刘继帅

[{"body":{"content":"您好，我是陈嵩医生，感谢您对我的信任。现在开始为您接诊。需要提醒您注意的是：由于我是利用业余时间为您服务，所以不能保证您每一次的提问都能第一时间答复，也请您耐心等待！但我一定会在规定时间内早点答复您，感谢您的理解并配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694923},{"body":{"content":"去年六月份做的膝关节置换，然后过年那段时间就感觉不对劲，前段时间去拍了片子，发现螺丝松了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965771972},{"body":{"content":"我想问下这种螺丝松动是属于正常的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799648},{"body":{"content":"这肯定是不正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903233},{"body":{"content":"我觉得这种植入身体里的不应该这么轻易松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965912577},{"body":{"content":"那会是事故吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965951317},{"body":{"content":"这个不好说的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983561},{"body":{"content":"我是做机械的，像那种震动频繁的地方还有专业的螺丝去防止时间久了松动，这种植入身体里的应该也会吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966060750},{"body":{"content":"我知道一般情况下不会出现医疗事故，但是这时间间隔太短了，还不到一年，也就差不多病人身体刚刚恢复好适应了，现在又要开刀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966167179},{"body":{"content":"如果想弄清楚这个原因应该咨询哪些方面呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966205065},{"body":{"content":"这种情况我不太好说，平台规定是不允许评论的，如果你觉得手术有问题，可以向卫健委或者有关领导部门反映。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966266981},{"body":{"content":"好的，明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966298890},{"body":{"content":"多谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966305931},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311400}]

女50岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050842475},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050855327},{"body":{"content":"不建议经常喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861767},{"body":{"content":"只有大便干的时候可以喝，平常不可以当做***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924878},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937104},{"body":{"content":"好的，五岁的孩子鼻子经常干痒，不通气，有没有那种滴剂可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981536},{"body":{"content":"给孩子喝点鲜榨果汁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987320},{"body":{"content":"便秘有可能是**摄入不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994945},{"body":{"content":"用****看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010856},{"body":{"content":"是不是有鼻炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014535},{"body":{"content":"有点鼻夹肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051058441},{"body":{"content":"其他的药物滴剂建议遵医嘱用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079042},{"body":{"content":"我觉得像鼻炎，经常鼻子干不通气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051100133},{"body":{"content":"用洗鼻喷雾就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051138163},{"body":{"content":"日常**1.平时要经常活动、锻炼、增强体质； 2.注意气候变化，适时增、减衣服； 3.本病流行期间不到人多的公共场所。饮食调理多注意休息，多饮水，不要偏食、营养要均衡。饮食上应以清淡为主，过敏性鼻炎发作期应少吃海鲜、鸡蛋和牛奶等易诱发过敏的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140828},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177558},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187652},{"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":1653051209179},{"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":1653051211425},{"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":1653051353817}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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":1653051917422}]

男25岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573234},{"body":{"content":"雄性激素过多是不是可以吃**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965607373},{"body":{"content":"可以吃****可以**皮肤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629966},{"body":{"content":"之前脸上都没有痘痘，生完二胎之后脸上就开始暴涨痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965652542},{"body":{"content":"是雄性激素过多吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965672365},{"body":{"content":"多吃点儿蔬菜水果，保证充足的睡眠。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965681809},{"body":{"content":"应该是着急上火，内分泌失调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965691013},{"body":{"content":"三十岁了为什么脸上开始长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735419},{"body":{"content":"还是因为睡眠不好啊休息不好饮食结构不合理啊总之是内分泌失调","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965770476},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965782555},{"body":{"content":"??","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815122}]

女30岁

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？按压痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402026},{"body":{"content":"按压不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965426017},{"body":{"content":"有无挤压过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965442252},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454819},{"body":{"content":"根据您症状情况，考虑是甲下出血，与无意中挤压有关系的。对身体没有影响的。可以不用管它的。自己会**恢复退掉的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490474}]

女20岁

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965473931},{"body":{"content":"几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528532},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965547978}]

