯三次了"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "平时多喝水，预防孩子脱水情况"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "宝贝有可能出现了反复，如果观察今天看看，还是不好，需要检查大便常规排除肠炎情况！"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，我现在还用不用给宝宝吃鱼肝油和补钙得"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "可以继续口服鱼肝油"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "那补钙得就停停吗"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果医生给宝宝开的钙也可以继续服用"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好得，"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "现在主要观察宝宝精神状态，多喂水，喂奶，调整饮食，预防孩子脱水症状！"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "嗯嗯，平时加强喂养，适当户外活动促进钙吸收，增强抵抗力，预防宝宝感冒"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "还有疑问吗"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "谢了，有问题再找你"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "还在吗"
            }
        ]
    },
    "10416565": {
        "self_report": "我家宝宝九个月时去血液检测，然后淋巴细胞是7.5要紧吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好，就我刚才发的，要紧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝现在有什么不好吗，最近有没有着凉，有鼻塞流鼻涕，发热咳嗽等症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为什么要给宝宝做这个血液的检查？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前几天流鼻子然后现在有点咳，没发烧，去体检时抽的血"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝现在还流鼻涕吗？咳嗽厉害吗，大约一天咳嗽几次？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "早上起来流一点点，一天咳几次我没注意，但次数不多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "医生有没有给宝宝听诊，说孩子现在主要是什么情况呢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "医生有没有给宝宝开药"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝贝稍微有点咳嗽，流鼻涕，淋巴细胞偏高，还是有些病毒感染情况，但是宝贝一般情况还可以，您不要太担心了！"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "昨天去小医院看，医生说有点干结，然后开了一盒小儿金翘颗粒"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，按照医生给的药按时服用就可以了，配合医生治疗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃药观察2-3天，如果宝贝咳嗽加重，精神不好，就带宝贝去二级以上医院小儿内科就诊，听诊一下，拍个胸片，或复查一下血常规就可以，便于对症治疗！"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "宝宝白天很乖，但一到晚上十二点以后就不睡觉的哭"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝有没有腹泻或腹胀情况呢，宝贝有没有口服鱼肝油？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "只吃着伊可新"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝贝有没有枕秃或爱出汗摇头情况？哭闹烦躁安抚后能安静入睡吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "伊可新一直吃着吗，现在宝贝户外活动多吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "活动的多呢，就是哭闹烦躁"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝贝这个情况还是不排除缺钙的情况，您可以继续给宝宝口服伊可新，多给宝宝吃点鸡蛋，虾皮等含钙高的食物！"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "伊可新和鱼肝油都要吃吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "适当户外活动，晒太阳促进钙吸收，观察一个月左右，没有好转的话就带宝贝去医院小儿内科就诊检查一下微量元素，排除缺钙情况"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "伊可新就是鱼肝油的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝贝平时可以多喝水，咳嗽有痰的话可以帮助宝宝拍背促进痰液排出来，宝贝早晚减少出门，避免温差刺激加重咳嗽，鼻塞等症状！"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "她前几天肯吃辅食的，可是这两天就只肯吃奶"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "平时室内勤通风，保持新鲜空气流通，加强喂养，增强抵抗力！"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝贝这几天稍微有点咳嗽，流涕，不太舒服，宝贝不爱吃辅食，就不要强迫孩子，先喂母乳观察几天，过几天再慢慢添加辅食就可以了！"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "还有疑问吗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "祝愿宝宝健康成长！"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "噢，那个病毒感染不用处理吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "给宝贝吃医生开的小儿金翘颗粒就可以了，有清热解毒的作用，多给宝宝喝水，避免感冒就可以！"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "还有疑问吗？"
            }
        ]
    },
    "10317985": {
        "self_report": "感冒气管炎手湿疹吃点什么好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子白天咳嗽症状重，还是夜间高速增长中"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "还是夜间咳嗽症状重"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "白天咳"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "我看你的病例刚开始咳嗽的时候，这个孩子有发热的情况，应该考虑呼吸道感染"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在这个孩子体温正常了，仅仅留下咳嗽的情况？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "现在孩子体温正常，白天会咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "晚上不怎么会咳嗽"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "能不能吐出痰来黄痰还是白痰？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不能吐岀痰"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这孩子是过敏体质吗？有没有药物或者食物过敏的情况，家族中有没有过敏体质的人，比如说支气管哮喘，皮肤过敏，过敏性鼻炎？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有过敏体质"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "但是这个孩子手部有湿疹呢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有进行血常规的检查？胸片是正常的吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昰手有湿疹"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "手部湿疹严重吗？这孩子出生的时候有没有时间的情况"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "既往有没有喘息发作？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有喘息，只会咳嗽"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "也就是说这个孩子以前频繁地出现咳嗽？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "上了幼儿园才会咳嗽"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "上幼儿园以后，有很多孩子不适应幼儿园的环境，可能会出现咳嗽的情况，当然也许幼儿园当中空气比较差有关系"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果有一个孩子出现呼吸道感染的情况，很容易传染给另外的孩子"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你口服这些药物以后症状缓解了吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "比较好一点，还会一点咳嗽"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "我看这个医生给你开的有开瑞坦，有酮替芬，这都是抗过敏的药物"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "应该考虑这个孩子是过敏性咳嗽"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你有没有进行过血常规的检查？能不能将化验结果上传"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这种症状能吃尔?"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以吃的，前提是这个孩子对这个阿胶不过敏"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "应该适当给孩子口服免疫调节剂，增加抵抗力"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这样的孩子相对来说体质比较差，发生呼吸道感染的概率比正常的孩子要多得多"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "转基因子可以吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以选择匹多莫德，脾氨肽，转移因子，胸腺肽这些都是可以的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果这孩子咳嗽症状缓解不明显，可以雾化吸入缓解的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "吃了药多久可以吃转移因子"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "半个小时就可以了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "前三天雾化了2??天"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "每天雾化两次啊"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "雾化吸入可以明显的缓解孩子咳嗽情况，并且雾化吸入可以降低气道的高反应性，抑制气道的炎性反应"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "现在也要带小孩雾化吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可以继续雾化吸入的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "除非这个孩子咳嗽症状明显的环节，基本上不咳嗽了，那可以不雾化吸入的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "因为雾化吸入作用最直接，比所有的口服药物效果都要明显"
            }
        ]
    },
    "10293734": {
        "self_report": "宝宝晚上睡觉半个小时哭一次，现在不发烧了，就是流鼻涕，状态不怎么好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "宝宝刚开始发烧，晚上睡觉一直哭"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "十个月"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发热最高体温多少度"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "流鼻涕几天了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有着凉"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "两天了，还有点咳嗽"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有吧，"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "咳嗽是一声声的吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有痰吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是啊，还吐，吐出来的就像痰"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有痰"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝大便正常吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "大便是绿色的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "现在应用什么药物"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "有没有检查过"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "抗病毒口服液，头炮，消食化机口服液"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "检查过吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "应用药物几天了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "医生说是消化不良加感冒了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "昨天下午开始用药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "一喝抗病毒口服液就吐"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "建议加用化痰药物"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "比如氨溴索，肺力咳"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "噢，明天看看症状能不能减轻，谢谢医生"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "最好带宝宝到医院找医生听一下气管，行胸片检查了解一下肺部和气管炎症情况，化验一下血常规和CRP，分析一下是病毒感染还是细菌感染，如果检查痰多，建议建议雾化治疗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢医生"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯嗯，好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不用客气，那就结束了，好吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯嗯，好"
            }
        ]
    },
    "10333432": {
        "self_report": "9岁小儿体重60斤，利巴韦林50mg的吃多少？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，我小儿9岁，昨晚感全身发冷，头痛、恶心，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "咳嗽流鼻涕吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有，38．8"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "呕吐拉肚子吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "就是发烧，伴有头疼是吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗓子疼吧？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不疼，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就发烧，头痛，想吐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "根据你说的情况，像是感冒的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃过药了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "早上吃了小快克，现在精神状态很好，没有发烧、头疼"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以继续吃上抗感冒的药物两天观察变化。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我想给她吃点抗病毒药，就是50mg的吃多少"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一次50毫克，一日三次。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "多喝水不要着凉"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "50mg一包的，60斤吃一包吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是的，应该送小剂量开始。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这个药物对肾脏是有损害的尽量少吃。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "应该从小剂量开始吃，不要吃太多的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "说明书上，成人要3包"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是的，小儿我们一般不用。可以小剂量的用"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的，先吃上药观察变化。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            }
        ]
    },
    "10717549": {
        "self_report": "母乳跟奶粉喂养39天的新生儿拉的便便里总是有辣椒籽一样白色的是不是不消化啊？怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝大便性状及次数正常吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "您说的应该是大便中有小的奶瓣吧"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "方便的话可以发张图片看一下。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝正常大便应该是黄色稀糊便，如果大便性状及次数正常，大便中有较多小颗粒状物多是消化不良"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "看到，皂块状颗粒，应该是消化不良，与服用奶粉有关。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "喂奶粉有喂水吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "他不肯喝水只喝奶"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "注意腹部保暖，可以口服益生菌调理观察。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "喂奶粉后需要适当喂水"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "他不肯喝水怎么办啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "只能适当手勤多喂，逐渐适应。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "还有就是本来宝宝是两天拉一次便便的，哦现在是有一天，一天拉了好多次，然后后来就是，一直一直，"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "后来后来那个尿布上面，一会儿一会儿一会儿带一点便便出来一会儿大一点便便出来一，反正就是一点点一点点的拉是不是拉肚子啊，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果大便次数增多，性状变稀就称为腹泻"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不过看的图片大便性状还可以，不是很稀。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是水被吸收了吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "对大便倒没有变稀大便一直是跟之前的大便一样的症状，大便拉出来的样子没有变稀，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "次数增多，但量不是很多？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "对字数增多量就那么一点点图片上面一点点没"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝有哭闹不乖吗？哺乳量正常吗？精神反应体温正常吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "这些都是正常的，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "消化不良也可以出现宝宝这样的症状，如果吃奶好，可以先注意腹部保暖，口服益生菌调理观察。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "观察3-4天查看是否好转，另外宝妈进食也需要注意清淡。不要吃凉食。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "小婴儿正常排便每日2-3次，或每1-2天一次属于正常。口服益生菌3-4天观察，如果反复排便，大便有变稀建议儿内科就诊化验便常规除外肠道感染。"
            }
        ]
    },
    "10165149": {
        "self_report": "3个月宝宝今天反复发烧，到38度5左右，吃了药能退烧，但是药劲儿下去又起烧了，是怎么回事？该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "感染的早期体温就是这样会反反复复的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在吗医生"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你家宝宝精神状况怎样？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "饮食情况怎样？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "精神状态还可以，饮食也可以"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "今天发热第几天了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不知道是昨晚发烧还是今天。早上9点多测体温就发现高了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "但是昨天晚上感觉有点热我以为是穿的多也没在意"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一般不到38.5不用退热药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "感觉药劲下去烧又上来了"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "上午时候接近39度了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "一般这个体温稳定需要3-5天"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果明天还是发热，可以去查个血常规看看"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "血常规如果有异常的话容易治疗吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这是出生以来第一次"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "发烧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这个看感染的情况，必要时需要应用抗生素的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "一般这个早期大部分认为是病毒感染"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "今天喝了一次抗病毒的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "恩，可以喝"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是吃药看看情况还是明天直接去查血常规"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "明天如果体温不稳定，建议查个血看看"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "晚上8点多时候去医院看的，没检查血常规直接给开的三样药，有治疗感冒的还有抗病毒口服液"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "恩，可以喝"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果精神状况好，也可以先喝药进一步观察看"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这种情况好治疗吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "大部分情况都会慢慢好转的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "对大脑发育有影响吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "小孩子的血脑屏障不完善，感染容易透过血脑屏障，引起颅内感染"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "但是大部分情况都会好转的，不要有太大的压力"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "着急了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "恩，小宝宝生病大人都会着急的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "对了你家宝宝有没有咳嗽？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "恩，那就好"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以给喝点水"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "今天喝水比较多，就是没见好转"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "没有那么快的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "一个小时前吃的药，这会儿在出汗，没之前38度几的时候高了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "恩，晚夜间体温还需要勤测量"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "观察身上有没有皮疹"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "但总这样，已经吃了2次退热的了，每4个小时吃一次了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不到38.5一般不要喝退热药"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "烧起来就到了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "恩，勤测体温"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "还有你家宝宝有没有抽搐的情况？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "觉得药劲下去起烧就到38度多了"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "目前没有抽搐"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "恩，需要勤观察"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "不到38度5不用药就看着烧吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "用了退烧贴还擦了腋窝等处"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "但是不明显效果"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "可以物理降温，温水擦浴"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "这个体温烧不坏小孩子的"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "你好，你家宝宝体温稳定了吗？"
            }
        ]
    },
    "10456217": {
        "self_report": "孩子这几天不想吃饭，我们当地的医生说是感冒了，可以吃上药，还是不行，应该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "行"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两年9个月大"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这个问题我不确定，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝有什么症状吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "比如流鼻涕，打喷嚏，咳嗽，腹泻等"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "流鼻涕，咳嗽，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "咳嗽是一声声还是连续性"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "连续"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝是在正规公立医院儿科检查的吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不是的，就是农村的医生"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "做过什么检查吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "什么都没有做过"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "从描述症状宝宝咳嗽，有痰，流鼻涕属于呼吸道感染症状"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "初步考虑宝宝支气管炎"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那应该怎么办"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在宝宝病情不严重，属于早期，建议带宝宝到公立医院儿科合理检查一下"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝饮食问题考虑是呼吸道感染出现胃肠道反应，这种情况需要积极治疗呼吸道感染"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "到医院首先找医生听一下气管，了解气管有没有湿性啰音，如果有建议行胸片检查了解一下肺部和气管炎症情况。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果检查不严重可以口服抗感染药物（比如头孢类）止咳化痰药物（氨溴索，肺力咳）宝宝还有流鼻涕需要加用感冒药物（比如小儿氨酚黄那敏颗粒）"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "如果检查气管湿性啰音密集建议建议雾化治疗（局部应用药物止咳化痰效果更好）必要时输液治疗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢，我明天去医院看看"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝应用药物同时需要注意观察宝宝有没有皮疹等过敏现象。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗，因为支气管炎控制不及时有可能炎症向下蔓延形成支气管肺炎。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "一般规范治疗，支气管炎疗程7-10天，注意平时多喝水，勤拍背，注意防寒保暖，预防着凉。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "拍背时扣着手心，由下向上拍，反复操作，有助于痰液排出。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，检查后可以再联系我，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您以后再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "那就结束了，再见。"
            }
        ]
    },
    "10145201": {
        "self_report": "五个月宝宝经常拉稀，一天基本三四次，开始黑绿色，然后黄绿色，有奶瓣，还有沫。反复出现，每次吃过药好了之后没两天又这样。不知道是哪里出了问题",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "母乳加奶粉"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这种大便是从什么时候开始的？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两个多月的时候就偶尔有拉肚子现象"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯。奶粉是从什么时候加的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "出生时就开始这样搭配着吃了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以注意一下奶粉的温度"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "如果还是不行，可以换腹泻奶粉吃看看"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "快凉的都没让他喝过"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "腹泻奶粉？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "是什么？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "腹泻奶粉，有无乳糖酶的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以吃看看"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "你意思是奶粉吃多了容易腹泻？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "请问下黄绿色的便便是上火了吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不是的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是宝宝有腹泻，可以换腹泻奶粉看看"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那是怎么了？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "经常的腹泻有可能导致乳糖酶缺乏。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "所以换腹泻奶粉看看大便会不会好转"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "恩，哪里有卖？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "孕婴店有卖的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "知道了，谢谢"
            }
        ]
    },
    "10214049": {
        "self_report": "我儿子五岁半，昨天起热38.5℃多在诊所早晚各打了屁股针，拿了消炎葯，布洛芬，感冒药，今天发现，眼睛看着不舒服，摸着眼睛手感觉烫，他老揉……今天不发烧，鼻子干，说话有鼻音……我很担心，各位医生我该怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝咳嗽吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗓子哑吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "什么时候咳嗽厉害？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "白天不咳，晚上咳，会吐，有痰"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "晚上九点多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "影响睡眠吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝容易过敏吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "看着睡的挺好"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝眼睛流眼泪吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有分泌物"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "眼睛充血吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗓子经常哑，可能跟他淘气有关"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝喝水多吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有充血和分泌物"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "水喝的不多，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "会不会是病毒性感冒"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "给宝贝查血常规了吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "病毒感染多有清水鼻涕，流泪，咳嗽，发热"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "他揉眼睛，也不疼，也不痒，就看着泪汪汪的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝身上有皮疹吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嘴里有溃疡吗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还没查血常规，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "医生给宝贝听诊了吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没注意，就是去诊所打了小针"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是退热针吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是不是明天去查个血常规，"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "最好看看"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "还有听诊肺部"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "建议带孩子去公立医院儿科就诊哦"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "这个像病毒性感冒吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不要去诊所，检查不全面"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯，好的，谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这个需要进一步检查确诊"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "给宝贝多喝水，勤量体温"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "这几天清淡饮食，不要吃海鲜油腻零食"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢，我知道了"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "注意观察身上有没有皮疹"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "您还有疑问吗"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "谢谢！！！！"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "在您的界面可以找到已就诊医生"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "嗯，再见"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10230398": {
        "self_report": "今天早上宝宝咳嗽出来黄色痰和血块，昨天牙齿在学校磕破了流血了，我不确定咳出来的血是牙齿出的血还是怎么回事，之前有段时间宝宝总是抠鼻子，鼻子会流血，也咳嗽出来血块过，今天直接来医院检查了，医生给检查的胸片，血常规，支原体，结果都出来了，拍胸片的医生说如果想细点检查，那就拍下x射线，但是医生说没事，不用检查了，让吃点消炎药，我想请医生帮我再看下需要拍x射线吗？宝宝出现这种情况是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天早上咳嗽的，不严重，早上刷牙时咳出来的黄色黏稠痰还有点暗红色血块，后来就没有咳嗽过，有点低烧37度4"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "腋窝测量的36度3，以为他乱动了没有测量好，然后又口腔测量的37度4"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "从检查结果分析宝宝白细胞正常，中性粒细胞偏高，可见支原体，考虑宝宝支原体感染"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "双肺纹理增多考虑支气管炎症"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "咳嗽出来的血块是怎么回事？会是牙齿或鼻子流血导致的吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "血块问题建议观察，最好到公立医院儿科合理检查一下凝血常规"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "从血常规看血小板正常应该问题不大。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "之前宝宝抠鼻子，鼻子就会流血，我不确定每次都抠鼻子了吗，问他自己有时他也不清楚"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果确定是咳出的血块最好给宝宝行胸片或胸部CT检查"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "毕竟平台不能详细查体，合理检查后如果正常就放心了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这个医院的医生说没事不用检查了，我还是担心，所以来咨询下，应该是咳嗽出来的，他咳嗽的时候我没在跟前，是宝宝叫我看的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般鼻出血也可以出现这种现象。咳嗽多是出现血丝，而且多是鲜血"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议进一步检查一下。这样更放心"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "宝宝咳出来的是血块，之前是头天鼻出学第二天早上刷牙就咳出来小血块"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "头天出现鼻出血一般不会的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "今天是昨天牙齿磕破出血了，今天早上咳出的血块，平时没有出现过这种情况"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "牙齿应该不会"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "今天只拍的胸片没有做胸部CT"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "医生说不用做，然后就没做"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "从检查结果看应该问题不大，毕竟平台不能详细查体，可以观察，必要时行CT检查"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "按，血块是什么颜色的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "暗红色，有照片吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "忘记拍照l"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "就是很深的红色"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "可以观察一下，如果仍有，再进一步检查一下"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "宝宝咳嗽的时候有时好吸鼻子"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯，可以看一下耳鼻喉科"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "了解一下鼻腔有没有溃疡或出血点"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦，之前鼻子总是出血，他也抠鼻子，现在我说了他几次，不抠鼻子了，鼻子最近也没有流血，"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "看一下有没有溃疡"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "如果以后不再咳出来血块那就没什么事了吧？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那现在我是先观察好呢还是先去看下耳鼻喉科？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以看一下耳鼻喉科"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "然后这样观察更放心"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，明白了，谢谢您了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10300649": {
        "self_report": "宝宝发烧级38。5在医院拿了药，可是宝宝不吃药怎么办？也不吃饭喝水就吃的母乳",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前的这个体温，需要给孩子口服退热药物的，让孩子多喝水，用温水擦浴，尽快地降低体温"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "可以外用退热贴"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这孩子除了发热以外，还有其他的症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "可是孩子不喝水啊"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "哭闹"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "可以跟随当中适当的添加葡萄糖或者果汁，改变水的口感"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "哭闹应该与孩子发生有一定的关系，发热会导致血液循环增快，孩子会出现不舒服情况"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "早晨起来37，5"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这个孩子年龄多大了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在又38，5了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "10个月"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发热之前有没有受凉的情况，家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨天中午洗了澡，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "发热的时候可以给孩子洗澡，这样有助于体温的下降"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可能与昨天洗澡受凉有一定的关系"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果这个孩子手脚发热，可以采用物理降温的方式，可以给孩子洗澡"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "洗完澡后开始发烧的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果孩子手脚发凉，是不可以洗澡的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "他身上热手脚冰凉，头有点热"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果这个孩子现在手脚发凉，证明处于体温上升期，过一会儿，体温比现在还要高"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "这样该多穿衣服还是少穿衣服？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "需要给孩子口服退热药物的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前的这种情况需要多穿衣服适当的保暖"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "药已经吃了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "可是他身上很热啊，烫手的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "口服药物多长时间了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "但是这个孩子手脚发凉，证明末梢循环差"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "今早晨"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "吃的布洛芬"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "还有百蕊颗粒"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "今天早晨吃的布洛芬？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "现在这个孩子再次出现发热呢，需要继续给孩子口服退热药物"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "现在就需要吃，立刻马上"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "布洛芬混悬液"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "中午11点吃了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "口服布洛芬已经三个小时了，这还是体温没有下降的趋势啊"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "要口服布洛芬之前体温是多少"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "38"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "能口服布洛芬以后，孩子的体温并没有下降，并且反而上升"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "现在的这种情况，需要继续给孩子口服退烧药物，可以换一种退热药物"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以选择对乙酰氨基酚"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "孩子不吃药怎么办？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "这个没有太好的办法，只能慢慢喂了"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10266813": {
        "self_report": "宝宝三岁发烧反反复复，手脚冰凉，脑袋很烫，吃药打针都不见好，去医院检查也没有不好，都是正常的，请问怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝发烧有多少天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "3天"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "反反复复发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "手脚冰凉"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯，宝宝体温在多少度呢？今天发烧的体温高峰有没有下来一点？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "睡着脑袋特别烫"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "量体温在多少度？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "下来点"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，高峰下来一点算是好转。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "第一天烧到41度"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "后面就38度多"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝，这个算是好转的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "我可以发送语音吗？宝宝有没睡，会不会影响到他？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一直咳嗽咳到想吐"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "想睡了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "在医院打了3针好转的不明显"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你说去医院检查都是正常的，是查了血常规了吗？还是查了其他什么？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "血常规，胸片"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "都没有异常？血常规白细胞也在正常范围？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "有点支气管炎，是炎症吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是炎症，是这个支气管的炎症，支气管在喉咙和肺之间。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有异常，都是好的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝发烧应该是支气管炎导致的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "和咳嗽有关"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "对有关系的。主要是消炎治疗，止咳。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "有什么好的止咳药"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "氨溴特罗口服液"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "中成药吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不是，是西药。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "医院开的小儿热咳口服液太苦"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "西药还好明天去买"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "这个是甜的。跟葡萄糖一样。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "支气管炎不打针光吃药能好不"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "你说的是小儿肺热咳喘口服液吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯，可能要慢一点。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这个是有点苦。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "明天在去打针"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝发烧，咳嗽，咳嗽想吐，有没有鼻塞流涕这些症状"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "有点"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "发烧咳嗽最严重"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的，宝宝这个治疗疗程可能还不够的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "今天是第四天"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "嗯，宝宝现在还有发烧，但是比之前好多了，还是有效果的，我建议可以继续治疗。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "孩子一直说冷，要盖被子吗"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "目前体温怎么样？"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "可以把他肚子上盖被子。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "脚步冰凉"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "要再观察一下，因为发冷之后就怕体温再升上来。"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不用谢。"
            }
        ]
    },
    "10202875": {
        "self_report": "娃娃最近不爱吃东西。吃多了放在胃上不消化了。喂了化积口服液。昨天要吃饭了。拉了四次粑粑。今天又拉了四次。结果拿大便去化验是细菌感染了引起腹泻。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有大便化验结果吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天去弄了药了开的杜拉宝和蒙脱思散"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "帮你看下"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这个可以吃"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有化验结果吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "马上"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我这正在外面白细胞2到3个"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "还是有炎症"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那吃这些药有效不"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "小孩又不敢吃头孢"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以先吃点你开的药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "问题大不。这种。反正就是不得胃口"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃点益生菌调理下"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是的，白细胞问题不大"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "合生元昨天就吃了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "稍微有点炎症"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "马上给你发"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "你看嘛"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "因为这个是地上弄的。可能有细菌感染。但是最后一向就是细菌感染"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个看到还是有炎症"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "那严重不"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "先吃点你目前的药，再化验看看"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "轻度的炎症"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "今天早上拉了。到现在还没有拉过"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "先吃你的药，治疗三天，再复查大便"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "要的。肯定肠胃不好"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "但是没胃口啊。娃娃"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "目前吃药后，效果怎样"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "反正没拉粑粑了。还的睡觉"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "再复查看看"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "吃三天后，复查看看"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "今天再去复查嘛"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不是，是吃药三天后复查大便"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10851766": {
        "self_report": "10个月宝宝，今天早上6点拉了粑粑，颜色有点深，半小时后拉的蛋花状有粘液粑粑，10点也拉了蛋花有粘液的粑粑，食物不好了，是怎么回事啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子吃不合适东西来吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "昨天吃了一点柿子，就几口"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子这个大便的症状主要是消化不良的表现，一般由于受凉，饮食不当等因素引起来的，治疗原则就是调节胃肠功能的治疗原则一般会有3到5天的疗程"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "怎么调节啊"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子最近饮食一定注意，别吃油腻食物，凉的东西"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好的，水果也不能吃吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在孩子精神状态好大便次数不是太多，还是比较稳定的，您可以给孩子喝点益生菌调节一下胃肠功能，看一下大便缓解情况"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "需不需要用药啊"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子这两天水果最好不要吃了，停一下吧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "家里有妈咪爱"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那这些天能吃什么辅食啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "孩子现在吃着益生菌观察三天，看一下大便情况不缓解及时带孩子去就近医院儿内科给孩子查个大便常规，根据结果看一下需不需要调整治疗方案"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "鸡蛋也不可惜吃吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "家里有妈咪爱可以吃点调节一下"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "辅食鸡蛋可以吃的，清淡饮食为主，喝点温水！别着凉肚子，喝点小米粥之类的可以的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "丁桂肚脐贴可以用吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "蒸鸡蛋可以吃吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以用的，肚脐贴，别着凉肚子"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "鸡蛋之前吃过的话是可以吃的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "拉肚子之后没有如果医院吧？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "拉肚子可以吃吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "今天早上开始啦的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没去过医院"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "之前是每天吃一个鸡蛋的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以吃点，就是别强喂就可以孩子不吃的话"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以先用着益生菌调节胃肠功能观察一下情况，注意刚才那些注意方面"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "祝孩子健康"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果孩子大便次数增多出现精神状态差尿量多，皮肤粘膜干燥等脱水症状就要及时就医补液治疗的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "妈咪爱属于药吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这个是益生菌类的药物，调节胃肠功能的作用"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那可以长期吃吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个胃肠功能好了之后就可以不用了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10286055": {
        "self_report": "八岁孩子这两天老是吐又吐不出什么东西",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子呕吐之前有没有不洁饮食的情况"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有吃东西过多过杂的情况"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有吃零食"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "最近一段时间吃零食吃的多吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不算很多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那孩子什么时间？恶心，呕吐的症状比较重，吃饭之前还是吃饭以后"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "每天吃一两面包啥的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃面包没有问题的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "上午上完体育课就不原意吃饭"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那没上体育课呢"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是不是过于劳累啊？上体育课的时候"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好点"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那就是孩子近段时间有没有感冒的情况"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不确定"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "或者说除了恶心呕吐以外还有其他的症状吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "感冒没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有没有腹痛，肚子不舒服"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有其它症状"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "腹泻等胃肠道症状"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "头部有没有外伤"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那你们家族中有没有胃炎或者肝炎的病人"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "也就是说这个孩子上体育课以后或者说运动以后有恶心呕吐的症状，其他的时间好一些"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "抺药了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "抹什么药了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "下午就没有了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "那这个症状什么时间重？上午下午"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "丹皮酚软膏"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这孩子近段时间吃饭怎么样"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "吃的不少"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "为什么要抹这个药膏啊"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这孩子有过敏性鼻炎，有皮肤过敏的情况"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那为什么要用啊"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嘴上上火了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "上火需要多喝水的，抹这个软膏有用吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "除非是嘴上长泡了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "上火的孩子可能会出现恶心呕吐的情况"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "不是泡"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "那这孩子大便臭不臭？口腔当中有没有异味儿"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "如果不是泡，那就没有必要饮用了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "大便臭,有异味"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "那应该考虑这个孩子胃肠功能不好，出现恶心呕吐应该与胃肠道差有关"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "胃肠功能不好的孩子就会出现恶心，呕吐，大便臭，口腔当中有异味儿"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "那药不是吃的抹的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "我知道这个药是抹的，不是吃的，这是外用的药膏"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "哦,有什么办法吗"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "应该给孩子进食容易消化的食物，不能吃零食了，并且采用少量多次的饮食方式"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "可以给孩子口服乳酸菌素片或者多酶片，改善胃肠功能，促进消化"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "可以给孩子按摩腹部，改善胃肠功能"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "好的,谢谢"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "一定要管好孩子的嘴，不能再吃零食了，所有的零食都不能吃了"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "行"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "68",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10296931": {
        "self_report": "五个月宝宝感冒流鼻涕咳嗽，该怎么办？如果不吃药，如何快速自愈？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝嗓子哑吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不哑"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在是纯母乳喂养吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "具体多大了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "5个月多10天"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "纯母乳喂养"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝流清水鼻涕吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗？有没有气喘？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "清水鼻涕"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "咳嗽还好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有气喘"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝有没有受凉？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "家里有感冒的吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "估计受凉了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "和平时没异样"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "有没有看过医生，听诊肺部"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝现在有没有吃药？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吃了点萝卜水"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "现在开始流鼻涕多久了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "吃奶好吗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "蛮好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那就好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般感冒病程一星期左右"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "吃点什么能快点治愈"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "小婴儿用药必须经过儿科医生面诊后开具哦"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "为了宝宝用药安全"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "而且小婴儿咳嗽很容易进展为支气管炎，肺炎"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "需要排除一下哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "医生会根据宝宝听诊情况，给予血常规等相关检查的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "再见哦"
            }
        ]
    },
    "10778721": {
        "self_report": "前些天小孩喉咙有声音，尤其是哭完后，这两天稍好，昨晚睡觉有咳嗽几声，早上起来也有咳嗽，次数不多！不放心就去了镇上医院检查，问这些药是否有必要吃？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝嗓子哑吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "有点吧，哭的时候"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在是三个月了吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有没有痰？气喘吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "暂时没有，咳得次数少"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？有没有流鼻涕，打喷嚏？口吐泡泡吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "体温正常"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝现在精神怎么样？吃奶好吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃的间隔短"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "睡眠受影响吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "白天不怎么睡，在怀里才能睡，夜里有一次咳嗽，醒了一会"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝有没有呛奶？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "之前有过，呛的时候就咳了几下，继续喝了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "除了胸片还有其他检查吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝呛奶有没有口唇发青？呼吸困难？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有，还需要什么检查"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "医生给宝贝听诊了吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有发青"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我得问问我老婆"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在胸片显示有支气管炎，医生有没有说肺部有炎症？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医生说是支气管炎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在医生给宝贝开的是控制感染，止咳化痰的药物，是对症的哦"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "怕是小孩太小，不敢给她吃抗生素"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "根据您的描述，宝宝有咳嗽，喉咙有声音一般是痰鸣，支持支气管炎的诊断"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "她这是呛奶还是受凉引起的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "在家里也没怎么出去应该不会受凉的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "家里有没有感冒的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "在两个月的时候突然发烧住院治疗的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝现在抵抗力差，呼吸道感染疾病，可以通过空气飞沫传播"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "比如大人接触患者后，再和宝宝接触，就可能引起宝宝生病哦"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝宝现在继续口服现在的药物三天看看，观察孩子精神及咳嗽情况，如果孩子咳嗽加重，及时到医院儿科复诊，听诊肺部，排除肺炎，根据结果给于完善血常规等检查，给于对症治疗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "药可以吃的吧"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "是的哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "室内勤通风，保持空气一定温度和湿度，避免宝宝呛奶"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "别着急，宝宝疾病恢复需要一个过程哦"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么?"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10318691": {
        "self_report": "宝宝六个多月了，最近三四天老是拉这种绿色的便便，请问是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝这种现象几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "三天"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "一天大便几次"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不一定，最低五六次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "像是有粘液"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "每次大便量多吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有血"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有时候多，有时候就一点点"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "精神还可以"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝小便量少吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "和以前一样"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝消化不良"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "怎么治疗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "建议应用肠道微生态药物和蒙脱石散"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "最好化验一下大便常规，除外肠炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吃了必奇蒙脱石散，没效果"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "需要空腹应用"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃了必奇蒙脱石散，没效果"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是空腹应用的吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "需要空腹应用"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "给宝宝化验一下大便常规，除外肠炎"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "刚刚宝宝又拉的这样的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果化验正常建议继续应用药物治疗，如果有炎症，需要加用抗感染药物"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "大便中有粘液，化验一下大便常规吧"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不好意思，下午一直在出门诊"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝化验结果正常"
            }
        ]
    },
    "10027169": {
        "self_report": "一岁半宝宝反复发烧，医院检查血象正常，有可能是什么原因造成的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，很高兴为您服务，为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合，谢谢您。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问孩子发热多久了？除了发热，有别的症状吗？比如咳嗽，呕吐腹泻，皮疹？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "发烧第3天，无其他症状"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发热大概多久一次，最高体温是多少度？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "精神反应，食纳，大小便怎么样？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "您能提供孩子血液结果给我看下吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前天白天发烧，吃药后正常，第二天晚上12点又开始烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "都吃了什么药物？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃药后昨天白天一天没烧，昨天晚上又开始烧"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "最好39，现在37.5"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "都是腋温吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "高烧时吃了布洛芬悬浮液4毫升"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "您能提供孩子血液结果给我看下吗？您去医院医生有没有给您明确的诊断？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "检查结果没在身边，白细胞都在正常范围内"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "您是什么时候去医院就诊的？还给孩子吃了其他的药物没有？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "医生说没什么事，她说宝宝嗓子有点红，有可能是这个原因"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "精神反应，食纳，大小便怎么样？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还有头孢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "但是孩子不吃，没吃进去"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "饭量有点小，大小便正常"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，根据您提供的一些信息，考虑孩子以上呼吸道的感染为主，病变主要在咽部，考虑病毒感染的可能性大，一般病毒感染的话发热一般会有3到5天，5到7天后会自行缓解。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "需要吃什么药吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "有可能是手足口传染的吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "您可以再配合一点清热解毒抗病毒的用药。另外一个就是幼儿急疹需要警惕，它好发于6个月到两岁的孩子，以发热为主要的表现，发热3到5天之后，身上长疹子。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "手足口病的话一般手上脚上刚周会有疱疹，您看一下孩子有没有这些症状？阴部一般也会看到疱疹，上次您就诊的话，医生说咽部发炎并没有说到疱疹，所以可能性不大，但仍需警惕，附近孩子有手足口病的患儿吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "已出过幼儿急疹"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "手上脚上没有疱疹"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的，如果幼儿急疹发过的话，那可能性不大。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "口里也没有"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "主要还是考虑咽部的情况，您自己会看咽部吗？您看一下扁桃体是否有没有肿大，有没有化脓？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "有个，当天和他一期玩了会，第二天就听说他昨晚发烧，医院检查手足口"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果手上、脚上、屁股上，身上还有烟不没有疱疹的话，手足口病感染的可能性小。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您给孩子吃的药物是头孢和布洛芬对吗？还有其他药物没有？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我家宝宝是跟他玩后第三天凌晨4点发烧的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "布洛芬只有高烧时吃了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "还有一种专门治嗓子的，我忘记什么名了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯嗯，不用太紧张，虽然说手足口病传染性强，但并不是每个孩子接触手足口病的患儿后就一定会传染。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "有没有清热解毒抗病毒类的药物？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "手足口有潜伏期吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "手足口病的潜伏期一般是1到2天，而且发热和皮疹一般会同时出现的。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "您的治疗如果没有用清热解毒抗病毒的用药的话，建议您加上一种。您再继续观察今天的体温，如果说体温超过3天还有反复的话，一般就需要再去医院复诊。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "现在已经是第4天了，应该不是了吧"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "考虑手足口病可能性小的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "还需要吃什么药吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "现在是37度5，您在关注体温，体温没有超过38.5先不用退热药，看有没有上升到39度以上，如果有，那您就去医院复诊一下。如果体温自行下降，那就说明有好转，继续当前治疗巩固就好。"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "您先确定治疗咽部的药是否是清热解毒类的用药，如果是，就不用再加药了，如果不是就加用这一类的用药吧。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "护理方面的话要多喝水，少量多次的喂养清淡饮食。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "38度5以下可以物理降温，温水擦浴，多喝水哦。只要孩子精神反应很好的话，就不用那么积极用布洛芬口服药物退热。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "您好，请问孩子体温怎么样了？"
            }
        ]
    },
    "10134898": {
        "self_report": "我家孩子拉肚子啦，成痢疾了该怎么治啊，输液都不见好，请求医生给个好的，治病方案。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在我刚才不知安娜才能说话"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家孩子啦肚子半个月了输液也不好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "请问您家的这个疾病是医生诊断的吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "可以看看资料吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "医生说是痢疾"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "医生怎么建议的？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "现在拉得有多严重？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没说啥就是吃药输液"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "治疗多久了？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有相关的资料和检查结果吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "一天六七次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "先吃了几天药"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "大便的检查结果也没有吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "打了七天针"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "输了两天液都不行"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "说是消化不良"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "没有检查大便结果是吧？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯，因为拉肚子有很多种原因导致的，最常见就是感染引起的，但是感染也分为好几种常见的有病毒或者细菌感染，还有真菌感染。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那怎么治啊"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "所以要先找到拉肚子的原因，所以建议您带宝宝去医院先化验一下大便，看能不能找到具体的微生物。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "根据找到的病因不同，所治疗的方案也是不同的。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "同时不管是属于哪一种腹泻给宝宝改成腹泻奶粉，并且给宝宝补充锌。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝大便具体是什么样子的，有没有血或者黏液。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "有过"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那现在大便里是没有了吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您觉得宝宝，治疗之后有没有好转"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没多大好转"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "拉的次数还那么多"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "那就先化验大便看一下大便的结果。可能需要继续输液治疗。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "一般的普通腹泻拉肚子的时间大概需要一周到两周的时间才能好，像这种如果考虑是痢疾的话那是比较严重的腹泻，恢复时间也会延长。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果可以的话顺便检查一下血常规和生化结果，因为拉的时间长，可能存在感染和电解质的紊乱。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "还有什么疑问吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "明天结果出来了可以再次咨询我。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不知还有什么疑问没有，如果没有疑问，为节省您的时间请及时关闭会话。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "孩子吃奶的时后肚子呼呼的声音还打嗝"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您是讲宝宝最近这段时间吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "拉肚子，肠蠕动会增强，所以会听到咕噜咕噜的声音。"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "进食的时候更是会刺激肠蠕动，所以也有了明显的听到声音。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "咕噜咕噜的响是不是和腹泻有关啊"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "是的。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "明天一定要去做检查。"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "那我明天去擦一下大便在问您吧"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "请及时关闭会话"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            }
        ]
    },
    "10336070": {
        "self_report": "问题宝宝四个月最近拉粑粑有点稀怎么回事，以前两三天拉一次，最近一天一次偶尔还会遗一点，有奶花花，今天的直接稀的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝有呕吐发热吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有，一切正常，宝宝精神也很好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吃奶正常？有阵发性哭闹现象吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吃奶正常，没有哭闹"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "大便什么性状的？稀糊状便？粘液便？蛋花汤样还是稀水样？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "单纯腹泻需要很多，如腹部受凉，消化不良，呼吸道感染，肠道感染等都可以引起"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "所以需要问是否有其他伴随症状"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "最近将近半个月是蛋花状的，今天拉了两次稀水样"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那有化验便常规及轮状病毒抗体吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天的一次蛋花样，晚上的有点稀"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "宝宝也不哭闹，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝吃奶好吗？腹泻方便的话最好做个便常规及轮状病毒检查，首先除外肠道感染"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃奶也好的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "腹泻有半个月？有治疗吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "尿量是否正常？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有的，因为一个多月时也拉的是蛋花的没管自己好了，所以这次也没治疗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "尿量正常的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "母乳喂养吗？腹泻一个月，建议化验便常规及轮状病毒除外肠道感染，目前可以先口服益生菌调理菌群及思密达止泻"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "什么益生菌"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "半个月蛋花状的也是属于腹泻吗，一般是一天拉一次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如妈咪爱或双歧杆菌都可以。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "只要大便次数增多性状变稀都属于腹泻"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯嗯，妈咪爱一袋吃几次，一天吃几顿"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "每次一代，每日两次"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，妈咪爱和双歧杆菌都可以哪个好点，都可以是吧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "都可以的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "选其一就可"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢您"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气，还有问题吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的，祝宝宝健康"
            }
        ]
    },
    "10336204": {
        "self_report": "七个月宝宝这两天拉肚子还发烧，吃了药不烧了，过几个小时又烧了，这和拉肚子有关系吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝拉肚子几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两天了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "一天大便几次"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "差不多十多次吧，一会拉一点，拉的就是像鸡蛋汤那样，还有酸味"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大便量多吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有时候多，有时就一点"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝小便量少吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "小便也正常，不少啊"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "精神状况如何"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "拉的有那种黄色的粘条，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝最高体温多少度"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃奶也正常，就是一烧有点闹"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "37.5"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝腹泻病"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "发热与腹泻有关"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个温度注意多喝水"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在宝宝应用什么药物"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就是看着他好像总是想睡觉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "喝水多吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "喝水不多，他不咋喝水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在应用什么药物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "退烧的和拉肚子的喝的这两样"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "蒙脱石散有没有空腹应用"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没有空腹喝，都是吃了奶喝的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "要空腹吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "建议空腹应用"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "他这反复发烧也是和有关系吗拉肚子"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有关"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，再喝了给他空腹"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下大便常规除外肠炎"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "如果化验正常建议在蒙脱石散基础上加用肠道微生态药物"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "他是前几天就是发烧了，然后抽搐了一下，我们在医院输了一星期水，都查了也都正常"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "建议现在再化验一下。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "在医院抽血，还有大小便都查了，说都正常，"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果化验正常就继续应用药物，如果有炎症需要加用抗生素"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "昨天晚上拉发绿"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "腹泻原因"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "在医院输液都是抗生素"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "您说会不会是还有炎症没消完呢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "没关系"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "给宝宝合理检查一下吧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "就是还要化验一下大便吗"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "是不是拉肚子狠了容易成肠炎吗"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "只是有可能，分析一下，好规范治疗"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "他这个问题应该不大吧"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "从描述症状问题不大"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗就好"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "注意服药方式"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "谢谢了杨大夫"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            }
        ]
    },
    "10259643": {
        "self_report": "你好，请问70多天的孩子拉的便便有点发绿，而且成型，这个正常么？孩子一直都是吃奶粉，家里有地暖，不知道是否跟这些有关系？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝排这种便多长时间了。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天早上开始的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "早上拉的比这个小一点"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "孩子拉便便哭闹不止"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "我不知道是不是因为家里太热的缘故"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "他吃奶有没有减少"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还是说，这几天吃了斯密达的缘故"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "绿色大便提示宝宝消化不良。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃奶挺好的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "家里太热是有关系的啊，它消化液分泌减少。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "之前宝宝排的便，也是成型的吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "要不要奶粉里加点清火宝？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "之前都是稀的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "两次喂奶之间给宝宝喝点水就可以。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天开始拉成型的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有喝水，只是宝宝不爱喝水，喝的比较少"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "室内要保持一定的湿度，不要太干燥。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那清火宝需要加么？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以，短期吃几天的。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "另外可以用肠道益生菌给宝宝调理。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "妈咪爱对吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以的，一天一支分两到三次口服。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "还有什么其他需要注意的么"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，调理几天看一下吧。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢您"
            }
        ]
    },
    "10355048": {
        "self_report": "我家宝宝46天，黄疸没退，满月的时候吃了3天茵栀黄，黄疸下去了，停药之后黄疸又上来了，前天测黄疸13.6，医生让在吃几天茵栀黄，可是这次宝宝对茵栀黄反应大，吃一口茵栀黄就大口吐奶，所以决定停药停母乳几天看看，因为也比较着急打疫苗，满月的疫苗还没打上，所以昨天开始停药停母乳，喝了三四顿配方奶粉，今天中午孩子拉了三次，最后一次带水，是腹泻，估计是转奶的问题，所以现在到底该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝是吃回母乳，拉肚子的？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一直吃母乳不拉肚子，昨天给了配方奶粉，今天有点腹泻"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "之前这个奶粉喝过吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有，一直母乳，没喝过奶粉"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "为了退黄疸打疫苗才停几天母乳"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "你今天因为我才第一天是吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天中午停的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那你去赢点我的大的药店买一个叫吴敏行批发奶粉给孩子，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "什么名字"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没听清"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "无乳糖配方奶粉"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "买一个小罐的，你不要停三天不以后不叫吃母乳了吗，然后就直接沉默，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "我大便水多不多，"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我想知道如果是母乳性黄疸，停母乳，黄疸会退吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "我是没气了放哪好宝的黄疸停了三天以后，相片一般以上，"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我给孩子喝的配方羊乳粉fos低聚果糖"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "看来是给孩子喝的一般是有奶喝，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那就吃无乳糖配方奶粉看看"
            }
        ]
    },
    "10882444": {
        "self_report": "小孩二十天，而是孩子肚子老是咕噜咕噜响是什么原因啊，小孩二十天，可是孩子的肚子老是咕噜咕噜响是什么原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "是吃奶后发现的吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大便正常吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是有时候吃完奶或不吃奶肚子偶尔响"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这个不要紧的。只要大便正常，说明不是腹泻病。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "正常呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子年龄小，吃的多。吃奶时候有一个正常的反射。叫做口肠反射。吃奶可以引起肠道蠕动快。就出现咕噜咕噜的声音了。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "可是她不吃奶的时候肚子也在咕噜咕噜响呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "不吃奶的时候。孩子代谢快。吃奶多。需要尽快的消化。所以肠道也会蠕动快。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "都是正常的。只要孩子体重增长满意。吃奶反应好就是正常的。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "假如出现呕吐腹泻。建议及时去医院儿科就诊。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有时候吃奶是有点干呕"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个不要紧的。孩子，胃肠道负担大，出现干呕也是正常。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "只要体重正常满意就可以。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "他拉的大便有奶掰掰"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "也是一样的。孩子蠕动快。母乳或是奶粉不能够得到充分的吸收，就出现这个情况"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以吃上益生菌来促进消化的。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如，妈咪爱。每次一包，一天两次。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦哦谢谢了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气的。这个情况考虑，消化不良。一般等孩子年龄增大之后，就不再出现了。"
            }
        ]
    },
    "10236913": {
        "self_report": "我家孩子迟速咳嗽有啥办法呀",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问孩子八周岁吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你自己买了些什么药？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "买了些止咳胶囊"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "吃了几天了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃了两三天了，还是不见效"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那最好去医院化验下血"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "他是感冒应起的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "与化验血没有关系啊"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "血液体现的就是全身的炎症情况呀，感冒就是炎症的一个表现呀！"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃止咳嗽药是吃哪些药呀"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "肺力咳，百蕊颗粒都是可以的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "噢，知道了，谢谢医生"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我在问一下医生，感冒吃些啥药呀"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "感冒药是俗称，要根据孩子的症状来用不同的药。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "十岁孩子常咳不止，有什么好办法"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "要找到原因，对因治疗。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "以咳四天"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "看看是否有感染，还是过敏"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "肺力咳合剂管用吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以止咳"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "奥，谢谢。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10163223": {
        "self_report": "便便里带白色发黏稠的东西，有时候吐奶的时候的发黏稠，怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了，大便一直这样吗？经常吐奶吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "每天大便几次？宝宝吃奶精神好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "4个月了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "吃奶好吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "大便之前是绿色的，治好了，就开始拉黄色的这样粘稠的了，就跟白色条带状似的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "吃奶一会吃一会玩，饿了就大哭"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "体重多少？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "经常吐奶，现在自己用手扣嘴"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "7.5公斤"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "体重还可以，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "她吃奶经常吐，吃饱了打嗝后还是抱着就吐了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "母乳喂养吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "现在吐的也很粘稠"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好几天了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯，母乳"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大一点就不会吐奶了，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "大便粘液是肠道分泌物，消化不良有关"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "查过大便吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议您查个大便看看，排除炎症"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "上次啦绿屎去查过"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在变黄色这样的了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "每次都有粘液吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "上次就是肠炎，吃着药"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我发现吐奶也是很粘稠，很涂抹似的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "有时候粘液提示炎症，奶吐出来是会粘稠一些的，没关系"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吐奶也很粘稠，跟唾沫似的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果大便没有炎症，考虑消化不良"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "肠炎，拿的药"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "奶进入胃内消化一点后就粘稠了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "不啦绿屎了，就这样了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "现在吃的什么药"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "只要宝宝精神好，慢慢就会恢复的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "阿莫西林一天一片，复方蛋白酶散"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "阿莫西林吃了几天了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "四天"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "再化验一下大便，如果没炎症了就停抗生素"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "阿莫西林不能吃多了？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "长时间吃肠道菌群会失调的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "好了就停药"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以试试推拿，治疗腹泻效果不错"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "还在吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您好，刚看到。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "只要孩子精神食欲好，体重正常增长，大便绿也不要紧的。"
            }
        ]
    },
    "10386213": {
        "self_report": "儿子两岁三个月，连续四天吃饭过程中呕吐，每天至少有两顿饭是吐的，前期有晚上出虚汗发烧的症状吃了感冒灵颗粒就不发烧了。后来有轻微拉肚子，呕吐。吃奶粉不吐。目前还没有去医院就诊。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，赵医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在还发烧吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不发烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "只是有一天晚上发烧过一次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "之后再没发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "还是呕吐拉肚子是吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "拉肚子也好些了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是呕吐"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大便一天几次？什么形状？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天午饭和晚饭都吐了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃过药了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "大便泡沫稀的，一天三次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没吃药"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "根据你说的情况，这还是消化不良的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "该吃上，助消化的药物。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "需要拿些什么药调理一下吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的，应该吃上助消化的药物。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "保儿安？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "健胃消食片？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱和小儿鸡内金散，助消化的。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "奧奥"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "和思密达这三种药物一起吃。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉的。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "必须注意饮食吃些好消化的东西"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不要吃肉类和水果儿啦？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那我去拿点"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的呢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "尽量让孩子少吃一些东西的。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "明白了"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好嘞"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "有问题还打开这个窗口就可以嘛？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以哒！"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我需要给您付费吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "点击首页在康复记录里面找到我，就可以下次再咨询的。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "还是点赞"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "怎么感谢您呢？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "点赞就可以了，不需要给我付费。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "要怎么感谢您"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "我刚刚特别着急"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "都要急哭了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不用客气的感谢你对我的信任！"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "您先忙"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "给个好评就是对我最大的感谢。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，有问题及时联系。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "怎么点赞，赵大夫"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "回复完后有一个评论的地方。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "点上就可以了"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好呢"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "明白了"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "好的，祝孩子早日康复！"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10184970": {
        "self_report": "我家宝宝不足2个月，已经7天不解大便了，怎么办？医生给开的开塞露，宝宝太小，不敢给孩子用，益生菌是药片，压碎了对水给孩子服下，宝宝总是吐出来，该怎么办？一直不拉大便对宝宝身体有影响吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子每天至少大便一次长时间的不大便肯定是不可以的，会导致毒素的吸收，影响孩子的正常生长发育"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这孩子出现便秘有多长时间了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "刚出生的时候有没有胎便排出延迟的情况？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "到现在已经第七天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "我知道这一次七天没有大便了，那以前呢？以前大便正常吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "以前最多三四天不大便"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这种情况应该考虑孩子的胃肠功能不好，可给孩子按摩腹部，促进肠蠕动，在喂养方面适当的调整。减少每次喂奶的奶量，增加喂奶次数"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "月子里的时候拉的挺多的，满月后有段时间三四天没拉，后来一天一次"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "每天都给孩子揉肚子"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那就考虑孩子胃肠功能不好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "减少每次喂奶的奶量，增加喂奶次数。适当地按摩腹部，促进肠蠕动。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他不解大便，但是经常放屁，而且很臭"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那他已经7天不拉了，现在是一直等着吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "当然不能一直这么等着了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以用肥皂条刺激屁股眼儿让孩子大便"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "怎么刺激"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "按摩屁股眼周围的皮肤"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "或者是捅一捅屁股眼儿"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这样孩子就可能会产生便意"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这个孩子应该考虑胃肠功能不好，脾胃功能不调，可以给孩子口服调节脾胃的药物进行治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "比如说婴儿健脾散，醒脾养儿颗粒，儿康宁，斯维诺，都是可以的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "服用益生菌有用吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "另外还可以口服益生菌改善肠道微生态的环境，可以选择妈咪爱，布拉氏酵母菌"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "单纯地应用益生菌肯定是不可以的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "做小儿推拿有用吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这个孩子最根本的原因就是胃肠功能紊乱"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "小儿推拿的作用是相当不错的，可以采用这种方式"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "最主要的就是从喂养方面进行适当的调整就在上面，我给你说的，还有就是两次喂奶中间多给孩子喝水"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "另外，妈妈的饮食也需要注意，尽可能进食容易消化的食物。适当多进食纤维素丰富的食物，多吃水果蔬菜"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我们这的医生给开的开塞露，没敢给孩子用，用了会有副作用吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "开塞露是可以用的，所有的药物都是有副作用的，我们主要是看治疗作用大还是副作用大"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "没有副作用的药物是不存在的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "用的时候注意避免损伤直肠黏膜就可以了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "按摩腹部的时候，你怎么给孩子按摩了？应该以肚脐眼为中心，顺时针按摩5到10分钟，每天5到6次"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "他有时候放屁会带出点大便，颜色是黄色的，不干，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这种情况严格意义上讲不属于便秘，应该属于胃肠功能不好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这孩子的肠蠕动比较慢，脾胃功能不调"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯嗯，明白了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "根据大便的情况，应该考虑这个孩子消化不良"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "严格意义上讲不属于便秘，应该属于消化不良，因为这个孩子的大便是不干燥"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "原来他拉的承水状的"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "吃点什么调理肠胃呢"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "需要口服调节胃肠的药物进行治疗"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "可以选择婴儿健脾散，醒脾养儿颗粒"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "医生开的益生菌有用吗"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "益生菌管用的，具有调节为胃肠功能的作用"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "好的，谢谢您医生"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10751314": {
        "self_report": "问题医生，您好！我宝宝因为我感冒流鼻涕也跟着流鼻涕，前天开始有点咳嗽，现在偶尔还是咳嗽几声，现在喉咙里有浓痰，嗓子都哑了，该怎么治疗，之前吃过艾畅",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "很可能是您受凉传染宝宝了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝出现咳嗽有痰，考虑支气管炎可能性大"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "那现在宝宝喉咙有浓痰该怎么办"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是不是病情恶化了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一般都会有这个过程。痰液变多，容易咳出来吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦哦那不用吃药吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她现在也没发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "鼻涕流出来都是黄色的，很浓"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "精神也挺好的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "没有发热，说明病情不严重，不要担心"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是有时叫两句声音是哑的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "黄色鼻涕，说明有细菌感染"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦需要吃化痰的药物吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "化痰的要吃的，推荐氨溴特罗口服液最好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "消炎的有没有吃？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有，这两天就吃了点艾畅"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦，这个可以吃。但是宝宝咳嗽时间长，有痰，考虑有炎症"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那该吃什么"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "建议加上消炎的治疗，推荐头孢克肟最好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就吃氨溴索吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦哦好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "治疗3天看看效果"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "如果不吃药自己慢慢会好转吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个氨溴特罗含有氨溴索的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那就再吃点头孢克肟是吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "因为宝宝年龄小，抵抗力不好，建议吃药，万一继续加重引起肺炎就不好了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "对的，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气的，假如咳嗽加重，出现气喘，精神差，就要及时到医院儿科看看的"
            }
        ]
    },
    "10023161": {
        "self_report": "六个月宝宝前一个星期大便有点水样四五次，拉的量不多，吃了妈咪爱调理，大便也时好时坏，又贴了脐贴大便成了一天一遍。糊状，前天停了，今天又有一遍有点水样，精神都很好，算不算拉肚子呢。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝吃奶精神好吗？现在添加辅食了吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "吃奶量一直没原来多但是精神挺好没有添加辅食"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝大便性状的改变和次数，颜色的改变都属于腹泻的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "他一直这样吃妈咪爱贴脐贴后才改善一停又有点这样"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，宝宝小，抵抗力差，胃肠道功能发育不完善，只要有受凉，或者是进食不适应都可以导致腹泻的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "那可不可以打预防针呢？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "接种那种疫苗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "是百白破吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "如果是百白破，不是口服糖丸，化验大便常规没有炎症，就可以接种的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "另外注意腹部保暖，母乳喂养妈妈的饮食应该注意，不要吃凉的和辛辣刺激性的食物"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就是百日破和糖丸"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯，腹泻不能吃糖丸的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以加重腹泻的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "已经推迟了半个月了，难道再推迟么？总不能一直吃妈咪爱和贴脐贴，贴到打针吧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "推迟那么久针还有效果吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "预防针就是要在宝宝最佳状态时接种的。推迟接种不影响的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有效果"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我们乙肝第二针推迟了一个月第三针还没打，如果这个推迟了。乙肝也推迟？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "乙肝可以接种的，肌肉注射的不影响"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还有如果不打针要怎么调理呢？一停药就拉，吃妈咪爱的过程中都还会有一遍稀的，怎么办"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "主要是糖丸不要吃，可以加重腹泻，另外也影响接种效果的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "打完如果贴脐贴吃妈咪爱调理能行吗？推迟了半个月了好担心"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "建议加思密达口服，等宝宝大便成型了巩固2天再停药"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不用担心，预防针推迟接种不影响效果的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "只是不要吃糖丸，其他的可以接种的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的谢谢啦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝现在大便怎么样了？好一些了吗？"
            }
        ]
    },
    "10019833": {
        "self_report": "宝宝刚满月，大便黄色水样，老爱放屁还屁股夹屎，肚子还咕咕响！下面是检查大便的单子，请问医生这是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "一天拉几次"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "感觉有便便有奶瓣吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "五六次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "粪便会像蛋花样吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "前两天有奶掰，今天排的是黄色水了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "拉的这两天有发烧吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "就查了这个，有其他的吗，比如轮状病毒"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "请问什么事轮状病毒？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "就是小孩子肠道比较容易感染的，会引起拉肚子的一直病毒"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "便便会像蛋花样"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "医生开的妈咪爱吃了几天不见效果"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有蒙脱石散吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不是蛋花样"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那暂时不考虑"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "黄色水，稍微有点小米粒"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可能是生理性腹泻"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "消化不好，那应该是奶瓣"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那怎么办？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "母乳喂养，有吃奶粉吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以买蒙脱石散来配合妈咪爱吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "前几天吃的水解蛋白奶粉，后来拉肚子奶粉不吃了"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "蒙脱石散一停又这样了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那你要考虑宝宝乳糖不耐受可能"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "一个月宝宝乳糖不耐受怎么办呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以先用无乳糖奶粉"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "或者加点乳糖酶"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "母乳不吃了吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "肚子咕咕响怎么回事？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "还有点涨"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "消化不好，碳水化合物产气多"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "也跟乳糖不耐受有关吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可能"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "现在吃的布拉氏酵母菌散能管用吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "那是调节肠道的益生菌"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "要配合着吃"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝宝也只是考虑乳糖不耐受，还不能说一定是"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "宝宝精神头挺好的，体重也有增长，可以不用管他吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果都不错，腹泻也不是说很多次，是可以暂时不用太大处理"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "不确定的话给他吃无乳糖奶粉不会有影响吧？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "一般不会"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "吃布拉氏酵母菌散可以再改成妈咪爱吗，"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "妈咪爱是枯草杆菌"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "只是不一样的益生菌"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "需要同时吃吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不需要"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "益生菌，同时吃也没关系"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "都是调节的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "请问我现在需要怎么办呢？"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "你先试试无乳糖奶粉，停一下母乳"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "如果没再拉就说明乳糖不耐受"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "嗯，好"
            }
        ]
    },
    "10235744": {
        "self_report": "宝宝5个月，最近有些拉肚子，吃母乳",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好这是化验大便的结果麻烦给看看"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个大便常规基本正常，大便当中有真菌，应该考虑消化功能不良。同时有杂菌也证明消化功能不良，并不是主要的致病菌"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "那得给宝宝吃些什么药啊"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这孩子腹泻几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "10多天了。有的时候正常，有的时候拉稀"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "每天大便几次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天拉了4次，前几天是两天一次。或是一天两次，母乳"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "你应该考虑孩子的胃肠功能不好，消化吸收能力差"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "先从喂养方面进行调整"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "减少每次喂奶的奶量，增加喂奶次数"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是肠道菌群失调吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "妈妈的饮食也需要注意，尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "需要考虑菌群失调"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个孩子在家中口服消炎药了吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以口服妈咪爱或者金双歧，调节肠道微生态环境"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "之前肚子是好的。就是咳嗽吃了两天头孢才拉肚子的，之前是肠炎好了。最近有拉肚子了，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃合生元的益生菌可以吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子胃肠功能损伤以后，很容易出现菌群失调的情况"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以给孩子口服调节肠道微生态环境的药物"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这里的药物口服的时间要长至少一个周"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那就吃益生菌几天可以呗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "别的还用吃吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "另外需要按摩腹部促进肠蠕动"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不需要"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "从化验结果看就是菌群失调，不是什么肠炎或是病毒肠炎对吧，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不考虑肠炎"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "从这个化验单看不出病毒性肠炎"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你可以查轮状病毒"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "病毒性肠炎的大便应该是蛋花汤样，大便中的水分比较多"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "并且这个孩子大便的次数也特别的多"
            }
        ]
    },
    "10413267": {
        "self_report": "打百白破第二针和脊灰第三针疫苗的时候有点流鼻涕，打完疫苗第二天晚上喂了点黑芝麻糊，然后晚上睡觉的时候吐了，这跟流鼻涕打疫苗有关吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了呢"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "四个多月"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝主要是什么饮食呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最近吃奶量可以吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "可以，一直都很正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝贝目前主要是呕吐鼻涕吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "五号打的防疫针"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "昨天晚上吐了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯啊，这个预防针的关系不是很大"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝妈吃什么生冷辛辣刺激食物油腻食物来吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "而且昨天自己打的黑芝麻米糊喂了点"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯啊，这个之前吃过吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "对了还是有鼻涕的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不过不多，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝贝鼻涕几天了呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "基本是哭过或者有点凉的时候才有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯啊，这个一般就是着凉容易这样"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哭的话有鼻涕是正常的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝贝鼻涕几天了呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "鼻涕多吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "打防疫针之前有两三天"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那宝贝这个注意保暖别着凉就可以的奥"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "清水鼻涕主要是受凉的表现，这个一定要注意保暖，别着凉，特别早晨晚上空气太凉了，尽量别外出，多喝点温水"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个跟防疫针没关系是吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "家里有人感冒的话带好口罩别交叉感染的奥"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个关系不大"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝贝就昨天呕吐了一次吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "这我就放心了，就怕是防疫针引起的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯啊，您不用这么恐慌的奥"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "就是吃过米糊有一个多小时的时候"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "如果就昨天一次的话您不用担心，可能喝那个米糊喝的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "吐的比较多"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯啊，如果就那一次的话就没什么问题的奥"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝贝就是有点感冒的奥"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "今天下午有点吐奶，不过就一点，很少的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "那要吃药吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯啊，这个最近饮食注意，宝妈吃饭注意饮食奥，生冷辛辣刺激食物不能吃油腻食物不能吃，然后宝贝能吃多少吃多少别强喂奥"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "我这两天吃辣的比较多"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝贝这个目前可以不用用药"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "您饮食一定要注意的奥"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "观察三天，宝贝鼻涕症状不缓解或者加重及时带宝贝去儿内科就诊"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯，感恩"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "早晨晚上尽量别外出，出去的话注意保暖"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "宝贝期间看过医生吗？亲"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "嗯啊那就观察三天，再注意以上注意事项奥"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好的??"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "精神状态好尿量多就问题不大的奥，这个您放心的奥"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "好的，祝宝贝健康"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "有问题欢迎咨询"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "68",
                "speaker": "患者",
                "sentence": "谢谢，好的"
            },
            {
                "sentence_id": "69",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题还有疑问吗？亲"
            },
            {
                "sentence_id": "70",
                "speaker": "患者",
                "sentence": "没有了"
            }
        ]
    },
    "10319193": {
        "self_report": "小孩拉肚子，可以吃奶粉吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "唉医生您好，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "对不起，语音听不太清楚，请你打一下字吧。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "那个宝宝有点拉肚子然后昨天来的吃的东西有点土但今天白天没吐，"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你好请你打一下字语音听不太清楚"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "拉的基本是水，隔断时间还会低烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "拉肚子几天啦？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "宝宝拉肚子，昨天吃了东西吐了三次"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "今天大便几次了？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天白天没有吐，不过也没吃多少东西"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "大便4次"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "1岁4个月"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是有消化不良。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "去了，弄了药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃药几天啦，效果怎么样。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "邻居有个小孩大前天也是这症状，前天一起玩，可能被感染了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "化验大便了吗？医生诊断是什么？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "今天吃的药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有，一个老医生开的药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以继续吃药的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "孩子精神怎么样？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我想问下可以吃奶粉和米粉吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "精神还算好"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃奶粉和米粉的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "喂东西也吃"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "尽量不要吃肉类，喝凉水果。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "比正常没有那么活跃"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果腹泻严重会引起脱水的，注意观察变化。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "今天喝了很多水"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "如果发烧，孩子没有精神，睡觉多，尿量少，那就是脱水啦。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "应该去医院检查治疗的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "今天尿多"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是的，根据你说的情况可以暂时吃药观察。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "冬季消化不良拉肚子，恢复比较慢。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "一般的要一周左右会好的。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢您！"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "还有什么需要注意的吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "注意保暖，不要着凉，可以用暖水袋暖一暖肚子。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "及时观察体温变化，如果发烧38°以上可以吃上退烧药"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "好的，祝孩子早日康复！"
            }
        ]
    },
    "10260506": {
        "self_report": "宝宝舌头苔厚白，是怎么了，吃的也多，要怎么样才能去了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝一周岁吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "还在吃母乳"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "是的，一周岁，多半个月了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "症状出现多久了？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "从小一直都有，有时候就会自己没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便怎么样？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有点干"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一天几次？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在是隔一天一次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "平时放屁多吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "主食是面条，"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "多"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子可能有腹胀，消化不良。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "建议宝宝吃双歧杆菌，注意腹部保暖，妈妈饮食要清淡一点，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我自己是有舌苔的，和吃我的奶有关系吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "也有关系的，所以你的饮食也要注意。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "也要给宝宝多吃应季的蔬菜和水果，尤其是香蕉和火龙果，通肠润便"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10305286": {
        "self_report": "女儿流鼻涕，属于什么感冒，医生配的利巴韦泡腾片，和氨黄敏颗粒，这样对吗，好利巴韦是病毒性感冒才吃的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我发的情况你看到没"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就是流清鼻涕，和打喷嚏"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "能看到，请问您去医院的时候有没有查血常规，可以通过这个血常规，可以初步判断一下是病毒性还是细菌性的。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有查血常规的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是医生看了喉咙，说要吃利巴韦林泡腾片的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦，一般早期的时候考虑这个病毒性可能比较大"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "女儿就是流清鼻涕，和打喷嚏"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "利巴韦林是抗病毒的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "能和氨黄敏颗粒一起吃吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我是问你能不能一起吃，你能说的详细点吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝有没有其他症状，咳嗽咳痰有没有？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有，就是流清鼻涕，和打喷嚏严重"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这两个药可以一起吃。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "流清鼻涕，和打喷嚏，能判断病毒性感冒吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般在早期的时候考虑是一个病毒性的，如果时间长的话有有这个继发细菌感染的可能。从这个症状不好判断，可以从这个时间初步判断一下。比较有依据的就是查血常规，白细胞升高支持一个细菌性的感染，白细胞正常或降低支持一个病毒性的感染。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝生病多长时间了？有发热吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨天早上开始的，没有"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "精神状态很好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，可以用上面那些药，那些药物也可以一起用。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有什么副作用吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "药物都有一定的副作用，但大部分都在宝宝的耐受范围内。大部分宝宝是可以承受的。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不用太担心。"
            }
        ]
    },
    "10185063": {
        "self_report": "宝宝便便有血丝，以前检查有红细胞，说是肠粘膜出血，吃了整肠生和蒙脱石散，好了一个多月，今天又拉血丝了，用不用去医院？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝现在多大了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "母乳喂养吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "5个月了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "最近加了米粉"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是不是因为吃米粉吃的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝贝现在每天几次大便"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "原来每天几次大便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天拉了4次，以前一天一次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "出生时体重多少斤"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在体重多少斤"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "5.8"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在14斤多"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "因为离医院远，我是把米粉停了，吃整肠生和蒙脱石"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还是去医院"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议接着吃益生菌和思密达，隔开2小时"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "先吃哪个"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "米粉停了？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "拉血丝是怎么回事呢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "明天白天去医院化验大便和过敏源看看排除食物过敏"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "停米粉"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我先吃药看看效果"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "中间加了一次嘉宝米粉"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃药几天能见效"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "食物过敏，有可能拉血丝？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "食物过敏可以出现腹泻，大便出血"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "先吃3天"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "食物过敏还有别的症状吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "如果吃药好了，建议多久加普食"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "晚上要睡觉好了但是她，了别再那就是如果你很跟他爸聊，"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "知道啦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这种情况还是最好是去医院化验过敏源看看"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "吃奶还是正常呗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我就觉得应该是我喂养不当"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "停辅食就行"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您可以先吃药观察"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我之前给的小米米粉是面状的，吃了几天，就换嘉宝了，还吃了熟苹果"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不排除消化不良"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "吃药3天好了的话"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "我是多久再给普食"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "腹泻好转后5天可以添加麻烦看看"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢啦"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "出生时49厘米，现在5个多月65厘米正常不"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "男孩"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "少点"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "那个药先吃哪个都行，隔开两小时就行"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "身高和营养遗传都有关系"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "奶前吃益生菌"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "知道啦"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10767415": {
        "self_report": "宝宝30个月了，昨天咳嗽流清鼻涕流眼泪，昨晚发烧呕吐，今天白天不发烧，但是依然咳嗽流鼻涕，买了四季抗病毒口服液，小儿百部止咳糖浆，小儿依托红霉素，这几副药可以吗？另外今天有点便稀。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我买的药可以吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "是你自己去药店买的？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "没去你们当地公立医院儿科门诊看？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没去"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那我需要问一下具体情况，好做个判断"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "麻烦您配合我"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子咳嗽频繁吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "挺频"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽是干咳，还是有痰？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "干咳"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好像有口水"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是阵发性咳嗽？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "那你买的红霉素可以"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "干咳考虑支原体感染可能性大"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这两天孩子有受凉吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可能是着凉"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "天冷了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝目前主要是流鼻涕流眼泪，咳嗽频繁，干咳为主，体温正常"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "精神怎么样？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "孩子昨天吃西瓜没关系吧"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "精神不错"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "天冷，最好不要吃西瓜了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "西瓜是凉性的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不给他吃了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "目前考虑孩子急性上呼吸道感染可能性大"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "孩子精神还好，考虑病情较轻，可以在家吃药缓解"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "你买的药是对症的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "四季抗病毒口服液还喝吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "现在对可能所患疾病的诊断和治疗的相关知识做个说明"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "喝，这个是抗病毒的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝流鼻涕流眼泪，考虑病毒感染"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "问下咳嗽药还有个小儿麻甘颗粒哪个合适"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "麻秆颗粒，主要是中成药，你两个都有中成药，嗯频繁的话可以吃点赛庚啶，"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "药名是什么"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "赛庚啶"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那个糖浆还要喝吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "糖浆喝"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "赛庚啶是夜里咳嗽厉害再吃"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "再告知一下什么情况下要就医"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好明白了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "如果在家吃药三天"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "孩子咳嗽好转不明显，或者精神差，发烧反复"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "建议及时去你们当地公立医院儿科门诊看一下"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯知道的"
            }
        ]
    },
    "10841491": {
        "self_report": "10个月20天的孩子发烧，昨天晚上39.2度时吃了退烧药，然后出汗，后来烧退了，夜里2点半测体温37.8，5点的时候测又39了，今天一天反复发烧，发烧前轻微流鼻涕，查了血常规，这个是病毒感染吗？该怎么办？一定要吃药吗？能否就降温吃退烧药，其他药不吃。一般这个情况几天可以好啊？下午1点半用的退热栓，5点半吃了美林，碍事吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子体温现在多少度"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "现在体温正常的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子体温一般用上退热药之后会下降，但是有感染的话间隔几个小时体温会反复上来的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "所以现在暂时的体温稳定不代表孩子完全好了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子之前清水鼻涕的话一般着凉的影响，别着凉，多喝点温水，注意保暖"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的，但是这样反复一般几天可以好啊，我在时刻观察体温，然后那个单子什么情况啊"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子血常规结果显示病毒感染的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个与感染程度和孩子抵抗力用药的作用有关系，一般的热程会有3到5天的时间，根据情况对症处理"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子看医生是诊断的急性上呼吸道感染吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在都是吃的什么药。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在在退烧，可以洗澡吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "喉咙略微红"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没说其他的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以洗澡，但是别着凉了，着凉容易再次感冒"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在吃的什么药？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "孩子这个症状就是急性上呼吸道感染的症状，一般由于感染引起来的，治疗原则一般抗感染，退热等因素引起来！一般会有3到5天的疗程"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "孩子饮食注意，被吃凉的，别吃油腻的，多喝点温水，勤测体温，备好退热药，胃肠功能有影响别强喂！"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "就吃了退热药，其他药没吃"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以先用着退热药，备好退热药高烧的时候用，观察两天，如果体温不稳定及时带着孩子去儿内科就诊根据情况需不需要复查血常规，需不需要查心肌酶谱肺炎支原体，需不需要调整用药，根据结果对症治疗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10261672": {
        "self_report": "60天的婴儿拉肚子，怎么办？用什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "宝宝，拉肚子，拉黄色和水似的，有时拉的有点鸡蛋啰嗦的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子拉肚子多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨晚到现在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "大便几次，尿量怎么样"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这种是消化不良还是肚子着凉了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "腹泻之前这个孩子有没有受凉的情况？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "除了拉肚子还有其他的症状吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是昨天出去一整天我在想是不是凉着了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "应该考虑受凉所引起的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有不睡觉！肚子鼓鼓响"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "另外也需要注意病毒性肠炎"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这是肠蠕动过快的声音"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那用什么药那？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "需要适当给孩子喝水，按摩腹部，口服思密达保护胃肠黏膜"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "丁桂儿脐贴么？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "最主要的就是多喝水，避免脱水"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以外用，丁桂儿脐贴"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "宝宝喝水太费劲了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "宝宝这么小用可以么？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "必须要多喝水的，不然孩子可能会出现脱水的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "对了，现在可以吃小儿安么？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "思密达没有问题的可以吃"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我给吃着小儿安在用丁桂儿脐贴一起可以么？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以先试试看"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "最主要的就是多喝水，避免脱水"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "另外在喂养方面需要适当的调整"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "减少每次喂奶的奶量，增加喂奶次数。适当地按摩腹部，改善胃肠功能"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的谢谢啊"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10337417": {
        "self_report": "宝宝一岁了，今天中午吃了点饭之后没多大会就吐了，然后刚才我发现宝宝肚子很胀，，请问可以吃三联杆菌片吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝呕吐几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今天中午两点多吐的，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吐了一次"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝晚上又吐了吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "但是肚子很胀"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有大便吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "放屁了吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有吐之前拉的大便"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "从吐到现在还没有放屁"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝晚上吃的什么"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃的米粉，吃着母乳睡着的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝中午有没有吃不好消化的食物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃了点刚做好的包子。红萝卜的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃的多吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就没吃多少，吃过后就老闹，然后就吐了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝这是消化不良症状，不要担心"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有助消化"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "能吃三联杆菌片吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以吃益生菌看看"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦哦好的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "以后吃东西注意，不要给宝贝吃生冷食物，太油腻"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "三联杆菌也可以吧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "家里就有这个现在"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯嗯，这个也是益生菌"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有了谢谢医生"
            }
        ]
    },
    "10246651": {
        "self_report": "2岁宝宝感冒咳嗽，吃了4天的头孢，3天的艾畅，3天的易坦静。还有点流鼻涕，咳嗽。现在该吃什么药？还做了雾化",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "问下"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "问题2岁宝宝感冒咳嗽，吃了4天的头孢，3天的艾畅，3天的易坦静。还有点流鼻涕，咳嗽。现在该吃什么药？还做了雾化"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "请问流的是清鼻涕吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "还是清鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽时有痰音吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有点痰的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "化验血了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "艾畅我给他吃了4天就停了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "消炎药一直在吃着"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "症状出现多久了？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "消炎药吃了4天了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有让医生查体吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "快6天了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "化验血了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "等下"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "一直流鼻涕还要吃艾畅吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃了就天"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "吃了3天"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "孩子血象是以病毒感染为主，消炎药就不要再吃了，爱艾畅吃几天了？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我一开始给他吃艾畅"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃了3天"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "医生查体有说什么异常吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "看鼻涕不多了。就没给他吃"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不吃后鼻涕又出来了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "雾化的什么药？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "蒲地兰可以吃吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在还吃哪几个药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这些药是可以的，蒲地蓝也可以吃，头孢就不需要吃了。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "艾畅再继续吃？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "易坦静呢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "痰液还挺多的话就可以吃易坦静"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那就艾畅，易坦静，蒲地兰？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "是的，同时配合雾化治疗。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "一开始咳嗽厉害时，给他吃的消炎药"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "有点轻微的喘"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "不是很厉害"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "现在不喘"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯，雾化里的药是可以止咳的。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "就是流鼻涕"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "所以建议你吃那些口服药呀"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "就消炎的不要吃了"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "吃蒲地兰"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "然后换艾畅"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "加艾畅"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "$"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好的艾畅吃到没鼻涕吗"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "吃到鼻涕明显减轻就可以停了，一般一个要药最长也就是吃两周。"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦。之前我是看没鼻涕了就停了"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "吃了3.4天"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "后来怎么又有鼻涕了"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "孩子体内还有炎症，药物需要在症状停止后再巩固三天才能停。"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "好的好的"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10468586": {
        "self_report": "宝宝昨天开始拉肚子伴随发烧现象，高峰39度，低峰37.5，昨天大便比较希，颜色黑乎乎的，伴随暗红。今天拉肚子四次到五次，都比较希，晚上的时候颜色变为黄色。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "帮忙看下以上问题点"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前就医看过医生吗，化验过血常规，大便常规吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有！"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "感觉是肠胃炎"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "大便图片有吗，发我看下吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神状态都比较好，饮食也正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在怎么治疗的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在吃点消炎药，冲剂类(⊙o⊙)…"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "治疗多久了，有效果吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "还在观察中，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "帮忙看下消炎要用哪些药？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "适合小孩子"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "主要是目前不确定是细菌性或者病毒性炎症"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "细菌性肠炎，需要用头孢类，或者阿莫西林等抗生素治疗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "病毒性炎症，需要用利巴韦林治疗。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "前段时间还流鼻涕，喝奶粉还吐，现在好了，偶尔还咳嗽下"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在用阿莫西林冲剂"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "偶尔咳嗽不厉害的话，可以观察，不做特别治疗也可以。刚才我说的这些，是不同情况，治疗不同。或者如果大便检查显示没有肠炎，是不需要用以上药物，只是服用蒙脱石散。就可以"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，谢谢！明天去看看吧！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "建议检查，明确情况，治疗，比较合适。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在大便比较稀，是可以服用蒙脱石散，吸收肠道水分，让大便变干的。另外可以多喝水，预防脱水。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议就医小儿科，让医生检查，化验大便常规，血常规。明确病情后治疗。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "已经多喝水了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯，多喝水，吃点蒙脱石散止泻，吃点益生菌调理肠道菌群，超过38.5度，口服布洛芬退烧，是目前可以做的。这些治疗，都可以。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，那先这样，再观察下吧！谢谢你"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "现在大便干结，有多久了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "一直都是这样"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "大便是每天都有吗？还是几天一次"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "这样要怎么调理？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "每次都这样，一天一次，最多两天一次"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "饮食怎么样？有没有注意多吃粗纤维蔬菜，水果。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "饮食都正常，水果吃的很负责，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这个情况首先得饮食调理，多吃粗纤维的蔬菜，多吃香蕉。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "然后可以适当的吃点益生菌，如果乳果糖口服液调理。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "多喝温水，多吃含水分多的水果。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "益生菌不是治疗腹泻的嘛？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "治疗腹泻，也能调理便秘，具有调理大便正常的双重效果。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "现在不太愿意喝水"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "喝点老酸奶，发酵的老酸奶，乳酸杆菌，也可以帮助消化，调理大便正常。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的，谢谢！先试试看看吧"
            }
        ]
    },
    "10811952": {
        "self_report": "我宝宝七个半月了，今天拉粑粑里面有点血丝这是怎么回事啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝拉稀好这一周还有用什么药物吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有我宝宝拉肚子去医院两次吃了药都没有用，我就停了自己就这样好了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "到医院有做哪些检查吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "大便化验"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "结果是消化不良"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "方便把化验单拍照发过来吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不好意思那个单子我放家里了我和宝宝现在在乡下"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝大便好这一周都是一天排一次，黄色糊状，软便吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这个是今天拉的粑粑"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯嗯是的黄色了有时候是两次有时候三次都是厚的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦，那排便次数还是挺多的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯之前不拉肚子都时间基本都是每天早上一次的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "由于宝宝之前胃肠道功能受损，所以肠壁黏膜会有肿胀，加上排便次数偏多，所以会引起肠壁毛细血管破裂，导致大便带血。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "啊？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那怎么办啊？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议宝宝吃双歧杆菌，注意腹部保暖，妈妈饮食要清淡一点，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是小培菲康吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "不拉肚子了还要吃啊？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "所以孩子现在还是属于消化不良的情况，小培菲康也可以的。同时也可以找中医给宝宝做做小儿推拿，调理一下脾胃功能"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦哦，好的知道了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果经过上述综合调理三天以后，宝宝仍反复出现大便带血，需要到医院就诊。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那拉这样的粑粑妨碍发预防针吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的！"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "大便带血的时候，最好不要打预防针，以防症状加重。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的知道了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "如果宝宝下午还拉大便但是没有血丝了是不是就没有多大关系啊？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "我把宝宝拉的这样的大便送医院化验可以吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "但是胃肠道功能的恢复是需要时间的，所以以上的综合调理建议，至少进行两周。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "现在的大便估计问题不大，化验的提示没有很大意义。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我买益生菌给宝宝调理可以吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以呀，小培菲康就属于益生菌。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦哦，好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10182674": {
        "self_report": "4岁小儿因为之前给他吃多了，从3周岁开始肠胃不好了，排便不规律，4天左右一次。排便不费力，基本成型，有时前面成型后面有点糊，最近消化不良上腹部胀满，到第二天早上又变平了，前天屁眼还流点便水在裤子上。夜里能听到几声肠蠕动声音，半夜睡觉不踏实翻来复去这两晚。上。请问医生该怎么调理啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝挑食吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "挑食的，肉不吃鱼不吃菜也不爱吃就吃蛋"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "白米饭"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前几天吃零食多了肠胃炎犯了，这几天消化不好。我就没给零食给他吃了，这几天烧的菜还都吃了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "腹胀说明肠道里面气体多"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是的，之前在儿童医院看医生也这么说的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是不知咋调理"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是去年撑多了，腹部一直胀满"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "少吃产气多的食物"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那会大便还正常，慢慢到去年年底大便次数就改变了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "他现在基本隔半年要范次肠胃炎"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "肠胃炎还是肠系膜淋巴结炎？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "肠胃炎，就是胃部疼，吐2次"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "倒拉的不厉害"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一次稀一大便"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是吃撑了还是吃的食物不好消化？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃太多了，他一直要吃东西，不给他吃就闹"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你可以让宝宝少吃多餐"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在不管他闹不闹我都狠心不给了，胃子要好好养，想请问这种情况有没中成药吃了调理的啊"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般小孩子不建议吃药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "最好饮食调理"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯，那好。那谢谢了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "牛奶，豆浆，蛋清"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "豆腐这些易产气的少吃"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那糖也要少吃的吧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "吃糖最容易涨肚子"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还有什么能帮你吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "没有了，谢谢你！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那我们就结束这次服务了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，麻烦了！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "现在大便一天几次"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "4天一次"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "上次是5天用开塞露开的，最后有点稀便"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "今天没有稀便，就是最后一条上粘点粘液便"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在有没有什么不舒服？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "最近半个月没有，半个月前肚子疼了大半天"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "半个月前的和这次关系不大"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "上个月得肠胃炎，后来好了吃了冷苹果就到现在肠道恢复不好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "应该没什么大问题"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "继续观察，多吃蔬菜保持大便通畅"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯，好的。那谢谢医生了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10349221": {
        "self_report": "昨天带宝宝出来玩，坐了三小时的车，下车后宝宝就出现呕吐现象，当时认为是宝宝也是晕车的表现！而后晚上吃了奶又吐了，今早上吃奶也是吐！请问医生这是什么病因？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "19个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝呕吐几次"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨晚六点到现在4次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝大便正常吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "两次是吃过奶以后就吐了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有腹胀"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝有没有发热"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有感冒症状"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "其它表现正常，就出现呕吐"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "稍微有点咳嗽"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝昨日有没有食用不好消化食物"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃了好多的阿尔卑斯奶糖及火腿肠"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这样的话考虑宝宝消化不良原因"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "注意饮食，可以口服助消化药物。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "注意多喝水"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦！医生有哪些助消化药物推荐"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "比如健胃消食片，吗叮啉"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "婴幼儿可以服用吗丁啉吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果口服药物仍不好转，及时就医"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯！谢谢！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "只要在专业医生指导下就好"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10240019": {
        "self_report": "孩子三个月今天早上刚刚有点咳嗽嗓子有痰一声半声的现在是早期吧我应该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "孩子昨天刚刚停针打的是头孢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "原因是泌尿感染"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "化验尿了吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天早上刚刚有一点孩子三个月半月"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "感觉痰多吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "刚才吐了一口痰"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我感觉刚刚有点"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "拉齁"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院找医生听一下气管"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "拉齁什么意思？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "这算是早期"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "就感觉有痰"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "建议找医生听一下气管"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是不是这几天去医院传染的呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "最好拍一下胸片了解一下肺部和气管情况"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不能除外"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "合理检查规范治疗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            }
        ]
    },
    "10150763": {
        "self_report": "一歲三個月啦肚子蛋花樣，還有'直接拉很多水，已經吃葯好了，但是我想問問什麼原因造成拉肚子一天五六次。是衛生問題嗎？一天早晚餵兩次奶粉算多嗎？比如七點吃飯，十點餵奶粉是不是不合理。這樣造成拉肚子的嗎？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子吃了什么药啊"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "止泻药已經好了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "什么止泻药？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "还吃了什么药"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "兒童吃的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "沒有了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "从孩子的大便看孩子有消化不良"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有别的不舒服呀"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "是什麼原因造成的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "沒有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "孩子的肠胃本来就脆弱，受凉等等都能导致"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "奶粉可以再早一个小时给孩子喝"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "另外建议调理肠胃"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一天三餐飲食早晚一次奶粉，奶粉早上五點餵，九點左右吃完早餐，晚飯大概八點餵完，我晚上10點餵奶粉，是不是這個原因造成的，還是衛生問題。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "为什么晚饭这么晚？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "早餐也晚？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "人类进化以后饮食是规律的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我要上班，基本是奶奶餵。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "还是得规律的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外给孩子吃上妈咪爱"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "调理肠胃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "你的意思是是因為飲食不規矩造成的嗎醫生？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "有这个因素，另外如果之前有肚肚受凉也会出现这些问题"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我只想找原因可以更好的讓寶寶健健康康成長，找到原因以後我會多加注意點。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "恩，主要就是这两个原因，也是需要注意的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我還有一個問題麻煩你了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "另外有些孩子肠道菌群因为受凉后出现紊乱，需要调整"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "恩您说"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "因為她有一歲三個月一天兩次奶粉算不算多？我的時間這些調整可以吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不算多，可以进行调整的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "你的意思是調整吃飯的時間嗎"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是的，然后需要配合吃妈咪爱"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "因為這是第二次拉肚子了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "恩，我估计这次拉肚子之前还是有肚子受凉"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "正因為是第二次拉肚子我才開始找原因。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯好的好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "恩，一定注意小肚肚不能受凉"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这个很关键"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我明白了，謝謝你。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "另外妈咪爱可以吃一个月，几毛钱一包，效果不错"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不客气有问题随时联系吧"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "媽咪愛是什麼作用的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "调理肠道益生菌"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "您好"
            }
        ]
    },
    "10488268": {
        "self_report": "宝宝昨晚开始发烧，早上去医院的时候烧37.5度，血项不高，可现在又烧到39度了，医生早上开了药，我们还要去医院吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "曲医生你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在这个孩子精神状态怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "超过38.5度需要给孩子口服退热药物的，过高的体温可能导致孩子出现抽搐啊"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神不好，流口水，昏睡，医院医生说喉咙发炎了，我给她用了屁股塞的退烧药。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那就应该考虑上呼吸道感染呢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "上呼吸道感染多是由于病毒或者细菌感染引起的，如果血常规的检查结果基本正常，那需要考虑病毒感染的可能"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子一般有3到4天的高峰期，在这个期间孩子会出现反复的发热，过了高峰期以后症状会逐渐的缓解。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "她基本上每个月都会这样，每次都去医院吊喜炎平，利巴韦林，我想问问这些药用多了会不好吧？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那说明这个孩子免疫功能低下呀，就会出现反复的呼吸道感染"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "反复的输液治疗肯定会影响这个孩子的免疫功能，反复的应用这一类的药物可能会出现耐药的，会出现药物的不良反应"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯，那怎样提高孩子的免疫功能？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以给孩子口服免疫调节剂，增加抵抗力，另外尽可能避免发生呼吸道感染，避免受凉"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "这次我不带她去打针了，行不？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以先口服药物试试看的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "毕竟呼吸道感染有3到4天的高峰期，在这个期间还是会出现反复的发热，度过高峰期以后症状会逐渐缓解，如果孩子精神状态好，可以先口服药物试试看的，特别是体温正常以后的精神状态"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦，您说的口服免疫调节剂可以去药店买吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好，谢谢您了！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "还有一条最主要的就是均衡的饮食，合理的营养"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "口服药物不是主要的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就是偏食，所以我也头疼，不知道该怎么办。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "偏食的孩子需要注意缺锌的可能，当然也需要注意有没有脾胃功能不调，消化吸收能力差"
            }
        ]
    },
    "10469303": {
        "self_report": "医生您好我家宝宝偶尔咳几下好像有点痰要不要紧呀",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你解答。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生您好我家宝宝偶尔咳几下好像有点痰要不要紧呀"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "我需要了解情况，告诉你如何处置，要不要紧，要看孩子的病情变化及目前的情况"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "在的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "我有回你信息啊"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃奶后才咳的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "除了咳嗽，有没有鼻塞流鼻涕打喷嚏"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前五六天咳一下后来没听到咳了今天又来了今天咳了三次了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有痰"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "近期家里有感冒的吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没流鼻涕一两天才打一个喷嚏"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "精神状态怎么样食欲怎么样？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大便有没有改变？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "听起来不知道是痰还是刚吃下去的奶"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "大便一天一次"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "精神很奶晚睡前奶量很大"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有没有明显的受凉过？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前宝宝的症状就是，咳嗽，有点痰"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "没有，鼻塞，流鼻涕打喷嚏，没有，发烧，没有呕吐，腹泻一切都正常，食欲也不错"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "考虑支气管炎的可能"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "虽然咳嗽次数也不多，但是还是有咳嗽，而且有痰。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "暂时呢，给宝宝吃一点止咳化痰的中成药。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "这个严重吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "判断严重与否，要看孩子的精神状态，食欲，面色呼吸，这些一般的体重。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "体征"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不是很随意的说严重还是不严重。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "暂时给宝宝吃一点止咳化痰药"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这样的中成药能比较多，可能会出现大便稀，皮疹，这些情况是很常见的，不要担心。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哪些药名呢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "枇杷止咳糖浆"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好谢谢医生"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "吃药三天看效果，如果咳嗽没有减轻，或者是加重。需要二甲以上公立医院儿内科就诊。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "还有其他想要了解的吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "这重咳不能打预防针吧"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "咳嗽，感冒发烧呕吐，腹泻出皮疹，都是不可以打预防针的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "完全好转过后多久才能打预防针呢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "一周"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "昨天做了皮试本来后天可以打预防针的但是现在打不了了下次打的话还要重做皮试吗"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "做什么皮试？"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "卡芥苗"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "出生到现在还没接种过"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "哦，接种预防针的事情我不太懂，"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "到时候病情好了，你到防疫站再咨询吧！"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的谢谢你了"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气啦"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10332456": {
