刘继帅

[{"body":{"content":"您好，我是主治医师何志华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049559529},{"body":{"content":"你好，大便一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049570262},{"body":{"content":"拉什么样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049573250},{"body":{"content":"1次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049576753},{"body":{"content":"哭闹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049585252},{"body":{"content":"之前宝宝正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049591580},{"body":{"content":"食欲怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049605875},{"body":{"content":"傍晚和晚上哭闹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049611186},{"body":{"content":"还有其他异常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049630454},{"body":{"content":"食欲一次90，3小时一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049633319},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049637246},{"body":{"content":"这种情况没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652137},{"body":{"content":"之前大便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049654338},{"body":{"content":"酸臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049665782},{"body":{"content":"哭闹的时候可以吹风机的声音进行安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681487},{"body":{"content":"没有其他办法缓解吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"乳糖不耐受会大便次数多，目前大便次数不多，不考虑乳糖不耐受，也就没必要吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719101},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049728235},{"body":{"content":"前两天吃了几袋便便变水样，次数没变","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759082},{"body":{"content":"影响大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766629},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800161},{"body":{"content":"好的 不需要吃了对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816233},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832089},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841482},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049866816},{"body":{"content":"宝宝胀气严重怎样缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049978496},{"body":{"content":"意思不需要干预吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073640},{"body":{"content":"宝宝有时哭的很难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088037},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050112692},{"body":{"content":"哭的时候用吹风机安抚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124525},{"body":{"content":"吹风机的声音","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131918}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965022875},{"body":{"content":"一般是咽炎的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965029033},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965034102},{"body":{"content":"吃饭的时候疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965076952},{"body":{"content":"吃饭时候没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965106188},{"body":{"content":"可以口服治疗咽炎的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965121358},{"body":{"content":"说话时痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965131692},{"body":{"content":"有点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151557},{"body":{"content":"需要给您开药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965197217},{"body":{"content":"你说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965255849},{"body":{"content":"您说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965282804},{"body":{"content":"咽炎药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965345911},{"body":{"content":"****就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965398674},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965473486},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605746},{"body":{"content":"是这个吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965616326},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965634015},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965646291},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650482}]

男17岁

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20

[{"body":{"content":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741174},{"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？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746532},{"body":{"content":"32，男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760312},{"body":{"content":"请问吃****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789503},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839051},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050857944},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890163},{"body":{"content":"【注意事项】 对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344197},{"body":{"content":"【用法用量】 口服，一次3~4片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051352240},{"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":1653051355297},{"body":{"content":"忌烟、忌酒，饮食上当中应该以清淡的食物为主，避免吃过度辛辣刺激性的食物，坚持锻炼身体，多喝水，不要憋尿，有尿意的时候应该立即去排尿，不要久坐和长距离的骑自行车，性生活既不要过度的频繁，也不要长期不过性生活，要坚持定期的规律的排精，可以练习提肛的动作，保持一种良好的生活的习惯，早起早睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051497792},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594745},{"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":1653051596362}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"家长好，我没有理解家长的问诊描述意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681174},{"body":{"content":"那地方红了 应该还没有烂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695679},{"body":{"content":"涂什么能好呢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049711184},{"body":{"content":"太红了 可能是水或者尿没有及时擦干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049727850},{"body":{"content":"这个是局部潮湿引起的类似湿疹，涂点***或者紫草膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738483},{"body":{"content":"在哪可以买到呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080246},{"body":{"content":"药店都有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085168},{"body":{"content":"是的，基本药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192012},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925692}]

男4个月28天

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047989},{"body":{"content":"你这个情况多久呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062949},{"body":{"content":"5，6年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050086494},{"body":{"content":"这种情况建议中医调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050100452},{"body":{"content":"一般常见的是脾肾阳虚引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136964},{"body":{"content":"我看个视频说使用**，**，**，**，****，***泡水喝可以解决，是不是？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182760},{"body":{"content":"中医调理是需要辨证论治的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245854},{"body":{"content":"药物的搭配也讲究君臣佐使。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253826},{"body":{"content":"药物的剂量也很重要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261928},{"body":{"content":"我如果要使用上面的方法，该用什么剂量？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050312306},{"body":{"content":"这个不太好给你具体的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329840},{"body":{"content":"正常情况下，10g都是可以使用。但是哪个要多哪个要少就不好说了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380848},{"body":{"content":"你这个情况如果有五六年了，建议用中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394353},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050405054},{"body":{"content":"如果方便的话可以线下就医就诊开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050405181},{"body":{"content":"找中医开药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"是的，中医调理治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453754},{"body":{"content":"代茶饮疗效肯定没有中药调理会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466933},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483154}]

女

2022.05.20