刘继帅

[{"body":{"content":"您好，这里是京东互联网医生，请问您有什么需要解决的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965114185},{"body":{"content":"你好 我感觉我对生活提不起一点兴趣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168515},{"body":{"content":"有没有情绪明显的低落，出现睡眠问题，入睡困难，或者早醒，和朋友接触交流少了，对自我评价过于底，以及心慌心慌胸闷，胃肠道等方面的不适！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965175421},{"body":{"content":"有 比较容易心慌 然后紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965218326},{"body":{"content":"有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965241212},{"body":{"content":"一两年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965355889},{"body":{"content":"如果持续性存在不缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375443},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965381170},{"body":{"content":"我不知道是不是因为的病闹的 因为我有癫痫病 一直在吃药 然后就感觉还不如没我这个人 可能我朋友或者家人也不用担心我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965478421},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965538629},{"body":{"content":"目前症状来说有点抑郁症的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965565779}]

女24岁

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

[{"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":"您好，我是京东健康互联网医院专业育儿顾问，非常高兴由我为您提供咨询服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337743},{"body":{"content":"请问有什么可以帮到您的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050340115},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362606},{"body":{"content":"你好我家宝宝五个多月了喝的***一段，喝了一个月了一点肉都没长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365473},{"body":{"content":"宝宝精神状态怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050386427},{"body":{"content":"小宝宝长到5-7个月的时候，体重常常就长得不快了，有的孩子甚至不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050484681},{"body":{"content":"状态很好，有拉绿便还有奶瓣吃了*****好点了，吃不多就吃一100到120","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497056},{"body":{"content":"一般4-5个月的孩子要开始添加辅食，如果还不加辅食，有可能会出现缺铁性贫血，孩子就不长体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554294},{"body":{"content":"要注意孩子是不是存在着消化不良的问题，有没有积食的问题，要注意孩子有没有腹胀、没有食欲的情况。如果出现食欲下降、腹胀，还有便秘的情况，要适当的给孩子服用肠道的***来增强消化功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050608462},{"body":{"content":"也有的宝宝因为选的奶粉不当，也可能出现这种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683893},{"body":{"content":"大便一天一次有时候两次正常，吃的******奶味的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684433},{"body":{"content":"你可以换一款产品试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709073},{"body":{"content":"星飞帆卓睿怎么样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050784452},{"body":{"content":"每款奶粉都有它的优点，只是每个宝宝的体质不同","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050869597},{"body":{"content":"可能这款奶粉不适合咱家的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937562},{"body":{"content":"你可以换一款产品","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050979401},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051101978},{"body":{"content":"祝您平安喜乐，万事胜意，宝宝健康成长 ~","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182125},{"body":{"content":"如果您对我的服务满意的话 辛苦您点击右上角\"表扬\"那里 给我一个五星好评呀?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190830}]

女

2022.05.20

[{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280998},{"body":{"content":"孩子有不舒服么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288780},{"body":{"content":"昨天头晕，疼，吐了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300593},{"body":{"content":"这个囊肿没有症状不不需要处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307977},{"body":{"content":"吃了药，今天精神有所好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050313512},{"body":{"content":"这种严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050322514},{"body":{"content":"是什么原因引起的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343780},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050417102},{"body":{"content":"一般是先天性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422115},{"body":{"content":"看范围不大，应该不是这个囊肿引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439891},{"body":{"content":"这种情况一般会不会长大呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497414},{"body":{"content":"这种吃药有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563962},{"body":{"content":"定期复查，有长大的也有自己没的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573449},{"body":{"content":"不需要口服，没啥效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580570},{"body":{"content":"不长大的话。是不是就没啥影响呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050615656},{"body":{"content":"还有就是，这个囊肿引起的症状会头晕**，还有什么症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663615},{"body":{"content":"如果持续增大，有症状就处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698460},{"body":{"content":"手术治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701905},{"body":{"content":"主要是**头晕恶心呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723533},{"body":{"content":"或者活动异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732315},{"body":{"content":"这种是微创吗？还是传统的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858500},{"body":{"content":"有微创","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050873787},{"body":{"content":"目前一年复查一次行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933757},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051479520},{"body":{"content":"平时需要注意些什么呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051626785},{"body":{"content":"没啥特殊注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051658152}]

女9岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051004533},{"body":{"content":"医生您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051038529},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051213},{"body":{"content":"荨麻疹停车时间了，大概一个月，当时隔离就没吃药，这个泛红是刚刚洗完澡发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051093045},{"body":{"content":"挺长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099986},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110752},{"body":{"content":"腿上，胳膊上，脚上也有，之前脸上也有，泛红只有小腿上外侧部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051147167},{"body":{"content":"根据您的图片及描述考虑是丘疹性荨麻疹的可能比较大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051186918},{"body":{"content":"那个红色的也是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051198754},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205826},{"body":{"content":"我刚刚涂了那个*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051214556},{"body":{"content":"还需要口服药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051220600},{"body":{"content":"从您上传的图片看有水泡出现，建议您配合口服药治疗效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051263425},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？请问您目前是否处于孕期、哺乳期、备孕期？以便为您推荐药物。如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313028},{"body":{"content":"好的，那麻烦医生帮忙开药，性价比高一点的，就是不要太贵的? ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322922},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051328694},{"body":{"content":"稍等，我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340522},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051372610},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373609},{"body":{"content":"*****，每天一片，睡前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404000},{"body":{"content":"配合家里的*****治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051415740},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468938},{"body":{"content":"医生，吃药期间有什么不能吃的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491864},{"body":{"content":"比如****什么的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499712},{"body":{"content":"建议您将床垫拍打时用吸尘器吸干净。床上用品、贴身衣物烫洗后再用，避免搔抓刺激，避免接触宠物，避免辛辣刺激食物，鱼虾，牛**，避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051552807},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051572527},{"body":{"content":"不客气，建议您规律用药一周观察疗效，也可以用药一周复诊看一下恢复情况，再给您进一步的用药建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601281},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619951},{"body":{"content":"不客气的，请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632317},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734280}]

女22岁

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002981947},{"body":{"content":"妇科有没有问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003008222},{"body":{"content":"没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003019326},{"body":{"content":"纸巾擦出的血都是很少很少量","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003035741},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003052170},{"body":{"content":"建议到线下医院检查一下尿常规，泌尿系B超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003062441},{"body":{"content":"同时妇科检查一下，排除妇科炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003077447},{"body":{"content":"前两天多喝水多排尿情况有好转但是昨天没有忌口今天情况就变差了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003081847},{"body":{"content":"嗯，需要治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003095727},{"body":{"content":"有建议服用的药物吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003110899},{"body":{"content":"这样大概费用是多少呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653003118613},{"body":{"content":"检查费用大概200多元","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003152526},{"body":{"content":"您不在国内?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653003197661}]

女22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，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":1653049639164},{"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":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"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":1653049824357},{"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":1653049826372},{"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":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"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":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"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":1653051079804}]

男31岁

2022.05.20