        "self_report": "我家宝宝两岁了。发烧到39度。吃了一片布洛芬，多久可以退下来，还有就是一直放屁。。是怎么回事？肚子不对的？？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子除了发热以外，还有其他的症状吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "口服退热药物以后需要让孩子多喝水，可以用温水擦浴额头，敷冷毛巾，尽快地降低体温"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点流鼻涕，还老是放屁"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一般口服退热药物以后一个小时左右，体温才会逐步的恢复正常"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯嗯。。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那这个孩子发热之前有没有受凉的情况？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "老是放屁是怎么回事，还有点恶心。干呕"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子可能会出现胃肠道的症状，出现消化功能不良"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "家里大人没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那这个孩子吃东西有没有过多的情况，需要注意积食的可能"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "本身呼吸道感染的孩子由于眼部充血，可能会出现恶心呕吐的情况！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "由于咽部充血"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨晚睡前吃了点粉条煎饼，"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那吃过退烧的，能不能吃点帮助消化的了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果吃东西过多，也会导致孩子出现放屁多，消化功能不良"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "暂时没有必要口服那么多药物，多给孩子喝水，按摩腹部就可以了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦哦。。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发热期间孩子的消化功能差，尽可能少给孩子吃不容易消化的食物"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "老是放屁，也没拉，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这就是胃肠功能不好的表现，这孩子以前消化功能也不好吧？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯嗯。不好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "呼吸道感染多是由于病毒感染引起的，病毒感染的孩子，可能会出现胃肠道的症状，虽然说这个孩子现在没有拉肚子的情况，但是你也需要注意呀！"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那证明这个孩子既往消化功能也不是特别的好"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "尽可能少给孩子吃东西，让胃肠道充分的休息"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "一直就不好么"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "适当给孩子按摩腹部，改善胃肠功能，调整孩子的饮食，尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这孩子目前最主要的问题是呼吸道的症状"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "主要的是发热流鼻涕，应该考虑呼吸道感染"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那喝点蒲地蓝管用不。。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以给孩子喝蒲地蓝口服液"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这个药是中药的消炎药，还具有清热解毒的作用"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "另外还需要给孩子口服感冒颗粒呀"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯嗯。。那布洛芬跟感冒颗粒间隔多长时间可以服用"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "家里有护彤，是感冒的吧"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这些药物可以跟布洛芬同时吃，没有问题"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以吃护彤"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这个药就是小儿感冒颗粒"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好吧？。布洛芬跟护彤都有退热功效，"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "能同时服用？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "布洛芬就是单纯的退热药物"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "护彤当中含有对乙酰氨基酚也具有也有一定的退热作用，但是这个量很少啊"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "这两种药物可以同时吃，没有问题"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的。谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "虽然说这两种药物都具有退热的作用，但是效果是不一样的。感冒颗粒当中还有的退热成分量太少了，对体温的影响有限"
            }
        ]
    },
    "10104022": {
        "self_report": "我家小孩五个月大了。吃母乳。经常拉稀。这两天好像更厉害了好想尿一样，便便也是绿色的。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子|天拉几次？尿量如何？精神正常吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "都用过啥药？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "快小十次吧！别的都很正常"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一之没用过药"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子平时拉肚子，精神正常吗？生长发育正常吗？体重增长正常吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这一次大便增多，拉肚子有几天了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她一直便便不成形老啦某，这两天拉的和水一样。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "平时拉肚子，生长发育正常，体重增长正常。可能属于生理性腹泻。这样不用处理，等到添加辅食后会自然好转的。孩子这两天拉的特别多，而且水较多，可能属于，秋季腹泻，最好是留点大便，去医院化验一下，粪常规和轮状病毒，明确诊断，然后再对症治疗。可以让孩子把口服补液盐喝上，一防脱水。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "直接拿大便去化验吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "添加什么样的辅食会好一些？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "今天上班后就留大便化验，要半个小时之内大便，放在塑料纸上。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以添加米粉，蛋黄，随后逐渐增加。去医院要开个粪常规和轮状病毒的化验单。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "让儿科医生开化验单"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "轮状病毒是什"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "拉的水较多，大多数是轮状病毒感染引起的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你好，给孩子化验粪常规和轮状病毒了吗？可以上传化验单。"
            }
        ]
    },
    "10231641": {
        "self_report": "给宝宝喂药的时候用温水冲开，然后再用勺搅拌后就凉了，这样喝了会拉肚子吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝喂的什么药物？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "妈咪爱"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝什么不适服用妈咪爱？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "消化不良拉肚子"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "少量温水调配喂养，水不要太多。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不多，用勺搅拌后就凉了，这样喝了没事吧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "水不多一般不会"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "凉了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "妈咪爱本来水温就不能太高，少量水溶开药物直接喂就可。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "水不多喂到嘴里食道里就可复温，所以不至于引起肠道不适，腹泻"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "你啥不懂的啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "解释明白没"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "三个多月的宝宝消化不良拉肚子快半月了，这几天又拉绿屎怎么回事啊"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "确诊是消化不良？有化验便常规吗？宝宝哺乳好吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "大便没事，都挺好的就是啦肚子"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "大便是稀水便还是粘液便？母乳喂养？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "都服用什么药物？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "绿色的也不很稀。有点像颗粒似得。母乳"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "妈咪爱，蒙脱石散"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "大便次数和性状与之前一样，只是大便颜色有改变吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不一样，大便颜色变啦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "腹泻原因很多，如肠道感染，消化不良，喂养不当，腹部受凉，乳糖不耐受，过敏都可以引起，所以需要了解一下宝宝具体情况。您说的不一样，是性状次数都有改变？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "现在比以前没拉肚子的时候稀了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝尿量正常？体重增加正常吗？大便有泡沫酸臭味吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "口服妈咪爱和思密达腹泻有好转吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "尿量正常，体重没怎么增加，大便有泡沫"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "大便比前几天少了一两变"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果化验大便正常，持续腹泻，腹部保暖，宝妈注意清淡饮食，腹泻无改善，大便呈绿色泡沫便，需要注意乳糖不耐受可能"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果确诊需要化验尿监测半乳糖测定，如果不方便化验，可以改服无乳糖腹泻奶粉，不更换奶粉需要添加乳糖酶观察。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "母乳，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "该吃奶粉吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是的，乳糖不耐受治疗方法就是改换几天腹泻奶，不换奶粉可以服用乳糖酶"
            }
        ]
    },
    "10733222": {
        "self_report": "宝宝9号开始流鼻涕，喝的小儿氨酚黄那敏颗粒，喝到15号，还是有少许鼻涕，继续喝药吗？没有咳嗽症状，没有发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "清水鼻涕还是黄脓鼻涕？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "都有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "黄脓鼻涕说明存在细菌感染"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "鼻涕不是很多，"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "化验血么"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有化验过"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝没有咳嗽症状，我就没有去医院"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "可以口服点头孢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "你家宝宝还是存在细菌感染体征的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "也不能一直吃黄那敏颗粒"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那黄那敏颗粒可以停了？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "清水鼻涕是病毒感染引起的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在鼻涕不多可以停了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "多喝热水"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那头孢。。还吃么"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "吃"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "鼻涕倒是不是很多，就是一段时间会有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃点头孢就行"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "宝宝得过肺炎，害怕下行感染"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的好的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "头孢视情况而定吃几天？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "时间长了会出现下行感染"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "头孢先吃三天"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "不知道宝宝计量，现在11个月，体重21斤"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "你得看用哪个头孢，每个头孢量都不一样"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "看说明书吃"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的！"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "感谢！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "恩"
            }
        ]
    },
    "10247675": {
        "self_report": "孩子已经发烧3天了，最高40度，昨天去医院大夫说继续吃药，孩子现在吃的是头孢，柴桂清热颗粒，百蕊颗粒，退烧药每天喝4次，喝完可退烧，5小时后又会烧，并且达到39，5，退烧药已经喝了3天了，希望大夫给个建议，谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "比如咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不，昨天大夫听了，肺没有问题"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就说胖子疼"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝咽喉部有没有红肿"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "大夫说扁桃体有点充血"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "什么胖子痛"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗓子疼"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有化脓"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有红肿"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有化脓"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "从化验结果看血常规白细胞明显增高"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "中性粒细胞明显增高"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那是什么意思呢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "说明细菌感染"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "应用三天药物，宝宝仍有反复发热，建议输液治疗。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "已经3天了，应该输什么消炎呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "一般应用头孢类药物，清热解毒药物补液治疗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "他喝了3天头孢了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "建议输液治疗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "量也用到最大了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以继续应用"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "输液也还输头孢吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，我明白了，那今天要再发烧就不能用降温的药了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "已经喝了3天的布洛芬了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "只要间隔4小时以上，体温超过38.5可以应用退热药物"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "注意多喝水。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "喝了3天了还能再喝吗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "明白了，谢谢您"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10580298": {
        "self_report": "6个月大的孩子老是拉肚子大约拉了20天，每天最少都拉5次或者6次，吃了点药，还贴着丁桂儿脐贴也没什么用请问这是什么问题？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这个孩子拉肚子的时间比较长了，有没有进行大便常规的检查"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有检查"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个孩子是不是稀水样的便？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "对的。有时候还会有泡沫"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那就给孩子的尿量怎么样，精神状态怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "尿量行，精神也不错"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那就应该问题不大的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "你在家中口服什么药物了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这些药物口服了多长时间"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "根据你所描述的这些情况，这个孩子需要考虑急性腹泻病，口服药物效果不是特别的好，需要寻找原因的。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "三天伦"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个孩子大便当中的水分比较多，目前精神状态比较好，首先应该到医院进行大便常规的检查，主要是看一下这个孩子大便当中有没有炎症，如果没有炎症，那就应该考虑单纯的消化功能不良所引起的，如果有炎症，需要口服消炎药控制感染"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "另外这个孩子拉肚子的时间比较长了，需要注意有没有乳糖不耐受的可能，应该进行乳糖耐受试验，如果是乳糖不耐受，需要给孩子应用乳糖酶或者是换腹泻奶粉"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "同时需要在喂养方面给予适当的调整"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，谢谢医生了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "减少每次喂奶的奶量，增加喂奶次数，按摩腹部，改善胃肠功能"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "同时需要调整妈妈的饮食采用少量多次的喂养方式"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的非常感谢！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10055575": {
        "self_report": "医生说他吃奶都挺正常的，就是吐奶严重，想问下这是什么原因？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家宝宝今天十天了，就我上诉的情况，他的情况严重吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "请问宝宝妈和宝宝分别什么血型"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "因为我家宝宝八天的时候发烧到38.6，去医院了，医生初步断定上呼吸道感染，就住院观察了，然后检查了血常规，"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "我是o型。我家宝宝好像也是o型"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯。好的，给宝宝测经皮胆红素值了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝胆红素值稍微偏高"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我不知道哎，我是在他的血常规数据上看见的，就咨询下"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝看着发黄吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在宝宝还在住院吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "他在医院，不给见"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他的医生也没告诉我他胆红素偏高"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝应该是显黄疸，但是查的数值不是很高"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我家宝宝八天的时候还没有黄疸的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议您问一下医生宝宝测的经皮胆红素值是多少"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝多少都会显黄疸，一般七八天的时候出，半个月左右就消退了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝现在查的不是很严重的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我知道了。血常规不查经皮胆红素吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不查，这是仪器测的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "用黄疸仪测量的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我还想问下，我家宝宝八天的时候发烧去医院，就住院了。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医生说初步断定上呼吸道感染，还有一个就是败血症有待观察，结果还没出来。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，这需要观察"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "然后昨天打电话来就说烧退了，退到了36.8，一天到晚上也是反复烧，低烧。半夜烧了一两个小时，37.7"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝发烧一般会有五天左右的病程"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "既然住院了，医生肯定会好好照顾宝宝的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "今天我们去医院，他的体温也降了，36.9。医生说他有炎症，白细胞18.36，还有个c反应蛋白2.99"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "需要消炎，打消炎针。那个c反应蛋白是细菌感染吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "恩，白细胞还是比较高的，c反应蛋白没事"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "白细胞高是细菌感染"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "c反应蛋白也是反应细菌感染的一个指标"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "c反应蛋白标准值不是0_1吗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "他都2.99了。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那应该是试剂不一样，参考值不一样的，我们医院是0到10"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "根据您们那边的参考值是高的，说明也是细菌感染"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "细菌感染该怎么做啊"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "需要输消炎药的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "炎症跟细菌感染是两个病因对吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "炎症分为病毒感染和细菌感染"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "哦，那就还是需要消炎。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "是的，炎症主要是细菌感染的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "那根据我家宝宝的白细胞值还有c反应蛋白，他大概需要多久才能痊愈啊？"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "大约需要五天左右"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "具体还需要根据宝宝的情况"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好，我知道了。谢谢。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "宝宝小，吃进去空气容易吐奶"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "还忘了个问题，医生说他吃奶挺好的，50，60毫升，但是吐奶也严重"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "另外，小婴儿贲门口松，肚子使劲容易吐奶"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "贲门口是指哪里？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "胃的上端有个口"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "生理原因"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "大一点就好了"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦。他的精神都挺好还是比较乐观的对吧"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "嗯嗯，是的"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好。谢谢"
            }
        ]
    },
    "10036695": {
        "self_report": "你好大夫，我家孩子五个月了，最近这两天老是拉肚子是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，这位家长"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家孩子五个月了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "这两天老是拉肚子"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝拉肚子有奶瓣，会有绿色，会感觉稀吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "平日主要是母乳喂养，还是混合喂养"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有奶瓣。前天拉肚子有绿色，昨天没拉，今天又拉肚子，但是没有绿色，稀"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "我没奶，主要奶粉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这两天给他换了新奶粉，有关系吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有可能的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这两天有发烧吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不发烧，体温正常，精神也不错"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "是开始换奶粉的时候开始拉的吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "因为有奶瓣是消化不好的表现，如果最近没有发烧，暂时不考虑着凉感染拉肚子"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "前俩天带他出门回家整好阴天刮风，可能也凉着他了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "换奶粉也没说拉的这么勤，一天一次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在是一天四次是吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "会感觉像蛋花样吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那可能要考虑轮状病毒感染"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "最严重的一次拉水了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那应该怎么办"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "他明天去打疫苗这样拉肚子能打吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "家里有蒙脱石散和妈咪爱吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "或者其他益生菌"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有??"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "挺奇怪，前天拉，昨天没拉，以为好了，今天又拉了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "拉肚子估计那边医生不会给你打，担心不知道是疫苗反应拉肚子，还是就是这样拉肚子"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果比较稀，水样，可以服用蒙脱石散"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "预防针可以过两天打，没关系的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那个蒙脱石散五个月大的孩子怎么吃"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一次三分之一包，一天三次，饭前半小时，泡温水15ml，喂"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "他躺着的时候有时候还老摇头是怎么回事"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "这个倒是没太大关系，现在宝宝也开始要会坐了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "能给他吃龙牡壮骨颗粒不"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以的，不过少一点，因为是中成药，这么小的宝宝要注意"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "一天喝半包行不"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "一次半包就可以了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "一天几次？一次？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "是的，一天两次，差不多一天一包"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯嗯，放奶粉里冲行不"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "主要是助消化"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢您"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "最好是温水冲服，担心加奶里面他连奶都不吃"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不用客气的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "饭前还是饭后？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "饭后半小时吧"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "然后最好能买妈咪爱或者培菲康"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "或者其他益生菌来一起调节肠道"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "妈咪爱这么大娃咋吃"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "一起吃可以吗"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "另外如果没有好转，拉的蛋花样，建议能够做一个粪便检查，如果有轮状病毒感染，要加用抗病毒药"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "妈咪爱可以一次半包，一天两次，跟奶一起泡"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "最重要的是蒙脱石散要买"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "吃蒙脱石散还用吃妈咪爱吗？"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "是的，蒙脱石散是对稀便效果好的，妈咪爱是益生菌，调节肠道菌群的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "相互配合更好"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "那还吃龙牡壮骨颗粒不"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "可以不吃，如果自己有药，吃也可以"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "三种药一起吃，娃这么小，能行不"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "要是吃的话一般吃几天？除了龙牡壮骨颗粒"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "龙牡壮骨颗粒可以暂时不吃"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "其实妈咪爱是益生菌，正常孩子也可以吃"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "好的。谢谢，麻烦您了"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10131557": {
        "self_report": "宝宝七个半月了男孩，拉肚子两个星期了，看了两个地方了，思密达，妈咪爱，整肠生，小儿健脾颗粒，有时拉纯绿色的，有时黄色粘稠状的，一天5.6次大便，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，很高兴能为您服务，为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问孩子有吃手的习惯吗？查过大便常规吗？便便的时候有没有哭闹？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有查哪？拉便便的时候没有哭闹"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "每次量多不多？影响饮食吗？尿量少不少？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "尿正常，拉的量不少"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这种情况最多见就是消化不良，但是因为看着有粘液，建议先查个大便常规排除一下小儿肠炎"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃的也正常，就是吃了就拉，吃的多拉的次数也多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "如果大便很稀，7水状的，可以吃点蒙脱石散，如果只是大便稀，不是稀水便，可以吃点其他助消化药物"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "是不是滑肠了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "倒不至于"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "应该还是消化不良"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果不影响饮食和睡眠，精神状态好，尿量不少可以先观察看看"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "现在都不怎么那么多东西了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在都不喂那么多东西了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "还是拉肚子"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "只要孩子吃奶很正常，没有明显哭闹，可以先观察看看"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意添加辅食，尽量不要吃手"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果大便还是有粘液，黏糊糊的，还是建议去医院查个大便常规看看"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "拉了有两个星期了，现在拉的都是黄色粘稠状的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的，明天去检查检查"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不是拉水，只是次数偏多，没有脓血，不一定有问题"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不用太担心。不客气！"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "但是体重一直下降"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "目前体重多少？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "都瘦了有一两斤了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "吃奶只要没有影响，应该很快就会赶上"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "吃奶很重要"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "六个半月的时候十八斤，现在17斤"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个阶段这个体重可以认为是正常的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "一个月没有长，还瘦了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "但前提一定是饮食好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "孩子半岁以后会增速较慢的，尤其是早期发育很快的宝宝"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "早期有点虚胖的宝宝体重会下降一些"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "现在辅食什么都停了，只吃母乳和面糊糊了，拉肚子还不好"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "我明天去查个常规，谢谢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "难消化的先不吃"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "其他的也可以吃点"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "比如蛋黄等"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "拉肚子不是不可以吃蛋黄吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "不是只可以吃面食吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这种不是稀水便，只是大便稀，可以吃的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "蛋黄相对还是好消化的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "别吃蛋清"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10690905": {
        "self_report": "我女儿2岁，这段时间一直咳嗽，去妇女儿童医院检查是支气管炎，和支原体感染，就开了一个星期药，止咳贴，止咳糖浆，这一类的药。吃了这么久都不见好转，医生说要吃3个星期的药。问题是现在吃什么吐什么，一晚咳醒7-8次，还吐，我们改怎么治疗要打针吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "把目前的具体用药，发我看一下吧。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "口服的什么消炎药，是阿奇霉素，还是罗红霉素？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "还有一个小孩止咳糖浆没有照片"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前支原体感染，没有开消炎药吗？什么消炎药都没有用吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就只有这些药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一般来说，支原体感染。得需要用大环内酯类抗生素治疗，也就是常用阿奇霉素，或红霉素，或者罗红霉素。而且本身是一个支气管炎，还是得需要用消炎药的。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "可以去打针会好得快点吗。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生只建议吃药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有让我们做雾化或者什么别的治疗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一般来说，输液确实会好的快一些，但是尽量的话如果能口服药治疗。还是尽量少输液。如果输液习惯了，有可能会影响孩子抵抗力，或者孩子以后生病，只有输液才能压得住。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦，但是这样吃药也有几天也没有好转，"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "感觉更严重了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "吃什么一会就吐。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃吃不好睡睡不好，很担心，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前的情况，还是用药不是太对症。我觉得目前的情况，起码得加点阿奇霉素，或者罗红霉素来吃。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "因为目前看到还是支原体感染引起的支气管炎，得用一点抗支原体的药物。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不建议打针是吗，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "由于先前的治疗。感觉并不是太对症。我觉得可以先加点阿奇霉素服用两天左右，看一下症状改善情况。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的。谢谢，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果治疗两天后，仍然咳嗽咳痰明显，建议就医小儿科，让医生进一步的检查，可以考虑输液，配合雾化吸入治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "有需要再联系你可以吗，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "至于目前呕吐的情况，考虑还是一个服药刺激到肠胃了，可以口服点蒙脱石散，保护胃肠粘膜，缓解呕吐。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果您在有问题，可以随时留言。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，非常感谢，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，别客气，我觉得先加一点消炎药吃吧。同时做做雾化吸入治疗，效果更好。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果呕吐得厉害的话，可以先饿一下肚子，空一空肚子，一般肚子吐空了，呕吐就缓解了。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯。好的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意喝点水，天热水分蒸发多，呕吐厉害，也容易脱水。一次喝水不要太多，每次少喝一点，多喝几次。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果呕吐得还是比较厉害，也可以口服一点多潘立酮混悬液，止吐效果比较好。"
            }
        ]
    },
    "10692346": {
        "self_report": "我家孩子病毒感染引起的支气管炎咳嗽，主要是咳嗽。没有别的症状。半夜醒来咳嗽厉害，白天好一点。咳嗽的时候好像有黏黏的痰在气管里，咳嗽是面红耳赤的。有时候还会咳吐，吐出来的就是透明的痰，黏黏的那种。去医院输了头孢，清开灵，还有喜炎平，都输了5天还是不见好转。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "唉你好咱们宝宝可他的时间比较长啦，而之前化验血，这是显示的病毒感染，哦没有检查别的项目呢如支原体有没有检查呢，"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "都查了，没有支原体，就是病毒感染的支气管炎"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "哦你那意思就是检查的专题没有问题是吧，"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦这一个支气管炎那确实是，之前还别说受凉啊，或者是孩子抵抗力弱啊，病毒入侵引起来的咳嗽咳痰的症状，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那我看看他们打不开的药物呢就是有抗生素类的，哦还有条件都累的治疗这几天的话呢还化痰的药物啊，这几天就是咳嗽次数就是没有什么好转吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦这样的话那我建议拿给孩子就需要花费一五了，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咱们是歌手第几天的时候检查的血项和支原体呢，"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "最近很热，估计是家里空调原因引起的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可是刚开始可大的时候吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有好转"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "咳嗽第一天就检查了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "哦你说的很可能啊，咱们吵架的原因还是吹空调一冷一热然后宝宝出现了感染引起来次气管炎的情况，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "然后昨天又查了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦科的天天他的情况呢是这样的啊呢我认为这是目前的男孩子哦应用就是那种抗病毒的药物还可能数字之类的治疗这个自己玩也效果不容易好，要我考虑是支原体感染的可能性，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "哦昨天有没有检查支原体，"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "昨天查了一个血常规"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃的药物都换好多种了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "昨天今天检查的血常规吗，哦有没有别的呢有没有复查支原体呢，检查的结果也是支持只吃那个，白细胞不高是不是，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那有没有换阿奇霉素之类的啊要我主打话那人类的啊，那比如说那个阿奇霉素或者罗红霉素治疗的有没有，"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这是昨天的血常规"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯我那考虑有咱们孩子目前还不能够排除支原体感染的可能性，"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "昨天就开了琥乙红霉素和盐酸二氧丙嗪片"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "那因为那这个自然醒感叹之后呢他不是说咳嗽当检查这个支原体不是靠苍天就能检查出来的，哪哪都是，好呗个换自然体感染之后孩子也会出现按那个咳嗽咳比较长的一般是三到五天才会产生这种基本体的抗体，哦，我建议他目前来说咱们用用头孢效果不好可以换用这个阿奇霉素治疗，"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我昨天给他吃了，今天我又重新去换了一种药了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "哦这样那么这个虎一红霉素那也是，治疗支原体感染的，该怎么当的的大夫也是考虑咱们孩子应该是和ｂｉｎｇ这种支原体感染的情况，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "二二养病情片儿呢他就是一个证科技是可以吃的，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯你换了什么药物呢，换的什么药物您说一下，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "今天拿的事头孢拉定干混悬剂和一个热感赛车斯坦颗粒"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "塞比"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "哦原来是患了这种药物呢我建议呢还是不要换哦换药物比较好，哦因为那就是我和当地大夫的思路是差不多的，就是怀疑支原体感染，头孢拉定哪，就是和之前的头孢都是同一同一统一种肯定暴差不太多，所以换个口服的头孢，哦一并不是很大的，"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那个医生说热感塞比斯坦对支气管炎咳嗽好，所以有就买来试一下。听您那样一说，我就把头孢不吃了。还把昨天的琥乙红霉素和二氧丙嗪片在搭着塞比斯坦一起吃可以吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "关键他这两种药吃了还是很咳嗽啊"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "哦这样哈就是我建议还是换回那个消炎的，哦那个罗红霉素治疗是比较好的，因为是通过的还是治疗的这种情况的，临床非常考虑是支原体的感染，哦目前那就是吃饭一顿两顿的效果不会太好一般是吃三天看效果，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "撒比撒比斯塔娜也是一个那个止咳的药武汉也是可以吃的，哦但是但是呢我建议目前怎么还是比如说晚上客套比较严重，这也符合算的感染特点，哦哦，建议给孩子加上那个雾化哦游泳咱们有没有做过雾化呢，"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "雾化没做就是输了4天水"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "昨天医生是给我开的小药片的那种琥乙红霉素和二氧丙嗪片"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "目前还有一个情况就是孩子痰液比较粘稠，这种情况的话呢效果好的好效果好的还是做雾化治疗，可以把炎症直接就是在气管内消炎，嗯往外排排钠扩张自己管儿效果是比较好的，"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "这个药还继续吃是吧？那我把那个塞比斯坦颗粒也一起吃可以吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯我看大夫去换药的话咱们就按照大夫的思路来治疗是比较好的唬耕都知道聊城的比较长的需要两周到三周的时间，"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "要不得都是都是可以一起吃的啊，嗯嗯就是注意要饭后吃，因为那个红霉素呢，又有去就是有一些个职位的情况，可能咱们当地大夫也可以也也告诉你啦，代笔字坦克的哪些是中成药为主的安卓的中成药也是那个化痰止咳的，吃的，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "这么长啊？是两到三周完全治疗好还是只能起到缓解作用"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "我推荐众目前的治疗方案治疗然后加上雾化治疗三天看效果，假如像效果还是不明确的话就建议你带宝宝去检查那个支原体的抗体抗体，那就是有异常的话那还是确诊那个专题吧，然后就要继续吃药是两周到三周的时间才能够痊愈，"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "两三都可以完全治愈一般来说，"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，我明天去做雾化。不需要输液了吧"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "那个要是冲剂的好还是药片的好？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "我看难目前来说孩子没有发热呢检查了血象也不高，嗯，到不是说非必须要输液治疗的，那这个雾化治疗那家好口福药物一样可以达到比较好的效果，"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "额那个要不呢就是无论是哪一种，你说是片剂还是冲剂早上规格规格相同都可以的不要紧，其实效果都是一样的，"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "我也不客气的你注意啊就是饿孩子假如说晚上可厉害都无话了可以晚上临时的做，你们还这年年龄大啦应该有配合的，做完之后呢要给孩子多拍背可以促进痰液往外排病就好转的多了，"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "在一个主意隐私哈隐私一点好消化呢不吃太油腻的东西，"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "那冲剂的直接到嘴里吃和用水冲着吃有啥区别吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "哎呦的你说的是前台药物代谢的情况一般都是用水溶开在啊在喝的水里去了她可能会影响要不起售，"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "雾化主要是针对止咳化痰方便的吧"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦哦，我之前为了方便直接把药到孩子嘴里，然后再喝水的"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "我怕跟这个有关系，今天就直接拿水冲开了喝的。"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "哦雾化吗，主要是起到一个渠道那消炎和扩张支气管儿住呢，阎王安排的这么一个作用，比单纯吃药打针和输液了都效果要好，"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "这种药哪一般的没的事一般的药店是不容易购买的建议你啊要不去医院要不去那种大型的门诊，哦也可以购买的药物，"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "虽然说效果效果有些限制的不不会说，多大的那个效果反差的啊这个不用很担心，那以后呢还是按照咱们说明书，额药物重复之后再给孩子喂，这种情况是最好的，"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "哦不客气的，假如那出现可到继续加重的出现反复的发热呼吸费力出现这种情况及时了再去医院儿科学就，"
            }
        ]
    },
    "10275725": {
        "self_report": "宝宝大便不正常怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "看见照片了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "母乳喂养吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个不正常"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是的四个多月"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，发烧不"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "怎么回事啊"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "偶尔的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "发烧吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "试着轻微的是发热吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我也分不清"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "多少度"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "超过37.2是发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不发烧是什么病症发烧又是什么症状"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有量过"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "应该不发热吧"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "发热应该能摸出来热啊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不担心了那就是把小，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那你就上医院看就不能留个值班的，"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "发烧也拉肚子吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "应该是拉肚子也可以发烧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在每天几次大便"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "原来每天几次大便"
            }
        ]
    },
    "10289145": {
        "self_report": "早上好，打扰了，我家宝宝七个半月了这两天有点呕吐，第一天只是想呕吐的感觉，第二天呕了三次，晚上还有点发烧，38．1度，之后就慢慢降下来了，没吃药，请问这是怎么回事？宝宝白天是喝牛奶和米糊的，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "早上好，打扰了，我家宝宝七个半月了这两天有点呕吐，第一天只是想呕吐的感觉，第二天呕了三次，晚上还有点发烧，38．1度，之后就慢慢降下来了，没吃药，请问这是怎么回事？宝宝白天是喝牛奶和米糊的，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "拉肚子吗？大便怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有点干咳"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不拉，正常，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "是咳嗽以后吐的吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "是吃了以后呕吐的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "前天舌头老往外吐"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "想吐的感觉"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子精神好吗？吃奶怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "昨天喝完牛奶吐了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "都正常"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是像消化不良的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "现在低烧"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "会不会是幼儿急诊"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "幼儿急疹，一般要发烧，三至四天以后出皮疹"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "孩子发烧几天了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨天晚上"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "开始"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在不好确定是不是幼儿急疹。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以去医院化验血常规观察看看。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "看是否是病毒感染"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在可以吃上助消化的药物。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "吃什么药了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱和小儿鸡内金散。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "助消化的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "发烧38°以上可以吃上退烧药"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果呕吐不止，应该去医院检查。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "呕吐不止可以引起脱水的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "消炎药需要吃吗，还干咳"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以吃上"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "及时测量体温观察体温变化"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "吃的方面了要注意什么吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不要吃方便面啦，要喝小米粥，米粉奶粉都可以的。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "尽量少吃吃比较好消化的食物。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，再见，祝宝宝早日康复。"
            }
        ]
    },
    "10273089": {
        "self_report": "宝宝五个多月，昨天发现流清鼻涕，半夜感觉她鼻子不通畅还咳嗽，今天总是打喷嚏也咳嗽，是感冒了吗？应该怎么办啊！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝咳嗽几天了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "精神状态怎么样"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "你好。李主任，我咨询的问题您看到了吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那应该是感冒了，"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发烧，拉肚子不"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不发烧，不拉肚子"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "鼻塞重不"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "一阵一阵的咳嗽吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "多，总是打喷嚏，是一阵一阵的咳嗽"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "半夜咳嗽呢！嗓子里倒是没听到有丝丝的声音，但是听到鼻子里感觉有鼻涕堵着"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有点鼻塞"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "得吃药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "就是感冒了吧！得吃些什么药呢"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "感冒药"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "消炎药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "喔！具体吃哪种的好啊！可以告知吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "伪麻美芬滴剂"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "红霉素冲剂"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "知道了。这都是小孩儿药吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的。谢谢您！"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好。辛苦您了！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10285550": {
        "self_report": "宝宝25天了！喉咙还是有痰，呼噜呼噜的吃奶的时候，不咳嗽、不高烧怎么回事？需要吃点什么药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好！"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "问一下这种情况该怎么处理"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝这种现象几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有1周了吧！"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有时候感觉厉害，有时候好点，睡觉的时候不是很呼噜，吃奶的时候感觉厉害"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有呛奶"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "家里有没有感冒患者"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃奶很好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就是吃完奶就呼噜了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这种情况建议找医生听一下气管，必要时行胸片检查了解一下肺部和气管有没有炎性改变"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃了点葫芦散，和再林"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "毕竟宝宝还在新生儿期，太小，合理检查，规范应用药物"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议合理检查"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果是气管炎症可以应用，如果检查正常，有可能是先天性喉骨软化"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦！不喘，感觉不是肺炎"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不需要应用你说的药物"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "也没高烧过"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "毕竟平台不能详细查体，宝宝需要合理检查一下"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "能吃能睡，大小便也正常"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "应该问题不大"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "给宝宝合理检查一下吧！"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦！这种情况能吃七珍丹吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这种药物我们医院没有，临床上没有应用过，不好确定。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这几天老下雪，天好了！去医院做个检查"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢！杨医生"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10156677": {
        "self_report": "宝宝差两天四个月，最近几天总是咳嗽，脸蛋发红，不发烧。总是让抱着睡，放下就哭。以前晚上都睡5个小时的长觉，现在两个小时左右就醒，还总是哭。肚子有时候就咕噜噜的响，但是不拉肚。请问，孩子这样算不算异常",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子精神状态怎么样"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝这种症状是不是不正常啊"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子出现咳嗽肯定是不正常的，需要寻找咳嗽的原因，需要注意气管炎的可能"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "抱着的时候，也总是哼哼"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "脸蛋发红，如果没有发热应该问题不大的，需要考虑面部毛细血管的扩张"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这种情况肯定是孩子不舒服的表现"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "咳嗽是属于干咳"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃奶怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "刺激性的咳嗽？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃奶还可以"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "家里的大人有没有呼吸道感染的情况？这孩子有没有受凉的情况"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "家里没有人感冒，最近天气比较冷，还没取暖，屋子比较冷，可能换尿不湿的时候受凉了？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "平时穿的都比较保暖"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这种情况是有可能的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感觉孩子特别不舒服"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子就会出现不适"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可能会出现烦躁不安，吃奶减少"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "比较恋母亲"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这孩子呼吸有没有增快？口周有没有发青"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "晚上睡觉总是醒总是哭，是的，总是要含着乳头睡"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "对呀，这就是刚才我给你说的那些表现"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "有没有腹胀的情况？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "肚子咕噜咕噜响应该是肠蠕动过快的声音"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "肚子总是咕噜噜的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这就是胃肠功能不好的表现，与吃的过多有一定的关系"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这孩子胃肠功能差，不应该吃过多的奶会加重胃肠道的负担"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是的，是我做的不够好"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "大夫，是不是应该去医院看看"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不能说孩子一哭闹就是要吃奶"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子体质差，抵抗力差，如果有炎症很容易出现并发症，需要给予积极的治疗，应该到医院看一下的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "你没有在家中口服药物吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有口服药物"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "那这个孩子还有其他的症状吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有没有鼻塞流鼻涕打喷嚏的情况？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "有的，鼻子不通气还打喷嚏"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "那就应该考虑感冒所导致的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "也就是说呼吸道感染"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那我明天去医院看一下吧，"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "谢谢您了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "需要给孩子多喝水的，保持室内的湿度高一些"
            }
        ]
    },
    "10023958": {
        "self_report": "你好:医生我小孩4个月有点吐奶，体温37度3会不会是感冒了？昨天又拉肚子子打了针没有拉了，从昨天下午来又没有多少小便？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好孩子这种情况多长时间呢现在状态好了吗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝现在一天能拉几次每次拉的水多不多"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "从昨天开始才吐和拉有点点流鼻涕，打喷嚏，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "他现在状态好不好，尿量有明显减少吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天去打了针昨晚回来好点，昨晚又很晚才睡觉，今天早上有开始吐和拉了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "尿好像没有以前那么多？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有做过什么检查吗比如血化验便常规"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "还是现在吐的厉害吗吃奶能吃进去吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "只有开了药和打了针"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "现在没有吃"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "打的是肌肉针还是吊瓶"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天早上吐了两回"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吊瓶"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在又睡觉了！"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "但是精神好像还很好一样！"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝现在是有呕吐，然后体温处于低热状态，尿量有减少，这么小的宝宝口服补液恐怕吃不进去所以今天最好再给它打一天吊瓶静脉补液"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "孩子没有呕吐之后可以口服药物调理"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "今天有体温升高可以考虑查一下血化验"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是啊，今天早上给他喂点药然后又吐了一次，昨天去医生，医生说抵抗力好的能好的快，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯，体温比昨天高点，前天晚上可能是开空调冷着了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "医生说的也是正确的，只要宝宝没有呕吐不发热尿量没有明显减少，可以口服药物治疗的，但是你家孩子现在吐的厉害，口服药物恐怕不现实所以建议再去补一天液体"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "他现在体温是属于低热这个你倒不用太担心给宝宝补上液体之后有可能体温自然下降"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的！就尿量没有多少"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "头部感觉有热"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝现在尿量明显减少说明它有脱水症状而且宝宝太小，还有呕吐是不适合口服补液的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝现在37度三头部肯定要感觉比较热的识体温计为准"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，只能打吊瓶"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "是啊，宝宝刚满月又脑出血，做了个手术，所以有点担心"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "对的宝宝目前这种情况是需要静脉补液的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的谢谢你"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "静脉补液的速度一般都很慢，不会有什么问题的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝有脑出血做过手术这个问题你要跟医生交代清楚，护士在补液过程中会给你重点观察的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "还有其他问题吗如果没有的话我关闭对话框了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯，好的现在他状态刚好点，现在又感冒了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这样的宝宝在平时护理中要注意的，不要接触太多的人，然后空调注意不要直吹温度调的不要太低"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在只是轻微感冒症状而且他有拉肚子，可以给宝宝勤喂点温水"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯，好的！谢你"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气的祝宝宝早日康复健康成长"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "你好宝宝现在拉肚子好了吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10297249": {
        "self_report": "小孩光吐，还光要拉屎是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一岁半"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝大便什么形状的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "黑色"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "什么形状"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是水样便还是粥样便"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "粥"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "一天大便几次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "三次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "呕吐几次"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天两次"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "四五次了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这种现象几天了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "今天第一天"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "有没有饮食不当"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "应该没有吧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "考虑宝宝消化不良"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "小便少吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "不好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这样的话建议给宝宝到医院合理检查"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "考虑还伴有脱水"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "少"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "最好补液治疗"
            }
        ]
    },
    "10562545": {
        "self_report": "宝宝九个月，刚开始咳嗽一周，去医院拍片说是支气管炎白细胞19输液四天，四天后咳嗽减轻几乎没有便没有继续就医。又过了三天发烧，持续已经三天了今天去医院血常规说细菌病毒联合感染，输液头孢加盐虎宁，但回家后下午继续发烧39度",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "图片没打开，再发我看一下吧。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "请问大夫细菌还是病毒感染"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "孩子太小，持续三天高烧，今天上午输液但下午没有好转继续烧，该怎么办"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "图片不是太清晰，白细胞数目是22吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这个考虑是个明显的细菌性炎症的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在体温多少度？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "39"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "已经给退热拴"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "头孢加盐虎宁治疗目前输液第一天，高烧第三天"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前的高烧情况，结合血象特点来看，还是有比较明显的细菌性炎症感染引起，主要是消炎治疗。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "只有炎症消下去了，才不会再反复的发烧。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在咳嗽痰多吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那目前继续此项治疗安静等待吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "几乎不咳嗽，但有痰"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "太着急了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "怕给孩子耽误了，总这么烧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果有痰的话，输液的时候可以同时加上祛痰药。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "头孢加盐虎宁可以对症治疗吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "今天的液体已经输完了，目前主要是控制好体温就可以。如果超过38.5度可以口服退烧药退烧，同时配合温水擦身。冷毛巾敷额头，泡澡的退热方式物理降温。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "还需要检查什么或者其他治疗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "一般病程几天高烧能退"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "一般几天能高烧，这个主要是和用药后，治疗顺利和不顺利有关系。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "目前打一天药没有降温是正常的吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "看目前的血象比较高，而且小孩反复的高烧，其实也可以同时输液两种消炎药。消炎效果比较好。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "已经输液头孢了，回来还需要口服吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "一般输两种是什么药"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "需要继续口服头孢吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "看目前医生输液的方案，还是很合适。今天已经输液头孢类的药物了，不需要在口服。目前的工作主要是控制好体温就可以了。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "口服药百蕊可以吃吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "这个是可以吃的，清热泻火。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，谢谢大夫，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "目前的情况，建议明天继续就医小儿科，输液消炎治疗，只有炎症消下去了，才不会再反复的发烧。让医生看看，如果有必要的话，我觉得其实也可以用两种消炎药。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "目前多给孩子喝水，多排尿，也能够排出热量，有利于退烧。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "头孢再加哪种消炎"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以考虑配合大环内酯类的抗生素，输液2到3天，把炎症尽快的压一下，具体的可以让医生开一下。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢了李大夫"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的，别客气，应该的还有别的可以帮你的吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "可以现在口服红霉素吗帮助消炎"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我查了属于您说的这类"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "我觉得是可以的。这样配合治疗，效果已经很好了。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，"
            }
        ]
    },
    "10217706": {
        "self_report": "四个月宝贝咳嗽鼻子不太通气，验血了，不知道啥意思",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我们验血了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "十多天了，前阵子不怎么咳嗽，鼻子也不堵"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "根据你说的症状，孩子是感冒啦"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "我看了你的化验单基本是正常的。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "可以口服抗感冒的药物。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "中性粒细胞百分比是啥意思"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我们才17.80"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "淋巴细胞高，中性粒细胞低说明是病毒感染。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "感冒说明是病毒感染引起的。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "红细胞压积低啥意思"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "你的孩子没有贫血，这个是没有意义的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "红细胞压积低啥意思"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果有贫血的孩子，这是小细胞性贫血。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "但是你的孩子没有贫血，这是没有意义。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            }
        ]
    },
    "10616871": {
        "self_report": "七个月宝宝腹泻，可以吃妈咪爱吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，在吗？为了更好的为您服务，我需要问您几个相关问题，请您配合我好吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝腹泻多久了，稀便还是水样便，有没有粘液血丝，量多吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "腹泻三天了，水样便，没有粘液血丝。每次量不大，可是次数挺多"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有呕吐和发热吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "查过便常规吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有发热，有点吐奶不严重，没查过便常规"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝最近有没有新添加什么辅食"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有，还是之前的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "拉稀有点淡青绿色"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝平常有吃手和咬玩具的习惯吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有，经常吃手咬玩具"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "您有大便的照片能上传我看下吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这样的话考虑宝宝是病毒感染引起的肠炎"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "病毒性肠炎是自限性疾病，一般疗程需要五到七天，可以给宝宝吃益生菌和蒙脱石散减轻症状"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "崭示没有，就是稀水一样，淡青绿色，很少。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天买了点妈咪爱可以吃吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "益生菌最好选择双岐三联或者亿活，妈咪爱更适合新生儿服用"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "妈咪爱是单一菌种，选择亿活效果更好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "蒙脱石散吃奶前半小时先吃，可以附着在胃肠粘膜上，减轻腹泻，益生菌可以和奶粉同吃或者喂奶后吃"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝这两天吃奶正常吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "尿量还正常吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "正常，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "尿量也正常"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "蒙脱石散每天剂量吃多少呢？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，那就好，但是注意腹泻的宝宝容易脱水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一定要观察宝宝的小便的情况，如果他一天达不到6到8次，然后小便也不是清亮的，是黄黄的，浑浊的，这种情况，宝宝就已经轻度脱水了，我们就要多喂水，实在喂不进去，就需要输液补充体液量了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "蒙脱石散您买的是冲剂还是混悬液"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "还没去买，准备去买。我们药店都不说剂量。就说看说明书。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "您建议买什么的呢？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果是三克一袋的冲剂，首次剂量加班，第一次喝两克，以后每次喝一克，一天三次，每次用一点水冲开即可"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，益生菌剂量是多少呢？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "混悬液更方便一些，但是有些药店没有卖的，如果是混悬液，每次十毫升，一天三次，瓶盖上面有刻度"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "双岐三联胶囊，一次一粒，一天两到三次都可以的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，亿活怎么吃呢？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "一次半片，一天三次"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以宝宝每天蒸一个苹果，削皮切片放碗里蒸二十分钟，把蒸出的苹果水给宝宝喝，也有止泻作用。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的。谢谢您"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "病从口入，所以一定勤给宝宝洗手"
            }
        ]
    },
    "10116945": {
        "self_report": "宝宝八个月了前两天感冒现在感冒好一点了又咳嗽嗓子还呼噜呼噜的该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你服务！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子咳嗽多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两三天左右"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "会不会是肺炎"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那这个孩子有没有呼吸增快，口周发青，精神状态差"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "呼吸有点快"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个孩子嗓子眼儿呼噜呼噜的声音还是齁齁的声音"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "呼吸的频率是多少"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "齁齁的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这孩子既往有没有喘息发作"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这个我没有计算"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "前两个月有喘息特别快在医院看好了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果这个孩子既往有喘息发作，现在咳嗽喘息就会导致孩子呼吸增快，发生肺炎的概率大大增加"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那该怎么办"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这孩子除了咳嗽喘息没有其他的症状了吧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "就是不好好吃饭了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "精神状态怎么样"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "精神挺好的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗓子还发红"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗓子发红是呼吸道感染的表现"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "我认为这个孩子气管炎的可能性非常大"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "肺炎的可能性不是特别大，因为病史比较短"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "口服什么药物了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那气管炎要怎么治"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "需要用消炎药和清热止咳药物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "今天去挂的点滴没有吃药"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这个孩子有喘息发作，还应该无法吸入缓解咳嗽喘息症状"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "用的什么药物"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "也就是说今天输液了，效果还不是特别明显，喘息加重了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "可以这么说"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "用的什么药物能告诉我吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "咳嗽没有以前严重了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "咳嗽症状加重了，就会导致孩子喘息加重"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "这种情况肯定需要雾化吸入的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "单纯的输液治疗效果不明显"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "由于字的缘故所以我也不是特别清楚"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "除非应用激素"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "也物化了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "应该增加雾化的次数，避免孩子出现阵发性的哭闹，哭闹加重，就会导致孩子喘息加重"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "那你今天进行血常规和胸片的检查了吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "由于今天医院停电所以这些都木有做"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "如果这个孩子喘息的症状比较重，不能够正常的休息，那就应该继续到医院雾化吸入"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "就感觉小孩嗓子里有痰"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "那就给孩子多喝水，勤拍背，促进痰液排除"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "这样听着呼噜呼噜的声音就能好一些"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "你变换一下体位看孩子呼噜呼噜的声音能不能缓解"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "睡觉一切正常就是醒的时候嗓子呼哧呼哧邓湾"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "那还可以的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "今天晚上应该问题不大，明天继续雾化吸入，输液治疗"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "这样需要多久"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "每天雾化几次"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "一次"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "支气管炎的疗程一般在5到7天"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "这个孩子的高峰期至少3到4天"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "每天雾化一次，肯定是不可以的，至少两次"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "好的知道了谢谢"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10301927": {
        "self_report": "三十多天的宝宝肚子疼拉肚子吐奶怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好，在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝一天大便几次"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "8次"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便是什么形状的（水样便还是粥样便）"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "粥样"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大便中有没有奶瓣"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有，不多"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝一天呕吐几次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "一般吃奶后多久出现呕吐"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃完奶拍完嗝放躺就爱吐奶"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "每次吃奶后都呕吐吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "都会吐些"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "平时多久喂奶一次"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "饿了就喂，一般以母乳为主母乳不够平时六小时he"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "喝一次奶粉"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "从描述症状大便问题考虑宝宝消化不良"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "昨天吃的比较贫"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "建议给宝宝口服肠道微生态药物"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "孩儿哭的厉害，肚子痛还放屁"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "呕吐问题应该与喂养方式有关，因为宝宝现在消化系统发育还不完善，胃呈水平状，容易出现呕吐溢奶现象"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下大便常规除外肠炎"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "平时注意保暖不要着凉"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我先带宝宝大便去医院检查，我家月嫂说大便在半个小时后就检查不出来"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一般不要超过一小时，注意收集干净容器中"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "太感谢了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不用客气，如果没有其他问题，那就结束了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好吗"
            }
        ]
    },
    "10509497": {
        "self_report": "一岁宝宝舌苔白，食欲不好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "除了上述你描述的情况以外，还有其他的症状吗？大便臭不臭啊"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我宝宝一岁半个月了，舌苔白腻，食欲不好，怎么办"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这种情况应该考虑孩子的胃肠功能不好，消化吸收能力差"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "大便不都是臭的么？??"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "需要给孩子按摩腹部，改善胃肠功能，从喂养方面进行适当的调整"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "以前吃饭很好的，大便正常，一天一次，最近有时候两天一次"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "正常的大便不会特别的臭"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我每天给他吃点山药"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那应该考虑这个孩子胃肠功能不好，大便的次数发生了改变"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "小米粥"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "最近一段时间这个孩子的饮食跟以前相比有没有特殊"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "之前特能吃"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃东西过多就会导致这个孩子胃肠功能不好，消化吸收能力差"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以给孩子按摩腹部，改善胃肠功能的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "另外，应该减少每次喂奶的奶量，增加喂奶次数"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "和孩子吃夜奶有关系么？我母乳"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以给孩子口服妈咪爱改善胃肠功能"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "顺时针按摩么？按摩多久？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "根吃夜奶没有太大的关系"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "对于母乳喂养的孩子，妈妈的饮食也需要调整的，尽可能进食容易消化的食物，避免进食油腻生冷辛辣刺激的食物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "家里有合生元"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "可以不"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "以肚脐眼为中心，顺时针按摩5到10分钟，每天3到4次"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我每天给杯子里放点陈皮山楂当水喝，可以么？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "陈皮和山楂都具有改善胃肠功能的作用"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个药能吃么"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个药物是可以吃的，具有改善脾胃功能的作用"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "我看里面的成分特别多，一直没敢给吃"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "没有问题的，可以给孩子放心的使用"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "对孩子的舌苔很厚啊，应该考虑胃肠功能不好"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "舌苔是这样的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这个年龄段孩子胃肠功能损伤以后修复需要一定的时间，需要慢慢来的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "对于胃肠功能损伤的孩子，可以先口服上述调整脾胃的药物进行治疗，另外需要从喂养方面进行调整"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "那不吃药能慢慢调理么？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "你观察一个周，如果说效果不是特别明显，我建议你到医院就诊进行进一步的检查，明确一下这个孩子胃肠功能不好的原因"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果不口服药物的话，采用我上面跟你说的方法先试试看"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "行，我先给他揉揉肚子试试！这会不会就是积食"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "应该就是积食说导致的胃肠功能不好"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "与吃东西有很大的关系。因为这个年龄段的孩子就是单纯的吃奶，与吃奶肯定有关，与妈妈的饮食也有关"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的。谢谢你，我先给他按摩一下试试，"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "我可能吃的辛辣油腻了"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "我也吃清淡点"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "与妈妈的饮食肯定有关系的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "我想一岁了，奶吃的不多了，我饮食就没太注意"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "那就与妈妈的饮食有关"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "那我吃点乳酸菌素片什么的？孩子能吸收了么？"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "只要这个孩子吃奶，妈妈就需要控制饮食的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "另外这个孩子辅食的添加方面尽可能给孩子进食容易消化的食物"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "妈妈尽可能避免口服药物，很多药物会通过乳汁代谢，影响孩子的健康和发育"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "哦哦，行谢谢您"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10158184": {
        "self_report": "儿子两岁了，肚子老是发胀是怎么回事？在医院拿的药吃的效果也不怎样。还是发胀。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "出现这种症状有多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "十天左右"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了腹胀以外，还有其他的症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "懒，不好好吃饭"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这孩子平时吃饭怎么样？有没有腹胀的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃饭一直都挺好的，。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有腹胀"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这次发病之前有没有进食过多或者过杂的情况"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "腹胀之前就是吃的太多，过两天好了，然后就吃多少都腹胀"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这是由于孩子胃肠功能损伤，以后修复需要一定的时间，不可能一蹴而就的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "所以说需要慢慢来的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "你在家中口服什么药物了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "要怎么办"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就是医院给包的药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "继续口服改善胃肠功能的药物"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以给孩子口服消食片，西米替丁保护胃肠黏膜"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃饭方面要注意什么"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "也可以给孩子口服调节脾胃的药物，这里的药物口服的时间要长至少半个月"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯好的，谢谢您。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "在饮食方面，尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "油腻生冷不容易消化的食物是不能吃的，并且吃的药少，最多为原来的2/3"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "另外需要给孩子适当地按摩腹部，促进肠蠕动"
            }
        ]
    },
    "10818189": {
        "self_report": "四个月的宝宝咳嗽都一个多星期了，天天雾化贴两次膏药怎么还不好。有点支气管炎怎么办小孩太小",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前就医看过医生，听诊检查过吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "有看医生，天天做雾化"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "说有炎症"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "化验血常规，拍过胸片吗，现在口服的什么药物？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有拍。喝的肺力咳合剂红霉素颗粒"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "还贴的膏药"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个可以的了，现在咳嗽厉害吗？痰多吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "口服药物治疗多久了？感觉有效果吗，咳嗽有没有好转"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是喝奶粉有时就会全部吐出来。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还是挺厉害的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "红霉素有一定的胃肠道刺激，如果服用这个药物以后，吐得比较厉害，可以换头孢类的消炎药用，可以换头孢克肟颗粒。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "对于支气管炎的治疗，主要是消炎和祛痰。另外可以加用一种祛痰药，比如盐酸氨溴索口服液。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "哦。好的那这咳嗽那么长时间了怎么办还是要做雾化吃药吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在太小不能打针吧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个情况，在口服药物，雾化效果治疗不好的情况下。建议就医小儿科，找有经验的医生听诊，或者必要时候拍胸片检查，排除肺炎情况，如果有肺炎的话，一般得需要输液治疗。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果只是普通的支气管炎，口服目前药物效果不好，可以考虑更换药物，同时继续雾化，再观察看一下。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，谢谢了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "小孩这两天屁股起了这东西"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "和出汗多，潮湿有关系，考虑湿疹"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦，谢谢了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前孩子是生病的状态，还是好好的？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "生病状态"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "现在主要有什么症状，就医看过医生吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "主要她一生病，他弟也就咳嗽，他弟才五个月"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "主要是感冒咳嗽"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "咳嗽很厉害"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这次生病后看过医生吗？听诊过气管吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "一个月生病两回了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "听过，气管炎"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "怎么能增加抵抗力"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "打流感疫苗还是丙球呢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前孩子还是一个支气管炎的情况，对于这个情况，一般很少用到丙种球蛋白，为什么说一般很少用呢，因为丙球可以迅速提高抵抗力，但是维持时间很短，即使注射一次，维持时间可能只有一个月左右，后续的并不具备完全提高抵抗力的作用。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦，我们这边医生说打那好所以问问"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "而且丙种球蛋白，是血液制品，有严格的应用指证，除非比较重症的肺炎才用，一般普通的支气管炎，是不建议用的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦。好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "打丙种球蛋白，确实可以迅速的抵抗抵抗力，有利于疾病的恢复。但是维持时间很短，一个月后，就不具备这种保护作用了。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "目前孩子支气管炎的情况，建议口服一点头孢克肟颗粒，消炎，口服一点止咳橘红合剂，止咳祛痰治疗。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "这里那医生说小孩病好了可以打说打了就不生病了"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "她经常生病那怎么办"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "丙种球蛋白不是说用就用的，这个价格比较昂贵，而且维持时间很短，主要用于比较重症的感染状态下才应用。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "可以打流感疫苗和肺炎疫苗吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "小诊所说才两百多"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "孩子这个情况，可以口服一点增强抵抗力的药物，比如口服一点转移因子，脾氨肽口服冻干粉，或者匹多莫德都可以，都是很常用的增强抵抗力的药物，可以口服1到3个月。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "那那个五个月的宝宝呢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "丙种球蛋白，应该至少是六七百吧，而且普通诊所有这个药物吗？我都很怀疑，是不是不是这个药？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "他也是一感冒就咳嗽"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "今天给我小孩灌肠他们说就是丙球"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "应该不是丙球吧，估计是唬你们的，丙种球蛋白是注射用药，一般的小诊所可能得不到这个药。"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "现在孩子支气管炎，是在正规医院里看过的，还是在普通诊所里看过的？"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "不知道，他们说是增加抵抗力的，只说丙球"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "小诊所看的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "孩子这个情况，可以口服头孢克肟颗粒，盐酸氨溴索口服液，止咳橘红合剂，治疗三天。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "治疗三天后，如果支气管炎情况不好转，建议就医公立医院小儿内科，让医生听诊，必要时候拍胸片检查，明确情况，如果炎症很重的话，可以考虑输液抗炎治疗。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "哦，好的，那老大能打流感疫苗和肺炎疫苗吗"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "有疾病状态下，可以通过口服药或者输液的方式，治疗疾病，疾病恢复后，可以口服一点增强抵抗力的药物，平时多注意增加营养，锻炼身体，增强体质，流感季来临前，注射流感疫苗，这个是可以打的，一般9~10月份，就可以打了"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "好的，那小孩之前咳嗽就是灌肠灌好的"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "我就怕灌肠对小孩不好"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "诊所里比较喜欢采用灌肠的方式治疗，但是在正规医院里这个方式比较少用。"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "可是我们这离县城很远，这几天天下雨"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "灌肠有可能损伤直肠粘膜，而且用的药物，不一定很安全。除非有比较严重的肠道疾病，便秘，肠炎，在正规医院里采用灌肠的方式治疗。"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "先吃点药吧，观察看一下，如果后续还是咳嗽还是很厉害，建议拍个胸片，查个血常规看一下情况，必要的时候可以输液，把炎症控制一下。"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "哦好的。谢谢了"
            }
        ]
    },
    "10715837": {
        "self_report": "宝宝最近两天，便便有点稀，一天2次，就是稀，但是爱出汗，大人觉得不热，很凉爽，但宝宝头上还是很多汗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝这三天拉稀，但是那天1至2次，但是很多汗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "最近拉的稀，有没有泡沫，有没有脓血？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是稀"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "水分多吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "遍数也不多，就是发现孩子汗多了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "喝水吗，他平时喝不少水"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "首先来说。拉的不厉害，不要担心"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "拉稀，多是腹泻病可能性大"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "原因多是受凉，加上饮食不当引起的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "出汗多怎么回事"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "我建议先吃妈咪爱调理调理肠道"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "每次一包一天2次治疗3-5天。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "拿出汗是虚"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "汗多，宝宝目前1岁，发育快，多是缺钙引起的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "缺钙可以引起控制汗腺的神经兴奋，就出现这个情况了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有补充维生素D？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "一岁半了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃亦可心了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "腹泻，可以加重缺钙。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "伊可新可以促进钙剂吸收的，可以继续吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "年初查过都不缺"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "年初太遥远了，没什么意义"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "钙片吃什么牌子的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议等5天左右腹泻病好了。可以补充钙剂推荐迪巧颗粒，每次一包一天2次"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "能不能是肚子不舒服"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "治疗1-3月看看"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦哦哦"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "肚子痛的话，孩子会哭闹的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "用不用化验完吃"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "也可以的，复查看看最好"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "会闹，看电视什么节目都不对，哭，要电脑才好点不哭了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "注意妈咪爱温水吃"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "但是也闹别扭"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以哄的话，一般不要紧"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦哦，我给他吃合生元益生菌行吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "小孩缺钙还有别的表现吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "缺钙还会睡眠不踏实，烦躁，多汗等"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "益生菌也是可以的，也是用温水就行"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "他还行吧睡觉挺好的，就是刚睡着有汗，过一会就好了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "腹痛的话，孩子会弓腰哭闹。用手揉一揉肚子可以缓解"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "目前就是缺钙也不会很严重，不要担心"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那的补一个月吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "再一个，腹泻可以引起气虚，也能出现多汗，这个情况等腹泻好了，多汗就减轻慢慢消失"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "建议腹泻好了，先检查微量元素，假如缺钙，再补充也好"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "先吃上益生菌治疗腹泻。伊可新不能断"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "假如出现腹泻加重，宝宝出现哭闹严重，就要及时到医院儿科看看的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "嗯嗯，还有问题吗？"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "那腹泻能同时化验吗"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "亦可心的吃多久"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "腹泻的时候怕不准"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "现在能天天吃吗"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "所以建议病好了再检查"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "伊可新建议补充到2岁"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "平时适当晒晒太阳也可以"
            }
        ]
    },
    "10050725": {
        "self_report": "四个月宝宝腹泻喝泻立停吐黄酸水怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "这孩子每天大便几次？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "五次左右"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "尿量怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "尿的挺多的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "没有口服药物之前有没有吐的情况？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有喝药前没有吐过"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子尽可能不口服止泄药物"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这是今天检查的大便结果。医生开了泻立停喂的四分之一。过了一小时后开始吐酸水"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这个孩子应该是轮状病毒感染，就会导致水样便"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "呕吐应该与口服药物有关系，轮状病毒感染本身也会导致呕吐"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "最直接的原因就是药物的刺激，这个年龄段的孩子不建议口服止泄药物，可以适当的口服思密达保护胃肠黏膜"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "已经两个月了。检查轮状病毒一会有一会没有"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那今天他胃不舒服应该怎么办？也不喝水，也不吃母乳了，特别不舒服"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "暂停所有的口服药物，适当给孩子喝水，避免脱水"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "轮状病毒感染以后，体内会产生抗体，再次发生轮状病毒感染的概率比较低"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以给孩子按摩腹部，促进肠蠕动。外用肠胃散贴片，改善胃肠功能"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那真对这个腹泻都应该怎么治疗呢？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "肠胃散贴片是贴哪里的？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "对于这样的腹泻最主要的就是保护胃肠黏膜，可以口服思密达。一定让孩子多喝水，避免脱水，轮状病毒感染最主要的就是对症治疗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "肠胃上贴片是贴肚脐眼儿的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他这是肠炎还是痢疾呢？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我们给他贴过丁桂儿脐贴"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "白细胞2到4个暂时不能诊断痢疾，应该是肠炎"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以用丁桂儿脐贴"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那就只喝思密达？外贴肠胃贴吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，同时在喂养方面适当的调整，减少每次喂奶的奶量，增加喂奶次数。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个孩母乳喂养还是人工喂养"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "纯母乳加米粉"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那就降低米粉的浓度或者停用"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "妈妈的饮食也要注意，尽可能既是容易消化的食物，避免进食油腻生冷不容易消化的食物"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的????谢谢您。我们试试。明天再胃可以吗？今天他特别不舒服。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "喂"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "当然可以，但是还是不建议你应用止泄的药物，因为这样可能会导致孩子的肠功能紊乱，可能会出现便秘的情况，也会导致肠道内的毒素吸收出现中毒症状"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的????再不喂别的药物了。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "一定要注意多喝水，避免脱水"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的????水里可以加葡萄糖吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以，可以选择口服补液盐"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "这个里面比例比较适合接近于静脉液体"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "是生理盐水吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不是的，生理盐水当中只是含有钠和氯，口服补液盐中还含有碱性液和钾"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "名字就叫口服补液盐是吧。好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "口服补液盐三号"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10295408": {
        "self_report": "宝宝45天咳嗽有痰，好像鼻塞，口吐泡泡",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "4天这样子，但不是一直咳，一天咳几次，一次就几声"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有呛奶"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我奶水是自己往外流的，宝宝吃的时候有时会呛到，咳几声"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "上午玩，下午睡"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎（咳嗽，有痰伴有口吐泡沫）"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天还没测"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "肺炎有什么症状？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院合理检查，首先找医生听一下气管，然后行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "肺炎也有这些症状"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议合理检查一下"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我数了宝宝呼吸次数，一分钟45次左右"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "稍微偏快"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "宝宝正常的呼吸有声音吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "没有呼噜呼噜声音和吱吱声"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一点声音也没有吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般没有的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "宝宝呼吸时有种我们大人用鼻子用力吸气的声音"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "考虑有分泌物"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议给宝宝合理检查一下"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "一阵一阵的，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "考虑痰鸣音"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝才45天，出现咳嗽，有痰，口吐泡沫，考虑支气管炎，需要合理检查胸片检查了解一下肺部和气管炎症情况，如果单纯支气管可以口服药物配合雾化治疗，如果有肺炎建议输液治疗。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吐泡沫也是偶尔"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "痰鸣音是由主气管内的较粘稠的分泌物震动产生,为一种特殊的湿罗音，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果咳嗽或口吐泡沫持续宝宝肺部肯定有炎症"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "怎样算持续"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "次数增多，比如顿咳，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "次数都比较少"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "连续咳嗽或口吐泡沫"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "就是每天会有"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "但是一天中不多"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "少考虑宝宝支气管炎，毕竟平台不能详细查体，需要合理检查了解一下肺部和气管情况。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "直接挂儿科吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "检查后可以再找我"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "宝宝每天早上就会有一个鼻子不通气儿，能给她俺就通气了，"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "天早上起来都是不通气，"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "应该有分泌物"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "与呼吸道感染有关"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "给宝宝合理检查一下吧！"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            }
        ]
    },
    "10023144": {
        "self_report": "宝宝拉稀还拉绿色，吃了蒙脱石散和妈咪爱三天了，拉的还是绿色的今天拉了3次也没见好，怎么办呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，请问宝宝拉稀有几天了呢？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "四天了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今天拉了三次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "每次拉的大便都和图片一样吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "都是绿色的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "拉的量也差不多吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "每天第一次拉的还不稀但也是绿色的然后第二次和第三次都拉的不多第"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "已经吃了三天药了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的，请问宝宝除了拉稀，还有发热，咳嗽，吐奶等表现吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "您好？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有，有时咳嗽就那么几声，没总咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "好的，请问宝宝的精神反应情况怎么样？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "也挺好的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "喝水喝的多吗，尿多不多？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他平时不怎么爱喝水，尿不少一天的10来回"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好的，综合您说的上述情况，宝宝只是轻度的腹泻"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "每天大便三到四次以内都是正常的，大便的颜色改变，可能和吃蒙脱石散有关，"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那我就继续给他吃药是吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果宝宝的大便不是稀水样的，就不用再继续吃蒙脱石散了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "收到图片，这个可以吃的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我朋友建议给吃这个药可以吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "妈咪爱也给吃吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "两个吃一种就可以啦，注意要用温水泡，太热或太冷的水都会影响药效"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "可是拉绿色的不是消化不良吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "绿色大便跟吃蒙脱石散有关"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您不用太担心"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "那之前没吃药的时候拉稀也是绿色的啊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "看图片上大便的性状可以不用再吃蒙脱石散了，停用蒙脱石散以后您在看看大便是不是变回原来的颜色啦？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "哦，这样啊，请问宝宝是母乳喂养的还是奶粉喂养的呢？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝加辅食了吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "以前他是拉黄色粑粑的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没加"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "拉绿色的大便是持续性的还是间断性的呢？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "就最近肚子不好才拉绿色的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "妈妈最近有吃什么特别的食物吗？有吃颜色特别深的蔬菜水果吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "他之前也拉稀了，反正这段时间总是断断续续的都是拉绿色的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "拉绿色的有20天了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "好的，宝宝拉肚子的症状还不是很严重，治疗主要以调节肠道菌群为主，适当补充水分，预防脱水。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "妈妈注意调理饮食，避免吃生冷干硬辛辣的食物"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "那我给他吃什么啊"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "肠道益生菌，您开始拍了图片给我看的那个"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "吃了那个就不用吃妈咪爱了是吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的谢谢尹丁医生为我解答的这么详细"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "好的，很高兴能帮到您，不客气"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "请问您还有什么疑问吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "如果没有疑问了，请您结束服务，谢谢！您的肯定是对我工作最大的鼓励！"
            }
        ]
    },
    "10306251": {
        "self_report": "宝宝早上起来吃东西就吐！没有精神！早上打一针了！现在还是不能吃东西吐！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "2岁多"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝有没有吃不好消化的食物"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有呀"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "早上起来吃一点点火腿肠就吐了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "昨晚呢"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天晚上吃了一点线粉"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝有没有哭闹"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝吃完马上就吐吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有闹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "刚才吃一点饭就吐了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝有没有大便"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有放屁？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吐的味道就像喝醉酒一样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "拉肚子拉三次了！黄颜色"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝肚子胀吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有点"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "给宝贝打的什么针"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我没有看"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "医生给宝贝检查了吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "打针的颜色是黄颜色"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "听了听"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个不好说哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "给宝贝诊断的什么疾病"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "按按肚子"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "这个是啥情况呀"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝现在有消化不良症状"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "带孩子去医院看了吗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "诊断"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "考虑宝宝现在是什么疾病？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "诊所"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝大便有没有粘液或者脓血？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝宝现在有消化不良症状"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在有尿吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "喝水吐吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "那就注意宝宝饮食，多喝水"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "也尿了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "建议带孩子去公立医院儿科就诊，给宝贝检查腹部，必要时查血常规，大便常规，明确吐泻原因，对症治疗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "是不是喝学生奶喝的呀"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "喝的多少？"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "半杯子"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "凉的吗"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "有可能哦"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好谢谢你"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "再见哦"
            }
        ]
    },
    "10311752": {
        "self_report": "我儿子五岁，这几天咳嗽，完了还吐，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有十几天了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有二十多天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "一顿顿的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有喘息症状"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃东西一咳嗽就吐"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "呕吐物有没有痰样粘稠物"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝咳嗽二十天有没有检查过"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有痰，有黏物"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有去"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎，建议加用抗感染药物，止咳化痰药物"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "最好带宝宝到医院合理检查一下，行胸片检查了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "前几天吃药了，有好转"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "毕竟咳嗽时间太长"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "拜拜"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "吐完了就不咳嗽了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "呕吐与咳嗽刺激有关系"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "在吗"
            }
        ]
    },
    "10791831": {
        "self_report": "我儿子天天吐，也给他贴过中药贴，之前医生说他积食，消化不良，不让我给他吃他多饭，我也不怎么给他吃饭，但是他还是吐，这两天感冒好多了，肚子疼，但是还是吐，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子一天吐几次呢？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "一次"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "一般都在吃完饭过后"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "到今天为止吐了几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "吃完饭活动厉害吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有三四个月了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不厉害，就是在地下玩"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最初的时候能吐几次？现在好转点吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "他吃完饭，睡觉时还得喝奶，然后就吐，有时吃完饭不一会就吐"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吐一次"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在多大？什么饮食？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "15个月"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吐之后看过几次医生呢？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "现在也是吐，今天吐两次"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "两次医生，中药贴"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "都是什么时候看的呢？做过什么检查吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "就是晚上吃一顿，大米饭泡点菜汤"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "最近这半个月都在调理，今天才停"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "医生说孩子消化不良，这个胃肠功能不好，饮食不当可能不利于孩子恢复，胃肠功能现在没有完全恢复，所以现在可能会有吐的症状"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "除了中药贴，吃过什么药吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没，孩子一吃药，奶联药都吐出来"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "平常精神状态怎么样。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "挺好"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "以前我儿子有点肾积水，但是没事，都恢复差不多，对他这个吐没影响吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "消化不良的一般胃肠功能弱，受凉，饮食都可能会有影响，疗程一般7到10天时间恢复，有的恢复时间可能会长点，治疗原则一般调节胃肠功能"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "肾积水这个复查没什么大问题，这个吐和这个关系不大"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "大便呢？正常吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这两天感冒，联感冒和消化不良一起调理"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "面诊医生让孩子吃饭不要吃太多，但是正常的一天三次的饭还是要按时喂的，不是一定都不喂光晚上吃饭，辛辣刺激食物，太油腻的东西不能吃"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "这两天都是拉绿屎"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯嗯，绿色大便也是消化不良的一种表现"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "刚才哭的折腾半天，怎么哄都不行"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "今天停了药之后医生让观察的吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "中午吃饭来吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "说没什么大事，就让注意饮食，别吃太多，"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "吃了几口疙瘩汤，全吐了"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "孩子还是吃奶比较频繁"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "这个时候能吃多少吃多少，别强喂，吃点青菜，馒头，等容易消化的东西！"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我害怕他肚子里别吃进什么东西"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "疙瘩汤之类的这个不好消化，您不要给宝贝喝这种不好消化的食物，可以喝点小米粥，吃点清淡的东西"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "馒头，面条什么都不爱吃，挑食"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "这个这个时候吃这种比较好消化！"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "我给他以后喝小米粥可以不"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "哭闹的话可能胀气消化不好的原因，多给孩子揉揉肚子，多喝点温水！"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "可以喝小米粥，刚刚吐完别立马喝水吃饭，这样不利于孩子胃肠功能的祝福"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "以前都是吐完，喝奶，然后就睡了"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "目前的吐时间这么久了，消化功能没有完全修复，现在吐的次数不多，精神状态好，医生现在让注意饮食观察一下！您可以给孩子观察一下情况"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "我感觉他是肚子疼或者涨，要不然他不能哭闹"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "嗯嗯，孩子刚刚吐完的话不要立马喝水"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "哭闹的话消化不良可能也会哭闹，这个您可以先给孩子热敷一下肚子，揉揉肚子，看一下症状缓解情况"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "注意饮食就可以"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "目前观察三天，如果吐的情况不缓解，大便的颜色缓解不明显，可以带孩子去儿内科就诊给孩子查个大便常规，腹部彩超看一下，排除一下肠道外科疾病，需不需要用药！"
            }
        ]
    },
    "10448091": {
        "self_report": "我儿子33个月了，昨天第一天上幼儿园，但今天就闹了，所以带回家了，晚上吃完饭就说胸疼，还发烧，正准备要去医院的时候吐了很多，现在就睡着，嘴里总说疼，然后还发烧，好像呼吸困难似的，心跳也快，请大夫帮我诊断一下谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子刚上幼儿园，不适应幼儿园的环境，很容易出现呼吸道感染的情况"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发热的孩子可能会出现呼吸增快的情况，体温每升高一度呼吸能够增快8到10次"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "心率也会增快10到15次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那这个孩子现在的体温是多少"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "感觉心跳明显加快了，现在睡觉呼吸非常急促"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "37.8"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "刚才去过诊所，开了退烧药和消化药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "出现上述情况与这个孩子体温升高有很大的关系"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那医生有没有说这个孩子咽部充血呀"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "发热就会出现呕吐，有的孩子可能会出现腹痛的情况，这是由于肠蠕动过快所引起的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "说呼吸道不好"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "那就应该考虑呼吸道感染了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "你这个孩子刚上幼儿园，不适应幼儿园的环境，上火有很大的关系"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "再加上幼儿园的环境比较密闭，如果有一个小朋友出现呼吸道感染的情况，很容易传染给其他的孩子"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "等过这晚上看看"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不行明天就再去一趟"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不管什么原因都需要给孩子适当的多喝水"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "等病好之前就不能让孩子上幼儿园了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个孩子就呕吐了一次，在没有出现呕吐的情况？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就吐了一次"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "应该不能再上幼儿园了，只会加重这个孩子的病情"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果孩子没有呕吐的情况，应该适当的让孩子多喝水，这样有助于体温的下降"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果这个孩子有呼吸道感染的情况，应该给孩子口服感冒颗粒和清热解毒药物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯，就怕孩子好了以后再去幼儿园被别的孩子感染了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那这个孩子就应该是呼吸道感染引起的，呕吐，腹痛，心率增快，呼吸增快。最根本的原因就是发热"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "对呀，如果这个孩子的疾病没有恢复，在幼儿园被别的小朋友传染了症状会加重的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "呼吸道感染多是由于病毒或者细菌感染引起的，病毒感染的可能性是非常大的，所以说需要给孩子口服清热解毒药物，喝感冒颗粒的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这孩子既往体质怎么样，有没有出现反复的呼吸道感染？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "以前没有过，今天去了大夫就说气管不好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "那这个孩子还有咳嗽的情况吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "就光发烧"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "那怎么能考虑气管炎呢，应该考虑呼吸道感染，也就是感冒了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "对呀，这个孩子就是单纯的发热！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子可能会影响胃肠功能，会出现腹痛呕吐的情况"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "我也觉得是，我们下面诊所的大夫说嗓子没有发炎就说气管不好"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果气管不好，这个孩子最起码应该有咳嗽的情况或者说气管当中有分泌物，气管有呼噜呼噜的声音，如果没有这些症状，不应该考虑气管炎还是应该考虑上呼吸道的问题"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "呼噜呼噜的声音是睡觉感觉像打呼噜的声音吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不是的，那是鼻子当中的声音呢"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "哦哦，那就没有"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果是气管炎，最主要的是有咳嗽啊"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "那这个孩子就不应该考虑气管炎，应该考虑上呼吸道感染"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "孩子有没有说在幼儿园吃东西吃的不合适啊？幼儿园的饭菜应该不会造成孩子出现胃肠炎的"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "谢谢您大夫，我明白了，我先给他吃药，多喝水"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "胃肠炎的孩子也会出现发热的，也会出现腹痛，呕吐"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "这个体温不用口服退热药物的，多给孩子喝水就可以了，可以外用退热贴用温水擦浴额头敷冷毛巾，超过38.5度给孩子口服退热药物"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "孩子没有说"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "我建议你明天到正规的医院就诊，看一下这个孩子咽部有没有充血的情况，需要进行血常规的检查，明确一下这个孩子发热的原因"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢大夫"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，如果出现呼吸道感染的情况，往往就是全新的症状就是发热。反正以后有的孩子可能会出现胃肠道的症状，比如说腹痛，呕吐，腹泻"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10741121": {
        "self_report": "问题孩子病毒感染发烧两天，吃了几次退烧药，还是不退烧，去门诊打了三针屁股针，打完第一针烧就退下来了。可是退烧以后精神不好，就是老是想睡觉，也会哼哼唧唧的，以前特别爱动也特别爱笑，现在精神一点也不好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝目前几个月了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "七个多月了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "共发热几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一共发热两天，打完针就退了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "最高39.4"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "知道肌注的什么药物吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不知道，不过打完了就没再发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "开始宝宝除了发热还有其他不适症状吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有点轻微咳嗽，不严重"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前宝宝哺乳，大小便量及性状正常吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在就是精神状态很不好，老是想睡觉"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "都正常"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "也没有呕吐？吃的也正常？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "而且感觉没劲"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有吐，吃辅食不是很爱吃，吃母乳正常"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "化验血常规白细胞偏低，提示病毒感染，不知就诊查体有问题吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "知道，但是医生也没用药处理"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "医生说没有大问题，就是还有点病毒感染"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前精神不好，不知有就诊没有，原因1药物只是把体温控制，但病情没有控制。如果用激素后体温控制，会引起精神差2需要除外神经系统问题。（只是需要除外）"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "目前发病够72小时吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "够了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "身上有皮疹吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "会不会是心肌炎啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝发热，但体温正常时如果精神反应好，那可以适当用药观察，但如果宝宝精神反应不好，嗜睡需要儿内科就诊"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "病毒感染可以引起心肌，神经系统等问题"
            }
        ]
    },
    "10335101": {
        "self_report": "六个月的宝宝大便黄中带黑点，跟喝治感冒咳嗽的药有关吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "宝宝喝完治感冒咳嗽的药大便黄中带黑点，这跟喝药有关系吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发个图片看大便是什么样子的。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "刚洗了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是黄色的，很黏，有些黑点"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "大便稀不稀。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "稀，有黏液"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "量大不大？那些黑点多不多，然后宝宝吃的是什么呢？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "量不多，黑点也不太多，一直都是母乳喂养"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大不大，不是那种全黑的吧？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不是全黑的，就跟撒了点黑芝麻似的，拉的也不多"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "像这种散在的小黑点不像是出血，可能跟吃的东西有关系的，宝宝用的是什么药物呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有其他的？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个一般不会导致大便变黑。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "还有肚子上贴的叫小葫娃的膏药，也是治感冒咳嗽的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯，宝宝拉大便几次呢"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "一天得六次吧，就刚才那一次是带黑点的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦。带一点点黑的不是全黑，应该不是出血，估计问题也不大，但是宝宝次数比较多，算是有腹泻的。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "昨天拉沫了，黄色的，也拉绿色的了，这两种颜色的大便是腹泻吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "昨天次数几次？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "也得六次多吧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是腹泻"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦，家人说孩子折腰了拉绿色的，这种说法科学吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这个也不科学，可能是受凉，宝宝有没有受凉呢？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有受凉，平时宝宝大便也很稀，次数也多"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "大概在几次呢，小宝宝这样多长时间了？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是黄色的大便，每天都是拉肚子吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有没有超过三次？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "平时的话得五六次吧，从满月了一直这样，现在宝宝六个月了"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "很少有那种金黄色软膏壮的便便"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "量大不大？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "说不准，有时多，有时少"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯，算是。因为次数比较多。小宝宝吃母乳的话，容易出现这种情况，一般不会影响身高体重。总量大不大？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "总量大吧"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯。是否影响宝宝的身高体重"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "没有呢，体检的时候都达标了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "小宝宝一岁以内的胃肠道没有发育完全，可能是会出现腹泻的，特别是受凉或更换奶粉等受刺激的时候。不会影响身高体重发育都还好。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "需不需要吃益生菌呀"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "我建议吃。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "大便有六次了还可以吃点小儿蒙脱石散。这个止泻效果不错。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "刚才又拉了点这个颜色的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这样看着还好。量不大。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "这种褐色的也是正常的吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯，这种颜色还好。可能跟消化不好有关系。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "可以用上面那两种药。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "那母乳喂养的话母亲饮食方面需要注意点什么呢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "母亲的饮食方面，不要吃那些太油腻的东西，可以多喝点鱼汤，猪脚汤撇掉上面一层油。也不要吃太辣的东西。小宝宝有没有其他什么不舒服的？"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "这两天就是有点咳嗽，流清鼻涕"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "精神饮食怎样？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "挺好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯，咳嗽有没有痰？就是喉咙里面能不能听到声音？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "只用了那一个药吗？"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "还需要用别的吗"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "小宝宝和大人不一样，咳嗽但是很难咳出痰来，不像成年人一样，咳两下能吐痰，小宝宝咳不出来，所以需要用化痰的。咳嗽剧烈吗？大概一天几次？有没有连续咳嗽？夜里面会不会咳醒。"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "十几分钟咳嗽一次吧，晚上睡觉的时候也会咳几声"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "好的。可以用这个氨溴特罗口服液化痰止咳治疗。"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "好的，谢谢啦"
            }
        ]
    },
    "10179615": {
        "self_report": "宝宝八个半月，大便拉的和泡沫一样，一天都要拉六七次，都持续六七天了，吃母乳",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家宝宝这是什么情况"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子目前精神状态怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "精神挺好的，吃奶也没事"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，应该考虑消化功能不良，与饮食和喂养有一定的关系"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "尿量正常吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "恩，挺爱尿的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "出现拉肚子之前这个孩子吃奶有没有过多？或者说吃东西过杂？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "也没有喂什么东西"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "妈妈的饮食有没有特殊？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "最近和平常差不多，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "到医院查大便常规了吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应该到医院查大便常规的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果这个孩子大便当中没有白细胞，就没有必要口服消炎药的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这种情况可以吃点妈咪爱吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以口服妈咪爱改善胃肠功能"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你在家中还口服其他药物了吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "如果有白细胞的话吃点消炎药就可以吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外妈妈的饮食需要注意"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果大便当中有白细胞需要口服消炎药的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不要吃什么呢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "首先应该从两方面进行调整，下面我给你具体说一下怎么调整"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "减少每次喂奶的奶量，增加喂奶次数。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "适当地按摩腹部，促进肠蠕动"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "妈妈的饮食也需要注意，尽可能去食用易消化的食物，避免进食油腻生冷不容易消化的食物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那我现在可以给她喂点妈咪爱吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "当然可以"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃多少呢一次"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这孩子体重是多少"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "20斤"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "每次一包一天两次"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "这孩子大便当中水多不多"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果水分比较多的话，可以适当的口服思密达保护胃肠黏膜"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "如果吃妈咪爱还不好的话是不是就是有baixibao"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "泡沫多"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "这种情况不一定的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果泡沫比较多，应该考虑消化不良"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "妈妈尽可能少吃甜食"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "大便当中有没有粘液，跟鼻涕一样的物质"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "我最近每天基本上都吃甜食了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "没看到，只看到泡沫了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "尽可能少吃甜食，吃甜食过多，孩子大便中泡沫就比较多"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "那考虑炎症的可能性比较小"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "主要是消化功能不良"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "是吗，但是每天都六七次，有时候放屁都能出来"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "这就是消化功能不良的表现"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "那现在就给她吃点妈咪爱，然后我少吃甜食"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "可不可以贴个丁桂儿脐贴"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "当然可以用丁桂儿脐贴，这个药也具有改善胃肠功能的作用"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "恩，那我一会喂点妈咪爱，然后贴一贴，看看能不能改善"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "其实对腹部的按摩或者是热敷，比丁桂儿脐贴效果更好"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "通过上述治疗，如果症状没有明显的改善，肯定需要查大便常规的"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "热敷拿什么，热水袋？"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "另外还可以给孩子口服思密达"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "可以的，用热水袋"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "恩，吃两天热，如果不好转的话，就去医院化验大便"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10738438": {
        "self_report": "今天拉了3次了不知道是不是拉肚子了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "体温如何？拉肚子几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了全面了解患者病情，可能我接下来的问诊比较繁琐，希望多多配合，敬请谅解，只有这样才能给出更好的建议！"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "体温正常的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "最近孩子有没有吃特殊的东西"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天三次"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天多起来"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "看着大便有点泡沫，黄色稀糊样大便"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有呕吐？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "大便有点绿"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有去医院检查？有化验结果吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "精神状态如何？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "还好的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有去医院里"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天刚刚开始"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "通过和您的交流问诊，以及孩子大便图片，考虑到孩子目前主要是腹泻2天，质地稀，有点泡沫，时绿色，次数今天增多，没有发热，没有呕吐，精神还可以"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前主要考虑孩子消化不良或者有点急性肠炎"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "要去医院化验吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前孩子这个样子建议查个大便常规和轮状病毒，如果有炎症，需要用药或者抗生素治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的谢谢啦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果大便检查没问题，那就不是很严重"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "没有问题，就需要用蒙脱石散和妈咪爱调节一下就可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "在吃妈咪爱牌的益生菌"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "吃了感觉有效果吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "因为刚刚开始拉不知道有没有效果"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "还是建议去医院儿科看看，查个大便常规和轮状病毒，有利于下一步治疗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的??"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "饮食上注意清淡，好消化"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "吃的欠一点"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "肉奶鱼蛋少吃"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "注意腹部保暖，逆时针按摩腹部！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果大便常规有白细胞或者红细胞，就考虑急性肠炎了！如果没问题，那就考虑饮食或者受凉导致的消化不良！"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "同时腹泻注意给孩子适当多喝点水，预防孩子脱水"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以口服补液盐，按着说明当水喝"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "平时可以喝点粥"
            }
        ]
    },
    "10286547": {
        "self_report": "宝宝四个月这几天每天拉七八次屎，每次就拉一点，这算是拉肚子吗，吃了益生菌还是拉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "拉肚子几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我家宝宝这是拉肚子吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "第五天了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "每天七八次，可是看他精神也好的很"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃奶粉"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "以前1天大便几次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "以前一天一次，有时候两天"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在每天七八次，可是一次就一点点"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个属于腹泻"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "妈咪爱吃了几天了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有时候大便好硬"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃了益生菌"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "吃了几天了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议给宝宝注意腹部保暖"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃了两天，感觉没效果"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以贴肚脐贴"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这两种吃那个好些"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃的这两种吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "前天吃妈咪爱，今天吃的益生菌，感觉没效果还是拉"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "思密达空腹吃"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "宝宝喉咙里还有痰，老是呼呼的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "有痰多长时间了？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "两天了，从昨天开始了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "昨天去医院了，医生讲还好只是喉咙也有发炎"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "开了这个药"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "喉咙有痰，也可以导致拉肚子的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "头孢和益生菌，需要隔开2小时服用"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我也隔开吃的，怎么感觉拉的严重了后来，前几天一天就拉五次"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "这两天每天都拉八九次了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "因为有痰，也可以加重拉肚子的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "思密达空腹吃"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "注意奶粉的温度"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "奶粉温度都还好"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯，那就行"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "吃思密达益生菌跟头孢还用吃吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯，还需要吃"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "给宝宝贴肚脐贴"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "一定注意腹部保暖"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "一下子吃这么多要会不会对宝宝不好"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不会影响的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "我这几天都给宝宝穿两天背心的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "哦，"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "做好护理，有助于恢复"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "益生菌跟妈咪爱只要吃一样就可以了吧"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯。吃1种就可以的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "先给宝宝吃这3种看看"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "恢复需要1个过程"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "益生菌跟妈咪爱哪个效果会好一些"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "一个疗程是多久？"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "效果都一样的"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "一般7-10天才会好的"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "那好吧，我就试试吧"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "66",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "不谢！有事联系"
            }
        ]
    },
    "10633229": {
        "self_report": "宝宝消化不良不爱玩闹腾的很",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前有哪些消化不良症状？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "大夫，你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "你好，孩子目前有什么症状和不适？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天去给娃娃看病，医院电脑坏了，我就直接拿着处方去药店买药，如果处方泄露了，对我有影响吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "您指的是哪方面处方泄露？是担心信息泄露吗？一般问题不大的。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前孩子有哪些症状呢？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我担心药店会把盗用什么的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "处方还有吗？发我看一下，我看看上面有哪些信息。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有医生名字，医院名，还有患者名，本人签名"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "没问题的，只要没有联络方式，家庭住址什么的，一般都不会找到您本人，不用太担心。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在医生诊断消化不良，孩子有哪些症状呢？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不好好吃饭，爱发脾气"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "看到目前医生诊断的是消化不良，开的是一些中药的方剂。看到还是比较对症的，可以吃一点。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在孩子多大，身高体重发育的还好吗？有没有化验过微量元素，有没有缺锌的情况？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "就是最近爱感冒的很"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般来说比较容易患感冒，也和不好好吃饭，体质差，抵抗力差，可能有一点关系。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "在治疗上，一般可以吃一点醒脾开胃助消化的中成药调理。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "怎样才能增强抵抗力"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "提高抵抗力的方法，主要是好好吃饭，增加营养，锻炼身体，增强体质，做好感冒的预防。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "感冒季节来临前，注射流感疫苗，别去人多，空气污浊的地方，多注意喝水。适当的吃点增强抵抗力的药物也可以。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "孩子近期有没有补过锌？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃的是酸锌颗粒"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个是可以适当的吃一点的。目前看到孩子比较挑食，不好好吃饭，同时抵抗力差，都是符合补锌指征的。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "平时在日常生活中，多给孩子吃点肉蛋奶，有营养的食物。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "对了，就那个处方真的没影响吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "那个处方上只有宝宝的名字，信息泄露并不厉害。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "并没有您的家庭住址，联系方式，药店里光凭这点信息，没法联络到您，不用担心。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "目前建议继续服用医生所开的药物治疗，治疗一周后，就医小儿科，让医生检查，复诊情况，看病情恢复。"
            }
        ]
    },
    "10120689": {
        "self_report": "小宝宝六个月，咳嗽流鼻涕，咳嗽不厉害但是一直是偶尔就咳持续大概十多天了，之前就去小诊所看的，吃过药贴过中药贴，还是不好，嗓子有痰，从昨天开始流鼻涕咳嗽有点厉害了，怎么办",
        "dialogue": [
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这孩子除了咳嗽，流鼻涕以外还有其他症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "夜间咳嗽症状重还是白天咳嗽症状重？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "夜里，一躺下就咳"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "白天很少"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "精神状态怎么样，吃奶怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "从昨天流鼻涕就不怎么精神了，吃奶很好"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃了感冒药，不怎么见效"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "你在家中口服什么药物呢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "除了感冒药以外，还有其他的药物吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "小儿氨酚黄纳米颗粒"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "就这一种药物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "还有消炎药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "什么消炎药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "头孢颗粒"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "口服多长时间"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这段时间一直吃吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没，昨天开始吃的，之前咳嗽不厉害就没有吃了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "进行过什么检查吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个孩子需要去注意气管炎可能"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，今天去带他听一下"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "小儿氨酚黄纳米颗粒没有必要吃了，需要口服化痰止咳药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "消炎药肯定需要继续吃的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "因为这个孩子毕竟咳嗽的时间比较长"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这么长时间咳嗽肯定不属于感冒的范畴，应该属于下呼吸道"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果有可能应该到医院进行血常规和胸片的检查"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "根据血常规的结果选择抗生素的种类"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果白细胞总数明显的升高，需要口服头孢的，如果升高都不是特别明显，需要选择阿奇霉素"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "另外我还想询问一下这个孩子，生病期间有没有重感的情况，也就是说再次发生呼吸道感染或者受凉"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这个孩子既往体质怎么样？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "孩子的年龄比较小，应该给予积极的治疗，年龄越小的孩子出现并发症的概率越高"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "还可以，就是肚子不怎么好"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "出生以后六个月以后从母体带来的免疫球蛋白消失殆尽，自身产生免疫球蛋白数量又很少，所以发生感染的概率大大增加"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "肚子不好是不是胃肠功能不好啊？孩子有腹泻的情况？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "对，有时候一天要拉五六次"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "长时间的拉肚子可能导致孩子免疫功能低下"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "从前天开始给他添加米粉了，之前纯母乳"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "添加米粉以后，腹泻怎么样，好转一些了吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "前天才开始的，没有吃太多，先慢慢添加，怕他吃太多消化不良"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "这个孩子腹泻多长时间，从出生后一直拉肚子吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "那我一会起床就带他去看看"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "两月的时候不拉，一天一次两次，三个半月昨天的时候才开始有腹泻"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "如果添加米粉以后腹泻症状明显缓解，需要注意乳糖不耐受的可能"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "应该到医院进行检查的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "这样才有更有针对性地选择药物进行治疗，而不是盲目的"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "乳糖不耐受是什么意思"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "就是孩子肠道当中缺乏乳糖酶，不能消化奶当中的乳糖而导致腹泻"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你服务！"
            }
        ]
    },
    "10121767": {
        "self_report": "宝宝八个月了，这两天也没凉着就咳了，也不是很厉害，就是一阵一阵的咳，请问是不是细菌感染还是怎么？这两天在断奶，请问可以吃点什么药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天一点点，今天厉害些"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有哦，今天有点热的时候量的37,4"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有喘息"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好像没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "白天吧，昨晚上没怎么咳"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "建议口服止咳药物，比如小儿止咳颗粒"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "最好找医生听一下气管和肺部"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "猴枣散行吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "拍一下胸片看看气管有没有炎性改变，化验一下血常规分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不能直接吃药的吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "最好找医生检查一下"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗，有利于宝宝疾病恢复"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的好的，就是今天给他吃了一次猴枣散"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯这两天断奶需要注意什么吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "注意合理添加饮食，不要着凉。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "拉的是黄的，有点奶瓣好像"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "应该没有问题的，可以应用肠道微生态药物"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有了，谢谢你"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝早日康复，健康成长"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那就结束了。再见"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10286156": {
        "self_report": "小孩七岁，咳嗽不爱好，吃过罗红霉素分散片五天也没好，该怎么办？反反复复的咳嗦不好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "赵医生，您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发烧吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有发烧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是咳嗦"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "刚开始是黄痰，得有一个来月了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃了多长时间的药啦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃了五天罗红霉素分散片"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "就吃的这一种吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "两天小葵花肺热咳喘口服液"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯，就吃这一种消炎药"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "症状减轻吧"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没好"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感觉没减轻"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在孩子晚上也瞌睡么"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "对不起，打错字了，晚上也咳嗽吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "晚上睡觉不咳嗦"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没事的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "咳嗽有黄痰，是吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一早一晚咳嗦多"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有黄痰"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "刚开始都是黄痰"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "根据你说的情况孩子还是有呼吸道的感染"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "现在有时候我看还有白色的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "还吃蛇胆川贝液了的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "反复的咳嗽吃药不见好转，应该去医院检查一下"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "严重吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "化验血常规，拍胸片，看是否有气管炎和肺炎。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "再针对性治疗效果还好。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果有气管炎和肺炎口服药物效果不好。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "先是黄痰现在咳嗦我看就是白色的唾液"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果是单纯的感冒可以适当的调整药物。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "那该怎么治疗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "感冒咳嗦和别的咳嗦有啥压力"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "先去检查排除气管炎和肺炎可以适当的调整药物"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，感冒以后很容易引起气管炎和肺炎。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "听诊器能听出肺部有没有炎症吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "有的可以听出来，有的听不出来拍胸片比较准确。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "那我带她去医院看看"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可以让医生面诊先听一听，然后拍胸片再检查一下。这样比较准确的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯，好的，谢谢您的及时回复"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "再见，赵医生！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气的，祝孩子早日康复！"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，再见"
            }
        ]
    },
    "10145590": {
        "self_report": "宝宝快5个月了，今天又拉肚子，下午拉了4次",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝拉了几天了？大便什么样？小便多么，食欲好吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "拉了快20天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前面一直吃药"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "吃的什么药"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "双歧杆菌、斯密达、醒脾养儿颗粒、乳糖酶、布拉氏"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "都吃了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "效果怎么样？有不拉的时候吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前两天每天拉三次，看着拉的还可以，就没再吃药"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "去医院化验大便，大夫说没啥问题"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝没耽误长吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "便培养也没问题"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "体重增长还可以吧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在是纯母乳喂养吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一开始闹肚子就给他吃药了，没耽误，期间去医院两三次了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "体重没怎么长"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝精神还可以吧"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是，大夫怀疑可能乳糖不受，吃的乳糖酶，也没见怎么有效"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "昨天喝了一次奶粉，今天也喝了一次"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以换换奶粉试试，不含乳糖的奶粉"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "今天看着精神没有昨天好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "小便还可以吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "如果是乳糖不耐受，吃乳糖酶每天也是拉四次左右"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "今天可以"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "给他开始吃辅食会好点吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "喝奶粉，先停母乳或少喝母乳，添加辅食也会有效的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "刚刚拉的这个，黄色水份多，用纸一蘸像果冻，粘粘的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "没炎症"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "也可以配合小儿推拿，效果也不错"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "有没有可能和水土不服、过敏有关呢"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "自己推拿吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "自己推拿不好掌握，需要辩证分析的。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以和过敏，水土有关，所以可以换换奶粉"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "超市有专用奶粉，"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "慢慢就好的，不用太担心"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "小宝贝常见现象"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "先换奶粉吧"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "我奶水比较稀"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "是不是吃这样的奶易拉肚啊？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "够吃的吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "够"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "拉肚子不一定和奶稀稠有关，和宝宝体质有关"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "换奶发看看宝宝喝吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10109461": {
        "self_report": "一岁三个月宝宝昨天下午睡醒后发现发烧，三十八度多，贴了退热贴没效果，有出汗但是就是不退烧！昨天晚上半夜四点多量了39度，喂了三毫升美林，睡到早上一身汗然后退了烧，今天下午睡醒起来后又发烧了，三十八度，这是什么原因？要不要去医院？宝宝状态还可以，能吃粥，能自己玩",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你服务！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生我这个情况需要去医院吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子目前精神状态怎么样"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "可以自己玩，中午还吃的下一碗粥"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "也有在出汗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "除了发热，还有其他的症状吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是身上额头还烫"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "超过38.5度需要给孩子用退热药"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有了，就是发热"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "多给孩子喝水，可以用温水擦浴，尽快地降低体温"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "刚刚睡醒量了38度"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这孩子有受凉的情况吗？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "这种突然发烧是什么原因引起的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前的这个体温不需要特殊处理，可以外用退热贴用温水擦浴，不需要应用退热药物"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果没有其他的症状，这个年龄段的孩子出现发热，多考虑呼吸道感染"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "家里没有大人有呼吸道感染"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "因为这个年龄段的孩子，呼吸道感染以后，往往是全身症状，也就是发热。很少有局部的卡他症状，比如说流鼻涕打喷嚏"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你可以看一下孩子哭闹的时候，咽部有没有发红？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就是怕她晚上又严重起来"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前的这个体温肯定不可以的，夜间发生的概率是相当高的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子在疾病的初期会出现反复的发热，一般能够持续3到4天"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是暂时还可以不用去医院是吧"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果孩子的精神状态好，完全可以在家中口服药物对症治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "除了应用退热药物以外，还用其他的药物呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果出现反复的发热，需要到医院进行血常规的检查"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "昨天就用了退热贴半夜服用了美林"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "早上起来就退了，但是刚刚睡醒又热了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "在疾病的初期，肯定会出现反复的发热，一般有2到3天的高峰期，如果孩子精神状态好，完全可以对症治疗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "我认为这个孩子病毒感染的可能性非常大，病毒感染就是这个特点"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那就是先在家观察然后第三天还是没有退就要去医院是吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这孩子既往的体质怎么样"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是这个意思，如果再次出现发热，精神状态差，需要到医院就诊的查血常规"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "以前很少生病的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "除了口服退热药物以外，需要口服清热解毒药物，比如说清开灵颗粒，小儿双金口服液"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "就五月份发了一次烧到现在，那时候一天就退下来了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果孩子既往体质比较好，那完全可以暂时先观察"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "我再确认一下这个孩子除了发热，没有其他任何症状吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "就是发烧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "孩子一般情况好，吃奶正常？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "吃奶也正常的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "那就可以先观察一天到两天"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "吃饭也正常"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果是病毒感染的话，过了高峰期以后症状会逐渐的缓解"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "那我今天再观察一天"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10361330": {
        "self_report": "9个月大的婴儿拉肚子可以喝配方婴儿奶粉吗？。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好小孩拉肚子可以喝奶粉吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子拉肚子的原因找到了么"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "感冒引起来的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好几天了，今天好像好多了。就早上拉了一次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那就可以吃"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "只要找到原因就可以了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃奶粉不会在引起拉肚子吧？？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃奶粉一般不会，除非之前就对奶粉不耐受"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "原来一直吃的呢，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "就没关系可以继续吃不用担心，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "二千万别让小肚子受凉了那是男的话就可能再次的，出现明白了吧，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "ｙ一个因为小孩才感冒了家住的那么你在南分，给他吃的头两天你要一点能给的太稠了你那吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "明白，谢谢你"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "还注意点什么呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "就是慢慢加量不要急"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "保暖"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "别的没啥"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10267576": {
        "self_report": "两岁女宝流清水鼻涕,请问是不是属于病毒性感冒,该用什么药?",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子有没有发烧？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有,"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "但是大便干头"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有咳嗽呀"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便干多久了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "咳嗽有一点"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今早上才发现有点干"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "流鼻涕什么时候开始的？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "今早上"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯嗯，这两天受凉么"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "也没觉得受凉了,"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天还好好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯嗯，从症状还是符合病毒性感冒，但是如果要确认的看血常规"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果不方便查血常规就先口服一点小儿感冒冲剂"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "另外大量喝温水"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "先观察两三天"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "需要用抗病毒口服液?："
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以喝一点"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "喝三五天就行了，另外一定多喝温热水，这才是最关键"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦,行,"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一定是大量喝"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "孩子一流鼻都咳嗽,只要一咳嗽可难好了,"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，所以这种情况一是大量喝水，一是口服一点抗病毒的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果还不太好就得做血常规"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "咳嗽好的慢没关系"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "就是别明显加重了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "请摊荐一种适用于病毒性感冒的感冒药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "有是有，不过就是不知道你们那里有吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "推荐"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "远志杏仁合剂"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果没有可以喝小儿感冒冲剂"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嘿嘿,这个真没有"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不过远志杏仁合剂效果很好的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "一会我去药房问问"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是医院自己做的，外面有买，但是并不多"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "多少钱"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "四十块钱吧"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好,谢谢医生"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您先问问吧"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯,拜拜"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "拜拜"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "有问题随时联系"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "??"
