刘继帅

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

女37岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927735},{"body":{"content":"请问这个血丝是用药前没有的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956551},{"body":{"content":"没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970492},{"body":{"content":"最近是不是用眼过度了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996944},{"body":{"content":"就是使用完后无意中看到镜子发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997888},{"body":{"content":"有点，所以买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008576},{"body":{"content":"用了这个***以后还有别的不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012747},{"body":{"content":"有点凉凉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051027231},{"body":{"content":"目前就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037928},{"body":{"content":"有点凉是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047387},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051938},{"body":{"content":"年龄21男，本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051097178},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117022},{"body":{"content":"滴2滴的有血丝，一滴无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051136703},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051139789},{"body":{"content":"您的这种情况也有可能 是眼疲劳引起的血丝，建议您再观察一下看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173359},{"body":{"content":"说明书为1～2滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174708},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181764},{"body":{"content":"一般情况滴1滴也可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051208621},{"body":{"content":"建议您先一次一滴，注间观察，如果出现别的不适立即停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051226285},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234726},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051279008},{"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，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051284624},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286293},{"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":1653051391602}]

女

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051384394},{"body":{"content":"我有阴道炎和宫颈炎，医生让我提高免疫力，给我开**********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051543508},{"body":{"content":"是您的医生给您的用药建议对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562252},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570112},{"body":{"content":"是*************栓 50万IU*3枚这个是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051592845},{"body":{"content":"3盒是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627956},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051647919},{"body":{"content":"您是需要帮您开一下是吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051652686},{"body":{"content":"对，帮我开一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682440},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他高血压、糖尿病等慢性病史、或血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051684986},{"body":{"content":"血压吃药正常，乳腺增生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051761670},{"body":{"content":"您之前的检查是有发现有HPV的情况是吗？因为帮您开处方需要写上诊断，这个用药是治疗HPV的情况的，所以跟您核实一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766139},{"body":{"content":"您稍等，后续关注一下处方的信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828726},{"body":{"content":"您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894109},{"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，请您及时上线咨询或去医院就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897494}]

女51岁

2022.05.20

[{"body":{"content":"这种情况多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891262},{"body":{"content":"大概一年中途做了一次去斑就没涨逗了，现在年后又开始涨了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992385},{"body":{"content":"拍个图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050009287},{"body":{"content":"就这个情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133842},{"body":{"content":"我上面电子处方里给你开了二瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，使我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050220531},{"body":{"content":"生活中还要少吃油，少吃辣少吃糖，痤疮不喜欢这种饮食，另外不要熬夜，就这些注意事项，基本没其他的了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367220},{"body":{"content":"这个病是慢性病中药药水，坚持坚持外用就可以了，买到**后用**蘸取药液，一日三次涂擦患处，或倒在纱布上，像做**一样湿敷脸部都可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391123},{"body":{"content":"可是总是反复长痘怎么办啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611960},{"body":{"content":"这里好了那里又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623945},{"body":{"content":"你坚持用我的中药所生活中注意事项，做到就没问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633809},{"body":{"content":"三甲医院主任医师给你出的方案，放心吧。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050648789},{"body":{"content":"大概用多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655875},{"body":{"content":"至少一个月以上，至少两瓶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681401},{"body":{"content":"这个会不会只治表面，内在身体用不用调呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702688},{"body":{"content":"我觉得暂时不用，你生活中注意好了，就是内在调节。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720286},{"body":{"content":"好的呢我需要买一瓶还是2瓶呢，在这期间可以用修复类的水乳防晒产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050870848},{"body":{"content":"买两瓶，两瓶都不一定肯定够。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890943},{"body":{"content":"这个中药**就能修复皮肤，尽量少用化妆品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050927085},{"body":{"content":"你是油性皮肤，在清爽的化妆品也是油脂类的，尽量少用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939239}]

