刘继帅

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20

[{"body":{"content":"现在因疫情图片不在手里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871979},{"body":{"content":"想开几盒补铁药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878932274},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879235885},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879244058},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250650},{"body":{"content":"非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879256807},{"body":{"content":"好的，您需要开几盒？怎么服用的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879272924},{"body":{"content":"想开5盒，每天2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879304506},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879330671},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879336879},{"body":{"content":"家长您好！处方已开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879472577},{"body":{"content":"你****能开30袋一盒的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879740765},{"body":{"content":"这样买还便宜?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879859520},{"body":{"content":"你好！可以不用处方了！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880143141},{"body":{"content":"家长您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652913116491}]

女4岁

2022.05.20

[{"body":{"content":"你好，我是朱医生，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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20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":1653050028505},{"body":{"content":"不用于通风的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034459},{"body":{"content":"大拇指红肿可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137134},{"body":{"content":"这情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050157219},{"body":{"content":"吗多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172250},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174354},{"body":{"content":"之前医院检查过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206024},{"body":{"content":"跑步跑下脚趾头红肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215505},{"body":{"content":"是痛风引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230924},{"body":{"content":"医院看过不确定是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281230},{"body":{"content":"尿酸就比正常的高一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305846},{"body":{"content":"那没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319683},{"body":{"content":"可以用这个**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324236},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351654},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356381},{"body":{"content":"不客气 奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362146}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965669409},{"body":{"content":"宝宝这样的情况有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965680363},{"body":{"content":"就今天早晨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965701026},{"body":{"content":"好的，看不出有蚊虫叮咬的痕迹吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965852017},{"body":{"content":"暂时看不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965894996},{"body":{"content":"好像也有一个小红点点，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908714},{"body":{"content":"哦，可以先用**消毒，在涂上***看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948058},{"body":{"content":"出现红肿还是考虑炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965963503}]

男1岁7个月

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485229},{"body":{"content":"医生，您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499277},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513887},{"body":{"content":"您现在主要是什么症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519863},{"body":{"content":"怀孕初期除了***还要补充什么****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534162},{"body":{"content":"没有什么症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050543046},{"body":{"content":"吃的哪种**呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550784},{"body":{"content":"就是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591957},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615926},{"body":{"content":"有无药物过敏史呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618351},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050633065},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645232},{"body":{"content":"我听说还要补充维生素D是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654205},{"body":{"content":"可以用***代替***服用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698303},{"body":{"content":"可以服用***补充备孕期和孕期补充**和***的\n\n【用法用量】\n口服。一次 1 片，一日 1 次，与早餐同时服用；如存在晨起恶心现象，可在中午或者晚上服用。\n\n请您查看药品说明书中的注意事项，本品不推荐儿童使用。使用后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间因为含铁, 本药可改变粪便的颜色使之变黑, 这无临床意义。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050786922},{"body":{"content":"平时多吃水果蔬菜加强营养","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798084},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050929077},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！\n\n\n\n很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051834539}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965001307},{"body":{"content":"我想问下用****清洗耳朵怎么清洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965025404},{"body":{"content":"滴满外耳道 5到10分钟 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965060396},{"body":{"content":"然后用**吸干吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965105226},{"body":{"content":"可以空出来的 单侧耳朵像下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150014},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965184212},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965195527},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965210827}]

男20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019888555},{"body":{"content":"各地价格不一样，一千左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019893630},{"body":{"content":"**的医院做心理疾病诊断要多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653020051879},{"body":{"content":"具体需要，问当地医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020626158},{"body":{"content":"这里是互联网医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653020630696}]

女14岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476062},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965480101},{"body":{"content":"有检查单吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492627},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965497946},{"body":{"content":"检验单没在身边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965508271},{"body":{"content":"没怀孕就是想问一下盆腔粘连对孕妇和孩子有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965566215},{"body":{"content":"宫外孕发生率高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965689316},{"body":{"content":"什么程度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965704905},{"body":{"content":"这个不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746559},{"body":{"content":"建议：先治病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965834430},{"body":{"content":"后备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965841235},{"body":{"content":"它这个用动手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965907957},{"body":{"content":"什么情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940513},{"body":{"content":"根据情况选择治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965953170},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968708},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966002979},{"body":{"content":"若有检查单，可以发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030143},{"body":{"content":"检查单没在我这","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966049821},{"body":{"content":"所以看不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966072316},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966103521},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966119638},{"body":{"content":"方便时拍照发给我就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123148},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966129043}]

女25岁

2022.05.20