刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154990},{"body":{"content":"痘印一般分为红印和黑印，都需要做激光治疗才有效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188134},{"body":{"content":"用药膏什么的不管用嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201752},{"body":{"content":"不管用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217377},{"body":{"content":"脸部发红怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241348},{"body":{"content":"鼻翼两侧有红血丝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258708},{"body":{"content":"可以做光子嫩肤祛红模式或者镭射激光祛红模式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273867},{"body":{"content":"emmmm封校出不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304517},{"body":{"content":"除了医美呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321851},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325919},{"body":{"content":"药物和物理治疗基本没效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341439},{"body":{"content":"那皮囊炎留下的黑痘印也只能医美？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386459},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752546},{"body":{"content":"嗯，这是黑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050776367},{"body":{"content":"要要祛黑色素沉着的激光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792333},{"body":{"content":"关节处黑可以怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830442},{"body":{"content":"脸上起闭口要涂什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079669},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137549},{"body":{"content":"关节处黑要避免摩擦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170646},{"body":{"content":"闭口闭口呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051196508},{"body":{"content":"闭口可以用****红霉素软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"用****有什么注意事项嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300111},{"body":{"content":"不要涂太多，正常的皮肤不要涂到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328293},{"body":{"content":"后续要补水避光嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051343787},{"body":{"content":"涂完要清洗嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353730},{"body":{"content":"要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051358539},{"body":{"content":"过几个小时可以清洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051369707},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051391888},{"body":{"content":"有什么补水的推荐嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051399924},{"body":{"content":"面部和喷雾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410733},{"body":{"content":"你哪里的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431369},{"body":{"content":"牌子呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433449},{"body":{"content":"品牌推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458686},{"body":{"content":"市面上太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468292},{"body":{"content":"不知道怎么选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473029},{"body":{"content":"医美品牌也OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051482604},{"body":{"content":"我们医院的***很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490369},{"body":{"content":"医用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502180},{"body":{"content":"补水的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051548913},{"body":{"content":"这个牌子的一系列的都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051610968},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051642891},{"body":{"content":"我混油 外油内干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051655571},{"body":{"content":"哪个更有针对性啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668059},{"body":{"content":"医生医生还有四分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051691369},{"body":{"content":"快快快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051696269},{"body":{"content":"油脂多注意定期清洁就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051769512},{"body":{"content":"但是内干啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051780617},{"body":{"content":"不知道咋整","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051786284},{"body":{"content":"做一下光子嫩肤会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820452}]

女21岁

2022.05.20

[{"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":1652965804059},{"body":{"content":"请问你们医院有没有3mg的**卖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965825924},{"body":{"content":"请问您是咸阳中心医院的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965858717},{"body":{"content":"这里是洛阳市精神卫生中心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965910084},{"body":{"content":"哦，不好意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965922705},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965926555},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965939740}]

男27岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177337},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180307},{"body":{"content":"*** 抹茶零食曲奇饼干大礼包380g","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242842},{"body":{"content":"是独立包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249654}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591753},{"body":{"content":"您做过精液常规吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597508},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640416},{"body":{"content":"精液的话一般是60分钟内液化就属于正常的，而且还要以精液常规的检查单为准的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667283},{"body":{"content":"我这个过了一晚上都还是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685441},{"body":{"content":"嗯，还有其他的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697688},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050704373},{"body":{"content":"没有不适的症状就没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751488},{"body":{"content":"精液中有米粒大小的**和频繁的手淫和性生活有关系，但是也属于正常的。精液里除了精子以外，还有各种精子存活所必须的各种酶和****、**、肌醇、***、****、卵磷脂小体等组成，这些物质就是说的米粒大小果冻状的透明**，这是正常的，不需要检查和治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760467},{"body":{"content":"尿频跟这个有没有关系？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830119},{"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":1653050853917},{"body":{"content":"有的时候会尿频过了几天就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854093},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856101},{"body":{"content":"尿频 / 尿不尽 / 尿道口滴白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050873678},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050876664},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050909980},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913006},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916632},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920653},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050926970},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930991},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050963744},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973205},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050977230},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980988},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987169},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034216},{"body":{"content":"有没有尿分叉、尿等待情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051042861},{"body":{"content":"有尿分叉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076481},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084598},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091526},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110515},{"body":{"content":"您上述的症状是有前列腺炎的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117729},{"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、憋尿、骑车、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":1653051121893},{"body":{"content":"那怎么治疗抗议解决这个问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158057},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188276},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051191313},{"body":{"content":"前列腺炎可以治愈，但是生活中需要多注意，易复发，目前的话，就是药物治疗，症状消失即为临床治愈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051536989},{"body":{"content":"除了吃药，生活习惯也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051544175},{"body":{"content":"用药剂量：0.1g的******，一天两次，一次1片；********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703023},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051705121},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710511},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718168},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051723749},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还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，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827931}]

