刘继帅

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760593},{"body":{"content":"哪个部位的疤痕呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772349},{"body":{"content":"多长时间了？目前是什么状况？方便发张局部的照片过来看看吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784371},{"body":{"content":"胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786885},{"body":{"content":"小时候有先天心脏病，特别小的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049798453},{"body":{"content":"做过手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801936},{"body":{"content":"确实是很特殊的部位。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049807800},{"body":{"content":"有没有治疗过呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814407},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049819583},{"body":{"content":"疤痕挺严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833998},{"body":{"content":"平常局部有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857631},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049870567},{"body":{"content":"局部凸起的明显吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881038},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884473},{"body":{"content":"有没有反复感染呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892065},{"body":{"content":"应该算是增生吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892906},{"body":{"content":"没有吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049898902},{"body":{"content":"就是有时候热了出汗，会有这发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920163},{"body":{"content":"建议面积太大，时间又长的周身性疤痕，可以考虑浅部同位素放疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945876},{"body":{"content":"这有什么途径能够消除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951765},{"body":{"content":"这对身体有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049963785},{"body":{"content":"能够祛疤彻底吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973276},{"body":{"content":"浅部的*****治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974332},{"body":{"content":"剂量只要不大，对身体影响可以忽略不计。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985713},{"body":{"content":"只是针对增生性瘢痕的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992925},{"body":{"content":"这个需要做多少次呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013827},{"body":{"content":"而且也只是治疗瘢痕的浅部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017588},{"body":{"content":"得需要多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024261},{"body":{"content":"我看网上说有祛疤手术啥的，还有二次缝合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065938},{"body":{"content":"疗程要根据机体对放射性元素的敏感程度来定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072018},{"body":{"content":"面积太大的疤痕，切除后如果没有皮肤覆盖，不建议考虑手术。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050091409},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050101810},{"body":{"content":"您说的这个，一般做一次多少钱讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119823},{"body":{"content":"医院不同，选择的治疗不一样，费用标准也不一样的，具体可以到当地医院的核医学科或者是整形美容科面诊咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195434},{"body":{"content":"医院的话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205617},{"body":{"content":"我们医院目前还没有该项治疗项目，所以不方便提供价格参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216046},{"body":{"content":"建议选择正规医院的核医学科或者整形美容科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228250},{"body":{"content":"去什么水平的医院可以做讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231789},{"body":{"content":"有必要去专门的美容医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266339},{"body":{"content":"建议去医院吧，美容医院估计不会有这种治疗措施的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282885},{"body":{"content":"综合性医院，应该会有的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296081},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305576},{"body":{"content":"请问还有其他疑问需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315481},{"body":{"content":"我是***的，这种程度，在市级医院可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326188},{"body":{"content":"还是去**呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336661},{"body":{"content":"可以先去咨询问一下，如果不行再去**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344500},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351381},{"body":{"content":"谢谢您啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357715},{"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，对我答复满意的话，请给予5星好评，祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362888}]

女26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143466},{"body":{"content":"现在哺乳期，甲周疣有什么治疗手段？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188894},{"body":{"content":"拍个照片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210359},{"body":{"content":"前两天用指甲刀修简后今天撕开了一部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287753},{"body":{"content":"可以到医院皮肤科做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297740},{"body":{"content":"我在网上看可以擦成****，有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050328239},{"body":{"content":"无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339333},{"body":{"content":"冷冻是不是周期很长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341677},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349153},{"body":{"content":"其他没什么办法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355858},{"body":{"content":"现在哺乳期，还没出月子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369133},{"body":{"content":"可以治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379247},{"body":{"content":"好吧，越晚治疗越严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050398172},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424161},{"body":{"content":"预计要多长时间？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471579},{"body":{"content":"好郁闷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475554},{"body":{"content":"应该是怀孕最后一个月感染的，一直不知道是什么，没重视","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499618},{"body":{"content":"外用一个月看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502667},{"body":{"content":"先做一次冷冻看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525961}]

女31岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049698659},{"body":{"content":"您好，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703911},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729820},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756789},{"body":{"content":"你好，两岁半大约喝多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049764502},{"body":{"content":"一天两次一次10克就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786356},{"body":{"content":"如果不上火了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790441},{"body":{"content":"一次5--10克","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049797880},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874857},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900587}]

