刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"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":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992457},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011441},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048420},{"body":{"content":"6.7年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050071197},{"body":{"content":"都开始脱发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075635},{"body":{"content":"不长头发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080197},{"body":{"content":"看照片考虑脂溢性r皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102616},{"body":{"content":"脂溢性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106844},{"body":{"content":"我没有红斑一类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154293},{"body":{"content":"也不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157163},{"body":{"content":"我基本头发一天就油了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168217},{"body":{"content":"可以用****洗头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195805},{"body":{"content":"少吃辛辣，少熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202479},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255027},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261761}]

男25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":1653050514965},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516453},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525224},{"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":1653050534791},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537276},{"body":{"content":"尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561400},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565408},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569636},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572680},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575526},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579572},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581899},{"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":1653050619788},{"body":{"content":"有时候会有一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638977},{"body":{"content":"睾丸侧边隐隐作痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654092},{"body":{"content":"有没有尿分叉、尿等待、尿滴白等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669728},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699710},{"body":{"content":"睾丸局部有明显的红肿肿大吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713120},{"body":{"content":"就是尿完尿感觉不干净 还会在盛出来一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757371},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760594},{"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":1653050767867},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788543},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794658},{"body":{"content":"尿不尽是指尿液不能完全排尽，滴沥不已或排尿后仍有尿意。尿不尽，一般主要病变部位，就是在膀胱颈口，男性主要就是因为前列腺的原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050799780},{"body":{"content":"您目前的症状，考虑有轻微的前列腺炎的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807220},{"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":1653050811341},{"body":{"content":"大部分全占了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860356},{"body":{"content":"嗯，目前的话症状不严重，可以先药物治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050878942},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944874},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954196},{"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":1653050974021},{"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":1653050975020},{"body":{"content":"用药剂量：********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051020534},{"body":{"content":"建议先口服2周的治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028083},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126736},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051133780},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140853},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142790},{"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":1653051218376},{"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":1653051220510},{"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":1653051222880},{"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":1653051290099},{"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":1653051295128},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368767},{"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":1653051408654}]

男19岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，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":1653049839309},{"body":{"content":"有可能是淋巴结","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857125},{"body":{"content":"淋巴结过几天会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881080},{"body":{"content":"如果一直不消失，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897407},{"body":{"content":"这是怎么引起的呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902384},{"body":{"content":"一般几天会消失呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924167},{"body":{"content":"一般出牙.感冒发热都有可能引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018794},{"body":{"content":"一般一周之内会消失","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044355},{"body":{"content":"宝宝刚好在长大牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046039},{"body":{"content":"嗯，观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154915},{"body":{"content":"需要用手按摩一下吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174377},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050186792},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241830},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270044}]

女1岁10个月

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":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965288348},{"body":{"content":"医院说是无法救治，不供血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354892},{"body":{"content":"已经中毒到心脏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406308},{"body":{"content":"已经在医院采取过措施，已经到心脏了，应该是无法救治了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523909}]

男66岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187595},{"body":{"content":"淋巴癌肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965238839},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965275173},{"body":{"content":"淋巴癌肿大，治疗方法？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965310785},{"body":{"content":"是什么样的淋巴癌？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965323324},{"body":{"content":"有没有什么资料图片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337592},{"body":{"content":"肿大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354794},{"body":{"content":"疼痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965370933},{"body":{"content":"没有资料的话只能说个大概，多数是放疗化疗，或者加上手术切除这些办法。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422939}]

女20岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17岁

2022.05.20

[{"body":{"content":"您好，我是您的主治医生，请具体描述你的问题和你的症状，我看完后给你回复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051237648},{"body":{"content":"可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240980},{"body":{"content":"她的情况吃***好还是***好。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320516},{"body":{"content":"*****有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344208},{"body":{"content":"效果更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347932},{"body":{"content":"如果***也睡得着就吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366441},{"body":{"content":"***是中成药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386951},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434490},{"body":{"content":"***副作用应该比***小吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051489856},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498570},{"body":{"content":"好的我知道了谢谢您了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516773},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547029},{"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":1653051549177},{"body":{"content":"***什么牌子比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051563986},{"body":{"content":"都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574028},{"body":{"content":"好了没有问题了谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051595953},{"body":{"content":"**源的可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596654},{"body":{"content":"希望我的建议能够帮助你，麻烦结束后好评下，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600997}]

女84岁

2022.05.20

[{"body":{"content":"发现多久了这样的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965595629},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965603278},{"body":{"content":"两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616239},{"body":{"content":"就是这样子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965667986},{"body":{"content":"两只脚都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686271},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965727967},{"body":{"content":"痒不痒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965730447},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965743084},{"body":{"content":"做剧烈运动了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752800},{"body":{"content":"就是走路会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965759100},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762629},{"body":{"content":"看着是摩擦或者硌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769166},{"body":{"content":"应该是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965806600},{"body":{"content":"可以碘伏消毒一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965825159},{"body":{"content":"然后抹点***预防感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965831167},{"body":{"content":"抹点*******促进愈合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838467},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965838916},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842600},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848749},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860670}]

女14岁

2022.05.20