刘继帅

[{"body":{"content":"您好，我是主任医师谷丽梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883184},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887093},{"body":{"content":"你运动锻炼吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049916218},{"body":{"content":"请问您是擅长哪方面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936797},{"body":{"content":"我想咨询其他的可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049945613},{"body":{"content":"你不是咨询***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974367},{"body":{"content":"可以咨询其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988305},{"body":{"content":"咨询哪方面？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050006005},{"body":{"content":"脚趾甲盖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026842},{"body":{"content":"甲沟炎？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048464},{"body":{"content":"怎么处理啊之前各种原因，有指甲有白的，后来受伤了有点淤血，然后就空了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094532},{"body":{"content":"我可以发图片吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100610},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050104706},{"body":{"content":"这叫什么我也不知道，我踢足球会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268275},{"body":{"content":"是开始先变白然后才这样的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420920},{"body":{"content":"还是受伤之后这样的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436855},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469538},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471739},{"body":{"content":"什么差不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050492097},{"body":{"content":"先变白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496573},{"body":{"content":"本来可能也不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504141},{"body":{"content":"然后踢球⚽️会伤到指甲","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050517295},{"body":{"content":"那这可能是真菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556071},{"body":{"content":"也就是所说的灰指甲的原因导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614573},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663057},{"body":{"content":"不是甲沟炎是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674979},{"body":{"content":"我这样真菌感染的怎么处理","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050688924},{"body":{"content":"医生?‍⚕️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050764203},{"body":{"content":"有好的建议吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769497},{"body":{"content":"可以口服****试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780561},{"body":{"content":"还要保证个人卫生，经常进行洗、更换**以及鞋子，保证透气。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816851},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889708},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892487},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050899169}]

女

2022.05.20

[{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965068363},{"body":{"content":"可以喝***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072782},{"body":{"content":"小孩感冒了，还没吃***就拉肚子了，拉水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965152016},{"body":{"content":"化验个大便，顺便把轮状病毒抗体也查一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965177714},{"body":{"content":"请问吃了***要阁多久吃*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965179449},{"body":{"content":"****是空腹的时候吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229973},{"body":{"content":"***是饭后吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290114},{"body":{"content":"他们不在一起吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965294246},{"body":{"content":"那现在饭后吃了***，多久后吃****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965346882},{"body":{"content":"临睡前给吃****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359719},{"body":{"content":"一次吃一包，用50毫升的水化开喝上。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965378926},{"body":{"content":"把她拉的大便用一次性的口杯接上，半小时之内送到化验室去化验一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457135},{"body":{"content":"因为最近我们病房，轮状病毒性肠炎的孩子还挺多的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476718},{"body":{"content":"他的大便冲走了，没留","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965588937},{"body":{"content":"明天看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965601254},{"body":{"content":"好的，她拉屎的时候你就接一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965618463},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966111055}]

女3岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965115388},{"body":{"content":"胆总管下段肿瘤需要手术，还是保守治疗，已经有黄疸症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192284},{"body":{"content":"身体条件允许情况下 手术是第一选择","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965242082},{"body":{"content":"？能看到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811640},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966851195},{"body":{"content":"能告知，胆总管下段肿瘤比较好的医院是哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969309302},{"body":{"content":"你在哪个城市","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969338548},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971360472},{"body":{"content":"那去上海东方肝胆医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000668058},{"body":{"content":"你做的检查结果发来给我看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001057760},{"body":{"content":"这个属于中期还是晚期扩散？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001165906},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001169378},{"body":{"content":"这个病本身恶性程度比较高 但是目前没看到转移的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001191946},{"body":{"content":"应该还有手术机会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001200270},{"body":{"content":"手听说有一个药****是不是可以用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001291325},{"body":{"content":"这是化疗药物 不能治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001366555},{"body":{"content":"要手术切除才最好啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001375558},{"body":{"content":"*，手术第一选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001460362},{"body":{"content":"能手术的情况下肯定先选择手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001525761},{"body":{"content":"疫情期间**也不方便去 省内的话就去省立医院和安医附院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001775219},{"body":{"content":"好的，谢谢。?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001836863}]

男77岁

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965473931},{"body":{"content":"几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528532},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965547978}]