            }
        ]
    },
    "10134031": {
        "self_report": "宝宝现在两个月，最近拉肚子，好多泡沫，没有干的，都是黄水，这是消化不良还是着凉造成的啊，应该怎么解决，才能不拉肚啊。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "这样情况几天了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我儿子现在两个月，拉肚已经两天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "之前拉的都是正常的是吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "连奶瓣都没有了，就是黄水了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神状态好，吃的也正常，都是母乳"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "之前都是正常的，从没有过拉肚子"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯，如果没有奶瓣，大便不是绿色，消化还算可以，主要可能是着凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那怎么办啊。医生"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "粪便泡沫说明肠道菌群紊乱，产气菌增长"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那吃点什么药啊，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "建议买一下，蒙脱石散，对稀便效果好"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "益生菌行么"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "另外买一下益生菌"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "单单益生菌不够，益生菌是调节肠道菌群"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "用不用喂点水啊"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "稀便还是要加用蒙脱石散"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "益生菌你家里是买什么的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "两个月孩子能吃么，医生"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "之前医生给开过"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "益生菌"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以的，益生菌正常孩子也可以吃"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是什么益生菌，可以拍照看一下吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "袋子都扔了。蓝色的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "妈咪爱能吃么，医生"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯用不用给他柔柔肚子啊"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "也是建议妈咪爱，或者培菲康"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不用揉"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢医生"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "另外要注意孩子保暖"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "蒙脱石散，一天三次，一次三分之一包，饭前半小时泡水喂"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢黄医生"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10350473": {
        "self_report": "宝宝五个月大，这几天有点拉肚子受了凉，还有一点咳。今天也去买了点药。可是拉的大便很绿。请问有什么好办法！让我宝宝赶紧好起来呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝拉肚子有几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好几天了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "一天要拉七，八次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便什么性状的，是稀糊便还是，水样便？粘液便？不消化便？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还咳嗽咳了就吐奶"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "主要是明确腹泻原因，对因治疗，才会好转的快"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "先咳嗽的还是先腹泻的？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "先腹泻的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "绿色水样便吗？是不是大便都被尿不湿吸收了？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有化验便常规及轮状病毒抗体吗？目前服用什么药物？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "蒙脱石，还有贴肚脐眼的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果腹部受凉，消化不良，给予腹部保暖，肚脐贴一般2-3天会好转，如果没有改善，需要注意除外肠道感染。方便的话最好做个便常规，轮状病毒抗体"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我家宝宝严重吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果宝宝精神状态好，哺乳可，尿量正常，应该不严重"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好，麻烦你了。谢谢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不客气。另外宝宝咳嗽，不知有痰没有，可以口服止咳化痰药物，注意避免受凉，勤喂水。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "必要时肺部听诊，冬季支气管炎或肺炎高发，注意避免支气管炎。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "宝宝今天刚咳嗽"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "恩，不知有鼻塞流涕现象吗？如果没有，偶尔咳嗽，那注意勤喂水，避免受凉，多话观察"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "舒腹贴膏贴了用处大吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "有点鼻塞"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果腹部消化不良有辅助治疗作用。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "咳嗽鼻塞感冒症状，多注意体温变化，可以口服止咳缓解感冒症状药物如艾畅观察。"
            }
        ]
    },
    "10190180": {
        "self_report": "请问宝宝一个月3天感冒嗓子有呼噜呼噜的声还有蛋清似的痰应该怎么办？谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝有没有发热？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "那宝宝有没有鼻塞流涕？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有鼻涕"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "好的，就是除了咳嗽有痰，没有其他症状了吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "遗忘持续有多长时间了？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一共持续有多长时间了？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还打喷涕"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "就宝宝这些症状一共持续多长时间了。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "从昨天夜里开始咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "打喷嚏是不是一直都有？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在有没有严重一点？次数有没有多一些？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "下午的时候咳嗽滴次数多了一些"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗓子呼噜呼噜的还和昨天晚上一样"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "三个月以内的宝宝基本上都会打喷嚏的。这也算是他排除病毒的一种方式。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "喔喔"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那她咳嗽有痰怎么办啊"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个咳嗽有痰不正常。考虑可能是上呼吸道感染。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那应该怎么办啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "像目前这种疾病刚开始。才一天多。有可能是病毒性的。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "建议您可以给宝宝用点蒲地蓝消炎口服液。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "喔喔"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个主要针对上呼吸道炎症的。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还用其他的药吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "再就是可以配合一些止咳糖浆。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "不吃药的话几天能好，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "孩子小不想给她用药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "因为咳嗽好的比较慢。如果不继续发展，比如不发热，不流鼻涕等等。可能需要一个星期"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不用谢。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "你要密切观察一下宝宝的病情。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "恩知道了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "有的宝宝可能会持续咳嗽半个月到一个月左右。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "如果宝宝病情有加重，建议要去医院看看。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "宝宝肚子有响声怎么回事"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "从什么时候开始的？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "记不清了"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "挺长时间了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "放屁多不多。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "多"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "可以是因为胃肠道胀气导致"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "怎么回事呢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "可能是因为胃肠道等胀气导致的。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "宝宝大概多久一次大便？"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "就这两天时间是每天一次"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "前几天大便次数多些"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "好的。可以给他用益生菌调理下肠道。"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "什么是益生菌"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "是药吗"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "就是一些活的，对肠道有帮助的一点细菌。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "谢谢不打扰了"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "不用。"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不用谢。"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "希望宝宝能够早日康复。"
            }
        ]
    },
    "10027711": {
        "self_report": "宝宝4个月，这两天拉绿色大便稀状，一天两三次，偶尔会腹痛。我是纯母乳喂养的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "这样的大便有几天了"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子吃奶怎么样"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "第二天啦"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还可以，不过我自己觉得最近奶水不多"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "查过大便常规吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子妈妈有没有哪里不舒服？比如腹泻，感冒什么的？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有，我看看一天2次左右也不算多。可是他本来赞5天拉一次"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "拉一次很多的金黄大便"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "你感觉孩子有没有肚子受凉什么的？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有感冒，每天都是睡觉在空调房，睡好就出去，没特别反应"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我怕他会不会没吃饱"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应该没问题"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "可是好像也没哭闹"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "刚才在哭闹，大便拉好又睡le"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果没有这些问题，可以给孩子口服些益生菌"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦，还没加辅食就可以吃了是吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "医生推荐个牌子吧，哪种的比较好，太多了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "益生菌不是药，，是肠道调节剂"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "牌子，哪个都可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "也能提高抵抗力吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "我给你说几个名字吧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "妈咪哎，双岐杆菌，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "原首"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦，好的。谢谢医生"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这几种作用是一样的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以选一种就可以了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10328334": {
        "self_report": "医生您好，我儿子昨天开始流鼻涕，打喷嚏，今天早上开始又有点咳嗽，请问该给他吃药吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子年龄多大了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "4岁了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "精神状态都还好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那这个孩子之前有没有受凉的情况，家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个孩子咳嗽症状重吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有可能睡觉着凉了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "咳嗽不是特别严重"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那你要考虑呼吸道感染"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这孩子既往体制怎么样"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "体质很差"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "如果这孩子体质比较差，应该口服药物的，以免症状加重"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "12月得过支原体感染，咳嗽了一个月"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在这个孩子出现咳嗽的情况应该是炎症下行"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "支原体感染会导致机体免疫功能低下"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "您建议服用什么药好呢"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果这个孩子既往有支原体感染的情况，那应该口服药物的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "首选的药物就阿奇霉素"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外需要给孩子口服清热止咳药物"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "因为这个孩子出现了咳嗽的情况"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "主要是流鼻涕水打喷嚏"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你需要给孩子口服感冒颗粒的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在主要的症状就是流鼻涕打喷嚏"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "应该给孩子口服感冒颗粒和清热解毒药物"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "另外考虑到这个孩子既往有支原体感染情况，应该口服阿奇霉素的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是的，抗病毒口服液和氨酚黄那敏颗粒可以吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "用阿莫西林可以吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "考虑到一个月之前这个孩子有支原体感染的情况，如果咳嗽症状加重，应该口服阿奇霉素控制感染"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不可以"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "既然口服消炎药，那首选的就是阿奇霉素"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "咳嗽现在不是很严重，先用阿莫西林"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "那先用阿莫西林，试试看吧"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "什么情况下要用阿奇霉素呢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果这个孩子咳嗽症状持续加重，需要口服阿奇霉素"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "其实我认为现在就应该口服阿奇霉素的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "口服什么消炎药不是吃，为什么不直接一步到位"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "因为刚刚已经给他吃过阿莫西林了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "那就继续吃阿莫西林吧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这个是无所谓的事情"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢你了医生"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10332933": {
        "self_report": "小孩子喝豆浆后呕吐，反胃",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "能收到回复吗？亲"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝贝多大了，亲"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "小孩子喝完豆浆后呕吐，反胃"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "什么时候喝的豆浆呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最近有没有吃其他生冷辛辣刺激食物油腻食物呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "十点钟左右"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "从什么时候开始吐的呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "坐了5，6分钟就反胃"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "开始吐"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝今天呕吐了几次呢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就刚刚喝了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "坐了一会吐了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一个5岁的喝了，吐完就睡觉了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "奥，宝贝这个的话精神状态好吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯啊，这个的话目前精神状态好吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还好，就是反胃，呕吐"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "尿的多吗？目前"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "刚好试喝了下，豆浆好像不太熟"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝目前尿的多吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "而且豆子是昨天泡过来的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "不会多尿"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝贝这个的话宝贝这个的话精神状态好尿量多就问题不大"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝贝的话这个您一定要给宝贝空肚子的奥"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝贝这个呕吐完不要立马吃东西喝水哈"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "藿香正气水可以喝吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那个暂时可以不用的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "吃点妈咪爱可以的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "调节一下胃肠功能"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "多给宝贝热敷一下肚子"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "顺时针揉揉肚子"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "别着凉"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不吐的话多喝温水"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢，真的太感谢了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "观察三天如果症状不缓解或者呕吐及时带宝贝去儿内科就诊"
            }
        ]
    },
    "10215298": {
        "self_report": "宝宝十一个月了之前咳嗽发烧去医院医生说是支气管炎给开了药消炎的药没有了医生开的是头孢丙烯干混悬剂去药店都说没有只有头孢克洛干混悬剂我能给他换成头孢克洛干混悬剂吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "以前用过这个药没"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨晚给宝宝喝了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "给他做过皮试"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "你妈啥头孢口服药不需要做笔记只要是你以前吃过头孢就可以只可以转成这个，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝现在发烧不"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不发烧以前吃过头孢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "退热几天了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就睡觉前跟醒了咳的有点厉害"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "星期二下午就不烧了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "之前烧了三天"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "流鼻涕也拉肚子但没有之前拉的厉害"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "黄吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "鼻涕多流绿"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "三四次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "加上益生菌调节"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "加上抗过敏药"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "什么抗过敏的药？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "西替利嗪糖浆"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "之前医院医生开的止咳药跟消炎药可以继续吃吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那不就淘宝吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "头孢吃几天了"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "五天了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "再吃3天"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "别客气再见"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10178524": {
        "self_report": "九个月大的孩子，昨天上午开始发烧，给用了图片上的两种药，刚才量了一个发烧更厉害了，怎么办好呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝现在体温多少度"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "38.7度了大夫"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今中午量的37.6度"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝现在精神状态怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "赶紧先吃退热药"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还行，就是哭闹"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是发烧"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "先吃退热药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "大夫给推荐种药吧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "刚才吃了图片上的两种药了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "没有鼻涕不用吃氨酚黄那敏"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "以前用过头孢没有"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没用过"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议去儿科就诊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "化验血常规看看"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在去吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果没有高烧抽搐，那么体温超过38.5可以吃这个"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃这个药可以吗，刚吃了氨酚黄那敏跟柴胡退热颗粒了，吃了不会冲突吧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "没有影响"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的大夫，先给孩子吃吃看看，不行再去医院可以吧"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果明天白天还是体温超过38.5那就得去医院面诊"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "一个月之前去医院给开的这个药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "头孢用过吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "用过"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "我看见药才想起来"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "头孢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果上一次吃没有过敏的话"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "不用吃布洛芬了吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "布洛芬是退热药"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "头孢是消炎药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "作用不一样"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "可以混在一起喂吧大夫"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "奥，那谢谢大夫了"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "再见"
            }
        ]
    },
    "10326101": {
        "self_report": "女儿一岁三个月。突然上吐下泻。有两天时间了。吃什么吐什么。呕吐物酸臭。大便像水。医生开了妈咪爱，丁桂肚脐贴。吃的药也吐了。我该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝有发热吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有发热。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "昨天开始吐泻的还是前天开始的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天晚上。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有化验便常规及轮状病毒抗体吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "方便的话最好做个常规及轮状病毒抗体需要除外病毒性肠炎"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "好的。谢谢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝进食就吐？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是。吃点东西就吐。水都吐了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有腹痛吗？腹泻几次？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天精神状态差。很多吃。今天有5到六次"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "很多次"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "化验是为了明确诊断。准确治疗。目前尿量正常吗？需要注意脱水。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有什么办法预防脱水吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果尿量少，精神差，口唇干吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "口唇不干"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那需要少量多次喂水喂奶，每次3-5毫升的喂，要手勤，一会一会喂，一次不要太多，否则易呕吐。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "精神状态还好。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "喂米汤也可"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的。我怕她吃了吐没有喂奶"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那说明目前还没有明显脱水"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "必须喂，否则腹泻不喂，易脱水"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "其他食物咱不要喂了。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的。谢谢医生。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            }
        ]
    },
    "10279380": {
        "self_report": "你好！我家宝宝两岁！这几天拉屎总是灰白色，稠稠的，偶尔是稀便，味道超级难闻，腥臭！她也不爱吃东西了！这种情况有四五天了！去医院化验大便也没事情！是积食了？还是消化不良？吃什么药比较好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "前几天发烧了！化验白细胞和蛋白反应高"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "输了三天液"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "在化验就没事了！然后期间大便就是这个状态"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "化验大便没"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "前两天每天大便两次！昨天四次！今天目前已经两次了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "化验了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "大夫说没事"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃住也是可以给他吃那个多喝点水，多喝水可以给他吃奶呀你看看习大人每周面条咸菜，别的一律不能吃，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "给孩子吃点儿那个助消化的药和益生菌就可以了，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在在家吃的药就是活菌散"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "就是这个"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "加上助消化药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "注意饮食保温"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "助消化的健胃消食片？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个不行"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是保健品性质的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "拉稀可以加点蒙脱石散吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "用胃肠安丸或者是健脾开胃药调节看看"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "店如果是谁让它可以加盟常识不是的话先不用，"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "这个恢复时间是不是比较久"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "一周左右能好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "7～10天"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这期间饮食就只能吃您说的！其他水果什么的都不行吗？米饭也不行吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "别的不能吃"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的！我们先调理几天看看怎么样"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢您大夫"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "现在我闺女的情况就是我描述的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "还得注意饮食"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不能吃别的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "大便就是淡黄色有时发白"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "是不是还是消化不好"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "没好呢"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "那也别吃药太困了时再准备完全好你再吃点别的东西才有可能在家，"
            }
        ]
    },
    "10303546": {
        "self_report": "孩子这两天吐奶很厉害，睡的不踏实，光哭闹，以前基本不哭，是怎么回事啊？孩子正好100天。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝今天呕吐几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吃完马上就吐吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天吐了一次，跟吐酒似的，吐的很多，今天上午吐了，吐的少了些"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "基本上是接着吃完接着吐"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝吐了几次"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝肚子受凉了吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝是纯母乳喂养吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "从昨天到现在三次了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "纯母乳"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "母亲有没有吃不好消化的食物"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "她睡不踏实，稍有动静就醒，想哭很委屈的样子"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝出汗多吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一直睡眠不好吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没吃啥不好消化的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "出汗不多"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝和母亲最近有没有感冒或者用药"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "睡觉都挺好的，一直很乖，平时基本不哭"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝大便了吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没用药，就是吃了钙片"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "大便了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "大便什么样子？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "前段时间发绿色，这两天反而不绿了，黄色"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "今天拉几次了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天拉"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "两三次"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "大便什么样子"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "跟平时的次数差不多"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "跟往常都一样，就是颜色有点变化"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那就好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝肚子有没有咕噜咕噜响"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "咋回事啊"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝现在可能是消化不良"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那怎么办啊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "喂奶后抱一会，拍出饱嗝，尽量右侧卧位放宝宝"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果宝宝频繁呕吐，没有大便或者放屁就要去公立医院儿科就诊哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "现在有必要去医院么"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "怎么叫右侧卧位啊？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "需要进一步做胃肠彩超，排除胃肠畸形和肠梗阻"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以先观察看看"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "她还不会翻身，只能平躺"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "噢"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "热敷多长时间为好"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "热敷多长时间"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "一般十几分钟到半小时"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "谢谢了"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "再有问题再问您"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "好的哦"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10333151": {
        "self_report": "一两个月的宝宝拉绿粑粑什么原因？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝是纯母乳喂养吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两个月，不是两搭，牛奶喝的多点，我母乳少"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝大便发绿多久了?"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有时有有时没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "母亲有没有吃不好消化的食物?比如凉的，海鲜，刺激性食物"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有时是黄色的有时绿色的，最近绿色的比较多，他两三天拉粑粑正常吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "大便什么样子"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "凉的偶尔吃下，海鲜没吃！"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "母亲需要注意饮食哦"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝大便有没有粘液或者脓血？稀吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哪些不能吃"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "比如海鲜，大闸蟹，生冷食物，牛羊肉等容易上火的，隔夜的饭菜"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝肚子受凉了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "牛肉也不能吃？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以吃，尽量少吃吧"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "应该没有吧！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝大便发绿多是消化不良"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "照片不是很清楚"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "有没有粘液？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "应该没有吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝肚子有咕噜响吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "有没有恶心呕吐？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还有就是我家头宝宝后面有点像枕秃"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "拉粑粑时咕噜噜响，没有呕吐！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝头部出汗多吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "还好！就是头发发质柔软"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "有未消化奶瓣"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝放屁多吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有没有哭闹"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "他之前拉的粑粑都有豆瓣"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "晚上睡觉怎么样"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "前几天放屁多，睡觉时好哭闹"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "给宝贝补充维生素D了吗"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "夜里睡觉还好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "买的钙片，还有dha滴剂"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "吃了多久"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "有时晚上睡得迟，都十二点才睡！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝宝白天睡得多吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "有半个月了，他有时候头来回股扭！"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "不规律！有时也能睡一下午"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "给宝贝吃的什么钙片"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "里面有维生素D吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "迪巧"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯嗯，一直吃着吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "有没有给宝贝查过微量元素"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "给宝贝检查过大便吗？"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "宝宝吃奶怎么样？"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "尿的黄吗？"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "除了这些还有其他不适吗？"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "还在吗"
            }
        ]
    },
    "10250766": {
        "self_report": "今天第四天了，早上起来就咳嗽咳三五声，放学回来也是，晚上睡觉咳嗽咳得挺凶的，白天在学校里就不咳嗽，这是怎么了？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝运动后咳嗽厉害吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "应该不会"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "之前没咳嗽的时候就有痰的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗓子哑吗？有没有气喘？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有时候会哑，没有气喘"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝最近感冒了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "以前得过喘憋性肺炎吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有点的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "家里有没有哮喘病人？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "给宝贝做过什么检查?"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "之前有支气管炎"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般晚上咳嗽厉害多与过敏因素，支原体感染有关"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在怎么治疗的?"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "靠自己治愈"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "额"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "有没有忌饮食？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "孩子不太爱吃饭"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝不能吃海鲜油腻零食"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "尽量清淡饮食，多喝水，不要喝酸奶等饮料哦"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "您最好给宝贝查一下"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这样明确病因，再选择治疗方案，没有正规治疗经常发作可能会引起并发症哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好"
            }
        ]
    },
    "10271527": {
        "self_report": "现在还拉肚子三天了，拉的屎是糊状，有时也会拉水",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有孩子大便照片么"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我刚扔了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "拉的厉害吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天拉了两次，昨天一次"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯嗯，这几天有没有受凉"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃了橘子"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，那就有可能是这个原因了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "也风吹咯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "您得注意肚肚保暖，别受凉了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在可以吃点儿药调理调理"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "还有第一天她吃了就吐"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "也是受凉"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯，对呀，孩子的消化道非常柔弱"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "所以平时就得注意"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "可以用暖宝宝吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这两天吃东西一定要容易消化，不吃凉的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那平时不能给宝宝吃水果吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以，但是主要是日常保护"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以吃啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不要太凉了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医生，还有她不爱吃饭"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "钙铁锌都不缺"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "额，这个就得靠您平时养成习惯，关键是这个，别动不动吃药m"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "医生，您是说补钙铁锌的药吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "对呀，也不只是这些，不缺为什么补"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "所以您得和孩子好好沟通"
            }
        ]
    },
    "10264219": {
        "self_report": "您好，我家有个十七个月的孩子这两天拉肚子，吃的蒙脱石散和硫酸庆大霉素颗粒，不太见效，而且现在拉的是水，蛋花状那种，请问我该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "尿量怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "您好，昨天三十八九度，今天三十七度多，不大尿只是拉水"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "精神食欲怎么样？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不大吃东西，精神也不太好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "考虑宝宝有脱水症状"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不大吃东西，精神也不太好"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果宝宝不喝水，建议输液补充水分"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "水倒是喝奶粉也喝，就是不太多，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果宝宝可以喝，建议给宝宝买口服补液盐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那吃点什么药好些呢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下大便，看看是否是病毒感染引起的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不谢！有事联系"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的谢啦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不谢"
            }
        ]
    },
    "10270922": {
        "self_report": "三个多月宝宝腹泻快两个礼拜了，量少，便便呈黄色有时绿色带有奶瓣和少量黏液，宝宝睡眠身体情况一切正常，喂了妈咪爱没起作用，停药两天了，感觉和喂药时一样，还是每天差不多拉五次左右",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，请问我该怎么办"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在是母乳喂养吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "差不多五次左右"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "夜里也会拉"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，发烧不"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "也没有哭闹，拉时也没有什么异常"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "化验大便没"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没去，只是喂药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "喂了妈咪爱和乳酸菌素颗粒"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "吃奶好不"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "会不会是着凉了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "得化验大便看看排除肠炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "接着吃益生菌和思密达隔开2小时"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "加上乳糖酶和锌剂口服"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "去药店买思密哒，他们说孩子还小不建议给他吃"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "恩恩，会不会是我饮食的关系"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "有关系"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那宝宝现在开奖了些时间长了所以必须治疗，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，麻烦你了！"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10489208": {
        "self_report": "宝宝九个月咳嗽好多天都还没好，然后喝奶一咳嗽就会吐是怎么回事，是因为吃药的关系吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴为你解答。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "咳嗽几天啦，阵发性咳嗽还是偶尔咳嗽一声？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不咳还好，一咳就比较厉害"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有五天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "早上起床就会特别咳的厉害"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有谈？有没有发烧过？精神状态怎么样？食欲怎么样？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有痰，有发烧过，但是退了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "发烧时精神就差一点，有到39°"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发烧几天？要把所有的症状都要说全，这有利于病情的判断。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "食欲一般"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "发烧两天吃了两次美林退了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不发烧有几天啦！"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "现在没有发烧"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就是还咳嗽，有痰，有点流鼻涕"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "去正规医院看过吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "看过了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "诊断什么啊？做过哪些检查"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "为什么喝奶会吐？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就拿听诊器听过肺部"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "没有明确诊断过吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他们也没说什么，就是说感冒"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "咳嗽剧烈的时候会刺激咽部，孩子的胃比较浅平，胃上口也就是贲门比较松弛，食物就吐出来了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "但是吃粥咳嗽她没吐"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "粥比奶稠。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "就是喝奶不行"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "奶比较稀，像水一样，容易吐出来。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "看过医生几天啦，看过之后觉得咳嗽有加重吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "我想是不是因为药物跟奶发生了反应？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不是"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "没有加重"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "有减轻吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "血常规检查了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有检查过"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好像有点减轻，"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前宝宝的主要症状就是咳嗽有痰，并且开始阶段哪有发烧过，有过鼻塞流鼻涕。考虑支气管炎。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "支气管炎的表现呢，就是咳嗽有痰，而且目前宝宝是阵发性咳嗽。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "建议二甲以上公立医院儿内科就诊，再次检查一下，检查血常规查看一下感染情况，拍个胸片查看呼吸道的炎症情况，还有就是看看嗓子听着一下呼吸道。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "上次去保健院开的就全是支气管炎药"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "九个月可以拍片吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以拍片子的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "吃了有三天了吗？没有效果，需要再次就诊。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "已经吃两天了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "如果一点效果都没有，建议明天再去就诊一下吧！"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "这次那检查明确一下。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "比如说检查血常规，可以提示病毒感染还是细菌感染以及感染的程度，这样子就方便指导用药。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "咳嗽有食疗吗？"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "总是不能对症下药的话。咳嗽时间延长，会成为肺炎，加重气道的高反应性，也有可能出现气喘，或影响肺功能。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "使用药物都没有达到效果，食疗的效果本身就没有药物好。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "就是害怕感染肺部"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "作为辅助治疗"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "可以在口服西药的基础上再服用一些，中成药。"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "例如？"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "止咳化痰的中成药特别特别多，不拘泥哪一种"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "中成药一般都很好懂，药物的名称上面都写成。大多以功效命名。"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "是说口服液类吗"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "明天就诊之后再决定吧，你可以要求大夫给你开。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "大多的药物都是处方药，也必须要就医的时候，大夫给开的，还要说用量。"
            }
        ]
    },
    "10243207": {
        "self_report": "宝宝肠胃一直都不好，经常拉稀烂屎，一天两三次，有时三四次，一天第一次拉做屎就是前面的是硬屎，后面的全是稀屎，有时是稀烂屎，有时是这种(如图)怎么回事?以前没换奶粉是这样，现在正换奶粉也是这样，都不知道该怎么办了?",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好宝宝这种情况多长时间了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "从宝宝两个多月开始，宝宝肠胃就不好了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝是一直吃奶粉吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "八个月才吃奶粉，之前是母乳，经常有鼻涕状粘液"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有做过便化验吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有，我见他经常这样，前几天就去做了化验，医生说没事"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝闹不闹她体重增长好吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不怎么闹，就是睡觉有时趴着睡，体重四个月都没长过了，以前两个多月差不多有十四斤，现在一岁一个月多才十七斤多"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "便化验是正常的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝是足月吗出生体重多少"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "足月，出生有六斤七两"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "他吃母乳的时候一天大便几次"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有给他用过什么药物调理吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "刚出生都是一天一次，是那种糊状黄色大便，十几天后都是四五次很稀的大便，是两个多月的时候就有那种鼻涕状大便就去看医生"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃了很多药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃完药物之后有效果吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "第一次有粘液的时候做便化验也没有异常吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有潜血，吃药都没有什么效果"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在用的什么奶粉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "有吃过醒脾养儿颗粒吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "吃药打针后就没有潜血了，就是大便还是有四五次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "做过乳糖不耐受方面的检查吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "忘了，以前住院时间做了什么过敏的要五百块钱的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃了没乳糖奶粉大便就正常，不吃又来了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝如果吃无乳糖奶粉就正常的话考虑他还是有乳糖酶缺乏的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我两个小孩都是这样的，大的小孩是一岁多大便才正常"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "现在正换奶粉，港版的美素佳儿转金领冠"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有这样孩子的，先天乳糖酶分泌不足吃母乳的时候就是大便次数多比较稀，一岁以后逐渐吃辅食他就会好转"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这样的孩子你要给他吃无乳糖奶粉，或者奶中加乳糖酶"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "药店有乳糖酶买，之前买合生元益生菌给他吃都没效果，现在一直都吃妈咪爱"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "乳糖酶缺乏的孩子吃这种益生菌调理是没有效果的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "药店有乳糖酶买吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "你可以到药店或妇婴用品商店找一下如果没有的话可以网购"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "问题是他刚出生那几天大便都很好，会不会是我在他刚出生那两个月给太多保婴丹给他吃了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "伤了肠胃的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝如果是伤了肠胃你吃无乳糖奶粉他也会拉肚子的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "乳糖酶和乳酶生有什么差别"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "他之前有吃了乳酶生片，可没效果"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "他们有很大差别的乳糖酶是一种消化酶类，专门帮助宝宝消化乳糖的，用于乳糖不耐受的宝宝"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "乳糖酶有什么副作用吗?可以长期吃吗"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "乳酶生是活乳酸杆菌的干制剂，主要用于消化不良的孩子"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "'乳糖酶有什么副作用吗?可以长期吃吗"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "它没有副作用的就是一个消化酶类"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "随着宝宝长大他乳糖酶分泌增多之后就可以逐渐给他减少乳糖酶的用量"
            }
        ]
    },
    "10250045": {
        "self_report": "六个月宝宝吃了退烧药，没发汗，体温有降下来一点，这说明有好转吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝发烧几天了？体温多少度？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "前天下午开始"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温最高多少度？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨晚39.3"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有无鼻塞流涕？咳嗽么？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有流鼻涕，咳嗽很少"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有无腹泻腹胀？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是会呕吐"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？吃奶好不好？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有痰"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "做过什么检查吗？吃的什么药物？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "昨晚做了血常规"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "能否发过来化验单看一下？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在体温多少度了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有吃了双黄连口服液，头孢，黄那敏颗粒，肺力咳这是前天跟昨天吃??，昨晚去医院，医生开了爱畅，磷酸奥司他韦颗粒，肺力咳，现在就吃这三种"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "37.6"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝体温有所下降病情有可能好转的，但病情有的时候会反复的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发烧一般下午和晚上严重些，早上体温会轻的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那怎么办啊"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "第三天了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "发烧多喝水，继续吃药看看吧，勤观察"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "体温不超过38.5可以用温水擦颈部，腋下及大腿内侧，超过38.5度可以吃点布洛芬或是对乙酰氨基酚的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "有吃了乙酰氨基酚，发汗很少"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不喝水也不出汗的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不喝水????一喝水就哭闹"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以喝点煮梨水，水果水"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "发烧时不要捂得太多了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "还有什么其他问题吗？没有我就关闭对话框了，好吗？"
            }
        ]
    },
    "10664317": {
        "self_report": "肚子疼伴有低烧，怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "那边情况有多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "肚子偶尔疼一下，伴有低烧37.4度"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是不是这个孩子发热的时候腹痛的症状重一些"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "下午放学回家发现的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那这个孩子有没有受凉的情况？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这个孩子有没有不洁饮食的情况，或者说吃东西过多过杂"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天吹空调可能着凉了，昨天晚饭吃的有点多"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "精神还可以"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "那就需要考虑呼吸道感染"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子就有可能会出现腹痛的情况，可能会出现低体温"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "发热的时候出现腹痛，应该是一种正常的现象，特别是在这个孩子出现低体温的时候，很容易出现腹痛"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发热的时候，由于血液循环增快，可能会出现肚子痛的情况"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "当然也不能排除这个孩子是不是肠系膜淋巴结炎，这是由于腹腔淋巴结肿大所引起的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个孩子既往有没有出现反复的腹痛啊"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃点什么药好呢"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有时候也会肚子痛"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那这个孩子还有其他的症状吗？比如说嗓子疼痛，流鼻涕，打喷嚏"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果这个孩子既往也会出现反复的腹痛，那需要高度怀疑肠系膜淋巴结炎的可能，这个疾病是有腹腔淋巴结肿大所引起的，呼吸道感染以后就会导致淋巴结的增大，就会出现腹痛"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在没有其他症状"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那就先给孩子口服消炎药，控制感染"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "口服清热解毒的药物，另外可以外用丁桂儿脐贴，或者肠胃散贴片，改善胃肠功能"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的头孢吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "先给孩子应用上述药物，观察2到3天，如果孩子的症状没有明显的缓解，甚至说出现了高热的情况，腹痛的症状加重，出现了呕吐，那就需要到医院就诊的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "近段时间的饮食应该容易消化的流质食物为主，并且量要少，最多为原来的2/3"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "清热解毒吃什么药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "清热解毒的药物，可以口服蓝芩口服液，或者黄芩胶囊"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "消炎吃什么药"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以给孩子头孢，或者是阿莫西林"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的谢谢大夫"
            }
        ]
    },
    "10261150": {
        "self_report": "我女儿一岁半了，白天和伴晚一点事都没有，都是到凌晨五六点咳咳，还吐，吐的黏条形状，吐过不大会就好了，就又睡了，这是什么情况？？？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "问题我女儿一岁半了，白天和伴晚一点事都没有，都是到凌晨五六点咳咳，还吐，吐的黏条形状，吐过不大会就好了，就又睡了，这是什么情况？？？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这样多久了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨晚是第三次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "好的，就一共持续三天了。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是凌晨五六点咳嗽，咳嗽几声就吐，吐完一会就不咳了，就又睡觉了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是的三天了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我看她白天都很乖，一点事没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "我可以发送语音吗？影不影响你那边？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "女宝宝就是每次在凌晨咳嗽的时候大概能看一次药可多长时间然后就出现呕吐的情况了，吐出来都是然白天吃的东西么有么有那种黄绿色的东西在里面，"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "十几二十分钟"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "好的，以前有没有过敏的情况？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "她喝奶的，吐的都是像痰一块一块的，然后还有白色水"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "以前有起过薄皮疮"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯这也是宝宝有么有送粮然后呢他有么有其它的症状就是咳嗽又没痰喉咙你睡觉的时候喉咙里面能不能听到那种呼噜呼噜的声音，还有就是宝宝他有没发热的情况，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有发热，偶尔有一点流鼻涕"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有呼噜呼噜"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那这个应该算是有上呼吸道感染的情况。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是她咳的时候感觉像喉咙有一点嘶哑"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那怎么会就只有凌晨五六点的时候呢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可能是有点充血的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那时候比较冷。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "充血什么意思"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯，她晚上有时候踢被子"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这个去药店拿点药会好么？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "充血水肿，局部受到刺激就可能会咳嗽。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个去药店拿点药会好么？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯，可以拿点止咳的药物。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "观察有没有发热？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "一般会好转的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "这个药可以么？这是以前感冒咳嗽吃的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以的。宝宝吃了吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "昨晚吃过晚饭吃了一次，可到凌晨还是吐了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的。看看宝宝嗓子红不红。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我先让她吃几次药"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "因为嗓子疼，也会导致他咳嗽干呕。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "一次还看不到明显效果的。再继续吃。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的谢谢^ω^"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "我现在给她喂点饭就喂她药"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不用谢。"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "祝宝宝身体健康。"
            }
        ]
    },
    "10059278": {
        "self_report": "问题我家孩子快两周岁了，晚上洗澡有点凉着了好像，白天又吃了不少葡萄干，夜里嗓子呼噜呼噜的，有点发热，给他吃消炎的和小儿咽扁还有急支糖浆一天，晚上还不见好，应该吃点啥药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发烧几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温多少度"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "您帮忙看看我家孩子吃点啥药好呢"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "37.8昨天下午量"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "什么消炎药"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一天，现在摸着有点热但应该不烧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "达立新小头孢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "流鼻涕不"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不流"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗓子里面有吼吼的声音还是呼噜的声音"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "睡觉时感觉嗓子有痰但是不会嗑那样，呼噜呼噜的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "接着吃头孢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "别的停"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "换成易坦静口服液和蒲地蓝口服液观察"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "他这是怎么回事呀属于什么症状"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不能吃甜食物，太咸的也不能吃"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "支气管炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "易坦静家蒲地蓝还有头孢呀？蒲地蓝他这么大吃多少合适"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝贝现在体重多少斤"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "24"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "每次半支，每天2次"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，太感谢啦"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果体温超过38.5咳嗽加重就得去医院检查一下"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "听听肺部，化验血常规看看"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "行，谢谢您"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "别客气再见"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢您的关心"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝退热几天了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "三天了，那天烧了一天，就退下来了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "不咳嗽，就是偶尔还呼噜是的，嗓子有痰，白天基本都干咳几声"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "再接着吃2天药，多喝水"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不能让宝宝大喊大叫"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "还继续吃那几种药吗"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "行，麻烦您了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "拜拜"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "您好"
            }
        ]
    },
    "10238733": {
        "self_report": "医生你好，宝宝出生九天，咳嗽有痰，流鼻涕，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "怎么判断有痰的？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "咳嗽听得到"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这种情况几天了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "鼻涕很浓，青黄色……"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天只是咳嗽一两下，流鼻涕多，今天咳嗽厉害的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "除了咳嗽，流鼻涕还有别的不舒服吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "暂时没有了，没有发烧！"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发烧，拉肚子？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "拉肚子好像还好，一天反正也拉几次！但是不是稀的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝太小，家长先不要自己随便给宝宝吃药"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "先去医院让医生听诊"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看需不需要拍片排除肺炎的情况"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "如果只是气管有炎症可以选择口服药物治疗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天才开始咳嗽有痰的，估计是气管有炎症"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "咳嗽频繁吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "也还好不算频繁"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果咳嗽不频繁更要警惕肺炎"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "就今才开始咳嗽的！"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我煮梨子水可以给他喝？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "梨水没有治疗效果"
            }
        ]
    },
    "10273975": {
        "self_report": "寶寶有點咳嗽，有時流黃鼻涕有時流清鼻涕，喫奶的時候鼻音有點重，睡著后咳嗽比較明顯，這种情況嚴重嗎？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝发烧几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天下午吃晚饭时开始的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "体温最高多少度？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "39.5"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "还有其他症状吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有点咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是你家长朋友那个给你开的红药水二十二ｐ过的要死人啊，何塞屁股的药，可以填咯癌色到六个小时用，就是说一天可以交替使用感不能同时用，同时用会宝宝会因为讲的很多会出汗很多会虚脱的，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "就是说如果宝宝持续的高烧呢那不退这次给她用红的要十二部罗飞这个退让退烧，如果要想效果还不好那那么再过四到六个小时的会也给他塞屁股的药价交替使用，"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "发烧哪一点让宝宝多喝水，哦多休息别太疲劳了，这个吃点好消化的，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果没有什么其他问题我就关闭对话框了？可以吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝多大了？咳嗽几天了？有无憋喘？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "寶寶十一個月，昨晚開始咳的，之前流鼻涕"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有无发烧？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "沒有，也沒有喘"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "有痰吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "咳的時候有點乾嘔"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "沒有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝去医院看过了吗？吃的什么药物？效果好不好？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "沒去醫院看過，喫過頭孢和小兒脘酚顆粒"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃点止咳化痰药物的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "多喝点水，增加室内湿度"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "饮食注意不要太甜，太咸，太寒凉"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "喫藥前只流鼻涕，喫了四道藥，不怎麼流鼻涕了，就是還有點咳"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以让大夫听诊看看肺部有无啰音"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯！可以吃鮮竹瀝嗎？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "以前買來的，還剩几支"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是和頭孢合起喫，還是分開喫呢？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "分开吃的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝现在怎么样了？"
            }
        ]
    },
    "10734728": {
        "self_report": "孩子打喷嚏咳嗽有痰，说话鼻音",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝贝多大了呢"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "两岁八个月"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "最近家里有人感冒吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有着凉呢"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前段时间我感冒了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯嗯，家里有人感冒的话不要靠近宝贝，容易交叉感染的奥"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝咳嗽总共几天了呢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天下午开始"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽勤吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "挺频繁"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "上午咳嗽四次了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "咳嗽听着有痰"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "说话鼻音"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯嗯，痰量比之前多了吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "比昨天多"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯嗯，宝贝鼻塞吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天下午咳嗽两次，嗓子哑了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "多给宝贝喝点温水，别哭闹太厉害了奥！别着凉"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "今天咳嗽多了，打喷嚏后咳嗽"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "给她吃银光颗粒和葵花肺热咳喘口服液"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯嗯，宝贝咳嗽炎症渗出比较少所以痰比较少，随着炎症渗出痰开始增多，增多后刺激宝贝咳嗽症状比较明显！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "咳嗽是一个过程，宝贝上痰后咳嗽症状比较厉害，并不代表宝贝病情加重了，痰液刺激的！不用担心，多给宝贝拍后背，促进痰的排除的奥"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃什么药呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "看过医生吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝贝会吐痰吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不会"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝贝这个的话太小了所以痰不会吐，只能被呕吐出去或者拉出去，所以多给宝贝拍背能把痰呕吐出去也是比较好的痰咽下去之后胃肠功能会有影响，能吃多少吃多少别强喂"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "痰通过这两种途径排出去的话也是比较好的，利于宝贝的恢复"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝贝这个目前的症状主要是考虑的支气管炎，支气管炎的话这个可能由于受凉或者感染引起来的，这个治疗的原则的话主要是消炎止咳化痰治疗的奥！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝贝目前的话痰量增多炎症渗出增多，具体感染的情况的话不明确，需不需要用抗生素，所以我建议给宝贝先查个血常规胸片，排除一下支气管炎，看一下具体感染情况，根据结果对症处理！这样能够指导我们用药，用药大体时间，用的药物也是比较对症的，宝贝恢复起来也是比较快的，利于宝贝恢复！"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "解感颗粒和易坦静？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "易坦静是化痰的话，这个可以做个检查看一下是否适合"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您可以注意以下方面"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "宝贝吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食物不能吃，清淡饮食为主，特别油腻食物容易生痰的奥，多喝点温水，注意休息，别活动太厉害了奥，多给宝贝拍背，这个时候吃饭会有影响可能，能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "嗯嗯，目前的话病情比较稳定的，您可以给宝贝做个检查，明确一下病因，具体感染情况，多喝点温水，别着凉，一定注意以上注意事项奥！"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝贝这个的痰的目前拍上来的话就好了，这个病程总共大概需要7到10天时间，这个越小的宝贝恢复起来越慢宝贝排痰比较慢，看完面诊医生之后药物吸收也是一个过程的奥，所以不可能用上药之后症状立马就消失的奥"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的啊"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯嗯，好的，祝宝贝健康，有问题欢迎咨询"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "有点哑嗓子"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "知道了大夫，谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "哑嗓子的话这个多喝点温水，别着凉，看一下感染情况，再面诊医生指导下看一下需不需要雾化"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "嗯嗯，关于宝贝健康问题还有疑问吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "你好我是您的接诊医生"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "有没有着凉呢"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "上午咨询的那个小朋友，对吗"
            }
        ]
    },
    "10189787": {
        "self_report": "孩子马上三个月了，这几天有点流鼻涕，咳嗽，嗓子呼哧呼哧响，医生说支气管炎，喝了两天药了也不见效，怎么办呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝具体多大"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "88天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有气喘，嗓子哑吗？有没有痰？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没量过，应该正常，他也不闹"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "家里有没有感冒的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "给宝贝做检查了吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生就给停了一下"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "怎么治疗的?"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "喝着药呢，医生给开了点药，都喝了5次了，但是看着没效果"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "都是什么药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "您在医院儿科看的吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝现在症状加重了吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "止咳消炎感冒化痰的药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "看着还那样"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "室内勤通风，注意保持一定湿度和温度"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在母亲不要吃海鲜油腻零食哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "您在哪里就诊的食物"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "什么"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "您在哪里就诊的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝以前有没有气喘过？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝经常起湿疹吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "以前有，就是有时候吐奶了，或者呛奶了就会喘"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "家里有没有哮喘病人或者肺不好的病人"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有起过湿疹啊"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在治疗两天了是吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "一般用药三天看看效果"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果没有减轻可以去复诊听一下，看看是不是完善检查或者调整用药哦"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "因为在家有些情况医生无法观察到的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "建议带孩子去公立医院儿科就诊，听诊及查血常规看看哦"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的，谢谢了"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "没有了，目前就是咳嗽喘"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "需要看看是不是毛细支气管炎"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "那要怎么才能检查出来呢"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10791974": {
        "self_report": "7个月的孩子，前天下午开始发烧38.5左右，反反复复也做了物理降温，昨天去医院化验血c反应蛋白65医生让住院输液打头孢，可是反反复复今天还在烧，吃美林就降温，药效一过就又烧到39度，请问还要继续输液吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子现在多少度呢？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "39"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在手脚热乎吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "用过退热药了吗？现在"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "热"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "准备用"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子现在体温不会波动太大，可以先用上退热药，防止体温过高引起来抽风"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "我想咨询一下这个打头孢有用吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "医院说是细菌导致发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子现在的情况是体温反复的过程，血常规反应蛋白这么高，处于炎症感染急性期，所以体温会反复的，一般4到6小时会反复一次，慢慢的发烧的时间间隔会延长"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "已经打了两瓶了但是还存在反复发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那就是说还是要继续注射头孢吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "打了瓶数不是反应的一个标准，用头孢类消炎药控制孩子感染，感染比较厉害，用了头孢感染只能复制的慢了，不会说感染立马被控制了！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "孩子现在的话就是细菌感染引起来的急性上呼吸道感染，一般会有3到5天的疗程，治疗原则的控制感染，退热等治疗原则"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子精神状态怎么样。退烧之后"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "退烧后还可以"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在的就是给宝贝勤测体温，高烧的时候备好退热药，及时给医生反应孩子体温，再医生的指导下用退热药，多喝水"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯嗯，现在体温反复正常的一个表现，炎症感染是病因，医生给孩子总共用了几种药？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的，关键孩子不好好喝水"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "头孢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "美林"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个您可以哄着孩子喝点的，这样也是利于孩子的恢复"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "还有一个口服液"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我现在只要体温超过38.5我就用美林"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "孩子的目前的精神状态好，体温不是太高，退热药也是起效的，医生给宝贝用了头孢消炎治疗，目前您可以给宝贝用着医生的药，观察三天，看一下体温情况，不缓解的话在医生的指导下看一下需不需要复查血常规，需不需要查心肌酶支原体等检查，根据检查在医生指导下用药"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以超过38.5用药的急性期的时候体温4小时就要反复上来，及时应用退热药就可以！"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，一般像这种情况要持续几天呀"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在住院也是便于医生及时处理孩子的问题，有什么问题及时反应，会有一个热程，有的可能3到5天的时间，体温慢慢缓解就是好转，按时按量用医生的用药！"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "一般的疗程，不是您家孩子百分之百就一定烧这些天数，这个还和孩子感染程度，抵抗力，药物吸收都是有影响"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，孩子现在已经住院了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在的您需要做的就是积极配合医生的治疗，有什么问题及时反应，勤测体温，备好退热药，多喝点温水！检查之类的再医生的指导下复查检查就可以"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还有不明白的问题吗？"
            }
        ]
    },
    "10305541": {
        "self_report": "宝宝，男2岁肚子胀，已经喂了江中牌健胃消食口服液，不见效，想咨询下吃什么药比较好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝放屁多吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有放屁"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "症状出现多久了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "敲打肚子会有砰砰砰的响"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子吃得多吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "平时就容易消化不好，消食口服液喂了一盒"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃的不多"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不太好好吃饭"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以给宝宝吃西甲硅油，促进排气。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是颗粒的还是液体？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "液体"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "还有别的可以吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "能吃些消食丸吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "别的不太对症，并且还有一些是中成药比较苦。你可以试试"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "什么药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "消积止咳，健儿清解液。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10202894": {
        "self_report": "一个月前脸上开始有白斑，小孩不愿意吃饭，愿意吃时什么菜都就会吃，大便粘稠，舌苔发白",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子大便臭不臭"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "目前不臭"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这孩子现在年龄多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "三岁半"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "平时饮食卫生搞得怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "还行"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "从你描述的情况看，这个孩子应该考虑消化功能不良"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "舌苔发白，大便粘稠就是消化功能不良的表现"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那要吃药什么吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以给孩子口服调节脾胃的药物进行治疗，比如说小儿消食片"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个孩子脸上的白点，需要注意虫斑的可能"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天吃了打虫药"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "需要给孩子口服驱虫的药物阿苯达唑"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这孩子已经口服了驱虫的药物，那就给孩子口服调节脾胃的药物进行治疗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以选择小儿消食片，婴儿健脾散"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好，谢谢您"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果体内有寄生虫，孩子可能会出现虫斑"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "最主要的就是控制饮食的卫生，饭前便后要洗手"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果是虫斑，这个白点可能需要半年左右的时间才能够消失"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦哦，这样的啊，好的，谢谢您"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "还有什么问题吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那我结束了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10204313": {
        "self_report": "宝宝一岁十个月前两天流鼻涕没在意今天发烧38，中午用了肛用退热栓，下午没事了，晚九点又烧38，流鼻涕发黄还带血丝，今天没有大便",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好啊"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝精神状态好吗？食欲如何？肚子疼吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "食欲不太好"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "肚子不疼"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "血丝多吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就今早有一次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "去医院抗过吗，查过血吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "你给孩子看过嗓子吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "舌苔厚"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "除了用退热栓，吃过什么药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子发热，流黄鼻涕，需要口服药物看看"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果方面最好能去医院化验血常规看看"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "是感冒实火还是食火"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "反复发热，说明有感染"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "用不用开药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前不好判断"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "需要大夫开点药吃的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "去医院让医生检查一下咽部，看看扁桃体情况，听诊一下心肺，看看身上有无皮疹等情况。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "前两天身上出过几个疙瘩"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "现在不要紧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "感冒前出的疙瘩吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "同时发生的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "疙瘩什么样？痒痒吗？疙瘩多么"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "就背上两脖子上一个脸上一个"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "痒吗？多大"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "开始痒，这倒好了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那疙瘩可能不要紧。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "孩子现在需要吃的药"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "什么药"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "家里有什么药"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "感冒加抗生素加抗病毒"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "因为黄鼻涕，可以口服消炎药和清热解毒中成药"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "抗病毒的可以不吃的。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "阿奇还是头孢克洛"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "清热解毒的小孩药有什么"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "吃一种就行，阿奇或头孢均可"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "清热解毒的如蒲地蓝清开灵等"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "一般宝宝感冒经常吃什么药"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "蒲地蓝要求是口服的，"
            }
        ]
    },
    "10306241": {
        "self_report": "19个月宝宝，拉屎有粘条，昨天酸臭，今天味儿没了，就是拉的粘糊糊。怎么回事？昨天吃了健胃消食片。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝肚子受凉了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝大便里面是不是有血丝啊"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "应该没有，最近雾霾没出门。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那个红色的我也不确定，昨天吃了番茄面"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝有没有哭闹"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天看她像消化不良"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "昨天拉几次大便？今天几次？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，精神很好，就是吃饭不怎么吃，我就喂奶粉和面糊，其他没喂"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝有没有恶心呕吐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "昨天拉了4次"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天从早上到刚才3次，每次不多"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯嗯，大便都什么样子"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有呕吐恶心"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨傍晚发现有粘条子"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可能是粘液"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "昨天上午拉的没有，只是不成形，很酸臭"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "比如腹胀？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "发热？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝喝水多吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "尿的多吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "除了吃饭不太好，其他一切正常"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "尿的不多，喂梨水可以，不喂的话白水不太喝，除非很渴"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯呢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "给宝贝查大便常规了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "精神目前看还不错。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "还没有，之前有一次大便干，有粘条，去化验没事。这次还没去"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "由于不确定刚刚大便红色是不是血丝，建议带孩子去公立医院儿科就诊，查大便常规看看"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果有炎症，需要控制感染"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "注意宝宝饮食卫生，清淡饮食"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "不是消化不良造成的么？对了，昨天吃了王氏保赤丸"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝宝有什么症状吗"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "没啥，我们经常吃，否则她就积食"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝宝经常消化不良吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "她太能吃，囫囵吞枣式的吃饭，很快。急脾气，呵呵"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "尽量给宝贝做一下软和易消化的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝宝平常吃完饭半小时给宝贝顺时针按摩腹部"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "有助消化"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不要总吃药哦"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "可是她不让碰他的肚子"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "我也知道按摩好，她就是不让碰她"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "可以平常时候给宝贝按摩或者睡了"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯。那我下午去给她验个便便"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "也可以给宝贝用热水袋敷一下，注意不要烫到宝宝"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "尽快给宝贝查一下哦，排除肠炎"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的，谢谢。"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "再见哦"
            }
        ]
    },
    "10263119": {
        "self_report": "孩子不咳嗽了，是不是支气管炎就好了，可以停药了吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在，您好。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在都有什么症状"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "您说？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在都有什么症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "比如流鼻涕，咳嗽吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝都做过什么检查?"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有了，就是好像嗓子不舒服老清嗓子。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽多久了?"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "咳嗽了大概一个礼拜。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有痰吗?"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗓子哑吗有没有气喘"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "大夫说支气管发炎了，吃的药，没痰。嗓子没哑有点轻微气喘，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "做检查了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "她之前没咳嗽以前发热38.7，由于肠胃炎，好了三天，结果就咳嗽了，什么症状都没有，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在气喘减轻了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在没有了，也不咳了，现在是不是就好了！"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "说明书上的药物不能完全作为当前疾病的治疗指南，需要根据宝宝具体情况，还有检查"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "医生给您说吃几天了吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这个有没有好，一个是症状，还有就是听诊肺部"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有，我礼拜六去的，大夫说没什么大事，她说咽炎给拿的中药，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不是支气管炎吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "从礼拜一开始咳的，大夫听支气管有点炎症，礼拜六去没有事了，她说可能咽炎，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝现在没有任何症状，可以再去复诊看看嗓子好了吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "噢，谢谢，您说腺样体肥大会引发咳嗽吗？我女儿鼻炎，腺样体肥大，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "会引起鼻塞，打呼噜，呼吸困难，一般不会咳嗽"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "去除腺样体对身体健康有什么影响吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "没有明显影响"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "现在不建议做，一般七岁以后再说"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "没有影响宝宝生活的话，可以保守治疗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "抵抗力会减弱吗，我女儿十岁了。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "就算割了腺样体，鼻炎也一样存在的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "对宝宝抵抗力没有影响"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "大夫说鼻炎腺样体一起做，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是鼻窦炎吗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "行，谢谢，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "过敏性鼻炎，鼻钾肥大，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "您可以带着宝宝以往的检查再去咨询一下耳鼻喉科"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯，可以通过手术治疗"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "噢谢谢啦！"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10093609": {
        "self_report": "三个多月的宝宝，9月9日游泳回来后大便有血丝，社区医院医生开了妈咪爱，吃了6天，9月15日便血，去自治区医院查肠炎，开了思密达蒙脱石散、头孢克洛和双歧杆菌，9月21日复查大便除脂肪球一个加外其他一切正常，医生开了双歧杆菌调理肠胃。22日晚母亲吃了哈密瓜，今天宝宝拉了五次大便，是否继续吃双歧杆菌就可以了？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "精神，吃奶"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "体温正常吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "体温正常"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "中午继续喂了思密达和双歧杆菌，大便不稀了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "思密达已经吃了好多天了，还能继续吃吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "精神，吃奶好，体温正常，可以继续服用思密达和双歧杆菌"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，继续吃，等宝宝大便成型了，就可以停止服用的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生还开了葡萄糖酸锌.这个要吃吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "葡萄糖酸锌，可以吃的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃药片的葡萄糖酸锌好还是吃葡萄糖钙锌口服液好？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝小，喝口服液好一些"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "注意腹部保暖"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以给宝宝贴肚脐贴"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哪种肚脐贴好？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "另外妈妈的饮食注意，不要吃凉的和刺激性的食物"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "肚脐贴辅助治疗，那种牌子都可以的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，不拉肚子多久宝宝才可以游泳？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不拉肚子，1个星期以后再游泳"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "明天满四个月，体重才4.97kg，是不是不正常？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝出生体重是多少？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "2.7kg"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "长了2kg多，有点慢"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "一般前3个月长3kg"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "明白了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "妈妈应该增加营养"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "多吃鱼，瘦肉，喝汤之类的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "牛肉可以吃吗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以吃的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "宝宝拉肚子，我能喝牛奶吃鸡蛋吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "能喝，不影响的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不要吃太油腻的就行"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10865824": {
        "self_report": "3岁的宝宝上周4晚上突然发烧，直到昨晚期间间接性的发烧，最高烧到38度2一般就是37度六七，四天时间里差不多发烧4次左右，看过大夫也用了好多药，就怕他还是再反复发烧应该怎么处理",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "很高兴为您服务"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯嗯，在看，稍等"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝除了发烧外，有没有其他不适表现亲？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有鼻塞流鼻涕？有没有嗓子红肿？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是嗓子发炎肿大"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "儿童发热很常见，如果不是高热，体温不超过38.5°，精神状态好，可以采用物理降温，多饮水即可。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "如果宝宝体温＞38.5°，建议准备两种不同成份退烧药交替使用。一般持续72小时左右，体温就会稳定的。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有流鼻涕有点咳嗽"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "同时也可以给予宝宝口服清热解毒药物治疗，建议口服小儿热速清口服液治疗亲，效果很好的。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯，宝宝有没有痰？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "根据您说的情况看，宝宝最有可能是感冒发热"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "医生如何诊断？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃着黄那敏颗粒和头孢还有治咳嗽的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯嗯，有没有检查血常规看看？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "大夫说有可能病毒感染"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯嗯，是的亲"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没查"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗓子有痰"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "奥，目前宝宝体温发烧有没有好转的迹象？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯嗯，宝宝痰多吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "但是精神状态都还不错"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有痰，多提示宝宝气管不好了亲"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不算多，就是睡觉的时候感觉他嗓子特别难受，起来以后就好很多"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "建议给与宝宝口服肺力咳合剂或者沐舒坦口服液治疗亲"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "气管炎严重吗，需要用什么药"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，知道了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "反复发热咳嗽有痰"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "建议看医生，检查血常规+支原体+胸片"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "明确诊断，指导治疗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，我今天去查查"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "您好！考虑宝宝为支气管炎。引起本病的病原很多，常见的有细菌、病毒、支原体等。如宝宝是细菌感染，咳嗽不重、痰不多可以在家口服消炎药＋止咳化痰药物治疗观察；如咳嗽重、痰多，尤其伴发热、气喘者，建议去正规医院看儿科医生，行血常规＋胸片检查，给予系统治疗。常用治疗方法：口服头孢克肟颗粒＋羧甲司坦口服液，必要时给予生理盐水、布地奈德、沐舒坦雾化吸入，严重病例需输液治疗。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝病史大于三天了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不建议在家盲目吃药了亲"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "是的，今天第五天了"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯嗯，是的亲"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝宝可能是支气管炎或者肺炎了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯嗯知道了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "目前宝宝体温多少度？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "同时注意清淡饮食，宝宝咳嗽有痰，也可以给予宝宝喝冰糖雪梨水，效果很好的亲"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "建议尽快看医生，完善检查，明确病因，指导治疗。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "需要帮助请留言，祝宝宝早日康复！"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "宝宝的病情后续还需要观察，如您信任我，欢迎您再次找我咨询，我会继续为您提供指导建议。祝宝宝健康快乐成长每一天！"
            }
        ]
    },
    "10048087": {
        "self_report": "6个半月的母乳宝宝，已经添加米粉。一个星期前扁桃体发炎引起发烧咳嗽呕吐，吃了美林第二天退烧了，又吃了小儿咳嗽颗粒和克洛已新。但是鼻子一直堵塞至今，吃奶睡觉鼻子会呼哧呼哧睡不好。三天前开始来绿色粑粑到现在，一天五六次稀粑粑，有时是绿水，吃了三天妈咪爱没效果，宝宝精神状态好，能吃会睡，就是有时干呕。没去医院，请问这些情况怎么处理",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝大便一天多少次，成型吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "带孩子至医院就诊过没有？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，孩子的精神怎么样？体温是正常的吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "精神可以，体温正常"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在宝宝最主要的症状是什么？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "小便量和以前相比有没有减少的表现，哭的时候眼泪多不多。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "鼻子不通，拉绿色粑粑，"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "小便黄"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有眼泪"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "辅食是最近添加的吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "除了鼻塞以外，有咳嗽这些表现吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "添加一个月了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就是干呕，然后呕吐"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "吃奶的时候有呛奶吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在给孩子吃了哪些药物？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "偶尔会"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "家里去医院方便吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "钙"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "D3"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "暂时不方便"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "钙和D3不生病的时候也要吃的。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "我是说吃了其他的药物治疗没有？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "要去医院吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "妈咪爱昨天吃了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "像孩子这些情况的话，是考虑存在呼吸道感染。最开始当然不会是复习到，然后激发了消化道的症状。建议去医院就诊。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天没吃了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "需要查一个血常规，然后把大便要化验一下。大便的话需要一小时之内的，大便放久了的话会有影响。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "建议去二甲以上的公立医院儿科。需要医生听一下孩子的肺部，因为之前有呛奶的情况，加上孩子目前有鼻塞，偶尔有咳嗽，需要排除肺部感染的情况。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "化验大便如果大便没有白细胞，红细胞之类的话，说明大便没有问题，只是存在消化不良。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "妈咪爱的话还是建议你继续给孩子吃，不要停，它是属于益生菌，可以调节肠道菌群，帮助消化。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "然后家里面如果有锌的话，需要把锌也加上可以修复肠道黏膜"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果大便里面没有白细胞，粘液叶和脓球这些话是不需要吃抗生素的，对症治疗就可以了。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "需要化验大便常规才能知道，用眼睛是看不出来的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "只能明天去看，现在我一个人在家不方便"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "行，那先按照我说的把益生菌和锌加上吧！"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "明天尽量去医院化验一个大便，宝宝拉完以后就立即送到医院去，不要时间拖久了。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "那米粉还能给他吃吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果米粉已经加了很长时间，宝宝之前没有拉肚子的话可以继续吃。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "然后你要去药店买一个口服补液盐，因为孩子反复拉肚子的话，是要注意防止脱水的。那一次就要问一次，不能单独只喂水，要么买那种专门配好的口服补液盐。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "另外的话，腹泻次数太多，要注意臀部护理，防止烂屁屁的情况。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "拉肚子的话，如果精神还好，不发烧的话主要是对症处理，但是需要排除肠炎的情况，所以需要化验个大便。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "我一开始吃大米米粉，后来换了燕麦米粉，现在又买回大米的，吃哪种更好"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不是说一定要吃哪种比较好，如果不能排除，是加辅食导致孩子腹泻的话，那就停一下也可以。等腹泻好了以后再把辅食加上也没关系。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果你没有其他问题需要咨询的话，可以点击一下那个结束服务。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "你好，孩子化验了大便吗？目前情况怎么样？"
            }
        ]
    },
    "10264556": {
        "self_report": "宝宝九个半月，感冒将近半个月了，吃药也没有管用，现在一到晚上就咳嗽，有的时候还会咳嗽吐了，大夫看了说嗓子有点红，吃了三天咳嗽的药也没多大效果，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "，你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在咳嗽几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "得有一个星期了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是晚上劲儿大，白天基本没事"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有发热，特别精神"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "应该有，有时候咳嗽吐了黏黏的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝有没有喘息症状"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎或支气管肺炎"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "依据宝宝咳嗽一周，咳嗽有痰，夜间咳嗽严重"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大夫听了肺没事"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议给宝宝行胸片检查了解一下肺部和气管炎症情况，化验一下肺炎支原体抗体"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "这么严重啊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "支原体感染导致的肺炎一般听诊没有问题。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不是严重，但需要合理检查，然后规范治疗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "只能拍胸片没有别的方法了吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "下呼吸道感染胸片是首要选择"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "合理检查，规范治疗，祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不用客气，如果没有其他问题，那就结束了，好吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "检查后可以再联系"
            }
        ]
    },
    "10269480": {
        "self_report": "4岁孩子37.5到38.5.38.9再到37.5.咳嗽，流鼻涕黄色用去医院打点滴吗，3天了发烧，谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "孩子反复发烧3天，用打针吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "37.5就不下来了，状态挺好的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "睡觉偶尔咳嗽"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "拉肚子不"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "先锋也吃了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不拉"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是咳嗽5天了，发烧3天，今天开始有鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "在一个点上一次最高能刷到多少度，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "最高一次烧38.9"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "一般在37.5左右"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "前天晚上"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天最高38.5"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天一直37.5"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "我觉得你纠结的给他吃那个消炎药抗病毒药就可以，听现在就是分着的他们都慢慢往下聊天啊哈点开始点进场生命值那个药肯定是有效，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "我头发不过敏汉家战士几天头发就没问题用那个生理海水喷雾剂也得给他冲洗鼻腔，还是那比天皇是明天还准备给感染，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "只有黄媛也自己的格式，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "到那个抗病毒清热抗病毒的药一起吃，"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那不用去医院看看啊，还继续吃药就行是吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你都别叫人就简洁谁让我就行先不让去如果她要是带上代码证未上架去，"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那我在观察看看"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10316304": {
        "self_report": "一岁的宝宝拉肚子拉出来的带点泡沫需要注意什么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前一天大便几次，什么颜色"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "一两次黄色"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "拉的稀不稀，拉水吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不稀不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那基本看来，问题不大"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前进行治疗了吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "那怎么做可以缓解"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "拿的药吃的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃的什么药，一般可以吃点益生菌调理"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "喝完了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "益身菌？？？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，帮助消化，调理菌群的，你吃的什么药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个就是益生菌"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前治疗后，效果怎样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "挺好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是吧，我就是推荐你吃这个"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "挺好就好了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "继续吃？？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前吃了多久了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "两三天"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那时间还短"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "吃上一周"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "一周？？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的，益生菌的治疗疗程一般1-2周"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "好的，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "带美瞳的时候视线模糊是因为什么"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "在哪里买的美瞳，质量过关吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "朋友哪里"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "我觉得可能和质量有关系，建议换好质量的美瞳带下试试"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "跟护理液有关系吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "按说关系不大，护理液都差不多"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "别人带都没事"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "你近视吗，还是只是为了美观"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "近视"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "佩戴眼镜更好，这个对眼睛不好"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "那个不方便"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "那如果别人带着没事，你换好点的护理液，再清洗下，试试"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "去眼镜店买的她说是他们店最好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "那如果眼睛没问题的话，只能说是美瞳，或者护理液问题。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "取下美瞳感觉眼睛痛痛的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "是吧，还是考虑美瞳质量不过关"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "好的，换好质量的一些佩戴下，应该没问题了"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "没了"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "那有问题随时再联络，再见"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10184294": {
        "self_report": "我孩子有些咳嗽，特别是刚睡时和早上刚醒时更甚，鼻涕中伴有血是怎么回事？咳嗽时她还说脖子里面会疼",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝咳嗽多久了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有发热"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有气喘，嗓子哑，皮疹等症状"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝会说没有力气吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不会"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝平常容易过敏吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "家里有没有哮喘或者肺不好的，比如结核"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有开过止咳药吃"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝现在忌饮食了吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "忌了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不能吃海鲜油腻零食哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝嗓子有没有扁桃体发炎"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "这些都有忌"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "前天检查说是支气管炎，并且做了雾化"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "效果怎么样？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "不见效"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "所以我才来咨询的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "血常规查了吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "现在都吃什么药？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "没有，是在小门诊检查的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝具体咳嗽几天了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝喝水多吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "不见效没吃了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "不过我煮了枇杷花水加蜂蜜给她喝"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这个比较慢"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "4天左右了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "尽量给宝贝多喝水，清淡饮食，保暖好"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "您的意思是有效的是吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您最好带宝宝去公立医院儿科就诊，听诊肺部，排除肺炎，更换治疗方案看看"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这个肯定没有药物见效快"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "雾化对于治疗咳嗽效果不错，也要看药物哦"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "没了，非常感谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10003735": {
        "self_report": "十七天的宝宝大便绿色，吃数多，打屁就拉带泡泡",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好宝宝是母乳喂养吗?黄疸退了吗?"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "是，退了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有没有吃什么药物?"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吃了妈咪爱"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这种情况有几天了?"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有一周了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝吃奶尿量挺好吧?"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "宝宝吃奶正常，睡眠也正常，尿量也好"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还要继续吃妈咪爱吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "你好这种情况一般没什么问题宝宝小胃肠功能不完善有时候有点拉肚子大便绿比较常见可以继续吃点妈咪爱调节一下"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "每天大便次数十次左右，会不会影响宝宝"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "另外注意腹部保暖"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃纯母乳，大人需要注意吃什么吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "尿量不少说明不脱水一般没大问题大人别吃太油腻"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的，谢谢医生！"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "你还有什么问题需要咨询吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大人能吃水果吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "你好宝宝怎么样了?"
            }
        ]
    },
    "10337309": {
        "self_report": "我儿子今年六岁?前段时间感冒发烧输液氨曲南4天?后来又发现中耳炎输了3天头孢?第8天没有什么症状就没再输了?晚上就发烧了?去医院检查是肺炎和支气管炎又输了5天头孢?血常规检查白细胞比率底淋巴细胞高怎么办?还要再输液吗?会不会造成什么伤害？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问方便把血常规拍照发过来吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没在手里在医生那"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "白细胞数有多少？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "忘了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "我只记得底"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "淋巴细胞比例有多少？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "50多吧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "中性粒细胞比例呢？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "也低"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "多少呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我都记不清了输液时间太长了不知道不输了会不会反复"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "血常规后面的参考范围是成人的标准，六岁的孩子达不到，所以不能以那个指标来说高低。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "所以最好看一下化验单，明确是什么感染，看用的药是否对症。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "肺炎好了支气管还有炎症医院让再输液可是已经输了15天了我不想再输了又怕反复"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是否要输液，一个要看血中炎症指标恢复的情况，另外要靠医生听诊或者复查胸片，看炎症消散的情况。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那对身体没有伤害吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你指的是什么？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "输液"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有必要的时候就要输"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "抗生素类的药输多了对白细胞比率也有影响吧"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "头孢会使白细胞数降低，所以要看目前孩子是什么感染，是否还需要用头孢"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "对肾脏呢？有影响吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "肾功能正常的孩子，一般没什么影响。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "医生说是细菌和病毒交叉感染"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯谢谢医生的耐心解答我懂了"
            }
        ]
    },
    "10352594": {
        "self_report": "14个月宝宝，发烧第三天咳嗽流鼻涕发烧39.5℃~38.5℃有去过医院，拿了布洛芬滴剂羚羊感冒口服液磷酸奥司他韦颗粒。喝了药以后会退烧，几个小时以后又会起烧，反反复复温度不太高的时候就贴退烧贴然后用温水擦身为什么药吃了几天也不见效果？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发病几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天第四天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一直发烧不退是吧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "吃了药以后会退烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽严重吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一段时间后又起烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽严重吧，晚上也咳嗽吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "咳嗽的时候脸红"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "晚上也咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "医生诊断是什么病？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "做过检查吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "细菌感染引起的发烧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "发烧第一天的时候去的医院"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "拍胸片了吗？有气管炎和肺炎吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有拍"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "化验的血"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是有呼吸道感染的。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "咳嗽的时候会哭"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是嗓子痛吧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果口服药物效果不好，总是反复发烧，还是建议你去医院检查一下。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "拍胸片，看是否有气管炎和肺炎引起的发烧咳嗽。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "再针对性治疗效果还好。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯。好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，祝孩子早日康复！"
            }
        ]
    },
    "10831387": {
        "self_report": "24天新生儿吃防腹泻奶粉，结果买错了，买成早产儿奶粉了，可以吃吗？会不会继续拉肚？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝拉肚子，吃早产儿奶粉不行的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "一般奶粉主要还是含有乳糖的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我家宝宝之前吃母乳，后去医院照蓝光，拉肚，大夫让吃无乳糖奶粉，前几天拉血，今天刚好，奶粉吃完了。结果买错了，买成早产儿的了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "还是要继续吃无乳糖奶粉"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有了怎么办，商店关门"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这么晚了，是买不到了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "家里一点腹泻奶粉都没了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "是吃母乳好一点，还是将就着吃早产奶粉"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃腹泻奶粉几天？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有了，一点都没了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "快8天了吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "乳糖酶有没有？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "也没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "你这两天饮食怎么样？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "油腻吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "清淡，不油腻"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那你喂母乳"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "少量多次喂"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "少盐"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "母乳比早产儿配方奶粉好一点"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "可以吗，会不会加重腹泻？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "吃早产儿奶粉也可能加重腹泻啊"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那我少量多喂？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "对"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "要是宝宝吃我的母乳没什么问题了，我可以一直母乳喂养吗？要是母乳不够，是给他继续吃无乳糖的奶粉，还是正常的奶粉呢？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "没问题，最好是从腹泻奶粉慢慢过渡到母乳"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "混合喂养的话，是母乳不够直接再喂奶粉，还是母乳一顿，奶粉一顿呢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "都可以"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那今天只能先吃我的母乳，明天再慢慢过度吧"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢医生了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是的"
            }
        ]
    },
    "10157100": {
        "self_report": "女儿刚出生两个多月昨天晚上鼻子老是不通气,肚子还咕咕叫,不自己睡觉老让抱着，精神状态都挺好的，是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你家宝宝这应该是感冒了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "还有就是注意腹部保暖，有可能会拉肚子"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "那该怎么办啊"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这么小吃完不好吧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "家里大人有没有谁有感冒，咳嗽等症状的？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "我老公感冒了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "如果症状不明显，不影响睡眠，饮食，精神状况好，可以暂不吃药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "要做好隔离，不要让他带宝宝了，最好戴个口罩"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就是老让抱着"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "睡觉"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不舒服他就会寻求安慰"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "饮食上我要注意什么吗，女儿吃母乳"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "没有什么特别的禁忌"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不要吃太刺激，辛辣的食物"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我用喝点板蓝根之类的吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果宝宝出现大便性状改变可以给宝宝喝点益生菌"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "喝不喝不影响"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "早上有点拉肚子，我给她喝的妈咪爱"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以喝"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯，谢谢您"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不用谢??"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你好，你家宝宝好一些了吗？"
            }
        ]
    },
    "10713643": {
        "self_report": "我家宝宝两个月开始发烧，每天反反复复，吃了药就下去了，但是过后还会发烧，37度45，38度1，今早上38.4，最近比之前大便的次数也多，这是怎么回事，发烧两天了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天3天开始"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "已经两天了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "大便比之前次数多"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有没有流鼻涕，打喷嚏咳嗽鼻塞等症状"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有感冒之类的，家里也没有人感冒"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这是化验血结果"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "在当地医院检查宝宝咽喉部有没有红肿？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "医生没看"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "可能是看了看舌苔"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "医生说病毒性"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "当地医生考虑是什么情况？应用的什么药物？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "雾化，吃的药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以发一下药物的名称吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "阿霉奇素，和退烧"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "复方锌布颗粒剂"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "从化验单分析，宝宝的白细胞正常，考虑病毒感染。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就这三种"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那这样用药几天能有效"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "首先我给你解释一下这个发热，发热一般是由于病毒，细菌侵犯机体后，机体的免疫系统进行排斥，从而产生了发热的症状。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "刚喂了药，还没退呢，眉头还热"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我们该怎么治疗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "发热是一种保护性症状，当体温在38度5以内，可以温水物理降温，超过38.5度，需要应用退热药物。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "今天是38.5给吃了药"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "目前今天是最高的温度"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一般退热药物的起效，在半小时到一小时之间"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "服用退热药后，需要多喝水，因为退热药物，可以，导致多汗现象，需要及时的补充水分。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "每天晚上不烧，每天早上醒来了就会发热"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "她吃母乳，也得多喝水是吧"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "我们吃这个药可以吗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "这三种"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "复方锌布颗粒剂，小儿氨酚黄那敏颗粒，阿霉奇素"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以的，这三种药物应用的很合理。阿奇霉素预防感染，小儿黄那敏颗粒，对症治疗上呼吸道感染症状，锌布颗粒有退热作用。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "那我们接着吃吧"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "一般这个症状几天会好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "一般病程在一周左右，发热，反复在3-5天。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "个人建议加用清热解毒药物，比如小儿清热宁。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，我去了问问医生那有没有"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢你的服务"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不用客气。病毒感染引起的发烧是很常见的，不要过于担心。注意多喝水，注意预防着凉，以免加重病情。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "开空调没事吧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "最近温度比较高"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "再就是，注意观察宝宝的精神状况，如果宝宝精神差，或者吃饮食不好，需要及时的到公立医院儿科复查。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "28度29度"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "因为病毒感染引起的上呼吸道感染，有合并支气管炎，心肌炎可能。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "可以开空调，温度不要调得太低。不要直吹宝宝。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "我就是担心，不放心"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "这就是温水物理降温时，擦拭宝宝的额头，颈部，四肢。"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝早日康复，健康成长。"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "再次找之前医生复诊方法：【点击“首页”-“康复记录”-找到医生，进去后点击“再次咨询“并留言】"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "有事随时联系，再见。"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "再见"
            }
        ]
    },
    "10103930": {
        "self_report": "我家孩子五岁了，这几天嗓子发炎了，还还有扁桃体肿大，该怎么治疗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "您家孩子除了发烧有其他症状吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "扁桃体肿大会有恶心，干呕的症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "抱歉刚刚问错了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没事"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子有发烧吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "刚开始的时候烧了一天，这两天不发烧了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "扁桃体肿大会有恶心，干呕的症状"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "但是要排除胃肠道疾病"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "去医院医生诊断什么疾病"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃的头孢克肟和小儿炎扁颗粒"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就说扁桃体肿大，发炎"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天开始流鼻涕，咳嗽"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天去医院复查了，医生说不太严重了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "查血常规了吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没做"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "药吃几天了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好，建议您可以继续服用现在的药，到目前为止，孩子发烧的症状已经没有了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯，不发烧了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是干呕，恶心的。吐不出来"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "而且复查扁桃体肿大有好转，所以服用这两种药物还是有效果的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "食欲怎么样"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "还行"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "大便也通着了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "前段时间大便不好吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一直都是每天大便一次，就是有点干"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "最近饮食有什么变化吗？比如前段时间吃的比较多"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "应该也没有吃的太多，在学校吃，也不会吃的太多"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "最近吃了几次火锅和一次麻辣烫，不过都没有吃辣椒"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "除了前边您跟我叙述的这些情况，其他还有吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "今天开始咳嗽，流鼻涕"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "另外一点需要问您，孩子恶心，干呕是从扁桃体肿大开始的吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯是的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那就是说跟肠胃没有关系吧"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "您好，建议您继续服用这两种药物，由于孩子有一些感冒症状，所以可以加一些感冒药"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "他是第一次扁桃体肿大"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "服用什么感冒药好点？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "等病情恢复后，如果恶心，干呕的症状慢慢减轻了，就是扁桃体肿大引起的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "感冒药，氨酚黄那敏就可以"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "暂时不能肯定是不是胃肠道原因引起的，但是可能性比较小"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "还咳嗽了，是不也得吃咳嗽药了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "咳嗽严重吗"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "有点严重"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "咳的次数挺多"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "可以服用氨溴特罗，止咳效果比较好"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "咳嗽痰不是很多"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "天气转凉，同时需要您注意适当给孩子增减衣服"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "是的，这个主要作用是止咳"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "上幼儿园也没办法照顾，孩子多，老师也顾不来"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气??"
            }
        ]
    },
    "10198557": {
        "self_report": "10个月宝宝支气管炎咳嗽吃药老不好怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝咳嗽好长时间了，就是不见好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯。宝宝咳嗽有没有痰？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "差不多有一个月时间了，中间去医院检查血项不高，支原体阴性，就开了百蕊颗粒和清宣止咳颗粒，吃了4天好了，过了周又咳嗽了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这次咳嗽有痰，但好像不多，多半是干咳"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那宝宝吃完药好了之后有没有受凉呢？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的，宝宝每次咳嗽有没有持续一两分钟的时候？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这次咳了两天后还开始打喷嚏了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有，但是咳嗽时一阵一阵的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "怎么办呢，需要输液吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "好的，可能是复发了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一般情况怎样？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "宝宝精神状况和吃饭都好"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯，那您可以先口服药物治疗。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这次还是继续吃哪两种药还加了利巴韦林颗粒，但是这次就没有上次有效了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "吃了几天了？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "连着吃了两天半了感觉没有效果，上次吃了两天就差不多好了，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "好的。这些算是对症和抗病毒的。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还是吃这些药吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "网上说煮大蒜水对咳嗽有帮助，我可以给宝宝喝吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝十个月可以给他喝一点。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦，好的，还有其他好的方法吗医生"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "葵花肺热咳喘口服液有必要吃吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝有没有喘息。没有喘息的话可以不吃。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "听着有点呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "那可以用这个。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "我建议您可以去查个血常规再用药。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我们这边查血常规也分不出是病毒还是细菌感染，就说血项高还是不高，去医院留给输液了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "自己又看不懂"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "哦，一般白细胞升高，比较支持细菌性感染。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那病毒感染怎么看"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "白细胞正常或者偏低，比较支持病毒性感染。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "哦哦，就可以对症用用药了是吗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "还有一个中性粒细胞比例。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "？？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "一般细菌性炎症在白细胞高的同时也会出现中性粒细胞比例升高。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "然后病毒性的炎症白细胞和中性粒细胞比例一般都在正常范围。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，知道了，谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不用谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "然后就对症用药。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "细菌性感染考虑需要加用消炎药。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "我查完后可以给你看看吗"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "如果是病毒性的就用利巴韦林就行了是吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "点击“首页”-“康复记录”-找到我，进去后点击“再次咨询”"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "给宝宝保暖。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了，"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "嗯嗯，祝好梦，晚安"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "嗯，谢谢"
            }
        ]
    },
    "10469477": {
        "self_report": "宝宝五个半月了，今天中午睡觉突然开始吐，吐了好多，吐完走吃了点奶又睡了，十多分钟后又吐了，还是吐的很多，很吓人，抱着他又接着睡，结果一会起来又吐，吐的黄色的这是怎么回事啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝主要是什么饮食呢？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "主要是母乳，今天上午吃了点米粉"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "最近吃奶量可以吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "之前吃过米粉吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "之前吃过"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝妈最近吃什么不合适东西来吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "最近也没吃什么特别的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "生冷辛辣刺激油腻食物这类食物呢"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就吃了跟香蕉没有热的，之前也吃过"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝贝今天大便怎么样呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天中午给他换尿不湿的时候看他屁屁潮潮的，就没给他穿尿不湿，屋里爱外面凉"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "大便和之前一样"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝贝呕吐完以后立马喝奶喝水来吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "第一次吐完后吃着奶又睡了，之后一直美吃东西"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝这个一定给宝贝空肚子的奥，至少2小时不要喝水不要吃东西的奥！不然不利于宝贝的胃肠功能恢复的奥！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝贝第一次吐的有奶瓣吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在看他挺虚弱的，吐完了就又睡着了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝尿量多吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "有奶瓣，第一次吐的还有米粉"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "中午没吐之前尿了好几次"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝贝这个的话主要是考虑一个消化不良的表现，这个主要是受凉或者胃肠功能弱饮食不当引起来的奥，这个的话治疗原则主要是调节胃肠功能的治疗的奥！"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "应该怎么治疗呢"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "他刚才吐的黄色的应该是胆汁"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "鉴于宝贝目前精神状态好，尿量多，目前状态还是可以的，所以可以先给宝贝观察两天，吃点益生菌调节一下胃肠功能，如果不积极治疗的话宝呕吐次数增多严重的话会导致脱水，表现为前囟凹陷，双眼窝凹陷，尿量少，精神状态差！如果出现这些情况要及时就医补液治疗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食，生冷辛辣刺激食物不能吃油腻食不能吃，水果之类的也不要吃，多喝点温水，多给宝贝热敷一下肚子，顺时针揉揉肚子，别着凉肚子，晚上睡觉盖好被子，别着凉，这个时候胃肠功能会影响所以能吃多少吃多少别强喂奥！"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝贝目前吃着益生菌观察两天，如果呕吐次数不缓解或者加重及时带宝贝去儿内科就诊查个腹部彩超排除一下肠套叠等外科疾病，根据结果对症处理！这样能够指导我们用药，用药时间比较明确，对宝贝来说比较安全的奥！利于宝贝的恢复"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "益生菌是什么？药店里有吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "目前的话主要是考虑一个消化不良的表现，目前状况还可以，可以口服点益生菌，如果脱水症状及时就医补液治疗！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "益生菌是调节胃肠功能的奥"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝贝这个胃肠功能紊乱的话治疗疗程怎么也得3到5天的疗程的，目前的话胃肠功复就像手破了修复是有一个过程的奥，所以益生菌应用胃肠功能好转，可以继续巩固益生菌的奥"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "目前就是给宝贝用益生菌观察两天，有问题及时就医，注意以上注意事项奥"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "好的，祝宝贝健康"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "有问题欢迎咨询"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题还有疑问吗，亲"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "好的再见"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您可以结束了奥"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的再见"
            }
        ]
    },
    "10291386": {
        "self_report": "三个月的宝宝拉绿色的大便是什么原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，为了详细了解你的病情。我需要问你一下，与你的疾病有关的几个问题。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发病几天啦"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "拉绿色大便几天啦"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天晚上发现的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便一天几次啊？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "之前一天一到两次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有呕吐吗？吃奶怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天好像是三次"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有呕吐"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃奶还可以吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是母乳喂养还是奶粉喂养？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "母乳的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "没有，发烧是吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好像没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子是有消化不良的。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子是不是着凉了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我也不知道有没有着凉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，稍微不注意会着凉的。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "着凉以后会引起消化不良拉肚子。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物。调解一下"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "绿色大便就是着凉了吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是的，绿色大便就是着凉引起的消化不良。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "正常的应该是黄色的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "加强护理，把肚子盖暖一些。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "一直都是黄色的，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "是的黄色的，稀湖状的这是正常的大便"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "就昨天晚上发现是绿色的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是不是晚上着凉了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "室内温度多少度？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "室内开的空调"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "昨天出去洗了澡"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可能是着凉了，引起的。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "没有吃过药吧"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "一次药都没吃过"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物调节一下。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "太小了，不想给她吃药，有没有别的办法"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "用暖水袋暖一暖肚子，不要着凉。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以吃上益生菌助消化的，没有副作用的，效果还好。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "也可以贴上肚脐贴保暖，助消化。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "可以推荐一下哪个牌子的益生菌吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱助消化的按说明吃"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            }
        ]
    },
    "10345784": {
        "self_report": "小女孩6岁，43斤，起初发热最高39℃，医院说血项有点高，挂水2天，身上头上现在不热了，为什么腿上温度还是很高。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝六岁了吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "虚岁6岁"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝主要是发烧，对吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "现在发烧几天了呢"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "第3天"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前天和昨天挂水的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "体温最高多少度呢"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "39"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "今天体温怎么样呢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "身上体温正常了1"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "现在就是单独腿上温度高"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "体温目前正常了，对吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还怕冷"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这个主要是看温度计测量的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那个腿上的不用特别处理的奥"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "有点厌食"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "怕冷"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "多喝温水哈"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "勤测体温"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "主要看手脚，凉的话一般是体温上升期奥"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "腿上为什么热呢"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "比体温高很多"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那个只要体温没问题就可以的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那个不用特别处理的奥"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯啊，不用客气哈"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不用担心奥"
            }
        ]
    },
    "10230094": {
        "self_report": "你好，宝宝7个月4天前有干咳，吃了利巴韦，头孢还有小葵花止咳药三天，前天又流青涕吃了小儿氨酚黄那敏颗粒，现在有低烧37.4，我该怎么处理",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝感冒几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "三天吧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有没有喘息"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是一声声还是一顿顿的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一顿"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝咳嗽是白天严重还是夜间严重"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一连串"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "差不多"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咽喉部有没有呼噜声音"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "刚开始晚上"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "咽喉部有没有呼噜声音"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "考虑有痰"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎，（宝宝咳嗽，有喘息症状，咽喉部有痰鸣音）"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "现在伴有低热"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议带宝宝到医院合理检查"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "首先找医生听一下气管"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "然后行胸片检查了解一下肺部和气管炎症情况，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "行"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "谢了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "化验一下血常规和CRP,分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，再见"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "恩"
            }
        ]
    },
    "10333333": {
        "self_report": "宝宝前两天感冒了，现在有点小咳嗽喉咙有痰一直呼呼的响，喂药也不吃，该怎么办啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "您给宝宝喂的是什么药呀，目前宝宝除了这个咳嗽有痰的情况，还有一些什么其他症状呢？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "流鼻涕"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这些药全部都没有喂进去过吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天还吃的，今天喂了两次都不吃"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "药还是要想办法喂进去的。有的时候是因为小宝宝吐呢，还是他直接不吃？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "往外吐"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那这样比较麻烦呢，嗯宝宝吃过一天药之后症状有没有什么好转，咳嗽次数有没有减少？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃甜的药他也吐吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "其实她咳嗽也不是很厉害，就是总感觉喉咙呼呼响"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "应该是有痰。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我家一直是母乳喂养，喂药比较难"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "可以去做雾化吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "喉咙呼呼听着都难受"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "小宝宝和大人不一样，咳嗽但是很难咳出痰来，不像成年人一样，咳两下能吐痰，小宝宝咳不出来，所以需要用化痰的，他吃不下药，可以去做雾化。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "小宝宝的精神饮食怎么样？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "精神都好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "昨天下午天气暖她喉咙没有呼呼声"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "吃这些怎么样呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "别奶也好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，那宝宝的一般情况还不错。主要是要把这个痰排掉。甜的东西她吃不吃。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没试过，不知道"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我还是想办法让她吃药吧，实在不吃带她去做雾化好了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有一种止咳化痰的药，叫氨溴特罗口服液，就跟糖水一样。化痰的效果也不错。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的可以试下"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯，是的，小宝宝他的痰排不出来，需要药物辅助。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "有没有拉肚子这些情况？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "发热有没有？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯，能给宝宝继续喂药，她的一般情况还好。如果输液的话，宝宝也比较难受。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "观察一下。后面如果有发热或者咳嗽咳痰没有什么好转，还吃不进去药，建议还是要去输液。|"
            }
        ]
    },
    "10165591": {
        "self_report": "4个月的宝宝拉肚子，厉害的时候一个小时就拉5次，在卫生所看了看，说是秋季腹泻，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "精神没事，吃奶也可以"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "尿量正常吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "比以前少"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦，体温正常吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "体温正常的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有化验大便常规吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那不能定是不是秋季腹泻"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝拉肚子几天了？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "哦，拉了8天了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯，吃过什么药？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "灌针了，吃了妈咪爱"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "哦，治疗了几天？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "5天了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "稍微好点，还是拉"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，腹泻一般恢复需要1-2周"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "特别是小婴儿，恢复慢一些"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "需要去医院验个大便么"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，应该做个大便常规检查"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这的医生说让饿着点，应该饿着点么"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "以前搭点奶粉，现在吃母乳"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "哦，不能太饿着了，那容易脱水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "拉的多，吃的少"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "给宝宝注意腹部保暖"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以贴肚脐贴"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "贴着呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯，可以口服参苓白术散"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "有时候会听见宝宝肚子里咕噜咕噜的响"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "然后宝宝会哭"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯，那个是肠鸣音"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "是肚子不好才会有么"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有可能是肠蠕动快，导致腹痛"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是因为拉肚子，才会出现的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "能吃点奶粉么？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以吃腹泻奶粉"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10162960": {
        "self_report": "宝宝2个月拉粑粑特别稀粑还有沫沫，前天给宝宝吃了3回思密达昨天吃了2回早晚个一回，昨天拉粑粑就不稀了今天早上没给吃又拉稀了，这是怎么回事？吃思密达拉粑粑就干我今天没感给宝宝吃！还能吃什么药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好稍等，我看一下你的资料。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，这是着凉引起的消化不良。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子是母乳喂养还是奶粉喂养。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "把肚子盖暖一些，不要着凉。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "可以继续吃上，思密达，在加上儿吗米爱助消化的。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "盖了不凉啊"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差引起着凉的原因很多的。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "因为天气凉了，稍不注意会着凉的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "以前一天大便几次啊？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "思蜜达吃了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "妈咪爱没吃"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以在家上吗密爱一起吃。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "要连续吃上三天观察病情变化。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "大便一天3-4次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这是正常的，只要大便不稀消化好就没有问题。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是吗咪爱，刚才打错字了。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那就再买个妈咪爱就行了吧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是的，一起吃上三天观察变化。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃上思蜜达就不拉"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "吃了两天"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "在连续吃上三天"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "大便干了就不吃了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "大便消化好了就可以不吃啦。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "挺了就又拉"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果三天以后没有变化，可以去给孩子化验一下大便。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "停了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10261332": {
        "self_report": "八个月宝宝有些感冒，流鼻涕打喷嚏，没咳嗽，请问医生该吃什么药啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发病几天了？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你好，在吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "发病几天了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "还没有吃药是吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以吃上小儿氨酚黄那敏颗粒治疗感冒鼻塞流涕的。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "每次吃半袋，一日吃三次。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不客气，有事及时联系。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的，祝宝宝早日康复。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10373895": {
        "self_report": "我家宝宝6个月最近感觉有点拉肚子，有点稀，颜色很黄",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝拉肚子几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "隔一天"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天有好着呢，今天又有点，"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "今天大便几次"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "看不出来到底是不是拉肚子，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有大便照片吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天第一次多一点第二次稀一点，刚有拉了一点"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是不是有点拉肚子？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "带血吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "从照片看好像有粘液"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝有没有呕吐"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有吐，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "很好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "感觉第二次拉的有几下有泡沫，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝这种情况建议化验一下大便常规，如果化验正常需要口服肠道微生态药物和蒙脱石散，如果化验有炎症，需要在这两种药物基础上加用抗感染药物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "一会就没了"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "是拉肚子吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "需要化验一下大便常规"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦，好完了带他去。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "谢谢，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是不是吃啥不对啊，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "早上给吃了点米粉"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "有可能，宝妈注意不要食用辛辣食物和凉性食物"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦，知道了，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是第一次添加辅食吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不能排除，不过这么大宝宝需要合理添加辅食，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "吃了一点点蛋黄，这会拉下来就可别黄"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "一般有少到多，有一种到多种，由稀到稠。逐渐合理添加"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我在观察下，"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "化验一下大便常规吧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "有结果可以再联系我，帮你分析。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯，需要把??拿到医院吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "尿不湿上的行不？"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "尿不湿上不行，影响化验结果，"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "直接拿大便到医院化验就好"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "没了，"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "为什么最近孩子都拉肚子"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "宝宝反复腹泻，需要排除一下肠炎"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "所以需要化验一下大便常规"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "有结果可以再联系我，帮你分析。"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            }
        ]
    },
    "10101176": {
        "self_report": "宝宝八个多月了，二十四号晚上发烧，吃点药就退烧，不吃药就起烧，去县医院打了点滴，退了一点，查了血项说是有点低，问医生他也说不出什么，让去市里儿童医院看看",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发烧几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "四天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "还有其他不适吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯，可以发检查单看一下吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "稍等一下，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "在县医院打了几天点滴？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我在三天了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦，治疗了3天了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我让我老婆给我发过来"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我在回老家的车上"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯，现在体温是多少度了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "38度多"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "哦，开始是多少度？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "开始38度多，吃药没用就打了点滴，打完点滴37度多，过几个小时又起烧了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，就是治疗3天，效果不明显"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "单发过来了没有？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是的效果不明显"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "白细胞低一些"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "红细胞和血小板都正常，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "有可能是发烧感染引起的白细胞低，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以继续治疗观察，复查一下，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个不算是大病吧"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个不考虑其他问题的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好治吧！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "先控制感染，观察一下，"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "都急死我了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "继续和医生沟通一下，可以先治疗观察，也可以到上级医院复查一下"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "现在去市里医院了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "考虑是感染引起的可能性大，"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那方面的感染"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "上呼吸道感染也可以引起的，"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不谢！"
            }
        ]
    },
    "10406594": {
        "self_report": "你好医生，宝宝四个半月，最近拉绿色粑粑。牛奶喂养。其他都很好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "宝宝最近拉绿色便便怎么回事"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子喂过其他食物吗？果汁菜叶?"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "什么都没喂过"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就喝牛奶，有喝一点点母乳"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "奶粉最近也没换过?"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子这几天精神食欲如何？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "都很好"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "奶量最近有变化吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "之前90这两天有时候可以喝100"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一天大便几次？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有时候一次，有时候两天一次"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "肚子受凉过吗?"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "医生我发现他有时候就是吃着吃着睡了。还在吃有时会一抽一抽的正常吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "排绿色大便说明消化吸收程度不够完全，可能喂养过多有关。喂养过多指的是超过孩子消化能力，不仅仅指的是喂养次数过多，也指的是给宝宝喂的量过多。如果仅仅是绿色大便，孩子生长发育、精神状况、生活规律等均正常，不需额外关注，可以服用益生菌调节。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一抽是指哪个部位抽？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "头，还有脚"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一会就能好了？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是的。抽几下"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "抽几次，一会就睡着了？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是边吃边睡了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "然后抽"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "应该不要紧，孩子神经发育不完善，睡眠中出现肌肉震颤。多观察，如果抽动频繁，需要注意了。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "手脚都一块抽吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是的，但是动作不大"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "从出生后也这样吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有就这几天"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "观察几天看看，录个视频，抽空让医生看看。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "注意过宝宝眼睛变化吗？"
            }
        ]
    },
    "10236622": {
        "self_report": "白酒可以给一个多月的宝宝涂肚脐眼吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "可以涂吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "建议不用用白酒"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "可以用碘伏"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "因为白酒含有酒精，一个月孩子皮肤非常嫩"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "他肚脐眼已经长好了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "容易伤害皮肤，另一点是容易过敏"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "如果已经长好是可以不用的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "涂了会容易受凉加重拉肚子吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "已经长好，如果没有碘伏，就普通清水清洗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子是有拉肚子是吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "消化不良"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是什么原因要涂的白酒"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯，颜色偏绿，确实有些消化不好"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "说是怕他肚脐眼受凉，驱寒气"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "白酒没有这个效果"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦哦，好的，我家宝消化不良有半个月了一直没见好还越来越稀"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子现在是母乳喂养吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "混合"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "奶粉3次，其余喝母乳"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "平时拉的会看到奶瓣吗，还是就是这样偏绿，稀"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在一天拉几次"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "拉1次，这段时间没有奶瓣了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯，拉一次还可以，对于一个月小婴儿来讲，消化道还没有完全发育完全"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "所以如果有加奶粉是相对容易消化差一点"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果以前有奶瓣，现在没有了，说明消化有再好转"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，明白了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那么建议你尽量母乳喂养，让孩子多吮吸，如果母乳够尽量母乳"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "就先母乳喂完，不够再奶粉"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "另外建议可以买益生菌来给孩子调节一下肠道"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "帮助孩子消化"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯，母乳消化是不是快，很快就会又要喝"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "益生菌在喝"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "慢慢，肠道发育，孩子越多消化会越好"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的，母乳比较适合孩子，容易消化，没有一个奶粉可以替代母乳"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "而且母乳含有母体免疫球蛋白，保护孩子，少生病"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的??"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯，那么益生菌有在用即可，孩子消化是慢慢好转"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "小宝宝还有腹股沟疝气，有自愈的可能吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "会掉到很下面，到阴囊内吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "孩子在腹股沟上面一点"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "就肚子下面一点点是吗"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "就上面哭闹时候会鼓"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "嗯，目前来讲就是一周岁内可以适当使用疝气戴"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "尽量少让孩子哭闹太厉害，还是有自己愈合可能"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果一周岁之后还在，那么再考虑手术"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "平时注意观察，哭闹时候出来，安静时候要回去，如果一直不回去要去医院让医生按一按"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "如果暂时没有其他咨询，那我关闭咨询窗口了哈"
            }
        ]
    },
    "10330793": {
        "self_report": "咳嗽有什么好办法，嗓子觉得有东西似的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问这样有多长时间了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就今天，睡觉没事，醒了就咳，有时还想咳咳不上来"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有受凉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天咳嗽了，给他看了看就这样了，有时还咳吐了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝咳嗽的时候看有没有痰，就是能不能听到咕噜咕噜的声音"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发热吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "沒有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "鼻塞流涕呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这样宝宝考虑是一个上呼吸道症状，可以用点化痰止咳的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "用了不管用啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "用的什么"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "养阴清肺口服液"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "用了几次了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有两天了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有做过什么检查"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "沒有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您可以用氨溴特罗口服液"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个化痰止咳效果不错"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "精神饮食怎样"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "精神不锚，饮食差点"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯，有没有减少很多"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "减少很多"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗓子红不红？能看见吗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "有点红"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以加个蒲地蓝消炎口服液"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个针对上呼吸道感染症状的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "少量多次喂点水"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "可以"
            }
        ]
    },
    "10828633": {
        "self_report": "前几天开始喊呼吸费力，心里不舒服，6岁半，我带医院看了，结果如图，另外还有个心肌钙蛋白为0，开了点黄芪颗粒，但仍然还是说不舒服，到底怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "请帮忙看看"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "心肌酶谱检查正常"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "那是什么原因？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "您们当地公立医院儿科门诊医生怎么说？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "孩子最近有感冒之类的吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "说无大碍，注意休息"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "心电图也没明显异常"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有轻微感冒，流鼻水"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "可能是和感冒有关系"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "她说鼻子是通的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "听了肺部是正常的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "做的检查没什么的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "让孩子多休息"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不会是心肌炎或者是心脏有什么问题？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不像啊"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "做的心电图，心肌酶谱检查都正常"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃了黄芪颗粒不见好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "吃了几天？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "3天"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这两天孩子还说呼吸费力，心里不舒服？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "会不会是刚读小学压抑遭成的，因为老师罚了她"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "孩子自己说不舒服？还是你问她的？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "静下来的时候或睡觉的时候就说呼吸不舒服"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "她自己说的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那如果还是老说不舒服，还是要去儿科门诊查一下"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "把心脏彩超查一下"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是再观察一下再去查吗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "平时不会这样，就这几天"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "孩子说不舒服没有减少，就要去看"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "目前考虑和感冒有关系"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "避免剧烈活动，多休息看看"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "看那个查血结果能排除心脏问题吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "查血是排除心肌损害，心肌炎的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "心脏彩超是看心脏结构，大小有没有异常"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "哦，那我观察一下再去检查"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "感冒药现在在吃吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在就是多喝水，在吃黄芪颗粒？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "考虑她轻微感冒没吃感冒药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "哦，如果孩子免疫力还好，可以多喝水，看自己能不能抗过去"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "一天吃一道黄芪颗粒"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "恩，可以"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "要么我把感冒药加上看会不会好点"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "这两天观察一下，如果还是心悸不舒服，再去儿科门诊复诊看一下"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10128151": {
        "self_report": "一岁宝宝感冒了，吃了三天药，现在鼻子不通气",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，流鼻涕，咳嗽有吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "有发热吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "干咳嗽"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "喉咙红不红？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这几天在吃什么药？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "刚开始打喷嚏流鼻涕，现在不打只流鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不红"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃了三天了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是脓鼻涕还是清水鼻涕？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "开始是青鼻涕，现在浓鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在家里有什么药？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "他这是见好了，还是加重了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "建议还是吃点消炎药。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "可以吃百蕊妈"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以吃的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "家里有消药吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "百蕊不是消炎的吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "最好买点头孢吃"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不是，只是清热解毒的中成药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "他有的头孢过敏"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那么阿奇霉素"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你好，现在小孩流鼻涕怎么样？"
            }
        ]
    },
    "10461991": {
        "self_report": "我家宝宝七个多月了，这两天受凉有点嗽了，孩子太小我不知道该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，为了详细了解你的病情。我需要了解与你的疾病有关的几个问题。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我该怎么办"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽几天啦？发烧吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "从昨天开始嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子精神好吗？吃奶好吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是那种一段时间嗽几声"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "精神还好，吃的也行"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃过药了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还没"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子轻微咳嗽，这还是呼吸道的感染感冒的。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我不知道这种情况需不需要去医院"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有喂药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "我考虑孩子还是患有上呼吸道感染。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "晚上睡觉蹬被子"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子咳嗽不严重，没有发烧，吃奶和精神都好，病情不严重的可以口服药物暂时缓解一下。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不是嗽的很厉害"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是的，可能是着凉了，引起的感冒。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "这么大的孩子买什么药呢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以口服小儿肺咳颗粒。和氨溴索口服液这是治疗感冒咳嗽的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "仔细看说明，按说明书吃。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "同时还要加强护理，不要着凉。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "要吃消炎药吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "暂时口服药物，两到三天观察病情变化。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "暂时可以不吃消炎的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "可以带她洗澡吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，感冒以后很容易引起气管炎和肺炎的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "暂时不要洗澡啦，以免受凉病情加重"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "口服药物，两到三天观察病情变化，如果咳嗽不见好转就去当地公立医院小儿内科就诊检查。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "化验血常规，拍胸片，看是否有气管炎和肺炎不要耽误病情。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好，谢谢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果口服药物两到三天，咳嗽没有啦，可以停止药物的。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果加重或者是有发烧就及时去医院检查。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "适当的给孩子多喂些水喝。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不要吃容易上火的东西。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "口服药物，同时要加强护理观察病情变化。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "行，谢谢你"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            }
        ]
    },
    "10221293": {
        "self_report": "性别:男,年龄:2岁男孩，37个月，近半年来大便一直不正常，之前三四天拉一次，后来去医院看了医生配了药，两三天拉一次。目前的情况是，每次都是拉一点点，黏在屁股上，一天四五次。大便有时候并不硬，反而比较希，但是小孩对大便有阴影，不肯啦。平时饮食比较注意，三餐均匀，吃水果和水，现在在吃黄色的妈咪爱，但是一直不见好转，无法上幼儿园，不知道怎么办(点击橙色关键字查看相关药品)",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，化验过大便吗，有没有问题"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有化验"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "但是做过b超没有问题"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "考虑消化不良可能性大，先吃点益生菌"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "妈咪爱在吃"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "彩超你想查什么，肠道？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "他是肚子痛才查没查出什么问题"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那个只能看有没有肠套叠"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那先去化验大便吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这种一般会是什么情况呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "化验大便看看再治疗，比较有针对性"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "消化不良可能性大"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "一般怎么处理"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃益生菌，助消化药"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "就是妈咪爱"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "很多种益生菌，不同种类，作用不同，眼光不要那么局限"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那我怎么选"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "推荐一下"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "布拉氏酵母菌，法国进口益生菌"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "这个到哪里买"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "看看药店或者医院"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢啊"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我去试试"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "好的，别客气，再见"
            }
        ]
    },
    "10347732": {
        "self_report": "我小孩7个月了前面痰多呼噜呼噜有点好了现在又咳嗽得很厉害不会好怎么办，昨天去福建龙岩地区医院检查说是支气管炎拿了点药不知道行不行",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝嗓子哑吗？痰多吗？有没有气喘？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "痰前面有点多去雾化了几天感觉比较好了现在就是很咳有时咳得很凶"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在咳嗽一共几天了？什么时候咳嗽厉害？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这两天"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "前面就是有点小咳"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "头尾咳了10几天了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "比如流鼻涕？嗓子哑吗皮疹？气喘？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有点脸部湿疹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "也给皮肤科的医生开了点药膏，去儿科那说去皮肤科那看下"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "医生给宝贝听诊了吗？有没有说肺部有炎症？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "给宝贝做检查了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "医生有听说没什么扎音就说是支气管炎"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "比如血常规支原体"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "医生没叫我们检查这个"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在吃的什么药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在在吃复方福尔可定糖浆，和头孢泊污酯干混悬剂"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃了几天了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "昨天才吃的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝吃后睡眠好些吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "还有赛庚啶片"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "睡是还可以醒来就会咳嗽，睡着了就没什么听到"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "抗过敏的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不要着急，宝宝咳嗽时间比较长，继续口服药物三天看看效果"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "现在只能把这3天开的药先吃完再看看了是吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯嗯，因为用药都是三天看看效果，然后再次评估病情给予调整"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "你认为吃这药可以是吗医生"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以的哦"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是治疗支气管炎的常用药物"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好吧谢谢医生"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果宝宝咳嗽没有减轻，及时复诊看看"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "注意给宝贝保暖"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝现在吃母乳吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "新年快乐再见有事在找您"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "有吃"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "好烦"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不好意思"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "打错了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "呵呵没事"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "母亲不要吃海鲜刺激性食物哦"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不要给宝贝加鱼虾等辅食"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "现在可以给宝贝多喝点温水，注意保暖及休息，空气不要太干"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "没有这些多没吃"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "嗯嗯，注意就好"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的其他目前没有了"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "嗯"
            }
        ]
    },
    "10831293": {
        "self_report": "10个半月宝宝感冒了，先发烧，打了两针好了，又开始流鼻涕，后来又咳嗽，药也吃了不少，没啥作用啊，不发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝咳嗽几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "三天了之前不厉害，今天有点厉害，睡觉时厉害"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有痰"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "病初发热几天？都服用什么药物？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "发热了两天，打了两小针，吃了小儿粉黄纳米颗粒，还有包的苦药"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "流鼻涕也打针了，没作用"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "现在还流鼻涕，还咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝近日咳嗽有肺部听诊吗？是否有化验血常规？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "听了，就说让喝点止咳颗粒，没有化验"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝短期鼻塞流涕不要紧张，可以注意避免受凉，适当喂水，鼻塞的可以鼻部热敷。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "会不会变成肺炎"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我明天再去给他看看，"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝咳嗽频繁，不知什么时候肺部听诊的。咳嗽3天，无好转需要注意气管炎或肺炎"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯知道了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有什么药吃了好点么"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "咳嗽加重，夜间明显，如果既往没有过敏，需要复查肺部听诊，必要时化验血常规及支原体"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯嗯好的知道了，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果肺部没有问题，可以口服止咳化痰药物，抗生素使用要求严格，所以化验血常规如果有细菌感染需要加重抗生素"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "怎么判断是不是细菌感染啊，去化验么"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果肺部没有问题，没有细菌感染，提示病毒感染，可以口服缓解感冒症状止咳药物。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "恩，化验血常规，c反应蛋白就可以协助诊断"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "手指末梢血检查"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯嗯知道了谢谢医生明天去给他检查，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "恩，好的。明确诊断准确用药。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "目前注意适当喂水，清淡易消化饮食。避免受凉。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "目前先继续口服止咳化痰药物。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯好的，"
            }
        ]
    },
    "10352642": {
        "self_report": "医生您看看，这样的大便是不是不正常，昨天拉了两次泡泡便，后来好了，没有其他症状，精神状态都挺好，也没有哭闹！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生你好你看看图片"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "根据你所拍的图片，这孩子腿纹不对称"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "对于这样的孩子需要注意有没有先天性髋关节发育不良或者脱位的可能"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "不一定会有问题，但是既然出现腿纹不对称，就应该进行进一步的检查"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "现在就需要及时就医吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "应该到医院进行髋关节彩超的检查或者是髋关节平片测量髋关节的角度"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "如果有问题及早的进行处理"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "如果没有问题，这样我们更放心"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "还没出满月，会不会太小？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "不会"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "腿纹不对称会影响孩子什么？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "就是因为孩子年龄小，我们应该积极的治疗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "对孩子的发育应该不会有太大的影响，特别是这个孩子年龄比较小，还不能够站立，不能够行走"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "治疗很复杂吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果这个孩子有髋关节的发育不良或者脱位，需要及早的给予支具治疗，大多数情况是不需要手术的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以佩戴支具进行矫形治疗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "孩子年龄越小，治疗起来越方便，治疗的时间越短"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的，那还是及时就医"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是的，这孩子不一定有问题。对于腿纹不对称的孩子，需要考虑这方面的问题，但是，有一些孩子就是生理性的，是正常的现象"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "我们应该尽早的发现，及早的治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这个孩子大便比较稀，大便中有粘液"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "孩子年龄多大？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "21天"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这几天吃奶多吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "正常，母乳"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "妈妈的饮食有没有特殊？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "喝了汇源果汁，常温的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "两杯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "孩子有没有受凉"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "其他清淡，正常饮食"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不能喝果汁，常温也不可以"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "糖过高吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "那这个孩子的大便应该与妈妈饮食有关"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "不喝了，吃水果可以吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不可以吃水果"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "这样可以给宝宝洗澡吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "但是便秘受凉"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "拉的次数不多"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "避免"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这是胃肠功能不好的表现"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "消化吸收能力差"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "用服妈咪爱吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "暂时没有必要"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "观察一段，把果汁停了，再看看"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "先从喂养方面进行调整"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "是的，最主要就是从妈妈的饮食方面调整"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "正常饮食就可以吧，清淡点，"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "妈妈用多喝水嘛"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "是的，正常的饮食，尽可能进食容易消化的食物"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "妈妈吃东西总是胀气，"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "妈妈需要多喝水的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "可以多运动，按摩腹部促进肠蠕动"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "剖腹产"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "多下地走走"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "哦，适度下床活动"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "喝鲫鱼汤产生胀气吗"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "没有这个说法"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "什么东西都可以吃，但是不要吃得太多"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，明白了"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "进食以后需要适当的多运动，进而可以促进肠蠕动"
            }
        ]
    },
    "10360126": {
        "self_report": "小孩痰多，不咳嗽有点上火吃什么最好？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我女儿痰多，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不知吃什么好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "请问这样有多长时间了。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "喉咙发出痰多那种声音"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "小宝宝和大人不一样，咳嗽但是很难咳出痰来，不像成年人一样，咳两下能吐痰，小宝宝咳不出来，所以需要用化痰"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃什么化痰好得快呢"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没听到咳啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不咳嗽可以用氨溴索口服液。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "她应该也有点上火"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，有什么表现呢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "舌头红"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嘴唇也红"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "发烧吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的。有没有其他什么症状呢"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就是呼吸比平时响一点点"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，宝宝有没有受凉呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "有眼屎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "之前有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以给宝宝用点小儿七星茶。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "小儿七星茶种氨溴索口服液一起服用吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            }
        ]
    },
    "10330685": {
        "self_report": "您好宝宝三个月感冒十多天了一直没好利索目前状况是鼻子里面有声音一天咳嗽两三回第二个月的疫苗还没有打很是着急不知道该咋办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子目前鼻腔当中有没有分泌物啊"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有黄色的分泌物"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有黄色的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这孩子有没有打喷嚏的情况？特别是早晨"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "嗯有打喷嚏"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那就是孩子出生的时候有没有湿疹，是不是过敏体质"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "家族中有没有过敏体质的人，比如说过敏性鼻炎，支气管哮喘，皮肤过敏"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有脂溢性湿疹"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "他舅舅有鼻炎"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "那这个孩子目前精神状态怎么样，吃奶正常吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "前段时间有亲他"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子的舅舅是过敏性鼻炎？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果是这样，那这个孩子需要考虑过敏体质都可能"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "是鼻炎小时候就有"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "孩子精神挺好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果孩子的舅舅有感冒的情况，或者说呼吸道感染的情况，亲孩子的时候可能会传染给孩子的，过敏性鼻炎是不可能传染给孩子的，但是过敏性鼻炎可能遗传给孩子"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就是吃奶好呛着"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你在家中给孩子吃什么药物了？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子会眼协调能力差，吃奶的时候很容易出现呛咳的情况，这是一种正常的现象"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "前几天有吃四季抗病毒合剂和依托红霉素"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还有其他的药物吗？吃了多长时间"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "效果怎么样"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "陆续吃有七八天了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "感觉不是很明显"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "一直没好利索好像有点反复呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这孩子现在打喷嚏多不多"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "不是很多"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那这个期间有再次受凉的情况吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "感冒不可能持续这么长时间的，这个孩子需要考虑鼻炎的可能"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "期间洗了一次澡"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "那洗澡之前，这个孩子症状消失了还是缓解了？洗澡以后症状加重了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "缓解了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "那还是应该考虑受凉所引起的呀，可能是病情反复了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "还是年龄太小了，尽可能避免受凉，避免发生呼吸道感染"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "孩子年龄太小了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "相对来说抵抗力比较差"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我一直鼻子有点儿不通气之前喝双黄连来着"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "也不能排除被你传染了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "我认为应该继续给孩子口服药物的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以先口服药物试试看"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "需要给孩子口服清热止咳药物，还有就是通窍类的药物，比如说香菊颗粒"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的那我需要吃什么药吗"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "妈妈需要口服感冒颗粒的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "但是应该尽可能选择中药类的药物"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "因为有一些药物会通过乳汁代谢，影响孩子健康和发育"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "宝宝喝中药有影响吗"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "可以给孩子喝中药"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好的感冒期间可以吃伊可欣吗大夫"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "当然可以，没有问题"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "如果这个孩子口服药物比较困难，可以暂停一段时间"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "嗯嗯确实挺困难的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "那就暂停一段时间吧"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "还需要做什么辅助吗"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "多给孩子喝水，保持室内的湿度高一些"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "这样可以有助于痰液的稀释，或者鼻腔当中鼻涕的分解"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "好的疫苗拖那么久不打有影响吗"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "疫苗接种只要在恰当的时间段内接种就可以了，不必拘泥于具体的时间限制"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "好的感谢大夫"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "希望能够帮到你"
            }
        ]
    },
    "10296551": {
        "self_report": "五个月的宝宝，拉肚子拉奶瓣，已经四天了，醒脾养儿颗粒，蒙脱石散，吃四天了，吃益生菌和贴的肚脐贴，也有两天了，还是一天拉六七遍。昨天看大夫说是吃奶粉的事，我晚上有给孩子买防腹泻奶粉，吃过后，从昨天晚上十二点到现在又拉两回了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，为了详细了解你的病情。我需要问你一下，与你的疾病有关的几个问题。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子是母乳喂养还是奶粉喂养？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "全奶粉"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "以前大便什么样？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "孩子早产儿"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "以前大便一天几次？什么形状？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "以前吃的早产儿奶粉，吃到四个多月，老拉绿色的大便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "后来换的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "最早是黄色的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "很正常"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这次拉肚子几天了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "后来拉绿便"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "拉四天了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "还是吃的原来的奶粉是吧？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "开始都是大奶瓣，还很稀"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "换的超级优博吃到第二桶快吃完了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "四天以前不拉肚子是吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "之前拉的有点稀，但是不拉肚子，偶尔有奶瓣"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "你现在吃的是一段奶粉吧。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "一段"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是像消化不良的。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "昨天晚上开始吃的防腹泻奶粉"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是不是吃的药不对症"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "奶粉刚开始换也是有一个过程的。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "可以适当的调整一下药物吃上助消化的。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "之前看他大便稀我就开始给他吃醒脾养儿颗粒"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "去医院做过检查吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "这是吃的有一星期了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "化验过大便吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "去我们这是诊所看的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "之前拉绿便化验过没事"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "现在拉肚子没有化验"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "化验大便没事儿，还是有消化不良，不是炎症。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在就吃一种药吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我们换地方看了"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "现在的大夫给贴的肚脐贴"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "又去了其他医院医生说是什么？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "让吃益生菌"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "和蒙脱石"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "吃几天了？有效果吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "昨天拉六七回"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "前天开始贴的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "还是效果不好是吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "孩子出生时几斤，现在长了几斤了？"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "晚上十二点到现在又拉三次了"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "出生四斤六两"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "没拉肚子之前十五斤三两"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "现在多重？"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "孩子体重增长在正常范围内的。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "早产儿消化功能差稍微不注意会着凉拉肚子的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "可以调整一下药物"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "吃什么药"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "可以吃上双歧杆菌四联活菌片，蒙脱石散，小儿广扑止泻口服液"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "这三种药物一起吃，按说明吃。"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "同时配合要加强护理不要着凉，把肚子盖暖一些。"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "你现在室内温度多少度？"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "连续吃上五至七天，加强护理观察变化。"
            }
        ]
    },
    "10643441": {
        "self_report": "宝宝四个多点月突然没奶水了，昨天开始喂奶粉但是吃不了多少奶粉，就会拉肚子这样的情况正常吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "拉的比较稀。不正常的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "我考虑是换奶粉引起的消化不良"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "啊"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝本身消化功能不好也容易出现消化不良"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "她吃奶瓶喂只吃二三十毫升不会吃奶瓶"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝精神食欲可以吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "等她拉还是怎么办"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "刚开始需要过程，慢慢来"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "吃母乳就要吃但是母乳不够只有一点点"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一顿都不够吃"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "精神食欲可以吗？有没有哭闹？感冒？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "她宁愿饿都不吃奶粉"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "精神还是可以"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果精神可以，食欲可以，说明病情不严重。不要担心"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感冒呢就是最近吹空调可能有一点点感冒"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "但是不吃奶粉"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "换奶粉要慢慢来。我建议吃上妈咪爱调节肠道内环境看看"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "治疗3-5天"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "奶嘴跟母乳不一样她就不吃一直哭"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "平时每天都吃了益生菌"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "没有适应呢，这个需要时间"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "但是昨天吃了奶粉后就开始拉这种粑粑"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "难怪都瘦了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "奶粉不好消化，治疗3-5天。假如效果不好，可以加上蒙脱石散治疗的，这个可以保护肠道黏膜"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "用妈咪爱治疗吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "假如还是不好，或是出现腹泻加重，精神不好，就要及时到医院儿科看看的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "现在"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前感冒什么症状？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "感冒啊就是三个月感冒了一次喉咙有时候感觉有点痰"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "要不要咳一声"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "前几天做儿宝医生说呼吸声有点粗j"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "咳嗽次数多吗？大夫说是气管炎？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "一天一次二次"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "反正不多"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "大夫说什么病？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "医生就是叫我们观察一下"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "儿宝那个医生"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "去儿童医院没有挂上号就没有看医生了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "都说如果可能加重了就得去医院看看对不对，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "但是她咳那个都没有啦这种粑粑"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "哦我我那考虑问题你就是一大颗肾有问题的都是年纪大，时间不好引起来哦，昨天看到一次考试，只有担心，"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "老婆考虑那就是和湖南有关系，加上个几把鸡巴哪一个引起的吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "见一下就打看看，"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "就昨天才开始拉有点黑的粑粑今天就拉这种水多的粑粑"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            }
        ]
    },
    "10007030": {
        "self_report": "儿子刚12天，昨天采血，晚上腹泻，今早看到孩子的小蛋蛋一边大一边小，大的一边好像有些肿，摸着有些硬，不知道孩子哭是因为肚子不舒服还是因为这个",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝大便一天几次？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "什么样的？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "正常三次左右，昨晚就一直拉水"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有无呕吐？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "尿量少吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "精神怎么样？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不少"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "基本睡觉，偶尔会哭"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "睾丸可以用手电筒照一下看看"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看看是否是均匀透亮的！"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "正常吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果是均匀透亮的考虑是积液"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "能看出来是不是吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "能治疗吗？需要注意什么"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果你不确定就去附近二甲医院让大夫看看吧。腹泻也需要查大便常规的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "积液不需要治疗，一般一岁左右会好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10045220": {
        "self_report": "宝宝出生九天，最近老是吐奶，有时候还从鼻子里喷出来，是怎么回事，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "孩子是顺产吗？出生后一直这样吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "刨腹产"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "出生体重多少？出生后一直吐奶吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "这是什么原因，严重吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "我想问问孩子出生的情况，排除喂养不当"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "六斤一两，不是一直吐，这两天开始的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "什么样是喂奶不当的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这样的情况，原因很多，但是最常见的是喂养不当"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子是吃母乳，还是混合喂养？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "孩子有没有受凉？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子妈妈有没有腹痛，腹泻的情况？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "应该没受凉"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我前几天也腹泻，现在好多了，宝宝还是一天拉很多遍"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "能描述一下孩子吐奶的状况吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "睡觉的时候感觉像喷剃呕吐一样，我听见声音一看鼻子嘴巴都有点流出来了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "比如是吃完奶后即刻就吐，还是到下次吃奶的时候再吐？还是吃完奶一活动就吐"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "一般都是从嘴里吐一点出来"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "吃完过一会睡床上了睡着了就吐了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这是没问题的，这个叫溢乳，就是孩子吃多了，胃内承受不了，溢出来了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这是孩子的正常有现象"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好吧，那孩子拉肚子怎么办"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "感觉一天拉好多遍"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "查过大便吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "看着大便里面是水还是奶瓣？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "医生说一天没超过十遍都正常"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "有水，前几天有奶瓣"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯，只要大便形状正常，就是正常的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "考虑和你前几天不舒服有关系"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "建议孩子吃点益生菌"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "神"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "什么益生菌"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "比如，现在常用的妈咪爱，双岐杆菌"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "都可以"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不客气，有问题可以随时给我留言，我看到会尽快回复的。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "??"