女

2022.05.20

[{"body":{"content":"您好！我是全科杨医生。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475971},{"body":{"content":"感冒发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965485010},{"body":{"content":"请问您有线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965514462},{"body":{"content":"需要我提供什么帮助呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525570},{"body":{"content":"***可以和**和***一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540383},{"body":{"content":"可以一起服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965561331},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965581040},{"body":{"content":"不用谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965586690},{"body":{"content":"****可以治发烧吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965669759},{"body":{"content":"昨晚去医院看完，打完吊针","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965682373},{"body":{"content":"今天中午又发烧回来了37.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965691186},{"body":{"content":"昨天发烧38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965696493},{"body":{"content":"***是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965707704},{"body":{"content":"37.7度可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729561},{"body":{"content":"不建议服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762260},{"body":{"content":"那吃了会没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799008},{"body":{"content":"37.6度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965815288},{"body":{"content":"体温一般超过38.5℃才需要服用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822709},{"body":{"content":"那服用了不会有什么事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844698},{"body":{"content":"问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965894003},{"body":{"content":"但没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900255},{"body":{"content":"物理降温即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913330},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965913596},{"body":{"content":"***也是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965922176},{"body":{"content":"***37.6可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965925074},{"body":{"content":"也没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965930767},{"body":{"content":"多喝水，物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965949178},{"body":{"content":"怎么物理降温","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965955308},{"body":{"content":"用凉水敷额头有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000654},{"body":{"content":"多喝水，温水擦浴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966003850},{"body":{"content":"主要擦哪里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966081566},{"body":{"content":"比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091055},{"body":{"content":"擦全身","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092507},{"body":{"content":"凉水敷额头也可以帮助降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123990},{"body":{"content":"吃多了药，晚上肾疼正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966157179},{"body":{"content":"两边肾都有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966174897},{"body":{"content":"偶尔喝点水，一喝过一会就想上厕所","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966199470},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966203328},{"body":{"content":"人是感受不到肾疼的，除非肾结石、肾破裂等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966235048},{"body":{"content":"多喝水，排尿多，帮助降温好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966257939},{"body":{"content":"如反复发热，不缓解，建议及时当地医院发热门诊就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311743},{"body":{"content":"去医院看过了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966575564},{"body":{"content":"去医院看的时候38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585946},{"body":{"content":"然后晚上就退烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966593801},{"body":{"content":"昨晚又发烧了37.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966600376},{"body":{"content":"到现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966606503},{"body":{"content":"都是差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966612136},{"body":{"content":"嗯嗯，比昨天好，说明发热有好转。可物理降温，然后继续观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966669500},{"body":{"content":"昨天晚上都退烧了，然后今天又发回来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966707244},{"body":{"content":"昨晚打了吊针的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966714874},{"body":{"content":"如果再不能好，需不需要去医院看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966726231},{"body":{"content":"如果药物有效，也需要一定时间，一般如果3天都无明显好转，需要复查，更改方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966796601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966826024},{"body":{"content":"还有拉不出屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966832820},{"body":{"content":"有感觉想拉，就去拉不出正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966844795},{"body":{"content":"***有没有用呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967020917},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967027257},{"body":{"content":"服用的**多少会对****有点影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967060806},{"body":{"content":"***有帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071490},{"body":{"content":"那买那种比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967105415},{"body":{"content":"这个没有推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967137916},{"body":{"content":"成人儿童的都可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967186022},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967194654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967228858},{"body":{"content":"多吃蔬菜、水果，补充蛋白质，提高抵抗力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967232010},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967236835},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967312057},{"body":{"content":"嗯嗯，不用谢。请问您还有其他医学问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967337071},{"body":{"content":"暂时没了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967368155},{"body":{"content":"好的。感谢您的咨询，希望我的建议能够帮助到您，非常感谢您的信任！对话结束后可对我的服务作出评价。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967396570}]