男18岁

2022.05.20

[{"body":{"content":"您好！我是全科杨医生。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475971},{"body":{"content":"感冒发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965485010},{"body":{"content":"请问您有线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965514462},{"body":{"content":"需要我提供什么帮助呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965525570},{"body":{"content":"***可以和**和***一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540383},{"body":{"content":"可以一起服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965561331},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965581040},{"body":{"content":"不用谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965586690},{"body":{"content":"****可以治发烧吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965669759},{"body":{"content":"昨晚去医院看完，打完吊针","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965682373},{"body":{"content":"今天中午又发烧回来了37.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965691186},{"body":{"content":"昨天发烧38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965696493},{"body":{"content":"***是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965707704},{"body":{"content":"37.7度可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729561},{"body":{"content":"不建议服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965762260},{"body":{"content":"那吃了会没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799008},{"body":{"content":"37.6度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965815288},{"body":{"content":"体温一般超过38.5℃才需要服用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965822709},{"body":{"content":"那服用了不会有什么事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844698},{"body":{"content":"问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965894003},{"body":{"content":"但没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900255},{"body":{"content":"物理降温即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965913330},{"body":{"content":"那***呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965913596},{"body":{"content":"***也是***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965922176},{"body":{"content":"***37.6可以吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965925074},{"body":{"content":"也没有必要服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965930767},{"body":{"content":"多喝水，物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965949178},{"body":{"content":"怎么物理降温","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965955308},{"body":{"content":"用凉水敷额头有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000654},{"body":{"content":"多喝水，温水擦浴","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966003850},{"body":{"content":"主要擦哪里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966081566},{"body":{"content":"比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091055},{"body":{"content":"擦全身","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092507},{"body":{"content":"凉水敷额头也可以帮助降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966123990},{"body":{"content":"吃多了药，晚上肾疼正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966157179},{"body":{"content":"两边肾都有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966174897},{"body":{"content":"偶尔喝点水，一喝过一会就想上厕所","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966199470},{"body":{"content":"正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966203328},{"body":{"content":"人是感受不到肾疼的，除非肾结石、肾破裂等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966235048},{"body":{"content":"多喝水，排尿多，帮助降温好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966257939},{"body":{"content":"如反复发热，不缓解，建议及时当地医院发热门诊就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311743},{"body":{"content":"去医院看过了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966575564},{"body":{"content":"去医院看的时候38.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585946},{"body":{"content":"然后晚上就退烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966593801},{"body":{"content":"昨晚又发烧了37.6","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966600376},{"body":{"content":"到现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966606503},{"body":{"content":"都是差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966612136},{"body":{"content":"嗯嗯，比昨天好，说明发热有好转。可物理降温，然后继续观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966669500},{"body":{"content":"昨天晚上都退烧了，然后今天又发回来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966707244},{"body":{"content":"昨晚打了吊针的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966714874},{"body":{"content":"如果再不能好，需不需要去医院看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966726231},{"body":{"content":"如果药物有效，也需要一定时间，一般如果3天都无明显好转，需要复查，更改方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966796601},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966826024},{"body":{"content":"还有拉不出屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966832820},{"body":{"content":"有感觉想拉，就去拉不出正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966844795},{"body":{"content":"***有没有用呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967020917},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967027257},{"body":{"content":"服用的**多少会对****有点影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967060806},{"body":{"content":"***有帮助","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967071490},{"body":{"content":"那买那种比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967105415},{"body":{"content":"这个没有推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967137916},{"body":{"content":"成人儿童的都可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967186022},{"body":{"content":"可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967194654},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967228858},{"body":{"content":"多吃蔬菜、水果，补充蛋白质，提高抵抗力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967232010},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967236835},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967312057},{"body":{"content":"嗯嗯，不用谢。请问您还有其他医学问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967337071},{"body":{"content":"暂时没了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967368155},{"body":{"content":"好的。感谢您的咨询，希望我的建议能够帮助到您，非常感谢您的信任！对话结束后可对我的服务作出评价。祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967396570}]

