刘继帅

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"您好，请详细说一下您的疑问","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824388},{"body":{"content":"就是阴道分泌物粉末状，特别痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879832895},{"body":{"content":"去医院开过吃的药，塞的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879884910},{"body":{"content":"都用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879890662},{"body":{"content":"比原来轻点了，但是还是刺挠痒，白色粉末状，跟豆腐渣似的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925233},{"body":{"content":"2月份化验的时候，是这样的白带吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879952972},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879973891},{"body":{"content":"具体都用了哪些药呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880009728},{"body":{"content":"**挫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880046566},{"body":{"content":"赛过***用，塞完便秘。大便出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880095862},{"body":{"content":"还有，具体忘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880111816},{"body":{"content":"吃的****吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880152721},{"body":{"content":"去医院看，就是里面有一层白膜，老出粉末状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880170542},{"body":{"content":"爱过一盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182748},{"body":{"content":"吃过一盒，没有了，没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880194138},{"body":{"content":"***塞了几天呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880199796},{"body":{"content":"感觉这个药吃了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880205579},{"body":{"content":"那个赛过三四天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880219448},{"body":{"content":"后来就没有再塞药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880230221},{"body":{"content":"便秘，大便总出血，就没敢在塞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880252129},{"body":{"content":"塞了火大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880263439},{"body":{"content":"这个怎么这么反复啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880282191},{"body":{"content":"您的便秘症状和塞药没有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880313531},{"body":{"content":"没塞的时候没事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880328114},{"body":{"content":"应该是霉菌性阴道炎合并细菌性阴道病，本次建议塞药+口服，更换其他药物，需要坚持治疗至少一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880348951},{"body":{"content":"稍等给您发用药方法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880363430},{"body":{"content":"用啥药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880364624},{"body":{"content":"现在疫情严重了，也没法去医院买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880385067},{"body":{"content":"京东现在也不送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880400144},{"body":{"content":"还赛过一个往外拽的，带绳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880447173},{"body":{"content":"口服的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455946},{"body":{"content":"也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880461217},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************/****，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880489031},{"body":{"content":"如果京东不能送，可以看看其他平台，或者和社区申请买药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880587389},{"body":{"content":"治疗建议：\n1.口服****，每日2次，每次2片，一共吃7天，这个不受月经期影响。\n2.同时，*************，每晚1粒阴道用，7天。用药后垫卫生巾，免得弄脏衣裤。月经干净后再连用7天，巩固治疗。\n3.用药期间不要同房。瘙痒时可以用较冷的水坐浴，可以明显缓解瘙痒症状，不能用热水烫，会肿。\n4.不要做阴道冲洗，因为阴道有自净的功能，冲洗会破坏环境。\n5.穿透气裤子，不要久坐。\n6.月经期勤换卫生巾，白天2小时换一次。\n7.适当锻炼增强免疫力，对预防阴道炎复发有一定好处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880611028},{"body":{"content":"是这两种药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880991871},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881026321},{"body":{"content":"不用管哪个厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881064154},{"body":{"content":"不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881146325},{"body":{"content":"我每天都要用水洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881152939},{"body":{"content":"水洗外阴就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881187659},{"body":{"content":"要是来月经了，就不能塞了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881199156},{"body":{"content":"估计快来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881206782},{"body":{"content":"吃药不受月经影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881225103},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881236694},{"body":{"content":"塞药塞到来月经，然后月经后不要等症状复发，也不要同房，继续塞药一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881243206},{"body":{"content":"能加个微信吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881245747},{"body":{"content":"抱歉平台要求不可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881262104},{"body":{"content":"我之前赛过一个**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881269055},{"body":{"content":"后续假如有疑问，可以选择追问包","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881278041},{"body":{"content":"忘记啥名了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881279625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881287153},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881294016},{"body":{"content":"什么样子的**，塞了以后怎样了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881300094},{"body":{"content":"我忘记了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881335770},{"body":{"content":"没起啥作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881345116},{"body":{"content":"这个************应该是效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881500303},{"body":{"content":"先用用看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881506084},{"body":{"content":"得坚持用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881514338},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881556468},{"body":{"content":"还有盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881720093},{"body":{"content":"用瓶装的，还是盒装的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881734928},{"body":{"content":"瓶装的吧，更便宜应该","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881898474},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881926245},{"body":{"content":"您给开的是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882871258},{"body":{"content":"都可以的，这都是很普通的药，品牌不重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882950158},{"body":{"content":"那就买这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883119713},{"body":{"content":"第一个买3盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883128464},{"body":{"content":"是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883134145},{"body":{"content":"我按您这个下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883147529},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883186232},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883195851},{"body":{"content":"早点休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883202045},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883212863},{"body":{"content":"怎么显示一个药是疫情有关，不会手机弹窗吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884037998},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884056176},{"body":{"content":"我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884102991},{"body":{"content":"***和疫情无关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884103597},{"body":{"content":"*","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884107673},{"body":{"content":"不过现在天天核酸，不会弹窗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884115231},{"body":{"content":"您快休息吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884116078},{"body":{"content":"好的?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884120414},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884121125},{"body":{"content":"晚安","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884126346},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884130280},{"body":{"content":"您***，那个药我看24号才能发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652920824313},{"body":{"content":"那先塞几天***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652927872667},{"body":{"content":"那个也没拿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652929531711},{"body":{"content":"那只能先洗洗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652929576590},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931563618},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652931571572},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652931576532},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967383148},{"body":{"content":"那个不发货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967400728},{"body":{"content":"这个美团可以送","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967412549},{"body":{"content":"这款药可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967421386},{"body":{"content":"可以的，一样的成份","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967590673},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967785473},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967807082}]