男20岁

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，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726762},{"body":{"content":"您好，我那个双手因为颈椎病压迫手僵硬，服药后缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049775705},{"body":{"content":"想照方开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786549},{"body":{"content":"需要多少副？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823607},{"body":{"content":"10副谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836042},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848240},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983115},{"body":{"content":"***是不是5克？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249338}]

女62岁

2022.05.20

[{"body":{"content":"您好贺医生 我要买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011373161},{"body":{"content":"我觉得我最近状态还可以 我考虑适当减药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011393046},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011399024},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411803},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011411804},{"body":{"content":"减药最好，找一下，当地医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011428542},{"body":{"content":"面诊检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011430363},{"body":{"content":"不要自己减药，容易复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011447299},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011514275},{"body":{"content":"4盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011520574},{"body":{"content":"这个药的副作用我一直很担心 因为吃太久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011531210},{"body":{"content":"定期去医院检查就可以了，一般没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011554417},{"body":{"content":"感觉现在记忆力各方面变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011554924},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011556592},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011558137},{"body":{"content":"本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011569141},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011615655},{"body":{"content":"目前我觉得状态还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011631334},{"body":{"content":"那贺医生你就给我开药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011650751},{"body":{"content":"我到时候再去找医生看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011661407},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011681831},{"body":{"content":"***4盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011695321},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011697905},{"body":{"content":"下次买药前，您在【京東app】，搜【***】，图文问诊挂号，就可以给您开药了！最新上线【私人医生】服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011699765},{"body":{"content":"ok","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653011896743},{"body":{"content":"帮我点右下角【加号➕】或者右上角的表扬医生，请给我一个好评，【写几个字】就行！或者在结束问诊的时候写评语！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653011902879},{"body":{"content":"我只能买预约药品吗 可以买其他的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012007927},{"body":{"content":"我把你这个处方单下载下来 京东大药房的药都可以买？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653012022901},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012028553},{"body":{"content":"自己截图处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012051835},{"body":{"content":"自己留着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653012054790}]

女44岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050205207},{"body":{"content":"请问是怎么受伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217262},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221825},{"body":{"content":"小孩玩耍，不小心用棍棒碰到眼睛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261065},{"body":{"content":"昨天这个时候就一点血丝，现在就是图片上的症状了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301978},{"body":{"content":"有没有视力下降？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304757},{"body":{"content":"没有，除了一点点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336388},{"body":{"content":"这个问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344926},{"body":{"content":"没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356345},{"body":{"content":"就是结膜下的小血管受外力撞击之后破裂了导致的结膜下出血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375996},{"body":{"content":"就是血丝血块多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381832},{"body":{"content":"1-2天内单位会有逐渐扩大的趋势","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404756},{"body":{"content":"需要进医院治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412595},{"body":{"content":"不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423702},{"body":{"content":"这个血块3-4周会自己吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050435641},{"body":{"content":"48小时内建议您用冰袋冷敷一下眼睛促进**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050455062},{"body":{"content":"48小时候可以热敷促进积血吸收","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467620},{"body":{"content":"昨天不明显，**一直在封控状态，昨天就没有去看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478335},{"body":{"content":"需要***消毒杀菌之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511077},{"body":{"content":"您如果觉得实在不舒服可以用一点*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536958},{"body":{"content":"症状不明显的话不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550412},{"body":{"content":"不舒服到是不明显，不然昨天就开就医证明去医院看了，就是稍微有点涩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611544},{"body":{"content":"那不需要特殊处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657921},{"body":{"content":"这几天尽量少用眼就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669522},{"body":{"content":"3-4周积血就能吸收完了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683825},{"body":{"content":"今天可以用冰袋敷一下**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050706072},{"body":{"content":"饮食有什么要求注意的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708917},{"body":{"content":"好的，一会我去冰敷一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050733257},{"body":{"content":"不要吃辛辣的就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757726},{"body":{"content":"这个可以滴吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050786167},{"body":{"content":"这不不需要哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050790759},{"body":{"content":"这个是降眼压的，不对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797576},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806395},{"body":{"content":"谢谢医生了，**封控出不去，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050851738},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050858813},{"body":{"content":"你们都辛苦了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881845}]

男34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":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"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":1653050182241},{"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":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"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":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"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":1653051562558},{"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":1653051564303}]

男4岁

2022.05.20