[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049590094},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049595098},{"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":1653049609735},{"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":1653049617449},{"body":{"content":"请问是否有以下症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620195},{"body":{"content":"尿急 / 尿频","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642281},{"body":{"content":"白天小便几次?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049645303},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671014},{"body":{"content":"晚上小便几次?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673923},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680680},{"body":{"content":"每次小便量是否较前减少?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049684861},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690458},{"body":{"content":"您这种情况出现多久了?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694491},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697452},{"body":{"content":"是否做过相关检查?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700490},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708008},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715373},{"body":{"content":"治疗效果是否满意?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718385},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722346},{"body":{"content":"是否方便上传检查报告?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726374},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729682},{"body":{"content":"医生,我最近吃药了,你应该可以看到我开药记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049752502},{"body":{"content":"但是我这两天打了飞机后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049765635},{"body":{"content":"我就感觉排尿更频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783027},{"body":{"content":"刚上完厕所,几分钟又有尿意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796042},{"body":{"content":"去尿,又没多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049806697},{"body":{"content":"药也吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811355},{"body":{"content":"都是处方药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816034},{"body":{"content":"不知道问题出在哪里?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049825755},{"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":1653049838219},{"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、骑车、骑马、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":1653049840500},{"body":{"content":"我戒烟了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049976793},{"body":{"content":"并且不喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981096},{"body":{"content":"甚至辛辣的食品都不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992115},{"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":1653050022253},{"body":{"content":"而且之前吃过六味地黄丸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026315},{"body":{"content":"那我应该吃什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041506},{"body":{"content":"没有上述用药禁忌对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050090907},{"body":{"content":"你觉得会不会是结石呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092800},{"body":{"content":"没用过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100734},{"body":{"content":"没有禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110536},{"body":{"content":",","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231673},{"body":{"content":"既往是否有泌尿系结石病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248885},{"body":{"content":"是否有腰疼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263532},{"body":{"content":"没有腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050378154},{"body":{"content":"三年前,疼过一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387429},{"body":{"content":"疼过几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391214},{"body":{"content":"后面就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400631},{"body":{"content":"可以做泌尿系彩超明确的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434580},{"body":{"content":"目前来看,主要考虑是前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453949},{"body":{"content":"有哪几种检测方式","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461994},{"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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478381},{"body":{"content":"肾虚是不可能引起这么严重的前列腺炎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478617},{"body":{"content":"对吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481442},{"body":{"content":"就是我这种情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050485993},{"body":{"content":"肾虚,是中医说法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619134},{"body":{"content":"我这边是西医,系统分诊到我这边的,主要是使用西药及不需要严格辩证的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907732},{"body":{"content":"那我去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967764},{"body":{"content":"我应该是泌尿内科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050976129},{"body":{"content":"还是外科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979402},{"body":{"content":"泌尿外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996709},{"body":{"content":"好的,谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076209},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051099494},{"body":{"content":"给您些生活建议,希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102467},{"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。控制手淫,不要忍精不射,避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133585}]