张玉亮

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653057154230}]

女3岁

2022.05.20

[{"body":{"content":"您好，我是内科医生蔡磊，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":1653049917851},{"body":{"content":"你好，有什么医学问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919788},{"body":{"content":"目前主要有哪些不适症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921495},{"body":{"content":"就是眼皮跳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934341},{"body":{"content":"这个严重吗？什么原因造成的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974485},{"body":{"content":"多长时间了呢？！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015192},{"body":{"content":"眼皮跳了一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041978},{"body":{"content":"眼睑再调吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047932},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050052563},{"body":{"content":"这个脑白质缺血严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066006},{"body":{"content":"左眼睑？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069552},{"body":{"content":"有什么基础病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050074298},{"body":{"content":"右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080571},{"body":{"content":"没有什么基础病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050087563},{"body":{"content":"这个情况建议您做一个血管成像。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050199381},{"body":{"content":"考虑有动眼神经的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205514},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442855},{"body":{"content":"要做血管成像检查缺血灶？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490741},{"body":{"content":"看看血管有没有问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050508104},{"body":{"content":"因为您这个年龄不应该出现有缺血灶的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515216},{"body":{"content":"然后规律治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524826},{"body":{"content":"查血管挂什么科室？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591840},{"body":{"content":"去神经内科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612249},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618015},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621679}]

男38岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405267},{"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":1653050491570},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494120},{"body":{"content":"可以作为减肥的辅助产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501910}]

女

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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409242},{"body":{"content":"有什么需要帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965411629}]

男6个月19天

2022.05.20

[{"body":{"content":"您好，你能再详细的说一下现有的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878768015},{"body":{"content":"有没有发烧，局部炎症？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878786767},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879903522},{"body":{"content":"打了三天点滴，有一点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879937101},{"body":{"content":"有没有查血常规呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880041173},{"body":{"content":"没有查。就做了比超，打了**，现在又有点消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882693354},{"body":{"content":"那您可以继续坚持治疗，另外还是建议您查个血常规，看看是不是炎症引起淋巴结肿大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882763536}]

男34岁

2022.05.20

[{"body":{"content":"多长时间了，我是京东医生孙文贺，很高兴为你服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040272},{"body":{"content":"症状说完，我仔细分析","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042761},{"body":{"content":"说下具体症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048298}]

女

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

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595516},{"body":{"content":"你是患者本人吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049606155},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049612738},{"body":{"content":"这么年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626743},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629347},{"body":{"content":"是家里人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049640119},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683854},{"body":{"content":"咨询什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689152},{"body":{"content":"家里老人轻微中风","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049713486},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725390},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049727803},{"body":{"content":"为了用药安全，请问你是否有药物过敏史，是否有肝肾功能异常，是否有慢性疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049732198},{"body":{"content":"5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732283},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742701},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861411},{"body":{"content":"回看沟通记录可见电子处方。点开电子处方，下方会有 预约药品，点击后会跳转京东，补充**等信息，支付后，京东药师审核后，会直接按照您预留**发货，无需再上传处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049869848},{"body":{"content":"不用客气，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871882},{"body":{"content":"脑梗塞应这样\n1.应平衡饮食和营养，多吃蔬菜、水果和谷类食品，减少饱和脂肪酸和胆固醇的摄入；每天盐摄入量限制在6克以下。\n\n2、继续锻炼，持续锻炼可减少20%的复发风险，每天至少进行30分钟的适度体育活动，如步行、慢跑、**拳、骑自行车等，每周5次。\n\n3、定期体检和会诊，患者应定期检查血压、心电图、血糖**脂，并根据自己的检查结果咨询神经科医生，帮助解决所遇到的各种问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876299},{"body":{"content":"你可以点开我的头像关注我，以后有问题随时可以咨询我， 或者去：京东_搜我的名字***，点击图文咨询直接咨询就行。这样就能找到我了，有什么用药问题或者购药问题都可以继续咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879609},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对给予5星好评，您的好评是对我最好的肯定与鼓励，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881616}]

女31岁

2022.05.20