女46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":1653050830329},{"body":{"content":"老师你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859011},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050894133},{"body":{"content":"备孕可以用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904084},{"body":{"content":"如果想补充其他***类，建议可以有*********效果好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920114},{"body":{"content":"也不确定缺不缺*****啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050964640},{"body":{"content":"可以去医院检查一下俣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997515},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008703},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015501},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030551},{"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":1653052046472},{"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":1653052054130}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师白艳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571817},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049576332},{"body":{"content":"60多岁能喝这种牛奶吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049613045},{"body":{"content":"本产品为中老年配方奶粉，无蔗糖营养健康易于吸收，60岁老人可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620352},{"body":{"content":"一天喝几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049629837},{"body":{"content":"建议早餐喝就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641933},{"body":{"content":"分别喝多少合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642525},{"body":{"content":"饭后吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049652017},{"body":{"content":"早餐喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671396},{"body":{"content":"空腹吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049687330},{"body":{"content":"是的，牛奶，面包搭配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700363},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796196},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814104},{"body":{"content":"平时有点腿麻痛，腰椎病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049848494},{"body":{"content":"喝这个牛奶有点缓解吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869233},{"body":{"content":"嗯嗯，应该是有益处的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886524},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901301},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912274},{"body":{"content":"一点胖喝这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050295408},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313894},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050331722},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345981}]

女

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

[{"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":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"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，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":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"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":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，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":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"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。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32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":1653049654748},{"body":{"content":"您好，我是京东育儿师，不是客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668218},{"body":{"content":"再有其他的育儿问题您可以随时咨询我，我一直都在的。祝愿宝宝在您的呵护下健康成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792387}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819803},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965831017},{"body":{"content":"哺乳期可以吃******不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847471},{"body":{"content":"人呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965882773},{"body":{"content":"是有这个药是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965910565},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965938829},{"body":{"content":"您有什么症状表现呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940368},{"body":{"content":"肚子疼，拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978061},{"body":{"content":"这个是中药**药，可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046918},{"body":{"content":"哺乳期可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966059422},{"body":{"content":"肚子痛厉害还是需要医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966080043},{"body":{"content":"需要停止哺乳么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966195557},{"body":{"content":"孩子多大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966219482},{"body":{"content":"还没满月呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229372},{"body":{"content":"15天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966238405},{"body":{"content":"这个是中成药，一般没有什么问题。如果不放心需要到医院就诊，根据情况用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966294171},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345989},{"body":{"content":"药里面是中药 **为主成分的，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966412309}]

女26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":1653050310380},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313559},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379428}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212449},{"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":1653050216565},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475108},{"body":{"content":"我这边是医生端，建议您联系京东客服修改**，或者拨打******修改**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509117}]

女

2022.05.20