刘继帅

[{"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":"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":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"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":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"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":1653052142994}]

男34岁

2022.05.20

[{"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":1653050529765},{"body":{"content":"建议1-2贴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541791},{"body":{"content":"一盒6贴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050557178},{"body":{"content":"1-2贴就可以完全好了呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582018},{"body":{"content":"因人而异奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603138},{"body":{"content":"1-2盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612306},{"body":{"content":"抱歉 打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615946},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633123},{"body":{"content":"掉了后会不会还会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721610},{"body":{"content":"**会恢复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050759372},{"body":{"content":"谢谢您，我先买一盒试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775431},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050832428},{"body":{"content":"不客气奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838619},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052173863},{"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":1653052175595}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176918},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051230127},{"body":{"content":"宝宝是双眼都有症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234152},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051239097},{"body":{"content":"平时宝宝有经常用手揉眼睛的情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267519},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290655},{"body":{"content":"眼泪在眼睛里存着的时候就会有好多黄色的脓状眼屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345952},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390235},{"body":{"content":"宝宝是纯母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396214},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400220},{"body":{"content":"症状出现后有给宝宝用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051568555},{"body":{"content":"用过几天*** 后来发现不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051708066},{"body":{"content":"这个药物一天使用了几次呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726670},{"body":{"content":"一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051730877},{"body":{"content":"一只眼睛一滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744138},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051777058},{"body":{"content":"根据您的描述初步考虑宝宝为泪囊炎伴泪道阻塞的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789461},{"body":{"content":"眼部分泌物增多是炎症的表现，需要局部用药来**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051801433},{"body":{"content":"而******是**效果的药物，是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051812262},{"body":{"content":"建议一天3次，一次1滴，给宝宝继续使用5天看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828013},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051905655},{"body":{"content":"您客气，应该的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913445},{"body":{"content":"在宝宝眼分泌物增多时，建议用****冲洗眼睛后再用药，有利于促进炎症的恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917801},{"body":{"content":"****跟泪液的成分相似，有轻度**的作用，对眼睛没有刺激，而且这款是小支装****，使用方法跟***是一样的，非常方便卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051996808},{"body":{"content":"使用10分钟后再使用***，不冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052011235},{"body":{"content":"宝宝用药期间，妈妈饮食清淡，增加饮水量，多吃水果蔬菜，避免辛辣刺激的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052124025},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052179870},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052183827}]

男4个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965486110},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515869},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965567040},{"body":{"content":"出汗多吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569920},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965573436},{"body":{"content":"多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965576807},{"body":{"content":"我需要经常走路","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965589712},{"body":{"content":"跟出汗有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965591881},{"body":{"content":"可以抹点氧化锌软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596481},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965601832},{"body":{"content":"尽量少活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605250},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965611614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965637141}]

女17岁

2022.05.20

[{"body":{"content":"不多，便后带血，很红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878679866},{"body":{"content":"你好，请详细描述相关病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878682584},{"body":{"content":"解大便肛门疼痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878697405},{"body":{"content":"不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878702154},{"body":{"content":"就是有点想拉稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878711942},{"body":{"content":"经常这样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878714408},{"body":{"content":"大便硬不硬","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878723778},{"body":{"content":"不，1年多了。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878724684},{"body":{"content":"软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878729957},{"body":{"content":"1年前也出现过。。去诊所拿药好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878753474},{"body":{"content":"就是很犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878760569},{"body":{"content":"这个血是跟大便活在一起，还是解完大便滴在表面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878773322},{"body":{"content":"顺便问下，做肠胃镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878777637},{"body":{"content":"大便完后滴在表面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878797015},{"body":{"content":"给你建议一下，来医院抽血检查看看是否贫血很厉害，还有顺便肛肠外科检查一下，可能是痔疮，内痔可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878846683},{"body":{"content":"目前没空。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878876035},{"body":{"content":"我想下个月把肠胃镜给做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878891280},{"body":{"content":"也可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878900464},{"body":{"content":"大便带血以前也有出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878901799},{"body":{"content":"我在**。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878912920},{"body":{"content":"肠胃镜周末能做？还是得预约","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878969386},{"body":{"content":"得预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879026202},{"body":{"content":"周末可以？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879040342},{"body":{"content":"我们医院周六还可以做，周天没有做","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879044269},{"body":{"content":"在哪。。。从哪里预约，提前几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879062616},{"body":{"content":"能先开个药？我估计这几天吃太多零食。。。。然后肠胃就受不了了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879098584},{"body":{"content":"需要先预约消化内科医生门诊，找医生开单然后预约","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879104205},{"body":{"content":"类似暴饮暴食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879108149},{"body":{"content":"还是得去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879126052},{"body":{"content":"你现在除了便血有其他症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879128102},{"body":{"content":"想睡。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879133997},{"body":{"content":"胃肠镜必须到医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879139084},{"body":{"content":"大便有点希","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879149249},{"body":{"content":"没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879156162},{"body":{"content":"明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161302},{"body":{"content":"你这症状还是建议来医院抽个血，先看一下血常规和**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879183924},{"body":{"content":"我今天没做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247348},{"body":{"content":"能进去得了医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879253643},{"body":{"content":"好多天没做了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879265780},{"body":{"content":"需要72小时**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879422538},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879512320},{"body":{"content":"现在也没地方做核酸。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879552222},{"body":{"content":"现在哪里可以做核酸。。。我在****附近。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879627337},{"body":{"content":"这个你得地图上搜一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881929804},{"body":{"content":"对于你那边我也不熟悉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881937890}]

