刘继帅

[{"body":{"content":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

男43岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"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、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"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":1653051482788}]

女

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076045},{"body":{"content":"这个风险大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051160383},{"body":{"content":"相比搭桥手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168648},{"body":{"content":"大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176348},{"body":{"content":"你做的是支架","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182550},{"body":{"content":"不是搭桥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192040},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051194499},{"body":{"content":"这个手术要开胸的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051202670},{"body":{"content":"像你这么重的冠心病风险肯定大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217930},{"body":{"content":"能推荐一下**好的医院和专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353404},{"body":{"content":"安贞医院和阜外医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441436},{"body":{"content":"我目前保守治疗行么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579322},{"body":{"content":"只吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584104},{"body":{"content":"观察吧，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051599798},{"body":{"content":"这两个医院有好的专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051606161},{"body":{"content":"我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051636633},{"body":{"content":"看心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051643910},{"body":{"content":"具体哪些专家我也不是很清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654703},{"body":{"content":"较小的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666139},{"body":{"content":"\n我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688555},{"body":{"content":"麻烦回我一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051700215}]

男47岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050055570},{"body":{"content":"宝宝这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056985},{"body":{"content":"前天的打的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063499},{"body":{"content":"昨天没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066674},{"body":{"content":"今天发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069355},{"body":{"content":"宝宝肿的厉害吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071865},{"body":{"content":"按了会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100110},{"body":{"content":"好的，宝宝之前出现过这种前情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126268},{"body":{"content":"没有，之前就是打****后身上起过疹子发热，就一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187136},{"body":{"content":"好的，宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195312},{"body":{"content":"基本都是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241401},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258780},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261100},{"body":{"content":"没有不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050271212},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296176},{"body":{"content":"根据您的描述，考虑宝宝**接种后的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309554},{"body":{"content":"就是能用**什么的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335847},{"body":{"content":"目前宝宝没有不适，您给宝宝注意局部的**，给宝宝避免沾水，保持局部的干燥清洁就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345781},{"body":{"content":"目前宝宝是不用特殊干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050354124},{"body":{"content":"就是洗澡沾水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388044},{"body":{"content":"后续给宝宝多注意就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414554},{"body":{"content":"如果宝宝肿胀持续增大，宝宝出现皮疹，瘙痒等情况，是可以及时带宝宝小儿皮肤科明确检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516117},{"body":{"content":"宝宝的接种部位，您给宝宝注意日常的**，避免摩擦和捂热、注意局部的干燥清洁，避免皮肤破损与感染，密切观察就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051685507}]

男3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":"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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965137870},{"body":{"content":"你***，睾丸鞘膜积液能做无痛的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151068},{"body":{"content":"睡着了做那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965159343},{"body":{"content":"能不能要求做无痛的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192576},{"body":{"content":"当然可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965204310},{"body":{"content":"可以全麻就无痛了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229590},{"body":{"content":"三甲医院都可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965239014},{"body":{"content":"费用大概多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965245859},{"body":{"content":"全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253132},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255395},{"body":{"content":"成人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965258682},{"body":{"content":"费用2000多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965270407},{"body":{"content":"这么便宜吗？网上看的都要五六千","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965295541},{"body":{"content":"做的时候手术大概要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965329700},{"body":{"content":"这是麻醉费用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346163},{"body":{"content":"手术约1小时左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965363169},{"body":{"content":"连准备到结束一个小时吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382897},{"body":{"content":"问这个没有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402355},{"body":{"content":"与医生的手术水平有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419111},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444832},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479896}]

