刘继帅

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256552},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259640},{"body":{"content":"可以给咱家宝宝使用鸭嘴吸管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275224},{"body":{"content":"鸭嘴是奶嘴和学饮嘴的过渡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283707},{"body":{"content":"六个月以上的宝宝就可以使用鸭嘴奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290678},{"body":{"content":"您好，您可能忙，没有关系，我一直都在，您有问题随时找我，我会第一时间回复到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064928},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069308},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051073673},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471948}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045289778},{"body":{"content":"都有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045296201},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045297914},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045333005},{"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":1653045336609},{"body":{"content":"除了那个睡眠多和反应迟钝其他都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045399616},{"body":{"content":"通过您的介绍，您这个情况很可能是焦虑抑郁情绪了！建议去精神专科医院【医生面诊】检查一下，网上不能确诊，给您对症开点药物治疗一下，联合心理治疗效果更好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045411373},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045425177},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045566531}]

男16岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"你好，青岛大学附属医院有足踝外科，一般是放在四肢骨骨科里面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965632045},{"body":{"content":"怎么了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965636345},{"body":{"content":"有什么需要帮忙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965640440},{"body":{"content":"能帮忙看个核磁吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686642},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698605},{"body":{"content":"把片子和检查结果一起发过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714552},{"body":{"content":"你这个有积液，有点韧带损伤，但是没有出现断裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816702},{"body":{"content":"这个可以先考虑保守治疗，保守治疗期间定期复查，如果好转就继续治疗，如果病情加重就要考虑做修复术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874173},{"body":{"content":"损伤是撕裂吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965874345},{"body":{"content":"是的，撕裂伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882823},{"body":{"content":"保守了六个月有效果，但是左右脚踝不一样大了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916595},{"body":{"content":"没有断裂吗？只是撕裂了多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965933533},{"body":{"content":"能前后左右各个方向活动吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948657},{"body":{"content":"图片来看没有完全的断裂，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965965617},{"body":{"content":"可以，没啥问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965965705},{"body":{"content":"这个肯定会不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965974399},{"body":{"content":"受过伤的就是受过伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983511},{"body":{"content":"和原装货肯定不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990394},{"body":{"content":"怎么继续恢复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005785},{"body":{"content":"只要它功能正常的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966011113},{"body":{"content":"需要吃点药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015761},{"body":{"content":"爆发没以前高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966025893},{"body":{"content":"平时适当功能锻炼，可以喷的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030207},{"body":{"content":"揉一揉，功能锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966041351},{"body":{"content":"需不需要稳定性力量训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966077633},{"body":{"content":"大约还需要多久能恢复到之前","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127854},{"body":{"content":"这个受伤的前三年都会不舒服，后期会**好起来，但是很难恢复到和之前一模一样，只能比较接近之前的状态","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966247888},{"body":{"content":"前三年吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966320823},{"body":{"content":"我不会残疾吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328783},{"body":{"content":"不会残疾的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966369602},{"body":{"content":"你是骨关节医生吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966398895},{"body":{"content":"我是全科医生，之前做骨科医生，现在做外科医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966442436},{"body":{"content":"你的情况大概就是这样的。如果你想指定莫个人去看，可以直接指定的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966478144},{"body":{"content":"好的，我这个脚踝问题大不大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966589514},{"body":{"content":"只能说目前还好，加强功能锻炼就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966638161},{"body":{"content":"好的 谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966686744},{"body":{"content":"不用谢，祝早日康复，身体健康，万事如意。如果后面有什么问题可以随时找我，你可以关注一下，或者指定我为你的私人医生，方便以后健康咨询。亲，等下系统会自动发一个评价界面过来，记得给一个免费的五星好评哦，非常感谢您的支持！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966735133},{"body":{"content":"医生，您帮我看下距骨有撕脱吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652979612769},{"body":{"content":"韧带有损伤，骨头没有看到明显得断裂之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652997594683}]

男25岁

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"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，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"body":{"content":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20

