刘继帅

[{"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

[{"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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965217679},{"body":{"content":"腿上长起来波纹状的条条","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965328831},{"body":{"content":"方便照片拍一下？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965358002},{"body":{"content":"有接触什么药物或者化妆品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965406092},{"body":{"content":"前一两天*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457375},{"body":{"content":"但是我这个都好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466899},{"body":{"content":"感觉好像在**扩散","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965484157},{"body":{"content":"有些是激素水平变化引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490720}]

女17岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050085875},{"body":{"content":"你闹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089687},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050094519},{"body":{"content":"\n血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050099138},{"body":{"content":"早晨空腹7.5左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191862},{"body":{"content":"确诊几年了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209728},{"body":{"content":"10多年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220504},{"body":{"content":"这款可以服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289660},{"body":{"content":"无糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293009},{"body":{"content":"控制血糖要控制主食量，每日最多400g\n\n少喝粥 淀粉类食物少吃\n如土豆 ** 粉条粉皮等\n按时服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305869}]

女

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050371061},{"body":{"content":"您这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050374421},{"body":{"content":"很久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421583},{"body":{"content":"十几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426151},{"body":{"content":"有做过相关的检查吗？吃过什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436963},{"body":{"content":"没有做过特别的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447926},{"body":{"content":"吃过很多通气的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050460170},{"body":{"content":"十几年了有没有查明原因吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050477641},{"body":{"content":"对的，因为开始也不是特别明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050490502},{"body":{"content":"现在年龄比较大了，感觉症状更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507571},{"body":{"content":"建议查个肠镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519736},{"body":{"content":"可以先开一点通气的药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050573203},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050584782},{"body":{"content":"因为这是我爷爷，先开点药，后续我回来再带他去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050599558},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889709},{"body":{"content":"医生，冷链的那个药，会冷链配送吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932809},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050938388},{"body":{"content":"需要怎么储藏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943022},{"body":{"content":"冰箱冷藏就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958132}]

男79岁

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":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"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，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":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"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":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"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":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"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":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"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":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***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":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135579},{"body":{"content":"您好，我是京东互联网医院王医生，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":1653050156855},{"body":{"content":"建议选择****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170585}]

女

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":1653050591753},{"body":{"content":"您做过精液常规吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597508},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640416},{"body":{"content":"精液的话一般是60分钟内液化就属于正常的，而且还要以精液常规的检查单为准的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667283},{"body":{"content":"我这个过了一晚上都还是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685441},{"body":{"content":"嗯，还有其他的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697688},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050704373},{"body":{"content":"没有不适的症状就没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751488},{"body":{"content":"精液中有米粒大小的**和频繁的手淫和性生活有关系，但是也属于正常的。精液里除了精子以外，还有各种精子存活所必须的各种酶和****、**、肌醇、***、****、卵磷脂小体等组成，这些物质就是说的米粒大小果冻状的透明**，这是正常的，不需要检查和治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760467},{"body":{"content":"尿频跟这个有没有关系？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830119},{"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":1653050853917},{"body":{"content":"有的时候会尿频过了几天就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854093},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856101},{"body":{"content":"尿频 / 尿不尽 / 尿道口滴白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050873678},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050876664},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050909980},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913006},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916632},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920653},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050926970},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930991},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050963744},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973205},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050977230},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980988},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987169},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034216},{"body":{"content":"有没有尿分叉、尿等待情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051042861},{"body":{"content":"有尿分叉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076481},{"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":1653051084598},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091526},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110515},{"body":{"content":"您上述的症状是有前列腺炎的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117729},{"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、憋尿、骑车、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":1653051121893},{"body":{"content":"那怎么治疗抗议解决这个问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158057},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188276},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051191313},{"body":{"content":"前列腺炎可以治愈，但是生活中需要多注意，易复发，目前的话，就是药物治疗，症状消失即为临床治愈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051536989},{"body":{"content":"除了吃药，生活习惯也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051544175},{"body":{"content":"用药剂量：0.1g的******，一天两次，一次1片；********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556322},{"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":1653051703023},{"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":1653051705121},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710511},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718168},{"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":1653051723749},{"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":1653051827931}]

男18岁

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":1653049619137},{"body":{"content":"有湿疹病史？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668185},{"body":{"content":"有啊，脖子上之前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049684996},{"body":{"content":"身上也有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049700101},{"body":{"content":"近期周围环境热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049734183},{"body":{"content":"汗多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049737123},{"body":{"content":"就是有次小孩跟我们大人盖一个被子，捂热了，第二身上就有湿疹，用氧化锌软膏后就好了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049770848},{"body":{"content":"不热啊，20几度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049793038},{"body":{"content":"看身上都蜕皮了，是干燥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843536},{"body":{"content":"这也是湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852919},{"body":{"content":"噢噢，那怎么办，针对于这种，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875682},{"body":{"content":"买个儿肤康搽剂稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049880098},{"body":{"content":"要每天洗澡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884813},{"body":{"content":"之前用过炉甘石洗剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049893730},{"body":{"content":"洗后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899073},{"body":{"content":"别用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904383},{"body":{"content":"没用了就用过一两次次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924488},{"body":{"content":"还是保湿 是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964679},{"body":{"content":"必要时*****+***1：1等量均匀混合后涂，一天2次，用5-7天，好转后皮疹消退***一天一次或隔天用，尝试**减停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028481},{"body":{"content":"还是热了之后，出现的这些症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187446},{"body":{"content":"热会加剧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218450}]

男4个月19天

2022.05.20

[{"body":{"content":"您好，我是上海宏康医院皮肤科室的李伟庭主治医生，我已经接诊到您的咨询，我正在看您的主诉，请您稍等，我马上解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965130291},{"body":{"content":"您这个症状有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965144671},{"body":{"content":"一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151174},{"body":{"content":"以前有类似发病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173086},{"body":{"content":"痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965179953},{"body":{"content":"痒，以前没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965246136},{"body":{"content":"手心还有一块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257446},{"body":{"content":"从照片上看像红丘疹过敏引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965266958},{"body":{"content":"根据上述情况我可以给您一些用药方面的建议。 为用药安全，请问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？您是否处于备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965273549},{"body":{"content":"表皮变硬，痒，裂口","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965278140},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965286388},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290355},{"body":{"content":"建议一，要忌口鱼虾牛**和酒别吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298648},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306036},{"body":{"content":"二，外用*****或*****一天二次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306381},{"body":{"content":"三，口服***********一天一粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314535},{"body":{"content":"先口服三天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330579},{"body":{"content":"治疗后应该会好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965339903},{"body":{"content":"手少接触肥皂和洗洁精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965360379},{"body":{"content":"切记，暂时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965370756},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965379544},{"body":{"content":"不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965388155},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965395523},{"body":{"content":"不严重吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965398064},{"body":{"content":"不严重的，放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965413218},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966822906},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967683576},{"body":{"content":"电子处方已开好，等药师审核通过了，可以点击购买了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967798518}]

男31岁

2022.05.20