女38岁

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":1653050634663},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050635941},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050647159},{"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":1653050674143},{"body":{"content":"请问您出现不适症状几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050676230},{"body":{"content":"1-3天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681290},{"body":{"content":"有没有出现下列所述症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686357},{"body":{"content":"尿频 / 尿急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715046},{"body":{"content":"好的，那么有使用过药物进行过治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721071},{"body":{"content":"未使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050725050},{"body":{"content":"针对以上情况，您到线下医院做过相关检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050736323},{"body":{"content":"白天大概去几次厕所？超过4-6次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050743351},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756294},{"body":{"content":"晚上睡着以后会起夜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050771888},{"body":{"content":"就是今天感到小便次数多 和有点酸胀的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050809425},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817212},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823253},{"body":{"content":"昨天晚上起夜一次吧，睡得晚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050849124},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856944},{"body":{"content":"有尿痛或是尿道灼热的表现吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859820},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860275},{"body":{"content":"最近饮水量怎么样呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866919},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872623},{"body":{"content":"有过泌尿系结石的病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050884234},{"body":{"content":"需要吃药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050889249},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050895317},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912129},{"body":{"content":"在吃血压高的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937180},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050947809},{"body":{"content":"您目前的症状，是有尿路感染的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952582},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050953566},{"body":{"content":"女性尿道较短，解剖位置特殊，如果经期或者性生活后不注意个人卫生，加之饮水少，憋尿，很容易诱发尿路感染，急性膀胱炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955604},{"body":{"content":"估计饮水少的原因和抵抗力下降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995594},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000112},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051001929},{"body":{"content":"建议服用*******+***，口服一周，多饮水多排尿，保证每天饮水量2000-2500ml","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051006206},{"body":{"content":"服用过程中若症状加重或使用药物后没有明显效果，建议及时去线下医院完善尿常规、泌尿系彩超等检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010570},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021141},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051033382},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051046401},{"body":{"content":"用药剂量：0.1g的*******，一天两次，一次2片；***，一天三次，一次三片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049827},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051292},{"body":{"content":"药能及时送到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051057325},{"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":1653051094303},{"body":{"content":"如果比较着急使用的话，可以看一下当地是否有开通药急送业务，如果有，可以按照图片的方法购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103375},{"body":{"content":"哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051104698},{"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":1653051125432},{"body":{"content":"女性尿路感染注意事项：1.多饮水，多排尿，保证每天2000ml饮水量，足量饮水以冲洗清除细菌；2.不要憋尿；3.女性排便后，从前向后擦拭肛门；4.建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131203},{"body":{"content":"近期疫情原因，如果不方便去医院的话，也可以先使用尿液分析自测试纸先自测看一下情况，按说明书使用，简单易操作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137713},{"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":1653051279836},{"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":1653051364916}]

女55岁

2022.05.20

[{"body":{"content":"你好，我是京东吴医生，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":1653049905593},{"body":{"content":"请问你这样的症状有多久了？还有其他的不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908115},{"body":{"content":"5天左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922262},{"body":{"content":"感觉像是感冒或是支气管炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049935562},{"body":{"content":"嗯，除了乏力还有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950082},{"body":{"content":"好像有点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049955156},{"body":{"content":"前几天流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049962340},{"body":{"content":"现在鼻涕好些了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973424},{"body":{"content":"咳嗽有痰，深黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988360},{"body":{"content":"本周核酸检测三次，都是阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050006290},{"body":{"content":"嗯，你这种情况考虑是感冒合并了支气管炎的可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039649},{"body":{"content":"请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046109},{"body":{"content":"都正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091420},{"body":{"content":"嗯，那你吃了什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106425},{"body":{"content":"无病史，无服药史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114306},{"body":{"content":"一直没吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121545},{"body":{"content":"嗯，现在咽喉痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129152},{"body":{"content":"平常抽烟喝酒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132813},{"body":{"content":"前两天痛过，现在不痛了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050330584},{"body":{"content":"不抽烟不喝酒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"嗯，建议你口服******缓解感冒，口服********，口服*********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367090},{"body":{"content":"有没有可能恶化成肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050447343},{"body":{"content":"如果没有控制好，是有可能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050475824},{"body":{"content":"目前的症状需不需要去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050494249},{"body":{"content":"当然能去检查一下肯定更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531788},{"body":{"content":"能不能加一些防止恶化成肺炎的药，因为我以前得过肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559282},{"body":{"content":"**就是****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578596},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610865},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622633},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706108},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050709042},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050721128},{"body":{"content":"处方已开具，用药前请您仔细阅读药品说明书，如您在用药过程中出现不适，建议及时线上咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791787},{"body":{"content":"处方已经给你开好了，点击处方可以查看药品具体信息和用法，以免买错了，如果需要线上购买，可以等药师审核通过后点击处方按提示操作就可以购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798481},{"body":{"content":"治疗期间注意饮食清淡，不要吃生冷、辛辣及刺激性食品，保持室内空气流通，注意多喝温开水，不要饮酒抽烟，避免接触烟尘以及刺激性气体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050802655},{"body":{"content":"好的，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051049503},{"body":{"content":"不用谢，还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116593}]

男32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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131145},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138810},{"body":{"content":"复发性溃疡可以吃点复合维生素B族和****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173986},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192698},{"body":{"content":"那现在口腔溃疡吃点或者喷点什么药好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221490},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免疫力。可以减少复发性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222266},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231232},{"body":{"content":"可以吃点***或者***或者用****漱口","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238206},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261760},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284549}]

女23岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384421},{"body":{"content":"摸下什么感觉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404051},{"body":{"content":"皮肤下面有一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433657},{"body":{"content":"腱鞘囊肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531141}]

男3岁

2022.05.20