[{"body":{"content":"您好，我是主治医师陈宗梅，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346289},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349203},{"body":{"content":"您好，我是京东互联网医院陈医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367810},{"body":{"content":"***和***都有治疗肺燥咳嗽、咽痛，喑哑，失音的作用，同时都有**通便的作用。***味甘、寒，有****的作用，同时，有****，**通便的功效，用于热邪出现的肺热伤津，声音嘶哑，干咳无痰，咽干，咽痛的症状。***治疗热结便秘的症状，可以治疗头痛和目赤肿痛。***味甘、凉，也归肺经和大肠经，同样****、**通便，可以治疗肠燥导致的便秘，这两个药物都可以治疗肺热伤到咽喉的部位，出现咽痛、失音及肠燥便秘的功效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390926},{"body":{"content":"***或******茶都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050469460}]

女

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355050},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369853},{"body":{"content":"治疗过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379953},{"body":{"content":"以前是后背上有，治疗了后面前又有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453311},{"body":{"content":"没有照片，老年人在老家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500622},{"body":{"content":"以前诊断过什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543374},{"body":{"content":"用过什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547447},{"body":{"content":"医生说是湿疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050576141},{"body":{"content":"用了什么药就不知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050600228},{"body":{"content":"首先没有照片我没办法判断病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050758640},{"body":{"content":"第二您没法提供药物 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050768521},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858961},{"body":{"content":"麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863657},{"body":{"content":"不麻烦 下次您最好拍个照片 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880674},{"body":{"content":"病历和用药都拍一下 这样好判断","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898686},{"body":{"content":"嗯，我人没在家所以没有这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050942882},{"body":{"content":"好的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959696}]

男75岁

2022.05.20

[{"body":{"content":"您好，我是主治医师高瑞雪，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576687},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049579632},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630429},{"body":{"content":"1、（男性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？\n2、（女性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期？\n3、（婴幼儿，儿童，青少年）为了用药安全，是否有药物及食物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633516},{"body":{"content":"多少周了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049640910},{"body":{"content":"20","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652167},{"body":{"content":"血糖正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669689},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680128},{"body":{"content":"这些可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049692282},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049699644}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049590094},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049595098},{"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":1653049609735},{"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":1653049617449},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620195},{"body":{"content":"尿急 / 尿频","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642281},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049645303},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671014},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673923},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680680},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049684861},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690458},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694491},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697452},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700490},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708008},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715373},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718385},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722346},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726374},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729682},{"body":{"content":"医生，我最近吃药了，你应该可以看到我开药记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049752502},{"body":{"content":"但是我这两天打了飞机后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049765635},{"body":{"content":"我就感觉排尿更频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783027},{"body":{"content":"刚上完厕所，几分钟又有尿意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796042},{"body":{"content":"去尿，又没多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049806697},{"body":{"content":"药也吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811355},{"body":{"content":"都是处方药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816034},{"body":{"content":"不知道问题出在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049825755},{"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":1653049838219},{"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":1653049840500},{"body":{"content":"我戒烟了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049976793},{"body":{"content":"并且不喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981096},{"body":{"content":"甚至辛辣的食品都不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992115},{"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":1653050022253},{"body":{"content":"而且之前吃过六味地黄丸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026315},{"body":{"content":"那我应该吃什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041506},{"body":{"content":"没有上述用药禁忌对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050090907},{"body":{"content":"你觉得会不会是结石呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092800},{"body":{"content":"没用过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100734},{"body":{"content":"没有禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110536},{"body":{"content":"，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231673},{"body":{"content":"既往是否有泌尿系结石病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248885},{"body":{"content":"是否有腰疼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263532},{"body":{"content":"没有腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050378154},{"body":{"content":"三年前，疼过一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387429},{"body":{"content":"疼过几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391214},{"body":{"content":"后面就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400631},{"body":{"content":"可以做泌尿系彩超明确的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434580},{"body":{"content":"目前来看，主要考虑是前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453949},{"body":{"content":"有哪几种检测方式","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461994},{"body":{"content":"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478381},{"body":{"content":"肾虚是不可能引起这么严重的前列腺炎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478617},{"body":{"content":"对吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481442},{"body":{"content":"就是我这种情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050485993},{"body":{"content":"肾虚，是中医说法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619134},{"body":{"content":"我这边是西医，系统分诊到我这边的，主要是使用西药及不需要严格辩证的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907732},{"body":{"content":"那我去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967764},{"body":{"content":"我应该是泌尿内科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050976129},{"body":{"content":"还是外科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979402},{"body":{"content":"泌尿外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996709},{"body":{"content":"好的，谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076209},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051099494},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102467},{"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。控制手淫，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133585}]

男27岁

2022.05.20