王建力

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051114312},{"body":{"content":"目前主要有哪些不适症状？什么时候开始的？持续多长时间了？有没有加重或缓解的因素？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123002},{"body":{"content":"大夫，您好！我母亲68岁，膝盖疼的厉害，医生建议膝关节置换手术，想让您看看是不是必须手术治疗，母亲年龄大了，害怕手术。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134834},{"body":{"content":"膝关节炎很严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152531},{"body":{"content":"关节间隙没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051159051},{"body":{"content":"疼痛估计也很厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163965},{"body":{"content":"活动受限吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171568},{"body":{"content":"她这个5岁时被砸了，是伤腿，一直疼，最近一周影响走路了，疼痛厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200657},{"body":{"content":"必须手术吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051221517},{"body":{"content":"建议手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240693},{"body":{"content":"保守治疗，注射****效果怎么样？她听说周围有人手术恢复不好后来拄拐了，害怕手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293929},{"body":{"content":"保守治疗，也只是拖延时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333861},{"body":{"content":"我觉得早做手术，康复更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362579},{"body":{"content":"手术风险大吗？她有高血压，血糖的话前两天测的8点多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051426521},{"body":{"content":"可以这样子，先****注射保守治疗三个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435001},{"body":{"content":"如果没有缓解，还是痛的厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443066},{"body":{"content":"再考虑手术也不迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447803},{"body":{"content":"手术风险还可以，这些术前会调整到正常水平","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051469539},{"body":{"content":"好的，谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051487403},{"body":{"content":"希望我的建议能够帮助到您！\n如果您对我的回答表示满意，请在对话结束后给出推荐评语和五星好评～\n祝您早日康复，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534285}]

