张志远

[{"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":1653050327858},{"body":{"content":"多久了 因为什么引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050373938},{"body":{"content":"我是一直有白痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399952},{"body":{"content":"近期是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468623},{"body":{"content":"以前是一直在喉咙吐不出来，后来吃中药调理就能吐出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480409},{"body":{"content":"没有，就是上午白色的痰多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050510696},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523107},{"body":{"content":"我是脾胃虚弱，消化不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550923},{"body":{"content":"那这个药我能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050613229},{"body":{"content":"可以吃这个的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626165},{"body":{"content":"袋子里面是**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661049},{"body":{"content":"丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693757},{"body":{"content":"那我一吃用量多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050712367},{"body":{"content":"用法用量\n口服。一次一袋半 ，一日2次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050749742},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050768474},{"body":{"content":"吃多久有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050796313},{"body":{"content":"一疗程 2-4周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829388},{"body":{"content":"我这种情况吃***不会有什么副作用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917472},{"body":{"content":"没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050958285},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967476},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050999241}]

女

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107629},{"body":{"content":"在哪里透析的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120901},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132320},{"body":{"content":"新桥医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137368},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050141485},{"body":{"content":"哪里人啊？**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163289},{"body":{"content":"今天刚出院，但是回来换了一袋以后，阴囊肿起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165096},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050176915},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181228},{"body":{"content":"腹膜透析做了几天？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211048},{"body":{"content":"11号做的手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221306},{"body":{"content":"一周多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245610},{"body":{"content":"腹腔镜手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250567},{"body":{"content":"插管这种，不是腹腔镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268185},{"body":{"content":"哦，几号还是腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290276},{"body":{"content":"哦，几号开始腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313532},{"body":{"content":"12","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321076},{"body":{"content":"下面什么时候开始肿的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357542},{"body":{"content":"下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362073},{"body":{"content":"今天刚出院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050373880},{"body":{"content":"哦，尿量怎么样啊？应该还可以吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398629},{"body":{"content":"出院前是2000每次，一天四次，今天出院耽误了，到目前，换了两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050401571},{"body":{"content":"1000+基本上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412267},{"body":{"content":"有几个建议:暂停几天腹透，观察一下，下次半袋留腹看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489704},{"body":{"content":"好，那我等会儿换的时候，不放完看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531231},{"body":{"content":"若还是不行，可能你有隐匿性的疝气，需要手术修补","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551082},{"body":{"content":"我放出来的时候，感觉飘管了，有点慢，躺着的时候很顺畅","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050597231},{"body":{"content":"等一下都放完啊，空腹几天看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597358},{"body":{"content":"放进去是很通畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050617701},{"body":{"content":"多走走，保持大**畅，没有都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638849},{"body":{"content":"多走走，保持大**畅，每天都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050651857},{"body":{"content":"在这期间有任何不适，及时去新桥医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686563},{"body":{"content":"大**畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050714562},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050727053},{"body":{"content":"那我这个，***肿起来，先不管吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050747921},{"body":{"content":"把腹透液都放出来，一般情况，空腹几天，会**消退的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780249},{"body":{"content":"下次半袋留腹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050795841},{"body":{"content":"若还是不行，建议去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809964},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050875955},{"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":1653051607757}]

男32岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879126767},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879143884},{"body":{"content":"有什么可以帮你的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160146},{"body":{"content":"我这个病情最近有复发的感觉，请问可以帮我开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879188489},{"body":{"content":"以前在**看的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879216436},{"body":{"content":"你以前怎么吃的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879227272},{"body":{"content":"白条***，夜晚富马","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879330621},{"body":{"content":"按量**增加，夜晚最多吃一片，白条两片。各一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879486303},{"body":{"content":"请问医生，能帮我开**的药吗？因为我在就近资源未能开到**的****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879744818},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879951182},{"body":{"content":"谢谢，医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880291295},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882299791}]

男33岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878954453},{"body":{"content":"您好，有清楚的皮疹照片么？我看看目前皮疹什么情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879001158},{"body":{"content":"这就是刚拍的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152636},{"body":{"content":"患处的头破了，有点流水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879375974},{"body":{"content":"现在就是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879557700},{"body":{"content":"在吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880084219},{"body":{"content":"*******湿敷，用*******和*****掺起来抹，早晚用药。如果痒明显口服*******或者*********。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652963426939}]

女2岁4个月

2022.05.20

[{"body":{"content":"您好，我是中医科医生，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865517},{"body":{"content":"对症的话，对慢性肾功能不全有一定的帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945130},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437751},{"body":{"content":"请问您收到消息了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050443195},{"body":{"content":"还在关注我们的对话吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451699},{"body":{"content":"由于问诊时间有限，时间到了系统会自动关诊，请您充分利用好时间，感谢您的理解与配合，请问您是否在线呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458255}]

男70岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965415873},{"body":{"content":"肚子疼和吃饭有关吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965426383},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965431096},{"body":{"content":"大便怎样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965436602},{"body":{"content":"大便感觉还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447741},{"body":{"content":"就是一直隐疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965467676},{"body":{"content":"肚子哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479753},{"body":{"content":"小肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488060},{"body":{"content":"左中右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965499327},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965510139},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965512514},{"body":{"content":"像你这样36岁，下腹部疼痛，还是考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965544147},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965555910},{"body":{"content":"建议做个肠镜看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559203},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965566050},{"body":{"content":"有可能是肠道功能紊乱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573688},{"body":{"content":"就做个肠镜吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965580056},{"body":{"content":"熬夜，喝酒，不良饮食习惯都可以导致","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965592678},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596786},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965599258},{"body":{"content":"需不需要做个腹部彩超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965614366},{"body":{"content":"做肠镜检查，排查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965616763},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626438},{"body":{"content":"下腹部主要是肠管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965627455},{"body":{"content":"只有右下腹有阑尾可以做彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965643507},{"body":{"content":"隐痛，间断出现，考虑肠道问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965679257},{"body":{"content":"********，****，可以吃上看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714511}]

男36岁

2022.05.20

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20