            }
        ]
    },
    "10308048": {
        "self_report": "三个月的宝宝拉肚子，拉的便便里有奶瓣子还有粘液，但宝宝没有发烧，一直吃的母乳，有可能是肠炎吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "能收到回复吗？亲"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝贝多大了？亲"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "问题三个月的宝宝拉肚子，拉的便便里有奶瓣子还有粘液，但宝宝没有发烧，一直吃的母乳，有可能是肠炎吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "三个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝妈最近有没有吃生冷辛辣刺激食物油腻食物呢"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝贝最近有没有受凉呢？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前几天连这吃了三天的西红柿伴糖"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯啊，宝妈吃饭别吃凉的奥"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝贝主要是拉肚子，对吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有没有呕吐的症状？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "宝贝前两天感冒咳嗽，吃了一星期的感冒药，今天咳嗽的稍好一点"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有呕吐，主要是拉肚子，食欲不太好，精神还可以"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝有没有呕吐呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝大便一天几次"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "拉肚子有多久了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有呕吐"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯啊，拉肚子多久了？亲"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "前四天一天拉个四五回"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯啊"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在呢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝贝这个大便是什么样子的呢？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "昨天和今天拉的多，但是每次量不多"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝这个颜色正常吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "颜色绿色还是黄色？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "早上就是黄绿色的带走一块块的还有些粘液就和鼻子一样，下午就成黄绿色的水了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯啊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝贝这个目前精神状态好吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "尿的多吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "精神还可以就是在瞌睡的那个时候有些急躁"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯啊，的多喝温水哈"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "期间看过医生吗？亲"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "尿还可以12个小时能尿失10块左右的尿布"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯啊，还可以"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "宝贝醒来就喂水"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝贝这次拉肚子期间看过医生吗？亲"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "看过给的丁桂儿脐贴"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯啊，得多喝水"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我感觉没什么用"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以再水里加点糖和盐"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯啊宝贝这个可以查个大便常规"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "明确一下腹泻原因"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "根据结果对症处理"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "也喂了几天森林白术散"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那你感觉有没有可能是肠炎"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "嗯啊，这个就是查个看看有没有炎症"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "所以得查个大便常规"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "或更坏的结果"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "查个大便常规看看"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "有没有炎症感染"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "哦哦那严重吗"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "没事，主要是炎症感染，消炎治疗就可以"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "如果有炎症呢"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "消炎就可以的"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "如果有炎症的话"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "哦哦，那我下次宝宝拉了我去做个化验血"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "嗯啊，带着宝贝去查个大便常规"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "根据宝贝实际情况根据结果对症处理"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "嗯呢"
            }
        ]
    },
    "10299881": {
        "self_report": "孩子一岁，有点好咳嗦，嗓子有痰，鼻子鼻屎多，暂时不想给吃药，还有什么办法那，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "孩子咳嗽，"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了？亲"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不想给吃药，还有什么办法吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "1岁"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝初期肺炎好了对吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有肺炎"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "最初的时候咳嗽好了，多哈"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "支气管炎吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "刚开始的时候"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是今天咳嗽了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯啊，今天开始咳嗽的吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "咳嗽勤吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天咳嗽过几声，今天早上咳嗽严重，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯啊，咳嗽有痰吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "咳嗽痰多吗？目前"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "咳嗽没谈，就是吃奶时候，嗓子呼噜呼噜的，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯啊，呼噜呼噜那个就是痰的奥"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯，那怎么办"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝这个的话如果痰多的话肯定是炎症"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "炎症渗出"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝贝这个目前的状况的话最好检查一下"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "查个血常规胸片"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "因为这样的话能指导我们用药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "因为宝贝目前痰多的话炎症就比较多的"
            }
        ]
    },
    "10656806": {
        "self_report": "我家宝宝5个月了，今天早上起来发现身体有点烫，试了试体温37.5℃在不吃药的选择下有什么好的办法降温退烧吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，希望您配合。好吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在温度属于低热"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "偶尔打喷嚏"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "留鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "晚上是不开空调的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝流鼻涕，打喷嚏属于呼吸道感染症状"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "考虑宝宝上呼吸道感染"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "低热是由于上呼吸道感染原因"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "昨天下午外面有风，可能抱他出去被风吹着了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "当病毒或细菌等病原体侵犯机体后，机体免疫系统进行抵抗排斥，产生发热症状"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "考虑着凉原因很大"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "主要昨天白天开空调了，下午走出去被风吹着了，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "发热是一种保护性症状，体温在38.5以内，多喝水，可以温水物理降温。体温超过38.5度需要应用退热药物。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "穿着小肚兜。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "目前需要给宝宝口服感冒药物和清热解毒药物"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "应该是着凉了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在发烧37.5"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "注意观察宝宝体温，如果出现高热或咳嗽有痰等症状需要带宝宝到公立医院儿科合理检查"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "最好化验一下血常规和CRP分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "现在用热水敷一下可以吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "刚刚喂得盐水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果是细菌感染，需要加用抗生素。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "温水擦拭宝宝颈部，腋下，大腿根部。可以缓解低热现象"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "应用药物时注意观察宝宝有没有皮疹等过敏现象"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意多喝水，注意预防着凉，以免病情反复"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢医生??"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝病程处于急性期，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的。谢谢医生"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "积极规范治疗，加强护理"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "再次找之前医生复诊方法：【点击“首页”-“康复记录”-找到医生，进去后点击“再次咨询“并留言】"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "这个一天给宝宝敷几次比较合理呢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "3-4次"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "体温正常时就不需要敷"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "如果第二天降下来就不用敷了吗"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "哦哦，好的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "麻烦医生了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "主要体温正常就不需要。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "平时注意多喝温水"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "不用客气，还有其他问题吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "嗯嗯，记住了，"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "没有了，"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "那就先结束了，再见"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "有事随时联系"
            }
        ]
    },
    "10079035": {
        "self_report": "问题3岁多，咳嗽有痰，痰是黄色的，偶尔低烧前天37.8但是几十分钟就退烧了，我给吃了小儿柴挂，昨天晚上也低烧37.6十几分钟又正常了，我给吃了蒲地蓝…今天去看了，没有病毒性，也没细菌感染，到底怎么办啊，医生开的药给吃吐了…现在怎么办？现在又低烧37.6吃了小儿柴挂…医院来的克感利颗粒她吃不下去，我现在就给吃蒲地蓝，小儿柴挂，还有易坦静…反复这样该怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，小孩咳嗽有多久了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "3天"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今天是第4天"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "拍了胸片吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天也做了血常规"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "咳嗽不是很厉害"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "看了的。可能是病毒或支原体感染"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "支原体感染是什么意思"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "她喉咙是红的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "支原体也是一种常见病原体"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "以前她有过幽门杆菌，是不是因为这个？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "我看你在用阿奇。这个就是杀灭支原体的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "她刚上幼儿园，他们班级里好几个发烧咳嗽的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "这是之前医生配的药，今天没配这个药"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "目前我还没用这个药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "幽门螺旋杆菌不会引起呼吸道感染的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦好吧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "建议拍个胸片，查查支原体，明确病因才好用药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "胸片是不是查是不是肺炎"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "恩。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "她6月底有过一次肺炎"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是吧。这一次不一定是肺炎，但拍了胸片才能排除"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "今天刚去医院"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我原本想做雾化的，医生说不用"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是住院吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "主要是祛痰"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "小孩不会吐痰，肺里推积多了更麻烦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "你先拍个片子再说"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "多拍拍背，多饮水"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "化痰药可以继续用"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "蒲地蓝和小儿柴挂可以继续服用吧"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这两个用一种就行。都是抗病毒的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦好的…可以一天分开用吗？比如早上吃蒲地蓝，晚上吃小儿柴挂"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "小儿柴挂不是退烧药吗，低烧的药"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "没必要。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那蒲地蓝是不是比小儿柴挂药效好"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "每个人对药物的反应不一样。不存在哪个好哪个差。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "用药过杂可能加重胃肠道不适"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "耳温枪量37.3是不是还是有点低烧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "有一点点低烧"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我刚喂了小儿柴挂"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这个体温不需特殊处理"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "多用温水擦擦"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "前2次发烧就几十分钟就下去了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "也可多饮果汁"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不谢。随时联系"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "那个照片绿色的药是治疗什么的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "是不是和蒲地蓝和小儿柴挂一样的药效"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "也是抗病毒的中成药"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "那就是和蒲地蓝一样的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "疗效差不多"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "那现在就吃，蒲地蓝，和易坦静吗"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "恩。不错"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "蒲地蓝很好的"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "谢谢，中秋节快乐"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "谢谢，同乐"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "你好，可以结束服务了吗"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "每公斤体重用10mg。那么小孩要服150mg。"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "也就是说要一包半"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "你好。小孩目前情况怎么样"
            }
        ]
    },
    "10241914": {
        "self_report": "医生，你好，宝贝三岁了，晚上半夜总要咳嗽，在医院拿了三天的药也吃完了，还是咳，我该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝有痰吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "有一点"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "全其他时间什么时候咳嗽厉害"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "都是睡午觉，晚上睡觉"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗓子哑吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "体温正常吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有没有皮疹？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝平常容易咳嗽气喘吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "体温正常"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "在医院里开了治气喘的药，也吃完了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "什么药"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "小儿气喘颗粒"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在还有气喘吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "就是说现在病情减轻了些"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "只有咳嗽有痰"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "晚上咳嗽的时候，我给她喝水就没怎么咳"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以，晚上清淡饮食"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝不要吃海鲜油腻零食哦"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯，慢慢会好吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "现在没药吃"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "医生给宝贝检查了吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在诊断的什么疾病？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "去医院检查了一下，拿了药，现在药也吃完了，还是有点咳"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "医生诊断的什么疾病"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "都吃的什么药"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "伟力巴，双黄连，头孢，小儿气喘颗粒，治咳糖浆"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这些都吃了三天了？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "有没有去复诊看看"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝开始时候气喘明显吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "不是很明显"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "一开始咳嗽的时候，随着炎症渗出，痰液会增加，咳嗽也会加重一些"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我还是去复诊吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "所以需要调整药物"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "是的，需要进一步听诊看看"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不要着急"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            }
        ]
    },
    "10281547": {
        "self_report": "大便鼻涕一样无任何症状，精神状态饮食都很好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "四个多月"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是纯母乳喂养吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这种现象几天了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "大便这种现象几天了？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "前段时间有拉肚子现象然后好了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝一天大便几次？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在宝宝一天大便几次？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就这样了，不过没那么厉害前两天好点"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天早上刚啦的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝精神状况如何？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这两天多的两三次"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "放屁带出的两三次"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "从照片看考虑宝宝消化不良"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "很好能吃能睡"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "能玩"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议给宝宝化验一下大便常规，除外肠炎"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "妈咪爱有给他吃了几天"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "继续应用，给宝宝化验一下大便常规"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，已经让老公拿去化验"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意宝宝不要着凉"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10020232": {
        "self_report": "我孩子大便是这样的怎么回事今天1天大便了快10次呀",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "5个月了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子有发烧吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有吧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有着凉吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有吧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "母乳还是奶粉喂养？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "母乳昨天喂了点奶粉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "第一次吃奶粉吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子可能对奶粉不消化"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以吃些妈咪爱调理下"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "注意腹部保暖"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不要着凉"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "夏天闷热易上火，妈妈饮食要清淡，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10244318": {
        "self_report": "您好，宝宝今天不太爱吃奶喝水了，今天没有喷鼻朗，鼻子还是有点不通气，流鼻涕，大便有一点粘液伴有奶瓣",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "今天就只是吐了一次吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好，是的，就吐了一次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "是吃完母乳还是奶粉之后吐的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "奶粉"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "吃过之后拍嗝了吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "很少拍"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一个月大的时候拍的多，4个月之后基本没拍过"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "大点之后不怕也不吐了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "玩是自己安静的玩还是玩的很剧烈"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不算剧烈，跟平时一样，就抱着，他习惯俯视地面，然后就吐了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吐过之后，宝宝有哭闹吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他拉肚那会都没哭过，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这几天吃东西怎么样？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "前两天吃的少，今天还行，但跟感冒之前不太一样"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有哭闹的情况吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "睡觉前后会闹一小会"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "但这个应该是正常现象吧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不生病的时候也是这个时间段闹吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "也闹"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "没有别的不舒服吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是他爸爸刚出差第一天就开始闹的，出差第三天我儿子就感冒了，到现在睡觉前后闹的时候多"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "现在就是鼻子有点不舒服，别的没发现"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在宝宝是吃东西喝水还可以，也玩，精神状态也好，平时也没有哭闹的情况，对吧？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "玩的挺好"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "但是没有前几天笑的多点"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果是这样的话，暂时不用太担心，继续观察就可以"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我现在用奶瓶隔着被子给他暖肚子呢"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "这样应该会好点吧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝每次喝完奶粉后要拍嗝"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "吃完奶至少半小时不要让宝宝活动太剧烈"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "太感谢您了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "有没有发烧、咳嗽？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "今天咳嗽了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "咳嗽频繁吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "不算频繁"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "什么时候咳嗽的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "上午下午都有"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "精神状态怎么样？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "体温正常，精神状态还好"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "就是吃奶喝水少了"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "今天没喷鼻朗，看着两个鼻孔都有鼻涕"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "大便有奶瓣还有一点点粘，就是刚拉的便便有点粘，后来拉的只有奶瓣"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "消化不良了"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "这两天有在吃妈咪爱"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "鼻子怎么才能好呀？咳嗽是怎么回事呀？"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "鼻塞还是感冒引起的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "咳嗽说明气管有问题"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "感冒持续时间长的宝宝就可能会引发气管炎症"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "怎么确认是不是气管问题"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "可以去医院找医生听诊，也可以做检查确诊"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好"
            }
        ]
    },
    "10359717": {
        "self_report": "十岁男孩支原体挂16天点滴，准备不挂的时候发现体温又37.4度，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，有复查血常规吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在还有咳嗽吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "是大片性肺炎吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "检查血常规和支原体，支原体检查为阳性1:80"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "1:80还好的。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "之前是320"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "是肺炎吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "挂点滴好了之后过10左右又发现体温37.4.5然后就接着咳嗽高烧，，又检查就是支原体阳性1:80说肺部没事"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "应该是支气管"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "应该支原体感染是好了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可能是其他感染。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "1:80挂点滴16天红霉素，，可是刚刚想明天不挂了，，可是又刚刚量体温37.5."
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "比如病毒感染。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "化验血常规看看，如果血常规还好，就吃几天药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那还要接着挂点滴吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "化验一下血常规，还用化验支原体吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "支原体不用化验了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "就化验血常规看看。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦，，如果血常规检查有问题，还需要挂点滴吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "孩子挂太多天了，，真是愁人"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果血常规白细胞不高，超敏CRP不高，就不用挂了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦，真是谢谢大夫了，明天就去检查一下血常规"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在喉咙红不红？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "应该没问题，，就是偶尔有一声咳嗽，，不严重，，诊所大夫说是支气管"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那么就明天化验血常规看看。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯好的，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "还有其他问题吗？或者不理解的地方？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "谢谢您耐心的给我讲解了这么多问题，您有事就忙吧，我没有其他问题了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果后续有问题，可以留言，我看到了，就会马上给您回复。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "嗯好的谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "那您忙就不打扰你了，，明天检查结果出来，，在来麻烦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的，不麻烦的，只要能帮上小孩，就非常高兴。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "你好，现在小孩体温怎么样了？"
            }
        ]
    },
    "10400522": {
        "self_report": "儿子十岁了，今早上吃了两个小蒸包喝了点饭接着就吐了，这是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吐了几次？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一次"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "全吐出来了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有酸臭味？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有咳嗽感冒？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一些粘液"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "可能是消化不良"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在精神好吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "肚子疼吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "没有上学吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不疼"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "上学了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那就没事的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "他爸说要到中午去和他看看"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可能是受冷了，也可能是消化不良"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我说不用"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "口服帮助消化的药物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "什么药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吗叮啉和健胃消食口服液"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "多注意多喝水，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "最近有没有感冒了？"
            }
        ]
    },
    "10292931": {
        "self_report": "曲医生，您好！我小孩去医院检查说是病毒感染，可是医生只是叫打了一天点滴，现在都是吃药，可拉肚子还是有啊，只是拉的次数没之前那两天多啦，请问这个要多久才好啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，为了详细了解你的病情。我需要问你一下，与你的疾病有关的几个问题。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发病几天啦"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这样算来有4天了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "开始有发烧吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一开始是流鼻水，轻微咳嗽，后来在卫生站拿了药，吃了就有呕吐，接着拉肚子，到前天中午发高烧39.5，在三甲医院打了点滴，专家说有脱水现象，开了三类盐水"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "就输了一天液是吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "现在只有咳嗽和拉肚子，拉的像放水一样，可是医生只叫打了一天点滴，现在都是喝妈咪爱和思密达，盐水，还有头孢颗粒，及感冒药"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "是，因为孩子血管太小，打不了，老肿"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在还发烧吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "拉的便是蛋黄色的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有，就前天中午烧了，喝了美林退了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这是孩子病毒感染，有感冒，又有拉肚子。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子精神好吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "医生说可能是病毒感染"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在咳嗽严重吧"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在比之前两天好些了，但昨晚又拉了三次，所以现在感觉他没力，精神没昨天下午好，昨天他还可以到处下地玩，现在自己都想爬床上躺着"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "大便一天几次？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "晚上睡觉咳嗽厉害点，白天还好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在可能一天有五六次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "呕吐吗？可以吃东西吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就是每次都是拉的水一样"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "不呕吐，和腹泻奶粉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "孩子尿量少吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我就想请问您这样还要带去医院看吗？医生说不用，这有个过程，只要精神好"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "尿少，没什么尿"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这样得几天才好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果尿量少，孩子没有精神，有脱水的现象应该继续输液。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果没有脱水的情况可以继续口服药物。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "病毒感染一般得需要一周左右会好的。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "孩子输液不好输是吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那是不是观察他每天大便次数越来越少，精神好就不用去医院了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的，你说的很对"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "大便次数少啦，精神也好啦，说明病情减轻啦。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "是的。很难找血管，那天打头上，可是肿了两次，其他地方根本找不到"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以暂时口服药物及时观察病情变化。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "孩子现在是一岁吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "可是我感觉他现在精神不怎么好，没力，但说话声音还好"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "是一岁六个月"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "是光睡觉还是可以自己玩儿。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "就是他想躺床上，不想下地玩"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "能吃进东西去吗？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "昨天下午还一直自己在玩，就昨晚拉了三次，但都是喝了奶粉后"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "可以，刚喝了水和150毫升奶"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "没有吐是吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "没有吐"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "根据你说的情况可以暂时口服药物观察变化。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉，多喂一些好消化的东西吃。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "喂什么呢"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "可以多喝些小米儿粥"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "米粉，奶粉，都可以的。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气地及时观察病情变化。"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "如果孩子精神越来越差，大便不见好转就去医院输液。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "好的，我会观察"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "好吧，有问题及时联系。"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "辛苦您啦"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "不客气，祝孩子早日康复！"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10479942": {
        "self_report": "快六个月的宝宝，支气管炎吃药三天了，第一天第二天都有绿色大便，今天第三天大便里面有黄有绿还带点红色的粉状的东西，是吃药导致的吗？还有她现在呼吸声音听着都有那种喉咙有痰的那种喘声，想问继续等药吃完了再看医生还是先去看医生",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子食欲好吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "还行和平常一样好像"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "屁股看着没有破的地方吧？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "屁股有点局部一小块的红和平常尿片包太久捂的那样"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "恩，我记得福尔可定是红的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "红色液体"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大便可能是因为药物的原因"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嗯是"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "本身呼吸道感染的孩子就容易消化不良，加上吃药，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可能就会出现大便不好"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在咳嗽严重吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "哦现在吃药了咳嗽现在没那么经常"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "除了咳嗽，喉咙有痰，还有别的症状吗，比如发热什么的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "前几天发烧37.9左右徘徊然后用了退烧贴又给她吃了美林退烧药两顿"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "体温正常几天了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "鼻子里面有鼻涕的感觉"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天才正常36度"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有炎症刺激分泌物多，喉咙有痰，鼻子里会有鼻涕，需要慢慢缓解"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "美林吃后体温一直35.1-35.5之间徘徊一天两晚"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "体温超过38.5,吃退烧药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "太低了吃，又可能会影响体温"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是啊吃完才知道晕了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不过孩子精神食欲还好，慢慢就会恢复的，体温低时注意保温就好了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那这样对宝宝身体影响大吗听说对肝脏不好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那现在拉这种大便而且还会咳嗽呼吸还有那种喉咙有痰的喘气声"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "因为很多药物都是通过肝脏代谢的，所以用药怕对肝脏不好，一般肝功没问题，又不是长期用药，没事"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "用了药以后，不是觉得咳嗽好点了？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "会"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "孩子恢复时会痰多，平时多拍背辅助孩子排痰"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的谢谢你"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "我以后有问题能再找你吗怎么找我觉得你很专业细心"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不客气，可以，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不过这个软件要考验看病人数量，我的可能没过，实习期不过，以后可能就不能上这个软件了，"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "您随时可以给我留言，我看到会尽快回您的，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "现在孩子抵抗力低，不要去人多的地方，家里有感冒的带口罩"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯因为宝宝生病宝妈其实很无助真的很需要你这样专业人士细心回答，才能让我们心安定下来，那我是直接结束质询还是就这样留着对话窗口"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "平时拍背，手心弓起，拍背辅助排痰"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "没事，结束就可以了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯嗯要怎样才能专门找你我身边有几个朋友都是带娃的我可以推荐他们"
            }
        ]
    },
    "10080668": {
        "self_report": "小孩三个多月，拉肚子，便呈绿色，有泡沫，已经有6天了。大夫开了蒙脱石散和双歧杆菌。药喝上没有效果。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的医生，您现在可以向我咨询了?"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "问题小孩三个多月，拉肚子，便呈绿色，有泡沫，已经有6天了。大夫开了蒙脱石散和双歧杆菌。药喝上没有效果。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "化验大便了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "大夫说没有必要化验"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "便有奶瓣"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "蒙脱石散您是怎么给宝宝吃的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一天三次"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "奶前还是奶后"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "按大夫说的喂呢，一次一点，"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "奶后"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "一次喂多少"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "我需要了解一下您给宝宝服用的剂量是否需要调整"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "差不多一克"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "三分之一代有吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "您好，蒙脱石散最好在奶前半小时到一小时吃"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这样可以在肠道形成保护膜"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "小孩看着还挺精神，也不闹"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还需要喂啥药吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝的肠道比较娇嫩，腹泻不容易恢复"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "刚开始便便是黄色，前天开始就是绿色的便"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "妈咪爱可以换成三联的益生菌，一般宝宝服用效果会更好一些"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "大便现在一天几次？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "3到4次"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就白天拉，晚上不拉"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "绿色实际上没什么影响，大便含水分比较多而已"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "以前一天几次"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "肚子好的时候三天一次，很规律"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "现在孩子一放屁就带出来便便"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "今天前两次量大，刚刚一次稍微少了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝肛门括约肌没发育好，肠道产气多，拉肚子的时候，所以很容易随着大便出来"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "双歧杆菌的也是在奶前喂还是？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "奶后半小时到一小时"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "在需要喝别的药吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "现在您需要把蒙脱石散的服用时间改为奶前半小时到一小时"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "然后把双歧杆菌换成三联益生菌，奶后半小时到一小时吃"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "其他的药物暂时不需要服用"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "需要再到医院验血和便不？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "吃两天后如果效果不好，就需要化验大便了解一下有没有感染"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯，好，谢谢您"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "您好宝宝腹泻好一些了吗"
            }
        ]
    },
    "10355873": {
        "self_report": "两岁半拉肚，今天拉了两次了，一说肚疼就拉肚，今天第一次半干不稀，第二次稀",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不烧"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有呕吐吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不吐"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "之前又吐两天前"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "大便是稀的是吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是像消化不良的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是不是吃的着凉了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "给她吃了两天益生菌，小米粥"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不敢吃凉的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃了药，症状减轻吧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "减轻吧，也算是吧"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不过还是不明显"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "适当的把药物调整一下。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃什么好呢？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你现在吃的什么药？知道名字吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在给她吃的益生菌和王氏保赤丸"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱和思密达！助消化的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "在吃上头孢消炎的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这三种药物一起吃"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "把以前的药物停掉，不要吃的多了。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不要吃肉类的东西和水果。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "每天晚上用暖水袋暖一暖肚子。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不要着凉的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "给她吃小米粥鸡蛋黄行吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的多谢！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气的有问题及时联系"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "再问一下，之前发烧咳嗽，吊瓶打的阿奇霉素，跟这有关系吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "停药几天啦"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "停掉阿奇霉素几天啦"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "一月三十一号停的，之后就吐和拉稀"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "阿奇霉素是有胃肠道反应的。但是停药以后会好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你说的这个情况与阿奇霉素没有关系了。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "停了以后，马上就出现开始呕吐。呕吐和拉肚。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "那能不能是肠胃有炎症呢？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "阿奇霉素是用药的时候有胃肠道反应，肚子疼呕吐停药以后会好的。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "便便有点发白，就像你说的，我感觉像是有点消化不良不吸收似的。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "胃肠道有炎症就可以引起消化不良的。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，感谢！"
            }
        ]
    },
    "10231244": {
        "self_report": "一周岁宝宝夜间咳嗽是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我家女儿一周岁了这几天感冒咳嗽喉咙里有痰的声音"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "鼻子不透气流鼻涕"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果打字不方便。现在可以发语音的，我看看能不能听到。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有发热？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我这里不能发语音不好意思"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "宝宝不发热"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "好的，没事。流的是浓鼻涕还是清鼻涕？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "宝宝第一次生病之前都没有打针吊水偶尔感冒吃点药就好了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "清鼻涕"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有去医院检查医生说气管发炎了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "除了流鼻涕，没有其他什么症状了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "现在流鼻涕鼻子不透气还咳嗽"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "偶尔能听到有痰在喉咙里的声音"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "您在医院有没有抽血？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝精神以及吃饭这些都怎样？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "之前几天不怎么吃饭就喝点牛奶昨天开始想吃饭了但是还是流鼻涕鼻子不透气咳嗽"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "精神不错"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那是有点好转了。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯之前吃的药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝的都用些什么药用了多久？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天已经第八天了前天开始吃饭的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "用了些什么样药呢？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "盐酸丙卡特罗小儿消积止咳头孢克肟羚羊口服液"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的。宝宝用这些药除了饮食上有改善，其他方面有没有好转呢？咳嗽流鼻涕这些。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "咳嗽好些了但是还是咳"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "用一个星期了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "还是流鼻涕鼻子还是不透气"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯，宝宝这个持续时间是比较长了。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯今天第八天了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "是怎么回事还怎么治疗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝这个局部还有轻微的炎症，还没好全，所以受到刺激己就会咳嗽。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "继续吃药吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "都这么长时间，我建议您可以给宝宝查一下支原体抗体，看看有没有感染。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "这样啊我家儿子之前有支原体"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "儿子四周岁半了"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "不会传染吧"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您家儿子是什么时候得到这个？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "有两年了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "都两年了，考虑不是因为他传染的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的知道了谢谢您"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不用谢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "有支原体的话，需要换抗生素的。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "因为你目前用哪种抗生素对支原体不是很敏感。"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "还在吗"
            }
        ]
    },
    "10291034": {
        "self_report": "三个月女宝宝一到凌晨三四点就咳嗽没完是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，为了详细了解你的病情。我需要问你一下，与你的疾病有关的几个问题。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽几天了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我家宝宝咳嗽五天了！吃了五天药还雾化了三天"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不烧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是有痰咳不出来"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "用药以后，症状减轻吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "平时好点了！就是一到凌晨三四点就没完没了得连续咳嗽，甚是担心"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃奶怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "连续三天这样了，我总以为是吓到了。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃奶没事就是总咳嗽吐奶"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有！"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "喂得药也总是反应大咳嗽的吐出来"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是有呼吸道的感染。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我生怕把她耽误成肺炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子小抵抗力差，感冒以后很容易合并气管炎和肺炎。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是的，建议你去医院检查一下，拍胸片，化验血，看是否有气管炎和肺炎"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可是就昨晚前半夜感觉她出气也匀称就跟没事了一样，可下半夜就晴天霹雳。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "用药不见好转，仍然还咳嗽，首先去检查，不要耽误病情。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "诊所可以么"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "根据你说的像是气管里有炎症。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "孩子太小"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "去过诊所，大夫也这么说。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不要去诊所的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你们是县还是市？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "县！我们是农村的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以去当地的公立县医院。检查一下，明确诊断"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "再针对性治疗效果还好。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "小孩时好时坏是好现象么？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这是炎症还没有完全控制住。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的时候就感觉她没事了，可坏的时候就又让人心急如焚，这是什么情况？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "是的这个咳嗽就是一阵一阵的，如果持续的咳嗽那就更严重了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "建议你尽快去检查一下。再针对性治疗效果还好。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "输液太小，打针也不敢，吃药还反应大，我今天正考虑给她贴膏药如何？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果是气管炎，或者是肺炎光贴膏药效果不好的。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "应该先去检查，然后再采取治疗措施。排除气管炎和肺炎"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "一直就是吃这个药，都是化痰止咳的！"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "吃的药物是可以的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我是不是再配点消炎的比较好"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "雾化了三天，只管一阵。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "已经吃了五天了，效果不是太好。还是先去检查，明确诊断，以免耽误病情。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "是的，尽早检查，抓紧治疗。"
            }
        ]
    },
    "10191272": {
        "self_report": "七个月宝贝最近两天突然爱睡觉，前几天他支气管炎没有好好休息，老哭闹，婴儿喝了头孢后过敏身上出现红疙瘩，这两天换药后情况好点，我想知道他怎么突然爱睡觉？大便正常，中间也会自然醒，只是比平时能睡很多。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝现在晚上睡觉咳嗽不"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不发烧，不流鼻涕，不拉肚子"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一阵一阵的吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "偶尔的，很少"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不太清楚您的意思"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "他嗓子有痰，喉咙潮红"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在好像痰不太明显了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "刚才这种声音的那个啊哪来的，你们的款还没感动我的，"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "前几天拍出来了两次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "黄痰吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不是白的有点浓痰"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "除了爱睡觉"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "精神状态怎么样"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "挺好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "醒来以后也能玩会"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在用什么药呢"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "氨溴特罗口服液"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "抗病毒颗粒"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "没有原来爱玩吧"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有原来玩的时间长只能玩以前的一半就休息了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "他醒来时我会给他灌药他会爱哭闹"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这种情况建议去儿科就诊排除心肌受累"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "化验心肌酶看看"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "心肌受损"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "麻烦您发过来化验单看看"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "拍胸片没有"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "化验血没"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "采血了他支气管炎时有采的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "麻烦您发过来所有的检查报告看看"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的您稍等我去拿"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "他生下时医生说有心肌受损"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这个不是"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "这种情况更加应该去医院复查心肌酶"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "出生时有异常反应吗"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "做心脏彩超没"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "去了医生说正常了"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "去了市级专业妇婴医院"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "但是宝宝现在一岁多不爱娃睡觉时间长我不排除他就感染造成这种时候你要我改变了，"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "不好意思那个做的采血单好像被家人扔了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "他问我刚刚你说孩子甲亢容易引起心肌炎，"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "我再去看看"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "赶紧去吧"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "别客气再见"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10358802": {
        "self_report": "五十天的宝宝屁眼红，是上火了吗？还是红屁股？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "破皮了没有，多久了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有破皮好长一段时间了，以前没有折磨红"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我最近吃了点微辣的东西，有关吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "可以发个图片看看"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那宝宝大便次数怎样"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这两天一天一次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我吃辣有关还是尿不湿过敏"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "前面有没有红。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "只有屁眼红"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便稀不稀，可能给你吃点辣的有关系的。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "这不属于红屁股吧？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "没有破皮，他哭闹的厉不厉害。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有点溪，绿色的大便"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "哭闹的厉害"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "每次拉完大便洗了没有。大便不洗的话也有可能这样。这一点点不严重。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "都是用湿巾沾点水擦"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我是不是一点辣都不能吃？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是不是最近大便才变稀的。暂时不要吃。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯嗯，还是绿色的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "拉了一个星期绿色大便了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "他的屁股出现一点红跟他拉着个大便有关系，你暂时不要吃辣的。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "啦绿色大便是什么原因呢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可能有点消化不好，因为他的次数还不算多。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "屁股上你可以给他摸痱子粉和香油。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "你暂时不吃辣的过段时间可以吃。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以用益生菌调理胃肠道。"
            }
        ]
    },
    "10380939": {
        "self_report": "宝宝拉肚子一周了，吃药不见效",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大啦？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "16个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在大便一天几次？什么形状的？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "4，干稀状"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "呕吐吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "精神怎么样？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不呕吐，精神一般"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "吃了一星期的药了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在吃的什么药效果怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "复方丁香罗勒口服混悬液"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果效果不好，可以适当的调整一下药物。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是消化不良的。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦，还有那种药好用"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "冬季的腹泻病情恢复是慢一些"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以吃上妈咪爱，思密达，小儿广扑止泻口服液"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这三种药物一起吃，按说明书吃，连续吃上三天。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "把以前的药物停掉"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，好吧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "注意饮食，不要吃肉类的，和水果。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "加强护理，注意保暖，每天晚上用暖水袋暖一暖肚子。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦(⊙o⊙)哦知道了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好的，连续吃上三天左右观察变化。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有问题及时联系"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "(⊙_⊙)谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复！"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的不客气"
            }
        ]
    },
    "10264502": {
        "self_report": "宝宝三个多月了，这几天拉肚子，是绿色的粑粑，吃点什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝一天拉几次"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "三次四次吧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "便便除了绿色，有奶瓣吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "最近孩子放屁会比较多吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子有发烧吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "纯母乳喂养还是有加奶粉"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一开始吃的妈咪爱，后来大夫给开的蒙脱石散，也化验粑粑了，大夫说没事"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "纯母乳"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "孩子拉的会很水是吗，蒙脱石散是治疗稀水便"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "妈咪爱是益生菌调节肠道"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "一般大便偏绿，屁多是有点消化不良菌群失调表现"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "也不算太水，就是有时候是沫沫，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "菌群有些失调、产气菌比较多，大部分益生菌调节是可以的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "益生菌调节一般是要十天左右"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天和今天吃了醒脾养儿颗粒"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "另外注意的是，孩子妈妈要尽量容易上火、辛辣刺激的食物"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那还是要吃妈咪爱吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "中成药，效果可能没有益生菌好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以配合益生菌吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就是醒脾养儿颗粒配着妈咪爱吃是吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "但是还是妈咪爱为主"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "一天吃几回"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "妈咪爱是益生菌，正常孩子也是可以服用，就像大人喝酸奶调节肠道"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "三个月孩子，一次三分之一包，一天三次"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "醒脾这个也是吗？我给她一次喝一包呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "两餐之间，泡水喂，一定要温水，不能开水，开水益生菌就失效了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "醒脾养儿，一般是一岁内一次一包一天两次，三个月孩子比较小一次半包就可以"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯，好滴"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "谢谢大夫"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            }
        ]
    },
    "10019694": {
        "self_report": "宝宝8个月拉肚子，大便稀吃什么拉什么，有2天了、大便有时像果冻一样，有时水样",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝拉肚子这两天有发烧吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "一天拉几次呢"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "7.8次、有时候小便也会流点出来"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "那拉的次数还是有点多"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在主要吃什么"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "奶粉还得母乳"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "母乳跟稀饭"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "米糊有吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "稀饭要比较烂一点"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "家里有蒙脱石散杜拉宝"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这两样一起吃效果怎样"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "蒙脱石散对稀便效果不错"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃了一次感觉暂时没效果"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "半包"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "建议蒙脱石散吃法"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "三分之一包，一天三次，饭前半小时泡15ml水喂"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "可以多喝水吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前有拉，需要补液"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "清淡点饮食"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "稀饭不要加太油的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "喝点葡萄糖可以吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "另外建议买妈咪爱等之类的益生菌调节一下"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "最好不要，葡萄糖会影响宝宝食欲"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "淡盐水"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "就是口服补液盐"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以喝一点"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "食用盐吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "药店买的喝的，自己泡的话就少一点喝，要比较淡"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10100121": {
        "self_report": "我家宝宝一个月零八天了，最近几天吃了猴儿环消炎颗粒感觉老爱拉肚子，孩子消化还不太好，去医院看说是气管不太好，我想给他换个药吃，吃这个药孩子爱闹，感觉像是肚子不舒服，老哭，求解答",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝目前都有什么不适症状？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "有咳嗽？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "嗯呢，有咳塑"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽几天了？有呛咳吐沫现象吗？体温正常吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吃这个药有五六天了吧，嘴里也爱吐泡泡，不吐沫"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽前有吐泡泡吗？宝宝精神反应好吗？吃奶正常吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "从出生就爱嘴里老是往出冒小泡泡，体温没有量，前几天量一回正常"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "精神反应呢？吃奶好吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "咳嗽前没有吐泡泡呀，有时候睡觉也会咳嗽，精神挺好的，吃奶也正常，吃药前几天都挺好的，就今天开始哭闹的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "另外医院就诊只是肺部听诊吗？有其他检查吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃药后咳嗽是否有好转？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，说是消化不好开了些消化的药，这几天吃这个咳嗽药就没给吃消化药，吃药后没觉得有什么好转，时不时的还会咳嗽"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我在想是不是这个药里韩有着什么，他吃了肚子不舒服啊，吃头几天都不哭，就今天哭的，我给他买个肚脐贴贴在肚子上了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "您好，宝宝太小，病情变化快，如果服药5-6天咳嗽无好转，有吐泡，最好再做个肺部听诊，避免感染下行，引起肺部感染。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "另外腹泻消化不良，药物可以引起，气管或肺部感染也会引起消化道症状的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我寻思明天给他吃消化的药，不吃这个咳嗽药了，寻思给他换个药吃"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝肚子鼓吗？有咕噜噜响吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有咕噜咕噜想"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以用肚脐贴，口服益生菌类调理菌群，腹部保暖。如果支气管或肺部有问题还需要治疗气管炎的，这个要比消化不良严重。有时是消化不良的诱因"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "肚子还行，也挺鼓的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那就要带他去医院在检查一下肺部么"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "肚子呼噜噜响，肚子鼓，阵法性哭闹多是与腹部不适有关，目前先注意腹部保暖。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那咳嗽的药还要继续给他吃么"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "肺部是需要复查的，因为小婴儿即使肺炎有时表现都不是很典型，有时就是轻咳，吐泡，腹泻。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我明天给他吃点那些消化的药吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "服用5-6天了，如果没有效果，那效果也不是很好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好，我明天就带他去检查一下"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不建议再服用"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯好的，请问你有什么建议吃点什么能管他这个咳嗽的药呢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "恩，宝宝太小，避免药物治疗。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "可是不吃药，他不会咳嗽严重么，该怎么办呢，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "止咳只是对症治疗，如果咳嗽不著，不必止咳，待明天查明原因给予对因治疗。宝宝太小，不建议随便用药。单纯止咳不能解决根本问题"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果有支气管炎或肺炎需要抗感染治疗的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "他这么小能拍片么"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果有必要是可以拍的，虽然有辐射，但很少，需要权衡利弊。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "就怕太小拍片对他不好，可是从表面看又看不出来怎么回事"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "恩，宝宝小，呼吸表浅，有时肺部听诊不易听到罗音，必要时需要胸片检查的。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那明天就要给他拍片了，真的害怕对她身体不好，对他有什么影响"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "偶尔一次，不会有太大危害的。不用太紧张，先肺部听诊，如果有必要再性胸片检查。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯好的谢谢你，消化的药明天我正常给他服用么"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "服用什么药物？"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "蒙脱石散，还有维生素ad滴剂，还有胃蛋白酶颗粒"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这些是管消化的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "服用几天了？蒙脱石是止泻的，胃蛋白酶是助消化的"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "维生素AD预防缺钙的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "就服用两天就没给吃了，就开始给吃那个管咳嗽的药了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "恩，这几种药物可以服用"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯，谢谢你了医生，明天我带宝宝去医院检查看看，麻烦你了"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，不客气"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "如没有问题可关闭"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的，祝宝宝健康"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "您好，宝宝小，与感冒人接触有被传染的可能。目前咳嗽多吗？"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "还好。一天几次。咳嗽两三天了"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "宝宝哺乳好吗，呼吸平稳吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "呼吸不太平稳。喝奶总呛到。平时呼吸一般。喝奶后呼吸急促"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "那确实还是需要肺部听诊的。如果听诊没有问题，一般情况好，可以先服药观察。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "药物从出院就一直在吃。阿莫西林。"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "出院多久了？阿莫西林吃了几天了？"
            }
        ]
    },
    "10123268": {
        "self_report": "我的奶水原先用吸奶器吸出来都是油乎乎的，现在用吸奶器挤出来的都是跟清水似的，可自从一号二号连着吃了两天韭菜，孩子也从那天开始就拉不停了，是不是我的奶水导致的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你说的脉养是什么"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "是静脉营养吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "还是说的吸氧状态下"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "小孩吃奶脉养下降"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "严重吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "指脉氧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那严重吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是只有吃奶的时候吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "其他时间是有在吸氧吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "还是现在是自己呼吸"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "其他时候没有吸氧"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在是自己呼吸"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那其实问题应该不会太大，但是宝宝还是不稳定的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "因为吃奶的时候宝宝是屏气的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "呼吸少一点，所以指脉氧会下降一些"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那我的宝宝什么时候能出院"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "其他什么都没有问题了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个还是要宝宝稳定一点比较好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那你说我们需要检查什么吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "暂时不用"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "前两天孩子发烧，医生说想让我们检查一下看看有没有脑炎，看看是不是脑炎引起的发烧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一般最近两天观察一下，比较稳定应该会跟你们说出院"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "发烧几天"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "发烧两天"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "周五下午发烧，周六早上都降了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那不是很长时间，而且你说宝宝其他情况还可以"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那应该脑膜炎可能性比较小"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "其他情况都可以"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦，谢谢！"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "一般不是奶水导致的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那我的奶水怎么变了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "奶水怎么从那两天吃过韭菜开始变得特别少"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "建议你让孩子吮吸刺激才能产生奶"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果长期用吸奶器，奶水会越来越少，越来越稀"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我的就是孩子吃过之后，奶水还很多，然后才用吸奶器吸出来多余的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "孩子奶水吃得够吗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "孩子现在一天拉几次"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果感觉是因为韭菜原因奶变稀，可以暂停吃韭菜，吃韭菜回奶也不是每个妈妈适合的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "孩子拉得会很稀的话可以买蒙脱石散"
            }
        ]
    },
    "10332602": {
        "self_report": "一个半月婴儿咳嗽有痰，鼻子齁。呼哧呼哧响",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子有受凉的情况吗？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "家里温度22度，开了小太阳。洗了两次澡。不知道有没有着凉。家里有两个大人感冒。不知道是传染的还是着凉了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "如果家里有大人感冒的情况，那应该高度怀疑被大人传染了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这个孩子应该考虑呼吸道感染，考虑到孩子的年龄比较小，体质比较差，很容易出现并发症，应该给予积极的治疗，而不是一味的等待"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这孩子出现上述症状有多长时间了？目前精神状态怎么样？吃奶怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一睡觉就咳醒了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那这个孩子咳嗽症状还是比较重啊"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃奶好像没之前多，一咳的严重了就想含着奶。就喝几口又睡着了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "然后又咳醒了、这样"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那这个孩子咳嗽症状还是比较重啊"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不想上述症状有多长时间了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "出现上述症状有多长时间了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "去医院开了两幅药，安儿宁颗粒。和琥亿红霉素，喝了两天了没什么效果一样"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "之前有几声咳嗽。现在比较严重的有三天了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "前一个多星期就有几声咳"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "呼吸道感染一般有3到4天的高峰期，度过高峰期以后症状会逐渐缓解"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那应该是咳嗽症状加重了呀，有没有进行血常规和胸片的检查"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那证明这个孩子高度的时间还是比较长的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "星期三去做了，医生说没事。开的这两幅药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "说肺部没事"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果这个孩子肺部没有问题，可以继续口服上述两种药物，另外可以给孩子雾化吸入缓解症状"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这两种药吃了三天了没啥效果"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "感觉还严重了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "至少需要口服3到4天"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "我认为你可以再观察一天到两天"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果咳嗽症状没有缓解，或者说持续性的加重，需要考虑住院输液治疗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "即便个孩子不是肺炎，就是单纯的支气管炎，由于孩子咳嗽的时间比较长了，年龄太小了，也应该输液治疗的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "才一个半月婴儿能输液吗，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "就是因为孩子年龄小，才应该输液治疗的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "你建议是在观察两天，去输液吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "我认为这个孩子年龄太小了，口服药物以后效果不是特别的明显，并且咳嗽时间有点长了，应该去输液治疗的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "更何况现在快过年了，难道不应该积极的治疗吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯，我现在纠结的是，我现在回老家了。老家他们建议去乡村医生那看，我有些担心技术水平"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "乡村医生肯定是不可以的，你最起码需要到二甲以上的医院"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "到专门的有儿科的一面"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "到专门有儿科的医院"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哎"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "如果口服药物以后孩子的症状明显的缓解了，那就不应该考虑肺炎，可以继续口服药物进行治疗，但是这个孩子口服药物以后症状并没有缓解，并且出现了持续性的加重，虽然说那个时候没有肺炎的情况，但是不代表现在也没有肺炎，即便是这个孩子没有肺炎，就是单纯的支气管炎，咳嗽时间这么长，口服药物效果不好，也应该输液治疗的"
            }
        ]
    },
    "10311921": {
        "self_report": "我宝宝昨天下午开始吃奶粉的，因为我智齿冠周炎吃药了，买的美素力金装1段，但是我发现她吃完就拉粑粑，夜里吃完就拉了一次，早上刚刚吃了一次吃完又拉了，都是黄色有点粘稠的粑粑，是不是不适应奶粉。请问该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我宝宝昨天吃奶粉，吃一次拉一次，放的屁很臭很臭"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝之前的大便怎么样？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "之前母乳每天最多两次大便"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "考虑跟这个跟换奶粉是有关系的，因为小宝宝的胃肠道比较敏感。因为胃肠道还没有发育完全是比较脆弱的。所以在受凉啊，或者是更换奶粉期间，可能会出现那个大便异常的情况。宝宝有没有受凉呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "应该是没有受凉的，因为昨天上午大便都正常的早上拉了一次，下午吃了第一次奶粉后放屁很臭，晚上吃完就拉了，又多又臭，今天早上也是吃完就拉了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "那我昨天吃了甲硝锉片和芬必得后今天早上没吃就是停药了，大概多久可以继续喂奶"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天晚上七点多吃的甲硝锉片。10点左右吃的芬必得"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一般情况在停24小时以后。嗯，宝宝嗯，他昨天大概一共来了几次大便呢，具体拉的大便是什么样子的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前天到昨天早上都是母乳，正常早上拉了一次黄色大便"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "昨晚拉了第二次就是吃了奶粉后拉的，是有点粘稠的，也是黄色大便，特别臭"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "因为宝宝没有受凉的情况，考虑还是跟奶粉有一定关系的。可以用益生菌调理一下宝宝的胃肠道。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天到现在已经拉了两次，夜里吃了一顿拉了一次，还有就是早上"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "早上喂了一次益生菌，我打算停药恢复母乳，所以看看是不是今晚10点左右差不多24小时可以恢复了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "观察24小时，因为药物它也有一定的代谢周期，24小时之后，这个甲硝唑基本上都代谢的差不多了，所以可以再次哺乳。一开始要把乳房里面的乳汁挤下。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝吃益生菌有没有一定效果？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃了药以后我都四五小时清空乳房"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这样的话可以排出残留在乳汁内的那些药物。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还不知道有没有效果，因为是吃了奶发现又拉了以后才给她吃益生菌，那我中午再吃喂奶粉的时候再放一包益生菌，看看吃完还拉不拉"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯，可以配合着益生菌和奶粉一起吃。宝宝如果拉肚子次数比较多了，超过每天五次以上。你也可以给他加点咸蒙脱石散。适当喂点水"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，如果益生菌有效果，我就时间长点再恢复母乳，毕竟是吃了药，可能还是稍微久点比较好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以的。时间越久，体内的药物残留量就越低。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的，我再观察观察，谢谢医生"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "宝宝如果拉肚子次数多了，要注意观察有没有脱水的情况。看看小便量有没有明显减少"
            }
        ]
    },
    "10339855": {
        "self_report": "宝宝9个月，弄了六天雾化了，结果早上还咳嗽喉咙有痰响，也开了药现在该怎么办?",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一周了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "痰多吗？有没有气喘？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有一点在咳的时候"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "喉咙总是在痰响"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有憋喘"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "早上尤为厉害"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝睡眠怎样？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "憋喘没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝起过湿疹吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "以前得过喘憋性肺炎吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "睡的还好"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有起过"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "也开了一些药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝有没有呛奶？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "医生给宝贝检查了吗？现在诊断的什么疾病？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还没去医院"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "争隋医生说过几天会好"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "诊所"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在给宝贝诊断的什么疾病？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "支气管炎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝现在精神怎么样"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "兴奋过度"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "吃什么药？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "吃几天了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "自感冒起就一直吃"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯嗯看到了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "一般口服药物三到五天给予听诊，根据宝宝情况调整用药"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝现在比之前有没有改善？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "改善了一点"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "家里有没有哮喘病人？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝宝有没有呕吐腹泻？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝现在加辅食了吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "有点拉肚子"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "有时候不喜欢吃"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "现在不要给宝贝吃海鲜太甜的食物"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝宝还吃母乳吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "吃啊"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "奶粉她不喜欢吃"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "那么母亲不要吃海鲜刺激性食物不要吃生冷食物哦"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "室内勤通风，注意保暖"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "行"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "现在需要带孩子去公立医院儿科就诊，听诊肺部，查血常规，排除肺炎哦"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "婴幼儿用药需要经过儿科医生面诊后开具哦"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "不是肺炎吧"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "需要听诊排除看看"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "有疑问可以给我留言哦"
            },
            {
                "sentence_id": "68",
                "speaker": "医生",
                "sentence": "再见哦"
            }
        ]
    },
    "10592510": {
        "self_report": "宝宝一岁半了，这两天气温高，在家来了两天空调，感觉是空调吹的了，宝宝今天一直就清鼻涕，擦都擦不完。昨晚感觉她额头有点热我给她喝了一包阿莫西林一包小儿氨酚黄那敏颗粒，睡觉以后出了特别多的汗。今天还是鼻涕不断，打喷嚏，今天给她喝了半包小儿柴桂退热颗粒和一包猴耳环消炎颗粒，量了两次体温一次37.3度，一次37度，这个体温算发烧吗？用不用去医院？在家用药也可以吧？我给她喝的这些药不知道哪一种更适合她的病情呢？麻烦医生帮我看看照片上四种药我还继续给她喝哪一种？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，希望您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯，在呢"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝这种现象几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天晚上开始的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝最高体温多少度"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天晚上摸着头挺热的，孩子不配合没好好量体温，今天量的37度多"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "低热"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "从描述情况宝宝流鼻涕，打喷嚏属于呼吸道感染症状"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "病程2天处于急性期"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "初步考虑宝宝上呼吸道感染"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "感觉她今天食欲不怎么好，饭不多吃，泡奶粉也只喝了平时一半的量"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "于呼吸道感染有关，出现胃肠道反应"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "感冒卡他症状表现为鼻咽部粘膜充血、水肿、粘液腺分泌增多，其症状为鼻咽部灼热感、异物感、鼻咽部堵塞感等"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "看她应该不会烧的太厉害，主要是以消炎为主吧？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有给宝宝化验检查"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有，没有上医院，她玩起来精神挺好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "想在家给她喝点药看能不能好点。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "简单说，当病毒，细菌等病原体侵犯机体后，机体免疫系统进行抵抗排斥从而产生发热症状。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "发烧是一种免疫保护性反应，发烧本身不是病只是一种症状，体温超过38.5度口服退烧药，体温没有超过38.5度，可以物理降温:1.观察孩子的精神状态和脸色，孩子如果有寒战怕冷手脚发凉。此时不能用冷水擦，也不能冷敷，此时极易抽搐，2..孩子没有汗但四肢手脚热，可以用温水擦浴，温水把孩子的大腿根，脖子下，腘窝，腋窝，擦擦降温。也可以洗一个热水澡。物理降温可以反复进行，直到体温退了或孩子出汗。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那我给她喝点什么药好点呢？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "个人建议给宝宝到公立医院儿科合理检查一下，化验一下血常规和CRP，分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果是病毒感染建议应用清热解毒和感冒药物"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果是细菌感染需要在前两种药物基础上加用抗生素。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "平时注意多喝水，注意防寒保暖，预防着凉，避免到公共场合，以免加重病情。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，我会注意的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "应用药物时注意观察宝宝有没有皮疹等过敏现象。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "在家开空调没问题吧？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "老人说孩子感冒不让扇风扇和空调，但我觉得她出汗多，怕热到了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "没有化验检查前现可以口服柴桂颗粒和小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "注意温度不要太凉"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不要直对宝宝吹"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "出汗多，注意多喝水，补充水分"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的。我把室温控制在二十六七度。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "二十七八度吧"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的。谢谢医生的建议，我现在还是放心多了。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果宝宝反复发热或持续发热，或出现咳嗽等症状需要及时到公立医院儿科合理检查"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "因为上呼吸道感染容易合并成支气管炎，支气管肺炎，中耳炎等"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，我会注意观察她的体温"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，好吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的，谢谢了"
            }
        ]
    },
    "10298117": {
        "self_report": "宝宝四个月了，最近拉便便有点稀，吃了快一个星期的妈咪爱不见效。我有换了双歧杆菌乳片吃三顿了，今天早上拉的便便有块状，是怎么回事？宝宝肛门发红，我用凉了的白开水扶了几次也不管用，又是怎么回事？谢谢！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝多大了？亲"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "主要是什么饮食"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "吃母乳还是奶粉"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝四个月了，最近有点拉稀。我给吃了妈咪爱快一个星期了，不见效果。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "母乳奶粉一起"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯啊，最近吃奶量有没有下降呢"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有，不怎么吃了。不过这一两天晚上要吃60mm"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我说的是奶粉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝有没有呕吐的症状"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝贝大便一天几次？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "一次，拉的量也特别少。没有之前的多了。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯啊"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "次数还是可以的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "我看着好像有未消化的奶瓣对吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有时会有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝主要是有点消化不良的表现"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以给宝贝吃点益生菌"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "别着凉"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "我给吃双杆菌乳杆片三顿了，今天早上拉的便便里有块状"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯啊，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃点"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "多热敷一下肚子"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "别着凉肚子"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "别着凉肚子"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "可以继续吃？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好好好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那个益生菌可以调节胃肠功能的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝妈吃饭注意饮食"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "生冷辛辣刺激食物不能吃油腻食物不能吃"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "水果之类的不要吃了奥"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯嗯嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "一定别着凉哈"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不用太担心了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "只要宝贝精神状态好尿量多就问题不大"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "多喝温水"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "尿量多就可以"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "嗯啊，"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "宝贝这个时候能吃多少吃多少"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "别强喂"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯！"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "能吃多少吃多少"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "祝宝贝健康"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "有问题欢迎咨询"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题还有疑问？"
            }
        ]
    },
    "10058329": {
        "self_report": "痰多咳嗽做了七天雾化还是有痰",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "医生听过吗？有没有排除肺炎？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "上周一去的医院大夫说是支气管引起的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "，哦"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "刚开始的时候有没发热？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "然后就来的雾化做了七天还是有痰"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子咳嗽的症状有没有减轻？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天没做雾化就听着嗓子有痰"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "每天做雾化就咳嗽的时候有痰"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "7天了，孩子一直有痰，没见好转，咳嗽轻了吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "痰比较多咳嗽不严重，一开使的时候就是痰多"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不怎么咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦，知道了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "雾化还用接着做吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "孩子做雾化几天了，痰无明显减轻，应该再让医生听一下，看看是不是有所好转，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "，我建议让医生听完再做下一步治疗的决定"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "啊"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "??"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "他做雾化用的药是，普米克，爱全乐这两个药效果好吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "据我所知，这两个药效果不错的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦知道了谢谢了"
            }
        ]
    },
    "10343734": {
        "self_report": "六个月宝宝拉粑粑都是水，有时是泡沫状有时是疙瘩，吃妈咪爱和蒙脱石散不起做用",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝一天拉几次大便"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "大概六七次呢"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "每次大便量多吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "基本上都多"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在纯母乳喂养吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "腹泻多久了?"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "纯母乳"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "快一个星期了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝有没有恶心呕吐？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "除了腹泻还有其他症状吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝放屁多吗？肚子胀吗？有没有咕噜响？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "一个星期前宝宝感冒了肺炎住了九天医院"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝尿的多吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝那时候大便什么样子？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没怎么放屁"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喂完奶尿几次"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "尿的黄吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "黄"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝现在肺炎都好了吗？有没有用药？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "给宝贝查过大便吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "不过嗓子里还有点痰就喝点氨溴索口服液"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "住院的时候查过好着呢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝还咳嗽吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "住院时大便稀吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "稀着呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "现在大便次数比之前减少了吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "最近给宝宝做过检查吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没做过，大便次数比以前多了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？有没有哭闹？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "宝宝挺精神的，就是今天有点不爱吃奶"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝喝水多吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "啃手吗？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "没喝水，啃呢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以给宝贝多喝水，注意勤洗手，注意宝宝饮食卫生"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "蒙脱石散需要饭前半小时给宝贝吃哦与妈咪爱间隔一小时"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "哦哦，我都是一起吃的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这个需要注意，蒙脱石散影响其他药物吸收"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这个是医生给宝贝开的吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "知道了，谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "就吃这两种药就行了吗"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "继续口服药物三天看看，如果大便还是没有改善，建议带孩子去医生查大便常规看看哦"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "可以的，注意补水"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "知道了，谢谢"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "关于宝贝健康问题您还需要咨询什么吗"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10085071": {
        "self_report": "我家宝宝四个月吃布洛芬吃了一袋布洛芬是0.2g一袋现在低烧了怎么办急急急",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，很高兴能为您服务，为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "请问孩子目前精神状态怎么样？体温多少？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好我家宝宝四个月吃布洛芬吃了一袋布洛芬是0.2g一袋现在低烧了怎么办"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "体温刚量的35度3"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "如果已经吃了，要多喝水"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "那现在宝宝睡着了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "大剂量的布洛芬对胃肠道有刺激"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "要多喝些水，多吃些奶"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "让宝宝多排泄"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "她不吃奶啊"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "加快药物的代谢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "问题就是不吃奶"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果体温老是偏低，可以适当保保暖。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "用被子捂身上呢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "注意监测体温变化。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那不吃奶怎么办啊"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "也可以喝点热水"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "多久没有吃了？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还是七点多吃的呢"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "到现在都没有吃"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "时间有点久了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "对啊"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "刚才给他还是不吃"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果体温持续不升，还是不吃，建议去医院看一下。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "因为孩子太小了。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "明早起再去医院可以吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果能吃点奶，可以明天去，如果老是不吃奶，时间久了容易低血糖，所以建议尽早去。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "能吃奶就没事吧"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "能吃点奶，再测测体温看看。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "时间久了不吃或者吃的少也不好。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那我在看看"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "如果再不吃就得去医院吧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯，可以再观察一会"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "健康快乐成长！"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "你好，孩子好了吗？"
            }
        ]
    },
    "10168663": {
        "self_report": "宝宝快7个月了，一直母乳喂养，之前给他加辅食还不拉肚子，现在这段时间吃什么拉什么，该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝快7个月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝七个月辅食添加到什么程度了？还是因为腹泻已经断了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没断"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "添加到糊状了吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "刚开始就加一点米粉，米汤"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "后来蛋黄"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "但是吃了蛋黄好像就拉"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝大便一天几次？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生说消化不良"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "蛋黄吃到多少了？是一个吗？还是半个？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "一个"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "最近一天三四次"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是什么样的大便？比平常稀一点的，还是说是水样的，还是蛋花样的？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "比如他今天上午吃了一小块胡萝卜，下午就拉出来了，还是拉的一小块"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "前几天稀的，这两天比前几天稠点"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一岁以内的小宝宝，胃肠道没有发育好，容易出现消化不良腹泻，或者便秘的情况。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "舌头有一层白的…"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "大多数小宝宝吃胡萝卜都会这样。胡萝卜本来不好消化。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那他现在吃什么比较好呢？他看见大人吃东西的时候就一直看想吃"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "舌苔上有一层白的，口腔里面有没有？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "舌头白那考虑跟宝宝吃奶有关系，宝宝吃奶的时候哭不哭。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "不哭"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "那宝宝这个是考虑长期吃奶导致的，没什么问题。吃完奶之后喝一口水漱漱。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "那现在应该怎么喂辅食"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "蛋黄可以继续喂吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝消化不良，比较常见。您可以给他吃一些肠道益生菌类的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "要喂"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "一直拉呢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "比如说胡萝卜，你可以买个搅拌机，榨成汁，再给宝宝煮了喝。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "喝点奶粉会不会不那么拉了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "吃点益生菌类的。大便超过三次用小儿蒙脱石。大便超过五次的时候，像那些蔬菜类的可以暂停，或者只吃一点，但是米汤，米粉，鸡蛋黄可以继续。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，谢谢了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "喝点奶粉有可能会好一些，但是，宝宝不算严重，可以继续母乳。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯。宝宝的肚子上围个小毛巾。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "??"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "这样在换尿片的时候，也可以避免肚子受凉。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝除了轻微拉肚子，他的精神怎么样？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "精神不错"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "影不影响他吃东西呢？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "不影响，可馋了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "好的。那是没有什么问题的。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好嗒，谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "我建议您的母乳还是继续。母乳有助于增强宝宝的抵抗力。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "宝宝的大便在三次以内，就不用什么处理。超过三次，可以吃点益生菌蒙脱石。超过八次，建议化验一下大便。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "现在喝着合生元益生菌"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不用谢。"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "您观察下看看。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "主要是还要注意肚子保暖。"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "hao"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "本身宝宝胃肠道功能就不是那么好，如果在轻微受凉就有可能拉肚子的。"
            }
        ]
    },
    "10004156": {
        "self_report": "宝宝四个月了，宝宝发炎啦，今天早上体温37.9度，给宝宝喂了点退烧药，一开始体温降到36.2℃，现在体温35.4度，刚才给宝宝多盖了点，让她暖和点了，体温36.1℃，盖的多会不会在发烧呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的接诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在手脚热吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "比刚才稍微暖和点了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在不需要再特别保暖，继续观察体温，勤量体温就可以"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝今天才开始发热的是吗？还有其他症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果您超过五分钟不回复，系统会自动关闭对话，您还在吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝前天晚上体温就有点高37.3℃，这就慢慢越来越高，今天早上37.9℃"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？比如咳嗽，腹泻等等"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她这几天漏粑粑"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一天拉几次，大便什么样子？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "您还在吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一天拉三回，早上的有点绿，后俩回拉的黄色的沫沫"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "给宝贝做过什么检查吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没做过"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝现在吃母乳还奶粉？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "注意母亲乳头卫生"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "妈妈这几天有点上火"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般来说孩子发热不到38度不需要特别退热，只要喝点水，散一下热，体温就降到正常"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "她在火了吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "母亲有没有发热？要多喝水哦，如果有嗓子疼，扁桃体炎需要吃药治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "昨天晚上我们拿酒给"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝超过38.5度才需要吃退热药，以后不要给宝贝积极用退热药了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "擦的，但是一会就又体温高啦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝现在只是大便次数有点多，发绿多是消化不良"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就早上发点绿"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不要用酒精给宝贝擦，酒精挥发会加重宝贝脱水，引起体温再高，这个酒精擦浴需要专业的医护人员做的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "她36度5了，需要在保暖吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "现在只要给宝贝顺时针揉一下肚子，如果宝宝大便次数增多，还是发绿，可以吃点益生菌，比如妈咪爱。体温现在不需要特别降温"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在根据室温给宝贝盖一点毯子或者不盖，只要宝贝手脚不凉，不用再加"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那要体温在高了，该怎样物理降温"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不超过38.5，可以给宝贝少盖一点散热，给宝贝多喝水，宝宝手脚热的话用温水擦一下眉头脖子还有腋窝"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "一般擦十几分钟就可以起到退热效果"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "也建议贴退热贴"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "四个月的宝宝多少度到多少度是正常的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "36-37.5之间属于正常范围，只要给予适当保暖或散热就可以稳定"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "她体温一会高一会低是有炎症吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不一定是有炎症，宝宝体温在38度以下，有可能和哭闹，天气，保暖过度，脱水有关，不一定是疾病引起的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "宝宝吃母乳可以喂水吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我一天就喂她十毫升的水"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以的，宝宝体温正常后就不用喝水了，一般六个月以内婴儿不需要添加母乳以外的食物和水"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "天气热也不需要喝水吗，妈妈这几天有火"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "妈妈不烧，就是嗓子有一点疼，喝药的了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不需要，吃奶就可以，母亲要多喝水哦，不要吃的太油腻"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "希望我的回答对您有帮助，您还有疑问吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "没有的话您可以选择结束对话，过几天我回访您。祝宝宝早日康复。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢，没啦"
            }
        ]
    },
    "10208382": {
        "self_report": "孩子四个多月拉肚子快一星期了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "食量减了但是精神挺好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是母乳喂养吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这些药吃了几天了？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "母乳加奶粉但是这段时间奶粉一天只喝一次拉肚子这几天有奶粉一次只喂30或50加了思密达进去"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有5天了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "思密达应该是空腹吃"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "头两天吃的妈咪爱和思密达去医院后加了一个口服液一个乳酶生"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "次数有没有减轻"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "每天第一泡拉的比较稠也没有沫子就是奶瓣特别多"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天3次今天已经3次了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "你给宝宝喂药思密达是不合理的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "去医院那天拉了5次"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "思密达应该是口服吃"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不能加到奶里"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "医生没有交代药品上面写的是可以加奶粉里面的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "吃完思密达半个小时喂奶"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "妈咪爱可以加到奶粉里"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦~"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那大便里沫子多是咋回事啊？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "喝风了？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "沫子多考虑是消化不好"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有可能是受凉引起的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "另外妈妈的饮食注意，不要吃的太油腻"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "妈妈不能吃凉的和辛辣刺激性的食物"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "拉肚子前感冒了为了两天护彤感冒好了大概三天后开始拉肚子的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以给宝宝贴肚脐贴"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "肚脐贴也贴了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "口服液是四磨汤"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯，感冒也可以引起拉肚子的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "四磨汤帮助消化的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "因为拉肚子恢复慢一些"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "医生摸了肚子说也不涨"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "建议按我说的方法继续喂药看看"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "这几样药还继续吃？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以继续吃3天看看效果，如果效果不好，化验一下大便常规"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "已经吃了3天了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "妈咪爱可以吃几天啊"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "嗯，可以继续吃，没有事的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "妈咪爱差不多吃了6天了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "妈咪爱可以吃1-2个星期"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "一定注意腹部保暖"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "好，有事留言"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "再见！"
            }
        ]
    },
    "10318592": {
        "self_report": "宝宝昨天的大便有虫，今天中午给他吃了史克肠虫清，下午就开始打喷嚏流鼻涕，宝宝有脑部先天发育不良。要不要看医生",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发烧吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝昨天的大便有虫，今天中午给他吃了史克肠虫清，下午就开始打喷嚏流鼻涕，宝宝有脑部先天发育不良。要不要看医生"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "打喷嚏，流鼻涕，这是感冒啦？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "可是摸他手不冷"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天广州好冷的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "试体温了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "体温多少度？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就是刚好吃了清虫药就这样，所以就咨询一下"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "37左右，没有量"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "与虫子药没有关系的，你这是感冒了。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "明白了，谢谢你"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以吃上抗感冒的药物。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "及时观察体温变化"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，抗病毒口服液可以吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以吃上小儿感冒冲剂。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢你赵医生"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "两种药物一起吃，多喝水。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气的，有问题及时联系。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，再见"
            }
        ]
    },
    "10043643": {
        "self_report": "宝宝三个月，这几天有点拉肚子，一直在吃双歧杆菌三联，吃几天吃了后拉出来的大便有点透明的黏液，还有奶瓣，稍微有点稀，正常么？一直都是纯母乳，没发热",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好！请问宝宝腹泻几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "吃奶如何？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "吃奶都很好，精神也很正常的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有化验大便？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "化验了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "结果？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "现在便便糊状还是稀水样？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "糊状"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "治疗后复查大便了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前只服用双歧杆菌一种药物？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "之前大便有点水样的后来吃了益生菌后就成糊状了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "建议复查一下大便，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以考虑加蒙脱石散"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在每天拉四次，每次都不多，只有一点点"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的，那三个月的宝宝正常大便是怎样的呢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "注意观察宝宝精神状态，尿量，腹部等情况，就近二甲以上医院儿科复诊"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "会不会太小了，吃这个蒙脱石散有副作用"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的知道了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以成型，部分宝宝也可以是糊状的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "但目前宝宝血象淋巴细胞略高，不排除感染，"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦哦，我们有奶瓣，是不是消化不良啊"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "需要一定的病程"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "复查大便，酌情调整治疗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "请问还有其他问题为您服务吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "有需要随时为您服务"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那复查大便一般几个小时有用"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "最好半小时内的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，知道了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "取标本要看看有粘液的，肉眼不太正常的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "没有其他问题的话，再见！"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以继续口服"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "这个吃多了会不会有副作用啊"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "现在拉出来的大便黄，有点奶瓣，还比平时稀了点，其他还好"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "益生菌属于比较安全的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "现在宝宝可以吃维生素d么"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "我们目前只吃了ad"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "可以腹泻好了再吃"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "哦哦，知道了"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "再见"
            }
        ]
    },
    "10035761": {
        "self_report": "孩子两岁了，大便一直这样，一天拉两次不成形，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您这次的咨询医生"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更准确的判断病情，我需要询问您几个与病症相关的问题，好吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "小孩是足月产吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不是，29+3周"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "出生后母乳喂养？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗯，到现在还没断"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "添加辅食了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "加了，现在两岁了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有试过停母乳吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "从小到大，大便一直不好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "现在就晚上给他吃一次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有呕吐的症状吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有，吃饭精神状态都挺好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "肚子胀吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有去医院检查或者化验大便吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不胀，我摸着软乎乎的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "化验大便没事，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "大便常规没有发现脂肪滴吧？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就是以前吃过妈咪爱之类的药，一停就不好"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "脂肪滴是什么？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "脂肪滴是小孩肠道对脂肪没法全部消化，脂肪会随着大便排出去，查大便常规可以查出来"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "假如是的话考虑对奶类不适应"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "以前查过没听医生说"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那对孩子影响大吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "从病史初步判断您小孩是消化不良，对母乳消化不良"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "断奶自然就好"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那现在可以给他吃什么药调理吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "平时可以服用益生菌和复合维生素B就可以"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "吃多长时间"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以吃一两个都可以"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "直到肠道功能恢复"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "大便比较稀就加服肠道粘膜保护剂思密达等"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "那就是奶粉都不能吃吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "奶类要买低乳糖或者不含乳糖的奶粉"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "市场上有专门卖这样的奶粉"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯，还有中医说是脾胃虚弱，有关系吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "最近一段时间先不吃肥腻的东西，包括骨头汤"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯，鸡蛋可以吃吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "按中医来说就是脾胃虚弱"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您好，我是您这次的咨询医生"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您好，这是您小孩刚拉的大便？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯，刚拉的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "看起来就是属于消化不良，不是感染引起的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "大便性状还可以"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "是吃什么消化不良吗"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好几个月了，一直这样，"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "是的，有可能就是奶类"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "可是昨天奶粉和母乳都没吃"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "但是原来的肠粘膜已经受损了"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "恢复要一段时间"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "经过控制饮食和药物调理一段时间后估计可以恢复"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "一般要一周左右时间"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "就是像吃大米小米，红豆，南瓜山药，红枣，薏米，这类的，我经常给他换着样的打米糊，没事吧"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "可以啊，以淮山为主"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "嗯，奶粉可以吃什么的"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "青菜也是要有的哦"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "嗯，有时把菜叶煮饭里"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "奶粉可以买低乳糖的或者不含乳糖的"
            },
            {
                "sentence_id": "64",
                "speaker": "医生",
                "sentence": "具体牌子可以去奶粉专卖的店一般就有"
            },
            {
                "sentence_id": "65",
                "speaker": "患者",
                "sentence": "那他一直吃母乳，去年冬天一直是成形大便啊！"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "肠粘膜吸收消化功能会经常变化的"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "用化验大便吗"
            },
            {
                "sentence_id": "68",
                "speaker": "医生",
                "sentence": "既然有考虑了这个情况就得断母乳"
            },
            {
                "sentence_id": "69",
                "speaker": "医生",
                "sentence": "大便最好能查一下比较好，随时能注意小孩肠道的变化"
            },
            {
                "sentence_id": "70",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10273856": {
        "self_report": "检查结果如下，望给些建议，医生给开的果糖口服液有用吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这几张化验单太不清楚了，你能不能重新上传一下"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝今天检查，拍片说支气管炎症"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "我第一张化验单看的很清楚，就是支原体感染，第二张看的不清楚啊"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这回看清楚了，这个孩子心肌酶还是偏高的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "支原体感染的孩子很容易出现心肌损伤，需要口服营养心肌的药物，果糖就具有营养心肌的作用，这个药肯定需要口服的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃些什么药好呢？然后不打针，光吃药是不是可以"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "另外还需要口服阿奇霉素或者红霉素抗感染"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这个还是年龄多大呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦！孩子还腹胀"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "16个半月"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在有什么症状吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨天开始不吃不喝不拉不尿"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天大夫给开了开塞露"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有没有呕吐发热咳嗽的情况"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果是这种情况，我建议这个孩子输液治疗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "咳嗽不发热"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不发热不咳嗽怎么能诊断支气管炎呢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "咳嗽"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "但是不发热"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "支气管炎的孩子不一定都有发热的情况，有的孩子仅仅是咳嗽"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "孩子的精神状态怎么样"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哭闹"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "肚子还涨，不喝水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "支原体感染的孩子，会出现心悸各个系统的并发症，当然就包括心肌"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不吃饭"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果这个孩子，有腹胀的情况，不吃饭不喝水，我建议输液治疗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "单纯的口服药物是不可以的，并且口服药物的效果太慢了，效果太差了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "但是输液只能打阿齐吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "既然这个孩子都不吃东西了，也不喝水了，你为什么不选择输液？这样可以明显的缓解症状啊"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "对于支原体感染的孩子，只能选择阿奇霉素或者红霉素，头孢的效果很差或者说没有用"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "可是孩子上次打阿奇抽了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "所以害怕了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "什么意思？打阿奇霉素不会出现抽风的？跟打阿奇霉素没有关系的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "支原体感染的孩子就需要应用阿奇霉素或者红霉素，这个孩子体温正常，首选的药物就是阿奇霉素。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "那就是属于高热惊觉呗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "当时是不是有发热的情况"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "阿奇很刺激胃啊"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "当时的体温是多少"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "39度多"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的，阿奇霉素刺激胃肠道刺激血管"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "但是没有办法呀，支原体感染只能用这一类的药物"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "但是去长春打的就是头孢啊"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果当时的体温39度多，那应该考虑高热惊厥，与阿奇霉素没有关系"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "上次也是支原体"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "这孩子现在是支原体感染，只能用阿奇霉素啊"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "支原体感染本身就具有自限性，如果没有出现并发症，不治疗自己也会好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "但是这个孩子这一次出现了心肌损伤的情况，难道不需要治疗吗"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "等家人回来我就和他们说说"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "我认为首选的药物就阿奇霉素，而不是头孢"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "谢谢大夫"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10303716": {
        "self_report": "宝宝7个月（宝宝三天前来的姥姥家，两地距离在300公里左右。昨天宝宝无征兆的高烧不退，当地医生给宝宝打的小针，宝宝睡了一晚高烧退了。但今天孩子又出现呕吐拉稀等症状。今天一天拉稀4次。呕吐2次，但现在是吃完马上就会吐，而且是那种喷射的吐。宝宝是喂的，宝宝的妈妈从宝宝出生就没有母乳。）劳烦医生根据上述症状分析一下宝宝怎么了。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生，麻烦帮忙分析一下。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝有没有鼻塞流涕咳嗽咳痰这些症状。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "只有流鼻涕，但不多。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝这个主要是一个发热和胃肠道的症状，考虑还是一个胃肠型的感冒。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哪我现在应该怎么办？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "目前我应该做怎么样的辅助治疗。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "除了打那一支小针，有没有做过其他治疗措施？，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "宝宝一直也没哭闹过。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃过感冒药，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "什么药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "医用退热贴"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "这个是贴的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝精神饮食怎样？目前是没有发热了吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还有儿童小快克，和消炎药和"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "精气神挺高的，不太爱吃奶粉。喂的时候爱哭。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝去医院的时候还没有拉肚子，主要是发烧，拉肚子呕吐是后来才有的。所以医生用的主要是针对发烧的，宝宝吃奶哭也有可能是因为嗓子不舒服。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，吃的药没问题吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您在那里查血常规了吗？那里能不能查"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "在来姥姥家之前查过，我手里有化验单。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，那时候是因为什么查"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以发来看看"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "发过去了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那时候白细胞就有点高"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "当时没因为什么，想给宝宝检查一下缺不缺微量元素。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "好的，隔多久宝宝发热的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "4天"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那可以用您的那些感冒药和消炎药。因为宝宝还有呕吐腹泻建议可以加用小儿蒙脱石散和益生菌调理胃肠道。您观察宝宝有没有脱水情况，给宝宝喝水。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "吃的方面呢，吃完就吐怎么办。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "医生，总吐要怎么调理。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝吐两次了，那他吐的都是吃的东西吗，有没有咖啡色或者其他颜色的？宝宝吃了就吐，你就不要给宝宝吃多，适当扣着，这样可以减轻他胃肠道的压力。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "少量多次吃奶"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦，明白了。谢谢医生。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝拉肚子是什么样的？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "拉的有些稀。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "而且后两次都是屁在后面。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不是浠水样的吧？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "量大不大"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "弄的哪里都是"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "量大不大"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "在我看来挺大的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "每次量都多吗"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "前两次很多，后两次稍微少一些。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "行，可以用小儿蒙脱石散和益生菌看看。调理肠道功能和收敛大便"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "小儿蒙脱石散和益生菌，哪里产的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不好意思，我们不允许推荐牌子"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "孩子拉的浠水样会有什么后果。"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "我怕我们小镇上没有，我才想问问全名和生产地。不好意思啊，医生。问了不该问的。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "没有关系，这个帮不到你，不好意思，拉稀水样的需要警惕肠炎，然后警惕脱水。"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "哦。谢谢医生。我明白了很多。"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "(o^?^o)?YunOS真棒！"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气。"
            },
            {
                "sentence_id": "60",
                "speaker": "患者",
                "sentence": "祝您开心快乐。非常感谢您。"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不用谢"
            }
        ]
    },
    "10411864": {
        "self_report": "八个月小孩发烧才好现在拉肚子拉出来的屎屎绿色的屁股都化了怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝还在吃母乳吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝最近有着凉吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝有没有鼻塞流鼻涕？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前两天发烧才好"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯，当时体温最高多少度？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "热了几天？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "发热有没有带宝宝看医生？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "做过检查吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在咳嗽流鼻涕"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "奥，流清鼻涕还是黄鼻涕？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有喂了点药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "鼻涕流的多吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一天大约咳嗽几次？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "听着孩子咳嗽有痰吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "7~8次吧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "奥，宝贝晚上咳嗽厉害吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "晚上咳的多一点"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯，影响宝贝睡觉吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯4点多就行了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "都给宝贝吃了什么药物呢？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "醒了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "就是一个小儿止咳的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "感觉有好转吗？现在还在吃吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在不在吃了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃药就拉肚子"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝妈没有吃生冷凉的食物吧？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝贝有没有出现恶心呕吐症状？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在大约一天拉几次？大便怎么样？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "有打呕"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯，没有吐出来，那吃饭喝奶怎么样呢"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那倒没有吐奶"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝贝的大便很稀吗，含的水多不多？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝贝肚子胀吗，大便时候会哭闹吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "不哭不闹"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝贝小便量有减少吗"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯拉出来的颜色是绿的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "宝贝大约一天几次大便呢？"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "宝贝精神还好吧？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "拉4次"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "精神还好"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "宝贝这个情况可以暂时口服益生菌调节一下"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "观察2-3天看看，平时给宝宝热敷一下肚子，顺时针帮宝宝揉揉"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "如果宝贝大便次数增多，量比较大，宝贝精神不好，小便量少，就要及时带宝宝去二级以上公立医院小儿内科就诊"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好试试"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "可以检查一下大便常规排除肠炎情况"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "宝贝每次大便完都要清洗屁屁，预防红屁屁"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好知道了谢谢"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "宝妈不要吃生冷辛辣干燥油腻食物，避免加重宝贝腹泻"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "平时让宝贝少量多次吃饭，避免家中胃肠道负担，生病期间出现呕吐情况"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "还有疑问吗"
            },
            {
                "sentence_id": "63",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "没了"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "祝愿宝宝健康成长！"
            }
        ]
    },
    "10133506": {
        "self_report": "性别：女年龄：27岁问题：宝宝一岁两个月了拉肚子今天都第五天了每天两到三次大量稀便少量稀便也是两到三次宝宝不闹这几天吃奶面疙瘩稀面条照片是第一张是第一天的第二张是第二天的第三张是第四天的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在得"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝现在尿量有没有减少状态好吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "一直喂有淡盐水尿量还可以"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "状态还行"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在都给吃什么药物了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "长乐康思密达还有西药"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "你喝的淡盐水，是口服补液盐吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不是我自己弄的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "要上药店买那种口服补液盐，自己弄的浓度不行的。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝拉肚子，之前有没有吃得过多过杂的现象啊。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有感冒发烧，有没有接触，其他拉肚子的孩子。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "思密达怎么给它吃的一天多少量"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一次半包离其他药隔两个小时在15毫升水里混匀喝的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "你今天这样给他吃一包加五十毫升水，然后再改半包量加三十毫升水。要空腹吃。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "多谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "口服补液盐，要上药店买那种，配好的，直接冲水。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外宝宝现在拉肚子时间比较长，要给他补充锌剂，每天要吃足10毫克。可以缩短病程，防止复发。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你好，宝宝拉肚子好了吗？"
            }
        ]
    },
    "10042650": {
        "self_report": "宝宝五个月全母乳喂养大便稀颜色发青一天拉5.6次是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好有大便的照片吗能否传上来我参考一下"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝有没有受凉?"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "一直纯母乳喂养吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯一直是"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "就是有点绿"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝精神状态怎么样?"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还好"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "尿量少吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就是睡觉怎么踏实是的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不少"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这种情况最常见的就是消化不良引起的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是跟我吃东西有关吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "关系不大"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "需要吃什么药吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃点活菌调节一下就可以"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果精神好尿量不少不用担心"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦消化不良是吃的太多了吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有点关系"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦谢谢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "少量多次的喂点"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "明白了谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你好宝宝好了吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你好这跟你没有关系跟消化不良有关系"
            }
        ]
    },
    "10368724": {
        "self_report": "我宝宝前段时间吃比较多上火零食，后面喉咙痛感冒咳嗽，吃两天药后喉咙好一点但是发烧拉肚子了，一直反复发烧，流鼻涕，今天又吐，不吃东西，一吃就拉又吐，要怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前咳嗽还频繁吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "还好，一般就刚睡醒咳，睡觉不咳，白天偶尔咳，哭闹的，时候咳"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "咳的时候，感觉深不深，有没有痰"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就是流口水一直流，鼻涕这两天也好点了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "感觉有点深，这两天才会，之前不会感觉深"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽深的话，一般还是考虑呼吸道炎症，目前流口水，看过医生吗，嗓子里有没有问题"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "好像没痰，我也不知道有没有痰，昨天今天有时候有听到呼呼呼的声音"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有呼呼的声音，考虑还是有痰，目前服用什么药物治疗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "看过了，我们这医生比较差，我都看了三次还没好"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "医生有没有说气管里问题大不"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "头孢，还有去谈的，其他好像是消炎什么的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生没说什么问题"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以多拍背排痰，如果头孢药物治疗超过三天效果不好，可以换其他的消炎药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我听声音好像是气管不好似的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我宝宝每次感冒都是开那一种头孢，都没什么用"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "本身头孢也有很多种，头孢如果不好使，可以换换阿奇霉素，或者红霉素"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是不是感冒严重的也会流口水，以前就只有快要长牙才会，而且也就一点点，最近几天好多"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般有长牙，或者咽部炎症刺激，会流口水，本身感冒，流鼻涕，流眼泪，鼻塞，多一些"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "医生给检查过咽喉吗，有没有问题"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有查过，没什么问题"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那综合看来，目前宝宝还是存在感冒症状，咳嗽，疑似气管炎症。目前吃的什么药，如果效果不好，可以调整下"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，那我还是换个医院给宝宝看一下"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以的，稍微调整下用药"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "看症状问题不大，不用太担心"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我们镇上就一家医院，每次都是哪几种药，上市里看就很好，就是坐车比较远一点"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那好的，我就是很担心有什么严重一点的问题，问题不大我就放心"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "乡镇上医院的医疗条件有限，去市里医院看看，比较好"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯，是阿！"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "另外宝宝免疫力比较差，要怎么调理比较好呢，经常会感冒"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以吃点增强抵抗力的药物，会有效果"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "家里有两个小孩，大的一生病，小的也跟着生病"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "有哪些药可以增强抵抗力呢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以吃匹多莫德，或者脾氨肽冻干粉，提高免疫力"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "那好的，有问题随时再联络，再见"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "再见，晚安"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "你好，目前呕吐，腹泻厉害吗"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "今天早上到现在吐了两次"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "目前腹泻情况怎样，拉水吗"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "吐了三次，拉了一次，吐的时候是咳嗽然后吐"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "拉得很希"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "目前看到整体症状还是很明显"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "有拉水，昨天晚上喝了两次奶粉，早上吃了点稀饭，到现在就没怎么吃"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "刚刚吃了点水果"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "可以止吐，止泻治疗，多喝水，预防脱水"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "我给喂了思密达"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "跟金双歧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "止吐要怎么止呢"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "发烧一直不会退，三四天了，一直是37.3-38.2度之间"
            }
        ]
    },
    "10406885": {
        "self_report": "宝宝2月零1天，大便－天四五次有时伴奶瓣有时伴水，和我这两天吃水果龙眼有关系吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝贝是母乳喂养吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝贝吃奶怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有没有吐奶情况？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "是的，这两天大便一天四五次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "奥奥，宝贝腹部有没有着凉呢？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有吐奶吃奶也很正常"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "肚子摸着胀吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "小便量和平时一样吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有点胀"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "小便量也一样"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝哭闹吗？尤其是大便时候哭闹吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝贝最近精神怎么样？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大便时候有一点闹，精神也很正常"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯嗯，宝贝这两天的大便有臭味道吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "看着宝贝的舌苔厚吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "舌苔有一点白"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝贝每次的大便量多吗，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "您最近吃的水果凉吗，吃的多不多？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "大便有臭味，量不多"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝贝这个情况还是有些消化不良的情况，可以暂时给宝宝吃点益生菌调节一下"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "这两天没吃，上两吃龙眼多一点"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以给宝宝适当腹部保暖，顺时针揉揉宝贝肚子"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯，宝妈平时吃水果不要吃太凉的，也不要吃太多"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "每天都吃一点烧烤，有关系吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您如果吃的比较油腻，干燥的食物的话对宝宝也是会有一些影响的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "最好宝妈要清淡饮食，不要吃生冷辛辣干燥食物"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以暂时观察宝宝2-3天"
            }
        ]
    },
    "10274372": {
        "self_report": "新生儿43天母乳大便有泡沫怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您看大便正常吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这种情况几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "一两天吧"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "不正常"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是大便"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天到现在拉了一回昨天3回昨天没泡沫今天拉的有泡沫每天就是1到3次吧"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "得化验大便看看排除肠炎"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "给宝宝吃益生菌"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "妈妈别吃油腻的刺激性凉东西"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "肠炎还有什么症状"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "腹泻，发烧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不一定都得发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "需不需要再观察的看看"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不用"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "注意保温"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "他这也不算腹泻啊"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "和消化不良有关吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "消化不良，肠炎都有可能"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10358771": {
        "self_report": "什么原因啊？喝什么药管用",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "宝宝14个月了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "拉肚子是吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "看着像是"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "大便一天几次？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "之前每天拉一次，这几天都拉两次"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有呕吐发烧吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天已经拉了第二次了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子精神怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不呕吐，前天早晨有点发烧，后来又不烧了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "精神很好，和平时一样"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有咳嗽流鼻涕吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "根据你说的情况，还是像消化不良的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃过药了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没吃药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药，观察变化。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我刚喂了一点鸡内金散，不知道管用吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "加强护理，不要着凉，把肚子盖暖一些。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "在吃上妈咪爱和思密达一起吃。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就今天拉的稀，昨天和前天拉的不是稀的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "发烧以后容易引起消化不良的。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "家里有妈咪爱"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃上"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "再吃上思密达"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "和鸡内金怎么吃啊？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "仔细看说明，按说明书吃。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "吃了鸡内金再吃妈咪爱不会多吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不会多的，作用不一样的。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "能一起喂吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "她这么大，妈咪爱一天吃几袋啊"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一次一袋，一日两次"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气，有问题及时联系。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的，祝宝宝早日康复！"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "你好，在吗"
            }
        ]
    },
    "10191220": {
        "self_report": "我儿子十岁，十月二十号左右做到阑尾炎手术，都二十五天了，可以现在老是喊肚脐左上部位疼，伴有呕吐拉肚子，挂了三天的水了还是疼该怎么办呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我儿子十岁，十月二十号左右做到阑尾炎手术，都二十五天了，可以现在老是喊肚脐左上部位疼，伴有呕吐拉肚子，挂了三天的水了还是疼该怎么办呢"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "做手术前是这个部位痛吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "手术是阑尾炎"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不在这里"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这种情况几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕不"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有四五天了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "每天几次大便，"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "第一天有四次"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "打什么药呢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "后来挂水了次数就少了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不知道"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是在卫生院看的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "早晨起来疼的更明显"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "还有呕吐吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "偶尔会"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不过没吐出来"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "化验大便没有"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没呢"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "小卫生院里没有这些"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "建议去专业儿科就诊"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "化验大便，血常规"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "做一个腹部彩超看看"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "排除胰腺炎"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以吃米粥面条咸菜，多喝水"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "别的不能吃"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以吃助消化药观察"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "可是我儿子还有低血压现象，不吃东西会头晕的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "向肉汤类的可以喝呀"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "儿童低血压一般都得平时多运动，注意饮食为主"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在还有腹泻，不能吃鱼肉"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "所以比较着急的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "而且宝贝腹痛的部位，不排除胰腺炎"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "更加不能吃荤腥"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "昨天又开始头晕心跳加快的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "都得等到腹泻好转再说"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "这种情况更加应该去儿科就诊"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "有时候腹泻可能会引起心肌受累"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "也表现为心跳快，晕"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "赶紧去吧"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10363497": {
        "self_report": "2周宝宝没她症状，就咳嗽！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝咳嗽几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "昨天开始的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "都是什么时候咳嗽，频繁吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "白天，昨晚2次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "挺多的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "但也不是超级频繁那种"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "晚上能睡着吗？还是咳嗽的睡不好？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "能"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有呼呼声"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽之前有没有什么不舒服？咳嗽是干咳还是能听到嗓子里有痰？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "类似打呼噜但又不像"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有不舒服，精神挺好的，没感觉有痰"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有没有吃什么药？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "要吃吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在可以吃点止咳化痰的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有痰也吃止咳化痰的吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "止咳化痰不只是化痰"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "喔，那感冒药要吃吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不用的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那有什么药推荐吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以用肺力咳或者盐酸氨溴索"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果咳嗽有痰了再加上消炎药"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "咳嗽频繁影响正常的休息再加上镇咳的药物"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "这个是感冒引起的吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "咳嗽之前感冒了吗？"
            }
        ]
    },
    "10172348": {
        "self_report": "三个多月的宝宝一直拉肚有黏液和奶瓣，吃蒙脱石和益生菌十天还拉，吃的是深度水解奶粉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝腹泻多久？是出生后就有腹泻吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "不是，上周腹泻的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有化验便常规吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝除了腹泻有其他不适症状吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "上周化验两次，第一次潜血弱阳性，第二次阳性，这周还没化验，上周食欲不太好，这两天食欲还好。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝是腹泻后改用深度水解奶粉吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "能上传化验单看一下吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不是，用快两个月了，宝宝对牛奶一个加号鸡蛋两个加号不耐受所以吃蔼儿舒"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝大便有泡沫酸味吗？口服益生菌及思密达大便有变化吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "最初一天拉十几次是做后的一点稀便有泡沫，吃药后拉四五次，多数为糊状也有稀的。里面有时有黑点，有时有黏液大奶瓣有时不黏"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这是第一次化验的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "化验大便没有红白细胞，多次均有潜血，口服益生菌及思密达无改善，不支持肠道感染，建议改服氨基酸奶粉观察大便性状"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "喝一个多月没事，现在拉肚还会对奶粉不耐受吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "需要注意除外牛奶蛋白过敏可能，严重过敏可以服用过程中出现腹泻现象的，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "严重过敏需要服用氨基酸奶粉改善"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "对牛奶一个加号，鸡蛋两个加号。属于中度吧？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "恩，不过宝宝其他引起腹泻原因目前不的明确，宝宝太小不建议随便服药。可以改服奶粉治疗性诊断。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "上周是去医院买益生菌，医生开的益生菌我用凉水喂的还有醒脾养儿颗粒和碳酸钙。不会是我用凉水喂导致的拉肚吧？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果更换奶粉后腹泻改善那可以判断为牛奶蛋白过敏"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "潜血阳性还有什么可能引起腹泻？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "肠炎，过敏，乳糖不耐受，肠道发育问题"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "如果喝氨基酸得喝多长时间？喝完后能直接转适度吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果是过敏改服半个月可以改善，先诊断明确诊断。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "宝宝肚里咕噜咕噜叫，还可多屁"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这是腹泻的胃肠道症状，无论过敏，不耐受，还是肠道都可以出现这种现象"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您好，宝宝一岁之前如果没有过敏，目前鸡蛋过敏可能性不大。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "多是发热引起胃肠消化功能紊乱可能"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "目前宝宝有腹泻腹痛吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "生下来过敏，他是早产儿，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "后来化验不过敏了就吃了没事，感冒后就呕吐了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没有腹泻"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那之前对什么过敏？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "奶蛋白小麦过敏"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我给他停了半年然后化验好了才换正常奶粉吃了鸡蛋面条都没事"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "目前身上有荨麻疹吗？只是发热呕吐吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "就是上周发烧感冒我没在家，老人让他吃了鸡蛋呕吐了两次"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "什么症状都没有，就是呕吐了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝小，本来发热后消化酶分泌少，就容易引起消化不良引起进食差，呕吐，有的有腹泻或便秘现象。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "所以发热宝宝进食要注意清淡。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "这会是又过敏了不是啊？他呕吐的两天也不太吃饭。也咳嗽。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这是消化不好还是过敏啊"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝宝之前有过敏，随着年龄增大部分食物过敏会改善的。所以目前鸡蛋过敏可能性不大不过目前注意清淡易消化饮食，暂时不要吃鸡蛋"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "我们这的医生说之前吃鸡蛋没事就不会过敏，说是感冒后消化不好"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "哦，我还准备再试试鸡蛋里，那就继续停，那什么时候能吃啊"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "恩，过敏可能性不大，多是发热引起消化不良，所以目前注意清淡易消化饮食，如肉，煮鸡蛋，水果暂时先不要吃了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "体温正常后可以蒸蛋羹吃"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "这两天感冒都好了，还是不敢吃吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "一岁了吃鸡蛋羹还是不吃蛋白吗？"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "宝宝发热几天？体温刚恢复正常？"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "发热期间有进食差呕吐现象吗？"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "体温已经正常好几天了，那我明天试试蒸鸡蛋行是吗？"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "目前食欲好吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "食欲差不多了。"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "恩可以，目前可以吃稀粥，疙瘩汤，蒸鸡蛋羹观察。宝宝脾胃弱，注意适当少喂，不要吃太多"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "主要是不是过敏我就放心了。之前吃没事，是不是就不太可能过敏了周医生。"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "感冒刚好，食欲好转，一次不要喂太多。之前没有鸡蛋过敏，目前1岁过敏可能性不大"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "好的，谢谢。"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10234224": {
        "self_report": "半个月的宝宝，老是想吃奶，肚子老是咕噜咕噜响，放屁多还臭，一天一次大便很多，有奶瓣。这正常吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，有点不消化，是吃母乳还是奶粉？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这样有几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "肚子胀不胀？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没发现有胀"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没吐奶？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "经常打嗝，吐奶"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "每次吃完奶都会这样"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在黄不黄？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "皮肤黄不黄？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "皮肤不黄"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以先吃点益生菌，调理一下。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "如果效果不好，要化验一下大便。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "母亲饮食稍清淡一点。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "她大便是黄色的，带奶瓣"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "益生菌应该吃什么呢"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在吃着伊可新鱼肝油，能吃益生菌吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "比如妈咪爱，培菲康。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以的。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那好的，谢谢大夫"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "还有其它问题吗？或者不理解的地方？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果后续有问题，可以留言，我看到了，就会马上给您回复。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "那么今天就这样，如果后续有问题，再留言。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢????"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "谢谢！拜拜！"
            }
        ]
    },
    "10137974": {
        "self_report": "宝贝六个多月，前天晚上开始声音嘶哑，昨天开始流清鼻涕，昨天中午时拌有少量血丝，喝了消炎药，今天晚上吐奶拌有少量血怎么回事呀？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "首先请问宝宝有没有发热"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "什么问题"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "首先请问宝宝有没有发热"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有发热，但是有出汗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝有没有咳嗽"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有一点点"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咽喉部有没有吱吱或呼噜声音"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "一天最多咳两三声，听声音好像有点"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝呕吐几次"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有呕吐，就是吐了点奶，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝今天吐奶几次"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一次"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "血丝多吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "呕吐物中有粘液吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "拌有血，还有两次没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "你好，通过描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就晚上的有痰，奶少"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不严重吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "因宝宝太小，建议到医院合理检查一下胸片，了解一下肺部和气管炎症情况"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "呕吐带有血丝很有可能是呕吐症状导致局部小毛细血管破裂原因"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "建议合理检查规范治疗。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦哦，知道了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "最近特别爱流口水"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "舌头爱往外顶"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "顺便找医生看一下咽喉部有没有红肿"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦哦，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "知道了，谢谢，没有了"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "g多数考虑呼吸道感染原因，如果没有红肿，应该是习惯问题。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "那就结束了，好吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "再次祝宝宝健康成长，再见"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10289915": {
        "self_report": "宝宝10个月了，拉了四五天了？是不肠胃不好，该吃什么药好呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "宝宝大便什么样子？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "一天拉几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "4次"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大便有照片吗我看看"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "拉的稀"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝吃母乳吗？有没有加辅食？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没照片"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃奶粉"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "加辅食了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝有没有吃不好消化的食物?"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "都是什么?_?"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "比如恶心呕吐，发热等症状"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "面个汤"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝有没有吃凉的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃草莓了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝大便有没有脓血或者粘液？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝尿的多吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "您还在吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果您超过五分钟不回复，系统会自动关闭对话，您还在吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果宝宝大便有脓血，需要去医院儿科就诊，查大便常规，明确腹泻原因，对症治疗哦"
            }
        ]
    },
    "10263029": {
        "self_report": "孩子嗓子有痰，要是自己在家做雾化的需要有什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "35个月"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝除了有痰还有其他症状吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不厉害，躺着睡觉一声半声"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗓子哑吗？有没有气喘？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我感觉要感冒"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽有痰多久了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "昨天"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "宝宝受凉了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "家里有没有感冒的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有感冒的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有查"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "医生听诊了吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "还在吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "听着有痰，还需要进一步听诊肺部有没有炎症"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好，得去听一下检查？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果单纯有痰可以雾化，如果还有啰音需要消炎治疗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好滴"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢您，我自己在看看"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10321571": {
        "self_report": "孩子前几天发烧医院验血说没什么事给开了蒲地兰环酯红霉素昨天烧退了开始咳嗽挺严重无痰今天又发烧了请问是什么原因吃易坦静可以吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "39度"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "手脚凉吗？身上有汗吗?有没有吃退热药？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没吃退热药"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？喝水多吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "喝水"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没精神"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "尽量给宝贝多喝水，需要吃退热药先退热哦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "2岁多不到3岁"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "咳嗽是发烧带的吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝今天都吃什么药了？吃了多久"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "咳嗽发热都是炎症表现"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "前几天去验血大夫说没事"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天都退烧了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "几号查的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天又开始发烧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般体温正常三天才叫做体温稳定哦"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "大前天"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "病毒感染可以没有任何异常的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "他现在吃蒲地兰环酯红霉素和易坦静可以吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "咳嗽没有痰"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这些是消炎抗病毒的还有化痰药"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嘴里有溃疡吗？身上有皮疹吗？嗓子哑吗？有没有气喘？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "大便有点稀"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝有没有腹痛，头疼呕吐等症状"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "腹痛恶心没有"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在手脚凉吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "您说的皮疹是什么样的我"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "他脸上可能痒"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "总抓"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "红色的高起皮肤的疙瘩"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝平常容易过敏吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "手脚正常"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "不凉不热"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "不是过敏体质"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "家里有布洛芬或者臣功再欣吗？先给宝贝吃退热药"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "有布洛芬"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "先给宝贝吃了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝宝手脚有没有皮疹？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝宝皮疹是吃药前就有还是吃药后出现的什么疾病"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "没有皮疹"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "宝宝什么时候咳嗽厉害"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "咳嗽的话吃易坦静行嘛"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "除了血常规还有其他检查吗"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "昨天晚上开始到今天一直咳"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "没有检查其他的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "有没有拍片"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "医生给宝贝听诊了吗"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "听了"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "说没事"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "看嗓子有点红"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "所以给开了蒲地兰"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "但是这几天我也有点咳嗽能不能是交叉感染呢"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "宝宝现在体温不稳定，而且咳嗽加重，说明病情没有控制住，建议带孩子去公立医院儿科，再次听诊肺部，根据情况，完善心肌酶支原体等相关检查看看"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "家里有反复感冒的可以交叉感染，症状加重哦"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "应该怎么办呢"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "带宝宝去复诊，给于听诊及完善检查看看"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "是否需要调整治疗"
            },
            {
                "sentence_id": "67",
                "speaker": "患者",
                "sentence": "好的谢谢"
            }
        ]
    },
    "10235758": {
        "self_report": "医生，你好，我的宝宝现在10个月了，这几天不知道怎么了，又吐又拉，还咳嗽去医院也去了，液也输了，一直不见好，请问要买点什么药给他吃",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我的宝宝现在10个月了，又吐又拉"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝腹泻几天了？发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还咳嗽，请问要买点什么药给他吃"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕不"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "5天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不流"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不发热"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽几天了？一阵一阵的吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "咳嗽昨天开始的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是一阵一阵的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "输了2天的液，还是一直不见好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "去医院很多孩子都是这样"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "多的话有6-7次，少的话都有3-4次"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在用什么药呢"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "声音没有，听的见好像有痰在里面一样卡着"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "打什么药呢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "补液盐，还有秋泻宁，"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "打的有点消炎的，还有喜什么，别的就不清楚了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "化验大便没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "化验血没"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有医生没有叫我们化验"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "咳嗽的是氢溴酸右美沙芬"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "得化验大便，血常规看看排除肠炎"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "医生请问小儿吐泻宁能不能吃，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "给宝贝吃益生菌和思密达，隔开2小时"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "现在是母乳喂养吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "停辅食"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "奶粉，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以吃奶米汤"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "换成腹泻奶粉"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "补充锌剂"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "恩，好的，"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以换成氨溴特罗口服液止咳化痰"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "必须化验大便，血常规看看"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "妈咪爱可以吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯可以用门面但是如果要是我在连过四人好点的有那两个效果更好，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的，谢谢你"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦好的谢谢你医生"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "咳嗽的药也是两个小时后再吃吗"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "都是空我就去买别人的半点质疑整点过两小时给他的打击，"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "哦，好的谢谢医生"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10582828": {
        "self_report": "宝宝出生才六天胃口不好。喝水肚子里会有咕噜的声音。一次喝20毫升奶。我宝宝是单脐动脉的。而出生的时候是脐带打结。现黃疸在吃药。大便好像拉肚子。这到底是什么原因。是发育不好。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子是奶粉吗？喝水多吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不爱喝水"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吃奶粉的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "吃奶20,不算很少。一天可以吃多少奶粉？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "二小时一次"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "母乳不多偶尔吃一点"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这和单脐有关吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一天可以吃480ml的话，还是不少的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子体重多少？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "6斤七两"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "39周加3。顺产"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "只要目前一天吃400ml，就不算少的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "单脐动脉不一定有问题"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那大便好像消化不良。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有在吃妈咪爱"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "感觉肚子有咕噜咕噜的声音，也是正常的肠鸣音"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "大便绿色。吃的什么退黄药物？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "大便有水样"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "黑绿色的水样"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这个药物本身可以引起大便发绿，偏稀的。吃药之前大便稀吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃药前大不稀的。有消化不良一小粒白色的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "哦，那么确实是消化不良。可以吃妈咪爱调理的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个笑话不笑话不良也和孩子北京人年龄小哦哦吃的东西相当于存了两倍时间还多着呢吗你会吗有关系，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "妈咪爱注意奶前吃，别用开水"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "在吃呀！那现在我该如何"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是呀奶前吃用的是温水。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "建议继续治疗，等黄疸好了停药后大便一般就没事了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前孩子的奶量算起来表能打到三毫升，就是正常的那个表单不要担心，"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "胃口不佳没事吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不要一天能吃四百好上就说明不是什么胃口不佳是正常的演讲，"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "我只是担心单脐并发症"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这个男人一路买的吗你网上的婴儿大多数都是没的问题的，如果担心的话你的孩子会出现什么那就去买不好的肉发育缓慢但大脑喃百度的话，那就会出现一次的下的情况目前孩子，发育应该是正常的嘴唇也表担心，"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "那黄疸要去复查吗？几天查一下"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "阿黄买了药吃了几天的牌差点黄胆值多高，"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "13。四天"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "正常的黄疸数值十二点酒，吃饭的话确实是女儿黄疸，的分品种目前的市场来说很痛苦的，一次压五天就去复查了吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好！谢谢"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气的孩子目前表示困难一天能达到那个量就是咆哮上那女的坐我发育好的话，你就说明没有大的问题，有雨就停了车吗你爱就可以，咯我建议那就等孩子黄疸的数值降下来之后吧还得要一点有可能的大便就能恢复正常了，"
            }
        ]
    },
    "10247695": {
