刘继帅

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013730},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050016430},{"body":{"content":"都是正常状态","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065332},{"body":{"content":"不是哺乳期孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080629},{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050122056},{"body":{"content":"您在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895968},{"body":{"content":"你线下看过了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909329}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383530},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384181},{"body":{"content":"是己确诊该病情是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384935},{"body":{"content":"这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409087},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414902},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415571},{"body":{"content":"两个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423749},{"body":{"content":"20岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050428210},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434387},{"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":1653050434891},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438542},{"body":{"content":"目前是否用过药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449175},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050453235},{"body":{"content":"痛痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460181},{"body":{"content":"涂过药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050462492},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475986},{"body":{"content":"这种是毛囊炎吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483550},{"body":{"content":"用的哪种药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529548},{"body":{"content":"您用过什么药膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050569866},{"body":{"content":"需要看您用药情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050576582},{"body":{"content":"这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695654},{"body":{"content":"没有改善是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712500},{"body":{"content":"反反复复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785654},{"body":{"content":"别的地方要长了几颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801041},{"body":{"content":"目前图片看比较 像的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050803976},{"body":{"content":"好嘞 根据您目前的情况，为您提供治疗药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809786},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050921210},{"body":{"content":"//******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050925950},{"body":{"content":"//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927346},{"body":{"content":"可以治疗好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933695},{"body":{"content":"先用这两个看下，复发，与体质有关的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962570},{"body":{"content":"怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050975920},{"body":{"content":"******：本品应外用，局部涂于患处，必要时，患处可用敷料包扎或敷盖，每日3次，5天一疗程，必要时可重复一疗程。\n【用药注意】本品仅供皮肤给药，请勿用于眼、鼻、口等黏膜部位，皮肤大面积破损合并肾病不建议使 用\n\n//炉甘石洗剂：局部外用，用时摇匀，取适量涂于患处，一日-3次。\n【用药注意】避免接触眼睛和其他黏膜（如口、鼻等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051002281},{"body":{"content":"间隔 半小时用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051005241},{"body":{"content":"一天三次？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064686},{"body":{"content":"间隔半小时？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072921},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051091263},{"body":{"content":"先涂*** 半小时再用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051108915},{"body":{"content":"睡觉前不用用咯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051109096},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051131452},{"body":{"content":"最后一次睡前用呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137405},{"body":{"content":"先涂药膏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051163016},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051215916},{"body":{"content":"徖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051404931},{"body":{"content":"皮肤瘙痒温馨提示：日常**1.要勤洗勤晒衣物、被单、枕头、被子 2.避免过度烫洗、搔抓等刺激。 3.饮食调理注意饮食调理，均衡营养，多吃一些水果、蔬菜等***丰富的食物。少吃鱼虾、牛**和油腻、甜食及刺激性食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051407146},{"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。请您查看药品说明书中的注意事项，使用 7 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051416400},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417706},{"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":1653051481202},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485641}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049590094},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049595098},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609735},{"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":1653049617449},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620195},{"body":{"content":"尿急 / 尿频","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642281},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049645303},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671014},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673923},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680680},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049684861},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690458},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694491},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697452},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700490},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708008},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715373},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718385},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722346},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726374},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729682},{"body":{"content":"医生，我最近吃药了，你应该可以看到我开药记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049752502},{"body":{"content":"但是我这两天打了飞机后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049765635},{"body":{"content":"我就感觉排尿更频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783027},{"body":{"content":"刚上完厕所，几分钟又有尿意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796042},{"body":{"content":"去尿，又没多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049806697},{"body":{"content":"药也吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811355},{"body":{"content":"都是处方药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816034},{"body":{"content":"不知道问题出在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049825755},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838219},{"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、骑车、骑马、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":1653049840500},{"body":{"content":"我戒烟了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049976793},{"body":{"content":"并且不喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981096},{"body":{"content":"甚至辛辣的食品都不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992115},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022253},{"body":{"content":"而且之前吃过六味地黄丸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026315},{"body":{"content":"那我应该吃什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041506},{"body":{"content":"没有上述用药禁忌对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050090907},{"body":{"content":"你觉得会不会是结石呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092800},{"body":{"content":"没用过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100734},{"body":{"content":"没有禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110536},{"body":{"content":"，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231673},{"body":{"content":"既往是否有泌尿系结石病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248885},{"body":{"content":"是否有腰疼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263532},{"body":{"content":"没有腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050378154},{"body":{"content":"三年前，疼过一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387429},{"body":{"content":"疼过几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391214},{"body":{"content":"后面就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400631},{"body":{"content":"可以做泌尿系彩超明确的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434580},{"body":{"content":"目前来看，主要考虑是前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453949},{"body":{"content":"有哪几种检测方式","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461994},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478381},{"body":{"content":"肾虚是不可能引起这么严重的前列腺炎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478617},{"body":{"content":"对吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481442},{"body":{"content":"就是我这种情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050485993},{"body":{"content":"肾虚，是中医说法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619134},{"body":{"content":"我这边是西医，系统分诊到我这边的，主要是使用西药及不需要严格辩证的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907732},{"body":{"content":"那我去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967764},{"body":{"content":"我应该是泌尿内科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050976129},{"body":{"content":"还是外科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979402},{"body":{"content":"泌尿外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996709},{"body":{"content":"好的，谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076209},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051099494},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102467},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。控制手淫，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133585}]