女17岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102174},{"body":{"content":"小孩先生是冻了，导致感冒，现在低热和咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156954},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169404},{"body":{"content":"五天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179928},{"body":{"content":"宝宝目前还烧吗？烧多少度？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050185296},{"body":{"content":"现在低烧，咳嗽，37.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217683},{"body":{"content":"请问宝宝咳嗽有痰吗？咽痒吗？痰多吗？是白的还是黄的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050238265},{"body":{"content":"孩子咳嗽一般一天中什么时候加重呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244052},{"body":{"content":"没有痰，咳不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050257876},{"body":{"content":"孩子有呼吸不畅，喘憋，喉鸣、声音嘶哑等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275716},{"body":{"content":"躺着咳得多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050282148},{"body":{"content":"好像没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302899},{"body":{"content":"好的，孩子目前的精神状态如何，饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395442},{"body":{"content":"发烧的时候精神不大好，不发烧的话就好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434485},{"body":{"content":"吃饭还行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050441731},{"body":{"content":"咳嗽比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450118},{"body":{"content":"好的，孩子还有其他不适吗？去线下医院检查过吗？目前有服用什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559212},{"body":{"content":"孩子有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050567899},{"body":{"content":"还没去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715375},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726863},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743168},{"body":{"content":"还有****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050759335},{"body":{"content":"还有******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789876},{"body":{"content":"没有吃退烧的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802175},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863005},{"body":{"content":"根据您的描述，考虑孩子咳嗽，呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893289},{"body":{"content":"目前孩子是可以服用些********+*****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909278},{"body":{"content":"宝宝目前的体温，是可以搭配服用些********的，一次一袋，一天3次就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918399},{"body":{"content":"估计是这么个情况，她很容易咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050932665},{"body":{"content":"那她现在需要吃什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050945392},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977050},{"body":{"content":"我给您开具处方，您稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996064},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051003080},{"body":{"content":"家里有盒********，能吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051161492},{"body":{"content":"可以的，可以搭配********一起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051272335},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463246},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的，三天之内有效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507628},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051510261},{"body":{"content":"孩子要避免接触过敏原、受凉、烟雾、粉尘、雾霾、尘螨等环境；居室注意勤开窗通风，保持一定的温湿度，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520522},{"body":{"content":"居室适宜的环境：温度20℃-26℃，湿度在50%--60%为宜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051522493},{"body":{"content":"还想问一下，家里有盒********能喝不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051546628},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051566569},{"body":{"content":"这个目前是可以先暂时不给孩子服用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666389},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669107},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896635},{"body":{"content":"用药后当前症状如果不缓解或者加重，建议线上复诊或者线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051899058},{"body":{"content":"您好，关诊时间临近，希望我的建议能够帮助到您，感谢您的信任。欢迎您再次咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901924},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905012},{"body":{"content":"如果您对我的服务满意，可以点击问诊界面 右上角 “表扬医生”，给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051906985},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051908874}]

女7岁

2022.05.20

[{"body":{"content":"您好，我是主治医师邵珠琳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380451},{"body":{"content":"请问需要什么帮助?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391967},{"body":{"content":"家里54岁老人，心肌缺血，想要营养心肌用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426501},{"body":{"content":"您有推荐么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441768},{"body":{"content":"患者有什么症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872020}]

女

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":1652965172866},{"body":{"content":"你好，我想问一下十二岁的小女孩一般子宫厚度是多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965241103},{"body":{"content":"你这个是要去咨询妇科的，我们这边是儿科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965301296}]

女12岁

2022.05.20

[{"body":{"content":"您好，我是呼吸科医生黎泽树，非常高兴由我为您提供医疗咨询服务。\n亲，由于疫情影响，需要明确：1、你是不是疫区的，2、你是否有新冠肺炎接触史，\n 如果有这方面的，请明确回答，谢谢\n另外，请珍惜时间，没有回话，我将不做提问，请理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756720},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049789514},{"body":{"content":"不在疫区 没有接触过新冠肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836315},{"body":{"content":"还有其他不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837846},{"body":{"content":"就是鼻塞可能有一点点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861260},{"body":{"content":"鼻涕有点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049904516},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908508},{"body":{"content":"十大症状：发热、干咳、乏力、咽痛、嗅（味）觉减退、鼻塞、流涕、结膜炎、肌痛和腹泻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915177},{"body":{"content":"这里面有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921519},{"body":{"content":"腹泻 鼻塞 流涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951100},{"body":{"content":"腹泻几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049973681},{"body":{"content":"不算腹泻 只是上厕所有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013552},{"body":{"content":"一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047319},{"body":{"content":"三到4次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062478},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050083599},{"body":{"content":"既往有药物过敏及药物不良反应，肝肾功能损害异常及其他慢性病史吗？近期在使用哪些其他药物？是否在孕期，备孕期，哺乳期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088919},{"body":{"content":"没有 5天前打了二价","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116766},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129394},{"body":{"content":"那个没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135573},{"body":{"content":"稍等开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144834},{"body":{"content":"吞口水可能一点不太舒服 前晚吃了烧烤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170800},{"body":{"content":"亲开了处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182135},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216647},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050240219}]

女24岁

2022.05.20