        "self_report": "七个月婴儿一直拉绿色便便，一般都是早上一次，是母乳喂养量不足还是消化不良？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大便量多吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有没有稀水或奶瓣？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "差不多还行"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "纯母乳喂养吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大便这样多久了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "他一直都是绿色便便"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "母乳够吃吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "自我感觉差不多不太确定"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一次宝宝吃多久"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "晚上吃几次奶"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "饿的时候会吃五到十分钟左右"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般母乳需要半小时左右吃饱"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "四五次我也没有注意"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一个奶够吃吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "次数偏多"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "一般一到两次"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他不吃奶粉所以会加一点点饭他不好好吃也"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以给宝贝加米粉奶粉"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有买的他不吃灌吧哭闹的厉害"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "和米粉冲一起就可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "是否应该不管他在哭闹依然还是选择哭闹停止后慢慢加点"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "等宝贝饿急了，先用奶粉冲米粉喂一些"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "让宝贝慢慢习惯"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "他的体重在三个月就不涨了不过身高长"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不要着急"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝夜间吃的比较多，说明营养不够的，需要及时添加辅食了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "母亲需要多加汤水哦"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以给宝贝顺时针揉一下肚子或者热敷一下，用热水袋，注意不要烫伤。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "有助消化"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "多加汤水？不太明白"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝大便发绿本来就是消化不良表现"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "母亲多喝汤水"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "我自我本身感觉也消化不良大人都说吃油食奶水多老让吃肉可我觉得自己消化不了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "您多喝粥或者汤也可以"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "平常多吃熟食"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯嗯多吃肉有利于奶水增多嘛"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "像猪蹄汤，鸡汤等胶原蛋白丰富的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "是的哦"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的非常谢谢您"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "谢谢助消化益生菌大约可以吃多久"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "一般一星期左右"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "不能吃太长时间是嘛我以前看的医生说让宝贝一直吃都没事"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "这个也是药物"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "没必要一直吃"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "嗯好的谢谢您"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "61",
                "speaker": "患者",
                "sentence": "谢谢好的"
            },
            {
                "sentence_id": "62",
                "speaker": "医生",
                "sentence": "再见哦"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10278610": {
        "self_report": "儿子8岁发烧到38.5度，医生给开了头孢.山香圆颗粒，盐酸氨溴索片，效果不好，该如何治疗，平时偶尔有痰！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子发烧多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "请给个建议，谢谢"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天下午1点左右"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "疾病的治疗总有个过程不可能一蹴而就的，不可能口服一次药物，所有的症状都消失了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "5点拿的药，当时37度，现在是38.5度"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "该如何呢？??"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "你的意思是不是口服退热药物以后体温，控制的不明显"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有服退热药"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那就是孩子除了发热，嗓子眼儿有痰还有其他的症状吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是发烧，现在也没有疾"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "痰"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "那这个孩子发生之前有没有受凉的情况？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "平时偶尔咳嗽，吐痰"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有，家里人没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那孩子有没有说嗓子疼痛啊"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "目前不疼，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "就是说这个孩子除了咳嗽有痰，再就是发热，没有其他的症状了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那应该考虑呼吸道感染"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "恩恩"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子一般有3到4天的高峰期，在这个期间孩子会出现反复的发热，过了高峰期以后症状会逐渐的。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以给孩子口服感冒颗粒和清热解毒药物"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "考虑到这个孩子咳嗽的时间比较长，应该口服消炎药的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "喝点红糖姜水行吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天拿的药继续吃，行吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "你的这些药物可以继续吃，加小儿氨酚黄纳米颗粒就可以了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "、好的，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢您了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "观察两天到三天，如果体温仍然不稳定，建议你到医院进行血常规的检查"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "恩恩，好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "有什么问题怎么继续咨询您呢？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "点击首页-康复记录-找到我，进去后点击再次咨询，我看到您的留言后会回复您。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "通过这种方式都可以联系到我"
            }
        ]
    },
    "10297732": {
        "self_report": "一岁多宝宝吃东西就吐，还拉，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发病几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在打针，但是不见好转"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不发，只是没精神"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在还是吐吗？大便什么样？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "低烧，不怎么烧，拉水样，吐的发白"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "你现在在住院治疗吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "打针"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "在哪里打针呐，还是输液啊。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "烧得不稳定，一会烧一会不烧的，喝水都吐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "家里的医院"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "在乡镇医院里输液吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "县里"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还不见好转"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "在医院里住院治疗，输液不见好转是吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没住院，只是明天还要去打一针"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你说的打针是不是输液呐。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "点滴"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "输液"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，我明白了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "也有点感冒"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是有消化不良。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个呕吐腹泻完全控制需要有个过程的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "应该继续输液治疗的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "呕吐，腹泻，很容易脱水的，必须输液。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有办法了么？还时不时发烧"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "怎样才能消化好呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以同时吃上助消化的药物。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一般得需要一周左右会好的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "什么是助消化的？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "??那么久"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以吃上吗米爱和思密达注消化的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "同时在输液效果还好"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦哦！好的！谢谢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "是的现在冬季里的腹泻恢复时间比较长的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "好的，继续输液治疗吧。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "有问题及时联系"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气，祝孩子早日康复！"
            }
        ]
    },
    "10246331": {
        "self_report": "5个月大的宝宝今天打完骨颈炎预防针，吃奶就又吐又拉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在几次大便了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "2此"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "但吃奶就吐"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "母乳喂养吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "母乳的，状态比平时差点"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕不"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不咳嗽，有点鼻涕"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "鼻涕多不，黄吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没打预防针也有点流鼻涕"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不多清的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就是打完针就吃奶吐"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是脊髓灰质炎疫苗吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "打针吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "滴到嘴巴里的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这种情况容易引起拉肚子，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "因为宝宝之前已经有流鼻涕了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可能是着凉引起的感冒"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "拉肚子不多啊，吐的多，一吃东西就吐"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦哦，和预防针一类的没什么关系吧？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有关系"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "得化验大便看看排除肠炎"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "能喝水不？能放屁不"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "前段时间肠炎住院都一个多星期的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "能，放屁"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "和宝宝吃药后脾胃虚有关系"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦哦，那没什么事吧"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "把我们吓到了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "要注意什么吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "换大便小心地排除肠炎，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦哦好的知道了谢谢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可以吃助消化药观察"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10425421": {
        "self_report": "宝宝发烧可是手脚冰凉怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "问啊？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "17个多月"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天中午开始"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "最高体温多少度"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "38.6"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不知道啊应该是着凉的吧"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "比如打喷嚏，流鼻涕，咳嗽等"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有哦对了吃饭吐了一次"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "流鼻涕"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "从描述看，宝宝着凉后流鼻涕，伴有发热，考虑上呼吸道感染"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发烧是一种免疫保护性反应，发烧本身不是病只是一种症状，体温超过38.5度口服退烧药，体温没有超过38.5度，可以物理降温:1.观察孩子的精神状态和脸色，孩子如果有寒战怕冷手脚发凉。此时不能用冷水擦，也不能冷敷，此时极易抽搐，2..孩子没有汗但四肢手脚热，可以用温水擦浴，温水把孩子的大腿根，脖子下，腘窝，腋窝，擦擦降温。也可以洗一个热水澡。物理降温可以反复进行，直到体温退了或孩子出汗。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "3.多喝水，少量多次"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "发热手脚凉是因为宝宝神经系统的发育尚未完善，负责管理血管舒张、收缩的植物神经易发生紊乱，导致发热时四肢末端的小血管处于痉挛性收缩状态而发凉。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那需要怎么样帮助降温"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议带宝宝到公立医院儿科合理检查一下，了解咽喉部有没有红肿，化验一下血常规和CRP，分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "贴退热贴行么"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果超过38.5，建议应用退热药物"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "吃了药了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果检查不严重可以口服感冒药物和清热解毒药物"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "也贴了退热贴"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "比如小儿氨酚黄那敏颗粒，小儿清热宁"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "注意多喝水，防寒保暖，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "是需要盖严实点还是给他透气一点啊"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "清淡饮食"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "要出汗么"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不要捂得太热，这样影响散热，不利于退热，多喝温水"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "建议带宝宝到公立医院儿科合理检查一下，化验血常规和CRP，分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦哦不需要捂出汗啊"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "多喝温水也可以出汗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的就是可以出汗但不要捂是吧"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "一般正常着凉发烧的话多久能好啊"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "一般上呼吸道感染需要3-5天"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "饮食要清淡奶粉可以喝么"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "有事随时联系"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "你好，宝宝体温正常了吗"
            }
        ]
    },
    "10292033": {
        "self_report": "九个月宝宝最近大便次数多。有点点稀，化验单这样。请问有问题吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前一天大便几次，有水样便吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "大概三四次"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "前两天有，现在好点了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前大便是什么形状，有大便图片吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "看大便常规，有少许白细胞"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这个化验单看的怎么样"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "主要是个消化不良，肠炎情况不明显"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "白细胞少许是什么意思？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "不多"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "一般1+"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "说明有明显炎症"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那要怎么办？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前我看你就医看过医生，医生开药了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以先吃点益生菌，调理肠道菌群，帮助消化"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "贴个肚脐贴"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "保暖腹部"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "益生菌有牌子吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "可以吃蛋黄吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "蛋黄比较难消化些，最好这几天不要吃，会增加胃肠负担"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "益生菌，都可以，药店都有，吃一点，布拉式酵母菌好一些"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "对了，宝宝还咳嗽，喉咙有痰，医生听肺部说没问题。可就一直咳嗽"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "医生开了克洛己新"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "还有肺力咳，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以的，还是比较对症的药"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "有痰的话，多拍背，也可以雾化祛痰药"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "那肺力咳，16斤左右，吃多少毫升啊？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "一次吃4ml就可以"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那个拉肚子家里有妈咪爱可以吃吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以的，挺好，我们经常用"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "和上述两种药一起吃没事吧"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "没事的，喝奶粉的话，妈咪爱可以放奶粉里"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "每次吃多少，一天吃几次？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "一次半包，一天两次，可以"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "再问一下，之前医生开了依托红霉素，宝宝可以吃吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "红霉素有胃肠道刺激，你目前腹泻，不要吃，会加重拉肚子"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯，好的，对了，克洛己新，30多斤，每次吃多少？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "一次三分之一包，一天三次"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还有别的需要咨询吗"
            }
        ]
    },
    "10113063": {
        "self_report": "宝宝3个月断奶喝奶粉，觉得哪个有点贵，给他换一种，结果拉肚子，又给他换之前喝的那个奶粉，还是拉肚子，给他贴肚脐好多了，还是有点奶饭，中间好了有一个月吧，现在又厉害了，现在5个月了，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "喝的优博羊奶粉"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "第一个喝的是这个吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "第二个喝的是和氏羊奶粉"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "原因是您没有转奶，而且羊奶粉不容易拉肚子，比牛奶的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "换品牌是需要转奶的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "什么是转奶"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "就是一点点增加新奶粉的量，最后都换成新奶粉，这个是需要一个过程的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "那现在怎么办啊"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "已经两个月了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不能一下都换成新奶粉，要掺着喝的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "拉肚子期间吃过什么药吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "贴的肚脐，喝药了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "当时管用，不贴就又拉"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "喝的药叫什么名字"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "记不清了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在有什么方法让他过来吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "需要慢慢调理一下"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "怎么调理呢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "您明天需要给宝宝化验个大便，看看有没有感染，如果没有吃着益生菌，最好是三联的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "加上蒙脱石散"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "蒙脱石散是奶前半小时到一小时，益生菌奶后半小时到一小时吃"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "吃的益生菌是君乐宝的，"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "化验大便是有必要的，因为需要确定宝宝有没有肠道感染，有感染的情况下治疗方案不一样"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果这个益生菌效果不好可以换一种"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的明天我去看看"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "什么牌子的益生菌好点"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "效果好点"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "您去医院就诊，医生诊断的什么疾病"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个您需要钱去医院问问医生，每个医院的益生菌种类不一样"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "小诊所说是消化不良"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯，的确是不好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "益生菌需要吃一段时间"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "这个还是拉的好点的大便"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "君乐宝的益生菌怎么样"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您可以试一下效果，如果没有感染，配合蒙脱石散服用"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "医生宝宝闹人呢，要睡觉了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "先哄宝宝去吧?"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "希望您的宝宝能尽快康复"
            }
        ]
    },
    "10783584": {
        "self_report": "1岁宝贝咳嗽，流鼻涕",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不发"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "几天啦？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "两天"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "去当地公立医院检查过吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "去过了，得药吃也不见好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "医生诊断什么疾病？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "着凉引起的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是着凉引起的感冒是吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯，是的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃的什么？要知道名字吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "对不起，打错字啦？吃的什么药物知道吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那什么黄颗粒"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "小儿氨酚黄那敏颗粒是吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还有阿莫西林"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯，是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有止咳的药吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好哒！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "我基本上了解了孩子的情况，你听我说一下。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "根据你说的孩子的情况，咳嗽，流鼻涕，这是呼吸道的疾病。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还是像有上呼吸道感染，就是我们平常说的感冒啦？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "感冒恢复是需要有一个时间的。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "(⊙o⊙)哦"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "感冒的原因也是很多，尤其是着凉会引起的。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那该怎么办呢？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "医生开的药物有消炎的，有治疗感冒有咳嗽的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "现在孩子精神好吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "孩子没有发烧，如果精神好吃奶也好。可以继续口服药物的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "治疗时间短，病情还没有完全控制住，所以还是咳嗽流鼻涕的。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "医生开的药物可以的可以继续口服两到三天观察咳嗽的变化。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果不见好转，就去当地公立医院小儿内科就诊检查。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "化验血常规，拍胸片啊，看是否有气管炎和肺炎在适当的调整药物，效果还好。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "孩子小，抵抗力差，感冒以后很容易引起气管炎和肺炎的，一定要仔细观察病情变化。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "服药期间一定要加强护理，不要着凉，适当的多喂水喝。"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不要吃容易上火的东西。"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "止咳的药物吃的是什么知道吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以在加上小儿肺咳颗止咳化痰粒效果不错的，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可你原来的药物一起吃。仔细看说明，按说明书吃。"
            }
        ]
    },
    "10360298": {
        "self_report": "打了2天针，贴中药反而严重了，看了好几个医院了我该开什么药给宝贝吃，该找那个医生看",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝治疗多久了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "4天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝贝咳嗽咽喉红肿疼痛有痰带有支气管炎症，拉风泡泡，打喷嚏流鼻涕，吃了很多药都不行怎么办"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "从刚开始到现在都是吃的什么药"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "做雾化治疗的，还贴中药，还吃阿膜西林和宝咳灵都没有效果"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一直都是这几种治疗是吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "现在又打喷嚏流鼻涕，又咳嗽又拉风泡泡，眼泪汪汪，还上火眼si多很"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我该给宝贝吃些什么药呢？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝有没有发烧，咳嗽频繁吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "前两天发烧，现在咳嗽老火"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "痰多不多？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "宝贝咳嗽咽喉红肿疼痛有痰带有支气管炎症，拉风泡泡，打喷嚏流鼻涕，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "尤其咳老火"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "咽喉红肿扁桃体有没有发炎，是咳嗽上火吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝现在多大了？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "9个月"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有没有什么过敏的药物？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不过敏"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "因为口服药物本身吸收少，见效慢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "现在吃药4天药物才刚开始要发挥作用"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "这几天吃过头饱，小儿解表颗粒，川贝口服，化痰"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在要继续吃药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "头孢和阿莫西林选一种"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃些什么药呢？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "止咳化痰呢"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "还吃过宝咳灵和肺灵颗粒"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "止咳化痰可以用肺力咳或盐酸氨溴索"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "再加上抗病毒的药物"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "拉风泡泡该吃什么药"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "抗病毒吃什么药呢？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "拉风泡泡是什么？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "宝宝有没有拉肚子？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "垃希有泡沫"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "一天大概拉几次？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "有10次"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是什么颜色的？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "黄带绿"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是水样的，还是上面漂着一层像是鸡蛋花样的大便？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "水样的带泡沫"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "宝宝精神状态怎么样？小便有没有减少？最近饮食都是吃的什么？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "吃奶，精神不好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "母乳还是奶粉，有没有换奶粉？精神不好是哭闹还是老是想睡觉"
            }
        ]
    },
    "10122381": {
        "self_report": "宝宝还在咳嗽，前两天又开始拉了，拉出来是水跟奶拌，还老漏屁，肚子里有时还隆隆的响，吃了药也还是没好，是怎么回事呀？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "首先很乐意为您解答！我需咨询相关信息，请如实作答。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽多久了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "2号开始"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有治疗过吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "白天不怎么咳，半夜跟早上咳的比较多"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有的，也去医院化验了血"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "说支气管有点发炎，不要紧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "可以看看结果吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有鼻涕？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "主要是这个拉没有，早上吃奶有鼻塞"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在还在吃药吗？咳嗽有没有减轻些？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "还在吃，前天去的医院"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不是很明显呀"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "支气管炎的咳嗽可能需要半月才能好"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "所以咳嗽的药还是继续吃，如果方便，可以给宝宝配合做雾化止咳"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "您觉得拉肚子是现在的主要问题吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "一天拉几次？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "大便也检验过了吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "三次左右，老是漏屁屁"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "大便没有"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "之前是两三天才一次的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "其实拉肚子也不是特别严重"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "算轻微的拉肚子"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吃的宝乐安了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "现在宝宝多大？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那就继续吃药看吧？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "3个月"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "母乳还是牛奶"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "母乳"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是凉了肚子了吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "母乳是吧，大便也会稀一点"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "也可能是生理性腹泻"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "继续吃药吧，观察三四天"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "可以前是两三天才一次的，拉的是稠的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "生理腹泻是什么意思"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "看看有没有好些，没好转就去化验下大便"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "敢不敢吃小儿葫芦散？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "六个月内的宝宝拉肚子，不是因为感染导致的，因为本身胃肠道的发育引起的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这个我知道"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不影响吃奶，长体重这种就是生理性腹泻"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "可以给我看看说明书吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "什么说明书？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "小儿葫芦散"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "肚子隆隆响是着凉吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "没有说明书，因为不是整盒买"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "拉肚子肠蠕动增强，就会响，放屁"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "那还是不要给宝宝吃了"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "明白了"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10192483": {
        "self_report": "宝宝流鼻涕吃了小快克快好了，然后我给他洗了澡后第二天加重了，开始咳嗽，咳嗽有2天了，我就给他吃了小儿宣肺止咳颗粒。但是现在还是流鼻涕跟咳嗽。该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，很高兴能够帮助你。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝这样持续一共要多长时间了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "流鼻涕到今天有6天"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "咳嗽有2天"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "大概一星期"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "没有发热吧？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨天晚上没咳嗽不晓得个是半夜蹬被子又着凉了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天咳嗽加重了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "考虑宝宝是再次受凉导致的。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "现在该怎么办？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "痰不多"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就是感觉鼻子不通"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "食欲也还行"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那怎么有其他症状吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那宝宝有其他症状吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "好的。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "鼻子睡觉会不通"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以用点蒲地蓝消炎口服液。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "就这个就可以吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "今天我没吃感冒药了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "喝了咳嗽药"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "就是那个宣肺止咳颗粒吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯，可以配合着蒲地蓝消炎口服液一起用。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "看看宝宝嗓子红不红。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "感冒药还需要吃吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "那个口服液有没有副作用啊？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "副作用不大。药物都有一定的副作用。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "那个快克还可以吃"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "如果嗓子好该怎么办"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "红"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "就这三种就可以吧？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "那就可以给他用点力巴伟林喷雾剂抗病毒。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "怎么吃啊？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "这个直接喷就行了，不用吃。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "抗病毒的。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "像宝宝这种症状受凉之后流鼻涕咳嗽，大多属于病毒性导致"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "三天没有好转，可以去查一下血常规，看白细胞高不高，高的话提示有细菌性的炎症，需要加用消炎药。"
            }
        ]
    },
    "10121865": {
        "self_report": "四个月宝宝拉肚，母乳奶粉混合喂养，去医院验了大便，说是消化不良引起的，医生叫吃妈咪爱，可是吃了一星期没好转，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大便一天几次呀"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "差不多十次"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，妈咪爱时间肯定不够，另外可以吃点儿蒙脱石散"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "吃了就拉带有奶瓣"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯，确实消化不好"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "思密达也吃了，医生还开了什么酸蛋白片，没吃"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "睡觉时候不拉，吃完东西一会就拉"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃了蒙脱石散多久"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃了三天没见效"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就没吃了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "您的时间都不够呀"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "还要继续吃么"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "您继续吃这两个药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一个妈咪爱"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一个蒙脱石散"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "妈咪爱长期吃"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还吃别的麽"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "蒙脱石散再吃五天"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "暂时不吃其他的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这个药有必要吃么"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "暂时不吃吧"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "有问题随时联系吧"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好"
            }
        ]
    },
    "10192306": {
        "self_report": "孩子九个月了，前几天咳嗽有痰，鼻子不通气打了三天针去痰和消炎的，没好利索，隔了两天，昨天晚上给孩子洗了澡，晚上睡的挺好的，早上六点给吃奶，还没吃奶就开始咳嗽起来了，咳嗽的挺厉害的还吐了是痰，不一会孩子就开始闹起来了发烧38度多，十点多吃的退烧药美林，烧退了下午两点多又开始发烧又吃了退烧药，是我昨晚洗澡凉着了吗，，我婆婆说不发烧也给孩子吃点退烧药可以吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我应该去医院给孩子打针吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两点多吃的退烧药现在不发烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝咳嗽厉害吗？影响睡眠吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗓子哑吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "上午十点多发烧了吃药了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "咳嗽厉害有痰，不是一直咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗓子不哑"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "最好带宝宝去公立医院儿科查一下血常规看看"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "听诊肺部看看有没有肺炎"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "前两天查血常规了白血胞两万我才给打的针"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天早上发的烧，跟我昨晚洗澡有关系吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝又出现发热，咳嗽加重可能是又感染了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个不好说"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天晚上看看不行明天就得去医院了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "血常规三天以上就可以复查"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯嗯勤量体温"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不到38.5不用吃退热药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "退热药一般不用来预防发热哦"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦哦知道了，孩子打针太遭罪了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "退热药滥用容易引起肝肾损害还有体温过低"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯知道了谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不超过38.5，可以给宝贝少盖一点散热，给宝贝多喝水，宝宝手脚热的话用温水擦一下眉头脖子还有腋窝，十分钟左右有助退热"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            }
        ]
    },
    "10278785": {
        "self_report": "孩子一周五个月了，一周四个多月的时候肺炎输了13天液，做了6天雾化后来好了，过了还没有一个星期又感冒了，嗓子呼噜呼噜的，还发烧，去医院检查是支气管炎，让吃头孢，可是吃了一顿怎么还发烧啊，会不会还引起肺炎啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子的体温多少"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有测"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "头孢是消炎药，吃一次药效达不到，炎症控制不住就会发热"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "那还会不会引起肺炎啊"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个不一定"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在咳嗽吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不咳"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是吃奶，睡觉打呼噜"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "单纯的吃头孢行吗，还用吃点退烧的吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗓子红？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "红"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咽喉发炎可以出现打呼噜"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "拍了片说支气管炎"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃药看看能不能控制炎症不向肺部发展"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "光吃头孢行吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "查血了吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "血常规"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "查了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有问题吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗓子有痰可以吃点化痰药或者做雾化吸入"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吃这个呢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "还用吃退烧的吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在多少度"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "超过38.5建议吃退烧药"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "之前输了13天的液，要是在输液对孩子有影响吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "输液治疗是根据病情需要的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在可以先吃药，"
            }
        ]
    },
    "10326616": {
        "self_report": "儿子9号晚上开始拉肚子。9号大早晨去打防疫针，晚上回来就开始拉肚子，吃了点妈咪爱贴了一贴丁桂儿脐贴，但是还是拉的大便是水样，精神状态挺好的。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝现在多大了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "母乳喂养吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "但是每天早晨还吃一个鸡蛋糕"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "宝宝六个半月了"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "每天几次大便"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这几天不超过5次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，发烧不"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有这些症状"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在还有用什么药呢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就吃妈咪爱"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我感觉没多大用"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "宝宝大便水样多。而且有点发绿"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "化验便没有"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这种情况必须化验大便看看排除肠炎"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "接着吃益生菌和思密达，隔开2小时"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝贝能吃奶粉吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "不吃"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一直母乳喂养"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "那就还得吃乳糖酶，补充锌剂"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在停辅食"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以吃奶米汤"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "别的不能吃"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "买点什么药吃"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "还是去医院化验"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "益生菌可以吃思连康，金双歧都行"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "不用去医院吧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "还得吃锌剂，乳糖酶，思密达"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不发烧可以不用带孩子上医院直接给他接大便化验的，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "傻逼跟我这个一般别个跟你打得跟他俩个小时啊一章节会有痰么可以只吃每次吃母乳之前必须十五苔没，"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "一天吃几次"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "益生菌和斯密达是一起吃还是吃了益生菌隔俩个小时再吃斯密达？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "说明书是就是乳糖酶每次吃奶之前只，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10078738": {
        "self_report": "小儿一岁三个月周二上午开始流清鼻涕打喷嚏，下午体温37.6度吃小儿氨氛黄那敏，周三上午体温38.2度去医院，大夫开紫雪口服液，豉翘清热颗粒，头胞克洛，用药一天，现体温正常了，开始流黄鼻涕，可是又有些咳嗽，怎么办?还用吃止咳药吗?",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子体温已经正常了吗？有多久没烧了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "今天一天了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "精神怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽次数多吗？有痰吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "精神一直都挺好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "食欲怎么样呢？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "咳嗽从昨夜开始到现在次数有十几次，每次两三声"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "食欲不如感冒前好"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "您觉得是喉咙不舒服的那种刺激性类似于清嗓子的咳嗽还是？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "类似"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子咳嗽一般考虑呼吸道感染，常见于咽喉炎和支气管炎或者支气管肺炎。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "如果是咳嗽程度不重，次数不多，可能是咽喉炎"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "孩子可能食欲会差一些"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "要多喝水，清淡流质饮食"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨天给开的药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这些药可以继续喂"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那用再加止咳药吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果去医院方便的话可以明天再带孩子去医院看一下。看一下咽喉部是不是有充血红肿？然后也要听一下肺部排除支气管炎症。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "孩子体温一般要稳定超过48个小时才能说完全稳定，所以目前的话还是建议您，继续监测体温。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果孩子体温稳定48个小时，精神好，咳嗽次数不多，无明显加重的话，问题不大，考虑是上呼吸道感染。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你好，孩子目前的精神反应怎么样？咳嗽有好转吗？"
            }
        ]
    },
    "10343611": {
        "self_report": "二个月宝宝咳嗽感觉嗓子有痰可以喝京都念慈菴枇杷膏吗？调的很稀的那种水喂宝宝可以吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "二个月宝宝咳嗽感觉嗓子有痰可以喝京都念慈菴枇杷膏吗？调的很稀的那种水喂宝宝可以吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "如果你家中还有其他的药物，尽量不选择枇杷膏"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这孩子咳嗽症状重吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "喂了易坦静"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "目前精神状态怎么样"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "易坦静是可以给孩子喝的，这个药当中含有氨溴索，有化痰止咳的作用"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "如果已经口服了易坦静，那就没有必要口服枇杷膏了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神状况很好吃奶也可以大小便都正常嗓子有呼哧呼哧吼吼的声音"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "也就是说这个孩子仅仅嗓子眼儿有痰，出现呼噜呼噜的声音告诉症状不是特别的重？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还好睡着都没有就是醒着的时候使劲有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那需要多给孩子喝水的，勤拍背，促进痰液的排出，另外需要保持室内的湿度高一些"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子由于咳嗽反射比较弱，痰液不容易排出，如果气道当中有分泌物很容易出现呼噜呼噜的声音"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "每次该喝多少水啊？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "母乳喂养的孩子也需要适当的多给孩子喝水，每次喝十五毫升到二十毫升，每天3到4次"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "多喝水可以促进痰液的排出，使痰液变稀"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不发烧需要去医院吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那这个孩子出现上述症状多长时间了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果孩子精神状态好，吃奶正常，偶尔有咳嗽的情况，应该问题不大的，不需要到医院就诊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那这个孩子出现上述症状之前有没有受凉的情况？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就怕带去医院交叉感染"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "对呀"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在医院当中的病号特别多呀，还容易交叉感染"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "家里有感冒咳嗽的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果家中的大人有呼吸道感染的情况，这孩子出现上述症状应该考虑感冒了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "需要给孩子口服小儿伪麻美芬口服液"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没有流鼻涕"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "另外，就是采用上面我给你说的方法"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "虽然说这个孩子没有流鼻涕的情况，但是有咳嗽啊，嗓子眼有痰呢"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "才二个月能不能吃太多的药啊？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "就是因为孩子年龄小，才需要积极的治疗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "口服小儿伪麻美芬口服液易坦静还需要喝吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果口服小儿伪麻美芬口服液，那就没有必要吃易坦静了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "过年家里亲戚好几个感冒咳嗽我该怎么给宝宝护理啊"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "避免跟这个孩子接触，尽可能隔离"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果家里的大人有呼吸道感染的情况，应该佩戴口罩的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "家中要多开窗通风啊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这样可以保持新鲜的空气，避免传染给孩子，毕竟这个孩子年龄太小了"
            }
        ]
    },
    "10264736": {
        "self_report": "新生婴儿，33天，嗓子呼噜呼噜的，拍片子说是支气管感染，不发烧，吃奶也挺好的，医生说不需要住院，想请问下怎么办，能不能吃药，要注意什么，多久在复查一下",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝出现这种情况多长时间了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "十几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "她吃奶儿有没有呛到过"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有，吃奶喝水经常呛到"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在有没有咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有一直没有过咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝这呼噜声是一直存在吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃过几天感冒药，这几天给他吃消炎药，"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝有查血化验吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有时重点，有时轻点，医生听诊器听都有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃的什么消炎药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有做过两次血常规，都正常"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "消炎药是医生让吃的吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "猴耳环消炎颗粒，和羚贝止咳糖浆，医生让吃的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这两种药可以吃几天的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "每样吃五分之一每天吃三次"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "想请问下，后面怎么看好没好，还要做什么检查，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以观察宝宝有没有咳嗽，吐不吐沫沫"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "她嗓子中的呼噜声有没有减轻"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有听到咳嗽，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝现在吃奶好没有咳嗽一般问题不大的可以先吃药观察一段时间"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有时嘴巴会吹泡泡"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "注意吃奶喝水的时候不要再让宝宝呛到"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "偶尔吐泡泡没有问题与呛奶有关系"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "他吃奶就老是会呛着就是没有好办法"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是吃母乳还是喂奶粉"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "母乳，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "感觉乳汁比较多的时候妈妈可以用手捏一下乳房控制一下奶流量"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "宝宝如果出现咳嗽总吐沫沫吃奶减少要去复查"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10134552": {
        "self_report": "宝宝老是鼻塞，吃药一直都不好，嗓子还有点痰",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "50天"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "鼻塞症状多久了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一周了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有呛奶过"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前两天轻点了，感觉这两天又有点严重了，吃奶看着费事"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝有没有口吐泡沫现象"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，反正有时会吐奶"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嘴里往外吐吐沫"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "光张嘴，不吃奶头"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有咳嗽"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不会"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有咳嗽"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "咽喉部有没有咕噜咕噜声音"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝平时呼吸正常吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗓子有痰"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一分钟呼吸多少次"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这就不知道了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以数一下"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "会吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哭呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "通过描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "因为宝宝太小，气管与肺的界限很短"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "个人建议最好带宝宝到医院找医生听一下气管，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "并行胸片检查，了解一下肺部和气管有没有炎性改变及感染程度"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃药四到五天了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "医生说肺部器官都没事"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "应用什么药物"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "拍片了吗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "阿奇，还有小儿咳喘灵颗粒，还有个治疗感冒的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "没拍"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "就是听了听，说没事"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "建议带宝宝合理检查一下"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我还打算，吃完药，暂时缓缓呢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "建议合理检查，规范治疗"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝宝太小"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "那就结束了，再见"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10361933": {
        "self_report": "七个多月的宝宝拉出血丝和果冻状的东西是什么原因引起的？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这是消化不良的表现，请问宝宝体温正常吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "体温正常"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这两天也没有好好吃过辅食"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这样的大便几次了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "两三次"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子有呕吐吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "宝宝精神状态可以，但晚上有点闹人"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有干恶心，没有呕吐出来"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "母乳还是奶粉喂养？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "母乳喂养"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "妈妈饮食有变化吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有啥大的变化"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "这种情况严重吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不算严重的。建议宝宝吃双歧杆菌，注意腹部保暖，妈妈饮食要清淡一点，不要吃易过敏、不易消化、油腻的食物。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "宝宝可以继续吃辅食吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "需不需要到医院做个大便常规检查"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "以前吃过的可以继续吃，最近不要添加新的辅食。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "宝宝今天有点受凉与受凉有关系吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "暂时还不需要，可以先吃两天益生菌，如果不好转，需要化验一下大便。着凉也会引起的，所以要注意保暖。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "药品哪个牌子的好点呢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "差别都不大，你看药店有哪种，你买哪种都行。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "您说的益生菌和双歧杆菌是一种药吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的，双歧杆菌就是益生菌的一种。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "这种情况不会是肠炎吧，肠炎会是什么表现"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "小孩老是干恶心是什么原因啊"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "目前不是的，肠炎有发热，大便是稀水样的。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，还需要注意和观察什么"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "干呕也是由于孩子胃肠功能差，消化不良的表现。最近一次喂奶不要吃得过多过饱，以前的八成就可以。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "如果出现发热，反复呕吐，腹痛哭闹，一天拉稀超过五次，需要到医院就诊。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃辅食也不要吃多吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是的，这时候是要减轻孩子胃肠道负担的。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "宝宝拉的这种情况出现两次不过差距也就两个小时"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "您说的意思就是吃八分饱都可以吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯，明天可以继续观察一下。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "如果明天再出现这种情况需不需要去医院检查，米粉可以让宝宝吃吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "现在宝宝又出现呕吐的现象"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果反复出现这种大便需要就医，以前吃过的米粉可以继续吃。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "现在宝宝又出现呕吐的现象"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "哦，那如果方便的话就尽快就医吧！"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "您说的意思是出现呕吐现象都严重了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，不过就呕吐一次，到医院需要做哪些检查呢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "需要化验血，如果正好有大便的话，把便常规也查一下。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "奥，宝宝一天拉几次算正常现象"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "七个月的，宝宝应该一天1到2次，黄色糊状软便是正常的。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "奥好的，喝水应该喝多少"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "水可以多喝，孩子能喝多少就喂多少。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "感谢您的帮助"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气的，希望能帮到你。"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10382185": {
        "self_report": "9岁儿童嗓子发炎吃了三顿药还是发烧39.4",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子发热几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "去医院看过，扁桃体发炎吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "看过医生了，嗓子发炎了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "每天发热几次？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "除了发热，还有其他不舒服吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天中午38.9，喝了恬倩不烧了，晚上10点多又开始烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "查过血吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "直到现在温度没有明显降低"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "孩子精神食欲如何？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "精神还行，睡了一下午"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "食欲一般"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "检查一下宝宝，看看身上有新起的疙瘩吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "开的药是氨溴索口服液，利巴韦林，头孢克洛咀嚼片"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有起疙瘩"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "另外还开有中药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子也咳嗽吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是的，咳嗽有痰"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "中药是煎的草药吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "咳嗽几天了？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我现在让她喝水，喝水喝水"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "咳嗽两三天了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "咳嗽次数多么?"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "中药是煎的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "不太多"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "最后一次布洛芬是几点吃的?"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "昨晚1点"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在体温39以上，可以再吃布洛芬，孩子会舒服一些的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "中药是清热止咳的，可以继续吃。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "吃了恬倩就睡了，早上没那么热了，吃过午饭下午就又开始烧了，半小时前量的39.4"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "用不用打针，（其实我不想给孩子打针，可是奶奶非要打）"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "普通感冒也会发热3-5天，只要孩子精神还可以，咳嗽不严重，就不用太担心。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是否打针需要听医生的，不要听老人的，"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "那是不是要再喝一次恬倩"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "没必要打针就别打。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "我也是这样认为的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以喝的，发热严重，可以六小时一次的，缓解孩子不舒服的。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯，好的，那反复喝恬倩不会对孩子有什么影响吧"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不放心，可以再去儿科门诊看看，必要时查血常规C反应蛋白看看。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不会的，布洛芬是儿童首先退热药之一，不超量一般没有什么副作用。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "两次布洛芬之间间隔6小时"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "观察孩子体温，咳嗽，大小便及精神食欲情况，"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不头疼，肚子不痛，没有皮疹，咳嗽不严重，可以吃药观察。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "刚刚又量了体温，39.1"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "那给孩子吃上布洛芬吧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "哦，知道了"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时给留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "是不是要让孩子多喝水"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "对，多喝水"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "多喝水多排尿是不是也可以降体温"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "是的，排尿出汗带着热"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "带走热"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好的，知道了，非常感谢您的解答"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "多谢多谢"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "您客气了"
            },
            {
                "sentence_id": "61",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时给留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "62",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "63",
                "speaker": "医生",
                "sentence": "感谢您的认可！"
            },
            {
                "sentence_id": "64",
                "speaker": "患者",
                "sentence": "您忙吧"
            },
            {
                "sentence_id": "65",
                "speaker": "医生",
                "sentence": "祝好!"
            },
            {
                "sentence_id": "66",
                "speaker": "医生",
                "sentence": "您好！刚看到留言。"
            },
            {
                "sentence_id": "67",
                "speaker": "医生",
                "sentence": "大叶性肺炎，需要输液治疗。"
            }
        ]
    },
    "10041426": {
        "self_report": "宝宝发烧一直3837.8。退不下来怎么办，贴了退热贴，也用温水擦了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前考虑低热，多长时间了，持续性发热吗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "还有其他症状没有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "用的什么药"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "做过什么检查"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我是早上起来才发现的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "睡觉前没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "恩，初期考虑病毒感染多见，上呼吸道感染，多喝水，温水搽浴物理降温"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "38，5以上用美林退热"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "及时就医查血常规，再考虑准确用药"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在不用去医院吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "也可以用小儿柴桂退热颗粒改善症状"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "先观察"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "38.5以上在吃哈"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "38，5以上用美林退热"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "38，5一下多喝水温水搽浴物理降温"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是吃的吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "还有问题吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "暂时没了，谢谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "流了一点鼻涕。刚看到"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "恩，考虑上呼吸道感染，按上述方法处理观察"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "会不会是因为我老公老是亲他"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "跟他挨很近说话"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不排除交叉感染"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，我在观察一下"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果家人用感冒症状，尽量带口罩"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "恩，好的，再见"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯好的"
            }
        ]
    },
    "10312349": {
        "self_report": "问题黄娜敏和清咽颗粒已经吃了4天了，小孩现偶有一点点的清涕，不咳嗽，没发烧，精神还好，食欲跟平时差不多，睡觉爱出汗，感觉喉咙里有痰，说话声粗略音还是有一点点嘶哑，今天上午没给喂药了，请问还用再吃吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一岁九个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝声音嘶哑几天了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她现在呼吸鼻子里面感觉呼噜呼噜的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝没有咳嗽吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天第四天还是五天了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是略有些哑"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝上呼吸道感染"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "鼻涕是清的里面有小白泡泡"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应用药物后有没有好转"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "声音还是那样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没啥明显变化"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "但不鼻塞了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这样的话建议带宝宝合理检查一下，最好找医生听一下气管，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "请问还要继续喝药吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "检查后如果不严重可以雾化治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "需要"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是直接去医院吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "要喝什么药呢"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "个人建议先到医院"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "毕竟应用药物后症状无明显好转"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "怕哪些影响呢？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，是要查血吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "需要了解一下宝宝气管有没有炎症"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "需要化验一下血常规和CRP分析是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "但没发烧"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "发热只是一个症状，不能以发热为标准"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10859716": {
        "self_report": "医生我家宝宝一个月！大便次数多~我想问下你看她拉的便便正常吗！下面有图片",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在一天大便几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "五六次把"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "感觉这几天拉的水份比原来多"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是的，目前看到大便还是比较稀，同时大便五六次，也是稍微多一点。考虑有轻微消化不良的情况。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一般和婴儿肠道菌群没建立好，消化不良有关系。建议吃点妈咪爱，蒙脱石散治疗下"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不吃行吗！"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不是吃的奶粉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我是母乳喂养"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我这是母乳喂养"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃奶粉的话，不应该这样"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "抱歉，看到是吃母乳，吃母乳的话，就会稍微希一点。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这个情况，如果实在不想服药治疗，建议就医小儿内科，化验大便常规检查看一下，如果大便常规检查显示没有问题，也可以暂时先观察，不做处理。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "你看如果吃母乳！这样的大便正常吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果吃母乳的话，这个大便也是稀一点的，因为出现水样便了。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "是的水样便是怎么回事"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "严重吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这个倒算不上很严重，因为也不是完全的拉水，同时次数也没有超过一天超过10次"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不过一般来说，建议服用点妈咪爱，蒙脱石散，治疗一下比较好一些。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那只吃蒙脱石散行吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "另外。吃母乳的时候，妈妈注意吃的清淡一些，别吃太油腻，别吃的很凉了，可能会加重宝宝的腹泻。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "原来吃了十来天三联活菌"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "只吃蒙脱石散也是可以的，蒙脱石散，缓解腹泻症状，效果很好。另外天气变凉了，注意保暖宝宝的腹部，防止腹部着凉。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "现在又要吃药可以吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "蒙脱石散怎么吃，怎么排泄出体外，身体不吸收，只是吸附肠道多余的水分，随大便排出，没有副作用。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯那好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "好的，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一天吃几次"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "蒙脱石散是非处方药，一次吃1/3包，一天吃三次，在两次喂奶之间，空腹的时候吃，效果好。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "一包吃三次是吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯那好"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询的吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有了你忙把"
            }
        ]
    },
    "10143757": {
        "self_report": "宝宝八个月12天，因拉肚子反复有一个月，今天去省立儿童医院检查，大便脂肪球2+，其他正常，化验血，医生说有点过敏，具体是否蛋白过敏现在还不清楚，最近宝宝睡觉老是突然哭一下，西门还很大，伊可新也在吃，请问这种情况怎么解决？奶粉需要更换吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "化验结果什么时候出"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天大便和一项血的结果出来了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "宝宝六个月段的母乳"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "可以发检查结果看一下吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "但是第一个月喝奶粉没有出现拉肚子，大便三四天一次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "而且没有酸味，比较稠"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好的，我现在拍一下"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "囟门大，可以给宝宝补充钙"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "多晒太阳"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "你好，这个是大便的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喝了迪巧钙粉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "考虑是消化不好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯，可以的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝现在吃的什么辅食？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那现在是怎么解决呢"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "喝了奶粉后这边就开始拉大便"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "吃米粉拉不拉"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吃腹泻奶粉就不拉"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "但是腹泻奶粉不是不能久吃"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "哦，是无乳糖腹泻奶粉"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "还是水解蛋白"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "无乳糖"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯，那就给宝宝吃腹泻奶粉"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "考虑是腹泻引起的乳糖酶缺乏"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "腹泻奶粉不是不能一直吃嘛"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "腹泻奶粉，可以的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "吃一段时间，慢慢换"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "有没有可能是对蛋白过敏"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "导致腹泻"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "对蛋白过敏，需要吃水解蛋白奶粉"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "才不会腹泻的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，那我先试试"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "多给宝宝吃点面食"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "嗯，好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10758583": {
        "self_report": "咳嗽半个月了，打针六天了，消炎药了，嗓子有痰，一呼吸革拉哥拉响，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子多大了？一天咳嗽多少次？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "六个月了，两三回"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "嗯，宝贝晚上咳嗽厉害吗？会不会影响孩子睡觉"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "感觉孩子痰多吗？是不是咳嗽后会有呕吐情况？宝贝会不会有气促或呼吸困难情况呢？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "晚上咳嗽一两回"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，宝贝主要就是痰多，咳嗽不是很严重对吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "痰挺多的，咳嗽不是严重"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝除了咳嗽有痰还有其他症状吗？比如恶心呕吐，腹泻，鼻塞流鼻涕打喷嚏或发热？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯，宝贝痰多，主要是气管，肺部炎症渗出的过程，这时候您要多给宝贝喂水，勤拍背促进痰液排出来！"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是有痰，没别的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，在医院住院治疗吗？有没有检查血常规和胸片？医生是按什么疾病给宝宝治疗的？肺炎吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝贝现在主要用了什么消炎药？还有输液其他药物吗？用药6天了，感觉孩子症状有减轻吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "支气管炎，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有，还是有痰"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "头孢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "婴幼儿的宝贝抵抗力比较差，气管支气管腔比较狭窄，纤毛运动比较差，细菌病毒容易滞留，很容易引起支气管炎情况，现在感觉孩子痰是不是上来了，到了大的气管和咽喉部呢？所以有这些声音"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "支气管炎的治疗上主要加强宝宝护理，加强休息，多给宝宝喝水，咳嗽后勤拍背促进痰液排出来，治疗上主要是控制感染，抗病毒，止咳化痰等对症支持治疗！医生给宝宝用的头孢也是针对孩子病情恢复比较快的药物，孩子痰多黏稠，如果孩子痰多上不来，也可以用雾化吸入治疗，可以稀释痰液，促进痰液排出来"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃麻甘，和易坦静行吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您现在可以继续给宝宝输液质量1-2天，按我说的勤给宝宝拍背，如果还是没有好转，您可以和宝宝的面诊医生沟通一下，用不用检查支原体，或百日咳抗体等来排除一下支原体感染等情况，或调整消炎药物"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "奥，谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "口服的止咳化痰药物您最好咨询一下宝贝的面诊医生，因为具体我还不知道宝贝现在输液用了什么的化痰药物，避免重复给药，对孩子健康不利"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般经过积极正规治疗大多数支气管炎预后比较好，病程外7-14天左右！但是如果治疗不彻底，由于宝贝抵抗力差，很容易肺部炎症扩散，加重肺部炎症，引起大片性肺部炎症，引起呼吸衰竭等等"
            }
        ]
    },
    "10117211": {
        "self_report": "宝宝夜里发烧我想问下我家孩子8个半月啦前段时间打月针之前就有点感冒啦后来吃点药好过来啦打针头3天不是不能吃药吗就没给他吃感冒药后来打完针第二天就又有点咳嗽啦过啦3天后我就又开始给他吃感冒药现在快好啦突然前天晚上就开始发烧啦吃完退烧药就退啦昨晚上又烧啦也是吃完退烧药就退啦每次发烧2-3个小时吃完退烧药就退啦白天不发烧玩的挺好的就到晚上就不省事啦还高烧最高的时候烧到38.8我想问下怎么回事啊这是",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我想问下我家孩子8个半月啦前段时间打月针之前就有点感冒啦后来吃点药好过来啦打针头3天不是不能吃药吗就没给他吃感冒药后来打完针第二天就又有点咳嗽啦过啦3天后我就又开始给他吃感冒药现在快好啦突然前天晚上就开始发烧啦吃完退烧药就退啦昨晚上又烧啦也是吃完退烧药就退啦每次发烧2-3个小时吃完退烧药就退啦白天不发烧玩的挺好的就到晚上就不省事啦还高烧最高的时候烧到38.8我想问下怎么回事啊这是"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝最高体温多少度"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "最高的时候烧到38.8度"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了发热还有什么症状"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有什么症状啦就晚上发烧烧2-3个小时然后吃完退烧药就退啦白天正常和以前一样"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "找医生看过咽喉部，有没有红肿"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "全身皮肤有没有皮疹"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没看过应该没有红肿他白天吃饭的时候没事啊也不哭"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有皮疹"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有皮疹"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在应用什么药物"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就吃了退烧药用退烧贴"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "还有其他药物吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "退烧药吃的布洛芬"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有痰吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有点"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "从描述症状考虑宝宝支气管炎"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "发烧是一种免疫保护性反应，发烧本身不是病只是一种症状，体温超过38.5度口服退烧药，体温没有超过38.5度，可以物理降温:1.观察孩子的精神状态和脸色，孩子如果有寒战怕冷手脚发凉。此时不能用冷水擦，也不能冷敷，此时极易抽搐，2..孩子没有汗但四肢手脚热，可以用温水擦浴，温水把孩子的大腿根，脖子下，腘窝，腋窝，擦擦降温。也可以洗一个热水澡。物理降温可以反复进行，直到体温退了或孩子出汗。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "前两天咳嗽现在也不咳嗽了啊"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝反复发热，建议带宝宝到医院合理检查一下血常规，CTP"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他发烧的时候脑袋热手脚凉"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不是CTP是CRP,分析一下是病毒感染还是细菌感染，然后规范应用药物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "如果是支气管炎怎么办呢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "需要规范应用抗感染，止咳化痰药物"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "首先要合理检查，明确诊断"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有啦"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果没有就结束本次服务"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "再次祝宝宝健康成长"
            }
        ]
    },
    "10750992": {
        "self_report": "宝宝消化不良拉肚子，有奶瓣，之前拉肚子，我婆婆去药店给他开的蒙脱石散，刚开始还挺有用的，现在吃着没效果了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前一天大便几次，拉的稀不稀？有大便图片吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验过大便常规吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "大便有奶瓣医生说是消化不良"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "给开的药现在在吃"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "我估计消化不良是因为给他添加辅食导致的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是的，看过医生，诊断就是消化不良，考虑同时可能有胃肠功能紊乱的情况。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是的，考虑是因为小婴儿肠道消化能力弱，添加辅食后不消化引起的。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "他给开的免疫球蛋白"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "为什么开免疫球蛋白？蒙脱石散，主要是治疗稀便，水样便的，如果大便不稀的话，吃这个可能效果不好。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "可以给他吃那个妈咪爱吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以吃妈咪爱的，这个是个益生菌，很对症。或者可以吃更好一些的益生菌，比如布拉氏酵母菌，效果更好，是个进口的益生菌。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在孩子多大了？添加了什么辅食？还是纯母乳喂养吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯。谢谢医生，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "还可以吃一点醒脾养儿颗粒，具有调理脾胃，助消化，治疗消化不良的效果。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "在辅食方面，目前看到消化不了，鸡蛋不要吃，容易胀肚子，引起不消化。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我家宝宝现在9个月吃奶粉，给他添加的辅食，我想消化不良可能就是辅食不好消化"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是这样的，吃点益生菌调理一下，注意保暖腹部，防止腹部受凉。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可以给他些面条吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "奶粉还可以吃吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我婆婆说拉肚子。给他少吃点奶粉，让他换换肚子"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "奶粉，米糊，面条，都是可以吃的。鸡蛋，豆浆，先别吃，容易胀肚子不消化。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "另外，可以吃点水解蛋白的奶粉。也就是俗话说的防腹泻奶粉，对于目前的情况效果更好。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议按照上面方法治疗3到5天，如果治疗后消化不良症状，依然不缓解，建议就医小儿科，复查大便常规，进一步再看看。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我们之前，吃奶粉，拉的大便都很正常的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是不是看看有没有肠炎？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是的，但是看到目前还是一个消化不良，胃肠功能紊乱的状态，胃肠道的功能，没有完全恢复平衡。吃点益生菌调理一下。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是的，化验大便，需要再看一下有没有肠道的炎症，如果有肠道的炎症引起腹泻的话，需要消炎治疗。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            }
        ]
    },
    "10224619": {
        "self_report": "16个月宝宝拉肚子，也吐，是怎么回事，打了几天针，刚好，又反复了，还是拉肚子，大便不成型",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "发烧吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发病几天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "5天左右"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "还有呕吐吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "现在没有"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "光拉肚子"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大便一天几次是什么样的。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "水样"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "目前2次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "孩子精神怎么样？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据你说的情况，孩子还是一个消化不良。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "他刚断母乳"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个季节的腹泻一般的是病毒感染引起的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有什么办法呢"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以吃上助消化的药物。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你现在吃的什么药？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "光吃了蒙脱石散"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没吃别的了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "吃了几天了？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "今天刚吃"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哦蒙脱石散可以继续吃"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "再加上妈咪爱"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "和小而广谱止泻口服液。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "他两个一起吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这三种药一起吃"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "吃几天呢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "吃上三天左右观察病情变化。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "这个季节的腹泻一般一周左右会好的。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，知道了"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气，祝孩子早日康复！"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不客气，有事及时联系。"
            }
        ]
    },
    "10825034": {
        "self_report": "宝宝最近拉稀七八次。拉的都是屎水怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝拉了几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前宝宝多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "五个月"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "两天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前两天拉四五次不过屎是稠的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "在的。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "之前有没有受凉发热？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "我先问问情况。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就是前几天流鼻涕来"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "其他没什么"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "流鼻涕一般是受凉引起来的。目前还在考虑腹泻病，也可能是受凉引起来的。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个情况多数是病毒感染。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "去我们医院开了个药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "看见开的药物了。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是不是先把这个吃了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "蒙脱石散是可以的。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "我只是看了看，有一个罗盘丁胺胶囊。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "罗盘丁胺胶囊。这个也是治腹泻吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个洛哌丁胺胶囊，那不建议吃的。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "那个是大人药吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "是的。大人药物"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是减慢肠蠕动的药物。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯蒙脱石散，那是保护肠道黏膜的。可以用蒙脱石散和那个，肚脐贴治疗。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "只要孩子精神状态挺好，说明病情不严重。"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "注意给孩子多喂水，补充水分，防止脱水。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "假如出现尿量减少，精神不好，及时去医院儿科就诊。"
            }
        ]
    },
    "10545171": {
        "self_report": "宝宝老是经常放屁，是不是胀气？对奶粉不吸收的症状有没有胀气？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝拉肚子好多天了，吃药反反复复"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "时好时坏"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "请问宝宝有腹泻症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "拉的粑粑里面有水分，奶瓣，还有脓一样的东西"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "还经常胀气"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "这跟奶粉有关吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "奶粉用了多久了呢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "最近有没有换奶粉呢"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "如果跟奶粉有关的花话，为什么奶粉吃到快一罐的时候才开始拉肚子呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "换了奶粉，可是奶粉一罐快吃完的时候开始拉的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这样的话不一定是奶粉的原因"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "您有去医院化验过大便吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "光换药就吃了好几家的了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有管用的，有不管用的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那么建议您首先要化验大便"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这个非常重要"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "化验能验出什么？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果大便查到有白细胞的话"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "考虑有炎症"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果有红细胞的话"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "白细胞说明什么"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "考虑对奶粉过敏"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果大便正常"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是不是就这两种原因"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不除外是病毒感染"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "有白细胞的话，看多少"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "多的话需要用消炎药"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "白细胞多少说明有问题"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "少的话可以只服用蒙脱石散等止泻药物"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "两个加号及以上"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "就需要用消炎药了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "服用过蒙脱石散，也是吃着就好，停药就拉"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "如果有红细胞"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "建议您把现在的奶粉先停掉"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "吃上水解蛋白奶粉"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "打算明天就停呢"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "可以换无乳糖的吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "等大便正常后再巩固一段时间"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "水解蛋白奶粉跟无乳糖奶粉有什么区别"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "这个还是建议您先化验大便"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "因为一些宝宝腹泻是因为乳糖不耐受，就是没有分解乳糖的酶类"
            }
        ]
    },
    "10806712": {
        "self_report": "宝宝五个月发烧出疹子了，昨天又发烧了，还能出疹子吗？第一次出的少，这次还会出吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝体温多少"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在多大了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "体温最高时38.8"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在快七个半月了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了发热还有其他症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有点流鼻涕，还有点拉肚"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "精神怎么样呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "5月那次已经确诊幼儿急疹了吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神不好"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "一般来说，幼儿急疹只出一次，少数抵抗力差的孩子可以出2次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "而且它一般只表现为发热，可伴有腹泻，多数没有流鼻涕"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在体温多少呢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在是37.5"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "低热精神就不好了？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "喝水吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "凌晨一点半吃的退烧药，五点半吃的感冒药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "吃什么药了吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喝水"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这种情况建议去医院检查血常规看看血象高不高"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "看看发热原因是什么"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "今天去看了嗓子没事，听了也没事"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "说是病毒性的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃点什么药哪？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "感冒药是哪种呢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "我看一下"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "小儿氨酚黄那敏"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "病毒感染没有特效药"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "恢复有个过程"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "天气转凉了注意别再受凉"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气的，勤测体温"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "用吃点抗病毒的吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "小儿氨酚黄那敏就有抗病毒的作用"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不过它是复合药物"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不吃这个，可以吃抗病毒中成药"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "第一次出的少疹子一般第二次正常会出吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "清热解毒的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "你给我说一下吃点什么药哪"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "多少是个体差异"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "无论多少只要是就是了"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "只是有些孩子出的多，出的少"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "我家孩子出的也不是特少"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "可以吃蒲地蓝口服液，清开灵，百蕊颗粒"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "选择一种"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "有问题再联系"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10814478": {
        "self_report": "问题宝宝发烧不退怎么办？是什么原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前孩子多大，体温多少度？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "2岁9个月"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "除了发烧，还有别的什么症状？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "早上量是37度2"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "最高体温，烧多少度？看过咽喉部吗，有没有红肿发炎"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有，昨天开发烧的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有一点流鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "但是为什么烧总是不退"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看症状，考虑可能还是着凉，感冒，上呼吸道感染，引起发烧可能性较大。发烧不退，说明有炎症"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "对于体温处理，如果超过38.5°，需要口服布洛芬退烧。低烧的时候，可以温水擦身，冷毛巾敷额头，贴退烧贴，物理降温"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "同时，目前发烧，建议吃点清热解毒药，比如小儿豉翘清热颗粒，或者小儿柴桂退热口服液"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果反复发烧，高烧不退，建议就医公立二甲医院小儿科，让医生检查看咽喉部，化验血常规，进一步明确情况"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果血象高，细菌性炎症，需要口服头孢克肟颗粒消炎，炎症消下去了，就不会再发烧了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "上一次也是发烧感冒，打点滴就好了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是不是我家孩子免疫力太差了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯，反复感冒，呼吸道感染，考虑抵抗低低一些"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以适当口服点增强抵抗力药物"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "在家给孩子吃头孢可以吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "单一的吃消炎药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一般呼吸道感染，多数是病毒感染引起，目前没有化验血常规，暂时不建议盲目使用抗生素"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以吃点蒲地蓝消炎口服液，中成药，效果不错"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "只是低烧"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我已经给孩子吃布洛芬了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，看到目前只是低烧，这个体温不会对孩子身体造成伤害，多喝水"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "吃多了会不会影响孩子健康"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "只有体温超过38.5度，才需要口服布洛芬，退热药有一定副作用，低烧不需要吃"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那用些什么物理疗法管用呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "多喝水，温水擦身，冷毛巾敷额头，泡澡，或者贴退烧贴。物理降温"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "饮食疗法，可以葱白姜丝煮水喝"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询的吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了谢谢你"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "别客气，应该的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "祝身体健康"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "有问题再联络"
            }
        ]
    },
    "10325760": {
        "self_report": "我家宝宝两岁多了，今天发烧38度5以上，吃药之后用酒精加温水物理降温恢复正常，半夜这会又开始反复发烧，不超过38.5度，酒精物理降温后37.7度降不下去，宝宝还一直说胡话？今天白天又开始反复发烧，但是不超过39度，怎么办？要不要去打针？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前还是一个反复发热情况，考虑还是炎症引起"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "现在也有在吃消炎药"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "头孢类的一个咀嚼片"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "化验过血常规吗，按说反复烧，需要查血，看看炎症有多重"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "哦莫有去医院啊然后哦哦，准备明天去医院呢，"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "但是现在就是反复发烧，挂了一个专家的号，人家明天上班"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个还是反复烧，还是建议就医查血的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前体温多少度"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "明天去看医生今天有没有什么办法可以先退烧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "20分钟前刚吃了布洛芬悬液4ml"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在还没测，摸起来没之前烧了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "退热的话，消炎是本，退热是治标"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "一般体温超过38.5，需要用退热药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不超过的话，物理降温"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哎，之前测的没超过，我婆婆就嫌我不给吃，我刚才给吃了，我家宝宝不让擦洗现在烧水准备给洗个澡"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以的，泡澡是物理降温的有效方式"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般不超过38.5.不必太着急吃退热药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "要不要加些酒精"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "不需要"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "婴儿皮肤嫩"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哎，现在把我恼的不和我说话"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "温水擦拭"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "超过38.5度就吃药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "坚持到明天早上去医院这样可以嘛"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "还是建议明天化验血了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的，今晚主要控制体温，就可以"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢医生了，如果烧的厉害可以去诊所打退烧针吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "能口服退热退下来，就不要打"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "退热针副作用大"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "非常感谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "有事再联络"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的，再见"
            }
        ]
    },
    "10389722": {
        "self_report": "小孩子两岁这两天老是反反复复发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我是您的接诊医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "能收到回复吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝多大了？亲"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "两岁"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝贝最近家里有人感冒吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝贝主要是发烧，对吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "发烧几天了呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "体温最高多少度呢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "38"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "今天体温高烧来吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝38以下体温不用特别处理的奥"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "超过38.5以上再用退热药奥"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝贝体温反复的原因"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发烧是机体的杀菌细胞与体内细菌病毒作斗争的表现，是对机体的一种保护，不用担心，发烧是一种症状，如果细菌或者病毒被控制了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "自然就不发烧了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝贝精神状态好吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "期间看过医生吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝贝这个的话期间看过医生吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "看过都是小诊所"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就拿药了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "都是晚上才发烧"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯啊，宝贝现在吃的什么药呢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "一般都是晚上发烧的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "就是晚上发烧"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯啊，这个目前都是吃的什么药呢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "发烧几天了呢"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是几种药搞一起的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯啊，发烧几天了呢"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "不知道是什么药都是粉末"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "三天"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯啊，按时吃着药"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "观察两天"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "观察体温症状"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "体温症状不缓解或者加重，及时带宝贝去儿内科就诊"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "发烧是机体的杀菌细胞与体内细菌病毒作斗争的表现，是对机体的一种保护，不用担心，发烧是一种症状，如果细菌或者病毒被控制了"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "自然就不发烧了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "勤摸着宝贝小手小脚"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "凉的话就可以测量一下体温"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "因为凉是体温上升期"
            }
        ]
    },
    "10777257": {
        "self_report": "刚刚没咨询完，家里24度，孩子发烧到底要穿多少衣服合适，姥姥还是建议要求盖被子，现在宝宝就穿尿不湿，贴好退热贴，到底该不该盖被子！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "跟发烧跟吃米糊一点关系都没有，现在还没有说任何一个食物可引起发烧的，除非是毒物，"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "当然不要穿太多了，然后要及时给她擦汗换衣服，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "如果三十九度多，说明感染比较厉害你要先到医院去看一下到哪个地方橄榄是打到了还是其他原因，"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "看怎么办，现在三十八度也不要吃退烧药，主要是物理降温先退热贴贴一贴，或者是那个用温水给他那个额头颈部啊，腋窝，或者是那个腹股沟的地方给他用温水擦，"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "现在38.1"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "也要到医院看下咽部"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "都只是一个症状，还有很多其他原因，"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "没其他症状除了要发烧比如说有没有打喷嚏流鼻涕咳嗽啊，或者是腹泻这一块，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "还有什么能帮助你的吗？这个好像是按时间收费，要及时结束，麻烦在结束服务后对我的回答进行评价。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "穿的衣服二十四度应该最起码也得穿两件宝宝的，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "穿太多捂着刘海然后钥匙当放的饱一点，然后透气一点宽松一点，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "连体的吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "穿个秋裤一个短袖"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "可以吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "就是不管你连体不连体都没关系就是穿差不多一件长袖，然后适当放松一点，不要不要穿太厚太多了，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "应该要长的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "秋衣秋裤哪种"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "内种"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你可以，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "那最好一看那个就捂着不会太热然后脸不要红为准，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "这种可以吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "他现在脸红"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "但是穿的不多啊"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "现在穿的短袖衬衫"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "加秋裤"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "很高的话尽量到医院去看一下，不要在这边，就是那个衣服穿多穿少，但不是最主要的因为你发烧的时候一直衣服穿这种短袖也是可以的看"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "行吧"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "我知道了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": ".好的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "如果持续烧38以上"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "是啊"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "我就带他去医院"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "要及时就医"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "我先观察一下"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10360343": {
        "self_report": "宝宝前天晚上3点多发烧,昨天下午3点多发烧，晚上烧了两次一般都是38.6，吃退烧药降至37.2，现在状态良好，是否要去医院？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前最高体温烧到多少度"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "38.6"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "现在不烧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天早上3点发烧"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吃完退烧药到现在"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "温度在37.2左右"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前除了发热，还有别的症状吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前的体温基本正常，不用管他"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "再发烧要不要去医院"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "太小了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我不想打针"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还得打头"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "心疼人"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果烧的不高，可以多喝水，先观察，吃点清热解毒药"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个情况看着烧的也不高，我觉得暂时不需要打针"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "他之前不怎么喝水，拉屎费劲，前几天舌苔就发白，前天可能冻着了，就发烧了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大夫你说他是不是主要是内火"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "添辅食添得拉屎费劲，我给吃的益生菌才拉下来"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一般从西医角度考虑，多半是上呼吸道感染，引起发热"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "家里地暖干，又不怎么喝水"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "发热得多喝水，干巴巴的不好退烧"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我一开始觉得奶水里有水分，不用太多喝水"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "奥"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是的，如果喝不了水，多喂奶，也可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我用不用一个小时给他擦擦身上，物理降温"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "目前37.2度的话，不做处理也可以"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个体温，基本正常"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，如果再发烧再给他降呗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "他这样反复发烧，我怎么心里没底啊"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "烧不高一般问题不大。目前先观察，如果体温烧过39度以上，你可以去医院化验血常规看看"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的，不用担心，看烧的不高，小孩状态不错，问题不大"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "谢谢啦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "好的，别客气，再见"
            }
        ]
    },
    "10822228": {
        "self_report": "哺乳期发烧到39度，吃了一粒感康，多久可以喂奶",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "问题哺乳期发烧到39度，吃了一粒感康，多久可以喂奶"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个需要12小时后再喂了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "退烧后身上起了些红点，有一点痒，这个影响吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "间隔时间越长"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "现在块24小时了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "4836小时后喂更安全"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "因为间隔时间越长，药物的排泄相对比较干净些。对婴儿的影响也相对小一点"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "好的，退烧后身上起了些红点，有一点痒，是什么，会传染吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有图片吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "我看一下"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "你发烧几天？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "感觉像过敏"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "痒的厉害吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不厉害"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "考虑你是发热和皮疹待查"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "也可能是病毒疹"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "不影响哺乳吧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你涂点药看看，有减轻，不影响哺乳"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "什么药可以用"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "炉甘石洗剂"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "紫草膏"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你除了发烧，有其他不舒服吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "是不是受凉了？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "开始拉肚子，后来不拉了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "车别的没有"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果发烧反复，皮疹没有好转，最好去医院门诊看一下"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是吃了不干净的食物吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "可能"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "现在还拉吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "不拉了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "那你可以先观察一下"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这两天吃点清淡易消化的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "注意监测体温"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "如果24小时就喂奶，影响大不大"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "宝宝才两个多月"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "最好是3648小时再喂"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，我知道啦"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "宝宝愿意吃奶粉不？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "吃"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "恩"
            }
        ]
    },
    "10310449": {
        "self_report": "九个月零20天的宝宝，从八个月到现在发烧三次，吃上药就好了，怎么回事，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在体温正常吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在正常了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天半夜发烧38度，"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这几次发热间隔多久？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有其他症状吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "状态挺好"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽吗？流鼻涕吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃饭也正常"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "喝水多吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "精神状态正常"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝受凉了吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "八个月的时候，出了回疹子"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "发烧了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没受凉"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "不过屋里温度热"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "得28，9度"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "水喝的也行"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "不流鼻涕，不咳嗽"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "发烧之前没什么症状，就到半夜发烧了，昨天"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "屋里热，孩子穿短袖，长裤，也经常出汗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "体温在38.5以上可以吃点退热药，手脚热的话可以用温水擦一下眉头脖子腋窝，不要用酒精，擦十几分钟"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "查血常规了吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯，这种发好几回烧，没什么大问题吧"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有，吃点药就好了啊"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "只要不是持续高热不退，就不要担心"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "啊，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般超过39度需要去医院儿科就诊，查血常规等相关检查"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "明确发热原因"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝感冒一般表现就是发热，流鼻涕等症状哦"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "那怎么做能提高抵抗力，少发烧啊"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "室内勤通风，保持空气一定湿度和温度"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "你说跟屋里热，孩子总出汗有关系么"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "家里有感冒的需要积极治疗，尽量与宝宝隔离"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "有关系，空气太干，病菌飞尘多，宝宝也容易感冒"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "家里一定要保持一定湿度"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "给宝贝多喝水，勤量体温"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "如果持续不退热，超过39度需要去医院儿科就诊"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "家里有没有退热药"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "晚上可能还会发热"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "啊，家里有退热药"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "用吃点提高抵抗力的东西么"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "超过38.5度可以吃退热药"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "观察两天看看"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "一般发热三天以上需要查明发热原因，完善心肌酶谱支原体等相关检查哦"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "您还有疑问吗?"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "如果您超过五分钟不回复，系统会自动关闭对话，您还在吗？"
            }
        ]
    },
    "10750771": {
        "self_report": "早上好！请问37.5算是发烧吗？需不需要去医院看看？谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "早上好！请问37.5算是发烧吗？需不需要去医院看看？谢谢"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "是腋窝，水银体温计测量的吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "多大的孩子？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "5个多月"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "对于这么大的小婴儿，如果体温超过37.2度，就算发烧了。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前这个体温属于低烧的情况。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那要不要去医院看看呢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在除了有点低烧，还有别的症状吗？如果症状不重，精神状态好，吃奶好的话，可以先观察看看，暂时不一定需要去医院。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有没有感冒，流鼻涕，咳嗽或者腹泻的症状？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是鼻子干干的，嘴唇有点裂口，吃奶还算正常，有点消化不好"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "目前的情况，这个低烧，一般可以多给孩子喝水，多排尿，也可以温水擦擦身上，来物理降温。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "如果消化不好的话，一般可以吃点益生菌调理一下，比如可以吃一点妈咪爱"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有鼻塞，咳嗽偶尔有咳，昨天大便有点拉肚子，有点点吐奶"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "考虑目前的情况，还是一个小儿胃肠型感冒，引起发热的可能性比较大。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般可以吃点清热泻火的感冒药，比如小儿豉翘清热颗粒，具有退低烧，治疗感冒的效果。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦！谢谢你"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "建议1个小时测量一次体温，注意监测，如果出现高烧的情况。建议就医小儿科，让医生查体检查，化验血常规，进一步明确情况后进行相应处理。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前看到孩子是个低烧的情况，症状不重。可以先在家自行服药，物理降温，注意监测体温就可以了。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就买你说的那种药吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是的，可以吃小儿豉翘清热颗粒，或者牛磺酸颗粒，都是可以的。注意监测体温，如果体温超过38.5度，需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "有消化不好的症状，加点益生菌吃，吃一点妈咪爱"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好的，吃点药，再注意观察。如果出现高烧，或者孩子感冒症状重，精神状态不好的情况，一般就需要就医看看了。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "都有吃益生菌的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯！谢谢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "益生菌，可以继续吃一点的，吃的时间久一点，也没问题。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            }
        ]
    },
    "10544700": {
        "self_report": "孩子6个月零10天，今天是烧的第三天，第一天烧38.5，哭闹没精神，像大人烧迷糊的状态，流过清鼻子，不太多，物理降温管用一会会，晚上39度1.吃了退烧药。第二天精神状态好.37.5左右，拉了2次，晚上烧到39.4，又喝退烧药，白天38度左右，一上午就拉了三次，大便黄有点稀，没有别的症状，有可能是什么原因呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "请帮我看看孩子发烧是什么原因造成的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "因为孩子小没去医院抽血，家周围的中医院看说感冒"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在流鼻涕厉害吗？是清鼻涕，还是黄色的浓鼻涕？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天就没有流鼻涕，只是鼻子里面有黄的粘稠的鼻涕，硬的干在鼻孔"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在体温多少度，又测量体温了吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天上午37到38.3中间浮动，刚测是37.2"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿反复发烧，有流涕，腹泻情况。考虑是小儿胃肠型感冒，一般和呼吸道感染病毒有关系。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在服药治疗了吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "超过38度五的时候只是用了退烧药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "物理降温也不管用，那应该怎么办呢"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以的。目前的体温处理，如果超过38.5度的话，可以口服退烧药，如果低烧的时候，一般可以用温水擦身，冷毛巾敷额头，泡澡，或者贴退烧贴方式处理。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前有一个反复的发烧情况，建议服用点清热泻火，治疗感冒的药物。一般对于反复发烧，效果好。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有推荐的适合婴儿的药物吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以服用点双黄连口服液，清热泻火，治疗感冒中成药，比较温和，而且是非处方，药店里边一般比较好买到。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "另外，对于目前小儿腹泻的情况，可以适当的服用益生菌。具有调理肠道菌群，辅助消化，止泻效果。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "现在小孩精神状态怎么样，吃奶还好吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那发烧的症状一般会持续多久呢？如果不用药会自己好吗，孩子挺小的想尽量不用药"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "吃奶正常，低烧状态也还可以，半夜烧起来哼哼唧唧的，迷糊的很"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "发烧的症状一般最多持续三到四天。如果是病毒性感染，有一定自愈性，不吃药可能会好，但如果是细菌性炎症引起的发烧，一般是需要服用药物的。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "建议按照以下方法治疗，多注意喝水，保暖腹部。如果治疗后仍然反复发烧腹泻，建议就医小儿科，让医生查体，化验血常规，大便常规，明确病情后进一步治疗。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "买了这个，适合病情吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个也是可以的，是个中成药的清热泻火，抗病毒药物，可以吃，对于反复发烧效果好。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的好的，太感谢了，孩子发烧，家长要崩溃啊"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "我看到已经发烧三天了，按说明天就应该不烧了，如果明天仍然出现一个发烧，或者高烧的情况，建议化验血常规，看血象情况，如果是细菌性炎症，需要应用相应的消炎药物。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，别客气，没事的，适当的吃点药，多注意喝水，多排尿，能够排出热量，也有利于退烧。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，那我今天继续观察下"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的，按常理来说的话，应该明天就不烧了，再观察看一下吧，注意多喝水。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢您，那我这边就结束咨询不打扰了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的，别客气，应该的，祝身体健康，有问题随时再联络，再见。"
            }
        ]
    },
    "10318707": {
        "self_report": "问题孩子感冒流鼻涕，打喷嚏吃了两次优卡丹，一次易坦静。一次头孢克污颗粒，早上中午的体温都是37度5.这会体温38度4.可以吃点美林吗，下午4点左右吃的优卡丹，五点左右吃的头孢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，今天一直没吃美林？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没吃"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "刚贴了退热贴这会37度9了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "优卡丹是小儿氨酚黄那敏？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "手脚热吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不热，冷"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "捂热手脚"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "这会孩子睡着了，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "美林暂时可以不吃"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "哦，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "手脚都冰凉的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有可能体温还会升高"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那怎么办吃"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "过半小时再量量"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗓子有点哑，应该发炎了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "恩，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果又升高再吃美林"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "多少度可以吃美林？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "看过医生了吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "孩子有热性惊厥吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我家孩子一吃美林体温就降下去了，降的可低"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "降到35度左右好几天都是低的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一般38.5以上吃美林"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "说明孩子对退热药比较敏感"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以减量吃"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "恩，好的，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "勤测体温"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "下午4点吃了次优卡丹这会可以吃美林吧"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "这会38度8了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "吃一次美林"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "优卡丹是小儿氨酚黄那敏吧"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "是小儿安分婉安颗粒"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "与美林不冲突的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯，醒了多喝水"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "恩，谢谢医生"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不客气的，有问题再联系"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "查血常规了吗"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "查了，好着呢"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "下午查的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "那就吃药观察"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10451034": {
        "self_report": "两岁孩子发烧到38.7度，喝了退烧药，一直不退烧啊。怎么办？有什么好办法吗？急急急",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "吃了多久的药了"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "吃的什么退烧药"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "美林"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "六点吃的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "体重多少，吃了多少"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "20斤，吃了2毫升"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "体温一点都没有降？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "还是降下去又上升了？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "刚刚好像降了点点吧"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "小孩开始发热总是反复的，退烧药只管四到六个小时"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "中间有出汗么"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有出汗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "除了发热还有别的症状么"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在怎么办"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有了，就发烧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在可以物理降温，温水冷敷额头，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "颈部"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "多喝水，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "他身体特别烫"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃过药四个小时候可以再吃一次美林"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你的是那种大瓶的美林吧，100ml的？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "今天已经吃了三次了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "每天最多吃四次，是反复发热？还是一直没退？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "美林是35毫升的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "今天好像是一直没退"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果一直没有退烧，建议去医院做一下相关检查"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "发热几天了？做过检查么"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "家里离医院远啊，今晚去不了"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有，昨晚开始的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "那附近如果有药店，可以去买对乙酰氨基酚"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "和美林交替使用"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "现在药店也可能关门了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "诊所应该有吧"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好远啊"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "一般孩子有感染，会反复发热，一般用了退烧药可以降下去，但有一些特殊疾病，前期表现发热，但退热效果不好"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果孩子今晚仍反复发热，建议准备两种退热药交替使用，"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果持续发热，尽快去医院就诊，可以查个血常规，了解一下病毒还是细菌感染"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "而且医生可以亲自检查，便于了解一下家长发现不了的病情，有助于病情判断"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "现在就物理降温加药物治疗，多喝水"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "请问还有什么问题么"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "没有，我先给他擦身"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "好的，"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "那你好好照顾孩子吧，再见！"
            }
        ]
    },
    "10358080": {
        "self_report": "孩子7岁，连续晚上发烧5天，白天体温正常，每天晚上6点后在38.5到39度之间。询问说身体没有不舒服地方，但每天都不爱吃饭，只吃平时的3分之1，感觉他很疲乏的样子总是躺着歪着的。去乡镇医院查血常规无异常，大夫说扁桃体有点化脓，但是他并没有说嗓子痛也没有吞咽疼，年前有过一次扁桃体炎吃过阿莫西林好了。这次大夫开的头孢克洛，和一个中成药。吃了两天了还是发烧。不知道是什么原因？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问宝宝发烧是怎样的，在多少度？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "手脚冰凉，头不热，身上热，5天都是晚上6点开始发烧，在38度半到39度内。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "查血常规的时候有没有查炎症指标。"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "血常规正常，白细胞也正常"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "就是crp呢"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "乡镇医院没有这个项目"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝除了发烧有没有其他什么症状？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽咳痰呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不咳嗽，没有痰"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有别的症状了，再就是感觉他这两天比较懒，然后就是很不爱吃饭"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "化脓性扁桃体炎。会导致宝宝发烧的，不爱吃饭可能是因为嗓子比较痛。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我也这样认为，但是嗓子疼，他肯定会说，这次他真没说疼。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我还发现他口臭厉害"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "是不是胃不好？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "哦，宝宝有没有说胃不好，肚子痛，有没有打嗝"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这两天有打嗝。以前有过肠系膜淋巴结炎，三四岁的时候经常肚子疼。总是半夜去儿童医院打点滴"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "这两天也没说肚子疼"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "胃病，上火，口腔疾病都有可能导致口臭。就是有没有讲胃那个地方疼痛。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有说肚子哪里疼。现在主要是不明白为什么白天一点不发烧，晚上就发烧。吃药也没效果。以前发烧最多三天就好了。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "您说我是否需要带他到大点的医院去做个全面的检查呢？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "比如肝肾什么的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝是发烧三天以后才用的这个头孢吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "对，前三天是当肠胃病给的药"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "前三天吃的是这些"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝这个发烧估计还是感染导致的。我看白细胞在上限。可以复查一下白细胞。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，那明天我就带孩子去查一下。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "您还有好的建议吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "好的，头孢类吃了三天还一点效果没有的话，可以考虑更换阿奇霉素。这个最某些特殊病原体感染也是有作用的。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，谢谢您。"
            }
        ]
    },
    "10796110": {
        "self_report": "宝宝11个月~星期天发烧~没吃药~退了?!星期2早上开始低烧37.6~持续几个小时退热~白天晚上没事~今天早上6点体温还是37.6~精神状态特别好~流鼻涕~嗓子有点红~小儿感冒颗粒~",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前看过医生吗？发烧化验过血常规吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好?!"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "只在楼底下诊所看过~"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "还没去医院~"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前看症状描述，还是一个小儿感冒的情况，引起的发烧，感冒症状。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "诊所说的嗓子有点红~"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "家里有感冒的但是已经康复了~"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这样还用去医院吗?!"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "白天一天~都是~"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是早上发烧~持续几个小时~"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看到目前孩子烧的并不高，精神状态不错，症状不重，可以先在家吃点药，暂时不用去医院。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我想问下~蒲地蓝也是抗病毒的吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "蒲地蓝是中成药的抗病毒药，这个是可以吃的，同时目前的情况，还可以吃点小儿氨酚黄那敏颗粒，对于缓解感冒症状，以及发烧都有帮助。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那个感冒颗粒也在吃~"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "目前低烧的时候，一般可以物理降温，包括多喝水，温水擦身，或者贴退热贴，如果体温超过38.5度，需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "就吃这个两个就可以是吧~"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那~持续几天在去医院查血"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是的，目前是这两个药物就可以，同时注意多喝水，适当的保暖，注意清淡饮食。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好~"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果发烧超过五天，或者出现高烧的情况，建议就医公立二甲医院小儿科，让医生检查，化验血常规，明确情况。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢谢~"
            }
        ]
    },
    "10084795": {
        "self_report": "四岁孩子发热，腋下温度37.6度，喊冷，盖被子以后，腋下温度38.6度，给她用温水擦身体喊冷，现在用了肛门退热栓和服用了清开灵。已经睡了，现在还要继续给她擦身吗？还有冰宝贴需要五分钟换一次吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "目前宝宝身上有汗吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "刚刚一阵有汗的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "那不需要再温水擦拭了，出汗体温会逐渐下降。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "后来就没有了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "不过最好勤喂水"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "其实我也不确定那是擦的水没干还是汗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "冰宝贴可以更换"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "五分钟换一次是不是间隔时间太短了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "退烧栓使用多久了？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是有点短？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "八点用的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "已用1个半小时，目前体温多少？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "37.3"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "腋下温度是不是要再加半度的？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "不需要减。37以下正常。目前已经明确下降，不需擦浴。退烧贴也不需频繁更换"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝醒后勤喂水就可"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "恩，还有问题吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那我记得医生说过腋下体温要加半度的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在被子要给她全盖好吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还是少盖点？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "加不加无所谓。因为腋下温度增加那标准体温也需增加。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "正常被子就可以"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "您好。发热有几天了？"
            }
        ]
    },
    "10618309": {
        "self_report": "八个多月宝宝，昨晚12点突然发烧38.4度，贴了退烧贴到现在，凌晨1点温度没有降，2点37.3度，3点37.4度，5点多38.3度，七点37.3度，问题37.3维持到刚才13点又38.4度！宝宝精神状态一般，没有表现活泼或不舒服，宝宝还没有长牙，请问医生这是怎么回事，可以吃什么药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验血常规了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了发烧，还有别的症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "这边老人说宝宝应该要长牙齿，才导致发烧，说再过一晚再去看医生"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "可宝宝问题没有退"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "眼眶有点泪花"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有没有感冒症状，看着宝宝咽喉部有没有发红？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "喝水和喝奶粉都正常,没有表现厌烦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "好像没有发红"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿发烧，这么大年龄段婴儿，一般考虑上呼吸道感染可能性较大。也有要出幼儿急疹的可能，一般发烧，考虑还是有炎症引起。考虑病毒性炎症可能性较大"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这次发烧，最高体温多少度"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个体温，一般物理降温就可以，包括多喝水，温水擦身，冷毛巾敷额头，或者贴退烧贴处理。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果体温超过38.5度，可能对孩子身体有伤害，就需要口服退烧药。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "需要去看医生吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "今天看到体温并不是很高，精神状态还可以，可以再观察一天看看。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的,谢谢医生"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "目前注意多喝水，多排尿，可以降低体温。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "注意观察体温情况，如果出现39度以上高烧，或者孩子精神状态不好，建议就医小儿科，让医生查体。化验血常规，明确病情后治疗。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "可以喝婴儿999冲剂吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个是缓解感冒症状的药物，一般没有感冒症状，可以不吃这个药。可以适当的吃一点清热解毒的中成药，对于发烧效果好。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好，谢谢医生"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好的，别客气，注意多喝水，身上有水，才好退烧。"
            }
        ]
    },
    "10563546": {
        "self_report": "九个半月婴儿发烧反反复复，昨天早上发烧38.8度，后来中午的时候吃过美林，降到38度，两点左右，体温37.8度，睡觉起来，五点左右，38.2度，后来又吃了一点美林，一小时后体温37.5，晚上7七点多体温37.3左右，九点多睡觉36.7，十二点37.3，刚刚四点38.4，请问这种情况该怎么办？要去医院吗？白天发烧手脚凉的，现在全身都热。谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，为了更好的为您服务，我需要再询问几个相关问题，感谢您的配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子除了发热还有其他症状吗？比如咳嗽？腹泻？等"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "您好，看到上面的问题了吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子发热两天了，已经吃了多次的退热药，但是体温还是反复，这说明孩子有感染情况，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "家里有没有其他人感冒？又或者孩子最近有受凉的情况吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "现在是不是应该去医院？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有其他人感冒"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是的，应该去医院了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "也不到是不是吹空调引起的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "9个半月的孩子反复发热，要首先明确发热的原因，这需要医生给孩子做全面检查，有必要的话，还要查个血常规"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那我先去医院看急诊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "至于发热的原因，孩子毕竟年龄小，受凉或者接触感冒病人，都有可能导致孩子的发热"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "应该"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在孩子体温是多少？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果孩子体温不超过38.5，您可以给孩子先物理降温"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "怎样物理减温？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "酒精，洗澡？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果超过38.5度，需口服退热药后即可就医，以免孩子体温过高导致热性惊厥"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "您家里有退热贴吗？可以给孩子贴额头，后背"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "有，刚刚贴了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "后背也可以用"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果没有，就给孩子冷毛巾敷在孩子的额头上，也可以温毛巾擦拭孩子颈部，腋窝，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "后背是在颈部后面，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我试试"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不是在后背的任何部位都可以"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "建议您给孩子尽快降温，并准备就医"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，我现在还是直接去医院，怕等会越来越高"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢你"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "这个年龄的反复发热是孩子热性惊厥最常见的年龄，所以，您要注意孩子的体温"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在就去吧"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "做着物理降温去"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "别在路上惊厥了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气，您快去吧"
            }
        ]
    },
    "10412489": {
        "self_report": "幼儿急疹出过一次，但是就出了一点点，就打了抗生素和退烧药。幼儿急疹还会在出一次吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你问"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝现在体温正常了吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "恩，给喝了布落芬"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "一天吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天晚上发现的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯嗯，宝宝现在精神怎么样？身上有皮疹了吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一开始37.7就没给吃药"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "在睡觉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝体温不到38.5度一般不需要吃退热药的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "后来烧了38度多才给吃的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我想问下，幼儿急疹会发两次吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝发热几次了？体温最高多少？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般不会起两次，但是在一些体弱儿，可能会有两次"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "给宝贝检查了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我们上次发了一点点"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在宝宝除了发热还有其他症状？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "比如咳嗽，嗓子哑，嘴里有溃疡吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "大喷嚏"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "一两声咳嗽"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "给宝贝查血常规等检查了吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "看过医生了吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝只要起过幼儿急疹，一般就不会再起，就算起的急疹不多也是一样，一般不典型的急疹主要与用药压制有关系哦"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "不典型的急诊是指发出来的少吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这样对身体没啥影响吧"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "没有的，现在由于宝宝用药比较积极，很多疾病症状都不太典型哦，没关系的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果宝宝持续39度以上不退热，建议立即去医院儿科就诊哦，给予积极退热"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "预报发热三天没有退热也需要去医院，给予血常规支原体等相关检查，明确发热原因，对症治疗"
            }
        ]
    },
    "10356747": {
        "self_report": "小孩发烧，有点流鼻涕，肚涨，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "小孩发烧"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "稍微有点流鼻涕"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "肚子涨"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天大便了两次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这两天受凉么"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子多大了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一周一个月"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "可能是积食"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "您摸了肚肚么"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便稀么"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不稀"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "多么"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "发烧多少？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "和平时一样的量大便"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "昨天晚上38.5"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天晚上才开始"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃了布洛芬悬殊液和小儿牛黄散，和感冒药"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "还是感冒啦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不只是积食"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "做了什么检查么"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃的什么感冒药"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "黄那敏颗粒"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，可以"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "另外可以给孩子多揉揉肚肚"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这几天多喝大米粥"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "别的东西别吃"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "小儿牛黄散没有了，换了四磨汤口福液可以么"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "？？？？？？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯，可以，就吃两种药，别吃多了，小儿氨酚黄那敏和这个，布诺分混悬液如果超过38.5才吃"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "就是吃感冒药和四磨汤口服液呗，超过38.5才可以吃布洛芬呗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "喝大米粥"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢，你说发烧就是感冒和积食引起的？？？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "主要是感冒了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            }
        ]
    },
    "10117123": {
        "self_report": "宝宝1岁半10月5日下午发烧38.5吃布洛芬今天发烧到39.2吃布洛芬，利巴韦林，头孢现在37.5不流鼻涕不咳嗽是怎么回事是什么原因造成的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "会不会得脑炎啊"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子有吐吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点不爱吃饭"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "今天才发烧的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发热时候是不喜欢吃饭"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天下午"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子37.5以下都属正常体温"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "如果没有吐，一般不大会是脑膜炎"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "而且脑炎也是会一直发烧，体温比较高"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "应该吃什么药啊"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "如果只有发烧暂时不用吃药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "38.5以上再服用退烧药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今天39，2吃布洛芬药劲顶下去的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "38.5以下物理降温为主，身子擦擦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有利巴韦林的话也可以吃一下"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "只有发烧没有其他症状考虑也是普通病毒感染"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "头孢克肟吃不吃"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果没有其他症状暂时不用吃"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "因为毕竟是抗生素类药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "脑炎，脑膜炎跟普通病毒感染症状有什么不同"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "脑炎的话会一直发烧，一般时间大于三四天，而且孩子头疼，吐，精神非常不好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "普通病毒感染一般只有发烧，两三天烧也就退了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "基本没有其他症状"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦我家宝宝精神很好那还用去医院检查一下吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "今天发烧第二天"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "暂时可以不用，如果说有其他症状，精神不好那时候要去"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "明天再观察一下"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "像我家宝宝这种情况一般几天可以退热"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "三天左右"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "你要观察有没有其他症状"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "哦谢谢"
            }
        ]
    },
    "10339795": {
        "self_report": "请问医生孩子发烧39.5-40度医生说罐肠，这样好吗？？？孩子发烧两天了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "如果您超过五分钟不回复，系统会自动关闭对话，您还在吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "宝宝现在4岁。过了年5岁，现在发烧39.9"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝吃退热药了吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "手脚凉吗？身上有汗吗?"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "嗯吃了美林"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "吃了多久了？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "一个小时多"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "手脚凉吗？有汗吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不冷，没汗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "全身很烫"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯嗯，宝宝喝水多吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "除了发热还有其他症状吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "咳嗽，喉咙肿"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不肯喝水"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在去医院医生说罐肠"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝嘴里有溃疡或者疱疹吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是在医院儿科就诊吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就是发烧，咳嗽，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "诊所"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝嗓子哑吗？有痰吗？有没有气喘？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "医生给宝贝听诊了吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "请问罐肠可以吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "听诊了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "有亚"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "灌肠用药也要指证的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "什么意思？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "而且很多药物不能用来灌肠，需要明确宝宝疾病情况才能用药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝现在诊断的什么疾病？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "您还在吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不要着急给宝贝用药，首先需要明确孩子病情才能更好的治疗哦"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "就是发烧"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "发热也是有炎症引起的，是细菌感染还是病毒感染，有没有其他部位的炎症？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "宝宝发热超过39度需要去医院儿科查血常规明确炎症情况，对症治疗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "您不要着急治疗，宝宝用药需要经过儿科医生面诊后开具"
            }
        ]
    },
    "10793607": {
        "self_report": "宝宝差几天九个月了，昨晚发烧38.5，给他用温水擦拭，洗了温水澡，晚上38度，请问需要用药吗？用什么药呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在体温多少度了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "38"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前可以先物理降温，包括多喝水，温水擦身，冷毛巾敷额头，泡澡或者贴退热贴。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果体温超过38.5度，需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在除了发烧，还有别的症状？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有，精神状态还可以的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "看过孩子咽喉部吗？有没有红肿发炎的情况？上呼吸道感染，是最常见的引起婴儿发热的疾病。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "他昨晚38.5，今早38度，这是怎么回事，都是用的同一支水银温度计"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "另外，这个年龄阶段，无症状发热，也可以见于出幼儿急疹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没看呢"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "出疹子？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "先看一下孩子咽喉部，看看咽喉部有没有红肿发炎的情况，如果有这个情况的话，可以同时口服点清热解毒的药物，比如小儿豉翘清热颗粒。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的，我马上看"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "同时，看到昨晚和今早，都有反复发热的情况，建议就医小儿科，让医生检查看咽喉部，同时化验血常规，明确情况进行相应处理，比较合适。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "他手上有点水泡正常吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "有图片吗，发我看下吧"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "只有这一个泡吗？脚上，屁股上，有没有？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "昨晚有几个"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "其他部位没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "只有这一个的话，一般问题不大，再注意观察看看，如果脚上，屁股上，口腔都有的话。同时，现在孩子也有发热，得需要注意一下有没有手足口病情况"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "咽喉不红肿"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "目前的情况，先物理降温，多喝水，同时口服一点清热解毒的中成药物。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "好的，如果只是发热，没有别的明显其它症状的话，主要控制好体温就可以了。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "控制体温的方法，可以按照我上面说的方法进行。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "看目前的情况只有一个疱，并不像手足口病，不用太担心，再观察看看。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "有几个"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "那我可以先去上班，让他奶奶先观察着吗？问题大不"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果孩子精神状态好，烧的不高，食欲还好的话，可以先观察。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果孩子出现高烧不退，精神萎靡，食欲不振的话，就医看看比较放心。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢医生"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "清热解毒的药有哪些"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "小儿豉翘清热颗粒，蒲地蓝口服液，小儿柴桂口服液。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这些都是可以的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，这药副作用大不"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "目前发烧的时候一定得注意多喝水，多排尿，可以排出热量，身上有水分才好退烧。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "副作用不大"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这些都是中成药，比较温和，清热解毒，对于反复发烧效果好。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "还有别的需要咨询的吗？"
            }
        ]
    },
    "10669788": {
        "self_report": "宝宝刚出生10天，产妇坐月子体温37.8°，眼窝发热，嘴巴没味，这是发烧了吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "这是发烧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "发烧是不是不能喂奶了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是的，低烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不吃药的话，有什么办法退烧吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "可以先物理降温，退烧看看。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "物理降温怎么做？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "物理降温的方法，一般包括温水擦身，冷毛巾敷额头，或者贴退热贴的方式降温，同时注意多喝水。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看过咽喉部吗？有没有红肿，发炎的情况？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那是不是不可以给宝宝喂奶了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没看过咽喉部"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "低烧的情况一般不妨碍哺乳，如果出现高烧的情况，需要暂停哺乳。但是目前在哺乳的时候注意戴上口罩，防止传染给宝宝。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "几度算高烧"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "38度到38.9度，属于中度发热。39度以上，属于高烧。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前37.2到37.9度，属于低烧的情况。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在除了发烧，有没有感觉有感冒症状？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "中度发烧可以哺乳？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有感冒症状"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "中度发烧，如果没有服用退烧药的话，也是可以哺乳的，但是如果服用退烧药，一般需要暂停哺乳。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "感觉身上发冷"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前有发烧情况，同时有眼窝发热，上火表现，考虑可能是患上呼吸道感染的可能性比较大。一般是细菌或者病毒感染引起的。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那物理降温有用吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "物理降温是有用的，但是看到目前身上有发冷的情况，我觉得可能待一会儿，体温还得上升。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "考虑，目前是体温的上升期。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "是的，我刚又量了，确实升了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "本身在哺乳期，用药需要谨慎一些，建议先物理降温，多喝水，观察体温变化。如果体温超过38.5度，需要口服对乙酰氨基酚退烧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果出现发烧高度高，建议就医内科，让医生检查，化验血常规，看炎症情况，在应用相应的比较安全的药物治疗发热情况。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "和宝宝距离近，会不会通过空气传染"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "有可能空气飞沫传播，需要戴上口罩。经过检查治疗后，如果还是反复发烧，一般是需要服用一点清热解毒的中成药，如果检查化验血象高，细菌性炎症，需要口服消炎药。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "今天早上扣了一下鼻子，不会是因为这个呼吸道感染吧"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前发烧，考虑还是有炎症感染引起的，不会无缘无故的发烧。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "从昨天开始吃的康妇炎胶囊"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "考虑并不是因为抠鼻子，造成的呼吸道感染。这个是可以吃的。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "月子期间也可以用冷毛巾敷头吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "额头是可以敷的，但是身上不要用凉水擦。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "以后会不会留下月子病"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果担心，就温水擦身，贴个退热贴。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "同时发热的时候，一定得注意多喝水，多尿尿，身上有水分，才好退烧。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "谢谢李医生"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "还有什么要注意的吗"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "注意控制好体温，如果高烧的时候，并不是物理降温就能退得下来的，该服用退烧药的时候，得需要服用退烧药。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "康妇炎胶囊也是治疗炎症的？"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "这个是治疗妇科炎症，但不是治疗呼吸道炎症的。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "最好化验血常规，看一下血象情况，根据血象情况，应用相应的药物治疗。体温超过38.5度，一般就需要口服退烧药。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "非常感谢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "好的，别客气，目前注意多喝水，先控制好体温。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "对了，前几天给宝宝查过血了，超敏c反应蛋白4.3，是不是因为我体内炎症大导致的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "有化验单吗？发我看一下吧。"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "为什么化验血？孩子有什么症状吗？"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "黄疸高"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "好打嗝"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "考虑问题不大的，可以再复查一下，看到没有太明显的炎症表现。"
            }
        ]
    },
    "10308268": {
        "self_report": "小孩反复发高烧，医院化验单在此，哪位医生帮忙分析一下",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "6岁"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "从第一次算17天了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "最高体温多少度"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "12月21号开始的，一直在看医生，打完吊瓶好两天又来，最高40.5"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有其它症状"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "偶尔有点咳嗽，很少的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "从化验结果分析白细胞，中性粒细胞，CRP明显增高，考虑宝宝细菌感染"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "鼻涕也有一点"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "考虑宝宝呼吸道感染原因"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议积极抗感染，清热解毒药物治疗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "最好化验一下血培养，明确病原，针对性治疗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是很严重吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "毕竟平台不能详细查体，单从化验结果看，积极控制感染应该问题不大"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是这个么？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "还没有拿到结果"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "检查病原菌检查"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "噢，好的，谢谢。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不用客气，祝宝宝健康成长，早日康复"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您再有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有结果后可以在联系我"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "应该用些什么药物"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "来控制感染"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "明确应用抗感染药物比如头孢类，大环内酯类等"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "最好化验血培养及药敏，明确病原，针对性应用药物"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "一直都有用头孢"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "口服，输液，"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "合理检查一下吧"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "针对性治疗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "针对性应用抗感染药物"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "还有阿奇霉素，用过两个阶段"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就先结束了，待结果出来后再联系，好吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10545851": {
        "self_report": "从昨天下午开始发烧39.3吃了布洛芬退烧了然后夜里一点多又发烧将近39度吃了药退烧现在又有发烧的迹象",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！宝宝多大了？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "除了发热，宝宝有其他不舒服吗？咳嗽吗？流鼻涕吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "10个月零18天"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "没去医院看看吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是前几天拉肚刚好,好了几天昨天又拉了一次,拉完一会就发烧了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "暂时没有"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "最好去医院吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝发热一般感染的可能性大，病毒常见，引起扁桃体发炎，咽部疱疹等情况，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "需要去医院医生查体，查血常规C反应蛋白等。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "哦,好,下午去查个血"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "需要输液吗,我不太想给他输液"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不一定输液啊，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "普通感冒病毒感染一般发热三到五天，再就是这么大宝宝不排除幼儿急疹，之前出过疹子吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "如果像你说的是感染的,就要输液吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "而且如果他这样一直反反复复发烧怎么办,退烧药24小时不是不能吃超过三次吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "大多数情况不需输液"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "之前也发烧过,也有疹子,但是不是幼儿急诊"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这样老是烧有什么办法吗,也不能老是吃药"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝发热三天，很常见，可以用退热药，观察宝宝精神食欲状态，精神状态好，一般问题不大"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "除了布洛芬还有其他退烧药吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "先去医院查血常规C反应蛋白看看，是细菌还是病毒感染，听听心肺，看看咽部。还要检查一下宝宝身上手脚有皮疹吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "布洛芬或者对乙酰氨基酚，是宝宝首选的退热药，一般服一种就可以了。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "如果是病毒感染需要服用消炎药吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一般不需要服抗生素的，对症治疗行，预防并发症如中耳炎，淋巴结炎或者肺炎。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果宝宝哭闹，精神不好，可能不是单纯病毒感染，是不是合并其他感染了。"
            }
        ]
    },
    "10256123": {
        "self_report": "宝宝快五个月了，最近老是流鼻涕，我该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "流鼻涕多久了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天是第三天了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "清鼻涕还是黄鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "清鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "打喷嚏吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "她从出生就打喷嚏"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那现在有鼻塞吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那是受凉了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以吃点抗病毒的药物，也可以用葱白加姜片煮水喝，祛寒的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我家有四季抗病毒口服液"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这个可以喝吗？是中成药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "鼻塞流鼻涕的症状要好的慢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "多喝温水，多尿也可以排毒的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯嗯，吃药期间我需要注意点什么么"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "孩子吃母乳"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "加辅食了吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "偶尔喝点米粥"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "现在大小便怎么样？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就是只喝汤"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "和平常是一样的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "正常吃母乳，可以继续喝米粥"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不要添加新辅食"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦哦。好的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝生病期间吃奶量可能会减少，夜间睡眠也会变差"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "那鱼肝油和乳钙可以吃么"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "注意及时增减衣物，不要再受凉"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "对了，口服液是什么时间吃呢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "家里大人没有感冒的吧？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "吃过奶之后半小时吃"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "一天吃几次"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "一天三次"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "这个没有写明婴儿需要多少药量"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那我需要给宝宝吃多少ml"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "1ml就可以"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "宝宝鼻塞难受可以用生理盐水滴鼻腔"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "也可以热敷鼻子"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "注意不要烫到宝宝"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢大夫！"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10500107": {
        "self_report": "14个月冷到先感冒引起的发烧应该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前体温多少度"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是前天晚上一夜不肯盖被子"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天先感冒，后来昨天伴午又冷到她了就夜里发烧了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "就医看过医生了吗，化验血常规了没有"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有量摸起来蛮高的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "现在除了发热，还有什么感冒症状"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "家里有体温计吗，需要测量一下腋窝体温。不同发烧体温的处理方法是不同的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有其症状"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我量下"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "这情况是不能给她穿多衣服了是吧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个情况的话，发烧不能穿多了，不能捂热，建议穿薄一点。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "测量完了吗，体温多少度"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "如果超过38.5就吃美琳"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "如何没有超过就吃小儿感冒颗粒？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我家有美琳和小儿柴桂退热颗粒"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "和小儿感冒颗粒"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现有体温的处理，如果超过38.5度的话，可以口服布洛芬，也就是你说的美林，退烧。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果体温是个低烧的情况，可以物理降温，比如多喝水，温水擦拭全身，冷毛巾敷额头，泡澡，或者贴退热贴等方式。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "孩子精神状态，现在怎么样"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "一直就是哭闹"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "那低也可以贴退热贴"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "她平时这个时候要睡昨晚一夜比较哭闹"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我那个体温计没找到"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "摸起来没有太高"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一直哭闹主，要是发烧身体不适引起的。需要测量体温，看体温到底多少度，然后根据上面的方法，采取相应的温度处理措施。温度降下来，孩子会明显感觉舒服一些。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "和以前她38.5烧不一样，要低的感觉点，"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那退热贴我有的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前分析病情，有一个发热，夜间蹬被的情况。考虑着凉，引起小儿感冒，发烧的可能性比较大，一般是呼吸道感染了病毒引起的，当然也有细菌感染的可能。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "我现在可以给他了吃小儿感冒颗粒吗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "或者是柴桂退热颗粒"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "目前发热，治疗方案建议口服小儿柴桂退热颗粒。这个药是一个清热解毒的中成药，对于发烧效果好。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "同时注意多喝水，多排尿，有利于热量的排出，有利于退烧。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "那我给她帖退热贴"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "建议按照以上方案服药治疗，控制好体温，如果治疗后仍然反复发热，建议就医，小儿科，让医生查体，化验血常规，明确病情后治疗。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "额头不怎么烫就是身上比较热"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "建议最好的话还是测量一下几万，感觉的话不是那么准。可以再买个体温计，测量一下。如果检验血象高，有细菌性感染引起的呼吸道炎症，是需要服用消炎药的。"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好，谢谢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "别客气，吃点药，多喝水，注意测量体温。"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "感冒期间饮食注意清淡，别吃油腻的，难消化的。"
            }
        ]
    },
    "10272994": {
        "self_report": "我宝宝出生8天，今天发现他有点感冒，怎么办？需要带他去医院吗？好心疼。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在还有什么症状"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "鼻塞，流鼻涕不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我宝宝出生8天，今天听他呼吸有点鼻塞"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "偶尔有点打喷嚏"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "家里人有感冒的吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "主要是我高血压导致我宝宝早产几天，家里人都没感冒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝多少周出生的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "体重是多少斤"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "364天"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "出生时只有5.3斤"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃奶好不"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "住了一星期保温箱"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "得住"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "平常还好，吃奶一次能吃40毫升"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "反正那你要是感冒了就是家里的大人又感冒的或者是不理吧看量，我一般奋斗一定有些东西像你家孩子早产，屋里温度不能太低了怎么的也得是二十三度左右，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "知识都在百分之五十，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "别的也没什么状况，不哭也不闹，照样吃好了就睡"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "按压热敷鼻子内侧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "注意保温观察"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "就行"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "要不要去医院看看？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "先不用"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "初为人母，他又早产，所以他有点什么不舒服我就很着急担心。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "有问题再咨询"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "再见"
            }
        ]
    },
    "10514943": {
        "self_report": "一岁宝宝突然发烧，嘴巴附近起疱疹",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有去医院"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧体温多少度？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "低烧已经三天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天嘴巴附近起了几个痘痘,像疱疹"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "37.5,37.8这样"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "口腔里有没有，发我看一下吧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "牙龈看的有点红"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "宝宝不让拍，我看了没有，但是门牙中间的牙龈肿了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不吃饭，不喝水，一吃饭喝水就哭"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "牙龈肿了，考虑上火的情况。看见咽喉部，咽峡部位有没有疱疹？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "喝水，吃饭就哭，考虑是有疼痛的情况，考虑有咽峡部长疱疹的可能。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在怎么治疗的？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好像没有"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我怕是手足口"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没吃药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "牙龈是这样的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "手上，脚上，臀部，有没有疱疹？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是的，看这个就是疱疹"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "手脚没有"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "周围的孩子有没有长手足口病的？或者长水痘的？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "水痘疫苗一岁刚打了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿发烧，口唇部，长疱疹，考虑有疱疹性疾病，引起发烧。一般是，感染了病毒引起。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "目前对于低烧的处理，可以温水擦身，冷毛巾敷额头，泡澡或者贴退热贴等方式，如果体温超过38.5度，可以口服布洛芬退烧。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那这个会不会自愈啊"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一般来说，病毒性感染有一定的自愈性，但是如果孩子症状明显，不适明显，有发烧情况，也得适当口服药物，帮助治疗。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那吃什么药啊"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "目前的情况，建议可以口服中成药的抗病毒药，比如蒲地蓝消炎口服液治疗。同时，也可以在疱疹部位，喷利巴韦林喷剂。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦哦，行，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "注意多喝水，观察孩子精神情况，观察手，足，臀，等部位有没有疱疹情况。如果有以上情况，建议及时就医，小儿科让医生查体，化验血常规，明确病情。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "那现在还是家里观察呢"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "孩子不喝水不吃饭"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "主要是疼痛原因引起的，不吃饭不喝水，建议可以喝点稍微凉点的水，会感觉舒适，不要吃热的，不要喝热水。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "好的，别客气，吃点药，多喝水"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "和家里有狗有关系么"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "一般关系不大，考虑主要是肠道病毒感染引起的。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦哦,行，谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "大便正常，今早有点稀"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "有时候大便发稀，和发烧有关系，是肠道对于发热的一个身体反应。可以吃点益生菌调理一下，比如双歧杆菌。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            }
        ]
    },
    "10231666": {
        "self_report": "我家宝宝今天去医院检查肚子涨气，到了晚上咳嗽了，能不能吃小儿肺喘颗粒和罗红霉素跟盐酸丙卡特罗口服溶液",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子是吃东西吃多了说导致的胀气？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "除了咳嗽，有点胀气，还有其他的症状吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "拍片说胀气"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有肠梗阻的情况"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "这孩子是过敏体质吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有放屁呀？或者有没有排便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "医生讲有可能是含到了一口风"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "导致了胀气"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "那应该问题不大的，可以口服你所说的那几种药物"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果这个孩子腹胀的症状比较重，没有排便，没有排气是不可以口服药物的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天也大便了。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "那就应该没有问题可以口服上述药物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大便打掉以后才说肚子疼"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "本身红霉素就可以促进肠蠕动，还可以缓解胀气的情况"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这孩子有肚子痛的情况？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "严重吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是肚子疼才去的医院"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在还有腹痛的情况吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "或者说腹痛的症状缓解了吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "拍片说是胀气"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "现在肚子不疼了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果没有腹痛的症状，是可以口服罗红霉素的，罗红霉素可以促进肠蠕动，如果有腹痛的症状是不能口服的，可能会加重腹痛"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "医生只说这段时间给他吃东西不要吃太多"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不要给孩子吃太多的东西，尽可能给孩子口服容易消化的食物。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个孩子头孢过敏吗"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "不过敏"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果头孢不过敏，建议你首选的药物是头孢，而不是罗红霉素，罗红霉素可以促进肠蠕动，可能会导致孩子出现腹痛的情况"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "本身这个孩子就有胃肠道症状，可能会使原来的症状加重的"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "其他的那两种药物没有问题，可以口服"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "这孩子除了咳嗽，还有其他的呼吸道症状吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "比如说流鼻涕打喷嚏"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那我先给他吃这两种药"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "或者说家里的大人有没有呼吸道感染的情况，这个孩子有没有受凉的情况"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "打喷嚏"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "那应该考虑呼吸道感染的，可能这个孩子外出受凉所引起的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "今天从医院出来就开始咳了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "与外出受凉有一定的关系，也可能在医院当中被别的小朋友传染了"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "需要观察体温的变化和咳嗽的情况"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "可能这个孩子会出现发热的情况"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "应该适当给孩子口服感冒颗粒，比如说小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "那这三种可以一起吃吗？"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "还有什么问题吗"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10521790": {