女67岁

2022.05.20

[{"body":{"content":"晚上好！非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879147513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152563},{"body":{"content":"下班了吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879166548},{"body":{"content":"请您详细的描述一下您的症状好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879168947},{"body":{"content":"我就是用手多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879211670},{"body":{"content":"现在勃起不来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220381},{"body":{"content":"嗯，有没有腰膝酸软，头晕乏力，失眠多梦的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879238056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247460},{"body":{"content":"晚上有时候会失眠","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879256521},{"body":{"content":"嗯，您平时怕冷还是怕热？有没有手脚冰凉，遗精盗汗的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879265281},{"body":{"content":"有时候睡得很晚 醒的很早","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879272830},{"body":{"content":"偶尔会有 盗汗倒不是很严重 以前吃六味地黄丸 盗汗就差不多治好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879307122},{"body":{"content":"嗯，平时怕冷的多还是怕热的多了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879326917},{"body":{"content":"都还好吧 没太注意过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879365953},{"body":{"content":"有没有尿频，尿急，尿痛，尿不尽，尿分叉，尿等待，小腹不适，阴囊潮湿，腰酸腰痛的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879388682},{"body":{"content":"阴囊潮湿偶尔会有 ，腰酸腰痛也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440027},{"body":{"content":"**症状没有是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879458868},{"body":{"content":"尿频，尿急，尿不尽，尿分叉，尿等待，小腹不适 用手完了以后偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473340},{"body":{"content":"记忆力没以前好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487687},{"body":{"content":"别的就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879492313},{"body":{"content":"平时这个有频繁的手淫习惯对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879510247},{"body":{"content":"对啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540611},{"body":{"content":"嗯，首先建议要坚决戒除手淫的坏习惯，这个坏习惯对身体是影响非常大的，一定要戒除!!! 不要看刺激的图片或视频，一旦有这个想法，赶快要转移注意力，否则以后影响身心.会越来越严重，却记","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584043},{"body":{"content":"现在一有感觉就想用手 可是勃起不来 就算*** 也不赢 不到两分钟一会就软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879597261},{"body":{"content":"我会**戒掉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879607045},{"body":{"content":"因为长时间的手淫会导致阴茎海绵体严重受损，严重的影响身体健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660909},{"body":{"content":"平时有没有喝酒，吃辛辣刺激性的东西，憋尿，久坐，熬夜等不良习惯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673578},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879673790},{"body":{"content":"这些都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879685629},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879696318},{"body":{"content":"现在开始戒酒了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879696354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706848},{"body":{"content":"根据你所描述的症状，您这是肾阴阳两虚和平时生活的不良习惯导致勃起功能障碍的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879751922},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879775159},{"body":{"content":"放心吧，可以治疗康复的。针对你的情况，结合我多年的临床经验，建议你这种情况采用*西药结合治疗。达到标本兼治的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879794233},{"body":{"content":"这个是不是也是阳痿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879795554},{"body":{"content":"能从地方药店买到吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879813300},{"body":{"content":"药的话我这里帮你开处方，然后通过京东互联网医院帮你安排邮寄治疗就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879866192},{"body":{"content":"现在快递很慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879900598},{"body":{"content":"而且我现在还在***这边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879918821},{"body":{"content":"根据你描述的情况，您这个情况建议服用，*****，****，****，来起到一个最佳的改善和恢复的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879920286},{"body":{"content":"建议配合治疗，因为线下不一定有咱们的药，也方便你后期复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879961003},{"body":{"content":"****。。。 不是**啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879963629},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880000794},{"body":{"content":"****是助你勃起功能障碍的药，还有两位是中药稳固治疗，才能起到最佳的效果，好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042474},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060044},{"body":{"content":"嗯，要帮你开处方治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880067732},{"body":{"content":"这个?多久见效啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880069694},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880072834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880087549},{"body":{"content":"服用一个疗程10天左右的药，就基本改善恢复，达到满意稳定的情况后，就可以考虑停药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880139642},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153223},{"body":{"content":"根据您的症状情况为了您的用药安全，请问您是否有药物过敏史，肝肾功能异常或其他病史吗？是否在备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880158926},{"body":{"content":"没有过敏的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175073},{"body":{"content":"就是在备孕。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182876},{"body":{"content":"嗯，建议您这个情况先调理好身体，然后再备孕，否则会影响你的备孕情况好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880217959},{"body":{"content":"我觉得备孕期间吃 ****。。。 不是特别好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880229865},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880236277},{"body":{"content":"好的您稍等，我这就帮你开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880251120},{"body":{"content":"*****，****，**** 这三种药还吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880262411},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880425821},{"body":{"content":"是的，一起服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453942},{"body":{"content":"处方帮你开好了，你点击购买就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880484406},{"body":{"content":"购买成功后给我说一声，我把我个人二维码发给您，方便日后复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880507724},{"body":{"content":"就这三种吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880545121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880553712},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880569580},{"body":{"content":"购买成功了给我说一声，我帮你留一个复诊名额","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880599177},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632039},{"body":{"content":"这些能吃多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880722143},{"body":{"content":"这是一个疗程7天左右的用药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880742043},{"body":{"content":"先服用一个疗程的用药看看，达到稳定和满意的情况后，就可以考虑停药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880936977},{"body":{"content":"你购买成功了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880975062},{"body":{"content":"你好，你点击购买成功了吗？您这个情况不能再往后拖了，你现在还年轻，及时调理的话还是比较好康复的，不要拖到后期严重了，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882002040},{"body":{"content":"早上好！昨天帮你开的处方审核通过了，你点击购买成功了吗？然后我好帮你做健康档案登记，留复诊名额。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652920093505},{"body":{"content":"主要是怕快递。。。 寄来的慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652921979918},{"body":{"content":"放心好了！现在帮你安排邮寄，大概三天左右您就能收到了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922011086},{"body":{"content":"那么长时间都过来了，咱们也不差这两三天对吧！建议配合治疗，才能得到改善和恢复好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922056071},{"body":{"content":"这是我作为医生，给你的建议，你自己考虑吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922097382},{"body":{"content":"你现在还年轻，及时调理的话，那么还是比较好康复的，不要拖到后期严重了在治疗，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922176197},{"body":{"content":"帮你开的药都是根据你的身体情况，来搭配取到最佳改善和恢复治疗的药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922592811},{"body":{"content":"线下不一定有咱们的药，而且方便你复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922617832}]

男25岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822939},{"body":{"content":"请问您有没有做过尿常规检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049846374},{"body":{"content":"您泡沫尿有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045765},{"body":{"content":"是这样的，如果只是偶然发现泡沫尿增多，您有可能不好鉴别是真的泡沫尿还是假的，然后尿液发黄，一般和尿量有关，比如喝水多、尿量多，一般尿液会稀释，会偏清澈，如果当天喝水比较少，尿液会浓缩，会比较黄。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128975},{"body":{"content":"所以您到底有没有问题，分析再多，其实不去做一个尿常规检查更便于去明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172016},{"body":{"content":"就比如你猜测一个人的身高，再怎么对比、猜测，不去拿尺子去直接量一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206485},{"body":{"content":"所以我建议你先到就近的医疗机构查个尿常规，这样有没有问题就很明确了，不用去怀疑有没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241854},{"body":{"content":"有做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531720},{"body":{"content":"是在社区医院做的，显示的全部阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550077},{"body":{"content":"喝水尿液就不黄了，但是泡沫会有，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607487},{"body":{"content":"这个以实验室检查为准，因为尿液浓缩后，浓度会增高，小便时冲刷作用也会起泡，但这和真的泡沫尿（蛋白尿）是不一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065648},{"body":{"content":"咱肾脏每天排出的毒素量是相对固定的，和喝水多少关系不是特别大，喝水多呢，毒素会稀释，喝水少呢，毒素浓度会高，所以表现出来的性状也不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154217},{"body":{"content":"就跟普通啤酒和精酿啤酒浓度不一样一个道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170016},{"body":{"content":"好的，尿常规没有问题，就是说我是正常的对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359684},{"body":{"content":"对的，多喝水就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051368827},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051377679},{"body":{"content":"上边我主要给你通俗的解释了下，你理解下就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411582}]