男27岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049707352},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049722908},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747385},{"body":{"content":"含糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837671},{"body":{"content":"少量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844258},{"body":{"content":"平时血糖高吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860189},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967200}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739065},{"body":{"content":"血常规问题不大，别担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768254},{"body":{"content":"孩子发烧呢，考虑就是病毒感染或疫苗接种的原因，暂时可观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777869},{"body":{"content":"已经发烧5天，前几天发烧到38.5，吃了***就退了，但从昨天开始(第六天）开始低烧（37.5左右），吃了***，小**温度还不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171031},{"body":{"content":"那么拍胸片了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200942},{"body":{"content":"有可能是幼儿急疹啊，所以可以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210605},{"body":{"content":"宝宝精神还不错，稍有闹腾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050212554},{"body":{"content":"总之再观察一天吧，应该快退烧了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258762},{"body":{"content":"这个没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280316},{"body":{"content":"幼儿急疹不是三四天就下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286517},{"body":{"content":"有可能是幼儿急疹啊，所以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293607},{"body":{"content":"我们这烧7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314400},{"body":{"content":"一般是反复发烧3~5天，如果发烧7天了，那么要排除是不是有川崎病的可能性，检查一下心脏彩超，做血培养支原体抗体等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341066},{"body":{"content":"这没问题呀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050480572},{"body":{"content":"住院了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497642},{"body":{"content":"那为啥一直发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507290},{"body":{"content":"没有，我们精神挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525589},{"body":{"content":"一般就是病毒感染，你再检查一下支原体和****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050527024},{"body":{"content":"如果孩子现在体温逐渐下降不太高的话那么也可以先观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050539171},{"body":{"content":"那小**还要吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588272},{"body":{"content":"有体温的话可以吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602750},{"body":{"content":"可是吃了体温也不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643784},{"body":{"content":"这个不好说了，因为没有找到具体原因，但是体温也逐渐下降了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701450},{"body":{"content":"具体什么原因导致了发烧，还不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711315},{"body":{"content":"还是再观察一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051180402},{"body":{"content":"因为体温也逐渐下降了，而且精神状态挺好的，可以暂时观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051204209}]

女8个月8天

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60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":1652965432936},{"body":{"content":"HPV病毒可以导致湿疣，有传染性，正常人没有不洁性接触史不会得的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965516151}]

男24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":1653050268329},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050270946},{"body":{"content":"这个要小朋友不小心吃了点有问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299417},{"body":{"content":"这款喷雾主要是植物精油成分，给宝宝喷抹的时候可以按摩促进吸收，（注意避开眼鼻口）\n如果不小心吃到，建议您及时给宝宝簌口，清洁口腔，多喝水，注意观察，如感到不适建议咨询医生哦~</p>","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050334046},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368715},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385344},{"body":{"content":"好的，会有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050416701},{"body":{"content":"不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425591},{"body":{"content":"观察一下，宝宝没有不适反应就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468150},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050500351},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502983},{"body":{"content":"一般会有什么不良反应？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511171},{"body":{"content":"恶心，呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050532923},{"body":{"content":"如果都没有就没有事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547360},{"body":{"content":"如果这样是不是就要洗胃呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558403},{"body":{"content":"可能不用，只要不是太多就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579487},{"body":{"content":"主要是小孩只有2岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604387},{"body":{"content":"还不会说","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611455},{"body":{"content":"这款不是喷雾的吗，宝宝不是打开喝的吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619262},{"body":{"content":"让宝宝多喝点水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637843},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640778},{"body":{"content":"那就应该没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659143},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050670333},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674866},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050682028},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691727}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"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":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20