        "self_report": "五个月宝宝发烧～吃了退烧药～现在身体，额头冰凉是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前体温多少度"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "36.6"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前这个体温是正常的。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "最高发烧到多少度"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "38.6"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "如果体温超过38.5度的话，一般可以口服布洛芬退烧，这个是非处方药，也比较好买，家里备一点。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验血常规了吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我给她吃了这些"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天晚上37.4我给她吃了这些一样半包过几个小时就一直冒冷汗身体冰凉的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "3天了，没去医院看过"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "目前身上发冷，考虑是口服退烧药后引起的一个后续反应。一般口服退烧药后，身体出汗比较多，可能会引起上述情况。目前注意多喝水，适当的保暖。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在除了发烧，还有别的症状吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "衣服要不要比平常多穿一件"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没了今天就哭闹食欲不好精神状态还可以"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天还拉稀了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前身体发冷，穿着衣服的多少，以身体有微汗比较好。可以起到保暖效果。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "大便一天几次，稀到什么程度，拉手吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "拉水吗，抱歉"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "今天就拉了两次了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "而且很稀"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "考虑拉稀，是身体对于发热的肠道反应。发烧的时候，经常会有拉稀情况"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那要怎么办"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以吃点妈咪爱，蒙脱石散治疗，这两个都是非处方药，对于腹泻效果好。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "分析病情，目前小孩发烧，腹泻，考虑小儿胃肠型感冒情况，一般和呼吸道感染病毒有关系，同时也可能有细菌性感染可能。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "治疗方案的话，我看现在反复发烧，建议用点清热泻火的中成药，对于治疗反复发烧，效果好，比如可以服用双黄连口服液，这个也是非处方药的，比较好买到。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "另外就是注意多喝水。额头冰凉出冷汗，其实也是循环不好的一种表现，注意多喝水，多排尿，也可以带走热量，有利于退烧。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "现在小孩精神状态怎么样？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "精神状态还可以"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "就是会哭闹"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "食欲不太好"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "不肯吃东西"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般精神状态好，没有高烧不退，咳嗽厉害的情况。口服药治疗就可以了。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "食欲不好，主要和发烧生病，或者可能有胃肠不适有关系。积极的治疗疾病，病情好转后，食欲会慢慢变好。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "建议按照以上方法处理，多喝水，控制好体温，清淡饮食。治疗后，如果仍然有反复发烧，建议就医小儿科，让医生查体，化验血常规，进一步明确病情。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好,谢谢您"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的，别客气。适当的吃点药，多注意喝水，清淡饮食，就可以了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "现在没有发烧"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "测量体温有36.6"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "这个体温是正常的。36到37.2度，属于正常体温。看看今天还发烧吗，如果不发烧，应该就问题不大了。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "别客气，还有别的可以帮你的吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "没了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "别客气，应该的。有问题随时再联络，祝身体健康，再见。"
            }
        ]
    },
    "10280794": {
        "self_report": "3个月抱抱感冒了，鼻子不通气怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子除了鼻子不通还有其他症状吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有发烧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好像有点咳嗽，打喷嚏"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "是不是早上起来容易咳"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "晚上有时候也有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "主要还是鼻塞，打喷嚏为主"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "不厉害"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "是吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "，那么建议注意保暖，适当喂点温开水，观察一下"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "另外建议一个药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "叫马来酸氯苯那敏片"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "三个月孩子一次五分之一片，一点点就可以，泡水溶解喂一天三次，对鼻塞流鼻涕打喷嚏效果不错"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "是起什么作用的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "减少分泌"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "抗过敏"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果说注意孩子保暖，适当喂点温开水，有缓解，那么可以不用吃药"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "观察一下，如果还是鼻塞打喷嚏厉害，可以买来试试"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10333217": {
        "self_report": "出生满80天的宝宝这两天有点咳嗽，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有流鼻涕吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点点清鼻涕"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯。咳嗽有痰吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "用手摸体温像正常的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有痰"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，流鼻涕咳嗽几天了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "干咳，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝吃奶精神好吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "一两天"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝吃奶精神好吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "吃奶还好，和以前一样"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "哦，考虑是感冒了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以给宝宝口服小儿氨酚黄那敏和小儿止咳糖浆"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可以不吃药吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "宝宝现在小，不敢给她吃"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不吃药，那只能是自愈"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "可以自愈吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝小，抵抗力差，自愈的可能性小"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "会不会拖得更严重"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "有可能"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "我觉得还是给宝宝吃药治疗好一些"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是去医院开药还是直接在药店买啊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以到药店买，不过应该咨询一下药师，宝宝服用剂量"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "宝宝现在可以吃药吗？影响大不大啊"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以吃的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "影响不大"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "昨天才开始咳的，到现在也才咳了几声，可以在观察两天吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以观察1天"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果咳嗽没有减轻就吃药"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "如果减轻了，就继续观察"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯，谢谢医生"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢了"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不谢！有事留言"
            }
        ]
    },
    "10231546": {
        "self_report": "孩子两周岁半，现在体温37.3要不要给吃药？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个温度不要吃药"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子还有别的不舒服吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "孩子体温37.3要不要吃药？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "不吃"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子还有别的不舒服么"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦，那就是物理降温？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "不要随便吃药哦"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "基本正常"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，多喝温水"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，这个只是发烧界限"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不要吃药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "那上了多少度再吃药合适"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "即使可能继续烧，现在也不吃药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "38.5"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "有问题随时联系"
            }
        ]
    },
    "10029614": {
        "self_report": "一岁两个多月的女宝宝，前几天发烧了有点流鼻涕吃了一袋布洛芬颗粒后不发烧了，就没给她吃布洛芬颗粒了。过了两三天又咳嗽有痰了，去拿了止咳化痰颗粒，利巴韦林和阿莫西林颗粒，吃了两天后，第三天把布洛芬颗粒当成阿莫西林颗粒了，误给宝宝吃了两次一袋的布洛芬颗粒对宝宝有什么不好的影响？今天早上给宝宝吃药的时候才发现，吓死我了。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，布洛芬主要是解热阵痛药"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "误吃了2次，对宝宝没有多大影响"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "给宝宝多喝水"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "两袋0.1g的，一天误吃了两袋"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，给宝宝多喝水，促进代谢"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在宝宝有什么不适吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "在百度查了说对肝脏不好，是真的吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "也能玩"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是晚上一醒就哭"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯。药物有一些副作用，不过次数不是很多，建议多喝水看看，如果宝宝食欲差，呕吐，可以化验一下肝功能看看"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "怎么抱都闹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "白天看着也没啥"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "有可能是感冒的原因"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在主要是给宝宝多喝水，促进药物代谢"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就是一咳嗽就想吐"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "她就不喜欢喝水"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯，这个是咳嗽引起的，不要紧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "如果没有食欲差，呕吐就没事是吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯，没有就考虑没有事的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不用去医院检查没事吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝不喜欢喝水，可以往水里加一些果汁"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "就宝宝现在的情况可以暂时观察"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果宝宝实在是不喝水，只能是静脉补充液体，促进代谢"
            }
        ]
    },
    "10472095": {
        "self_report": "婴儿持续两天体温偏高，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，从血象看宝宝是病毒感染，宝宝最高体温是多少"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "体外37.1"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "以前都是36.2"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "婴儿口唇周围有点发黑"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "你好，37.1度是在正常范围内的，宝宝精神食欲如何"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "吃还是正常，有点吐奶状，"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝之前有没有口周发黑的情况"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "婴儿本来在做肺炎输液治疗，今天第六天，双肺无啰音，，音粗，以前没有口周发黑的症状"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "依你看口周发黑是什么症状"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "你好，口周颜色变深，首先要排除心脏问题"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "排除心脏问题？什么意思？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "在住院期间，医生们看宝宝的口周也发黑吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有，就今天才有的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "肺炎加重了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "肺炎没有，今天都说明天不用治疗了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝吃的怎么样，尿的多不多"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "吃得正常，尿正常，尿液有点黄"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "额，那问题不大，那口周发黑与宝宝输液后有关系，注意观察，别呛奶，预防重感就可以，家里有感冒的一定要隔离开"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "还有其他需要帮助的嘛"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "因为全家都有点咳嗽，喉咙痒痛，所以没办法隔离"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "大人做的血常规"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "您好，从检查结果看属于细菌感染"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "细菌感染会引起咳嗽有痰，流鼻涕么"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "会通过呼吸道传染么？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你好，会的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "呼吸道感染最常见"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "一直带有口罩，但同处一室"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "嗯，勤喝水，按时吃点消炎药"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "今天输了液，感觉好多了，就还有点鼻塞"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "鼻塞会自己逐渐缓解的，没事的，属于正常的感冒过程"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "细菌感染会变成病毒感染么"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般不会的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "恩，谢谢"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "婴儿可以采取些什么措施呢"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "我们贴了退烧贴，会不会影响明天看体温？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不客气，婴儿注意体温变化，可以适当添点水，别一次喂多了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不会影响太大的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "因为小孩喉咙不舒服说不出来，只能看有没有发烧跟查血常规了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的，主要根据体温，咳嗽程度及检查结果综合判断"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果有什么需要帮助的，随时联系我"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯呢，谢谢"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复，健康成长，问题结束后，麻烦您根据系统，给出评价"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "你好，是可以服用的，没有影响的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "还有其他需要帮助的嘛"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "宝宝最近没有腹泻吧"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "你好，在吗"
            }
        ]
    },
    "10415425": {
        "self_report": "孩子发烧喝药打针怎么都不退烧不出汗，三小时喝一次药温度还是39度，是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在呢"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子现在体温多少？手脚凉吗？身上有汗吗?"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没汗手脚都烫四十度"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子精神怎么样？喝水多吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "七点打的退烧针"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这次怎么喝药一直烧都不出汗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在住院治疗吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "大人十分钟喂一小杯水"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "还没呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯嗯，孩子除了发热还有其他症状吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "比如扁桃体发炎，嗓子哑，咳嗽等等"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "以前烧都是喝完药半小时就出汗了这次一点汗也没有"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有这情况打针的时候医生给看了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯，孩子神智清醒吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一下午就睡觉的了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝睡觉是因为发热引起的嗜睡哦"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "给宝贝做检查了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这我知道可是这烧的我害怕这次发烧他主要就是不出汗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "今天中午烧的本来想的喂点药观察观察，晚上又给打的针也不管用"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯嗯，孩子这样持续39度以上需要尽快去医院积极退热，给予血常规支原体胸片等相关检查，明确发热原因，对症治疗哦"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝持续高热对大脑可能会造成损害哦"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "现在去检查还的去急诊，也不知道医院有人没"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "有人的，公立医院都是24小时值班"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的我想办法领孩子去看看"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的谢谢大夫"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "尽快给宝贝退热并给于相关检查，祝宝宝早日康复"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "麻烦您了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您还有疑问吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可能您在忙，稍后有疑问可以给我留言，再见哦"
            }
        ]
    },
    "10172528": {
        "self_report": "宝宝三岁半这两天有点感冒了，有点流鼻涕，还有点咳嗽，晚上睡暖和的时候咳的更厉害，今天到诊所抓了中药还捡了西药。晚上好像还是咳。现在该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子晚上咳嗽厉害么"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有一点"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一次连续咳嗽还是就是咳一两声？？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "咳一两声"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯嗯，您感觉有痰么"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天好像没有"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "发烧么"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "其实像孩子这种咳嗽不是坏事"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这事孩子自身肺部保护机能"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "因为气道有分泌物，有一些炎症，所以纤毛会把他们往外扫，这样就会产生咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "宝宝往几次都是第一天咳几声过几天就咳的厉害"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "我觉得只要不是很厉害，多给孩子拍拍背就可以了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "您以前都给孩子吃什么药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "阿奇，抗过敏的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还有止咳糖浆"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，实在咳嗽加重可以吃一点抗过敏的降低气道敏感性还是挺好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "抗生素不需要太着急"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不能害怕就着急，有的症状不是坏事"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "对，我也认为阿奇这些药不能随便用"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在就白天多拍拍背就可以了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是啊，您知道为什么还那么着急啊"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢！明天看情况吧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "等等吧，我觉得这咳嗽不厉害，可以等等"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "嗯，明天拍拍背"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有问题随时联系"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10219552": {
        "self_report": "两月女婴后半夜鼻塞持续五天了，鼻腔内有痰的声音能吃母乳也睡觉偶尔鼻塞难受而醒，怎么回事能打脊灰针吗？？？谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子有发烧吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "孩子有咳嗽吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "还是鼻塞流鼻涕为主"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "偶尔干呕咳嗦"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "鼻塞为主"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不留鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，目前按你描述的来讲"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子主要着凉了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "家里有小儿氨酚那敏颗粒吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "或者扑尔敏"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那能打脊灰针吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前暂时不能"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "卫生院应该也不给打"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "因为担心不知道是疫苗反应，还是本身就是这样不好鉴别"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "而且孩子目前抵抗力差一点"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好吧谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "建议是等这两天感冒症状好一点"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "鼻塞就一定是感冒吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "她没有别的症状呀？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "鼻塞主要是着凉了"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那怎么治疗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "家里有小儿氨酚那敏颗粒吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "或者扑尔敏"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "另外一点非常重要的是注意孩子保暖工作"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "特别是傍晚降温，还有洗澡的时候"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "俩月给吃那药你是医生吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "而且最近降温厉害"
            }
        ]
    },
    "10527216": {
        "self_report": "宝宝发高烧，38.5，四点50左右的时候吃过美林，烧退下了，现在又发高烧了，39度，还可以在吃美林吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，现在可以吃的，隔4小时，就可以的"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "小孩有多大了？有流鼻涕鼻塞吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有咳嗽吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "1岁半"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有，之前有些流淸鼻涕，，还有一点咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "给她吃的小孩吃的999和咳嗽药"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天下午发的高烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "咳嗽有几天？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有痰吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有化验血常规吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "两三天左右"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "精神胃口怎么样？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没谈"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在的情况考虑可能有细菌感染了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "家里有消炎药吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没验"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有头孢"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "胃口不好，不发烧的时候精神挺好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的，现在可以吃点头孢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果明天还有发热，那么要去医院化验血常规的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果有细菌感染，没有杀掉细菌，容易变肺炎的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那咳嗽药和感冒药还要继续吃吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就是偶尔咳嗽几下"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "要吃的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "咳嗽药是什么药？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果没有流鼻涕，可以不吃感冒药"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "请问医生发烧是吃布洛芬颗粒退烧好一些还是吃美林搞一些"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "美林是布洛芬混悬液，成分是一样的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "咳嗽药吃的是这种"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以的，这个可以吃的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "鼻涕现在不流了，但是鼻子里面有鼻屎，要不要吃药呢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以不吃的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那么现在就吃头孢，咳嗽药"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，那发烧的话"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "还是给她吃美林吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "是的，体温39度以上，就吃美林"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "今天下午8左右给她吃过小柴胡"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "小柴胡低热可以吃的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不冲突的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "不客气的。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "还有其他问题或者不理解的地方吗？"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "如果后续有问题，可以留言，我看到了，就会马上给您回复。"
            }
        ]
    },
    "10046681": {
        "self_report": "女宝俩岁十个月了前几天有点打喷嚏流清鼻涕，觉得可能着凉了就给吃了小儿氨酚黄那敏颗粒，搭配的复方鱼腥草口服液喝的喝了四五天不打喷嚏就停了！现在还是就流鼻涕是黄鼻涕了不是特别厉害，还需要吃点什么药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有发烧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽有吗，还是只是流鼻涕"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "也不咳嗽"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是有点流黄鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "精神状态，吃饭方面都可以吧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "都可以！"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那建议你一个药"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "扑尔敏"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是什么药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "是清内热的吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃流鼻涕，鼻塞的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "不是的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "主要是抗过敏，减少分泌"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "可是他流黄鼻涕不是有火吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝之前是有打喷嚏"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "扑尔敏对流鼻涕鼻塞效果很好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "而且除了流鼻涕，宝宝其他症状没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "是鼻炎吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "还有谁说的流黄鼻涕一定是有火的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可能性很大"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就鼻涕也就七八天吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃了四五天药就没在吃"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "氨酚那敏颗粒可以继续吃"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "清热去火"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "扑尔敏对流鼻涕效果很好，而且很便宜，一瓶3到5块钱"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "和氨酚黄那敏一起吃吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是的，如果只是流鼻涕可以只吃扑尔敏"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一般两天就有效果"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "还用在吃点清内热的药吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "能推荐种吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果你担心是内火，小儿氨酚那敏颗粒可以继续吃"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "就是扑尔敏就可以了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦好的！"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "如果是清内火的，可以小儿柴胡颗粒，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "特别是夏秋季节的时候"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "扑尔敏，一次半片，一天三次，泡水喝一下"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10149291": {
        "self_report": "婴儿发烧了怎么办？有哪些降温的方法",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了，体温多少？发热几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "婴儿发烧了怎么办"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "要看孩子年龄及体温情况"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "7个月，37度多刚刚发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "低热，可以物理降温，用冰冰贴，多喝水"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "7个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "如果体温再高，38.5以上需要用退热药的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "除了发热，还有其他不适吗？孩子精神好吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这位家长，还在吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "爱哭睡不着觉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "发热几天了？去医院看了吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看看宝宝身上有皮疹吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃药了吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "什么药"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "布洛芬混悬滴剂"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "退热效果不错的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就今天晚上"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "他的舌头上好像有皮这是怎么回事"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "吃了药很快就能降下来的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是晚上睡不好觉"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "皮是今晚发现的吗？能发个图片吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "他睡着啦看不见"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "睡不好觉可能和发热有关"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "前几天"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是口疮吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不知道"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这样的话舌头不好判断，最好能让大夫看看"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我现在给她盖少一点可以吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "恩恩"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "正常盖就行，因为体温不是太高，才37°多"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "医生问你一下"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "睡醒了多喝水，也降温"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "现在我的孩子7个月了，但是她的脚没有力气站不起来这是什么原因啊^^"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "孩子其他方面都挺好吗，能坐了吗？出生情况好吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "需要专业大夫检查评估孩子肌力，肌张力，神经系统发育情况，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "就害怕神经系统或肌肉问题等"
            }
        ]
    },
    "10824755": {
        "self_report": "宝宝先发烧，吃了药退烧了，又咳嗽去医院看过医生开了有三种药，有头孢克肟干混悬剂、小儿豉翘清热颗粒、磷酸奥司他韦颗粒。可吃了两天宝宝都咳了呕吐了，怎么回事呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "大夫有没有检查嗓子听听气管？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "检查了嗓子，喉咙红了，其他的都还好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，应该考虑感冒的可能性的，有没有受凉？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "应该是受凉了，就是吃了药之后咳的都呕吐的蛮厉害，是怎么回事呢？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "感觉听着有痰"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗓子发炎，引起的咳嗽比较厉害，刺激咽部呕吐发射引起的呕吐表现"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "那怎么处理呢？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "呕吐反射引起的呕吐"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "我看大夫开的药物，有消炎的，清热解毒的，抗病毒的，针对感染效果好。但是没有止咳的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "我建议加上止咳的看看"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "加什么呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "家里面有吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有小儿止咳的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "哦。推荐右美沙芬糖浆，治疗咳嗽效果好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "哪一种？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好像是小儿止咳颗粒"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "可是他才7个半月，吃那么多药，有影响吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个也是止咳化痰的药物"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "都是按照宝宝体重计算的剂量，我觉得没有问题"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦，好吧，谢谢。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "只要宝宝精神食欲可以，就说明病情不严重。假如咳嗽继续加重，有必要去医院儿科看看"
            }
        ]
    },
    "10771643": {
        "self_report": "宝宝14个月，感冒三天，之前喝小儿感冒颗粒，停药两天，今天下午突然发烧怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝目前体温多少？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "38.5以下，可以先适当喂水，温水擦浴物理降温，继续监测体温变化。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在给他用温水擦身"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "如果物理降温体温恢复不理想，体温大于38.5以上可以口服退烧药治疗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "需要给他唔一下，让他出汗吗，还是继续吧身"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "恩，擦拭腋窝腘窝，大腿根，肘窝脖子等部位"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "温水擦浴"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "擦身"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "擦多久呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "多长时间如果没有效果就吃药"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "1520分钟"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不能唔是嘛"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "擦拭体温是可以下降的，不知宝宝还有其他不适症状吗？如果有感染，体温是会反复的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "恩，不能捂。不利于散热"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "注意适当喂水，清淡易消化饮食。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "没有其他情况"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有其他不适症状吗？如鼻塞流涕咳嗽吐泻等"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "对他感冒"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "鼻塞"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "其他没有什么症状"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "还要继续温水擦吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "噢，宝宝体温正常时精神反应好吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "恩，温水擦浴物理降温是副作用最小的退烧方法。一般不超过38.5物理降温就可以"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "他手还是凉的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "脚也是凉的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "那注意对症处理，注意体温变化。普通感冒一般反复发热34天会逐渐恢复正常。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "精神很好"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "现在睡觉了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果手脚凉，多是还会体温上升"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "如果在3天里，体温没有超过38.5那就不用吃药是嘛"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "勤测体温，如果体温上升快，超过38.5可以口服退烧药避免发热引起热惊厥"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一般发热，没有其他不适症状，多是呼吸道感染病毒感染引起，可以适当勤喂水，对症治疗就可，如果反复3天不退建议儿内科就诊明确原因"
            }
        ]
    },
    "10802470": {
        "self_report": "5个多月的宝宝喝水就吐什么原因",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "除了喝水，喝奶吐不吐？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不吐"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "是不爱喝水，往外吐，还是喝下水去，就开始吐？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "喝下去两下就吐出来"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "是喝水咽到胃里之后，才吐出来的，还是水在嘴边，孩子就故意往外吐？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "现在感冒了,不过没有发烧,也开了药,但是流鼻涕越来越严重"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "考虑目前的情况，还是因为感冒，胃肠道消化不好，造成吐水的可能性比较大。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "喝到胃里"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "考虑应该是一个小儿胃肠型感冒的情况。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "平常不生病的时候也是这个情况"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "就是在感冒的同时，也伴有胃肠道的不适，和消化不良，返流的症状。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "另外，就是可能孩子不太爱喝水，或者有时候喂水喂的有点多。可以适当的在水里放点葡萄糖，同时少量的喂水，一次不要喂太多，孩子慢慢接受了，适应了，就好了。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在感冒看过医生吗？服用感冒药物了吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "这个没什么大问题吧"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "看过了,服用了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个情况应该问题不大，因为看到孩子喝奶的时候就不吐，只是喝水吐，考虑还是不太爱喝水，并没有胃肠道的器质性病变。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般这个情况，孩子大一些会自行好转。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前的情况，可以吃一点小儿氨酚黄那敏颗粒，缓解感冒症状。同时还是有吐水的情况，建议口服一点妈咪爱，调理一下，帮助消化。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的,谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，别客气，建议吃点药，少量多次的喝水，注意保暖。治疗三天后就医小儿科，让医生检查，复诊感冒恢复情况。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "目前的情况，考虑还是在感冒期间，有胃肠道不适，引起吐水的可能。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以吃一点妈咪爱，或者醒脾养儿颗粒，调理一下。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "如果今天还吐水明天就去复查"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以的，应该还是孩子的胃肠道不适，引起的。喂水的时候，一次不要喂得太多，顺时针揉揉肚子，帮助消化。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "现在除了流鼻涕，吐水，还有别的症状吗？看着孩子精神状态还好吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "偶尔咳嗽"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "喉咙有点红"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "主要的还是一个小儿胃肠型感冒，上呼吸道感染的症状。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在医生给开的什么药？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "这两种"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "看医生开的头孢类的消炎药，以及祛痰的药物。"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "目前流鼻涕比较明显，还可以加用一点小儿氨酚黄那敏颗粒口服，缓解感冒症状。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "吃了药有点拉肚子的症状是什么原因"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "考虑两方面的原因"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "一个是服药刺激胃肠道，引起的轻微腹泻。另外一个就是小儿胃肠型的感冒，也会引起，呕吐和腹泻。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "那这种情况是不是需要换药呢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "目前可以先加一点妈咪爱吃，调理肠道菌群，缓解呕吐和腹泻。如果腹泻症状比较明显，特别是水样便，可以同时加用蒙脱石散止泻。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果孩子咳嗽不厉害，痰不多，这两个药物可以停一下，换小儿氨酚黄那敏颗粒吃，本身主要就是一个感冒症状。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "咳嗽不严重就偶尔咳嗽,就是鼻涕有点多"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "目前的情况，吃小儿氨酚黄那敏颗粒，妈咪爱，蒙脱石散治疗就可以了。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的,谢谢医生"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "注意喝水的时候一次不要喝的太多，少量多次的喝水，注意保暖，别着凉。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "这种流鼻涕的时候，尽量的穿暖和一点，比较怕凉，一凉了就很容易流鼻涕。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "每天洗澡不要紧吧"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "可以洗澡的，但是注意洗澡后别着凉。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的，吃点药，注意护理好，这种感冒有一定的自愈性。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "好的，还有别的可以帮您的吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "祝身体健康"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "有问题再联络"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10055722": {
        "self_report": "宝宝90天，从昨天开始低烧37.4左右，由于不是高烧一直没吃药，持续烧也不是事啊，请问该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝还有其他不适吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温有达37.5度吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "睡觉比之前少了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有达到过"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有流鼻涕咳嗽吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "但测的结果中没有超过的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "偶尔咳嗽"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，是感觉热吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "抱着他时能感觉他身上热"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃奶和精神好吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "而且近两天他爱吐泡泡伸舌头"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃奶可以"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯，咳嗽有痰吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "宝宝才90天，会吐痰吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不是有宝宝吐痰，是咳嗽的时候听到有痰吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没见过他吐痰"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不是让宝宝吐痰"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是听到有痰没有？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，干咳，目前考虑宝宝有可能是感冒了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以给宝宝口服小儿氨酚黄那敏"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "注意观察宝宝的体温和精神状态"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "感觉他比以前爱哭"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果精神不好，咳嗽加重，建议到医院给宝宝听诊一下气管和肺"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯，感冒了就会不舒服，就没有以前精神状态好"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10311936": {
        "self_report": "孩子发烧一天两夜就是有点鼻塞不咳嗽一直发烧退了而且总反复可以吃头孢吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子体温多少呢"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "现在37.1"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "前天晚上38.5,吃了退烧就正常,然后就我37度多,后来就又烧,昨晚也烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子的精神状态怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "38度多的时候就有点蔫吧,现在37多久正常"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "37度多时候,就正常"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "可以吃这个消炎药吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "查血常规了吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有去医院"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "孩子手脚有些凉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这种情况建议查血常规看看是病毒还是细菌感染，如果有细菌感染才需要吃消炎药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "病毒的吃什么？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "病毒感染不需要吃消炎药，单纯抗病毒治疗就可以了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他就是感冒,鼻塞"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那发烧不需要消炎退烧吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "发热也是由于病毒或者细菌感染引起的，如果没有细菌感染即使发热也不需要消炎的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "消炎药是治疗细菌感染的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃了四季抗病毒,这个可以吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "所以要根据血常规结果看是细菌还是病毒感染"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个可以吃，清热解毒的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就单看孩子现在症状,没法吃是吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "不咳嗽,鼻塞,发烧"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "疾病的治疗不能单看症状，细菌或者病毒都可以引起发热鼻塞，如果只是病毒感染，吃抗生素没有用，本身药物还有副作用"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "我明白了,谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10322643": {
        "self_report": "问题宝宝8个月，昨天开始发烧38.5，吃了药，可是降到37.5度后反复38.7度，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝现在多大了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "8个月"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "8个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝有没有着凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "反复发热"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前天穿的少了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "比如流鼻涕，咳嗽，打喷嚏，腹泻等"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝有着凉病史"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "出现发热"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "而且发热反复，建议给宝宝到医院找医生检查一下咽喉部有没有红肿，化验一下血常规和CRP，分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在38.4"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "多喝水，可以物理降温，超过38.5度应用退热药物"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "用白酒可以吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不要应用含酒精液体"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "擦头，擦身，白酒"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "温水就好"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "擦拭前额，颈部，腋窝，大腿根部"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "在"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还有就是注意多喝水少量多次"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "晚上盖厚被子可以吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "明天带宝宝合理检查一下吧！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "今天拉稀了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以发一下照片吗"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝大便水分多吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "不算多"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "宝宝大便几次"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "黑绿色"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "3次"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "宝宝还发热吗？"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "黑绿，还有黄"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "37"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "正常"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "37度"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "从描述症状考虑腹泻病"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "建议口服药物治疗"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "利巴韦林颗粒可以吃吗"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "比如蒙脱石散，肠道微生态药物"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "个人不习惯应用"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "昨天还没拉稀，正常一次"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "一般腹泻病早期出现发热，呕吐症状"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "最好化验一下大便常规，除外肠炎"
            }
        ]
    },
    "10214625": {
        "self_report": "宝宝发烧三天四夜，吃的利巴韦林颗粒和鱼腥草，一天内高烧三次，查血常规白细胞6.3中性59，打了两天点滴不见好转，急",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子是住院了吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没住院"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "您的意见是"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯今天第四天咳嗽很重"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有呕吐拉肚子吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "但候龙没起泡"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "拉肚子吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天打点滴时拉过几次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "晚上也咳嗽吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "吃了吗咪爱好了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "去医院检查过吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就是现在早上咳得很重，咳吐了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "查过血常规"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "血细胞6.3"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "拍胸片了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "中性59"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没拍"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "根据你说的孩子的情况，发烧咳嗽很重，我分析还是像呼吸道的感染。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在该怎么办？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以去医院检查一下，拍胸片，如果是肺炎，建议你住院治疗。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "因为你发烧时间太长啦，以免耽误病情。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10473536": {
        "self_report": "2岁的宝宝发热1天，血项1万3，眼睛有眼屎伴有充血，这种情况用滴点滴吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "孩已子现在打的喜炎平"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "眼睛红"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前看过医生，具体确诊了什么疾病"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "发热，说是病毒性感冒"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "除了发热，还有别的其他症状吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "白细胞1万3"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "血常规化验单有吗，发我看下吧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "眼角膜充血，有点肿"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "输液的喜炎平，是中成药抗病毒药，还是很对症的。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "打的小针"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没输液"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以的。这个肌注也可以。同时可以口服点抗病毒药物。比如蒲地蓝消炎口服液，或者利巴韦林颗粒，治疗病毒性感冒。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发热最高体温达到多少度"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "口服的清开灵，小儿安氛黄那敏，阿莫西林可拉酸钾"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "看目前些药物足够了。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "还是一个中度的发热，没有高烧情况，没有咳嗽，下呼吸道感染。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前可以按照医生方案，服药治疗，多喝水。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "目前这些药，就可以了。已经不少了。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还用滴眼水吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "有眼睛图片吗，我看下有没有结膜炎情况"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有图片，明天可以吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "还有就是上眼皮和下眼皮里面都挺红的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯，如果结膜红的厉害，眼睛分泌物多，可以滴妥布霉素滴眼液"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "建议按照医生方案，服药治疗，多喝水，控制好体温，超过38.5度，可以口服布洛芬。治疗2天后，就医小儿科让医生检查。复诊病情。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "分泌物挺多的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天晚上38就给她喝布洛芬了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "利福平眼水可以吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "妥布霉素滴眼液，比较合适。超过38.5度，才吃退热药"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，谢谢李医生"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "一天肌肉注射两次喜炎平可以吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "对于2岁的孩子，这个剂量是可以的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，非常感谢"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "别客气"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "有事再联络"
            }
        ]
    },
    "10116027": {
        "self_report": "我家宝贝低烧，而且睡觉有点吼吼的声音，咳嗽不是很厉害但咳嗽的话好像有痰",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝多大了呢？体温从什么时候开始烧的？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "刚刚一岁"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子精神怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天晚上"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽的时候喉咙里有痰吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神上午还不错，下午就不是很好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "食欲还好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "咳嗽应该是疼，每次咳嗽都掉泪"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "食欲也可以，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有看过医生吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "体温最高的时候是多少？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还没有呢"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "根据您描述的症状来看，孩子是感染了呼吸道疾病。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "呼吸道疾病，严重吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "需要住院吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "具体部位要请当地的医生看看，看看咽喉部，是不是扁桃体发炎了，扁桃体发炎会有咽痛，咳嗽的症状。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "另外，还要听听肺部，支气管。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你们家去医院方便吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "去县医院不方便"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是否住院要依据宝宝的情况来定。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "镇医院还可以"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "确定了感染部位才能对症处理"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "镇上医院有儿科医生吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "这个确定感染部位需要做什么检查"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "有的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "需要抽血吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "用手电筒看下喉咙"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "拍片吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "用听诊器听听肺部"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "血的话建议抽一个，因为孩子有发热"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "需要细菌培养吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "拍片的话，具体听了肺部再决定，不一定要做的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "先找儿科医生看看，抽个血常规"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "其他检查看宝宝情况决定是否做"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "先抽血化验吗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "要医生看下喉咙"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "还有抗生素药物可以吃吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果只是扁桃体发炎的话，情况没那么严重"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "看血常规的结果决定是否吃抗生素"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "看是细菌感染还是病毒感染"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "咽部发炎的话呢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "看血常规的结果，如果感染指标不高，可以口服药物治疗。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "结果不一样，治疗方案可以不一样"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "所以建议您给孩子先验个血，为治疗方案提供依据。"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "多喂水，饮食清淡"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "体温要多测，会反复烧的，只要体温不是太高，可以不用太着急。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "ok"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "孩子发热体温都会反复的"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "发热的原因尚未确定，先看医生，做检查，如果有其他咨询，你过后可以再找我的。"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "58",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "59",
                "speaker": "医生",
                "sentence": "你好，孩子的体温怎么样了？看医生了吗？"
            }
        ]
    },
    "10095901": {
        "self_report": "我家宝宝三个月了，咳嗽，流鼻涕，打喷嚏，呕吐",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，呕吐几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "三天"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶怎么样？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "精神还不错，吃奶不如之前了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "咳嗽听着有痰吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯，有，给她喝水吐出来的都是粘的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦，有给宝宝看过医生吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "看过了"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "给开了一瓶利巴韦林喷剂"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "昨天开的，咳嗽没有减轻"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯，还有用的什么药？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以给宝宝加小儿氨酚黄那敏和小儿止咳糖浆"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝咳嗽的时候，给宝宝拍拍背，促进痰排出"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "她还不到三个月"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就吃这些药吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个就是小孩用的药"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "抗感冒药和止咳化痰药"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "呕吐怎么办"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "呕吐不严重，不需要处理，继续观察"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "理疗对咳嗽有用吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不客气，理疗对咳嗽有辅助治疗的作用"
            }
        ]
    },
    "10282632": {
        "self_report": "刚刚量了又上38度1了，护彤吃了一天半了，目前怎么控制体温？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前孩子确诊是细菌性感染，或者病毒性感染了吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "太晚了没有，准备一早去"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "熬了点白萝卜水"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "喝了点护彤"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "孩子烧退了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "可以的，目前今晚主要是控制体温"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "明天可以验血，看看细菌性或者病毒性感染，再选择用药"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "鼻涕从没见孩子这么流过"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "如果是病毒是不是只吃护彤就好了医生？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是的，病毒性感染常有自限性，不需要用抗生素"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "护彤等她鼻涕好了停药？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "是的，很正确"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不能吃超过几天？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "西药的感冒药，常有解热镇痛，退热药成份"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "一般不要超过一周"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "头孢克肟和头孢氨苄有什么区别"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "前者是第三代头孢，效果更好些，副作用也小"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "后者是第一代头孢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "你好，目前这个体温需要物理降温，38.5以上，需要服用退热药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "刚刚量了38°4了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多喝水，半小时后再测量下，如果超过38.5，口服退热药退热"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "头孢克肟如果吃不能低于几天，不能超过几天？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "头孢吃多久，没有固定的天数，需要根据病情。如果细菌性感染，应用头孢，一般在不再发热后3天停药"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "啊"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，还有别的可以帮你吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "有人说吃多了耐药，吃少了让细菌更适应环境"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "不能听他们乱说所以求证"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯，刚才对于头孢药物需要服用多久，已回复，主要还根据病情来的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "21斤孩子吃用量"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "哪一种头孢"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "一次半包，一天两次"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "非常感谢"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "除了血液测"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "病毒和细菌"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "还有哪种方式？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "支原体感染"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "一般就是化验血常规，CRP明确"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的0"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "好的，还有别的可以帮你吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "没有了0"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "辛苦了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "那好的，别客气，有事随时再联络。"
            }
        ]
    },
    "10263249": {
        "self_report": "两周岁宝宝舌苔发黑，不知是不是吃的药还是有别的问题？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝最近有什么不舒服吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "发烧呕吐拉肚子"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天好多了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "突然看见舌苔发黑,不知怎么回事"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "是在吃药还是打针？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃药"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "冲剂"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "什么药？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "止泻安"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "什么颜色的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "褐色"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "冲剂"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "会挂在舌头上吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "会的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "帮忙看一下"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "就像吃黄瓜不削皮，吃过之后舌苔是绿色的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "另外还与发烧有关"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有什么问题吧？应该是药的颜色吧？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "没有什么大问题"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "停药之后过几天再看看"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10283870": {
        "self_report": "四个月宝宝血小板701有问题吗？宝宝最近有点咳嗽，去医院查血，白细胞十点几，血小板701，医生说怕是血栓。宝宝有点贫血，还有点缺钙，可能是因为奶水不是很多。昨天我感冒了，不知道有没有传染给宝宝。血小板高还可能是血液病，听一些网上的医生说这样的情况不用干预，会自己好的？？请专业医生解答一下，宝宝的问题大吗？应该怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "血小板高有问题吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这个孩子的血小板偏高，应该与感染有一定的关系"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "病毒感染或者说是炎症很容易导致血小板升高"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这个血小板数值达不到血小板增高症的诊断标准，一般来说超过八百，甚至说九百，才能诊断为血小板增高症"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "有可能是血栓吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "血小板偏高会导致血液的粘滞度增加，发生血栓的概率比正常的孩子大的多，但是这种概率比较低"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "问题大吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "我看你提供的病史，妈妈有感冒的情况，应该考虑被妈妈传染了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "血液病的可能性不大，应该考虑感染有一定的关系"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一般来说，这个血小板数值是不需要特殊处理的，随着孩子感染的控制，血小板的数值会逐渐的下降"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那怎么办？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "给孩子看感染治疗就可以了，因为这个孩子白细胞总数偏高啊，感染控制以后复查血常规"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "问题不大吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯，谢谢！"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "曲大夫你好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "三七可以吃个，具有活血化瘀的作用"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "孩子今晚拉肚子了，看来炎症在肠胃。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "应该考虑胃肠道的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "可是才四个月大，能吃吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "中药制剂的咳嗽药物可能会导致孩子出现拉肚子"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不建议口服的，这个孩子太小了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果就像口服的话，可以选择阿司匹林或者是潘生丁，这两个药物具有抑制血小板聚集的作用"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦，孩子有点贫血"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "血红蛋白是多少"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还没复查呢"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯，谢谢医生！"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这个孩子最主要的问题，是感染所导致的血小板升高，白细胞升高"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你好"
            }
        ]
    },
    "10629653": {
        "self_report": "11个月10天的宝宝发烧42℃三个小时，会影响智力吗昨天早上宝宝发烧了39℃，用了退烧贴和对乙酰氨基酚栓给肛门用药，然后就退烧了，到了下午2.30这样就又发烧了40℃，然后到县医院看，验血，医生就开了发烧贴（贴脚板底）然后开了布洛芬栓，吃的药就开了小儿氨酚黄那敏颗粒和阿莫西林，可是药效一过4个小时又发烧，就是反复这样，药效一过就发高烧，到了凌晨三点多发烧到了42℃，就直接用了布洛芬栓退烧，还有贴额头退烧，过了一个钟这样就退烧了。今天早上去门诊看了，给肛门用药，现在不发烧了，精神状态也很好。想问问，发烧42℃会对智力有影响没",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "发热比较高。家属都比较担心"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "想问问，孩子这样烧到42会影响到孩子智力吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还有就担心孩子不会说话"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "我看宝宝去医院看了，大夫说是嗓子发炎引起的发热吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是啊"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "嗓子有些红，但是肺部没有响，有些痰"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "打字比较慢，对不住了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就没说其他的了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那我来打字慢了啊已经知道你能不能清楚，"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "听得清楚的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "我看她通了咱们带她长大也都开始那个了，首先考虑孩子还是一个普通的啊，一个复杂而引起来的互相感染着我没找到，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个呼吸道感染那是一幅大爷也要迎来了自己的体引起的负担，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "欧开的是了炫耀的，下午什么问题吧，那挺远的是方式方法对我笑还要消炎消炎下去的就别放单，来时绻到三天时间，"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我是担心孩子烧那么高"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般来说哦哦是那个战队的粉刷牙，能不能送东西啊，算了吧大规模就不要用了退热药，查询，或者是可以，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "哦关于这个孩子发烧不轻啊，这个发个信息对抗炎症的表现，在发展的产生，"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "孩子发那么高烧，对孩子智力还有其他方面有影响吗"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "乐高不代表病情，因为什么礼物没，检查了孩子的学校看，很高，说明那个男的不是很重但是我炎症反应，一眼万年，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "首先我是首先我看你把孩子说完后经理挺好，就说明那个病不严重就不要紧，关于时事，他把孩子送去啊，这种情况是不对的，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "只有，哦哦那原因就发了，才会一下子有一定的可能有一定的并发症啊或者稍微一动就一身倒也只是普通的会要感慨都没说感冒的事，看什么样的东西，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "脑炎的症状的包括那个好，OPPO，是谁先唱，原来是那个同学情况，傻孩子，现在就不止这个，言情吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "相信我治疗那家进了就是没人吃了不然这样的短信，不了个两三天估计为完全正常，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就是脑膜炎才会有这样的对吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "哦对的一般都是老年人才已经体验，哦可干的，行了是什么，下了一万多盘不出来情况，都是脑炎感染的并发症，才看在孩子的妈了，只是发烧而已，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "哦所以说我建议你还关心，子还真挺好不了什么，怀孕的那点也不担心了，会啊，好多了就知道了，小燕，可以的，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "体温正常就是孩子各方面就是正常的对吗？就是说，如果孩子只是普通发高烧，是不会把脑子烧坏，也不会影响智力，也不会把他烧成哑巴对吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "哦对了这是普通的感冒引起寒热是不有什么事，老爷回答是不是就什么也没发生，可能后遗症，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "但是首先看咱们宝宝都有几个号啊，那不是脑袋，考研考的好差的，僵尸家玩了下，特别佣网，不下载完宝宝没有，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那是因为体内有炎症，说说他就不对了妈妈今天去了也不听，看他的大要治疗的啊，看到过就可以，"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦，他不会，烧一退就精神了，一发烧就烦躁"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "哦还有咱们宝宝会说话多一点，目前是随便说的小男生是么，嗯嗯看你看孩子了一般的差，怎样只发，能不能和俺交流啊，哦会走路呢，"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的，谢谢医生，那医生我想问问，如果还没到4个小时，孩子又发高烧，那我可以给孩子继续用布洛芬栓吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "哦这是正常的因为他的时候身体会比较不适身体比难受啊上一样，嗯，导演也是很正常的，没有语言的关系，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "会交流，现在也准备会走路了。会爬，会扶着东西站起来，我们牵着会踏步子了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦，好的，那我继续给他正常用药，继续观察。谢谢医生。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢医生，我的疑问已经解决了，那我结束对话了哦"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "哦哦哈勒六十，必须的，爸爸的同学中了个路费，必须要四川的四g商城的充实用洛洛说不到软件转换的，因为父母比较大，"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "回家了一般不要一般的小男孩儿了，有的人说话了啊，说多了就会慢慢的，咋还没睡，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "若说如果说就告诉他可以了，只要这么想学学的，"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "那如果孩子还没到4个小时又高烧了，我怎么办"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "那么祝您的孩子健康"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "有问题留言"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "还没有四个小时了又发烧了起来，别换另一种黑了，e,b,CD,e，分散式安全门和家具了腿的，"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "收回来了如果说是，下次抓住夏天的尾巴，"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "好的，今天收获很大，谢谢医生"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "没有了，那我结束对话了哦"
            }
        ]
    },
    "10329156": {
        "self_report": "请问三个月的宝宝鼻子老是流鼻涕怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温多少度？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "请问我上面说的能吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "37.38"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "37度多，不需要打针"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天晚上还没量呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦，给宝宝量一下体温"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "去医生那肯定要量的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "孩子他爸带去了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "如果打针回来能洗澡吗"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，不知道是给宝宝打消炎针还是退烧针"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我也不知道"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝现在生病，不建议洗澡"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "怕导致受凉"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以用温水给宝宝擦擦身体"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好，有事联系"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "体温正常吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "正常的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "流鼻涕多长时间了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "精神吃奶好吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "昨天开始的，吃奶也还行"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "就是有点闹人"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "感冒宝宝是感冒了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以给宝宝口服小儿氨酚黄那敏"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "用热毛巾敷鼻子两侧"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "也可以用棉棒蘸生理盐水擦擦鼻孔"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "需要吃药吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯。吃点小儿氨酚黄那敏"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "用热毛巾敷鼻子两侧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "也可以用棉棒蘸生理盐水擦擦鼻孔"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复！"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "有事联系"
            }
        ]
    },
    "10890935": {
        "self_report": "4个多月宝宝，纯母乳，昨天开始流鼻涕，打喷嚏，今天吃了艾畅，老是睡觉，精神一般，要紧吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "又是你"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "真巧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "大便绿色"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "次数正常"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，确实很巧，服药前，有没有嗜睡的情况？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "如果服药前没有明显的嗜睡，其实我觉得有可能还是因为服药引起的。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "艾畅这种西药，缓解感冒症状，效果不错，但是也有一些副作用，嗜睡就是其中的副作用之一。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "那就好"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看到目前的情况描述，大便发绿，有感冒症状，还是一个小儿胃肠型感冒的情况。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以吃点感冒药物，另外可以吃点妈咪爱，调理一下。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "之前去医院看过"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是医生开的艾畅吗？确诊就是小儿感冒吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "不是"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那确诊的是什么疾病？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "就是有点拉肚子"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "所以吃的腹泻的药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯，化验过大便常规吗？有没有明显的问题？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一般来说，对于腹泻的情况，如果腹泻不严重，吃点妈咪爱调理就可以了，如果腹泻比较明显的话，还可以口服一点蒙脱石散，治疗腹泻效果比较好。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前注意吃点感冒药物，注意保暖，观察孩子情况，如果出现发烧，或者咳嗽情况，建议就医小儿科，让医生进一步检查，化验血常规，明确情况，再做相应处理。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "还有别的需要咨询的吗？"
            }
        ]
    },
    "10112815": {
        "self_report": "想请问一下医生，我宝宝两岁三个月，昨天开始咳嗽，一晚上都在断断续续的咳。有痰。嗓音粗。早上开始也有鼻水。我觉得不用去医院。但不知道吃什么药止咳比较好。目前在吃蒲地蓝。可以吗。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "嗯，没有发烧情况。就是总咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，精神食欲好吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "他现在大一点，也能懵懂知道吐痰，都是黏黏的那种。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "什么都挺好的。就是咳嗽的厉害。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "给吃点什么药比较合适啊。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "可以口服小儿氨酚黄那敏和肺力咳"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "同时吃不冲突吧？蒲地蓝需要吃吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不用吃蒲地蓝"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "您说的那两种药之前生病时候医生都给开过的。可小儿氨酚不是去热的嘛。没有止咳的作用不。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "可以治疗流鼻涕的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在宝宝有流鼻涕，可以口服的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "它俩同时吃是可以的。饭前还是饭后好一点。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "肺力咳治疗咳嗽"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这两种药隔开半小时服用就可以的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "也可以饭前吃小儿氨酚黄那敏饭后吃肺力咳"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦哦。好的。请问那个小儿葵花咳喘那个好不好啊。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果咳嗽有喘，吃这个也可以的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "注意多喝水，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不要吃凉东西"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯嗯。好的。那要是吃小儿葵花也是配合小儿氨酚吃是吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯。可以的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "因为我们从来没有吃过小儿葵花那个，但我网搜都说那个管用。之前喝肺力咳我觉得见效也不是特别快。所以才想问问您哪个效果更好一些。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个都是止咳化痰的中药，咳喘灵，主要是对有喘的效果好一些"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "他们不能做比较说那个药更管用"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "主要是看宝宝的症状有没有喘"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有喘的感觉。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果没有喘，就吃肺力咳就可以的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "就是感觉鼻子不透气然后老咳嗽"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯。好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "一定注意多喝水"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的好的，谢谢您了。就按包装上剂量吃就可以了不"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯。不客气"
            }
        ]
    },
    "10272102": {
        "self_report": "10岁孩子发烧39.8度，吃过退烧药，用酒也搓了，还烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子的手脚热吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "吃的什么退烧药"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "安瑞克"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "布洛芬？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯对"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "吃了多长时间了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "40分钟吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "刚才量了一下40多度了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "手脚热吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "挺热"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子以前有发热抽搐的情况吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "精神呢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "还行"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "出汗才能退热"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "然后呢"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不要捂太多"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "孩子不要用酒精，温水擦洗就可以"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还有呢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果持续高热不退就要去医院了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "刚才手脚热吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "热"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "那就先多喝水"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "发热几天了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "昨天开始的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一直高热吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有，就从不到六点到现在"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "还吃其他药了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "双黄连，头孢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "看看孩子嗓子有脓吗"
            }
        ]
    },
    "10283263": {
        "self_report": "5个月宝贝儿大口吐奶怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这种情况几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨晚"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "吐了三次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "发烧，咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "刚有点鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "几次大便了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "别的症状没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没大便"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "能喝水不"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "吃奶好不"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "能放屁不"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "吃完还差不多会吐"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "有点蔫"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "能放屁不"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "今天大便没"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "小便了几次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "哭闹不"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "像喷泉一样吐"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "太吓人"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "得换一个那个给他回做一个腹部彩超看看，"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "吃奶正常"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "黄不"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "鼻塞重不"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "有点"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可能是着凉引起的消化不好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10294898": {
        "self_report": "打喷嚏流鼻子吃了两天药还是这样，吃什么好的快，不吃药可以自愈吗？孩子六个月啦",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前孩子除了流鼻涕打喷嚏有其他症状吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "最近有发烧吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "孩子半岁啦"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不发烧就打喷嚏流清水鼻子"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前在吃的药是什么"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "利巴韦林颗粒头刨拉定颗粒氨黄黄那颗粒"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃了两天了还是这样"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，如果孩子只有流鼻涕打喷嚏，那么就是要注意保暖，适当多喝温开水，然后观察一下，如果说还是没有好转，那么建议可以买马来酸氯苯那敏"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就这一种药吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "就这种"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "你现在吃的利巴韦林是抗病毒的"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那还吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "他不吃药可以自愈吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "头孢是抗生素，如果只是流鼻涕打喷嚏，建议不要吃"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "利巴韦林可吃可不吃"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不吃药是可以自愈"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "当然也有不自愈情况"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "时间长不会引起肺炎吧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以去买马来酸氯苯那敏片，半岁孩子一次四分之一，泡水溶解喝，一天三次"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般两天可以看到效果"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯，好的谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "然后你要注意保暖，适当多喝点温开水"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "那个肠系淋巴结炎会反反复复吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不一定，要看孩子反应"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "而且不同感染都不一定"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "我孩子五岁了，医生检查肠系淋巴结炎总是肚子痛输液一周肚子还是痛"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "孩子什么时候查的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "有半个月了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这是另外一个人孩子"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "另外一个孩子"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯我两个孩子这个是老大"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "冷的凉的辣的从来不吃"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "零食也不吃，孩子肚子痛，怎么办"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "肠系膜淋巴结肿大，如果炎症消是可以消的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "很大部分是病毒感染"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "一般是吃利巴韦林"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "我这里医生说这个会反复发作，不用治疗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "血常规如果白细胞高要抗生素消炎"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "如果没有反复发作是可以的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不一定要治疗"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "白细胞不高，其他什么都正常，就肚起眼那痛"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "有做彩超吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "淋巴结有肿大吗"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯17呢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "17mm"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "那是稍微大些"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果是疼的不是很厉害，一般小于20mm以下，问题不大"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "白细胞不高，可以吃利巴韦林"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "嗯，谢谢"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "您结束吧"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "好转"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10271880": {
        "self_report": "三个多月的宝宝，鼻子有点不通，有点流清鼻子，吃什么药",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我宝宝鼻子不通，有点流鼻涕，怎么办"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "家里人感冒了吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这种情况几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽，发烧，拉肚子不"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不太多"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "可能是我昨天去给她拍照，有点凉了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "鼻塞严重吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "也不发烧，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "鼻涕黄不"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "清鼻涕"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝现在精神状态怎么样"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃奶好不"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "昨晚鼻塞都可以听到，白天还是有点"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃奶可以"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以按压热敷鼻子内侧"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃伪麻美芬滴剂"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "热敷宝宝鼻子吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯谢谢医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "有一种温热的毛巾你个惊喜呢，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10241360": {
        "self_report": "宝宝鼻塞晚上睡不好，白天睡觉也鼻塞而且睡觉的时候嘴巴吐白沫，偶尔有点咳嗽",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝多大了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "一岁两个月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "鼻塞是从昨天晚上开始的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天白天还有点流鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "精神食欲好吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "精神可以"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "考虑是感冒了"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "鼻塞不怎么愿意吃奶"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以用棉棒蘸生理盐水擦擦鼻孔"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "最烦的就是鼻塞他睡不好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦。可以用热毛巾敷鼻子两侧看看"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "家里食用盐可以吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不可以的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "到药店买1瓶生理盐水"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "他不让敷也不让给鼻子按摩"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "药店有啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哎，只能是哄着宝宝弄"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "药店有的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "一弄他就醒了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "尽量吧"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "鼻塞一般几天能好啊"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一般35天"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "宝宝老是爱鼻塞"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "嗯，可能和自身发育有关系"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是不是现在太小没发育好，大了就好了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯，大了会好的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "那就好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在主要是给宝宝多喝水，口服抗感冒药"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "不爱喝水"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "偶尔喝点板蓝根"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以往水里加一些果汁"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "可以哦这也是个办法"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "一定注意避免受凉"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "这几天挺暖和的也不知道怎么搞的着凉了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "哦，所以一定注意护理好"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "穿多了又热了，唉小孩真不好伺候"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "嗯嗯好的谢谢你"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "不谢！有事留言"
            }
        ]
    },
    "10882979": {
        "self_report": "新生儿，出气粗，感觉有鼻涕，怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在睡眠过程中，呼吸次数一分钟有多少次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我不晓得"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "家里人有没有感冒的，可能传染到孩子，或者孩子着凉的可能？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "宝宝出气很大声"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "宝宝今天才从医院回来"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "在医院照了一周蓝光"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "回来出气就这样了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在黄疸降至正常了吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "正常了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "听嘛"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "看目前的症状描述，呼吸音粗，似有鼻涕，考虑可能还是有轻微小儿感冒的可能性"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "很大声"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "现在孩子多大了？鱼肝油补充了吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "感冒了？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "是的，看症状描述是这样。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "上个月27号生的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "12天了"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "？？？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "医生"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "你还在吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "听到呼吸音确实比较粗，也有可能是喉软骨没有发育好的原因引起。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "在的，我需要打字，需要一定的时间。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "但是出生的几天没有"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "这个情况"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "都是在医院烤了一周蓝光回来就这样了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "所以说，刚才我分析最大可能还是小儿感冒。出生后15天，需要补充维生素d，促进喉软骨发育。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "在吃"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "在医院里，有各种各样的病人，发生院内，感染呼吸道感染的可能性，也是有的。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "维生素"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "目前的情况，建议观察孩子的症状，可以适当的口服感冒药物，比如小儿氨酚黄那敏颗粒。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "传染给我宝宝了"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "需要特别注意的是孩子的体温，以及呼吸的次数。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "如果出现体温增高，呼吸增快，或者孩子吃奶精神状况不好，建议就医小儿科，让医生听诊检查，明确情况，做相应治疗。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "就是出气大，吃奶什么都还好"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的，再注意观察看看，小儿感冒确实有一定的自愈性，只要不严重的话，往往也可能会自己好。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯，谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "好的，有问题再联络。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "嗯"
            }
        ]
    },
    "10279639": {
        "self_report": "宝宝感冒型发烧，一直很反复，最高去到39.5，肛塞了就稍微好点，目前她经常吃药都呕吐，怎么办，她很热，但外面冷，不知应不应该脱衣服，而且帮她擦身体，她就打喷嚏，怕她严重，怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子如果发烧的时候衣服要适当松开，不要包太紧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "也有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了说发烧还有其他症状吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "如果单单发烧，没有其他症状，那么是这样建议"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一般如果孩子发烧38.5度以下建议物理降温就可以，用退烧药压下来的体温容易再升上来"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "38.5度以上可以先物理降温，如果实在没有降，再用退烧药"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "已经连续2天半都在发烧了，最高39.5，塞了屁股就降，否则维持在38度左右升降，吃奶佳，精神还好"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有鼻涕咳嗽的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "主要是她吃药很反抗，有时一吃就吐，不知怎么办"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我现在只是帮她擦下身体，尽量让她吃药，混在奶里吃"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "最好不要"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "药还是说单独喂比较好"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "为什么？否则她不吃，要不就吐"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "退烧药一般四个小时内不用第二次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以一点点喂，如果塞屁股好用，可以选择塞屁股"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "加奶进去稀释，药物吸收差，药效没那么明显"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果体温低于38.5度，倒不建议用退烧药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的，明白了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "屁股药，只可以一天多少次？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "最多四次"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "每次至少也要隔四个小时"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这个只是缓解，不能达到真的退烧？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "她水也不想喝"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "退烧药的话压下来，容易再上升"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "主要是孩子病毒性感染，身体对抗病毒需要温度"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果没有达到一定温度病毒不能完全清除，那么之后退烧药效退后,孩子机体对抗病毒还是会体温生起来"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哎"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "怎么办，难道一到39度就去看医生？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我应该怎么办"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "外面太冷，我又怕她穿太少"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "多沐浴？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "外面太冷不要出去"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "在家也能"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "冷"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以温水擦擦，特别是腋下关节"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "兵兵贴"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "即小儿退热贴？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "孩子发烧到达一定体温是会自己降下来，主要是防止孩子高热惊厥"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果每次发烧都退烧药，确实容易一直再烧起来"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "是的，小儿退热贴"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我可以在她身上放几块退热贴吗"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "那唯有物理退烧和吃药？"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "我可以在她身上放几块退热贴吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "要毛巾包起来"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "额头和腋下贴"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "冰块毛巾包起来放身边"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "温度多少就会高热惊阙？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "医生不要挂窗口，我还要问的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "39度以上容易高热惊厥"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "但是高热惊厥至少说部分孩子"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "你继续问没关系"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "不一定会高热惊厥"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "主要孩子如果没有其他症状，精神好，饮食还可以，那么就比较不担心"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "你要回复我一下，不然系统会关闭我们窗口"
            }
        ]
    },
    "10140673": {
        "self_report": "你好，我宝宝打完预防针，晚上就发烧到39度，吃了退烧药，就降到37度多，今天又持续到38度5，应该怎么办啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，对于此次咨询，我想先了解一下具体有什么症状？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "请问打的什么预防针"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "什么时候打的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就是打完预防针回来，晚上就开始发高烧，今天还在烧，持续38度5"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天10多钟打的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "什么预防针知道吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天吃了退烧药，今天没吃，就是贴着退热贴"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "乙脑"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "除发烧外有什么别的不舒服吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "精神状态怎么样？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "好像没有，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是总是哼哼唧唧的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃饭，喝水和平时比有什么区别吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "以前打预防针也没有发烧"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "还玩吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃饭还是吃，就是没以前吃的多"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "宝宝还有3天就十个月"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "逗他还是玩"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "乙脑疫苗本身就是灭活的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "刚量了一下体温还是38度5，没退也没有上升"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "灭活的是什么意思？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "很多孩子都有发烧的现象"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "灭活的病毒"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不知道有没有问题，好着急"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一般会持续三天"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "就是怕晚上温度上升"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "发烧三十九度以上属于高烧"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以肌注退钱药物"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "退烧药"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "三十八度五至三十九度可以口服退烧药"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "昨天晚上就39度以上了，喝了次美林，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "降下来了吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "降了，早上量37度7，中午又升到38度5，到现在还是38度5"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "吃药了吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "今天只是物理降温，没吃药"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "怕吃多了不好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "可以吃"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "这样烧有太大问题吗？是不是要去医院？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "要观察孩子的精神状态"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "精神状态好，就可以继续吃药观察"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "如果精神差，或者发烧持续三天以上就需要去医院"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "根据你给我信息，孩子现在可以不用去医院"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "需要口服药物"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果口服有困难的话，可以选择塞肛的退烧药"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦，谢谢，我今天在观察一下，明天还烧就去看下"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "发烧三十七度五至三十八度五可以物理降温"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "持续发低烧也可以适当口服药物"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "口服的同一种退烧药原则上是四小时之内不能重复使用"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "还有什么可以帮你的吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "好的，再见"
            },
            {
                "sentence_id": "52",
                "speaker": "患者",
                "sentence": "谢谢你了"
            }
        ]
    },
    "10334253": {
        "self_report": "宝宝七个月昨天肚胀，一天没大便，精神特别不好，蔫的不行。晚上开始发烧，39度，用了退热栓退烧了，第二天精神好多了，但是还是烧38.8度，用了退热栓又下去了，晚上七点量体温又烧38.8度了又。怎么回事？可以用什么药呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝除了发烧还有其他的不舒服吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝目前体温多少？还有其他不舒服吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "38.8"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "刚刚量了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是蔫，别的没事。今天拉了两次，也不稀"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "用退热药物了吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "退热栓"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "喝了小儿氨酚那敏颗粒了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "退热药物用了多久了"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨晚用了就不烧了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "今天又烧"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "又用了一次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "到晚上七点又开始"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在又用了一个，睡下了孩子"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在是反复发烧三次了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝有咳嗽，流鼻涕，打喷嚏吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "大小便呢？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "今天拉了两次，不稀"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "大便看着正常"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "饮食怎么样？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝吃东西，喝水有影响吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃的还可以。肚子涨，我没让他吃太多"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就是不想动，蔫"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天看着状态还可以，烧起来了就看着不想动"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "烧退下去之后呢，宝宝也玩吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "精神特别好"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "自己也玩儿"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "也高兴"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "身上有没有起什么疹子？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "一烧起来就明显看出来了"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝每天喝水多吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "不怎么多。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "他不喜欢喝水，喝点不喜欢了就吐出来了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "现在这种情况要多喝水"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以继续观察"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "要看宝宝身上会不会起疹子"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "这么大的宝宝正是幼儿急疹的发病年龄"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦哦那这是怎么回事"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "什么引起的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "是病毒感染导致的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "发烧的时候可以再给宝宝用布洛芬"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "布洛芬和退热栓交替使用退热效果好"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "宝宝除了粘妈妈，有其他不舒服吗？"
            }
        ]
    },
    "10634741": {
        "self_report": "你好医生，我家孩子9个月，不好好吃饭，口里有味道，有点咳嗽，就是发烧怎么回事呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗，有痰吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不厉害"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是不是积食了发烧的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "可能性较大，现在还有发烧吗，体温多少"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "今天又发烧了吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在体温多少度，有没有感冒症状？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有流鼻涕，就是有点咳嗽，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "分析情况，目前小儿发烧，咳嗽，同时食欲差，考虑在西医角度讲，有小儿胃肠型感冒，中医角度讲，小儿积食可能性较大。一般发烧，提示可能还是有炎症引起。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "体温计我找下"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "好的，先测量下体温吧，如果超过38.5度，需要先口服退烧药"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "体温测量好了吗，多少度？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我看看多少度"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前体温多少度？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "37"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "刚量的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个体温还可以，正常的。再注意测量下，如果体温超过38.5度，就口服退烧药。体温在37.538.5之间，就物理降温"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前服药治疗了吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "吃了那个小儿感冒颗粒和烟扁颗粒"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "昨晚上我给吃了点小儿七星茶颗粒，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以的，很对症，同时注意多喝水，控制好体温就可以。如果胃口不好，可以吃点益生菌，或者助消化中成药调理。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "怎么物理降温呢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "物理降温方法，包括温水擦身，冷毛巾敷额头，泡澡，或者贴退烧贴。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "注意清淡饮食，一般咳嗽，发烧好，食欲会好转，口气也会消失。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "恩，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "热敷还是冷敷毛巾"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "额头可以冷敷，身上不要用冷水擦，用温水擦身，擦腋窝，腹股沟，肘窝，腘窝等。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意观察体温，咳嗽情况，如果出现高烧，或者咳嗽，咳痰厉害，建议就医小儿科，让医生听诊，化验血常规，明确情况。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "健儿药丸可以吃吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "可以的，可以助消化，或者吃点妈咪爱，醒脾养儿颗粒，都可以。都是助消化，增进食欲，常用的非处方药，效果很好。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯，这个都有家"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "对了医生这个健儿药丸怎么吃，一次几个"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "九个月孩子"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "那可以的，适当吃点，注意清淡饮食。一般发烧，咳嗽疾病好了后，食欲自行也会恢复。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "好的，看着问题不大，适当吃点药，多注意观察，多喝水，清淡饮食。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "就是怕发烧，咳嗽有点点，不怎么厉害，"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "家里备好退热药，如果体温超过38.5度，需要口服退烧药，不要让孩子烧很高"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "好的，别客气，应该的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "还有别的可以帮您的吗"
            }
        ]
    },
    "10379595": {
        "self_report": "宝宝流鼻涕，不咳嗽，不发烧。吃了两天小儿氨酚黄那敏颗粒。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝精神食欲好吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "给宝宝多喝水"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "继续口服小儿氨酚黄敏"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "继续口服小儿氨酚黄那敏"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "她之前扁桃体红肿，一直吃药了，后来不是发炎，但是还大"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，这个肿大消不了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就把药停了，然后现在流鼻涕，担心会再次发炎"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "消不了？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那怎么办？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "因为不发炎，还大，是慢性扁桃体肿大"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那怎么办呢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不需要处理的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果宝宝不经常发炎，随着淋巴系统发育落后，扁桃体就自动萎缩了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，好的谢谢，那现在就是继续喝那个早就可以了吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "用加其他药不用"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "继续喝小儿氨酚黄敏敏"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不用加其他药"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦，那她是什么原因引起的流鼻涕"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "是着凉了吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有可能是受凉导致的轻度感冒"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "宝宝3岁"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "不太会表达"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯，给宝宝吃的什么药"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "头孢，清热颗粒，"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝宝伸舌正常吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有可能是药物残留舌头，导致不舒服"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "手一直扣舌头"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "今天还是这样吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "今天目前没有发现"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "就昨晚喝过药，睡觉的时候。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "哦，感冒好一些吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "感冒好些了"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "发烧两天，昨天白天开始好转了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "哦，有可能是药物残留导致的不舒服"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "继续观察一下"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "会不会因为感冒原因导致舌头麻的感觉"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "感冒不会导致舌头麻"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "哦，好的"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "我再观察下吧"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "如果今天还出现这种情况，建议带宝宝看一下医生"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "到当地二级医院儿科看医生"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "好，我再观察下"
            }
        ]
    },
    "10752146": {
        "self_report": "孩子化验病毒性感冒。反复发烧38.8。现在嗓子疼的厉害。好像伴有关节痛。吃了退烧药。现在吃利巴韦林。和咽扁颗粒。还有清开灵。请问这样可以么还有什么好的建议谢谢医生",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "孩子化验病毒性感冒。反复发烧38.8。现在嗓子疼的厉害。好像伴有关节痛。吃了退烧药。现在吃利巴韦林。和咽扁颗粒。还有清开灵。,请问这样可以么,还有什么好的建议谢谢医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前化验过血常规了吗，发我看下吧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "哎呦在医生那里。没在手里"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就说是病毒性的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在体温还是38.8°吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "扁桃体有没有发炎？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "之前是38.5。刚才38.8了。马上吃了退烧药布洛芬。,发炎了,一直说疼"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前吃了布洛芬后，注意多喝水，同时可以配合温水擦身，冷毛巾敷额头，或者贴退热贴的方式，先把体温退下来。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "那吃的还可以么医生。看不见好呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "目前看到有个病毒性感冒，咽喉部扁桃体发炎的情况。一般来说，蒲地蓝消炎口服液效果比较好，可以吃一点这个药"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的。我在做"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯嗯。那咽扁颗粒不用吃吃了么"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前还是反复发烧，同时有咽喉部疼痛考虑，主要还是病毒性炎症，没有完全消下去，才导致的。咽扁颗粒，可以同时吃，可以加上蒲地蓝消炎口服液，效果更好。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "谢谢医生谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "一般来说病毒性，感染引起的发烧，但是有三天左右发烧过程。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "哦这么说也算正常是么"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这是第二天昨天下午开始的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "是的，还是正常的。得走完大约三天的发烧过程，慢慢的就会不烧了，病毒性感染有一定的自愈性。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "注意吃点药，多喝水，治疗三天后就医小儿科，让医生检查，复诊病情恢复情况。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯好,麻烦医生了。再次谢谢"
            }
        ]
    },
    "10834393": {
        "self_report": "孩子一岁一个月，发烧去医院验血结果，验血报告有什么问题吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "图片没打开，再发一下吧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "孩子发烧验血结果有问题吗？我看有两项是低，有一项血值高"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "能打开了吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "好的，可以打开了，我看一下。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "嗯，突然发烧了，而且吃了退烧药就没事，药劲过去慢慢又烧回来，吃的美林"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "看到单核细胞比率升高，白细胞，中性粒细胞比例不高。考虑可能还是一个病毒性炎症，引起的发烧。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前医生确诊的什么疾病，上呼吸道感染吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "孩子不咳嗽也不感冒流鼻涕"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医生就说让回家观察怀疑幼儿急疹"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在孩子身上出现幼儿急诊了没有？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就说嗓子有点红，问我喝水怎么样我说喝水挺好的，他说那就考虑幼儿急疹"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "还没有，今天刚发烧第一天"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那发烧和嗓子发红有关系吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般来说，孩子没有出现幼儿急诊，也并不能够肯定的说就是出幼儿急诊。考虑目前的情况，仍然没有完全明确诊断。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "幼儿急诊，一般常常发生于孩子第一次发烧，幼儿急诊前的发热，常常温度比较高，常常高达39到40度，一般高烧三天后，热退疹出。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那我们这病毒炎症需要吃什么药吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "即使是出幼儿急诊，幼儿急疹的本质，也是病毒性感染。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这种病毒性感染，有一定的自愈性。主要是控制好体温，多喝水就可以了。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那就先观察是吧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是的，多观察，控制好体温就可以。发烧超过38.5度，需要口服布洛芬退烧。低烧的时候，一般可以温水擦身，冷毛巾敷额头泡澡，或者贴退热贴，物理降温。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯，好的"
            }
        ]
    },
    "10394518": {
        "self_report": "孩子嘴巴发红火大，吃点什么好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝大便干吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "孩子嘴巴红红的，裂开了一个小口子，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不怎么干"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有多长时间了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一个星期了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "前几天感冒了，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "用吃点降火药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "感冒好了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以给宝宝多喝水"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "补充维生素片"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还没好利索呢，不怎么愿意喝水"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃小西红柿行吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "继续吃抗感冒药"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "吃小西红柿没有多大作用"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "他现在只吃止咳药呢"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "给宝宝口服维生素B2片"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "可以涂红霉素软膏"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "能吃降火药吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯。那就继续吃止咳药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不需要吃，容易引起腹泻"
            }
        ]
    },
    "10729464": {
        "self_report": "男宝三岁一个月，头三天发烧，脸上有零星的疹子，昨天坐火车从外地回家，高烧渐退，今早起来浑身都是疹子，可是我们一岁多的时候出过婴幼儿急疹，当时出的很少，这次看着也很像，可是很多，全身都有，图片是腿",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "麻烦您帮忙看一下"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "那我语音不知道能不能听清楚话我打字比较慢，"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "不疼不痒"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "听得清楚"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "无不适症状"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃了美林退烧"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "额一般来说那就是不疼不痒的话呢，那他那排出就是一个，嗯那一个就是湿疹过敏荨麻疹派出这种过敏性的皮肤疾病了，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦，发个发的是发的之后出现了这种劈腿呢，额一般来说他是并不真，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还吃过磷酸奥司他韦"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这个是抗病毒的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以用"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "用了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以治疗的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我们用了那个磷酸奥司他伟因为当时我们在外地发烧到四十多度，然后四十度吧，然后当时也没有办法手里手头就有那个美林和这个奥司他韦然后就给他用了，"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "但是我的意思是他这种情况也不疼也不痒的，是那个婴幼儿急疹吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我们还需要去医院吗或者需要给他买点什么药用吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "我仔细听听"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "能消褪流行，我就怕他疹子退不好留痕迹"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就行"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "出过婴幼儿急疹还会再出么"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "从那个点的形态来说呢我看还像是一个病毒疹，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般的婴幼儿期在哪多见于两岁之内的宝宝，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "不是出过就免疫了么，不会再出了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "对了一般来说只出一次而已，目前来说呢我考虑是病毒疹病毒疹那也是那种人，病毒性感冒了一个并发的并发的一个一个批准，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦，那我继续给他吃磷酸奥司他韦么"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "他可以在这是发这这是之前之后之后饿或者是发的当中哦出现，一般来说就是发热伴皮疹的比较多，哦哦发着玩了之后再说人了也是有的，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这的那一盒幼儿技能呀因为有耳机在那也是人类疱疹病毒也是病毒，站在那也是病毒，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "自然原则都是一样的就是应用那个奥斯他伟子了，但人大多数拿这种，病毒疹，就是出门之后大约就是三天左右就租租不租不想退一班的五天就能够完全消退的，"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "他没有别的感冒症状"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "哦关系的奥斯翰伟的治疗了一般他是真的于流行性感冒的发个出气，目前来说都体温都唔正常啦吃不吃这个药的意义并不大，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这种病感冒呢一班没有流鼻涕打底可她的症状仅仅表现就是一个反复的发热，"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "哦关于目前孩子的事情况都挺好精神也挺好，吃东西也没事啊，额所以说男目前病情不严重我见我不建议再去医院去救人的，"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "因为我考虑的是病毒检的可能性是非常大的，"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "他现在温度不高了，低烧，37.5"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "哦还有这个的色的热汗还有的热三十七度五也是发热的，吃了几天啦，"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "吃了两天不到吧"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "哦我两天不到建议再次两天，等孩子体温正常的就可以消退的，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "再吃两天也走等孩子体温正常的就可以不用再吃药的，"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "而这个病毒真的也是疾病的一种表疾病的一种表现形式按照中医的说法那就是把这个毒表出来了，哦他那个内内内里的这种恶毒那就减小，所以说那体温也会慢慢而慢慢的消退，这是重要的方法，"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "他发热，38.5以下我就不给用美林了，可是出了一个晚上高热，其他时间都不高，而且发烧就偶尔，不是一直低热"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好，我知道了，谢谢您，我继续给他吃奥司他韦吧"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "哦因为孩子的还是送给特点那就是晚上的时候控制神经那种复杂感神经比较兴奋，所以说孩子一般都晚上发的比较严重，"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "目前那是减轻的，嗯不用很担心，"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的哦不客气的哈继续就吃这个奥司他韦的资料，在治疗的是两到三天就完全可以的，"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的，再见"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "哦不过那如果说那个批嘴呢还是说而已，比较痛啊不叫养啊，或者是那批人出现别的形态啦就出现疱疹等等的话那还是有必要去医院去明确的，"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "恩好的那么祝您的宝宝健康有问题留言，"
            }
        ]
    },
    "10082190": {
        "self_report": "宝贝10个月，前天晚上开始发烧，有流鼻涕，一直是38.5度以下，昨天一天都在贴兵兵贴，昨晚上睡觉前退到36.3，半夜又烧到38度，今天拉肚子三次",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝精神食欲好吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "还好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就是有点闹"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯，有咳嗽吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不咳"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦，有给宝宝到医院看过吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "喂了两包小儿氨酚黄那敏颗粒"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "考虑宝宝是感冒了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这两天都是38度以内徘徊"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在体温多少度？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "就前天晚上烧到38.3"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "建议继续给宝宝吃小儿氨酚黄那"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝有拉肚子，可以加思密达和妈咪爱口服"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果体温在38.5度以下，就给宝宝多喝水"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果体温超过38.5度以上需要口服退烧药"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "尽量多喝水，物理降温，延长用退烧药的时间"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "37.4"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "刚量的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，这个不发烧，37.5度属于低烧"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "一般感冒引起的发烧，35天才会恢复正常的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "还没有给她喂过退烧药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯，注意观察体温变化"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯，谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果吃小儿氨酚黄那敏3天后，体温还是超过38.5度以上，就到医院给宝宝化验一下血常规"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果体温逐步下降，就继续吃药"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢您了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气，一定注意多喝水"
            }
        ]
    },
    "10498749": {
        "self_report": "我家宝宝喉咙有痰咕噜咕噜的，咳一下就听不见有痰，过一会又听见了，晚上睡觉的时候咳嗽应该怎么办，先前在医院打针吃药差不多半个月就好了，可是好了以后医生让补钙，补了俩三天又成这样了？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "嗯，好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "中间有不咳嗽的时候吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "白天几乎不怎么咳嗽，主要就是晚上"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "是不是医院治疗后就不咳嗽了。后来又出现的咳嗽？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "对，还有喉咙呼呼的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "最近有没有重感的情况？或是家属有感冒传染的？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "或是宝宝受凉？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "中间医生让补钙，补了俩三天喉咙又呼呼的还带咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有痰引起的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "对，前几天就鼻涕来"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "我考虑不是补钙的问题。有可能是宝宝重感引起的咳嗽，有痰"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "看起来是重感了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "那有什么办法可以治疗吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个重感，就是再次感冒，和宝宝年龄小，受凉引起的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "表现就是再次咳嗽，鼻塞，有痰的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "治疗的话，宝宝没有发热吧？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "问题是孩子出了流鼻涕以外也没有什么症状呀"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我现在在给孩子吃化痰止咳药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不一定有其他的症状，有的仅仅流涕就是感冒了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哪有什么办法治疗吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "有的，因为孩子太小有痰不易咳出，建议吃化痰止咳药的情况下，加上雾化治疗效果好。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "先前雾化了有半个月了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这个雾化治疗没有副作用，而且药物直达气道，比单纯吃药效果好"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "化痰止咳的药几天能见好"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这次出现咳嗽的症状，还是建议雾化治疗"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "单一吃药的话，建议35天"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意给宝宝拍背，促进痰液排出"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，那我再看看情况，如果还不见好我就去雾化"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "孩子大便是不是吃药的时候与不吃药的时候不一样啊"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气，如果35天无效，建议去医院就诊，如果咳嗽加重宝宝精神不好，及时就诊，排除肺炎的症状"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有可能的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "止咳化痰药加上本身感冒，易引起大便变化"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "反正孩子从昨天开始吃药他的大便也与平常不一样了，顽顽的"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "只要宝宝腹泻不严重，等感冒好些自然好转，注意清洗屁股"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "你说那是不是一种好的现象"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "顽顽的是什么意思？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "就是像痰一样"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "或许痰液从大便排出，可能是好转迹象，相当于排毒了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气，还有问题吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10200972": {
        "self_report": "我家宝宝两个月了，昨天晚上烧到38.5买了退热贴，又喝了复方锌布颗粒剂，今天下午36.7晚上又烧到38度。今天拉的屎是黄色的，比平常稀，怎么回事，严重不",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问您宝宝除了发烧，还有其他不适吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好像有点贪睡"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有呼吸快，咳嗽之类的吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "而且哭的时候都是哼哼唧唧的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨天晚上有呼吸快"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯，咳嗽吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，宝宝家长您好，您的宝宝目前发热原因不明确，但是听您的描述，感染的可能性最大"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那要怎么治疗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是着凉了么？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "复方锌布颗粒有退烧的效果，但只是对症治疗，不能消炎"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我明白了，是要去医院输液是么"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "首先我建议您可以去医院查一个手止血，确定是否有炎症"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "刚刚又喝了药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果有，则需要治疗，您可以跟医生沟通"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "知道了，谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果宝宝喂药不困难，您可以开口服药"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果不好喂，只能输液治疗"
            }
        ]
    },
    "10504771": {
        "self_report": "宝宝8个月，前天还好好的，不感冒，不流鼻涕，吃得好玩的好，昨天早上起来突然发烧37.5，昨天晚上最高38.5，今天早上起来37.5，现在是38左右，一直贴退烧贴，家中有儿童用布洛芬，也没让宝宝吃，请问医生该怎么办？？？？？谢谢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还没有去医院"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在除了发烧，还有别的什么症状吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "先问问你们医生看怎么说"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨晚上可能是吃母乳吃多了，吐了一次奶，今天没有吐"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "看过咽喉部吗，有没有发红发炎的情况"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "也没有大便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天拉的大便酸臭算丑的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有看"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大便酸臭，考虑轻微的消化不良的情况，可以加点益生菌吃，调理菌群，注意清淡饮食，多喝水。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在是小孩第一次发烧吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "发烧也是消化引起的吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不是，上一次感冒发烧过一次"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般消化不良，不会引起发烧。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿不是第一次发热，而且是一个中度的发热，没有别的症状，考虑上呼吸道感染可能性大，一般是呼吸道感染的病毒引起。目前没有高烧，不符合出幼儿急诊的特点。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "一般幼儿急诊，常发生于小儿第一次发烧，热度比较高，常常超过39度，或者40度。目前看，不像幼儿急疹的特点。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在除了贴退热贴，吃别的药了没有？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一直都是物理降温"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在这个体温38度，是可以物理降温的，比如温水擦身，冷毛巾敷额头，泡澡，贴退热贴等方式，如果体温超过38.5度可以口服布洛芬退烧。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没高于38.5没有吃药，家里有布洛芬"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "两天了，担心烧时间久对孩子不好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "另外，我看从昨天开始就有一个反复的发烧情况，也可以适当轻吃点清热泻火的药，比如小儿豉翘清热颗粒，中成药，副作用小，对反复发热效果好。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个倒是不需要担心，这个体温不会对小孩身体造成任何伤害。如果超过38.5度的体温，才可能对小孩身体造成伤害，因此需要积极退烧治疗。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "现在孩子精神状态怎么样？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "建议按照上述方案处理，多喝水，控制好体温，如果治疗后仍然反复发烧，建议就医小儿科，让医生查体，化验血常规，明确病情后治疗。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "精神一般"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "也玩，但是没有健康的时候玩的欢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "精神一般主要是发烧，身体不舒服，需要物理降温"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "注意多喝水，多排尿，能排出热量。饮食注意清淡，别吃油腻的。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "在家再观察吧？还是今天去医院？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "我觉得今天烧的不高，也没有别的严重症状。今天可以暂时在家，再观察。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "如果出现反复的高烧，或者伴随其他咳嗽，流涕等症状。建议及时就医，小儿科让医生查体，化验血常规，明确病情后治疗。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "反复高烧？多少算高烧？"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "37.2到38度，属于低烧。38度到39度属于中度烧。39度以上属于高烧。"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10584027": {
        "self_report": "宝宝十一个月，昨天下午三点多发烧到38.8，吃了泰诺，阿莫西林，柴桂，稍微退到37.7，七点多又升到39.2，又吃了那三种药，温度一直退不下去，半夜三点多全身疹子，今天上午去医院查血，医生又给开了药打了针，可是到现在温度还是退不下去",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子是受凉引起的？天气变化了吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "精神可以吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "也没有感冒啊，不过他还在吃奶，我最近炎症大嗓子红肿感冒没吃药"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，看来是妈妈感冒上火传染的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝宝出现发热，常见的原因还是感冒。这个感冒一般没有别的症状，仅仅表现发热"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那我刚给您看的化验报告单，能帮我再看看吗，医院人多医生说的我没太听清楚"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "他全身疹子脸上最严重，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "我看见了。白细胞不高，但是这个c反应蛋白高。说明有病毒和细菌混合感染"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "全身的皮疹，有没有图片？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "等会"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "看的面色红，看不大清。您摸一下，皮疹高于皮面吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "是有点"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "上午打的是抗过敏的针，医院说过敏"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "有点的话，考虑一是过敏，和考虑病毒疹。不是麻疹，麻疹3天后出现。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意看看打针后皮疹减轻不，假如不减轻，不是过敏，是病毒疹"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "上午打的针，这会好像融成一片了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那个嗜酸性粒细胞她说高"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "只要宝宝不是闹的严重，不挠，不是过敏。考虑病毒疹，这个不用处理，一般3天后就会减轻"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就是不精神闹腾"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没挠"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "她说嗜酸性粒细胞高就是过敏"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗜酸性粒细胞高，多见于过敏，寄生虫等。高的不严重，可能是感冒后体质处于高敏状态，注意这几天别吃鱼虾牛羊肉等食物。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "只要不是精神很差，就不要担心"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那会不会是因为泰诺的缘故"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "那烧不退怎么办"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "泰诺引起过敏的可能性很小。建议等孩子3天左右体温正常后，可以复查看看"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我看泰诺的不良反应是出皮疹"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "不是这个吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "我看大夫开的药物很好，有消炎的，清热解毒的药物。目前体温老是反复，也是炎症没有完全控制引起的。一般要35天炎症控制就不发热了"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "假如药物过敏的现象，皮疹会比较大，高出皮面，痒痒耐受，宝宝会挠的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "他这样一直不退，退烧药最多只能吃三天，每天不超过四次，这该怎么办"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "建议继续治疗。等发热严重一般大于38.5以上就用退热药，多喝水，不到这个高温就不用吃药，温水擦身看看"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "前几天吃鸡蛋过敏后自己好了，这次可能是我炎症大的缘故"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "他上午那会都39.8"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "一般需要过程的。假如发热很频繁，可以去医院肌注退热针。可以让体温下降，过去急性期"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "可能是妈妈感冒传染的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "假如出现精神差，嗜睡，出现咳嗽等情况，也要及时去医院看看"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "就是检查后还是不能准确知道病情"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "我看是病毒合并细菌感染的感冒，加上病毒疹。"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "一般要反复发热3天左右"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "目前是过敏体质，注意饮食就可以"
            }
        ]
    },
    "10355549": {
        "self_report": "五个半月的宝宝今天突然特别嗜睡，早上睡醒拉了一次大便是正常的，九点多开始睡一直到三点多，中间睡醒以后用水稀释的蛋黄吃了两口，不肯吃，又吃的母乳，吃完以后接着睡，睡醒之后用咬咬乐吃了点苹果，之后拉的大便是黄色带水的大便，尿泡的时候就尿一点点，但是很频繁，然后量了下体温是38度，没有出门，大人也没吃什么乱七八糟的东西，宝宝这是什么情况啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前体温多少度"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个体温可以先物理降温，多喝水"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "刚吃的母乳，不肯喝水"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我想稍等一下再喂水，刚吃饱也喝不下"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "实在不想喝，喂奶也可以，母乳主要就是水"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "上午的时候精神状态特别好，也没有发烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前除了发热，还有别的症状吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是纯母乳"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "拉了一次黄色带水的大便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "尿量少但频繁"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "总是打哈欠"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那主要还是发热情况，不知道嗓子红不红，有没有看过"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有看"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我也看不到啊"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "发热一般还是考虑有炎症引起"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "还得备下点退烧药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "孩子容易晚上高烧"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "家里有一种退烧的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "哪种"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "之前四个半月的时候生病拿过药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我看一下"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这个可以"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "晚上量着体温点，如果超过38.5度，就可以吃"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "现在的宝宝不用喂水吧，我很少喂他喝水，也是见说母乳大部分都是水"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我的母乳还稀一些"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果能喝水的话，喝一点"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "别的没事吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "晚一点吧，现在刚吃饱肯定不肯喝水"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "考虑这么大孩子发烧，大部分是嗓子引起"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "现在自己在玩,精神状态特别好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "家里有清热解毒药吗，吃一点"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "我们还没吃过外边的东西，刚开始准备让他吃蛋黄米粉之类的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "先别添加了，生病期间，容易不消化"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "身体状态好的时候，再加辅食"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "刚拉的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "很稀"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "注意看看有没有呕吐情况"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "上午吐了点类似奶又像痰的一口"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "我以为是漾奶"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "是吧，感冒，发烧，容易肠胃不适，也叫做胃肠型感冒"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "目前家里有治疗腹泻的药吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "这个情况，可以吃到治疗腹泻药了，大便看到很稀，也有水"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "老人说黄色的是火气大是吗"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "不是着凉吧"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "这个发烧，腹泻初步看症状，考虑是胃肠型感冒"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "有点咳嗽"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "是吧，还是有感冒症状"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "晚上我看看吧，不行就去医院检查一下好了"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "好的，可以的"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "没有了，谢谢你"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "有问题随时再联络，再见"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10546727": {
        "self_report": "宝宝八个多月了，有点感冒，流那种透明鼻涕，流了两天了，鼻子不通气，家里有小儿麻甘颗粒，能给她吃吗？并且有点低烧了，37度多了，晚上也睡不好，吃什么药呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子有没有受凉或是家属感冒传染的？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "您看我说的这个症状用不用给她吃药"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "受凉了应该，家里没有人感冒"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "我看需要的。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "孩子太小，怕症状加重"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前两天打的防疫针，估计后来又冻着了，老流鼻涕"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "应该是感冒。这个感冒多是病毒感染，和孩子年龄小，抵抗力相对差，天气变化，受凉有关系"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "刚量体温37度多了，但是有汗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那给她吃那个小儿麻甘可以吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "鼻塞晚上比较厉害，睡觉老醒"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "主要是对症治疗。目前主要是流涕，鼻塞，低热。这个小儿麻甘颗粒主要是治疗咳嗽的，不建议吃"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "哦哦，那我应该给她买点什么药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "刚喂了她一顿，没事吧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "我建议吃小儿氨酚黄那敏颗粒治疗鼻塞，流涕，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "口服牛磺酸颗粒治疗病毒感染和低热"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "吃了一次没事的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有化验直接吃那个病毒感染的药吗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "小儿氨酚黄那敏每次三分之一包，一日3次。牛磺酸颗粒每次一包一日3次"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还是就先吃小儿氨酚方纳米颗粒"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "对的。一般早期感冒百分之九十是病毒感染的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "她没感冒过，这是第一次感冒"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "加上牛磺酸颗粒最好，这个是氨基酸类，没有副作用"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "本来想着让她自己扛一下，增强抵抗力，今天下午就摸着有点烧了"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "低热不要紧，就吃牛磺酸颗粒就能退低热"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的，我一会给她买点，晚上睡觉前喂给她"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "空腹吃，还是都可以"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，假如出现发热就得吃布洛芬治疗就行"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "饭后吃最好"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "可以吃完一个接着吃第二个吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "还是间隔一段时间"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一起吃也没有问题"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯嗯，那这种情况可以在开空调吗"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "也可以的，别太凉就行"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "不能太热是吧"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "温度可以就行了是吧"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "嗯嗯还有什么需要注意的吗医生"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "是的，一般温度245度就行"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "可以洗澡吗"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "也可以的。"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我先给她买药喂她几天"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "有问题再问您"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "好的，注意发热严重出现咳嗽，就要去医院看看了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "有问题留言"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好的知道了"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "再见"
            }
        ]
    },
    "10719692": {
        "self_report": "孩子6虚岁感冒发烧了我给用了尼美舒利颗粒一代50mg体重40斤行吗？我喂完了才发现都说不能用了！我好怕！怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好,这种情况多喝水,观察孩子的状态"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "孩子现在睡觉了！我该怎么办"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子发烧几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "精神状态饮食怎么样？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天烧的高，昨天37.8"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天用的直肠给药"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "不用再用这个药了,小孩不推荐"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦！我现在多后悔死了！"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没事吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "超过38度可以口服布洛芬或对乙酰胺基芬"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "孩子是感冒咳嗽现在是高烧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "一次应该问题不大,但要观察孩子有没有不良反应"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦！还有在好点了吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "退烧药？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "孩子发热是有感染,应该到医院检查下"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "副作用小点的！"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "美林或百服宁都可以"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这两种是小孩推荐的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "主要是查一下病因,看是什么感染,感染部位"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "在我村门诊看了，说嗓子红了！听听气管和肺部说没事！"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "退热药只是对症治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那！我明天上市医院看看"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "可以考虑先吃点抗病毒的,不见好建议到医院看下"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "应检查那啊！肺部吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "听诊,看下嗓子,可以查个血常规看下"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "现在吃着了抗病毒的还有消炎的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以先吃,但不见好要去看下"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "美林和百服宁是中药吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦！明天孩子还会烧吗！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "西药,主要是对症退热"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "发热大于38度才可以用"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我现在还要给孩子做物理治疗吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "量体温,正常体温不需要物理降温"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "体温高,手脚热的情况可以物理降温"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "药吃了1个多小时了！孩子出汗了，我现在摸摸额头不烧了是不是太快了啊？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "还要叫他起来喝水吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "醒了再喝水吧"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "1小时退热是正常的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢医生了！要不是你我就得半夜打车带孩子上市医院！"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "您还有问题吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我上班孩子是奶奶带，也怨我！谢谢医生了！要还有不明白的我可能还要麻烦你"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "没了！再见！"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10200774": {
        "self_report": "三岁半宝宝发烧，为什么白眼仁也有点红啊，还不停的舔嘴唇",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发热的时候一定注意多饮水的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在体温多少度了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发烧几天了呢？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "第二天，现在不怎么烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发烧时候多少度"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "吃药没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "39.7"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃的有药"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "够高的，服药后几小时反复"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "除了发烧还有没有其他的症状，比如咽干咽痒，咳嗽流鼻涕等等症状"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我们只吃了清热的，没喝退烧药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，现在有没有其他症状呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有咳嗽流鼻，不想吃饭，我们这个经常发烧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果没有继续口服清热解毒药物，多喝水，量体温"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "对于眼白偏红，一种可能是发热引起的局部毛细血管的充血，另外可能是宝宝上火，或者睡觉不好导致的，多在休息后环境的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，她老舔嘴皮，眼睛白眼仁还有点红是怎么回事"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在39.4"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "经常发烧的宝宝，最好检查血常规，看看是否感染或者病毒引起的，很多情况下宝宝体质弱也会感冒发烧的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "体温超过38.5的建议口服退烧药物"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "清热解毒的低热的还行，高热的恐怕差很多，而且宝宝还难受没有精神，甚至不吃不喝嗜睡的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "此外发热还可能是扁桃体化脓肿大引起的，也最好检查看看"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这样才可以对症用药的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "有点，好的谢谢"
            }
        ]
    },
    "10584886": {
        "self_report": "想问下，孩子体温37的样子，身上有时候烫，有时候不烫，这种情况需要挂水吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "最近出现的吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "有没有受凉，感冒？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨晚开始的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有别的症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "喉咙疼，但是医生说也不是太红，为什么会发热呢，白细胞12点多呢"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "难得有几声咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦，嗓子疼，偶尔咳嗽，应该还是受凉或是家人感冒传染引起的感冒。凡是感冒都有可能出现发热。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "血象稍微高一些，有炎症的。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子精神可以吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "这种情况需要挂水吗，孩子8岁"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "精神一般，还可以，他说稍微有点难受"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "医生让挂水，我觉得暂时没有这必要"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "我看，孩子没有高热，血象不是特别高，反应炎症不厉害。可以不输液，吃药看看"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "吃头孢吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个是消炎的，是处方药，要大夫开的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以吃上感冒灵颗粒，每次半包，一天2次。这个可以缓解难受的症状"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "注意多喝水"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "准备好退热药，如萘普生片，假如出现高热38.5以上。可以吃上"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "大夫开药了吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "假如出现反复高热，精神不好。咳嗽加重的情况，就要去医院看看"
            }
        ]
    },
    "10685369": {
        "self_report": "扑子敏是什么药？我女儿八个月有点感冒咳嗽，医生给开了扑子敏，每次吃四分之一……这个药有什么副作用吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "这个是个抗过敏药"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前孩子咳嗽厉害吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "扑子敏和扑尔敏一样吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好些了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哪种药，发我看下吧，应该是扑尔敏"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "吃这个药是不是对胃不好"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "总是胀气"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发我看下吧，没有扑子敏这个药啊，是不是扑尔敏？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有药瓶就是给了白色的袋子装的白色的小药片"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "每次让吃四分之一"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "袋子上写着药名吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那应该是他写的问题，我认错了"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "手写的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯，应该是扑尔敏，这个是个抗气道过敏的药。吃了后孩子会比较嗜睡，有嗜睡的副作用。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "扑尔敏对宝宝胃有副作用吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "医生开这个药，还是用于治疗咳嗽的。也可能会引起胃肠动力的减弱，造成腹胀的情况。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "同时这个药物，也抗过敏药治疗，流鼻涕。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "如果现在宝宝咳嗽减轻，是不是可以停药？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果咳嗽减轻，流鼻涕减轻，这个药就可以停了。主要还是用于止咳和缓解流鼻涕的。属于第一代的抗过敏药，有一些副作用。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还有一个这个药"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个药，是祛痰药，主要是咳嗽，有痰的时候，可以吃。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "还是流清鼻涕并没有减轻"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前孩子感冒，咳嗽，一般吃点感冒药，止咳药物，就可以了。比如可以吃一点小儿氨酚黄那敏颗粒，缓解感冒症状。可以吃点，医生开的易坦静，止咳祛痰。"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "同时注意多喝水，清淡饮食，一般来说，感冒有一定的自愈性，不用太担心。治疗三天后，就医小儿科，让医生复诊检查，看病情恢复情况。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那就不吃扑尔敏吃点感冒药？如果吃感冒药，是不是咳嗽药也可以不吃了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦哦好也就是说，其实不太严重，可以不给宝宝吃药？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "目前孩子主要还是一个感冒症状，吃点缓解感冒症状的药物就可以了。比如可以吃点小儿氨酚黄那敏颗粒，或者安儿宁颗粒，都是比较不错的感冒药。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "真的很谢谢您，解答我这么多问题，占用您这么多时间，非常谢谢您"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "如果听着有痰的话，可以继续吃点医生开的易坦静，这个主要是化痰的。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "好的，别客气，应该的，还有别的可以帮您的吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的谢谢您了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "别客气，祝身体健康，再见"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了谢谢您"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10853668": {
        "self_report": "昨天晚上发烧，有少量的小疹子，吃了美林和斯宝利通。凌晨三点多又烧起来了，又吃了美林。早起发现疹子多了。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "帮我看看"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前看过医生吗？查过血常规吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没去过医院"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发烧到多少度？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "第一次38.5就用美林了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "温度涨的不是那么快"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看皮疹图片，目前在发烧过程中，出现疹子。考虑感染，引起的病毒疹的可能性较大"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "啊,那需要用什么药么？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "如果不发烧了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "是不是,慢慢就好了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃点蒲地蓝消炎口服液"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果发烧超过38.5度，口服布洛芬退烧。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在疹子痒不痒？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "痒"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不是特别痒"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "注意皮肤清洗，保持干燥清洁，涂抹炉甘石洗剂。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "通常来说，这种发烧引起的病毒性感染皮疹，有一定的自愈性，如果病毒性感染好转以后，发烧好转以后，通常会自己慢慢退去。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果出现皮疹增加，反复高烧，建议就医小儿科，化验血常规检查，进一步明确情况作相应处理。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "啊,斯宝利通,不用吃了,就吃蒲地兰就行么？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "蒲地蓝消炎口服液，抗病毒更对症。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的,那我观察一上午,下午有增加的话去看医生"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "去医院"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好，看到孩子口腔里有没有疱疹的情况？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "注意看一下口腔"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嘴里没有"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的,嘴里有的话有可能是啥"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "考虑没有手足口病的情况。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一般来说，发烧时候，口腔里有疱疹的话，要警惕疱疹性咽峡炎，或者手足口病。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的,我注意观察"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "感谢"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "我先给她吃点药"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "好的，别客气，注意观察体温，如果反复高烧，化验血常规看一下，如果血象高，细菌性炎症，需要口服头孢克肟颗粒。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "发烧的时候，注意多喝水。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "（空）"
            }
        ]
    },
    "10438573": {
        "self_report": "7个月宝宝坏肚子发烧在37-38之间昨天呕吐两次前天做的高频介入治疗后静脉注射阿奇三天不知道孩子是感冒了还是治疗或者阿奇的副作用",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，什么原因做的高频介入？阿奇霉素副作用有腹部不适，腹泻呕吐，但一般不会发热的。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "淋巴管瘤,做的高频介入"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝今天有呕吐腹泻吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天就腹泻"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "今天还有发热？有哭闹不乖现象吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "现在就是发烧在38度,没有哭闹现象,身上很热"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "大便什么性状的？稀水？蛋花汤样？粘液便？脓血便？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "蛋花汤样的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "有化验尿常规及轮状病毒抗体吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝发热，呕吐，之后出现腹泻，大便蛋花汤样需要注意病毒性肠炎可能"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没化验啊,孩子小没法接尿啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "化验大便"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "腹泻次数不多？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "今天腹泻几次？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今日腹泻2次"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "我现在不知道是肠胃感冒还是介入后有炎症导致发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "今天有呕吐吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天呕吐没有"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "昨天呕吐两次"
            }
        ]
    },
    "10340306": {
        "self_report": "您好李大夫，前两天咨询过您孩子尿检红细胞的问题，现在还没去复查尿常规。宝贝22号出院，出院时仍咳嗽，医生说听着没事了，支原体感染是一个过程，给开了易坦静阿奇霉素和孟鲁司特，阿奇霉素吃了一次全吐了，没继续吃。出院第二天晚上到昨天早晨又开始发烧39――39.4,输液头孢和更昔洛韦加了退烧药，发烧还是反复无常，昨晚又吃了布洛芬一夜体温正常，今天正常输液头孢和更昔洛韦又加了多索茶碱，现在又开始高烧39.6，咳嗽一直没好，请问这种情况怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前有尿常规化验单吗，发我看一下。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "稍等下我找找"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "化验单在医生那里，这是出院单上写的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个考虑还是感染引起的血尿"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "尿路感染吗？还是什么"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "尿里面有白细胞吗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "考虑不是尿路感染"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "尿路感染的话，一定会有白细胞"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "蛋白质，没有写白细胞"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不是尿路感染"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "大概是什么感染引起的呢？医院医生也是说感染引起的，就是忘了问什么感染，和肾脏有关系吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "和发热，呼吸道感染有关系"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "得看血尿持续时间，来判断肾脏有没有问题"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "哦哦，非常感谢李大夫，听你这么说心里踏实多了，谢谢啦"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的，别客气，还得注意预防感冒"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "很多孩子，一感冒，就有血尿"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢。您忙吧麻烦了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "您好大夫，我孩子现在反复发烧怎么回事"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "发烧一般还是有炎症感染引起，目前。化验过血常规吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有，就是15号住院的时候化验了说是支原体感染，输液阿奇霉素五天红霉素三天，出院时又化验了，医生说没问题"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "支原体感染的治疗疗程，一般比较久"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "出院时医生嘱咐让吃阿奇霉素，可是孩子吃了就全吐了"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "现在还用再加阿奇霉素吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "至少需要治疗23周。从15号开始算，还不到疗程"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "用阿奇霉素，或者红霉素，都可以，如果阿奇霉素吃不了，也可以用红霉素，或者罗红霉素"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "一共治疗了八天，现在我们是不是要继续住院输液阿奇霉素或者红霉素呢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "至于怎样治疗，我先帮你分析下，稍等。目前除了发烧，别的症状还有什么"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "咳嗽的也很厉害，但是医生今天说听着肺里没事，干咳，还有就是流鼻涕"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "干咳，发热，还是符合支原体感染特点"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "今天看过医生是吗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "恩，门诊看的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "没让做检查"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "怎么不让查血，或者胸片检查呢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "医生是觉的没有肺炎情况吗"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "医生只是听着没问题，所以没让查"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "按说检查下，好一些。目前医生给开药了是么，那可以先吃三天"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "这种情况应该再做一次血常规和支原体检查吧"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "易坦静孟鲁司特和阿奇霉素"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "是的，血常规，一般需要查，如果咳嗽厉害，同时有发烧，其实也可以拍胸片看看咯"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "哦哦，好的李大夫谢谢您了，我们再去做个检查看看呢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "这三个药是消炎，祛痰，抗气道过敏的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "暂时没有了，非常感谢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的，别客气，有事再联络"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "54",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，再见李医生我先带孩子去查查"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "好的，再见，有事随时再联络"
            }
        ]
    },
    "10322531": {
        "self_report": "宝宝5个月感冒37.4度怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前鱼肝油补充了吗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好，目前咳嗽厉害吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "不历害，偶尔。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "哪种止咳口服液，有图片吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有吃呢！我想问问用吃药吟？谢谢！"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "可以吃点止咳橘红合剂"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "效果不错"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "如果不吃药能好吗？鼻子通气不流鼻提。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "咳的厉害不厉害，咳的深吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "癸的不厉害，咳的不深是轻咳。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果咳的不厉害，吃点药，或者不吃药，先观察，都可以"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "如果不吃药不会严重吧！"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "还是得观察，减轻，或者加重，都是有可能得"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好的谢谢大夫！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "你好，目前看还是一个低烧情况"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "应该怎么办用吃药马？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "目前除了低烧，还有哪些感冒症状"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "流濞子咳嗽。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "咳嗽的话，需要注意，目前咳嗽频繁吗，干咳还是有痰"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "暂时没痰干咳"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不是很频繁"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那可以先吃点清热解毒感冒药，多喝水，观察咳嗽情况"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "知道了谢了！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            }
        ]
    },
    "10824602": {
        "self_report": "我家宝宝一岁八个月，这几天总是发烧不退，验血说有点儿炎症，验尿没事儿！可是还总是发烧！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家宝宝一岁八个月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "你能不能上传血常规的检查结果"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好的！"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "稍等"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这是验血的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看不清楚啊"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看不清楚啊"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "你告诉我白细胞的具体数值吧，还有中性粒细胞的百分比"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "一点儿都看不清？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "收到"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "9.78"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这个数值稍微偏高一点点"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "51.34"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个数字应该问题不大的，偏高一点点"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "中性什么的那个百分比"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是啊！"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "那这个孩子发热多长时间了"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "医院的医生说有点儿小炎症不严重"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "可是吃了一个星期的消炎药了还不好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "低烧开始的时候一周左右了，高烧是从前天下午开始的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "除了发热还有其他的症状吗？最高的体温是多少"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有，今天体温一直都是38.4"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "她其他的症状都没有"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "孩子精神状态怎么样"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "就是发烧"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "时好时坏"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "体温正常以后精神状态怎么样"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "挺好的，也爱玩儿"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "但是这个孩子反复的出现发热呀，肯定需要寻找原因的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "怎么找"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "你除了进行血常规的检查以外，有没有进行呼吸道病原体的检查？有没有进行支原体或者衣原体的检查？有没有进行结核抗体的检查"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "另外还需要进行血沉的检查"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "要进行进一步的检查，因为这个孩子发热的时间有点长了"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "首先应该考虑感染引起的，如果排除了感染因素引起的，还需要考虑非感染因素"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "哦哦！"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "毕竟这个孩子发热的时间有点长了，你们没有到医院进行检查吗"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "我认为你需要到医院进行进一步的检查，而不是在家中一味的口服药物，单纯的进行血常规的检查是远远不够的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "这个孩子反复的出现发热，肯定需要寻找原因的"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "不能单纯的进行血常规的检查，这远远是不够的"
            }
        ]
    },
    "10034084": {
        "self_report": "连续发烧5天，使用美林后退烧，药效过后又发烧，多是在38.5左右，有时会到39.6。先吃了三天头孢，又换了阿奇霉素吃了2天，还是不好。血常规正常，c反略高，宝宝牙龈肿胀比较厉害！到底是什么引起的发烧？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在体温是逐步下降吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "用了退烧药才降"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "还是可以达到39度以上吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "药效过了又高起来"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯，宝宝精神食欲好吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "头上一直贴着退热贴，没有到39度"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "下午退烧药没吃"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "精神可以"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃东西一直都不太好，尤其牙龈肿了更不是很好"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗯，就是说虽然体温高，高的程度有没有逐步下降"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好像没有啊"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦，如果是这种情况，有可能是口服药控制不住炎症，建议给宝宝静脉输液治疗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "这种情况是细菌还是病毒感染呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "考虑是细菌感染引起的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那牙龈肿是为什么呢"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "牙齿边上还有血的样子"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "细菌感染，可以引起牙龈肿胀的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可是血常规看上去正常啊"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就c反稍微高点"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，c反应蛋白高就考虑细菌感染"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10337652": {
        "self_report": "孩子高烧不退38.4已整一天一宿吃过退烧药该怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "38.4"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "手脚凉吗？身上有汗吗?"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "手脚热,没有汗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "什么时候给宝贝吃的退热药"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "晚八点塞的退烧栓,下午三点吃的泰诺林"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝血常规显示有病毒感染"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝现在精神怎么样？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "喝水多吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "对的,医院也这么说"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "现在睡觉了,精神状态一直不错"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "水还行"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝还有其他症状吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "稍微有一点咳嗽,有点痰"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝嗓子哑吗？有没有气喘？嗓子疼？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝尿的多吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "不多"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝发热代谢快，需要积极补充水分哦"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "该怎么办"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝有没有皮疹？嘴里有溃疡吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "没有,食欲还很好,没受影响"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在给宝贝怎么治疗的?"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "医生给宝贝诊断的什么疾病？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没诊断"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "就是说病毒感染吗"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "验血的是亲戚没挂号"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "看过医生了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您只是查了血常规，但是没有看儿科医生是吗"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "验血的看结果说没事"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝体温持续不退需要去医院儿科就诊哦，根据查体还有血常规给予对症治疗"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "宝宝血常规显示有病毒感染，不是正常的哦"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "医生看了说回来吃施保利通，别的没说"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "医生给宝贝检查了吗？有没有听诊肺部"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "听了,没事"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "体温在38.5以上可以吃点退热药，手脚热的话可以用温水擦一下眉头脖子腋窝，不要用酒精，擦十几分钟，有助退热"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "如果还是不退热建议带孩子去公立医院儿科，给于进一步完善支原体等相关检查，明确发热原因，"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果您超过五分钟不回复，系统会自动关闭对话，您还在吗？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "可能您在忙，稍后有疑问可以给我留言"
            }
        ]
    },
    "10138908": {
        "self_report": "宝宝喉咙里有痰，睡觉时出大量的汗，偶尔咳嗽几声，眼睛睡觉起来时，双眼都有眼屎。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "宝宝这种现象有几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "一直感冒发热咳嗽好多天，好了还没有一个星期，就这样了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "白眼球有充血发红吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "好了还没有一星期是说咳嗽发热好了没有一周？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前还偶尔咳嗽，痰多？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "偶尔几声"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "白天出汗多吗？是刚入睡时出汗多还是睡熟后出汗多？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "声音有点沙哑"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "喉咙里有痰"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有肺部听诊吗？目前有服用药物吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "白天出汗还好，就是睡觉"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有服药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "肺部没有炎症，扁导体有点验证"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一度吧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "扁桃体充血肿大？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有化验血常规吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有一点点"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝大便正常吗？之前发热咳嗽有吃药物吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "前段生病时化验了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "喝了酸奶两天一次"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "上火了"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "小便也黄"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "睡着了不知道是喉咙还是嘴巴偶尔发出声音"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "恩，宝宝咳嗽有痰，方便的话最好化验个血常规如果有感染建议服用抗感染药物，如果血常规正常没有抗炎指针，建议服用清热解毒消食药物，勤喂水"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哪些是清热解毒药物？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如小儿双金清热，健儿清解液或蒲地蓝口服液都是"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦，那板蓝根颗粒能吃吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "也可以"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那是治风热感冒的，三周岁宝宝可以吃吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "咳嗽有痰，咽红，尿黄，便少多是受热，所以可以口服清热解毒药物。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢周医生！"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "您好，在吗？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "让您久等了"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "宝宝有其他不适症状吗？有几天了？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "怎么办？孩子感冒发热1月20日吊水才好不久"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "发热成肺炎吊水五天才好的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "目前有咳嗽及其他不适症状吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "只是流鼻涕打喷嚏？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "平时爱打喷嚏流鼻涕吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "不是这样的"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "平时体质好吗？是否反复呼吸道感染？"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "如果平时易反复打喷嚏流鼻涕需要注意过敏可能。"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "如果既往没有过敏症状，那打喷嚏流鼻涕多是感冒症状，没有其他不适可以勤喂水，避免受凉"
            }
        ]
    },
    "10733909": {
        "self_report": "医生你好..宝宝女、两岁半.昨天打完疫苗（手口足疫苗）就感冒流鼻涕.流眼泪.喉咙红.轻微有痰..我给孩子吃了小儿那黄敏颗粒.蒲地兰、抗病毒口服液..不见好转..宝宝吃完药一天眼睛就迷迷糊糊的感觉很犯困很没精神..宝宝最近抵抗力很差总会生病",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "根据我上述的情况你怎么看"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子看起来像是感冒的表现"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有受凉？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不知道啊.夏天睡觉容易吹空调有可能是受凉."
