刘继帅

[{"body":{"content":"请问类似症状出现多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494521},{"body":{"content":"就是这一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595244},{"body":{"content":"平时还挺正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965617283},{"body":{"content":"考虑是异常子宫出血，异常子宫出血是妇科常见的症状和体征，是指与正常月经的周期频率、规律性、经期长度、经期出血量任何一项不符的、源自子宫腔的异常出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966251973},{"body":{"content":"一般三天出结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966260541},{"body":{"content":"请问末次月经来潮时间？平常月经规律吗？月经多长时间来潮一次？怀孕过几次？宝宝多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966280109}]

女42岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306281},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965316712},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965333592},{"body":{"content":"我这没有能给你开药的界面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965366570},{"body":{"content":"你是不是没有实名认证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965371791},{"body":{"content":"我是网页进入的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965404854},{"body":{"content":"我从京东进入吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965417939},{"body":{"content":"那就不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459264},{"body":{"content":"不能开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965466242},{"body":{"content":"好的    谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965493405},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965510929}]

女28岁

2022.05.20

[{"body":{"content":"您好，我是主治医师白新锐，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049621230},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049624133},{"body":{"content":"\n你好，我想你推荐一些适合没有牙齿的老人吃的商品","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049675102},{"body":{"content":"蛋糕就挺软乎的，适量就可以食用的哦亲，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049728073},{"body":{"content":"老人家一天只愿意吃一餐饭，其余都靠零食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049822461},{"body":{"content":"总是饼干配椰奶或咖啡之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861278},{"body":{"content":"我也不知道该让她吃什么才能营养均衡","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891690}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965313398},{"body":{"content":"有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965396944}]

女24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":"余医生这个上次您开了药娃儿吃完了，现在还是喊累，中途感冒了一次，最近又感冒有点支气管炎，这个药还能继续开着吃吗？感觉他呼吸声音比平时大一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876518865},{"body":{"content":"因为最近回区县了，上来不方便也就没有带上来儿童医院来看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876665617},{"body":{"content":"这个是最近在地方查血的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876713597},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879311767},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879315328},{"body":{"content":"上面的内容要重复发一遍吗？，可以看见不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347728},{"body":{"content":"病历发给我看一下，现在用的什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879351169},{"body":{"content":"之前在您那里开了一个疗程的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879392288},{"body":{"content":"现在小朋友还是喊累，中途有感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879408259},{"body":{"content":"这几天又有一点感冒，喊累得比较频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427564},{"body":{"content":"你再继续吃一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879473745},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487683}]

男2岁6个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965137870},{"body":{"content":"你***，睾丸鞘膜积液能做无痛的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151068},{"body":{"content":"睡着了做那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965159343},{"body":{"content":"能不能要求做无痛的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192576},{"body":{"content":"当然可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965204310},{"body":{"content":"可以全麻就无痛了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229590},{"body":{"content":"三甲医院都可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965239014},{"body":{"content":"费用大概多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965245859},{"body":{"content":"全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253132},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255395},{"body":{"content":"成人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965258682},{"body":{"content":"费用2000多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965270407},{"body":{"content":"这么便宜吗？网上看的都要五六千","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965295541},{"body":{"content":"做的时候手术大概要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965329700},{"body":{"content":"这是麻醉费用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346163},{"body":{"content":"手术约1小时左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965363169},{"body":{"content":"连准备到结束一个小时吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382897},{"body":{"content":"问这个没有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402355},{"body":{"content":"与医生的手术水平有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419111},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444832},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479896}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883922},{"body":{"content":"********是一个中成药，大部分的药效都是****的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906653},{"body":{"content":"宝宝发热几天？，最高体温几度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928401},{"body":{"content":"我家小朋友经常没有发烧，但是咳嗽，所以我想问问能不能作为常备药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938542},{"body":{"content":"没有发烧哦，只是咳嗽，现在已经好了，他在幼儿园吃了鸡排什么就容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049968928},{"body":{"content":"这个药可以备在家里，但是不生病不建议吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065547},{"body":{"content":"就是孩子咳嗽的情况下，可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081436},{"body":{"content":"如果宝宝单纯的是咳嗽，肺上没有痰，排除肺炎的情况下。可以在家里做**治疗。副作用小一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050175483},{"body":{"content":"如果有痰可以按说明书吃点吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075776},{"body":{"content":"如果咳嗽有痰，可以按说明书吃上2~3天的药物。这个药物也有**的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"大部分孩子轻微咳嗽，通过**和口服****的药物，效果都很好。如果咳嗽严重，建议及时到医院就诊完善详细的体格检查，排除肺炎后进一步治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257508},{"body":{"content":"好的，谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051355990},{"body":{"content":"不用谢，希望我的建议可以帮助到您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051603577}]

男6岁

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":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20