张杰秀

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013730},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050016430},{"body":{"content":"都是正常状态","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065332},{"body":{"content":"不是哺乳期孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080629},{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050122056},{"body":{"content":"您在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895968},{"body":{"content":"你线下看过了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909329}]

女

2022.05.20

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049639164},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824357},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826372},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女4岁

2022.05.20

[{"body":{"content":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

男18岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045617169},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045621455}]

女14岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您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？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051832312}]

男21岁

2022.05.20

[{"body":{"content":"你好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878830704},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878834247},{"body":{"content":"有没有偏侧咀嚼习惯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878865385},{"body":{"content":"半年时间。之前只是弹响，最近有几次吃东西时有突然关节错位的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878874148},{"body":{"content":"考虑是颞颌关节功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878895447},{"body":{"content":"有偏侧咀嚼可能是之前正畸牙齿时导致的习惯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878928090},{"body":{"content":"这种情况应该怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954772},{"body":{"content":"疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878962516},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878974137},{"body":{"content":"可以热敷热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878986733},{"body":{"content":"但是有几天较为严重时有肌肉紧绷感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878991781},{"body":{"content":"避免偏侧咀嚼习惯，及过度张口，别熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879014092},{"body":{"content":"如果症状不见好转，建议到医院口腔科实诊一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879034142},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879052709},{"body":{"content":"早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879065329}]

女20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20

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

男25岁

2022.05.20