刘继帅

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965252829},{"body":{"content":"你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗 你好，我亲人头部撞伤了，现在人在昭平县人民医院，想去你们医院治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296231},{"body":{"content":"重伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965315750},{"body":{"content":"这个**特别是病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965463709},{"body":{"content":"这个病情比较复杂的情况下，需要尽管医生的同意，并且还要适合转院的指正。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965481670}]

男55岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050373829},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375745},{"body":{"content":"有二周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050413337},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050427870},{"body":{"content":"有没有缓解眼睛疲劳的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432858},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050440983},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”。\n为了您的用药安全，方便药师指导用药，请问患者的年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446240},{"body":{"content":"没有用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050451392},{"body":{"content":"16岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050467987},{"body":{"content":"根据您现在的症状，可能是视疲劳的这些症状，请您稍等，我这边帮您查找适合您的药物链接。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050494356},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050524100},{"body":{"content":"可以用**********缓解眼部干燥或因暴露于阳光或风沙所引起的眼部烧灼、刺痛等不适\n用法用量\n完全扭断然后拉掉瓶盖，打开***瓶。滴1-2滴于患眼。用后即弃\n注意事项\n1、本品只可外用。\n\n2、为防止污染，勿将瓶嘴触及任何物体表面。不可重复使用，用后即弃。\n\n3、瓶嘴不得接触眼睛。\n\n4、如果应用时感觉眼痛、视力改变、眼睛持续充血或刺激感、症状加重或症状持续72小时以上，则应停止用药并咨询医生。\n\n5、孕妇、哺乳期妇女、老年人和儿童应在医师指导下使用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050535180},{"body":{"content":"注意适当休息，养成良好的生活习惯，增强体质；注意眼的调节和保护，照明要充分、适当；有眼病和其他全身性疾病应及时诊治，方能收到满意效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050536998},{"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":1653050541240},{"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":1653051057194},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653052036659}]

女

2022.05.20

[{"body":{"content":"需要购药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878292042}]

女11岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050054788},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066662},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050079227},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080386},{"body":{"content":"不是，我们吃这个管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050095564},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182241},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184601},{"body":{"content":"上次也是这个平台医生开的电子的，怎么查看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050218856},{"body":{"content":"您到之前的问诊记录","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050234837},{"body":{"content":"点击之后再问诊记录之中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245732},{"body":{"content":"或是上传孩子之前的病例报告","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259706},{"body":{"content":"在哪里看问诊记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266536},{"body":{"content":"我的订单中可以查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305018},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050309594},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050948908},{"body":{"content":"有之前的处方或病例吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957364},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051539337},{"body":{"content":"如果您现在没有处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051545718},{"body":{"content":"您可以找到之后直接上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556464},{"body":{"content":"复诊给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558892},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562558},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564303}]

男4岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050271052},{"body":{"content":"您好，我是河南大学淮河医院男科副主任医师***，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细的阅读您的病情描述*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274699},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282935},{"body":{"content":"①　请问您是否从第一次性生活开始就出现射精过快？\n②　射精过快的现象有：1）.在进入阴道之前或进入后约1分钟以内就射了；2）.相比之前射精潜伏时间显著缩短，通常小于3分钟；3）.偶尔出现射精过快，短于3分钟。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291324},{"body":{"content":"③　性欲如何？性刺激下阴茎能否勃起？硬度是否足以插入？能否维持足够时间？有无早泄等射精功能障碍？有无***异常？\n④　勃起硬度：1级，阴茎只胀大但不硬，类似豆腐，为重度勃起功能障碍；2级，阴茎有硬度，但硬度不足以插入阴道，类似剥了皮的香蕉，为中度勃起功能障碍；3级，能插入阴道但不坚挺，类似香蕉，为轻度勃起功能障碍；4级，阴茎完全勃起并坚挺，类似黄瓜，为勃起功能正常。请问您的情况属于哪一种？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050295243},{"body":{"content":"符合以上哪种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050305598},{"body":{"content":",第四种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364986},{"body":{"content":"阴茎能硬，但也软的快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050438886},{"body":{"content":"就是硬的时候，**进不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474879},{"body":{"content":"结婚了吗性生活频率是\n睡眠质量好吗有失眠多梦盗汗耳鸣吗\n有腰漆酸软口干舌燥吗\n有手淫的习惯吗多久一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276080},{"body":{"content":"依次回答","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051278772},{"body":{"content":"没有结婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302033},{"body":{"content":"睡眠还行，就是睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327738},{"body":{"content":"有盗汗耳鸣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051380222},{"body":{"content":"有腰漆酸软，口干舌燥，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051421492},{"body":{"content":"之前手淫频繁，每天天一两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458375},{"body":{"content":"性生活的时候**进不去，硬的慢，软的快，有四五年手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468640},{"body":{"content":"有精神不振乏力脾气暴躁容易上火吗\n有性生活后腰痛吗\n有怕冷怕热吗\n熬夜饮酒多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051478743},{"body":{"content":"有精神不振乏力脾气暴躁容易上火\n\n有怕冷怕热\n熬夜饮酒多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051552722},{"body":{"content":"没有性生活过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051561049},{"body":{"content":"有阴囊潮湿大便挂壁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578045},{"body":{"content":"有尿频尿急尿不尽尿分叉尿痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585226},{"body":{"content":"都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051587589},{"body":{"content":"拍个舌苔照片不要美颜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611738},{"body":{"content":"尿分叉，尿痛的情况少了，其他的情况都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051629316},{"body":{"content":"根据你的描述和舌苔表现考虑为肾虚湿热勃起功能障碍可以通过药物结合行为疗法进行治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726339},{"body":{"content":"那都吃些什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754494},{"body":{"content":"你现在是匿名患者无法开具处方，开具处方需要扫描我的复诊二维码进行问诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051763301},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051822397},{"body":{"content":"这个对话框结束后再扫描","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051847144}]

男28岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965056977},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965070453},{"body":{"content":"我想咨询一下无痛人流","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965078131},{"body":{"content":"系统分诊不对，我这是内分泌科～","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965187356},{"body":{"content":"建议咨询妇科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965222241}]

女22岁

2022.05.20

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"body":{"content":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"一千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046396105},{"body":{"content":"多久能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046414598},{"body":{"content":"要休息多少天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046451389},{"body":{"content":"一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046547501},{"body":{"content":"多谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046586817},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046609339}]

男25岁

2022.05.20