刘继帅

[{"body":{"content":"您好，我是副主任医师石俊英，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049691820},{"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":1653049697003},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049720715},{"body":{"content":"宝宝一岁是喝这个吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728566},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049735764},{"body":{"content":"之前是喝的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049758198},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772579},{"body":{"content":"才刚喝一罐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049781368},{"body":{"content":"是要换吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049787968},{"body":{"content":"嗯，宝宝有乳糖不耐受吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797101},{"body":{"content":"其实不需要换，接着喝这个就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823681},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049835856},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049889314}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414453},{"body":{"content":"这里是京东医生平台","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881387}]

男58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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739065},{"body":{"content":"血常规问题不大，别担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768254},{"body":{"content":"孩子发烧呢，考虑就是病毒感染或疫苗接种的原因，暂时可观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777869},{"body":{"content":"已经发烧5天，前几天发烧到38.5，吃了***就退了，但从昨天开始(第六天）开始低烧（37.5左右），吃了***，小**温度还不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171031},{"body":{"content":"那么拍胸片了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200942},{"body":{"content":"有可能是幼儿急疹啊，所以可以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210605},{"body":{"content":"宝宝精神还不错，稍有闹腾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050212554},{"body":{"content":"总之再观察一天吧，应该快退烧了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258762},{"body":{"content":"这个没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280316},{"body":{"content":"幼儿急疹不是三四天就下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286517},{"body":{"content":"有可能是幼儿急疹啊，所以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293607},{"body":{"content":"我们这烧7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314400},{"body":{"content":"一般是反复发烧3~5天，如果发烧7天了，那么要排除是不是有川崎病的可能性，检查一下心脏彩超，做血培养支原体抗体等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341066},{"body":{"content":"这没问题呀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050480572},{"body":{"content":"住院了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497642},{"body":{"content":"那为啥一直发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507290},{"body":{"content":"没有，我们精神挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525589},{"body":{"content":"一般就是病毒感染，你再检查一下支原体和****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050527024},{"body":{"content":"如果孩子现在体温逐渐下降不太高的话那么也可以先观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050539171},{"body":{"content":"那小**还要吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588272},{"body":{"content":"有体温的话可以吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602750},{"body":{"content":"可是吃了体温也不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643784},{"body":{"content":"这个不好说了，因为没有找到具体原因，但是体温也逐渐下降了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701450},{"body":{"content":"具体什么原因导致了发烧，还不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711315},{"body":{"content":"还是再观察一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051180402},{"body":{"content":"因为体温也逐渐下降了，而且精神状态挺好的，可以暂时观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051204209}]

女8个月8天

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965001307},{"body":{"content":"我想问下用****清洗耳朵怎么清洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965025404},{"body":{"content":"滴满外耳道 5到10分钟 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965060396},{"body":{"content":"然后用**吸干吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965105226},{"body":{"content":"可以空出来的 单侧耳朵像下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150014},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965184212},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965195527},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965210827}]

男20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，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34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":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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965757804},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965780812},{"body":{"content":"可以把报告发给我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965785236},{"body":{"content":"没系道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965830266},{"body":{"content":"大概的意思 你是描述的胆囊的大小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965866511},{"body":{"content":"但是您写的数值不正确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881610},{"body":{"content":"他写成40******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965893697},{"body":{"content":"是您自己的报告吗 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965920361},{"body":{"content":"应该是60mm","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965932371},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935369},{"body":{"content":"所以 您还有其他不适的感觉吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965976184},{"body":{"content":"不知反正是B超写的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965983580},{"body":{"content":"沒有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056035},{"body":{"content":"乙肝病毒会有没些问题出现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966138705},{"body":{"content":"应该是书写的误差 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966702843},{"body":{"content":"您的意思是 您有乙肝病毒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966843746},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966867492},{"body":{"content":"乙肝dna 和肝功水平有没有问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890219},{"body":{"content":"彩超有没有提示肝纤维化改变","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966917995},{"body":{"content":"1和5是阳姓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966933382},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966945774},{"body":{"content":"是乙肝 DNA病毒含量 和 肝功。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966980702},{"body":{"content":"只有提示胆有於汁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967063085},{"body":{"content":"照CL只有獭壮肝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967131840},{"body":{"content":"请 描述准确一些 我不太看得懂您说的 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967179628}]

男43岁

2022.05.20