刘继帅

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38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":1653051209087},{"body":{"content":"先暂停 服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219054},{"body":{"content":"这个活血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223157},{"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":1653052135367},{"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":1653052136419}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师侯卓成，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050162270},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165123},{"body":{"content":"可以的，避光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230450}]

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":"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，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421835},{"body":{"content":"您说六味地黄丸吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429362},{"body":{"content":"中成药的，比较安全的药物的，目前还没有严重不良反应的报道的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457464},{"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":1653051598918},{"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":1653051604514}]

女

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":1652965412873},{"body":{"content":"肺结核早期症状：乏力，纳差，盗汗，消瘦等，部分病人会出现咳嗽，咳痰等症状！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417578},{"body":{"content":"我想检查一下结核","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965461649},{"body":{"content":"想复查一下，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965535071},{"body":{"content":"那你就去结核病专科门诊检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965535620},{"body":{"content":"你是已经诊断肺结核，在服药治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577198},{"body":{"content":"可以去线下医院复查，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759507}]

女49岁

2022.05.20

[{"body":{"content":"多长时间了，我是京东医生孙文贺，很高兴为你服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040272},{"body":{"content":"症状说完，我仔细分析","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042761},{"body":{"content":"说下具体症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048298}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409242},{"body":{"content":"有什么需要帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965411629}]

男6个月19天

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964976602},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981868},{"body":{"content":"人流手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964994968},{"body":{"content":"你好，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964996554},{"body":{"content":"药物流可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965038532},{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965080029},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965094764},{"body":{"content":"末次月经日期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965103888},{"body":{"content":"每个月都是十几号来，每次都是提前两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965156687},{"body":{"content":"药流：停经49天内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965246774},{"body":{"content":"现在有两个月了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965308965},{"body":{"content":"差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965317452},{"body":{"content":"b超检了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965336777},{"body":{"content":"流产需要b超过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346129},{"body":{"content":"老师，我问一下，查胎心需要憋尿是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965359588},{"body":{"content":"阴超不用留尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965438660},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454927},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965505863},{"body":{"content":"老师，你说的流产需要B超啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965520953},{"body":{"content":"个人也可以申请开药是吗？自己做流产不可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595622},{"body":{"content":"在吗，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965733826},{"body":{"content":"流产，需确诊宫内有孕囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965742782},{"body":{"content":"若宫内无孕囊，流什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965768669},{"body":{"content":"我有一个孩子了，一个男孩，之前我是刨腹产，我对于**不管用，打了两三次，最后打的是全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965932683},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965980417},{"body":{"content":"不想要了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965995171},{"body":{"content":"去手术台的时候，比我去晚的人都从里边出来了，我呆了好久才出来的，出来去重病监护室输液的时候我的胳膊都没点直觉了，吓死我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127275},{"body":{"content":"是，我不想要，可是我对象家里人想要，这次怀孕对我来说太害怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966210346},{"body":{"content":"全麻有清醒期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212610},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966232333},{"body":{"content":"上次剖宫产的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966284602},{"body":{"content":"老师，我再问你一句，两个月用药流的话，没有那么复杂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345192},{"body":{"content":"不能了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966363293},{"body":{"content":"停经达到7周，就不能药流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966414849},{"body":{"content":"老师，我记得是去年还是前年的时候也流过一次产，那时候天数短，就疼了一天就不疼了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966441630},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966472433},{"body":{"content":"先算准时间，b超检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966493131},{"body":{"content":"才能选择流产方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966510550},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966525583},{"body":{"content":"如果两个月不能用药流是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966571752},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966582221},{"body":{"content":"能保留，就保留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966595127},{"body":{"content":"我不想要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966624049},{"body":{"content":"无痛人流受罪吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966664230},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966690642},{"body":{"content":"嗯，**散了会会不会疼？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966755003},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966783016},{"body":{"content":"有2个小时左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966794024},{"body":{"content":"老师，我现在用啥都会受点罪是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966810080},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966828577},{"body":{"content":"你是说**散了疼两个小时是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966854746},{"body":{"content":"无痛人流怎么做？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966881777},{"body":{"content":"与普通的手术一样，就是多一项麻醉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967035008},{"body":{"content":"也是划开肚子是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967075053},{"body":{"content":"阴道手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967088446},{"body":{"content":"哦，就是从阴道里取出来是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967173013},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967183241},{"body":{"content":"太吓人了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967196740},{"body":{"content":"现在为啥不能用药流呢？刚才搜索的也可以药流呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967242112},{"body":{"content":"大了，药流无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967259594},{"body":{"content":"不会吃大点量不可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967310087},{"body":{"content":"之前吃的一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967326466},{"body":{"content":"没用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967330004},{"body":{"content":"流产方法是有规定的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967361704},{"body":{"content":"有适应症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967372042},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967388229},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967395180},{"body":{"content":"我太害怕了，老师，留着更害怕，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420177},{"body":{"content":"您需要解决心理恐惧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967468951},{"body":{"content":"没有什么可怕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967487967},{"body":{"content":"有人剖宫产三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967515217},{"body":{"content":"人流每天都有做的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967535032},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967633844},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967681111}]

女37岁

2022.05.20