男30岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，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":1653049980726},{"body":{"content":"您稍等会我给您查询一下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049983132},{"body":{"content":"上火：这种情况常见于天气炎热，宝宝喝水少或饮食中进食过多辛辣、油腻、甜甘食物。让宝宝多吃点水果蔬菜泥，多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093518},{"body":{"content":"这是上火还是疱疹啊？身上没有，牙龈上没有，舌头上没有，舌苔有点厚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103854},{"body":{"content":"可以用口腔溃疡散吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128997},{"body":{"content":"有哭闹情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147637},{"body":{"content":"可以用口腔溃疡散。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050162403},{"body":{"content":"用的是瑞和口腔溃疡散行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203470},{"body":{"content":"需要及时调整饮食结构，同时局部疱疹部位可以适当涂抹口腔溃疡散，以缓解局部疼痛症状，通常疱疹1周左右就可以恢复正常；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203702},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216841},{"body":{"content":"一天可以涂几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236570},{"body":{"content":"给宝宝煮点苹果梨，**水，让宝宝多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249699},{"body":{"content":"三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261556},{"body":{"content":"涂完口腔溃疡散嘴唇干要不要在嘴唇上涂点水？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288692},{"body":{"content":"希望我的回答能帮到您，再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292989},{"body":{"content":"给宝宝多喝点水，不用在嘴巴上涂水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050327798},{"body":{"content":"宝宝是母乳喂养还是吃奶粉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344260},{"body":{"content":"如果宝宝是吃母乳，妈妈饮食上也要多注意些，多吃水果蔬菜，多喝水，别吃辛辣刺激的食物，别吃油腻的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366628},{"body":{"content":"希望我的回答能帮到您，再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377682},{"body":{"content":"今天我们的服务考核，需要您的好评。希望您能在右上角的表扬点一下，给一个五星好评，辛苦您了，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382850},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385413},{"body":{"content":"送您一个追问包。再有其他关于育儿方面的问题，您可以随时咨询我。期待您的支持和好评！谢谢您了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401080},{"body":{"content":"已好评","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443862},{"body":{"content":"祝情人节快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468302}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599280},{"body":{"content":"谢谢您专业的建议，再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674620},{"body":{"content":"不客气的，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695050}]

女31岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050391072},{"body":{"content":"医生你好这个是我小孩最近化验单我看不明白有什么问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422667},{"body":{"content":"上面有上传的九张照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449626},{"body":{"content":"稍等，我给您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512692},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050519171},{"body":{"content":"缺维生素d","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581539},{"body":{"content":"过敏体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585165},{"body":{"content":"主要是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588813},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705872},{"body":{"content":"没有太大问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846786},{"body":{"content":"是的小孩脸上长东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"孩子的情况主要是需要及时的补充维生素D，然后针对症状做必要的抗过敏治疗，增强免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051865618},{"body":{"content":"比如用******，然后规避容易过敏的食物和接触物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051881759},{"body":{"content":"需要去医院找出过敏源吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890871},{"body":{"content":"他比较挑食不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051902441},{"body":{"content":"上面那个就是过敏原，但是过敏原好多指标不是太高，但是总的过敏的指标高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051916532},{"body":{"content":"医生我有点不明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051933090},{"body":{"content":"一般来说就是牛奶鸡蛋，海鲜，牛**，这些高蛋白的要控制量，然后就是少接触这些螨虫啊，或者是一些植物类的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051945639},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051962316},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966312},{"body":{"content":"就是有一点过敏，有一点维生素D缺乏，然后上面我给您讲的就是注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051967103},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051971356},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052012185},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052023205}]

男9岁

2022.05.20