女17岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014952},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015424},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026568},{"body":{"content":"是需要开具 ********吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035496},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045979},{"body":{"content":"好的，看到了宝宝线下医院的药物处方单","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065444},{"body":{"content":"为用药安全，请问宝宝有没有药物过敏史？肝肾功能有没有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069746},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074877},{"body":{"content":"需要开具几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051097291},{"body":{"content":"她已经用过这个药了，然后拿着到处涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098387},{"body":{"content":"两盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102659},{"body":{"content":"药污染了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051111243},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120501},{"body":{"content":"请稍等，一会这个页面可以看到处方单，点击预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122683},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131871},{"body":{"content":"用药前请严格按说明或医嘱来使用药物，如在用药过程中 如出现皮疹、皮肤瘙痒、发热等过敏反应和 任何不适或症状没有明显改善，立即停药并及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051135310},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051148364},{"body":{"content":"处方审核通过了，点击处方单—查看详情—预约药品即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182245},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051275624},{"body":{"content":"我需两盒，现在是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291891},{"body":{"content":"你直接开一盒吧，它的链接是两盒的量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051344990},{"body":{"content":"这边打开处方显示给宝宝开具的是2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374593},{"body":{"content":"2×2是四盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051439166},{"body":{"content":"你给我开一盒吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051466451},{"body":{"content":"因为一次问诊只能开具一次处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478043},{"body":{"content":"这样吧，您按照以下的方法购药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051491786},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051507963},{"body":{"content":"第一、点进上方的处方单-截图保存在手机里","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051508548},{"body":{"content":"第二、********，点药物后的小车 把药物加入购物车，在购物车里购买药物，上传截图的处方，预约药物即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051530496},{"body":{"content":"我现在在找另一位医生问诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051531527},{"body":{"content":"您按照这个方法就可以购药了，不需要再重新问诊开具处方了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555860},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730444},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051737466}]

女3岁

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"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":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"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":1653051756485}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050271052},{"body":{"content":"您好，我是河南大学淮河医院男科副主任医师***，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细的阅读您的病情描述*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274699},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282935},{"body":{"content":"①　请问您是否从第一次性生活开始就出现射精过快？\n②　射精过快的现象有：1）.在进入阴道之前或进入后约1分钟以内就射了；2）.相比之前射精潜伏时间显著缩短，通常小于3分钟；3）.偶尔出现射精过快，短于3分钟。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291324},{"body":{"content":"③　性欲如何？性刺激下阴茎能否勃起？硬度是否足以插入？能否维持足够时间？有无早泄等射精功能障碍？有无***异常？\n④　勃起硬度：1级，阴茎只胀大但不硬，类似豆腐，为重度勃起功能障碍；2级，阴茎有硬度，但硬度不足以插入阴道，类似剥了皮的香蕉，为中度勃起功能障碍；3级，能插入阴道但不坚挺，类似香蕉，为轻度勃起功能障碍；4级，阴茎完全勃起并坚挺，类似黄瓜，为勃起功能正常。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050295243},{"body":{"content":"符合以上哪种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305598},{"body":{"content":",第四种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364986},{"body":{"content":"阴茎能硬，但也软的快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438886},{"body":{"content":"就是硬的时候，**进不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474879},{"body":{"content":"结婚了吗性生活频率是\n睡眠质量好吗有失眠多梦盗汗耳鸣吗\n有腰漆酸软口干舌燥吗\n有手淫的习惯吗多久一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276080},{"body":{"content":"依次回答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051278772},{"body":{"content":"没有结婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302033},{"body":{"content":"睡眠还行，就是睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327738},{"body":{"content":"有盗汗耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051380222},{"body":{"content":"有腰漆酸软，口干舌燥，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051421492},{"body":{"content":"之前手淫频繁，每天天一两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458375},{"body":{"content":"性生活的时候**进不去，硬的慢，软的快，有四五年手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468640},{"body":{"content":"有精神不振乏力脾气暴躁容易上火吗\n有性生活后腰痛吗\n有怕冷怕热吗\n熬夜饮酒多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478743},{"body":{"content":"有精神不振乏力脾气暴躁容易上火\n\n有怕冷怕热\n熬夜饮酒多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051552722},{"body":{"content":"没有性生活过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051561049},{"body":{"content":"有阴囊潮湿大便挂壁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578045},{"body":{"content":"有尿频尿急尿不尽尿分叉尿痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585226},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051587589},{"body":{"content":"拍个舌苔照片不要美颜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611738},{"body":{"content":"尿分叉，尿痛的情况少了，其他的情况都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051629316},{"body":{"content":"根据你的描述和舌苔表现考虑为肾虚湿热勃起功能障碍可以通过药物结合行为疗法进行治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726339},{"body":{"content":"那都吃些什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754494},{"body":{"content":"你现在是匿名患者无法开具处方，开具处方需要扫描我的复诊二维码进行问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051763301},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051822397},{"body":{"content":"这个对话框结束后再扫描","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051847144}]

男28岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965190556}]

男14岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837557},{"body":{"content":"您是明确诊断为早泄，需要开具*******吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050846891},{"body":{"content":"其他药物都是试了 没效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892863},{"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":1653050905801},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050910794},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946970},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949985},{"body":{"content":"1—3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954851},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956911},{"body":{"content":"1—3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970570},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975576},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980688},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983701},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987461},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991463},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002970},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051007028},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023576},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051035951},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060975},{"body":{"content":"那您这个早泄的情况是可以使用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074403},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077668},{"body":{"content":"*********：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051078646},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098190},{"body":{"content":"***有3片和6片装的，您需要哪种？需要几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106247},{"body":{"content":"三盒六片装","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179112},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196462},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231610},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233865},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235346},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283649},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051300500},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305153},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还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，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528201}]

男33岁

2022.05.20

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

女13岁

2022.05.20