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不停的流清鼻涕.两眼泪花."
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "很有可能是受凉。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天看医生说喉咙红.听了听有痰."
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "加上打疫苗后抵抗力暂时下降，容易出现感冒。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "大夫说是支气管炎吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "还是说是感冒？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有说.就说让回来吃点蒲地兰就行."
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "哦，我看有流涕，嗓子红，还是嗓子发炎，感冒的表现，"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯."
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "今天吃了两次小儿那黄敏颗粒.两支蒲地兰.一支抗病毒口服液.我觉得不见好转啊"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "并且孩子今天一天眼睛特别没神.总觉得想睡觉犯困一样.眼睛迷迷糊糊的.这什么情况"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "大夫开的药物我看是可以的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "注意看有没有发热"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不发热"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "孩子眼睛一天迷迷糊糊想睡觉犯困.是怎么了"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个小儿氨酚黄那敏颗粒有嗜睡的副作用"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "加上感冒本身就可以引起嗜睡。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以不先吃小儿氨酚黄那敏，仅仅吃其他的药物看看"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "因为大多数都是病毒感染，所以吃清热解毒的药物是没有问题的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯.我就是怕是吃那个小儿那黄敏颗粒了.晚上这一包也没敢让孩子在吃"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "一般这个副作用很快过去。可以继续观察看看"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "医生.孩子之前身体挺好的.最近两三个月孩子特别容易生病."
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "一般来说普通感冒35天差不多。不要担心"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "孩子抵抗力弱应该怎么办."
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "抵抗力不好。多是年龄小有关系，假如反复感冒，比较频繁"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以吃上增加抵抗力的药物，如匹多莫德口服液。连续吃2月可以增加抵抗力"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "平均一个月半个月都要生一次病.有没有好办法增强抵抗力的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "这个药物可以试试的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯."
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "像合生元益生菌那种.你觉得吃了管用吗"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "这次感冒先这样治疗。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "益生菌增加抵抗力效果不好"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "在观察观察吧"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "假如孩子治疗期间出现咳嗽加重，精神很差，呕吐，就要再去医院儿科看看的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯.孩子今天晚上吃完饭说肚子疼."
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "等孩子年龄45岁抵抗力就好了"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我没在意.你觉得这是怎么了"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "之前有没有腹痛的情况？"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "没有吧.她太小了.以前从没听她说过.她也不明白.今天晚上吃完饭说肚子疼.两岁半"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "很可能是感冒后引起的肚子淋巴结大。只要痛不严重，可以不处理。之后避免受凉感冒就会好的"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "假如反复腹痛严重，就要及时到医院儿科看看的，必要时检查彩超明确"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "哦.目前看也没拉肚子呕吐什么的."
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "51",
                "speaker": "医生",
                "sentence": "所以不像胃肠炎，考虑感冒引起淋巴结大压迫引起的痛"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "一般23天就不疼了"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "嗯.没有了.谢谢啊"
            }
        ]
    },
    "10576269": {
        "self_report": "问题现在孩子烧到四十度，上午九点打的腮腺炎针，下午四点多发烧的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我的孩子打腮腺炎针，发烧怎么回事"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "一般来说"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一般打腮腺炎针发烧么"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个疫苗引起发热的可能性很小"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "就是发热也是低热，一般不到39度"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "那为什么我的孩子发烧呢"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "我的孩子烧到四十度"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "我考虑孩子之前病毒或是细菌已经感染机体只是处于潜伏期，没有发病。当打完疫苗后抵抗力一过性下降，就出现症状，就开始发热了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "那怎么治疗呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "目前40度，属于高热，建议吃上退热药，如布洛芬，先退热，多喝水。可以吃上清热解毒的药物如清热解毒口服液每次3ml一天3次。不过有40度的高温，就建议吃上退热药再去医院就诊。必要时检查血象看看"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "不在了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前40度，属于高热，建议吃上退热药，如布洛芬，先退热，多喝水。可以吃上清热解毒的药物如清热解毒口服液每次3ml一天3次。不过有40度的高温，就建议吃上退热药再去医院就诊。必要时检查血象看看"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "在家吃药不去医院能有大事么"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "精神好吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "看看可以退到体温正常不"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不是太好，刚才吃了药，现在稍微好一点"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "让我的孩子这种情况是不是该忙了没有好力量引起的呢，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "感冒没有好利索就去打疫苗，也有可能"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦，如果烧退了就没什么大问题了吧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般会反复发热23天。大多数是病毒，但是孩子高热可以引起惊厥，而且目前不排除细菌感染，所以就建议去医院检查最好"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "哦，好的，谢谢"
            }
        ]
    },
    "10773507": {
        "self_report": "50天宝宝感冒已经快一个月了，鼻塞，喉咙有点红，吃了艾畅和己新干，没什么见效，这样会不会影响宝宝各方面发育？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "50天宝宝感冒已经快一个月了，鼻塞，喉咙有点红，吃了艾畅和己新干，没什么见效，这样会不会影响宝宝各方面发育？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯嗯，我看见了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "是之前受凉引起的吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦，一直鼻塞吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "去拍满月照，店里空调风直吹吹到了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦，很可能是空调引起的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "鼻塞一直有，鼻子呼气声音闷闷的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "对，主要衣服还脱掉了，肚子被吹到了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "但是一般普通感冒大约57天痊愈"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "已经半个多月了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦，有没有咳嗽，发热？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "咳嗽有几声不多"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没发烧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "去医院看喉咙里面有点红红的，有痰"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "开了艾畅和己新干，因为己新干是消炎药怕小孩太小一直没有给她吃很多，"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "哦，这个情况持续存在吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个以及干是头孢类的吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "头孢吃了多长时间了？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "也是一个月？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "克洛己新干混悬剂"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有，吃了一周左右"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "抗生素，消炎的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "对，可以继续吃吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "艾畅是治疗感冒症状的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "感冒这么久对她各方面发育会不会有影响"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "会导致发育迟缓吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "目前确实考虑感冒。但是老是不好，有可能对头孢耐药，可以换换药物"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "那会影响她发育吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "推荐阿莫西林类的消炎药治疗35天"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "艾畅继续吃。这个副作用不大"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "一般来说，不会影响发育的"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "目前孩子体重增加了吗？"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "体重在增加的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "身高体重都在增加"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "哦，不用担心"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "没有影响发育"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "不客气的，假如出现咳嗽加重，精神食欲差，体重不增加，还是要及时去医院儿科看看的"
            }
        ]
    },
    "10110537": {
        "self_report": "两岁4个月孩子，昨晚突然发烧38.5度，物理降温没降下来，喂了退烧药出了很多汗。今天体温37.9度，精神状态好。能不能喂点四季抗病毒口服液，施保利通，还有小儿柴桂退热颗粒。请问一下小儿柴桂退热颗粒跟小儿柴桂颗粒是一样的吗？前几天总是用手挖鼻子，偶尔有点打喷嚏。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝还有其他不适吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "精神状态好，现在只喂了施保利通，就不知道还该喂点什么药"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "可以加四季抗病毒口服"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "还喂不喂点小儿柴桂退热颗粒啊"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "小儿柴桂颗粒跟退热颗粒性质一样的吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "不用再喂小儿柴桂退热颗粒了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "应该性质是一样的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦！只喂四季抗病毒口服液吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "和施保利通吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，喝四季抗病毒口服药和施保利通就可以的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的，谢谢了。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不客气，注意饮食清淡一些"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以配合物理降温"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "尽量延长药物退热的时间"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "化验是细菌感染，继续口服现在的药"
            }
        ]
    },
    "10882816": {
        "self_report": "小孩子17个月了今天上午打了乙脑预防针，下午就发烧了，晚上现在39.2度，能喂退烧药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "家长您好，孩子发热在38.5以上就可以吃退热药的"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "吃布洛芬吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "对的，布洛芬或者对乙酰氨基酚都可以"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "一般接种疫苗后的发热，通常由于交叉传染导致的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "通常是病毒性的，建议化验一下血常规"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "孩子除了发热以外，还有其他不舒服吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "用在吃点抗病毒的药吗"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的，如果精神反应好，热不高，可以居家观察"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "39.2"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以吃点清热的药物，比如小儿豉翘清热颗粒或者小儿热速清"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "刚才测的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃布洛芬或者对乙酰氨基酚"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "奥司它伟能吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "奥司他韦是针对流感的，考虑是流感才可以吃"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "所以最好能化验一下血常规"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这样子就很明确了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "若明天还烧,是不是就得去医院"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯对的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "今天晚上就喂点退烧的就可以是吧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "还是要看体温反复和精神的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "比如说"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果发热在39.5以上，精神反应不好"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那就需要去医院看下"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "孩子现在睡了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "怎么观察"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是不是监控一下体温就可以了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "对的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "注意观察体温就可以了"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的,谢谢您"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气，还有其他问题吗"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您的病情后续还需要观察，如您信任我，欢迎您再次找我咨询，我会继续为您提供指导建议，助您尽快康复，谢谢"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果您觉得我的服务对你有帮助，请麻烦给一个很满意的评价，谢谢。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的,再见"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "祝一切顺利"
            }
        ]
    },
    "10231619": {
        "self_report": "四个月半的宝宝咳嗽，不确定有没有痰",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝贝咳嗽几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有体温36.4"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "咳嗽几天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天起来就咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一阵一阵的吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗓子里面有丝丝的声音吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有丝丝的声音吧"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "家里大人有感冒的吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有就昨天去亲戚家，有个亲戚感冒了但是没抱"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "应该是被传染了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "不是把"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "应该是被传染了刚才用的一个一个的这么重还天天给他吃药，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好大学出来不要呆在一空间就有可能也还是太小了很容易被传染，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那之前我感冒也没有咳嗽这些"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "要吃药吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "还是就喝开水"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "应该吃药观察"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不想他吃药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "那就观察看看今天晚上怎么样"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "咳嗽久了会引起什么病"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯咳嗽多久需要引起注意"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "小的咳嗽应该引起重视他要是弄什么你你一点一点的一天可是厂里的肯定是有毛病容凌比这边拐费眼神，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "应该引起重视，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10762294": {
        "self_report": "十个月宝宝流清鼻涕，37.4度，吃的小儿氨酚黄那敏颗粒，贝贝沙，可以和钙，铁，维生素C，D,赖氨酸维B12一起吃么？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "看到目前孩子有一个感冒的症状，就医看过医生吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "补得可以和感冒药一起吃么？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "一般来说孩子感冒的时候，身体状态不好，可能会有胃肠消化不好的情况。建议这些补的药物，可以稍微暂停一下，等感冒好了以后再吃，会比较好。不然吃的药物很多，会对胃有明显的刺激。"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有！昨天流的鼻涕，今天有点烧，吃了氨酚黄那敏颗粒和贝贝沙"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "至于，是否可以一起吃，也是可以一起吃的。当然我的建议是感冒好转后，疾病痊愈后再吃。补的药物，不是很着急吃的。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "好的！那吃氨酚黄那敏颗粒和消炎的管用不？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在除了流涕，低烧，还有别的症状吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "十个月了，他肚子凉经常拉稀，吃补得吃的眼角有点眼屎，是不是有点上火呢？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "目前没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "考虑是由上火，或者轻微结膜炎的情况，一般注意多喝水，清淡饮食，看眼睛分泌物是否减少，如果还是明显眼部分泌物增多的话，可以用妥布霉素滴眼液。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "看到目前情况还是一个感冒症状，一般口服小儿氨酚黄那敏颗粒缓解感冒症状就可以了，目前暂时没有证据表明，需要口服消炎药。暂时不需要吃头孢类消炎药的。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "注意吃点感冒药，多喝水，清淡饮食。如果孩子出现高烧情况，或者服药后，感冒症状不缓解。建议就医儿科，让医生检查，化验血常规，进一步明确情况。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那光吃氨酚黄那敏颗粒就好了？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的！谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "可以同时吃点清热泻火的药物，对于治疗发烧和上火症状效果好，比如可以吃一点小儿豉翘清热颗粒。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "同时多注意喝水，多排尿，身上有水分，才好退烧，注意观察体温，如果体温超过38.5度，需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没了！谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，补的药物先暂停一下，不然吃多了药胃里不舒服，吃点感冒药。感冒症状好了以后，再吃补品就可以了，多注意喝水。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "祝身体健康，有问题再联络"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10487031": {
        "self_report": "宝宝六个月，感冒了，打喷嚏、流鼻涕、咳嗽",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好。孩子咳嗽严重吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "本来就咳嗽痰多,喝了药好了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "前天刚好,应该是昨天晚上又把宝宝感冒了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "当时喝的这两种药"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "如果咳嗽不严重。应该是普通感冒的情况。多是受凉或是家属感冒传染引起的。一般35天就好"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "药物是可以的。没问题"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "应该是受凉了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "可能是昨晚蹬被子了没给盖好"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "注意最近晚上有没有发热。预备好退热药"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "很可能"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "家里还有护彤"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这个护彤可以改善孩子的症状，可以吃"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "目前的症状是咳嗽,流鼻涕,打喷嚏"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "护彤可以治疗的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "吃上看看"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还有另外两种还吃吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以继续口服的，消炎止咳的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还有宝宝目前刚六个月大，体重21斤"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "三种药可以一起吃吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "量如何把握"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "比较胖。可以的。护彤一次三分之一包，一日3次。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "之前的药物量不变就行"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那可以去婴儿游泳馆洗澡吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这两天别去了，等感冒好了再去"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果治疗3天不减轻，建议去医院看看"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯,好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "注意精神，奶量的变化"
            }
        ]
    },
    "10366391": {
        "self_report": "孩子反复发烧不退怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝最近这样的吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "晚上睡觉易惊不"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "宝贝现在多大了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "13个月"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "发烧几天了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "体温多少度"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前天晚上11点多开始烧的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一开始只有37°"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有这些症状"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在最高多少度"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "39.4"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝贝现在精神状态怎么样"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "今天状态不怎么好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这种情况建议去儿科面诊"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "化验血常规看看"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "化验了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可能是着凉引起的上感"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "麻烦您发过来化验单看看"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的坏的那就是一种和表达了他就能进的都有啊可以给别人吃那个酱要和肯定要观察看看，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10305537": {
        "self_report": "八个月宝宝一天前高烧39.2，医院化验血常规结果是病毒性，给退烧药后38度左右，每天持退热糖浆，现在已经两天了，体温还是38度，宝宝状态好，自己玩耍，还要继续吃药观察还是去医院？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前体温烧的比以前低一些吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "那还是有好转表现"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "一直37.5到38之间"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个属于低烧，问题不大，吃点药，多喝水"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "那要去医院吗？还是继续吃药？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "看你的症状描述，继续服药治疗，就可以"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "宝宝肚子有胀气，应该有积食要不要去中医推拿？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "如果症状比较轻的话，加用益生菌调理肠道菌群，顺时针按摩腹部，在家治疗就可以啦，不一定非得去诊所推拿"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "嗯，我交费了，也推过一次了，那您建议不继续去了么？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是的，我觉得没有再交钱的话，就不必再去了，在家自己处理下，完全可以"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "好的，谢谢大夫。请问婴儿头部就是在不生病的情况下也是一直比较热，"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "正常吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "没事的。主要以体温计测量腋窝体温，作为是否发热的依据"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "好的，谢谢。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "你好，目前一天大便几次，稀不稀"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一次，稀的，只要吃橘子就拉"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不吃橘子不拉也没事"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "那没事的"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "考虑正常情况"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "最近少吃橘子就可以了，先观察，暂时不需要用药"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那不用给吃药么？要怎么日常护理？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "注意腹部保暖，吃好消化的食物，别吃凉的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "益生菌要不要吃？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "看情况问题不大，先不用吃，观察看看"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "有没有推荐的婴儿吃的益生菌？婴儿可不可以长期吃益生菌呢"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "最近辅食还是继续吗？别吃凉性的水果这些就可以了是吧？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "没有情况，不必长期吃益生菌，会干扰自身菌群"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好吧谢谢大夫！"
            }
        ]
    },
    "10284692": {
        "self_report": "请问医生孩子现在烧39.5度偶深咳，咽部红肿，下午3点左右口服对乙酰氨基酚口服液10毫升，小儿咽扁和小儿清肺化痰各一袋，四季抗病毒合剂10毫升，因今天上午9:30左右吃了甜米酒才没吃头孢药，现在又烧了起来，请问如何处理现在的情况，谢谢！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前的体温多少度"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "39.5"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前这个体温属于高烧，需要口服退热药退热了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "孩子有点迷糊，手脚冰凉"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还继续对乙酰吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "先喂上退热药，是的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "多喝点水，看看精神能好转吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的，精神不好，有时候和高烧有关"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "体重75斤口服10毫升退烧对乙酰氨基芬口服液可以吗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "请问还须要服用什么方"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "什么药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "今天晚上，主要是控制好体温就可以"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "明天需要化验血常规，这么高烧需要看看炎症情况"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的，今天退烧药可以用几次，这是第二次了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般间隔4小时可以用一次"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "24小时，可以用4次"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "请问什么时候可以给用消炎药，上午九点半左右服用了甜米酒。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "头孢类消炎药，一天可以用23次"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "可是今天吃过含酒精的食物啦，还能用吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "那样的话，不能吃头孢，会有双硫仑反应"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "需不需要吃其它药，一小时前又服用过小儿咽扁和小儿清肺化痰各一袋，四季抗病毒合剂10毫升可以吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可以了，目前今晚控制体温就可以。化验过血常规吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "明天需要化验血常规看看咯，反复的高烧，考虑有明显炎症"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那如果现在给服用一颗麦迪霉素片可以吗？对酒精食物有反应吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这个以防万一，今晚先不要吃消炎药了，一旦过敏很严重，等明天酒精代谢掉，在用比较放心"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的谢谢医生！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "好的，别客气，还有可以帮你的吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "只是孩子精神状况不好一直睡"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我有些担心"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这个考虑和水分补充足，发热有关系"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "先退热，再多喝水，如果处理后，精神还差，需要去医院就诊"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "意思是多饮水，对吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "是的，发热水分蒸发多，要多喝水"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的，明白谢谢你的帮助。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的，别客气，有事随时再联络"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，谢啦！"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "别客气，再见"
            }
        ]
    },
    "10302733": {
        "self_report": "感冒了，5个月了，咳嗽，吃什么药才好，有点拉肚子",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "1天大便几次？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "拉肚子"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "6，7"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "什么原因哦"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有点感冒，咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是母乳喂养吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有痰"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "吃药不见好"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "奶粉"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "感冒咳嗽几天了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "感冒咳嗽也可以引起拉肚子的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "注意奶粉的温度"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "可以给宝宝口服妈咪爱"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "给宝宝吃的什么药？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "吃了几天了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你好，在吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "咳嗽几天了？"
            }
        ]
    },
    "10269674": {
        "self_report": "呕吐恶心轻微发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少度？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "39"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "精神状态不是很好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "给宝宝喝退烧药"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有别的症状,就是呕吐"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "呕吐几次了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "两次"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨夜两点钟一次,今天下午两点左右一次"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有给宝宝看过医生吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还没有"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "死活不去"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "孩子死活不去"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在赶紧吃退烧药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "退热"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "她这个呕吐可能是什么原因引起的呢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "多喝水，配合物理降温"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝有流鼻涕吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "考虑是感冒引起的呕吐"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "最好带宝宝到医院看看"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有鼻涕"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "刚刚又试了一下温度,38.2"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "还用吃退烧药吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "体温下来了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "就不用吃药了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "用物理降温"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的,好的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "如果只是感冒还好"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好，一定注意多喝水"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的,非常感谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好，有事联系"
            }
        ]
    },
    "10787176": {
        "self_report": "宝宝发烧了，听着肚子有点胀，老哭！有点咳嗽喉咙有痰",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子多大？现在体温多少度了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "八个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗，痰多吗，有没有腹泻情况？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "咳嗽不厉害"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "也不多"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有点腹泻"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前症状，小儿发烧，咳嗽，考虑还是有呼吸道感染情况，同时，有腹胀，腹泻，消化不良的症状，考虑是小孩胃肠型感冒可能性比较大。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在服药治疗了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "服药了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "服用的什么药物，发我看一下吧，现在体温多少度了？烧的厉害吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "37"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "37度属于正常体温，超过37.2，才是发烧。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "看到目前服用了消炎药，止咳药，缓解感冒症状的药物，还是可以的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "吃了退烧药退烧了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "同时，目前有腹胀，轻微腹泻的情况，可以吃点益生菌调理一下，比如可以吃一点妈咪爱。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发烧的时候，注意多喝水，多排尿，可以排出热量，身上有水分，才好退烧。注意观察体温情况，如果体温超过38.5度，需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "我让孩子喝四磨汤口服液了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "四磨汤宝宝能喝吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个可以吃的，助消化。另外，有腹胀的时候，注意顺时针揉揉肚子，缓解腹胀。饮食，注意吃的清淡一些，好消化一些，别吃得太饱。鸡蛋难消化，暂时先别吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10626184": {
        "self_report": "快四周岁宝宝现在发烧，37.9度，怎么处理好？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，您还在线吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子这种情况发现多长时间了啊？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在线的医生"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子还有其他症状吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没多久"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "刚刚发现"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "最多发烧1个小时"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "好的！孩子有说哪里不舒服吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是身上烫，测了下体温，37.9度"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "已经睡了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没说"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "好的，处理体温的原则是这样的！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "超过38.5口服药物退热！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "低于38.5，物理降温！"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "现在这个状态呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "冷敷还是热敷？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "物理降温，一是温水擦浴"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "二，起来让孩子多喝水！"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "出汗了也就降温了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "擦哪里？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "大腿根，腋下，手心，脚印，额头"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是么？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "您好，是的，不要擦肚子还有心窝！"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "超过38.5度就吃药是吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "恬倩可以吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "您好，是的，超过38.5需要吃药降温！"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "外卖小火锅"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "恬倩可以吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "建议选择美林布洛芬混悬液，按孩子体重算好剂量给药"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "两次用药间隔必须大于4小时！"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "恬倩也是吧"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "恬倩是不起也是布洛芬混悬液？家里只有恬倩"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "好的，我帮您查看一下这个商品名的药物有效成分"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "您稍等"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您好，亲在线吧？"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "我帮您查看了，这个商品名的药物我没有找到！"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "我是在正规的医学药典查看的！"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "您一会看下您手边的药物的有效成分，是不是布洛芬混悬液，或者是对乙酰氨基酚混悬液！"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的，看到了，有效成分没有问题，是布洛芬混悬液！"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果超过38.5度，就按说明书公斤体重给孩子用上药物！"
            }
        ]
    },
    "10054415": {
        "self_report": "我生病第三天了，12岁，第一天流鼻涕，第二天轻微咳嗽，有些发烧，鼻涕流的很厉害，有时头昏沉，有些晕，今天是第三天，咳嗽的严重了，烧退了，鼻涕流的也多，拉肚子了，请问我怎么了，吃什么药合适",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "您现在是一阵一阵的咳嗽吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "晚上睡觉也咳嗽吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "有时候有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在体温多少度"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "37"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "鼻涕多不，黄色的吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "鼻涕很多，青色"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "今天几次大便了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "一次，拉肚子把身体已经拉空了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "昨天几次大便"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "也一次，不过没拉肚子"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "腹痛吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "而你现在把应该是感冒了，拉肚子那是因为你是感冒引起的消化不好，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "移动应该是比正常体温还稍高一点，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "现在吃什么药呢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "应该去医院化验血常规和大便看看"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在吃午时茶颗粒"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "不能吃这个了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个是保健品，不是药物"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那应该吃什么药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "大便像是水一样的吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "也不是太稀"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果体温一直在37度以上，还是应该去医院化验血常规看看"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "现在可以吃抗病毒药，感冒药观察"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "没有37，在36度几徘徊，但37度很少"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "得多喝水，注意饮食保温"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔缓解鼻塞，流鼻涕"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果晚上睡觉咳嗽加重必须去医院检查一下"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "听听肺部再说"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10348652": {
        "self_report": "5个月婴儿发烧38度，可以吃布洛芬么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，38暂时不需服用退烧药"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "可以先适当勤喂水，温水擦浴物理降温"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "不知宝宝发热几天了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "在吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨晚11掉发烧38度5吃了15布洛芬，"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没退"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "早上吃了14退了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "中午又吃了，下午好了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "恩，发热治疗选择，38.5以上可以口服退烧药，38.5以下可以温水擦浴物理降温"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这会又烧了38"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "退烧只是对症治疗，主要是需要对因治疗。不知宝宝除了发热还有其他不适症状吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "其他症状"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "没有鼻塞流涕咳嗽，吐泻等现象？吃奶好吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "看一下咽部是否充血？如果宝宝反复发热建议做个血常规检查明确是否有细菌或感染病毒"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "据说布洛芬是38度5吃的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "恩，38.5以上才建议服用退烧药"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "那今天吃了布洛芬，晚上换药，吃优卡丹小儿氨酚黄那敏颗粒行么"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那这会孩子热起来了，光想睡觉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果有感染，只退烧治疗只能暂时退烧。药效结束就又会发热的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "口服布洛芬后体温正常多长时间"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "6个小时左右"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "两种药物都可以，主要都是退烧作用，间隔46小时再次发热可以喂服。不过都是暂时退烧作用"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "优卡丹上说与其他阵痛药同用会增加肾毒性的危险，，下午单吃行么"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "暂时，那怎么办啊"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "肺感染？么昨天估计着凉了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一般是一种药物服用后体温不能降至正常，间隔46小时可以更换另一种。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "目前适当喂水，温水擦浴物理降温，如果体温超过38.5服可以口服退烧药物，小儿氨酚黄那敏或布洛芬都可以"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝小目前没有其他不适症状，不建议随便用其他药物，注意监测体温，退烧治疗。多观察。"
            }
        ]
    },
    "10682460": {
        "self_report": "白天宝宝发烧吃了药退烧了，刚才又发烧给吃了药，氨加黄敏口服溶液和健儿清解液，现在还没有退烧，一个小时前吃的，什么时候可以给她吃点美林吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "问题白天宝宝发烧吃了药退烧了，刚才又发烧给吃了药，氨加黄敏口服溶液和健儿清解液，现在还没有退烧，一个小时前吃的，什么时候可以给她吃点美林吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好宝宝吃完发掉了啊哪的多少啊是多少钱的事有没素养情况也有可能听到楼主三六比351896，"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "什么症状没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "现在体温38.7"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一个小时前吃的氨加黄敏口服溶液和健儿清解液"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那如果没事我身份证拿给他发了我考虑了还是想感冒了，真的没有什么牛逼打你发的，"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "讨厌的原因呢还是一个寿阳，天电话，拍的抵抗力下降有关系，"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "现在我怎么办呢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "关于治疗那是可以的这种什么都确定不了，这件儿童衣服七点多可以包邮，可以吃的啊，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "可以喂美林吗，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦安家和名字和里面有个黑色的对象啊，吃上一个小时的无线啊，可以继续下去，出来的车要浪费美了，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦因为吃了这种药的就得吃药的好吗，电话还没好是只为因为的为是么不回不会往下下降，"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "需要再等等是吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个小心眼要我接你那就车到五千就等之后在说一两千可以出来，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦对了我建议那就再等等，因为怎么不用干啊那片安排体贴他们感染的针啊，没有，com，长沙的，错的并不清楚才能看，结婚了就出来赚钱才会说话，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "别的症状，这种搬家后面那也要能CD的吧可以不吃吃吃了小心眼，发了过38度下降了，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "额谁说那些到处都在那无限打工，进程还可以节约开了出现了不对，出现下图，该去医院就得啦，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "额就是去啊科技累还是渴，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在38.7,一个小时后还发烧38以上是不是可以喂美林给她吃"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不是啊一个小时之后来试38度五以上，好听不实用那个美眉咯，因为我三十到三八了，点完到哪了还多点水，夏季降温，但我下载了，"
            }
        ]
    },
    "10522388": {
        "self_report": "三岁半的孩子，最近四天早上起床后老是咳嗽一阵。我给他吃了三天的“氨溴特罗”了今天开始流鼻涕，打喷嚏，还有就是最担心的就是这两天不好好的吃饭，但是狂喝水一直闹着口渴，孩子一直就有缺锌的情况，容易积食反复的地图舌，还有就是扁桃体容易发炎。想咨询医生现在改给孩子喂点啥药，今一天都没好好的吃饭了奶粉也不喝精神状态还好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "目前的咳嗽情况有没有减轻？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "现在流鼻涕啊，是在原来咳嗽的基础上，由于护理不当又出现了新的感染。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "孩子现在不咳嗽了？现在就是烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "你的叙述里面好像没有发烧啊？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "反复扁桃体发炎化脓"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "也就是今天才出现的发烧流鼻涕是不是啊？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "家长咱们慢慢说，一样一样来说，不要太混杂好不好。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯，你不要太着急，我们一定会说清楚，帮你分析的。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天来医院医生说可能是,传染性单核细胞增多症"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这次有没有扁桃体化脓？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "嗯有"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这是啥病呀？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我心里块担心死了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "检查血常规了吗？有没有颈部淋巴结的肿大？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "发过来，我看一下"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "传染性单核细胞增多症，可伴有淋巴结的肿大，扁桃体肿大，是病毒感染"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "化脓性扁桃体炎是细菌感染。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "结果还没出来医生只是说可能性大"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "目前宝宝现在发烧，流鼻涕扁桃体化脓。其他的还有吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "扁桃体上面有脓点"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "鼻涕不流了,就是烧"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一个星期了现在"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝已经发烧一周了，扁桃体上有脓，有多久了？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "你不要太过着急啊，有点凌乱，知道吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那宝宝目前最主要的症状就是发烧一周了，对不对？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "这个提问是两个星期前发的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "目前最重要的就是宝宝已经发烧一周了，还有其他吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "状态怎么样？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "发烧一周，要考虑发热待查。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可能的疾病有传染性单核细胞增多症。还有可能支原体感染。还有可能，风湿类疾病"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "二甲以上公立医院儿内科就诊检查血常规，抗O，类风湿因子，血支原体抗体。血涂片找异型淋巴细胞。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "我把结果取出来给你看看"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "如果是传染性单核细胞增多症,好治吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝发烧一周了，检查的项目有些多啊。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "不会是白血病吧"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "不要担心，可以治愈的，不要害怕啦"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "白血病啊，也会表现为长期发烧，但是是不是我们肯定要依据一些检查来不能盲目的猜测呀"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "谢谢你,我我等结果吧"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "好的好的，你把所有的检查结果都拍清楚发过来。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "再次找之前医生复诊方法：点击“首页”“康复记录”找到医生，进去后点击“再次咨询“并留言"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "如果是传染性单核细胞增多症的话。则表现为长期发烧伴有扁桃体肿大，颈部淋巴结的肿大，有的呢可能会伴有肝脾肿大肝功能的损害。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "血涂片的结果呢，异型淋巴细胞，超过10%"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "传染性单核细胞增多症是eb病毒感染，用一些抗病毒感染的药物就可以啦。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "如果是传染性单核细胞增多症的话，会引起以上我说的这些情况，所以还是有必要检查清楚的，然后对症治疗。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "再次找之前医生复诊方法：点击“首页”“康复记录”找到医生，进去后点击“再次咨询“并留言"
            }
        ]
    },
    "10585844": {
        "self_report": "孩子前天打了预防针，打的乙肝跟流脑，晚上就开始烧一直没超过38.5度，今天开始就断断续续烧，一直在39度左右，去了医院验了血，大夫说是细菌性感染，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝目前除了发热有其他不适症状吗？如鼻塞流涕咳嗽吐泻等。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝目前1岁？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有其它症状，10个月"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "就诊查体大夫说有异常表现吗？如咽部是否充血？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "有点红"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "今天宝宝发热第三天了？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "第二天了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是打了疫苗晚上开始烧的，但是没超过38.5度，昨天晚上到现在烧的厉害"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝化验除了血常规大致正常的，目前预防接种第二天，如果没有其他不适可以先对症治疗，发热大于38.5,给予退烧药口服治疗"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前不除外预防接种引起的疫苗反应"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "打了个退烧针"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医院大夫让住院输液治疗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "需不需要"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "疫苗反应多是预防接种后第一天出现发热，一般不超过38.5，可别也可以发热达达39，一般发热不超过3天，不需特殊处理，可以恢复正常"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前宝宝给予退烧治疗后如果精神反应好，可以先勤喂水促进代谢，清淡易消化，再观察"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果3天后仍反复发热再进一步治疗或3天内出现其他不适症状需要及时就诊给予治疗。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "那如果晚上在发烧的话，喝退烧药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "预防接种后疫苗反应有时确实易合并感染，如果查体宝宝咽部充血明显，口服点清热利咽药物是可以的。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "恩，如果发热可以给予退烧治疗。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "打个消炎的针也可以吧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "因为疫苗接种后疫苗反应很常见。目前化验血常规不是很严重。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那大夫给推荐个清热利咽的药"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前在打消炎针吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "还没打呢，打了个退烧针"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "小儿豉翘颗粒，蒲地蓝口服液都可以。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "佛，发热打退烧针可以"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "恩"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不过口服退烧药可以下降至正常，口服退烧药就可以。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "能打退烧针"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "血常规白细胞正常高值，中性粒细胞正常。所以目前可以先观察，暂不需要抗生素消炎治疗。多观察宝宝精神，体温。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "能吃药就不打针，所以口服可退就口服，口服退不了，可以肌注药物"
            }
        ]
    },
    "10580884": {
        "self_report": "姨姐家的宝宝发烧发的历害怎么办",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前体温多少度？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "38度半"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前这个体温38.5度，应该是口服退烧药，先退烧了。先把体温降下来。"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝多大，除了发烧，还有别的症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天就发烧了，退热贴，口服药，还是没有退热"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "17个月，除了发热没有其它症状"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "查看过孩子咽喉部吗？有没有红肿，发炎的情况。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "如果宝宝在不退热，准备带宝宝打点滴了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "看到只是发烧，也没有别的明显症状，不一定非得输液的。现在看过医生吗？化验过血常规了吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是没有去看过医生"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿发烧，结合这个年龄，小孩的好发疾病特点。考虑小儿上呼吸道感染的可能性比较大，一般是呼吸道感染的细菌，或者病毒引起。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "现在服用了退烧药了吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在测量体温了吗？体温退下来没有？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前服用了退烧药，同时可以配合物理降温，包括温水擦拭全身，冷毛巾敷额头，泡澡，或者贴退热贴。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "现在孩子看着精神状态怎么样？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "精神挺好"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "那注意多给他喝水，多尿尿，可以排出热量，有利于退烧。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果退烧后，再次出现反复发烧的情况，建议就医小儿科，让医生查体，化验血常规检查，看炎症轻重，明确病情后积极治疗。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "恩，好，谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的，别客气。如果再次出现反复发烧的话，也可以适当吃点清热泻火的药，对于反复发烧效果好。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前注意配合物理降温，多喝水就可以了。"
            }
        ]
    },
    "10295369": {
        "self_report": "我的宝宝刚生下来体温正常，第二天早上就有点低烧37度5，不退烧，我们就去儿童医院去踩血化验，结果小孩血液过高，一般小孩正常是10我的孩子41现在已经在住院观察，这种情况",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，有相关的检查化验单吗，帮你看下吧"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "化验单给医生了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "是CRP的数值41吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "医生就说这一项过高"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "医生有没有说是炎症感染"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "对血液里"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "如果这项增高的话，提示有炎症情况，需要消炎治疗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "医生说是在宫内感染"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "刚出生后两天，这么早出现发热，考虑宫内感染可能性大"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "目前孩子状态怎样"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "精神和吃奶好吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "昨天孩子刚住的院，医生就说其它项目还没检查出来让留院观察两天"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "孩子这么高正常吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "孩子这么血液这么高，怎么办的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前是需要消炎治疗的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "目前医生的治疗方案是什么"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "方案医生还没说，明天告诉我"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果医生说有宫内感染情况的话，一般需要消炎治疗"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "治疗到血液指标正常，没有发热情况，就可以啦"
            }
        ]
    },
    "10290401": {
        "self_report": "前天晚上宝宝突然发烧，吃了退烧药过一会又低烧，慢慢又高烧，去医院化验血，嗓子发炎有个疮（医生是这样说的）",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "宝宝已经吃了消炎药，但是已经持续烧了两天了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "血象也还好，但为什么还不好"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "请问宝宝这样多长时间了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "两天两夜了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不想吃东西，喝水喝几口就不喝了，可能是嗓子疼"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "你好我可以发送语音吗会不会影响到您那边休息，如果有影响的话我就打字，嗯就是宝宝看他的卑个血常规检查结果呀，考虑还是只有一个新品性炎症的，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没事"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "为了更好地提供服务，需要询问一些关于病情方面的问题。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "宝宝精神很好，就是高烧也一样玩"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就只是发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "俺就是对于宝宝的饮食起了什么也不影响嘛，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "个体温最高烧到多少度的，"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "39.8"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "影响吃饭，因为嗓子发炎，起了疮"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦应为我可能是因为他是个嗓子发炎疼痛，所以不愿意吃饭米忙宝宝这个体温烧的还是比较高的，让他这个情况可以加点消炎药的因为我看他白细胞也比较高嘛，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "小宝宝已经用了消炎药，可能是因为就是吃的时间还短，所以还没看到效果，嗯，建议你可以再吃观察两天看看。"
            }
        ]
    },
    "10234072": {
        "self_report": "孩子最近经常出现间歇性发热，浑身没劲迷糊，去医院检查了心电图和血常规都没问题，以前是十几天一次，最近几天一次",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好大夫"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问您的宝宝多大了？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "這種情况一共有多久了呢？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "7岁了女孩，有三个月了吧，以前没有注意"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "最近几天就会有一次发热"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "发热是早上，中午还是晚上的？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "发烧到多少度？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "高烧还是低烧呢？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有规律，大多数是在学校或是课外班"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "38度左右"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "中低烧，最近您孩子体重变化怎么样？有没有感觉消瘦了？或者晚上睡觉爱出汗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没瘦过"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "吃东西怎么样呢？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "有时厌食"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "有咳嗽吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "因为家里热，晚上睡觉出汗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "半个月之前得过肺炎，输液好了，现在不咳嗽了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "去过北京儿研所也没说出什么来，检查心脏和血液微量元素都不缺"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，您宝宝目前发热原因不明，但是考虑感染可能性大"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那要查哪些呢？"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "低热，乏力，需要警惕结核菌感染。做过相应检查吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "还有就是特殊的病毒感染"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "比如EB病毒"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这些都是会导致发热的疾病"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "要怎么检查呢？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是血液吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯，建议您去专业儿童医院感染科就诊。完善结核菌及相关病毒检查"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "结核菌会抽痰，胃液做检查"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "也可能做一个皮试"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "病毒检查抽血"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，谢谢了张大夫"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果检查都没有问题。那么需要警惕血液系统疾病"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "用不用去神经内科查一下"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "我觉得要是可以不用去神经科，您先去感染科，如果没有问题，就要考虑血液和免疫方面的疾病了"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "总之免疫和血液的疾病。都可能比较难治"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "这些病少见"
            }
        ]
    },
    "10540517": {
        "self_report": "我宝宝一岁，前两天因为晚上睡觉踢被子感冒，留清鼻涕，吃了两天小儿氨酚烷胺颗粒，今天开始留黄鼻涕，这是病情加重吗，需要增添药物吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好。孩子感冒，有没有发热？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "就流鼻涕"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "这个感冒早期多是病毒感染，和孩子年龄小，抵抗力相对差，天气变化，受凉有关系。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "表现流清鼻涕，只要没有咳嗽及发热，就病情不严重，不要担心"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前是黄鼻涕，多是合并细菌感染，有没有吃消炎药？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就只买了那个药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那个药物是治疗流涕的，但是不消炎。建议加上消炎的药物如双黄连口服液治疗"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "每次半只，一日2次最好"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦，好的，谢谢医生"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不客气的，假如出现发热，流涕加重等情况，就要去医院看看了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般吃3天就会减轻的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "祝您的孩子健康"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是鼻子流吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "假如扁桃体发炎，要看看发热否？假如发热严重要吃消炎药的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "没发热"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "有几天了？"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "吃了利巴韦林"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "前天开始的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "就是吞咽困难"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "喝水都要吞好几下"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我也不确定是不是扁桃体发炎"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "村里医生说是"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "好几天的话，可能是咽部或是扁桃体发炎的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "最好大夫看看嗓子"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "宝宝不哭不闹"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "应该是没有疼痛感"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "看了医生的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "就这边不方便，只找村里看了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "哦，大夫检查的应该是扁桃体发炎了，这个情况多是感染受凉引起的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "没有发热，说明病情不严重"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "吃了药了"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "利巴韦林是抗病毒的，没问题，但是建议加上清热解毒利咽的药物，推荐小儿咽扁颗粒"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "可感觉他今天还是这样"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "推荐每次半包一天3次"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "奥，好的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "恰好备了那药"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "鼻涕流了好久了"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "也没好"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "吃的这个"
            },
            {
                "sentence_id": "50",
                "speaker": "患者",
                "sentence": "快10天了"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "这是怎么回事呢"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "这个流涕多和孩子过敏体质有关系"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "比较慢"
            },
            {
                "sentence_id": "55",
                "speaker": "医生",
                "sentence": "可以继续吃药治疗"
            },
            {
                "sentence_id": "56",
                "speaker": "医生",
                "sentence": "这个药物可以的"
            },
            {
                "sentence_id": "57",
                "speaker": "患者",
                "sentence": "那还要不要继续吃药呢"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "建议继续吃药"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "60",
                "speaker": "医生",
                "sentence": "假如治疗3天，效果不好，或是出现发热，就要来医院检查看看的"
            }
        ]
    },
    "10084569": {
        "self_report": "今天女儿发高烧去医院检查血、白细胞增高、什么原因严重？女儿三岁、现在感觉怕怕的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子发烧，还有其他症状吗？体温多少度？"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "发烧多长时间了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "发烧几天了反反复复"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "孩子有皮疹吗？嗓子红不红？扁桃体大不大？有无化脓？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "体温最高多少度？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "39度几"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天的报告单"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "孩子，大便正常吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以重新把那两张化验单发过来，图片看得不是很清楚。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没皮疹"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "报告单不在这里在医院现在孩子住院了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "化验单上，白细胞和中性粒细胞都增高，还有CRP也特别高。可能还是细菌感染，应该住院治疗。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "孩子除了发烧，还有其他伴随症状吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "医生你好像我孩子这情况什么原因造成的会不会很严重孩子没什么症状现在烧退了感觉很正常"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "有无咳嗽，喉咙有痰，拍过胸片吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "有咳嗽其他没检查医院的医生说明天再仔细检查"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果孩子没有其他症状，单纯发烧，血象特别高，应该主意孩子是否有皮疹，口唇和眼睛发红，手脚臀部有无皮疹，或脱皮等症状，孩子还是比较重的，应该积极配合医生治疗。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "三天后可以复查血常规和CRP，超敏CRP。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "会是什么病呢？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "因为我没查孩子有什么体征？应该考虑感冒，扁桃体炎，幼儿急疹，手足口病，肺炎，川畸病等。当然先考虑简单的，后考虑复杂的。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "这只能跟着孩子的病情发展情况考虑后边。先考虑最简单的感冒，扁桃体炎。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "上面是“根据”不是“跟着”"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "医院医生说打几天点滴看能不能降下来再检查看是什么原因"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "今年得过一次手足口病"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是的，应该检查。还应该检查支原体，衣原体，看是否为支原体，衣原体感染。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "上次得手足口病的时候，孩子重不重。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "有点重上次在玉林红十字会医院住了一个星期在区医院确诊是手足口病后医生建议去红十字会医院在玉林红十字会医院是重症医院"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "那这次有可能不是手足口病。有的可能是感冒合并有细菌感染也会出现上述症状。应该配合医生治疗的，有的会很快好的。也不用过于担心。因为发烧的时候也可以引起白细胞增高。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "希望不要是什么大病上次手足口病花了两万钱是次要的健康就好做父母的看到孩子这样心挺难受的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是的，我们能理解。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "应该不会有什么大问题。你和主管医生沟通了吗？她们考虑什么病？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "主管医生没说什么就说看明天检查的结果就知道了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "好的，配合医生治疗就行，也不要过于担心，他有什么问题会告诉你的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的谢谢医生"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "好的，不用谢。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "祝孩子早日康复。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "不客气。"
            }
        ]
    },
    "10504359": {
        "self_report": "宝宝一个多月连续哭闹三天了不睡觉、身上温度38额头腋下都是37.2。还会吐奶而且经常干呕。像喉咙发出像有痰的声音。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "还没"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "这是他大便的样子"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "现在发热，最高体温达到多少度"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "38.2。,身上"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "吐奶是大口大口的吐，还是从嘴角流出来，吐奶有多久了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吐奶前段时间有过大口大口吐。,后面减少奶量了没吐了。,今天早上喂了又大口大口吐了两口。,嘴角流出这段时间一直会有。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "从嘴角流出来的那个叫做溢乳，对于四个月内的小婴儿，溢乳是正常的生理现象。但是大口大口的吐奶，就不正常了，考虑还是胃肠不适引起的吐奶。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "现在大便一天几次，有没有流鼻涕，打喷嚏等感冒症状？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "便便有异常吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "大便都有尿不湿说不好便几次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "每次都会有点。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "打喷嚏。但不流鼻涕。,之前在医院刚出生时护士说小孩子打喷嚏是正常的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "分析病情，目前有一个发热，打喷嚏，吐奶，便稀的情况，考虑还是一个小儿胃肠型感冒的可能性比较大。一般是呼吸道感染了病毒引起，同时胃肠道有表现。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在怎么治疗的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "还没治疗。,本来想着再看一天。要是不舒服去医院看的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "便便有些干。,不稀啊"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "白天都不睡。,就闹。,晚上困到不行了就睡了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "图片看的不清楚，感觉有点像稀的样子，抱歉。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前的话需要控制好体温，如果低烧的话，注意散包降温，可以温水擦身，贴退热贴等方式。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没事"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "大便不稀。,跟平常比干一些。,没什么水"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "另外，对于吐奶，建议喂奶完成，竖起来拍一下嗝，会缓解吐奶。如果吐奶频繁的话，也可以口服益生菌，或者助消化的中成药，比如婴儿健脾散进行治疗。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "喉咙里有痰的话还是得注意，拍背，震荡，帮助排痰。如果痰不好咳出，也可以口服化痰的药，比如盐酸氨溴索口服液。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "胃肠型感冒是什么引起的啊"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "胃肠型感冒就是在小儿感冒的同时，也有胃肠道的表现，比如可能有呕吐，或者可能有腹泻，等胃肠道的一个表现。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "目前有个发热，考虑呼吸道感染性疾病，由于婴儿太小，需要时刻注意。建议就医小儿科，让医生查体，化验血常规，c反应蛋白，明确病情后治疗。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "呼吸道感染疾病。,会很严重吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "本身6月内小婴儿不应该发烧，如果发烧的话，一般是细菌，或者病毒感染引起，如果只是普通感冒，上呼吸道感染的话，一般问题不大。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的。,谢谢医生。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了。谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "别客气，有问题再联络，再见"
            }
        ]
    },
    "10250549": {
        "self_report": "小孩4个月流清鼻，咳嗽，吃安儿宁管用不",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "小孩3天没拉"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "以前是1天大便1次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天拉了一点"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "嗯一天一次"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是母乳喂养吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天拉了一点后有点闹"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "嗯母乳喂养"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦，大便干吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "肚子胀吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "只拉了一点点"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不干"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯，建议给宝宝用开塞露协助排便"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "平时注意给宝宝多揉揉肚子"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "1天34次，1次1520分钟"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "也可以口服妈咪爱促进肠蠕动功能"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "能吃七针丸不"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果用这种办法，宝宝自己排便了，就不需要吃七珍丹"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有的宝宝用了七珍丹可以导致腹泻的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "哦好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "咳嗽有痰吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "睡觉时不流，也不咳嗽，睡起来就流咳嗽"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有痰"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "宝宝精神吃奶好吗？"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好着呢"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "嗯，那就可以先吃药观察一下"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以吃安儿宁颗粒"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "安儿宁颗粒治流鼻涕不"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "可以治疗的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好谢谢"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "发烧几天了？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "发烧多长时间了？"
            }
        ]
    },
    "10491248": {
        "self_report": "宝宝只发烧没有感冒，吃退烧药就退了？这是什么原因？需要去抽血化验吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝多大？发热几天了？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "现在九个多月第一次发烧，昨天开始发烧的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "除了发热有其他不适症状吗？您说没有感冒是说没有鼻塞流涕？有咳嗽，吐泻等不适吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天晚上吃了退烧药厚，温降到36了，但是全身冰凉凉的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是爱哭，一哭量体温就发烧，是的没有你说的那些症状"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "恩，服用退烧药，可以暂时降温，主要需要查找发热原因，给予对因治疗。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就是不知道是什么原因，是不是吃东西的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "服用退烧药后汗水出的多"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "出汗多需要注意勤喂水，避免虚脱"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝体温正常后精神反应好吗？小婴儿发热常建议上呼吸道感染。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "所以最好查看咽部是否充血，最好化验血常规判断一下细菌感染还是病毒感染。以便更准确用药。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "在吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "噢，好的谢谢"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "另外宝宝小，体温超过38.5可以服用退烧药，避免热惊厥，38.5以下可以温水擦浴物理降温"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "38.5严重吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "体温高低其实与病情严重程度不成比例"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "体温高主要是需要注意热惊厥"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "宝宝一般发烧到几天正常"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "只要发热都不正常，不过如果普通上呼吸道感染一般3天内会回复正常"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "另外这个年龄，注意幼儿急疹可能，如果幼儿急疹会反复发热满34天"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "宝宝发烧需要减少衣服吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "发烧冷的时候是要减少衣服还是加衣服"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "发热宝宝注意勤喂水，辅食添加注意清淡，衣服不要穿过多，不要捂，穿棉质透气衣物"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "根据室温和平时穿衣一样就可"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦，谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气，刚待宝宝，有问题可以随时咨询，看到后会第一时间回复。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果目前化验血常规，可以先口服小儿豉翘颗粒治疗，3天不退热需要儿内科就诊化验血常规"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "打错了如果目前不化验血常规"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "噢，我就是只想给宝宝吃药不想输液"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "就是能吃药就不打针，可以打针就不输液。如果单纯呼吸道感染，血常规正常，连抗生素也不需要服用"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "对症治疗就可"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "化验血常规目前是看细菌感染还是病毒感染，如果咽部充血，白细胞高，提示细菌感染的话需要服用抗生素。目前抗生素要求严格，有用药指针才建议用"
            }
        ]
    },
    "10298752": {
        "self_report": "女孩11岁一直健康突然发烧不退。后除了嘴能言身体不能动",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子发烧多少度？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "谢谢医生选择孩子输了液能动力"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "现在孩子输了液能动了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那还有什么可以帮你吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "以后注意什么"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "为什么会这样"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子确定是什么病"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是烧的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "昨天晚上洗澡干嘛引起的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "感冒"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "发烧多少度？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "385"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是不能动还是感觉全身无力？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "全身无力"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "发烧就会导致全身无力"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "没有高热惊厥吧？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "以后再出现这种情况及时退烧就可以"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的谢谢医生"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "不影响你工作了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "没关系的"
            }
        ]
    },
    "10177232": {
        "self_report": "宝宝，男5个月，发烧3天一直反复。最高39，给吃了布洛芬。还有退热贴。。。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝有没有咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "宝宝着凉了吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有检查过咽喉部有没有红肿"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "应该是，因为这几天天气突然冷了起来"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "宝宝还应用什么药物"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有检查"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就这俩个"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝大便正常吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这样的话，建议带宝宝到医院合理检查咽喉部看看有没有红肿"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "刚刚改了有点黑色"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "化验一下血常规和CRP，分析一下是病毒感染还是细菌感染"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "根据结果合理应用药物"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "祝宝宝健康成长"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还有其他问题吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "如果没有其他问题，那就结束了，好吗？"
            }
        ]
    },
    "10329009": {
        "self_report": "四个多月的宝宝，感冒了，流清鼻，打喷嚏，天明那会鼻子有电不通，吃这种药可以吗，还有这种抗病毒的药，宝宝15斤，一天吃几次，一次吃多",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好，"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我宝宝四个多月大，感冒了，吃上面那种药可以吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "精神吃奶好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是流清鼻，鼻子有点不通"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神挺好的，"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "吃奶也正常，"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以吃小儿氨酚黄那敏就可以的"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃1种就行"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "这种抗病毒药她可以吃吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "先不用吃"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这种药不用吃吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不用吃"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯嗯好的，昨天吃一天，今天吃了两顿了，还是不好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以用热毛巾敷鼻子两侧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "感冒一般710天才会好的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "一天吃三次，一包分三次吃"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "网站不让推荐药物剂量"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以按说明吃"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "或者是咨询一下药师"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "四个多月了，可以按说明书吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "两个多月的时候，也是这样，医生说一包分三次"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复！"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯好的，谢谢医生"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10319194": {
        "self_report": "问题孩子咳嗽没怎么发烧，验出支原体，打两天头孢，不咳嗽了，第三天加的阿奇霉素，打了五天，突然又发烧了，什么原因引起的发烧，该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我家孩子什么原因发烧呢"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "请问宝宝七周岁吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哪天又发烧的？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这几天一直打针呢，怎么还能发烧呢"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哪天停的阿奇霉素？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "现在正发烧呢，刚给吃的退烧药"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天白天还打的头孢和阿奇呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "头孢连续输七天了吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我不知道明天该给孩子怎么治疗了"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "最近有化验血常规吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "一周前都验过了，说是支原体"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "最近呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有验，刚验完，还用验吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的，用药一周了，并且孩子又反复出现发烧，是需要再化验一下血的。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我不知道该给孩子怎么治疗了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "为什么还要验血呢？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "看一下最近的一次血的结果，根据这个结果调整该如何治疗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "验血常规是看看血项高不高，有没有炎症吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "就是上面讲的原因呀，用药一周，又发烧，就要看现在用的药是否合适，是需要看下血中的指标的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "现在这个状况，是不是还得打针呢？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "要看炎症指标的高低，高的不多的话，能口服就不要输液治疗。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦，谢谢了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是用的药不对症吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果之前确诊是支原体，用阿奇霉素是对的。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是支原体，那现在还得验一下血呗，才能看怎么治疗吗？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "麻烦问一下，可以直接吃点小中药吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那最好找专业的中医给开吧！"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "吃中药不能影响病情吧"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "支原体这个病，如果现在不打针了，吃药能好吗？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "如果感染的不严重，可以口服的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "今天下午大夫给听了一下肺子的声，说还行，没啥事"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯，那就好"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "大夫那我明天先领孩子开点中药可以吗？"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "那好吧"
            }
        ]
    },
    "10219687": {
        "self_report": "我家宝宝四个月睡觉蹬被子凉流鼻涕眼泪有点咳嗽吃妈咪爱有效吗？应该怎么处理",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子有发烧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "家人建议多喝水不吃药可以吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我给吃了妈咪爱"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有发烧精神还好"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "妈咪爱是益生菌，调节肠道的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那应该怎么处理"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前来讲是建议注意保暖工作"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "药不一定要吃"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "喂点温开水是可以的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦哦，好的谢谢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "能游泳吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "暂时不要"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "要注意的是"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "注意孩子保暖工作，特别是傍晚降温，还有洗澡的时候"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的，需要注意什么？你是哪里医生是连云港的吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "我是福建省最大儿童医院医生"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦哦好的谢谢了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10603035": {
        "self_report": "四岁的宝宝感冒咳嗽发烧38度",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前有什么症状？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验血常规了吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没验血，吃了感冒药加咳嗽还有头孢，体温现在37.5"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "目前的体温，属于一个低烧的情况，一般可以温水擦身，冷毛巾敷额头，贴退热贴等方式，物理降温。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在咳嗽厉害吗？有痰吗？让医生天听诊气管了吗？有没有问题？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "吃的小儿氨酚黄那敏颗粒，和小儿清肺止咳颗粒，没有痰，"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "咳嗽不严重就晚上睡觉前一阵和早上一阵"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这三样药吃可以吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "分析情况，目前有感冒症状，咳嗽，发烧，咳嗽不厉害，考虑还是一个小儿感冒的情况，一般和呼吸道细菌，或者病毒感染有关系。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "对于目前的情况，治疗一般是服用感冒药，止咳药物，同时有发烧的情况，可以适当的用一点清热解毒药治疗。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "看到目前用药，还是合适的，发烧的时候，注意多喝水，多排尿，可以排出热量，有利于退烧"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃头孢可以吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "发烧不是有炎症吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "一般来说小儿感冒，80%以上都是病毒感染引起的，看到目前咳嗽并不厉害，发烧也不是很高，我觉得头孢类的药物，可以先不不用，也可以。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "发烧确实提示是有炎症的，但炎症也有细菌炎症，和病毒性炎症之分，多数的还是病毒性炎症。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果体温超过38.5度的话，需要口服退烧药退烧。如果治疗后仍然反复发烧，或者出现咳嗽厉害，建议就医小儿科，让医生听诊检查化验血常规，进一步的明确病情。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果血常规检查，显示血象高，细菌性感染，可以服用头孢类药物。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "哦，今天晚上吃头孢了，如果一晚上不烧.明天就不吃头孢就可以了吧，如果还烧就去验一下血常规"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "我觉得可以的，如果体温超过39°以上高烧，或者出现咳嗽，咳痰厉害，疑似下呼吸道感染，就需要就医听诊检查，并化验血常规。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "如果一晚上不烧，明天就接着吃感冒和止咳的就行了吧！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是的，如果咳嗽不厉害，没有气管里问题，发烧也不反复的话，一般还是普通感冒。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "吃点感冒药，止咳药治疗就可以了。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "注意观察体温情况，咳嗽情况，这两点，比较重要。多喝水，多尿尿，好降体温。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "别客气，注意清淡饮食，还有别的可以帮您的吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "多喝水，有问题再联络，祝身体健康，再见"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            }
        ]
    },
    "10298532": {
        "self_report": "7个月了，咳嗽，感冒，有痰。吃的头孢克肟颗粒和安尔宁颗粒，有点发烧，怎么办？还不喝白开水",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝体温多少度"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "38左右"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没吃退烧药"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "可以给宝宝物理降温"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "贴的退烧贴"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "配合擦身体"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "用温水擦身体的颈部腋下肘窝腹股沟腘窝等处，使皮肤微微发红，降温效果不错"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝不喝水，可以往水里加一些果汁"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "体温38.5度以上，才需要吃退烧药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "38.5度以下，就是物理降温"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "就是贴退热贴和用温水擦身体"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "主要现在一点白开水都不喝"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以往水里加果汁"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "用勺子喂都不喝"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "嗯，加一些果汁，慢慢喂"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "加多少？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可能是宝宝以为给他吃药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "果汁的多少，看看宝宝平时的口味"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "什么水果都可以吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，什么水果都可以"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "以前没吃过水果，也没喝过果汁"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "那就先少加一些"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果不喝，再加一些"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "吃苹果可以吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "奥"
            }
        ]
    },
    "10217756": {
        "self_report": "新生儿还没满月，感冒了鼻塞流鼻涕怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝贝现在精神状态怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "咳嗽，拉肚子不"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我之前感冒了"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "就是鼻塞，感觉有痰在鼻子里"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "吃奶好不"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "挺会吃"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "鼻塞严重吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有鼻涕"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "鼻涕多不，黄吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不黄"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "打喷嚏时会带带出来鼻涕"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以吃艾畅观察"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔缓解鼻塞"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "去药店买吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "按压热敷鼻子内侧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "和感冒的大人隔离"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10337900": {
        "self_report": "我孩子10岁15天前得了支原体，打了7天吊针好了，又吃着阿奇。今天又开始发烧，我临时该怎么办。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前支原体滴度多少，有化验单吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "以前化验的是320，今天还没去医院。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "那还是一个很明显的支原体感染"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我现在就去医院，我想问问该怎么看"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前总得治疗疗程有多久了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "打了7天吊针，后来吃了阿奇2次"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "一般支原体感染，需要治疗3周，考虑还没有到疗程"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前发热多少度"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是没到，39.2"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前需要先口服退烧药，把体温退下来，然后再去医院"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "哦不现在就去医院"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "谢谢您了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "再见。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我去医院还要化验吗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前有没有咳嗽"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般不咳嗽起来，问题不大"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "上次也没咳嗽，就发烧"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "你目前吃着阿奇霉素，只是发热，问题不大"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "加点清热解毒药吃"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦，去医院看看在说，谢谢您了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以化验血常规看看"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "有事再联络"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的。"
            }
        ]
    },
    "10432322": {
        "self_report": "宝宝今天一天都玩儿的很好，下午睡午觉的时候有点发烧是什么原因？精神还可以",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，请问孩子的体温是多少呢"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "37度8"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "手脚热吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "脸蛋红红的，手脚不热"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一般来说发热是因为病毒或者细菌感染引起的，白天受凉了吗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "孩子白天有受凉的情况吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有！"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "吃的多吗今天"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃饭和平时差不多"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "除了发热有没有流鼻涕或者咳嗽呢"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "无感冒症状"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "孩子现在是低热，发热是炎症反应的一种表现，现在给宝宝多喝水，看看体温能不能降下来，如果持续发热，建议查血常规，看看血象高不高"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "好的，知道了！谢谢！"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "不客气的，注意勤测体温"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "可以用温水洗澡吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在室温多少"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "20度"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以洗，及时擦干，注意别受凉"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10649672": {
        "self_report": "宝宝1岁零一个月，发烧今天第三天，吃了药，打了小针，但还是一会烧一会不烧，最高到39.4度，别的没什么症状，这会是什么引起的？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "看过医生吗？化验血常规了吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "医生你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "看过，没有化验"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "除了发烧，还有别的什么症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有，只有发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "自己在家看过孩子咽喉部吗？有没有红肿，或者发炎情况。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天去医院医生看了，没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "那目前医生诊断的是什么原因引起发烧？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "也没说就开了点消炎的药，说要今天还没退就去化验一下血常规"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "开的什么药发我看一下吧。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "看目前的情况，孩子反复发烧，考虑这个年龄阶段的特点，考虑有上呼吸道感染，或者要出幼儿急疹的可能。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是在正规医院看的，还是在诊所里看的？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "诊所"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "服药治疗后，孩子的情况有没有好转？就是发生了高度有没有变得更低，或者发烧的间隔时间有没有更长。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "刚刚我量了一下又到38了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "感觉好像也没什么效果，还喝了一点恬倩"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般来说，发烧考虑还是有炎症引起的。目前看到医生开了消炎的药，抗病毒的药物。按说还是对症的，但是看到孩子治疗后，还是反复的发烧。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我还是等会去医院化验一下吧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "建议就医二甲公立医院儿科，让医生进一步的查体，化验血常规，看炎症感染的类型以及轻重，再调整药物，进行相应治疗。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "是的，我也是这样认为"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前注意控制好体温，如果体温在37.5~38.5度之间，一般可以物理降温，如果体温超过38.5度，需要口服退热药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前多注意喝水，多排尿，身上有水分，才好退烧。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "知道了，谢谢"
            }
        ]
    },
    "10637556": {
        "self_report": "医生您好，孩子一岁多，有点感冒，去医院开了这些药，但是我上网查福尔可定有安眠的作用，小孩吃这些会不会不好，能用其他药代替吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子有没有受凉引起的感冒？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "是流涕鼻塞吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯，流鼻涕，喷嚏，咳嗽"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "吃完药之后好点了，喉咙里好像开始有痰了，这个有关系吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "之前去医院说是嗓子红"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "有没有副作用不太大的止咳药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看来是感冒的。这个感冒多见还是受凉引起的。表现流涕鼻塞，后期可以出现咳嗽的表现"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "还大不开的那个网友用的消炎的止咳的，"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "那还有千万点多的要我看倒是可以的，那你说那衣服他的要我哪个班是一个姓可以不很严重的话可以接受那个白色的就是了我，"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "哦哦，好的，谢谢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃完药现在有点痰，是正常的吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "记得注意那就是孩子，哦一到三个月吃完了喝水的，"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "那个有上台的情况这也是一家的表现，那咱俩颗牙就行了还叫我吃了没问题，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "哦一般那个治疗的钱给我就可以了，假如那还是算了等我起床，或者说些不好了，挺好吃的，觉了，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "说精神状态还可以吗有有发热情况了，"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不客气的。目前孩子病情不严重不要担心"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "你好，之前咨询过您"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "我看看问题"
            }
        ]
    },
    "10301705": {
        "self_report": "我女儿今早六点多发烧38.2我物理降温贴冰冰贴后就退烧了。到了下午睡觉3点起床又烧38.4我就给他吃退烧药，后面就退了。快十点时又烧到38.4我就给他穿秋衣秋裤贴冰冰贴刚睡时发像他有抖动几下。就像冷了那样抖动几下。然后脚还会蹬一下。后面没有了。这是怎么了。没流鼻涕。就昨天早上起来咳一两声。晚上右眼眼屎很多。黄黄的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子当时手脚冷吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "不会。会有点热。手掌心"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "我就把他衣服裤子脱了。剩秋衣秋裤"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "当时可能是发烧烧的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有点惊跳"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "这有问题吗,会不会严重呀,毕竟我没给他吃药。除了下午吃的退烧药"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "观察一下，后面没有，一般没关系的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝除了发烧，还有其他不舒服吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯他现在没有了。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "没有的话，可以暂时观察"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有。发烧之前精神还狠好,能吃会玩。就刚快睡着了时额头开始烫了。,就会哭闹"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "右眼眼屎很多,黄黄的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "最近有受凉吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嘴哈出来的气有点味道。睡起来时"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "昨天出去玩。回来在路上。风吹的比较大"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "发烧或受凉时，会有点"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "是肠道菌群紊乱导致的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "他现在我摸他手跟脸不怎么烫了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以量体温看一下"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯。他有颗牙快出来了。会不会跟这个有关呀。发烧"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一般出牙是低烧"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯,好的。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "他这样今晚会不会再反复发高烧呀"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有可能"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "还可以吃退烧药吗。这个要间隔时间多长呀"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "这样会不会对小孩有影响呀"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "46小时"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我想问下去医院挂急诊几度就可以挂号了呀"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是几点可以看急诊吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "一直吃退烧药会不会对小孩有影响呀"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一般不会的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦哦,好的,谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "退烧药是38.5以上才吃，间隔46小时"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "38.5以下是物理降温，温水擦拭，贴退热贴，多喝水"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "您可在咨询结束后点击首页，在首页里找到康复记录，在康复记录里找到我然后点再次咨询"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "现在这情况我是还可以吃退烧药观察"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "您还有其他问题吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "建议是这样，如果明天还是发烧"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "可以去门诊查血常规看一下，是病毒还是细菌感染"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "要是退了。半夜又烧了。我是不是带他去看"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "可以的，在家先退热处理。早上去挂个专家号看"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "如果没有其他问题，我就关闭问题了"
            }
        ]
    },
    "10500954": {
        "self_report": "宝宝咳嗽多鼻塞（清涕）有痰打喷嚏大便干燥少！没有发热！是风热感冒还是风寒感冒？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生，您好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "还没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "医生，这是热感冒还是风寒感冒！可以服用什么药物治疗"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "看目前情况，有一个流清涕打喷嚏的情况。考虑有患小儿感冒的可能，一般是呼吸道感染了细菌或者病毒引起。在中医角度，流清涕的话，一般考虑是风寒感冒的可能性比较大。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在服药治疗了吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "他咳嗽厉害,痰多！给吃了小儿止咳糖浆"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有好转"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "只服用这一种药吗，有没有吃别的？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "可以吃小儿氨酚黄那敏颗粒吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "治疗方案的话，是可以服用小儿氨酚黄那敏颗粒，缓解感冒症状。同时，痰多的话，也可以吃盐酸氨溴索口服液，有化痰的效果。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那么大便干燥是上火吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是的。考虑大便干老是有上火的情况，注意多喝温水，多吃粗纤维蔬菜泥，也可以适当服用布拉氏酵母菌调理。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "小儿止咳糖浆现在服用多久了？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "症状是今天才有的，所以今天才服用的！"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "晚上到凌晨咳嗽,鼻塞症状较明显"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一个药物评价有没有效果，一般得服用3天。现在刚服用一天，时间还是短，小儿止咳糖浆，建议继续服用一下。"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "我看咳嗽的还是比较厉害，需要警惕一下有没有支气管炎的可能。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "支气管炎有什么表现"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "支气管炎的话，也是咳嗽，咳痰比较厉害，或者会有发烧的情况。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "建议按上述方案服药治疗，多喝水，多观察。如果治疗后，仍然咳嗽厉害，痰多，建议就医小儿科，让医生听诊检查，化验血常规，明确病因后治疗。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那有没有必要服用消炎药呢？"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在由于没做过血常规检查，不确定是细菌性，或者病毒性感染。暂时没有服用抗生素的证据，可以服用蒲地蓝消炎口服液，这个是个中成药，有中成药的消炎抗病毒作用。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "前几天我有点感冒！是不是病毒性感染"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "感冒，80%是病毒性感染，剩下的20%可能合并细菌感染。单靠症状，不好区分，到底是细菌性感染还是病毒性感染。一般是需要通过血常规检测，c反应蛋白检查，来区分。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "就你的情况，一般而言，考虑病毒性感染的可能性大。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "还有这几天他会吃手指！"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我也分不清到底是细菌感染还是病毒感染"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "是的，不光是你，就连大夫，单靠症状，也是不好区分。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "婴儿都有一个阶段会吃手，不是太容易让他不吃，主要把手清洗干净，防止病从口入。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，谢谢你医生"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "谢谢你没有了！你是我遇到超有耐心的一个医生"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "感谢您这么高的评价，有问题可以再联络，祝身体健康，再见。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "再见"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "拜拜"
            }
        ]
    },
    "10344000": {
        "self_report": "宝宝昨天发烧白细胞是26.挂水后今天查白细胞变成28了，怎么回事啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的辅诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "在的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝发热几天？现在体温正常了吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "发热两天。昨天挂完水后体温正常了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝精神怎么样？还有其他症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神很好，吃的也不错"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有没有皮疹，宝宝咳嗽吗？嗓子哑吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天有一点咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有皮疹"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯嗯，除了血常规还有其他检查吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "拍片了吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有拍片"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "医生给宝贝诊断的什么疾病？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就是细菌感染导致的发烧"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "有没有说考虑败血症？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有说"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "败血症很严重吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "血常规白细胞升高可能是炎症急性期"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "那可能是败血症吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "败血症是说细菌进入血液，繁殖释放毒素引起的全身炎症反应"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "严重吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "这个需要做血培养的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "那我再去医院检查一下吧"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "您现在给宝贝住院治疗了吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "还在吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "建议带孩子去公立医院儿科就诊，进一步完善心肌酶谱血培养等相关检查哦"
            }
        ]
    },
    "10337389": {
        "self_report": "一岁宝宝发烧39.3，嗜睡精神还行，吃过氨酚黄那敏颗粒，特乐退烧贴，还是热？怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，现在体温还是39.3吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "39度多一点"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "手脚热吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发热多长时间了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天晚上有开始的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "家里有布洛芬或者对乙酰氨基酚吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有，只有黄娜敏"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "附近有药房吗，买布洛芬"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "还有吗？不用去医院吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "先吃退烧药再去医院"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "担心出现热性抽搐"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "吃完药，就去医院？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "去医院查血常规看看孩子发热的病因"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯，好吧！39度多，不会烧坏吧？！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "单纯发热不会，就是担心出现抽搐"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "抽搐？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "超过42度才会烧坏大脑"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "类似癫痫发作的那种，发热时有的孩子可以出现这种情况"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦，好吧，关键现在太冷了，我怕冻着她，所以想先不去医院？！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那就先去买退烧药再决定去不去"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果孩子体温降下来，精神状态良好，可以明天再去"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "腋下，温度，跟其他地方温度都一样吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是水银温度计量的吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "就是以腋下温度为准"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦，知道了，先买退烧药，他这么小，可以吃吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "布洛芬6个月以上的孩子就可以吃了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "按照说明书剂量吃"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯，好，谢谢了！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10789899": {
        "self_report": "问题宝宝前天打的防疫针，晚上开始低烧，37.7。到现在烧了几次，最高38.2。身上今早发现有红色斑块。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "再"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "图片没打开，再发一下吧。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "有没有吃什么，或者接触什么可疑过敏的药物或者食物。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "看着孩子痒吗？挠吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "痒"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "精神可以"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是的，皮疹的形态，风团样，高出皮肤，考虑荨麻疹可能性比较大。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "背上可大一片"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "关键还发烧，会不会和预防针有关系"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "一般可以用炉甘石洗剂涂抹。止痒，效果比较好。同时注意洗洗澡，接触的衣物，注意换洗暴晒，防止潮湿。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "前天打的什么疫苗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "a群和乙脑"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是接种疫苗的当天晚上，就出现发烧了吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "考虑和接种疫苗，有很大的关系。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "低烧两天都是37度多，最高38.2"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "接种疫苗后，当天晚上就出现发烧，应该是接种疫苗引起的发热反应"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这个体温没有超过38.5度，一般可以物理降温，比如多喝水，温水擦拭全身，冷毛巾敷额头，泡澡，或者贴退热贴的方式处理。如果超过38.5度的发热，就需要口服布洛芬退烧。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那现在不用管？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前控制好体温，就可以了，同时，用点炉甘石洗剂，外涂一下。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "身上疹子会不会因为这个"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这个是个荨麻疹的情况，一般考虑还是因为过敏引起的可能性比较大，也有接种疫苗引起的可能。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "发烧以来，看过医生吗？查过血常规吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "现在是第二天，需要再观察一天吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "目前的情况看到烧的不高，孩子精神状态也比较好，可以再观察一天，一般来说，这种接种疫苗的发烧，不会超过三天。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10369765": {
        "self_report": "八个多月宝宝拉肚子怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝拉肚子几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "精神食欲好吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "前天就有点了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯，1天大便几次？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "这几天一直拉稀"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "尿量正常吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天两次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前天白天一次，半夜一次"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "昨天是大便2次，还是尿2次？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "便便两次"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "哦，体温正常吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "尿比以前少了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "哦，给宝宝多喝水"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "有点偏高"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "什么有点偏高？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "体温"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "体温多少度？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还有点着凉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯，精神吃奶怎么样？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哭的时候有点清鼻涕"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "精神还好"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "考虑宝宝是感冒了"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "吃奶正常"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "给宝宝吃的什么药？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "没吃药"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "建议给宝宝吃小儿氨酚黄那敏和妈咪爱"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "注意避免受凉，多喝水"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "可以贴肚脐贴"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "如果体温达38.5度以上需要口服退烧药，"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "丁桂儿脐贴吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以的"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "38.5度以下用物理降温，贴退热贴或者是用温水擦身体"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "用温水擦身体的颈部腋下肘窝腹股沟腘窝等处，使皮肤微微发红，降温效果不错"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢您"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气，有事联系"
            }
        ]
    },
    "10358490": {
        "self_report": "六个月零六天拉肚子拉了一个多月了，去医院验大便有白细胞，吃了三天头孢验大便没事了，就把头孢停了，可孩子大便还是有奶瓣，有时候有沫沫，期间孩子吃蒙脱石散和益生菌都有一个多月了，昨天又开始流鼻涕还咳嗽怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝1天大便几次？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "纯母乳喂养，现在一天四五次"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "精神吃奶好吗？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在宝宝又出现感冒症状"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "昨天感冒后，今天早上起来开始精神不好"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "拉肚子那会精神一直没事"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯，体温正常吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "37"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在给宝宝吃的什么感冒药"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没吃呢"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "我家里有这个药，不知道吃哪个"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "上个月感冒吃的剩下的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在给宝宝吃小儿氨酚黄那敏"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我的那些药能吃吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "咳嗽严重吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以吃回春散"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "反正一会咳嗽两声"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "其他的2个不要吃"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我打算吃那两个呢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "健儿清，容易引起腹泻"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那两个不是治感冒咳嗽的吗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "嗯，治疗感冒"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "健儿清容易引起腹泻"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "愈酚甲麻那敏含的麻黄碱"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "还有这个和羚黄宝儿丸"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这个是有痰咳嗽的时候吃"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那我到底吃什么呀"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "你给宝宝吃回春颗粒和小儿氨酚黄那敏就可以的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果咳嗽加重，出现痰，可以吃氨溴特罗口服液"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "现在先吃我说的那2个"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "给宝宝注意腹部保暖"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "贴肚脐贴"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以加醒脾养儿颗粒"
            }
        ]
    },
    "10893242": {
        "self_report": "宝宝2岁9个月，前两天开始一睡觉就开始打鼾还不停地咽口水，嘴唇干，醒来的时候就什么也没有了，只是喉咙有一些沙哑，这是怎么回事？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子最近有没有受凉感冒，"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有啊"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "当地天气有变化吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天去诊所就看了一下喉咙，说是有些红"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "天气冷了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一般来说小孩子出现的嗓子嘶哑。大夫说嗓子红。都是受凉，引起感冒的可能性大。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "以前感冒没有咽口水的症状，这不会有其他不适吧"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有点担心"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "也不发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一般不用担心的。如果病情严重会出现发紫。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "会出现发热。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就是晚上睡不好，两三天了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "嗓子发炎，孩子就会出现嗓子痛。流口水。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "感冒之后，孩子确实会出现睡眠不好。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "当地大夫有没有给开药？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "前两天吃了消积颗粒，会不会和那个有关"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般和这个没有关系的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "大夫没开药，说是吃点阿莫西林就好了"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "可以的。但是我建议给孩子加上开喉剑喷雾剂。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以治疗嗓子发炎和不适。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "假如出现反复发烧的情况。还是建议去医院儿科就诊。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "好的，正好家里有。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10875531": {
        "self_report": "[cp]我们家宝宝2个半月，昨天1点发烧37.8，4点38.3，我就给洗了个温水澡，体温慢慢降下来了，早上8点半去医院看，去量体温37.3.医生让察血，然后开了小儿感冒宁合剂和柴黄，宝宝到现在都没有发烧症状，没有咳嗽没有流鼻涕，还需要吃药吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子最近有没有受凉？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "家属有没有感冒的？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "我这种情况，需要给他吃药吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有受凉"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "从血常规来看。有感染迹象。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "到现在都没有发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "体温都在36.6左右"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "还是要给他吃药吗"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "结合孩子发热，最大的可能性是受凉引起来的呼吸道感染。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大夫开的药物是清热解毒的药物。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "也是考虑小儿感冒的。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "建议继续治疗。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "一般发着要持续3天左右。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "我是觉得小孩太小，害怕吃药不好"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般发热可以持续3天左右"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "要吃药的。如果不吃药。孩子病情加重。就麻烦了。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好，谢谢"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般要吃药3到5天。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那么小的小孩吃药会不会不好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前发热都不高。假如出现38度5以上的体温。可以口服退热药，如布洛芬治疗。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这些药物是中成药。副作用很小的。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "我要给他吃3天的药吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "不客气的。假如出现反复高热不退。精神吃奶差。还是要及时去医院儿科就诊。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "一般吃奶后半小时吃药吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "是的一般要吃奶之后，一小时之上。"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "不客气的。还有问题吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "没有了"
            }
        ]
    },
    "10214689": {
        "self_report": "4岁女孩，昨晚10点发烧到38度9，用右旋布洛芬退热栓，凌晨2点半烧到39度9，用布洛芬口服液，一直在烧到现在39度5，请问该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "照片具体数值看不清楚，分两部分拍一下吧！"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "这次能看清吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "看到了，孩子中性粒细胞偏高，可能有细菌或不典型病原体感染，建议口服阿奇霉素。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "现在孩子烧的手脚冰凉，还老说冷"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "提示孩子体温可能还要继续上升"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "38.5°以上口服退烧药。多给孩子喂水帮助散热。用温毛巾擦双侧颈部腋下大腿根部的大血管帮助退热。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我们去医院大夫也说让吃消炎药，咳嗽药，和抗病毒的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是的，都给你开了什么药？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "头孢地尼，三臣散，美沙糖浆"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这些是可以的，吃够三天看了孩子有没有好转"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "大夫说如果发烧就用右旋布洛芬"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "是的，这是儿童退烧药，间隔四个小时，可以重复使用。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "但是我孩子从昨天晚上到现在一直烧到39度5以上"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那可以再买泰诺林，和布洛芬交替着用，同时进行持续的物理降温。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在孩子手脚冰凉是因为什么？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "偶尔还抖"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嘴里还念叨着什么"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "这是什么情况啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "？？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "什么意思？这种是什么症状"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "应该是寒战，孩子体温可能还要上升，赶快进行物理降温吧！"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "请问物理降温具体应该怎么做？"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "多给孩子喂水帮助散热。用温毛巾擦双侧颈部腋下大腿根部的大血管帮助退热。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我想给她擦腋下和大腿，她都不让擦，说冷"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "用温毛巾擦，或者给孩子洗热水澡，这都是有助于散热的"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "我家里室温低，能给孩子洗澡吗？"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "二十度以上才能洗澡，以防着凉。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "恩，那我给孩子穿秋衣秋裤盖被子睡觉可以吧"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "恩，谢谢"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气的"
            }
        ]
    },
    "10564164": {
        "self_report": "婴儿七个半月。感冒流鼻涕，咳嗽有痰，发烧38.7度。该给什么药吃？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好！"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "问题婴儿七个半月。感冒流鼻涕，咳嗽有痰，发烧38.7度。该给什么药吃？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验血常规了吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有看过医生"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "现在咳嗽厉害吗，痰多吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "咳嗽不厉害，但听到很多痰"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "刚测体温38.7。现给贴了退热贴"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "流清鼻涕，还是黄色浓鼻涕？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "青鼻涕"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "目前这个体温，可以先口服退烧药退烧，同时配合物理降温，比如温水擦身，冷毛巾敷额头，泡澡，或者贴退热贴的方式物理降温。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "什么退了药适合？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "分析病情，目前小儿发烧，咳嗽，流涕，考虑有小儿感冒，呼吸道感染情况。一般是呼吸道感染病毒，或者细菌引起。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前服用什么药物了吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "什么退烧药适合？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "小儿七厘散"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "退烧药，可以用布洛芬，是最常用，最安全的儿童用退烧药。也是非处方药，药店比较好买到。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还需要配点消炎药吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "小儿七厘散孩子能使用吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前的情况，可以吃点缓解感冒症状的药物，止咳祛痰药，比如口服一点小儿氨酚黄那敏颗粒，小儿宣肺止咳颗粒，都是非处方药，药店里比较好买到。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "你目前这个也是可以吃的，同时反复发烧的情况，建议吃点清热解毒，泻火中成药，对于反复发烧效果好。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "建议按照上述方法服药，多喝水，治疗后，如果仍然反复高烧，或者咳嗽厉害，建议就医小儿科，让医生听诊，化验血常规检查，进一步明确病情后处理。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "清热解毒泻火中成药有什么药？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果化验血常规检查，显示是细菌性炎症，血象高，是可以同时口服消炎药的。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "清热泻火的中成药，比如可以吃点双黄连口服液。这个也是非处方药，一般药店里都有。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，非常感谢！"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，别客气，注意多喝水，多排尿，可以拍出热量，这样有利于退烧。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "如果痰多的话，多注意拍背，震荡，帮助排痰。"
            }
        ]
    },
    "10627559": {
        "self_report": "我家宝宝14个月，今天下午13点多发现发烧的，37.8℃，16点多到38.2℃，19点还在37.8，这样持续低烧是否需要马上到医院去看看",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子有没有受凉引起的感冒？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "晚上倒是老踢被子"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "前两天嗓子有点哑"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "还有点拉稀"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "常见的原因是受凉引起的感冒。宝宝有没有鼻塞流涕的表现？"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗓子哑可能是嗓子发炎。也是感冒的表现"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是声音哑"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "今天发烧的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "大便不成形"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "大便稀，可能是感冒后胃肠道功能不良引起的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "昨天拉了3次，今天到现在2次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那这样低烧不退，好几个小时了，需要去医院吗"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "这个发热是炎症刺激机体引起的反应。一般来说，要反复23天后体温才会正常的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "别慌。目前宝宝精神可以吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "精神还算好"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那是一直会低热吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "精神可以说明病情不严重，不要担心"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不会间断的吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "我建议，目前宝宝发热，大于38.5以上就可以吃退热药如布洛芬。不到这个温度宝宝精神好。可以温水擦身"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我喂了益生菌和999小儿感冒颗粒，贴了丁桂儿脐贴"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "还给他贴了退热贴"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "可能会出现高热的，建议预备上退热药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前用药可以的。退热贴可以物理降温"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "感冒灵可以吃的，有清热解毒治疗感冒的作用"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以吃上益生菌治疗腹泻的。注意饭前吃益生菌。饭后吃感冒灵"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "买了这两样药"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "等宝宝机体产生病毒抗体就不会发热了"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "这两样都是退热药，必要时吃一种就可以"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "意思是暂时只有等待了吗"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "要是效果不好，那可以交替吃吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "额编制了不关他啥事不知道高了不对，还能吃到吗，精神不好，哪种道具，山西医院，去哪儿喝酒的，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "额一般来说我好像去你那去了，车要放东西的车要的话我就下呗，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "目前药物是可以的可以先做去了，那如果我说的情况就应该就行，上海的，挺好的不用担心，"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "现在需要服用抗生素吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "感冒了80%以上的都是那病毒感惹我了没必要再出去吧，或者换学校了，"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢你"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "唉你还有问题吗？"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "按我现在的用药就可以吗"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "我觉得用现在的药物完全可以啊，"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "回复那就是需要一段时间，一般我早上五点开始播，那就算了，对啊对啊，"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "那再见"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "有问题留言，你个贱，"
            }
        ]
    },
    "10660775": {
        "self_report": "目前精神状况不错，病毒引起的话不吃药能好么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "您好。这个温度不是很高，有没有受凉？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有没有别的症状？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "暂时没有别的症状，大便也正常，受凉应该不会，不过晚上睡觉比较热，会不会是热的，在就是前天带她去了同事家，有关系么"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这个情况多是感冒的表现。原因包括受凉，感冒家属感冒传染等等"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个感冒有的仅仅表现反复发热，没有别的症状"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "目前是低热，可以用退热贴。假如超过38.5以上就要用口服退热药如布洛芬治疗的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "因为多是病毒感染引起的。所以建议吃上清热解毒的药物如双黄连口服液每次3毫升一天3次治疗35天看看"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前宝宝精神可以吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "精神可以。说明病情不严重，不要担心"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "大多数是病毒感染。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "病毒感染的话，会自己好么"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "因为宝宝年龄小，建议吃上清热解毒的药物的，如双黄连口服液，"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "怕不治疗，病情加重"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这个清热解毒的药物都是中成药，副作用小，建议吃上"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的医生，那一般就好能退烧"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "一般几天能退烧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般来说要反复发热23天"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的，谢谢医生指导"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是不是宝宝都会在7.8个月的时候发烧一次呢"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "假如出现高热不退，精神差，还是要及时去医院儿科看看的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般目前是感冒的高发年龄，确实不注意受凉引起的感冒的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "这个双黄连口服液每次3毫升，一天3次治疗35天看看"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "您好，目前测量多少度？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "孩子有没有饮食减少？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "您好，能帮我看一下孩子，最近没发现饮食减少"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "看见了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "最近有没有感冒？用药？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "没吃过药"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "从孩子这个白色的形状来看。考虑真菌感染引起来的鹅口疮可能性大。"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "家属有没有脚气的？"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯，没有脚气"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "当孩子抵抗力减弱，菌群失调的时候，就出现这种情况了。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "只要没有哭闹。没有饮食减少。不考虑是感染引起来的口疮。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那我怎么办呢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "关于治疗的话。建议给孩子应用制霉菌素片。这个是抗真菌的。可以外涂。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "严重么医生"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "同时口服益生菌。来调节菌群失调。推荐妈咪爱。每次一包，一天两次。"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "不严重的。只是，可能会反复。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "用不用去医院看看"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "看起来是白色的膜样物。像是我说的鹅口疮。"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "注意奶具，吃奶的奶具要勤消毒。"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "一般治疗七天左右。"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "假如不减轻。或是口腔内这种东西增多。或者是孩子出现哭闹烦躁。有必要去医院儿科就诊。"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的谢谢医生，下午就带孩子去医院看"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "可以的看看更放心了。"
            },
            {
                "sentence_id": "53",
                "speaker": "患者",
                "sentence": "好的谢谢医生"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "不客气的，还有问题吗？"
            },
            {
                "sentence_id": "55",
                "speaker": "患者",
                "sentence": "没有问题了"
            },
            {
                "sentence_id": "56",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "57",
                "speaker": "医生",
                "sentence": "客气啦，祝您的宝宝健康有问题，留言。"
            },
            {
                "sentence_id": "58",
                "speaker": "医生",
                "sentence": "再见。"
            },
            {
                "sentence_id": "59",
                "speaker": "患者",
                "sentence": "谢谢医生"
            }
        ]
    },
    "10610483": {
        "self_report": "宝宝喉咙发炎和有些病毒感染发烧了两天，昨天不烧了，今天怎么又发烧了，现在流鼻涕有点咳嗽吃东西有些干呕，怎么回事啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝有没有受凉？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "打喷嚏"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "是前天发热的吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "可能是受凉了"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一般来说是受凉引起的感冒"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "星期二晚上"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "发烧的"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "发热好几天了。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有找大夫看看"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "去医院了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "大夫怎么说的，有没有化验血？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "，医生说有些病毒感染"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "有没有化验单的？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "显示确实是病毒性感冒的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前还有什么药物吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "蒲地蓝口服液小儿热速清"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯我要打字别买还是一样，"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "现在情况许愿吊水吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "现在情况需要吊水吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "额确实是坏蛋显示显示的是病毒啊，这种杆子打孩子别反复的发了三个武器，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "孩子精神状况的是哪个的嘛，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "不好不怎么吃"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "这坏人当然看不清楚，6月20几号去的医院呢，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "28"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "假如精神不好，吃奶不好的话。不排除嗓子有疱疹。我建议再去医院儿科看看。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "哦哦，如果说他是看了这两天没计划，那可不行的，小小的图标，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "额一般来说那如果她发了450以上来了扣扣掉了公路的一半长了，要是难受的了，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "这个发展的一次这种感受了集体的一个反应，一百多度呢，无线网卡控制，"
            }
        ]
    },
    "10116967": {
        "self_report": "小孩呕吐，吐过之后精神比较好，之前咳嗽喂了肺力咳合剂",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "之前病毒感冒发烧，今天不发烧了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "今天开始吐的？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "前天感冒时也吐过一次"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "还是因为吃药刺激引起的呕吐？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "但精神状态比较好"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前天吐时没有吃药，就刚才咳嗽吃了药，半小时后吐"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "是不是饭吃了没多久吃的药，后面又吃了奶导致"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "嗯，现在体温正常了，考虑有可能是吃药刺激引起的呕吐"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "因为宝宝精神好，不考虑其他原因引起的呕吐"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吐了后精神比较好，一会儿睡了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以继续观察一下"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "呃，好的，多谢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意避免受凉"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好，谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "不谢！"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "祝宝宝健康快乐成长！"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "（空）"
            }
        ]
    },
    "10628220": {
        "self_report": "七个月宝宝第一次发烧到38！要吃药吗，昨晚烧了一夜了。流清鼻涕。打喷嚏。发烧！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验血常规了吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我家宝宝七个月第一次发烧38昨晚烧了一夜。有事吗"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "都没有"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "最高发烧到多少度？小孩的精神状态怎样？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "38精神的话一般。没有平时活泼"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "是流清鼻涕还是浓鼻涕？有没有咳嗽的情况？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我要给他吃点药吗"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "清鼻涕"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "没有咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "就单纯的感冒发烧"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "冻的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "分析情况，目前流涕，打喷嚏，同时有发烧的情况，考虑还是小儿感冒。一般和着凉，或者呼吸道病毒感染有关系。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "看到目前的感冒症状比较明显，可以吃点缓解感冒症状的药物，同时做好物理降温，控制好体温。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的。安敏黄颗粒可以吗！还是清开灵"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "小儿氨酚黄那敏颗粒更对症，是一个缓解感冒症状的药物，可以缓解鼻塞流涕，同时也有轻微的退烧效果。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "可以吃这个药，同时注意多喝水，多排尿，可以降温。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "好的谢谢。吃多少呢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "现在宝宝体重多少？需要按照体重来估算用量。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "好的一直在喝水"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "16斤"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一次三分一包，一天三次，就可以了，这个是个非处方药，可以吃一点。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果体温不超过38.5度，可以物理降温，比如温水擦身，冷毛巾敷额头，泡澡，或者贴退热贴，如果体温超过38.5度，需要口服退烧药。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "建议适当的服药治疗，多喝水。如果治疗后出现高烧情况，建议就医小儿科，让医生查体，化验血常规，进一步的明确情况后进行治疗。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的这个我知道，能不吃药就不吃药我是这么想的。但是昨晚烧一夜了。所以有点担心"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "谢谢你李医生"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "好的，别客气。看到这个发烧只是一个中度的发烧，考虑有问题不大，还是一个小儿感冒的症状。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个体温不算太高，一般也不会对孩子有伤害，不过如果超过38.5度的发烧，就需要口服退烧药了，不要让孩子烧得太高，有潜在的风险。"
            }
        ]
    },
    "10544627": {
        "self_report": "我家宝宝7个月了，前天打了乙肝疫苗，昨天半夜发现高烧38.5，用了退热贴，口服小儿柴桂儿退烧口服液，还是没退，精神挺好，上身烫，下身不烫，脚心有点凉，什么原因？我需要怎么处理！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，现在体温多少？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "38"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "脚心凉，有可能体温还会上升。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "现在可以贴退热贴，喂点温水，"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "反正昨天也是最高38.5"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "用温水泡脚"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有咳嗽，流鼻涕吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦哦，那个柴桂儿退烧口服液是不是效果慢"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有咳嗽，没有鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "小儿柴桂退热颗粒是中成药，退热作用不明显的。"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "注意是清热解毒的作用"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦哦，我不想给她喝西药，药店就推荐这个"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "今天有可能会发热到39度的，家里有布洛芬混悬液"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有，那个是退烧的吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "退热药要备好来的。"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "哦哦，她精神好，也不哭闹"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果发高热，要吃的，否则持续高热不退，容易发生高烧抽搐的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "发热不退，精神胃口好的，有可能是幼儿急疹"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "哦哦！"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "幼儿急疹一般要发热3天左右"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "什么是幼儿急疹"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "而且会发高热的，"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "不是那个疫苗引起的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "幼儿急疹,一个病的名字，一般发热3天左右，热退全身出皮疹，23天皮疹消退，就好了。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "和疫苗没有关系的，乙肝疫苗出生也打过的。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "一般疫苗接种发热不超过38度，一般第二天，就不烧了。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "是了，已经打了两次了，这是第三次"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "幼儿急疹是病毒感染引起的。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "现在处理，就是口服小儿柴桂退热颗粒，如果低热，就用退热贴，体温39度就要用布洛芬混悬液退热"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "嗯嗯，我现在除了给她物理降温没有别的办法了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的，谢谢大夫！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "精神胃口好的，就可以观察3天，如果3天体温还不退，那么要到医院就诊，化验血常规"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "饮食上要多喝水，吃东西要吃点好消化的食物。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的！我在观察观察，现在天气热"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦，这两天就喝奶粉，我没给她吃辅食"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "嗯，可以的。"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "就是她不愿喝水"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "那么奶粉稍微稀点"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的，谢谢黄大夫"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还有其他问题或者不理解的地方吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "暂时没有了？！"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "如果后续有问题，可以留言，我看到了，就会马上给您回复。"
            }
        ]
    },
    "10534713": {
        "self_report": "儿童肾病综合症，还在吃药治疗恢复中，今天感冒了，咳嗽，能在小门诊吃药打针吗，还是需要住院治疗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，宝宝感冒容易诱发肾病综合征加重，建议及时到二甲以上医院儿科住院治疗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "注意复查生化，尿常规和血常规判断宝宝目前病情程度，以排除有没有加重"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "我们现在还在吃药治疗中，在家吃感冒药是不行的是吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝咳嗽厉害吗，有没有发热?"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "必须要住院治疗吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有发热"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "精神食欲如何"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是早晨一起床有点咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "精神食欲都很好"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那考虑宝宝为轻度感冒，目前感冒不是很重，暂时可以吃点清热解毒药物和化痰止咳药物治疗，观察看看"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果出现发热，咳嗽加重，精神食欲差，小便明显减少，水肿明显加重，需及时到二甲以上医院儿科就诊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "注意清淡饮食，避免受凉，预防重感"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "那现在是吃药？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "可以的，家里有什么抗感冒药和化痰止咳药物呢"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "医生给开的施保利通片"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "因为我们前天才去复查回家，家是菏泽，在济南的齐鲁医院看的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "施保利通主要是抗病毒的，可以吃。家里还有化痰止咳药物吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "复查结果还可以吧"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "复查结果，有一点血项高，医生说可能有一点点感冒"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "别的没事"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "额，那问题不大，先吃药观察看看，应该问题不大，普通感冒，只要及时治疗，一般35天就会缓解的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "就是昨天晚上受凉了可能，一早就咳嗽了，之前没有任何症状的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "嗯，注意避免再次受凉"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "目前给予施保利通和化痰止咳药物治疗就可以"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，我们得这个肾病之前，咳嗽一般都去打点滴，因为四个月得了肺炎，然后一感冒就赶紧打针，不敢拖"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "可以先口服药物观察2天看看，如果出现我上边说的那些症状，是需要及时到医院儿科就诊的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复，健康成长，问题结束后，麻烦您根据系统，给出评价，有什么需要，随时可以联系我"
            }
        ]
    },
    "10300977": {
        "self_report": "孩子三岁了，昨天半夜突发高烧38.8，用了美林，退烧了，今天早上没有发烧，12点以后慢慢又烧起来，两点多到了39.3，又用肛栓一支，退到37.8，吃饭很好，全天打过几个喷嚏，吃了小儿双金口服液，又吃了一次阿莫西林，阿莫西林胶囊他喝不下去，又打开胶囊冲水喝了，不知道行不行？现在睡着了，摸着又烧起来了，该怎么办？没去医院",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前看到还是一个反复高烧的情况"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子精神怎样"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "精神很好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "他以前没有除了七个月婴儿急疹出现过高烧现象，还没有出现这种情况"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "一般反复高烧，提示还是有炎症情况"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "要是生病也是现有感冒症状，比如流鼻涕咳嗽，然后才会发烧，这次嗷呜症状的直接发烧，不知道怎么处理"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "退烧是治标，治本还得消炎治疗"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "现在体温多少"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "吃阿莫西林可以嘛"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "现在刚刚量的38.5"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这个体温需要先退烧，多喝水，最好化验血常规看看细菌性还是病毒性"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我一直有给他做小儿推拿，感觉效果不明显"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "细菌性感染，可以吃阿莫西林"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "早上他说了句喉咙痛，我以为扁桃体发炎了才给他吃了阿莫西林"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "如果去医院，就算血象不高，也会让吃抗生素，因为大夫会说，病毒感染后期会合并细菌感染的，所以估计会开利巴韦林和头孢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前看到扁桃体有没有红肿，化脓"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "你说的也是很有道理的，医生常这样处理"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我早上看了下，不是很明显，左侧有一点点红"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "都可以忽略不计的红"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有时候孩子爱瞎说，他今天吃饭很香，感觉不到嗓子疼，所以我怕他瞎说症状"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果方便的话，还是化验血常规看看，好一些。如果不方便，今晚的治疗目标，就是控制体温"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那您说应该怎么控制，一上38.5就用退烧药吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "我给他喝的小儿双金和阿莫西林还需要继续服用吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是的，原则上，一上38.5就退烧，同时需要消炎治疗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前可以继续服用，多喝水，配合物理降温"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "问下我需要把阿莫西林换成头孢克洛吗？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "因为他胶囊吞不下去，去除粉末冲水又怕影响药效"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "可以吃头孢克肟颗粒，头孢还是比阿莫西林高一级的抗生素"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "有一个情况，您不知道，我这个孩子体质较差，经常感冒，一年能得三四次肺炎，抗生素使用频率很高，所以一个月前才吃过头孢，现在又吃有什么影响吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "你现在比较担心抗生素副作用。更应该化验血。病毒性感染。无需使用抗菌素"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好嗒"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "感谢你的回答"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "就怕病毒感染医生还让吃头孢，我也就醉了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那就是医生过渡治疗，不讲原则了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "在问个问题，为什么他醒着的时候不怎么发烧，一睡着体温蹭蹭上升"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "这个没有什么原因，有个特点就是小儿容易晚上高烧，晚上要备好退烧药"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好嗒，知道了，感谢你"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的需要咨询吗"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "没有了，感觉自己已经成半个医生了！已经晚上了，如果今晚烧的厉害，我明天带他去医院吧"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "好的，可以的，不必太担心，发热比较好治疗，一般也就三天"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "有没有可能他烧退了以后，感冒的其他症状才表现出来"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "也有这个可能，疾病都有演变的过程"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好,感谢"
            }
        ]
    },
    "10533124": {
        "self_report": "寶寶一周六，昨晚上十一點醒來吐，後面發燒了！測量了一下一個耳溫38.4，一個37.7！早上喝了稀飯也吐了，後面給她吃了一隻小兒三清雙黃蓮口服液！她的靜神好像又挺好！不知道要不要帶去醫院檢查一下？或者需要吃其他什麼藥嗎？",
        "dialogue": [