男20岁

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，这个指甲这样的情况多长时间了。我看到左脚大拇指有一些甲下出血的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994821},{"body":{"content":"踢球被踩到了那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051030916},{"body":{"content":"右脚这个是指甲空了，然后被我抠掉了一半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053503},{"body":{"content":"从你提供的图片来看，多个指甲都有灰指甲的表现，这种情况口服******，按规律按疗程治疗效果比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072425},{"body":{"content":"这个外服会管用吗？确定是灰指甲吗？吃了就会好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118450},{"body":{"content":"外服没有用的，因为指甲比较厚，药物很难渗进去，所以达不到完全治疗好的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145567},{"body":{"content":"你的情况我建议把指甲剪下来去医院做个皮肤科，做个真菌化验来确定一下真菌类型，然后再对症口服药物治疗，这样比较好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051188750},{"body":{"content":"如果一直这样的话不理会的话，结果会是什么样的？可以跟我说说吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051237734},{"body":{"content":"可能导致多个指甲出现灰指甲的症状，就是指甲变厚变空。严重的时候会引起甲沟炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305400},{"body":{"content":"如果确定了真菌类型，服药可以根治吗？彻底变好吗？大概需要多少才能好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368294},{"body":{"content":"******：每日 2 次，每次 2 粒（100mg/粒），吃一周停三周为一个疗程，一般需要吃 4 个疗程。因该药是脂溶性的，故应在吃炒菜时服用或牛奶送服效果更好。这个疗程结束一般就都可以完全治疗好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429661},{"body":{"content":"好吧这个药好贵啊，这么久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051542961},{"body":{"content":"这个药有很多不同的厂家，进口的是比较贵的，你买国产的并不贵的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051557277}]

男31岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科郝医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298553},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299022},{"body":{"content":"您的症状多长时间了，有没有用药，用药后有没有缓解？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308929},{"body":{"content":"我耳朵疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308937},{"body":{"content":"没有用药，持续的痛感有2天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329507},{"body":{"content":"是 耳廓那吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353106},{"body":{"content":"还是耳朵里边疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415560},{"body":{"content":"里面哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430758},{"body":{"content":"现在感觉脸都有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445674},{"body":{"content":"您有挖耳或是洗头洗澡外耳道进水的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462708},{"body":{"content":"外面是摸到也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050470268},{"body":{"content":"没有进水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477284},{"body":{"content":"考虑是发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517119},{"body":{"content":"我看有耳鸣或是听力下降吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537915},{"body":{"content":"现在没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548135},{"body":{"content":"局部有泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560289},{"body":{"content":"也没有，就是有个洞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575646},{"body":{"content":"以前哪有小眼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612069},{"body":{"content":"以前没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624725},{"body":{"content":"这个是左边耳朵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642776},{"body":{"content":"您可以先用些口服的***加*****对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669527},{"body":{"content":"为了您的用药安全，请问您有没有药物过敏史？有没有在备孕期、孕期或哺乳期？肝肾功能有没有异常？或是其他用药禁忌的情况，如果有请提前说明。没有异常回“无”即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675952},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684082},{"body":{"content":"建议******* 每次1粒每天2次， 局部涂抹******日3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050714181},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732805},{"body":{"content":"建议您清淡饮食避免辛辣及刺激性食物，耳部避免碰水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770314},{"body":{"content":"很高兴能为您解答，希望我的建议对您所帮助，但是网络问诊毕竟有一定的局限性，如果病情变化或是病情恢复不理想，建议您及时复诊或去专科就诊，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050773129},{"body":{"content":"收到。谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992304}]

女43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":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":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964982681},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984851},{"body":{"content":"湿 疹是过 敏性皮疹，注意观察饮食，吃了什么加重就是过 敏就不要吃了，食物可以一个一个试，这是最精确的判断过 敏 原的办法，再就是查过 敏 原，查了过 敏 原并不能面面俱到，也是需要自己细心观察，再就是湿 疹忌讳洗，忌讳干燥，忌讳热，一直保持油腻状态看起来油光光的，湿 疹的外用药物一类是保持油腻的，一类就是***了，如果普通药物效果不好可以用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965142841},{"body":{"content":"用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965149101},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158939},{"body":{"content":"家里有什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184766},{"body":{"content":"家里没有储备药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965224867},{"body":{"content":"好的好的麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593043},{"body":{"content":"好的好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681153},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694388},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965719249},{"body":{"content":"❤️","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965734893}]

女5岁

2022.05.20