男25岁

2022.05.20

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

女35岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035924305},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035929742},{"body":{"content":"有没有**不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035948869},{"body":{"content":"尿痛?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035955637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035957266},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653035963214},{"body":{"content":"到医院检查了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653035973323},{"body":{"content":"出现症状前有没有性生活?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036006426},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036023629},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036031579},{"body":{"content":"医院说好的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036032469},{"body":{"content":"尿常规?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036039830},{"body":{"content":"尿常规正常的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036059723},{"body":{"content":"近期是否做过相关检查？检查单子发上来看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036086091},{"body":{"content":"正常的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036086876},{"body":{"content":"我现在不在家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036111200},{"body":{"content":"没办法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036135806},{"body":{"content":"反正乃天医生说是都正常的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036161456},{"body":{"content":"用过什么药物?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036168365},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036173526},{"body":{"content":"最近就吃了**和***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036186471},{"body":{"content":"那先不要服药，观察几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036237518},{"body":{"content":"**也不能吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036318580},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036332959},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036344758},{"body":{"content":"不要喝酒，饮食忌辛辣刺激性食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036371693},{"body":{"content":"没有喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653036429346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653036441614}]

女19岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760593},{"body":{"content":"哪个部位的疤痕呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772349},{"body":{"content":"多长时间了？目前是什么状况？方便发张局部的照片过来看看吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784371},{"body":{"content":"胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786885},{"body":{"content":"小时候有先天心脏病，特别小的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049798453},{"body":{"content":"做过手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801936},{"body":{"content":"确实是很特殊的部位。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049807800},{"body":{"content":"有没有治疗过呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814407},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049819583},{"body":{"content":"疤痕挺严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833998},{"body":{"content":"平常局部有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857631},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049870567},{"body":{"content":"局部凸起的明显吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881038},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884473},{"body":{"content":"有没有反复感染呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892065},{"body":{"content":"应该算是增生吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892906},{"body":{"content":"没有吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049898902},{"body":{"content":"就是有时候热了出汗，会有这发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920163},{"body":{"content":"建议面积太大，时间又长的周身性疤痕，可以考虑浅部同位素放疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945876},{"body":{"content":"这有什么途径能够消除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951765},{"body":{"content":"这对身体有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049963785},{"body":{"content":"能够祛疤彻底吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973276},{"body":{"content":"浅部的*****治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974332},{"body":{"content":"剂量只要不大，对身体影响可以忽略不计。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985713},{"body":{"content":"只是针对增生性瘢痕的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992925},{"body":{"content":"这个需要做多少次呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013827},{"body":{"content":"而且也只是治疗瘢痕的浅部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017588},{"body":{"content":"得需要多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024261},{"body":{"content":"我看网上说有祛疤手术啥的，还有二次缝合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065938},{"body":{"content":"疗程要根据机体对放射性元素的敏感程度来定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072018},{"body":{"content":"面积太大的疤痕，切除后如果没有皮肤覆盖，不建议考虑手术。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050091409},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050101810},{"body":{"content":"您说的这个，一般做一次多少钱讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119823},{"body":{"content":"医院不同，选择的治疗不一样，费用标准也不一样的，具体可以到当地医院的核医学科或者是整形美容科面诊咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195434},{"body":{"content":"医院的话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205617},{"body":{"content":"我们医院目前还没有该项治疗项目，所以不方便提供价格参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216046},{"body":{"content":"建议选择正规医院的核医学科或者整形美容科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228250},{"body":{"content":"去什么水平的医院可以做讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231789},{"body":{"content":"有必要去专门的美容医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266339},{"body":{"content":"建议去医院吧，美容医院估计不会有这种治疗措施的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282885},{"body":{"content":"综合性医院，应该会有的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296081},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305576},{"body":{"content":"请问还有其他疑问需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315481},{"body":{"content":"我是***的，这种程度，在市级医院可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326188},{"body":{"content":"还是去**呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336661},{"body":{"content":"可以先去咨询问一下，如果不行再去**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344500},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351381},{"body":{"content":"谢谢您啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357715},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，对我答复满意的话，请给予5星好评，祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362888}]

女26岁

2022.05.20

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384421},{"body":{"content":"摸下什么感觉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404051},{"body":{"content":"皮肤下面有一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433657},{"body":{"content":"腱鞘囊肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531141}]

男3岁

2022.05.20