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了能更好的分析宝宝的病情，我需要向您了解宝宝现在的情况，请问宝宝除了上面的症状，还有别的症状吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "沒有了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝妈妈先别急，为了更好的为您服务，我需要问您几个关于宝宝病情的问题"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "您好！醫生！寶寶總共吐兩次"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "，麻煩您了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯，先呕吐又发热对吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "發熱是到後半夜才開始的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "貼了小林冰貼"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝腹泻吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "早上起來看她精神又挺好"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "不會腹瀉"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "去医院看过吗？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "昨晚她吐了後，我給她吃了一尊保嬰丹"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以的，您的处理很正确"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "早上吃了一一隻雙黃連口服液"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "宝宝去医院看过吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "沒去醫院"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "只是覺得她精神也挺好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "大概了解宝宝的病史症状并梳理宝宝病情后，您宝宝这是胃肠型感冒的可能性大"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就想問下那兩個藥能不能繼續吃"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝昨天晚上刚开始，并不严重的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "我给您说一下小儿胃肠型感冒的相关医学知识，您就大体有数了"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦謝謝"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这两种药可以吃的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "胃肠型感冒是感冒的一种，胃肠型感冒主要是由一种叫“柯萨奇”的病毒引起的，同时伴有细菌性混合感染。胃肠型感冒在医学上又称“呕吐性上感”，它的发病症状主要是：胃胀腹痛呕吐,发热"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "腸胃型感冒還是第一次聽說"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "胃肠型感冒的发病诱因主要是来自外部刺激等因素，天气冷暖变化时发生较多。这是由于冷空气对肠胃刺激，再加上生活习惯不正常，不良饮食等。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那有什麼對症的藥嗎？"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "治疗主要是抗病毒药物对症治疗即可"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "您给宝宝喝的双黄连和保婴丹就行"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "哦，好的！謝謝"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "如果宝宝还是吐，可以加点小儿吗丁啉糖浆"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝体温超过38.5可以口服退热药"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "不超过38.5物理降温"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "先给宝宝喝两天看看，如果效果不好"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "嗯好！感謝您"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "建议您带宝宝去医院儿科找专业儿科医生查一下血常规和腹部b超"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "以免耽误宝宝病情引起肠炎，电解质紊乱等其他疾病"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这也是我推荐您就医的原因"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "我給她多喝熱水"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "宝宝这种情况临床上很常见，不要紧的，规范用药，多喝水，很快就好了"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "然后听医生的话，注意受凉，感冒，加强护理"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "宝宝妈妈明白了吗？"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "希望我的建议能帮助到您，非常感谢您的信任，如果您没有问题了，请在对话结束后对我的服务做出评价，祝您生活愉快，再见！"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "明白了，感謝感謝"
            },
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            }
        ]
    },
    "10451747": {
        "self_report": "宝宝感冒一直流浓鼻涕。咳嗽有痰。痰也是黄黄的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前孩子多大，咳嗽厉害吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "1岁2个月，目前有5天了，刚开始不咳，昨天开始咳嗽次数多，但不是咳嗽厉害的那种"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "看过医生吗，听诊过气管吗，有没有问题"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "听过了，她说有点呼呼声，可能是因为鼻塞有鼻涕的声音才呼呼的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "听过后，目前诊断什么疾病，小儿感冒，还是支气管炎"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "就是感冒"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "病毒性感冒"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "做过什么检查，化验过血常规吗，发我看看吧"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我想问问吃什么能好一点"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有验血"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是看了看喉咙，有点红"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "目前看有流涕，咳嗽咳痰情况，就医看过，确诊小儿感冒，但是目前看有黄痰，脓涕，需要注意下，在感冒基础上，有没有合并细菌感染可能"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在医生开的什么药"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一瓶咳嗽药还有小儿氨酚"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "还有清热解毒的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "服用几天了，效果怎样，有好转吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "刚开始的时候我就给他吃了小儿氨酚没用。昨天我才去医院的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "昨天开始吃咳嗽药和清热解毒的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前看服用的这些药，还是对于治疗病毒性感冒很对症的。我看服用时间还比较短"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般评价一个方案和药物，是否有效，需要治疗三天，再看看"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "不是说四五天就过感冒高峰期吗，这怎么还严重了膜"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "本身疾病发展有个过程，有症状明显的几天，然后慢慢好转。这是一般疾病的病程规律"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "那好吧先吃个3天看"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "再有就是目前才服用一天，还是比较短"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那小儿氨酚服用了4天了也也没用"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "是不是要换个牌子的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个治疗感冒就可以。建议继续服药治疗2天，就医小儿科，复诊病情，让医生听诊检查，必要时候，根据面诊医生意见，我看有黄痰，浓涕，是不是可以加点消炎药吃。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的呢知道了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10214609": {
        "self_report": "宝宝六个月半月，手脚冰凉，拉绿屎。高烧38.4。38.5左右，好少不退。肚子咕咕的总排气。是怎么了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，化验过血常规，大便吗"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "你好，目前这个体温，需要先退烧"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "有在退烧"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "那就好，大便考虑可能消化不良"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "反复烧手脚还冰凉"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "你考虑消化不良"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "考虑水分不充足"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "拉绿屎"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "是的，考虑消化不良，可以化验大便看看"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "为什么反复发烧呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "反复烧提示有炎症，需要消炎治疗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "能吃小儿健胃消食片吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以吃点的，需要明确原因，最好检查后，再用药"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "睡不好，一晚上一个小时俩小时的就醒一次"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "不舒服呀"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "查血说是病毒性的"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "感染"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "那就抗病毒治疗吧，多喝水"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "感觉我们镇医院医生都是白痴。说不出个原有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "哈哈"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "对症治疗就可以拉"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "烧退掉点手脚就变温"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多喝水，加强手脚保暖"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "变温是好事"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "行的。谢谢啊！一会起床带着去大医院看看去。查个彻底"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "好的，感觉问题不大，不必太担心"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "毕竟还得查"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯好的"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "嗯，查查放心"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "三天了"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "孩子精神怎样"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "不太好。反正也玩。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果精神好，一般没事"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "有图片吗？发我看一下吧。"
            }
        ]
    },
    "10194429": {
        "self_report": "宝宝25个月，鼻子里有黄浓鼻涕。无感冒发烧症状，几天了，一直如此。怎么办啊",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子有发烧么"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "一直没有？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有刷任何症状"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "鼻涕之前有么"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "大概4天左右"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就是流鼻涕"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "感觉她睡觉时候也有点累"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "嗯，黄的多么？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "黄的多"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "吃东西也好吧？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "嗯嗯，其他都一切正常"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "就是看她睡觉前躺在床上也呼噜呼噜的，鼻子里"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这样，有两个办法，第一大量喝温水，喝23天一般就会好一些，这个比较安全，第二就是吃点药，但是我觉得可以等等"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯，鼻子不通，里面有痰"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗯，鼻子不通，里面有分泌物"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "发错字了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯。还不是喉咙有分泌物。吃化痰的估计也没用"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "哦哦好的。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "如果要吃完的话最好吃什么药好呢？医生"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯，吃的话吃几天抗生素，不过我不太喜欢"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦哦好的，谢谢"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "不客气，有问题随时联系"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "嗯嗯"
            }
        ]
    },
    "10679976": {
        "self_report": "一周零两个月孩子手足口第四天中，又感冒发烧了，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝有没有发热？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "有，已经吃了两次退烧药了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "手足口已经看过了，大夫给开的打针吃的药和抹的药"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "手足口病，多是病毒感染。中间几天没有发热？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "第一天打完第一针并且回家吃了退烧药后没再发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "但是昨晚好像着凉了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天上午又开始发烧，流鼻涕，现在鼻子不透气"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "今天下午三点多和刚刚分别喂了一次退烧药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦，只要中间3天没有发热，就不是手足口病发热了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可能是感冒了"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦，今天是打针的第三天"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "那感冒需要吃药吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "我们需要注意什么吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不好意思"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "网络不好"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "我这网络也不好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般的手足口病的也是用他们都叫我出来茧子了，目前什么英文名翻译过来吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "额中间有里有两台是没招了还是咋情况，很可能就是来的小儿感冒的苦逼男人，关系到这样了还健在就好啊，严重了啊，"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个发热比较流弊的那种正常不，走路都比买正装啊，一个人傻傻地的一份见证啊，"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "烧到39"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "我见一次聊那因为都说这种脑子并不并不感恩您的手中应该有支持他，走路走的药物了，可以去吃，软件上的小颗粒，e,he,s，"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "今天两次烧到39度后给吃了退烧药"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "哦双39度要吃退烧药，哦不出来都可以的，吃饭都恶心的要命不大，操你妈，还有一问题，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯都少了三个五十，只是觉得要么就是隐身份证，洗洗脸啥的有用的东西，建议吗，哦在线了，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "推荐那个要么就是重要，无双或者是兰蔻的对吧，少年得志大三到五天还行，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "这个发热那就是赶我的体育考什么内容不限，什么都难了，就扎上了，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "就是发的比较高超过35想去的要那种可以查水费么讲究的啊，"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "假如那就出现烦死了搞得不对，那就是身上要票子还是小图啊，真不好说啊，嗯，或者是有可能是说的哪个客户的，"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "哦孩子不方便说就算可以了有没有我说的有没有，"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "可以"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "不发热时玩的可以"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的，知道了，明天去医院打第四针，顺便让大夫再开点药吧"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "手足口可以出去遛弯吗，不接触其他小孩"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "就是带孩子玩玩"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "额出去遛弯儿的话能给别人看孩子了，建议是，老了时来的快，"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "出去玩的话不要去风口不要去的是别的朋友，那就飞个比较安静的环境了不找没有风的地方了，"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "出得有小疹子，不怕风吧"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "哦还有注意饮食那个好像啊不要太快了东西，嗯，恩就是注意还健壮的呗，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "而这种整的哪一栋是给我转账方法知道了吗也不放了，"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            }
        ]
    },
    "10737668": {
        "self_report": "新生儿16天，哭闹，量体温37度4，发烧吗，怎么降温",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "是测量的腋窝，水银计体温吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温超过37.2°，就有点低烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "那怎么办"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "目前先散包降温"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "就给他穿了一个秋衣秋裤"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "就是把包裹打开，透透气，一般体温会降一些"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在室温多少？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我刚给他母乳过量的体温，那我过一会再给他量量"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "空调26度"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "穿的有点多了，把衣服减一下"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "过一会我在给他量量"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "好的，先注意观察体温。如果出现超过37.5°的发烧，建议就医新生儿科，让医生检查下"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "也可能和刚吃完母乳，消化过程产热关系"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那我一会再给他量量体温"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "观察下孩子体温情况，吃奶情况。如果吃奶不好，活动少，体温继续升高，需要就医看看咯"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，散包降温，观察看看吧"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "好的，还有别的需要咨询的吗"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "他从吃了母乳就一直拉屎呈蛋花状，正常吗"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "有图片吗，可以发我看看。考虑可能有轻微消化不良"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "每次换尿不湿每次拉，平均两小时一次吧，脐带屎拉完就是这种屎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "可以吃点益生菌调理下，比如吃点妈咪爱。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "有点稀，吃点益生菌调理，保暖腹部。妈妈饮食注意清淡，别吃油腻，别吃凉"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "我给他买的妈咪爱没怎么敢给她吃，觉着他太小了"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "没事的，没有副作用，可以吃点"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "那我一会给他喝水给他吃点"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的，可以的，用40°温水化开"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "一次吃三分之一吗"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "一日三次"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是这样"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "大概吃多久，还是吃饭大便好点"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以吃一周调理下"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "益生菌的调理疗程，就是12周"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "祝身体健康"
            }
        ]
    },
    "10524076": {
        "self_report": "宝宝流鼻涕，喝了几天药，不管用，今天比之前好像还严重了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好，宝宝流鼻涕是轻的，还是浓的，什么颜色"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "清的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "白色的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "鼻塞厉害吗，有没有发热和咳嗽等感冒症状"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今早起来有点咳嗽"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "根据您的描述，宝宝是上呼吸道感染，以鼻部炎症为主，主要表现为流清涕，主要与宝宝受凉或者传染有关。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有发烧，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "轻微咳嗽是没有太大问题的，与感冒嗓子发炎有关，注意勤喝水，注意增减衣物，避免受凉"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝精神食欲如何"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "精神还可以"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "喝了几天感冒药，没有反应"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天又开始咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝精神没受影响，说明宝宝感冒不是很重，治疗方面建议口服抗病毒药物和小儿感冒颗粒就可以，再就是给予鼻部湿热敷可以缓解症状。如果宝宝咳嗽渐加重，可以添加小儿麻甘颗粒化痰止咳治疗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "目前宝宝吃的什么药物"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "小儿黄那敏颗粒和小儿宝泰康颗粒"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "一般按上述治疗给予57天就会明显缓解的，如果出现发热，咳嗽加重，精神食欲差需及时到二甲以上医院儿科就诊"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这两种药是比较对症的，吃了多少量"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "我家已经喝黄那敏颗粒五天了，没反应，今天咳嗽又加的宝泰康"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "一次三分之一"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "一天一袋"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "流涕明显主要与鼻部粘膜有炎症导致的鼻腔狭窄，鼻液不能正常代谢有关，主要缓解鼻粘膜充血后，症状就会缓解的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "体重是多少"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "宝宝这两天有点腹泻，和感冒有关系吗"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "七个月"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "你好，大便一天几次，大便什么性状，小便还可以吗"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "20斤"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "以前一天一次，前天和昨天一天四次，有沫"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "小便还可以"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "小儿氨酚黄那敏颗粒量有点小，这个体重的宝宝可以吃到12包，建议调整药量，再观察2天看看效果，应该问题不大"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯。好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "那宝宝腹泻与感冒后消化不良有关，注意清淡饮食，少食多餐，别吃凉了，可以吃妈咪爱调节胃肠道功能，如果腹泻次数较多，可以添加蒙脱石散治疗，一次13包，一天3次，饭前30分钟吃"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复，健康成长，祝您天天有个好心情，问题结束后，请根据系统提示，给予评价，谢谢"
            }
        ]
    },
    "10355804": {
        "self_report": "我家孩子今年2岁2个月，昨天孩子说肚子疼，然后还吐了，从昨天晚上发烧了，今天烧39.3度，一个多小时前医生给孩子往肛门推了一针，还没退烧，这是怎么了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前体温多少，降下来了吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "我感觉没降下来"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "再量一下，按说一个来小时，药物都发挥作用了"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "我刚刚给量了，"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "多少度"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "您说我家孩子是怎么了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不好意思，我刚量上"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "发热提示有炎症，炎症分消化道或者呼吸道"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前看症状，考虑有消化道炎症情况"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "奥，孩子这几天吃了不少肉"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我可以给他怎么处理"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "是吧，本身呕吐，和胃肠不舒服，吃的多，有关系"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "目前肚子疼的厉害吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不厉害，偶而说肚子疼"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在是38.8度"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "肚子大约什么位置，肚脐周围吗，发个图片指一下"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "推针的时候是39.3度"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前还是降了一点"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "孩子说就肚脐周围疼"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这个情况发热，腹痛，呕吐。考虑有急性胃肠炎，或者有肠系膜淋巴结炎情况"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "那给孩子吃点什么药"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "看过医生么，做过血常规检测，腹部彩超检查吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "那今晚主要先控制体温"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "吃点消炎药，止吐药，清热解毒药。热敷肚子，缓解腹痛"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，明天如果不烧了，就没事了？"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，不烧不吐不肚子疼，就没事了，不过看今天这么高烧，估计明天还得烧。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，谢谢你"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "好的，别客气"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "还有别的可以帮你的吗"
            }
        ]
    },
    "10019613": {
        "self_report": "小孩可能是晚上吹空调感冒了有点发烧，睡觉时感觉有点鼻塞，可以给他吃小儿三九感冒药和头孢吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温多少度，发烧几天了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今天一点过，37度2"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "流鼻涕不，鼻塞严重吗"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "咳嗽吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是有点发烧，轻微鼻塞"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有其它症状"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "多喝水观察，可以吃氨酚黄那敏一类的感冒药观察"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "不用吃头孢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "那应该是着凉引起的轻微小感冒，"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "不是淘宝，如果要去体湾版不超过三百五或者明天变黄了再给淘宝，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "哦，我给他喂了一包三九和一包头孢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "下次先别吃"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "那今天只给他吃感冒药"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "喂三九一种药就可以了吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "行"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "他今天睡觉好像有点像打呼噜呼吸声有点大"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "应该是鼻塞造成的"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "注意观察"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果打呼噜严重，就得去医院检查一下，排除扁桃体发炎造成的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "如果只是普通感冒就不用吃头孢是吗，如果是扁桃体发炎需要吃头孢吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10273736": {
        "self_report": "十个月宝宝反复发烧，吃了几包尼美舒利颗粒后，吃奶呕吐，拉黄水，哭闹不停，怎么办？是不是伤到哪了？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子为什么吃尼美舒利？？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "谁让你吃的？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "药店买退烧药，店员给拿的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这么大的孩子不要吃尼美舒利"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "别乱给孩子吃药"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨天去医院才知道，不能吃的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "尼美舒利都基本上已经不让用了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子做了血常规吗"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "可是现在这个症状？是不是伤到孩子哪了？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "不一定，孩子可能本来就是胃肠型感冒"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "有血常规，大便常规吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没有，跟医生说发烧呕吐拉肚子，它就给听了听，拿了两盒药"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "也没让检查打针什么的"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "吃了什么药？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "早上吃了一顿一包枯草杆菌二联活菌颗粒，还有一包小二双解止泻颗粒"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "小儿双解"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "吃了多久啦？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "医院还给拿了醒脾养儿颗粒和对乙酰氨基酚干混悬剂，还没吃"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "就早上吃了一顿"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "昨天下午去医院看的"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯嗯，您得先把药吃上，另外可以加一个蒙脱石散"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "一共算今天发烧加上后期呕吐拉肚子，三天"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嗯嗯，您得先把药给吃了"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "要不然吐拉厉害就容易脱水"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "就比较麻烦"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯嗯，如果是正常感冒还好，就怕之前吃尼美舒利颗粒吃伤坏了哪？"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了，他现在拉的不是很厉害了。今天早上两点半拉了一次，中午一次，就是呕吐，一吃奶就吐"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "嗯嗯，如果啦的不厉害就暂时不吃蒙脱石散"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "另外注意给小肚肚保暖了"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "别再受凉了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了，穿的可厚了，谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "不客气，有什么问题随时联系吧"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，谢谢莫医生，拜"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10756537": {
        "self_report": "宝宝十个月发烧38.5，昨晚开始的，白天量了37.5所以没去医院，现在又38.5。退烧药不管用，吃退烧药白天好了一点，晚上又开始烧了，是怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在除了发烧，还有别的什么症状？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是反反复复发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "退烧药也不太管用"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "用的什么退烧药，是不是药物剂量不够？"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "另外，就是需要注意多喝水，身上有水分的话，才好退烧，身上干巴巴的，不好退烧。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "不知是什么原因引起的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看过孩子咽喉部吗？有没有红肿发炎的情况？一般来说，上呼吸道感染引起的发烧，是最常见的。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在服用了哪种退烧药？现在体温38.5度，需要先口服布洛芬退烧了。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "另外，看到目前还是一个反复发烧的情况，家里有没有清热解毒的中成药？可以吃一点。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "好的，别客气。一般可以吃一点小儿豉翘清热颗粒，或者小儿柴桂退热口服液，清热泻火，效果都比较好。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "同时，注意多喝水，可以配合温水擦身，冷毛巾敷额头，泡澡，或者贴退热贴的方式，物理降温。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果这样治疗后，仍然反复发烧，建议就医小儿科，让医生查体，化验血常规，进一步明确情况进行相应治疗。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "嗯嗯知道了"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "好的，先吃点退烧药，多喝水，今天晚上控制好体温，别烧的太高。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "好的，还有别的需要咨询的吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没了谢谢"
            }
        ]
    },
    "10268144": {
        "self_report": "宝宝六个月感冒有一星期了，刚开始鼻子不通气，流鼻涕，最近两三天喉咙有痰，经常会呼哧呼哧响",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子目前精神状态怎么样？吃奶正常吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "都正常，体温也正常"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在主要的症状就是鼻塞流鼻涕，嗓子有痰呼噜呼噜的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "流清鼻涕还是黄鼻涕"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "干的清的，也不是老流，一般都是干的鼻子里"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "流鼻涕的症状不是特别的多，主要是鼻腔中分泌物比较多？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子，在治疗的后期很容易出现鼻腔，当中的分泌物比较多，有可能会出现呼噜呼噜的声音。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这种情况应该与气管当中的分泌物增多有一定的关系，偶尔可能会出现咳嗽的情况"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "就让孩子多喝水，保持室内的湿度高一些，这样才有利于痰液的稀释，排出体外"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "你在家中口服什么药物了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "没吃"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果没有黄鼻涕的情况，可以给孩子口服通窍类的药物通窍鼻炎颗粒或者香菊颗粒"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "如果有黄鼻涕需要加消炎药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "嗓子眼儿的痰比较多，可以适当口服氨溴索化痰"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "给孩子换了个生活环境最近一个月，假酒太干燥"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "家里"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可能与这个有关系的，需要保持室内的湿度高一些"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "呼吸道感染的孩子，室内的湿度应该在70%左右"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "可以喝冰糖雪梨吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "如果孩子的症状不是特别的重，当然可以采用食疗的方法"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "可以冰糖炖梨"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "担心支气管炎"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果气管中的痰液比较多，呼噜的时间比较长，可能会滋生细菌的，因为她也是细菌很好的培养基"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这孩子嗓子有痰呼噜的一个星期了吗？还是近几天才出现嗓子哑有痰"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "两三天"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "可以暂时先观察到，如果时间比较长，需要口服消炎药控制感染"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "一定要让孩子多喝水，保持室内的湿度高一些"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10342040": {
        "self_report": "一周半的孩子肺炎刚吃，怎么又发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好，韩医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "是肺炎刚好吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "输5天液，说就是痰多"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "但是昨天晚上又发烧"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "我想问下，在输液就是第三次了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝之前的症状完全好转了吗。"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "一个月输3次对孩子有影响吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有，就是有痰"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "睡着有点呼噜呢"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "宝宝病情需要的话也是可以的，利大于弊"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "噢噢，验血说白细胞高点"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "我怕都第三次了，不会有影响吧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "小宝宝和大人不一样，咳嗽但是很难咳出痰来，不像成年人一样，咳两下能吐痰，小宝宝咳不出来，所以需要用化痰的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "是的，肺炎都输5天了，过了才有4到5天，又输好吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "宝宝来白细胞高支持一个细菌性炎症的，宝宝都用些什么药呢。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "这不清楚了，都是门诊用药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "给挂吊瓶"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "哦，目前宝宝都是些什么症状呢"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "就是又发烧，不到38.5"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "说白细胞高"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "除了发烧咳嗽有痰有没有其他什么症状鼻塞流涕？。这些有没有。有没有喘息。"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "有点，流涕"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "白细胞高考虑支持细菌性炎症，需要用消炎药。建议可以去输液。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "要用些化痰的哦"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "噢噢"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "，谢谢，韩医生"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "宝宝这样反复生病可以用些增强抵抗力的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "噢噢，好的，是病好了用吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "也可以一起用的，比如转移因子口服液或匹多莫德口服液"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "噢噢，用优尔可以吗"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是优尔胶囊吗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "对对"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "这个是口服的免疫球蛋白。可以增强抵抗力的。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "能用点这个吗"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "好的，谢谢，韩医生，这么耐心帮助我解答，谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不用谢"
            }
        ]
    },
    "10381219": {
        "self_report": "宝宝九个月，发烧两天后身上出现红疙瘩，以后又反复发烧，检查说肝酶心肌酶高，现在红疙瘩退去的差不多了，两天没发烧了，想知道肝酶心肌酶有影响吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "医生给，"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在孩子不发烧了，急诊也退去差不多了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "目前吃过营养心肌的药吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "在医院打点滴，不知道打没打营养心肌的药"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个看到还是有转氨酶升高的"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "那个单子是15号检查的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "维生素C有营养心肌作用，B6有止吐作用"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "孩子不吐啊"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "目前在家治疗，还是在医院治疗了"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "打了四天针了，不知道怎么样"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "医院"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "门诊输液。还是住院治疗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "拿点药回去吃可以吗"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "住院治疗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前还发烧，或者有皮疹吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "两天不烧了，皮疹退的差不多了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "那还是明显好转了"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "还需要继续住院治疗吗"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "回家去诊所打可以吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "复查过转氨酶吗，有好转吗"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "心肌酶谱复查过吗"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有，我说今天查查，医生说太早"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "一般治疗1周复查，可以"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "这才四天"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我想出院，回家里诊所打可以吗"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "出院还是稍微早点"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "目前医生允许出院带药回家打吗"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "这个不知道，外边诊所不也应该有药吗"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不一定有医院这些药，带药回去治疗，效果更好一些"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的医生"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好的，别客气，还有别的可以帮你的吗"
            }
        ]
    },
    "10244294": {
        "self_report": "5岁男孩晚上发烧，白天没事，精神好，无其他症状",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子发热多长时间了"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "昨天晚上开始的"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "体温多少"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨晚半夜发烧38度5，吃了退烧药，今天白天一天没事。刚上床给他量又开始37度1。"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "除了发热还有其他症状吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有其他症状"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "吃的什么退烧药"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "泰诺"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "天大的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "孩子发热一般是有炎症"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "退热药只能退热但是不能控制炎症"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这样需要带他去医院看，还是买点什么药吃观察到。"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "建议带孩子医院就诊"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "哦，好的，那明天带儿童医院去看。谢谢"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "会不会积食呢"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "今天说过一次肚子痛，就一下。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子受凉了吗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "在家没有，不知道昨天在幼儿园怎么样"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "老师到说没有。"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "这两天吃的多吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "和平时一样"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "还是建议让医生查体看看嗓子红不红"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果饮食没有异常受凉的可能性大"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10524642": {
        "self_report": "三岁零八个月的宝宝持续流鼻涕，有时候浓鼻涕，有时候清鼻涕。有时候很严重，期间多次低烧和高烧，有时候吃药把感冒治好了，就是流鼻涕一直不好。去过医院化验血常规，什么都正常。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "去医院化验过血常规。正常，医生说感冒，挂了盐水"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在流鼻涕还厉害吗？流鼻涕症状持续有多久了？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "每天都有鼻涕，半个多月了。有时候浓鼻涕，有时候清鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "以前出现过这个情况吗？孩子有没有得过鼻炎？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有，以前很正常，一年都没感冒过几次，现在经常感冒发烧，天天流鼻涕"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "反复的感冒，发烧，流鼻涕。考虑和小儿抵抗力低，易患感冒有一定的关系。"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "现在体温正常了吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "那是不是鼻炎呢"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "如果是鼻炎会不会引起发烧感冒呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "一般来说，普通的感冒有自愈性。一般感冒持续不会超过两周，如果反复的流涕，特别是流脓鼻涕，超过两周。有患小儿鼻炎，或者鼻窦炎的可能。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "今天又发烧了，吃了退烧药"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "现在体温多少度？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "头部37.5，脸颊37.6"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在还是一个低烧的情况，一般可以温水擦身，冷毛巾敷额头，泡澡，或者贴退热贴，等方式处理。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前医生开的什么药？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "阿莫西林颗粒和葵花颗粒"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "看目前医生开了消炎药，感冒药。对于治疗目前的小儿感冒还是比较对症的，可以继续服用。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "现在服用多久了，效果怎么样？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "效果可以，退烧了，主要就是流鼻涕一直不好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "目前的治疗方案，我觉得可以吃点小儿氨酚黄那敏颗粒，这个治疗低烧，流鼻涕，缓解感冒症状，效果都很好。是个非处方药，比较好买到。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "同时注意多喝水，多排尿，有利于退烧。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "现在孩子精神状态怎样"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "小儿安黄那敏颗粒也有，对流鼻涕没作用。现在吃什么药对流鼻涕都没作用"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "发烧了状态不好。如果不感冒光流鼻涕的情况，孩子精神状态很好。"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "其实流鼻涕，严格意义上属于一个呼吸道的过敏症状。如果吃小儿氨酚黄那敏颗粒的效果不好，可以用点抗过敏的药，一般会有不错效果。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "你能推荐一下抗过敏的药吗"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "比如可以吃氯雷他定，也就是开瑞坦，这个本身就是治疗过敏性鼻炎的非处方药，效果很好。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "现在发烧喝那个叫布洛芬回旋液，喝一下就马上退烧"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我也不知道了，我只记得前面叫布洛芬，是液体"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "是的，这个是给儿童用的退烧药，一般临时服用就可以。体温超过38.5度才需要吃。"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "开瑞坦宝宝可以吃吗。还不到四岁"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "三岁零八个月"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以的，没问题，两岁以上都可以吃。"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "建议按照以上方法处理，多喝水。治疗后，如果仍然反复流涕，建议就医小儿科，复诊病情，排除鼻炎可能。"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "医生我问一下，假如真的是鼻炎，会引起发烧感冒吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "往往不一定是鼻炎引起的感冒发烧。而是由上呼吸道感染，合并鼻炎的情况，也是可能的。特别是如果反复的流涕，超过两周，就需要警惕一下有没有鼻炎可能。"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "我知道了，医生，开瑞坦只有小孩子吃的吗。到时候我怎么买"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "这是个非处方药，效果很好，一般可以在药店里就能买到。"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的，谢谢您。"
            }
        ]
    },
    "10166179": {
        "self_report": "女孩34个月，做血常规，请医生帮忙看看，高烧38.1",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "您好"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "宝宝发热几天了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "孩子前几天感冒，打了吧八天针，然后出院1天后，今天发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝除了发热还有什么症状"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有点拉肚子"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一天几次大便"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有没有脓血便"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "就一次"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有没有那么严重"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是轻微有点拉肚"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "从化验结果考虑宝宝细菌感染导致发热"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "白细胞增高，中性粒细胞增高，CRP？增高"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "前些天我们已经因为这个住院了八天，"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "现在应用什么药物"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "在医院打了四天头孢曲松，还有热毒宁红霉素打了八天，"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "从目前化验结果建议继续抗感染药物治疗"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在在家吃希舒美阿奇"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "治疗23天复查血常规，了解治疗效果"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "血常规是刚才做的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "宝宝反复感染，最好到三甲医院化验一下血培养"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "和药敏实验，了解明确哪种细菌"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "你现在也不能确定他是因为什么原因导致病毒感染的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "从化验结果考虑细菌感染"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，要化验才知道是什么导致的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "细菌感染"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "在吗"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "在吗"
            }
        ]
    },
    "10868576": {
        "self_report": "孩子反复发烧，好几天又发烧了",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "孩子反复发烧俩月了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "大约是几号的几点发热的？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，这么长时间了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天又发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "37.9"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "最近几天都连续发热吗"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "最近几天是好好的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前几天刚从医院回家"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "回来几天又发烧了"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "哦，有间隔3天不发热吗？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "有五天了"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "检查的啥都没事"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "和上次患病没有关系了"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就是反复发烧"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般间隔3天不发热，就考虑和之前没有关系"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这几天有没有受凉？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "家属有感冒的吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "流鼻涕"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "打喷嚏"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "我考虑可能是受凉引起来的感冒。建议口服双黄连口服液治疗。发热38度5以上口服退热药。一般治疗三天左右。如果三天以上出现反复发热。还是建议去医院儿科及时就诊。"
            }
        ]
    },
    "10396012": {
        "self_report": "2岁三个月小孩流清鼻涕，打喷嚏怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "这种情况多长时间了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "正常"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯。宝宝精神食欲好吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有两天了"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "食欲正常"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "建议给宝宝口服小儿氨酚黄那敏"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以用棉棒蘸生理盐水擦擦鼻孔"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "生理盐水？是药店有吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "药店有卖的"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "只吃小儿氨酚黄那敏就可以了吗？"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "嗯。只吃小儿氨酚黄那敏就可以的"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "注意多喝水，避免受凉"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "饮食清淡一些"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "有事联系"
            }
        ]
    },
    "10617263": {
        "self_report": "我儿现在6个月零10天了，前天高烧38.5，一直就是退了又烧退了又烧，也一直高烧38.5,今天就去医院了。医生说是感冒了，就给开了点氨酚麻美干混悬剂和小儿豉翘清热颗粒，由于孩子高烧我很害怕。就没来得及问医生怎么吃，医生就说了个两种一次各半袋。我也没问是喝奶后还是喝奶前，是一起吃还是中间间隔多长时间吃。请问该怎么吃？我喂了一顿的一起吃的，是喝奶前！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，这两个可以一起吃，饭前饭后没有关系的。"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "小孩精神胃口怎么样？血常规有化验吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有化验。胃口还行。"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "有咳嗽流鼻涕吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "就是没有高烧，我也没喂退烧的。用喂退烧的么？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "医生给开的布洛芬颗粒"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "1岁以内，发热不退，精神胃口还好的，有可能是幼儿急疹"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "偶尔会咳一下，"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "体温39度，就要用布洛芬颗粒退热。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "鼻涕也有一点点。不多"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "噢。好的。不烧就不用喂是吧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "最好明天到医院化验血常规，如果血常规化验是病毒感染，那么有可能是有幼儿急疹，"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "幼儿急疹,一般发热3天左右，体温退，全身出皮疹，皮疹出透了，就好了。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是么。孩子精神状态很好的。一烧起来就闹腾！"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "如果血常规化验白细胞高，那么考虑细菌感染，需要吃消炎药，否则容易出现支气管炎或者肺炎。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果精神胃口好的，那么幼儿急疹可能性比较大。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "噢。是么。好的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "这种医生。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "但是需要化验一下血常规看看，比较好。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯好的。好的。谢谢医生"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "根据现在情况，目前考虑,幼儿急疹,可能性大，最好明天到医院化验血常规。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "治疗上，就现在的药物口服，如果体温39度，就吃布洛芬颗粒退热"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "体温38多左右可以贴退热贴。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "注意可能多喂点开水，总是发热，会丢失水分。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的好的。知道了医生。"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "还有其他问题或者不理解的地方吗？"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "如果孩子不好好喝奶，水也不喝，用去医院么"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "如果就今晚不怎么吃奶，没有体温高热不退，不用的，就明天到医院看喉咙红不红，化验一下血常规看看。"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "噢我这下清楚了。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "我没有问题了。谢谢医生"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "不客气的！"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "很高兴为您提供咨询服务，祝宝宝快乐健康成长！"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "如果后续有问题，可以留言，我看到了，就会马上给您回复。"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的。"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "谢谢"
            }
        ]
    },
    "10039761": {
        "self_report": "孩子四个月一直感冒流鼻涕发低烧不超过38℃已经第九天啦今天还有点儿咳嗽喝药也不管用那怎么办需要做什么检查么",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是您的接诊医生，需要询问几个问题，才能更好的评估孩子情况，您还在吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "恩,在"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝最近几天一直发热吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "精神怎么样？咳嗽厉害吗？有痰吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "恩,都第九天啦,一直断断续续的,今才咳嗽的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神不错"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "宝宝大便什么样子"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "不厉害"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "大便有些绿"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一天会发热几次"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "一直是37多"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "喝药也不管用"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "没有正常的时候吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "喝布洛芬,会好一点儿"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "药劲儿下去就又烧了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "现在宝宝都吃什么药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "宝宝身上嘴里有没有起疱疹？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "胡注射液"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "柴胡注射液是吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "宝宝反复发热流鼻涕，后来出现咳嗽，有可能并发了肺炎"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "那需要到医院做什么检查么"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "现在需要排除的是有没有心肌炎，EB病毒感染"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "查了血,没有病毒"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "所以需要空腹去公立医院儿科，查血常规，心肌酶谱，EB，胸片，支原体"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这些是基本的，其余检查还要看宝贝查体听诊情况"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "没有什么病毒？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "查的血,没有病毒"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "EB病毒是专门的检查，血常规看不出来，而且病毒感染可以血常规没有异常"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "做这些检查大概需要多少钱呢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一般在300元左右"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "这是我们这里的价位，大一点医院可能还会高"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好吧,谢谢了"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "因为超过7天就需要系统检查"
            }
        ]
    },
    "10235495": {
        "self_report": "三个月宝宝有点感冒，请问咳嗽鼻塞吃点什么药好呢",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好，林医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前孩子比较小，主要建议注意保暖"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "然后喝点温开水"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "不需要吃点什么药吗"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "如果有必要的话可以买马来酸氯苯那敏片"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "就五分之一到四分之一片，一点点，泡水一小口，喂"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "药量就一点点就可以，不能自己加量"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "一天三次"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "对流鼻涕鼻塞效果不错"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那咳嗽呢"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "还是是因为流鼻涕到喉咙引起的咳嗽"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "就比如睡觉起来时候"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "咳嗽不是特别厉害，是睡觉起来咳嗽的比较多没痰的那种"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般如果不流鼻涕咳嗽会比较好"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "不算是溜鼻涕就是容易鼻塞，听孩子喘气有呼啦的声音"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "就是感觉有点痰在喉咙"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "睡觉时候明显"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没觉得有痰就像是干咳"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "睡觉的时候很平静"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "就是偶尔打几个喷嚏"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "是的，还是有点着凉感冒症状，目前的话就这个药服用一下就可以"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "孩子比较小，孩子注意保暖，喝点开水，尽量药少一点"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "如果说吃了药，症状都有好转就不用再加其他的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "嗯嗯，知道了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "谢谢您的帮助"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "那再见了林大夫"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "好的，然后最重要是保暖工作"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "好的，可以结束咨询"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10235834": {
        "self_report": "两个月大的婴儿最近晚上睡觉鼻子老是发出呼哧呼哧的声音，白天没事！",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "两个月大的婴儿最近晚上睡觉鼻子老是发出呼哧呼哧的声音，白天没事！"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "咳嗽，流鼻涕，拉肚子不"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "没有，就是晚上呼哧的时候咳嗽一两下"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "其他症状都没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "应该是着凉引起的"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "呼哧是因为鼻塞"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "前天鼻子里有鼻屎，清理干净后还是呼哧"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "晚上应该穿厚点吗给他"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "屋子里温度在22，保持湿度在50%"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "可以按压热敷鼻子内侧"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "给宝贝吃伪麻美芬滴剂观察"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔缓解鼻塞"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "可以往鼻孔里滴奶吗"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "不行"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "好的！鼻子内侧是鼻孔里吗"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "是鼻梁根部那个位置，"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的，我试试"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10371897": {
        "self_report": "七个月的宝宝贴着退热贴发烧到38度，而且温度一直下不去，怎么办？吃药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，现在的体温多少度了"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "38度"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前的话，物理降温就可以"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "超过38.5度，口服退烧药"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "怎么降温呢？？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "昨天晚上都将近39度了"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "晚上39度，应该口服退烧药，或者塞解热栓了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "具体口服什么药呢？"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "目前38度的体温，多喂水，温水擦全身，冷毛巾敷额头，泡澡等方式，物理降温。"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "具体口服什么退烧药呢？"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以口服布洛芬退烧。目前没用过任何药物吗"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "布洛芬混悬液"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "服用了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯嗯，超过38.5度，可以吃"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "一般反复发热，还是提示有炎症"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前看过医生吗，具体确诊了什么疾病"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "只是鼻塞"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "考虑有点感冒"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "黄鼻涕还是脓涕，考虑风热感冒"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "前段时间是清鼻涕，昨天开始是黄鼻涕了"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "不是很多"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "吃点治疗风热感冒药"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "多喝水，就可以"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "没有高烧，咳嗽，一般问题不大"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有发烧和咳"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "没事的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "关键是很长时间不好"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "吃点小儿豉翘清热颗粒"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "清鼻涕到黄鼻涕是什么情况？"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "清鼻涕。风寒"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是有点加重的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "好，吃点药，多喝水"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "吃点风热感冒药"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "这种情况是怎么造成的？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "风热感冒药你给推荐几种？"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "考虑和细菌感染有关系"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "小儿豉翘，小儿柴桂"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "好的，谢谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "再不好的话，化验血常规看看"
            }
        ]
    },
    "10069794": {
        "self_report": "高烧5天。没有其他症状，打点滴吃药都没退，隔5个小时左右就发烧……",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "为了更好的提供服务，我需要询问您几个与病症相关的问题，感谢您配合。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "你好家长朋友，宝宝体温最高时多少度？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "39。5"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有无鼻塞流涕？咳嗽？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有无腹泻腹胀？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "尿频尿急？尿时哭闹吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "也没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "有无呕吐？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "医院验血说是细菌感染,血项23万"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝食欲好吗？精神怎么样？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "很好"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "化验单呢？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "一切都正常,就是隔5个小时就发烧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "只查了血常规一样吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "看嗓子了吗？有无化脓，疱疹？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "也没有"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "没看还是没有？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "看了,没有"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "输的什么药物？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "青霉素"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "以前发烧也打过,基本打三天就好"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "这次一点效果也没有"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "这种情况因为发烧时间长了，建议去附近二甲医院儿科就诊，需要查血病原学检查，排除支原体感染，还要查降钙素元，心肌酶，尿常规，拍胸片检查的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "宝宝手足有没有脱皮？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "舌头有没有什么凸起？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "也没有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "那就去医院挂儿内科就诊"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "我现在在儿童医院"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "需要住院吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "根据大夫的查体情况及化验单，停当地大夫的吧！毕竟我这是网络咨询"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "您接触过这样的病例吗"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "有的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "会是什么病"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "支原体感染可以，泌尿系感染也可以，败血症，川崎病都可以发烧时间长的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "还有其他的疑难病也可以发烧的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "如果没有其他问题我就关闭对话框了，可以吗？"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "嗯没有了,谢谢您"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "家长朋友宝宝现在怎么样了？"
            }
        ]
    },
    "10449900": {
        "self_report": "宝宝85天，醒着平躺时一使劲嗓子总是被口水呛的咳嗽，偶尔会喘，五天前去儿童医院看了，化验血常规，医生说是感冒了，开了安儿宁颗粒，吃了四天，今天感觉还是咳，请问还需要继续吃药还是去医院再看看？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "您好医生"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "目前咳嗽还厉害吗"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "正常情况下不咳,就是醒着平躺有口水时咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "一使劲就咳嗽,一使劲偶尔还会喘"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "睡着一切安好"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "早上起来特别明显,一次会连着咳嗽三声"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "那还是呛咳的可能性较大，但是有喘息，还是不正常。对于这么小的婴儿来说，一般提示可能下呼吸道有炎症"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "我们这儿童医院的医生说口水呛到咳嗽也是生病咳嗽是这样吗医生？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "是的，呛到气管里，也是会引发炎症咳嗽。属于誤吸。咳嗽的时候，听着声音清脆吗，还是有痰"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "医生还说是宝宝喉软管发育不良,请问医生喉软管发育不良会引起喘吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "清脆"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "喉软骨发育不良，可能引起喉喘鸣，一般需要补充鱼肝油，有促进发育作用。同时还需要和支气管的喘息，听诊鉴别"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "就医的时候，是确诊小儿感冒吗"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "嗯,是的"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "这么小的婴儿，一旦出现咳嗽，应该很注意。因为往往提示，有往下呼吸道发展可能。看你及时就医看过医生了，还是很有必要"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "目前医生开的什么药"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "只是这一种吗"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "安儿宁颗粒"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "我给您拍了那天血常规的单子"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "血象还可以，看你说服用4天了，感觉有好转吗，或者感觉更重了？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "下呼吸道是不是就是肺炎啊"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "下呼吸道包括支气管和肺炎。目前单看你症状描述，不像肺炎，不必太担心。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "我觉得没有改变"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "本身医生开的这个中成药，有治疗感冒，咳嗽的效果，还是对症的"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦对了,之前口水中会夹杂一些微小泡泡,这两天这个症状减轻了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "那我是继续给宝宝吃药还是再去医院换个医生看呢？好担心啊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "小婴儿口吐泡泡，也提示可能有呼吸道感染，较轻了，还是有好转迹象。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "目前已经服药治疗4天了，并且症状无明显好转，见于婴儿太小。建议就医小儿科，让医生听诊，复诊病情。调整用药，比较放心。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦,好的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "请问医生,这种病情,我们平时在护理宝宝时应该注意什么呢"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "怎么莫名其妙就感冒了呢"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "注意室内保持合适温度，湿度，让呼吸道舒适。定期开窗通风，让空气清新。同时注意预防呛奶。感冒，多数是呼吸道病毒感染。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "哦,好的,谢谢您,祝您工作愉快"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "别客气，祝早日康复"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "有问题再联络，再见"
            }
        ]
    },
    "10111477": {
        "self_report": "孩子的血像报告其中白细胞数是18.3淋巴细胞数是5.1中性粒细胞数是12.4，上述三个数值都乘以十的九次方，其他数值基本在正常范围内，孩子有发热症状。在这之前有几天也是反复发热但是血像检查没有问题，刚好有一周，今天又发热，请问孩子是什么毛病，除了发热没有任何不适",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "请问孩子3周岁吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "方便把化验单发过来吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "孩子这次是细菌感染，医生查体有说什么异常吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "另一半呢？拍的有重影"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我家孩子一直都有点扁桃体肥大"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "开的什么药？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "看到了"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "医生开的什么药？"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "头孢吡污，利巴韦林，"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "这些药是可以的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子刚上幼儿园吗？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "是打针的，还用过苦木注射液"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "目前在输液治疗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "是的，上幼儿园了，上月22号到27号反复的发热，血像又没问题，都在正常范围内，这次又发热我怕他有严重的病，比较害怕"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "刚上幼儿园的孩子很多有这种情况"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有，在吃药，现在倒是没发烧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "血象高低与感染的病原体有关"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "说明这两次感染的不一样"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "哦，以前没这样过他也有半年多没吃过药了，这次突然这样有点害怕"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "不用害怕"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "很多孩子刚上幼儿园半年内反复生病"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "把病原体都接触一遍，体内产生抗体，之后就好了"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "哦，这样啊，我现在给他吃的药是阿莫西林和利巴韦林"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "也可以的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "吃3天没有任何好转要复查血"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "谢谢，您这样说我就不害怕了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯嗯"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "嗯，好的，带他复查一下我也放心"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "谢谢您的热情服务，这么晚了打扰您了"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "这几天多喝水，清淡饮食，少食多餐，不要去人多的地方，家里有感冒的人尽量远离他。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "嗯，记住了"
            }
        ]
    },
    "10325924": {
        "self_report": "宝宝快3个月了，昨晚发现流鼻涕，老打喷嚏，一打喷嚏就有好多鼻涕喷出来，有几声咳嗽，需要用药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝，可能是感冒了"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝感冒几天啦？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨晚刚发现的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天喷嚏较多，一打喷嚏就有鼻涕"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "量个体温"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "只要不发烧，一般就没事儿。"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝咳嗽也不要紧吧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "家里有人感冒吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "我有一点点咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可能是大人传染给宝宝感冒了。"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "宝宝是母乳喂养吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "混合"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "母亲一定要戴口罩，不要和宝宝多接触。而且一定要赶紧治疗，口服中药成分的药物。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果是混合喂养就可以给宝宝适当的多喂水。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "可以口服点小二氨酚黄纳米颗粒。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "只服用这一种吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "36.4"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "一次13袋，一天三次口服三天左右就可以啦。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "刚刚量"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那就好"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "多注意观测"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "是感冒吗？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "鼻塞，流涕，打喷嚏就是感冒的典型症状。"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "我就只服用这一种可以吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "多注意啦，主要怕发展为肺炎。"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "小孩儿"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "大人口服，三九感冒冲剂。"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "他刚2个月25天"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "一定要知道喝水的好处。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "放心把，可以口服"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "13袋？一天三次？"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "赶紧治疗，主要是怕宝宝发展为肺炎，明白了吗。"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "什么牌子的好？"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "是的，口服三天左右就可以啦。"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "小儿护彤就可以"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "对宝宝没有任何副作用哒。"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "好,我马上去买"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "是不主张你乱用抗生素"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "以后有什么问题随时找我就可以啦。"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "祝宝宝早日康复，身体健康。"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "好,再见"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "知道了吗？"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "只要宝宝不发烧，咳嗽不要紧，一般就没事儿的，先注意观测口服三天。"
            }
        ]
    },
    "10814319": {
        "self_report": "医生你好，宝宝7个月大，之前因为细菌感染反复发烧，最高39度，住院输液一周，七天后也就是昨天早上血常规恢复正常，也退烧了，可昨天下午又开始烧到38.5，这是怎么回事啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，宝宝现在发烧还有什么别的不舒服的表现吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "暂时没有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在还在住院吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天办的出院"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "家里大人有感冒发烧的吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "下午就又开始烧了，之前在医院也观察了三天不烧了才出的院"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "细菌感染输液七天复查血恢复正常。宝宝，再次发烧，一般考虑重感的。"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "可是没有任何别的症状"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "和之前发烧一样"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "如果没有其他的不舒服，体温超过38度5.先给宝宝吃点退烧药，如果体温反复不退，或者精神不好，及时去医院复查"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "配合给宝宝物理降温。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "之前血象比较高"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是的，这次考虑重新感染。有可能是病毒。病毒感染的话，血象不会很高。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "才出的院又感染？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "出院没超过48小时。有可能是在医院感染的。"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "因为每次感染发烧以前有48小时左右的潜伏期。在潜伏期之内是没有任何症状的。"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "如果是病毒发烧怎么检查"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "也是查血的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "检查的项目不一样吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "一般病毒感染宝宝精神好，发烧会反复在72小时。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "发烧时也精神好吗"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "病毒感染是排除性的。查血不支持细菌感染，一般就是病毒了，一般不是高烧精神是好的。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "好吧"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "不行还是要去医院检查"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "先吃药，观察72小时左右。如果有新的症状，一定要去医院复诊。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就吃退烧药吗"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "好的，谢谢医生"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "超过38度五。吃退烧药。"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "不客气，还有什么能帮您的吗？"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不客气。"
            }
        ]
    },
    "10589377": {
        "self_report": "你好医生我想问一下，宝宝十六个月最近感冒了，在吃小儿氨酚黄那敏颗粒，这种药吃是不是不能超过三天？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子感冒有什么症状？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "去医院医生叫吃的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "但是我好像听说不能超过三天"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，药物可以的，但是宝宝感冒有什么症状吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "之前有点咳，流鼻子，反复发热三天"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "还有个止咳的颗粒"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "哦确实是感冒的，多是受凉引起的感冒，多是病毒感染。可以表现咳嗽，发热，流涕的"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "除了抗过敏药物这些药已经吃了五天了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "哦，有消炎的，抗病毒的，还有止咳，的药物，是可以的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "目前还有什么症状？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "今天已经不咳了，还有点流鼻子，小儿氨酚黄那敏颗粒还需要吃吗"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "也不发热了，昨天就不发热了"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦，这个药物是混合制剂，里面含有退热药，清热解毒的，还有治疗流涕的。目前孩子没有发热了，建议停用这个药物"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "那种药物停了？"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "都5天了，别的抗病毒的，消炎的药物也可以停药"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "还有一点点流鼻子"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这4种都可以停"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "这些药物都停了吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "哦哦好的"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "一点点流涕，可以不予处理。大多数流涕可以自行缓解"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "看病毒的药物前天才吃的，另外三种吃了今天第五天了"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "目前病情基本痊愈，不要担心"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "假如出现再次发热，咳嗽加重，的表现，就要再去医院看看"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    },
    "10591730": {
        "self_report": "小孩子发烧是不是不可以喝奶粉",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子发热几天了？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "进食可以吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "昨天开始发烧的"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "有没有受凉或是天气变化？"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "一般来说，喝奶粉没有影响的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "不怎么想吃东西"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "喉咙有点发炎"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "食欲不好，一般也是和感冒发热有关系。引起的胃肠道功能不好的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "喉咙发炎的。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "大多数是受凉引起的，宝宝抵抗力下降引起的喉咙发炎，也是感冒的表现"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "流口水严重吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "发热严重吗？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "今早上带去看那医生说不可以喝奶"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不流口水"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "38度多"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "因为奶粉相对不好消化，可以引起肠道胀气，可以不吃的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "这样子哦"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "发热不严重，不要担心。注意发热严重大于38.5以上用上退热药如布洛芬。不到这个温度，可以温水擦身。一般要反复发热23天"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "有没有大夫开药？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "有，今早上开了一点"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "是消炎的药物吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "一般这个情况治疗的话，吃上消炎药治疗35天就可以"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "假如出现高热不退，精神很差，假如出现咳嗽严重，就要去医院看看的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "注意饮食好消化"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "好的，知道了"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "当地大夫说是嗓子发炎吗？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "是啊"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "哦，只要精神好，就不要担心。"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "还有问题吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "看她精神还是挺好的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没有了，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "说明病情不严重，不要担心"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "恩"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "谢谢，我的问题问完了"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "不客气的"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "祝您的孩子健康"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10320473": {
        "self_report": "宝宝18个月，昨天晚上开始发烧，今天中午咳嗽，烧到38.5吃了美林退烧，吃过两次，中间隔了6小时，还吃了施保利通和开候剑，可是一直没降到正常温度，维持在37.8到38度左右，想咨询这种情况要去医院吗？上次医生也是嘱咐吃药。",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝咳嗽有痰吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "精神食欲怎么样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "好像有点"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "精神挺好，食欲一般"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "睡着了，会哼哼，应该是难受"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "考虑宝宝是感冒引起的发烧"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "昨天晚上开始的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那还是在家吃吃药？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "对的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，建议还是在家吃药"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "后半夜"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一般会多久呢"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "一般35天体温才会恢复正常"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "建议给宝宝多喝水"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "配合物理降温"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯，好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "如果体温逐步下降，说明病情在恢复"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "又到38.2了"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "体温达38.5度以上，口服退烧药"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "只要宝宝体温下降后，精神好，就可以继续吃药观察"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的，谢谢！"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "不客气"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时和我联系或留言，我看到后会第一时间回复。"
            }
        ]
    },
    "10862176": {
        "self_report": "宝宝声音嘶哑怎么办？前两天因为发烧住院今天刚出院",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "宝宝多大了"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "一个月"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "今天刚好一个月"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，目前肺炎治愈了，就是嗓子哑"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "最近家属有感冒的吗"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "没有肺炎,就是发烧，上呼吸道感染"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "前天住院的，今天出院的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "他爸爸有点咳嗽"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "哦，可能是爸爸感冒传染引起的嗓子哑"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "今天出院就这样,哭的时候嗓子嘶哑"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有没有什么方法能好点"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "建议给孩子口服清热解毒的药物治疗。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "有没有推荐的药物？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "推荐双黄连口服液。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "每次两毫升，一天两次。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的,谢谢医生"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "不客气的。"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "治疗三天看效果。"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "假如出现咳嗽鼻塞的情况。有必要再次去医院儿科就诊。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "不客气的，还有问题吗？"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "没有了"
            }
        ]
    },
    "10231596": {
        "self_report": "2个多月的宝宝，偶尔咳嗽，打喷嚏，有点痰，上次才出院，这次是这种情况，怎么回事",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这个孩子上次因为什么原因住院治疗的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "支气管肺炎和肺炎衣原体阳性"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "现在距离上次出院有多长时间了"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "一个多星期"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "那这个期间孩子有受凉的情况吗？家里的大人有呼吸道感染的情况吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "出院的时候肺炎衣原体阴性，还是有点咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "衣原体感染的孩子治疗的时间应该在7到10天"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "出院以后有轻微的咳嗽，需要继续口服药物巩固治疗的"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "受凉没有。大便一直是稀的，"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "有吃药"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这孩子是不是口服红霉素"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "治疗7天"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "七天基本上属于最低的剂量"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有忘记医生开的药"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "这个年龄段的孩子，如果有支气管肺炎的情况，会造成机体免疫功能的低下，发生呼吸道感染的概率比正常孩子要大得多"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果这个期间有风吹草动的情况，还会导致孩子受凉，再次发生呼吸道感染"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "本身肺炎衣原体感染就不容易控制"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "现在怎么办，还是住院吊水吗"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "可以先口服药物试试看"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "什么药可以"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "根据你所描述的情况，这还是需要高度怀疑呼吸道感染，可以口服小儿伪麻美芬口服液，另外需要口服红霉素，因为这个孩子既往有衣原体感染的情况，很容易导致衣原体复发"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "先口服2到3天药物试试看，如果咳嗽症状没有明显的缓解，持续性的加重，精神状态差，甚至出现发热的情况，需要到医院就诊"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "至今没有发过烧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "没有发热不更好吗"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "需要观察孩子的体温变化，可能会出现发热的情况"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "只要买口服的红霉素"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "毕竟这个孩子再次出现呼吸道感染"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，我痰怎么办"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "有"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "多给孩子喝水，保持室内的湿度高一些，小儿伪麻美芬口服液本身就具有化痰止咳的作用"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "好的，，谢谢"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "不客气"
            }
        ]
    },
    "10808721": {
        "self_report": "医生您好，打扰您了。我想帮我朋友咨询一下他女儿的状况，侄女现在三岁八个月，大前天开始就一直咳嗽发烧，在我们这里的小门诊打了三天针，也吃了三天的药，饭现在都没有好转一直烧了又退退了又烧，刚量了体温又三十八度八。现在小侄女什么都不吃，这是什么回事，该怎么办才好",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "目前化验过血常规了吗"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "没有去医院"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗，痰多不多，医生听诊气管和肺里情况怎样"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "咳得蛮厉害的"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "蛮多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这么反复发烧，还是有炎症引起的，说明了炎症重一些，同时咳嗽厉害，反复发烧，食欲差，要注意有没有支气管炎，或者肺炎可能"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "医生说器官肺都正常"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "听诊受医生水平影响较大"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前用的什么药？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "因为我我们这小小门诊不会懂太多"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "我看看"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "等会把药名发给你"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "吃的布洛芬，达力芬，咽扁颗粒"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "目前用这个药"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "加点祛痰药用，盐酸氨溴索口服液"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "同时，做做雾化，效果比较好"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果发烧超过38.5°，需要口服布洛芬退烧"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "但是现在一直反复发烧，用这些药管用吗？"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "同时，目前的情况，看到发烧时间久，咳嗽厉害，治疗后不好转，症状有点重，建议就医二甲公立医院小儿科，化验血常规，必要时候拍胸片，看看气管和肺里情况"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "好的，谢谢医生。非常感谢你！"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "如果有支气管或者肺炎，口服现有药物效果不好，可以考虑升级目前的口服药，或者直接输液"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "你这么说我心里有个底了。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "耽误你宝贵时间了"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "别客气，应该的，晚安"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "医生晚安。"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "祝身体健康"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "有问题再联络"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "好的！谢谢医生"
            }
        ]
    },
    "10595823": {
        "self_report": "4岁半小孩一个月内反复发烧，每次发烧4到5天，每次间隔10天左右，还伴随头疼",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "图片是今天的检查"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "还有其他检查吗？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "这一个多月发烧3次了，每次都4到5天"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "血化验单看见了,没有特殊的，血象不高，支原体衣原体阴性。"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "孩子除了发热还有其他症状吗？咳嗽吗？还有扁桃体情况医生说过吗？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "现在一直是37.5左右，刚才还把早上吃的饭给吐了"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "这个心肌酶也正常。"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "每次发热体温最高多少度，持续几天高热"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "与上次发烧相隔10天左右"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "上次基本都到38.5"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "反复烧个四天左右"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "嗯，上次发热医生考虑的什么病？怎么治疗的?"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "高了就喝美林，然后就这样输液四五天又好了"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "上次检查说是病毒细菌感染"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "我看用的药都是消炎的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "这好了10天今天又发热了还头疼"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "医生说那个部位感染吗？"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "没说，就是看了血常规后开的药"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "这到底是怎么回事？还需要做个什么检查，给个建议"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "反复发热，是否有慢性病灶，如扁桃体炎，或者其他感染。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以查查尿常规C反应蛋白eb病毒抗O,肝功等，"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "这次医生开的什么药物？"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "反复发热，常见原因感染和非感染性的。上面提的检查项目是排除感染。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "还没开呢"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "非感染性发热有一下原因"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "常见的是结缔组织病及风湿类风湿等，一般有关节肿痛皮疹等"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "还有极少一部分原因是肿瘤性疾病如儿童常见的白细胞等引起反复发热。可以给宝宝查个外周血异常白细胞形态看看。"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "还在吗？"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "再"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "孩子精神食欲如何？"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "没有腿疼和皮疹，只是发热头疼，不发热头不疼"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "现在准备做个脑电图"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "或者"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "磁共振"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "头痛，做脑电图磁共振排除一下颅内感染"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "体温正常后，宝宝精神好吗？"
            }
        ]
    },
    "10841862": {
        "self_report": "宝宝一岁10个月，感觉像是感冒了，症状是感觉鼻腔里有鼻涕出不来，有时候咳嗽感觉像是被鼻涕呛住了，宝宝不会擤鼻涕，今天早上突然拉肚子，像水一样！这是怎么回事呀？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好。您好。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子鼻塞多长时间了？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有一周了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "影响孩子呼吸和吃饭吗？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "那倒不怎么影响，就是晚上睡觉的时候偶尔会感觉打呼噜"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "不要紧的不用担心。可以，看一看鼻腔里面有没有分泌物堵塞。有的话及时清理。"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "就是拉肚子。拉了几次了？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "看过了，没有堵塞，就是今天突然拉肚子了，拉的像水一样，就是刚才拉的，就这一次"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "还有就是鼻涕出不来，感觉孩子特别难受"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "可能是深部的，黏液堵塞鼻腔。可以给孩子外用生理海水鼻喷剂来治疗的。没有副作用，一天可以多喷几次。只要没有其他的症状，如咳嗽。发热，就说明不像感冒。"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "也是鼻塞，可以用我推荐的治疗一下。"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "还是有轻微的咳嗽的"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "关于拉肚子要注意。因为孩子的年龄段。加上这个季节。要考虑秋季腹泻。"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "偶尔的咳嗽不要紧的。正常宝宝每天可以咳嗽一到两次的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "如果是秋季腹泻。今后还会拉。一般要腹泻，五天到七天。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "孩子一天大概会咳嗽个8次9次的样子"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "8到9次的话。加上鼻塞。要考虑感冒了。一般是受凉引起来的。建议给孩子吃上，小儿氨酚黄那敏颗粒。来治疗鼻塞，还有咳嗽。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "吃了，吃了好几天了"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "肺力咳合剂治疗咳嗽。因为大部分是病毒感染。建议加上，双黄连口服液。每次，三毫升，一天三次。都是中成药。副作用小。"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦。加上消炎的和治疗咳嗽的看看效果。"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "肺力咳合剂怎么吃"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "一天几次呀？一次多少？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "腹泻的话。要注意给孩子多补充水分。可以给孩子口服蒙脱石散来治疗拉肚子。每次，半包，一天三次。注意和其他药物分开，两个小时以上。"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "肺力咳合剂是处方药。无法指导具体用量，建议去药店购买。"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "其他的非处方药我都能指导剂量。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "嗯嗯，谢谢啦！！"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "不客气的。假如孩子出现腹泻次数特别多。每次的量多。尿量明显减少。提示脱水了。及时去医院儿科就诊。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "嗯嗯，好的，明白了"
            }
        ]
    },
    "10359425": {
        "self_report": "小儿退热糖浆能不能和小儿氨酚黄那敏颗粒和头孢克洛一起服，低烧37.5，腿疼，一直哭闹",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "为了更好地提供服务，需要询问一些与病情相关的问题，感谢您的配合。"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "小儿退热糖浆能不能和小儿氨酚黄那敏颗粒和头孢克洛能不能一起服"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "说话"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "这三个可以一吃"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "女儿今天突然说腿疼，然后就低烧"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有没有受凉"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "应该是受凉了吧"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "好的。有没有其他症状"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "喝这三种药行不"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有其他什么症状呢？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "没有就是一直说腿疼，冷"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "不玩，哭"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "看看腿上有没有什么异常的地方，红不红"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "不红"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "手脚凉"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前这个体温是低热"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "宝宝具体是哪里痛呢"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就只说腿疼"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "你轻轻按一按看能不能找到更痛的地方"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "现在睡了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "喝这三种药行不？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "一般考虑有细菌性炎症的时候我们加用消炎药，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "那不要喝头孢"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝查血常规了没有，有没有做什么检查？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "只喝氨酚黄那敏和小儿退热糖浆？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "可以查血常规看看白细胞情况再考虑要不要用"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "一般用消炎药慎重些。"
            }
        ]
    },
    "10076179": {
        "self_report": "宝宝6个月，一直打喷嚏，流鼻涕怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝流鼻涕几天了"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "鼻涕多不"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "黄吗"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天开始流"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "鼻涕多不，黄吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有时候黄，一般是没有颜色的"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "流很多"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "发烧不"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "不发烧"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "咳嗽，拉肚子不"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "就是一直打喷嚏，流鼻涕"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "是感冒了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "鼻涕多可以吃艾畅观察"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "用生理海水喷雾剂喷鼻腔"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "咳一两声"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "咳嗽是因为鼻涕多刺激的"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果黄鼻涕多还得加上消炎药"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "恩，谢谢医生"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "别客气随时咨询"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "那这个严重不"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "不严重"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "哦，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "随时咨询"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "那买什么名字喷雾剂呢"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "就是"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "生理海水喷雾剂这个名字"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "哦，谢谢"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "欢迎咨询"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "再见"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "耽误你时间了"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "宝宝现在怎么样了？"
            }
        ]
    },
    "10321477": {
        "self_report": "小孩6周多，刚开始是这周一早上左边眼睛有点红不舒服，周二下午发现发烧，发烧反复三四天了，一再发烧左眼睛也跟着红，不是很红，前几天发烧后现在晚上睡觉张开着嘴响着打呼噜的声，问他说：不张开嘴喉咙会不舒服，张嘴呼吸嘴唇都干了，也会口干，请问是怎么了？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，目前还有发热情况吗"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "这几天都是晚上睡觉张开嘴打呼噜"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "到早上起床就发烧"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在又烧了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "发热的话，最高体温多少度"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "38度多"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "打鼾是生病，发热时候才有的，还是一直有？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天刚起床，还没量"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "一般发热，提示有炎症，看小孩情况，考虑还是呼吸道炎症"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "目前看过医生吗，化验过血常规吗"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "以前不会这样"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "这次发烧就这样"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "那考虑还是生病引起的打呼噜"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是喉咙有问题？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "目前看过医生吗"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "是的，初步考虑可能扁桃体，或者腺样体有问题"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "找过私人诊所吃过药"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "有退烧，到晚上睡觉张嘴打呼噜到早上就发烧"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "主要症状还是一个反复发热，同时伴随生病引起的打鼾情况"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "对"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "考虑的话，有上呼吸道感染，扁桃体炎，或者腺样体肥大，引起"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "目前只是吃的退烧药吗"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "小孩说不张嘴喉咙不舒服"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "鼻腔通气吗，闭紧嘴巴，能正常呼吸吗"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "睡觉的时候小孩说不张嘴喉咙不舒服"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "闭紧嘴巴，能正常呼吸吗"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "他睡时，我试着不让他嘴巴张着，他鼻子会通气啊，他他又呼吸不了一样"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "就是不能"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "这个考虑有生病引起的呼吸道阻塞情况，导致鼻腔通气不能满足呼吸需要，才会张口呼吸"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "现在39度啊"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "现在这么高烧，需要先口服退烧药了"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "张开呼吸还打呼噜"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "然后这样反复的烧，还是有炎症啊，需要消炎治疗"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "美林可以吗"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以，这个只是退烧药，不是消炎药，如果炎症消不下去，还会烧起来"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "谢谢，"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "等下去看医生跟他说情况"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "嗯，可以的"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "先不打扰你了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "最好查血常规"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "好"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "好的，有事再联络"
            },
            {
                "sentence_id": "45",
                "speaker": "医生",
                "sentence": "还有别的需要咨询的吗"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "没有了"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "那好的，有事再联络，再见"
            }
        ]
    },
    "10127189": {
        "self_report": "一岁五个月的孩子感冒有点流鼻涕，干咳，吃了好娃娃，消炎药没啥用，怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "宝宝体温正常吗？"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "精神食欲怎么样？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "还可以"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "体温正常"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "就是咳嗽，流鼻涕"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "吃了几天药了？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天是第三天"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "嗯，有没有化验血常规？"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "建议给宝宝多喝水"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "可以用盐水擦擦鼻孔"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "疾病恢复需要1个过程"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "感冒一般710天才会好的"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "咳嗽久了会不会引起肺炎？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "就怕得肺炎"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "没有验血"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果宝宝体温正常，精神食欲好，咳嗽不加重，没有痰，不考虑肺炎"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "恩，没有痰，是干咳"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "嗯，没有验血，建议继续吃药2天看看情况，如果症状减轻，就不用验血了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "哦，干咳，主要考虑是咽部炎症引起的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "多喝水"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "恩，是前天晚上一直哭之后，第二天早上就咳嗽了"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "考虑是咽部不适引起的，不是肺炎，继续吃现在吃的药观察"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "恩，好的，谢谢"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            }
        ]
    },
    "10334363": {
        "self_report": "宝宝6个月，突然发高烧，38度-39度，吐奶，喝水也吐，一天拉了4次，去医院给开了退烧药布洛芬混悬液，吃完大概4小时内体温都正常，4小时以后又继续发热了，请问医生继续给他吃退热药吗？退烧药一天能吃几次？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在体温多少度"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "39度"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "哦，可以再次服用的"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "配合物理降温"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "贴退热贴"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "用温水擦身体的颈部腋下肘窝腹股沟腘窝等处，使皮肤微微发红，降温效果不错"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "贴着呢"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "用温水擦身体的颈部腋下肘窝腹股沟腘窝等处，使皮肤微微发红，降温效果不错"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "给宝宝多喝水"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "她现在看起来很难受，而且一直在恶心但又没吐出来"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "退烧药1天可以吃4次"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "昨晚和今天白天吐的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "嗯，现在还有呕吐吗"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "现在为她水或者奶她喝着喝着就往外吐"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "是不想喝吧"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "还是呕吐"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "如果是呕吐需要吃止吐药，吗丁啉"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "抽血化验说是病毒感染引起的发烧"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "病毒感染引起的发烧，一般35天才会退的"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "这个退烧药一天最多吃几次？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "1天最多吃4次"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "如果超过多少度就不能在家要上医院了？"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "46个小时，如果体温达38.5度以上口服退烧药"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "如果吃了退烧药，体温持续39度以上，考虑到医院检查"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "像她现在这个情况需不需要给她少吃点？"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "少吃什么？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "少吃点奶，多喝点水？"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "哦，奶少吃一些"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "还有什么其他要注意的吗？"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "避免受凉"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "物理降温，可以延长用药时间"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "现在只给她用了退热贴贴脑门，天太冷，衣服穿着其他部位不太好降温"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "嗯，可以擦擦颈部"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "肘窝，腘窝"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的，谢谢您了"
            }
        ]
    },
    "10647572": {
        "self_report": "宝宝快一岁了，以前打了流脑有点不舒服，昨天开始发热，发了几次烧了，今天又发烧了该怎么办？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，我是张医生，很荣幸为您解释疑惑！"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "什么时候打的流脑疫苗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "前天"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "昨天开始发热"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "体温多少度？"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "到今天发了四次烧，我们这里的医生看了说吃美林"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "38.6"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝除了发烧，还有其他不舒服吗？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "昨晚有39.2该怎么办"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "是去你们当地公立医院儿科门诊看的吗？"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "没有，发热的时候有点闹，热退了就不闹了"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这两天有受凉吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "是私立医院"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "医生有检查孩子嗓子吗？红不红？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有吧，打针之前感冒过，吃药好了就去给他打针"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "，。"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "宝宝目前主要是发热，之前有接种流感疫苗，目前考虑发热待查，造成发热的原因考虑有以下几个方面"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "感冒好了之后立即打疫苗的，还是观察了几天才打的？"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "之前打针没出现过这种情况"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "停了三天药去的"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "停药三天，和之前感冒没多大关系"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在孩子发烧，精神怎么样？"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "目前孩子发热原因考虑以下几个方面"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "这个是什么原因啊？听诊肺腑说还好"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "哇现在考虑发的才有呢，这个必须到工地看我么拆掉，降温，"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "精神还行，就是有点闹"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "就要考虑是跟一没有关系了以后会引起发热这个情况，一般就发了货的这个，到了，介绍那孩子缺啥了，嗯嗯嗯的，会不会是孩子睡了巨大的一颗红不红对吧，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "其他的这个讲笑话的孩子的大便有异常啊，哦什么速度，资料啥啊，恩就这个这个就一想到这个就开心了，学习系统记录，名字电话比较少，"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "音速队，点解，"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，下午带他去镇上医院"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "你受凉的时候后面一个一个呼吸道的感染啊，"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "孩子目前只有发热，但是发烧反复，建议去你们当地公立医院儿科门诊看一下，让医生看一下孩子嗓子是否发红，有没有疱疹之类的，查一下血常规，明确是病毒还是细菌感染"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "现在对所患疾病的诊断和治疗的相关知识做个说明"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "房子比较红甚至有抱枕茶的小肠问题是一个病毒感染的就考虑如治疗啊，乱说查了这个学校，先找值炫耀的，而且耗着，还要担心是幼儿急诊啊，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "发烧三到四天以后高烧三天以后体温正常身上出疹子了以后孩子的脾气，好打扮好了啊，这是关键，"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "现在在家先给孩子退热处理，缓解发热情况"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "体温38.5,及以上主要是吃退烧药，间隔46小时可以喂一次"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "体温38.5,以下是物理降温，包括贴退热贴，温水擦拭，多喝水等等"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "打针第一天，宝宝有点用，第二天发热的"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "就是退烧药，是历史的但是间隔是多少谁知道，不知道现在发烧了两小时后再吃一次不是的就勿加我，最起码要小时才再问了，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "二四到七二才有关系但不一定都是对的，注意就是说额可能会疫苗低烧为主，哦，就是假疫苗引起的疱疹，他就打架的时候，导致，"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "受凉呀或者跟或者得什么事都普遍好孩子有密切接触啊吧，"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "（空）"
            }
        ]
    },
    "10621320": {
        "self_report": "宝宝刚11个月，找代购买了退热栓，结果他给发错了货，发成了2岁～8岁的，我还给宝宝1天用了两次，，中午11点半用了一颗，到了晚上8点又烧了起来，又用了一颗，用完以后拉肚子，拉绿色粑粑，吐奶，中午用药以后一直睡觉，睡了好几个小时，晚上非常能哭，哭了一晚上，这该怎么办，是不药量大引发的",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "我看不懂什么成分的"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "就是布洛芬的"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "但是是28岁用的，他给发错货了，我家宝宝才11个月"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "布洛芬，栓剂"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "这个药量大了又什么影响"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "我看这个药物不会引起腹泻，常见原因还是宝宝受凉引起的感冒并发腹泻。腹痛"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "这个药量大了又什么影响"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "这个量大一般引起多汗，体温低。严重的可以引起肝损害，白细胞下降的情况"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "孩子体重多少？"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "20斤"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "10公斤算，假如这个药物是250mg的，不是很过量"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "剂量不是很大"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "一天用了两次了"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "中午11点半用了一颗，晚上八点又用了一颗"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "注意反复发热，超过38.5以上再用，不到这个温度不要用"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "孩子有没有受凉引起的？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "有没有鼻塞，流涕？"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "没有鼻塞。不流鼻涕"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "常见的原因，还是受凉引起的感冒，这个感冒有的没有别的症状，仅仅表现反复发热。因为有炎症，所以要反复发热"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "孩子精神可以吗？"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "现在还行，就是晚上哭的厉害"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "晚上哭闹可能是腹痛，建议晚上用手暖肚看看"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "有没有吃别的药物？"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "就是反复高烧，我感觉像是要出疹子那种"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "今天没给用退热栓，给吃了一次感冒药"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "什么感冒药物？"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "您说的是幼儿急疹，一般也是病毒感染引起的，表现反复发热35天后出现全身皮疹"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "目前不除外"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "用的这两个"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "宝宝早期感冒多是病毒感染，不建议吃抗生素"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "流涕鼻塞不严重可以不吃小儿氨酚黄那敏的"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "不流鼻涕"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "推荐吃清热解毒的药物如双黄连口服液每次3毫升，每天3次治疗35天看看"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "去门诊给配的"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "我只是推荐。建议吃我说的药物治疗看看"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "好的谢谢"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "腹泻的话，多是感冒引起胃肠道功能不良，可以吃妈咪爱每次一包，一天2次治疗的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "晚上哭闹暖肚看看的"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "假如出现反复高热，精神差，尿量很少就要及时到医院儿科就诊的"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "当地大夫是按照感冒开的药物。我只是推荐安全的药物治疗看看"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "谢谢，非常感谢"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "客气啦"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "有问题留言"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "祝您的孩子健康"
            },
            {
                "sentence_id": "54",
                "speaker": "医生",
                "sentence": "再见"
            }
        ]
    },
    "10511098": {
        "self_report": "医生：我孩子前阵子流清鼻涕，偶尔咳嗽吃了5天阿莫西林和鲜竹沥，现在鼻塞严重，影响睡眠，什么情况啊？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好，目前只有鼻塞吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "是的，鼻塞，晚上睡觉呼吸不畅，没有其他症状"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "孩子3岁了吗？鼻塞的时候有没有鼻屎堵塞？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "孩子2岁半，鼻屎较少，"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "摸孩子后背，可以感觉到孩子呼吸震动"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "主要是鼻塞的话，还是感冒没有好利索的情况。这个也和孩子小，鼻腔小，鼻粘膜柔嫩有关系。"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "这个情况，也是考虑鼻塞"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "有没有治疗鼻塞的药物？"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "我觉得是感冒没好利索，因为孩子正常的时候没有鼻塞现象"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "我推荐一个治疗鼻塞的药物，小儿用副作用较少。叫氯雷他定口服液"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "这个缓解鼻塞症状，也治疗感冒"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "怎么吃法？吃几天？"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "医生这个鼻塞药物是口服液还是糖浆？"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "是口服液，一天一次，睡前吃上"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "好呢，吃几天，多少毫升，孩子2岁半"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "注意吃后23天鼻塞减轻"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "如果不减轻，建议去医院看看"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "一般吃35天"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "嗯嗯，好呢，谢谢"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "这个计量的问题，建议问问当地的大夫。因为药物规格不同"
            }
        ]
    },
    "10541090": {
        "self_report": "宝贝九个月，昨天高烧，最高到38.7°，吃了药好了些，又开始烧。已经反复了四次了，用去医院吗",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好！宝宝发热，反复，最好能去医院让儿科大夫看看，评估一下宝宝状态，查体，或者做血常规C反应蛋白，明确一下发热原因。"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "好的，"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "你好。我问下37.7,算烧吗"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "宝宝现在精神食欲如何？"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "37.7低热，"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "精神一般，食欲也不太好"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "我现在还用去医院吗"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "时好时坏"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "宝宝吃的什么药？"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "（空）"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "只是吃了这个"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "现在需要去，可能晚上还会发热的"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "对啊，昨天下午就好了。半夜又烧了，"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "这个季节，病毒感染比较常见，嘴里长疱疹，宝宝会高热"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "您是哪里的，"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "他前胸起了疙瘩"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "还有宝宝这个年龄，幼儿急疹也不排除的，一般发热三天左右，热退出疹，就好了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "我是山东的"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "他出过急诊了"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "还会在起吗"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "就是突然高烧的，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "一般不会再出的。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "疙瘩拍个照片看看?"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "他的上牙龈的部位起了白色的东西，不知道是不是牙。还是你说得疱疹"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "拍不清，就是红色的痘痘"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "发热皮疹，原因很多，宝宝常见的有风疹，麻疹，猩红热，或者其他肠道病毒感染等，各有特点，需要医生评估一下"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "嘴里方便拍个照片看看?"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "宝宝最近打疫苗了吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "拍不清啊"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "从你说的这些信息看，红色的痘痘不好判断，及时去你们那正规医院儿科门诊看看。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "打了，麻风"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "16号打的"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "啥时候打的?"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "打完之后也烧了"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "谢谢"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "我看他现在的红色的疙瘩少了些，"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "打麻风疫苗后，有立即发热的，还有一周以后出现发热，轻微皮疹的，也是正常反应。一般发热三天左右就好了。"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "红疙瘩是不是发热时明显？"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "对，发热的时候就起了"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "而且他上半身很热，烫，下半身却不那么热，脚凉，手有时候凉有时候特别热"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "疙瘩摸的着吗?"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "能摸到，麻麻的"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "还是现在去医院看看吧，医生会给宝宝查体，看看疙瘩性状，看嗓子，听诊一下心肺的。有必要查个血常规C反应蛋白。"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "好的明白了。"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢您"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "不用客气"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "您有任何问题可以随时给留言，我看到后会第一时间回复。"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "没有其他咨询了，您忙"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "好的"
            }
        ]
    },
    "10329128": {
        "self_report": "感冒发烧流鼻涕目前38度，今天刚打完预防针",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "这孩子感冒流鼻涕多长时间了，感冒期间是不能接种疫苗的"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "宝宝六个月，昨天晚上鼻塞，今天早上开始流透明的鼻涕"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "今天早上打完预防针现在量了一下体温38度"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "那这个孩子有受凉的情况吗？家里的大人有没有呼吸道感染的情况"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "有感冒的情况是不能接种疫苗的，接种疫苗以后会造成机体免疫功能短时间的下降，可能会使原来的感冒症状加重"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "今天早上医生接种的医生说孩子只要不是流浓鼻涕就行，所以他就给我们打了"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "不是这么回事的"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "有感冒的情况，有鼻塞流鼻涕的情况就不能接种疫苗的"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "本身接种疫苗以后，有的孩子可能会出现疫苗接种反应，如果这个孩子之前有呼吸道感染的情况，疫苗接种反应与感冒是不容易鉴别的"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "那现在怎么办？"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这孩子之前就有呼吸道感染的情况，也就是说感冒了，我认为应该不考虑疫苗接种反应"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "需要给孩子口服清热解毒药物"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "当时接种医生就问我有没有吃药，我说没有"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "哦"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "你知道今天接种的是什么疫苗吗"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "可以物理降温吗？"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "这个体温不需要口服退热药物的，可以物理降温，多给孩子喝热水"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "这孩子现在手脚发凉，还是手脚发热"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "流脑跟乙肝"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "超过38.5度应该给孩子口服退热药物"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "手脚温暖"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "接种流脑以后发热的概率还是比较高的"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "如果手脚是温暖的，那就给孩子多喝水，可以用温水擦浴，物理降温"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以给孩子口服清热解毒药物，小儿感冒颗粒也可以吃的"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "他今天基本就吃过一次奶"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "也就是说这个孩子吃奶量比以前减少了，与发热有关系的"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "除了这个因素以外，与接种疫苗也有一定的关系，我上面跟你说过了，接种疫苗以后，有的孩子会出现疫苗接种反应，除了有发热的症状以外，表现为烦躁不安，皮疹，恶心，呕吐，精神状态差，吃奶减少等等"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "嗯，是的"
            },
            {
                "sentence_id": "31",
                "speaker": "医生",
                "sentence": "需要让孩子多喝水的，这样可以降低体温，也有利于缓解疫苗接种反应"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "您今天晚班吗？我是否可以随时联系上您？"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "刚才给孩子玩了一会儿水，大概30度"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "是的"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "玩水是没有用的，应该让孩子多喝水"
            },
            {
                "sentence_id": "36",
                "speaker": "医生",
                "sentence": "可以给孩子洗温水澡"
            },
            {
                "sentence_id": "37",
                "speaker": "患者",
                "sentence": "可是接种后24小时内不能洗澡"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "伤口不能接触水就可以了，其他的部位无所谓的，但是一定要注意避免受凉"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "那我给他擦一下身体吧"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "可以"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "那用温水降温会加重流鼻涕吗？"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "会不会受凉？"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "这个不会的"
            },
            {
                "sentence_id": "44",
                "speaker": "医生",
                "sentence": "但是你一定要注意避免受凉啊，受凉可能会导致流鼻涕的症状加重"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "我昨天带孩子去游泳，可能是那个时候受凉了"
            },
            {
                "sentence_id": "46",
                "speaker": "患者",
                "sentence": "那怎么在降温的同时避免受凉呢？"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "可能昨天游泳的时候受凉了"
            },
            {
                "sentence_id": "48",
                "speaker": "医生",
                "sentence": "用温水擦浴以后，赶紧给孩子包上，室内的温度要高一些，24到26度最为适宜"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "如果达不到这个条件，那就不要给孩子温水擦浴了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "很容易导致孩子受凉，特别是冬天"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "嗯"
            }
        ]
    },
    "10076396": {
        "self_report": "孩子感冒第八天了还没好彻底，该喂感冒药吗？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝现在还有什么不适吗？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "孩子两岁了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "感冒第八天了"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "今天没有喂感冒颗粒"
            },
            {
                "sentence_id": "8",
                "speaker": "医生",
                "sentence": "嗯"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "就吃了依托红霉素"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "宝宝现在还有什么不适？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "可是我发现好像还有鼻涕"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "孩子嗓子呼呼的有时咳嗽一声好像有痰"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "该怎么用药还是停药"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "嗯，现在的药吃了几天了"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "依托红霉素吃了几天了？"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "嗯今天第八天，之前吃了7天感冒颗粒，第5天"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "第五天吃的依托红霉素"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "依托红霉素吃了3天"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "是的"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "不咳嗽"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "有时咳一声感觉有痰"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "现在宝宝有流鼻涕，咳嗽感觉还有痰，这些症状比之前有减轻吗？"
            },
            {
                "sentence_id": "23",
                "speaker": "患者",
                "sentence": "嗯前四天流的都是清鼻涕，后面就好多了几乎没有，我每次给她清理鼻涕有黄色的愁涕"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，建议继续口服依托红霉素2天"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "注意避免受凉"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "饮食清淡一些"
            },
            {
                "sentence_id": "28",
                "speaker": "患者",
                "sentence": "每次清理完鼻涕感觉她好多了"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "一有鼻涕感觉难受"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "每次喂多少依托"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "我每次半袋"
            },
            {
                "sentence_id": "33",
                "speaker": "医生",
                "sentence": "不好意思，这个网站不允许推荐药物剂量的"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "没关系那我按说明喂"
            },
            {
                "sentence_id": "35",
                "speaker": "医生",
                "sentence": "可以用热毛巾给宝宝敷鼻子两侧"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "嗯，为什么孩子感冒这么难好"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "嗯，感冒一般710天好"
            },
            {
                "sentence_id": "38",
                "speaker": "患者",
                "sentence": "好的谢谢你"
            },
            {
                "sentence_id": "39",
                "speaker": "患者",
                "sentence": "可以吃水果吗"
            },
            {
                "sentence_id": "40",
                "speaker": "医生",
                "sentence": "不客气，祝宝宝早日康复！"
            },
            {
                "sentence_id": "41",
                "speaker": "医生",
                "sentence": "可以吃水果，常温的"
            },
            {
                "sentence_id": "42",
                "speaker": "患者",
                "sentence": "嗯好的"
            },
            {
                "sentence_id": "43",
                "speaker": "患者",
                "sentence": "如果两天还没好"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "怎么办"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "继续喂药吗"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "如果2天后，还偶尔咳嗽几声，基本没有痰，可以停药"
            },
            {
                "sentence_id": "47",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "感冒药现在也不用喂了吧"
            },
            {
                "sentence_id": "49",
                "speaker": "医生",
                "sentence": "一定注意多喝水"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "感冒药可以停了"
            },
            {
                "sentence_id": "51",
                "speaker": "患者",
                "sentence": "嗯再见"
            },
            {
                "sentence_id": "52",
                "speaker": "医生",
                "sentence": "欢迎有事咨询我"
            },
            {
                "sentence_id": "53",
                "speaker": "医生",
                "sentence": "再见！"
            }
        ]
    },
    "10841097": {
        "self_report": "宝宝五岁，今天早上说嘴里痛，一看红了。其它正常，下午接她的时候发烧了，精神差。怎么办呢？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好，孩子的咽部上颚红，有疱疹的情况，伴有发烧，检查一下孩子手脚屁股身上有皮疹吗？"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在孩子体温多少度？"
            },
            {
                "sentence_id": "4",
                "speaker": "医生",
                "sentence": "发热几天了？"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "发烧38.3度"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "今天才发烧的"
            },
            {
                "sentence_id": "7",
                "speaker": "患者",
                "sentence": "昨晚半夜被子蹬了"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "之前有点点咳嗽"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "一直没吃药"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "看看嘴唇夹粘膜上有这样的，情况吗？"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "上嘴唇内侧下嘴唇内侧还有两边都有红点，不过没有照片上这么多"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "只是红点"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "这种情况考虑是病毒感染"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "我在考虑事，肠道病毒感染，和手足口病类似的病毒。"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "现在睡了，精神挺差的。早上还好好的。"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "治疗的话一般是对症治疗，降温，口服清热解毒的中成药，比如双金口服液等。如果精神很差的话，需要及时去正规医院儿科就诊。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "在学校吃了香蕉，刚才回来喝了点退热冲剂又一起吐掉了"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "肠道病毒感染，大多数是轻症的，少部分会出现重症的情况，重症的表现就是精神不好。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在去来不及了，准备明天去。只是太担心，问问放心些"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "手足口她以前搞过的"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "后来吃点药就好了"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "去年的时候"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "现在去也来得及，医院24小时有值班的，去正规的儿科看一下，查一下血常规c反应蛋白，血糖，心肌酶排除重症，如果不严重，对症治疗，一般一周左右就痊愈了。"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "因为手足口病的，病毒有好几种类型，所以孩子可能得好多次手足口病的。"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "现在手脚还冰冷的，可能还要烧吧"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "是的，手脚冰凉是体温上升期，家里有布洛芬吗？可以给孩子口服布洛芬退热，如果不能口服的话，可以给予退烧栓。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "布洛芬有的"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "孩子体温上升期现在可以服药，不知道还能口服吗？吃了布洛芬还会吐吗？"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "现在睡着了"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "那等睡醒了，在看孩子精神状态。体温高的话，再服用退烧药，然后及时去医院就诊。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "谢谢您"
            }
        ]
    },
    "10679915": {
        "self_report": "宝宝早上手被猫抓破了皮打了针，下午发热了吃了退烧药，现在又发热了，怎么办，",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "医生",
                "sentence": "孩子有没有受凉的表现？"
            },
            {
                "sentence_id": "3",
                "speaker": "患者",
                "sentence": "今天早上起来床有点咳嗽"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "现在发热又咳嗽"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "在嘛医生"
            },
            {
                "sentence_id": "6",
                "speaker": "医生",
                "sentence": "在的"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "哦不好意思哈，你好换了个网络，"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "额虽然说打那个我的话你也来不了还是个没别的女朋友发个不出去可好玩了，"
            },
            {
                "sentence_id": "10",
                "speaker": "医生",
                "sentence": "嗯我看那张宝宝有可能可能是不参加了，"
            },
            {
                "sentence_id": "11",
                "speaker": "患者",
                "sentence": "现在怎么办啊"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "现在又害怕"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "咳嗽厉害吗？"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "精神好不好？"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "咳嗽还行半天咳嗽几声"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "他睡觉了"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "咳嗽不严重，不要担心"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "目前体温多少？"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "38.5"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "吃了退烧药了"
            },
            {
                "sentence_id": "21",
                "speaker": "医生",
                "sentence": "嗯我觉得长的还真是前应该有感冒我做出了你想感冒正常的课了，嗯so,g,e，"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "但是怕中午以上了确认了可以睡了如果碰上了可以游泳了，"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "那我觉得目前咱们孩子你发的照片还是有小感冒一任吧，"
            },
            {
                "sentence_id": "24",
                "speaker": "医生",
                "sentence": "嗯，哎呀你就拍拍手想要，哦这是重要啊，大本营是顿感谢打扰了少年头也没受啥伤害无效果，"
            },
            {
                "sentence_id": "25",
                "speaker": "医生",
                "sentence": "儿子可能要我拿去给别人做不了比如说学校换一次可以每次的封包1346357456，"
            },
            {
                "sentence_id": "26",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "27",
                "speaker": "医生",
                "sentence": "因为这个发的那几只被抗原入侵的表现，目前也没完全消失，嗯，"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "哦注意药丸子吃了药然后睡觉，"
            },
            {
                "sentence_id": "29",
                "speaker": "医生",
                "sentence": "嗯因为哪个宝宝啊干啥了哎呀起不来的情况都可以不用担心，发的时候进来的好免费答案，"
            },
            {
                "sentence_id": "30",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "那个要叫什么的啊医生"
            },
            {
                "sentence_id": "32",
                "speaker": "医生",
                "sentence": "假如那宝宝吃了饭饭不给饿死算老了以后呢继续上三九以上，猪一样的情况，都要去医院的，"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "宝宝有咳嗽恶吐"
            },
            {
                "sentence_id": "34",
                "speaker": "患者",
                "sentence": "就是咳嗽的吐"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "又吐不出来"
            },
            {
                "sentence_id": "36",
                "speaker": "患者",
                "sentence": "是干咳嗽"
            },
            {
                "sentence_id": "37",
                "speaker": "医生",
                "sentence": "口服双黄连口服液"
            },
            {
                "sentence_id": "38",
                "speaker": "医生",
                "sentence": "小儿化痰止咳颗粒"
            },
            {
                "sentence_id": "39",
                "speaker": "医生",
                "sentence": "哦口上的图案刚好之后可以只捡不到一个严重的一个我的神经很酸，额去了肯定会哭的，福建一天就吃了药了么，EX,o的，"
            },
            {
                "sentence_id": "40",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "41",
                "speaker": "患者",
                "sentence": "知道了"
            },
            {
                "sentence_id": "42",
                "speaker": "医生",
                "sentence": "他都是那经过治疗，五千左右的高中s不用更新啊，"
            },
            {
                "sentence_id": "43",
                "speaker": "医生",
                "sentence": "嗯好的好的，哦那个过程的啊，"
            },
            {
                "sentence_id": "44",
                "speaker": "患者",
                "sentence": "哦"
            },
            {
                "sentence_id": "45",
                "speaker": "患者",
                "sentence": "谢谢了"
            },
            {
                "sentence_id": "46",
                "speaker": "医生",
                "sentence": "（空）"
            },
            {
                "sentence_id": "47",
                "speaker": "医生",
                "sentence": "额不客气地还不快想，你以为你那可以用流量，知道湖南和第一次的，"
            },
            {
                "sentence_id": "48",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "49",
                "speaker": "患者",
                "sentence": "谢谢你了"
            },
            {
                "sentence_id": "50",
                "speaker": "医生",
                "sentence": "额不客气的那么肯定的好好的看哈这件，"
            }
        ]
    },
    "10256397": {
        "self_report": "为什么宝宝三天两头发烧？",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "您好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "八个月的宝宝为什么三天两头发烧"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "宝宝具体持续多长时间了。"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "有几次了，吃了药就好了"
            },
            {
                "sentence_id": "5",
                "speaker": "医生",
                "sentence": "好的，然后过几天在发烧呢？"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "嗯"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "过几天？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "有时候过四五天"
            },
            {
                "sentence_id": "9",
                "speaker": "医生",
                "sentence": "大宝这个发烧的话他你是自己能够退下来还是说必须要用退烧药物另外他，最高体温在多少度呢，"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "有时候发低烧37.6，有时候38度，贴退烧贴退不下来，一吃了药就退了"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "12",
                "speaker": "医生",
                "sentence": "有没有受凉还是无缘无故"
            },
            {
                "sentence_id": "13",
                "speaker": "患者",
                "sentence": "这个真没注意"
            },
            {
                "sentence_id": "14",
                "speaker": "医生",
                "sentence": "好的"
            },
            {
                "sentence_id": "15",
                "speaker": "医生",
                "sentence": "宝宝这个除了发烧有没有中其他症状比如说这个开玩笑咯痰离开流鼻涕这些症状党的有没有，"
            },
            {
                "sentence_id": "16",
                "speaker": "患者",
                "sentence": "没有"
            },
            {
                "sentence_id": "17",
                "speaker": "医生",
                "sentence": "好的，可能是宝宝抵抗力低，宝宝现在发热吗？"
            },
            {
                "sentence_id": "18",
                "speaker": "患者",
                "sentence": "现在38°"
            },
            {
                "sentence_id": "19",
                "speaker": "医生",
                "sentence": "目前这个体温宝宝有没有什么不舒服？"
            },
            {
                "sentence_id": "20",
                "speaker": "医生",
                "sentence": "如果没有什么不舒服的话，暂时可以先物理降温的。"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "嗯，就是精神不太高，贴的贴退热贴"
            },
            {
                "sentence_id": "22",
                "speaker": "患者",
                "sentence": "精神不太好"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "嗯宝宝精神不太好的情况下也可以给她用退烧药的，因为宝宝不舒服吗在宝宝给我发这个一般情况下超过三十八度五才考虑用但是在三十八度一下宝宝有不舒服的时候也可以给她用退烧药的，"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "嗯，好吧，麻烦你了"
            }
        ]
    },
    "10870274": {
        "self_report": "宝宝化脓性脑膜炎治愈，现感冒发烧",
        "dialogue": [
            {
                "sentence_id": "1",
                "speaker": "医生",
                "sentence": "你好"
            },
            {
                "sentence_id": "2",
                "speaker": "患者",
                "sentence": "你好"
            },
            {
                "sentence_id": "3",
                "speaker": "医生",
                "sentence": "现在孩子多大，发烧体温多少度？"
            },
            {
                "sentence_id": "4",
                "speaker": "患者",
                "sentence": "三个月"
            },
            {
                "sentence_id": "5",
                "speaker": "患者",
                "sentence": "体温38度"
            },
            {
                "sentence_id": "6",
                "speaker": "患者",
                "sentence": "呼吸急促，鼻子流清水"
            },
            {
                "sentence_id": "7",
                "speaker": "医生",
                "sentence": "目前发烧后看过医生吗？查过血常规吗？"
            },
            {
                "sentence_id": "8",
                "speaker": "患者",
                "sentence": "刚刚发现孩子发烧"
            },
            {
                "sentence_id": "9",
                "speaker": "患者",
                "sentence": "昨晚到早上六点体温正常，刚刚开始发烧"
            },
            {
                "sentence_id": "10",
                "speaker": "患者",
                "sentence": "第一次37.2度"
            },
            {
                "sentence_id": "11",
                "speaker": "医生",
                "sentence": "目前看症状描述，还是一个小儿感冒，呼吸道感染，发烧的情况，现在的体温可以先物理降温，比如贴退热贴，或者温水擦身。"
            },
            {
                "sentence_id": "12",
                "speaker": "患者",
                "sentence": "五分钟之前38度"
            },
            {
                "sentence_id": "13",
                "speaker": "医生",
                "sentence": "现在的情况，可以口服一点小儿氨酚黄那敏颗粒，缓解感冒症状，同时口服一点小儿豉翘清热颗粒，清热解毒治疗。"
            },
            {
                "sentence_id": "14",
                "speaker": "患者",
                "sentence": "因为孩子新生儿期患过化脓性脑膜炎"
            },
            {
                "sentence_id": "15",
                "speaker": "患者",
                "sentence": "发烧会不会有影响？"
            },
            {
                "sentence_id": "16",
                "speaker": "医生",
                "sentence": "同时，鉴于孩子以前有过脑膜炎的经历，建议就医小儿科，让医生检查，化验血常规，明确情况，如果有细菌性感染，血象增高，需要加用消炎药，比如头孢克肟颗粒。"
            },
            {
                "sentence_id": "17",
                "speaker": "患者",
                "sentence": "好的"
            },
            {
                "sentence_id": "18",
                "speaker": "医生",
                "sentence": "新生儿比较容易患脑膜炎的，看到孩子近三个月大了，考虑应该问题不大，我觉得化验血常规看一下比较放心。"
            },
            {
                "sentence_id": "19",
                "speaker": "患者",
                "sentence": "现在孩子体重各方面都很好"
            },
            {
                "sentence_id": "20",
                "speaker": "患者",
                "sentence": "有点发育迟缓，"
            },
            {
                "sentence_id": "21",
                "speaker": "患者",
                "sentence": "左腿有点肌肉松弛"
            },
            {
                "sentence_id": "22",
                "speaker": "医生",
                "sentence": "如果有运动发育迟缓的情况，需要在家多给孩子做被动操的锻炼，同时定期就医儿童保健科，看一下孩子的发育情况，警惕脑膜炎后遗症。"
            },
            {
                "sentence_id": "23",
                "speaker": "医生",
                "sentence": "多做做被动操锻炼，俯身抬头训练。"
            },
            {
                "sentence_id": "24",
                "speaker": "患者",
                "sentence": "去医院看过，也做了康复训练"
            },
            {
                "sentence_id": "25",
                "speaker": "患者",
                "sentence": "现在头能立，就是左腿肌肉松弛，双腿没劲，考虑住院给孩子做治疗"
            },
            {
                "sentence_id": "26",
                "speaker": "医生",
                "sentence": "可以的，如果有条件的话，住院做一下康复训练，效果更好。对于目前这个情况的改善，主要是以康复训练为主，做活动，有的医院可能还会配合针灸，理疗等方式，一起治疗。"
            },
            {
                "sentence_id": "27",
                "speaker": "患者",
                "sentence": "现在比较担心孩子感冒了会不会影响"
            },
            {
                "sentence_id": "28",
                "speaker": "医生",
                "sentence": "普通的感冒，倒是不会太影响。只要诱发不了脑膜炎的情况，一般问题不大，还是需要积极的治疗目前的感冒发烧情况。"
            },
            {
                "sentence_id": "29",
                "speaker": "患者",
                "sentence": "因为孩子治愈出院的时候医生反复叮嘱注意不要感冒"
            },
            {
                "sentence_id": "30",
                "speaker": "医生",
                "sentence": "是的，也是担心感冒发烧，再次诱发脑膜炎。"
            },
            {
                "sentence_id": "31",
                "speaker": "患者",
                "sentence": "好的，明白了，"
            },
            {
                "sentence_id": "32",
                "speaker": "患者",
                "sentence": "现在在带孩子去医院的路上"
            },
            {
                "sentence_id": "33",
                "speaker": "患者",
                "sentence": "谢谢医生"
            },
            {
                "sentence_id": "34",
                "speaker": "医生",
                "sentence": "好的，今天先化验个血常规看一下吧"
            },
            {
                "sentence_id": "35",
                "speaker": "患者",
                "sentence": "好的"
            }
        ]
    }
}