男31岁

2022.05.20

[{"body":{"content":"不多，便后带血，很红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878679866},{"body":{"content":"你好，请详细描述相关病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878682584},{"body":{"content":"解大便肛门疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878697405},{"body":{"content":"不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878702154},{"body":{"content":"就是有点想拉稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878711942},{"body":{"content":"经常这样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878714408},{"body":{"content":"大便硬不硬","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878723778},{"body":{"content":"不，1年多了。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878724684},{"body":{"content":"软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878729957},{"body":{"content":"1年前也出现过。。去诊所拿药好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878753474},{"body":{"content":"就是很犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878760569},{"body":{"content":"这个血是跟大便活在一起，还是解完大便滴在表面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878773322},{"body":{"content":"顺便问下，做肠胃镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878777637},{"body":{"content":"大便完后滴在表面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878797015},{"body":{"content":"给你建议一下，来医院抽血检查看看是否贫血很厉害，还有顺便肛肠外科检查一下，可能是痔疮，内痔可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878846683},{"body":{"content":"目前没空。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878876035},{"body":{"content":"我想下个月把肠胃镜给做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878891280},{"body":{"content":"也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878900464},{"body":{"content":"大便带血以前也有出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878901799},{"body":{"content":"我在**。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878912920},{"body":{"content":"肠胃镜周末能做？还是得预约","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878969386},{"body":{"content":"得预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879026202},{"body":{"content":"周末可以？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879040342},{"body":{"content":"我们医院周六还可以做，周天没有做","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879044269},{"body":{"content":"在哪。。。从哪里预约，提前几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879062616},{"body":{"content":"能先开个药？我估计这几天吃太多零食。。。。然后肠胃就受不了了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879098584},{"body":{"content":"需要先预约消化内科医生门诊，找医生开单然后预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879104205},{"body":{"content":"类似暴饮暴食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879108149},{"body":{"content":"还是得去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879126052},{"body":{"content":"你现在除了便血有其他症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879128102},{"body":{"content":"想睡。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879133997},{"body":{"content":"胃肠镜必须到医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879139084},{"body":{"content":"大便有点希","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879149249},{"body":{"content":"没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879156162},{"body":{"content":"明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161302},{"body":{"content":"你这症状还是建议来医院抽个血，先看一下血常规和**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879183924},{"body":{"content":"我今天没做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247348},{"body":{"content":"能进去得了医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879253643},{"body":{"content":"好多天没做了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879265780},{"body":{"content":"需要72小时**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879422538},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879512320},{"body":{"content":"现在也没地方做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879552222},{"body":{"content":"现在哪里可以做核酸。。。我在****附近。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879627337},{"body":{"content":"这个你得地图上搜一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881929804},{"body":{"content":"对于你那边我也不熟悉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881937890}]

男30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":1653050481173},{"body":{"content":"您是需要开具处方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483144},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491941},{"body":{"content":"2瓶***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499172},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553355},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557520},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050561686},{"body":{"content":"直接开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572735},{"body":{"content":"非常抱歉，国家为保证儿童的用药安全，所以现在儿童用药都需要线下明确的的病例或药单资料，系统匹配到病例才能使用处方系统，没有匹配到明确的病例或药单开方系统不能使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579843},{"body":{"content":"那我去找","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589964},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830441},{"body":{"content":"请问孩子是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050834886},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050894877},{"body":{"content":"问诊中只能开具一次 处方，处方是一次性的，一旦确认不能更改","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942056},{"body":{"content":"您需要几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945455},{"body":{"content":"您好、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137305},{"body":{"content":"2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051142229},{"body":{"content":"您稍等，处方开具需要2-3分钟，马上给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171030},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233440},{"body":{"content":"您好，处方已开好，您可以直接点击处方预约购药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302221},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051303471},{"body":{"content":"注意遵线下医嘱用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305450},{"body":{"content":"有问题您随时复诊咨询我，您在京东健康首页，看病，直接搜索我的名字，就可以找到我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589464},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051590549},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051595984},{"body":{"content":"祝孩子早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601707}]

女4岁

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385742},{"body":{"content":"一只脚这样还是两只脚都这样。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965484811},{"body":{"content":"两只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516893},{"body":{"content":"有过长期走路或运动的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522638},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965537061},{"body":{"content":"痛痒感有没有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572320},{"body":{"content":"有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965600887},{"body":{"content":"目前的情况考虑是长期外力摩擦导致的皮炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621361},{"body":{"content":"你最近这段时间直到恢复都需要减少活动量。以免症状加重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965635160},{"body":{"content":"怎么医治？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965651827},{"body":{"content":"为了您的用药安全，需要排除禁忌症，请您仔细作答，以便能够正确的指导用药。\n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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965664757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965697084},{"body":{"content":"建议每晚使用******湿敷患处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965699214},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965704667},{"body":{"content":"减少活动量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715832},{"body":{"content":"请问还有其他需要咨询的问题吗？如果没有的话，这边就先关闭订单了，以便服务更多的患者。本次问诊结束后，希望您能给我一个好评。祝您身体健康，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965719391}]

女17岁

2022.05.20